Osteopathic Family Physician最新文献

Integrating Behavioral Health and Primary Care 行为健康与初级保健相结合

Osteopathic Family Physician Pub Date : 2024-02-27 DOI: 10.1093/med/9780190276201.001.0001

Anne Jones, Kristin Bertsch, Joanna Petrides, Kaitlin R. Lilienthal, Meagan Vermeulen

{"title":"Integrating Behavioral Health and Primary Care","authors":"Anne Jones, Kristin Bertsch, Joanna Petrides, Kaitlin R. Lilienthal, Meagan Vermeulen","doi":"10.1093/med/9780190276201.001.0001","DOIUrl":"https://doi.org/10.1093/med/9780190276201.001.0001","url":null,"abstract":"Osteopathic family physicians embody the philosophy of whole-person care, including using a biopsychosocial approach to incorporate mental health into patient care. The creation of the Behavioral Health Integration Collaborative increased support for a system-level adoption of whole-person care in primary care settings. With the increase in both mental health symptoms and diagnoses among Americans, and the increasing support for integrated physical and behavioral healthcare in the primary care setting, this paper shares various approaches, as well as challenges to, adapting integrated care in the primary care office. This includes reviewing best practices for implementing this care approach. The two leading models for integrated care are the Primary Care Behavioral Health (PCBH) model and Collaborative Care model (CoCM). Both models include clinically embedding licensed mental health professionals into the primary care setting, thus increasing access to colleagues with this specialized approach. The PCBH model utilizes a warm hand-off approach, resulting in a collaboration between physician and mental health provider in the care of the patient. The CoCM focuses on a registry of patients who are overseen by a behavioral health manager with treatment decisions guided by a consulting psychiatrist. Blended models are also emerging to better suit the needs for different practices and the patient populations they serve. Challenges to full implementation include acquiring buy-in from practice leadership, hiring appropriately trained mental health providers, and defining billing and coding procedures.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":"5 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140426552","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}

引用次数: 5

Application Of Osteopathic Treatment for Non-Pain–Related Discomforts of Pregnancy 骨科治疗在非疼痛性妊娠不适中的应用

Osteopathic Family Physician Pub Date : 2024-02-27 DOI: 10.33181/16103

Jack Gomperts, Lisa Carroll, Bethany Powers, Arley Rodriguez

引用次数: 0

Histiocytic Sarcoma 组织细胞肉瘤

Osteopathic Family Physician Pub Date : 2024-02-27 DOI: 10.33181/16104

Varintha Baddam, Jasraj Kahlon, Emma Talbott

引用次数: 0

Human Parechovirus Meningoencephalitis In an Eight-Day-Old Infant 一名八天大婴儿的人类帕雷奇病毒脑膜脑炎

Osteopathic Family Physician Pub Date : 2024-02-27 DOI: 10.33181/16105

Katlin Hencak, Nicole Iven, Hanna Sahhar

{"title":"Human Parechovirus Meningoencephalitis In an Eight-Day-Old Infant","authors":"Katlin Hencak, Nicole Iven, Hanna Sahhar","doi":"10.33181/16105","DOIUrl":"https://doi.org/10.33181/16105","url":null,"abstract":"Human parechovirus (HPeV) infections have been increasing in the United States since May 2022, according to the Centers for Disease Control and Prevention. HPeVs are a member of the Picornaviridae family and share similarities with enteroviruses, though they differ in genomic structure. HPeV commonly affects children, with disease manifestations ranging anywhere from an asymptomatic infection to severe disease. HPeV typically affects the gastrointestinal and respiratory tracts but may rarely also cause severe infection of the central nervous system (CNS), leading to sepsis-like illness, meningitis, and encephalitis. Of the 19 established serotypes of HPeV, serotypesA1 and A3 are most commonly identified in humans. HPeV serotype A3 is of particular importance as it more commonly causes sepsis and CNS infection, especially in children. In the United States between 2014 and 2016, a total of 2758 cases of enteroviruses and parechoviruses were reported to the National Enterovirus Surveillance System. Of those cases, 2.3% were distinguished as HPeVA3. This case details the clinical course of an eight-day-old infant with HPeV meningoencephalitis. The infant initially presented with fever and other nonspecific symptoms, which later progressed to include diffuse erythroderma and seizure activity. Although current management of HPeV meningoencephalitis involves supportive care and close monitoring, determining HPeV as a cause of infection is important due to the long-term sequelae that patients may develop. Potential complications of infection include white matter lesions of the brain, cerebral palsy, developmental delay, and visual impairment. This case was documented to increase awareness of the rising incidence of HPeV infections in children in the United States, as well as to detail the signs and symptoms of HPeV meningoencephalitis in a neonate.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":"41 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140425400","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}

引用次数: 0

Chronic Limb-Threatening Ischemia: Management Updates and Common Questions 慢性肢体缺血：管理更新和常见问题

