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Australian Journal of Rural Health

Michelle Irving, Stephanie Short, Kylie Gwynne, Marc Tennant, Anthony Blinkhorn
OBJECTIVES: Dental issues are more prevalent for Aboriginal Australians, especially those living in rural/remote locations, but distribution of clinicians is favoured towards metropolitan areas and are not always culturally competent. This study aimed to document the experiences of dental clinicians who relocated to rural/remote communities to provide dental services to Aboriginal communities in an effort to redress these gaps. SETTING: Clinicians working in a new rural/remote dental service strategy to Aboriginal communities in Northern NSW...
December 23, 2016: Australian Journal of Rural Health
Shih-Chang Hung, Ching-Yi Mou, Hung-Chang Hung, Shih-Wei Lai, Chun-Chih Chen, Jui-Wen Lin, Ssu-Hung Wang, Chung-Kuang Chen, Kai-Chun Cheng
OBJECTIVE: Out-of-hospital cardiac arrest (OHCA) studies are usually conducted at metropolitan medical centres. Because rural studies are rare, our study aimed to assess non-traumatic OHCA prevalence and resuscitation outcomes in rural Taiwan. DESIGN: A retrospective observational study. SETTING: All seven designated community hospital emergency departments (ED) in Nantou County, Taiwan. PARTICIPANTS: All OHCA patients from May 2011 to March 2013...
December 23, 2016: Australian Journal of Rural Health
Cristian Udovicich, Kalpa Perera, Clinton Leahy
OBJECTIVE: Indigenous Australians have poorer health outcomes compared to the non-Indigenous population. Malnutrition, and subsequently iron-deficiency anaemia, impairs childhood development. The aim of this study was to identify the prevalence of anaemia in school-aged children of an Australian Indigenous community and evaluate the effectiveness of treatment. DESIGN: A retrospective cohort study. SETTING: A Northern Territory Indigenous community...
December 14, 2016: Australian Journal of Rural Health
Matthew R McGrail, Deborah J Russell
OBJECTIVE: The aim of this study was to explore the association between career stage and rural medical workforce supply among Australian-trained medical graduates. DESIGN AND SETTING: Descriptive analysis using the national Medicine in Australia: Balancing Employment and Life (MABEL) longitudinal study. PARTICIPANTS: Australian-trained GPs and other specialists who participated in the MABEL study, 2008-2013. MAIN OUTCOME MEASURE(S): Proportions of GPs and specialists working in rural locations, according to career stage (establishing, early, mid and late), gender and childhood-origin type (rural versus metropolitan)...
November 21, 2016: Australian Journal of Rural Health
Ann Roche, Alice McEntee
OBJECTIVE: This study investigated whether lifetime and recent methamphetamine use (including crystal methamphetamine) differed among city, regional and rural residents and whether particular subpopulations were more at-risk. DESIGN: Secondary analyses of the last three National Drug Strategy Household Surveys and corresponding Alcohol and Other Drug Treatment Services National Minimum Data Sets (AODTS NMDS). SETTING: Australian general population...
November 21, 2016: Australian Journal of Rural Health
Marita Chisholm, Bernadette Ward
No abstract text is available yet for this article.
November 20, 2016: Australian Journal of Rural Health
Heinrich C Weber, Philip F Robinson, Nicole Saxby, Sean A Beggs, Ingrid Els, Rodney I Ehrlich
INTRODUCTION: Although cystic fibrosis (CF) centre care is generally considered ideal, children living in regional Australia receive outreach care supported by the academic CF centres. METHODS: This is a retrospective database review of children with CF treated at the Royal Children's Hospital in Melbourne and its outreach clinics in Albury (Victoria), and Tasmania. The aim was to compare the outcomes of children with CF managed at an academic centre with that of outreach care, using lung function, nutritional status and Pseudomonas aeruginosa colonisation...
November 17, 2016: Australian Journal of Rural Health
Paul Edwards, Thea van de Mortel, John Stevens
OBJECTIVE: The Rock and Water Program (RWP) has been implemented in some Australian schools as a means of addressing school disengagement, anger and aggression, which are significant determinants of mental illness. However, much of the evidence supporting the RWP is anecdotal. This project explored rural adolescent males' perceptions of the RWP. DESIGN: Questionnaires were used to gather data about the students prior to their commencement in the RWP. Focus group interviews were conducted with students at weeks 5 and 9 of the 9-week program...
November 17, 2016: Australian Journal of Rural Health
Denese Playford, Ian B Puddey
OBJECTIVE: Rural exposure during medical school is associated with increased rural work after graduation. How much of the increase in rural workforce by these graduates is due to pre-existing interest and plans to work rurally and how much is related to the extended clinical placement is not known. DESIGN: This cohort study compared the employment location of medical graduates who professed no rural interest as undergraduates (negative control), with those who applied but did not participate in Rural Clinical School of Western Australia (RCSWA) (positive control), and those who applied and participated in RCSWA (participants)...
