Alternative models of cardiac rehabilitation: a systematic review.
Abstract The traditional hospital-based model of cardiac rehabilitation faces substantial challenges, such as cost and accessibility. These challenges have led to the development of alternative models of cardiac rehabilitation in recent years. The aim of this study was to identify and critique evidence for the effectiveness of these alternative models. A total of 22 databases were searched to identify quantitative studies or systematic reviews of quantitative studies regarding the effectiveness of alternative models of cardiac rehabilitation. Included studies were appraised using a Critical Appraisal Skills Progra...
Source: Rural Remote Health - August 13, 2013 Category: Rural Health Authors: Clark RA, Conway A, Poulsen V, Keech W, Tirimacco R, Tideman P Tags: Eur J Prev Cardiol Source Type: research

What factors in rural and remote extended clinical placements may contribute to preparedness for practice from the perspective of students and clinicians?
Conclusions: A longitudinal clinical placement in a rural setting may enable development of enhanced competencies leading to P4P. A rural setting can provide a unique experience through hands-on learning, enhanced personal and professional development opportunities and observation of the cultural and contextual impact on health. PMID: 23930600 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - August 12, 2013 Category: Rural Health Authors: Daly M, Perkins D, Kumar K, Roberts C, Moore M Tags: Med Teach Source Type: research

Use of surgical task shifting to scale up essential surgical services: a feasibility analysis at facility level in Uganda.
CONCLUSION: Whereas surgical task shifting was viewed as a short-term measure alongside efforts to train and retain adequate numbers of surgical specialists, efforts to upscale its use were widely encouraged. PMID: 23915241 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - August 11, 2013 Category: Rural Health Authors: Galukande M, Kaggwa S, Sekimpi P, Kakaire O, Katamba A, Munabi I, Runumi FM, Mills E, Hagopian A, Blair G, Barnhart S, Luboga S Tags: BMC Health Serv Res Source Type: research

Regional, household and individual factors that influence soil transmitted helminth reinfection dynamics in preschool children from rural indigenous Panamá.
CONCLUSIONS/SIGNIFICANCE: Even within the context of extreme poverty in this remote rural setting, the distinct transmission patterns for hookworm, Trichuris and Ascaris highlight the need for multi-pronged intervention strategies. In addition to poverty reduction, improved sanitation and attention to chronic malnutrition will be key to reducing Ascaris and hookworm transmission. PMID: 23437411 [PubMed - indexed for MEDLINE] (Source: Rural Remote Health)
Source: Rural Remote Health - August 6, 2013 Category: Rural Health Authors: Halpenny CM, Paller C, Koski KG, Valdés VE, Scott ME Tags: PLoS Negl Trop Dis Source Type: research

Telepointer technology in telemedicine: a review.
Abstract Telepointer is a powerful tool in the telemedicine system that enhances the effectiveness of long-distance communication. Telepointer has been tested in telemedicine, and has potential to a big influence in improving quality of health care, especially in the rural area. A telepointer system works by sending additional information in the form of gesture that can convey more accurate instruction or information. It leads to more effective communication, precise diagnosis, and better decision by means of discussion and consultation between the expert and the junior clinicians. However, there is no review pape...
Source: Rural Remote Health - August 6, 2013 Category: Rural Health Authors: Abdul Karim R, Zakaria NF, Zulkifley MA, Mustafa MM, Sagap I, Md Latar NH Tags: Biomed Eng Online Source Type: research

Regional and remote occupational therapy: A preliminary exploration of private occupational therapy practice.
CONCLUSIONS: There is a potential market failure of private occupational therapy in rural and remote areas, impacting on people who need these services and on workforce replacement. Contributing factors include population imbalance between cities and regional/remote areas, financial implications where only face-to-face contact is paid for and low incomes and levels of health insurance in regional/remote areas. Potential strategies include addressing the lack of reimbursement for travel, enabling private providers to overcome barriers to providing student placements and recognising rural practice as a specialist field. ...
Source: Rural Remote Health - July 31, 2013 Category: Rural Health Authors: Merritt J, Perkins D, Boreland F Tags: Aust Occup Ther J Source Type: research

