Enablers and Barriers to Accessing Healthcare Services for Aboriginal People in New South Wales, Australia
CONCLUSIONS: This study describes a pathway to better healthcare outcomes for Aboriginal Australians by providing insights into ways to improve access.PMID:33804104 | DOI:10.3390/ijerph18063014 (Source: Rural Remote Health)
Source: Rural Remote Health - April 3, 2021 Category: Rural Health Authors: Davida Nolan-Isles Rona Macniven Kate Hunter Josephine Gwynn Michelle Lincoln Rachael Moir Yvonne Dimitropoulos Donna Taylor Tim Agius Heather Finlayson Robyn Martin Katrina Ward Susannah Tobin Kylie Gwynne Source Type: research

The Summer 2019-2020 Wildfires in East Coast Australia and Their Impacts on Air Quality and Health in New South Wales, Australia
Int J Environ Res Public Health. 2021 Mar 29;18(7):3538. doi: 10.3390/ijerph18073538.ABSTRACTThe 2019-2020 summer wildfire event on the east coast of Australia was a series of major wildfires occurring from November 2019 to end of January 2020 across the states of Queensland, New South Wales (NSW), Victoria and South Australia. The wildfires were unprecedent in scope and the extensive character of the wildfires caused smoke pollutants to be transported not only to New Zealand, but also across the Pacific Ocean to South America. At the peak of the wildfires, smoke plumes were injected into the stratosphere at a height of up...
Source: Rural Remote Health - April 3, 2021 Category: Rural Health Authors: Hiep Duc Nguyen Merched Azzi Stephen White David Salter Toan Trieu Geoffrey Morgan Mahmudur Rahman Sean Watt Matthew Riley Lisa Tzu-Chi Chang Xavier Barthelemy David Fuchs Kaitlyn Lieschke Huynh Nguyen Source Type: research

The Prevalence, Risk, and Management of Methicillin-Resistant < em > Staphylococcus aureus < /em > Infection in Diverse Populations across Canada: A Systematic Review
Pathogens. 2021 Mar 25;10(4):393. doi: 10.3390/pathogens10040393.ABSTRACTMethicillin-resistant Staphylococcus aureus (MRSA) first emerged after methicillin was introduced to combat penicillin resistance, and its prevalence in Canada has increased since the first MRSA outbreak in the early 1980s. We reviewed the existing literature on MRSA prevalence in Canada over time and in diverse populations across the country. MRSA prevalence increased steadily in the 1990s and 2000s and remains a public health concern in Canada, especially among vulnerable populations, such as rural, remote, and Indigenous communities. Antibiotic res...
Source: Rural Remote Health - April 3, 2021 Category: Rural Health Authors: Elena Mitevska Britney Wong Bas G J Surewaard Craig N Jenne Source Type: research

Nurses' Experiences in Managing Cardiovascular Disease in Selected Rural and Peri-Urban Clinics in Limpopo Province, South Africa
The objectives of the study were to explore and describe the experiences of professional nurses in managing CVDs in South African rural and peri-urban clinics. A qualitative, explorative-descriptive design and a contextual research approach were adopted for the present study. Purposive sampling was employed to recruit nurses who were managing patients with CVD from 11 primary health care facilities. Data were collected through semi-structured individual interviews and analyzed using Tesch's open coding method. Interview transcripts were coded and analyzed for common themes. The following two major themes emerged from the d...
Source: Rural Remote Health - April 3, 2021 Category: Rural Health Authors: Mamoeng Nancy Kgatla Tebogo M Mothiba Tholene Sodi Mpsanyana Makgahlela Source Type: research

Improving Survivors' Quality of Life Post-Treatment: The Perspectives of Rural Australian Cancer Survivors and Their Carers
This study aimed to (a) provide deeper understanding of the experiences of rural survivors who have completed active cancer treatment and returned to their rural communities, and (b) determine strategies to re-orient existing services or develop new interventions to more appropriately meet rural survivors' service preferences and needs. Semi-structured interviews were conducted with 22 adults (64% female) who lived outside of a metropolitan area and had completed active cancer treatment (n = 13), were the carer for a rural/remote cancer survivor (n = 6), or were both a survivor and carer (n = 3). Thematic analysis was cond...
Source: Rural Remote Health - April 3, 2021 Category: Rural Health Authors: Kate M Gunn Ian Olver Xiomara Skrabal Ross Nathan Harrison Patricia M Livingston Carlene Wilson Source Type: research

Rural disability workforce perspective on effective inter-disciplinary training-A qualitative pilot study
CONCLUSION: In situ training programs, which provide real-life rural practice context and harness inter-agency collaboration, improve effectiveness of rural disability workforce readiness for practice.PMID:33811401 | DOI:10.1111/ajr.12719 (Source: Rural Remote Health)
Source: Rural Remote Health - April 3, 2021 Category: Rural Health Authors: Jacinta Mangiameli Mohammad Hamiduzzaman David Lim David Pickles Vivian Isaac Source Type: research

