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https://www.readbyqxmd.com/read/29031094/risk-assessment-of-dietary-lead-exposure-among-first-nations-people-living-on-reserve-in-ontario-canada-using-a-total-diet-study-and-a-probabilistic-approach
#1
Amanda K Juric, Malek Batal, Will David, Donald Sharp, Harold Schwartz, Amy Ing, Karen Fediuk, Andrew Black, Constantine Tikhonov, Hing Man Chan, Laurie Chan
Indigenous peoples have elevated risk of lead (Pb) exposure as hunted traditional food can be contaminated with lead-containing ammunition. Recent scientific consensus states that there is no threshold level for Pb exposure. The objective of this study was to estimate dietary exposure to Pb among First Nations living on-reserve in the province of Ontario, Canada. A total diet study was constructed based on a 24-h recall and Pb concentrations for traditional foods from the First Nations Food, Nutrition, and Environment Study (FNFNES) and Pb concentrations in market foods from Health Canada...
October 5, 2017: Journal of Hazardous Materials
https://www.readbyqxmd.com/read/29027619/-even-heroes-get-depressed-sponsorship-and-self-stigma-in-canada-s-mental-illness-awareness-week
#2
Loren Gaudet
In 1992, the Canadian Psychiatric Association launched Canada's first national campaign against mental illness, Mental Illness Awareness Week (MIAW). I stress that pharmaceutical sponsorship of the first five years of MIAW (1992-1997) was integral to shaping the trajectory of the campaign and marks a shift in the way stigma is conceived and resisted in Canada: what was an interpersonal process based on social norms becomes refigured as "self-stigma," or an individualized process in which lack of information, education, and self-assessment contribute to an inability to consider oneself as at-risk for a disease, condition, or disorder...
October 13, 2017: Journal of Medical Humanities
https://www.readbyqxmd.com/read/29025808/learning-the-truth-first-hand-about-reconciliation-community-based-research-and-first-nations-health-in-rural-manitoba
#3
Sarah de Leeuw
No abstract text is available yet for this article.
October 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29020121/food-consumption-according-to-the-days-of-the-week-national-food-survey-2008-2009
#4
Luana Silva Monteiro, Bruna Kulik Hassan, Camilla Chermont Prochnik Estima, Amanda de Moura Souza, Eliseu Verly, Rosely Sichieri, Rosangela Alves Pereira
OBJECTIVE: Evaluate the variations in energy, nutrients, and food groups intake between days of the week and weekend days in the Brazilian population. METHODS: We used data from the first National Food Survey (2008-2009) of a one-day food log of a representative sample of the Brazilian population aged 10 years or older (n = 34,003). For the analyses, we considered the sample weights and the effect of the study design. The mean (and standard deviations) and frequencies (%) of energy, nutrients, and food groups consumption were estimated for weekdays (Monday to Friday) and weekend (Saturday and Sunday), we then estimated the differences according to the days of the week for the population strata analyzed...
October 5, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29018072/association-between-home-visiting-interventions-and-first-nations-families-health-and-social-outcomes-in-manitoba-canada-protocol-for-a-study-of-linked-population-based-administrative-data
#5
Marni D Brownell, Nathan C Nickel, Jennifer E Enns, Mariette Chartier, Rhonda Campbell, Wanda Phillips-Beck, Dan Chateau, Elaine Burland, Rob Santos, Alan Katz
INTRODUCTION: First Nations people are descendants of Canada's original inhabitants. In consequence of historical and ongoing structural injustices, many First Nations families struggle with challenging living conditions, including high rates of poverty, poor housing conditions, mental illness and social isolation. These risk factors impede caregivers' abilities to meet their children's basic physical and psychosocial needs. Home visiting programmes were developed to support child developmental health in families facing parenting challenges...
