Analysis 1.2. Comparison 1 Enteral versus parenteral nutrition for acute pancreatitis, Outcome 2 Mortality in patients with acute pancreatitis excluding those from (Abou-Assi 2002) in which death resulted a er resolution of acute pancreatitis and was attributed to other causes; cardiac surgery, cancer of the liver, squamous cell carcinoma of the pharynx and intracerebral hemorrhage..
Lower extremity complications are a major cause of morbidity and mortality in people with diabetes. • The treatment of foot ulcers in people who have diabetes requires an interprofessional approach that addresses glycemic control, infection, offloading of high-pressure areas, lower-extremity vascular status and local wound care. • Antibiotic therapy is not required for uninfected neuropathic foot ulcers. • Proprietary adjunctive wound dressings and technologies, including antimicrobial dressings, lack sufficient evidence to support routine use in the treatment of neuropathic ulcers. KEY MESSAGES FOR PEOPLE WITH DIABETES • Diabetes can cause nerve damage (also known as "diabetic peripheral neuropathy") and poor blood flow or circulation to the legs and feet (also known as "peripheral arterial disease"). • As a result, people with diabetes are less likely to feel a foot injury, such as a blister or cut. Diabetes can make these injuries more difficult to heal. Unnoticed and untreated, even small foot injuries can quickly become infected, potentially leading to serious complications. • A good daily foot care routine may help keep your feet healthy: • Examine your feet and legs daily • Care for your nails regularly • Apply moisturizing lotion if your feet are dry (but not between the toes) • Wear properly fitting footwear • Test your bath water with your hand before you step in, to make sure the water is not too hot • If you have any corns (thick or hard skin on toes), calluses (thick skin on bottom of feet), ingrown toenails, warts, splinters or other wounds, have them treated by your doctor or other foot care specialist (such as a foot care nurse, podiatrist or chiropodist). Do not try to treat them yourself. • If you have any swelling, warmth, redness or pain in your legs or feet, see your health-care provider or foot specialist right away. Conflict of interest statements can be found on page S225. Can J Diabetes 42 (2018) S222-S227 Contents lists available at ScienceDirect Canadian Journal of Diabetes j o u r n a l h o m e p a g e : w w w. c a n a d i a n j o u r n a l o f d i a b e t e s. c o m
IMPORTANCEDeferred diabetic foot screening and delays in timely care of acute foot complications during the COVID-19 pandemic may have contributed to an increase in limb loss. OBJECTIVE To evaluate the association of the COVID-19 pandemic with diabetes-related care measures, foot complications, and amputation. DESIGN, SETTING, AND PARTICIPANTS This population-based cohort study included all adult residents of Ontario, Canada, with diabetes and compared the rates of selected outcomes from
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