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Remote health

Hui Wen Fan, Wuelton Marcelo Monteiro
A plan to achieve self-sufficiency in manufacturing biologicals for public health has been structured for the last 40 years in Brazil, in the context of a reform in the health system. Industrial plants of the national public laboratories have been modernized, and a program for reducing morbidity and mortality of venomous snakebite has been created, as part of the National Epidemiological Surveillance System. The epidemiological data are essential to plan for the antivenom production of 400,000 vials of snake antivenoms per year, and the acquisition by the Ministry of Health, which is the exclusive purchaser in the country...
June 13, 2018: Toxicon: Official Journal of the International Society on Toxinology
Raquel Valdes Angues, Austen Suits, Valerie S Palmer, Caesar Okot, Robert A Okot, Concy Atonywalo, Suzanne K Gazda, David L Kitara, Moka Lantum, Spencer S Peter
BACKGROUND: Disease surveillance in rural regions of many countries is poor, such that prolonged delays (months) may intervene between appearance of disease and its recognition by public health authorities. For infectious disorders, delayed recognition and intervention enables uncontrolled disease spread. We tested the feasibility in northern Uganda of developing real-time, village-based health surveillance of an epidemic of Nodding syndrome (NS) using software-programmed smartphones operated by minimally trained lay mHealth reporters...
June 15, 2018: PLoS Neglected Tropical Diseases
Caroline Boissonneault, Tasha Epp
Rural, remote, and Indigenous communities often contend with free-roaming dog populations, increasing the risk of aggressive dog encounters, particularly dog bites and fatal dog attacks. This qualitative survey gathered a range of perspectives to ascertain the current veterinary services available in rural, remote, and Indigenous communities of northern Manitoba, as well as needs, barriers to, and considerations for future veterinary care provision. Survey results indicated terminology such as "overpopulation" and "rescue" need to be carefully considered as they may have negative connotations for communities...
May 2018: Canadian Veterinary Journal. la Revue Vétérinaire Canadienne
J A Michel-Macarty, M A Murillo-Escobar, R M López-Gutiérrez, C Cruz-Hernández, L Cardoza-Avendaño
BACKGROUND AND OBJECTIVES: Currently, telemedicine is levered upon the improvement in communication network technology such as Body Area Sensor Networks (BASN) to provided biomedicine solutions. Nevertheless, information security is an important issue since biomedical data is exchanged through insecure channels, which exposes private information that can be intercepted by malicious intruder. Therefore, secure communication protocols for multiuser networks in telemedicine applications are a big challenge...
August 2018: Computer Methods and Programs in Biomedicine
Mohammad Miri, Ahmad Alahabadi, Mohammad Hassan Ehrampoush, Hamid Reza Ghaffari, Mohammad Javad Zare Sakhvidi, Mahboube Eskandari, Abolfazl Rad, Mohammad Hassan Lotfi, Mohammad Hassan Sheikhha
The aim of this study was to assess the potential health risk of exposure to polycyclic aromatic hydrocarbons (PAHs) at home and kindergarten for pre-school children. The urine samples were taken from 200 pre-school children aged 5-7 years and analyzed for 1-OHP as a biomarker of PAHs. Mixed effect models were applied to investigate the association between effective environmental parameters (mode of transport, distance to major roads, traffic density, greenness, tobacco exposure, home ventilation, and grill foods) and urinary 1-OHP levels...
June 11, 2018: Environment International
Lin Zang, Feiyue Mao, Jianping Guo, Wei Gong, Wei Wang, Zengxin Pan
Particulate matter with diameter less than 1 μm (PM1 ) has been found to be closely associated with air quality, climate changes, and even adverse human health. However, a large gap in our knowledge concerning the large-scale distribution and variability of PM1 remains, which is expected to be bridged with advanced remote-sensing techniques. In this study, a hybrid model called principal component analysis-general regression neural network (PCA-GRNN) is developed to estimate hourly PM1 concentrations from Himawari-8 aerosol optical depth in combination with coincident ground-based PM1 measurements in China...
June 11, 2018: Environmental Pollution
Michelle Helena van Velthoven, Wei Wang, Qiong Wu, Ye Li, Robert W Scherpbier, Xiaozhen Du, Li Chen, Yanfeng Zhang, Josip Car, Igor Rudan
Background: To compare text messaging and face-to-face interviews to conduct a survey on childhood diarrhoea and pneumonia. Methods: Caregivers of young children able to send text messages in Zhao County in rural China were included in this crossover study. Villages (clusters) were randomized into two groups using the ratio 1:1.6 to account for an expected higher drop-out in group 2. In group 1, participants first completed the face-to-face and then text messaging survey; this order was reversed in group 2...
