Renal unit characteristics and patient education practices that predict a high prevalence of home-based dialysis in Australia.
CONCLUSION: Our data suggest certain pre-end stage education practices are significantly associated with home dialysis rates above the national average. The consistent above average home dialysis rates witnessed in New South Wales appear to be the result of renal unit culture, education strategies and policies that support 'home dialysis first'. PMID: 24797108 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - May 6, 2014 Category: Rural Health Authors: Fortnum D, Ludlow M, Morton RL Tags: Nephrology (Carlton) Source Type: research

Barriers for delivering telehealth in rural australia: a review based on Australian trials and studies.
Conclusions: Several exemplary barrier cases are also described to give more insights into the complexity and dilemma of adopting telehealth services. Finally, we outline recent technological advancements that have a great potential to overcome some of the identified barriers. PMID: 24801522 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - May 1, 2014 Category: Rural Health Authors: Jang-Jaccard J, Nepal S, Alem L, Li J Tags: Telemed J E Health Source Type: research

Rural living as context: a study of disparities in long-term cancer survivors.
Conclusions: The significant impact of rurality on HRQOL beyond self-esteem and social support suggests its role in explaining cancer survivorship disparities and directing practice. Until additional exploration can identify mechanisms behind rurality's impact, consideration of level of rurality as a potential factor in evaluating survivors' HRQOL outcomes is reasonable.Implications for Nursing: Survivor context (e.g., level of rurality) influences HRQOL outcomes. Context or culture-relevant risk minimization and HRQOL optimization nursing practices are indicated. PMID: 24769604 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - May 1, 2014 Category: Rural Health Authors: Pedro LW, Schmiege SJ Tags: Oncol Nurs Forum Source Type: research

Awakening to the other: Reflections on developing intercultural competence through an undergraduate study tour.
Abstract For the past 4 years, undergraduate students from the Faculty of Health, University of Newcastle, Newcastle, Australia, have undertaken a two week cultural study tour in Thailand, being exposed to a broad range of cultural interactions, health settings in rural and remote areas, and health-treatment approaches, including traditional and complementary therapies. Student evaluations and reflections were collected after the 2010 and 2011 study tours. This paper reports on findings following thematic analysis of the data, which identified central themes, including connectivity to others, "awakenings"...
Source: Rural Remote Health - April 28, 2014 Category: Rural Health Authors: Stone TE, Francis L, van der Riet P, Dedkhard S, Junlapeeya P, Orwat E Tags: Nurs Health Sci Source Type: research

Trachoma elimination in remote Indigenous Northern Territory communities: baseline health-promotion study.
Abstract Identify trachoma knowledge, attitudes and practice of staff in clinics, schools and community workplace settings to optimise trachoma-elimination health-promotion programs in the Katherine West Health Board region of the Northern Territory. Prior to the introduction of a suite of health promotion resources the Indigenous Eye Health Unit and Katherine West Health Board conducted a baseline survey of open, multi-choice and closed questions regarding knowledge, attitudes and practices in relation to trachoma with 72 staff members over a 6-month period in 2010-11. Data were analysed for differences between s...
Source: Rural Remote Health - April 25, 2014 Category: Rural Health Authors: Lange FD, Baunach E, McKenzie R, Taylor HR Tags: Aust J Prim Health Source Type: research

Suicide Among Young Alaska Native Men: Community Risk Factors and Alcohol Control.
Conclusions. Alcohol control is ineffective in preventing suicide among Alaska Natives; suicide instead appears related to particular complex community characteristics that are either protective or increase risk. Communities have limited means to pursue economic and cultural development strategies that might offer more protection. (Am J Public Health. Published online ahead of print April 22, 2014: e1-e7. doi:10.2105/AJPH.2013.301503). PMID: 24754505 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - April 22, 2014 Category: Rural Health Authors: Berman M Tags: Am J Public Health Source Type: research

The Kimberley Assessment of Depression of Older Indigenous Australians: Prevalence of Depressive Disorders, Risk Factors and Validation of the KICA-dep Scale.
CONCLUSIONS: The KICA-dep has robust psychometric properties and can be used with confidence as a screening tool for depression among older Indigenous Australians. Depressive disorders are common in this population, possibly because of increased stressors and health morbidities. PMID: 24740098 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - April 20, 2014 Category: Rural Health Authors: Almeida OP, Flicker L, Fenner S, Smith K, Hyde Z, Atkinson D, Skeaf L, Malay R, Logiudice D Tags: PLoS One Source Type: research

