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ROLUL TERMOGRAFIEI IN DIAGNOSTICAREA SI EVALUAREA TRATAMENTULUI IN PICIORUL DIABETIC

DR. Gh.O . SERBU- BQCT (Board Qualified Clinical Thermographer ). ROLUL TERMOGRAFIEI IN DIAGNOSTICAREA SI EVALUAREA TRATAMENTULUI IN PICIORUL DIABETIC.

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ROLUL TERMOGRAFIEI IN DIAGNOSTICAREA SI EVALUAREA TRATAMENTULUI IN PICIORUL DIABETIC

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  1. DR. Gh.O. SERBU- BQCT (Board Qualified Clinical Thermographer) ROLUL TERMOGRAFIEI IN DIAGNOSTICAREA SI EVALUAREA TRATAMENTULUI IN PICIORUL DIABETIC

  2. “ Utilizarea termografiei ca metoda de investigare neinvaziva se va dezvolta in mod spectaculos in urmatorii 15 ani, medici de toate specialitatile o vor utiliza pentru a vizualiza si localiza anomalii cum ar fi tumorile si blocajele in circulatia singelui, anomalii invizibile cu alte tehnologii Jerry Williams (profesor de oncologie la J.Hopkins University)

  3. Eco-doppler Angiografia cu substante de contrast Diagnosticultulburarilormacrocirculatorii in piciorul diabetic

  4. Metode indirecte - masurarea transcutanata a oxigenului tisular -determinarea saturatiei in oxigen Diagnosticulmodificariimicrocirculatieisi a viabilitatiitisulare

  5. Metode directe - angiografia cu fluoresceina - clearance radioizotopic - termografia Diagnosticulmodificariimicrocirculatieisi a viabilitatiitisulare

  6. Termography or imaging heat generated by tissues using highly sophisticated infrared camera systems can be used to assess tissue viability. Such systems generated thermal maps with a color to indicate “hot” spots and are incredibly helpful in managing soft tissues disease Diabetic Foot Amputation:The Need For an Objective Assessment Tool2003 Health Management Publicatons

  7. Tulburari de circulatie superficiala Tulburari ale circulatiei capilare Determinarea viabilitatii tisulare Diagnosticarea osteomielitei in caz de gangrena Stabilirea liniei de amputatie Intraoperator – viabilitatea lamboului cutanat Urmarirea eficientei tratamentului medicamentos Evaluareatermografica a piciorului diabetic

  8. : Eco doppler periferic = «  la nivelul membrului inferior drept - fluxuri normale cu semnal trifazic de la femurala comuna pina la tibiala posterioara proximala unde indicele gamba/brat este nedeterminabil dat fiind faptul ca artera este necomprimabila la presiunea de 200 mmHg ».

  9. trunchi tibio-peronier sever ateromatos, stenotic pe toata lungimea Arteriografie

  10. S-a intervenit chirurgical si s-a practicat debridarea leziunii pina in tesutul sanatos, cu indepartarea tendonului achilean. Se reconstruieste tendonul cu manson recoltat din fascia lata. Se practica arteriotomie cu trombarteriotomie la nivelul arterei poplitee si cateterizarea cu sonda Fogarty a arterei femurale superficiale retrograd si arterei poplitee posterioare. Se practica transfer liber muscular cu lambou compus din muschi dorsal prima digitatie a dintatului anterior. Muschiul dintat anterior este plasat in jurul tendonului reconstruit iar muschiul dorsal mare acopera defectul tegumentar

  11. THERMOGRAPHY and later the clearance of radioisotope were successfully used to determine the viability of skin flaps for below-knee amputations. • The combination of these techniques yielded a success rate of 93 percent for transfibial amputation. Diabetic Foot Amputation:The Need For an Objective Assessment Tool2003 Health Management Publicatons

  12. Despite these success in Scotland, these techniques either singly or in combination are not reported in use in current literature, witch may be because both methods need specialist skills and techniques Such as study would be worthwhile to the literature; the demonstrated potential suggests the need for it.

  13. THERMOGRAPHIC IMAGING AND SKIN OXYGEN SATURATION MEASUREMENTS APPLIED TO ROUTINE CLINICAL VIABILITY DK Harrison, JM Hanson, IE Hawthorn Regional Medical Physics Department and †Surgical Directorate, University Hospital of North Durham, Durham DH1 5TW, UK.

  14. THERMAL IMAGINGIN DIABETIC FOOT ULCERATION JR Harding DF Wertheim RJ Williams, JM Melhuish, KG Harding X-Ray Department of Clinical Radiology, Royal Gwent & St Woolos Hospitals, Newport, Gwent. School Of Electronics, University of Glamorgan, Pontypridd, Mid Glamorgan. Wound Healing Research Unit, University of Wales College Of Medicine, Cardiff, South Glamorgan

  15. THERMOCHROMIC LIQUID CRYSTAL THERMOGRAPHY: APPLICATION IN NEUROPATHIC ASSESSMENT OF THE DIABETIC FOOT Bharara, M.1, Cobb, J.E. 1, Claremont, D.J. 1 , Anderson, A.M2 1Academic Biomedical Engineering Research Group, Bournemouth University, UK. 2Mechanical Engineering Department, Union College, Schenectady, NY, USA

  16. Thermography and Thermometry in the Assessment of Diabetic Neuropathic Foot: A Case for Furthering the Role of Thermal Techniques M. Bharara, MSc Academic Biomedical Engineering Research Group, Bournemouth University, Bournemouth, UK, J. E. Cobb, PhD, CEng Academic Biomedical Engineering Research Group, Bournemouth University, Bournemouth, UK D. J. Claremont, MSc, DPhil, FIPEM Academic Biomedical Engineering Research Group, Bournemouth University, Bournemouth, UK

  17. BOALA ARTERIALĂ PERIFERICĂ LA PACIENŢII DIABETICI A. Pletea1, C.Pleşa2, C.N. Neacşu2, Noemi Pletea3, Paula Popa2 Jurnalul de Chirurgie, Iasi, 2006, Vol. II, Nr. 3 [ISSN 1584 – 9341]

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