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https://www.readbyqxmd.com/read/29671664/burden-of-emergency-medical-services-usage-by-dialysis-patients
#1
John Bartolacci, Judah Goldstein, Bryce Kiberd, Janel Swain, Amanda Vinson, David Clark, Karthik K Tennankore
BACKGROUND: Patients receiving chronic dialysis often require emergent and inpatient care; however, only a minimal amount is known about their out-of-hospital/inter-hospital use of Emergency Medical Services (EMS). The purpose of this study was to describe the utilization of EMS in a cohort of dialysis patients. METHODS: We analyzed a cohort of adult (≥18 years) chronic dialysis patients within the Nova Scotia Health Authority Central Zone Renal Program who initiated chronic dialysis between January 1, 2009 and June 30, 2013 (last follow up July 1, 2015)...
April 19, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29642964/strengthening-primary-health-care-through-primary-care-and-public-health-collaboration-the-influence-of-intrapersonal-and-interpersonal-factors
#2
Ruta K Valaitis, Linda O'Mara, Sabrina T Wong, Marjorie MacDonald, Nancy Murray, Ruth Martin-Misener, Donna Meagher-Stewart
AimThe aim of this paper is to examine Canadian key informants' perceptions of intrapersonal (within an individual) and interpersonal (among individuals) factors that influence successful primary care and public health collaboration. BACKGROUND: Primary health care systems can be strengthened by building stronger collaborations between primary care and public health. Although there is literature that explores interpersonal factors that can influence successful inter-organizational collaborations, a few of them have specifically explored primary care and public health collaboration...
April 12, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29642891/physical-activity-and-sedentary-behavior-legislation-in-canadian-childcare-facilities-an-update
#3
Leigh M Vanderloo, Patricia Tucker
BACKGROUND: Within the childcare sector, physical activity and sedentary behaviors are not legislated at a national level in Canada. Efforts have been undertaken to identify factors within childcare facilities which support and deter physical activity and sedentary behaviors. The purpose of this paper was to provide an amended review of the legislative landscape, at the provincial and territorial level, regarding physical activity and sedentary behaviors (via screen-viewing) in Canadian childcare centers...
April 11, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29642863/risk-of-seizures-after-immunization-in-children-with-epilepsy-a-risk-interval-analysis
#4
Karina A Top, Paula Brna, Lingyun Ye, Bruce Smith
BACKGROUND: In children with epilepsy, fever and infection can trigger seizures. Immunization can also induce inflammation and fever, which could theoretically trigger a seizure. The risk of seizure after immunization in children with pre-existing epilepsy is not known. The study objective was to determine the risk of medically attended seizure after immunization in children with epilepsy < 7 years of age. METHODS: We conducted a retrospective study of children < 7 years of age with epilepsy in Nova Scotia, Canada from 2010 to 2014...
April 11, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29626399/empirical-study-of-nova-scotia-nurses-adoption-of-healthcare-information-systems-implications-for-management-and-policy-making
#5
Princely Ifinedo
BACKGROUND: This paper used the Theory of Planned Behavior (TPB), which was extended, to investigate nurses' adoption of healthcare information systems (HIS) in Nova Scotia, Canada. METHODS: Data was collected from 197 nurses in a survey and data analysis was carried out using the partial least squares (PLS) technique. RESULTS: In contrast to findings in prior studies that used TPB to investigate clinicians' adoption of technologies in Canada and elsewhere, this study found no statistical significance for the relationships between attitude and subjective norm in relation to nurses' intention to use HIS...
August 13, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/29584521/policy-and-legal-protection-for-breastfeeding-and-incarcerated-women-in-canada
#6
Martha Jane Paynter
Most incarcerated women in Canada are mothers. Because women are the fastest growing population in carceral facilities, protecting the rights of incarcerated women to breastfeed their children is increasingly important. There is considerable evidence that incarcerated women in Canada experience poor physical and mental health, isolation, and barriers to care. Incarcerated women and their children could benefit significantly from breastfeeding. This Insight in Policy explores policy and legal protection for breastfeeding in Canada as it relates to carceral facilities, considers key cases regarding breastfeeding rights among incarcerated women, and presents recommendations for policy development and advocacy...
March 1, 2018: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/29582745/regional-differences-in-aortic-valve-replacements-atlantic-canadian-experience
#7
Connor McGuire, Alexandra M Yip, Jeffrey B MacLeod, Vernon Paddock, Sohrab Lutchmedial, Najef Nadeem, Greg Hirsch, Corey Adams, Kevin Melvin, Sean Connors, Ansar Hassan, Jean-François Légaré
BACKGROUND: Transcatheter aortic valve implantation (TAVI) is evolving rapidly and is increasingly being adopted in the treatment of aortic valve disease. The goal of this study was to examine regional differences in surgical aortic valve replacement (SAVR) and TAVI across Atlantic Canada. METHODS: We identified all patients who underwent SAVR or TAVI between Jan. 1, 2010, and Dec. 31, 2014, in New Brunswick, Nova Scotia and Newfoundland and Labrador. Data obtained included patient demographic characteristics and surgical procedure details...
