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https://www.readbyqxmd.com/read/29665695/women-in-rural-family-medicine-a-qualitative-exploration-of-practice-attributes-that-promote-physician-satisfaction
#1
Carol Hustedde, Heather Paladine, Andrea Wendling, Rupa Prasad, Orlando Sola, Sarah Bjorkman, Julie Phillips
INTRODUCTION: The USA needs more rural physicians. Although women represent half of all US trained medical students, the rural physician workforce has remained predominantly male. Insight is needed into what makes rural practice attractive for women and which practice characteristics allow women physicians to practice successfully in rural areas. This study's purpose was to examine aspects of the practice environment that impact women physicians' professional satisfaction and commitment to rural medicine...
April 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29664311/feasibility-of-colon-cancer-screening-by-fecal-immunochemical-test-in-iran
#2
Hamideh Salimzadeh, Faraz Bishehsari, Catherine Sauvaget, Mohammad Amani, Gholamreza Hamzehloo, Ali Nikfarjam, Shahin Merat, Alireza Delavari, Reza Malekzadeh
BACKGROUND: Colorectal cancer (CRC) is the third most common cancer in Iran, where there is no mass screening for the disease yet. We aimed to measure the feasibility of a pilot CRC screening program based on fecal immunochemical test (FIT) in Iranian population and the implications for scaling-up at the national level. METHODS: A single quantitative FIT was offered by health navigators to individuals aged between 45 and 75 years in primary health centers in rural and urban areas in Tehran...
December 1, 2017: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/29664202/training-psychologists-for-rural-practice-exploring-opportunities-and-constraints
#3
Marisa Elena Domino, Ching-Ching Claire Lin, Joseph P Morrissey, Alan R Ellis, Erin Fraher, Erica L Richman, Kathleen C Thomas, Mitchell J Prinstein
PURPOSE: To examine trends in the psychologist workforce and training opportunities, including factors that may influence the decision of clinical psychologists to practice in rural settings. METHODS: We use a mixed-methods approach to examine the psychologist workforce nationally and in North Carolina (NC), including (1) an analysis of the location of programs awarding doctoral degrees; (2) an analysis of the practice, demographic, and educational characteristics of the psychologist workforce; and (3) interviews with directors of doctoral programs in clinical psychology to understand where current graduates are getting jobs and why they may or may not be choosing to practice in rural communities...
April 17, 2018: Journal of Rural Health
https://www.readbyqxmd.com/read/29661165/midwives-perceptions-on-using-a-fetoscope-and-doppler-for-fetal-heart-rate-assessments-during-labor-a-qualitative-study-in-rural-tanzania
#4
Paschal Francis Mdoe, Hege Langli Ersdal, Estomih Mduma, Robert Moshiro, Hussein Kidanto, Columba Mbekenga
BACKGROUND: The Doppler is thought to be more comfortable and effective compared to the fetoscope for assessing the fetal heart rate (FHR) during labor. However, in a rural Tanzanian hospital, midwives who had easy access to both devices mostly used fetoscope. This study explored midwives' perception of factors influencing their preference for using either a Pinard fetoscope or a FreePlay wind-up Doppler for intermittent FHR monitoring. METHODS: Midwives who had worked for at least 6 months in the labor ward were recruited...
April 16, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29658388/prostate-cancer-screening-perception-beliefs-and-practices-among-men-in-bamenda-cameroon
#5
Ernest Kaninjing, Ivette Lopez, Jennifer Nguyen, Folakemi Odedina, Mary Ellen Young
Prostate Cancer (CaP) is the most commonly diagnosed cancer among Cameroonian men. Due to inadequate infrastructure, record keeping, and resources, little is known about its true burden on the population. There are rural/urban disparities with regards to awareness, screening, treatment, and survivorship. Furthermore, use of traditional medicine and homeopathic remedies is widespread, and some men delay seeking conventional medical treatment until advanced stages of CaP. This study examined the perceptions, beliefs, and practices of men in Cameroon regarding late stage CaP diagnoses; identified factors that influence screening decision; and ascertained how men decided between traditional or conventional medicine for CaP diagnosis and treatment...
