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https://www.readbyqxmd.com/read/28930763/a-new-community-health-center-academic-medicine-partnership-for-medicaid-cost-control-powered-by-the-mega-teaching-health-center
#1
Richard E Rieselbach, Ted Epperly, Aaron Friedman, David Keahey, Eleanor McConnell, Karen Nichols, Greg Nycz, Jeanette Roberts, Kenneth Schmader, Peter Shin, Derri Shtasel
Community health centers (CHCs), a principal source of primary care for over 24 million patients, provide high-quality affordable care for medically underserved and lower-income populations in urban and rural communities. The authors propose that CHCs can assume an important role in the quest for health care reform by serving substantially more Medicaid patients. Major expansion of CHCs, powered by mega teaching health centers (THCs) in partnership with regional academic medical centers (AMCs) or teaching hospitals, could increase Medicaid beneficiaries' access to cost-effective care...
September 14, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28930196/socio-demographic-and-lifestyle-factors-predict-5-year-changes-in-adiposity-among-a-group-of-black-south-african-adults
#2
Cornelie Nienaber-Rousseau, Olusola F Sotunde, Patricia O Ukegbu, P Hermanus Myburgh, Hattie H Wright, Lize Havemann-Nel, Sarah J Moss, Iolanthé M Kruger, H Salomé Kruger
The rising prevalence of obesity and excessive adiposity are global public health concerns. Understanding determinants of changes in adiposity over time is critical for informing effective evidence-based prevention or treatment. However, limited information is available to achieve this objective. Cultural, demographic, environmental, and behavioral factors including socio-economic status (SES) likely account for obesity development. To this end, we related these variables to anthropometric measures in 1058 black adult Tswana-speaking South Africans who were HIV negative in a prospective study over five years...
September 20, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28929984/developing-a-hospital-disaster-preparedness-plan-for-mass-casualty-incidents-lessons-learned-from-the-downtown-beirut-bombing
#3
Mazen El Sayed, Ali F Chami, Eveline Hitti
Mass casualty incidents (MCIs) are becoming more frequent worldwide, especially in the Middle East where violence in Syria has spilled over to many neighboring countries. Lebanon lacks a coordinated prehospital response system to deal with MCIs; therefore, hospital preparedness plans are essential to deal with the surge of casualties. This report describes our experience in dealing with an MCI involving a car bomb in an urban area of downtown Beirut, Lebanon. It uses general response principles to propose a simplified response model for hospitals to use during MCIs...
September 20, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28929893/long-term-health-outcomes-of-childhood-sexual-abuse-and-peer-sexual-contact-among-an-urban-sample-of-behaviourally-bisexual-latino-men
#4
Brian Mattera, Ethan C Levine, Omar Martinez, Miguel Muñoz-Laboy, Carolina Hausmann-Stabile, José Bauermeister, M Isa Fernandez, Don Operario, Carlos Rodriguez-Diaz
While previous research indicates high rates of childhood sexual abuse among Latino men who have sex with men, few studies have examined the long-term health outcomes of childhood sexual abuse specifically among behaviourally bisexual Latino men. In a sample of 148 behaviourally bisexual Latino men in New York City, we examined associations between childhood sexual abuse and multiple dimensions of adult health: sexual risk behaviours; sexually transmitted infections incidence; polydrug use; depressive symptoms; and perceived stress...
September 20, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28929301/urban-heart-detroit-a-tool-to-better-understand-and-address-health-equity-gaps-in-the-city
#5
R Mehdipanah, A J Schulz, B A Israel, C Gamboa, Z Rowe, M Khan, A Allen
The Urban Health Equity Assessment Response Tool (Urban HEART) combines statistical evidence and community knowledge to address urban health inequities. This paper describes the process of adopting and implementing this tool for Detroit, Michigan, the first city in the USA to use it. The six steps of Urban HEART were implemented by the Healthy Environments Partnership, a community-based participatory research partnership made up of community-based organizations, health service providers, and researchers based in academic institutions...
