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https://www.readbyqxmd.com/read/29045714/the-psychological-health-of-remote-area-medics-in-iraq
#1
S Whittaker-Howe, G Brown, V Williamson, N Greenberg
Background: Remote area medics (RAMs) may be at increased risk of mental health difficulties. Aims: To explore the occupational experiences of RAMs to identify stressors and the mental health impact. Methods: Semi-structured interviews were conducted with six RAMs working in Iraq to gather data, which was explored using interpretative phenomenological analysis. Results: Three key themes emerged from the data (i) the experience of being remote, (ii) cultural shock and (iii) social support...
October 17, 2017: Occupational Medicine
https://www.readbyqxmd.com/read/29044897/a-comparison-of-dietary-estimates-from-the-national-aboriginal-and-torres-strait-islander-health-survey-to-food-and-beverage-purchase-data
#2
Emma McMahon, Thomas Wycherley, Kerin O'Dea, Julie Brimblecombe
OBJECTIVE: We compared self-reported dietary intake from the very remote sample of the National Aboriginal and Torres Strait Islander Nutrition and Physical Activity Survey (VR-NATSINPAS; n=1,363) to one year of food and beverage purchases from 20 very remote Indigenous Australian communities (servicing ∼8,500 individuals). METHODS: Differences in food (% energy from food groups) and nutrients were analysed using t-test with unequal variance. RESULTS: Per-capita energy estimates were not significantly different between the surveys (899 MJ/person/day [95% confidence interval -152,1950] p=0...
October 18, 2017: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/29044846/socio-demographic-factors-drive-regional-differences-in-participation-in-the-national-bowel-cancer-screening-program-an-ecological-analysis
#3
Jiandong Sun, Sonja March, Michael J Ireland, Fiona Crawford-Williams, Belinda Goodwin, Melissa K Hyde, Suzanne K Chambers, Joanne F Aitken, Jeff Dunn
OBJECTIVE: To examine if geographic variations in the participation rates in the National Bowel Cancer Screening Program (NBCSP) are related to population-level socio-demographic characteristics. METHODS: Data reflecting participation in the NBCSP for 504 Local Government Areas (LGAs) between July 2011 and June 2013 were extracted from the Social Health Atlas of Australia. Logistic regression models were used to examine independent associations (odds ratios [ORs]) between participation, Remoteness Area (RA) and selected socio-demographic variables...
October 18, 2017: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/29042647/ultrasensitive-high-dynamic-range-and-broadband-strain-sensing-by-time-of-flight-detection-with-femtosecond-laser-frequency-combs
#4
Xing Lu, Shuangyou Zhang, Xing Chen, Dohyeon Kwon, Chan-Gi Jeon, Zhigang Zhang, Jungwon Kim, Kebin Shi
Ultrahigh-resolution optical strain sensors provide powerful tools in various scientific and engineering fields, ranging from long-baseline interferometers to civil and aerospace industries. Here we demonstrate an ultrahigh-resolution fibre strain sensing method by directly detecting the time-of-flight (TOF) change of the optical pulse train generated from a free-running passively mode-locked laser (MLL) frequency comb. We achieved a local strain resolution of 18 pε/Hz(1/2) and 1.9 pε/Hz(1/2) at 1 Hz and 3 kHz, respectively, with large dynamic range of >154 dB at 3 kHz...
October 17, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29042092/quality-of-life-after-surgical-treatment-of-coarctation-in-long-term-follow-up-coafu-predictive-value-of-clinical-variables
#5
Pinar Bambul Heck, Jelena Pabst von Ohain, Harald Kaemmerer, Peter Ewert, Alfred Hager
BACKGROUND: We sought to analyze the quality of life and the predictive value of clinical variables from previous follow-up study in patients late after surgical treatment of aortic coarctation on the quality of life. METHODS: All patients, who have participated in the prospective cross-sectional COALA Study in 2000 with a structural clinical investigation including blood pressure measurement and symptom-limited exercise test were contacted for the health-related quality of life questionnaire SF-36 from January 2013 through December 2014...
