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Rural and Remote Health

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https://www.readbyqxmd.com/read/28201922/diagnosis-of-osteoporosis-in-rural-arctic-greenland-a-clinical-case-using-plain-chest-radiography-for-secondary-prevention-and-consideration-of-tools-for-primary-prevention-in-remote-areas
#1
Inuuteq Fleischer, Louise K Schæbel, Nadja Albertsen, Vibeke N Sørensen, Stig Andersen
CONTEXT: Osteoporosis is a frequent disease in many populations. The hallmark is fragility fractures, which are harbingers of future fractures, disability, mortality and cost on society. The occurrence increases with age, low vitamin D level and smoking. Smoking rates are high, vitamin D is low and life expectancy is rising steeply in Greenland, as is the need for focus on osteoporosis. We report a case that uses a simple and readily available tool to diagnose osteoporosis at the hospital in Sisimiut, a town of 5000 inhabitants on the west coast of Greenland...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28190366/predictors-of-remote-practice-location-in-the-first-seven-cohorts-of-james-cook-university-mbbs-graduates
#2
Torres Woolley, Tarun Sen Gupta, Maria Bellei
INTRODUCTION: This article describes factors predicting James Cook University (JCU) medical graduates undertaking at least 1 year of remote practice. The cross-sectional design involved point-in-time (2015) analysis of the JCU medical school's ongoing longitudinal graduate tracking database. Participants were the first seven cohorts of graduates from the JCU medical school who had completed at least their postgraduate year (PGY) 4 in Australia (<i>n</i>=529); that is, PGY 4 to PGY 10 graduates...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28186825/balancing-safety-and-harm-for-older-adults-with-dementia-in-rural-emergency-departments-healthcare-professionals-perspectives
#3
Kathleen F Hunter, Belinda Parke, Maureen Babb, Dorothy Forbes, Laurel Strain
INTRODUCTION: The emergency department (ED) is a potentially harmful environment for older adults with dementia, and rural EDs face unique challenges in providing care to this population. The purpose of this study was to understand safety and harm in rural ED transitional care for community dwelling older adults with dementia from the perspective of healthcare professionals (HCPs). METHODS: An interpretive, descriptive exploratory design from a social ecological perspective was used...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28135803/remote-eye-care-screening-for-rural-veterans-with-technology-based-eye-care-services-a-quality-improvement-project
#4
April Y Maa, Barbara Wojciechowski, Kelly Hunt, Clara Dismuke, Rabeea Janjua, Mary G Lynch
CONTEXT: Veterans are at high risk for eye disease because of age and comorbid conditions. Access to eye care is challenging within the entire Veterans Hospital Administration's network of hospitals and clinics in the USA because it is the third busiest outpatient clinical service and growing at a rate of 9% per year. ISSUE: Rural and highly rural veterans face many more barriers to accessing eye care because of distance, cost to travel, and difficulty finding care in the community as many live in medically underserved areas...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28135802/determining-the-reach-and-capacity-of-rural-and-regional-aboriginal-community-food-programs-in-victoria
#5
LETTER
Michelle L Gooey, Jennifer Browne, Sharon Thorpe, Liza Barbour
No abstract text is available yet for this article.