The Young Person Check: screening for sexually transmitted infections and chronic disease risk in remote Aboriginal and Torres Strait Islander youth.
Conclusions : Positive outcomes of the YPC program, including satisfactory participation, rest on a rigorous approach to planning, recruitment and implementation; provision for STI follow-up; and data management. Implications : Testing and treatment strategies form an important element of efforts to address endemic STI and reduce HIV risk in remote Australian populations. Complementary population testing strategies will continue to be utilised and may contribute, if coverage is satisfactory. Programs such as the YPC should be considered in settings where the conditions outlined here can be met. PMID: 23895473 [PubMed ...
Source: Rural Remote Health - July 31, 2013 Category: Rural Health Authors: Fagan P, Cannon F, Crouch A Tags: Aust N Z J Public Health Source Type: research

Benefits of modest weight or waist circumference loss in a remote North Queensland Indigenous population.
Conclusions : This study shows potentially large beneficial effects of weight or waist circumference loss over several years in a remote living Indigenous cohort. The associations were large enough to be of clinical benefit, despite weight loss being modest for most. PMID: 23895477 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - July 31, 2013 Category: Rural Health Authors: D'Onise K, McDermott RA, Campbell SK Tags: Aust N Z J Public Health Source Type: research

A national audit of Australian dental practice distribution: do all Australians get a fair deal?
This study located every dental practice in the country (private and public) and mapped these practices against population. The total population of Australia (21.5 million) is distributed across 8,529 suburbs. On average about one-third of the population from each State lives in suburbs without practices and 46% live in suburbs with one to five dentists. Of those living within the study frameset, 86.6% live within 5 km of a private practice and 84.4% live within 10 km of a government practice. Australia's dental practices are distributed in a very uneven fashion across its vast area. Three-quarters of suburb...
Source: Rural Remote Health - July 27, 2013 Category: Rural Health Authors: Tennant M, Kruger E Tags: Int Dent J Source Type: research

Prevalence and Associated Risk Indicators of Retinopathy in a Rural Bangladeshi Population with and without Diabetes.
Conclusion: A high prevalence of retinopathy was observed in this rural Bangladeshi population. In addition to blood glucose control for diabetes, screening for hypertension, obesity, hyperlipidemia and proteinuria as well as adequate treatment of these risk indicators may prevent retinopathy in rural Bangladeshi populations. PMID: 23865602 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - July 22, 2013 Category: Rural Health Authors: Akhter A, Fatema K, Ahmed SF, Afroz A, Ali L, Hussain A Tags: Ophthalmic Epidemiol Source Type: research

Preventing the preventable through effective surveillance: the case of diphtheria in a rural district of Maharashtra, India.
CONCLUSIONS: The outbreak raises several concerns regarding the epidemiology of diphtheria in Dhule. The reason for shift in the median age despite consistently poor immunization coverage (below 50%) remains unclear. Concomitant efforts should now focus on improving and monitoring primary immunization and booster coverages across all age groups. Gradually introducing adult immunization at ten year intervals may become necessary to prevent future vulnerabilities. Laboratory networks for genotyping and toxigenicity testing are urgently mandated at district level given the endemicity of the disease in the surrounding region a...
Source: Rural Remote Health - July 17, 2013 Category: Rural Health Authors: Phalkey RK, Bhosale RV, Joshi AP, Wakchoure SS, Tambe MP, Awate P, Marx M Tags: BMC Public Health Source Type: research

Rural and remote early psychosis intervention services: the Gordian knot of early intervention.
CONCLUSIONS: The observed data from these two rural models suggest that there may be differing outcomes. There are limitations to this study, and this paper does not address why there are differences. Future work needs to continue to further explore why differences exist and whether they persist so we can provide equity and quality care for rural and remote populations. PMID: 23841694 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - July 11, 2013 Category: Rural Health Authors: Cheng C, Dewa CS, Langill G, Fata M, Loong D Tags: Early Interv Psychiatry Source Type: research

