Hot Foot Research Articles

1144 Audit of Microbiological Sampling in Patients with Diabetic Foot Infections Presenting to a Tertiary Vascular Centre in the North-East of England

Abstract Aim To identify the practice of microbiology sampling in patients presenting to a Tertiary Vascular Centre in the North East of England in accordance with NICE guideline (NG19) ‘Diabetic foot problems: prevention and management’ and the ‘International Working Group on the Diabetic Foot guidance on the diagnosis and management of foot infections in diabetes’. Method A two-part retrospective audit was completed before and after the introduction of a podiatrist-led 'Hot Foot Clinic'. Patients were identified from the surgical-take handover and admission database by using keywords ‘diabetic’, ‘cellulitis’, ‘erythema’, ‘pain’, ‘wet necrosis’, ‘collection’, 'osteomyelitis’. Route of admission, timing and type of microbial samples and date of antibiotics prescribed were recorded. Results In the first cycle 56.8% (21/37) patients had microbiology samples sent. 47.6% (10/21) of these were sent before antibiotic prescription. 8.1% (3/37) had both a swab and tissue sample taken. 35.1% (13/37) had tissue samples and 21.6% (5/37) had swabs. In the second cycle 74.2% (23/31) had microbiology samples sent. In patients who had tissue samples taken, 23.5% (4/17) were prior to antibiotic initiation. All patients (3/3) admitted from a podiatry-led ‘Hot Foot Clinic’ had microbiology taken prior to antibiotics. 6.3% (1/16) patients admitted through the clinician-led Emergency Admissions Suite had microbiology taken before antibiotics. Conclusions Despite introducing a podiatrist-led clinic, reinforcement of correct microbiological sampling in diabetic foot infections is required for accurate diagnosis and optimal treatment. Further specialist input and audio-visual educational material is being developed to improve practice amongst all staff.

EFFECT OF HOT FOOT BATH ON QUALITY OF SLEEP AMONG THE OBESE INSOMNIA PATIENTS - A SHORT RESEARCH REPORT

BACKGROUND: This study examined the water therapy in the form of hot foot bath (HFB) for improving sleep quality among the obese patients with insomnia. We have recruited 8 obese patients with known history ofMETHODOLOGY: insomnia. The patients were instructed to drink a glass of tepid water and sit in the foot bath by immersing legs in a HFB tub up to mid of the calf muscles for 20 min before bedtime. The Alice PDX is a portable monitor used for the assessment of quality of sleep in a normal day and HFB intervention day. After the HFB, Total sleep time (TST [90 min])RESULTS: increased, with reduction in the sleep latency time (SL [20 min]). There was a significant improvement in the N3 stage sleep time (10 min) with moderate reduction in the wake after sleep onset time (WASO [18min]) among obese patients. CONCLUSION: The findings above showed that single session of HFB intervention improves sleep quality among the obese participants.

The role of the hot foot gene in the fertility of The in vitro fertilization and embryonic development of young adult and old mice as a model for assisted reproductive technology

The hotfoot mutation first occurred in strain of mice C57BL/Ks in 1964. The homozygous (ho/ho) hotfoot mutation show a quick pattern motion that produces a progressive neuromuscular disability of the hind legs. The (ho/ho) is an autosomal recessive mutation affects fertility and neuromuscular system in mice. ObjectiveThis study was implemented to determine the nature and causes of infertility, to ascertain potential value as an animal model due to the presence of similar mutation in human and other mammals. MethodsThe experimental design to evaluate the fertility and sterility of young and old adult female and male hotfoot mice by utilizing the assisted reproduction technology (ART) via the in vitro fertilization, the in vitro embryo development, and the normal matting, the growth of the new born hotfoot mice. ResultsDemonstrated that the young adult and the old hotfoot females produce about similar rate of ova number following superovulation. In addition, they yielded similar rate of embryo development in vitro form 1 cell to the 16 cell stage, morula and blastula stage compared to normal females. The old hotfoot females show better rate in the in vitro fertilization IVF and embryo development 53.6%, and the rate of the degenerating ova (46.4%) compared to the young adult females 38.5%, 61.35, respectively. The hotfoot males show sterility (22%) of the homozygous mutant males compared to phenotypically normal males. Regarding the normal matting, the hotfoot female mating with males had less litter size compared to normal mice mating. ConclusionThe hotfoot gene had a noticeable effect on the in vitro fertilization IVF of young adult compared to old adult hotfoot female, also the body weight growth and litter size of hotfoot less than normal mice.

