URI College Of Health Sciences Dean Gary Liguori RI .
IN THE N E WSURI College of Health Sciences Dean Gary Liguoriupdates ACSM’s “Guidelines for Exercise Testingand Prescription”– University of Rhode Island College ofHealth Sciences Dean GARY LIGUORI, PhD , is the leadeditor of the 11th edition of “ACSM’s Guidelines forExercise Testing and Prescription,” the flagship titlefrom the American College of Sports Medicine, whichsets the standards for the exercise profession. HealthSciences Associate Dean Deb Riebe edited the 10th edition of the book in 2017, for which Liguori served as anassociate editor.The book is updated every four to six years, deliveringthe latest evidence-based recommendations and guidelines. Liguori’s edition is due out in March 2021, with exercise standards expectedto be implemented in the fall. Liguori estimates he and his team of authors –including Riebe and Bryan Blissmer, director of the URI Institute for IntegratedHealth and Innovation – revised more than half the content in the book, includingupdating research with more relevant studies, deemphasizing antiquated exerciseadvice, and reflecting new techniques for measuring vital signs like ideal heart rate.“One notable suggestion we made is around people who have open heart surgery,” Liguori said. “Patients have typically been ordered to restrict arm movement for fear of reopening the incision. But really all the evidence says that youcan have arm movement; just be thoughtful about it. We’re not telling them to goout and do pushups or boxing the next day. But we’re really saying the evidenceshows, within limits, you don’t have to be so restricted.”Physical activity is also critical for brain health, the subject of a new, standalonechapter Liguori added to the Guidelines. It advocates the benefits of physical activity on everything from Parkinson’s and Alzheimer’s disease, to ADHD, depressionand anxiety.The benefits of high-intensity exercise, particularly in regard to various diseasestates like heart disease and high blood pressure, along with neurological disorders, continues to mount and is emphasized in this edition.“The mode of exercise is not so important; just that you’re really working hardfor a short burst of time,” Liguori said. “High intensity activity can be quite effective for a whole host of conditions. But really, any bout of activity, of any length,of any intensity, is helpful and absolutely better than no activity. If you sit at adesk all day, and you can get up periodically, even for just a minute or two to takea walk, that’s much better than not getting up at all throughout the day. The evidence is overwhelming that anything is helpful.”This is not the first book Liguori has worked on with the organization. In addition to serving as associate editor on the previous iteration, he has also served assenior editor on the first edition ACSM Resources for the Exercise Physiologist,and senior editor on the organization’s annual Health Related Physical FitnessAssessment Manual. Editing the “Guidelines for Exercise Testing and Prescription” was a particular honor for him, given the importance the text holds in theexercise, kinesiology, physical therapy industries and more.“I get a little chill when I think about being the editor,” Liguori said. “As astudent and a young professional, one of the things I looked forward to every fouror five years was when the new edition would come out, and seeing who was theteam that did the new version. I really looked up to those people and admiredthem. So for me, it is incredibly humbling. It’s something I never even imaginedwould be on my horizon.” vRI receives 70.4Mto expand COVID-19testing, vaccinedistribution effortsRIMJ ARCHIVES F E B R U A RY I S S U E W E B PA G E R I M SPHOTO COURTESY OF URIKINGSTONRhode Island has received an infusion of 70.4 million in federal funding to bolster the state’s coronavirustesting and vaccination programs,U.S. Senator Jack Reed announcedin a statement on January 25th.The Centers for Disease Control and Prevention (CDC) funding,from the COVID-19 emergencyrelief package signed into law inDecember 2020, was awarded to theRhode Island Department of Health(RIDOH), and will be used to expandCOVID-19 testing and vaccine distribution across the state, accordingto the statement from Sen. Reed.Nearly 61 million is allocated tosupport the state’s COVID-19 testing capacities, contact tracing andcontainment and mitigation efforts,while an additional 9.5 million willenhance vaccine distribution. vFEBRUARY 2021 RHODE ISL AND M EDICAL JOURNAL82
