Points P1 Research Articles

Algebraic Method-Based Point-to-Point Trajectory Planning of an Under-Constrained Cable-Suspended Parallel Robot with Variable Angle and Height Cable Mast

To avoid impacts and vibrations during the processes of acceleration and deceleration while possessing flexible working ways for cable-suspended parallel robots (CSPRs), point-to-point trajectory planning demands an under-constrained cable-suspended parallel robot (UCPR) with variable angle and height cable mast as described in this paper. The end-effector of the UCPR with three cables can achieve three translational degrees of freedom (DOFs). The inverse kinematic and dynamic modeling of the UCPR considering the angle and height of cable mast are completed. The motion trajectory of the end-effector comprising six segments is given. The connection points of the trajectory segments (except for point P3 in the X direction) are devised to have zero instantaneous velocities, which ensure that the acceleration has continuity and the planned acceleration curve achieves smooth transition. The trajectory is respectively planned using three algebraic methods, including fifth degree polynomial, cycloid trajectory, and double-S velocity curve. The results indicate that the trajectory planned by fifth degree polynomial method is much closer to the given trajectory of the end-effector. Numerical simulation and experiments are accomplished for the given trajectory based on fifth degree polynomial planning. At the points where the velocity suddenly changes, the length and tension variation curves of the planned and unplanned three cables are compared and analyzed. The OptiTrack motion capture system is adopted to track the end-effector of the UCPR during the experiment. The effectiveness and feasibility of fifth degree polynomial planning are validated.

A Liouville-Type Result for a Fourth Order Equation in Conformal Geometry

We show that there are no conformal metrics $g=e^{2u}g_{\mathbb {R}^{4}}$ on $\mathbb {R}^{4}$ induced by a smooth function u ≤ C with Δu(x) → 0 as $|x|\to \infty $ having finite volume and finite total Q-curvature, when Q(x) = 1 + A(x) with a negatively definite symmetric 4-linear form A(x) = A(x,x,x,x). Thus, in particular, for suitable smooth, non-constant $f_{0}\le {\max \limits } f_{0}=0$ on a four-dimensional torus any “bubbles” arising in the limit λ↓ 0 from solutions to the problem of prescribed Q-curvature Q = f0 + λ blowing up at a point p0 with dkf0(p0) = 0 for $k=0,\dots ,3$ and with d4f0(p0) < 0 are spherical, similar to the two-dimensional case.

Pemberian Akupresur Kombinasi Titik BL32 dan LI4, Titik BL32 dan Sp6 Untuk Menurunkan Intensitas Nyeri Persalinan

Labor pain is a physiological condition that most experienced by all women giving birth. Labor pain of the active phase is caused by cervical dilatation and distention of the uterine corpus. The purpose of this study was to determine the differences of acupressure effect on the combination of BL32 (Ciliao) and LI4 (Hegu) points with BL32 (Ciliao) and SP6 points (Sanyinjiao) toward the intensity of labor pain. The research design used Quasy Experiment with the approach of Pretest-Posttest Control Group Design with the Purposive Sampling technique. The population of this study was all maternity women at PMB Siti Zulaikah Jogoroto Jombang. The sample in this study was 22 respondents who include to the inclusion and exclusion criteria. The pain scale instrument used was the Numeric Rating Scale (NRS). The data were analyzed by using Paired T-Test and Independent T-Test with α ≤ 0.05. The results have shown that there was an effect of acupressure in both intervention groups on the intensity of labor pain with a value of p = 0.000 (p &lt;0.05). There were no differences in the influence between the two intervention groups (4.09 ± 1.044 vs 4.82 ± 0.982; p = 0.108 (p&gt;0.05). Acupressure on BL32 (Ciliao) and LI4 (Hegu) point combinations with BL32 points (Ciliao) and SP6 point (Sanyinjiao) effectively reduce the intensity of labor pain so it can be used as an alternative non-pharmacological intervention in reducing labor pain intensity.