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28125267/strengthening-the-rural-dietetics-workforce-examining-early-effects-of-the-northern-ontario-dietetic-internship-program-on-recruitment-and-retention
#6
Mary Ellen Hill, Denise Raftis, Pamela Wakewich
INTRODUCTION: As with other allied health professions, recruitment and retention of dietitians to positions in rural and isolated positions is challenging. The aim of this study was to examine the early effects of the Northern Ontario Dietetic Internship Program (NODIP) on recruitment and retention of dietitians to rural and northern dietetics practice. The program is unique in being the only postgraduate dietetics internship program in Canada that actively selects candidates who have a desire to live and work in northern and rural areas...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28092967/disparities-in-dental-health-of-rural-australians-hospitalisation-rates-and-utilisation-of-public-dental-services-in-three-communities-in-north-queensland
#7
Karen Carlisle, Sarah Larkins, Felicity Croker
INTRODUCTION: The oral health of rural Australians continues to lag behind that of those living in metropolitan areas. Research has shown that people living in rural areas are more likely to suffer from dental caries (decay), visit the dentist less often and have poorer access to oral health services. The purpose of the study was to examine hospitalisations for dental conditions and utilisation of public dental services in three rural communities in Queensland compared with the whole of Queensland...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28092966/avian-influenza-prevalence-among-hunter-harvested-birds-in-a-remote-canadian-first-nation-community
#8
Eric N Liberda, Richard Meldrum, Nadia A Charania, Robert Davey, Leonard Js Tsuji
INTRODUCTION: Avian influenza virus (AIV) prevalence has been associated with wild game and other bird species. The contamination of these birds may pose a greater risk to those who regularly hunt and consumed infected species. Due to resident concerns communicated by local Band Council, hunter-harvested birds from a remote First Nation community in subArctic Ontario, Canada were assessed for AIV. Hunters, and especially those who live a subsistence lifestyle, are at higher risk of AIV exposure due to their increased contact with wild birds, which represent an important part of their diet...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28092965/a-national-analysis-of-dental-waiting-lists-and-point-in-time-geographic-access-to-subsidised-dental-care-can-geographic-access-be-improved-by-offering-public-dental-care-through-private-dental-clinics
#9
Yevgeni Dudko, Estie Kruger, Marc Tennant
INTRODUCTION: Australia is one of the least densely populated countries in the world, with a population concentrated on or around coastal areas. Up to 33% of the Australian population are likely to have untreated dental decay, while people with inadequate dentition (fewer than 21 teeth) account for up to 34% of Australian adults. Historically, inadequate access to public dental care has resulted in long waiting lists, received much media coverage and been the subject of a new federal and state initiative...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28012447/health-promotion-and-empowerment-in-henganofi-district-papua-new-guinea
#10
Richard Barcham, Esther Silas, Jesse Irie
Evidence shows that the government of Papua New Guinea is failing to provide basic services in health to the majority of its people. Local non-government organisations (NGOs), partnered with international NGOs, are attempting to fill this gap. With limited resources, these small Indigenous organisations must focus much of their effort on training that supports self-reliance as the main strategy for communities to improve their quality of life. This project explored the training content and methodology of Touching The Untouchables (TTU), a small Indigenous NGO based in Goroka, Eastern Highlands Province, that has trained a network of village volunteers in health promotion and safe motherhood...
October 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/28006923/solutions-to-physician-undersupply-in-rural-areas-from-the-experience-of-rural-fukushima
#11
LETTER
Kana Yamamoto, Akihiko Ozaki, Tetsuya Tanimoto, Claire Leppold, Yukio Kanazawa
<b>Key words:</b> Fukushima nuclear accident, health care facilities, health education, Japan, manpower and services.
October 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/27978763/rural-health-service-planning-the-need-for-a-comprehensive-approach-to-costing
#12
Jude A Kornelsen, Lesley Barclay, Stefan Grzybowski, Yu Gao
The precipitous closure of rural maternity services in industrialized countries over the past two decades is underscored in part by assumptions of efficiencies of scale leading to cost-effectiveness. However, there is scant evidence to support this and the costing evidence that exists lacks comprehensiveness. To clearly understand the cost-effectiveness of rural services we must take the broadest societal perspective to include not only health system costs, but also those costs incurred at the family and community levels...
October 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/27951725/health-concerns-associated-with-unconventional-gas-mining-in-rural-australia
#13
Melissa R Haswell, Anna Bethmont
CONTEXT: Many governments globally are investigating the benefits and risks associated with unconventional gas mining for shale, tight and coal seam gas (coalbed methane) to determine whether the industry should proceed in their jurisdiction. Most locations likely to be developed are in rural areas, with potential impact on farmers and small communities. Despite significant health concerns, public health knowledge and growing evidence are often overlooked in decision-making. It is difficult to gain a broad but accurate understanding of the health concerns for rural communities because the evidence has grown very recently and rapidly, is complex and largely based in the USA, where the industry is advanced...
October 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/27927013/evaluation-of-reproductive-health-criteria-in-seasonal-agricultural-workers-a-sample-from-eskisehir-turkey
#14
Tugce Koyuncu, Selma Metintas, Emine Ayhan, Fatih Oz, Necati Bugrul, Mehmet E Gokler
INTRODUCTION: The aim of the present study was to determine reproductive health outcomes of seasonal agricultural female workers in rural areas of Eskisehir, Turkey, and to compare such identified outcomes with the country-wide data. METHODS: Data in respect of this cross-sectional study were collected during a field visit in July 2012. The study group was formed by all of the distribution camps located in rural areas of Eskisehir. Each tent was considered as a domestic dwelling and the census method was used...