Levels, Trends, and Inequalities in Using Institutional Delivery Services in Low- and Middle-Income Countries: A Stratified Analysis by Facility Type
In this study, we examined levels, trends, and inequalities in the utilization of institutional delivery services in low- and middle-income countries.METHODS: We used nationally representative cross-sectional data from Demographic and Health Surveys (DHS) conducted during 1990-2018. Bayesian linear regression analysis was performed.RESULTS: Among 74 countries, the utilization of institutional delivery services ranged from 23.7% in Chad to 100% in Ukraine and Armenia (with>90% in 19 countries and
Source: Rural Remote Health - April 2, 2021 Category: Rural Health Authors: Md Mehedi Hasan Ricardo J Soares Magalhaes Yaqoot Fatima Saifuddin Ahmed Abdullah A Mamun Source Type: research

Levels, Trends, and Inequalities in Using Institutional Delivery Services in Low- and Middle-Income Countries: A Stratified Analysis by Facility Type
In this study, we examined levels, trends, and inequalities in the utilization of institutional delivery services in low- and middle-income countries.METHODS: We used nationally representative cross-sectional data from Demographic and Health Surveys (DHS) conducted during 1990-2018. Bayesian linear regression analysis was performed.RESULTS: Among 74 countries, the utilization of institutional delivery services ranged from 23.7% in Chad to 100% in Ukraine and Armenia (with>90% in 19 countries and
Source: Rural Remote Health - April 2, 2021 Category: Rural Health Authors: Md Mehedi Hasan Ricardo J Soares Magalhaes Yaqoot Fatima Saifuddin Ahmed Abdullah A Mamun Source Type: research

Critically reviewing the policies used by colleges to select doctors for specialty training: A kink in the rural pathway
CONCLUSIONS: The majority of specialty colleges have no rural-focused selection criteria and colleges using employer-led models are weakest. Given that the colleges are required to adhere to the AMC's accreditation standards, it follows that the best way to mobilise change is by including rural selection policies within the AMC standards and requiring reporting of selection outcomes, regardless of the selection models used. This will substantially strengthen ongoing rural pathways in medicine.PMID:33792997 | DOI:10.1111/ajr.12707 (Source: Rural Remote Health)
Source: Rural Remote Health - April 1, 2021 Category: Rural Health Authors: Matthew McGrail Belinda O'Sullivan Tiana Gurney Source Type: research

Trusting me, trusting you: Creating conditions for successful pre-registration interprofessional education in rural New Zealand workplace settings
Aust J Rural Health. 2021 Apr 1. doi: 10.1111/ajr.12704. Online ahead of print.ABSTRACTThere is a growing body of evidence supporting the provision of interprofessional education for pre-registration health science students. Furthermore, there is emergent evidence supporting the provision of interprofessional opportunities in rural workplaces. The strategies used by tertiary education providers in establishing and sustaining these rural interprofessional initiatives currently remain unclear, including how to foster authentic engagement with indigenous rural communities. This short commentary seeks to provide some practical...
Source: Rural Remote Health - April 1, 2021 Category: Rural Health Authors: Fiona Doolan-Noble Susan Pullon Ashley Symes Source Type: research

Assessing cultural safety in Aboriginal and Torres Strait Islander Health
CONCLUSION: The extent to which cultural safety principles are applied in practice is diverse amongst the nurses and midwives that participated in this study, demonstrating that cultural safety is a journey and ongoing support is needed.PMID:33793013 | DOI:10.1111/ajr.12708 (Source: Rural Remote Health)
Source: Rural Remote Health - April 1, 2021 Category: Rural Health Authors: Liz Withall Courtney Ryder Tamara Mackean Wendy Edmondson David Sjoberg Dennis McDermott Annabelle Wilson Source Type: research

Co-designing community-focused rural placements for collaborative practice
CONCLUSION: This paper highlights the need for greater alignment between rural health education and practice, describes a placement model that is working towards this and showcases how this has been enacted in a remote community in New South Wales. More cross-sector discussion and evaluation is needed to determine the implications of adopting this model more widely if service and learning opportunities are to be equally achieved, and to determine the ways in which training and service provision can be aligned with community need, as recommended in the recent Rural Health Commissioner Report.PMID:33793014 | DOI:10.1111/ajr....
Source: Rural Remote Health - April 1, 2021 Category: Rural Health Authors: Sarah Hyde Brent Smith Jayne Lawrence Rebecca Barry Alicia Carey Cathy Rogers Source Type: research

