Articles related toPublic Health and Primary Care

Conquering diabetes therapeutic inertia: practical tips for primary care

Joy A. Moverley, DHSc, MPH, PA-C; Lucia Novak, NP; and Jay H. Shubrook, DO
Despite well-established management guidelines, only about half of the patients with diabetes achieve glycemic targets, only one in five patients achieve metabolic control, and both patients and physicians find themselves stuck in a rut called therapeutic inertia (TI). The authors present several practical strategies that can be tailored to different practice settings and facilitate reducing TI.
Advance Article

Casirivimab/imdevimab treatment for outpatient COVID-19 during a SARS-CoV-2 B1.617.2 (Delta) surge at a community hospital

Erika Keshishian, PhD, OMS IV; Elizabeth Kuge, OMS IV; Jordan Memmott, OMS IV; Phillip Hasenbalg, OMS IV; Nakiya Belford, OMS IV; Alexander Matlock, OMS IV; Sarah Schritter, RN; Geovar Agbayani, DO; Tyson Dietrich, PharmD; Anthony Santarelli, PhD; and John Ashurst, DO, MSc
The authors sought to determine if there was a difference in patient-centered outcomes between those who were vaccinated and unvaccinated after the administration of casirivimab/imdevimab for mild-to-moderate COVID-19 during the time when the Delta strain was most prevalent.
Advance Article

Thoracic outlet syndrome: a review for the primary care provider

Angela C. Cavanna, DO; Athina Giovanis, DO; Alton Daley, OMS II; Ryan Feminella, OMS III; Ryan Chipman, OMS II; and Valerie Onyeukwu, OMS II
This article summarizes what is currently published about thoracic outlet syndrome, its etiologies, common objective findings, and nonsurgical treatment options.
Advance Article

A narrative review of nine commercial point of care influenza tests: an overview of methods, benefits, and drawbacks to rapid influenza diagnostic testing

Zachary P. Morehouse, DO, MS; Nathan Chance, MS; Gabriella L. Ryan, MS; Caleb M. Proctor, MS; and Rodney J. Nash, PhD
Rapid diagnosis of influenza infections has been shown to reduce improper or delayed treatment and to increase access to diagnostic measures in public health, primary care, and hospital-based settings. In this paper, the authors compare the sensitivity, specificity, and time to diagnosis for nine highly utilized commercial rapid influenza diagnostic tests.
Advance Article

The effect of long-term opioid use on back-specific disability and health-related quality of life in patients with chronic low back pain

Matthew J. Schultz, BS, ATC; and John C. Licciardone, DO, MS, MBA, FACPM
This study aims to evaluate the effects of long-term opioid therapy on measures of back-specific disability and health-related quality of life in patients with chronic low back pain.
J Osteopath Med; 122(9): 469-479

Impact of an osteopathic peer recovery coaching model on treatment outcomes in high-risk men entering residential treatment for substance use disorders

Raymond A. Crowthers, BS; Milan Arya, MBS; Arvind Venkataraman, BS; Jamey J. Lister, PhD; Sarah E. Cooper, MSW; Michael Enich, BA; Scott Stevens, CPRS; Emily Bender, CPRS; Roynell Sanders, MSW; Kenneth Stagliano, PhD; and Richard T. Jermyn, DO
The goal of this study is to highlight the efficacy of a peer recovery program in improving health outcomes and associated national outcome measures in men with a substance use disorder and/or co-occurring mental health disorder.
J Osteopath Med; 122(10): 521-529

Atraumatic spontaneous splenic rupture in a female COVID-19 patient

Michele T. Melamed, DO, MPH; and Jake L. Gigliotti, MSI
The authors present the case of a 30-year-old woman with no significant medical history presented to the emergency department in October 2020 with sudden onset of severe left upper and lower abdominal pain. The purpose of this case report is to illustrate and make other clinicians aware of unusual potential complications and clinical presentations of COVID-19.
J Osteopath Med; 122(9): 481-485

Prevention of external auditory canal exostosis in the Colorado whitewater community

Annalise E. Wille, OMS III; Vanessa K. Pazdernik, MS; Nicole Sassounian, OMS III; and Kelli Glaser, DO
External auditory canal exostoses (EACE) are bony formations that develop insidiously in the auditory meatus from chronic exposure to cold water and, in severe cases, require surgery. This condition has been understudied in the whitewater kayakers and not yet studied in the riverboarding population. This article aims to determine the prevalence of EACE in Colorado whitewater athletes and their attitudes about wearing ear protection before and after an educational intervention directed at increasing awareness and prevention of EACE.
J Osteopath Med; 122(8): 431-437

Review of medication-assisted treatment for opioid use disorder

Nessreen Ghanem, OMS IV; Devin Dromgoole, OMS IV; Ahmad Hussein, MBS; and Richard T. Jermyn, DO, FAAPMR
This review will define the components of medication-assisted treatment (MAT), consider the impact of MAT in the primary care setting, and identify barriers to effective MAT.
J Osteopath Med; 122(7): 367-374

Associations between diabetes-related distress and predicted cardiovascular complication risks in patients with type 2 diabetes

Clipper F. Young, PharmD, MPH, CDCES, BC-ADM, BCGP; Rachael Mullin, OMS IV; Joy A. Moverley, MPH, PA-C, DHSc; and Jay H. Shubrook, DO
Diabetes-related distress (DRD) is experienced by nearly 50% of people with diabetes at any given time in their diagnosis. The effects of low socioeconomic status and lacking access to resources can increase DRD. In addition, cardiovascular (CV) complications associated with diabetes are associated with higher DRD scores. This study evaluated the associations between DRD and predicted CV risks in participants with type 2 diabetes.
J Osteopath Med; 122(6): 319-326