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New drug a possible breakthrough for diabetic foot ulcers?
Treatment with polydeoxyribonucleotide (PDRN), an adenosine A2A-receptor agonist, nearly doubled the rate of complete healing of difficult-to-treat Wagner 1 or 2 diabetic foot ulcers compared with placebo, achieved earlier ulcer closure, and resulted in an "impressive" reduction in ulcer area as early as 8 weeks after the start of therapy, a new study indicates. The results are published online ahead of print in the Journal of Clinical Endocrinology & Metabolism.
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ACFAOM 2014 is less than 3 months away!
All DPMs and office staff, residents, and students can register online for ACFAOM's 2014 Clinical Conference in Alexandria, Va., June 5-8. Remember, the conference for all paid-up ACFAOM members is absolutely FREE if registered by May 5. That's 20 CE credit hours plus a discount on your PICA premium - at no cost.

ACFAOM 2014 promises to be one of the most exciting educational opportunities you will find anywhere in 2014. In addition to the sights and sounds of the Washington, DC area, ACFAOM 2014 will be centered around five 4-hour interactive sessions based on real cases; Biomechanics, Wound Care, Medicine/Dermatology, Imaging, and the Business of Podiatric Medicine, plus and optional 4-hour Billing & Coding Workshop. Each session will be managed by experienced clinicians who will be there to guide and energize the learning process. Your voice will be an integral part of the debate about what to do with the cases, so that the learning will come from an active intellectual exchange of ideas guided by clinical experts in each of the topics.

Put ACFAOM 2014, June 5-8, in your 2014 calendar now - and register today.

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Meet Kenneth Himmler - today at 9 p.m. ET
Kenneth Himmler 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. Mr. Himmler is one of the few financial experts that combines tax strategies, investment structure, and asset and lawsuit protection into one plan. He is a Best selling author, TV show host, radio show host, national speaker and considered to be the foremost retirement experts he has been seen on ABC, NBC, Fox. 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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How did heel spurs become public enemy No. 1?
Podiatry Today
Stephen Barrett DPM, FACFAS, writes, "The cool, dark west Texas night sky was nearly silent. It was almost like I had been placed into some type of surreal soundproof chamber. There was a big silence, except for the occasional coyote howl, and of course the regular cracking and popping of the roaring campfire. But that was like white noise. You never heard it unless you really concentrated. There is nothing like being out on a roundup, resting by the flickering fingers of the orange and yellow flames of the fire, being bone aching tired from herding cows all day. Then the silence ended."
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CMS says no to additional meaningful use and ICD-10 delays
By Pamela Lewis Dolan
Despite pleas from organized medicine, the Centers for Medicare and Medicaid Services says there will be no delays to Stage 2 of the meaningful use incentive program. In addition, implementation of ICD-10 will also go on as scheduled. Marilyn Tavenner, administrator of CMS, made the announcement at the annual Healthcare Information and Management Systems Society trade show and convention. It came a week after a group of 48 medical associations and societies sent a letter requesting more time to implement the 2014 edition certified software needed for Stage 2.
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The secret to physician engagement? It's not better pay
HealthLeaders Media
It takes more than money for hospitals and health systems to motivate and retain employed physicians, says a senior executive at Catholic Health Initiatives. More doctors are leaving private practice for positions in hospitals and health systems—and they report the new model of doing business looks promising. The benefits of being of an employed physician are anticipated to include "improved communication, greater transparency, better physician job satisfaction and a more patient-centered focus," says a survey by the American College of Physician Executives.
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Missed last week's issue? See which articles your colleagues read most.

    Amniotic membrane: Can it have an impact for DFUs? (Podiatry Today)
How effective is orthotic treatment in patients with recurrent diabetic foot ulcers? (Journal of the American Podiatric Medical Association)
Charcot-Marie-Tooth: AFO mechanics and gait patterns (Lower Extremity Review)
A simple step to cut diabetes costs (The Wall Street Journal)

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

3 ways to reduce no-shows
Healthcare consultants frequently provide advice on how to reduce no-shows at physician practices. Ken Hertz, consultant with the Medical Group Management Association, confessed in a recent article for Monthly Prescribing Reference that even he misses doctors' appointments. Using his unique insights from both sides of the issue, Hertz offered the following tips to keep your no-show rate as low as possible.
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Variable amputation rates in patients with diabetes
Lower Extremity Review
Studies show that lower extremity amputation rates in patients with diabetes vary widely, sometimes even within individual healthcare systems. What’s more difficult to determine is why these variations exist and what can be done to improve access to care for all patients.
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Mini-open tenorrhaphy yields good results for Achilles tendon ruptures
Orthopedics Today
Researchers of this study found high foot and ankle scores and satisfaction rates in patients with acute, spontaneous Achilles tendon ruptures who underwent Dresden mini-open tenorrhaphy. “The excellent functional and satisfaction results, ease of the procedure and avoidance of sural nerve damage make the mini-open technique an attractive alternative for acute, spontaneous Achilles tendon ruptures,” the authors wrote in the abstract.
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Load response of the medial longitudinal arch in patients with flatfoot deformity: in vivo 3-D study
Clinical Biomechanics
The acquisition of flatfoot by an adult is thought to primarily be caused by posterior tibial tendon dysfunction, although some other causes, such as congenital flexible flatfoot or an accessory navicular, may also be responsible. The objective of this study was to evaluate the bone rotation of each joint in the medial longitudinal arch (MLA) and compare the response in healthy feet with that in flat feet by analyzing the reconstructive three-dimensional (3-D) CT image data during weightbearing.
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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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