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https://www.readbyqxmd.com/read/28443265/registration-for-deceased-organ-and-tissue-donation-among-ontario-immigrants-a-population-based-cross-sectional-study
#1
Alvin Ho-Ting Li, Ngan N Lam, Sonny Dhanani, Matthew Weir, Versha Prakash, Joseph Kim, Greg Knoll, Amit X Garg
BACKGROUND: Canada has low rates of deceased organ and tissue donation. Immigrants to Canada may differ in their registered support for deceased organ donation based on their country of origin. METHODS: We used linked administrative databases in Ontario (about 11 million residents aged ≥ 16 yr) to study the proportion of immigrants and long-term residents registered for deceased organ and tissue donation as of October 2013. We used modified Poisson regression to identify and quantify predictors of donor registration...
October 2016: CMAJ Open
https://www.readbyqxmd.com/read/28439186/impact-of-distress-reduction-on-behavioral-correlates-and-a1c-in-african-american-women-with-uncontrolled-type-2-diabetes-results-from-empower
#2
Doyle M Cummings, Lesley D Lutes, Kerry Littlewood, Chelsey Solar, Bertha Hambidge, Peggy Gatlin
OBJECTIVE: Symptoms of emotional distress related to diabetes have been associated with inadequate self-care behaviors, medication non-adherence, and poor glycemic control that may predispose patients to premature death. African American women, in whom diabetes is more common and social support is often insufficient, may be at particularly high risk. The objective of this study was to examine the impact of lowering diabetes-related emotional distress on glycemic control and associated behavioral correlates in rural African American women with uncontrolled type 2 diabetes (T2D)...
2017: Ethnicity & Disease
https://www.readbyqxmd.com/read/28435485/impact-of-health-policy-changes-on-emergency-medicine-in-maryland-stratified-by-socioeconomic-status
#3
Laura Pimentel, David Anderson, Bruce Golden, Edward Wasil, Fermin Barrueto, Jon M Hirshon
INTRODUCTION: On January 1, 2014, the financing and delivery of healthcare in the state of Maryland (MD) profoundly changed. The insurance provisions of the Patient Protection and Affordable Care Act (ACA) began implementation and a major revision of MD's Medicare waiver ushered in a Global Budget Revenue (GBR) structure for hospital reimbursement. Our objective was to analyze the impact of these policy changes on emergency department (ED) utilization, hospitalization practices, insurance profiles, and professional revenue...
April 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28431380/recent-aspects-of-uranium-toxicology-in-medical-geology
#4
REVIEW
Geir Bjørklund, Olav Albert Christophersen, Salvatore Chirumbolo, Olle Selinus, Jan Aaseth
Uranium (U) is a chemo-toxic, radiotoxic and even a carcinogenic element. Due to its radioactivity, the effects of U on humans health have been extensively investigated. Prolonged U exposure may cause kidney disease and cancer. The geological distribution of U radionuclides is still a great concern for human health. Uranium in groundwater, frequently used as drinking water, and general environmental pollution with U raise concerns about the potential public health problem in several areas of Asia. The particular paleo-geological hallmark of India and other Southern Asiatic regions enhances the risk of U pollution in rural and urban communities...
April 18, 2017: Environmental Research
https://www.readbyqxmd.com/read/28429681/microwave-diathermy-in-physiotherapy-units-a-survey-on-spatial-and-time-heterogeneity-of-electromagnetic-field
#5
Andreas Andrikopoulos, Adam Adamopoulos, Ioannis Seimenis, Constantinos Miltiadis Koutsojannis
Microwave diathermy (MWD) is a therapeutic system that is in use for some decades now in all physiotherapy settings, according to national facility establishment regulations. Diathermy devices probably lack validity, as working time passes, introducing the need of control/reset of the device by qualified personnel, in order to maintain its effectiveness in sessions and accurately deliver the energy output the physiotherapist asks for. However, while in the field of physical therapy MWD has been a vital part for practicing the profession of physiotherapist, there is not a clear evidence of health burden due to incorrect usability...
