Journal of the American Podiatric Medical Association

61 KB

Open AccessArticle

Podiatric Medicine and Public Health. Concepts and Perspectives. Special Commission of the Podiatric Health Section of the American Public Health Association

by Ae Helfand

J. Am. Podiatr. Med. Assoc. 1998, 88(7), 353-359; https://doi.org/10.7547/87507315-88-7-353 - 1 Jul 1998

Cited by 7 | Viewed by 59

Abstract

Podiatric physicians play an important role in the field of public health. In 1975, the Podiatric Health Section of the American Public Health Association (APHA) formulated an official statement of the roles and responsibilities of podiatrists in the public health field. Entitled Functions [...] Read more.

Podiatric physicians play an important role in the field of public health. In 1975, the Podiatric Health Section of the American Public Health Association (APHA) formulated an official statement of the roles and responsibilities of podiatrists in the public health field. Entitled Functions and Educational Qualifications of Podiatrists in Public Health, the document was published in the September 1975 issue of the American Journal of Public Health. For more than 2 decades, it remained the primary document defining and delineating the activities of the specialist in podiatric public health. Recently, it was recognized that in this time of rapid change in health-care delivery, a revision of this important statement was needed. A mini-grant from the APHA in 1996-1997 supported the formation of a special commission to update the formal position of the APHA and its Podiatric Health Section with respect to podiatric public health and to provide direction for the future. This article is a shortened version of the report issued by the special commission of the APHA. Full article

47 KB

Open AccessArticle

The Risk of Tetanus in Podiatric Medicine

by Jm Pouillon and Bd Caldwell

J. Am. Podiatr. Med. Assoc. 1998, 88(7), 349-352; https://doi.org/10.7547/87507315-88-7-349 - 1 Jul 1998

Viewed by 56

Abstract

Although tetanus is a preventable disease, several cases are reported to the Centers for Disease Control and Prevention each year. Many conditions treated by podiatric physicians carry the risk of infection by Clostridium tetani, and it is advisable for podiatrists to update a [...] Read more.

Although tetanus is a preventable disease, several cases are reported to the Centers for Disease Control and Prevention each year. Many conditions treated by podiatric physicians carry the risk of infection by Clostridium tetani, and it is advisable for podiatrists to update a patient's tetanus immunization status if the patient presents with a tetanus-prone wound. Full article

51 KB

Open AccessCase Report

Effect of Shoe Color on Shoe Temperature and Potential Solar Injury to the Insensate Foot

by PA DeLuca and Wp Goforth

J. Am. Podiatr. Med. Assoc. 1998, 88(7), 344-348; https://doi.org/10.7547/87507315-88-7-344 - 1 Jul 1998

Cited by 5 | Viewed by 94

Abstract

The authors compared shoes of different colors in terms of the amount by which their temperature increased when subjected to radiant heat. Three trials of temperature measurements were performed for white and black leather walking shoes. A balloon filled with water was placed [...] Read more.

The authors compared shoes of different colors in terms of the amount by which their temperature increased when subjected to radiant heat. Three trials of temperature measurements were performed for white and black leather walking shoes. A balloon filled with water was placed in the shoe and the surface temperature of the balloon was measured at baseline and after the shoe had been exposed to an infrared heat lamp for 15- and 30-minute periods. The results were significant: The mean increase in temperature after 15 minutes of exposure was between 4.0 degrees F and 8.8 degrees F greater in the black shoe than in the white shoe. After 30 minutes of exposure, the mean increase in temperature was between 7.8 degrees F and 13.6 degrees F greater in the black shoe than in the white shoe. This information can help prevent thermal injury to the insensate foot when shoes are worn in the sun for a prolonged period. Brief case reports of three patients who experienced such thermal injury are presented. Full article

72 KB

Open AccessArticle

Making the Diagnosis of Osteomyelitis The Role of Prevalence

by Js Wrobel and Je Connolly

J. Am. Podiatr. Med. Assoc. 1998, 88(7), 337-343; https://doi.org/10.7547/87507315-88-7-337 - 1 Jul 1998

Cited by 60 | Viewed by 47

Abstract

Clinicians may have poor sensitivity in determining whether a given diabetic patient with a foot ulcer has osteomyelitis. Thus many turn to diagnostic tests. The literature was reviewed and data on the sensitivity and specificity of five commonly used diagnostic tests were compiled. [...] Read more.

