16 / 26
allied
academies
Page 47
Journal of Public Health Policy and Planning | Volume 3
April 08-09, 2019 | Zurich, Switzerland
Health Care and Neuroscience
International Conference on
Call for neater team healthcare for diabeƟc foot
Cheryl Wang
Fuzhou University, China
R
egardless of enormous effort we put, diabetic
foot remains challenging for physicians, surgeons,
scientists, patients, and the society. Diabetic foot
is a complicated pathogenesis progress, with
nerve, vessels, local pressure, inflammation and
infections involved. Better blood sugar control, local
debridement, wound care, and tissue regenerative
are quite essential for better outcome. Neater team
healthcare is essential to prevent leg amputation.
Better diabetes control effort shall be carried by
diabetologists, patients, nutrition, diabetic educators
and family and social support. Positive attitude and
stress management can be practiced by patients,
family, psychiatrists, psychologists, activists, social
workers. The local necrotic tissues, infections,
inflammation and other insults block the oxygenation
and nutrition of the vessels and tissues, and as
such prevent the wound from healing. Thorough
debridement carried bywound care nurses, surgeons,
and practitioners shall lay a whole picture of the
patient’s situation, as well as the local blood supply
and infections, cautions shall be paid for the direction
of tunnels and oozing to make sure excessive
discharge drained well, to offer a fresh, better
oxygenated, and relatively healthier setting that
promotes the growth of new tissues and vessels. Tips
like avoiding pressure/weight on the foot, elevation of
the lower limbs, comfort and fit footwear and shoes,
regular self-checking of the feet with/without mirror
shall reminded and urged by patients themselves,
the family, nurses and physicians. Vascular surgeons
may do their best to reconstruct the blood supply.
Orthopedic surgeons may take effort to salvage as
neat as possible.
Stemcell bioengineering can be applied for tissue and
vessel regeneration after the debridement, with a
nice scientific team work consist of bioengineers, cell
scientists, immunologists, bioconduct companies,
pharmacists, physical therapists, experts for
regenerative medicine etc. Mesenchymal derived
stem cells (MDSC) and adipocytes derived stem
cells (ADMS) can be autologous or endogenous.
Endogenous stem cells and tissue-engineered
implant can be applied with immunopression with
scalable tech using biconstruct transplantation.
Exosome from stem cells culture media is found
rich in MALAT1 that is essential for wound healing.
Local injection of neural growth factor (NGF),
TPO, soluble stem cell recruitment factors (SDF-
1), inflammation-modulators, progenitors, nitrate
oxide (NO), hypoxia indicible factor (HIF-1a) can
promote the growth of vessels, angiogenesis, and
the regeneration of the tissues. Local light energy can
also be used for better outcome. No man can move
the mountain along. With neater team healthcare,
not only it will benefit diabetic foot, but wound care
and regenerative medicine of any kind.
Speaker Biography
Cheryl Wang earned her MD at Binzhou Medical College, MSc.,
Endocrinology and metabolism, internal medicine in Shanghai Second
Medical University (now Shanghai Jiaotong University), PhD in Science,
Endocrinology and metabolism, internal medicine at PLA medical college.
She did internal medicine residency and trained as an Endocrinologist in
Donying People’s Hospital, China, did surgery residency at Mount Sinai and
Rutgers in the United States. She was awarded numerous times for variety
of accomplishment, three KL2s from NIH, the first place award at UTHSCSA
research day, Federation Medical Golden Prize scholarship, scholarship for
many times, excellent student almost every academic year, excellent student
officer awards, excellent female student nominee, excellent graduation
award, and many awards for mathematics, speech, and variety of contests.
Above all, she had accomplished her masterpiece, her hard-won wisdom,
“happy booster-how positive attitude promotes health, reduces stress,
enhances performance, accelerates success and boosts happiness”, the best
of America and Chinese best, the most positive energy ever, and a Nobel
Prize “Winner-to-be”.
e:
dr.doc.cheryl@hotmail.com