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https://www.readbyqxmd.com/read/28728807/the-impact-of-team-based-primary-care-on-health-care-services-utilization-and-costs-quebec-s-family-medicine-groups
#1
Erin Strumpf, Mehdi Ammi, Mamadou Diop, Julie Fiset-Laniel, Pierre Tousignant
We investigate the effects on health care costs and utilization of team-based primary care delivery: Quebec's Family Medicine Groups (FMGs). FMGs include extended hours, patient enrolment and multidisciplinary teams, but they maintain the same remuneration scheme (fee-for-service) as outside FMGs. In contrast to previous studies, we examine the impacts of organizational changes in primary care settings in the absence of changes to provider payment and outside integrated care systems. We built a panel of administrative data of the population of elderly and chronically ill patients, characterizing all individuals as FMG enrollees or not...
July 1, 2017: Journal of Health Economics
https://www.readbyqxmd.com/read/28725365/the-clonal-root-system-of-balsam-poplar-in-upland-sites-of-quebec-and-alberta
#2
Kokouvi E Adonsou, Annie DesRochers, Francine Tremblay, Barb R Thomas, Nathalie Isabel
Balsam poplar seeds are short-lived and require moist seedbeds soon after they are released to germinate. In addition to sexual reproduction, balsam poplar stands can regenerate clonally by root suckering. The origin of stands will in turn affect their genetic structure and root system architecture, which are poorly understood for upland forest stands. Three stands were hydraulically excavated in Quebec (moist) and Alberta (dry) to determine the origin of trees and to characterize root systems with respect to presence of parental roots and root grafts connections...
October 2016: Ecology and Evolution
https://www.readbyqxmd.com/read/28722747/acute-care-hospitalization-of-aboriginal-children-and-youth
#3
Anne Guèvremont, Gisèle Carrière, Evelyne Bougie, Dafna Kohen
BACKGROUND: Research that has examined Aboriginal children's hospitalization rates at the national level has been limited to analyses of areas with large percentages of Aboriginal residents, rather than of Aboriginal individuals. This study uses linked census and administrative data to describe hospitalization patterns among children and youth aged 0 to 19, by Aboriginal identity, for all provinces and territories except Quebec. DATA AND METHODS: The 2006 Census was linked to the 2006/2007-to-2008/2009 Discharge Abstract Database, which contains hospital records from all acute care facilities (except Quebec)...
July 19, 2017: Health Reports
https://www.readbyqxmd.com/read/28722171/use-of-antibiotics-during-pregnancy-and-the-risk-of-major-congenital-malformations-a-population-based-cohort-study
#4
Flory T Muanda, Odile Sheehy, Anick Bérard
INTRODUCTION: Few studies have investigated the link between individual antibiotics and major congenital malformations (MCMs) including specific malformations owing to small sample size. We aimed to quantify the association between exposure to gestational antibiotic and the risk of MCMs. METHODS: Using the Quebec pregnancy cohort (1998 -2008), we included a total of 139,938 liveborn singleton alive whose mothers were covered by the «Régie de l'assurance maladie du Québec" drug plan for at least 12 months before and during pregnancy...
July 19, 2017: British Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/28720597/accuracy-of-administrative-claims-data-for-cerebral-palsy-diagnosis-a-retrospective-cohort-study
#5
Maryam Oskoui, Pamela Ng, Marc Dorais, Nicole Pigeon, Louise Koclas, Céline Lamarre, Francine Malouin, Carol L Richards, Michael Shevell, Lawrence Joseph
BACKGROUND: Cerebral palsy is the most common cause of childhood physical disability, with multiple associated comorbidities. Administrative claims data provide population-level prevalence estimates for cerebral palsy surveillance; however, their diagnostic accuracy has never been validated in Quebec. This study aimed to assess the accuracy of administrative claims data for the diagnosis of cerebral palsy. METHODS: We conducted a retrospective cohort study of children with cerebral palsy born between 1999 and 2002 within 6 health administrative regions of Quebec...
July 18, 2017: CMAJ Open
https://www.readbyqxmd.com/read/28716642/long-term-use-of-inhaled-corticosteroids-in-copd-and-the-risk-of-fracture
#6
Anne V Gonzalez, Janie Coulombe, Pierre Ernst, Samy Suissa
INTRODUCTION: It is uncertain whether long-term use of inhaled corticosteroids (ICS), widely used to treat COPD, increases the risk of fracture, particularly in women, in view of the post-menopausal risks. We assessed whether long-term ICS use in patients with COPD increases the risk of hip or upper extremity fractures, and examined sex-related differences. METHODS: The Quebec healthcare databases were used to form a cohort of patients with COPD over 1990-2005, followed until 2007 for the first hip or upper extremity fracture...
