Provision of specialized care in remote rural municipalities of the Brazilian semi-arid region
CONCLUSION: Brazil's disorganization or lack of a systemic response based on regionalized health networks generates several care improvisations. The less structured the RISS, the more informal arrangements are made, with gains for the private sector to the detriment of public health system users.PMID:34872330 | DOI:10.22605/RRH6652 (Source: Rural Remote Health)
Source: Rural Remote Health - December 7, 2021 Category: Rural Health Authors: Patty Fidelis de Almeida Adriano Maia Dos Santos Lucas Manoel da Silva Cabral Aylene Bousquat M árcia Cristina Fausto Source Type: research

Effects of a periodized circuit training protocol delivered by telerehabilitation compared to face-to-face method for knee osteoarthritis: a protocol for a non-inferiority randomized controlled trial
This study presents a single-blinded protocol for a non-inferiority randomized controlled trial. One hundred participants diagnosed with knee OA (grades II and III Kellgren and Lawrence system), aged 40 years or more, and BMI
Source: Rural Remote Health - December 7, 2021 Category: Rural Health Authors: J éssica Bianca Aily Aline Castilho de Almeida Marcos de Noronha Stela Marcia Mattiello Source Type: research

Barriers to Accessing Health Care in Rural Regions by Transgender, Non-Binary, and Gender Diverse People: A Case-Based Scoping Review
Front Endocrinol (Lausanne). 2021 Nov 18;12:717821. doi: 10.3389/fendo.2021.717821. eCollection 2021.ABSTRACTResearch shows an overrepresentation of trans people in vulnerable socioeconomic situations, primarily due to experiences of discrimination. At the same time, rural or suburban living areas often lack specialized trans-related health care, which a majority of trans people rely on to some extent. Taken together, the lack of both socioeconomic resources and access to trans-related health care can exacerbate health-related distress and impairment for trans people. We illustrate this problem using case vignettes of tran...
Source: Rural Remote Health - December 6, 2021 Category: Rural Health Authors: Janis Renner Wiebke Blaszcyk Lars T äuber Arne Dekker Peer Briken Timo O Nieder Source Type: research

Demographic Attributes of Knowledge, Attitude, Practices, and One Health Perspective Regarding Diarrhea in Pakistan
Conclusion: It is concluded from the recent study that most residents of the twin cities of Pakistan knew about diarrhea and had a good attitude and practices toward it. Age, religion, and education have different roles regarding different diseases in the population of Pakistan. The current study has its limitations as well. Parts of the study were conducted in the capital of Pakistan which is more developed as compared to other areas of Pakistan. It would be better to explore the remote areas of Pakistan where basic amenities of life such as education, wealth, and unemployment are not available. It is important to create ...
Source: Rural Remote Health - December 6, 2021 Category: Rural Health Authors: Ariba Abbasi Khuram Shahzad Rana Muhammad Kamran Shabbir Muhammad Sohail Afzal Hamza Zahid Talha Zahid Haroon Ahmed Jianping Cao Source Type: research

"This is streets ahead of what we used to do": staff perceptions of virtual clinical pharmacy services in rural and remote Australian hospitals
CONCLUSIONS: The VCPS brought a positive, collegiate culture regarding medications. Healthcare staff perceived the VCPS was effective and an efficient way for the health service to supply pharmacy services to smaller hospitals. The ease of use, model of delivery, availability, local knowledge and responsiveness of highly skilled pharmacists was the key to user satisfaction.TRIAL REGISTRATION: ANZCTR ACTRN12619001757101 , 11/12/2019.PMID:34863164 | DOI:10.1186/s12913-021-07328-w (Source: Rural Remote Health)
Source: Rural Remote Health - December 5, 2021 Category: Rural Health Authors: Julaine Allan Emma Webster Brett Chambers Shannon Nott Source Type: research

Distance matters: barriers to antenatal care and safe childbirth in a migrant population on the Thailand-Myanmar border from 2007 to 2015, a pregnancy cohort study
CONCLUSIONS: This analysis provides the first evidence of the complex impact of geography on access to antenatal services and pregnancy outcomes in the rural, remote, and politically complex Thailand-Myanmar border region. These findings can be used to help guide evidence-based interventions to increase uptake of maternal healthcare both in the Thailand-Myanmar region and in other rural, remote, and politically complicated environments.PMID:34856954 | PMC:PMC8638435 | DOI:10.1186/s12884-021-04276-5 (Source: Rural Remote Health)
Source: Rural Remote Health - December 3, 2021 Category: Rural Health Authors: Eric Steinbrook Myo Chit Min Ladda Kajeechiwa Jacher Wiladphaingern Moo Kho Paw Mu Paw Jay Pimanpanarak Woranit Hiranloetthanyakit Aung Myat Min Nay Win Tun Mary Ellen Gilder Fran çois Nosten Rose McGready Daniel M Parker Source Type: research

