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https://www.readbyqxmd.com/read/28916125/inter-institutional-variation-in-use-of-caesarean-delivery-for-labour-dystocia
#1
Corinne A Riddell, Jennifer A Hutcheon, Erin C Strumpf, Haim A Abenhaim, Jay S Kaufman
OBJECTIVE: To establish the degree of variation across hospitals in the use of Caesarean delivery for the indication of labour dystocia before and after accounting for maternal, fetal, and hospital characteristics. METHODS: This study was a retrospective, population-based cohort study of nulliparous women delivering term singletons in cephalic position following labour. Delivery visits were extracted from three provincial perinatal registries in the Canadian provinces of Ontario, Alberta, and British Columbia, from 2008-2012...
September 12, 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/28913360/association-between-sedentary-behaviour-and-physical-cognitive-and-psychosocial-status-among-older-adults-in-assisted-living
#2
Pet-Ming Leung, Andreas Ejupi, Kimberley S van Schooten, Omar Aziz, Fabio Feldman, Dawn C Mackey, Maureen C Ashe, Stephen N Robinovitch
OBJECTIVE: Identification of the factors that influence sedentary behaviour in older adults is important for the design of appropriate intervention strategies. In this study, we determined the prevalence of sedentary behaviour and its association with physical, cognitive, and psychosocial status among older adults residing in Assisted Living (AL). METHODS: Participants (n = 114, mean age = 86.7) from AL sites in British Columbia wore waist-mounted activity monitors for 7 consecutive days, after being assessed with the Timed Up and Go (TUG), Montreal Cognitive Assessment (MoCA), Short Geriatric Depression Scale (GDS), and Modified Fall Efficacy Scale (MFES)...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28910250/the-1-of-emergency-room-visits-for-non-traumatic-dental-conditions-in-british-columbia-misconceptions-about-the-numbers
#3
Mario Brondani, Syed H Ahmad
In Canada, about 1% of all emergency room (ER) visits in a given year are made by patients with a primary diagnosis of a non-traumatic, non-urgent and yet preventable condition, such as tooth decay. This percentage is typically dismissed as irrelevant. Using 2013-2014 British Columbia data on ER use from the Canadian Institute for Health Information, however, we argue that the 1% figure (and its associated cost) has to be considered beyond its percentage value. In 2013-2014 alone, 12 357 non-traumatic dental visits were made to ERs in BC representing 1% of the total number of ER visits at a cost of $154...
September 14, 2017: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/28906237/exploring-context-and-the-factors-shaping-team-based-primary-healthcare-policies-in-three-canadian-provinces-a-comparative-analysis
#4
Renée Misfeldt, Esther Suter, Sara Mallinson, Omenaa Boakye, Sabrina Wong, Louise Nasmith
This paper discusses findings from a high-level scan of the contextual factors and actors that influenced policies on team-based primary healthcare in three Canadian provinces: British Columbia, Alberta and Saskatchewan. The team searched diverse sources (e.g., news reports, press releases, discussion papers) for contextual information relevant to primary healthcare teams. We also conducted qualitative interviews with key health system informants from the three provinces. Data from documents and interviews were analyzed qualitatively using thematic analysis...
August 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28905997/children-with-neurodevelopmental-disorders-and-disabilities-a-population-based-study-of-healthcare-service-utilization-using-administrative-data
#5
Rubab G Arim, Anton R Miller, Anne Guèvremont, Lucyna M Lach, Jamie C Brehaut, Dafna E Kohen
AIM: The aim of this study was to identify children with neurodevelopmental disorders and disabilities (NDD/D) and compare their healthcare service utilization to children without NDD/D using provincial linked administrative data. METHOD: The sample included children aged 6 to 10 years (n=183 041), who were registered with the British Columbia Medical Services Plan. Diagnostic information was used for the identification and classification of NDD/D in six functional domains...
