<br />
recommended doses it supplies less than normal physiological amounts of<br />
corticosteroid systemically and does NOT provide the mineralocorticoid activity<br />
necessary for coping with these emergencies.<br />
During periods of stress or severe asthma attack, patients who have been<br />
withdrawn from systemic corticosteroids should be instructed to resume oral<br />
corticosteroids (in large doses) immediately and to contact their physicians for<br />
further instruction. These patients should also be instructed to carry a medical<br />
identification card indicating that they may need supplementary systemic<br />
corticosteroids during periods of stress or severe asthma attack.<br />
Patients requiring systemic corticosteroids should be weaned slowly from<br />
systemic corticosteroid use after transferring to DULERA. Lung function (FEV, or<br />
PEF), beta-agonist use, and asthma symptom<a title="Wisconsin Medical Journal 110n4 page 1" href="http://viewer.zmags.com/publication/a050f6eb?page=1">advancing the art & science of medicine in the mi</a> advancing the art & science of medicine in the mi<a title="Wisconsin Medical Journal 110n4 page 2" href="http://viewer.zmags.com/publication/a050f6eb?page=2">r|medical officesLicense. Patients. Records. </a> r|medical officesLicense. Patients. Records. <a title="Wisconsin Medical Journal 110n4 page 3" href="http://viewer.zmags.com/publication/a050f6eb?page=3">VOLUME 110 • NO. 4 </a> VOLUME 110 • NO. 4 <a title="Wisconsin Medical Journal 110n4 page 4" href="http://viewer.zmags.com/publication/a050f6eb?page=4">COVER THEMEEducation & Work:finding the right b</a> COVER THEMEEducation & Work:finding the right b<a title="Wisconsin Medical Journal 110n4 page 5" href="http://viewer.zmags.com/publication/a050f6eb?page=5">advancing the art & scienceof medicine in the mi</a> advancing the art & scienceof medicine in the mi<a title="Wisconsin Medical Journal 110n4 page 6" href="http://viewer.zmags.com/publication/a050f6eb?page=6">Protection for you and your family... </a> Protection for you and your family... <a title="Wisconsin Medical Journal 110n4 page 7" href="http://viewer.zmags.com/publication/a050f6eb?page=7">DULERA is indicated for the treatment ofasthma </a> DULERA is indicated for the treatment ofasthma <a title="Wisconsin Medical Journal 110n4 page 8" href="http://viewer.zmags.com/publication/a050f6eb?page=8">DULERA is indicated for the treatment of asthma i</a> DULERA is indicated for the treatment of asthma i<a title="Wisconsin Medical Journal 110n4 page 9" href="http://viewer.zmags.com/publication/a050f6eb?page=9">*ln a 26-week, placebo-controlled study of 781 pa</a> *ln a 26-week, placebo-controlled study of 781 pa<a title="Wisconsin Medical Journal 110n4 page 10" href="http://viewer.zmags.com/publication/a050f6eb?page=10">DULERA??(mometasone furoate andformoterol fum</a> DULERA??(mometasone furoate andformoterol fum<a title="Wisconsin Medical Journal 110n4 page 11" href="http://viewer.zmags.com/publication/a050f6eb?page=11">recommended doses it supplies less than normal ph</a> recommended doses it supplies less than normal ph<a title="Wisconsin Medical Journal 110n4 page 12" href="http://viewer.zmags.com/publication/a050f6eb?page=12">Table 2: Treatment-emergent adverse reactions in </a> Table 2: Treatment-emergent adverse reactions in <a title="Wisconsin Medical Journal 110n4 page 13" href="http://viewer.zmags.com/publication/a050f6eb?page=13">observed in an additional 22 patients 12 to 17 ye</a> observed in an additional 22 patients 12 to 17 ye<a title="Wisconsin Medical Journal 110n4 page 14" href="http://viewer.zmags.com/publication/a050f6eb?page=14">LETTERAdvance Directives:Society PresidentEn</a> LETTERAdvance Directives:Society PresidentEn<a title="Wisconsin Medical Journal 110n4 page 15" href="http://viewer.zmags.com/publication/a050f6eb?page=15">LOOKING BACK…TO 1905General Practice in N</a> LOOKING BACK…TO 1905General Practice in N<a title="Wisconsin Medical Journal 110n4 page 16" href="http://viewer.zmags.com/publication/a050f6eb?page=16">IN THIS ISSUEEducation and WorkJohn J. Fr</a> IN THIS ISSUEEducation and WorkJohn J. Fr<a title="Wisconsin Medical Journal 110n4 page 17" href="http://viewer.zmags.com/publication/a050f6eb?page=17">teaching—just as in patient care—is to askthe le</a> teaching—just as in patient care—is to askthe le<a title="Wisconsin Medical Journal 110n4 page 