Group visit participants experienced a decrease in A1c (p=0.011). All nine participants had a decrease in their post-intervention DDS. Of the six patients who had positive DDS screens but did not attend, three had increased A1c, two had no change, one had a decrease, and one did not have a repeat A1c.

Multidisciplinary group visits targeting the biopsychosocial model may be an efficient supplement to the individual medical visit to further improve control of diabetic distress and short-term morbidity in Rhode Island.

Multidisciplinary group visits targeting the biopsychosocial model may be an efficient supplement to the individual medical visit to further improve control of diabetic distress and short-term morbidity in Rhode Island.

This study seeks to better understand the relationship between the physical activity environment and child overweight/obesity in Rhode Island.

Using geographic information systems (GIS), this study calculated distances from residences to physical activity resources to assess the relationship distance has with childhood overweight/obesity.

Mean distances in high-risk towns ranged from 0.61 to 3.15 miles compared to physical activity resources in low-risk towns, where distances ranged from 1.25 to 7.43 miles. For each additional mile to reach the closest indoor facility, there is a 0.41 (95% CI -0.78, -0.03) percentage point decrease in the child overweight/obesity rate. Conclusion High-risk block groups and towns have higher rates of child overweight/obesity and show shorter distances to physical activity resources. This study demonstrates that simply having physical activity structures in place is not enough to reduce child overweight/obesity and further research should examine the quality and usage patterns of these resources.

Mean distances in high-risk towns ranged from 0.61 to 3.15 miles compared to physical activity resources in low-risk towns, where distances ranged from 1.25 to 7.43 miles. For each additional mile to reach the closest indoor facility, there is a 0.41 (95% CI -0.78, -0.03) percentage point decrease in the child overweight/obesity rate. Conclusion High-risk block groups and towns have higher rates of child overweight/obesity and show shorter distances to physical activity resources. This study demonstrates that simply having physical activity structures in place is not enough to reduce child overweight/obesity and further research should examine the quality and usage patterns of these resources.Cri-du-chat (CdC) is a 5p chromosomal deletion syndrome. CdC has numerous systemic associations but only a few ocular manifestations have been documented. In this report we present novel ocular findings of peripheral avascular retina and retinal hemorrhages in a full-term female infant, born to non-consanguineous parents, who had clinical features of cri-du-chat syndrome and genetic confirmation. The retinal hemorrhages resolved. However, the temporal avascular retina in our full-term patient remained. Further analysis of the 5p locus showed 3 genes CTNND2, SEMA5A and SLC6A18 that not only fit our patient’s external phenotype and ophthalmoscopic findings of retinal hemorrhages, but were also key in proper ocular development and neurogenesis, suggesting a genetic contribution by the short-arm of chromosome 5 to proper retinal maturation. Given these findings and their association with cri-du-chat, special attention on screening examinations should include a thorough evaluation of retinal vascularization in CdC patients, even in full-term neonates.Two significant policy changes, one in the way people are put forward for kidney transplants and the other in the way in which kidneys are distributed to people on the waiting list, make the question of whether someone is too frail to receive a transplant all the more relevant, particularly in Rhode Island. An executive order signed by President Donald Trump1 stresses that efforts to treat kidney disease need to concentrate on providing more people with kidney transplants and increasing the number of organs transplanted rather than discarded. see more An effort to decrease waiting times for kidneys in large metropolitan areas2 potentially means that younger, more desirable kidneys will be shipped out of New England, leaving longer waiting times and less desirable organs for transplantation in our region. The net effect of these changes may mean that potential older or more frail recipients could be faced with accepting kidneys from older or less desirable donors or spend more time on the waiting list and never receive a credible kidney offer. This raises the specter of poor outcomes from marginally functioning kidneys transplanted into marginally functioning recipients or increased rates of death on the waiting list. While organ allocation policies are beyond the ability of transplant nephrologists in Rhode Island to change, we will need to assess patients more closely for signs of frailty and work with referring doctors to reverse frailty when possible so that patients can take advantage of a kidney transplant even if the organ isn’t ideal. This article will review the concept of frailty; how to asses it in general and in the context of a transplant evaluation; the risk of frailty in transplant outcomes and the benefits of transplant in reversing frailty; whether markers of frailty can be improved and whether that improves transplant outcomes.Background The consumption of sweetened drinks plays a major role in increasing the burden of diseases such as obesity and cardiovascular diseases. The prevalence rate of obesity and overweight individuals in Saudi Arabia has increased alarmingly among children over the past decade, revealing a crucial need the initiate and monitor effective prevention measures of obesity. Hence, this paper aims to measure the impact of sin taxes of sugar-sweetened beverages on the consumption level of such beverages in Saudi Arabia. Building enough evidence to guide other countries in the Eastern Mediterranean Region (EMR) on how to reduce the level of sugar intake consumption to reduce obesity and malnutrition has an impact on the economy as a whole. Methods The excise taxes on sugar-sweetened beverages were applied in 2017. The impact of this was measured using a time series data set that covered sales volumes of soft drinks in Saudi Arabia from 2010 to 2020. Results Sin taxes had a significant negative impact on the sales volume over the years.