Multi-year Analyses Reveal Different Trends, Sources, and Implications for Source-Related Human Health Risks of Atmospheric Polycyclic Aromatic Hydrocarbons in the Canadian Great Lakes Basin.
Abstract Polycyclic aromatic hydrocarbons (PAHs) are of high concern to public health due to their carcinogenic and mutagenic properties. Here, we present the first comprehensive and quantitative analysis of sources, potential source regions according to source sectors and source-related human health risks of multi-year atmospheric measurements of PAHs in the Canadian Great Lakes Basin (GLB). The highest PAH concentrations were observed at a rural residential site (Egbert), followed by two regionally representative remote sites [Point Petre (PPT) and Burnt Island]. The levels of most PAHs in the GLB atmosphere sig...
Source: Rural Remote Health - January 29, 2021 Category: Rural Health Authors: Li W, Park R, Alexandrou N, Dryfhout-Clark H, Brice K, Hung H Tags: Environ Sci Technol Source Type: research

COVID-19 pandemic effects on nursing education: looking through the lens of a developing country.
CONCLUSION AND IMPLICATIONS FOR NURSING AND/OR HEALTH POLICY: The impact of COVID-19 on nursing education in the Caribbean and other parts of the world has shown that if adequate measures are put in place by the way of disaster preparedness and preplanned mitigation strategies, future crises like COVID-19 will have less impact on nursing education. Therefore, health policymakers and nursing regulatory bodies in the developing countries should put policies in place that will help in responding, coping and recovering quickly from future occurrences. PMID: 33513283 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 29, 2021 Category: Rural Health Authors: Agu CF, Stewart J, McFarlane-Stewart N, Rae T Tags: Int Nurs Rev Source Type: research

Household factors and under-five mortality in Bankass, Mali: results from a cross-sectional survey.
, Padian N, Liu J Abstract BACKGROUND: Rural parts of Mali carry a disproportionate burden of the country's high under-five mortality rate. A range of household factors are associated with poor under-five health in resource-limited settings. However, it is unknown which most influence the under-five mortality rate in rural Mali. We aimed to describe household factors associated with under-five mortality in Bankass, a remote region in central Mali. METHODS: We analysed baseline household survey data from a trial being conducted in Bankass. The survey was administered to households between December 2016 and Jan...
Source: Rural Remote Health - January 29, 2021 Category: Rural Health Authors: Boettiger DC, Treleaven E, Kayentao K, Guindo M, Coumaré M, Johnson AD, Whidden C, Koné N, Cissé AB, Padian N, Liu J Tags: BMC Public Health Source Type: research

Nurse practitioner locums: a plausible solution for augmenting health care access for rural communities.
Abstract With 2020 being designated the Year of the Nurse and Midwife, it is opportune to acknowledge and recognise the role that nurses undertake in primary care environments. Nurses and midwives play a pivotal role in the delivery of high-quality health care, particularly in geographically challenged areas of Australia, where they may be the only provider of care within their communities. Rural and remote health services require strategic planning to develop and implement solutions responsive to the challenges of rural and remote communities. Maintenance of health services in rural and remote areas is a challeng...
Source: Rural Remote Health - January 29, 2021 Category: Rural Health Authors: Jennings N, Lowe G, Tori K Tags: Aust J Prim Health Source Type: research

American Tegumentary Leishmaniasis in an endemic municipality in the North of Minas Gerais State: spatial analysis and socio-environmental factors.
In conclusion, it is possible that the disorderly expansion process in the city of Montes Claros favored the establishment of the ATL periurban and urban transmission cycle. These regions deserve special attention from health surveillance to combat this zoonosis. PMID: 33503150 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 28, 2021 Category: Rural Health Authors: Ursine RL, Rocha MF, Sousa JF, Santos RCD, Soares MD, Gusmão MSF, Leite ME, Vieira TM Tags: Rev Inst Med Trop Sao Paulo Source Type: research

Community midwifery: a primary health care approach to care during pregnancy for Aboriginal and Torres Strait Islander women.
Abstract Comprehensive primary health care is integral to meaningful client-centred care, with nurses and midwives central to partnership approaches with individuals, families and communities. A primary health model of antenatal care is needed for Aboriginal and Torres Strait Islander women in rural and remote areas, where complex social determinants of health impact on pregnancy outcomes, early years and lifelong health. Staff experiences from a community midwifery-led antenatal program in a remote Western Australian setting were explored, with the aim of investigating program impacts from health service provider...
Source: Rural Remote Health - January 28, 2021 Category: Rural Health Authors: Munns A Tags: Aust J Prim Health Source Type: research

