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Rural Medicine

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https://www.readbyqxmd.com/read/28088259/integration-for-coexistence-implementation-of-intercultural-health-care-policy-in-ghana-from-the-perspective-of-service-users-and-providers
#1
Razak Mohammed Gyasi, Adjoa Afriyie Poku, Simon Boateng, Padmore Adusei Amoah, Alhassan Abdul Mumin, Jacob Obodai, Williams Agyemang-Duah
OBJECTIVE: In spite of the World Health Organization's recommendations over the past decades, Ghana features pluralistic rather than truly integrated medical system. Policies about the integration of complementary medicine into the national health care delivery system need to account for individual-level involvement and cultural acceptability of care rendered by health care providers. Studies in Ghana, however, have glossed over the standpoint of the persons of the illness episode about the intercultural health care policy framework...
January 2017: Journal of Integrative Medicine
https://www.readbyqxmd.com/read/28086924/treating-infants-with-frigg-linking-disease-aetiologies-medicinal-plant-use-and-care-seeking-behaviour-in-southern-morocco
#2
Irene Teixidor-Toneu, Gary J Martin, Rajindra K Puri, Ahmed Ouhammou, Julie A Hawkins
BACKGROUND: Although most Moroccans rely to some extent on traditional medicine, the practice of frigg to treat paediatric ailments by elderly women traditional healers known as ferraggat, has not yet been documented. We describe the role of these specialist healers, document the medicinal plants they use, and evaluate how and why their practice is changing. METHODS: Ethnomedicinal and ethnobotanical data were collected using semi-structured interviews and observations of medical encounters...
January 13, 2017: Journal of Ethnobiology and Ethnomedicine
https://www.readbyqxmd.com/read/28075508/differences-in-access-to-and-use-of-electronic-personal-health-information-between-rural-and-urban-residents-in-the-united-states
#3
Alexandra J Greenberg, Danielle Haney, Kelly D Blake, Richard P Moser, Bradford W Hesse
PURPOSE: The increase in use of health information technologies (HIT) presents new opportunities for patient engagement and self-management. Patients in rural areas stand to benefit especially from increased access to health care tools and electronic communication with providers. We assessed the adoption of 4 HIT tools over time by rural or urban residency. METHODS: Analyses were conducted using data from 7 iterations of the National Cancer Institute's Health Information National Trends Survey (HINTS; 2003-2014)...
January 11, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28073729/phytotherapy-against-buruli-ulcer-in-the-health-district-of-yamoussoukro-cote-d-ivoire-%C3%A2-identification-description-and-symbolic-functions-of-the-plants-and-recipes-used
#4
A A Adjet, D Kouame, G Fokou
This study aims to describe the plants and recipes proposed by traditional healers against Buruli ulcer in Côte d'Ivoire and to analyze their symbolic aspects. Buruli ulcer is an increasingly serious health problem in Côte d'Ivoire. The ivorian state through the National Buruli Ulcer Control Programme and its partners, has developed various actions to fight that disease. Medical and surgical treatments are offered free of charge to patients. Hundreds of health centers in different health districts have been converted into Buruli ulcer management centers...
November 1, 2016: Médecine et Santé Tropicales
https://www.readbyqxmd.com/read/28064508/assessing-the-effect-of-pharmacist-care-on-diabetes-related-outcomes-in-a-rural-outpatient-clinic
#5
Cynthia Moreau, Karen R Sando, Daniel H Zambrano
BACKGROUND: The care of diabetic patients in rural areas is complicated by factors such as poor health literacy, cultural barriers, and primary care provider (PCP) shortages. Integrating pharmacist care in diabetes management in these settings may increase access to care and improve patient outcomes. OBJECTIVE: To evaluate differences in diabetes-related outcomes in patients with type 2 diabetes (T2DM) managed by a pharmacist diabetes clinic compared with patients only managed by PCPs in a rural family medicine clinic...
