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https://www.readbyqxmd.com/read/29652937/trajectories-of-maternal-depressive-symptoms-during-pregnancy-and-the-first-12-months-postpartum-and-child-externalizing-and-internalizing-behavior-at-three-years
#1
Dawn Kingston, Heather Kehler, Marie-Paule Austin, Muhammad Kashif Mughal, Abdul Wajid, Lydia Vermeyden, Karen Benzies, Stephanie Brown, Scott Stuart, Rebecca Giallo
BACKGROUND: Most evidence of the association between maternal depression and children's development is limited by being cross-sectional. To date, few studies have modelled trajectories of maternal depressive symptoms from pregnancy through the early postpartum years and examined their association with social emotional and behavior functioning in preschool children. The objectives of this study were to: 1) identify distinct groups of women defined by their trajectories of depressive symptoms across four time points from mid-pregnancy to one year postpartum; and 2) examine the associations between these trajectories and child internalizing and externalizing behaviors...
2018: PloS One
https://www.readbyqxmd.com/read/29643258/prevalence-of-poststroke-neurocognitive-disorders-using-national-institute-of-neurological-disorders-and-stroke-canadian-stroke-network-vascog-criteria-vascular-behavioral-and-cognitive-disorders-and-optimized-criteria-of-cognitive-deficit
#2
Mélanie Barbay, Hervé Taillia, Claudine Nédélec-Ciceri, Flavie Bompaire, Camille Bonnin, Jérôme Varvat, Françoise Grangette, Momar Diouf, Emmanuel Wiener, Jean-Louis Mas, Martine Roussel, Olivier Godefroy
BACKGROUND AND PURPOSE: The prevalence of poststroke neurocognitive disorder (NCD) has yet to be accurately determined. The primary objective of the present study was to optimize operationalization of the criterion for NCD by using an external validity criterion. METHODS: The GRECOG-VASC cohort (Groupe de Réflexion pour l'Évaluation Cognitive Vasculaire) of 404 stroke patients with cerebral infarct (91.3%) or hemorrhage (18.7%) was assessed 6 months poststroke and 1003 healthy controls, with the National Institute of Neurological Disorders and Stroke-Canadian Stroke Network standardized battery...
April 11, 2018: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/29619359/how-competitive-is-plastic-surgery-an-analysis-of-the-canadian-and-american-residency-match
#3
Alexander Morzycki, Michael Bezuhly, Jason G Williams
Background: Plastic surgery (PS) is considered to be one of the most competitive specialties. As a result, some students are discouraged from applying, reducing the overall number of PS candidates. Still, much of what we know of the match is based in conjecture. Objective: To examine the Canadian PS match data from 1997 to 2016. To our knowledge, this is the first long-term analysis of the Canadian PS residency match. Method: We examined the Canadian Residency Matching Service reports from 1997 to 2016, extracting key match statistics, including available positions, number of applicants, positions filled, positions unfilled, and gender-specific match results...
February 2018: Plastic Surgery
https://www.readbyqxmd.com/read/29606693/canadian-alliance-for-healthy-hearts-and-minds-first-nations-cohort-study-rationale-and-design
#4
Sonia S Anand, Sylvia Abonyi, Laura Arbour, Jeff Brook, Sharon Bruce, Heather Castleden, Dipika Desai, Russell J de Souza, Stewart Harris, James Irvine, Christopher Lai, Diana Lewis, Richard T Oster, Paul Poirier, Ellen L Toth, Karen Bannon, Vicky Chrisjohn, Albertha D Davis, Jean L'Hommecourt, Randy Littlechild, Kathleen McMullin, Sarah McIntosh, Julie Morrison, Manon Picard, Pictou Landing First Nation, Melissa M Thomas, Natasa Tusevljak, Matthias G Friedrich, Jack V Tu
BACKGROUND: This is the first national indigenous cohort study in which a common, in-depth protocol with a common set of objectives has been adopted by several indigenous communities across Canada. OBJECTIVES: The overarching objective of the Canadian Alliance for Healthy Hearts and Minds (CAHHM) cohort is to investigate how the community-level environment is associated with individual health behaviors and the presence and progression of chronic disease risk factors and chronic diseases such as cardiovascular disease (CVD) and cancer...
