Articles related toInnovations

Medical malpractice liability in large language model artificial intelligence: legal review and policy recommendations

David O. Shumway, DO; and Hayes J. Hartman, JD
This commentary discusses areas of potential legal vulnerability for clinicians utilizing large language model artificial intelligence (AI) through review of past case law pertaining to third-party medical guidance and reviews the patchwork of current regulations relating to medical malpractice liability in AI.
Advance Article

The sternal brace: a novel osteopathic diagnostic screening tool to rule out cardiac chest pain in the emergency department

Garrett Gianneschi, DO; Sarthak Patel, MD; and Patrick Hinfey, MD
Chest pain is one of the most common emergency medicine complaints in the United States, yet no reliable physical examination finding exists to help differentiate cardiac chest pain (CCP) from noncardiac chest pain (non-CCP). This is a diagnostic accuracy study of the sternal brace, a novel physical examination maneuver to rule out cardiac-related chest pain from non-CCP.
J Osteopath Med; 124(2): 45-50

Analysis of alternate material Onyx™ for total knee arthroplasty instrumentation sets

Nathan Gregg, BS; Alyssa M. Kendrick, BSN; Jill M. Carter, BS; Mark E. Gittins, DO, FAOAO; and Sarah C. MacNeill, MS, PAC
The goal of this study is to evaluate the novel material Onyx as a viable material utilized in reusable total knee arthroplasty instrumentation sets utilizing traditional steam sterilization as the sterilization method.
J Osteopath Med; 123(12): 557-561

Validation of cognitive and neuromuscular latencies using an iPad-based tool to quantify simple reaction times in asymptomatic subjects

Richard C. Hallgren, PhD; and John Rogers, BA
Previous studies have shown that the average number of finger-taps during a 10-second interval can be utilized to distinguish between patients with mild traumatic brain injury (TBI) and healthy controls. In this study, the authors used an iPad-based tool to quantify simple reaction times in asymptomatic subjects.
J Osteopath Med; 123(2): 59-64

At-home ECG monitoring with a real-time outpatient cardiac telemetry system during the COVID-19 pandemic

Nolberto Jaramillo, Jr., OMS II; Denis Malkov, OMS II; Jacqueline Nikakis, OMS II; Uddampreet S. Arora, OMS II; and Todd J. Cohen, MD
During the COVID-19 pandemic, essential in-person electrocardiogram (ECG) recordings became unfeasible, while patients continued to suffer from cardiac conditions. To circumvent these challenges, a cardiology clinic transitioned to a remote real-time outpatient cardiac telemetry (ROCT) service. The goal of this study is to test the hypothesis that at-home ROCT is an effective method of providing ECG monitoring to symptomatic patients during the COVID-19 pandemic.
J Osteopath Med; 122(10): 503-508

Retropubic Dilation With a Foley Catheter Balloon: A Novel Technique for Penile Prosthesis Reservoir Placement

Nicole M. Szell, DO; Gregory V. McIntosh, DO; Anthony D. DiMatteo, DO; Todd Campbell, MD; and Michael K. Shaw, PhD
The authors propose a novel approach for inflatable penile prosthesis reservoir placement involving gentle dilation of the retropubic space using a Foley catheter balloon.
J Osteopath Med; 116(9): 594-598

Correction to Chikly et al 2016;116(1):12-21. doi:10.7556/jaoa.2016.002

Millimeters should have appeared as micrometers in several statements in "Primo Vascular System: A Unique Biological System Shifting a Medical Paradigm" by Chikly et al.
J Osteopath Med; 116(4): 201-201

Determining the Feasibility of Managing Erectile Dysfunction in Humans With Placental-Derived Stem Cells

Jason A. Levy, OMS IV, MS; Melissa Marchand, PA-C; Leanne Iorio, OMS II; Walquiria Cassini; and Michael P. Zahalsky, MD
The authors sought to determine the feasibility and effects of using placental matrix−derived mesenchymal stem cells in the treatment of patients with erectile dysfunction.
J Osteopath Med; 116(1): e1-e5

Primo Vascular System: A Unique Biological System Shifting a Medical Paradigm

Bruno Chikly, MD, DO (France); Paul Roberts, DOMP; and Jörgen Quaghebeur, DO (Belgium), PhD
The current article reviews the literature on the primo vascular system (PVS) through 2013. The presence of the PVS, if confirmed by ongoing research findings, suggests possible implications that may fundamentally reshape our vision of anatomy, physiology, and medicine, consequently affecting the practice of osteopathic manipulative medicine and manual therapy.
J Osteopath Med; 116(1): 12-21

Utility of 4-Factor Prothrombin Complex Concentrate in Trauma and Acute-Care Surgical Patients

William Sellers, DO; Charles Bendas, MD; Frederick Toy, MD; Brian Klock, MD; Jamie Kerestes, PharmD; Amanda Young, MS; Clint Badger, MD; Jason Jensen, MD; and Natasha Becker, MD, MPH
The authors investigate the role that 4-factor prothrombin complex concentrate may have in reversing anticoagulation in the setting of trauma and acute care surgery.
J Osteopath Med; 118(12): 789-797