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Rural and remote health

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https://www.readbyqxmd.com/read/29334277/validation-of-dpoae-screening-conducted-by-village-health-workers-in-a-rural-community-with-real-time-click-evoked-tele-auditory-brainstem-response
#1
Vidya Ramkumar, C S Vanaja, James W Hall, K Selvakumar, Roopa Nagarajan
OBJECTIVE: This study assessed the validity of DPOAE screening conducted by village health workers (VHWs) in a rural community. Real-time click evoked tele-auditory brainstem response (tele-ABR) was used as the gold standard to establish validity. DESIGN: A cross-sectional design was utilised to compare the results of screening by VHWs to those obtained via tele-ABR. Study samples: One hundred and nineteen subjects (0 to 5 years) were selected randomly from a sample of 2880 infants and young children who received DPOAE screening by VHWs...
January 15, 2018: International Journal of Audiology
https://www.readbyqxmd.com/read/29332061/design-and-implementation-of-an-advanced-telemedicine-model-for-the-rural-people-of-bangladesh
#2
Uzzal Kumar Prodhan, Mohammad Zahidur Rahman, Israt Jahan
OBJECTIVES: Telemedicine based healthcare service faces different difficulties especially in the remote people of Bangladesh. The objective of this study was to implement an advanced telemedicine model in order to provide the healthcare services for the rural people of Bangladesh. METHODS: We developed the telemedicine model using an ardunio based low cost portable telemedicine tool kit by interfacing android application. Then we collected ECG, blood pressure, temperature, concentration of glucose in blood, SPO2, body position, airflow, height and weight through our developed model...
January 5, 2018: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/29320668/the-impact-of-non-vitamin-k-antagonist-oral-anticoagulants-noacs-on-anticoagulation-therapy-in-rural-australia
#3
Jamie W Bellinge, Jarrad J Paul, Liam S Walsh, Lokesh Garg, Gerald F Watts, Carl Schultz
OBJECTIVE: To determine the use of different anticoagulation therapies in rural Western Australia; to establish whether remoteness from health care services affects the choice of anticoagulation therapy; to gather preliminary data on anticoagulation therapy safety and efficacy. DESIGN: Retrospective cohort study of patients hospitalised with a principal diagnosis of atrial fibrillation/flutter (AF) or venous thromboembolism (VTE) during 2014-2015. SETTING: Four hospitals serving two-thirds of the rural population of Western Australia...
January 15, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/29317007/growing-health-partnerships-in-rural-and-remote-communities-what-drives-the-joint-efforts-of-primary-schools-and-universities-in-maintaining-service-learning-partnerships
#4
Sue Kirby, Fabian P Held, Debra Jones, David Lyle
Aim This study explored the partnership between universities and local primary schools to deliver a classroom-based paediatric communication impairment service provided by undergraduate speech pathology students. It aimed to understand how partnerships work to facilitate programme replication. BACKGROUND: The partners included universities sending students on rural clinical placement, local host academic units and primary schools who worked together to provide paediatric speech and language services in primary schools in three sites in Australia...
January 10, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29316948/traditional-uses-of-medicinal-plants-practiced-by-the-indigenous-communities-at-mohmand-agency-fata-pakistan
#5
Muhammad Abdul Aziz, Muhammad Adnan, Amir Hasan Khan, Abdelaaty Abdelaziz Shahat, Mansour S Al-Said, Riaz Ullah
BACKGROUND: Plant-derived products have an imperative biological role against certain pathogenic organisms and were considered to be a major source of modern drugs. Rural people residing in developing countries are relying on traditional herbal medical system due to their strong believe and minimum access to allopathic medicines. Hence, ethnomedicinal knowledge is useful for the maintenance of community's based approaches under this medical system. Present study was carried out in an unexplored remote tribal area of Pakistan to investigate and document the existing ethnomedicinal knowledge on local flora...
January 9, 2018: Journal of Ethnobiology and Ethnomedicine
https://www.readbyqxmd.com/read/29316820/cost-effectiveness-of-access-to-critical-cerebral-emergency-support-services-access-a-neuro-emergent-telemedicine-consultation-program
#6
Justin Whetten, David N van der Goes, Huy Tran, Mark Moffett, Colin Semper, Howard Yonas
AIMS: Access to Critical Cerebral Emergency Support Services (ACCESS) was developed as a low-cost solution to providing neuro-emergent consultations to rural hospitals in New Mexico that do not offer comprehensive stroke care. ACCESS is a two-way audio visual program linking remote emergency department physicians and their patients to stroke specialists. ACCESS also has an education component in which hospitals receive training from stroke specialists on the triage and treatment of patients...
January 9, 2018: Journal of Medical Economics
https://www.readbyqxmd.com/read/29316000/perspectives-of-rural-health-and-human-service-practitioners-following-suicide-prevention-training-programme-in-australia-a-thematic-analysis
#7
Martin Jones, Monika Ferguson, Sandra Walsh, Lee Martinez, Michael Marsh, Kathryn Cronin, Nicolas Procter
There are well-established training programmes available to support health and human services professionals working with people vulnerable to suicide. However, little is known about involving people with lived experience in the delivery of suicide prevention training with communities with increased rates of suicide. The aim of this paper was to report on a formative dialogical evaluation that explored the views of health and human services workers with regard to a suicide prevention training programme in regional (including rural and remote areas) South Australia which included meaningful involvement of a person with lived experience in the development and delivery of the training...
