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Articles related toPublic Health and Primary Care
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
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
This study aims to explore primary care providers' experiences and practice patterns regarding low back pain in females compared to males in healthcare settings within the United States.
J Osteopath Med; 122(5): 263-269
Evaluating the effectiveness of countywide mask mandates at reducing SARS-CoV-2 infection in the United States
This study aims to analyze the effectiveness of mask mandates in small US counties and places where the population density may not be as high as in larger urban counties and to determine the efficacy of countywide mask mandates in reducing daily COVID-19 infection.
J Osteopath Med; 122(4): 211-215
The authors evaluated whether a screening tool would be able to accurately screen individuals for movement system disorders (MSDs), explore comorbidities that may predict the prevalence of MSDs, and identify why people do not discuss these problems with their primary care provider.
J Osteopath Med; 122(3): 159-166
Glycemic control is associated with lower odds of mortality and successful extubation in severe COVID-19
Corticosteroids, specifically dexamethasone, have become the mainstay of treatment for moderate to severe COVID-19. This study aims to analyze the association between corticosteroids and COVID-19–related outcomes in patients admitted to the medical ICU for COVID-19 pneumonia.
J Osteopath Med; 122(2): 111-115
The authors present a case of a patient who was found to have hereditary spherocytosis (HS) after developing nephrotic range proteinuria. The patient had diabetes that was previously thought to be well controlled, but his HS was masking his poor glycemic control. This case highlights the importance of understanding the limitations of the hemoglobin A1c in managing patients with diabetes.
J Osteopath Med; 122(1): 65-68
Diabetes has become a global noninfectious pandemic with rates rapidly rising around the globe. The major drivers of this increase in type 2 diabetes are obesity, an increase in processed foods, and a decrease in physical activity. In the United States, the National Diabetes Prevention Program has proven to be an effective lifestyle intervention to delay or prevent new-onset type 2 diabetes. However, there is limited evidence that such a lifestyle program will work in a South American community. This pilot program aims to determine if a modified version of the Centers for Disease Control and Prevention Diabetes Prevention Program would be feasible in an Ecuadorian population.
J Osteopath Med; 121(12): 905-911
A renaissance in the treatment of diabetic kidney disease, hypertension in chronic kidney disease, and beyond
Chronic kidney disease (CKD) affects approximately 15% of the US population and is associated with significant cardiovascular morbidity and mortality. In this article, the authors define CKD staging, review new hypertension and diabetic guidelines for CKD patients, and discuss major trials for new potential therapies in CKD, particularly diabetic kidney disease. They also provide practical guidance for primary care physicians to diagnose CKD and implement these agents early in the disease course to prevent the progression of disease and reduce the morbidity and mortality of this vulnerable population.
J Osteopath Med; 122(1): 55-63
While type 1 diabetes, type 2 diabetes, and gestational diabetes are most frequently encountered, there are many other types of diabetes with which healthcare providers are less familiar. These atypical forms of diabetes make up nearly 10% of diabetes cases and can masquerade as type 1 or 2 diabetes mellitus (T1DM or T2DM), and the treatment may not be optimized if the diagnosis is not accurate. This paper will detail the defining characteristics of each atypical form and demonstrate how they can masquerade as T1DM or T2DM.
J Osteopath Med; 121(12): 899-904