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https://www.readbyqxmd.com/read/28073347/assessing-the-performance-of-centralized-waiting-lists-for-patients-without-a-regular-family-physician-using-clinical-administrative-data
#1
Mylaine Breton, Mélanie Ann Smithman, Astrid Brousselle, Christine Loignon, Nassera Touati, Carl-Ardy Dubois, Kareen Nour, Antoine Boivin, Djamal Berbiche, Danièle Roberge
BACKGROUND: With 4.6 million patients who do not have a regular family physician, Canada performs poorly compared to other OECD countries in terms of attachment to a family physician. To address this issue, several provinces have implemented centralized waiting lists to coordinate supply and demand for attachment to a family physician. Although significant resources are invested in these centralized waiting lists, no studies have measured their performance. In this article, we present a performance assessment of centralized waiting lists for unattached patients implemented in Quebec, Canada...
January 5, 2017: BMC Family Practice
https://www.readbyqxmd.com/read/28069082/legislation-for-youth-sport-concussion-in-canada-review-conceptual-framework-and-recommendations
#2
Kelly Russell, Michael J Ellis, Shannon Bauman, Charles H Tator
In this article, we conduct a review of introduced and enacted youth concussion legislation in Canada and present a conceptual framework and recommendations for future youth sport concussion laws. We conducted online searches of federal, provincial, and territorial legislatures to identify youth concussion bills that were introduced or successfully enacted into law. Internet searches were carried out from July 26 and 27, 2016. Online searches identified six youth concussion bills that were introduced in provincial legislatures, including two in Ontario and Nova Scotia and one each in British Columbia and Quebec...
January 10, 2017: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://www.readbyqxmd.com/read/28031256/organ-donation-after-medical-assistance-in-dying-or-cessation-of-life-sustaining-treatment-requested-by-conscious-patients-the-canadian-context
#3
Julie Allard, Marie-Chantal Fortin
In June 2016, following the decision of the Supreme Court of Canada to decriminalise assistance in dying, the Canadian government enacted Bill C-14, legalising medical assistance in dying (MAID). In 2014, the province of Quebec had passed end-of-life care legislation making MAID available as of December 2015. The availability of MAID has many implications, including the possibility of combining this practice with organ donation through the controlled donation after cardiac death (cDCD) protocol. cDCD most often occurs in cases where the patient has a severe neurological injury but does not meet all the criteria for brain death...
December 28, 2016: Journal of Medical Ethics
https://www.readbyqxmd.com/read/28018873/restrictions-for-reimbursement-of-direct-acting-antiviral-treatment-for-hepatitis-c-virus-infection-in-canada-a-descriptive-study
#4
Alison D Marshall, Sahar Saeed, Lisa Barrett, Curtis L Cooper, Carla Treloar, Julie Bruneau, Jordan J Feld, Lesley Gallagher, Marina B Klein, Mel Krajden, Naglaa H Shoukry, Lynn E Taylor, Jason Grebely
BACKGROUND: In Canada, interferon-free, direct-acting antiviral hepatitis C virus (HCV) regimens are costly. This presents challenges for universal drug coverage of the estimated 220 000 people with chronic HCV infection nationwide. The study objective was to appraise criteria for reimbursement of 4 HCV direct-acting antivirals in Canada. METHODS: We reviewed the reimbursement criteria for simeprevir, sofosbuvir, ledipasvir-sofosbuvir and paritaprevir-ritonavir-ombitasvir plus dasabuvir in the 10 provinces and 3 territories...
October 2016: CMAJ Open
https://www.readbyqxmd.com/read/28010132/the-risk-of-sepsis-with-inhaled-and-oral-corticosteroids-in-patients-with-copd
#5
Pierre Ernst, Janie Coulombe, Paul Brassard, Samy Suissa
The use of oral and inhaled corticosteroids is associated with increases in the risk of infection, especially pneumonia. The risk of sepsis with corticosteroid treatment in patients with chronic obstructive pulmonary disease (COPD) has been little studied, however. We assessed whether the use of inhaled and oral corticosteroids in COPD is associated with an increase in the risk of sepsis. We carried out a retrospective cohort study using the administrative health databases of the province of Quebec, Canada, over the period 1990-2007...
