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Rhode Island Medical Journal

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https://www.readbyqxmd.com/read/30509011/characteristics-of-victims-and-suspects-in-domestic-violence-related-homicide-rhode-island-violent-death-reporting-system-2004-2015
#1
Yongwen Jiang, Deborah DeBare, Ian Colomer, John Wesley, Jordan Seaberry, Samara Viner-Brown
No abstract text is available yet for this article.
December 3, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30509010/a-case-report-of-impaired-driving-performance-after-a-concussion
#2
Neha Raukar, Danielle Palms, Madalene Boyle, Janette Baird
No abstract text is available yet for this article.
December 3, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30509009/shaping-the-rhode-island-duals-demonstration-the-power-of-partnerships-between-advocates-and-geriatrics-experts
#3
Maureen E Maigret, Richard W Besdine, Martha Rounds-Watson
This paper describes a unique collaboration between consumer health care advocates, experts in geriatrics, a state, and a health plan to improve care for adults with both Medicare and Medicaid. Ineffective care coordination between the Medicare and Medicaid programs has led to poor care and high costs. As part of the Affordable Care Act (ACA), CMS initiated state demonstrations to align financing and care delivery. In 2016, Rhode Island launched an integrated care model. Geriatrics experts teamed up with an aging services advocate to work on the Rhode Island project...
December 3, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30509008/diagnosis-and-management-of-hip-abductor-insufficiency
#4
Stephen E Marcaccio, Jacob M Babu, Kalpit Shah, Ross Budacki, Ramin R Tabaddor
Greater Trochanteric Pain Syndrome (GTPS) is a common cause of lateral hip pain, with an incidence of 1.8 per 1000 patients, most commonly occurring between the fourth and sixth decades of life. When GTPS fails to improve with conservative management, hip abductor insufficiency should be suspected. The diagnosis of hip abductor insufficiency is made by a combination of physical exam findings and imaging studies, with Magnetic Resonance Imaging (MRI) being the diagnostic study of choice. Initial conservative management consists of activity modification, physical therapy, non-steroidal anti-inflam- matories and corticosteroid injections...
December 3, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30509007/project-escuche-a-spanish-language-radio-based-intervention-to-increase-science-literacy
#5
Maureen G Phipps, Kartik K Venkatesh, Crystal Ware, Michelle Lightfoot, Christina Raker, Pablo Rodriguez
Project ESCUCHE was developed to evaluate the potential to increase science literacy among Spanish-language radio listeners. In collaboration with community partners, we developed a 10-week culturally applicable science and health curriculum delivered through Spanish-language radio. Science literacy was assessed before and after the intervention. Among the 51 participants, 70% were female, 76% were > 35 years old, 60% reported some college education, and 90% preferred speaking in Spanish versus English. The majority of participants (>94%) demonstrated adequate baseline functional health literacy, and 70% reported listening to all ten of the radio programs...
December 3, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30509006/utility-of-inspiratory-volume-in-incentive-spirometry
#6
Adam E M Eltorai, Thomas J Martin, Ashley Szabo Eltorai, Grayson L Baird, Terrance T Healey, Alan H Daniels
Incentive spirometers (IS) were developed to reproduce sustained maximal inspiration. Most providers believe that achieving target inspiratory volume (ISV) is the most important factor for successful IS use. ISV has been used as a surrogate for deep breathing effort and has been correlated with various clinical outcomes, but the scientific validity of these correlations has yet to be demonstrated. Currently, the greatest utility of targeted ISV may be as a method of monitoring global patient progress and as a psychosocial instrument for patient engagement in care...
December 3, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30509005/patient-centered-medical-home-kids-pcmh-kids-a-conversation-with-anchor-pediatrics
#7
Judith B Westrick
No abstract text is available yet for this article.
December 3, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30509004/pediatric-primary-care-and-integrated-behavioral-health
#8
Allison Heinly, Elizabeth Bogus, Natalia Golova, Jennifer Friedman, Alcina Nickson, Carol Lewis
No abstract text is available yet for this article.
December 3, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30509003/transformation-patient-centered-medical-home-kids-in-a-predominantly-medicaid-teaching-site
#9
Carol Lewis, Alison Riese, Gail Davis, Chandan Lakhiani, Allison Brindle, Patricia Flanagan
No abstract text is available yet for this article.
December 3, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30509002/helping-ambulatory-practices-succeed-reflections-from-practice-transformation-facilitators
#10
Putney Pyles, Kimberly Pelland, Vicki Crowningshield, Brenda Jenkins, Lauren Capizzo
Healthcare reform efforts implemented to optimize primary and specialty care delivery require practices to undertake considerable transformation. To support change efforts, many private insurers and federal and state health-reform efforts provide practices and clinicians with access to practice-transformation facilitators. Healthcentric Advisors provides practice-transformation support and technical assistance to practices in Rhode Island and across New England. From this work we know that strategies and approaches to support transformation and achievement of program recognitions differ by practice characteristics, resource access, and patient panels...
