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West Virginia Medical Journal

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https://www.readbyqxmd.com/read/27491103/lyme-disease-in-west-virginia-an-assessment-of-distribution-and-clinicians-knowledge-of-disease-and-surveillance
#1
Sarah Singh, David Parker, Miguella Mark-Carew, Robert White, Melanie Fisher
Lyme disease case misclassification, a top public health concern, may be attributed to the current disconnect between clinical diagnosis and surveillance. This study examines Lyme disease distribution in West Virginia (WV) and determines clinicians' knowledge of both disease and surveillance. Lyme disease surveillance data for 2013 were obtained from the WV Bureau for Public Health. A validated survey, distributed to clinicians at an academic medical center, assessed clinicians' knowledge of disease diagnosis and surveillance...
July 2016: West Virginia Medical Journal
https://www.readbyqxmd.com/read/27491102/implementing-universal-pulse-oximetry-screening-in-west-virginia-findings-from-year-one
#2
Collin John, John Phillips, Candice Hamilton, Allison Lastliger
BACKGROUND: In March 2012 the West Virginia legislature passed a law that mandates birth hospitals to perform pulse oximetry screening for all well-babies in the newborn nursery to improve the detection of critical congenital heart disease (CCHD). CCHD screening data collection began on September 1, 2012 at all 28 birthing hospitals. The purpose of this study was to review the first year of pulse oximetry screening outcomes and identify barriers to implementation and solutions to improve tracking and policy...
July 2016: West Virginia Medical Journal
https://www.readbyqxmd.com/read/27491101/inconspicuous-presentation-of-metastatic-neuroblastoma
#3
James Hatten, Aaron McGuffin, Mark Mogul
Neuroblastoma is a malignant tumor arising from nerve tissue that accounts for approximately 15 percent of pediatric cancer fatalities. Primary tumors most commonly arise in sympathetic nervous tissue of the abdomen and metastasize to the bone marrow, liver, and lymph nodes. This case report depicts a 3-year-old girl who presented with a recurring fever, runny nose, and a positive test for rhinovirus suggesting a simple case of the common cold. Further investigation, however, revealed stage 4 neuroblastoma...
July 2016: West Virginia Medical Journal
https://www.readbyqxmd.com/read/27491100/bone-mineral-density-and-vitamin-d-level-compared-to-lifestyle-in-resident-physicians
#4
David B McConda, Karim W Boukhemis, Leslie J Matthews, Colleen M Watkins
Due to the demands of resident education and long periods of time spent indoors, resident physicians may have poorer bone quality than would be expected. Forty-four resident physicians underwent dual-energy X-ray absorptiometry (DEXA) and 25-hydroxyvitamin D level testing at our institution. Results were correlated with a survey of self-reported duty hours, physical activity, and sun exposure. The average 25-hydroxyvitamin D level for all participants was 29 ng/dL, which fell into the insufficient range, and 31...
July 2016: West Virginia Medical Journal
https://www.readbyqxmd.com/read/27491099/pre-operative-identification-and-surgical-management-of-the-appendiceal-mucocele-a-case-report
#5
Kevin Lynch, Sung Cho, Robert Andres, Jennifer Knight, Jorge Con
An appendiceal mucocele (AM) is an uncommon differential in the patient being evaluated for acute appendicitis. Although often asymptomatic, AMs can clinically mimic acute appendicitis, and preoperative distinction between these processes facilitates optimal management. We report the case of a 60-year-old male with an AM presenting with nausea and periumbilical pain radiating to the right lower quadrant. Literature relevant to the diagnosis and treatment of AMs is reviewed, with emphasis on diagnosis through radiographic imaging and surgical management...
July 2016: West Virginia Medical Journal
https://www.readbyqxmd.com/read/27491098/the-undescended-testicles-of-west-virginia-a-single-center-experience
#6
John Michael Dibianco, Dana Point, Chad Morley, Stanley Zaslau, Osama Al-Omar
OBJECTIVE: To determine the age of pediatric patients who underwent surgical intervention for undescended testicles (UDT) at our institution. METHODS: We retrospectively reviewed all pediatric patients who underwent orchiopexy and/or diagnostic laparoscopy for undescended or non-palpable testicles with our pediatric urologist from January 2013-March 2014. Patients were separated into those undergoing surgical intervention at 6-12 months, 13-24 months, 25-48 months, and >48 months of age...
July 2016: West Virginia Medical Journal
https://www.readbyqxmd.com/read/27491097/best-friend
#7
Sherri Young
No abstract text is available yet for this article.
July 2016: West Virginia Medical Journal
https://www.readbyqxmd.com/read/27491095/immunization-awareness-month
#8
Sherri Young
No abstract text is available yet for this article.
July 2016: West Virginia Medical Journal
https://www.readbyqxmd.com/read/27491094/aarp-now-advocates-for-aprns-but-does-it-still-advocate-for-seniors
#9
Susan Baek
No abstract text is available yet for this article.