December 23, 2016: COPD
https://www.readbyqxmd.com/read/28000321/primary-care-nursing-activities-with-patients-affected-by-physical-chronic-disease-and-common-mental-disorders-a-qualitative-descriptive-study
#6
Ariane Girard, Catherine Hudon, Marie-Eve Poitras, Pasquale Roberge, Maud-Christine Chouinard
AIMS AND OBJECTIVES: To describe nursing activities in primary care with patients affected by physical CD and CMDs. BACKGROUND: Patients in primary care who are affected by physical chronic disease (CD) and common mental disorders (CMDs) such as anxiety and depression require care and followup based on their physical and mental health condition. Primary care nurses are increasingly expected to contribute to the care and followup of this growing clientele. However, little is known about the actual activities carried out by primary care nurses in providing this service in the Province of Quebec (Canada)...
December 21, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27994525/changing-the-30-min-rule-in-canada-the-effect-of-room-temperature-on-bacterial-growth-in-red-blood-cells
#7
Sandra Ramirez-Arcos, Yuntong Kou, Éric Ducas, Louis Thibault
BACKGROUND: To maintain product quality and safety, the '30-min rule' requires the discard of red blood cells (RBCs) that are exposed to uncontrolled temperatures for more than 30 min. Recent studies suggest this rule may safely be extended to a 60-min rule. METHODS: A pool-and-split design study (N = 4) was run in parallel at Canadian Blood Services (SAGM RBCs) and Héma-Québec (AS-3 RBCs). RBCs were spiked with ∼1 colony-forming unit/ml of mesophilic and psychrophilic bacteria...
November 2016: Transfusion Medicine and Hemotherapy
https://www.readbyqxmd.com/read/27993760/teaching-shared-decision-making-to-family-medicine-residents-a-descriptive-study-of-a-web-based-tutorial
#8
Maxime Dion, Ndeye Thiab Diouf, Hubert Robitaille, Stéphane Turcotte, Rhéda Adekpedjou, Michel Labrecque, Michel Cauchon, France Légaré
BACKGROUND: DECISION+2, a Web-based tutorial, was designed to train family physicians in shared decision making (SDM) regarding the use of antibiotics for acute respiratory infections (ARIs). It is currently mandatory for second-year family medicine residents at Université Laval, Quebec, Canada. However, little is known about how such tutorials are used, their effect on knowledge scores, or how best to assess resident participation. OBJECTIVE: The objective of our study was to describe the usage of this Web-based training platform by family medicine residents over time, evaluate its effect on their knowledge scores, and identify what kinds of data are needed for a more comprehensive analysis of usage and knowledge acquisition...
December 19, 2016: JMIR Medical Education
https://www.readbyqxmd.com/read/27991973/an-effective-public-health-program-to-reduce-urban-heat-islands-in-qu%C3%A3-bec-canada
#9
Mélanie Beaudoin, Pierre Gosselin
In 2005, the Government of the Province of Québec, Canada, adopted the Climate Change Action Plan for 2006 - 2012. The Institut national de santé publique du Québec (National Institute of Public Health of Québec), charged with implementing the health adaptation component of the Plan, worked to mitigate urban heat islands (UHI) by funding and evaluating 40 pilot projects. These projects explored different methods of fighting UHIs by greening cities in a participative and mobilizing approach led mainly by non-governmental organizations and municipalities...
September 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/27914646/in-the-eye-of-the-beholder-assessing-the-water-quality-of-shoreline-parks-around-the-island-of-montreal-through-citizen-science
#10
D Lévesque, A Cattaneo, G Deschamps, C Hudon
As a part of the FreshWater Watch project aiming to promote volunteers' water monitoring in 25 cities around the world, St. Lawrence River water quality was characterized at 28 public shoreline parks around Montreal Island, Quebec, Canada. This involved training of 69 citizen scientists by researchers of the Université de Montréal in five one-day sessions. Shoreline sampling yielded 174 data points over three summers (May 2013 to November 2015). Water turbidity, nitrate and phosphate concentrations were measured in situ, together with the thickness and type of beach-cast vegetation, and the relative abundance of different types of beach litter...
