Web-Enabled Distributed Health-Care Framework for Automated Malaria Parasite Classification: an E-Health Approach.
Abstract Web-enabled e-healthcare system or computer assisted disease diagnosis has a potential to improve the quality and service of conventional healthcare delivery approach. The article describes the design and development of a web-based distributed healthcare management system for medical information and quantitative evaluation of microscopic images using machine learning approach for malaria. In the proposed study, all the health-care centres are connected in a distributed computer network. Each peripheral centre manages its' own health-care service independently and communicates with the central server for r...
Source: Rural Remote Health - October 26, 2017 Category: Rural Health Authors: Maity M, Dhane D, Mungle T, Maiti AK, Chakraborty C Tags: J Med Syst Source Type: research

Drama as a community engagement strategy for malaria in rural Cambodia.
Conclusions: Our evaluation demonstrated that the drama project was feasible in promoting awareness and understanding of malaria prevention and control. Audience members perceived drama as entertaining and as the preferred choice of engagement activity. Participatory drama could be considered as part of the community engagement for malaria elimination. PMID: 29062919 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - October 25, 2017 Category: Rural Health Authors: Lim R, Tripura R, J Peto T, Sareth M, Sanann N, Davoeung C, Nguon C, Cheah PY Tags: Wellcome Open Res Source Type: research

Family effects on the rurality of GP's work location: a longitudinal panel study.
Abstract BACKGROUND: Reduced opportunities for children's schooling and spouse's/partner's employment are identified internationally as key barriers to general practitioners (GPs) working rurally. This paper aims to measure longitudinal associations between the rurality of GP work location and having (i) school-aged children and (ii) a spouse/partner in the workforce. METHODS: Participants included 4377 GPs responding to at least two consecutive annual surveys of the Medicine in Australia: Balancing Employment and Life (MABEL) national longitudinal study between 2008 and 2014. The main outcome, GP work locati...
Source: Rural Remote Health - October 19, 2017 Category: Rural Health Authors: McGrail MR, Russell DJ, O'Sullivan BG Tags: Hum Resour Health Source Type: research

Disentangling the effects of a multiple behaviour change intervention for diarrhoea control in Zambia: a theory-based process evaluation.
CONCLUSIONS: The lack of measured behaviour change was likely due to issues with both the intervention's content and its delivery. Achieving high reach and intensity in community interventions delivered in diverse settings is challenging. Achieving high fidelity is also challenging when multiple behaviours are targeted for change. Further work using improved tools is needed to explore the use of subconscious motives in behaviour change interventions. To better uncover how and why interventions achieve their measured effects, process evaluations of complex interventions should develop and employ frameworks for investigation...
Source: Rural Remote Health - October 17, 2017 Category: Rural Health Authors: Greenland K, Chipungu J, Chilekwa J, Chilengi R, Curtis V Tags: Global Health Source Type: research

Cost-Effectiveness of a Family Planning Voucher Program in Rural Pakistan.
CONCLUSION: The result compares favorably to other interventions with similar objectives and appears affordable for the Pakistan national health-care system. It is therefore recommended to help address the unmet need for contraception among MWRA in these areas of Pakistan and is worthy of trial implementation in the country more widely. PMID: 29018789 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - October 13, 2017 Category: Rural Health Authors: Broughton EI, Hameed W, Gul X, Sarfraz S, Baig IY, Villanueva M Tags: Front Public Health Source Type: research

Augmented Reality as a Telemedicine Platform for Remote Procedural Training.
Abstract Traditionally, rural areas in many countries are limited by a lack of access to health care due to the inherent challenges associated with recruitment and retention of healthcare professionals. Telemedicine, which uses communication technology to deliver medical services over distance, is an economical and potentially effective way to address this problem. In this research, we develop a new telepresence application using an Augmented Reality (AR) system. We explore the use of the Microsoft HoloLens to facilitate and enhance remote medical training. Intrinsic advantages of AR systems enable remote learners...
Source: Rural Remote Health - October 10, 2017 Category: Rural Health Authors: Wang S, Parsons M, Stone-McLean J, Rogers P, Boyd S, Hoover K, Meruvia-Pastor O, Gong M, Smith A Tags: Sensors (Basel) Source Type: research

