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Rhode Island Medical Journal

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https://www.readbyqxmd.com/read/28246659/subjective-cognitive-decline-and-associated-health-problems-among-rhode-island-adults
#1
Tracy L Jackson, Tara Cooper
No abstract text is available yet for this article.
March 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28246658/a-review-of-anatomical-placement-of-corticosteroid-injections-for-uncommon-hand-wrist-and-elbow-pathologies
#2
Gregory R Waryasz, Robert Tambone, Todd R Borenstein, Joseph A Gil, Manuel DaSilva
Corticosteroid injections are a common nonsurgical treatment of intersection syndrome, flexor carpi radialis tendonitis, flexor carpi ulnaris tendonitis, and medial epicondylitis. The benefits of corticosteroid injections for these conditions have been well studied and documented in the medical literature. Patients with less common upper extremity complaints usually first present to their primary care provider. A correct anatomical diagnosis will help with early definitive treatment, as the injection must be in the proper location for maximal benefit to the patient...
March 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28246657/quality-improvement-processes-in-obesity-surgery-lead-to-higher-quality-and-value-lower-costs
#3
Holli Brousseau, Dieter Pohl
In the era of changes in the evaluation of medical services and performance, the Centers for Medicare and Medicaid Services (CMS) has determined that the key components are quality, value, and clinical practice improvement (MACRA). Weight Loss Surgery, also called Bariatric or Obesity Surgery, has been at the forefront of quality improvement and quality reporting through the Center of Excellence Program since 2005. As a result, weight loss surgery is now as safe as gallbladder surgery.1 Even within this culture of quality and safety, improvements are still possible, as described in this article...
March 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28246656/more-than-an-ounce-of-prevention-a-medical-public-health-framework-for-addressing-unhealthy-weight-in-rhode-island
#4
Dora M Dumont, Kristi A Paiva, Eliza Lawson
No abstract text is available yet for this article.
March 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28246655/behavioral-approaches-to-the-treatment-of-obesity
#5
KayLoni Olson, Dale Bond, Rena R Wing
No abstract text is available yet for this article.
March 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28246654/obesity-epidemic-pharmaceutical-weight-loss
#6
Stephanie A Curry
Obesity is a chronic disease universally defined as an excess of adipose tissue resulting in body mass index (BMI) > 30.0 kg/m2. Over the past few years, the concept of prevention has gained increased awareness, thus leading to the development of additional pharmaceutical options for the treatment of obesity since 2012. Treating obesity revolves around an individualized, multi-disciplinary approach with additional focus on a healthy and supportive lifestyle to maintain the weight loss. [Full article available at http://rimed...
March 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28246653/diabetes-obesity-and-other-medical-diseases-is-surgery-the-answer
#7
Dieter Pohl, Aaron Bloomenthal
For many physicians, the concept of surgery as the best treatment for a medical disease such as diabetes, cardiovascular problems, hyperlipidemia, sleep apnea, hepatosteatosis, GERD, osteoarthritis, psoriasis, rheumatoid arthritis, or infertility, still sounds wrong and just a ploy by surgeons to increase their business. Since 2011, however, several non-surgical societies have recommended Weight Loss Surgery - The International Diabetes Federation, The American Diabetes Association, American Heart Association, and Obesity Society in 2015 for patients with body mass index (BMI) greater than 35 and diabetes, and to decrease cardiovascular risk factors...
March 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28246652/medical-surgical-behavioral-preventive-approaches-to-address-the-obesity-epidemic
#8
Dieter Pohl
No abstract text is available yet for this article.
March 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28246651/grateful-patient-philanthropy-gpp-raises-ethical-concerns-among-doctors
#9
Herbert Rakatansky
No abstract text is available yet for this article.
March 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28246650/political-correctness
#10
Joseph H Friedman
No abstract text is available yet for this article.
March 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28146600/influenza-vaccination-rates-among-rhode-island-adults
#11
Hyun Hanna Kim, Tricia Washburn, Denise Cappelli, Patricia Raymond
No abstract text is available yet for this article.
February 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28146599/mark-set-go-school-based-nutrition-and-physical-activity-program-a-five-year-evaluation
#12
Fadya El Rayess, Meeka Gandhi, Haran Mennillo
Mark, Set Go! is a school-based intervention addressing pediatric obesity in an urban, underserved community. This study evaluates its impact on participants' knowledge, attitudes and behavior related to nutrition, physical activity and screen time. METHOD: Participants, 954 fifth- and sixth-grade public school students, received a 9-week classroom-based intervention led by high school peer educators. A matched design analyzed paired data from pre/post intervention knowledge, attitude and behavior surveys, heights, weights and 24 hour pedometer recordings...
