Analysis Of Foot Research Articles

Epidemiological Analysis of Foot and Mouth Disease (FMD) Outbreak in 2014 in Sri Lanka

Sri Lanka faced a massive Foot and Mouth Disease (FMD) outbreak in 2014, which was initiated in Jaffna district in December 2013, and lasted for a period of more than a year, until January 2015. The disease spread throughout the country, affecting 68895 domestic animals, and causing 2007 deaths. The aim of this study was to epidemiologically analyze the data of 2014 FMD outbreak in order to understand the pattern and determinants of the massive disease distribution. Data were collected regarding the number of cases and deaths in relation to the time and location. Data in Disease Outbreak Reports, Follow-up Reports, Disease Investigation Reports and Laboratory Investigation Reports were reviewed, and descriptive and simple statistical analyses were carried out concerning the 57 epidemiological week study period. Disease Incidence, Period Prevalence, Mortality Rate, and Case Fatality Ratio of the disease were determined to be 68895, 6.11%, 0.18% and 2.91%, respectively. Seasonal animal movements and unauthorized livestock transportation appeared to be the main causes for the extensive spreading of the disease, while inadequate vaccination and poor awareness seemingly facilitated the development of three epidemic curves during the outbreak period. Newly identified causative agent, the sub-lineage O/ME-SA/Ind-2001d has led to a more severe FMD outbreak in 2014 compared to the previous outbreaks occurred in Sri Lanka.

Development, validation, and psychometric analysis of Foot and Ankle Flexibility Index (FAFI)

AimTo develop a new tool for identifying joint hypermobility of the paediatric foot and ankle, based on a dichotomous scoring system utilising the Lower Limb Assessment Score (LLAS), to separate the foot and ankle items. Material and methodsA total of 205 children, aged between 5 and 10 years, participated in a cross-sectional study. The new tool Foot and Ankle Flexibility Index (FAFI) was predicated upon the last 7 items of LLAS, which are specific to the foot and ankle. The internal consistency was measured with Cronbach's test. Kappa statistics with 95% CI were calculated to verify the level of inter-rater and intra-rater agreement for the FAFI. ResultsCronbach's alpha returned 0.82. The correlations between items returned a mean of 0.59 (range: 0.43–0.74). The discrimination score on the ROC curve (4 points) showed that the model can be used to identify children with joint hypermobility of the foot and ankle. Inter-rater reliability was largely good (ICC = 0.89). Excellent intra-rater reliability was found (ICC = 0.96) ConclusionsThis study identified high reliability between evaluators, and high sensitivity and specificity, for a new reliable and valid tool for the identification of foot and ankle joint hypermobility.

Foot and Ankle Patient Education Materials and Artificial Intelligence Chatbots: A Comparative Analysis.

The purpose of this study was to perform a comparative analysis of foot and ankle patient education material generated by the AI chatbots, as they compare to the American Orthopaedic Foot and Ankle Society (AOFAS)-recommended patient education website, FootCareMD.org. ChatGPT, Google Bard, and Bing AI were used to generate patient educational materials on 10 of the most common foot and ankle conditions. The content from these AI language model platforms was analyzed and compared with that in FootCareMD.org for accuracy of included information. Accuracy was determined for each of the 10 conditions on a basis of included information regarding background, symptoms, causes, diagnosis, treatments, surgical options, recovery procedures, and risks or preventions. When compared to the reference standard of the AOFAS website FootCareMD.org, the AI language model platforms consistently scored below 60% in accuracy rates in all categories of the articles analyzed. ChatGPT was found to contain an average of 46.2% of key content across all included conditions when compared to FootCareMD.org. Comparatively, Google Bard and Bing AI contained 36.5% and 28.0% of information included on FootCareMD.org, respectively (P < .005). Patient education regarding common foot and ankle conditions generated by AI language models provides limited content accuracy across all 3 AI chatbot platforms. Level IV.

