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Editorials Discuss Reform, Taxation Of Health Benefits
USA Today: It is "gratifying" that Republicans last week introduced a health care proposal because "the simple fact that it exists might improve chances" for bipartisan negotiations, a USA Today editorial states. According to the editorial, the plan -- which would replace the current tax exemption of employer-provided insurance with a refundable tax credit for all families and individuals, regardless of their employment status -- is "no cure-all," but is a "serious proposal that merits serious consideration." The editorial states, "For all those who say the Republican Party is out of ideas, on the issue of health coverage, at least, its proposal is bolder than what the Democrats have offered." However, the editorial notes that both Republicans and Democrats "have identified more groundbreaking ideas, and they are not entirely incompatible." The editorial concludes, "[L]et the debate begin. The only unacceptable approach is the status quo" (USA Today, 5/29).

Action Duchenne Calls For An End To The Scandalous Postcode Lottery Of Treatment For Boys And Young Men Living With Duchenne Muscular Dystrophy
Standards of Care Survey shows that over a third of all parents of children living with Duchenne feel that their child receives sub-standard medical care.
News of the day
UCSF And Abbott Launch Viral Discovery Center At Mission Bay
The University of California, San Francisco, has partnered with Abbott, a global health care company, to launch a first-of-its kind, non-profit viral diagnostics center near the UCSF Mission Bay campus to help identify unknown viruses from around the world.
Public Health

Navigation In Hip Resurfacing

Hip resurfacing can be a good alternative to total hip replacement (THR) in young adults because it conserves bone and it has acceptable short- to medium-term results. However, there have been concerns about fractures of the femoral neck with this procedure, partly due to notching and varus alignment during implantation. Therefore, in this study the author"s used imageless computer navigation as a method to aid in the placement of the femoral component in hip resurfacings. Pre-operative templating was used to determine the planned stem-shaft angle against the native neck-shaft angle. Post-operatively, this template was then assessed using digital anteroposterior unilateral radiographs of the hip. There were no instances of notching of the femoral neck or varus alignment of the implant. The stem-shaft angle differed from that planned by 2.8° and while "a learning curve was observed in the time taken for navigation" this was not true for accurate placement of the implant." The author"s conclude that "computer navigation for placement of the initial guidewire in hip resurfacing has been shown to be more accurate than the use of conventional mechanical jigs" and that it "shows promise in optimising the preparation of the femoral head" and in helping to reduce factors that can cause the femoral neck to fracture and the implant to fail. Read the full text article. The Journal of Bone and Joint Surgery


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