Effectiveness of P6 Acupressure on Reduction of Nausea, Vomiting &amp; Retching among Antenatal Women attending Antenatal Clinic at District Hospitals of Sikkim

Background: Nausea vomiting and retching are troublesome symptoms, which occur during the first trimester of pregnancy. Considering the adverse effects caused by most drugs used during pregnancy to control these symptoms, alternative treatments such as acupressure have been suggested in various studies. The present study examined the effectiveness of acupressure wristband at P6 point on nausea, vomiting and retching during pregnancy among Sikkimese women. Methods: A non-blinded randomized clinical trial conducted in outpatient department of District Hospitals of Sikkim in 2017 among 80 antenatal women having mild nausea, with or without vomiting or retching within 8th to 12th weeks of gestational period. After consecutive sampling, participants were randomly assigned to experimental and control groups comprising 40 women in each group. The experimental group applied the acupressure wrist band and self-assessed symptoms were recorded twice a day as per Rhodes Index Scale. The control group did not receive any intervention but was asked to record the self-assessed symptoms as per Rhodes Index Scale.Data analysis was conducted using SPSS version 15 applying descriptive, and inferential statistical methods. Result: A significant difference was observed on 5th, 6th and 7th day after performing the intervention in experimental group as compared to control group. Further, the mean duration, discomfort and frequency of nausea, vomiting and retching scores in experimental group showed significant decrease as compared to the control group (p &lt;0.001). Conclusion: Acupressure on P6 point has proved to be effective to reduce the duration, discomfort and frequency of nausea, vomiting and retching. How to cite this article:Lepcha K, Devi B, Das M. Effectiveness of P6 Acupressure on Reduction of Nausea, Vomiting &amp; Retching among Antenatal Women attending Antenatal Clinic at District Hospitals of Sikkim. Int J Nurs Midwif Res 2020; 7(1): 24-30. DOI: https://doi.org/10.24321/2455.9318.202005

Dynamical analysis of an age-structured tuberculosis mathematical model with LTBI detectivity

The age-dependent heterogeneity observed in tuberculosis (TB) epidemiology includes susceptibility, infectiousness, contact preferences of an individual. Also, the chance of finding a direct route to infectious pulmonary TB (PTB) of certain vulnerable risk-group and the diagnosis effort to detect latent TB individual (LTBI) are critical factors in TB epidemiology. The current investigation proposes a mathematical model based on a set of coupled partial differential equations (PDE) to encounter these vital characteristics of TB transmission. The analytical study mainly encompasses well-posedness of the PDE system, the asymptotic behavior of the model around the disease-free equilibrium point P0 and existence criterion of endemic equilibrium point P⁎. A threshold quantity R0, called basic reproductive number provides the average size of infected population due to a single infectious individual introduced in the naive community. The current expression of R0 offers a notable refinement in basic reproduction number compared to previous estimations. Also, theoretically we observe, detectivity of LTBI cases can both increase and decrease the size of R0 depending upon a parametric condition.

Evaluation of a 12-week allopurinol-lowering therapy in combination with the non-steroidal anti-inflammatory drug meloxicam in patients with gout

To evaluate a 12-week course of combined alloturinol-lowering therapy with a prophylactic anti-inflammatory dose of movalis for the frequency of exacerbations and the quality of life of patients with gout. Allopurinol was administered orally, 1 time per day. Every 3 weeks, the dosage of the drug was increased by 50 mg to 300 mg per day under the control of the level of serum uric acid (sUA). The total daily dose of the drug movalis, used in the form of different dosage forms, was 7.515 mg. The clinical effectiveness of the treatment was evaluated after 3, 6, 9 and 12 weeks according to physical examination, the dynamics of joint pain at rest, during movement and palpation, according to the visual analogue scale (VAS) in millimeters, Likert scale, EuroQol-5D-5L questionnaire, care for oneself, habitual daily activities, the presence of anxiety and depression, assessment of satisfaction with treatment (on a scale of 1 to 5, where 1 is the complete absence of improvement or worsening, and 5 is a very good result); took into account the period of remission, as well as the time before the onset of relapse of gouty arthritis. An adverse event (AE) was recorded. On the background of treatment with movalis 7.5 mg per day more than two-thirds of patients showed no worsening of the articular syndrome with an increase in the dose of allopurinol to 300 mg per day. By the 12th week of observation, a significant difference was found between the severity of gouty arthritis characteristics in the direction of improving mobility, self-care, normal daily activities, reducing soreness, reducing anxiety and depression (p0.05). In addition, the ESR and sUA levels were significantly different initially and at the final observation point (p0.05), which indicates a positive effect on the inflammatory process. A 3-month course of combination therapy was not accompanied by significant increases in blood pressure, changes in creatinine clearance in blood serum. There were no adverse events from the gastrointestinal tract. 90.9% of patients rated the treatment result as very good. AE in the form of a skin allergic rash was observed in one patient; it did not require interruption of treatment and completely stopped without consequences after completion of the course. 12 a week-long combined therapy of the allopurinol-reducing drug with the anti-inflammatory dose movalis prevents the exacerbation of the articular syndrome and improves the quality of life of patients with gout.