Development and Pilot Implementation of TACTICS VR: A Virtual Reality-Based Stroke Management Workflow Training Application and Training Framework
Front Neurol. 2021 Nov 11;12:665808. doi: 10.3389/fneur.2021.665808. eCollection 2021.ABSTRACTDelays in acute stroke treatment contribute to severe and negative impacts for patients and significant healthcare costs. Variability in clinical care is a contributor to delayed treatment, particularly in rural, regional and remote (RRR) areas. Targeted approaches to improve stroke workflow processes improve outcomes, but numerous challenges exist particularly in RRR settings. Virtual reality (VR) applications can provide immersive and engaging training and overcome some existing training barriers. We recently initiated the TACTI...
Source: Rural Remote Health - December 3, 2021 Category: Rural Health Authors: Rebecca J Hood Steven Maltby Angela Keynes Murielle G Kluge Eugene Nalivaiko Annika Ryan Martine Cox Mark W Parsons Christine L Paul Carlos Garcia-Esperon Neil J Spratt Christopher R Levi Frederick R Walker Source Type: research

Demographics of mental healthcare presentations in a northwest Ontario emergency department
We describe the emergency mental health workload and service needs at the Sioux Lookout Meno Ya Win Health Centre (SLMHC) in northwest Ontario.METHODS: Emergency department (ED) data were collected for mental health, addiction and self-harm diagnoses (MHA) in 2018/2019. Comparisons were made to similar sized provincial hospitals and EDs. Mental health admissions data from Oct 1, 2018 to Dec 31, 2019 were manually collected from hospital medical charts for demographics, suicide attempts/ideation and frequency of applications for Form 1 psychiatric assessment.RESULTS: The volume of MHA ED visits as a percentage of total ED v...
Source: Rural Remote Health - December 3, 2021 Category: Rural Health Authors: Ruben Hummelen Heather Lee Barbara Russell-Mahoney Sadie Maxwell Doug Semple Dean Osmond Shanthive Asokan Jenna Poirier Len Kelly Source Type: research

Factors affecting the frequency and contents of routine antenatal care in remote rural China in 2009-2016: an observational study
CONCLUSION: The province of residence was a stronger predictor of ANC frequency and contents than women's individual characteristics in China, suggesting that strengthening the decentralised system of financing and organisation of ANC at province level is crucial to achieving success. Future efforts are warranted to engage sub-regional administrations.PMID:34860444 | DOI:10.1111/1471-0528.17037 (Source: Rural Remote Health)
Source: Rural Remote Health - December 3, 2021 Category: Rural Health Authors: Xing Lin Feng Ying Wang Zhengchao Chen Ronsmans Carine Source Type: research

Learning and Use of eHealth Among Older Adults Living at Home in Rural and Nonrural Settings: Systematic Review
CONCLUSIONS: The literature review provided information and practical implications for designers, health care providers, and policy makers. On the basis of these findings, eHealth technologies should be easy to use, and adequate support should be provided to older adults for use.PMID:34860664 | DOI:10.2196/23804 (Source: Rural Remote Health)
Source: Rural Remote Health - December 3, 2021 Category: Rural Health Authors: Ella Airola Source Type: research

Distance matters: barriers to antenatal care and safe childbirth in a migrant population on the Thailand-Myanmar border from 2007 to 2015, a pregnancy cohort study
CONCLUSIONS: This analysis provides the first evidence of the complex impact of geography on access to antenatal services and pregnancy outcomes in the rural, remote, and politically complex Thailand-Myanmar border region. These findings can be used to help guide evidence-based interventions to increase uptake of maternal healthcare both in the Thailand-Myanmar region and in other rural, remote, and politically complicated environments.PMID:34856954 | PMC:PMC8638435 | DOI:10.1186/s12884-021-04276-5 (Source: Rural Remote Health)
Source: Rural Remote Health - December 3, 2021 Category: Rural Health Authors: Eric Steinbrook Myo Chit Min Ladda Kajeechiwa Jacher Wiladphaingern Moo Kho Paw Mu Paw Jay Pimanpanarak Woranit Hiranloetthanyakit Aung Myat Min Nay Win Tun Mary Ellen Gilder Fran çois Nosten Rose McGready Daniel M Parker Source Type: research

Development and Pilot Implementation of TACTICS VR: A Virtual Reality-Based Stroke Management Workflow Training Application and Training Framework
Front Neurol. 2021 Nov 11;12:665808. doi: 10.3389/fneur.2021.665808. eCollection 2021.ABSTRACTDelays in acute stroke treatment contribute to severe and negative impacts for patients and significant healthcare costs. Variability in clinical care is a contributor to delayed treatment, particularly in rural, regional and remote (RRR) areas. Targeted approaches to improve stroke workflow processes improve outcomes, but numerous challenges exist particularly in RRR settings. Virtual reality (VR) applications can provide immersive and engaging training and overcome some existing training barriers. We recently initiated the TACTI...
Source: Rural Remote Health - December 3, 2021 Category: Rural Health Authors: Rebecca J Hood Steven Maltby Angela Keynes Murielle G Kluge Eugene Nalivaiko Annika Ryan Martine Cox Mark W Parsons Christine L Paul Carlos Garcia-Esperon Neil J Spratt Christopher R Levi Frederick R Walker Source Type: research

