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Minnesota Medicine

Tory Whitten, Jenna Bjork, Dave Neitzel, Kirk Smith, Maureen Sullivan, Joni Scheftel
Tularemia is a rare but often serious infectious disease caused by Francisella tularensis, a bacterium with an extremely low infectious dose and the ability to cause illness through several routes including arthropod bites, contact with infected animals and exposure to contaminated water, food or soil. Tularemia is found throughout the northern hemisphere, and cases have occurred in all U.S. states except Hawaii. Thirteen cases have been reported to the Minnesota Department of Health since 1994, including 3 in 2016...
May 2017: Minnesota Medicine
Mark Rosenblum
Insomnia is a common complaint among people with substance use disorders. The relationship between sleep problems and substance abuse is bidirectional: People who have trouble sleeping may medicate with alcohol or illicit drugs or misuse prescription medications. And taking certain substances can interfere with sleep. This article reviews that relationship and presents information about the two evidence-based treatments for insomnia: prescription sleep medications and cognitive behavioral therapy for insomnia...
May 2017: Minnesota Medicine
Gavin Bart
As awareness of the opioid epidemic in this country has grown, so has the number of efforts to respond to it. This article reviews national and state efforts involving the medical community. It also reports on new funding coming to Minnesota with passage of the 21 st Century Cures Act, and it calls for increased involvement at the health system level. The hope is that with greater awareness of these efforts, health care providers will be better equipped to address the full spectrum of the epidemic.
May 2017: Minnesota Medicine
Brian Grahan
In the exam room, providers can identify--and often treat--patients who need help with a substance use disorder.
May 2017: Minnesota Medicine
Carol Falkowski
Every corner of the country is touched by drug abuse and addiction--Minnesota is no exception. Drug-induced deaths have tripled since 1990 and now outnumber fatalities from motor vehicle accidents. Deaths from opioid overdoes in particular have skyrocketed; they now outnumber cocaine and methamphetamine overdoes deaths, combined.
May 2017: Minnesota Medicine
David Agerter
When physicians sit down with their elected officials to talk health care, you can believe it has a significant impact.
May 2017: Minnesota Medicine
Dan Hauser
Only a few weeks remain n what has been a frustrating legislative session for physicians (it must conclude by May 22). Here's a rundown of the MMA's priorities.
May 2017: Minnesota Medicine
Zeke J McKinney
Minnesota's immunization information system excels at population health surveillance.
May 2017: Minnesota Medicine
Scott A Briggs
A Minnesota allergist continues his quest to build a better--and cheaper--drug injection device for people with severe food allergies.
May 2017: Minnesota Medicine
Howard Bell
Two lawsuits filed this year in federal court claim that three drugmakers have colluded in order to simultaneously raise the price of insulin.
May 2017: Minnesota Medicine
Carmen Peota
On a gray March day, Stephen Wagner, MD, putters in the large hanger where he keeps his Beechcraft King Air E90.
May 2017: Minnesota Medicine
Suzy Frisch
Mayo uses pharmacogenomics to help match medications to patients' genetic makeup.
May 2017: Minnesota Medicine
Charles R Meyer
No abstract text is available yet for this article.
May 2017: Minnesota Medicine
Naoko Onizuka, Anina Gaichas, Jon Roesler
Falls are a serious concern for older adults as they frequently result in injury, disability and even death. In older adults in Minnesota, the number and rate of hospital-treated falls have been increasing, for both males and females. The purpose of this study was to estimate trends in falls among older adults in Minnesota, and to examine whether there is an association between severe outcomes of falls and predictors. We investigated hospital-treated (both emergency department treatment and hospitalizations) falls among adults 65 years and older in Minnesota between 2010 and 2014, using hospital discharge data from the Minnesota Hospital Association...
March 2017: Minnesota Medicine
Barbara P Yawn
No abstract text is available yet for this article.
March 2017: Minnesota Medicine
Mollie Alpern, Qi Wang, Meghan Rothernberger
Common allergic conditions such as allergic rhinitis, asthma and antibiotic allergies are frequently encountered by internal medicine physicians. These conditions are a significant source of health care utilization and morbidity. However, many internal medicine residency programs offer limited training in allergy and immunology. Internal medicine residents' significant knowledge deficits regarding allergy-related content have been previously identified. We conducted a survey-based study to examine the knowledge and self-assessed clinical competency of residents at an academic medical center to determine the need for further education in allergy and immunology...
March 2017: Minnesota Medicine
David B Plimpton
No abstract text is available yet for this article.
March 2017: Minnesota Medicine
Siu-Hin Wan
No abstract text is available yet for this article.
March 2017: Minnesota Medicine
Charles R Meyer
No abstract text is available yet for this article.
March 2017: Minnesota Medicine
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