New Releases by Jose Canseco

Study Design: Cross-sectional survey Objective: To determine the influence of surgeons'' level of experience and subspeciality training on the reliability, reproducibility, and accuracy of sacral fracture classification using the AO Spine Sacral Injury Classification System. Summary of Background Data: An ideal classification system is easily comprehensible and reliable amongst the diverse group of surgeons. A surgeons'' level of experience may have a significant effect on the reliability and accuracy of a classification system. Moreover, surgeons of different subspecialities may have various levels of comfort with imaging assessment of sacral injuries required for accurate diagnosis and classification. Methods: High-resolution computerized tomography (CT) images from 26 cases were assessed by 172 investigators from a diverse array of surgical subspecialities (general orthopaedics, neurosurgery, orthopaedic spine, orthopaedic trauma) and experience (5, 5-10, 11-20, 20 years). Validation assessments were performed via web conference using high-resolution images, as well as axial/sagittal/coronal CT scan sequences. Two assessments were performed by each investigator independently three weeks apart in randomized order. Reliability and reproducibility were calculated with cohen''s kappa coefficient (k) and gold standard classification agreement was determined for each fracture morphology and subtype and stratified by experience and subspeciality. Results: Respondents achieved an overall k = 0.87 for morphology and k = 0.77 for subtype classification, representing excellent and substantial intraobserver reproducibility, respectively. Respondents from all four practice experience groups demonstrated excellent interobserver reliability when classifying overall morphology (k=0.842/0.850, Assessment 1/Assessment 2) and substantial interobserver reliability in overall subtype (k=0.719/0.751) in both assessments. General orthopaedists, neurosurgeons, and orthopaedic spine surgeons exhibited excellent interobserver reliability in overall morphology classification and substantial interobserver reliability in overall subtype classification. Surgeons in each experience category and subspecialty correctly classified fracture morphology in over 90% of cases and fracture subtype in over 80% of cases according to the gold standard. Correct overall classification of fracture morphology (Assessment 1: p= 0.024, Assessment 2: p=0.006) and subtype (p20.001) differed significantly with surgeons with 20 years of experience demonstrating increased difficulty correctly classifying all fracture subtypes overall in comparison to the other experience groups. Correct overall classification did not significantly differ by subspecialty. Conclusions: Overall, the AO Spine Sacral Injury Classification System appears to be universally applicable among surgeons of various subspecialties and levels of experience with acceptable reliability, reproducibility, and accuracy. Disclosures: author 1: none; author 2: consultant=Medtronic, Nuvasive, ISD, Asutra, Stryker, Bioventus, Zimmer, teledocs, Clinical Spine Surgery, AOSpine ; author 3: none; author 4: grants/research support=AOSpine, consultant=DPS, icotec; author 5: none; author 6: none; author 7: grants/research support=DPS; author 8: none; author 9: grants/research support=NIH, RTI, CSRS, royalties=Inion ; author 10: stock/shareholder=Advanced Spinal Intellectual Properties; Atlas Spine; Avaz Surgical; Bonovo Orthopaedics; Computational Biodynamics; Cytonics; Deep Health; Dimension Orthotics LLC; Electrocore; Flagship Surgical; FlowPharma; Globus; Innovative Surgical Design; Insight Therapeutics; Jushi; Nuvasive; Orthobullets; Paradigm Spine; Parvizi Surgical Innovation; Progressive Spinal Technologies; Replication Medica; Spine Medica; Spineology; Stout Medical; Vertiflex; ViewFi Health, royalties=Aesculap; Atlas Spine; Globus; Medtronics; SpineWave; Stryker Spine,other financial report=AO Spine