Telerehabilitation Guidelines in Saudi Arabia.
Abstract Rehabilitation needs are increasing globally due to population growth, aging population, high survival rates for people with disability, and severe health conditions. In the past few years, new telecommunication-based practices, including various forms of e-rehabilitation have gained attention all over the world, including the Kingdom of Saudi Arabia (KSA). Telerehabilitation is an alternative way of delivering rehabilitation services in which information and communication technologies are used to expedite communication between the health care professional and the patient at a distant location. It can be ...
Source: Rural Remote Health - January 27, 2021 Category: Rural Health Authors: Qureshi AZ, Ullah S, Aldajani AA, Basson P, AlHabter AM, Ali T, Almubark BM, AlAtwi M, AlIbrahim F, Alsuhaibani A, Al Jadid MS Tags: Telemed J E Health Source Type: research

The Association of Metabolic Syndrome with the development of cardiovascular disease among Kazakhs in remote rural areas of Xinjiang, China: a cohort study.
The objective of this study was to examine the association of MS and its components with CVD, to further prevent and control CVD in Kazakhs. METHODS: In the cohort study, a total of 2644 participants completed the baseline survey between April 2010 and December 2012.The follow-up survey was conducted from April 2016 to December 2016 and was completed by 2286 participants (86.46% follow-up rate). Cox regression was used to evaluate the association of each component and the number of combinations of MS components on the development of CVD. RESULTS: A total of 278 CVD patients were enrolled from rural residents of X...
Source: Rural Remote Health - January 26, 2021 Category: Rural Health Authors: Yang W, Guo S, Wang H, Li Y, Zhang X, Hu Y, Guo H, Wang K, Yan Y, Zhang J, Ma J, Mao L, Mu L, Liu J, Song Y, Li C, Ma Z, Ma R, He J Tags: BMC Public Health Source Type: research

Call Center Remote Triage by Nurse Practitioners Was Associated With Fewer Subsequent Face-to-Face Healthcare Visits.
Abstract BACKGROUND: In 2015, the Veterans Health Administration (VHA) incorporated nurse practitioners (NPs) into remote triage call centers to supplement registered nurse (RN)-handled calls. OBJECTIVE: To assess 7-day healthcare use following telephone triage by NPs compared to RNs. We hypothesized that NP clinical decision ability may reduce follow-up healthcare. DESIGN: Retrospective observational comparative effectiveness study of clinical and administrative databases. NP routed calls were matched to RN calls based on chief complaint with propensity score matching and multivariate count data models,...
Source: Rural Remote Health - January 26, 2021 Category: Rural Health Authors: Kaboli PJ, Augustine MR, Rose DE, Chawla N, Bouchard M, Hebert P Tags: J Gen Intern Med Source Type: research

Key concepts for dietetic curriculum: An observational study of Australian dietitians' perceptions.
CONCLUSIONS: The existing 56 concepts were considered key for nutrition and dietetics education. Although the respondents to this survey view these concepts as relevant to current practice, this may not represent the entire profession. It is yet to be determined if the concepts will meet future priorities for the dietetic workforce. PMID: 33501763 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 26, 2021 Category: Rural Health Authors: Tweedie J, Wright HH, Palermo C, Pelly FE Tags: Nutr Diet Source Type: research

Obstetric and perinatal outcomes for women with pre-existing diabetes in rural compared to metropolitan settings in Victoria, Australia.
Abstract BACKGROUND: Pre-existing diabetes in pregnancy is associated with an increased risk of complications. Likewise, living in rural, regional and remote Victoria, Australia, is also associated with poorer health outcomes. There is a gap in the literature with regard to whether Victorian women with pre-existing diabetes experience a greater risk of adverse pregnancy outcomes compared to their metropolitan counterparts. AIM: Our objective is to compare obstetric and perinatal outcomes for women with pre-existing diabetes delivering in rural vs metropolitan hospitals in Victoria, Australia. MATERIALS A...
Source: Rural Remote Health - January 24, 2021 Category: Rural Health Authors: Williamson RL, McCarthy EA, Oats JJ, Churilov L, Lappas M, Shub A Tags: Aust N Z J Obstet Gynaecol Source Type: research

Inequalities in stunting among under-five children in Tanzania: decomposing the concentration indexes using demographic health surveys from 2004/5 to 2015/6.
This study aimed at determining the trend, contributing factors and changes of inequalities in stunting among children aged 3-59 months from 2004 to 2016. METHODS: Data were drawn from the Tanzania Demographic and Health Surveys. The concentration index (CIX) was used to quantify the magnitude of inequalities in stunting. The pooled Poisson regression model was used to determine the factors for stunting, decision criterion for significant determinants was at 5% level of significance. The CIX was decomposed using the Wagstaff and Watanabe decomposition methods., the percentage contribution of each factor to the ...
Source: Rural Remote Health - January 23, 2021 Category: Rural Health Authors: Musheiguza E, Mahande MJ, Malamala E, Msuya SE, Charles F, Philemon R, Mgongo M Tags: Int J Equity Health Source Type: research

