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Global trends in publications regarding macrophages-related diabetic foot ulcers in the last two decades

World Journal of Diabetes 2024年第7期15卷 1627-1644页

作者： Jian-Ping Wen Shuan-Ji Ou Jia-Bao Liu Wei Zhang Yu-Dun Qu Jia-Xuan Li Chang-Liang Xia Yang Yang Yong Qi Chang-Peng Xu Department of Orthopaedics The Affiliated Guangdong Second Provincial General Hospital of Jinan UniversityGuangzhou 510000Guangdong ProvinceChina The Second School of Clinical Medicine Southern Medical UniversityGuangzhou 510000Guangdong ProvinceChina

BACKGROUND diabetic foot ulcers(DFUs)are one of the most severe and popular complications of *** persistent non-healing of DFUs is the leading cause of amputation,which causes significant mental and financial stress to patients and their *** are critical cells in wound healing and perform essential roles in all phases of wound ***,no studies have been carried out to systematically illustrate this area from a scientometric point of *** there have been some bibliometric studies on diabetes,reports focusing on the investigation of macrophages in DFUs are *** To perform a bibliometric analysis to systematically assess the current state of research on macrophage-related *** The publications of macrophage-related DFUs from January 1,2004,to December 31,2023,were retrieved from the Web of Science Core Collection on January 9,*** different analytical tools:VOSviewer(v1.6.19),CiteSpace(v6.2.R4),HistCite(v12.03.07),and Excel 2021 were used for the scientometric *** A total of 330 articles on macrophage-related DFUs were *** most published countries,institutions,journals,and authors in this field were China,Shanghai Jiao Tong University of China,Wound Repair and Regeneration,and Aristidis *** the analysis of keyword co-occurrence networks,historical direct citation networks,thematic maps,and trend topics maps,we synthesized the prevailing research hotspots and emerging trends in this *** Our bibliometric analysis provides a comprehensive overview of macrophage-related DFUs research and insights into promising upcoming research.

关键词： diabetic foot ulcers Macrophage Macrophage polarization Bibliometrics Wound healing Inflammation

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Clinical comprehensive treatment protocol for managing diabetic foot ulcers:A retrospective cohort study

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World Journal of Clinical Cases 2024年第17期12卷 2976-2982页

作者： Yan-Bin Wang Yan Lv Guang-Yu Li Ji-Ting Zheng Qing-Xin Jiang Ran Wei Department of Vascular Surgery Harbin 242 HospitalHarbin 150066Heilongjiang ProvinceChina First Department of General Surgery Harbin 242 HospitalHarbin 150066Heilongjiang ProvinceChina

BACKGROUND diabetic foot ulcers(DFUs)are a common complication of diabetes,often leading to severe infections,amputations,and reduced quality of *** current standard treatment protocols for DFUs have limitations in promoting efficient wound healing and preventing complications.A comprehensive treatment approach targeting multiple aspects of wound care may offer improved outcomes for patients with *** hypothesis of this study is that a comprehensive treatment protocol for DFUs will result in faster wound healing,reduced amputation rates,and improved overall patient outcomes compared to standard treatment *** To compare the efficacy and safety of a comprehensive treatment protocol for DFUs with those of the standard treatment *** This retrospective study included 62 patients with DFUs,enrolled between January 2022 and January 2024,randomly assigned to the experimental(n=32)or control(n=30)*** experimental group received a comprehensive treatment comprising blood circulation improvement,debridement,vacuum sealing drainage,recombinant human epidermal growth factor and anti-inflammatory dressing,and skin *** control group received standard treatment,which included wound cleaning and dressing,antibiotics administration,and surgical debridement or amputation,if *** taken to reduce the white blood cell count,number of dressing changes,wound healing rate and time,and amputation rate were *** The experimental group exhibited significantly better outcomes than those of the control group in terms of the wound healing rate,wound healing time,and amputation ***,the comprehensive treatment protocol was safe and well tolerated by the *** Comprehensive treatment for DFUs is more effective than standard treatment,promoting granulation tissue growth,shortening hospitalization time,reducing pain and amputation rate,improving wound healing,and enhancing quality of life.

