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Journal of the American Osteopathic Association

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https://www.readbyqxmd.com/read/30556829/tolerance-of-rib-raising-among-hospitalized-patients-a-pilot-study
#1
Andrew J Chin, Andrea D Fischione, Ryan Shilian, Lauren M Walter, Susan M Ratay, Tamar Y Bejanishvili, Jonathan H Wynbrandt, Michael P Rowane
Context: Rib raising is an osteopathic manipulative treatment modality that can help patients with various respiratory conditions to improve their work of breathing. However, the tolerance of this technique in hospitalized patients has not been assessed in a systematic manner. We hypothesized that rib raising would be a well-tolerated treatment modality for hospitalized patients admitted for asthma, pneumonia, chronic obstructive pulmonary disease, and/or congestive heart failure. Objective: To determine hospitalized patients' tolerance of rib raising through a prospective pilot study...
December 17, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/30383152/osteopathic-manipulative-treatment-as-a-novel-way-to-manage-postvasectomy-pain-syndrome
#2
Richard E Gray, Korey Kasper
Postvasectomy pain syndrome (PVPS) can be debilitating and is notoriously difficult to treat, often requiring a multidisciplinary approach. In this case report, osteopathic manipulative treatment (OMT) was used to treat a patient with PVPS. After vasectomy, an otherwise-healthy man experienced chronic right testicular pain, aggravated by exercise, touch, and sexual intercourse, resulting in marital strain and an inability to perform routine fitness activities. Symptoms persisted for 8 years, despite lifestyle modifications, orally administered pain regimens, pelvic floor physical therapy, nerve blocks, steroid injections, epididymectomy, spermatic cord denervation, and counseling...
October 29, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/30615047/correlation-between-physiologic-and-osteopathic-measures-of-sympathetic-activity-in-women-with-polycystic-ovary-syndrome
#3
Sarah E Davis, Jan Hendryx, Stephanie Bouwer, Christian Menezes, Heather Menezes, Vishesha Patel, Diana L Speelman
Background: Polycystic ovary syndrome (PCOS) is a common hormone disorder that affects the reproductive, metabolic, and psychological health of reproductive-aged females, with a number of long-term health risks, including type 2 diabetes mellitus and cardiovascular sequelae. Sympathetic hyperactivity in affected persons may be involved in the pathogenesis of the disorder. Objective: To determine whether physiologic and osteopathic measures of increased sympathetic tone correlate in a population of women with PCOS...
January 1, 2019: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/30615046/streptococcus-gallolyticus-group-bacteremia-and-colonic-adenocarcinoma
#4
Agnes McAuliffe, Varun Bhat, Jaclyn Cox
No abstract text is available yet for this article.
January 1, 2019: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/30615045/creutzfeldt-jakob-disease
#5
Viet H Le
No abstract text is available yet for this article.
January 1, 2019: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/30615044/jeanette-nettie-bolles-the-first-female-do
#6
Thomas A Quinn
No abstract text is available yet for this article.
January 1, 2019: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/30615043/dry-needling-induced-pneumothorax
#7
Niyati Patel, Manali Patel, Brian Poustinchian
Dry needling is a widely used alternative therapy for musculoskeletal disorders, such as myofascial pain. The procedure involves placing a solid monofilament needle into myofascial trigger points or connective tissue to relieve pain. Some of the complications secondary to this procedure include cardiac tamponade, hematoma, infection, nerve injury, and pneumothorax. Although the incidence is low, the complications can be potentially life threatening. We present the case of a 44-year-old man who had dry needling of the infraspinatus, supraspinatus, rhomboid, and paraspinal muscles with subsequent development of a left apical pneumothorax...
January 1, 2019: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/30615042/first-year-experience-implementing-an-adaptive-learning-platform-for-first-and-second-year-medical-students-at-the-lake-erie-college-of-osteopathic-medicine
#8
Alice Hudder, Sean Tackett, Kim Moscatello
Context: The Lake Erie College of Osteopathic Medicine (LECOM) is a large, diverse medical school spread across 3 campuses, which makes it challenging to deliver comparable learning experiences to all students. Osmosis is a Web and mobile application that can integrate with a variety of existing curricula and, through its content creation and sharing features, can foster student cohesion in an online environment. Objective: To analyze the first year of use for the Osmosis platform among LECOM students at each campus and to identify barriers to this use...
January 1, 2019: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/30615041/structural-and-functional-aberrations-of-the-auditory-brainstem-in-autism-spectrum-disorder
#9
Amanda Smith, Samantha Storti, Richard Lukose, Randy J Kulesza
Autism spectrum disorder (ASD) is a neurodevelopmental condition associated with difficulties in the social, communicative, and behavioral domains. Most cases of ASD arise from an unknown etiologic process, but there are numerous risk factors, including comorbidities and maternal exposures. Although it is not part of the diagnostic criteria, hearing difficulties ranging from deafness to hyperacusis are present in the majority of persons with ASD. High-functioning children with ASD have been found to have significantly slower and asymmetric auditory brainstem reflexes...
January 1, 2019: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/30615040/driving-progress-and-innovation-through-research
#10
Diana L Speelman
No abstract text is available yet for this article.