Demographics of mental healthcare presentations in a northwest Ontario emergency department
We describe the emergency mental health workload and service needs at the Sioux Lookout Meno Ya Win Health Centre (SLMHC) in northwest Ontario.METHODS: Emergency department (ED) data were collected for mental health, addiction and self-harm diagnoses (MHA) in 2018/2019. Comparisons were made to similar sized provincial hospitals and EDs. Mental health admissions data from Oct 1, 2018 to Dec 31, 2019 were manually collected from hospital medical charts for demographics, suicide attempts/ideation and frequency of applications for Form 1 psychiatric assessment.RESULTS: The volume of MHA ED visits as a percentage of total ED v...
Source: Rural Remote Health - December 3, 2021 Category: Rural Health Authors: Ruben Hummelen Heather Lee Barbara Russell-Mahoney Sadie Maxwell Doug Semple Dean Osmond Shanthive Asokan Jenna Poirier Len Kelly Source Type: research

Factors affecting the frequency and contents of routine antenatal care in remote rural China in 2009-2016: an observational study
CONCLUSION: The province of residence was a stronger predictor of ANC frequency and contents than women's individual characteristics in China, suggesting that strengthening the decentralised system of financing and organisation of ANC at province level is crucial to achieving success. Future efforts are warranted to engage sub-regional administrations.PMID:34860444 | DOI:10.1111/1471-0528.17037 (Source: Rural Remote Health)
Source: Rural Remote Health - December 3, 2021 Category: Rural Health Authors: Xing Lin Feng Ying Wang Zhengchao Chen Ronsmans Carine Source Type: research

Learning and Use of eHealth Among Older Adults Living at Home in Rural and Nonrural Settings: Systematic Review
CONCLUSIONS: The literature review provided information and practical implications for designers, health care providers, and policy makers. On the basis of these findings, eHealth technologies should be easy to use, and adequate support should be provided to older adults for use.PMID:34860664 | DOI:10.2196/23804 (Source: Rural Remote Health)
Source: Rural Remote Health - December 3, 2021 Category: Rural Health Authors: Ella Airola Source Type: research

Distance matters: barriers to antenatal care and safe childbirth in a migrant population on the Thailand-Myanmar border from 2007 to 2015, a pregnancy cohort study
CONCLUSIONS: This analysis provides the first evidence of the complex impact of geography on access to antenatal services and pregnancy outcomes in the rural, remote, and politically complex Thailand-Myanmar border region. These findings can be used to help guide evidence-based interventions to increase uptake of maternal healthcare both in the Thailand-Myanmar region and in other rural, remote, and politically complicated environments.PMID:34856954 | DOI:10.1186/s12884-021-04276-5 (Source: Rural Remote Health)
Source: Rural Remote Health - December 3, 2021 Category: Rural Health Authors: Eric Steinbrook Myo Chit Min Ladda Kajeechiwa Jacher Wiladphaingern Moo Kho Paw Mu Paw Jay Pimanpanarak Woranit Hiranloetthanyakit Aung Myat Min Nay Win Tun Mary Ellen Gilder Fran çois Nosten Rose McGready Daniel M Parker Source Type: research

Development and Pilot Implementation of TACTICS VR: A Virtual Reality-Based Stroke Management Workflow Training Application and Training Framework
Front Neurol. 2021 Nov 11;12:665808. doi: 10.3389/fneur.2021.665808. eCollection 2021.ABSTRACTDelays in acute stroke treatment contribute to severe and negative impacts for patients and significant healthcare costs. Variability in clinical care is a contributor to delayed treatment, particularly in rural, regional and remote (RRR) areas. Targeted approaches to improve stroke workflow processes improve outcomes, but numerous challenges exist particularly in RRR settings. Virtual reality (VR) applications can provide immersive and engaging training and overcome some existing training barriers. We recently initiated the TACTI...
Source: Rural Remote Health - December 3, 2021 Category: Rural Health Authors: Rebecca J Hood Steven Maltby Angela Keynes Murielle G Kluge Eugene Nalivaiko Annika Ryan Martine Cox Mark W Parsons Christine L Paul Carlos Garcia-Esperon Neil J Spratt Christopher R Levi Frederick R Walker Source Type: research

Demographics of mental healthcare presentations in a northwest Ontario emergency department
We describe the emergency mental health workload and service needs at the Sioux Lookout Meno Ya Win Health Centre (SLMHC) in northwest Ontario.METHODS: Emergency department (ED) data were collected for mental health, addiction and self-harm diagnoses (MHA) in 2018/2019. Comparisons were made to similar sized provincial hospitals and EDs. Mental health admissions data from Oct 1, 2018 to Dec 31, 2019 were manually collected from hospital medical charts for demographics, suicide attempts/ideation and frequency of applications for Form 1 psychiatric assessment.RESULTS: The volume of MHA ED visits as a percentage of total ED v...
Source: Rural Remote Health - December 3, 2021 Category: Rural Health Authors: Ruben Hummelen Heather Lee Barbara Russell-Mahoney Sadie Maxwell Doug Semple Dean Osmond Shanthive Asokan Jenna Poirier Len Kelly Source Type: research

Factors affecting the frequency and contents of routine antenatal care in remote rural China in 2009-2016: an observational study
CONCLUSION: The province of residence was a stronger predictor of ANC frequency and contents than women's individual characteristics in China, suggesting that strengthening the decentralised system of financing and organisation of ANC at province level is crucial to achieving success. Future efforts are warranted to engage sub-regional administrations.PMID:34860444 | DOI:10.1111/1471-0528.17037 (Source: Rural Remote Health)
Source: Rural Remote Health - December 3, 2021 Category: Rural Health Authors: Xing Lin Feng Ying Wang Zhengchao Chen Ronsmans Carine Source Type: research