April 1, 2018: American Journal of Men's Health
https://www.readbyqxmd.com/read/29657709/comparative-ruralism-and-opening-new-windows-on-gentrification
#6
Martin Phillips, Darren P Smith
In response to the five commentaries on our paper 'Comparative approaches to gentrification: lessons from the rural', we open up more 'windows' on rural gentrification and its urban counterpart. First, we highlight the issues of metrocentricity and urbanormativity within gentrification studies, highlighting their employment by our commentators. Second, we consider the issue of displacement and its operation within rural space, as well as gentrification as a coping strategy for neoliberal existence and connections to more-than-human natures...
March 2018: Dialogues in Human Geography
https://www.readbyqxmd.com/read/29656419/oral-health-knowledge-attitudes-and-practices-kap-in-rural-haiti-a-40-year-follow-up-study
#7
Ralph V Katz, Samuel E Prophete, Christina Lafontant, Bette Gebrian, Louis C Bourdeau, Jr Ernst Joseph, Gladys J Lafontant, H Ludwig St Jean, Paul E Rundberg
This paper reports the changed findings over a 40-year period on oral health knowledge, attitudes, and practices (KAP) of a very remote and rural population living the Jeremie region of Haiti. The far-sighted investigators of that original 1970 survey stated in their published 1972 paper that our "…findings are descriptive, but have to be accepted tentatively rather than definitively because time was short, transportation was difficult, and the small sample that had to be used could not random." They further insightfully stated their hopes that their "…results may be regarded as an anthropological cultural baseline from which to review further findings concerning Haitian dental beliefs...
April 14, 2018: Journal of Public Health Dentistry
https://www.readbyqxmd.com/read/29653320/is-the-flipped-pedagogical-model-the-answer-to-the-challenges-of-rural-nursing-education-a-discussion-paper
#8
Helena Anolak, Andrew Coleman, Paul Sugden
Rural Australian health services face significant challenges such as aging populations, access and retention of services and health practitioners as well as difficulties with staff training due to geographic isolation. Educational pedagogy, through a 'flipped' or 'flipped' classroom method has become popular in nursing literature whereby discussion surrounding its effectiveness, ability to increase performance, address learning outcomes and resolve the education-clinical practice divide is currently being explored...
April 7, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29652005/association-between-traditional-oral-hygiene-methods-with-tooth-wear-gingival-bleeding-and-recession-a-descriptive-cross-sectional-study
#9
Naseem Shah, Vijay Prakash Mathur, Veena Jain, Ajay Logani
Background: Oral hygiene maintenance is crucial for prevention of various oral diseases. Oral hygiene practices across the country vary largely and people in peri-urban and rural areas use traditional methods of oral hygiene like powders, bark, oil and salt etc. Their effect on oral soft and hard tissues need to be studied to understand their beneficial and/ or harmful effects on maintenance of oral hygiene and prevention or causation of oral diseases. Objectives: This study aimed to assess the plaque-cleaning efficacy, gingival bleeding, recession and tooth wear with different traditional oral hygiene methods as compared to use of toothpaste-toothbrush, the most accepted method of oral hygiene practice...
March 2018: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/29651928/rural-postpartum-women-with-substance-use-disorders
#10
Debra Kramlich, Rebecca Kronk, Lenora Marcellus, Alison Colbert, Karen Jakub
The incidence of perinatal opioid use and neonatal withdrawal continues to rise rapidly in the face of the growing opioid addiction epidemic in the United States, with rural areas more severely affected. Despite decades of research and development of practice guidelines, maternal and neonatal outcomes have not improved substantially. This focused ethnography sought to understand the experience of accessing care necessary for substance use disorder recovery, pregnancy, and parenting. Personal accounts of 13 rural women, supplemented by participant observation and media artifacts, uncovered three domains with underlying themes: challenges of getting treatment and care (service availability, distance/geographic location, transportation, provider collaboration/coordination, physical and emotional safety), opportunities to bond (proximity, information), and importance of relationships (respect, empathy, familiarity, inclusion, interactions with care providers)...
