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https://www.readbyqxmd.com/read/28092220/using-teledentistry-in-clinical-practice-an-enabler-to-improve-access-to-oral-health-care-a-qualitative-systematic-review
#1
Michelle Irving, Rosemary Stewart, Heiko Spallek, Anthony Blinkhorn
Background Access to dental care is important for overall health, but can remain problematic for those in rural or isolated locations. It can be difficult to encourage clinicians to choose or continue a rural health career. Teledentistry is showing some promise as a strategy to support rural, isolated and new health care workers. This study aims to explore the quantitative and qualitative framework associated with teledentistry in an effort to uncover the interaction of multiple influences on its delivery and sustainability...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28068980/use-of-information-and-communication-technology-and-retention-of-health-workers-in-rural-post-war-conflict-northern-uganda-findings-from-a-qualitative-study
#2
Walter Onen Yagos, Geoffrey Tabo Olok, Emilio Ovuga
BACKGROUND: Information and communication technologies have become a vital infrastructural asset for use in the retention of rural health workers. However, little is known about the potential influence of ICT use, perceptions of health workers on ICT in healthcare delivery, and contribution of ICT to health care providers' retention in rural and remote areas in rural post-war and conflict situations of northern Uganda. METHODS: Data from interviews were transcribed, coded and thematically analysed...
January 10, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28061783/improving-the-knowledge-of-labour-and-delivery-nurses-in-india-a-randomized-controlled-trial-of-mentoring-and-case-sheets-in-primary-care-centres
#3
Janet Bradley, Krishnamurthy Jayanna, Souradet Shaw, Troy Cunningham, Elizabeth Fischer, Prem Mony, B M Ramesh, Stephen Moses, Lisa Avery, Maryanne Crockett, James F Blanchard
BACKGROUND: Birthing in health facilities in India has increased over the last few years, yet maternal and neonatal mortality rates remain high. Clinical mentoring with case sheets or checklists for nurses is viewed as essential for on-going knowledge transfer, particularly where basic training is inadequate. This paper summarizes a study of the effect of such a programme on staff knowledge and skills in a randomized trial of 295 nurses working in 108 Primary Health Centres (PHCs) in Karnataka, India...
January 7, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28056974/an-evaluation-of-the-telehealth-facilitation-of-diabetes-and-cardiovascular-care-in-remote-australian-indigenous-communities-protocol-for-the-telehealth-eye-and-associated-medical-services-network-teamsnet-project-a-pre-post-study-design
#4
Laima Brazionis, Alicia Jenkins, Anthony Keech, Chris Ryan, Sven-Erik Bursell
BACKGROUND: Despite substantial investment in detection, early intervention and evidence-based treatments, current management strategies for diabetes-associated retinopathy and cardiovascular disease are largely based on real-time and face-to-face approaches. There are limited data re telehealth facilitation in type 2 diabetes management. Therefore, we aim to investigate efficacy of telehealth facilitation of diabetes and cardiovascular disease care in high-risk vulnerable Aboriginal and Torres Strait Islanders in remote/very remote Australia...
January 5, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28045998/nutrition-smoothing-can-proximity-to-towns-and-cities-protect-rural-children-against-seasonal-variation-in-agroclimatic-conditions-at-birth
#5
Amelia F Darrouzet-Nardi, William A Masters
A large literature links early-life environmental shocks to later outcomes. This paper uses seasonal variation across the Democratic Republic of the Congo to test for nutrition smoothing, defined here as attaining similar height, weight and mortality outcomes despite different agroclimatic conditions at birth. We find that gaps between siblings and neighbors born at different times of year are larger in more remote rural areas, farther from the equator where there are greater seasonal differences in rainfall and temperature...
2017: PloS One
https://www.readbyqxmd.com/read/28035658/utilization-of-teledentistry-as-a-tool-to-screen-for-dental-caries-among-12-year-old-school-children-in-a-rural-region-of-india
#6
Bharathi M Purohit, Abhinav Singh
OBJECTIVE: The study aims to assess the reliability of video-graphic method as a tool to screen the dental caries among 12-year-old school children in a rural region of India. METHODS: A total of 139 school children participated in the study. Visual tactile examinations were conducted using the Decayed, Missing, and Filled Teeth (DMFT) index. Simultaneously, standardized video recording of the oral cavity was performed. Sensitivity and specificity values were calculated for video-graphic assessment of dental caries...
December 30, 2016: Journal of Public Health Dentistry
https://www.readbyqxmd.com/read/28031304/web-based-quality-assurance-process-drives-improvements-in-obstetric-ultrasound-in-5-low-and-middle-income-countries
#7
Jonathan O Swanson, David Plotner, Holly L Franklin, David L Swanson, Victor Lokomba Bolamba, Adrien Lokangaka, Irma Sayury Pineda, Lester Figueroa, Ana Garces, David Muyodi, Fabian Esamai, Nancy Kanaiza, Waseem Mirza, Farnaz Naqvi, Sarah Saleem, Musaku Mwenechanya, Melody Chiwila, Dorothy Hamsumonde, Elizabeth M McClure, Robert L Goldenberg, Robert O Nathan
High quality is important in medical imaging, yet in many geographic areas, highly skilled sonographers are in short supply. Advances in Internet capacity along with the development of reliable portable ultrasounds have created an opportunity to provide centralized remote quality assurance (QA) for ultrasound exams performed at rural sites worldwide. We sought to harness these advances by developing a web-based tool to facilitate QA activities for newly trained sonographers who were taking part in a cluster randomized trial investigating the role of limited obstetric ultrasound to improve pregnancy outcomes in 5 low- and middle-income countries...
