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https://www.readbyqxmd.com/read/29036776/lifestyle-risk-factors-and-corresponding-levels-of-clinical-advice-and-counselling-in-general-practice
#1
Jessica Beattie, Marley Binder, Christopher Harrison, Graeme C Miller, Daryl Pedler
BACKGROUND: The objective of this study was to examine prevalence rates of lifestyle risk factors in the Western Victorian Primary Health Network (WV PHN) general practice patient population and the corresponding levels of clinical advice and counselling. METHODS: Analysed data from the Bettering the Evaluation and Care of Health (BEACH) program from April 2011 to March 2015 were examined, providing a comparison of three geographical areas of general practice patients: WV PHN, Victoria and Australia...
October 2017: Australian Family Physician
https://www.readbyqxmd.com/read/29035764/suitability-of-fluorescent-whitening-compounds-fwcs-as-indicators-of-human-faecal-contamination-from-septic-tanks-in-rural-catchments
#2
Donata Dubber, Laurence W Gill
Rural river catchments are impacted by diffuse pollution sources from agricultural practices and on-site domestic wastewater treatment systems (DWWTS), mainly septic tanks. Methods that can distinguish between contamination sources will significantly increase water management efficiency as they will allow for the development and application of targeted remediation measures. Fluorescent whitening compounds (FWC), are used as optical brighteners in laundry detergents and enter the environment through the discharge of domestic wastewater effluents...
October 4, 2017: Water Research
https://www.readbyqxmd.com/read/29035094/doktor-kot-doktor-sla%C3%A2-%C3%A2-book-doctors-plant-doctors-and-the-segmentation-of-the-medical-market-place-in-meghalaya-northeast-india
#3
Sandra Albert, John Porter, Judith Green
Despite decades of research on India's plural health care market, the practices of many local health traditions outside the allopathic and codified traditions are under-studied. Drawing on interview and observational data, this paper explores the space in which indigenous traditional Khasi healers in Meghalaya state, northeast India, practice. Khasi indigenous healers describe themselves as doktor sla, plant doctors, to distinguish themselves from doktor kot, or book doctors. This distinction operates as a rhetorical resource, utilised to carve a distinct sphere of expertise in relation to the allopathic sector, and to mark claims for the specifically local appropriateness of traditional practices within a shifting market of state-sponsored provision...
October 16, 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/29033354/confronting-the-misbeliefs-pertaining-to-blood-donation-and-transfusion-practices-in-india
#4
A Qureshi
India, a country of 1.3 billion is still yearning for just 12 million units of blood and facing a shortage of 10%; this seemingly small number has claimed many lives, particularly in the less developed parts of the country. The root cause of the problem, although not defined clearly, can be ascertained from the survey reports from different parts of the country targeted to analyze the knowledge, attitude and practices related to blood donation. Most of these reports are coherent in their findings and report the existence of the fallacious perceptions about blood donation even after six decades of the initiation of voluntary blood donation practices...
October 12, 2017: Transfusion Clinique et Biologique: Journal de la Société Française de Transfusion Sanguine
https://www.readbyqxmd.com/read/29033032/ring-vaccination-with-rvsv-zebov-under-expanded-access-in-response-to-an-outbreak-of-ebola-virus-disease-in-guinea-2016-an-operational-and-vaccine-safety-report
#5
Pierre-Stéphane Gsell, Anton Camacho, Adam J Kucharski, Conall H Watson, Aminata Bagayoko, Severine Danmadji, Natalie E Dean, Abdourahamane Diallo, Abdourahmane Diallo, Honora Djidonou, Moussa Doumbia, Godwin Enwere, Elizabeth S Higgs, Thomas Mauget, Diakite Mory, Ximena Riveros, Fofana Thierno Oumar, Alhassane Toure, Andrea S Vicari, Ira M Longini, W J Edmunds, Ana Maria Henao-Restrepo, Marie Paule Kieny, Sakoba Kéïta
BACKGROUND: In March, 2016, a flare-up of Ebola virus disease was reported in Guinea, and in response ring vaccination with the unlicensed rVSV-ZEBOV vaccine was introduced under expanded access, the first time that an Ebola vaccine has been used in an outbreak setting outside a clinical trial. Here we describe the safety of rVSV-ZEBOV candidate vaccine and operational feasibility of ring vaccination as a reactive strategy in a resource-limited rural setting. METHODS: Approval for expanded access and compassionate use was rapidly sought and obtained from relevant authorities...
