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Category:Disc golf games
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Category:Video games developed in the United StatesAdjunctive hyperbaric oxygen therapy in treatment of diabetic and ischaemic foot ulcers.
Adjuvant hyperbaric oxygen therapy (HBOT) has been investigated in a number of conditions in both the dental and medical fields, but its value as an adjunctive therapy in the treatment of diabetic foot ulcers is still under debate. This study sought to investigate the effectiveness of adjunctive HBOT as part of the standard management of diabetic and ischaemic foot ulcers. This was an experimental, longitudinal study of adjunctive HBOT in 120 patients with a diabetic or ischaemic foot ulcer. The standard of care included standard care, which did not include adjunctive HBOT, and experimental treatment, which included adjunctive HBOT. The standard care included daily dressing changes, repositioning and weekly debridement of all wounds, skin grafting for established ulcers not responding to standard care, and appropriate antibiotics as required. The experimental treatment involved daily dressing changes, repositioning and weekly debridement of all wounds, skin grafting for established ulcers not responding to standard care, and adjunctive HBOT to all active ulcers. The experimental treatment was started after the standard care had begun in all patients. The duration of therapy varied, and the HBOT was applied either continuously or intermittently. Recurrence rates for either group were calculated. Of the 120 patients, 89 were found to have one or more ulcers prior to their referral to a vascular foot clinic, and 31 patients had no previous history of foot ulceration. The mean duration of therapy for the experimental group was 40.2 days. The mean hospital stay was 13.6 days. The overall recurrence rate in the experimental group was 2.2%, compared with an overall recurrence rate of 25.1% for the standard care group. HBOT is an effective adjunctive therapy in the management of diabetic and ischaemic foot ulcers.Q:

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