September 19, 2017: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/28929269/behavioral-health-integration-in-health-care-settings-lessons-learned-from-a-pediatric-hospital-primary-care-system
#6
Leandra Godoy, Melissa Long, Donna Marschall, Stacy Hodgkinson, Brooke Bokor, Hope Rhodes, Howard Crumpton, Mark Weissman, Lee Beers
Behavioral health integration within primary care has been evolving, but literature traditionally focuses on smaller scale efforts. We detail how behavioral health has been integrated across a large, urban pediatric hospital system's six primary care clinics (serving over 35,000 children annually and insured predominately through Medicaid) and discuss strategies for success in sustaining and expanding efforts to achieve effective integration of behavioral health into primary care. In a time span of 3 years, the clinics have implemented routine, universal behavioral health screening at well child visits, participated in a 15-month behavioral health screening quality improvement learning collaborative, and integrated the work of psychologists and psychiatrists...
September 19, 2017: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/28928720/potential-risk-areas-of-aedes-albopictus-in-south-eastern-iran-a-vector-of-dengue-fever-zika-and-chikungunya
#7
Jalil Nejati, Rubén Bueno-Marí, Francisco Collantes, Ahmad A Hanafi-Bojd, Hassan Vatandoost, Zabihollah Charrahy, Seyed M Tabatabaei, Mohammad R Yaghoobi-Ershadi, Abdolghafar Hasanzehi, Mohammad R Shirzadi, Seyed H Moosa-Kazemi, Mohammad M Sedaghat
The possibility of the rapid and global spread of Zika, chikungunya, yellow fever, and dengue fever by Aedes albopictus is well documented and may be facilitated by changes in climate. To avert and manage health risks, climatic and topographic information can be used to model and forecast which areas may be most prone to the establishment of Ae. albopictus. We aimed to weigh and prioritize the predictive value of various meteorological and climatic variables on distributions of Ae. albopictus in south-eastern Iran using the Analytical Hierarchy Process...
2017: Frontiers in Microbiology
https://www.readbyqxmd.com/read/28928306/correlates-of-cardiometabolic-risk-factors-among-women-of-an-ethnic-tribal-community-of-tripura
#8
Purnajita Sen, Sandeep Das, Dipayan Choudhuri
Cardiometabolic health status of 356 women (age 25-65 years) from Tripuri tribal community of Tripura, a Northeastern state of India was evaluated. The height, weight, waist, hip circumference and blood pressure, blood sugar, total cholesterol, triglyceride; high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, and very low-density lipoprotein cholesterol were recorded. Cardiometabolic risk was assessed according to the recent definition for Asian Indians. The overall prevalence of cardiometabolic risk was found to be 27...
July 2017: Indian Journal of Public Health
https://www.readbyqxmd.com/read/28928038/reach-and-effectiveness-of-the-national-diabetes-prevention-program-for-young-women
#9
Natalie D Ritchie, Katherine A Sauder, Stefka Fabbri
INTRODUCTION: Reducing obesity and diabetes risks among women of child-bearing age is urgently needed to halt the transgenerational cycle of disease. Interventions among pregnant women have largely been ineffective and may be initiated too late to improve maternal and child health. The National Diabetes Prevention Program is a widely disseminated lifestyle intervention that may help mitigate risks before pregnancy. However, the program has targeted relatively older adults, and effectiveness among women of child-bearing age remains largely unknown...
September 16, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28927433/modelling-the-current-distribution-and-predicted-spread-of-the-flea-species-ctenocephalides-felis-infesting-outdoor-dogs-in-spain
#10
Rosa Gálvez, Vicenzo Musella, Miguel A Descalzo, Ana Montoya, Rocío Checa, Valentina Marino, Oihane Martín, Giuseppe Cringoli, Laura Rinaldi, Guadalupe Miró
BACKGROUND: The cat flea, Ctenocephalides felis, is the most prevalent flea species detected on dogs and cats in Europe and other world regions. The status of flea infestation today is an evident public health concern because of their cosmopolitan distribution and the flea-borne diseases transmission. This study determines the spatial distribution of the cat flea C. felis infesting dogs in Spain. Using geospatial tools, models were constructed based on entomological data collected from dogs during the period 2013-2015...
