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WMJ: Official Publication of the State Medical Society of Wisconsin

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https://www.readbyqxmd.com/read/30407773/the-safety-of-consistency-in-a-changing-world
#1
William Stancil Starnes
No abstract text is available yet for this article.
October 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30407772/wisconsin-health-care-making-progress-toward-cms-quality-strategy-goals-part-ii
#2
Kristin Westphal, Jody Rothe
No abstract text is available yet for this article.
October 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30407771/shared-knowledge-in-precision-cancer-care
#3
Mark E Burkard, Robert N Golden
No abstract text is available yet for this article.
October 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30407770/platypnea-orthodeoxia-a-case-of-unexplained-hypoxia
#4
Nathan Marzlin, Sara Dunbar, Michael Cinquegrani
INTRODUCTION: Platypnea-orthodeoxia syndrome is a rare clinical syndrome defined by worsening deoxygenation and dyspnea when changing to an upright sitting or standing position. It is seen in 3 different clinical scenarios: intracardiac shunts, pulmonary arteriovenous shunts, and ventilation/perfusion mismatch in the lungs. CASE: An 82-year-old woman with a history of nonischemic cardiomyopathy with reduced ejection fraction was admitted with dyspnea and hypoxemia...
October 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30407769/familial-tako-tsubo-cardiomyopathy-clinical-and-echocardiographic-features-including-magnetic-resonance-imaging-findings
#5
Tahir Tak, Umesh Sharma, Swetha Karturi, S Michael Gharacholou
INTRODUCTION: Tako-tsubo cardiomyopathy (TCM) is being recognized more frequently; and a familial form of this diagnosis has been suspected but is less well-established. CASE: A 75-year-old patient with a family history of TCM was admitted with suspected ST-segment elevation myocardial infarction. Transthoracic echocardiography showed apical dyskinesis with hyperdynamic basal walls and a left ventricular ejection fraction (LVEF) of 25%. Repeat echocardiography showed normal LVEF of 60% ejection fraction...
October 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30407768/diabetes-mellitus-not-just-type-1-or-type-2-anymore
#6
Aiman Riaz, Michael J Dolan
INTRODUCTION: Diabetes mellitus traditionally has been categorized as type 1 (insulin deficiency due to autoimmune destruction of islet cells) or type 2 (insulin resistance with the development of relative insulin deficiency). However, other pathophysiologic etiologies for diabetes must be considered in the evaluation of patients with new-onset diabetes. CASE PRESENTATION: We report the case of a 50-year-old man with a diagnosis of type 2 diabetes mellitus who-despite appropriate pharmacotherapy-developed worsening hyperglycemia...
October 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30407767/the-effect-of-understanding-issues-of-personal-finance-on-the-well-being-of-physicians-in-training
#7
Peter Connelly, Cassandra List
BACKGROUND: This study assessed trends in personal financial issues among physical medicine and rehabilitation resident physicians and their impact on resident well-being. METHODS: A 25-question cross-sectional survey was sent to 18 physical medicine and rehabilitation residents. RESULTS: A total of 17 residents completed the survey (94% response rate), with 82% (14 of 17) endorsing personal finances as a contributor to their personal health...
October 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30407766/the-legacy-of-the-seminal-publication-by-guillain-barr%C3%A3-and-strohl-the-history-behind-the-eponym
#8
REVIEW
Andrew J Waclawik
The report, "On a syndrome of radiculoneuritis with hyperalbuminosis of the cerebrospinal fluid without a cellular reaction. Remarks on the clinical characteristics and tracings of the tendon reflexes," published in 1916, included superb longitudinal clinical observations of progressive areflexic paralysis in 2 French soldiers, unique laboratory findings from the still new at that time technique of lumbar puncture, and electrophysiological studies. The classic observation of the albumino-cytologic dissociation in the spinal fluid, even over 100 years later, is still one of the most important laboratory findings used by clinicians to confirm the suspected diagnosis of the Acute Inflammatory Demyelinating Polyneuropathy, typically eponymously referred to as Guillain Barré Syndrome (GBS)...
October 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30407765/a-review-of-long-acting-reversible-contraception-methods-and-barriers-to-their-use
#9
REVIEW
Melyssa M Baron, Beth Potter, Sarina Schrager
Unplanned pregnancies are a serious health concern in Wisconsin. Increasing access to contraception is a proven method to reduce unplanned pregnancies while giving patients greater agency. Long-acting reversible contraception (LARC) methods, such as subdermal implants and intrauterine devices (IUD), are among the most effective contraception methods available and have high patient satisfaction. However, relatively few Wisconsin patients use these methods. Lack of provider skill in inserting and counseling about LARCs, inability to perform same-day LARC insertion, and absent hospital protocols for immediate postpartum insertion represent barriers to LARC access...
