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Original Arties / Dmustust cnmanthafes 59:90) 6690 1h Roe ed 8 9 0690 namslitatuileuudauin 10 nf nagouneme qudunnnfantvimeufiaunwnusiie 2 Hn wa, Gerare Rendorny mu, 2.9. crsmandtg, ie srt mu, 2, samnantd, 22, wamendnreLnd, ‘dn Reed ma, 22. amantt, snucamantihy) nowt aumanSeofltiandinsnanminiia raisunnunran$ sornenionenn nie ‘ABSTRACT Using 10-9 Monofilament to Tost Ingonaate Foot in Dibetes Matis Type 2 Patents Kiatpakdee J, Leelasamran W, Pormsirverich W, Techatotin S Physical Medicine and Renabi- {ation Unt, Department of Ortho- pedics and Physical Medicine, Faculty of Medicine, Prince of Songlia University Objctves: To evaluat insonsato foot in diabetes metus (OM) type 2 patents by using 10-9 monofiament Study dosign: Doserptve sty. Setting: Ovipatient Clinic at SoneKanagarin Hospital, Faculy of Medicine, Prince of Songkla University ‘Subjects: OM typo? paints who had not been ciagrosed with OM foot or sabete nevropaty Metbeds: A subjects were ina ying position and tested with 10-9 ‘monatiament a ses on each foot by tho same examiner. A positive result was recorded i there was at east one site wih os of sensation, Results: One hundred and eight patonts wor tested, 58.9% fora, wih a mean age of 585 (SO 103), yoass. The mean duration of having Correspondence fo: Dr. Jantakarn pak: Cure across: Patan oso, Amour Mog, Patan 40. Eel: jnskampdyatoncom Trt Rata Med 200%; 199) DM was 81 (SD 7) years. The 10-9 ‘monofilament testing found a prevatnce of sensate fot of 26% 12 ofa had wo o fewer sites with loss of sensaton, 5.8% had 3-4 sts of po sensation and 8.3% had overs sites. Males had higher risk of Insensate foot than females (odds rato 3.4 95%C1 085-142) Toso wth {5-10 years or greater tan 10 years duration of DM had more risk for Insarsato foot than too wi essthan Syoars dation of DM (ds ao 28; 95% 2.087 69 and odds rato 4.2: 95% 185-428). ‘Conclusion: A 10-9 menoflament test Is simple and able to realy detect Insonsate fot in OM type 2 patints ‘before signstsymptoms cook. Early <etecton can help reduce the need for amputation, especially in DM ‘cases wb more than years craton. Koy words: Insensate foot, diabetic europathy Tha Raab Me 2008 19): 9699 umiinda Snqulaeaeh: senna ytumrufironeditusrseres ‘sini 2 ton bituRerasunurn 10- ni uncemdiausiearnategy devearerentaomaemegy dens Bieilsh pluie sonata enfrsniemerann unungiaeuen Treenunensamuntunf mnie unmumenf sovinundenssny suru ndgulsesnns Guaronreie 2 Ausubel Urewmiesanrion BEnveowr: Anwrdeyaugyy usenadaunraemageytunnntae shee Whenua 10 1 duaPBenionshhene <a gouonia ft 2 dremeniibie tuvinwe nuraneumudentis eammenes! uvandtogsouggydunrafand runnerinrhti 1 98 rarnsfina: nuarwrrn 108-0 ummndistanes 58.9. enguaie 59.5110.3 1 sucmeuededy turer 8127 2 saamenngoum ‘hoon 26 mazmagyitunnn Faniuta Unngqidntiouninte nF 2 99,94 99, nesta nfl & qn intufeune 12, 5 5.une 83 muda oumudtoraegeya rerufindaanneamas (és rato 3.4; 96%6C1 085-142) dledins ‘ffunguthoufiduarmrmaieunia 5 9 ngadldtunuewaruuny 5-10 9 useannninto 9 lameqeytonr ‘Hoiiotadidustnetedtgyme A (ods rao28; 596C1208-7.69 une oc rato 42; 911.8549) qu: mmaseutanieiakon Iwhiteranurnunn ton hire Finwuaseendiane —gnanee anew mrqyornnftnfotanee @oouromnuntind 2M reuse somata Innew eesti rameter wiuifin 6 1 ersdauilesiuniafin arwanaaeerngnéniconn wk shabaigy dh, sna deen cosmrnntthudere 2882: 1963): 06-00 mh arnemageudunmafaniiota Inevamznmafantiostudunrne (orotectva sansation) usront usnsildafiysecnracaarlssarm deurnarmary (diabetic neuro pathy)" magqydumarfnda (asensate foo) inernnnenifeon ssondinnnda eifevnentenion wanda wantiTeunenitomusiens fis dunatdhlenealsermenaton SHkigrelensiearmdentulge nraeqqdunrnyand oiaiy wnnwrntarngguitustuera Finduneiou gun unefie™ Seinitnemtevieratamanaay radiauun usennaRadiegnar Sh ‘algermgeutumsineny vamegn Srartk Uurnameehgqyturern Finddhdueongudinitis tins FemulAFevne 62.67 aesfffanmy nuretucai® gavaeme aaudunnnufaosasstrittornaia wisefadhutle 7 ohdeiuurugita maemgyitorennfanRr aan mvs day ncn! munis rengeydune nanan carmonaiiaty 26 whndfertentiy mali uensandl Feuse 80 voedidhy cur uettunetthmetinieg ye: seraiintivtrtireuneemagtn