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https://www.readbyqxmd.com/read/28227036/using-i2b2-to-bootstrap-rural-health-analytics-and-learning-networks
#1
Daniel R Harris, Adam D Baus, Tamela J Harper, Traci D Jarrett, Cecil R Pollard, Jeffery C Talbert, Daniel R Harris, Adam D Baus, Tamela J Harper, Traci D Jarrett, Cecil R Pollard, Jeffery C Talbert, Jeffery C Talbert, Daniel R Harris, Traci D Jarrett, Tamela J Harper, Adam D Baus, Cecil R Pollard
We demonstrate that the open-source i2b2 (Informatics for Integrating Biology and the Bedside) data model can be used to bootstrap rural health analytics and learning networks. These networks promote communication and research initiatives by providing the infrastructure necessary for sharing data and insights across a group of healthcare and research partners. Data integration remains a crucial challenge in connecting rural healthcare sites with a common data sharing and learning network due to the lack of interoperability and standards within electronic health records...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226253/modeling-single-vehicle-run-off-road-crash-severity-in-rural-areas-accounting-for-unobserved-heterogeneity-and-age-difference
#2
Linfeng Gong, Wei David Fan
This study investigates factors that significantly contribute to the severity of driver injuries resulting from single-vehicle run-off-road (SV ROR) crashes. A mixed logit model approach is employed to explore the potential unobserved heterogeneous effects associated with each age group: young (ages 16-24), middle-aged (ages 25-65), and older drivers (ages over 65). Likelihood ratio tests indicated that the development of separate injury severity models for each age group is statistically superior to estimating a single model using all data...
February 19, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28226069/rural-families-interpretations-of-experiencing-unexpected-transition-in-the-wake-of-a-natural-disaster
#3
Gisele Cristina Manfrini Fernandes, Astrid Eggert Boehs, Sharon A Denham, Rosane Gonçalves Nitschke, Jussara Gue Martini
Natural disasters affect populations in various parts of the world. The impacts of disasters can cause many problems to the health of people and disruption to family life, potentially leading to an unexpected transition. The objective of this paper is to present the unexpected transitional experiences of rural families following a natural disaster. A multiple case study of six families was conducted with children and adolescents in a rural area affected by a 2008 disaster in southern Brazil. For data collection, we used participant observation, narrative interviews, genograms, ecomaps and an instrument called calendar routine...
February 13, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28225944/-methodological-bases-and-implementation-results-of-mexico-s-national-survey-of-children-and-women-2015
#4
Filipa de Castro, Rosalba Rojas, Aremis Villalobos, Betania Allen, Celia Hubert, Martín Romero, Tonatiuh Barrientos, Erika Strand, Eva Prado, Rosa Itandehui-Olivera, Alberto Escamilla, Eduardo Lazcano, Mauricio Hernández
Objective: To describe the methodology and the implementation survey results from National Survey of Children and Women Mexico's (ENIM 2015). Materials and methods: The ENIM 2015 is a probability survey with multistage, stratified and cluster sample, with regional, rural and urban strata, and indigenous population representation.We applied questionnaires to get information from the household, women aged 15 to 49 years, children under five years and children and adolescents aged 5-17 years...
November 2016: Salud Pública de México
https://www.readbyqxmd.com/read/28225942/-health-inequalities-on-adolescents-risk-behavior-indicators-in-mexico-analysis-of-two-national-health-surveys
#5
Juan Pablo Gutiérrez, Sebastián García-Saisó, Rodrigo Espinosa-de la Peña, Dulce Alejandra Balandrán
Objective: To document socioeconomic health inequalities on adolescents' risk behaviors in Mexico using gap and gradient measures. Materials and methods: Analysis of the national health surveys 2000 and 2012 measuring absolute and relative gaps as well as the slope index of inequality for risk behavior indicators on adolescents using socioeconomic indicators and also measuring gaps for sex, urban/rural residency, and indigenous/non-indigenous population. Results: For sexual risk behaviors, inequalities are reflected in a lower probability of using protection at the first sexual intercourse among those living in households with lower income for women and men as well as higher probability of ever being pregnant for adolescents of lower income...
