42 results match your criteria Osteopathic Medicine and Primary Care [Journal]

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Treatment of specific macrovascular beds in patients with diabetes mellitus.

Osteopath Med Prim Care 2010 Aug 11;4. Epub 2010 Aug 11.

Diabetes and Endocrine Center, Ohio University College of Osteopathic Medicine, Athens, OH 45701, USA.

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. Read More

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http://dx.doi.org/10.1186/1750-4732-4-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2925360PMC
August 2010
55 Reads

Learning outcomes from a biomedical research course for second year osteopathic medical students.

Osteopath Med Prim Care 2010 Jul 8;4. Epub 2010 Jul 8.

University of North Texas Health Science Center, Texas College of Osteopathic Medicine, Fort Worth, Texas, USA.

Background: A ubiquitous dilemma in medical education continues to be whether and how to integrate research competencies into the predoctoral curriculum. Understanding research concepts is imbedded in the six core competencies for physicians, but predoctoral medical education typically does not explicitly include research education. In an effort to quickly report academic research findings to the field, this is the second in a series of articles reporting the outcomes of a research education initiative at one college of osteopathic medicine. Read More

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http://dx.doi.org/10.1186/1750-4732-4-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2914734PMC
July 2010
34 Reads

Osteopathic manipulative treatment for pneumonia.

Authors:
Murray Goldstein

Osteopath Med Prim Care 2010 Mar 19;4(1). Epub 2010 Mar 19.

Cerebral Palsy International Research Foundation, Washington, DC, USA.

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. Read More

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http://dx.doi.org/10.1186/1750-4732-4-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2845139PMC
March 2010
13 Reads

Efficacy of osteopathic manipulation as an adjunctive treatment for hospitalized patients with pneumonia: a randomized controlled trial.

Osteopath Med Prim Care 2010 Mar 19;4. Epub 2010 Mar 19.

New Jersey Institute of Successful Aging, University of Medicine and Dentistry - School of Osteopathic Medicine, Stratford, New Jersey, USA.

Background: The Multicenter Osteopathic Pneumonia Study in the Elderly (MOPSE) is a registered, double-blinded, randomized, controlled trial designed to assess the efficacy of osteopathic manipulative treatment (OMT) as an adjunctive treatment in elderly patients with pneumonia.

Methods: 406 subjects aged >/= 50 years hospitalized with pneumonia at 7 community hospitals were randomized using concealed allocation to conventional care only (CCO), light-touch treatment (LT), or OMT groups. All subjects received conventional treatment for pneumonia. Read More

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http://om-pc.biomedcentral.com/articles/10.1186/1750-4732-4-
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http://dx.doi.org/10.1186/1750-4732-4-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2848182PMC
March 2010
12 Reads

Osteopathic Medicine and Primary Care: one journal, two audiences.

Osteopath Med Prim Care 2010 Jan 12;4. Epub 2010 Jan 12.

The Osteopathic Research Center, University of North Texas Health Science Center, Fort Worth, TX, USA.

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. Read More

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http://dx.doi.org/10.1186/1750-4732-4-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2818634PMC
January 2010
4 Reads

The primary care workforce: a critical element in mending the fractured US health care system.

Osteopath Med Prim Care 2009 Oct 16;3:11. Epub 2009 Oct 16.

University of North Texas Health Science Center at Fort Worth, Primary Care Research Institute, 855 Montgomery Street, Fort Worth, TX, USA.

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. Read More

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http://dx.doi.org/10.1186/1750-4732-3-11DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2770048PMC
October 2009
3 Reads

Biomedical research competencies for osteopathic medical students.

Osteopath Med Prim Care 2009 Oct 13;3:10. Epub 2009 Oct 13.

Department of Family Medicine and the Office of Educational Development, University of Texas Medical Branch at Galveston TX, USA.