A prospective clinical and biomechanical analysis of feet following first metatarsophalangeal joint arthrodesis for end stage hallux rigidus

BackgroundHallux Rigidus is the result of degeneration of the 1st metatarsophalangeal joint (1st MTPJ). In end-stage hallux rigidus, treatment is mainly surgical with arthrodesis being a favourable option. Although the biomechanical effects of arthrodesis have been examined, a detailed comparison of pre- and post-operative biomechanics has yet to be conducted. Research QuestionDoes 1st MTPJ arthrodesis positively affect foot kinematics and plantar pressure distribution? MethodsTwelve 1st MTPJ arthrodesis were performed in patients with a mean age of 53.5 ± 5.4 years and follow up time of 6.9 ± 1.0 months. Pre- and post-operative data were collected at a CMAS (Clinical Movement Analysis Society) accredited gait laboratory using a BTS motion capture system and pedobarographic pressure plates. Patient outcome measures were also assessed using the MOXFQ. Statistical analysis was conducted using a two-way repeated measures ANOVA. ResultsSignificant changes in stride length, cycle duration, cadence and velocity were identified following 1st MTPJ arthrodesis. A significant reduction in forefoot-hallux dorsiflexion at toe-off was identified for the operated foot from the pre-operative (20.23 ± 5.98°) to post-operative (7.56 ± 2.96°) assessment. Post-operative sagittal and transverse plane changes in the operated foot were also identified. Peak pressure and PTI results indicated significant lateralisation of load for the operated foot, but importantly this was not influenced following arthrodesis. Finally, there was a significant improvement in MOXFQ score. SignificanceFollowing 1st MTPJ fusion there is an improvement in overall gait mechanics which accompanied by the improved MOXFQ score indicates a reduction in pain and improved confidence during gait. The lack of post-operative dorsiflexion at forefoot-hallux caused load to remain lateralised and compensatory mechanisms to occur at the more proximal joints within the foot. These results provide valuable information for clinicians and will enable more accurate counselling to be provided to patients with end-stage hallux rigidus.

Design and Analysis of Foot Over Bridge Using STADD Pro

Design and Analysis of Foot Over Bridge Using STADD Pro

A Review on Design and Analysis of Foot Over Bridge

Abstract: foot over, which is defined as the bridge that is constructed for pedestrian crossing purposes. The detail and preliminary survey were performed before any design began. The majority of mass movement analysis is performed for live load purposes. The load are considered for design is live load, dead load, wind load , seismic load for design. The design of the foot over bridge was done with mostly software from Staad Pro. The methodology accepted mostly for design is modeling, defining and assigning material and sectional properties, putting boundary conditions in place, applying loading, analysis and design, interpretation results, and conclusions. The conclusion that the Staad Pro software is mostly claimed to be easy to use and simpler than other. The wind load has a reduced effect on the bridge by giving a large opening. The cable material is mostly suitable for the foot-over bridge. A detailed analysis is required to know the exact live load calculation. The steel truss bridge is mostly used for foot-over bridges.

Spatiotemporal analysis of foot and mouth disease outbreaks in cattle and small ruminants in Türkiye between 2010 and 2019.

Determining the dynamics associated with foot-and-mouth disease (FMD) outbreaks is important for being able to develop effective strategic plans against the disease. In this direction, spatiotemporal analysis of FMD virus (FMDV) epidemic data that occurred in Türkiye between 2010 and 2019 was carried out. Spatiotemporal analysis was performed by the space-time scan statistic using data from a total of 7,796 FMD outbreaks. Standard deviational ellipse analysis (SDE) was performed to analyse the directional trend of FMD. Five, six, and three significant and high-risk clusters were identified by the space-time cluster analysis for serotypes A, O, and Asia-1, respectively. The SDE analysis indicated that direction of FMD transmission was northeast to southwest. A significant decrease in the number of outbreaks and cases were observed between 2014 and 2019 compared to 2010-2013 (p = 0.010). Most of the serotype A, serotype O, and serotype Asia-1 associated FMD outbreaks were observed during the dry season (April to September). Among FMD cases, cattle and small ruminants accounted for 80.75% (180,932 cases) and 19.25% (43,116 cases), respectively. Among the serotypes detected in the cases, the most frequently detected serotype was serotype O (50.84%), followed by serotypes A (35.67%) and Asia-1 (13.49%). The results obtained in this study may contribute to when and where control programs could be implemented more efficiently for the prevention and control of FMD. Developing risk-defined regional control plans by taking into account the current livestock production including uncontrolled animal movements in border regions, rural livestock, livestock trade between provinces are recommended.

