scholarly journals Bridging the Gap—Building Surgical Subspecialty Telemedicine Clinics in the Rural Setting

2021 ◽  
Author(s):  
Christopher Ferari ◽  
Katharina Mitchell ◽  
Chad Crigger ◽  
Shirley Zupper ◽  
Amy Wildasin ◽  
...  
Keyword(s):  
Rural Setting ◽  
Surgical Subspecialty

Rural Surgical Training in the United States: Delineating Essential Components Within Existing Programs

2020 ◽  
Vol 86 (11) ◽  
pp. 1485-1491
Author(s):  
Isolina Rossi ◽  
Matthew Rossi ◽  
Emily Mclaughlin ◽  
Derek Minor ◽  
Lauren Smithson ◽  
...  
Keyword(s):  
Surgical Training ◽  
Training Programs ◽  
The United States ◽  
Advisory Council ◽  
Rural Setting ◽  
Surgical Training Program ◽  
Surgical Subspecialty ◽  
Essential Components ◽  
Rural Surgery ◽  
Rural Access

Background Rural access to surgical care has reached crisis level. Practicing in rural America offers unique challenges with limited resources and specialists. Most training programs do not provide enough exposure to the endoscopic or the surgical subspecialty skills to prepare a resident for an isolated rural environment. As awareness has increased, many programs have modified curriculum to address this need. The Advisory Council on Rural Surgery (ACRS) of the American College of Surgeons set out to delineate important components of rural training programs and measure to what degree the existing heterogeneous programs contain these components. Study Design The ACRS identified 4 essential components of rural surgical training based on literature and expert opinion. These components included rotations in a rural setting, broad exposure to surgical specialties, endoscopy experience, and lack of competing specialty learners. A list of Accreditation Council for Graduate Medical Education programs from a prior publication was updated with the 2019 Fellowship and Residency Electronic Interactive Database self-identified “rural track” programs, reviewed, and categorized. Results We identified 39 programs that self-identified as having a rural emphasis. Depending on the extent of which 4 essential components were included, programs were categorized as either “Broad” (12 programs), “Basic” (20 programs), or “Indeterminate” (7 programs). Conclusion The ACRS described the optimal components of a rural surgical training program and identified which components are present in those surgical residencies which self-identified as having a rural focus. This information is valuable to students planning a future in rural surgery and benefits programs hoping to enhance their curriculum to meet this critical need.

Association of vitamin D concentrations with 7-Dehydrocholesterol Reductase in school children in a sun-rich, semi-rural setting in Western Maharashtra, India

2015 ◽  
Author(s):  
Rubina Mandlik ◽  
Neha Kajale ◽  
Shashi Chiplonkar ◽  
Vivek Patwardhan ◽  
Veena Ekbote ◽  
...  
Keyword(s):  
Vitamin D ◽  
School Children ◽  
Rural Setting

Farm, Town, and Country in American Folklore and Folklife

2018 ◽  
pp. 538-556
Author(s):  
R. Troy Boyer
Keyword(s):  
Rural Communities ◽  
Social History ◽  
Critical Role ◽  
Rural Landscape ◽  
Rural Setting ◽  
Rural Culture ◽  
Family Farms ◽  
Way Of Life ◽  
Folk Culture ◽  
Folk Belief

Seeking remnants of verbal traditions they thought were being lost to industrialization and urbanization, the earliest folklore scholars took to the countryside. Analyzing folk culture in a fuller context, a generation of folklife scholars in the twentieth century set out to identify patterns in the rural landscape in materials, such as traditional artifacts and folk belief, that would illuminate the old traditional way of life and expand the purview of American history. A vital subject requiring more study and that connects to all other aspects of rural culture is traditional farming practices in the agricultural year. With regard to social history, folklife scholars have a critical role in the debate concerning the effect of commercialism on preindustrial farming that have implications for the valuation of family farms, rural communities, and sustainability into the twenty-first century. Among the topics in the rural setting that call for further folklife research are narratives of loss, the creation of local economies, and sense of place.

scholarly journals Prevalence and risk factors for antibiotic utilization in Chinese children

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shasha Guo ◽  
Qiang Sun ◽  
Xinyang Zhao ◽  
Liyan Shen ◽  
Xuemei Zhen
Keyword(s):  
Risk Factors ◽  
Meta Analysis ◽  
Random Effect ◽  
Random Effect Model ◽  
Healthcare Research ◽  
Chinese Children ◽  
Rural Setting ◽  
Antibiotic Prescribing ◽  
Antibiotic Utilization ◽  
At Home

Abstract Background Antibiotic resistance poses a significant threat to public health globally. Irrational utilization of antibiotics being one of the main reasons of antibiotic resistant. Children as a special group, there's more chance of getting infected. Although most of the infection is viral in etiology, antibiotics still are the most frequently prescribed medications for children. Therefore, high use of antibiotics among children raises concern about the appropriateness of antibiotic prescribing. This systematic review aims to measuring prevalence and risk factors for antibiotic utilization in children in China. Methods English and Chinese databases were searched to identify relevant studies evaluating the prevalence and risk factors for antibiotic utilization in Chinese children (0-18 years), which were published between 2010 and July 2020. A Meta-analysis of prevalence was performed using random effect model. The Agency for Healthcare Research and Quality (AHRQ) and modified Jadad score was used to assess risk of bias of studies. In addition, we explored the risk factors of antibiotic utilization in Chinese children using qualitative analysis. Results Of 10,075 studies identified, 98 eligible studies were included after excluded duplicated studies. A total of 79 studies reported prevalence and 42 studies reported risk factors for antibiotic utilization in children. The overall prevalence of antibiotic utilization among outpatients and inpatients were 63.8% (35 studies, 95% confidence interval (CI): 55.1-72.4%), and 81.3% (41 studies, 95% CI: 77.3-85.2%), respectively. In addition, the overall prevalence of caregiver’s self-medicating of antibiotics for children at home was 37.8% (4 studies, 95% CI: 7.9-67.6%). The high prevalence of antibiotics was associated with multiple factors, while lacking of skills and knowledge in both physicians and caregivers was the most recognized risk factor, caregivers put pressure on physicians to get antibiotics and self-medicating with antibiotics at home for children also were the main factors attributed to this issue. Conclusion The prevalence of antibiotic utilization in Chinese children is heavy both in hospitals and home. It is important for government to develop more effective strategies to improve the irrational use of antibiotic, especially in rural setting.

scholarly journals Tackling Rural Health, Energy, … and Technological Issues All at Once: A Call for a Global Interdisciplinary Platform for Strengthening Rural Setting Amid the COVID-19 Pandemic

Challenges ◽  
2021 ◽  
Vol 12 (2) ◽  
pp. 16
Author(s):  
Farshad Amiraslani
Keyword(s):  
Rural Communities ◽  
Rural Health ◽  
Rural Areas ◽  
Rural Setting ◽  
Global Challenges ◽  
Rural Settings ◽  
Research Studies

The recent COVID-19 pandemic has revealed flaws in rural settings where most people live without the necessary tools, income, and knowledge to tackle such unprecedented global challenges. Here, I argue that despite the research studies conducted on rural areas, these have not solved rising rural issues, notably poverty and illiteracy. I propound a global institute to be formed by governments that provides a platform for empowering rural communities through better training, skills, and competencies. Such global endeavour will ensure the remaining rural communities withstand future pandemics if they occur.

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