IN THE N E WSBrown researchers designing adverseevent monitoring system forpost-COVID-19 vaccination impactsin elderly nursing home residents– The National Institute on Aging (NIA) hasawarded a supplemental grant to Brown University Schoolof Public Health to design an adverse event monitoringsystem to identify adverse health impacts after receipt ofCOVID-19 vaccination by elderly nursing home residents.This new effort, a supplement to the 53.4M NIA IMPACTCollaboratory grant awarded to the School of Public Healthand Hebrew SeniorLife in September 2019, provides funding for the School to work with Genesis HealthCare (Genesis), one of the nation’s largest post-acute care providerswith more than 350 facilities across 25 states. Brown willmonitor the occurrence of adverse events following nursinghome residents’ receipt of a COVID-19 vaccine in facilities affiliated with Genesis. Since the beginning of the pandemic, Brown and Genesis have been working together tostudy data and uncover patterns that can be used to developinformed strategies to mitigate the impact of the pandemicin nursing homes.VINCENT MOR, PhD , lead investigator and Professor ofHealth Service, Policy and Practice in the School of Public Health, said “Nursing home residents constitute about40% of all deaths due to COVID in the nation, but makeup less than one half of one percent of the US population.Residents are in desperate need of protection from the virusbut no one as sick as a nursing home resident was enrolledin any of the vaccine trials.”This work is part of the Centers for Disease Control’seffort to establish Vaccine Adverse Event Monitoring Systems, particularly focused on the frail elderly who were notincluded in the vaccine trials.Mor added that “We don’t know how frail seniors willreact to the vaccine and it will roll out quickly once distribution begins. Under normal circumstances, we would notknow until most residents have been vaccinated if the rateof adverse events is higher than expected. Therefore, the‘real time’ adverse event monitoring system we are establishing cooperatively with the CDC and Genesis is uniqueand critically important to understand how frail seniorswill respond to the vaccines.”Additional local collaborations in this work include theRhode Island Quality Institute led by NEIL SARKAR, PhD ,president and chief executive officer, and Associate Professor of Medical Science at the Warren Alpert Medical Schoolof Brown University.The work is supported by the National Institute onAging of the National Institutes of Health under Award No.U54AG063546. vPROVIDENCERIMJ ARCHIVES F E B R U A RY I S S U E W E B PA G E R I M STrio of centenarian Navy veteransreceive COVID-19 vaccination– Three Rhode Island centenarian Navy Veterans of World War II received their initial doses of COVID19 vaccine at the Providence VA Medical Center on Jan. 20.105-year-old ARTHUR PRISCO , of Warwick, and 100-yearolds RAYMOND GANNON , of Pawtucket, and PETER RICCI ,of West Warwick, are three of the most recent recipientsof the Moderna COVID-19 vaccine at the Providence VAMedical Center’s COVID-19 Veteran Vaccination Clinic,PROVIDENCE100-year-old World War II Navy Veteran and Pawtucket residentRaymond Gannon, left, and 105-year- old World War II Navy Veteranand Warwick resident Arthur Prisco, after receiving their initial dose.[VA P R O V I D E N C E H C S P H OTO B Y K I M B E R L E Y D I D O N ATO ]100-year-old World WarII Navy Veteran and WestWarwick resident Peter Riccipoints to his bandage afterreceiving his initial dose ofthe Moderna COVID-19vaccine at the ProvidenceVA Medical Center, January20, 2021.[VA P R O V I D E N C E H C S P H OTOB Y W I N F I E L D DA N I E L S O N ]located in Building 32 on the main campus, 830 ChalkstoneAve. in Providence. In all, more than 700 Veterans enrolledwith the VA Providence Healthcare System have receivedthe vaccine.“Some people are refusing to get it,” said Ricci. “I say,what have you got to lose?”“We’re excited to be taking the offensive against thecoronavirus in 2021, offering the Moderna COVID-19 vaccine to our Veterans at highest risk of severe illness,” saidLAWRENCE CONNELL , director of the VA Providence HCS.“As vaccine supplies continue to arrive, our ultimate goalis to offer free COVID-19 vaccination to all enrolled Veterans and VA employees who want it.” vFEBRUARY 2021 RHODE ISL AND M EDICAL JOURNAL83