Impact of village health volunteer support on postnatal depressive symptoms in the remote rural areas of Lao People's Democratic Republic: a cross-sectional study
The objective of this study was to compare the postnatal depressive symptoms of ethnic minority mothers supported by pair-VHVs and single-VHVs in remote rural areas of Lao People's Democratic Republic (PDR).METHODS: A cross-sectional study was conducted in March 2019. Mothers who had delivered a baby within 1 year preceding the study were recruited from 36 villages. Of the 305 mothers, 227 responded. The questionnaires included (1) demographic characteristics such as age, economic status, and birth experience; (2) self-decision to go to a health center/hospital to receive antenatal care; (3) type of VHVs (pair or single), ...
Source: Rural Remote Health - March 31, 2021 Category: Rural Health Authors: Noriko Toyama Inthanomchanh Vongphoumy Manami Uehara Chika Sato Futoshi Nishimoto Kazuhiko Moji Tiengkham Pongvongsa Kokoro Shirai Tomomi Takayama Misuzu Takahara Yoko Tamashiro Yumiko Endo Sengchanh Kounnavong Jun Kobayashi Source Type: research

Point-of-Care Haematology Analyser Quality Assurance Programme: a rural nursing perspective
J Prim Health Care. 2021 Mar;13(1):84-90. doi: 10.1071/HC20080.ABSTRACTBACKGROUND AND CONTEXT Rural health services without an onsite laboratory lack timely access to haematology results. Set in New Zealand's far north, this paper provides a rural nursing perspective on how a health service remote from a laboratory introduced a haematology analyser suitable for point-of-care use and established the associated quality assurance programme. ASSESSMENT OF PROBLEM Five broad areas were identified that could impact on successful implementation of the haematology analyser: quality control, staff training, physical resources, cost...
Source: Rural Remote Health - March 31, 2021 Category: Rural Health Authors: Catherine Beazley Katharina Blattner Geoffrey Herd Source Type: research

Impact of village health volunteer support on postnatal depressive symptoms in the remote rural areas of Lao People's Democratic Republic: a cross-sectional study
The objective of this study was to compare the postnatal depressive symptoms of ethnic minority mothers supported by pair-VHVs and single-VHVs in remote rural areas of Lao People's Democratic Republic (PDR).METHODS: A cross-sectional study was conducted in March 2019. Mothers who had delivered a baby within 1 year preceding the study were recruited from 36 villages. Of the 305 mothers, 227 responded. The questionnaires included (1) demographic characteristics such as age, economic status, and birth experience; (2) self-decision to go to a health center/hospital to receive antenatal care; (3) type of VHVs (pair or single), ...
Source: Rural Remote Health - March 31, 2021 Category: Rural Health Authors: Noriko Toyama Inthanomchanh Vongphoumy Manami Uehara Chika Sato Futoshi Nishimoto Kazuhiko Moji Tiengkham Pongvongsa Kokoro Shirai Tomomi Takayama Misuzu Takahara Yoko Tamashiro Yumiko Endo Sengchanh Kounnavong Jun Kobayashi Source Type: research

Point-of-Care Haematology Analyser Quality Assurance Programme: a rural nursing perspective
J Prim Health Care. 2021 Mar;13(1):84-90. doi: 10.1071/HC20080.ABSTRACTBACKGROUND AND CONTEXT Rural health services without an onsite laboratory lack timely access to haematology results. Set in New Zealand's far north, this paper provides a rural nursing perspective on how a health service remote from a laboratory introduced a haematology analyser suitable for point-of-care use and established the associated quality assurance programme. ASSESSMENT OF PROBLEM Five broad areas were identified that could impact on successful implementation of the haematology analyser: quality control, staff training, physical resources, cost...
Source: Rural Remote Health - March 31, 2021 Category: Rural Health Authors: Catherine Beazley Katharina Blattner Geoffrey Herd Source Type: research

Extraction of Aural Foreign Bodies in a Rural Setting: 10-Year Review and a Novel Method to Remove Magnetic Stones
CONCLUSION: Contrary to international literature, stones were found to be the most common FB in remote aboriginal populations. The proposed technique reduces the number of extraction attempts of the most frequent FB found in children's ears, aiming to minimize complications, negative experiences, and health cost.PMID:33781128 | DOI:10.1177/01455613211006007 (Source: Rural Remote Health)
Source: Rural Remote Health - March 30, 2021 Category: Rural Health Authors: Nayellin Reyes-Chicuellar Graeme Crossland Source Type: research

Online Personalised Training in Memory Strategies for Everyday (OPTIMiSE) Program for Older Adults with Cognitive Concerns: Pilot Study Protocol
J Alzheimers Dis Rep. 2021 Feb 24;5(1):143-152. doi: 10.3233/ADR-200251.ABSTRACTMemory interventions for older adults with cognitive concerns result in improved memory performance and maintenance of cognitive health. These programs are typically delivered face-to-face, which is resource intensive and creates access barriers, particularly for those with reduced mobility, limited transportation, and living in rural or remote areas. The COVID-19 pandemic has created an additional access barrier, given the increased risk this disease poses to older adults. Internet-based interventions seek to overcome these barriers. This pape...
Source: Rural Remote Health - March 30, 2021 Category: Rural Health Authors: Kerryn E Pike Carl I Moller Christina Bryant Maree Farrow Duy P Dao Kathryn A Ellis Source Type: research