Time is Tissue: Outcomes After Implementation of an Interdisciplinary Integrated “Hot Foot Line” and Limb Preservation Service

The purpose of this study was to report the results of a targeted, intervention-based framework for limb preservation, which utilizes a “Hot Foot Line” (HFL) single consult pathway followed by a dedicated Limb Preservation Clinic (LPC) whereby patients have continuous, interdisciplinary care, as compared with a single-specialty foot clinic in the same institution.

Effect of Hot Water Foot Bath on Gas Release and Pain After Cesarean

Background: Post-cesarean pain is usually associated with wound and uterine contractions. Post-operative pain can impair organ function, delay mobilization and general recovery. It is known that the pain experienced in this period negatively affects the quality of life of the woman.Purpose: This study was carried out to determine the effect of hot water foot bath on pain and gas release after cesarean.Methods: This experimental type of research was conducted with women who had cesarean surgery between November 2018 and March 2020 in a private hospital. The population of the study included the women who had a cesarean delivery. A total of 70 women, including 35 experimental groups and 35 control groups, were sampled. Hot water foot bath was applied to the experimental group for 30 minutes, 3 hours after the operation. Data were collected with Introductory Information Form, Numerical Pain Scale, Experiment and Control Group Patient Follow-up Form after cesarean operation. Data were evaluated using number, percentage, arithmetic mean, standard deviation, repeated ANOVA, independent groups t test and chi-square test.Results: A statistically significant difference was found between the pain levels of women in the experimental and control groups (p <0.05) and pain levels of women in the experimental group were found to be lower. There was no statistically significant difference between the gas release times of women in the experimental and control groups (p> 0.05), but the gas release times of women in the experimental group were found to be shorter.Conclusion: It was found that the application of hot water foot bath in women who had cesarean surgery significantly reduced the level of pain but did not affect the gas release time

Natural insensitivity and the effects of concentration on the repellency and survival of American dog ticks (Dermacentor variabilis) by DEET.

N,N-Diethyl-m-toluamide (DEET) is by far the most used repellent worldwide. When applied topically to the skin, the active ingredient has been shown to provide protection from a variety of hematophagous insects, including mosquitoes and flies. DEET's effectiveness against ticks is influenced by a variety of factors (e.g., duration and concentration of application, drying time, route of exposure, tick species and developmental stage), and may differ from insects due to their unique chemosensory system that primarily involves the Haller's organ. We therefore used several approaches to investigate DEET's efficacy to repel Dermacentor variabilis at different concentrations (5, 30 or 75%), as well as explore its toxicological properties and natural variability in DEET insensitivity across populations from Manitoba, Canada. Climbing bioassays indicated that higher concentrations of DEET were more effective at repelling D. variabilis, and that ticks from some sampling localities were more sensitive to lower concentrations than others. Petri dish arena assays revealed ticks exposed to high concentrations of the repellent lose their ability to discriminate lower concentrations, perhaps due to overstimulation or habituation. Finally, our tactile assays demonstrated reduced tick survival after contact with high DEET concentrations, with mortality occurring more rapidly with increased concentration. Dermacentor variabilis from these tactile assays displayed a multitude of physiological and neurological symptoms, such as 'hot foot' and various bodily secretions. Overall, our study shows a strong association between repellency, concentration and the acaricidal effects of DEET on D. variabilis.

A Review of Heat Therapy in African Traditional Medicine

Heat therapy – also known as thermotherapy or thermal therapy – is the transfer of heat or thermal energy in and out of the human body especially at the joints, using towels, ice packs, wax, hot/warm water, steam, etc within a given temperature range. The objective is the expansion of blood capillaries and increased blood flow to the affected area for healing. The principle is the application of the heat or cold to change the cutaneous, intraarticular or core temperature of soft tissues to improve symptoms of certain conditions. Categories of heat therapy include: diathermia (<41°C), hyperthermia (41°C - 45°C), and thermal ablation (>45°C). Heat therapy is classified on the bases of contact of heat, mode of transfer, type of heat, penetration of heat, and use of heat. Examples include: steam inhalation, hot fomentations, hot foot bath, Seitz bath (hip bath and half-bath), hot and cold contrast bath, and sun therapy. Heat therapy has several benefits in African traditional medicine and has also been used extensively for treating various diseases including: sickle cell disease, primary dysmenorrhea, skeletomuscular pain, trauma, inflammatory and degenerative rheumatic diseases, osteoarthritis, acute and non-specific chronic low back pain, fibromyalgia, cutaneous leishmaniasis, tumours, musculoskeletal injuries, diabetic kidney disease, etc.