Learning and Use of eHealth Among Older Adults Living at Home in Rural and Nonrural Settings: Systematic Review
CONCLUSIONS: The literature review provided information and practical implications for designers, health care providers, and policy makers. On the basis of these findings, eHealth technologies should be easy to use, and adequate support should be provided to older adults for use.PMID:34860664 | DOI:10.2196/23804 (Source: Rural Remote Health)
Source: Rural Remote Health - December 3, 2021 Category: Rural Health Authors: Ella Airola Source Type: research

Barriers and facilitators to diabetic retinopathy screening within Australian primary care
CONCLUSION: This study identified essential areas at the system level that require addressing to promote the broader implementation of DR screening, in particular, a nationwide awareness campaign to maximise the use of MBS items, improve GPs' competency, and subsidise costs of the retinal cameras for small and rural general practices.PMID:34847874 | PMC:PMC8630186 | DOI:10.1186/s12875-021-01586-7 (Source: Rural Remote Health)
Source: Rural Remote Health - December 1, 2021 Category: Rural Health Authors: Matthew J G Watson Peter J McCluskey John R Grigg Yogesan Kanagasingam Judith Daire Mohamed Estai Source Type: research

Examining area-level variation in service organisation and delivery across the breadth of primary healthcare. Usefulness of measures constructed from routine data
PLoS One. 2021 Dec 1;16(12):e0260615. doi: 10.1371/journal.pone.0260615. eCollection 2021.ABSTRACTBACKGROUND: Australia has a universal healthcare system, yet organisation and delivery of primary healthcare (PHC) services varies across local areas. Understanding the nature and extent of this variation is essential to improve quality of care and health equity, but this has been hampered by a lack of suitable measures across the breadth of effective PHC systems. Using a suite of measures constructed at the area-level, this study explored their application in assessing area-level variation in PHC organisation and delivery.MET...
Source: Rural Remote Health - December 1, 2021 Category: Rural Health Authors: D C Butler L R Jorm S Larkins J Humphreys J Desborough K J Korda Source Type: research

Barriers and facilitators to diabetic retinopathy screening within Australian primary care
CONCLUSION: This study identified essential areas at the system level that require addressing to promote the broader implementation of DR screening, in particular, a nationwide awareness campaign to maximise the use of MBS items, improve GPs' competency, and subsidise costs of the retinal cameras for small and rural general practices.PMID:34847874 | DOI:10.1186/s12875-021-01586-7 (Source: Rural Remote Health)
Source: Rural Remote Health - December 1, 2021 Category: Rural Health Authors: Matthew J G Watson Peter J McCluskey John R Grigg Yogesan Kanagasingam Judith Daire Mohamed Estai Source Type: research

Examining area-level variation in service organisation and delivery across the breadth of primary healthcare. Usefulness of measures constructed from routine data
PLoS One. 2021 Dec 1;16(12):e0260615. doi: 10.1371/journal.pone.0260615. eCollection 2021.ABSTRACTBACKGROUND: Australia has a universal healthcare system, yet organisation and delivery of primary healthcare (PHC) services varies across local areas. Understanding the nature and extent of this variation is essential to improve quality of care and health equity, but this has been hampered by a lack of suitable measures across the breadth of effective PHC systems. Using a suite of measures constructed at the area-level, this study explored their application in assessing area-level variation in PHC organisation and delivery.MET...
Source: Rural Remote Health - December 1, 2021 Category: Rural Health Authors: D C Butler L R Jorm S Larkins J Humphreys J Desborough K J Korda Source Type: research

Barriers and facilitators to diabetic retinopathy screening within Australian primary care
CONCLUSION: This study identified essential areas at the system level that require addressing to promote the broader implementation of DR screening, in particular, a nationwide awareness campaign to maximise the use of MBS items, improve GPs' competency, and subsidise costs of the retinal cameras for small and rural general practices.PMID:34847874 | DOI:10.1186/s12875-021-01586-7 (Source: Rural Remote Health)
Source: Rural Remote Health - December 1, 2021 Category: Rural Health Authors: Matthew J G Watson Peter J McCluskey John R Grigg Yogesan Kanagasingam Judith Daire Mohamed Estai Source Type: research

Global Surgery and Mercy Ships
J Oral Biol Craniofac Res. 2022 Jan-Feb;12(1):121-153. doi: 10.1016/j.jobcr.2021.10.010. Epub 2021 Nov 13.ABSTRACTTwo-thirds of the world population do not have access to safe, affordable and timely surgery. This global surgical crisis largely affects low and middle-income countries, and it will surpass the challenges created by communicable diseases. The barriers of access to surgery range from cost of surgery and patient transportation to availability and quality of surgical infrastructure and providers. Mercy Ships is a Non-Governmental Organisation (NGO) providing free world-class life-saving and life-transforming surg...
Source: Rural Remote Health - November 29, 2021 Category: Rural Health Authors: Leo Cheng Hilary Cheng Gary Parker Source Type: research