Evaluating the Correlation Between Various Orthopaedic Foot and Ankle Fellowship Characteristics and Total Industry Payments Through the Open Payments Database.

Since the Physician Payments Sunshine Act in 2010, a substantial body of work has explored the supplemental income received by physicians to understand trends in industry payments and investigate sources of bias. To date, no study has examined how various fellowship characteristics impact industry earning levels at foot and ankle orthopaedic surgery fellowships. The purpose of this study is to examine the various fellowship and faculty-specific variables in correlation with industry earnings in foot and ankle orthopaedic surgery fellowships. This study is a retrospective analysis of foot and ankle orthopaedic surgery fellowships and respective faculty along with various fellowship characteristics in correlation to industry lifetime earning levels as of March 2023. Industry total lifetime earnings represent income directly paid to physicians, is not part of the physician's salary, and does not include any research grants or funding. Lifetime earnings represent all years recorded on the Open Payments Database website (2015-2021). There are 165 faculty physicians and 48 programs with complete data out of all foot and ankle orthopaedic surgery fellowship programs in the United States. The mean fellowship H-Index per fellowship was 48.94 ± 38.92, and the mean fellowship lifetime earning was $1 551 791.66 ± $4 136 091.64. There was no significant association between fellowship lifetime earnings and Newsweek ranking of fellowship-affiliated hospitals (P = .906), Doximity ranking of fellowship-affiliated residencies (P = .703), and region of the United States (P = .126). There was a statistically significant increase in total lifetime earnings in programs with 4 fellows as compared to 1 fellow (P = .035). There was no statistically significant correlation between a variety of foot and ankle fellowship-specific factors and lifetime industry earnings, aside from increased earnings in programs having 4 fellows. Prestige factors, such as Doximity and Ranked Hospital Newsweek List rank, as well as region of the United States is not associated with industry earnings. Level III, retrospective cohort study.

Genetic characterization and phylogenetic analysis of foot and mouth disease virus vaccine strains and recent field isolate

Foot and Mouth Disease (FMD) control is a national and regional responsibility. FMD outbreaks were detected in three farms in Port-Said Governorate in 2020, although animals in these farms were vaccinated with the local polyvalent inactivated vaccine. Samples from tongue epithelium and vesicular fluid were collected from these farms, where FMDV isolation was performed on BHK-21 cell culture. Viral RNA was extracted from the virus isolates, and vaccine strains were then screened for FMDV using conventional Reverse transcriptase polymerase chain reaction. The substitution rates and phylogenetic relationship between the field isolate and the vaccine strains were determined using DNA sequence and bioinformatics analyses. The results illustrate that the sequence analysis for the 1D region of FMDV field isolate was serotype A‑Africa topotype, Genotype IV, and closely related to isolated A‑Africa topotype Genotype IV by Animal Health Research Institute, 2020 with nucleotide similarity ranging from 97.1% to 99.74%, and revealing genetic variation of 5.63-7.88% from previously Egyptian isolated A‑Africa topotype, Genotype IV in 2016 and 2018. High genetic variations were determined from the locally used vaccine strain serotype A of the Asia topotype, lineage Iran‑05, in the major antigenic sites of the VP1 region with a nucleotide difference of 26.34%. Depending on these findings, the Veterinary Serum and Vaccine Research Institute produced an emergency inactivated monovalent vaccine using the newly isolated strain, and we recommended adding it to the subsequent prepared vaccine batches.