April 21, 2017: Journal of Radiological Protection: Official Journal of the Society for Radiological Protection
https://www.readbyqxmd.com/read/28427831/prevalence-of-abdominal-obesity-among-chinese-adults-in-2011
#6
Pei Du, Hui-Jun Wang, Bing Zhang, Su-Fen Qi, Ying-Jun Mi, Dian-Wu Liu, Qing-Bao Tian
BACKGROUND: The prevalence of abdominal obesity is increasing dramatically worldwide. This study aimed to estimate the current prevalence of abdominal obesity from the 2011 China Health and Nutrition Survey (CHNS) and compare the data with other countries. METHODS: Waist circumference (WC) of 12,326 Chinese adults (aged 20 years or older) from the 2011 CHNS were analyzed by age group and region. Abdominal obesity was defined as a WC ≥90 cm for men and WC ≥80 cm for women based on World Health Organization (WHO) recommendations for Asians...
April 17, 2017: Journal of Epidemiology
https://www.readbyqxmd.com/read/28426298/mass-media-campaign-to-reduce-consumption-of-sugar-sweetened-beverages-in-a-rural-area-of-the-united-states
#7
Thomas A Farley, Hayli S Halper, Anne M Carlin, Karen M Emmerson, Kelly N Foster, Angela R Fertig
OBJECTIVES: To evaluate a mass media campaign to reduce the consumption of sugar-sweetened beverages (SSBs). METHODS: We disseminated messages emphasizing the health risks of SSBs through television, digital channels, and local organizations over 15 weeks in 2015-2016 in the Tri-Cities region of northeast Tennessee, southwest Virginia, and southeast Kentucky. We evaluated the campaign with pre- and post-telephone surveys of adults aged 18 to 45 years in the intervention area and by examining changes in beverage sales in the intervention and a matched comparison area in western Virginia...
April 20, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28420438/distance-traveled-for-medicaid-covered-abortion-care-in-california
#8
Nicole E Johns, Diana Greene Foster, Ushma D Upadhyay
BACKGROUND: Access to abortion care in the United States is limited by the availability of abortion providers and their geographic distribution. We aimed to assess how far women travel for Medicaid-funded abortion in California and identify disparities in access to abortion care. METHODS: We obtained data on all abortions reimbursed by the fee-for-service California state Medicaid program (Medi-Cal) in 2011 and 2012 and examined distance traveled to obtain abortion care by several demographic and abortion-related factors...
April 19, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28418772/geographical-clusters-and-predictors-of-rabies-in-three-southeastern-states
#9
Sara Reilly, Wayne T Sanderson, W Jay Christian, Steven R Browning
The rabies virus causes progressive encephalomyelitis that is fatal in nearly 100% of untreated cases. In the United States, wildlife act as the primary reservoir for rabies; prevention, surveillance, and control costs remain high. The purpose of this study is to understand the current distribution of wildlife rabies in three southeastern states, with particular focus on raccoons as the primary eastern reservoir, as well as identify demographic and geographic factors which may affect the risk of human exposure...
April 18, 2017: Vector Borne and Zoonotic Diseases
https://www.readbyqxmd.com/read/28417432/evaluating-community-measures-of-healthy-food-access
#10
Melissa L Santorelli, Janice O Okeke
Several community level measures of healthy food access exist, but evaluation efforts have been limited leaving uncertainty about how to prioritize communities for intervention. This study aimed to assess several existing measures to inform statewide public health planning efforts in New Jersey, USA. We assessed agreement between community measures of healthy food access and then evaluated the predictive validity of each measure by describing its association with complete fruit and vegetable cash-value voucher redemption (proportion redeemed ≥70, ≥80, ≥90%) among 30,078 low-income households participating in the New Jersey Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) during 2013-2014...
