Clinical decision support systems (CDSS) in assistance to COVID-19 diagnosis: A scoping review on types and evaluation methods
CONCLUSION: CDSS for COVID-19 diagnosis have been developed mainly through machine learning (ML) methods. The greater use of these techniques can be due to their availability of public data sets about chest imaging. Although these studies indicate high accuracy for CDSS based on ML, their novelty and data set biases raise questions about replacing these systems as clinician assistants in decision-making. Further studies are needed to improve and compare the robustness and reliability of nonknowledge-based and knowledge-based CDSS in COVID-19 diagnosis.PMID:38384976 | PMC:PMC10879639 | DOI:10.1002/hsr2.1919 (Source: Rural Remote Health)
Source: Rural Remote Health - February 22, 2024 Category: Rural Health Authors: Arefeh Ameri Atefeh Ameri Farzad Salmanizadeh Kambiz Bahaadinbeigy Source Type: research

The non-stationary and spatially varying associations between hand, foot and mouth disease and multiple environmental factors: A Bayesian spatiotemporal mapping model study
This study aims to quantitatively investigate the non-stationary and spatially varying associations between various environmental factors and HFMD risk. We collected HFMD surveillance cases and a series of relevant environmental data from 2013 to 2021 in Xi'an, Northwest China. By controlling the spatial and temporal mixture effects of HFMD, we constructed a Bayesian spatiotemporal mapping model and characterized the impacts of different driving factors into global linear, non-stationary and spatially varying effects. The results showed that the impact of meteorological conditions on HFMD risk varies in both type and magni...
Source: Rural Remote Health - February 22, 2024 Category: Rural Health Authors: Li Shen Minghao Sun Mengna Wei Qingwu Hu Yao Bai Zhongjun Shao Kun Liu Source Type: research

Remarkable Contamination of Short- and Medium-Chain Chlorinated Paraffins in Free-Range Chicken Eggs from Rural Tibetan Plateau
Environ Sci Technol. 2024 Feb 22. doi: 10.1021/acs.est.3c08815. Online ahead of print.ABSTRACTRapid social-economic development introduces modern lifestyles into rural areas, not only bringing numerous modern products but also new pollutants, such as chlorinated paraffins (CPs). The rural Tibetan Plateau has limited industrial activities and is a unique place to investigate this issue. Herein we collected 90 free-range chicken egg pool samples across the rural Tibetan Plateau to evaluate the pollution status of CPs. Meanwhile, CPs in related soils, free-range chicken eggs from Jiangxi, and farmed eggs from markets were als...
Source: Rural Remote Health - February 22, 2024 Category: Rural Health Authors: Wei Zhou Kai Huang Duo Bu Qiangying Zhang Jie Fu Boyuan Hu Yunqiao Zhou Weifang Chen Yilin Fu Aiqian Zhang Jianjie Fu Guibin Jiang Source Type: research

Rural-urban variation in the utilisation of publicly funded healthcare services: an age-stratified population-level observational study
CONCLUSIONS: The large rural-urban variation in health service utilisation demonstrated here is previously unrecognised and in contrast to comparable international data. New Zealand's most remote communities have the lowest rates of health service utilisation despite high amenable mortality rates. This raises questions about geographic equity in health service design and delivery and warrants further in-depth research.PMID:38386854 | DOI:10.26635/6965.6274 (Source: Rural Remote Health)
Source: Rural Remote Health - February 22, 2024 Category: Rural Health Authors: Garry Nixon Gabrielle Davie Jesse Whitehead Rory Miller Brandon de Graaf Talis Liepins Ross Lawrenson Sue Crengle Source Type: research

Disparities in Acute and Chronic Complications of Diabetes Along the U.S. Rural-Urban Continuum
CONCLUSIONS: Adults in small towns are disproportionately impacted by complications of diabetes. Future studies should probe for the reasons underlying these disparities.PMID:38387066 | DOI:10.2337/dc23-1552 (Source: Rural Remote Health)
Source: Rural Remote Health - February 22, 2024 Category: Rural Health Authors: Kyle Steiger Jeph Herrin Kavya Sindhu Swarna Esa M Davis Rozalina G McCoy Source Type: research