November 2016: Salud Pública de México
https://www.readbyqxmd.com/read/28225941/-health-inequality-on-results-and-access-indicators-for-children-in-mexico-analysis-of-national-health-surveys
#6
Juan Pablo Gutiérrez, Sebastián García-Saisó, Rodrigo Espinosa-de la Peña, Dulce Alejandra Balandrán
Objective: To analyze inequalities in health care indicators of children 0 to 9 years old in Mexico reporting gap and gradient measures. Materials and methods: Cross-sectional analysis of national health surveys in 2000, 2006 and 2012, measuring absolute and relative gap measures as well as the Slope Index of Inequality for four health care indicators (vaccination, care for acute respiratory infections, care for acute diarrheal diseases, and care for accidents) with socioeconomic stratification, as well as absolute gaps by sex, urbanicity and ethnic background...
November 2016: Salud Pública de México
https://www.readbyqxmd.com/read/28225940/-monitoring-of-inequality-in-financial-protection-and-healthcare-in-mexico-an-analysis-of-health-surveys-2000-2006-and-2012
#7
Juan Pablo Gutiérrez, Sebastián García-Saisó, Rodrigo Espinosa-de la Peña, Dulce Alejandra Balandrán
Objective: To analyze trends in inequality in financial protection and healthcare in Mexico between 2000 and 2012, using simple and complex measures. Materials and methods: Analysis of national health surveys 2000, 2006 and 2012, generating estimates of absolute and relative gaps and the slope index of inequality using imputated income as socioeconomic measure, and differences by sex, rural/urban residence, and ethnic background. Results: Between 2000 and 2012, socioeconomic inequality in financial protection vanished, while it remains in healthcare access, with larger barriers to access healthcare among those in the lowest socioeconomic condition...
November 2016: Salud Pública de México
https://www.readbyqxmd.com/read/28225822/a-reconfiguration-of-the-sex-trade-how-social-and-structural-changes-in-eastern-zimbabwe-left-women-involved-in-sex-work-and-transactional-sex-more-vulnerable
#8
Jocelyn Elmes, Morten Skovdal, Kundai Nhongo, Helen Ward, Catherine Campbell, Timothy B Hallett, Constance Nyamukapa, Peter J White, Simon Gregson
Understanding the dynamic nature of sex work is important for explaining the course of HIV epidemics. While health and development interventions targeting sex workers may alter the dynamics of the sex trade in particular localities, little has been done to explore how large-scale social and structural changes, such as economic recessions-outside of the bounds of organizational intervention-may reconfigure social norms and attitudes with regards to sex work. Zimbabwe's economic collapse in 2009, following a period (2000-2009) of economic decline, within a declining HIV epidemic, provides a unique opportunity to study community perceptions of the impact of socio-economic upheaval on the sex trade...
2017: PloS One
https://www.readbyqxmd.com/read/28225798/effect-of-maternal-death-on-child-survival-in-rural-west-africa-25-years-of-prospective-surveillance-data-in-the-gambia
#9
Susana Scott, Lindsay Kendall, Pierre Gomez, Stephen R C Howie, Syed M A Zaman, Samba Ceesay, Umberto D'Alessandro, Momodou Jasseh
BACKGROUND: The death of a mother is a tragedy in itself but it can also have devastating effects for the survival of her children. We aim to explore the impact of a mother's death on child survival in rural Gambia, West Africa. METHODS: We used 25 years of prospective surveillance data from the Farafenni Health and Demographic surveillance system (FHDSS). Mortality rates per 1,000 child-years up to ten years of age were estimated and Kaplan-Meier survival curves plotted by maternal vital status...
