National study of the impact of rural immersion programs on intended location of medical practice in New Zealand.
CONCLUSIONS: Long rural immersion is highly beneficial for increasing interest in rural work, increasing the likelihood that medical students will intend to work outside an urban setting. Students who signal an early rural intention are strong candidates for such programs later in their course, regardless of their background. A three-category classification for geographic background and career location intention permitted a more detailed understanding of the interplay among demographic variables and rural immersion in influencing career intentions. Following cohorts into their postgraduate years is needed to ascertain if t...
Source: Rural and Remote Health - November 24, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Urban-suburban differences in the demographics and clinical profiles of type 2 diabetic patients attending primary healthcare centres in Malta.
This study aimed to identify patients with type 2 diabetes with depression in a primary care setting, with the objective of describing health inequities among urban and suburban dwellers. METHODS: A quantitative, retrospective and descriptive study was carried out among patients with diabetes attending public primary healthcare centres in different regions of Malta. Participants completed a self-administered questionnaire to identify patient and disease characteristics. Convenience sampling was used. RESULTS: The logistic regression model predicting the likelihood of different factors occurring with suburban patien...
Source: Rural and Remote Health - November 21, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Health service access and utilisation amongst culturally and linguistically diverse populations in regional South Australia: a qualitative study.
CONCLUSION: This study revealed key factors facilitating or constraining access to and utilisation of health services by CALD populations living in regional SA. A combination of strategies at different levels of health services is required to ensure services are accessible, culturally appropriate, acceptable and affordable. Improving accessibility is necessary in order to reduce inequity in health access and outcomes among the growing CALD populations in Australia. PMID: 33207914 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - November 21, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Domestic migrant workers in India returning to their homes: emerging socioeconomic and health challenges during the COVID-19 pandemic.
Authors: Jha SS, Lahiri A Abstract Domestic migrant workers were stranded far from home when India declared nationwide lockdown to combat the pandemic of novel coronavirus (COVID-19). A large number of these workers were left with no economic support, no food and in many cases nowhere to live. The pandemic posed a serious health threat to these people, and the socioeconomic insecurity pushed them towards the edge of sustainability. Many of the migrants began walking home and accepted an uncertain fate if they could not return back home. The Government of India initiated efforts to provide transport support with spe...
Source: Rural and Remote Health - November 21, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Decisions on cancer care by Indigenous peoples in Alberta and Saskatchewan: a narrative analysis.
CONCLUSION: The vignettes demonstrate the similarities and differences among Indigenous people with cancer from other countries. A primary feature is that family members play a central role in participants' cancer treatment decisions. While some participants embraced and relied upon traditional medicines, others were supported by the providers of Western health care. A healthcare system that provides access to both traditional and Western medicine can be essential to culturally safe, high-quality cancer care for Indigenous peoples. PMID: 33190506 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - November 18, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Growing the pool of rural general practitioners.
Authors: O'Toole RF, Wright J Abstract The critical importance of primary health care in maintaining a healthy population is well established internationally. Nevertheless, general practitioner care is not always easily accessible for some patients in Australia, particularly in rural regions. This is partly due to an insufficient number of medical graduates entering and being retained in the rural general practitioner workforce. Key elements of international and national programs designed to address this shortfall are discussed and include the use of entry requirements that preferentially select for applicants from...
Source: Rural and Remote Health - November 11, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Teaching psychomotor skills online: exploring the implications of novel coronavirus on health professions education.
This article considers how the problem of physical distance might be overcome, so that quality skill education might continue. ISSUES: Psychomotor skills are undeniably easier to teach and learn F2F, and training schedules in tertiary, in-service and accredited professional courses reflect this. This aspect of HPE is therefore at significant risk in the context of social distancing and physical isolation. Psychomotor skills are much more complex than the physical motor outputs alone might suggest, and an F2F skill session is only one way to build the complementary aspects of new skill performance. This article argues t...
