Advance Articles

NMM/OMT

The effect of osteopathic manipulative treatment on chronic rhinosinusitis

Marija Rowane, DO; Ashwin Shankar, DO; Supriya Nagireddi, DO; Amanpreet Kalkat, MD; Cheryl Hammes, DO, FACOFP; Eshika Kohli, BS; Meghan Callahan, BS; and Robert Hostoffer, DO, LhD, MSMEd, MBA, FACOP, FACOI, FCCP
Chronic rhinosinusitis (CRS) is a prevalent inflammatory disease of the paranasal sinuses that may significantly impair quality of life. This study aimed to assess whether OMT focused on lymphatic drainage of cranial structures can provide immediate, as well as sustained, relief of CRS symptoms.
Advance Article
General

Determining the effects of social media engagement on surgery residents within the American College of Osteopathic Surgeons

Vincent S. Alexander, MS; Bebe Eke, BS; Andrew Xu, BS; Ryan Wong, BS; Andrew Greek, BS; Michael Ernst, MS; Hayden Roberts, BS; Ogechukwu Ariwodo, BS; Andrew D. Vogel, MS; Bracken Burns, DO; and Kristen Conrad-Schnetz, DO
This study aimed to evaluate the effectiveness of “X” (formerly Twitter) in networking between osteopathic medical students and surgical residents, specifically assessing engagement rates and the potential of social media as a tool for mentorship in the osteopathic surgical community.
Advance Article
Clinical Image

Pityriasis lichenoides chronica presenting in skin of color

Bailey Cook, DO, MBA; Richard Bindernagel, DO, MBA; Robert Dazé, DO; and Richard Miller, DO
Advance Article
Public Health and Primary Care

Impact of a clinician-directed educational program on communicating with patients regarding gun violence at two community urban healthcare centers

Erik Langenau, DO, MS, MAPP; Alexa M. Kaminsky, BS; and Michael B. Roberts, PsyD
In this quality-improvement study, the authors investigated an educational program designed to help clinicians talk to their patients about gun violence, prevention, and available resources to support and treat those impacted by gun violence.
Advance Article
Medical Education

Recent and future trends in osteopathic orthopedic surgery residency match rates following the transition to a single accreditation system

Morgan Turnow, DO; Minali Nemani, BS; Nithin Gupta, BS; Hayden Hartman, BS; Taylor Manes, DO; Tyler Williamson, DO; and Arianna Gianakos, DO
This study aims to investigate recent match rate trends in orthopedic surgery within the past 5 years, and also to forecast match trends for both MD and DO students to further analyze the future projection of the orthopedic surgery match.
Advance Article
Medical Education

A comprehensive review of clinical experiences and extracurricular activities for US premedical students applying to osteopathic medical schools

Samuel Kadavakollu, PhD; Thu Dang, BS; Jasleen Bains, BS; Jared Ham-Ying, DO; Boris Boyanovsky, MD; Mahboob Qureshi, MD; John Graneto, DO; and Sherese Richards, MD
This review aims to determine how US premedical osteopathic and allopathic students gain clinical experiences and extracurricular activities that enhance their application and increase their chances of admission into a medical school of their choice.
Advance Article
Medical Education

Effectiveness of a program director for osteopathic medical education to support osteopathic recognition at a training site with multiple programs

Andrew Eilerman, DO; Chas Porter, BS; Mallory Faherty, PhD, ATC; and Elizabeth Zmuda, DO
The objectives of this study were to determine the effect that a Program Director for Osteopathic Medical Education role has through measures of the numbers of programs achieving Osteopathic Recognition and standards met, as well as the perceived ‘helpfulness’ of the role based on surveys of program leadership.
Advance Article
Public Health and Primary Care

Improving vascular access knowledge and assessment skill of hemodialysis staff

Kyle Smith, DO, EdD, FACP, FASDIN; and Candace Ayars, PhD
The study’s purpose is to determine the effect of an advanced vascular access educational module presented to hemodialysis nurses and technicians, focusing on physical examination findings to identify a dialysis access at risk for malfunction.
Advance Article
Medical Education

The impact of osteopathic recognition on multiple medical specialty residencies in a university-based setting

Brian Nohomovich, DO, PhD; Emmanuel Tito, DO; Joanne Baker, DO; and Theotonius Gomes, DO
The objective of this study is to investigate the impact of osteopathic recognition on retaining and applying osteopathic principles in a mixed cohort of residents in a single-center setting.
Advance Article
General

Incidence of fall-from-height injuries and predictive factors for severity

Carlos Palacio, MD; Muhammad Darwish, MD; Marie Acosta, RN; Ruby Bautista, RN; Maximillian Hovorka, MD; Chaoyang Chen, MD; and John Hovorka, MD
This retrospective study investigated the incidence of fall-from-height injuries utilizing conventional statistics and a predictive AI model to understand the fall-related injury profile and predictive factors.
Advance Article
Medical Education

