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https://www.readbyqxmd.com/read/29457929/growth-of-the-james-cook-university-medical-program-maintaining-quality-continuing-the-vision-developing-postgraduate-pathways
#1
Tarun Sen Gupta, Peter Johnson, Roy Rasalam, Richard Hays
BACKGROUND: James Cook University (JCU) enrolled its first cohort of 64 in 2000 into a 6-year undergraduate medical program aimed at producing graduates capable of meeting the needs of North Queensland, Australia, with a focus on rural, remote, Indigenous and tropical health. The school's 1465 graduates over 13 cohorts who have a pattern of practice likely to meet the region's health needs. The JCU course was the first new Australian medical program for 25 years. The number of Australian medical schools has since doubled, while enrollments have almost tripled...
February 19, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29456356/the-current-state-of-rural-neurosurgical-practice-an-international-perspective
#2
REVIEW
Pavan S Upadhyayula, John K Yue, Jason Yang, Harjus S Birk, Joseph D Ciacci
Introduction: Rural and low-resource areas have diminished capacity to care for neurosurgical patients due to lack of infrastructure, healthcare investment, and training programs. This review summarizes the range of rural neurosurgical procedures, novel mechanisms for delivering care, rapid training programs, and outcome differences across international rural neurosurgical practice. Methods: A comprehensive literature search was performed for English language manuscripts with keywords "rural" and "neurosurgery" using the National Library of Medicine PubMed database (01/1971-06/2017)...
January 2018: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/29454383/multidimensional-needs-of-patients-living-and-dying-with-heart-failure-in-kenya-a-serial-interview-study
#3
Kellen N Kimani, Scott A Murray, Liz Grant
BACKGROUND: Heart failure is an emerging challenge for Sub Saharan Africa. However, research on patients' needs and experiences of care is scarce with little evidence available to support and develop services. We aimed to explore the experiences of patients living and dying with heart failure in Kenya. METHODS: We purposively recruited 18 patients admitted with advanced heart failure at a rural district hospital in Kenya. We conducted serial in depth interviews with patients at 0, 3 and 6 months after recruitment, and conducted bereavement interviews with carers...
February 17, 2018: BMC Palliative Care
https://www.readbyqxmd.com/read/29454365/qualitative-evaluation-of-the-saleema-campaign-to-eliminate-female-genital-mutilation-and-cutting-in-sudan
#4
Andrea C Johnson, W Douglas Evans, Nicole Barrett, Howida Badri, Tamador Abdalla, Cody Donahue
BACKGROUND: Female genital mutilation and cutting (FGM/C, herein FGM) is a widespread and harmful practice. The Government developed a national campaign in Sudan, called Saleema, to change social norms discouraging FGM. Saleema translates to being "whole", healthy in body and mind, unharmed, intact, pristine, and untouched, in a God-given condition. An interim evaluation was conducted using focus groups among Sudanese adults. The primary aim was to explore perceptions of the Saleema poster exemplars and to assess if the desired themes were being communicated...
February 17, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29454323/autonomy-and-infant-feeding-decision-making-among-teenage-mothers-in-a-rural-and-urban-setting-in-kwazulu-natal-south-africa
#5
Ngcwalisa Amanda Jama, Aurene Wilford, Lyn Haskins, Anna Coutsoudis, Lenore Spies, Christiane Horwood
BACKGROUND: The nutritional status of infants born to teenage mothers can be sub-optimal compared to those born to older mothers. One contributing factor is inappropriate feeding practices adopted by teenage mothers. Little is known about how infant feeding decisions are made among teenage mothers, particularly in under resourced settings. In this study we prospectively explored autonomy and infant feeding decision-making among teenage mothers in a rural and urban setting in KwaZulu-Natal, South Africa...
February 17, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29453906/positive-implications-from-socially-accountable-community-engaged-medical-education-across-two-philippines-regions
#6
Torres Woolley, Fortunato Cristobal, Jusie Siega-Sur, Simone Ross, Andre-Jacques Neusy, Servando Halili, Carole Reeve
INTRODUCTION: Hundreds of millions of people worldwide lack access to quality health services, largely because of geographic and socioeconomic maldistribution of qualified practitioners. This study describes differences between the practice locations of Philippines medical graduates from two 'socially accountable, community-engaged' health professional education (SAHPE) schools and the practice locations of graduates from two 'conventionally trained' medical schools located in the same respective geographic regions...
February 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29451879/dengue-knowledge-attitudes-and-practices-and-their-impact-on-community-based-vector-control-in-rural-cambodia
#7
Emmanuelle Kumaran, Dyna Doum, Vanney Keo, Ly Sokha, BunLeng Sam, Vibol Chan, Neal Alexander, John Bradley, Marco Liverani, Didot Budi Prasetyo, Agus Rachmat, Sergio Lopes, Jeffrey Hii, Leang Rithea, Muhammad Shafique, John Hustedt
BACKGROUND: Globally there are an estimated 390 million dengue infections per year, of which 96 million are clinically apparent. In Cambodia, estimates suggest as many as 185,850 cases annually. The World Health Organization global strategy for dengue prevention aims to reduce mortality rates by 50% and morbidity by 25% by 2020. The adoption of integrated vector management approach using community-based methods tailored to the local context is one of the recommended strategies to achieve these objectives...