Positive health effects of the natural outdoor environment in typical populations in different regions in Europe (PHENOTYPE): a study programme protocol.
CONCLUSIONS: The project will produce a more robust evidence base on links between exposure to natural outdoor environment and human health and well-being, in addition to a better integration of human health needs into land-use planning and green space management in rural as well as urban areas. PMID: 24740979 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - April 20, 2014 Category: Rural Health Authors: Nieuwenhuijsen MJ, Kruize H, Gidlow C, Andrusaityte S, Antó JM, Basagaña X, Cirach M, Dadvand P, Danileviciute A, Donaire-Gonzalez D, Garcia J, Jerrett M, Jones M, Julvez J, van Kempen E, van Kamp I, Maas J, Seto E, Smith G, Triguero M, Wendel-Vos W, Wr Tags: BMJ Open Source Type: research

Added sugar intake in South Africa: findings from the Adult Prospective Urban and Rural Epidemiology cohort study.
CONCLUSIONS: This cohort showed dramatic increases in added sugars and sucrose-sweetened beverage consumption in both urban and rural areas. Increased consumption was associated with increased NCD risk factors. In addition, the study showed that the nutrition transition has reached a remote rural area in South Africa. Urgent action is needed to address these trends. PMID: 24740206 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - April 16, 2014 Category: Rural Health Authors: Vorster HH, Kruger A, Wentzel-Viljoen E, Kruger HS, Margetts BM Tags: Am J Clin Nutr Source Type: research

Appropriateness of CT Imaging to Support the Diagnosis of Stroke: A Review of the Clinical Evidence
The objective of this review is to summarize recent clinical evidence of CT and expert clinical assessment to support the diagnosis of stroke and TIAs. PMID: 24716258 (Source: Rural Remote Health)
Source: Rural Remote Health - April 14, 2014 Category: Rural Health Tags: Book Source Type: research

Acute coronary syndrome in Australia: Where are we now and where are we going?
CONCLUSION: Disparities exist between the management and outcomes of rural and metropolitan populations experiencing ACS. While the causes of these discrepancies are multifactorial; the onus is on the healthcare system to effectively reduce associated morbidity and mortality. Improvements in the management of ACS may be achieved through a continued reduction in call-to-needles time via the use of remote and mobile thrombolysis services as well as improvements in in-hospital risk assessment in order to flag and investigate those at risk of ACS. PMID: 24719650 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - April 14, 2014 Category: Rural Health Authors: Nadel J, Hewitt T, Horton D Tags: Australas Med J Source Type: research

A random spatial sampling method in a rural developing nation.
CONCLUSIONS: Random spatial sampling methodology can be used to survey a random sample of population in a remote region of a developing nation. Although this method should be further validated and compared with more established methods to determine its utility in social survey applications, it shows promise for use in developing nations with resource-challenged environments where detailed geographic and human census data are less available. PMID: 24716473 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - April 10, 2014 Category: Rural Health Authors: Kondo MC, Bream KD, Barg FK, Branas CC Tags: BMC Public Health Source Type: research

Flood disaster risk assessment of rural housings - a case study of kouqian town in china.
In this study, we take the severe flood disaster that happened at Kouqian Town in Jilin, China in 2010 as an example to build an risk assessment system for flood disaster on rural housings. Based on the theory of natural disaster risk formation and "3S" technology (remote sensing, geography information systems and global positioning systems), taking the rural housing as the bearing body, we assess the flood disaster risk from three aspects: hazard, exposure and vulnerability. The hazard presented as the flood submerging range and depth. The exposure presented as the values of the housing and the property in it. T...
Source: Rural Remote Health - April 9, 2014 Category: Rural Health Authors: Zhang Q, Zhang J, Jiang L, Liu X, Tong Z Tags: Int J Environ Res Public Health Source Type: research

