Improve the health of the people of Wisconsin by supporting and strengthening physicians' ability to practice high-quality patient care in a changing environment.

Volume 106, Issue 7 (October 2007)

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Tom Barrett
As goes Milwaukees health, so goes Wisconsins health
(full text PDF)

Guest editorial from Mayor Barrett

John J. Frey, III, MD, Medical Editor
Poverty and human development-A global and local issue
(full text PDF)

This past year the Council of Science Editors organized a Global Theme Issue on Poverty and Human Development.
Communications with biomedical journals throughout the world have resulted in 233 journals publishing an entire issue or commenting on the theme in their October 2007 issue. The Wisconsin Medical Journal is proud to join this list of international journals.

Original Research

Edited by Kesavan Kutty, MD, MACP
Proceedings from the 2005 Annual Meeting of the American College of Physicians, Wisconsin Chapter
(full text PDF)

The Wisconsin Chapter of the American College of Physicians held its annual meeting in Madison, Wis, September 8-10, 2005. Internal Medicine residents from each of Wisconsin’s 5 residency programs presented their research and/or unusual clinical experiences via posters and vignettes.

Lisa K. Berger, PhD; Michael Fendrich, PhD; Adam Lippert, MA
Prevalence and Characteristics of Hazardous Drinkers: Results of the Greater Milwaukee Survey
(full text PDF)

At-risk drinking is of particular concern in Wisconsin.

Marlene D Melzer-Lange, MD; Charis Van Dusen Thatcher, MD; Jingxia Liu, PhD; Shankuan Zhu, MD, PhD
Urban Community Characteristics and Adolescent Assault Victims
(full text PDF)

Purpose: To examine the relationship between neighborhood factors and adolescent victimization for low- and high-risk areas of Milwaukee, Wis.

Mallory O’Brien, PhD; Laurie Woods, MS; Ron A. Cisler, PhD
The Milwaukee Homicide Review Commission: An Interagency Collaborative Process to Reduce Homicide
(full text PDF)

The Milwaukee Homicide Review Commission (MHRC) is a multi-level, multi-disciplinary, and multi-agency homicide review process aimed at reducing the occurrence of homicides in Milwaukee. Based on the public health approach to violence reduction, the MHRC has 3 goals: (1) to gain a better understanding of homicide through strategic problem analysis, (2) to develop innovative, effective responses, and (3) to focus limited enforcement and intervention activities on identifiable risks. The MHRC creates an environment for many disciplines and agencies to share information and work collectively on violence prevention strategies.

Since its inception, the MHRC has reviewed over 150 homicides and developed over 100 recommendations aimed at reducing homicide. These recommendations are based on themes that emerge from case reviews and focus on initiating change at system, agency/organization, and individual levels.

The MHRC has many accomplishments to date, including improved communication between local, state, and federal criminal justice agencies; assistance in immediate investigations; new strategic criminal justice activities; changes in ineffective agency practices; and new cooperative efforts between community service providers. Future plans include the continuation and expansion of initiatives including greater community impact and developing a Center of Excellence in community and public safety serving Milwaukee and the state of Wisconsin.

Eric N. Reither, PhD; Sang Lim Lee, MA
Racial and Ethnic Disparities in AIDS Incidence: An Examination of Milwaukee, Wisconsin, 1990-2000
(full text PDF)

Public health agencies have identified the elimination of health disparities as a major policy objective.

Peter M. Vila, BS; Bridget C. Booske, PhD; Mark V. Wegner, MD, MPH; Patrick L. Remington, MD, MPH
Preventable Causes of Death in Wisconsin, 2004
(full text PDF)

Introduction: While heart disease, cancer, and injuries are leading proximate causes of death, research has demonstrated that about half of all deaths in the United States are actually due to preventable causes, including tobacco use, poor diet, and physical inactivity. Using state vital statistics data and findings from national studies, we report on the trends in the preventable causes of death in Wisconsin from 1992 to 2004.

Patricia Tellez-Giron, MD
Providing Culturally Sensitive End-of-Life Care for the Latino/a Community
(full text PDF)

The Latino population is the fastest-growing population in the United States. This rapid growth has resulted in an increased need for culturally sensitive health and education services, especially at end of life. Terminal illness experiences, beliefs, and expectations are linked to cultural values. Latino culture values end of life and is rich in beliefs, traditions, and rituals related to this important time. This article reflects the author’s clinical and personal experiences as a Latina and reviews the literature
regarding end-of-life issues and Latinos. It also offers suggestions on how to better serve the Latino community, and examples of important traditions, rituals, and beliefs at the end of life.

Peter M. Vila, BS; Geoffrey R. Swain, MD, MPH; Dennis J. Baumgardner, MD; Sarah E. Halsmer, BS; Patrick L. Remington, MD, MPH; Ron A. Cisler, PhD
Health Disparities in Milwaukee by Socioeconomic Status
(full text PDF)

Background: In 2006, the city of Milwaukee ranked worse than any Wisconsin county for health outcomes and worse than all but 1 county for health determinants.

Marie Wolff, PhD; L. Kevin Hamberger, PhD; Bruce Ambuel, PhD; Syed Ahmed, MD, MPH, DrPH; Geoffrey R. Swain, MD, MPH; Paul Hunter, MD; David Smith, MD
The Development and Evaluation of Community Health Competencies for Family Medicine
(full text PDF)

Background: There is an increasing emphasis on teaching community-responsive care and population health in medical education. This focus requires a multidimensional perspective on community health that examines the determinants, ranges, and variations of health status and disease in the community as a whole.

Your Practice

Jay A. Gold, MD, JD, MPH; Kay Simmons, MA
The primary care physician’s role in treating chronic kidney disease
(full text PDF)

Twenty million Americans have chronic kidney disease (CKD); another 20 million are considered at risk.

Kurt G. Krumholz, CFP
Partial or full retirement requires careful planning
(full text PDF)

For many physicians, partial retirement offers the best of both worlds—enough work to remain on top of their game, enough freedom to enjoy life. What’s stopping them? Money.

Your Profession

Michael J. Dunn, MD
Efforts to increase health care quality and reduce medical errors must be maintained
(full text PDF)

Dean’s Corner