Open Access Published by De Gruyter

Volume 94 Issue 4

Issue of Journal of Osteopathic Medicine

Submit manuscript

News

Open Access April 1, 1994

From HHS: Children most affected by acute illness

Page range: 228C-288C

Download PDF

Editorial Comments

Open Access April 1, 1994

Bypass surgery can benefit octogenarians

Page range: 278A-278A

Download PDF

Open Access April 1, 1994

The use of AZT in asymptomatic patients infected with the human immunodeficiency virus (HIV) negatively affects their quality of life

Page range: 278B-278B

Download PDF

Open Access April 1, 1994

Heterosexual alcoholics are at high risk for contracting the human immunodeficiency virus (HlV) infection

Page range: 278C-278C

Download PDF

Open Access April 1, 1994

A guideline for withholding life-sustaining medical treatment (LSMT) in pediatric patients has been issued by the American Academy of Pediatrics

Page range: 278D-278D

Download PDF

Open Access April 1, 1994

The questions surrounding the use of tamoxifen and the development of endometrial cancer have yet to be answered fully

Page range: 281A-281A

Download PDF

Open Access April 1, 1994

The battle of the bulge is being fought by young Americans, not just their older counterparts

Page range: 281B-281B

Download PDF

News

Open Access April 1, 1994

Rochalimaea henselae infection of humans by domestic cats

Page range: 282A-282A

Download PDF

Open Access April 1, 1994

Association of chronic sinusitis with allergy, asthma, and eosinophilia

Page range: 282B-282B

Download PDF

Open Access April 1, 1994

Alzheimer's disease and general anesthesia

Page range: 282C-282C

Download PDF

Open Access April 1, 1994

Noninvasive detection of malignancy by identification of unusual CD44 gene activity in exfoliated cancer cells

Page range: 284A-284A

Download PDF

Open Access April 1, 1994

Are seasonal variations in plasma fibrinogen and FVIIc linked to excess CVD-related winter deaths?

Page range: 284B-284B

Download PDF

Open Access April 1, 1994

From HHS: Panel calls for physician workforce commission

Page range: 288A-288A

Download PDF

Open Access April 1, 1994

From HHS: Researcher falsified breast cancer data

Page range: 288B-288B

Download PDF

Open Access April 1, 1994

From HHS: HIV guidebook for clinicians available

Page range: 288D-288D

Download PDF

Letters to the Editor

Open Access April 1, 1994

Manipulative techniques for carpal tunnel syndrome questioned

Peter B. Ajluni

Page range: 289A-289A

Download PDF

Open Access April 1, 1994

Response: Manipulative techniques for carpal tunnel syndrome questioned

Benjamin M. Sucher

Page range: 289B-289B

Download PDF

Open Access April 1, 1994

Dark period in history of osteopathic medicine revisited

Viola M. Fryman

Page range: 289C-289C

Download PDF

Editorial

Open Access April 1, 1994

An apple a day may keep cardiovascular disease at bay

Thomas Wesley Allen

Page range: 292-292

Download PDF

Clinical Practice

Open Access April 1, 1994

Endoscopic carpal tunnel release

John C. Payne, Ronald S. Bergman, David J. Ettinger

Page range: 295-295

More Download PDF

Abstract

Conventional open carpal tunnel release effectively relieves symptoms, but involves pain and fairly long recovery time. A relatively new technique of endoscopic carpal tunnel release as described by Chow has been carried out on 20 hands in 16 patients. The endoscopic approach allows earlier return to normal activities with less postoperative pain than conventional or open release.

Open Access April 1, 1994

Nonsteroidal anti-inflammatory drug use in the elderly: Issues of compliance and safety

Jeffrey T. Kirchner

Page range: 300-300

More Download PDF

Abstract

Many of the goals in caring for patients with non-life-threatening rheumatic conditions can be safely met with nonsteroidal anti-inflammatory drug (NSAID) therapy. These drugs relieve pain and stiffness and help to maintain joint mobility. However, no course of treatment can be successful without patient compliance. The difficulties of following dosage requirements and scheduling, together with the increased risk of adverse side effects, are particular problems for the elderly-the very patients who are the major consumers of NSAIDs. The key to successful NSAID therapy is maintaining patient comfort and function while using the simplest and safest medical regimen available. The author discusses ways in which these goals can be achieved.

