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Michael J Widener, Leia M Minaker, Jessica L Reid, Zachary Patterson, Tara Kamal Ahmadi, David Hammond
OBJECTIVE: To examine the potential links between activity spaces, the food retail environment and food shopping behaviours for the population of young, urban adults. DESIGN: Participants took part in the Canada Food Study, which collected information on demographics, food behaviour, diet and health, as well as an additional smartphone study that included a seven-day period of logging GPS (global positioning system) location and food purchases. Using a time-weighted, continuous representation of participant activity spaces generated from GPS trajectory data, the locations of food purchases and a geocoded food retail data set, negative binomial regression models were used to explore what types of food retailers participants were exposed to and where food purchases were made...
March 16, 2018: Public Health Nutrition
Qianyi Zhang, Evan G R Davies, James R Bolton, Yang Liu
Monochloramine (NH2 Cl) is widely used for secondary disinfection by water utilities. However, Edmonton field stormwater sampling results have shown that NH2 Cl, because of its long-lasting property, can cause stormwater contamination through outdoor potable water uses during the summer season. To protect water sources, it is important to understand NH2 Cl dissipation mechanisms in stormwater. Natural organic matter (NOM) is the dominant species that contributes to NH2 Cl decay in stormwater. In this research, it is proposed that NOM reacted with both NH2 Cl and free chlorine through rapid and long-term reactions during NH2 Cl dissipation...
March 12, 2018: Science of the Total Environment
Luisella M Vigna, Amelia Brunani, Francesca Gori, Fabio Mussino, Silvia C M Tomaino, Gianna M Agnelli, Dario Consonni, Luciano Riboldi
OBJECTIVE: Obesity and work-ability may be influenced by reduced performance, associated diseases, and obesogenic environment. METHODS: Two hundred seventy-six male (46.7 ± 10.6 years; BMI 33.3 ± 4.4 kg/m) and 658 female (48.4 ± 9.7 years; BMI 33.6 ± 5.4 kg/m) were enrolled. They were classified by Edmonton Obesity Staging System (EOSS) and interviewed for "perceived" work-ability. RESULTS: Total work ability score was 1...
March 13, 2018: Journal of Occupational and Environmental Medicine
Carsten Nieder, Thomas A Kämpe
Introduction Our department's standard work-flow includes assessment of all the patients with the Edmonton Symptom Assessment System (ESAS), a one-sheet questionnaire addressing 11 major symptoms and wellbeing on a numeric scale of zero-10, before the palliative radiotherapy (PRT). Based on previous research, we hypothesized that the patients with minimal or moderate total symptom burden might have better overall survival after the PRT than those with at least one higher symptom score. Methods We performed a retrospective analysis of 94 patients and calculated actuarial survival from the first day of the PRT (Kaplan-Meier method)...
January 6, 2018: Curēus
Allison Gates, Cydney Johnson, Lisa Hartling
BACKGROUND: Machine learning tools can expedite systematic review (SR) processes by semi-automating citation screening. Abstrackr semi-automates citation screening by predicting relevant records. We evaluated its performance for four screening projects. METHODS: We used a convenience sample of screening projects completed at the Alberta Research Centre for Health Evidence, Edmonton, Canada: three SRs and one descriptive analysis for which we had used SR screening methods...
March 12, 2018: Systematic Reviews
Hülya Eskiizmirli Aygör, Çiçek Fadıloğlu, Sevnaz Şahin, Fisun Şenuzun Aykar, Fehmi Akçiçek
PURPOSE: The purpose of this methodological study was to assess the validity and reliability of Turkish version of the "Edmonton Frail Scale" (EFS). METHOD: 130 individuals aged 65 and over residing at the Izmir Narlıdere Nursing Home between September 2011 - April 2012 who agreed to participate in the study constituted the sample for the research. Individuals with communication problems (deafness, blindness or language barriers) and problems with manual dexterity were not included in the study...
February 16, 2018: Archives of Gerontology and Geriatrics
Lev D Bubis, Laura Davis, Alyson Mahar, Lisa Barbera, Qing Li, Lesley Moody, Paul Karanicolas, Rinku Sutradhar, Natalie G Coburn
Purpose Improvement in the quality of life of patients with cancer requires attention to symptom burden across the continuum of care, with the use of patient-reported outcomes key to achieving optimal care. Yet there have been few studies that have examined symptoms in the early postdiagnosis period during which suboptimal symptom control may be common. A comprehensive analysis of temporal trends and risk factors for symptom burden in newly diagnosed patients with cancer is essential to guide supportive care strategies...
