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Thunder bay

Leslie Carlin, Jane Zhao, Ruth Dubin, Paul Taenzer, Hannah Sidrak, Andrea Furlan
Objective: Family physicians in Canada receive little training in chronic pain management; concomitantly, they face increasing pressure to reduce their prescribing of opioids. Project ECHO Ontario Chronic Pain/Opioid Stewardship (ECHO) is a telementoring intervention for primary care practitioners that enhances their pain management skills. This qualitative study reports participants' experiences and assessment of ECHO. Design: An opportunistic sample of multidisciplinary primary care providers attending one of three residential weekend workshops participated in focus group discussions...
September 27, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Tim Stockwell, Bernie Pauly, Clifton Chow, Rebekah A Erickson, Bonnie Krysowaty, Audra Roemer, Kate Vallance, Ashley Wettlaufer, Jinhui Zhao
INTRODUCTION AND AIMS: Managed alcohol programs (MAP) are intended for people with severe alcohol-related problems and unstable housing. We investigated whether MAP participation was associated with changes in drinking patterns and related harms. DESIGN AND METHODS: One hundred and seventy-five MAP participants from five Canadian cities (Hamilton, Ottawa, Toronto, Thunder Bay and Vancouver) and 189 same-city controls were assessed for alcohol consumption, health, safety and harm outcomes...
October 13, 2017: Drug and Alcohol Review
Natalie Bocking, Cai-Lei Matsumoto, Kassandra Loewen, Sarah Teatero, Alex Marchand-Austin, Janet Gordon, Nahuel Fittipaldi, Allison McGeer
BACKGROUND: Worldwide, indigenous populations appear to be at increased risk for invasive group A streptococcal (iGAS) infections. Although there is empirical evidence that the burden of iGAS disease is significant among remote First Nations communities in Northwestern Ontario, Canada, the epidemiology of iGAS infections in the area remains poorly characterized. METHODS: Individuals that met case definition for iGAS disease and whose laboratory specimens were processed by Meno Ya Win Health Centre in Sioux Lookout, Canada or who were reported to Thunder Bay District Health Unit, Canada were identified for the period 2009 to 2014...
2017: Open Forum Infectious Diseases
Benjamin J Perry, Stephen F Fitzgerald, Carsten Kröger, Andrew D S Cameron
The genome of Salmonella enterica subspecies enterica serovar Enteritidis phage type 8 strain EN1660, isolated from an outbreak in Thunder Bay, Canada, was sequenced to 46-fold coverage using an Illumina MiSeq with 300-bp paired-end sequencing chemistry to produce 28 contigs with an N50 value of 490,721 bp.
January 26, 2017: Genome Announcements
Kate Vallance, Tim Stockwell, Bernie Pauly, Clifton Chow, Erin Gray, Bonnie Krysowaty, Kathleen Perkin, Jinhui Zhao
BACKGROUND: Managed alcohol programs (MAPs) are a harm reduction strategy for people with severe alcohol dependence and unstable housing. MAPs provide controlled access to alcohol usually alongside accommodation, meals, and other supports. Patterns of alcohol consumption and related harms among MAP participants and controls from a homeless shelter in Thunder Bay, Ontario, were investigated in 2013. METHODS: Structured interviews were conducted with 18 MAP and 20 control participants assessed as alcohol dependent with most using non-beverage alcohol (NBA)...
May 9, 2016: Harm Reduction Journal
Cameal Sinclair, Nicole Brunton, Wilma M Hopman, Len Kelly
PURPOSE: To understand the postoperative acute-care physiotherapy course for First Nations people returning after total hip replacement (THR) to remote communities with limited rehabilitation services and to evaluate length of stay and attainment of functional milestones after THR to determine to what extent an urban-based clinical pathway is transferrable to and effective for First Nations patients in a rural setting. METHODS: Data were collected retrospectively by reviewing charts of patients who underwent THR in the Northwest Ontario catchment area from 2007 through 2012...
August 2015: Physiotherapy Canada. Physiothérapie Canada
Taryn B T Athey, Sarah Teatero, Lee E Sieswerda, Jonathan B Gubbay, Alex Marchand-Austin, Aimin Li, Jessica Wasserscheid, Ken Dewar, Allison McGeer, David Williams, Nahuel Fittipaldi
An outbreak of type emm59 invasive group A Streptococcus (iGAS) disease was declared in 2008 in Thunder Bay District, Northwestern Ontario, 2 years after a countrywide emm59 epidemic was recognized in Canada. Despite a declining number of emm59 infections since 2010, numerous cases of iGAS disease continue to be reported in the area. We collected clinical information on all iGAS cases recorded in Thunder Bay District from 2008 to 2013. We also emm typed and sequenced the genomes of all available strains isolated from 2011 to 2013 from iGAS infections and from severe cases of soft tissue infections...
January 2016: Journal of Clinical Microbiology
J Kellett, A Murray, S Woodworth, W Huang
BACKGROUND: little is known about the changes and trends of individual vital signs during the course of acute illness in hospital. METHODS: the weighted points of the VitalPAC Early Warning Score (ViEWS) were assigned to each vital sign value measured on 44,531 acutely ill medical patients while they were hospitalized in the Thunder Bay Regional Health Sciences Centre, Ontario, Canada. These ViEWS weighted vital signs were averaged for every 24 hour period for five days after admission and five days before death or discharge and then combined to obtain an approximation of the trajectory of each vital sign while in hospital...