The assessment of point-of-care ultrasound (POCUS) in residency: the benefits of a four-year longitudinally integrated curriculum

Duc Q. Le, MA; Megan Scarpulla, MA; Hubert Lam, BS; Julia Kern, MA; Spencer Vroegop, BS; Jordan Yaeger, MA; Charles Finch, DO; Wayne Martini, MD; Charlotte A. Bolch, PhD; and Layla Al-Nakkash, PhD
The objectives of this study are to determine the frequency of POCUS use by Midwestern University Arizona College of Osteopathic Medicine graduates and to assess how a 4-year longitudinal ultrasound curriculum may enhance the abilities of these graduates to perform and interpret ultrasound imaging in specific residency programs.
Advance Article
NMM/OMT

Stressbusters: a pilot study investigating the effects of OMT on stress management in medical students

Robert Valencia, MEd; Gowtham Anche, BS; Gabriela Do Rego Barros, MS; Victor Arostegui, BS; Henal Sutaria, BS; Emily McAllister, BS; Mary Banihashem, DO; and Mikhail Volokitin, MD, DO
This study aimed to determine if regular osteopathic manipulative treatments could impact the stress levels of first-year osteopathic medical students at Touro College of Osteopathic Medicine Harlem campus by measuring physiologic stress through changes in weekly salivary cortisol levels, perceived emotional and psychological stress levels, and cognitive function.
Advance Article
Obstetrics/Gynecology

Management of endometriosis: a call to multidisciplinary approach

Jordann-Mishael Duncan, MBS, MD; Ritchie Delara, MD; Gina Ranieri, DO; and Megan Wasson, DO
In this Clinical Practice article, the authors describe their experience of utilizing a multidisciplinary team (composed of a gynecologic surgeon trained in advanced pelvic surgery and endometriosis, a urologist, a colorectal and/or general surgeon, a cardiothoracic surgeon, and a radiologist experienced in gynecologic imaging) to increase the likelihood of providing cost-effective care and delivering adequate, evidence-based treatment of endometriosis.
Advance Article
Pediatrics

Non-Herlitz junctional epidermolysis bullosa in a Native American newborn

Ayah A. Ibrahim, BS; Macken Yrun-Duffy, DO; Rochelle D. Almario, DO; Jordyn R. Mullins, BS, BA; and Scott S. Cyrus, DO
This case report details the presentation, diagnosis, and management of a newborn Native American male with non-Herlitz junctional epidermolysis bullosa, a rare diagnosis specifically in the Native American population.
Advance Article
Musculoskeletal Medicine and Pain

An osteopathic assessment of lower extremity somatic dysfunctions in runners

Abbey Santanello, DO, MS; Mikhail Volokitin, MD, DO; Pamela Matthew, DO, MPH, MS; Anthony Modica, DO, MS; Chase McKellar, BS; Krisha Thakkar, BS; Mollie Schear, DO; Angela Tai, DO; Jeffrey Nagler, BS; and Sergio Suarez, DO
Runners often experience acute/chronic pain due to pre-existing structural somatic dysfunction and/or acquired various overuse injuries of the lower extremity, specifically affecting the ligaments, tendons, muscles, and bones. The purpose of this study is to assess the correlation between acute and chronic pain, overuse injuries, and observational and palpatory findings upon evaluation to establish common trends of somatic dysfunctions and determine possible etiology of the pain/injury.
Advance Article
Letters to the Editor

Addressing confounding factors in the match disparities between DO and MD seniors

Forrest Bohler, BS
Advance Article
Musculoskeletal Medicine and Pain

Urinary incontinence in elite female powerlifters aged 20–30: correlating musculoskeletal exam data with incontinence severity index and survey data

Kloie D. Nutt, BS; Michael Carnes, DO, FAAO; Laura Griffin, DO, FAAO; and Gregory Rivin, BS
Urinary incontinence (UI) in the powerlifting community has been a hot topic due to its noticeability during competition and the burden it places on female athletes who experience it. The objectives of this study were to determine whether UI in elite female powerlifters is correlated with any musculoskeletal diagnoses and to further evaluate potentially contributing factors for UI within this group.
Advance Article
Musculoskeletal Medicine and Pain

Osteopathic approach to injuries of the overhead thrower’s shoulder

Arthur J. De Luigi, DO, MHSA; George Raum, DO; Benjamin W. King, BS; and Robert L. Bowers, DO
The goal of this article is to discuss the impact of overhead motions on the shoulder, with a primary focus on throwing, as well as to highlight the osteopathic approach to assessment, treatment, management, and prevention.
Advance Article
Musculoskeletal Medicine and Pain