2017: PloS One
https://www.readbyqxmd.com/read/28225787/forest-dynamics-in-the-u-s-indicate-disproportionate-attrition-in-western-forests-rural-areas-and-public-lands
#10
Sheng Yang, Giorgos Mountrakis
Forests are experiencing significant changes; studying geographic patterns in forests is critical in understanding the impact of forest dynamics to biodiversity, soil erosion, water chemistry and climate. Few studies have examined forest geographic pattern changes other than fragmentation; however, other spatial processes of forest dynamics are of equal importance. Here, we study forest attrition, the complete removal of forest patches, that can result in complete habitat loss, severe decline of population sizes and species richness, and shifts of local and regional environmental conditions...
2017: PloS One
https://www.readbyqxmd.com/read/28225437/the-continuum-of-hiv-care-in-rural-communities-in-the-united-states-and-canada-what-is-known-and-future-research-directions
#11
Albrecht Helmut, Rebecca Dillingham, Robert S Hogg, Denise Jaworsky, Ken Kasper, Mona Loutfy, Lauren MacKenzie, Kathleen A McManus, Michael E Ohl, Kris Ann K Oursler, Scott D Rhodes, Katherine R Schafer, Hasina Samji, Stuart Skinner, Christina J Sun, Sharon Weissman
The nature of the HIV epidemic in the United States and Canada has changed with a shift towards rural areas. Socioeconomic factors, geography, cultural context, and evolving epidemics of injection drug use are coalescing to move the epidemic into locations where populations are dispersed and healthcare resources are limited. Rural-urban differences along the care continuum demonstrate the implications of this sociogeographic shift. Greater attention is needed to build a more comprehensive understanding of the rural HIV epidemic in the United States and Canada, including research efforts, innovative approaches to care delivery, and greater community engagement in prevention and care...
February 16, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28225349/temporal-trends-in-chronic-obstructive-pulmonary-disease-mortality-in-mexico-1999-2014
#12
E Hernández-Garduño, H L Ocaña-Servín
SETTING: Country of Mexico. OBJECTIVE: To determine mortality trends due to chronic obstructive pulmonary disease (COPD) in Mexico between 1999 and 2014. DESIGN: COPD mortality data for persons aged ≥40 years from 1999 to 2014 were obtained from the official website of the Mexican Ministry of Health. Age-standardised mortality rates (ASMRs) were calculated, and joinpoint regression analysis was used to identify trends over time. The annual per cent change (APC) was determined for each trend...
March 1, 2017: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/28225201/edible-insects-in-china-utilization-and-prospects
#13
REVIEW
Ying Feng, Xiao-Ming Chen, Min Zhao, Zhao He, Long Sun, Cheng-Ye Wang, Wei-Feng Ding
The use of edible insects has a long history in China, where they have been consumed for more than two thousand years. In general, the level of acceptance is high for the consumption of insects in China. Many studies on edible insects have been conducted in the last twenty years, and the scope of the research includes the culture of entomophagy and the identification, nutritional value, farming and breeding of edible insects, in addition to food production and safety. Currently, 324 species of insects from 11 orders are documented that are either edible or associated with entomophagy in China, which include the common edible species, some less commonly consumed species, and some medicinal insects...
February 22, 2017: Insect Science
https://www.readbyqxmd.com/read/28224944/managing-ckd-by-telemedicine-the-zuni-telenephrology-clinic
#14
REVIEW
Andrew S Narva, Gayle Romancito, Thomas Faber, Michael E Steele, Kenneth M Kempner
Telemedicine has significant potential to extend nephrology consultation to rural and isolated communities. We describe a telenephrology clinic that has delivered ongoing consultative care from a nephrologist based at the National Institutes of Health in Bethesda, MD, to the Zuni Comprehensive Health Center in western New Mexico. Over the past 9 years, the clinic has conducted 1870 patient visits managing patients using a collaborative approach engaging a nurse case manager, nephrologist, primary clinicians, pharmacists, and community health nurses...
