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Varicella Zoster Associated Vasculopathy and Retinitis with Natalizumab Use in Multiple Sclerosis. 多发性硬化症患者使用纳他珠单抗后出现水痘带状疱疹相关血管病变和视网膜炎。
Rhode Island medical journal (2013) Pub Date : 2024-01-04
Erika L Thayer, Syed A Rizvi, Glenn A Tung
{"title":"Varicella Zoster Associated Vasculopathy and Retinitis with Natalizumab Use in Multiple Sclerosis.","authors":"Erika L Thayer, Syed A Rizvi, Glenn A Tung","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Natalizumab (Tysabri®, NTZ) is a monoclonal autoantibody approved for treatment of relapsing-remitting multiple sclerosis. NTZ inhibits leukocyte migration across the blood-brain barrier, preventing autoreactive cells from inciting an inflammatory immune response. This immunosuppression is highly efficacious in attenuating the risk of relapse of disease, but has been associated with opportunistic central nervous system (CNS) infections, most notably progressive multifocal leukoencephalopathy. Varicella-zoster and herpes simplex viruses have also been associated with NTZ, inciting a spectrum of disease, including encephalitis, meningitis, and acute retinal necrosis. While rare, these infections can result in devastating outcomes even when promptly identified and treated.   We present a case of combined CNS varicella zoster vasculitis and acute retinal necrosis in a 57-year-old woman maintained on monthly Natalizumab therapy, who presented with headache and visual field deficits.</p>","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 1","pages":"26-28"},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139081168","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
Potentially Preventable Emergency Department Utilization, Rhode Island, 2022. 罗德岛州 2022 年可潜在预防的急诊使用情况。
Rhode Island medical journal (2013) Pub Date : 2024-01-04
Gayatri Kunchay, Junhie Oh
{"title":"Potentially Preventable Emergency Department Utilization, Rhode Island, 2022.","authors":"Gayatri Kunchay, Junhie Oh","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 1","pages":"45-48"},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139081165","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
Extensive Bilateral Cervicofacial Lymphadenitis Caused by Atypical Mycobacterium. 非典型分枝杆菌引起的广泛性双侧颈面部淋巴结炎
Rhode Island medical journal (2013) Pub Date : 2024-01-04
Sarah Nuss, Neel Vishwanath, Anthony Hayward, Jan C Groblewski
{"title":"Extensive Bilateral Cervicofacial Lymphadenitis Caused by Atypical Mycobacterium.","authors":"Sarah Nuss, Neel Vishwanath, Anthony Hayward, Jan C Groblewski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Non-tuberculous mycobacterial (NTM) lymphadenitis typically presents as a unilateral, non-tender, slowly enlarging cervical, submandibular, or pre-auricular lymph node in children. Disseminated NTM infection is most often seen in immunocompromised children. Here, we present an unusual case of extensive bilateral cervical and retropharyngeal lymphadenitis caused by Mycobacterium Avium Complex (MAC) in an ostensibly immunocompetent pediatric patient.</p>","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 1","pages":"18-20"},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139081162","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
Project ECHO in Rhode Island. 罗得岛州的 ECHO 项目。
Rhode Island medical journal (2013) Pub Date : 2024-01-04
Daria Szkwarko, Linda Cabral, Gail Patry
{"title":"Project ECHO in Rhode Island.","authors":"Daria Szkwarko, Linda Cabral, Gail Patry","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 1","pages":"51-53"},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139081166","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
Burkholderia cepacia: A Rare Source of Endocarditis. 伯克霍尔德氏菌：一种罕见的心内膜炎病源。
Rhode Island medical journal (2013) Pub Date : 2024-01-04
Jessica M Gonzalez, Gabriel Lowenhaar, Moti Ramgopal, Prasad Chalasani
{"title":"Burkholderia cepacia: A Rare Source of Endocarditis.","authors":"Jessica M Gonzalez, Gabriel Lowenhaar, Moti Ramgopal, Prasad Chalasani","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 37-year-old male with a past medical history of previous mitral valve replacement due to bacterial endocarditis and intravenous (IV) drug use was found to have Burkholderia cepacia bacteremia. Transesophageal echocardiogram revealed large mitral and tricuspid valve vegetations. Medical management was initially attempted but his bacteremia persisted, and he required urgent prosthetic mitral valve replacement and native tricuspid valve replacement. Prosthetic valve endocarditis has been associated with surgery in 48.9% of patients and a mortality of 22.8%. In patients with prosthetic valve endocarditis due to B. cepacia, valve replacement occurred in approximately 61.5% of patients and mortality is estimated to be 33.3%. To our knowledge, this is one of only a few prosthetic valve endocarditis cases caused solely by B. cepacia and our case is the first to affect multiple valves including prosthetic and native valves.</p>","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 1","pages":"23-25"},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139081159","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
Psyche: The 5th 'P' and its Associated Impact on the Second Stage of Labor. 心理：第 5 个 "P "及其对第二产程的相关影响。
Rhode Island medical journal (2013) Pub Date : 2024-01-04
Alexis C Gimovsky, Stephen S Rasiah, Chrystal Vergara-Lopez, Phinnara Has, Nina K Ayala, Laura R Stroud
