scholarly journals Rural, Pregnant, and Opioid Dependent: A Systematic Review

2016 ◽  
Vol 10s1 ◽  
pp. SART.S34547 ◽  
Author(s):  
Naana Afua Jumah
Keyword(s):  
Systematic Review ◽  
Substance Use ◽  
Rural Communities ◽  
Pregnant Women ◽  
Rural Areas ◽  
Treatment Modalities ◽  
Polysubstance Use ◽  
Cochrane Database ◽  
Rural Settings

The nature, impact, and treatment of substance use during pregnancy are well described for women living in urban settings. Less is known about pregnant substance-using women living in rural communities. The objective of this review is to describe the existing evidence for the management of substance use in pregnant women living in rural areas. A systematic review of the literature was conducted using PubMed, Embase, and the Cochrane Database of Systematic Reviews, and the quality of the evidence was assessed using the GRADE system. Twenty-two articles that met the inclusion criteria were identified. Descriptive studies document high rates of smoking, marijuana, and polysubstance use among rural, substance-using pregnant women compared to their urban counterparts. Management of substance use disorders is limited by access to and acceptability of treatment modalities. Several innovative, integrated addiction and prenatal care programs have been developed, which may serve as models for management of substance use during pregnancy in rural settings.

scholarly journals Patient Satisfaction With Telehealth in Rural Settings: A Systematic Review

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512520383p1-7512520383p1
Author(s):  
Angela Patterson ◽  
Loriana Harkey ◽  
Sadie Jung ◽  
Elizabeth Newton
Keyword(s):  
Systematic Review ◽  
Patient Satisfaction ◽  
Rural Communities ◽  
Program Development ◽  
Speech Language Pathology ◽  
High Satisfaction ◽  
Rural Settings ◽  
Language Pathology ◽  
Reduced Costs

Abstract Date Presented 04/21/21 This systematic review analyzes patient satisfaction with telehealth rehabilitation (OT, physical therapy, speech-language pathology) in global rural communities. Telehealth services should be used to deliver therapy to patients in rural settings for greater outreach. Patients report high satisfaction related to ease of travel, quality of care, safety, and reduced costs. This study has implications for telehealth program development within OT practice. Primary Author and Speaker: Angela Patterson Additional Authors and Speakers: Stephanie C. DeLuca, Hoàng Khánh Chi Contributing Authors: Lê Tường Giao Lê Tường, Đang Nguyễn Thị, and Thi Bich Ngoc Nguyen

scholarly journals Patient Satisfaction with Telehealth in Rural Settings: A Systematic Review

2020 ◽  
Vol 12 (2) ◽  
pp. 53-64
Author(s):  
Loriana C. Harkey ◽  
Sadie M. Jung ◽  
Elizabeth R Newton ◽  
Angela Patterson
Keyword(s):  
Systematic Review ◽  
Patient Satisfaction ◽  
Rural Communities ◽  
Rural Areas ◽  
Health Care Services ◽  
Inclusion Criteria ◽  
Language Therapy ◽  
Care Services ◽  
High Satisfaction ◽  
Rural Settings

Telehealth provides health care services to clients through telecommunications. Rehabilitation services such as occupational therapy, physical therapy, and speech-language therapy can be delivered via telehealth. The aim of this study was to evaluate patients’ reports of their satisfaction with telehealth compared to standard in-person therapy for patients living in rural areas. Four databases were utilized for this systematic review. The following words were searched: telehealth, rural, and patient satisfaction. Abstract searches identified 251 articles, and 55 were read in full text. Four articles met inclusion criteria. There was high satisfaction for patients in all studies regarding the use of telehealth. Findings showed that overall, telehealth supported increased rates of patient satisfaction for OT, PT, and SLP services delivered to rural communities.