A Review on Design and Analysis of Foot over Bridge using Plated Fabricated Steel Member

Abstract: Footbridges are needed where there is a separate pathway must be supplied for human beings to move site visitors flows or some physical impediment, along with a river. The masses they convey are, with regards to toll road or railway bridges, pretty modest, and in most circumstances a reasonably light structure is needed. They are, but, often required to give a protracted clear span, and stiffness then becomes an crucial consideration. The bridges are frequently required very virtually on view to the general public and consequently the advent deserves careful attention. Steel of ers financial and appealing kinds of creation which suit all of the requirements demanded of a footbridge. Due to fast creation of a massive quantity of foot over bridges, many existing bridges placed in seismic zones are poor to face up to earthquakes. In order fulfil the requirement of this improved visitors in the limited land the length of bridge will become medium to large. During an earthquake, failure of shape starts at factors of weak spot. Generally, weak spot is due to geometry, mass discontinuity and stiffness of shape. In this undertaking we can layout for a most appropriate foot over bridge together with connection details and additionally estimation of structural components at the side of foundation detailing for the foot over bridge structure.

Biomechanical Analysis of Foot–Ankle Complex during Jogging with Rearfoot Strike versus Forefoot Strike

Background and Aim. In order to reduce foot and ankle injuries induced by jogging, two-foot strike patterns, rearfoot strike (RFS), and forefoot strike (FFS), were adopted and compared. First, RFS jogging and FFS jogging were experimentally studied, so as to acquire kinematic and kinetic data, including foot strike angle, knee flexion angle, and ground reaction force (GRF). Then, a 3D finite element model of foot–ankle complex was reconstructed from the scanned 2D-stacked images. Biomechanical characteristics, including plantar pressure, stress of metatarsals, midfoot bone, calcaneus and cartilage, and tensile force of plantar fascia and ligaments, were obtained. The results showed that RFS jogging and FFS jogging had a similar change trend and a close peak value of GRF. Since possessing more momentum in the push stage and less momentum in the brake stage, FFS jogging could be in favor of a higher jogging speed. However, FFS jogging produced larger metatarsal stress in the 5th metatarsal and much larger tensile force of plantar fascia, which might cause metatarsal fracture and heel pain. While RFS jogging produced larger plantar pressure in the hindfoot area, larger calcaneus stress, and much larger tarsal navicular stress, which might cause heel tissue injury, calcaneus damage, and stress fracture of naviculocuneiform joint. In addition, talocrural and talocalcaneal joint cartilage could bear jogging loads, as the peak contact pressure were both small in RFS jogging and FFS jogging. Therefore, jogging with rearfoot or FFS pattern should be chosen according to the health condition of foot–ankle parts.

Epidemiological Analysis of Foot and Ankle Injuries in Athletes: Experience of a Single Specialized Center

