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https://www.readbyqxmd.com/read/28523128/comparison-of-medicines-management-strategies-in-insurance-schemes-in-middle-income-countries-four-case-studies
#1
Warren A Kaplan, Paul G Ashigbie, Mohamad I Brooks, Veronika J Wirtz
BACKGROUND: Many middle-income countries are scaling up health insurance schemes to provide financial protection and access to affordable medicines to poor and uninsured populations. Although there is a wealth of evidence on how high income countries with mature insurance schemes manage cost-effective use of medicines, there is limited evidence on the strategies used in middle-income countries. This paper compares the medicines management strategies that four insurance schemes in middle-income countries use to improve access and cost-effective use of medicines among beneficiaries...
2017: Journal of Pharmaceutical Policy and Practice
https://www.readbyqxmd.com/read/28521912/stressing-out-in-medieval-denmark-an-investigation-of-dental-enamel-defects-and-age-at-death-in-two-medieval-danish-cemeteries
#2
Julia A Gamble, Jesper L Boldsen, Robert D Hoppa
The influence of early life stress on later life experiences has become a major focus of research in medicine and more recently in bioarchaeology. Dental enamel, which preserves a record of childhood stress events, represents an important resource for this investigation when paired with the information from adult skeletal remains, such as age at death. The purpose of this research was to use a life history approach to the exploration of sex differences in the relationship between childhood stress and adult longevity by examining accentuated striae of Retzius (AS)...
June 2017: International Journal of Paleopathology
https://www.readbyqxmd.com/read/28513795/balance-of-macronutrient-intake-among-brazilian-elderly-analysis-of-the-national-dietary-survey-2008-2009
#3
Agatha Nogueira Previdelli, Rita Maria Monteiro Goulart, Rita de Cássia de Aquino
Objective: This study aimed at evaluating the balance in the intake of protein, carbohydrate, and fat among the Brazilian elderly population. Methods: The data analyzed were taken from the National Dietary Survey 2008-2009, from a total of 4,286 Brazilian elders (60-104 years old). Based on the dietary intake obtained from two food records, the Multiple Source Method (MSM) was used to evaluate the macronutrients and saturated fat. The AMDR (Acceptable Macronutrient Distribution Range), by the Institute of Medicine (IOM), was used to evaluate the macronutrient energy percentage (%E)...
January 2017: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
https://www.readbyqxmd.com/read/28512602/bio-efficacy-of-medicinal-plants-used-for-the-management-of-diabetes-mellitus-in-gabon-an-ethnopharmacological-approach
#4
Olga Pauline Tjeck, Alain Souza, Patrick Mickala, Alexis Nicaise Lepengue, Bertrand M'Batchi
BACKGROUND/AIM: People suffering of diabetes increased significantly worldwide. Population, in Sub-Saharan Africa and mainly in Gabon, rely on medicinal plants to manage diabetes, as well in rural as in urban areas. This study aimed to survey a wide range of Gabonese plants for their antidiabetic activity. MATERIALS AND METHODS: This study focused on the identification of medicinal plants used in the local treatment of diabetes mellitus. Ethnobotanical investigations were carried out in rural and urban areas of three provinces of Gabon using a semi-structured interview...
April 2017: Journal of Intercultural Ethnopharmacology
https://www.readbyqxmd.com/read/28493140/-health-disorders-and-their-prevalence-in-two-primary-care-practices-from-the-perspective-of-different-coding
#5
Waltraud Fink, Otto Kasper, Gustav Kamenski
Family practices provide medical care for the majority of health problems. This already highlights the importance of primary health care with respect to quantity. A detailed five-year survey of cases in two rural practices gives insight into everyday practice. During the whole period of this year's prevalence survey, 24,541 or 32,605 episodes of care were recorded in a mean practice population of 1500 or 1700 persons, respectively. The frequency rates of more than 500 different health problems show a typical Pareto distribution...
