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WMJ: Official Publication of the State Medical Society of Wisconsin

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https://www.readbyqxmd.com/read/29357213/women-s-health-care-in-wisconsin-a-closer-look
#1
Jody Silva, Ellen Hartenbach, Robert N Golden
No abstract text is available yet for this article.
December 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29357212/case-report-of-metronidazole-induced-encephalopathy
#2
Adam Clements
This report describes the case of an 83-year-old woman who was admitted to a hospitalist service with weakness and falls. She was transferred from an outside facility where she was treated with 3 courses of metronidazole for diagnosed Clostridium difficile colitis and presumed reoccurrences. Magnetic resonance imaging (MRI) demonstrated T2 enhancement of the dorsal pons and dentate nuclei consistent with metronidazole-induced encephalopathy. Her metronidazole was stopped and her symptoms resolved. This condition is rare, poorly understood, and causes reversible changes in the brain that are detectable through T2-weighted MRI...
December 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29357211/severe-maternal-morbidity-during-delivery-hospitalizations
#3
Crystal Gibson, Angela M Rohan, Kate H Gillespie
INTRODUCTION: Severe maternal morbidities include 25 complications resulting from, or exacerbated by, pregnancy. Nationally, in the last decade, these rates have doubled. OBJECTIVE: This study describes trends in the rates of severe maternal morbidities at the time of hospitalization for delivery among different groups of Wisconsin women. METHODS: Hospital discharge data and ICD-9-CM diagnosis and procedure codes were used to identify delivery hospitalizations and rates of severe maternal morbidity among Wisconsin women from 2000 to 2014...
December 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29357210/risk-factors-associated-with-carbapenem-resistant-pseudomonas-aeruginosa
#4
Kushal Patel, Jessica J Kram, Dennis J Baumgardner
INTRODUCTION: Pseudomonas aeruginosa infections resistant to carbapenem antimicrobials have increased. Traditional risk factors for non-carbapenem resistance include intensive care unit stay, mechanical ventilation, previous hospitalization, and major comorbidities. As microbes evolve, our understanding of their risk factors for resistance also should evolve. METHODS: We conducted a retrospective study of adult inpatients and outpatients with a positive Pseudomonas aeruginosa culture during 2014...
December 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29357209/travel-during-pregnancy-results-from-an-ultrasound-unit-based-questionnaire
#5
Kathleen M Antony, Vivek K Gupta, Kara K Hoppe, Tracy Quamme, Nora Feldman, Katharina Stewart
BACKGROUND: The frequency of domestic and international travel among women residing in the United States, and specifically Wisconsin, during pregnancy is not known. Given the recent epidemic of Zika virus disease, clinicians should be aware of the frequency of travel during pregnancy and should inquire about travel by pregnant women, women of reproductive age, and their sexual partners. METHODS: Due to the Zika epidemic, our obstetric ultrasound center added questions about international and domestic travel to a general health form that is routinely distributed to all patients presenting for anatomic ultrasounds...
December 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29357208/muscle-cramps-do-not-improve-with-correction-of-vitamin-d-insufficiency
#6
Madelyn K Weiker, Birgitte Nielsen, Andrew J Waclawik, Abigail C Staples, Karen E Hansen
BACKGROUND: Minimal treatment options exist for idiopathic muscle cramps. OBJECTIVE: We evaluated whether correction of vitamin D insufficiency relieved muscle cramps in postmenopausal women. METHODS: We conducted a post hoc analysis of a randomized, double-blind, placebo-controlled trial at a single academic medical center in the Midwest to evaluate the benefits of treating vitamin D insufficiency. Two hundred thirty postmenopausal women participated...
December 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29357207/differences-in-methods-of-self-inflicted-injuries-by-sex-in-wisconsin-2002-2014
#7
Nivedita Nair, Joseph Archer, Alexa Statz, Ousmane Diallo
BACKGROUND: Despite suicide prevention efforts, there remains a high burden of self-inflicted injuries in Wisconsin. OBJECTIVE: Compare methods of suicide and nonfatal self-inflicted injury by sex in Wisconsin over a 12-year period. METHODS: Suicide and nonfatal self-inflicted injury rates in Wisconsin between 2002 and 2014 were compared by sex and method using data from the Wisconsin Interactive Statistics on Health. Percentages of total suicides by method of injury for each sex were calculated...
December 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29357206/beyond-the-clinic-making-a-difference-in-the-lives-of-others
#8
Kay Simmons
No abstract text is available yet for this article.
December 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29357205/my-mentor
#9
Leonard A Mermel
No abstract text is available yet for this article.
