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<br /> advancing the art & science of medicine in the midwest<br /> volume 117 · no. 2 · june 2018<br /> Breast<br /> Cancer<br /> Addressing Disparities,<br /> Improving Care<br /> <br /> advancing the art & science of medicine in the midwest<br /> volume 117 · no. 2 · june 2018<br /> Breast<br /> Cancer<br /> Addressing Disparities,<br /> Improving Care<br /> COVER THEME<br /> Breast Cancer: Addressing<br /> Disparities, Improving Care<br /> Breast cancer remains the leading<br /> cause of new cancer diagnoses<br /> among women in the United States<br /> and the second leading cause of can-<br /> cer deaths. This issue of WMJ features<br /> studies that explore various efforts<br /> to affect breast cancer outcomes.<br /> Cover design by Jane Lee<br /> The mission of WMJ is to provide a vehicle<br /> for professional communication and continuing<br /> education for Midwest physicians and other<br /> health professionals. WMJ is published by<br /> the Wisc<a title="WMJ_117no2 page 1" href="http://viewer.zmags.com/publication/a05b85ab?page=1"> advancing the art & science of medicine in the mi</a> <a title="WMJ_117no2 page 2" href="http://viewer.zmags.com/publication/a05b85ab?page=2"> </a> <a title="WMJ_117no2 page 3" href="http://viewer.zmags.com/publication/a05b85ab?page=3"> advancing the art & science of medicine in the mi</a> <a title="WMJ_117no2 page 4" href="http://viewer.zmags.com/publication/a05b85ab?page=4"> The WMJ (ISSN 1098-1861) is published by the Wisc</a> <a title="WMJ_117no2 page 5" href="http://viewer.zmags.com/publication/a05b85ab?page=5"> AFTER THE PAIN, THEY'RE KILLERS. DEATHS </a> <a title="WMJ_117no2 page 6" href="http://viewer.zmags.com/publication/a05b85ab?page=6"> IN THIS ISSUE Breast Cancer: Addressing Dis</a> <a title="WMJ_117no2 page 7" href="http://viewer.zmags.com/publication/a05b85ab?page=7"> tion, feedback, and positive reinforcement (gift </a> <a title="WMJ_117no2 page 8" href="http://viewer.zmags.com/publication/a05b85ab?page=8"> Mayo Clinic School o</a> <a title="WMJ_117no2 page 9" href="http://viewer.zmags.com/publication/a05b85ab?page=9"> ORIGINAL RESEARCH Increasing Mammography Upta</a> <a title="WMJ_117no2 page 10" href="http://viewer.zmags.com/publication/a05b85ab?page=10"> MCW, CC CAB Community Partners </a> <a title="WMJ_117no2 page 11" href="http://viewer.zmags.com/publication/a05b85ab?page=11"> countries, Eastern Europe (Albania), and Africa (</a> <a title="WMJ_117no2 page 12" href="http://viewer.zmags.com/publication/a05b85ab?page=12"> Table 1. Demographic Characteristics of Study Par</a> <a title="WMJ_117no2 page 13" href="http://viewer.zmags.com/publication/a05b85ab?page=13"> the breast workshops. Women were unable to recoll</a> <a title="WMJ_117no2 page 14" href="http://viewer.zmags.com/publication/a05b85ab?page=14"> ing access to a health education program that all</a> <a title="WMJ_117no2 page 15" href="http://viewer.zmags.com/publication/a05b85ab?page=15"> 6. Millon-Underwood S, Kelber ST. Exploratory stu</a> <a title="WMJ_117no2 page 16" href="http://viewer.zmags.com/publication/a05b85ab?page=16"> ORIGINAL RESEARCH Does Progesterone Recepto</a> <a title="WMJ_117no2 page 17" href="http://viewer.zmags.com/publication/a05b85ab?page=17"> ER+/PR- are highly relevant biomarkers for inva</a> <a title="WMJ_117no2 page 18" href="http://viewer.zmags.com/publication/a05b85ab?page=18"> Figure 1. Kaplan-Meier Estimate of Being Recurren</a> <a title="WMJ_117no2 page 19" href="http://viewer.zmags.com/publication/a05b85ab?page=19"> lumpectomy radiation (HR 2.49; 95% CI, 1.29-4.80;</a> <a title="WMJ_117no2 page 20" href="http://viewer.zmags.com/publication/a05b85ab?page=20"> tion in breast cancer recurrence risk, with NSABP</a> <a title="WMJ_117no2 page 