February 16, 2018: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29449953/informing-the-development-of-online-weight-management-interventions-a-qualitative-investigation-of-primary-care-patient-perceptions
#8
Samantha B van Beurden, Sally I Simmons, Jason C H Tang, Avril J Mewse, Charles Abraham, Colin J Greaves
Background: The internet is a potentially promising medium for delivering weight loss interventions. The current study sought to explore factors that might influence primary care patients' initial uptake and continued use (up to four-weeks) of such programmes to help inform the development of novel, or refinement of existing, weight management interventions. Methods: Semi-structured interviews were conducted with 20 patients purposively sampled based on age, gender and BMI from a single rural general practice...
2018: BMC Obesity
https://www.readbyqxmd.com/read/29449263/patterns-of-methadone-maintenance-treatment-provision-in-ontario-policy-success-or-pendulum-excess
#9
Paul Kurdyak, Binu Jacob, Juveria Zaheer, Benedikt Fischer
OBJECTIVE: To describe recent trends and patterns in methadone maintenance treatment (MMT) practice regionally and over time in the province of Ontario. DESIGN: Population-based descriptive study using health administrative data between September 1, 2011, and December 31, 2014. SETTING: Ontario. PARTICIPANTS: All active MMT-prescribing physicians and patients receiving MMT in the study period. MAIN OUTCOME MEASURES: Characteristics of MMT-prescribing physicians, including age, sex, specialty type, practice region, and practice volume; characteristics of patients receiving MMT, including age, sex, neighbourhood income, and region of residence...
February 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29449245/selection-for-family-medicine-residency-training-in-canada-how-consistently-are-the-same-students-ranked-by-different-programs
#10
Keith Wycliffe-Jones, Kent G Hecker, Shirley Schipper, Maureen Topps, Jeanine Robinson, Tasnima Abedin
OBJECTIVE: To examine the consistency of the ranking of Canadian and US medical graduates who applied to Canadian family medicine (FM) residency programs between 2007 and 2013. DESIGN: Descriptive cross-sectional study. SETTING: Family medicine residency programs in Canada. PARTICIPANTS: All 17 Canadian medical schools allowed access to their anonymized program rank-order lists of students applying to FM residency programs submitted to the first iteration of the Canadian Resident Matching Service match from 2007 to 2013...
February 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29449100/hepatitis-a-vaccination-coverage-among-adolescents-13-17-years-in-the-united-states-2008-2016
#11
Noele P Nelson, David Yankey, James A Singleton, Laurie D Elam-Evans
BACKGROUND: The hepatitis A (HepA) vaccine was recommended by the Advisory Committee on Immunization Practices (ACIP) incrementally from 1996 to 1999. In 2006, HepA vaccine was recommended (1) universally for children aged 12-23 months, (2) for persons who are at increased risk for infection, or (3) for any person wishing to obtain immunity. Catch-up vaccination can be considered. OBJECTIVE: To assess HepA vaccine coverage among adolescents and factors independently associated with vaccination administration in the US...
February 12, 2018: Vaccine
https://www.readbyqxmd.com/read/29448941/traditional-healing-practices-in-rural-bangladesh-a-qualitative-investigation
#12
Md Imdadul Haque, A B M Alauddin Chowdhury, Md Shahjahan, Md Golam Dostogir Harun
BACKGROUND: Traditional healing practice is an important and integral part of healthcare systems in almost all countries of the world. Very few studies have addressed the holistic scenario of traditional healing practices in Bangladesh, although these serve around 80% of the ailing people. This study explored distinctive forms of traditional healing practices in rural Bangladesh. METHODS: During July to October 2007, the study team conducted 64 unstructured interviews, and 18 key informant interviews with traditional healers and patients from Bhabanipur and Jobra, two adjacent villages in Chittagong district, Bangladesh...
February 15, 2018: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/29447176/cost-effectiveness-of-prenatal-food-and-micronutrient-interventions-on-under-five-mortality-and-stunting-analysis-of-data-from-the-minimat-randomized-trial-bangladesh
#13
Pernilla Svefors, Katarina Ekholm Selling, Rubina Shaheen, Ashraful Islam Khan, Lars-Åke Persson, Lars Lindholm
INTRODUCTION: Nutrition interventions may have favourable as well as unfavourable effects. The Maternal and Infant Nutrition Interventions in Matlab (MINIMat), with early prenatal food and micronutrient supplementation, reduced infant mortality and were reported to be very cost-effective. However, the multiple micronutrients (MMS) supplement was associated with an increased risk of stunted growth in infancy and early childhood. This unfavourable outcome was not included in the previous cost-effectiveness analysis...
