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https://www.readbyqxmd.com/read/28794638/an-analysis-of-journey-mapping-to-create-a-palliative-care-pathway-in-a-canadian-first-nations-community-implications-for-service-integration-and-policy-development
#1
Jessica Koski, Mary Lou Kelley, Shevaun Nadin, Maxine Crow, Holly Prince, Elaine C Wiersma, Christopher J Mushquash
Providing palliative care in Indigenous communities is of growing international interest. This study describes and analyzes a unique journey mapping process undertaken in a First Nations community in rural Canada. The goal of this participatory action research was to improve quality and access to palliative care at home by better integrating First Nations' health services and urban non-Indigenous health services. Four journey mapping workshops were conducted to create a care pathway which was implemented with 6 clients...
2017: Palliative Care
https://www.readbyqxmd.com/read/28783017/barriers-to-the-development-of-forest-carbon-offsetting-insights-from-british-columbia-canada
#2
Guillaume Peterson St-Laurent, Shannon Hagerman, George Hoberg
In recent years, the provision of economic incentives through carbon financing and carbon offsetting has been central to efforts at forest carbon mitigation. However, notwithstanding their potentially important roles in climate policy, forest carbon offsets face numerous barriers which have limited widespread implementation worldwide. This paper uses the case study of the Canadian province of British Columbia to explore the barriers associated with achieving widespread implementation of forest carbon offsets in the next several decades...
August 3, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/28774275/the-incidence-of-acute-myeloid-leukemia-in-calgary-alberta-canada-a-retrospective-cohort-study
#3
Andrea Christine Shysh, Leonard Tu Nguyen, Maggie Guo, Marcus Vaska, Christopher Naugler, Fariborz Rashid-Kolvear
BACKGROUND: The incidence rate of acute myeloid leukemia (AML) was determined in the Calgary Metropolitan Area, a major Canadian city. METHODS: Data from all patients diagnosed with AML between January 1, 2011 and December 31, 2015 were retrieved from a single, centralized cancer cytogenetics laboratory for bone marrow samples, the sole diagnostic facility of its kind in Southern Alberta. RESULTS: The calculated incidence rate was 2.79 cases per 100,000 person-years with a median age of 60, slightly lower than previously published data...
August 3, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28750020/antibiotic-prescriptions-for-outpatient-acute-rhinosinusitis-in-canada-2007-2013
#4
Prateek Sharma, Rita Finley, Scott Weese, Shiona Glass-Kaastra, Warren McIsaac
INTRODUCTION: Acute rhinosinusitis (ARS) is a respiratory disease commonly caused by viral infections. Physicians regularly prescribe antibiotics despite bacterial etiologies being uncommon. This is of concern, as this use adds to the selection pressure for resistance. Here we present the descriptive epidemiology of acute rhinosinusitis and corresponding antibiotic prescribing practices by Canadian outpatient physicians from 2007-2013. MATERIALS/METHODS: Diagnosis and antibiotic prescription data for ARS were extracted from the Canadian Disease and Therapeutic Index for 2007 to 2013, and population data were acquired from Statistics Canada...
2017: PloS One
https://www.readbyqxmd.com/read/28739778/a-multilevel-analysis-of-risk-and-protective-factors-for-canadian-youth-injured-or-killed-by-interpersonal-violence
#5
Carolyn E Snider, Marni Brownell, Brenden Dufault, Nicole Barrett, Heather Prior, Carla Cochrane
PURPOSE: The study's purpose was to determine individual-level and neighbourhood-level risk and protective factors for severe intentional injury among youth. METHODS: We conducted a multilevel case-control study using registry data to determine individual-level and neighbourhood-level social determinants associated with severe violent injury/homicide among youth from Winnipeg, Manitoba. RESULTS: The study includes 13 206 youth, aged 12-24 years (1222 cases, 11 984 controls)...
