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Rhode Island Medical Journal

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https://www.readbyqxmd.com/read/30189705/risky-motor-vehicle-behaviors-among-rhode-island-high-school-students
#1
Tracy L Jackson, Tara Cooper
[Full article available at http://rimed.org/rimedicaljournal-2018-09.asp].
September 4, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30189704/comparing-hba1c-by-poc-and-hplc
#2
Sungeeta Agrawal, Steven E Reinert, Grayson L Baird, Jose Bernardo Quintos
OBJECTIVE: Point-of-care (POC) Hemoglobin A1C (HbA1C) testing is frequently used to assess glycemic control in diabetes management. Studies are lacking on the comparison of POC with high performance liquid chromatography (HPLC) when the POC HbA1C is ≥ 14%. METHODS: Retrospective chart review of children with T1DM at Rhode Island Hospital from 2007-2013. Primary objective was to delineate the range of HPLC HbA1C values when the POC is ≥ 14% and characterize these patients...
September 4, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30189703/use-of-language-services-for-telephone-advice-by-limited-english-proficiency-families-in-a-pediatric-primary-care-setting
#3
Delma-Jean Watts, Nizar Dowla, Priya Hirway, Maurice Hajjar, Shuba Kamath
BACKGROUND: Families limited in English proficiency (LEP) often do not receive appropriate medical language services, resulting in health disparities. Little is known about the use and effectiveness of language services provided via telephone when families call for medical advice. OBJECTIVE: To characterize language service provision to LEP families calling for medical advice in a pediatric primary care setting. METHODS: A self-administered survey was given to parents of children presenting for sick visits at an urban academic pediatric primary care practice...
September 4, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30189702/engaging-college-level-baccalaureate-md-students-in-clinical-research
#4
Elaine M Tran, Julianne Ip, Paul B Greenberg
College students in baccalaureate-MD (BA/MD) programs are well situated to get involved with clinical research as a component of their scholarly enrichment. The authors review the educational and professional development benefits of BA/MD college research in the United States (US), the lack of evidence-based strategies to guide program innovation, lessons from non-US medical school research enrichment efforts, and teaching models that can help boost BA/MD research engagement at the college level. Collaboration on part of program directors, faculty and students can help strengthen the quality and accessibility of research opportunities with a focus on longitudinal skills building and professional mentorship...
September 4, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30189701/food-insecurity-and-child-maltreatment-a-quality-improvement-project
#5
Rachel Silliman Cohen, Jessica L Moore, Christine E Barron
Food insecurity affects both children and adults in 8% of households in the United States and 12.8% of households in Rhode Island, negatively impacting childhood health and development. Children with a history of child abuse or neglect are at higher risk for food insecurity than other pediatric populations. Patients evaluated at a child protection clinic - which completes evaluations for all forms of suspected child maltreatment - were screened for food insecurity using a validated two-item questionnaire. Data were collected over a four-month period, with three quality improvement cycles...
September 4, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30189700/state-unintentional-drug-overdose-reporting-surveillance-opioid-overdose-deaths-and-characteristics-in-rhode-island
#6
Yongwen Jiang, James V McDonald, Ariel Goldschmidt, Jennifer Koziol, Meghan McCormick, Samara Viner-Brown, Nicole Alexander-Scott
Unintentional opioid overdoses are a growing public health epidemic in the United States. Rhode Island is also faced with a challenging crisis of drug overdose deaths. The State Unintentional Drug Overdose Reporting Surveillance (SUDORS) data from the second half of 2016 were used to present opioid overdose deaths and characteristics in Rhode Island. During July-December 2016, 142 individuals died of opioid overdose in Rhode Island. People who died by opioid overdose were more likely to be 25-65 years old, male, and non-Hispanic white...
September 4, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30189699/evaluation-of-orthopaedic-interest-groups-in-american-medical-schools
#7
Nathan V Doremus, Andrew D Sobel, Joseph A Gil, Mary K Mulcahey
BACKGROUND: Orthopaedic interest groups (OIGs) are student-run organizations that can provide medical students with early exposure to orthopaedic surgery. OIGs can serve as venues for musculoskeletal education, clinical experiences, and mentorship to students with otherwise limited access to orthopaedics. The purpose of this study was to evaluate the prevalence and opportunities offered by OIGs. METHODS: The websites of all allopathic medical schools in the United States were evaluated...