Source: Rural and Remote Health - November 11, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Clonidine for pain-related distress in Aboriginal children on a penicillin regimen to prevent recurrence of rheumatic fever.
Authors: Mitchell A, Kelly J, Cook J, Atkinson N, Spain B, Remenyi B, Wade V, Ralph AP Abstract CONTEXT: Indigenous children and adolescents in Australia and globally bear the burden of acute rheumatic fever (ARF). It has been virtually eliminated in well-resourced, developed settings. ARF is an autoimmune response to infection with group A Streptococcus. The mainstay of management is long-acting intramuscular penicillin injections to prevent recurrence of ARF and development of rheumatic heart disease (RHD), comprising valvular pathology and attendant complications. In Australia, penicillin injections are currentl...
Source: Rural and Remote Health - November 7, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Rural and urban disparities in oral hygiene practices among Peruvian children aged less than 12 years: Demographic and Family Health Survey 2018.
CONCLUSION: Four out of ten Peruvian children living in rural areas perform adequate oral hygiene practices compared to six out of ten children in urban areas. Furthermore, inequalities in the adoption of oral hygiene practices favor urban children according to sociodemographic factors. Strengthening of oral health promotion strategies is urgently needed in order to decrease inequalities in the adoption of adequate oral hygiene in children living in rural areas of Peru and countries with similar sociodemographic characteristics. PMID: 33115241 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - October 31, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Elders suffering recurrent injurious falls: causal analysis from a rural tribal community in the eastern part of India.
CONCLUSION: Physical status indicators such as nutritional status, balance and walking speed appeared to be key factors contributing to recurrent injurious falls. Proper nutrition, and regular check-up and rehabilitative measures, are needed to reduce recurrent falls. PMID: 33081484 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - October 22, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Personal resilience and rural doctors retention: a study in Indonesia.
This study examined the association between rural doctors' personal resilience and the duration of rural practice. METHODS: This cross-sectional study was set in a rural province in Indonesia. A total sampling procedure was implemented. A total of 528 participants responded to an online survey. The survey tool measured six dimensions of a resilience profile (determination, endurance, adaptability, recuperability, comfort zone and life calling) and collected personal data such as date of birth, practice location and duration of rural practice experience. These participants were classified into four groups: inter...
Source: Rural and Remote Health - October 22, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

A bitter pill to swallow: registered nurses and medicines regulation in remote Australia.
CONCLUSION: RNs make up more than half of the registered Australian health professional workforce and are the most consistently distributed across the nation, yet their legislated responsibilities in relation to working with medicines are inconsistent. Given the inconsistencies, RNs providing health care in remote Australia may be unable to undertake aspects of the medication management cycle that their work environment demands in the best interest of their patients and absence of other healthcare providers. The lack of legislative consistency nationally for medicines in Australia is likely to impede timely access to medic...
Source: Rural and Remote Health - October 21, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Geographic differences in the unpaid caregiver experience from the National Study of Caregiving (NSOC).
CONCLUSION: Non-metropolitan caregivers experience lower income with possible greater familial support, but despite the financial disparities do not have higher caregiver burden, poorer self-rated health, or differences in other important measures. Additional studies that further divide the non-metropolitan cohort into more refined categories by population and with larger sample sizes are essential for designing policy and programs to learn from rural caregivers and build resilience among all care providers. PMID: 33050707 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - October 21, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Prevalence of diarrheal diseases among schools with and without water, sanitation and hygiene programs in rural communities of north-eastern Ethiopia: a comparative cross-sectional study.
CONCLUSION: This study identified a high prevalence of a diarrheal disease among children in schools with no WASH interventions compared with schools that do have WASH interventions. This provides strong evidence for strengthening WASH programs in all rural schools to reduce the burden of diarrheal diseases. PMID: 33059457 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - October 21, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Sustainability of a rural volunteer program (Nav-CARE): a case study.
