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Gundersen Medical Journal Volume 8 Issue 1

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Gundersen Medical Journal Volume 8 Issue 1 ISSN 2324-9897 (print) ISSN 2324-9900 (online) THE GUNDERSEN Volume 8, Number 1 MEDICAL JOURNAL April 2014 THE GUNDERSEN MEDICAL JOURNAL Contents–Volume 8, Issue 1 1 Editor’s Message David E. Hartman, PhD, BC-ANCDS(A) ORIGINAL RESEARCH ARTICLES 3 The Physiological Effects of 8 Weeks of Yoga Training Dawn Hoff, MS; John P. Porcari, PhD, RCEP, FAACVPR, FACSM; Carl Foster, PhD, FACSM, FAACVPR; Brian Udermann, PhD, ATC, FACSM; John F. Greany, PhD, PT, RCEP, FAACVPR; Detection of Left Atrial Appendage Thrombus by Cardiac Magnetic Resonance Imaging and Transesophageal 9 Echocardiogram: A Case Series Report Vicki L. McHugh, MS; Jacob D. Gundrum, MS; Raju G. Ailiani, MD Nature and Outcome of Clinical Trials Conducted by the Eastern Cooperative Oncology Group: 17 A 30-Year Study from 1977–2006 Umesh M. Sharma, MD, FACP; Christine M. Meyer, CCRP; Michelle A. Mathiason, MS; Jonean E. Schroeder, BS, RN; Debbie L. Sieber, BS; Kathleen A. Frisby, RN, BSN; Lori A. Meyer, RN, OCN; Sai Ravi K. Pingali, MBBS; Ann E. Emmel, BS; Ronald S. Go, MD, FACP 23 Oral versus Intravenous Proton Pump Inhibitors in Patients with Bleeding Peptic Ulcers: A Retrospective Analysis and Review of the Literature Michael J. Henry, MD; Meghana Raghavendra, MBBS; Bharat Puchakayala, MD; Michelle A. Mathiason, MS CASE REPORTS Acute Disseminated Intravascular Coagulation Following Bone Marrow Biopsy in Metastatic Prostate Cancer: 30 A Case Report Michelle M. Hauck, MD; Craig E. Cole, MD An Unusual Case of Cardiac Tamponade 33 Mary C. Bassing, MD; Douglas W. White, MD, PhD; Laurence C. Berg, MD, FCAP Right Ventricle Stab Wound from Eyeglass Sidearm 38 Timothy J. Berkseth, MD; Venki Paramesh, MD; Thomas H. Cogbill, MD, FACS A Routine Procedure with an Unexpected Diagnosis 41 Mark N. Abraham, MD; Daniel F. Schraith, MD, FCAP A Case of a Cervical Sympathetic Chain Schwannoma 43 Titilayo O. Adegboyega, MD; David E. Hartman, PhD, BC-ANCDS(A); Edwin M. Overholt, MD, FACS CLINICAL PEARLS An Unusual Tick Bite and Brief Review of Tick-Borne Illness in the La Crosse Area 46 William A. Agger, MD, FACP, FIDSA; Neil E. Brown, MD ETHICAL CONSIDERATIONS What a Pickle! 48 Thomas D. Harter, PhD REPRISE 51 The Wisconsin Network for Health Research (WiNHR): A Statewide, Collaborative, Multi-disciplinary, Research Group. WMJ. 2009;108(9):453-458. Howard Bailey, MD; William Agger, MD; Dennis Baumgardner, MD, James K. Burmester, PhD; Ron A. Cisler, PhD; Jennifer Evertsen, MS; Ingrid Glurich, PhD; David Hartman, PhD; Steven H. Yale, MD; David DeMets, MD SUPPLEMENT 58 Abstracts of presentations made by Gundersen staff in 2011-2012. EDITOR AD HOC REVIEWERS David E. Hartman, PhD, BC-ANCDS(A) Mark L. Saxton, MD, FACS Jeremiah J. Andersen, MD Department of Surgery Department of Neurology Howard H. Bailey, MD Pediatric Surgery Speech Pathology University of Wisconsin-Madison John P. Porcari, PhD, RCEP, FAACVPR, MANAGING EDITOR David F. Bleidorn, MD FACSM Cathy Mikkelson Fischer, MA Department of Exercise and Sport Science Michael K. Case, MD Gundersen Medical Foundation University of Wisconsin–La Crosse Carol L. Danning, MD John-Peter Temple, MD Scott A. Escher, MD EDITORIAL BOARD MEMBERS Department of Neurology Timothy A. Harbst, MD William A. Agger, MD, FACP, FIDSA Department of Internal Medicine SUPPORT STAFF Rachel M. Hawker, MD Section of Infectious Disease Sarah R. Hughes, MD Director of Research Vicki L. McHugh, MS Shanu N. Kothari, MD. FACS Gundersen Medical Foundation Research Manager Gundersen Medical Foundation Richard L. Kyte, PhD Robert H. Caplan, MD, FACP, FACE Viterbo University Department of Internal Medicine Cynthia L. Steinhoff La Crosse, Wisconsin Section of Endocrinology Senior Office Assistant Gundersen Medical Foundation David W. Lautz, MD David H. Chestnut, MD, FACOG Department of Anesthesiology Pamela M. Maas Kurt K. Mueller, MD, FAAD, FASDS Chief Officer Director of Medical Education Edwin M. Overholt, MD, FACS Gundersen Medical Foundation Business Development & Marketing As sociate Dean for the Western Barbara K. Beeson Vanee Songsiridej, MD Academic Campus Graphic Designer Gregory P. Thompson, MD University of Wisconsin School of Medicine Business Development & Marketing Daren G. Tobert, MD, FCCP and Public Health Beth A. Frechette John L. Udell, MD Heather J. Chial, MD Marketing & Communication Specialist Department of Gastroenterology Business Development & Marketing Richard J. Wittchow, MD Anne M. Galbraith, PhD Shawn Stevenson, MBA Department of Biology Manager University of Wisconsin–La Crosse Business Development & Marketing Gundersen Medical Journal publishes material related to the life sciences. We welcome submission of original research, reviews, case reports, commentaries, and