Mental health emergency transport: the pot-holed road to care.
Abstract Police have, historically, been the first point of contact for people experiencing a mental health crisis in the Australian community. Changes in the NSW Mental Health Act 2007 extended the powers and responsibilities for involuntary transport to paramedics and accredited mental health practitioners. The Mental Health Act also allows for police assistance to other agencies during transport of people living with mental illness if there are serious safety concerns. Involuntary intervention for people living with mental illness is based on risk-of-serious-harm criteria under the Mental Health Act, implying s...
Source: Rural Remote Health - April 7, 2014 Category: Rural Health Authors: Bradbury JF, Ireland M, Stasa H Tags: Med J Aust Source Type: research

The Influence of a Wound Care Teleassistance Service on Nursing Practice: A Case Study in Quebec.
Conclusions: This case study highlights the positive influence of TASP on several dimensions of nursing practice, in addition to its essential role in improving the quality of care. However, it is important to consider that the service cannot be considered as a solution to or replacement for the shortage of nurses. PMID: 24694008 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - April 2, 2014 Category: Rural Health Authors: Gagnon MP, Breton E, Courcy F, Quirion S, Côté J, Paré G Tags: Telemed J E Health Source Type: research

Toward a global understanding of students who participate in rural primary care longitudinal integrated clerkships: considering personality across 2 continents.
CONCLUSIONS: Despite coming from different educational and societal backgrounds, similar personality patterns are evident in US and Australian students who pursue rural medical education. Data provide support for a pattern of traits associated with a rural background and its predictive influence on interest in rural practice. Considering the international expansion of rural longitudinal integrated clerkships, understanding student attributes may assist in identifying strategies to enhance the rural workforce that are relevant across cultures and continents. PMID: 24689541 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - April 1, 2014 Category: Rural Health Authors: Eley DS, Brooks KD, Zink T, Cloninger CR Tags: J Rural Health Source Type: research

Understanding primary carers' occupational adaptation and engagement.
CONCLUSION: The results provided an initial understanding of the impact of caring on the primary carers' occupational adaptation and engagement, and a suggestion that clinicians consider using a family-centred approach as an effective and meaningful intervention. PMID: 24689919 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - April 1, 2014 Category: Rural Health Authors: McDougall C, Buchanan A, Peterson S Tags: Aust Occup Ther J Source Type: research

Are rural placements positively associated with rural intentions in medical graduates?
CONCLUSIONS: Exposure to rural practice during basic medical training, and the location and curriculum focus of a medical school are confirmed as factors that are positively associated with students' intention to become rural doctors after graduation. However, rural origin and the early intentions at the start of their medical training are better predictors of expressed intention to take up rural practice than rural clinical placements. PMID: 24606624 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - March 16, 2014 Category: Rural Health Authors: Jones MP, Bushnell JA, Humphreys JS Tags: Med Educ Source Type: research

A Framework for Telehealth Program Evaluation.
This article presents a comprehensive framework for delivery design, implementation, and evaluation of telehealth services. We first survey existing frameworks proposed in the literature and then present our proposed comprehensive multidimensional framework for telehealth. Six key dimensions of the proposed framework include health domains, health services, delivery technologies, communication infrastructure, environment setting, and socioeconomic analysis. We define a set of example properties for each dimension. We then demonstrate how we have used our framework to evaluate telehealth programs in rural and remote Austral...
Source: Rural Remote Health - March 12, 2014 Category: Rural Health Authors: Nepal S, Li J, Jang-Jaccard J, Alem L Tags: Telemed J E Health Source Type: research

A Retrospective Evaluation of Remote Pharmacist Interventions in a Telepharmacy Service Model Using a Conceptual Framework.
Abstract Abstract Objectives: This retrospective cross-sectional study evaluated a telepharmacy service model using a conceptual framework to compare documented remote pharmacist interventions by year, hospital, and remote pharmacist and across rural hospitals with or without an on-site rural hospital pharmacist. Materials and Methods: Documented remote pharmacist interventions for patients at eight rural hospitals in the Midwestern United States during prospective prescription order review/entry from 2008 to 2011 were extracted from RxFusion(®) database (a home-grown system, i.e., internally developed program...
Source: Rural Remote Health - March 10, 2014 Category: Rural Health Authors: Sankaranarayanan J, Murante LJ, Moffett LM Tags: Telemed J E Health Source Type: research

