WMJ : official publication of the State Medical Society of Wisconsin最新文献_第3页

The Impact and Description of a Training Program With a Novel Landmark Device for Needle Thoracostomy. 一种新型胸廓针切开术标志性器械训练方案的影响与描述。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Justin T Chu, Thomas Engel, Matthew Chinn, Benjamin W Weston

{"title":"The Impact and Description of a Training Program With a Novel Landmark Device for Needle Thoracostomy.","authors":"Justin T Chu, Thomas Engel, Matthew Chinn, Benjamin W Weston","doi":"","DOIUrl":"","url":null,"abstract":"Background: Needle thoracostomy (NT) is a lifesaving procedure for patients with tension pneumothorax but requires correct anatomical placement to ensure effectiveness and minimize complications. We describe a novel emergency medical services (EMS) training using a lateral NT landmark device, the SAM ThoraSite, and report provider feedback on the training.Methods: A 90-minute training was delivered to EMS providers. Providers completed pre- and post-training surveys regarding confidence in procedural performance, concerns about complications, and overall educational experience.Results: The response rate was 79.4%. Post-training confidence in correctly performing NT increased significantly (7.1 vs 9.0, P < .001). Participants also reported higher satisfaction with this training compared with prior needle thoracostomy education (6.9 vs 9.3, P < .001).Conclusions: A novel EMS educational session incorporating the ThoraSite landmark device improved provider confidence in NT performance and increased satisfaction with training.","PeriodicalId":94268,"journal":{"name":"WMJ : official publication of the State Medical Society of Wisconsin","volume":"125 1","pages":"67-70"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694532","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 Influence of Falsely Low HbA1c Levels in Diabetes Patients With Hereditary Hemorrhagic Telangiectasia: The Need for Alternative Diagnostic Approaches. 糖尿病遗传性出血性毛细血管扩张患者假低HbA1c水平的影响：需要替代诊断方法

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Olivia Foley, Abubakar Tauseef, Jacob Brenner

{"title":"The Influence of Falsely Low HbA1c Levels in Diabetes Patients With Hereditary Hemorrhagic Telangiectasia: The Need for Alternative Diagnostic Approaches.","authors":"Olivia Foley, Abubakar Tauseef, Jacob Brenner","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Hereditary hemorrhagic telangiectasia (HHT) causes various age-related symptoms, including epistaxis, telangiectasia, and anemia. These symptoms often require a variety of treatments, including iron supplementation and blood transfusions. The resulting anemia can lead to atypical presentations of comorbidities, such as diabetes.Case presentation: A 46-year-old Hispanic woman with a history of HHT presented for diabetes evaluation due to asymptomatic, elevated nonfasting blood glucose despite normal hemoglobin A1c (HbA1c) levels. Following initiation of continuous glucose monitoring and metformin (500 mg twice daily), her blood glucose levels improved significantly.Discussion: Patients with HHT are more likely to develop iron deficiency anemia and anemia secondary to chronic blood loss, rendering HbA1c levels unreliable for diagnosing diabetes.Conclusions: Clinicians should consider the impact of HHT-related anemia when monitoring patients for diabetes. Alternative diagnostic methods are necessary to prevent delays in diagnosis and treatment.","PeriodicalId":94268,"journal":{"name":"WMJ : official publication of the State Medical Society of Wisconsin","volume":"125 2","pages":"309-311"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148207402","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 Evolution of Medical Education Into a Robust Academic Discipline. 医学教育发展成为一门强大的学科。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Corlin Jewell, Alisa Hayes

引用次数: 0

Wisconsin Statewide General Surgery Residency Mock Oral Virtual Examinations. 威斯康辛州普外科住院医师模拟口腔虚拟考试。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Jacqueline J Blank, Joshua C Dilday

引用次数: 0

Cervical Tuberculosis Lymphadenitis (Scrofula) in Wisconsin: Case Report, Pitfalls, and Challenges. 威斯康辛州的宫颈结核性淋巴结炎：病例报告、陷阱和挑战。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Carlos E Figueroa Castro, April A Shera

