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Tularemia in Minnesota: an emerging and underappreciated infection. 明尼苏达州的兔热病:一种新出现的未被重视的感染。
Minnesota medicine Pub Date : 2017-05-01
Tory Whitten, Jenna Bjork, Dave Neitzel, Kirk Smith, Maureen Sullivan, Joni Scheftel
{"title":"Tularemia in Minnesota: an emerging and underappreciated infection.","authors":"Tory Whitten,&nbsp;Jenna Bjork,&nbsp;Dave Neitzel,&nbsp;Kirk Smith,&nbsp;Maureen Sullivan,&nbsp;Joni Scheftel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Tularemia is a rare but often serious infectious disease caused by Francisella tularensis, a bacterium with an extremely low infectious dose and the ability to cause illness through several routes including arthropod bites, contact with infected animals and exposure to contaminated water, food or soil. Tularemia is found throughout the northern hemisphere, and cases have occurred in all U.S. states except Hawaii. Thirteen cases have been reported to the Minnesota Department of Health since 1994, including 3 in 2016. This article presents the 2016 cases as well as data on all the reported cases. Clinicians should consider tularemia in patients with a compatible clinical illness and exposure history, particularly those who present with acute fever and regional lymphadenopathy. Treatment should be initiated early in highly suspect cases, without waiting for laboratory results.</p>","PeriodicalId":18639,"journal":{"name":"Minnesota medicine","volume":"100 3","pages":"40-43"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36684676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Apples and oranges Our drug pricing system does not compute. 我们的药品定价系统不合理。
Minnesota medicine Pub Date : 2017-05-01
Charles R Meyer
{"title":"Apples and oranges Our drug pricing system does not compute.","authors":"Charles R Meyer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":18639,"journal":{"name":"Minnesota medicine","volume":"100 3","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36696966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The changing landscape of drug abuse What's new? What can we do? 毒品滥用的变化有什么新鲜事吗?我们能做什么?
Minnesota medicine Pub Date : 2017-05-01
Carol Falkowski
{"title":"The changing landscape of drug abuse What's new? What can we do?","authors":"Carol Falkowski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Every corner of the country is touched by drug abuse and addiction--Minnesota is no exception. Drug-induced deaths have tripled since 1990 and now outnumber fatalities from motor vehicle accidents. Deaths from opioid overdoes in particular have skyrocketed; they now outnumber cocaine and methamphetamine overdoes deaths, combined.</p>","PeriodicalId":18639,"journal":{"name":"Minnesota medicine","volume":"100 3","pages":"30-31"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36684674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Expensive Medicine: Drug prices are increasingly hard to swallow. Effective remedies prove elusive. 昂贵的药品:药品价格越来越难以接受。事实证明，有效的补救措施难以捉摸。
Minnesota medicine Pub Date : 2017-05-01
Howard Bell
{"title":"Expensive Medicine: Drug prices are increasingly hard to swallow. Effective remedies prove elusive.","authors":"Howard Bell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two lawsuits filed this year in federal court claim that three drugmakers have colluded in order to simultaneously raise the price of insulin.</p>","PeriodicalId":18639,"journal":{"name":"Minnesota medicine","volume":"100 3","pages":"10-17"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36696967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tackling addiction in primary care. 在初级保健中解决成瘾问题。
Minnesota medicine Pub Date : 2017-05-01
Brian Grahan
{"title":"Tackling addiction in primary care.","authors":"Brian Grahan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the exam room, providers can identify--and often treat--patients who need help with a substance use disorder.</p>","PeriodicalId":18639,"journal":{"name":"Minnesota medicine","volume":"100 3","pages":"32-33"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36696973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Addressing the opioid epidemic in general medical settings. 解决一般医疗环境中的阿片类药物流行问题。
Minnesota medicine Pub Date : 2017-05-01
Gavin Bart
{"title":"Addressing the opioid epidemic in general medical settings.","authors":"Gavin Bart","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As awareness of the opioid epidemic in this country has grown, so has the number of efforts to respond to it. This article reviews national and state efforts involving the medical community. It also reports on new funding coming to Minnesota with passage of the 21 st Century Cures Act, and it calls for increased involvement at the health system level. The hope is that with greater awareness of these efforts, health care providers will be better equipped to address the full spectrum of the epidemic.</p>","PeriodicalId":18639,"journal":{"name":"Minnesota medicine","volume":"100 3","pages":"34-37"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36684678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Substance abuse and insomnia. 药物滥用和失眠。
Minnesota medicine Pub Date : 2017-05-01
Mark Rosenblum
{"title":"Substance abuse and insomnia.","authors":"Mark Rosenblum","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Insomnia is a common complaint among people with substance use disorders. The relationship between sleep problems and substance abuse is bidirectional: People who have trouble sleeping may medicate with alcohol or illicit drugs or misuse prescription medications. And taking certain substances can interfere with sleep. This article reviews that relationship and presents information about the two evidence-based treatments for insomnia: prescription sleep medications and cognitive behavioral therapy for insomnia. Clinicians treating people with a substance use disorder or insomnia should be aware of the risks of comorbidity, and they should understand the risks and benefits of treatment for the insomnia.</p>","PeriodicalId":18639,"journal":{"name":"Minnesota medicine","volume":"100 3","pages":"38-39"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36684673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Wing Man. 翅膀的人。
Minnesota medicine Pub Date : 2017-05-01
Carmen Peota
{"title":"Wing Man.","authors":"Carmen Peota","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>On a gray March day, Stephen Wagner, MD, putters in the large hanger where he keeps his Beechcraft King Air E90.</p>","PeriodicalId":18639,"journal":{"name":"Minnesota medicine","volume":"100 3","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36696965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The merits of MIIC. MIIC的优点。
Minnesota medicine Pub Date : 2017-05-01
Zeke J McKinney
{"title":"The merits of MIIC.","authors":"Zeke J McKinney","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Minnesota's immunization information system excels at population health surveillance.</p>","PeriodicalId":18639,"journal":{"name":"Minnesota medicine","volume":"100 3","pages":"20-22"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36696969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The session so far. 到目前为止的会议。
Minnesota medicine Pub Date : 2017-05-01
Dan Hauser
{"title":"The session so far.","authors":"Dan Hauser","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Only a few weeks remain n what has been a frustrating legislative session for physicians (it must conclude by May 22). Here's a rundown of the MMA's priorities.</p>","PeriodicalId":18639,"journal":{"name":"Minnesota medicine","volume":"100 3","pages":"24-28"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36696970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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