Abstract:
:Seven-field stereo retinal photography is both 100% sensitive and specific for diagnosing diabetic retinopathy and is the standard for evaluating the severity of retinopathy both for clinical and epidemiological studies. It is also very useful for follow-up of diabetics and eventual treatment of complicated cases with laser and other treatment modalities. If the 450 First Nations diabetic cases that were surveyed in 1992 in British Columbia, Canada, were to receive an annual assessment by an ophthalmologist, the cost is estimated at $164,000 (Canadian). This amount includes travel, hotel, and meal costs of patients traveling to the ophthalmic centers in their areas and the fee for specialist services. Alternately, retinal photography screening is estimated to cost $61,000. This amount includes photo-technician labor, travel costs to the community, hotel and meal costs, ophthalmologist interpretation of the photographs, and annualized capital maintenance costs. In the first year, the cost of vehicle purchase with accessories and a camera with accessories is estimated at $61,000, with an estimated four-year lifespan of equipment. Maintenance and insurance, including vehicle fuel, will cost $12,256 annually. A retinal photography program could travel to the diabetic patient, and nearly 100% of First Nations diabetic patients could receive this service annually. This program could be highly effective in preventing blindness in First Nations diabetic patients in British Columbia through early intervention in diabetic retinopathy.
journal_name
Int J Circumpolar Healthjournal_title
International journal of circumpolar healthauthors
Martin JD,Yidegiligne HMsubject
Has Abstractpub_date
1998-01-01 00:00:00pages
379-82eissn
1239-9736issn
2242-3982journal_volume
57 Suppl 1pub_type
杂志文章abstract::Reliance on self-reported health status information as a measure of population health can be challenging due to errors associated with participant recall. We sought to determine agreement between self-reported and registry-recorded site-specific cancer diagnoses in a cohort of Alaska Native people. We linked cancer hi...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2019.1571383
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVES:To evaluate the clinical management of type 2 diabetes in the Eeyou Istchee communities of northern Quebec. STUDY DESIGN:Retrospective quality assurance audit. METHODS:Patients with diabetes were identified using the Cree Diabetes Information System. Charts of eligible patients were audited for healthcare ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v71i0.18418
更新日期:2012-04-25 00:00:00
abstract:BACKGROUND:The medical internship as a way of exposing young doctors to training in a rural context is regarded as a useful tool to recruit and retain doctors in rural areas. Norwegian health authorities tested an arrangement of early sign-up for medical internships in the Finnmark County in Norway. OBJECTIVE:To repor...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2017.1314415
更新日期:2017-01-01 00:00:00
abstract::The relationship between cell-mediated immunity and alcohol intake was studied in an Antarctic wintering group. Cell-mediated immune responses have previously been shown to be significantly lowered on the Antarctic Continent. The cause for this is yet to be elucidated. The cutaneous CMI Multitest was used to assess ce...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v61i3.17454
更新日期:2002-08-01 00:00:00
abstract::The Eeyouch are a First Nations (Cree) population that live above 49.6°N latitude in Eeyou Istchee in northern Quebec. Eeyouch rely on traditional foods (TF) hunted, fished or gathered from the land. The overarching aim of this study was to achieve an understanding of the factors associated with TF intake among Eeyouc...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2018.1536251
更新日期:2018-12-01 00:00:00
abstract::Morbidity and mortality rates of noncommunicable diseases (NCD) are very high in Siberia. The prevalence of NCD risk factors is also very high, smoking being one of the most widespread risk factors. Prevention and cessation of smoking may improve the health of the population. Within the framework of the WHO MONICA (Mo...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract::A prevalence study methodology developed for use in rural and frontier settings is described. The general method was developed over a 15 year period and has been successfully adapted and used in studies of 14 different childhood onset developmental disorders. Subjects were the 168,000 school aged children from North D...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract::A cluster is a mini-epidemic of a rare disease. Clusters may give clues to the etiology of disease, or may signal a hazardous exposure. Unfortunately, cluster investigations seldom are conclusive, for several reasons. Statistically significant clusters can occur by chance. The probability of finding chance cancer clus...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract:INTRODUCTION:Myocardial and cerebral infarction are held to be rare among the Inuit, whereas cerebral haemorrhage is thought to be frequent. Recent studies have questioned these beliefs. We report data form our institution. METHOD:Retrospective data collection and review of all charts from Greenlandic patients from th...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v63i0.17921
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVES:The objective of this paper is to investigate how changes in the Greenlandic family structure and perceived difficulties in communicating with parents affect the prevalence of alcohol consumption and the risk of drunkenness among schoolchildren. STUDY DESIGN:The survey was carried out in February 1998 in al...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v61i4.18210
更新日期:2002-11-01 00:00:00
abstract:OBJECTIVES:Provide an introduction to national IT strategies for the health and social sectors, and point out major challenges for the future of eHealth and Telemedicine in Norway. METHODS:The information provided in this article is based on reviews of national strategies and plans, and contact with projects and users...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,评审
doi:10.3402/ijch.v63i4.17751
更新日期:2004-12-01 00:00:00
abstract:OBJECTIVES:Aboriginal communities have a high prevalence of diabetes and heart disease, and limited resources to address them. The objective of this study was to test the effectiveness of prioritizing care with audit and feedback on cholesterol management of diabetic patients. STUDY DESIGN:A controlled before-after in...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,随机对照试验
doi:10.3402/ijch.v69i4.17629
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVES:To review the current status of health care access and utilization among Indigenous people in the North America, Australia and New Zealand. STUDY DESIGN:Literature review. METHODS:A systematic search and critical review of relevant studies using online searches of electronic databases (PubMed, PsychINFO, M...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,评审
