High Performance of Histidine-Rich Protein 2 Based Rapid Diagnostic Tests in French Guiana are Explained by the Absence of pfhrp2 Gene Deletion in P. falciparum.
CONCLUSIONS: Field isolates lacking either exon of the pfhrp2 gene are absent in this western part of South America. Despite its sensibility to detect P. vivax, the SD Malaria Ag test P.f/Pan® kit is a satisfying alternative to microscopy in remote health centers, where it is difficult to provide highly skilled microscopists and to maintain the necessary equipment. PMID: 24086328 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - October 8, 2013 Category: Rural Health Authors: Trouvay M, Palazon G, Berger F, Volney B, Blanchet D, Faway E, Donato D, Legrand E, Carme B, Musset L Tags: PLoS One Source Type: research

Giving voice to food insecurity in a remote indigenous community in subarctic Ontario, Canada: traditional ways, ways to cope, ways forward.
CONCLUSIONS: Findings point to the continued importance of traditional food acquisition and food sharing, as well as community solutions for food systems change. These data highlight that traditional and store-bought food are both part of the strategies and solutions participants suggested for coping with food insecurity. Public health policies to improve food security for FN populations are urgently needed. PMID: 23639143 [PubMed - indexed for MEDLINE] (Source: Rural Remote Health)
Source: Rural Remote Health - October 3, 2013 Category: Rural Health Authors: Skinner K, Hanning RM, Desjardins E, Tsuji LJ Tags: BMC Public Health Source Type: research

Indigenous perspectives on active living in remote Australia: a qualitative exploration of the socio-cultural link between health, the environment and economics.
CONCLUSION: This different construction of physical activity in remote Indigenous communities highlights the importance of involving Indigenous people in the development and implementation of physical activity promotion. Physical activities associated with traditional Indigenous cultural practices and being active 'on country' need to be viewed as legitimate health promotion activities. Exploring further ways to enable Indigenous people in remote NT to be involved in creating viable active livelihoods on 'traditional country' needs to be considered as imperative to health improvement. PMID: 23672247 [PubMed - indexed ...
Source: Rural Remote Health - September 28, 2013 Category: Rural Health Authors: Thompson SL, Chenhall RD, Brimblecombe JK Tags: BMC Public Health Source Type: research

Comparison of access to services in rural emergency departments in Quebec and British Columbia.
Conclusions:The results suggest that major differences exist in access to support services in rural EDs in British Columbia and Quebec. A nationwide study is justified to address this issue of variability in rural and remote health service delivery and its impact on interfacility transfers and patient outcomes. PMID: 24064348 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 28, 2013 Category: Rural Health Authors: Fleet R, Audette LD, Marcoux J, Villa J, Archambault P, Poitras J Tags: CJEM Source Type: research

Health Related Lifestyle and Preventive Medical Care of Rural Spanish Women Compared to Their Urban Counterparts.
The objective of this work is to study the differences in health related behavior, habits and preventive health care attendance between women living in rural areas and their metropolitan counterparts in Spain. We analyzed health related behavior (such as leisure time physical activity, smoking, alcohol use and other health related dietary patterns) and preventive medical attendance (gynecological attendance, mammography frequency, flu vaccinations, cholesterol and blood pressure checks) in a total of 17,833 women older than 16 from the Spanish National Health Survey 2006. A multinomial logistic regression model was employe...
Source: Rural Remote Health - September 22, 2013 Category: Rural Health Authors: De la Cruz-Sánchez E, Aguirre-Gómez L Tags: J Immigr Minor Health Source Type: research

Acupuncture referrals in rural primary healthcare: a survey of general practitioners in rural and regional New South Wales, Australia.
CONCLUSIONS: There is a significant interface between acupuncture and Australian rural and regional general practice, with generally high levels of support for acupuncture. PMID: 24045036 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - September 17, 2013 Category: Rural Health Authors: Wardle JL, Sibbritt D, Adams J Tags: Acupunct Med Source Type: research

Transforming rural health systems through clinical academic leadership: lessons from South Africa.
Abstract CONTEXT: Under-resourced and poorly managed rural health systems challenge the achievement of universal health coverage, and require innovative strategies worldwide to attract healthcare staff to rural areas. One such strategy is rural health training programs for health professionals. In addition, clinical leadership (for all categories of health professional) is a recognised prerequisite for substantial improvements in the quality of care in rural settings. ISSUE: Rural health training programs have been slow to develop in low- and middle-income countries (LMICs); and the impact of clinical leaders...
Source: Rural Remote Health - September 14, 2013 Category: Rural Health Authors: Doherty JE, Couper ID, Campbell D, Walker J Tags: Rural Remote Health Source Type: research

