Journal of Osteopathic Medicine最新文献

{"title":"Nailing the diagnosis.","authors":"Milie M Fang, Lyudmyla Susla, Phoebe Rich","doi":"10.1515/jom-2025-0077","DOIUrl":"https://doi.org/10.1515/jom-2025-0077","url":null,"abstract":"","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Race, ethnicity, and gender discrepancies between allopathic and osteopathic otolaryngology trainees from 2015 to 2023.","authors":"Katrina M Minutello, Savannah L Nicks, Benjamin T Gillette, Md Sakibur Hasan, Carl B Shermetaro","doi":"10.1515/jom-2024-0151","DOIUrl":"https://doi.org/10.1515/jom-2024-0151","url":null,"abstract":"<p><strong>Context: </strong>Existing studies have analyzed gender and race representation among otolaryngology - head and neck surgery (OHNS) applicants and residents in the United States. Further analysis by graduate medical degree type does not currently exist.</p><p><strong>Objectives: </strong>The objective of this study was to identify and compare gender and racial disparities in osteopathic (Doctor of Osteopathic Medicine [DO]) and allopathic (Doctor of Medicine [MD]) OHNS applicants and residents.</p><p><strong>Methods: </strong>Cross-sectional analysis of sex and racial characteristics of DO and MD OHNS applicants and residents from 2015 to 2023 obtained from the American Association of Medical Colleges (AAMC) and Electronic Residency Application Service (ERAS) data were performed. Differences between the aggregate proportions of applicants and corresponding residents at Accreditation Council of Graduate Medical Education (ACGME)-accredited OHNS programs by graduate medical degree were evaluated utilizing chi-square tests with Yates' continuity correction.</p><p><strong>Results: </strong>The proportion of White MD, Asian MD, and White DO residents increased compared to their corresponding applicant pools (ACGME 0.535, ERAS 0.615; Δ + 0.080; 95 % confidence interval [CI], 0.059-0.101; p<0.001), (ACGME 0.212, ERAS 0.236; Δ + 0.024; 95 % CI, 0.006-0.042; p<0.001), and (American Osteopathic Association [AOA] 0.661, ERAS 0.809; Δ + 0.148; 95 % CI, 0.032-0.159; p<0.01), respectively. Compared to MD residents, there were increased proportions of White (ERAS 0.615, ERAS 0.809; Δ -0.193; 95 % CI, -0.129 to -0.060; p<0.001) and male (ERAS 0.593, ERAS 0.685; Δ -0.092; 95 % CI, -0.080 to -0.013; p=0.01) DO residents.</p><p><strong>Conclusions: </strong>Findings suggest that gender and racial discrepancies exist between DO and MD representation in OHNS. Further research is encouraged to examine the explanation for these differences and improve representation of the DO surgeon in otolaryngology.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Geographical distribution and match trends of osteopathic residents in otolaryngology residency programs: a cross-sectional analysis.","authors":"Luke Reardon, Brenton Stucki, Deepthi Akella, Michele M Carr","doi":"10.1515/jom-2025-0063","DOIUrl":"https://doi.org/10.1515/jom-2025-0063","url":null,"abstract":"<p><strong>Context: </strong>Following the implementation of the Single Accreditation System (SAS) in 2020, the integration of osteopathic and allopathic residency programs has reshaped access to surgical specialties. Despite these efforts, osteopathic medical graduates remain underrepresented in otolaryngology residencies, with historical concentration in a few Midwestern states and limited access to home residency programs.</p><p><strong>Objectives: </strong>The objective of this study was to assess the geographical distribution, training site characteristics, and match patterns of osteopathic otolaryngology residents from 2020 to 2024, including relationships with medical school location and program history (historically AOA-accredited vs. historically allopathic-only).</p><p><strong>Methods: </strong>A retrospective cross-sectional analysis was conducted utilizing data on 109 osteopathic otolaryngology residents matched from 2020 to 2024. Data were gathered from National Resident Matching Program (NRMP) results, residency websites, and public sources. Variables included residency location, hospital size, urban/rural status, and medical school affiliation. Statistical methods included descriptive statistics, chi-square tests for trend, Pearson correlation, regression analysis, and a two-sample <i>t</i> test for geographic mobility.