141,882 results match your criteria rural health


Environmental contamination and human exposure of polychlorinated biphenyls (PCBs) in China: A review.

Sci Total Environ 2021 Sep 11;805:150270. Epub 2021 Sep 11.

Key Laboratory of Ministry of Education on Pollution Control and Ecosystem Restoration in Industry Clusters, Guangdong Provincial Key Laboratory of Solid Wastes Pollution Control and Recycling, School of Environment and Energy, South China University of Technology, Guangzhou 510006, Guangdong, China.

Polychlorinated biphenyls (PCBs), together with 11 other organic compounds, were initially listed as persistent organic pollutants (POPs) by the Stockholm Convention because of their potential threat to ecosystems and humans. In China, many monitoring studies have been undertaken to reveal the level of PCBs in environment since 2005 due to the introduced stricter environmental regulations. However, there are still significant gaps in understanding the overall spatial and temporal distributions of PCBs in China. Read More

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September 2021

In vitro digestion of eight types of wholegrains and their dietary recommendations for different populations.

Food Chem 2021 Sep 7;370:131069. Epub 2021 Sep 7.

State Key Laboratory of Food Science and Technology, China-Canada Joint Lab of Food Science and Technology (Nanchang), Nanchang University, Nanchang 330047, China. Electronic address:

Wholegrains have been promoted for human consumption due to their various health benefits. However, different wholegrains vary in nutritional composition and their beneficial impact on health. In this study, we compared the in vitro starch and protein digestibility, as well as dietary fiber content of eight different wholegrains including barley, buckwheat, coix seed, foxtail millet, oat, proso millet, quinoa, and sorghum and their porridges. Read More

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September 2021

Impacts of the respecting the circle of life teen pregnancy prevention program on risk and protective factors for early substance use among native American youth.

Drug Alcohol Depend 2021 Sep 4;228:109024. Epub 2021 Sep 4.

Johns Hopkins University, Bloomberg School of Public Health, Center for American Indian Health, 415 N. Washington St., Baltimore, MD, 21231, USA.

Background: Early substance use disproportionately impacts Native American (Native) youth and increases their risk for future abuse and dependence. The literature urges for interventions to move beyond focusing on single risk behaviors (e.g. Read More

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September 2021

Rehabilitation Outcomes of Survivors of Cardiac Arrest Admitted to ICUs in Australia and New Zealand (ROSC ANZ): A Data Linkage Study.

Resuscitation 2021 Sep 15. Epub 2021 Sep 15.

Department of Epidemiology and Preventive Medicine, Monash University, Melbourne 3004, Australia; Prehospital, Resuscitation and Emergency Care Research Unit, Curtin University.

Introduction: Rehabilitation outcomes in cardiac survivors are largely unknown, with no data comparing out-of-hospital cardiac arrests (OHCA) and in-hospital cardiac arrests (IHCA). This study aimed to describe and compare inpatient rehabilitation outcomes in these patients who were admitted from intensive care units (ICU).

Methods: A retrospective linkage and analysis of cardiac arrest patients in the Australian and New Zealand Intensive Care Society Adult Patient Database and the Australasian Rehabilitation Outcomes Centre inpatient dataset discharged to inpatient rehabilitation between January 2017 and June 2018. Read More

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September 2021

Guideline Recommended Lung Cancer Screening Adherence is Superior with Centralized Approach.

Chest 2021 Sep 15. Epub 2021 Sep 15.

Medical University of South Carolina, Thoracic Oncology Research Group, Division of Pulmonary and Critical Care; Ralph H. Johnson Veteran Affairs Hospital, Health Equity and Rural Outreach Innovation Center (HEROIC). Electronic address:

Background: In order to fully recognize the benefit of lung cancer screening annual adherence must approach the high levels seen in the National Lung Screening Trial. Emerging data suggests annual adherence is poor and that a centralized approach to screening improves adherence.

Research Question: Is there a difference in adherence between a centralized and decentralized approach to lung cancer screening within a hybrid program and what are predictors of adherence?

Study Design: A retrospective evaluation of a single center hybrid lung cancer screening program was conducted to compare outcomes including patient eligibility and adherence between the centralized and decentralized approach. Read More

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September 2021

Neurological impairment and disability in children in rural Kenya.

