Oral health interventions in Australian Aboriginal communities: a review of the literature.
CONCLUSIONS: Implementing successful oral health interventions in Aboriginal communities is a challenge that is compounded by the complex interplay between psychosocial and cultural determinants. Even interventions that follow a rigorous and consultative design have a high failure rate in Aboriginal communities if upstream determinants of health are not adequately understood and addressed. This article is protected by copyright. All rights reserved. PMID: 27997996 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - December 20, 2016 Category: Rural Health Authors: Patel J, Durey A, Hearn L, Slack-Smith LM Tags: Aust Dent J Source Type: research

Support and performance improvement for primary health care workers in low- and middle-income countries: a scoping review of intervention design and methods.
Abstract Primary health care workers (HCWs) in low- and middle-income settings (LMIC) often work in challenging conditions in remote, rural areas, in isolation from the rest of the health system and particularly specialist care. Much attention has been given to implementation of interventions to support quality and performance improvement for workers in such settings. However, little is known about the design of such initiatives and which approaches predominate, let alone those that are most effective. We aimed for a broad understanding of what distinguishes different approaches to primary HCW support and performa...
Source: Rural Remote Health - December 19, 2016 Category: Rural Health Authors: Vasan A, Mabey DC, Chaudhri S, Brown Epstein HA, Lawn SD Tags: Health Policy Plan Source Type: research

Key indicators of obstetric and neonatal care in the Republic of Sakha (Yakutia).
ev VA Abstract In the absence of a medical birth registry, the official statistics are the only sources of information about pregnancy outcomes in the Republic of Sakha (Yakutia) (RS). We analysed the official statistical data about birth rate, fertility, infant and maternal mortality in the RS in the period 2003-2014. Compared with all-Russian data, the RS had a higher birth rate, especially in rural districts. Maternal and infant mortality were also higher compared with all-Russian data, but had a decreasing trend. The majority of deaths occurred in the small level 1 units. We suggest that establishment of good ...
Source: Rural Remote Health - December 17, 2016 Category: Rural Health Authors: Burtseva TE, Odland JØ, Douglas NI, Grigoreva AN, Pavlova TY, Chichahov DA, Afanasieva LN, Baisheva NS, Rad YG, Tomsky MI, Postoev VA Tags: Int J Circumpolar Health Source Type: research

The safety and effectiveness of HBV vaccination in patients with juvenile idiopathic arthritis controlled by treatment.
CONCLUSIONS: HBV vaccination is safe and effective. Pediatric rheumatologists should consider HBV vaccination for unimmunized patients with JIA, because the response to HBV vaccine might be influenced by age, and children have a higher risk for potential HBV infection than adults. PMID: 26471922 [PubMed - indexed for MEDLINE] (Source: Rural Remote Health)
Source: Rural Remote Health - December 16, 2016 Category: Rural Health Authors: Nerome Y, Akaike H, Nonaka Y, Takezaki T, Kubota T, Yamato T, Yamasaki Y, Imanaka H, Kawano Y, Takei S Tags: Mod Rheumatol Source Type: research

The Association between HbA1c and Cardiovascular Disease Markers in a Remote Indigenous Australian Community with and without Diagnosed Diabetes.
CONCLUSIONS: Screening in this remote Indigenous Australian community highlights the high proportion of individuals who are at high risk of diabetes as indicated by HbA1c and who also had an accentuated cardiovascular risk profile. PMID: 26989697 [PubMed - indexed for MEDLINE] (Source: Rural Remote Health)
Source: Rural Remote Health - December 16, 2016 Category: Rural Health Authors: Arnold LW, Hoy WE, Sharma SK, Wang Z Tags: J Diabetes Res Source Type: research

The development of a culturally appropriate school based intervention for Australian Aboriginal children living in remote communities: A formative evaluation of the Alert Program( ®) intervention.
CONCLUSIONS: This study identified aspects of the Alert Program(®) training, delivery and measures for evaluation that need modification before their use in assessing the efficacy of the Alert Program(®) in remote Aboriginal community primary schools. PMID: 27966224 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - December 13, 2016 Category: Rural Health Authors: Wagner B, Fitzpatrick J, Symons M, Jirikowic T, Cross D, Latimer J Tags: Aust Occup Ther J Source Type: research