Osteopathic Family Physician Pub Date : 2024-02-27 DOI: 10.33181/16101

Alissa O'Neill, Brandon Goodwin, Riyaz Abidi, Philip Collins

引用次数: 0

Addressing Infertility and Other Reproductive Outcomes Among Female Physicians 解决女医生的不孕症和其他生殖问题

Osteopathic Family Physician Pub Date : 2024-02-27 DOI: 10.33181/16102

Varnita Vishwanath, Shanen Jean, John Ashurst, Farshad Agahi

引用次数: 0

Osteopathic Manipulative Treatment for Chronic Bronchiectasis 骨科手法治疗慢性支气管扩张症

Osteopathic Family Physician Pub Date : 2023-12-07 DOI: 10.33181/13106

David Abend, Leonard Powell, Abiram Sivanandam, Rahul Nayar

引用次数: 0

An Osteopathic Approach to Urinary Incontinence Including Biopsychosocial Aspects and Multiple Modalities for a Holistic Approach to Optimize Ongoing Care 骨科治疗尿失禁的方法，包括生物心理社会方面和多种模式，以整体方法优化持续护理

Osteopathic Family Physician Pub Date : 2023-12-07 DOI: 10.33181/13104

Nicholas Trivelas, Kirby Slaughter, Kenneth Zaremski, Carol Kirila

引用次数: 0

Prevotella Denticola Dacryocystitis and Abscess in a Child with Goldenhar Syndrome 一名戈登哈尔综合征患儿的齿孢子菌性泪囊炎和脓肿

Osteopathic Family Physician Pub Date : 2023-12-07 DOI: 10.33181/13107

Karen Yang, Jessica Oleske, Sami E Rishmawi, Hanna Sahhar

{"title":"Prevotella Denticola Dacryocystitis and Abscess in a Child with Goldenhar Syndrome","authors":"Karen Yang, Jessica Oleske, Sami E Rishmawi, Hanna Sahhar","doi":"10.33181/13107","DOIUrl":"https://doi.org/10.33181/13107","url":null,"abstract":"Dacryocystitis is the inflammation of the nasolacrimal sac and is due to obstruction of the nasolacrimal system or lacrimal stagnation, leading to favorable environments for infection. Any disruptions to the nasolacrimal pathway can increase the risk of dacryocystitis. Here is a unique case of Prevotella denticola dacryocystitis that progressed into cellulitis and abscess formation in a 7-year-old female with a medical history of Goldenhar syndrome, recurrent dacryocystitis, and periodontal disease. The patient presented with standard dacryocystitis symptoms—tenderness to palpation, erythema, and edema to the medial canthus. The patient was treated empirically with vancomycin, ceftriaxone, and clindamycin. She was discharged home on clindamycin with symptomatic improvement and plans for dacryocystorhinostomy. Goldenhar syndrome is a rare congenital craniofacial malformation disorder due to aberrant morphogenesis in structures derived from the first and second branchial arches. P. denticola is an anaerobic gram-negative bacillus significant to the oral microbiome. There is currently limited research suggesting the relationship between Goldenhar syndrome and dacryocystitis complicated by Prevotella denticola. Based on the patient’s medical history, we predict that her complex presentation was secondary to the dissemination of Prevotella from her oral cavity. This case report emphasizes the importance of gram-negative anaerobic coverage in complicated dacryocystitis in patients with nasolacrimal defects.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":"31 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138594406","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}

引用次数: 0

A Systematic Review of Treatments for Mild Traumatic Brain Injury in Adults 成人轻度创伤性脑损伤治疗的系统综述

Osteopathic Family Physician Pub Date : 2023-08-31 DOI: 10.33181/13100

James Price

{"title":"A Systematic Review of Treatments for Mild Traumatic Brain Injury in Adults","authors":"James Price","doi":"10.33181/13100","DOIUrl":"https://doi.org/10.33181/13100","url":null,"abstract":"Context: Up to 15% of concussed patients experience persistent symptoms and functional impairment following injury. This is often related to headaches, dizziness, imbalance, and visual disturbances. Objectives: To perform a systematic review of the evidence for interventions used to manage postconcussion symptoms in working-aged adults falling within the headache-migraine, ocular, and vestibular postconcussion symptom cluster subtypes. Methods: A literature search was performed according to the PRISMA statement. PubMed, OVID, Cochrane Central, PEDro, OSTEMED, and the grey literature checklist were searched from the dates of creation of each database through December 29, 2020. The outcome measures were compared by generating the standardized mean difference (SMD) with 95% confidence intervals. GRADE (Grading of Recommendations, Assessment, Development and Evaluation) was used to rate the overall quality of the evidence. Results: The literature search identified 496 candidate studies. After removing duplicates, 352 studies remained. The titles and abstracts of the remaining studies were screened for eligibility and 343 studies were excluded. The full text of the remaining nine studies was assessed for eligibility and risk of bias. None of these studies was excluded. This left nine studies for qualitative and quantitative analysis. Conclusions: Moderate-quality evidence suggests 4 interventions show promise for treating adults with headache-migraine, ocular, and vestibular postconcussion subtype symptoms.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135990790","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}

引用次数: 0