Abstract：
:This narrative review explores relevant literature that is related to the challenges in implementing evidence-based management for clinicians in rural and remote areas, while primarily focussing on management of acute coronary syndrome (ACS) and follow up care. A targeted literature search around rural/urban differences in the management of ACS, cardiovascular disease, and cardiac rehabilitation identified multiple issues that are related to access, including the ability to pay, transport and geographic distances, delays in patients seeking care, access to diagnostic testing, and timely treatment in an appropriate facility. Workforce shortages or lack of ready access to relevant expertise, cultural differences, and complexity that arises from comorbidities and from geographical isolation amplified diagnostic challenges. Given the urgency in management of ACS, rural clinicians must act quickly to achieve optimal patient outcomes. New technologies and quality improvement approaches enable better access to rapid diagnosis, as well as specialist input and care. Achieving an uptake of cardiac rehabilitation in rural and remote settings poses challenges that may reduce with the use of alternative models to centre-based rehabilitation and use of modern technologies. Expediting improvement in cardiovascular outcomes and reducing rural disparities requires system changes and that clinicians embrace attention to prevention, emergency management, and follow up care in rural contexts.
journal_name
Int J Environ Res Public Healthauthors
Thompson SC,Nedkoff L,Katzenellenbogen J,Hussain MA,Sanfilippo Fdoi
10.3390/ijerph16245126subject
Has Abstractpub_date
2019-12-15 00:00:00issue
24eissn
1661-7827issn
1660-4601pii
ijerph16245126journal_volume
16pub_type
杂志文章,评审abstract：BACKGROUND:Chronic pelvic pain syndrome (CPPS) is one of the common diseases in urology and gynecology. CPPS is a multifactorial disorder where pain may originate in any of the urogynecological, gastrointestinal, pelvic musculoskeletal, or nervous systems. The symptoms of CPPS appear to result from an interplay between...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章,评审
doi：10.3390/ijerph17093005
更新日期：2020-04-26 00:00:00
abstract：:Microbial larviciding can be an effective component of integrated vector management malaria control schemes, although it is not commonly implemented. Moreover, quality control and evaluation of intervention activities are essential to evaluate the potential of community-based larviciding interventions. We conducted a ...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17197309
更新日期：2020-10-07 00:00:00
abstract：:(1) Background: In Italy, about one fourth of all schoolchildren experience a trauma to the permanent dentition. Management of avulsion trauma is challenging and requires adherence to clinical protocols. The aim of this study was to investigate the management knowledge of avulsed teeth among Italian dentists and to pr...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph18020706
更新日期：2021-01-15 00:00:00
abstract：:The aim of the study was to determine anaerobic capacity and characterize changes in repeated sprint ability (RSA) within youth elite handball players. For this study, 142 male athletes (17.1 ± 0.9 years) were recruited from a handball sports high school and performed the RSA test on a cycle ergometer, including five ...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17165959
更新日期：2020-08-17 00:00:00
abstract：:There are almost no studies about rare diseases in general practice. This study examined care characteristics of active rare disease patients in the Belgian Network of Sentinel General Practices (SGP) and the importance of rare diseases in general practice by its caseload, general practitioner (GP)⁻patient encounter f...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph15061180
更新日期：2018-06-05 00:00:00
abstract：:This study examined the associations of timing of sexual orientation developmental milestones, gender role nonconformity, and family-related factors with victimization of traditional and cyber sexuality-related bullying during childhood among gay and bisexual men in Taiwan, in addition to the moderating effects of fam...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph16234634
更新日期：2019-11-21 00:00:00
abstract：:Opioid abuse and misuse have led to an epidemic which is currently spreading worldwide. Since the number of opioid overdoses is still increasing, it is becoming obvious that current rather unsystematic approaches to tackle this health problem are not effective. This review suggests that fighting the opioid epidemic re...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章,评审
doi：10.3390/ijerph18010341
更新日期：2021-01-05 00:00:00
abstract：:Public transport is an effective and sustainable alternative to private vehicle usage, also helping to reduce the environmental impact of driving. However, the work environment of public transport operators is full of adverse conditions, which, together with their high mileage, may increase the occurrence of negative ...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph15030497
更新日期：2018-03-12 00:00:00
abstract：:Fecal material entrained in New Orleans flood waters was pumped into the local environment. Violet Marsh received water pumped from St. Bernard Parish and the Lower Ninth Ward. Sediment core samples were collected from canals conducting water from these areas to pump stations and from locations within Violet Marsh. Vi...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph2007040001
更新日期：2007-06-01 00:00:00
abstract：:Reusable tourniquets and conventional securement dressings are considered risk factors for the occurrence of reported complications and catheter-related bloodstream infections. This study's purpose is to assess the impact of single-use disposable tourniquets and advanced occlusive polyurethane dressings with reinforce...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph16183301
更新日期：2019-09-08 00:00:00
abstract：:(1) BACKGROUND: In 2011, new chronic disease guidelines were introduced across Mongolia. No formal advice was provided regarding role delineation. This study aimed to analyse the roles that different primary care providers adopted, and the variations in these, in the implementation of the guidelines in urban Mongolia;...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph13040407
更新日期：2016-04-07 00:00:00
abstract：:Primary injuries to the brain are common causes of hospitalization of patients in intensive care units (ICU). The Acute Physiology and Chronic Health Evaluation (APACHE) II scoring system is widely used for prognostication among critically ill subjects. Biomarkers help to monitor the severity of neurological status. T...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17124458
更新日期：2020-06-21 00:00:00
abstract：:Polybrominated Diphenyl Ether (PBDE) flame retardants are environmental chemicals that cross the placenta during pregnancy and have shown evidence of neurotoxicity. As the in utero period is a sensitive developmental window, such exposure may result in adverse childhood outcomes. Associations between in utero PBDE exp...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph15081636
