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Diego Montecino-Latorre, William San Martín
We surveyed professionals from the Chilean Ministry of Agriculture working with small-scale farmers to characterize the attacks of free-ranging dogs across Chile. Nationwide, in a single year, free-ranging dogs attacked 25% of the ca. 8500 farms included in the survey, killing or injuring about 10 000 small ruminants. These dogs were ranked as the main cause of animal losses for small-scale farmers, representing a threat to the livelihoods of this vulnerable group. Further, free-ranging dogs attacking small ruminants were considered as human-subsidized, since they would be recruited by irresponsible ownership and abandonment from urban centers...
June 15, 2018: Ambio
Bistra Kunovska, Kremena Ivanova, Victor Badulin, Martina Cenova, Antoaneta Angelova
In the light of the new ICRP requirements the first National radon survey has been conducted in Bulgaria in the period 2015-16. Indoor radon concentrations were measured for 1 y in 2778 dwellings of whole Bulgarian territory in order to obtain the systematic data for the distribution of radon. The arithmetic mean is 111 Bq m-3 and the geometric mean is 81 Bq m-3 with geometric standard deviation of 2.15. On the base of the data, an annual effective dose to the Bulgarian population due to indoor radon exposure was estimated at 5...
June 14, 2018: Radiation Protection Dosimetry
Julieann Coombes, Kate Hunter, Tamara Mackean, Andrew J A Holland, Elizabeth Sullivan, Rebecca Ivers
BACKGROUND: Access to multidisciplinary health care services for First Nation children with a chronic condition is critical for the child's health and well-being, but disparities and inequality in health care systems have been almost impossible to eradicate for First Nation people globally. The objective of this review is to identify the factors that impact access and ongoing care for First Nation children globally with a chronic condition. METHODS: An extensive systematic search was conducted of nine electronic databases to identify primary studies that explored factors affecting access to ongoing services for First Nation children with a chronic disease or injury...
June 14, 2018: BMC Health Services Research
Claudia Ravaldi, Elena Skoko, Alessandra Battisti, Michela Cericco, Alfredo Vannacci
Data here reported are sample characteristics of the first nation-wide community based survey on 'obstetric violence' (OV) conducted in a high-income country (Italy). The initiative is the extension of the social media campaign "#Bastatacere: mothers have voice" that in 2016 put under national spotlight the hidden phenomenon of abuse and disrespect in childbirth in hospital facilities, advocating for a respectful maternity care. The questionnaire LOVE-THEM was firstly developed in an open format and then revised according to WHO definition of disrespect and abuse in childbirth, within human rights based approach...
August 2018: Data in Brief
Brandy A Wicklow, Elizabeth A C Sellers, Atul K Sharma, Kristine Kroeker, Nathan C Nickel, Wanda Philips-Beck, Garry X Shen
Importance: Type 2 diabetes is increasing worldwide, disproportionately affecting First Nations (FN) people. Identifying early-life determinants of type 2 diabetes is important to address the intergenerational burden of illness. Objective: To investigate the association of in utero exposure to gestational diabetes and type 2 diabetes, stratified by FN status, with the development of type 2 diabetes in offspring. Design, Setting, and Participants: This cohort study was derived from the linkage of a pediatric diabetes clinical database and a population-based research data repository in Manitoba, Canada...
June 11, 2018: JAMA Pediatrics
Julieann Coombes, Caroline Lukaszyk, Cathie Sherrington, Lisa Keay, Anne Tiedemann, Robyn Moore, Rebecca Ivers
OBJECTIVES: Healthy ageing has been unattainable for many of Australia's First Nation people, driven by an earlier onset of chronic disease when compared to the general Australian population. Our objective was to examine the perspectives of Australian First Nation people about healthy ageing. METHODS: We used a conversational method to gather knowledge from older First Nation people from established communities in New South Wales, Australia. Discussions were audio recorded and transcribed and analysed using an Indigenous research standpoint methodology...
June 11, 2018: Australian and New Zealand Journal of Public Health
Phillip Cottingham, Jon Adams, Ram Vempati, Jill Dunn, David Sibbritt
Background: Massage therapy is widely recognized as offering many health benefits, with a growing number of studies finding it has value in stress management, pain reduction, and overcoming physical limitations. However, there are few studies of massage therapists practices and perceptions in New Zealand and internationally. This paper reports the findings from the first national survey examining the characteristics, perceptions, and experiences of New Zealand-based massage therapists on a range of aspects related to their role and practices...