Mental distress, food insecurity and university student dropout during the COVID-19 pandemic in 2020: evidence from South Africa
CONCLUSION: While acknowledging that various factors and complexities contribute to student dropout, the increased vulnerability to food insecurity and mental distress, stemming from issues such as widespread job losses and isolation experienced during the pandemic, may have also had an impact on dropout. This work reiterates the importance of directing additional support to students who are food insecure and those who are experiencing mental distress in order to mitigate university student dropout.PMID:38380123 | PMC:PMC10876832 | DOI:10.3389/fpsyt.2024.1336538 (Source: Rural Remote Health)
Source: Rural Remote Health - February 21, 2024 Category: Rural Health Authors: Fezile Wagner Ryan G Wagner Lerato P Makuapane Mxolisi Masango Unathi Kolanisi Francesc Xavier G ómez-Olivé Source Type: research

Feasibility of Endoscopic Lumbar Discectomy in a Remote Government Hospital in Thailand: A Cost-Utility Analysis
CONCLUSION: Full endoscopic lumbar discectomy is an effective procedure that is beneficial for patients. The total hospital costs are not significantly different between the two procedures. To ensure that more patients receive this benefit and to develop surgical competency in government hospitals, the surgical reimbursement fee for endoscopic discectomy should be more affordable than that for conventional discectomy.PMID:38380219 | PMC:PMC10878680 | DOI:10.7759/cureus.52673 (Source: Rural Remote Health)
Source: Rural Remote Health - February 21, 2024 Category: Rural Health Authors: Nantaka Tepaamorndej Thitikan Wangapakul Ambar Elizabeth Riley Moguel Abdel Raouf Kayssi Niimron Nisahoh Saowakhon Artasar Source Type: research

Parental practices and perspectives on health and digital technology use information seeking for children aged 0-36 months
CONCLUSION: Interactions with family and friends and online sources are important to parents when accessing health information for their child. Parents valued information sources which they considered trustworthy, credible, and relatable, as well as easily accessible and convenient. SO WHAT?: Dissemination of health information reflecting these values may empower parents during this early stage of parenthood.PMID:38382122 | DOI:10.1002/hpja.849 (Source: Rural Remote Health)
Source: Rural Remote Health - February 21, 2024 Category: Rural Health Authors: Danica Hendry Leon Straker Brittany Bourne Sarah Coshan Ndapile Kumwembe Caroline McCarthy Juliana Zabatiero Source Type: research

Mental distress, food insecurity and university student dropout during the COVID-19 pandemic in 2020: evidence from South Africa
CONCLUSION: While acknowledging that various factors and complexities contribute to student dropout, the increased vulnerability to food insecurity and mental distress, stemming from issues such as widespread job losses and isolation experienced during the pandemic, may have also had an impact on dropout. This work reiterates the importance of directing additional support to students who are food insecure and those who are experiencing mental distress in order to mitigate university student dropout.PMID:38380123 | PMC:PMC10876832 | DOI:10.3389/fpsyt.2024.1336538 (Source: Rural Remote Health)
Source: Rural Remote Health - February 21, 2024 Category: Rural Health Authors: Fezile Wagner Ryan G Wagner Lerato P Makuapane Mxolisi Masango Unathi Kolanisi Francesc Xavier G ómez-Olivé Source Type: research

Feasibility of Endoscopic Lumbar Discectomy in a Remote Government Hospital in Thailand: A Cost-Utility Analysis
CONCLUSION: Full endoscopic lumbar discectomy is an effective procedure that is beneficial for patients. The total hospital costs are not significantly different between the two procedures. To ensure that more patients receive this benefit and to develop surgical competency in government hospitals, the surgical reimbursement fee for endoscopic discectomy should be more affordable than that for conventional discectomy.PMID:38380219 | PMC:PMC10878680 | DOI:10.7759/cureus.52673 (Source: Rural Remote Health)
Source: Rural Remote Health - February 21, 2024 Category: Rural Health Authors: Nantaka Tepaamorndej Thitikan Wangapakul Ambar Elizabeth Riley Moguel Abdel Raouf Kayssi Niimron Nisahoh Saowakhon Artasar Source Type: research

