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https://www.readbyqxmd.com/read/28541753/implementation-and-utilisation-of-telepsychiatry-in-ontario-a-population-based-study
#1
Eva Serhal, Allison Crawford, Joyce Cheng, Paul Kurdyak
OBJECTIVE: Rural areas in Ontario have fewer psychiatrists, making access to specialist mental health care challenging. Our objective was to characterise psychiatrists delivering and patients receiving telepsychiatry in Ontario and to determine the number of patients who accessed a psychiatrist via telepsychiatry following discharge from psychiatric hospitalisation. METHOD: We conducted a serial panel study to evaluate the characteristics of psychiatrists providing telepsychiatry from April 2007 to March 2013...
January 1, 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28494638/an-environmental-scan-of-emergency-response-systems-and-services-in-remote-first-nations-communities-in-northern-ontario
#2
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/28478980/use-of-geospatial-modeling-to-evaluate-the-impact-of-telestroke-on-access-to-stroke-thrombolysis-in-ontario
#3
Lauren Jewett, Ario Mirian, Ben Connolly, Frank L Silver, Demetrios J Sahlas
BACKGROUND: The treatment of acute ischemic stroke in Ontario is coordinated through a network of stroke centers, supplemented by emergency telemedicine consultations to nonstroke centers through the Ontario Telemedicine Network's province-wide Telestroke program. Using geoinformatics, we sought to evaluate the overall impact of Telestroke on access to stroke thrombolysis in Ontario. METHODS: Ontario population data (census) were used to overlay polygons created by Service Area Analysis using ArcGIS 10...
May 3, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/28462447/predictive-power-of-the-nsqip-risk-calculator-for-early-post-operative-outcomes-after-whipple-experience-from-a-regional-center-in-northern-ontario
#4
Henry Y Jiang, Erica L Kohtakangas, Kengo Asai, Jeffrey B Shum
BACKGROUND: NSQIP Risk Calculator was developed to allow surgeons to inform their patients about their individual risks for surgery. Its ability to predict complication rates and length of stay (LOS) has made it an appealing tool for both patients and surgeons. However, the NSQIP Risk Calculator has been criticized for its generality and lack of detail towards surgical subspecialties, including the hepatopancreaticobiliary (HPB) surgery. We wish to determine whether the NSQIP Risk Calculator is predictive of post-operative complications and LOS with respect to Whipple's resections for our patient population...
May 2, 2017: Journal of Gastrointestinal Cancer
https://www.readbyqxmd.com/read/28355879/developing-a-grounded-theory-for-interprofessional-collaboration-acquisition-using-facilitator-and-actor-perspectives-in-simulated-wilderness-medical-emergencies
#5
Heather A Smith, Maurianne Reade, Marion Marr, Nicholas Jeeves
CONTEXT: Interprofessional collaboration is a complex process that has the potential to transform patient care for the better in urban, rural and remote healthcare settings. Simulation has been found to improve participants' interprofessional competencies, but the mechanisms by which interprofessionalism is learned have yet to be understood. A rural wilderness medicine conference (WildER Med) in northern Ontario, Canada with simulated medical scenarios has been demonstrated to be effective in improving participants' collaboration without formal interprofessional education (IPE) curriculum...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28351357/erratum-to-the-impact-of-benzodiazepine-use-in-patients-enrolled-in-opioid-agonist-therapy-in-northern-and-rural-ontario
#6
Alexandra M Franklyn, Joseph K Eibl, Graham Gauthier, David Pellegrini, Nancy E Lightfoot, David C Marsh
No abstract text is available yet for this article.
March 28, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28347143/developing-a-grounded-theory-for-interprofessional-collaboration-acquisition-using-facilitator-and-actor-perspectives-in-simulated-wilderness-medical-emergencies
#7
Heather A Smith, Maurianne Reade, Maar Marion, Nicholas Jeeves
CONTEXT: Interprofessional collaboration is a complex process that has the potential to transform patient care for the better in urban, rural and remote healthcare settings. Simulation has been found to improve participants' interprofessional competencies, but the mechanisms by which interprofessionalism is learned have yet to be understood. A rural wilderness medicine conference (WildER Med) in northern Ontario, Canada with simulated medical scenarios has been demonstrated to be effective in improving participants' collaboration without formal interprofessional education (IPE) curriculum...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28344720/resetting-the-compass-exploring-the-implicit-messages-of-orientation-to-a-community-engaged-medical-school
#8
Rachel Ellaway, Tim Dubé, Gerry Cooper, Lisa Graves
BACKGROUND: Although students' transition into medical school is a critical step in their professional journey, orientation has been relatively under-researched, particularly with regard to its intersections with schools' social missions. This paper reports on a study looking at the implicit messages of orientation to the Northern Ontario School of Medicine's undergraduate program. METHODS: An extended mixed methods study was conducted to look at different aspects of the School's Orientation Week...