Fifteen years of change in the food environment in a rural Mexican community: the Maycoba project.
CONCLUSION: Although there have been a number of changes in the food environment during the 15 year period, a traditional subsistence-based lifestyle prevails. PMID: 24010521 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 14, 2013 Category: Rural Health Authors: Chaudhari LS, Begay RC, Schulz LO Tags: Rural Remote Health Source Type: research

The experience of relocation for specialist treatment for indigenous women diagnosed with vulvar cancer in East arnhem land.
Abstract Vulvar cancer is a serious condition that requires a range of specialist treatments including surgery, chemotherapy, and radiation. In Australia, such treatments are only available in major metropolitan hospitals. Thus, women diagnosed with this condition in rural and remote areas must relocate to the metropolitan specialist centers for treatment. The focus of this article is on the experience of relocation for specialist care for Indigenous women diagnosed with vulvar cancer from East Arnhem Land, Northern Territory, Australia. The findings presented in this article explore a range of issues that affect ...
Source: Rural Remote Health - September 14, 2013 Category: Rural Health Authors: McGrath P, Rawson N Tags: J Psychosoc Oncol Source Type: research

Mobile primary healthcare services and health outcomes of children in rural Namibia.
This study assessed the health changes of orphans and other vulnerable and non-vulnerable children visiting a mobile clinic in rural Namibia. METHODS: Over a 6 month period, information on immunization status, diagnosis of anemia, skin and intestinal disorders, nutrition, dental disorders and referrals was collected from the records of a mobile clinic serving farms and surrounding areas in parts of rural Namibia. Data were compared for all children with visits in months 1 or 2 (baseline) and a visit in months 5 or 6 (follow up). Data for a cohort of children seen at both time points (the longitudinal group) were also ...
Source: Rural Remote Health - September 14, 2013 Category: Rural Health Authors: Aneni E, De Beer IH, Hanson L, Rijnen B, Brenan AT, Feeley FG Tags: Rural Remote Health Source Type: research

Determinants of acute diarrhoea among children under five years of age in Derashe District, Southern Ethiopia.
CONCLUSIONS: The determinants of acute diarrhoea were of high preventive value (latrine ownership, availability of home-based water treatment, source of water and consumption of left-over food stored at room temperature), therefore health education on different mechanisms in diarrhoeal disease causation, and prevention methods, is recommended. PMID: 24016301 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 14, 2013 Category: Rural Health Authors: Godana W, Mengistie B Tags: Rural Remote Health Source Type: research

Appalachian women's perspectives on breast and cervical cancer screening.
CONCLUSIONS: Interpreting findings in terms of consumer information processing theory, healthcare providers and supports play a key role in educating and influencing the screening uptake among Appalachian Kentucky women. These findings have the potential to inform innovative and culturally consonant intervention approaches capable of increasing screening and decreasing mortality rates. PMID: 24016336 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 14, 2013 Category: Rural Health Authors: Schoenberg NE, Kruger TM, Bardach S, Howell BM Tags: Rural Remote Health Source Type: research

Interventions for supporting nurse retention in rural and remote areas: an umbrella review.
CONCLUSIONS: This overview provides a guide to orient future rural and remote nurse retention interventions. We distinguish four broad types of interventions: education and continuous professional development interventions, regulatory interventions, financial incentives, and personal and professional support. More knowledge is needed regarding the effectiveness of specific strategies to address the factors known to contribute to nurse retention in rural and remote areas. In order to ensure knowledge translation, retention strategies should be rigorously evaluated using appropriate designs. PMID: 24025429 [PubMed - as ...
Source: Rural Remote Health - September 11, 2013 Category: Rural Health Authors: Mbemba G, Gagnon MP, Paré G, Côté J Tags: Hum Resour Health Source Type: research

Quality of pathology services: new strategic directions required.
Abstract PURPOSE: The purpose of this paper is to discuss the challenges faced in Australia to maintain and sustain quality in pathology services, and present new strategic directions to address such challenges. DESIGN/METHODOLOGY/APPROACH: The paper is a review of the literature on pathology services and its quality of delivery and emerging issues. FINDINGS: Major issues are emerging in pathology services which threaten to impact on the quality of future service delivery. These issues include workforce shortages, growth in inappropriate testing, advancing technology, rural and remote region servicing, a...
Source: Rural Remote Health - September 10, 2013 Category: Rural Health Authors: Isouard G Tags: Int J Health Care Qual Assur Source Type: research

