Volume 19 - Issue 4 - April 2006
News and Trends » MRSA
Can A New Molecular Test Enhance MRSA Detection?
Given the substantial rates of methicillin resistant Staphylococcus aureus (MRSA) infection in hospitals, early detection is vital to ensure timely and appropriate treatment. A new molecular test may significantly decrease the amount of time it takes to detect MRSA and possibly reduce transmission of the bacteria, according to the authors of a new study.
Researchers who conducted the two-year study, recently published in Critical Care, evaluated over 1,000 patients who had been admitted for longer than 24 hours to a medical intensive care unit (ICU) or surgical ICU. Authors of
Diabetes Watch »
Key Insights On Surgical Timing In Charcot Neuroarthropathy
The Charcot foot and ankle is a challenging clinical entity for the qualified foot and ankle surgeon. It is a progressive disease with insidious onset. Osteoarthropathy was originally described in 1703 but it wasn’t until 1868 that it was called Charcot neuroarthropathy due to Charcot’s work in linking the disease to tabes dorsalis and neuropathy.1,2 It was Jordan who linked this destructive disease — which is associated with joint dislocation, breakdown and pathologic fracture — with diabetes mellitus.3
Osteoarthropathy has an incidence ranging from 0.16 percen
Practice Builders »
Surefire Strategies For Driving Patients Away From Your Practice
Successful DPMs know the right formulas for keeping patients. One should manage medical information professionally, run an efficient office, listen to patient concerns and always keep the patient foremost in mind. On the flip side, if a podiatric practice engages in certain other behaviors, the podiatrist will likely see more than a few patients walk out the door without returning any time soon.
That said, here are pearls on what not to do to keep a thriving practice. Unlike articles that suggest ideas to help you keep patients, I absolutely guarantee that the ideas presented in this article
Orthotics Q&A »
Comparing Lessons On Biomechanics And The Realities Of Clinical Experience
Although what one learned in podiatric medical school is invaluable in a podiatry career, sometimes podiatrists may encounter a different reality in clinical practice. These expert panelists weigh what they learned in school with their experience and the current research. They also detail which directions future orthotic research should take.
Q: What is the current research telling us about how the foot really functions as opposed to what many podiatrists were taught in school?
A: Much of the current research focuses on the importance of the midtarsal joint(s) and how they have a
Feature »
Maximizing Orthotic Success With Basketball Players
When a foot and ankle specialist is involved as part of the medical staff for a college or professional basketball team, the demands on injury prevention and rehabilitation are significant. This high level of specialized care in the professional and collegiate setting involves several people, including the players, coaches, trainer, other medical staff and management in professional teams.
Since treatment can involve the careers of those associated with the team, there is a certain amount of pressure on the treating physician. With so much at stake, two critical factors play an integral ro
Feature »
How To Treat Ankle Fractures In Patients With Diabetes
Ankle fractures in patients with diabetes and documented neuropathy present a significant challenge to the clinician. The majority of literature has indicated that ankle fractures in this particular patient population are often difficult to manage and complication rates are reportedly quite high. These poor outcomes are similar for both conservative and surgical treatment.
There are several factors implicated in the high complication rates one sees in the management of ankle fractures in patients with diabetic neuropathy. Many of these patients have significant osteopenia. The combination of
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