Dev Med Child Neurol 2021 Sep 18. Epub 2021 Sep 18.

Department of Clinical Research (Neurosciences), Kenya Medical Research Institute-Wellcome Trust Research Programme, Kilifi, Kenya.

Aim: To investigate geographical change over time in the burden of neurological impairments in school-aged children in a demographic surveillance area.

Method: We investigated changes in neurological impairment prevalence in five domains (epilepsy and cognitive, hearing, vision, and motor impairments) using similar two-phase surveys conducted in 2001 (n=10 218) and 2015 (n=11 223) and determined changes in location-level prevalence, geographical clustering, and significant risk factors for children aged 6 to 9 years (mean7y 6mo, SD1y) of whom 50.4% were males. Read More

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September 2021

Collaborative care for depression yields similar improvement among older and younger rural adults.

J Am Geriatr Soc 2021 Sep 18. Epub 2021 Sep 18.

Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA.

Background: Depressive disorders are among the most prevalent mental health conditions; however, significant barriers to treatment access persist. This study examined differences in depression outcomes between younger and older adults in a large-scale implementation demonstration of the collaborative care model (CoCM).

Methods: Secondary data analysis of a longitudinal, observational implementation demonstration at eight primary care clinics across low-resourced rural or frontier areas of the Western United States. Read More

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September 2021

Implementation of two Policies to Extend Maternity Leave and Further Restrict Marketing of Breast Milk Substitutes in Vietnam: A Qualitative Study.

Health Policy Plan 2021 Sep 18. Epub 2021 Sep 18.

Department of Health Policy and Management, University of California Los Angeles, Fielding School of Public Health, Los Angeles, CA, USA.

Policy research can reveal gaps and opportunities to enhance policy impact and implementation. In this study, we use a theoretically informed qualitative approach to investigate implementation of two policies to promote breastfeeding in Vietnam. We conducted semi-structured interviews with national and local policy stakeholders (n=26) in 2017. Read More

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September 2021

Determination of Fipronil and Fipronil-Sulfone in Surface Waters of the Guandu River Basin by High-Performance Liquid Chromatography with Mass Spectrometry.

Bull Environ Contam Toxicol 2021 Sep 18. Epub 2021 Sep 18.

Pharmaceutical Science Department, Health and Biological Science Institute, Federal Rural University of Rio de Janeiro, BR 465, km 7, Seropédica, RJ, 23897-000, Brazil.

Fipronil (FIP) is a broad-spectrum insecticide used in the industrial, residential and agricultural sectors, which presents environmental and human health risks. Studies report its presence in aquatic environments in several countries, but in Brazil reports are scarce. The aim of this work was to evaluate the presence of fipronil and fipronil sulfone in surface waters through a validated analytical method by LC-MS according to INMETRO and USEPA in eight sampling sites in two seasons (summer and autumn, 2020) in Guandu River basin, in the state of Rio de Janeiro. Read More

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September 2021

Shared medical appointments for weight loss: a systematic review.

Fam Pract 2021 Sep 18. Epub 2021 Sep 18.

Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Clayton, Australia.

Purpose: Shared medical appointments (SMAs) may help mitigate some of the barriers for managing obesity in primary care. The primary aim of this systematic review was to measure the effect of weight loss SMAs.

Methods: Systematic searches using keywords and Medical Subject Headings for overweight, obesity, and SMAs were conducted in the CENTRAL, Medline Complete, PsycINFO, Scopus, CINAHL, EMBASE, and Web of Science databases with no date limits. Read More

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September 2021

Solid fuel use, socioeconomic indicators and risk of cardiovascular diseases and all-cause mortality: a prospective cohort study in a rural area of Sichuan, China.

Int J Epidemiol 2021 Sep 18. Epub 2021 Sep 18.

Vanke School of Public Health, Tsinghua University, Beijing, China.

Background: Estimates indicate that household air pollution caused by solid fuel burning accounted for about 1.03 million premature mortalities in China in 2016. In the country's rural areas, more than half the population still relies on biomass fuels and coals for cooking and heating. Read More

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September 2021

Does crossbreeding improve the performance and carcass traits of Berganês sheep?

Trop Anim Health Prod 2021 Sep 17;53(5):451. Epub 2021 Sep 17.

