3,310 results match your criteria: "b School of Rural Medicine ; University of New England ; Armidale[Affiliation]"

Receipt of hepatitis E vaccine and fetal loss in rural Bangladesh: further analysis of a double-blind, cluster-randomised, controlled trial.

Lancet Glob Health

August 2024

International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh; International Vaccine Institute, Seoul, South Korea; UCLA Fielding School of Public Health, University of California, Los Angeles, CA, USA; Korea University Vaccine Innovation Center, Seoul, South Korea.

Background: Vaccination constitutes an attractive control measure for hepatitis E virus (HEV), a major cause of maternal and perinatal mortality globally. Analysis of pregnant participants in an effectiveness trial of the HEV vaccine HEV239 showed possible HEV239-associated fetal losses. We aimed to conduct a detailed analysis of this safety signal.

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Article Synopsis
  • A study was conducted in Bangladesh to evaluate the safety and effectiveness of a recombinant hepatitis E vaccine (HEV239) in preventing hepatitis E during pregnancy, focusing on pregnant and non-pregnant women aged 16-39.
  • The trial involved 67 villages and included over 19,000 participants who received either HEV239 or a control hepatitis B vaccine (Hepa-B), with follow-up for two years post-vaccination.
  • Results showed no cases of hepatitis E among pregnant participants in either group, indicating HEV239's mild safety profile was comparable to Hepa-B, with no significant adverse events reported.
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Husband's involvement in utilization of maternal health services by their spouse in district Rohtak, Haryana.

J Family Med Prim Care

June 2024

Department of Community Medicine, Pt. B.D Sharma PGIMS, Rohtak, Haryana, India.

Introduction: Husband and wife as a couple are fully responsible for their current and future. In our society, the husband is mostly responsible for making the decision regarding any expenses. In India, there is a need to reduce the maternal mortality rate, and Husband's involvement in antenatal care could be a key to success as it will enable them to support their partner in adequate preparation for birth and to utilize emergency obstetric care early if complications arise.

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Article Synopsis
  • Extreme hyperbilirubinemia in newborns is a major issue in low- and middle-income countries like Bangladesh, leading to significant health risks, especially since many births occur at home without screening or treatment.
  • A cluster randomized trial will involve 530 pregnant women in rural Bangladesh, where community health workers (CHWs) will screen and provide home treatment for newborns with jaundice, comparing results to traditional care methods.
  • The study aims to determine if CHW-led home phototherapy can effectively increase treatment rates for neonatal hyperbilirubinemia, potentially allowing for similar programs in other low-income settings to improve newborn health outcomes.
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Equitable Care for Hypertension: Blood Pressure and Patient-Reported Outcomes of the RICH LIFE Cluster Randomized Trial.

Circulation

July 2024

Departments of Medicine (L.A.C., J.A.M., K.A.C., K.B.D., R.T.B., D.C.C., C.R.D.H., C.A.I., E.R.M., N.-Y.W., D.B., A.A.S., H.-C.Y.), Johns Hopkins University School of Medicine, Baltimore, MD.

Background: Disparities in hypertension control are well documented but underaddressed.

Methods: RICH LIFE (Reducing Inequities in Care of Hypertension: Lifestyle Improvement for Everyone) was a 2-arm, cluster randomized trial comparing the effect on blood pressure (BP) control (systolic BP ≤140 mm Hg, diastolic BP ≤90 mm Hg), patient activation, and disparities in BP control of 2 multilevel interventions, standard of care plus (SCP) and collaborative care/stepped care (CC/SC). SCP included BP measurement standardization, audit and feedback, and equity-leadership training.

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Four novel Mesona chinensis Benth polysaccharides were isolated using aqueous alcohol precipitation. Their molecular weights were determined using high-performance gel permeation chromatography: MA1 (2.3 kDa), MA2 (80.

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Spatial count data with an abundance of zeros arise commonly in disease mapping studies. Typically, these data are analyzed using zero-inflated models, which comprise a mixture of a point mass at zero and an ordinary count distribution, such as the Poisson or negative binomial. However, due to their mixture representation, conventional zero-inflated models are challenging to explain in practice because the parameter estimates have conditional latent-class interpretations.

