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https://www.readbyqxmd.com/read/29052521/high-seroprevalance-of-neospora-caninum-in-dogs-in-victoria-australia-compared-to-20%C3%A2-years-ago
#1
Sarah Sloan, Jan Šlapeta, Abdul Jabbar, Jaimie Hunnam, Bert De Groef, Grant Rawlin, Christina McCowan
BACKGROUND: Canids are definitive hosts of the apicomplexan parasite Neospora caninum, the leading cause of abortion in cattle worldwide. For horizontal transmission from canids to occur, oocysts of N. caninum must be shed by the definitive host into the environment of susceptible intermediate hosts such as cattle. The purpose of this study was to determine the prevalence of N. caninum in canids in Victoria, Australia's leading dairy producing state. RESULTS: Neospora-like oocysts were observed in 8% (18/234) of faecal samples from wild dogs, domestic dogs and red foxes from Victoria, Australia...
October 19, 2017: Parasites & Vectors
https://www.readbyqxmd.com/read/29052504/family-effects-on-the-rurality-of-gp-s-work-location-a-longitudinal-panel-study
#2
Matthew R McGrail, Deborah J Russell, Belinda G O'Sullivan
BACKGROUND: Reduced opportunities for children's schooling and spouse's/partner's employment are identified internationally as key barriers to general practitioners (GPs) working rurally. This paper aims to measure longitudinal associations between the rurality of GP work location and having (i) school-aged children and (ii) a spouse/partner in the workforce. METHODS: Participants included 4377 GPs responding to at least two consecutive annual surveys of the Medicine in Australia: Balancing Employment and Life (MABEL) national longitudinal study between 2008 and 2014...
October 19, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29048768/family-centred-care-for-families-living-with-cystic-fibrosis-in-a-rural-setting-a-qualitative-study
#3
Melanie Jessup, Wendy Smyth, Gail Abernethy, Linda Shields, Tonia Douglas
AIMS AND OBJECTIVES: This study aimed to explore experience of family-centred care among parents of children with cystic fibrosis living far from tertiary treatment centres and to understand what such distances mean to their care. BACKGROUND: Australia is a large continent. However, many families with a child with cystic fibrosis live in regional areas, often thousands of kilometres away from the primary treatment centres located in Australia's coastal capital cities...
October 19, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29036776/lifestyle-risk-factors-and-corresponding-levels-of-clinical-advice-and-counselling-in-general-practice
#4
Jessica Beattie, Marley Binder, Christopher Harrison, Graeme C Miller, Daryl Pedler
BACKGROUND: The objective of this study was to examine prevalence rates of lifestyle risk factors in the Western Victorian Primary Health Network (WV PHN) general practice patient population and the corresponding levels of clinical advice and counselling. METHODS: Analysed data from the Bettering the Evaluation and Care of Health (BEACH) program from April 2011 to March 2015 were examined, providing a comparison of three geographical areas of general practice patients: WV PHN, Victoria and Australia...
October 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29034610/private-health-insurance-a-good-deal-in-rural-and-remote-australia
#5
Peter Brown
No abstract text is available yet for this article.
October 2017: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/29034609/mental-health-in-rural-australia
#6
EDITORIAL
Peggy Brown
No abstract text is available yet for this article.
October 2017: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/29031280/factors-influencing-suicide-in-older-rural-males-a-review-of-australian-studies
#7
Kylie T Crnek-Georgeson, Leigh A Wilson, Andrew Page
INTRODUCTION: Suicide remains an important public health issue in Australia, responsible for around 2500 deaths each year. Although suicide only accounts for around 1.7% of total mortality in Australia per year, 75% of suicide deaths are in males. This article reviews the factors contributing to suicide in older rural males in Australia and then categorises the papers into themes for ease of explanation. Living with experiences of drought, dramatic weather change, lower employment opportunities, out-migration, changing family dynamics, ageism in the community, economic change and competitive labour markets, all add to the diverse experience for an older person who is ageing in a rural setting...
October 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28992714/a-review-of-the-availability-and-cost-effectiveness-of-chronic-obstructive-pulmonary-disease-copd-management-interventions-in-rural-australia-and-new-zealand
#8
Michelle E Brooke, Nicolaos Spiliopoulos, Margaret Collins
INTRODUCTION: Chronic obstructive pulmonary disease (COPD) is a chronic, progressive disease, which consumes a significant proportion of the Australian and New Zealand healthcare budget. Studies have shown that people living with COPD outside of urban areas have higher rates of hospitalisations. Two international reviews have demonstrated reduced hospital admissions and length of stay in people with COPD who participate in an integrated disease management program. However, most studies included in these reviews are in urban settings...
