Abstract:
:Onychomycosis is an extremely common condition that is increasing in prevalence. Although often innocuous, it may be complicated by discomfort and secondary bacterial infections. Recently introduced oral medications may be highly effective in the eradication of this condition; however, they may carry with them significant expense and potentially serious side effects. Prior to the initiation of antifungal oral therapy, definitive diagnosis is mandatory. This study compares the sensitivity of potassium hydroxide (KOH) preparations, surgical pathology diagnostic testing (SPDT), and culture techniques for the detection of onychomycosis in 50 cases of clinically suspected onychomycosis. Analysis showed that SPDT was significantly more sensitive when compared to KOH and culture. The results suggest that SPDT may be the true gold standard for the diagnosis of onychomycosis.
journal_name
J Am Podiatr Med Assocjournal_title
Journal of the American Podiatric Medical Associationauthors
Borkowski P,Williams M,Holewinski J,Bakotic Bdoi
10.7547/87507315-91-7-351subject
Has Abstractpub_date
2001-07-01 00:00:00pages
351-5issue
7eissn
8750-7315issn
1930-8264journal_volume
91pub_type
杂志文章abstract:BACKGROUND:Diagnosis of onychomycosis using the periodic acid-Schiff (PAS) test for sensitive identification of hyphae and fungal culture for identification of species has become the mainstay for many clinical practices. With the advent of polymerase chain reaction (PCR) testing, physicians can identify a fungal toenai...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/18-048
更新日期:2020-11-01 00:00:00
abstract::This work attempts to determine the influence of vitamin C on locally induced inflammation and arthritis in rat paws, as measured by rat paw swelling, polymorphonuclear leukocyte infiltration, pain, and surface skin temperature. Daily subcutaneous administration of 150 mg/kg of vitamin C over 20 days reduced arthritic...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-80-8-414
更新日期:1990-08-01 00:00:00
abstract:BACKGROUND:Exercise is highly beneficial for persons with diabetes. Similar to many other patients, those with diabetes may be reluctant to exercise given a lack of motivation and proper instruction regarding an exercise prescription. In general, medical providers are poorly equipped to develop an exercise prescription...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章,评审
doi:10.7547/15-219
更新日期:2017-09-01 00:00:00
abstract::Fever is an active yet nonspecific response of the body to infections and other insults that cause immune cells to release cytokines, resulting in a brain prostanoid-mediated rise in body temperature. The causes, types, clinical management, and postoperative consequences of fever are reviewed in this article. Physicia...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章,评审
doi:10.7547/1000281
更新日期:2010-07-01 00:00:00
abstract::Heel pain is a complaint frequently encountered in orthopedic clinics that has peculiar symptoms and may have various etiologic causes. Calcaneal spur fracture is an extremely rare cause of heel pain, and only four cases had previously been reported in the English language literature. We present a 45-year-old woman wh...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/17-111
更新日期:2019-03-01 00:00:00
abstract::An important component in the development of any educational program is the evaluation of its effectiveness. The program described in this article was designed in such a way that its impact on practitioners' knowledge, attitudes, and clinical practices regarding human immunodeficiency virus (HIV) could be evaluated. O...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-80-1-31
更新日期:1990-01-01 00:00:00
abstract::The authors undertake an anatomical study of the sesamoid apparatus to determine its mechanical functions. The intersesamoid ligament is of particular interest, since its functions are diverse and complex. The sesamoid apparatus appears to coordinate the various forces that converge upon the forefoot into the great to...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-79-11-536
更新日期:1989-11-01 00:00:00
abstract::Plantar pressure-measurement technology is being increasingly used by podiatric physicians and surgeons in both clinical practice and research. The authors present normal reference-range values for peak pressure, mean pressure, and pressure-time integral obtained from 30 healthy subjects using a two-step recording tec...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-90-6-295
更新日期:2000-06-01 00:00:00
abstract::Molluscum contagiosum is a viral infection of the skin. It may occur anywhere on the skin surface but is most common in skinfolds, on the face, and in the genital region. Atypical presentations are usually seen in conditions with altered immunity, but they may occur in immunocompetent patients as well. We present a ca...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/15-019
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:Proximal diaphyseal stress fractures of the fifth metatarsal are common in athletes. Conservative treatment has been shown to result in high rates of delayed union, nonunion, and refracture, so internal fixation has become the treatment of choice in competitive athletes. METHODS:Twenty top-level athletes wi...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/1010517
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND:We sought to investigate the different configurations of Kirschner wires used in distal femur Salter-Harris (SH) type 2 epiphyseal fracture for stabilization after reduction under axial, rotational, and bending forces and to define the biomechanical effects on the epiphyseal plate and the fracture line and d...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/16-112
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Any pathomechanical change in the foot or ankle is expected to cause adverse biomechanical effects on the lumbopelvic region. However, no objective data can be found in the literature regarding the effects of M. Transversus abdominus (mTrA) and M. Lumbar multifidus (mLM), which are effective muscles in lumbo...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/18-065
更新日期:2019-10-18 00:00:00
abstract::Poorly fitting footwear has frequently been cited as an etiologic factor in the pathway to diabetic foot ulceration. However, we are unaware of any reports in the medical literature specifically measuring shoe size versus foot size in this high-risk population. We assessed the prevalence of poorly fitting footwear in ...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/0960290
更新日期:2006-07-01 00:00:00
abstract::Fractures that result from torsional loading of shafts in mechanical systems of nonbiologic materials generate a fracture line that forms a 45 degrees angle to an axis that is perpendicular to the direction of torsional loading on the shaft. As tension and compression are applied to these isotropic substances, the ang...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-90-4-167