The assessment of phonatory and ventilatory functions in patients after microsurgery for Reinke's edema.

Short and long-term results of microsurgical treatment with the mini-microflap technique in patients with Reinke's edema (RE) were assessed based on the phonatory and ventilatory functions of the larynx. To assess the short and long-term results of microsurgical treatment with the mini-microflap technique in patients with RE based on the phonatory and ventilatory functions of the larynx. Twenty patients diagnosed with advanced stage of RE confirmed with laryngovideostroboscopy (LVS) were enrolled in the study. Phonatory function disturbances were additionally assessed on the basis of Maximum Phonation Time (MPT) measurement, Voice Handicap Index (VHI) and Voice-Related Quality of Life (V-ROOL) questionnaires. Ventilatory function was assessed using spirometry. The aforementioned complex examinations were conducted prior to surgery and 1, 6 and 9 months following the surgery. Good postsurgical results were obtained in subjective and objective evaluation, which assessed the phonatory function and ventilatory parameters. Post-surgery increase in MPT, VHI and VQROL was noticed in all patients in 3 check points (p < 0.001). The results demonstrate postsurgical improvement for some LVS parameters, including assessment of glottis closure (p < 0.003) observed 6 months after the surgery. An improvement in most of the ventilation parameters was observed also 6 months after surgery (p < 0.001). For the spirometry flow parameter PEF, significant improvement was noted in each check point (p1 < 0.004, p6 < 0.001, p9 < 0.001). The study revealed a correlation between phonatory parameter - MPT and PEF observed 1 month after the procedure (p = 0.026), confirming the interdependence of ventilatory efficiency and phonatory condition of larynx. Mini-microflap surgery brings satisfactory clinical effect in patients with advanced stages of RE by optimization of phonatory and ventilatory functions of the larynx.

Performance optimization of rectangular flat pleated filter with slit nozzle for dust cleaning

This work attempted to explore the causes of incomplete cleaning on the top of rectangular flat pleated filter cartridges, and designed newly developed slit nozzle to remove the caked-on dust of the dead zone. In this study, 7 slit holes (length 39 mm × width 1 mm) were designed to compare the peak pressures on the surface of the filter with circular nozzle (7 holes per pipe and the diameter of each hole is 7 mm) under the pulse pressures of 0.3 and 0.4 MPa, the jet distances of 20–100 mm, the filtration velocity of 0.8 m/min and the dust mass concentration of 20 g/m3. The experimental results showed that the optimum distance of circular nozzle was 20 mm, while that of slit nozzle was 20–40 mm, which can enlarge the application range of jet distance. Under the optimum distance, the pressure difference between the upper measuring point P1 and P4 was above 1000 Pa with circular nozzle, while that between the point P1 and P4 was below 400 Pa at the same conditions with slit nozzle. The experimental results also showed when the jet distance was less than 40 mm, the residual dust and systematic resistance under slit nozzle were lower than those of circular nozzle. The newly developed slit nozzle overcame the cleaning difficulty on the top of the filter cartridge and was beneficial for the industrial application.

On the κ-solutions of the Ricci flow on noncompact 3-manifolds

In this paper we prove that there is no κ-solution of Ricci flow on 3-dimensional noncompact manifold with strictly positive sectional curvature and blow up at some finite time T satisfying ∫0TT−tR(p0,t)dt<∞ for some point p0. This partially confirms a conjecture of Perelman.

