The Journal of the American Osteopathic Association
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J Am Osteopath Assoc · Apr 1990
The pull toward the vacuum: osteopathic medical education in the 1980s.
During the 1980s, the two major influences in osteopathic medical education were the increasingly large number of new DOs seeking internships and residencies and the loss of training sites as a result of the shrinking osteopathic hospital network. Owing mainly to a declining interest in primary care by young MDs, allopathic postdoctoral program directors, particularly in primary care specialties, began to actively recruit osteopathic physicians. ⋯ It has reached the point where two out of every three DOs currently training in a primary care residency can be found in an allopathic program. If it continues, this pattern will have a significant impact on the character of osteopathic medical education.
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J Am Osteopath Assoc · Nov 1989
Historical ArticleHistory of osteopathic medical education accreditation.
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J Am Osteopath Assoc · Aug 1989
Shoulder pain and repetition strain injury to the supraspinatus muscle: etiology and manipulative treatment.
Chronic inflammation and degenerative tendonitis of the supraspinatus muscle is an important cause of intrinsic shoulder pain. Injury to this muscle is usually caused, not by a single event, but by slight to moderate trauma repeatedly to the same anatomic area. The term repetition strain injury is used to describe this form of microtrauma. ⋯ This functional unit must be evaluated and considered in the treatment plan. The authors discuss the diagnosis of this pain syndrome, which is based on the patient's work history, motion and strength testing, and palpation for trigger points. They also provide instruction in treatment involving manipulation with functional and counterstrain techniques combined with home exercise and modification of work posture.
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Magnetic resonance is a well-established imaging modality for CNS, but it's utility for visualizing the rest of the body has not been appreciated fully or exploited yet. The authors believe that MRI will become one of the primary imaging modalities for the body during the next several years. Current and future indications for magnetic resonance imaging of the body are discussed.
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Once formerly thought to be a rare disorder, thrombotic thrombocytopenic purpura (TTP) is becoming increasingly recognized. It is characterized by a pentad of clinical findings, including microangiopathic hemolytic anemia, thrombocytopenic purpura, neurologic and renal abnormalities, and fever. Following a case report, the major clinical findings, pathophysiologic findings, diagnoses, and use of various therapeutic modalities are discussed.