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https://www.readbyqxmd.com/read/28721463/exstrophy-bladder-reconstruction-or-diversion-for-the-underprivileged
#1
REVIEW
Yogesh Kumar Sarin, Virender Sekhon
The surgical techniques for management of bladder exstrophy epispadias complex have evolved from staged reconstruction, complete primary repair to radical mobilization. Post-operative complications add to the multiplicity of surgical procedures at each step. The end results are variable with many achieving continence rates of 85-89% only after bladder augmentation and clean intermittent catheterization. The situation is further complicated in resource-poor settings, where illiteracy and poverty are the driving factors for choosing a single operative procedure for creation of low pressure reservoir aiming at upper tract preservation and good primary continence...
July 18, 2017: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/28718230/determinants-of-impoverishment-due-to-out-of-pocket-payments-in-nigeria
#2
Bolaji Samson Aregbeshola, Samina Mohsin Khan
BACKGROUND: Poverty is an extreme consequence of out of pocket payments in countries with health systems that do not provide financial risk protection through mandatory health insurance coverage for people in both the formal and informal sectors. The study assessed the determinants of impoverishment due to out of pocket payments in Nigeria. METHODS: Secondary data from the Harmonized Nigeria Living Standard Survey (HNLSS) of 2009/10 was utilized to assess factors associated with impoverishment in Nigeria...
April 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/28690374/the-energy-divide-integrating-energy-transitions-regional-inequalities-and-poverty-trends-in-the-european-union
#3
Stefan Bouzarovski, Sergio Tirado Herrero
Energy poverty can be understood as the inability of a household to secure a socially and materially necessitated level of energy services in the home. While the condition is widespread across Europe, its spatial and social distribution is highly uneven. In this paper, the existence of a geographical energy poverty divide in the European Union (EU) provides a starting point for conceptualizing and exploring the relationship between energy transitions - commonly described as wide-ranging processes of socio-technical change - and existing patterns of regional economic inequality...
January 2017: European Urban and Regional Studies
https://www.readbyqxmd.com/read/28689339/longitudinal-impact-of-a-park-based-afterschool-healthy-weight-program-on-modifiable-cardiovascular-disease-risk-factors-in-youth
#4
Sarah E Messiah, Emily M D'Agostino, Eric Hansen, M Sunil Mathew, Deidre Okeke, Maria Nardi, Jack Kardys, Kristopher L Arheart
Community-based programs hold significant potential to prevent cardiovascular disease (CVD) risk in youth. We describe here the longitudinal change in several modifiable CVD risk factors after participation in up to 3 years of Fit2Play™, a park-based afterschool program. Children ages 6-15 years old (N = 2261, mean age 9.0 years, 50% Hispanic, 47% non-Hispanic black, 54% male) who participated in Fit2Play™ for either 1-3 school years between 2010 and 2016 had height, weight, 4-site skinfold thicknesses, systolic and diastolic blood pressure, the progressive aerobic cardiovascular endurance run test, and health/wellness knowledge and behavior scores collected at the beginning and end of the school year(s)...
July 8, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28686787/barriers-and-facilitators-of-colorectal-cancer-screening-for-patients-of-rural-accountable-care-organization-clinics-a-multilevel-analysis
#5
Hongmei Wang, Fang Qiu, Abbey Gregg, Baojiang Chen, Jungyoon Kim, Lufei Young, Neng Wan, Li-Wu Chen
PURPOSE: This study examines multilevel factors related to colorectal cancer (CRC) screening in a rural Accountable Care Organization (ACO) setting. METHODS: The study used electronic medical record data from 8 rural ACO clinics in Nebraska. The final sample included 15,866 average-risk patients aged 50-75 years who visited participating clinics at least once from June 2014 to May 2015. Logistic regression was conducted to examine simultaneous effects of patient, provider, and county characteristics on CRC screening after accounting for provider-county-level correlation using a generalized estimating equations method...
July 7, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28675874/source-apportionment-of-fine-particulate-matter-and-risk-of-term-low-birth-weight-in-california-exploring-modification-by-region-and-maternal-characteristics
#6
Connie Ng, Brian Malig, Sina Hasheminassab, Constantinos Sioutas, Rupa Basu, Keita Ebisu
Previous studies have demonstrated associations between fine particulate matter (PM2.5) and risk of term low birth weight (TLBW; birth weight<2500g and gestational weeks≥37weeks). However, it remains unclear which PM2.5 sources mainly contribute to these associations, and which subgroups (e.g. by residential region and maternal characteristics) may be more susceptible to these exposures. Using California birth records and PM2.5 data from eight monitoring sites from 2002 to 2009, we examined the relationship between exposures to total PM2...
July 1, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28670100/the-assets-based-approach-furthering-a-neoliberal-agenda-or-rediscovering-the-old-public-health-a-critical-examination-of-practitioner-discourses
#7
Michael J Roy
The 'assets-based approach' to health and well-being has, on the one hand, been presented as a potentially empowering means to address the social determinants of health while, on the other, been criticised for obscuring structural drivers of inequality and encouraging individualisation and marketisation; in essence, for being a tool of neoliberalism. This study looks at how this apparent contestation plays out in practice through a critical realist-inspired examination of practitioner discourses, specifically of those working within communities to address social vulnerabilities that we know impact upon health...
