To explore the relationship between United States Medical Licensing Examination (USMLE) Step 1 scores, yearly in-service training exam (ITE) and passing American Board of Internal Medicine certifying examination (ABIM-CE).The authors conducted a retrospective database review internal medicine residents from College Wisconsin 2004 through 2012. Residents' USMLE 1, ITE, ABIM-CE scores were extracted. Pearson rho, chi-square, logistic regression used to determine whether relationships existed...

To observe patterns of opioid therapy among veterans with a focus on long-term (LTOT). A retrospective study utilizing data from the Veterans Affairs Corporate Data Warehouse. 18 years or older, who received at least one outpatient prescription between June 1, 2008, and 2018, had no cancer, palliative care, hospice encounters during period. For each patient, prescriptions were combined into contiguous prescription, as long gap (<7, <30, <90 days) end supply receipt next fill met specified...

Explore the performance patterns of invasive bedside procedures at an academic medical center, evaluate whether patient characteristics predict referral, and examine procedure outcomes.This was a prospective, observational, retrospective chart review adults admitted to general medicine service who had paracentesis, thoracentesis, or lumbar puncture between February 22, 2013 21, 2014.Of total 399 procedures, 335 (84%) were referred other than primary team for completion. Patient did not...

Background. Use of tacrolimus (FK506), a potent immunosuppressive agent, has been reported to have 10-20% incidence insulin-dependent diabetes mellitus (IDDM) in adults, but the IDDM pediatric renal transplant recipients treated with this agent is unknown. In article, we report our single-center experience FK506-induced children. Methods. Five consecutive living related donor transplants were reviewed retrospectively. Results. All five patients developed lasting longer than 6 months. Mean...

Abstract A review of the anatomical changes in patients with various “first arch” syndromes shows that some anomalies (e.g., micrognathia, ear defects) generally appear together. This study tested hypothesis mandible, zygomatic arch, and middle ossicles are a developmental field (i.e., when any these structures is anomalous, other two will be also). The was using data from 25 mandibulofacial dysostosis (MFD) 40 hemifacial microsomia (HFM). Analysis pooled showed character association...

Examine traditional and uncompensated health care utilization associated with chronic noncancer pain.Retrospective chart review.Tertiary academic medical center.Internal medicine patients on long-term opioids for pain or without a agreement between April 1, 2014, 2015 (N = 834). Patients served as controls 782).Univariate statistics were used to compare by the presence of pain, status, opioid dose, schedule. Logistic regression was assess predictors utilization, emergency room visits,...

The role of specific PKC isoforms in the regulation epithelial Cl(-) secretion by Ca(2+)-dependent secretagogues remains controversial. In developing rabbit distal colon, bile acid taurodeoxycholate (TDC) acts via intracellular calcium to stimulate transport adult, but not young, animals, whereas activator phorbol dibutyrate (PDB) stimulates at all ages. We tested hypothesis that account for age-specific effects TDC. conventional (cPKC) and novel (nPKC) PKC-specific inhibitors on TDC-...

Overall opioid prescribing rates have decreased since 2012, but opioid-involved deaths not. This study describes the regional and overall trends of opioid-related emergency department visits (EDVs) hospitalizations commercially insured patients on chronic opioids those concurrent benzodiazepines.Secondary data analysis from Truven Health MarketScan Commercial Claims Encounters (MarketScan) database 2009 to 2015 was used. Outcomes were geographic EDVs benzodiazepine use.Rates for 2009. Two...

To assess the reliability and validity of faculty evaluations medicine residents.We conducted a retrospective study (2004-2012) involving 228 internal residency graduates at Medical College Wisconsin who were evaluated by 334 attendings. Measures included residents attendings, based on six competencies interns residents' performance American Board Internal Medicine certification exam annual in-service training examination. All had least one examination result 80% allowed to release their...

Objective: Characterize primary care patients prescribed opioids for chronic noncancer pain (CNCP), explore guideline-recommended opioid-monitoring practices, and investigate predictors of agreements.Design: Retrospective chart review.Setting: Primary clinic at a tertiary academic medical center.Patients: Adults (three or more monthly prescriptions within year) CNCP between April 1, 2014 2015. Patients without served as controls.Main Outcome Measure: Patient demographics, diagnoses, tobacco...

Three specimens of Macaca fascicularis were examined to test the hypothesis that canines do not restrict lateral masticatory movements in these animals. The animals filmed while chewing freely before, shortly after, and seven weeks after canine removal. Facial markers, viewed from plane, allowed for computer tracings all mandibular movements. maximal movement mandible was assessed each cycle, means calculated condition animal. These compared intra-animal statistically significant differences...

The prevalence of chronic pain is enormous. In America, the management and opioids remains a critical focus. Guidelines recommend agreements as part opioids; however, evidence improvement in patient outcomes lacking. An aspect outcome includes utilization healthcare resources, such emergency department visits hospitalizations. It uncertain whether use lessens utilization.Retrospective chart review Midwest Veterans Affairs primary care clinic. Subjects were veterans on between 1 April 2014...

Purpose: Ambulatory resources such as telephone calls, secure messages, nurse visits, and triage are vital to the management of patients on chronic opioid therapy (COT). They also often overlooked health care services yet be broadly studied. The aim present study was describe Veterans Affairs (VA) utilization by based COT, type, amount opioids prescribed. Patients methods: A retrospective chart review done 617 COT at a VA primary clinic. Instances (emergency department visits [EDVs],...