May 10, 2017: Wiener Medizinische Wochenschrift
https://www.readbyqxmd.com/read/28492018/impact-of-leishmaniasis-in-women-a-practical-review-with-an-update-on-my-isd-supported-initiative-to-combat-leishmaniasis-in-yemen-elyp
#6
REVIEW
Mohamed A Al-Kamel
Stigma is synonymous with leishmaniasis, an endemic deadly flesh-eating disease in Yemen that affects predominantly poor rural women and children. Women with leishmaniasis often present late and experience not only physical deformities and the risk of death, but also the painful stigma of the disease and its consequences, a similar situation to that of leprosy decades ago. The International Society of Dermatology-sponsored community dermatology project Eradication of Leishmaniasis from Yemen Project has made a difference in the leishmaniasis situation in Yemen and addressed its magnitude...
September 2016: International Journal of Women's Dermatology
https://www.readbyqxmd.com/read/28492013/patient-and-practitioner-satisfaction-with-tele-dermatology-including-australia-s-indigenous-population-a-systematic-review-of-the-literature
#7
Emily K Kozera, Anes Yang, Dedee F Murrell
BACKGROUND: Australia's health disparity, combined with evolving technologies, has evoked increasing interest and funding in health services that could address inequities. One such emerging service is tele-medicine. OBJECTIVE: The purpose of this report is to discuss and evaluate the current literature regarding patient and practitioner satisfaction with tele-medicine, and more specifically tele-dermatology. METHODS: We searched for literature relevant to tele-dermatology use among Australia's indigenous population...
September 2016: International Journal of Women's Dermatology
https://www.readbyqxmd.com/read/28487212/mapping-the-ecoepidemiology-of-zika-virus-infection-in-urban-and-rural-areas-of-pereira-risaralda-colombia-2015-2016-implications-for-public-health-and-travel-medicine
#8
Alfonso J Rodriguez-Morales, Pablo Ruiz, Javier Tabares, Carlos Augusto Ossa, Maria Camila Yepes-Echeverry, Valeria Ramirez-Jaramillo, Maria Leonor Galindo-Marquez, Carlos Julian García-Loaiza, Juan Alejandro Sabogal-Roman, Esteban Parra-Valencia, Guillermo J Lagos-Grisales, Carlos O Lozada-Riascos, Cornelis A de Pijper, Martin P Grobusch
OBJECTIVE: Geographical information systems (GIS) have been demonstrated earlier to be of great use to inform public health action against vector-borne infectious diseases. METHODS: Using surveillance data on the ongoing ZIKV outbreak from Pereira, Colombia (2015-2016), we estimated incidence rates (cases/100,000 population), and developed maps correlating with the ecoepidemiology of the area. RESULTS: Up to October 8, 2016, 439 cases of ZIKV were reported in Pereira (93 cases/100,000 pop...
May 6, 2017: Travel Medicine and Infectious Disease
https://www.readbyqxmd.com/read/28485821/the-role-of-telehealth-in-perioperative-medicine-for-regional-and-rural-patients-in-queensland
#9
Alec Tam, Amy Leung, Cara O'Callaghan, Narelle Fagermo
BACKGROUND: Australians living in regional, rural, and remote areas face a myriad of complexities resulting in a trend to poorer health outcomes. Telehealth is being utilised as an alternative mode of service delivery to overcome such barriers. However, there is limited published information concerning the use of telehealth in perioperative medicine. AIMS: The purpose of this study was to review the performance of the telehealth pre-operative assessment service at Mater Hospital Brisbane to determine last-minute cancellation rates secondary to medical reasons...
May 9, 2017: Internal Medicine Journal
https://www.readbyqxmd.com/read/28482859/an-ethnopharmacological-evaluation-of-navapind-and-shahpur-virkanin-district-sheikupura-pakistan-for-their-herbal-medicines
#10
Maria Zahoor, Zubaida Yousaf, Tahreem Aqsa, Manahil Haroon, Nadia Saleh, Arusa Aftab, Sadia Javed, Mouzma Qadeer, Habiba Ramazan
BACKGROUND: The chief aim of this study was to enlist the ethnobotanical uses of wild plants in district Sheikhupura, province Punjab, Pakistan. Due to extreme geographical and climatic conditions, Pakistan has a great floral diversity. Plants have been used by the indigenous people for treatment of different ailments since long. They are still dependent on the plants for their domestic purposes. Moreover, plants are used as first aid to treat diverse ailments such as cold, cough, influenza, asthma, cancer, antidote, gastric and hepatic disorders...