Overweight and Obesity among Low-Income Muslim Uyghur Women in Far Western China: Correlations of Body Mass Index with Blood Lipids and Implications in Preventive Public Health.
This study focused on the prevalence of overweight and obesity and their correlations with blood lipids/metabolites/enzymes (bio-indicators) in a rural community typical of low-income in remote western China. METHODS: This study was performed in a Muslim ethnic Uyghur rural community in Kashi Prefecture of Xinjiang, about 4,407 km (2,739 miles) away from Beijing. Body mass index (BMI) and major blood bio-indicators (25 total items) were measured and demographic information was collected from 1,733 eligible healthy women aged 21 to 71 yrs, of whom 1,452 had complete data for analysis. More than 92% of the women lived o...
Source: Rural Remote Health - March 7, 2014 Category: Rural Health Authors: Cong L, Zhan JQ, Yang L, Zhang W, Li SG, Chen C, Zhang HY, Ma ZP, Hao XL, Simayi D, Tao L, Zhao J, Amanguli A, Mohemaiti M, Jing MX, Wang W, Saimaiti A, Zou XG, Gu Y, Li L, Wang YH, Li F, Zhang WJ Tags: PLoS One Source Type: research

Measuring and decomposing the inequality of maternal health services utilization in Western Rural China.
CONCLUSIONS: There is a strong pro-rich inequality of maternal health services in rural western China. This study suggests that an effective way to reduce the inequality is not only to narrow the gap of income between the rich and poor, but focus education on ethnic minority woman in rural remote areas. PMID: 24589223 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - March 3, 2014 Category: Rural Health Authors: Liu X, Gao W, Yan H Tags: BMC Health Serv Res Source Type: research

Tribal Veterans Representative (TVR) Training Program: The Effect of Community Outreach Workers on American Indian and Alaska Native Veterans Access to and Utilization of the Veterans Health Administration.
Abstract American Indians and Alaska Natives serve at the highest rate of any US race or ethnic group, yet are the most underserved population of Veterans and do not take advantage of the Department of Veterans Affairs (VA) benefits and services. Barriers to seeking care include stigma, especially for mental health issues; distance to care; and lack of awareness of benefits and services they are entitled to receive. In response to this underutilization of the VA, an innovative program-the Tribal Veterans Representative (TVR) program-was developed within the VA to work with American Indians and Alaska Natives in ru...
Source: Rural Remote Health - March 2, 2014 Category: Rural Health Authors: Kaufmann LJ, Buck Richardson WJ, Floyd J, Shore J Tags: J Community Health Source Type: research

Nucleoside Analogues Alone or Combined with Vaccination Prevent Hepadnavirus Viremia and Induce Protective Immunity: Alternative Strategy for Hepatitis B Virus Post-exposure Prophylaxis.
CONCLUSIONS: NA-based PEP strategies (NA alone or in combination with vaccine) may be an alternative of HBV PEP, especially in those living in the remote and rural areas of the developing countries and the non-responders to the current vaccine, and may be valuable in the PEP of HBV and HIV co-infection after occupational and non-occupational exposure. Further clinical studies are warranted to confirm the valuable of NA-based strategies in HBV PEP. PMID: 24583157 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 27, 2014 Category: Rural Health Authors: Wang B, Zhu Z, Zhu B, Wang J, Song Z, Huang S, Fan W, Tao Y, Wang Z, Wang H, Lu M, Yang D Tags: Antiviral Res Source Type: research

"This is not just a little accident": a qualitative understanding of paediatric burns from the perspective of parents.
Conclusion: Findings from this research will allow health professionals to optimise a holistic clinical service from a consumer's perspective at all stages of the burn journey. These research conclusions could be used for the development of protocols to underpin a comprehensive information and social support management plan for families that would complement and support the surgical, medical and therapeutic treatment plan, providing direction for comprehensive service delivery. Implications for Rehabilitation Health professionals should optimise a holistic clinical service from a consumer's perspective taking into consider...
Source: Rural Remote Health - February 27, 2014 Category: Rural Health Authors: McGarry S, Elliott C, McDonald A, Valentine J, Wood F, Girdler S Tags: Disabil Rehabil Source Type: research