Alabama Screening and Intervention for Glaucoma and Eye Health Through Telemedicine (AL-SIGHT): Study Design and Methodology.
CONCLUSIONS: The study aims to develop a model eye health system using telemedicine to prevent vision loss and address eye health among underserved and at-risk populations. PMID: 33492893 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 22, 2021 Category: Rural Health Authors: Rhodes LA, Register S, Asif I, McGwin G, Saaddine J, Nghiem VTH, Owsley C, Girkin CA Tags: J Glaucoma Source Type: research

Leveraging Telehealth to improve access to care: a qualitative evaluation of Veterans' experience with the VA TeleSleep program.
CONCLUSIONS: The VA TeleSleep program improved patient experiences across multiple aspects of care including a reduction in travel burden, increased access to clinicians and remote monitoring, and patient-reported health and quality of life outcomes, though some communication and continuity challenges remain. Implementing telehealth services may also improve the experiences of patients served by other subspecialties or healthcare systems. PMID: 33478497 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 21, 2021 Category: Rural Health Authors: Nicosia FM, Kaul B, Totten AM, Silvestrini MC, Williams K, Whooley MA, Sarmiento KF Tags: BMC Health Serv Res Source Type: research

Health and support service needs of individuals with disability from culturally and linguistically diverse backgrounds: a scoping review protocol.
DISCUSSION: The scoping review will present the health and support service needs of individuals with disability from CALD backgrounds and will extend the current reviews as it focuses the engagement in meaningful occupation. Findings from this review have the potential to inform local policy discussions and practice-based disability care. SYSTEMATIC REVIEW REGISTRATION: Open Science Framework ( 10.17605/OSF.IO/HW2FB ). PMID: 33478581 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 21, 2021 Category: Rural Health Authors: Pho JNQ, Tan AC, Chaudhary K, Hines S, Ellison C, Isaac V, Lim D Tags: Syst Rev Source Type: research

A comparative study of two Mobile Mental Health Units in different catchment rural areas in Greece.
CONCLUSIONS: Despite the similarities among the MMHUs in rural Greece, this study recorded some important differences. The differences in staffing may be accounted for by the availability of resources. The differences in the patients' population may be explained by the fact that the MMHU UHA was designed from its beginning to treat patients with severe mental illnesses, mainly psychoses, and it accepts loss of referrals within the general hospital's network of psychiatric services. The MMHU I-T is an independent, locally based service that may be better perceived as an expansion of the primary care system. The results of t...
Source: Rural Remote Health - January 21, 2021 Category: Rural Health Authors: Peritogiannis V, Rousoudi S, Vorvolakos T, Gioti P, Gogou A, Arre A, Samakouri M Tags: Int J Soc Psychiatry Source Type: research

Client perceptions of the BreastScreen Australia remote radiology assessment model.
CONCLUSIONS: Clients' high satisfaction with their clinic experiences, high confidence in care being received, and the majority having no preference for either the onsite or remote model indicates their acceptance of the RRAM. Client acceptance of the model supports continuation of the RRAM at these sites and expansion. Findings may inform future telehealth innovations where key health care team members are working remotely. PMID: 33461562 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 18, 2021 Category: Rural Health Authors: Smith D, Johnston K, Carlisle K, Evans R, Preston R, Beckett J, Geddes D, Naess H, Poole M, Larkins S Tags: BMC Womens Health Source Type: research

Ethnomedicinal and folklore inventory of wild plants used by rural communities of valley Samahni, District Bhimber Azad Jammu and Kashmir, Pakistan.
This study will also be useful for conservation of bioculture traditional knowledge of indigenous communities and the most important is to conserve medicinal plants of the study area for future generations. PMID: 33439877 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 14, 2021 Category: Rural Health Authors: Ishtiaq M, Maqbool M, Ajaib M, Ahmed M, Hussain I, Khanam H, Mushtaq W, Hussain T, Azam S, Hayat Bhatti K, Ghani A Tags: PLoS One Source Type: research