October 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/27893947/challenges-in-the-uptake-of-telemedicine-in-dentistry
#15
Mohamed Estai, Estie Kruger, Marc Tennant, Stuart Bunt, Yogesan Kanagasingam
With the availability of oral care services very unevenly distributed in rural or remote areas, underserved people seek oral care from non-dental care providers. Against this backdrop, and coupled with the decreasing cost of and innovations in technology, there is a growing interest in the adoption of telemedicine services. Regardless of the lack of good-quality evidence supporting the cost-effectiveness of telemedicine, evidence already indicates that telemedicine, even with extra costs, helps in reducing the inequalities in the provision of primary health care...
October 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/27884057/patient-perceptions-of-a-virtual-health-room-installation-in-rural-sweden
#16
Simon Näverlo, Dean B Carson, Anette Edin-Liljegren, Mirjam Ekstedt
INTRODUCTION: The Virtual Health Room (VHR) is an ehealth initiative in the village of Slussfors in northern Sweden. Construction of VHRs in other locations is taking place, and the Centre for Rural Medicine in the Västerbotten County Council primary care department has implemented a VHR evaluation framework. This research focuses on evaluation of patient perceptions of the usability of the VHR and its contribution to their health care. METHODS: Nineteen of the 25 unique users of the VHR during 2014/15 completed a survey asking about their attitudes to their own health (using the 13-question version of the Patient Activation Measure (PAM)), their demographic attributes, and their satisfaction with their visit to the VHR...
October 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/27884056/community-assets-and-capabilities-to-recruit-and-retain-gps-the-community-apgar-questionnaire-in-rural-victoria
#17
Daniel R Terry, Ed Baker, David F Schmitz
INTRODUCTION: Rural communities continue to experience significant challenges recruiting and retaining physicians. The Community Apgar Questionnaire (CAQ) was developed in Idaho in the USA to comprehensively assess the characteristics associated with successful recruitment and retention of rural physicians. The CAQ has been utilised and validated across the USA; however, its value in rural Australia has not been examined. The objective of this study was to use the CAQ in rural Australia to examine its utility and develop a greater understanding of the community factors that impact general practitioner (GP) recruitment and retention...
October 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/27871180/prescription-opioid-prescribing-use-misuse-harms-and-treatment-among-aboriginal-people-in-canada-a-narrative-review-of-available-data-and-indicators
#18
Cayley Russell, Michelle Firestone, Len Kelly, Christopher Mushquash, Benedikt Fischer
INTRODUCTION: Prescription opioid (PO) misuse and related harms are high in Canada, and a major public health challenge. In Canada, 1.4 million individuals (4.3% of the total population) self-identify as Aboriginal, among whom substance use and related harms are elevated. While there are reports of PO use and associated problems among Aboriginal groups, no comprehensive data review currently exists. METHODS: A review of available data sources (ie journal publications, public reports and 'grey' literature) was conducted following principles of a scoping review...
October 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/27871179/validating-competencies-for-an-undergraduate-training-program-in-rural-medicine-using-the-delphi-technique
#19
Eneline Ah Gouveia, Taciana D Braga, Sandra A Heráclio, Bruno Henrique S Pessoa
INTRODUCTION: Worldwide,<b> </b>half the population lives in rural or remote areas; however, less than 25% of doctors work in such regions. Despite the continental dimensions of Brazil and its enormous cultural diversity, only some medical schools in this country offer students the opportunity to acquire work experience focused on medicine in rural or remote areas. The objective of the present study was to develop a framework of competencies for a longitudinal medical training program in rural medicine as an integrated part of medical training in Brazil...
October 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/27865212/changes-in-the-oral-health-of-the-children-of-dili-timor-leste-between-2002-and-2014
#20
Lucio F Babo Soares, Penny L Allen, Jenna Kingi, Kaye Roberts-Thomson, Silvana Bettiol, Leonard Crocombe
INTRODUCTION: This research compared the oral health status of school children in Dili (the capital of Timor Leste) in 2002 and 2014. METHODS: The 2014 oral health survey of Dili's children replicated the methods of an AusAID-supported oral health survey conducted in 2002. Equal numbers of children were invited to participate from four age groups (6-8, 9-11, 12-14 and 15-17 years). For the 2014 survey, the subdistricts of Dom Aleixo, Cristo Rei, Metinaro and Vera Cruz were randomly selected for inclusion...
October 2016: Rural and Remote Health
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