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28988569/public-reporting-of-hospital-performance-data-views-of-senior-medical-directors-in-victoria-australia
#9
Rachel Canaway, Marie Bismark, David Dunt, Margaret Kelaher
Objective The aim of the present study was to better understand senior medical directors' perceptions of public reporting of hospital performance data, how public reporting affects institutional behavioural change towards quality improvement and how it could be improved.Methods Interviews were undertaken with 17 medical directors representing 26 metropolitan and regional public hospitals in Victoria, Australia, between June and August 2016. Data were analysed thematically.Results Medical directors are well placed to comment on clinical and administrative aspects of quality, safety and performance monitoring in public hospitals...
October 9, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28985736/spatial-clustering-of-fatal-and-non-fatal-suicide-in-new-south-wales-australia-implications-for-evidence-based-prevention
#10
Michelle Torok, Paul Konings, Philip J Batterham, Helen Christensen
BACKGROUND: Rates of suicide appear to be increasing, indicating a critical need for more effective prevention initiatives. To increase the efficacy of future prevention initiatives, we examined the spatial distribution of suicide deaths and suicide attempts in New South Wales (NSW), Australia, to identify where high incidence 'suicide clusters' were occurring. Such clusters represent candidate regions where intervention is critically needed, and likely to have the greatest impact, thus providing an evidence-base for the targeted prioritisation of resources...
October 6, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28979347/prevalence-and-molecular-aspects-of-human-hookworms-in-guilan-province-northern-iran
#11
Meysam Sharifdini, Laleh Ghanbarzadeh, Nasrolla Kouhestani-Maklavani, Hamed Mirjalali, Mehrzad Saraei
BACKGROUND: Hookworm infection is one of the important Neglected Tropical Diseases (NTD) in the world. It was previously more prevalent in the northern and southern parts of Iran with a prevalence rate higher than 40% in some endemic regions; nevertheless, the infection rate has decreased to less than 1%. This study aimed to determine prevalence and molecular aspects of hookworm infections in rural inhabitants of Fouman County, Guilan Province, northern Iran. METHODS: This cross-sectional study was performed in 31 villages of Fouman district in Guilan Province, northern Iran during 2015-2016...
July 2017: Iranian Journal of Parasitology
https://www.readbyqxmd.com/read/28973137/the-never-ending-road-improving-adapting-and-refining-a-needs-based-model-to-estimate-future-general-practitioner-requirements-in-two-australian-states
#12
Caroline O Laurence, Troy Heywood, Janice Bell, Kaye Atkinson, Jonathan Karnon
Background: Health workforce planning models have been developed to estimate the future health workforce requirements for a population whom they serve and have been used to inform policy decisions. Objectives: To adapt and further develop a need-based GP workforce simulation model to incorporate current and estimated geographic distribution of patients and GPs. Methods: A need-based simulation model that estimates the supply of GPs and levels of services required in South Australia (SA) was adapted and applied to the Western Australian (WA) workforce...
September 8, 2017: Family Practice
https://www.readbyqxmd.com/read/28969150/patient-demographic-and-clinician-factors-in-antibiotic-prescribing-for-upper-respiratory-tract-infections-in-the-australian-capital-territory-from-2006-2015
#13
Hannah Glenn, Justin Friedman, Alexander A Borecki, Camilla Bradshaw, Nicolas Grandjean-Thomsen, Harrison Pickup, Michelle Yue Yin, Catherine Jun, Mohamed E Abdel-Latif
INTRODUCTION: National antibiotic stewardship programs aim to mitigate rising antimicrobial resistance and associated healthcare costs by promoting safe and appropriate antibiotic prescribing. AIM: This study aimed to analyse patient and clinician demographic factors that may influence antibiotic prescribing for Upper Respiratory Tract Infections (URTIs). Trends in antibiotic prescribing patterns were also analysed over the study period. MATERIALS AND METHODS: This retrospective cross-sectional study analysed data from the Australian National University Medical School Clinical Audit Project database, comprising data collected by students during patient encounters over a two week period each April-May between 2006 and 2015 (excluding 2013)...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28965791/maternity-services-for-rural-and-remote-australia-barriers-to-operationalising-national-policy
#14
Jo Longman, Jude Kornelsen, Jen Pilcher, Sue Kildea, Sue Kruske, Stefan Grzybowski, Sarah Robin, Margaret Rolfe, Deborah Donoghue, Geoffrey G Morgan, Lesley Barclay
INTRODUCTION: In Australia, many small birthing units have closed in recent years, correlating with adverse outcomes including a rise in the number of babies born before arrival to hospital. Concurrently, a raft of national policy and planning documents promote continued provision of rural and remote maternity services, articulating a strategic intent for services to provide responsive, woman-centred care as close as possible to a woman's home. The aims of this paper are to contribute to an explanation of why this strategic intent is not realised, and to investigate the utility of an evidence based planning tool (the Toolkit) to assist with planning services to realise this intent...