Universidade Federal Rural de Pernambuco, Recife, PE, 52171-900, Brazil.

This study aimed to evaluate the performance and carcass of lambs of different genotypes through univariate and multivariate analysis. Intact male lambs of the Berganês (BG), Berganês x Santa Inês (BSI), and Berganês x Dorper (BD) genotypes and the control group Dorper x Santa Inês (DSI) were used. Eight lambs of each genotype were used, aged between 4 and 5 months, with an average initial weight of 27. Read More

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September 2021

Feed intake, methane yield, and efficiency of utilization of energy and nitrogen by sheep fed tropical grasses.

Trop Anim Health Prod 2021 Sep 18;53(5):452. Epub 2021 Sep 18.

Department of Agricultural Diagnosis and Research, Hulha Negra, RS, Brazil.

Forage allowance impacts dry matter (DM) intake and the use of nutrients by ruminants. The efficient use of protein and energy from pasture is related to better livestock performance and lower environmental impacts. The aims of this study were to evaluate the effect of forage allowance levels on intake, digestibility, nitrogen (N) and energy balance, and methane (CH) emissions by lambs fed fresh pearl millet [Pennisetum americanum (L. Read More

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September 2021

Association of hypertension with infection and inflammation in a setting of disadvantage in rural India.

J Hum Hypertens 2021 Sep 17. Epub 2021 Sep 17.

Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC, Australia.

We assessed the association of hypertension with markers of inflammation and infection in a rural and disadvantaged Indian population. In a case-control study, we age- and gender-matched 300 cases with hypertension to 300 controls without hypertension. Blood pressure was measured according to a strict protocol. Read More

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September 2021

Successful Trial of Practice Facilitation for Plan, Do, Study, Act Quality Improvement.

J Am Board Fam Med 2021 Sep-Oct;34(5):991-1002

From the University of North Carolina at Chapel Hill, Cecil G. Sheps Center for Health Services Research (KFS, ELR, JRH); Duke University School of Medicine, Durham, NC (KFS); University of North Carolina at Chapel Hill, North Carolina Translational and Clinical Sciences (JRR); University of Alabama at Birmingham, Birmingham, AL (LLP, MMC); Samford University, Birmingham, AL (LLP, SHP); East Carolina University, Greenville, NC (MM); Area L Area Health Education Center, Rocky Mount, NC (JRH).

Background: Practice facilitation (PF) is a promising but relatively new intervention supporting data-driven practice change. There is a need to better detail research-based facilitation methods, which must balance intervention fidelity and time restrictions with the flexibility required for the intervention. As part of a multi-level 4-armed cluster randomized clinical trial (RCT), 32 rural primary care practices received PF for 1 year. Read More

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Rural Adolescent Immunization: Delivery Practices and Barriers to Uptake.

J Am Board Fam Med 2021 Sep-Oct;34(5):937-949

From the ACCORDS, University of Colorado Anschutz Medical Campus, Aurora, CO (JRC, SEB, CP, AF, AN, KS, STO, AFD); Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO (JRC, STO, AFD); Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO (SEB, AN); Department of Biostatistics & Informatics, University of Colorado Anschutz Medical Campus, Aurora, CO (KS); Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA (CW).

Background: Rural adolescent vaccination rates lag behind urban. We sought to assess rural-urban differences in barriers to adolescent vaccination, perceived parental vaccine attitudes, and immunization delivery practices among public health nursing (PHN), pediatric (Peds), and family medicine (FM) clinicians.

Methods: Internet and mail survey of Colorado PHN, Peds, and FM clinicians from June-August 2019. Read More

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Impact of pulse oximetry on hospital referral acceptance in children under 5 with severe pneumonia in rural Pakistan (district Jamshoro): protocol for a cluster randomised trial.

BMJ Open 2021 Sep 17;11(9):e046158. Epub 2021 Sep 17.

Division of Women and Child Health, Aga Khan University, Karachi, Pakistan.

Background: Pneumonia is a leading cause of death among children under 5 specifically in South Asia and sub-Saharan Africa. Hypoxaemia is a life-threatening complication among children under 5 with pneumonia. Hypoxaemia increases risk of mortality by 4. Read More

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September 2021

Quality of life and related demographic factors in long-term survivors of childhood non-Hodgkin's lymphoma.