September 14, 2017: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/28904763/winter-bait-stations-as-a-multispecies-survey-tool
#6
Lacy Robinson, Samuel A Cushman, Michael K Lucid
Winter bait stations are becoming a commonly used technique for multispecies inventory and monitoring but a technical evaluation of their effectiveness is lacking. Bait stations have three components: carcass attractant, remote camera, and hair snare. Our 22,975 km(2) mountainous study area was stratified with a 5 × 5 km sampling grid centered on northern Idaho and including portions of Washington, Montana, and British Columbia. From 2010-14, we conducted 563 sampling sessions at 497 bait stations in 453 5 × 5 km cells...
September 2017: Ecology and Evolution
https://www.readbyqxmd.com/read/28903976/working-hard-but-working-differently-a-qualitative-study-of-the-impact-of-generational-change-on-rural-health-care
#7
David Snadden, Mark Alexander Kunzli
BACKGROUND: There is limited literature evaluating generational change in the physician workforce and the adjustments required of practices, practitioners and the health care system as a whole. The purpose of this study was to explore rural practitioners' experiences of their current contexts relevant to recruitment and retention and to determine how practices are responding to changing aspirations of new practitioners. METHODS: We used qualitative methods. Participants were selected to ensure diversity of career stage...
September 12, 2017: CMAJ Open
https://www.readbyqxmd.com/read/28902681/early-warning-scores-to-predict-noncritical-events-overnight-in-hospitalized-medical-patients-a-prospective-case-cohort-study
#8
Jesse Bittman, Aman P Nijjar, Penny Tam, Nadia Khan
BACKGROUND: Physicians are often called to evaluate patients overnight with varying levels of clinical deterioration. Early warning scores predict critical clinical deterioration in patients; however, it is unknown whether they are able to reliably predict which patients will need to be seen overnight and whether these patients will require further resource use. METHODS: A prospective case cohort study of 522 patient nights in a single tertiary care hospital in Vancouver, British Columbia, Canada, was conducted to assess the ability of Modified Early Warning Score (MEWS) and National Early Warning Score (NEWS) to predict patients who will need to be seen overnight by physicians and will require other healthcare resources...
September 12, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28899946/secondary-prevention-treatment-after-acute-stroke-in-older-south-asian-chinese-and-other-canadians-a-retrospective-data-analysis
#9
Nadia A Khan, Finlay A McAlister, Louise Pilote, Anita Palepu, Hude Quan, Michael D Hill, Jiming Fang, Moira K Kapral
BACKGROUND: Little is known about whether there are differences in medication use between older patients of Chinese descent, those of South Asian descent and other Canadian patients after acute ischemic or primary intracerebral hemorrhagic stroke. The aim of this population-based study was to evaluate potential ethnic differences in secondary prevention pharmacotherapy after acute stroke. METHODS: Using health administrative data, we conducted a retrospective analysis of all patients aged 66 years or more admitted to hospital with acute stroke in Ontario (1997-2011) and British Columbia (1997-2009)...
September 11, 2017: CMAJ Open
https://www.readbyqxmd.com/read/28887691/relationships-among-leaf-functional-traits-litter-traits-and-mass-loss-during-early-phases-of-leaf-litter-decomposition-in-12-woody-plant-species
#10
Jenna M Zukswert, Cindy E Prescott
Litter 'quality' or decomposability has historically been estimated through measuring chemical attributes, such as concentrations of nitrogen or 'lignin'. More recently, foliar functional traits, which may incorporate indications of the physical structures of tissues, have been found to correlate with litter mass loss rates. However, these traits may not be adequate to predict early rates of mass loss, in which two factors are crucial: the amount of material quickly lost through leaching, and the ease of access of decomposer organisms to the more labile tissues in the interior of the litter...
September 8, 2017: Oecologia
https://www.readbyqxmd.com/read/28887646/cancer-in-first-nations-people-living-in-british-columbia-canada-an-analysis-of-incidence-and-survival-from-1993-to-2010
#11
Colleen E McGahan, Kevin Linn, Preston Guno, Harmony Johnson, Andrew J Coldman, John J Spinelli, Nadine R Caron
BACKGROUND: For First Nations (FN) peoples living in British Columbia (BC), little is known regarding cancer in the population. The aim of this study was to explore cancer incidence and survival in the FN population of BC and compare it to the non-FN population. METHODS: All new cancers diagnosed from 1993 to 2010 were linked to the First Nations Client File (FNCF). Age-standardized incidence rates (ASIR) and rate ratios, and 1- and 5-year cause-specific survival estimates and hazard ratios were calculated...
