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International Journal of Circumpolar Health

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https://www.readbyqxmd.com/read/28705121/greenlandic-patients-with-colorectal-cancer-symptomatology-primary-investigations-and-differences-in-diagnostic-intervals-between-nuuk-and-the-rest-of-the-country
#1
Johan Tolstrup, Rasmus Chemnitz Madsen, Maria Vandborg Sneftrup, Birgit Niclasen
BACKGROUND: Colorectal cancer (CRC) is a potentially fatal disease, and expedited referral and treatment is needed to ensure early detection. OBJECTIVE: We aimed to assess the symptomatology of Greenlandic patients with CRC and the primary investigations initiated before referral to Dronning Ingrids Hospital in Nuuk for further diagnostic workup. Primary care interval (first consultation until referral), hospital interval (referral until diagnosis) and diagnostic interval (first consultation until diagnosis) were calculated and compared between patients living in Nuuk and in other places in Greenland ("the Coast")...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28691646/participatory-methods-for-inuit-public-health-promotion-and-programme-evaluation-in-nunatsiavut-canada
#2
Manpreet Saini
Engaging stakeholders is crucial for health promotion and programme evaluations; understanding how to best engage stakeholders is less clear, especially within Indigenous communities. The objectives of this thesis research were to use participatory methods to: (1) co-develop and evaluate a whiteboard video for use as a public health promotion tool in Rigolet, Nunatsiavut, and (2) develop and validate a framework for participatory evaluation of Inuit public health initiatives in Nunatsiavut, Labrador. Data collection tools included interactive workshops, community events, interviews, focus-group discussions and surveys...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28661236/forty-years-of-research-concerning-children-and-youth-in-greenland-a-mapping-review
#3
Mia Glendøs, Peter Berliner
OBJECTIVE: This study undertakes a mapping review of mainly concerning children and youth in Greenland in the period 1976-2016 and reflects on how the research has been conducted and knowledge thereby created about children and youth in Greenland, as well as how the research has been developed over time. DESIGN: 16 online databases; five journals; publication lists originating from seven organisations and ten prominent researchers; and local network and references were used in the search and subsequently screened through the scoping criteria...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28637380/diabetes-related-weight-change-in-a-canadian-first-nation-cohort
#4
N D Riediger, V Lukianchuk, J Roulette, L M Lix, L Elliott, S G Bruce
The Canadian First Nations population is disproportionately burdened by diabetes and diabetes complications. Body weight management is purported to be important in the prevention and management of diabetes. In this study, we sought to describe weight change in a First Nation cohort according to diabetes status and management. Study data were from two diabetes screening studies in Sandy Bay First Nation in Manitoba, Canada, collected in 2002/2003 (baseline) and 2011/2012 (follow-up). The cohort was composed of respondents to both screening studies (n=171)...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28625107/associations-between-omega-3-fatty-acids-and-25-oh-d-and-psychological-distress-among-inuit-in-canada
#5
Hans-Ragnar Skogli, Dominique Geoffroy, Hope A Weiler, Grethe S Tell, Laurence J Kirmayer, Grace M Egeland
BACKGROUND: Inuit in Canada have experienced dietary changes over recent generations, but how this relates to psychological distress has not been investigated. OBJECTIVE: To evaluate how nutritional biomarkers are related to psychological distress. DESIGN: A total of 36 communities in northern Canada participated in the International Polar Year Inuit Health Survey (2007-2008). Of 2796 households, 1901 (68%) participated; 1699 Inuit adults gave blood samples for biomarker analysis and answered the Kessler 6-item psychological distress questionnaire (K6)...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28613122/water-quality-and-inuit-health-an-examination-of-drinking-water-consumption-perceptions-and-contamination-in-rigolet-canada
#6
Carlee Wright
Canadian Inuit have often reported concerns about the quality of their municipal drinking water; research has also shown that some Inuit communities experience some of the highest incidence rates of self-reported acute gastrointestinal illness (AGI) in Canada and globally. The goal of this thesis research was to investigate drinking water perceptions and consumption patterns, as well as water contamination and potential associations with AGI in the Inuit community of Rigolet, Canada. Three census cross-sectional surveys captured data on AGI, drinking water, and water storage (2012-2014); additionally, bacterial contamination of household drinking water was assessed alongside the 2014 survey...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28613119/relatives-level-of-satisfaction-with-advanced-cancer-care-in-greenland-a-mixed-methods-study
#7
Mikaela Augustussen, Lise Hounsgaard, Michael Lynge Pedersen, Per Sjøgren, Helle Timm