Technology-enabled remote management of diabetes foot disease and potential for reduction in associated health costs: a pilot study.
Abstract Diabetes-related foot disease, particularly when associated with amputation, affects quality of life and has a significant impact on health care costs. A pilot study using enhanced technology to facilitate remote access and video conferencing from rural locations to the diabetes MDT through a new service pathway confirmed high levels of patient satisfaction with 89% of foot ulcers improved or stable and only two minor amputations. A health economic analysis suggested potential for significant cost savings if this was scaled up regionally. Further evaluation of an integrated pathway, impact on lower limb a...
Source: Rural Remote Health - January 13, 2021 Category: Rural Health Authors: Main F, Zubala A, Gorman J, Jones S, Hall J, Macfarlane D, MacRury S Tags: J Foot Ankle Res Source Type: research

Feasibility and acceptability of a technology-based, rural weight management intervention in older adults with obesity.
Abstract BACKGROUND: Older adults with obesity residing in rural areas have reduced access to weight management programs. We determined the feasibility, acceptability and preliminary outcomes of an integrated technology-based health promotion intervention in rural-living, older adults using remote monitoring and synchronous video-based technology. METHODS: A 6-month, non-randomized, non-blinded, single-arm study was conducted from October 2018 to May 2020 at a community-based aging center of adults aged ≥65 years with a body mass index (BMI) ≥30 kg/m2. Weekly dietitian visits focusing on b...
Source: Rural Remote Health - January 12, 2021 Category: Rural Health Authors: Batsis JA, Petersen CL, Clark MM, Cook SB, Kotz D, Gooding TL, Roderka MN, Al-Nimr RI, Pidgeon D, Haedrich A, Wright KC, Aquila C, Mackenzie TA Tags: BMC Geriatr Source Type: research

Trends in rates and inequalities in paediatric admissions for Ambulatory Care Sensitive Conditions in Victoria, Australia (2003 to 2013).
CONCLUSIONS: Inequalities in paediatric hospital admissions exist for acute conditions and have not changed from 2003 to 2013; disadvantaged Victorian children were more likely to be admitted to hospital at each time point. More equitable access to medical and dental care is needed. Primary care (medical and dental) should be a critical platform to address socio-economic differences and effectively prevent avoidable hospital admissions in children. PMID: 33432713 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 11, 2021 Category: Rural Health Authors: Goldfeld S, Paton K, Lei S, Perera P, Hiscock H Tags: J Paediatr Child Health Source Type: research

Characteristics and in-hospital outcomes of patients requiring aeromedical retrieval for pregnancy, compared to non-retrieved metropolitan cohorts.
CONCLUSION: This study found that pregnant women retrieved by the Royal Flying Doctor Service were younger, with higher rates of obesity and smoking. PMID: 33426679 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 10, 2021 Category: Rural Health Authors: Gardiner FW, Richardson A, Roxburgh C, Gillam M, Churilov L, McCuaig R, Carter S, Arthur C, Wong C, Morton A, Callaway L, Lust K, Davidson SJ, Foxcroft K, Oates K, Zhang L, Jayawardane S, Coleman M, Peek M Tags: Aust N Z J Obstet Gynaecol Source Type: research

Leptospira in river and soil in a highly endemic area of Ecuador.
CONCLUSIONS: Our data are limited to two sites in a highly endemic area, but the scarcity of Leptospira DNA in the river is not consistent with the widespread contention of the importance of river water for leptospirosis transmission. While Leptospira may be shed directly into the river, onto the shores, or washed into the river from more remote sites, massive dilution and limited persistence in rivers may reduce the environmental load and therefore, the epidemiological significance of such sources. It is also possible that transmission may occur more frequently on shores where people are liable to be barefoot. Molecular s...
Source: Rural Remote Health - January 7, 2021 Category: Rural Health Authors: Miller E, Barragan V, Chiriboga J, Weddell C, Luna L, Jiménez DJ, Aleman J, Mihaljevic JR, Olivas S, Marks J, Izurieta R, Nieto N, Keim P, Trueba G, Caporaso JG, Pearson T Tags: BMC Microbiol Source Type: research

Associations of caesarean section with body mass and waist circumference trajectories from age 2 to 13  years: A nationally representative birth cohort study in Australia.
This study aimed to explore the longitudinal link between C-section with obesity trajectories during childhood. METHODS: We analysed data from a nationally representative birth cohort study named "Longitudinal Study of Australian Children (LSAC)", commenced in 2004. General obesity was measured through the Body Mass Index (BMI) and abdominal obesity by the Waist Circumference (WC) using the biennially collected data from age 2 to 13 years (2006-2016). Group-based trajectory modelling was applied to identify the distinct pattern of BMI & WC trajectories. Multivariable multinomial logistic regressio...
Source: Rural Remote Health - January 5, 2021 Category: Rural Health Authors: Begum T, Fatima Y, Perales F, Anuradha S, Mamun A Tags: Pediatr Obes Source Type: research

