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https://www.readbyqxmd.com/read/27933401/improvement-of-abnormal-vaginal-flora-in-ugandan-women-by-self-testing-and-short-use-of-intravaginal-antimicrobials
#1
G Donders, G Bellen, F Donders, J Pinget, I Vandevelde, T Michiels, J Byamughisa
The vaginal composition of African women is more often lactobacillus-deficient compared to that of women from other areas around the world. Lactobacillus-deficient microflora is a known risk factor for serious health problems, such as preterm birth, cervix cancer, and entrapment of human immunodeficiency virus (HIV) and other sexually transmitted infections (STIs). The aim of this study was to assess the effect of local vaginal antibiotic or antiseptic treatment on abnormal vaginal flora (AVF), aerobic vaginitis (AV), and bacterial vaginosis (BV) among women in rural, semi-urban, and urban areas in Uganda, as compared to placebo...
December 8, 2016: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/27933235/thailand-s-universal-coverage-scheme-and-its-impact-on-health-seeking-behavior
#2
Seung Chun Paek, Natthani Meemon, Thomas T H Wan
BACKGROUND: Thailand's Universal Coverage Scheme (UCS) has improved healthcare access and utilization since its initial introduction in 2002. However, a substantial proportion of beneficiaries has utilized care outside the UCS boundaries. Because low utilization may be an indication of a policy gap between people's health needs and the services available to them, we investigated the patterns of health-seeking behavior and their social/contextual determinants among UCS beneficiaries in the year 2013...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27933188/quality-of-care-in-rural-youth-with-type-1-diabetes-a-cross-sectional-pilot-assessment
#3
Kyle S Stumetz, Joyce P Yi-Frazier, Connor Mitrovich, Kathaleen Briggs Early
BACKGROUND: Type 1 diabetes mellitus (T1DM) presents a significant health burden for patients and families. The quality of care (QOC) among those living in rural communities is thought to be subpar compared with those in urban communities; however, little data exist to reflect this, especially in pediatric diabetes. OBJECTIVE: The purpose of this pilot study was to investigate diabetes QOC among families living in rural versus urban areas. 6 QOC markers were used to compare youth with T1DM: appointment adherence, patient-provider communication, diabetes education during clinic visit, congruency with diabetes standards of care, diabetes self-management behaviors, and diabetes-related hospitalizations...
2016: BMJ Open Diabetes Research & Care
https://www.readbyqxmd.com/read/27933105/prevalence-of-atrial-fibrillation-in-the-malaysian-communities
#4
Chiao Wen Lim, Sazzli Kasim, Johan Rizwal Ismail, Nicholas Yul Chye Chua, Rizmy Najme Khir, Hafisyatul Aiza Zainal Abidin, Effarezan Abdul Rahman, Mohd Kamal Mohd Arshad, Zubin Ibrahim Othman, Khalid Yusoff
BACKGROUND AND AIM: Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia encountered in clinical practice. The REDISCOVER (Responding to Increasing Cardiovascular disease prevalence) study is an observational longitudinal community-based study that tracks changing lifestyles, risk factors and chronic disease in urban and rural areas of Malaysia. In this study, we aim to study the prevalence of AF and its associated risk factors. METHODS: The study was conducted between 2007 and 2014...
2016: Heart Asia
https://www.readbyqxmd.com/read/27932547/practice-to-evidence-using-evaluability-assessment-to-generate-practice-based-evidence-in-rural-south-georgia
#5
Sally Honeycutt, April Hermstad, Michelle L Carvalho, Kimberly R Jacob Arriola, Denise Ballard, Cam Escoffery, Michelle C Kegler
Evidence from formal evaluation of real-world practice can address gaps in the public health knowledge base and provide information about feasible, relevant strategies for varied settings. Interest in evaluability assessment (EA) as an approach for generating practice-based evidence has grown. EA has been central to several structured assessment processes that identify and select promising programs and evaluate those most likely to produce useful findings. The Emory Prevention Research Center used EA as part of an initiative to generate practice-based evidence for cancer prevention in southwest Georgia...
