Medicine and Health Sciences Commons^™

Applying Osteopathic Principles To Formulate Treatment For Patients With Chronic Pain, Michael Kuchera

Michael Kuchera

Osteopathic manipulative medicine (OMM) is a physician-directed approach to patient care that incorporates diagnostic and therapeutic strategies to address body unity issues, enhance homeostatic mechanisms, and maximize structure-function interrelationships. Osteopathic physicians integrate a thorough medical history with palpatory examination of a patient to ascertain distinctive characteristics and origins of the patient's pain, to evaluate how pain uniquely affects the patient, and to determine whether segmental, reflex, or triggered pain phenomena coexist in the patient. Osteopathic manipulative medicine expands differential diagnoses by allowing the physician to consider somatic dysfunction and implement treatment options via integration of specific aspects of complementary care …

Hysteresis As A Measure Of Ankle Dysfunction, Alissa Cohen, James Mertz, Peggy Stewart, Michael Warner, Michael Kuchera

Michael Kuchera

There is no abstract for this article.

A Comparative Study Of Cervical Hysteresis Characteristics After Various Osteopathic Manipulative Treatment (Omt) Modalities, Precious Barnes, Francisco Laboy, Lauren Noto-Bell, Veronica Ferencz, Jeffrey Nelson, Michael Kuchera

Michael Kuchera

BACKGROUND: Few objective measures have been used to document change in myofascial tissues after OMT.

HYPOTHESIS: Paraspinal tissues associated with cervical somatic dysfunction (SD) will demonstrate quantifiable change in myofascial hysteresis characteristics after a given OMT technique but not after a Sham intervention.

MATERIALS AND METHODS: 240 subjects were palpated for cervical articular SD. A randomly selected intervention (5 OMT techniques or a Sham) was applied to the cervical SD clinically considered to be most severe. A durometer (SA201(®); Sigma Instruments, Cranberry, PA, USA) objectively measured myofascial structures overlying each cervical spinal segment pre- and post- intervention. Using a …

Mortality, Mauling, And Maiming By Vicious Dogs, John Bini, Stephen Cohn, Shirley Acosta, Marilyn Mcfarland, Mark Muir, Joel Michalek

John K. Bini

Objective: Maiming and death due to dog bites are uncommon but preventable tragedies. We postulated that patients admitted to a level I trauma center with dog bites would have severe injuries and that the gravest injuries would be those caused by pit bulls. Design: We reviewed the medical records of patients admitted to our level I trauma center with dog bites during a 15-year period. We determined the demographic characteristics of the patients, their outcomes, and the breed and characteristics of the dogs that caused the injuries. Results: Our Trauma and Emergency Surgery Services treated 228 patients with dog bite …

Osteopathic Evaluation And Manipulative Treatment In Reducing The Morbidity Of Otitis Media: A Pilot Study, Brian Degenhardt, Michael Kuchera

Michael Kuchera

OBJECTIVE: To study the effects of osteopathic manipulative treatment in routine pediatric care for children with recurrent acute otitis media. STUDY DESIGN: Pilot cohort study with 1-year posttreatment follow-up. At follow-up, subjects' parents or legal guardians and their referring and/or family physicians were contacted to determine recurrence of otitis media since intervention. Subjects: A referred and volunteer sample of pediatric patients ranging in age from 7 months to 35 months with a history of recurrent otitis media (N=8). INTERVENTION: For 3 weeks, all subjects received weekly osteopathic structural examinations and osteopathic manipulative treatment. This intervention was performed concurrently with traditional …

Whole-Body Vibration Improves Functional Mobility, Flexibility, And Relative Risk For Falling In The Assisted Living Elderly: A Case Series, Christina Garrity, Harold Merriman, C. Brahler

C. Jayne Brahler

Study design: A randomized double blind repeated measures, case series study of whole body vibration (WBV) in the assisted living elderly.

Background: A single exposure to WBV has been shown to have benefit with respect to muscle activity, strength, balance, and power in some studies while other studies have found no benefit. Its overall effectiveness is unknown due to the conflicting findings reported in the literature.