July 24, 2017: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/28738909/quantifying-associations-of-the-dietary-share-of-ultra-processed-foods-with-overall-diet-quality-in-first-nations-peoples-in-the-canadian-provinces-of-british-columbia-alberta-manitoba-and-ontario
#6
Malek Batal, Louise Johnson-Down, Jean-Claude Moubarac, Amy Ing, Karen Fediuk, Tonio Sadik, Constantine Tikhonov, Laurie Chan, Noreen Willows
OBJECTIVE: To quantify associations of the dietary share of ultra-processed foods (UPF) with the overall diet quality of First Nations peoples. DESIGN: A cross-sectional analysis of data from the First Nations Food, Nutrition and Environment Study, designed to contribute to knowledge gaps regarding the diet of First Nations peoples living on-reserve, south of the 60th parallel. A multistage sampling of communities was conducted. All foods from 24 h dietary recalls were categorized into NOVA categories and analyses were performed to evaluate the impact of UPF on diet quality...
July 25, 2017: Public Health Nutrition
https://www.readbyqxmd.com/read/28733060/developing-a-canadian-curriculum-for-simulation-based-education-in-obstetrics-and-gynecology-a-delphi-study
#7
Catherine Craig, Glenn D Posner
OBJECTIVE: As obstetrics and gynaecology (Ob/Gyn) residency training programs move towards a competence-based approach to training and assessment, the development of a national standardized simulation curriculum is essential. The primary goal of this study was to define the fundamental content for the Canadian Obstetrics and Gynecology Simulation curriculum. METHODS: A modified Delphi technique was used to achieve consensus in three rounds by surveying residency program directors or their local simulation educator delegates in 16 accredited Canadian Ob/Gyn residency programs...
July 18, 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/28730848/cpa-treatment-guidelines-for-individuals-at-clinical-high-risk-of-psychosis
#8
Jean Addington, Donald Addington, Sabina Abidi, Thomas Raedler, Gary Remington
OBJECTIVE: Young people who are at clinical high risk (CHR) of developing psychosis are often help seeking and have significant distress and dysfunction. There are limited guidelines for the assessment and treatment for this population. The aim of this guideline was to develop treatment recommendations for this at-risk group. METHOD: A systematic search was conducted for published guidelines for CHR. All current guidelines for schizophrenia were reviewed for treatment guidelines on individuals at CHR...
January 1, 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28728554/the-rise-and-fall-of-dental-therapy-in-canada-a-policy-analysis-and-assessment-of-equity-of-access-to-oral-health-care-for-inuit-and-first-nations-communities
#9
Victoria Leck, Glen E Randall
BACKGROUND: Inequality between most Canadians and those from Inuit and First Nations communities, in terms of both access to oral health care services and related health outcomes, has been a long-standing problem. Efforts to close this equity gap led to the creation of dental therapy training programs. These programs were designed to produce graduates who would provide services in rural and northern communities. The closure of the last dental therapy program in late 2011 has ended the supply of dental therapists and governments do not appear to have any alternative solutions to the growing gap in access to oral health care services between most Canadians and those from Inuit and First Nations communities...
July 20, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28709393/microbiome-associated-with-severe-caries-in-canadian-first-nations-children
#10
M Agnello, J Marques, L Cen, B Mittermuller, A Huang, N Chaichanasakul Tran, W Shi, X He, R J Schroth
Young Indigenous children in North America suffer from a higher degree of severe early childhood caries (S-ECC) than the general population, leading to speculation that the etiology and characteristics of the disease may be distinct in this population. To address this knowledge gap, we conducted the first microbiome analysis of an Indigenous population using modern molecular techniques. We investigated the caries-associated microbiome among Canadian First Nations children with S-ECC. Thirty First Nations children <72 mo of age with S-ECC and 20 caries-free children were recruited in Winnipeg, Canada...
