Physicians: rural

Choi JY, Wojner AW, Cale RT, Gergen P, DeGioanni J, Grotta JC. Telemedicine physician providers augmented acute stroke care delivery in rural Texas An initial experience. Telemed J E Health 2004 10 S90-S94. 

Nace, N., C. Larson, T. Lester, and J. Kosinski. 1999. Perceived Barriers to Childhood Immunization A Physician and Parent Survey in a Southeastern Urban/Rural Community. Tennessee Medicine 92(7) 265-268. 

Hideki Shirakawa was born in Tokyo on August 20, 1936. He was the third of five children born to Hatsutarou Shirakawa, a physician, and his wife, Fuyuno Shirakawa. In the first dozen years of his life, Hideki Shirakawa moved frequently with his family, first to the rural city of Takayama, then to the province of Manchu on the Chinese mainland (then recently conquered by the Japanese army), and finally backto Tokyo and Takayama after the end of World War II. As early as junior high school, Shirakawa was thinking about a career in the field of polymers. He wrote an essay in which he expressed a desire to "conduct research on plastics useful for ordinary people."... 

The physician at the rural clinic made arrangements to transport the child and her mother to the teaching hospital in the nearby city. At the hospital, she was given a complete examination by a physician in the Department of Family Medicine, and blood and urine samples were obtained. The weight of the patient (14.8 kg) was above the 50th percentile for fe-... 

To deal with the health care dimensions of LEP, hospitals, clinics, and physician s offices must plan for and undertake a culturally competent response. The Rural Action Center, an initiative of the Department of Health and Human Services, defines cultural competence as... 

Reduced payments and high levels of uncompensated care have led to the closing of hospital facilities in both urban and rural blighted areas, making access to care even more difficult for some. Whiteis and Salmon refer to this phenomenon as disinvestment in the public goods. Because privately owned and not-for-profit hospitals and private clinics, pharmacies, and physician s offices must rely on their own financial soundness, any threat to that foundation may lead to closure. 

Clusius (1525-1609), for example, the great physician and botanist, discovered "bolond gomba" in Hungary. This mushroom was known under the German name "Narrenschwamm" ("fool s mushrooms"). It was used in rural areas, where it was processed into love potions by wise men or "javas asszony". At about the same... 

In two-thirds of rural hospitals, nurse anesthetists provide all anesthesia services. In city hospitals, they work under anesthesiologists. These nurses also work in outpatient clinics and physicians offices. As they regulate the anesthetic, they monitor body functions to make sure they stay in balance and the patient stays out of danger. 

In several ways, family physicians are particnlarly well suited to respond to terrorism. First, family physicians are widely dispersed, in rural and urban areas, making them accessible for patients wherever manmade or natural catastrophic events might occnr. Second, family physicians provide continuity care, essential for the appropriate care of patients and families with ongoing physical and emotional outcomes from violent events. Third, family physicians provide comprehensive care, and can take care of most of the health problems, including emotional issues, facing victims of terrorism. Fonrth, family physicians understand how to coordinate care for patients, and can refer victims of mass disasters to other appropriate services as necessary. Most importantly, family physicians understand how to provide care in the context of family and community (22). As the events of September/October 2001 demonstrated, terrorism affects entire communities, whether or not individuals directly experience physical outcomes from the attacks. Family physicians, who nnderstand how their patients and families interact with their community, can help identify and treat problems at the community level. Although horrible, past terrorist events illustrate the pivotal role that family physicians play, working in partnership with public health officials to protect and promote the health of families and commnnities. 

The third class of hemoproteins are the cytochromes. They were first discovered by C.A. McMunn, a rural physician in Wolverhampton, who identified their characteristic absorption bands, and by manipulating their oxidation and... 

Where a few years ago the water of our larger cities was grossly polluted much of the time, now most cities have safe drinking water. It was formerly considered that the drinking water of rural districts was usually very good whereas now the amount of typhoid fever and dysentery spread by drinking water in rural districts is one of our great sanitary problems. City physicians have now come to expect considerable typhoid fever in the fall when people return from their vacations, vacation typhoid. ... 

FP is a 63-year-old physician practicing in a rural, sparsely populated county in northeast Arkansas. Although he works two days a week out of a clinic in one of his county s larger communities, he is on the road the other three days, often driving long distances to see patients who live in the more remote areas. Despite his health issues and advancing years, FP will not retire, because the patients he treats have very few alternatives for care. 

Access to healthcare services is a marker of primary care quality, because acute episodes of asthma are avoidable if they are managed and appropriately treated in the community. Gaps in access to medical services between urban and rural areas exist, and include such things as convenience of transportation, range of services provided locally, as well as the cost for medical treatment. The previous literature indicates that a lack of medical services and specialists are more common in rural than in urban areas (Rural Healthy People 2010), and there is a low utilization efficiency of hospice services in rural areas (Gessert et al. 2006) in addition, disparities exist in the threshold for admission to hospital or clinic care, between urban and rural physicians (Russo et al. 1999). 

Some family practitioners and internists, especially those in rural areas, offer gynecologic services, although in urban areas, women often visit gynecologists for these services. Many women turn to gynecologists not only for problems with their reproductive system but also for other medical conditions thus, their gynecologists function as primary care or femily physicians. Many gynecologists also function as obstetricians and will continue to care for their patients if they become pregnant. 

It is worth noting that Thresh was not the first scientist to present evidence that hard waters could be lead solvent Lauder Lindsay had presented such evidence as early as 1859. Nor was Thresh the last. In 1966, a British physician published an article in the Practitioner arguing that health officials should not simply assume that because a water supply is hard or alkaline it cannot be lead solvent. As evidence for the proposition, he presented data from a rural English town where more than 10 percent of the local population had been lead poisoned by a hard water supply and lead service pipes. °... 

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