Analysis of the use of a mobile simulation unit using the principles of a managed educational network
CONCLUSION: Few examples of mobile simulation facilities exist in the UK, and none have the longevity of the CSMEN MSU. The results of the analysis supported the business case for an upgraded new MSU and identified the need to explore in more depth the variation in impact across the venues visited. However, some localities did not use the MSU during 2014-2018 and there are still some unanswered questions around its impact in some venues, which require further exploration.PMID:33784466 | DOI:10.22605/RRH5670 (Source: Rural Remote Health)
Source: Rural Remote Health - March 30, 2021 Category: Rural Health Authors: Andrea Baker Lynn Hardie Susan Somerville Jean Ker Source Type: research

Extraction of Aural Foreign Bodies in a Rural Setting: 10-Year Review and a Novel Method to Remove Magnetic Stones
CONCLUSION: Contrary to international literature, stones were found to be the most common FB in remote aboriginal populations. The proposed technique reduces the number of extraction attempts of the most frequent FB found in children's ears, aiming to minimize complications, negative experiences, and health cost.PMID:33781128 | DOI:10.1177/01455613211006007 (Source: Rural Remote Health)
Source: Rural Remote Health - March 30, 2021 Category: Rural Health Authors: Nayellin Reyes-Chicuellar Graeme Crossland Source Type: research

Online Personalised Training in Memory Strategies for Everyday (OPTIMiSE) Program for Older Adults with Cognitive Concerns: Pilot Study Protocol
J Alzheimers Dis Rep. 2021 Feb 24;5(1):143-152. doi: 10.3233/ADR-200251.ABSTRACTMemory interventions for older adults with cognitive concerns result in improved memory performance and maintenance of cognitive health. These programs are typically delivered face-to-face, which is resource intensive and creates access barriers, particularly for those with reduced mobility, limited transportation, and living in rural or remote areas. The COVID-19 pandemic has created an additional access barrier, given the increased risk this disease poses to older adults. Internet-based interventions seek to overcome these barriers. This pape...
Source: Rural Remote Health - March 30, 2021 Category: Rural Health Authors: Kerryn E Pike Carl I Moller Christina Bryant Maree Farrow Duy P Dao Kathryn A Ellis Source Type: research

Demographic analysis of difficulties related to remote education in Poland from the perspective of adolescents during the COVID-19 pandemic
CONCLUSIONS: There is a need to pay particular attention to organizing appropriate technical conditions for remote learning, especially in rural areas, where students have complained more often than in cities about equipment and problems with access to the Internet during the pandemic.PMID:33775081 | DOI:10.26444/aaem/133100 (Source: Rural Remote Health)
Source: Rural Remote Health - March 29, 2021 Category: Rural Health Authors: Magdalena Korzycka Martyna B ójko Katarzyna Radiukiewicz Anna Dzielska Hanna Na łęcz Dorota Kleszczewska Agnieszka Ma łkowska-Szkutnik Anna Fija łkowska Source Type: research

Demographic analysis of difficulties related to remote education in Poland from the perspective of adolescents during the COVID-19 pandemic
CONCLUSIONS: There is a need to pay particular attention to organizing appropriate technical conditions for remote learning, especially in rural areas, where students have complained more often than in cities about equipment and problems with access to the Internet during the pandemic.PMID:33775081 | DOI:10.26444/aaem/133100 (Source: Rural Remote Health)
Source: Rural Remote Health - March 29, 2021 Category: Rural Health Authors: Magdalena Korzycka Martyna B ójko Katarzyna Radiukiewicz Anna Dzielska Hanna Na łęcz Dorota Kleszczewska Agnieszka Ma łkowska-Szkutnik Anna Fija łkowska Source Type: research

Exploring the 'grey nomad
Aust J Prim Health. 2021 Mar 29. doi: 10.1071/PY20023. Online ahead of print.ABSTRACTWith increasing numbers of baby boomers retiring and taking to the road in rural and remote Australia, often for extended periods, this review aimed to identify the characteristics of these 'grey nomads' travelling across Australia, their experiences in relation to their health and social needs and their access to health care. To this end, an integrative literature review with narrative analysis was conducted. Studies of Australian grey nomad travellers published from 1999 to January 2020 were sourced from Ovid Emcare, Medline/PreMedline, ...
Source: Rural Remote Health - March 28, 2021 Category: Rural Health Authors: Margaret Yates Lin Perry Jenny Onyx Tracy Levett-Jones Source Type: research