What do beginning students, in a rurally focused medical course, think about rural practice?
CONCLUSION: Students entering medical school already have both positive and negative views about the life and work of a rural doctor. Those students from capital city areas have significantly more negative views despite being selected to enter a medical course with a rural focus based on their expressed rural perceptions. Further work is required to refine selection criteria and the year level experiences and learning opportunities which may positively influence student perceptions about rural medical practice to overcome early negative perceptions at the beginning of medical school. PMID: 27923368 [PubMed - in proces...
Source: Rural Remote Health - December 7, 2016 Category: Rural Health Authors: Young L, Lindsay DB, Ray RA Tags: BMC Med Educ Source Type: research

CAF É: a multicomponent audit and feedback intervention to improve implementation of healthy food policy in primary school canteens: a randomised controlled trial.
CONCLUSIONS: While there was insufficient statistical evidence to suggest that this multicomponent audit and feedback intervention was effective in improving primary schools' compliance with a healthy canteen policy, the intervention demonstrated some positive impact in reducing the availability of 'red' items on the menu. TRIAL REGISTRATION: This trial was prospectively registered with the Australian New Zealand Clinical Trials Registry ( ACTRN12613000543785 ). Registered 15th May 2013. PMID: 27919261 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - December 5, 2016 Category: Rural Health Authors: Yoong SL, Nathan N, Wolfenden L, Wiggers J, Reilly K, Oldmeadow C, Wyse R, Sutherland R, Delaney T, Butler P, Janssen L, Preece S, Williams CM Tags: Int J Behav Nutr Phys Act Source Type: research

Factors affecting job satisfaction of Aboriginal mental health workers working in community mental health in rural and remote New South Wales.
Conclusions Policy and procedural changes to the AMHW training program may address the lower remuneration and limited career opportunities identified with regard to the Bachelor Health Sciences (Mental Health) qualification. Delivering training to increase levels of understanding about the AMHW training program, and cultural awareness generally, to CMH staff and NSW Health management may assist in addressing the negative team, organisational and cultural issues identified.What is known about the topic? The Bachelor Health Sciences (Mental Health) qualification and traineeship pathway undertaken by AMHWs differs significant...
Source: Rural Remote Health - December 5, 2016 Category: Rural Health Authors: Cosgrave C, Maple M, Hussain R Tags: Aust Health Rev Source Type: research

Social learning in a longitudinal integrated clinical placement.
Abstract Recent research has demonstrated that longitudinal integrated placements (LICs) are an alternative mode of clinical education to traditional placements. Extended student engagement in community settings provide the advantages of educational continuity as well as increased service provision in underserved areas. Developing and maintaining LICs require a differing approach to student learning than that for traditional placements. There has been little theoretically informed empirical research that has offered explanations of which are the important factors that promote student learning in LICs and the relat...
Source: Rural Remote Health - December 3, 2016 Category: Rural Health Authors: Roberts C, Daly M, Held F, Lyle D Tags: Adv Health Sci Educ Theory Pract Source Type: research

Implementation of the BETTER 2 program: a qualitative study exploring barriers and facilitators of a novel way to improve chronic disease prevention and screening in primary care.
CONCLUSIONS: The implementation of a novel CDPS program into new primary care settings is a complex, multi-level process. This study identified key elements that hindered or facilitated the implementation of the BETTER approach in three primary care settings in Newfoundland and Labrador. Employing the CFIR as an overarching typology allows for comparisons with other contexts and settings, and may be useful for practices, researchers, and policy-makers interested in the implementation of CDPS programs. PMID: 27906041 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - December 1, 2016 Category: Rural Health Authors: Sopcak N, Aguilar C, O'Brien MA, Nykiforuk C, Aubrey-Bassler K, Cullen R, Grunfeld E, Manca DP Tags: Implement Sci Source Type: research

Use of telehealth to treat and manage chronic viral hepatitis in regional Queensland.
Abstract For regional and rural Queenslanders, chronic viral hepatitis treatment is a major unmet health need, with restricted access to specialists outside of tertiary, largely metropolitan hospitals. To increase treatment of chronic viral hepatitis in regional Queensland, a team-based telehealth model was expanded. This expansion embedded an initial nursing consultation prior to specialist telehealth consultation. We conducted a retrospective audit of the introduction and expansion of hepatology telehealth services. Activity from July 2014-June 2015 (pre-expansion) was compared with July 2015- June 2016 (post-ex...
Source: Rural Remote Health - November 3, 2016 Category: Rural Health Authors: Keogh K, Clark P, Valery PC, McPhail SM, Bradshaw C, Day M, Smith AC Tags: J Telemed Telecare Source Type: research

