Advance Articles

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
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
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
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

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