2018: Progress in Community Health Partnerships: Research, Education, and Action
https://www.readbyqxmd.com/read/29605057/first-nations-people-s-perspectives-on-barriers-and-supports-for-enhancing-hpv-vaccination-foundations-for-sustainable-community-driven-strategies
#5
R I Henderson, M Shea-Budgell, C Healy, A Letendre, L Bill, B Healy, R A Bednarczyk, K Mrklas, C Barnabe, J Guichon, N Bedingfield, S MacDonald, A Colquhoun, S Glaze, T Nash, C Bell, J Kellner, R Richardson, T Dixon, J Starlight, G Runner, G Nelson
OBJECTIVE: In Canada, Indigenous people have higher human papillomavirus (HPV) infection rates, lower screening rates for cervical cancer, and higher rates of invasive cancer, leading to worse cervical cancer-related outcomes than observed in non-Indigenous Canadian women. Lingering harms from European colonization drive these health inequities and create public health challenges. Policy guidance is needed to optimize HPV vaccination rates and, thereby, decrease the burden of HPV-related illness, including high-morbidity surgical procedures and chemo-radiotherapy...
April 2018: Gynecologic Oncology
https://www.readbyqxmd.com/read/29598856/lyme-carditis-and-high-degree-atrioventricular-block
#6
Douglas Wan, Crystal Blakely, Pamela Branscombe, Laiden Suarez-Fuster, Benedict Glover, Adrian Baranchuk
Canada has seen a sixfold increase in Lyme disease since being nationally notifiable in 2009. This is the first Canadian series on Lyme carditis manifested as high-degree atrioventricular block. We report 5 recent cases presented over a 2-year period. The variation of nonspecific presentations requires a high index of suspicion for prompt diagnosis and correct management. Recognizing this early would curtail the progression of conduction disorders and potentially avoid permanent pacemaker implantation.
February 7, 2018: American Journal of Cardiology
https://www.readbyqxmd.com/read/29588975/a-comparison-of-waiting-times-for-assessment-and-epilepsy-surgery-between-a-canadian-and-a-mexican-referral-center
#7
Iris E Martínez-Juárez, Bianca Funes, Julio C Moreno-Castellanos, Elisa Bribiesca-Contreras, Verónica Martínez-Bustos, Lizeth Zertuche-Ortuño, Laura E Hernández-Vanegas, Lizbeth Hernandez Ronquillo, Syed Rizvi, Wu Adam, Jose F Tellez-Zenteno
Objective: To provide a comprehensive transnational overview of wait times for epilepsy surgery in Canada and Mexico. Methods: We reviewed all cases referred for epilepsy surgery between 2007 and 2015 at the Saskatchewan Epilepsy Program Royal University Hospital (SEP) (n = 70; Saskatoon, Canada) and the National Institute of Neurology and Neurosurgery (NINN) (n = 76; Mexico City, Mexico) and compared wait times, calculated as the time from diagnosis of epilepsy on assessment at an epilepsy center to epilepsy surgery...
December 2017: Epilepsia Open
https://www.readbyqxmd.com/read/29580848/human-biomonitoring-reference-values-for-some-non-persistent-chemicals-in-blood-and-urine-derived-from-the-canadian-health-measures-survey-2009-2013
#8
Cheryl Khoury, Kate Werry, Douglas Haines, Mike Walker, Morie Malowany
The Canadian Health Measures Survey collects nationally representative human biomonitoring data on a suite of chemicals and their metabolites, including many non-persistent chemicals. Data has been collected on non-persistent chemicals, including acrylamide, chlorophenols, environmental phenols and triclocarban, organophosphate insecticides, phthalates, polycyclic aromatic hydrocarbon, pyrethroid insecticides, and volatile organic compounds from 2009 to 2013. Using a systematic approach building on the reference interval concept proposed by the International Federation of Clinical Chemistry and Laboratory Medicine and the International Union of Pure and Applied Chemistry, we derive human biomonitoring reference values (RV95 s) for these classes of non-persistent chemicals in blood and urine for the general Canadian population...