Impact of simple conventional and Telehealth solutions on improving mental health in Afghanistan.
Abstract For more than a century Afghanistan has been unstable, facing decades of war, social problems, and intense poverty. As a result, many of the population suffer from a variety of mental health problems. The Government recognises the situation and has prioritised mental health, but progress is slow and services outside of Kabul remain poor. An international collaborative implemented a project in Badakshan province of Afghanistan using conventional and simple low-cost e-Health solutions to address the four most common issues: depression, psychosis, post-traumatic stress disorder, and substance abuse. Conventi...
Source: Rural Remote Health - November 3, 2016 Category: Rural Health Authors: Khoja S, Scott R, Husyin N, Durrani H, Arif M, Faqiri F, Hedayat E, Yousufzai W Tags: J Telemed Telecare Source Type: research

Investigation of a Suicide Ideation Risk Profile in People With Co-occurring Depression and Substance Use Disorder.
This article explores risk profiles for suicidal ideation among treatment seekers with depression and substance misuse. Participants completed assessments at baseline and 6 months. Baseline demographics, psychiatric history, and current symptoms were entered into a decision tree to predict suicidal ideation at follow-up. Sixty-three percent of participants at baseline and 43.5% at follow-up reported suicidal ideation. Baseline ideation most salient when psychiatric illness began before adulthood, increasing the rate of follow-up ideation by 16%. Among those without baseline ideation, dysfunctional attitudes were the most i...
Source: Rural Remote Health - November 1, 2016 Category: Rural Health Authors: Handley TE, Kay-Lambkin FJ, Baker AL, Lewin TJ, Kelly BJ, Inder KJ, Attia JR, Kavanagh DJ Tags: J Nerv Ment Dis Source Type: research

"They made me go through like weeks of appointments and everything": Documenting women's experiences seeking abortion care in Yukon territory, Canada.
CONCLUSION: Efforts to streamline the process of obtaining an abortion and providing women with more information at the first point of contact would improve service access and quality. Mifepristone has the potential to improve access for rural and remote populations, reduce wait times and alleviate privacy concerns, but only if the medication abortion regimen is affordable and available at a range of service delivery points and provision requirements are aligned with the global evidence. IMPLICATIONS: By documenting women's experiences, the identified barriers and outlined suggestions for improvement offer realistic a...
Source: Rural Remote Health - October 25, 2016 Category: Rural Health Authors: Cano JK, Foster AM Tags: Contraception Source Type: research

The Haiti Medical Education Project: development and analysis of a competency based continuing medical education course in Haiti through distance learning.
CONCLUSIONS: We identified teaching goals covered and competencies that were missing from a CME program for rural Haitian physicians. We aim to use this analysis to provide a competency-based CME lecture series that proportionally meets local needs while following recommendations of recognized national family medicine organizations. PMID: 27760535 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - October 19, 2016 Category: Rural Health Authors: Battat R, Jhonson M, Wiseblatt L, Renard C, Habib L, Normil M, Remillard B, Brewer TF, Sacajiu G Tags: BMC Med Educ Source Type: research

Four persistent rural healthcare challenges.
This article explores four persistent healthcare challenges: population demographics, place, professionals, and public participation. By exploring solutions that some rural communities have used to address these challenges, this article aims to provide insights into lessons that have been learned that they may be considered and potentially applied to both rural and urban environments in the interest of better healthcare for all. PMID: 27744280 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - October 15, 2016 Category: Rural Health Authors: Ford DM Tags: Healthc Manage Forum Source Type: research

Spatial analysis and characteristics of pig farming in Thailand.
CONCLUSIONS: The very contrasted distribution of different pig production systems present opportunities for future regionalization of pig production. More specifically, the detailed geographical analysis of the different production systems will be used to spatially-inform planning decisions for pig farming accounting for the specific health, environment and economical implications of the different pig production systems. PMID: 27716322 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - October 6, 2016 Category: Rural Health Authors: Thanapongtharm W, Linard C, Chinson P, Kasemsuwan S, Visser M, Gaughan AE, Epprech M, Robinson TP, Gilbert M Tags: BMC Vet Res Source Type: research

