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Introduction: This study addresses the ossification process of the foot, a topic of great relevance within podiatry courses. Understanding the chronology of foot bone formation is essential for evaluating pathological processes and establishing appropriate therapeutic actions to improve patient quality of life. The main objectives of this work are to understand the ossification process of the foot bones and to propose an appropriate didactic methodology for effective learning of this process., Materials and Methods: The individual ossification sequences of the foot bones were established and virtually recreated to make these processes more didactic and usable as teaching aids. The literature search was conducted using the PRISMA statement, focusing on terms, such as "bone ossification," "foot," and "bone development," and included relevant studies from medical databases., Results: Updating the ossification ages and providing previously unavailable visual teaching material offers a useful tool for improving the teaching of this subject. It was found that, in general, the tarsal bones show significant differences in ossification ages between sexes, with later and slower ossification in males. These differences are statistically analyzed and presented in detailed comparative tables., Conclusions: The use of innovative teaching tools, such as virtual anatomical models, helps students to better understand the ossification process of foot bones. Implementing these tools in the podiatry curriculum not only facilitates knowledge acquisition but also enhances the quality of teaching and, consequently, the future clinical practice of students., (© 2024 The Author(s). Journal of Foot and Ankle Research published by John Wiley & Sons Australia, Ltd on behalf of Australian Podiatry Association and The Royal College of Podiatry.)

Introduction: ozone therapy is a therapy composed of ozone. This gas is in the atmosphere with various general effects: direct disinfectant and trophic effects and a systemic antibacterial and antiviral effect. This gas also improves blood circulation, makes glucose metabolism more effective, improves erythrocyte metabolism, and improves fatty acid metabolism., Objective: Provide evidence of the effectiveness of ozone therapy in wounds of patients with diabetic foot. Analyze the effectiveness of ozone therapy compared to other treatments to achieve good wound healing in patients with diabetic foot. To study the benefits of the use of ozone therapy in ulcers of patients. Analyze the management of ozone therapy and other treatments to achieve healing of ulcers in patients., Methodology: A bibliographic review focused on articles published between November 2014 and June 2023 was carried out. The following databases were consulted: Pubmed (Medline), Dialnet, Google Scholar, Web of Science (WOS), Scielo, and Scopus., Results: After applying the article selection criteria and evaluating the quality of the methodology, a total of 17 articles were obtained. The results affirm ozone therapy as promising for the treatment of wounds in patients with diabetic foot., Conclusions: the evidence has been able to determine that ozone therapy is adequate for the treatment of diabetic foot ulcers. In addition, the therapy has been shown to be effective, safe, and beneficial, with few adverse effects for the treatment of diabetic foot ulcers.

Introduction: Complex wounds require advanced techniques for their management and care. Wound care costs are high, so healthcare professionals need to be aware of available therapies. Negative pressure therapy is a technology for which more and more data on its effectiveness in complex wounds are being collected., Objective: The objectives of this review were to analyze if the application of negative pressure therapy in complex wounds is effective; to compare the effectiveness of negative pressure therapy with other conventional treatments, as well as its combination with other therapies; and to evaluate the quality of life of patients undergoing negative pressure therapy and collect their main characteristics., Methodology: A bibliographic review focused on articles published between November 2015 and June 2022 was carried out. The following databases were consulted: PubMed (Medline), Google Scholar, Web of Science (WOS), Scielo and Scopus., Results: The most used pressures in the studies coincide at -125 mmHg and in the range of -125 mmHg to -150 mmHg. In the pediatric population, pressure levels vary by age group. A pressure of -75 to -125 mmHg is recommended for children over 12 years of age, and -50 to -75 mmHg is recommended for children under 2 years of age., Conclusions: Negative pressure therapy stands out for its rapid rate of granulation, the prevention and effective treatment of infections, the variety and malleability of dressings, its various applications and the possibility of using it with other therapies to accelerate wound closure., Competing Interests: The authors declare no conflict of interest.

Sport climbing is becoming increasingly popular, with people of all types and ages practising it. The feet suffer a lot of pressure with the sport climbing gesture, which in the long run can produce alterations in the first metatarsophalangeal joint or in the first radius of the foot. Objective: To observe and quantify the behaviour of the foot in climbing subjects compared to a group of non-climbing subjects, comparing the pressures, first metatarsophalangeal joint and first radius of the foot. Method: This is a non-experimental and observational, cross-sectional, descriptive and prospective research. The study sample consisted of 105 subjects (42 males and 63 females). The control group consisted of 52 subjects and the climbing group consisted of 53 subjects. Different exploratory tests were carried out on all the subjects, such as: mobility of the metatarsophalangeal joint and first radius of the foot and the study of plantar pressures in different areas of the study. Results: No significant difference was found between left and right foot measurements (p > 0.05). The pressures of the same foot are significant, both at static and dynamic stages for both groups. The maximum pressure in the climbing group was under the first metatarsal head, while in the control group it was under the second metatarsal head. There were significant differences in the mobility of the first metatarsal joint and the first radius between the two groups. Conclusion: It can be seen that the group of climbers has less plantar pressure than the control group. They also have altered mobility of the first radius and the first metatarsophalangeal joint.

