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  1. Article: Osteopathic Manipulative Treatment Decreases Hospital Stay and Healthcare Cost in the Neonatal Intensive Care Unit.

    Roland, Hannah / Brown, Amanda / Rousselot, Amy / Freeman, Natalie / Wieting, J Michael / Bergman, Stephen / Mondal, Debasis

    Medicines (Basel, Switzerland)

    2022  Volume 9, Issue 10

    Abstract: Osteopathic manipulative treatment (OMT) is used in both inpatient and outpatient settings. Evidence suggests that OMT can reduce both patients' recovery time and the financial cost of their acute medical treatment and rehabilitation. Multiple studies ... ...

    Abstract Osteopathic manipulative treatment (OMT) is used in both inpatient and outpatient settings. Evidence suggests that OMT can reduce both patients' recovery time and the financial cost of their acute medical treatment and rehabilitation. Multiple studies from neonatal intensive care units (NICUs) are presented in this article that demonstrate infants treated with OMT recover faster, are discharged earlier, and have lower healthcare costs than their non-OMT-treated counterparts. Data clearly show that adjunctive OMT facilitates feeding coordination in newborns, such as latching, suckling, swallowing, and breathing, and increases long-term weight gain and maintenance, which reduces hospital length of stay (LOS). Osteopathic techniques, such as soft tissue manipulation, balanced ligamentous tension, myofascial release, and osteopathic cranial manipulation (OCM), can reduce regurgitation, vomiting, milky bilious, or bloody discharge and decrease the need for constipation treatment. OMT can also be effective in reducing the complications of pneumonia in premature babies. Studies show the use of OCM and lymphatic pump technique (LPT) reduces the occurrence of both aspiration and environmentally acquired pneumonia, resulting in significantly lower morbidity and mortality in infants. Based on published findings, it is determined that OMT is clinically effective, cost efficient, a less invasive alternative to surgery, and a less toxic choice to pharmacologic drugs. Therefore, routine incorporation of OMT in the NICU can be of great benefit in infants with multiple disorders. Future OMT research should aim to initiate clinical trial designs that include randomized controlled trials with larger cohorts of infants admitted to the NICU. Furthermore, a streamlined and concerted effort to elucidate the underlying molecular mechanisms associated with the beneficial effects of OMT will aid in understanding the significant value of incorporating OMT into optimal patient care.
    Language English
    Publishing date 2022-09-21
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2777965-8
    ISSN 2305-6320
    ISSN 2305-6320
    DOI 10.3390/medicines9100049
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Cause and effect in childhood obesity: solutions for a national epidemic.

    Wieting, J Michael

    The Journal of the American Osteopathic Association

    2008  Volume 108, Issue 10, Page(s) 545–552

    Abstract: Childhood obesity has reached epidemic proportions in the United States. As a result, children are at increased risk for myriad preventable acute and chronic medical problems--many of which are associated with increased morbidity and mortality. In ... ...

    Abstract Childhood obesity has reached epidemic proportions in the United States. As a result, children are at increased risk for myriad preventable acute and chronic medical problems--many of which are associated with increased morbidity and mortality. In addition, childhood obesity has serious psychosocial consequences, such as low self-esteem, lower quality of life, and depression. The multifaceted causes and solutions to this pervasive health issue are discussed in the present review, as are pertinent health policy issues. Osteopathic physicians and other healthcare providers can play an important role in patient and family education, direct care, and advocacy.
    MeSH term(s) Adolescent ; Child ; Child Welfare ; Health Policy ; Health Promotion ; Humans ; Motor Activity ; Obesity/epidemiology ; Obesity/etiology ; Obesity/prevention & control ; Obesity/psychology ; Public Health ; Risk Factors ; Social Marketing ; United States/epidemiology
    Language English
    Publishing date 2008-10
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 410350-6
    ISSN 1945-1997 ; 0003-0287 ; 0098-6151
    ISSN (online) 1945-1997
    ISSN 0003-0287 ; 0098-6151
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Appendix 2: American Osteopathic Association Specialty Board Certification.

    Wieting, J Michael / Williams, Daniel G / Kelly, Kathy A / Morales-Egizi, Leo

    The Journal of the American Osteopathic Association

    2018  Volume 118, Issue 4, Page(s) 275–279

    MeSH term(s) Certification/statistics & numerical data ; Osteopathic Medicine/statistics & numerical data ; Specialty Boards ; United States
    Language English
    Publishing date 2018-03-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 410350-6
    ISSN 1945-1997 ; 0003-0287 ; 0098-6151
    ISSN (online) 1945-1997
    ISSN 0003-0287 ; 0098-6151
    DOI 10.7556/jaoa.2018.053
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: How Communication "Failed" or "Saved the Day": Counterfactual Accounts of Medical Errors.

