44,352 results match your criteria: "Rhode Island; Lifespan Cardiovascular Institute[Affiliation]"

Background: Iliopsoas injuries are a common cause of anterior hip and groin pain and can be successfully managed with conservative treatment. Corticosteroid and local anesthetic injections can also be offered in conjunction with nonoperative management. Given the variability in reported injection guidelines, composition, and techniques, the purpose of this study was to systematically review the literature to assess progression to surgery and patient outcomes following iliopsoas injections.

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Background: HIV pre-exposure prophylaxis (PrEP) remains particularly underutilized among homeless-experienced people who use drugs (PWUD).

Setting: Boston Health Care for the Homeless Program, a Federally Qualified Health Center serving homeless-experienced individuals in Boston, Massachusetts.

Methods: To identify determinants of PrEP prescription initiation and continuation, we analyzed electronic medical records and pharmacy data between April 2018-March 2022.

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Importance: Blood culture (BC) use benchmarks in US hospitals have not been defined.

Objective: To characterize BC use in adult intensive care units (ICUs) and wards in US hospitals.

Design, Setting, And Participants: A retrospective cross-sectional study of BC use in adult medical ICUs, medical-surgical ICUs, medical wards, and medical-surgical wards from acute care hospitals from the 4 US geographic regions was conducted.

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Brazilians are a rapidly growing immigrant population in the United States (U.S.), yet little is known about their mental health and access to mental healthcare.

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Advanced Care Planning for the Orthopaedic Patient.

J Bone Joint Surg Am

January 2025

Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University, Providence, Rhode Island.

➢ Advanced care planning most commonly refers to the act of planning and preparing for decisions with regard to end-of-life care and/or serious illness based on a patient's personal values, life goals, and preferences.➢ Over time, advanced care planning and its formalization through advanced directives have demonstrated substantial benefits to patients, their families and caregivers, and the larger health-care system.➢ Despite these benefits, advanced care planning and advanced directives remain underutilized.

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Background: While prolonged operative time and increased levels fused have been shown to increase the risk of prolonged intensive care unit (ICU) length-of-stay (LOS), studies are limited in guiding decision-making regarding the need for intensive care postoperatively. This is especially the case among the cohort of adolescent idiopathic scoliosis (AIS) patients undergoing posterior spinal fusion (PSF); associations between comorbidities and ICU LOS are not well-delineated.

Methods: AIS patients who underwent PSF from January 1st, 2016 to December 1st, 2016 at 101 participating centers were identified using the American College of Surgeons (ACS) National Surgical Quality Im-provement Project (NSQIP) Pediatric database.

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COVID-19 infection may predispose patients to long-term renovascular complications. Early recognition and management are crucial for optimal outcomes. This case report underscores the importance of thorough follow-up care for children recovering from COVID-19, with a focus on monitoring blood pressure and renal function to mitigate long-term renovascular disease.

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Recommendations for Specialty Palliative APRN Graduate Education.

Nurse Educ

November 2024

Author Affiliations: Palliative Care Catalyst Network (Ms Dahlin), Beverly, Massachusetts, Palliative Care Services (Ms Dahlin), Mass General Brigham-Salem Hospital, Salem, Massachusetts; Meyers College of Nursing (Dr Wholihan), New York University, New York, New York; School of Nursing (Dr Wiencek), Loyola University, New Orleans, Louisiana; College of Nursing (Dr Acker), University of Alabama Capstone, Tuscaloosa, Alabama; College of Nursing (Dr Breakwell), Marquette University, Milwaukee, Wisconsin; School of Nursing (Ms Buschman), Columbia University, New York, New York; College of Nursing (Dr Cormack), Medical University of South Carolina, Charleston, South Carolina; College of Nursing (Dr DeSanto-Madaya), University of Rhode Island, Providence, Rhode Island; School of Nursing (Dr Doherty), University of Pennsylvania, Philadelphia, Pennsylvania; School of Nursing (Dr Edwards), The University of Alabama at Birmingham, Birmingham, Alabama; School of Nursing (Dr English), University of Colorado Anschutz Medical Campus, Aurora, Colorado; School of Medicine and College of Nursing (Dr Fink), University of Colorado Anschutz Medical Campus, Aurora, Colorado; Interprofessional MSPC & Palliative Certificate Programs (Dr Goodnough), University of Colorado Anschutz Medical Campus, Aurora, Colorado; College of Nursing (Dr Lindell), Medical University of South Carolina, Charleston, South Carolina; Francis Payne Bolton School of Nursing (Dr Mazanec), Case Western Reserve University, Cleveland, Ohio; College of Nursing (Dr McHugh), Columbia University Irving Medical Center, New York, New York; School of Nursing (Dr Moore), University of Southern Alabama, Mobile, Alabama; College of Nursing (Dr Obrecht), University of Illinois Chicago, Chicago, Illinois; School of Nursing (Dr Pawlow), University of Pennsylvania, Philadelphia, Pennsylvania; Palliative Care Department (Dr Johnstone-Petty), Providence Alaska Medical Group, Anchorage, Alaska; College of Nursing (Dr Quinlin), The Ohio State University, Columbus, Ohio; and School of Nursing (Dr Tresgallo), Columbia University Irving Medical Center, New York, New York.

