SEARCH · PubMed Health
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
UNLABELLED: The primary mission of a state-supported medical education is to produce physicians who will practice in that state. Medical school and residency graduates at the University of Wisconsin-Madison were compared as to how often they practice in the state after completing training. METHODS: Six hundred ninety-three medical student graduates from 1987 to 1991 were compared with 657 residency graduates from 1992 to 1996 at the University of Wisconsin-Madison. Chi-square was used to compare the groups as to the number of physicians produced who: 1) practice in Wisconsin and 2) practice primary care in Wisconsin. RESULTS: The residency training programs produced significantly more physicians (280) who practice in Wisconsin than did the medical school (246), X2 (df = 1) = 7.20, p < .01, and also significantly more primary care physicians, X2 (df = 1) = 6.16, p < .02. CONCLUSION: When this evidence-based information is used as a measure of medical education outcomes, residency training may be more effective at producing practicing physicians and should not be discounted when planning the educational and public health needs for the state of Wisconsin.
UNLABELLED: To compare mortality for diabetes and diabetes-related causes in Native American (NA) with total mortality for Wisconsin population by age, and gender. METHODS: Adjusting for age and sex, standardized mortality ratios (SMRs) were calculated for Wisconsin Native Americans for 1986-1995, using the 1990 total Wisconsin population as a reference and death certificate data to count and categorize deaths. RESULTS: Statistically significant high NA SMRs were found for total deaths (SMR = 1.28, p < .005), diabetes (SMR = 2.87, p < .005), heart disease (SMR = 1.16, p < .005), and kidney disease (SMR = 2.72, p < .005). There was substantial concordance in SMRs between men and women. NA SMRs were above 1 for all five year age groups below 75. Comparisons are provided with national data. CONCLUSION: Mortality due to diabetes mellitus, heart disease and kidney disease are higher among Native Americans in Wisconsin for all age groups below 75 and in both genders.
Sediments from the Wisconsin River. WI. USA are contaminated with 2,3,7,8-tetrachloro-p-dioxin (TCDD) and polychlorinated biphenyls (PCBs). Wet weight concentrations of TCDD and PCBs in eggs were at background levels and highest in the piscivorous = 7 pg/g TCDD a hooded merganser (Lophodytes cucullatus; geometric m ean nd 0.92 microg/g PCBs) a nd lowest in the omnivorous wood duck (Aix sponsa) (< 1 pg/g and 0.07 microg/g); concentrations in eggs of the insectivorous tree swallow (Tachycineta bicolor) were intermediate (< 1 pg/g and 0.33 pg/g). Positive accumulation rates of TCDD (8-19 pg/day) and PCBs (0.4-0.7 microg/day) in tree swallow nestlings suggest that the Wisconsin River is the source of these contaminants for tree swallow nestlings. The lower representation of trichlorobiphenyls and tetrachorobiphenyls in hooded merganser eggs compared to wood duck or tree swallow eggs suggests that the hooded merganser or its diet has a greater ability to metabolize lower-numbered PCB congeners than wood ducks or tree swallows.
At Children's Hospital of Wisconsin there is a pediatric palliative care consultation service that serves a diverse patient population, including infants. However, the value of a palliative care consultation for infants has not been well evaluated. We performed a retrospective, case series, descriptive chart review of infants in our neonatal intensive care unit (NICU) who received palliative care consults between January 1996 and June 1998. We specifically looked at their diagnoses, the timing of consults, reasons that consultations were ordered, what recommendations were made, and the subsequent outcomes. During the series period there were 898 admissions to the NICU, 51 neonatal deaths, and 12 neonatal palliative care consultations. The diagnostic categories for those with a palliative care referral included prematurity, lethal anomalies, and catastrophic or overwhelming illness. Reasons for the consultations were organization of home hospice, facilitation of medical options, such as do-not-resuscitate (DNR) orders and treatment withdrawal, facilitation of comfort measures, and grief/loss issues. Recommendations that the palliative care staff made fell into four categories: advance directive planning, the optimal environment for supporting neonatal death, comfort and medical care, and psychosocial support. This series is a description of what a palliative care service can offer for terminally ill infants in an NICU. We speculate that such consults can more consistently and comprehensively provide appropriate end-of-life care for these patients and their families.
BACKGROUND: Adult-onset asthma is frequently encountered in primary care and is responsible for a large proportion of asthma morbidity and mortality. The primary goal of this survey was to describe the epidemiology of diagnosed and possible undiagnosed asthma in Wisconsin Research Network (WReN) practices. METHODS: Physicians from 59 practices interviewed a systematic sample of their clinical population, which included all patients encountered during office visits one day each week for 3 or 12 months, to obtain a history of physician-diagnosed asthma or symptoms suggesting undiagnosed asthma (wheezing and shortness of breath). Age at diagnosis or at onset of symptoms and current disease activity were also recorded. RESULTS: The 14,127 patients surveyed closely resembled the age-sex composition of the 1990 general and family practice component of the National Ambulatory Medical Care Survey. Physician-diagnosed asthma that was active within the previous year was reported by 6.1% of WReN patients (5.8% of patients younger than 20 years of age and 6.2% of adults). Undiagnosed asthma that was active within the previous year was reported by 3.3% (2.9% of patients younger than 20 years of age and 3.4% of adults). Adult-onset asthma was reported by 46.3% of all patients with diagnosed asthma; and 56.7% of patients with undiagnosed asthma reported that their symptoms began in adulthood. CONCLUSIONS: Adult-onset asthma accounts for approximately one half of all asthma cases. Since most patients with adult-onset asthma are managed by primary care physicians, practice-based research is necessary for the understanding, treatment, and possible prevention of this important disease.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The CHP is actively engaging citizens, health professionals, and organizations as partners to help change community and patient behaviors and risk factors that may lead to heart disease and stroke and to develop environmental strategies and cardiovascular policy initiatives. We welcome additional physician involvement throughout the state in this important initiative.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.