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Rural and Remote Health

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https://www.readbyqxmd.com/read/29778090/massive-pericardial-effusion-without-cardiac-tamponade-due-to-subclinical-hypothyroidism-hashimoto-s-disease
#1
Panteleimon E Papakonstantinou, Nikolaos Gourniezakis, Christos Skiadas, Alexandros Patrianakos, Achilleas Gikas
CONTEXT: Hypothyroidism is a significant cause of pericardial effusion. However, large pericardial effusions due to hypothyroidism are extremely rare. Hormone replacement therapy is the cornerstone of treatment for hypothyroidism and regular follow-up of patients after initiation of the therapy is indicated. Herein, the case of a 70-year-old woman with a massive pericardial effusion due to Hashimoto's disease is presented. ISSUES: A 70-year-old female from a rural village on the island of Crete, Greece, was admitted to our hospital due to a urinary tract infection...
May 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29778089/implications-for-faculty-development-for-emerging-clinical-teachers-at-distributed-sites-a-qualitative-interpretivist-study
#2
Julia Blitz, Marietjie De Villiers, Susan Van Schalkwyk
INTRODUCTION: Medical faculties have the responsibility to graduate competent health professionals and a consequent obligation to assure the quality and effectiveness of their students' clinical teaching. Many institutions are responding to rural workforce needs by extending clinical training from the traditional academic teaching hospital to include rural and remote sites distributed away from the central training institution. It is incumbent upon medical schools to consider how this might impact on the faculty development of these clinicians as teachers...
May 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29771570/how-primary-health-care-staff-working-in-rural-and-remote-areas-access-skill-development-and-expertise-to-support-health-promotion-practice
#3
Kathryn A McFarlane, Jenni Judd, Hylda Wapau, Nina Nichols, Kerrianne Watt, Sue Devine
INTRODUCTION: Health promotion is a key component of comprehensive primary health care. Health promotion approaches complement healthcare management by enabling individuals to increase control over their health. Many primary healthcare staff have a role to play in health promotion practice, but their ability to integrate health promotion into practice is influenced by their previous training and experience. For primary healthcare staff working in rural and remote locations, access to professional development can be limited by what is locally available and prohibitive in terms of cost for travel and accommodation...
May 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29742355/the-interaction-between-rural-urban-status-and-dual-use-status-among-veterans-with-heart-failure
#4
Kelly J Hunt, Mulugeta Gebregziahber, Charles J Everett, Paul A Heidenreich, Robert Neal Axon
INTRODUCTION: Dual healthcare system use is associated with higher rates of healthcare utilization, but the influence of rurality on this phenomenon is unclear. This study aimed to determine the extent to which rurality in the USA modifies the likelihood for acute healthcare use among veterans with heart failure (HF). METHODS: Using merged Veterans Affairs (VA), Medicare, and state-level administrative data, a retrospective cohort study of 4985 veterans with HF was performed...
May 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29738675/the-role-of-technology-and-telemetry-medicine-in-the-initial-management-of-a-st-segment-elevated-myocardial-infarction-in-a-rural-emergency-department
#5
Michael L Hood
CONTEXT: The 12-lead electrocardiogram (ECG) is an integral part of the diagnostic tools available for recognising a patient who is experiencing an ST-segment elevated myocardial infarction (STEMI). Consequently, a great emphasis is placed on the rapid acquisition and expert interpretation of the 12-lead ECG so that the appropriate reperfusion management might be commenced to optimise patient outcomes by preventing further damage to the myocardium. With the advancement of telemetric and diagnostic abilities of the modern ECG machine, the role of frontline rural emergency clinicians is as important as ever...
May 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29734813/place-of-origin-associated-with-depressive-symptoms-in-health-professionals-performing-social-health-service-in-ancash-peru-2015
#6
Renee Montesinos-Segura, Jesus Maticorena-Quevedo, Kocfa Chung-Delgado, Reneé Pereyra-Elías, Alvaro Taype-Rondan, Percy Mayta-Tristán
INTRODUCTION: Health professionals performing their social health service (SHS) in rural communities could be at risk of developing depression. Moreover, those who migrate from farther places to perform their SHS could have an increased risk. The objective of this study was to evaluate the association between place of origin and the presence of depressive symptoms, in health professionals performing rural social health service (SHS) in Ancash, Peru. METHODS: This was a cross-sectional study...
May 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29724107/mapping-the-interprofessional-education-landscape-for-students-on-rural-clinical-placements-an-integrative-literature-review
#7
Lorraine Walker, Merylin Cross, Tony Barnett
INTRODUCTION: Interprofessional collaboration and effective teamwork are core to optimising rural health outcomes; however, little is known about the opportunities available for interprofessional education (IPE) in rural clinical learning environments. This integrative literature review addresses this deficit by identifying, analysing and synthesising the research available about the nature of and potential for IPE provided to undergraduate students undertaking rural placements, the settings and disciplines involved and the outcomes achieved...