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.

scholarly journals Smoking cessation interventions for pregnant women attending treatment for substance use disorders: A systematic review

Addiction ◽  
2021 ◽  
Author(s):  
Melissa A. Jackson ◽  
Amanda L. Baker ◽  
Gillian S. Gould ◽  
Amanda L. Brown ◽  
Adrian J. Dunlop ◽  
...  
Keyword(s):  
Systematic Review ◽  
Smoking Cessation ◽  
Substance Use ◽  
Pregnant Women ◽  
Substance Use Disorders

Bleomycin for orbital and peri-orbital veno-lymphatic malformations – A systematic review

2020 ◽  
pp. 159101992097251
Author(s):  
Khunsa Faiz ◽  
Stephanos Finitsis ◽  
Janice Linton ◽  
Jai Jai Shiva Shankar
Keyword(s):  
Systematic Review ◽  
Pulmonary Fibrosis ◽  
Vascular Malformations ◽  
Symptomatic Improvement ◽  
Low Flow ◽  
Cochrane Database ◽  
Objective Reduction ◽  
Retrospective Cohort Studies ◽  
Subjective Reduction

Background Orbital and peri-orbital venolymphatic malformations (VLM) are low flow vascular malformations. Intralesional bleomycin is now commonly being used to treat such malformations. Objective The purpose of this systematic review is to synthesize evidence on the safety and efficacy of bleomycin/pingyangmycin sclerotherapy for the treatment of orbital and peri-orbital VLM. Methods We searched Medline, Embase, Scopus and Cochrane database for studies reporting outcomes of bleomycin/pingyangmycin sclerotherapy for orbital and peri-orbital VLM between 1974 to April 5th, 2019. Nine retrospective cohort studies enrolling 132 patients were included. Two reviewers independently screened and extracted data and assessed the risk of bias. Predefined outcome measures were subjective and objective reduction of the lesion and associated complications. Results Subjective reduction of the lesions was seen in 96.2% of the studies. Objective reduction of the lesion and symptomatic improvement were reported in 91.6 and 95% of the studies respectively. Non responders were 9.0%. Minor adverse events were reported in 18.1% of the studies. Major complications like pulmonary toxicity or pulmonary fibrosis was not encountered in any of the included studies. Quality of evidence was generally low. Conclusion Bleomycin/pingyangmycin sclerotherapy is very effective and relatively safe for the treatment of orbital and periorbital VLM and is not associated with any major side effects including pulmonary fibrosis. Limitations: The systematic review is limited mainly due to low quality of the included studies with retrospective design.

scholarly journals Seroprevalence of hepatitis C virus infection in Cameroon: a systematic review and meta-analysis

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e015748 ◽  
Author(s):  
Jean Joel Bigna ◽  
Marie A Amougou ◽  
Serra Lem Asangbeh ◽  
Angeladine Malaha Kenne ◽  
Jobert Richie Nansseu
Keyword(s):  
Systematic Review ◽  
Hepatitis C ◽  
Methodological Quality ◽  
Meta Analysis ◽  
Hcv Infection ◽  
Representative Study ◽  
East Region ◽  
Pooled Prevalence ◽  
Rural Settings

ObjectiveBetter knowledge of hepatitis C virus (HCV) seroprevalence at the national level can help to implement pertinent strategies to address the HCV-related burden. The aim of this paper was to estimate the seroprevalence of HCV infection in Cameroon.DesignSystematic review and meta-analysis.ParticipantsPeople residing in Cameroon.Data sourcesElectronic databases including PubMed/MEDLINE, AJOL, WHO-Afro Library, Africa Index Medicus, National Institute of Statistics and National AIDS Control Committee, Cameroon from 1 January 2000 to 15 December 2016 were searched. English and French languages papers were considered. Two independent investigators selected studies. The methodological quality of the studies was assessed using the Newcastle–Ottawa scale.Results31 studies including 36 407 individuals were finally considered. There was no national representative study. The overall pooled prevalence was 6.5% (95% CI 4.5% to 8.8%; I²=98.3%). A sensitivity analysis of individuals at low risk of HCV infection showed a pooled prevalence of 3.6% (95% CI 2.3% to 5.2%, I²=97.7%, 18 studies) among 22 860 individuals (general population, blood donors and pregnant women), which was higher than for a high-risk population (healthcare workers and people with other identified comorbidities), 12.2% (95% CI 4.9% to 22.2%; I²=98.3%, 13 studies); p=0.018. The prevalence was higher in the East region, in rural settings, and when using an enzyme immunoassay technique for detecting HCV antibodies. Sex, sites, study period, sample size, timing of data collection and methodological quality of studies were not sources of heterogeneity.LimitationOne-third of studies (29.0%) had a low risk bias in their methodology and most were facility-based (87.1%).ConclusionThe seroprevalence of HCV infection in Cameroon indicates the need for comprehensive and effective strategies to interrupt HCV transmission in the Cameroonian population. Specific attention is needed for the East region of the country, rural settings and high-risk populations. A national representative study is needed to provide better estimates.