October 9, 2017: Lancet Infectious Diseases
https://www.readbyqxmd.com/read/29032845/-frequent-attendance-in-a-primary-health-care-district
#6
Nicolás Menéndez Granados, Manuel Vaquero Abellán, Manuel Toledano Estepa, Manuel Modesto Pérez Díaz, Rosa Redondo Pedraza
OBJECTIVE: To describe the distribution of frequent attenders (FA) through the different primary care practices in Cordoba-Guadalquivir Health District (Córdoba, Spain). METHODS: An ecological study was performed, including data from 2011 to 2015. Defining FA as those subjects who made12 or more appointments per year; independently analysed for nursing, general practice and paediatrics. Prevalence of frequent attendance and FA/professional ratio were used as dependent variables...
October 9, 2017: Gaceta Sanitaria
https://www.readbyqxmd.com/read/29032790/formative-qualitative-research-to-develop-community-based-interventions-addressing-low-birth-weight-in-the-plains-of-nepal
#7
Joanna Morrison, Sophiya Dulal, Helen Harris-Fry, Machhindra Basnet, Neha Sharma, Bhim Shrestha, Dharma Manandhar, Anthony Costello, David Osrin, Naomi Saville
OBJECTIVE: To explore the factors affecting intra-household food allocation practices to inform the development of interventions to prevent low birth weight in rural plains of Nepal. DESIGN: Qualitative methodology using purposive sampling to explore the barriers and facilitating factors to improved maternal nutrition. SETTING: Rural Dhanusha District, Nepal. SUBJECTS: We purposively sampled twenty-five young daughters-in-law from marginalised groups living in extended families and conducted semi-structured interviews with them...
October 16, 2017: Public Health Nutrition
https://www.readbyqxmd.com/read/29030128/expansion-of-diabetes-education-in-a-united-states-mexico-border-community-expanding-services-for-patients-to-acquire-new-skills-set-goals-and-improve-overall-knowledge
#8
Melissa Carrillo, Jeri Sias, Jacquelyn P Navarrete, Sam Aboud, Enrique Valenzuela
OBJECTIVES: To describe the process used by a pharmacy team at a community health center to coordinate and expand diabetes education services (English and Spanish) for a predominantly Hispanic, Spanish-speaking population. SETTING: The project was implemented at 2 clinics in a federally qualified community health center system based in a low-income southwest U.S.-Mexico border community. PRACTICE INNOVATION: This project enhanced accessibility to diabetes education to improve knowledge, skills, and goal setting through existing pharmacy services at the primary clinic and 1 rural satellite clinic...
October 10, 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29029048/general-practitioners-perception-of-being-a-doctor-in-urban-vs-rural-regions-in-germany-a-focus-group-study
#9
Nadine J Pohontsch, Heike Hansen, Ingmar Schäfer, Martin Scherer
Background: Inadequate recruitment numbers for GPs in rural regions give cause for concern. Working in rural regions is less attractive among medical students because of strong associations concerning a higher workload, restriction of privacy and demands exceeding their competences. We aimed to explore perceptions of GPs working in urban versus rural regions to contrast these prejudices. Methods: We conducted nine focus groups with GPs [female = 21, male = 44] from urban and rural regions, using a semi-structured guideline...
September 23, 2017: Family Practice
https://www.readbyqxmd.com/read/29026454/opportunities-and-obstacles-using-a-clinical-decision-support-system-for-maternal-care-in-burkina-faso
#10
S Alphonse Zakane, Lars L Gustafsson, Ali Sie, Göran Tomson, Svetla Loukanova, Pia Bastholm-Rahmner
OBJECTIVE: Maternal and neonatal mortality is high in sub-Saharan Africa. To support Healthcare Workers (HCWs), a computerized decision support system (CDSS) was piloted at six rural maternal care units in Burkina Faso. During the two years of the study period, it was apparent from reports that the CDSS was not used regularly in clinical practice. This study aimed to explore the reasons why HCWs failed to use the CDSS. METHODS: A workshop, organized as group discussions and a plenary session, was performed with 13 participants to understand their experience with the CDSS and suggest improvements if pertinent...
