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https://www.readbyqxmd.com/read/28853532/-notes-from-a-six-months-volunteer-mission-as-medical-staff-in-a-district-hospital-in-uganda
#1
Reut Harel, Eitan Miron, Ronen Stoff, Yahel Segal
In December 2014 my husband and I flew for a stay of six months in Uganda. We went there in order to volunteer in the district hospital of Kiboga, one of the most impoverished districts of this poverty stricken country. A district in which over 60% of the population lives off less than a dollar and twenty five cents a day, in which the average life expectancy is 46.7 years (9.1 years lower than the national average expectancy). Kiboga's district hospital serves the 300,000 residents of the district, of whom 20,000 live in the district capital, while the rest are mainly farmers and cattle keepers, scattered in small villages that have limited and weather-dependent access...
August 2017: Harefuah
https://www.readbyqxmd.com/read/28827941/analytical-study-of-short-and-long-term-results-of-home-based-palliative-care-services-to-cancer-patients
#2
Dhritiman Datta, Gautam Majumdar, Shiromani Debbarma, Badan Janapati, Amit Kumar Datta
AIMS AND OBJECT: Identification and selection of patients suffering from terminal stage in bed ridden condition upto village level and to determine the type of palliative care need. Also to asses the effectiveness of the palliative care provided at the bed side. MATERIALS: All registered patients under palliative care of Regional Cancer Centre, Agartala from 2014 April to 2016 March. METHODS: A retrospective study. Ten teams comprising of doctors, nurses, pharmacists & Social Workers were trained and engaged in this study for symptom assessment and pain relief of palliative patients...
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28805702/study-on-the-status-of-health-service-utilization-among-caregivers-of-left-behind-children-in-poor-rural-areas-of-hunan-province-a-baseline-survey
#3
Meimei Ji, Yefu Zhang, Jiaojiao Zou, Tong Yuan, Amber Tang, Jing Deng, Lina Yang, Mingzhi Li, Jihua Chen, Hong Qin, Qian Lin
BACKGROUND: The caregivers of left-behind children (CLBC) in China's poor, rural areas are mostly elderly and women. Their health status and access to health services have not been previously characterized. This study aims to explore the status of CLBC in terms of their health service utilization and to provide a scientific basis for guiding effective implementation of health policy in rural Hunan. METHODS: Random cluster sampling was used to survey CLBC in two rural counties...
August 12, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28768670/self-medication-complicating-pseudo-membranous-conjunctivitis
#4
Prabhakar Singh, Sushank Bhalerao, Padmaja Kumari Rani
We aim to highlight the prevalence of using local medications for curing eye ailments in a rural population and the harmful consequence of resultant disease, ranging from something as mild as conjunctivitis to sight-threatening conditions. This case report will address one such incidence where in a local village, the doctor known as a registered medical practitioner) in the rural community, uses local remedies for his conjunctivitis and ends up in a condition where he cannot see anything beyond perceiving light...
August 2, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28711838/depressive-symptoms-and-correlates-among-village-doctors-in-china
#5
Ling-Xi Gu, Jie Chu, Zhen-Biao Qi, Cun-Xian Jia
BACKGROUND: Village doctors are primary care physicians at the grass root-level of rural medical and health institutions in China. Their depression can increase medical errors and affect quality of medical care services. This study aims to examine depressive symptoms and their correlates among Chinese village doctors. METHODS: A total of 616 village doctors were recruited from Zoucheng County of Shandong province. The Center for Epidemiologic Studies Depression Scale (CES-D), the Duke Social Support Index (DSSI) and the Simplified Coping Style Questionnaire (SCSQ) were used to measure depressive symptoms in the last week, social support and coping styles, respectively...