March 16, 2018: International Journal of Hygiene and Environmental Health
https://www.readbyqxmd.com/read/29552994/knowledge-attitudes-and-concussion-information-sources-among-first-nations-in-ontario
#9
Cindy Hunt, Alicja Michalak, Elaine Johnston, Chrissy Lefkimmiatis, Leila Macumber, Tony Jocko, Donna Ouchterlony
OBJECTIVE: Hockey is a popular sport played by many First Nation youth. Concussion frequently goes unrecognized and unreported in youth hockey. Unintentional injuries among Indigenous youth occur at rates three to four times the national Canadian average. The study sought to examine knowledge, attitudes and sources of concussion information among First Nations people attending a provincial hockey tournament. METHODS: A cross-sectional survey was undertaken. The survey by Mzazik et al...
March 19, 2018: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://www.readbyqxmd.com/read/29548038/walking-aid-use-in-canada-prevalence-and-demographic-characteristics-among-community-dwelling-users
#10
Caroline Charette, Krista L Best, Emma M Smith, William C Miller, François Routhier
Background: Mobility limitations represent the third most prevalent cause of disability, affecting more than 1.9 million community-dwelling Canadians. Walking aids are often prescribed to reduce the impacts of mobility impairments. There are limited data on walking aids since 2004. Objective: The objective of this study was to investigate the prevalence of walking aid use in Canada and to explore demographic characteristics among users of walking aids. Design: The design used was a secondary analysis of a cross-sectional national survey...
March 14, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29540400/pathways-to-rural-family-practice-at-memorial-university-of-newfoundland
#11
James Rourke, Danielle O'Keefe, Mohamed Ravalia, Scott Moffatt, Wanda Parsons, Norah Duggan, Katherine Stringer, Michael Jong, Kristin Harris Walsh, Janelle Hippe
OBJECTIVE: To assess Memorial University of Newfoundland's (MUN's) commitment to a comprehensive pathways approach to rural family practice, and to determine the national and provincial effects of applying this approach. DESIGN: Analysis of anonymized secondary data. SETTING: Canada. PARTICIPANTS: Memorial's medical degree (MD) graduates practising family medicine in Newfoundland and Labrador as of January 2015 (N = 305), MUN's 2011 and 2012 MD graduates (N = 120), and physicians who completed family medicine training programs in Canada between 2004 and 2013 and who were practising in Canada 2 years after completion of their postgraduate training (N = 8091)...
March 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29532953/predictors-of-sustained-research-involvement-among-md-phd-programme-graduates
#12
Michael A Skinnider, David D W Twa, Jordan W Squair, Norman D Rosenblum, Christine D Lukac
CONTEXT: MD/PhD programmes provide structured paths for physician-scientist training. However, considerable proportions of graduates of these programmes do not pursue careers in research consistent with their training. OBJECTIVES: We sought to identify factors associated with sustained involvement in research after completion of all postgraduate training. METHODS: Anonymised data from a national survey of Canadian MD/PhD programme graduates who had completed all physician-scientist training (n = 70) were analysed...
March 13, 2018: Medical Education
https://www.readbyqxmd.com/read/29517055/lower-prevalence-of-multiple-sclerosis-in-first-nations-canadians
#13
REVIEW
Ruth Ann Marrie, Stella Leung, Nancy Yu, Lawrence Elliott
Background: We compared the incidence and prevalence of multiple sclerosis (MS) between First Nations (FN) and non-FN populations in Manitoba. Methods: We applied previously validated algorithms to population-based administrative (health claims) data from Manitoba, Canada, to identify all persons with MS from 1984 to 2011. We identified FN individuals using the Municipality of Registration field held at Manitoba Health. We compared the incidence and prevalence of MS between the FN and non-FN populations using negative binomial models...
February 2018: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29501069/creation-of-a-national-emergency-medicine-enhanced-competency-directory-for-residency-training
#14
Niran Argintaru, Jared Baylis, Jodie Pritchard, Ali Mulla, Alice Gray, Alexander Hart, Christina Bova, Teri-Leigh Armstrong, Ahmed Taher
Canadian emergency medicine Royal College residency training allows for pursuing extra training in enhanced competency areas. A wealth of enhanced competency training opportunities exist nationally. However, the search for the right fit is a challenging one because there is no centralized resource that catalogues all of these opportunities. A working group of the Canadian Association of Emergency Physicians (CAEP) Resident Section was assembled in 2016 to create a freely accessible and comprehensive directory of Canadian enhanced competency areas...