Keshan Disease: A Potentially Fatal Endemic Cardiomyopathy in Remote Mountains of China
Front Pediatr. 2021 Mar 9;9:576916. doi: 10.3389/fped.2021.576916. eCollection 2021.ABSTRACTKeshan disease (KD) as an endemic, highly lethal cardiomyopathy, first reported in northeast China's Keshan County in 1935. The clinical manifestations of patients with KD include primarily congestive heart failure, acute heart failure, and cardiac arrhythmia. Even though some possible etiologies, such as viral infection, fungal infection, microelement deficiency, and malnutrition, have been reported, the exact causes of KD remain poorly known. The endemic areas where KD is found are remote and rural, and many are poor and mountaino...
Source: Rural Remote Health - March 26, 2021 Category: Rural Health Authors: Ying Shi Wei Yang Xianwen Tang Quanhao Yan Xiaojing Cai Fenfang Wu Source Type: research

Different School Reopening Plans on Coronavirus Disease 2019 Case Growth Rates in the School Setting in the United States
CONCLUSIONS: Hybrid may not necessarily be the next logical option when transitioning from the remote to in-person learning models due to its consistent higher case growth rates than the other 2 learning models.PMID:33768584 | DOI:10.1111/josh.13009 (Source: Rural Remote Health)
Source: Rural Remote Health - March 26, 2021 Category: Rural Health Authors: Dong Liu Ge Lin Xiaoting Sun Yi Du Han Liu Ming Qu Source Type: research

Rural telemedicine use before and during the COVID-19 pandemic: A repeated cross-sectional study
CONCLUSIONS: Telemedicine adoption grew in rural and remote areas during the COVID-19 pandemic, but higher growth in utilization was seen in urban and less rural populations. Future research on the potential barriers to telemedicine among rural patients and the impact of rural telemedicine on patient healthcare utilization and outcomes is warranted.PMID:33769942 | DOI:10.2196/26960 (Source: Rural Remote Health)
Source: Rural Remote Health - March 26, 2021 Category: Rural Health Authors: Cherry Chu Peter Cram Andrea Pang Vess Stamenova Mina Tadrous R Sacha Bhatia Source Type: research

Procedural Telementoring in Rural, Underdeveloped, and Austere Settings: Origins, Present Challenges, and Future Perspectives
This article presents past and current telementoring systems, with a focus on rural settings, and proposes a set of requirements for such systems. We conclude with a perspective on the future telementoring systems and the integration of artificial intelligence within those systems. Expected final online publication date for the Annual Review of Biomedical Engineering, Volume 23 is June 2021. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.PMID:33770455 | DOI:10.1146/annurev-bioeng-083120-023315 (Source: Rural Remote Health)
Source: Rural Remote Health - March 26, 2021 Category: Rural Health Authors: Juan P Wachs Andrew W Kirkpatrick Samuel A Tisherman Source Type: research

Keshan Disease: A Potentially Fatal Endemic Cardiomyopathy in Remote Mountains of China
Front Pediatr. 2021 Mar 9;9:576916. doi: 10.3389/fped.2021.576916. eCollection 2021.ABSTRACTKeshan disease (KD) as an endemic, highly lethal cardiomyopathy, first reported in northeast China's Keshan County in 1935. The clinical manifestations of patients with KD include primarily congestive heart failure, acute heart failure, and cardiac arrhythmia. Even though some possible etiologies, such as viral infection, fungal infection, microelement deficiency, and malnutrition, have been reported, the exact causes of KD remain poorly known. The endemic areas where KD is found are remote and rural, and many are poor and mountaino...
Source: Rural Remote Health - March 26, 2021 Category: Rural Health Authors: Ying Shi Wei Yang Xianwen Tang Quanhao Yan Xiaojing Cai Fenfang Wu Source Type: research

Different School Reopening Plans on Coronavirus Disease 2019 Case Growth Rates in the School Setting in the United States
CONCLUSIONS: Hybrid may not necessarily be the next logical option when transitioning from the remote to in-person learning models due to its consistent higher case growth rates than the other 2 learning models.PMID:33768584 | DOI:10.1111/josh.13009 (Source: Rural Remote Health)
Source: Rural Remote Health - March 26, 2021 Category: Rural Health Authors: Dong Liu Ge Lin Xiaoting Sun Yi Du Han Liu Ming Qu Source Type: research

Rural telemedicine use before and during the COVID-19 pandemic: A repeated cross-sectional study
CONCLUSIONS: Telemedicine adoption grew in rural and remote areas during the COVID-19 pandemic, but higher growth in utilization was seen in urban and less rural populations. Future research on the potential barriers to telemedicine among rural patients and the impact of rural telemedicine on patient healthcare utilization and outcomes is warranted.PMID:33769942 | DOI:10.2196/26960 (Source: Rural Remote Health)
Source: Rural Remote Health - March 26, 2021 Category: Rural Health Authors: Cherry Chu Peter Cram Andrea Pang Vess Stamenova Mina Tadrous R Sacha Bhatia Source Type: research