Rural health professionals' perspectives on providing grief and loss support in cancer care.
Abstract Research demonstrates considerable inequalities in service delivery and health outcomes for people with cancer living outside large metropolitan cities. Semi-structured interviews with 11 professionals providing grief and loss support for people with cancer and their families in rural, regional, and remote areas Western Australia revealed the challenges they faced in delivering such support. The data are presented in four themes - Inequity of regional versus metropolitan services, Strain of the 'Jack of all trades' role, Constraints to accessing professional development, and Challenges in delivering post-...
Source: Rural Remote Health - July 8, 2013 Category: Rural Health Authors: Breen LJ, O'Connor M Tags: Eur J Cancer Care (Engl) Source Type: research

Rural Patients' Knowledge About Heart Failure.
CONCLUSIONS:: Patients who are at risk for poor self-care because of low levels of HF knowledge can be identified. Older patients, men, and, patients with HF with preserved systolic function may require special educational strategies to gain the knowledge required for effective self-care. PMID: 23839575 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - July 8, 2013 Category: Rural Health Authors: Dracup K, Moser DK, Pelter MM, Nesbitt T, Southard J, Paul SM, Robinson S, Hemsey JZ, Cooper L Tags: J Cardiovasc Nurs Source Type: research

Can the fetal fibronectin test be used by remote dwelling pregnant women to predict the onset of labour at term and delay transfer for birth in regional settings?
CONCLUSION: The presence of fFN in cervical secretions was associated with impending term birth but its absence did not reliably exclude the onset of birth. Delaying transfer based on these findings would result in some women birthing in their home communities. PMID: 23351083 [PubMed - indexed for MEDLINE] (Source: Rural Remote Health)
Source: Rural Remote Health - July 4, 2013 Category: Rural Health Authors: Rumbold A, Kruske S, Boyle J, Weckert R, Putland S, Giles L, Barclay L, Kildea S Tags: Rural Remote Health Source Type: research

Dementia knowledge transfer project in a rural area.
CONCLUSION: This embedded engagement model appeared to produce more rapid change than traditional models of use of academic knowledge. PMID: 23351122 [PubMed - indexed for MEDLINE] (Source: Rural Remote Health)
Source: Rural Remote Health - July 4, 2013 Category: Rural Health Authors: Stark C, Innes A, Szymczynska P, Forrest L, Proctor K Tags: Rural Remote Health Source Type: research

Health ownership in American indigenous communities.
CONCLUSION: Reinstating notions of ownership in multiple paradigms, along with novel approaches to empowerment is requisite to creating viable solutions to the unique health circumstances in Native America. This article demonstrates the importance and need of more qualitative data to better characterize how PL 93-638 healthcare delivery is actually experienced by AIAN patients. PMID: 23614503 [PubMed - indexed for MEDLINE] (Source: Rural Remote Health)
Source: Rural Remote Health - July 4, 2013 Category: Rural Health Authors: Nelson M Tags: Rural Remote Health Source Type: research

Accommodation in pediatric oncology: parental experiences, preferences and unmet needs.
CONCLUSIONS: With a large percentage of families travelling long distances for treatment at SCH, it is important to assess their accommodation needs and experiences. Although parents positively appraised the accommodation options they utilized, they also provided useful suggestions for enhancing the experiences of future families. There is a clear need for greater access to accommodation specifically tailored to suit the needs or preferences of families from rural and remote locations. PMID: 23621328 [PubMed - indexed for MEDLINE] (Source: Rural Remote Health)
Source: Rural Remote Health - July 4, 2013 Category: Rural Health Authors: Daniel G, Wakefield CE, Ryan B, Fleming CA, Levett N, Cohn RJ Tags: Rural Remote Health Source Type: research

Urban-rural differences in Spanish menopausal women.
acute;rez M Abstract INTRODUCTION: Most women spend one-third to half of their lifespan in the postmenopausal phase. As menopause involves biological and psychosocial changes that may significantly impair quality of life, the objectives of this study were to: (1) evaluate the prevalence of risk factors for osteoporosis and cardiovascular disease and the prevalence and severity of the appearance of menopausal symptoms among rural and urban Spanish menopausal women; (2) identify the main factors responsible for severity of symptoms; and (3) detect symptom differences between rural and urban women. METHODS: This...
Source: Rural Remote Health - July 4, 2013 Category: Rural Health Authors: Martínez JA, Palacios S, Chavida F, Pérez M Tags: Rural Remote Health Source Type: research

