Wisconsin Medical Journal最新文献_第3页

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

Ocular Findings Aid in Diagnosis of West Nile Virus. 眼部表现有助于西尼罗病毒的诊断。

Wisconsin Medical Journal Pub Date : 2023-07-01

Brandon K Winward, Justin L Gottlieb, Jonathan S Chang, Luke Bradbury, Nenita Maganti, Chintan Pathak, Benjamin J Fowler

{"title":"Ocular Findings Aid in Diagnosis of West Nile Virus.","authors":"Brandon K Winward, Justin L Gottlieb, Jonathan S Chang, Luke Bradbury, Nenita Maganti, Chintan Pathak, Benjamin J Fowler","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: West Nile virus disease, which is endemic to the United States, is a rarely reported systemic infection that can be difficult to diagnose. Chorioretinitis is an uncommon manifestation of West Nile virus but has pathognomonic ocular findings that can aid in diagnosis.Case presentation: A 66-year-old man presented with acute onset fever, chills, and dyspnea. He underwent an extensive but nondiagnostic workup during hospitalization. New visual complaints prompted ophthalmology consultation. Funduscopic examination showed macular hemorrhages and midperipheral chorioretinal lesions. Fluorescein angiography revealed target-like lesions in a radial distribution, which is pathognomonic for West Nile virus chorioretinitis. Serology confirmed the diagnosis of West Nile virus disease. Systemic and ocular symptoms improved with supportive care.Discussion: West Nile virus disease has many nonspecific manifestations. History of recent mosquito exposure is not always readily elicited. In patients with visual symptoms, eye examination can help in its diagnosis.Conclusions: West Nile virus should be considered in patients with acute febrile or neurological illness during mosquito season.","PeriodicalId":38747,"journal":{"name":"Wisconsin Medical Journal","volume":"122 3","pages":"208-212"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10258308","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

An Unlikely Guest With an Overstayed Welcome: Cyclospora-Induced Postinfectious Irritable Bowel Syndrome. 一个不太可能的客人，欢迎久留:环孢子虫引起的感染后肠易激综合征。

Wisconsin Medical Journal Pub Date : 2023-07-01

Matthew Aiken, Trisha Jethwa, Muhammad Bilal Abid

{"title":"An Unlikely Guest With an Overstayed Welcome: Cyclospora-Induced Postinfectious Irritable Bowel Syndrome.","authors":"Matthew Aiken, Trisha Jethwa, Muhammad Bilal Abid","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Postinfectious irritable bowel syndrome is a phenomenon that can occur following bouts of acute gastroenteritis. While bacterial pathogens are typically implicated in the development of postinfectious irritable bowel syndrome, viral and parasitic infections should also be considered as inciting pathogens.Case presentation: An immunocompetent, 65-year-old woman presented with several weeks of watery diarrhea, which polymerase chain reaction testing confirmed to be a Cyclospora infection. Resolution of diarrhea was achieved with antibiotic treatment, however, months later she presented to the gastroenterology service with persistence of loose stools and abdominal cramping consistent with a diagnosis of postinfectious irritable bowel syndrome.Discussion: Postinfectious irritable bowel syndrome has a similar presentation to sporadic irritable bowel syndrome, with diagnosis aided by the identification of an inciting pathogen. To our knowledge, this is the first documented case of Cyclospora-induced postinfectious irritable bowel syndrome. While parasitic infections typically aren't implicated in cases of postinfectious irritable bowel syndrome, this case highlights the value of considering this condition as a cause of protracted diarrhea in patients previously diagnosed with Cyclospora.","PeriodicalId":38747,"journal":{"name":"Wisconsin Medical Journal","volume":"122 3","pages":"213-215"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10258307","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

Pediatric Acute Q Fever in Rural Wisconsin: A Case Report. 威斯康星州农村儿童急性Q热:一个病例报告。

Wisconsin Medical Journal Pub Date : 2023-07-01

Taylor Boland Rigby, Tyler Grunow, Jillian Landeck, Kathryn M Scmitt, Jennifer Lochner

引用次数: 0

Database Tracking in Gender-Affirming Surgery: Are Patients Falling Through the Cracks? 性别确认手术中的数据库跟踪:患者是否被忽视了?

Wisconsin Medical Journal Pub Date : 2023-07-01

Ton C Doan, Kasey Leigh Wood Matabele, Peter J Nicksic, Katherine M Gast, Samuel O Poore

引用次数: 0

Do Internal Medicine Advanced Practice Providers Perceive a Benefit in Mentorship? 内科高级执业医师认为师徒关系有益吗?

Wisconsin Medical Journal Pub Date : 2023-07-01

Andrea Bequest, Paige Gioia, Sanjay Bhandari, Pinky Jha

引用次数: 0

Join the Conversation: Talking About the Health Consequences of Global Heating/Climate Destabilization. 加入对话:谈论全球变暖/气候不稳定对健康的影响。

Wisconsin Medical Journal Pub Date : 2023-07-01

Bruce Krawisz

引用次数: 0

Inpatient Pediatric Care and Clinician Workforce in Wisconsin: The State of the State. 住院儿科护理和临床医生队伍在威斯康星州:国家的状态。

Wisconsin Medical Journal Pub Date : 2023-07-01

Samantha Busch, Ann Allen, Jen Birstler, Andrea Ildiko Martonffy

{"title":"Inpatient Pediatric Care and Clinician Workforce in Wisconsin: The State of the State.","authors":"Samantha Busch, Ann Allen, Jen Birstler, Andrea Ildiko Martonffy","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Availability of inpatient pediatric services declined across the United States from 2008 through 2018, with rural areas experiencing steepest declines. Despite the movement of pediatric care to children's centers, most children are still cared for in community hospitals nationally. Assessing the availability and providers of inpatient pediatric care in Wisconsin is an important step in ensuring the health care needs of children in the state continue to be met.Methods: A cross-sectional survey was distributed to Wisconsin hospitals to determine pediatric services and physician workforce. The response rate was 130/138 (94%), including 56/58 (97%) critical access hospitals. Results of specific inpatient pediatric subdivisions were analyzed by descriptive statistics.Results: Hospitals that provide inpatient newborn care are mostly staffed by pediatricians and family physicians, while critical access hospitals are staffed by family physicians. Hospitals with neonatal intensive care units are staffed by neonatologists, with telemedicine utilized in critical access hospitals. Hospitals with general pediatric admissions are staffed by pediatricians or family physicians, while critical access hospitals are staffed by family physicians. Hospitals with pediatric intensive care units are staffed by pediatric intensivists.Conclusions: Despite workforce disparities and shortages, hospitals across Wisconsin, including many critical access hospitals, continue to provide inpatient pediatric services. Family physicians play a major role in the pediatric health care delivery in Wisconsin hospitals. Robust inpatient pediatric training of family physicians may enable rural health authorities to continue addressing the gaps that persist in inpatient pediatric care accessibility.","PeriodicalId":38747,"journal":{"name":"Wisconsin Medical Journal","volume":"122 3","pages":"164-170"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9881744","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

Improving Health Equity Through the Integration of Mental Health Services Within Primary Care. 通过将精神卫生服务纳入初级保健，改善卫生公平。

Wisconsin Medical Journal Pub Date : 2023-07-01

Jeffrey D Shahidullah, Rachel A Petts

引用次数: 0

Continuing to Address the Shortage of Family Medicine Physicians. 继续解决家庭医生短缺问题。

Wisconsin Medical Journal Pub Date : 2023-07-01

Joseph E Kerschner

引用次数: 0