September 8, 2017: Cancer Causes & Control: CCC
https://www.readbyqxmd.com/read/28887140/envisioning-women-centered-hiv-care-perspectives-from-women-living-with-hiv-in-canada
#12
Nadia O'Brien, Saara Greene, Allison Carter, Johanna Lewis, Valerie Nicholson, Gladys Kwaramba, Brigitte Ménard, Elaina Kaufman, Nourane Ennabil, Neil Andersson, Mona Loutfy, Alexandra de Pokomandy, Angela Kaida
BACKGROUND: Women comprise nearly one-quarter of people living with human immunodeficiency virus (HIV) in Canada. Compared with men, women living with HIV experience inequities in HIV care and health outcomes, prompting a need for gendered and tailored approaches to HIV care. METHOD: Peer and academic researchers from the Canadian HIV Women's Sexual and Reproductive Health Cohort Study conducted focus groups to understand women's experience of seeking care, with the purpose of identifying key characteristics that define a women-centered approach to HIV care...
September 5, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/28884890/research-into-action-the-eastside-illicit-drinkers-group-for-education-s-eidge-experiences-as-a-community-based-group-in-vancouver-canada
#13
Loretta Brown, John Skulsh, Rob Morgan, Ron Kuehlke, Brittany Graham
The Eastside Illicit Drinkers Group for Education has been supportive of research dedicated to establishing the effectiveness of Managed Alcohol Programs since its inception. Dedicated funding for MAPs in Vancouver, British Columbia is contingent on the research demonstrating that alcohol-related harms are reduced while participating in a Managed Alcohol Program. The Eastside Illicit Drinkers Group for Education understands the need for evidence-based research but we are critical of how much research is needed before sustainable funding can be established for these innovative programs...
September 8, 2017: Drug and Alcohol Review
https://www.readbyqxmd.com/read/28884636/acceptability-of-the-powerplay-program-a-workplace-health-promotion-intervention-for-men
#14
Cherisse L Seaton, Joan L Bottorff, John L Oliffe, Margaret Jones-Bricker, Cristina M Caperchione, Steven T Johnson, Paul Sharp
The workplace health promotion program, POWERPLAY, was developed, implemented, and comprehensively evaluated among men working in four male-dominated worksites in northern British Columbia, Canada. The purpose of this study was to explore the POWERPLAY program's acceptability and gather recommendations for program refinement. The mixed-method study included end-of-program survey data collected from 103 male POWERPLAY program participants, interviews with workplace leads, and field notes recorded during program implementation...
September 1, 2017: American Journal of Men's Health
https://www.readbyqxmd.com/read/28882920/the-hat-trick-programme-for-improving-physical-activity-healthy-eating-and-connectedness-among-overweight-inactive-men-study-protocol-of-a-pragmatic-feasibility-trial
#15
Cristina M Caperchione, Joan L Bottorff, John L Oliffe, Steven T Johnson, Kate Hunt, Paul Sharp, Kayla M Fitzpatrick, Ryley Price, S Larry Goldenberg
INTRODUCTION: Physical activity, healthy eating and maintaining a healthy weight are associated with reduced risk of cardiovascular disease, type 2 diabetes and cancer and with improved mental health. Despite these benefits, many men do not meet recommended physical activity guidelines and have poor eating behaviours. Many health promotion programmes hold little appeal to men and consequently fail to influence men's health practices. HAT TRICK was designed as a 12-week face-to-face, gender-sensitised intervention for overweight and inactive men focusing on physical activity, healthy eating and social connectedness and was delivered in collaboration with a major junior Canadian ice hockey team (age range 16-20 years)...
