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Rhode Island Medical Journal

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https://www.readbyqxmd.com/read/29857608/rhode-island-lung-cancer-incidence-and-stage-at-diagnosis-by-histologic-subtype-2004-2015
#1
Junhie Oh, C Kelly Smith
[Full article available at http://rimed.org/rimedicaljournal-2018-06.asp].
June 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29857607/communicating-with-facility-leadership-metrics-for-successful-antimicrobial-stewardship-programs-asp-in-acute-care-and-long-term-care-facilities
#2
Maya Beganovic, Kerry L LaPlante
Up to 50% of hospital-administered and 70% of nursing home-administered antimicrobials are inappropriately prescribed. There is a great need to focus local, national and global efforts on appropriate antibiotic use. Formal programs dedicated to appropriate antibiotic use have been established in most US hospitals. These antimicrobial stewardship programs (ASP) exist to ensure that the correct drug, dose and duration of an antimicrobial is given, and only when there is a true bacterial infection (as opposed to bacterial colonization or a viral infection)...
June 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29857606/antimicrobial-stewardship-in-long-term-care-facilities
#3
Rebecca Reece, Patricia Chace, Stacey Ranucci
Antimicrobial stewardship (AMS) has become a major component of patient safety across all healthcare settings. The risk of Clostridium difficile, increasing antibiotic-resistant organisms, and potential adverse events from antibiotic misuse have led to the demand for AMS programs in long-term care facilities (LTCFs). LTCFs face several unique barriers in implementing antibiotic stewardship; however, with a change in culture through leadership, education, and accountability to the whole team these barriers can be overcome...
June 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29857605/antimicrobial-stewardship-in-community-hospitals
#4
Francine Touzard Romo
Antimicrobial Stewardship Programs (ASP) help hospitals optimize antibiotic utilization, minimize the risk of developing antibiotic resistance and improve patients' health outcomes. Community hospitals can successfully implement an ASP that incorporates CDC-defined core elements of hospital ASP. The antimicrobial stewardship model should be customized to leadership, available resources and targeted interventions. [Full article available at http://rimed.org/rimedicaljournal-2018-06.asp].
June 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29857604/infection-control-and-antimicrobial-stewardship
#5
John R Lonks
Infection Control measures can reduce the transmission of bacteria in the hospital. Reduction in the use of antibiotics via Antimicrobial Stewardship programs can reduce antibiotic resistance. The combination of Infection Control measures and Antimicrobial Stewardship can lead to a greater reduction in antibiotic resistant bacteria. [Full article available at http://rimed.org/rimedicaljournal-2018-06.asp].
June 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29857603/antimicrobial-stewardship-program-perspective-iv-to-po-switch-therapy
#6
Cheston B Cunha
[Full article available at http://rimed.org/rimedicaljournal-2018-06.asp].
June 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29857602/antimicrobial-stewardship-metrics-prospective-audit-with-intervention-and-feedback
#7
Monica J Dorobisz, Diane M Parente
[Full article available at http://rimed.org/rimedicaljournal-2018-06.asp].
June 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29857601/role-of-the-pharmacist-in-antimicrobial-stewardship
#8
Rachel Fortin
[Full article available at http://rimed.org/rimedicaljournal-2018-06.asp].
June 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29857600/overview-of-antimicrobial-stewardship-activities-in-rhode-island
#9
Daniela N Quilliam, Kerry LaPlante, Rebecca Reece, Utpala Bandy, Nicole Alexander-Scott
Due to the rise of antibiotic resistance, and the decrease of novel antibiotics coming to market, the Centers for Disease Control and Prevention (CDC) has formally recognized that action must take place to ensure appropriate antibiotic use, and maintain public health. The RI Department of Health (RIDOH) Director responded by initiating the RI Antimicrobial Stewardship and Environmental Cleaning Task Force (RIAMSEC), a multidisciplinary team that set in motion a set of tasks for RIDOH. As a result, a survey of antibiotic stewardship programs (ASP) at the RI acute care hospitals (ACHs) and long-term care (LTC) facilities revealed gaps in addressing HAI prevention and AMS goals for the state...
June 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29857599/antimicrobial-stewardship-programs-asp-perspective-on-problems-and-potential
#10
Cheston B Cunha
[Full article available at http://rimed.org/rimedicaljournal-2018-06.asp].