Review

Open Access April 1, 1994

Recent advances in the detection of ovarian cancer: A review

Michael J. Blend, Gregory J. Ostrowski

Page range: 305-305

More Download PDF

Abstract

Epithelial ovarian cancer is one of the more aggressive malignancies among American women today, and its incidence is increasing. The major obstacle in combatting ovarian cancer is the remarkable lack of symptoms in early-stage disease. Symptoms usually occur in advanced stages when tumor dissemination within the peritoneal cavity induces ascites with resultant increasing abdominal girth. Physicians have been unable to reach women who have early-stage ovarian cancer, a time when a high cure rate could be expected. However, during the past few years, significant developments in the areas of serum tumor markers, transvaginal ultrasonography with color flow Doppler analysis, immunodiagnostic techniques, and immunotherapy have been reported. These new modalities show promise for use in the early diagnosis and treatment of ovarian cancer. The authors review some of the new data and discuss patient outcomes when these new modalities are used.

Health Policy

Open Access April 1, 1994

Preparing the osteopathic academic health centers for healthcare reform

Barbara Ross-Lee, Michael A. Weiser

Page range: 320-320

More Download PDF

Abstract

Healthcare reform proposals introduced in the House and Senate, put forward by foundations, professional associations and study groups, all call for medical schools to train more generalists. As these agents make recommendations for change, they are studying the osteopathic medical education model with fresh interest because of its success in maintaining more than 60% of its graduates in primary care practice. Most students of reform place the blame for producing too many specialists and subspecialists squarely on the academic health centers. The authors trace the development of academic health centers and compare and contrast the models developed in the osteopathic and allopathic medical settings. They enumerate the strengths in the osteopathic education model which have contributed to our favorable balance of generalists to specialists. However, they argue that specific changes in the osteopathic academic health center are essential if we are to retain leadership in generalist education under healthcare reform.

Special Communication

Open Access April 1, 1994

'Parallel and distinctive': The philosophic pathway for reform in osteopathic medical education

Norman Gevitz

Page range: 328-328

Download PDF

Case Report

Open Access April 1, 1994

Lecithin-cholesterol acyltransferase deficiency: First report of case in a United States citizen

Michael J. Neumann, Stephanie Whisiker-Lewis

Page range: 333-333

More Download PDF

Abstract

Lecithin-cholesterol acyltransferase is responsible for the formation of most cholesteryl esters in plasma. Absence of this enzyme can result in a rare syndrome that includes diffuse corneal opacities, normocytic normochromic anemia, proteinuria, renal failure, and premature arteriosclerosis. The deficiency can be inherited in an autosomal recessive manner, or it can be acquired through liver disease. Diagnosis requires a high index of suspicion and documentation of impairment of enzyme mass or activity (or both). This article includes a case report of the first United States citizen known to have lecithin-cholesterol acyltransferase deficiency. The authors review the literature related to this disease.

CME Quiz

Open Access April 1, 1994

CME Quiz

Page range: 336-336

Download PDF

About this journal

The Journal of Osteopathic Medicine, founded in 1901 and known for 119 years as the Journal of the American Osteopathic Association, is the premier scholarly, peer-reviewed publication of the osteopathic medical profession. The mission of JOM is to serve as an international forum for the dissemination of scientific literature that incorporates an integrative, comprehensive, patient-centered approach to clinical care and improving health. JOM conducts double-blind peer review of academic research manuscripts from a wide variety of medical specialties, covering the full spectrum of clinical settings in which osteopathic physicians practice. All submissions are vetted by a distinguished group of Section Editors led by Editor-in-Chief Ross Zafonte, DO, and supported by a full Editorial Board.

JOM publishes original research, narrative and systematic review articles (including meta-analyses), clinical practice descriptions, and a very limited number of case reports, all of which are described fully in our Instructions for Authors. JOM is particularly interested in original scientific research that provides quantitative analysis of and contributes significantly to the evidence base underpinning current practices in osteopathic medicine, including but not limited to neuromusculoskeletal medicine. We also accept research submissions documenting trends and changes in education for osteopathic medical students. The ultimate focus of all material published in JOM is to support, enhance, and advance patient care through evidence.