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At least 19 recordsLinked to original sources

Distribution of Ixodes dammini (Acari: Ixodidae) in residential lawns on Prudence Island, Rhode Island.

The distribution of nymphal Ixodes dammini Spielman, Clifford, Piesman & Corwin in residential lawns was assessed by flagging on Prudence Island, RI. The number of ticks per sample was five times greater in lawns adjacent to woods than in lawns adjacent to other lawns. Relative tick abundance was negatively correlated with distance from the woods, but the decline was gradual. Spirochete prevalence in ticks did not differ among lawn types or at different distances from the woods. Therefore, barriers that keep people away from the wood edge probably lower the risk of acquiring Lyme disease, but there is still a risk. Even with physical barriers at lawn-wood edges, personal precautions to prevent tick bites should be followed.

Animals↗

Premarital rubella screening in Rhode Island.

Rhode Island law requires that rubella serological screening be done for most female marriage license applicants. To evaluate the effect of the law, 203 rubella-susceptible women detected through premarital screening over a four-month period in 1978 were surveyed. Of those responding, 37% had been immunized, 21% were pregnant or infertile, and 42% were eligible for immunization but had not received vaccine. Premarital immunization occurred most frequently when physicians advised and directly offered vaccine. A survey of primary care physicians indicated that 24% immunized none of their rubella-susceptible patients detected by premarital screening.

Adult↗

The Breast Cancer Screening Program in Rhode Island.

The Rhode Island Department of Health has undertaken a Breast Cancer Screening Program which incorporates assessment, policy development, and assurance functions, following the model proposed in the Institute of Medicine (IOM) report, The Future of Public Health. With the community's help, projects have been implemented to increase screening capacity with dedicated, state-of-the-art equipment, to increase screening accessibility, to publicize the need for mammography, and to minimize false test results. In the program's first 15 months, the proportion of women ages 40 and over who were screened with mammography according to current guidelines increased from 35 to 46 percent (from 38 to 49 percent among women ages 40-49; from 31 to 43 percent among women ages 50 and over), including 15 percent who received their first screening mammogram. Providers' recommendations and knowledge of screening guidelines were important in explaining first-time use. The Department plans to apply the IOM model in other program areas. Its adoption by others is urged.

Adult↗

Assessment of drug abuser treatment needs in Rhode Island.

BACKGROUND: Rhode Island's Division of Substance Abuse asked us to assess the State's drug treatment needs and make recommendations regarding its treatment system for the next three years. METHODS: We used a statewide telephone drug use survey of 5,176 households supplemented by drug-related hospital discharges, Division of Drug Control statistics, and interviews with providers, state officials, and out-of-state experts. Drug abuse was measured with items from the Diagnostic Interview Schedule. Abusers were asked if they were receiving or wanted to receive treatment. RESULTS: Survey responses, used to estimate the unmet need for drug treatment, indicated a need to triple drug treatment services. Regression models using survey data indicated that the treatment network was overly centralized in the Providence area. Interviews with state officials, clinicians, and out-of-state experts provided material for recommendations on reimbursement policy, treatment mix, quality assurance, and cost containment. CONCLUSIONS: The RI Department of Health's certificate-of-need program adopted our overall recommendation for tripling the drug treatment system as its guideline in evaluating proposals for new treatment facilities. With State funding of a new adolescent center and expansion of outpatient slots in the private sector, this recommendation has now been fully implemented.

Amphetamines↗

The epidemiology of work and work-related disease in Rhode Island, 1876-2001.

Most Rhode Island workers now work in service industries, though many workers continue to be exposed to the risks of goods production in the workplace. Most reported occupational death is related to transportation and homicide, although in Rhode Island in 1999, exposure to harmful substances or environments was a significant cause of Rhode Island's few occupationally related deaths. How much occupational and environmental exposure contributes to Rhode Island's heart disease and cancer mortality rates in unknown. Musculoskeletal injuries are the predominant form of reported non-fatal occupational injuries, but there are questions about the completeness and accuracy of data on occupational injury and death.

History, 19th Century↗

Mammography referral patterns among Rhode Island physicians.

In 1987, the Rhode Island Department of Health conducted a survey of Rhode Island primary care physicians to determine their attitudes and practices regarding breast cancer screening, particularly their use of clinical breast exam (CBE) and referral for screening mammography, and compared the data with information obtained from primary care physicians in the US in 1984 and 1989. The survey showed that the same percentage of Rhode Island physicians (71%) and physicians nationally (72%) agree with American Cancer Society (ACS) guidelines for breast cancer screening, but Rhode Island physicians refer for mammography (43 vs 37%) and perform CBE (97 vs 80%) according to ACS guidelines more frequently. Cost, reliability and availability were of greater concern to physicians nationally than in Rhode Island. Despite better use of breast cancer screening by Rhode Island physicians, only 43% reported referring for mammography according to guidelines. Since studies indicate that the recommendation of her physician is a key determinant of a woman's decision to have a screening mammogram, physician referral needs to increase in order to meet the Year 2000 Objectives of 80% for screening mammography for women 40 and older.

Adult↗