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Nova scotia

Tia Renouf, Megan Pollard
Rural and remote places like Sable Island (Nova Scotia) or François (Newfoundland) pose a challenge in delivering both health care and appropriate education that today's learners need to practice in a rural setting. This education can be difficult to deliver to students far from academic centers. This is especially true for learners and practitioners at offshore locations like ships, oil installations, or in the air when patients are transported via fixed wing aircraft or helicopter. The following editorial provides a snapshot of the setting and the challenges faced while working as a physician on a ship, in remote regions...
September 9, 2016: Curēus
E N Barker, L J Dawson, J H Rose, S Van Meervenne, O Frykman, C Rohdin, A Leijon, K E Soerensen, J Järnegren, G C Johnson, D P O'Brien, N Granger
BACKGROUND: Neurodegenerative diseases are a heterogeneous group of disorders characterized by loss of neurons and are commonly associated with a genetic mutation. HYPOTHESIS/OBJECTIVES: To characterize the clinical and histopathological features of a novel degenerative neurological disease affecting the brain of young adult Nova Scotia Duck Tolling Retrievers (NSDTRs). ANIMALS: Nine, young adult, related NSDTRs were evaluated for neurological dysfunction and rapid eye movement sleep behavior disorder...
September 2016: Journal of Veterinary Internal Medicine
K Doe, R Mroz, K-L Tay, J Burley, S Teh, S Chen
From 1861 to the 1940s, gold was produced from 64 mining districts in Nova Scotia, where mercury amalgamation was the dominant method for the extraction of gold from ore until the 1880s. As a result, wastes (tailings) from the milling process were contaminated by mercury and were high in naturally occurring arsenic. In 2004 and 2005, sediments, water and mollusc tissues were collected from 29 sampling stations at nine former gold mining areas along the Atlantic coastline and were analysed for arsenic and mercury...
October 1, 2016: Marine Pollution Bulletin
Baharak Amir, Victoria M Allen, Susan Kirkland, Kathleen MacPherson, Scott Farrell
OBJECTIVE: To estimate the influence of labour and pregnancy factors on long-term pelvic floor health outcomes. METHODS: This population-based cohort study was conducted using linkage between the Nova Scotia Atlee Perinatal Database, the Medical Services Insurance Database, and the Canadian Institute for Health Information's Discharge Abstract Database from 1988 to 2006; this allowed for the evaluation of patient utilization of care providers for pelvic floor disorders and captured conservative and surgical interventions...
September 2016: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Victoria M Allen, Thomas F Baskett, Alexander C Allen, Jason Burrows, Michael Vincer, Colleen M O'Connell
OBJECTIVE: To estimate cumulative perinatal morbidity among infants delivered at term, according to the type of labour in the first pregnancy, when the first pregnancy was low risk. METHODS: In a 26-year population-based cohort study (1988-2013) using the Nova Scotia Atlee Perinatal Database, we identified the type of labour in successive pregnancies in low-risk, nulliparous women at term in their first pregnancy (who had at least one subsequent pregnancy), and also identified perinatal outcomes in subsequent deliveries according to the type of labour in the first pregnancy...
September 2016: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Emily Colpitts, Jacqueline Gahagan
BACKGROUND: Currently, there is a dearth of baseline data on the health of lesbian, gay, bisexual, transgender, and queer (LGBTQ) populations in the province of Nova Scotia, Canada. Historically, LGBTQ health research has tended to focus on individual-level health risks associated with poor health outcomes among these populations, which has served to obscure the ways in which they maintain their own health and wellness across the life course. As such, there is an urgent need to shift the focus of LGBTQ health research towards strengths-based perspectives that explore the complex and resilient ways in which LGBTQ populations promote their health...
2016: BMC Public Health
Matthew G Crowson, Joseph M Chen, Debara Tucci
OBJECTIVES: To investigate provincial cochlear implantation (CI) annual volume and cost trends. STUDY DESIGN: Database analysis. SETTING: National surgical volume and cost database. SUBJECTS AND METHODS: Aggregate-level provincial CI volumes and cost data for adult and pediatric CI surgery from 2005 to 2014 were obtained from the Canadian Institute for Health Information. Population-level aging forecast estimates were obtained from the Ontario Ministry of Finance and Statistics Canada...