Procedural Telementoring in Rural, Underdeveloped, and Austere Settings: Origins, Present Challenges, and Future Perspectives
This article presents past and current telementoring systems, with a focus on rural settings, and proposes a set of requirements for such systems. We conclude with a perspective on the future telementoring systems and the integration of artificial intelligence within those systems. Expected final online publication date for the Annual Review of Biomedical Engineering, Volume 23 is June 2021. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.PMID:33770455 | DOI:10.1146/annurev-bioeng-083120-023315 (Source: Rural Remote Health)
Source: Rural Remote Health - March 26, 2021 Category: Rural Health Authors: Juan P Wachs Andrew W Kirkpatrick Samuel A Tisherman Source Type: research

Keshan Disease: A Potentially Fatal Endemic Cardiomyopathy in Remote Mountains of China
Front Pediatr. 2021 Mar 9;9:576916. doi: 10.3389/fped.2021.576916. eCollection 2021.ABSTRACTKeshan disease (KD) as an endemic, highly lethal cardiomyopathy, first reported in northeast China's Keshan County in 1935. The clinical manifestations of patients with KD include primarily congestive heart failure, acute heart failure, and cardiac arrhythmia. Even though some possible etiologies, such as viral infection, fungal infection, microelement deficiency, and malnutrition, have been reported, the exact causes of KD remain poorly known. The endemic areas where KD is found are remote and rural, and many are poor and mountaino...
Source: Rural Remote Health - March 26, 2021 Category: Rural Health Authors: Ying Shi Wei Yang Xianwen Tang Quanhao Yan Xiaojing Cai Fenfang Wu Source Type: research

Different School Reopening Plans on Coronavirus Disease 2019 Case Growth Rates in the School Setting in the United States
CONCLUSIONS: Hybrid may not necessarily be the next logical option when transitioning from the remote to in-person learning models due to its consistent higher case growth rates than the other 2 learning models.PMID:33768584 | DOI:10.1111/josh.13009 (Source: Rural Remote Health)
Source: Rural Remote Health - March 26, 2021 Category: Rural Health Authors: Dong Liu Ge Lin Xiaoting Sun Yi Du Han Liu Ming Qu Source Type: research

Can tele-nursing affect the supportive care needs of patients with cancer undergoing chemotherapy? A randomized controlled trial follow-up study
CONCLUSIONS: Telephone-based support is an effective method to address and reduce SCNs of patients with cancer undergoing chemotherapy through increasing access to support for this population especially who may be in rural and remote settings. During the COVID_19 pandemic and given the vulnerability of patients with cancer, telephone support can be used to avoid unnecessary visits to hospitals and reduced the risk of transmitting the virus to the patients.TRIAL REGISTRATION NUMBER: IRCT20170404033216N1.PMID:33758968 | PMC:PMC7987327 | DOI:10.1007/s00520-021-06056-5 (Source: Rural Remote Health)
Source: Rural Remote Health - March 24, 2021 Category: Rural Health Authors: Maryam Ebrahimabadi Fatemeh Rafiei Nazi Nejat Source Type: research

Can tele-nursing affect the supportive care needs of patients with cancer undergoing chemotherapy? A randomized controlled trial follow-up study
CONCLUSIONS: Telephone-based support is an effective method to address and reduce SCNs of patients with cancer undergoing chemotherapy through increasing access to support for this population especially who may be in rural and remote settings. During the COVID_19 pandemic and given the vulnerability of patients with cancer, telephone support can be used to avoid unnecessary visits to hospitals and reduced the risk of transmitting the virus to the patients.TRIAL REGISTRATION NUMBER: IRCT20170404033216N1.PMID:33758968 | DOI:10.1007/s00520-021-06056-5 (Source: Rural Remote Health)
Source: Rural Remote Health - March 24, 2021 Category: Rural Health Authors: Maryam Ebrahimabadi Fatemeh Rafiei Nazi Nejat Source Type: research

Remote unaffiliated presurgical psychosocial evaluations: a qualitative assessment of the attitudes of ASMBS members
CONCLUSION: Respondents expressed both interest in and concerns about RUS in pre-MBS psychosocial evaluations. Use of RUS has the potential to improve access to MBS by providing a convenient and efficient means of completing the psychosocial evaluation. Conversely, respondents expressed concerns about the background and training of RUS providers, the quality of the reports, and the limited relationships between the RUS provider and both the MBS patient and the MBS team. We discuss the clinical and research implications of response themes, particularly for patients in rural areas or those who have other barriers to care.PMI...
Source: Rural Remote Health - March 23, 2021 Category: Rural Health Authors: Jessica K Salwen-Deremer Jennifer M Lauretti Kelly A Aschbrenner Leslie Heinberg Stephen J Ritz Stephanie Sogg Source Type: research

The Kidney Check program - championing patient-centered, culturally safe, preventive kidney care in Canada's rural and remote Indigenous communities
EJIFCC. 2021 Feb 28;32(1):61-68. eCollection 2021 Feb.NO ABSTRACTPMID:33753975 | PMC:PMC7941067 (Source: Rural Remote Health)
Source: Rural Remote Health - March 23, 2021 Category: Rural Health Authors: Sarah Curtis David Collister Heather Martin Abdul Razaq Sokoro Lorraine McLeod Caroline Chartrand Barry Lavallee Cathy Woods Adeera Levin Paul Komenda Source Type: research