关键词： diabetic foot ulcers Comprehensive treatment protocol Clinical study White blood cell count Wound healing Amputation rate

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Portraying diabetic foot ulcers: Comparative Evaluation of diabetic foot Infections versus diabetic foot ulcers

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Advances in Infectious Diseases 2024年第2期14卷 297-309页

作者： Jamal Wadi Al Ramahi Leen Sharqawi Sarah AL-Najafi Eman Awwad Haya M. Al-Obaidi Abdel Hafez Mohammad Sara Nofal Dina Riyadh Al-Janabi Ibrahim Zuhair Hamza Jamal Al-Masaeid Mohammed Al-Ithawi Dina Rasheed Bellal O. Al-Far Osama Al-Izi Qutaiba Al-Bustanji School of Medicine The University of Jordan Amman Jordan Department of the Internal Medicine The Specialty Hospital Amman Jordan Department of Pharmacy The Specialty Hospital Amman Jordan Department of the Medical Al Khalidi Hospital Amman Jordan Department of Pharmacy Jordan Hospital Amman Jordan Department of Internal Medicine Jordan Hospital Amman Jordan Department of General Surgery Jordan Hospital Amman Jordan

Background: Confusion often arises in caring for diabetic foot infections and ulcers, especially with antimicrobials;we aim to shed light on this entity and alert healthcare workers to its stewardship. Methods: Records were reviewed between February 2016 and September 2023. Data for patients diagnosed with diabetes and foot ulcers, infected or not, were examined following ICD 9 search terms. Records for patients were included if they were prediabetic/diabetic adults with foot ulcers, more than 18 years old, and on antidiabetic treatment. Patients were excluded if they insulin resistant, with normal HgbA1c levels, wheel-chair dependent, bed-bound, non-diabetic patients, diabetic patients who had vascular lower limb surgery earlier to ulcers, diabetic patients who had aortocoronary bypass, deep venous thrombosis within six months, malignancy, and severe clinical depression. A modified IWGDF/IDSA guidelines definitions for DFI and DFU was considered. Statistical analysis was done using R programming. Statistical methods were employed as appropriate, and a significant P-value was considered for P Results: Most characteristics were well balanced between DFI and DFU, on imaging osteomyelitis and tissue swelling were significantly more in DFI. Endovascular radiological procedures showed angiograms to be considerably more in DFI, while angioplasty was more in DFU, in addition to smoking. Bacteremia was uncommon, and swab cultures were mostly polymicrobial in both ulcers;no clear association with blood bacteria was detected with the polymicrobial growth, though few were concordant. Antimicrobials prescribed for both ulcers were not statistically different except for carbapenems, which were more in DFI (P Conclusion: Attention should be paid to best practices while caring for diabetic ulcers. These include swab culture interpretations, the use of antimicrobials, and plan management according to DFI or DFU to utilize either local care or combination with antimicrobials.

关键词： diabetic foot ulcers diabetic Limb Amputation Antimicrobials Stewardship Broad-Spectrum Antimicrobials in diabetic foot ulcers

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Single-cell RNA-seq and bulk-seq identify RAB17 as a potential regulator of angiogenesis by human dermal microvascular endothelial cells in diabetic foot ulcers

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Burns & Trauma 2023年第1期11卷 479-496页