Case description: Six subjects (5 female, 1 male; mean age = 85.4) in an assisted living community volunteered to participate. Subjects were exposed to a single bout of WBV at 0, 2, 20, and …

Perioperative Nonopioid Agents For Pain Control In Spinal Surgery., Anna Rivkin, Mark Rivkin

Mark Rivkin

PURPOSE: Commonly used nonopioid analgesic agents that are incorporated into multimodal perioperative pain management protocols in spinal surgery are reviewed. SUMMARY: Spinal procedures constitute perhaps some of most painful surgical interventions, as they often encompass extensive muscle dissection, tissue retraction, and surgical implants, as well as prolonged operative duration. Perioperative nonopioid analgesics frequently used in multimodal protocols include gabapentin, pregabalin, acetaminophen, dexamethasone, ketamine, and nonsteroidal antiinflammatory drugs (NSAIDs). There is evidence to suggest that gabapentin is safe and effective in reducing opioid consumption and pain scores at optimal doses of 600-900 mg orally administered preoperatively. Pregabalin 150-300 mg orally perioperatively …

Middle-Aged Man With Penetrating Trauma To The Pancreaticoduodenal Complex, Thomas Bening, John Bini, Brian Perry, Melanie Richards

John K. Bini

No abstract provided.

The Role Of Parent Partners In Health Education (Pphe) To Enhance Family Medicine Residents' Awareness Of Medical And Social Issues Affecting Children With Developmental Disabilities, Sanjeev Vasishtha

Sanjeev Vasishtha MD

No abstract provided.

Perceived Harm Of Secondhand Electronic Cigarette Vapors And Policy Support To Restrict Public Vaping: Results From A National Survey Of Us Adults, Susan Mello, Cabral Bigman, Ashley Sanders-Jackson, Andy Tan

Andy SL Tan

Introduction: There is ongoing debate over banning electronic cigarette (e-cigarette) use (vaping) in public places. Many people perceive secondhand e-cigarette vapors (SHV) to be relatively harmless, which may affect their support for policies to restrict vaping in public places. Given that awareness of secondhand cigarette smoke risks predicts public support for clean air policies, we hypothesized that greater perceived harm of SHV to personal health would be associated with stronger support for vaping restrictions.

Methods: Data from 1449 US adults in a national online panel was collected from October to December 2013. Using multiple regressions, we predict a three-item scale …

Sinusitis In Children - An Update, Sanjeev Vasishtha

Sanjeev Vasishtha MD

No abstract provided.

Governor Rendell's Prescription For Pennsylvania: A Bill Too Large To Swallow Whole, Raymond Singer

Raymond L Singer MD

No abstract provided.

So You're Not Lvpg? Gee, For A Second I Was Worried., Raymond Singer

Raymond L Singer MD

No abstract provided.

Live Television Interview On Barbara Walter's Valve Surgery, Raymond Singer

Raymond L Singer MD

No abstract provided.

Ron Swinfard's Legacy : Humble Leader Who Cares For People, Raymond Singer

Raymond L Singer MD

No abstract provided.

How To Make Par In Life, Raymond Singer

Raymond L Singer MD

No abstract provided.

New Heart Valve Procedure Kindles Memory Of A Visonary Surgeon, Raymond Singer

Raymond L Singer MD

No abstract provided.

Elliot Sussman Was A Visonary Who Inspired, Raymond Singer

Raymond L Singer MD

No abstract provided.

What You Need To Know About Valve Surgery, Raymond Singer

Raymond L Singer MD

No abstract provided.

Golf's Lessons Can Be Your Caddie To Help You Make Par In Life., Raymond Singer

Raymond L Singer MD

No abstract provided.

Careful Selection Of Candidates For Percutaneous Ventricular Assist Device Is Crucial, Raymond Singer

Raymond L Singer MD

No abstract provided.

Cardiac Surgery Report Cards Benefit Patients, Raymond Singer

Raymond L Singer MD

No abstract provided.

Letter To The Editor: Tort Reform Is A Must, Raymond Singer

Raymond L Singer MD

No abstract provided.

A Worldly Rabbi Makes A World Of Difference At Home, Raymond Singer

Raymond L Singer MD

No abstract provided.

An Attitude Of Gratitude: A Positive Outlook Can Impact Your Health, Raymond Singer

Raymond L Singer MD

No abstract provided.

Heart Health, Raymond Singer

Raymond L Singer MD

No abstract provided.

The Comfort Of A Simple Crayon., Raymond Singer

Raymond L Singer MD

No abstract provided.

Measuring Quality Beyond The Sts Database: How Health Care Reform, Public Reporting, And Patient Satisfaction Will Impact Your Career., Raymond Singer

Raymond L Singer MD

No abstract provided.

Imagine If People Acknowledged We Are All The Same Inside., Raymond Singer

Raymond L Singer MD

No abstract provided.

The Future Of Medicine: What You Need To Know About Health Care Reform, Ronald Swinfard, Raymond Singer, Joanne Judge, John Kristel, Christopher Molineaux, Gary St. Hilaire

Raymond L Singer MD

No abstract provided.