December 1, 2016: Annals of Pharmacotherapy
https://www.readbyqxmd.com/read/28062819/maternity-care-services-provided-by-family-physicians-in-rural-hospitals
#6
Richard A Young
BACKGROUND: The purpose of this study was to describe how many rural family physicians (FPs) and other types of providers currently provide maternity care services, and the requirements to obtain privileges. METHODS: Chief executive officers of rural hospitals were purposively sampled in 15 geographically diverse states with significant rural areas in 2013 to 2014. Questions were asked about the provision of maternity care services, the physicians who perform them, and qualifications required to obtain maternity care privileges...
January 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28062808/practice-innovation-for-care-integration-opioid-management-and-quality-measurement-in-family-medicine
#7
EDITORIAL
Anne Victoria Neale, Marjorie A Bowman, Dean A Seehusen
Ringing in the new year 2017! This may finally be the year of real practice improvement after many false starts. Research into practice transformation has informed both local work and national policy. Human factors and payment structures are key. And payment structures depend on how quality is measured. Large gaps between practicing physician recommendations for the most important quality measures and those currently imposed externally are exposed in this issue. Also see information on in-practice social work consultations and their outcomes and recommendations from innovators in integrated care, and for chronic opioid therapy management based on visits to many family medicine offices...
January 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28061894/reasons-why-specialist-doctors-undertake-rural-outreach-services-an-australian-cross-sectional-study
#8
Belinda G O'Sullivan, Matthew R McGrail, Johannes U Stoelwinder
BACKGROUND: The purpose of the study is to explore the reasons why specialist doctors travel to provide regular rural outreach services, and whether reasons relate to (1) salaried or private fee-for-service practice and (2) providing rural outreach services in more remote locations. METHODS: A national cross-sectional study of specialist doctors from the Medicine in Australia: Balancing Employment and Life (MABEL) survey in 2014 was implemented. Specialists providing rural outreach services self-reported on a 5-point scale their level of agreement with five reasons for participating...
January 7, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28061851/the-perception-of-parents-and-teachers-about-intermittent-preventive-treatment-for-malaria-in-school-children-in-a-semi-rural-area-of-kinshasa-in-the-democratic-republic-of-congo
#9
Junior R Matangila, Jessica Fraeyman, Marie-Louise Mbula Kambulu, Alain Mpanya, Raquel Inocêncio da Luz, Pascal Lutumba, Jean-Pierre Van Geertruyden, Hilde Bastiaens
BACKGROUND: Intermittent preventive treatment (IPT) is likely to be the most promising therapeutic strategy to prevent malaria and its related adverse outcomes in schoolchildren. However, its successful implementation will depend on acceptability to key stakeholders such as parents and teachers. METHODS: A qualitative research was conducted, following a clinical trial assessing the effectiveness of IPT in schoolchildren (IPTsc), to understand the perceptions and experiences of parents and teachers with IPTsc, in two schools of Mokali, in Kinshasa, Democratic Republic of the Congo...
January 7, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28056998/factors-associated-with-occupancy-of-pharmacist-positions-in-public-sector-hospitals-in-uganda-a-cross-sectional-study
#10
Thomas Ocwa Obua, Richard Odoi Adome, Paul Kutyabami, Freddy Eric Kitutu, Pakoyo Fadhiru Kamba
BACKGROUND: Pharmacists are invaluable resources in health care. Their expertise in pharmacotherapy and medicine management both ensures that medicines of appropriate quality are available in health facilities at the right cost and are used appropriately. Unfortunately, some countries like Uganda have shortage of pharmacists in public health facilities, the dominant providers of care. This study investigated the factors that affect the occupancy of pharmacist positions in Uganda's public hospitals, including hiring patterns and job attraction and retention...
January 5, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28056960/availability-of-essential-medicines-in-selected-public-primary-and-secondary-health-care-institutions-of-a-rural-sri-lankan-district-a-spot-survey
#11
Devarajan Rathish, Indika Premarathna, Thiwanka Jayathilake, Chathurika Kandegedara, Kalani Punchihewa, Lakmali Ananda, Thejani Bandara, Channa Jayasumana, Sisira Siribaddana
BACKGROUND: Assessment of the availability of essential medicines, in rural areas of countries with free state health care system, is scarce. Dependence on essential medicines among the population in rural sector is considered to be high. Assessing the availability of essential medicines in selected state owned primary and secondary health care institutions of a rural district will help to identify areas where improvement is needed. METHODS: A descriptive cross sectional study, covering selected five primary and one secondary care institutions of a rural Sri Lankan district, was conducted...
