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https://www.readbyqxmd.com/read/28910260/shining-new-light-on-newborn-screening-of-cystic-fibrosis-in-the-province-of-quebec
#1
Léticia Khendek
Newborn screening of cystic fibrosis, a severe genetic disease with high treatment burden, is offered in all of North America with the exception of the province of Quebec. This condition, when diagnosed on symptomatic presentation, is marked by chronic infections and progressive lung function decline leading to eventual respiratory failure. Patients continue to have a median age of survival notably below the Canadian average. Despite prevalence rates of cystic fibrosis almost three times the national average in certain regions of Quebec, the province still does not offer screening to its newborns...
September 14, 2017: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/28904048/what-can-organizations-do-to-improve-family-physicians-interprofessional-collaboration-results-of-a-survey-of-primary-care-in-quebec
#2
Kadija Perreault, Raynald Pineault, Roxane Borgès Da Silva, Sylvie Provost, Debbie E Feldman
OBJECTIVE: To assess the degree of collaboration in primary health care organizations between FPs and other health care professionals; and to identify organizational factors associated with such collaboration. DESIGN: Cross-sectional survey. SETTING: Primary health care organizations in the Montreal and Monteregie regions of Quebec. PARTICIPANTS: Physicians or administrative managers from 376 organizations. MAIN OUTCOME MEASURES: Degree of collaboration between FPs and other specialists and between FPs and nonphysician health professionals...
September 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28902189/admixture-on-the-northern-front-population-genomics-of-range-expansion-in-the-white-footed-mouse-peromyscus-leucopus-and-secondary-contact-with-the-deer-mouse-peromyscus-maniculatus
#3
A Garcia-Elfring, R D H Barrett, M Combs, T J Davies, J Munshi-South, V Millien
Range expansion has genetic consequences expected to result in differentiated wave-front populations with low genetic variation and potentially introgression from a local species. The northern expansion of Peromyscus leucopus in southern Quebec provides an opportunity to test these predictions using population genomic tools. Our results show evidence of recent and post-glacial expansion. Genome-wide variation in P. leucopus indicates two post-glacial lineages are separated by the St. Lawrence River, with a more recent divergence of populations isolated by the Richelieu River...
September 13, 2017: Heredity
https://www.readbyqxmd.com/read/28891940/the-effects-of-socioeconomic-vulnerability-psychosocial-services-and-social-service-spending-on-family-reunification-a-multilevel-longitudinal-analysis
#4
Tonino Esposito, Ashleigh Delaye, Martin Chabot, Nico Trocmé, David Rothwell, Sonia Hélie, Marie-Joelle Robichaud
Socio-environmental factors such as poverty, psychosocial services, and social services spending all could influence the challenges faced by vulnerable families. This paper examines the extent to which socioeconomic vulnerability, psychosocial service consultations, and preventative social services spending impacts the reunification for children placed in out-of-home care. This study uses a multilevel longitudinal research design that draws data from three sources: (1) longitudinal administrative data from Quebec's child protection agencies; (2) 2006 and 2011 Canadian Census data; and, (3) intra-province health and social services data...
September 9, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28885126/utility-and-costs-of-radiologist-interpretation-of-perioperative-imaging-in-patients-with-traumatic-single-level-thoracolumbar-fractures
#5
Michael H Weber, Lojan Sivakumaran, Maryse Fortin, Alisson R Teles, Jeff D Golan, Carlo Santaguida, Peter Jarzem, Thierry Pauyo
OBJECTIVE The cost of spine management is rising. As diagnostic imaging accounts for approximately 10% of total patient care spending, there is interest in determining if economies could be made with regard to the routine consultation of radiology for image interpretation. In the context of spine trauma, both the spine surgeon and the radiologist interpret perioperative imaging. Authors of the present study investigated the impact of radiologist interpretation of perioperative imaging from patients with traumatic single-level thoracolumbar fractures given that spine surgeons are expected to be comfortable interpreting pathologies of the musculoskeletal system...
