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The First COVIDecade.

Robert N Golden, David O'Connor,

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(2):162-163]

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Renal Cell Carcinoma Presenting With Combined Cervical Lymphadenopathy and Cardiac Metastasis Without Inferior Vena Cava Involvement.

Rana M Usman, Owais Yahya, Hemnishil K Marella, Amit L Jain, Rahul Peravali, Reshma Premkumar, Robert Bradsher,

Renal cell cancer is the third most common urological malignancy following prostate and bladder malignancies. Cardiac metastases to the right side of the heart without inferior vena cava (IVC) involvement are exceedingly rare, with only a handful of cases described in the literature. Metastasis to the head and neck region ... Read more >>

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(2):142-144]

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COVID, Hepatitis, and Cancer.

Sarina Schrager,

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(2):90-91]

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Encephalopathy of Unclear Etiology: A Diagnostic Dilemma.

Javad Najjar Mojarrab, Somto Nwaedozie, Rana Raheel H Khan, Jayanthgopalreddy Vedre, Martin K Reriani,

<h4>Introduction</h4>Drug reaction with eosinophilia and systemic symptoms (DRESS) is a potentially fatal condition caused by drug exposure resulting in hypersensitivity reaction with involvement of different organ systems.<h4>Case presentation</h4>We present a case of a 65-year-old man with a recent history of right total knee arthroplasty complicated by wound infection on a ... Read more >>

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(2):148-151]

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Colorectal Cancer Screening After Changes in US Preventive Services Task Force Guidelines With Increased Screening Options.

Mark Benson, Andrew Johannes, Jennifer M Weiss, Michael Lucey, Jeff Pier, Patrick Pfau,

<h4>Introduction</h4>In 2016, the US Preventive Services Task Force (USPSTF) added multitarget stool DNA and computed tomography colonography (CTC) as accepted colorectal cancer screening modalities to the already recommended tests: fecal immunochemical test (FIT), sigmoidoscopy, and colonoscopy. The aim of our study was to determine trends in screening after the USPSTF ... Read more >>

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(2):127-130]

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Risk Factors and Mortality for Atypical Presentation of COVID-19 Infection in Hospitalized Patients - Lessons From the Early Pandemic.

Aurora Pop-Vicas, Ambar Haleem, Fauzia Osman, Ryan Fuglestad, Daniel Shirley, Robert Striker, Nasia Safdar,

<h4>Objective</h4>To assess the clinical epidemiology and outcomes of patients hospitalized with COVID-19 who did not experience fever and cough during the early pandemic.<h4>Methods</h4>Retrospective cohort of all patients admitted during March 13, 2020 through May 13, 2020 with laboratory-confirmed COVID-19 to 3 tertiary-care hospitals. Patient-level data (demographic, clinical manifestations, comorbid illnesses, ... Read more >>

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(2):94-99]

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Heart Disease, Advanced Age, Minority Race, and Hispanic Ethnicity Are Associated With Mortality in COVID-19 Patients.

Brian J Conway, Ji Won Kim, David C Brousseau, Meghan Conroy,

<h4>Background</h4>The objective of this study was to determine the associations between heart disease, obesity, and demographic factors and increased COVID-19 mortality.<h4>Methods</h4>We extracted deidentified patient-level data from the Froedtert Health System and Children's Hospital of Wisconsin and used descriptive statistics and multivariable logistic regression to characterize relationships between heart disease, obesity, ... Read more >>

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(2):152-155]

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Pediatric COVID-19 Delirium: Case Report of 2 Adolescents.

Sarah Corey Bauer, Francesca Moral, Erin Preloger, Alexandrea Spindler, Marisa Roman, Ashley Logan, Scott J Sandage, Colleen Manak, Michelle Mitchell,

<h4>Introduction</h4>Neurological complications of COVID-19, including delirium, are emerging in the adult population but have not been well described in pediatrics.<h4>Case presentation</h4>We report the cases of 2 adolescent males, ages 16 and 17, who presented with delirium secondary to an acute COVID-19 infection in the fall of 2020 at Children's Wisconsin ... Read more >>

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(2):131-136]

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Community-Based Testing for COVID-19 in a Low-Prevalence, Rural Area: Documentation of Logistics and Practical Aspects of Testing.

