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Record W1994005107 · doi:10.1016/j.pmrj.2014.08.431

Poster 33 Preventing Further Amputation in Adult Diabetic Amputee

2014· article· en· W1994005107 on OpenAlexaff
David Berbrayer

Bibliographic record

VenuePM&R · 2014
Typearticle
Languageen
FieldMedicine
TopicDiabetic Foot Ulcer Assessment and Management
Canadian institutionsUniversity of Toronto
Fundersnot available
KeywordsCitationAmputationMedicinePsychologyLibrary scienceComputer scienceSurgery

Abstract

fetched live from OpenAlex

D. Berbrayer, No Disclosures: I Have No Relevant Financial Relationships to Disclose. To identify strategies used by diabetic lower extremity amputees to prevent further amputation. A cross-sectional survey was conducted on diabetic amputees >18 years registered at an academic hospital. A 26-question self-administered questionnaire was used to obtain information on demographics, clinical characteristics, foot care, lifestyle modifications, compliance with medication and blood glucose monitoring. Questions were selected from Summary of Diabetic Self-Care Activities Measure. Academic Teaching Hospital. Type 2 diabetics (>18 years) with amputation. 26 Question Diabetic Self Care Questionnaire administered. Information on demographics, clinical characteristics foot care, lifestyle, compliance with medication and blood glucose monitoring obtained from Diabetic Self Care Questionnaire. Ten type 2 diabetes mellitus participants -mean age of participants was 61 years. 80% were male. 50% were single. 80% living with family. 80% annual income of 0-$19,999. 60% had college or university education. The mean body mass index was 32 kg/m. Participants were diagnosed with diabetes 17 years ago, and received a lower limb amputation 3 years ago. Mean time between diagnosis and amputation was 14 years. 90% of participants had a transtibial amputation, and 10% had a transfemoral amputation. 50% participants checked their feet on a daily basis within the past week. 50% wore special shoes. 40% wore socks. 20% compliant with blood sugar monitoring. 40% walked 30 minutes/week. Overall, compliance with foot care was poor among diabetic amputees. Adherence to eating plan and regular physical activity was also low. Healthcare providers should improve self-care among diabetic amputees through various education methods. Healthcare professionals should ensure discussion of foot care and general diabetes self-management with a patient after an amputation, and repeat discussion of self-care at follow-up appointments. Literature suggests face-to-face education of self-care is more effective than other information delivery methods, and that the use of booster sessions improved clinical outcomes. Interactive education methods have been shown to have higher effectiveness on patient behavior comparing to didactic sessions. Diabetic patients had equally poor foot care after and before an amputation.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.534
Threshold uncertainty score0.367

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.009
GPT teacher head0.262
Teacher spread0.253 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2014
Admission routes1
Has abstractyes

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