Osteopathic Family Physician最新文献_第10页

TELEMEDICINE DURING A PANDEMIC WITH OSTEOPATHIC CONSIDERATIONS 疫情期间的远程医疗与整骨疗法

Osteopathic Family Physician Pub Date : 2020-08-30 DOI: 10.33181/12052

D. Rhoads

引用次数: 1

Intranasal Manifestation of Granulomatous Disease in Common Variable Immunodeficiency 常见可变免疫缺陷型肉芽肿性疾病的鼻腔表现

Osteopathic Family Physician Pub Date : 2020-08-30 DOI: 10.33181/12057

DO David McGarry, Oms-Iii Marija Rowane, Do LhD MSMEd Faap Facop Facoi Fccp Robert Hostoffer

引用次数: 0

Evaluation of Clinical No-Show Rates in the Setting of an Outpatient Internal Medicine Residency Clinic 评估门诊内科住院医师诊所的缺勤率

Osteopathic Family Physician Pub Date : 2020-08-30 DOI: 10.33181/12051

Dominik Soós, DO Alexander Cobb, D. Patel, DO Hemalata Mandiga, A. Ghose, D. Clark

{"title":"Evaluation of Clinical No-Show Rates in the Setting of an Outpatient Internal Medicine Residency Clinic","authors":"Dominik Soós, DO Alexander Cobb, D. Patel, DO Hemalata Mandiga, A. Ghose, D. Clark","doi":"10.33181/12051","DOIUrl":"https://doi.org/10.33181/12051","url":null,"abstract":"A no-show appointment is clinically defined as a scheduled appointment in which a patient fails to attend without prior notification to the provider or staff. In primary care clinics, no-show rates have been shown to range from 15% to 30%. Smaller studies have shown that interventions including phone calls, emails or text message reminders can reduce no-show rates.1–9 Our retrospective review sought to evaluate a similar intervention performed at the Multispecialty Residency Clinic (MSC). A test of two proportions was performed to evaluate the effect of a 24-hour reminder phone call. The no-show rate before initiating a 24-hour phone call was 17.8%, and following the intervention this rate improved to 16%, an observed reduction of 1.9% with a 95% confidence interval (CI) from 0.1% to 3%, p = 0.003. New patient encounters, established patient visits and cancellations were analyzed as secondary endpoints to further evaluate the effects of a reminder phone call. Our retrospective analysis is the largest to date regarding the effectiveness of utilizing phone call reminders to reduce no-show rates in the setting of a residency clinic and has confirmed a significant 2% reduction in no-show appointments.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":"12 1","pages":"12-17"},"PeriodicalIF":0.0,"publicationDate":"2020-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44898149","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

Timeline in Pictures of Oral Aphthae as a Presenting Symptom for Behcet’s Disease 口腔溃疡作为白塞氏病的表现症状的图片时间轴

Osteopathic Family Physician Pub Date : 2020-08-30 DOI: 10.33181/12056

Adam J. Ramsey, A. Mallouk, D. Sharma, Timothy Baxter

引用次数: 0

Detection and Management of the Female Athlete Triad 女运动员三合会的检测与管理

Osteopathic Family Physician Pub Date : 2020-06-28 DOI: 10.33181/12044

D. Coleman, DO Brett Spain

引用次数: 0

SARS-CoV-2 and COVID-19: A Brief Review for Family Physicians SARS-CoV-2和COVID-19:家庭医生综述

Osteopathic Family Physician Pub Date : 2020-06-27 DOI: 10.33181/12042

Bindu Mayi MSc., A. Raja, Gina Foster-Moumoutjis, Pamela Moran-Walcutt Do, Mayur S. Parmar, Patricia Rose Ms, S. Fatteh

{"title":"SARS-CoV-2 and COVID-19: A Brief Review for Family Physicians","authors":"Bindu Mayi MSc., A. Raja, Gina Foster-Moumoutjis, Pamela Moran-Walcutt Do, Mayur S. Parmar, Patricia Rose Ms, S. Fatteh","doi":"10.33181/12042","DOIUrl":"https://doi.org/10.33181/12042","url":null,"abstract":"SARS-CoV-2, the newest coronavirus, causes COVID-19, a disease that runs the gamut of symptoms from none too mild to severe to death. The severe cases are most often due to acute respiratory distress. In addition to pulmonary symptoms, the virus causes a wide variety of pathological manifestations involving multiple other systems, including eliciting an exaggerated immune response that contributes to fatalities. The elderly are at the highest risk of severe disease. Higher mortality is seen among males, along with individuals with pre-existing comorbidities such as cardiovascular disease and diabetes, among others. Although pregnancy has not been identified as a risk factor yet, more research is needed to assess vertical transmission and strict perinatal precautions are recommended to minimize infecting newborns. Although COVID-19 in children is less likely to be severe, recent cases, albeit rare, have emerged of a multiorgan inflammatory syndrome, similar to Kawasaki disease. Early diagnosis can be done using molecular tests that detect viral genome, while cases manifesting late symptoms can be detected using serological tests looking for antibodies. Although there are no FDA-approved vaccines or therapeutics for prophylaxis, there are many viable vaccine candidates either in clinical trials or awaiting study in humans. Of the several drugs being considered for treatment, some target the virus, while others address the host factors that facilitate virus infection, from proteases that enable virus entry, to cytokines that elicit a harmful and out-of-control immune response. While we await a standardized prophylactic regimen, it is our collective responsibility to continue engaging in prevention measures.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46357481","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: 1