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IN THE N E WSLung Association Report: Rhode Island has mixed grades in ending tobacco useState earns F grade for prevention funding; D grade in new flavored tobacco category– This year’s “State ofTobacco Control” report from theAmerican Lung Association grades federal and state efforts to reduce tobaccouse and calls for meaningful policiesthat will prevent and reduce tobaccouse and save lives. The report finds thatRhode Island had mixed grades on itsefforts to reduce and prevent tobaccouse, earning an F grade for tobacco prevention and control funding and a Dgrade for flavored tobacco products.Tobacco use remains the nation’sleading cause of preventable death anddisease, taking an estimated 480,000lives every year. Much like COVID19, tobacco use and secondhand smokeexposure disproportionately impactscertain communities, including communities of color, LGTBQ Americans and persons of lower income.To address this critical public healththreat, “State of Tobacco Control”provides a roadmap for the federal andstate policies needed to prevent andreduce tobacco use.“In Rhode Island, our high schooltobacco use rate remains at 33.3%. Thesurge in youth vaping combined withthe fact that smoking increases thechance of severe COVID-19 symptoms,make it more important than ever forRhode Island to implement the provenmeasures outlined in ‘State of TobaccoControl’ to prevent and reduce tobaccouse,” said American Lung AssociationSenior Manager of Advocacy in RhodeIsland, DANIEL FITZGERALD .PROVIDENCERIMJ ARCHIVES Rhode Island’s Grades“State of Tobacco Control” 2021 gradesstates and the District of Columbia infive areas that have been proven to prevent and reduce tobacco use and savelives. Rhode Island received the following grades:1. Funding for State Tobacco PreventionPrograms – Grade F2. Strength of Smokefree Workplace Laws –Grade A3. Level of State Tobacco Taxes – Grade B4. Coverage and Access to Services to QuitTobacco – Grade C5. New: Ending the Sale of All FlavoredTobacco Products – Grade DThe report finds that while RhodeIsland has taken significant steps toreduce tobacco use, including prohibiting the sale of flavored e-cigarettesin the state, elected officials must domore to protect youth from all tobaccoproducts. With 1 in 5 teens vaping,children are becoming the next generation addicted to tobacco. Youth vaping and tobacco use overall is largelydriven by flavored tobacco products,and the 19th annual report has addeda new state grade calling for policiesto end the sale of all flavored tobaccoproducts, including menthol cigarettes,flavored e-cigarettes and flavoredcigars. Rhode Island received a D gradein this category, recognizing its progress in restricting flavored e-cigarettesin all locations, but calling for furtheraction prohibiting the sale all flavoredtobacco including menthol cigarettes.In 2019, about 8,000 kids began vaping every day – typically with flavoredF E B R U A RY I S S U E W E B PA G E R I M Se-cigarettes – setting them up for a lifetime of addiction to nicotine. Endingthe sale of flavored tobacco products,including menthol, will not only helpend youth vaping, but will also helpaddress the disproportionate impact oftobacco use and exposure to secondhand smoke on Black and Brown communities. Menthol cigarettes remaina key vector for tobacco-related deathand disease in Black communities,with nearly 85% of Black Americanswho smoke using them.