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Diversity, Equity, and Inclusion in Orthopaedic Surgery: Local and National Efforts. 矫形外科的多样性、公平性和包容性：地方和国家努力。
Rhode Island medical journal (2013) Pub Date : 2024-03-01
Lauren E Piana, Eleanor Burstein, Sarah Criddle, Elaine He, Julia A Katarincic, Brett D Owens, Raymond Y Hsu
{"title":"Diversity, Equity, and Inclusion in Orthopaedic Surgery: Local and National Efforts.","authors":"Lauren E Piana, Eleanor Burstein, Sarah Criddle, Elaine He, Julia A Katarincic, Brett D Owens, Raymond Y Hsu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Orthopaedic surgery has not experienced the same increase in diversity as other surgical subspecialties over time. Professional orthopaedic societies across the nation, including the American Academy of Orthopaedic Surgeons, are now making sincere efforts to improve diversity, equity, and inclusion (DEI) within the field. Several national groups provide funding to support DEI -related research as well as scholarships to national meetings. Others are more focused on mentorship and mitigation of residency attrition amongst underrepresented minorities (URMs). Individual residency programs, including the Department of Orthopaedics at Brown University, are engaging in community outreach to attract more diverse candidates to orthopaedics and providing away rotation scholarship support for medical students that identify as female or URMs. These local and national efforts will hopefully lead to a more inclusive environment for all trainees and practitioners within orthopaedics and ultimately improved orthopaedic care for all patients.</p>","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 3","pages":"22-25"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984796","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
'I Thought It Was My Diabetes': An Acute Presentation of Neuromyelitis Optica Spectrum Disorder. 我以为是糖尿病"：神经脊髓炎视网膜频谱紊乱症的急性表现。
Rhode Island medical journal (2013) Pub Date : 2024-03-01
Preston Nicely, Grace Sun, Simran Gupta, Maxwell Lawlor, Vijairam Selvaraj
{"title":"'I Thought It Was My Diabetes': An Acute Presentation of Neuromyelitis Optica Spectrum Disorder.","authors":"Preston Nicely, Grace Sun, Simran Gupta, Maxwell Lawlor, Vijairam Selvaraj","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Neuromyelitis Optica Spectrum Disorder (NMOSD) is an immune-mediated neuroinflammatory disease of the central nervous system. Patients typically present with sensory deficits, weakness, and incontinence. This is a case of a 43-year-old female with diabetes mellitus admitted for acute onset leg weakness and stool incontinence. Spinal MRI imaging revealed transverse myelitis, and her lab work was significant for an anti-aquaporin 4 (AQP4) antibody titer of 1:2,560. Initial treatment consisted of a high-dose steroid taper and plasmapheresis. This unique case illustrates the importance in recognizing delayed presentations of rare neuroinflammatory conditions previously assumed to be a sequela of diabetic neuropathy.</p>","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 3","pages":"10-13"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984798","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
The View from Parkinson Land. 从帕金森之地看世界
Rhode Island medical journal (2013) Pub Date : 2024-03-01
Joseph H Friedman
{"title":"The View from Parkinson Land.","authors":"Joseph H Friedman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 3","pages":"44-45"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984802","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
Understanding the Relationship between Oral Health and Chronic Disease among Rhode Island Adults 45 years and Older. 了解罗德岛 45 岁及以上成年人口腔健康与慢性病之间的关系。
Rhode Island medical journal (2013) Pub Date : 2024-03-01
Monika Drogosz, Stephanie Munthe, Samuel Zwetchkenbaum
{"title":"Understanding the Relationship between Oral Health and Chronic Disease among Rhode Island Adults 45 years and Older.","authors":"Monika Drogosz, Stephanie Munthe, Samuel Zwetchkenbaum","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 3","pages":"39-41"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984804","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
Masking the Facts: Addressing Misinformation and Masking During the COVID-19 Pandemic. 掩盖事实：应对 COVID-19 大流行期间的误传和掩盖。
Rhode Island medical journal (2013) Pub Date : 2024-03-01
Menaka Naidu, William Binder
{"title":"Masking the Facts: Addressing Misinformation and Masking During the COVID-19 Pandemic.","authors":"Menaka Naidu, William Binder","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 3","pages":"46-48"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984800","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
Seronegative Autoimmune Encephalitis with Evanescent Focal T2FLAIR Lesions. 血清阴性自身免疫性脑炎伴有疏散性灶性 T2FLAIR 病变。
Rhode Island medical journal (2013) Pub Date : 2024-03-01
Cameron Stewart, Glenn A Tung
{"title":"Seronegative Autoimmune Encephalitis with Evanescent Focal T2FLAIR Lesions.","authors":"Cameron Stewart, Glenn A Tung","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 3","pages":"14-15"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984801","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
Unexpected Medical Conditions Discovered During Live Donor Kidney Evaluation: Single Center Study. 活体捐肾评估过程中发现的意外医疗状况：单中心研究。
Rhode Island medical journal (2013) Pub Date : 2024-03-01
Alexandra Lee, George Bayliss, Adena Osband, Paul Morrissey, Reginald Gohh, Christina Raker, Basma Merhi