2018: PloS One
https://www.readbyqxmd.com/read/29446534/habitat-maintenance-and-local-economic-ethics-in-rural-atlantic-canada
#14
Karen Foster
Inspired by Jane Jacobs's writing on "habitat maintenance," this paper seeks to identify the ethics that sometimes compel rural residents to act in ways that preserve their communities in the long run, despite short-term incentives to do otherwise. Data from focus groups in four rural Atlantic Canadian communities suggest shared ethics around entrepreneurship, market competition, buying local, and subsistence, some of which underlie the rural practices and perspectives that appear, to some outsiders, as irrational and "backwards...
February 2018: Canadian Review of Sociology, Revue Canadienne de Sociologie
https://www.readbyqxmd.com/read/29445723/cord-care-practices-a-perspective-of-contemporary-african-setting
#15
Tolulope O Afolaranmi, Zuwaira I Hassan, Ofakunrin O Akinyemi, Sarah S Sule, Matthew U Malete, Choji Pam Choji, Danjuma A Bello
Background: Cord care is the series of steps applied in handling of the umbilical cord after delivery of the new born. Globally, an estimated 4 million deaths occur annually within the first 4 weeks of life and 1.5 million of these deaths are attributable to infections. In Nigeria, studies have reported umbilical cord infections accounting for between 10 and 19% of neonatal admissions and resultant estimated 30-49% neonatal deaths. Hence, this study was conducted to assess the knowledge and practice of cord care within a contemporary setting...
2018: Frontiers in Public Health
https://www.readbyqxmd.com/read/29444768/web-based-just-in-time-information-and-feedback-on-antibiotic-use-for-village-doctors-in-rural-anhui-china-randomized-controlled-trial
#16
XingRong Shen, Manman Lu, Rui Feng, Jing Cheng, Jing Chai, Maomao Xie, Xuemeng Dong, Tao Jiang, Debin Wang
BACKGROUND: Excessive use of antibiotics is very common worldwide, especially in rural China; various measures that have been used in curbing the problem have shown only marginal effects. OBJECTIVE: The objective of this study was to test an innovative intervention that provided just-in-time information and feedback (JITIF) to village doctors on care of common infectious diseases. METHODS: The information component of JITIF consisted of a set of theory or evidence-based ingredients, including operation guideline, public commitment, and takeaway information, whereas the feedback component tells each participating doctor about his or her performance scores and percentages of antibiotic prescriptions...
February 14, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29444167/rotavirus-vaccine-coverage-and-factors-associated-with-uptake-using-linked-data-ontario-canada
#17
Sarah E Wilson, Hannah Chung, Kevin L Schwartz, Astrid Guttmann, Shelley L Deeks, Jeffrey C Kwong, Natasha S Crowcroft, Laura Wing, Karen Tu
BACKGROUND: In August 2011, Ontario, Canada introduced a rotavirus immunization program using Rotarix™ vaccine. No assessments of rotavirus vaccine coverage have been previously conducted in Ontario. METHODS: We assessed vaccine coverage (series initiation and completion) and factors associated with uptake using the Electronic Medical Record Administrative data Linked Database (EMRALD), a collection of family physician electronic medical records (EMR) linked to health administrative data...
2018: PloS One
https://www.readbyqxmd.com/read/29443892/an-exploration-of-underrepresentation-of-aboriginal-cancer-patients-attending-a-regional-radiotherapy-service-in-western-australia
#18
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/29441402/-left-to-my-own-devices-i-don-t-know-using-theory-and-patient-reported-barriers-to-move-from-physical-activity-recommendations-to-practice
#19
C Ziebart, C McArthur, L Lee, A Papaioannou, J Laprade, A M Cheung, R Jain, L Giangregorio
Knowledge exchange with community-dwelling individuals across Ontario revealed barriers to implementation of physical activity recommendations that reflected capability, opportunity, and motivation; barriers unique to individuals with osteoporosis include fear of fracturing, trust in providers, and knowledge of exercise terminology. Using the Behaviour Change Wheel, we identified interventions (training, education, modeling) and policy categories (communication/marketing, guidelines, service provision). INTRODUCTION: Physical activity recommendations exist for individuals with osteoporosis; however, to change behavior, we must address barriers and facilitators to their implementation...
February 13, 2018: Osteoporosis International
https://www.readbyqxmd.com/read/29439705/chronic-morbidity-deprivation-and-primary-medical-care-spending-in-england-in-2015-16-a-cross-sectional-spatial-analysis
#20
Evangelos Kontopantelis, Mamas A Mamas, Harm van Marwijk, Andrew M Ryan, Peter Bower, Bruce Guthrie, Tim Doran
BACKGROUND: Primary care provides the foundation for most modern health-care systems, and in the interests of equity, it should be resourced according to local need. We aimed to describe spatially the burden of chronic conditions and primary medical care funding in England at a low geographical level, and to measure how much variation in funding is explained by chronic condition prevalence and other patient and regional factors. METHODS: We used multiple administrative data sets including chronic condition prevalence and management data (2014/15), funding for primary-care practices (2015-16), and geographical and area deprivation data (2015)...
February 14, 2018: BMC Medicine
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