Migrant farm-workers and health.
PMID: 23641804 [PubMed - indexed for MEDLINE] (Source: Rural Remote Health)
Source: Rural Remote Health - July 4, 2013 Category: Rural Health Authors: Peach HG Tags: Rural Remote Health Source Type: research

Considering Aboriginal palliative care models: the challenges for mainstream services.
Abstract This review discusses palliative care and end-of-life models of care for Aboriginal people in the Australian state New South Wales, and considers Aboriginal palliative care needs by reflecting on recent literature and lessons derived from Aboriginal consultation. Aboriginal people in Australia account for a very small proportion of the population, have poorer health outcomes and their culture demonstrates a clear resistance to accessing mainstream health services which are viewed as powerful, isolating and not relevant to their culture, way of life, family and belief systems. Aboriginal people regard thei...
Source: Rural Remote Health - July 4, 2013 Category: Rural Health Authors: O'Brien AP, Bloomer MJ, McGrath P, Clark K, Martin T, Lock M, Pidcock T, van der Riet P, O'Connor M Tags: Rural Remote Health Source Type: research

Training and experience of nurses in responding to alcohol misuse in rural communities.
CONCLUSIONS: The AITP is an effective training program. It can be further tailored to meet common needs of rural and remote nurses working with farmers who misuse alcohol, while recognizing diversity in rural practice. PMID: 23808858 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - July 1, 2013 Category: Rural Health Authors: Kennedy AJ, Mellor D, McCabe MP, Ricciardelli LA, Brumby SA, Head A, Mercer-Grant C Tags: Public Health Nurs Source Type: research

Horizontal equity and efficiency at primary health care facilities in rural Afghanistan: A seemingly unrelated regression approach.
Abstract Producing services efficiently and equitably are important goals for health systems. Many countries pursue horizontal equity - providing people with the same illnesses equal access to health services - by locating facilities in remote areas. Staff are often paid incentives to work at such facilities. However, there is little evidence on how many fewer people are treated at remote facilities than facilities in more densely settled areas. This research explores if there is an association between the efficiency of health centers in Afghanistan and the remoteness of their location. Survey teams collected data...
Source: Rural Remote Health - June 6, 2013 Category: Rural Health Authors: Johns B, Steinhardt L, Walker DG, Peters DH, Bishai D Tags: Soc Sci Med Source Type: research

Pilot project and evaluation of delivering diabetes work-based education using video conferencing.
Abstract CONTEXT: Diabetes is a chronic long-term disease with an increasing incidence. There is a need to increase access to effective care and to ensure such care is delivered as locally as possible. The geographical spread of NHS Highland Scotland presents additional challenges to ensuring a skilled workforce given education is normally work-based tuition and assessment. The aim of this pilot project was to deliver teleconferenced diabetes training to healthcare and allied healthcare professionals who provide basic level care for, and management of, people with diabetes and to evaluate this training. ISSUE...
Source: Rural Remote Health - May 28, 2013 Category: Rural Health Authors: Maltinsky W, Hall S, Grant L, Simpson K, MacRury S Tags: Rural Remote Health Source Type: research

Physical health in a Canadian Old Order Mennonite community.
CONCLUSIONS: The determinants shaping physical health in both groups (coping, body mass index, childhood disease history, age) are consistent with other studies on urban populations and people whose life circumstances vary widely. Therefore, these determinants represent targets for policy action because of their potential for widespread population health impacts. Ultimately, the fundamental health risk factors faced by small, isolated populations like OOMs appear to be common to other rural and general populations. The absence of social factors in shaping physical health in both groups differs from a number of social capit...
Source: Rural Remote Health - May 28, 2013 Category: Rural Health Authors: Fisher KA, Newbold KB, Eyles JD, Elliott SJ Tags: Rural Remote Health Source Type: research

Comment: Cost and returns related to medical education in rural and remote locations.
PMID: 23692549 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - May 28, 2013 Category: Rural Health Authors: Walsh K Tags: Rural Remote Health Source Type: research

