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Present your research at ACFAOM 2014!
ACFAOM invites you to submit an abstract of unpublished original work for poster presentation on Friday, June 6 at the 2014 ACFAOM Annual Clinical Conference, in Alexandria, Va. (just outside DC). Accepted Abstracts will be published in a 2014 issue of The Foot. All podiatric research topics will be considered for presentation, including retrospective, prospective and meta-analyses. Students only may also submit case studies for consideration.

ACFAOM 2014 will be presented as five 4-hour interactive learning sessions using case studies (not the usual passive lecture-based education); Biomechanics, Wound Care, Medicine/Dermatology, Imaging, and the Business of Podiatric Medicine. Following the main conference, the popular ACFAOM 4-hour Billing & Coding Workshop by Michael Warshaw, DPM, FACFAOM, will be presented on Sunday morning as an option for a small fee, with the 300-page 2014 Podiatry Manual included.

Program details here. Registration here. Remember, for all paid-up ACFAOM members ACFAOM 2014 is absolutely FREE if you register by May 5. That's 20 CE credit hours plus a discount on your PICA premium - at no cost. One-day registration also available.
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Meet Beth Pearce, DPM, FACFAOM - today at 9 p.m. ET
Dr. Beth Pearce will be the guest on today's Meet the Masters audio-conference (at 9 p.m. ET) with host, and former ACFAOM president, Dr. Bret Ribotsky. Dr. Pearce is an ACFAOM Fellow and currently works at the Orthopaedics Associates of St. Augustine. She is a past Chairwoman of the Florida Board of Podiatric Medicine and specializes in resolution of heel pain, diabetic foot/wound conditions, corrective foot surgery and successful alternative treatments for most all lower extremity pain. To register for this FREE weekly, and unique, learning experience that will give you additional insights into the profession’s past and future click here.
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Efficacy of magnetic resonance imaging in diagnosing osteomyelitis in diabetic foot ulcers
Journal of the American Podiatric Medical Association
The clinical diagnosis of osteomyelitis is difficult because of neuropathy, vascular disease, and immunodeficiency; also, with no established consensus on the diagnosis of foot osteomyelitis, the reported efficacy of magnetic resonance imaging (MRI) in detecting osteomyelitis and distinguishing it from reactive bone marrow edema is unclear. Herein, we describe a retrospective study on the efficacy of MRI for decision-making accuracy in diagnosing osteomyelitis in diabetic foot ulcers.
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Facing the challenges that shoe gear creates
Podiatry Today
Nicholas A Campitelli, DPM, FACFAS, writes, "For many who read my blog posts and know my philosophies and principles, you already are aware of my feelings about shoes. Trust me, even though I am a proponent of the whole 'barefoot' movement, I probably wear more running shoes than most of my critics could even imagine. Over the past four years, I have been fortunate to have tested and run in many different running shoes as a result of the work I have done with studying minimalist running shoes."
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Metatarsal protrusion influences risk of reulceration after surgical resection
Lower Extremity Review
First metatarsal (M1) length after metatarsal head resection influences reulceration risk, according to researchers at Complutense University of Madrid. Investigators followed 91 patients with diabetes for 12 months after resection of at least one metatarsal head to predict probability of postsurgical reulceration.
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Nerve decompression debate continues in diabetic neuropathy
Adding operative nerve decompression to usual foot-ulcer treatment in patients with diabetic sensorimotor polyneuropathy (DSP) significantly reduces ulcer recurrence compared with patients' own unoperated legs, a new analysis from a multicenter cohort study finds. "Almost every amputation is preceded by an ulcer wound. If we can do something that changes the risk of having a repeat ulcer or a first ulcer event, we can probably do something to greatly reduce the risk of an amputation," lead author D. Scott Nickerson, MD, from Northeast Wyoming Wound Clinic, Sheridan, told Medscape Medical News in an interview.
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Missed last week's issue? See which articles your colleagues read most.

    When suspicious bilateral lesions occur on prior hallux amputation sites (Podiatry Today)
Medical practices must remember that patients are customers too (Physician's Practice)
Effect of rocker shoe design features on forefoot plantar pressures in people with and without diabetes (Clinical Biomechanics via ScienceDirect)
In college football, most turf toe cases occur in games, on artificial surfaces (Lower Extremity Review)
Diabetic foot care a step in the right direction (U-T San Diego)

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

Solo practices still lagging in EHR adoption
By Pamela Lewis Dolan
The meaningful use incentive program has spurred a lot of growth in health IT use. But a digital divide still exists between solo practices and their larger counterparts, and between independent practices and those that belong to an integrated health delivery system. Between 2009 and 2012, the rate of electronic health record use among primary care physicians increased from 46 percent to 69 percent, according to a report by The Commonwealth Fund, published in the February issue of the Health Services Research journal. But, the report found, practice size was a major determinant of health IT adoption.
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Online patient reviews: 6 strategies for doctors
Patients are starting to diagnose their doctors via online review sites, so it's important for healthcare practices to maintain their digital reputations. After all, a one-star drop in a rating can reduce a business's revenue by almost 10 percent, a Harvard Business School study has found. Twenty-three percent of those surveyed for the Journal of the American Medical Association use rating sites such as Healthgrades, Vitals, RateMDs, and ZocDoc. Of those, about one third either chose — or shunned — a physician because of these online ratings, the survey of 2,137 adults discovered.
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Study: In-cast intermittent artero-venous foot pump improves outcomes
Orthopedics Today
In the preoperative management of closed ankle fractures, in-cast intermittent artero-venous foot pumps were associated with earlier surgery, earlier discharge and reduced complications, according to recently published data. Researchers managed a consecutive series of 64 closed ankle fractures using the artero-venous (AV) impulse system prior to surgery. Immediately prior to the implementation of the AV impulse device study, researchers compared patients to 73 consecutive closed ankle fractures managed surgically in the same unit. Outcomes included time to surgery, length of hospital stay and surgical site infections.
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Should obesity be a 'disease'?
The New York Times
In June 2013, millions of Americans contracted a disease. They developed it not because of some pathogen or illness, but thanks to the American Medical Association’s decision to label obesity a “multi-metabolic and hormonal disease state.” On its surface, this seemed like a good move: Calling obesity a disease provides a clear warning of the significant health risks associated with excessive weight. And the obesity-is-a-disease message sparked attention, funding and research aimed at finding medically driven remedies.
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Analysis of transfer lesions in patients who underwent surgery for diabetic foot ulcers located on the plantar aspect of the metatarsal heads
Diabetic Medicine via PubMed
The aim of this study is to analyse the risk of reulceration caused by the transfer of lesions in patients with diabetes, undergoing resection of at least one metatarsal head. A total of 119 patients with diabetes from the Diabetic Foot Unit (Complutense University, Madrid, Spain), who underwent resection of at least one metatarsal head were analysed prospectively from November 2006 to December 2011 to assess reulceration in the other metatarsal head.
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Foot & Ankle Weekly

Colby Horton, Vice President of Publishing, 469.420.2601
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Julie Bernhard, Editorial Development Manager, 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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