October 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/28993126/per-and-polyfluoroalkyl-substances-in-sera-from-children-3-to-11-years-of-age-participating-in-the-national-health-and-nutrition-examination-survey-2013-2014
#6
Xiaoyun Ye, Kayoko Kato, Lee-Yang Wong, Tao Jia, Akil Kalathil, John Latremouille, Antonia M Calafat
Several per- and polyfluoroalkyl substances (PFAS) have been measured in U.S. National Health and Nutrition Examination Survey (NHANES) participants 12 years of age and older since 1999-2000, but PFAS data using NHANES individual samples among children younger than 12 years do not exist. To obtain the first nationally representative PFAS exposure data in U.S. children, we quantified serum concentrations of 14 PFAS including perfluorooctane sulfonic acid (PFOS), perfluorooctanoic acid (PFOA), perfluorohexane sulfonic acid (PFHxS), and perfluorononanoic acid (PFNA), in a nationally representative subsample of 639 3-11year old participants in NHANES 2013-2014...
September 29, 2017: International Journal of Hygiene and Environmental Health
https://www.readbyqxmd.com/read/28990318/depression-hurts-depression-costs-the-medical-spending-attributable-to-depression-and-depressive-symptoms-in-china
#7
Chee-Ruey Hsieh, Xuezheng Qin
Due to its fast economic growth and lifestyle changes, China is experiencing a rapid epidemiological transition from communicable to noncommunicable diseases (NCDs). Mental disorder such as depression is an important yet often neglected NCD and is becoming a growing cause of disability, suicides, and disease burden. This paper provides the first nationally representative estimate of the medical cost attributable to depression and depressive symptoms among the adult population in China. On the basis of the 2012 China Family Panel Studies survey, our results indicate that these mental health conditions have significant impacts on the individual medical expenditure, and they jointly contribute to 14...
October 8, 2017: Health Economics
https://www.readbyqxmd.com/read/28984277/a-multicentre-audit-of-hdr-pdr-brachytherapy-absolute-dosimetry-in-association-with-the-interlace-trial-nct015662405
#8
Patricia Diez, Edwin G A Aird, Thorsten Sander, Clare A Gouldstone, Peter H G Sharpe, Christopher D Lee, Gerry Lowe, Russell A S Thomas, Tania Simnor, Peter Bownes, A Margaret Bidmead, Laura Gandon, David J Eaton, Antony L Palmer
A UK multicentre audit to evaluate HDR and PDR brachytherapy has been performed using alanine absolute dosimetry. This is the first national UK audit performing an absolute dose measurement at a clinically relevant distance (20 mm) from the source. It was performed in both INTERLACE (a phase III multicentre trial in cervical cancer) and non-INTERLACE brachytherapy centres treating gynaecological tumours. Forty-seven UK centres (including the National Physical Laboratory) were visited. A simulated line source was generated within each centre's treatment planning system and dwell times calculated to deliver 10 Gy at 20 mm from the midpoint of the central dwell (representative of Point A of the Manchester system)...
October 6, 2017: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/28976250/recommendations-from-the-first-national-academic-consortium-of-telehealth
#9
Judd E Hollander, Theresa M Davis, Charles Doarn, Jason C Goldwater, Stephen Klasko, Curtis Lowery, Dimitrios Papanagnou, Peter Rasmussen, Frank D Sites, Danica Stone, Brendan G Carr
In January 2015, the US Secretary of Health and Human Services announced targets for the transformation of Medicare reimbursement from a fee-for-service model to payments based on alternative payment models. People now use technology for virtually everything - from paying bills to purchasing almost anything; it is therefore natural to think that they will use technology to take ownership of their own health care. The remote provision of health care, where providers and patients are not in the same location, will allow patients to receive the right care, at the right time, at the right place, and in the manner they consider right for them...
October 4, 2017: Population Health Management
https://www.readbyqxmd.com/read/28974533/enhancing-access-to-cervical-and-colorectal-cancer-screening-for-women-in-rural-and-remote-northern-alberta-a-pilot-study
#10
Silvina C Mema, Huiming Yang, Sherry Elnitsky, Zhichang Jiang, Marcus Vaska, Linan Xu
BACKGROUND: Women in rural and remote northern Alberta access breast cancer screening through a mobile mammogram program (Screen Test). The Enhanced Access to Cervical and Colorectal Cancer Screening (EACS) project was a 2-year pilot that aimed to integrate cervical and colorectal cancer screening with the Screen Test program. This study compares cervical and colorectal cancer screening uptake among women screened through the pilot (Screen Test-EACS) versus Screen Test. METHODS: Screen Test-EACS was offered between 2013 and 2015 in selected rural and remote sites, with a focus on hard-to-reach women living in First Nations, Métis and Hutterite communities...