March 4, 2018: CJEM
https://www.readbyqxmd.com/read/29492360/developing-a-knowledge-test-for-a-neonatal-ethics-teaching-program
#15
Gregory P Moore, Emanuela Ferretti, Thierry Daboval
Objective The innovative Neonatal-Perinatal Medicine (NPM) Ethics Teaching Program at the University of Ottawa provides NPM trainees with vital foundational knowledge required to manage ethically contentious clinical scenarios frequently encountered in practice. In this study, our aim was to develop a knowledge test to assess the impact of the NPM Ethics Teaching Program on trainees' knowledge about ethics. Study design Using an iterative four-step process, we developed a test for assessing pre- and post-training knowledge of NPM ethics...
December 20, 2017: Curēus
https://www.readbyqxmd.com/read/29491724/tobacco-use-and-misuse-among-indigenous-children-and-youth-in-canada
#16
Radha Jetty
While tobacco is sacred in many Indigenous cultures, the recreational misuse of commercial tobacco is highly addictive and harmful. Tobacco misuse is the leading preventable cause of premature death in the world. Smoking rates among Canadian Indigenous youth are at least three times higher than for their non-Aboriginal peers, an alarming statistic on many levels. The tolls on health from extensive tobacco use range from disproportionately high individual mortality and morbidity to heavy socioeconomic burdens on Indigenous communities...
October 2017: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29479453/practice-patterns-in-the-treatment-and-monitoring-of-acute-t-cell-mediated-kidney-graft-rejection-in-canada
#17
Julie Leblanc, Peter Subrt, Michèle Paré, David Hartell, Lynne Sénécal, Tom Blydt-Hansen, Héloïse Cardinal
Background: One of the goals of the Canadian National Transplant Research Program (CNTRP) is to develop novel therapies for acute rejection that could positively affect graft outcomes with greater efficacy or less toxicity. To develop innovative management strategies for kidney graft rejection, new modalities need to be compared with current clinical practices. However, there are no standardized practices concerning the management of acute T cell-mediated rejection (TCMR). Objectives: To describe clinicians' practice patterns in the diagnosis, treatment, and monitoring of acute TCMR in Canada...
2018: Canadian Journal of Kidney Health and Disease
https://www.readbyqxmd.com/read/29479276/the-path-to-paediatric-donation-after-circulatory-determination-of-death-guidelines
#18
Matthew J Weiss
Recently, Canada became the first country to publish paediatric specific guidelines for the practice of donation after circulatory death (pDCD). These guidelines, endorsed by the Canadian Paediatric Society, were created in response to the fact that pDCD in Canada was largely undeveloped even in tertiary care centres, and no national guidelines addressed the practice in children. This article explains what pDCD is and how these recommendations were developed.
February 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29479202/variations-and-similarities-in-clinical-management-of-neonatal-abstinence-syndrome-findings-of-a-canadian-survey
#19
Katie Murphy, Helen Coo, Ruth Warre, Vibhuti Shah, Kimberly Dow
Background: There are no evidence-based national guidelines for managing neonatal abstinence syndrome (NAS) and surveys from other countries have demonstrated considerable variations in practice. Objective: To describe NAS management practices in Canada. Method: The directors of all Level 2 and Level 3 neonatal intensive care units (NICUs) were contacted to request their participation in a structured telephone survey. Frequency distributions were generated and associations between practice variations and unit type (Level 2 or 3) and size were examined...
June 2017: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29443485/effectiveness-of-the-canrisk-tool-in-the-identification-of-dysglycemia-in-first-nations-and-m%C3%A3-tis-in-canada
#20
Gina Agarwal, Ying Jiang, Susan Rogers Van Katwyk, Chantal Lemieux, Heather Orpana, Yang Mao, Brandan Hanley, Karen Davis, Laurel Leuschen, Howard Morrison
INTRODUCTION: First Nations/Métis populations develop diabetes earlier and at higher rates than other Canadians. The Canadian diabetes risk questionnaire (CANRISK) was developed as a diabetes screening tool for Canadians aged 40 years or over. The primary aim of this paper is to assess the effectiveness of the existing CANRISK tool and risk scores in detecting dysglycemia in First Nations/Métis participants, including among those under the age of 40. A secondary aim was to determine whether alternative waist circumference (WC) and body mass index (BMI) cut-off points improved the predictive ability of logistic regression models using CANRISK variables to predict dysglycemia...
February 2018: Health Promotion and Chronic Disease Prevention in Canada
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