April 22, 2021
AOPA In Advance SmartBrief
News for Professionals in the Orthotics, Prosthetics and Pedorthics ProfessionSIGN UP ⋅   SHARE
Top Story
The rate of lower-limb amputations among veterans increased from 12.89 per 10,000 to 18.12 per 10,000 from 2008 to 2019, according to a study published in JAMA Network Open. Researchers say physicians should address factors that lead to amputations including smoking, diabetes, and peripheral artery disease.
Full Story: O&P Almanac (Adobe Flash required) (4/2021) 
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Science and Technology
Three-dimensional printing is assisting O&P providers in creating better sockets and even partial hands and fingers in some cases. 3-D printing will not take to place of traditional manufacturing but will complement it, according to Renee Lewis, CO, CPA, of Friddle's Orthopedic Appliances.
Full Story: O&P Almanac (Adobe Flash required) (4/2021) 
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Medical News
More than a quarter of 348 patients with type 2 diabetes experienced dusk phenomenon, or pre-dinner hyperglycemia, which was tied to a reduction in homeostasis model assessment-insulin resistance-b and an increase in both glycated hemoglobin and 24-hour mean glucose, according to a study published in the journal Medicine. The findings also revealed that "the dusk phenomenon could not only cause hyperglycemia before dinner, but also affect blood glucose in different degrees throughout the day, including nocturnal nadir, fasting, post-breakfast, pre-lunch and post-dinner glucose," the researchers wrote.
Full Story: Endocrinology Advisor (4/20) 
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Adults with greater social support and self-efficacy had improved perceived problem-solving skills in diabetes management, according to a study published in the journal The Science of Diabetes Self-Management and Care. The findings, based on data from 304 adults, also indicated that those who had a more severe perception of symptom distress had lower self-confidence in their problem-solving skills for diabetes management, the researchers said.
Full Story: Healio (free registration)/Endocrine Today (4/20) 
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AOPA News
LEARN MORE ABOUT AOPA:
AOPA Homepage | Regulatory News | 2020 AOPA Virtual Assembly | Education Calendar
AOPA Bookstore | Membership Directory | Careers/Job Postings | O & P Almanac
Legislative and Regulatory
Sixty-one organizations in 35 states received almost $13 million from HHS' Health Resources and Services Administration as part of its Rural Health Care Services Outreach Program effort to support "innovative and evidence-based approaches tailored to the specific needs of local communities." Acting HRSA Administrator Diana Espinosa said the program aims to "improve the health of the nation's underserved and vulnerable rural populations and expand access to comprehensive, culturally competent, quality primary health care services."
Full Story: mHealth Intelligence (4/21) 
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Trend Watch
Maria Auezova is the first female double-amputee to climb Mount Everest. Vascular disease led to the loss of Auezova's legs and she started mountain climbing as a hobby with the help of her husband.
Full Story: The Astana Times (Kazakhstan) (4/20) 
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Business and Finance
Balance sheets, income statements and cash-flow statements are the most important financial reports for small-business owners to understand, accountant Vlad Rusz writes. In addition, Rusz recommends using key performance indicators to make the numbers more meaningful.
Full Story: Entrepreneur (4/20) 
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Reflecting on the hardships faced by small-business owners in the pandemic, Diana Rodriguez-Zaba, president of ServiceMaster Restoration by Zaba, explains what's needed to move gracefully into the next season. Start by recognizing the efforts you've made, accept the long-term changes, take care of your team, and implement a daily wellness practice.
Full Story: Forbes (tiered subscription model) (4/21) 
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There are no passengers on spaceship earth. We are all crew.
Marshall McLuhan,
philosopher
April 22 is Earth Day
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