2015: Acute Medicine
John C Hogenbirk, David R Robinson, Mary Ellen Hill, Raymond W Pong, Bruce Minore, Ken Adams, Roger P Strasser, Joe Lipinski
INTRODUCTION: The economic contribution of medical schools to major urban centres can be substantial, but there is little information on the contribution to the economy of participating communities made by schools that provide education and training away from major cities and academic health science centres. We sought to assess the economic contribution of the Northern Ontario School of Medicine (NOSM) to northern Ontario communities participating in NOSM's distributed medical education programs...
2015: Canadian Journal of Rural Medicine
Derek Bos, Emmanuel Abara, Malvinder S Parmar
INTRODUCTON: Kidney stone recurrence is common. Preventive measures can lead to improved quality of life and costs savings to the individual and healthcare system. Guidelines to prevent recurrent kidney stones are published by various urological societies. Adherence to guidelines amongst healthcare professionals in general is poor, while adherence to preventive management guidelines regarding stone disease is unknown. To understand this issue, we conducted an online study to assess the knowledge, attitudes, and practice patterns of healthcare practitioners in Northern Ontario...
November 2014: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
Roger Strasser, Sue Berry
No abstract text is available yet for this article.
May 2014: Education for Health: Change in Training & Practice
Denina B D Simmons, Niels C Bols, Bernard P Duncker, Mark McMaster, Jason Miller, James P Sherry
No abstract text is available yet for this article.
July 15, 2014: Environmental Science & Technology
Charles P Madenjian, Daniel L Yule, Sergei M Chernyak, Linda J Begnoche, Eric K Berglund, Edmund J Isaac
We determined whole-fish polychlorinated biphenyl (PCB) concentrations of 25 male and 25 female age-7 ciscoes (Coregonus artedi) captured from a spawning aggregation in Thunder Bay, Lake Superior, during November 2010. We also determined PCB concentrations in the ovaries and somatic tissue of five additional female ciscoes (ages 5-22). All 55 of these ciscoes were in ripe or nearly ripe condition. Bioenergetics modeling was used to determine the contribution of the growth dilution effect toward a difference in PCB concentrations between the sexes, as females grew substantially faster than males...
September 15, 2014: Science of the Total Environment
Heather G Lillico, David Hammond, Steve Manske, Donna Murnaghan
BACKGROUND: Obesity is a growing public health concern in Canada. Excess weight is particularly a concern among youth given that obesity in youth predicts obesity in adulthood. Eating behaviors, both inside and outside the home have been associated with increased risk of obesity; however, there is little data among Canadian youth to monitor trends. METHODS: The School Health Action, Planning and Evaluation Surveys (SHAPES) were administered in schools. Our study examined 20, 923 students (grades 5-12) from four regions in Canada...
2014: BMC Public Health
Lana Vanderlee, Steve Manske, Donna Murnaghan, Rhona Hanning, David Hammond
BACKGROUND: Sugar-sweetened beverages (SSBs) may play a role in increased rates of obesity. This study examined patterns and frequencies of beverage consumption among youth in 3 distinct regions in Canada, and examined associations between beverage consumption and age, sex, body mass index (BMI), physical activity and dieting behavior, as well as beverage displacement. METHODS: The study included data from 10,188 youth (ages 13-18) from Hamilton and Thunder Bay, Ontario, and Prince Edward Island (PEI) in 2009 to 2010...
March 2014: Journal of School Health
Alan Murray, John Kellett, Wendy Huang, Simon Woodworth, Fei Wang
BACKGROUND: It is not known how often, to what extent and over what time frame any early warning scores change, and what the implications of these changes are. SETTING: Thunder Bay Regional Health Sciences Center, Ontario, Canada. METHODS: The averaged vital signs measured over different time periods of 44,531 consecutive acutely ill medical admissions were determined and then combined to calculate the averaged abbreviated version of the Vitalpac early warning score (AbEWS) during each time period examined...
April 2014: Resuscitation
Jill Tinmouth, Paul Ritvo, S Elizabeth McGregor, Jigisha Patel, Crissa Guglietti, Cheryl A Levitt, Lawrence F Paszat, Linda Rabeneck
OBJECTIVE: To describe the perceptions of those who received invitations to the ColonCancerCheck Primary Care Invitation Pilot (the Pilot) about the mailed invitation, colorectal cancer (CRC) screening in general, and their specific screening experiences. DESIGN: Qualitative study with 6 focus group sessions, each 1.5 hours in length. SETTING: Hamilton, Ont; Ottawa, Ont; and Thunder Bay, Ont. PARTICIPANTS: Screening-eligible adults, aged 50 years and older, who received a Pilot invitation for CRC screening...
December 2013: Canadian Family Physician Médecin de Famille Canadien
Matt H Gardner, Rebecca Roeder
Previous accounts of the Canadian Shift have interpreted this diachronic change in vowel pronunciation as a purely phonetic consequence of the low back LOT-THOUGHT vowel merger; however, such an analysis does not transparently explain the strong connection between the (phonological) low back merger and the subsequent (phonetic) retraction of the TRAP vowel in the acoustic vowel space. This paper addresses this issue by presenting an analysis of the shift that combines the approaches of Modified Contrastive Specification theory and the Contrastive Hierarchy-two phonological frameworks-with phonetic insights from Vowel Dispersion-Focalization theory...
November 2013: Journal of the Acoustical Society of America
Martin Otyek Opio, Gertrude Nansubuga, John Kellett
BACKGROUND: the development of validated early warning scores that only require the measurement of vital signs at the bedside has provided for the first time a practical and affordable method of comparing the outcomes of similar patients admitted to hospital in the developed and developing world. METHODS: we compared the outcomes of patients with the same abbreviated version of the VitalPAC early warning score at the time of hospital admission in a Canadian and Ugandan hospital...
February 2014: European Journal of Internal Medicine
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