</p><p><strong>Results: </strong>Michigan, Pennsylvania, and Ohio accounted for 74.3 % of residents. Geographic distribution trends over the 5-year period (2020-2024) showed no significant year-to-year change (p=0.54). A positive correlation (p=0.014) existed between osteopathic school locations and resident distribution. All residents trained in urban programs; 80.7 % trained in large hospitals (≥400 beds). A two-sample <i>t</i> test showed that residents who relocated for residency moved significantly farther than those who remained in-state (p=0.014). More osteopathic residents matched into historically AOA-accredited programs than into formerly allopathic-only programs.</p><p><strong>Conclusions: </strong>Five years after the SAS merger, osteopathic otolaryngology residents continue to cluster geographically near osteopathic medical schools and train predominantly in large, urban hospitals. Historically AOA-accredited programs remain a primary entry point for osteopathic graduates. Further efforts are needed to expand access and representation across the broader otolaryngology training landscape.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound shear wave elastography to assess neck somatic dysfunction and OMT effects.","authors":"Jing Gao, Eliaz Lynch, Michele Coleman, John Moore, David Park, Benjamin Wilde","doi":"10.1515/jom-2024-0236","DOIUrl":"https://doi.org/10.1515/jom-2024-0236","url":null,"abstract":"<p><strong>Context: </strong>Osteopathic assessment and osteopathic manipulative treatment (OMT) have been utilized in managing chronic neck pain (CNP) and neck somatic dysfunction. However, osteopathic assessments lack quantitative measures to detect muscle abnormalities and evaluate the effect of OMT.</p><p><strong>Objectives: </strong>This study aims to investigate the feasibility of utilizing ultrasound shear wave velocity (SWV) and shear wave relative anisotropy coefficient (SWRAC) to assess neck somatic dysfunction and the effect of OMT.</p><p><strong>Methods: </strong>After receiving Institutional Review Board (IRB) approval and informed consent, we measured upper trapezius muscle (UTM) SWV in both longitudinal and transverse planes. We calculated SWRAC utilizing the formula: (SWV _longitudinal - SWV _transverse)/SWV _transverse. We analyzed differences in muscle SWV and SWRAC between different age groups utilizing one-way analysis of variance (ANOVA). For the comparison in SWV and SWRAC between UTMs with and without neck somatic dysfunction, we utilized an unpaired <i>t</i>-test, although we examined the changes in SWV and SWRAC before and after OMT utilizing a paired <i>t</i>-test. We also evaluated correlations between SWV and muscle somatic dysfunction utilizing Spearman correlation. The diagnostic performance of SWV in identifying neck somatic dysfunction was assessed utilizing the area under receiver operating characteristic curve (AUC). Inter- and intra-observer reliability in measuring muscle SWV was analyzed utilizing intraclass correlation coefficient (ICC).</p><p><strong>Results: </strong>From November 2022 to August 2024, we measured muscle SWV in 158 adults (68 men, 90 women, mean age 49 years) without (51) and with (107) neck somatic dysfunction. We observed significant differences in SWV and SWRAC between UTMs with and without somatic dysfunction, and before and after OMT (p<0.01). Longitudinal muscle SWV was high in elderly subjects and those with neck somatic dysfunction. Longitudinal SWV positively correlated to neck somatic dysfunction (<i>R</i> ²=0.69). AUC of SWV for determining neck somatic dysfunction was 0.86. ICCs for measuring SWV ranged from 0.80 to 0.99.</p><p><strong>Conclusions: </strong>The SWV in longitudinal muscles shows a positive correlation with neck somatic dysfunction, demonstrating moderate diagnostic accuracy and strong observer reliability. Application of OMT significantly decreases muscle stiffness measured by SWV, providing an objective and quantitative method to assess the effectiveness of OMT.