Spatial-temporal distribution of Anopheles larval habitats in Uganda using GIS/remote sensing technologies.
This study utilizes remote sensing techniques and spatial autocorrelation models to identify and prioritize the most prolific Anopheline larval habitats for control purposes in a rural community in Uganda. METHODS: A community-based mosquito surveillance programme was developed and implemented in Papoli Parish in Eastern Uganda over a 4-month period. Each day, a trained field team sampled the larval habitats of Anopheles mosquitoes within the population-dense areas of the community. Habitats and their productivity were identified and plotted spatially on a daily basis. Daily output was combined and displayed as a week...
Source: Rural Remote Health - November 12, 2018 Category: Rural Health Authors: Tokarz R, Novak RJ Tags: Malar J Source Type: research

Incidence of emergency department presentations for traumatic brain injury in Indigenous and non-Indigenous residents aged 15-64 over the 9-year period 2007-2015 in North Queensland, Australia.
Abstract BACKGROUND: Traumatic brain injury (TBI) is a leading cause of disability worldwide. Previous studies have shown that males have a higher incidence than females, and Indigenous populations have a higher rate than non-Indigenous. To date, no study has compared the incidence rate of TBI between Indigenous and non-Indigenous Australians for any cause. Here we add to this rather sparse literature. METHODS: Retrospective analysis of data from North Queensland Emergency Departments between 2007 and 2015 using Australian Bureau of Statistics population estimates for North Queensland residents aged 15-64&nbs...
Source: Rural Remote Health - November 12, 2018 Category: Rural Health Authors: Esterman A, Thompson F, Fitts M, Gilroy J, Fleming J, Maruff P, Clough A, Bohanna I Tags: Inj Epidemiol Source Type: research

Expectations of rural community-based medical education: a case study from Thailand.
CONCLUSION: This study comprehensively describes Thai stakeholder expectations of RCBME and demonstrates that, although some principles of RCBME are universal, context does influence the expectations and capacity of stakeholders to contribute to RCBME. Prospective formal stakeholder engagement is recommended to ensure successful implementation of new educational innovations. PMID: 30403490 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - November 1, 2018 Category: Rural Health Authors: Somporn P, Walters L, Ash J Tags: Rural Remote Health Source Type: research

Cardiac rehabilitation services for people in rural and remote areas: an integrative literature review.
CONCLUSION: This study found weak systems with low referral rates and poor access to CR in rural and remote areas. Underlying factors include lack of health professional and public support, often based on poor perception of benefits of CR, compounded by scarce and inflexible services. Low levels of involvement of Australian First Peoples, as well as a lack of cultural understanding by non-Australian First Peoples staff, is evident. Overall, the findings demonstrate the need for improved models of referral and access, greater flexibility of programs and professional roles, with management support. Further, increased educati...
Source: Rural Remote Health - November 1, 2018 Category: Rural Health Authors: Field PE, Franklin RC, Barker RN, Ring I, Leggat PA Tags: Rural Remote Health Source Type: research

Strategies to Address the Complex Challenge of Improving Regional and Remote Children's Fruit and Vegetable Consumption.
Abstract Fruit and vegetables (F&V) are imperative for good health, yet less than one per cent of Australian children consume these food groups in sufficient quantities. As guided by Social Cognitive Theory (SCT), this paper aimed to: (i) understand key informant perspectives of the amount, types and quality of F&V consumed by rural and remote Western Australian (WA) children; and, (ii) determine strategies that could increase F&V consumption among rural and remote WA children. This qualitative study included 20 semi-structured interviews with health, school/youth and food supply workers, f...
Source: Rural Remote Health - November 1, 2018 Category: Rural Health Authors: Godrich SL, Davies CR, Darby J, Devine A Tags: Nutrients Source Type: research

From Water Source to Tap of Ceramic Filters-Factors That Influence Water Quality Between Collection and Consumption in Rural Households in Nepal.
a M Abstract The study assessed changes in water quality between the water source and the tap of locally produced low cost ceramic water filters used by a community living in hygienically critical conditions in a remote mountainous area in Western Nepal. Data was collected from 42 rural households during two visits. The effectiveness of filter handling on its performance was assessed through microbiological analysis, structured household interviews and structured observations. Water quality decreased significantly when source water was filled into transport containers, while the use of the filters improved drinkin...
Source: Rural Remote Health - November 1, 2018 Category: Rural Health Authors: Meierhofer R, Bänziger C, Deppeler S, Kunwar BM, Bhatta M Tags: Int J Environ Res Public Health Source Type: research

