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Rhode Island Medical Journal

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https://read.qxmd.com/read/30943672/initial-findings-rhode-island-s-community-health-teams-address-complex-physical-behavioral-and-social-needs-of-patient-populations
#1
James C Rajotte, Catherine E Hunter, Colleen A Redding, Shayna S Bassett
No abstract text is available yet for this article.
April 1, 2019: Rhode Island Medical Journal
https://read.qxmd.com/read/30943671/left-sided-pseudomonas-endocarditis-with-disseminated-septic-emboli
#2
Ahmed S Mohamed, Harsha V Ganga, Melissa Gaitanis, Aravind R Kokkirala
A 59-year-old man presented with sharp chest pain, hypoxia, and tachycardia. His past medical history included intravenous drug use (IVDU). Pseudomonas aeruginosa was isolated from his blood. Pseudomonas aeruginosa is a rare cause of endocarditis. Patient revealed that he injected drugs intravenously with tap water. Transesophageal echocardiogram revealed vegetation on the anterior mitral leaflet with associated mitral regurgitation. Patient was successfully treated with meropenem and tobramycin and underwent mitral valve replacement without complications...
April 1, 2019: Rhode Island Medical Journal
https://read.qxmd.com/read/30943670/attitudes-toward-advocacy-do-not-match-actions-a-cross-sectional-survey-of-residents-and-fellows
#3
Megha Garg, Zoe Tseng, Grayson L Baird, Pamela Egan, Kelly McGarry
BACKGROUND/OBJECTIVE: We sought to determine baseline physician advocacy knowledge and attitudes of resident and fellow trainees at our institution to inform future graduate medical education (GME) activities. METHODS: A cross-sectional survey was developed and administered to all house staff in 2014 at Lifespan Hospitals, affiliated with The Warren Alpert Medical School of Brown University. RESULTS: The response rate was 24% (134/558). Eighty-eight percent reported voting in the 2012 presidential election, with lower participation in regional elections...
April 1, 2019: Rhode Island Medical Journal
https://read.qxmd.com/read/30943669/mindfulness-in-residency-a-survey-of-residents-perceptions-on-the-utility-and-efficacy-of-mindfulness-meditation-as-a-stress-reduction-tool
#4
Terra D S Thorndike, Joao Filipe Monteiro, Kelly McGarry
PURPOSE: Mindfulness meditation can help reduce burnout in medical students and attendings, yet has not demonstrated efficacy in residents. The authors surveyed internal medicine residents to determine their prior experience with and interest in mindfulness meditation. METHODS: An anonymous survey was given to 130 internal medicine residents at the Alpert Medical School at Brown University during the 2016-2017 academic year. The survey assessed prior experience, perceived efficacy, and interest in learning about mindfulness meditation...
April 1, 2019: Rhode Island Medical Journal
https://read.qxmd.com/read/30943668/pre-clinical-medical-students-attitudes-toward-physical-medicine-and-rehabilitation
#5
Bryan Le, John R Parziale
We explored pre-clinical medical students' awareness, attitudes, and understanding of Physical Medicine and Rehabilitation (PM&R). We conducted a survey of Brown University medical students within the first 18 months of training to determine their level of familiarity with the field of PM&R. Of the respondents, 53% understood the acronym "PM&R." Sixty-one percent either disagreed or strongly disagreed that they understood the patient population that PM&R serves. Thirty-four percent strongly disagreed and 44% disagreed that they would know a PM&R physician to contact either at or external to their medical school...
April 1, 2019: Rhode Island Medical Journal
https://read.qxmd.com/read/30943667/the-bit-s-bronchopulmonary-dysplasia-interdisciplinary-team-severe-initiative-at-women-and-infants-hospital-of-rhode-island
#6
Robin L McKinney, Khushbu Shukla, Karen Daigle, James Zeigler, Michael Muller, Martin Keszler
Bronchopulmonary dysplasia (BPD) is a major cause of morbidity and mortality in surviving extremely preterm infants, with long-term morbidity disproportionately affecting children with severe BPD (sBPD). Infants with sBPD experience multiple organ system dysfunction. To best treat these complicated patients, we created a multidisciplinary team in 2011 consisting of multiple pediatric subspecialists with a specific interest in sBPD. In the past six years, 150 patients have been referred to our multidisciplinary team, with 131 of the 150 patients discharged home, 65% on home oxygen...
April 1, 2019: Rhode Island Medical Journal
https://read.qxmd.com/read/30943666/an-interprofessional-model-for-teaching-medical-students-to-provide-screening-brief-intervention-and-referral-for-treatment-for-substance-misuse
#7
Pranav Aurora, Luba Dumenco, Michael J Mello, Paul George
BACKGROUND: Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based method to identify, reduce, and prevent the harmful use of alcohol and illicit substances. However, SBIRT remains underused by physicians and other healthcare providers. Integrating interprofessional SBIRT training in medical curricula may better prepare future providers to care for patients with substance use disorders. METHODS: The authors report the development and outcomes of a longitudinal, interprofessional SBIRT curriculum organized in partnership with health professions' schools in nursing, pharmacy, and social work...
April 1, 2019: Rhode Island Medical Journal
https://read.qxmd.com/read/30943665/response-to-point-of-view-on-the-question-of-bias
#8
Joseph H Friedman
No abstract text is available yet for this article.
April 1, 2019: Rhode Island Medical Journal
https://read.qxmd.com/read/30943664/are-women-more-likely-to-exhibit-psychogenesis%C3%A2-or-just-more-likely-to-be-diagnosed-that-way
#9
Alyson J McGregor
No abstract text is available yet for this article.