July 14, 2017: Chest
https://www.readbyqxmd.com/read/28716108/esoteric-connective-tissue-therapy-for-chronic-low-back-pain-to-reduce-pain-and-improve-functionality-and-general-well-being-compared-with-physiotherapy-study-protocol-for-a-randomised-controlled-trial
#7
Christoph Schnelle, Steffen Messerschmidt, Eunice J Minford, Kate Greenaway-Twist, Maxine Szramka, Marianna Masiorski, Michelle Sheldrake, Mark Jones
BACKGROUND: Low back pain causes more global disability than any other condition. Once the acute pain becomes chronic, about two-thirds of sufferers will not fully recover after 1-2 years. There is a paucity of effective treatments for non-specific, chronic low back pain. It has been noted that low back pain is associated with changes in the connective tissue in the affected area, and a very low-impact treatment, Esoteric Connective Tissue Therapy (ECTT), has been developed to restore flexibility in connective tissue...
July 17, 2017: Trials
https://www.readbyqxmd.com/read/28698691/expected-consequences-of-convenience-euthanasia-perceived-by-veterinarians-in-quebec
#8
Dominick Rathwell-Deault, Béatrice Godard, Diane Frank, Béatrice Doizé
In companion animal practice, convenience euthanasia (euthanasia of a physically and psychologically healthy animal) is recognized as one of the most difficult situations. There is little published on veterinary perceptions of the consequences of convenience euthanasia. A qualitative study on the subject based on interviews with 14 veterinarians was undertaken. The animal's interests in the dilemma of convenience euthanasia was taken into consideration, strictly from the point of view of the physical suffering and stress related to the procedure...
July 2017: Canadian Veterinary Journal. la Revue Vétérinaire Canadienne
https://www.readbyqxmd.com/read/28679807/end-of-life-medical-spending-in-last-twelve-months-of-life-is-lower-than-previously-reported
#9
Eric B French, Jeremy McCauley, Maria Aragon, Pieter Bakx, Martin Chalkley, Stacey H Chen, Bent J Christensen, Hongwei Chuang, Aurelie Côté-Sergent, Mariacristina De Nardi, Elliott Fan, Damien Échevin, Pierre-Yves Geoffard, Christelle Gastaldi-Ménager, Mette Gørtz, Yoko Ibuka, John B Jones, Malene Kallestrup-Lamb, Martin Karlsson, Tobias J Klein, Grégoire de Lagasnerie, Pierre-Carl Michaud, Owen O'Donnell, Nigel Rice, Jonathan S Skinner, Eddy van Doorslaer, Nicolas R Ziebarth, Elaine Kelly
Although end-of-life medical spending is often viewed as a major component of aggregate medical expenditure, accurate measures of this type of medical spending are scarce. We used detailed health care data for the period 2009-11 from Denmark, England, France, Germany, Japan, the Netherlands, Taiwan, the United States, and the Canadian province of Quebec to measure the composition and magnitude of medical spending in the three years before death. In all nine countries, medical spending at the end of life was high relative to spending at other ages...
July 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28676071/effectiveness-of-an-intervention-to-improve-supportive-care-for-family-caregivers-of-patients-with-lung-cancer-study-protocol-for-a-randomized-controlled-trial
#10
Michèle Aubin, Lucie Vézina, René Verreault, Sébastien Simard, Jean-François Desbiens, Lise Tremblay, Serge Dumont, Lise Fillion, Maman Joyce Dogba, Pierre Gagnon
BACKGROUND: Family caregivers (FC) often experience higher distress levels than their relative with cancer. Many cancer centers have implemented distress screening programs, but most of them concentrate their efforts on patients, with little attention to their FC. To fill this gap, a pragmatic intervention has been designed to improve supportive care for FC of patients with lung cancer. This article describes the study protocol of a single-center randomized controlled trial to assess its effectiveness...