The Hubei Memory and Aging Cohort Study: Study Design, Baseline Characteristics, and Prevalence of Cognitive Impairments
CONCLUSION: Our results suggested that public health interventions are urgently needed to achieve equitable diagnosis and management for people living with dementia in the communities across urban and rural areas.PMID:34842190 | DOI:10.3233/JAD-215129 (Source: Rural Remote Health)
Source: Rural Remote Health - November 29, 2021 Category: Rural Health Authors: Lin Li Gui-Rong Cheng Dan Liu Fei-Fei Hu Xu-Guang Gan Bo Zhang Lina An Cong Chen Ming-Jun Zou Lang Xu Yang-Ming Ou Yu-Shan Chen Jin-Quan Li Zhen Wei Qiong Wu Xing-Xing Chen Man-Qing Guo Qing-Ming Wu Ru Wang Yan Zeng Source Type: research

Effectiveness of Telehealth in Rural and Remote Emergency Departments: Systematic Review
CONCLUSIONS: Emergency telehealth studies typically use multiple outcome measures to determine the effectiveness of the services. The outcome determination criteria that emerged from this analysis are useful when defining the favorable direction for each outcome measure of interest. The findings of this review have implications for emergency telehealth service design and policies.TRIAL REGISTRATION: PROSPERO CRD42019145903; https://tinyurl.com/ndmkr8ry.PMID:34842537 | DOI:10.2196/30632 (Source: Rural Remote Health)
Source: Rural Remote Health - November 29, 2021 Category: Rural Health Authors: Christina Tsou Suzanne Robinson James Boyd Andrew Jamieson Robert Blakeman Justin Yeung Josephine McDonnell Stephanie Waters Kylie Bosich Delia Hendrie Source Type: research

Sago Haemolytic Disease: A Case Due to Climate-Induced Food Insecurity in Western Province, Papua New Guinea
Trop Med Infect Dis. 2021 Oct 23;6(4):190. doi: 10.3390/tropicalmed6040190.ABSTRACTSago haemolytic disease (SHD) is a rare but significant condition presenting in sago starch-eating populations in Western Province, Papua New Guinea. Although rare, case fatality rates are high, and no known antidote is available. The exact cause of the disease is unknown, but it is believed to be secondary to mycotoxins produced by fungi in old sago. In this case report, a 50-year-old female was treated in a low-resource setting in Middle Fly, with fluid resuscitation and transfusion, making a full recovery without complications. The mainst...
Source: Rural Remote Health - November 29, 2021 Category: Rural Health Authors: Mikaela Seymour Source Type: research

What women want: Women's health in Rural and Regional Australia - Insights from an interprofessional research collaboration between academic researchers, nursing clinicians, and industry professionals
Health Soc Care Community. 2021 Nov 28. doi: 10.1111/hsc.13661. Online ahead of print.ABSTRACTThe aim of this study was to (a) investigate community women's knowledge and experiences of women's health community services in northern rural and regional New South Wales, Australia; (b) identify any existing gaps in community women's health programs in this region and (c) to contribute to service provision, strategic planning, and industry professional development of community nurse researchers in collaboration with industry. The research took place in Northern New South Wales Local Health District (NNSWLHD) Australia, which is...
Source: Rural Remote Health - November 29, 2021 Category: Rural Health Authors: Nina Sivertsen Wendy Abigail Matthew Tieu Maree Eastman Christine McCloud Wendy Thomson Helen Tonkin Source Type: research

Global Surgery and Mercy Ships
J Oral Biol Craniofac Res. 2022 Jan-Feb;12(1):121-153. doi: 10.1016/j.jobcr.2021.10.010. Epub 2021 Nov 13.ABSTRACTTwo-thirds of the world population do not have access to safe, affordable and timely surgery. This global surgical crisis largely affects low and middle-income countries, and it will surpass the challenges created by communicable diseases. The barriers of access to surgery range from cost of surgery and patient transportation to availability and quality of surgical infrastructure and providers. Mercy Ships is a Non-Governmental Organisation (NGO) providing free world-class life-saving and life-transforming surg...
Source: Rural Remote Health - November 29, 2021 Category: Rural Health Authors: Leo Cheng Hilary Cheng Gary Parker Source Type: research

The Hubei Memory and Aging Cohort Study: Study Design, Baseline Characteristics, and Prevalence of Cognitive Impairments
CONCLUSION: Our results suggested that public health interventions are urgently needed to achieve equitable diagnosis and management for people living with dementia in the communities across urban and rural areas.PMID:34842190 | DOI:10.3233/JAD-215129 (Source: Rural Remote Health)
Source: Rural Remote Health - November 29, 2021 Category: Rural Health Authors: Lin Li Gui-Rong Cheng Dan Liu Fei-Fei Hu Xu-Guang Gan Bo Zhang Lina An Cong Chen Ming-Jun Zou Lang Xu Yang-Ming Ou Yu-Shan Chen Jin-Quan Li Zhen Wei Qiong Wu Xing-Xing Chen Man-Qing Guo Qing-Ming Wu Ru Wang Yan Zeng Source Type: research

