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Milwaukee, United States

Fortney L.,Meriter Medical Group | Kindschi J.,Milwaukee Area Technical College
Integrative Medicine Alert | Year: 2013

It is important to recognize that medical marijuana cannot actually be prescribed in any U.S. state; however, 18 states and the District of Columbia permit, in varying degrees, use of marijuana with a licensed physician recommendation.43 Nonetheless, marijuana use by patients should be approached with caution, noting that there is a small but significant subset of people who will experience adverse effects. That being said, the claims of marijuana's extreme danger and highly addictive potential are also overstated. In general, for most people - and specifically for a subset of patients with particular conditions who are appropriately screened and counseled in the setting of an established therapeutic relationship with their personal physician - marijuana may be helpful while imposing little risk.44 That being said, all forms of smoking should be actively discouraged, and alternative routes of cannabis delivery - food, tincture, vaporized, sublingual, oral medication - should be used instead where appropriate on a case-by-case basis. It is also very important that physicians remind patients that although marijuana may be useful and safe in some cases, it is still illegal by federal standards. Patients who use medical marijuana depend on practical, up-to-date advice from their personal physicians who can help them navigate this evolving landscape. Copyright © AHC Media 2013. Source

Johnson M.J.,Medical College of Wisconsin | Johnson M.J.,Marquette University | Shakya Y.,Marquette University | Strachota E.,Milwaukee Area Technical College | Ahamed S.I.,Marquette University
Biomedizinische Technik | Year: 2011

There is a need for effective stroke rehabilitation systems that can be used in undersupervised/unsupervised environments such as the home to assist in improving and/or sustaining functional outcomes. We determined the stability, accuracy and usability of an extremely low-cost mobile robot for use with a robot/computer motivating rehabilitation device, TheraDrive. The robot provided cues to discourage excessive trunk movements and to encourage arm movements. The mobile robot system was positively received by potential users, and it was accurate and stable over time. Feedback from users suggests that finding the optimal frequency and type of encouragement and corrective feedback given by the robot helper will be critical for long-term acceptance. © 2011 by Walter de Gruyter Berlin New York. Source

Rice J.,Milwaukee Area Technical College | Humphreys C.,Concordia University at Wisconsin
Journal for Nurse Practitioners | Year: 2014

Antipsychotics are sometimes prescribed for problem behaviors in the elderly dementia population. The Food and Drug Administration published a black box warning cautioning use in this population. Treatment of non-psychotic behavior with antipsychotics is off-label use and poses legal implications. The American Geriatrics Society lists antipsychotic drugs on the Beers List and recommends use with caution. State and federal regulatory agencies are closely monitoring antipsychotic drug use in long-term care settings. Use of a systematic approach to collaboratively manage problem behaviors with careful documentation will provide safeguards for the nurse practitioner when antipsychotic drug therapy is required. © 2014 Elsevier Inc. Source

Johnson M.J.,Medical College of Wisconsin | Johnson M.J.,Marquette University | Wang S.,Marquette University | Bai P.,Medical College of Wisconsin | And 4 more authors.
Medical and Biological Engineering and Computing | Year: 2011

This article presents a novel evaluation system along with methods to evaluate bilateral coordination of arm function on activities of daily living tasks before and after robot-assisted therapy. An affordable bilateral assessment system (BiAS) consisting of two mini-passive measuring units modeled as three degree of freedom robots is described. The process for evaluating functional tasks using the BiAS is presented and we demonstrate its ability to measure wrist kinematic trajectories. Three metrics, phase difference, movement overlap, and task completion time, are used to evaluate the BiAS system on a bilateral symmetric (bi-drink) and a bilateral asymmetric (bi-pour) functional task. Wrist position and velocity trajectories are evaluated using these metrics to provide insight into temporal and spatial bilateral deficits after stroke. The BiAS system quantified movements of the wrists during functional tasks and detected differences in impaired and unimpaired arm movements. Case studies showed that stroke patients compared to healthy subjects move slower and are less likely to use their arm simultaneously even when the functional task requires simultaneous movement. After robot-assisted therapy, interlimb coordination spatial deficits moved toward normal coordination on functional tasks. © 2011 International Federation for Medical and Biological Engineering. Source

Dettman R.H.,Milwaukee Area Technical College | Rohrer J.,Health Science University | Anderson C.L.,Health Science University
Journal of Diagnostic Medical Sonography | Year: 2014

Body mass index is an important indicator in primary care as a measure of a specific health care outcome. As such, it can provide a quantitative basis for clinicians to achieve improvement in care and the process by which patient care is delivered. The potential impact of cardiac sonographic screening on body mass index in disadvantaged primary care patients is unknown. Changes in body mass index (BMI), blood pressure, and low density lipoprotein cholesterol (LDL-C) levels in patients who had cardiac sonographic screening were compared to changes in a control group of similar patients treated in a clinic where cardiac sonographic screening was not available. Control patients gained weight (BMI 27.8 at baseline vs. 28.3 at follow-up), while cardiac screening patients maintained weight (BMI 27.9 at baseline vs. 27.8 at follow-up, P <.05). In overweight patients those who had cardiac screening experienced better outcomes in the quality indicator BMI than control patients, yielding a statistically significant result for some subgroups of patients. Additional effort should be directed toward refining the motivational impact of cardiac sonographic screening. It appears in this particular study that cardiac screening in a community health center was associated with better control of BMI. Such screening may have a significant impact on motivating patients to take a greater interest in personal health maintenance. © The Author(s) 2013. Source

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