Indoor-outdoor relationships of airborne nanoparticles, BC and VOCs at rural and urban preschools.
mar P Abstract Health risks caused by exposure to black carbon (BC) and nanoparticles (NP) are well studied, although no standard currently exists for them worldwide. Exposure to children may lead to serious health effects due to their increased vulnerability and longer time spend inside the classrooms, making it important to assess the factors that affect air quality in preschools. Thus, this work aims to evaluate indoor-outdoor (I/O) relationships of NPs in the 10-420 nm range, BC and volatile organic compounds (VOCs) at rural and urban preschools (aged 3-5 years) between May 2016 and July 2017. Factorial a...
Source: Rural Remote Health - December 19, 2020 Category: Rural Health Authors: Portela NB, Teixeira EC, Agudelo-Castañeda DM, Civeira MDS, Silva LFO, Vigo A, Kumar P Tags: Environ Pollut Source Type: research

Recruitment and retention strategies, policies, and their barriers: A narrative review in the Eastern Mediterranean Region.
Conclusions: There is a need for a focused research agenda supported by regional collaboration to guide policymakers on factors, challenges, and best practices that need to be considered for improving the distribution and retention of the health workforce by cadre, gender, and region. PMID: 33033753 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - October 10, 2020 Category: Rural Health Authors: Khalil M, Alameddine M Tags: Health Sci Rep Source Type: research

Recruitment best practices of a cardiovascular risk reduction randomised control trial in rural Alaska Native communities.
Abstract Though not native to Alaska, tobacco use is common among Alaska Native people in the Norton Sound region, an area consisting of 16 communities with population size 107 to 3,695. We summarise best practices in recruiting Alaska Native adults who smoke for a randomised controlled tobacco treatment trial. Participants were Alaska Native, 19 years and older, smoking daily, with hypertension and/or high cholesterol, residing in the Norton Sound region of Alaska. Study staff travelled to the remote communities to recruit, typically staying 5 days. Screening and enrolment success was examined by day, s...
Source: Rural Remote Health - August 14, 2020 Category: Rural Health Authors: Knox M, Skan J, Benowitz NL, Schnellbaecher M, Prochaska JJ Tags: Int J Circumpolar Health Source Type: research

Narratives of childless widows: exploring the lived experiences and well-being of childless widows in rural Nigeria.
Conclusion: Legislation protecting widows are good but may not be sufficient if it does not translate to improved wellbeing/welfare for widows. Childless widows, especially those in rural areas, are especially vulnerable as they face peculiar deprivation and psychological distress arising from cultural/social realities. Recognising the limited resources in low income countries, mobilisation of local structures and resources to educate and monitor local communities are important. PMID: 31924131 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 13, 2020 Category: Rural Health Authors: Ugwu DI, Orjiakor CT, Ugwu LI, Ezedum CE, Ngwoke OR, Ezebuilo C Tags: Int J Qual Stud Health Well-being Source Type: research

Point-of-care ultrasound (POCUS) in a remote area of Sierra Leone: impact on patient management and training program for community health officers.
CONCLUSION: POCUS represents a powerful diagnostic tool in a low-income country that may improve the patient management. Training of non-physician health providers is doable and may improve healthcare management in resource-limited settings. PMID: 31919811 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 8, 2020 Category: Rural Health Authors: Sabatino V, Caramia MR, Curatola A, Vassallo F, Deidda A, Cinicola B, Iodice F, Caffarelli C, Sverzellati N, Buonsenso D Tags: J Ultrasound Source Type: research

Impact of legislative change on waiting time for women accessing surgical abortion services in a rural hospital in the Northern Territory.
CONCLUSIONS: Results demonstrate potential for changes in service provision of abortion in the NT with increased choice, patient-centred care and reduced waiting times. This audit demonstrated the possibility to move the majority of abortion services into primary health care leading to cost savings. PMID: 31916255 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 7, 2020 Category: Rural Health Authors: Belton S, McQueen G, Ali E Tags: Aust N Z J Obstet Gynaecol Source Type: research

The System for Telementoring with Augmented Reality (STAR): A head-mounted display to improve surgical coaching and confidence in remote areas.
hs JP Abstract BACKGROUND: The surgical workforce particularly in rural regions needs novel approaches to reinforce the skills and confidence of health practitioners. Although conventional telementoring systems have proven beneficial to address this gap, the benefits of platforms of augmented reality-based telementoring in the coaching and confidence of medical personnel are yet to be evaluated. METHODS: A total of 20 participants were guided by remote expert surgeons to perform leg fasciotomies on cadavers under one of two conditions: (1) telementoring (with our System for Telementoring with Augmented Realit...
Source: Rural Remote Health - January 5, 2020 Category: Rural Health Authors: Rojas-Muñoz E, Cabrera ME, Lin C, Andersen D, Popescu V, Anderson K, Zarzaur BL, Mullis B, Wachs JP Tags: Surgery Source Type: research