July 2016: West Virginia Medical Journal
https://www.readbyqxmd.com/read/27491093/confronting-a-crisis-an-open-letter-to-america-s-physicians-on-the-opioid-epidemic
#10
LETTER
Steven J Stack
No abstract text is available yet for this article.
July 2016: West Virginia Medical Journal
https://www.readbyqxmd.com/read/27491092/troubleshooting-tips
#11
Steve Brown
No abstract text is available yet for this article.
July 2016: West Virginia Medical Journal
https://www.readbyqxmd.com/read/27491091/home-field-advantage
#12
R Austin Wallace
No abstract text is available yet for this article.
July 2016: West Virginia Medical Journal
https://www.readbyqxmd.com/read/27491090/a-valuable-year
#13
Paula F Taylor
No abstract text is available yet for this article.
July 2016: West Virginia Medical Journal
https://www.readbyqxmd.com/read/27301163/neurocognitive-degeneration-diseases-diagnosis-management-and-the-impact-on-west-virginia
#14
Ann Marie Murray, Matthew S Smith
No abstract text is available yet for this article.
May 2016: West Virginia Medical Journal
https://www.readbyqxmd.com/read/27301162/major-trauma-and-the-elder-west-virginian-a-six-year-review-at-a-level-i-trauma-center
#15
Charles Whiteman, Danielle M Davidov, Rosanna Sikora, Debra Paulson, Gregory Schaefer
BACKGROUND: Trauma was the seventh leading cause of death for persons 65 and older in West Virginia (WV) in 2010. In 2007, fatality rates for both accidental falls and motor vehicle crashes were higher in West Virginia than the nation as a whole. US Census Data from 2010 showed WV to have one of the oldest median ages in the nation (surpassed by Maine and Vermont) and currently 16% of the population of WV is over 65 years of age. METHODS: This is a retrospective observational study of data extracted from the John Michael Moore Trauma Center (JMMTC) trauma registry for the time period of January 1, 2009 to December 31, 2014...
May 2016: West Virginia Medical Journal
https://www.readbyqxmd.com/read/27301161/the-impact-of-alzheimer-s-disease-in-an-aging-rural-population
#16
Vivian Minkemeyer, Courtney Wellman, Lynne Goebel
West Virginia already has a large elderly population, and it is expected to increase along with the elderly population of the nation as a whole. Since the most important risk factor for Alzheimer's disease is older age, it is not surprising that the prevalence of Alzheimer's disease is projected to increase significantly over the next thirty-five years. This paper discusses the prevalence of Alzheimer's disease in West Virginia, programs available to assist people and caregivers affected by the disease, and the associated economic burden of the disease...
May 2016: West Virginia Medical Journal
https://www.readbyqxmd.com/read/27301160/improving-rural-bone-health-and-minimizing-fracture-risk-in-west-virginia-validation-of-the-world-health-organization-frax-assessment-tool-as-a-phone-survey-for-osteoporosis-detection
#17
Franklin D Shuler, Kelly Scott, Timothy Wilson-Byrne, Linda Morgan, Omolola B Olajide
West Virginia ranks second nationally in population ≥ 65 years old placing our state at greater risk for osteoporosis and fracture. The gold standard for detecting osteoporosis is dual X-ray absorptiometry (DXA), yet over half of West Virginia's counties do not have this machine. Due to access barriers, a validated phone-administered fracture prediction tool would be beneficial for osteoporosis screening. The World Health Organization's FRAX fracture prediction tool was administered as a phone survey to 45 patients; these results were compared to DXA bone mineral density determination...
May 2016: West Virginia Medical Journal
https://www.readbyqxmd.com/read/27301159/rural-disparities-in-cancer-care-a-review-of-its-implications-and-possible-interventions
#18
Raj Singh, Lynne J Goebel
Cancer care has greatly improved in the last few decades, as evidenced by a 22% decline in the overall cancer-related death rate in the United States since 1991. However, the question presents itself whether rural residents, for whom the latest advancements are not as accessible, are also realizing these benefits as much as their urban counterparts. The aim of this study is to provide a review of the literature regarding the disparities in cancer care facing rural Appalachia and specifically West Virginia (WV) as well as possible solutions towards bridging this gap...
May 2016: West Virginia Medical Journal
https://www.readbyqxmd.com/read/27301158/the-long-term-and-post-acute-care-continuum
#19
Todd H Goldberg
No abstract text is available yet for this article.
May 2016: West Virginia Medical Journal
https://www.readbyqxmd.com/read/27301157/making-a-dent-in-undiagnosed-and-untreated-depression-among-older-west-virginians
#20
Janet R Lynch, Sven T Berg, Jill Manna, Charles P Schade
IMPORTANCE: Depression, a serious and debilitating disease, remains under-diagnosed and inadequately treated among older adults. OBJECTIVE: To describe the prevalence of depression among older West Virginians and report the extent to which primary care providers screen Medicare beneficiaries for depression. METHODOLOGY: Descriptive analysis using 2014 Behavioral Risk Factor Surveillance System to estimate depression prevalence; Medicare Part B claims, 2012 - 2014, to measure depression screening...
May 2016: West Virginia Medical Journal
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