Wisconsin Medical Journal最新文献_第2页

Stem Cell Science and Regenerative Biology: Tools for Building New Treatments. 干细胞科学和再生生物学：构建新疗法的工具。

Wisconsin Medical Journal Pub Date : 2023-09-01

Deneen M Wellik, Robert N Golden

引用次数: 0

Medical Student Well-being Outcomes After a Novel Shared Meal and Resiliency Skills Course. 医学生在新的共享膳食和恢复能力技能课程后的幸福感。

Wisconsin Medical Journal Pub Date : 2023-09-01

Jessica C Babal, Liana Eskola, Andrea Jones, Roger J Schultz, Jens C Eickhoff

{"title":"Medical Student Well-being Outcomes After a Novel Shared Meal and Resiliency Skills Course.","authors":"Jessica C Babal, Liana Eskola, Andrea Jones, Roger J Schultz, Jens C Eickhoff","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Medical student well-being is a major problem. The authors aimed to assess well-being outcomes 6-months after a novel extracurricular shared meal and resiliency course.Methods: We implemented the course during 3 academic years (2018-2020). Participants received surveys assessing resilience, perspective-taking, self-compassion, and empathy at 4 timepoints. We used linear mixed effects models to assess changes from baseline to post-course assessments for the 3-year aggregate and pre-COVID and early-COVID time periods.Results: One week and 6 months post-course, resilience, perspective-taking, and self-compassion scores improved (P < 0.01). Notably, resilience changed significantly only during early-COVID (P < 0.01), not pre-COVID (P = 0.16). For scores with evidence-based interpretation cut-offs, no clinical changes occurred.Discussion: Several well-being measures statistically improved post-course but did not change clinically. Qualitative studies may better capture meaningful well-being outcome impact.","PeriodicalId":38747,"journal":{"name":"Wisconsin Medical Journal","volume":"122 4","pages":"272-276"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41151840","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 Impact of a Scholarly Concentration Program on Medical Student Research in Pediatrics. 学术集中计划对医学生儿科研究的影响。

Wisconsin Medical Journal Pub Date : 2023-09-01

Adam S Bauer, Pamela J Kling, Vera Tsenkova, Ethan Rosen, Elizabeth Petty

{"title":"The Impact of a Scholarly Concentration Program on Medical Student Research in Pediatrics.","authors":"Adam S Bauer, Pamela J Kling, Vera Tsenkova, Ethan Rosen, Elizabeth Petty","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: To promote scientific inquiry, medical schools encourage medical students to participate in scholarly concentration programs (SCP). Manuscript publishing, a proxy of productivity, enhances medical student understanding of scientific inquiry. To evaluate an elective medical SCP offered between the first two years of medical school, the pediatrician authors' primary aim was to study the publishing productivity of the program participants in the University of Wisconsin (UW) School of Medicine and Public Health Department of Pediatrics compared to other departments. Secondary aims were to study whether productivity was influenced by the following predictors: (1) self-identified medical student gender, (2) working with a frequent mentor, (3) mentor degree, (4) funding source, and (5) area of research.Methods: PubMed joint publications from 2002 through 2017 were searched using both medical student and mentor names through 2 years post-graduation.Results: From all UW School of Medicine Public Health departments, 1108 medical students self-selected projects and mentors. One hundred two (9.2%) students chose the Department of Pediatrics. The majority of these students were female (61%) compared to female medical student participation (42%) in other departments (P = 0.0004). The majority of projects were clinical (53%), with basic science (26%) and public/global health (21%) following, though with more public/global health projects chosen in the Department of Pediatrics (P = 0.002) versus other departments. Overall, frequent mentors improved publication rates (P =0.0008), though frequent mentors (P = 0.45) and publication rates (P = 0.60) did not differ between pediatrics and other departments.Conclusions: Medical students' SCP manuscript productivity benefitted from working with frequent mentors, but productivity in the Department of Pediatrics did not differ from other departments.","PeriodicalId":38747,"journal":{"name":"Wisconsin Medical Journal","volume":"122 4","pages":"250-256"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41162566","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

Teaching Students to Care (Coordinate): A Randomized Controlled Trial. 教学生关心（协调）：一项随机对照试验。