Rural health issues in rheumatology: a review.
Abstract PURPOSE OF REVIEW: Early access to rheumatology is imperative to achieve appropriate outcomes in rheumatologic diseases. But there seems to be a significant gap and disparity in the access to rheumatology care between urban and rural areas. This review was undertaken to analyze this issue. RECENT FINDINGS: A significant delay in diagnosis of rheumatic disorder has been correlated to the travel distance to rheumatologist. It is also clear that currently, a significant rheumatology workforce shortage exists and is projected to worsen significantly, thereby making this gap and disparity much bigger. ...
Source: Rural Remote Health - January 2, 2020 Category: Rural Health Authors: Lennep DS, Crout T, Majithia V Tags: Curr Opin Rheumatol Source Type: research

Reaching out to reduce health inequities for M āori youth.
CONCLUSION: Youth specialist nurses could improve access to care for youth from ethnic minorities, rural and isolated regions, and areas of high deprivation without overwhelming the medical profession. IMPLICATIONS FOR NURSING POLICY: Specialist nurses are trained and empowered to practice at the top of their scope. With general practitioner oversight and standing order sign off specialist nurses can work autonomously to improve access to health services, without increasing the workload of doctors. IMPLICATIONS FOR NURSING PRACTICE: Encouraging continuous self-reflection of the nurse's effectiveness in meeting pa...
Source: Rural Remote Health - January 1, 2020 Category: Rural Health Authors: Martel R, Reihana-Tait H, Lawrence A, Shepherd M, Wihongi T, Goodyear-Smith F Tags: Int Nurs Rev Source Type: research

A Qualitative Study of Community-Based HIV/AIDS Prevention Interventions, Programs, and Projects for Rural and Remote Regions in Canada: Implementation Challenges and Lessons Learned.
CONCLUSIONS: Rural/remote HIV/AIDS programs across Canada expressed similar challenges and lessons learned, suggesting that there is potential for knowledge exchange, and development of a community of practice. Top-down planning and evaluation models may fail to capture program achievements in rural/remote contexts. The long-term engagement practices that render rural/remote programs promising do not always conform to planning and implementation requirements of limited funding. PMID: 31765353 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - November 27, 2019 Category: Rural Health Authors: Worthington C, Mollison A, Herman T, Johnston C, Masching R, Pooyak S, Lee R, Loutfy M Tags: J Public Health Manag Pract Source Type: research

Management of patients with metastatic prostate cancer (mPC) in a rural part of North Norway with a scattered population: does living near the department of oncology translate into a different pattern of care and survival?
In conclusion, these results suggest that the health-care system in Nordland County successfully delivers state-of-the-art oncology care to patients with mPC. PMID: 31120400 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - May 24, 2019 Category: Rural Health Authors: Nieder C, Dalhaug A, Haukland E, Norum J Tags: Int J Circumpolar Health Source Type: research

Managing uncertainty in imputing missing symptom value for healthcare of rural India.
Conclusions: It is worth to mention that the system is for primary healthcare and in emergency cases, patients are referred to the experts. PMID: 30863541 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - March 14, 2019 Category: Rural Health Authors: Das S, Sil J Tags: Health Inf Sci Syst Source Type: research

Health advice and education given to overweight patients by primary care doctors and nurses: A scoping literature review.
Abstract Health advice for overweight patients in primary care has been a focus of obesity guidelines. Primary care doctors and nurses are well placed to provide evidence based preventive health advice. This literature review addressed two research questions: 'When do primary care doctors and nurses provide health advice for weight management?' and 'What health advice is provided to overweight patients in primary care settings?' The study was conducted in the first half of 2018 and followed Arksey and O'Malley (2005) five stage framework to conduct a comprehensive scoping review. The following databases were searc...
Source: Rural Remote Health - February 27, 2019 Category: Rural Health Authors: Walsh K, Grech C, Hill K Tags: Prev Med Rep Source Type: research

