Jenna Gumma, K. Klimowich, Juming Pan, Philip B. Collins, D. Cooley
Introduction: Telemedicine is an emerging field in which physicians can interact electronically with patients to improve health. During the COVID-19 pandemic, the use of telemedicine has grown exponentially. As physicians work to provide equally high-quality care for their patients remotely, their experiences must be considered. Methods: This study utilized an online anonymous survey of physicians to assess their satisfaction, comfort level and student involvement when using telemedicine for patient care. Results: Overall, physicians’ experiences with the integration of telemedicine into their practices varied based on gender, the presence of medical students, age and prior experience with telemedicine. Physicians are more comfortable with telemedicine now than they had been prior to the start of the COVID-19 pandemic, and physicians who had prior experience were less likely to find it stressful to incorporate. Physicians in both the youngest (30–39 years old) and oldest (60 and older) categories reported the highest levels of satisfaction with telemedicine. Female physicians indicated they will be more likely to incorporate more telemedicine into practice in the future, beyond the COVID-19 pandemic. Of the specialties surveyed, family physicians report the lowest levels of comfort and satisfaction with telemedicine. Conclusion: Physician respondents of this survey provided valuable data on the perceptions of the widespread incorporation of telemedicine during the COVID-19 pandemic. Further research can follow which physicians choose to keep telemedicine integrated into their practices and how the demand for these virtual visits may change in the coming months.
{"title":"Physician perceptions of stress and telemedicine","authors":"Jenna Gumma, K. Klimowich, Juming Pan, Philip B. Collins, D. Cooley","doi":"10.33181/13053","DOIUrl":"https://doi.org/10.33181/13053","url":null,"abstract":"Introduction: Telemedicine is an emerging field in which physicians can interact electronically with patients to improve health. During the COVID-19 pandemic, the use of telemedicine has grown exponentially. As physicians work to provide equally high-quality care for their patients remotely, their experiences must be considered.\u0000\u0000Methods: This study utilized an online anonymous survey of physicians to assess their satisfaction, comfort level and student involvement when using telemedicine for patient care.\u0000\u0000Results: Overall, physicians’ experiences with the integration of telemedicine into their practices varied based on gender, the presence of medical students, age and prior experience with telemedicine. Physicians are more comfortable with telemedicine now than they had been prior to the start of the COVID-19 pandemic, and physicians who had prior experience were less likely to find it stressful to incorporate. Physicians in both the youngest (30–39 years old) and oldest (60 and older) categories reported the highest levels of satisfaction with telemedicine. Female physicians indicated they will be more likely to incorporate more telemedicine into practice in the future, beyond the COVID-19 pandemic. Of the specialties surveyed, family physicians report the lowest levels of comfort and satisfaction with telemedicine.\u0000\u0000Conclusion: Physician respondents of this survey provided valuable data on the perceptions of the widespread incorporation of telemedicine during the COVID-19 pandemic. Further research can follow which physicians choose to keep telemedicine integrated into their practices and how the demand for these virtual visits may change in the coming months.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44825349","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}
Moneer Al-Nabolsi, Dalia Alhusein, T. Marchewka, M. Kucera, A. Daher, Rohan Venida, A. Beydoun, R. Surati, Abigail Deland, Matthew Sebastian
What we have learned about COVID-19 is ongoing as research continues to evolve. This article will serve to provide a succinct, comprehensive overview of SARS-CoV-2 with respect to epidemiology, risk factors, prevention, presentation, management and vaccinations.
{"title":"SARS-CoV-2 epidemiology, prevention, risk factors, evaluation, diagnosis, management and vaccines","authors":"Moneer Al-Nabolsi, Dalia Alhusein, T. Marchewka, M. Kucera, A. Daher, Rohan Venida, A. Beydoun, R. Surati, Abigail Deland, Matthew Sebastian","doi":"10.33181/13050","DOIUrl":"https://doi.org/10.33181/13050","url":null,"abstract":"What we have learned about COVID-19 is ongoing as research continues to evolve. This article will serve to provide a succinct, comprehensive overview of SARS-CoV-2 with respect to epidemiology, risk factors, prevention, presentation, management and vaccinations.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49172226","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 considerations in pneumonia","authors":"Taner B. Celebi Oms-Iii, Jeffrey Muller Do, M. Do","doi":"10.33181/13048","DOIUrl":"https://doi.org/10.33181/13048","url":null,"abstract":"","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":"1 1","pages":"14-20"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48382515","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}
Rubella is a highly contagious viral infection that can cause devastating effects on a growing fetus. Although rubella can be prevented with the measles, mumps and rubella (MMR) vaccine, some individuals have a weak immune response and do not sustain an adequate antibody titer to protect against the disease. MMR antibody titers are not routinely assessed in the general population, although healthcare professionals, military workers and pregnant women are commonly screened. This study aimed to investigate rubella immunity rates in primiparous women. The authors believed that the nonimmunity rate would be substantial enough to justify potential rubella immunity screening in all women of childbearing age at annual gynecologic exams prior to pregnancy. Findings recommend obtaining a rubella titer, as well as a measles titer, when women present for their first gynecological visit.