Category: Sports; Ankle Introduction/Purpose: The number of professional and amateur athletes has increased, consequently leading to an increase in the incidence of sports injuries. Understanding the epidemiological profile of foot and ankle's injuries in athletes is relevant for the prevention and treatment its occurrence. As far as we know, there is a lack of studies that report the epidemiological profile of athletes with foot and ankle disorders considering different sports. The aim of this study is to describe the epidemiology of foot and ankle injuries in athletes treated at an outpatient clinic specializing in injuries resulting from sports practice. The primary hypothesis is that ankle instability is the most frequent injury in athletes in the foot and ankle specialty outpatient clinic. Methods: Observational, retrospective, descriptive and comparative level IV of evidence study. The sample consisted of patients treated at an outpatient clinic specializing in foot and ankle injuries in sport, between January 1, 2015 and December 31, 2020. Three certified orthopedic physicians reviewed the charts and documented patient demographics, sport, diagnosis and lesion laterality. Age was analyzed according to age groups. The inclusion criteria were patients practicing amateurs or sports professionals of all age groups. We only count the first visits and the main modality and diagnosis of the patient. Exclusion criteria were insufficient data documented in chart, injuries that did not occur secondary to sports practice, and patients with conditions unrelated to the ankle and foot. Statistical analyzes were performed using software: SPSS V20, Minitab 16 and Excel Office 2010. We performed a multivariate logistic regression analysis to verify the association of gender, age and laterality with the main injuries documented. Results: A total of 763 patients (387 men and 376 women) met the inclusion criteria. The mean age was 35 years (SD= +-14.1; min=8.9; max=77). The most prevalent age group was young adults with 51.7% and the least prevalent was children with 1.4%. The most prevalent diseases were chronic lateral ankle instability (n=134, 17.6%), acute lateral ankle sprain (n=120, 15.7%) and plantar fasciitis (n=69, 9%). The multivariable analysis by logistic regression identified as a risk factor for lateral ankle instability the age group of young adults and females. In acute lateral ankle sprain, age was identified as a risk factor with statistical significance. In overuse injuries, only the female gender was evidenced as a risk factor. In non-insertional Achilles tendinopathy, bilaterality was associated as a risk factor with disease while in insertional Achilles tendinopathy, only the male gender was identified as a risk factor, as well as in Achilles tendon rupture. Conclusion: The literature specifically describing foot and ankle injuries during sport is limited, despite being highly prevalent injuries. Our work correlated several factors such as age, gender and laterality with specific sports through multivariate analysis, adding epidemiological data to the literature that help in the prevention and treatment of foot and ankle injuries in sports.

Developing an Individual Excel Sheet for Design and Analysis of Footing and Column

Abstract: Analysis and design of RC structures using FEM based software package needs basic knowledge of that software. This project focuses on developing a excel sheet with simple userinterface to analyze and design RC structures without any prior knowledge of software. This excel sheet considers only the gravity loads. Grids in X and Y directions are defined in the sheet. User can enter distance between grids. This sheet provides design of footing and column.

Cross-Sectional Analysis of Foot and Ankle Questions on the Orthopaedic In-Training Examination: A Guide for Resident Preparation.

Background:The Orthopaedic In-Training Examination (OITE) is a standardized examination administered annually to orthopaedic surgery residents. The examination is designed to evaluate resident knowledge and academic performance of residency programs.Methods:All OITE foot and ankle questions from 2009 through 2012 and 2017 through 2020 were analyzed. Subtopics, taxonomy, references, and use of imaging modalities were recorded.Results:There were a total of 167 foot and ankle (F&A)–related questions across 8 years of OITE examinations. Trauma remained the most commonly tested subtopic of F&A across both subsets, followed by rehabilitation, tendon disorders, and arthritis. We found an increase in questions related to arthritis (P = .05) and a decrease of questions related to the diabetic foot (P = .02). Taxonomy 3 questions constituted 49.5% of F&A questions from 2009 through 2012 compared with 44.7% of questions from 2017 to 2020 (P = .54). Radiography was the most commonly used imaging modality in both subsets. From 2009 to 2012, 63.6% of questions included a radiograph compared with 76.5% in 2017 through 2020 (P = .13). FAI (Foot & Ankle International), JAAOS (Journal of the American Academy of Orthopaedic Surgeons), and JBJS (The Journal of Bone and Joint Surgery) were the most commonly cited journals, making up more than 50% of total citations. Citations per question increased from 2.20 to 2.42 from 2009-2012 to 2017-2020 (P = .01). The average lag time in the early subset was 8.2 years and 8.9 years in the later subset.Conclusion:This study provides a detailed analysis of the F&A section of the OITE. Use of this analysis can provide residents with a guide on how to better prepare for the OITE examination.Level of Evidence:Level IV, cross-sectional review of Orthopaedic In-Training Examination questions

Biomechanical Analysis of the Influence of SACH Foot and Dynamic-Response Foot in Individual With Unilateral Transtibial Amputee During Running

