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November 2025 Vol. 125, No. 11

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Public Health and Primary Care

Characterizing traumatic brain injury in unsheltered homelessness: prevalence of TBI and cognitive sequelae in individuals utilizing street medicine

Graham Atkin, PhD; Jessica Reece, MA; and Isabel Moran, BS
People experiencing homelessness are at a disproportionately greater risk for developing traumatic brain injury (TBI) than the general population. There has been minimal research to evaluate the prevalence of TBI or the long-term cognitive impacts of TBI among the population experiencing homelessness within the US. This study aimed to assess primarily whether those experiencing unsheltered homelessness had a higher prevalence of TBI than those in shelter.
Clinical Image

Cutaneous manifestations of Addison’s disease

Christy Lu, DO; Dominique Jacobs, DO; Stacey Blannett, DO; Ranita E. Kuryan, MD; and Shane M. Swink, DO, MS
Musculoskeletal Medicine and Pain

Do patients with renal calculi exhibit viscerosomatic reflexes as evident on CT imaging?

Dillon R. Haughton, DO; Akhil K. Gupta, DO; Bader R. Nasir, BS; and Adrienne M. Kania
Experimental evidence supporting the existence of the viscerosomatic reflex highlights an involvement of multiple vertebral levels when renal pathology is present. Further exploration of this reflex, particularly in the context of nephrolithiasis, could offer valuable insights for osteopathic treatments related to this pathology. This study aimed to compare the rotation of vertebrae at levels associated with the viscerosomatic reflex in renal pathology in patients with nephrolithiasis vs. those without kidney stones.

Proposed Amendment to the American Osteopathic Association (AOA) Bylaws

View the proposed amendment to the American Osteopathic Association (AOA) Bylaws, which will be presented at the 2025 Annual Meeting of the House of Delegates (July 18–20, 2025).

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Erythromelalgia: a cutaneous manifestation of polycythemia vera

A 77-year-old woman presented for diffuse widespread pruritus and palmar erythema with burning pain that onset approximately 4 months prior. She was initially treated with Dupixent, 300 mg subcutaneously every 2 weeks, and antihistamines with a presumed diagnosis of atopic dermatitis. The patient noted her pruritus worsened after a shower and did not fully resolve with prescribed therapies. Read more