Thresholds of socio-economic and environmental conditions necessary to escape from childhood malnutrition: a natural experiment in rural Gambia.
Abstract BACKGROUND: Childhood malnutrition remains highly prevalent in low-income countries, and a 40% reduction in under-5 year stunting is WHO's top Global Target 2025. Disappointingly, meta-analyses of intensive nutrition interventions reveal that they generally have low efficacy at improving growth. Unhygienic environments also contribute to growth failure, but large WASH Benefits and SHINE trials of improved water, sanitation and hygiene (WASH) recently reported no benefits to child growth. METHODS: To explore the thresholds of socio-economic status (SES) and living standards associated with malnut...
Source: Rural Remote Health - November 1, 2018 Category: Rural Health Authors: Husseini M, Darboe MK, Moore SE, Nabwera HM, Prentice AM Tags: BMC Med Source Type: research

New Nurses' Positive Evaluation of Transition-to-Practice Programs.
CONCLUSION: The program will continue to undergo incremental improvements to meet the needs of the organization and the graduates. The need to tailor future programs to meet the needs of nurses working in rural and remote facilities has been identified. It has been suggested that options for more dynamic presentations of content also need to be explored. J Contin Educ Nurs. 2018;49(11):500-506. PMID: 30376140 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - October 31, 2018 Category: Rural Health Authors: Smyth W, Pianta P, Perkins R Tags: J Contin Educ Nurs Source Type: research

Thinking Outside the Box: Are We Ready for Teleprecepting to Expand Training and Practice Venues?
Abstract A significant challenge related to nurse practitioner (NP) training is the shortage of clinical sites with qualified faculty to precept NP interns. The problem is compounded in rural communities with provider shortages, restricting their opportunities to train (and potentially recruit) new APRNs. Consequently, these underserved communities have difficulty accessing specialty providers, such as Psychiatric Mental Health Nurse Practitioners (PMHNPs). Combined with geographic distance from urban communities and generally lower pay, many rural and/or remote communities struggle with the disparity in contrast ...
Source: Rural Remote Health - October 30, 2018 Category: Rural Health Authors: Johnson DS Tags: Issues Ment Health Nurs Source Type: research

An assessment of strategies to control dental caries in Aboriginal children living in rural and remote communities in New South Wales, Australia.
DISCUSSION: The proposed program includes four core evidence-based components which can be implemented in rural and remote schools with a high Aboriginal population. Based on the Precede-Proceed model, this program seeks to empower the local Aboriginal community to achieve improved oral health outcomes. TRIAL REGISTRATION: TRN: ISRCTN16110292 Date of Registration: 20 June 2018. PMID: 30373592 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - October 29, 2018 Category: Rural Health Authors: Dimitropoulos Y, Holden A, Gwynne K, Irving M, Binge N, Blinkhorn A Tags: BMC Oral Health Source Type: research

Perspective of Traditional Birth Attendants on Their Experiences and Roles in Maternal Health Care in Rural Areas of Northern Ghana.
Conclusion: Our study brought to light the critical role traditional birth attendants play in maternity in rural and remote areas in Ghana. There is a need for skilled birth attendants to collaborate with traditional birth attendants in rural and deprived communities to provide quality and culturally accepted care in the rural communities. PMID: 30364067 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - October 27, 2018 Category: Rural Health Authors: Adatara P, Afaya A, Baku EA, Salia SM, Asempah A Tags: Int J Reprod Med Source Type: research

Implementing a mobile diagnostic unit to increase access to imaging and laboratory services in western Kenya.
The objective of this paper is to describe the design, implementation, preliminary impact and operational challenges of the MDU in western Kenya. Since implementing the MDU at seven rural health facilities serving a catchment of over half a million people, over 4500 chest radiographs have been performed, with one or more abnormalities detected in approximately 30% of radiographs. We observed favorable feedback and uptake of MDU services by healthcare workers and patients. However, various operational challenges in the design and construction of the MDU and the transmission and reporting of radiographs in remote areas were ...
Source: Rural Remote Health - October 27, 2018 Category: Rural Health Authors: Dhoot R, Humphrey JM, O'Meara P, Gardner A, McDonald CJ, Ogot K, Antani S, Abuya J, Kohli M Tags: BMJ Glob Health Source Type: research