December 7, 2016: Health Education & Behavior: the Official Publication of the Society for Public Health Education
https://www.readbyqxmd.com/read/27932041/source-apportionment-and-health-risk-assessment-of-heavy-metals-in-soil-for-a-township-in-jiangsu-province-china
#6
Yanxue Jiang, Sihong Chao, Jianwei Liu, Yue Yang, Yanjiao Chen, Aichen Zhang, Hongbin Cao
Human activities contribute greatly to heavy metal pollution in soils. Concentrations of 15 metal elements were detected in 105 soil samples collected from a typical rural-industrial town in southern Jiangsu, China. Among them, 7 heavy metals-lead, copper, zinc, arsenic, chromium, cadmium, and nickel-were considered in the health risk assessment for residents via soil inhalation, dermal contact, and/or direct/indirect ingestion. Their potential sources were quantitatively apportioned by positive matrix factorization using the data set of all metal elements, in combination with geostatistical analysis, land use investigation, and industrial composition analysis...
December 5, 2016: Chemosphere
https://www.readbyqxmd.com/read/27932013/socio-economic-inequalities-in-health-and-health-service-use-among-older-adults-in-india-results-from-the-who-study-on-global-ageing-and-adult-health-survey
#7
E M Brinda, J Attermann, U G Gerdtham, U Enemark
OBJECTIVE: The objectives of this study were to measure socio-economic inequalities in self-reported health (SRH) and healthcare visits and to identify factors contributing to health inequalities among older people aged 50-plus years. STUDY DESIGN: This study is based on a population-based, cross-sectional survey. METHODS: We accessed data of 7150 older adults from the World Health Organization's Study on Global AGEing and adult health Indian survey...
December 2016: Public Health
https://www.readbyqxmd.com/read/27931996/changes-in-the-prevalence-of-cigarette-smoking-and-quitting-smoking-determinants-in-adult-inhabitants-of-rural-areas-in-poland-between-2003-and-2012
#8
B Sozańska, N Pearce, M Błaszczyk, A Boznański, P Cullinan
OBJECTIVES: We investigate trends in the prevalence of cigarette smoking among adults at all ages in two time points 9 years apart in two neighbouring rural populations and examine social and respiratory health determinants of quitting smoking. STUDY DESIGN: Repeated cross-sectional study. METHODS: Two cross-sectional surveys were conducted in the same rural area of lower Silesia in Poland in 2003 and 2012. A total of 1328 (91% of adult eligible individuals) in 2003 and 1449 (92% of eligible) in 2012 adult inhabitants were surveyed, 908 people (560 villagers and 348 town inhabitants) participated in both surveys...
December 2016: Public Health
https://www.readbyqxmd.com/read/27931992/the-attitudes-of-primary-healthcare-providers-towards-web-based-training-on-public-health-services-in-rural-china-a-cross-sectional-study
#9
X X Zhan, Z X Zhang, F Sun, W J Peng, H Zhang, W R Yan
OBJECTIVES: To explore the attitudes of primary healthcare workers, including township public health workers (TPHWs) and village doctors (ViDs), towards web-based training on basic public health services (BPHS) and to examine the factors influencing their attitudes. STUDY DESIGN: Cross-sectional study. METHODS: Questionnaires addressing training status, needs, and attitudes towards web-based public health training were administered to 2768 primary healthcare workers from May to September 2013...
December 2016: Public Health
https://www.readbyqxmd.com/read/27931991/men-s-response-to-their-wives-participation-in-microfinance-perpetration-and-justification-of-intimate-partner-violence-in-bangladesh
#10
N S Murshid
OBJECTIVE: The present study adds to extant literature on the association between microfinance participation and intimate partner violence (IPV) by assessing a national sample of men married to microfinance participants. The key objective was to assess whether there was a positive association between wives' microfinance participation and men's perpetration and justification of IPV in urban areas of Bangladesh. STUDY DESIGN: This study is based on a population-based secondary data analysis...
