Articles related toGeneral

Necrobiosis lipoidica arising in a port wine stain treated with topical ruxolitinib

Neena Edupuganti, DO; Jay Nguyen, DO; Fahad Siddiqui, DO; Victoria Dukharan, MD; and Rajiv Nathoo, MD
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

Ryan Emmert, BS; Tyler McKenzie, BS; Dawsyn Smith, BS; Hanna Russell; Gracie Schultheis, BS; and Micah Hartwell, PhD
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.
Advance Article

The hospitalist’s paradox: on pay, perception, and the true value of a healer in the valley of the sun

Gary P. MacDonald, DO, MS, FAAFP
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

Jessica Colon, BS; Jay Nguyen, DO; Samuel Stahly, DO; Gulsun Erdag, MD; and Rajiv Nathoo, MD
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.
Advance Article

Private equity in healthcare: implications and policy recommendations

Maxim Jestin, DO
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

Luke Reardon, BS; Brenton Stucki, BS; Deepthi Akella, DO; and Michele M. Carr, DDS, MD, PhD
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

Ryan Wong, BS; Bebe Eke, BS; Andrew D. Vogel, MS; Bracken Burns, DO; and Kristen Conrad-Schnetz, DO
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

Alfred B. Amendolara, MS; Steven Salazar, BSN; Tiffany Nguyen, BS; Porter Fife, BS; Blake Harris, BS; Alessandra M. Rivera, MS; Kennedy Madrid, BS; Yvannia Gray, BA; and Stephen Stacey, DO
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

Mitchell Fisher, BS; Andrew Simonsen, BS; Christopher Stewart, BS; Salma Alkhatib, BS; Abbigail Niewchas, BS; Alex Otto, DO; Randall Hansen, DO; Kent McIntire, DO; and Suporn Sukpraprut-Braaten, PhD
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

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.
J Osteopath Med; 125(7): 329-335