{"title":"Unexpected Medical Conditions Discovered During Live Donor Kidney Evaluation: Single Center Study.","authors":"Alexandra Lee, George Bayliss, Adena Osband, Paul Morrissey, Reginald Gohh, Christina Raker, Basma Merhi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>Living donor kidney transplantation (LDKT) is the preferred method of treatment for patients with end-stage kidney disease. Potential living kidney donors (PLKD) are evaluated through a thorough medical, psychological and surgical work-up to ensure successful transplantation with minimal risks to all parties involved. The transplant center at Rhode Island Hospital has noticed an increasing number of PLKDs excluded from donation due to conditions newly diagnosed during the screening process. Our objective is to understand the local trends underlying the high PLKD exclusion rates in the context of newly diagnosed conditions, age, race, and sex of the excluded donors.</p><p><strong>Study design and methods: </strong>Our study is a retrospective electronic medical record review of the 429 PLKDs screened at Rhode Island Hospital Kidney Transplant Center between December 2012 and April 2023. Age, race, gender, relationship to recipient, and reasons for exclusion were collected from the medical record for each PLKD.</p><p><strong>Conclusion: </strong>115 of the 429 total PLKDs screened were excluded for newly diagnosed conditions, the most common of which were renal issues (49%), diabetes mellitus (33%), and hypertension (13%), with many comorbid diagnoses. While these donors were able to receive proper treatment after their diagnosis, the earliest intervention possible yields the best prognosis. The high prevalence of treatable yet undiagnosed conditions raise many public health concerns, such as primary care gaps or discontinuous healthcare, and increases awareness about the importance of follow-up care for the excluded PLKDs.</p>","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 3","pages":"32-38"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984805","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
Weight Recovery in an Outpatient Medical Eating Disorders Clinic: A Retrospective Review. 饮食失调门诊的体重恢复：回顾性研究
Rhode Island medical journal (2013) Pub Date : 2024-03-01
Hailey Fulkerson, Giorgina Giampaolo, Darby Melia, Abigail A Donaldson
{"title":"Weight Recovery in an Outpatient Medical Eating Disorders Clinic: A Retrospective Review.","authors":"Hailey Fulkerson, Giorgina Giampaolo, Darby Melia, Abigail A Donaldson","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to identify rates of weight recovery among adolescents and young adults with restrictive eating disorders (RED) as part of a quality improvement assessment in an Adolescent Medicine outpatient clinic in Rhode Island.</p><p><strong>Methods: </strong>A retrospective chart review was completed on 94 randomly selected patients ages 10-21 years old. Demographics, descriptors, time to weight recovery, and participation in other care were recorded.</p><p><strong>Results: </strong>The average age of participants was 15 years; most were female, cis-gender, White, had private insurance, and had one or more co-morbid psychiatric diagnosis. At intake, 81% were <95% treatment goal weight (TGW), with 27% at <80% TGW. Among participants who started at <95% of TGW, 51% achieved ≥95% of TGW; participants who engaged in a higher level of care were more successful.</p><p><strong>Conclusions: </strong>This study identifies outcomes and highlights the challenge of weight recovery among patients with RED, even when managed by an expert clinical team.</p>","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 3","pages":"19-21"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984806","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
Increasing Incidence of Gonorrhea at an Urban STI Clinic in the United States. 美国城市性传播疾病诊所淋病发病率不断上升。
Rhode Island medical journal (2013) Pub Date : 2024-03-01
Sara E Vargas, Jun Tao, Alexi A Almonte, Leslie Ramirez, Philip A Chan
{"title":"Increasing Incidence of Gonorrhea at an Urban STI Clinic in the United States.","authors":"Sara E Vargas, Jun Tao, Alexi A Almonte, Leslie Ramirez, Philip A Chan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Medical record data was extracted from a sexually transmitted infection (STI) clinic in Providence, Rhode Island to characterize trends in Neisseria gonorrhoeae (GC) infection and explore risk factors. Of 16,601 clinical encounters, 6% (n=991) tested GC positive: 5.28 GC case rate (per 100 encounters) in the first two years of data collection (2015-2016) and 7.04 in the last two years (2020-2021). Analysis suggested a single linear trend line over time (p<.05). Overall, in more recent years, patients were older and more like to identify as male, Black, and Hispanic/Latino, as well as to have reported a previous STI, current symptoms, and specific risk behaviors. GC-positive patients in 2020-2021 were older and more like to identify as female and Black compared to 2015-2016. Lower rates of condom use were especially salient among female patients. These findings may reflect GC trends in the community.</p>","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 3","pages":"26-31"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11262805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984799","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
Prescription Drug Exposure Among Pregnant Individuals in Rhode Island, 2019-2022. 2019-2022 年罗德岛州孕妇处方药暴露情况。
Rhode Island medical journal (2013) Pub Date : 2024-02-01
Taylor J Paiva, Margo Katz, William Arias, Kristen St John
{"title":"Prescription Drug Exposure Among Pregnant Individuals in Rhode Island, 2019-2022.","authors":"Taylor J Paiva, Margo Katz, William Arias, Kristen St John","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74738,"journal":{"name":"Rhode Island medical journal (2013)","volume":"107 2","pages":"50-53"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576832","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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