Screening-level microbial risk assessment of acute gastrointestinal illness attributable to wastewater treatment systems in Nunavut, Canada.
Abstract Most arctic communities use primary wastewater treatment systems that are capable of only low levels of pathogen removal. Effluent potentially containing fecally derived microorganisms is released into wetlands and marine waters that may simultaneously serve as recreation or food harvesting locations for local populations. The purpose of this study is to provide the first estimates of acute gastrointestinal illness (AGI) attributable to wastewater treatment systems in Arctic Canada. A screening-level, point estimate quantitative microbial risk assessment model was developed to evaluate worst-case scenario...
Source: Rural Remote Health - January 28, 2019 Category: Rural Health Authors: Daley K, Jamieson R, Rainham D, Truelstrup Hansen L, Harper SL Tags: Sci Total Environ Source Type: research

Job preferences for healthcare administration students in China: A discrete choice experiment.
CONCLUSIONS: This is the first study focusing on the career decision-making of Chinese healthcare administration students at a critical career decision-making point. Both monetary and non-monetary interventions could be considered by policy-makers to attract students to work in health institutions, especially in rural and remote health institutions in China. There exists preference heterogeneity on healthcare administration students' job preferences, which should also be taken into account in developing more effective policy incentive packages. PMID: 30682170 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 28, 2019 Category: Rural Health Authors: Liu S, Li S, Li Y, Wang H, Zhao J, Chen G Tags: PLoS One Source Type: research

Social Determinants of Rural Health Workforce Retention: A Scoping Review.
Abstract Residents of rural and remote Australia have poorer health outcomes than their metropolitan counterparts. A major contributor to these health disparities is chronic and severe health workforce shortages outside of metropolitan areas-a global phenomenon. Despite emerging recognition of the important influence of place-based social processes on retention, much of the political attention and research is directed elsewhere. A structured scoping review was undertaken to describe the range of research addressing the influence of place-based social processes on turnover or retention of rural health professionals...
Source: Rural Remote Health - January 24, 2019 Category: Rural Health Authors: Cosgrave C, Malatzky C, Gillespie J Tags: Int J Environ Res Public Health Source Type: research

The Connected Intensive Care Unit Patient: Exploratory Analyses and Cohort Discovery From a Critical Care Telemedicine Database.
CONCLUSIONS: Large-scale remote monitoring data sources, such as the eICU database, have a strong potential to advance the role of critical care telemedicine by serving as a testbed for secondary research as well as for developing and testing tools, including predictive and prescriptive analytical solutions and decision support systems. The resulting tools will also inform coordination of care for critically ill patients, intensivist coverage, and the overall process of critical care telemedicine. PMID: 30679148 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - January 24, 2019 Category: Rural Health Authors: Essay P, Shahin TB, Balkan B, Mosier J, Subbian V Tags: JMIR Med Inform Source Type: research

Integrated Management of Energy, Wellbeing and Health in the Next Generation of Smart Homes.
Abstract This contribution proposes an implementation for next generation smart homes, where heterogeneous data, coming from multiple sensors (medical, wellbeing, energy, contextual, etc.) and house equipment (smart fridge, smart TV, etc.), need to be managed, secured and visualized. As a first step, it focuses only on energy and health data. However, it aims to lay the foundations to manage any type of information towards the development of smart interactions with the house, which might include artificial intelligence and machine learning. These data are securely collected using a central Web of Things gateway, l...
Source: Rural Remote Health - January 24, 2019 Category: Rural Health Authors: Jaouhari SE, Palacios-Garcia EJ, Anvari-Moghaddam A, Bouabdallah A Tags: Sensors (Basel) Source Type: research

Remote fitting procedures for upper limb 3d printed prostheses.
CONCLUSIONS: The presented methodology for remote fitting of 3D printed upper-limb prostheses exhibits significant potential for rapid fabrication of functional prostheses to developing countries due to increased availability of digital devices in rural areas. PMID: 30661413 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 21, 2019 Category: Rural Health Authors: Zuniga JM, Young KJ, Peck JL, Srivastava R, Pierce JE, Dudley DR, Salazar DA, Bergmann J Tags: Expert Rev Med Devices Source Type: research

Personalized Prehospital Triage in Acute Ischemic Stroke.
Conclusions- The preferred prehospital transportation strategy for suspected stroke patients depends mainly on the likelihood of large vessel occlusion, driving times, and in-hospital workflow times. We constructed a robust model that combines these characteristics and can be used to personalize prehospital triage, especially in more remote areas. PMID: 30661502 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 21, 2019 Category: Rural Health Authors: Venema E, Lingsma HF, Chalos V, Mulder MJHL, Lahr MMH, van der Lugt A, van Es ACGM, Steyerberg EW, Hunink MGM, Dippel DWJ, Roozenbeek B Tags: Stroke Source Type: research