December 23, 2016: Global Health, Science and Practice
https://www.readbyqxmd.com/read/28017696/ethnobiological-treatments-of-neurological-conditions-in-the-chota-nagpur-plateau-india
#8
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/28010145/strategies-for-overcoming-challenges-for-decentralised-diagnostics-in-resource-limited-and-catastrophe-settings
#9
Shikha Sharma, Aoife Crawley, Richard O'Kennedy
Globally, both communicable and non-communicable diseases pose a serious threat to populations in developed as well as developing countries. Access to reliable diagnostic testing along with qualified health practitioners is severely limited in low resource and very remote areas and following natural catastrophes. Areas covered: This paper provides an overview of the challenges involved and suggests strategies to address them. The emergence of more robust, user-friendly, cost-effective and 'sample-to-result' point-of-care (POC) tools, along with the proliferation of mobile technologies, may provide a practical approach in addressing some of the challenges...
February 2017: Expert Review of Molecular Diagnostics
https://www.readbyqxmd.com/read/28008684/-i-miss-my-family-it-s-been-a-while%C3%A2-a-qualitative-study-of-clinicians-who-live-and-work-in-rural-remote-australian-aboriginal-communities
#10
Michelle Irving, Stephanie Short, Kylie Gwynne, Marc Tennant, Anthony Blinkhorn
OBJECTIVES: Dental issues are more prevalent for Aboriginal Australians, especially those living in rural/remote locations, but distribution of clinicians is favoured towards metropolitan areas and are not always culturally competent. This study aimed to document the experiences of dental clinicians who relocated to rural/remote communities to provide dental services to Aboriginal communities in an effort to redress these gaps. SETTING: Clinicians working in a new rural/remote dental service strategy to Aboriginal communities in Northern NSW...
December 23, 2016: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/27997996/oral-health-interventions-in-australian-aboriginal-communities-a-review-of-the-literature
#11
REVIEW
J Patel, A Durey, L Hearn, L M Slack-Smith
BACKGROUND: Aboriginal Australians experience significant disparities in oral health with even poorer outcomes reported in rural and remote areas. The high rates of preventable dental disease in Aboriginal communities are a serious concern from a social standpoint and in terms of service provision and healthcare expenditure. METHODS: Primary research literature was comprehensively reviewed. Papers were selected if they reported designing or implementing an intervention or oral health program specific to the needs of Aboriginal communities...
December 20, 2016: Australian Dental Journal
https://www.readbyqxmd.com/read/27993961/support-and-performance-improvement-for-primary-health-care-workers-in-low-and-middle-income-countries-a-scoping-review-of-intervention-design-and-methods
#12
REVIEW
Ashwin Vasan, David C Mabey, Simran Chaudhri, Helen-Ann Brown Epstein, Stephen D Lawn
Primary health care workers (HCWs) in low- and middle-income settings (LMIC) often work in challenging conditions in remote, rural areas, in isolation from the rest of the health system and particularly specialist care. Much attention has been given to implementation of interventions to support quality and performance improvement for workers in such settings. However, little is known about the design of such initiatives and which approaches predominate, let alone those that are most effective. We aimed for a broad understanding of what distinguishes different approaches to primary HCW support and performance improvement and to clarify the existing evidence as well as gaps in evidence in order to inform decision-making and design of programs intended to support and improve the performance of health workers in these settings...
December 19, 2016: Health Policy and Planning
https://www.readbyqxmd.com/read/27988975/response-of-vegetation-phenology-to-urbanization-in-the-conterminous-united-states
#13
Xuecao Li, Yuyu Zhou, Ghassem R Asrar, Jiafu Mao, Xiaoma Li, Wenyu Li
The influence of urbanization on vegetation phenology is gaining considerable attention due to its implications for human health, cycling of carbon and other nutrients in Earth system. In this study, we examined the relationship between change in vegetation phenology and urban size, an indicator of urbanization, for the conterminous United States. We studied more than 4500 urban clusters of varying size to determine the impact of urbanization on plant phenology, with the aids of remotely sensed observations since 2003-2012...
December 18, 2016: Global Change Biology
https://www.readbyqxmd.com/read/27982569/low-cost-robust-and-field-portable-smartphone-platform-photometric-sensor-for-fluoride-level-detection-in-drinking-water
#14
Iftak Hussain, Kamal Uddin Ahamad, Pabitra Nath
Groundwater is the major source of drinking water for people living in rural areas of India. Pollutants such as fluoride in groundwater may be present in much higher concentration than the permissible limit. Fluoride does not give any visible coloration to water, and hence, no effort is made to remove or reduce the concentration of this chemical present in drinking water. This may lead to a serious health hazard for those people taking groundwater as their primary source of drinking water. Sophisticated laboratory grade tools such as ion selective electrodes (ISE) and portable spectrophotometers are commercially available for in-field detection of fluoride level in drinking water...
