The Journal of the American Osteopathic Association
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J Am Osteopath Assoc · Oct 2003
Treating depression in nursing homes: practice guidelines in the real world.
Depression in nursing home residents is a common phenomenon, though there is a wide range in the severity of this disorder as experienced by elderly adults in the United States. Treating older patients for depression is costly in both human and financial terms. ⋯ In November 1999, the authors used a Delphi survey to gather data from prescreened panelists (N = 10) to have the panel review and clarify the importance and feasibility of each "A" rated item in the US Agency for Health Care Policy and Research guidelines. This research allows health care providers to evaluate the importance and feasibility of items related to the delivery of mental health services for the elderly in nursing homes.
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J Am Osteopath Assoc · Sep 2003
Productivity outcomes for recent grants and fellowships awarded by the American Osteopathic Association Bureau of Research.
The objective of the present study was to evaluate productivity outcome measures for recent research grants and fellowships awarded through the American Osteopathic Association (AOA) Bureau of Research. Recipients of grants and fellowships that were awarded between 1995 and 2001 were contacted by mail, e-mail, or telephone and asked to provide information about publications, resulting grant awards, advances in clinical care, or other notable products that were generated from their projects. For grants funded between 1995 and 1998, 76% of principal investigators reported a notable product from their study. ⋯ From 1995 to 2001, the AOA Bureau of Research awarded dollars 3,072,140 in research grants and fellowships. To date, these awards have helped the recipients bring an additional dollars 5,659,329 of extramural funds for research at osteopathic institutions. The Bureau of Research grant and fellowship programs have been successful both scientifically and in terms of financial outcomes.
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J Am Osteopath Assoc · Aug 2003
ReviewA primary care approach to comprehensive care of patients with type 1 and type 2 diabetes mellitus.
Early screening of patients at high risk for type 1 or type 2 diabetes mellitus is key to early diagnosis and comprehensive treatment. Because osteopathic physicians predominantly practice primary care, they are well positioned to serve a leadership role in the fight against the dual epidemics of obesity and diabetes. This overview provides some important and helpful practice "jewels" to guide a primary care approach to screening, diagnosis, and treatment of diabetes.
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J Am Osteopath Assoc · Jun 2003
Emergency medicine resident work productivity and procedural accomplishment.
The purpose of this study was to assess procedural accomplishment, work productivity, and efficiency for emergency medicine residents in a community-based, osteopathic emergency medicine residency. These data are compared with limited existing data from other training sites. The authors conducted a retrospective analysis of patient-encounter data logged into a computerized main-frame database over 8 years by 19 resident physicians. ⋯ Residents in this program get significant experience in some procedures but little or no clinical exposure to other procedures. These results are consistent with the few other published reports attempting to quantify the emergency medicine resident experience. The data may assist in setting clinical objectives and establishing uniform tracking systems and coding terminology.
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J Am Osteopath Assoc · May 2003
Case ReportsDilated cardiomyopathy after electrical injury: report of two cases.
The specific etiologic factor and pathogenesis of most dilated cardiomyopathies have yet to be described definitively. Hypotheses of the etiologic factor of idiopathic dilated cardiomyopathy (DCM) abound. ⋯ Further histologic examination of myocardial tissue after electrical injury may reveal clues regarding the pathophysiology behind electrically induced DCM. Because electrical injury may be associated with myocardial dysfunction, short- and long-term evaluation of left ventricular function may be warranted.