Salmonella Infection in Middle-Aged and Older Adults: Incidence and Risk Factors from the 45 and Up Study.
CONCLUSIONS: Chicken consumption remains a significant risk factor for Salmonella infection, highlighting the importance of reducing contamination of poultry and improving food safety advice for older people. PMID: 27710034 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - October 6, 2016 Category: Rural Health Authors: Chen Y, Glass K, Liu B, Hope K, Kirk M Tags: Foodborne Pathog Dis Source Type: research

The prevalence and clinical associations of HTLV-1 infection in a remote Indigenous community.
CONCLUSION: The prevalence of HTLV-1 infection and the rate of disease potentially attributable to HTLV-1 were high among adults in this remote community. PMID: 27681971 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 30, 2016 Category: Rural Health Authors: Einsiedel LJ, Pham H, Woodman RJ, Pepperill C, Taylor KA Tags: Med J Aust Source Type: research

Primary amoebic meningoencephalitis in North Queensland: the paediatric experience.
Abstract Primary amoebic meningoencephalitis (PAM) is a fulminant, diffuse haemorrhagic meningoencephalitis caused by Naegleria fowleri, with an almost invariably fatal outcome. In Australia and the developed world, PAM remains a rare disease, although it is very likely that large numbers of cases go undetected in developing countries. N. fowleri is a thermophilic, free-living amoeba with a worldwide distribution. It is acquired when contaminated fresh water is flushed into the nose and penetrates the central nervous system via the cribriform plate. Clinical features are similar to those of bacterial meningitis, b...
Source: Rural Remote Health - September 30, 2016 Category: Rural Health Authors: Nicholls CL, Parsonson F, Gray LE, Heyer A, Donohue S, Wiseman G, Norton R Tags: Med J Aust Source Type: research

Indications for Cesarean Sections in Rural Nepal.
CONCLUSION: The CS rate at OCH was relatively low, within WHO's recommendation, with types of indication similar to other countries. There were no signs of CS overuse. Maternal request was not the sole indication in any CS. PMID: 27651618 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - September 23, 2016 Category: Rural Health Authors: Samdal LJ, Steinsvik KR, Pun P, Dani P, Roald B, Stray-Pedersen B, Bøhler E Tags: J Obstet Gynaecol India Source Type: research

Service providers' experiences of using a telehealth network 12 months after digitisation of a large Australian rural mental health service.
CONCLUSIONS: The digitised telehealth network was generally well received by providers and adopted into clinical practice. Compared with the previous analog system, staff found advantages in better visual and audio quality, more technical stability with less "drop-out", less time delay to conversations and less confusion for clients. Despite these advantages, providers identified a range of challenges to starting or continuing use and they recommended improvements to increase uptake among mental health service providers and other providers (including GPs), and to clinical uses other than mental health. To further...
Source: Rural Remote Health - August 31, 2016 Category: Rural Health Authors: Newman L, Bidargaddi N, Schrader G Tags: Int J Med Inform Source Type: research

A typology of longitudinal integrated clerkships.
CONCLUSIONS: Three distinct LIC clusters are classified. These provide a foundational reference point for future studies on the processes and outcomes of LICs. The study also exemplifies a collaborative approach to medical education research that focuses on typology rather than on individual programme or context. PMID: 27562892 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - August 27, 2016 Category: Rural Health Authors: Worley P, Couper I, Strasser R, Graves L, Cummings BA, Woodman R, Stagg P, Hirsh D, Consortium of Longitudinal Integrated Clerkships (CLIC) Research Collaborative Tags: Med Educ Source Type: research

The Role of Telemedicine in Wound Care: A Review and Analysis of a Database of 5,795 Patients from a Mobile Wound-Healing Center in Languedoc-Roussillon, France.
CONCLUSIONS: There is an increasing demand for assistance from professionals not specialized in wound healing, facing complex wounds. The goal is to enable the spread of expertise beyond major medical centers. Several limitations and barriers to the application of telemedicine in all settings are evident, including over diagnosis, dependence on a functional telecommunication system, and various legal aspects. The CICAT network in France provides an example of a how telemedicine may be of benefit in wound care, although it is important to note that in other countries, such as the United States, legal constraints and credent...
Source: Rural Remote Health - August 26, 2016 Category: Rural Health Authors: Sood A, Granick MS, Trial C, Lano J, Palmier S, Ribal E, Téot L Tags: Plast Reconstr Surg Source Type: research