“Kids follow the flavors and endingthe sale of all flavored tobacco productsin Rhode Island is key to ending theyouth e-cigarette epidemic and youthtobacco use overall. We call on legislators in Rhode Island to prohibit thesale of all flavored tobacco products,including menthol.” said Fitzgerald.The American Lung Association alsoencourages Rhode Island to increasefunding for prevention and controlfunding, equalize taxes for all tobaccoproducts, and prohibit the sale oftobacco products in pharmacies.“Despite receiving over 188 millionfrom tobacco settlement payments andtobacco taxes, Rhode Island only fundstobacco control efforts at 13.5% of thelevel recommended by the CDC. TheLung Association believes the fundsshould be used to support the healthof our communities, and to preventtobacco use and help smokers quit, andnot switch to e-cigarettes. These programs are also critical for helping toend tobacco-related health disparities,”said Fitzgerald. vFEBRUARY 2021 RHODE ISL AND M EDICAL JOURNAL85
IN THE N E WSBasal cell carcinoma chemopreventionVA trial funded– Researchers from VA healthcare systemsacross the country will participate in a basal cell carcinoma preventive medication trial that received a fundingdecision January 8.Study chair DR. MARTIN A. WEINSTOCK , Chief of Dermatology Researchfor the VA Providence Healthcare System, and professor of Dermatology andEpidemiology at Brown University, andco-chair DR. ROBERT DELLAVALLE ,Chief of Dermatology for the VA EasternColorado Health Care System, and professor of Dermatology and Public Healthat the University of Colorado School ofDr. Martin A. WeinstockMedicine, will research imiquimod, atopical medication with minimal sideeffects, as a preventive measure againstbasal cell carcinoma, known as BCC,which is the most common cancer inthe United States.The six-year, 34 million trial, fundedby the VA Cooperative Studies Program,will recruit more than 1,600 participants at 17 VA medical centers, including male and female veterans at highrisk for BCC. The study will follow parDr. Robert Dellavalleticipants actively for three years, withan additional year of passive follow-up.“This study is important for VA because active dutymilitary and Veterans are at higher risk for developing basalcell carcinoma,” said Weinstock. “If this trial finds thatimiquimod is successful at preventing BCC, it would fundamentally transform our approach to the disease.”BCC generally occurs on the face and requires surgery toavoid serious complications. If the medication proves effective, it may avoid these complications, reduce skin damageand scarring, and reduce the need for medical visits and theresulting costs, as well. In addition to evaluating effectiveness of the treatment, researchers will collect genetic material from some of the participants to determine factors thatmay indicate greater risk reduction and better tolerance ofimiquimod therapy, to help target therapy to those withgreater potential for BCC prevention from the medicationwith fewer bothersome side effects. vPROVIDENCERIMJ ARCHIVES F E B R U A RY I S S U E W E B PA G E R I M SCNE expands services in South CountyIncludes programs, clinics for behavioral health andaddiction issues, women’s healthcare, bariatricsCare New England has opened additional programs andclinics at its current South County location in SouthKingstown. Among the programs and services that havenow been expanded in South County are behavioral health,women’s healthcare and surgical weight loss.Butler Hospital programsTo offer care to people with behavioral health and addictionissues, Butler Hospital will offer recovery stabilization services to patients in South County and throughout RhodeIsland, at its new facility, located at 20 Commons CornerWay, Building 12 in Wakefield, RI. Programs include Intensive Outpatient Programs (IOP) for substance use, medication assisted therapy, early recovery groups, outpatienttherapy, and outpatient psychiatry.W&I, Kent women’s healthcare programsIn addition, in an effort to provide easy access to women’shealthcare, and to create a more comprehensive women’shealth center in South County, Women & Infants Hospital and Kent Hospital, is expanding breast health services,urogynecology, prenatal services and other programs in itsSouth County location.The Care New England Center for Health has opened aUrogynecology and Pelvic Floor clinic