April 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29576950/assessing-the-disturbance-potential-of-small-unoccupied-aircraft-systems-uas-on-gray-seals-halichoerus-grypus-at-breeding-colonies-in-nova-scotia-canada
#8
Lauren Arona, Julian Dale, Susan G Heaslip, Michael O Hammill, David W Johnston
The use of small unoccupied aircraft systems (UAS) for ecological studies and wildlife population assessments is increasing. These methods can provide significant benefits in terms of costs and reductions in human risk, but little is known if UAS-based approaches cause disturbance of animals during operations. To address this knowledge gap, we conducted a series of UAS flights at gray seal breeding colonies on Hay and Saddle Islands in Nova Scotia, Canada. Using a small fixed-wing UAS, we assessed both immediate and short-term effects of surveys using sequential image analysis and between-flight seal counts in ten, 50 m2 random quadrats at each colony...
2018: PeerJ
https://www.readbyqxmd.com/read/29523642/psychiatric-comorbidity-is-associated-with-disability-progression-in-multiple-sclerosis
#9
Kyla A McKay, Helen Tremlett, John D Fisk, Tingting Zhang, Scott B Patten, Lorne Kastrukoff, Trudy Campbell, Ruth Ann Marrie
OBJECTIVE: Emerging evidence suggests that comorbidity may influence disability outcomes in multiple sclerosis (MS); we investigated the association between psychiatric comorbidity and MS disability progression in a large multiclinic population. METHODS: This retrospective cohort study accessed prospectively collected information from linked clinical and population-based health administrative databases in the Canadian provinces of British Columbia and Nova Scotia...
March 9, 2018: Neurology
https://www.readbyqxmd.com/read/29503254/factors-associated-with-trial-of-labour-and-mode-of-delivery-in-robson-group-5-a-select-group-of-women-with-previous-caesarean-section
#10
Mila Smithies, Christy G Woolcott, Jo-Ann K Brock, Bryan Maguire, Victoria M Allen
OBJECTIVE: To determine the proportion of women in Robson group 5 (RG5) who were eligible for a trial of labour after Caesarean (TOLAC) and, among eligible candidates, identify determinants of having a TOLAC and subsequent vaginal delivery (VD). METHODS: This population-based cohort study used data derived from the Nova Scotia Atlee Perinatal Database. Deliveries from 1998-2014 to women in RG5 (≥1 previous CS with a singleton term cephalic fetus) were included...
March 1, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29503250/incidence-and-carrier-frequency-of-cftr-gene-mutations-in-pregnancies-with-echogenic-bowel-in-nova-scotia-and-prince-edward-island
#11
Michelle E Miller, Victoria M Allen, Jo-Ann K Brock
OBJECTIVE: Fetal echogenic bowel (echogenic bowel) is associated with cystic fibrosis (CF), with a reported incidence ranging from 1% to 13%. Prenatal testing for CF in the setting of echogenic bowel can be done by screening parental or fetal samples for pathogenic CFTR variants. If only one pathogenic variant is identified, sequencing of the CFTR gene can be undertaken, to identify a second pathogenic variant not covered in the standard screening panel. Full gene sequencing, however, also introduces the potential to identify variants of uncertain significance (VUSs) that can create counselling challenges and cause parental anxiety...
March 1, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29502321/performance-assessment-of-a-single-layer-moisture-store-and-release-cover-system-at-a-mine-waste-rock-pile-in-a-seasonally-humid-region-nova-scotia-canada
#12
Christopher Power, Murugan Ramasamy, Martin Mkandawire
Cover systems are commonly applied to mine waste rock piles (WRPs) to control acid mine drainage (AMD). Single-layer covers utilize the moisture "store-and-release" concept to first store and then release moisture back to the atmosphere via evapotranspiration. Although more commonly used in semi-arid and arid climates, store-and-release covers remain an attractive option in humid climates due to the low cost and relative simplicity of installation. However, knowledge of their performance in these climates is limited...
March 3, 2018: Environmental Monitoring and Assessment
https://www.readbyqxmd.com/read/29496203/the-halifax-explosion-a-century-later-lessons-for-our-time
#13
Preston L Carter
A brief historical account of the Halifax Explosion, one of North America's greatest mass urban trauma casualty events of the 20th century. This disaster, in Halifax, Nova Scotia, was the result of the cataclysmic explosion of a fully loaded World War I munitions ship on the densely waterfront of that city, resulting in nearly 2000 fatalities and 9000 injured. It remains a case study in response to disasters which overwhelm local medical capabilities.