Background: Without systematic exposure to biomedical research concepts or applications, osteopathic medical students may be generally under-prepared to efficiently consume and effectively apply research and evidence-based medicine information in patient care. The academic literature suggests that although medical residents are increasingly expected to conduct research in their post graduate training specialties, they generally have limited understanding of research concepts.With grant support from the National Center for Complementary and Alternative Medicine, and a grant from the Osteopathic Heritage Foundation, the University of North Texas Health Science Center (UNTHSC) is incorporating research education in the osteopathic medical school curriculum. Read More

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http://dx.doi.org/10.1186/1750-4732-3-10DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2770523PMC
October 2009
9 Reads

The immediate effect of individual manipulation techniques on pulmonary function measures in persons with chronic obstructive pulmonary disease.

Osteopath Med Prim Care 2009 Oct 8;3. Epub 2009 Oct 8.

Department of Osteopathic Manipulative Medicine, A.T. Still University, 800 W Jefferson St, Kirksville, MO 63501, USA.

Background: The use of manipulation has long been advocated in the treatment of chronic obstructive pulmonary disease (COPD), but few randomized controlled clinical trials have measured the effect of manipulation on pulmonary function. In addition, the effects of individual manipulative techniques on the pulmonary system are poorly understood. Therefore, the purpose of this study was to determine the immediate effects of four osteopathic techniques on pulmonary function measures in persons with COPD relative to a minimal-touch control protocol. Read More

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http://om-pc.biomedcentral.com/articles/10.1186/1750-4732-3-
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http://dx.doi.org/10.1186/1750-4732-3-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2765983PMC
October 2009
6 Reads

Assessment of calvarial structure motion by MRI.

Osteopath Med Prim Care 2009 Sep 4;3. Epub 2009 Sep 4.

The Osteopathic Research Center, University of North Texas Health Science Center, 3500 Camp Bowie Boulevard, Fort Worth Texas 76107 USA.

Background: Practitioners of manual medicine/manual therapy (MM/MT) who utilize techniques thought to have some impact upon and move the solid structures of the human head have been criticized for lack of evidence of cranial bone motion. The present study utilized magnetic resonance imagery (MRI) technology to address the question of whether or not inherent (non-operator initiated) calvarial structure motion can be assessed.

Methods:

Subjects: Twenty healthcare professionals, (physicians, nurses, medical students, pharmacists) between the ages of 24 and 52 were recruited. Read More

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http://dx.doi.org/10.1186/1750-4732-3-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2743699PMC
September 2009
2 Reads

Muscle functional magnetic resonance imaging and acute low back pain: a pilot study to characterize lumbar muscle activity asymmetries and examine the effects of osteopathic manipulative treatment.

Osteopath Med Prim Care 2009 Aug 27;3. Epub 2009 Aug 27.

Institute for Neuromusculoskeletal Research, Ohio University College of Osteopathic Medicine, Northfield, OH, USA.

Background: Muscle functional magnetic resonance imaging (mfMRI) measures transverse relaxation time (T2), and allows for determination of the spatial pattern of muscle activation. The purposes of this pilot study were to examine whether MRI-derived T2 or side-to-side differences in T2 (asymmetries) differ in low back muscles between subjects with acute low back pain (LBP) compared to asymptomatic controls, and to determine if a single osteopathic manipulative treatment (OMT) session alters these T2 properties immediately and 48-hours after treatment.

Methods: Subjects with non-specific acute LBP (mean score on 110 visual analog score = 3. Read More

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http://dx.doi.org/10.1186/1750-4732-3-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2744922PMC
August 2009
5 Reads

Time for the osteopathic profession to take the lead in musculoskeletal research.

Osteopath Med Prim Care 2009 Jul 22;3. Epub 2009 Jul 22.

The Osteopathic Research Center, University of North Texas Health Science Center, Fort Worth, TX, USA.

Musculoskeletal conditions, such as low back pain, are prevalent in the United States. These conditions exact an enormous toll on society, both in terms of their detrimental impact on quality of life and on the costs of treatment and lost productivity. Osteopathic physicians, as common providers of primary care services and spinal manipulation, are ideally positioned to lead future research efforts in this field. Read More

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http://dx.doi.org/10.1186/1750-4732-3-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2724431PMC
July 2009
2 Reads

Management of progressive type 2 diabetes: role of insulin therapy.

