Background: Temperature screening checkpoints have become widely distributed during the COVID-19 pandemic, using various contactless methods of temperature measurement, including wrist and forehead measurement. Aim: In this study we aim to investigate the sensitivity and specificity of these two temperature measurement methods – wrist and forehead – compared with the standards of sublingual or axillary measurement. We also aim to investigate the influence of age, gender, device brand and diurnal effect on the temperature reading. Methods: Participants were randomly assigned to one of two groups, each group using a different temperature measurement device. All participants had their forehead and wrist temperature measured, and this was compared to their axillary or sublingual readings. Results: The area under the curve for wrist measurement was 0.49 (95% CI 0.34 and 0.64), p>0.05, with a sensitivity of 46.2% and specificity of 53.3%, while the area under the curve for forehead measurement was 0.70 (95% CI 0.51, 0.89), p<0.05, with a sensitivity of 23.1% and specificity of 76.9%, PPV 1.59% and NPV 97.7%. Conclusion: Wrist and forehead temperature measurement is not accurate in detecting fever during the ongoing COVID-19 pandemic. Although forehead measurement is also not an ideal method, it nevertheless appears more consistent than wrist measurement.
People with uncontrolled diabetes may develop poor circulation. As circulation slows down, blood moves more slowly, which makes it more difficult for the body to deliver nutrients to wounds. As a result, the injuries heal slowly, or may not heal at all. Due to the effects of diabetes on the nerves and blood vessels, diabetic patients might also experience other complications. These include heart disease, kidney disease, and eye problems. Hence, the need for therapeutic drugs is a must. In this review we analyze some drugs that have been used in diabetes wound healing including antiglycemic agents like dipeptidylpeptidase-4 (DPP4) inhibitors and metformin, statins and phenytoin. These drugs showed satisfying results giving the diabetes patients a glimmer of hop regarding their wound healing.
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