March 1, 2018: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
Carsten Nieder, Thomas A Kämpe
BACKGROUND/AIM: Typically, prognostic scores predicting survival in patients with metastatic cancer are based on disease- and patient-related factors, such as extent of metastases, age and performance status. Patient-reported symptoms have been included less often. Our group has assessed all patients with the Edmonton Symptom Assessment System (ESAS, a one-sheet questionnaire addressing 11 major symptoms and wellbeing on a numeric scale of 0-10) before palliative radiotherapy (PRT) since 2012...
March 2018: Anticancer Research
Maryam Elyasi, Lucas Guimarães Abreu, Cheyanne Olsen, Sarah R Baker, Hollis Lai, Paul W Major, Maryam Amin
PURPOSE: Parental capacity to face day-to-day stressors has a relevant role in recognizing and mobilizing resources to control children's oral health behaviors. This capacity has been explored by means of the sense of coherence. The purpose of this study was to explore the association between mothers' sense of coherence (SOC) and their preschool children's oral health-related behaviors. METHODS: Mothers and their pre-school children were recruited during immunization programs at community health centers in Edmonton, Canada...
January 1, 2018: Pediatric Dentistry
Lindsay M Wodinski, Heather M Mattson McCrady, Christie M Oswald, Nicole J M Lyste, Karen L L Forbes
This paper presents family bedside orientations, an innovative bedside peer support model for families of paediatric patients piloted in one unit at the Stollery Children's Hospital in Edmonton, Alberta. The model invites family members of former patients back to the hospital as volunteer peer mentors responsible for meeting one-on-one with current inpatient families to provide a listening presence, discuss patient safety practices and encourage families to participate in their child's care. Using qualitative and quantitative data collection methods, the model was evaluated over 1 year (December 2014 to December 2015)...
October 2017: Paediatrics & Child Health
Arissa J Sperou, James A Dickinson, Bonita Lee, Marie Louie, Xiao-Li Pang, Linda Chui, Otto G Vanderkooi, Stephen B Freedman
Objectives: Gastroenteritis remains a common paediatric illness. Little is known about physician knowledge of enteric pathogen diagnostic tests. At the time of study conduct, Alberta lacked a publicly funded rotavirus vaccination program and knowledge of primary care physician perspectives was lacking. We sought to ascertain diagnostic testing methods and to understand knowledge and perceptions regarding enteric pathogen vaccination. Methods: A 30-item electronic survey was distributed across Alberta's five health care zones...
September 2017: Paediatrics & Child Health
Carsten Nieder, Thomas A Kämpe
BACKGROUND/AIM: To evaluate whether or not single patients report increased levels of anxiety and depression, compared to married or partnered patients scheduled to receive palliative radiotherapy. In principle, different levels of social support might cause such disparities. PATIENTS AND METHODS: Retrospective comparison of two groups of patients (28% single, overall 100 patients), who scored their symptoms before palliative radiotherapy with the Edmonton symptom assessment system (ESAS)...
March 2018: In Vivo
Maxi Miciak, Maria Mayan, Cary Brown, Anthony S Joyce, Douglas P Gross
Background: The therapeutic relationship between patient and physiotherapist is a central component of patient-centred care and has been positively associated with better physiotherapy clinical outcomes. Despite its influence, we do not know what conditions enable a physiotherapist and patient to establish and maintain a therapeutic relationship. This knowledge has implications for how clinicians approach their interactions with patients and for the development of an assessment tool that accurately reflects the nature of the therapeutic relationship...
2018: Archives of Physiotherapy
Rachel Whitty, Sandra Porter, Kiran Battu, Pranjal Bhatt, Ellen Koo, Csilla Kalocsai, Peter Wu, Kendra Delicaet, Isaac I Bogoch, Robert Wu, James Downar
BACKGROUND: Many seriously ill and frail inpatients receive potentially inappropriate or harmful medications and do not receive medications for symptoms of advanced illness. We developed and piloted an interprofessional Medication Rationalization (MERA) approach to deprescribing inappropriate medications and prescribing appropriate comfort medications. METHODS: We conducted a single-centre pilot study of inpatients at risk of 6-month mortality from advanced age or morbidity...