September 20, 2016: Otolaryngology—Head and Neck Surgery
Beatriz Rincón, Ellen L Kenchington
We examined the habitat of juvenile haddock on the eastern Scotian Shelf (off Nova Scotia, Canada) in relation to grab-sampled benthic macrofaunal invertebrate species assemblages in order to determine whether there were significant differences in benthic macrofauna between areas of historically persistent high and low juvenile haddock abundance. Our analyses were conducted over two spatial scales in each of two years: among banks (Emerald, Western and Sable Island), approximately 60 km distant from each other, and between areas of high and low juvenile haddock abundance at distances of 10 to 30 km-all in an area that had not experienced groundfishing in the decade prior to sampling...
2016: PloS One
Stephanie D Graves, Karen A Kidd, Jeff E Houlahan, Kelly R Munkittrick
Kejimkujik National Park and National Historic Site (KNPNHS), Nova Scotia, Canada, is considered a biological mercury (Hg) hotspot because the tissues of yellow perch (Perca flavescens) and common loons (Gavia immer) inhabiting the lakes frequently exceed "safe" levels of Hg. In this study, the relationships between Hg and overall health of males and females of three forage fish species (brown bullhead Ameirus nebulosus, banded killifish Fundulus diaphanus and golden shiner Notemigonus crysoleucas; n = 6-18/sex/lake) in 6 lakes at KNPNHS were assessed using condition factor, liversomatic index (LSI) and macrophage aggregates (MAs; indicators of tissue damage)...
September 6, 2016: Environmental Toxicology and Chemistry
Kathy Spurr, Gail Dechman, Kelly Lackie, Robert Gilbert
INTRODUCTION: Evidence-based decision-making (EBDM) is the process health care providers (HCPs) use to identify and appraise potential evidence. It supports the integration of best research evidence with clinical expertise and patient values into the decision-making process for patient care. Competence in this process is essential to delivery of optimal care. There is no objective tool that assesses EBDM across HCP groups. This research aimed to develop a content valid tool to assess knowledge of the principles of evidence-based medicine and the EBDM process, for use with all HCPs...
2016: Journal of Continuing Education in the Health Professions
Robin Urquhart, Cynthia Kendell, Gordon Buduhan, Daniel Rayson, Joan Sargeant, Paul Johnson, Eva Grunfeld, Geoffrey A Porter
BACKGROUND: Because surgeons are the main gatekeepers to oncology services, understanding how they make decisions related to referral for adjuvant therapies is important to optimize referral rates and use of oncology services for patients with potentially curable disease. We examined decision-making by surgeons related to referral to oncology services for patients having undergone curative-intent surgery for non-small-cell lung, breast or colorectal cancer. METHODS: We conducted a qualitative study, whose design was guided by the principles of grounded theory...
January 2016: CMAJ Open
Emily Roberts
BACKGROUND: Regulating risk, freedom of action, and autonomy in decision making are problems shared by both caregivers and residents in long term care settings, and may become the subject of tension and constant negotiation. OBJECTIVE: This study focuses on long term care staff and management perceptions of day to day life in a care community which has gone through a culture change transition, where small residentially scaled households replace large instutional models of care...
August 12, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
Ryan Halikman, Dennis Scolnik, Ayelet Rimon, Miguel Marcelo Glatstein
Scientific presentations at professional organization meetings have long been recognized as a method of providing up-to-date and novel information to both the medical and scientific community. After abstract presentation at a medical conference, the subsequent publication rate of full-text articles is variable, and few studies have examined this topic with respect to international emergency medicine conferences. This study's goals were to determine the publication rate of articles resulting from abstracts presented at the 12th International Conference on Emergency Medicine 2008 in San Francisco, Calif, and to compare this with data from the previous International Conference on Emergency Medicine 2006 conference in Halifax, Nova Scotia, Canada...
August 20, 2016: Pediatric Emergency Care
Adil Bata, Ata Ur Rehman Quraishi, Michael Love, Lawrence Title, Hussein Beydoun, Tony Lee, Najaf Nadeem, Bakhtiar Kidwai, Catherine Kells, Helen Curran
BACKGROUND: To determine whether pre-activation of the cardiac catheterization lab by Emergency Health Services (EHS) with a single call system in the field was associated with reduced time to reperfusion in patients with ST-Elevation Myocardial Infarction (STEMI) undergoing primary percutaneous coronary intervention (PPCI). METHODS: Consecutive STEMI patients identified by EHS and subsequently taken to the Queen Elizabeth II Health Sciences Center (QEIIHSC) for PPCI between February 1, 2011 and January 30, 2013 were examined...
