Browsing by Subject "pilot study"
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Item Documentation of Preventive Medicine Practices in a University-Based Primary Care Clinic System: A Pilot Study(2001-05-01) Benavides, John Paul; Benavides, John Paul; Rene, Antonio A.; Marshall, Muriel A.Benavides, John P., Rene, Antonio A., Marshall Muriel A., Singh, Karan P. Documentation of Preventive Medicine Practices in a University-Based Primary Care Clinic System: A Pilot Study. The Significance of tracking preventive services is important when one considers the changing mortality patterns over the past century. Preventable sources of morbidity and mortality, highlighted by smoking and unhealthy nutritional and physical activity patterns, has resulted in over 700,000 deaths a year and provide examples for the need to optimize the delivery of primary prevention. The purpose of this study was to determine the delivery of preventive services in an osteopathic medicine-based university primary care system. Five family practice clinics affiliated with a university-based health science center participated. These clinics serve as ambulatory practice sites for faculty osteopathic physicians, physician assistants, and medical students. There were over 30,000 outpatient visits last year to the five family practice clinics. Differences in Preventive Flow Sheet documentation rates among the different clinics was noted. Female preventive flow sheet documentation was the most commonly performed, but cardiovascular risk assessment was the least documented. Females were also observed to have more preventive service documentation concerning alcohol use, abuse, and addiction.Item The Immedicate Effect of OMT on a COPD Population: A Pilot Study(2006-05-01) Som, Mousumi; Kimberly Fulda; John LicciardoneSom, Mousumi, M.S. The Immediate Effect of OMT on a COPD Population: A Pilot Study. Master of Science (Clinical Research and Education OMM), May 2006, 81 pages, 3 figures, references 45 titles. Objective: Chronic Obstructive Pulmonary Disease (COPD) is the fourth leading cause of morbidity and mortality in the United States costing approximately 32 billion dollars yearly. COPD cannot be cured, and existing modalities are limited. This study explored the use of Osteopathic Manipulative Treatment (OMT) on pulmonary function and alveolar ventilation. Methods: this prospective, randomized single blinded pilot study included 21 subjects with two interventions: OMT and no intervention. Subjects were 40 to 80 years of age with a clinical diagnosis of COPD. Primary outcome measures included pulmonary function values: FVC, FEV1, FEV1/FVC, RV, TLC. Secondary outcome measures included alveolar ventilation measured by pulse oximetry. Results: No statistically significant results were observed. Clinically relevant trends indicated a potential impact of OMT on COPD subjects. This study was funded by the Osteopathic Research Center (ORC) and approved by the UNTHSC Institutional Review Board. Conclusions: This study demonstrated the feasibility of conducting research on COPD subjects by the ORC. Because of the small sample size, no conclusive statements can be made determining the efficacy of OMT on pulmonary function and alveolar ventilation.