May 8, 2017: Journal of Ethnobiology and Ethnomedicine
https://www.readbyqxmd.com/read/28472197/utilization-of-alternative-systems-of-medicine-as-health-care-services-in-india-evidence-on-ayush-care-from-nss-2014
#11
Shalini Rudra, Aakshi Kalra, Abhishek Kumar, William Joe
AYUSH, an acronym for Ayurveda, Yoga and Naturopathy, Unani, Siddha, Sowa-Rigpa and Homeopathy represents the alternative systems of medicine recognized by the Government of India. Understanding the patterns of utilization of AYUSH care has been important for various reasons including an increased focus on its mainstreaming and integration with biomedicine-based health care system. Based on a nationally representative health survey 2014, we present an analysis to understand utilization of AYUSH care across socioeconomic and demographic groups in India...
2017: PloS One
https://www.readbyqxmd.com/read/28468576/a-targeted-rural-postgraduate-education-programme-linking-rural-doctors-across-new-zealand-and-into-the-pacific
#12
Katharina Blattner, Garry Nixon, Marc Gutenstein, Emma Davey
This article describes the University of Otago Rural Postgraduate medical programme, established in 2002 to provide a targeted rural education option for medical practitioners working in rural and remote areas of New Zealand. With both faculty and participants dispersed throughout New Zealand and the Cook Islands embedded in day to day rural clinical practice, this programme uniquely reflects the national and international clinical networks it has been developed to support. It now provides the academic component of two vocational training programmes: the New Zealand Rural Hospital Medicine Training Programme and The Cook Islands General Practice Training Programme...
May 4, 2017: Education for Primary Care
https://www.readbyqxmd.com/read/28466547/tele-pharmacy-in-rural-scotland-a-proof-of-concept-study
#13
Jackie Inch, Frances Notman, Margaret Watson, David Green, Robert Baird, James Ferguson, Caroline Hind, Brian McKinstry, Alison Strath, Christine Bond
INTRODUCTION: Technology enables medical services to be provided to rural communities. This proof of concept study assessed the feasibility and acceptability of delivering community pharmacy services (CPS; including advice, sale of over-the-counter products and dispensing of prescriptions) by tele-technology (the Telepharmacy Robotic Supply Service (TPRSS)) to a rural population in Scotland. METHODS: Data collection included the following: postal surveys to local residents; focus groups/ interviews with pharmacists, other healthcare professionals (HCPs) and service users, at baseline and follow-up; TPRSS logs...
June 2017: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/28465829/two-years-post-affordable-medicines-facility-for-malaria-program-availability-and-prices-of-anti-malarial-drugs-in-central-ghana
#14
Alexander Freeman, Anthony Kwarteng, Lawrence Gyabaa Febir, Seeba Amenga-Etego, Seth Owusu-Agyei, Kwaku Poku Asante
BACKGROUND: The Affordable Medicines Facility for malaria (AMFm) Program was a subsidy aimed at artemisinin-based combination therapies (ACTs) in order to increase availability, affordability, and market share of ACTs in 8 malaria endemic countries in Africa. The WHO supervised the manufacture of the subsidized products, named them Quality Assured ACTs (QAACT) and printed a Green Leaf Logo on all QAACT packages. Ghana began to receive the subsidized QAACTs in 2010. METHODS: A cross-sectional stock survey was conducted at 63 licensed chemical shops (LCS) and private pharmacies in two districts of the Brong-Ahafo region of Ghana to determine the availability and price of all anti-malarial treatments...