作者： Hengyu Du Shenghong Li Jinqiang Lu Lingzhi Tang Xiao Jiang Xi He Jiaji Liang Xuan Liao Taixing Cui Yuesheng Huang Hongwei Liu Department of Plastic Surgery of the First Affiliated Hospital of Jinan University Institute of New Technology of Plastic Surgery of Jinan UniversityKey Laboratory of Regenerative Medicine of Ministry of EducationGuangzhou 510630P.R.China Dalton Cardiovascular Research Center Department of Medical Pharmacology and PhysiologyUniversity of MissouriSchool of Medicine134 Research Park DrColumbiaMO 65211USA Institute of Wound Repair and Regeneration Medicine Southern University of Science and Technology School of Medicineand Department of Wound RepairSouthern University of Science and Technology HospitalShenzhenGuangdong518055China

Background:Angiogenesis is crucial in diabetic wound healing and is often impaired in diabetic foot ulcers(DFUs).Human dermal microvascular endothelial cells(HDMECs)are vital components in dermal angiogenesis;however,their functional and transcriptomic characteristics in DFU patients are not well *** study aimed to comprehensively analyse HDMECs from DFU patients and healthy controls and find the potential regulator of angiogenesis in ***:HDMECs were isolated from skin specimens of DFU patients and healthy controls via magnetic-activated cell *** proliferation,migration and tube-formation abilities of the cells were then compared between the experimental *** bulk RNA sequencing(bulk-seq)and single-cell RNA-seq(scRNA-seq)were used to identify RAB17 as a potential marker of angiogenesis,which was further confirmed via weighted gene co-expression network analysis(WGCNA)and least absolute shrink and selection operator(LASSO)*** role of RAB17 in angiogenesis was examined through in vitro and in vivo ***:The isolated HDMECs displayed typical markers of endothelial *** isolated from DFU patients showed considerably impaired tube formation,rather than proliferation or migration,compared to those from healthy *** set enrichment analysis(GSEA),fGSEA,and gene set variation analysis(GSVA)of bulk-seq and scRNA-seq indicated that angiogenesis was downregulated in *** regression identified two genes,RAB17 and CD200,as characteristic of DFU-HDMECs;additionally,the expression of RAB17 was found to be significantly reduced in DFU-HDMECs compared to that in the HDMECs of healthy *** of RAB17 was found to enhance angiogenesis,the expression of hypoxia inducible factor-1α and vascular endothelial growth factor A,and diabetic wound healing,partially through the mitogen-activated protein kinase/extracellular signal-regulated kinase signalling ***:Our findings

关键词： Human dermal microvascular endothelial cells Angiogenesis diabetic foot ulcers RAB17 Single-cell RNA-seq diabetic wound healing

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The role of artificial intelligence technology in the care of diabetic foot ulcers: the past, the present, and the future

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World Journal of Diabetes 2022年第12期13卷 1131-1139页

作者： Joseph M Pappachan Bill Cassidy Cornelius James Fernandez Vishnu Chandrabalan Moi Hoon Yap Department of Endocrinology&Metabolism Lancashire Teaching Hospitals NHS TrustPreston PR29HTUnited Kingdom Faculty of Science and Engineering Manchester Metropolitan UniversityManchester M156BHUnited Kingdom Department of Endocrinology&Metabolism Pilgrim HospitalBoston PE219QSUnited Kingdom Department of Data Science Lancashire Teaching Hospitals NHS TrustPreston PR29HTUnited Kingdom

foot ulcers are common complications of diabetes mellitus and substantially increase the morbidity and mortality due to this *** care by regular monitoring of the progress of healing with clinical review of the ulcers,dressing changes,appropriate antibiotic therapy for infection and proper offloading of the ulcer are the cornerstones of the management of foot *** the progress of foot ulcers can be a challenge for the clinician and patient due to logistic issues such as regular attendance in the *** clinics are often busy and because of manpower issues,ulcer reviews can be delayed with detrimental effects on the healing as a result of a lack of appropriate and timely changes in *** photographs have been historically useful to assess the progress of diabetic foot ulcers over the past few *** phones with digital cameras have recently revolutionized the capture of foot ulcer *** can send ulcer photographs to diabetes care professionals electronically for remote monitoring,largely avoiding the logistics of patient transport to clinics with a reduction on clinic *** intelligence-based technologies have been developed in recent years to improve this remote monitoring of diabetic foot ulcers with the use of mobile *** is expected to make a huge impact on diabetic foot ulcer care with further research and development of more accurate and scientific technologies in *** clinical update review aims to compile evidence on this hot topic to empower clinicians with the latest developments in the field.

