MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Osteopathic Medicine and Primary Care' source. Sun, 10 Oct 2010 14:54:59 +0100 http://www.om-pc.com/content/4/1/5 In 2007, over 23 million people had diabetes in the United States and death from cardiovascular disease is estimated to occur in 80% of those Americans. Risk factor reduction is the most important therapy for primary and secondary prevention of macrovascular disease in patients with and without diabetes mellitus. Despite this, presentation and response to therapy is often different for patients with diabetes compared to their non-diabetic counterparts. This paper will review the current targets for therapy of cardiovascular disease, peripheral vascular disease, and cerebrovascular disease in patients with diabetes. (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=3856797 Tue, 10 Aug 2010 23:00:00 +0100 3856797 http://www.om-pc.com/content/4/1/2 Conclusions: ITT analysis found no differences between groups. PP analysis found significant reductions in LOS, duration of intravenous antibiotics, and respiratory failure or death when OMT was compared to CCO. Given the prevalence of pneumonia, adjunctive OMT merits further study. (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=3381222 Fri, 19 Mar 2010 00:00:00 +0100 3381222 http://www.om-pc.com/content/4/1/3 The pneumonias due to infection continue to be a meaningful threat to the health and viability of persons, particularly those in high risk groups: children, the aged and the debilitated. Noll and colleagues provide us with the results of a well-designed and well- executed multi-institutional controlled clinical trial to evaluate the efficacy of osteopathic manipulative treatment (OMT) in the treatment of pneumonia. The data obtained indicate that by intention-to-treat analysis, the addition of OMT to conventional care did not improve the designated outcomes when compared to conventional care only. A disappointing but important finding. However, by per-protocol analysis, the addition of OMT or of light touch decreased length of hospital stay, the duration of intravenous antibiotics and the ... Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=3381221 Fri, 19 Mar 2010 00:00:00 +0100 3381221 http://www.om-pc.com/content/4/1/1 Osteopathic Medicine and Primary Care (OMPC) enters its fourth year of operation in 2010 under the umbrella of BioMed Central. Osteopathic Medicine and Primary Care strives to promote and advance research and scholarly work within the fields of osteopathic medicine and primary care. In so doing, OMPC welcomes submissions from clinicians within both the osteopathic and allopathic medical professions, and from other professionals having interests in primary care, including health care delivery, public health, and evidence-based medicine. Osteopathic Medicine and Primary Care offers fair and expeditious peer review (mean time from submission to publication, 118 days), retention of copyright for authors, unlimited online distribution and access without charge to readers, indexing in PubMed, an... Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=3165759 Tue, 12 Jan 2010 00:00:00 +0100 3165759 http://www.om-pc.com/content/3/1/11 A focus on the primary care workforce is critical when discussing plans to address the fractured United States health care system. However, we must first address the primary care physician shortage crisis when planning for health care reform which focuses on increasing access to the US population. Initial strategies may include improving reimbursement rates for primary care services, incentivizing medical schools in making primary care training a priority, and developing robust loan-forgiveness programs for those who enter and work in primary care specialties. Planning with congressional representatives about these elements will better ensure sustainable health reform efforts are implemented. (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=2897168 Thu, 15 Oct 2009 23:00:00 +0100 2897168 http://www.om-pc.com/content/3/1/10 Conclusions: Medical students with limited understanding of research concepts may struggle to understand the medical literature. Assessing medical students' confidence to understand and objectively measured ability to interpret basic research concepts can be used to incorporate competency based research material into the existing curriculum. (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=2885097 Mon, 12 Oct 2009 23:00:00 +0100 2885097 http://www.om-pc.com/content/3/1/9 Conclusions: In persons with COPD, TLP with activation, TLP without activation, rib raising, and myofascial release mildly worsened pulmonary function measures immediately posttreatment relative to baseline measurements. The activation component of the TLP technique appears to increase posttreatment residual volume. Despite adverse changes in pulmonary function measures, persons with COPD subjectively reported they benefited from osteopathic manipulation. (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=2874236 Wed, 07 Oct 2009 23:00:00 +0100 2874236 http://www.om-pc.com/content/3/1/7 Conclusion: Collectively, this pilot work