February 16, 2018: CMAJ Open
Marin Golčić, Renata Dobrila-Dintinjana, Goran Golčić, Ira Pavlović-Ružić, Aleksandra Stevanović, Lidija Gović-Golčić
PURPOSE: Quality of life is the cornerstone of palliative care, and assessing it requires validated and standardized questionnaires. However, the majority of questionnaires are not tested in a hospice setting. The purpose of this study is to evaluate the quality of life in a hospice using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 15 for Palliative Care (PAL) (EORTC QLQ-C15-PAL) questionnaire and validating it in Croatian language...
January 1, 2018: American Journal of Hospice & Palliative Care
Teddie Tanguay, Reagan Bartel
In early 2010, the Royal Alexandra Hospital (RAH) was the only tertiary hospital in Edmonton, Alberta, without a rapid response team (RRT). Once funding was obtained, the RAH RRT was developed with the mission of "Helping you make it happen" with the underlying philosophy that any call is a good call and the team is there to support care on the wards. The RAH RRT is unique, as it uses a registered nurse/respiratory therapist model rather than the physician model used by most tertiary centres. The RAH RRT provides consistent and efficient response to deteriorating patients and visitors to the hospital...
May 2017: Canadian Journal of Critical Care Nursing
David B Bekelman, Rachel Johnson-Koenke, Daniel W Bowles, Stacy M Fischer
BACKGROUND: Patients with cancer could benefit from early primary (i.e., basic) palliative care. Scalable models of care delivery are needed. OBJECTIVE: Examine the feasibility of a stepped peer navigator and social work intervention developed to improve palliative care outcomes. DESIGN: Single-arm prospective clinical trial. The peer navigator educated patients to advocate for pain and symptom management with their healthcare providers, motivated patients to pursue advance care planning, and discussed the role of hospice...
February 20, 2018: Journal of Palliative Medicine
Pawel Kiper, Andrzej Szczudlik, Michela Agostini, Jozef Opara, Roman Nowobilski, Laura Ventura, Paolo Tonin, Andrea Turolla
OBJECTIVE: To evaluate the effectiveness of reinforced feedback in virtual environment (RFVE) treatment combined with conventional rehabilitation (CR) in comparison with CR alone, and to study whether changes are related to stroke aetiology (i.e. ischemic or hemorrhagic). DESIGN: Randomized controlled trial. SETTING: Inpatients in a hospital facility for intensive rehabilitation. PARTICIPANTS: 136 patients within one year from onset of a single stroke...
February 14, 2018: Archives of Physical Medicine and Rehabilitation
Jon Adams, Greg Kawchuk, Alexander Breen, Diana De Carvalho, Andreas Eklund, Matthew Fernandez, Martha Funabashi, Michelle M Holmes, Melker S Johansson, Katie de Luca, Craig Moore, Isabelle Pagé, Katherine A Pohlman, Michael S Swain, Arnold Y L Wong, Jan Hartvigsen
In an evidence-based health care environment, healthcare professions require a sustainable research culture to remain relevant. At present however, there is not a mature research culture across the chiropractic profession largely due to deficiencies in research capacity and leadership, which may be caused by a lack of chiropractic teaching programs in major universities. As a response to this challenge the Chiropractic Academy for Research Leadership, CARL, was created with the aim of develop a global network of successful early-career chiropractic researchers under the mentorship of three successful senior academics from Australia, Canada, and Denmark...
2018: Chiropractic & Manual Therapies
Gabriel Lopez, Alejandro Chaoul, Catherine Powers-James, Amy Spelman, Qi Wei, Rosalinda Engle, Yousra Hashmi, Eduardo Bruera, Lorenzo Cohen
CONTEXT: Complementary health approaches such as meditation may help improve cancer patient and caregiver symptoms, yet little research has examined the clinical application of these programs. OBJECTIVES: We explored the effects of a meditation group class, offered as part of an integrative medicine clinic at a comprehensive cancer center, on patient and caregiver self-reported symptoms. METHODS: Participants (patients and caregivers) of any three meditation group classes offered - Power of Breath (PB), Sacred Sounds (SS), and Movement & Breath (MB) - were asked to complete the Edmonton Symptom Assessment System (ESAS; scale 0-10, 10 most severe) before and after participation...
February 5, 2018: Journal of Pain and Symptom Management
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