Sedentary lifestyle associated with mortality in rural patients with heart failure.
CONCLUSIONS:: Sedentary lifestyle is strongly associated with all-cause mortality, independent of having moderate to severe depressive symptoms. Clinicians and researchers have an important role in promoting sustained and safe physical activity to improve survival. Other important modifiable targets to improve survival include depressive symptoms, low literacy, and low body mass index. Clinical Trial Registration- URL: https://www.clinicaltrials.gov . Unique Identifier: NCT00415545. PMID: 30663898 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 21, 2019 Category: Rural Health Authors: Park LG, Dracup K, Whooley MA, McCulloch C, Lai S, Howie-Esquivel J Tags: Eur J Cardiovasc Nurs Source Type: research

The time is now: a call for action to translate recent momentum on tackling tropical snakebite into sustained benefit for victims.
Abstract Like the other WHO-listed Neglected Tropical Diseases (NTDs), snakebite primarily affects rural, impoverished tropical communities that lack adequate health resources. The annual 138 000 deaths and 400 000 disabilities suffered by these subsistence farming communities means that snakebite is an additional cause and consequence of tropical poverty. Unlike most of the NTDs, however, snakebite is a medical emergency, and requires rapid treatment in a hospital equipped with effective antivenom, beds and appropriately trained staff. The lack of such facilities in the remote areas most affected by snakebite, an...
Source: Rural Remote Health - January 21, 2019 Category: Rural Health Authors: Harrison RA, Casewell NR, Ainsworth SA, Lalloo DG Tags: Trans R Soc Trop Med Hyg Source Type: research

Underutilized and undertheorized: the use of hospitalization for ambulatory care sensitive conditions for assessing the extent to which primary healthcare services are meeting needs in British Columbia First Nation communities.
CONCLUSIONS: Improving access to PHC services in First Nations communities can be associated with a significant reduction in avoidable hospitalization and premature mortality rates. The method we tested is an important tool that could serve health care planning decisions in small communities. PMID: 30658626 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 18, 2019 Category: Rural Health Authors: Lavoie JG, Wong ST, Ibrahim N, O'Neil JD, Green M, Ward A Tags: BMC Health Serv Res Source Type: research

Pregnancy stress, healthy pregnancy and birth outcomes - the need for early preventative approaches in pregnant Australian Indigenous women: a prospective longitudinal cohort study.
This study sought to examine the potential association between stress during pregnancy and the rate of adverse pregnancy outcomes in Australian Indigenous women residing in rural and remote communities in New South Wales. This study found a higher rate of post-traumatic stress disorder, depression and anxiety symptoms during pregnancy than the general population. There was also a higher incidence of prematurity and LBW deliveries. Unfortunately, missing post-traumatic stress disorder and depressive symptomatology data impeded the examination of associations of interest. This was largely due to the highly sensitive nature o...
Source: Rural Remote Health - January 17, 2019 Category: Rural Health Authors: Mah BL, Pringle KG, Weatherall L, Keogh L, Schumacher T, Eades S, Brown A, Lumbers ER, Roberts CT, Diehm C, Smith R, Rae KM Tags: J Dev Orig Health Dis Source Type: research

Migrant physicians' conceptions of working in rural and remote areas in Sweden: A qualitative study.
CONCLUSION: Professional and personal life and are intertwined. Conceptions about an area influence willingness to work there. Willingness is also affected by, and intertwined with, other aspects such as previous experiences, age, marital status and family circumstances. PMID: 30640965 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 16, 2019 Category: Rural Health Authors: Sturesson L, Öhlander M, Nilsson G, Stenfors T Tags: PLoS One Source Type: research

[Basic structural features of a  cardiac telemedicine center for patients with heart failure and implanted devices, cardiac arrhythmias, and increased risk of sudden cardiac death : Recommendations of the working group 33 Telemonitoring of the German Cardiac Society].
[Basic structural features of a cardiac telemedicine center for patients with heart failure and implanted devices, cardiac arrhythmias, and increased risk of sudden cardiac death : Recommendations of the working group 33 Telemonitoring of the German Cardiac Society]. Herzschrittmacherther Elektrophysiol. 2019 Jan 14;: Authors: Helms TM, Stockburger M, Köhler F, Leonhardt V, Müller A, Rybak K, Sack S, Schwab JO, Störk S, Zippel-Schultz B, Perings CA Abstract Heart failure is one of the most common diseases. It is associated with high morbidity and mortality. Since heart failure...
Source: Rural Remote Health - January 14, 2019 Category: Rural Health Authors: Helms TM, Stockburger M, Köhler F, Leonhardt V, Müller A, Rybak K, Sack S, Schwab JO, Störk S, Zippel-Schultz B, Perings CA Tags: Herzschrittmacherther Elektrophysiol Source Type: research