Wisconsin Medical Journal Pub Date : 2023-09-01

Lara Voigt, James McCarthy, Ankur Segon

{"title":"Teaching Students to Care (Coordinate): A Randomized Controlled Trial.","authors":"Lara Voigt, James McCarthy, Ankur Segon","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Interdisciplinary rounds are a vital part of discharge planning; however, medical students receive little training in how to contribute effectively. Many existing discharge planning curricula are either prohibitively time consuming or narrowly focused. Addressing this gap can help improve interdisciplinary care and enhance the role of medical students on inpatient teams.Methods: We developed a 30-minute curriculum on the purpose of interdisciplinary rounds, expected presentation content, and team members' roles and conducted a randomized controlled trial among medical students on their inpatient internal medicine rotation. Outcomes were measured using pre- and post-curriculum surveys and comparison of evaluations of student participation in interdisciplinary rounds.Results: Eighty-six medical students participated in the study (59 intervention, 27 control), and we received 142 presentation evaluations (91 intervention, 51 control). There was significant post-curriculum improvement in all students' understanding of and comfort presenting in interdisciplinary rounds and knowledge of team members' roles. Presentation evaluations did not show a significant difference; however, students in the intervention group were better able to answer questions about their patients, with a difference approaching statistical significance (70% vs 57%, P = 0.069).Conclusions: A brief, just-in-time curriculum improved learners' knowledge of interdisciplinary discharge rounds and showed a trend towards improvement in their ability to answer questions during rounds. Our curriculum can empower medical students to help their inpatient teams by participating in discharge rounds and can be integrated into existing curricula with minimal disruption.","PeriodicalId":38747,"journal":{"name":"Wisconsin Medical Journal","volume":"122 4","pages":"257-261"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41180187","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

Amiodarone Pharmacovigilance Through an Intelligent Electronic Health Record Application. 胺碘酮药物警戒通过智能电子健康记录应用。

Wisconsin Medical Journal Pub Date : 2023-09-01

Olivia R Newgaard, Rajeev Chaudhry, Jenny A Schutte, Richard Arndt, Jennifer R Rich, Andrew D Calvin, Richard D Hanna

引用次数: 0

Neck Pain Secondary to Post Radiation Fibrosis Managed With Ultrasound-Guided Adhesiolysis. 超声引导下松解术治疗放疗后纤维变性继发的颈部疼痛。

Wisconsin Medical Journal Pub Date : 2023-09-01

Mackenzie McGrath, Hariharan Shankar

{"title":"Neck Pain Secondary to Post Radiation Fibrosis Managed With Ultrasound-Guided Adhesiolysis.","authors":"Mackenzie McGrath, Hariharan Shankar","doi":"","DOIUrl":"","url":null,"abstract":"Background: Radiation therapy may result in complications, including fibrosis, which can result in pain and difficulty with movement - especially in the neck.Case presentation: A 52-year-old man with right-sided vague neck pain unresponsive to conservative management had a computed tomography scan that showed a vagal paraganglioma in the carotid sheath surrounding the right carotid arteries and internal jugular vein. Following radiation therapy, he noticed a new pain in his right jaw and neck worse with certain movements of the neck. Nonsurgical conservative measures including physical therapy and pharmacological management were unsuccessful. An ultrasound evaluation demonstrated fibrosis beneath the sternocleidomastoid muscle and in proximity to the carotid sheath. After careful trajectory planning using ultrasound imaging, a 25 G needle was introduced real time in proximity to the fibrosis. Using a dexamethasone/saline mixture under real-time ultrasound guidance, adhesions were released. After 3 injections, the patient reported greater than 90% pain relief, which lasted 4 months. Subsequently, he required similar injections approximately every 3 months to achieve greater than 75% pain relief.Conclusions: This is a successful demonstration of the utility of ultrasound evaluation and guidance for adhesiolysis following radiation therapy.","PeriodicalId":38747,"journal":{"name":"Wisconsin Medical Journal","volume":"122 4","pages":"298-301"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41157655","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

Exploring the Feasibility of POCUS Training for Advanced Practice Providers at an Academic Medical Center. 探索在学术医疗中心为高级实践提供者进行POCUS培训的可行性。

Wisconsin Medical Journal Pub Date : 2023-09-01

Abhilash Koratala, Paige Gioia, Devin Madenberg, Anu Taylor

引用次数: 0

Disseminated Coccidioidomycosis With Fungemia and Possible Strongyloides Co-infection. 播散性球孢子菌病伴真菌血症和可能的圆形线虫合并感染。

Wisconsin Medical Journal Pub Date : 2023-07-01

Julie Jerabek, Ahmed Abdulrahim, Stephen Cavalieri, Kelsey Witherspoon, Rima El-Herte

