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Necrobiosis lipoidica arising in a port wine stain treated with topical ruxolitinib
Necrobiosis lipoidica (NL) is a rare chronic granulomatous disease that is historically associated with diabetes mellitus. The exact etiology and pathogenesis are not fully understood; however, microangiopathy is believed to be a contributing factor. NL classically manifests as erythematous papules that coalesce into plaques commonly localized to the lower extremities. The authors present a case of NL arising within a port-wine stain, in which the NL was successfully treated with topical ruxolitinib monotherapy.
Advance Article
Equity reporting in systematic reviews and meta-analysis for geographic atrophy: a PROGRESS-Plus assessment
Systematic reviews and meta-analyses (SRMAs) are crucial for treatment development, and they must provide guidelines that represent diverse patient demographics to promote equitable health care. As new research and treatment modalities are being developed for geographic atrophy, establishing an equitable research foundation is vitally important to physicians as they personalize their treatment plans. This analysis aims to determine whether SRMAs pertaining to geographic atrophy are reporting equity-related items utilizing the PROGRESS-Plus framework.
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The hospitalist’s paradox: on pay, perception, and the true value of a healer in the valley of the sun
This commentary examines the sentiments of a Phoenix-area hospitalist who feels underpaid despite earning an objectively high salary. The article concludes that true professional value transcends monetary figures, calling for systemic changes to better acknowledge and support physicians while ensuring their profound contributions are recognized beyond financial metrics.
Advance Article
An unusual chest lesion with dual pathologies
The authors report the case of a 66-year-old male with a history of granuloma faciale (GF) and multiple basal cell carcinomas (BCCs) who presented with a pearly plaque on the chest. Biopsy revealed extrafacial GF with a coincidental BCC, representing a rare case of a collision tumor.
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Private equity in healthcare: implications and policy recommendations
Private equity (PE) involvement in healthcare has generated considerable debate regarding its implications for patient care, healthcare quality, and system sustainability. This Commentary provides an overview of both sides and offers policy recommendations addressing some of the detrimental effects of PE practices on the healthcare sector, to ensure that patient well-being remains the priority.
Advance Article
Geographical distribution and match trends of osteopathic residents in otolaryngology residency programs: a cross-sectional analysis
The objective of this study was to assess the geographical distribution, training site characteristics, and match patterns of osteopathic otolaryngology residents from 2020 to 2024, including relationships with medical school location and program history (historically AOA-accredited vs. historically allopathic-only).
Advance Article
Geographical distribution of osteopathic urology residents and match trends in the United States
This study aimed to examine the number of DO graduates in urology residency programs over time and map their current distribution throughout the United States.
J Osteopath Med; 125(11): 533-537
DO (under) representation in US guideline development: an investigation of guideline authors from 2021–2023
Clinical guidelines are the backbone of evidence-based medical practice, shaping healthcare delivery and patient outcomes. To ensure that guidelines reflect the entire medical community, it is important that guideline-creation bodies have adequate representation from stakeholder groups with diverse viewpoints. To quantify the contribution of DOs to the body of literature guiding practice, author information was extracted from all US-based guidelines published in the years 2021, 2022, and 2023 listed in the ECRI Guidelines Trust database.
J Osteopath Med; 125(9): 435-441
Comparing intubation techniques of Klippel–Feil syndrome patients in the last 10 years: a systematic review
The purpose of this study is to analyze first-attempt intubation success rates of Klippel–Feil syndrome patients by intubation technique and stratified by location and quantity of cervical fusions and a Mallampati score if reported.
J Osteopath Med; 125(8): 389-398
Determining the effects of social media engagement on surgery residents within the American College of Osteopathic Surgeons
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.
J Osteopath Med; 125(7): 329-335