关键词： diabetic foot ulcers Photographic monitoring Artificial intelligence technology Digital photography Mobile app COVID-19 pandemic

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Lower extremity amputations and long-term outcomes in diabetic foot ulcers:A systematic review

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World Journal of Diabetes 2020年第9期11卷 391-399页

作者： Ayeshmanthe Rathnayake Apoorva Saboo Usman H Malabu Henrik Falhammar Department of Medicine Townsville University HospitalTownsville 4814QueenslandAustralia School of Medicine and Dentistry James Cook UniversityTownsville 4811QueenslandAustralia Department of Endocrinology Metabolism and DiabetesKarolinska University HospitalStockholm 17176Sweden Department of Molecular Medicine and Surgery Karolinska InstitutetStockholm 17176Sweden

BACKGROUNDDiabetes mellitus causes a large majority of non-traumatic major and minoramputations globally. Patients with diabetes are clinically complex with amultifactorial association between diabetic foot ulcers (DFU) and subsequentlower extremity amputations (LEA). Few studies show the long-term outcomeswithin the cohort of DFU-associated *** highlight the long-term outcomes of LEA as a result of ***/MEDLINE and Google Scholar were searched for key terms, “diabetes”,“foot ulcers”, “amputations” and “outcomes”. Outcomes such as mortality, reamputation,re-ulceration and functional impact were recorded. Peer-reviewedstudies with adult patients who had DFU, subsequent amputation and follow upof at least 1 year were included. Non-English language articles or studiesinvolving children were *** total of 22 publications with a total of 2334 patients were selected against theinclusion criteria for review. The weighted mean of re-amputation was 20.14%,29.63% and 45.72% at 1, 3 and 5 years respectively. The weighted mean of mortality at 1, 3 and 5 years were 13.62%, 30.25% and 50.55% respectively withsignificantly higher rates associated with major amputation, re-amputation andischemic *** LEA, level of the LEA and patient comorbidities were significant riskfactors contributing to re-ulceration, re-amputation, mortality and depreciatedfunctional status.

关键词： Lower extremity amputations Long-term outcomes diabetic foot ulcers Quality of life Re-amputation Diabetes

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Current scenario of traditional medicines in management of diabetic foot ulcers:A review

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World Journal of Diabetes 2023年第1期14卷 1-16页

作者： Abhijit S Rayate Basavraj S Nagoba Sachin S Mumbre Hardi B Mavani Ajay M Gavkare Advait S Deshpande Department of Surgery Maharashtra Institute of Medical Sciences&Research(Medical College)Latur 413531India Department of Microbiology Maharashtra Institute of Medical Sciences&Research(Medical College)Latur 413531India Department of Community Medicine Ashwini Rural Medical CollegeSolapur 413006India Department of Physiology Maharashtra Institute of Medical Sciences&Research(Medical College)Latur 413531India

