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  • 1
    Online Resource
    Online Resource
    The Association between Tinea Pedis and Feet-Washing Behavior in Patients with Diabetes: A Cross-sectional Study
    Ovid Technologies (Wolters Kluwer Health) ; 2017
    In:  Advances in Skin & Wound Care Vol. 30, No. 11 ( 2017-11), p. 510-516
    Details
    In: Advances in Skin & Wound Care, Ovid Technologies (Wolters Kluwer Health), Vol. 30, No. 11 ( 2017-11), p. 510-516
    Abstract: To examine the correlations between elements of feet-washing behavior, presence of tinea pedis (TP), and patients’ background characteristics in order to identify a concrete intervention method to prevent TP. DESIGN AND PARTICIPANTS: A cross-sectional study of 30 patients with diabetes (16 with TP) who were admitted to or visited the university hospital. MAIN OUTCOME MEASURES: The presence of TP was confirmed by the detection of dermatophytes by direct microscopy. Data on elements of feet-washing behavior, such as scrubbing between the toes, were collected by observing recorded videos of participants normally washing their feet as they do at home. The patients’ background characteristics included demographic data; diabetes-related factors; patient knowledge regarding diabetes, foot problems, and TP prevention; purpose for feet washing; and any difficulties in feet washing. MAIN RESULTS: The number of times patients scrubbed between their toes while washing with soap was significantly lower in patients with TP (odds ratio, 0.95; P = .036; with a cutoff value of 35 times) and those who had difficulty in reaching their feet with their hands ( B = −14.42, P = .041). CONCLUSIONS: An effective foot-washing protocol should include specific instructions for patients to scrub between their toes at least 35 times in all 8 spaces while washing with soap. Appropriate advice is also needed for individuals who have difficulty reaching their feet with their hands. Education about appropriate foot-washing behavior may potentially prevent TP.
    Type of Medium: Online Resource
    ISSN: 1538-8654 , 1527-7941
    URL: Article
    DOI: 10.1097/01.ASW.0000525903.07883.8f
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2017
    detail.hit.zdb_id: 2053383-4
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  • 2
    Online Resource
    Online Resource
    Association between Washing Residue on the Feet and Tinea Pedis in Diabetic Patients
    Hindawi Limited ; 2015
    In:  Nursing Research and Practice Vol. 2015 ( 2015), p. 1-7
    Details
    In: Nursing Research and Practice, Hindawi Limited, Vol. 2015 ( 2015), p. 1-7
    Abstract: Tinea pedis (TP) may lead to the development of foot ulcers in diabetic patients; thus, its prevention in diabetic patients is important. TP occurs after dermatophytes on the skin scales of TP patients attach to the feet. Therefore, it is necessary to remove the scales and dermatophytes, and this can be performed using various methods, including foot washing. This study aimed to objectively examine the association between the presence of TP and foot-washing habits. We included 33 diabetic patients, and, of these, 17 had TP. The presence of washing residue on the feet was determined by applying a fluorescent cream to the participants’ feet, and images of the feet were captured under ultraviolet light before and after foot washing. Our results showed that diabetic patients with TP had higher levels of washing residue on their feet than those without TP. The importance of washing feet to prevent TP needs to be emphasized through educational programs for diabetic patients. Furthermore, the development of an effective foot-washing technique is essential.
    Type of Medium: Online Resource
    ISSN: 2090-1429 , 2090-1437
    URL: Article
    DOI: 10.1155/2015/872678
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2015
    detail.hit.zdb_id: 2621482-9
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  • 3
    Online Resource
    Online Resource
    Morphological Pattern Classification System for Plantar Thermography of Patients with Diabetes
    SAGE Publications ; 2013
    In:  Journal of Diabetes Science and Technology Vol. 7, No. 5 ( 2013-09), p. 1102-1112
    Details
    In: Journal of Diabetes Science and Technology, SAGE Publications, Vol. 7, No. 5 ( 2013-09), p. 1102-1112
    Abstract: A plantar temperature distribution can be obtained by thermography; however, the advantage has not been effectively utilized in the past. We previously proposed a classification method based on the angiosome concept, but the method was insufficient because it was too subjective and complicated for clinicians. In this study, we propose a new classification system of plantar forepart thermographic patterns using an image segmentation technique. Methods: A cross-sectional observational study was conducted including 32 healthy volunteers and 129 patients with diabetes mellitus (DM). Individual thermographic variations and trends were evaluated. A comparison was conducted between the patterns obtained by our previous angiosome-based research and the patterns found by the new classification system. Results: The system objectively found wider variations of the plantar forepart thermographic patterns in the patients with DM compared with those in the control subjects. In patients with DM, the system showed that the whole-high pattern was most frequent (46%), followed by the butterfly pattern (12%). In the control group, the butterfly pattern was most frequent (44%), followed by the whole-high pattern (19%). Both ankle and toe brachial indices were higher in feet with high temperature area in the inner side of the plantar. Conclusions: Thermographic patterns found by the new computer-based system were similar to those obtained in our previous subjective work. The classification system found forefoot-low pattern and tiptoe-low pattern objectively. The system based on infrared thermography will be a screening tool to assess circulatory status in daily foot care of patients with DM.
    Type of Medium: Online Resource
    ISSN: 1932-2968 , 1932-2968
    URL: Article
    DOI: 10.1177/193229681300700502
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2013
    detail.hit.zdb_id: 2467312-2
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