November 16, 2016: Australian Journal of Rural Health
(no author information available yet)
No abstract text is available yet for this article.
December 2016: Australian Journal of Rural Health
David Perkins
No abstract text is available yet for this article.
December 2016: Australian Journal of Rural Health
Fiona Brooke
No abstract text is available yet for this article.
December 2016: Australian Journal of Rural Health
Sean Taylor, Fintan Thompson, Robyn McDermott
OBJECTIVE: To explore self reported knowledge and attitudes to insulin treatment among a group of adults with poorly controlled diabetes in the Torres Strait islands. DESIGN: Cross-sectional survey in 2014, interviews with 29 adults with HbA1c ≥ 8.5% (69 mmol mol(-1) ) and not taking insulin, using Insulin Treatment Appraisal Scale (ITAS) and Barriers to Insulin Treatment Questionnaire (BITQ) scores. SETTING: Five remote Torres Strait Island communities in the Torres Strait region...
December 2016: Australian Journal of Rural Health
Linton R Harriss, Fintan Thompson, Arindam Dey, Jane Mills, Kerrianne Watt, Robyn McDermott
OBJECTIVE: To describe chronic conditions and injuries as a proportion of total emergency presentations to a large public hospital in regional Queensland, and to investigate differences in presentation rates associated with Indigenous status. DESIGN: Cross-sectional analysis using Emergency Department Information System data between 1 July 2012 and 30 June 2014. SETTING: Regional Queensland, Australia. PARTICIPANTS: A total of 95 238 emergency presentations were generated by 50 083 local residents living in the 10 statistical local areas (SLAs) immediately around the hospital...
December 2016: Australian Journal of Rural Health
Sean Taylor, Robyn McDermott
No abstract text is available yet for this article.
December 2016: Australian Journal of Rural Health
Dawn Whittall, Susan Lee, Margaret O'Connor
To review factors shaping volunteering in palliative care in Australian rural communities using Australian and International literature. Identify gaps in the palliative care literature and make recommendations for future research. A comprehensive literature search was conducted using Proquest, Scopus, Sage Premier, Wiley online, Ovid, Cochran, Google Scholar, CINAHL and Informit Health Collection. The literature was synthesised and presented in an integrated thematic narrative. Australian Rural communities...
December 2016: Australian Journal of Rural Health
Michelle Durst, Margaret Rolfe, Jo Longman, Sarah Robin, Beverley Dhnaram, Kathryn Mullany, Ian Wright, Lesley Barclay
OBJECTIVE: To describe the outcomes of a public hospital maternity unit in rural New South Wales (NSW) following the adaptation of the service from an obstetrician and general practitioner-obstetrician (GPO)-led birthing service to a low-risk midwifery group practice (MGP) model of care with a planned caesarean section service (PCS). DESIGN: A retrospective descriptive study using quantitative methodology. SETTING: Maternity unit in a small public hospital in rural New South Wales, Australia...
December 2016: Australian Journal of Rural Health
Shreya Verma, Matthias W Wichmann, Thomas Gunning, Eben Beukes, Guy Maddern
OBJECTIVE: The routine use of intraoperative cholangiogram (IOC) in laparoscopic cholecystectomy (LC) remains a contentious issue. IOC helps to delineate biliary tree anatomy, prevent bile duct injury and image stones in the common bile duct (CBD). It may prove to be a valuable alternative to ERCP or MRCP, especially in the rural setting with limited resources. DESIGN/SETTING/PARTICIPANTS/INTERVENTIONS/MAIN OUTCOME MEASURES: All patients undergoing laparoscopic cholecystectomy during a 12-month period were audited...
December 2016: Australian Journal of Rural Health
Li Ge, Kerstin Wikby, Mikael Rask
OBJECTIVE: This study explores beliefs about illness and health and self-care behaviour among women with gestational diabetes living in a rural area of the south east of China. DESIGN: A qualitative exploratory study using semi-structured interviews and qualitative content analysis. SETTING: A hospital located in the outskirts of a city in the south east of China. PARTICIPANTS: Seventeen women with gestational diabetes in 34-38th pregnant weeks...
December 2016: Australian Journal of Rural Health
Christine L Paul, Leon Piterman, Jonathan E Shaw, Catherine Kirby, Daniel Barker, Jennifer Robinson, Kristy L Forshaw, Kenneth A Sikaris, Alessandra Bisquera, Robert W Sanson-Fisher
OBJECTIVE: To indicate levels of monitoring of type 2 diabetes in rural and regional Australia by examining patterns of glycated haemoglobin (HbA1c) and blood lipid testing. DESIGN AND SETTING: Retrospective analysis of pathology services data from twenty regional and rural towns in eastern Australia over 24 months. PARTICIPANTS: Of 13 105 individuals who had either a single HbA1c result ≥7.0% (53 mmol mol(-1) ); or two or more HbA1c tests within the study period...
December 2016: Australian Journal of Rural Health
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