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https://www.readbyqxmd.com/read/29454140/weight-management-in-rural-health-clinics-the-midwest-diet-and-exercise-trial
#1
Anna M Gorczyca, Richard A Washburn, Lauren Ptomey, Matthew S Mayo, Debra K Sullivan, Cheryl A Gibson, Robert Lee, Sarah Stolte, Joseph E Donnelly
Obesity prevalence is higher in rural compared to urban residents. Rural health clinics offer a potential venue for delivery of weight management. However, traditional programs require travel to attend on-site meetings which is impractical or inconvenient for rural residents. Clinic staff in most rural settings are unlikely to be trained to provide effective weight management. Remote delivery using group phone conferences (GP) or individual phone calls (IP), by staff associated with rural clinics eliminates the need for travel to attend on-site meetings...
February 14, 2018: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29454050/when-travel-is-a-challenge-travel-medicine-and-the-dis-abled-traveller
#2
REVIEW
Irmgard Bauer
Travellers with recognised disabilities or the dis-ability to function as required during a trip have been overlooked in the travel medicine literature. This paper provides a starting point for further discussion and research into this neglected traveller population. In contrast, tourism research has explored travel with a disability for some time in order to understand the travellers' needs and to improve services accordingly. The contemporary bio-psycho-social understanding of disability serves as the framework for exploring motivations to travel as well as barriers, such as inter and intrapersonal, economic, structural and attitudinal obstacles...
February 14, 2018: Travel Medicine and Infectious Disease
https://www.readbyqxmd.com/read/29453706/family-experiences-with-the-diagnosis-of-autism-spectrum-disorder-system-barriers-and-facilitators-of-efficient-diagnosis
#3
M Martinez, K C Thomas, C S Williams, R Christian, E Crais, R Pretzel, S R Hooper
This paper examines family experiences with the efficiency of ASD diagnosis. Children were age 8 or younger with ASD (n = 450). Outcomes were delay from first parent concern to diagnosis, shifting diagnoses, and being told child did not have ASD. Predictors were screening, travel distance, and problems finding providers. Logit models were used to examine associations. Screening was associated with reduced delay in diagnosis; problems finding providers were associated with greater delay. Screening, travel distance, and delay in diagnosis were associated with shifting diagnoses and being told child did not have ASD...
February 16, 2018: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/29451368/public-health-response-to-an-imported-case-of-canine-melioidosis
#4
C W Ryan, K Bishop, D D Blaney, S J Britton, F Cantone, C Egan, M G Elrod, C W Frye, A M Maxted, G Perkins
Melioidosis in humans presents variably as fulminant sepsis, pneumonia, skin infection and solid organ abscesses. It is caused by Burkholderia pseudomallei, which in the United States is classified as a select agent, with "potential to pose a severe threat to both human and animal health, to plant health or to animal and plant products" (Federal Select Agent Program, http://www.selectagents.gov/, accessed 22 September 2016). Burkholderia pseudomallei is found in soil and surface water in the tropics, especially South-East Asia and northern Australia, where melioidosis is endemic...
February 16, 2018: Zoonoses and Public Health
https://www.readbyqxmd.com/read/29451044/endemic-and-emerging-acute-virus-infections-in-indonesia-an-overview-of-the-past-decade-and-implications-for-the-future
#5
Wesley de Jong, Musofa Rusli, Soerajja Bhoelan, Sofie Rohde, Fedik A Rantam, Purwati A Noeryoto, Usman Hadi, Eric C M van Gorp, Marco Goeijenbier
Being the largest archipelago country in the world, with a tropical climate and a unique flora and fauna, Indonesia habitats one of the most diverse biome in the world. These characteristics make Indonesia a popular travel destination, with tourism numbers increasing yearly. These characteristics also facilitate the transmission of zoonosis and provide ideal living and breading circumstances for arthropods, known vectors for viral diseases. A review of the past 10 years of literature, reports of the Ministry of Health, Republic of Indonesia and ProMED-mail shows a significant increase in dengue infection incidence...
February 16, 2018: Critical Reviews in Microbiology
https://www.readbyqxmd.com/read/29446318/cardiovascular-risk-factors-in-airline-pilots
#6
Dana Lord, Helen Acree Conlon
The health of an airline pilot is imperative to the safe travels of millions of people worldwide. Medical providers evaluate the cardiovascular risks for airline pilots and the medical requirements to obtain and maintain licensure as an airline pilot. It is the role of the occupational health nurse practitioner to evaluate and reduce the risk of cardiovascular disease in this population.
February 1, 2018: Workplace Health & Safety
https://www.readbyqxmd.com/read/29445632/trend-of-medical-tourism-publications-an-attempt-to-explore-the-involved-academic-disciplines-and-interests
#7
Ladan Rokni, Sam-Hun Park
Background: Medical tourism suffers from the lack of a consensus regarding the involved categories. This study aimed to address this gap from the academic disciplines and publications perspective. Methods: Totally 1954 citations were identified through a formula of keyword search of SCOPUS. In order to classify the various subject areas, we followed the international standard classification of education (ISCED) developed by UNESCO. Moreover, the trends of publications were identified based on their popularity between 2000 and 2017...