September 19, 2017: Parasites & Vectors
https://www.readbyqxmd.com/read/28927306/overcoming-challenges-in-school-wide-survey-administration
#11
Catherine N Rasberry, India Rose, Elizabeth Kroupa, Andrew Hebert, Amanda Geller, Elana Morris, Catherine A Lesesne
School-based surveys provide a useful method for gathering data from youth. Existing literature offers many examples of data collection through school-based surveys, and a small subset of literature describes methodological approaches or general recommendations for health promotion professionals seeking to conduct school-based data collection. Much less is available on real-life logistical challenges (e.g., minimizing disruption in the school day) and corresponding solutions. In this article, we fill that literature gap by offering practical considerations for the administration of school-based surveys...
September 1, 2017: Health Promotion Practice
https://www.readbyqxmd.com/read/28927191/increasing-mortality-from-ischaemic-heart-disease-in-china-from-2004-to-2010-disproportionate-rise-in-rural-areas-and-elderly-subjects-438-million-person-years-follow-up
#12
Xiaofei Zhang, Arshad A Khan, Ehtesham Ul Haq, Aadil Rahim, Dayi Hu, John Attia, Christopher Oldmeadow, Xiaoyan Ma, Rongjing Ding, Andrew J Boyle
Aims: We sought to ascertain the changes in mortality from ischaemic heart disease (IHD) from 2004 to 2010 in China as the sheer size of China's population makes disease patterns relevant globally. Methods and results: Data on IHD mortality were obtained from the Chinese Centre for Disease Control and Prevention National Disease Surveillance Point System, which includes 161 counties and a population of over 73 million-a representative sample of over 6% of the entire population of China...
January 1, 2017: European Heart Journal. Quality of Care & Clinical Outcomes
https://www.readbyqxmd.com/read/28926750/land-cover-and-air-pollution-are-associated-with-asthma-hospitalisations-a-cross-sectional-study
#13
Ian Alcock, Mathew White, Mark Cherrie, Benedict Wheeler, Jonathon Taylor, Rachel McInnes, Eveline Otte Im Kampe, Sotiris Vardoulakis, Christophe Sarran, Ireneous Soyiri, Lora Fleming
BACKGROUND: There is increasing policy interest in the potential for vegetation in urban areas to mitigate harmful effects of air pollution on respiratory health. We aimed to quantify relationships between tree and green space density and asthma-related hospitalisations, and explore how these varied with exposure to background air pollution concentrations. METHODS: Population standardised asthma hospitalisation rates (1997-2012) for 26,455 urban residential areas of England were merged with area-level data on vegetation and background air pollutant concentrations...
September 16, 2017: Environment International
https://www.readbyqxmd.com/read/28926737/people-planet-and-profit-unintended-consequences-of-legacy-building-materials
#14
REVIEW
Anthony T Zimmer, HakSoo Ha
Although an explosion of new building materials are being introduced into today's market, adequate up-front research into their chemical and physical properties as well as their potential health and environmental consequences is lacking. History has provided us with several examples where building materials were broadly deployed into society only to find that health and environmental problems resulted in unintended sustainability consequences. In the following paper, we use lead and asbestos as legacy building materials to show their similar historical trends and sustainability consequences...
September 16, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/28926374/reducing-urban-violence-a-contrast-of-public-health-and-criminal-justice-approaches
#15
Magdalena Cerdá, Melissa Tracy, Katherine M Keyes
BACKGROUND: Cities are investing millions in Cure Violence, a public health approach to reduce urban violence by targeting at-risk youth and redirecting conflict to non-violent responses. The impact of such a program compared to criminal justice responses is unknown because experiments directly comparing criminal justice and public health approaches to violence prevention are infeasible with observational data. We simulated experiments to test the influence of two interventions on violence: a) Cure Violence; and b) directed police patrol in violence hot spots...
