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https://www.readbyqxmd.com/read/28817395/echo-pain-curriculum-balancing-mandated-continuing-education-with-the-needs-of-rural-health-care-practitioners
#1
Brian M Shelley, Joanna G Katzman, George D Comerci, Daniel J Duhigg, Cynthia Olivas, Summers Kalishman, Rebecca Monette, Melissa Britt, Lainey Flatow-Trujillo, Sanjeev Arora
Chronic pain is a common problem in the United States. Health care professions training at the undergraduate and graduate levels in managing chronic pain is insufficient. The Chronic Pain and Headache Management TeleECHO Clinic (ECHO Pain) is a telehealth approach at Project ECHO (Extension for Community Healthcare Outcomes), which supports clinicians interested in improving their knowledge and confidence in treating patients with chronic pain and safe opioid management. It is a vehicle for educating practicing clinicians (at the "spoke") based on work-place learning with cases selected by participants from their patient panels combined with short lectures by experts (at the "hub")...
August 16, 2017: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/28817333/the-epidemic-of-despair-among-white-americans-trends-in-the-leading-causes-of-premature-death-1999-2015
#2
Elizabeth M Stein, Keith P Gennuso, Donna C Ugboaja, Patrick L Remington
OBJECTIVES: To evaluate trends in premature death rates by cause of death, age, race, and urbanization level in the United States. METHODS: We calculated cause-specific death rates using the Compressed Mortality File, National Center for Health Statistics data for adults aged 25 to 64 years in 2 time periods: 1999 to 2001 and 2013 to 2015. We defined 48 subpopulations by 10-year age groups, race/ethnicity, and county urbanization level (large urban, suburban, small or medium metropolitan, and rural)...
August 17, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28817323/rural-versus-urban-use-of-traditional-and-emerging-tobacco-products-in-the-united-states-2013-2014
#3
Megan E Roberts, Nathan J Doogan, Cassandra A Stanton, Amanda J Quisenberry, Andrea C Villanti, Diann E Gaalema, Diana R Keith, Allison N Kurti, Alexa A Lopez, Ryan Redner, Antonio Cepeda-Benito, Stephen T Higgins
OBJECTIVES: To examine urban-rural differences in US prevalences of traditional and emerging tobacco product use as well as dual or polytobacco use of these products. METHODS: Our data were derived from wave 1 (2013-2014) of the Population Assessment of Tobacco and Health (PATH) Study. We estimated weighted prevalences of adult tobacco use across urban-rural geographies and examined prevalences classified by gender, poverty level, and region of the country. RESULTS: Nationally, cigarette use and smokeless tobacco use, as well as dual or polytobacco use of traditional products, were more prevalent in rural than in urban areas...
August 17, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28817093/quality-of-vegetables-based-on-total-phenolic-concentration-is-lower-in-more-rural-consumer-food-environments-in-a-rural-american-state
#4
Selena Ahmed, Carmen Byker Shanks
While daily consumption of fruits and vegetables (FVs) is widely recognized to be associated with supporting nutrition and health, disparities exist in consumer food environments regarding access to high-quality produce based on location. The purpose of this study was to evaluate FV quality using total phenolic (TP) scores (a phytochemical measure for health-promoting attributes, flavor, appearance, and shelf-life) in consumer food environments along a rural to urban continuum in the rural state of Montana, United States...
August 17, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28816992/are-physician-assistants-needed-in-guatemala-a-survey-of-potential-urban-and-rural-users
#5
Claudia Luna-Asturias, Jennifer Apple, Guillermo A Bolaños, Jonathan M Bowser, Edwin J Asturias
PURPOSE: The shortage of trained health care personnel has been increasing worldwide. With the physician assistant (PA) profession, created in the United States in the 1960s, expanding globally, this study sought to ascertain whether PAs can be an innovative solution to this crisis. METHODS: We conducted a convenience sample survey to assess the need for and acceptability of future PA professionals in Guatemala. Eighty-nine doctors, nurses, and community members from rural and urban areas of Guatemala participated in the survey...
