scholarly journals Safety for Community Health Nurses in Rural and Remote Communities

Author(s):  
Kathlyne Pham
2005 ◽  
Author(s):  
Ruta Valaitis ◽  
Patricia Gibson ◽  
Donna Meagher-Stewart ◽  
Christina Rajsic ◽  
Patrica Seaman ◽  
...  

2021 ◽  
Vol 23 ◽  
pp. 100317
Author(s):  
Albert Machistey Abane ◽  
Simon Mariwah ◽  
Samuel Asiedu Owusu ◽  
Adetayo Kasim ◽  
Elsbeth Robson ◽  
...  

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Mohammed Obaid ◽  
Qianwei Zhang ◽  
Scott J. Adams ◽  
Reza Fotouhi ◽  
Haron Obaid

Abstract Background Telesonography systems have been developed to overcome barriers to accessing diagnostic ultrasound for patients in rural and remote communities. However, most previous telesonography systems have been designed for performing only abdominal and obstetrical exams. In this paper, we describe the development and assessment of a musculoskeletal (MSK) telesonography system. Methods We developed a 4-degrees-of-freedom (DOF) robot to manipulate an ultrasound probe. The robot was remotely controlled by a radiologist operating a joystick at the master site. The telesonography system was used to scan participants’ forearms, and all participants were conventionally scanned for comparison. Participants and radiologists were surveyed regarding their experience. Images from both scanning methods were independently assessed by an MSK radiologist. Results All ten ultrasound exams were successfully performed using our developed MSK telesonography system, with no significant delay in movement. The duration (mean ± standard deviation) of telerobotic and conventional exams was 4.6 ± 0.9 and 1.4 ± 0.5 min, respectively (p = 0.039). An MSK radiologist rated quality of real-time ultrasound images transmitted over an internet connection as “very good” for all telesonography exams, and participants rated communication with the radiologist as “very good” or “good” for all exams. Visualisation of anatomic structures was similar between telerobotic and conventional methods, with no statistically significant differences. Conclusions The MSK telesonography system developed in this study is feasible for performing soft tissue ultrasound exams. The advancement of this system may allow MSK ultrasound exams to be performed over long distances, increasing access to ultrasound for patients in rural and remote communities.


1976 ◽  
Vol 25 (4) ◽  
pp. 252???255 ◽  
Author(s):  
Pat M. Keith ◽  
Mary Castles

2020 ◽  
Vol 12 (23) ◽  
pp. 10152
Author(s):  
Joel T. Betts ◽  
Juan F. Mendoza Espinoza ◽  
Armando J. Dans ◽  
Christopher A. Jordan ◽  
Joshua L. Mayer ◽  
...  

The practice of harvesting fish and crustaceans by using pesticides is understudied and under-reported in tropical inland fisheries yet poses a significant threat to freshwater biodiversity and community health. This research provides a brief review of the practice and an in-depth case study from southeast Nicaragua. In 2019, 86 interviews and 5 focus groups were conducted in remote communities in the Indio Maíz Biological Reserve (IMBR) and nearby surrounding area and combined with 4 years of local Indigenous Rama and Afrodescendent Kriol community forest ranger data. Forest rangers and 74% of interviewees reported that fishing with pesticides occurs in their communities, including both inside the IMBR and in the nearby surrounding area. The practice is primarily used by illegal settlers, and not by Rama and Kriol communities who have rights to the land in the IMBR. It entails the release of liquid pesticides in water or mixing powdered pesticides with corn flour and using the mixture as bait. Of seven chemicals reported, Cypermethrin, Deltamethrin, and Aluminum Phosphide were most common. The use of ichthyotoxic woody plants was more rarely reported. Habitats targeted ranged from swift headwaters to slow pools in small creeks to larger rivers, depending on target species. Main uses reported for the catch were food for family, bait to catch larger fish, and for sale. The main motivation was increased catch efficiency. Many interviewees attributed stomach issues, diarrhea, cough, convulsions, and miscarriage to exposure to poisoned river water. Twenty-five interviewees blamed poisoned rivers for livestock miscarriages or death. Severe local losses of fish and shrimp populations were reported. Rama and Kriol interviewees describe the practice as a threat to their river-based food security. Despite its illegality, no study participant knew a case of pesticide fishing that had been prosecuted. This destructive fishing practice has significant implications for conservation of the intact river systems of the primary rainforests of southeast Nicaragua, and to the local traditional fisheries they support.


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