Practice Location

211 N EDDY ST STE 230
SOUTH BEND, IN 46617-3096

Phone: (574) 247-4667

What does THOMAS AKRE research?

Dr. Akre studies a wide range of health and environmental issues. In the medical field, he focuses on conditions such as diabetic neuropathy, where nerve pain affects many patients with diabetes. He investigates treatment options like tibial neurolysis, which has been shown to dramatically reduce pain and prevent serious complications like ulcers and amputations in diabetic patients. His research also examines the health of turtle species and the biodiversity of isolated wetlands, highlighting the critical link between land use and environmental health. His studies provide essential information for healthcare providers, environmental planners, and conservationists alike, aiming to improve patient outcomes and promote ecological restoration. Additionally, his work on rotavirus informs healthcare strategies for managing diarrhea in adults.

Key findings

  • In diabetic patients with chronic tibial nerve compression, pain levels dropped from an average of 8.5 to 2.0 after surgery, with 74% experiencing high pain levels before the procedure.
  • A multicenter trial of tibial neurolysis showed that only 0.2% of patients developed new ulcers and another 0.2% faced amputations, demonstrating significant risk reduction for serious foot problems.
  • Research on isolated wetlands revealed over 360,000 juvenile amphibians and 24 different species, emphasizing their importance for biodiversity even after environmental stresses.
  • In a study of group C rotavirus among adults in Sweden, 3% of patients tested positive, with 35% of those cases being the group C strain, indicating it may be more common than previously understood.
  • Among 167 patients undergoing elective splenectomy, 25% experienced complications, with a shocking 56% complication rate among those with myeloproliferative disorders.

Frequently asked questions

Does Dr. Akre study diabetic neuropathy?
Yes, Dr. Akre's research focuses significantly on diabetic neuropathy and its treatment, particularly the effectiveness of tibial neurolysis in relieving nerve pain.
What treatments has Dr. Akre researched?
Dr. Akre has researched tibial neurolysis for diabetic nerve pain, as well as evaluated surgical outcomes for spleen removal in patients with blood disorders.
Is Dr. Akre's work relevant to diabetes patients?
Definitely. His studies provide vital insights into reducing complications and improving pain management for patients suffering from diabetic neuropathy.
What environmental issues does Dr. Akre address?
Dr. Akre addresses the impacts of land use changes on water quality and the health of turtle and amphibian populations, emphasizing the importance of conservation.
How does Dr. Akre's research help healthcare providers?
His findings on conditions like group C rotavirus and surgical risks inform healthcare providers about common issues and complications, allowing them to better manage patient care.

Publications in plain English

Scale-dependent impacts of urban and agricultural land use on nutrients, sediment, and runoff.

2019

The Science of the total environment

Lacher IL, Ahmadisharaf E, Fergus C, Akre T, Mcshea WJ +2 more

Plain English
This study looked at how changes in land use, like building new neighborhoods or converting forests into farmland, will affect water quality in the Shenandoah National Park area over the next 50 years. Researchers found that urban expansion leads to more nitrogen and sediment in the water, while increasing grassy areas can increase phosphorus levels. Specifically, losing forest areas greatly raises runoff volume and water pollution, which is important because it can harm local water supplies and overall ecosystem health. Who this helps: This benefits environmental planners and water quality managers.

PubMed

Prevention of ulceration, amputation, and reduction of hospitalization: outcomes of a prospective multicenter trial of tibial neurolysis in patients with diabetic neuropathy.

2012

Journal of reconstructive microsurgery

Dellon AL, Muse VL, Nickerson DS, Akre T, Anderson SR +35 more

Plain English
This study looked at a procedure called tibial neurolysis, which helps people with diabetes who have nerve problems in their legs. Out of 628 patients treated, only 0.2% developed new ulcers and another 0.2% faced amputations, while hospital admissions for foot infections were just 0.6%. This is important because it shows that this treatment can significantly reduce the risk of serious foot problems in diabetic patients. Who this helps: This benefits patients with diabetes and diabetic neuropathy.

PubMed

A positive Tinel sign as predictor of pain relief or sensory recovery after decompression of chronic tibial nerve compression in patients with diabetic neuropathy.

