The relationship between osteopathic manipulative treatment (OMT) and the autonomic nervous system has long been acknowledged, but is poorly understood. In an effort to define this relationship, cervical myofascial release was used as OMT technique with heart rate variability (HRV) a surrogate for activity. This study quantifies that demonstrates cause effect.Seventeen healthy subjects, nine males eight females aged 19-50 years from faculty, staff, students at Oklahoma State University...

While medication reconciliation is necessary to reduce errors, it often challenging gather an accurate history in the clinic. Telemedicine offers a relative advantage over clinic and hospital-based interviews by enabling clinician inspect home environment, review pill bottles, identify social determinants affecting adherence, such as financial instability. To be effective, however, clinicians must trained best-practice interview methods proper use of telemedicine. There very little...

Racism's impact on health has been well documented. Health professional programs are beginning to help learners understand this social determinant of through curricular integration education related racism. Yet educators hesitant integrate these concepts into curricula because lack expertise or fear associated with learner responses potentially sensitive topic. The purpose study is describe the learning sessions racism as a (SDOH) highlighting structural, personally-mediated, and...

Adverse childhood experiences (ACEs) are 10 categories of abuse and maltreatment, which have a dose-response relationship with common adult health concerns seen in primary care including risk behaviors, chronic disease, mental illness. Many the ACEs-associated biopsychosocial factors modifiable. However, physicians may not address these issues for fear opening "Pandora's Box", that is, source extensive problems they sufficiently prepared training, resources, or time. Residents need training...

Simulations offer a safe environment for health professional training and the opportunity to predictably consistently introduce events or variables that may be rare dangerous in live setting. Exposing trainees unanticipated during simulations can improve their ability adapt improvise. The COVID-19 pandemic accelerated adoption of telehealth worldwide highlighted need better schools. In United States, Association American Medical Colleges (AAMC) published new competency standards 2021. AAMC...

Adverse Childhood Experiences (ACEs) are multiple sources of maltreatment and household dysfunction with tremendous impact on health. A trauma-informed (TI) approach is preferred when working patients ACEs. The Professional ACEs-Informed Training for Health © (PATH ) educational program simulation experience using standardized (SP) was developed to help healthcare professionals address ACEs adults. PATH a 3–4 hour curriculum comprised lecture discussion, video-based demonstration,...

Given the importance of telemedicine in improving healthcare access for underserved patients, professional students need experience using virtual clinical workflows. We developed an educational workshop with (1) readings, (2) a knowledge assessment test, (3) dermatology and teledermatology lectures, (5) simulation standardized patient, (6) debriefing session. The included “hybrid” workflow live videoconferencing store-and-forward image review. measured student performance three American...

Adults who had adverse childhood experiences (ACEs) have increased risk of negative health outcomes. Despite the prevalence ACEs, literature is scarce on quality life (QOL) and ACEs in disadvantaged primary care populations.To examine association with chronic problems QOL patients Oklahoma.During a visit, adults completed questionnaire measuring demographics, current status well-being, sources support adversity, QOL. A physician investigator reviewed participants' records, recording...

Technology failures in telehealth are common, and clinicians need the skills to diagnose manage them at point of care. However, there issues beyond technology mediating effective use telehealth. We must teach best-practice procedures for conducting telemedicine visits include instructional simulations commonly encountered failure modes so students can build their skills. To this end, we recruited medical conduct a Healthcare Failure Modes Effects Analysis (HFMEA) predict telemedicine,...

L'objet de cette etude est tenter d'apprecier l'efficacite des lignes recherche en therapie a repondre aux interrogations emanant cliniciens, patients et decideurs politiques. L'attention portee sur la generalisabilite resultats, l'appreciation definition benefices telles recherches ainsi que leur cout. Les analyses sont effectuees 302 etudes publiees dans 3 journaux cliniques 1978/79 1986/87

Objective: The associations between the sequelae of complex trauma symptoms and adult health status, patient engagement in treatment, potential impacts on primary care providers are underappreciated despite for adverse outcomes. This study examined correlations among patients' reports posttraumatic stress (PTSS), childhood experiences (ACE), social determinants (SDH) with provider diagnoses electronic record.Methods: Patients 3 clinics were surveyed. Self-report measures included...

An educational and simulation-based training model, the Professional ACEs-Informed Training for Health Professionals designed allied health students was evaluated using a pre-and-post design. The model emphasizes trauma-informed care uses social simulation to educate train with skills address adverse childhood experiences. This study occupational therapy students’ (N=70) levels of self-efficacy knowledge at both pre- post-training. Analysis variance results indicated statistically...

<h3>Context:</h3> Among the populations of United States and Canada, 1 in 6 are older adults aged 65 years or older. While strongly prefer to age their own homes, they often refuse home- community-based services (HCBS) which can support ability place, prevent health decline, mitigate functional problems living, ease burden on caregivers. This participatory study explored factors influencing adults' choices not use HCBS inform development interventions strengthen service utilization....

We developed a teledermatology simulation to give medical and physician assistant students practice with live videoconferencing store-and-forward workflows. The included (1) pre-session reading; (2) brief didactic; (3) simulated encounter standardized patient; (4) faculty-led debriefs. faculty observed during the distributed post-session learner satisfaction survey. Although had mixed feelings about simulation, 88% said workshop met or exceeded expectations.

The Osteopathic medical profession generally accepts that manual therapy (OMT) can be used to influence sympathovagal balance. However, there is little quantitative data evaluating this relationship. This study tested the hypothesis cervical myofascial release increases vagal modulation of heart rate. protocol lasted 30 minutes. Changes in body position were incorporated into facilitate interpretation autonomic tone measures. consisted studying 17 human subjects three positions; 10 min -...