Advance Articles

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
Medical Education

Perspectives of osteopathic medical students on preclinical urology exposure: a single institution cross-sectional survey

Ryan Wong, BS; and Harvey N. Mayrovitz, PhD
The objective of this study is to determine whether a lack of preclinical exposure to and knowledge of urology impacts osteopathic medical student’s decision to pursue urology as a specialty.
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
Musculoskeletal Medicine and Pain

Communication and empathy within the patient-physician relationship among patients with and without chronic pain

John C. Licciardone, DO, MS, MBA; Claire N. Middleton, BS; Amin Aboutaj, BS; Tal Allouche, MS; and Imran Siddiqui, BS
Chronic pain may affect the relationship between patients and their treating physicians. This study was designed to compare four aspects of physician communication and physician empathy reported by patients with chronic pain and in chronic pain-free controls.
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
The objective of this study was to investigate deviations in public interest following player incidents of chronic traumatic encephalopathy (CTE) and the effects that the media has had on public interest in CTE.
Advance Article
Musculoskeletal Medicine and Pain

Manual therapy plus sexual advice compared with manual therapy or exercise therapy alone for lumbar radiculopathy: a randomized controlled trial

Musa Sani Danazumi, MScPhysio, BPhysio; Isa Abubakar Adamu, MScExPhysiol, BMedRehabil; Musbahu Hamisu Usman, BPhysio; and Abdulsalam Mohammed Yakasai, PhD, MScExPhysiol, DPhysio, BScPhysio
The objectives of the study are to determine the effects of manual therapy plus sexual advice compared with manual therapy or exercise therapy alone in the management of individuals with lumbar disc herniation with radiculopathy and to determine the best sexual positions for these individuals.
Advance Article
NMM/OMT

Why do physicians practice osteopathic manipulative treatment (OMT)? A survey study

Samantha M. Lease, DO; and Jose S. Figueroa Casanova, DO, FAOCPMR, FAAPMR
The study gauges student interest in OMT and investigates why they are or are not interested in utilizing OMT in future practice, and also whether physicians utilize OMT in their practice and what fostered their interest in OMT.
Advance Article
NMM/OMT

Comparing cranial suture interdigitation in humans and non-human primates: unearthing links to osteopathic cranial concept

Janice Blumer, DO; Irisa Arney, PhD; Anna Hardin, PhD; Morgan Nichols, BA; Luke Arsenault, BA; and John Petrucci, BS
The authors compared the interdigitation of sagittal, coronal (left and right), and lambdoid (left and right) sutures in CT scans of humans and five nonhuman primate species (Gorilla gorilla, Pongo pygmaeus, Pan troglodytes, Hylobates lar, and Nasalis larvatus).
Advance Article
General

Protecting the profession: lessons from the recent physician scandals

R. Andrew Kelso, MA, PhD; Deborah Schmidt, DO; and Celia McLay, MS, DO
The goal of this paper is to elicit lessons that can be learned from recent scandals so that physicians, healthcare institutions, physician practices, medical boards, and patients can introduce measures to help prevent them from happening in the future.
Advance Article
Medical Education

Analysis of self-reported confidence in independent prescribing among osteopathic medical graduating seniors

Khalil Eldeeb, PhD
This study analyzed the self-reported confidence of graduating seniors in the United States osteopathic medical schools in their current ability to prescribe safely and independently.
Advance Article
Musculoskeletal Medicine and Pain

Foot and ankle fellowship-trained osteopathic orthopaedic surgeons: a review, analysis, and understanding of current trends

James P. Henry, DO, MHSA; Matthew J. Partan, DO; Katharine M. Chen, BS; Randy M. Cohn, MD; and Adam D. Bitterman, DO
The goal of this paper is to investigate and review the trends of foot and ankle fellowship training orthopedic surgeons, particularly among osteopathic graduates.
Advance Article
Public Health and Primary Care

Alcohol consumption among older adults in the United States amidst the COVID-19 pandemic: an analysis of the 2017–2021 Behavioral Risk Factor Surveillance System

Macy Haight, BS; Parker Smith, BS; Natasha Bray, DO; Douglas Nolan, DO; and Micah Hartwell, PhD
The objective of this study is to determine whether heavy alcohol consumption and binge drinking increased during the COVID-19 pandemic in older adults in the United States.
Advance Article
Letters to the Editor

Educating our colleagues and hospital administrators regarding osteopathic medicine

Steven B. Soliman, DO, RMSK, FAIUM, FAOCR
Advance Article
Cardiopulmonary Medicine

Comprehensive review of the heart failure management guidelines presented by the American College of Cardiology and the current supporting evidence

Lia Lazareva, BS; Jay H. Shubrook, DO; and Milind Dhond, MD, FACC
The objectives of this article are to review the pharmacotherapy guidelines for heart failure provided by the American College of Cardiology and offer an update on the current trials conducted on these agents.
Advance Article
Medical Education

The predictive validity of MCAT scores and undergraduate GPA for COMLEX-USA licensure exam performance of students enrolled in osteopathic medical schools

Kenneth D. Royal, PhD, MSEd; Christian Meyer, BS; Erik Guercio, MA; Mark Speicher, PhD; Joseph Flamini, MBA; Jeanne M. Sandella, DO; Tsung-Hsun Tsai, PhD; and Cynthia A. Searcy, PhD
The purpose of this study was to examine the predictive validity of MCAT scores and undergraduate grade point averages in relation to DO student performance on COMLEX-USA licensure examinations.
Advance Article
Letters to the Editor

Investigating trends in orthopedic surgery match for osteopathic and allopathic graduates post-single accreditation transition

Michael Megafu, DO, MPH; and Omar D. Guerrero, BS
Advance Article
Obstetrics/Gynecology

Uncovering gaps in management of vasomotor symptoms: findings from a national need assessment

Teresa A. Hubka, DO; Andrew Crim, MEd; Ju Yong Koh, DO; Chris Larrison, BA; Tom McKeithen, MBA; Matthew Fleming, BA; Jennifer Caruso, DO; and Martha Prud’homme, BS
This national needs assessment study aimed to uncover the structures underlying known gaps in knowledge, attitude, beliefs, and practices related to vasomotor symptoms and to identify and propose optimal educational strategies to overcome these barriers.
Advance Article