scholarly journals Coping Strategies and Health-Related Quality of Life in Pregnant Women with SARS-CoV-2 Infection

Medicina ◽  
2021 ◽  
Vol 57 (10) ◽  
pp. 1113
Author(s):  
Madalina Timircan ◽  
Felix Bratosin ◽  
Iulia Vidican ◽  
Oana Suciu ◽  
Mirela Turaiche ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pregnant Women ◽  
Rural Areas ◽  
Short Form ◽  
Depression Scale ◽  
Morbidity Rate ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Physical Burden

Background and Objectives: As maternal deaths associated with the SARS-CoV-2 infection remain at several times greater than the general population, significant factors that might contribute to the higher mortality and morbidity rate are the psychological impact of the disease and pregnancy itself. Therefore, the current study’s main objective was to assess how pregnant women react and cope with the stress of COVID-19 disease and how it influences their overall health and quality of life in healthcare facilities. Materials and Methods: In this cross-sectional study, we included 304 pregnant women who successfully completed standardized forms to assess our topics of interest, comprising of the Hospital Anxiety and Depression Scale, the Short Form Health Survey-12, the Coping Orientation to Problems Experienced Inventory scale, the CORE-Outcome Measure Questionnaire, and the Quality from the Patient’s Perspective questionnaire. Results: Unemployed, pregnant women living in poverty in the rural areas had higher SARS-CoV-2 infection rates during pregnancy. They faced higher anxiety levels and depression rates, with associated increased physical burden and exhaustion. However, these findings are not influenced by hospital care since it remained unchanged among COVID-19 and non-COVID-19 maternity units, excepting significantly lower technical competence scores of COVID-19 facilities. Conclusions: As the pandemic’s consequences emerge and additional outbreaks occur, care must prioritize the additional physical burden experienced by pregnant women who have contracted COVID-19, as well as psychological, emotional, and mental health support.

scholarly journals Development possibilities of rural tourism activities in the Almaj Valley area, Caras-Severin County

2018 ◽  
Vol 6 (1-2) ◽  
pp. 118-124
Author(s):  
Tabita Cornelia Adamov ◽  
Tiberiu Iancu ◽  
Luminița Pîrvulescu ◽  
Ioan Brad ◽  
Gabriela Popescu ◽  
...  
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Rural Tourism ◽  
The South ◽  
Tourist Infrastructure ◽  
Tourism Potential ◽  
Favorable Conditions ◽  
Cultural Monuments ◽  
Valley Area

Rural tourism and agrotourism have an extremely important contribution in rural area’s development, not only in financial terms but also in terms of increasing and improving the quality of life of residents from these areas. So, the development of these forms of tourism is required in the rural area, both economically and socially. Known as an important ethnographic area of the country, with traditional elements specific, Almaj Valley through natural and cultural potential available, it stands more and more lately by intensifying rural tourist and ecotourist activity. However, tourist infrastructure is very underdeveloped, to rural communities returning the mission to get more involved in this purpose, having in view, the national and international recognition of the high tourism potential of this area Romanian area still retains, quite well, the traditional, cultural, ethnographic and folklore valences specific to rural areas, providing favorable conditions for development of rural tourism and agrotourism. Romanian villages have a rich tourist potential, having diversified tourist resources: traditions, customs and folk values, cultural monuments, historical and art and an unpolluted natural environment with a rich natural tourism potential. Almajului Depression known as well as the Almaj Country, Almajului Valley or Bozovici Depression is situated in the South-East side of Banat Mountains, in the south of Caras-Severin county, near the Parallel 45°, being an intramountainous depression, of ellipsoidal form of NE-SW orientation, belonging to Nera basin.