June 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29857598/antimicrobial-stewardship
#11
Cheston B Cunha
[Full article available at http://rimed.org/rimedicaljournal-2018-06.asp].
June 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29857597/civil-commitment-laws-for-substance-abuse-treatment-an-acceptable-option
#12
Herbert Rakatansky
[Full article available at http://rimed.org/rimedicaljournal-2018-06.asp].
June 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29857596/evidence-based-medicine
#13
Joseph H Friedman
[Full article available at http://rimed.org/rimedicaljournal-2018-06.asp].
June 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29703076/linking-public-schools-and-community-mental-health-services-a-model-for-youth-suicide-prevention
#14
Deborah N Pearlman, Travis Vendetti, Jeffrey Hill
[Full article available at http://rimed.org/rimedicaljournal-2018-05.asp].
May 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29703075/thrower-s-fracture-of-the-humerus-a-case-report
#15
Michael G Prucha
Humeral fractures typically occur as the result of direct, external trauma. Here however, we describe the case of a young, amateur athlete presenting with acute right, upper arm pain after throwing a ball. Examination showed right upper arm deformity and tenderness to palpation, without any distal neurovascular deficits. X-ray demonstrated a spiral fracture of the humerus. The patient had operative repair of the injury several days later, with no complications noted on outpatient visits up to 3 months later...
May 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29703074/central-venous-catheters-a-closer-look-at-the-subclavian-vein-approach
#16
Kevin Sun, Gregory M Soares
[Full article available at http://rimed.org/rimedicaljournal-2018-05.asp].
May 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29703073/food-insecurity-and-chronic-disease-addressing-food-access-as-a-healthcare-issue
#17
Dominic Decker, Mary Flynn
Food insecurity, or lack of access to nutritionally adequate food, affects millions of US households every year. Food insecure individuals face disproportionately higher rates of chronic diseases, like diabetes mellitus and HIV/AIDS, and therefore accrue more healthcare costs. This puts into motion a cycle of disease and expense that furthers disparities between food secure and insecure patients. Our aim is to provide an overview of food insecurity, define its link to chronic disease and offer practical solutions for addressing this growing problem...
May 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29703072/domestic-minor-sex-trafficking-medical-follow-up-for-victimized-and-high-risk-youth
#18
Dana M Kaplan, Jessica L Moore, Christine E Barron, Amy P Goldberg
Domestic minor sex trafficking (DMST) has become an increasingly recognized issue associated with both immediate and long-term physical and mental health consequences. Guidelines have focused on potential risk factors, recruitment practices, and health consequences for these youth assisting in identification and intervention efforts. However, recommendations have not been established for continuous medical intervention and follow-up for this vulnerable patient population that includes both patients involved in and at high risk for DMST...
May 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29703071/to-improve-homicide-firearm-information-reporting-rhode-island-state-crime-laboratory
#19
Yongwen Jiang, Dennis Lyons, Jane B Northup, Dennis Hilliard, Karen Foss, Shannon Young, Samara Viner-Brown
Information on homicide firearms can be used to help state and local communities understand the problems of violence and decrease injuries and deaths. However, it is difficult to collect these data. To our knowledge, in the public health arena, the National Violent Death Reporting System (NVDRS) is the only system that collects detailed firearm information. The Rhode Island State Crime Laboratory (RISCL) can provide detailed information about the firearms and cartridge cases\bullets involved in firearm deaths...
May 1, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29703070/stethoscope-cleaning-during-patient-care
#20
Ghazi Wahla Ghumman, Nina Ahmad, Aurora Pop-Vicas, Sadia Iftikhar
BACKGROUND: We conducted a cross-sectional survey of healthcare workers in two community teaching hospitals to better understand clinicians' beliefs and practices related to cleaning of their stethoscopes. The study was conducted from September 2015 to May 2016. PARTICIPANTS: Among the total 358 responses received, 45%, 40%, 10% and 5% were from attending physicians, medical students, nurses, and resident physicians, respectively. KEY RESULTS: Although the majority of the respondents (76%) frequently used a stethoscope at work, and almost all (93%) believed that stethoscopes can be involved in pathogen transmission, only 29% of participants reported cleaning their stethoscopes after every use...
May 1, 2018: Rhode Island Medical Journal
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