Challenges and strategies for cohort retention and data collection in an indigenous population: Australian Aboriginal Birth Cohort.
CONCLUSIONS: Satisfactory follow-up rates of a prospective longitudinal Indigenous birth cohort with traditional characteristics are possible while maintaining scientific rigor in a challenging setting. Approaches included flexibility, respect, and transparent communication along with the adoption of culturally sensitive behaviours. This work should inform and assist researchers undertaking or planning similar studies in Indigenous and developing populations. PMID: 24568142 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 26, 2014 Category: Rural Health Authors: Lawrance M, Sayers SM, Singh GR Tags: BMC Med Res Methodol Source Type: research

"Giving Voice": Evaluation of an Integrated Telehealth Community Care Model by Parents/Guardians of Children Diagnosed with Fetal Alcohol Spectrum Disorder in Manitoba.
Conclusions: This study provides support for the use of telehealth as an effective technology beyond diagnosis for individuals with FASD and their families. Families support the utilization of this technology and, despite its minor shortcomings, appreciate the flexibility of telehealth, which allows them to remain in their home communities, connected to their families and support systems. PMID: 24568178 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 25, 2014 Category: Rural Health Authors: Hanlon-Dearman A, Edwards C, Schwab D, Millar MC, Longstaffe S Tags: Telemed J E Health Source Type: research

Design of a randomized, non-inferiority trial to evaluate the reliability of videoconferencing for remote consultation of diabetes.
DISCUSSION: Despite rapid growth in application of telemedicine in a variety of medical specialities, little is known about the reliability of videoconferencing for remote consultation of people with diabetes. Results of this proposed study will provide evidence of the reliability of specialist consultation offered by videoconference for people with diabetes. TRIAL REGISTRATION NUMBER: Australian New Zealand Clinical Trials Registry ACTRN12612000315819. PMID: 24528569 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - February 20, 2014 Category: Rural Health Authors: Fatehi F, Martin-Khan M, Gray LC, Russell AW Tags: BMC Med Inform Decis Mak Source Type: research

Impact of a regionalised clinical cardiac support network on mortality among rural patients with myocardial infarction.
Abstract OBJECTIVE: To evaluate the impact of the regionalised Integrated Cardiovascular Clinical Network (ICCNet) on 30-day mortality among patients with myocardial infarction (MI) in an Australian rural setting. DESIGN, SETTING AND PATIENTS: An integrated cardiac support network incorporating standardised risk stratification, point-of-care troponin testing and cardiologist-supported decision making was progressively implemented in non-metropolitan areas of South Australia from 2001 to 2008. Hospital administrative data and statewide death records from 1 July 2001 to 30 June 2010 wer...
Source: Rural Remote Health - February 17, 2014 Category: Rural Health Authors: Tideman PA, Tirimacco R, Senior DP, Setchell JJ, Huynh LT, Tavella R, Aylward PE, Chew DP Tags: Med J Aust Source Type: research

Supervision, support and mentoring interventions for health practitioners in rural and remote contexts: an integrative review and thematic synthesis of the literature to identify mechanisms for successful outcomes.
CONCLUSION: Through a synthesis of the literature, this research has identified a number of mechanisms that are associated with successful support interventions for health-care practitioners in rural and remote contexts. This research utilised a methodology developed for studying complex interventions in response to the perceived limitations of traditional systematic reviews. This synthesis of the evidence will provide decision-makers at all levels with a collection of mechanisms that can assist the development and implementation of support strategies for staff in rural and remote contexts. PMID: 24521004 [PubMed - as...
Source: Rural Remote Health - February 13, 2014 Category: Rural Health Authors: Moran AM, Coyle J, Pope R, Boxall D, Nancarrow SA, Young J Tags: Hum Resour Health Source Type: research

Determinants of Care Seeking for Children With Pneumonia and Diarrhea in Guatemala: Implications for Intervention Strategies.
Conclusions. Proximal factors associated with recognizing need for care were important in determining formal care, and were strongly linked to social determinants. In addition to specific action by the health system with an enhanced community health worker role, a systems approach can help ensure barriers are addressed among poorer and more remote homes. (Am J Public Health. Published online ahead of print February 13, 2014: e1-e11. doi:10.2105/AJPH.2013.301658). PMID: 24524510 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 13, 2014 Category: Rural Health Authors: Bruce N, Pope D, Arana B, Shiels C, Romero C, Klein R, Stanistreet D Tags: Am J Public Health Source Type: research