letters. Please consult our “Instructions for Authors,” provided on our Website, for submission and manuscript preparation guidelines. Direct questions or submit manuscripts for consideration to Gundersen Medical Journal Gundersen Medical Foundation C03-006B 1836 South Avenue La Crosse, WI 54601 Telephone: (608) 775-6648 Fax: (608) 775-1565 Email: [email protected] Website: http://www.gundersenhealth.org/journal Gundersen Medical Journal is a peer-reviewed journal published by Gundersen Medical Foundation, 1836 South Avenue, La Crosse, WI 54601. Copyright 2013 by Gundersen Medical Foundation. All rights reserved. Individuals may photocopy parts of the Journal for educational purposes. The Journal is archived on the Gundersen Medical Journal Website. Permission for use of the Journal for other purposes must be obtained in writing from the Editor. Gundersen Medical Journal accepts no responsibility for statements made by contributors. EDITOR’S MESSAGE “If we knew what it was we were doing, it would not be called research, would it?” ---Albert Einstein (1879-1955) Welcome to the Spring issue of the Gundersen Medical Journal! You’ll note that the title has changed to reflect the new name of the institution; the quality and scope of the publication remain the same, and again represent the interests and vigor of the authors. I wish to personally thank the reviewers who assisted us in seeing the current issue to fruition. The GMJ remains an interdisciplinary and archival publication. More than 5000 print copies of the last issue were distributed to a variety of professionals, medical center libraries, and lay personnel. The Editorial Board continues to pursue indexing for the Journal in order to enhance recognition, circulation, and readership. Original research, case reports, vignettes, images with associated text, ethical reports, and position papers are encouraged. The guide for submissions can be found at http://www.gundersenhealth. org/research/medical-journal. Please feel free to contact me or Cathy Fischer, Managing Editor, if you have questions. I hope you enjoy this issue of the GMJ! Original Research Articles In the first article Ms Dawn Hoff and mentors from the University of Wisconsin- La Crosse studied the effects of Hatha yoga on several physiologic measures and found that regular training improved endurance, flexibility, balance, and muscle strength. In the second paper, McHugh, Gundrum, and Ailiani present preliminary data for 12 patients and discuss the potential merits of using cardiac magnetic resonance imaging over transesophageal echocardiography for detection of left atrial/left atrial appendage thrombus. In the third paper, Dr Sharma and colleagues found from examining the nature and outcomes from the Eastern Cooperative Oncology Group (ECOG) trials between 1977-2006 that concept approval to publication was protracted, and potentially taking up to a decade for completion. The authors argue for streamlining trial activation, accrual, and timely publication. Dr Henry and colleagues, representing Gastroenterology, reported in the fourth article the effects of oral versus intravenous proton pump inhibitor therapy for patients admitted to hospital between 1997-2008 for gastric bleeding or duodenal ulcers. Interestingly, they found similar outcomes for the patients studied. Case Reports Case reports allow authors to discuss both interesting and atypical cases seen in the clinical environment and operatory. Drs Hauck and Cole, representing Hematology-Oncology, present a patient with chronic disseminated intravascular coagulation (DIC) that decompensated following bone marrow biopsy, suggesting that the procedure itself may be a risk factor for more aggressive disease in patients with prostate cancer. Drs Bassing, White, and Berg describe a patient who experienced cardiac tamponade in the context of adult-onset Still disease, a rare inflammatory disorder that potentially 1 can affect multiple organs. Cardiac tamponade has been reported for only 8 patients with this condition. In the third report, Dr Berkseth and colleagues describe an unusual and potentially life-threating situation in which a patient sustained penetrating cardiac trauma from an eyeglasses temple. Histology is frequently tantamount with accurate diagnoses. Drs Abraham and Schraith delineate this further in a case of a dermal lesion with unexpected histologic findings. Finally, Dr Adegboyega and colleagues present a rare case of cervical sympathetic chain schwannoma presenting as progressive dysphagia. Clinical Pearls This section is devoted to brief reports and “food for thought” that clinicians can store and retrieve from their acumen of differential diagnoses. To this end, Drs Agger and Brown discuss an unusual case of tick bite and management thereof. Ethical Considerations Clinicians are
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