Toward an integrated approach to crop production and pollination ecology through the application of remote sensing.
Abstract Insect pollinators provide an essential ecosystem service by transferring pollen to crops and native vegetation. The extent to which pollinator communities vary both spatially and temporally has important implications for ecology, conservation and agricultural production. However, understanding the complex interactions that determine pollination service provisioning and production measures over space and time has remained a major challenge. Remote sensing technologies (RST), including satellite, airborne and ground based sensors, are effective tools for measuring the spatial and temporal variability of ve...
Source: Rural Remote Health - October 27, 2018 Category: Rural Health Authors: Willcox BK, Robson AJ, Howlett BG, Rader R Tags: PeerJ Source Type: research

A longitudinal evaluation of the Rural Clinical Placement Program at the University of Sydney Dental School.
CONCLUSIONS: The RCPP was a valuable and positive experience with many considering it as a highlight of their dental education. A large proportion reported the program positively influenced their employment location choices, and a higher proportion of the RCPP participants were identified as working rurally, compared to the non-participants. This article is protected by copyright. All rights reserved. PMID: 30358039 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - October 25, 2018 Category: Rural Health Authors: Johnson G, Wright FAC, Foster K Tags: Eur J Dent Educ Source Type: research

Factors affecting home delivery among women living in remote areas of rural Zambia: a cross-sectional, mixed-methods analysis.
Conclusion: Findings highlight persistent challenges facing women living in remote areas when it comes to realizing their intentions regarding delivery location. Interventions to reduce home deliveries should potentially target not only those residing farthest away, but multigravida women, those who attend fewer antenatal visits, and those who do not utilize MWHs. PMID: 30349403 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - October 24, 2018 Category: Rural Health Authors: Scott NA, Henry EG, Kaiser JL, Mataka K, Rockers PC, Fong RM, Ngoma T, Hamer DH, Munro-Kramer ML, Lori JR Tags: Int J Womens Health Source Type: research

Malaria elimination in remote communities requires integration of malaria control activities into general health care: an observational study and interrupted time series analysis in Myanmar.
CONCLUSIONS: CHWs have overseen dramatic declines in P. falciparum and P. vivax malaria in rural Myanmar. Expanding their remit to general health care has sustained community uptake of malaria services. In similar settings, expanding health services offered by CHWs beyond malaria testing and treatment can improve rural health care while ensuring continued progress towards the elimination of malaria. PMID: 30343666 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - October 22, 2018 Category: Rural Health Authors: McLean ARD, Wai HP, Thu AM, Khant ZS, Indrasuta C, Ashley EA, Kyaw TT, Day NPJ, Dondorp A, White NJ, Smithuis FM Tags: BMC Med Source Type: research

Prenatal and early life origins of adolescence sleep problems: evidence from a birth cohort.
Conclusions This study demonstrates the predictive role of prenatal and early life risk factors in adolescence sleep problems. It seems that exposure to prenatal and early life risk factors increase the vulnerability for sleep problems later in life, which is further supported by poor health and lifestyle choices in adolescence. Therefore, close observation and mitigation of factors associated with early life risk factors could be a potential strategy for preventing sleep problems later in life. PMID: 30352032 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - October 20, 2018 Category: Rural Health Authors: Fatima Y, Cairns A, Skinner I, Doi SAR, Mamun AA Tags: Int J Adolesc Med Health Source Type: research

Impact of using eHealth tools to extend health services to rural areas of Nigeria: protocol for a mixed-method, non-randomised cluster trial.
Abstract INTRODUCTION: eHealth solutions that use internet and related technologies to deliver and enhance health services and information are emerging as novel approaches to support healthcare delivery in sub-Saharan Africa. Using digital technology in this way can support cost-effectiveness of care delivery and extend the reach of services to remote locations. Despite the burgeoning literature on eHealth approaches, little is known about the effectiveness of eHealth tools for improving the quality and efficiency of health systems functions or client outcomes in resource-limited countries. eHealth tools including...
Source: Rural Remote Health - October 18, 2018 Category: Rural Health Authors: Ebenso B, Allsop MJ, Okusanya B, Akaba G, Tukur J, Okunade K, Akeju D, Ajepe A, Dirisu O, Yalma R, Sadeeq AI, Okuzu O, Ors T, Jagger T, Hicks JP, Mirzoev T, Newell JN Tags: BMJ Open Source Type: research