Quasi-elastic cubic splines in [formula omitted

Given points P1,P2,…,Pn in Rd (d≥2), we consider the problem of constructing a fair interpolating curve. For d=2, we proposed and analyzed, in Johnson and Johnson (2016), a method which first generates a family of G1 interpolating curves, where each piece is a parametric cubic. An energy functional, that loosely approximates bending energy, is defined on this family and then one seeks a curve with minimal energy. Such optimal curves, called quasi-elastic cubic splines, always exist and are always G1, but often they are both G2 and unique. In the present article we extend the construction and analysis to d≥2 and prove sufficient a priori conditions (on the interpolation points) for G2 regularity and uniqueness of the quasi-elastic cubic spline. These sufficient conditions constitute significant improvements over those obtained in Johnson and Johnson (2016). For example, we show that if the exterior angles of the data polygon do not exceed the threshold anglearccos⁡(1/3)≈70.5∘, then the quasi-elastic cubic spline is G2 and unique. In contrast, the threshold angle obtained for d=2 in Johnson and Johnson (2016) is only ≈30.5∘. As in Johnson and Johnson (2016), we first develop a framework and then apply it to the particular example of quasi-elastic cubic splines. This framework potentially applies to other minimal energy interpolation methods.

The Effect of Acupressure on the Severity of Pruritus and Laboratory Parameters in Patients Undergoing Hemodialysis: A Randomized Clinical Trial

BackgroundUremic pruritus is a common boring complaint in patients suffering from chronic renal failure. Owing to cost and the side-effects of medications, complementary therapies are more attractive for pruritus treatment. ObjectivesThe aim of this study is to determine the effect of acupressure on the severity of pruritus and some laboratory parameters in patients undergoing hemodialysis. Materials and methodsThe present clinical trial was conducted on 90 patients undergoing hemodialysis who were allocated in intervention, sham control, and negative control groups (30 in each group). Pressure was applied on SP6, SP10, ST36, and LI11 points in the intervention group and on ineffective points for the sham control group. The negative control group received routine care. The severity of pruritus was measured using the numeric rating scale before, two weeks, and five weeks after intervention. The laboratory parameters were measured before and after the intervention. ResultsThere was a significant reduction in the severity of pruritus over the course of the study in the intervention and sham control groups (p = 0.001). In addition, significant differences were observed at the end of the intervention in terms of serum phosphorus (p = 0.045) and parathyroid hormone (p = 0.004) levels between groups. ConclusionAcupressure can improve the severity of pruritus dramatically in hemodialysis patients. It can also reduce serum phosphorus and parathyroid hormone levels, which affect pruritus, significantly. Therefore, this simple and inexpensive intervention may be recommended for reducing uremic pruritus among patients undergoing hemodialysis.

Evaluation of the balneability conditions of the urubuí corredeira, in the municipality of presidente figueiredo – amazonas

According to the environmental company of the state of São Paulo, bathing is associated with the use of water for the practice of recreational activity through primary contact, being understood as direct and long contact with water, with high risk of ingesting certain. For this purpose, it is essential to evaluate water quality, following some criteria, which are based on microorganisms indicating fecal contamination, established through monitoring and confrontation with pre-established standards. Thus, the general objective of this study is to evaluate the watering conditions of the vulture rapids, to define the quality and parameters of water for recreation use, in order to contribute to the environmental conservation and supervision of water resources. This research is a case study, conducted through bibliographic surveys, site visits, direct observation. The results obtained by laboratory analysis in the periods between September and October 2019, where all dates of points P1 and P2 presented concentrations below 250 CFU / 100mL. According to CONAMA Resolution No. 274/2000, the results indicate that the bathing conditions for recreational use fall into the excellent category.

Contamination and health risks assessment in a dam in the southeast region of Brazil using ecotoxicological methods

ABSTRACT Concerned with water quality, specialists have resorted to ecotoxicology as a tool to assess suspected contamination, enabling creation of strategies to repair the observed damage. Organisms such as fish and micro crustaceans are widely used in acute tests due to several characteristics in common among them including (1) accessibility of multiple samples, and (2) enhanced sensitivity when exposed to pollutants. Thus, the objective of this investigation was to determine the degree of toxicity at different points of a dam in Coromandel, Minas Gerais, using Artemia salina and Danio rerio as bioindicator organisms. Water was collected at three points of the dam were subsequently used to expose these organisms to different contaminant concentrations. Following exposure mortality and immobility rates were determined and compared to negative control (only distilled water). Results with exposure of A. salina did not present significant pollution affects. However, in the case of D. rerio the mortality frequency, immobility rate and behavioral alterations was increased at point P3; thus, D. rerio demonstrated greater sensitivity than A. salina. The physical-chemical test indicated that there were changes in parameters including biochemical demand of oxygen, dissolved oxygen and total dissolved solids (in sample at points 2 and 3), confirming toxic potential, and evidence of poor water quality at these locations. Therefore, data demonstrated that water from the dam at certain sites is not suitable for human consumption or leisure activities such as swimming that were previously reported to occur in this reservoir by the local community.