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The utility of the implantable loop recorder in patients with Ehlers-Danlos syndrome and hypermobility spectrum disorder.","authors":"Ermin Tale, Grace Robinson, Justin Edward, Riya Kaushal, Bernadette Riley, Todd J Cohen","doi":"10.1515/jom-2025-0036","DOIUrl":"https://doi.org/10.1515/jom-2025-0036","url":null,"abstract":"<p><strong>Context: </strong>Patients with Ehlers-Danlos Syndrome (EDS) and hypermobility spectrum disorder (HSD) often complain of palpitations, presyncope/syncope, attributable to postural orthostatic tachycardia syndrome (POTS). Occasionally, the etiology of these complaints is not positional, unclear, and may require further cardiac evaluation, including cardiac monitoring. To our knowledge, the utility of implantable loop recorders (ILRs) has yet to be explored in this population.</p><p><strong>Objectives: </strong>This study aimed to evaluate the utility of the ILRs in diagnosing and/or excluding arrhythmias not attributable to POTS in symptomatic patients with EDS and HSD.</p><p><strong>Methods: </strong>Patients with EDS and HSD were referred from the New York Institute of Technology (NYIT) Ehlers-Danlos Syndrome/Hypermobility Treatment Center to the Long Island Heart Rhythm Center (LIHRC) for cardiac evaluation between January 2019 and November 2023. A retrospective analysis of observational de-identified data from the LIHRC was permitted by the NYIT College of Osteopathic Medicine Institutional Review Board (BHS-1465). Patients were monitored monthly, and the utility of the ILRs was assessed based on a correlation of symptoms to an arrhythmia, the ability of the device to monitor therapy efficacy, and/or to rule out an arrhythmia as the explanation of symptoms. Data is reported as percentages and mean ± standard deviation (SD).</p><p><strong>Results: </strong>A total of 116 hypermobile patients (81 EDS/35 HSD) were evaluated. Among these patients, 31 (26.7 %) received an ILR (length of follow-up, 27.3 months ± 14.0 months), 29 females/2 males, 28 patients had EDS, 3 patients had HSD, age 34.1 ± 11.4 years. Symptomatic sinus tachycardia (ST) occurred in 16 patients (51.6 %), and ST helped diagnose POTS and/or monitor therapy in 15 (48.4 %). Symptomatic premature ventricular complexes (PVCs) occurred in 8 patients (25.8 %), supraventricular tachycardia (SVT) in 6 (19.4 %), and ventricular tachycardia (VT) in 1 (3.2 %). In 2 patients, ILR findings led to further interventions, including PVC ablation and an implantable cardioverter-defibrillator (ICD) for symptomatic VT. The ILR demonstrated utility in all patients.</p><p><strong>Conclusions: </strong>This study demonstrated the utility of the ILR in identifying symptomatic arrhythmias in patients with EDS and HSD. ILR monitoring also aided in solidifying a POTS diagnosis and guiding patient management/treatment efficacy. Further evaluation in a larger cohort is needed to further understand the impact of ILR monitoring in hypermobile patients.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Osteopathic manipulation to increase lactation quantity: a prospective case series.","authors":"Eileen M Conaway, Arlene E O'Donnell","doi":"10.1515/jom-2024-0250","DOIUrl":"https://doi.org/10.1515/jom-2024-0250","url":null,"abstract":"<p><strong>Context: </strong>There is currently no clinical research investigating the effect of osteopathic manipulation on the milk supply of lactating patients. Herbal and prescription galactagogues are limited and have the potential for serious side effects.</p><p><strong>Objectives: </strong>The objective of this study was to determine whether osteopathic manipulative treatment (OMT) can increase milk supply in lactating people with low milk supply (hypogalactia).</p><p><strong>Methods: </strong>The patients presented in this series participated in an Institutional Review Board (IRB)-approved prospective pilot study. All participants were aged 18-40 years old and 2-28 weeks postpartum with the desire to exclusively breastfeed with infants who weighed at least 2,500 g at birth. At 1 h, the measured milk production was <1 oz expressed through a hospital-grade pump. Participants were ineligible if they were utilizing prescription galactagogues or had a contraindication to OMT. They were treated with an OMT protocol plus ad lib OMT once a week for 4 weeks. The study was suspended and ultimately closed due to the SARS-CoV-2 pandemic.</p><p><strong>Results: </strong>All three participants demonstrated an increase in milk production from baseline at each visit. Given the small number of participants, these results are not statistically significant. Power analysis calculated a need for 10 subjects. Therefore, these patients are presented as a case series.