August 8, 2017: Critical Public Health
https://www.readbyqxmd.com/read/28658375/the-burden-of-diabetes-and-hyperglycemia-in-brazil-and-its-states-findings-from-the-global-burden-of-disease-study-2015
#8
Bruce Bartholow Duncan, Elisabeth Barboza França, Valéria Maria de Azeredo Passos, Ewerton Cousin, Lenice Harumi Ishitani, Deborah Carvalho Malta, Mohsen Naghavi, Meghan Mooney, Maria Inês Schmidt
Introduction and objective: The global burden of disease (GBD) 2015 project, extends GBD analyses to include Brazilian federative units separately. We take advantage of GBD methodological advances to describe the current burden of diabetes and hyperglycemia in Brazil. Methods: Using standard GBD 2015 methods, we analyzed the burden of diabetes, chronic kidney disease due to diabetes and high fasting plasma glucose in Brazil and its states. Results: The age-standardized rate of disability-adjusted life years (DALYs) which was lost to high fasting plasma glucose, a category which encompasses burdens of diabetes and of lesser hyperglycemia, were 2448...
May 2017: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
https://www.readbyqxmd.com/read/28634248/suburban-families-experience-with-food-insecurity-screening-in-primary-care-practices
#9
Deepak Palakshappa, Stephanie Doupnik, Aditi Vasan, Saba Khan, Leah Seifu, Chris Feudtner, Alexander G Fiks
BACKGROUND: Food insecurity (FI) remains a major public health problem. With the rise in suburban poverty, a greater understanding of parents' experiences of FI in suburban settings is needed to effectively screen and address FI in suburban practices. METHODS: We conducted 23 semistructured interviews with parents of children <4 years of age who presented for well-child care in 6 suburban pediatric practices and screened positive for FI. In the interviews, we elicited parents' perceptions of screening for FI, how FI impacted the family, and recommendations for how practices could more effectively address FI...
June 20, 2017: Pediatrics
https://www.readbyqxmd.com/read/28630291/global-sustainable-development-priorities-500-y-after-luther-sola-schola-et-sanitate
#10
Wolfgang Lutz
Martin Luther succinctly summarized his theology in sola statements, such as sola scriptura, viewing the Bible (scriptura) as the only valid source of information about God rather than what he viewed as the extraneous, corrupting church doctrine of the time. As a secular side effect of this focus on individual reading skills, the Protestant territories were the first to acquire high literacy rates, which subsequently fostered health, economic growth, and good governance. Here I argue that a similar priority focus on empowerment of all segments of all populations through education and health (sola schola et sanitate) is needed today for sustainable development...
June 19, 2017: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/28624928/a-survey-analysis-of-indigenous-goat-production-in-communal-farming-systems-of-botswana
#11
P I Monau, C Visser, S J Nsoso, E Van Marle-Köster
A total of 153 communal farmers in four agro-ecological regions of Botswana were interviewed using a structured questionnaire. The aims of the survey were to characterise existing communal goat production systems, evaluate the importance of goats to farmers and identify breeding practices and constraints encountered in goat production in Botswana. Data was collected on socio-economic parameters, general and breeding management practices and major constraints limiting goat production in Botswana. All respondents were small-scale communal farmers with 63% respondents practising mixed crop-livestock farming and 37% keeping livestock as their primary activity...
June 17, 2017: Tropical Animal Health and Production
https://www.readbyqxmd.com/read/28624868/how-does-cytomegalovirus-factor-into-diseases-of-aging-and-vaccine-responses-and-by-what-mechanisms
#12
REVIEW
Allison E Aiello, Yen-Ling Chiu, Daniela Frasca
Cytomegalovirus (CMV) is an important pathogen for both clinical and population settings. There is a growing body of research implicating CMV in multiple health outcomes across the life course. At the same time, there is mounting evidence that individuals living in poverty are more likely to be exposed to CMV and more likely to experience many of the chronic conditions for which CMV has been implicated. Further research on the causal role of CMV for health and well-being is needed. However, the strong evidence implicating CMV in type 2 diabetes, autoimmunity, cancer, cardiovascular disease, vaccination, and age-related alterations in immune function warrants clinical and public health action...
June 2017: GeroScience
https://www.readbyqxmd.com/read/28616610/current-approaches-to-gastric-cancer-in-peru-and-mexico
#13
REVIEW
Erlan Santos
In Peru, the incidence of gastric cancer is reported to be around 15.8 per 100,000 inhabitants and it is the second most common oncological disease in men and the third one in women. Additionally, a high mortality index was reported, especially among poor people. To address this issue, in 2008, Peru initiated several insurance treatment plans of oncological diseases with promising results. In Mexico, there is a high predominance of gastric cancer in male gender compared to female gender, even reaching a 2/1 ratio, and the detection rate of early gastric cancer is low (10% to 20%) which results in a mainly palliative treatment with an overall survival rate in 5 years about 10% to 15% only...
