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International Journal of Circumpolar Health

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https://www.readbyqxmd.com/read/29195489/secondary-sex-ratio-in-relation-to-exposures-to-polychlorinated-biphenyls-dichlorodiphenyl-dichloroethylene-and-methylmercury
#1
Clara Amalie Gade Timmermann, Anna L Choi, Maria Skaalum Petersen, Flemming Nielsen, Esben Budtz-Jørgensen, Pál Weihe, Philippe Grandjean
This study was undertaken to assess the potential impact of maternal exposures to polychlorinated biphenyl (PCB), dichlorodiphenyl dichloroethylene (DDE) and methylmercury on the secondary sex ratios (the ratio of male to female live births) over a span of 23 years. The study includes prospective data from three Faroese birth cohorts, with a total of 2,152 healthy mother-child dyads recruited between 1986 and 2009. The Faroe Islands is a subarctic fishing community, where pilot whale meat and blubber are part of the traditional marine diet...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/29157194/patient-involvement-in-healthcare-professional-practice-a-question-about-knowledge
#2
Tine Aagaard
The concept of patient involvement is ambiguous and contested in the healthcare systems in Western Europe and North America. Current research indicates that patients only feel moderately involved in their treatment and care. This article builds on a study of chronically ill patients' perspectives on healthcare practice in Greenland. It discusses the significance of including in healthcare practice knowledge of patients' everyday lives with illness and their own views on their situations. Research was qualitative and ethnographic...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/29157188/store-owners-as-potential-agents-of-change-energy-drinks-in-the-interior-of-alaska
#3
Janet M Wojcicki, Peter de Schweinitz
Childhood obesity disproportionately impacts disadvantaged communities, including Alaska Native children. In part, lack of access to fresh fruits and vegetables and over consumption of sugar sweetened beverages including energy drinks contribute to excessive weight gain in Alaska Native youth. This commentary reports the possibility of storeowners and workers partnering with community members to limit sales of nutrient-poor energy drinks through point-of-sale counselling in rural communities in the interior of Alaska...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/29132251/hearing-impairment-is-common-among-saami-adults-in-northern-finland
#4
Venla Lohi, Pasi Ohtonen, Pekka Aikio, Martti Sorri, Elina Mäki-Torkko, Samuli Hannula
The Saami are the only indigenous population in Europe and their traditional living area is northern Scandinavia. Hearing impairment (HI) among Saami has not been studied before. The objective was to investigate the presence and type of HI among Saami adults, aged 49-77 years (median age 61 years), living in northern Finland. In addition, the presence of self-reported hearing difficulties, difficulties to hear in background noise and tinnitus were studied. An epidemiological, cross-sectional study encompassing a structured interview, otological examination and audiometry was performed...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/29130421/high-tobacco-use-prevalence-with-significant-regional-and-sex-differences-in-smokeless-tobacco-use-among-western-alaska-native-people-the-watch-study
#5
Kathryn R Koller, Christie A Flanagan, Gretchen E Day, Christi Patten, Jason G Umans, Melissa A Austin, Scarlett E Hopkins, Cheryl Raindl, Bert B Boyer
Tobacco use prevalence among Alaska Native (AN) people living in Alaska is greater than the general population prevalence statewide and nationally. Better understanding of regional tobacco use is needed to improve cessation efforts and reduce prevalence. Using self-reported baseline data from the Western Alaska Tribal Collaborative for Health study, we describe tobacco use patterns among AN people in two western Alaska regions. Data were stratified by age group and sex. Dual- and multi-product use in the Yukon-Kuskokwim (Y-K) region was stratified by concurrent vs sequential use...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/29130420/-there-are-more-things-in-heaven-and-earth-how-knowledge-about-traditional-healing-affects-clinical-practice-interviews-with-conventional-health-personnel
#6
Anette Langås-Larsen, Anita Salamonsen, Agnete Egilsdatter Kristoffersen, Torunn Hamran, Bjørg Evjen, Trine Stub
People with Sami and Norwegian background are frequent users of traditional folk medicine (TM). Traditional healing, such as religious prayers of healing (reading) and the laying on of hands, are examples of commonly used modalities. The global aim of this study is to examine whether health personnel's knowledge, attitudes and experiences of traditional healing affect their clinical practice. Semi-structured individual interviews (n=32) and focus group interviews (n=2) were conducted among health personnel in two communities in Northern Norway...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/29108508/a-non-randomised-pragmatic-trial-of-a-school-based-group-cognitive-behavioural-programme-for-preventing-depression-in-girls
#7
Heléne Zetterström Dahlqvist, Evelina Landstedt, Ylva B Almqvist, Katja Gillander Gådin
