scholarly journals Social and geographical inequalities in the choice of foot therapy as preventive care: A nationwide registry study on Danish people with diabetes

2019 ◽  
Author(s):  
Christine Marie Bækø Halling ◽  
Jacob Ladenburg
Keyword(s):  
Low Income ◽  
Diabetic Foot ◽  
Diabetic Foot Ulcers ◽  
Registry Study ◽  
Foot Care ◽  
Rural And Remote ◽  
Remote Areas ◽  
Geographical Inequalities ◽  
Rural And Remote Areas ◽  
Nationally Representative

Diabetic foot ulcers are a serious complication of diabetes with high costs and adverse sequelae, such as lower-extremity amputations. International guidelines recommend that all people with diabetes should have their feet inspected at least once a year. This study is aimed at determining whether socioeconomic factors influence the probability of having the feet inspected by a chiropodist on a nationally representative sample of people with diabetes. We estimate a logit model for the choice determinants of foot inspections among people with diabetes. Of all people with diabetes, 73% have not had their feet inspected by a chiropodist. The results indicate social and geographical inequality with regard to diabetic foot care. Especially for ethnic minorities, people with low income and people living in rural and remote areas. The findings are robust to a series of sensitivity analyses.Published: Online October 2019.

scholarly journals Foot thermometry with mHeath-based supplementation to prevent diabetic foot ulcers: A randomized controlled trial

2020 ◽  
Vol 5 ◽  
pp. 23 ◽  
Author(s):  
Maria Lazo-Porras ◽  
Antonio Bernabe-Ortiz ◽  
Alvaro Taype-Rondan ◽  
Robert H. Gilman ◽  
German Malaga ◽  
...  
Keyword(s):  
Low Income ◽  
Diabetic Foot ◽  
Controlled Trial ◽  
Intervention Group ◽  
Risk Groups ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Foot Care ◽  
Foot Ulceration ◽  
History Of

Background: Novel approaches to reduce diabetic foot ulcers (DFU) in low- and middle-income countries are needed. Our objective was to compare incidence of DFUs in the thermometry plus mobile health (mHealth) reminders (intervention) vs. thermometry-only (control). Methods: We conducted a randomized trial enrolling adults with type 2 diabetes mellitus at risk of foot ulcers (risk groups 2 or 3) but without foot ulcers at the time of recruitment, and allocating them to control (instruction to use a liquid crystal-based foot thermometer daily) or intervention (same instruction supplemented with text and voice messages with reminders to use the device and messages to promote foot care) groups, and followed for 18 months. The primary outcome was time to occurrence of DFU. A process evaluation was also conducted. Results: A total of 172 patients (63% women, mean age 61 years) were enrolled; 86 to each study group. More patients enrolled in the intervention arm had a history of previous DFU (66% vs. 48%). Follow-up for the primary endpoint was complete for 158 of 172 participants (92%). Adherence to ≥80% of daily temperature measurements was 87% (103 of 118) among the study participants who returned the logbook. DFU cumulative incidence was 24% (19 of 79) in the intervention arm and 11% (9 of 79) in the control arm. After adjusting for history of foot ulceration and study site, the hazard ratio (HR) for DFU was 1.44 (95% CI 0.65, 3.22). Conclusions: In our study, conducted in a low-income setting, the addition of mHealth to foot thermometry was not effective in reducing foot ulceration. Importantly, there was a higher rate of previous DFU in the intervention group, the adherence to thermometry was high, and the expected rates of DFU used in our sample size calculations were not met. Trial registration: ClinicalTrials.gov NCT02373592 (27/02/2015)

A profile of the rural and remote older population

2021 ◽  
pp. 149-164
Keyword(s):  
Older People ◽  
Low Income ◽  
Urban Population ◽  
Social Inclusion ◽  
Rural And Remote ◽  
Remote Communities ◽  
Older Population ◽  
Income Security ◽  
Remote Areas ◽  
Rural And Remote Areas

This chapter deals with the profile of the rural and remote older population, which is predicated on the assumptions of the diversity of the older population living in rural and remote Canada. It talks about the construction of the profile around several major themes, such as being older and living in rural and remote parts of Canada and the challenges and barriers to living in rural and remote areas. It also covers social inclusion, engagement, and ageism, and food and income security. The chapter examines the shared characteristics of the older population living in rural and remote communities that distinguish them from the urban population of Canada. It cites the higher proportions of low-income people and older people, and higher proportions of people and older people with less education, including the higher rates of smoking, obesity, and mortality.

scholarly journals A Possible Smart Metering System Evolution for Rural and Remote Areas Employing Unmanned Aerial Vehicles and Internet of Things in Smart Grids

Sensors ◽  
2021 ◽  
Vol 21 (5) ◽  
pp. 1627
Author(s):  
Giovanni Battista Gaggero ◽  
Mario Marchese ◽  
Aya Moheddine ◽  
Fabio Patrone
Keyword(s):  
Energy Consumption ◽  
Internet Of Things ◽  
Unmanned Aerial Vehicles ◽  
Smart Metering ◽  
Rural And Remote ◽  
Electrical Grid ◽  
Remote Areas ◽  
Aerial Vehicles ◽  
Consumption Data ◽  
Rural And Remote Areas

The way of generating and distributing energy throughout the electrical grid to all users is evolving. The concept of Smart Grid (SG) took place to enhance the management of the electrical grid infrastructure and its functionalities from the traditional system to an improved one. To measure the energy consumption of the users is one of these functionalities that, in some countries, has already evolved from a periodical manual consumption reading to a more frequent and automatic one, leading to the concept of Smart Metering (SM). Technology improvement could be applied to the SM systems to allow, on one hand, a more efficient way to collect the energy consumption data of each user, and, on the other hand, a better distribution of the available energy through the infrastructure. Widespread communication solutions based on existing telecommunication infrastructures instead of using ad-hoc ones can be exploited for this purpose. In this paper, we recall the basic elements and the evolution of the SM network architecture focusing on how it could further improve in the near future. We report the main technologies and protocols which can be exploited for the data exchange throughout the infrastructure and the pros and cons of each solution. Finally, we propose an innovative solution as a possible evolution of the SM system. This solution is based on a set of Internet of Things (IoT) communication technologies called Low Power Wide Area Network (LPWAN) which could be employed to improve the performance of the currently used technologies and provide additional functionalities. We also propose the employment of Unmanned Aerial Vehicles (UAVs) to periodically collect energy consumption data, with evident advantages especially if employed in rural and remote areas. We show some preliminary performance results which allow assessing the feasibility of the proposed approach.

Differences in foot care practice between participants at risk for and with diabetic foot ulcers (DFUs) in community

2020 ◽  
Vol 30 ◽  
pp. 144-148
Author(s):  
Uswatun Hasanah ◽  
Saldy Yusuf ◽  
Rini Rachmawaty ◽  
Musdalifah Mukhtar ◽  
Serlina Sandi
Keyword(s):  
At Risk ◽  
Diabetic Foot ◽  
Foot Ulcers ◽  
Care Practice ◽  
Diabetic Foot Ulcers ◽  
Foot Care
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