Enhancing access to cervical and colorectal cancer screening for women in rural and remote northern Alberta: a pilot study.
This study compares cervical and colorectal cancer screening uptake among women screened through the pilot (Screen Test-EACS) versus Screen Test. METHODS: Screen Test-EACS was offered between 2013 and 2015 in selected rural and remote sites, with a focus on hard-to-reach women living in First Nations, Métis and Hutterite communities. Participation in cervical and colorectal cancer screening was analyzed for Screen Test and Screen Test-EACS participants 6 weeks before clients received their mammogram and then again 3 months after. RESULTS: A total of 8390 and 1312 women participated in Screen Test and Scree...
Source: Rural Remote Health - October 3, 2017 Category: Rural Health Authors: Mema SC, Yang H, Elnitsky S, Jiang Z, Vaska M, Xu L Tags: CMAJ Open Source Type: research

Addressing rural and remote access disparities for patients with inflammatory arthritis through video-conferencing and innovative inter-professional care models.
CONCLUSIONS: We found no evidence of a difference in effectiveness between inter-professional video-conferencing and traditional rheumatology clinic for both the provision of effective follow-up care and patient satisfaction for established RA patients. High dropout rates reinforce the need for consultation with patients' needs and preferences in developing models of care. While use of video-conferencing/telehealth technologies may be a distinct advantage for some patients, there may be loss of travel-related auxiliary benefits for others. PMID: 28967235 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - October 2, 2017 Category: Rural Health Authors: Taylor-Gjevre R, Nair B, Bath B, Okpalauwaekwe U, Sharma M, Penz E, Trask C, Stewart SA Tags: Musculoskeletal Care Source Type: research

Temporal Image Comparison (Serial Imaging) in Assessing Pigmented Lesions.
Abstract The large-scale deployment of low-cost, noninvasive mechanisms of early detection are needed to reduce the melanoma burden. A serial 2-step system could power mass screening efforts serving the uninsured and underinsured as well as the rural and remote US counties where melanoma mortality is doubled for lack of access to dermatologists. Furthermore, serial melanoma screening strategies, serial total body photography and serial digital dermatoscopy imaging may be performed as a telehealth service, and thus would be available in any location that can support activity compliant with the Health Insurance Port...
Source: Rural Remote Health - September 11, 2017 Category: Rural Health Authors: Drugge RJ, Drugge ED Tags: Dermatol Clin Source Type: research

Delivery of iron-fortified yoghurt, through a dairy value chain program, increases hemoglobin concentration among children 24 to 59 months old in Northern Senegal: A cluster-randomized control trial.
CONCLUSION: The dairy value chain was a successful strategy to distribute MNFY among pastoralists in Northern Senegal, and increase Hb concentrations among their children. This study is one of the first proofs of concept showing that a nutrition-sensitive agriculture value chain approach can contribute to improved child nutrition in a remote pastoralist population. TRIAL REGISTRATION: ClinicalTrials.gov NCT02079961. PMID: 28245227 [PubMed - indexed for MEDLINE] (Source: Rural Remote Health)
Source: Rural Remote Health - September 8, 2017 Category: Rural Health Authors: Le Port A, Bernard T, Hidrobo M, Birba O, Rawat R, Ruel MT Tags: PLoS One Source Type: research

Cryptococcal antigen screening by lay cadres using a rapid test at the point of care: A feasibility study in rural Lesotho.
This study investigates the feasibility of lay counsellors conducting CrAg LFA screening in rural primary care clinics in Lesotho. METHODS: From May 2014 to June 2015, individuals who tested positive for HIV were tested for CD4 count and those with CD4
Source: Rural Remote Health - September 8, 2017 Category: Rural Health Authors: Rick F, Niyibizi AA, Shroufi A, Onami K, Steele SJ, Kuleile M, Muleya I, Chiller T, Walker T, Van Cutsem G Tags: PLoS One Source Type: research

Internet or dvd for distance learning to isolated rural health professionals, what is the best approach?
CONCLUSION: Both training methods have improved participants' knowledge and the DVD mode is the first choice for Heads HBC of Madagascar with the majority located in remote areas. PMID: 28874191 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 6, 2017 Category: Rural Health Authors: Rakototiana LB, Rajabo, Gottot S Tags: BMC Med Educ Source Type: research