2017: Journal of Pharmaceutical Policy and Practice
https://www.readbyqxmd.com/read/28464267/rural-medicine-realities-the-impact-of-immersion-on-urban-based-medical-students
#15
Allison M Crump, Karie Jeter, Samantha Mullins, Amber Shadoan, Craig Ziegler, William J Crump
PURPOSE: The purpose of our study was to determine what effect a rural-based 8-week surgical clerkship during the third year of medical school in a rural setting has on students' opinions about rural living and practice. METHODS: Thirty-three third-year medical students completed a rural health opinion survey at the beginning and end of their 8-week rural rotation and a survey measuring their interest in rural practice after the rotation. The setting was a rural hospital with an average acute care census of 100 that is a regional referral center for 5 rural counties...
May 2, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28459472/preparing-physicians-for-rural-based-primary-care-practice-a-preliminary-evaluation-of-rural-training-initiatives-at-osu-com
#16
Denna L Wheeler, Jeffrey B Hackler
The physician shortage in Oklahoma coupled with geographic maldistribution of primary care physicians limits access to care in rural and underserved areas. One of the most effective strategies to recruit and retain physicians in rural areas is to create undergraduate and graduate medical education training sites in these locations. Oklahoma State University Center for Health Sciences College of Osteopathic Medicine has implemented a rural training program that begins with early recruitment of rural high school students, introduces medical students to rural practice options through rural clinical training opportunities, and provides opportunities to remain in rural Oklahoma for residency training through ongoing graduate medical education development...
May 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28458427/antiurolithiatic-and-antioxidant-efficacy-of-musa-paradisiaca-pseudostem-on-ethylene-glycol-induced-nephrolithiasis-in-rat
#17
Padma Nibash Panigrahi, Sahadeb Dey, Monalisa Sahoo, Ananya Dan
OBJECTIVE: Musa paradisiaca has been used in the treatment of urolithiasis by the rural people in South India. Therefore, we plan to evaluate its efficacy and possible mechanism of antiurolithiatic effect to rationalize its medicinal use. MATERIALS AND METHODS: Urolithiasis was induced in hyperoxaluric rat model by giving 0.75% ethylene glycol (EG) for 28 days along with 1% ammonium chloride (AC) for the first 14 days. Antiurolithiatic effect of aqueous-ethanol extract of M...
January 2017: Indian Journal of Pharmacology
https://www.readbyqxmd.com/read/28458416/a-study-of-antimicrobial-use-in-children-admitted-to-pediatric-medicine-ward-of-a-tertiary-care-hospital
#18
Sandip Baidya, Avijit Hazra, Supratim Datta, Amal Kanti Das
OBJECTIVES: Antimicrobials are frequently used in tertiary care hospitals. We conducted an observational study on children admitted to a teaching hospital in Eastern India, to generate a profile of antimicrobial use and suspected adverse drug reactions (ADRs) attributable to them. MATERIALS AND METHODS: Hospitalized children of either sex, aged between 1 month and 12 years, were studied. Baseline demographic and clinical features, duration of hospital stay, antimicrobials received in hospital along with dosing and indications and details of suspected ADRs attributable to their use were recorded...
January 2017: Indian Journal of Pharmacology
https://www.readbyqxmd.com/read/28444289/-one-simply-doesn-t-arbitrate-authorship-of-thoughts-socialized-medicine-medical-mccarthyism-and-the-publishing-of-rural-health-and-medical-care-1948
#19
J T H Connor
No abstract text is available yet for this article.
April 24, 2017: Journal of the History of Medicine and Allied Sciences
https://www.readbyqxmd.com/read/28444008/from-guidelines-to-local-realities-evaluation-of-oral-rehydration-therapy-and-zinc-supplementation-in-guatemala
#20
Rachel Hall-Clifford, Roxanne Amerson
Objective: Diarrhea remains a leading cause of morbidity and mortality for children in low- and middle-income countries throughout the Americas. The World Health Organization (WHO) has developed guidelines on incorporating zinc supplementation (ZS) with traditional oral rehydration therapy (ORT) in order to shorten the duration of diarrheal episodes and to reduce poor health outcomes. Guatemala adopted these guidelines in 2011, but they have not yet been fully implemented at the community level...
April 20, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
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