June 2018: International Journal of Therapeutic Massage & Bodywork
Lanfang Han, Bo Gao, Hong Hao, Huaidong Zhou, Jin Lu, Ke Sun
Lead (Pb) contamination was recognized in China early in the 1920s. However, the response of Pb contamination in sediments to China's rapid economic and social development remains uncertain to date. We conducted a literature review of over 1000 articles from 1990 to 2016 and the first national-scale survey of Pb contamination in China. A literature review showed that available research in China focused on the economically highly developed river basins, including the Pearl River Basin (PRB), Yellow River Basin (YRB), and Yangtze River Basin (YtRB), whereas those in the less developed southeastern, southwestern, and northwestern river basins received limited attention...
June 4, 2018: Science of the Total Environment
Jiangjiang He, Qi Kang, Jiahao Hu, Peipei Song, Chunlin Jin
Over the past few years, the Chinese Government has paid greater attention to rare diseases and it has incorporated rare diseases in national health strategy and planning. On May 22, 2018, the Chinese Government officially released its first list of rare diseases, which included 121 rare diseases. The list was published to facilitate greater societal awareness of rare diseases, to improve the ability of front-line medical staff to treat rare diseases, to introduce incentives for research and development of orphan drugs, and to increase the availability of medicines for rare diseases...
May 2018: Intractable & Rare Diseases Research
John P Morgan, Moses Isyagi, Joseph Ntaganira, Agnes Gatarayiha, Sarah E Pagni, Tamar C Roomian, Matthew Finkelman, Jane E M Steffensen, Jane R Barrow, Chrispinus H Mumena, Donna M Hackley
BACKGROUND: Oral health affects quality of life and is linked to overall health. Enhanced oral health research is needed in low- and middle-income countries to develop strategies that reduce the burden of oral disease, improve oral health and inform oral health workforce and infrastructure development decisions. OBJECTIVE: To implement the first National Oral Health Survey of Rwanda to assess the oral disease burden and inform oral health promotion strategies. METHODS: In this cross-sectional study, sample size and site selection were based on the World Health Organization (WHO) Oral Health Surveys Pathfinder stratified cluster methodologies...
2018: Global Health Action
L W Fang, L H Wang
The first national surveillance of COPD in mainland China was carried out in 2014, with the nationally representative data obtained. The national surveillance was significantly important for the monitoring of prevalence, risk factors, and changing trend of COPD among Chinese adults aged ≥ 40. The surveillance was also important in the development of national COPD prevention and control policy, the evaluation of prevention and control progress, the establishment of COPD comprehensive surveillance system, and the building of a professional COPD monitoring and prevention team...
May 10, 2018: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
Orna Fennelly, Catherine Blake, Oliver FitzGerald, Roisin Breen, Jennifer Ashton, Aisling Brennan, Aoife Caffrey, François Desmeules, Caitriona Cunningham
BACKGROUND: Many people with musculoskeletal (MSK) disorders wait several months or years for Consultant Doctor appointments, despite often not requiring medical or surgical interventions. To allow earlier patient access to orthopaedic and rheumatology services in Ireland, Advanced Practice Physiotherapists (APPs) were introduced at 16 major acute hospitals. This study performed the first national evaluation of APP triage services. METHOD: Throughout 2014, APPs (n = 22) entered clinical data on a national database...
June 1, 2018: BMC Musculoskeletal Disorders
Maite Velázquez, Agustín Albarrán, Ignacio Hernández, M Jesús López-Gude, Fernando Sarnago, Roberto Martín, Fernando Arribas, Pilar Escribano
INTRODUCTION AND OBJECTIVES: Balloon pulmonary angioplasty (BPA) for inoperable chronic thromboembolic pulmonary hypertension (CTEPH) is becoming widely accepted. Procedural refinement has reduced complications. Our primary objective was to analyze the results and complications of the first national BPA program. METHODS: Observational, prospective series that included all consecutive BPA procedures in inoperable CTEPH patients between May 2013 and February 2017 performed at a single institution...