August 2017: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/28702204/exploring-the-status-of-retail-private-drug-shops-in-bangladesh-and-action-points-for-developing-an-accredited-drug-shop-model-a-facility-based-cross-sectional-study
#6
Syed Masud Ahmed, Nahitun Naher, Tarek Hossain, Lal Bahadur Rawal
BACKGROUND: The private retail drug shops market in Bangladesh is largely unregulated and unaccountable, giving rise to irrational use of drugs and high Out-of-pocket expenditure on health. These shops are served by salespersons with meagre or no formal training in dispensing. METHOD: This facility-based cross-sectional study was undertaken to investigate how the drug shops currently operate vis-a-vis the regulatory regime including dispensing practices of the salespersons, for identifying key action points to develop an accredited model for Bangladesh...
2017: Journal of Pharmaceutical Policy and Practice
https://www.readbyqxmd.com/read/28702176/monitoring-and-evaluating-the-adherence-to-a-complementary-food-supplement-ying-yang-bao-among-young-children-in-rural-qinghai-china-a-mixed-methods-evaluation-study
#7
Qiong Wu, Yanfeng Zhang, Suying Chang, Wei Wang, Michelle Helena van Velthoven, Huijun Han, Min Xing, Li Chen, Xiaozhen Du, Robert W Scherpbier
BACKGROUND: Large investments are currently made in community-based complementary food supplement (Ying Yang Bao, YYB) programs to improve nutrition of young children in rural areas in China. However, there is a lack of knowledge about the experience and challenges of implementing YYB programs in China. We aimed to: 1) monitor distribution of YYB; 2) assess children's adherence to and acceptability of YYB; and 3) evaluate community-based strategies to improve the program. METHODS: This mixed methods evaluation study combined data from surveys and focus groups that took place during a controlled interventional evaluation trial...
June 2017: Journal of Global Health
https://www.readbyqxmd.com/read/28666444/development-of-village-doctors-in-china-financial-compensation-and-health-system-support
#8
REVIEW
Dan Hu, Weiming Zhu, Yaqun Fu, Minmin Zhang, Yang Zhao, Kara Hanson, Melisa Martinez-Alvarez, Xiaoyun Liu
BACKGROUND: Since 1968, China has trained about 1.5 million barefoot doctors in a few years' time to provide basic health services to 0.8 billion rural population. China's Ministry of Health stopped using the term of barefoot doctor in 1985, and changed policy to develop village doctors. Since then, village doctors have kept on playing an irreplaceable role in China's rural health, even though the number of village doctors has fluctuated over the years and they face serious challenges...
July 1, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28664686/knowledge-of-parents-from-urban-and-rural-areas-vs-prevention-methods-of-hearing-loss-threats-seen-as-challenges-for-public-health
#9
Maria Danuta Głowacka, Piotr Świdziński, Anna Frankowska, Beata Bajurna, Jerzy Marcinkowski, Ewa Mojs
[b]Introduction.[/b] Parents as day-to-day caregivers looking after their children's health and upbringing are crucial in the process of hearing loss prevention among the young. The aim of the study was to assess the parents' knowledge and awareness of hazards bringing about hearing loss, possibilities to prevent this, as well as their reaction in the case of problems of their children with hearing. [b]Material and methods. [/b]The research group comprised respondents (402 persons), medical or paramedical professionals...
May 11, 2017: Annals of Agricultural and Environmental Medicine: AAEM
https://www.readbyqxmd.com/read/28540223/asian-herbals-and-aphrodisiacs-used-for-managing-ed
#10
REVIEW
Peter H C Lim
In the East, many herbal tonics and preparations are used to assist the aging male improve his sexual drive or ability to perform penetrative sex by increasing sexual stimulation, erectile, ejaculatory, orgasmic and other responses for sexual function and satisfaction. The herbs and tonics act as or as "pick-me-ups" and energizing tonics which help the tired and fatigued male and those with sexual asthenia. The myths and realities concerning Tongkat Ali, sea horse, cobra meat and blood, animal penises and testicles amongst many other herbs and portions for oral intake or local application used by traditional "medical" practitioners and village doctors will be discussed...
