Roller Coasters for Kidney Stones?Journal of Osteopathic Medicine2016-09-26 | David D. Wartinger, DO, JD, describes a renal model used to determine whether roller coasters can aid in the passing of renal calculi (kidney stones). Read more at http://jaoa.org/article.aspx?articleid=2557373.A Model to Compare Practice Patterns of DO and MD Surgical SubspecialistsJournal of Osteopathic Medicine2020-11-13 | In the third episode of the JAOA's new podcast series, Behind the Research, Melissa Schmidt (JAOA Director) interviews Harris Ahmed, DO, author of a recent article in which he and his 4 co-authors analyzed the practice locations of 643 ophthalmologists in Michigan, traditionally a hub of osteopathic education and practice, and found a higher proportions DOs practicing in rural communities, suggesting a familiar trend toward osteopathic involvement in underserved areas. Dr. Ahmed discusses these findings in Michigan as a "case study" for how traditional differences in practice patterns for DOs and MDs in primary care are also borne out in surgical subspecialties. He also discusses how expansion of graduate medical education (GME) could help strategically redistribute specialists of all medical education backgrounds into underserved areas.
The article is available at www.jaoa.org.
SHOW NOTES
Interview with Dr. Ahmed in The DO: "Expanding GME, rather than expanding scope of practice, can alleviate looming physician shortage." thedo.osteopathic.org/2020/09/expanding-gme-rather-than-expanding-scope-of-practice-can-alleviate-looming-physician-shortage-do-writesThe JAOA: Refreshed and Refocused for 2021Journal of Osteopathic Medicine2020-10-29 | In this video from the AOA’s House of Delegates meeting in October, Dr. Ross Zafonte (JAOA Editor-in-Chief) summarizes our recent efforts to update the peer review processes and publication operations at the JAOA, providing faster times to publication and more evidence-based content. As we look to 2021 and beyond, hear how the JAOA will be refreshed as an online-only, open access publication at no cost to authors.The Use of Osteopathic Manipulative Medicine in the Management of Recurrent MastitisJournal of Osteopathic Medicine2020-10-27 | Mastitis affects breastfeeding mothers everywhere and management obstacles often lead to cessation of breastfeeding. Breastfeeding mastitis is commonly managed with antibiotics despite lack of clear infectious etiology. This patient underwent with osteopathic manipulative treatment (OMT) to the affected breast over 2 sessions and was taught how to perform self-myofascial release. Techniques are shown in this video.Opioid Use in the Postpartum Period: Are we prescribing too much? (Podcast)Journal of Osteopathic Medicine2020-10-22 | In the second episode of the JAOA's new podcast series, Behind the Research, Melissa Schmidt (JAOA Director) interviews Danielle Prentice, DO, and Amanda Berry, DO, authors of a recent pilot study in which they reviewed the medical records of 37 patients who delivered either vaginally or via Cesarean section at a community hospital in Oklahoma, analyzing the number of opioid pills each patient was prescribed. The authors then followed up with a survey 4-6 weeks after discharge to track the number of pills that had gone unused by these patients, finding that an overall average of 9.1 pills were left. Here, we discussed their motivation for their study and the implications of these results in the context of the opioid epidemic.
