science

Doctors continue to hate their jobs — Is the ACA to blame?

March 24, 2015

In news that we likely all knew (or had an inkling of), physicians are less happy than they have been or could be, a new survey suggests. There are a number of reasons for the lack of job satisfaction, including bureaucracy and a greater focus on technology and data entry, but the data reflected here — in a recent survey from the healthcare solutions group Geneia — is nothing new. The fact is that physicians are not able to practice according to their own desires and that they are overwhelmed large amounts of paperwork and regulations of the healthcare market.

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There is poor reliability of Böhler’s angle and the crucial angle of Gissane in assessing displaced intra-articular calcaneal fractures

March 20, 2015

Publication date: Available online 10 March 2015 Source: Foot and Ankle Surgery Author(s): Jesse E.

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American College of Foot and Ankle Surgeons’ Clinical Consensus Statement: Risk, Prevention, and Diagnosis of Venous Thromboembolism Disease in Foot…

March 19, 2015

The purpose of this document is to provide guidance for physicians regarding the risk, prevention, and diagnosis of venous thromboembolism disease after foot and ankle surgery and while caring for lower extremity injuries that require ankle immobilization. A panel composed of all authors of this document reviewed the published evidence and, through a series of meetings, reached consensus regarding the viewpoints contained herein. We conclude that routine chemical prophylaxis is not warranted; rather, patients should be stratified and have a prevention plan tailored to their individual risk level.

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Assessing Diagnostic Tests I: You Can’t Be Too Sensitive

March 19, 2015

Clinicians and patients are always interested in less invasive, cheaper, and faster diagnostic tests. When introducing such a test, physicians must ensure that it is reliable in its diagnoses and does not commit errors

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Classification of Calcaneal Spurs and Their Relationship With Plantar Fasciitis

March 12, 2015

Calcaneal spurs, as a cause of plantar fasciitis, are currently debatable. A prospective study was performed to classify calcaneal spurs according to the findings from an investigation of the relationship between calcaneal spurs and plantar fasciitis. Thirty patients with calcaneal spurs and plantar heel pain underwent calcaneal spur removal and endoscopic plantar fasciotomy.

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There is Poor Reliability of Bohler’s Angle and the Crucial Angle of Gissane in Assessing Displaced Intra-articular Calcaneal Fractures

March 11, 2015

Publication date: Available online 10 March 2015 Source: Foot and Ankle Surgery Author(s): Jesse E. Otero , Brian O.

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Intramedullary Fixation in Severe Charcot Osteo-Neuroarthropathy with Foot Deformity Results in Adequate Correction without Loss of Correction -…

March 10, 2015

Publication date: Available online 9 March 2015 Source: Foot and Ankle Surgery Author(s): Martinus Richter , Thomas Mittlmeier , Stefan Rammelt , Per-Henrik Agren , Sarah Hahn , Anica Eschler Background Charcot osteo-neuroarthropathy (CN) of the foot can induce severe instability and deformity. Results of a consecutive clinical multi-centre study with Midfoot Fusion Bolt (MFB, Synthes GmbH, Oberdorf, Switzerland) are reported.

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Gastrocnemius Recession for Foot and Ankle Conditions in Adults: Evidence-Based Recommendations

March 10, 2015

Publication date: Available online 26 February 2015 Source: Foot and Ankle Surgery Author(s): Chris Cychosz , Phinit Phisitkul , Daniel Belatti , Mark A. Glazebrook , Christopher W.

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Incidence and recognition of peroneal tendon dislocation associated with calcaneal fractures

March 10, 2015

Publication date: Available online 26 February 2015 Source: Foot and Ankle Surgery Author(s): John Wong-Chung , William Dominic Marley , Adam Tucker , Diarmaid S. O’Longain Background Questions abound regarding natural history and medicolegal implications of untreated peroneal tendon dislocation (PTD) associated with calcaneal fractures. Methods We retrospectively analyzed CT scans and anteroposterior ankle radiographs of 79 consecutive calcaneal fractures presenting over 4 years at a single institution

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Oral thromboprophylaxis in patients with ankle fractures immobilized in a below the knee cast

March 10, 2015

Publication date: Available online 21 February 2015 Source: Foot and Ankle Surgery Author(s): S. Haque , M.B. Davies Background Lower-limb immobilization has been implicated as an etiologic factor for a venous thromboembolism (VTE)

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