Caregiving, Employment and Social Isolation: Challenges for Rural Carers in Australia.
Abstract Australia has one of the world's highest life expectancy rates, and there is a rapidly growing need for informal caregivers to support individuals who are ageing, have chronic illness or a lifelong disability. These informal carers themselves face numerous physical and psychological stressors in attempting to balance the provision of care with their personal life, their work commitments and family responsibilities. However, little is known about the specific challenges facing rural carers and the barriers that limit their capacity to provide ongoing support. A cross-sectional survey composed of open-ended...
Source: Rural Remote Health - October 16, 2018 Category: Rural Health Authors: Hussain R, Wark S, Ryan P Tags: Int J Environ Res Public Health Source Type: research

Digital Technologies for Health Workforce Development in Low- and Middle-Income Countries: A Scoping Review.
Abstract The collection of journal articles, systematic reviews, and reports published over the last decade that attest to the potential of digital technologies to achieve health workforce improvements across all aspects of the health system is vast. As a capacity-building mechanism, digital technology has potential for low- and middle-income countries (LMICs) to support development of the health workforce, including those health workers based in remote or rural areas, to train, motivate, support, monitor, and pay them. The purpose of this scoping review to present, at a high level, the state of the evidence and b...
Source: Rural Remote Health - October 10, 2018 Category: Rural Health Authors: Long LA, Pariyo G, Kallander K Tags: Glob Health Sci Pract Source Type: research

Technology for improving accessibility of end-of-life care: Extension for Community Healthcare Outcomes Project.
rez G Abstract PURPOSE OF REVIEW: To describe how Project ECHO works and to analyze what has been published on Project ECHO Palliative Care (Project ECHO PC) over the last 18 months. RECENT FINDINGS: Only two articles on Project ECHO PC have been published over the last 18 months: a descriptive study of experiences in seven health centers of the United States, the United Kingdom, Uruguay and India; and a quantitative and qualitative study of the impact of the teleECHO clinic on physicians and nurses in Northern Ireland, which reports a significant boost in knowledge acquisition and self-efficacy. SUMMARY...
Source: Rural Remote Health - October 8, 2018 Category: Rural Health Authors: Píriz Alvarez G Tags: Curr Opin Support Palliat Care Source Type: research

Nurses developing confidence and competence in telehealth: results of a descriptive qualitative study.
CONCLUSION: Recommendations include the need for more telehealth education and preparation, including incorporating telehealth in under and postgraduate nursing programmes. Additionally, specific telehealth nursing competencies are warranted. PMID: 30295135 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - October 6, 2018 Category: Rural Health Authors: Honey M, Wright J Tags: Contemp Nurse Source Type: research

Towards universal health coverage: a mixed-method study mapping the development of the faith-based non-profit sector in the Ghanaian health system.
CONCLUSION: FBNPs have had a long-standing role in the provision of health services and remain a valuable asset within national health systems in Ghana and sub-Saharan Africa more broadly. Collaboration between the public sector and such non-state providers, drawing on the comparative strengths and resources of FBNPs and focusing on whole system strengthening, is essential for the achievement of UHC. PMID: 30286758 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - October 5, 2018 Category: Rural Health Authors: Grieve A, Olivier J Tags: Int J Equity Health Source Type: research

Development of a 3D, networked multi-user virtual reality environment for home therapy after stroke.
CONCLUSIONS: Multi-user VR environments hold promise for home therapy, although the importance of reducing complexity of operation for the user in the VR system must be emphasized. A modified version of the VERGE system is currently being used in a home therapy study. PMID: 30290777 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - October 5, 2018 Category: Rural Health Authors: Triandafilou KM, Tsoupikova D, Barry AJ, Thielbar KN, Stoykov N, Kamper DG Tags: J Neuroeng Rehabil Source Type: research

Optimal Strategies for the Diagnosis of Acute Pulmonary Embolism: Recommendations
Authors: Abstract Acute pulmonary embolism (PE) is the third most common acute cardiovascular disease, after myocardial infarction and stroke. The optimal diagnostic strategy for suspected PE among experts remains controversial, and it can differ based on factors related to the health care setting (i.e., urban, rural, or remote) that may impact access to diagnostic technologies. For instance, provision of timely diagnosis may be more challenging in rural and remote facilities due to lack of access to certain testing and imaging modalities and specialist expertise, as well as geographical barriers to care. Inabili...
Source: Rural Remote Health - October 4, 2018 Category: Rural Health Tags: Book Source Type: research