{"title":"Rubella immunity rates in women of childbearing age in an urban teaching hospital","authors":"Nicolina M Smith, R. Sangha","doi":"10.33181/13047","DOIUrl":"https://doi.org/10.33181/13047","url":null,"abstract":"Rubella is a highly contagious viral infection that can cause devastating effects on a growing fetus. Although rubella can be prevented with the measles, mumps and rubella (MMR) vaccine, some individuals have a weak immune response and do not sustain an adequate antibody titer to protect against the disease. MMR antibody titers are not routinely assessed in the general population, although healthcare professionals, military workers and pregnant women are commonly screened. This study aimed to investigate rubella immunity rates in primiparous women. The authors believed that the nonimmunity rate would be substantial enough to justify potential rubella immunity screening in all women of childbearing age at annual gynecologic exams prior to pregnancy. Findings recommend obtaining a rubella titer, as well as a measles titer, when women present for their first gynecological visit.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48909368","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}
While less common than preseptal cellulitis, orbital cellulitis can have severe complications. With the proper use of a computed tomographic (CT) scan, physicians can more quickly recognize the clinical signs of orbital cellulitis and begin interventions to properly treat the condition. This case report highlights the importance of timely diagnosis and successful intervention for orbital cellulitis by recognizing infection progression.
{"title":"A pediatric case of orbital cellulitis with pansinusitis and subperiosteal abscess","authors":"Karly A. Derwitz, Hanna S. Sahhar, Kelly A. Ward","doi":"10.33181/13051","DOIUrl":"https://doi.org/10.33181/13051","url":null,"abstract":"While less common than preseptal cellulitis, orbital cellulitis can have severe complications. With the proper use of a computed tomographic (CT) scan, physicians can more quickly recognize the clinical signs of orbital cellulitis and begin interventions to properly treat the condition. This case report highlights the importance of timely diagnosis and successful intervention for orbital cellulitis by recognizing infection progression.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46096982","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":"Non-Healing Leg Lesion","authors":"M. Hubley","doi":"10.33181/13046","DOIUrl":"https://doi.org/10.33181/13046","url":null,"abstract":"","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44610169","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}
Family medicine is a field that is exposed to a large amount of musculoskeletal complaints. More than 100 million people present with musculoskeletal disease annually in the United States. This translates to over $320B in healthcare costs per year. Due to these astonishing numbers, it is imperative that family medicine physicians, who typically make up the first line of management, properly identify the many causes of musculoskeletal pain. Heel pain is a common complaint of patients seeking professional care. Due to the complex anatomy of the foot, identification and proper management can be challenging and thus prolong care. The present article reviews the anatomic structure, clinical evaluation, differential diagnoses, and diverse treatment with an osteopathic approach surround the foot and ankle.
{"title":"Heel Pain with an Osteopathic Component","authors":"Iii Do Rt Jack Italiano, Adam Bitterman Do","doi":"10.33181/13044","DOIUrl":"https://doi.org/10.33181/13044","url":null,"abstract":"Family medicine is a field that is exposed to a large amount of musculoskeletal complaints. More than 100 million people present with musculoskeletal disease annually in the United States. This translates to over $320B in healthcare costs per year. Due to these astonishing numbers, it is imperative that family medicine physicians, who typically make up the first line of management, properly identify the many causes of musculoskeletal pain. Heel pain is a common complaint of patients seeking professional care. Due to the complex anatomy of the foot, identification and proper management can be challenging and thus prolong care. The present article reviews the anatomic structure, clinical evaluation, differential diagnoses, and diverse treatment with an osteopathic approach surround the foot and ankle.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45676104","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}
Upper respiratory tract infections (URI) are prevalent in the United States. URIs can also be debilitating and costly. The most common etiology for an URI is viral, and there are currently no antiviral medications for the common cold. Therefore, cost-effective preventative measures are essential in the prevention of URIs. This literature review intends to compare the few studies evaluating the effectiveness of saltwater gargle for preventing URIs. The goals of this review include commenting on the potential for a saltwater gargle in preventing URIs, shortcomings of the few studies performed and recommendations for further research in evaluating saltwater gargle as an effective prevention method. This review looks explicitly at three studies evaluating the effectiveness of saltwater gargling and the prevention of URIs. Conclusions derived from this review include both physiological and clinical evidence of the potential for saltwater gargling in URI prevention. The first two studies demonstrate patient-derived evidence for saltwater gargling, potentially providing a decreased risk of URI when used preventatively. The third study demonstrates the potential for polymerase chain reaction (PCR) in evaluating the effectiveness of saltwater gargling in reducing the duration of illness. Additionally, in the wake of the COVID-19 pandemic, cost-effective treatment options targeting viral URIs, such as SARS-CoV-2, warrant further evaluation and discussion.
