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https://www.readbyqxmd.com/read/29788744/general-practitioners-participation-in-cancer-treatment-in-norway
#1
Knut Holtedahl, Benedicte I Scheel, May-Lill Johansen
INTRODUCTION: General practitioners (GPs) participate in a patient's cancer care to different extents at different times, from prevention and diagnosis to treatment and end-of-life care. Traditionally, the GP has had a minor role in cancer treatment. However, oncological and surgical services frequently delegate limited cancer treatment tasks to GPs, especially in rural areas far from hospitals. The aim of this study was to explore the extent of GPs' participation in cancer treatment in Norway...
May 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29786028/evaluation-of-a-distance-learning-academic-support-program-for-medical-graduates-during-rural-hospital-service-in-india
#2
Rashmi Vyas, Anand Zachariah, Isobel Swamidasan, Priya Doris, Ilene Harris
Background: Christian Medical College (CMC), Vellore, India, a tertiary care hospital, designed a year-long Fellowship in Secondary Hospital Medicine (FSHM) for CMC graduates, with the aim to support them during rural service and be motivated to consider practicing in these hospitals. The FSHM was a blend of 15 paper-based distance learning modules, 3 contact sessions, community project work, and networking. This paper reports on the evaluation of the FSHM program. Methods: The curriculum development process for the FSHM reflected the six-step approach including problem identification, needs assessment, formulating objectives, selecting educational strategies, implementation, and evaluation...
September 2017: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/29768543/preventing-diseases-in-round-the-world-travelers-a-contemporary-challenge-for-travel-medicine-advice
#3
Karis Maria de Pinho Rodrigues, Beatriz Meurer Moreira
Providing advice for travelers embarking on long-term trips poses a challenge in travel medicine. A long duration of risk exposure is associated with underuse of protective measures and poor adherence to chemoprophylaxis, increasing the chances of acquiring infections. Recently, in our clinic, we observed an increase in the number of travelers undertaking round-the-world trips. These individuals are typically aged around 32 years and quit their jobs to embark on one-to-two-year journeys. Their destinations include countries in two or more continents, invariably Southeast Asia and Indonesia, and mostly involve land travel and visiting rural areas...
March 2018: Revista da Sociedade Brasileira de Medicina Tropical
https://www.readbyqxmd.com/read/29762794/teaching-competencies-for-community-preceptors
#4
Darin Brink, Deb Simpson, Byron Crouse, Jeffrey Morzinski, Douglas Bower, Ruth Westra
BACKGROUND AND OBJECTIVES: Although community physicians provide one-fourth of the outpatient training received in medical school, usually there is no formal training of the preceptor. Currently there is no agreed-upon list of teaching competencies for community physician-preceptors. Using a modified Delphi process, the authors aimed to identify core teaching competencies for community preceptors for use in training and evaluation. METHODS: A medical educator and three faculty members with expertise in faculty development created a list of teaching competencies organized in five domains...
May 2018: Family Medicine
https://www.readbyqxmd.com/read/29758979/developmental-screening-tool-accuracy-and-feasibility-of-non-invasive-anaemia-estimation
#5
Raja Muthalagu, Vijayan Thulasi Bai, Doreen Gracias, Sheila John
Anaemia is predicted as one of the serious communal health issue in the world. The deficiency exists most common among children and women. A substantial issue prevails in providing quality healthcare services to rural communities, which remains a challenge to health service providers throughout the world. Traditionally physician and health workers recognized anaemia from certain clinical findings, such as pallor of the conjunctivae, nail beds, lips, tongue, and oral mucosa. Confirmation of anaemic condition through physical examination of Dorsum of a tongue or lower bulbar conjunctiva is a subjective analysis...