Illicit and prescription drug problems among urban Aboriginal adults in Canada: The role of traditional culture in protection and resilience.
Abstract Illicit and prescription drug use disorders are two to four times more prevalent among Aboriginal peoples in North America than the general population. Research suggests Aboriginal cultural participation may be protective against substance use problems in rural and remote Aboriginal communities. As Aboriginal peoples continue to urbanize rapidly around the globe, the role traditional Aboriginal beliefs and practices may play in reducing or even preventing substance use problems in cities is becoming increasingly relevant, and is the focus of the present study. Mainstream acculturation was also examined. D...
Source: Rural Remote Health - May 28, 2013 Category: Rural Health Authors: Currie CL, Wild TC, Schopflocher DP, Laing L, Veugelers P Tags: Soc Sci Med Source Type: research

Rural Remote Health; +133 new citations
133 new pubmed citations were retrieved for your search. Click on the search hyperlink below to display the complete search results: Rural Remote Health These pubmed results were generated on 2013/05/23PubMed, a service of the National Library of Medicine, includes over 15 million citations for biomedical articles back to the 1950's. These citations are from MEDLINE and additional life science journals. PubMed includes links to many sites providing full text articles and other related resources. (Source: Rural Remote Health)
Source: Rural Remote Health - May 23, 2013 Category: Rural Health Tags: Report Source Type: research

Implementation of a successful electronic wound documentation system in rural Victoria, Australia: a subject of collaboration and community engagement.
This study trialled the use of a shared electronic wound reporting and imaging system in combination with an expert remote wound consultation service for the management of patients with chronic and acute wounds in Gippsland. The trial sites included four rural Home and Community Health Care providers. Considerable effort was put into designing a best practice e-health care programme. There was support from managers and clinicians at regional and local levels to address an area of health care considered a priority. Various issues contributing to the successful implementation of the wound care project were identified: the tr...
Source: Rural Remote Health - February 19, 2013 Category: Rural Health Authors: Khalil H, Cullen M, Chambers H, Steers N, Walker J Tags: Int Wound J Source Type: research

Cancer Survival and Excess Mortality Estimates among Adolescents and Young Adults in Western Australia, 1982-2004: A Population-Based Study.
Abstract BACKGROUND: Data are limited on cancer outcomes in adolescents and young adults. METHODS: Based on data from the Western Australian Data Linkage System, this study modelled survival and excess mortality in all adolescents and young adults aged 15-39 years in Western Australia who had a diagnosis of cancer in the period 1982-2004. Relative survival and excess all-cause mortality for all cancers combined and for principal tumour subgroups were estimated, using the Ederer II method and generalised linear Poisson modelling, respectively. RESULTS: A cancer diagnosis in adolescents and young adults co...
Source: Rural Remote Health - February 15, 2013 Category: Rural Health Authors: Haggar FA, Pereira G, Preen DD, Holman CD, Einarsdottir K Tags: PLoS One Source Type: research

Bridging the Gap: Innovative Approaches to Continuing Education in Rural, Remote, and Isolated First Nation Communities.
Abstract Access to education, communication, and support is essential for achieving and maintaining a skilled healthcare workforce. Delivering affordable and accessible continuing education for healthcare providers in rural, remote, and isolated First Nation communities is challenging due to barriers such as geography, isolation, costs, and staff shortages. The innovative use of technology, such as on-line courses and webinars, will be presented as a highly effective approach to increase access to continuing education for healthcare providers in these settings. A case study will be presented demonstrating how a na...
Source: Rural Remote Health - February 14, 2013 Category: Rural Health Authors: Scott T, Menzies C, Chenard G, Spence M Tags: Semin Dial Source Type: research