Using officers’ perspectives to guide the implementation of hot spots foot patrols

ABSTRACT Police personnel’s view on hot spots policing can provide insight into the practice of hot spots policing and potentially ensure hot spots policing programmes are more realistic prior to implementation. This study interviewed 20 officers about their perspectives on hot spots policing and foot patrol prior to the implementation of the Dayton Foot Patrol Program. Themes that emerged from the data suggested officers were generally supportive of hot spots foot patrols in short, intermittent bursts. The officers believed foot patrols could improve police-community relations, facilitate intelligence gathering, reduce crime via deterrence and stealthy arrests, and provide exercise. The officers critiqued foot patrol for being resource intensive, potentially decreasing officer safety, being physically demanding, and limiting access to vital equipment. The officers critiqued hot spots policing more generally for potentially resulting in boredom or spatial displacement. These results are discussed in terms of their implications for hot spots foot patrols generally as well as how they helped guide the development and implementation of the Dayton Foot Patrol Program.

Building a scalable diabetic limb preservation program: four steps to success.

ABSTRACTOver the past generation, limb preservation programs and diabetic foot services have begun to proliferate within academic health science centers as well as within health-care systems in general. We describe four key components for a successful program that, developed sequentially with temporal overlap, can allow the program to scale. The first component includes establishment of a ‘hot foot line’ for urgent emergency department/inpatient referral. The second includes development of a wound-healing clinic to address outpatient care through to remission. The third component focuses on the diabetic foot in remission to maximize ulcer-free days following healing. The fourth and final component focuses on implementation of local and widespread screening clinics to identify and triage patients into appropriate therapeutic and surveillance programs for healing, remission, and primary prevention. Along with developing each of these components, we describe discrete methods to quantify success.

A Study to Assess the Effectiveness of Hot Application Versus foot Reflexology on Dysmenorrhea among Adolescent Girls

A Study to Assess the Effectiveness of Hot Application Versus foot Reflexology on Dysmenorrhea among Adolescent Girls

Diabetes and temperature

Diabetes and temperature

Effectiveness of Hot Foot Bath Versus Exercises on Reducing Pain among Patients with Osteoarthritis

Osteoarthritis is a global degenerative joint disease involving the cartilage and many of its surrounding tissues. In arthritis severe joint pain was reported by, at least one in seven adults with arthritis in every state. The aim of present study was to assess the effectiveness of hot foot bath versus exercises on reducing pain among patients with osteoarthritis in selected hospitals at Kanyakumari district. A quasi experimental with pre test post test with control group design was used for the study. A sample of 60 osteoarthritis patients with knee and ankle joint pain in Issac Bone & Joint Specialty hospital, Marthandam was selected by purposive sampling technique. Data were collected using a demographic and clinical variables and visual analogue pain scale from group I and group II before and after administration of hot foot bath and exercises on the first day, third day and fifth day of the treatment. The investigator prepared a information booklet andwas given to the samples on the fifth day. Analysis was done using both descriptive and inferential statistics. Results show that hot foot bath (0.52) had better effect in reduction of joint pain in the knees and ankles than exercises (1.20). There was a significant association between pretest level of pain among patients with age, duration of illness, family history of osteoarthritis, physical mobility and any associated condition present with osteoarthritis.

Delay in referral to hot foot clinic; a root cause analysis and suggestions for service improvement

Background Approximately 125 diabetes dependent amputations are carried out in the UK each week, which is anticipated to increase by 17% by 2014. With 80% of amputations being preventable, in 2012, NHS diabetes launched a campaign to reduce these figures by 50% by 2018 [1]. In light of this, a multidisciplinary hot foot clinic was established in Weston Area Health Trust. The clinic aim is that of early identification and treatment of foot ulceration and ensuring patients are receiving adequate community follow up, education and orthotics, where needed. The aim of the current project was to assess the care pathway leading to referral to the clinic and performing a root cause analysis on delay in referral.