</p><p><strong>Conclusions: </strong>These results show promise for the use of osteopathic manipulation to increase human milk production. A study with a larger number of participants is needed.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144294998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interactive module's effectiveness on empathy and attitudes of healthcare students.","authors":"Jacob Linomaz, Desmond Chee, Jana Wardian, Elizabeth Beverly, Shelene Thomas","doi":"10.1515/jom-2023-0281","DOIUrl":"https://doi.org/10.1515/jom-2023-0281","url":null,"abstract":"<p><strong>Context: </strong>As the prevalence of social determinants of health (SDH) continues to have an impact on the management of chronic conditions, it is imperative to expose health professional students to these encounters.</p><p><strong>Objectives: </strong>This study investigates the role that virtual interactive modules play on osteopathic medical students and physician assistant (PA) students' empathy and attitudes toward individuals with diabetes mellitus who are also affected by an array of SDHs.</p><p><strong>Methods: </strong>Students from both health professional programs were asked to complete a pre-survey and post-survey that encompassed the Diabetes Attitude Scale, the Jefferson Empathy Scale, and the Assessing Student Competence and Knowledge of Social Determinants of Health (ASCK-SDH) Instrument. Students engaged with virtual interactive modules to follow the life of a patient, Lula Mae, who lives in the Appalachian area with Type 2 diabetes.</p><p><strong>Results: </strong>Results from 151 osteopathic medical students concluded significant findings for the Diabetes Attitudes Scale (p<0.001), Jefferson Empathy Scale (p<0.02), and ASCK-SDH (p=0.02). While the matched data pairs for the PA students were too small in number to be significant, the data showed a positive trend pre-module to post-module.</p><p><strong>Conclusions: </strong>This interactive module improved health professionals' awareness, empathy, and attitudes toward SDH affecting those with chronic conditions. This implementation can be a valuable and insightful medical educational tool that can be adapted for other scenarios like various clinical rotations and sensitive healthcare topics to enhance the development of health professional students' cultural competency and health equity awareness by exposure to various cultural, socioeconomic, and social identities in their future medical decision-making.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research gaps in the correlation of anxiety and depression prevalence in former college athletes: a systematic review.","authors":"Madison L Reese, Blakelee A Eggleston, Alexandra M Smith, Austin J Young, Anna Mazur, Micah Hartwell","doi":"10.1515/jom-2025-0008","DOIUrl":"https://doi.org/10.1515/jom-2025-0008","url":null,"abstract":"<p><strong>Context: </strong>There is not much current literature looking at anxiety and depression in athletes transitioning out of college sports into the real world. This study identified gaps in the current mental health literature for former college athletes and what interventions are currently being offered to help them. By utilizing the gaps identified in the current literature, we provided recommendations for educational programs that are modeled on the programs that professional sports leagues offer while utilizing the existing college infrastructure. We also encourage future research to perform longitudinal studies following these athletes as they transition from sports.</p><p><strong>Objectives: </strong>Collegiate sports participation is integral to culture and identity. Transitioning from athletics to regular life often leads to significant mental health concerns. Abrupt lifestyle and identity changes can result in dietary, career, and health consequences that impact athletes' mental well-being. While some data addresses this transition, research focused on developing best practices to support athletes during this period remains limited. This study aims to conduct a systematic review to identify the existing research and gaps concerning the described supports in mental health, particularly depression and anxiety, in retired athletes.