October 9, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/29041941/disentangling-the-effects-of-a-multiple-behaviour-change-intervention-for-diarrhoea-control-in-zambia-a-theory-based-process-evaluation
#6
Katie Greenland, Jenala Chipungu, Joyce Chilekwa, Roma Chilengi, Val Curtis
BACKGROUND: Diarrhoea is a leading cause of child death in Zambia. As elsewhere, the disease burden could be greatly reduced through caregiver uptake of existing prevention and treatment strategies. We recently reported the results of the Komboni Housewives intervention which tested a novel strategy employing motives including affiliation and disgust to improve caregiver practice of four diarrhoea control behaviours: exclusive breastfeeding; handwashing with soap; and correct preparation and use of oral rehydration salts (ORS) and zinc...
October 17, 2017: Globalization and Health
https://www.readbyqxmd.com/read/29041841/effect-of-home-telehealth-care-on-blood-pressure-control-a-public-healthcare-centre-model
#7
Ju-Fen Lu, Ching-Min Chen, Chien-Yeh Hsu
Objective This study aimed to evaluate the effectiveness of home telehealth care combined with case management by public health nurses, in improving blood pressure control in patients with hypertension. Methods This cohort study examined the data of patients with hypertension obtained from a telehealth service centre database, between July 2011- June 2012. Eligible patients were adults (≥40 years old) with both prehypertension and hypertension, living alone or in the remote suburbs of metropolitan areas. Demographic data were collected from 12 district public health centre in Taipei, Taiwan...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29040336/characteristics-of-private-partners-in-chiranjeevi-yojana-a-public-private-partnership-to-promote-institutional-births-in-gujarat-india-lessons-for-universal-health-coverage
#8
Veena Iyer, Kristi Sidney, Rajesh Mehta, Dileep Mavalankar, Ayesha De Costa
BACKGROUND: The Chiranjeevi Yojana (CY) is a Public-Private-Partnership between the state and private obstetricians in Gujarat, India, since 2007. The state pays for institutional births of the most vulnerable households (below-poverty-line and tribal) in private hospitals. An innovative remuneration package has been designed to disincentivise unnecessary cesareans. This study examines characteristics of private facilities which participated in the program. METHODS: We conducted a cross-sectional survey of all facilities which had conducted any births between June 2012 and April 2013 in three districts...
2017: PloS One
https://www.readbyqxmd.com/read/29038183/sociodemographic-variations-in-the-amount-duration-and-cost-of-potentially-preventable-hospitalisation-for-chronic-conditions-among-aboriginal-and-non-aboriginal-australians-a-period-prevalence-study-of-linked-public-hospital-data
#9
David Banham, Tenglong Chen, Jonathan Karnon, Alex Brown, John Lynch
OBJECTIVES: To determine disparities in rates, length of stay (LOS) and hospital costs of potentially preventable hospitalisations (PPH) for selected chronic conditions among Aboriginal and non-Aboriginal South Australians (SA), then examine associations with area-level socioeconomic disadvantage and remoteness. SETTING: Period prevalence study using linked, administrative public hospital records. PARTICIPANTS: Participants included all SA residents in 2005-2006 to 2010-2011...
October 15, 2017: BMJ Open
https://www.readbyqxmd.com/read/29037242/malaria-risk-factors-and-care-seeking-behaviour-within-the-private-sector-among-high-risk-populations-in-vietnam-a-qualitative-study
#10
Ingrid Chen, Huong Ngo Thi Thanh, Andrew Lover, Phung Thi Thao, Tang Viet Luu, Hoang Nghia Thang, Ngo Duc Thang, Josselyn Neukom, Adam Bennett
BACKGROUND: Vietnam has successfully reduced malaria incidence by more than 90% over the past 10 years, and is now preparing for malaria elimination. However, the remaining malaria burden resides in individuals that are hardest to reach, in highly remote areas, where many malaria cases are treated through the informal private sector and are not reported to public health systems. This qualitative study aimed to contextualize and characterize the role of private providers, care-seeking behaviour of individuals at high risk of malaria, as well as risk factors that should be addressed through malaria elimination programmes in Vietnam...