Online Mental Health Resources in Rural Australia: Clinician Perceptions of Acceptability.
CONCLUSIONS: Successful implementation of online mental health resources in the rural context requires attention to clinician perceptions of acceptability. Promotion of online mental health resources to rural clinicians should include information about resource effectiveness, enable integration with existing services, and provide opportunities for renegotiating the socially defined role of the clinician in the eHealth era. PMID: 24007949 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - September 10, 2013 Category: Rural Health Authors: Sinclair C, Holloway K, Riley G, Auret K Tags: J Med Internet Res Source Type: research

Dental students' reflections on clinical placement in a rural and indigenous community in australia.
This article presents feedback from students on their experience in a remote rural clinical placement in Australia by year cohorts 2009, 2010, and 2011. An online feedback survey instrument and compulsory reflective journals were analyzed both by calendar year cohort and amongst individual student groups. The information obtained suggests that overall this was a very positive experience for most students and the clinical experience gained was valued highly. Many students wrote positively about their cultural experiences and the knowledge they gained of life in a remote rural area. Many were pleased with the contribution th...
Source: Rural Remote Health - September 1, 2013 Category: Rural Health Authors: Lalloo R, Evans JL, Johnson NW Tags: J Dent Educ Source Type: research

Clinic attendances during the first 12 months of life for Aboriginal children in five remote communities of northern Australia.
CONCLUSIONS: Infectious diseases of childhood are strongly linked with poverty, poor living conditions and overcrowding. The data reported in our study were collected through manual review, however many remote communities now have established electronic health record systems, use the Key Performance Indicator System and are engaged in CQI (continuous quality improvement) processes. Building on these recent initiatives, there is an opportunity to incorporate routine monitoring of a range of infectious conditions (we suggest diarrhoea, LRTI, scabies and skin sores) using both the age at first presentation and the median numb...
Source: Rural Remote Health - August 31, 2013 Category: Rural Health Authors: Kearns T, Clucas D, Connors C, Currie BJ, Carapetis JR, Andrews RM Tags: PLoS One Source Type: research

The nature of nursing practice in rural and remote areas of Greenland.
CONCLUSION: The nature of nursing practice in rural and remote Greenland is characterised by a high degree of variability and complexity, with a requirement for a wide range of knowledge and skills. Nurses need to be better prepared with regard to acute medical care, preventive care, social work, humanistic approaches and information technology to implement the ideology of health strategies. PMID: 23984291 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - August 31, 2013 Category: Rural Health Authors: Hounsgaard L, Jensen AB, Wilche JP, Dolmer I Tags: Int J Circumpolar Health Source Type: research

Circumpolar Inuit health systems.
CONCLUSIONS: Despite the variations in the health systems as well as national, political and economic approaches, none is adequately addressing Inuit health needs. All Inuit populations still have significant gaps between their health status and those of broader national populations. Meaningful measurement and evaluation of the effectiveness of the respective health systems is severely hindered by the lack of relevant, Inuit-specific health data. The inadequacy, and in a number of cases absence of relevant data, hinders the design and development of a better and potentially more effective approach to delivering health serv...
Source: Rural Remote Health - August 31, 2013 Category: Rural Health Authors: Ellsworth L, O'Keeffe A Tags: Int J Circumpolar Health Source Type: research

Child diet and healthy growth in the context of rural poverty in the Peruvian Andes: What influences primary caregivers' opportunities and choices?
This study explored opportunities and choices related to child feeding among women living in a remote and low-income district in the Andean highlands. Data were collected through in-depth interviews with mothers (N = 7) with reputations for providing good child care, and who participated in an NGO-run social and health programme. The aim of this study was to learn about women's positive experience with child feeding, in the context of living in low-income communities. Such knowledge could be of substantial practical value to health promotion practitioners, in illuminating existing local circumstances and practices that pro...
Source: Rural Remote Health - August 31, 2013 Category: Rural Health Authors: Urke HB, Bull T, Mittelmark MB Tags: Glob Health Promot Source Type: research

Arctic passages: liminality, Iñupiat Eskimo mothers and NW Alaska communities in transition.
CONCLUSIONS: The more openly manifested the Iñupiat values of the community, the more likely alternative birthing practices sought, lessening the reliance on the existing transport policy. Conversely, the more openly western values are manifested in the village of origin, the less likely alternative measures are sought. For this study group, mothers from study villages with openly manifested western values are more likely to easily acquiesce to policy, and "make the best" of their prenatal travel. PMID: 23986891 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - August 31, 2013 Category: Rural Health Authors: Schwarzburg LL Tags: Int J Circumpolar Health Source Type: research

