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Record W2724215451 · doi:10.18410/jebmh/2016/772

DIABETIC FOOT ULCERS MICROBIOLOGICAL STUDY

2016· article· en· W2724215451 on OpenAlexaboutno aff
Padma Sheila Rajagopal, S Senthilvel, N Sandeep

Bibliographic record

VenueJournal of Evidence Based Medicine and Healthcare · 2016
Typearticle
Languageen
FieldMedicine
TopicDiabetic Foot Ulcer Assessment and Management
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineDiabetic footFoot (prosody)DermatologyDiabetes mellitusEndocrinology

Abstract

fetched live from OpenAlex

BACKGROUND AND OBJECTIVES
\nInfections of all types are more common in patients with diabetes, on the basis of outcome of retrospective study in Canada.
\nMany types of infections are very common in diabetic than non-diabetic patients. Foot is the most common site. Diabetic foot
\ninfections range from mild infections to limb threatening conditions. Most require emergency medical attention. Diabetic foot
\ninfection is a global burden and projected to increase from 246 million people to over 380 million people by the year 2025.
\nMany people with diabetes develop complications that seriously affect their quality and length of life. Lower limb complications
\nare common, particularly foot ulcers and gangrene. Development of these complications is attributed to individual risk factors,
\npoverty, racial and ethnic differences, and quality of local and national health care systems. The wide variations noted suggest
\nthat best practices in low incidence areas could easily be adapted in high incidence areas to reduce the burden of complications.
\nAlmost every infection begins in a wound, often as neuropathic ulceration or a traumatic break in the skin. Infections that
\nbegin as a small problem may progress to involve soft tissue, bones and joints.
\nBecause of these morbidity and occasional mortality by these foot infections several authoritative groups have recently
\ndeveloped guidelines for assessing and treating diabetic foot.
\nMETHODOLOGY
\n100 Diabetic patients with foot ulcers were admitted and wounds were classified using wagner’s classification. Pus was sent
\nfor culture and sensitivity and treated accordingly.
\nRESULTS
\nIn our study the most common organism cultured from the wound with diabetes mellitus was staphylococcus. The most
\nsensitive drug for these organisms was found to be chloramphenicol on most occasions.
\nCONCLUSION
\nThe rationale of pus culture and sensitivity is not only to definitively treat the diabetic wound after the culture sensitivity report
\nis available, but also to treat the wounds in places where the culture sensitivity facilities are not available or delayed. So as to
\ntarget commoner organisms with the drugs which are sensitive on more occasions so as to avoid drug resistance and in a cost
\neffective manner.
\n

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)0.002
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.287
Threshold uncertainty score0.289

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
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 head0.177
GPT teacher head0.411
Teacher spread0.234 · 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".

Quick stats

Citations0
Published2016
Admission routes1
Has abstractyes

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