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WMJ: Official Publication of the State Medical Society of Wisconsin

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https://www.readbyqxmd.com/read/27443094/the-value-of-veterans-administration-medical-centers-in-academic-medicine
#1
Joseph E Kerschner
No abstract text is available yet for this article.
June 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/27443093/high-risk-variant-of-a-rare-coronary-anomaly
#2
Bryan K Austin, Milind S Shah
A 61-year-old man presented with typical chest pain and was treated via acute coronary syndrome protocol. Findings on his initial diagnostic evaluations prompted cardiac catheterization. His angiographic findings were suspicious for anomalous coronary artery origin. Advanced imaging confirmed an aberrant course of the left coronary artery, with the vessel arising from the right aortic sinus of Valsalva. It was identified that the patient possessed all known high-risk features associated with this anomaly, findings not previously documented in a living adult...
June 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/27443092/portal-steal-syndrome-after-full-size-deceased-donor-liver-transplantation
#3
Anahita Dua, Lisa McElroy, Abby Wochinski, Johnny C Hong, David C Cronin
Successful liver transplantation typically results in an immediate decrease in intrahepatic resistance accompanied by an initial increased hepatopedal portal flow. Within a short period of time, the portal hypertension resolves and the variceal shunts involute. However, in situations in which intrahepatic vascular resistance to venous flow remains elevated, significant hepatofugal portal flow may continue through persistent mesenteric shunts. This situation, portal steal, can result in decreased perfusion of the liver graft leading to graft dysfunction, failure, and potentially recipient death...
June 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/27443091/a-survey-of-baseline-tobacco-cessation-clinical-practices-and-receptivity-to-academic-detailing
#4
Robert Adsit, Kari Wisinski, Ryan Mattison, Howard Bailey, Michael Fiore
BACKGROUND: Thirty percent of all cancers are directly attributable to smoking, yet tobacco cessation treatment is not commonly provided at cancer clinics. OBJECTIVES: To assess current tobacco cessation practices among Wisconsin cancer clinics and to measure their receptivity to onsite training and technical assistance to increase their delivery of evidence-based tobacco cessation treatment. PROCESS: An online survey to assess current tobacco use identification and treatment clinical practice at 16 Wisconsin cancer clinics affiliated with the Wisconsin Oncology Network...
June 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/27443090/physician-use-of-electronic-health-records-in-obesity-management
#5
George L Morris, Kayla Chapman, David Nelson, Jennifer Fink, Renee Walker, Ron A Cisler
OBJECTIVE: To assess Wisconsin physician knowledge, attitudes, and practices in obesity management. METHODS: The Wisconsin Medical Society distributed an e-mail survey to 12,372 members with questions on obesity causes, barriers to documentation, and training in obesity management. RESULTS: A total of 590 surveys (4.7%) were completed. Physicians had an accurate fund of knowledge. Reasons given for failure to document obesity were lack of reimbursement, lack of effective treatment, and discomfort in discussing obesity...
June 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/27443089/a-qualitative-pilot-study-of-pediatricians-approach-to-childhood-obesity
#6
Benjamin D Traun, Tracy L Flood, Amy Meinen, Mike Daniels, Patrick L Remington
IMPORTANCE: Over the past 3 decades, rates of childhood obesity have tripled. Given the gravity of this health concern, it is important that physicians intervene early. However, physicians continue to underdiagnose and undertreat childhood overweight and obesity. OBJECTIVE: The aim of this pilot study was to identify current tools and strategies used by pediatricians in regard to childhood obesity, as well as to reassess barriers to success, and to uncover areas for improvement...
June 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/27443088/results-of-student-generated-unique-characteristics-on-the-medical-student-performance-evaluation
#7
Richard Holloway, Aaron Domack, Robert Treat, Koenraad De Roo
IMPORTANCE: The Medical Student Performance Evaluation (MSPE)--formerly called the dean's letter--is an important tool for residency program directors to use in assessing student qualifications for both invitation to interview and construction of their rank order list. Many institutions are now allowing students to construct their own Unique Characteristics (UC) section for the MSPE. This study addresses the results of allowing students to construct their own UC. OBJECTIVES: The goal of this study was to allow students to voice their thoughts regarding their participation in the construction of the UC section of the MSPE...
June 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/27443087/reducing-psychiatric-inpatient-readmissions-using-an-organizational-change-model
#8
Todd Molfenter, Tim Connor, James H Ford, John Hyatt, Dan Zimmerman
INTRODUCTION: Thirty-day hospital readmission rates have become a quality indicator for many regulators and payers, but published accounts of reducing these rates across a patient population are lacking. OBJECTIVE: This article describes and evaluates the Wisconsin Mental Health Readmissions Project, which aimed to reduce psychiatric inpatient 30-day readmission rates in Wisconsin. METHODS: Nineteen county human services boards representing 23 of Wisconsin's 72 counties and 61% of the state's residential admissions participated in a statewide quality improvement collaborative from January 1, 2010 to December 31, 2013...
June 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/27443086/systems-change-and-local-alliances-to-address-community-challenges
#9
John J Frey
No abstract text is available yet for this article.
June 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/27443085/wps-medical-director-helps-break-down-barriers-to-advance-care-planning
#10
Jennifer Wieman
No abstract text is available yet for this article.