Zhongguo Dang Dai Er Ke Za Zhi 2021 Sept 15;23(9):882-888

Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou 510060, China (Zhu J, Email: cn).

Objectives: To evaluate the quality of life and related demographic factors in long-term survivors of childhood non-Hodgkin's lymphoma (NHL).

Methods: A retrospective analysis was performed on the medical and demographic data of the NHL patients who received treatment in the Sun Yat-sen University Cancer Center and achieved long-term survival at follow-up, with an age of <18 years at initial diagnosis and a present age of ≥18 years. A questionnaire survey was performed using 36-Item Short-Form Health Survey (SF-36) and the symptom subscale of the Chinese version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (QLQ-C30). Read More

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September 2021

Sulfamethoxazole-induced sulfamethoxazole urolithiasis: a case report.

BMC Urol 2021 Sep 17;21(1):133. Epub 2021 Sep 17.

Department of Urology, University of Wisconsin School of Medicine and Public Health, 1685 Highland Avenue, 3258 Medical Foundation Centennial Building, Madison, WI, 53705-2281, USA.

Background: Drug-induced urolithiasis falls into two categories: drug-induced and metabolically-induced. Certain antimicrobials are associated with each; sulfonamides are associated with drug- or metabolite-containing calculi when taken in large doses over a long period of time. Trimethoprim-sulfamethoxazole, a member of the sulfonamide family, is a rare cause of drug-induced calculi. Read More

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September 2021

The level of urbanization influences acute ischemic stroke care: A nationwide ecological study from Germany.

J Neurol Sci 2021 Sep 13;430:119983. Epub 2021 Sep 13.

Department of Neurology, St. Josef-Hospital Bochum, Ruhr University Bochum, Germany; Medical Faculty, Ruhr University Bochum, Germany. Electronic address:

Background And Purpose: Regional differences in acute ischemic stroke (AIS) care are still reported for Germany but not fully understood. We aimed to analyze the impact of the level of urbanization on the application of proved treatment procedures and the incidence of hospitalized AIS cases in Germany.

Methods: The level of urbanization of the 401 districts and district-free cities in Germany was defined according to the Federal Institute for Building, Urban Affairs and Spatial Research classification. Read More

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September 2021

Distance to Pediatric Gastroenterology Providers is Associated with Decreased Diagnosis of Eosinophilic Esophagitis (EoE) in Rural Populations.

J Allergy Clin Immunol Pract 2021 Sep 14. Epub 2021 Sep 14.

Associate Professor, Wake Forest School of Medicine, Department of Epidemiology and Prevention, Winston-Salem, NC.

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September 2021

Lenvatinib exposure induces hepatotoxicity in zebrafish via inhibiting Wnt signaling.

Toxicology 2021 Sep 14:152951. Epub 2021 Sep 14.

Jiangxi Engineering Laboratory of Zebrafish Modeling and Drug Screening for Human Diseases, Ji'an, Jiangxi, China; Jiangxi Key Laboratory of Developmental Biology of Organs, College of Life Sciences, Jinggangshan University, Ji'an, 343009, Jiangxi, China. Electronic address:

Lenvatinib is a multi-kinase inhibitor for widely treating thyroid cancer. However, little studies have been done about it or its toxicity on embryonic development of vertebrate. In this study, we used zebrafish to assess the effect of lenvatinib on early embryonic development. Read More

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September 2021

BCG re-vaccination in Malawi: 30-year follow-up of a large, randomised, double-blind, placebo-controlled trial.

Lancet Glob Health 2021 Oct;9(10):e1451-e1459

Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, Keppel Street, London, UK. Electronic address:

Background: A large, double-blind, randomised, placebo-controlled trial of repeat BCG found 49% efficacy against leprosy but no protection against tuberculosis after 6-9 years' follow-up in 1995. We report here additional follow-up, which resulted in greatly increased tuberculosis case numbers, and allowed subgroup analysis.

Methods: Nearly 47 000 individuals of all ages living in northern Malawi with a BCG vaccine scar were randomly assigned (1:1) between 1986 and 1989 to receive a second BCG or placebo. Read More

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October 2021

Movement Is Life-Optimizing Patient Access to Total Joint Arthroplasty: Diabetes Mellitus.