February 2018: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/29444241/macro-environmental-factors-and-physical-activity-in-28-european-union-countries
#8
Anthony A Laverty, Hayley Thompson, Andreea Cetateanu, Filippos T Filippidis
Data from the representative 2013 Eurobarometer survey were combined with macro-environmental data to assess relationships with different domains of physical activity (PA) in 28 European Union countries. Higher mean annual temperatures were the only macro-environmental factor found to be associated with levels of physical activity; an increase in the mean annual temperature by 1°C was associated with-0.94 fewer minutes of vigorous-intensity activity per week (95% CI: -1.66 to -0.23). This highlights the importance of modifiable influences (e...
February 9, 2018: European Journal of Public Health
https://www.readbyqxmd.com/read/29443892/an-exploration-of-underrepresentation-of-aboriginal-cancer-patients-attending-a-regional-radiotherapy-service-in-western-australia
#9
Marilyn Lyford, Margaret M Haigh, Siddhartha Baxi, Shelley Cheetham, Shaouli Shahid, Sandra C Thompson
Travel logistics impede Aboriginal patients' uptake of cancer treatments and is one reason for the poorer outcomes of Aboriginal people with cancer. This research examined benefits of a newly established rurally based radiotherapy unit in southwest Western Australia (WA), and included exploring the experience of Aboriginal patients and possible reasons for Aboriginal people's underrepresentation in treatment. Semi-structured in-depth interviews with 21 service providers involved in the treatment and care of people with cancer, and 3 Aboriginal patients with cancer who undertook radiotherapy at the Service were undertaken...
February 14, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29439924/canada-s-evacuation-policy-for-pregnant-first-nations-women-resignation-resilience-and-resistance
#10
Karen M Lawford, Audrey R Giles, Ivy L Bourgeault
BACKGROUND: Aboriginal peoples in Canada are comprised of First Nations, Métis, and Inuit. Health care services for First Nations who live on rural and remote reserves are mostly provided by the Government of Canada through the federal department, Health Canada. One Health Canada policy, the evacuation policy, requires all First Nations women living on rural and remote reserves to leave their communities between 36 and 38 weeks gestational age and travel to urban centres to await labour and birth...
February 10, 2018: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/29436007/survivors-experiences-of-consequences-and-recovery-five-years-after-a-major-bus-crash
#11
Isabelle Doohan, Lina Gyllencreutz, Ulf Björnstig, Britt-Inger Saveman
RATIONALE: There is a lack of long-term follow-up studies focused on injured and uninjured survivors' experiences of the recovery process after major traffic crashes. AIM: To explore all survivors' experiences of long-term physical and psychological consequences and recovery 5 years after a major bus crash. METHODOLOGICAL DESIGN AND JUSTIFICATION: A qualitative design was used to explore experiences in a 5-year follow-up study. RESEARCH METHODS: Participants were 54 survivors of a bus crash with 56 survivors and six fatalities...
February 12, 2018: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/29435335/health-care-for-all-effective-community-supported-healthcare-with-innovative-use-of-telemedicine-technology
#12
EDITORIAL
Tariq Kazim Shah, Tasneem Tariq, Roger Phillips, Steve Davison, Adam Hoare, Syed Shahzad Hasan, Zaheer-Ud-Din Babar
Almost half of the world's total population reside in rural and remote areas and a large number of these people remain deprived of most basic facilities like healthcare and education. It is deemed impossible for government with scarce resources in developing countries to open and run a health facility in every remote community using conventional means. One increasingly popular unconventional mean is the use of existing technology to improve exchange of medical information for the purpose of improving health of underprivileged communities...
2018: Journal of Pharmaceutical Policy and Practice
https://www.readbyqxmd.com/read/29433630/an-exploration-of-the-experiences-of-australian-grey-nomads-travelling-with-chronic-conditions
#13
Kaara Ray B Calma, Elizabeth Halcomb, Moira Stephens
Internationally, the population is ageing and people are living well, longer. In Australia, extended travelling has gained popularity among older Grey Nomads due to time and opportunity post retirement. However, there is limited research available focusing on older Australians' health while travelling. This paper reports the qualitative phase of a larger mixed-method project that explores the experience of Australian Grey Nomads travelling with chronic conditions. Eight Grey Nomads participated in telephone interviews...
February 13, 2018: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29432137/air-travel-for-subjects-receiving-long-term-oxygen-therapy
#14
Christina D Campbell, Matthew W Smyth, Lindsay Brown, Emer Kelly
BACKGROUND: Ambulatory oxygen (O2) is the recommended treatment for hypoxemia at rest or induced by exercise. Commercial aircraft often fly at altitudes of 30,000 feet; their cabins are pressurized to altitudes of 6,000-8,000 feet, with an equivalent FIO2 of 0.15.O2 supplementation, for those receiving baseline ambulatory O2, is paramount. METHODS: We gathered information on subjects' experience traveling with supplementary oxygen and reasons individuals receiving O2 do not travel...