The article is available for free at: jaoa.org/article.aspx?articleid=2765210&resultClick=1Submitting Your Paper to the JAOA and Handling Revision RequestsJournal of Osteopathic Medicine2020-10-15 | In this video presentation first shared at OMED 2020, Hunter Alexander (JAOA’s Senior Publishing Editor) details the required elements for the different manuscript types submitted to the JAOA, and also describes what’s required of authors during the revision process. For more information, please review the JAOA’s Information for Authors page online (jaoa.org/ss/authors.aspx) or contact Mr. Alexander via email (halexander@osteopathic.org).The Academic Research CycleJournal of Osteopathic Medicine2020-10-15 | In this video presentation first shared at OMED 2020, Melissa Schmidt (JAOA Director) gives an overview of the academic research cycle. This presentation is intended for both novice and experienced researchers, with the aim of helping to clarify the ways in which research springs from clinical observations and begets new projects/phases before circling back again to a core question or knowledge gap. Ms. Schmidt clarifies which types of methodology are best suited to answer each question, discusses the order in which each type of study should be undertaken, and specifies which published article types correlate best with each step. For more information, email mschmidt@osteopathic.org and visit www.jaoa.org.Mental Health and Licensing Requirements: How compliant are osteopathic applications? (Podcast)Journal of Osteopathic Medicine2020-10-06 | In the first episode of the JAOA's new podcast series, Behind the Research, Melissa Schmidt (JAOA Director) interviews Katherine Lincoln, DO, and Beth Wagner, DO, authors of a recent article evaluating the compliance of state osteopathic medical licensing boards with ADA requirements regarding mental health questioning. (Spoiler alert: 6 of the 7 states with different osteopathic applications were not fully compliant with ADA requirements, while the states' allopathic applications were.) The authors discuss the implications of this noncompliance and disparity on mental health throughout the medical education process and make the case for state-level advocacy to rectify the persistent barrier that can ultimately turn illness into impairment. They also discuss how they fit research and writing into their busy clinical schedules.Asthma: An Osteopathic Modular Approach Part IIIJournal of Osteopathic Medicine2020-09-22 | ...Asthma: An Osteopathic Modular Approach Part IIJournal of Osteopathic Medicine2020-09-22 | ...Asthma: An Osteopathic Modular Approach Part IJournal of Osteopathic Medicine2020-09-22 | ...Osteopathic Approach to Treatment of Carpal Dysfunction: the Carpal Mobilization TechniqueJournal of Osteopathic Medicine2020-09-02 | A simple and efficient diagnostic evaluation followed by osteopathic manipulative treatment (OMT) for carpal bone somatic dysfunctionDesigning and Executing a High-Quality Systematic Literature ReviewJournal of Osteopathic Medicine2020-08-07 | Literature reviews are the first step in any academic research cycle. Watch this webinar as Melissa Schmidt, Director of the Journal of the American Osteopathic Association, gives tips for putting together a quality systematic literature review.Osteopathic Manipulative Therapy for Knee ArthroplastyJournal of Osteopathic Medicine2020-07-27 | ...Osteopathic Manipulative Treatment for Low Back PainJournal of Osteopathic Medicine2020-05-21 | In this video, the physician dempnstrates prone pressure with counterleverage and the sacroiliac joint articulatory technique.Osteopathic Approach to Rhinitis, Step 5: Auricular DrainageJournal of Osteopathic Medicine2020-04-23 | This technique helps resolve fluid stasis of the middle ear and augment lymphatic drainage from the ear to nose.Osteopathic Approach to Rhinitis, Step 6: Mandibular Drainage of GalbreathJournal of Osteopathic Medicine2020-04-23 | This technique is used to improve the lymphatic drainage of the ears, nose, and throat typically around the pterygoid plexus and to remove myofascial dysfunction.Osteopathic Approach to Rhinitis, Step 7: Cervical Chain DrainageJournal of Osteopathic Medicine2020-04-23 | This technique is used to improve lymphatic circulation in the ears, nose, and throat region.Osteopathic Approach to Rhinitis, Step 8: Suboccipital ReleaseJournal of Osteopathic Medicine2020-04-23 | This technique improves circulation and increases venous and lymphatic drainage to decrease edema.Osteopathic Approach to Rhinitis, Step 1: Opening the Thoracic InletJournal of Osteopathic Medicine2020-04-23 | Opening the thoracic inlet to remove restrictive fascial barrier and improve respiration and circulation.Osteopathic Approach to Rhinitis, Step 2: Doming the DiaphragmJournal of Osteopathic Medicine2020-04-23 | This technique is used to enhance the function of the diaphragm and improve lymphatic drainage.Osteopathic Approach to Rhinitis, Step 3: Facial Effleurage of the Frontal and Maxillary SinusesJournal of Osteopathic Medicine2020-04-23 | This technique is used to improve mucociliary clearance and lymphatic drainage of the head, ears, nose and throat.Osteopathic Manipulative Treatment for Pediatric Patients With Otitis MediaJournal of Osteopathic Medicine2020-02-21 | The Galbreath technique is a lymphatic drainage technique that can be used for eustachian tube dysfunction, a contributing factor to otitis media, in patients of all ages.Osteopathic Approach to Diagnosis and Treatment of Dysfunction at the Thoracolumbar JunctionJournal of Osteopathic Medicine2020-01-24 | Treatment targeting dysfunction of the thoracolumbar junction may help reduce postural compensatory mechanisms, balance sympathetic nervous system through viscerosomatic reflexes, and decrease pain.High-Velocity, Low-Amplitude Management of Posterior Rib Somatic DysfunctionJournal of Osteopathic Medicine2019-12-27 | Causes of posterior rib somatic dysfunctions include cough, poor posture, poor lifting technique, or excessive physical activity. In this demonstration, HVLA is used in a patient model of posterior rib somatic dysfunction.Osteopathic Cranial Manipulative Medicine: Frontal and Parietal Lift TechniquesJournal of Osteopathic Medicine2019-11-27 | The techniques demonstrated in this video can be used to release articular, membranous, and ligamentous restrictions and strains in the frontal and parietal bones and associated structures.Extracardiac Lung AdenocarcinomaJournal of Osteopathic Medicine2019-10-28 | Underfilling of the left ventricle was appreciated as the mass was compressing the lateral and inferior walls of the left ventricular chamber.Osteopathic Manipulative Medicine Considerations in Pelvic PainJournal of Osteopathic Medicine2019-10-28 | Chronic pelvic pain is seen in 15% to 20% of women and in in 8% of men. Sean Moloney, DO, demonstrates muscle energy technique of the symphysis pubis.Effect of OCMM on an Aged Rat Model of Alzheimer Disease: OCMM RatsJournal of Osteopathic Medicine2019-10-15 | To investigate the effect of Osteopathic Cranial Manipulative Medicine on spatial learning and memory in naturally aged rat model of AD, aged rats were grouped into OCMM-treated and untreated groups and compared. This video shows an OCMM-treated rat. The movement starts at 0:13. Four quadrants and platform location (circle at northwest quadrant) are marked in the video.OMT for Allostatic Load LoweringJournal of Osteopathic Medicine2019-09-27 | Allostatic load refers to emotional and physical stress, which can have damaging effects on the human body. Victor Nuno, DO, demonstrates 2 osteopathic manipulative treatment techniques--lumbar high velocity, low amplitude and upper thoracic facilitated positional release--which may aid in lowering the biomarkers of this condition.OMT Considerations in Tension-Type HeadacheJournal of Osteopathic Medicine2019-09-27 | Tension-type headache, which affects more than 65 million people in the United States, may result from somatic dysfunction of the muscles of the neck or suboccipital region. Sean Moloney, DO, demonstrates 2 osteopathic manipulative treatment techniques, bilateral cervical stretch and contralateral traction, that may prevent and manage this condition.OMT for Constipation in Patients with Cystic FibrosisJournal of Osteopathic Medicine2019-06-21 | Cystic fibrosis (CF) is an autosomal recessive genetic disorder primarily affecting the lungs and digestive system. Patients with CF often have multiorgan dysfunction, including chronic lung infections, pancreatic insufficiency, chronic constipation, and distal intestinal obstructive syndrome (DIOS). Dr Wolf demonstrates the use of a mesenteric lift to improve symptoms of constipation in patients with cystic fibrosis.OMT for Temporomandibular DisordersJournal of Osteopathic Medicine2019-05-27 | Temporomandibular disorder is common, affecting a quarter of the population. The symptoms of clicking and crepitation may be improved through OMT. Jordan Keys, DO, demonstrates the use unilateral TMJ dysfunction muscle energy, which targets the muscles of mastication.Muscle Energy for the Occipitoatlantal JointJournal of Osteopathic Medicine2019-02-22 | A combination of dysfunction in the motion and positioning of the occipitoatlantal joint, tension of nearby structures, and compression of nerves can contribute to headaches. Melissa Pearce, DO, demonstrates the use of muscle energy to enable reflex inhibition of muscles and increase muscle length in the occipitoatlantal joint to address pain.Effect of OCMM on an Aged Rat Model of Alzheimer Disease: Untreated RatsJournal of Osteopathic Medicine2019-02-21 | To investigate the effect of Osteopathic Cranial Manipulative Medicine on spatial learning and memory in naturally aged rat model of AD, aged rats were grouped into OCMM and No OCMM groups and compared. This video shows an untreated rat. The movement starts at 0:13. Four quadrants and platform location (circle at northwest quadrant) are marked in the video.OMM for Pediatric Patients With PertussisJournal of Osteopathic Medicine2019-01-25 | Tami Hendriksz, DO, demonstrates