Mathematical Model Quartic Curve Bezier of Modification Cubic Curve Bezier

The creative industries have become the government's attention for contributing to economic accretion. But due to the lack of artistic creativity and appeal, the evolution of the creative industries' craft section is not optimal. So that it was needed a variation of relief items to increase attractiveness. In general, an industrial object's design is still limited to the space geometry objects or a Bezier curve of degree two. Therefore, Bezier curves of degree are selected and modified it into a quartic Bezier forms and then applied to the design of industrial objects (glassware). The purpose of this research is to determine the formula of the quartic Bezier form of cubic Bezier modifications and to determine the rotary surface shape of quartic Bezier from cubic Bezier modifications. Then, from some form of the revolving surface of modified cubic Bezier, the glassware designs are generated. The results of this research are, first, the formula of the quartic Bezier result of Bezier cubic modifications. Second, the form of the revolving surface of modified cubic Bezier which is influenced by five control points P0, NP31, NP32, NP33, P3, and parameter lambda. For further research, it is expected to develop a modification of cubic Bezier into Bezier of degree-n

Moxibustion for nausea and vomiting in pregnancy

Background: Nausea and vomiting are common symptoms that occur for 70-80% of pregnant women. Alternative treatments such as herbal medicine, acupressure and moxibustion have been suggested to control pregnancy-induced nausea-vomiting. Objective: This study is to observe effects of moxibustion at P6 and ST36 point on nausea and vomiting in pregnancy. Methods: This study applied a queasy experimental study by pretest-posttest design on two groups of study. Moxibustion in this study was a heat stimulation technique at P6 and ST36 points for 5 days (7 minutes per day). The P6 point was located on the inner wrist, 2-3 fingers above the wrist between the tendons and the ST36 point was located on 4 fingers below the lower limit of the patella. A random sampling was conducted for 30 pregnant women with gestational age 0.05). Conclusion: Moxibustion can more effective at P6 point than at ST36 point in reducing symptoms of nausea and vomiting in pregnancy.

Effects of ear and body acupressure on labor pain and duration of labor active phase: A randomized controlled trial

ObjectivesThis study sought to compare the effects of multi-point ear and body acupressure on labor pain and the duration of labor active phase. DesignThree-armed randomized controlled trial. SettingKowsar Hospital, Qazvin, Iran. InterventionParticipants in the body acupressure group received acupressure on GB21, GB30, BL32, LI4, and SP6 points, each for two minutes, at cervical dilation of four, six, and eight centimeters. For participants in the ear acupressure group, adhesive auriculotherapy-specific Vaccaria seeds were attached to their auricles on the zero, genitalia, Shen Men, thalamic, and uterine 1 and 2 acupoints. The seeds were compressed every thirty minutes, each time for thirty seconds. Participants in the control group received routine care services. Main outcome measuresLabor pain intensity was assessed using a visual analogue scale at cervical dilation of four and ten centimeters. ResultsWhile there was no significant difference between mean scores of pain among three groups, mean score of labor pain in both acupressure groups was significantly less than that in the control group (P < 0.001). However, the difference between the acupressure groups was not statistically significant (P = 0.12). Moreover, the duration of labor active phase in the ear acupressure group was significantly less than those in the body acupressure and the control groups (P < 0.001). ConclusionEar acupressure was significantly effective in reducing labor pain and shortening labor active phase. However, body acupressure solely reduces labor pain. Therefore, ear acupressure can be used to reduce labor pain and shorten labor active phase.

Effects of acupressure at the P6 and LI4 points on the anxiety level of soldiers in the Iranian military

IntroductionMilitary service is a stressful environment. Methods to reduce stress may result in the mental health promotion of military forces. There are various methods for relieving anxiety. Acupressure is one...

