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Unlabelled: Chronic lateral ankle instability is a common diagnosis in foot and ankle clinics. Internal Brace (IB) augmentation is a surgical procedure that utilizes fibertape augmentation of the lateral ankle ligaments. Studies have shown the superiority of fibertape augmentation over traditional lateral ankle stabilization procedures such as the Brostrom or Brostrom-Gould.
View Article and Find Full Text PDFDevelopment, Implementation, and Evaluation of a Virtual MedTwitter Curriculum for Medical Students.
Med Sci Educ
December 2024
Division of General Internal Medicine, Ohio State University College of Medicine, Columbus, OH USA.
Introduction: Social media has numerous academic and professional benefits and is increasingly valued within healthcare. MedTwitter is an online community of medical professionals on the X platform (formerly Twitter). Despite MedTwitter's numerous benefits and far-reaching users, few medical schools teach students about this resource.
View Article and Find Full Text PDFA Holistic Approach to the Measurement of Physical Function in Clinical Research.
Digit Biomark
January 2025
VivoSense Inc., Newport Coast, CA, USA.
Background: This commentary highlights the evolution of our understanding of physical function (PF) and key models/frameworks that have contributed to the current holistic understanding of PF, which encompasses not only a person's performance but also the environment and any adaptations an individual utilizes. This commentary also addresses how digital health tools can facilitate and complement the assessment of holistic PF and enable both objective and subjective input from the participant in their real-world environment. Lastly, we discuss how successful implementation of digital tools within clinical research requires patient input.
View Article and Find Full Text PDFInvited Commentary: Why use methods that require proportional hazards?
Am J Epidemiol
January 2025
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA.
We recently questioned the utility of testing for proportional hazards in survival analysis. Here we expand on why the proportional hazards assumption is both implausible and unnecessary in most medical studies, particularly in randomized trials. We conclude that using survival analysis methods that do not rely on proportional hazards is typically the preferred course of action.
View Article and Find Full Text PDFGuyton's hemodynamic mosaic: crafting fluid management with precision.
Ann Intensive Care
January 2025
Intensive Care Department, Hospital Israelita Albert Einstein, Av. Albert Einstein, 627/701 - Morumbi, São Paulo, CEP: 05651-901, SP, Brasil.
Sheldon Magder's article on applying Arthur Guyton's principles to clinical fluid management provides valuable insights into optimizing hemodynamics in critically ill patients. While emphasizing the role of right atrial pressure (RAP) in assessing cardiac output, challenges arise due to RAP's variable accuracy and the oversimplification of cardiovascular dynamics. Integrating RAP with dynamic assessments and bedside ultrasound can enhance fluid management strategies.
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