Characteristics of the Frontier Extended Stay Clinic: a new facility model.
CONCLUSION: While many of communities can support a facility for primary care, there is an on-going need for facilities in remote frontier areas to also provide emergent and extended-stay care. The FESC can provide access to primary, emergent and extended-stay services in these locations. PMID: 23967412 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - August 26, 2013 Category: Rural Health Authors: Frazier R, Doucette S Tags: Int J Circumpolar Health Source Type: research

Rebuilding northern foodsheds, sustainable food systems, community well-being, and food security.
CONCLUSION: We propose a new direction for food-system design that prioritizes the management of place-based food portfolios above the more conventional management of individual resources, one with a commitment to as much local and regional food production and/or harvest for local and regional consumption as is possible, and to community self-reliance and health for rural Alaska Natives. PMID: 23967414 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - August 26, 2013 Category: Rural Health Authors: Gerlach SC, Loring PA Tags: Int J Circumpolar Health Source Type: research

Renewable energy and sustainable communities: Alaska's wind generator experience(†).
CONCLUSION: The energy policy choices ahead for Alaska will have important implications for Arctic population health, especially for those villages whose relatively small size and remote locations make energy a key component of subsistence lifestyles and community sustainability. Wind generation can contribute to meeting renewable energy goals and is a particularly important resource for rural and remote Alaskan communities currently dependent on diesel fuel for generating electricity and heat. PMID: 23971014 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - August 26, 2013 Category: Rural Health Authors: Konkel RS Tags: Int J Circumpolar Health Source Type: research

Urban-rural differences in adolescent eating behaviour: a multilevel cross-sectional study of 15-year-olds in Scotland.
CONCLUSIONS: Young people from rural areas have a healthier diet than those living in urban areas. The eating behaviours examined did not explain these differences. Future research should investigate why urban-rural differences exist for consumption frequencies of 'healthy' and 'unhealthy' foods. PMID: 23962450 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - August 21, 2013 Category: Rural Health Authors: Levin KA Tags: Public Health Nutr Source Type: research

Anaemia and malnutrition in children aged 0-59 months on the Bijagós Archipelago, Guinea-Bissau, West Africa: a cross-sectional, population-based study.
Anaemia and malnutrition in children aged 0-59 months on the Bijagós Archipelago, Guinea-Bissau, West Africa: a cross-sectional, population-based study. Paediatr Int Child Health. 2013;33(3):151-60 Authors: Thorne CJ, Roberts LM, Edwards DR, Haque MS, Cumbassa A, Last AR Abstract BACKGROUND: Childhood malnutrition is the leading risk factor for the global burden of disease. Guinea-Bissau is a politically unstable country with high levels of childhood malnutrition and mortality. AIM: To determine the nutritional status of children on three remote islands of the Bijagós Archipelago, Bubaqu...
Source: Rural Remote Health - August 16, 2013 Category: Rural Health Authors: Thorne CJ, Roberts LM, Edwards DR, Haque MS, Cumbassa A, Last AR Tags: Paediatr Int Child Health Source Type: research

Spatial Clustering of All-Cause and HIV-Related Mortality in a Rural South African Population (2000-2006).
Abstract BACKGROUND: Sub-Saharan Africa bears a disproportionate burden of HIV infection. Knowledge of the spatial distribution of HIV outcomes is vital so that appropriate public health interventions can be directed at locations most in need. In this regard, spatial clustering analysis of HIV-related mortality events has not been performed in a rural sub-Saharan African setting. METHODOLOGY AND RESULTS: Kulldorff's spatial scan statistic was used to identify HIV-related and all-cause mortality clusters (p
Source: Rural Remote Health - August 16, 2013 Category: Rural Health Authors: Namosha E, Sartorius B, Tanser F Tags: PLoS One Source Type: research

Quality of life impact of cardiovascular and affective conditions among older residents from urban and rural communities.
CONCLUSIONS: Cardiovascular and affective conditions are key determinants of physical and psychological impairment. Persons affected by physical-psychological comorbidity experience greater psychological impairment. Social capital is associated with community remoteness and may ameliorate the psychological impairment associated with affective disorders and financial difficulties. The use of classifications of remoteness that are sensitive to social and health service accessibility determinants of health may better inform future investigations into the impact of context on quality of life outcomes. PMID: 23945355 [PubM...
Source: Rural Remote Health - August 14, 2013 Category: Rural Health Authors: Allen J, Inder KJ, Harris ML, Lewin TJ, Attia JR, Kelly BJ Tags: Health Qual Life Outcomes Source Type: research

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 3, 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 3, 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 3, 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 3, 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 3, 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 3, 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 3, 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