BACKGROUND Delayed first medical consultation (patient's delay) is quite common in cases of penile carcinoma (PC), but its reasons and impacts remain unclear. We conducted this study to ascertain risk factors resulting in delayed treatment seeking and evaluate its influence on prognosis. METHODS From 2004 to 2010 at 4 centers, 254 patients were enrolled into this study from 262 consecutive PC...

background: unwanted pregnancies and their complications are one of the major problems facing women in the world. this study aimed to determine the factors that affect unwanted pregnancy in the population covered by the shahroud university of medical sciences in 2013. methods: in this case-control study, 116 cases and 251 controls were randomly selected from those who referred to health care ce...

INTRODUCTION The uneven distribution of physicians in Japan disadvantages rural and remote patients with hematological malignancies to the extent that they may not receive standard treatments. There are 7 core regional medical centers in Tokushima Prefecture. A Tokushima rural medical center's clinical hematology division experienced difficulty in treating patients due to a lack of physicians d...

primary care physicians' visit services for diabetes management are now widely delivered in china's rural public health care. current studies mainly focus on supply but risk factors from patients' view have not been previously explored. this study aims to present the utilization of rural primary care physicians' visit services for diabetes management in the last 12 months in southwestern china,...

introduction natural hazards as recurring phenomenon have always existed in human life and will in the future, too. nowadays natural hazards occur throughout the world, but their impacts have been increasing and are generally much greater in developing countries than in developed ones. earthquake is a kind of natural hazard that has the most damages for humankind. earthquakes pose inevitable ri...

BACKGROUND AND PURPOSE Stroke mortality is 30% higher in the rural United States. This could be because of either higher incidence or higher case fatality from stroke in rural areas. METHODS The urban-rural status of 23 280 stroke-free participants recruited between 2003 and 2007 in the REGARDS study (Reasons for Geographic and Racial Differences in Stroke) was classified using the Rural-Urba...

Teleoncology has been adopted by many centers to provide cancer care closer to home for rural, remote, Indigenous and other disadvantaged people of our communities. A variety of medical models of teleoncology exist to provide various medical oncology services. While most centers use teleoncology to complement their face-to-face outreach services, some centers have replaced face-to-face with tel...

Introduction Health-care service processes need to be assessed over time. We aimed to assess the breast cancer care process in primary health system of Golestan Province, North Iran. Materials and Methods To perform a descriptive cross-sectional study, information on breast cancer care processes in primary health-care system was collected using a "collecting form" from 234 health houses, 29 h...

BACKGROUND Township-village health centers in rural areas play an important role in health service system in China. In East China's Jiangsu Province, the City of Haimen privatized all 25 township-village health centers in 2002. This study assesses the effect of privatization on staff retention among these health centers. METHODS This is a retrospective study based on 10-year administrative da...

PURPOSE To report on the implementation and clinical outcomes of a community-based pulmonary rehabilitation program in rural Appalachia. METHODS Three rural health centers and a large referral hospital worked together to establish pulmonary rehabilitation services based on AACVPR guidelines. Each site hired at least 1 respiratory therapist. To measure clinical outcomes, a retrospective medica...