the use of osteopathic manipulative treatment--specifically balanced ligamentous tension--to help treat a child with pertussis, or whooping cough. This technique can be beneficial in relieving pertussis-related cough.An Osteopathic Approach to Stasis Dermatitis and Chronic Venous InsufficiencyJournal of Osteopathic Medicine2018-11-20 | Victor Nuno, DO, demonstrates the use of lymphatic techniques to increase lymphatic flow and improve immune function in patients with chronic venous insufficiency.Osteopathic Approach to Diagnosis and Treatment of the Sacroiliac JointJournal of Osteopathic Medicine2018-09-21 | For patients with low back pain, pelvic pain, or visceral complaints from the abdominopelvic region, diagnosis and treatment of the sacroiliac joint can help. John Glover, DO, describes the anatomy and demonstrates the technique.An Osteopathic Approach to Rib Somatic DysfunctionJournal of Osteopathic Medicine2018-09-21 | Stacey Pierce-Talsma, DO, demonstrates the use of balanced ligamentous tension to address rib somatic dysfunction and improve respiratory function in patient with disorders such as pneumonia, asthma, COPD, and emphysema.Doming the Diaphragm in a Patient with Multiple SclerosisJournal of Osteopathic Medicine2018-07-27 | Patients with multiple sclerosis may have fatigue related to breathing and weakness of the respiratory muscles. In this video, R. Mitchell Hiserote, DO, demonstrates doming the diaphragm to improve respiratory dysfunction.Osteopathic Lymphatic Pump TechniquesJournal of Osteopathic Medicine2018-06-25 | Lee Ann Curry, DO, demonstrates the thoracic and pedal pump techniques to increase lymphatic flow, boost antibiody response to vaccines, increase secretory IgA in stressed patents, and more.Osteopathic Cranial Manipulative Medicine in the Setting of ConcussionJournal of Osteopathic Medicine2018-05-24 | Osteopathic diagnosis and treatment can be an effective tool in assessing and managing the symptoms of concussion, which can include headaches, dizziness, sleep disturbances, and difficulty concentrating. In this video, Jordan Keys, DO, demonstrates the venous sinus drainage technique.How to Research: Getting StartedJournal of Osteopathic Medicine2018-04-19 | JAOA Director Audrey Lusher discusses the basics of research, including how to come up with a research topic and other options for scholarly activity.OMT for Patients With Sacral Somatic DysfunctionJournal of Osteopathic Medicine2018-02-26 | Kim Pfotenhauer, DO, demonstrates sacral rocking, an OMT technique to optimize biomechanical efficiency of the pelvis. This technique can aid in improving conditions such as low back pain, constipation, and dysmenorrhea.OMT to Address the Physiologic Effects of StressJournal of Osteopathic Medicine2018-01-26 | Emotional and physical stress induce a physiologic response in our bodies. Chronic exposure to stressors can lead to maladaptive alterations in stress response, hormone levels, and allostatic load. OMT techniques of suboccipital decompression and rib raising may have beneficial effects, as described in this video by Victor Nuño, DO.OMT Minute: OMT for Patients After Bowel ResectionJournal of Osteopathic Medicine2018-01-08 | Nicole Peña, DO, demonstrates the use of balanced ligamentous tension (release of the 12th rib and lumbosacral decompression) to reduce complications and shorten hospital stays in patients with colon cancer who have undergone bowel resection.OMT for Patients With Multiple SclerosisJournal of Osteopathic Medicine2017-11-27 | Kimberly Wolf, DO, demonstrates the use of osteopathic manipulative treatment--specifically thoracic inlet myofascial release and sacral wobble--to increase motion and improve functioning of the respiratory and circulatory systems in patients with multiple sclerosisOMT Minute: Condylar Decompression Technique for InfantsJournal of Osteopathic Medicine2017-10-27 | Stacey Pierce-Talsma, DO, demonstrates the use of the osteopathic manipulative treatment (OMT) technique condylar decompression on infants. This technique can help manage various symptoms, including colic, reflux, feeding dysfunction, torticollis, plagiocephaly, and constipation.Reducing antipsychotics in older adults with dementiaJournal of Osteopathic Medicine2017-06-26 | Use of antipsychotics for the symptoms of dementia in community-dwelling adults aged ≥65 is common despite modest benefits and serious risks.One Health: People, Animals, and the EnvironmentJournal of Osteopathic Medicine2017-05-25 | There is a delicate balance among the relationships between the health of humans, animals, and the environment such that when an imbalance exists, the effects can be catastrophic. The One Health strategy seeks to monitor these relationships through interdisciplinary collaborations and communications.Employer-Funded Health Improvement ProgramJournal of Osteopathic Medicine2017-05-01 | Reductions in blood pressure, cholesterol, body mass index, and glucose level may reduce employee absenteeism and beneficiary health claims, leading to greater benefit to employers.