Medicine and Health Sciences Commons^™

Local Birthing Services For Rural Women: Adaptation Of A Rural New South Wales Maternity Service, Michelle Durst, Margaret I. Rolfe, Jo Longman, Sarah Robin, Beverley Dhnaram, Kathryn L. Mullany, Ian M. R Wright, Lesley M. Barclay

Illawarra Health and Medical Research Institute

Objective: To describe the outcomes of a public hospital maternity unit in rural New South Wales (NSW) following the adaptation of the service from an obstetrician and general practitioner-obstetrician (GPO)-led birthing service to a low-risk midwifery group practice (MGP) model of care with a planned caesarean section service (PCS).

Design: A retrospective descriptive study using quantitative methodology.

Setting: Maternity unit in a small public hospital in rural New South Wales, Australia.

Participants: Data were extracted from the wardbased birth register for 1172 births at the service between July 2007 and June 2012.

Main outcome measures: Birth …

Evaluating Women's Knowledge Of The Combined Oral Contraceptive Pill In An Australian Rural General Practice Setting, Sharna Kulhavy, Teresa M. Treweek

Faculty of Science, Medicine and Health - Papers: part A

Background: In addition to the contraceptive action of the combined oral contraceptive pill (COCP), there are a number of other benefits to its use such as menstrual cycle regulation. However, COCP use is also associated with a higher risk of thromboembolism. Despite the prevalence of COCP use, studies have indicated that overall women have poor knowledge of the COCP.

Aim: To evaluate women's knowledge of the COCP in a rural general practice setting. The extent of knowledge was assessed in several domains including: COCP use and effectiveness, mechanism of action, and the risks and benefits of COCP use. …

The Influence Of Longitudinal Integrated Clerkships On Clinical Scholarship In Regional And Rural Communities Of Practice, Kathryn M. Weston, Judith Nicky Hudson

Faculty of Science, Medicine and Health - Papers: part A

All senior medical students at the University of Wollongong undertake a longitudinal integrated community-based cle rkship, supervised by experienced generalist practitioners (GPs) in a regional or ru ral community. Prior to the first clerkship, GP preceptors predicted outcomes from their relationship with the long-term students, including a more scholarly approach to clinical pract ice. This prompted exploration of preceptor post·clerkship perceptions In the light of Grigsby and Tl10rndykes (2011) recent working definition of dlnical scholarship in academic medicine.

A Food Photograph Series For Identifying Portion Sizes Of Culturally Specific Dishes In Rural Areas With High Incidence Of Oesophageal Cancer, Martani Lombard, Nelia Steyn, Hester-Mari Burger, Karen Charlton, Marjanne Senekal

Faculty of Science, Medicine and Health - Papers: part A

Rural areas of the Eastern Cape (EC) Province, South Africa have a high incidence of squamous cell oesophageal cancer (OC) and exposure to mycotoxin fumonisin has been associated with increased OC risk. However, to assess exposure to fumonisin in Xhosas—having maize as a staple food—it is necessary to determine the amount of maize consumed per day. A maize-specific food frequency questionnaire (M-FFQ) has recently been developed. This study developed a food photograph (FP) series to improve portion size estimation of maize dishes. Two sets of photographs were developed to be used alongside the validated M-FFQ. The photographs were designed to …

Comparison Of Assessment Performance Of Rural And Regional Students In A Unique Australian Graduate-Entry Medical Program, David L. Garne, J Bushnell, A Lethbridge, J Douglas

Faculty of Science, Medicine and Health - Papers: part A

The Graduate School of Medicine at the University of Wollongong is one of Australia's newest medical schools, with a regional/rural focus and a distributed campus, and students are all expected to spend a significant proportion of their training in a rural setting. Due to the diverse learning environments that students are exposed to, we sought to determine by phase if there was any difference in examination results between groups who were located in rural settings and those in regional settings.

Climate Change And Rural Child Health: Results And New Directions From An International Collaboration, Bastian Seidel

Faculty of Science, Medicine and Health - Papers: part A

No abstract provided.