Teleneurology applications: Report of the Telemedicine Work Group of the American Academy of Neurology.
CONCLUSIONS: Teleneurology is an effective tool for the rapid evaluation of patients in remote locations requiring neurologic care. These underserved locations include geographically isolated rural areas as well as urban cores with insufficient available neurology specialists. With this technology, neurologists will be better able to meet the burgeoning demand for access to neurologic care in an era of declining availability. An increase in physician awareness and support at the federal and state level is necessary to facilitate expansion of telemedicine into further areas of neurology. PMID: 23400317 [PubMed - as sup...
Source: Rural Remote Health - February 12, 2013 Category: Rural Health Authors: Wechsler LR, Tsao JW, Levine SR, Swain-Eng RJ, Adams RJ, Demaerschalk BM, Hess DC, Moro E, Schwamm LH, Steffensen S, Stern BJ, Zuckerman SJ, Bhattacharya P, Davis LE, Yurkiewicz IR, Alphonso AL, For the American Academy of Neurology Telemedicine Work Grou Tags: Neurology Source Type: research

Rural speech-language pathologists' perceptions of working with allied health assistants.
Abstract Workforce shortages are forecast for speech-language pathology in Australia, and will have a more significant impact on rural and remote areas than on metropolitan areas. Allied health (AH) disciplines such as physiotherapy and occupational therapy address the problem of workforce shortages and growing clinical demand by employing allied health assistants (AHAs) to provide clinical and administrative support to AH professionals. Currently, speech-language pathologists (SLPs) don't work with discipline-specific allied health assistants in all states of Australia (e.g., New South Wales). This paper aims to ...
Source: Rural Remote Health - February 8, 2013 Category: Rural Health Authors: O'Brien R, Byrne N, Mitchell R, Ferguson A Tags: Int J Speech Lang Pathol Source Type: research

The contribution of spatial analysis to understanding HIV/TB mortality in children: a structural equation modelling approach.
Conclusion: Low socio-economic status and maternal deaths impacted indirectly and directly on child mortality, respectively. These factors are major concerns locally and should be used in formulating interventions to reduce child mortality. Spatial prediction maps can guide policy makers to target interventions where they are most needed. PMID: 23364095 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - February 6, 2013 Category: Rural Health Authors: Musenge E, Vounatsou P, Collinson M, Tollman S, Kahn K Tags: Glob Health Action Source Type: research

The communicative power of nurse practitioners in multidisciplinary primary healthcare teams.
CONCLUSIONS: The study's conclusions concern the structure of the intrateam knowledge-exchange behaviors and, in particular, the role of the NP as knowledge boundary spanner. IMPLICATIONS FOR PRACTICE: The study hypothesizes that the hallmark of well-functioning multidisciplinary teams is the effective intrateam knowledge exchange and that Saskatchewan's new NPs bring a "boundary-spanning" capacity to the knowledge exchange of the province's multidisciplinary primary healthcare teams. The study fills this gap in the conceptual and empirical research within the evolving context of the reorganization of primar...
Source: Rural Remote Health - February 1, 2013 Category: Rural Health Authors: Quinlan E, Robertson S Tags: J Am Acad Nurse Pract Source Type: research

Dental care provision by students on a remote rural clinical placement.
Conclusion: Clinical placement of final-year dental students in remote rural settings has helped address a largely unmet dental need in these regions. Implications: Dental student clinical placement is effective in providing care to communities in a remote rural setting. Student placements are, however, only able to deliver dental care in few remote rural communities, and therefore will make a negligible impact on the level of untreated dental disease in the short term. It is hoped that the experience will lead to more graduates serving some of their professional lives in remote communities. PMID: 23379805 [PubMed - i...
Source: Rural Remote Health - February 1, 2013 Category: Rural Health Authors: Lalloo R, Evans JL, Johnson NW Tags: Aust N Z J Public Health Source Type: research

Heart disease in women in remote Australia: urban-rural differences after adjusting for lifestyle behaviours and socio-demographic factors.
PMID: 23379812 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - February 1, 2013 Category: Rural Health Authors: McLaughlin D, Hockey R, Mishra G Tags: Aust N Z J Public Health Source Type: research

Impact of the mining industry on the mental health of landholders and rural communities in southwest Queensland.
CONCLUSIONS: The rural communities in this region are under sustained stress resulting from the incursion of the mining and coal seam gas industries. This has an impact on community mental health and wellbeing. PMID: 23344802 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 26, 2013 Category: Rural Health Authors: Hossain D, Gorman D, Chapelle B, Mann W, Saal R, Penton G Tags: Australas Psychiatry Source Type: research