In 2005, Jose Canseco blew the lid off Major League Baseball''s steroid scandal -- and no one believed him. His New York Times bestselling memoir Juiced met a firestorm of criticism and outrage from the media, coaches, clubs, and players, many of whom Canseco had personally introduced to steroids -- with a needle in the ass. Baseball''s former golden boy, Rookie of the Year, onetime Most Valuable Player, and owner of two World Series rings was called a liar. Now, steroids are back in the headlines. Record-breaking athletes are falling from grace, and the infamous Mitchell Report confirmed the names of major leaguers who have indeed used steroids while others remain under investigation. The answer is clear: Jose Canseco told the truth. And why wouldn''t he? He started it all. Finally, in Vindicated, Canseco picks up where Juiced left off, revealing details even more shocking than in his controversial first book. He spills never-before-implicated names -- arguably the biggest in the game of baseball -- and explores the mystery of one celebrated player about whom key information was suddenly excised from Juiced at the last minute. He talks candidly about what the Mitchell Report did -- and didn''t -- get right, why steroid use became so rampant, and how his life has changed since he tore the lid off Pandora''s box. Lest there be any doubt about theveracity of his claims, Canseco subjected himself to three lie detector tests, one of which was conducted by a former FBI special agent and top polygraph examiner who investigated the Unabomber, Whitewater, the Oklahoma City bombing, and the 1993 bombing of the World Trade Center. Transcripts of those taped interviews are also included in this straight-talking examination of the current state of baseball. This time, he''s not just out to clear his name. He''s out to clean up the game.

¿Quién usa esteroides? Según Canseco, más personas de las que uno cree. El béisbol nunca volverá a ser el mismo. Cuando José Canseco irrumpió en las grandes ligas en la década de los ochenta, literalmente transformó el deporte-- en más de una forma. Antes de él, nunca había habido un jugador que tuviera esa mezcla de velocidad y potencia que le permitió convertirse en el primer hombre de la historia en anotar más de cuarenta jonrones y batear más de cuarenta bases en una misma temporada. Rompiendo el molde de los beisbolistas en mal estado físico, Canseco dio inicio a la era de los superatletas musculosos, que ganaban salarios descomunales y vivían como estrellas de rock. ¿Y cómo lo logró? Con esteroides. Tras sus récords más increíbles y la glamorosa vida pública, Canseco cultivó un secreto que casi todos en las ligas mayores del béisbol conocían, uno que alteraría para siempre el juego del béisbol y la forma como vemos a nuestros héroes. Canseco experimentó, mezcló y se convirtió en el ratón de laboratorio de los esteroides que en esa época apenas empezaban a infiltrar el deporte. Trasmitió sus conocimientos a los entrenadores y a sus compañeros de equipo y, al poco tiempo, los esteroides se convirtieron en la tendencia rampante entre los jugadores de béisbol de las grandes ligas. En estas escandalosas memorias, Canseco vierte luz sobre una vida de vertiginosas alturas y debilitantes abismos, ofrece respuestas a las preguntas que millones de aficionados apenas comienzan a plantearse; y sugiere que lejos de ser una tendencia pasajera, la revolución de los esteroides es apenas una muestra de lo que está por venir.

When Jose Canseco burst into the Major Leagues in the 1980s, he changed the sport -- in more ways than one. No player before him possessed his mixture of speed and power, which allowed him to become the first man in history to belt more than forty home runs and swipe more than forty bases in the same season. He won Rookie of the Year, Most Valuable Player, and a World Series ring. Canseco shattered the mold of the out-of-shape baseball player and ushered in a new era of superathletes who looked like bodybuilders, made outrageous salaries, and enjoyed rock-star lifestyles. And the ticket for this ride? Steroids. Behind the gaudy stats and the glamour of his public life, Canseco cultivated a secret just about everyone in MLB knew about, one that would alter the game of baseball and the way we view our heroes forever. Canseco made himself a guinea pig of the performance-enhancing drugs that were only just beginning to infiltrate the American underground. Anabolic steroids, human growth hormones -- Canseco mixed, matched, and experimented to such a degree that he became known throughout the league as "The Chemist." He passed his knowledge on to trainers and fellow players, and before long, performance-enhancing drugs were running rampant throughout Major League Baseball. Sluggers scooping up pitches at their ankles and blasting them out of the park, pitchers cranking fastballs inning after inning -- Canseco showed the players how to customize their doses to sculpt the bodies they wanted, and baseball as we know it was the result. Today, this issue has crept out of the closet and burst into the headlines as players balloon to herculean proportions and hundred-year-old records are not only broken, but also demolished. In this shocking memoir, Canseco sheds light on a life of dizzying highs and debilitating lows, provides the answers to questions about steroids that millions of fans are only now beginning to ask -- and suggests that, far from being a passing trend, the steroid revolution is only a taste of things to come. Who''s juiced? According to Canseco''s authoritative account, more than you think. And baseball will never be the same.

Outlines the strength fitness program designed by the team strength coach for the Oakland A''s, that meets the specific needs of baseball players