更新日期:2000-04-01 00:00:00
abstract::Articular hyaline cartilage is of interest to both the clinician and the basic scientist because of its unique physical and chemical properties which are a consequence of its biochemical composition. Although it is a tissue which is hypocellular, avascular, and also lacks nerves and lymphatics, it is active in synthes...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-85-5-277
更新日期:1995-05-01 00:00:00
abstract::A single case of a tibial sesamoid fracture in a softball player is reported here. A review of the literature confirms that this is an unusual and difficult problem to treat in the athletic population given the significant loads placed on the sesamoids during athletic activity. In the case presented, conservative care...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/0970085
更新日期:2007-01-01 00:00:00
abstract::In this review, the author presents the physiologic events in wound healing. A discussion is provided with emphasis on proper tissue handling and suture techniques. A variety of methods are demonstrated as they are applied to specific clinical situations in foot and ankle surgery. It is the intent of this discussion t...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-85-1-2
更新日期:1995-01-01 00:00:00
abstract::A device was constructed to assess two-point discrimination in the plantar skin of younger, middle-aged, and older adults. The device consisted of paired filaments, each delivering a tip force of 4.56 log units (equivalent to 3.63 g), at a fixed distance apart. Statistical analysis showed significant differences in tw...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-89-8-383
更新日期:1999-08-01 00:00:00
abstract:BACKGROUND:Biomechanical analysis of foot loading characteristics may provide insights into the injury mechanisms and guide orthotic prescription for basketball players. This study aimed to quantify in-shoe plantar pressure profiles in amateur players when executing typical basketball movements. METHODS:Twenty male un...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/16-123
更新日期:2018-05-01 00:00:00
abstract::Although the angle and base of gait are useful parameters commonly measured in podiatric medical practice, a standardized procedure has yet to be defined. Static footprints and clinical tracings of the perimeters of both feet were investigated in 25 asymptomatic subjects (17 women and 8 men). The intrarater reliabilit...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/0960125
更新日期:2006-03-01 00:00:00
abstract::The treatment of diabetic foot ulcerations has been a difficult task for podiatrists. Numerous methods and materials have been used in an attempt to alleviate this frustrating and complex treatment dilemma. However, there is one treatment method that has been used successfully for decades on plantar ulcerations of the...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-85-3-172
更新日期:1995-03-01 00:00:00
abstract::The case of a 27-year-old female, 5 years after a motor vehicle accident that resulted in spinal cord damage, is reviewed. She progressed well after her accident for 4 years, at which time she developed a neuropathic heel ulceration, aggravated by her calcaneal gait and pregnancy weight gain. The rarity of such a case...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-87-2-60
更新日期:1997-02-01 00:00:00
abstract::Traditional methods of diagnosing onychomycosis, such as microscopy, histologic staining, and cultures, may not provide the clinician with documentation before initiating antifungal drug therapy. DNA technology now supplies the tools for increased sensitivity, speed, and accuracy in the diagnostic arena by allowing fo...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章,评审
doi:10.7547/0970134
更新日期:2007-03-01 00:00:00
abstract:BACKGROUND:This study was performed to determine whether a relationship exists regarding academic achievement between years 1 and 2 of podiatric medical education at Des Moines University. Furthermore, this study evaluates the relationship between academic performance in the first 2 years and clinical performance in ye...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/1020314
更新日期:2012-07-01 00:00:00
abstract::Sesamoid bones and accessory ossicles are common incidental findings on radiographs. These can occasionally become symptomatic, usually after a precipitating event such as an injury or overuse, or they can be incidental findings unrelated to the presenting pathology. The aim of this study was to highlight a rare case ...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/16-114
更新日期:2017-11-01 00:00:00
abstract::We describe the management of a patient who presented to a family-practice clinic with gangrenous digits. After a thorough evaluation, she was found to have protein C deficiency, which produced a hypercoagulable state. Differential diagnosis in the evaluation of the coagulopathic patient with appropriate hematologic t...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/0950491
更新日期:2005-09-01 00:00:00
abstract::To minimize injection anxiety and discomfort, the podiatric surgeon can choose from a variety of topical anesthetics. Available modalities include skin refrigerants (also referred to as vapocoolants), needleless injection systems, iontophoresis, and eutectic mixtures of topical anesthetic cream such as EMLA Cream. Man...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.7547/87507315-88-2-73
更新日期:1998-02-01 00:00:00
abstract::Sesamoid tumors of the hallux are rare, and their incidence and differential diagnosis have not been well described. We present a case with a bizarre callus formation of the medial sesamoid of the hallux that mimicked a bone tumor. After excision of the mass and related sesamoid, the patient remained asymptomatic duri...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/0950580
更新日期:2005-11-01 00:00:00
abstract:BACKGROUND:Capsulorrhaphy restricts the motion of the first metatarsophalangeal joint (MTPJ) in hallux valgus surgery. However, changes in motion of the first MTPJ immediately after surgery that resulted from different capsulorrhaphy methods have not been compared. The primary aim of this study was to compare the immed...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/17-115
更新日期:2019-07-01 00:00:00
abstract::Simultaneous pancreas-kidney transplant (SPKT) is an accepted approach and the treatment of choice in patients with type 1 diabetes with accompanying end-stage renal disease. Charcot's neuroarthropathy of the foot (CN) is a fairly common and devastating complication found in patients with long-standing, mostly uncontr...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/15-037
更新日期:2016-07-01 00:00:00