December 3, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30509001/a-statewide-pediatric-care-transformation-journey
#11
Patricia Flanagan, Elizabeth Lange
No abstract text is available yet for this article.
December 3, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30509000/patient-centered-medical-home-kids-pcmh-kids-creating-a-statewide-pediatric-care-transformation-initiative
#12
Patricia Flanagan, Carol Lewis
No abstract text is available yet for this article.
December 3, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30508999/-goodbye-and-thanks%C3%A2
#13
Joseph H Friedman
No abstract text is available yet for this article.
December 3, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30384520/assessing-educational-developmental-and-parent-support-services-received-by-families-of-children-with-craniofacial-birth-defects
#14
Kristen St John, Donna Lee Houle, Samara Viner-Brown
No abstract text is available yet for this article.
November 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30384519/bilateral-breast-sarcoidosis-mimicking-synchronous-primary-breast-cancer
#15
Andrew M Tareila, Bassam I Aswad, Robert C Ward, Mary M Hillstrom
No abstract text is available yet for this article.
November 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30384518/acquired-gitelman-syndrome-secondary-to-bendamustine-use
#16
Andrew Rogers, Pulkit Gandhi, Joseph Bautista, Jie Tang
No abstract text is available yet for this article.
November 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30384517/a-double-whammy-lactobacillus-acidophilus-bacteremia-and-subsequent-lactobacillus-rhamnosus-prosthetic-valve-infective-endocarditis-in-an-elderly-diabetic-patient
#17
Fatima Zeba, Juliet Yirerong, Maen Assali, Geetika Tewary, Amanda Noska
The clinical significance of the relatively avirulent organ- ism, Lactobacillus, has been debated in the past. At times misdiagnosed as a contaminant, Lactobacillus has uncommonly been reported to cause intra-abdominal abscesses, peritonitis, meningitis, bacteremia, pneumonia and endocarditis, especially in the population of patients with underlying comorbid conditions including malignancy, diabetes, recent surgery or organ transplantation. We report a case of a 74-year-old male with Lactobacillus bacteremia leading to prosthetic valve infective endocarditis complicated by an aortic root abscess...
November 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30384516/bridging-the-health-equity-gap-at-a-free-clinic-for-uninsured-residents-of-rhode-island
#18
Pooja Hindocha, Nisha Janardhanan Nair, Jennifer L Pigoga, Katherine Barry, Meghan McCarthy, Valerie Almeida-Monroe, Anne S De Groot
Poor management of chronic diseases, such as hypertension and diabetes, particularly among the uninsured, places medical and financial burdens on the healthcare system. ClĂ­nica Esperanza/Hope Clinic initiated a chronic disease management program for uninsured residents of Rhode Island (RI) called Bridging the [Health Equity] Gap (BTG), which offers continuity of care, quarterly goal-setting appointments, and healthy lifestyle interventions. Outcomes for 549 participants from the initial evaluation period are presented here...
November 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30384515/the-provision-of-hiv-post-exposure-prophylaxis-in-the-context-of-child-sex-trafficking
#19
Christine E Barron, Jessica Moore, Grayson Baird, Erica Hardy, Amy Goldberg
Child sex trafficking (CST) victims are at risk for HIV infection due to a convergence of both social and biological factors. However, sparse recommendations and guidelines exist for providers on the provision of HIV non-occupational post-exposure prophylaxis (nPEP) for CST patients. We evaluated whether pediatricians would provide HIV nPEP in a clinical vignette where a patient disclosed ongoing involvement in CST. Participants were relatively divided regarding whether they would provide HIV nPEP; 58.8% responded yes and 41...
November 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30384514/distribution-of-preventive-dental-care-during-pregnancy-in-rhode-island-2012-to-2015
#20
Herman F Chenwi, David A Savitz
AIMS: To examine the distribution of preventive dental care for pregnant women in Rhode Island. METHODS: The data used were obtained from the 2012 to 2015 Rhode Island Pregnancy Risk Assessment Monitoring System (RIPRAMS). Statistical analyses were conducted for respondents who had valid information for both preventive dental care receipt and race/ethnicity to examine population differences in the receipt of preventive dental care. RESULTS: Respondents who identified as Hispanic and had more than 12 years of education had higher odds for preventive dental care receipt in Rhode Island between 2012 to 2015 compared to non-Hispanic whites...
November 1, 2018: Rhode Island Medical Journal
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