April 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28526083/improving-local-health-workers-knowledge-of-malaria-in-the-elimination-phase-determinants-and-strategies-a-cross-sectional-study-in-rural-china
#11
Ruoxi Wang, Shangfeng Tang, Jun Yang, Tian Shao, Piaopiao Shao, Chunyan Liu, Da Feng, Hang Fu, Xiaoyu Chen, Tao Hu, Zhanchun Feng
BACKGROUND: The current stage of malaria elimination in China requires experienced local health workers with sufficient knowledge of malaria who help to keep the public health system vigilant about a possible resurgence. However, the influencing factors of local health workers' knowledge level are not fully comprehended. This study aims to explore the factors with heavy impact on local health worker's knowledge of malaria and propose corresponding suggestions. METHODS: Underpinned by stratified sampling method, a cross-sectional survey was carried out between November 2014 and April 2016...
May 19, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28497919/accurate-determination-of-childhood-food-allergy-prevalence-and-correction-of-unnecessary-avoidance
#12
Yuki Okada, Takumi Yamashita, Hideki Kumagai, Yoshihiko Morikawa, Akira Akasawa
PURPOSE: Because the true prevalence of food allergy (FA), as based on the results of an oral food challenge test (OFC), is unknown, it is likely that children with suspected FA unnecessarily eliminate potentially causative foods. This study aimed to identify the prevalence of FA and to determine the proportion of children who unnecessarily eliminate food. METHODS: To identify children with FA, a primary survey was conducted via a questionnaire with all children aged 0-18 years in Niijima village (remote islands of Japan)...
July 2017: Allergy, Asthma & Immunology Research
https://www.readbyqxmd.com/read/28489812/are-public-health-physicians-still-needed-in-medically-underserved-rural-areas-in-korea
#13
Baeg Ju Na, Jin Yong Lee, Hyun Joo Kim
Public health physicians (PHPs) are certified physicians who are serving in a public health center or subcenter in a rural village, instead of serving in the military. However, the PHP program has recently become the subject of a profound debate, over 30 years after its adoption. In this study, we attempted to ascertain physicians' perspectives on the PHP program, including: whether the PHP policy should continue; if they agree on changing the role of PHPs in healthcare; what would be the desired role of PHPs; and what resources would be required and what possible barriers would be anticipated under the changes...
May 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28468067/-capture-mark-recapture-analysis-on-the-under-registration-rate-of-mortality-surveillance-program-in-jinan
#14
L Zhou, S Q Liu, J Zhang, Y Wang, J Han, Y J Liu
Objective: To evaluate the under-registration rate related to mortality surveillance program in Jinan city, from 2013 to 2014, using the capture-mark-recapture method. Methods: Under the stratified cluster random sampling method, samples were stratified, according to urban and rural areas. Two districts and three counties were chosen, with three towns/streets in each county/district and eight villages/communities in each township/street, randomly selected. With the participation of departments as civil affairs, public security, maternal/child institutions and community committees as well as individuals as village doctors and community leaders, a list of deaths from January 1, 2013 to December 31, 2014 was collected and compared to the National Mortality Surveillance System on the rates related to under-registration...
April 10, 2017: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
https://www.readbyqxmd.com/read/28460766/potential-for-mobile-health-mhealth-prevention-of-cardiovascular-diseases-in-kerala-a-population-based-survey
#15
Leo Feinberg, Jaideep Menon, Rebecca Smith, Jaya G Rajeev, Raman Krishan Kumar, Amitava Banerjee
BACKGROUND: India's southern state of Kerala stands at the forefront of India's epidemic of cardiovascular disease (CVD), among other non-communicable diseases (NCDs). Mobile phone use in healthcare (mHealth) has shown promise in India, including NCDs. However, suitability and acceptability of m-Health interventions is poorly researched, particularly in rural settings. OBJECTIVES: METHODS: A questionnaire regarding mobile phone usage and possible use in healthcare was verbally administered in five primary health centres and by home visits in five village councils ("panchayats") of Ernakulam, Kerala...