September 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/28816914/congenital-hypotonia-in-toddlerhood
#6
Naomi Steiner, Alcy Torres, Arathi Reddy, Marilyn Augustyn
David is a 22-month-old boy who is new to your practice. He recently moved from a rural area in the Midwest. His father is in the United States Air Force, and his mother works as a full-time homemaker. Their household includes 5 older siblings. The family moves every year because of the father's Air Force placement.David was born full-term in Virginia, with no reported pregnancy complications and no alcohol, tobacco, or drug exposure. He was delivered vaginally, with Apgar scores of 7 and 9, respectively and no respiratory issues...
August 9, 2017: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/28810511/estimation-of-the-proximity-of-private-domestic-wells-to-underground-storage-tanks-oklahoma-pilot-study
#7
James W Weaver, Andrew R Murray, Fran V Kremer
For protecting drinking water supplies, the locations of areas with reliance on private domestic wells (hereafter referred to as "wells") and their relationship to contaminant sources need to be determined. A key resource in the U.S. was the 1990 Census where the source of domestic drinking water was a survey question. Two methods are developed to update estimates of the areal density of well use using readily accessible data. The first uses well logs reported to the states and the addition of housing units reported to the Census Bureau at the county, census tract and census block group scales...
August 8, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28810434/unhealthy-weight-control-strategies-an-outcome-of-body-image-and-eating-tensions-in-women-of-mexican-origin-living-in-rural-farming-communities
#8
Karen F Stein, Nicole Trabold, Kay Connelly
Unhealthy eating and weight control behaviors are important but modifiable factors that contribute to obesity in majority and minority populations. Studies suggest that these behaviors are common in Mexican American women, but most studies completed to date have focused on college enrolled Mexican American women. Little is known about body weight concerns, eating and weight control behaviors in low acculturated immigrant Mexican women. This qualitative descriptive study utilized two focus groups with 15 women to identify and describe body weight and shape perceptions, and thoughts and behaviors related to eating and weight control of low acculturated Mexican American living in disadvantaged economic situations...
March 1, 2017: Journal of Health Psychology
https://www.readbyqxmd.com/read/28800694/variability-drivers-and-effects-of-atmospheric-nitrogen-inputs-across-an-urban-area-emerging-patterns-among-human-activities-the-atmosphere-and-soils
#9
Stephen M Decina, Pamela H Templer, Lucy R Hutyra, Conor K Gately, Preeti Rao
Atmospheric deposition of nitrogen (N) is a major input of N to the biosphere and is elevated beyond preindustrial levels throughout many ecosystems. Deposition monitoring networks in the United States generally avoid urban areas in order to capture regional patterns of N deposition, and studies measuring N deposition in cities usually include only one or two urban sites in an urban-rural comparison or as an anchor along an urban-to-rural gradient. Describing patterns and drivers of atmospheric N inputs is crucial for understanding the effects of N deposition; however, little is known about the variability and drivers of atmospheric N inputs or their effects on soil biogeochemistry within urban ecosystems...
August 7, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28790490/expanding-the-health-care-pipeline-through-innovation-the-mcw-model
#10
John R Raymond, Cheryl A Maurana, Joseph E Kerschner
In 2016, the Association of American Medical Colleges projected a physician shortage in the United States of approximately 90,000; in the same year, the Wisconsin Hospital Association projected a shortage of 2,000 physicians in Wisconsin. The Medical College of Wisconsin has begun to address these shortages in three ways: 1) creation of immersive regional medical school campuses in Green Bay and Central Wisconsin, in partnership with rural serving health systems; 2) creation of rural-based psychiatry and family medicine residency programs in Green Bay and central Wisconsin; and 3) expansion of the scope of practice of pharmacists through creation of a new School of Pharmacy in collaboration with the Medical College of Wisconsin School of Medicine...