Objective: Amputation of the lower limb due to loss of part of the musculoskeletal structure reduces performance and increases injury during locomotion. The effect of various types of prosthetic feet has been analyzed in several studies during running. The purpose of this study was a biomechanical analysis of the influence of SACH and Dynamic-Response foot on several kinetic variables in the stance phase of running in individuals with unilateral transtibial amputation. Materials &amp; Methods: In this semi-experimental study, 8 left foot transtibial amputees were included in this study using an available or easy sampling method. The target population was unilateral transtibial amputees who were able to run and the available population included left transtibial amputees who were referred to Kosar Rehabilitation Center in Tehran from 2008 to 2012. To adapt to the foot, each foot was used by the subjects for at least one week before the experiment. All subjects participated in 3 running evaluation sessions; 1 session involving the use of their own foot (familiarization session), 1 session involving the use of SACH foot, and 1 session involving the use of Dynamic foot. Only data from the 2 last sessions were used to compare both feet. Each subject runs in 12-meter walkway 3 times at a speed of 2.5 meters per second. The same running speed was chosen for the comparability of kinetic variables. Sport shoes were used to bring the test conditions closer to the actual running conditions. In each session, 3 successful trials were performed so that the foot was in full and perfect contact with the force plate. Kistler force plate and three-dimensional motion analysis Vicon system were used to collect kinetic and kinematic data, respectively. The motion and the force plate data were sampled simultaneously at 200 and 1000 Hz, respectively. The trajectories of the markers and analog data were filtered using the predicted mean square error adaptive filter in version 1.7 of the Vicon software package. The Kinetic variables were generated using the dynamic model of the Vicon Plug-in-Gait. The vertical ground reaction force was normalized for body weight. In the present study, 5 variables were selected for biomechanical analysis of feet. The maximum vertical ground reaction force, power, spring efficiency, ankle moments at the amputated leg, and the symmetry ratio (percentage) of the maximum vertical ground reaction force between the amputated leg and the intact leg were calculated. All values ​​in each trial were averaged for each subject with each foot. A paired t-test and a Wilcoxon test were used to analyze the data based on normality (P ≤0.05). Results: In examining the normality of the data distribution, the results showed that the data of maximum power absorption of the ankle with the SACH foot and the maximum power absorption of the hip with the Dynamic-Response foot did not have a normal distribution and other variables had a normal distribution. The results of paired t-test and Wilcoxon showed that Spring Efficiency and Maximum Plantar Flexion were significantly different between the SACH and Dynamic-Response feet (P ≤0.05). The Spring Efficiency was greater with Dynamic-Response foot than the SACH foot (P =0.05), although the Maximum Plantar Flexion with the SACH foot was greater than Dynamic-Response foot (P =0.05). While there is no statistical difference between the maximum vertical ground reaction force, maximum power absorption and generation in the ankle, maximum power absorption and generation in the knee, maximum power absorption and generation in the hip, maximum dorsiflexion moment, and the symmetry ratio (percentage) of the maximum vertical ground reaction force between the amputated leg and the intact leg. Conclusion: The results of the study showed that the spring efficiency with Dynamic-Response foot was greater than SACH foot and closing to the spring efficiency of a normal foot. With this perspective, the Dynamic-Response foot has more natural performance than the SACH foot.