Osteopath Med Prim Care 2009 Jul 2;3. Epub 2009 Jul 2.

Texas Tech University Health Science Center, 701 West 5th Street, Odessa, TX 79763, USA.

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. Read More

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http://dx.doi.org/10.1186/1750-4732-3-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2716354PMC
July 2009
2 Reads

Spinal and sacroiliac assessment and treatment techniques used by osteopathic physicians in the United States.

Osteopath Med Prim Care 2009 Apr 14;3. Epub 2009 Apr 14.

AT Still Research Institute, AT Still University, Kirksville, MO, USA.

Background: Osteopathic manipulative medicine texts and educators advocate a range of approaches for physical assessment and treatment, but little is known about their use by osteopathic physicians in the United States.

Methods: A web-based survey using a 5-point Likert scale was developed and e-mailed to 777 practicing osteopathic physician members of the American Academy of Osteopathy. Responses in the "frequently" and "always" categories were combined for reporting purposes. Read More

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http://dx.doi.org/10.1186/1750-4732-3-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2676310PMC
April 2009
4 Reads

School-based health centers: A four year experience, with a focus on reducing student exclusion rates.

Osteopath Med Prim Care 2009 Mar 10;3. Epub 2009 Mar 10.

Touro University California, College of Osteopathic Medicine, 1310 Johnson Lane, Vallejo, CA 94592-1130, USA.

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. Read More

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http://dx.doi.org/10.1186/1750-4732-3-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2660344PMC
March 2009
2 Reads

Osteopathic Medicine and Primary Care looks forward to 2009.

Osteopath Med Prim Care 2009 Feb 4;3. Epub 2009 Feb 4.

The Osteopathic Research Center, University of North Texas Health Science Center, Fort Worth, TX, USA.

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. Read More

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http://dx.doi.org/10.1186/1750-4732-3-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2646741PMC
February 2009
2 Reads

A review of the benefits and risks of nonsteroidal anti-inflammatory drugs in the management of mild-to-moderate osteoarthritis.

Osteopath Med Prim Care 2009 Jan 6;3. Epub 2009 Jan 6.

BlueSpark Healthcare Communications, 150 Allen Road, Suite 202, Basking Ridge, NJ 07920, USA.

This review is intended to provide physicians with an overview of the benefits and risks associated with the use of nonsteroidal anti-inflammatory drugs (NSAIDs) in the management of their patients with mild-to-moderate osteoarthritis (OA). New information on the inflammatory component of OA and the cardiovascular (CV) risk associated with cyclooxygenase (COX)-2-specific inhibitors has prompted efforts to revise the current recommendations for the use of NSAIDs in the treatment of patients with OA. Clinical studies have shown that naproxen and ibuprofen are significantly more effective at reducing OA pain than is acetaminophen, the traditional first-line therapy, which has no apparent anti-inflammatory activity in the joints. Read More

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http://dx.doi.org/10.1186/1750-4732-3-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2646740PMC
January 2009
3 Reads

Impact of predisposing, enabling, and need factors in accessing preventive medical care among U.S. children: results of the national survey of children's health.

Osteopath Med Prim Care 2008 Dec 8;2:12. Epub 2008 Dec 8.

Biostatistics Department, University of North Texas Health Science Center, 3500 Camp Bowie Blvd, Fort Worth, TX 76107, USA.

Background: Preventive care in the United States has been a priority, especially for children under 18 years of age. The objective of this analysis was to determine which predisposing, enabling, and need factors affect access to preventive health care for children.

Methods: Data were obtained from the National Survey of Children's Health (NSCH), a cross-sectional study of children in the United States. Read More

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http://dx.doi.org/10.1186/1750-4732-2-12DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2615756PMC
December 2008
6 Reads

The epidemiology and medical management of low back pain during ambulatory medical care visits in the United States.

Osteopath Med Prim Care 2008 Nov 24;2:11. Epub 2008 Nov 24.

The Osteopathic Research Center, University of North Texas Health Science Center, Fort Worth, TX, USA.