September 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28882092/bayesian-sensitivity-analysis-for-unmeasured-confounding-in-causal-mediation-analysis
#16
Lawrence C McCandless, Julian M Somers
Causal mediation analysis techniques enable investigators to examine whether the effect of the exposure on an outcome is mediated by some intermediate variable. Motivated by a data example from epidemiology, we consider estimation of natural direct and indirect effects on a survival outcome. An important concern is bias from confounders that may be unmeasured. Estimating natural direct and indirect effects requires an elaborate series of assumptions in order to identify the target quantities. The analyst must carefully measure and adjust for important predictors of the exposure, mediator and outcome...
January 1, 2017: Statistical Methods in Medical Research
https://www.readbyqxmd.com/read/28877623/management-challenges-in-british-columbia-s-healthcare-system
#17
Howard Peter Greenwald
Purpose The purpose of this paper is to identify the operational and management challenges in a globally budgeted, regionalized healthcare system and their implications for public service. Design/methodology/approach Concentrating on British Columbia's regional health authorities (RHAs) and hospitals, this study utilized data from interviews of key informants, documents (histories, legislation, agreements between RHAs and provincial government, and RHA organizational charts), news reports, and participant observation at board meetings...
June 19, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28876047/recent-transport-history-of-fukushima-radioactivity-in-the-northeast-pacific-ocean
#18
John N Smith, Vincent Rossi, Ken O Buesseler, Jay T Cullen, Jack Cornett, Richard Nelson, Alison M Macdonald, Marie Robert, Jonathan Kellogg
The large inventory of radioactivity released during the March, 2011 Fukushima Dai-ichi nuclear reactor accident in Japan spread rapidly across the North Pacific Ocean and was first observed at the westernmost station on Line P, an oceanographic sampling line extending 1500 km westward of British Columbia (BC), Canada in June 2012. Here, time series measurements of (134)Cs and (137)Cs in seawater on Line P and on the CLIVAR-P16N 152°W line reveal the recent transport history of the Fukushima radioactivity tracer plume through the northeast Pacific Ocean...
September 6, 2017: Environmental Science & Technology
https://www.readbyqxmd.com/read/28875080/experimental-moose-reduction-lowers-wolf-density-and-stops-decline-of-endangered-caribou
#19
Robert Serrouya, Bruce N McLellan, Harry van Oort, Garth Mowat, Stan Boutin
The expansion of moose into southern British Columbia caused the decline and extirpation of woodland caribou due to their shared predators, a process commonly referred to as apparent competition. Using an adaptive management experiment, we tested the hypothesis that reducing moose to historic levels would reduce apparent competition and therefor recover caribou populations. Nested within this broad hypothesis were three specific hypotheses: (1) sport hunting could be used to substantially reduce moose numbers to an ecological target; (2) wolves in this ecosystem were primarily limited by moose abundance; and (3) caribou were limited by wolf predation...
2017: PeerJ
https://www.readbyqxmd.com/read/28874792/surveillance-for-highly-pathogenic-influenza-a-viruses-in-california-during-2014-2015-provides-insights-into-viral-evolutionary-pathways-and-the-spatiotemporal-extent-of-viruses-in-the-pacific-americas-flyway
#20
Andrew M Ramey, Nichola J Hill, Troy Cline, Magdalena Plancarte, Susan De La Cruz, Michael L Casazza, Joshua T Ackerman, Joseph P Fleskes, T Winston Vickers, Andrew B Reeves, Frances Gulland, Christine Fontaine, Diann J Prosser, Jonathan A Runstadler, Walter M Boyce
We used surveillance data collected in California before, concurrent with, and subsequent to an outbreak of highly pathogenic (HP) clade 2.3.4.4 influenza A viruses (IAVs) in 2014-2015 to (i) evaluate IAV prevalence in waterfowl, (ii) assess the evidence for spill-over infections in marine mammals and (iii) genetically characterize low-pathogenic (LP) and HP IAVs to refine inference on the spatiotemporal extent of HP genome constellations and to evaluate possible evolutionary pathways. We screened samples from 1496 waterfowl and 1142 marine mammals collected from April 2014 to August 2015 and detected IAV RNA in 159 samples collected from birds (n=157) and pinnipeds (n=2)...
September 6, 2017: Emerging Microbes & Infections
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