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Attention ACFAOM members ONLY
The very early registration deadline for the 2015 ACFAOM Annual Clinical Conference (to be held on July 22 in Orlando, Florida, the day before APMA's 'The National,' and FREE to all Fellows, Associates, and Members) is in a few days. The APMA is offering a special SUNSHINE coupon code worth $50 if you register before Dec. 21. for the special deal of $195 for up to 37 CECHs (8 from the ACFAOM Annual Clinical Conference and 29 from the APMA 'National'). Click here for more details!
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Exercise in individuals with diabetic neuropathy
Lower Extremity Review
Patients with diabetes and peripheral neuropathy can benefit from participation in mild to moderate aerobic, resistance, and balance activities. But they must take precautions to ensure exercise is safe as well as effective, particularly with regard to the risk of foot ulceration.
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Chronic foot, ankle pain can lead to neuroticism
Runner's World & Running Times
Are your feet and ankles driving you crazy? As in, literally crazy? They may well be if they're chronically painful, suggests research published in Foot & Ankle International. British researchers had 45 adults with chronic foot and ankle pain and 45 otherwise similar adults with no chronic pain complete a battery of diagnostic questionnaires. Patients with chronic foot and ankle pain had significantly higher neuroticism scores and were more likely to have symptoms consistent with anxiety and depression than those without chronic foot and ankle pain.
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Study shows proximal opening wedge, chevron osteotomy produced similar results
Orthopedics Today
Among patients with moderate-to-severe hallux valgus and increased intermetatarsal angle, proximal opening wedge osteotomy with wedge-plate fixation and proximal chevron osteotomy in combination with a distal soft-tissue procedure both offered predictably successful results, according to study results.
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Antifungal formulation improves penetration through nail plate
Skin & Allergy News
A new formulation of topical efinaconazole allows the antifungal to penetrate through the nail plate much better than do existing treatments for onychomycosis, according to a report in the December issue of Journal of Drugs in Dermatology. Poor nail penetration and diffusion through the thick, keratin-rich, lipid-containing barrier of the nail is the main factor limiting the effectiveness of current antifungals.
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GoLaser Podiatry Laser System
Sheaumann Laser has received FDA clearance and has released its first medical laser system: the GoLaser™ for podiatric indications. This is a significant achievement in the company’s quest to supply the medical world with high quality laser systems that are reliable and compact. Learn More
CareCredit® helps patients get care
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Onychomycosis remains a major clinical challenge
Lower Extremity Review
Despite the ongoing development of new treatments, onychomycosis is still an extremely recalcitrant disease with high rates of relapse and reinfection, and the associated physical and cosmetic implications can negatively affect patients’ quality of life and self esteem.
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Comparing AFOs versus foot orthoses for adult-acquired flatfoot
Podiatry Today
Doug Richie Jr., DPM, FACFAS, writes, "I recently got an invitation to participate in a grand rounds presentation at the Western University School of Podiatric Medicine where two podiatric residents debated the question: 'What is the preferred treatment for adult-acquired flatfoot: ankle-foot orthoses (AFOs) or foot orthoses (FOs)?' Both of the residents did a good job of presenting the scientific evidence and theoretical evidence for each of the two interventions. However, the 'con' or downside of AFO treatment in the presentation brought out some recurring myths about bracing that deserve further evaluation."
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Missed last week's issue? See which articles your colleagues read most.

    The best products to avoid bunion surgery (The Huffington Post)
Women, blacks at greater risk for bunions (MedPage Today)
When your new physician is underperforming (Physician's Practice)
The effectiveness of footwear and other removable off-loading devices in the treatment of diabetic foot ulcers: A systematic review (Diabetes/Metabolism Research and Reviews via PubMed)
Researchers examining new paths to treat pain and inflammation (By Dorothy L. Tengler)

Don't be left behind. Click here to see what else you missed.

ONC data shows money is a major motivator for EHR adoption
By Scott E. Rupp
According to a data brief released recently by the Office of the National Coordinator for Health IT, financial incentives and potential penalties are key motivators for physicians adopting electronic health records since 2009. The brief, based on data from the 2013 National Ambulatory Medical Care Survey, details why physicians have chosen to adopt — or not adopt — EHRs.
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Benefits of payment reform yet to be seen, research suggests
Despite the Affordable Care Act's creation of accountable care organizations and its push toward value-based medicine, some of the nation's highest-paid doctors still work largely under a fee-for-service model, according to an article from U.S. News & World Report. What's more, research by the UCLA Department of Urology and the Veterans' Health Administration suggests that providers who earn the most do so not by treating more patients, but by providing more services to individuals.
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The incidence of lower-extremity amputation and bone resection in diabetic foot ulcer patients treated with a human fibroblast-derived dermal substitute
Advances in Skin & Wound Care via PubMed
Diabetic foot ulcers (DFUs) are frequently recalcitrant and at risk for infection, which may lead to lower-extremity amputation or bone resection. Reporting the incidence of amputations/bone resections may shed light on the relationship of ulcer healing to serious complications. This study aimed to evaluate the incidence of amputations/bone resections in a randomized controlled trial comparing human fibroblast-derived dermal substitute plus conventional care with conventional care alone for the treatment of DFUs.
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Foot & Ankle Weekly

Colby Horton, Vice President of Publishing, 469.420.2601
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Julie Bernhard, Executive Editor, 469.420.2647  
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Disclaimer: Stories and advertisements from sources other than ACFAOM do not reflect ACFAOM's positions or policies and there is no implied endorsement by ACFAOM of any products or services. Content from sources other than that identified as being from ACFAOM appears in the Foot & Ankle Weekly to enhance readers' understanding of how media coverage shapes perceptions of podiatric orthopedics and medicine, and to educate readers about what their patients and other healthcare professionals are seeing in both professional journals and the popular press.

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