Rhode Island medical journal最新文献_第2页

Adequacy Rate of Magnesium Citrate Bowel Preparation in a Large Retrospective Cohort. 大型回顾性队列中柠檬酸镁肠道准备的充分率。

Rhode Island medical journal Pub Date : 2019-10-01 DOI: 10.14309/01.ajg.0000590312.35628.6e

M. Alsamman, S. Leung, Abdelmoniem Moustafa, M. Abeid, G. Baird, Samir A. Shah

{"title":"Adequacy Rate of Magnesium Citrate Bowel Preparation in a Large Retrospective Cohort.","authors":"M. Alsamman, S. Leung, Abdelmoniem Moustafa, M. Abeid, G. Baird, Samir A. Shah","doi":"10.14309/01.ajg.0000590312.35628.6e","DOIUrl":"https://doi.org/10.14309/01.ajg.0000590312.35628.6e","url":null,"abstract":"INTRODUCTION\u0000Magnesium Citrate (MC) is not FDA approved as a colonoscopy preparation. Advantages include low cost, small volume and accessibility without prescription. We retrospectively evaluated bowel preparations used in a private gastroenterology practice. The sample size is the largest for any similar studies (n =19,173).\u0000\u0000\u0000METHODS\u0000Electronic Medical Records were queried for colonoscopies between 2010-2016. Bowel preps, indications (screening vs. other) and preparation adequacy were all recorded. Adequacy rates were calculated and compared using generalized linear modeling. Data were analyzed using SAS.\u0000\u0000\u0000RESULTS\u0000The most common prep used was MC 2 bottles; screening (n=6,064, with 98.94% adequacy) and non-screening (n=3,251, with 99.29% adequacy), followed by MC 3 bottles; screening (n=2,757 with 90.35% adequacy), and non-screening (n=1,925 with 92.92% adequacy).\u0000\u0000\u0000CONCLUSION\u0000MC bowel preparation is adequate, well tolerated, and inexpensive. In a large retrospective analysis, it compares favorably to other preparations.","PeriodicalId":21256,"journal":{"name":"Rhode Island medical journal","volume":"62 1","pages":"46-50"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84904791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Where's My Doctor? The Impact of the Primary Oncologist's Visit with Their Hospitalized Patients. 我的医生在哪里?肿瘤主治医师访视对住院病人的影响。

Rhode Island medical journal Pub Date : 2019-05-20 DOI: 10.1200/JCO.2019.37.15_SUPPL.6603

Brianna R Bakow, F. Schiffman, A. Mega

{"title":"Where's My Doctor? The Impact of the Primary Oncologist's Visit with Their Hospitalized Patients.","authors":"Brianna R Bakow, F. Schiffman, A. Mega","doi":"10.1200/JCO.2019.37.15_SUPPL.6603","DOIUrl":"https://doi.org/10.1200/JCO.2019.37.15_SUPPL.6603","url":null,"abstract":"BACKGROUND\u0000Continuity of care is a cornerstone of the patient-practitioner relationship. Previously, patient satisfaction has been related to perceived provider communication skills and competence. Our study assessed the relationship between the inpatient continuity visit (ICV), a face-to-face patient-provider interaction with the primary oncologist, and patient satisfaction.\u0000\u0000\u0000METHODS\u0000Subjects were adult inpatients on the oncology unit at The Miriam Hospital who had an oncologist at the hospital-based cancer center. A survey, given at discharge, included a 5-point Likert scale ranging from greatly worsened to greatly improved satisfaction to assess the impact of the ICV on patient satisfaction.\u0000\u0000\u0000RESULTS\u0000Of 75 participants, 43 (57.3%) reported a visit by their outpatient oncologist. Of these, 39 (90.7%) reported that this visit either greatly or somewhat improved satisfaction with their hospital stay. Of subjects who had a single ICV, 93.7% reported either greatly or somewhat improved satisfaction compared to 88.9% who had more than one visit. Of 32 (43.3%) subjects who did not receive a visit, 15.6% reported that the lack of visit either greatly or somewhat worsened their satisfaction during their hospital stay, while 84.4% reported no impact.\u0000\u0000\u0000CONCLUSIONS\u0000Our study suggests that an ICV improves satisfaction of care in cancer patients on a hospitalist service, and a lack of ICV negatively impacted satisfaction. There was no improvement in satisfaction for multiple versus single ICVs. While the practicality of this intervention should be reassessed with the emergence of more accessible telehealth modalities, the efficacy of a single visit to improve satisfaction is informative.","PeriodicalId":21256,"journal":{"name":"Rhode Island medical journal","volume":"31 1","pages":"39-41"},"PeriodicalIF":0.0,"publicationDate":"2019-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81181358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evidence-based Medicine. 循证医学。