Understanding the factors affecting the attraction and retention of health professionals in rural and remote areas: a mixed-method study in Niger.
CONCLUSION: Intersectoral policies are needed to improve living conditions and public services in rural areas. The government should also take into account the feminization of the medical profession and the social and cultural norms related to marital status and population mobility when formulating human resources management policies. PMID: 28870254 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 4, 2017 Category: Rural Health Authors: Belaid L, Dagenais C, Moha M, Ridde V Tags: Hum Resour Health Source Type: research

Rural recruitment and retention of health workers across cadres and types of contract in north-east India: A qualitative study.
Conclusion This study establishes that the crisis in recruiting and retaining health workers in rural areas will persist until and unless health systems address the core basic requirements of health workers in rural areas, which are related to health-sector policies. Concerted attention and long-term political commitment to overcome system-level barriers and governance may yield sustainable gains in rural recruitment and retention across cadres and contract types. PMID: 28857063 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 1, 2017 Category: Rural Health Authors: Rajbangshi PR, Nambiar D, Choudhury N, Rao KD Tags: WHO South East Asia J Public Health Source Type: research

Participant referral rate in the National Eye Health Survey (NEHS).
Abstract PURPOSE: To present the rates of referral of participants in the National Eye Health Survey (NEHS) for further eye care. MATERIALS & METHODS: A national sample of 3098 non-Indigenous Australians aged 50-98 and 1738 Indigenous Australians aged 40-92 years living in 30 randomly selected sites was recruited using a door-to-door approach. Participants completed a general questionnaire and a series of eye tests, including vision and anterior segment assessment, intra-ocular pressure measurement, visual field testing and fundus photography. A predefined protocol was used to guide the referral of partic...
Source: Rural Remote Health - August 29, 2017 Category: Rural Health Authors: Keel S, Lee PY, Foreman J, van Wijngaarden P, Taylor HR, Dirani M Tags: PLoS One Source Type: research

The Effect of Rurality on Out-of-Hospital Cardiac Arrest Resuscitation Incidence: An Exploratory Study of a National Registry Utilizing a Categorical Approach.
CONCLUSION: OHCA variation in Ireland is limited and almost fully explained by area-level deprivation and proximity to ambulance stations. PMID: 28842929 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - August 26, 2017 Category: Rural Health Authors: Masterson S, Teljeur C, Cullinan J, Murphy AW, Deasy C, Vellinga A Tags: J Rural Health Source Type: research

Identification of Australian Aboriginal and Torres Strait Islander Cancer Patients in the Primary Health Care Setting.
CONCLUSION: It is crucial to be able to easily identify Indigenous cancer patients accessing health services in the PHC setting to monitor progress, improve and evaluate care, and ultimately improve Indigenous cancer outcomes. It is also important for PHC staff to receive adequate training and support to utilize PCISs efficiently and effectively. PMID: 28831386 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - August 25, 2017 Category: Rural Health Authors: de Witt A, Cunningham FC, Bailie R, Bernardes CM, Matthews V, Arley B, Meiklejohn JA, Garvey G, Adams J, Martin JH, Walpole ET, Williamson D, Valery PC Tags: Front Public Health Source Type: research

[Chances and Risks of Telemedicine in Orthopaedics and Trauma Surgery].
Conclusion Patients are demanding mobile solutions for scheduling medical appointments, including reminders of these. Patients are keen to be involved in the communications and would like to receive overall information about their health status. Online chats or video calls with physicians are not their first choice but might be a possibility until personal presentation. PMID: 28837980 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - August 24, 2017 Category: Rural Health Authors: Holderried M, Schlipf M, Höper A, Meier R, Stöckle U, Kraus TM Tags: Z Orthop Unfall Source Type: research

Developing design principles for a Virtual Hospice: improving access to care.
CONCLUSIONS: The design principles are intended to guide the ongoing development of the Highland Hospice Virtual Hospice. However, the challenges faced by Highland Hospice in delivering services in a largely remote and rural setting are not unique. The design principles, encompassing digital and non-digital guidelines, or the design approach could be applied by other hospices in the UK or overseas. PMID: 28835454 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - August 23, 2017 Category: Rural Health Authors: Taylor A, French T, Raman S Tags: BMJ Support Palliat Care Source Type: research

