WMJ : official publication of the State Medical Society of Wisconsin最新文献_第8页

Barriers to Completing Advance Care Planning: Insights From the Wausau Free Clinic. 完成预先护理计划的障碍：来自沃索免费诊所的见解。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2025-01-01

Grace F Wittenberg, Lauren Woyak, Jeffrey Todd, Jeffrey Oswald, Amy Prunuske

引用次数: 0

Cultural Competency in Short-Term Medical Missions. 短期医疗任务的文化能力。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2025-01-01

Isaac Ks Ng

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Locally Invasive Central Nervous System Aspergillosis Presenting as Subacute Vision Loss. 局部侵袭性中枢神经系统曲菌病表现为亚急性视力丧失。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2025-01-01

Amelia Papadimitriou, Alenna Beroza, Kriti Behl, Muhammad Hammad, Roshan Thapa, Pinky Jha

{"title":"Locally Invasive Central Nervous System Aspergillosis Presenting as Subacute Vision Loss.","authors":"Amelia Papadimitriou, Alenna Beroza, Kriti Behl, Muhammad Hammad, Roshan Thapa, Pinky Jha","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Aspergillus is a ubiquitous environmental fungus that has the potential to cause a wide array of clinical illnesses, from an allergic response to invasive disseminated disease - particularly in those with immune dysfunction or underlying disease.Case presentation: An 83-year-old immunocompromised man presented to the emergency department with fever and subacute vision loss over 3 to 4 months after multiple prior emergency department and outpatient ophthalmology visits. After a complicated course, locally invasive central nervous system aspergillosis was diagnosed. Although the patient eventually recovered, he experienced permanent vision loss.Discussion: This case demonstrates the importance of aggressive workup in immunosuppressed patients with onset of any concerning ocular or other symptoms. A multidisciplinary approach is necessary for optimal patient outcomes.Conclusions: Aspergillosis has the potential to cause devastating disease and long-term consequences in immunocompromised patients. Clinicians should be alerted to the importance of early detection and intervention for this population.","PeriodicalId":94268,"journal":{"name":"WMJ : official publication of the State Medical Society of Wisconsin","volume":"124 3","pages":"296-299"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071501","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

Diary of an Orphaned Resident. 孤儿居民日记》。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2024-11-01

Fallon Peplinski

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Improving HPV Vaccination Rates: A Comprehensive Evaluation of a Clinician-Centered Educational Initiative in a Wisconsin Health Care System. 提高 HPV 疫苗接种率：对威斯康星州医疗保健系统中以临床医生为中心的教育活动进行综合评估。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2024-11-01

Malia Jones, Nicholas B Schmuhl, Jeff Pier, Sarah Bradley, Lindsay Geier, James H Conway

{"title":"Improving HPV Vaccination Rates: A Comprehensive Evaluation of a Clinician-Centered Educational Initiative in a Wisconsin Health Care System.","authors":"Malia Jones, Nicholas B Schmuhl, Jeff Pier, Sarah Bradley, Lindsay Geier, James H Conway","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Human papillomavirus (HPV) infection poses significant public health concerns due to its prevalence and association with various cancers. This study assesses a 2014 quality improvement initiative in Wisconsin's largest health care system. The intervention aimed to improve HPV vaccine initiation and completion among eligible patients and to reduce the gap in vaccination rates between males and females.Methods: Educational sessions delivered to health care providers and staff at select clinics focused on current HPV vaccination recommendations and strategies for patient communication. Preintervention and postintervention surveys assessed changes in clinician knowledge and attitudes. Clinic-level data on HPV vaccination rates compared intervention and control clinics at 12 and 36 months following the intervention.Results: Postintervention knowledge and attitudes regarding HPV vaccination improved, and intervention clinics demonstrated notable increases in HPV vaccine initiation and completion rates across various age and sex groups at 12- and 36-month follow-up. The gap between female and male HPV vaccination rates narrowed in some age groups in intervention clinics, but the effect was inconsistent.Conclusions: This study highlights the potential effectiveness of an in-person educational intervention in improving HPV vaccination rates in a health care system. Clinicians' enhanced understanding of vaccination guidelines, coupled with real-time data feedback, contributed to sustained improvements. To address resource challenges, future interventions may explore cost-effective alternatives. These findings underscore the pivotal role of clinicians in increasing HPV vaccine uptake, emphasizing the importance of aligning interventions with evolving vaccination recommendations to combat HPV-related cancers more effectively.","PeriodicalId":94268,"journal":{"name":"WMJ : official publication of the State Medical Society of Wisconsin","volume":"123 5","pages":"344-349"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606740","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

Greater Auricular Trophic Syndrome Following Parotidectomy. 腮腺切除术后的大耳廓营养综合征

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2024-11-01

Collin Evenson, Daniel Hertel, Robert Sonnenburg

引用次数: 0

Value-based Care and Decarbonization Converge at Value. 以价值为基础的医疗服务和去碳化在价值上趋于一致。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2024-11-01

Rian J Podein, Michael T Hernke

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Olive Oil Consumption and Risk of Neurodegenerative Disease-Dementia. 橄榄油摄入量与神经退行性疾病--痴呆症的风险。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2024-11-01

Muhammad Ali, Zain Afridi

引用次数: 0

Examining the Relationship Between Obstructive Sleep Apnea During Pregnancy and Autistic Spectrum Disorder in Children. 研究孕期阻塞性睡眠呼吸暂停与儿童自闭症之间的关系。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2024-11-01

Saim Mahmood Khan, Jawairya Muhammad Hussain, Iman Azam

引用次数: 0

The Legacy of Redlining and the Geography of Tobacco Retailers in Wisconsin. 威斯康星州烟草零售商的红线和地理位置。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2024-11-01

Sima Namin, Yuhong Zhou, Chima Anyanwu, Shannon Walker, Kirsten Beyer

{"title":"The Legacy of Redlining and the Geography of Tobacco Retailers in Wisconsin.","authors":"Sima Namin, Yuhong Zhou, Chima Anyanwu, Shannon Walker, Kirsten Beyer","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Housing discrimination as one of the main mechanisms for reinforcing racial segregation has persisted historically in the United States through a process known as \"redlining.\" In recent years, researchers across different disciplines have utilized the iconic \"residential security maps\" created by the Home Owners' Loan Corporation (HOLC) in the 1930s to analyze the structural roots of racial disparities. HOLC maps designated grading of \"best\" to \"still desirable\" to \"definitely declining\" and \"hazardous\" to urban areas where percentage of African American and foreigners were among the reordered measures.Objective: Given that sales and marketing of tobacco products also present a historical connection to structural racism in the US, this study examines how historical redlining relates to current geographies of tobacco retailers in Wisconsin.Methods: Analyses were conducted for 4 cities in Wisconsin with available HOLC maps. We used negative binomial models to account for spatial heterogeneity and overdispersion of retailers, and we controlled for present-day sociodemographic characteristics.Results: Findings indicated that the hierarchy of HOLC grades are reflected in the present-day retailer density, and areas historically graded as \"less desirable\" have a higher present-day density of tobacco retailers. The result of the statistical model shows that poverty and percentage minority are also significant factors in distribution of tobacco retailers.Conclusions: These results highlight that to address the structural roots of health disparities, we need intervention strategies that employ a comprehensive look at the historical legacies of discrimination.","PeriodicalId":94268,"journal":{"name":"WMJ : official publication of the State Medical Society of Wisconsin","volume":"123 5","pages":"350-355"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606942","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