January 5, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28049481/expanding-access-to-parasite-based-malaria-diagnosis-through-retail-drug-shops-in-tanzania-evidence-from-a-randomized-trial-and-implications-for-treatment
#12
Kathleen Maloney, Abigail Ward, Bonnie Krenz, Nora Petty, Lindsay Bryson, Caitlin Dolkart, Theodoor Visser, Arnaud Le Menach, Valerie K Scott, Justin M Cohen, Esther Mtumbuka, Sigsbert Mkude
BACKGROUND: Tanzania has seen a reduction in the fraction of fevers caused by malaria, likely due in part to scale-up of control measures. While national guidelines require parasite-based diagnosis prior to treatment, it is estimated that more than half of suspected malaria treatment-seeking in Tanzania initiates in the private retail sector, where diagnosis by malaria rapid diagnostic test (RDT) or microscopy is illegal. This pilot study investigated whether the introduction of RDTs into Accredited Drug Dispensing Outlets (ADDOs) under realistic market conditions would improve case management practices...
January 3, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28043556/antimycobacterial-ingredients-from-plants-used-in-traditional-medicine-to-treat-buruli-ulcer
#13
Patrick Valere Tsouh Fokou, Abena Adomah Kissi-Twum, Dorothy Yeboah-Manu, Regina Appiah-Opong, Phyllis Addo, Lauve Rachel Tchokouaha Yamthe, Alvine Ngoutane Mfopa, Fabrice Fekam Boyom, Alexander Kwadwo Nyarko
AIM AND OBJECTIVES: Buruli ulcer (BU) is a neglected tropical disease caused by a mycobacteria, Mycobacterium ulcerans. The WHO recommended Rifampicin-Streptomycin combination side effects and poor compliance, leaves rural populations with no choice than to patronise indigenous remedies. This study is aimed at validating medicinal plants used in traditional medicine to treat BU by investigating the in vitro efficacy and safety as well as their composition in active molecules. METHODS: A short report-based survey was used to identify medicinal plants used traditionally for BU treatment...
December 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/28033729/student-academic-performance-in-rural-clinical-schools-the-impact-of-cohort-size-and-competition
#14
Brendan P Condon, Paul S Worley, John R Condon, David J Prideaux
OBJECTIVES: The Deakin University School of Medicine commenced in 2008 as a rurally focused medical school in south-eastern Australia. This research was designed to examine the effectiveness of the school's adoption of small regional clinical school settings. METHODS: A retrospective cohort study of the first two cohorts of students was employed to assess academic performance at each of five geographically dispersed clinical training sites, with varying student cohort sizes...
December 30, 2016: Medical Teacher
https://www.readbyqxmd.com/read/28017696/ethnobiological-treatments-of-neurological-conditions-in-the-chota-nagpur-plateau-india
#15
Abhijit Dey, Partha Gorai, Anuradha Mukherjee, Raghunath Dhan, Biplob Kumar Modak
ETHNOPHARMACOLOGICAL RELEVANCE: World Health Organization (WHO) has recognized the contribution of traditional medicine in the primary health care system. WHO also considers neurological disorders as one of the prime concern to the public health. Inadequate and inaccessible health facilities in the rural and underprivileged areas have forced the various tribal and non-tribal communities to use ethno-phyto and ethno-zoo therapeutics against different ailments. Chota Nagpur Plateau, India is one of the richest in India in terms of plant and animal diversity, and houses a number of indigenous communities often practising their own ethnobiological medicines...
