Advance Articles

Musculoskeletal Medicine and Pain

Chronic exertional compartment syndrome in a patient with restrictive cardiomyopathy and portal hypertension

Christopher Lu, MD; Min Yoo, MD, MSCR; and Arthur J. De Luigi, DO, MHA
Chronic exertional compartment syndrome (CECS) is a condition that produces exercise-induced pain and swelling due to a transient increase in compartment pressures. We present a unique case of CECS in a patient without the traditional risk factors but rather diagnosed with cardiac cirrhosis and portal hypertension.
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NMM/OMT

Concussion-related visual memory and reaction time impairment in college athletes improved after osteopathic manipulative medicine: a randomized clinical trial

Jayme D. Mancini, DO, PhD; Nicole Angelo, DO, MS; Reem Abu-Sbaih, DO; Patricia Kooyman, DO; and Sheldon Yao, DO
The objective of this study was to assess the presence of and recovery from new-onset impairments in concussions among college athletes receiving osteopathic manipulative medicine.
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Public Health and Primary Care

Conquering diabetes therapeutic inertia: practical tips for primary care

Joy A. Moverley, DHSc, MPH, PA-C; Lucia Novak, NP; and Jay H. Shubrook, DO
Despite well-established management guidelines, only about half of the patients with diabetes achieve glycemic targets, only one in five patients achieve metabolic control, and both patients and physicians find themselves stuck in a rut called therapeutic inertia (TI). The authors present several practical strategies that can be tailored to different practice settings and facilitate reducing TI.
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Public Health and Primary Care

Casirivimab/imdevimab treatment for outpatient COVID-19 during a SARS-CoV-2 B1.617.2 (Delta) surge at a community hospital

Erika Keshishian, PhD, OMS IV; Elizabeth Kuge, OMS IV; Jordan Memmott, OMS IV; Phillip Hasenbalg, OMS IV; Nakiya Belford, OMS IV; Alexander Matlock, OMS IV; Sarah Schritter, RN; Geovar Agbayani, DO; Tyson Dietrich, PharmD; Anthony Santarelli, PhD; and John Ashurst, DO, MSc
The authors sought to determine if there was a difference in patient-centered outcomes between those who were vaccinated and unvaccinated after the administration of casirivimab/imdevimab for mild-to-moderate COVID-19 during the time when the Delta strain was most prevalent.
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Medical Education

The assessment of point-of-care-ultrasound (POCUS) in acute care settings is benefitted by early medical school integration and fellowship training

Julia Kern, MA; Megan Scarpulla, MA; Charles Finch, DO, FACOEP; Wayne Martini, MD; Charlotte A. Bolch, PhD; and Layla Al-Nakkash, PhD
This article aims to analyze the clinical use of point-of-care ultrasound in acute settings and how training early in medical school may strengthen clinician confidence and utilization.
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Musculoskeletal Medicine and Pain

Lower trapezius muscle function in people with and without shoulder and neck pain: a systematic review

Daniel M. Wang, BS; Crystal Li, BS, BA; Nicole Hatchard, BS; George C. Chang Chien, DO; and John Alm, DO
This systematic review analyzes those with a history of, or who are currently managing, shoulder or neck pain to indicate differences in measures of lower trapezius function when compared to subjects without that pain.
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General

How did the dietary habits of patients with chronic medical conditions change during COVID-19?

Sahil K. Patel, BS; and Adarsh Gupta, DO
The purpose of this study was to identify differences in dietary habits, lifestyle habits, and food attitudes between those with chronic medical conditions compared to the populations without chronic medical conditions since the beginning of the COVID-19 pandemic.
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Clinical Image

Isolated nevus unius lateralis in a patient from Uganda

Austin B. Ambur, DO; and Timothy A. Nyckowski, DO
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Medical Education

Is cadaveric dissection essential in medical education? A qualitative survey comparing pre-and post-COVID-19 anatomy courses

Smriti Kochhar, BA; Tasfia Tasnim, BS; and Adarsh Gupta, DO
This study aims to understand the relative effect of a virtual anatomy course implemented during the pandemic (2019–2020) on the confidence, skills, and perspectives of first-year medical students compared to medical students who had traditional in-person anatomy at Rowan University School of Osteopathic Medicine.
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Clinical Image

Acute pericarditis confirmed by coronary computed tomography angiogram

Rohan Madhu Prasad, DO; and Christopher A. Hanson, MD
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Musculoskeletal Medicine and Pain

Advancing care and research for traumatic brain injury: a roadmap

Julieanne P. Sees, DO, MBA, FAOAO, FAOA, FAAOS; Chanel Matney, PhD; and Katherine Bowman, PhD
This article will discuss the roadmap to help guide the field of traumatic brain injury (TBI) care and research, including key conclusions and recommendations for actions to advance progress over the next decade while embracing a comprehensive bio-psycho-socio-ecological model of TBI care.
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Clinical Image

Leukoderma with perifollicular sparing: a diagnostic clue of cutaneous onchocerciasis

Austin B. Ambur, DO; and Timothy A. Nyckowski, DO
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General

Mask-related skin changes among healthcare workers in a community-based hospital

Brittany Valk, DO; Nedyalko N. Ivanov, DO; Amanda Nahhas, DO; Katie Corwin, DO; Katrina Hansen, DO; Jeff Globerson, DO; Annette LaCasse, DO; William Corser, PhD; and Lynn Sikorski, DO
During the COVID-19 pandemic, dermatologists noticed an increase in conditions associated with mask wearing, such as “maskne”, as well as worsening of previously diagnosed dermatologic conditions. The goal of this study was to explore various factors that impacted mask-related skin changes and how these skin changes affected quality of life.
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Public Health and Primary Care