at 49 South CountyCommons Way in South Kingstown, to offer a full spectrum of women’s care to patients located in the southernpart of the state.The High Risk Breast Program offers such services asclose examination and imaging of higher density breasttissues, and other factors that may genetically increasechances of being affected by breast disease.Center for Surgical Weight LossAlso, recently, Care New England’s Center for SurgicalWeight Loss has opened an additional office at 49 SouthCounty Commons Way, where DR. JEANNINE GIOVANNI ,Director of Bariatric Surgery, and DR. LINDSAY TSE , bariatric surgeon, provide patients in South County with easieraccess to surgical weight loss consultation and treatment. vFEBRUARY 2021 RHODE ISL AND M EDICAL JOURNAL86
IN THE N E WSPartners in Primary Care joins South County Health as South County Primary CareDrs. Brian J. Pickett, Stephanie Krusz join South County Health Medical Staff– South County Health,along with BRIAN J. PICKETT, MD ,and STEPHANIE KRUSZ, MD , recentlyannounced that Partners in PrimaryCare, a two-physician primary carepractice located at 905 Pontiac Avenue in Cranston, is now part of theCRANSTONDr. Pickett and Dr. Krusz, along with theirstaff, stand next to the outdoor sign bearingthe practice’s new name at 905 Pontiac Ave.Dr. Pickett received his medical degree from Ross UniversitySchool of Medicine, Dominica,West Indies and completed hisresidency and internship at BrownUniversity/Memorial Hospital ofRhode Island. A board-certifiedphysician, he is currentlythe physician-in-chief forthe Rhode Island StatePolice, a position he has Dr. Brian J. PickettDr. Stephanie J. Kruszheld since 2002.Dr. Krusz, an Air Force vet“We are thrilled to welcome Dr.eran who served as GeneralPickett and Dr. Krusz to the SouthMedical Officer and MedicalCounty Health team,” said AARONDirector of Emergency SerROBINSON , President/CEO of Southvices at Hanscom Air ForceCounty Health. “These physicians areBase, Massachusetts, and Osanknown for their focus on the individualAir Force Base, South Korea,needs of their patients while bringingrespectively, is board-certia record of high-quality service. Theirfied in internal medicine. Sheapproach to medicine is a perfect matchreceived her medical degreefor the South County Health culture.from Brown University MediWe look forward to working with themcal School and completed resias they continue to serve the Cranstond
and senior editor on the organization’s annual Health Related Physical Fitness Assessment Manual. Editing the “Guidelines for Exercise Testing and Prescrip-tion” was a particular honor for him, given the importance the text holds in the exercise, kinesiology, physical therapy industries and more.
FILIPINO 5 Ikatlong Markahan Gawain Blg. 5 Uri ng Gawain: pagtatala ng konsepto/pagbuo ng mga salita Paksang Aralin: Kayarian ng pang-uri Inaasahan sa Pagkatuto: Nakikilala ang iba’t ibang kayarian ng pang-uri: payak, maylapi, inuulit, at tambalan Nakabubuo n
7 2. Kasanayang Panggramatika Talakayin ang paksa tungkol sa Kayarian ng Pang-uri. a. Payak ang pang-uri kung ito ay binubuo ng likas na salita lamang. Halimbawa: simple, payat, haba, bilog b. Maylapi ang pang-uri kung ito ay binubuo ng salitang ugat at panlapi. File Size: 1MB
The following table describes the basic URI patterns that the PowerStore Management REST API supports: Table 1. Basic patterns in the REST API URI pattern HTTP Operations Description Collection type resource URI /api
TORCH 04 10 Mo/F URI, 15DA Seizure, stuporous 80/28 WNL ND Spastic quadriplegia 05 5 Mo/M URI, 14DA Seizure, drowsy 36/35 WNL ND Recovered . 14 DA Stuporous to drowsy 66/21 WNL ND Drowsy to alert, increased DTR 10 28 Mo/M URI, 10DA Seizure, lethargic, 38/103 WNL Negative for HSV Alert, eye deviation . (arrows). C, D. Follow-up MR images .
Chapter Ⅳ The Development of the Health Sciences of Mind and Body Section 1. Mental Health Management and the Health Sciences of Mind and Body by Sueharu Tsutsui Section2. Health Promotion and the Health Sciences of Mind and Body by Takeshi Kawaguchi Section3. Life Culture and the Health Sciences of Mind and Body by Kiyoshi Aoki
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