Re-Creating The Rural, Reconstructing Nature: An International Literature Review Of The Environmental Implications Of Amenity Migration, Jesse B. Abrams, Hannah Gosnell, Nicholas J. Gill, Peter J. Klepeis

Faculty of Science, Medicine and Health - Papers: part A

The term 'amenity migration' describes a broad diversity of patterns of human movement to rural places in search of particular lifestyle attributes. This review of international literature, drawn from the authors' own prior research and searches on relevant databases, synthesises findings on the implications of amenity migration for the creation and distribution of environmental harms and benefits. Further, we critique common framings of amenity migration-related environmental transformations and offer suggestions for future research. Analysis is positioned within a review of five common themes reflected in the cases we consider: land subdivision and residential development; changes in private land use; cross-boundary …

Rural Placements Are Effective For Teaching Medicine In Australia: Evaluation Of A Cohort Of Students Studying In Rural Placements, H H. Birden, I Wilson

Faculty of Science, Medicine and Health - Papers: part A

Introduction: Medical education in Australia is increasingly delivered through longitudinal placements in general practice and other community settings. Early meaningful exposure to patients has been shown to improve the transition from medical student to junior doctor. This study examines the experience of the first year cohort of the University of Western Sydney (UWS) Medical School long-term rural placement students. Results have been placed in the context of other published results for rural training schemes, comparing and contrasting the present results to those of others. Methods: Students undertaking a rural placement in their final year of the UWS medical program (n=21) …

Cautiousness In Young Rural And Semi-Rural Drivers: Are There Influencing Factors?, Patricia J. Knight, Donald C. Iverson, Mark F. Harris

Graduate School of Medicine - Papers (Archive)

All drivers have to be prepared for driving with changed conditions, either intrinsic or external to the vehicle. This study explores factors influencing the cautiousness while driving of high school students in a rural and small semirural town community in New South Wales. Perceptions of caution in response to a range of different conditions including driving with passengers, bad weather, driving an unfamiliar car, poor road conditions, driving in heavy traffic and darkness - all conditions which have the potential to affect driving style or speed - were reported. Many of the young rural students reported having started to drive …

Early Driving Experience And Influence On Risk Perception In Young Rural People, Patricia J. Knight, Donald Iverson, Mark F. Harris

Graduate School of Medicine - Papers (Archive)

Young people, particularly males and those from a rural area, are over represented in road crashes; this occurs in vehicle dependent countries around the world, including Australia. The attitudes, experiences and behaviours of young drivers are some of the key factors which affect their potential to have an earlyon road driving experience that is crash free.

This paper considers the views of young people, some of whom were brought up on rural properties, and had significant, responsible roles in agricultural work, including task related driving from a very early age. This early responsibility and associated awareness of risk of injury …

Patient Perceptions Of Innovative Longitudinal Integrated Clerkships Based In Regional, Rural And Remote Primary Care: A Qualitative Study, Judith N. Hudson, Patricia J. Knight, Kathryn M. Weston

Graduate School of Medicine - Papers (Archive)

No abstract provided.

The Study Design And Methodology For The Archer Study - Adolescent Rural Cohort Study Of Hormones, Health, Education, Environments And Relationships, Katharine Steinbeck, P Hazell, Robert Cumming, S Skinner, Rebecca Ivers, Robert Booy, G Fulcher, D Handelsman, Andrew Martin, Geoff Morgan, J M. Starling, Adrian E. Bauman, M Rawsthorne, D Bennett, C Chow, Mary K. Lam, P Kelly, Ngiare J. Brown, K Paxton, C Hawke

Graduate School of Medicine - Papers (Archive)

Background: Adolescence is characterized by marked psychosocial, behavioural and biological changes and represents a critical life transition through which adult health and well-being are established. Substantial research confirms the role of psycho-social and environmental influences on this transition, but objective research examining the role of puberty hormones, testosterone in males and oestradiol in females (as biomarkers of puberty) on adolescent events is lacking. Neither has the tempo of puberty, the time from onset to completion of puberty within an individual been studied, nor the interaction between age of onset and tempo. This study has been designed to provide evidence on …

Poor Food And Nutrient Intake Among Indigenous And Non-Indigenous Rural Australian Children, Josephine D. Gwynn, Victoria M. Flood, Catherine A. D'Este, John R. Attia, Nicole Turner, Janine Cochrane, Jimmy Chun Yu Louie, John H. Wiggers

Faculty of Health and Behavioural Sciences - Papers (Archive)