Perspectives of rural and remote primary healthcare services on the meaning and goals of clinical governance.
Abstract Definitions of clinical governance are varied and there is no one agreed model. This paper explored the perspectives of rural and remote primary healthcare services, located in North Queensland, Australia, on the meaning and goals of clinical governance. The study followed an embedded multiple case study design with semi-structured interviews, document analysis and non-participant observation. Participants included clinicians, non-clinical support staff, managers and executives. Similarities and differences in the understanding of clinical governance between health centre and committee case studies were e...
Source: Rural Remote Health - August 21, 2017 Category: Rural Health Authors: Kwedza RK, Larkins S, Johnson JK, Zwar N Tags: Aust J Prim Health Source Type: research

Community based saving groups: an innovative approach to overcome the financial and social barriers in health care seeking by the women in the rural remote communities of Pakistan.
CONCLUSION: Women have started using the services of CMW and the CBSGs have actually helped them overcome the financial barriers in health care seeking. Moreover, the CBSGs became a medium to improve the awareness of service availability, understanding the MNCH issues, and timely utilization of MNCH services. PMID: 28808567 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - August 18, 2017 Category: Rural Health Authors: Shaikh BT, Noorani Q, Abbas S Tags: Arch Public Health Source Type: research

Patterns of resident health workforce turnover and retention in remote communities of the Northern Territory of Australia, 2013-2015.
CONCLUSIONS: NT Government-funded remote clinics are small, experience very high staff turnover and make considerable use of agency nurses. These staffing patterns, also found in remote settings elsewhere in Australia and globally, not only incur higher direct costs for service provision-and therefore may compromise long-term sustainability-but also are almost certainly contributing to sub-optimal continuity of care, compromised health outcomes and poorer levels of staff safety. To address these deficiencies, it is imperative that investments in implementing, adequately resourcing and evaluating staffing models which stabi...
Source: Rural Remote Health - August 15, 2017 Category: Rural Health Authors: Russell DJ, Zhao Y, Guthridge S, Ramjan M, Jones MP, Humphreys JS, Wakerman J Tags: Hum Resour Health Source Type: research

Home is best: Why women in rural Zimbabwe deliver in the community.
Abstract Maternal mortality in Zimbabwe has unprecedentedly risen over the last two and half decades although a decline has been noted recently. Many reasons have been advanced for the rising trend, including deliveries without skilled care, in places without appropriate or adequate facilities to handle complications. The recent decline has been attributed to health systems strengthening through a multi-donor pooled funding mechanism. On the other hand, the proportion of community deliveries has also been growing steadily over the years and in this study we investigate why. We used twelve (12) focus group discussi...
Source: Rural Remote Health - August 11, 2017 Category: Rural Health Authors: Dodzo MK, Mhloyi M Tags: PLoS One Source Type: research

Insights for conducting real-time focus groups online using a web conferencing service.
Conclusions Our experience with using web conferencing for online focus groups suggests that they have the potential to offer a realistic and comparable alternative to face-to-face focus groups, especially for geographically dispersed populations such as rural and remote health practitioners. Further testing of these services is warranted but researchers should carefully consider the service they use to minimise the impact of technical difficulties. PMID: 28781752 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - August 8, 2017 Category: Rural Health Authors: Kite J, Phongsavan P Tags: F1000Res Source Type: research

Antibacterial efficacy of local plants and their contribution to public health in rural Ethiopia.
CONCLUSION: The studied plants can contribute to achieve better personal hygiene since they are effective against different bacterial agents and are freely available in rural areas. PMID: 28775846 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - August 5, 2017 Category: Rural Health Authors: Tura GT, Eshete WB, Tucho GT Tags: Antimicrob Resist Infect Control Source Type: research