February 1, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/27914496/computed-tomography-derived-skeletal-muscle-index-a-novel-predictor-of-frailty-and-hospital-length-of-stay-after-transcatheter-aortic-valve-replacement
#11
Vishal Dahya, Jingjie Xiao, Carla M Prado, Penny Burroughs, Dan McGee, Aline C Silva, Julian E Hurt, Shafi G Mohamed, Thomas Noel, Wayne Batchelor
: To determine the prevalence of low skeletal muscle mass in patients undergoing transcatheter aortic valve replacement (TAVR) and whether skeletal muscle mass measured from preoperative computed tomography (CT) images provides value in predicting postoperative length of stay (LOS). BACKGROUND: There are limited data on the use of body composition as a frailty measure in TAVR patients and no studies have determined if this measure predicts LOS. METHODS: We studied 104 consecutive patients who underwent TAVR at Tallahassee Memorial Hospital from 2012 to 2016...
December 2016: American Heart Journal
https://www.readbyqxmd.com/read/27903326/characterizing-areas-of-potential-human-exposure-to-eastern-equine-encephalitis-virus-using-serological-and-clinical-data-from-horses
#12
J-P Rocheleau, J Arsenault, N H Ogden, L R Lindsay, M Drebot, P Michel
Eastern equine encephalitis (EEE) is a rare but severe emerging vector-borne disease affecting human and animal populations in the northeastern United States where it is endemic. Key knowledge gaps remain about the epidemiology of EEE virus (EEEV) in areas where its emergence has more recently been reported. In Eastern Canada, viral activity has been recorded in mosquitoes and horses throughout the 2000s but cases of EEEV in humans have not been reported so far. This study was designed to provide an assessment of possible EEEV human exposure by modelling environmental risk factors for EEEV in horses, identifying high-risk environments and mapping risk in the province of Quebec, Canada...
December 1, 2016: Epidemiology and Infection
https://www.readbyqxmd.com/read/27896940/empowering-women-to-breastfeed-does-the-baby-friendly-initiative-make-a-difference
#13
Danielle Groleau, Katherine W Pizarro, Luisa Molino, Katherine Gray-Donald, Sonia Semenic
The Baby-Friendly Hospital Initiative (BFI) is currently presented worldwide as the gold standard model of care for promoting and supporting breastfeeding. However, there is a lack of understanding about the ways in which health services, including the BFI, address the cultural change from a disembodied practice (formula feeding) to an embodied one (breastfeeding) in contexts where formula feeding is the norm. We used a qualitative case study methodology to compare the embodied experience of breastfeeding and the maternal experience of breastfeeding promotion and support services between mothers receiving care from institutions with low and high levels of BFI implementation in Québec, Canada...
November 29, 2016: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/27888680/symptomatic-and-functional-outcomes-of-substance-use-disorder-persistence-2-years-after-admission-to-a-first-episode-psychosis-program
#14
Amal Abdel-Baki, Clairélaine Ouellet-Plamondon, Émilie Salvat, Kawthar Grar, Stéphane Potvin
Substance use disorders (SUD) in first-episode psychosis (FEP) are highly prevalent and linked with poor outcomes. However, most longitudinal studies investigating their impacts in FEP have not reported proportions of patients who ceased SUD. Our aim was to examine the influence of SUD course on functional and symptomatic outcomes as well as service use in FEP. We performed a 2-year longitudinal study of 212 FEP patients, aged between 18 and 30 years, admitted to 2 early psychosis services in Montréal, Québec, Canada...
January 2017: Psychiatry Research
https://www.readbyqxmd.com/read/27887580/factors-associated-with-difficulty-accessing-health-care-for-infants-in-canada-mothers-reports-from-the-cross-sectional-maternity-experiences-survey
#15
Alisa D Brandon, Christy Costanian, Manal F El Sayed, Hala Tamim
BACKGROUND: Approximately 13% of Canadian mothers report difficulty accessing health care for their infants, yet little is known about the factors associated with difficulty. Therefore, we examined factors associated with difficulty accessing non-routine health care for Canadian infants, from birth to 14 months of age, as reported by their mothers. METHODS: Data was drawn from the Maternity Experiences Survey (MES), a cross-sectional, nationally representative survey of mothers who gave birth between November 2005 and May 2006, aged 15 years or older, and lived with their infants at the time of survey administration...