Parental practices and perspectives on health and digital technology use information seeking for children aged 0-36 months
CONCLUSION: Interactions with family and friends and online sources are important to parents when accessing health information for their child. Parents valued information sources which they considered trustworthy, credible, and relatable, as well as easily accessible and convenient. SO WHAT?: Dissemination of health information reflecting these values may empower parents during this early stage of parenthood.PMID:38382122 | DOI:10.1002/hpja.849 (Source: Rural Remote Health)
Source: Rural Remote Health - February 21, 2024 Category: Rural Health Authors: Danica Hendry Leon Straker Brittany Bourne Sarah Coshan Ndapile Kumwembe Caroline McCarthy Juliana Zabatiero Source Type: research

Working towards 2030 road safety targets, the need for specific rural and remote children strategies
CONCLUSIONS: Specific targets are needed to address the burden of child road traffic death in Australia around rurality, as it is a significant risk factor of child road traffic death.PMID:38375971 | DOI:10.1111/ajr.13091 (Source: Rural Remote Health)
Source: Rural Remote Health - February 20, 2024 Category: Rural Health Authors: Soonho Koh Doma Kenji Richard Franklin Source Type: research

Patient and public involvement and engagement with underserved communities in dementia research: Reporting on a partnership to co-design a website for postdiagnostic dementia support
CONCLUSION: Strategies can be used to successfully recruit and involve PPIE partners from underserved communities in co-design activities. These include networking with community leaders, developing terms of reference, setting out 'rules of engagement', and investing adequate resources and time for accessible and equitable involvement. These efforts facilitate the co-design of research outputs that reflect the diversity and complexity of UK contemporary society.PATIENT OR PUBLIC CONTRIBUTION: This study received support from seven members of the public with lived experience of dementia from communities that have been tradi...
Source: Rural Remote Health - February 20, 2024 Category: Rural Health Authors: Claudio Di Lorito Sarah Griffiths Marie Poole Chandrika Kaviraj Martin Robertson Neil Cutler Jane Wilcock Source Type: research

Commercializing equitable, accessible oral microbiome transplantation therapy
Community Dent Health. 2024 Feb 19. doi: 10.1922/CDH_IADR24Weyrich06. Online ahead of print.ABSTRACTChronic oral diseases, such as caries and periodontal disease, may, in future, be treated by oral microbiome transplant (OMT) technology. OMT therapy would involve collecting a donor oral microbiome and transplanting into a recipient to either prevent or treat oral diseases linked to a change (i.e., dysbiosis) in the oral microbiome. Given the great promise of this technology, we must consider the ethical and practical implications of how it is developed to maximise its accessibility and affordability. Here, we examine ways ...
Source: Rural Remote Health - February 20, 2024 Category: Rural Health Authors: L S Weyrich S Nath L M Jamieson Source Type: research

Closing the Last Mile Gap in Access to Multimodality Imaging in Rural Settings: Design of the Imaging Core of the Risk Underlying Rural Areas Longitudinal Study
Circ Cardiovasc Imaging. 2024 Feb;17(2):e015496. doi: 10.1161/CIRCIMAGING.123.015496. Epub 2024 Feb 20.ABSTRACTAchieving optimal cardiovascular health in rural populations can be challenging for several reasons including decreased access to care with limited availability of imaging modalities, specialist physicians, and other important health care team members. Therefore, innovative solutions are needed to optimize health care and address cardiovascular health disparities in rural areas. Mobile examination units can bring imaging technology to underserved or remote communities with limited access to health care services. M...
Source: Rural Remote Health - February 20, 2024 Category: Rural Health Authors: Hooman Fazlalizadeh Muhammad Shahzeb Khan Ervin R Fox Pamela S Douglas David Adams Michael J Blaha Melissa A Daubert Gary Dunn Edwin van den Heuvel Michelle D Kelsey Randolph P Martin James D Thomas Yngvil Thomas Suzanne E Judd Ramachandran S Vasan Matthe Source Type: research