demonstrates the feasibility of mfMRI for quantification and localization of muscle abnormalities in patients with acute low back pain. Additionally, this pilot work provides insight into the mechanistic actions of OMT during acute LBP, as it suggests that it may attenuate muscle activity asymmetries of some of the intrinsic low back muscles. (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=2739903 Wed, 26 Aug 2009 23:00:00 +0100 2739903 http://www.om-pc.com/content/3/1/5 Insulin is an effective treatment for achieving tight glycemic control and improving clinical outcomes in patients with diabetes. While insulin therapy is required from the onset of diagnosis in type 1 disease, its role in type 2 diabetes requires consideration as to when to initiate and advance therapy. In this article, we review a case study that unfolds over 5 years and discuss the therapeutic decision points, initiation and advancement of insulin regimens, and analyze new data regarding the advantages and disadvantages of tight management of glucose levels. (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=2567240 Wed, 01 Jul 2009 23:00:00 +0100 2567240 http://www.om-pc.com/content/3/1/4 Conclusions: Respondents reported the use of a broad range of assessment and treatment approaches. Results suggest a higher use of myofascial release and cranial technique and lower use of high-velocity techniques in this group of physicians compared to previous studies. (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=2336630 Tue, 14 Apr 2009 04:00:00 +0100 2336630 http://www.om-pc.com/content/3/1/3 We describe a four year collaborative experience with an on-site, community school-based health center that is staffed by the Vallejo City Unified School District and supervised by the pediatric faculty of the Touro University College of Osteopathic Medicine, with particular attention to first grade student exclusion rates. Patient demographics (including payer source), first grade enrollment statistics, and first grade exclusion rates were analyzed using school district enrollment and exclusion data, billing data, and Child Health Disability Program data. An ethnically diverse patient population is described, with the payer source in 99% of patients being the State of California Child Health Disability Program or no insurance source. Ninety-one percent of office visits were for well chi... Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=2253812 Tue, 10 Mar 2009 04:00:00 +0100 2253812 http://www.om-pc.com/content/3/1/2 Osteopathic Medicine and Primary Care, which enters its third year of operation in 2009 under the umbrella of BioMed Central, continues to promote and advance open access publishing through universal online access without charge, indexing in PubMed and archiving in PubMed Central, retention of authors' copyright, and expeditious peer review. Notable accomplishments during 2008 included a median lag time of four months from initial manuscript submission to publication, designation of eight articles as "highly accessed," and achievement of a balanced proportion of publications in our core topic areas of osteopathic medicine and primary care. In October 2008, Springer Science+Business Media, a major publisher of journals in science, technology, and medicine, acquired the BioMed Central Group.... Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=2160081 Wed, 04 Feb 2009 05:00:00 +0100 2160081 http://www.om-pc.com/content/2/1/10 The availability of the human papillomavirus (HPV) vaccine have positioned primary care physician to have an active role in ensuring its successful implementation. However, physicians must be aware of common knowledge, attitude, and belief barriers associated with HPV and the vaccination that are often encountered during clinical visits. This editorial provides primary care physicians an overview of these barriers and realistic recommendations utilizing the "5A's" - Awareness, Assess, Address, Acceptability, and Activate. This mnemonic can help facilitate a physician's systematic approach to increasing HPV vaccination rates during the clinical encounter (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=1900866 Thu, 23 Oct 2008 04:00:00 +0100 1900866 http://www.om-pc.com/content/2/1/9 Patient care experiences represent opportunities for establishing theories, testable hypotheses, and data to assess the potential use of osteopathic manipulative treatment in various disease conditions. The re-analysis of Bandeen's 1949 raw data described herein summarizes the effects of osteopathic manipulative treatment involving pancreatic stimulatory and inhibitory techniques in diabetic and non-diabetic patients seen over a 25-year period of clinical practice. Bandeen's data demonstrate a reduction in blood glucose levels at 30 and 60 minutes following pancreatic stimulation in 150 diabetic patients, and an elevation in blood glucose levels at 30 and 60 minutes following pancreatic inhibition in 40 non-diabetic patients. Such patient-oriented research conducted during the classic era ... Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=1642253 Mon, 21 Jul 2008 04:00:00 +0100 1642253 http://www.om-pc.com/content/2/1/7 This study quantifies that relationship and demonstrates a cause and effect. Methods: Seventeen healthy subjects, nine males and eight females aged 19-50 years from the faculty, staff, and students at Oklahoma State University Center for Health Sciences College of Osteopathic Medicine, acted as their own controls and received interventions, administered in separate sessions at least 24 hours apart, of cervical myofascial OMT, touch-only sham OMT, and no-touch control while at a 50-degree head-up tilt. Each group was dichotomized into extremes of autonomic activity using a tilt table. Comparisons were made between measurements taken at tilt and those taken at pre- and post-intervention in the horizontal. The variance of the spectral components of HRV, expressed as frequencies, measured the... Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=1496828 Thu, 05 Jun 2008 04:00:00 +0100 1496828 http://www.om-pc.com/content/2/1/6 Background: Individuals with somatic preoccupation constitute a substantial number of primary care patients. Somatically preoccupied patients are challenging to primary care physicians for several reasons including patient complaints consuming a great deal of physician time, expense to diagnose and treat and strain on the physician-patient relationship. This paper examines and discusses how disruptions in early attachment relationships such as often occurs when a female is a victim of child sexual abuse may result in somatic preoccupation in adulthood. Treatment Utilizing Attachment Theory Attachment theory provides a useful framework for primary care physicians to conceptualize somatic preoccupation. Utilization and containment techniques grounded in an understanding of attachment dynami... Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=1406657 Tue, 29 Apr 2008 04:00:00 +0100 1406657 http://www.om-pc.com/content/2/1/5 Conclusion: This randomized controlled trial will potentially be the largest involving OMT. It will provide long awaited data on the efficacy of OMT and UPT for chronic low back pain. Trial registration: http://www.clinicaltrials.gov, NCT00315120 (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=1399017 Fri, 25 Apr 2008 04:00:00 +0100 1399017 http://www.om-pc.com/content/2/1/3 Conclusion: Patients attending adolescent health clinics should be screened for psychopathology and functional impairment. Documented psychopathology and impairment necessitates the use of a combined treatment model to address the short and long-term problems these adolescents face. (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=1217781 Fri, 08 Feb 2008 05:00:00 +0100 1217781 http://www.om-pc.com/content/2/1/2 The risk of drug interactions with concurrent use of multiple medications is a clinically relevant issue. Many patients are unaware that over-the-counter (OTC) analgesics can cause potentially serious adverse effects when used in combination with other common medications such as anticoagulants, corticosteroids, or antihypertensive agents. Of particular significance is the increased risk of upper abdominal gastrointestinal adverse events in patients who take traditional nonsteroidal anti-inflammatory drugs (NSAIDs). This risk is dose dependent and further increased in patients who take more than one NSAID or use NSAIDs in combination with certain other medications. Some NSAIDs may also mitigate the antithrombotic benefits of aspirin and may increase blood pressure in patients with hypertens... Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=1215153 Thu, 07 Feb 2008 05:00:00 +0100 1215153 http://www.om-pc.com/content/2/1/1 Osteopathic Medicine and Primary Care affords authors the opportunity for rapid and universal dissemination of their work. We are keen to receive author manuscripts and reader comments on articles during 2008. A journal fund has been established to offset the cost of article processing charges for eligible authors who submit qualified manuscripts. (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=1174790 Thu, 24 Jan 2008 05:00:00 +0100 1174790 http://www.om-pc.com/content/1/1/14 Anemia is an underrecognized but characteristic feature of chronic kidney disease (CKD), associated with significant cardiovascular morbidity, hospitalization, and mortality. Since their inception nearly two decades ago, erythropoiesis-stimulating agents (ESAs) have revolutionized the care of patients with renal anemia, and their use has been associated with improved quality of life and reduced hospitalizations, inpatient costs, and mortality. Hemoglobin targets [greater than or equal to]13 g/dL have been linked with adverse events in recent randomized trials, raising concerns over the proper hemoglobin range for ESA treatment. This review appraises observational and randomized studies of the outcomes of erythropoietic treatment and offers recommendations for managing renal anemia in the p... Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=921167 Tue, 02 Oct 2007 04:00:00 +0100 921167 http://www.om-pc.com/content/1/1/12 Commentary on Avian influenza: an osteopathic component to treatment Raymond J Hruby and Keasha N Hoffman (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=722263 Mon, 09 Jul 2007 04:00:00 +0100 722263 http://www.om-pc.com/content/1/1/9 Basal-prandial insulin therapy is a physiologic approach to insulin delivery that utilizes multiple daily injections to cover both basal (ie, overnight fasting and between-meal) and prandial (ie, glucose excursions above basal at mealtime) insulin needs. While basal-prandial therapy with multiple daily injections is an important therapeutic option for patients with type 2 diabetes, there is a common perception that this therapy is difficult to initiate in the primary care setting. To address this issue, a panel of clinical experts convened to develop practical recommendations on how to initiate basal-prandial therapy in patients with type 2 diabetes, focusing on patient selection, simple dosing and titration, and monitoring. Patients with type 2 diabetes who are appropriate candidates for ... Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=558080 Fri, 20 Apr 2007 04:00:00 +0100 558080 http://www.om-pc.com/content/1/1/8 DiscussionHealth risk assessments play a role in changing health beliefs and behaviors by providing subjects with individualized feedback on how their lifestyle choices impact their health and well-being. Summed data from health risk appraisals can also be a useful tool in determining the allocation of limited health resources. Whether health risk assessments impact health outcomes directly needs to be studied. (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=497192 Fri, 23 Mar 2007 04:00:00 +0100 497192 http://www.om-pc.com/content/1/1/6 Conclusions: The only consistent finding in this study was an association between type 2 diabetes mellitus and tissue changes at T11-L2 on the right side. Potential explanations for this finding include reflex viscerosomatic changes directly related to the progression of type 2 diabetes mellitus, a spurious association attributable to confounding visceral diseases, or a chance observation unrelated to type 2 diabetes mellitus. Larger prospective studies are needed to better study osteopathic palpatory findings in type 2 diabetes mellitus. (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=405330 Thu, 08 Feb 2007 07:00:00 +0100 405330 http://www.om-pc.com/content/1/1/7 Conclusions: The osteopathic profession should adopt a coherent strategy for developing and promoting its identity. Failure to do so will likely ensure that osteopathic medicine remains "stuck in the middle." (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=405329 Thu, 08 Feb 2007 07:00:00 +0100 405329 http://www.om-pc.com/content/1/1/4 Conclusions: Significant effort is required to establish a successful research framework in family medicine. The framework presented herein serves as an example for other departments to use and adapt in developing their research division. (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=390302 Thu, 01 Feb 2007 07:00:00 +0100 390302 http://www.om-pc.com/content/1/1/5 This article presents the evidence that disparities exist, how clinicians contribute to these disparities, and what primary care clinicians can do to reduce disparities in their practice. Clinicians are able to impact health disparities by receiving and providing cross-cultural education, communicating effectively with patients, and practicing evidence-based medicine. The changes suggested herein will have an impact on the current state of health of our nation. (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=390301 Thu, 01 Feb 2007 07:00:00 +0100 390301 http://www.om-pc.com/content/1/1/1 Osteopathic Medicine and Primary Care is dedicated to the rapid and universal dissemination of peer-reviewed research and scholarly work within its scope. It aims to bridge diverse professional communities by providing a common forum for the publication of research relevant to the clinical practice of primary care. (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=362845 Fri, 12 Jan 2007 07:00:00 +0100 362845 http://www.om-pc.com/content/1/1/1 Osteopathic Medicine and Primary Care is dedicated to the rapid and universal dissemination of peer-reviewed research and scholarly work within its scope. It aims to bridge diverse professional communities by providing a common forum for the publication of research relevant to the clinical practice of primary care. (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=440693 Fri, 12 Jan 2007 05:00:00 +0100 440693 http://www.om-pc.com/content/1/1/2 Conclusion: Osteopathic physicians are a major source of general and family medicine care in the United States, particularly in the Northeast. However, pediatric and young adult patients, Hispanics, and non-Black racial minorities underutilize osteopathic physicians. There is little evidence to support a distinctive approach to physician-patient interactions among osteopathic physicians in general and family medicine, particularly with regard to time spent with patients and preventive medicine services. (Source: Osteopathic Medicine and Primary Care) Osteopathic Medicine and Primary Care journals http://www.medworm.com/rss/comments.php?id=440692 Fri, 12 Jan 2007 05:00:00 +0100 440692