Evaluating disparities in access to obstetric services for American Indian women across Montana
CONCLUSIONS: It is imperative to consider racial disparities and health inequities underlying poor access to obstetric services across rural America. Current federal policies aim to reduce maternity care professional shortages. Our findings suggest that racial disparities in access to complex obstetric care will persist in Montana unless facility-level infrastructure is also expanded to reach areas serving AIAN women.PMID:33754411 | DOI:10.1111/jrh.12572 (Source: Rural Remote Health)
Source: Rural Remote Health - March 23, 2021 Category: Rural Health Authors: Maggie L Thorsen Sean Harris Ronald McGarvey Janelle Palacios Andreas Thorsen Source Type: research

Developing a community rehabilitation and lifestyle service for a remote indigenous community
CONCLUSIONS: An action-research approach to co-design has led to the establishment of a unique community rehabilitation service to address disability and rehabilitation needs in two remote Australian communities.Implications for rehabilitationCo-design of community rehabilitation services between Aboriginal and Torres Strait Islander community members and the local allied health professionals can lead to development of an innovative service model for remote Aboriginal communities.Culturally responsive community rehabilitation services in Aboriginal and Torres Strait Islander communities requires holistic and community-wide...
Source: Rural Remote Health - March 23, 2021 Category: Rural Health Authors: Alice Cairns Lynore Geia Sylvia Kris Elizabeth Armstrong Amy O'Hara Danielle Rodda Robyn McDermott Ruth Barker Source Type: research

Evaluation plan of the 6for6 research skills program for rural and remote physicians
Eval Program Plann. 2021 Mar 4;87:101933. doi: 10.1016/j.evalprogplan.2021.101933. Online ahead of print.ABSTRACTOverwhelming issues and barriers often prevent rural and remote physicians (RRPs) from pursuing the many socially accountable research questions they encounter on a daily basis. Although research training programs can empower RRPs to rise to these challenges, there is a lack of evidence on how they should be developed and refined. At Memorial University, a faculty development program (FDP) called 6for6 has been helping RRPs surmount their research quagmires and engage in scholarship since 2014. After an initial ...
Source: Rural Remote Health - March 23, 2021 Category: Rural Health Authors: Shabnam Asghari Thomas Heeley Cheri Bethune Wendy Graham Cameron MacLellan Cathryn Button Nicole Porter Sandra Parsons Source Type: research

Remote unaffiliated presurgical psychosocial evaluations: a qualitative assessment of the attitudes of ASMBS members
CONCLUSION: Respondents expressed both interest in and concerns about RUS in pre-MBS psychosocial evaluations. Use of RUS has the potential to improve access to MBS by providing a convenient and efficient means of completing the psychosocial evaluation. Conversely, respondents expressed concerns about the background and training of RUS providers, the quality of the reports, and the limited relationships between the RUS provider and both the MBS patient and the MBS team. We discuss the clinical and research implications of response themes, particularly for patients in rural areas or those who have other barriers to care.PMI...
Source: Rural Remote Health - March 23, 2021 Category: Rural Health Authors: Jessica K Salwen-Deremer Jennifer M Lauretti Kelly A Aschbrenner Leslie Heinberg Stephen J Ritz Stephanie Sogg Source Type: research

The Kidney Check program - championing patient-centered, culturally safe, preventive kidney care in Canada's rural and remote Indigenous communities
EJIFCC. 2021 Feb 28;32(1):61-68. eCollection 2021 Feb.NO ABSTRACTPMID:33753975 | PMC:PMC7941067 (Source: Rural Remote Health)
Source: Rural Remote Health - March 23, 2021 Category: Rural Health Authors: Sarah Curtis David Collister Heather Martin Abdul Razaq Sokoro Lorraine McLeod Caroline Chartrand Barry Lavallee Cathy Woods Adeera Levin Paul Komenda Source Type: research

Evaluating disparities in access to obstetric services for American Indian women across Montana
CONCLUSIONS: It is imperative to consider racial disparities and health inequities underlying poor access to obstetric services across rural America. Current federal policies aim to reduce maternity care professional shortages. Our findings suggest that racial disparities in access to complex obstetric care will persist in Montana unless facility-level infrastructure is also expanded to reach areas serving AIAN women.PMID:33754411 | DOI:10.1111/jrh.12572 (Source: Rural Remote Health)
Source: Rural Remote Health - March 23, 2021 Category: Rural Health Authors: Maggie L Thorsen Sean Harris Ronald McGarvey Janelle Palacios Andreas Thorsen Source Type: research