    Street, Richard L / Petrocelli, John V / Amroze, Azraa / Bergelt, Corinna / Murphy, Margaret / Wieting, J Michael / Mazor, Kathleen M

    Journal of patient experience

    2020  Volume 7, Issue 6, Page(s) 1247–1254

    Abstract: Communication breakdowns among clinicians, patients, and family members can lead to medical errors, yet effective communication may prevent such mistakes. This investigation examined patients' and family members' experiences where they believed ... ...

    Abstract Communication breakdowns among clinicians, patients, and family members can lead to medical errors, yet effective communication may prevent such mistakes. This investigation examined patients' and family members' experiences where they believed communication failures contributed to medical errors or where effective communication prevented a medical error ("close calls"). The study conducted a thematic analysis of open-ended responses to an online survey of patients' and family members' past experiences with medical errors or close calls. Of the 93 respondents, 56 (60%) provided stories of medical errors, and the remaining described close calls. Two predominant themes emerged in medical error stories that were attributed to health care providers-information inadequacy (eg, delayed, inaccurate) and not listening to or being dismissive of a patient's or family member's concerns. In stories of close calls, a patient's or family member's proactive communication (eg, being assertive, persistent) most often "saved the day." The findings highlight the importance of encouraging active patient/family involvement in a patient's medical care to prevent errors and of improving systems to provide meaningful information in a timely manner.
    Language English
    Publishing date 2020-05-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2857285-3
    ISSN 2374-3743 ; 2374-3735
    ISSN (online) 2374-3743
    ISSN 2374-3735
    DOI 10.1177/2374373520925270
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Appendix 2: American Osteopathic Association Specialty Board Certification.

    Wieting, J Michael / Weaver, Jeffrey L / Kramer, Jeffrey A / Morales-Egizi, Leo

    The Journal of the American Osteopathic Association

    2017  Volume 117, Issue 4, Page(s) 268–271

    Language English
    Publishing date 2017--01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 410350-6
    ISSN 1945-1997 ; 0003-0287 ; 0098-6151
    ISSN (online) 1945-1997
    ISSN 0003-0287 ; 0098-6151
    DOI 10.7556/jaoa.2017.045
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Aripiprazole treatment for temper outbursts in Prader-Willi syndrome.

    Deest, Maximilian / Wieting, Jelte / Jakob, Maximilian Michael / Deest-Gaubatz, Stephanie / Groh, Adrian / Seifert, Johanna / Toto, Sermin / Bleich, Stefan / Frieling, Helge / Eberlein, Christian K

    Orphanet journal of rare diseases

    2022  Volume 17, Issue 1, Page(s) 324

    Abstract: Background: Prader-Willi syndrome (PWS) is a rare neurodevelopmental disorder based on a loss of paternally expressed genes in chromosome segment 15q11-13. Behavioral traits such as temper outbursts, stereotypic, and ritualistic behavior, as well as an ... ...

    Abstract Background: Prader-Willi syndrome (PWS) is a rare neurodevelopmental disorder based on a loss of paternally expressed genes in chromosome segment 15q11-13. Behavioral traits such as temper outbursts, stereotypic, and ritualistic behavior, as well as an increased risk of psychosis accompany the syndrome, representing a major issue in the treatment of adults with PWS. Up to now, no treatment guideline for these conditions in PWS exist. This study aimed to retrospectively analyze the effect and adverse effects of treatment with aripiprazole for temper outbursts in 10 adults with PWS.
    Results: Aripiprazole was prescribed for temper outbursts (n = 10). Treatment outcome was assessed using the Clinical Global Impression-Severity (CGI-S) and -Improvement Scale (CGI-I). Treatment success (CGI-I < 3) was observed in 70% of cases, with adverse effects from mild to partly serious extent in 60% of cases. The major adverse effect observed was increased daytime sleepiness. In total, 50% of the individuals were treated successfully for temper outbursts. The BMI did not change significantly in the successfully treated group after 6 months of treatment.
    Conclusions: Aripiprazole can be a treatment option for temper outbursts in people with PWS. Although a high rate of side effects was detected, their severity led to discontinuation in only 20% of the cases. Furthermore, the absence of weight gain makes aripiprazole interesting especially for the PWS population.
    MeSH term(s) Adult ; Aripiprazole ; Humans ; Prader-Willi Syndrome ; Retrospective Studies ; Treatment Outcome
    Chemical Substances Aripiprazole (82VFR53I78)
    Language English
    Publishing date 2022-08-26
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2225857-7
    ISSN 1750-1172 ; 1750-1172
    ISSN (online) 1750-1172
    ISSN 1750-1172
    DOI 10.1186/s13023-022-02470-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: How Communication “Failed” or “Saved the Day”