Rhode Island medical journal Pub Date : 2018-06-01 DOI: 10.1007/978-3-540-68706-1_1281

J. Friedman

引用次数: 0

Expert opinions. 专家的意见。

Rhode Island medical journal Pub Date : 2018-01-01 DOI: 10.1016/j.accreview.2004.12.084

引用次数: 7

Crimes against humanity. 反人类罪。

Rhode Island medical journal Pub Date : 2017-06-01 DOI: 10.5040/9781472562944.ch-007

J. Friedman

引用次数: 149

Pediatric Diabetes Outpatient Center at Rhode Island Hospital: The impact of changing initial diabetes education from inpatient to outpatient. 罗德岛医院儿科糖尿病门诊中心:从住院到门诊改变初始糖尿病教育的影响。

Rhode Island medical journal Pub Date : 2017-02-01 DOI: 10.1210/endo-meetings.2011.part4.p3.p3-454

M. Pingul, E. Mulvihill, S. Reinert, G. Gopalakrishnan, W. Plante, C. Boney, S. R. Bialo, J. Quintos

{"title":"Pediatric Diabetes Outpatient Center at Rhode Island Hospital: The impact of changing initial diabetes education from inpatient to outpatient.","authors":"M. Pingul, E. Mulvihill, S. Reinert, G. Gopalakrishnan, W. Plante, C. Boney, S. R. Bialo, J. Quintos","doi":"10.1210/endo-meetings.2011.part4.p3.p3-454","DOIUrl":"https://doi.org/10.1210/endo-meetings.2011.part4.p3.p3-454","url":null,"abstract":"BACKGROUND\u0000This study compared outcomes and costs for new-onset Type 1 diabetes mellitus (T1DM) patients educated at the outpatient versus inpatient settings.\u0000\u0000\u0000METHODS/DESIGN\u0000Retrospective study examining the following variables: 1) hemoglobin A1c (HbA1c), 2) severe hypoglycemia, 3) admissions for diabetic ketoacidosis (DKA) or ER visits, and 4) healthcare cost.\u0000\u0000\u0000RESULTS\u0000152 patients with new-onset T1DM from September 2007-August 2009. There were no differences between outpatient group (OG) and inpatient group (IG) in mean HbA1c levels at 1, 2 and 3 years post-diagnosis (OG 8%, 8.5%, 9.3%; IG 8.3%, 8.9%, 9%, p=0.51). Episodes of severe hypoglycemia, DKA, and ER visits were not different between the two groups. Mean total hospital costs for OG and pure OG were significantly less than IG (OG: $2886 vs. IG: $4925, p<0.001), (pure OG: $1044 vs. IG: $4925, p<0.0001).\u0000\u0000\u0000CONCLUSION\u0000Our study demonstrates that outpatient- based pediatric diabetes education lowers healthcare cost without compromising medical outcomes. [Full article available at http://rimed.org/rimedicaljournal-2017-02.asp].","PeriodicalId":21256,"journal":{"name":"Rhode Island medical journal","volume":"51 1","pages":"21-24"},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88959729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Political Correctness. 政治正确性。

Rhode Island medical journal Pub Date : 2017-01-01 DOI: 10.4135/9781608712434.n1186

J. Friedman

引用次数: 158

Top 15 Tips on Becoming an Effective Medical Simulation Performer/Writer/Director. 成为一名有效的医学模拟表演者/作家/导演的15个建议。

Rhode Island medical journal Pub Date : 2016-07-24 DOI: 10.4172/2327-5146.1000262

X. Zhang, S. Pasichow, Melissa Bowler, David G. Lindquist

引用次数: 1

Break point. 断点。

Rhode Island medical journal Pub Date : 2016-01-01 DOI: 10.1007/springerreference_6438

J. Friedman

引用次数: 0

On Time. 在时间。

Rhode Island medical journal Pub Date : 2015-01-01 DOI: 10.2307/j.ctt21pxhvj.25

J. Friedman

引用次数: 0