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Full-Text Articles in Medicine and Health Sciences
The Global Cowboy: Rural Masculinities And Sexualities, Chris Gibson
The Global Cowboy: Rural Masculinities And Sexualities, Chris Gibson
Chris Gibson
There is arguably no more iconic motif of rural masculinity than the cowboy. The cowboy is a persona, a stereotype, an ideology, and a style of manhood strongly associated with rurality. With origins in Mexico and the American West, cowboy imagery and identities were globalized in the late nineteenth and early twentieth century and were adopted, mutated, and subverted in contexts as different as Hawai'i, urban Japan, and remote Aboriginal Australia. This chapter traces the historical emergence and diffusion of cowboy masculinity, arguing that key to its endurance has been its malleability-its multivalent combinations of hero worship, ambiguity, rural place-based …
Uncertain Etiologies Of Proteinuric-Chronic Kidney Disease In Rural Sri Lanka, N.T.C Athuraliya, T.D.J Abeysekera, P Amerasinghe, R.P.V Kumarasiri, P Bandara, U Karunaratne, Abdul Milton, Alison Jones
Uncertain Etiologies Of Proteinuric-Chronic Kidney Disease In Rural Sri Lanka, N.T.C Athuraliya, T.D.J Abeysekera, P Amerasinghe, R.P.V Kumarasiri, P Bandara, U Karunaratne, Abdul Milton, Alison Jones
Alison L Jones
The global prevalence of chronic kidney disease (CKD) of uncertain etiology may be underreported. Community-level epidemiological studies are few due to the lack of national registries and poor focus on the reporting of non-communicable diseases. Here we describe the prevalence of proteinuric-CKD and disease characteristics of three rural populations in the North Central, Central, and Southern Provinces of Sri Lanka. Patients were selected using the random cluster sampling method and those older than 19 years of age were screened for persistent dipstick proteinuria. The prevalence of proteinuric-CKD in the Medawachchiya region (North Central) was 130 of 2600 patients, 68 of …
Why Do Rural Gps Engage In Longitudinal Integrated Community-Based Clerkships At A Time Of Workforce Shortage?, Elizabeth Farmer, Judith Hudson, Kathryn Weston
Why Do Rural Gps Engage In Longitudinal Integrated Community-Based Clerkships At A Time Of Workforce Shortage?, Elizabeth Farmer, Judith Hudson, Kathryn Weston
Elizabeth Farmer
Background: In keeping with its mission to produce doctors for rural and regional Australia, the University of Wollongong Graduate School of Medicine has established an innovative model of clinical education. This involves a 12-month integrated community-based clerkship where students live, learn and work in a regional or rural community. Summary of work: Before the first student cohort started their clerkship, we interviewed 28 general practitioners to determine why they engaged as clerkship supervisors at a time of workforce shortage. Independent researchers conducted semi-structured interviews. Responses were transcribed for thematic analysis. Summary of results: The new model motivated supervisors to engage …
Australia’S Rural And Remote Health: A Social Justice Perspective, Janie Smith
Australia’S Rural And Remote Health: A Social Justice Perspective, Janie Smith
Janie Smith
In plain English, this unique book explains the concepts, questions the bureaucratic systems, and explores the opportunities for change in a frank, engaging and insightful way. It paints real faces on to the rural, remote and Indigenous health landscape using innovative storytelling techniques, historical accounts and real-life experience, supported by the broad literature. Australia’s Rural and Remote Health: A social justice perspective tackles the difficult issues of racism, culture, genocide, Indigenous health, human rights, cultural safety, social capital and workforce issues, and offers practical solutions for students to apply. Using a primary health care framework it then weighs these issues …
Structured Assessment Using Multiple Patient Scenarios By Videoconference In Rural Settings, Tim Wilkinson, Janie Smith, Stephen Margolis, Tarun Sen Gupta, David Prideaux
Structured Assessment Using Multiple Patient Scenarios By Videoconference In Rural Settings, Tim Wilkinson, Janie Smith, Stephen Margolis, Tarun Sen Gupta, David Prideaux
Janie Smith
Context: The assessment blueprint of the Australian College of Rural and Remote Medicine postgraduate curriculum highlighted a need to assess clinical reasoning. We describe the development, reliability, feasibility, validity and educational impact of an 8-station assessment tool, StAMPS (structured assessment using multiple patient scenarios), conducted by videoconference. Methods StAMPS asks each candidate to be examined at each of 8 stations on issues relating to patient diagnosis or management. Each candidate remains located in a rural site but is examined in turn by 8 examiners who are located at a central site. Examiners were rotated through the candidates by either walking …