Delivering Genetic Education and Genetic Counseling for Rare Diseases in Rural Brazil.
es AH Abstract Brazil is the largest country in Latin America, with an ethnically diverse, Portuguese-speaking and predominantly Roman Catholic population of some 194 million. Universal health care is provided under the Federal Unified Health System (Sistema Único de Saúde) but, as in many other middle and low income countries, access to medical genetics services is limited in rural and remote regions of the country. Since there is no formally recognized Genetic Counseling profession, genetic counseling is provided by physicians, trained either in medical genetics or a related clinical discipline. A ...
Source: Rural Remote Health - January 22, 2013 Category: Rural Health Authors: Acosta AX, Abé-Sandes K, Giugliani R, Bittles AH Tags: J Genet Couns Source Type: research

Local perceptions of cholera and anticipated vaccine acceptance in Katanga province, democratic republic of Congo.
CONCLUSIONS: Results suggest a high motivation to use an OCV as long as it seems affordable. The needs of socially marginalized groups such as fishermen may have to be explicitly addressed when preparing for a mass vaccination campaign. PMID: 23339647 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 22, 2013 Category: Rural Health Authors: Merten S, Schaetti C, Manianga C, Lapika B, Chaignat CL, Hutubessy R, Weiss MG Tags: BMC Public Health Source Type: research

Male reproductive health disorders among Aboriginal and Torres Strait Islander men: a hidden problem?
Abstract Objective: To better understand help-seeking behaviours and reproductive health disorders among Aboriginal and Torres Strait Islander men.Design, setting and participants: A cross-sectional mixed-methods study conducted from 1 May 2004 to 30 April 2005 of 293 Aboriginal and Torres Strait Islander men aged 18 2013s and over from urban, rural and remote communities in the Northern Territory and Queensland.Main outcome measures: Subscale of the International Index of Erectile Function, self-reported help-seeking behaviours for erectile dysfunction (ED) and prostate disease, them...
Source: Rural Remote Health - January 21, 2013 Category: Rural Health Authors: Adams MJ, Collins VR, Dunne MP, de Kretser DM, Holden CA Tags: Med J Aust Source Type: research

Using ArcMap, Google Earth, and Global Positioning Systems to select and locate random households in rural Haiti.
CONCLUSIONS: The method used to generate and field locate random homes for surveys and water sampling was an effective means of selecting random households in a rural environment lacking geolocation infrastructure. The success rate for locating households using a handheld GPS was excellent and only rarely was local knowledge required to identify and locate households. This method provides an important technique that can be applied to other developing countries where a randomized study design is needed but infrastructure is lacking to implement more traditional participant selection methods. PMID: 23331997 [PubMed - as...
Source: Rural Remote Health - January 18, 2013 Category: Rural Health Authors: Wampler PJ, Rediske RR, Molla AR Tags: Int J Health Geogr Source Type: research

Water Fluoridation and the Association of Sugar-Sweetened Beverage Consumption and Dental Caries in Australian Children.
Conclusions. Consumption of SSBs should be considered a major risk factor for dental caries. However, increased exposure to fluoridated public water helped ameliorate the association between SSB consumption and dental decay. These results reconfirm the benefits of community water fluoridation for oral health. (Am J Public Health. Published online ahead of print January 17, 2013: e1-e7. doi:10.2105/AJPH.2012.300889). PMID: 23327241 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 17, 2013 Category: Rural Health Authors: Armfield JM, Spencer AJ, Roberts-Thomson KF, Plastow K Tags: Am J Public Health Source Type: research

Local use of geographic information systems to improve data utilisation and health services: mapping caesarean section coverage in rural Rwanda.
Abstract OBJECTIVES: To show the utility of combining routinely collected data with geographic location using a Geographic Information System (GIS) in order to facilitate a data-driven approach to identifying potential gaps in access to emergency obstetric care within a rural Rwandan health district. METHODS: Total expected births in 2009 at sub-district levels were estimated using community health worker collected population data. Clinical data were extracted from birth registries at eight health centres (HCs) and the district hospital (DH). C-section rates as a proportion of total expected births were mappe...
Source: Rural Remote Health - January 1, 2013 Category: Rural Health Authors: Sudhof L, Amoroso C, Barebwanuwe P, Munyaneza F, Karamaga A, Zambotti G, Drobac P, Hirschhorn LR Tags: Trop Med Int Health Source Type: research

