This book is written as a comprehensive and practical guide for General Practitioners who often manage patients with diabetic foot complications. Topics covered include Types of Diabetic Foot Complications, Basic Science involved, Examining a Diabetic Foot, Doing Investigations and Treating a Diabetic Foot, Endocrine Control, Nutritional Support, Choice of Wound Dressing and Choice of the appropriate Antibiotic. An important chapter, especially useful to the GPs is a practical guide on when to treat the patients in their clinics and when to send them to hospitals for management by Diabetic Foot Specialists. A special emphasis has also been given to guide GPs how to educate their patients on Care of Diabetes itself, Care of the Foot and Choice of Footwear. In addition, this Companion Book to GPs will also be useful to Nurses and Podiatrists who also provide care to Diabetic Foot patients. For the latter, a Supplement has been added. Relevant topics include Team Approach, Nursing a Diabetic Foot, Nutrition, Wound Dressings, Negative Pressure Wound Therapy, Maggot Debridement Therapy, Off-loading & Shoes, Hyperbaric Oxygen Therapy, Charcot Joint Disease and Rehabilitation.

This book is a comprehensive guide for all tissue bank operators to screen, procure and process amniotic membrane for clinical application.The amnion comes close to being the ideal biological membrane or dressing - readily available, inexpensive to procure and process. Its basic science is discussed in detail - anatomy, biological and biomechanical properties.It can be procured from the placenta in normal vaginal deliveries and from Caesarean Sections. Processing is by freeze-drying or by air-drying process with sterilisation using gamma irradiation.The product has low antigenicity, has anti-microbial properties with ability to enhance epithelisation with marked relief of pain. It is useful as a dressing for wounds - flap wounds, burn wounds, injury wounds, diabetic ulcers, leprous ulcers and post-surgery wounds and post-radiation wounds. It is also used as a biological scaffold for cells in tissue engineering. Its ophthalmic applications include treatment of corneal ulcers and conjunctival tumours. Oral uses include gingiva depigmentation and periodontal regeneration.

This is the first textbook on surgery for Diabetic Foot in the world. It is written as a practical surgery manual for residents and young surgeons performing surgical procedures for patients with diabetic foot problems. Such a guide will be useful not only to residents and surgeons in Singapore but also to our neighbouring countries including, Malaysia, Indonesia, Hong Kong, India, Sri Lanka etc. Each surgical procedure is written in a systematic fashion covering indications, pre-operative preparation, anaesthesia, patient positioning, operative technique (in step by step fashion and illustrations) and post-operative care.The scope covers all aspects of surgery for diabetic foot from surgical debridement, split skin grafting, surgery for osteomyelitis, minor amputations including ray, transmetatarsal, Lisfranc, Chopart and Modified Pirogoff amputation to major amputations such as below knee, through knee and above knee amputation. It also includes assessment for revascularisation and revascularisation procedures.This book will serve as a useful practical guide for training surgical residents and for surgeons aspiring to do diabetic foot surgery.

This book is a practical guide for residents and young researchers who are planning to embark on research. It details the significant planning one must first do including choosing a suitable experienced clinician as a supervisor, sourcing for a 'winning idea' with significant clinical impact, performing a proper review of literature, defining clearly the objectives to be set and adopting the appropriate methodology. Statistical evaluation must be done from the start of the research to define adequate sample size and also for evaluation of the results. It also advises how one should draw upon relevant and appropriate conclusions from the results obtained.The ethics of research is also discussed. An all-important factor in research is the procurement of research grants. Readers are guided how to write a proper research proposal to secure these much needed grants.Many research papers end up as presentations only in local or international conferences. An important additional objective of this book is to guide young researchers how to write their finished product - as a publication in an important international, refereed journal or as a thesis. Chapters have been specially written with tips for scientific writing, selecting the right journal, writing for an original article for a journal, a review article, a case report as well as for a thesis. Tips are also written on what reviewers of a journal look for in an article as well as what examiners look for in a thesis.

This book provides a comprehensive guide for all healthcare professionals managing diabetic foot problems including general practitioners, nurses, podiatrists, orthopaedic surgeons, vascular surgeons and endocrinologists. It is also written in an easy to read fashion so that patients and caregivers will also find it useful.It covers a wide range of topics on the Diabetic Foot starting with an Introductory Section on "Overview of Diabetes". Topics include 'What is Diabetes?', 'Complications of Diabetes' and 'Management of Diabetes'. The section on "Basic Science of Diabetic Foot" covers Anatomy, Biomechanics and Pathogenesis: the Diabetes Foot Triad of Neuropathy, Vasculopathy and Immunopathy. Other Sections include Classification, Clinical Presentation and Treatment.A highlight of the book is the large "Guide to Operative Surgery" section. This section covers Major Amputations, Minor Amputation and other Diabetic Foot Surgeries. The latter details Surgical Debridement and Split Skin Grafting - two of the commonest operations performed. This operative manual is also useful to residents and registrars.The section on Wound Care has also been carefully assembled to meet the needs of nurses, podiatrists and general practitioners, performing day to day dressing of diabetic wounds. It focuses on the use of New Generation Dressings including Silver and Iodine Dressings and Advances in Wound Healing. Patients and Care-givers will also find this useful.The last section "A Patient's Guide" is especially written to benefit patients and care-givers. It includes 'Care of Diabetes', 'Care of the Foot', 'Choosing your own Footwear', 'Doing your own Dressing' and 'Rehabilitating your Below Knee Amputation'.Finally, the Appendix includes details of the formation of NUH Diabetic Foot Team, Asia Pacific Association of Diabetic Limb Problems and the ASEAN Plus Expert Group Forum on the Management of Diabetic Foot Wounds.

This book is written as a comprehensive guide for all tissue bank operators to procure and process bone and soft tissue allografts of highest quality standards for safe tissue transplantation practice in patients who require musculoskeletal tissue allograft transplantation. This comprehensive guide includes donor selection criteria, aseptic procurement techniques, laboratory testing and processing of grafts by deep freezing or freeze drying. It also includes sterilization of tissue grafts using gamma irradiation. Quality controls of tissue grafts are discussed in depth. The clinical transplantation of bone and soft tissue allografts is also discussed, with special consideration given to potential complications. Principles of sterile technique in the operating theater are described. The book also incorporates the basic sciences of tissue banking including anatomy, biomechanics, microbiology and immunology. It also covers radiation science so that the reader can better understand radiation sterilization of tissue grafts. Included in the book is a guide for public awareness programmes, radiation code of practice and general standards for tissue banking as recommended by the International Atomic Energy Agency.

This book is a practical guide for residents and young researchers who are planning to embark on research. It details the significant planning one must first do including choosing a suitable experienced clinician as a supervisor, sourcing for a 'winning idea' with significant clinical impact, performing a proper review of literature, defining clearly the objectives to be set and adopting the appropriate methodology. Statistical evaluation must be done from the start of the research to define adequate sample size and also for evaluation of the results. It also advises how one should draw upon relevant and appropriate conclusions from the results obtained.The ethics of research is also discussed. An all-important factor in research is the procurement of research grants. Readers are guided how to write a proper research proposal to secure these much needed grants.Many research papers end up as presentations only in local or international conferences. An important additional objective of this book is to guide young researchers how to write their finished product - as a publication in an important international, refereed journal or as a thesis. Chapters have been specially written with tips for scientific writing, selecting the right journal, writing for an original article for a journal, a review article, a case report as well as for a thesis. Tips are also written on what reviewers of a journal look for in an article as well as what examiners look for in a thesis.