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April 2025 Vol. 125, No. 4

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Latest Articles
Public Health and Primary Care

Use of a community care coordination team to reduce emergency department utilization and hospital readmissions for the highest utilizers

Stacia Shipman, DO; Kelly Painter, MD; Lindsey Claire Epperson, DO; and Keri Smith, DO
A small percentage of patients comprise a high proportion of healthcare utilization, particularly the costs associated with Emergency Department (ED) visits and inpatient hospitalization readmissions. The purpose of this study was to demonstrate a decrease in ED utilization and hospital readmissions in a selected group of super-utilizers post-intervention by a Community Care Coordination team and to determine cost avoidance.
General

DO (under) representation in US guideline development: an investigation of guideline authors from 2021–2023

Alfred B. Amendolara, MS; Steven Salazar, BSN; Tiffany Nguyen, BS; Porter Fife, BS; Blake Harris, BS; Alessandra M. Rivera, MS; Kennedy Madrid, BS; Yvannia Gray, BA; and Stephen Stacey, DO
Clinical guidelines are the backbone of evidence-based medical practice, shaping healthcare delivery and patient outcomes. To ensure that guidelines reflect the entire medical community, it is important that guideline-creation bodies have adequate representation from stakeholder groups with diverse viewpoints. To quantify the contribution of DOs to the body of literature guiding practice, author information was extracted from all US-based guidelines published in the years 2021, 2022, and 2023 listed in the ECRI Guidelines Trust database.
Musculoskeletal Medicine and Pain

Soft tissue manipulation enhances recovery of muscle mass in a disuse model of sarcopenia

Basil Mustaklem, BS; Mary Terry Loghmani, PhD, PT, MST, MTC; Abigail K. Waterfill, DPT; Mackenzie Caron, DPT; Daren A. Glore, BS; Nathaniel R. Meyer, BS; Luke D. Shelton, BS; Elicza A. Day, MS; Carmela Marciano, MS; Addison Gepfert, BS; Connor C. Wakefield, BS; Hailey Brown, BS; Sierra Street, MS, MS; Madeline M. Sasse, BS; Jacob Snyder, BS; Taylor Hiland, MS; Julia M. Hum, PhD; David C. Eland, DO; Tien-Min Gabe Chu, PhD, DDS; and Jonathan W. Lowery, PhD
Sarcopenia is a condition characterized by the age-related loss of muscle mass and function that diminishes physical capabilities and increases the risk of falls, fractures, and overall morbidity. In this study, the authors utilized a rat model of sarcopenia due to disuse atrophy and examined the effects of STM on recovery of muscle mass and regulation of pro-/anti-inflammatory cytokines.

Journal of Osteopathic Medicine Receives an Impact Factor!

The Journal of Osteopathic Medicine (JOM) recently received an Impact Factor! The JOM’s current Impact Factor is 1.5 and the journal will be included in the “Medicine, General and Internal” category. Read more about this monumental achievement here.

Submit a Nomination for the AOA’s Highest Honor!

The Distinguished Service Award is presented annually to deserving physicians or lay individuals for outstanding contributions to the understanding and advancement of osteopathic medicine. Nominations are due by Friday, March 28, 2025. Click here for more details and the application.

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Clinical Image

Pityriasis lichenoides chronica presenting in skin of color

A 40-year-old male with a history of pityriasis lichenoides et varioliformis acuta (PLEVA) 15 years prior presented to a dermatology clinic in February 2023 with occasional red scaly papules that became hypopigmented macules over time. He denied any cutaneous symptoms and gross review of systems was negative. A physical examination, including Wood’s lamp evaluation, showed several hypopigmented macules and patches on his back and thighs. Read more