October 16, 2017: Malaria Journal
https://www.readbyqxmd.com/read/29037187/designing-equitable-workplace-dietary-interventions-perceptions-of-intervention-deliverers
#11
Sarah A Smith, Shelina Visram, Claire O'Malley, Carolyn Summerbell, Vera Araujo-Soares, Frances Hillier-Brown, Amelia A Lake
BACKGROUND: Workplaces are a good setting for interventions that aim to support workers in achieving a healthier diet and body weight. However, little is known about the factors that impact on the feasibility and implementation of these interventions, and how these might vary by type of workplace and type of worker. The aim of this study was to explore the views of those involved in commissioning and delivering the Better Health at Work Award, an established and evidence-based workplace health improvement programme...
October 16, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29036381/project-echo-telementoring-intervention-for-managing-chronic-pain-in-primary-care-insights-from-a-qualitative-study
#12
Leslie Carlin, Jane Zhao, Ruth Dubin, Paul Taenzer, Hannah Sidrak, Andrea Furlan
Objective: Family physicians in Canada receive little training in chronic pain management; concomitantly, they face increasing pressure to reduce their prescribing of opioids. Project ECHO Ontario Chronic Pain/Opioid Stewardship (ECHO) is a telementoring intervention for primary care practitioners that enhances their pain management skills. This qualitative study reports participants' experiences and assessment of ECHO. Design: An opportunistic sample of multidisciplinary primary care providers attending one of three residential weekend workshops participated in focus group discussions...
September 27, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29034610/private-health-insurance-a-good-deal-in-rural-and-remote-australia
#13
Peter Brown
No abstract text is available yet for this article.
October 2017: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/29034229/spatiotemporal-modeling-for-fine-scale-maps-of-regional-malaria-endemicity-and-its-implications-for-transitional-complexities-in-a-routine-surveillance-network-in-western-cambodia
#14
Suguru Okami, Naohiko Kohtake
Due to the associated and substantial efforts of many stakeholders involved in malaria containment, the disease burden of malaria has dramatically decreased in many malaria-endemic countries in recent years. Some decades after the past efforts of the global malaria eradication program, malaria elimination has again featured on the global health agenda. While risk distribution modeling and a mapping approach are effective tools to assist with the efficient allocation of limited health-care resources, these methods need some adjustment and reexamination in accordance with changes occurring in relation to malaria elimination...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/29033176/estimating-spatiotemporal-distribution-of-pm1-concentrations-in-china-with-satellite-remote-sensing-meteorology-and-land-use-information
#15
Gongbo Chen, Luke D Knibbs, Wenyi Zhang, Shanshan Li, Wei Cao, Jianping Guo, Hongyan Ren, Boguang Wang, Hao Wang, Gail Williams, N A S Hamm, Yuming Guo
BACKGROUND: PM1 might be more hazardous than PM2.5 (particulate matter with an aerodynamic diameter ≤ 1 μm and ≤2.5 μm, respectively). However, studies on PM1 concentrations and its health effects are limited due to a lack of PM1 monitoring data. OBJECTIVES: To estimate spatial and temporal variations of PM1 concentrations in China during 2005-2014 using satellite remote sensing, meteorology, and land use information. METHODS: Two types of Moderate Resolution Imaging Spectroradiometer (MODIS) Collection 6 aerosol optical depth (AOD) data, Dark Target (DT) and Deep Blue (DB), were combined...
October 12, 2017: Environmental Pollution
https://www.readbyqxmd.com/read/29030657/meloxicam-and-risk-of-myocardial-infarction-a-population-based-nested-case-control-study
#16
Deepan Dalal, Maureen Dubreuil, Christine Peloquin, Tuhina Neogi, Yuqing Zhang, Hyon Choi, David Felson
Certain non-steroidal anti-inflammatory drugs (NSAIDs) have been associated with an increased risk of myocardial infarction (MI), a risk linked to cyclo-oxygenase-2 inhibition. There are limited studies assessing the risk of MI associated with meloxicam, an increasingly popular drug with COX-2 inhibiting properties. A nested matched case-control study using The Health Improvement Network, a UK population-based database was conducted. NSAID users between 35 and 89 years of age with at least 1 year enrollment in the cohort were included...