Promoting Community Conversations About Research to End Suicide: learning and behavioural outcomes of a training-of-trainers model to facilitate grassroots community health education to address Indigenous youth suicide prevention.
Abstract Alaska Native (AN) youth suicide remains a substantial and recalcitrant health disparity, especially in rural/remote communities. Promoting Community Conversations About Research to End Suicide (PC CARES) is a community health intervention that responds to the need for culturally responsive and evidence-supported prevention practice, using a grassroots approach to spark multilevel and community-based efforts for suicide prevention. This paper describes theoretical and practical considerations of the approach, and assesses the feasibility and preliminary learning and behavioural outcomes of the training-of...
Source: Rural Remote Health - August 2, 2017 Category: Rural Health Authors: Wexler L, Trout L, Rataj S, Kirk T, Moto R, McEachern D Tags: Int J Circumpolar Health Source Type: research

iNICU - Integrated Neonatal Care Unit: Capturing Neonatal Journey in an Intelligent Data Way.
Abstract Neonatal period represents first 28 days of life, which is the most vulnerable time for a child's survival especially for the preterm babies. High neonatal mortality is a prominent and persistent problem across the globe. Non-availability of trained staff and infrastructure are the major recognized hurdles in the quality care of these neonates. Hourly progress growth charts and reports are still maintained manually by nurses along with continuous calculation of drug dosage and nutrition as per the changing weight of the baby. iNICU (integrated Neonatology Intensive Care Unit) leverages Beaglebone and...
Source: Rural Remote Health - July 29, 2017 Category: Rural Health Authors: Singh H, Yadav G, Mallaiah R, Joshi P, Joshi V, Kaur R, Bansal S, Brahmachari SK Tags: J Med Syst Source Type: research

Continuity of sleep problems from adolescence to young adulthood: results from a longitudinal study.
CONCLUSION: This study indicates high rates of sleep problems in young subjects, with around half of sleep problems originating in adolescence persisting in young adulthood. Therefore, early interventions are needed to manage sleep problems in young subjects and prevent further progression to other life stages. Future studies should explore if sleep problems in young adults also persist in later life stages and identify the factors supporting the continuity of sleep problems. PMID: 28709517 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - July 16, 2017 Category: Rural Health Authors: Fatima Y, Doi SAR, Najman JM, Al Mamun A Tags: Sleep Health Source Type: research

The Role of Telemedicine in Providing Thoracic Oncology Care to Remote Areas of British Columbia.
Abstract PURPOSE OF REVIEW: The purpose of this study is to review the role of telemedicine in providing oncology care; we describe our long-standing, high-volume telemedicine experience. RECENT FINDINGS: The Interior Health Thoracic Surgical Group (IHTSG) uses telemedicine, through Virtual Thoracic Surgical Clinics (VTSC), to provide service to remote patients. The IHTSG serves a population of 1.01 million people over an area of 807,538 km(2) (1.3 persons/km(2)) in the Interior and North of British Columbia, Canada. Between 2003 and 2015, the IHTSG conducted 15,073 telemedicine patient encounters at 63 ...
Source: Rural Remote Health - July 2, 2017 Category: Rural Health Authors: Humer MF, Campling BG Tags: Curr Oncol Rep Source Type: research

Equitable resourcing of primary health care in remote communities in Australia's Northern Territory: a pilot study.
CONCLUSIONS: The research findings provide empirical evidence based on real costs to guide funding for remote PHC services that takes into account the safety and equity requirements for a minimum viable service. This method can be used as a transparent, coordinated approach to ensure the equitable delivery of sustainable, high quality PHC in remote communities. This will in turn contribute to improved health outcomes. PMID: 28662639 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - June 29, 2017 Category: Rural Health Authors: Wakerman J, Sparrow L, Thomas SL, Humphreys JS, Jones M Tags: BMC Fam Pract Source Type: research

Disparities in access to pediatric hearing health care.
The objective of this review is to assess the current disparities in pediatric hearing healthcare delivery, describe the barriers of efficient and effective pediatric hearing health care, and explore the innovations to improve pediatric hearing healthcare delivery. RECENT FINDINGS: Children with hearing loss from certain geographic regions or ethnic background are significantly delayed in diagnosis and treatment. Multiple patient characteristics (presentation of hearing loss), parental factors (insurance status, socioeconomic status, educational status, and travel distance to providers), and provider barriers (special...
Source: Rural Remote Health - June 29, 2017 Category: Rural Health Authors: Bush ML, Kaufman MR, McNulty BN Tags: Curr Opin Otolaryngol Head Neck Surg Source Type: research

Dermatological learning needs among aboriginal health workers in rural and remote Australia: A cross-sectional survey.
PMID: 28660619 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - June 28, 2017 Category: Rural Health Authors: Carr GF, Tait CP Tags: Australas J Dermatol Source Type: research

