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<br /> advancing the art & science of medicine in the midwest<br /> volume 117 · no. 1 · march 2018<br /> Addressing the<br /> problem with<br /> community-based<br /> solutions<br /> <br /> advancing the art & science of medicine in the midwest<br /> volume 117 · no. 1 · march 2018<br /> Addressing the<br /> problem with<br /> community-based<br /> solutions<br /> COVER THEME<br /> The Opoioid Crisis<br /> Opioid misuse and abuse continues<br /> to be a serious problem in communi-<br /> ties throughout the United States,<br /> and combatting the problem requires<br /> collective, collaborative solutions. In<br /> this issue of WMJ, several articles<br /> look at different aspects of the crisis<br /> and suggest innovative approaches<br /> to tackling the problem.<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 pr<a title="wmj_117no1 page 1" href="http://viewer.zmags.com/publication/a43aaceb?page=1"> advancing the art & science of medicine in the mi</a> <a title="wmj_117no1 page 2" href="http://viewer.zmags.com/publication/a43aaceb?page=2"> </a> <a title="wmj_117no1 page 3" href="http://viewer.zmags.com/publication/a43aaceb?page=3"> advancing the art & science of medicine in the mi</a> <a title="wmj_117no1 page 4" href="http://viewer.zmags.com/publication/a43aaceb?page=4"> The WMJ (ISSN 1098-1861) is published by the Wisc</a> <a title="wmj_117no1 page 5" href="http://viewer.zmags.com/publication/a43aaceb?page=5"> LETTERS TO THE EDITOR Travel During Pregnancy</a> <a title="wmj_117no1 page 6" href="http://viewer.zmags.com/publication/a43aaceb?page=6"> IN THIS ISSUE Opioid as a Wicked Problem</a> <a title="wmj_117no1 page 7" href="http://viewer.zmags.com/publication/a43aaceb?page=7"> Faryar, Kohlbeck, and Schreiber5 examine the tr</a> <a title="wmj_117no1 page 8" href="http://viewer.zmags.com/publication/a43aaceb?page=8"> FOR SOME OF OUR MOST ELITE SOLDIERS, THE EXAMINAT</a> <a title="wmj_117no1 page 9" href="http://viewer.zmags.com/publication/a43aaceb?page=9"> ORIGINAL RESEARCH Use of Oxygen at the End </a> <a title="wmj_117no1 page 10" href="http://viewer.zmags.com/publication/a43aaceb?page=10"> Oxygen therapy for the management of breathle</a> <a title="wmj_117no1 page 11" href="http://viewer.zmags.com/publication/a43aaceb?page=11"> helplessness in the conscious patient as well as </a> <a title="wmj_117no1 page 12" href="http://viewer.zmags.com/publication/a43aaceb?page=12"> age of respondents was mid-forties, with the youn</a> <a title="wmj_117no1 page 13" href="http://viewer.zmags.com/publication/a43aaceb?page=13"> members’ desire for a peaceful death for their lo</a> <a title="wmj_117no1 page 14" href="http://viewer.zmags.com/publication/a43aaceb?page=14"> 2011;(6):CD006429. doi:10.1002/14651858.CD006429.</a> <a title="wmj_117no1 page 15" href="http://viewer.zmags.com/publication/a43aaceb?page=15"> ORIGINAL RESEARCH Is There an Association B</a> <a title="wmj_117no1 page 16" href="http://viewer.zmags.com/publication/a43aaceb?page=16"> seemingly suggests that a complex auto- immune pa</a> <a title="wmj_117no1 page 17" href="http://viewer.zmags.com/publication/a43aaceb?page=17"> than those in the control (mean age 57.47 vs 31.7</a> <a title="wmj_117no1 page 18" href="http://viewer.zmags.com/publication/a43aaceb?page=18"> cal patients receiving unfractionated heparin to </a> <a title="wmj_117no1 page 19" href="http://viewer.zmags.com/publication/a43aaceb?page=19"> ance in this research and assistance with the sta</a> <a title="wmj_117no1 page 20" href="http://viewer.zmags.com/publication/a43aaceb?page=20"> ORIGINAL RESEARCH Mapping Drug Overdose Dem</a> <a title="wmj_117no1 page 21" href="http://viewer.zmags.com/publication/a43aaceb?page=21"> Other Drug Task Force to track opiate and drug us</a> <a title="wmj_117no1 page 22" href="http://viewer.zmags.com/publication/a43aaceb?page=22"> Table 1. Patient and Population Predictors of Ove</a> <a title="wmj_117no1 page 23" href="http://viewer.zmags.com/publication/a43aaceb?page=23"> Figure 1. 