An evaluation of seasonal variations in footwear worn by adults with inflammatory arthritis: a cross-sectional observational study using a web-based survey.

BackgroundFoot problems are common in adults with inflammatory arthritis and therapeutic footwear can be effective in managing arthritic foot problems. Accessing appropriate footwear has been identified as a major barrier, resulting in poor adherence to treatment plans involving footwear. Indeed, previous New Zealand based studies found that many people with rheumatoid arthritis and gout wore inappropriate footwear. However, these studies were conducted in a single teaching hospital during the New Zealand summer therefore the findings may not be representative of footwear styles worn elsewhere in New Zealand, or reflect the potential influence of seasonal climate changes. The aim of the study was to evaluate seasonal variations in footwear habits of people with inflammatory arthritic conditions in New Zealand.MethodsA cross-sectional study design using a web-based survey. The survey questions were designed to elicit demographic and clinical information, features of importance when choosing footwear and seasonal footwear habits, including questions related to the provision of therapeutic footwear/orthoses and footwear experiences.ResultsOne-hundred and ninety-seven participants responded who were predominantly women of European descent, aged between 46–65 years old, from the North Island of New Zealand. The majority of participants identified with having either rheumatoid arthritis (35%) and/or osteoarthritis (57%) and 68% reported established disease (>5 years duration). 18% of participants had been issued with therapeutic footwear. Walking and athletic shoes were the most frequently reported footwear type worn regardless of the time of year. In the summer, 42% reported wearing sandals most often. Comfort, fit and support were reported most frequently as the footwear features of greatest importance. Many participants reported difficulties with footwear (63%), getting hot feet in the summer (63%) and the need for a sandal which could accommodate a supportive insole (73%).ConclusionsAthletic and walking shoes were the most popular style of footwear reported regardless of seasonal variation. During the summer season people with inflammatory arthritis may wear sandals more frequently in order to accommodate disease-related foot deformity. Healthcare professionals and researchers should consider seasonal variation when recommending appropriate footwear, or conducting footwear studies in people with inflammatory arthritis, to reduce non-adherence to prescribed footwear.

Type 1 metabotropic glutamate receptors (m G lu1) trigger the gating of G lu D 2 delta glutamate receptors

The orphan GluD2 receptor belongs to the ionotropic glutamate receptor family but does not bind glutamate. Ligand-gated GluD2 currents have never been evidenced, and whether GluD2 operates as an ion channel has been a long-standing question. Here, we show that GluD2 gating is triggered by type 1 metabotropic glutamate receptors, both in a heterologous expression system and in Purkinje cells. Thus, GluD2 is not only an adhesion molecule at synapses but also works as a channel. This gating mechanism reveals new properties of glutamate receptors that emerge from their interaction and opens unexpected perspectives regarding synaptic transmission and plasticity.

Memory up close: Memory studies in Australia

This special issue was first conceived of over dinner in a New Zealand cafe in London, on a warm summer night in July 2010. During that evening, it emerged that we’d both already been thinking about the issues we raise here for some time. Rosanne, a US citizen, and now Australian citizen, who has lived and worked in Australia since the 1990s, had co-edited a book on World Memory (Bennett and Kennedy, 2003). Susannah, at that point a UK citizen working in the United Kingdom and with a fellowship in Australia, was in the midst of running a project on memory in national contexts and had recently spoken on what she sees as the thorny politics driving both memory’s mobility and theories of transnational memory (Radstone, 2011). Later that evening, we were joined by another contributor to this issue, Felicity Collins, who arrived hot foot from a symposium in Dublin on disputed memory in Australia and Ireland (Holmes and Ward, 2011). Looking back, it’s hard not to notice how our coming together – even in the choice of a New Zealand cafe in London – condensed many of the issues that pulse through this special issue. We knew that our connections were through memory research and through Australia. But knowing that didn’t reveal what, if anything, might be denoted by the coupling of Australia with both memory and memory studies. There in London, in the context of theories of the transnational as they were bearing in on memory studies and as they were present – embodied, even – around our table, this special issue had its genesis. That evening, we began to make plans for a symposium,1 bringing together leading memory researchers from across Australia, and it was during that event that we made plans for this volume. The title of our special issue – Memory Studies in Australia – describes its contents more or less accurately, but aims to provoke, too. Our starting point – self-evidently – is our belief that there’s something significant to be learnt from bringing together this carefully commissioned collection of memory studies research in Australia. But what might that be? After all, general questions of the pertinence of the national notwithstanding, isn’t Australia generally regarded – as one of our contributors pithily put it – as just a ‘small’ country, situated beyond anywhere that matters? And isn’t it just plain retrograde, anachronistic or even overly nationalistic to talk about memory studies in