2017: Online Journal of Public Health Informatics
https://www.readbyqxmd.com/read/29026431/enablers-and-barriers-to-success-among-mothers-planning-to-exclusively-breastfeed-for-six-months-a-qualitative-prospective-cohort-study-in-kwazulu-natal-south-africa
#11
Ngcwalisa Amanda Jama, Aurene Wilford, Zandile Masango, Lyn Haskins, Anna Coutsoudis, Lenore Spies, Christiane Horwood
BACKGROUND: Exclusive breastfeeding (EBF) for the first six months of life is the most important determinant of child health and development, and is the recommended feeding practice for all mothers. However, EBF rates remain low in South Africa. This study aimed to prospectively explore enablers or barriers to success among mothers who planned to exclusively breastfeed their infants for the first six months of life, in KwaZulu-Natal, South Africa. METHODS: A qualitative, longitudinal cohort design was adopted...
2017: International Breastfeeding Journal
https://www.readbyqxmd.com/read/29026372/delivery-practices-hygiene-birth-attendance-and-neonatal-infections-in-karamoja-uganda-a-community-based-study
#12
Leah J Hopp
BACKGROUND: Drawing attention to home birth conditions and subsequent neonatal infections is a key starting point to reducing neonatal morbidity which are a main cause of mortality in sub-Saharan Africa. OBJECTIVES: To determine the proportion of respiratory, ophthalmic, and diarrhoeal infections in neonates; the proportion of mothers of neonates, following clean delivery practices; and to explore existing community practices during delivery and the neonatal period...
March 2017: African Health Sciences
https://www.readbyqxmd.com/read/29026060/unmet-needs-in-health-training-among-nurses-in-rural-chinese-township-health-centers-a-cross-sectional-hospital-based-study
#13
Yan Mo, Guijie Hu, Yanhua Yi, Yanping Ying, Huiqiao Huang, Zhongxian Huang, Jiafeng Lin
Purpose: Maintaining a sufficient and competent rural nursing workforce is important in Chinese health delivery system. However, few studies have involved in the health training status and needs assessment of rural Chinese nurses in great transformations of health policy. This study is to explore the current health training status and to ascertain needs perceived by nurses working in rural Chinese township health centers (THCs). Methods: A cross-sectional survey using a self-administered structured questionnaire was conducted to 240 THC nurses in Guangxi Zhuang Autonomous region, China from March 2014 to August 2014...
October 4, 2017: Journal of Educational Evaluation for Health Professions
https://www.readbyqxmd.com/read/29025820/well-being-of-family-medicine-graduates
#14
Olga Szafran, Wayne Woloschuk, Jacqueline M I Torti, Douglas Myhre
OBJECTIVE: To determine family medicine graduates' professional and personal well-being, general health status, stress levels, coping strategies, and the degree to which they felt supported or isolated in professional life; and to compare findings by sex, practice location, and location of medical school (Canadian medical graduates [CMGs] vs international medical graduates [IMGs]). DESIGN: Retrospective, cross-sectional survey. SETTING: University of Alberta in Edmonton and the University of Calgary in Alberta...
October 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29023172/basic-and-advanced-ems-providers-are-equally-effective-in-naloxone-administration-for-opioid-overdose-in-northern-new-england
#15
Nazey Gulec, Joseph Lahey, James C Suozzi, Matthew Sholl, Charles D MacLean, Daniel L Wolfson
OBJECTIVE: Overdose mortality from illicit and prescription opioids has reached epidemic proportions in the United States, especially in rural areas. Naloxone is a safe and effective agent that has been shown to successfully reverse the effects of opioid overdose in the prehospital setting. The National EMS Scope of Practice Model currently only recommends advanced life support (ALS) providers to administer naloxone; however, some individual states have expanded this scope of practice to include intranasal (IN) administration of naloxone by basic life support (BLS) providers, including the Northern New England states...