J Am Acad Orthop Surg 2021 Sep 16. Epub 2021 Sep 16.

From the Department of Orthopaedics, Yale University School of Medicine, New Haven, CT (Wiznia), American Association of Latino Orthopaedic Surgeons, Salinas, CA (Jimenez), and the Department of Orthopedics (Harrington), Baylor College of Medicine Houston, TX.

This is one of a series of articles that focuses on maximizing access to total joint arthroplasty by providing preoperative optimization pathways to all patients to promote the best results and minimize postoperative complications. Because of inequities in health care, an optimization process that is not equipped to support the underserved can potentially worsen disparities in the utilization of arthroplasty. A staggering 10. Read More

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September 2021

: post-traumatic growth experience in Chinese women with breast cancer-a grounded theory study.

Health Care Women Int 2021 Sep 17:1-15. Epub 2021 Sep 17.

School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia.

Our research sought to explore post-traumatic growth experience among Chinese women with breast cancer. Constructivist grounded theory methodology was utilised to understand Chinese women's post-traumatic growth experience. 24 women with breast cancer were recruited from China. Read More

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September 2021

Provider perceptions of lack of supportive care during childbirth: A mixed methods study in Kenya.

Health Care Women Int 2021 Sep 17:1-22. Epub 2021 Sep 17.

UCSF Institute for Global Health Sciences, San Francisco, California, USA.

Supportive care is a key component of person-centered maternity care (PCMC), and includes aspects such as timely and attentive care, pain control, and the health facility environment. Yet, few researchers have explored the degree of supportive care delivered or providers' perceptions on supportive care practices during childbirth. The researchers' aim is to evaluate the extent of supportive care provided to women during childbirth and to identify the drivers behind the lack of supportive care from the perspective of maternity providers in a rural county in Western Kenya. Read More

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September 2021

Detection of and spp. DNA in Cutaneous Samples and in Household Dust in Rural Areas, Senegal.

Vector Borne Zoonotic Dis 2021 Sep;21(9):659-666

Unité Mixe de Recherche Vecteurs-Infections Tropicales et Méditerranéennes (VITROME), Institut de Recherche pour le Développement (IRD), Campus International de Recherche IRD-UCAD Hann, Dakar, Senegal.

Q fever and tick-borne borreliosis are two zoonotic diseases rarely diagnosed in Senegalese health facilities, particularly in rural areas. Our study aims to better understand the circulation of and spp. DNA on human skin and the domestic environment in rural areas. Read More

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September 2021

Plasma lipids and growth faltering: A longitudinal cohort study in rural Gambian children.

Sci Adv 2021 Sep 17;7(38):eabj1132. Epub 2021 Sep 17.

Core Metabolomics and Lipidomics Laboratory, Wellcome Trust-MRL Institute of Metabolic Science, University of Cambridge, Cambridge, UK.

[Figure: see text]. Read More

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September 2021

Correction to: Occurrence of genes associated with virulence in Escherichia coli isolates from chicken carcasses at different stages of processing at a slaughterhouse.

Braz J Microbiol 2021 Sep 17. Epub 2021 Sep 17.

Laboratory of Avian Health and Technological Innovation, Institute for Veterinary Research Desidério Finamor (IPVDF), Postgraduate Program in Animal Health, Department of Agricultural Diagnosis and Research, Secretariat of AgricultureLivestock and Rural Development of Rio Grande Do Sul, Estrada do Conde, 6000, Sans Souci, Eldorado do Sul, RS, 92990-000, Brazil.

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September 2021

Effect of marker dosage frequency and spot fecal sampling frequency in the prediction accuracy of fecal output using chromic oxide and titanium dioxide in grazing BON steers.

Trop Anim Health Prod 2021 Sep 17;53(5):448. Epub 2021 Sep 17.

Centro de Investigación El Nus, Corporación Colombiana de Investigación Agropecuaria - Agrosavia, Autopista Medellín - Cisneros - Puerto Berrio, San Roque, Antioquia, Colombia.

This study aimed to evaluate the effect of two marker dosage frequencies and two spot fecal sampling frequencies on the variability of fecal output estimation and fecal recovery rate in grazing Blanco Orejinegro (BON) steers with chromium (Cr) or titanium (Ti) as external markers. Four steers (230.5 ± 14. Read More

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September 2021