Effect of Accu Tens with Accu Band on Nausea, Vomiting, Retching and Quality of Life in Early Pregnancy

Background: Nausea and vomiting are basic human preventive reflexes against the absorption of toxins, as well as responses to correct stimuli. They are often used together, although each phenomenon should be assessed separately.1 Nausea and vomiting in pregnancy (NVP) is repeatedly experienced in early pregnancy, most frequently between 6 and 12 weeks.its important to find out Accu tens and bands and related techniques have potential for nonpharmacologic relief of nausea and vomiting in pregnancy Methodology: Subjects were randomized into two groups. 124 subjects of above 18 years old subjects were recruited in each group. Accu (TENS) Transcutaneous Electrical Nerve Stimulation with accu band at P6 point or Neiguan acupuncture point of dominant hand was administered to experimental group while control group was subjected to placebo (TENS) Transcutaneous Electrical Nerve Stimulation with Accu band on dorsum of wrist joint. Both the groups received interventions for 5 days in a week for 3 weeks. The outcome of study assessed by Rhodex index,Nausea Vomiting of Pregnancy Quality of Life (NVPQOL) questionnaire, which was assessed before treatment and after treatment session regimen. Result: Rhodex index scores shows that there is comparison between group A and group B mean value of group A and group B 18.61 and 12.29 respectively. The t-value were 6.66 and p<0.0001. NVPQOL scores shows that there is comparison between group A and group B mean value of group A and group B 115.23 and 80.58 respectively. The t-value were 7.25 and p<0.0001. Conclusion: The results obtained from this study showed that the Accu TENS with Accu band can be easy to perform, least expensive, feasible and most efficient management strategy for reducing nausea, vomiting and retching, weight gain and enhancing the quality of life of individuals with early pregnancy.

Effects of Acupuncture on Hospitalized Patients with Urinary Retention

Objective The aim of this study was to investigate the effects of acupuncture on urinary retention and provide treatment suggestions. Methods A total of 113 hospitalized patients with urinary retention were included in this study. The GV20, CV6, CV4, CV3, ST28, SP6, and SP9 points were selected as the main acupoints. Acupuncture therapy was conducted for 30 minutes per session. The total number of treatment sessions was determined by the symptoms and the length of hospital stay. Bladder postvoid residual urine volume (PVR) was measured pretreatment and posttreatment by ultrasonic. Efficacy defined as spontaneous urination and a residual urine volume <50 mL was measured. Results The median number of acupuncture treatment sessions was 3 (range, 1–12 times). Acupuncture treatment significantly reduced the PVR (545.1 ± 23.9 mL vs 67.4 ± 10.7 mL; p < 0.001). Among the 113 patients, 99 (87.6%) patients were cured and 8 (7.1%) patients were improved of their urinary retention. The remaining 6 (5.3%) patients' urinary retention did not improve. The effective rate was 94.7%. There was significant difference in the efficacy rate between patients with one urinary catheterization and with two or more. Acupuncture treatment was not associated with side effects. Conclusion Acupuncture is an effective and safe treatment option for urinary retention. Early application of acupuncture treatment should be considered in clinic, and repeated urinary catheter insertion and removal should be avoided. Our study suggests that a randomized controlled study with a large sample size to verify the efficacy of acupuncture for the treatment of urinary retention is warranted.

The role of inflammatory markers in the diagnosis and follow-up of diabetic foot osteomyelitis

Aim: Diabetic foot infections are a major cause of mortality and morbidity in diabetic patients. These mortality and mortality rates increase further when osteomyelitis develops. Simple techniques are needed to facilitate the diagnosis and follow-up of diabetic foot osteomyelitis. Material and Methods: Eighty-nine patients who underwent amputation due to diabetic foot between January 2012 and May 2017 were included in the study. The patients were grouped as those with or without osteomyelitis according to their pathology results. C-reactive protein (CRP) level and erythrocyte sedimentation rate (ESR) were assessed pre- and postoperatively.Results: Preoperative ESR values were significantly higher in the osteomyelitis group (p0.05). Comparison of preoperative, postoperative 2-week, and postoperative 1-month ESR values showed a statistical difference among all time points (p0.05), with lower postoperative values compared to preoperative values. At a cut-off value of 55.5 mm/h, preoperative ESR had sensitivity of 95.3% and specificity of 87.5% in the discrimination of patients with and without osteomyelitis.Conclusion: ESR is a simple, rapid, and cost-effective diagnostic marker with high sensitivity and specificity in the diagnosis of diabetic foot osteomyelitis. However, monitoring CRP values may be superior to ESR when evaluating early treatment response.