18" href="http://viewer.zmags.com/publication/a050f6eb?page=18">COMMENTARYExpanded Community Health Center –</a> COMMENTARYExpanded Community Health Center –<a title="Wisconsin Medical Journal 110n4 page 19" href="http://viewer.zmags.com/publication/a050f6eb?page=19"> care of local academic medical cen- ters wit</a> care of local academic medical cen- ters wit<a title="Wisconsin Medical Journal 110n4 page 20" href="http://viewer.zmags.com/publication/a050f6eb?page=20">Call for Papers Special IssueThe WMJ will pub</a> Call for Papers Special IssueThe WMJ will pub<a title="Wisconsin Medical Journal 110n4 page 21" href="http://viewer.zmags.com/publication/a050f6eb?page=21">ORIGINAL RESEARCHStudents Enrolled in School</a> ORIGINAL RESEARCHStudents Enrolled in School<a title="Wisconsin Medical Journal 110n4 page 22" href="http://viewer.zmags.com/publication/a050f6eb?page=22">Figure 1. Five Public Health Regions in Wisconsin</a> Figure 1. Five Public Health Regions in Wisconsin<a title="Wisconsin Medical Journal 110n4 page 23" href="http://viewer.zmags.com/publication/a050f6eb?page=23">Statistical MethodsMultiple outcomes relating to</a> Statistical MethodsMultiple outcomes relating to<a title="Wisconsin Medical Journal 110n4 page 24" href="http://viewer.zmags.com/publication/a050f6eb?page=24">Table 2. Jobs and Tasks Reported by SSW Students,</a> Table 2. Jobs and Tasks Reported by SSW Students,<a title="Wisconsin Medical Journal 110n4 page 25" href="http://viewer.zmags.com/publication/a050f6eb?page=25">reported. The most common types ofinjuries repor</a> reported. The most common types ofinjuries repor<a title="Wisconsin Medical Journal 110n4 page 26" href="http://viewer.zmags.com/publication/a050f6eb?page=26">Table 4. Outcome Comparison of SSW Students Worki</a> Table 4. Outcome Comparison of SSW Students Worki<a title="Wisconsin Medical Journal 110n4 page 27" href="http://viewer.zmags.com/publication/a050f6eb?page=27"> In this study, parents of students who worke</a> In this study, parents of students who worke<a title="Wisconsin Medical Journal 110n4 page 28" href="http://viewer.zmags.com/publication/a050f6eb?page=28">ORIGINAL RESEARCHEffective Clinical Educatio</a> ORIGINAL RESEARCHEffective Clinical Educatio<a title="Wisconsin Medical Journal 110n4 page 29" href="http://viewer.zmags.com/publication/a050f6eb?page=29">“One-Minute Precepting”—Education Usingthe 5 “Mi</a> “One-Minute Precepting”—Education Usingthe 5 “Mi<a title="Wisconsin Medical Journal 110n4 page 30" href="http://viewer.zmags.com/publication/a050f6eb?page=30">Table 3. “Aunt Minnie”12,131. Student presents </a> Table 3. “Aunt Minnie”12,131. Student presents <a title="Wisconsin Medical Journal 110n4 page 31" href="http://viewer.zmags.com/publication/a050f6eb?page=31">benefit from further evaluation and characterizat</a> benefit from further evaluation and characterizat<a title="Wisconsin Medical Journal 110n4 page 32" href="http://viewer.zmags.com/publication/a050f6eb?page=32">CASE REPORTEscherichia coli Pyomyositisin a</a> CASE REPORTEscherichia coli Pyomyositisin a<a title="Wisconsin Medical Journal 110n4 page 33" href="http://viewer.zmags.com/publication/a050f6eb?page=33">vicinity of the right hip and within the anterior</a> vicinity of the right hip and within the anterior<a title="Wisconsin Medical Journal 110n4 page 34" href="http://viewer.zmags.com/publication/a050f6eb?page=34">Table 1. A Literature Review of Cases of E. Coli </a> Table 1. A Literature Review of Cases of E. Coli <a title="Wisconsin Medical Journal 110n4 page 35" href="http://viewer.zmags.com/publication/a050f6eb?page=35">CASE REPORTLarge Cervicothoracic Thymic Cyst</a> CASE REPORTLarge Cervicothoracic Thymic Cyst<a title="Wisconsin Medical Journal 110n4 page 36" href="http://viewer.zmags.com/publication/a050f6eb?page=36">Figure 1. CT images showing a cystic lesion (m) e</a> Figure 1. CT images showing a cystic lesion (m) e<a title="Wisconsin Medical Journal 110n4 page 37" href="http://viewer.zmags.com/publication/a050f6eb?page=37">fied into 4 broad categories: congenital lesions,</a> fied into 4 broad categories: congenital lesions,<a title="Wisconsin Medical Journal 110n4 page 38" href="http://viewer.zmags.com/publication/a050f6eb?page=38">PROCEEDINGSProceedings from the 2010 Annual M</a> PROCEEDINGSProceedings from the 2010 Annual M<a title="Wisconsin Medical Journal 110n4 page 39" href="http://viewer.zmags.com/publication/a050f6eb?page=39">sion. The main