September 8, 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/28882440/determinants-of-under-immunization-and-cumulative-time-spent-under-immunized-in-a-quebec-cohort
#6
Shauna O'Donnell, Eve Dubé, Bruce Tapiero, Arnaud Gagneur, Margaret K Doll, Caroline Quach
BACKGROUND: Under-immunization refers to a state of sub-optimal protection against vaccine preventable diseases. Vaccine coverage for age may not capture intentional or non-intentional spacing of vaccines in the recommended provincial immunization guidelines. We aimed to identify factors associated with coverage and under-immunization and to determine the number of days during which children were under-immunized during their first 24months of life. METHODS: Secondary analysis of children ≤3years recruited through active surveillance for gastroenteritis from three Quebec pediatric emergency departments from 2012 to 2014...
September 4, 2017: Vaccine
https://www.readbyqxmd.com/read/28878419/l%C3%A2-euthanasie-de-convenance-des-animaux-de-compagnie-portrait-du-dilemme-au-sein-de-la-profession-v%C3%A3-t%C3%A3-rinaire-qu%C3%A3-b%C3%A3-coise
#7
Dominick Rathwell-Deault, Béatrice Godard, Diane Frank, André Ravel, Béatrice Doizé
Convenience euthanasia in companion animals: Dilemma among veterinarians in Quebec. Many veterinarians working in the field of companion animal medicine have to deal with requests for convenience euthanasia in their practices. As it is the case in other medical fields, veterinarians are trained to treat their patients. It is thus easy to understand that veterinarians consider convenience euthanasia as one of the most difficult ethical dilemmas they have to deal with in their practice. Regulatory boundaries concerning the practice of euthanasia are limited to the method use to induce the death of the animal but do not give any indication as to what should be the proper circumstances surrounding the request...
September 2017: Canadian Veterinary Journal. la Revue Vétérinaire Canadienne
https://www.readbyqxmd.com/read/28874892/treatment-patterns-and-trends-in-patients-dying-of-prostate-cancer-in-quebec-a-population-based-study
#8
A Dragomir, J Rocha, M Vanhuyse, F L Cury, W Kassouf, J Hu, A G Aprikian
INTRODUCTION: Since just after the year 2000 in Quebec, the management of metastatic castration-resistant prostate cancer (mcrpc) has evolved considerably, with the inclusion of docetaxel-based chemotherapy, bone-targeted therapies (zoledronic acid and denosumab), and more recently, abiraterone, enzalutamide, and cabazitaxel for docetaxel-refractory patients. In the present study, we aimed to analyze contemporary mcrpc management patterns and therapy utilization trends in Quebec. METHODS: The study cohort consisted of patients dying of prostate cancer (pca) between January 2001 and December 2013, selected from Quebec public health care insurance databases...
August 2017: Current Oncology
https://www.readbyqxmd.com/read/28874439/cma-members-gathered-in-quebec-for-150th-annual-meeting
#9
Roger Collier
No abstract text is available yet for this article.
September 5, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/28873291/increase-in-psychoactive-drug-prescriptions-in-the-years-following-autism-spectrum-diagnosis-a-population-based-cohort-study
#10
Caroline Croteau, Laurent Mottron, Nancy Presse, Jean-Eric Tarride, Marc Dorais, Sylvie Perreault
BACKGROUND: Psychoactive medications are commonly prescribed to autistic individuals, but little is known about how their use changes after diagnosis. OBJECTIVES: This study describes the use of psychoactive drugs in children and young adults newly diagnosed with autism spectrum, between the year before and up to 5 years after diagnosis. METHODS: Multivariable logistic regression was used to examine the relationship between the use psychoactive drugs before the first diagnosis of autism spectrum condition (from 1998 to 2010), and the clinical and demographic characteristics, identified from public health care databases in Quebec...