May 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29724108/wiisokotaatiwin-development-and-evaluation-of-a-community-based-palliative-care-program-in-naotkamegwanning-first-nation
#8
Shevaun Nadin, Maxine Crow, Holly Prince, Mary Lou Kelley
INTRODUCTION: Approximately 474 000 Indigenous people live in 617 First Nations communities across Canada; 125 of those communities are located in Ontario, primarily in rural and remote areas. Common rural health challenges, including for palliative care, involve quality and access. The need for culturally relevant palliative care programs in First Nations communities is urgent because the population is aging with a high burden of chronic and terminal disease. Because local palliative care is lacking, most First Nations people now leave their culture, family and community to receive care in distant hospitals or long-term care homes...
April 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29706083/urban-suburban-differences-in-gp-requests-for-lumbosacral-spine-radiographs-in-a-primary-healthcare-centre-in-malta
#9
Glorianne Pullicino, Philip Sciortino, Sean Francalanza, Paul Sciortino, Richard Pullicino
INTRODUCTION: Due to demographic changes, growing demands, technological developments and rising healthcare costs, analysis of resources in rural and urban primary care clinics is crucial. However, data on primary care provision in rural and suburban areas are lacking. Moreover, health inequities in small island communities tend to be reduced by social homogeneity and an almost indiscernible urban-rural difference. The aim of the study was to examine the urban-suburban differences in the indications for lumbosacral spine radiographs in a public primary healthcare centre in Malta...
April 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29698611/selenium-deficiency-in-mineral-rich-mid-western-australia
#10
Venkata Kodali
CONTEXT: Selenium is an essential micronutrient for human beings. Selenoproteins play a role in anti-oxidation and in maintaining immunity. Selenoproteins are distributed in all tissues, the most important of which are glutathione peroxidase, thioredoxin reductase and deiodinases. The deiodinases are selenium-dependent enzymes. ISSUES: An elderly man with lethargy and tiredness who had normal free thyroid hormone T4, thyroid-stimulating hormone and a low T3 with subnormal temperature and low selenium level...
April 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29665695/women-in-rural-family-medicine-a-qualitative-exploration-of-practice-attributes-that-promote-physician-satisfaction
#11
Carol Hustedde, Heather Paladine, Andrea Wendling, Rupa Prasad, Orlando Sola, Sarah Bjorkman, Julie Phillips
INTRODUCTION: The USA needs more rural physicians. Although women represent half of all US trained medical students, the rural physician workforce has remained predominantly male. Insight is needed into what makes rural practice attractive for women and which practice characteristics allow women physicians to practice successfully in rural areas. This study's purpose was to examine aspects of the practice environment that impact women physicians' professional satisfaction and commitment to rural medicine...
April 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29656652/oral-health-disparities-among-adolescents-from-urban-and-rural-communities-of-central-chile
#12
Rodrigo A Giacaman, Ivonne P Bustos, Paulina Bazán, Rodrigo J Mariño
PURPOSE: Rural populations may be at increased risk for prevalent oral diseases. The aim of this study was to compare oral health status of adolescents of rural and urban areas from central Chile. METHODS: A representative sample of 552 and 486 adolescents aged 12 and 15 years, respectively, was examined using WHO methods. Adolescents were chosen from schools belonging to urban and rural districts of the region. Caries status was obtained by decayed, missing, filled teeth (DMFT) and significant caries (SiC) indexes...
April 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29655365/facilitators-of-community-participation-in-an-aboriginal-sexual-health-promotion-initiative
#13
Alana Hulme Chambers, Jane Tomnay, Kylie Stephens, Alan Crouch, Mary Whiteside, Pettina Love, Leonie McIntosh, Peter Waples Crowe
INTRODUCTION: Community participation is a collaborative process aimed at achieving community-identified outcomes. However, approaches to community participation within Aboriginal health promotion initiatives have been inconsistent and not well documented. Smart and Deadly was a community-led initiative to develop sexual health promotion resources with young Aboriginal people in regional Victoria, Australia. The principles of community-centred practice, authentic participatory processes and respect for the local cultural context guided the initiative...
April 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29655364/incidence-and-characteristics-of-low-speed-vehicle-run-over-events-in-rural-and-remote-children-aged-0-14-years-in-queensland-an-11-year-1999-2009-retrospective-analysis
#14
Bronwyn R Griffin, Roy M Kimble, Kerrianne Watt, Linda Shields
INTRODUCTION: The main objective of this study is to describe incidence rates of low-speed vehicle run-over (LSVRO) events among children aged 0-14 years residing in Queensland from 1999 to 2009. A second objective was to describe the associated patterns of injury, with respect to gender, age group, severity, characteristics (host, vehicle and environment), and trends over time in relation to geographical remoteness. Final results are hoped to inform prevention policies. METHODS: In this statewide, retrospective, population-based study, data were collected on LSVRO events that occurred among children aged 0-14 years in Queensland from 1999 to 2009 from all relevant data sources across the continuum of care, and manually linked to obtain the most comprehensive estimate possible of the magnitude and nature of LSVRO events to date...