Mari Freiberg, Mary F Henningfield, Paul H Hunter, Elizabeth Bade,

<h4>Introduction</h4>Testing and mitigation strategies for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection often focus on high-prevalence, urban communities, leaving low-prevalence rural areas without specific strategies to maintain the health and safety of their populations. We evaluated a cost-effective strategy for SARS-CoV-2 testing to determine point prevalence in a rural community ... Read more >>

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(2):100-105]

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Effect of Genicular Nerve Radiofrequency Ablation for Knee Osteoarthritis: A Retrospective Chart Review.

Brody Fitzpatrick, Matthew Cowling, Michelle Poliak-Tunis, Kathryn Miller,

<h4>Background</h4>Genicular nerve block and radiofrequency ablation improve pain and function in patients with knee osteoarthritis. We aimed to evaluated the efficacy of these procedures and to identify factors predicting outcomes.<h4>Methods</h4>We conducted a chart review of 18 patients referred for these procedures from our clinic. Pain scores were collected before and ... Read more >>

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(2):156-159]

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Activating the Hospital Incident Command System Response in a Community Specialty Practice: The Mayo Clinic Experience.

Ellen A Love, Susanne C Degen, Jason E Craig, Richard A Helmers,

<h4>Introduction</h4>The COVID-19 pandemic presented health care organizations with a unique challenge in determining effective management of a large-scale incident across an extended time period.<h4>Case presentation</h4>This report describes the response of a multisite integrated system to the COVID-19 pandemic through activation of the Hospital Incident Command System.<h4>Discussion</h4>A robust emergency response plan ... Read more >>

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(2):137-141]

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Hepatitis C Treatment Knowledge and Practice Among Family Medicine Physicians in Wisconsin During the Current Hepatitis C Epidemic.

Ruth Koepke, Wajiha Z Akhtar, Vanessa M Kung, David W Seal, Elizabeth Salisbury-Afshar, Ryan P Westergaard,

<h4>Background</h4>Curative treatment for hepatitis C virus (HCV) exists, making elimination of HCV possible. However, most people with HCV have not received treatment. One barrier is limited access to treatment providers. HCV treatment can be effectively provided by primary care providers and, since 2017, Wisconsin Medicaid allows nonspecialists to prescribe treatment. ... Read more >>

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(2):106-113]

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Mural Collaboration Aims to Heal Community.

Nathan Hau, Julie Anderson, Donn Dexter,

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(2):88-89]

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Bacillus cereus: Beyond Gastroenteritis.

Lindsey Koop, Rohini Garg, Toan Nguyen, Nagarjuna Reddy Gujjula, Manasa Velagapudi,

<h4>Introduction</h4><i>Bacillus cereus (B cereus)</i> has been found within the gastrointestinal flora. Due to its ubiquity, <i>B cereus</i> is usually considered a contaminant. However, it can cause serious infections in certain populations.<h4>Case presentation</h4>A 39-year-old woman with refractory gastroparesis requiring gastric pacemaker with a jejunostomy tube and cervical cancer status post chemotherapy ... Read more >>

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(2):145-147]

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Cancer Mortality and Research Outcomes in a Rural State.

Mark R Williamson, Rashid M Ahmed,

<h4>Background</h4>North Dakota is a rural state with high rates of cancer. Determining how various demographic, geographic, and funding factors contributed to cancer incidence on a state and county level helps improve cancer prevention and control.<h4>Objectives</h4>We examined cancer incidence rate trends by demographic (sex and ethnicity) and geographic (county, population, rural/frontier ... Read more >>

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(2):120-126]

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An Epidemic with a Cure.

Steven Tyska, Ryan P Westergaard,

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(2):92-93]

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The Sudden Savant: A New Form of Extraordinary Abilities.

Darold A Treffert, Darold A Treffert,

<h4>Introduction</h4>Savant Syndrome previously has been characterized as either congenital or acquired. This report describes sudden savant syndrome in which neurotypical persons have the sudden emergence of savant skills without underlying disability or brain injury and without prior interest or ability in the newly emerged skill areas.<h4>Case presentation</h4>Eleven cases are described ... Read more >>

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(1):69-73]

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Barriers to Self-Disclosing Level of Maternal Care: What Are Wisconsin Hospitals Worried About?