June 2018: Journal of Global Health
Jane Hwang, Charlene Kakimoto
Historically, the US military has utilized centralized store-and-forward (S&F) telemedicine programs for health care providers in remote locations worldwide. In the civilian community, new methods and platforms for teledermatology have been created based largely on those used by the military to maximize access to and the efficiency of health care, including secure direct-to-consumer (DTC) mobile applications for patients, live interactive methods, and integrated S&F platforms for dermatology services within electronic health record (EHR) systems...
May 2018: Cutis; Cutaneous Medicine for the Practitioner
Ripu M Kunwar, Maria Fadiman, Mary Cameron, Rainer W Bussmann, Khum B Thapa-Magar, Bhagawat Rimal, Prabhat Sapkota
BACKGROUND: This study seeks to better understand the human-nature interface and to measure the variability of plant use knowledge among cultures, through inter- and intracultural analyses. We compared plant collection, use, and management of two culturally distinct groups (Baitadi and Darchula) of the Nepal Himalaya. They inhabit different physiographic regions, yet share the same ecological landscape, environmental resources, and livelihood challenges. We hypothesized that the elderly, native, and traditional healers living in remote and rural places possess more diverse and detailed knowledge of plant use and conservation than young, non-native, and non-healers...
June 11, 2018: Journal of Ethnobiology and Ethnomedicine
Yvonne Dimitropoulos, Hasantha Gunasekera, Anthony Blinkhorn, Roy Byun, Norma Binge, Kylie Gwynne, Michelle Irving
INTRODUCTION: As part of an oral health service for Aboriginal people in central northern New South Wales (NSW), Australia, oral health promotion was identified as a priority by the local Aboriginal community. The objective of this study was to collaborate with local Aboriginal communities to determine (1) the oral health needs of Aboriginal children aged 5-12 years, (2) the oral health knowledge and attitudes towards oral health of parents/guardians and (3) the perceived barriers and enablers towards oral health promotion for school children by local school staff and community health workers...
June 2018: Rural and Remote Health
Michaela Zeiner, Iva Juranović Cindrić
Fruits and vegetables are considered a beneficial contribution to the human diet. Especially, berries contain a great deal of bioactive compounds, such as anthocyanins, organic acids, tannins, phenols, and antioxidants. Apart from organic substances, inorganic nutrients are also present in fruits. Some metals and metalloids are essential for humans, whilst others may exhibit harmful effects. Wild grown berries, collected in so-called unpolluted areas, are considered to be free of any potentially toxic ingredients...
June 8, 2018: Toxics
Kimiyo Kikuchi, Junko Yasuoka, Keiko Nanishi, Ashir Ahmed, Yasunobu Nohara, Mariko Nishikitani, Fumihiko Yokota, Tetsuya Mizutani, Naoki Nakashima
In South-East Asia, the maternal and child mortality rate has declined over the past decades; however, it varies among and within the countries in the region, including Cambodia. The continuum of care is an integrated series of care that women and children are required to avail continuously from pregnancy to the child/motherhood period. This study aimed to assess the completion rate of the continuum of care and examine the factors associated with the continuum of care in Ratanakiri, Cambodia. A cross-sectional study was conducted in Ratanakiri...
2018: PloS One
Michelle Addison, Ruth Mcgovern, Colin Angus, Frauke Becker, Alan Brennan, Heather Brown, Simon Coulton, Lisa Crowe, Eilish Gilvarry, Matthew Hickman, Denise Howel, Elaine Mccoll, Colin Muirhead, Dorothy Newbury-Birch, Muhammad Waqas, Eileen Kaner
Aims: There is a clear association between alcohol use and offending behaviour and significant police time is spent on alcohol-related incidents. This study aimed to test the feasibility of a trial of screening and brief intervention in police custody suites to reduce heavy drinking and re-offending behaviour. Short summary: We achieved target recruitment and high brief intervention delivery if this occurred immediately after screening. Low rates of return for counselling and retention at follow-up were challenges for a definitive trial...