The Koori Growing Old Well Study: investigating aging and dementia in urban Aboriginal Australians.
Conclusion: This paper details our protocol for a population-based study in collaboration with local Aboriginal community organizations. The study will provide the first available prevalence rates for dementia and cognitive impairment in a representative sample of urban Aboriginal people, across city and rural communities, where the majority of Aboriginal Australians live. It will also contribute to improved assessment of dementia and cognitive impairment and to the understanding of social determinants of successful aging, of international significance. PMID: 24507414 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 10, 2014 Category: Rural Health Authors: Radford K, Mack HA, Robertson H, Draper B, Chalkley S, Daylight G, Cumming R, Bennett H, Jackson Pulver L, Broe GA Tags: Int Psychogeriatr Source Type: research

Northern Territory Heart Failure Initiative-Clinical Audit (NTHFI-CA)-a prospective database on the quality of care and outcomes for acute decompensated heart failure admission in the Northern Territory: study design and rationale.
This study has been approved by respective ethics committees of both the admitting institutions. All participants will be provided a written informed consent which will be completed prior to enrolment in the study. The study results will be disseminated through local and international health conferences and peer reviewed manuscripts. PMID: 24477314 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - February 9, 2014 Category: Rural Health Authors: Iyngkaran P, Tinsley J, Smith D, Haste M, Nadarajan K, Ilton M, Battersby M, Stewart S, Brown A Tags: BMJ Open Source Type: research

Cancer survival for Aboriginal and Torres Strait Islander Australians: a national study of survival rates and excess mortality.
CONCLUSIONS: Cancer survival is lower for Indigenous than other Australians, for all cancers combined and many individual cancer sites, although more accurate recording of Indigenous status by cancer registers is required before the extent of this disadvantage can be known with certainty. Cancer care for Indigenous Australians needs to be considerably improved; cancer diagnosis, treatment, and support services need to be redesigned specifically to be accessible and acceptable to Indigenous people. PMID: 24479861 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - February 9, 2014 Category: Rural Health Authors: Condon JR, Zhang X, Baade P, Griffiths K, Cunningham J, Roder DM, Coory M, Jelfs PL, Threlfall T Tags: Popul Health Metr Source Type: research

Neurological and ocular fascioliasis in humans.
Conclusions indicate that neurological cases are overlooked in human fascioliasis endemic areas and also in developing countries in general. In remote zones, rural health centres and small hospitals in or near the human endemic areas do not dispose of the appropriate equipments for neurological analyses. Moreover, physicians may not be aware about the potential relationship between liver fluke infection and neurological implications, and such cases may therefore remain misdiagnosed, even in developed countries. Priority should henceforth be given to the consideration of neurological and ocular affection in human endemic ar...
Source: Rural Remote Health - February 9, 2014 Category: Rural Health Authors: Mas-Coma S, Agramunt VH, Valero MA Tags: Adv Parasitol Source Type: research

Vocal local versus pharmacological treatments for pain management in tubal ligation procedures in rural Kenya: a non-inferiority trial.
CONCLUSION: VL + local anesthesia is as effective as VL + local anesthesia + analgesics for pain management during tubal ligation in rural Kenya. Avoiding analgesics is associated with numerous benefits including cost savings and fewer issues related to the maintenance, procurement and monitoring of restricted opioid drugs, particularly in remote low-resource settings where these systems are weak. TRIAL REGISTRATION: Pan-African Clinical Trials Registry PACTR201304000495942. PMID: 24490628 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - February 9, 2014 Category: Rural Health Authors: Keogh SC, Fry K, Mbugua E, Ayallo M, Quinn H, Otieno G, Ngo TD Tags: BMC Womens Health Source Type: research

Measuring Adjusted Quality of Life in Telemedicine.
Conclusions: It appears that the needs for telemedicine health services increased along with the aging of our society in rural and underserved regions. PMID: 24502820 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 6, 2014 Category: Rural Health Authors: Wang F Tags: Telemed J E Health Source Type: research