December 15, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/29458002/the-effect-of-time-of-day-testing-and-utility-of-30-and-60-minute-cortisol-values-in-the-250-mcg-acth-stimulation-test
#14
Vicki Munro, Manal Elnenaei, Steve Doucette, David B Clarke, Syed Ali Imran
BACKGROUND: Despite widespread use of the 250-mcg Cosyntropin test (ACTH test) for the diagnosis of adrenal insufficiency (AI), the effect of time of day and the utility of performing both 30- and 60-min serum cortisol values remains unclear. METHODS: We conducted a retrospective cohort study of all ACTH testing at the Halifax Neuropituitary Program, Nova Scotia, Canada between January 2006 and April 2016. Data were collected on age, gender, medication history, serum cortisol levels at 0, 30 and 60 min after ACTH administration, as well as time of and indication for testing...
February 16, 2018: Clinical Biochemistry
https://www.readbyqxmd.com/read/29440344/nova-scotia-doctors-battle-government-over-pay-model
#15
Wendy Glauser
No abstract text is available yet for this article.
February 12, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/29439784/influence-of-physical-activity-sedentary-behavior-and-diet-quality-in-childhood-on-the-incidence-of-internalizing-and-externalizing-disorders-during-adolescence-a-population-based-cohort-study
#16
XiuYun Wu, Kerry Bastian, Arto Ohinmaa, Paul Veugelers
PURPOSE: Studies among youth suggest that physical inactivity, sedentary behaviors, and poor diet quality are associated with poor mental health. Few population-based studies have investigated these relationships longitudinally. We examined the association between physical activity, sedentary behaviors, and diet quality in childhood and the incidence of internalizing and externalizing disorders throughout adolescence. METHODS: We linked health behavior survey data from 2003 among 10- to 11-year-old children across Nova Scotia, Canada, with administrative health care data from 2003 to 2011...
February 2018: Annals of Epidemiology
https://www.readbyqxmd.com/read/29433567/laryngeal-recurrence-sites-in-patients-previously-treated-with-transoral-laser-microsurgery-for-squamous-cell-carcinoma
#17
P Horwich, M H Rigby, C MacKay, J Melong, B Williams, M Bullock, R Hart, J Trites, S M Taylor
BACKGROUND: The laryngeal framework provides a natural barrier preventing tumour spread to extralaryngeal structures. Transoral laser microsurgery (TLM) for laryngeal squamous cell carcinoma (SCC) may violate these boundaries, altering the pathways of tumor spread for potential recurrences. Our project objective is to describe laryngeal SCC recurrence patterns and overall survival in patients requiring total laryngectomy (TL) after TLM. METHODS: Patients undergoing TLM for laryngeal SCC requiring salvage TL were identified from a prospective CO2 laser database containing all patients undergoing TLM for head and neck malignancies at the QEII Health Sciences Center in Halifax, Nova Scotia between March 2002 - May 2014...
February 13, 2018: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/29407010/where-you-live-in-nova-scotia-can-significantly-impact-your-access-to-lifesaving-cardiac-care-access-to-invasive-care-influences-survival
#18
John Colin Boyd, Jafna L Cox, Ansar Hassan, Sohrab Lutchmedial, Alexandra M Yip, Jean-François Légaré
BACKGROUND: Invasive cardiac care is the preferred method of treatment for patients with acute coronary syndromes (ACS) complicated by cardiogenic shock (CS). In Nova Scotia, invasive cardiac care is only available in Halifax at the Queen Elizabeth II Health Sciences Centre (QEII-HSC). METHODS: All consecutive patients diagnosed with ACS and CS in 2009-2013 in Nova Scotia were included. Data were obtained from the clinical database of Cardiovascular Health Nova Scotia...
February 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29382453/accuracy-of-kidney-cancer-diagnosis-and-histological-subtype-within-canadian-cancer-registry-data
#19
Jeffrey G Himmelman, Jennifer Merrimen, Kara Matheson, Chris Theriault, Lori A Wood
INTRODUCTION: Provincial/territorial cancer registries (PTCRs) are the mainstay for Canadian population-based cancer statistics. Each jurisdiction captures this data in a population-based registry, including the Nova Scotia Cancer Registry (NSCR). The goal of this study was to describe data from the NSCR regarding renal cell carcinoma (RCC) pathology subtype and method of diagnosis and compare it to the actual pathology reports to determine the accuracy of diagnosis and histological subtype assignment...
September 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/29356662/does-socio-economic-status-or-having-a-chronic-condition-affect-whether-family-physicians-accept-a-new-patient-a-nova-scotia-population-study
#20
Emily Gard Marshall, Sacha Nadeau, Beverly Lawson, Richard J Gibson, Imhokhai Ogah
OBJECTIVES: To determine whether socio-economic status (SES) and presence of a chronic condition are associated with the response a prospective patient receives when seeking a family physician (FP). METHODS: Scripted telephone calls (indicating higher or lower SES and presence or absence of a chronic condition) were made to all 327 FP offices in Nova Scotia (NS) requesting an appointment. The main outcome measures were the responses to callers seeking a FP: being accepted for an appointment or being offered further assistance if not accepted (e...
January 22, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
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