October 3, 2017: CMAJ Open
https://www.readbyqxmd.com/read/28973397/aboriginal-youth-s-perceptions-of-traditional-and-commercial-tobacco-in-canada
#11
Fidji Gendron
Although tobacco has played an important role in Aboriginal culture for millennia, its more recent recreational use has resulted in serious health concerns among Aboriginal users. In Canada, First Nations youth have higher smoking rates than non-Aboriginal youth. The goals of this study were to examine Aboriginal youth's perceptions of traditional and commercial tobacco and to evaluate perception changes following workshops on traditional uses of tobacco by Elders and other community members, native plants used in ceremony and health impacts of cigarette smoking...
August 30, 2017: Health Promotion International
https://www.readbyqxmd.com/read/28972023/retinal-hemangioblastoma-prevalence-incidence-and-frequency-of-underlying-von-hippel-lindau-disease
#12
Marie Louise Mølgaard Binderup, Anne-Sophie Stendell, Michael Galanakis, Hans Ulrik Møller, Jens F Kiilgaard, Marie Luise Bisgaard
BACKGROUND AND AIMS: We aimed to determine the frequency of von Hippel-Lindau disease (vHL) as the underlying cause of retinal hemangioblastoma and to estimate retinal hemangioblastoma incidence and prevalence in a national cohort study. METHODS: Through the national patient register and vHL research database, we identified 81 patients diagnosed with a retinal hemangioblastoma in Denmark between 1977 and 2014. Consent was obtained for 54 living and 10 deceased patients with retinal hemangioblastoma...
September 28, 2017: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/28971929/progress-in-interoperability-measuring-us-hospitals-engagement-in-sharing-patient-data
#13
A Jay Holmgren, Vaishali Patel, Julia Adler-Milstein
Achieving an interoperable health care system remains a top US policy priority. Despite substantial efforts to encourage interoperability, the first set of national data in 2014 suggested that hospitals' engagement levels were low. With 2015 data now available, we examined the first national trends in engagement in four domains of interoperability: finding, sending, receiving, and integrating electronic patient information from outside providers. We found small gains, with 29.7 percent of hospitals engaging in all four domains in 2015 compared to 24...
October 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28961616/founding-of-the-association-of-physician-assistant-programs-and-the-organization-s-central-role-in-the-development-of-the-physician-assistant-profession
#14
Alfred M Sadler, Thomas E Piemme
The Physician Assistant Education Association (PAEA) (formerly Association of Physician Assistant Programs [APAP]) was founded in 1972 by early PA program leaders to encourage collaboration and discussion among program leaders and faculty on a wide range of issues of mutual concern. This article addresses the founding of the organization, which continues to represent PA programs today. It addresses the important accomplishments of APAP during the 1972-1974 period and describes in detail the essential contributions of APAP and its leaders in developing the PA profession...
October 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/28945508/alternate-approaches-for-assessing-impacts-of-oil-sands-development-on-air-quality-a-case-study-using-the-first-nation-community-of-fort-mckay
#15
Carla Davidson, David Spink
Previous analyses of continuously measured compounds in Fort McKay, an indigenous community in the Athabasca Oil Sands, have detected increasing concentrations of NO2 and total hydrocarbons (THC), but not of SO2, O3, total reduced sulfur compounds (TRS) or particulate matter (PM2.5). Yet the community frequently experiences odours, dust, and reduced air quality. We used Fort McKay's continuously monitored air quality data (1998-2014) as a case study to assess techniques for air quality analysis that make no assumptions regarding type of change...
September 25, 2017: Journal of the Air & Waste Management Association
https://www.readbyqxmd.com/read/28937544/trends-of-gynecological-cancers-in-turkey-toward-europe-or-asia
#16
Murat Gultekin, Irem Kucukyildiz, Mujdegul Zayifoglu Karaca, Selin Dundar, Guledal Boztas, Semra Hatice Turan, Ezgi Hacikamiloglu, Bekir Keskinkilic
OBJECTIVE: The aim of this study was to evaluate nationwide gynecological cancer trends in Turkey. METHODS: National cancer registry data (2009-2013) of Turkish Ministry of Health were evaluated. Ovarian, cervical, endometrial, vulvar, vaginal, and tubal cancers are evaluated with respect to age of diagnosis, incidence rates within years, stage, histological distributions, and mortality rates. Data were collected from active cancer registry centers, which increased from 23% in 2009 to 47...