April 17, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28414410/preparing-family-physicians-to-care-for-underserved-populations-a-historical-perspective
#11
Denise V Rodgers, Andrea L Wendling, George W Saba, Megan Ruth Mahoney, Joedrecka S Brown Speights
Family physicians have been involved in the care of rural and urban underserved populations since the founding of the specialty. In the early 1970s family medicine training programs specifically focused on training residents to work with the underserved were established in both urban and rural settings. Key to the success of these programs has been a specific focus on improving access to care, understanding and eliminating health disparities, cultural competency and behavioral science training that recognizes the challenges often faced by patients and families living in poor rural and urban areas of the country...
April 2017: Family Medicine
https://www.readbyqxmd.com/read/28411525/health-access-to-care-among-working-age-lower-income-adults-in-the-great-recession-disparities-across-race-and-ethnicity-and-geospatial-factors
#12
Samuel D Towne, Janice C Probst, James W Hardin, Bethany A Bell, Saundra Glover
In the United States (US) and elsewhere, residents of low resource areas face health-related disparities, and may experience different outcomes throughout times of severe economic flux. We aimed to identify individual (e.g. sociodemographic) and environmental (e.g. region, rurality) factors associated with self-reported health and forgone medical care due to the cost of treatment in the US across the Great Recession (2008-2009). We analyzed nationally representative data (2004-2010) using the Behavioral Risk Factor Surveillance System in the US...
April 6, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28406428/green-care-a-review-of-the-benefits-and-potential-of-animal-assisted-care-farming-globally-and-in-rural-america
#13
REVIEW
Brianna Artz, Doris Bitler Davis
The term Green Care includes therapeutic, social or educational interventions involving farming; farm animals; gardening or general contact with nature. Although Green Care can occur in any setting in which there is interaction with plants or animals, this review focuses on therapeutic practices occurring on farms. The efficacy of care farming is discussed and the broad utilization of care farming and farm care communities in Europe is reviewed. Though evidence from care farms in the United States is included in this review, the empirical evidence which could determine its efficacy is lacking...
April 13, 2017: Animals: An Open Access Journal From MDPI
https://www.readbyqxmd.com/read/28397971/availability-of-long-acting-reversible-contraception-in-kansas-health-departments
#14
Tawana Evans, Megha Ramaswamy, Catherine L Satterwhite
PURPOSE: Unintended pregnancy persists as a public health problem in the United States. Local health departments (LHDs) could play an important role in preventing unintended pregnancy by promoting and providing long-acting reversible contraception (LARC, intrauterine devices [IUDs] and implants), particularly in rural states that may lack robust family planning service infrastructure. The objective of this study was to determine availability of LARC in LHDs in Kansas. METHODS: From October 2015 to January 2016, LHD administrators in Kansas were contacted to participate in a structured, cross-sectional phone survey assessing LARC availability, staff trained to place LARC, the process for obtaining LARC, and barriers to offering LARC...
April 11, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28395847/progress-and-inequities-in-maternal-mortality-in-afghanistan-ramos-ii-a-retrospective-observational-study
#15
Linda Bartlett, Amnesty LeFevre, Linnea Zimmerman, Sayed Ataullah Saeedzai, Sabera Torkamani, Weeda Zabih, Hannah Tappis, Stan Becker, Peter Winch, Marge Koblinsky, Ahmed Javed Rahmanzai
BACKGROUND: The risk of maternal death in Afghanistan is among the highest in the world; however, the risks within the country are poorly understood. Subnational maternal mortality estimates are needed along with a broader understanding of determinants to guide future maternal health programmes. Here we aimed to study maternal mortality risk and causes, care-seeking patterns, and costs within the country. METHODS: We did a household survey (RAMOS-II) in the urban area of Kabul city and the rural area of Ragh, Badakshan...