December 16, 2016: Analytical Chemistry
https://www.readbyqxmd.com/read/27982304/anopheles-fauna-of-coastal-cayenne-french-guiana-modelling-and-mapping-of-species-presence-using-remotely-sensed-land-cover-data
#15
Antoine Adde, Isabelle Dusfour, Emmanuel Roux, Romain Girod, Sébastien Briolant
Little is known about the Anopheles species of the coastal areas of French Guiana, or their spatiotemporal distribution or environmental determinants. The present study aimed to (1) document the distribution of Anopheles fauna in the coastal area around Cayenne, and (2) investigate the use of remotely sensed land cover data as proxies of Anopheles presence. To characterise the Anopheles fauna, we combined the findings of two entomological surveys that were conducted during the period 2007-2009 and in 2014 at 37 sites...
December 2016: Memórias do Instituto Oswaldo Cruz
https://www.readbyqxmd.com/read/27974948/utilizing-chair-massage-to-address-one-woman-s-health-in-rural-ghana-west-africa-a-case-report
#16
Cathy J Meryanos
BACKGROUND AND OBJECTIVES: There is limited access to health care in rural Ghana and virtually no rehabilitative services available. This situation presents a unique opportunity to utilize chair massage in addressing women's health in rural Ghana, particularly when it comes to muscle pain and fatigue from heavy labor. The objective of this case report is to determine the results of chair massage as a strategy to reduce neck, shoulder, and back pain, while increasing range of motion. CASE PRESENTATION: The patient is a 63-year-old Ghanaian female, who was struck by a public transport van while carrying a 30-50 pound load on her head, two years prior...
December 2016: International Journal of Therapeutic Massage & Bodywork
https://www.readbyqxmd.com/read/27968859/the-health-brain-drain-in-rural-areas-about-the-health-personnel-incentive-policy-intervention-in-shanghai-a-longitudinal-study
#17
Kun Liu, Limei Jing, Xuhong Zhou, Yao Huang, Li Wang, Xiaoming Sun
BACKGROUND: The so-called health brain-drain-which refers to the health workers leaving their present jobs to other institutions, especially in rural areas-severely restricts the development of primary healthcare. To solve the problem, Pudong New Area of Shanghai carried out a series of incentive policies such as salary bonus, promotion and housing from July, 2014. In our study we aimed to analyse the change in health brain-drain which resulted from this policy. METHODS: There are 45 community health centres in Pudong, which we classified into 4 categories by geographical division: remote rural, general rural, suburban, and urban...
October 2016: Lancet
https://www.readbyqxmd.com/read/27968825/effectiveness-of-an-incentive-policy-intervention-for-rural-health-care-providers-a-longitudinal-survey-in-shanghai
#18
Limei Jing, Kun Liu, Xuhong Zhou, Li Wang, Jiquan Lou, Xiaoming Sun
BACKGROUND: Grassroots health-care institutions in China are facing a shortage of professionals, especially general practitioners. To encourage health-care providers to come to and stay at rural grassroots institutions, Pudong New Area of Shanghai undertook a series of incentive reforms for rural health-care providers in July, 2014. We evaluated the effectiveness of incentive reform. METHODS: The reform covered Pudong's 32 rural community health centres (CHCs): 12 remote rural CHCs, 11 general rural CHCs, and 9 suburban CHCs...
October 2016: Lancet
https://www.readbyqxmd.com/read/27951552/what-is-the-best-dialysis-therapy-for-south-asia-hd-or-pd
#19
K R N Pavan, S V Subhramanyam, A N Karopadi, K A Sinoj, K S Nayak
BACKGROUND: South Asian countries have a population of 1.7 billion and are classified as low-middle to poor income nations. Their health care systems cannot presently meet the growing need for renal replacement therapy (RRT), provided as haemodialysis or peritoneal dialysis (PD). Most patients cannot afford the treatment and quickly default. Furthermore, most of the population is located in rural areas, where there are few treatment centres; therefore, there is a huge gap between those treated and those in need...
2017: Contributions to Nephrology
https://www.readbyqxmd.com/read/27939558/a-new-global-strategy-for-the-elimination-of-schistosomiasis
#20
EDITORIAL
Allen G P Ross, Thao N Chau, Marianette T Inobaya, Remigio M Olveda, Yuesheng Li, Donald A Harn
Mass drug administration utilising a single oral dose of 40mg/kg of praziquantel (PZQ) has been endorsed and advocated by the World Health Organisation (WHO) for the global control and elimination of schistosomiasis. However, this strategy is failing primarily because the drugs are not getting to the people who need them the most. The current global coverage is 20%, the drug compliance rate is less than 50%, and the drug efficacy is approximately 50%. Thus in reality, only about 5% of the reservoir human population is actually receiving intermittent chemotherapy...
January 2017: International Journal of Infectious Diseases: IJID
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