Daycotton0817

The particular sorption associated with continual organic and natural pollutants throughout microplastics through the resort surroundings.

To characterize oral health practices using data from statewide, multi-stakeholder surveys.

We analyzed data from two Rhode Island surveys. Together, the surveys targeted all nursing homes, residents, and resident representatives in Rhode Island, and asked about staff training on mouth care, frequency of dental provider visits, enrollment in nursing home dental programs, and barriers to oral health. Primary Results Responding nursing home administrators reported high levels of commitment to oral health. Among residents enrolled in a nursing home dental care program, 76.1% had a preventive visit in the prior six months, compared to 31.0% of residents not enrolled. The majority of facilities (71.8%) reported that staff received training on routine mouth care at the time of hire.

Our findings highlight opportunities to better support nursing homes in providing residents with high-quality oral health, including acquiring staff skills to manage care-resistant behaviors, and routinely assessing residents' ability to provide their own mouth care.

Our findings highlight opportunities to better support nursing homes in providing residents with high-quality oral health, including acquiring staff skills to manage care-resistant behaviors, and routinely assessing residents' ability to provide their own mouth care.

The COVID-19 pandemic has forced assisted living facilities (ALF) to implement strict social isolation for residents. Social isolation in the geriatric population is known to negatively impact health. FR 180204 Here, we describe how ALFs in Rhode Island utilized device donations received from Connect for COVID-19, a nationwide nonprofit organization which has mobilized medical students to gather devices for donations to care centers.

Rhode Island ALFs were contacted to determine if they were interested in receiving smart device donations. After donations were made, an impact survey was electronically administered. Primary Results A total of 11 facilities completed the survey with a response rate of 24% (11/46). The facilities were located throughout all five counties in Rhode Island, with the majority located in Providence County. All but one of the facilities that responded to the survey (n=10, 90.9%) have used the devices to allow residents to video-call their family members. Seven responses (63.6%) indicated thay Conclusions Smart devices were well received by Rhode Island ALFs and used for purposes beyond video conference calls. ALFs should consider advertising the need for devices to encourage community donations. Future studies should investigate the direct impact that digital connectivity has had on Rhode Island ALF residents.

To estimate the prevalence of concurrent prescription opioid and non-opioid controlled substance use in Rhode Island (RI).

We conducted a cross sectional observational study using data from the RI Prescription Drug Monitoring Program on controlled substance prescriptions dispensed in 2018. We estimated the prevalence of concurrent use of other prescribed controlled substances among adults who received at least one opioid prescription.

In 2018, 142,692 RI adult residents received at least one opioid prescription, of whom 25.1% (99% confidence interval [CI] 24.8-25.4) were concurrently prescribed at least one other controlled substance, including benzodiazepines (17.0%, 99% CI 16.8-17.3), medications for insomnia (4.0%, 99% CI 3.9-4.2), and stimulants (3.8%, 99% CI 3.6-3.9).

The concurrent use of prescription opioids and other prescribed controlled substances is common. Our findings suggest an urgent need to implement focused initiatives to address controlled substance polypharmacy to reduce the risk of overdose.

The concurrent use of prescription opioids and other prescribed controlled substances is common. Our findings suggest an urgent need to implement focused initiatives to address controlled substance polypharmacy to reduce the risk of overdose.

Ectopic pregnancy after hysterectomy is a rare event. There are 81 cases documented in the English medical literature since 1895.

32y/o G2P1011, with baseline history of chronic pelvic pain after abdominal hysterectomy and unilateral salpingectomy, presented with acute pain. Patient was diagnosed with ectopic pregnancy and underwent an urgent laparoscopy. Conclusion Ectopic pregnancy should be part of the differential diagnosis for women of reproductive age, including woman post hysterectomy, who present with abdominal or pelvic pain or vaginal bleeding. Untimely diagnosis increases the risk for morbidity and mortality.

32y/o G2P1011, with baseline history of chronic pelvic pain after abdominal hysterectomy and unilateral salpingectomy, presented with acute pain. Patient was diagnosed with ectopic pregnancy and underwent an urgent laparoscopy. Conclusion Ectopic pregnancy should be part of the differential diagnosis for women of reproductive age, including woman post hysterectomy, who present with abdominal or pelvic pain or vaginal bleeding. Untimely diagnosis increases the risk for morbidity and mortality.Corynebacterium striatum is emerging as an opportunistic pathogen in immunocompromised hosts. End-stage renal disease remains an underappreciated state of immunocompromise. We present a series of individuals with end-stage kidney disease on hemodialysis who developed Corynebacterium striatum bacteremia, which was initially thought to be a contaminant, but eventually recognized as the culprit pathogen. We review the bacteriology of C. striatum, increasing resistance, as well as known cases of C. FR 180204 striatum bacteremia in the setting of end-stage renal disease. These cases highlight the importance of a high index of suspicion when interpreting bacterial cultures in patients with end-stage renal disease.The COVID-19 pandemic challenges safe and equitable voting in the United States' 2020 elections, and in response, several states including Rhode Island (RI) have made significant changes to election policy. In addition to increasing accessibility of mail-in voting by mailing applications to all registered voters, RI has suspended their notary/witness requirement for both the primary and general election. However, RI's "emergency" voting process still plays a crucial role in allowing voters who missed the mail-in ballot application deadline, such as those unexpectedly hospitalized in the days leading up to the election, to still cast their ballot. COVID-19 has also forced RI to modify its emergency voting procedures, most notably allowing healthcare workers to serve on bipartisan ballot delivery teams. This commentary highlights these salient updates to voting procedures and serves as a primer as to how interested health care workers may navigate this process alongside patients and lead in the arena of patient voting rights.