December 2016: Public Health
https://www.readbyqxmd.com/read/27931930/urban-dogs-in-rural-areas-human-mediated-movement-defines-dog-populations-in-southern-chile
#11
Federico J Villatoro, Maximiliano A Sepúlveda, Paulina Stowhas, Eduardo A Silva-Rodríguez
Management strategies for dog populations and their diseases include reproductive control, euthanasia and vaccination, among others. However, the effectiveness of these strategies can be severely affected by human-mediated dog movement. If immigration is important, then the location of origin of dogs imported by humans will be fundamental to define the spatial scales over which population management and research should apply. In this context, the main objective of our study was to determine the spatial extent of dog demographic processes in rural areas and the proportion of dogs that could be labeled as immigrants at multiple spatial scales...
December 1, 2016: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/27931922/qualitative-analysis-of-the-risks-and-practices-associated-with-the-spread-of-african-swine-fever-within-the-smallholder-pig-value-chains-in-uganda
#12
Michel Dione, Emily Ouma, Felix Opio, Brian Kawuma, Danilo Pezo
A study was undertaken between September 2014 and December 2014 to assess the perceptions of smallholder pig value chain actors of the risks and practices associated with the spread of African swine fever (ASF) disease within the pig value chains. Data was collected from 136 value chain actors and 36 key informants through 17 group discussions and two key informant interview (KII) sessions respectively using Participatory Rural Appraisal (PRA) tools. Results from this study revealed that according to value chain actors and stakeholders, the transporting, slaughtering, and collecting/bulking nodes represent the highest risk, followed by the inputs and services (feeds and drugs) supply nodes...
December 1, 2016: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/27931891/a-systematic-review-of-anxiety-prevalence-in-adults-within-primary-care-and-community-settings-in-malaysia
#13
Chin Hoong Wong, Zia U Bakt Sultan Shah, Cheong Lieng Teng, Tzi Quen Lin, Zainab Abdul Majeed, Chun Wai Chan
BACKGROUND: Anxiety disorders are common mental health disorders with significant impact on the individual as well as burden on the country as a whole. METHODS: A systematic review of databases, reference lists, internet sources, and input from content experts revealed 42 studies that documented the prevalence of anxiety symptoms or disorders. 12 of these studies specifically evaluated anxiety disorders. RESULTS: 4 studies looked at the prevalence of anxiety disorders in the general population, whilst the remainder focused on selected population groups: university students (4 studies); substance abuse (3 studies); and victims of abuse (1 study)...
December 2016: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/27931780/the-development-of-a-caseload-midwifery-service-in-rural-australia
#14
Tara Tran, Jo Longman, Jude Kornelsen, Lesley Barclay
PROBLEM: The past two decades have seen progressive decline in the number of rural birthing services across Australia. BACKGROUND: Despite health system pressures on small birthing units to close there have been examples of resistance and survival. AIM: This descriptive study explored the evolution of a rural birthing service in a small town to offer insight into the process of transition which may be helpful to other small healthcare services in rural Australia...
December 5, 2016: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/27931764/accuracy-of-remote-burn-scar-evaluation-via-live-video-conferencing-technology
#15
Lawrence Z Cai, Maria Caceres, Mohan Krishna Dangol, Shankar Man Rai, James Chang, Nicole S Gibran, Tam N Pham
OBJECTIVE: Telemedicine in outpatient burn care, particularly in burn scar management, may provide cost-effective care and comes highly rated by patients. However, an effective scar scale using both video and photographic elements has not been validated. The purpose of this study is to test the reliability of the Patient and Observer Scar Assessment Scale (POSAS) using live video-conferencing. METHODS: A prospective study was conducted with individuals with healed burn scars in Kathmandu, Nepal...
