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Unexpected problems in 29 percent of low-risk pregnancies

TUESDAY, June 9, 2015 (HealthDay News) -- Twenty-nine percent of pregnancies identified as low risk have unexpected complications necessitating nonroutine obstetric or neonatal care, according to a study published in the June issue of the American Journal of Obstetrics & Gynecology.

Valery A. Danilack, MPH, PhD, from the Brown University School of Public Health in Providence, R.I., and colleagues reported the risk of unexpected maternal and newborn complications among pregnancies without identified prenatal risk factors using U.S. natality data from 2011 through 2013. 

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(Distributed June 10, 2015)

Medicare Advantage copays are high for hospital, nursing care

L-R: Vincent Mor, Laura Keohane, and Amal TrivediL-R: Vincent Mor, Laura Keohane, and Amal TrivediA new study of the out-of-pocket costs seniors face for a long hospital stay followed by skilled nursing care found that Medicare Advantage plan holders, even if they had incomes just above the poverty level, typically had copays hundreds of dollars greater than the hospital deductible under traditional Medicare. The findings follow federal efforts to limit out-of-pocket costs in Medicare Advantage plans.

"Policymakers are very concerned about how much Medicare beneficiaries need to spend for essential medical services," said Dr. Amal Trivedi, associate professor of health services, policy and practice at Brown University and corresponding author of a new study in the June issue of the journal Health Affairs. "It's one of the goals of insurance — to protect people from large, catastrophic out-of-pocket expenses."

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(Distributed June 9, 2015)

Research published about unexpected complications of low-risk pregnancies

Dr. Maureen PhippsDr. Maureen PhippsWhen a woman becomes pregnant or is planning a pregnancy, one of her first decisions is where she will deliver her baby. With options ranging from birthing centers to small community hospitals to regional health networks to academic medical centers, the decision can be confusing. The question, especially for a woman with a low-risk pregnancy, is "What is the likelihood that something could go wrong?" 

(Distributed June 8, 2015)

Treating prisoners with methadone can reduce drug use, addiction, and crime

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Rhode Island is in the midst of an overdose epidemic. Dr. Josiah Rich, professor of medicine and epidemiology at Brown, believes part of the solution is looking at inmates who have been arrested for abusing narcotics and ensuring them treatment while they are incarcerated. Dr. Rich spoke to NBC 10 news about his research on treating prison imates with methadone rather than letting them fall back into addiction.

(Distributed June 1, 2015)

Amy Nunn weighs in on the new STD epidemic fueled by social media

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As social media apps like Tinder become more common, though, the Rhode Island Department of Health says rates of STDs have also risen. Numbers released this week are in line with national trends. Rhode Island saw an increase in STD cases from 2013 to 2014. Syphilis cases increased by 79 percent, with gonorrhea cases up by 30 percent and HIV cases up by nearly a third. The Department of Health says high-risk behaviors, including hookup apps, have contributed by encouraging high-risk, casual behavior.

(Distributed May 29, 2015)

Inmates cut off methadone less likely to seek it after release

Dr. Josiah RichDr. Josiah RichWhen people on methadone maintenance treatment (MMT) are incarcerated in the United States, they are almost always forced off of the addiction-controlling medicine. In a randomized trial led by researchers at Brown University and The Miriam Hospital, inmates allowed to stay on MMT while in jail proved much more likely to seek treatment after release than those whose treatment was interrupted. The lead author of the study was Dr. Josiah Rich, professor of medicine and epidemiology at Brown University and director of the Center for Prisoner Health and Human Rights at The Miriam Hospital.

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(Distributed May 29, 2015)

Injection Drug Use Fuels Rise In Hepatitis C Cases

Brandon MarshallBrandon MarshallThe rise in injection drug use across the country, especially the eastern U.S., is fueling an outbreak of hepatitis C. Outreach workers are offering clean needles and testing to contain the spread. Recently, an outbreak of HIV in southeastern Indiana drew the attention of public health experts, media and lawmakers. Most of the cases are linked to sharing needles to inject drugs. Injection drug use is also fueling an epidemic of hepititis C. Brandon Marshall, assistant professor of epidemiology at the School of Public Health, spoke to NPR about the growing threat of hepatitis C.

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(Distributed May 27, 2015)

Commencement 2015

Commencement 2015Commencement 2015Last Sunday – on a perfectly warm and blue-sky spring afternoon – family, friends, and faculty gathered to watch students from the School of Public Health graduate on the Ruth J. Simmons Quadrangle. The crowd erupted in cheer after cheer as names were called out and beaming newly-minted graduates crossed the stage. For the 112 students who graduated, it was the culmination of many years of hard work and rigorous study in the field of public health. 

View photos of the School of Public Health's 2015 commencement ceremony

(Distributed May 26, 2015)

Commencement forum: Maternal and Child Health – The importance of a great start!

Maureen Phipps and Stephen BukaMaureen Phipps and Stephen BukaCommencement weekend would not be complete without the annual School of Public Health forum.  This year did not disappoint, and on Saturday, May 23rd an interdisciplinary panel of faculty from the School of Public Health, Alpert Medical School, Hasbro Children's Hospital, and Women & Infants Hospital participated in Maternal and Child Health – The importance of a great start!  The panel of talented researchers vowed to make Rhode Island the healthiest place in the world for children. The forum highlighted just a portion of the important work being done by illustrating how maternal exposures, genetics, the physical environment and social experiences of children set the stage for health and development throughout early life. 

(Distributed May 26, 2015)

Five Questions With: Dr. Joan Teno

Dr. Joan TenoDr. Joan TenoDr. Joan Teno of the Brown University School of Public Health and Alpert Medical School spoke to Providence Business News about palliative treatment, end-of-life care, and hospice payment. Dr. Teno is professor of health services, policy, and practice and associate director of the Center for Gerontology and Health Care Research.

Read the interview here

(Distributed May 26, 2015)
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