{"title":"The Effectiveness of Saltwater Gargling on the Prevention of Upper Respiratory Tract Infections","authors":"Tom Lindsey, B. Gillette","doi":"10.33181/13042","DOIUrl":"https://doi.org/10.33181/13042","url":null,"abstract":"Upper respiratory tract infections (URI) are prevalent in the United States. URIs can also be debilitating and costly. The most common etiology for an URI is viral, and there are currently no antiviral medications for the common cold. Therefore, cost-effective preventative measures are essential in the prevention of URIs. This literature review intends to compare the few studies evaluating the effectiveness of saltwater gargle for preventing URIs. The goals of this review include commenting on the potential for a saltwater gargle in preventing URIs, shortcomings of the few studies performed and recommendations for further research in evaluating saltwater gargle as an effective prevention method. This review looks explicitly at three studies evaluating the effectiveness of saltwater gargling and the prevention of URIs. Conclusions derived from this review include both physiological and clinical evidence of the potential for saltwater gargling in URI prevention. The first two studies demonstrate patient-derived evidence for saltwater gargling, potentially providing a decreased risk of URI when used preventatively. The third study demonstrates the potential for polymerase chain reaction (PCR) in evaluating the effectiveness of saltwater gargling in reducing the duration of illness. Additionally, in the wake of the COVID-19 pandemic, cost-effective treatment options targeting viral URIs, such as SARS-CoV-2, warrant further evaluation and discussion.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48108527","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}
Mph Sharon L. Casapulla EdD, Mph DHSc Pa-C Joy Dugan, Emily Reinig Do, Facofp Jay H. Shubrook Do, Mph Shannon E. Nicks
Purpose This qualitative study utilizes the health belief model to explore how individuals with type 2 diabetes mellitus and low diabetes numeracy achieve and maintain good glycemic control. Methods Participants (n=10) participated in semi-structured interviews and completed the Patient Diabetes Knowledge Questionnaire, the Health Belief Questionnaire, and the Social Support Assessment Tool. Results Results indicate that participants had low levels of diabetes knowledge, high levels of perceived social support, and strong self-efficacy related to type 2 diabetes management, despite low numeracy. Self-designed routines mitigated potential educational, socioeconomic, and knowledge barriers. Self-efficacy and social support were strong protective factors.
{"title":"Exploring Self-Care Strategies in Individuals with Low Literacy Type 2 Diabetes and Euglycemia","authors":"Mph Sharon L. Casapulla EdD, Mph DHSc Pa-C Joy Dugan, Emily Reinig Do, Facofp Jay H. Shubrook Do, Mph Shannon E. Nicks","doi":"10.33181/13041","DOIUrl":"https://doi.org/10.33181/13041","url":null,"abstract":"Purpose\u0000This qualitative study utilizes the health belief model to explore how individuals with type 2 diabetes mellitus and low diabetes numeracy achieve and maintain good glycemic control.\u0000\u0000Methods\u0000Participants (n=10) participated in semi-structured interviews and completed the Patient Diabetes Knowledge Questionnaire, the Health Belief Questionnaire, and the Social Support Assessment Tool.\u0000\u0000Results\u0000Results indicate that participants had low levels of diabetes knowledge, high levels of perceived social support, and strong self-efficacy related to type 2 diabetes management, despite low numeracy. Self-designed routines mitigated potential educational, socioeconomic, and knowledge barriers. Self-efficacy and social support were strong protective factors.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47887033","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}
COVID-19 continues to be a major societal disruptor that threatens the wellness and health of millions of people worldwide. We rightfully celebrate the over 20 million survivors in the United States, yet, what constitutes actual recovery, as many face continuing repercussions of their illness? This paper reviews COVID-19, focusing on its sequela of acute respiratory distress syndrome (ARDS) and the accompanying intensive care unit stay, treatment options and its increased morbidity. Outlined is the importance of long-term, comprehensive care for post-infection patients, as well as the numerous barriers to adequate care. We suggest looking to doctors of osteopathic medicine to bridge the gaps in multifactorial care, including psychological and physical dysfunction. Osteopathic medicine is discussed as a potential benefit during this pandemic by reviewing its effectiveness in a previous pandemic. However, additional work must be conducted to improve awareness of needed care and delivery of that care.
{"title":"A Review of COVID-19 Recovery and the Benefits of an Osteopathic Approach","authors":"Taryn Haney, MikaelAnn Worsham-Frye, N. Bray","doi":"10.33181/13043","DOIUrl":"https://doi.org/10.33181/13043","url":null,"abstract":"COVID-19 continues to be a major societal disruptor that threatens the wellness and health of millions of people worldwide. We rightfully celebrate the over 20 million survivors in the United States, yet, what constitutes actual recovery, as many face continuing repercussions of their illness? This paper reviews COVID-19, focusing on its sequela of acute respiratory distress syndrome (ARDS) and the accompanying intensive care unit stay, treatment options and its increased morbidity. Outlined is the importance of long-term, comprehensive care for post-infection patients, as well as the numerous barriers to adequate care. We suggest looking to doctors of osteopathic medicine to bridge the gaps in multifactorial care, including psychological and physical dysfunction. Osteopathic medicine is discussed as a potential benefit during this pandemic by reviewing its effectiveness in a previous pandemic. However, additional work must be conducted to improve awareness of needed care and delivery of that care.","PeriodicalId":53642,"journal":{"name":"Osteopathic Family Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43845302","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：