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https://www.readbyqxmd.com/read/29785879/blood-and-hair-mercury-concentrations-among-cree-first-nations-of-eeyou-istchee-quebec-canada-time-trends-prenatal-exposure-and-links-to-local-fish-consumption
#1
Susannah Ripley, Elizabeth Robinson, Louise Johnson-Down, Anne Andermann, Pierre Ayotte, Michel Lucas, Evert Nieboer
To describe exposure to methylmercury among Cree, focusing on women of childbearing age, we used data from 2 studies. Multiple regression was employed to examine associations between blood and hair mercury concentrations and consumption of locally harvested fish. Approximately 9.9% of non-pregnant women aged 15-44 y and 3.9% of pregnant women required follow-up according to Health Canada's blood mercury guidance value of 40 nmol/L. 8% of hair mercury observations in the non-pregnant women and 2.5% among pregnant women exceeded the equivalent threshold of 10 nmol/g...
December 2018: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/29784163/significant-disparities-in-eyeglass-insurance-coverage-in-canada
#2
Gordon Ngo, Graham Trope, Yvonne Buys, Ya-Ping Jin
OBJECTIVE: To describe patterns of access to eyeglass insurance by Canadians. DESIGN: A population-based, cross-sectional survey. PARTICIPANTS: A total of 134 072 respondents to the Canadian Community Health Survey 2003 who were aged ≥12 years. METHODS: We compared self-reported insurance coverage for eyeglasses or contact lenses provided by private, government, or employer-paid plans. RESULTS: Overall, 55...
June 2018: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
https://www.readbyqxmd.com/read/29780693/war-of-words-interculturalism-v-multiculturalism
#3
Christian Joppke
This article tackles the relationship between interculturalism and multiculturalism from the points of view of both. Interculturalism owes its existence to a critique of multiculturalism, but of highly distorted visions of it. I distinguish between two versions of interculturalism, a majoritarian (practiced in Québec) and a post-majoritarian (in Europe), which yield diametrically opposed visions of multiculturalism, as either footloose cosmopolitan or parochial-segregationist. Among the problems of interculturalism is the vacuity of the local as its preferred site of intervention, and its rushed embracing of "diversity" that is also a central plank of neoliberal ideology...
2018: Comparative Migration Studies
https://www.readbyqxmd.com/read/29775129/health-related-quality-of-life-and-orthosis-use-in-a-swedish-population-with-arthrogryposis
#4
Marie Eriksson, Leena Jylli, Li Villard, Anna-Karin Kroksmark, Åsa Bartonek
BACKGROUND: Joint contractures are the main characteristics for children with arthrogryposis multiplex congenita. Orthoses are often used to enable or facilitate walking. OBJECTIVES: To describe health-related quality of life in children with arthrogryposis multiplex congenita and satisfaction with orthoses in those using orthoses. STUDY DESIGN: Cross-sectional study. METHODS: A total of 33 children with arthrogryposis multiplex congenita participated in the study...
May 1, 2018: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29774851/veal-liver-as-food-vehicle-for-human-campylobacter-infections
#5
Colette Gaulin, Danielle Ramsay, Réjean Dion, Marc Simard, Céline Gariépy, Éric Levac, Karon Hammond-Collins, Maude Michaud-Dumont, Mélanie Gignac, Marc Fiset
A matched case-control study in Quebec, Canada, evaluated consumption of veal liver as a risk factor for campylobacteriosis. Campylobacter was identified in 28 of 97 veal livers collected concurrently from slaughterhouses and retailers. Veal liver was associated with human Campylobacter infection, particularly when consumed undercooked.
June 2018: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29774511/emerging-lingo-cultural-inequality-in-infant-autopsy-in-quebec-canada
#6
Nathalie Auger, Marianne Bilodeau-Bertrand, André Costopoulos
We investigated trends in infant autopsy for Francophones and Anglophones in Quebec, Canada. Using death certificates, we extracted 8214 infant deaths between 1989 and 2013. We computed rates of non-autopsy by language, socioeconomic disadvantage, age at death, and period. Using Kitagawa's method, we decomposed non-autopsy rates over time for both language groups. Infant non-autopsy rates increased from 38.6 to 56.2 per 100 for Francophones, and from 41.2 to 57.2 per 100 for Anglophones, between 1989-1995 and 2008-2013...