Challenges of Implementing Antenatal Ultrasound Screening in a Rural Study Site: A Case Study From the Democratic Republic of the Congo.
This article examines the challenges that arose in implementing the study, with a particular focus on the site in Equateur Province of the Democratic Republic of the Congo (DRC) where the challenges were greatest and the efforts to meet these challenges most illuminating. During the study period, we determined that with resources and dedicated staff, it was possible to leverage the infrastructure and implement ultrasound at antenatal care across a variety of remote sites, including rural DRC. However, numerous technical and logistical challenges had to be addressed including security of the equipment, electricity requireme...
Source: Rural Remote Health - June 27, 2017 Category: Rural Health Authors: Swanson D, Lokangaka A, Bauserman M, Swanson J, Nathan RO, Tshefu A, McClure EM, Bose CL, Garces A, Saleem S, Chomba E, Esamai F, Goldenberg RL Tags: Glob Health Sci Pract Source Type: research

High burden of Schistosoma mansoni infection in school-aged children in Marolambo District, Madagascar.
CONCLUSIONS: Intestinal schistosomiasis appears a considerable public health issue in this remote area of Madagascar where there is a pressing need for mass drug administration. PMID: 28646926 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - June 24, 2017 Category: Rural Health Authors: Spencer SA, Penney JMSJ, Russell HJ, Howe AP, Linder C, Rakotomampianina ALD, Nandimbiniaina AM, Squire SB, Stothard JR, Bustinduy AL, Rahetilahy AM Tags: Parasit Vectors Source Type: research

Accuracy and reliability of retinal photo grading for diabetic retinopathy: Remote graders from a developing country and standard retinal photo grader in Australia.
CONCLUSIONS: Local graders in Bangladesh are able to grade retinal photos with high accuracy if the DR is at least of a moderate level. With appropriate training and experience, local graders have the ability to contribute significantly to the grading of millions of retinal photos, which required grading in resource- poor countries. PMID: 28632764 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - June 22, 2017 Category: Rural Health Authors: Islam FMA Tags: PLoS One Source Type: research

Relationships between dental personnel and non-dental primary health care providers in rural and remote Queensland, Australia: dental perspectives.
CONCLUSIONS: The findings suggest that there was little relationship between the dental personnel and primary care providers. Interprofessional collaboration between dental care providers and non-dental rural primary care providers in the rural and remote communities sampled could be improved by having regular face to face meetings between practitioners from across the health disciplines, providing oral health education to primary care providers, establishing and maintaining effective communication and referral pathways, and exploring a greater role for tele-dentistry. PMID: 28629349 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - June 19, 2017 Category: Rural Health Authors: Stuart J, Hoang H, Crocombe L, Barnett T Tags: BMC Oral Health Source Type: research

Relatives' level of satisfaction with advanced cancer care in Greenland - a mixed methods study.
imm H Abstract Palliative cancer care in Greenland is provided by health professionals at local level, the national Queen Ingrid's Hospital and at Rigshospitalet in Denmark. To improve and develop care for relatives of patients with advanced cancer, we conducted a mixed method study examining relatives' level of satisfaction with care and treatment and their current main concerns. The aim was to investigate relatives' level of satisfaction with advanced cancer care and bring to light their current main concerns. The FAMCARE-20 questionnaire was translated to Greenlandic and pilot tested. The questionnaire was supp...
Source: Rural Remote Health - June 16, 2017 Category: Rural Health Authors: Augustussen M, Hounsgaard L, Pedersen ML, Sjøgren P, Timm H Tags: Int J Circumpolar Health Source Type: research

Chronic respiratory disease in the regional and remote population of the Northern Territory Top End: A perspective from the specialist respiratory outreach service.
Abstract OBJECTIVE: To study the demographic, rates and types of chronic respiratory conditions in Indigenous and non-Indigenous patients in regional and remote communities of Northern Territory Top End, who were referred to the specialist respiratory outreach service. DESIGN: A retrospective, observational study over a 2 years period. SETTING: Remote community health clinics within the Northern Territory Top End visited by the specialist respiratory outreach team. PARTICIPANTS: Only patients referred to respiratory specialist outreach team were included. There were 444 participants, with 210 males ...
Source: Rural Remote Health - June 15, 2017 Category: Rural Health Authors: Kruavit A, Fox M, Pearson R, Heraganahally S Tags: Aust J Rural Health Source Type: research