{"title":"Cervical Tuberculosis Lymphadenitis (Scrofula) in Wisconsin: Case Report, Pitfalls, and Challenges.","authors":"Carlos E Figueroa Castro, April A Shera","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: This case report presents a case of cervical tuberculous lymphadenitis (scrofula) in Wisconsin, illustrating the diagnostic challenges in a low-prevalence setting. It emphasizes the importance of including tuberculosis (TB) in the differential diagnosis of persistent cervical lymphadenopathy, particularly in patients with a history of latent TB infection.Case presentation: A 37-year-old woman presented with a persistent, painless left-sided neck mass without local warmth or erythema, characteristic of a cold abscess. Initial imaging demonstrated lymph node abnormalities, while multiple diagnostic tests were inconclusive. After misdiagnosis and unsuccessful treatments, she was eventually diagnosed with TB lymphadenitis. She completed a prolonged course of antituberculous therapy, followed by surgical intervention, with complete resolution of symptoms.Discussion: This case underscores the need for a high index of suspicion for tuberculosis in patients with chronic cervical lymphadenopathy, even in regions with low TB prevalence. It also highlights the importance of thorough clinical and exposure history and the potential for diagnostic delay in atypical presentations, particularly when medical records are fragmented across health care systems.","PeriodicalId":94268,"journal":{"name":"WMJ : official publication of the State Medical Society of Wisconsin","volume":"125 2","pages":"294-297"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148207267","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

Do We Really Care About Our Children's School Safety? The Proof Is in the Pudding. 我们真的关心孩子的学校安全吗？检验是在布丁里。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Steven Lippmann

引用次数: 0

Mindfulness: An Invisible Yet Integral Tool for Physicians. 正念：医生无形但不可或缺的工具。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Farzana Hoque

引用次数: 0

When Everything Matters: Choosing What Truly Counts in Academic Medicine. 当一切都很重要：在学术医学中选择真正重要的东西。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Fahad Aziz, Nizar Jarjour

引用次数: 0

Wisconsin's First Hantavirus Disease Case: A Reminder for an Index of Suspicion. 威斯康辛州首例汉坦病毒病例：对怀疑指数的提醒。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Jonathan L Temte

引用次数: 0

Health Professional School Enrollment Following Participation in the Rural and Urban Community Health Scholars Pathway Program (RUSCH). 农村和城市社区卫生学者途径计划（RUSCH）参与后的卫生专业学校入学率。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Yer Lee, Keegan J Reilly, Ryan E Tsuchida, Vera K Tsenkova, Elizabeth Bush, Matthew C Walsh, Elizabeth M Petty

{"title":"Health Professional School Enrollment Following Participation in the Rural and Urban Community Health Scholars Pathway Program (RUSCH).","authors":"Yer Lee, Keegan J Reilly, Ryan E Tsuchida, Vera K Tsenkova, Elizabeth Bush, Matthew C Walsh, Elizabeth M Petty","doi":"","DOIUrl":"","url":null,"abstract":"Background: The University of Wisconsin's Rural and Urban Community Health Scholars (RUSCH) pathway program was developed to prepare undergraduate students interested in addressing health disparities in Wisconsin for successful medical school matriculation.Methods: Post-completion enrollment outcomes and demographics of participants who completed RUSCH from 2010 through 2024 were analyzed to assess medical school and health professions school matriculation, with associations evaluated using chi-square tests.Results: Seventy-four percent of participants enrolled in a health professions degree program, with 49% enrolling in medical school, most at institutions within Wisconsin. Men were more likely than women, and non-Hispanic participants were more likely than Hispanic participants, to enroll in medical school following RUSCH completion.Discussion: RUSCH participation was associated with success in pursuing a health profession degree; however, demographic differences in enrollment outcomes need to be addressed.","PeriodicalId":94268,"journal":{"name":"WMJ : official publication of the State Medical Society of Wisconsin","volume":"125 1","pages":"162-166"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694266","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