September 18, 2017: Epidemiology
https://www.readbyqxmd.com/read/28926205/prevalence-and-correlates-of-sleep-disturbance-among-older-women-in-vietnam
#16
Tiet-Hanh Dao-Tran, Charrlotte Seib
AIMS AND OBJECTIVES: To explore prevalence and correlates of sleep disturbance among women aged 60 and over in Vietnam. BACKGROUND: Sleep disturbance can negatively influence human's health. Sleep disturbance is likely to increase with age, and women appear to be more likely to experience sleep disturbance than men. Knowledge about sleep disturbance in women aged 60 and over in Vietnam is under-researched. DESIGN: The study presents results from a cross-sectional survey of 440 women aged 60 and over from 16 rural and urban suburbs in Vietnam from 8/2014 to 1/2015...
September 19, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28923536/the-limbo-of-motherhood-women-s-experiences-of-major-challenges-to-cope-with-the-first-pregnancy
#17
Farzaneh Soltani, Azam Maleki, Fatemeh Shobeiri, Farshid Shamsaei, Fazlollah Ahmadi, Ghodratollah Roshanaei
INTRODUCTION: pregnancy is a unique health experience which is influenced by various factors, particularly culture and social context. AIM OF STUDY: to explore women's perception regarding major challenges of adaptation with first pregnancy based on culture and social context. DESIGN: a qualitative content analysis was used for data gathering and analysis. Data were collected through unstructured in-depth interviews. SETTING: the study was conducted in public health clinics in Hamadan city, an urban area in southwest of Iran from July to December 2016...
August 30, 2017: Midwifery
https://www.readbyqxmd.com/read/28923340/seasonal-variation-spatial-distribution-and-source-apportionment-for-polycyclic-aromatic-hydrocarbons-pahs-at-nineteen-communities-in-xi-an-china-the-effects-of-suburban-scattered-emissions-in-winter
#18
Jingzhi Wang, Junji Cao, Zhibao Dong, Benjamin Guinot, Meiling Gao, Rujin Huang, Yongming Han, Yu Huang, Steven Sai Hang Ho, Zhenxing Shen
Seasonal variation and spatial distribution of PM2.5 bound polycyclic aromatic hydrocarbons (PAHs) were investigated at urban residential, commercial area, university, suburban region, and industry in Xi'an, during summer and winter time at 2013. Much higher levels of total PAHs were obtained in winter. Spatial distributions by kriging interpolations principle showed that relative high PAHs were detected in western Xi'an in both summer and winter, with decreasing trends in winter from the old city wall to the 2(nd)-3rd ring road except for the suburban region and industry...
September 15, 2017: Environmental Pollution
https://www.readbyqxmd.com/read/28923069/perceived-barriers-and-enablers-to-participation-in-a-community-tailored-physical-activity-program-with-indigenous-australians-in-a-regional-and-rural-setting-a-qualitative-study
#19
Ashleigh Sushames, Terry Engelberg, Klaus Gebel
BACKGROUND: Aboriginal and Torres Strait Islander people have higher rates of chronic disease and a lower life expectancy than non-Indigenous Australians. In non-urban areas these health disparities are even larger. The aim of this qualitative study was to explore perceived barriers and enablers to attending an eight-week physical activity program in a rural and regional setting which aimed to improve health outcomes, but had a low attendance rate. METHODS: Thirty-four Indigenous Australians participated in the intervention from the rural (n = 12) and the regional (n = 22) community...
September 18, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28923037/asthma-hospitalisation-trends-from-2010-to-2015-variation-among-rural-and-metropolitan-australians
#20
Daniel Terry, Shalley Robins, Samantha Gardiner, Ruby Wyett, Md Rafiqul Islam
BACKGROUND: Asthma remains a leading cause of illness, where primary care can assist to reduce hospitalisations through prevention, controlling acute episodes, and overall management of asthma. In Victoria, Asthma hospitalisations were as high as 3.1 hospitalisations per 1000 population in 1993-94. The primary aims of this study are to: determine if changes in asthma hospitalisations have occurred between 2010 and 2015; determine the key factors that impact asthma hospitalisation over time; and verify whether rural and urban asthma hospitalisations are disparate...
September 18, 2017: BMC Public Health
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