treatment option in small cellcar</a> sion. The main treatment option in small cellcar<a title="Wisconsin Medical Journal 110n4 page 40" href="http://viewer.zmags.com/publication/a050f6eb?page=40">reinfection, characterized by recurrent ery-them</a> reinfection, characterized by recurrent ery-them<a title="Wisconsin Medical Journal 110n4 page 41" href="http://viewer.zmags.com/publication/a050f6eb?page=41">Recurrent Rib FracturesVenu Rangu, MD, Rajesh Ke</a> Recurrent Rib FracturesVenu Rangu, MD, Rajesh Ke<a title="Wisconsin Medical Journal 110n4 page 42" href="http://viewer.zmags.com/publication/a050f6eb?page=42">Discussion: GCA is seen rarely in patients<50 ye</a> Discussion: GCA is seen rarely in patients<50 ye<a title="Wisconsin Medical Journal 110n4 page 43" href="http://viewer.zmags.com/publication/a050f6eb?page=43">end-stage heart failure. The patient pre-sented,</a> end-stage heart failure. The patient pre-sented,<a title="Wisconsin Medical Journal 110n4 page 44" href="http://viewer.zmags.com/publication/a050f6eb?page=44">Lymphocytic EsophagitisPresenting as Chronic Dys</a> Lymphocytic EsophagitisPresenting as Chronic Dys<a title="Wisconsin Medical Journal 110n4 page 45" href="http://viewer.zmags.com/publication/a050f6eb?page=45">tive to ceftriaxone. A peripherally insertedcent</a> tive to ceftriaxone. A peripherally insertedcent<a title="Wisconsin Medical Journal 110n4 page 46" href="http://viewer.zmags.com/publication/a050f6eb?page=46">calcemia (HCa) in the setting of MPC andsubacute</a> calcemia (HCa) in the setting of MPC andsubacute<a title="Wisconsin Medical Journal 110n4 page 47" href="http://viewer.zmags.com/publication/a050f6eb?page=47">rienced progressive cognitive decline andrecurre</a> rienced progressive cognitive decline andrecurre<a title="Wisconsin Medical Journal 110n4 page 48" href="http://viewer.zmags.com/publication/a050f6eb?page=48">ies and 60% have intrinsic factor blockingantibo</a> ies and 60% have intrinsic factor blockingantibo<a title="Wisconsin Medical Journal 110n4 page 49" href="http://viewer.zmags.com/publication/a050f6eb?page=49">to 5 dietary supplements, usually contain-ing mu</a> to 5 dietary supplements, usually contain-ing mu<a title="Wisconsin Medical Journal 110n4 page 50" href="http://viewer.zmags.com/publication/a050f6eb?page=50">improving symptoms, hyperbaric treat-ment was</a> improving symptoms, hyperbaric treat-ment was<a title="Wisconsin Medical Journal 110n4 page 51" href="http://viewer.zmags.com/publication/a050f6eb?page=51">AML with Blast-Negative CNSInvolvementShannon S</a> AML with Blast-Negative CNSInvolvementShannon S<a title="Wisconsin Medical Journal 110n4 page 52" href="http://viewer.zmags.com/publication/a050f6eb?page=52">advancing the art & science of medicine in the mi</a> advancing the art & science of medicine in the mi<a title="Wisconsin Medical Journal 110n4 page 53" href="http://viewer.zmags.com/publication/a050f6eb?page=53">CMETo receive CME credit, complete this quiz</a> CMETo receive CME credit, complete this quiz<a title="Wisconsin Medical Journal 110n4 page 54" href="http://viewer.zmags.com/publication/a050f6eb?page=54">1 2th Annua M dwest Cod ng &TION.KING .R </a> 1 2th Annua M dwest Cod ng &TION.KING .R <a title="Wisconsin Medical Journal 110n4 page 55" href="http://viewer.zmags.com/publication/a050f6eb?page=55">FROM THE OFFICE OF GENERAL COUNSELThe ABCs </a> FROM THE OFFICE OF GENERAL COUNSELThe ABCs <a title="Wisconsin Medical Journal 110n4 page 56" href="http://viewer.zmags.com/publication/a050f6eb?page=56">proposed 65 measures for this calculation.To qua</a> proposed 65 measures for this calculation.To qua<a title="Wisconsin Medical Journal 110n4 page 57" href="http://viewer.zmags.com/publication/a050f6eb?page=57">DEAN’S CORNERReflections for the NextGene</a> DEAN’S CORNERReflections for the NextGene<a title="Wisconsin Medical Journal 110n4 page 58" href="http://viewer.zmags.com/publication/a050f6eb?page=58">CLASSIFIED ADVERTISINGPROFESSIONAL OFFICE</a> CLASSIFIED ADVERTISINGPROFESSIONAL OFFICE<a title="Wisconsin Medical Journal 110n4 page 59" href="http://viewer.zmags.com/publication/a050f6eb?page=59">Life just doesn't wait for you to recoverAt Mer</a> Life just doesn't wait for you to recoverAt Mer<a title="Wisconsin Medical Journal 110n4 page 60" href="http://viewer.zmags.com/publication/a050f6eb?page=60">m2007-20104 Years Runningt"As physicians,</a> m2007-20104 Years Runningt"As physicians,