February 6, 2018: Respiratory Care
https://www.readbyqxmd.com/read/29432085/training-peers-to-treat-ebola-centre-workers-with-anxiety-and-depression-in-sierra-leone
#15
Samantha Waterman, Elaine Catherine Margaret Hunter, Charles L Cole, Lauren Jayne Evans, Neil Greenberg, G James Rubin, Alison Beck
BACKGROUND: Following the 2014 Ebola virus disease (EVD) outbreak in West Africa, the UK Department for International Development funded South London and Maudsley National Health Service (NHS) to develop a psychological intervention that ex-Ebola Treatment Centre (ETC) staff could be trained to deliver to their peers to improve mental health in Sierra Leone. AIM: The two key aims were to assess the feasibility of training a national team to deliver a cognitive behavioural therapy (CBT)-based group intervention, and to evaluate the effectiveness of the overall intervention within this population...
March 2018: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/29430970/pain-exposure-physical-therapy-versus-conventional-treatment-in-complex-regional-pain-syndrome-type-1-a-cost-effectiveness-analysis-alongside-a-randomized-controlled-trial
#16
Karlijn Barnhoorn, J Bart Staal, Robert Tm van Dongen, Jan Paul M Frölke, Frank P Klomp, Henk van de Meent, Eddy Adang, Maria Wg Nijhuis-van der Sanden
OBJECTIVE: To analyze cost-effectiveness of Pain Exposure Physical Therapy compared to conventional treatment alongside a randomized controlled trial (NCT00817128) in patients with complex regional pain syndrome type 1, where no clinical difference was shown between the two groups in an intention-to-treat analysis. DESIGN: Randomized controlled trial with 9 months follow-up. SETTING: Patients were recruited from hospitals and general practitioners in the region around a university hospital...
February 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29428953/medical-overtreatment-friend-or-foe
#17
Nortin M Hadler
"Overtreatment" is a neologism coined some 15 years ago to denote medical and surgical interventions that are unnecessary. It is a topical term for an old concept. However, it has rapidly become a shibboleth for those inclined toward finger-pointing and blaming in matters of health policy. As such, it is a "foe" that heats up rather than modulates debate. But if one examines the notion in the context of the contemporary patient-physician dialogue, it is anything but a foe. Overtreatment and its fellow travelers, overutilization and overprescription, face off with contrary notions when a patient contends with the challenge of evaluating any clinical option...
February 9, 2018: Gerontology
https://www.readbyqxmd.com/read/29428651/the-effects-of-transboundary-air-pollution-following-major-events-in-china-on-air-quality-in-the-u-s-evidence-from-chinese-new-year-and-sandstorms
#18
N S Ngo, N Zhong, X Bao
Transboundary air pollution is a global environmental and public health problem including in the U.S., where pollution emissions from China, the largest emitter of anthropogenic air pollution in the world, can travel across the Pacific Ocean and reach places like California and Oregon. We examine the effects of transboundary air pollution following major events in China, specifically sandstorms, a natural-occurring source of air pollution, and Chinese New Year, a major 7-day holiday, on background air quality in the U...
February 8, 2018: Journal of Environmental Management
https://www.readbyqxmd.com/read/29428183/re-emergence-of-yaws-after-single-mass-azithromycin-treatment-followed-by-targeted-treatment-a-longitudinal-study
#19
Oriol Mitjà, Charmie Godornes, Wendy Houinei, August Kapa, Raymond Paru, Haina Abel, Camila González-Beiras, Sibauk V Bieb, James Wangi, Alyssa E Barry, Sergi Sanz, Quique Bassat, Sheila A Lukehart
BACKGROUND: Yaws is a substantial cause of chronic disfiguring ulcers in children in at least 14 countries in the tropics. WHO's newly adopted strategy for yaws eradication uses a single round of mass azithromycin treatment followed by targeted treatment programmes, and data from pilot studies have shown a short-term significant reduction of yaws. We assessed the long-term efficacy of the WHO strategy for yaws eradication. METHODS: Between April 15, 2013, and Oct 24, 2016, we did a longitudinal study on a Papua New Guinea island (Lihir; 16 092 population) in which yaws was endemic...
February 7, 2018: Lancet
https://www.readbyqxmd.com/read/29422094/patient-s-experiences-with-the-care-for-juvenile-idiopathic-arthritis-across-europe
#20
E H Pieter van Dijkhuizen, Tsipi Egert, Yona Egert, Wendy Costello, Casper Schoemaker, Marlous Fernhout, Mirjam Kepic, Alberto Martini, Silvia Scala, Ingrid Rotstein-Grein, Sebastiaan J Vastert, Nico M Wulffraat
BACKGROUND: To assess the views of juvenile idiopathic arthritis (JIA) patients and their parents on the care and treatment they receive in referral pediatric rheumatology centers throughout Europe. METHODS: In a collaboration between physicians and patient associations, a questionnaire was developed, covering various domains of JIA care, including demographics, diagnosis, referrals to various health care professionals, access to pain and fatigue management and support groups, information they received about the disease and awareness of and participation in research...
February 8, 2018: Pediatric Rheumatology Online Journal
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