February 2017: Canadian Medical Education Journal
https://www.readbyqxmd.com/read/28334011/suitability-of-eastern-pines-for-oviposition-and-survival-of-sirex-noctilio-f
#9
Laurel J Haavik, Kevin J Dodds, Jeremy D Allison
The European woodwasp, Sirex noctilio F., is a pest of pines in many areas around the world. Since its introduction to North America, the distribution of S. noctilio overlaps with a known host (Pinus sylvestris) and hosts native to North America. Direct comparisons of suitability for oviposition and larval survival among these pines have not been made. We tested the relative suitability of four common pine species in northeastern North America (P. sylvestris, P. resinosa, P. banksiana, and P. strobus) as hosts for S...
2017: PloS One
https://www.readbyqxmd.com/read/28333567/aboriginal-cultural-competency-in-dietetics-a-national-survey-of-canadian-registered-dietitians
#10
Paige Huycke, Jillian Ingribelli, Lee Rysdale
Little has been published on cultural competency curriculum and dietetics considering the impact of food-related beliefs and behaviours on health. A 14-item online survey was administered in January 2016 to 145 participants (125 members of Dietitians of Canada Aboriginal Nutrition Network and 20 dietitians with an interest in Aboriginal nutrition). Questions included multiple choice and ranking responses and were pretested by 4 preceptors with the Northern Ontario Dietetic Internship Program (NODIP). Quantitative data analysis included frequencies, pivot tables, and averaging/grouping of ranking scores...
March 23, 2017: Canadian Journal of Dietetic Practice and Research
https://www.readbyqxmd.com/read/28329274/trichinella-nativa-outbreak-with-rare-thrombotic-complications-associated-with-meat-from-a-black-bear-hunted-in-northern-ontario
#11
Daniel Dalcin, Dante S Zarlenga, Nicholas C Larter, Eric Hoberg, Daniel A Boucher, Samuel Merrifield, Rachel Lau, Filip Ralevski, Karamjit Cheema, Kevin L Schwartz, Andrea K Boggild
Background: Although trichinellosis is known to cause thrombotic disease, serious thrombotic events are rare and have not been previously associated with Trichinella nativa infection. Methods: Patient interviews and medical chart reviews were conducted on 10 men who became ill following consumption of a common source of black bear meat. Trichinella serology on patient sera as well as polymerase chain reaction (PCR) and larval identification of the meat samples was conducted...
May 15, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28273623/changes-in-enzymatic-activities-in-metal-contaminated-and-reclaimed-lands-in-northern-ontario-canada
#12
Ramya Narendrula-Kotha, Kabwe K Nkongolo
Metal and sulfur dioxide (SO2) contaminations in Northern Ontario (Canada), especially in the Greater Sudbury Region (GSR) caused by mining activities have resulted in severe environmental degradations. A long term restoration program has led to significant landscape changes and healthy ecosystems. The objective of this study was to assess variation in enzymatic activities and soil respiration in metal contaminated and reclaimed ecosystems. Soil analysis revealed that respiration rates were higher in metal contaminated limed soils (65ppm) compared to adjacent unlimed areas (35ppm)...
June 2017: Ecotoxicology and Environmental Safety
https://www.readbyqxmd.com/read/28220657/a-geographic-study-of-west-nile-virus-in-humans-dead-corvids-and-mosquitoes-in-ontario-using-spatial-scan-statistics-with-a-survival-time-application
#13
A L Thomas-Bachli, D L Pearl, O Berke, E J Parmley, I K Barker
Surveillance of West Nile virus (WNv) in Ontario has included passive reporting of human cases and testing of trapped mosquitoes and dead birds found by the public. The dead bird surveillance programme was limited to testing within a public health unit (PHU) until a small number of birds test positive. These dead corvid and mosquito surveillance programmes have not been compared for their ability to provide early warning in geographic areas where human cases occur each year. Spatial scan statistics were applied to time-to-event survival data based on first cases of WNv in found dead corvids, mosquitoes and humans...
February 20, 2017: Zoonoses and Public Health
https://www.readbyqxmd.com/read/28219401/impact-of-the-rural-pipeline-in-medical-education-practice-locations-of-recently-graduated-family-physicians-in-ontario
#14
Elizabeth F Wenghofer, John C Hogenbirk, Patrick E Timony
BACKGROUND: The "rural pipeline" suggests that students educated in rural, or other underserviced areas, are more likely to establish practices in such locations. It is upon this concept that the Northern Ontario School of Medicine (NOSM) was founded. Our analysis answers the following question: Are physicians who were educated at NOSM more likely to practice in rural and northern Ontario compared with physicians who were educated at other Canadian medical schools? METHODS: We used data from the College of Physicians and Surgeons of Ontario...