April 1, 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29650224/examining-vehicle-operating-speeds-on-rural-two-lane-curves-using-naturalistic-driving-data
#11
Bo Wang, Shauna Hallmark, Peter Savolainen, Jing Dong
Horizontal curves have been shown to exhibit crash rates significantly higher than comparable tangent segments. Extensive research has investigated the causes of crashes on horizontal curves, particularly the curve navigation process and driver speed selection. Research in this area has generally been limited by the nature of the data, which is often inhibited by practical constraints as to the number of locations and drivers that can be observed. This study overcomes these hurdles through the use of naturalistic driving data, providing insights on how drivers navigate and react to curves on rural two-lane highways...
April 9, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29649972/exploring-barriers-to-the-use-of-formal-maternal-health-services-and-priority-areas-for-action-in-sidama-zone-southern-ethiopia
#12
Aschenaki Z Kea, Olivia Tulloch, Daniel G Datiko, Sally Theobald, Maryse C Kok
BACKGROUND: In 2015 the maternal mortality ratio for Ethiopia was 353 per 100,000 live births. Large numbers of women do not use maternal health services. This study aimed to identify factors influencing the use of maternal health services at the primary health care unit (PHCU) level in rural communities in Sidama zone, south Ethiopia in order to design quality improvement interventions. METHODS: We conducted a qualitative study in six woredas in 2013: 14 focus group discussions (FGDs) and 44 in-depth interviews with purposefully selected community members (women, male, traditional birth attendants, local kebele administrators), health professionals and health extension workers (HEWs) at PHCUs...
April 12, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29648901/training-health-professions-preceptors-in-rural-practices-a-challenge-for-interprofessional-practice-and-education
#13
Molly L Osborne, Virginia P Tilden, Elizabeth Eckstrom
The ever-increasing mandate for interprofessional practice and education (IPE) faces challenges in rural settings. Oregon Health & Science University (OHSU) launched a preceptor development program as part of its commitment to training interprofessional student groups in rural settings. The objectives of the program were to (1) encourage preceptors to exemplify team behaviors; (2) characterize contemporary learners and learning styles of trainees; (3) encourage interprofessional precepting skills, and (4) apply practical teaching tools in the clinical setting...
April 12, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29643162/what-attributions-do-australian-high-performing-general-practices-make-for-their-success-applying-the-clinical-microsystems-framework-a-qualitative-study
#14
Annette H Dunham, James A Dunbar, Julie K Johnson, Jeff Fuller, Mark Morgan, Dale Ford
OBJECTIVES: To identify the success attributions of high-performing Australian general practices and the enablers and barriers they envisage for practices wishing to emulate them. DESIGN: Qualitative study using semi-structured interviews and content analysis of the data. Responses were recorded, transcribed verbatim and coded according to success characteristics of high-performing clinical microsystems. SETTING: Primary healthcare with the participating general practices representing all Australian states and territories, and representing metropolitan and rural locations...
April 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29642974/colonoscopy-in-rural-general-surgery-practice-challenges-outcomes-and-quality-measures
#15
Ramesh Kumar, Namrata Choudhary
No abstract text is available yet for this article.