Cost Analysis and Utilization of Weight Bearing CT

Category:OtherIntroduction/Purpose:Weightbearing Computed Tomography (WB CT) is becoming a valuable tool in the evaluation and understanding of foot and ankle pathology. With this, more practices may be interested in acquiring WB CT scanners and understanding cost effectiveness of acquisition. To date there are currently no US based reports of cost analysis of WB CT scanners. Our study is a cost analysis of WB CT at tertiary referral physician owned practice.Methods:Data was collected for all patients who underwent imaging utilizing a weight bearing CT scanner at our institution from the date of acquisition in 2016. For ease of analysis and applicability of information across orthopedic practices, Medicare reimbursement was used as a uniform estimation of reimbursement across all insurances at a rate of $163.50 per scan. We then compared the number of scans obtained per month to total costs related to acquiring and maintaining the WB CT machine. Secondary variables collected included patient demographic information, pathology location (forefoot, midfoot, hindfoot), and utilization of the device by subspecialty.Results:A WB CT scanner was acquired by a private group in 2016. A proforma analysis demonstrated $179,000 to acquire the machine, $30,000 for extended warranty, $995 for additional licenses. Between August 2016 and February 2021, 1702 unilateral studies and 100 bilateral studies were performed. Patients ranged in age from 6 to 92. Average age was 45 years with 45.9% male and 54.1% female. Forty-one staff utilized the CT scanner from various subspecialties with 5 Foot and Ankle (F&A) surgeons ordering 80% of scans. When dividing total costs by number of months since acquisition the monthly cost of the device is $3,318 which requires 20 scans per month when using Medicare reimbursement rates. Over a 55 month the average number of scans per month is 34. When dividing the cost of acquisition by reimbursement per scan, the breakeven point was 1,284 scans which occurred at approximately 3 years.Conclusion:As WB CT scans become a valuable tool for the analysis of foot and ankle pathology, groups may be interested in understanding the financial implications of such an investment. Our study is the only cost analysis based in the United States of WB CT. We found that WB CT is a cost-effective tool that can be used to evaluate a number or pathologies in the foot and ankle.

Content Expert Lecturers and Their Related Peer Reviewed Publications: An Analysis of Foot &amp; Ankle Societys' Annual Meetings from 2016 to 2020

Category:OtherIntroduction/Purpose:Annual national society meetings for the American College of Foot and Ankle Surgeons (ACFAS) and American Orthopaedic Foot & Ankle Society (AOFAS) have long provided an important resource to disseminate the latest innovations, techniques, and research. However, unlike submitted research abstracts which are screened by a selection committee, there are scant guidelines for selected content experts to present educational content. To date, the ability to publish in a peer-reviewed journal bestows the ultimate validity of academic expertise on a particular subject matter and supports the expertise of the clinician. The purpose of this study was to evaluate for the first time, the incidence of scholarly publication in a peer reviewed journal for invited speakers from the ACFAS and AOFAS annual meetings from 2016 to 2020.Methods:Annual meeting programs for the ACFAS and AOFAS from 2016 to 2020 were compiled by two reviewers. Faculty lists and assigned lecture tract topics from each meeting were entered into password protected databases. Oral and poster abstracts, industry/society sponsored presentations, 'competitions', and 'other events' held during the annual meetings were excluded. Speaker specific variables included: gender, number of peer reviewed journal publications on the assigned subject matter (publications preceding the meetings date), study design, weighted total topic publication citations, and H-index. The weighted total topic publication citations was obtained by dividing the total citation counts for each manuscript on a particular subject by the number of years since its publication. The H-index, an author specific metric of both productivity and citation impact was obtained from searches of an online resource (http://www.scopus.com/freelookup). For the purposes of the present study, only foot and ankle surgeons (DPM, MD, DO) were included for assessment.Results:There were a total 1,028 invited presentations combined between AOFAS (158) and ACFAS (870) at the annual meetings fom 2016-2020. With combined data, 724 (70%) presentations were given by speakers with no publications in the subject matter while 300 (29.2%) were given by speakers with one or more publications. Lecture topics that had the highest percentage of speakers with publications in the subject matter included Wound Care/Limb Salvage (82.8%), Charcot (63.6%) and Total Ankle Replacement/Fusions (50%). Topics with the highest number of speakers without publications on the topic included Trauma (84%), Sports (80.3%) and Forefoot Elective (78.7%). Only the Trauma category of speakers had a statistically significant difference of predicted number of lectures by publication between no publications (3.7 lectures) and those with 1 or more publications (1.6 lecture) with p=0.04.Conclusion:Content expert presentations at national society specialty meetings are a crucial source of continuing education. What makes a speaker a content expert has yet to be defined but is important to consider. Perhaps factors such as peer reviewed publications in subject matter or the speaker's H-index are characteristics to consider in selecting content experts. In our survey of ACFAS and AOFAS annual meetings from 2016-2020, there were many topics were the vast majority of lectures were given by speakers without any publications and dispersed across the spectrum regardless of the speaker's H-Index ranking. Further criteria development is likely needed.