Background: Low back pain (LBP) is a common symptom.

Methods: Patient visits attributed to LBP in the National Ambulatory Medical Care Survey (NAMCS) during 2003-2004 served as the basis for epidemiological analyses (n = 1539). The subset of patient visits in which LBP was the primary reason for seeking care (primary LBP patient visits) served as the basis for medical management analyses (n = 1042). Read More

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http://dx.doi.org/10.1186/1750-4732-2-11DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2631527PMC
November 2008
10 Reads

Recommendations for primary care physicians to improve HPV vaccination rates during clinical encounters.

Osteopath Med Prim Care 2008 Oct 23;2:10. Epub 2008 Oct 23.

Center of Community Health, UNT Health Science Center at Fort Worth, 3500 Camp Bowie Blvd, Fort Worth, Texas 76107, USA.

The availability of the human papillomavirus (HPV) vaccine has positioned primary care physicians to play an active role in ensuring its successful implementation. However, physicians must be aware of common knowledge, attitudes, and belief barriers associated with HPV and the vaccine 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. Read More

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http://dx.doi.org/10.1186/1750-4732-2-10DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2577681PMC
October 2008
5 Reads

Rediscovering the classic osteopathic literature to advance contemporary patient-oriented research: A new look at diabetes mellitus.

Osteopath Med Prim Care 2008 Jul 21;2. Epub 2008 Jul 21.

The Osteopathic Research Center, University of North Texas Health Science Center, Fort Worth, TX, USA.

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. Read More

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http://dx.doi.org/10.1186/1750-4732-2-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2503986PMC
July 2008
8 Reads

Osteopathy may decrease obstructive apnea in infants: a pilot study.

Osteopath Med Prim Care 2008 Jul 19;2. Epub 2008 Jul 19.

Department of Pediatrics, Universitair Ziekenhuis Brussel Kinderen, Brussels, Belgium.

Background: Obstructive apnea is a sleep disorder characterized by pauses in breathing during sleep: breathing is interrupted by a physical block to airflow despite effort. The purpose of this study was to test if osteopathy could influence the incidence of obstructive apnea during sleep in infants.

Methods: Thirty-four healthy infants (age: 1. Read More

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http://dx.doi.org/10.1186/1750-4732-2-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2500035PMC
July 2008
5 Reads

Osteopathic manipulative treatment and its relationship to autonomic nervous system activity as demonstrated by heart rate variability: a repeated measures study.

Osteopath Med Prim Care 2008 Jun 5;2. Epub 2008 Jun 5.

Oklahoma State University Center for Health Sciences Department of Pharmacology and Physiology, Tulsa, OK 74107, USA.

Background: The relationship between osteopathic manipulative treatment (OMT) and the autonomic nervous system has long been acknowledged, but is poorly understood. In an effort to define this relationship, cervical myofascial release was used as the OMT technique with heart rate variability (HRV) as a surrogate for autonomic activity. This study quantifies that relationship and demonstrates a cause and effect. Read More

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http://dx.doi.org/10.1186/1750-4732-2-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2442110PMC
June 2008
12 Reads

The somatically preoccupied patient in primary care: use of attachment theory to strengthen physician-patient relationships.

Authors:
Robert C Miller

Osteopath Med Prim Care 2008 Apr 29;2. Epub 2008 Apr 29.

Assistant Professor, Neuropsychiatry and Behavioral Sciences Edward Via Virginia College of Osteopathic Medicine 2265 Kraft Drive Blacksburg, Virginia, 24060, USA.

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. Read More

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http://dx.doi.org/10.1186/1750-4732-2-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2397430PMC
April 2008
23 Reads

OSTEOPAThic Health outcomes in chronic low back pain: The OSTEOPATHIC Trial.

Osteopath Med Prim Care 2008 Apr 25;2. Epub 2008 Apr 25.

The Osteopathic Research Center, University of North Texas Health Science Center-Texas College of Osteopathic Medicine, Fort Worth, TX 76107, USA.