July 4, 2017: Trials
https://www.readbyqxmd.com/read/28670410/a-multidisciplinary-workplace-intervention-for-chronic-low-back-pain-among-nursing-assistants-in-iran
#11
Sarallah Shojaei, Sedigheh Sadat Tavafian, Ahmad Reza Jamshidi, Joan Wagner
STUDY DESIGN: Interventional research with a 6-month follow-up period. PURPOSE: We aimed to establish the effectiveness of a multidisciplinary workplace intervention on reduction of work-related low back pain (WRLBP), using ergonomic posture training coupled with an educational program based on social cognitive theory. OVERVIEW OF LITERATURE: WRLBP is a major occupational problem among healthcare workers, who are often required to lift heavy loads...
June 2017: Asian Spine Journal
https://www.readbyqxmd.com/read/28669179/novel-fluoroalkylated-surfactants-in-soils-following-firefighting-foam-deployment-during-the-lac-m%C3%A3-gantic-railway-accident
#12
Sandra Mejia-Avendaño, Gabriel Munoz, Sung Vo Duy, Mélanie Desrosiers, Paul Benoit, Sébastien Sauvé, Jinxia Liu
The derailment of an unmanned train carrying crude oil and subsequent fire in the town of Lac-Mégantic, Quebec, led to the use of 33,000 liters of aqueous film forming foam (AFFF) concentrate. While it is known that per- and polyfluoroalkyl substances (PFASs) contained in AFFFs pose a potential environmental and health risk, critical knowledge gaps remain as regards to their environmental fate after release. The accident in Lac-Mégantic provided valuable information regarding the identity and concentration of PFASs present in the soil after the AFFF deployment, as well as their possible transformation over time...
July 1, 2017: Environmental Science & Technology
https://www.readbyqxmd.com/read/28661890/reflective-practice-and-social-responsibility-in-family-medicine-effect-of-performing-an-international-rotation-in-a-developing-country
#13
Christine Loignon, Thomas Gottin, Carol Valois, François Couturier, Robert Williams, Pierre-Michel Roy
OBJECTIVE: To explore the perceived effect of an elective international health rotation on family medicine resident learning. DESIGN: Qualitative, collaborative study based on semistructured interviews. SETTING: Quebec. PARTICIPANTS: A sample of 12 family medicine residents and 9 rotation supervisors (N = 21). METHODS: Semistructured interviews of residents and rotation supervisors. MAIN FINDINGS: Residents and supervisors alike reported that their technical skills and relationship skills had benefited...
November 2016: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28652875/contemporary-cost-consequence-analysis-of-blue-light-cystoscopy-with-hexaminolevulinate-in-non-muscle-invasive-bladder-cancer
#14
Zachary Klaassen, Kathy Li, Wassim Kassouf, Peter C Black, Alice Dragomir, Girish S Kulkarni
INTRODUCTION: Previous studies have suggested cost-savings using blue light cystoscopy (BLC) with hexaminolevulinate (HAL) compared to white light cystoscopy (WLC) during transurethral resection of bladder tumour (TURBT) for non-muscle-invasive bladder cancer (NMIBC), secondary to improvements in recurrence and progression rates; however, these studies have used 'best case scenario' recurrence rate probabilities, thus decreasing generalizability of the findings. The objective of this study was to perform a contemporary cost-effectiveness assessment of BLC compared to WLC at the time of TURBT...
June 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28650772/l-analyse-de-contribution-pour-%C3%A3-valuer-l-impact-de-la-d%C3%A3-marche-%C3%A3-is-sur-les-processus-d%C3%A3-cisionnels-municipaux-un-choix-m%C3%A3-thodologique-int%C3%A3-ressant
#15
Kareen Nour, Mariève M Lafontaine, Astrid Brousselle, Pernelle Smits, Jean-Marie Buregeya, Julie Loslier, Jean-Louis Denis
La pertinence de l'évaluation d'impact sur la santé (ÉIS) pour promouvoir le développement de politiques publiques favorables à la santé au sein des municipalités est de plus en plus reconnue. L'appréciation des effets d'une démarche d'ÉIS sur les processus décisionnels d'acteurs municipaux peut toutefois être difficile en raison de la multitude d'influences sociales, économiques, géographiques et personnelles auxquels ils sont soumis. Dans un tel contexte, l'approche évaluative de l'analyse de contribution (AC) s'avère particulièrement intéressante puisqu'elle permet de documenter les facteurs menant à l'efficacité d'une intervention en tenant compte des éléments du contexte...
