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Rhode Island Medical Journal

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https://www.readbyqxmd.com/read/28060968/the-changing-epidemiology-of-invasive-pneumococcal-disease-after-the-introduction-of-pneumococcal-conjugate-vaccine-rhode-island-1997-2016
#1
Michael Gosciminski, Utpala Bandy, Karen Luther
No abstract text is available yet for this article.
January 6, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28060967/medical-students-help-bridge-the-gap-in-sexual-health-education-among-middle-school-youth
#2
Naomi Adjei, Michael Yacovelli, Dorothy Liu, Kunal Sindhu, Mary Roberts, Susanna Magee
BACKGROUND: School-based programs are important in addressing risky teenage sexual behavior. We implemented a sex education program using trained medical student volunteers. METHODS: Medical students (n=30) implemented a seven-session curriculum, designed by medical students and faculty, to 7th and 8th grade students (n=310) at a local school. Middle school students completed pre- and post-assessments. Teachers and medical students completed questionnaires relating their perceptions of students' attitudes and understanding of sexual health...
January 6, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28060966/health-needs-assessment-for-west-african-immigrants-in-greater-providence-ri
#3
Akosua Boadiwaa Adu-Boahene, Michael Barton Laws, Kwame Dapaah-Afriyie
: African immigrants in the United States may experience barriers to health-care access and effectiveness. This mixed-methods study used paper-based surveys of people (N=101) in the target population from Nigeria, Ghana, and Liberia, recruited through convenience and snowball sampling. Semi-structured interviews were conducted with 3 clergy members who pastor churches with large Nigerian, Ghanaian, and Liberian populations, respectively; and five physicians and a clinical pharmacist who serve African immigrants...
January 6, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28060965/the-clinical-research-landscape-in-rhode-island
#4
George Mao, Bharat Ramratnam
OBJECTIVES: To present an overview of clinical research activity and the state of medical research funding in Rhode Island. METHODS: We utilized clinicaltrials.gov registry to profile clinical studies between 2011 to 2016. NIH RePORT and other federal databases were used to extract information on levels of federal funding. Previously published hospital financial reports were reviewed for data on hospital-specific total external research funding. RESULTS: During 2011-2016, 1651 clinical studies were registered in clinicaltrials...
January 6, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28060964/new-england-society-of-disaster-medicine-holds-annual-meeting-at-brown-preparing-for-epidemics-and-natural-disasters
#5
David Orenstein
No abstract text is available yet for this article.
January 6, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28060963/rimj-centennial-a-personal-reminiscence-of-a-20th-century-nurse
#6
Mary Korr
No abstract text is available yet for this article.
January 6, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28060962/centennial-thoughts
#7
Joseph H Friedman
No abstract text is available yet for this article.
January 6, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27903003/surveillance-of-suicide-and-suicide-attempts-among-rhode-island-youth-using-multiple-data-sources
#8
Yongwen Jiang, Deborah N Pearlman, Jeffrey Hill, Samara Viner-Brown
No abstract text is available yet for this article.
December 1, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27903002/ten-years-and-growing-medical-marijuana-in-rhode-island-where-are-we-now
#9
James V McDonald, Mike Simoli
No abstract text is available yet for this article.
December 1, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27903001/right-in-front-of-our-eyes-evolution-of-streptococcal-toxic-shock-syndrome-with-ischemic-optic-neuropathy
#10
Salaheldin M Elhamamsy, Mazen O Al-Qadi, Taro Minami, Marguerite Neill
INTRODUCTION: Toxic shock syndrome occurs from dysregulation of host inflammatory responses. Toxin- producing strains of Group A streptococcus cause TSS. Ischemic optic neuropathy rarely complicates septic shock. We present a rare case of streptococcal pharyngitis complicated by septic arthritis and TSS with reversible blindness due to non-arteritic ischemic optic neuropathy. CASE: A 28-year-old man drove to our ED with exudative pharyngitis. A rapid streptococcal test was positive...
December 1, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27903000/fournier-s-gangrene-of-the-penis-in-a-12-year-old-patient-secondary-to-phimosis
#11
Luther Ward, Daniel Eisenson, Jean-Louis Fils
We report a case of Fournier's gangrene in a 12-year-old boy from St. Boniface Hospital in Fond-des-Blancs, Haiti. Fournier's gangrene, a fulminant necrotizing fasciitis of the penis and scrotum, is a rare and life-threatening infection that requires hospitalization, broad-spectrum antibiotics, and surgical debridement.1-3 It is usually associated with impaired cellular immunity due to systemic disorders such as diabetes and liver disease.4,5 This patient had none of those risk factors, but had severe, longstanding phimosis, for which circumcision had been recommended many years before...
