Wisconsin Medical Journal最新文献_第6页

Diabetic Ketoacidosis Causing Transient Homonymous Hemianopia and Generalized Seizure: A Case Report and Literature Review. 糖尿病酮症酸中毒致一过性同向性偏盲和全面性癫痫:1例报告并文献复习。

Wisconsin Medical Journal Pub Date : 2023-05-01

Felix E Chukwudelunzu, Leonardo Fugoso

引用次数: 0

Delayed Injection Site Reaction to Fremanezumab for Chronic Migraine Treatment. Fremanezumab延迟注射部位反应治疗慢性偏头痛。

Wisconsin Medical Journal Pub Date : 2023-05-01

Kevin V Thomas, Daniel D Bennett, Justin Endo

引用次数: 0

Mountain Bike Injury Incidence and Risk Factors Among Members of a Wisconsin Mountain Bike Club. 威斯康星山地车俱乐部成员的山地车伤害发生率及危险因素。

Wisconsin Medical Journal Pub Date : 2023-05-01

Lin Zhao, Margaret Nolan, Patrick L Remington

引用次数: 0

Skin and Soft Tissue Infections in Young Infants. 婴儿皮肤和软组织感染。

Wisconsin Medical Journal Pub Date : 2023-05-01

Sheila Swartz, Leah Cotter, Anika Nelson, Jian Zhang, Ke Yan, Michelle L Pickett

{"title":"Skin and Soft Tissue Infections in Young Infants.","authors":"Sheila Swartz, Leah Cotter, Anika Nelson, Jian Zhang, Ke Yan, Michelle L Pickett","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The management of young infants with skin and soft tissue infection is not well-defined.Methods: We performed a survey study of pediatric hospital medicine, emergency medicine, urgent care, and primary care physicians to assess the management of young infants with skin and soft tissue infection. The survey included 4 unique scenarios of a well-appearing infant with uncomplicated cellulitis of the calf with the combination of age ≤ 28 days vs 29-60 days and the presence vs absence of fever.Results: Of 229 surveys distributed, 91 were completed (40%). Hospital admission was chosen more often for younger infants (≤ 28 days) versus older infants regardless of fever status (45% vs 10% afebrile, 97% vs 38% febrile, both P < 0.001). Younger infants were more likely to get blood, urine, and cerebrospinal fluid studies (P < 0.01). Clindamycin was chosen in 23% of admitted younger infants compared to 41% of older infants (P < 0.05).Conclusions: Frontline pediatricians appear relatively comfortable with outpatient management of cellulitis in young infants and rarely pursued meningitis evaluation in any afebrile infants or older febrile infants.","PeriodicalId":38747,"journal":{"name":"Wisconsin Medical Journal","volume":"122 2","pages":"105-109"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9793102","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

Promoting Faculty Development Through Structured Mentoring. 通过结构化指导促进教师发展。

Wisconsin Medical Journal Pub Date : 2023-05-01

Sanjay Bhandari, Trisha Jethwa, Pinky Jha

引用次数: 0

Kwashiorkor in an 8-Month-Old Infant Due to Homemade Formula Use. 1例8个月大婴儿因使用自制配方奶粉导致的夸希奥尔病。

Wisconsin Medical Journal Pub Date : 2023-03-01

James J McCarthy, Sarah C Yale

引用次数: 0

Lessons in a Loss: A Journey Through Friendship, Cancer, and Medical School. 《失去的教训:友谊、癌症和医学院之旅》

Wisconsin Medical Journal Pub Date : 2023-03-01

Nathaniel B Verhagen

引用次数: 0

Trends in E-cigarette Use in Callers to the Wisconsin Tobacco Quit Line. 威斯康星州戒烟热线来电者使用电子烟的趋势。