Background: Osteopathic manipulative treatment (OMT) and ultrasound physical therapy (UPT) are commonly used for chronic low back pain. Although there is evidence from a systematic review and meta-analysis that OMT generally reduces low back pain, there are no large clinical trials that specifically assess OMT efficacy in chronic low back pain. Similarly, there is a lack of evidence involving UPT for chronic low back pain. Read More

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http://dx.doi.org/10.1186/1750-4732-2-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2386783PMC
April 2008
22 Reads

Common crossroads in diabetes management.

Osteopath Med Prim Care 2008 Feb 15;2. Epub 2008 Feb 15.

Borgess Center for Diabetes Care, Kalamazoo, Michigan, USA.

The prevalence and impact of type 2 diabetes are reaching epidemic proportions in the United States. Data suggest that effective management can reduce the risk for both microvascular and macrovascular complications of diabetes. In treating patients with diabetes, physicians must be prepared not only to tailor the initial treatment to the individual and his or her disease severity but also to advance treatment as necessary and in step with disease progression. Read More

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http://dx.doi.org/10.1186/1750-4732-2-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2276216PMC
February 2008
2 Reads

Psychopathology and functional impairment among patients attending an adolescent health clinic: Implications for healthcare model reform.

Osteopath Med Prim Care 2008 Feb 8;2. Epub 2008 Feb 8.

Child and Adolescent Psychiatry Unit, Department of Psychiatry, Christian Medical College, Vellore 632 002, India.

Background: In developing countries, primary health care facilities, such as adolescent health clinics, are frequently the first contact for an adolescent with a health professional for a myriad of health problems including mental health issues. Psychopathology is prevalent among adolescents, and causes significant educational, occupational and social impairment. The presence of psychopathology with impairment requires the development of treatment models to address both of these components. Read More

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http://dx.doi.org/10.1186/1750-4732-2-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2259363PMC
February 2008
12 Reads

OTC analgesics and drug interactions: clinical implications.

Osteopath Med Prim Care 2008 Feb 7;2. Epub 2008 Feb 7.

Medical Director, Scientific Therapeutics Information, Inc,, 505 Morris Avenue - 3rd Floor, Springfield, NJ 07081 USA.

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). Read More

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http://dx.doi.org/10.1186/1750-4732-2-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2257951PMC
February 2008
6 Reads

Osteopathic Medicine and Primary Care completes first year of publication.

Osteopath Med Prim Care 2008 Jan 24;2. Epub 2008 Jan 24.

Osteopathic Research Center, University of North Texas Health Science Center, Fort Worth, TX, USA.

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. Read More

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http://dx.doi.org/10.1186/1750-4732-2-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2265731PMC
January 2008
22 Reads

Treating anemia of chronic kidney disease in the primary care setting: cardiovascular outcomes and management recommendations.

Osteopath Med Prim Care 2007 Oct 2;1:14. Epub 2007 Oct 2.

Section of Nephrology, Department of Medicine, West Virginia University Health Sciences Center, PO Box 9165, Morgantown, WV 26506, USA.

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 >/=13 g/dL have been linked with adverse events in recent randomized trials, raising concerns over the proper hemoglobin range for ESA treatment. Read More

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http://om-pc.biomedcentral.com/articles/10.1186/1750-4732-1-
Publisher Site
http://dx.doi.org/10.1186/1750-4732-1-14DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2147011PMC
October 2007
20 Reads

'Personal Care' and General Practice Medicine in the UK: A qualitative interview study with patients and General Practitioners.

Authors:
Rachel Adam

Osteopath Med Prim Care 2007 Aug 31;1:13. Epub 2007 Aug 31.

Centre for Research on Families and Relationships, the University of Edinburgh, 23 Buccleuch Place, Edinburgh, Scotland, UK.

Background: Recent policy and organisational changes within UK primary care have emphasised graduated access to care, speed of access to the first available general practitioner (GP) and care being provided by a range of healthcare professionals. These trends have been strengthened by the current GP contract and Quality and Outcomes Framework (QOF). Concern has been expressed that the potential for personal care is being diminished as a result and that this will reduce quality standards. Read More

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http://dx.doi.org/10.1186/1750-4732-1-13DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2014751PMC
August 2007
3 Reads

Identification of the patient with enlarged prostate: diagnosis and guidelines for management.