CONCLUSION: Using the i-PARIHS framework and a case study approach, key factors for facilitating sustainability were identified. The role of the facilitator, the facilitation processes and the characteristics of the organizational context were important for the sustainability of Nav-CARE. Future research is needed to understand how to assess and enhance an organization's sustainability capacity and the impact of additional facilitator training and mentoring. This study provides a foundation for future research and adds to the discussion of the issue of sustainability of evidence-based interventions in rural community setti...
Source: Rural and Remote Health - October 11, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Does driving using a Green Beacon reduce emergency response times in a rural setting?
CONCLUSION: The use of Green Beacons when responding to emergencies in rural Scotland appears to reduce journey times and appears safe in this exploratory work. This is in keeping with other researchers' work into the use of blue and red emergency vehicle lighting, and does not dissuade from continuation of current practice among doctors in the UK. Further research in this area would benefit from a larger dataset, and quantitative time-motion data from the vehicles involved. PMID: 33019797 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - October 8, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Functional dependence among older adults: a cross-sectional study with a rural population of southern Brazil.
CONCLUSION: Older adults in rural areas have a high prevalence of functional dependence. Knowledge of functional dependence and associated factors in rural populations is necessary for the planning and developing actions, especially in the routine of primary care, which promote health and prevent or postpone the decline in functional capacity. PMID: 33002364 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - October 3, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Facilitating credentialing and engagement of international physician-migrants during the COVID-19 crisis and beyond.
Authors: Leung TI, Biskup E, DeWitt D Abstract CONTEXT: Physicians who migrate globally face a daunting series of time-consuming, labor- and resource-intensive procedures to prove their clinical competency before being allowed to practice medicine in a new country. ISSUES: In this commentary, we describe licensing barriers faced by physician-migrants based on the authors' experiences, and reflect also on rapidly implemented measures to address COVID-19 pandemic related workforce shortages. We offer recommendations for potential reductions in bureaucratic regulatory barriers that prohibit mobilization of interna...
Source: Rural and Remote Health - September 30, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Childhood exhaust burns in rural and remote regions.
Authors: Griffin BR, Ooi A, Kimble RM PMID: 32981327 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 30, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Rural-urban disparities in the distribution of dental caries among children in south-eastern Louisiana: a cross-sectional study.
CONCLUSION: A higher prevalence of dental caries was found in rural compared to urban communities. Further research is needed to assess the extent of geographic differences to improve oral health outcomes. PMID: 32955911 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 23, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Clinical characteristics of SARS-CoV-2 infection in a rural area in Germany.
Authors: von Meißner WCG, Strumann C, Kochen MM, Blickle PG, Wölk B, Pömsl J, Fink W, Steinhaeuser J PMID: 32955912 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 23, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Patient and provider perspectives on eHealth interventions in Canada and Australia: a scoping review.
CONCLUSION: Regional and national governments are seen as the key players in addressing these technical barriers. This scoping review diverges from many reviews of eHealth with the use of first-person perspectives. It is hoped that this focus will highlight the importance of patient voices in evaluating important healthcare interventions such as eHealth and associated technologies. PMID: 32949485 [PubMed - as supplied by publisher] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 20, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Mental health care in rural and remote areas necessitate greater attention during the COVID-19 pandemic.
Authors: Moon J, Moon H PMID: 32917095 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 15, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

COVID-19 leads to physically severe experiences for the rural elderly in Japan, during Obon.
Authors: Ohta R, Ryu Y PMID: 32917096 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 15, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Understanding the field of rural health academic research: a national qualitative, interview-based study.
CONCLUSION: The findings suggest that rural health research is highly rewarding, distinguished by a generalist scope and basis of 'rural' socially accountable research that is done in small, isolated teams of limited resources. Strategies are needed to grow capacity to a level fit to address the level of community demand but these must embrace development of the rural academic entry pathway, the generalist breadth and social accountability of this field, which underpins the perceived value of rural health research for rural communities. PMID: 32878447 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 5, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Evaluating a centralised cancer support centre in the remote region of Northern Norway.
