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The use of warfarin sodium in the US has increased dramatically over the last 40 years. Warfarin sodium or Coumadin is the most popular oral anticoagulant used in the US. The podiatric physician frequently encounters patients taking this agent and therefore needs to understand its potential impact. This article will familiarize the reader with the history, pharmacology, clinical applications, side effects, and frequent drug interactions encountered with warfarin sodium.

Hepatitis is a significant disease process for health care professionals. Because of the large number of procedures performed by podiatrists in the course of patient care, they are at particular risk. The variants of hepatitis are reviewed, and the modes of transmission are discussed. Recommendations are made on protective measures to reduce contraction of this disease.

Trauma that produces recurrent dislocation of the peroneal tendons often is mistaken for an ankle sprain, or occurs in conjunction with an inversion ankle sprain. Self-diagnosis and self-treatment may preclude accurate diagnosis and management. The authors present a case that illustrates this scenario and review anatomical considerations, the mechanism of the injury, and therapeutic options.

The purpose of this double-blind, randomized, parallel, multiple-dose study was to compare the efficacy and safety of flurbiprofen with acetaminophen with codeine phosphate in the 96-hr postoperative period following foot surgery. Analysis of mean pain intensity and mean pain relief for the patients not requiring rescue medication did not reveal any significant differences between treatment groups. There were also no significant differences between treatment groups with respect to patient and investigator global evaluations of therapy. The incidence of termination of the study because of side effects was higher for the acetaminophen with codeine group.

The Department of Veterans Affairs is the single largest source of podiatric resident education. The author describes the James A. Haley Veterans Hospital and discusses the development of the podiatric residency training program. A detailed description of all aspects of the training program is presented.

Accessory bones are common anomalies in the foot. They often may become symptomatic. The authors present such a case in which the patient was successfully treated by surgical incision of the accessory ossicle.