October 12, 2017: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29021821/utilization-of-traditional-complementary-and-alternative-medicine-and-mental-health-among-patients-with-chronic-diseases-in-primary-health-care-settings-in-cambodia
#16
Siyan Yi, Chanrith Ngin, Sovannary Tuot, Pheak Chhoun, Tyler Fleming, Carinne Brody
BACKGROUND: Coping with chronic illnesses often involves major lifestyle changes that may lead to poor mental health. Furthermore, in order to treat the chronic conditions, many sufferers in Asia turn to traditional, complementary and alternative medicines (TCAM). This study explores prevalence of TCAM use and factors associated with anxiety and depressive symptoms among patients with chronic diseases in Cambodia. METHODS: In 2015, this cross-sectional study was conducted with outpatients receiving treatment and care for chronic diseases in two urban and two rural primary health centers...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/29020396/perception-and-use-of-pap-smear-screening-among-rural-and-urban-women-in-romania
#17
Mihaela Grigore, Razvan Popovici, Anda Pristavu, Ana Maria Grigore, Mioara Matei, Dumitru Gafitanu
Background: In 2012 the National Screening Program for all women between 25 and 64 years of age was launched in Romania. Public awareness is an important factor in the success of a screening program. For this reason, we intended to assess the perception and the level of awareness of Romanian women regarding the Pap test in the prevention of cervical cancer. Methods: A cross-sectional study was conducted among 454 women from rural and urban areas. For our study, we used a questionnaire covering general characteristics, awareness, knowledge and practices regarding cervical cancer and Pap smear...
August 4, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/29018581/cost-effectiveness-of-diagnostic-therapeutic-strategies-for-paediatric-visceral-leishmaniasis-in-morocco
#18
Sergi Alonso, Nabil Tachfouti, Adil Najdi, Elisa Sicuri, Albert Picado
INTRODUCTION: Visceral leishmaniasis (VL) is a neglected parasitic disease with a high fatality rate if left untreated. Endemic in Morocco, as well as in other countries in the Mediterranean basin, VL mainly affects children living in rural areas. In Morocco, the direct observation of Leishmania parasites in bone marrow (BM) aspirates is used to diagnose VL and meglumine antimoniate (SB) is the first line of treatment. Less invasive, more efficacious and safer alternatives exist. In this study we estimate the cost-effectiveness of alternative diagnostic-therapeutic algorithms for paediatric VL in Morocco...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29017472/knowledge-attitude-and-behaviour-towards-the-use-of-insecticide-treated-mosquito-nets-among-pregnant-women-and-children-in-rural-southwestern-uganda
#19
Ivan M Taremwa, Scholastic Ashaba, Harriet O Adrama, Carlrona Ayebazibwe, Daniel Omoding, Imelda Kemeza, Jane Yatuha, Thadeus Turuho, Noni E MacDonald, Robert Hilliard
BACKGROUND: The burden of malaria in Uganda remains unacceptably high, especially among children and pregnant women. To prevent malaria related complications, household possession and use of Insecticide Treated mosquito Nets (ITNs) has become a common practice in the country. Despite the availability of ITNs, malaria remains a foremost public health concern in Uganda. We sought to explore knowledge, attitude, and behaviour towards the use of ITNs as a nightly malaria prevention strategy among pregnant women and children under five years of age in Isingiro district, Southwestern Uganda...
October 10, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29017353/maternal-and-child-nutrition-in-rural-chhattisgarh-the-role-of-health-beliefs-and-practices
#20
Devanshi Chanchani
From research in central Chhattisgarh, this paper interprets the bearing that healthcare beliefs and practices may have in shaping maternal and child nutrition both in the light of biomedical recommendations and within the context and constraints of a rural village setting. It contends that health beliefs and practices that are at variance from biomedical recommendations appear to have few consequences for gestational nutrition and for child health in relation to pregnancy. In the postpartum however, health ideas at variance from biomedical recommendations appear to have an important bearing on maternal nutrition and infant feeding, and may put mothers and children at risk of nutritional deficiency...
October 11, 2017: Anthropology & Medicine
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