2017: Transactions of the American Clinical and Climatological Association
https://www.readbyqxmd.com/read/28774873/a-growth-reference-for-mid-upper-arm-circumference-for-age-among-school-age-children-and-adolescents-and-validation-for-mortality-growth-curve-construction-and-longitudinal-cohort-study
#11
Lazarus Mramba, Moses Ngari, Martha Mwangome, Lilian Muchai, Evasius Bauni, A Sarah Walker, Diana M Gibb, Gregory Fegan, James A Berkley
Objectives To construct growth curves for mid-upper-arm circumference (MUAC)-for-age z score for 5-19 year olds that accord with the World Health Organization growth standards, and to evaluate their discriminatory performance for subsequent mortality.Design Growth curve construction and longitudinal cohort study.Setting United States and international growth data, and cohorts in Kenya, Uganda, and Zimbabwe.Participants The Health Examination Survey (HES)/National Health and Nutrition Examination Survey (NHANES) US population datasets (age 5-25 years), which were used to construct the 2007 WHO growth reference for body mass index in this age group, were merged with an imputed dataset matching the distribution of the WHO 2006 growth standards age 2-6 years...
August 3, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28774504/what-can-be-learned-from-existing-investigations-of-weight-related-practices-and-policies-with-the-potential-to-impact-disparities-in-us-child-care-settings-a-narrative-review-and-call-for-surveillance-and-evaluation-efforts
#12
Nicole Larson, Anna Ayers Looby, Natasha Frost, Marilyn S Nanney, Mary Story
Child-care settings and the combination of policies and regulations under which they operate may reduce or perpetuate disparities in weight-related health, depending on the environmental supports they provide for healthy eating and activity. The objectives of this review are to summarize research on state and local policies germane to weight-related health equity among young children in the United States and on how federal policies and regulations may provide supports for child-care providers serving families with the most limited resources...
August 1, 2017: Journal of the Academy of Nutrition and Dietetics
https://www.readbyqxmd.com/read/28767498/the-road-to-rural-primary-care-a-narrative-review-of-factors-that-help-develop-recruit-and-retain-rural-primary-care-physicians
#13
Anna Beth Parlier, Shelley L Galvin, Sarah Thach, David Kruidenier, Ernest Blake Fagan
PURPOSE: To examine the literature documenting successes in recruiting and retaining rural primary care physicians. METHOD: The authors conducted a narrative review of literature on individual, educational, and professional characteristics and experiences that lead to recruitment and retention of rural primary care physicians. In May 2016, they searched MEDLINE, PubMed, CINAHL, ERIC, Web of Science, Google Scholar, the Grey Literature Report, and reference lists of included studies for literature published in or after 1990 in the United States, Canada, or Australia...
August 1, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28763570/iron-and-manganese-in-groundwater-using-kriging-and-gis-to-locate-high-concentrations-in-buncombe-county-north-carolina
#14
Crystal D Johnson, Arpita Nandi, T Andrew Joyner, Ingrid Luffman
For health, economic, and aesthetic reasons, allowable concentrations (as suggested by the United States Environmental Protection Agency) of the secondary contaminants iron (Fe) and manganese (Mn) found present in drinking water are 0.3 and 0.05 mg/L, respectively. Water samples taken from private drinking wells in rural communities within Buncombe County, North Carolina contain concentrations of these metals that exceed secondary water quality criteria. This study predicted the spatial distribution of Fe and Mn in the county, and evaluated the effect of site environmental factors (bedrock geology, ground elevation, saprolite thickness, and drinking water well depth) in controlling the variability of Fe and Mn in groundwater...
August 1, 2017: Ground Water
https://www.readbyqxmd.com/read/28762157/risk-markers-for-fatal-and-non-fatal-prescription-drug-overdose-a-meta-analysis
#15
REVIEW
Joanne E Brady, Rebecca Giglio, Katherine M Keyes, Charles DiMaggio, Guohua Li
BACKGROUND: Drug overdose is a public health crisis in the United States, due in part to the unintended consequences of increases in prescribing of opioid analgesics. Many clinicians evaluate risk markers for opioid-related harms when prescribing opioids for chronic pain; however, more data on predictive risk markers are needed. Risk markers are attributes (modifiable and non-modifiable) that are associated with increased probability of an outcome. This review aims to identify risk markers associated with fatal and non-fatal prescription drug overdose by synthesizing findings in the existing peer-reviewed and grey literature...