CONCLUSION: The cancer support centre was highly valued by patients and their relatives for meeting peers. The centre was most frequently visited by and most popular among women and those self-reporting strong social networks. Access to oncology doctors and nurses in this setting could be valuable. Participants living in remote areas had similar characteristics and evaluated the support centre similarly to those living in more urban areas. PMID: 32873049 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 3, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Retaining graduates of non-metropolitan medical schools for practice in the local area: the importance of locally based postgraduate training pathways in Australia and Canada.
The objective of this study was to identify commonalities between one regionally based medical school in Australia and one in Canada regarding the association between postgraduate training location and a doctor's practice location once fully qualified in a medical specialty. METHODS: Data were obtained using a cross-sectional survey of graduates of the James Cook University (JCU) medical school, Queensland, Australia, who had completed advanced training to become a specialist (a 'Fellow') in that field (response rate = 60%, 197 of 326). Medical education, postgraduate training and practice data were obtained for 400 of...
Source: Rural and Remote Health - August 31, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Mechanisms to achieve a successful rural physiotherapy public-private partnership: a qualitative study.
CONCLUSION: This study demonstrates that an innovative physiotherapy PPP model of service delivery can be a successful way to improve access to physiotherapy services in rural areas. Success of service models varies depending on the viewpoint of the stakeholder and achieving success for all stakeholders is contingent on mechanisms such as those identified in this study. PPPs have potential to address service gaps in hospitals, residential aged care and primary care in rural areas. PMID: 32862653 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 31, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

A virtual community-of-practice approach by rural stakeholders in managing pneumoconiosis in the USA: a cross-sectional analysis.
CONCLUSION: The present study demonstrates the successful creation of a virtual multidisciplinary community of practice in pneumoconiosis mortality hotspot rural regions of the USA, with participants reporting multidisciplinary knowledge transfer. The community is regarded highly by participants in relation to trust, willingness to help and being closely knit. This innovative educational approach may help ensure the delivery of high-quality interdisciplinary care to rural miners in pneumoconiosis mortality hotspots in the USA. PMID: 32847365 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 29, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

What factors shape doctors' trustworthiness? Patients' perspectives in the context of hypertension care in rural Tanzania.
CONCLUSION: Good interpersonal behaviours and good technical skills are important in shaping patients' judgements of doctors' trustworthiness in rural Tanzania. The present findings provide useful insights for designing interventions to improve patient trust in doctors to address challenges associated with non-communicable diseases in rural low-income Africa. PMID: 32811153 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 20, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Differences in US COVID-19 case rates and case fatality rates across the urban-rural continuum.
Authors: Pro G, Hubach R, Wheeler D, Camplain R, Haberstroh S, Giano Z, Camplain C, Baldwin JA PMID: 32811154 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 20, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

A severe diarrhoeal outbreak in a remote Pacific island community, Anuta Island, Solomon Islands, April-June 2019.
Authors: Craig AT, Manu S, Viga R, Joshua CA, Saepioh J, Sio AR Abstract CONTEXT: Solomon Islands is a small developing island state located in the south-western Pacific Ocean. A population of approximately 680 000 people live on more than one-third of the 992 islands that make up the country. Approximately 80% of the population reside in rural areas, many in remote, difficult to reach and poorly serviced island settings. ISSUE: In May 2019, the national surveillance system detected a rumour of a severe diarrhoea outbreak in a very remote and isolated community on Anuta Island, located halfway between the Solom...
Source: Rural and Remote Health - August 13, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Exploring children's perceptions of barriers and facilitators to physical activity in rural Northwestern Ontario, Canada.
CONCLUSION: Rural children are typically under-represented in physical activity research. The findings of this study reveal that rural children experience some barriers to physical activity that are distinct from those of urban children. The findings suggest that researchers need to understand contextual nuances of the rural environment. Specific to the setting of Northwestern Ontario, these rural children could benefit from the addition of a skate park, indoor places to play, and more wildlife education. PMID: 32762242 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 13, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Tribute to David Heaney.
