Frequency of lower extremity artery disease in type 2 diabetic patients using pulse oximetry and the ankle-brachial index

Observational study[Abstract] Objectives: To determine the of undiagnosed lower extremity artery disease using the pulse oximetry in a type 2 diabetic population sample. Methods: Observational, cross-sectional, descriptive study that included 594 type 2 diabetic patients, with no previous history of lower extremity artery disease. Medical history, physical examination, determination of the ankle-brachial index (portable Doppler) and measurement of oxygen saturation in upper and lower extremities (pulse oximeter) were performed. Results: Frequency of lower extremity artery disease determined by ankle-brachial index was 18.4%. No significant correlations were detected between oxygen saturation and the ankle-brachial index except for the relationship between ankle-brachial index vs. oxygen saturation at 30 cm lower limb elevation vs. the supine position at no elevation (0 cm) in subjects under the age of 40. Pulse oximetry showed little diagnostic value in the screening of lower extremity artery disease. A relationship between lower extremity artery disease and age has been found. Its diagnosis was associated with a lower body mass index and lower systolic blood pressure in the lower extremities and higher in the upper extremities. Conclusions: We conclude that pulse oximetry is not useful in the screening for asymptomatic lower extremity artery disease in type 2 diabetics

Abordaje conservador de la onicocriptosis leve

Inside, onychocryptosis can seem trivial except when is not properly managed causing major complications like osteomyelitis of the distal phalanx of the toe. The present paper is a practical and simple way the conservative strategies and reeducative nail approach commonly used by them facing initial stages like extraction of the nail splinter, cotton application under the nail, the use of plastic tabs and metallic orthonixia. Getting to know its indications and methodology of application when the trouble shows up can prevent both onychocryptosis complications and surgeryLa onicocriptosis es una afección que si bien en principio puede parecer poco relevante su inadecuado manejo conlleva complicaciones mayores como la osteomielitis de la falange distal del dedo. Se trata de exponer de forma práctica y sencilla las estrategias de manejo conservador y reeducador que con mayor frecuencia emplean en los estadíos iniciales de la citada dolencia como son la extracción de la astila ungueal, el taponamiento con algodón, el uso de las lengüetas plásticas y la ortonixia metálica. Conocer las indicaciones y metodología de aplicación de las terapias expuestas para la onicocriptosis en estadíos iniciales puede evitar en muchos casos la aparición de sus complicaciones y la cirugía