January 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29642885/barriers-to-and-motivators-of-handwashing-behavior-among-mothers-of-neonates-in-rural-bangladesh
#16
Shahana Parveen, Sharifa Nasreen, Jelena V Allen, Kelly B Kamm, Shifat Khan, Shirina Akter, Tajnin Marin Lopa, K Zaman, Shams El Arifeen, Stephen P Luby, Pavani K Ram
BACKGROUND: To design a maternal handwashing intervention for the newborn period, this qualitative study explored drivers of handwashing among mothers and other caregivers of neonates and infants in two rural areas of Bangladesh. METHODS: We conducted 40 semi-structured observation sessions to observe handwashing behaviors of primiparous and multiparous mothers of neonates, and to understand the contextual factors that facilitated or hampered those behaviors. We then conducted 64 interviews with mothers of neonates and mothers of infants and 6 group discussions with mothers of infants, other female caregivers and fathers to explore perceptions, beliefs, and practices related to handwashing in the neonatal period...
April 11, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29642884/performance-and-self-perceived-competencies-of-enrolled-nurse-midwives-a-mixed-methods-study-from-rural-tanzania
#17
Edith A M Tarimo, Gustav Moyo, Happy Masenga, Paul Magesa, Dafroza Mzava
BACKGROUND: Tanzania is experiencing a severe shortage of human resources for health, which poses a serious threat to the quality of health care services particularly in rural areas. Task shifting has been considered a way to address this problem. However, since a large percentage of health care providers in rural setting is comprised of Enrolled Nurse/Midwives (ENMs), most of the health care tasks are shifted to them. This article analyzes the performance and self-perceived competencies of ENMs at the dispensary level; the lowest health facility in Tanzania...
April 11, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29642390/low-levels-of-knowledge-attitudes-and-preventive-practices-on-leptospirosis-among-a-rural-community-in-hulu-langat-district-selangor-malaysia
#18
Noramira Nozmi, Suhailah Samsudin, Surianti Sukeri, Mohd Nazri Shafei, Wan Mohd Zahiruddin Wan Mohd, Zawaha Idris, Wan Nor Arifin, Norazlin Idris, Siti Nor Sakinah Saudi, Nurul Munirah Abdullah, Zainudin Abdul Wahab, Tengku Zetty Maztura Tengku Jamaluddin, Hejar Abd Rahman, Siti Norbaya Masri, Aziah Daud, Malina Osman, Rukman Awang Hamat
Little is known on the knowledge, attitudes and preventive practices (KAP) of leptospirosis worldwide. This study embarked on assessing the KAP of leptospirosis among rural communities in Malaysia. A total of 444 participants (223 male; 221 female) aged between 18 and 81 years old were surveyed by using a self-administered questionnaire. A majority of participants had poor knowledge level (57.0%), unacceptable attitudes (90.3%) and unacceptable preventive practices (69.1%) on leptospirosis, and only 29.7% knew "rat-urine disease" as leptospirosis...
April 6, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29630024/an-evaluation-of-the-implementation-of-pharmacist-prescribed-hormonal-contraceptives-in-california
#19
Priya Batra, Sally Rafie, Zhiwei Zhang, Amay V Singh, Chloe E Bird, Aparna Sridhar, J Greer Sullivan
OBJECTIVE: To evaluate the implementation of pharmacist-prescribed hormonal contraceptives in California after a recent expansion of pharmacists' scope of practice. METHODS: A probability sample of 480 licensed California retail pharmacies (stratified by nonrural or rural location and independent or chain status) was included in a cross-sectional "secret shopper" telephone survey assessing the availability of pharmacist-prescribed hormonal contraceptives and service details...
April 6, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29629631/the-epidemiology-of-teaching-and-training-practices-in-north-east-england
#20
Tom Coulthard, Hugh Alberti
INTRODUCTION: Teaching and training practices in England serve less ethnically diverse and urban environments than non-teaching practices. However, it is not known if these trends are consistent across the country. METHODS: We linked data on teaching and training status for all North-East England practices to practice characteristics, locality and patient variables, calculated the association with each variable and compared to the national figures. RESULTS: Teaching and training practices in North-East England are larger than non-teaching and non-training practices (mean list size (SD) 9109 (4080) vs...
April 8, 2018: Education for Primary Care
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