Unintentional Injury, Psychological Distress and Depressive Symptoms: Is There an Association for Rural Australians?
Conclusions: This study supports the hypothesis that pre-existing depression is associated with unintentional injury in a rural sample and indicates the important role of prior depression in management of injury, given the high rate of injury in rural communities. Mechanisms by which prior depression increases likelihood of unintentional injury will be further investigated using longitudinal data. PMID: 23289650 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 1, 2013 Category: Rural Health Authors: Fragar L, Inder KJ, Kelly BJ, Coleman C, Perkins D, Lewin TJ Tags: J Rural Health Source Type: research

Comparing the experiences of rural and urban family caregivers of the terminally ill.
CONCLUSION: Through the use of standardized tools, this study explored the experiences of rural informal family caregivers providing palliative care in contrast to the experiences of their urban counterparts. The results of the present study suggest that while there are commonalities to the caregiving experience regardless of setting, key differences also exist. Thus, location is a factor to be considered when implementing palliative care programs and services. PMID: 23294373 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 1, 2013 Category: Rural Health Authors: Brazil K, Kaasalainen S, Williams A, Rodriguez C Tags: Rural Remote Health Source Type: research

Ophthalmological disorders in rural areas of Crete: a geospatial analysis.
CONCLUSION: The present study supports the use of local policies and preventive measures in rural areas of Crete in order to improve rural health standards. Some insights concerning the effectiveness of future visits of MOUs are provided, guided by spatial analysis. PMID: 23294415 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 1, 2013 Category: Rural Health Authors: Pistolla G, Tsilimparis MK, Prastacos P, Sifaki-Pistolla D, Philalithis A, Pallikaris IG Tags: Rural Remote Health Source Type: research

Surgical outreach program in poor rural Nigerian communities.
CONCLUSION: Surgical pathologies in rural communities are often multiple, wide ranging and of long duration. Such conditions can be successfully managed under local or spinal anaesthesia. Based on the authors' experience, a remarkable reduction in surgical disease burden is feasible in these communities using available, simple but effective options. PMID: 23317309 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 1, 2013 Category: Rural Health Authors: Ojo EO, Okoi E, Umoiyoho AJ, Nnamonu M Tags: Rural Remote Health Source Type: research

"I live in a bubble": Speech-language therapy and audiology students' expectations and experiences of a rural community work practicum.
CONCLUSIONS: This study holds significant implications for preparing students to work in challenging contexts and rural communities both in South Africa and abroad. The results suggest that a one-off practicum is not sufficient to sensitize students to the challenges of rural work and enable them to overcome anxieties. Rather, a sustained commitment to rural community work should be introduced early on in the curriculum and educators should be encouraged to reflect on their own attitudes, experiences, biases and anxieties towards community work. PMID: 23317350 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 1, 2013 Category: Rural Health Authors: Watermeyer J, Barratt J Tags: Rural Remote Health Source Type: research

Internet connectivity among rural Alabama veterans: baseline findings from the Alabama Veterans Rural Health Initiative Project.
CONCLUSION: In comparison with population norms, rural veterans displayed lower usage of the Internet; however, there were few practical age differences between young, middle-aged and older rural veterans in use of the Internet for seeking health information. These results suggest a tremendous potential for online outreach efforts to rural veterans seeking health information and information regarding VA services and benefits. The US Federal Government's VA Office of Rural Health is investing in technology-based services and will need to disseminate information regarding the availability of these services to rural veterans....
Source: Rural Remote Health - January 1, 2013 Category: Rural Health Authors: Allen RS, Guadagno RE, Parmelee P, Minney JA, Hilgeman MM, Tabb KD, McNeil SF, Houston T, Kertesz S, Davis L Tags: Rural Remote Health Source Type: research