Palliative cancer care in Greenland is provided by health professionals at local level, the national Queen Ingrid's Hospital and at Rigshospitalet in Denmark. To improve and develop care for relatives of patients with advanced cancer, we conducted a mixed method study examining relatives' level of satisfaction with care and treatment and their current main concerns. The aim was to investigate relatives' level of satisfaction with advanced cancer care and bring to light their current main concerns. The FAMCARE-20 questionnaire was translated to Greenlandic and pilot tested...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28598269/cancer-mortality-in-yukon-1999-2013-elevated-mortality-rates-and-a-unique-cancer-profile
#8
Jonathan Simkin, Ryan Woods, Catherine Elliott
BACKGROUND: Although cancer is the leading cause of death in Canada, cancer in the North has been incompletely described. OBJECTIVE: To determine cancer mortality rates in the Yukon Territory, compare them with Canadian rates, and identify major causes of cancer mortality. DESIGN: The Yukon Vital Statistics Registry provided all cancer deaths for Yukon residents between 1999-2013. Age-standardised mortality rates (ASMRs) were calculated using direct standardisation and compared with Canadian rates...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28587573/-they-take-care-of-their-own-healthcare-professionals-constructions-of-sami-persons-with-dementia-and-their-families-reluctance-to-seek-and-accept-help-through-attributions-to-multiple-contexts
#9
Bodil Hansen Blix, Torunn Hamran
BACKGROUND: Norwegian government white papers have stated that the Sami population is reluctant to seek help from healthcare services and has traditions of self-help and the use of local networks. OBJECTIVE: In this article we explore healthcare professionals' discursive constructions of Sami persons with dementia and their families' reluctance to seek and accept help from healthcare services. DESIGN: The article is based on an analysis of focus group interviews with healthcare professionals (n = 18) in four municipalities in Northern Norway with multiethnic populations...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28570207/improving-access-to-specialists-in-remote-communities-a-cross-sectional-study-and-cost-analysis-of-the-use-of-econsult-in-nunavut
#10
Clare Liddy, Fanny McKellips, Catherine Deri Armstrong, Amir Afkham, Leigh Fraser-Roberts, Erin Keely
BACKGROUND: Residents of remote communities face inequities in access to specialists, excessive wait times, and poorly coordinated care. The Champlain BASE(TM) (Building Access to Specialists through eConsultation) service facilitates asynchronous communication between primary care providers (PCP) and specialists. The service was extended to several PCPs in Nunavut in 2014. OBJECTIVE: To (1) describe the use of eConsult services in Nunavut, and (2) conduct a costing evaluation...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28570206/increased-incidence-of-gonorrhoea-and-chlamydia-in-greenland-1990-2012
#11
Mila Broby Johansen, Anders Koch, Jan Wohlfahrt, Mads Kamper-Jørgensen, Steen Hoffmann, Bolette Soborg
BACKGROUND: Since the 1970s, Greenland has presented the highest reported incidence rates of the sexually transmitted infections (STIs) gonorrhoea and chlamydia in the Arctic regions. OBJECTIVE: This study aims to describe sex- and age-specific incidence rates of gonorrhoea and chlamydia from 1990 to 2012 in Greenland, and to evaluate if changes in case definitions, diagnostic procedures and implementation of STI interventions during the period coincide with rate changes...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28537792/dental-caries-and-weight-among-children-in-nuuk-greenland-at-school-entry
#12
Signe Sloth Madsen, Vicky Jenny Rebecka Wetterstrand, Michael Lynge Pedersen
OBJECTIVE: To explore the possible association between weight class and prevalence of caries among children born 2005-2007, living in Nuuk, Greenland, at time of school entry. DESIGN: A cross-sectional register study based on data from electronic medical records(EMR) and oral health data from public health and dental care facilities. METHODS: Data from routine examinations of children at time of primary school entry, including height and weight, were obtained from the EMRs...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28523961/chronotype-and-response-to-training-during-the-polar-night-a-pilot-study
#13
Jacopo Antonino Vitale, Eva Bjoerkesett, Andrea Campana, Giacomo Panizza, Andi Weydahl
BACKGROUND: An individual's chronotype influences his or her physiological rhythms. Some studies have looked at the effect of time of day on the responses to exercise, but studies on the effect of long-term training are lacking. OBJECTIVE:  To report the effects of an 8-week training period during the polar night in non-athletes of different chronotypes living at 70°N. DESIGN:  In all, 10 morning (M), 10 neither (N) and 10 evening (E) types were recruited, and their aerobic capacity (VO2max), strength, flexibility and balance before and after the training period were tested...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28494638/an-environmental-scan-of-emergency-response-systems-and-services-in-remote-first-nations-communities-in-northern-ontario
#14
E J Mew, S D Ritchie, D VanderBurgh, J L Beardy, J Gordon, M Fortune, S Mamakwa, A M Orkin