January 8, 2018: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29313498/the-delegation-of-tasks-in-the-era-of-e-health-to-support-community-interventions-in-maternal-and-child-health-lessons-learned-from-the-pact-denbaya-project
#8
C-O Bagayoko, M Niang, A Anne, D Traoré, H Sangho, A-K Traoré, A Geissbuhler
The PACT-Denbaya project (Program for community access to telemedicine for families) aimed to help improve the health of mothers and child in rural communities through the delegation of obstetric-gynecologic and pediatric tasks, supported by teleconsultations. This operational research took place in 6 community health centers in the Dioïla health district in Mali. Our method was based of the delegation of tasks, supported by teleconsultations. Experts in pediatrics and obstetrics/gynecology provided a week-long training program to general practitioners and midwives, in the management of the most common problems in the field and in the use of the "Bogou" teleconsultation and "Dudal" tele-education platforms to ensure exchanges and follow-up...
November 1, 2017: Médecine et Santé Tropicales
https://www.readbyqxmd.com/read/29297361/learning-by-doing-in-practice-a-roundtable-discussion-about-stakeholder-engagement-in-implementation-research
#9
Said Habib Arwal, Bhupinder Kaur Aulakh, Ahmed Bumba, Akshita Siddula
BACKGROUND: Researchers and policy-makers alike increasingly recognise the importance of engaging diverse perspectives in implementation research. This roundtable discussion presents the experiences and perspectives of three decision-makers regarding the benefits and challenges of their engagement in implementation research. DISCUSSION: The first perspective comes from a rural district medical officer from Uganda and touches on the success of using data as evidence in a low-resource setting...
December 28, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29297334/the-hub-and-spoke-organization-design-revisited-a-lifeline-for-rural-hospitals
#10
James K Elrod, John L Fortenberry
BACKGROUND: Characterized by declining populations, high poverty, reduced employment opportunities, and high numbers of uninsured residents, rural communities pose significant challenges for healthcare providers desirous of addressing these medically underserved areas. Such difficult environments, in fact, have forced the closure of many rural hospitals across America, with scores facing the same threat, compelling intensive efforts to identify pathways which will yield an improved future...
December 13, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29297052/association-of-long-term-exposure-to-airborne-particulate-matter-of-1-%C3%AE-m-or-less-with-preterm-birth-in-china
#11
Yuan-Yuan Wang, Qin Li, Yuming Guo, Hong Zhou, Xiaobin Wang, Qiaomei Wang, Haiping Shen, Yiping Zhang, Donghai Yan, Ya Zhang, Hongguang Zhang, Shanshan Li, Gongbo Chen, Jun Zhao, Yuan He, Ying Yang, Jihong Xu, Yan Wang, Zuoqi Peng, Hai-Jun Wang, Xu Ma
Importance: Airborne particulate matter pollution has been associated with preterm birth (PTB) in some studies. However, most of these studies assessed only populations living near monitoring stations, and the association of airborne particulate matter having a median diameter of 1 μm or less (PM1) with PTB has not been studied. Objective: To evaluate whether PM1 concentrations are associated with the risk of PTB. Design, Setting, and Participants: This national cohort study used National Free Preconception Health Examination Project data collected in 324 of 344 prefecture-level cities from 30 provinces of mainland China...
January 2, 2018: JAMA Pediatrics
https://www.readbyqxmd.com/read/29290893/ultrasound-curriculum-taught-by-first-year-medical-students-a-four-year-experience-in-tanzania
#12
Sean P Denny, William B Minteer, Reece T H Fenning, Sahil Aggarwal, Debora H Lee, Shella K Raja, Kaavya R Raman, Allison O Farfel, Priya A Patel, MarkLieber, Megan E Bernstein, Shadi Lahham, John C Fox
BACKGROUND: Diagnostic imaging is an integral aspect of care that is often insufficient, if not altogether absent, in rural and remote regions of low to middle income countries (LMICs) such as Tanzania. The introduction of ultrasound can significantly impact treatment in these countries due to its portability, low cost, safety, and usefulness in various medical assessments. This study reviews the implementation of a four-week ultrasound course administered annually from 2013-2016 in a healthcare professional school in Mwanza, Tanzania by first-year allopathic US medical students...
2018: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29281166/a-potential-human-rights-act-in-queensland-and-inclusion-of-the-right-to-health
#13
Claire E Brolan, Lisa Herron, Anna Carney, Eva M Fritz, Judy James, Miranda Margetts
OBJECTIVE: To identify the level of public support for a Human Rights Act for Queensland (HRAQ) and for inclusion of the right to health by participants in a public inquiry process. METHODS: We reviewed the 492 written submissions to the Legal Affairs and Community Safety Committee's Inquiry into a potential HRAQ and the transcripts documenting the public hearings held by the Committee in 2016. RESULTS: A total of 465 written submissions were analysed; 419 (90%) were for a HRAQ...