Taking Healthy Steps: rationale, design and baseline characteristics of a randomized trial of a pedometer-based internet-mediated walking program in veterans with chronic obstructive pulmonary disease.
DISCUSSION: Participants include 239 Veterans (mean age 66.7 years, 93.7% male) with 155 randomized to Taking Healthy Steps and 84 to the wait list control arm; rural-living (45.2%); ever-smokers (93.3%); and current smokers (25.1%). Baseline mean St. George's Respiratory Questionnaire Total Score was 46.0; 30.5% reported severe dyspnea; and the average number of comorbid conditions was 4.9. Mean baseline daily step counts was 3497 (+/- 2220).Veterans with COPD can be recruited to participate in an online walking program. We successfully recruited a cohort of older Veterans with a significant level of disability including ...
Source: Rural Remote Health - February 3, 2014 Category: Rural Health Authors: Martinez CH, Moy ML, Nguyen HQ, Cohen M, Kadri R, Roman P, Holleman RG, Myra Kim H, Goodrich DE, Giardino ND, Richardson CR Tags: BMC Pulm Med Source Type: research

Access to Medical and Supportive Care for Rural and Remote Cancer Survivors in Northern British Columbia.
CONCLUSION: Medical and supportive care can be inaccessible, unavailable, and unaffordable for cancer survivors living in rural northern communities. PMID: 24483272 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 1, 2014 Category: Rural Health Authors: Fuchsia Howard A, Smillie K, Turnbull K, Zirul C, Munroe D, Ward A, Tobin P, Kazanjian A, Olson R Tags: J Rural Health Source Type: research

Biological, socio-demographic, work and lifestyle determinants of sitting in young adult women: a prospective cohort study.
CONCLUSIONS: Among young adult Australian women, those with higher BMI, those born in Asia, those with higher level occupations and long working hours, were most at risk of higher sitting time. These results can be used to identify at-risk groups and inform intervention development. PMID: 24457004 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 24, 2014 Category: Rural Health Authors: Uijtdewilligen L, Twisk JW, Singh AS, Chinapaw MJ, van Mechelen W, Brown WJ Tags: Int J Behav Nutr Phys Act Source Type: research

Behavioral Health Aides in Rural Alaska: Their Experience in Caring for Alaska Native Cancer Survivors.
This study provides information to help guide development of content of that education. PMID: 24459014 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 24, 2014 Category: Rural Health Authors: Kelley SF, Decourtney C, Owens X Tags: J Cancer Educ Source Type: research

Telehealth Personalized Cancer Risk Communication to Motivate Colonoscopy in Relatives of Patients With Colorectal Cancer: The Family CARE Randomized Controlled Trial.
Abstract PURPOSE: The rate of adherence to regular colonoscopy screening in individuals at increased familial risk of colorectal cancer (CRC) is suboptimal, especially among rural and other geographically underserved populations. Remote interventions may overcome geographic and system-level barriers. We compared the efficacy of a telehealth-based personalized risk assessment and communication intervention with a mailed educational brochure for improving colonoscopy screening among at-risk relatives of patients with CRC. METHODS: Eligible individuals age 30 to 74 years who were not up-to-date with risk-appropr...
Source: Rural Remote Health - January 21, 2014 Category: Rural Health Authors: Kinney AY, Boonyasiriwat W, Walters ST, Pappas LM, Stroup AM, Schwartz MD, Edwards SL, Rogers A, Kohlmann WK, Boucher KM, Vernon SW, Simmons RG, Lowery JT, Flores K, Wiggins CL, Hill DA, Burt RW, Williams MS, Higginbotham JC Tags: J Clin Oncol Source Type: research

Clinical associations of human T-lymphotropic virus type 1 infection in an indigenous Australian population.
CONCLUSION: HTLV-1 infection contributes to morbidity among socially disadvantaged Indigenous adults in central Australia. This is largely due to an increased risk of other infections and respiratory disease. The spectrum of HTLV-1 related diseases may vary according to the social circumstances of the affected population. PMID: 24454973 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 16, 2014 Category: Rural Health Authors: Einsiedel L, Spelman T, Goeman E, Cassar O, Arundell M, Gessain A Tags: PLoS Negl Trop Dis Source Type: research

