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Rhode Island Medical Journal

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https://www.readbyqxmd.com/read/28375419/development-and-use-of-a-new-opioid-overdose-surveillance-system-2016
#1
Meghan McCormick, Jennifer Koziol, Kelly Sanchez
No abstract text is available yet for this article.
April 3, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28375418/unexpected-serious-cardiac-arrhythmias-in-the-setting-of-loperamide-abuse
#2
Somwail Rasla, Amy St Amand, Marina K Garas, Amr El Meligy, Taro Minami
Loperamide (Imodium) is a non-prescription opioid receptor agonist available over-the-counter for the treatment of diarrhea. When ingested in excessive doses, loperamide can penetrate the blood-brain barrier and is reported to produce euphoria, central nervous system and respiratory depression, and cardiotoxicity. There is an emerging trend in its use among drug abusers for its euphoric effects or for self-treatment of opioid withdrawal. We report a case of ventricular dysrhythmias associated with loperamide abuse in a 28-year-old man who substituted loperamide for the opioids that he used to abuse...
April 3, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28375417/igg4-aortitis-a-case-report
#3
Shivali Marketkar, Mark LeGolvan
IgG4 aortitis is one of the entities seen in the spectrum of IgG4-related disease (IgG4-RD). It is characterized by serologic (elevated serum IgG4) and histologic features including a lymphoplasmacytic infiltrate with increased numbers of IgG4-positive plasma cells, storiform fibrosis and obliterative phlebitis. Some studies have described a correlation between infections and IgG4 aortitis. We describe a patient with an aneurysm of the infrarenal descending abdominal aorta with features of IgG4-RD, as well as culture evidence of Streptococcus sanguis...
April 3, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28375416/assault-injury-and-homicide-death-profile-in-rhode-island-2004-2014
#4
Yongwen Jiang, Megan L Ranney, Jordan Seaberry, Lynne-Marie Shea, Brian Sullivan, Samara Viner-Brown
Community violence, including assault and homicide, is a public health problem. We provide a profile of assault-related injury and homicide death in Rhode Island to better understand assault/homicide. The 2014 emergency department (ED) visit data, hospital discharge (HD) data, and 2004-2014 Rhode Island Violent Death Reporting System (RIVDRS) data were used for this study. Most assault injuries and homicide deaths were among persons who were 25-44 years old, male, black and Hispanic, living in urban regions, self-pay or public insurance user, and never married...
April 3, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28375415/improving-the-perception-of-outpatient-practice-a-second-continuity-experience-for-internal-medicine-residents
#5
Jennifer Jeremiah, Kelly McGarry, Joao Filipe Goncalves Monteiro
BACKGROUND: The challenges trainees experience in the traditional medical clinic are felt to be one deterrent to choosing a primary care career. OBJECTIVE: We examined whether participation in a second outpatient continuity experience (Second Site) affects trainee perception of primary care practice. METHODS: 241 current and former graduates of the Brown Alpert Medical School Internal Medicine training programs were surveyed about their experiences with Second Site...
April 3, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28375414/proceedings-from-bridging-health-disparities-to-address-the-opioid-epidemic-a-symposium-at-the-warren-alpert-medical-school-of-brown-university
#6
Luba Dumenco, Kristina Monteiro, Michael Mello, Sally Collins, Don Operario, Karen Scanlan, Richard Dollase, Paul George
OBJECTIVE/BACKGROUND: In response to the unprecedented rates of illicit drug use, including opioid addiction and overdose in Rhode Island, local healthcare institutions, led by the Warren Alpert Medical School (AMS) of Brown University, collaborated to present "Bridging Health Disparities to Address the Opioid Epidemic." This symposium sought to educate a wide array of healthcare providers and professionals around opioid use disorder, including the state of the opioid crisis in Rhode Island, national efforts around opioid misuse and how providers can work together to stem the opioid crisis in the state...
April 3, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28375413/medical-bureau-mid-century-switchboard-connected-patients-and-physicians
#7
Herbert Rakatansky
No abstract text is available yet for this article.
April 3, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28375412/voting-aliens-donald-trump-and-me
#8
Joseph H Friedman
No abstract text is available yet for this article.
April 3, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28246659/subjective-cognitive-decline-and-associated-health-problems-among-rhode-island-adults
#9
Tracy L Jackson, Tara Cooper
No abstract text is available yet for this article.