Elbow injuries in overhead throwing athletes: clinical evaluation, treatment, and osteopathic considerations

Benjamin W. King, BS; George M. Raum, DO; Arthur J. De Luigi, DO, MHSA; and Robert L. Bowers, DO, PhD
This review provides an update on common elbow injuries in the throwing athlete and covers clinical presentation, diagnosis, and treatment of these injuries.
Advance Article
NMM/OMT

The role of osteopathic manipulative treatment for dystonia: a literature review

Davong D. Phrathep, DO; Zach Abdo, BS; Mariam Tadros, BS; Emily Lewandowski, BS; and John Evans, II, DO
This review article explores the role of OMT as a treatment for dystonia, which is a movement disorder that causes involuntary muscle contractions leading to abnormal movements and postures, such as twisting.
Advance Article
Cardiopulmonary Medicine

Improving peripheral artery disease screening and treatment: a screening, diagnosis, and treatment tool for use across multiple care settings

Kelly M. Rudd, PharmD, BCPS, CACP, FCCP; Kristie K. Roberts, MS; and Cooper M. Hamilton, MS
Treatment options for peripheral artery disease (PAD) are often underutilized, and a major limiting factor in PAD care is the ability to efficiently identify and screen at-risk patients. This article describes the creation of a PAD patient screening and clinician decision support tool to improve access to high-quality, evidence-based care to drive improved clinical outcomes.
Advance Article
Cardiopulmonary Medicine

Effects of the Strong Hearts program at two years post program completion

Bruce E. Murphy, MD, PhD; Peyton D. Card, MD; Leybi Ramirez-Kelly, MD; Brandon Wensley, MS; and Robert E. Heidel, PhD
The Strong Hearts program was designed as a secondary prevention program to help improve cardiovascular disease (CVD) risk factors in the CVD population. This study evaluated the long-term efficacy of the program up to 2 years after program completion.
Advance Article
Cardiopulmonary Medicine

The negative effects of long COVID-19 on cardiovascular health and implications for the presurgical examination

Hannah L. Stimart, BSc; and Brittany Hipkins, MD
The purpose of this report is to highlight what is known about the long-term cardiovascular sequelae of COVID-19 and implications on the presurgical cardiac evaluation in an adult patient.
Advance Article
Obstetrics/Gynecology

Reduction in deep organ-space infection in gynecologic oncology surgery with use of oral antibiotic bowel preparation: a retrospective cohort analysis

Kathryn Kennedy, MD; Jennifer Gaertner-Otto, DO; and Eav Lim, DO, FACOOG
The primary aim of this study was to compare the rate of deep organ-space surgical site infection in gynecologic surgery before and after institution of an oral antibiotic bowel preparation, thus assessing whether the preparation is associated with decreased infection rate.
Advance Article
Obstetrics/Gynecology

Prevalence of pelvic examinations on anesthetized patients without informed consent

Rachel Cutting, DO; Varsha Reddy, BS; Sneha Polam, BS; Nicole Neiman, BS, MPH; and David Manna, PhD
The objective of this study is to evaluate the prevalence of pelvic examinations performed by osteopathic medical students on anesthetized patients without consent while fulfilling their third-year OB-GYN clerkship requirements.
Advance Article
NMM/OMT

Impact of osteopathic manipulative medicine training during graduate medical education and its integration into clinical practice

Joanna L. Kramer, DO, MPH; Kirby Trombetti, DO; Kathleen De Asis, DO, MS; Vivian Mai, DO; and Edward Swing, PhD
This study describes relationships between exposure to osteopathic manipulative medicine (OMM) during graduate medical education and the use of OMM in practice.
Advance Article
Public Health and Primary Care

Modeling the importance of physician training in practice location for Ohio otolaryngologists

Samuel Borgemenke, BS; D’Nair Newsom, BS; Patrick Scheatzle, BA; Nicholas Durstock, BS; and Elizabeth A. Beverly, PhD
This analysis aims to identify factors that lead otolaryngologists to a respective practice location, and if any of that influence comes from where otolaryngologists completed their medical education.
Advance Article
General

Trends of public interest in chronic traumatic encephalopathy (CTE) from 2004 to 2022

Blakelee Eggleston, BPH; Caitlin Wenske, BS; Carly Sweat, BS; Douglas Nolan, DO; Nicholas B. Sajjadi, DO; Anna Mazur, PhD, ABPP, ABN; and Micah Hartwell, PhD
Public interest in sport-related medical conditions is known to be affected by social media and pop cultural coverage. The purpose of this project was to assess the relationship between popular culture concerning chronic traumatic encephalopathy and analyze of how often this topic was searched on the internet.
Advance Article