November 1, 2016: International Journal of Cardiology
Eugeniya I Bekker, Alexey A Kotov
Our study is aimed at a taxonomic revision of the subgenus Eurycercus (Teretifrons) Frey, 1975 (Crustacea: Cladocera: Eurycercidae) in the Holarctic based on the morphology of parthenogenetic females. Three species were revealed and described: (1) E. glacialis Lilljeborg, 1887 which is relatively widely distributed in the north portion of Atlantic and Pacific regions; (2) E. nigracanthus Hann, 1990 which is apparently present in Labrador and Newfoundland, Cape Breton Island and Nova Scotia and (3) Eurycercus chernovi sp...
2016: Zootaxa
Paul Spin, Ingrid Sketris, Barbara Hill-Taylor, Courtney Ward, Katrina F Hurley
BACKGROUND: Despite evidence demonstrating the advantages of metered-dose inhalers with spacers (MDI-s), nebulization (NEB) remains the primary method of asthma treatment in some pediatric emergency departments (PEDs). There is a perception that delivering salbutamol by MDI-s is more costly than by NEB. This research evaluates the relative costs of MDI-s and NEB using local, hospital-specific, patient-level data. METHODS: Regression models estimated associations between the salbutamol inhalation method and costs, length of stay (LOS) in the PED and hospital, and the probability of admission...
August 10, 2016: CJEM
Wendy Blay Puryear, Mandy Keogh, Nichola Hill, Jerry Moxley, Elizabeth Josephson, Kimberly Ryan Davis, Chistopher Bandoro, Damian Lidgard, Andrea Bogomolni, Milton Levin, Shelley Lang, Michael Hammill, Don Bowen, David W Johnston, Tracy Romano, Gordon Waring, Jonathan Runstadler
Influenza A virus (IAV) has been associated with multiple unusual mortality events (UMEs) in North Atlantic pinnipeds, frequently attributed to spillover of virus from wild-bird reservoirs. To determine if endemic infection persists outside of UMEs, we undertook a multiyear investigation of IAV in healthy, live-captured Northwest Atlantic gray seals (Halichoerus grypus). From 2013 to 2015, we sampled 345 pups and 57 adults from Cape Cod, MA, USA and Nova Scotia, Canada consistently detecting IAV infection across all groups...
August 3, 2016: Emerging Microbes & Infections
W Dominika Wranik, Liesl Gambold, Natasha Hanson, Adrian Levy
Public reimbursement of drugs is a costly proposition for health care systems. Decisions to add drugs to the public formulary are often guided by review processes and committees. The evolution of the formulary review process in Canada's publicly funded health system is characterized by increased centralization and systematization. In the past, the review of evidence and recommendation was conducted at the regional level, but was replaced with the pan-Canadian Oncology Drug Review in 2011. We assess the extent to which centralization and systematization of the review process have responded to past challenges, focusing on the use of economic evaluation in the process...
July 29, 2016: International Journal of Health Planning and Management
Xiuyun Wu, Sara F L Kirk, Arto Ohinmaa, Paul Veugelers
PURPOSE: This study sought to identify the principal components of self-esteem and the health behavioural determinants of these components among grade five students. METHODS: We analysed data from a population-based survey among 4918 grade five students, who are primarily 10 and 11 years of age, and their parents in the Canadian province of Nova Scotia. The survey comprised the Harvard Youth and Adolescent Questionnaire, parental reporting of students' physical activity (PA) and time spent watching television or using computer/video games...
2016: SpringerPlus
Hana Hartmannová, Lenka Piherová, Kateřina Tauchmannová, Kendrah Kidd, Philip D Acott, John F S Crocker, Youcef Oussedik, Marcel Mallet, Kateřina Hodaňová, Viktor Stránecký, Anna Přistoupilová, Veronika Barešová, Ivana Jedličková, Martina Živná, Jana Sovová, Helena Hůlková, Vicki Robins, Marek Vrbacký, Petr Pecina, Vilma Kaplanová, Josef Houštěk, Tomáš Mráček, Yves Thibeault, Anthony J Bleyer, Stanislav Kmoch
The Acadian variant of Fanconi Syndrome refers to a specific condition characterized by generalized proximal tubular dysfunction from birth, slowly progressive chronic kidney disease and pulmonary interstitial fibrosis. This condition occurs only in Acadians, a founder population in Nova Scotia, Canada. The genetic and molecular basis of this disease is unknown. We carried out whole exome and genome sequencing and found that nine affected individuals were homozygous for the ultra-rare non-coding variant chr8:96046914 T > C; rs575462405, whereas 13 healthy siblings were either heterozygotes or lacked the mutant allele...
July 27, 2016: Human Molecular Genetics
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