August 18, 2017: Journal of Population Therapeutics and Clinical Pharmacology
https://www.readbyqxmd.com/read/28869986/diagnostic-accuracy-of-novel-and-traditional-rapid-tests-for-influenza-infection-compared-with-reverse-transcriptase-polymerase-chain-reaction-a-systematic-review-and-meta-analysis
#11
Joanna Merckx, Rehab Wali, Ian Schiller, Chelsea Caya, Genevieve C Gore, Caroline Chartrand, Nandini Dendukuri, Jesse Papenburg
Background: Rapid and accurate influenza diagnostics can improve patient care. Purpose: To summarize and compare accuracy of traditional rapid influenza diagnostic tests (RIDTs), digital immunoassays (DIAs), and rapid nucleic acid amplification tests (NAATs) in children and adults with suspected influenza. Data Sources: 6 databases from their inception through May 2017. Study Selection: Studies in English, French, or Spanish comparing commercialized rapid tests (that is, providing results in <30 minutes) with reverse transcriptase polymerase chain reaction reference standard for influenza diagnosis...
September 19, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28869092/oral-health-promoting-school-environments-and-dental-caries-in-qu%C3%A3-bec-children
#12
Anu Edasseri, Tracie A Barnett, Khady Kâ, Mélanie Henderson, Belinda Nicolau
INTRODUCTION: Dental caries are highly prevalent among children and have negative health consequences. Their occurrence may depend in part on school-based environmental or policy-related factors, but few researchers have explored this subject. This study aimed to identify oral health promoting school environment types and estimate their relation with 2-year dental caries incidence among Québec children aged 8-10 years. METHODS: This study used data from two visits (completed in 2008 and 2011) of the QUALITY (Québec Adipose Lifestyle Investigation in Youth) cohort, which recruited white children at risk of obesity and their families from Greater Montreal schools...
August 28, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28864317/feasibility-and-safety-of-early-repeat-transradial-access-within-30-days-of-previous-coronary-angiography-and-intervention
#13
Alberto E Barria Perez, Olivier Costerousse, Tomas Cieza, Gérald Barbeau, Jean-Pierre Déry, Frédéric Maes, Goran Rimac, Guillaume Plourde, Yann Poirier, Marc-Antoine Carrier, Olivier F Bertrand
Transradial approach (TRA) is the default access site for diagnostic angiography and intervention in many centers. Repeat ipsilateral radial artery access late after index procedure has been associated with failures. It is unknown whether early (≤30 days) and very early (<24 hours) repeat radial access is technically feasible and safe. Study population consisted of consecutive patients undergoing repeat (≥2) procedures within 30 days in a high-volume TRA center. Transradial access failure and resulting femoral approach was categorized as primary (no repeat attempt) or secondary (crossover)...
August 2, 2017: American Journal of Cardiology
https://www.readbyqxmd.com/read/28853339/tdq-60-a-color-picture-naming-test-for-adults-and-elderly-people-validation-and-normalization-data
#14
Joël Macoir, Catherine Beaudoin, Josée Bluteau, Olivier Potvin, Maximiliano A Wilson
Word-finding difficulties are usually assessed with picture-naming tests. In this article, we present the TDQ-60, a new test designed to assess acquired lexical access deficits, taking into account semantics and psycholinguistic variables. The article includes three studies. Study 1 describes the development phase of the TDQ-60.  In study 2, healthy control participants and individuals with a diagnosis of the semantic variant of primary progressive aphasia were assessed to establish the convergent and discriminant validity of the TDQ-60...
August 30, 2017: Neuropsychology, Development, and Cognition. Section B, Aging, Neuropsychology and Cognition
https://www.readbyqxmd.com/read/28841061/the-clinical-placement-challenges-of-quebec-s-nurse-practitioner-students-a-call-for-a-new-research-focus
#15
N Ponzoni, A Arnaert
No abstract text is available yet for this article.