Jenna L Racine, Katie Gillespie, Kathy Hartke, Cynthia Wautlet, Kathleen M Antony,

<h4>Objective</h4>The American College of Obstetrics and Gynecology (ACOG) has recommended every hospital disclose their level of maternal care (LOMC) to categorize the capabilities of their birthing center and regionalize perinatal care. Of the 98 birthing centers in Wisconsin, 44% have self-disclosed their LOMC. In many states, disclosing LOMC is mandated ... Read more >>

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(1):45-50]

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Establishment and Retrospective Analysis of a Pilot Peer Mentorship Program.

Karen Thompson Rodriguez, Alexandria Ponkratz, Margaret Gallagher, Robert Treat, Nicole E St Clair, Erica Chou, Sara M Lauck,

<h4>Background</h4>Studies suggest widespread advantages to peer mentoring programs; however, there is minimal data pertaining to medical students mentoring undergraduate students.<h4>Objectives</h4>To determine the feasibility and perceived effectiveness of a medical student-undergraduate student peer mentorship program.<h4>Methods</h4>A needs assessment guided the development of Pre-Med Pair Up, a program connecting medical student mentors from ... Read more >>

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(1):17-22]

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Platelet-Rich Plasma Injection for Quadriceps Tendinopathy: A Case Report.

Ryan J Wagner, Karie N Zach,

<h4>Introduction</h4>Platelet-rich plasma (PRP) is a promising treatment for persistent symptoms caused by various musculoskeletal injuries, including tendinopathies.<h4>Case presentation</h4>A 47-year-old woman presented with chronic left knee pain following a motor vehicle accident. Magnetic resonance imaging (MRI) revealed distal quadriceps tendinosis and a partial tear of the vastus intermedius tendon. She failed ... Read more >>

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(1):78-81]

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Pharmacotherapy for Management of 'Kratom Use Disorder': A Systematic Literature Review With Survey of Experts.

Cornel Stanciu, Saeed Ahmed, Bryan Hybki, Thomas Penders, David Galbis-Reig,

<h4>Objectives</h4>An increasing number of Americans are turning to kratom for self-management of various pain, anxiety, and mood states and as an opioid substitute. Addiction to this unique botanical develops and carries a high relapse risk and, to date, there are no guidelines on how to maintain long-term abstinence. The aim ... Read more >>

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(1):54-61]

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Health Policy Advocacy Engagement: A Physician Survey.

Amy E Liepert, Sarah Beilke, Glenn Leverson, Ann M Sheehy,

<h4>Purpose</h4>Physicians can play an important role in shaping health policy. The purpose of this study was to determine characteristics of physicians participating in health policy and barriers and facilitators to their advocacy.<h4>Methods</h4>A modified previously validated survey instrument was mailed to physicians affiliated with the University of Wisconsin on October 12, ... Read more >>

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(1):29-33]

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A Tribute to Darold Treffert, MD.

John J Frey,

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(1):7]

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Recurrent Stroke and Fatal Ruptured Mycotic Aneurysm Caused by Invasive Aspergillus fumigatus Infection.

Istiaq Mian, Sam Ives, Garry Jean-Louis, Andrew Laczniak,

<h4>Introduction</h4><i>Aspergillus</i> species are ubiquitous fungi that may cause invasive infection, particularly in immunocompromised patients. Invasive aspergillosis most commonly affects the lungs but can also disseminate to the central nervous system (CNS). Manifestations of CNS aspergillosis include abscesses and, rarely, mycotic aneurysm leading to subarachnoid hemorrhage (SAH).<h4>Case presentation</h4>A 48-year-old man undergoing ... Read more >>

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(1):82-84]

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Current Trends in HPV Vaccine Uptake: Wisconsin and United States, 2016-2019.

Alexandria Cull Weatherer, Stephanie L Pritzl, Sarah Kerch, Zhanhai Li, Noelle K LoConte,

<h4>Background</h4>Human papillomavirus (HPV) is a recognized cause of cancer in both males and females. HPV vaccination prevents development of HPV-associated diseases.<h4>Methods</h4>Wisconsin HPV vaccination rates (2016-2019) were obtained from the Wisconsin Immunization Registry. Data was stratified by age, sex, Medicaid status, race/ethnicity, and ZIP code. Wisconsin vaccination rates were compared with ... Read more >>

WMJ (WMJ : official publication of the State Medical Society of Wisconsin)
[2021, 120(1):62-65]

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