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RISS 인기검색어
- 검색키워드
- 저자 : ( Shinsuke Mikami ) (검색결과 2 건)
- 무료
- 기관 내 무료
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( Shinsuke Mikami ),( Takafumi Sugihiro ),( Satoshi Mouri ),( Yusuke Ueda ),( Hitoshi Susawa ),( Kengo Kobayashi ),( Haruki Tanaka ),( Kouichi Tanaka ),( Yukihito Higashi ),( Yasuki Kihara ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: Foot ulcers are costly complication among diabetes patients. These patients have an increased risk of amputation and increased mortality rate. Early recognition of the high-risk foot and sufficient care will save legs and improve patients` quality of life. Figures of incidence of foot ulcers varies and there are only limited information in relation the change of incidence over time. The aim of this study was to estimate 5-year risk for diabetic foot ulcer (DFU), lower extremity amputation (LEA) and all cause of death. Methods: Retrospective cohort study including all subjects with diabetes enrolled in our diabetic outpatient clinic from beginning 2008 until middle 2014. Data were collected from clinical records. Results: 528 subjects with mean age of 61.3 (±13.8), 57.4% were male. The mean of HbA1c in diabetic patients at baseline were 8.1% +/- 1.9%. Cumulative incidence was 1.3% for DFU, 0.18% for LEA and 4.7% for all-cause of death. The prevalence of cardiovascular and cerebrovascular conditions, pneumonia were 2.3%, 1.9%, 2.3%, respectively. Cause of deaths was cancer (64%), pneumonia (20%), cardiovascular death (4%). Conclusions: Several factors may explain the incidence in diabetes-related LEAs. Diabetes prevention strategies and controlling risk factors are important in people with type 1 and 2 diabetes.
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( Yuki Nakao ),( Shinsuke Mikami ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: Aeromonas species are well known to cause diarrhea. They also cause skin and soft tissue infections (SSTI) and sepsis in patients with hepatic diseases, diabetes mellitus, and immunocompromised status. The genus Aeromonas comprises gram-negative rods widely distributed in freshwater, estuarine and marine environments. Aeromonas infections are relatively frequent in warm tropical or subtropical climates. Although many reports concerning Aeromonas infections have been published from these areas close to the coast, a paucity of material is available on Aeromonas infections from hospitals in hilly and mountainous areas. Methods: We retrospectively investigated patients who were identifi ed from the clinical database of Miyoshi Central Hospital between December 2009 to June 2014. It is located at hilly and mountainous area in the north side of Hiroshima Prefecture. Results: Aeromonas species were isolated from 49 patients in a general hospital. Subjects included 29 males and 20 females, ranging in age from 0 to100 years (median age 69 years). They were isolated every month except for February. five patients were died. One of them died of skin and soft tissue infections caused by the Aeromonas species. Conclusions: Aeromonas infections may occur not only at coastal areas but also hilly and mountainous areas.
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