Handover training in the workplace: having a CHAT.
CONCLUSIONS: We suggest that work-based handover assessment and feedback provided by clinicians are feasible and should be developed further. Students can learn to give handovers safely even in a remote setting. Clinicians may find CHAT helpful in the learning and teaching of structured handovers in other clinical settings. PMID: 30264474 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - September 28, 2018 Category: Rural Health Authors: Moore M, Roberts C Tags: Clin Teach Source Type: research

Geographic Disparities in Previously Diagnosed Health Conditions in Colorectal Cancer Patients Are Largely Explained by Age and Area Level Disadvantage.
Conclusion: It is unlikely that health disparities in terms of previously diagnosed conditions account for poorer CRC survival in regional and remote areas. Interventions to improve the health of regional CRC patients may need to target issues unique to socio-economic disadvantage and older age. PMID: 30254984 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - September 27, 2018 Category: Rural Health Authors: Goodwin BC, March S, Ireland MJ, Crawford-Williams F, Ng SK, Baade PD, Chambers SK, Aitken JF, Dunn J Tags: Front Oncol Source Type: research

Impacts of prescribed fires and benefits from their reduction for air quality, health and visibility in the Pacific Northwest of the United States.
This study assesses the potential regional and local air quality, public health and visibility impacts from prescribed burning activities as well as benefits that can be achieved by a potential reduction in emissions for a scenario where biomass is harvested for conversion to biofuel. As prescribed burning activities become more frequent, they can be more detrimental for air quality and health. Forest residue based biofuel industry can be source of cleaner fuel with co-benefits of improved air quality, reduction in health impacts and improved visibility. PMID: 30252621 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - September 25, 2018 Category: Rural Health Authors: Ravi V, Vaughan JK, Wolcott MP, Lamb BK Tags: J Air Waste Manag Assoc Source Type: research

The impact and understanding of childhood drowning by a community in West Bengal, India, and the suggested preventive measures.
CONCLUSION: Drowning was clearly a complex issue in rural West Bengal, with a significant impact on children and their families. Community-based approaches are clearly needed. This article is protected by copyright. All rights reserved. PMID: 30252948 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - September 25, 2018 Category: Rural Health Authors: Lukaszyk C, Mittal S, Gupta M, Das R, Ivers R, Jagnoor J Tags: Acta Paediatr Source Type: research

"If I had known, I would have applied": poor communication, job dissatisfaction, and attrition of rural health workers in Sierra Leone.
CONCLUSIONS: HCWs in Sierra Leone lacked accurate information about entitlements, policies, and procedures, and this was a driver of rural HCW job dissatisfaction and attrition. System-oriented, low-cost initiatives can address these underlying structural causes in Sierra Leone. These issues likely apply to other countries facing HCW retention challenges and should be considered in development of global HCW retention strategies. PMID: 30249253 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 24, 2018 Category: Rural Health Authors: Narayan V, John-Stewart G, Gage G, O'Malley G Tags: Hum Resour Health Source Type: research

Digital Health in Melanoma Posttreatment Care in Rural and Remote Australia: Systematic Review.
CONCLUSIONS: Digital interventions may be used as an adjunct service by clinicians during melanoma posttreatment care, especially in regions that are less-resourced by practitioners and health infrastructure, such as rural and remote Australia. Technology could be used to reduce the disparity in melanoma incidence, mortality rates, and accessibility to posttreatment care management between urban and rural/remote populations. PMID: 30249578 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 24, 2018 Category: Rural Health Authors: Rollin A, Ridout B, Campbell A Tags: J Med Internet Res Source Type: research

Health-related quality of life on tele-monitoring for users with pacemakers 6 months after implant: the NORDLAND study, a randomized trial.
d KT Abstract BACKGROUND: With an ageing population and widening indications for pacemakers implantation, the number of persons carrying an implant is steadily increasing. The routine follow-up is thus a heavy burden for the respective NHS as well as for the patients and their relatives. Most of them of the studies have been performed in densely populated areas and nearby to the hospital. It is thus unknown whether these results could be applied also in rural areas such as Northern Norway with a more scattered population. The aim of this study was to assess the effectiveness of tele-monitoring (TM) in patients wit...
Source: Rural Remote Health - September 21, 2018 Category: Rural Health Authors: Lopez-Villegas A, Catalan-Matamoros D, Lopez-Liria R, Enebakk T, Thunhaug H, Lappegård KT Tags: BMC Geriatr Source Type: research

