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A case of inguinal hernia containing Gerota fascia was complicated by an obstructing ureteral stone and forniceal rupture secondary to ureterolithiasis.

A retrospective and prospective approach was used to measure medication adherence, health care utilization, costs, and self reported adherence and satisfaction among 681 patients with multiple sclerosis.

Can frailty, a common medical problem in older adults, be a potential indicator for the emergence of mild cognitive impairment and dementia? The authors examined the association between frailty phenotype, neuropsychological screening test results, and neuropsychological domains in patients 65 years of age and older with mild dementia.

Osteopathic physicians and other health care professionals are increasingly recognizing the importance of empathy in patient satisfaction and outcomes. However, empathy is not a unitary construct, and different facets of empathy may be related in very different ways to patient outcomes.

To compare the geographic distribution of otolaryngologist DOs with otolaryngologist allopathic physicians (ie, MDs) in Pennsylvania and identify differences in community size (urban, urbanized, and rural) in which these physicians practice, the authors analyzed sample data from individual otolaryngologist DOs and MDs to determine where each otolaryngologist practiced, the type of community in which they practiced, and the percentage of otolaryngologist DOs and MDs who practiced in each community type (urbanized area, urban cluster, and rural). Based on the otolaryngologist population in Pennsylvania, the discontinuation of osteopathic surgical residencies may decrease health care access in less populated communities.

The authors offer feedback on a previously published article: Mitchell MA, Wartinger DD. Validation of a functional pyelocalyceal renal model for the evaluation of renal calculi passage while riding a roller coaster. J Am Osteopath Assoc. 2016;116(10):647-652. doi:10.7556/jaoa.2016.128

The health of humans, animals, and the environment are interrelated; any imbalance or trends in animal health can signal potential health issues among humans in that shared environment.

Fiscal responsibility is increasingly monitored, especially in emergency care. However, emergency health care professionals may not know the costs of care for common presentations.