April 30, 2018: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/29753519/state-of-the-national-emergency-department-workforce-who-provides-care-where
#6
M Kennedy Hall, Kevin Burns, Michael Carius, Mitchel Erickson, Jane Hall, Arjun Venkatesh
STUDY OBJECTIVE: We describe the current US emergency medicine workforce in terms of clinician type and examine rural and urban emergency medicine workforce differences. METHODS: Using the 2014 Medicare Public Use Files, we performed a cross-sectional study of all clinicians receiving reimbursement for evaluation and management (E/M) services (levels 1 to 5) to Medicare fee-for-service Part B beneficiaries in the emergency department. Providers were defined as emergency physicians, nonemergency physicians, or advanced practice providers, corresponding with the Medicare Public Use Files data set...
May 9, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/29751892/temporal-trends-in-physical-violence-gender-differences-and-spatial-vulnerability-of-the-location-of-victim-s-residences
#7
Gigliana Maria Sobral Cavalcante, Ítalo de Macedo Bernardino, Lorena Marques da Nóbrega, Raquel Conceição Ferreira, Efigênia Ferreira E Ferreira, Sérgio d'Avila
The aim of study was to describe trends in physical violence among Brazilian victims and investigate spatial vulnerability of the location of victim's residences. This study performed an ecological-level longitudinal analysis, examining violence rates over 4 years. Cases of 4795 victims of physical aggression attended at a Center of Legal Medicine were investigated. Trend analysis was used to evaluate the data, with the creation of polynomial regression models (p < 0.05). Violence rates showed significant temporal variations according to sociodemographic characteristics of victims (p < 0...
June 2018: Spatial and Spatio-temporal Epidemiology
https://www.readbyqxmd.com/read/29743761/predictors-of-mortality-in-acute-kidney-injury-patients-admitted-to-medicine-intensive-care-unit-in-a-rural-tertiary-care-hospital
#8
Amrish Saxena, Shrikant V Meshram
Background: Acute kidney injury (AKI) is a challenging problem faced by intensive care clinicians worldwide, and it is associated with high morbidity and mortality, especially in critically ill patients. Materials and Methods: A hospital-based prospective, observational study was conducted in patients of AKI admitted to the Intensive Care Unit (ICU) of the Department of Medicine in a rural tertiary care hospital located in central India. Data of all consecutive AKI inpatients related to demographic variables, clinical profile, and laboratory investigations were collected from patient's medical records...
April 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29738675/the-role-of-technology-and-telemetry-medicine-in-the-initial-management-of-a-st-segment-elevated-myocardial-infarction-in-a-rural-emergency-department
#9
Michael L Hood
CONTEXT: The 12-lead electrocardiogram (ECG) is an integral part of the diagnostic tools available for recognising a patient who is experiencing an ST-segment elevated myocardial infarction (STEMI). Consequently, a great emphasis is placed on the rapid acquisition and expert interpretation of the 12-lead ECG so that the appropriate reperfusion management might be commenced to optimise patient outcomes by preventing further damage to the myocardium. With the advancement of telemetric and diagnostic abilities of the modern ECG machine, the role of frontline rural emergency clinicians is as important as ever...
May 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29730162/the-readmission-contradiction-toward-clarifying-common-misconceptions-about-bariatric-readmissions-and-quality-improvement
#10
Anthony Petrick, Shannon A Brindle, Ellen Vogels, James Dove, David Parker, Jon Gabrielsen
BACKGROUND: Efforts to improve quality in U.S. medicine have included reimbursement penalties for readmissions. OBJECTIVES: This study's first phase measured readmissions after initial bariatric surgery and analyzed surgical outcomes secondarily. The second phase aimed to identify nonclinical factors associated with bariatric readmissions. SETTING: Rural U.S. academic hospital. METHODS: This retrospective study analyzed a prospective database of patients undergoing initial Roux-en-Y gastric bypass or sleeve gastrectomy between May 1, 2007 and April 30, 2015...