{"title":"Psyche: The 5th 'P' and its Associated Impact on the Second Stage of Labor.","authors":"Alexis C Gimovsky, Stephen S Rasiah, Chrystal Vergara-Lopez, Phinnara Has, Nina K Ayala, Laura R Stroud","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Patients with depression during labor display dysregulated patterns of oxytocin release and this may impact second stage of labor. The objective of this study was to evaluate the association between maternal preconception and antenatal depressive disorders on the duration of second stage of labor and perinatal outcomes.</p><p><strong>Study design: </strong>Secondary analysis of patients enrolled in the Behavioral and Mood in Mothers, Behavior in Infants study who reached the second stage of labor. Participants were assigned to: pre-conception only major depressive disorder (MDD), prenatal major depressive disorder, and non-depressed controls. Primary outcome was prolonged second stage of labor. Secondary outcomes included perinatal morbidities.</p><p><strong>Results: </strong>172 patients were included. 24.4% (42/172) participants had preconception-only MDD, 42.4% (73/172) patients had prenatal MDD, and 33.1% (57/172) patients had as non-depressed controls. The adjusted pair-wise analysis between groups showed no significant difference in the duration of second stage. No statistically significant differences were noted between groups for adverse neonatal outcomes.</p><p><strong>Conclusion: </strong>Maternal depressive disorders did not impact length of second stage of labor or immediate perinatal outcomes.</p>","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 1","pages":"37-44"},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10836059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139081167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Surgical Management of Urolithiasis: A Review of the Literature. 尿石症的外科治疗:文献综述。
Rhode Island medical journal (2013) Pub Date : 2023-12-01
Rebecca Wales, Faizanahmed Munshi, Suhas Penukonda, Daniel Sanford, Gyan Pareek
{"title":"The Surgical Management of Urolithiasis: A Review of the Literature.","authors":"Rebecca Wales, Faizanahmed Munshi, Suhas Penukonda, Daniel Sanford, Gyan Pareek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The incidence of stone disease has increased significantly in the past 30 years, with a reported prevalence of 11% of the U.S. population in 2022, up from 9% in 2012 and 5.2% in 1994.1 While prevention is a vital aspect of management, many patients present with symptomatic urolithiasis requiring surgical management. Emerging advances in endoscopy and technology has led to a dynamic shift in the surgical management of stone disease. This paper will serve as a comprehensive review to inform urologic and non-urologic medical professionals alike, as well as the layperson, on the surgical treatment of nephrolithiasis, starting from the initial evaluation, laboratory and radiographic studies, and various surgical options. Additionally, the nuances of managing the pediatric and pregnant patient with nephrolithiasis will be explored. Using the most up-to-date urologic data, our aim is to provide a comprehensive resource for readers who interact with patients experiencing acute episodes of urolithiasis.</p>","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"106 11","pages":"36-40"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138453279","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
Solitary Eruptive Keratoacanthoma Developing at Site of COVID-19 Vaccine Injection. COVID-19疫苗注射部位发生孤立性爆发性角棘瘤。
Rhode Island medical journal (2013) Pub Date : 2023-12-01
Sara Yumeen, Leslie Robinson-Bostom, Elnaz F Firoz
{"title":"Solitary Eruptive Keratoacanthoma Developing at Site of COVID-19 Vaccine Injection.","authors":"Sara Yumeen, Leslie Robinson-Bostom, Elnaz F Firoz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"106 11","pages":"49-51"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138453278","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
Hyperoxaluria - A Major Metabolic Risk for Kidney Stone Disease. 高草酸尿-肾结石疾病的主要代谢风险。
Rhode Island medical journal (2013) Pub Date : 2023-12-01
Christopher Owino, Ann Mutugi, Jie Tang
{"title":"Hyperoxaluria - A Major Metabolic Risk for Kidney Stone Disease.","authors":"Christopher Owino, Ann Mutugi, Jie Tang","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hyperoxaluria is a clinically relevant metabolic entity that portends a high morbidity burden. Primarily manifesting as kidney stone disease and chronic kidney disease, advanced hyperoxaluria can also affect major organs, including the brain, heart, liver, bone, and the skin. It is categorized based on etiology into primary and secondary hyperoxaluria. Pathology is attributed to excess de novo oxalate production in the former and multifactorial exogenous oxalate absorption or excess intake of its precursors in the latter. Diagnosis often involves demonstrating elevated urinary oxalate levels, especially in patients with normal kidney function. Here in this review, we will perform an in-depth discussion of various causes of hyperoxaluria and describe treatment options. In view of the significant morbidity burden associated with hyperoxaluria, patients could benefit from heightened clinician awareness to aid in the timely diagnosis and management of this condition.</p>","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"106 11","pages":"14-19"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138453271","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
Epidemiological Patterns of HIV Diagnoses Among Women in Rhode Island: An Overview. 罗得岛州妇女艾滋病诊断的流行病学模式:综述。
Rhode Island medical journal (2013) Pub Date : 2023-12-01
Lila Bhattarai, Meghan MacAskill, Erin Brown, Thomas Bertrand, Philip A Chan, Suzanne Bornschein
{"title":"Epidemiological Patterns of HIV Diagnoses Among Women in Rhode Island: An Overview.","authors":"Lila Bhattarai, Meghan MacAskill, Erin Brown, Thomas Bertrand, Philip A Chan, Suzanne Bornschein","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"106 11","pages":"62-64"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138453270","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
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