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Advancing equity in healthcare

Healthcare reforms in Massachusetts that began in 2006 might foreshadow the effects of President Obama’s national Affordable Care Act and have been subject to intense scrutiny as a result. Two linked studies of the reforms in Massachusetts indicate that expanding of health insurance is helpful but not enough to eliminate important social and ethnic disparities in care and outcomes.1 2 Hanchate and colleagues (doi:10.1136/bmj.h440) studied joint replacement surgery, an effective treatment for end stage joint disease that reduces pain and improves function and quality of life3 but is underused among patients on low incomes and those from racial and ethnic minority backgrounds.4 In their study, greater access to health insurance in Massachusetts was associated with increased rates of knee and hip replacement surgery among Hispanic and black people compared with white people but was not associated with increased rates among people on low incomes relative to richer people.1 In a second study, McCormick and colleagues (doi:10.1136/bmj.h1480) found no association between Massachusetts healthcare reforms and reduced racial and ethnic disparities in admissions to hospital for diseases such as asthma, diabetes, and heart failure. Many admissions for these “ambulatory care sensitive conditions” are preventable if patients have access to high quality outpatient …  
feeds.bmj.com
over 6 years ago
Www.bmj
0
15

Advancing equity in healthcare

Healthcare reforms in Massachusetts that began in 2006 might foreshadow the effects of President Obama’s national Affordable Care Act and have been subject to intense scrutiny as a result. Two linked studies of the reforms in Massachusetts indicate that expanding of health insurance is helpful but not enough to eliminate important social and ethnic disparities in care and outcomes.1 2 Hanchate and colleagues (doi:10.1136/bmj.h440) studied joint replacement surgery, an effective treatment for end stage joint disease that reduces pain and improves function and quality of life3 but is underused among patients on low incomes and those from racial and ethnic minority backgrounds.4 In their study, greater access to health insurance in Massachusetts was associated with increased rates of knee and hip replacement surgery among Hispanic and black people compared with white people but was not associated with increased rates among people on low incomes relative to richer people.1 In a second study, McCormick and colleagues (doi:10.1136/bmj.h1480) found no association between Massachusetts healthcare reforms and reduced racial and ethnic disparities in admissions to hospital for diseases such as asthma, diabetes, and heart failure. Many admissions for these “ambulatory care sensitive conditions” are preventable if patients have access to high quality outpatient …  
feeds.bmj.com
over 6 years ago
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0
78

Knee Arteries - 3D Anatomy Tutorial

Knee arteries anatomy tutorial. Check out the 3D app at http://AnatomyLearning.com. More tutorials available on http://AnatomyZone.com. Learn all about the a...  
youtube.com
over 6 years ago
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0
0

Knee Arteries - 3D Anatomy Tutorial - YouTube

Knee arteries anatomy tutorial. Check out the 3D app at http://AnatomyLearning.com. More tutorials available on http://AnatomyZone.com. Learn all about the a...  
youtube.com
over 6 years ago
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0
2

How to be Perfect at 74

How to Be Perfect at 74 Portia has had to deal with a lot of life challenges but, after being told she needed back and knee surgery, she has found "perfectio...  
youtube.com
over 6 years ago
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0
0

Is painful knee and hand osteoarthritis in women associated with excess mortality?

Study compares mortality rates of women with painful knee and hand osteoarthritis with the mortality of unaffected women from the same community; demonstrates higher risk of early death in...  
medicalnewstoday.com
over 6 years ago
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0
7

Better joint replacement outcomes for obese patients who have weight-loss surgery

Weight-loss surgery prior to a knee or hip replacement for severely overweight patients may lead to better outcomes, according to two new studies.  
medicalnewstoday.com
over 6 years ago
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0
6

Study finds acupuncture is 'not beneficial for knee pain'

Neither needle nor laser acupuncture is superior to a placebo ('sham' acupuncture) for treating knee pain, according to a new study.  
medicalnewstoday.com
over 6 years ago
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0
2

Men have more complications after total knee, hip replacements

Although patients rarely suffer complications or need revision surgery following total knee and hip replacements, men tend to be more affected than women, say researchers.  
medicalnewstoday.com
over 6 years ago
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0
2

Study: Patients going home after knee replacement do as well as those going to rehab facility

A study by researchers at Hospital for Special Surgery (HSS) finds that patients who go home after knee replacement and receive physical therapy at home do as well as those discharged to an...  
medicalnewstoday.com
over 6 years ago
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0
30

Knee X-ray interpretation – Don't Forget the Bubbles

Remember that the knees of younger children will look different, as the patella forms, and the ossification centres form.  
dontforgetthebubbles.com
over 6 years ago
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0
13

Trick of the Trade: Knee Arthrocentesis

Trick of the Trade: Knee Arthrocentesis - using an angiocatheter instead of a straight needle  
aliem.com
over 6 years ago
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0
24

Hippo EM Podcast – Episode 02- Tweaked Knee

McGill University ER doctor and sports medicine specialist Monica Cermignani, MD  shares a whole bunch of clinical pearls to assist you in your assessments of knee injuries. What is it with Canadiens? They are so nice and so good at the teaching and the explaining. Let’s all give a big shout out to our northern brothers…  
blog.hippoem.com
over 6 years ago
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Hippo EM Podcast – Episode 02- Tweaked Knee | Essentials of Emergency Medicine

McGill University ER doctor and sports medicine specialist Monica Cermignani, MD  shares a whole bunch of clinical pearls to assist you in your assessments of knee injuries. What is it with Canadiens? They are so nice and so good at the teaching and the explaining. Let’s all give a big shout out to our northern brothers…  
blog.hippoem.com
over 6 years ago
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0
8

SGEM#39: Weak in the Knees (Diagnosis of Septic Joint)

Case Scenario: 40yo construction worker presents to the emergency department with a swollen and painful right knee. No history of injury. No significant past medical history. Palpable effusion on examination with no overlying redness or warmth to touch. Any movement of the joint is very painful. He is taking no medications. Vital signs are normal.  
thesgem.com
over 6 years ago
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15

Podcast#5: Does Johnny “kneed” an X-ray? (Ottawa Knee Rules)

10 year old Johnny was playing hockey last night. Twisted his knee but could not finish the game. Mom brings him in after asking for an xray.  
thesgem.com
over 6 years ago
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16

Imaging Case of the Week 153

The following right knee x-rays are from a 16 year old with knee pain and swelling following a twisting injury to the knee. What can be seen?  
emergucate.com
over 6 years ago
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1
31

Knee Joint

Knee Joint | Articular Surfaces of Knee Joint | Ligaments of Knee Joint | Capsule of Knee Joint | Bursae Related to Knee Joint | Blood & Nerve Supply to Knee...  
mananatomy.com
over 6 years ago
Www.bmj
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9

Management of degenerative meniscal tears and the role of surgery

Avoid routine magnetic resonance imaging in primary care unless the patient has a locked knee (sudden inability to fully extend) or serious disease is suspected  
feeds.bmj.com
over 6 years ago