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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.
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