Day 2 :
Helios Med Onlus, International Health Cooperation
Keynote: Home wound care: A new natural device for the treatment of advanced ulcers in the diabetic foot
Time : 10:00-10:30
Maria Letizia Iabichella is a Medical Doctor graduated at the University of Pisa (Italy) and specialized in Angiology. She is interested in clinical and home wound carernmanagement and in micro-vascular research by non-invasive diagnostic methods. She is currently a Lecturer at the University of Siena (Italy) and author of severalrnarticles. She has developed a new method to treat vascular, diabetic and Buruli ulcer with ozone. She founded Helios Med Onlus, International Health Cooperation,rnin 2011 aimed at training staff to perform social and health activities and sharing wound care know how through missions abroad.rnmarialetizia.
Introduction: Diabetic Foot Ulcers (DFUs) are a global health problem and currently no device can be a standard in theirrntreatment according to international guidelines. Neither the specialized reference centers for diabetic foot care can meet therndifferent needs of the overall population in the same way and everywhere all around the world. A first successful experiencernon a patient with extremely advanced feet ulcers treated with a mixture of Hypericum perforatum and Azadirachta indicarn(HyperoilTM) has induced us to use the same treatment of patients with less severe duabetic ulcers.rnAim: The aim this report is to summarize the results observed in case series about patients used to practice Home Wound CarernMethods: All patients (9M, 16F; age range 46-78 years) afferent to the Wound Care Units (WCUs) from June 2012 to June 2013rnfollowed a standardized diagnostic/therapeutic scheme to manage diabetes and coexisting conditions. Later, all DFUs wererntreated with HyperoilTM at home, when diabetes was well compensated at WCUs, by monitoring HbA1c, systemic arterialrnpressure and pain.rnResuts: DFUs 2 to 10 months after starting HyperoilTM treatment. During this period HbA1c improved and pain due to DFUsrndisappeared in all patients; furthermore, hypertension was better compensated. No patient had complications during WoundrnCare Home performed by relativesrnConclusion: These preliminary results, belonging to a case series, suggest that using HyperoilTM for advanced diabetic footrnulcers, together with tight diabetes control, might be a cheap and effective new option for the “easy” home management ofrnadvanced diabetic foot ulcers worldwide, reducing socio-economic costs at familial and national level.
My Best Doctor Clinic
Time : 10:30-11:00
Deepak k Jumani,has completed his ASC (USA), FACS (USA), MBBS, FCGP, FIAMS, Ph D.He is Diplomate American Board Certified Clinical Sexologist.He is also an Ex Clinical Associate at the Department of Sexual Medicine of Seth GS Medical College and KEM Hospital.
Introduction: According to IDF (International Diabetes Federation), there are 382 million diabetics across the globe. Onernthird of these diabetics are in India, closely competing with China. So India is the diabetes capital of the world. The commonestrncomplication of diabetes in men is erectile dysfunction. So India can be called as erectile dysfunction capital of the world.rnObjectives: Since erectile dysfunction is the earliest marker of myocardial ischemia, our aim is to study the prevalence of erectilerndysfunction and detect it as early as possible in every diabetic and promote measures to provide them adequate education,rnlifestyle modification and necessary medical therapy to retard the onset of critical ailments like MI or stroke in these subjects.rnMethods: 54362 patients, all diabetics, were studied, complete detailed medical history and sexual history was taken; basicrninvestigations like Bl sugars fasting PP, Hba1C, lipid profile, renal functions, liver functions, uric acid, Vitamin D, serumrntestosterone, free and total, SHBG, serum PSA free and total, thyroid studies, urine routine were done. Besides this, we also didrntheir dental examination, digital rectal examinations, USG of scrotum and penile Doppler studies and sleep studies. We alsorndid the resting ECG and coronary angiogram. We also did the IIEF scores and B depression scores. We gave questionnaire torn800 GPs to follow up the diabetic patients with ED after the onset of diagnosis for symptoms CAD.rnResults: Over 70% of male diabetics had ED at diagnosis. 9 years follow done and 84 percent had signs and symptoms suggestivernof CAD. In women diabetics, hypoactive sexual desire disorders and depression were seen. We compared all these results withrndata from China and other countries.rnConclusions: India ranks highest in the prevalence of Diabetes. In men ED is commonest complication; hence India is ErectilernDysfunction capital of the world.