Background: Advanced practice registered nurses (APRNs) are essential to care for the growing number of individuals with advanced illness given the shortage of palliative care clinicians.

Problem: Graduate education for specialty practice palliative APRNs lacks consistency in structure, content, and standardization of specialty palliative APRN education.

Approach: A workgroup of expert palliative APRNs and graduate faculty conducted focused discussions and a literature review to develop consensus recommendations based on national palliative APRN competencies and aligned with the 8 core concepts of the AACN Essentials.

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Impacts, Adaptations, and Preparedness Among SNAP-Ed Implementers During the COVID-19 Pandemic: A Multistate Study.

J Public Health Manag Pract

November 2024

Author Affiliations: Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, South Carolina (Ms Draper, Dr Younginer, and Mr Samin); Center for Excellence in Public Health, University of New England, Portland, Maine (Dr Rodriguez and Ms Bruno); and Department of Nutrition and Food Sciences, University of Rhode Island, Providence, Rhode Island (Dr Balestracci).

Objective: The study examines: 1) impacts of COVID-19 on the work of Supplemental Nutrition Assistance Program - Education (SNAP-Ed) implementers, 2) facilitators and barriers experienced in making adaptations, and 3) factors that would have helped with preparedness to adapt.

Design, Setting, And Participants: A purposive sample of 181 SNAP-Ed program implementers from across five states completed a survey or interview based on the study aims. Quantitative data was summarized with descriptive statistics and qualitative data was analyzed thematically.

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Importance: Osteoporotic fractures are associated with psychological distress, subsequent fractures, loss of independence, reduced ability to perform activities of daily living, and death.

Objective: The US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate the evidence on the benefits and harms of screening for osteoporosis to prevent fractures in adults 40 years or older with no known diagnosis of osteoporosis or history of fragility fracture.

Population: Adults 40 years or older without known osteoporosis or history of fragility fractures.

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Heteroconfinement in Single CdTe Nanoplatelets.

ACS Nano

January 2025

Department of Chemistry and Biochemistry, University of California, Los Angeles, 607 Charles E. Young Drive, Los Angeles, California 90095-1569, United States.

Dimension-engineered synthesis of atomically thin II-VI nanoplatelets (NPLs) remains an open challenge. While CdSe NPLs have been made with confinement ranging from 2 to 11 monolayers (ML), CdTe NPLs have been significantly more challenging to synthesize and separate. Here we provide detailed mechanistic insight into the layer-by-layer growth kinetics of the CdTe NPLs.

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Observation of the Smallest Three-Dimensional Neutral Boron Cluster.

Angew Chem Int Ed Engl

January 2025

Department of Chemistry, Brown University, Providence, Rhode Island 02912, United States.

Despite major progress in the investigation of boron cluster anions, direct experimental study of neutral boron clusters remains a significant challenge because of the difficulty in size selection. Here we report a size-specific study of the neutral B cluster using threshold photoionization with a tunable vacuum ultraviolet free electron laser. The ionization potential of B is measured to be 8.

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Every protein progresses through a natural lifecycle from birth to maturation to death; this process is coordinated by the protein homeostasis system. Environmental or physiological conditions trigger pathways that maintain the homeostasis of the proteome. An open question is how these pathways are modulated to respond to the many stresses that an organism encounters during its lifetime.

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Research demonstrates a positive impact of Peer Based Recovery Support Services (PBRSS) facilitated by peer recovery specialists (PRS), who are people in recovery from behavioral health conditions (e.g., substance use disorders [SUD] and mental health conditions).

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Introduction: Heart failure (HF) is a chronic condition with an unpredictable trajectory, making effective communication between patients and healthcare providers crucial for optimizing outcomes. This study aims to investigate and compare the communication needs regarding HF trajectory and palliative care between patients and healthcare providers and to identify factors associated with the communication needs of patients with HF.

Methods: A cross-sectional study design was employed, involving 100 patients with HF and 35 healthcare providers.

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Introduction: Respiratory syncytial virus (RSV) is the leading cause of hospitalization among US infants. Characterizing service utilization during infant RSV hospitalizations may provide important information for prioritizing resources and interventions.

Objective: The objective of this study was to describe the procedures and services received by infants hospitalized during their first RSV episode in their first RSV season, in addition to what proportion of infants died during this hospitalization.

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Period poverty and mental health among students attending a US university.

J Am Coll Health

January 2025

Department of Health Science, College of Health and Wellness, Johnson & Wales University, Providence, Rhode Island, USA.

Objective: To determine the prevalence of period poverty in university students and if experiencing period poverty is associated with poor mental health outcomes.

Methods: Participants were  = 311 females assigned at birth attending a university in the northeast US. Seven items assessed period poverty.

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Importance: Improving access to high-quality maternity care and reducing maternal morbidity and mortality are major policy priorities in the US. Previous research has primarily focused on access to general obstetric care rather than access to high-risk pregnancy care provided by maternal-fetal medicine subspecialists (MFMs).

Objective: To measure access to MFM services and determine patient factors associated with MFM service use, including MFM telemedicine.

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