April 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29614863/implementation-of-an-expanded-scope-of-practice-physiotherapist-role-in-a-regional-hospital-emergency-department
#15
Donna Goodman, Desley Harvey, Tania Cavanagh, Rebecca Nieman
INTRODUCTION: The aim of the present study was to describe the implementation of an expanded-scope physiotherapy service in a regional hospital emergency department (ED) in Australia and discuss the lessons learnt in terms of long-term sustainability of these roles in regional areas. METHODS: The existing ED advanced physiotherapist was trained in extended scope of practice skills. For sustainability, a senior physiotherapist was recruited to develop further ED practice skills through a locally developed professional development package and ultimately be eligible to complete extended-scope training...
April 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29580062/service-user-preferences-for-diabetes-education-in-remote-and-rural-areas-of-the-highlands-and-islands-of-scotland
#16
Jenny Hall, Fiona Skinner, Phil Tilley, Sandra MacRury
INTRODUCTION: Diabetes prevalence in Scotland is 5.3%, with type 2 diabetes accounting for 86.7% of all cases in the National Health Service Highlands health board area and 85.7% in the Western Isles. Structured education is a key component in the management of this chronic disease. However, current group session models are less feasible in lower-population non-urban environments due to distance, participant numbers and access to appropriately trained healthcare professionals. Group sessions may also be a less attractive option in small communities, where people tend to have close day-to-day personal contact...
March 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29548259/does-rural-generalist-focused-medical-school-and-family-medicine-training-make-a-difference-memorial-university-of-newfoundland-outcomes
#17
James Rourke, Shabnam Asghari, Oliver Hurley, Mohamed Ravalia, Michael Jong, Wendy Graham, Wanda Parsons, Norah Duggan, Danielle O'Keefe, Scott Moffatt, Katherine Stringer, Carolyn Sturge Sparkes, Janelle Hippe, Kristin Harris Walsh, Donald McKay, Asoka Samarasena
INTRODUCTION: Rural recruitment and retention of physicians is a global issue. The Faculty of Medicine at Memorial University of Newfoundland, Canada, was established as a rural-focused medical school with a social accountability mandate that aimed to meet the healthcare needs of a sparse population distributed over a large landmass as well as the needs of other rural and remote areas of Canada. This study aimed to assess whether Memorial medical degree (MD) and postgraduate (PG) programs were effective at producing physicians for their province and rural physicians for Canada compared with other Canadian medical schools...
March 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29548258/from-pipelines-to-pathways-the-memorial-experience-in-educating-doctors-for-rural-generalist-practice
#18
James Rourke, Shabnam Asghari, Oliver Hurley, Mohamed Ravalia, Michael Jong, Wanda Parsons, Norah Duggan, Katherine Stringer, Danielle O'Keefe, Scott Moffatt, Wendy Graham, Carolyn Sturge Sparkes, Janelle Hippe, Kristin Harris Walsh, Donald McKay, Asoka Samarasena
CONTEXT: This report describes the community context, concept and mission of The Faculty of Medicine at Memorial University of Newfoundland (Memorial), Canada, and its 'pathways to rural practice' approach, which includes influences at the pre-medical school, medical school experience, postgraduate residency training, and physician practice levels. Memorial's pathways to practice helped Memorial to fulfill its social accountability mandate to populate the province with highly skilled rural generalist practitioners...
March 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29522688/transformation-of-medical-education-through-decentralised-training-platforms-a-scoping-review
#19
Motlatso Mlambo, Abigail Dreyer, Rainy Dube, Nontsikelelo Mapukata, Ian Couper, Richard Cooke
INTRODUCTION: Medical education in South Africa is facing a major paradigm shift. The urgency to increase the number of suitable, qualified and socially accountable health sciences graduates has brought to the fore the need to identify alternative training platforms and learning environments, often in rural areas. Subsequently, the focus has now shifted towards strengthening primary health care and community based health services. This scoping review presents a synopsis of the existing literature on decentralized training platform (DTP) strategies for medical education internationally, outlining existing models within it and its impact...
March 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29522687/remote-and-rural-student-placement-in-the-shetland-islands-a-reflective-essay-with-a-focus-on-accident-and-emergency-care
#20
Louise Polson
No abstract text is available yet for this article.
March 2018: Rural and Remote Health
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