BACKGROUND: Approximately 24,000 Ontarians live in remote Indigenous communities with no road access. These communities are a subset of Nishnawbe Aski Nation (NAN), a political grouping of 49 First Nations communities in Northern Ontario, Canada. Limited information is available regarding the status of emergency care in these communities. OBJECTIVE: We aimed to understand emergency response systems, services, and training in remote NAN communities. DESIGN: We used an environmental scan approach to compile information from multiple sources including community-based participatory research...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28467237/effect-of-the-13-valent-pneumococcal-conjugate-vaccine-on-nasopharyngeal-carriage-by-respiratory-pathogens-among-greenlandic-children
#15
Johan Emdal Navne, Anders Koch, Hans-Christian Slotved, Mikael Andersson, Mads Melbye, Karin Ladefoged, Malene Børresen
BACKGROUND: In 2010, Greenland introduced the 13-valent pneumococcal conjugate vaccine (Prevnar 13®- PCV-13) in the childhood immunisation program. The authors aimed to evaluate the impact of PCV-13 on nasopharyngeal carriage of bacteria frequently associated with respiratory infections in children. METHOD: In 2013 a cross-sectional population-based study of nasopharyngeal carriage was conducted among Greenlandic children aged 0-6 years and results were compared with an equivalent study from 2011...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28467230/ethnic-identity-negotiation-among-sami-youth-living-in-a-majority-sami-community-in-norway
#16
Kristine Nystad, Anna Rita Spein, Asta Mitkija Balto, Benedicte Ingstad
BACKGROUND: This study was part of the international research project "Circumpolar Indigenous Pathways to Adulthood" (CIPA). OBJECTIVES: To explore ethnic identity negotiation, an unexplored theme, among indigenous North Sami youth living in a majority Sami community context in Arctic Norway. METHODS: A qualitative design was followed using open-ended, in-depth interviews conducted in 2010 with 22 Sami adolescents aged 13-19 years, all reporting Sami self-identification...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28452681/the-effect-of-vernal-solar-uv-radiation-on-serum-25-hydroxyvitamin-d-concentration-depends-on-the-baseline-level-observations-from-a-high-latitude-in-finland
#17
Toni Karppinen, Meri Ala-Houhala, Lasse Ylianttila, Hannu Kautiainen, Kaisa Lakkala, Henna-Reetta Hannula, Esa Turunen, Heli Viljakainen, Timo Reunala, Erna Snellman
Humans obtain vitamin D from conversion of 7-dehydrocholesterol in the skin by ultraviolet B (UVB) radiation or from dietary sources. As the radiation level is insufficient in winter, vitamin D deficiency is common at higher latitudes. We assessed whether vernal solar UVB radiation at latitudes 61°N and 67°N in Finland has an impact on serum 25-hydroxyvitamin D [S-25(OH)D] concentrations. Twenty-seven healthy volunteers participated in outdoor activities in snow-covered terrain for 4-10 days in March or April, with their face and hands sun-exposed...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28452680/contemporary-radiooncological-management-of-bone-metastases-from-breast-cancer-factors-associated-with-prescription-of-different-fractionation-regimens-short-or-long-course-in-a-rural-part-of-north-norway-with-long-travel-distance
#18
Carsten Nieder, Astrid Dalhaug, Ellinor Haukland, Bård Mannsåker, Adam Pawinski
The aim of this study was to reduce barriers that prevent implementation of evidence-based recommendations about single-fraction palliative radiotherapy (PRT) and to demonstrate that single-fraction PRT yields similar outcomes as long-course treatment (≥10 fractions) in patients with bone metastases from breast cancer. This retrospective study (2007-2014) included 118 Norwegian female patients. All patients received guideline-conform systemic therapy including bone-targeting agents. Median survival was 12...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28452679/yoik-experiences-and-possible-positive-health-outcomes-an-explorative-pilot-study
#19
Soile Hämäläinen, Frauke Musial, Ola Graff, Torjer A Olsen, Anita Salamonsen
BACKGROUND: Yoik is an old vocal music tradition of Sami, the indigenous people inhabiting Northern Fennoscandia and Kola peninsula in Russia. Studies of music therapy (MT) and especially singing have documented improvements in social and overall functioning in people with severe mental disorders and positive effect on depressive symptoms and sleep quality. Possible connections between yoik and health are so far underexplored. OBJECTIVES: The overall aim of this study was to explore whether yoik may have the potential to positively influence people's health and well-being...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28452678/a-new-treatment-for-frostbite-sequelae-botulinum-toxin
#20
Arne Johan Norheim, James Mercer, Frauke Musial, Louis de Weerd
Frostbite sequelae are a relevant occupational injury outcome for soldiers in arctic environments. A Caucasian male soldier suffered frostbite to both hands during a military winter exercise. He developed sensory-motor disturbances and cold hypersensitivity. Angiography and thermography revealed impaired blood flow while Quantitative Sensory Testing indicated impaired somato-sensory nerve function. Two years after the initial event, he received an off label treatment with Botulinum toxin distributed around the neurovascular bundles of each finger...
2017: International Journal of Circumpolar Health
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