Delivering Collaborative Care in Rural Settings: Integrating Remote Teleconsultation and Local Supervision in Rural Nepal.
Abstract The collaborative care model can deliver high-quality mental health care. In rural regions, clinical supervision is conducted remotely rather than in person. The authors implemented a remote teleconsultation model in rural Nepal, where the consulting psychiatrist is over 30 hours away. This column describes strategies for several challenges: poor mental health competencies and high turnover among primary care providers; need for urgent consultations; psychiatrist discomfort with lack of direct patient contact; unreliable electricity, technological tools, documentation, and delivery of treatment recommenda...
Source: Rural Remote Health - September 17, 2018 Category: Rural Health Authors: Swar S, Rimal P, Gauchan B, Maru D, Yang Y, Acharya B Tags: Psychiatr Serv Source Type: research

Fostering healthcare innovation in public hospitals: the Queensland experience.
Abstract Faced with scarce resources and a demand for health care that exceeds supply, health policy makers at all levels of government need to adopt some form of rationing when deciding which health services should be funded in the public health system. With a relatively small investment, programs such as Queensland Health's New Technology Funding Evaluation Program (NTFEP) fosters innovation by providing funding and pilot studies for new and innovative healthcare technologies. The NTFEP assists policy makers to make informed decisions regarding investments in new safe and effective technologies based on availabl...
Source: Rural Remote Health - September 10, 2018 Category: Rural Health Authors: Mundy L, Howard S, McQueen L, Thomson J, Hewson K Tags: Aust Health Rev Source Type: research

Use of fetal fibronectin testing in women transferred for threatened preterm labour in remote far north Queensland.
CONCLUSION: Adherence to clinical guidelines and greater availability and use of fetal fibronectin testing in Cape York have the potential to reduce aeromedical transfers for threatened preterm labour. Substantial inpatient and excess outpatient stays could be avoided with associated reduction in health system and social costs. Strategies to improve adherence to guidelines and increase access to testing are required. PMID: 30175874 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - September 3, 2018 Category: Rural Health Authors: Downing SG, Wright R, Marquardt T, Callander E Tags: Aust N Z J Obstet Gynaecol Source Type: research

An explanation of turnover intention among early-career nursing and allied health professionals working in rural and remote Australia - findings from a grounded theory study.
CONCLUSIONS: The study offers a holistic explanation of life factors influencing the turnover intention of early-career health professionals working in public health services in rural NSW. These findings and the turnover intention risk matrix are thought to be suitable for use by Australian public health services and governments, as well as in other highly industrialised countries, to assist in the development of policies and strategies tailored for individual health professionals' work-experience level and life stage. By adopting such a whole-of-person approach, health services and governments will be better positioned to...
Source: Rural Remote Health - September 1, 2018 Category: Rural Health Authors: Cosgrave C, Maple M, Hussain R Tags: Rural Remote Health Source Type: research

Primary health care nurses' competencies in rural disasters caused by floods.
CONCLUSIONS: Although the competencies could be related to the established international competencies for nurses in disasters, a number were described only in this study. These competencies can contribute to the education and practice of nurses in primary health care, strengthening the capacity of the profession to face flood disaster situations in rural areas. PMID: 30173538 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 1, 2018 Category: Rural Health Authors: Prosdocimi Menegat R, Witt RR Tags: Rural Remote Health Source Type: research

Building clinical trials around patients: Evaluation and comparison of decentralized and conventional site models in patients with low back pain.
This study evaluated different trial settings, a decentralized arm via telemedicine center (virtual study conduct), a conventional arm via health clinic (onsite study conduct) and a mixed model arm. Acute low-back pain patients (20-65 years) were recruited to this non-interventional trial in Switzerland. The study consisted of a screening period and a 2-week data collection period using direct data capture (eSource), electronic informed consent form (eICF), electronic diary (eDiary) and wearable actigraphy sensor. A higher number of patients were enrolled in the decentralized arm (N = 18) compared to the conventional a...
Source: Rural Remote Health - August 11, 2018 Category: Rural Health Authors: Sommer C, Zuccolin D, Arnera V, Schmitz N, Adolfsson P, Colombo N, Gilg R, McDowell B Tags: Contemp Clin Trials Commun Source Type: research

