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Development of Portable PAD Assessment System in Diabetic Mellitus. Chairman: Dr. Hung-Chi Yang Presenter: Bee-Yen Lim Adviser: Dr. Yi-Chun Du. Outline. 2. Introduction Purposes Material and Methods Results Discussion and Conclusions References. Introduction.
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Development of Portable PAD Assessment System in Diabetic Mellitus Chairman: Dr. Hung-Chi Yang Presenter: Bee-Yen Lim Adviser: Dr. Yi-Chun Du
Outline 2 Introduction Purposes Material and Methods Results Discussionand Conclusions References
Introduction • Diabetes is No 4 of the most common cause of death’s ranking in Taiwan and rose by 9% of death increments year by year, it’s beyond higher than any other disease. • In 2014, the whole world approximately has 330 million people to suffer from diabetes. Data source : (Industrial Economics & Knowledge Center,IEK)
Introduction Diabetes became the Asian epidemic disease • In 2025, Asia will have over 300 million diabeticsat the appointed time will burn out the Asian medical system. (LANCET, 2006) (TIME, 2003)
Introduction Chronic disease: A Multisystem Disease • Eye pathological change • Soaks for a long time in hyperglycemia‘s small-vessel. • Kidney pathological change • Every three nephritis patient simultaneously has one person is the diabetic. • Nerve pathological change • The nerve receives the destruction to cause the function damage: The foot pain, bad to the luminance adaptation and easy to tumble. • Foot blood vessel pathological change(PAD) • Limps, foot ulcer and fester.
Purposes • The clinical research report that over 25% diabetic concurrent foot ulcer! • Ulcer surpasses 50% are create by PAD, defect patient almost needs to carry on treats positively (surgical operation) • PAD’s patient 50% not subjective symptom; But after if has limps, (Second Stage), some 20% patients need the amputation! • Earlier detection, may effectively reduce ulcer and amputation risks. Peripheral Artery Disease(PAD) Diabetic Foot Care, http://physicaltherapy.about.com
References • Speckman RA, Frankenfield DL, Roman SH, Eggers PW, Bedinger MR, Rocco MV, McClellan WM (2004) Diabetes Is the Strongest Risk Factor for Lower-Extremity Amputation in New Hemodialysis Patients, Diabetes Care, 27(9): 2198-2203. • Diabetic neuropathy, http://www.daviddarling.info/encyclopedia /D/diabetic_neuropathy.html • Willian J Jeffcoate,Keith G Harding (2003) Diabetic foot ulcers, The lancet, 361:1545-1551. • Allen, J (2007) Photoplethysmography and its application in clinical physiological measurement, Physiological measurement, 28(3):1-39. • Du, Y.C. and Lin, C.H (2012) Adaptive network-based Fuzzy inference system for assessment of lower limb peripheral vascular occlusive disease, J. Med. Syst, 36(1):301-310. • J.-X. Wu, C.-H. Lin, Y.-C. Du, T. Chen (2012) Sprott chaos synchronisation classifier for diabetic foot peripheral vascular occlusive disease estimation, IET Science, Measurement & Technology, 6(6):533-540.