December 22, 2016: Journal of Ethnopharmacology
https://www.readbyqxmd.com/read/28011407/non-steroidal-anti-inflammatory-drugs-in-the-watercourses-of-elbe-basin-in-czech-republic
#16
Petr Marsik, Jan Rezek, Monika Židková, Barbora Kramulová, Jan Tauchen, Tomáš Vaněk
Non-steroidal anti-inflammatory drugs (NSAIDs) belong to most used pharmaceuticals in the human and veterinary medicine. The widespread consumption of NSAIDs has led to their ubiquitous occurrence in water environment including large river systems. In the present study, concentrations of the five most frequently used NSAIDs (ibuprofen, diclofenac, naproxen, ketoprofen and indomethacin) were determined in the watercourses of the river Elbe basin in Czech Republic. The presence of the pharmaceuticals was measured at 29 sampling sites including urban and rural areas, small creeks and main tributaries of the Elbe monthly from April to December of 2011...
December 14, 2016: Chemosphere
https://www.readbyqxmd.com/read/28005531/nutrition-standards-for-food-service-guidelines-for-foods-served-or-sold-in-municipal-government-buildings-or-worksites-united-states-2014
#17
Stephen J Onufrak, Hatidza Zaganjor, Latetia V Moore, Susan Carlson, Joel Kimmons, Deborah Galuska
INTRODUCTION: The Institute of Medicine and Centers for Disease Control and Prevention have recommended that government agencies use nutrition standards for foods and beverages sold and provided at their facilities. In this study, we examine written nutrition standards for foods sold or served in local government buildings or worksites among US municipalities. METHODS: We used data from a 2014 national survey of 1,945 municipal governments serving populations of 1,000 or more to assess the presence of written nutrition standards, the food groups or nutrients addressed by standards, and the populations served by facilities where standards are applied...
December 22, 2016: Preventing Chronic Disease
https://www.readbyqxmd.com/read/27999119/transgender-men-s-experiences-of-fertility-preservation-a-qualitative-study
#18
G Armuand, C Dhejne, J I Olofsson, K A Rodriguez-Wallberg
STUDY QUESTION: How do transgender men experience fertility preservation (FP) by cryopreservation of oocytes? SUMMARY ANSWER: The procedures required prior to oocyte cryopreservation, such as hormonal ovarian stimulation and transvaginal ultrasound (TVS), have a negative impact on gender dysphoria as they are closely linked to the men's female assigned sex at birth, which is incompatible with their current status. WHAT IS KNOWN ALREADY: Transgender persons often have high dissatisfaction with assigned sex-specific body features, such as the genital organs and androgen/oestrogen-responsive features...
December 19, 2016: Human Reproduction
https://www.readbyqxmd.com/read/27984029/geographic-variation-in-outpatient-health-care-service-utilization-after-spinal-cord-injury
#19
Nathaniel Bell, Tsion Kidanie, Bo Cai, James S Krause
OBJECTIVE: To assess whether travel distances between patients and providers predict the frequency in which outpatient health care services are accessed after spinal cord injury (SCI). DESIGN: A retrospective cohort study was carried out in South Carolina among employee health plan and Medicaid insurance recipients. SETTING: Research center. PARTICIPANTS: Two years of outpatient claimant data were evaluated from patients (N=243) aged ≥18 years who were hospitalized between 2010 and 2012...
October 27, 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27979910/patterns-of-chlamydia-testing-in-different-settings-and-implications-for-wider-sti-diagnosis-and-care-a-probability-sample-survey-of-the-british-population
#20
Soazig Clifton, Catherine H Mercer, Sarah C Woodhall, Pam Sonnenberg, Nigel Field, Le Lu, Anne M Johnson, Jackie A Cassell
BACKGROUND: Following widespread rollout of chlamydia testing to non-specialist and community settings in the UK, many individuals receive a chlamydia test without being offered comprehensive STI and HIV testing. We assess sexual behaviour among testers in different settings with a view to understanding their need for other STI diagnostic services. METHODS: A probability sample survey of the British population undertaken 2010-2012 (the third National Survey of Sexual Attitudes and Lifestyles)...
December 15, 2016: Sexually Transmitted Infections
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