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Diabetic foot ulcer (DFU) patients have a greater than twofold increase in mortality compared with nonulcerated diabetic patients. We investigated (a) cause of death in DFU patients, (b) age at death, and (c) relationship between cause of death and ulcer type. This was an eleven-year retrospective study on DFU patients who attended King’s College Hospital Foot Clinic and subsequently died. A control group of nonulcerated diabetic patients was matched for age and type of diabetes mellitus. The cause of death was identified from death certificates (DC) and postmortem (PM) examinations. There were 243 DFU patient deaths during this period. Ischaemic heart disease (IHD) was the major cause of death in 62.5% on PM compared to 45.7% on DC. Mean age at death from IHD on PM was 5 years lower in DFU patients compared to controls (68.2 ± 8.7 years versus 73.1 ± 8.0 years, P=0.015). IHD as a cause of death at PM was significantly linked to neuropathic foot ulcers (OR 3.064, 95% CI 1.003–9.366, and P=0.049). Conclusions. IHD is the major cause of premature mortality in DFU patients with the neuropathic foot ulcer patients being at a greater risk. [ABSTRACT FROM AUTHOR]

Abstract: We have constructed a moderately large area (), fine pixel (2.5mm pixel, 5mm thick) CZT imaging detector which constitutes the first section of a detector module () developed for a balloon-borne wide-field hard X-ray telescope, ProtoEXIST1. ProtoEXIST1 is a prototype for the High Energy Telescope (HET) in the Energetic X-ray imaging Survey Telescope (EXIST), a next generation space-borne multi-wavelength telescope. We have constructed a large (nearly gapless) detector plane through a modularization scheme by tiling of a large number of CZT crystals. Our innovative packaging method is ideal for many applications such as coded-aperture imaging, where a large, continuous detector plane is desirable for the optimal performance. Currently we have been able to achieve an energy resolution of 3.2keV (FWHM) at 59.6keV on average, which is exceptional considering the moderate pixel size and the number of detectors in simultaneous operation. We expect to complete two modules () within the next few months as more CZT becomes available. We plan to test the performance of these detectors in a near space environment in a series of high altitude balloon flights, the first of which is scheduled for Fall 2009. These detector modules are the first in a series of progressively more sophisticated detector units and packaging schemes planned for ProtoEXIST2 & 3, which will demonstrate the technology required for the advanced CZT imaging detectors (0.6mm pixel, area) required in EXIST/HET. [Copyright &y& Elsevier]