Co-optimization of sponge-core bioreactors for removing total nitrogen and antibiotic resistance genes from domestic wastewater.
In this study, DDHS reactors were assessed for such applications, and achieved over 79% and 84% removal of Chemical Oxygen Demand and Ammonium, respectively, and up to 71% removal of Total Nitrogen (TN) from domestic wastes. Elevated TN removals were achieved via bypassing a fraction of raw wastewater around the top layer of the DDHS system to promote denitrification. However, it was not known how this bypass impacts AMR gene (ARG) and mobile genetic element (MGE) levels in treated effluents. High-throughput qPCR was used to quantify ARG and MGE levels in DDHS bioreactors as a function of percent bypass (0, 10, 20 and 30% ...
Source: Rural Remote Health - June 16, 2018 Category: Rural Health Authors: Jong MC, Su JQ, Bunce JT, Harwood CR, Snape JR, Zhu YG, Graham DW Tags: Sci Total Environ Source Type: research

Development of a Community Health Worker-Delivered Cognitive Behavioral Training Intervention for Individuals With Diabetes and Chronic Pain.
We present an iterative developmental approach that combined program adaptation, pretesting, and CHW training processes for a CBT-based diabetes self-care program for individuals living with diabetes and chronic pain. Collaborative intervention refinement, combined with CHW training, is a promising methodology for community-engaged research in remote, underresourced communities. PMID: 29781919 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - May 23, 2018 Category: Rural Health Authors: Andreae SJ, Andreae LJ, Cherrington AL, Lewis M, Johnson E, Clark D, Safford MM Tags: Fam Community Health Source Type: research

Cost-effectiveness of the controlled temperature chain for the hepatitis B virus birth dose vaccine in various global settings: a modelling study.
Abstract BACKGROUND: The controlled temperature chain (CTC) strategy allows vaccines to be kept outside the cold chain for a short period of time. In remote rural areas, the CTC strategy for the hepatitis B virus (HBV) birth dose vaccination could improve its geographical coverage and timeliness of delivery, but with additional outreach costs. We assessed the cost-effectiveness of the CTC strategy for the HBV birth dose across six world regions and 72 countries according to their HBV prevalence, delivery costs, and birth dose coverage and timing. METHODS: By use of a mathematical model of perinatal HBV transm...
Source: Rural Remote Health - May 20, 2018 Category: Rural Health Authors: Scott N, Palmer A, Morgan C, Lesi O, Spearman CW, Sonderup M, Hellard M Tags: Lancet Glob Health Source Type: research

Reducing Amputations in People with Diabetes (RAPID): Evaluation of a New Care Pathway.
Abstract People with diabetes are at increased risk of foot ulcers, which, if left untreated, can lead to infection, gangrene, and subsequent amputation. Management by a multidisciplinary diabetes foot team has been shown to reduce amputation rates; however, accessing specialist treatment is made particularly difficult when living in remote and rural locations, such as many individuals cared for within NHS Highland. The RAPID project was made up of two phases: firstly, to evaluate the technical feasibility of a new integrated care pathway using innovative technology, and secondly, to establish process enhancement ...
Source: Rural Remote Health - May 16, 2018 Category: Rural Health Authors: MacRury S, Stephen K, Main F, Gorman J, Jones S, Macfarlane D Tags: Int J Environ Res Public Health Source Type: research

Design and Rationale for a Parent-Led Intervention to Increase Fruit and Vegetable Intake in Young Childhood Cancer Survivors (Reboot): Protocol for a Pilot Study.
CONCLUSIONS: Reboot aims to support healthy dietary behaviors in childhood cancer survivors who are at increased risk of developing serious cardiometabolic complications after their cancer treatment. Results will inform the development and implementation of future evidence-based dietary interventions delivered to childhood cancer survivors, particularly those living in rural and remote areas. REGISTERED REPORT IDENTIFIER: RR1-10.2196/9252. PMID: 29769170 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - May 16, 2018 Category: Rural Health Authors: Touyz L, Cohen J, Wakefield C, Grech A, Garnett S, Gohil P, Cohn R Tags: JMIR Res Protoc Source Type: research

An overview of the general practice nurse workforce in Australia, 2012?15.
Abstract Several surveys of the general practice nurse (GPN) workforce have been undertaken in Australia over the last decade, but they have limitations, which mean that the workforce is not well-understood. The aim of this study is to describe the profile of the GPN workforce using the dataset available through the Australia Health Practitioner Registration Agency and to explore how it differs from the non-GPN nursing workforce, and if this workforce is changing over time. Data from labour force surveys conducted from 2012 to 2015 were used. Variables examined were age group, gender, remoteness area, hours worked...
Source: Rural Remote Health - May 8, 2018 Category: Rural Health Authors: Heywood T, Laurence C Tags: Aust J Prim Health Source Type: research

