Advance Articles

Musculoskeletal Medicine and Pain

Revisiting chronic low back pain: evidence that it is not non-specific

Clarence L. Nicodemus, DO, PhD; Alla Sikorskii, PhD; and Jessica Epstein, MS
The objective of this study is to show that chronic low back pain (CLBP) presents as a pattern of symptoms that actually represents the final common pathway for a dysfunctional lumbosacropelvic joint system. Rather than being “nonspecific,” the majority of CLBP has an underlying cause that is quite specific and predictable.
Advance Article
General

Understanding and preference toward DOs and OMT before and after an osteopathic principles and practice fellow lecture series

Lindsay Ellson, MS; Nicole Wong, MS; Jessica Harper, BS; Gage Williamson, DO; Isain Zapata, PhD; Kristin Putnam, DO; and Joel Roberts, MD
The main objective of our study was to investigate the preferences of Master of Science in Biomedical Sciences (MSBS) students at an osteopathic institution regarding osteopathic medicine and to investigate whether an active intervention can change their preferences and understanding.
Advance Article
Pediatrics

Racial discrimination among children in the United States from 2016 to 2020: an analysis of the National Survey of Children’s Health

Covenant Elenwo, MPH; Amy Hendrix-Dicken, MA; Vanessa Lin, BA; Ashton Gatewood, MPH; Tessa Chesher, DO; Michelle Escala, MD; and Micah Hartwell, PhD
The authors assess racial discrimination trends among US children reported by parents utilizing the National Survey of Children’s Health (NSCH) dataset from 2016 to 2020.
Advance Article
Behavioral Health

Adverse childhood experience categories and subjective cognitive decline in adulthood: an analysis of the Behavioral Risk Factor Surveillance System

Rachel M. Terry, BS; Sadie E. Schiffmacher, BS; Avery A. Dutcher, BS; Julie M. Croff, PhD; Martina J. Jelley, MD; and Micah L. Hartwell, PhD
Adverse childhood experiences (ACEs) negatively impact health outcomes later in life, in a dose–dependent relationship; however, little is known about the impact of the individual ACE categories and subjective cognitive decline later in life. The aim of this study was to determine the associations among eight ACEs and subjective cognitive decline.
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Clinical Image

Annular bullous lesions in a child from Uganda: chronic bullous disease of childhood

Austin B. Ambur, DO; Timothy A. Nyckowski, DO; and Aashni Bhukhan, BS
Advance Article
Behavioral Health

Successful buprenorphine transition while overlapping with a full opioid agonist to treat chronic pain: a case report

Kishan V. Patel, DO; Sidharth Sahni, DPT; and Lanvin F. Taylor, DO
This case report describes a transitional process with buccal buprenorphine in which a patient with chronic pain tapered completely off her extended-release full mu opioid agonist while simultaneously up titrating the buprenorphine.
Advance Article
Public Health and Primary Care

Effects of face masks on oxygen saturation at graded exercise intensities

Varnita Vishwanath, BSc; Clinnt L. Favo, MA; Trevyn H. Tu, MA; Blake Anderson, BS; Colby Erickson, MA; Megan Scarpulla, MA; Julia Kern, MA; Lisa DeWinter, MD; Anette Gawelko, DO; Charlotte Bolch, PhD; and Layla Al-Nakkash, PhD
Mask wearing to mitigate the spread of COVID-19 and other viral infections may raise concerns on the effects of face masks on breathing and cardiopulmonary health. In this study, the authors assess the parameters related to heart and lung physiology between healthy male and female adults exposed to wearing face masks (or not) under conditions of rest and graded exercise.
Advance Article
NMM/OMT

Impact of osteopathic manipulative techniques on the management of dizziness caused by neuro-otologic disorders: systematic review and meta-analysis

Yasir Rehman, MD, MSc; Jonathon Kirsch, DO; Mary Ying-Fang Wang, PhD; Hannah Ferguson, M.OSM; Jonathan Bingham, BS; Barbara Senger, BS; Susan E. Swogger, MLIS; Robert Johnston, M.OSM; and Karen T. Snider, DO
The authors aimed to systematically evaluate the effectiveness and safety of osteopathic manipulative treatment and analogous techniques in the treatment of dizziness.
Advance Article
Public Health and Primary Care

Disparities in seasonal influenza vaccine uptake and language preference among Hispanic US adults: an analysis of the 2017–2020 BRFSS

Del Perkins, BA; Angel Giron Lopez, MPH; Gregory Balcerak, BS; Benjamin Greiner, DO; and Micah Hartwell, PhD
The purpose of this study was to compare seasonal influenza vaccine uptake rates between Spanish-and English-preferring Hispanic US adults from 2017 to 2020.
Advance Article
Clinical Image

Perichondritis: a case of swollen ear

Vladislav Mordach, DO; and Andy Little, DO
Advance Article
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.
Advance Article
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.
Advance Article
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.
Advance Article
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.
Advance Article
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.
Advance Article
Clinical Image

Isolated nevus unius lateralis in a patient from Uganda

Austin B. Ambur, DO; and Timothy A. Nyckowski, DO
Advance Article
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.
Advance Article
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.
Advance Article
Clinical Image

Leukoderma with perifollicular sparing: a diagnostic clue of cutaneous onchocerciasis

Austin B. Ambur, DO; and Timothy A. Nyckowski, DO
Advance Article
Clinical Image

Posterior cortical atrophy

Melvin Parasram, DO, MS; Michelle Roytman, MD; Andrea Lee, MD; and Jana Ivanidze, MD, PhD
Advance Article
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.
Advance Article