BACKGROUND: The purpose of this study was to describe the food and nutrient intake of a population of rural Australian children particularly Indigenous children. Participants were aged 10 to 12 years, and living in areas of relative socio-economic disadvantage on the north coast of New South Wales. METHODS: In this descriptive cross-sectional study 215 children with a mean age of 11.30 (SD 0.04) years (including 82 Indigenous children and 93 boys) completed three 24-hour food recalls (including 1 weekend day), over an average of two weeks in the Australian summer of late 2005. RESULTS: A high proportion of children consumed …

The Reliability And Validity Of A Short Ffq Among Australian Aboriginal And Torres Strait Islander And Non-Indigenous Rural Children, J Gwynn, Victoria M. Flood, Catherine A. D'Este, John R. Attia, Nicole Turner, Janine Cochrane, John Wiggers

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objective: To determine the reproducibility and validity of a short FFQ (SFFQ) for Australian rural children aged 10 to 12 years, particularly Aboriginal and Torres Strait Islander children. Design: In this cross-sectional study participants completed the SFFQ on two occasions and three 24 h recalls. Concurrent validity was established by comparing results of the first SFFQ against food recalls; reproducibility was established by comparing the two SFFQ. Setting: The north coast of New South Wales in the Australian summer of late 2005. Subjects: Two hundred and forty-one children (ninety-two Aboriginal and Torres Strait Islander children and 100 boys) completed two …

Annual Incidence Of Snake Bite In Rural Bangladesh, Ridwanur Rahman, M. Abdul Faiz, Shahjada Selim, Bayzidur Rahman, Ariful Basher, Alison Jones, Catherine D'Este, Moazzem Hossain, Ziaul Islam, Habib Ahmed, Abdul Hasnat Milton

Graduate School of Medicine - Papers (Archive)

Background Snake bite is a neglected public health problem in the world and one of the major causes of mortality and morbidity in many areas, particularly in the rural tropics. It also poses substantial economic burdens on the snake bite victims due to treatment related expenditure and loss of productivity. An accurate estimate of the risk of snake bite is largely unknown for most countries in the developing world, especially South-East Asia. Methodology/Principal Findings We undertook a national epidemiological survey to determine the annual incidence density of snake bite among the rural Bangladeshi population. Information on frequency of snake bite …

Are Patients Willing Participants In The New Wave Of Community-Based Medical Education In Regional And Rural Australia?, Judith N. Hudson, Kathryn M. Weston, Russell W. Pearson, Rowena G. Ivers, Elizabeth Farmer

Graduate School of Medicine - Papers (Archive)

Community-based medical education is escalating to meet the increased demand for quality clinical education in expanded settings and patient participation is vital to the sustainability of this endeavour. This study aimed to investigate patients’ views on being used as an educational resource in medical student teaching, and whether they are being under- or over-used.

Rural Cultural Studies: Introduction, David Carter, Kate Darian-Smith, Andrew W. Gorman-Murray

Faculty of Science, Medicine and Health - Papers: part A

This themed section of Australian Humanities Review seeks to establish the emerging field of 'rural cultural studies' firmly on the agenda of the contemporary humanities and social sciences. This is a timely intervention as rural Australia has featured increasingly over the last decade and especially over the last few years as a topic of national policy attention, public commentary and social analysis. If the notion of a crisis in rural Australia has become something of a one-sided cliché, the changes being faced in non-urban-rural, remote and regional-Australia are nonetheless significant, complex and widespread. For example, one of the topics for …

Predictors Of Men's Acceptance Of Modern Contraceptive Practice: Study In Rural Vietnam, Bui Thi Thu Ha, Rohan Jayasuriya, Neville Owen

Faculty of Health and Behavioural Sciences - Papers (Archive)

Studies have shown family planning adoption is likely to be more effective for women when men are actively involved. The transtheoretical model of behavior change was used to examine mens involvement in general contraception and intrauterine device (IUD) use by their wives. The study was carried out in rural Vietnam with 651 eligible participants. Cons of IUD use for men in precontemplation and contemplation/preparation were significantly higher than those in the action/maintenance stages, whereas the reverse was true for pros of IUD. The self-efficacy for convincing wife to have IUD in precontemplation was significantly lower than for those in higher …