Improving the quality of life of palliative and chronic disease patients and carers in remote Australia with the establishment of a day respite facility.
DISCUSSION: The findings clearly indicate an improvement in quality of life for respite patients and their carers. The respite service enabled improved care coordination of chronic and complex patients as well as improved medication compliance and symptom management. As a result of this evaluation a number of recommendations to continue and improve the service are provided. PMID: 27430257 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - July 21, 2016 Category: Rural Health Authors: Carey TA, Schouten K, Wakerman J, Humphreys JS, Miegel F, Murphy S, Arundell M Tags: BMC Palliat Care Source Type: research

Determinants of public malaria awareness during the national malaria elimination programme: a cross-sectional study in rural China.
This study aims to explore the determinants of public awareness of malaria. METHODS: A cross-sectional survey was conducted using stratified sampling method from June 2015 to March 2016. Bivariate logistic regression was performed to explore the association between predictors and malaria awareness in the sample population. The homogeneity of the interaction between group assignment and the degree of knowledge related to malaria among the subgroups was calculated by Cochran-Mantel-Haenszel test. RESULTS: Community media (including bulletin boards of village clinics or township hospitals, newspapers, exercise books...
Source: Rural Remote Health - July 21, 2016 Category: Rural Health Authors: Tang S, Ji L, Hu T, Bishwajit G, Da Feng, Ming H, Xian Y, Fu Q, He Z, Fu H, Wang R, Feng Z Tags: Malar J Source Type: research

Provision of Chronic Disease Preventive Care in Community Substance Use Services: Client and Clinician Report.
This study aimed to examine clinician provision of preventive care to clients of community substance use treatment services. METHODS: A cross-sectional survey was undertaken with 386 clients and 54 clinicians of community substance use treatment services in one health district in New South Wales, Australia. Client- and clinician-reported provision of three elements of care (assessment, brief advice and referral) for three health risk behaviors (tobacco smoking, insufficient fruit and/or vegetable consumption and insufficient physical activity) was assessed, with associations with client characteristics examined. ...
Source: Rural Remote Health - July 21, 2016 Category: Rural Health Authors: Tremain D, Freund M, Wye P, Wolfenden L, Bowman J, Dunlop A, Gillham K, Bartlem K, McElwaine K, Doherty E, Wiggers J Tags: J Subst Abuse Treat Source Type: research

A tale of two communities: intestinal polyparasitism among Orang Asli and Malay communities in rural Terengganu, Malaysia.
CONCLUSIONS: This study demonstrates that IPIs are highly prevalent in rural Terengganu, Malaysia. Community awareness about IPIs was found to be imperative in protecting Malay children from these infections. An integrated control programme for the prevention and control of IPIs is highly recommended for these communities, with a special emphasis on the Orang Asli population. PMID: 27422533 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - July 20, 2016 Category: Rural Health Authors: Elyana FN, Al-Mekhlafi HM, Ithoi I, Abdulsalam AM, Dawaki S, Nasr NA, Atroosh WM, Abd-Basher MH, Al-Areeqi MA, Sady H, Subramaniam LR, Anuar TS, Lau YL, Moktar N, Surin J Tags: Parasit Vectors Source Type: research

Sleep quality and obesity in young subjects: a meta-analysis.
CONCLUSIONS: Poor sleep quality seems to be associated with Ow/Ob, and some studies indicate this association to be independent of duration. Therefore, considering only sleep duration might not help in disentangling sleep-obesity association. However, this review is mostly composed of cross-sectional studies. Therefore, a causal link or the stability of the sleep quality and Ow/Ob association could not be established. PMID: 27417913 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - July 15, 2016 Category: Rural Health Authors: Fatima Y, Doi SA, Mamun AA Tags: Obes Rev Source Type: research

Disparities in Paediatric Injury Mortality between Aboriginal and Non-Aboriginal Populations in British Columbia, 2001-2009.
This study examines paediatric mortality in British Columbia from 2001 to 2009 using comprehensive vital statistics registry data. We highlight important disparities in Aboriginal and non-Aboriginal mortality rates, and use the Preventable Years of Life Lost (PrYLL) metric to identify differences between age groups and the mechanisms of injury causing death. A significantly greater age-adjusted mortality rate was observed among Aboriginal children (OR = 2.08, 95% CI: 1.41, 3.06), and significantly higher rates of death due to assault, suffocation, and fire were detected for specific age groups. Mapped results highlight reg...
Source: Rural Remote Health - July 12, 2016 Category: Rural Health Authors: Amram O, Walker BB, Schuurman N, Pike I, Yanchar N Tags: Int J Environ Res Public Health Source Type: research