March 2017: Indian Heart Journal
https://www.readbyqxmd.com/read/28420396/determinants-of-village-doctors-job-satisfaction-under-china-s-health-sector-reform-a-cross-sectional-mixed-methods-study
#16
Tongtong Li, Trudy Lei, Fiona Sun, Zheng Xie
BACKGROUND: To strengthen rural health workforce, the Chinese government has launched a series of policies to promote the job satisfaction of village doctors since the health sector reform. The purpose of this mixed-method study is to describe village doctors' job satisfaction under the context of health sector reform and investigate the associated factors. METHODS: Data was obtained from a survey of village doctors across three Chinese provinces in 2014. Using a multistage sampling process, quantitative data was collected from village doctors through the self-administered questionnaire and analyzed by multilevel logistic regression models...
April 18, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28420365/social-determinants-of-antibiotic-misuse-a-qualitative-study-of-community-members-in-haryana-india
#17
Anna K Barker, Kelli Brown, Muneeb Ahsan, Sharmila Sengupta, Nasia Safdar
BACKGROUND: Antibiotic resistance is a global public health crisis. In India alone, multi-drug resistant organisms are responsible for over 58,000 infant deaths each year. A major driver of drug resistance is antibiotic misuse, which is a pervasive phenomenon worldwide. Due to a shortage of trained doctors, access to licensed allopathic doctors is limited in India's villages. Pharmacists and unlicensed medical providers are commonly the primary sources of healthcare. Patients themselves are also key participants in the decision to treat an illness with antibiotics...
April 19, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28405986/assessment-of-compliance-to-treatment-of-diabetes-and-hypertension-amongst-previously-diagnosed-patients-from-rural-community-of-raigad-district-of-maharashtra
#18
Kiranmayi Venkata Kakumani, Prasad Waingankar
INTRODUCTION: Substantial burden of diabetes and hypertension is on rise in India, leading to a twin epidemic. India, being a rural country, has unique problems regarding the treatment compliance which is a serious risk for morbidity and mortality. OBJECTIVE: To assess the compliance to treatment of hypertension and diabetes amongst the diagnosed patients from rural area and to study reasons of non-compliance and knowledge and attitude. MATERIAL AND METHODS: Community based, cross sectional, observational study conducted in the rural communities of Tara and Barapada villages of Raigad district of Maharashtra...
December 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/28400954/increasing-use-of-mental-health-services-in-remote-areas-using-mobile-technology-a-pre-post-evaluation-of-the-smart-mental-health-project-in-rural-india
#19
Pallab K Maulik, Sudha Kallakuri, Siddhardha Devarapalli, Vamsi Krishna Vadlamani, Vivekanand Jha, Anushka Patel
BACKGROUND: About 25% of the Indian population experience common mental disorders (CMD) but only 15-25% of them receive any mental health care. Stigma, lack of adequate mental health professionals and mental health services account for this treatment gap, which is worse in rural areas. Our project evaluated task shifting and mobile-technology based electronic decision support systems to enhance the ability of primary care health workers to provide evidence-based mental health care for stress, depression, and suicidal risk in 30 remote villages in the state of Andhra Pradesh, India...
June 2017: Journal of Global Health
https://www.readbyqxmd.com/read/28303162/indigenous-uses-and-pharmacological-activity-of-traditional-medicinal-plants-in-mount-taibai-china
#20
Na Chang, Ziwen Luo, Dengwu Li, Huiying Song
This study was carried out to investigate the indigenous use and pharmacological activity of traditional medicinal plants of Mount Taibai, China. Pharmacological data were collected by conducting informal interviews with local experienced doctors practicing traditional Chinese medicine and via open-ended questionnaires on villagers. We conclude that the residents of Mt. Taibai possess rich pharmacological knowledge. This study may help identify high-value traditional medicinal plant species, promote economic development associated with local medicinal plants, and increase awareness from government departments...
2017: Evidence-based Complementary and Alternative Medicine: ECAM
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