Background: Climbing is a multidisciplinary sport, where the main objective is to reach the highest point of a rock wall or to reach the end of an established route. There are different types of modalities: sport climbing and traditional climbing. The risks and precautions taken with respect to this sport will directly affect the epidemiology of injuries related to its practice. The present study was designed to identify and characterize the most frequent injuries in the feet of climbers and to determine if there is a relationship between the injuries that appear and the time spent practicing the sport., Methods: A total of 53 people were collected, 32 men and 21 women, corresponding to the climbers of the FEXME (Extremadura Federation of Mountain and Climbing). To determine the diagnoses, exploratory tests, classified according to the variables to be studied, are carried out: inspection variables and questionnaire variables., Results: The average number of years of climbing was seven years, and the average number of hours of training per week was 6.6 h. Some type of alterations were presented in 70% of the respondents, and foot pain was present during climbing in 45% of the participants. The p -value showed a relationship between years of climbing and the occurrence of chronic foot injuries ( p = 0.035), however, there is no relationship between the occurrence of injuries and chronological age., Conclusion: We can see that the most frequent injuries in the practice of climbing are claw toes, dermal alterations such as bursitis of the first toe and hallux limitus, followed by hallux valgus. Similarly, only a significant relationship was found between the number of years of climbing and the appearance of foot injuries.

There are health professionals who are unaware of the ideal management of the intraosseous route, despite the fact that it has been scientifically considered an alternative to the peripheral venous route when the patient is in critical condition. Thanks to continuous development, there has been a need to provide emergency services with materials that manage to provide satisfactory care, despite the difficulties faced by health personnel., Objectives: The objective of this systematic bibliographic review is to update the theoretical and practical knowledge and strategies for the insertion and proper management of the intraosseous route as an emergency vascular access for nursing professionals. Data sources, study eligibility criteria: The search for the articles was carried out in various scientific databases with the help of a search string (January 2015 and May 2021), which combined the keywords and Boolean operators., Study Appraisal and Synthesis Methods: Eighteen articles were chosen after a review of 1920 database articles, following the application of the inclusion and exclusion criteria., Results: Intraosseous infusion is an effective and safe technique, which increases patient survival. Therefore, it is of crucial importance that all nursing professionals know how to handle the different intraosseous devices in situations in which it is not possible to achieve immediate peripheral venous access. Conclusions and implications of key findings: It is of great need to have devices or fast and effective alternatives that allow us to develop safe interventions by health professionals.

Nowadays, the study of how new media and technologies can be used to carry out health education by bringing these tools closer to the elderly population is interesting. It is a way of offering them access not only to greater knowledge, but to greater communication and relationship with their surroundings, a range of new possibilities and resources at their disposal that also represent a way to reduce the generation gap and bring them closer to the rest of the community. Objectives: to evaluate and analyze the studies that show the efficacy of interventions based on the use of information and communication technologies for the promotion of active aging in people older than or equal to 65 years who live in the community. Data sources, study eligibility criteria: the search for the articles was carried out from January 2012 to March 2021, in 6 databases (Pubmed, Cochrane Library, Scopus, Scielo, Google Academic and WOS) based on the clinical question, using the keywords derived from the DeCS and MeSH thesauri, combined with the Boolean operators "AND", "NOT" and "OR". The search was limited to publications from the last 9 years, in English and Spanish. Results: after applying the selection criteria and evaluating the quality of the methodology, 7.91% ( n = 17) of the 215 results were included with filters: 7 systematic review, 5 of Cohorts and 5 of Randomized Controlled Trial. Conclusions and implications of key findings: the use of communication technologies reduces the feeling of loneliness, as well as the use of virtual reality to exercise, train memory or perform rehabilitation. The most difficult barrier to overcome is the prior ignorance of the majority of the elderly to the technology that is overcome by working as a team throughout the community, especially in the health and educational sector, as well as the family or social nucleus.

Competing Interests: The authors declare that there is no conflict of interest.