Effectiveness of Telehealth in Rural and Remote Emergency Departments: Systematic Review
CONCLUSIONS: Emergency telehealth studies typically use multiple outcome measures to determine the effectiveness of the services. The outcome determination criteria that emerged from this analysis are useful when defining the favorable direction for each outcome measure of interest. The findings of this review have implications for emergency telehealth service design and policies.TRIAL REGISTRATION: PROSPERO CRD42019145903; https://tinyurl.com/ndmkr8ry.PMID:34842537 | DOI:10.2196/30632 (Source: Rural Remote Health)
Source: Rural Remote Health - November 29, 2021 Category: Rural Health Authors: Christina Tsou Suzanne Robinson James Boyd Andrew Jamieson Robert Blakeman Justin Yeung Josephine McDonnell Stephanie Waters Kylie Bosich Delia Hendrie Source Type: research

Sago Haemolytic Disease: A Case Due to Climate-Induced Food Insecurity in Western Province, Papua New Guinea
Trop Med Infect Dis. 2021 Oct 23;6(4):190. doi: 10.3390/tropicalmed6040190.ABSTRACTSago haemolytic disease (SHD) is a rare but significant condition presenting in sago starch-eating populations in Western Province, Papua New Guinea. Although rare, case fatality rates are high, and no known antidote is available. The exact cause of the disease is unknown, but it is believed to be secondary to mycotoxins produced by fungi in old sago. In this case report, a 50-year-old female was treated in a low-resource setting in Middle Fly, with fluid resuscitation and transfusion, making a full recovery without complications. The mainst...
Source: Rural Remote Health - November 29, 2021 Category: Rural Health Authors: Mikaela Seymour Source Type: research

What women want: Women's health in Rural and Regional Australia - Insights from an interprofessional research collaboration between academic researchers, nursing clinicians, and industry professionals
Health Soc Care Community. 2021 Nov 28. doi: 10.1111/hsc.13661. Online ahead of print.ABSTRACTThe aim of this study was to (a) investigate community women's knowledge and experiences of women's health community services in northern rural and regional New South Wales, Australia; (b) identify any existing gaps in community women's health programs in this region and (c) to contribute to service provision, strategic planning, and industry professional development of community nurse researchers in collaboration with industry. The research took place in Northern New South Wales Local Health District (NNSWLHD) Australia, which is...
Source: Rural Remote Health - November 29, 2021 Category: Rural Health Authors: Nina Sivertsen Wendy Abigail Matthew Tieu Maree Eastman Christine McCloud Wendy Thomson Helen Tonkin Source Type: research

The Need for Expanding Pulmonary Rehabilitation Services
Life (Basel). 2021 Nov 15;11(11):1236. doi: 10.3390/life11111236.ABSTRACTPulmonary rehabilitation is a strongly recommended and effective treatment for people with chronic lung disease. However, access to pulmonary rehabilitation is poor. Globally, pulmonary rehabilitation is accessed by less than 3% of people with chronic lung disease. Barriers to referral, uptake and completion of pulmonary rehabilitation are well documented and linked with organizational, practitioner and patient-related factors. Enhancing the knowledge of health care professionals, family carers, and people with chronic lung disease about the program a...
Source: Rural Remote Health - November 27, 2021 Category: Rural Health Authors: Aroub Lahham Anne E Holland Source Type: research

Urbanization favors the proliferation of Aedes aegypti and Culex quinquefasciatus in urban areas of Miami-Dade County, Florida
Sci Rep. 2021 Nov 26;11(1):22989. doi: 10.1038/s41598-021-02061-0.ABSTRACTUrbanization processes are increasing globally. Anthropogenic alterations in the environment have profound effects on biodiversity. Decreased biodiversity due to biotic homogenization processes as a consequence of urbanization often result in increased levels of mosquito vector species and vector-borne pathogen transmission. Understanding how anthropogenic alterations in the environment will affect the abundance, richness, and composition of vector mosquito species is crucial for the implementation of effective and targeted mosquito control strategie...
Source: Rural Remote Health - November 27, 2021 Category: Rural Health Authors: Andr é B B Wilke Chalmers Vasquez Augusto Carvajal Maday Moreno Douglas O Fuller Gabriel Cardenas William D Petrie John C Beier Source Type: research

The Need for Expanding Pulmonary Rehabilitation Services
Life (Basel). 2021 Nov 15;11(11):1236. doi: 10.3390/life11111236.ABSTRACTPulmonary rehabilitation is a strongly recommended and effective treatment for people with chronic lung disease. However, access to pulmonary rehabilitation is poor. Globally, pulmonary rehabilitation is accessed by less than 3% of people with chronic lung disease. Barriers to referral, uptake and completion of pulmonary rehabilitation are well documented and linked with organizational, practitioner and patient-related factors. Enhancing the knowledge of health care professionals, family carers, and people with chronic lung disease about the program a...
Source: Rural Remote Health - November 27, 2021 Category: Rural Health Authors: Aroub Lahham Anne E Holland Source Type: research