September 2017: Canadian Journal of Nursing Research, Revue Canadienne de Recherche en Sciences Infirmières
https://www.readbyqxmd.com/read/28840783/the-challenges-of-mobilizing-workers-on-gender-issues-lessons-from-two-studies-on-the-occupational-health-of-teachers-in-qu%C3%A3-becles-d%C3%A3-fis-de-mobiliser-les-travailleur-ses-sur-la-question-du-genre-constats-issus-de-deux-recherches-portant-sur-la-sant%C3%A3-au-travail
#16
Jessica Riel, Marie-Eve Major
In partnership with the largest teachers' union confederation in Québec ( Centrale des syndicats du Québec), two qualitative research studies that integrate gender were conducted in the teaching community. These ergonomic studies advocated a participatory approach involving interviews and observations with high school teachers (thirty-five) and female teachers responsible for vocational training in trades with predominantly male clientele (twelve). The results revealed that gender influences work success by reducing the operational leeway available for female teachers to carry out their work and protect their health...
January 1, 2017: New Solutions: a Journal of Environmental and Occupational Health Policy: NS
https://www.readbyqxmd.com/read/28835173/taking-account-of-gender-differences-when-designing-interventions-in-occupational-health-lessons-from-a-study-of-the-healthy-enterprise-standard-in-qu%C3%A3-bec-les-diff%C3%A3-rences-de-genre-sont-elles-prises-en-compte-lors-de-la-conception-des-interventions-de-pr%C3%A3
#17
Hélène Sultan-Taïeb, France St-Hilaire, Rébecca Lefebvre, Caroline Biron, Michel Vézina, Chantal Brisson
The literature shows substantial differences in occupational exposures between men and women, both between and within occupations, but remains very sparse on whether interventions are tailored to gender differences in the workplace. Our objective was to determine whether gender differences are taken into account when designing prevention interventions. This study is part of a project on the evaluation of interventions implemented in the framework of the "Healthy Enterprise" standard in Quebec organizations...
January 1, 2017: New Solutions: a Journal of Environmental and Occupational Health Policy: NS
https://www.readbyqxmd.com/read/28833904/early-childhood-trajectories-of-separation-anxiety-bearing-on-mental-health-academic-achievement-and-physical-health-from-mid-childhood-to-preadolescence
#18
Marco Battaglia, Gabrielle Garon-Carrier, Sylvana M Côté, Ginette Dionne, Evelyne Touchette, Frank Vitaro, Richard E Tremblay, Michel Boivin
BACKGROUND: Separation anxiety disorder is the most prevalent childhood anxiety condition, but no study assessed children for separation anxiety at preschool age and followed them longitudinally and directly until mid-childhood/early adolescence. METHODS: Multi-informant (children, teachers, family), multipoint (at age 8, 10, 12, 13) assessments of 1,290 children of the Quebec Longitudinal Study of Child Development, who had been categorized between age 1.5 and 6 into four specific separation anxiety trajectories (1, low-persistent; 2, low-increasing; 3, high-decreasing, and the less common: 4, high-increasing) by growth mixture modeling...
August 18, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28831278/opioid-prescribing-practices-and-training-needs-of-qu%C3%A3-bec-family-physicians-for-chronic-noncancer-pain
#19
Élise Roy, Richard J Côté, Denis Hamel, Pierre-André Dubé, Éric Langlois, Maud Emmanuelle Labesse, Christiane Thibault, Aline Boulanger
AIM: To examine medical practices and training needs of Québec family physicians with respect to pain management and opioid prescription for chronic noncancer pain (CNCP). METHODOLOGY: An online survey was carried out in 2016. RESULTS: Of 636 respondents (43.0% men; 54.3% ≥ 50 years old), 15.2% and 70.9% felt very or somewhat confident that they could properly prescribe opioids for CNCP. Concerns related to abuse (72.5% strongly/somewhat agree), dependence (73...
2017: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/28830565/determinants-of-follow-up-care-associated-with-incident-antidepressant-use-in-older-adults
#20
Victoire Massamba, Helen-Maria Vasiliadis, Michel Préville
OBJECTIVES: To determine the proportion of older adults receiving guideline concordant antidepressant therapy and to determine patient, prescriber and organizational factors associated with adequate antidepressant therapy. METHODS: The study included secondary analyses of data collected in the Étude sur la Santé des Aînés (ESA) Services study on older adults recruited while consulting in primary care clinics in one of the largest health regions of the province of Québec...
August 22, 2017: BMC Research Notes
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