February 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28146598/adherence-to-latent-tuberculosis-infection-treatment-in-a-population-with-a-high-number-of-refugee-children
#13
Tanya Rogo, Cynthia Eleanya, Priya Hirway, Doreen Pelland, Carol Lewis, Penelope Dennehy, Phyllis Losikoff
BACKGROUND: Refugee populations in the US have a higher reported prevalence of latent tuberculosis infection (LTBI). The objective of this study was to assess adherence to LTBI treatment in refugee and non-refugee children living in Rhode Island. METHODS: This was a retrospective review of LTBI patients seen in the Hasbro Pediatric Tuberculosis Clinic between August 2009 and September 2011. RESULTS: Of 120 patients with LTBI, 93% were foreign-born and 30% were refugees...
February 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28146597/using-plan-do-study-act-cycle-to-enhance-completeness-of-suicide-firearm-reporting
#14
Yongwen Jiang, Shannon Young, Karen Foss, Magaly Angeloni, Erica Norcini, Samara Viner-Brown
The Rhode Island Violent Death Reporting System (RIVDRS) collects comprehensive surveillance data on violent deaths to support violence prevention programs in Rhode Island and nationwide. Successful collection of firearm information is critical to understanding gun violence in public health. A recent quality improvement (QI) project was performed to improve gun information collection in the RIVDRS program. Our aim was to increase the presence of firearm model information for 2014 suicides from 50% to 80% by December 31, 2015...
February 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28146596/chronic-pain-in-the-emergency-department
#15
Elizabeth Donovan, Megan L Ranney, A Marc Reid, Janette Baird, Traci C Green
OBJECTIVE: To describe the experiences of emergency department (ED) use among a population of Rhode Island Medicaid patients with chronic pain and a recent history of frequent ED use, who were eligible to participate in the Rhode Island Medicaid Pain Management program. METHODS:  Qualitative interviews were conducted with twenty-four patients who were either enrolled, or eligible to be enrolled, in a pain management program that is part of a state-funded initiative to reduce ED overuse...
February 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28146595/pediatric-diabetes-outpatient-center-at-rhode-island-hospital-the-impact-of-changing-initial-diabetes-education-from-inpatient-to-outpatient
#16
Mia M Pingul, Erin M Mulvihill, Steven E Reinert, Geetha Gopalakrishnan, Wendy A Plante, Charlotte M Boney, Shara R Bialo, Jose Bernardo Quintos
BACKGROUND: This study compared outcomes and costs for new-onset Type 1 diabetes mellitus (T1DM) patients educated at the outpatient versus inpatient settings. METHODS/DESIGN: Retrospective study examining the following variables: 1) hemoglobin A1c (HbA1c), 2) severe hypoglycemia, 3) admissions for diabetic ketoacidosis (DKA) or ER visits, and 4) healthcare cost. RESULTS: 152 patients with new-onset T1DM from September 2007-August 2009. There were no differences between outpatient group (OG) and inpatient group (IG) in mean HbA1c levels at 1, 2 and 3 years post-diagnosis (OG 8%, 8...
February 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28146594/lyme-carditis-a-case-involving-the-conduction-system-and-mitral-valve
#17
Lakir D Patel, Jay S Schachne
Lyme disease is the most common tick-borne infection in the Northern hemisphere. Cardiac manifestations of Lyme disease typically include variable atrioventricular nodal block and rarely structural heart pathology. The incidence of Lyme carditis may be underestimated based on current reporting practices of confirmed cases. This case of a 59-year-old man with Lyme carditis demonstrates the unique presentation of widespread conduction system disease, mitral regurgitation, and suspected ischemic disease. Through clinical data, electrocardiograms, and cardiac imaging, we show the progression, and resolution, of a variety of cardiac symptoms attributable to infection with Lyme...
February 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28146593/complexities-to-consider-when-patients-choose-vsed-voluntarily-stopping-eating-and-drinking
#18
Herbert Rakatansky
No abstract text is available yet for this article.
February 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28146592/white-coats
#19
Joseph H Friedman
No abstract text is available yet for this article.
February 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28060968/the-changing-epidemiology-of-invasive-pneumococcal-disease-after-the-introduction-of-pneumococcal-conjugate-vaccine-rhode-island-1997-2016
#20
Michael Gosciminski, Utpala Bandy, Karen Luther
No abstract text is available yet for this article.
January 6, 2017: Rhode Island Medical Journal
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