Implementing Evidence-Informed Policy into Practice for Health Care Professionals Managing People with Low Back Pain in Australian Rural Settings: A Preliminary Prospective Single-Cohort Study.
Abstract OBJECTIVE: To provide access to professional development opportunities for health care professionals, especially in rural Australian regions, consistent with recommendations in the Australian National Pain Strategy and state government policy. DESIGN AND SETTING: A preliminary prospective, single-cohort study design, which aligned health policy with evidence-informed clinical practice, evaluated the implementation and effectiveness of an interprofessional, health care provider pain education program (hPEP) for management of nonspecific low back pain (nsLBP) in rural Western Australia. INTERVENTI...
Source: Rural Remote Health - January 16, 2014 Category: Rural Health Authors: Slater H, Briggs AM, Smith AJ, Bunzli S, Davies SJ, Quintner JL Tags: Pain Med Source Type: research

Comparing progress toward the millennium development goal for under-five mortality in Leon and Cuatro Santos, Nicaragua, 1990-2008.
CONCLUSIONS: All rural and urban areas in Nicaragua included in this study were on track to reach MDG4, but social stratification in child survival showed different patterns; unfavorable patterns with increasing inequity in the peri-urban rural zone and a more equitable development in the urban as well as the poor and remote rural area. An equitable progress in child survival may also be accelerated in very poor settings. PMID: 24428933 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 15, 2014 Category: Rural Health Authors: Pérez W, Eriksson L, Blandón EZ, Persson LA, Källestål C, Peña R Tags: BMC Pediatr Source Type: research

Patient Stories: An Innovative Direction for Nurses Providing Support to Hematology Patients in Rural Areas.
CONCLUSION: Most participants believed that a "Patient Stories" DVD would be a beneficial and effective way for nurses delivering psychosocial support to hematology patients. Such benefits included a sense of normalization from hearing similar stories and providing convenient support that did not require travel or potentially uncomfortable social situations. However, some participants did not show interest in the idea for reasons such as already having a local support system and not wanting to watch potentially frightening stories. PMID: 24404922 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 9, 2014 Category: Rural Health Authors: McGrath P, Holewa H Tags: Nurs Forum Source Type: research

A qualitative study of rural primary care clinician views on remote monitoring technologies.
CONCLUSIONS: Adoption of RMTs by rural primary care clinicians may be influenced by equipment purpose and functionality, implementation resources, and payment. Clinician and staff engagement will be critical to actualize RMT use in routine primary care. PMID: 24383486 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 1, 2014 Category: Rural Health Authors: Davis MM, Currey JM, Howk S, Desordi MR, Boise L, Fagnan LJ, Vuckovic N Tags: J Rural Health Source Type: research

Adventures in rural and remote health services innovation: the role of researcher as collaborator.
PMID: 24400936 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 1, 2014 Category: Rural Health Authors: Kosteniuk JG, Morgan DG, Bracken J, Kessler P Tags: Rural Remote Health Source Type: research

Examination of the use of complementary and alternative medicine in Central Appalachia, USA.
Abstract INTRODUCTION: A growing number of people in the USA and worldwide use complementary and alternative medicine (CAM). CAM usage has been reported to differ by region. Little is known about the usage of CAM, especially among the Appalachian region population. The aim of this study is to evaluate the usage of CAM among adults in Central Appalachia. METHODS: A 23-question survey was distributed to 250 participants seeking free medical care at remote area medical events held in Wise County, Virginia in July 2012 and in Buchanan County, Virginia in October 2012. The questions on the survey addressed various...
Source: Rural Remote Health - January 1, 2014 Category: Rural Health Authors: Nguyen D, Gavaza P, Hollon L, Nicholas R Tags: Rural Remote Health Source Type: research

Occupational stress in remote area nursing: development of the Remote Area Nursing Stress Scale (RANSS).
CONCLUSION: The development and validation of the RANSS is a significant advancement in remote area nursing research. The RANSS should be administered on an ongoing basis to monitor occupational stress among nurses working in very remote Australia. The RANSS should also be administered internationally in countries that also accommodate remote health care facilities. This would determine whether the RANSS is a psychometrically valid stress measure beyond the context of very remote Australia. PMID: 24053055 [PubMed - indexed for MEDLINE] (Source: Rural Remote Health)
Source: Rural Remote Health - December 21, 2013 Category: Rural Health Authors: Opie T, Dollard M, Lenthall S, Knight S Tags: J Nurs Meas Source Type: research