Latest Articles
Public Health and Primary Care

A renaissance in the treatment of diabetic kidney disease, hypertension in chronic kidney disease, and beyond

Jordana Yahr, DO; Juan Calle, MD; and Jonathan J. Taliercio, DO
Chronic kidney disease (CKD) affects approximately 15% of the US population and is associated with significant cardiovascular morbidity and mortality. In this article, the authors define CKD staging, review new hypertension and diabetic guidelines for CKD patients, and discuss major trials for new potential therapies in CKD, particularly diabetic kidney disease. They also provide practical guidance for primary care physicians to diagnose CKD and implement these agents early in the disease course to prevent the progression of disease and reduce the morbidity and mortality of this vulnerable population.

Evaluating for a correlation between osteopathic examination and ultrasonography on thoracic spine asymmetry

Shirley Chang, OMS IV; Jason Maddox, OMS IV; Erich Berg, OMS IV; Karen Kim, OMS III; Scott Messier, OMS IV; Loren Swanson, OMS IV; Richard Dobrusin, DO; Amy B. Stein, PhD; G. Nathan Nakken, DO; Jeannine Noble, PT; and Randall Nydam, PhD
The thoracic spine is a common area of focus in osteopathic manipulative medicine for a variety of conditions. Thoracic spine somatic dysfunction diagnosis is achieved by palpating for asymmetry at the tips of the transverse processes. This authors examine the relationship between osteopathic palpation and ultrasonographic measurements of the thoracic spine by creating a study design that utilizes interexaminer agreement and correlation.

Analysis of the effects of isotretinoin on the premature epiphyseal closure in pediatric populations: a literature review

Sama Alazawi, DO; and Tami Hendriksz, DO
Oral isotretinoin, a systemic retinoid and a vitamin A derivative, has been widely utilized to treat acne in both adult and pediatric populations. It is important to raise awareness of the potential side effects of isotretinoin to enable informed treatment decisions before beginning an isotretinoin regimen. This article aims to describe that isotretinoin, given at various doses and durations, has been associated with growth plate abnormalities, which can lead to premature epiphyseal closure.

2021 George W. Northup, DO, Medical Writing Award

Journal of Osteopathic Medicine and the American Osteopathic Association congratulate John C. Licciardone, DO, and Robert J. Gatchel, PhD, recipients of the George W. Northup, DO, Medical Writing Award for their article, “Osteopathic Medical Care With and Without Osteopathic Manipulative Treatment in Patients With Chronic Low Back Pain: A Pain Registry–Based Study.” Read the full article here.

Journal of Osteopathic Medicine launches inaugural issues

Journal of Osteopathic Medicine (JOM) – known for 119 years as the Journal of the American Osteopathic Association – published its inaugural issue in January 2021. Learn how the osteopathic medical profession’s journal of record has been refreshed and refocused by reading the introductory Editorial from Dr. Ross Zafonte, JOM’s Editor in Chief; a Q&A with Melissa Schmidt, JOM’s Director; and an announcement from AOA President Dr. Thomas Ely and CEO Dr. Kevin Klauer.

Clinical Image

Scimitar syndrome

A 42 year old woman presented in December 2018 to a primary care clinic with six weeks of rhinorrhea and cough following a viral respiratory infection. She was diagnosed with acute bacterial sinusitis and treated with amoxicillin. Her evaluation included a chest radiograph notable for a curvilinear structure of the right mid- to lower lungs. Subsequent investigations included computed tomography with contrast notable for anomalous pulmonary venous drainage of the right upper, middle, and lower lobes with drainage into the inferior vena cava. An echocardiogram demonstrated normal atrial anatomy and size without pulmonary hypertension or atrial septal defect. The patient’s symptoms resolved completely following completion of 10 days of antibiotic therapy. Read more