February 20, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28125267/strengthening-the-rural-dietetics-workforce-examining-early-effects-of-the-northern-ontario-dietetic-internship-program-on-recruitment-and-retention
#15
Mary Ellen Hill, Denise Raftis, Pamela Wakewich
INTRODUCTION: As with other allied health professions, recruitment and retention of dietitians to positions in rural and isolated positions is challenging. The aim of this study was to examine the early effects of the Northern Ontario Dietetic Internship Program (NODIP) on recruitment and retention of dietitians to rural and northern dietetics practice. The program is unique in being the only postgraduate dietetics internship program in Canada that actively selects candidates who have a desire to live and work in northern and rural areas...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28122579/the-impact-of-benzodiazepine-use-in-patients-enrolled-in-opioid-agonist-therapy-in-northern-and-rural-ontario
#16
Alexandra M Franklyn, Joseph K Eibl, Graham Gauthier, David Pellegrini, Nancy E Lightfoot, David C Marsh
BACKGROUND: Benzodiazepine use is common among patients in opioid agonist therapy; this puts patients at an increased risk of overdose and death. In this study, we examine the impact of baseline and ongoing benzodiazepine use, and whether patients are more likely to terminate treatment with increasing proportion of benzodiazepine positive urine samples. We also study whether benzodiazepine use differs by geographic location. METHODS: We conducted a retrospective cohort study using anonymized electronic medical records from 58 clinics offering opioid agonist therapy in Ontario...
January 26, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28107380/novel-tools-in-determining-the-physiological-demands-and-nutritional-practices-of-ontario-firerangers-during-fire-deployments
#17
A H Robertson, C Larivière, C R Leduc, Z McGillis, T Eger, A Godwin, M Larivière, S C Dorman
INTRODUCTION: The seasonal profession of wildland fire fighting in Canada requires individuals to work in harsh environmental conditions that are physically demanding. The purpose of this study was to use novel technologies to evaluate the physiological demands and nutritional practices of Canadian FireRangers during fire deployments. METHODS: Participants (n = 21) from a northern Ontario Fire Base volunteered for this study and data collection occurred during the 2014 fire season and included Initial Attack (IA), Project Fire (P), and Fire Base (B) deployments...
2017: PloS One
https://www.readbyqxmd.com/read/28071137/seasonal-variation-in-an-acid-mine-drainage-microbial-community
#18
Ryan R Auld, Nadia C S Mykytczuk, Leo G Leduc, Thomas J S Merritt
Environmental oxidation and microbial metabolism drive production of acid mine drainage (AMD). Understanding changes in the microbial community, due to geochemical and seasonal characteristics, is fundamental to AMD monitoring and remediation. Using direct sequencing of the 16S and 18S rRNA genes to identify bacterial, archaeal, and eukaryotic members of the microbial community at an AMD site in Northern Ontario, Canada, we found a dynamic community varying significantly across winter and summer sampling times...
February 2017: Canadian Journal of Microbiology
https://www.readbyqxmd.com/read/28038688/biomechanical-evaluation-of-a-growth-friendly-rod-construct
#19
Sarah Galvis, Josh Arnold, Erin Mannen, Benjamin Wong, Hadley Sis, Eileen Cadel, John Anderson, Dennis Anderson, Paul Arnold, Elizabeth Friis
BACKGROUND: Distraction-type rods mechanically stabilize the thorax and improve lung growth and function by applying distraction forces at the rib, spine, pelvis, or a combination of locations. However, the amount of stability the rods provide and the amount the thorax needs is unknown. METHODS: Five freshly frozen and thawed cadaveric thoracic spine specimens were tested for lateral bending, flexion/extension, and axial rotation in displacement control (1°/sec) to a load limit of ±5 Nm for five cycles after which a growth-friendly unilateral rod was placed in a simulated rib-to-lumbar attachment along the right side...
January 2017: Spine Deformity
https://www.readbyqxmd.com/read/27936253/-lack-of-collaboration-lack-of-staff-or-disappearance-of-the-data-the-difficult-access-to-the-psychiatric-archives
#20
Marie LeBel
This paper presents the way we try to track the history of mental health services offered to residents of official language minority communities throughout Northern and Eastern Ontario. The study also holds an interest in the post-deinstitutionalization paths of patients suffering from mental health conditions. Our research strand concerns Northern Ontario, its patient associations, its services, its specialists and its institutions and the access to hospitals archives.
December 0: Santé Mentale Au Québec
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