    Richard L Street PhD / John V Petrocelli PhD / Azraa Amroze MS / Corinna Bergelt PhD / Margaret Murphy PhD / J Michael Wieting DO / Kathleen M Mazor PhD

    Journal of Patient Experience, Vol

    Counterfactual Accounts of Medical Errors

    2020  Volume 7

    Abstract: Communication breakdowns among clinicians, patients, and family members can lead to medical errors, yet effective communication may prevent such mistakes. This investigation examined patients’ and family members’ experiences where they believed ... ...

    Abstract Communication breakdowns among clinicians, patients, and family members can lead to medical errors, yet effective communication may prevent such mistakes. This investigation examined patients’ and family members’ experiences where they believed communication failures contributed to medical errors or where effective communication prevented a medical error (“close calls”). The study conducted a thematic analysis of open-ended responses to an online survey of patients’ and family members’ past experiences with medical errors or close calls. Of the 93 respondents, 56 (60%) provided stories of medical errors, and the remaining described close calls. Two predominant themes emerged in medical error stories that were attributed to health care providers—information inadequacy (eg, delayed, inaccurate) and not listening to or being dismissive of a patient’s or family member’s concerns. In stories of close calls, a patient’s or family member’s proactive communication (eg, being assertive, persistent) most often “saved the day.” The findings highlight the importance of encouraging active patient/family involvement in a patient’s medical care to prevent errors and of improving systems to provide meaningful information in a timely manner.
    Keywords Medicine (General) ; R5-920
    Language English
    Publishing date 2020-12-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Evolution of AOA specialty board certification.

    Scheinthal, Stephen / Wieting, J Michael / Elko, Edward / Bowling, John / Gonzalez, Fernando / Librizzi, Ronald / Murcek, Benjamin / Simms, Bryan

    The Journal of the American Osteopathic Association

    2015  Volume 115, Issue 4, Page(s) 265–267

    Abstract: The launch of Osteopathic Continuous Certification (OCC) signifes the next stage of the osteopathic board certification process. The OCC process replaces the old recertification system for all osteopathic physicians who earned time-limited certificates ... ...

    Abstract The launch of Osteopathic Continuous Certification (OCC) signifes the next stage of the osteopathic board certification process. The OCC process replaces the old recertification system for all osteopathic physicians who earned time-limited certificates from American Osteopathic Association (AOA) certifying boards. All 18 AOA certifying boards are now engaged in the continuous certification process. With the advent of any new system, many questions and concerns will arise. The AOA Bureau of Osteopathic Specialists continues to evaluate its new certification system and prepare for modifcations in response to this feedback.
    MeSH term(s) Certification ; Clinical Competence ; Humans ; Osteopathic Medicine/education ; Osteopathic Physicians ; Societies, Medical/trends ; Specialty Boards/standards ; United States
    Language English
    Publishing date 2015-04
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 410350-6
    ISSN 1945-1997 ; 0003-0287 ; 0098-6151
    ISSN (online) 1945-1997
    ISSN 0003-0287 ; 0098-6151
    DOI 10.7556/jaoa.2015.051
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: The effect of osteopathic manipulative treatment on postoperative medical and functional recovery of coronary artery bypass graft patients.

    Wieting, J Michael / Beal, Christopher / Roth, Gary L / Gorbis, Sherman / Dillard, Lori / Gilliland, Dennis / Rowan, Jacob

    The Journal of the American Osteopathic Association

    2013  Volume 113, Issue 5, Page(s) 384–393

    Abstract: Context: Several studies have investigated the use of osteopathic manipulative treatment (OMT) after coronary artery bypass graft (CABG) operations; however, there is little information regarding the effect of OMT in the postoperative recovery of ... ...