Reducing Opioid Mortality in Illinois (ROMI): A case management/peer recovery coaching critical time intervention clinical trial protocol
We present the protocol for the Reducing Opioid Mortality in Illinois (ROMI), a type I hybrid effectiveness-implementation randomized trial of a case management, peer recovery coaching and overdose education and naloxone distribution (CM/PRC + OEND) critical time intervention (CTI) compared to OEND alone. The CM/PRC + OEND is a novel, 12-month intervention that involves linkage to substance use treatment and support for continuity of care, skills building, and navigation and engagement of social services that will be implemented using a hub-and-spoke model of training and supervision across the study sites. At least 1000 i...
Source: Rural Remote Health - March 22, 2021 Category: Rural Health Authors: Mai Pho Farah Erzouki Basmattee Boodram Antonio D Jimenez Juliet Pineros Valery Shuman Emily Jane Claypool Alida M Bouris Nicole Gastala Jessica Reichert Marianne Kelly Elizabeth Salisbury-Afshar Matthew W Epperson Robert D Gibbons John A Schneider Harold Source Type: research

Does community size or commute time affect severity of illness at diagnosis or quality of care in a centralized care model of pulmonary hypertension?
CONCLUSIONS: We found no association between community size or commute time with severity of illness at diagnosis, or markers of prognosis at follow up. This suggests that patients who reside in rural or remote environments are not experiencing deficiencies in care compared to urban patients.PMID:33746049 | DOI:10.1016/j.ijcard.2021.03.035 (Source: Rural Remote Health)
Source: Rural Remote Health - March 22, 2021 Category: Rural Health Authors: Nathan W Brunner Lena Legkaia Fayez Al-Ahmadi Lisa Lee Monica Norena Charmaine S M Lam Jeffrey J Yim Christina Luong Jason Weatherald Roland G Nador Robert D Levy John R Swiston Source Type: research

Evaluating Patients' and Neonatologists' Satisfaction With the Use of Telemedicine for Neonatology Prenatal Consultations During the COVID-19 Pandemic
Conclusion: Despite patient inexperience with tele-consultations, the quick implementation of telemedicine, and the sensitive reason for the visit, patients and physicians were highly satisfied with virtual visits. Telemedicine is a safe, effective alternative for providing neonatology prenatal consultations for pregnant women with diagnosis of fetal anomalies during the pandemic.PMID:33748048 | PMC:PMC7966517 | DOI:10.3389/fped.2021.642369 (Source: Rural Remote Health)
Source: Rural Remote Health - March 22, 2021 Category: Rural Health Authors: Maria C Lapadula Shanna Rolfs Edgardo G Szyld Gene Hallford Tracie Clark Mike McCoy Stephanie McKnight Abhishek Makkar Source Type: research

Perceived Usefulness of a Social Robot Augmented Telehealth Platform by Therapists in the United States
IEEE Robot Autom Lett. 2021 Apr;6(2):2946-2953. doi: 10.1109/lra.2021.3062349. Epub 2021 Feb 25.ABSTRACTWith the shortage of rehabilitation clinicians in rural areas and the ongoing COVID-19 pandemic, remote rehabilitation (telerehab) fills an important gap in access to rehabilitation, especially for the treatment of adults and children experiencing upper arm disability due to stroke and cerebral palsy. We propose the use of a socially assistive robot with arms, a torso, and a face to play games with and guide patients, coupled with a telepresence platform, to maintain the patient-clinician interaction, and a computer visi...
Source: Rural Remote Health - March 22, 2021 Category: Rural Health Authors: Michael J Sobrepera Vera G Lee Suveer Garg Rochelle Mendonca Michelle J Johnson Source Type: research

Predictors and reasons for quitting smoking in remote Aboriginal and Torres Strait Islander communities
CONCLUSIONS: Health staff should consider the quite different factors associated with starting and then sustaining a quit attempt. SO WHAT?: Our findings support continued attention in remote areas on smoke-free homes and health staff providing regular encouragement to all smokers to quit, and more use of smokers' friends and family for support.PMID:33749952 | DOI:10.1002/hpja.485 (Source: Rural Remote Health)
Source: Rural Remote Health - March 22, 2021 Category: Rural Health Authors: David P Thomas Kathryn S Panaretto Source Type: research

'I'm still here, that's probably the best part'. Lives of those living rurally with an implantable cardioverter defibrillator: a qualitative study
CONCLUSION: This is one of the few studies that has considered the influence of rural location on the post-ICD insertion experience of patients and their partners/carers. ICD insertion did not appear to substantially negatively impact on the lives or experiences of rural recipients and their partners/carers. While this study did not set out to explore the role of informal carers who live rurally, the study findings suggest that female partners of rural ICD recipients undertake a significant role in terms of shouldering varying responsibilities including medication management, emotional support and transportation. As the ag...
Source: Rural Remote Health - March 22, 2021 Category: Rural Health Authors: Fiona Doolan-Noble Geoff Noller Garry Nixon Tim Stokes Source Type: research