The aim of this study was to investigate the effectiveness of the DISA-programme in preventing depressive symptoms (DS) in adolescent girls, as implemented in a real-world school setting, accounting for baseline socioeconomic and psychosocial factors, and to investigate whether the effects of these baseline variables on DS differed between intervention participants and non-participants. In this non-randomised pragmatic trial, an electronic questionnaire was disseminated in 2011 (baseline) and 2012 (follow-up) in schools in one municipality in northern Sweden...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/29096589/health-challenges-in-long-distance-dog-sled-racing-a-systematic-review-of-literature
#8
Giovanna Calogiuri, Andi Weydahl
Long-distance dog sled races, e.g. Iditarod (Alaska) and Finnmarksløpet (Northern Norway), are extremely demanding sporting events that might expose mushers, handlers and a large number of organisers and volunteers to risks for their health. The purpose of this systematic literature review (PROSPERO registration n. CRD42017069136) was to identify and summarise all available scientific literature relative to health issues connected to participating in these races. Using a literature search strategy in line with PRISMA guidelines, 117 scientific studies, sought through databases (Google Scholar and PubMed, between 2(nd) and 9(th) May 2017) and scrutiny of reference lists, were screened...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/29069984/treatment-of-acute-myocardial-infarction-in-the-sub-arctic-region-of-norway-do-we-offer-an-equal-quality-of-care
#9
J Norum, A Hovland, L Balteskard, T Trovik, B Haug, F H Hansen, S Alterskjær, P Madsen, F Olsen
Patients, relatives, healthcare workers and administrators are concerned about the quality of care offered. We aimed to explore the treatment of acute myocatrdial infarction (AMI) in Northern Norway, compare it with the national figures, and document whether there is an equal quality of care or not. The retrospective study included data on patients' treatment for AMI. The following sources were employed. The Norwegian Patient Registry, National Quality of Care Database, Norwegian Myocardial Infarction Registry and data from the National Air Ambulance Services of Norway...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/29034810/adult-idiopathic-cholestasis-a-condition-more-common-in-the-canadian-inuit
#10
Gerald Y Minuk, Galia Pollock, Julia Uhanova
Despite extensive investigations, some patients have no identifiable cause for their cholestatic liver enzyme abnormalities. The aim of this study was to document the clinical, laboratory, radiologic and histologic features of adult patients with idiopathic cholestasis (AIC). A computerised database of referred patients to a tertiary care hospital outpatient department for assessment of hepatobiliary disorders between 2005 and 2015 was employed to identify and describe features associated with AIC. Of 6,560 patient referrals, sufficient documentation to warrant a diagnosis of AIC was present in 17 (0...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28990466/task-dependent-cold-stress-during-expeditions-in-antarctic-environments
#11
Drew M Morris, June J Pilcher, Robert B Powell
This study seeks to understand the degree of body cooling, cold perception and physical discomfort during Antarctic tour excursions. Eight experienced expedition leaders across three Antarctic cruise voyages were monitored during occupational tasks: kayaking, snorkelling and zodiac outings. Subjective cold perception and discomfort were recorded using a thermal comfort assessment and skin temperature was recorded using a portable data logger. Indoor cabin temperature and outdoor temperature with wind velocity were used as measures of environmental stress...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28990464/the-opinions-of-ambulance-personnel-regarding-using-a-heated-mattress-for-patients-being-cared-for-in-a-cold-climate-an-intervention-study-in-ambulance-care
#12
Jonas Aléx, Tom Uppstu, Britt-Inger Saveman
The purpose of the study was to describe the opinions of ambulance personnel regarding differences between using a heated mattress and a standard ambulance mattress. This study was an intervention study with pre- and post-evaluation. Evaluations of the opinions of personnel regarding the standard unheated mattress were conducted initially. After the intervention with new heated mattresses, follow-up evaluations were conducted. Ambulance personnel (n=64) from an ambulance station in northern Sweden took part in the study, which ran from October 2014 until February 2016...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28982302/tracking-sources-of-clostridium-botulinum-type-e-contamination-in-seal-meat
#13
Daniel Leclair, Jeffrey M Farber, Franco Pagotto, Sandy Suppa, Bill Doidge, John W Austin
Botulism in Nunavik, Quebec is associated with the consumption of aged marine mammal meat and fat. The objective was to identify meat handling practices presenting a risk of contamination of seal meat with C. botulinum. Potential sources of contamination were assessed through interviews with igunaq producers from five communities of Nunavik. These sources were verified by detection and isolation of C. botulinum from igunaq prepared in the field from seal carcasses. Interviews indicated practices presenting a risk for contamination included: placing meat or fat on coastal rocks, using seawater for rinsing, and ageing meat in inverted seal skin pouches...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28934900/societal-costs-and-effects-of-implementing-population-based-mammography-screening-in-greenland
#14
Maria Klitgaard Christensen, Birgit V Niclasen, Kim Moesgaard Iburg