scholarly journals Rapid diagnostic test for antenatal syphilis screening in low-income and middle-income countries: a systematic review and meta-analysis

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e018132 ◽  
Author(s):  
Carmen Phang Romero Casas ◽  
Marrissa Martyn-St James ◽  
Jean Hamilton ◽  
Daniel S Marinho ◽  
Rodolfo Castro ◽  
...  
Keyword(s):  
Systematic Review ◽  
High Risk ◽  
Diagnostic Accuracy ◽  
Pregnant Women ◽  
Sensitivity And Specificity ◽  
Methodological Quality ◽  
Meta Analysis ◽  
Risk Of Bias ◽  
Antenatal Clinics

ObjectivesTo undertake a systematic review and meta-analysis to evaluate the test performance including sensitivity and specificity of rapid immunochromatographic syphilis (ICS) point-of-care (POC) tests at antenatal clinics compared with reference standard tests (non-treponemal (TP) and TP tests) for active syphilis in pregnant women.MethodsFive electronic databases were searched (PubMed, EMBASE, CRD, Cochrane Library and LILACS) to March 2016 for diagnostic accuracy studies of ICS test and standard reference tests for syphilis in pregnant women. Methodological quality was assessed using QUADAS-2 (Quality Assessment of Diagnostic Accuracy Studies). A bivariate meta-analysis was undertaken to generate pooled estimates of diagnostic parameters. Results were presented using a coupled forest plot of sensitivity and specificity and a scatter plot.ResultsThe methodological quality of the five included studies with regards to risk of bias and applicability concern judgements was either low or unclear. One study was judged as high risk of bias for patient selection due to exclusion of pregnant women with a previous history of syphilis, and one study was judged at high risk of bias for study flow and timing as not all patients were included in the analysis. Five studies contributed to the meta-analysis, providing a pooled sensitivity and specificity for ICS of 0.85 (95% CrI: 0.73 to 0.92) and 0.98 (95% CrI: 0.95 to 0.99), respectively.ConclusionsThis review and meta-analysis observed that rapid ICS POC tests have a high sensitivity and specificity when performed in pregnant women at antenatal clinics. However, the methodological quality of the existing evidence base should be taken into consideration when interpreting these results.PROSPERO registration numberCRD42016036335.

Effects of Brief Interventions on Internalizing Symptoms and Substance Use in Youth: A Systematic Review

2021 ◽  
Author(s):  
Riley McDanal ◽  
Deanna Parisi ◽  
Ijeoma Opara ◽  
Jessica L. Schleider
Keyword(s):  
Systematic Review ◽  
Substance Use ◽  
Young People ◽  
Internalizing Problems ◽  
Internalizing Symptoms ◽  
Brief Interventions ◽  
School Settings ◽  
Barriers To Access ◽  
Program Effects

Internalizing problems (e.g., depression, anxiety) and substance use are common among young people and often co-occur. However, youths face myriad barriers to access needed treatment, and existing evidence-based interventions tend to focus on internalizing problems or substance use, rather than both simultaneously. Brief interventions that target both problems may therefore be an efficient and accessible resource for alleviating youth difficulties; however, this possibility has been insufficiently evaluated. This systematic review evaluated the intervention characteristics and quality of six studies spanning 2015 to 2019 that examined intervention effects on internalizing and substance use outcomes. Based on independent calculations and author reports (respectively), 3-4 interventions significantly reduced youth internalizing symptoms; 3-5 reduced youth substance use; and 2-3 reduced symptoms in both domains. All six interventions identified substance use as a primary target. Four interventions were administered by interventionists to youths in inpatient, outpatient, primary care, or school settings. The remaining two studies delivered content through voicemail messages or an online design. Interventions ranged from ~15 minutes to 240 minutes. Results highlight the sparsity and heterogeneity of youth-focused brief interventions that have evaluated program effects on both internalizing problems and substance use outcomes, suggesting a clear need for integrated supports that are also designed for accessibility. Future investigations of brief youth-focused interventions should assess program effects on both internalizing and substance use outcomes; examine mechanisms driving the varied efficacy of identified interventions; and create, refine, and test interventions with potential to address co-occurring internalizing problems and substance use in young people.

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