diabetic foot infections and diabetic foot ulcers(DFU)cause significant suffering and are often *** have three important pathogenic factors,namely,microangiopathy causing local tissue anoxia,neuropathy making the foot prone to injuries from trivial trauma,and local tissue hyperglycaemia favouring infection and delaying the wound *** have been the leading cause for non-traumatic amputations of part or whole of the *** medicines focus mainly on euglycaemia,antimicrobials,debridement and wound cover with grafts,and off-loading *** in euglycaemic control,foot care and footwear,systemic antimicrobial therapy,and overall health care access and delivery,have resulted in an overall decrease in ***,the process of wound care after adequate debridement remains a major cost burden globally,especially in developing *** process revolves around two basic concerns regarding control/eradication of local infection and promotion of faster healing in a chronic DFU without *** modulation with various dressings and techniques are often a costly *** aspects of the topical therapy with modern/Western medicines are frequently not *** of and compliance to these therapies are important as both the wounds and their treatment are“chronic.”Naturally occurring agents/medications from traditional medicine systems have been used frequently in different cultures and nations,though without adequate clinical base/*** Chinese medicine involves restoring yin-yang balance,regulating the‘chi’,and promoting local blood *** medicines from India have been emphasizing on‘naturally’available products to control wound infection and promote all the aspects of wound *** is one more group of chemicals which are not pharmaceutical agents but can create acidic milieu in the wound to satisfy the above-mentioned basic *** natural and plant derived products(e.g

关键词： diabetic foot infections diabetic foot ulcers Management Traditional medicines Topical agents Wound healing

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Jinhuang powder for the treatment of diabetic foot ulcers:an updated metaanalysis with power analysis and trial sequential analysis

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TMR Integrative Nursing 2018年第4期2卷 178-185页

作者： Li Ma Li-Juan Yi Xu Tian School of Nursing Guizhou Medical University Guizhou China School of Nursing Hunan Traditional Chinese Medical College Zhuzhou Hunan China Department of Gastroenterology Chongqing University Cancer Hospital & Chongqing Cancer Hospital Chongqing China

Background:Traditional Chinese Medicines(TCM)had been indicated to benefit for the chronic non-infectious diseases,such as cancers,hypertension,primary dysmenorrheal,*** randomized controlled trials(RCTs)had been conducted,there was still the controversy on the efficacy of Jinhuang powder for diabetic foot ulcers(DFUs).Objective:This systematic review aimed to objectively evaluate the potential of Jinhuang powder for ***:Seven databases(CNKI,Chongqing VIP,Wanfang database,CBM,the Cochrane Library,PubMed and Web of Science)were searched to retrieve RCTs up to December,2016;and the relevant references of the eligible studies were *** to the eligible criteria,the literature was screened;data were extracted;and then the methodological quality was *** meta-analysis,power analysis and trial sequential analysis(TSA)were performed by using Meta analyst software(version beta 3.13),Stata 12.0,Power and Precision statistical software package(Biostat)and TSA software(version0.9),***:Finally,three RCTs with 198 participants were *** results of meta-analysis showed that there were statistically significant differences between groups in(1)the cure rate(RR,1.25;95%CI.1.10to1.41;P=0.00)and(2)the wound healing time(SMD,-3.404;95%CI,-5.821 to -0.987;P=0.00).Three trials presented more than 80% power with 0.05α-errors in both outcomes and the power of two meta-analyses to pool different outcomes presented more than 95%.The TSA showed that the summary results were ***:The external application with Jinhuang powder was an effective and cost-effective therapy for *** power analysis and TSA showed that the efficacy of Jinhuang powder dressing for the treatment of DFUs is conclusive.

关键词： Jinhuang powder diabetic foot ulcers Meta-analysis Systematic review Trial sequential analysis

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Network pharmacology-based approach for exploring the biotargets and mechanisms of vitamin A for the treatment of diabetic foot ulcers

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Frigid Zone Medicine 2023年第3期3卷 186-192页

作者： Xiaowei Wan Qiuhai Qin Ruitang Xie Xin Li Min Su Laboratory of Environmental Pollution and Integrative Omics Guilin Medical UniversityGuilin 541004China Department of Surgery II.The People's Hospital of Gangbei DistrictGuigang 537100China