December 27, 2017: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/29278981/delivering-occupational-therapy-hand-assessment-and-treatment-sessions-via-telehealth
#14
Tess Worboys, Melinda Brassington, Elizabeth C Ward, Petrea L Cornwell
Introduction Telehealth offers a solution to assist delivery of occupational therapy (OT) services for hand therapy in rural and remote locations. However, there is currently no evidence to validate this service model. The aim of this study was to examine the validity of clinical decisions made during hand therapy sessions conducted via telehealth compared to a traditional clinical model (TCM) assessment, and explore patient and clinician satisfaction. Methods Eighteen patients referred for hand therapy to a rural/remote hospital-based outpatient service were assessed simultaneously via telehealth and a TCM assessment...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29251060/ethnic-density-of-regions-and-psychiatric-disorders-among-ethnic-minority-individuals
#15
Scott Daniel Emerson, Anita Minh, Martin Guhn
BACKGROUND: Ethnic minorities form an increasingly large proportion of Canada's population. Living in areas of greater ethnic density may help protect mental health among ethnic minorities through psychosocial pathways such as accessibility to culturally appropriate provision of mental health care, less discrimination and a greater sense of belonging. Mood and anxiety disorders are common psychiatric disorders. AIM: This study examined whether ethnic density of regions was related to mood and anxiety disorders among ethnic minorities in Canada...
December 1, 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/29242996/personalized%C3%A2-health-monitoring%C3%A2-system-for-managing-well-being-in-rural-areas
#16
Prema Nedungadi, Akshay Jayakumar, Raghu Raman
Rural India lacks easy access to health practitioners and medical centers, depending instead on community health workers. In these areas, common ailments that are easy to manage with medicines, often lead to medical escalations and even fatalities due to lack of awareness and delayed diagnosis. The introduction of wearable health devices has made it easier to monitor health conditions and to connect doctors and patients in urban areas. However, existing initiatives have not succeeded in providing adequate health monitoring to rural and low-literate patients, as current methods are expensive, require consistent connectivity and expect literate users...
December 14, 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/29237503/integration-of-eye-health-into-primary-care-services-in-tanzania-a-qualitative-investigation-of-experiences-in-two-districts
#17
Emma Jolley, Milka Mafwiri, Joanna Hunter, Elena Schmidt
BACKGROUND: Visual impairment is a public health problem in sub-Saharan Africa, affecting nearly 5% of the population. Efforts to combat avoidable causes have been hampered by weak health systems and little evidence exists to suggest what interventions may be effective to improve the situation. Despite this, there are calls to promote some specific interventions, one of which being the closer integration of eye health services into health systems, often focusing on training primary health workers to deliver basic eye health services...
December 13, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29236564/views-from-the-field-medical-student-experiences-and-perceptions-of-interprofessional-learning-and-collaboration-in-rural-settings
#18
David S Thompson, Jacques Abourbih, Lorraine Carter, Gayle Adams-Carpino, Sue Berry, Lisa E Graves, Nichole J Ranger
Exploring the perceived environment where students are educated, as well as where they practice, is particularly important for educators and practitioners working in situations of interprofessional rural and remote health. In this study, we explored the perceptions of undergraduate medical students regarding interprofessionalism across their four-year undergraduate program which focuses on rural health. A thematic content analysis of the text-data was conducted on a convenience sample of 47 student responses to essay questions across four cohorts of a four-year undergraduate medical program...
December 13, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29231287/using-secondments-in-tertiary-health-facilities-to-build-paediatric-expertise-in-allied-health-professionals-working-in-rural-new-south-wales
#19
Carmel Blayden, Sonia Hughes, Jennifer Nicol, Susan Sims, Isobel J Hubbard
OUTLINE OF PROBLEM: Allied health professionals working in rural settings have broad caseloads requiring advanced skills as general specialists. This can include children with specialised needs. DESIGN: Educational secondments were coordinated for allied health professionals to achieve self-nominated learning objectives. Learning objectives were assessed using pre and post evaluations to determine the effect of the educational secondment on knowledge and confidence specific to the nominated learning outcomes...
December 2017: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/29209761/-shortage-of-physicians-in-rural-areas-and-in-the-public-health-service-a-critical-analysis-of-the-evidence-on-the-role-of-medical-education-and-training
#20
REVIEW
Hanna Kaduszkiewicz, Ute Teichert, Hendrik van den Bussche
BACKGROUND: A shortage of medical personnel has been seen for several decades in at least two sectors of the healthcare system: primary care in remote areas as well as medical care in the state public health departments (Öffentliches Gesundheitswesen). Strategies to reduce these problems are being sought. OBJECTIVE: This review examines the proposals, practical initiatives and empirical studies in under- and postgraduate medical education in order to estimate their potential impact on the solution of these problems...
December 5, 2017: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
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