Susan Y Chipchase

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OBJECTIVE The purpose of this study was to compare different outcome measures in the audit of management of diabetic foot ulcers RESEARCH DESIGN AND METHODS Data collected prospectively in a consecutive cohort of patients referred to a specialist multidisciplinary foot care clinic between 1 January 2000 and 31 December 2003 were analyzed. A single index(More)
BACKGROUND The aim of this study was to seek a temporal association between the start of renal replacement therapy (RRT) and the first recorded foot ulcer in diabetes. METHODS Details of all patients with diabetes who had received RRT were extracted from the renal database and were cross-checked with the database held in the specialist foot clinic. The(More)
AIMS Measures of healing rate may not give a complete indication of the effectiveness of overall management of diabetic foot ulcers. Apart from healing and speed of healing, the outcomes of greatest importance to the patient are avoidance of any amputation and remaining free from any recurrence. We have documented the number of patients presenting with(More)
T he ability to probe the base of a wound to periosteum or bone (the “probe-to-bone” test) is increasingly used to indicate the likelihood of underlying osteomyelitis. The original study (1) reported sensitivity, specificity, and positive (PPV) and negative (NPV) predictive values of 66, 85, 89, and 56%, respectively. However, this work has been criticized(More)
AIM To obtain information on outcome of heel ulcers in diabetes. METHODS Data were recorded prospectively on all patients with heel ulcers who were referred to a specialist multidisciplinary clinic between 1 January 2000 and 30 November 2003. Outcomes were assessed on 31 March 2004. RESULTS There were 157 heel ulcers in the patients referred in the(More)
OBJECTIVE To compare methods of assessing fatigue. DESIGN Cross sectional. SETTING Community. SUBJECTS Forty Multile Sclerosis (MS) patients and 20 healthy controls. MAIN OUTCOME MEASURES Fatigue questionnaires, SDSA dot cancellation test, finger tapping test, TEA Lottery. RESULTS The MS patients had significantly higher levels of fatigue than the(More)
PURPOSE To examine the effect of fatigue on driving in patients with multiple sclerosis (MS). METHOD A questionnaire on driving was sent to 192 people with MS and 192 controls who were relatives or close friends of the people with MS. RESULTS Replies were received from 75 MS patients (39%) and 63 controls (32%). MS patients' ability to drive was more(More)
PURPOSE To examine the factors associated with strain in carers of people with multiple sclerosis (MS). METHOD People with MS were recruited from an MS management clinic. Demographic information, memory, executive function, attention/concentration, mood, disability and health of the person with MS, the carer's opinion of the care-recipient's memory and(More)
BACKGROUND Benzodiazepines are often prescribed long-term inappropriately. We aimed to systematically review and meta-synthesise qualitative studies exploring clinicians' experiences and perceptions of benzodiazepine prescribing to build an explanatory model of processes underlying current prescribing practices. METHODS We searched seven electronic(More)
Emotional influences on memory can lead to trade-offs in memory for gist or detail and trade-offs in memory for central or peripheral aspects of an event. Attentional narrowing has often been proposed as a theoretical explanation for this pattern of findings with negative emotion. These trade-offs have been less extensively investigated with positive(More)