Diabetic foot disease and oedema

Diabetic foot ulcers (DFUs) are common and disabling, giving rise to significant morbidity and mortality as well as worldwide socioeconomic problems. Despite treatment, DFUs readily become chronic wounds and may lead to major lower limb amputations. The pathogenesis of DFUs is complex and the main aetiologies are peripheral neuropathy, ischaemia from peripheral arterial disease and biomechanical abnormalities. Microvascular disease is also a significant problem for people with diabetes and contributes to foot ulceration. Successful management of DFUs consists of debridement, infection control, the use of offloading appliances and revascularisation where necessary. Foot ulcers are usually associated with infection and inflammation which lead to surrounding oedema of the foot. Standard offloading devices such as total contact casts and removable cast walkers do not actively reduce foot oedema. There is promising evidence that active oedema reduction by intermittent pneumatic compression in the diabetic foot improves ulcer healing. The objective of this article is to review the association of foot oedema and DFUs, including the role of appliances which reduce oedema. The information presented is vital to those involved in the management of DFUs. © The Author(s) 2012

Examination of square-wave modulated voltage dip restorer and its harmonics analysis

Author name used in this publication: S. L. HoAuthor name used in this publication: K. W. E. Cheng2006-2007 > Academic research: refereed > Publication in refereed journalVersion of RecordPublishe

Endosporoideus gen. nov., a mitosporic fungus on Phoenix hanceana

Endosporoideus pedicellata gen. et sp. nov. is described and illustrated from decaying petioles of Phoenix hanceana collected from grassland in Tai Mo Shan, Hong Kong. The genus is unique in producing solitary, phragmosporous conidia. The conidia comprise a brown to dark brown inner-wall layer and thick, hyaline outer-wall layer and are produced holoblastically from determinate conidiogenous cells on micronematous, mononematous conidiophores. Cells of conidia may disarticulate at the septa. Representative steps in conidiogenesis of E. pedicellata are illustrated with light micrographs, and details of the conidiogenous events are interpreted schematically.published_or_final_versio

Investigation of voltage dip restorer using square wave inverter

Author name used in this publication: K. W. E. ChengAuthor name used in this publication: S. L. HoAuthor name used in this publication: K. P. WongRefereed conference paper2004-2005 > Academic research: refereed > Refereed conference paperVersion of RecordPublishe

New records and species of Canalisporium (Hyphomycetes), with a revision of the genus

Three new species of Canalisporium, namely Canalisporium exiguum Goh & K.D. Hyde, Canalisporium kenyense Goh, W.H. Ho & K.D. Hyde, and Canalisporium pallidum Goh, W.H. Ho & K.D. Hyde, are described and illustrated. New records of Canalisporium caribense, Canalisporium pulchrum, and Canalisporium elegans, are given. They are also illustrated from fresh material and briefly discussed. Comparisons of conidial morphology of all species from different localities are made and a key to the species of the genus is provided.published_or_final_versio

Risk factors for acquisition of levofloxacin-resistant Streptococcus pneumoniae: A case-control study

A case-control study was conducted to identify the risk factors associated with levofloxacin-resistant Streptococcus pneumoniae (LRSP) colonization or infection. Twenty-seven case patients (patients with LRSP) were compared with 54 controls (patients with levofloxacin-susceptible S. pneumoniae). Risk factors that were significantly associated with LRSP colonization or infection, according to univariate analysis, included an older age (median age, 75 years for case patients versus 72.5 years for controls), residence in a nursing home (odds ratio [OR], 7.2), history of recent (OR, 4.6) and multiple (OR, 4.4) hospitalizations, prior exposure to fluoroquinolones (OR, 10.6) and β-lactams (OR, 8.6), presence of chronic obstructive pulmonary disease (COPD; OR, 5.9), and nosocomial origin of the bacteria (OR, 5.7). Multivariate analysis showed that presence of COPD (OR, 10.3), nosocomial origin of the bacteria (OR, 16.2), residence in a nursing home (OR, 7.4), and exposure to fluoroquinolones (OR, 10.7) were independently associated with LRSP colonization or infection. Thus, a distinct group of patients with COPD is the reservoir of LRSP.published_or_final_versio

Maintenance techniques for rechargeable battery using pulse charging

Author name used in this publication: Cheng K. W. E.Author name used in this publication: Ho Y. L.Refereed conference paper2006-2007 > Academic research: refereed > Refereed conference paperVersion of RecordPublishe

Rapid Identification of Pathogenic Variants in Two Cases of Charcot-Marie-Tooth Disease by Gene-Panel Sequencing

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Application of ASK modulation for DC/DC converters control in DC distribution power system

Author name used in this publication: K. W. E. ChengAuthor name used in this publication: D. SutantoRefereed conference paper2004-2005 > Academic research: refereed > Refereed conference paperVersion of RecordPublishe

Stage-specific manifestation of mold infections in bone marrow transplant recipients: Risk factors and clinical significance of positive concentrated smears

Potassium hydroxide-concentrated smears, prepared from sedimented remains of clinical specimens, were used to distinguish between mold infection and exogenous contamination in fungal culture-positive specimens. This method was applied in the study of 3,857 clinical specimens from 230 bone marrow transplant recipients who were followed up prospectively for infectious complications. Concentrated smears of only 86 (from 21 infected patients) of 149 fungal culture-positive specimens were positive for hyphae; 82 of the strains were Aspergillus species. Concentrated smears of the remaining 63 fungal culture-positive specimens were negative; the strains identified by culture were considered as exogenous contaminants (87% of which were Penicillium species). A stage-specific manifestation of mold infection was observed: 67% of mold infections occurred during acute graft-vs.-host disease (GVHD) a median of 47 days after transplantation, whereas 9% of mold infections occurred as rapidly fatal invasive disease before engraftment. Overall, of the 21 patients with mold infection, 17 (81%) had invasive mold disease, and four (19%) had mold colonization of airways secondary to chronic GVHD after day 100. The significant risk factors for mold infection were total-body irradiation and grade 2-4 acute GVHD. Because of our high mortality rate (82%), the consideration of antimold prophylaxis for such patients may be warranted.published_or_final_versio