Authors: Wilson P, Howie J, Strasser R, Godden DJ, Ritchie L, Hines F, Parker CK PMID: 32770932 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 13, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Can neonatal pneumothorax be successfully managed in regional Australia?
Authors: Shen A, Yang J, Chapman G, Pam S Abstract INTRODUCTION: There is a lack of data reflecting the trend of neonatal pneumothorax in regional Australia. The aim of this study is to review the incidence and characteristics of neonates diagnosed with pneumothorax in Central Queensland, analyse outcomes in terms of the ability of local hospitals to manage this condition, and describe predictors for severe disease requiring transfer to a tertiary centre. Thus the role of regional health services in managing this condition will be reviewed. METHODS: This was a retrospective observational study of all neonates b...
Source: Rural and Remote Health - August 13, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Factors explaining the shortage and poor retention of qualified health workers in rural and remote areas of the Kayes, region of Mali: a qualitative study.
CONCLUSION: This study's findings highlight the multifaceted nature of factors contributing to the availability and retention of health workers in rural and remote areas of sub-Saharan Africa and the challenges associated with them. This study identifies some strategies that can be combined to facilitate the retention and availability of health workers in these areas. Some strategies involve actors outside the health sector, requiring joint efforts for their implementation. This research provides decision-makers with evidence to support informed decision making with regards to the retention of health workers in rural areas...
Source: Rural and Remote Health - August 2, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

COVID-19 quarantine camps in Nepal - a dire and despondent state.
Authors: Pokhrel S, Sedhai YR, Atreya A PMID: 32721161 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - July 31, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Fluvial family health: work process of teams in riverside communities of the Brazilian Amazon.
CONCLUSION: Recognition of the work object centered on the needs of the individual, family and community. The center for permanent education, supply of materials and inputs to the teams were implemented, and improved workflow for referring users was observed. PMID: 32674582 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - July 18, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Barriers and bridges to implementing a workplace wellness project in Alaska.
Authors: Sawchuk CN, Russo J, Ferguson G, Williamson J, Sabin J, Goldberg J, Madesclaire O, Bogucki O, Buchwald D Abstract CONTEXT: The vast, rugged geography and dispersed population of Alaska pose challenges for managing chronic disease risk. Creative, population-based approaches are essential to address the region's health needs. The American Cancer Society developed Workplace Solutions, a series of evidence-based interventions, to improve health promotion and reduce chronic disease risk in workplace settings. ISSUES: To adapt Workplace Solutions for implementation in eligible Alaskan businesses, research te...
Source: Rural and Remote Health - July 16, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Capability ... what's in a word? Rural Doctors Network of New South Wales Australia is shifting to focus on the capability of rural health professionals.
Authors: Martiniuk AL, Colbran R, Ramsden R, Edwards M, Barrett E, O'Callaghan E, Bullock R, Lowe EFL, Karlson D, Curnow J, Gotch B, Kramer J, Bagnulo S, Rothnie IP, Hardaker L, Turner N, Wotherspoon A, Russell C Abstract Rural health services, and the workforces that provide those services, are under unprecedented pressure due to insufficient health workforce numbers and distribution of health workforce weighted to urban areas. This creates health service access issues in rural areas, compounding existing health inequalities between rural and urban people. Many approaches to date have aimed to rectify these issues...
Source: Rural and Remote Health - July 13, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

COVID-19 in a remote village in a tropical forest - a note.
Authors: Sriwijitalai W, Wiwanitkit V PMID: 32646220 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - July 11, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

The 'Snake song': a pilot study of musical intervention in Eswatini.
CONCLUSION: This study is the first to explore the importance of musical interventions in educating vulnerable communities about snakes. The Iculo ngenyoka song offers a portable medium for communicating messages about snakebite prevention, affirming the value of snakebite awareness and promoting cooperative efforts to address the burden of snakebite envenoming in the region. The results emphasize the demand for education and the potential use of Iculo ngenyoka and similar musical tools to raise awareness about snakebite in Eswatini. Re-translation and other customizations of structured musical education tools for children...