Authors:
Steven A Kaplan

Osteopath Med Prim Care 2007 Jul 9;1:11. Epub 2007 Jul 9.

Institute for Bladder and Prostate Health, Weill Medical College of Cornell University, F9-West, Box 261, 1300 York Avenue, New York, NY 10021, USA.

Benign enlargement of the prostate, also referred to as benign prostatic hyperplasia, is a common condition in men. Because enlarged prostate (EP) was viewed historically as a symptomatic condition, management of voiding symptoms with alpha-blockers was often the goal of therapy. However, it is now recognized that EP is a progressive disorder, which may be complicated by acute urinary retention and which may eventually require EP-related surgery. Read More

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http://dx.doi.org/10.1186/1750-4732-1-11DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1950513PMC
July 2007
3 Reads

Avian influenza: an osteopathic component to treatment.

Osteopath Med Prim Care 2007 Jul 9;1:10. Epub 2007 Jul 9.

Department of Osteopathic Manipulative Medicine, Western University of Health Sciences, College of Osteopathic Medicine of the Pacific, 309 East 2Street, Pomona, CA, 91766, USA.

Avian influenza is an infection caused by the H5N1 virus. The infection is highly contagious among birds, and only a few known cases of human avian influenza have been documented. However, healthcare experts around the world are concerned that mutation or genetic exchange with more commonly transmitted human influenza viruses could result in a pandemic of avian influenza. Read More

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http://dx.doi.org/10.1186/1750-4732-1-10DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1939852PMC
July 2007
3 Reads

A practical approach for implementation of a basal-prandial insulin therapy regimen in patients with type 2 diabetes.

Osteopath Med Prim Care 2007 Apr 20;1. Epub 2007 Apr 20.

University of California San Diego, Veterans Affairs Medical Center, San Diego, CA, USA.

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. Read More

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http://dx.doi.org/10.1186/1750-4732-1-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1885266PMC
April 2007
6 Reads

The utility of a health risk assessment in providing care for a rural free clinic population.

Osteopath Med Prim Care 2007 Mar 23;1. Epub 2007 Mar 23.

Department of Preventive Medicine, Edward Via Virginia College of Osteopathic Medicine, 2265 Kraft Drive, Blacksburg, VA 24060, USA.

Background: Free clinics are an important part of our country's health safety net, serving a working poor uninsured population. With limited resources and heavily dependent upon volunteer health care providers, these clinics have historically focused on stopgap, band-aid solutions to the population's health problems. Embracing a new paradigm, free clinics are now prioritizing resources for disease prevention and health promotion. Read More

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http://dx.doi.org/10.1186/1750-4732-1-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1847826PMC
March 2007
2 Reads

Osteopathic research: elephants, enigmas, and evidence.

Osteopath Med Prim Care 2007 Feb 8;1. Epub 2007 Feb 8.

Osteopathic Research Center, University of North Texas Health Science Center-Texas College of Osteopathic Medicine, Fort Worth, TX 76107, USA.

Background: The growth and acceptance of osteopathic physicians as conventional medical practitioners in the United States has also raised questions about the distinctive aspects of osteopathic medicine. Although the use of osteopathic manipulative treatment (OMT) and a focus on primary care are most often cited as rationales for the uniqueness of osteopathic medicine, an osteopathic professional identity remains enigmatic.

Discussion: The fledgling basic osteopathic research efforts of the early and mid-twentieth century have not been sustained and expanded over time. Read More

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http://dx.doi.org/10.1186/1750-4732-1-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1808471PMC
February 2007
4 Reads

A case-control study of osteopathic palpatory findings in type 2 diabetes mellitus.

Osteopath Med Prim Care 2007 Feb 8;1. Epub 2007 Feb 8.

Osteopathic Research Center, University of North Texas Health Science Center-Texas College of Osteopathic Medicine, Fort Worth, TX 76107, USA.

