Articles related toPublic Health and Primary Care

Comparative cross-sectional analysis of asthma outcomes and sinus surgery utilization in Appalachian and non-Appalachian counties of Ohio

Samuel Borgemenke, BS; Robert Osap, BS; Kirsten Bogunovich, BS; Nicholas Durstock, BS; and Elizabeth A. Beverly, PhD
The purpose of this study was to compare the effects of social determinants of health on the prevalence and treatment of asthma in Appalachian vs. non-Appalachian regions of Ohio, and how those factors affect the rate at which sinus surgery is performed in different populations.
Advance Article

The impact of adverse childhood experiences on age of diabetes diagnosis and associations with race and ethnicity

Allie Rice, BA; Madison Taylor, BS; Amy Hendrix-Dicken, PhD; Covenant Elenwo, DO; Julie Croff, PhD; Laura J. Chalmers, MD; Sara Coffey, DO; and Micah Hartwell, PhD
Previous research has linked the manifestation of multiple chronic diseases that are frequently due to health behaviors to adverse childhood experiences (ACEs). Despite this, the link between ACEs and the age of type 2 diabetes mellitus diagnosis is scarce. As such, our primary objective was to evaluate and describe the impact of ACEs on the age at diagnosis utilizing the data from the 2021 Behavioral Risk Factor Surveillance System.
Advance Article

Minimum physical activities protective against Alzheimer’s disease in late life: a systematic review

Amy Sakazaki, DO; Austin Lui, MS; Haneef Muhammad, MS; Claire Vu, MS; Aiden le Roux, BS; Patricia Lacayo, MS; and Shin Murakami, PhD, FGSA
Previous studies indicate an inverse relationship between physical activity (PA) and the risk of Alzheimer’s disease. This review aimed to evaluate existing literature to determine the effects of PA with an emphasis on late-life PA and the minimum levels of PA for older adults.
Advance Article

Emergency department wait times in concordance with blood alcohol content and subsequent alcohol use disorder

Sean Hayes, BA; Kaylee Mach, BS; Jennifer Briggs, DO; and Micah Hartwell, PhD
The authors of this study assess whether patients with a history of alcohol use disorder (AUD) and/or positive blood alcohol content (BAC+) affect emergency department (ED) wait times.
Advance Article

Use of a community care coordination team to reduce emergency department utilization and hospital readmissions for the highest utilizers

Stacia Shipman, DO; Kelly Painter, MD; Lindsey Claire Epperson, DO; and Keri Smith, DO
A small percentage of patients comprise a high proportion of healthcare utilization, particularly the costs associated with Emergency Department (ED) visits and inpatient hospitalization readmissions. The purpose of this study was to demonstrate a decrease in ED utilization and hospital readmissions in a selected group of super-utilizers post-intervention by a Community Care Coordination team and to determine cost avoidance.
J Osteopath Med; 125(9): 457-463

Impact of a clinician-directed educational program on communicating with patients regarding gun violence at two community urban healthcare centers

Erik Langenau, DO, MS, MAPP; Alexa M. Kaminsky, BS; and Michael B. Roberts, PsyD
In this quality-improvement study, the authors investigated an educational program designed to help clinicians talk to their patients about gun violence, prevention, and available resources to support and treat those impacted by gun violence.
J Osteopath Med; 125(7): 359-368

Improving vascular access knowledge and assessment skill of hemodialysis staff

Kyle Smith, DO, EdD, FACP, FASDIN; and Candace Ayars, PhD
The study’s purpose is to determine the effect of an advanced vascular access educational module presented to hemodialysis nurses and technicians, focusing on physical examination findings to identify a dialysis access at risk for malfunction.
J Osteopath Med; 125(6): 321-327

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.
J Osteopath Med; 125(4): 213-223

The rise of advanced practice provider independence bills: a misguided attempt to address the physician shortage

Forrest Bohler, BS; Garrett Peters, BS; Nikhil Aggarwal, BS; Kyle Harvey, BS; and J. David Bohler, MD
In this commentary, the authors outline the ramifications that are likely to occur in states such as Montana that enact legislation that expands the scope of practice for nonphysicians.
J Osteopath Med; 124(12): 555-558

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.
J Osteopath Med; 125(2): 95-100