Background:In some developing countries,people have little knowledge about the causes of diabetic foot ***,public health education for patients on these conditions is a prerequisite for effective pharmacological *** foot ulcers are a complex symptom of diabetes and are hard to cure due to the lack of efficacious medicine and alternative treatment *** A(VA)is known to have potent biological functions,including skin repair and ***,the potential pharmacological effects and molecular mechanisms of VA on foot ulcers are still to be ***:By using bioinformatic/computational analyses,including network pharmacology,gene ontology and the Kyoto Encyclopedia of Genes and Genomes enrichment analysis,we aimed to identify and reveal the pharmacological targets,molecular mechanisms,biological functions,and signaling pathways of VA in the treatment of diabetic foot ***:A total of 66 intersection genes were identified as candidate targets of VA,which are related to diabetic foot ***,18 core genes/targets,namely JUN,MAPK1,THRB,MAPK14,MTNR1B,CXCR3,ESR1,AR,HDAC1,IL-10,CNR1,DRD2,EGFR,ADRA2A,CCND1,RXRB,RARA,and RXRA,were further ***,the biological processes,cell components,and molecular functions which may underlie the effects of VA against diabetic foot ulcers were ***:Based on our findings,we concluded that the pharmacological effects of VA on diabetic foot ulcers primarily involve the promotion of cellular regeneration and proliferation and the inhibition of inflammatory *** core genes/targets may potentially serve as promising biomarkers for the diagnosis of diabetic foot ulcers.

关键词： diabetic foot ulcers vitamin A network pharmacology core genes mechanisms

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Prevalence and Risk Factor of diabetic foot ulcers in a Regional Hospital, Eastern Indonesia

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Open Journal of Nursing 2016年第1期6卷 1-10页

作者： Saldy Yusuf Mayumi Okuwa Muhammad Irwan Saipullah Rassa Baharia Laitung Abdul Thalib Sukmawati Kasim Hiromi Sanada Toshio Nakatani Junko Sugama Division of Health Sciences Graduate School of Kanazawa University Kanazawa Japan Wound Care Clinic Griya Afiat Makassar Indonesia Department of Gerontological Nursing/Wound Care Management Faculty of Medicine University of Tokyo Tokyo Japan Wellness Promotion Science Center Institute of Medical Pharmaceutical and Health Sciences Kanazawa University Kanazawa Japan

Indonesia is one of the top ten diabetes mellittus (DM) countries. However as the main complication of DM, there was lack of studies related to diabetic foot ulcer (DFU). Thus, the aim of this study was to survey the prevalence of DFU risk factors and DFU among type 2 diabetes mellitus (T2DM) patients. An epidemiological study was conducted at an outpatient endocrine clinic in a regional hospital, eastern Indonesia. All T2DM participants attending research setting that were ≥ 18 years were included. Demographic and foot care behavior were assessed using minimum data sheet (MDS). Meanwhile, presence of risk factors was evaluated by using 5.07/10 g Semmes-Weinsten Monofilament (SWM) for neuropathy and presence of angiopathy was evaluated with Ankle Brachial Index (ABI) by using a hand held Doppler (Bidop ES-100V3, Hadeco-Kawasaki, Japan) both dorsal and posterior tibialis foot. At the end of study, 249 T2DM participants were enrolled. The prevalence of DFU risk factors was 55.4% (95% CI: 53.7% - 57.0%), and prevalence of DFU was 12% (95% CI: 10.3% - 13.6%). Based on a logistic regression, predictors for DFU risk factors included age (OR: 1.04;95% CI: 1.005 - 1.074) and daily foot inspection (OR: 0.36;95% CI: 0.186 - 0.703). Meanwhile, the predictors for presence of DFU were insulin (OR: 9.37;95% CI: 2.240 - 39.182), shoes (OR: 0.05;95% CI: 0.007 - 0.294), spiritual belief that DM was a disease (OR: 0.04;95% CI: 0.004 - 0.326) and belief that DM was a temptation from God (OR: 0.13;95% CI: 0.027 - 0.598). In conclusion, we recommend to educate high risk patients to understand positive foot care behavior as essentially preventive strategies to prevent presence risk and DFU.

关键词： Prevalence Diabetes Complications Risk Factors diabetic foot ulcers

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