Design and Analysis of Foot Operated Water Spout

The article presents four designs of a foot–operated water tap. These designs were useful for operating a water tap without touch and control the flow of water with the operation of the foot. The designs were suitable for the round in shape cap of the water faucet or an attachment can be fixed on the handle of the existing tap to convert the cap round in shape. The clutch wire and cotton rope were used to convert the rotational motion into linear motion. Among the four designs, two works with the help of the single pedal operated with clutch wire and the other two works with two pedals and pulleys. Each design was analyzed in detail with operation, advantages, and disadvantages. The proposed novel designs were economical, prevents infection, saves consumption of water, controls water flow, easy to install.

A prospective clinical and biomechanical analysis of feet following first metatarsophalangeal joint replacement.

There is a lack of research providing a biomechanical outcome following 1st MTPJ replacement for hallux rigidus. Despite this, 1st MTPJ replacement continues to be an alternative surgical option to fusion for this painful debilitating condition. Several studies do consider the patient reported outcomes which are subjective. The objective of this study is to provide an in depth biomechanical analysis to examine the effects of 1st MTPJ replacement for hallux rigidus on gait mechanics. Kinematic data was collected at our CMAS (Clinical Movement Analysis Society) UK accredited gait laboratory during the gait cycle together with pressure plate pressure readings and a validated patient outcome measure before surgery and at 6 and 12 months after surgery. A complete literature review is performed. Kinematic data revealed a significant increase in stride length, cadence and velocity following 1st MTPJ replacement for hallux rigidus. Foot kinematic data revealed significantly reduced tibia-hindfoot abduction and pronation and reduced hindfoot-forefoot supination and adduction. There was no effect on 1st MTPJ weight bearing range of motion. Pressure plate data revealed an increase in peak pressure and pressure time integral towards the 1st metatarsal following surgery. There was a significant improvement in the patient reported outcome measure. This study has demonstrated objectively that following 1st MTPJ replacement, biomechanically, a restoration of the foot posture to allow medialisation of foot pressures towards the medial column and normalisation of gait including an increase in the stride length, cadence and velocity and that clinically, there was an improvement in the MOXFQ.

A cost-benefit analysis of foot and mouth disease control program for smallholder cattle farmers in Cambodia.

The Cambodian government is attempting to mobilise government, donor and private sector funding to implement a coordinated FMD vaccination program (FMDVP). A necessary first step is to convince the farmers of the benefits of participating in and potentially financially supporting this program. Information was collected from 300 farmers in order to estimate the on-farm benefits and costs of their participation in an FMDVP. Implementing a successful vaccination program is difficult, and farmers understand from previous experience that there may be institutional, social, technical and financial constraints which limit its success. A benefit-cost analysis needs to take into account that outbreaks do not occur every year, not all cattle will be successfully vaccinated, not all sick animals successfully treated and sometimes sick animals simply sold. This study sensitises these variables in order to give a realistic estimation of the farmer participation benefits in an FMDVP. A general result is that it is worthwhile for farmers to participate in the FMDVP if there are average annual outbreaks, or at least two major outbreaks, in the ensuing 5 years. However, the results are influenced by the interaction of vaccination success and treatment success and coverage. Ineffective coverage and poor treatment of sick animals reduce the benefits of an FMDVP. It is also important that farmers do not sell sick stock and, if they do, that they are able to breed replacements rather than purchase replacements. There are many factors in the smallholder cattle farming system that will influence the success of an FMDVP; farmers will only choose to participate if they can be convinced of the short and long-term economic benefits.