November 25, 2016: BMC Pediatrics
https://www.readbyqxmd.com/read/27882859/suicide-and-self-inflicted-injury-hospitalizations-in-canada-1979-to-2014-15
#16
R Skinner, S McFaull, J Draca, M Frechette, J Kaur, C Pearson, W Thompson
INTRODUCTION: The purpose of this paper is to describe the trends and patterns of self-inflicted injuries, available from Canadian administrative data between 1979 and 2014/15, in order to inform and improve suicide prevention efforts. METHODS: Suicide mortality and hospital separation data were retrieved from the Public Health Agency of Canada (PHAC) holdings of Statistics Canada's Canadian Vital Statistics: Death Database (CVS:D) (1979 to 2012); Canadian Socio-Economic Information Management System (CANSIM 2011, 2012); the Hospital Morbidity Database (HMDB) (1994/95 to 2010/11); and the Discharge Abstract Database (2011/12 to 2014/15)...
November 2016: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/27881468/elevated-ambient-temperatures-and-risk-of-neural-tube-defects
#17
Nathalie Auger, William D Fraser, Laura Arbour, Marianne Bilodeau-Bertrand, Tom Kosatsky
OBJECTIVES: The association between ambient heat and neural tube defects has received limited attention, despite imminent climate warming this century. We sought to determine the relationship between elevated outdoor temperatures during neurogenesis and risk of neural tube defects. METHODS: We carried out a retrospective cohort study of 887 710 fetuses between 3 and 4 weeks postconception from the months of April through September for 1988-2012 in Quebec, Canada...
November 22, 2016: Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/27871751/regional-assessment-of-concentrations-and-sources-of-pharmaceutically-active-compounds-pesticides-nitrate-and-e-coli-in-post-glacial-aquifer-environments-canada
#18
Marion Saby, Marie Larocque, Daniele L Pinti, Florent Barbecot, Sylvain Gagné, Diogo Barnetche, Hubert Cabana
There is growing concern worldwide about the exposure of groundwater resources to pharmaceutically active compounds (PhACs) and agricultural contaminants, such as pesticides, nitrate, and Escherichia coli. For regions with a low population density and an abundance of water, regional contamination assessments are not carried out systematically due to the typically low concentrations and high costs of analyses. The objectives of this study were to evaluate regional-scale contaminant distributions in untreated groundwater in a rural region of Quebec (Canada)...
February 1, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/27870043/increased-seedling-establishment-via-enemy-release-at-the-upper-elevational-range-limit-of-sugar-maple
#19
Morgane Urli, Carissa D Brown, Rosela Narváez Perez, Pierre-Luc Chagnon, Mark Vellend
The enemy release hypothesis is frequently invoked to explain invasion by nonnative species, but studies focusing on the influence of enemies on natural plant range expansion due to climate change remain scarce. We combined multiple approaches to study the influence of plant-enemy interactions on the upper elevational range limit of sugar maple (Acer saccharum) in southeastern Québec, Canada, where a previous study had demonstrated intense seed predation just beyond the range limit. Consistent with the hypothesis of release from natural enemies at the range limit, data from both natural patterns of regeneration and from seed and seedling transplant experiments showed higher seedling densities at the range edge than in the core of the species' distribution...
November 2016: Ecology
https://www.readbyqxmd.com/read/27869727/respiratory-diseases-in-university-students-associated-with-exposure-to-residential-dampness-or-mold
#20
Mathieu Lanthier-Veilleux, Geneviève Baron, Mélissa Généreux
University students are frequently exposed to residential dampness or mold (i.e., visible mold, mold odor, dampness, or water leaks), a well-known contributor to asthma, allergic rhinitis, and respiratory infections. This study aims to: (a) describe the prevalence of these respiratory diseases among university students; and (b) examine the independent contribution of residential dampness or mold to these diseases. An online survey was conducted in March 2014 among the 26,676 students registered at the Université de Sherbrooke (Quebec, Canada)...
November 18, 2016: International Journal of Environmental Research and Public Health
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