October 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30407764/health-care-barriers-to-provision-of-long-acting-reversible-contraception-in-wisconsin
#10
Emily M Olson, Renee D Kramer, Crystal Gibson, Cynthia K Wautlet, Nicholas B Schmuhl, Deborah B Ehrenthal
INTRODUCTION: Long-acting reversible contraceptives (LARC), specifically implants and intrauterine devices (IUD), are highly effective, low maintenance forms of birth control. Practice guidelines from the American College of Obstetricians and Gynecologists, American Academy of Family Physicians, and American Academy of Pediatrics recommend that LARC be considered first-line birth control for most women; however, uptake remains low. In this study, we sought to understand practices and barriers to provision of LARC in routine and immediate postpartum settings as they differ between specialties...
October 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30407763/sixty-years-after-the-pill-medicine-still-needs-to-make-progress
#11
EDITORIAL
John J Frey
No abstract text is available yet for this article.
October 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30407762/essential-oils-initiating-a-resident-wellness-program-at-a-community-hospital
#12
EDITORIAL
Peter J Polewski
No abstract text is available yet for this article.
October 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30407761/thoughts-on-the-clinical-significance-of-relative-bradycardia
#13
LETTER
Ajay Kumar Mishra, Kamal Kant Sahu, Kranis Mark
No abstract text is available yet for this article.
October 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30193025/wisconsin-health-care-making-progress-toward-cms-quality-strategy-goals
#14
Kristin Westphal, Jody Rothe
No abstract text is available yet for this article.
August 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30193024/expanding-our-work-a-multifaceted-approach-to-improving-mental-health-access
#15
Jon Lehrmann, David Peterson, Joseph E Kerschner, John R Raymond
No abstract text is available yet for this article.
August 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30193023/rapid-therapeutic-response-of-eosinophilic-meningoencephalitis-in-a-toddler-with-baylisascaris-procyonis-infection
#16
Grace N Muganda, Naomi E Akagi, Olufisayo D Fagbemi, Michael J Chusid, Anika M Nelson
INTRODUCTION: Eosinophilic meningitis is an infrequently encountered condition. Baylisascaris procyonis (raccoon roundworm) infection, rarely diagnosed in North America, is a known cause of eosinophilic meningitis, often producing death or permanent neurologic damage. CASE REPORT: We recently encountered a toddler with geophagia and probable exposure to raccoon feces, who presented with eosinophilic meningitis and encephalitis, and was diagnosed with B procyonis infection and possible Toxocara co-infection...
August 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30193022/ultrasound-enabled-noninvasive-management-of-inadvertent-carotid-cannulation
#17
Stacy Libricz, Ayan Sen, Victor Davila, Jeff Mueller, Alyssa Chapital, Samuel Money
INTRODUCTION: Despite ultrasound use, accidental carotid cannulation is possible during placement of a central venous catheter (CVC), requiring operative repair of the carotid artery and removal of the catheter. CASE PRESENTATION: We report 2 cases-a 59-year-old Hispanic man and an 86-year-old white man-of inadvertent placement of a CVC into the left common carotid artery, removed via a pull-and-pressure technique under real-time ultrasound guidance. No complications occurred and follow-up imaging was negative for fistula creation, hematoma, or cerebral infarcts...
August 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30193021/screening-pediatric-patients-for-food-insecurity-a-retrospective-cross-sectional-study-of-comorbidities-and-demographic-characteristics
#18
Rachel Rongstad, Megan Neuman, Parvathy Pillai, Jen Birstler, Larry Hanrahan
BACKGROUND: Food insecurity is a household-level economic and social condition of limited or uncertain access to adequate and nutritional food that is associated with diabetes, obesity, anxiety, depression, and behavioral disorders. The presence of these comorbidities motivated the UW Health Pediatrics Department to start screening for food insecurity. METHODS: Our study describes demographic characteristics of screened patients, comparing risk factors and health status between food insecure patients and food secure patients...
August 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30193020/surveillance-of-wisconsin-organisms-for-trends-in-antimicrobial-resistance-and-epidemiology-introduction-to-the-program-and-summary-of-2016-geographic-variation
#19
Erik Munson, Erin Hueppchen, Heather Zeman
BACKGROUND: Antimicrobial resistance merits surveillance because of its impact on quality health care. Past surveillance efforts in Wisconsin involved generation of a statewide antibiogram on the basis of antibiogram compilation. However, this modality of surveillance possesses limitations. METHODS: To characterize Wisconsin antimicrobial susceptibility patterns and elucidate geographic variation in antimicrobial resistance, a statewide surveillance network was created...
August 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30193019/identifying-differences-in-rates-of-invitation-to-participate-in-tobacco-treatment-in-primary-care
#20
Kristin M Berg, Stevens S Smith, Megan E Piper, Michael C Fiore, Douglas E Jorenby
INTRODUCTION: The progress achieved in reducing tobacco use has not been consistent across groups of smokers, and health systems are inconsistently implementing best practice guidelines. Guideline implementation could be associated with improved treatment invitation rates. AIMS: To evaluate differences in tobacco treatment invitation rates based on patient characteristics in primary care clinics implementing best practice guidelines. METHODS: A secondary analysis of patients presenting to 11 primary care clinics from 2 Wisconsin health systems from June 2010 to February 2013...
August 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
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