October 13, 2017: Rheumatology International
https://www.readbyqxmd.com/read/29029074/multimodality-imaging-evaluation-of-chagas-disease-an-expert-consensus-of-brazilian-cardiovascular-imaging-department-dic-and-the-european-association-of-cardiovascular-imaging-eacvi
#17
Maria Carmo P Nunes, Luigi Paolo Badano, J Antonio Marin-Neto, Thor Edvardsen, Covadonga Fernández-Golfín, Chiara Bucciarelli-Ducci, Bogdan A Popescu, Richard Underwood, Gilbert Habib, Jose Luis Zamorano, Roberto Magalhães Saraiva, Ester Cerdeira Sabino, Fernando A Botoni, Márcia Melo Barbosa, Marcio Vinicius L Barros, Eduardo Falqueto, Marcus Vinicius Simões, André Schmidt, Carlos Eduardo Rochitte, Manoel Otávio Costa Rocha, Antonio Luiz Pinho Ribeiro, Patrizio Lancellotti
Aims: To develop a document by Brazilian Cardiovascular Imaging Department (DIC) and the European Association of Cardiovascular Imaging (EACVI) to review and summarize the most recent evidences about the non-invasive assessment of patients with Chagas disease, with the intent to set up a framework for standardized cardiovascular imaging to assess cardiovascular morphologic and functional disturbances, as well as to guide the subsequent process of clinical decision-making. Methods and results: Chagas disease remains one of the most prevalent infectious diseases in Latin America, and has become a health problem in non-endemic countries...
September 25, 2017: European Heart Journal Cardiovascular Imaging
https://www.readbyqxmd.com/read/29028930/use-of-a-hand-held-digital-cognitive-aid-in-simulated-crises-the-max-randomized-controlled-trial
#18
R Lelaidier, B Balança, S Boet, A Faure, M Lilot, F Lecomte, J-J Lehot, T Rimmelé, J-C Cejka
Background: Cognitive aids improve the technical performance of individuals and teams dealing with high-stakes crises. Hand-held electronic cognitive aids have rarely been investigated. A randomized controlled trial was conducted to investigate the effects of a smartphone application, named MAX (for Medical Assistance eXpert), on the technical and non-technical performance of anaesthesia residents dealing with simulated crises. Methods: This single-centre randomized, controlled, unblinded trial was conducted in the simulation centre at Lyon, France...
September 27, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29028258/between-user-reliability-of-tier-1-exposure-assessment-tools-used-under-reach
#19
Judith Lamb, Karen S Galea, Brian G Miller, Susanne Hesse, Martie Van Tongeren
When applying simple screening (Tier 1) tools to estimate exposure to chemicals in a given exposure situation under the Registration, Evaluation, Authorisation and restriction of CHemicals Regulation 2006 (REACH), users must select from several possible input parameters. Previous studies have suggested that results from exposure assessments using expert judgement and from the use of modelling tools can vary considerably between assessors. This study aimed to investigate the between-user reliability of Tier 1 tools...
October 1, 2017: Annals of Work Exposures and Health
https://www.readbyqxmd.com/read/29027330/poor-nutrition-from-first-foods-a-cross-sectional-study-of-complementary-feeding-of-infants-and-young-children-in-six-remote-aboriginal-communities-across-northern-australia
#20
Dympna Leonard, Danielle Aquino, Nyssa Hadgraft, Fintan Thompson, Julia V Marley
AIM: To describe the first foods of Aboriginal and Torres Strait Islander infants and young children who were recruited to a nutrition promotion and anaemia prevention program conducted from 2010 to 2012, in six remote communities across northern Australia. METHODS: Food records (24-hour diet history, food variety checklist) were completed on recruitment by interview with a parent or carer. Cross-sectional analysis assessed the proportion of participants consuming recommended and not-recommended foods and drinks and meeting recommendations for meal frequency and dietary diversity...
October 13, 2017: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
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