ACOFP Member Survey on Physician Wellness and Preventative Measures for Protection ACOFP会员对医师健康状况和防护预防措施的调查

Osteopathic Family Physician Pub Date : 2020-06-27 DOI: 10.33181/12041

D. Shaw, Do Faafp Katherine A. Lincoln, DO Andrew P. Crow

{"title":"ACOFP Member Survey on Physician Wellness and Preventative Measures for Protection","authors":"D. Shaw, Do Faafp Katherine A. Lincoln, DO Andrew P. Crow","doi":"10.33181/12041","DOIUrl":"https://doi.org/10.33181/12041","url":null,"abstract":"The current medical landscape highlights that physicians are experiencing an unprecedented epidemic of burnout. National studies show that at least 50% of physicians practicing in the United States are experiencing this harmful, detrimental disorder. This not only leads to personal consequences but potentially adverse patient events. As studies suggest, family medicine physicians are at the highest risk. To evaluate the impact of this effect on its current members and to establish strategies to promote wellness, the American College of Osteopathic Family Physicians (ACOFP) appointed a Task Force on Physician Wellness. Data was collected by a voluntary internal survey between March 21 and April 7, 2019, distributed to all ACOFP members. A total of 133 members completed the survey. Nearly half (47%) of respondents admitted to experiencing burnout symptoms. The factors that influenced burnout the most were the burden of non-clinical/administrative work and the inefficient/burdensome electronic medical record. The most protective elements to combat burnout are having a supportive spouse/partner/family member and recognizing the meaning of their daily work. A transition must occur to focus on health instead of the disease of our physicians. Individual and organizational attention must be placed on the physical, mental and social well-being of physicians. In the creation of this task force, ACOFP has begun to create educational references, provide live CME and generate conversational networks for physician support.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":"12 1","pages":"16-19"},"PeriodicalIF":0.0,"publicationDate":"2020-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48647782","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

Update on Office-Based Strategies for the Management of Obesity 办公室肥胖管理策略的最新进展

Osteopathic Family Physician Pub Date : 2020-06-27 DOI: 10.33181/12043

Oms-Iv Atif Ghaffar, Oms-Ii Sumrita Bindra, Oms-Iv Ian Persits, DO Shady Geris, Oms-Iii Sara Levy, DO Jose Villanueva, D. Happel, J. Donoghue, D. Yao

引用次数: 0

Diagnosis and Management of Nonmelanoma Skin Cancer 癌症非黑色素瘤皮肤的诊断与治疗

Osteopathic Family Physician Pub Date : 2020-04-30 DOI: 10.33181/12032

L. Pérez, Do, Faafp, Facofp

{"title":"Diagnosis and Management of Nonmelanoma Skin Cancer","authors":"L. Pérez, Do, Faafp, Facofp","doi":"10.33181/12032","DOIUrl":"https://doi.org/10.33181/12032","url":null,"abstract":"Nonmelanoma skin cancer (NMSC) is the most common cancer in the world. Basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) are the most common types. SCC lesions are more likely to metastasize when compared to BCC, but due to low risk for metastasis, prognosis for NMSC is excellent. Ultraviolet radiation exposure is the main risk factor for developing NMSC. Merkel cell carcinoma and dermatofibrosarcoma protuberans are rare forms of NMSC. The most common BCC lesions types are nodular, superficial, and sclerosing. Nodular BCC typically consists of papular lesions with a pearly border. Superficial BCC lesions are flat or slightly raised, often red to brown. Sclerosing BCC lesions usually have nondiscrete margins. The gross appearance of SCC is that of an erythematous plaque with scale and/or ulceration. The diagnosis of NMSC starts with gross examination, followed by biopsy. Recommended biopsy techniques include punch, shave, and excisional biopsy. Dermatoscopy should also be used to aid in the evaluation of suspected NMSC and other skin cancers, as it greatly enhances the point-of-care diagnosis of skin malignancies. For low-risk lesions, surgical excision is the cornerstone of treatment, although depending on the clinical situation, curettage and electrodessication or non-surgical modalities may be used. Cryotherapy, topical treatments, photodynamic therapy, or radiation treatment can be used to treat BCC and SCC, but cure rates are lower than with surgical excision. High-risk lesions require specialist referral. All patients treated for NMSC should undergo regular complete skin exams, and counseling on the use of sun protection and avoidance.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45335724","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: 1

Approach To Joint Pain In The Elderly For Osteopathic Providers 骨科医生治疗老年人关节疼痛的方法

Osteopathic Family Physician Pub Date : 2020-04-30 DOI: 10.33181/12033

Oms-Iv Syna Daudfar, Oms-Iv Natalia Nakajima, Oms-Iv Khristopher Faiss, Oms-V Luke Tegeler, Oms-Iii Jessica Kuo, D. Dreibelbis, DO Edward Goering, DO Emmanuel Katsaros, DO John T. Pham

引用次数: 0