June 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/27443084/patten-vs-the-ama-1916
#11
(no author information available yet)
No abstract text is available yet for this article.
June 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/27197347/statewide-blood-pressure-improvement-challenge
#12
Jay A Gold, Ashley Green
No abstract text is available yet for this article.
April 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/27197346/one-uw-health
#13
Jeffrey Grossman, Robert N Golden
No abstract text is available yet for this article.
April 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/27197345/small-cell-carcinoma-of-the-gall-bladder
#14
Max Haid, Badri Gahju, Craig Schulz, David Sterner, Steven Falconer
Small cell carcinoma of the gall bladder (SCCGB) is a rare condition, with only 53 prior cases reported in the world literature when our case was first diagnosed. Our patient was found to have limited stage disease and was treated with sequential laparoscopic cholecystectomy, etoposide/carboplatin chemotherapy followed by consolidating loco-regional radiation therapy. She is alive and well without evidence of disease more than 132 months since diagnosis. We describe here our experience in the diagnosis, staging workup, treatment, and surveillance of a case of SCCGB and review the published literature...
April 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/27197344/removal-of-endobronchially-placed-vascular-self-expandable-metallic-stent-using-flexible-bronchoscopy
#15
Karol Kremens
Self-expanding metallic stents (SEMS) are commonly placed in malignant airway obstruction and sometimes in benign obstruction. Complications from SEMS placement are common, especially after 30 days from deployment. SEMS removal can be complicated and often involves significant resources. We report a case of a 78-year-old man with small cell carcinoma who underwent placement of a Luminexx endovascular stent in his right main stem bronchus, complicated by stent migration after initiation of chemotherapy. Stent removal was performed by flexible bronchoscopy, utilizing forceps inserted via a working channel, as well as a goose neck snare operated parallel to the bronchoscope...
April 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/27197343/bowel-perforation-associated-with-infliximab-use-in-a-pediatrics-patient
#16
Aditya Joshi, Raza Bajwa, Nandita Bhattacharjee, Rajasekhar Bodicharla
Crohn's disease (CD) is an idiopathic inflammatory disease of the gastrointestinal tract and typically causes inflammation with granuloma formation. Biologic agents like infliximab (IFX) that target tumor necrosis factor alpha (TNF-α), have emerged as important medications for treating refractory CD. With increasing use, there also are reports of rare but potentially fatal complications associated with exposure to TNF-α, such as bowel perforation. We present a case report of spontaneous bowel perforation in a child with Crohn's while on IFX therapy, and a review of the current literature...
April 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/27197342/medical-student-mock-interviews-to-improve-residency-interviewing-and-match-success
#17
William J Hueston, Richard L Holloway
PURPOSE: Using a quasi-experimental approach, we examined student and faculty satisfaction with a mock residency interview program. We also examined whether self-selected participants had match rates that differed from nonparticipants. METHODS: Interviews were arranged on a specified evening between students and a physician in the specialty to which the student wished to apply. Interviews were structured as similarly to residency interviews as possible, but included 10 minutes of verbal feedback and subsequent written feedback to all students...
April 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/27197341/students-critical-incidents-point-the-way-to-safer-patient-care-transitions
#18
Jeffrey A Morzinski, Heather Toth, Deborah Simpson, Staci Young, Karen Marcdante
INTRODUCTION: Patient care transitions are prevalent in health care, and faulty transition-related communications are associated with 80% of serious medical errors. While medical student curricula on care transitions are increasing, there are limited evaluation reports and little guidance on primary care transition training. METHODS: The Medical College of Wisconsin initiated an annual 2-hour patient care transition intersession for third-year medical students. The intersession used a critical incident report, where students wrote about a recent, de-identified patient transition they witnessed that evoked in them "a strong emotional reaction...
April 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/27197340/prevention-of-perinatal-transmission-of-hepatitis-b-virus-assessment-among-wisconsin-maternity-hospitals
#19
Stephanie M Borchardt, Anna Kocharian, Daniel Hopfensperger, Jeffrey P Davis
PURPOSE: To evaluate the completeness of identification of pregnant women testing positive for hepatitis B surface antigen (HBsAg) and birth dose hepatitis B vaccine administration, and the extent of appropriate prophylaxis of infants born to women with and without maternal HBsAg status documented in the infant medical record. METHODS: We conducted medical record reviews of 3058 maternal and infant pairs at 58 Wisconsin maternity hospitals that cumulatively delivered 90% of Wisconsin's 2010 birth cohort...
April 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/27197339/cystectomy-and-urinary-diversion-for-the-management-of-a-devastated-lower-urinary-tract-following-prostatic-cryotherapy-and-or-radiotherapy
#20
Bryan S Sack, Peter Langenstroer, Michael L Guralnick, Kenneth M Jacobsohn, R Corey O'Connor
INTRODUCTION: We investigated the outcomes and quality of life measures in men who underwent cystectomy and urinary diversion for devastating lower urinary tract toxicity after prostatic radiotherapy and/or cryotherapy for the treatment of prostate cancer. METHODS: Records of patients who underwent cystectomy and urinary diversion for the management of a devastated lower urinary tract following prostatic radiotherapy or cryotherapy were reviewed retrospectively...
April 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
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