December 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29357204/clinical-medicine-from-10-000-feet
#10
EDITORIAL
John J Frey
No abstract text is available yet for this article.
December 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29323814/physician-advocacy-is-proassurance-s-specialty
#11
W S Starnes
No abstract text is available yet for this article.
November 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29323813/antibiotic-stewardship-in-the-outpatient-setting
#12
DeAnn Richards
No abstract text is available yet for this article.
November 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29323812/the-united-states-research-enterprise
#13
Joseph E Kerschner
No abstract text is available yet for this article.
November 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29323811/-are-you-the-man-and-patriotism
#14
L M Warfield
No abstract text is available yet for this article.
November 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29323810/hospital-medicine-and-fellowship-program-in-rural-north-dakota-a-multifaceted-success-story
#15
S S Hyder, Mary Amundson
INTRODUCTION: Recruitment of hospitalists and primary care physicians for Critical Access Hospitals and tertiary care hospitals in North Dakota is difficult. To address this challenge, 2 programs were implemented in Bismarck, North Dakota. METHODS: St. Alexius Medical Center created a hospitalist fellowship training program in collaboration with the University of North Dakota School of Medicine and Health Sciences and physicians willing to work in Critical Access Hospitals were offered a joint appointment to teach hospitalist fellows and obtain a clinical academic appointment at the university...
November 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29323809/case-report-of-an-ectopic-molar-pregnancy-in-the-presence-of-an-intrauterine-device
#16
Deborah A Simon, Angela L Smith, John R Holzhauer
BACKGROUND: Ectopic molar pregnancy is a rare phenomenon and has not been reported in the presence of an intrauterine device (IUD). Clinical diagnosis of molar pregnancy is challenging and requires careful follow-up. CASE: A 25-year-old woman (gravida 2, para 0) with a copper IUD in place presented with a positive pregnancy test. Diagnosis of the complete hydatidiform mole was pathologically confirmed after surgery following clinical and sonographic investigations that identified a left-sided ectopic pregnancy...
November 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29323808/adolescent-preferences-for-topics-addressed-during-well-visits
#17
Eugene C Lee
BACKGROUND: Current evidence is limited regarding the topics adolescents want to discuss with clinicians during routine well visits. High school students were surveyed to determine potential adolescent discussion topics, barriers to discussion, and ways to promote dialogue. METHODS: Surveys were distributed between October 2014 and January 2015 to 102 students in the Verona Area High School in Verona, Wisconsin. RESULTS: Of the topics presented, teens preferred to discuss vaccines and mood/stress with their clinicians...
November 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29323807/impact-of-obesity-on-cesarean-delivery-outcomes
#18
Andrew J Vegel, Dana M Benden, Andrew J Borgert, Kara J Kallies, Shanu N Kothari
BACKGROUND: The rate of cesarean delivery has increased over the last 2 decades. Obesity is a risk factor for complications during pregnancy and cesarean procedures. The objective of this study was to evaluate cesarean delivery outcomes in patients with vs without obesity, and determine the impact of obesity on complications. METHODS: The medical records of patients who underwent a cesarean delivery from 2010 to 2014 were reviewed. Patients were grouped by body mass index (BMI) into obese (≥30kg/m²) and non-obese (<30kg/m²) cohorts for comparison...
November 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29323806/spine-and-spinal-cord-injuries-after-falls-from-tree-stands-during-the-wisconsin-deer-hunting-season
#19
Kimberly Hamilton, Brandon Rocque, Nathaniel Brooks
BACKGROUND: Deer hunting is popular in much of the United States. In Wisconsin, use of tree stands for hunting is common. Spine surgeons at a Level 1 Trauma Center observed a high incidence of spine and spinal cord injury due to falls from tree stands while hunting. This study's purpose is to systematically characterize and classify those injuries. METHODS: We reviewed the University of Wisconsin Hospital and Clinics' trauma database for tree stand-related injuries from 1999 to 2013...
November 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29323805/wisconsin-firearm-mortality-2000-2014
#20
Wen-Jan Tuan, John J Frey
BACKGROUND: Despite low firearm mortality rates in Wisconsin, overall firearm fatalities continue to rise in recent years. In 2013, the statewide age-adjusted death rate due to firearms was 9.6 per 100,000 persons, the highest mark since the new millennium. This raises not only public safety concerns, but also raises questions regarding ongoing gun violence. OBJECTIVES: To describe the population and geographic characteristics of firearm mortality rates on population and geographic characteristics in Wisconsin...
November 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
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