</p><p><strong>Methods: </strong>A systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review (PRISMA-ScR) guidelines. We analyzed original research, literature reviews, systematic reviews, meta-analyses, clinical trials, and case studies. Articles were sourced from PubMed (MEDLINE), Embase, Scopus, Cochrane, and Web of Science.</p><p><strong>Results: </strong>A total of 169 articles were identified, with 61 selected for full-text screening and nine included in the study. These nine articles comprised four cross-sectional studies analyzing survey data, four systematic or scoping reviews, and one qualitative analysis. While all articles addressed depression or anxiety, most focused on individuals returning to exercise post-injury and quality of life.</p><p><strong>Conclusions: </strong>Current research highlights the needs of collegiate, professional, and retired athletes. Limited literature exists on former collegiate athletes, with available studies emphasizing university programs to ease transitions and help athletes apply their skills in retirement. Research gaps include examining programs across divisions and sports, minimizing self-reporting surveys, and conducting longitudinal studies. Future efforts should focus on addressing these gaps to better support athletes transitioning to life beyond sports.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scholar 12 longitudinal outcomes: osteopathic research development application to facilitate scholarly activity during the pandemic and beyond.","authors":"Marija J Rowane, Kevin A Thomas, Travis M Smith, Mark A Terrel, Michael P Rowane, Robert W Hostoffer","doi":"10.1515/jom-2025-0041","DOIUrl":"https://doi.org/10.1515/jom-2025-0041","url":null,"abstract":"<p><strong>Context: </strong>The coronavirus disease 2019 (COVID-19) pandemic necessitated a rapid transformation in medical education and research. Online learning became the standard to supplement in-person training and maintain accreditation requirements. Scholar 12 was constructed from the Scholar Series foundational lectures and a Master of Science in Medical Education thesis into a comprehensive research development platform accessible to all learners and institutions (https://scholar12.org).</p><p><strong>Objectives: </strong>The objectives of this study were to involve students and faculty in a free, interactive virtual platform to address osteopathic literature deficits and scholarly activity criteria, promote new generational learning of research skills, build scholarly culture, and to employ Scholar 12 in a group-mentor research poster project to encourage osteopathic medical student participation in osteopathic-focused research.</p><p><strong>Methods: </strong>A blinded, multi-campus, optional presurvey was digitally administered to third-year osteopathic medical students, prior to completing the Scholar 12 program, in collaboration with junior faculty mentors, during their Geriatrics/Osteopathic Principles and Practices (OPP) core rotation. Students self-reported their research skill competency relevant to each learning unit, on a 5-point Likert scale, before and after completing Scholar 12. Additional survey questions assessed the efficacy of the group mentor model and the quantity of further research presentations.</p><p><strong>Results: </strong>Students' self-reported research skill competency scores significantly improved (p=4.53 × 10e^-8) after completion of Scholar 12, in comparison of the composite presurvey (n=1,800, 75.0 % response rate) vs. postsurvey responses (n=1,200, 50.0 % response rate), over four academic years (2020-24). Poster presentations for institutional research day grew an average of 166 % per academic year, after the introduction of Scholar 12, from 40 posters in 2019-2020 to 278 posters in 2023-2024.</p><p><strong>Conclusions: </strong>The successful Scholar 12 implementation into a medical school curriculum demonstrated sustainable institutional scholarly activity growth through four consecutive academic years. Scholar 12 offers an accessible research learning platform relevant to undergraduate and graduate medical education objectives.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A swell case.","authors":"Lauren Fill, Robert W Hostoffer","doi":"10.1515/jom-2023-0055","DOIUrl":"https://doi.org/10.1515/jom-2023-0055","url":null,"abstract":"","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}