March 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28246658/a-review-of-anatomical-placement-of-corticosteroid-injections-for-uncommon-hand-wrist-and-elbow-pathologies
#10
Gregory R Waryasz, Robert Tambone, Todd R Borenstein, Joseph A Gil, Manuel DaSilva
Corticosteroid injections are a common nonsurgical treatment of intersection syndrome, flexor carpi radialis tendonitis, flexor carpi ulnaris tendonitis, and medial epicondylitis. The benefits of corticosteroid injections for these conditions have been well studied and documented in the medical literature. Patients with less common upper extremity complaints usually first present to their primary care provider. A correct anatomical diagnosis will help with early definitive treatment, as the injection must be in the proper location for maximal benefit to the patient...
March 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28246657/quality-improvement-processes-in-obesity-surgery-lead-to-higher-quality-and-value-lower-costs
#11
Holli Brousseau, Dieter Pohl
In the era of changes in the evaluation of medical services and performance, the Centers for Medicare and Medicaid Services (CMS) has determined that the key components are quality, value, and clinical practice improvement (MACRA). Weight Loss Surgery, also called Bariatric or Obesity Surgery, has been at the forefront of quality improvement and quality reporting through the Center of Excellence Program since 2005. As a result, weight loss surgery is now as safe as gallbladder surgery.1 Even within this culture of quality and safety, improvements are still possible, as described in this article...
March 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28246656/more-than-an-ounce-of-prevention-a-medical-public-health-framework-for-addressing-unhealthy-weight-in-rhode-island
#12
Dora M Dumont, Kristi A Paiva, Eliza Lawson
No abstract text is available yet for this article.
March 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28246655/behavioral-approaches-to-the-treatment-of-obesity
#13
KayLoni Olson, Dale Bond, Rena R Wing
No abstract text is available yet for this article.
March 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28246654/obesity-epidemic-pharmaceutical-weight-loss
#14
Stephanie A Curry
Obesity is a chronic disease universally defined as an excess of adipose tissue resulting in body mass index (BMI) > 30.0 kg/m2. Over the past few years, the concept of prevention has gained increased awareness, thus leading to the development of additional pharmaceutical options for the treatment of obesity since 2012. Treating obesity revolves around an individualized, multi-disciplinary approach with additional focus on a healthy and supportive lifestyle to maintain the weight loss. [Full article available at http://rimed...
March 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28246653/diabetes-obesity-and-other-medical-diseases-is-surgery-the-answer
#15
Dieter Pohl, Aaron Bloomenthal
For many physicians, the concept of surgery as the best treatment for a medical disease such as diabetes, cardiovascular problems, hyperlipidemia, sleep apnea, hepatosteatosis, GERD, osteoarthritis, psoriasis, rheumatoid arthritis, or infertility, still sounds wrong and just a ploy by surgeons to increase their business. Since 2011, however, several non-surgical societies have recommended Weight Loss Surgery - The International Diabetes Federation, The American Diabetes Association, American Heart Association, and Obesity Society in 2015 for patients with body mass index (BMI) greater than 35 and diabetes, and to decrease cardiovascular risk factors...
March 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28246652/medical-surgical-behavioral-preventive-approaches-to-address-the-obesity-epidemic
#16
Dieter Pohl
No abstract text is available yet for this article.
March 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28246651/grateful-patient-philanthropy-gpp-raises-ethical-concerns-among-doctors
#17
Herbert Rakatansky
No abstract text is available yet for this article.
March 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28246650/political-correctness
#18
Joseph H Friedman
No abstract text is available yet for this article.
March 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28146600/influenza-vaccination-rates-among-rhode-island-adults
#19
Hyun Hanna Kim, Tricia Washburn, Denise Cappelli, Patricia Raymond
No abstract text is available yet for this article.
February 1, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28146599/mark-set-go-school-based-nutrition-and-physical-activity-program-a-five-year-evaluation
#20
Fadya El Rayess, Meeka Gandhi, Haran Mennillo
Mark, Set Go! is a school-based intervention addressing pediatric obesity in an urban, underserved community. This study evaluates its impact on participants' knowledge, attitudes and behavior related to nutrition, physical activity and screen time. METHOD: Participants, 954 fifth- and sixth-grade public school students, received a 9-week classroom-based intervention led by high school peer educators. A matched design analyzed paired data from pre/post intervention knowledge, attitude and behavior surveys, heights, weights and 24 hour pedometer recordings...
February 1, 2017: Rhode Island Medical Journal
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