Background: Although type 2 diabetes mellitus is often managed by osteopathic physicians, osteopathic palpatory findings in this disease have not been adequately studied.

Methods: A case-control study was used to measure the association between type 2 diabetes mellitus and a series of 30 osteopathic palpatory findings. The latter included skin changes, trophic changes, tissue changes, tenderness, and immobility at spinal segmental levels T5-T7, T8-T10, and T11-L2 bilaterally. Read More

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http://om-pc.biomedcentral.com/articles/10.1186/1750-4732-1-
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http://dx.doi.org/10.1186/1750-4732-1-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1808472PMC
February 2007
15 Reads

Osteopathic Medicine and Primary Care: a new journal for changing times.

Osteopath Med Prim Care 2007 Jan 12;1. Epub 2007 Jan 12.

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. Read More

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http://dx.doi.org/10.1186/1750-4732-1-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1805770PMC
January 2007
2 Reads

Overcoming obstacles to implementing a primary care research framework.

Osteopath Med Prim Care 2007 Feb 1;1. Epub 2007 Feb 1.

Department of Family Medicine, Division of Education and Research, Texas College of Osteopathic Medicine, University of North Texas Health Science Center at Fort Worth, Fort Worth, Texas, USA.

Background: Primary care research has recently garnered greater attention at the national level. Yet, primary care (i.e. Read More

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http://dx.doi.org/10.1186/1750-4732-1-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1808469PMC
February 2007
4 Reads

Patient expectations for placebo treatments commonly used in osteopathic manipulative treatment (OMT) clinical trials: a pilot study.

Osteopath Med Prim Care 2007 Jan 12;1. Epub 2007 Jan 12.

Osteopathic Research Center, University of North Texas Health Science Center, 3500 Camp Bowie Blvd, Fort Worth, TX 76107, USA.

Background: Placebo treatments should be believable to ensure expectation of benefit, yet not provide a true treatment effect. One obstacle to conducting clinical trials with osteopathic manipulative treatment (OMT) is choosing an appropriate placebo. Various placebo treatments have been used in OMT clinical trials. Read More

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http://om-pc.biomedcentral.com/articles/10.1186/1750-4732-1-
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http://dx.doi.org/10.1186/1750-4732-1-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1805771PMC
January 2007
4 Reads

A comparison of patient visits to osteopathic and allopathic general and family medicine physicians: results from the National Ambulatory Medical Care Survey, 2003-2004.

Osteopath Med Prim Care 2007 Jan 12;1. Epub 2007 Jan 12.

Osteopathic Research Center, University of North Texas Health Science Center-Texas College of Osteopathic Medicine, Fort Worth, TX, USA.

Background: Osteopathic philosophy is consistent with an emphasis on primary care and suggests that osteopathic physicians may have distinctive ways of interacting with their patients.

Methods: The National Ambulatory Medical Care Survey (NAMCS) was used to derive national estimates of utilization of osteopathic general and family medicine physicians during 2003 and 2004 and to examine the patient characteristics and physician-patient interactions of these osteopathic physicians. All analyses were performed using complex samples software to appropriately weigh outcomes according to the multistage probability sample design used in NAMCS and multivariate modeling was used to control for potential confounders. Read More

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http://om-pc.biomedcentral.com/articles/10.1186/1750-4732-1-
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http://dx.doi.org/10.1186/1750-4732-1-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1805772PMC
January 2007
5 Reads

Educating primary care clinicians about health disparities.

Osteopath Med Prim Care 2007 Feb 1;1. Epub 2007 Feb 1.

Department of Family Medicine, University of North Texas Health Science Center, Texas College of Osteopathic Medicine, Fort Worth, Texas 76107, USA.

Racial and ethnic health disparities inarguably exist in the United States. It is important to educate primary care clinicians regarding this topic because they have the ability to have an impact in the reduction of health disparities. 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. Read More

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http://dx.doi.org/10.1186/1750-4732-1-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1808470PMC
February 2007
3 Reads
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