James Mcguire

Temple University | TU · School of Podiatric Medicine

Gout is one of the most common etiologies of inflammatory monoarticular arthritis. Recent literature is reviewed to compare a novel advancement in chronic gout medication, febuxostat, to its counterpart allopurinol, through the identification of significant findings and improvements. Literature review concluded that febuxostat serves as a viable al...

Background It is well established and accepted that fungi are a major contributing factor in nail dystrophy. It has also been recognized that bacteria play a crucial role in onycholysis. However, the bacteria and fungi that can be grown on culture media in the laboratory are only a small fraction of the total diversity that exists in nature. Contem...

The authors propose a new acronym to promote teaching and learning evidence-based care for wounds of the lower extremity, maximizing healing potential, and assuring the ability to adapt to everchanging new technologies. ABCESS is a comprehensive framework for the assessment of a patient with a lower extremity wound. Wound care clinicians benefit fr...

Objective: This case series presents 3 cases of chronic ulcerations - 1 arterial ulcer (AU), 1 pressure ulcer (PU), and 1 recurrence of a pyoderma gangrenosum ulcer (PGU) - that had failed previous courses of standard wound care and were subsequently treated with vCHPM to determine if the treatment is an effective modality for treating wounds of t...

Unlike common antimicrobial dressings, the Cutimed Sorbact range does not kill pathogens, but instead binds them to its surface, so they can be safely removed at dressing change. As a result, it can be used long term with minimal risk of side effects. This supplement describes the evidence base on the efficacy of DACC technology.

In the previous chapter, Keith Cutting and James McGuire explored the link between infection and wound chronicity and explained how Cutimed Sorbact can be used to promote healing in chronic wounds. The following sections summarise the existing evidence for the Cutimed Sorbact range of dressings.

Text and Atlas of Wound Diagnosis and Treatment delivers visual guidance and clear step-by-step instruction on caring for patients with wounds. Utilizing more than 700 full-color illustrations and clear, concise text, this unique learning text also includes complete discussion of evidence-based concepts of wound treatment. It is divided into 4 sect...

Objective: The objective of this multicenter study was to prospectively evaluate the healing outcomes of chronic diabetic foot ulcers (DFUs) treated with PriMatrix (TEI Biosciences, Boston, Massachusetts), a fetal bovine acellular dermal matrix. Methods: Inclusion criteria required the subjects to have a chronic DFU that ranged in area from 1 to...

Objective: There is a growing body of evidence implicating obesity as having a negative effect on the development and treatment of diabetic foot disease. The aim of this study was to increase the body of knowledge on the effects of obesity on foot function, specifically as it relates to peak plantar pressures in the total contact cast (TCC). Our i...

An increasing body of evidence has implicated obesity as having a negative effect on the development, treatment, and outcome of lower extremity pathologic entities, including diabetic foot disease. The objective of the present study was to increase the body of knowledge with respect to the effects of obesity on foot function. Specifically, we attem...

Wound size reduction has been the standard benchmark for determination of efficacy for diabetic ulcer treatments but due to interclinician error and difficulty measuring irregular wound shapes, this method is unreliable with a positive predictive value of less than 60%. Diffuse near-infrared spectroscopy (DNIRS) uses 70-MHz modulated light in the d...

PURPOSE: To enhance the learner's competence in providing pressure redistribution therapy for the diabetic foot. TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in skin and wound care. OBJECTIVES: After participating in this educational activity, the participant should be better able to: 1....

PURPOSE: To enhance the learner's competence in providing pressure redistribution therapy for the diabetic foot. TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in skin and wound care. OBJECTIVES: After participating in this educational activity, the participant should be better able to: 1....

Heels are the second most common anatomical location for pressure ulcers. A combination of risk factors, including pressure, may cause ulceration. Heel pressure ulcers are a particular concern for surgical patients. A review of the literature, including poster presentations, shows that controlled clinical studies to assess the effectiveness and cos...

Purpose: To provide an overview of the literature related to the treatment of diabetic foot ulcers. Target audience: This continuing education activity is intended for physicians and nurses with an interest in wound care. Objectives: After reading this article and taking this test, the reader should be able to:

PURPOSE: To provide an overview of the literature related to the treatment of diabetic foot ulcers. TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in wound care. OBJECTIVES: After reading this article and taking this test, the reader should be able to: 1. Outline the management goals and a...

Purpose: To familiarize the practitioner with a variety of offloading devices by comparing their indications and application, and to present a literature review of device effectiveness. Target audience: This continuing education activity is intended for physicians and nurses with an interest in better understanding and improving pressure offload...

PURPOSE: To familiarize the physician and registered nurse with causal components for foot ulcers, offloading strategies, and pressure redistribution devices. TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in learning about the at-risk diabetic foot and methods of preventing foot ulcers. O...

Arthritis and other rheumatic conditions are among the most common disabilities in the United States. Although arthritic conditions affect the knee and hip joints more frequently than the joints of the foot, disorders of the foot are particularly disabling. This article outlines the types of arthritis conditions affecting the foot and discusses str...

PURPOSE: To provide physicians and nurses with an overview of diabetic foot assessment. TARGET AUDIENCE: This continuing-education activity is intended for physicians and nurses with an interest in learning about proper diabetic foot assessment. OBJECTIVES: After reading the article and taking the test, the participant will be able to: 1. Review th...

This paper addresses the question of whether criminal law, especially in its sentencing and penological aspects, can be adjusted in its workings to incorporate the perspective of therapeutic jurisprudence. A conceptual framework developed by Wexler, Winick, and their colleagues is employed to provide a basis for reflection on the operation and impa...

Some years ago when Professor Mednick, one of the distinguished contributors to the Advanced Study Institute, was carrying out research on creativity, he developed a measure known as the Remote Associations Test. It entailed providing respondents with two apparently unrelated words and asking them to generate ideas concerning possible connections b...

An anatomic classification for lower extremity bracing is presented, along with a review of brace components and their use in the treatment of neurologic or muscular disorders. An approach to bracing that employs the concepts of balance and flexibility has been suggested rather than rigid formulas calculated from poorly defined or established neutr...

Falls in the elderly lead to a loss of freedom, self-confidence, and mobility, as well as costly medical bills. Neutral position foot orthoses (NPFOs) are custom-made shoe inserts that relieve areas of pressure and biomechanically align a malaligned foot. If proved efficacious in improving standing stability, NPFOs could help minimize the probabili...