Clinicians may have poor sensitivity in determining whether a given diabetic patient with a foot ulcer has osteomyelitis. Thus many turn to diagnostic tests. The literature was reviewed and data on the sensitivity and specificity of five commonly used diagnostic tests were compiled. Using Bayes' theorem, the authors' analysis suggests that pretest probability may be more important in the decision-making process than individual test characteristics. Also, a positive probe-to-bone test is as predictive of osteomyelitis as the other four tests. A negative magnetic resonance imaging test most likely rules out osteomyelitis. Interpretation of any test result is greatly influenced by the pretest probability of disease. Future work needs to focus on aiding the clinician in determining the patient's probability of disease prior to testing in order to optimize patient care. Full article

► Show Figures

Figure 1

57 KB

Open AccessArticle

Comparison of Salicylic Acid and Urea versus Ammonium Lactate for the Treatment of Foot Xerosis A Randomized, Double-Blind, Clinical Study

by Mb Jennings, D Alfieri, K Ward and C Lesczczynski

J. Am. Podiatr. Med. Assoc. 1998, 88(7), 332-336; https://doi.org/10.7547/87507315-88-7-332 - 1 Jul 1998

Cited by 42 | Viewed by 364

Abstract

Xerosis is defined as dehydration of skin characterized by redness, dry scaling, and fine crackling that may resemble the crackling of porcelain. The present double-blind trial was a randomized paired comparison study evaluating the keratolytic effect of 5% salicylic acid and 10% urea [...] Read more.

Xerosis is defined as dehydration of skin characterized by redness, dry scaling, and fine crackling that may resemble the crackling of porcelain. The present double-blind trial was a randomized paired comparison study evaluating the keratolytic effect of 5% salicylic acid and 10% urea ointment (Kerasal) on one foot and 12% ammonium lactate lotion (Lac-Hydrin) on the other foot in mild-to-moderate xerosis. Seventy patients were initially enrolled in the trial. Fifty-four patients were evaluated after 2 weeks of treatment; of those 54 patients, 39 were evaluated after 4 weeks of treatment. Although there was significant improvement in severity of xerosis after 2 and 4 weeks of treatment, there was no statistically significant difference between treatment groups. Irrespective of the mechanism of action, this study shows that both Kerasal and Lac-Hydrin 12% lotion result in reduction in the severity of xerosis after 4 weeks of therapy. Full article

► Show Figures

Figure 1

215 KB

Open AccessArticle

Lesser Metatarsal V-Osteotomy for Chronic Intractable Plantar Keratosis Retrospective Analysis of 40 Procedures

by J Pontious, Gd Lane, Jc Moritz and W Martin

J. Am. Podiatr. Med. Assoc. 1998, 88(7), 323-331; https://doi.org/10.7547/87507315-88-7-323 - 1 Jul 1998

Cited by 24 | Viewed by 80

Abstract

The authors studied 40 V-osteotomies of the lesser metatarsal performed for chronic intractable plantar keratosis. They discuss the effectiveness of the V-osteotomy for this deformity as well as other findings such as whether or not fixation of the osteotomy yields a better result [...] Read more.

The authors studied 40 V-osteotomies of the lesser metatarsal performed for chronic intractable plantar keratosis. They discuss the effectiveness of the V-osteotomy for this deformity as well as other findings such as whether or not fixation of the osteotomy yields a better result (i.e., a lower incidence of complications). The results show that the V-osteotomy had limited effectiveness for this condition and resulted in a high complication rate. Full article

► Show Figures

Figure 1

385 KB

Open AccessCase Report

Contrasts in Clinical Presentation and Genetic Transmission of Myotonic Dystrophy

by H Reifer and E Sobel

J. Am. Podiatr. Med. Assoc. 1998, 88(7), 313-322; https://doi.org/10.7547/87507315-88-7-313 - 1 Jul 1998

Viewed by 65

Abstract

Myotonic dystrophy, the most common inherited neuromuscular disease, is an autosomal dominant muscular dystrophy characterized by myotonia and distal muscle weakness. It is caused by an increase in the number of cytosine-thymine-guanine (CTG) nucleotide repeats present on the long arm of chromosome 19. [...] Read more.

Myotonic dystrophy, the most common inherited neuromuscular disease, is an autosomal dominant muscular dystrophy characterized by myotonia and distal muscle weakness. It is caused by an increase in the number of cytosine-thymine-guanine (CTG) nucleotide repeats present on the long arm of chromosome 19. Two patients were evaluated, one with classic adult-onset myotonic dystrophy and the other with congenital myotonic dystrophy. Contrasts in the clinical features and genetic transmission of this disease and clinical management are reviewed. Full article

► Show Figures

Figure 1

Journal Menu

Journal Browser

J. Am. Podiatr. Med. Assoc., Volume 88, Issue 7 (07 1998) – 7 articles , Pages 313-359

Further Information

Guidelines

MDPI Initiatives

Follow MDPI