December 1, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27902999/fibromyalgia-syndrome-a-geriatric-challenge
#12
Julio C Defillo-Draiby, John S Page
No abstract text is available yet for this article.
December 1, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27902998/autoimmune-cytopenias-diagnosis-management
#13
Christian P Nixon, Joseph D Sweeney
The autoimmune cytopenias are a related group of disorders in which differentiated hematopoietic cells are destroyed by the immune system. Single lineage disease is characterized by the production of autoantibodies against red cells (autoimmune hemolytic anemia [AIHA]), platelets (autoimmune thrombocytopenia [ITP]) and neutrophils (autoimmune neutropenia [AIN]) whereas multilineage disease may include various combinations of these conditions. Central to the genesis of this disease is the breakdown of central and/or peripheral tolerance, and the subsequent production of autoantibodies by both tissue and circulating self-reactive B lymphocytes with support from T helper lymphocytes...
December 1, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27902997/chronic-inflammatory-demyelinating-polyradiculoneuropathy-cidp-clinical-features-diagnosis-and-current-treatment-strategies
#14
Jacques Reynolds, George Sachs, Kara Stavros
Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is an acquired immune-mediated disorder characterized by weakness and sensory deficits that can lead to significant neurological disability. The diagnosis is based on a combination of clinical examination findings, electrodiagnostic studies, and other supportive evidence. Recognizing CIDP and distinguishing it from other chronic polyneuropathies is important because many patients with CIDP are highly responsive to treatment with immunosuppressive or immunomodulatory therapies...
December 1, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27902996/pemphigus-pathogenesis-to-treatment
#15
Christopher DiMarco
Pemphigus vulgaris (PV), pemphigus foliaceus (PF), and paraneoplastic pemphigus (PNP) are a group of rare and fatal blistering diseases involving autoantibodies that target desmosomal proteins. The pathogenesis of pemphigus involves the production of activated B-cells and IgG with stimulation by IL-4 by T-helper 2 cells. Clinically these diseases present most often with epidermal erosions of the mucosae and skin caused by rapid rupturing of flaccid bullae. These lesions correlate histologically with splits forming in the epidermis, leaving a blister roof composed of a few cell layers...
December 1, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27902995/systemic-lupus-erythematosus-a-review-of-the-clinical-approach-to-diagnosis-and-update-on-current-targeted-therapies
#16
Joanne Szczygiel Cunha, Katarzyna Gilek-Seibert
Systemic lupus erythematosus (SLE) is a chronic, complicated and challenging disease to diagnose and treat. The etiology of SLE is unknown, but certain risk factors have been identified that lead to immune system dysfunction with antibody formation and immune complex deposition. This immune system dysregulation causes organ injury, contributing to the variable manifestations and relapsing-remitting course of the disease. Criteria were created to aide in the diagnosis, focusing on clinical manifestations and antibody profiles specific to SLE...
December 1, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27902994/targeted-immunomodulatory-therapy-an-overview
#17
Ashley L Lefebvre, Laura McAuliffe
Monoclonal antibodies and other biologic response modifiers have allowed for targeted drug therapy in managing various autoimmune diseases. A number of immune pathways have been exploited in the development of targeted immunomodulatory therapies, including cytokine-directed therapies such as tumor necrosis factor-alpha and interleukins, integrins, B-cells, and co-stimulation modulators. With new targeted therapies in the pipeline, more options are becoming available for treatment of autoimmune diseases. [Full article available at http://rimed...
December 1, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27902993/newer-treatment-strategies-for-autoimmune-diseases
#18
Edward V Lally
No abstract text is available yet for this article.
December 1, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27902992/reconnecting-with-my-purpose-in-the-kingdom-of-bhutan
#19
Eric Cohen
No abstract text is available yet for this article.
December 1, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27902991/dickensian-diagnostics-the-diseases-of-christmas-past-what-ailed-scrooge-and-tiny-tim
#20
Herbert Rakatansky
No abstract text is available yet for this article.
December 1, 2016: Rhode Island Medical Journal
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