Washingtonban szervezett
DLS kongresszusra a DLSZ alapító tagjai szakmai anyagot nyújtottak
be, amely elfogadásáról Rebecca Armentor szervező pozitív visszaigazolásából
idézünk:
"A DLS ( a diabetikus végtagok megmentésért) c. konferenciára
benyújtott A Magyar Diabétesz-Láb Szövetség első éve- Kísérleti szűrések
és plasztikus terhelés csökkentő eszközök bevezetése c. előadás kivonatát
elfogadtuk .
Fogadja gratulációnkat az előadás kivonatának elfogadása alkalmából,
ami bemutató poszterként fog megjelenni a DLS (a diabetikus végtagok
megmentésért) konferencián, amely 2008. szeptember 18-20 között Washingtonban
kerül megrendezésre.
Az elfogadott kivonatokat a www.DLSconference.com/abstract.html címen tesszük
közzé."
Közzétesszük az anyagot is:
THE FIRST YEAR OF THE HUNGARIAN DIABETIC FOOT ASSOCIATION - PILOT
SCREENINGS AND INTRODUCTION OF PLASTIC OFFLOADING
István Rozsos , László Mecseky*, Róbert Mező** Levente Nagy ***
+ Deputy Chairman of the Hungarian Diabetic Foot Association - Oboler
Ltd, Pécs, Basamalom u. 10, Hungary
*Chairman of the Hungarian Diabetic Foot Association - Budaörs, Vasút
u. 11, Hungary
** South-Pest Hospital, Rehabilitation Department, Budapest, Hungary
***Kaposi Mór County Hospital, Kaposvár, Hungary
The Hungarian Diabetic Foot Association was founded in 2006 as
a non-profit organisation – in which, besides the patients and the
health service employees performing their provision, room was made
also for the attendant providers. www.diabeteszlab.hu
The pilot screenings commenced in 2007 were the introductory measures of the
– nationwide – 7-center screening program. In the framework of the pilot screening,
we have screened 1000 patients in four centres – in the gravity zones of Budapest,
Debrecen, Gyöngyös and Pécs – which we linked with a modern method of offloading
– and in cases of 99 patients we utilised weight relieving total-contact soft
cast - www.diabeteszeslab.hu.
On our poster, we will demonstrate the examination algorithms applied during
the screening – which we carried out on two levels. On the first level the
preliminary screening took place, which comes within the competence of the
specially trained medical personnel – following this, the selected patients
were further examined with specialist’s competences.
The existence of significant structure deformation and trophic wound on the
sole or if the risk of such existed, the patients were directed to the offloading
program, in the course of which plastic plaster was applied – with a structure
adapted to the deformations.
In that examination year we applied such treatment instrument in the cases
of 99 patients - out of which in 90 cases we were able to monitor it even beyond
the required minimum follow-up time.
We monitored the patients’ wound healing tendency, the improvement of loadability,
and changes in walk distances.
According to our conclusions, the pilot screening was successful, as it detected
in more than 50% of the patients deformations, to which earlier no importance
has been attached.
We offered immediate possibility for therapy to the high-risk patient-group,
in the course of which we could record accelerated healing dynamics - and besides
this the movement restrictiveness of the patients also decreased, thus we could
measure also the psychic contentment.
We regard our initial results as the first step to a nationwide screening program
to be carried out first at least in seven, then in 21 centres. We are even
currently carrying on negotiations concerning the possibilities of joining
the National Health Programs - as in Hungary there are 600.000 people with
diabetes and at least 15% of them suffer from some kind of tophic disorder.