May 2017: Lancet Global Health
https://www.readbyqxmd.com/read/28392251/historical-declines-and-disparities-in-cigarette-coupon-saving-among-adolescents-in-the-united-states-1997-2013
#16
Olusegun Owotomo, Julie Maslowsky, Keryn E Pasch
Exposure to cigarette coupons is associated with smoking initiation and likelihood of cigarette purchase among adolescents. Some adolescents who are exposed to cigarette coupons take a step further by choosing to save or collect these coupons, a further risk factor for cigarette smoking. This study examines historical trends and disparities in cigarette coupon saving among adolescents in the United States from 1997 to 2013. National samples of 10th and 12th grade students (n=129,111) were obtained from Monitoring the Future surveys in 1997-2013...
April 6, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28391916/clinical-implications-of-the-american-college-of-cardiology-american-heart-association-guidelines-for-the-treatment-of-blood-cholesterol-for-a-rural-community-data-from-the-heart-of-new-ulm-project
#17
Michael D Miedema, Abbey C Sidebottom, Arthur Sillah, Gretchen Benson, Thomas Knickelbine, Jeffrey J VanWormer
BACKGROUND: The 2013 American College of Cardiology (ACC)/AHA cholesterol guidelines represented a significant paradigm shift in the approach to the treatment of cholesterol in the United States. OBJECTIVE: To assess prevalence of indications for statin therapy according to the ACC/AHA cholesterol guidelines in a rural community. METHODS: A cross-sectional analysis was performed using data from the Heart of New Ulm Project, a population-based intervention aimed at reducing modifiable Adult Treatment Panel (ATP) III guidelines for the treatment of cholesterol for cardiovascular disease (ASCVD) risk factors in New Ulm, MN...
January 2017: Journal of Clinical Lipidology
https://www.readbyqxmd.com/read/28388909/hospitalizations-for-heat-stress-illness-varies-between-rural-and-urban-areas-an-analysis-of-illinois-data-1987-2014
#18
Jyotsna S Jagai, Elena Grossman, Livia Navon, Apostolis Sambanis, Samuel Dorevitch
BACKGROUND: The disease burden due to heat-stress illness (HSI), which can result in significant morbidity and mortality, is expected to increase as the climate continues to warm. In the United States (U.S.) much of what is known about HSI epidemiology is from analyses of urban heat waves. There is limited research addressing whether HSI hospitalization risk varies between urban and rural areas, nor is much known about additional diagnoses of patients hospitalized for HSI. METHODS: Hospitalizations in Illinois for HSI (ICD-9-CM codes 992...
April 7, 2017: Environmental Health: a Global Access Science Source
https://www.readbyqxmd.com/read/28371619/the-maternity-care-nurse-workforce-in-rural-u-s-hospitals
#19
Carrie Henning-Smith, Jennifer Almanza, Katy B Kozhimannil
OBJECTIVE: To describe the maternity care nurse staffing in rural U.S. hospitals and identify key challenges and opportunities in maintaining an adequate nursing workforce. DESIGN: Cross-sectional survey study. SETTING: Maternity care units within rural hospitals in nine U.S. states. PARTICIPANTS: Maternity care unit managers. METHODS: We calculated descriptive statistics to characterize the rural maternity care nursing workforce by hospital birth volume and nursing staff model...
March 31, 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/28363718/adolescent-tobacco-use-in-urban-versus-rural-areas-of-the-united-states-the-influence-of-tobacco-control-policy-environments
#20
Michael F Pesko, Adam M T Robarts
PURPOSE: Adults and adolescents who reside in rural areas of the United States are traditionally more likely to be tobacco users. This urban-rural disparity remains largely unexplained and, more recently, it is unclear what impact the emergence of electronic cigarettes (e-cigarettes) has had on adolescent tobacco use in urban and rural areas. Our objective is to evaluate the influence of sociodemographics and tobacco control policy environments on adolescent tobacco use in urban versus rural areas, as well as to identify the effect of e-cigarettes on traditional patterns of urban-rural tobacco use...
March 28, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
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