{"title":"Disseminated Coccidioidomycosis With Fungemia and Possible Strongyloides Co-infection.","authors":"Julie Jerabek, Ahmed Abdulrahim, Stephen Cavalieri, Kelsey Witherspoon, Rima El-Herte","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Coccidioidomycosis is most often an asymptomatic or mild self-limited respiratory infection, but in rare cases it can become disseminated and cause severe disease.Case presentation: A 29-year-old man who was originally from Thailand and had been living in Arizona for 2 years presented with intermittent fevers, fatigue, and other nonspecific symptoms, including abdominal pain, nonbloody diarrhea, and pruritic rash. Initial laboratory values showed significant peripheral eosinophilia. Extensive evaluation revealed possible Strongyloides species infection. Shortly after, Coccidioidies species fungemia was found. Fevers and symptoms resolved after adequate treatment.Discussion: Disseminated coccidioidomycosis with fungemia is very rare in immunocompetent individuals. Co-infection with Stronglyloides species is only reported in two other case reports.Conclusions: We report this case to raise awareness of a rare infection. In adequate epidemiological circumstances, co-infections Coccidioides and Strongyloides species should be considered in presence of fever and eosinophilia.","PeriodicalId":38747,"journal":{"name":"Wisconsin Medical Journal","volume":"122 3","pages":"200-204"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9872627","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

Imagining Eco-Wellness: A Scoping Review of Interventions Aimed at Changing Individual Behaviors to Promote Personal Health and Environmental Sustainability. 想象生态健康:旨在改变个人行为以促进个人健康和环境可持续性的干预措施的范围审查。

Wisconsin Medical Journal Pub Date : 2023-07-01

Brandon R Kim, Maggie L Grabow, Sarah Walters, Sabrina Rateike, Mary Hitchcock, Bruce Barrett

{"title":"Imagining Eco-Wellness: A Scoping Review of Interventions Aimed at Changing Individual Behaviors to Promote Personal Health and Environmental Sustainability.","authors":"Brandon R Kim, Maggie L Grabow, Sarah Walters, Sabrina Rateike, Mary Hitchcock, Bruce Barrett","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Climate change poses enormous threats to humanity and much of life on earth. Many of the behavioral patterns that drive climate change also contribute to the epidemics of obesity, diabetes, and cardiovascular disease.Objectives: The primary objective of this study was to compile and categorize the literature on interventions aimed at modifying individual behaviors to promote both personal health and environmental sustainability. Secondary objectives were to help define the emerging field of behavioral eco-wellness and to discuss future directions, including the need for assessment tools and analytic strategies.Methods: A scoping review was conducted to locate, categorize, and interpret current scientific studies of interventions aimed at changing individual behaviors to promote both personal health and environmental sustainability.Results: Other than a pilot study that this team previously conducted, nothing was found that strictly fit the inclusion criteria. However, we did find 16 relevant studies that fit neatly within 4 broad topical areas: active transportation, dietary intake, indoor air quality, and green space immersion.Discussion: While this systematic scoping review found little meeting original criteria, we did find that 4 separate fields of study are converging on a scientific area that we are calling behavioral eco-wellness, defined as the simultaneous pursuit of both personal health and environmental sustainability. The emerging field could provide a conceptual framework and methodological toolkit for those seeking to enhance sustainability while supporting health behaviors, including dietary intake. This, in turn, could help to inform and motivate the urgent action needed to confront both climate change and the epidemics of obesity, diabetes, and cardiovascular disease.","PeriodicalId":38747,"journal":{"name":"Wisconsin Medical Journal","volume":"122 3","pages":"216-225"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10258309","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

How Patients With Limited English Proficiency Make Health Care Decisions: Hmong Patients' Perspectives. 英语水平有限的患者如何做出医疗保健决定:苗族患者的观点。

Wisconsin Medical Journal Pub Date : 2023-07-01

Phia Xiong, Maichou Lor, Linda S Park, Elizabeth A Jacobs

{"title":"How Patients With Limited English Proficiency Make Health Care Decisions: Hmong Patients' Perspectives.","authors":"Phia Xiong, Maichou Lor, Linda S Park, Elizabeth A Jacobs","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Information about how the limited English proficiency immigrants make their decisions to seek health care is not well understood. With acculturation, immigrants tend to shift their beliefs and practices towards the practices of their host country. Yet, little is known whether this holds true for the Hmong's health care decision-making.Methods: To understand the health care decision-making process of limited English proficiency Hmong, we conducted semistructured interviews with 11 Hmong adults with limited English proficiency. Interviews were audio-recorded, transcribed, and analyzed using directed and conventional content analysis.Results: We identified several themes: participants sought advice and information from family members who were proficient in English and Hmong and/or who had a health background for a treatment that they perceived to be potentially life-threatening. However, participants were more reliant on their own decision-making in medical situations that were time sensitive. Participants without immediate family asked for health advice from community members or peers who had personal experience with the health condition or treatment.Conclusions: Our findings suggest a cultural shift in Hmong health care decision-making processes from relying on clan leaders and elders to seeking out the advice of adult children and spouses. Understanding this change in cultural decision-making dynamics will help health care professionals provide more culturally competent care in areas where the Hmong community have a prominent presence.","PeriodicalId":38747,"journal":{"name":"Wisconsin Medical Journal","volume":"122 3","pages":"178-183"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10330680","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