January 1, 2019: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/30615039/nonpharmacologic-management-of-symptoms-in-females-with-polycystic-ovary-syndrome-a-narrative-review
#11
Diana L Speelman
Polycystic ovary syndrome is the most common hormone disorder in females of reproductive age, affecting reproductive, metabolic, and cardiovascular health. With an unknown cause and a spectrum of common signs and symptoms, diagnosis is based on consensus criteria, and treatment options often target individual symptoms, with variable effectiveness. Safe, effective complementary and alternative therapies can be used to manage symptoms. The first-line intervention is lifestyle modification, including weight loss when appropriate, with caloric restriction and exercise to maintain a healthy weight...
January 1, 2019: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/30476998/an-osteopathic-approach-to-stasis-dermatitis-and-chronic-venous-insufficiency
#12
Zachary Anderson, Victor Nuño, Stacey Pierce-Talsma
No abstract text is available yet for this article.
December 1, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/30476997/posterior-cortical-atrophy
#13
Viet Le
No abstract text is available yet for this article.
December 1, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/30476996/bullous-diabeticorum
#14
Lisa Arnold, Kaitlyn C Vennard, Matthew P Gilbert
No abstract text is available yet for this article.
December 1, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/30476995/spontaneous-infrarenal-aortic-dissection-in-an-athlete-managed-emergently-with-endovascular-stent-grafts-occluders-and-femoral-femoral-artery-bypass
#15
Morgan Callahan, Joseph Campbell
While competing in an obstacle course race, a 57-year-old male athlete developed left groin and leg pain. Several days later, infrarenal aortic dissection with clinically worsening left leg ischemia was diagnosed. An emergent repair was performed and consisted of an aorto-uni-iliac endovascular stent graft, an occluder in the left iliac artery, and a right-to-left femoral-femoral artery bypass. To the authors' knowledge, the present report is the first case of a spontaneous infrarenal aortic dissection in a competitive athlete associated with participation in an extreme athletic event...
December 1, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/30476994/scalp-sarcoidosis-presenting-as-cicatricial-alopecia
#16
Joseph Prohaska, Elizabeth Demaree, James Powers, Christopher Cook
Sarcoidosis is a granulomatous condition that has a highly variable presentation. One rare presentation of sarcoidosis is cutaneous scalp sarcoidosis. Usually scalp sarcoid presents as a scarring alopecia, but it can be nonscarring. The presence of sarcoidal lesions on the scalp is associated with systemic disease, as are other cutaneous manifestations of sarcoidosis. The authors present the case of a 64-year-old woman with a history of sarcoidosis who presented with alopecia and hypopigmented patches on her scalp...
December 1, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/30476993/exodus-from-the-classroom-student-perceptions-lecture-capture-technology-and-the-inception-of-on-demand-preclinical-medical-education
#17
Uzoma Ikonne, Anna M Campbell, Kate E Whelihan, Ralph C Bay, Joy H Lewis
Context: Some medical educators have noted a decline in classroom attendance. Understanding student preferences for content delivery and the relationship between student attendance and learning outcomes may enhance curricular design and best practices for technology-supported learning. Objective: To measure the attendance of first-year osteopathic medical students, evaluate the relationship between classroom attendance and aggregate mean course grades, and characterize factors that influence attendance decisions when recorded lectures are available...
December 1, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/30476992/moving-toward-milestone-based-assessment-in-osteopathic-manipulative-medicine
#18
Ryan Alan Seals
Osteopathic medicine is continuing to move toward competency-based education at undergraduate and graduate levels. Competencies and Entrustable Professional Activities (EPAs) have been implemented to guide educators on the skills and abilities that osteopathic medical students and residents should be able to perform as physicians. Unfortunately, many of these skills have not been well described, and the threshold of "competence" or "entrustability" for each of these tasks remains elusive...
December 1, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/30476991/adjuvant-lymphatic-osteopathic-manipulative-treatment-in-patients-with-lower-extremity-ulcers-effects-on-wound-healing-and-edema
#19
Teresa Kilgore, Marilyn Malia, Brian Di Giacinto, Stephanie Minter, John Samies
Context: In 2012, the US wound registry estimated that the cost of managing chronic wounds in the United States exceeded $50 billion. A large percentage of these wounds are venous stasis ulcers of the lower extremity. Evidence suggests that adjuvant osteopathic manipulative treatment (OMT) may provide a benefit by reducing edema and subsequent healing times in venous stasis ulcers of the lower extremity. Objective: To determine whether a lymphatic OMT protocol improves wound healing rates among patients with lower-extremity edema...
December 1, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/30476990/utility-of-4-factor-prothrombin-complex-concentrate-in-trauma-and-acute-care-surgical-patients
#20
William Sellers, Charles Bendas, Frederick Toy, Brian Klock, Jamie Kerestes, Amanda Young, Clint Badger, Jason Jensen, Natasha Becker
Context: Since 2013, prothrombin complex concentrate (PCCs) have been approved in the United States for the reversal of anticoagulation induced by vitamin K antagonists. However, there has been limited investigation into their use in trauma and acute-care surgery (ACS). Objective: To investigate the role that 4-factor PCC may have in reversing anticoagulation in the setting of trauma and ACS. Methods: All trauma and ACS patients who presented between March 14, 2014, and August 1, 2015, were included in this retrospective descriptive analysis...
December 1, 2018: Journal of the American Osteopathic Association
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