July 1, 2017: Journal of Dental Research
https://www.readbyqxmd.com/read/28706311/first-report-of-the-fig-cyst-nematode-heterodera-fici-kirjanova-on-fig-tree-ficus-carica-in-ontario-canada
#11
Fengcheng Sun, Neil Henry, Qing Yu
Although fig trees are a popular ornamental fruit tree in subtropical regions, some hardy species, such as Ficus carica, have been grown in the west coast of British Columbia and southern Ontario in Canada. The fig cyst nematode, Heterodera fici Kirjanova, is a pest on fig plants, and the heavy infestation can cause retarded growth and yellowing of leaves (Maqbool et al., 1987). In the spring of 2016, a sample of rhizosphere from a potted fig (F. carica) seedling was submitted to the Nematology Laboratory, Canadian Food Inspection Agency...
June 2017: Journal of Nematology
https://www.readbyqxmd.com/read/28703082/dental-injuries-in-younger-emergency-department-patients
#12
Vigil James, Yona R Vandersluis, Evangeline W J Zhang, Dennis Scolnik
BACKGROUND: Dental trauma is a relatively common occurrence in childhood, with an impact exceeding that of periodontal diseases. It places a significant burden on the public health system because of its high frequency, impact on quality of life and consumption of resources. OBJECTIVES: To identify changing trends of dental injury in patients between 0-18 years of age in Canada and provide a detailed assessment of dental injury patterns in patients attending a large pediatric tertiary care hospital...
July 13, 2017: CJEM
https://www.readbyqxmd.com/read/28689032/a-total-diet-study-and-probabilistic-assessment-risk-assessment-of-dietary-mercury-exposure-among-first-nations-living-on-reserve-in-ontario-canada
#13
Amanda K Juric, Malek Batal, Will David, Donald Sharp, Harold Schwartz, Amy Ing, Karen Fediuk, Andrew Black, Constantine Tikhonov, Hing Man Chan
Methyl Mercury (MeHg) exposure is a global environmental health concern. Indigenous peoples around the world are susceptible to MeHg exposure from often higher fish consumption compared to general populations. The objective of this study was to estimate dietary exposure to methylmercury (MeHg) among First Nations living on-reserve in the province of Ontario, Canada. A total diet study was constructed based on a 24-h recall from the First Nations Food, Nutrition, and Environment Study (FNFNES), and measured contaminant concentrations from Health Canada for market foods, and FNFNES for traditional foods...
July 6, 2017: Environmental Research
https://www.readbyqxmd.com/read/28680368/choice-of-relative-or-cause-specific-approach-to-cancer-survival-analysis-impacts-estimates-differentially-by-cancer-type-population-and-application-evidence-from-a-canadian-population-based-cohort-study
#14
Diana R Withrow, Jason D Pole, E Diane Nishri, Michael Tjepkema, Loraine D Marrett
BACKGROUND: Cause-specific (CS) and net survival in a relative survival framework (RS) are two of the most common methods for estimating cancer survival. In this paper, we assess the differences in results produced by two permutations of cause-specific and relative survival applied to estimating cancer survival and disparities in cancer survival, using data from First Nations and non-Aboriginal populations in Canada. METHODS: Subjects were members of the 1991 Canadian Census Mortality Cohort, a population-based cohort of adult respondents to the 1991 Long Form Census who have been followed up for incident cancers and death through linkage to administrative databases...
2017: Population Health Metrics
https://www.readbyqxmd.com/read/28678064/who-makes-it-to-the-end-a-novel-predictive-model-for-identifying-surgical-residents-at-risk-for-attrition
#15
Heather L Yeo, Jonathan S Abelson, Jialin Mao, Frank Lewis, Fabrizio Michelassi, Richard Bell, Art Sedrakyan, Julie A Sosa
OBJECTIVE: We present 8-year follow-up data from the intern class of 2007 to 2008 using a novel, nonparametric predictive model to identify those residents who are at greatest risk of not completing their training. BACKGROUND: Nearly 1 in every 4 categorical general surgery residents does not complete training. There has been no study at a national level to identify individual resident and programmatic factors that can be used to accurately anticipate which residents are most at risk of attrition out...