With a low breast cancer incidence and low population density, Greenland is geographically and organisationally challenged in implementing a cost effective breast cancer screening programme where a large proportion of the Greenlandic women will have to travel far to attend. The aim of this paper is to evaluate the cost effectiveness and cost utility of different strategies for implementing population-based breast cancer screening in Greenland. Two strategies were evaluated: Centralised screening in the capital Nuuk and decentralised screening in the five municipal regions of Greenland...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28911274/participation-and-support-associations-with-swedish-pupils-positive-health
#15
Maria Warne, Kristen Snyder, Katja Gillander Gådin
From the perspective of salutogenesis, schools have opportunities to create supportive environments for health and well-being, but there is a need for more knowledge about positive health determinants in the school setting. The aim of this study was to analyse adolescents' self-reported positive health and its association with supportive factors in the school environment. Data was derived from a cross-sectional study in which pupils were aged 12-16 (n=1527). A positive health scale was used to examine the association of positive health with the following determinants: classroom participation; teacher support; peer support; parental support; and personal relative affluence...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28859556/the-perceptions-of-first-nation-participants-in-a-community-oral-health-initiative
#16
Kavita R Mathu-Muju, James McLeod, Leeann Donnelly, Rosamund Harrison, Michael I MacEntee
The Children's Oral Health Initiative (COHI) is a federally funded community-based preventive dental program for children and their caregivers living in geographically isolated Canadian Aboriginal communities. The goal of the program is to improve access to preventive dental services for children of 0-7 years of age. It utilises community health workers in collaboration with dental therapists to promote and deliver the program. Almost half of the province of Manitoba's (n=27) First Nations communities have implemented COHI since 2005...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28853333/under-reporting-of-major-birth-defects-in-northwest-russia-a-registry-based-study
#17
Anton A Kovalenko, Tormod Brenn, Jon Øyvind Odland, Evert Nieboer, Alexandra Krettek, Erik Eik Anda
The objective was to assess the prevalence of selected major birth defects, based on data from two medical registries in Murmansk County, and compare the observed rates with those available for Norway and Arkhangelsk County, Northwest Russia. It included all newborns (≥22 completed weeks of gestation) registered in the Murmansk County Birth Registry (MCBR) and born between 1 January 2006 and 31 December 2009 (n=35,417). The infants were followed-up post-partum for 2 years through direct linkage to the Murmansk Regional Congenital Defects Registry (MRCDR)...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28844184/the-argentinian-mother-and-child-contaminant-study-a-cross-sectional-study-among-delivering-women-in-the-cities-of-ushuaia-and-salta
#18
Inger Økland, Jon Øyvind Odland, Silvinia Matiocevich, Marisa Viviana Alvarez, Torbjørn Aarsland, Evert Nieboer, Solrunn Hansen
Several ongoing international multidisciplinary projects have examined linkages between environmental chemicals and health. In contrast to Arctic regions, information for the Southern Hemisphere is scarce. Because of the inherent practice of pesticide utilisation and mismanagement, food security is potentially threatened. The most vulnerable period in human life occurs during pregnancy and early childhood, thus a focus on the body burdens of PTS in pregnant or delivering women is warranted. The current study was designed to investigate health risks related to exposure to PTS and food security in two regions of Argentina (Ushuaia and Salta)...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28782441/connecting-remote-populations-to-public-health-the-case-for-a-digital-immunisation-information-system-in-nunavut
#19
Lindsay A Wilson, Barry Pakes, Malia S Q Murphy, Katherine M Atkinson, Cameron Bell, Kumanan Wilson
Despite the best efforts of local healthcare workers and health officials, Nunavut, a large geographical region in Northern Canada, has struggled with outbreaks of vaccine-preventable diseases (VPD). We contend that the implementation of an immunisation information system (IIS) could strengthen prevention and response efforts to this and future outbreaks of vaccine-preventable diseases. Developing an IIS in Nunavut that builds on the existing CANImmunize infrastructure would reduce the cost and complexity of developing a new IIS, and allow Nunavut to benefit from the ongoing efforts to secure data on the CANImmunize platform...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28774221/lower-pain-and-higher-muscular-strength-in-immigrant-women-with-vitamin-d-deficiency-following-vitamin-d-treatment
#20
Marianne Englund, Jan Persson, Ingrid Bergström
BACKGROUND: Vitamin D deficiency is common among immigrants in the Nordic region. It may lead to osteomalacia with severe musculoskeletal pain. There are reports that vitamin D deficiency without osteomalacia may lead to pain but little is known of the effect of treatment. OBJECTIVE: To investigate whether a moderate dose of cholecalciferol and calcium improves strength and pain in a group of vitamin D deficient women. DESIGN: Twentyfive immigrant women with vitamin D deficiency diagnosed during pregnancy were treated postpartum with a daily dose of 1,600 IU cholecalciferol and 1,000 mg of calcium...
2017: International Journal of Circumpolar Health
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