更新日期：2018-08-02 00:00:00
abstract：:The Roma population is typified by a poor and, due to difficulties in ethnicity assessment, poorly documented health status. We aimed to compare the usefulness of self-reporting and observer-reporting in Roma classification for surveys investigating differences between Roma and non-Roma populations. Both self-reportin...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph15020353
更新日期：2018-02-16 00:00:00
abstract：:Background: The current study sought to understand whether trail users reported better wellness and health status compared to the non-users, and to recognize the associated factors. Methods: Eight trails from different locations and settings within Indiana were selected to sample trail users for the study. Additionall...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17176225
更新日期：2020-08-27 00:00:00
abstract：:Reducing sedentary behavior in the workplace has become an important public health priority; however, some employers have expressed concerns regarding the potential for reduced productivity if employees are not seated while at work. Therefore, the aim of this study was to determine the relationship between workplace s...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17186535
更新日期：2020-09-08 00:00:00
abstract：:The aims of the study were to present the prevalence of dental service utilization among adults (age between 18 and 65) in Chinese megacities and to examine the associations of health insurance and city of residence with dental visits. This study was a cross-sectional analysis of the 2019 New Era and Living Conditions...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17186851
更新日期：2020-09-19 00:00:00
abstract：BACKGROUND:Pediatricians following clinical practice guidelines for tobacco intervention (“Ask, Advise, and Refer” [AAR]) can motivate parents to reduce child tobacco smoke exposure (TSE). However, brief clinic interventions are unable to provide the more intensive, evidence-based behavioral treatments that...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章,随机对照试验
doi：10.3390/ijerph15061239
更新日期：2018-06-12 00:00:00
abstract：:Obesity is defined by the World Health Organization (WHO) as a body mass index (BMI) ≥ 30 Kg/m2. This study aimed to test the validity of this BMI cut-off point for adiposity in a weight management clinical setting in Lebanon. This cross-sectional study of 442 adults of mixed gender, categorized by the WHO BMI classif...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17113832
更新日期：2020-05-28 00:00:00
abstract：:The issue of public health in Korea has attracted significant attention given the aging of the country's population, which has created many types of social problems. The approach proposed in this article aims to address dementia, one of the most significant symptoms of aging and a public health care issue in Korea. Th...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph14090983
更新日期：2017-08-30 00:00:00
abstract：:The World Trade Center (WTC) disaster exposed the responders to several hazards. Three cohorts i.e., the Fire Department of New York (FDNY), the General Responder Cohort (GRC), and the WTC Health Registry (WTCHR) surveyed the exposed responder population. We searched Pubmed and Web of Science for literature on a well-...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章,评审
doi：10.3390/ijerph15061053
更新日期：2018-05-23 00:00:00
abstract：:As the worldwide popularity of animal-assisted interventions (AAIs) increases, the fieldis quickly approaching a paradigm shift, adjusting its image to incorporate more evidence-basedresearch and aligning its purpose for advancing a new future. Contemporary critical issues thatconfront the field today include, but are...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章,评审
doi：10.3390/ijerph16203997
更新日期：2019-10-18 00:00:00
abstract：:Rural tourists satisfaction has a pivotal role in the development of sustainable rural tourism. As a method of identifying critical satisfaction factors, an importance and performance analysis (IPA) technique has attracted growing interest from academics due to it being able to deliver the importance and performance o...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph16203848
更新日期：2019-10-11 00:00:00
abstract：:We describe the different length (DL) qPCR method for quantification of UV induced DNA damage in cell killing. The principle of DL qPCR is that DNA damage inhibits PCR. Applications with different lengths can therefore be used to detect different levels of UV-induced DNA damage. The assay was evaluated on three strain...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph7093376
更新日期：2010-09-01 00:00:00
abstract：:Anemia is characterized as a condition where there is a deficient number of hematocrit, hemoglobin, or red cells in the human body. This condition affects most youngsters under five years old and pregnant women. The fundamental goal of this paper is to investigate anemia, recognize its determinants, and propose critic...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17228538
更新日期：2020-11-18 00:00:00
abstract：:Household burning of solid fuels in traditional stoves is detrimental to health, the environment and development. A range of improved solid fuel stoves (IS) are available but little is known about successful approaches to dissemination. This qualitative systematic review aimed to identify factors that influence househ...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章,评审
doi：10.3390/ijerph110808228
更新日期：2014-08-13 00:00:00
abstract：:Alcohol-related disorders (ARD) are highly prevalent among Latin American-Caribbean countries. Mental disorders are common comorbidities in individuals with ARD. However, the etiology of the association between ARD and mental disorders remains unclear. We examined the association of inflammatory cytokines, microbiome,...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph17030689
更新日期：2020-01-21 00:00:00
abstract：:Arsenic contamination in drinking water has a detrimental impact on human health which profoundly impairs the quality of life. Despite recognition of the adverse health implications of arsenic toxicity, there have been few studies to date to suggest measures that could be taken to overcome arsenic contamination. After...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章,评审
doi：10.3390/ijerph13020215
更新日期：2016-02-15 00:00:00
abstract：:Air pollution is exacerbated near heavy traffic roads in cities. Air pollution concentration and composition vary by region and depend on urban-rural gradients. The aim of this study was to evaluate the distribution of air pollution in areas of varying population densities and to compare plant biomonitoring with an es...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph110908825
更新日期：2014-08-27 00:00:00
abstract：:Total cholesterol (TC) directly correlates with overweight/obesity, but it remains unclear if this association varies by race and ethnicity. We assessed the association as well as the racial/ethnic heterogeneity in this relationship. Data on 63,863 children were assessed using electronic medical records between 2010 a...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph13010019
更新日期：2015-12-23 00:00:00