Source: Rural and Remote Health - July 11, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Development of the Rural Generalist Program Japan: meeting the needs of Japanese rural communities.
This article outlines development of the RGPJ using the World Federation for Medical Education standards. While early evaluations are positive, there is much more to do to develop a mature program capable of meeting the needs of Japan's rural and remote communities. PMID: 32646222 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - July 11, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Subcutaneous phaeohyphomycosis caused by a black pigmented mould (Rhytidhysteron species) in rural north-western New South Wales, Australia.
Authors: Fraser J Abstract Invasive fungal infections are becoming increasingly more prevalent in clinical practice. This corresponds with more patients living with immunosuppression and improved techniques to identify fungal infections. Subcutaneous fungal masses can often masquerade and imitate common dermatological lesions such as cysts. Querying a fungal aetiology of a mass is important, as fungal elements can be missed on histological examination, and special stains may be needed to identify spores and hyphae to make the diagnosis. Skin trauma with inoculation of fungal elements contained in soil and vegetable...
Source: Rural and Remote Health - July 11, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

The benefits and challenges of a rural community-based work-ready placement program for allied health students.
CONCLUSION: Careful selection of students, adequate preparation and management of students' expectations were important contributors to the success of the program. Providing a continuous service is an ongoing logistical challenge. PMID: 32611194 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - July 4, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Setting priorities for rural allied health in Australia: a scoping review.
CONCLUSION: Evidence suggests that more accessible rural allied health services in Australia should address three key policy areas. First, improving rural jobs with access to senior workplace supervision and career options will help to improve networks of critical mass. Second, training skilled and qualified workers through more continuous, high quality rural pathways is needed to deliver a complementary workforce for the community. Third, distribution depends on networked service models at the regional level, with viable remuneration, outreach and telehealth for practice in smaller communities. More national-scale, longit...
Source: Rural and Remote Health - June 23, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Community acquired pneumonia: a cost-of-illness analysis in Greece.
CONCLUSION: The results indicate that, in Greece, CAP is accompanied by a significant economic burden, mainly attributable to hospitalisation. Interventions toward reducing the influence of contributors to the incidence and probability of hospitalisation are essential from a clinical and policy perspective. Also, the association of symptoms - in terms of number and duration - and age with hospitalisation probability and costs highlights that special attention should be given to the high risk groups of the population, such as the elderly and the rural residents, both in terms of preventive and therapeutic services. PMID...
Source: Rural and Remote Health - June 17, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Support nurses and midwives to strengthen healthcare systems.
Authors: Fields B, Sibanda B, Couper I PMID: 32531170 [PubMed - as supplied by publisher] (Source: Rural and Remote Health)
Source: Rural and Remote Health - June 14, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

'Being a midwife is being prepared to help women in very difficult conditions': midwives' experiences of working in the rural and fragile settings of Ituri Province, Democratic Republic of Congo.
CONCLUSION: Midwives play a critical role in supporting women to deliver babies safely in rural Ituri Province. They face immense challenges and demonstrate bravery and resilience as they navigate the interface between underresourced health systems and poor, marginalized rural communities. This situation requires a call to action: donors need to prioritize these contexts; and the government and other stakeholders in DRC need to invest more in improving security conditions as well as working conditions and professional support for midwives in rural Ituri Province. Only then will midwives be able to provide the critical serv...
Source: Rural and Remote Health - June 14, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Surgical care at rural district hospitals in low- and middle-income countries: an essential component of universal health coverage.
Authors: Chu KM, Naidu P, Hendriks HJ, Nash J, Coetzee FJ, Esteves M, Reid S, Couper I PMID: 32533914 [PubMed - as supplied by publisher] (Source: Rural and Remote Health)
Source: Rural and Remote Health - June 14, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research