April 1, 2019: Rhode Island Medical Journal
https://read.qxmd.com/read/30943663/impostor-syndrome-and-medicine-talented-people-believing-i-am-a-fraud
#10
Cari Hampton, Edward Feller
No abstract text is available yet for this article.
April 1, 2019: Rhode Island Medical Journal
https://read.qxmd.com/read/30823701/identification-and-description-of-non-fatal-opioid-overdoses-using-rhode-island-ems-data-2016-2018
#11
Leanne Lasher, Jason Rhodes, Samara Viner-Brown
[Full article available at http://rimed.org/rimedicaljournal-2019-03.asp].
March 1, 2019: Rhode Island Medical Journal
https://read.qxmd.com/read/30823700/toxoplasma-neuroretinitis
#12
Brian Mac Grory, Derrick Cheng, Adeniyi Fisayo
[Full article available at http://rimed.org/rimedicaljournal-2019-03.asp].
March 1, 2019: Rhode Island Medical Journal
https://read.qxmd.com/read/30823699/review-of-boundary-violations-in-rhode-island-2012-2018
#13
Bianca Melo, Linda Julian, James V McDonald
Boundary violations are serious occurrences that result in a breach of the physician-patient relationship. Boundary violations are regulated by the Rhode Island Board of Medical Licensure and Discipline (Board). A review of all disciplinary actions from 2012 through 2018 involving physicians found boundary violations relating to sexual misconduct the most common boundary violations. All disciplinary actions that pertained to boundary violations were isolated, and trends regarding gender, medical specialty, and outcome of action were assessed...
March 1, 2019: Rhode Island Medical Journal
https://read.qxmd.com/read/30823698/impact-of-participation-in-the-commodity-supplemental-food-program-on-food-insecurity-among-low-income-elderly-rhode-islanders
#14
Faiz Khan, Andrew Schiff, Michael Mello
BACKGROUND: Food insecurity continues to impact low-income elderly Americans. The Commodity Supplemental Food Program (CSFP) is a federal food-box program targeted specifically to this population. However, the effectiveness of this program has not been well studied. DESIGN: We conducted a cross-sectional survey evaluating the effects of CSFP participation on food insecurity status of elderly low-income Rhode Islanders. This study was conducted during June and July 2016...
March 1, 2019: Rhode Island Medical Journal
https://read.qxmd.com/read/30823697/perceptions-of-mindfulness-a-qualitative-analysis-of-group-work-in-addiction-recovery
#15
Matthew B Perry
IMPORTANCE: While mindfulness as a treatment for addiction has been objectively studied in a variety of settings, relatively little focus has been given to the subjective experience of program participants. OBJECTIVE: To elicit best practices for mindfulness work in addiction recovery. DESIGN AND SETTING: Participant observation and semi-structured interviews with participants in a mindfulness course set within a residential addiction recovery program...
March 1, 2019: Rhode Island Medical Journal
https://read.qxmd.com/read/30823696/incarcerated-individuals-perspectives-on-living-with-serious-illness
#16
Alexa N Kanbergs, Shayla N M Durfey
The object of this study was to elicit patient perspectives on the experience of living with serious illness while incarcerated. The study was conducted at the Rhode Island Adult Corrections Institutions (ACI) in both the men's medium security and women's (all levels) facilities in June of 2016. Semi-structured interviews were conducted with participants, who met study criteria for serious illness. Interviews were coded following the template organizing style. Eighteen participants were enrolled, 13 males and five females with majority Caucasian (n=11) and ages 40-59 (n=9)...
March 1, 2019: Rhode Island Medical Journal
https://read.qxmd.com/read/30823695/prevalence-of-tobacco-use-and-overweight-obesity-in-rhode-island-comparisons-of-survey-and-claims-data
#17
Julia G Solomon, Kristina A Monteiro, Mark R Zonfrillo
Many states, including Rhode Island, have begun to collect insurance claims data to better understand healthcare spending and local health outcomes. In this study, we sought to determine whether or not the prevalence of tobacco use and overweight/obesity in the Rhode Island All-Payer Claims Database (APCD) was comparable to that predicted by national behavioral survey data. We found that the prevalence of these lifestyle-related health problems was lower in local claims data than in survey data, suggesting that this database should be used with caution when exploring issues related to the prevalence of tobacco use and overweight/ obesity in Rhode Island...
March 1, 2019: Rhode Island Medical Journal
https://read.qxmd.com/read/30823694/knowledge-attitudes-and-confidence-in-accountable-care-organization-based-payment-models-among-ri-physicians
#18
Jonathan A Staloff, Kristina A Monteiro, Michael J Mello, Ira B Wilson
Study Objective or Background: To assess Rhode Island (RI) physician knowledge, attitudes, and confidence to succeed in Accountable Care Organizations (ACOs). Study Design and Methods: We surveyed RI physicians' attitudes and beliefs about ACOs, including scales measuring Physician Knowledge (7 Multiple Choice and True/False items), Attitudes (8 Likert scale items), and Confidence (7 Likert Scale Items), and examined how physician characteristics related to these measures. Primary Results: The response rate was 6 percent (72/1183)...
March 1, 2019: Rhode Island Medical Journal
https://read.qxmd.com/read/30823693/the-maturation-of-the-primary-care-population-medicine-pc-pm-program-at-the-warren-alpert-medical-school-of-brown-university
#19
Michael Mello, Paul George
[Full article available at http://rimed.org/rimedicaljournal-2019-03.asp].
March 1, 2019: Rhode Island Medical Journal
https://read.qxmd.com/read/30823692/deceit-lies-and-plagiarism-in-residency-applications
#20
Edward Feller
[Full article available at http://rimed.org/rimedicaljournal-2019-03.asp].
March 1, 2019: Rhode Island Medical Journal
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