nfadh 245 vindletautulid rengeyomrafrsadousiiera Unulreamaesoiutsdhudterce: amnihduarwnnuady machi users Viriqundiyindestuabat ednsonneay anansnannrega owaslhtoune 40-20" nngidiedunvaedanulseem dosniutoce temanraemstiiy Ahadud Resiningdurnqyuny urdesiled lumirasdinauns SelustMtuleemaunavitu® sat etindornackentaintdenn re aostionrestintiiundaadnand urar whenlAmnaangianans doa 9 dudsladudluntumetys sramlne ereidoveaiidoste Handrniominedallmmaateanenn omen mmaneuuresin Feserkulidorarqyulaun mnansaeKansecarasiay drew midendinenetd tanta _mmraunrudutssien (voration perception theshoi) rime raduRannesnnnslenenla'n «dex (Weuropathy symptom score, ouropathy disabity score) ursnn Huet atau Duka san snuanes Hau” wehnmanriae Twufenatawnn 10 nu fury neuropathy symptom score Uae neuropathy csabilty core (NDS) sranamifiunraiblamakanrosn ne iruanutigedufoune 99 ts eqtumensredansaskon Tals San uuhiDuA89 Funcom ‘49 eanzonaneuncudenth nw shurdesttedtiamgn tiene cosmnnacni yaar ‘iarreeumuncinniilraren ald talueranaktumenwind ‘Sex tiAennin s.07 dese aniann slrexne 10 nfs duvets amaelenenirearmaunatogdeu® dagituenuueeammnnlagjun niescbinunmniteatuunrntitin voshk Sinsfenrmh enaraosnae asuireerndenaetuAenant ssunn 10 nu Snrlafoure 66.01 reratrumrsfaums 34-88, positive prodieive valve Hann 1839 une negative predictive value FaBAe 96 95° Tnusinumltltnrasl 4 qn shay ovtausiot Fonseqndauth otauitth tanans uscd FH panatonnnnd eur: 90 weet reradruymeeuse 60:00" sods reomedeu douwansennenaas rasngumaulanammndeniuil sures i Mute Hn mage 6 Anuls Hoon! une rou use Olmos unznais® Wate 3 drunls dou Kumar unzncus” naneusioamumisites Duka sounistnasenituunnereule wis iAFunvnadungaqnte Hen- so Disane Contr rcaneands duucthinnaey 10 unin ‘smnentones Margaret uternie™ sur TatuRiusfownn 10 nF Aiaranmandeuseusinaeg is {tas 5 nf unerrauaranagen durniiusianlsdessraion Hnrgndhihdauidhyiteiine \hunumdsiina wlafoene: 60 une rerasromefouns 08 Saussxi hia meovagcutiunlssinda dwmoalgSRnuiaéaflanry sneunednmmannmaatstaenernna aenmuntuniiy féalitimanrs Aenaeskendngdhunrrune coments 25 19 Eniswnbéeitanjtn ited arnevinaronr rand ahaa sonarus amaemaqeydunrnfanilraes Qlurnnmalneund 2 tlre ‘wu gietoinnwAmeiteuane Bedyinnenciann ines reeraggyiena stration ara unssrnanudusiugens todo du ang one urereeerir duro duku detiouscyes nnansasriensesnacgnuidunan Howlotoveag uw wrest nnrdnwiaad nuegidelaiden ruse nnsey 4 Fruwls ma imafineraes Nalini ussrnie” Hm ‘hilevesouniontaecanbats fonrnuncotisiaaeta nanililatiouss 90 ussilean sroun: 60 Kelurmage ius 4 frumnis sedomlrewiinvie annua Ruarenrantinecy mation snviduilsnunnefuraevanane: nyntrameesrnumetlununmn ormedeauasdodonmennhnn ys sosnnzunnumant ane. 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UMS. Hu BL GIL, Tang X04 UK. Cnc! and neophiogea ‘aca of 70 ates wth debene pargheral neuen. 2006; (3 16, 2. Megll M, Mayneau L Spencer R Ipscton eosin otnsnst st srawontoed requtemens, Diabetes care 1906 22: 9 02, Dobro M,RoranoskyD, Somers {Lay dba neopay Toga fans mechaniems. Wore) (cosvortor 007 132): 17591 oar exrorty enpuston. Crus Mex J 205; 9): 1788 Sigh N,Amstong DG, Lpshy BA Preventing foot ot pats win 6 sosrko JM, oatng YH, Hu, Westy Sones. Ween Menatametintoe ‘Svong Host Stay: Risk aca or ‘tneal neuropathy. Diabetes Care 7. Pram H, Armatng 6, Hawey Harkless LB, Gin Mh, Vows, _Sermning emai oer psp nig tekler dete ot uceton| ‘Aprspecve mute Dibtos Perr Oslo, Zeman 8, Ba Simple sovering ts or prea Dates Cae 2201 24 2506 janet Chet , Seng Ata P.Taraitsmion. Kureukronr Yeo. A suey son ast rronageren ane earhesten ese bn ein care sting Tale. 3 ea Asse Th 2007; 9 65.7, (rena Ge9980 Hat, Wan DE, Rekaneie ND, Narayan V, Peer! ere Neopet oon fr US cats? Amn por 2008 0467320, Koopman Rl, Manos AG, Lisa HA, Comet JA Site EH, Carano MA, areorrexopatyinUS ous wih netogosed tele fn Fam Met 2006: & «27-2 Sarngcaringul T, Chadchaw ‘sore srt rete ba recy Ths J Th Reha Mes 208; 18; 248. Beano leyoL The cabetotoat the sap the rblem J Fam Pract 200; 44): 62-8

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Most books are stored in the elastic cloud where traffic is expensive. For this reason, we have a limit on daily download.