Medical director introduces maggot therapy to Mo. wound clinic | Study: Poor adherence leads to foot ulcer recurrence | Simple, low-cost interventions can reduce amputations
January 23, 2013
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Wound Care Update
Medical director introduces maggot therapy to Mo. wound clinic
The director of wound care and hyperbaric medicine at Cox Medical Center in Branson, Mo., has introduced maggot debridement therapy to the wound clinic's treatment options. Two patients have been treated with the therapy who otherwise may have required amputation, Dr. Robert Dorsey said. The therapy cleans wounds well and promotes faster healing, but some patients remain averse, Dorsey said. Branson Tri-Lakes News (Mo.) (1/18)
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Study: Poor adherence leads to foot ulcer recurrence
Patients who were prescribed custom footwear often did not wear it at home, leading to foot ulcer recurrence, a study of 107 patients with diabetes, neuropathy and a recently healed plantar foot ulcer found. Adherence away from home was significantly higher than adherence at home, though more steps were taken at home, the researchers reported in the journal Diabetes Care. Healio (free registration)/Endocrine Today (1/22)
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Simple, low-cost interventions can reduce amputations
A study of 114 Swedish patients found that simple interventions, such as shoe inserts, podiatry and regular checkups could reduce diabetic foot amputations by at least 50%. Over a one-year period, only 0.9% of participants who used shoe inserts developed new foot ulcers, compared with reports of 3% to 8% in similar populations with diabetes. The results were slated for presentation at the International Conference on Prosthetics and Orthotics in India. (U.K.) (1/18)
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Research, Technology & Innovation
Study compares pressure offloading devices for foot ulcer healing
Non-removable pressure offloading devices promoted the healing of diabetic foot ulcers more effectively than removable devices, according to a study published in Diabetes/Metabolism Research and Reviews. The researchers speculate that the difference might be due to lower patient adherence with the use of removable devices. Podiatry Today magazine/DPM Blogs (1/2013)
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EU approves Integra's diabetes wound management system
Integra LifeSciences has earned CE mark approval in Europe to market a device used to help patients with diabetes manage their chronic wounds. The Integra Flowable Wound Matrix system, which works by filling deep soft tissue or tunneling wounds, could help reduce the risk of amputation in patients with diabetes. RTT News (1/18)
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Health Policy & Regulation
HHS updates HIPAA rules
HHS updated HIPAA rules to limit the use and disclosure of protected health information for fundraising and marketing, prohibit the unauthorized sale of protected health data, broaden patients' rights to restrict disclosure of health information, prohibit insurers from using or sharing genetic data for underwriting and replace the standard of "harm" under the HITECH Act's breach notification rule, among other changes. Government Health IT online (1/17)
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Lend yourself to others, but give yourself to yourself."
-- Michel de Montaigne,
French writer
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