Need for an Australian Indigenous disability workforce strategy: review of the literature.
CONCLUSION: An Indigenous disability workforce strategy based on community-centered principles and incorporating cultural training and Indigenous disability workforce development may help to ensure that Indigenous people with a disability in rural and remote communities benefit from current disability sector reforms. Indigenous workforce development requires strategies to attract and retain Aboriginal workers. Implications for Rehabilitation Indigenous people with disability living in rural and remote areas experience significant access and equity barriers to culturally appropriate supports and services that enable them to...
Source: Rural Remote Health - July 6, 2016 Category: Rural Health Authors: Gilroy J, Dew A, Lincoln M, Hines M Tags: Disabil Rehabil Source Type: research

Appropriate targeting of artemisinin-based combination therapy by community health workers using malaria rapid diagnostic tests: Findings from randomized trials in two contrasting areas of high and low malaria transmission in south western Uganda.
Abstract OBJECTIVE: To compare the impact of malaria rapid diagnostic tests (mRDTs), used by Community Health Workers (CHWs), on the proportion of children
Source: Rural Remote Health - July 5, 2016 Category: Rural Health Authors: Ndyomugyenyi R, Magnussen P, Lal S, Hansen K, Clarke SE Tags: Trop Med Int Health Source Type: research

Subsidies to target specialist outreach services into more remote locations: a national cross-sectional study.
Conclusion This suggests the RHOF, although limited to one in five specialist outreach providers, is important to increase targeted and stable outreach services in areas of highest relative need. Other subsidies also play a role in facilitating remote service distribution, but may need to be more structured to promote regular, sustained outreach practice.What is known about this topic? There are no studies describing subsidies for specialist doctors to undertake rural outreach work and whether subsidies, including formal and structured subsidies via the Australian Government RHOF, support targeted outreach services compare...
Source: Rural Remote Health - July 4, 2016 Category: Rural Health Authors: O'Sullivan BG, McGrail MR, Stoelwinder JU Tags: Aust Health Rev Source Type: research

Barriers and facilitators to health care seeking behaviours in pregnancy in rural communities of southern Mozambique.
CONCLUSIONS: Women do seek antenatal care at health facilities, despite the presence of other health care providers in the community. There are important factors that prevent timely care-seeking for obstetric emergencies and delivery. Unfamiliarity with warning signs, especially among partners, discouragement from revealing pregnancy early in gestation, complex and untimely decision-making processes, fear of mistreatment by health-care providers, lack of transport and financial constraints were the most commonly cited barriers. Women of reproductive age would benefit from community saving schemes for transport and medicati...
Source: Rural Remote Health - July 2, 2016 Category: Rural Health Authors: Munguambe K, Boene H, Vidler M, Bique C, Sawchuck D, Firoz T, Makanga PT, Qureshi R, Macete E, Menéndez C, von Dadelszen P, Sevene E Tags: Reprod Health Source Type: research

What shapes 7-year-olds' subjective well-being? Prospective analysis of early childhood and parenting using the Growing Up in Scotland study.
CONCLUSIONS: Unique prospective data show parenting and early childhood impact 7-year-olds' subjective well-being. They underline the benefits for children of targeting parental mental health and dysfunctional parenting, and helping parents develop skills to support children at home and school. PMID: 27357821 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - June 30, 2016 Category: Rural Health Authors: Parkes A, Sweeting H, Wight D Tags: Soc Psychiatry Psychiatr Epidemiol Source Type: research

Indigenous Elder Insights about Conventional Care Services in Alaska: Culturally Charged Spaces.
CONCLUSION: This article concludes with discussion about collective anxieties and implications for care services. PMID: 27359337 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - June 30, 2016 Category: Rural Health Authors: Balestrery JE Tags: J Gerontol Soc Work Source Type: research

Use of Nurses in Tele-Consultation for Patients in Remote Areas.
CONCLUSIONS: As shown by our case study, call centers can be used for tele consultation with the help of nurse informatics specialist. PMID: 27332173 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - June 24, 2016 Category: Rural Health Authors: Robin M, Xavier T, Agrawal D Tags: Stud Health Technol Inform Source Type: research

