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Rhode Island Medical Journal

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https://www.readbyqxmd.com/read/30384520/assessing-educational-developmental-and-parent-support-services-received-by-families-of-children-with-craniofacial-birth-defects
#1
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
#2
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
#3
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
#4
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
#5
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. Clínica 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
#6
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
#7
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
https://www.readbyqxmd.com/read/30384513/patient-factors-associated-with-successful-incentive-spirometry
#8
Thomas J Martin, Shyam A Patel, Megan Tran, Ashley Szabo Eltorai, Alan H Daniels, Adam E M Eltorai
BACKGROUND: Incentive spirometers (IS) are commonly prescribed after various surgical procedures with the intended effect of reducing postoperative pulmonary complications. Factors associated with correct use of IS by postoperative patients has not previously been studied. METHODS: A cross-sectional analysis of postoperative patients was completed to assess whether patients knew how to correctly inhale on their IS. For each patient, the following variables were collected: whether the device was within arm's reach of the patient, if the patient reported having used their IS, if they considered the IS to be helpful, and if they felt more confident using IS after a brief educational intervention was performed by study investigators...
November 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30384512/caring-for-caregivers-burnout-and-resources-for-caregivers-in-rhode-island
#9
Jonathan Staloff, Michelle Diop, Rani Matuk, Alison Riese, Jordan White
No abstract text is available yet for this article.
November 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30384511/what-to-do-when-bad-news-isn-t-understood
#10
Joseph H Friedman
No abstract text is available yet for this article.
November 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30278605/oral-health-concerns-and-connections-to-mental-health-among-rhode-island-high-school-students-2017
#11
Anthony Pellegrino, Travis Vendetti, Tracy Jackson, Samuel Zwetchkenbaum
No abstract text is available yet for this article.
October 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30278604/financial-implications-of-physician-specialty-choice
#12
Adam E M Eltorai, Ashley Szabo Eltorai, Carolina Fuentes, Wesley M Durand, Alan H Daniels, Shihab Ali
PURPOSE: To examine the approximated financial outcomes of physicians by specialty and to determine whether these correlate with mean USMLE Step 1 scores. METHODS: Specialty-specific data from the Association of American Medical Colleges Careers in Medicine website were analyzed for total length of training, mean USMLE Step 1 scores, average hours worked per week, and median clinical practice salary for physicians. Hourly wage and estimated net worth at retirement were calculated...
October 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30278603/instability-in-insurance-coverage-the-impacts-of-churn-in-rhode-island-2014-2017
#13
Ingrid Brugnoli-Ensin, Jessica Mulligan
Churn, defined as a change in plan or a gap in insurance, is a problem in the United States that usually occurs as the result of changing life circumstances. Recent health reform perpetuates - rather than alleviates - churn because low- and middle- income individuals experience frequent changes in eligibility status. Our research asked: how common is churn in the non-group market and what are the health, financial, and emotional impacts on Rhode Island residents? This article draws examples from 31 life-history interviews and 188 enrollment observations conducted at Rhode Island's health insurance exchange from 2014-2017...
October 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30278602/a-nearly-50-decrease-in-new-hiv-diagnoses-in-rhode-island-from-2006-2016-implications-for-policy-development-and-prevention
#14
Philip A Chan, Madeline Montgomery, Theodore Marak, Thomas Bertrand, Timothy P Flanigan, Antonio Junco Fernández, Nicole Alexander-Scott, Joseph M Garland, Amy S Nunn
In the last decade, reductions in HIV incidence have been observed across the United States. However, HIV continues to disproportionately impact gay, bisexual, and other men who have sex with men (MSM). In Rhode Island, rates of HIV diagnoses have decreased by 44% across all groups over the last decade. This success has been the result of close collaboration across multiple sectors. Different prevention approaches, including syringe exchange programs, community-based HIV testing, condom distribution, HIV care and treatment, and pre-exposure prophylaxis (PrEP) have all contributed to the decline in HIV diagnoses across the state...
October 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30278601/a-melting-pot-of-medical-education-challenges-solutions-and-opportunities-for-improving-trainee-feedback-and-education-in-the-ed
#15
Merima Ruhotina, Dayna Burrell
No abstract text is available yet for this article.
October 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30278600/on-the-future-of-maternal-mortality-review-in-rhode-island
#16
Bridget Spelke, Sebastian Ramos, Hope Yu, Michael Cohen, Tanya L Booker
No abstract text is available yet for this article.
October 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30278599/the-fourth-trimester-of-pregnancy-committing-to-maternal-health-and-well-being-postpartum
#17
Bridget Spelke, Erika Werner
The postpartum period is a time of significant challenge and need as women adapt to hormonal and physical changes, recover from delivery, experience shifting family responsibilities, and endure sleep deprivation, all while caring for and nourishing their newborn. It is also a period of significant maternal health risk. Recent data on U.S. maternal mortality indicate a shift in the timing of maternal deaths over the past 10 years, with the majority of maternal deaths now occurring postpartum, from one day to one year after delivery...
October 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30278598/perspective-current-threats-to-contraceptive-access
#18
Leanne Free, Kathleen Cohen, Rebecca H Allen
No abstract text is available yet for this article.
October 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30278597/prison-pipeline-to-women-s-preventative-health
#19
Luwam Ghidei, Sebastian Z Ramos, E Christine Brousseau, Jennifer G Clarke
No abstract text is available yet for this article.
October 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30278596/the-obstetrician-gynecologist-ob-gyn-revisiting-the-past-exploring-the-present-and-preparing-for-the-future
#20
Roxanne Vrees
No abstract text is available yet for this article.
October 1, 2018: Rhode Island Medical Journal
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