- Diabetic Foot Ulcer Assessment and Management
- Wound Healing and Treatments
- Streptococcal Infections and Treatments
- Pressure Ulcer Prevention and Management
- Laser Applications in Dentistry and Medicine
- Skin Diseases and Diabetes
- Medical and Biological Ozone Research
- Diagnosis and Treatment of Venous Diseases
- Orthopedic Infections and Treatments
- Peripheral Artery Disease Management
- Botulinum Toxin and Related Neurological Disorders
- Dermatologic Treatments and Research
- Pain Management and Treatment
- Tendon Structure and Treatment
- Surgical Sutures and Adhesives
- Planarian Biology and Electrostimulation
- Pain Mechanisms and Treatments
- Microbial Inactivation Methods
- Dupuytren's Contracture and Treatments
Clínica Rementería
2024
Instituto Ramón y Cajal de Investigación Sanitaria
2023-2024
Hospital Universitario Ramón y Cajal
2024
Instituto Cajal
2022
Universidad Complutense de Madrid
2009-2013
Instituto de Investigación Sanitaria del Hospital Clínico San Carlos
2013
College of Podiatry
2011
A universally accepted histopathologic classification of diabetic foot osteomyelitis does not currently exist. We sought to evaluate the characteristics bone infection found in feet patients and analyze clinical variables related each type infection.We conducted an observational prospective study 165 with ulcers who underwent surgery for infection. Samples microbiological analyses were collected operating room under sterile conditions.We four types osteomyelitis: acute (n = 46; 27.9%),...
Objective To evaluate therapeutic footwear expectations and usability of individuals with diabetes foot complications. Design A prospective multicenter study was conducted on participants a high risk developing diabetic ulcer. Setting Participants were enrolled in 11 different specialized units Spain between March 2022 June 2023. Subjects Patients at moderate to ulceration receiving first prescription. Interventions All the patients included research prescribed their pair footwear. Main...
Keratinocytes play an essential role in the inflammatory phase of wound regeneration. In addition to migrating and proliferating for tissue regeneration, they produce a large amount cytokines that modulate process. Previous studies have shown subthermal treatment with radiofrequency (RF) currents used capacitive resistive electric transfer (CRET) therapy promotes proliferation HaCat keratinocytes modulates their cytokine production. Although physical therapies been anti-inflammatory effects...
The objectives of our study were (i) to analyse the inter-observer reproducibility or diagnostic variability probing-to-bone test, depending on training professional involved, and (ii) assess whether test can be extrapolated any specialty that deals with these patients.This was a cross-sectional study, involving 75 patients diabetic foot ulcer clinical suspicion osteomyelitis. A registration sheet completed for all involved in research gathering data relative results performed by three...
The aim of this study was to determine the incidence complications associated with primary closure in surgical procedures performed for diabetic foot osteomyelitis compared those healed by secondary intention. In addition, further evaluation digital debridement as an alternative patients amputation also examined our study.Comparative that included 46 ulcerations. Surgical infected bone on all patients. Depending technique used, 34 (73.9%, Group 1) while rest 12 were allowed heal intention...
The forefoot has been reported as the most frequent location of osteomyelitis in feet patients with diabetes. includes toes and metatarsal heads common locations bone infections, but anatomy these bones is quite different. As a result, such differences may have an impact on outcomes. aim present study was to determine whether different any influence time healing after undergoing surgery prospective series including 195 without peripheral arterial disease confirmed by histopathology. Location...
The purpose of this study was to analyze the interobserver and intraobserver variability in plain radiography diagnosis diabetic foot osteomyelitis. A prospective observational performed from October 1, 2009, July 31, 2011, on patients with ulcers, clinically suspected osteomyelitis who were admitted Diabetic Foot Unit Complutense University Madrid. Two professional groups examined 123 X-rays, each group comprising 3 different levels clinical experience. To variability, 2 months later X-rays...
The aim of this study was to examine changes in the skin over feet patients with diabetic foot syndrome after local application a product containing hyperoxygenated fatty acids (HOFAs) by measuring transcutaneous oxygen. In 64 patients, oxygen pressure (TcPo(2)) measured on days 0, 7, 30, 60, and 90 study. Foot dryness, shedding, color were also assessed using clinical score. grouped basis initial levels oxygen; group 1 comprised TcPo( 2) >30 mm Hg 2 TcPo(2) <30 dorsum feet. Increases...
BACKGROUND:Healico© is an innovative smartphone application designed to assist healthcare professionals in managing wounds their daily practice. The records all clinical information of the wound, facilitating its monitoring, and may lead selection best treatment for patient. In addition, allows secure data sharing among professionals. CASE REPORT:We report successful use Healico© aiding avoidance foot amputation a 65-year-old patient with diabetes. had diabetic ulcer, main cause lower limb...
Background/Objectives: To analyze the best noninvasive tests prognosis marker in patients with diabetic foot ulcer (DFU) who underwent endovascular revascularization based on clinical outcomes, such as healing rate, time to heal, and free amputation survival after at least a six-month follow-up. Methods: A multicentric prospective observational study was performed 28 participants ischemic or neuroischemic DFU came participant centers between January 2022 March 2023. Toe systolic pressure...
Non-optimal wound management and late referral to specialised units negatively impacts patient prognosis quality of life, as well healthcare costs. Healico is a new mobile application (app), created in the care field, response challenges difficulties encountered by health professionals (HPs) who deal with patients wounds on daily basis. This article aims describe how this app was developed, it works, real-life clinical benefits evidence supporting its use. The App assists nurses, physicians...