Experiences of registered nurses transitioning from employment in acute care to primary health care - quantitative findings from a mixed methods study.
CONCLUSIONS: Availability of specific support measures may assist in the transition process. Findings from our study should be considered by employers when recruiting nurses new to PHC, and when designing orientation and ongoing education programs. RELEVANCE TO CLINICAL PRACTICE: This study highlights the challenges faced by nurses who transition from acute care into PHC employment. Understanding the barriers and facilitators to successful transitions enhance the process for future recruitment and retention of PHC nurses. This evidence can inform managers, educators and policy makers in developing support programs for...
Source: Rural Remote Health - June 15, 2017 Category: Rural Health Authors: Ashley C, Halcomb E, Brown A, Peters K Tags: J Clin Nurs Source Type: research

Dissemination of Chronic Disease Self-Management Education (CDSME) Programs in the United States: Intervention Delivery by Rurality.
Conclusions: Findings highlight the established role of traditional organizations/entities within the aging services network, to reach remote areas and serve diverse participants (e.g., senior centers). To facilitate growth in rural areas, technical assistance will be needed. Additional efforts are needed to bolster partnerships (e.g., sharing resources and knowledge), marketing (e.g., tailored material), and regular communication among stakeholders. PMID: 28613257 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - June 14, 2017 Category: Rural Health Authors: Smith ML, Towne SD, Herrera-Venson A, Cameron K, Kulinski KP, Lorig K, Horel SA, Ory MG Tags: Int J Environ Res Public Health Source Type: research

A continuous quality improvement intervention to improve the effectiveness of community health workers providing care to mothers and children: a cluster randomised controlled trial in South Africa.
Abstract BACKGROUND: Community health workers (CHWs) play key roles in delivering health programmes in many countries worldwide. CHW programmes can improve coverage of maternal and child health services for the most disadvantaged and remote communities, leading to substantial benefits for mothers and children. However, there is limited evidence of effective mentoring and supervision approaches for CHWs. METHODS: This is a cluster randomised controlled trial to investigate the effectiveness of a continuous quality improvement (CQI) intervention amongst CHWs providing home-based education and support to pregnan...
Source: Rural Remote Health - June 13, 2017 Category: Rural Health Authors: Horwood C, Butler L, Barker P, Phakathi S, Haskins L, Grant M, Mntambo N, Rollins N Tags: Hum Resour Health Source Type: research

An Australian Indigenous community-led suicide intervention skills training program: community consultation findings.
CONCLUSIONS: Appropriate programs should be practical, relevant, and sustainable across all Indigenous communities, with a focus on the social, emotional, cultural and spiritual underpinnings of community wellbeing. Programs need to be developed in thorough consultation with Indigenous communities. Indigenous-led suicide intervention training programs are needed to mitigate the increasing rates of suicide experienced by Indigenous peoples living in rural and remote locations. PMID: 28610603 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - June 13, 2017 Category: Rural Health Authors: Nasir B, Kisely S, Hides L, Ranmuthugala G, Brennan-Olsen S, Nicholson GC, Gill NS, Hayman N, Kondalsamy-Chennakesavan S, Toombs M Tags: BMC Psychiatry Source Type: research

Validation of DESS as a DNA Preservation Method for the Detection of Strongyloides spp. in Canine Feces.
This study included a laboratory assessment and field validation of DESS (dimethyl sulfoxide, disodium EDTA, and saturated NaCl) preservation of Strongyloides spp. DNA in fecal samples. The laboratory study investigated the capacity of 1:1 and 1:3 sample to DESS ratios to preserve Strongyloides ratti in spike canine feces. It was found that both ratios of DESS significantly prevented DNA degradation compared to the untreated sample. This method was then validated by applying it to the field-collected canine feces and detecting Strongyloides DNA using PCR. A total of 37 canine feces samples were collected and preserved in t...
Source: Rural Remote Health - June 9, 2017 Category: Rural Health Authors: Beknazarova M, Millsteed S, Robertson G, Whiley H, Ross K Tags: Int J Environ Res Public Health Source Type: research