2012

Journal of reconstructive microsurgery

Dellon AL, Muse VL, Scott ND, Akre T, Anderson SR +35 more

Plain English
This study looked at how a positive Tinel sign, which is a response felt when tapping over a nerve, can predict recovery from pain and improved sensation in diabetic patients with nerve compression in their feet. Researchers followed 628 patients, finding that 74% had high pain levels ahead of surgery. After procedures to relieve the nerve compression, patients saw their average pain drop from 8.5 to 2.0 within six months, and this improvement lasted for over three years. Who this helps: This benefits diabetic patients suffering from nerve pain in their feet.

PubMed

Hematology of the Pascagoula map turtle (Graptemys gibbonsi) and the southeast Asian box turtle (Cuora amboinensis).

2008

Journal of zoo and wildlife medicine : official publication of the American Association of Zoo Veterinarians

Perpiñán D, Hernandez-Divers SM, Latimer KS, Akre T, Hagen C +2 more

Plain English
This study looked at the blood health of two turtle species: the Pascagoula map turtle and the southeast Asian box turtle. Researchers tested blood from 12 Pascagoula map turtles and 7 southeast Asian box turtles, finding low red blood cell levels in both kinds, along with high counts of specific white blood cells. For example, the Pascagoula map turtle had a median count of 0.80 for basophils, while the southeast Asian box turtle showed 2.06 for heterophils. This information is crucial for understanding the health of these turtle populations, which are declining due to habitat loss and over-collection. Who this helps: This helps conservationists and veterinarians who work to protect and care for turtle populations.

PubMed

Remarkable amphibian biomass and abundance in an isolated wetland: implications for wetland conservation.

2006

Conservation biology : the journal of the Society for Conservation Biology

Gibbons JW, Winne CT, Scott DE, Willson JD, Glaudas X +19 more

Plain English
This study looked at the number and types of amphibians living in an isolated wetland in South Carolina, which has been protected for over 54 years. Researchers found an impressive count of over 360,000 juvenile amphibians and 24 different species during one breeding season, with 96.4% of the individuals being frogs, particularly the southern leopard frog. These results highlight the importance of isolated wetlands for supporting diverse and thriving amphibian populations, even after environmental stresses like drought, showing that conservation can effectively counteract previous habitat damage. Who this helps: This helps conservationists and wildlife managers working to protect amphibian populations and wetland ecosystems.

PubMed

Incidence and genetic diversity of group C rotavirus among adults.

2000

The Journal of infectious diseases

Nilsson M, Svenungsson B, Hedlund KO, Uhnoo I, Lagergren A +2 more

Plain English
This study looked at how often group C rotavirus causes diarrhea in adults in Sweden and examined its genetic makeup. Researchers found that 3% of patients had rotavirus in their samples, with 35% of those being group C rotavirus. These infections were generally milder than those caused by other types of rotavirus. The findings highlight that group C rotavirus may be more common in adults than previously thought. Who this helps: This helps doctors and healthcare providers better understand and manage diarrhea caused by group C rotavirus in adults.

PubMed

Early postoperative course following elective splenectomy in haematological diseases: a high complication rate in patients with myeloproliferative disorders.

1986

The British journal of surgery

Malmaeus J, Akre T, Adami HO, Hagberg H

Plain English
This study looked at 167 patients who had elective spleen removal due to blood disorders. It found that 25% of these patients experienced complications after surgery, with infections being the most common issue, and 5% of patients died. Notably, patients with myeloproliferative disorders faced a 56% complication rate and a 28% mortality rate, indicating that spleen surgery is risky for this group. Who this helps: This information benefits doctors treating patients with myeloproliferative disorders by informing them about the surgical risks involved.

PubMed

[Thyrotoxicosis and psychosis].

1961

Nordisk medicin

AKRE T

PubMed

[Pellagra in an oligophrenic. Report on a case. With some remarks on nutrition and supervision of mental patients in private home care].

1960

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke

AKRE T

PubMed

[Purulent meningitis in the 2 first years of life].

1960

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke

AKRE T

PubMed

[Propiomazine (Propavan)- a new hypnotic of the phenothiazine group].

1960

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke

AKRE T, LINGJAERDE O

PubMed

Frequent Co-Authors

A Lee Dellon Sharon R Anderson Kent R Biddinger Peter J Bregman Bryan P Bullard Damien M Dauphinee James M DeJesus Ramon A DeJesus Ivica Ducic Jeffery Dunkerly

Physician data sourced from the NPPES NPI Registry . Publication data from PubMed . Plain-English summaries generated by AI. Not medical advice.