January 2017: Advances in Chronic Kidney Disease
https://www.readbyqxmd.com/read/28224938/overview-on-the-challenges-and-benefits-of-using-telehealth-tools-in-a-pediatric-population
#15
REVIEW
Patrick D Brophy
Telehealth in Pediatric Medicine presents many of the same benefits and challenges noted in adult-based medicine. In terms of health care delivery, the promise of improving access and reducing costs using telehealth in Pediatrics, particularly chronic care, is high. The ability to address clinician shortages and provide remote guidance for chronic care pathways from pediatric subspecialists to rural-based referring physicians is a developing model that represents a sustainable and cost-effective strategy to improve pediatric care...
January 2017: Advances in Chronic Kidney Disease
https://www.readbyqxmd.com/read/28224844/rural-areas-may-lose-cash-in-nhs-england-plans
#16
Matthew Mckew
Community nursing will be put at risk in rural areas unless funding is distributed more evenly, a leading nurse has warned.
February 22, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28224426/nutritional-status-of-under-five-children-from-urban-low-income-families-in-xiangtan-and-jilin-in-china
#17
Yan-Fang Guo, Yin-Yan Gan, Chao-Nan Guo, Ju Sun, Li-Ping Hao
There have been many studies on the nutrition and the growth status of children from rural and remote western regions of China, whereas researches on children from urban low-income families are scarce. This study aimed to investigate the growth and nutritional status of children under five years of age from urban low-income families in China. There were 169 children aged 25-60 months recruited from Xiangtan and Jilin, two cities with a population of 2.81 million and 4.26 million respectively, in China in this cluster cross-sectional study...
February 2017: Journal of Huazhong University of Science and Technology. Medical Sciences
https://www.readbyqxmd.com/read/28224422/satisfaction-of-village-doctors-with-the-township-and-village-health-services-integration-policy-in-the-western-minority-inhabited-areas-of-china
#18
Da Feng, Liang Zhang, Yuan-Xi Xiang, Dong-Lan Zhang, Ruo-Xi Wang, Shang-Feng Tang, Hang Fu, Bo-Yang Li
Township and Village Health Services Integration Management (TVHSIM) is an essential form of China's two-tiered health service integration plan at the township and village level. Its main purpose, also one of the target goals in China's new healthcare reform, is to gradually integrate rural health services and appropriately allocate rural health resources. This study aims to assess the village doctors' satisfaction with the TVHSIM and provide scientific base to further improve TVHSIM. A cross-sectional study was carried out in which 162 village doctors from Qinghai, Inner Mongolia and Xinjiang in western China were interviewed...
February 2017: Journal of Huazhong University of Science and Technology. Medical Sciences
https://www.readbyqxmd.com/read/28224349/mapping-the-health-information-landscape-in-a-rural-culturally-diverse-region-implications-for-interventions-to-reduce-information-inequality
#19
A Susana Ramírez, Erendira Estrada, Ariana Ruiz
The media is an important source of health information, especially critical in rural communities with geographically-dispersed populations that are harder to reach through other channels. Yet health information is unequally distributed; these information disparities are compounded in rural areas, which may contribute to health disparities. We identify and describe health-related news in a culturally-diverse rural California county characterized by high levels of poverty, unemployment, low educational attainment, and over half of Mexican-origin...
February 21, 2017: Journal of Primary Prevention
https://www.readbyqxmd.com/read/28224221/-reaching-elderly-migrants-where-they-live-experiences-from-the-swiss-vicino-project
#20
S Johner-Kobi, M Gehrig
BACKGROUND: Community involvement through formal and informal networks is an important resource of support for elderly people with or without a migrant background, particularly as they get older. In the research and development project "Vicino - reaching elderly migrants where they live" the factors for success and failure in the cooperation between public institutions (organizations which do not focus on a specific group of migrants but are accessible for everybody) and migrant organizations were identified by means of three participatory interventions...
February 21, 2017: Zeitschrift Für Gerontologie und Geriatrie
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