21" href="http://viewer.zmags.com/publication/a05b85ab?page=21"> 19. Kepple J, Henry-Tillman RS, Klimberg VS, et a</a> <a title="WMJ_117no2 page 22" href="http://viewer.zmags.com/publication/a05b85ab?page=22"> ORIGINAL RESEARCH A Strategy for Changing Adh</a> <a title="WMJ_117no2 page 23" href="http://viewer.zmags.com/publication/a05b85ab?page=23"> Compliance Culture The study was performed in an </a> <a title="WMJ_117no2 page 24" href="http://viewer.zmags.com/publication/a05b85ab?page=24"> Table. Patient Characteristics Pre- and Post-Chan</a> <a title="WMJ_117no2 page 25" href="http://viewer.zmags.com/publication/a05b85ab?page=25"> Tumor board attendance after the implementat</a> <a title="WMJ_117no2 page 26" href="http://viewer.zmags.com/publication/a05b85ab?page=26"> providers on guideline changes. Even without inte</a> <a title="WMJ_117no2 page 27" href="http://viewer.zmags.com/publication/a05b85ab?page=27"> REVIEW ARTICLE The Clinical Significance of</a> <a title="WMJ_117no2 page 28" href="http://viewer.zmags.com/publication/a05b85ab?page=28"> Table 1. Expected Relationship Between Pulse and </a> <a title="WMJ_117no2 page 29" href="http://viewer.zmags.com/publication/a05b85ab?page=29"> Table 3. Case Series of Relative Bradycardia Con</a> <a title="WMJ_117no2 page 30" href="http://viewer.zmags.com/publication/a05b85ab?page=30"> In addition to relative bradycardia, other clinic</a> <a title="WMJ_117no2 page 31" href="http://viewer.zmags.com/publication/a05b85ab?page=31"> ing genetic determinants in response to infection</a> <a title="WMJ_117no2 page 32" href="http://viewer.zmags.com/publication/a05b85ab?page=32"> 27. Peter S, Hulme O, Deuse T, et al. ST-elevatio</a> <a title="WMJ_117no2 page 33" href="http://viewer.zmags.com/publication/a05b85ab?page=33"> BRIEF REPORT A Curriculum for Residents to </a> <a title="WMJ_117no2 page 34" href="http://viewer.zmags.com/publication/a05b85ab?page=34"> Box. Example of a Resident Quality Improvement Pr</a> <a title="WMJ_117no2 page 35" href="http://viewer.zmags.com/publication/a05b85ab?page=35"> DISCUSSION This study demonstrates that psychiatr</a> <a title="WMJ_117no2 page 36" href="http://viewer.zmags.com/publication/a05b85ab?page=36"> 3. Patow CA, Karpovich K, Riesenberg LA, et al. R</a> <a title="WMJ_117no2 page 37" href="http://viewer.zmags.com/publication/a05b85ab?page=37"> CASE REPORT A Case of Optic Neuritis Seco</a> <a title="WMJ_117no2 page 38" href="http://viewer.zmags.com/publication/a05b85ab?page=38"> Figure 1. Color Fundus Photos of Patient’s Right </a> <a title="WMJ_117no2 page 39" href="http://viewer.zmags.com/publication/a05b85ab?page=39"> Figure 2. Humphrey Visual Fields of Patient’s Rig</a> <a title="WMJ_117no2 page 40" href="http://viewer.zmags.com/publication/a05b85ab?page=40"> Box. Sibony’s Criteria for Strong Evidence of Opt</a> <a title="WMJ_117no2 page 41" href="http://viewer.zmags.com/publication/a05b85ab?page=41"> areas. Detailed examination and investigation are</a> <a title="WMJ_117no2 page 42" href="http://viewer.zmags.com/publication/a05b85ab?page=42"> CASE REPORT Distal Tibia and Foot Involvement</a> <a title="WMJ_117no2 page 43" href="http://viewer.zmags.com/publication/a05b85ab?page=43"> Figure 1. Ankle, Radiograph of Foot out any evi</a> <a title="WMJ_117no2 page 44" href="http://viewer.zmags.com/publication/a05b85ab?page=44"> Figure 3. Distal Tibia and Foot Bone Involvement,</a> <a title="WMJ_117no2 page 45" href="http://viewer.zmags.com/publication/a05b85ab?page=45"> genetics include presence of t (11, 14) in IgM my</a> <a title="WMJ_117no2 page 46" href="http://viewer.zmags.com/publication/a05b85ab?page=46"> DEAN’S CORNER Sanjay Asthana, </a> <a title="WMJ_117no2 page 47" href="http://viewer.zmags.com/publication/a05b85ab?page=47"> Box. 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