Wisconsin Medical Journal Pub Date : 2023-03-01

Brian S Williams, Megan Piper, Thomas M Piasecki, Jesse Kaye, Michael Fiore

{"title":"Trends in E-cigarette Use in Callers to the Wisconsin Tobacco Quit Line.","authors":"Brian S Williams, Megan Piper, Thomas M Piasecki, Jesse Kaye, Michael Fiore","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: E-cigarette use has been increasing for years with a limited understanding of how to help users quit. Quit lines are a potential resource for e-cigarette cessation. Our objective was to characterize e-cigarette users who call state quit lines and to examine trends in e-cigarette use by callers.Methods: This retrospective study examined data from adult callers to the Wisconsin Tobacco Quit Line from July 2016 through November 2020, including demographics, tobacco product use, motivations for use, and intentions to quit. Descriptive analyses were performed by age group with pairwise comparisons.Results: A total of 26,705 encounters were handled by the Wisconsin Tobacco Quit Line during the study period. E-cigarettes were used by 11% of callers. Young adults aged 18-24 had the highest rates of use at 30%, and their use rose significantly from 19.6% in 2016 to 39.6% in 2020. E-cigarette use among young adult callers peaked at 49.7% in 2019, coinciding with an outbreak of e-cigarette-related lung injury. Only 53.5% of young adult callers used e-cigarettes to \"cut down on other tobacco,\" compared to 76.3% of adult callers aged 45-64 (P <0.05). Of all callers using e-cigarettes, 80% were interested in quitting.Conclusions: E-cigarette use among callers to the Wisconsin Tobacco Quit Line has increased, driven largely by young adults. Most e-cigarette users who call the quit line want to quit. Thus, quit lines can serve an important role in e-cigarette cessation. A better understanding of strategies to help e-cigarette users quit is needed, particularly in young adult callers.","PeriodicalId":38747,"journal":{"name":"Wisconsin Medical Journal","volume":"122 1","pages":"10-14"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10345946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9770687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Naloxone Prescribing in an Academic Emergency Department: Provider Practices and Attitudes. 纳洛酮处方在学术急诊科:提供者的做法和态度。

Wisconsin Medical Journal Pub Date : 2023-03-01

Jennifer Hernandez-Meier, Darren Li, Amy Zosel

{"title":"Naloxone Prescribing in an Academic Emergency Department: Provider Practices and Attitudes.","authors":"Jennifer Hernandez-Meier, Darren Li, Amy Zosel","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Naloxone reverses opioid overdose, but it is not universally prescribed. With increases in opioid-related emergency department visits, emergency medicine providers are in a unique position to identify and treat opioid-related injury, but little is known about their attitudes and practices around naloxone prescribing. We hypothesized that emergency medicine providers would identify multifactorial barriers to naloxone prescribing and report varying levels of naloxone-prescribing behaviors.Methods: A survey designed to assess attitudes and behaviors regarding naloxone prescribing practices was emailed to all prescribing providers at an urban academic emergency department. Descriptive and summary statistics were performed.Results: The response rate was 29% (36/124). Nearly all respondents (94%) expressed openness to prescribing naloxone from the emergency department, but only 58% had actually done so. Most (92%) believed that patients would benefit from greater access to naloxone, however 31% also believed that opioid use would increase as access to naloxone increases. Time was the most frequently identified barrier (39%) to prescribing, followed by a perceived inability to properly educate patients on naloxone use (25%).Conclusions: In this study of emergency medicine providers, the majority of respondents were amendable to prescribing naloxone, yet almost half had not done so and some believed that doing so would increase opioid use. Barriers included time constraints and perceived self-reported knowledge deficits regarding naloxone education. More information is needed to gauge the impact of individual barriers to prescribing naloxone, but these findings may provide information that can be incorporated in provider education and potential clinical pathways designed to increase naloxone prescribing.","PeriodicalId":38747,"journal":{"name":"Wisconsin Medical Journal","volume":"122 1","pages":"20-25"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9308415","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

Scurvy Presenting as Blood Loss Anemia in the United States. 坏血病在美国表现为失血性贫血。

Wisconsin Medical Journal Pub Date : 2023-03-01

Samantha Rivera, Adam Clements, Joshua Hess, Nicolai Gerhartz, Aleksander Downs, Linnea Kruit

{"title":"Scurvy Presenting as Blood Loss Anemia in the United States.","authors":"Samantha Rivera, Adam Clements, Joshua Hess, Nicolai Gerhartz, Aleksander Downs, Linnea Kruit","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Scurvy is a deadly disease caused by a lack of vitamin C in the diet. Although frequently considered a disease from the past, it still occurs in modern-day society, including in developed countries.Case report: We report a case of an 18-year-old male who was admitted with bleeding into his legs, prolonged prothrombin time and partial thromboplastin time, and anemia requiring a blood transfusion. His history included congenital deafness and a restrictive eating pattern primarily consisting of fast food. He was deficient in folic acid, vitamin K, and vitamin C. Scurvy best explained the bleeding, and he improved with vitamin supplementation.Discussion: Scurvy is a collagen production disorder that can cause bleeding on the skin and mucous membranes. Although rare in industrialized nations, scurvy is typically the result of a restrictive diet or malnutrition. Those who are at a particularly high risk are the elderly, alcohol abusers, and those with eating disorders.Conclusions: Scurvy is easily treatable but can be missed; therefore, a high level of suspicion should be present in patients at risk for malnutrition. Those diagnosed with scurvy should be screened for concomitant nutritional deficiencies.","PeriodicalId":38747,"journal":{"name":"Wisconsin Medical Journal","volume":"122 1","pages":"63-66"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9156201","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