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Rhode Island Medical Journal

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https://www.readbyqxmd.com/read/28873485/suicide-deaths-among-rhode-island-adults-aged-25-years-and-older-an-epidemiologic-and-spatial-analysis
#1
Yongwen Jiang, Deborah N Pearlman, Jeffrey Hill, Samara Viner-Brown
No abstract text is available yet for this article.
September 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28873484/multimodality-imaging-in-the-diagnosis-of-a-large-accessory-papillary-muscle
#2
Amr El Meligy, Somwail Rasla, Aaron Wheeler, Roy Souaid, Thomas Noonan
An accessory papillary muscle is an uncommon congenital anomaly usually found incidentally on routine cardiac imaging. While frequently asymptomatic, it is occasionally associated with mitral regurgitation, left ventricular dynamic outflow obstruction and hypertrophic cardiomyopathy1 and it is important to differentiate it from other pathological processes including papillary fibroelastoma, left ventricle thrombus, hemangioma, a single papillary muscle with a parachute mitral valve and a left ventricle false tendon...
September 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28873483/a-rare-case-of-amelanotic-anorectal-melanoma
#3
Nicole A Negbenebor, Edward Feller
We report an exceedingly rare case of amelanotic anorectal melanoma misdiagnosed as hemorrhoids. A 74-year-old man presented with a week's history of "blood on toilet tissue" without bowel complaints or history of cutaneous melanoma. Skin evaluation was normal. Rectal exam was negative for blood, but revealed an anal nodule, interpreted as a hemorrhoid. Hemoglobin was normal; bleeding persisted. After one month, colonoscopy detected a non-pigmented anal lesion. Biopsy showed melanoma. Noncutaneous mucosal melanoma represents 0...
September 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28873482/respiratory-viral-testing-in-laboratories-serving-acute-care-hospitals-in-rhode-island
#4
Daniel Harris, Emily Cooper, Cindy Vanner, Leonard Mermel
BACKGROUND: The rapid detection of respiratory viral infections is associated with several positive health outcomes. However, little is known about the availability of rapid respiratory viral testing in acute care hospital laboratories. METHODS: A survey was sent to 13 hospital laboratories assessing results' turnaround time, the number of ordered tests and positive results. RESULTS: Rapid viral panel (RVP), respiratory syncytial virus (RSV), and rapid influenza testing was available in 9 of 13, 13 of 13, and 13 of 13 hospitals, respectively...
September 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28873481/moving-forward-retirement-opportunities-for-senior-physicians
#5
Donna Singer
No abstract text is available yet for this article.
September 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28873480/legal-issues-and-the-aging-physician
#6
Jeffrey F Chase-Lubitz
No abstract text is available yet for this article.
September 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28873479/cognitive-decline-in-physicians-and-their-patients
#7
Bradley Minter, Richard W Besdine
No abstract text is available yet for this article.
September 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28873478/the-aging-physician
#8
James V McDonald
No abstract text is available yet for this article.
September 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28873477/senior-physicians-addressing-age-ability-and-acumen
#9
Herbert Rakatansky
No abstract text is available yet for this article.
September 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28873476/antipsychotic-medication-use-and-reduction-unanswered-questions-and-policy-implications
#10
Daniel Harris, Nelia Silva-Odom, Lynn McNicoll
No abstract text is available yet for this article.
September 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28873475/woonsocket-teens-teach-community-health
#11
Eric J Chow, Jackie Hsieh, Laura Allison Woods, June Jiao, Margret Chang
No abstract text is available yet for this article.
September 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28873474/the-woman-who-could-spell-backwards
#12
Joseph H Friedman
No abstract text is available yet for this article.
September 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28759899/a-soccer-mom-with-chest-pain-spontaneous-coronary-artery-dissection-in-a-young-woman
#13
Benjamin Blackwood, Stefi Lee, Otto Liebmann, William Binder
No abstract text is available yet for this article.
August 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28759898/unusual-mechanism-for-superior-mesenteric-artery-syndrome-after-scoliosis-surgery
#14
Daniel L Eisenson, Kalpit N Shah, Eric M Cohen, Craig P Eberson
t Superior Mesenteric Artery (SMA) syndrome is an uncommon condition caused by mechanical obstruction of the distal third of the duodenum between the superior mesenteric artery and the abdominal aorta. SMA syndrome is associated with both operative and non-operative corrections of scoliosis, as well as anorexia nervosa, severe weight loss, tumors, burns, and other traumas.[1-4] We report an unusual case of SMA syndrome following corrective surgery for scoliosis in which post-operative gastric distension caused duodenal compression that subsequently resolved with gastric decompression, as opposed to the conventional, reverse series of events in which SMA syndrome causes the gastric dilatation...
August 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28759897/pulmonary-hypertension-in-a-patient-with-hereditary-hemorrhagic-telangiectasia
#15
Dorothy Liu, Kunal Sindhu, Allison Witkin, Lakir Patel, Richard Channick
t Hereditary Hemorrhagic Telangiectasia (HHT), also known as Osler-Weber-Rendu Disease, is an autosomal dominant genetic disorder that is characterized by the abnormal development of blood vessels. While the pathophysiology underlying the development of pulmonary hypertension (PH) in patients with HHT is not fully understood, it is believed to occur by one of two mechanisms: increases in pulmonary vascular resistance or cardiac output. In the following report, we describe an interesting case of a 26-year-old woman with HHT whose right heart catheterization initially demonstrated PH with elements of both pre- and post-capillary PH...
August 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28759896/an-analysis-of-diagnoses-that-drive-readmission-what-can-we-learn-from-the-hospitals-in-southern-new-england-with-the-highest-and-lowest-readmission-performance
#16
Elizabeth M Goldberg, Blake Morphis, Rouba Youssef, Rebekah Gardner
Background: The Hospital Readmission Reduction Program was instituted by the Centers for Medicare & Medicaid Services in 2012 to incentivize hospitals to reduce readmissions. OBJECTIVE: To examine the most common diagnoses driving readmissions among fee-for-service Medicare beneficiaries in the hospitals with the highest and lowest readmission performance in Southern New England from 2014 to 2016. METHODS: This is a retrospective observational study using publicly available Hospital Compare data and Medicare Part A claims data...
August 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28759895/assessing-acceptability-and-feasibility-of-provider-initiated-hiv-testing-and-counseling-in-ghana
#17
Zachary Tabb, Kathleen Moriarty, Madeleine W Schrier, Ebenezer Amekah, Timothy P Flanigan, Margaret Lartey
t In Ghana, HIV voluntary counseling and testing remains poorly utilized. The World Health Organization (WHO) has recommended opt-out, provider-initiated testing and counseling (PITC) in order to increase utilization and earlier intervention. Yet implementation challenges remain in resource-scarce settings. This study sought to better understand the dynamics of providing PITC at Apam Catholic Hospital, a district referral hospital in Ghana. Semi-structured interviews were conducted with healthcare providers and patients exploring attitudes regarding PITC, community stigma, and HIV knowledge...
August 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28759894/-3-good-things-in-recovery
#18
Samuel M Miller, Rohan Katipally
No abstract text is available yet for this article.
August 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28759893/kilmartin-s-castigation-of-physicians-medical-society-regarding-warrantless-searches-into-pdmp-demeans-ag-s-office
#19
Michael E Migliori
No abstract text is available yet for this article.
August 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28759892/the-core-of-medical-ethics
#20
Herbert Rakatansky
No abstract text is available yet for this article.
August 1, 2017: Rhode Island Medical Journal
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