2017: Translational Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/28609401/randomized-controlled-trial-of-caregiver-training-for-hiv-infected-child-neurodevelopment-and-caregiver-well-being
#14
Judith K Bass, Robert Opoka, Itziar Familiar, Noeline Nakasujja, Alla Sikorskii, Jorem Awadu, Deborah Givon, Cilly Shohet, Sarah M Murray, Jura Augustinavicius, Tamar Mendelson, Michael Boivin
OBJECTIVES: HIV infection places children at neurodevelopmental risk; for young children in poverty, risk is compounded by compromised caregiving quality. The Mediational Intervention for Sensitizing Caregivers (MISC) program trained caregivers on fostering daily interactions with young children. We hypothesized that MISC could (1) enhance neurodevelopment of rural Ugandan HIV-infected children and (2) improve mental health outcomes of their caregivers, which might mediate improved caregiving quality...
June 12, 2017: AIDS
https://www.readbyqxmd.com/read/28608437/-we-don-t-do-it-for-the-money-%C3%A2-the-scale-and-reasons-of-poverty-pay-among-frontline-long-term-care-workers-in-england
#15
Shereen Hussein
Demographic trends escalate the demands for formal long-term care (LTC) in the majority of the developed world. The LTC workforce is characterised by its very low wages, the actual scale of which is less well known. This article investigates the scale of poverty-pay in the feminised LTC sector and attempts to understand the perceived reasons behind persisting low wages in the sector. The analysis makes use of large national workforce pay data and a longitudinal survey of care workers, as well as interviews with key stakeholders in the sector...
June 12, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28586475/aging-in-activity-space-results-from-smartphone-based-gps-tracking-of-urban-seniors
#16
Erin York Cornwell, Kathleen A Cagney
Objectives: Prior research emphasizes the importance of the residential neighborhood context during later life but little attention has been afforded to other areas that older adults encounter as they move beyond their residential environments for daily activities and social interactions. This study examines the predominance of the residential context within older adults' everyday lives. Method: We provided 60 older adults in four New York City neighborhoods with iPhones, which captured Global Positioning Systems (GPS) locations at 5-min intervals over 1 week (n = 55,561) and 17 ecological momentary assessments (EMAs) over 4 days (n = 757) to assess real-time activities...
June 6, 2017: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
https://www.readbyqxmd.com/read/28584174/poor-livestock-keepers-ecosystem-poverty-health-interactions
#17
REVIEW
Delia Grace, Johanna Lindahl, Francis Wanyoike, Bernard Bett, Tom Randolph, Karl M Rich
Humans have never been healthier, wealthier or more numerous. Yet, present success may be at the cost of future prosperity and in some places, especially in sub-Saharan Africa, poverty persists. Livestock keepers, especially pastoralists, are over-represented among the poor. Poverty has been mainly attributed to a lack of access, whether to goods, education or enabling institutions. More recent insights suggest ecosystems may influence poverty and the self-reinforcing mechanisms that constitute poverty traps in more subtle ways...
July 19, 2017: Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences
https://www.readbyqxmd.com/read/28569084/the-correlates-of-quality-of-life-among-jordanian-patients-with-schizophrenia
#18
Ahmad Rayan, Khaldoon Obiedate
BACKGROUND: Addressing the quality of life (QOL) of patients with schizophrenia is of special importance in the Arab world, where little knowledge is available about their well-being, and most of them experience stigma and living in poverty. AIMS: The purpose of this study was to examine the association of sociodemographic characteristics, severity of depressive symptoms, and various aspects of public stigma against mental illness, with QOL among Jordanian patients with schizophrenia...
May 1, 2017: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/28561767/health-well-being-and-energy-poverty-in-europe-a-comparative-study-of-32-european-countries
#19
Harriet Thomson, Carolyn Snell, Stefan Bouzarovski
Despite growing pan-European interest in and awareness of the wide-ranging health and well-being impacts of energy poverty-which is characterised by an inability to secure adequate levels of energy services in the home-the knowledge base is largely British-centric and dominated by single-country studies. In response, this paper investigates the relationship between energy poverty, health and well-being across 32 European countries, using 2012 data from the European Quality of Life Survey. We find an uneven concentration of energy poverty, poor health, and poor well-being across Europe, with Eastern and Central Europe worst affected...
May 31, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28556546/a-state-wide-initiative-to-promote-genetic-testing-in-an-underserved-population
#20
Meghan L Underhill, Traci M Blonquist, Karleen Habin, Debra Lundquist, Kristen Shannon, Kathryn Robinson, Mary-Lou Woodford, Jean Boucher
Genetic testing for cancer susceptibility has been widely studied and utilized clinically. Access to genetic services in research and practice is largely limited to well-insured, Caucasian individuals. In 2009, the Cancer Resource Foundation (CRF) implemented the Genetic Information for Treatment Surveillance and Support (GIFTSS) program to cover the out-of-pocket expenses associated with cancer genetic testing, targeting high-risk individuals with limited financial means and limited health insurance coverage...
July 2017: Cancer Medicine
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