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WMJ: Official Publication of the State Medical Society of Wisconsin

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https://www.readbyqxmd.com/read/30193025/wisconsin-health-care-making-progress-toward-cms-quality-strategy-goals
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
https://www.readbyqxmd.com/read/30193018/defining-the-place-of-direct-primary-care-in-a-value-based-care-system
#8
Lindsey E Carlasare
INTRODUCTION: Direct primary care, one of several retainer-based practice models, is a niche practice type that offers an alternative to the traditional fee-for-service and insurance-based practices most prevalent in US health care. In Wisconsin, the prevalence of direct primary care practices is higher than in most other states. The market for direct primary care practice may be growing along with the industry shift to value-based care and an increase in physicians' desire to reduce the increasing administrative work and regulations that detract from patient care and increase burnout...
August 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30193017/metrics-for-metrics
#9
EDITORIAL
Melissa M Stiles, Bruce Barrett, John W Beasley
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/30193016/small-is-beautiful-or-is-it
#10
EDITORIAL
John J Frey
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/30193015/the-loneliness-of-mental-illness-at-the-end-of-life
#11
EDITORIAL
Eileen Ahearn
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/30048581/breast-density-notification-law-requires-new-patients-notifications
#12
Jennifer Bergin, Alicia Arnold
No abstract text is available yet for this article.
June 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30048580/the-aging-imperative-innovations-in-research-education-and-care-in-geriatric-medicine
#13
Sanjay Asthana, Robert N Golden
No abstract text is available yet for this article.
June 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30048579/distal-tibia-and-foot-involvement-in-a-patient-with-waldenstrom-s-macroglobulinemia
#14
Priyanka Priyanka, Richard Mercier, Rahul Raiker, Bindu Potugari
Bone lesions are a rare presentation in Waldenstrom's macroglobulinemia patients. Although lytic bone lesions and generalized osteoporosis have been described variably in literature on Waldenstrom's macroglobulinemia patients, distal long bone and foot involvement has not been described to our knowledge. We report a patient with Waldenstrom's macroglobulinemia with IgM monoclonal spike, plasmacytic infiltration of bone marrow, and symptoms of foot pain, and found to have distal tibia and foot involvement. The symptoms of bone lesions in our patient were significantly improved with radiation treatment...
June 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30048578/a-case-of-optic-neuritis-secondary-to-lyme-disease
#15
Pinky Jha, Sophie G Rodrigues Pereira, Abhishek Thakur, Gurdeep Jhaj, Sanjay Bhandari
INTRODUCTION: Optic neuritis is a condition associated with various systemic diseases, such as multiple sclerosis, and is also considered a rare complication of Lyme disease. CASE: A 46-year-old white woman presented with sudden onset of bilateral vision loss. After extensive workup, she was diagnosed with Lyme optic neuritis based on the clinical presentation and positive serology. She was treated with doxycycline for 2 weeks. DISCUSSION: Lyme disease is caused by infection with the spirochete Borrelia burgdorferi...
June 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30048577/a-curriculum-for-residents-to-develop-successful-quality-improvement-projects
#16
Claudia L Reardon, Shane Creado, Roderick Hafer, Emily Howell-Little, Frederick J Langheim, Elliot R Lee, Jennifer M McDonald, Michael J Peterson, Art Walaszek
BACKGROUND: Quality improvement (QI) education in residency training has become critical for numerous reasons, but little has been written about factors that lead to successful improvement projects within residency training. METHODS: A quality improvement curriculum for third-year psychiatry residents was developed. The percentage of resident projects that have been successfully implemented was calculated. Residents completed the QI Knowledge Application Tool adapted for psychiatry before and after the curriculum to assess knowledge and skills...
June 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30048576/the-clinical-significance-of-relative-bradycardia
#17
Fan Ye, Mohamad Hatahet, Mohamed A Youniss, Hale Z Toklu, Joseph J Mazza, Steven Yale
INTRODUCTION: Relative bradycardia is a poorly understood paradoxical phenomenon that refers to a clinical sign whereby the pulse rate is lower than expected for a given body temperature. OBJECTIVE: To provide an overview and describe infectious and noninfectious causes of relative bradycardia. METHODS: PubMed and Medline databases were searched using individual and Medical Subject Headings terms including relative bradycardia, fever, pulse-temperature dissociation and pulsetemperature deficit in human studies published from inception to October 2, 2016...
June 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30048575/a-strategy-for-changing-adherence-to-national-guidelines-for-decreasing-laboratory-testing-for-early-breast-cancer-patients
#18
Laura A Hill, Choua A Vang, Colin R Kennedy, Jared H Linebarger, Leah L Dietrich, Benjamin M Parsons, Joy L Hennessy, Lonna M Theede, Laura K VanderLei, Luis D Ramirez, Andrew J Ernst, Jeffrey Landercasper
INTRODUCTION: Past studies indicate delays in adoption of consensus-based guideline updates. In June 2016, the National Comprehensive Cancer Network changed its guidelines from routine testing to omission of ordering complete blood cell count (CBC) and liver function tests (LFT) in patients with early breast cancer. In response, we developed an implementation strategy to discontinue our historical practice of routine ordering of these tests in asymptomatic patients. METHODS: The ordering of CBC and LFT for clinical stage I-IIIA breast cancer patients was audited in 2016...
June 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30048574/does-progesterone-receptor-matter-in-the-risk-of-recurrence-for-patients-with-ductal-carcinoma-in-situ
#19
Lubna N Chaudhary, Zeeshan Jawa, Ahmad Hanif, Aniko Szabo, Sailaja Kamaraju, Yee C Cheng, Christopher R Chitambar
BACKGROUND: Local recurrence is a major concern in patients diagnosed with ductal carcinoma in situ (DCIS). In invasive breast cancers, estrogen receptor (ER) (+)/progesterone receptor (PR) (-) subtype is considered more aggressive with poorer prognosis as compared to ER+/PR+ tumors. It is unclear whether this holds true in DCIS. METHODS: Six hundred ninety-three patients diagnosed and treated for DCIS at Froedtert and Medical College of Wisconsin Cancer Center (February 2002 to March 2015) were studied to determine if the recurrence rates were significantly different between ER+/PR- and ER+/PR+ tumors...
June 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/30048573/increasing-mammography-uptake-through-academic-community-partnerships-targeting-immigrant-and-refugee-communities-in-milwaukee
#20
Sailaja Kamaraju, Melissa DeNomie, Alexis Visotcky, Anjishnu Banerjee, Kate Krause, Emmanuel Tavares, Amrita Rao, Elaine Drew, Joan Neuner, Melinda Stolley
INTRODUCTION: Milwaukee, a city characterized by high rates of racial segregation and a growing immigrant population, has large race-based breast cancer survival disparities. To address these disparities, breast health education workshops were offered through a community-academic partnership (CAP) to women from various ethnic backgrounds. This paper explores attendance, satisfaction, and rates of screening mammography among workshop attendees. METHODS: Partnerships were formed with community-based organizations, a mobile mammography unit, and the Wisconsin Well Woman Program, a state-supported program providing free mammograms...
June 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
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