Thoracic outlet syndrome: a review for the primary care provider

Angela C. Cavanna, DO; Athina Giovanis, DO; Alton Daley, OMS II; Ryan Feminella, OMS III; Ryan Chipman, OMS II; and Valerie Onyeukwu, OMS II
This article summarizes what is currently published about thoracic outlet syndrome, its etiologies, common objective findings, and nonsurgical treatment options.
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Clinical Image

Subcutaneous Sweet’s syndrome: a rare subtype of acute febrile neutrophilic dermatosis

Austin B. Ambur, DO; and Timothy A. Nyckowski, DO
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Medical Education

The effect of the COVID-19 pandemic on osteopathic education in ACGME-OR residencies from February 2020 to February 2021

Samantha Bingham, DO; Natasha N. Bray, DO; and Alexander J. Eddy, MS
The authors describe how the format, frequency, and environment of osteopathic manipulative medicine training have changed in residency programs from prior to February 2020 to the “lockdown” period of February 2020 to June 2020, and then to the “recovery” period of July 2020 to February 2021.
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Clinical Image

Posterior cortical atrophy

Melvin Parasram, DO, MS; Michelle Roytman, MD; Andrea Lee, MD; and Jana Ivanidze, MD, PhD
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Musculoskeletal Medicine and Pain

Pain and functional recovery from chronic low back pain over 12 months: implications for osteopathic medicine

John C. Licciardone, DO, MS, MBA; and Vishruti Pandya, MBBS, MHA, MSPH
This study aimed to measure the risk of recovery from chronic low back pain based on low back pain intensity and back-related functioning measures reported by participants within a pain research registry over 12 months of observation and to consider the implications for osteopathic medicine.
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Public Health and Primary Care

A narrative review of nine commercial point of care influenza tests: an overview of methods, benefits, and drawbacks to rapid influenza diagnostic testing

Zachary P. Morehouse, DO, MS; Nathan Chance, MS; Gabriella L. Ryan, MS; Caleb M. Proctor, MS; and Rodney J. Nash, PhD
Rapid diagnosis of influenza infections has been shown to reduce improper or delayed treatment and to increase access to diagnostic measures in public health, primary care, and hospital-based settings. In this paper, the authors compare the sensitivity, specificity, and time to diagnosis for nine highly utilized commercial rapid influenza diagnostic tests.
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Pediatrics

Asthma medications in schools: a cross-sectional analysis of the Asthma Call-back Survey 2017-2018

Rachel Wilkins, BS; Sadie Schiffmacher, BS; Ashton Gatewood, MPH; Lauren Conway, DO; Ben Greiner, DO; and Micah Hartwell, PhD
In this study the authors analyze the prevalence of schoolchildren having access to asthma medications and written asthma action plans in schools. A secondary objective was to see if there were differences between urban and rural populations.
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Musculoskeletal Medicine and Pain

Optimizing chronic pain management through patient engagement with quality of life measures: a randomized controlled trial

John C. Licciardone, DO, MS, MBA, FACPM; Hanna McDonald, MS; McKenna Yablon, MPH; Wayne Ngo, MS; Kimberly Ann Cunanan Garza, BS; and Subhash Aryal, PhD
The authors assess the value and utility of an eHealth intervention for patients with chronic low back pain that was primarily based on health-related quality of life measures and also measure the clinical outcomes associated with its use.
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Medical Education

The effect of postgraduate osteopathic manipulative treatment training on practice: a survey of osteopathic residents

Anna M. Kerr, PhD; Kelly L. Nottingham, PhD, MPH; Becky L. Martin, MA; and Stevan A. Walkowski, DO
The authors conducted a survey to see whether specific training in osteopathic manipulative medicine after osteopathic medical school was an influence in changing behavior, attitudes, and knowledge around OMT in osteopathic residents.
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Medical Education

Promoting cultural competency and osteopathic medicine awareness among premedical students through a summer premedical rural enrichment program

Samuel Kadavakollu, PhD, MSc; Krista S. Lund, DO; Varsha Swamy, OMS II; William D. Kim, OMS II; Ronald A. Llenado, OMS II; Taylor F. Nunes, OMS II; Mahboob Qureshi, MD, PhD; John W. Graneto, DO, MEd; and Boris B. Boyanovsky, MD, PhD
The goal of this study is to determine whether a summer premedical rural enrichment program held at an osteopathic medical school located in a medically underserved area will foster greater prioritization of cultural competency in medicine, enhance interest in practicing in rural or underserved areas, and increase familiarity with osteopathic medicine.
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Clinical Image

The groove sign

Samuel G. Cook, DO; and Alan J. Bartholomew, DO
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General

The effects of wearing a mask on an exercise regimen

Ryan C. Gericke, BA; and Adarsh K. Gupta, DO
The goal of this study is to identify the impact of mask use on normal perceived physiology (breathing, heart rate, temperature, exertion, stamina, and quality of workout) within the exercising population.
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Editorial

Paralympic golf movement: the links between inclusion and treating the whole person to regain function

Arthur Jason De Luigi, DO, MHSA
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Letters to the Editor

Comments on “Mini-medical school programs decrease perceived barriers of pursuing medical careers among underrepresented minority high school students”

Krisdaniel Berreta, BS
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Clinical Image

Hermansky-Pudlak syndrome

Austin B. Ambur, DO; and Timothy A. Nyckowski, DO
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