June 8, 2018: Alcohol and Alcoholism: International Journal of the Medical Council on Alcoholism
Jennifer B Bollyky, Dena Bravata, Jason Yang, Mark Williamson, Jennifer Schneider
Background: Connected health devices with lifestyle coaching can provide real-time support for people with type 2 diabetes (T2D). However, the intensity of lifestyle coaching needed to achieve outcomes is unknown. Methods: Livongo provides connected, two-way messaging glucose meters, unlimited blood glucose (BG) test strips, and access to certified diabetes educators. We evaluated the incremental effects of adding lifestyle coaching on BG, estimated HbA1c, and weight...
2018: Journal of Diabetes Research
Nicolas Paris, Michael Mendis, Christel Daniel, Shawn Murphy, Xavier Tannier, Pierre Zweigenbaum
Integrating Biology and the Bedside (i2b2) is the de-facto open-source medical tool for cohort discovery. Fast Healthcare Interoperability Resources (FHIR) is a new standard for exchanging health care information electronically. Substitutable Modular third-party Applications (SMART) defines the SMART-on-FHIR specification on how applications shall interface with Electronic Health Records (EHR) through FHIR. Related work made it possible to produce FHIR from an i2b2 instance or made i2b2 able to store FHIR datasets...
2018: AMIA Summits on Translational Science Proceedings
Ajal Dave, Kendra Cagniart, Matthew D Holtkamp
BACKGROUND: The development of primary stroke centers has improved outcomes for stroke patients. Telestroke networks have expanded the reach of stroke experts to underserved, geographically remote areas. This study illustrates the outcome and cost differences between neurology and primary care ischemic stroke admissions to demonstrate a need for telestroke networks within the Military Health System (MHS). MATERIALS AND METHODS: All adult admissions with a primary diagnosis of ischemic stroke in the MHS Military Mart database from calendar years 2010 to 2015 were reviewed...
June 7, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Barry L Carter, Barcey Levy, Brian Gryzlak, Yinghui Xu, Elizabeth Chrischilles, Jeffrey Dawson, Mark Vander Weg, Alan Christensen, Paul James, Linnea Polgreen
BACKGROUND: The use of clinical pharmacists in primary care has improved the control of several chronic cardiovascular conditions. However, many private physician practices lack the resources to implement team-based care with pharmacists. The purpose of this study was to evaluate whether a centralized, remote, clinical pharmacy service could improve guideline adherence and secondary measures of cardiovascular risk in primary care offices in rural and small communities. METHODS AND RESULTS: This study was a prospective trial in 12 family medicine offices cluster randomized to either the intervention or usual care...
June 2018: Circulation. Cardiovascular Quality and Outcomes
Anthony Amalba, Francis A Abantanga, Albert J J A Scherpbier, W N K A van Mook
BACKGROUND: An unequal distribution of health personnel, leading to unfavourable differences in health status between urban and rural populations, is a serious cause for concern globally. Part of the solution to this problem lies in attracting medical doctors to rural, remote communities, which presents a real challenge. The present study therefore explored the factors that influence medical doctors' decision to practise in rural Ghana. METHODS: We conducted a cross-sectional descriptive study based on questionnaires...
June 8, 2018: BMC Medical Education
Bente Norbye, Lorna Butler, Heather Exner-Pirot
The recruitment and retention of health professionals in rural, remote, and northern regions is an ongoing challenge. The Northern Nursing Education Network brought together nursing students working in rural and remote regions of the circumpolar north in Innovative Learning Institute on Circumpolar Health (ILICH) events to create opportunities for shared learning and expose both students and faculty to local and traditional knowledge that informs health behaviors specific to regions with Indigenous populations...
May 21, 2018: Healthcare (Basel, Switzerland)
Jose-Luis Bayo-Monton, Antonio Martinez-Millana, Weisi Han, Carlos Fernandez-Llatas, Yan Sun, Vicente Traver
Health and sociological indicators alert that life expectancy is increasing, hence so are the years that patients have to live with chronic diseases and co-morbidities. With the advancement in ICT, new tools and paradigms are been explored to provide effective and efficient health care. Telemedicine and health sensors stand as indispensable tools for promoting patient engagement, self-management of diseases and assist doctors to remotely follow up patients. In this paper, we evaluate a rapid prototyping solution for information merging based on five health sensors and two low-cost ubiquitous computing components: Arduino and Raspberry Pi...
June 6, 2018: Sensors
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