Urbanization favors the proliferation of Aedes aegypti and Culex quinquefasciatus in urban areas of Miami-Dade County, Florida
Sci Rep. 2021 Nov 26;11(1):22989. doi: 10.1038/s41598-021-02061-0.ABSTRACTUrbanization processes are increasing globally. Anthropogenic alterations in the environment have profound effects on biodiversity. Decreased biodiversity due to biotic homogenization processes as a consequence of urbanization often result in increased levels of mosquito vector species and vector-borne pathogen transmission. Understanding how anthropogenic alterations in the environment will affect the abundance, richness, and composition of vector mosquito species is crucial for the implementation of effective and targeted mosquito control strategie...
Source: Rural Remote Health - November 27, 2021 Category: Rural Health Authors: Andr é B B Wilke Chalmers Vasquez Augusto Carvajal Maday Moreno Douglas O Fuller Gabriel Cardenas William D Petrie John C Beier Source Type: research

District health network policy in Iran: the role of ideas, interests, and institutions (3i framework) in a nutshell
CONCLUSIONS: The 3i framework constituents would be insightful in explaining the creation of public health policies. This framework showed that the alignment of laws, structures, and interests of the main actors of the policy with the dominant ideas and beliefs in the society, opened the opportunity to form DHN in Iran.PMID:34823596 | DOI:10.1186/s13690-021-00737-7 (Source: Rural Remote Health)
Source: Rural Remote Health - November 26, 2021 Category: Rural Health Authors: Vahid Yazdi-Feyzabadi Mohammad Bazyar Sara Ghasemi Source Type: research

Overcoming the COVID-19 Pandemic for Dementia Research: Engaging Rural, Older, Racially and Ethnically Diverse Church Attendees in Remote Recruitment, Intervention and Assessment
We examined whether a telephone-based cognitive screening intervention would be effective in increasing ADRD knowledge, detecting the need for further cognitive evaluation, and making and tracking the results of referrals.METHOD: Using a dependent t-test design, older, largely African American and Afro-Caribbean participants completed a brief educational intervention, pre/post AD knowledge measure, and cognitive screening.RESULTS: Sixty of 85 eligible individuals consented. Seventy-percent of the sample self-reported as African American, Haitian Creole, or Hispanic, and 75% were female, with an average age of 70. AD knowle...
Source: Rural Remote Health - November 26, 2021 Category: Rural Health Authors: Lisa Kirk Wiese Ishan C Williams Nancy E Schoenberg James E Galvin Jennifer Lingler Source Type: research

District health network policy in Iran: the role of ideas, interests, and institutions (3i framework) in a nutshell
CONCLUSIONS: The 3i framework constituents would be insightful in explaining the creation of public health policies. This framework showed that the alignment of laws, structures, and interests of the main actors of the policy with the dominant ideas and beliefs in the society, opened the opportunity to form DHN in Iran.PMID:34823596 | DOI:10.1186/s13690-021-00737-7 (Source: Rural Remote Health)
Source: Rural Remote Health - November 26, 2021 Category: Rural Health Authors: Vahid Yazdi-Feyzabadi Mohammad Bazyar Sara Ghasemi Source Type: research

Overcoming the COVID-19 Pandemic for Dementia Research: Engaging Rural, Older, Racially and Ethnically Diverse Church Attendees in Remote Recruitment, Intervention and Assessment
We examined whether a telephone-based cognitive screening intervention would be effective in increasing ADRD knowledge, detecting the need for further cognitive evaluation, and making and tracking the results of referrals.METHOD: Using a dependent t-test design, older, largely African American and Afro-Caribbean participants completed a brief educational intervention, pre/post AD knowledge measure, and cognitive screening.RESULTS: Sixty of 85 eligible individuals consented. Seventy-percent of the sample self-reported as African American, Haitian Creole, or Hispanic, and 75% were female, with an average age of 70. AD knowle...
Source: Rural Remote Health - November 26, 2021 Category: Rural Health Authors: Lisa Kirk Wiese Ishan C Williams Nancy E Schoenberg James E Galvin Jennifer Lingler Source Type: research

Community Health Worker Evaluation of Implementing an mHealth Application to Support Maternal Health Care in Rural India
The objective of this study was to evaluate the experiences of CHWs of using POM in rural India and their perceptions of acceptability and feasibility of this mHealth intervention. Methods: A posttrial mixed-methods evaluation was designed to measure CHW knowledge and self-efficacy regarding the care of women with pre-eclampsia and perceptions of CHWs on the ease of use and usefulness of POM. A structured survey with open-ended questions was conducted between October and November 2017. The median values on a 5-point Likert scale for knowledge and self-efficacy questions were compared between trial arms by Mann-Whitney U test (p
Source: Rural Remote Health - November 24, 2021 Category: Rural Health Authors: Umesh Charanthimath Geetanjali Katageri Mai-Lei Woo Kinshella Ashalata Mallapur Shivaprasad Goudar Umesh Ramadurg Marianne Vidler Sumedha Sharma Richard Derman Laura A Magee Peter von Dadelszen Mrutyunjaya Bellad Beth A Payne Source Type: research