December 5, 2016: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/27931255/wealth-and-cardiovascular-health-a-cross-sectional-study-of-wealth-related-inequalities-in-the-awareness-treatment-and-control-of-hypertension-in-high-middle-and-low-income-countries
#16
Benjamin Palafox, Martin McKee, Dina Balabanova, Khalid F AlHabib, Alvaro Jr Avezum, Ahmad Bahonar, Noorhassim Ismail, Jephat Chifamba, Clara K Chow, Daniel J Corsi, Gilles R Dagenais, Rafael Diaz, Rajeev Gupta, Romaina Iqbal, Manmeet Kaur, Rasha Khatib, Annamarie Kruger, Iolanthe Marike Kruger, Fernando Lanas, Patricio Lopez-Jaramillo, Fu Minfan, Viswanathan Mohan, Prem K Mony, Aytekin Oguz, Lia M Palileo-Villanueva, Pablo Perel, Paul Poirier, Sumathy Rangarajan, Lei Rensheng, Annika Rosengren, Biju Soman, David Stuckler, S V Subramanian, Koon Teo, Lungiswa P Tsolekile, Andreas Wielgosz, Peng Yaguang, Karen Yeates, Mo Yongzhen, Khalid Yusoff, Rita Yusuf, Afzalhussein Yusufali, Katarzyna Zatońska, Salim Yusuf
BACKGROUND: Effective policies to control hypertension require an understanding of its distribution in the population and the barriers people face along the pathway from detection through to treatment and control. One key factor is household wealth, which may enable or limit a household's ability to access health care services and adequately control such a chronic condition. This study aims to describe the scale and patterns of wealth-related inequalities in the awareness, treatment and control of hypertension in 21 countries using baseline data from the Prospective Urban and Rural Epidemiology study...
December 8, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27931226/culex-pipiens-forms-and-urbanization-effects-on-blood-feeding-sources-and-transmission-of-avian-plasmodium
#17
Josué Martínez-de la Puente, Martina Ferraguti, Santiago Ruiz, David Roiz, Ramón C Soriguer, Jordi Figuerola
BACKGROUND: The wide spread mosquito Culex pipiens pipiens have two forms molestus and pipiens which frequently hybridize. The two forms have behavioural and physiological differences affecting habitat requirements and host selection, which may affect the transmission dynamic of Cx. p. pipiens-borne diseases. METHODS: During 2013, blood engorged Cx. p. pipiens mosquitoes were captured in urban, rural and natural areas from Southern Spain. In 120 mosquitoes, we identified the blood meal origin at vertebrate species/genus level and the mosquito form...
December 8, 2016: Malaria Journal
https://www.readbyqxmd.com/read/27931171/-behaving-well-the-transition-to-respectable-womanhood-in-rural-south-africa
#18
Christie Sennott, Sanyu A Mojola
Few studies of the transition to adulthood in Africa analyse young people's own definitions of the events that confer adult status, and how adulthood is actually attained. This paper examines the experience of transitioning to womanhood in rural Mpumalanga Province, South Africa, drawing on interviews with 18 women aged 18-39. Three primary experiences characterised this transition: puberty and emerging body awareness, spending time with boys, and having a child. More important than the timing of these experiences, however, was whether women 'behaved well' and maintained respectability as they transitioned to adulthood...
December 9, 2016: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/27930919/-not-there-yet-examining-community-support-from-the-perspective-of-people-with-dementia-and-their-partners-in-care
#19
R V Herron, M W Rosenberg
People with dementia can live meaningful and engaged lives with the appropriate social and physical supports in place. There has been relatively little research, however, on the experiences and desires of people with dementia themselves as they negotiate informal and formal support in rural and small town settings. In this article, we draw on semi-structured interviews with 46 community-dwelling people with dementia and 43 partners in care in rural Ontario, Canada to examine how people with dementia relate to and within their communities as well as their perceptions of community support services...
December 1, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/27930614/development-of-a-national-campaign-addressing-south-african-men-s-fears-about-hiv-counseling-and-testing-and-antiretroviral-treatment
#20
Neil Orr, Helen Hajiyiannis, Laura Myers, Mzamani Benjamin Makhubele, Tselisehang Matekane, Richard Delate, Lusanda Mahlasela, Brenda Goldblatt
INTRODUCTION: South African men are less likely to get tested for HIV than women and are more likely to commence antiretroviral treatment (ART) at later stages of disease, default on treatment, and to die from AIDS compared with women. The purpose of this study was to conduct formative research into the ideational and behavioral factors that enable or create obstacles to mens' uptake of HIV counseling and testing (HCT) and ART. The study consulted men with a goal of developing a communication campaign aimed at improving the uptake of HIV testing and ART initiation among men...
January 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
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