May 29, 2018: Revista Española de Cardiología
Rebecca J Perry, Sarita Karon
For many years, barriers to access have been a significant concern in the Medicaid program. In November 2015, the Centers for Medicare & Medicaid Services issued a Final Rule that requires states to submit access monitoring plans every three years beginning in October 2016. State access monitoring plans must focus on five categories of service and three domains for measuring and monitoring access to care. This article presents findings from the first national survey that examines what states were doing to measure access to fee-for-service Medicaid care prior to the Final Rule...
2018: Journal of Health Care for the Poor and Underserved
Matthew J Laird, Juan J Aristizabal Henao, Ellen S Reyes, Ken D Stark, George Low, Heidi K Swanson, Brian D Laird
Traditional foods have significant nutritional, sociocultural and economic value in subarctic First Nations communities of the Northwest Territories, and play a crucial role in promoting cultural continuity and sovereignty. Omega-3 polyunsaturated fatty acids (N-3 PUFAs), including eicosapentaenoic (EPA) and docosahexaenoic acid (DHA), carry significant benefits for neurocognitive development and cardiovascular health. However, the health risks posed by methylmercury may serve to undermine the benefits of fish consumption in Northern Indigenous communities...
May 17, 2018: Science of the Total Environment
George Hadjipavlou, Colleen Varcoe, David Tu, Jennifer Dehoney, Roberta Price, Annette J Browne
BACKGROUND: Mental health services in urban settings generally have not been adapted to serve the needs of Indigenous patients. We explored how patients' encounters with Indigenous Elders affected their overall mental health and well-being to identify therapeutic mechanisms underlying improvement. METHODS: We conducted qualitative interviews of participants enrolled in a 6-month prospective mixed-methods evaluation of a program for mental health and well-being that featured the inclusion of Elders in the direct care of Indigenous patients in an inner city primary care clinic...
May 22, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
Joyce J Slater, Adriana N Mudryj
BACKGROUND: Canada's Food Guide (CFG) has been an important health promotion tool for over seventy years. The most recent version was released in 2007. This study examined Canadians' exposure to, knowledge, and use of CFG. METHODS: Data came from the Canadian Community Health Survey's Rapid Response on the Awareness and Usage of Canada's Food Guide, which included 10,098 Canadians ≥12 y in all ten provinces. Questions were asked on familiarity, awareness and usage of CFG and Canada's Food Guide for First Nations, Inuit and Métis, as well as healthy eating principles and behaviours...
May 22, 2018: BMC Public Health
Susannah Ripley, Elizabeth Robinson, Louise Johnson-Down, Anne Andermann, Pierre Ayotte, Michel Lucas, Evert Nieboer
To describe exposure to methylmercury among Cree, focusing on women of childbearing age, we used data from 2 studies. Multiple regression was employed to examine associations between blood and hair mercury concentrations and consumption of locally harvested fish. Approximately 9.9% of non-pregnant women aged 15-44 y and 3.9% of pregnant women required follow-up according to Health Canada's blood mercury guidance value of 40 nmol/L. 8% of hair mercury observations in the non-pregnant women and 2.5% among pregnant women exceeded the equivalent threshold of 10 nmol/g...
December 2018: International Journal of Circumpolar Health
Rumaisa Aljied, Marie-Josée Aubin, Ralf Buhrmann, Saama Sabeti, Ellen E Freeman
OBJECTIVE: To determine the prevalence and determinants of visual impairment in Canada. DESIGN: Cross-sectional population-based study. PARTICIPANTS: 30,097 people in the Comprehensive Cohort of the Canadian Longitudinal Study on Aging METHODS: Inclusion criteria included being between the ages of 45 and 85 years old, community-dwelling, and living near one of the 11 data collection sites across 7 Canadian provinces. People were excluded if they were in an institution, living on a First Nations reserve, were a full-time member of the Canadian Armed Forces, did not speak French or English, or had cognitive impairment...
June 2018: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
G Skaczkowski, V White, K Thompson, H Bibby, M Coory, R Pinkerton, W Nicholls, L M Orme, R Conyers, M B Phillips, M Osborn, R Harrup, A Anazodo
PURPOSE: A cancer diagnosis and treatment may have significant implications for a young patient's future fertility. Documentation of fertility-related discussions and actions is crucial to providing the best follow-up care, which may occur for many years post-treatment. This study examined the rate of medical record documentation of fertility-related discussions and fertility preservation (FP) procedures for adolescents and young adults (AYAs) with cancer in Australia. METHODS: A retrospective review of medical records for 941 patients in all six Australian states...
June 2018: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
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