October 2017: International Journal of Gynecological Cancer
https://www.readbyqxmd.com/read/28931436/structural-analysis-of-health-relevant-policy-making-information-exchange-networks-in-canada
#17
Damien Contandriopoulos, François Benoît, Denise Bryant-Lukosius, Annie Carrier, Nancy Carter, Raisa Deber, Arnaud Duhoux, Trisha Greenhalgh, Catherine Larouche, Bernard-Simon Leclerc, Adrian Levy, Ruth Martin-Misener, Katerina Maximova, Kimberlyn McGrail, Candace Nykiforuk, Noralou Roos, Robert Schwartz, Thomas W Valente, Sabrina Wong, Evert Lindquist, Carolyn Pullen, Anne Lardeux, Melanie Perroux
BACKGROUND: Health systems worldwide struggle to identify, adopt, and implement in a timely and system-wide manner the best-evidence-informed-policy-level practices. Yet, there is still only limited evidence about individual and institutional best practices for fostering the use of scientific evidence in policy-making processes The present project is the first national-level attempt to (1) map and structurally analyze-quantitatively-health-relevant policy-making networks that connect evidence production, synthesis, interpretation, and use; (2) qualitatively investigate the interaction patterns of a subsample of actors with high centrality metrics within these networks to develop an in-depth understanding of evidence circulation processes; and (3) combine these findings in order to assess a policy network's "absorptive capacity" regarding scientific evidence and integrate them into a conceptually sound and empirically grounded framework...
September 20, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28929885/first-nations-inuit-and-m%C3%A3-tis-health-considerations-for-canadian-health-leaders-in-the-wake-of-the-truth-and-reconciliation-commission-of-canada-report
#18
Mary McNally, Debbie Martin
First Nations, Inuit and Métis peoples living in Canada face profound health disparities relative to non-Indigenous Canadians on almost every measure of health and well-being. Advancing health opportunities for Indigenous peoples require responses at all levels of healthcare delivery and policy. Therefore, it is critical for health leaders and providers within Canada's healthcare institutions, systems, and settings to understand and address the determinants of health unique to Indigenous peoples, including the legacy of colonialism and both long-standing and present-day racism...
March 2017: Healthcare Management Forum
https://www.readbyqxmd.com/read/28925912/epidemiologic-features-of-invasive-group-a-streptococcus-infection-in-a-rural-hospital-6-year-retrospective-report-and-literature-review
#19
Kassandra Loewen, Natalie Bocking, Cai-Lei Matsumoto, Mike Kirlew, Len Kelly
INTRODUCTION: High rates of invasive group A Streptococcus disease were suspected by clinicians in northwestern Ontario. Patients with sepsis were being encountered with bacteremia positive for group A Streptococcus. This study was designed to assess the incidence of invasive group A Streptococcus infection in the region and provide best-practice treatment information. METHODS: We performed a retrospective chart review at the Sioux Lookout Meno Ya Win Health Centre (SLMHC) from 2009 to 2014 to examine rates of infection due to invasive group A Streptococcus and outcomes...
2017: Canadian Journal of Rural Medicine
https://www.readbyqxmd.com/read/28902068/factors-affecting-suicide-method-lethality-among-suicide-attempters-in-the-korea-national-suicide-survey
#20
Tae-Sung Yeum, Bora Kim, Eun Young Kim, Se Hyun Kim, Kyooseob Ha, Yong Min Ahn
This is the first national survey study in South Korea investigating the relationship between suicide lethality and the clinical information of suicide attempters. An interview questionnaire was used to assess their sociodemographic factors, medical and psychiatric information, and two suicide scales, the Columbia-Suicide Severity Rating Scale and the Suicide Intent Scale. Suicide methods were categorized as low and high lethality; low lethality covered drug overdose or self-cutting behavior, and high lethality covered all other methods...
September 8, 2017: Journal of Nervous and Mental Disease
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