doi:10.3402/ijch.v66i3.18254
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVES:To test the hypothesis that the unexpectedly low prevalence of winter depression in Iceland is explained by Icelanders enjoying more daylight, during the winter months, than allocated to them by latitude. METHODS:A conventional photometer was applied to measure illuminance on a horizontal surface at 64 degr...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v63i3.17736
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVES:The aim of the study was to describe adherence to health regimens and the factors associated with it among adult frequent attenders (FAs). DESIGN:This was a cross-sectional study. The study sample consisted of 462 healthcare FAs in 7 municipal health centres in northern Finland. An FA is a person who has ha...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v75.30726
更新日期:2016-03-18 00:00:00
abstract:BACKGROUND:The US commercial fishing industry is hazardous, as measured by mortality data. However, research on non-fatal injuries is limited. Non-fatal injuries constitute the majority of occupational injuries and can result in workers' lowered productivity and wages, lost quality of life, and disability. In the Unite...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v75.30070
更新日期:2016-01-14 00:00:00
abstract::Inuit women's perceptions of health risks from potential contamination in the arctic food chain were investigated in 1995 through in-depth interviews with 47 women in a Canadian arctic community. This number represents 34% of the eligible participants in the population of the research community. Many of these Inuit wo...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVES:Community based physiotherapy services are an integral component of the recent implementation of a medical rehabilitation program in the Kivalliq Region of Nunavut. Since the year 2000, the Inuit people of Canada's central Arctic have had direct access to physiotherapy in their home communities. STUDY DESIG...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v63i0.17866
更新日期:2004-01-01 00:00:00
abstract::Engaging community partners to work as co-researchers and research assistants for research involving Inuit communities or regions helps to ensure the equitable recognition of community and researcher priorities, mutual trust and respect, participation by local participants, inclusion of local knowledge and local uptak...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2018.1425581
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:To evaluate the rate and causes of preterm (before 37 weeks gestation) and very preterm (before 32 weeks gestation) delivery among a population of Inuit living in Canada. STUDY DESIGN:Three-year retrospective cross-sectional review of charts for patients delivering in the Baffin Region of Canada. RESULTS:Th...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v63i0.17910
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:There is a paucity of research on Alaska Natives and their views on whether or not they believe they will age successfully in their home and community. There is limited understanding of aging experiences across generations. OBJECTIVE:This research explores the concept of successful aging from an urban Alask...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.21186
更新日期:2013-08-05 00:00:00
abstract::Ongomiizwin - Indigenous Institute of Health and Healing at the University of Manitoba's Rady Faculty of Health Sciences (RFHS) was launched in June of 2017 with a mandate to provide leadership and advance excellence in research, education and health services to achieve health and wellness for Indigenous peoples and t...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2019.1571381
更新日期:2019-01-01 00:00:00
abstract::The study was aimed at ascertaining the prevalence of diffuse liver lesions and associated factors in the general population of Novosibirsk, Western Siberia. A representative sample of 362 men and 870 women aged 25-64 years was investigated using ultrasound examination and blood tests for liver-derived enzymes (AST, A...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:2001-04-01 00:00:00
abstract::Iceland is sparsely populated but social justice and equity has been emphasised within healthcare. The aim of the study is to examine healthcare services in Fjallabyggð, in rural northern Iceland, from users' perspective and evaluate social justice, access and quality of healthcare in an age of austerity. Mixed-method...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2017.1347476
更新日期:2017-01-01 00:00:00
abstract::We report further details of the Eurowinter survey of cold related mortalities and protective measures against cold in seven regions of Europe, and review these with other evidence on the relationship of winter mortality to climate. Data for the oldest subject group studied, aged 65-74, showed that in this vulnerable ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,多中心研究
doi:
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVE:The Brightening Our Home Fires (BOHF) project was conceptualized as an exploratory project to examine the issue of the prevention of foetal alcohol spectrum disorder (FASD) from a women's health perspective in the Northwest Territories (NT). While dominant discourse suggests that FASD is preventable by absten...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.21140
更新日期:2013-08-05 00:00:00
abstract:BACKGROUND:This study was part of the international research project "Circumpolar Indigenous Pathways to Adulthood" (CIPA). OBJECTIVES:To explore ethnic identity negotiation, an unexplored theme, among indigenous North Sami youth living in a majority Sami community context in Arctic Norway. METHODS:A qualitative desi...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2017.1316939
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVES:The study aimed to estimate the prevalence of diabetes and impaired glucose intolerance (IGT) among Inuit migrants living in Denmark, and to compare with findings from Greenland. Further, we analyzed determinants for diabetes and impaired glucose metabolism. STUDY DESIGN:Cross-sectional, population-based ep...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v64i4.18013
更新日期:2005-09-01 00:00:00
abstract::The aim of this study was to reduce barriers that prevent implementation of evidence-based recommendations about single-fraction palliative radiotherapy (PRT) and to demonstrate that single-fraction PRT yields similar outcomes as long-course treatment (≥10 fractions) in patients with bone metastases from breast cancer...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2016.1270080
更新日期:2017-01-01 00:00:00
abstract::Diagnostic ultrasound in remote sites is limited by attendant delay in interpretation and reporting. Technology advances were incorporated in an ultrasound program based in Churchill, Manitoba, and designed to meet the needs of the Central Canadian Arctic. Still-frame ultrasound images are digitized via a sonographer'...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00