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Article Synopsis
  • Inappropriate antibiotic prescribing in primary care has become a concern, with an emphasis on the need for antimicrobial stewardship (AMS) programs to reduce unnecessary antibiotic use, particularly highlighted during the COVID-19 pandemic.
  • A Canadian study used electronic medical records to analyze antibiotic prescribing patterns among COVID-19 patients compared to other respiratory and non-respiratory infections, evaluating factors such as prescription rates and follow-up visits.
  • Results indicated that patients diagnosed with COVID-19 were significantly less likely to receive antibiotic prescriptions compared to those with respiratory tract infections or other illnesses, suggesting more targeted AMS efforts are necessary.
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Atmospheric heat has become a major public concern in a rapidly warming world. Evapotranspiration, however, provides effective land surface cooling during the vegetation period. Adversely, modern cultural landscapes - due to both water and potential evapotranspiration pathways lacking - are increasingly incapable of offering this important benefit.

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Introduction: Many experts and communities have concerns about how National Disability Insurance Scheme services are provided to Aboriginal and Torres Strait children. This study was undertaken at the request of the NPY Women's Council in partnership with the researchers, to explore supports for Aboriginal and Torres Strait Islander children living with a disability in their remote areas.

Objective: This scoping review aims to (a) explore the barriers and enablers to accessing disability support services for families of young Aboriginal and Torres Strait Islander children (0-8 years) living in regional, rural and remote settings, and (b) summarise best practice approaches for accessing support for young children in these settings.

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Introduction: L. (Ainaxiang) DC. is a perennial herb of the compositae family.

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Article Synopsis
  • - The WHO aims to eliminate Hepatitis B virus (HBV) by preventing infections and reducing deaths, prompting an investigation into the beliefs and barriers faced by people living with HBV in rural KwaZulu-Natal, South Africa.
  • - A community dialogue revealed a significant lack of knowledge about HBV among community members and healthcare workers, while participants recognized symptoms of liver disease and identified common causes like alcohol and poor HIV treatment adherence.
  • - Barriers such as stigma, poverty, and referral delays hinder access to care, highlighting the need for targeted education and advocacy to improve HBV diagnosis, treatment, and prevention services that are accessible to the local population.
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Health literacy and associated factors in China: findings from the Wa ethnic group.

Front Public Health

July 2024

CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China.

Background: The health literacy of ethnic groups in remote areas of China is far from satisfactory. However, the health literacy of ethnic groups in China remains unclear. This study aimed to explore the health literacy of the "advancing directly" ethnic group and its influencing factors.

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Genome-scale identification, expression and evolution analysis of members in .

Heliyon

June 2024

Anhui Dabieshan Academy of Traditional Chinese Medicine, Anhui Engineering Research Center for Eco-Agriculture of Traditional Chinese Medicine, College of Biological and Pharmaceutical Engineering, West Anhui University, Luan, 237012, China.

Article Synopsis
  • B-box (BBX) proteins are crucial for plant development and help plants adapt to environmental stresses like temperature and pathogens, influencing processes such as growth and flowering.
  • Research utilized various methods like phylogenetic analysis and expression profiling to study 23 identified BBX genes, grouping them into five evolutionary categories.
  • Results showed that most BBX proteins localize in the nucleus, contain multiple exons, and respond to hormone treatments and cold stress, highlighting the need for further studies on their regulatory functions in different plant species.
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Obstetrics care in Indonesia: Determinants of maternal mortality and stillbirth rates.

PLoS One

July 2024

Faculty of Medicine and Health Sciences, Department of Obstetrics and Gynecology, Universitas Muhammadiyah Yogyakarta, Kasihan, Indonesia.

Problem: The Indonesian Healthcare Program starting in 2014 enabled access to healthcare delivery for large population groups. Guidance of usage, infrastructure and healthcare process development were the most challenging tasks during the implementation period. Due to the high social impact obstetric care and related quality assurance require evidence-based developmental strategies.

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Background: This field evaluation was designed to evaluate the efficacy of a new porcine reproductive and respiratory syndrome virus-2 (PRRSV-2) modified live virus vaccine at three independent pig farms.

Methods: Three farms were selected for this study based on their respiratory disease status caused by PRRSV-2 infection in post-weaning and growing pigs. Each farm housed a total of 40, 18-day-old pigs that were randomly allocated to one of two treatment groups.