A Case of Hot Foot Syndrome

Hot foot syndrome (HFS) is a benign, self-limited disorder, which is apparently caused by Pseudomonas aeruginosa infection. The disease is characterized by the acute onset in children with painful plantar nodules which generally does not require antibiotic therapy. Particularly, the mechanically stressed areas of the foot are affected after contact with contaminated water from saunas, swimming pools or hot tubs. HFS is a potentially important public health hazard that may causes outbreaks. In search of literature we detected three published reports to date of outbreaks of pseudomonas hot foot syndrome associated with the use of community whirlpools. Here we present a four-year old girl presented with painful plantar erythematous nodules localized in heels that developed one day after contacting with contaminated water from bath tub. According to data of literature we able to reach, our case is the first HFS case presented in Turkey. (Turk J Dermatol 2012; 6: 111-3)

The Hot Foot Syndrome: Evans’ Sign and the Old Way

Pelvic cancers such as cancer of the cervix can spread locally to involve adjacent structures such as the lumbosacral plexus and the sympathetic chain. When this happens the prognosis is usually poor. An early suspicion of recurrence may result in investigation leading to earlier and better treatment. A physical sign that may be an early and only sign of recurrence is described. To report the late Dr Ramon Evans' unpublished case series of the hot foot syndrome due to (mostly malignant) retroperitoneal disease. This unique contribution is an opportunity to pay tribute to a man who was a meticulous recorder of the patient narrative and practitioner of a detailed and comprehensive physical examination. A longitudinal, observational, retrospective, descriptive study is reported. Data were collected from a convenience sample of 86&nbsp;patients, 75 of whom had retroperitoneal cancer and 11 of whom were diagnosed with other conditions in that area. Patients referred to the Smythe Pain Clinic were seen at both the Princess Margaret Hospital and Toronto General Hospital in Toronto, Ontario, in the 1970s. They were referred with intractable pain in the leg or back and often a history of a treated abdominal or pelvic cancer in the previous months or years. Baseline demographic data were collected including age, sex, diagnosis, pain location, characteristics and severity, physical findings, investigations and mortality. The 86 subjects comprised 27 men and 59 women. Carcinoma of the cervix was the most common tumour. Most had a presenting complaint of leg pain. Neurological physical signs were demonstrated in the lower extremities in 44%; however, 56% (48 patients) had only an ipsilateral, warm, dry 'hot foot' due to sympathetic deafferentation. The prognosis for the underlying illness was poor for the malignant group. Sympathetic interruption by cancer is well known in apical lung cancer as the tumour spreads upwards to involve the inferior brachial plexus. An analogous situation occurs as cancers, such as that of the cervix, spread laterally to invade the lumbosacral plexus and sympathetic chain. Signs of sympathetic deafferentation (the 'hot foot') may be the earliest and only sign in this situation. This sign may be missed unless it is anticipated and a thorough physical examination carried out. Evans' sign is important because it may be an early and solitary sign of retroperitoneal recurrence of pelvic (cervix, rectum, bladder, ovary and prostate) cancers. Recognition of this finding when intractable pain in the back and leg occurs with a history of this type of cancer could lead to earlier and more successful treatment.

Kids with Hot Hands and Feet

Pseudomonas aeruginosa grows well in the warm water of hot tubs and other pools, unless the chlorine or bromide levels are high and the pH is

Hot-Foot-Syndrom oder palmoplantare Hidradenitis?

Some y ears ago, Canadian authors described the so-called hot foot syndrome, obviously a palmoplantar hidradenitis due to Pseudomonas aeruginosa. There are distinct similarities between this syndrome and the whirlpool dermatitis (a folliculitis due to Pseudomonas aeruginosa). The clinical manifestation of the hot foot syndrome is on the whole the same as that of the idiopathic recurrent palmoplantar hidradenitis, whose pathogenesis is unknown. The authors suggest that at least some of the patients with idiopathic recurrent palmoplantar hidradenitis are indeed cases of hot foot syndrome. Originalarbeit