June 2017: Global Health Promotion
https://www.readbyqxmd.com/read/28646281/relations-between-work-and-upper-extremity-musculoskeletal-problems-uemsp-and-the-moderating-role-of-psychosocial-work-factors-on-the-relation-between-computer-work-and-uemsp
#16
Nektaria Nicolakakis, Susan R Stock, Michal Abrahamowicz, Rex Kline, Karen Messing
PURPOSE: Computer work has been identified as a risk factor for upper extremity musculoskeletal problems (UEMSP). But few studies have investigated how psychosocial and organizational work factors affect this relation. Nor have gender differences in the relation between UEMSP and these work factors  been studied. We sought to estimate: (1) the association between UEMSP and a range of physical, psychosocial and organizational work exposures, including the duration of computer work, and (2) the moderating effect of psychosocial work exposures on the relation between computer work and UEMSP...
June 23, 2017: International Archives of Occupational and Environmental Health
https://www.readbyqxmd.com/read/28640459/antidepressant-use-in-pregnancy-and-the-risk-of-attention-deficit-with-or-without-hyperactivity-disorder-in-children
#17
Takoua Boukhris, Odile Sheehy, Anick Bérard
BACKGROUND: The association between antidepressant (AD) use during pregnancy and the risk of attention deficit with or without hyperactivity disorder (ADHD) in children is debated. We investigated the risk of ADHD associated with overall and class-specific antidepressant exposure in utero. METHODS: We designed a register-based cohort study using the Quebec Pregnancy/Children Cohort (QPC). A total of 144 406 singleton full-term live-born from 1998 to 2009 were included...
June 22, 2017: Paediatric and Perinatal Epidemiology
https://www.readbyqxmd.com/read/28637341/assessment-of-workers-exposure-to-grain-dust-and-bioaerosols-during-the-loading-of-vessels-hold-an-example-at-a-port-in-the-province-of-qu%C3%A3-bec
#18
Geneviève Marchand, Marie Gardette, Kiet Nguyen, Valérie Amano, Eve Neesham-Grenon, Maximilien Debia
Longshoremen are exposed to large amounts of grain dust while loading of grain into the holds of vessels. Grain dust inhalation has been linked to respiratory diseases such as chronic bronchitis, hypersensitivity, pneumonitis, and toxic pneumonitis. Our objective was to characterize the exposure of longshoremen to inhalable and total dust, endotoxins, and cultivable bacteria and fungi during the loading of grain in a vessel's hold at the Port of Montreal in order to assess the potential health risks. Sampling campaigns were conducted during the loading of two different types of grain (wheat and corn)...
June 15, 2017: Annals of Work Exposures and Health
https://www.readbyqxmd.com/read/28628387/a-questionnaire-based-study-on-the-perceptions-of-canadian-seniors-about-cognitive-social-and-psychological-benefits-of-digital-games
#19
Emmanuel Duplàa, David Kaufman, Louise Sauvé, Lise Renaud
OBJECTIVE: This study explored the perceptions of seniors who play digital games on the potential benefits of these games and on the factors associated with these perceptions. MATERIALS AND METHODS: We developed and administered a questionnaire to a sample of 590 Canadian seniors in British Columbia and Quebec that addressed demographics, digital game practices, and perceived benefits. RESULTS: Results of administering the questionnaire showed that cognitive benefits were reported more frequently than social or psychological benefits...
June 2017: Games for Health
https://www.readbyqxmd.com/read/28627859/use-of-dynamic-movement-orthoses-to-improve-gait-stability-and-trunk-control-in-ataxic-patients
#20
Mariano Serrao, Carlo Casali, Alberto Ranavolo, Silvia Mari, Carmela Conte, Giorgia Chini, Luca Leonardi, Gianluca Coppola, Cherubino DI Lorenzo, Mahmoud Harfoush, Luca Padua, Francesco Pierelli
BACKGROUND: Patients with cerebellar ataxia show increased upper body movements, which have an impact on balance and walking. AIM: In this study, we investigated the effect of using dynamic movement orthoses (DMO), designed as elastic suits, on trunk motion and gait parameters. DESIGN: A longitudinal uncontrolled study. SETTING: Rehabilitative outpatient unit. POPULATION: Eleven patients (seven men, four women; mean age of 49...
June 19, 2017: European Journal of Physical and Rehabilitation Medicine
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