The Challenges of Predicting Suicidal Thoughts and Behaviours in a Sample of Rural Australians with Depression.
Abstract Suicide is a leading cause of death, particularly in rural and remote areas. Although depression is strongly related to both suicidal ideation and attempt, it lacks specificity as a predictor, and little is known about characteristics that increase suicide risk among people with depression. A telephone version of the World Mental Health Composite International Diagnostic Interview explored lifetime depression, suicidal ideation, suicide attempt, and related factors among a community-dwelling sample of rural and remote Australians, selected for an interview based on a screener for psychological distress (1...
Source: Rural Remote Health - May 7, 2018 Category: Rural Health Authors: Handley T, Rich J, Davies K, Lewin T, Kelly B Tags: Int J Environ Res Public Health Source Type: research

Telesonography in emergency medicine: A systematic review.
Abstract Ultrasound is an efficacious, versatile and affordable imaging technique in emergencies, but has limited utility without expert interpretation. Telesonography, in which experts may remotely support the use of ultrasound through a telecommunications link, may broaden access to ultrasound and improve patient outcomes, particularly in remote settings. This review assesses the literature regarding telesonography in emergency medicine, focussing on evidence of feasibility, diagnostic accuracy and clinical utility. A systematic search was performed for articles published from 1946 to February 2017 using the Coc...
Source: Rural Remote Health - May 5, 2018 Category: Rural Health Authors: Marsh-Feiley G, Eadie L, Wilson P Tags: PLoS One Source Type: research

Compounding medications in a rural setting: an interprofessional perspective.
Conclusion: This study highlights that workshops of this nature have a role to play in developing collaborative interprofessional practice and increasing awareness of pharmaceutical services among undergraduate health students. However, further evidence is needed to assess whether positive perceptions of specialty practice IPL workshops will translate into improved patient outcomes in practice. PMID: 29719402 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - May 3, 2018 Category: Rural Health Authors: Taylor S, Hays C, Glass B Tags: J Multidiscip Healthc Source Type: research

A Remote Collaborative Care Program for Patients with Depression Living in Rural Areas: Open-Label Trial.
CONCLUSIONS: Higher rates of treatment adherence in the remote collaborative care program suggest that technology-assisted interventions may help rural primary care teams in the management of depressive patients. Future cost-effectiveness studies are needed. TRIAL REGISTRATION: Clinicaltrials.gov NCT02200367; https://clinicaltrials.gov/ct2/show/NCT02200367 (Archived by WebCite at http://www.webcitation.org/6xtZ7OijZ). PMID: 29712627 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - April 30, 2018 Category: Rural Health Authors: Rojas G, Guajardo V, Martínez P, Castro A, Fritsch R, Moessner M, Bauer S Tags: J Med Internet Res Source Type: research

An investigation into the use of radiographer abnormality detection systems by Queensland public hospitals.
CONCLUSION: This study found an infrequent use of RADSs in Queensland public hospitals. This finding presents a unique opportunity for medical imaging professionals to enhance communication between the facets of a multidisciplinary emergency team via the implementation of RADS complemented by a radiographer commenting system. PMID: 29707911 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - April 29, 2018 Category: Rural Health Authors: Murphy A, Neep M Tags: J Med Radiat Sci Source Type: research

Parental Translation into Practice of Healthy Eating and Active Play Messages and the Impact on Childhood Obesity: A Mixed Methods Study.
Abstract Childhood obesity is a significant health issue worldwide. Modifiable risk factors in early childhood relate to child healthy eating and active play, and are influenced by parents. The aim of the study was two-fold. Firstly, to determine the weight status of children aged between birth and 3.5 years in a rural and remote area of Australia. Secondly, to explore the relationship between child weight status and translation of advice on healthy eating and active play provided to parents by local, nurse-led, Maternal Child Health (MCH) services. Measured anthropometric data (n = 438) were provided by MCH servi...
Source: Rural Remote Health - April 27, 2018 Category: Rural Health Authors: Huxtable A, Millar L, Love P, Bell C, Whelan J Tags: Nutrients Source Type: research