February 21, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29720279/analysis-of-rural-health-centres-preparedness-for-the-management-of-diabetic-patients-in-malawi
#11
Ibrahim Chikowe, Victor Mwapasa, Andre Pascal Kengne
OBJECTIVE: There is limited data on the quality of primary care management for diabetes mellitus across Africa. The study was aimed at assessing the availability of basic supplies for the rapid diagnosis, treatment and management of diabetes in Malawian rural health facilities. This cross-sectional study was conducted in 55 public and private health centers from 19 districts using a structured questionnaire and checklist to interview the pharmacy personnel or officer in-charge of the health centers...
May 2, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29716610/service-provision-in-the-wake-of-a-new-funding-model-for-community-pharmacy
#12
Alesha J Smith, Shane L Scahill, Jeff Harrison, Tilley Carroll, Natalie J Medlicott
BACKGROUND: Recently, New Zealand has taken a system wide approach providing the biggest reform to New Zealand community pharmacy for 70 years with the aim of providing more clinically orientated patient centred services through a new funding model. The aim of this study was to understand the types of services offered in New Zealand community pharmacies since introduction of the new funding model, what the barriers are to providing these services. METHOD: A survey of all community pharmacies were undertaken between August, 2014 and February, 2015...
May 2, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29710874/applicability-of-precision-medicine-approaches-to-managing-hypertension-in-rural-populations
#13
Jacqueline R Halladay, Kaitlin C Lenhart, Kimberly Robasky, Wendell Jones, Wayne F Homan, Doyle M Cummings, Crystal W Cené, Alan L Hinderliter, Cassandra L Miller, Katrina E Donahue, Beverly A Garcia, Thomas C Keyserling, Alice S Ammerman, Cam Patterson, Darren A DeWalt, Larry F Johnston, Monte S Willis, Jonathan C Schisler
As part of the Heart Healthy Lenoir Project, we developed a practice level intervention to improve blood pressure control. The goal of this study was: (i) to determine if single nucleotide polymorphisms (SNPs) that associate with blood pressure variation, identified in large studies, are applicable to blood pressure control in subjects from a rural population; (ii) to measure the association of these SNPs with subjects' responsiveness to the hypertension intervention; and (iii) to identify other SNPs that may help understand patient-specific responses to an intervention...
April 30, 2018: Journal of Personalized Medicine
https://www.readbyqxmd.com/read/29700759/primary-care-providers-lived-experiences-of-genetics-in-practice
#14
Brittany Harding, Colleen Webber, Lucia Ruhland, Nancy Dalgarno, Christine M Armour, Richard Birtwhistle, Glenn Brown, June C Carroll, Michael Flavin, Susan Phillips, Jennifer J MacKenzie
To effectively translate genetic advances into practice, engagement of primary care providers (PCPs) is essential. Using a qualitative, phenomenological methodology, we analyzed key informant interviews and focus groups designed to explore perspectives of urban and rural PCPs. PCPs endorsed a responsibility to integrate genetics into their practices and expected advances in genetic medicine to expand. However, PCPs reported limited knowledge and difficulties accessing resources, experts, and continuing education...
April 26, 2018: Journal of Community Genetics
https://www.readbyqxmd.com/read/29684660/who-cares-for-the-schizophrenia-individuals-in-rural-china-a-profile-of-primary-family-caregivers
#15
Yu Yu, Bing-Wei Tang, Zi-Wei Liu, Yu-Mei Chen, Xing-Yu Zhang, Shuiyuan Xiao
OBJECTIVE: The present study aims to provide a comprehensive profile of the primary family caregivers of schizophrenia individuals in rural China. METHOD: A cross-sectional study was conducted with a sample of 327 primary family caregivers of schizophrenia individuals recruited through a one-stage cluster sampling in Ningxiang County of Hunan province, China. The social demographic and psychological profiles of primary caregivers were measured using standard scales and self-designed scales...