    Abstract Context: Several studies have investigated the use of osteopathic manipulative treatment (OMT) after coronary artery bypass graft (CABG) operations; however, there is little information regarding the effect of OMT in the postoperative recovery of patients undergoing CABG operations.
    Methods: Patients scheduled to undergo a CABG operation were voluntarily enrolled and randomly assigned to receive 1 of 3 treatment protocols after their surgical procedure: standardized daily OMT and conventional postoperative care (the OMT group), daily time-matched placebo OMT and conventional postoperative care (the placebo group), or conventional postoperative care only (the control group). Specific OMT techniques used were thoracic inlet myofascial release, standard rib raising (with paraspinal muscle stretch to the L2 vertebral level), and soft tissue cervical paraspinal muscle stretch (with suboccipital muscle release). Primary outcome measures included time to discharge, time to postoperative bowel movement, and FIM functional assessment scores.
    Results: Fifty-three patients completed the study protocol: 17 in the OMT group, 18 in the placebo group, and 18 in the control group. After surgical procedures, patients were discharged to home at a mean (standard deviation [SD]) rate of 6.1 (1.4), 6.3 (1.5), and 6.7 (3.0) days for the OMT group, placebo group, and control group, respectively. Patients in the OMT group were discharged 0.55 days earlier than those in the control group and 0.16 days earlier than those in the placebo group. The mean (SD) number of days to first postoperative bowel movement was 3.5 (0.9), 4.0 (0.8), and 4.0 (0.9) for the OMT group, the placebo group, and the control group, respectively. On day 3 after surgery, the mean (SD) total score on the FIM was 19.3 (6.7), 15.4 (7.3), and 18.6 (6.5) for the OMT, the placebo, and the control group, respectively; total score for the OMT group was 0.81 greater than that of the control group and 3.87 greater than that of the placebo group. None of the differences achieved statistical significance (P<.05)
    Conclusion: A daily postoperative OMT protocol improved functional recovery of patients who underwent a CABG operation.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Coronary Artery Bypass ; Coronary Artery Disease/physiopathology ; Coronary Artery Disease/surgery ; Female ; Follow-Up Studies ; Humans ; Male ; Manipulation, Osteopathic/methods ; Middle Aged ; Postoperative Care/methods ; Prospective Studies ; Recovery of Function ; Treatment Outcome ; Young Adult
    Language English
    Publishing date 2013-05
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 410350-6
    ISSN 1945-1997 ; 0003-0287 ; 0098-6151
    ISSN (online) 1945-1997
    ISSN 0003-0287 ; 0098-6151
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Maximizing extraction of botulinum toxin type A from vials.

    Dykstra, Dennis D / Wieting, J Michael / McGuire, John / Kowalkowski, Thomas

    Archives of physical medicine and rehabilitation

    2002  Volume 83, Issue 11, Page(s) 1638–1640

    Abstract: Objectives: To determine the residual botulinum toxin remaining in vials after using 3 different extraction methods and to analyze the different techniques for measuring extraction efficacy.: Design: Multicentered comparative study.: Setting: ... ...

    Abstract Objectives: To determine the residual botulinum toxin remaining in vials after using 3 different extraction methods and to analyze the different techniques for measuring extraction efficacy.
    Design: Multicentered comparative study.
    Setting: Three academic movement disorder clinics.
    Participants: Thirty physicians were randomly surveyed for their botulinum toxin extraction methods. Three physicians evaluated the most common methods.
    Interventions: Not applicable.
    Main outcome measure: Amount of toxin left in vials after each extraction method.
    Results: Toxin was least successfully extracted by using the vial inversion method. More toxin was extracted by using the 2-in needle method. The top removal method produced the least waste of toxin but is considered unsafe.
    Conclusions: The best and safest method for consistently extracting the most botulinum toxin from its vial was to use a long 21-gauge 2-in needle attached to a 3-mL syringe.
    MeSH term(s) Botulinum Toxins, Type A/administration & dosage ; Drug Compounding/methods ; Drug Compounding/statistics & numerical data ; Drug Packaging/methods ; Drug Packaging/statistics & numerical data ; Humans ; Injections, Intramuscular/instrumentation ; Injections, Intramuscular/methods ; Injections, Intramuscular/statistics & numerical data ; Needles ; Neuromuscular Agents/administration & dosage ; Practice Patterns, Physicians'/statistics & numerical data ; Suction/instrumentation ; Suction/methods ; Suction/statistics & numerical data ; Surveys and Questionnaires ; Syringes ; United States
    Chemical Substances Neuromuscular Agents ; Botulinum Toxins, Type A (EC 3.4.24.69)
    Language English
    Publishing date 2002-10-01
    Publishing country United States
    Document type Comparative Study ; Evaluation Studies ; Journal Article
    ZDB-ID 80057-0
    ISSN 1532-821X ; 0003-9993
    ISSN (online) 1532-821X
    ISSN 0003-9993
    DOI 10.1053/apmr.2002.34818
    Database MEDical Literature Analysis and Retrieval System OnLINE

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