September 22, 2017: Health Policy
https://www.readbyqxmd.com/read/28946918/a-model-for-a-drug-distribution-system-in-remote-australia-as-a-social-determinant-of-health-using-event-structure-analysis
#15
John P Rovers, Michelle D Mages
BACKGROUND: The social determinants of health include the health systems under which people live and utilize health services. One social determinant, for which pharmacists are responsible, is designing drug distribution systems that ensure patients have safe and convenient access to medications. This is critical for settings with poor access to health care. Rural and remote Australia is one example of a setting where the pharmacy profession, schools of pharmacy, and regulatory agencies require pharmacists to assure medication access...
September 25, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28943316/it-s-more-than-just-luck-a-qualitative-exploration-of-breastfeeding-in-rural-australia
#16
Lois McKellar, Julie Fleet, Shona Dove
It's more than just luck: A qualitative exploration of breastfeeding in rural Australia PROBLEM: Despite significant public health benefits, breastfeeding for six months continues to be challenging for women. BACKGROUND: In the Mid North of South Australia, healthcare professionals were concerned that breastfeeding rates were lower than the national average and that a collaborative approach was needed to promote breastfeeding. AIM: To explore the experiences of women and health professional in the Mid North, to inform interventions to improve breastfeeding longevity...
September 21, 2017: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/28936233/general-practitioners-experiences-and-perceptions-of-mild-moderate-depression-management-and-factors-influencing-effective-service-delivery-in-rural-australian-communities-a-qualitative-study
#17
Tamishka De Silva, Anjali Prakash, Sandhya Yarlagadda, Marjia Daniella Johns, Kate Sandy, Vibeke Hansen, Sue Phelan, Sabrina Pit
BACKGROUND: Rural communities in Australia face significant disadvantages relating to geographical isolation and limited access to mental health services. Documenting general practitioners' (GP) experiences and perception of mental health services in rural Australia may be useful to gain insight into rural GP management of mild to moderate depression. AIMS: To explore GPs' experience and views on which factors influence access to mental health services for mild to moderate depression...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28934769/assessment-and-modelling-of-general-practice-and-community-setting-capacity-for-medical-trainees-in-northern-new-zealand
#18
Felicity Goodyear-Smith, Abbas Al-Murrani
AIMS: To estimate the capacity of general practice to accommodate undergraduate and postgraduate medical trainees, and model efficient ways to utilise identified capacity and increase capacity. METHODS: We conducted an online survey, with phone follow-up to non-responders, of all general practices in the northern half of New Zealand. The main outcome measures were current placements and future intentions for taking medical trainees; factors influencing decisions and possible incentives to take trainees...
September 22, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28926528/the-improving-rural-cancer-outcomes-trial-a-cluster-randomised-controlled-trial-of-a-complex-intervention-to-reduce-time-to-diagnosis-in-rural-cancer-patients-in-western-australia
#19
Jon D Emery, Victoria Gray, Fiona M Walter, Shelley Cheetham, Emma J Croager, Terry Slevin, Christobel Saunders, Timothy Threlfall, Kirsten Auret, Anna K Nowak, Elizabeth Geelhoed, Max Bulsara, C D'Arcy J Holman
BACKGROUND: Rural Australians have poorer survival for most common cancers, due partially to later diagnosis. Internationally, several initiatives to improve cancer outcomes have focused on earlier presentation to healthcare and timely diagnosis. We aimed to measure the effect of community-based symptom awareness and general practice-based educational interventions on the time to diagnosis in rural patients presenting with breast, prostate, colorectal or lung cancer in Western Australia...
September 19, 2017: British Journal of Cancer
https://www.readbyqxmd.com/read/28925912/epidemiologic-features-of-invasive-group-a-streptococcus-infection-in-a-rural-hospital-6-year-retrospective-report-and-literature-review
#20
Kassandra Loewen, Natalie Bocking, Cai-Lei Matsumoto, Mike Kirlew, Len Kelly
INTRODUCTION: High rates of invasive group A Streptococcus disease were suspected by clinicians in northwestern Ontario. Patients with sepsis were being encountered with bacteremia positive for group A Streptococcus. This study was designed to assess the incidence of invasive group A Streptococcus infection in the region and provide best-practice treatment information. METHODS: We performed a retrospective chart review at the Sioux Lookout Meno Ya Win Health Centre (SLMHC) from 2009 to 2014 to examine rates of infection due to invasive group A Streptococcus and outcomes...
2017: Canadian Journal of Rural Medicine
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