2016 Overdose Poisoning Rate by Census </a> <a title="wmj_117no1 page 24" href="http://viewer.zmags.com/publication/a43aaceb?page=24"> Table 3. Multivariate Predictors of Census Tract </a> <a title="wmj_117no1 page 25" href="http://viewer.zmags.com/publication/a43aaceb?page=25"> ond health system indicate that the number and di</a> <a title="wmj_117no1 page 26" href="http://viewer.zmags.com/publication/a43aaceb?page=26"> ORIGINAL RESEARCH Shift in Drug vs Alcohol </a> <a title="wmj_117no1 page 27" href="http://viewer.zmags.com/publication/a43aaceb?page=27"> positive driving (both opioids and other nonalcoh</a> <a title="wmj_117no1 page 28" href="http://viewer.zmags.com/publication/a43aaceb?page=28"> Table 1. Demographics of Motor Vehicle Crash Dece</a> <a title="wmj_117no1 page 29" href="http://viewer.zmags.com/publication/a43aaceb?page=29"> blood samples is more temporally and pharmacologi</a> <a title="wmj_117no1 page 30" href="http://viewer.zmags.com/publication/a43aaceb?page=30"> lence of drug-positive drivers. Several states su</a> <a title="wmj_117no1 page 31" href="http://viewer.zmags.com/publication/a43aaceb?page=31"> HEALTH INNOVATIONS GunderKids: Design of a Cl</a> <a title="wmj_117no1 page 32" href="http://viewer.zmags.com/publication/a43aaceb?page=32"> Box 1. Metrics Collected by the GunderKids Progra</a> <a title="wmj_117no1 page 33" href="http://viewer.zmags.com/publication/a43aaceb?page=33"> ing program development issues. Staff meeting</a> <a title="wmj_117no1 page 34" href="http://viewer.zmags.com/publication/a43aaceb?page=34"> Box 2. GunderKids Schedule of Care—Clinic Visits,</a> <a title="wmj_117no1 page 35" href="http://viewer.zmags.com/publication/a43aaceb?page=35"> indicated that planning would be required for con</a> <a title="wmj_117no1 page 36" href="http://viewer.zmags.com/publication/a43aaceb?page=36"> BRIEF REPORT Survey Assessing Medical Student </a> <a title="wmj_117no1 page 37" href="http://viewer.zmags.com/publication/a43aaceb?page=37"> Medicine list because these physicians are on the</a> <a title="wmj_117no1 page 38" href="http://viewer.zmags.com/publication/a43aaceb?page=38"> Figure 2. Responses for Knowledge and Attitude Qu</a> <a title="wmj_117no1 page 39" href="http://viewer.zmags.com/publication/a43aaceb?page=39"> size that relapse is a normal part of recovery. S</a> <a title="wmj_117no1 page 40" href="http://viewer.zmags.com/publication/a43aaceb?page=40"> BRIEF REPORT A Multistep Approach to Addres</a> <a title="wmj_117no1 page 41" href="http://viewer.zmags.com/publication/a43aaceb?page=41"> educational module to better address the concerns</a> <a title="wmj_117no1 page 42" href="http://viewer.zmags.com/publication/a43aaceb?page=42"> Figure. Demographic Characteristics of Participan</a> <a title="wmj_117no1 page 43" href="http://viewer.zmags.com/publication/a43aaceb?page=43"> prescribing, yet effective in terms of pain manag</a> <a title="wmj_117no1 page 44" href="http://viewer.zmags.com/publication/a43aaceb?page=44"> CASE REPORT Acute Ischemic Stroke in a Youn</a> <a title="wmj_117no1 page 45" href="http://viewer.zmags.com/publication/a43aaceb?page=45"> Figure. Magnetic Resonance Imaging of the Brain </a> <a title="wmj_117no1 page 46" href="http://viewer.zmags.com/publication/a43aaceb?page=46"> diffuse out of the bubble and also reduces adhere</a> <a title="wmj_117no1 page 47" href="http://viewer.zmags.com/publication/a43aaceb?page=47"> DEAN’S CORNER CAR T-cell Immunotherapy Br</a> <a title="wmj_117no1 page 48" href="http://viewer.zmags.com/publication/a43aaceb?page=48"> said Nirav Shah, MD, principal investigator of th</a> <a title="wmj_117no1 page 49" href="http://viewer.zmags.com/publication/a43aaceb?page=49"> AFTER THE PAIN, THEY'RE KILLERS. 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