Editor's Message

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9
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2023: A Memorable Year, an Artistic Outlook

Osteopathic medicine is recognized for training and parity with other medical fields that treat and take care of patients. And osteopathic medical schools continue to graduate accomplished physicians who use all aspects of their training to carefully consider the needs of their patients to treat ...

From the President's Desk

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10
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A Year of Legacy Milestones

As we approach the end of my term as ACOFP president, I’m proud of what we’ve accomplished and how our organization is poised to excel in the future. My presidential theme of Legacy and our focus on: (1) increasing engagement among our members, (2) increasing collaborations with other organizations...
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11
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Past Presidents Spotlight: Winter 2024

The Legacy of ACOFP Presidents
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Review Articles

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12–15
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Chronic Limb-Threatening Ischemia

Management Updates and Common Questions
Chronic limb-threatening ischemia (CLTI) is an advanced form of peripheral vascular disease with high rates of morbidity and mortality. Patients often present with claudication, impaired walking, and ischemic pain. Screening for CLTI and peripheral arterial disease is recommended with an...
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16–19
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Addressing Infertility and Other Reproductive Outcomes Among Female Physicians

Infertility affects one in four female physicians in the United States, yet the topic of fertility among female physicians is understudied and warrants focused strategies to implement change. Factors that exacerbate the rates of infertility in female physicians include intentional delays...
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20–23
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Application Of Osteopathic Treatment for Non-Pain–Related Discomforts of Pregnancy

A Literature Review
Many osteopathic textbooks include treatment modalities and techniques that could improve frequently experienced ailments of pregnancy, such as nausea, vomiting, gastroesophageal reflux disease, constipation, and edema. However, there is little scientific evidence to support the use of o...

Brief Reports

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24–26
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Histiocytic Sarcoma

Acute Onset of Widespread Nodules as Main Presenting Symptom for Rare Disease
Histiocytic sarcoma is a rare and frequently missed diagnosis. With unusual and varied presentations, it typically indicates a rapid patient decline and poor outcomes. The diagnosis requires a high degree of clinical suspicion. In this case, we explore the progression of illness in a 56-...
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27–31
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Human Parechovirus Meningoencephalitis In an Eight-Day-Old Infant

Human parechovirus (HPeV) infections have been increasing in the United States since May 2022, according to the Centers for Disease Control and Prevention. HPeVs are a member of the Picornaviridae family and share similarities with enteroviruses, though they differ in genomic structure. ...
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32–37
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Integrating Behavioral Health and Primary Care

A Review of Evidence and Recommendations for Osteopathic Family Practice
Osteopathic family physicians embody the philosophy of whole-person care, including using a biopsychosocial approach to incorporate mental health into patient care. The creation of the Behavioral Health Integration Collaborative increased support for a system-level adoption of whole-pers...

Patient Education Handout(s)

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38–39
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Rotator Cuff Injuries

This article was designed to be viewed and distributed as a PDF. Please download the PDF for easiest reading.              WHAT IS A ROTATOR CUFF? A rotator cuff is a group of muscles and tendons that hold the arm in the shoulder socket and allow the arm to ...
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40–41
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Vaping

  This article was designed to be viewed and distributed as a PDF. Please download the PDF for easiest reading.            WHAT IS VAPING? Vaping is the act of inhaling aerosols from battery-powered devices called electronic cigarettes, also known as vape...
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42–43
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Seasonal Affective Disorder

  This article was designed to be viewed and distributed as a PDF. Please download the PDF for easiest reading.            WHAT IS SEASONAL AFFECTIVE DISORDER (SAD)? SAD is a seasonal pattern of major depressive disorder, bipolar I disorder, or bipolar II diso...