April 11, 2018: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/29680902/contamination-of-soil-and-the-medicinal-plant-phyllanthus-niruri-linn-with-cadmium-in-ceramic-industrial-areas
#16
Vanessa Santana Vieira Santos, Karen Magalhães Arantes, Ester Luiza Gonçalves, Carlos Fernando Campos, Edimar Olegário de Campos Júnior, Antônio Marcos Machado de Oliveira, Boscolli Barbosa Pereira
Phyllanthus niruri is a plant that is used to prevent calcium oxalate crystallisation and to block the stone formation in urolithiasis. Contaminants in the environment can be readily taken up by medicinal plants due to their ability to absorb chemicals into their tissues. If contaminated plants are ingested, they have the potential to negatively affect human and environmental health. The aim of this study was to assess contamination in the soil and the medicinal plant P. niruri by cadmium (Cd) in ceramic industrial areas of Monte Carmelo, Brazil...
April 22, 2018: Environmental Monitoring and Assessment
https://www.readbyqxmd.com/read/29672843/challenges-faced-in-rural-hospitals-the-experiences-of-nurse-managers-in-uganda
#17
T A Kakyo, L D Xiao
AIM: The aim of this study was to understand nurse ward managers perceived challenges in the rural healthcare setting in Uganda. BACKGROUND: The health workforce, essential medicines and equipment and political unrest are the main factors affecting the international community in addressing the hefty disease burden in World Health Organization African regions. Nurse ward managers have an important role to play to mitigate these factors in health facilities in these regions through leadership, supervision and support for staff...
April 19, 2018: International Nursing Review
https://www.readbyqxmd.com/read/29669144/factors-influencing-family-physician-scope-of-practice-a-grounded-theory-study
#18
Randall Reitz, Kyle Horst, Maura Davenport, Shiela Klemmetsen, Michael Clark
BACKGROUND AND OBJECTIVES: Despite the efforts of many organizations to increase the volume of rural health care providers, rural communities continue to experience a shortage of physicians. To address this shortage, more information is needed as to how specific factors contribute to family physicians' choice to purse rural full-spectrum practice. METHODS: Interviews with 21 key informants guided a grounded theory analysis around the question of "What factors contribute to the decision to, and maintenance of, practicing full-spectrum rural medicine?" RESULTS: Analysis revealed two categories of factors that influenced choice of scope and maintenance of scope across a career: contextual and developmental factors...
April 2018: Family Medicine
https://www.readbyqxmd.com/read/29666132/competencies-necessary-for-becoming-a-leader-in-the-field-of-community-medicine-a-japanese-qualitative-interview-study
#19
Mosaburo Kainuma, Makoto Kikukawa, Masaharu Nagata, Motofumi Yoshida
OBJECTIVES: To clarify competencies for inclusion in our curriculum that focuses on developing leaders in community medicine. DESIGN: Qualitative interview study. SETTING: All six regions of Japan, including urban and rural areas. PARTICIPANTS: Nineteen doctors (male: 18, female: 1) who play an important leadership role in their communities participated in semistructured interviews (mean age 48.3 years, range 34-59; mean years of clinical experience 23...
April 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29666045/general-practitioners-perspective-on-ehealth-and-lifestyle-change-qualitative-interview-study
#20
Carl Joakim Brandt, Gabrielle Isidora Søgaard, Jane Clemensen, Jens Sndergaard, Jesper Bo Nielsen
BACKGROUND: Wearables, fitness apps, and patient home monitoring devices are used increasingly by patients and other individuals with lifestyle challenges. All Danish general practitioners (GPs) use digital health records and electronic health (eHealth) consultations on a daily basis, but how they perceive the increasing demand for lifestyle advice and whether they see eHealth as part of their lifestyle support should be explored further. OBJECTIVE: This study aimed to explore GPs' perspectives on eHealth devices and apps and the use of eHealth in supporting healthy lifestyle behavior for their patients and themselves...
April 17, 2018: JMIR MHealth and UHealth
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