The health and health preparation of long-term Australian travellers.
This study highlights that long-term travellers have significant health needs and are likely to require health services during their extended travel. Additionally, it identifies that currently few strategies are used to plan for health care during travel. This raises issues for rural and remote health services in terms of both capacity and continuity of care. PMID: 28592352 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - June 8, 2017 Category: Rural Health Authors: Halcomb E, Stephens M, Smyth E, Meedya S, Tillott S Tags: Aust J Prim Health Source Type: research

Content Design and System Implementation of a Teleophthalmology System for Eye Disease Diagnosis and Treatment and Its Preliminary Practice in Guangdong, China.
CONCLUSION: From the practice, the project has shown the telemedicine system and associated contents have satisfied our initial goal and demonstrated their effectiveness and efficiency. PMID: 28586267 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - June 6, 2017 Category: Rural Health Authors: Xiao D, Vignarajan J, Chen T, Ye T, Xiao B, Congdon N, Kanagasingam Y Tags: Telemed J E Health Source Type: research

Longitudinal Tracking of Workplace Outcomes for Undergraduate Allied Health Students Undertaking Placements in Rural Australia.
CONCLUSIONS: Preliminary findings indicated a positive perception of the rural placement experience and impact on intention to work rurally or in a rural location, particularly from those who had not previously spent time in a rural area. Future directions are to investigate longer-term workforce outcomes and the impact on the rural health workforce. PMID: 28561864 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - June 2, 2017 Category: Rural Health Authors: Brown L, Smith T, Wakely L, Wolfgang R, Little A, Burrows J Tags: J Allied Health Source Type: research

mHealth for mental health in the Middle East: Need, technology use, and readiness among Palestinians in the West Bank.
The objective of this study was to examine whether mHealth approaches that leverage mobile phones for remote mental health treatment may be viable alternatives. We surveyed 272 Palestinian adults in urban, rural, and refugee camp settings. Most participants (93.4%) reported owning mobile phones. The penetration of mobile devices was high across all study sites. Males and females did not differ in their access to this resource. Among mobile phone owners, 79.9% had smartphones, 32.2% had basic mobile phones, and 12.2% owned both. Respondents reported having reliable access to electricity (99.6%) and Wi-Fi (80.9%). Almost all...
Source: Rural Remote Health - June 1, 2017 Category: Rural Health Authors: Ben-Zeev D, Fathy C, Jonathan G, Abuharb B, Brian RM, Kesbeh L, Abdelkader S Tags: Asian J Psychiatr Source Type: research

Measuring geographical accessibility to rural and remote health care services: Challenges and considerations.
This study demonstrates how the selection of geographical areal units and different methods for measuring geographical accessibility could affect the distribution of healthcare resources in rural areas. These methodological issues have implications for determining where there is reduced access that will ultimately impact health human resource priorities and policies. PMID: 28552191 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - May 30, 2017 Category: Rural Health Authors: Shah TI, Milosavljevic S, Bath B Tags: Spat Spatiotemporal Epidemiol Source Type: research

Mini-review: high rate algal ponds, flexible systems for sustainable wastewater treatment.
Abstract Over the last 20 years, there has been a growing requirement by governments around the world for organisations to adopt more sustainable practices. Wastewater treatment is no exception, with many currently used systems requiring large capital investment, land area and power consumption. High rate algal ponds offer a sustainable, efficient and lower cost option to the systems currently in use. They are shallow, mixed lagoon based systems, which aim to maximise wastewater treatment by creating optimal conditions for algal growth and oxygen production-the key processes which remove nitrogen and organic ...
Source: Rural Remote Health - May 13, 2017 Category: Rural Health Authors: Young P, Taylor M, Fallowfield HJ Tags: World J Microbiol Biotechnol Source Type: research

Tele-pharmacy in rural Scotland: a proof of concept study.
DISCUSSION: Community pharmacy services delivered remotely using tele-technology are feasible and acceptable. A larger study should be undertaken to confirm the potential of the TPRSS to reduce health inequalities in rural areas. PMID: 28466547 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - May 4, 2017 Category: Rural Health Authors: Inch J, Notman F, Watson M, Green D, Baird R, Ferguson J, Hind C, McKinstry B, Strath A, Bond C, Telepharmacy Research Team Tags: Int J Pharm Pract Source Type: research