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Background: Vancomycin-resistant enterococci (VRE) are important pathogens categorized as high-priority bacteria in the Global Priority List of Antibiotic-Resistant Bacteria to Guide Research, Discovery, and Development of New Antibiotics published by the World Health Organization. The aim of this study was to determine the risk factors, resistance, virulence, mobilomes associated with multidrug-resistant and clonal lineages of Enterococcus faecium and faecalis circulating among hospitalized patients following the health system in South Africa, using whole genome sequencing (WGS).

Methods: A cross-sectional study was conducted during a two-month periods among hospitalized patients in 2017.

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Comparing resident operative volumes for routine general surgery cases at academic, urban community, and rural training sites.

Can J Surg

July 2024

From the Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, B.C. (Punnen, Taheri, Chen, Scott, Karimuddin); the Division of General Surgery, Department of Surgery, St Paul's Hospital, Vancouver, B.C. (Scott, Karimuddin).

Background: Surgical training traditionally took place at academic centres, but changed to incorporate community and rural hospitals. As little data exist comparing resident case volumes between these locations, the objective of this study was to determine variations in these volumes for routine general surgery procedures.

Methods: We analyzed senior resident case logs from 2009 to 2019 from a general surgery residency program.

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Top 10 Signs and Symptoms of Psychotropic Adverse Drug Events to Monitor in Residents of Long-Term Care Facilities.

J Am Med Dir Assoc

September 2024

Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville, Australia.

Article Synopsis
  • The study aimed to create a consensus list of the top 10 signs and symptoms of adverse drug events (ADEs) for residents in long-term care facilities using certain medications.
  • Conducted via a 3-round Delphi approach, healthcare professionals from 13 countries evaluated various signs and symptoms, prioritizing those that impact quality of life and can be easily monitored.
  • After three rounds, the final list of prioritized signs and symptoms included issues like recent falls, daytime drowsiness, abnormal movements, confusion, and dizziness.
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Context: Adolescent phase is a very crucial period in one's life, much emotional and psychological support is needed for an adolescent to bloom into a responsible adult. But unfortunately adolescents do not get the support or they fail to seek support due to lack of awareness. Government of India, to address this issue has established dedicated adolescent friendly health services (AFHS).

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Objective: Despite global reductions in hepatitis B virus (HBV) prevalence, an estimated 6.2 million children are infected, two-thirds of whom live in the WHO Africa region. We sought to characterize childhood HBV to inform elimination efforts in the Democratic Republic of Congo (DRC), one of the largest and most populous African countries.

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(1) Background: we determined the prevalence of the hepatitis B virus (HBV) amongst people without human immunodeficiency virus (HIV) in rural and peri-urban areas in Botswana. (2) Methods: We screened for the hepatitis B surface antigen (HBsAg) from archived plasma samples of people without HIV (n = 2135) randomly selected from the Botswana Combination Prevention Program (BCPP) (2013-2018). We sequenced 415 bp of the surface region using BigDye sequencing chemistry.

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D-Limonene Is the Active Olfactory Attractant in Orange Juice for (Insecta: Diptera: Tephritidae).

Life (Basel)

May 2024

Shenzhen Branch, Guangdong Laboratory of Lingnan Modern Agriculture, Key Laboratory of Synthetic Biology, Ministry of Agriculture and Rural Affairs, Agricultural Genomics Institute at Shenzhen, Chinese Academy of Agricultural Sciences, Shenzhen 518120, China.

The oriental fruit fly, (Hendel), poses a significant threat to the global fruit industry, causing damage to diverse fruits like citrus, mango, and guava. Chemical pesticides have limited effectiveness, and pesticide residues and pesticide resistance are pressing issues. Therefore, it is essential to develop environmentally friendly pest control methods to address this problem.

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Unlabelled: We examined the prevalence of obesity in two types of schools-a comprehensive school and a grammar school-in a rural German region of Brandenburg.

Methods: In a cross-sectional study, BMI values were measured in 114 students in grades 5, 7, and 10. In addition to the demographic data, data on nutrition, physical activity, and mental well-being were collected using a questionnaire.

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Objective: To explore rural physician-community engagement through three case studies in order to understand the role that these relationships can play in increasing community-level resilience to climate change and ecosystem disruption.

Design: Qualitative secondary case study analysis.

Setting: Three Canadian rural communities (BC n = 2, Ontario n = 1).

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