137 research outputs found

    Physical Examination Variables Predict Response to Conservative Treatment of Nonchronic Plantar Fasciitis: Secondary Analysis of a Randomized, Placeboâ Controlled Footwear Study

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    BackgroundPlantar fasciitis is a common, disabling condition, and the prognosis of conservative treatment is difficult to predict.ObjectiveTo determine whether initial clinical findings could help predict patient response to conservative treatment that primarily consisted of supportive footwear and stretching.SettingPatients were recruited and seen at 2 outpatient podiatric clinics in the Chicago, Illinois, metropolitan area.PatientsSeventyâ seven patients with nonchronic plantar fasciitis were recruited. Patients were excluded if they had a heel injection in the previous 6 months or were currently using custom foot orthoses at the time of screening. Sixtyâ nine patients completed the final followâ up visit 3 months after receiving the footwear intervention.MethodsTreatment failure was considered a <50% reduction in heel pain at 3 month followâ up. Logistic regression models evaluated the possible association between more than 30 clinical and physical examination findings prospectively assessed at enrollment, and treatment response.ResultsInability to dorsiflex the ankle past â 5° (odds ratio [OR] 3.9, P = .024), nonsevere (â ¤7 on ordinal scale) firstâ step pain (OR 3.8, P = .021), and heel valgus in relaxed stance (OR 4.0, P = .014) each predicted treatment failure in multivariable analysis (receiver operating characteristic area under the curve = .769). Limited ankle dorsiflexion also correlated with greater heel pain severity at initial presentation (r = â 0.312, P = .006).ConclusionsPatients with severe ankle equinus were nearly 4 times more likely to experience a favorable response to treatment centered on home Achilles tendon stretching and supportive therapy. Thus, earlier use of more advanced therapies may be most appropriate in those presenting without severe ankle equinus or without severe first step pain. The findings from our study may not be clinically intuitive because patients with less severe equinus and less severe pain at presentation did worse with conservative care.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/146867/1/pmrj436.pd

    Financial Structure and Economic Welfare: Applied General Equilibrium Development Economics

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    This review provides a common framework for researchers thinking about the next generation of micro-founded macro models of growth, inequality, and financial deepening, as well as direction for policy makers targeting microfinance programs to alleviate poverty. Topics include treatment of financial structure general equilibrium models: testing for as-if-complete markets or other financial underpinnings; examining dual-sector models with both a perfectly intermediated sector and a sector in financial autarky, as well as a second generation of these models that embeds information problems and other obstacles to trade; designing surveys to capture measures of income, investment/savings, and flow of funds; and aggregating individuals and households to the level of network, village, or national economy. The review concludes with new directions that overcome conceptual and computational limitations.National Science Foundation (U.S.)National Institutes of Health (U.S.)Templeton FoundationBill & Melinda Gates Foundatio

    Field, capital and the policing habitus: nderstanding Bourdieu through The NYPD’s post-9/11 counterterrorism practices

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    This article extends existing Bourdieusian theory in criminology and security literature through examining the practices of the New York City Police Department in the post-9/11 counterterrorism field. This article makes several original contributions. First, it explores the resilient nature of the policing habitus, extending Bourdieusian criminological findings that habitus are entrenched and difficult to change. Second, this article examines the way the resilient habitus drives subordinate factions to displace dominant factions in a field’s established social hierarchy through boundary-pushing practices, a concept previously unexamined in Bourdieusian criminology. Drawing on original documentary analysis, this article uses the illustrative example of the NYPD’s post-9/11 counterterrorism practices, exploring how it sought to displace the existing social structure by using its aggressive policing habitus and an infusion of ‘War on Terror’ capital to challenge the dominant position of the FBI in the post-9/11 counterterrorism field. The NYPD’s habitus driven counterterrorism practices were novel and unprecedented, creating strain with both the FBI and local communities
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