Concentrations of polycyclic aromatic hydrocarbons: Their potential health risks and sources at three non-urban sites in Japan.
Abstract This investigation was undertaken to monitor particulate polycyclic aromatic hydrocarbons (PAHs) concentrations in order to determine their emission sources and potential human health risks in remote and rural areas of Japan. Seventeen PAHs in aerosol samples collected in remote (Kamihaya), coastal (Hiki) and inland (Higashi-Hiroshima) areas of Japan during 2013-2014 were analyzed using gas chromatography/mass spectrometry. Total PAH (Σ17PAH) concentrations in aerosol samples were in the range of 0.08-6.51 ng m(-3), 0.09-4.74 ng m(-3), and 0.21-6.53 ng m(-3) at Kamihaya, Hiki, and Hig...
Source: Rural Remote Health - June 17, 2016 Category: Rural Health Authors: Jadoon WA, Sakugawa H Tags: J Environ Sci Health A Tox Hazard Subst Environ Eng Source Type: research

Geographic disparities in mortality among the end stage renal disease patients: an analysis of the United States Renal Data System, 2007-08.
Abstract The study was conducted to determine the association between mortality, rurality, and distance from the treatment facility of the patients with ESRD. The United States Renal Data System (USRDS) for the year 2007-08 was utilized to conduct analysis of 181,349 subjects. After adjusting for all other covariates, the odds of mortality were higher among patients in urban and isolated areas (18.1 miles or more from the dialysis facility), compared with those who were living closer (≤3.3 miles, OR 1.08, 95 % CI 1.05-1.12). Conversely, patients living in isolated rural (0-≤3.3 miles, OR 0.95, 95 %...
Source: Rural Remote Health - June 16, 2016 Category: Rural Health Authors: Ajmal F, Bennett KJ, Probst JC Tags: J Nephrol Source Type: research

Dietary Diversity Is Positively Associated with Deviation from Expected Height in Rural Nepal.
CONCLUSIONS: Increasing dietary diversity for children reduces the risk of stunting and improves growth after growth faltering. Future efforts should be directed at enabling families in food-insecure areas to feed their children a more diverse diet. PMID: 27306894 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - June 15, 2016 Category: Rural Health Authors: Busert LK, Neuman M, Rehfuess EA, Dulal S, Harthan J, Chaube SS, Bhandari B, Costello H, Costello A, Manandhar DS, Saville NM Tags: J Nutr Source Type: research

Bright spots among the world's coral reefs.
Hardt MJ, Beger M, Friedlander A, Campbell SJ, Holmes KE, Wilson SK, Brokovich E, Brooks AJ, Cruz-Motta JJ, Booth DJ, Chabanet P, Gough C, Tupper M, Ferse SC, Sumaila UR, Mouillot D Abstract Ongoing declines in the structure and function of the world's coral reefs require novel approaches to sustain these ecosystems and the millions of people who depend on them. A presently unexplored approach that draws on theory and practice in human health and rural development is to systematically identify and learn from the 'outliers'-places where ecosystems are substantially better ('bright spots') or worse ('dark spots') t...
Source: Rural Remote Health - June 15, 2016 Category: Rural Health Authors: Cinner JE, Huchery C, MacNeil MA, Graham NA, McClanahan TR, Maina J, Maire E, Kittinger JN, Hicks CC, Mora C, Allison EH, D'Agata S, Hoey A, Feary DA, Crowder L, Williams ID, Kulbicki M, Vigliola L, Wantiez L, Edgar G, Stuart-Smith RD, Sandin SA, Green AL Tags: Nature Source Type: research

A cultural and contextual analysis of health concepts and needs of women in a rural district of Nepal.
CONCLUSIONS: Overall, participants' perceived health as not just about themselves but their families and communities. Socially as well as culturally determined gender roles influenced the health concepts and needs of the women. This study's findings can be used to guide public health leaders in priority-setting and in determining strategies for women's health promotion in rural districts of Nepal and other similar cultures. PMID: 27301978 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - June 14, 2016 Category: Rural Health Authors: Yang Y, Bekemeier B, Choi J Tags: Glob Health Promot Source Type: research

Should we embed randomized controlled trials within action research: arguing from a case study of telemonitoring.
CONCLUSIONS: It appears possible to enhance the utility of RCTs by explicitly embedding them in an AR framework to shape stronger RCT design. The AR process and characteristics may enable researchers to evaluate telehealth while enhancing rather than compromising the quality of an RCT, where research results are returned to practice as part of the research process. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry, reference ACTRN12610000269033 . PMID: 27277940 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - June 11, 2016 Category: Rural Health Authors: Day K, Kenealy TW, Sheridan NF Tags: BMC Med Res Methodol Source Type: research