What Are the Contextual Enablers and Impacts of Using Digital Technology to Extend Maternal and Child Health Services to Rural Areas? Findings of a Qualitative Study From Nigeria
Conclusions: Simultaneous and sustained implementation of VTR and data digitization at scale enabled through SatCom and 3G mobile networks are feasible approaches for supporting improvements in staff confidence and motivation and reported MNCH practices. By identifying mechanisms of impact of digital interventions on micro, meso, and macro levels of the health system, the study extends the evidence base for effectiveness of digital health and theoretical underpinnings to guide further technology use for improving MNCH services in low resource settings. Trial Registration: ISRCTN32105372.PMID:34816223 | PMC:PMC8594044 | DOI...
Source: Rural Remote Health - November 24, 2021 Category: Rural Health Authors: Bassey Ebenso Babasola Okusanya Kehinde Okunade David Akeju Adegbenga Ajepe Godwin O Akaba Ramsey M Yalma Osasuyi Dirisu Jamilu Tukur Manir K Abdullahi Okey Okuzu Matthew J Allsop Source Type: research

Environmental friendly micro cold storage for last-mile Covid-19 vaccine logistics
Environ Sci Pollut Res Int. 2021 Nov 23:1-12. doi: 10.1007/s11356-021-17584-2. Online ahead of print.ABSTRACTGlobally, vaccination plays a vital role in controlling the Covid-19 pandemic. However, the cold supply chain is essential for vaccine storage and logistics services. In a country like India, the last-mile logistics of vaccines is a challenging task. The cold chain is indispensable for the Covid-19 vaccine drive to the rural areas. The demand for cold storage increases rapidly due to the rapid Covid-19 vaccine drive. The conventional cold storage facility has a more significant threat to the grid power quality and e...
Source: Rural Remote Health - November 24, 2021 Category: Rural Health Authors: Lalith Pankaj Raj Nadimuthu Kirubakaran Victor Source Type: research

Atraumatic restorative treatments and oral health-related quality of life and dental anxiety in Australian Aboriginal children: A cluster-randomized trial
CONCLUSIONS: The application of the ART/HT approaches was feasible, effective, and impacted positively on child oral health-related quality of life and child dental anxiety among Aboriginal children in remote communities. The model of care as tested in this study should be further developed for inclusion in main-stream service delivery programmes.PMID:34816478 | DOI:10.1111/cdoe.12704 (Source: Rural Remote Health)
Source: Rural Remote Health - November 24, 2021 Category: Rural Health Authors: Peter Arrow Susan Piggott Sheryl Carter Rob McPhee David Atkinson David Simon Brennan Sanjeewa Kularatna Utsana Tonmukayakul Soniya Nanda Tamara Mackean Lisa Jamieson Source Type: research

Community Health Worker Evaluation of Implementing an mHealth Application to Support Maternal Health Care in Rural India
The objective of this study was to evaluate the experiences of CHWs of using POM in rural India and their perceptions of acceptability and feasibility of this mHealth intervention. Methods: A posttrial mixed-methods evaluation was designed to measure CHW knowledge and self-efficacy regarding the care of women with pre-eclampsia and perceptions of CHWs on the ease of use and usefulness of POM. A structured survey with open-ended questions was conducted between October and November 2017. The median values on a 5-point Likert scale for knowledge and self-efficacy questions were compared between trial arms by Mann-Whitney U test (p
Source: Rural Remote Health - November 24, 2021 Category: Rural Health Authors: Umesh Charanthimath Geetanjali Katageri Mai-Lei Woo Kinshella Ashalata Mallapur Shivaprasad Goudar Umesh Ramadurg Marianne Vidler Sumedha Sharma Richard Derman Laura A Magee Peter von Dadelszen Mrutyunjaya Bellad Beth A Payne Source Type: research

What Are the Contextual Enablers and Impacts of Using Digital Technology to Extend Maternal and Child Health Services to Rural Areas? Findings of a Qualitative Study From Nigeria
Conclusions: Simultaneous and sustained implementation of VTR and data digitization at scale enabled through SatCom and 3G mobile networks are feasible approaches for supporting improvements in staff confidence and motivation and reported MNCH practices. By identifying mechanisms of impact of digital interventions on micro, meso, and macro levels of the health system, the study extends the evidence base for effectiveness of digital health and theoretical underpinnings to guide further technology use for improving MNCH services in low resource settings. Trial Registration: ISRCTN32105372.PMID:34816223 | PMC:PMC8594044 | DOI...
Source: Rural Remote Health - November 24, 2021 Category: Rural Health Authors: Bassey Ebenso Babasola Okusanya Kehinde Okunade David Akeju Adegbenga Ajepe Godwin O Akaba Ramsey M Yalma Osasuyi Dirisu Jamilu Tukur Manir K Abdullahi Okey Okuzu Matthew J Allsop Source Type: research

Environmental friendly micro cold storage for last-mile Covid-19 vaccine logistics
Environ Sci Pollut Res Int. 2021 Nov 23:1-12. doi: 10.1007/s11356-021-17584-2. Online ahead of print.ABSTRACTGlobally, vaccination plays a vital role in controlling the Covid-19 pandemic. However, the cold supply chain is essential for vaccine storage and logistics services. In a country like India, the last-mile logistics of vaccines is a challenging task. The cold chain is indispensable for the Covid-19 vaccine drive to the rural areas. The demand for cold storage increases rapidly due to the rapid Covid-19 vaccine drive. The conventional cold storage facility has a more significant threat to the grid power quality and e...
Source: Rural Remote Health - November 24, 2021 Category: Rural Health Authors: Lalith Pankaj Raj Nadimuthu Kirubakaran Victor Source Type: research