September 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28673318/choice-of-relative-or-cause-specific-approach-to-cancer-survival-analysis-impacts-estimates-differentially-by-cancer-type-population-and-application-evidence-from-a-canadian-population-based-cohort-study
#16
Diana R Withrow, Jason D Pole, E Diane Nishri, Michael Tjepkema, Loraine D Marrett
BACKGROUND: Cause-specific (CS) and net survival in a relative survival framework (RS) are two of the most common methods for estimating cancer survival. In this paper, we assess the differences in results produced by two permutations of cause-specific and relative survival applied to estimating cancer survival and disparities in cancer survival, using data from First Nations and non-Aboriginal populations in Canada. METHODS: Subjects were members of the 1991 Canadian Census Mortality Cohort, a population-based cohort of adult respondents to the 1991 Long Form Census who have been followed up for incident cancers and death through linkage to administrative databases...
July 3, 2017: Population Health Metrics
https://www.readbyqxmd.com/read/28661253/are-military-and-medical-ethics-necessarily-incompatible-a-canadian-case-study
#17
Christiane Rochon, Bryn Williams-Jones
Military physicians are often perceived to be in a position of 'dual loyalty' because they have responsibilities towards their patients but also towards their employer, the military institution. Further, they have to ascribe to and are bound by two distinct codes of ethics (i.e., medical and military), each with its own set of values and duties, that could at first glance be considered to be very different or even incompatible. How, then, can military physicians reconcile these two codes of ethics and their distinct professional/institutional values, and assume their responsibilities towards both their patients and the military institution? To clarify this situation, and to show how such a reconciliation might be possible, we compared the history and content of two national professional codes of ethics: the Defence Ethics of the Canadian Armed Forces and the Code of Ethics of the Canadian Medical Association...
December 2016: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
https://www.readbyqxmd.com/read/28637380/diabetes-related-weight-change-in-a-canadian-first-nation-cohort
#18
N D Riediger, V Lukianchuk, J Roulette, L M Lix, L Elliott, S G Bruce
The Canadian First Nations population is disproportionately burdened by diabetes and diabetes complications. Body weight management is purported to be important in the prevention and management of diabetes. In this study, we sought to describe weight change in a First Nation cohort according to diabetes status and management. Study data were from two diabetes screening studies in Sandy Bay First Nation in Manitoba, Canada, collected in 2002/2003 (baseline) and 2011/2012 (follow-up). The cohort was composed of respondents to both screening studies (n=171)...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28636069/parent-child-association-in-body-weight-status
#19
Tracey Bushnik, Didier Garriguet, Rachel Colley
BACKGROUND: The prevalence of overweight and obesity among children and adults has risen in Canada. Studies suggest that parent obesity is a risk factor for overweight and obesity in children. This analysis examines associations between biological parent and child body mass index (BMI) in a nationally representative sample of Canadian children. DATA AND METHODS: The analysis is based on data collected for 1,563 children aged 6 to 10 in the first three cycles of the Canadian Health Measures Survey (2007 to 2013)...
June 21, 2017: Health Reports
https://www.readbyqxmd.com/read/28630258/realization-of-entry-to-practice-milestones-by-canadians-who-studied-medicine-abroad-and-other-international-medical-graduates-a-retrospective-cohort-study
#20
Maria Mathews, Rima Kandar, Steve Slade, Yanqing Yi, Sue Beardall, Ivy Bourgeault
BACKGROUND: International medical graduates must realize a series of milestones to obtain full licensure. We examined the realization of milestones by Canadian and non-Canadian graduates of Western or Caribbean medical schools, and Canadian and non-Canadian graduates from other medical schools. METHODS: Using the National IMG Database (data available for 2005-2011), we created 2 cohorts: 1) international medical graduates who had passed the Medical Council of Canada Qualifying Examination Part I between 2005 and 2010 and 2) those who had first entered a family medicine postgraduate program between 2005 and 2009, or had first entered a specialty postgraduate program in 2005 or 2006...
June 19, 2017: CMAJ Open
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