Preparing non-government organization workers to conduct health checks for people with serious mental illness in regional Australia.
Conclusion Our observations highlight the important role lay workers in regional Australia have in helping people with SMI to address their physical health needs. They have an opportunity to extend their role in parts of the world where it is difficult to recruit MHNs. PMID: 27278754 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - June 9, 2016 Category: Rural Health Authors: Jones M, Kruger M, Walsh SM Tags: J Psychiatr Ment Health Nurs Source Type: research

Impact of a person-centred community rehabilitation service on outcomes for individuals with a neurological condition.
CONCLUSIONS: In the first year of operation, the community rehabilitation service made a significant impact on outcomes for individuals with a neurological condition. Further research is required to identify appropriate measures of activities of daily living and quality of life that reflect person-centred rehabilitation outcomes for restoring function, maximizing function, or preparing for functional decline. Implications for Rehabilitation Self-identified goals are an important guide for achievement of meaningful outcomes for individuals with a neurological condition. Person-centred outcome measures are required to evalua...
Source: Rural Remote Health - June 9, 2016 Category: Rural Health Authors: Barker RN, Sealey CJ, Polley ML, Mervin MC, Comans T Tags: Disabil Rehabil Source Type: research

A low-cost, tablet-based option for prehospital neurologic assessment: The iTREAT Study.
CONCLUSIONS: Utilizing a low-cost, tablet-based platform and commercial cellular networks, we can reliably perform prehospital neurologic assessments in both rural and urban settings. Further research is needed to establish the reliability and validity of prehospital mobile telestroke assessment in live patients presenting with acute neurologic symptoms. PMID: 27281534 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - June 8, 2016 Category: Rural Health Authors: Chapman Smith SN, Govindarajan P, Padrick MM, Lippman JM, McMurry TL, Resler BL, Keenan K, Gunnell BS, Mehndiratta P, Chee CY, Cahill EA, Dietiker C, Cattell-Gordon DC, Smith WS, Perina DG, Solenski NJ, Worrall BB, Southerland AM, As the iTREAT Investigat Tags: Neurology Source Type: research

Factors contributing to delayed diagnosis of cancer among Aboriginal people in Australia: a qualitative study.
CONCLUSIONS: Solutions to improved Aboriginal cancer outcomes include focusing on the primary care sector encouraging general practitioners to be proactive to suspicion of symptoms with appropriate investigations to facilitate earlier diagnosis and the need to improve Aboriginal health literacy regarding cancer. Access to health services remains a critical problem affecting timely diagnosis. PMID: 27259526 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - June 6, 2016 Category: Rural Health Authors: Shahid S, Teng TK, Bessarab D, Aoun S, Baxi S, Thompson SC Tags: BMJ Open Source Type: research

A prospective comparison of times to presentation and treatment of regional and remote head and neck patients in North Queensland, Australia.
CONCLUSIONS: Significant delays in various aspects of head and neck cancer management were associated with remoteness, Indigenous and socioeconomic status. While patient and professional factors could be addressed at local levels, it requires a state and national level approach for sustainable improvement in outcomes. PMID: 27246246 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - June 1, 2016 Category: Rural Health Authors: Tan JY, Otty ZA, Vangaveti VN, Buttner P, Varma SC, Joshi AJ, Kelly J, Collins M, Sabesan SS Tags: Intern Med J Source Type: research

Behavioral Health Problems Presented to Integrated Pediatric Behavioral Health Clinics: Differences in Urban and Rural Patients.
Abstract Behavioral health diagnoses and service use may differ based on rurality. The purpose of this study was to examine the patterns of mental disorder diagnoses of urban, rural, and remote pediatric populations. This retrospective study used electronic medical records from integrated behavioral health clinics in Nebraska from 2012 to 2013. Bivariate and multivariable models were used to examine the differences in diagnoses. Adolescents with attention deficit and related disorders were more likely to be male, younger, have public insurance and rural/remote residents. Adjustment disorders were associated with b...
Source: Rural Remote Health - June 1, 2016 Category: Rural Health Authors: Watanabe-Galloway S, Valleley R, Rieke K, Corley B Tags: Community Ment Health J Source Type: research