December 2017: Injury Epidemiology
https://www.readbyqxmd.com/read/28760009/hiv-positive-pregnant-women-attending-the-prevention-of-mother-to-child-transmission-of-hiv-aids-pmtct-services-in-ethiopia-economic-productivity-losses-across-urban-rural-settings
#16
Elias Asfaw Zegeye, Josue Mbonigaba, Sylvia Blanche Kaye
HIV/AIDS impacts significantly on pregnant women and on children in Ethiopia. This impact has a multiplier effect on household economies and on productivity losses, and is expected to vary across rural and urban settings. Applying the human capital approach to data collected from 131 respondents, this study estimated productivity losses per HIV-positive pregnant woman-infant pair across urban and rural health facilities in Ethiopia, which in turn were used to estimate the national productivity loss. The study found that the annual productivity loss per woman-infant pair was Ethiopian birr (ETB) 7,433 or United States dollar (US$) 378 and ETB 625 (US$ 32) in urban and rural settings, respectively...
July 31, 2017: Psychology, Health & Medicine
https://www.readbyqxmd.com/read/28758962/a-population-based-cross-sectional-study-examining-health-services-deficits-of-us-veterans-using-2014-behavioral-risk-factor-surveillance-system-data-is-rural-residency-an-independent-risk-factor-after-controlling-for-multiple-covariates
#17
Catherine A St Hill, Michael T Swanoski, Martin S Lipsky, May Nawal Lutfiyya
Introduction: In 2014, it was reported that there was a backlog of an estimated 1.2 million claims nationwide at the United States Veterans Administration (VA). This ecological occurrence opened up a space for asking and answering some important questions about health service deficits (HSD) of US veterans, which is the focus of the research reported on in this paper. The purpose of this study was to ascertain if rural veterans were more likely to experience HSDs than urban military veterans after controlling for a number of covariates...
July 31, 2017: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/28758398/origin-of-fine-particulate-carbon-in-the-rural-united-states
#18
Bret A Schichtel, Jenny L Hand, Michael G Barna, Kristi A Gebhart, Scott Copeland, John Vimont, William Conrad Malm
Carbonaceous compounds are a significant component of fine particulate matter and haze in national parks and wilderness areas where visibility is protected, i.e., class I areas (CIAs). The Regional Haze Rule set the goal of returning visibility in CIAs on the most-anthropogenically-impaired days to natural by 2064. To achieve this goal, we need to understand contributions of natural and anthropogenic sources to the total fine particulate carbon (TC). A Lagrangian chemical transport model was used to simulate the 2006-2008 contributions from various source types to measured TC in CIAs and other rural lands...
July 31, 2017: Environmental Science & Technology
https://www.readbyqxmd.com/read/28757334/successfully-reducing-hospitalizations-of-nursing-home-residents-results-of-the-missouri-quality-initiative
#19
Marilyn J Rantz, Lori Popejoy, Amy Vogelsmeier, Colleen Galambos, Greg Alexander, Marcia Flesner, Charles Crecelius, Bin Ge, Gregory Petroski
PURPOSE: The goals of the Missouri Quality Initiative (MOQI) for long-stay nursing home residents were to reduce the frequency of avoidable hospital admissions and readmissions, improve resident health outcomes, improve the process of transitioning between inpatient hospitals and nursing facilities, and reduce overall healthcare spending without restricting access to care or choice of providers. The MOQI was one of 7 program sites in the United States, with specific interventions unique to each site tested for the Centers for Medicaid and Medicare Services (CMS) Innovations Center...
July 27, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28751476/rural-urban-differences-in-cancer-incidence-and-trends-in-the-united-states
#20
Whitney E Zahnd, Aimee S James, Wiley D Jenkins, Sonya R Izadi, Amanda J Fogleman, David E Steward, Graham A Colditz, Laurent Brard
BACKGROUND: Cancer incidence and mortality rates in the US are declining, but this decrease may not be observed in rural areas where residents are more likely to live in poverty, smoke, and forego cancer screening. However, there is limited research exploring national rural-urban differences in cancer incidence and trends. METHODS: We analyzed data from the North American Association of Central Cancer Registries' public use dataset, which includes population-based cancer incidence data from 46 states...
July 27, 2017: Cancer Epidemiology, Biomarkers & Prevention
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