Vision for the Future: Smart Sensors for Remote Health Monitoring & Pervasive Healthcare

We at SALSA are working on the pervasive healthcare delivery model to transfer laboratory based sensors into patient homes in order to streamline the health monitoring tools and create a real time knowledge base using cooperative co-adaptive technologies. As shown in the figure, this model includes Diabetes Management (Glucose Monitoring, Temperature Monitoring for feet, Nutrition […]

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Foot Care Fiasco– performing procedures versus preventing problems

I saw this letter to the editor today from a newspaper in Ontario, Canada and very much enjoyed the argument posed by the author. It strikes me that is an increasingly common phenomenon. When faced with budget cuts, preventative clinics are often the first to go. It is difficult to make the argument that one […]

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Conceptualizing Amputation Prevention

While advancing technologies create different tools to use to prevent amputations in those with diabetes, the concepts of prevention are nearly constant.  We know that 6 major steps are necessary to achieve limb salvage in the shortest possible time.  These steps are: 1.  Infection recognition and management 2.  Vascular disease recognition and management 3.  Offloading […]

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Of Sisyphus and SALSA: The Value of Team In Amputation Prevention

As regards the posting on “toe and flow” of a few days ago, we are working on an editorial that we plan to submit that works to compare the work of pushing the patient up the perfusion/healing curve to the mythical Sisyphus— all alone in Hades pushing a rock up the hill, only to have […]

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Diabetes Causes More Amputations then Landmines: A Call To Arms to Save Limbs

Some years ago, we compared diabetes-related amputations to cancer in terms of 5 year mortality. Now, a no less compelling comparison has emerged. The scourge of unexploded ordinance– particularly landimines– has been evident since at least the end of WWII. Literally hundreds of non-governmental organizations and celebrities have rallied around this entirely preventable problem in […]

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Marker for Heart Attack Risk May Also Predict Bone Infection in Diabetes: Researchers

The same test now frequently used to assess risk for heart disease may now help prevent amputations according to researchers at Rosalind Franklin University of Medicine and Science in Chicago and the University of Arizona. “The results of this study, led by Dr. Adam Fleischer, were somewhat surprising to us”, noted David G. Armstrong, Professor […]

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The Toe and Flow: Structure of an Effective Amputation Prevention Team

The core theme of our team at SALSA has been “team”. What my friend and co-director Joe Mills and I have found in participating in and developing amputation prevention initiatives in North America and around the world is that the “irreducible minimum” to this team involves a “toe team” (someone taking care of the foot […]

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