September 4, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30189698/newborn-screening-for-hemoglobinopathies-in-rhode-island-2017
#8
Philippa Sprinz, Karen Lemke, James Padbury, Christelle Farrow
BACKGROUND: Newborn screening (NBS) is a national initiative for early identification of serious illnesses, the clinical consequences of which can be reduced by disease-specific early interventions. The Rhode Island Department of Health (RIDOH) has been screening for sickle cell disease (SCD) since 1990. In this work the authors sought to determine the success of NBS and explore aspects of the program that could be improved. METHODS: A convenience sample of PCPs with privileges at Women and Infants Hospital of Rhode Island was surveyed by a Survey Monkey® questionnaire to determine exactly how NBS results were handled in each PCP's office and to gather information on how to improve the process as it currently stands...
September 4, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30189697/eliminating-parental-consent-for-adolescents-receiving-human-papillomavirus-vaccination
#9
Nichola Haddad, Rebecca H Allen, Daria Szkwarko, Michelle Forcier, Cherie Paquette
Human papillomavirus (HPV) is a sexually transmitted infection (STI) causing nearly all cases of cervical carcinoma and genital condyloma worldwide. While HPV vaccination rates are higher in Rhode Island compared to other states, still 27% of female adolescents are not fully vaccinated. The requirement for parental consent for vaccination administration poses a barrier to HPV vaccine uptake and hinders adolescent autonomy. This requirement lies in stark contrast to the goals of the Family Planning Title X Program, which provides all adolescents with access to contraception and STI prevention and treatment without parental consent...
September 4, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30189696/sotto-voce
#10
Joseph H Friedman
[Full article available at http://rimed.org/rimedicaljournal-2018-09.asp].
September 4, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30068054/community-health-workers-in-rhode-island-a-study-of-a-growing-public-health-workforce
#11
Brady Dunklee, Deborah Garneau
Community Health Workers are gaining recognition as a valuable, newly emergent public health workforce. This article describes a qualitative study that generated a snapshot of Community Health Worker employment in Rhode Island, gathered collective wisdom and stakeholders' perspectives about how to pay for a community health workforce, and highlighted promising opportunities to grow and sustain the field. This article summarizes the study's findings, and discusses its implications. The full report is available at: http://www...
August 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30068053/bubbles-in-the-brain-a-rare-complication-following-transthoracic-echocardiography
#12
Andrew Y Powers, Vijairam Selvaraj
With nearly 700,000 cases every year, ischemic stroke represents the third leading cause of death in the United States.1,2 Nearly thirty percent of all ischemic strokes are due to embolism.3 A standard component of every stroke work-up at most institutions, echocardiography is vital not only for diagnosis but also for prevention and treatment of cardiac sources of embolism. Visualization of right-to-left shunting is often contrast-enhanced with micro bubbles created by mixing saline with air, a so-called "bubble study...
August 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30068052/dermatomyositis-developing-post-neoadjuvant-chemotherapy-and-lumpectomy
#13
Daniel E Wong, Edelva Williams, Sarita Warrier
Dermatomyositis is an idiopathic inflammatory myopathy known to occur as a paraneoplastic syndrome. The course of dermatomyositis is commonly reported to mirror the course of the malignancy. Here, we report a case of dermatomyositis that developed in a patient after lump- ectomy and completed chemotherapeutic treatment. [Full article available at http://rimed.org/rimedicaljournal-2018-08.asp].
August 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30068051/babesiosis-and-lyme-disease-in-a-68-year-old-man
#14
Nicholas Musisca, Harry VanDusen, Alyssa Mierjeski, William Binder
[Full article available at http://rimed.org/rimedicaljournal-2018-08.asp].
August 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30068050/why-hire-a-pa
#15
Sydney Fontaine, Christina Ramirez
[Full article available at http://rimed.org/rimedicaljournal-2018-08.asp].
August 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30068049/pas-from-training-to-practice
#16
Ashley Hughes
[Full article available at http://rimed.org/rimedicaljournal-2018-08.asp].
August 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30068048/becoming-a-pa-reflections-from-johnson-wales-university-students
#17
Ariana Africo, Alysse Pazienza, Matthew J Dacosta, Kayla Denis
[Full article available at http://rimed.org/rimedicaljournal-2018-08.asp].
August 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30068047/creating-rhode-island-s-first-pa-program
#18
George Bottomley
[Full article available at http://rimed.org/rimedicaljournal-2018-08.asp].
August 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30068046/introduction-four-decades-of-pas-in-rhode-island
#19
Robert B Hackey
[Full article available at http://rimed.org/rimedicaljournal-2018-08.asp].
August 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/30068045/blue-eyes-bleeding-heart
#20
Ananya Anand
[Full article available at http://rimed.org/rimedicaljournal-2018-08.asp].
August 1, 2018: Rhode Island Medical Journal
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