May 17, 2018: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/29770100/lymphogranuloma-venereum-in-quebec-re-emergence-among-men-who-have-sex-with-men
#7
C A Boutin, S Venne, M Fiset, C Fortin, D Murphy, A Severini, C Martineau, J Longtin, A C Labbé
Background: Lymphogranuloma venereum (LGV) is a sexually transmitted infection (STI) caused by Chlamydia trachomatis genotypes L1 , L2 and L3 . This LGV is associated with significant morbidity and increased risk of HIV transmission. While fewer than two cases per year were reported in Quebec before 2005, LGV emerged in 2005-2006 with 69 cases, followed by a period of low incidence (2007-2012), and subsequent re-emergence since 2013. Objectives: To describe the incidence of LGV in Quebec and the characteristics of the affected population, including demographics and risk factors, clinical manifestations, laboratory tests, treatments and reinfection rates...
February 1, 2018: Canada Communicable Disease Report, Relevé des Maladies Transmissibles Au Canada
https://www.readbyqxmd.com/read/29770089/-salmonella-thompson-outbreak-associated-with-consumption-of-chicken-shawarma-and-the-usefulness-of-genome-sequencing-in-the-investigation
#8
C Gaulin, M Fiset, C Duchesne, D Ramsay, N Savard, A Urbanek, P A Pilon, V Usongo, S Bekal
Background: A sudden increase in Salmonella Thompson ( S . Thompson) cases distributed throughout three border regions in the province of Quebec in November 2016 triggered a provincial investigation to identify a common source of contamination and to put the appropriate control measures into place. Objective: To report on the outbreak and to describe the use of genomic sequencing to identify the salmonella serotype responsible. Methods: A descriptive survey of all reported cases of Salmonella serogroup C1 that had occurred between October 1, 2016 and February 15, 2017 was conducted...
September 7, 2017: Canada Communicable Disease Report, Relevé des Maladies Transmissibles Au Canada
https://www.readbyqxmd.com/read/29770083/an-outbreak-of-shiga-toxin-producing-escherichia-coli-o121-infections-associated-with-flour-canada-2016-2017-%C3%A2
#9
V Morton, J M Cheng, D Sharma, A Kearney
As of May 23, 2017, 29 cases of a new Escherichia coli O121 infection have been identified in six provinces (Alberta, British Columbia, Newfoundland and Labrador, Ontario, Quebec and Saskatchewan) linked with the consumption of uncooked flour. One additional case was identified in a U.S. resident who traveled to Canada during the exposure period. Patients' ages ranged from 2-79 years (median = 23.5 years) and 50% were female. Eight patients were hospitalized, and one developed hemolytic uremic syndrome. Because of the recent emergence of E...
July 6, 2017: Canada Communicable Disease Report, Relevé des Maladies Transmissibles Au Canada
https://www.readbyqxmd.com/read/29767620/quantile-regression-analysis-of-language-and-interpregnancy-interval-in-quebec-canada
#10
Nathalie Auger, Lucien Lemieux, Marianne Bilodeau-Bertrand, Amadou Diogo Barry, André Costopoulos
INTRODUCTION: Short and long interpregnancy intervals are associated with adverse perinatal outcomes such as miscarriage and preterm delivery, but cultural differences in interpregnancy intervals are understudied. Identifying cultural inequality in interpregnancy intervals is necessary to improve maternal-child outcomes. We assessed interpregnancy intervals for Anglophones and Francophones in Quebec. METHODS: We obtained birth records for all infants born in Quebec, 1989-2011...
May 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/29766499/optimal-timing-of-physician-visits-after-hospital-discharge-to-reduce-readmission
#11
Bruno D Riverin, Erin C Strumpf, Ashley I Naimi, Patricia Li
OBJECTIVE: To identify the optimal timing of in-person physician visit after hospital discharge to yield the largest reduction in readmission among elderly or chronically ill patients. DATA SOURCES/STUDY SETTING/EXTRACTION METHODS: We extracted insurance billing data on 620,656 admissions for any cause from 2002 to 2009 in Quebec, Canada. STUDY DESIGN: We used flexible survival models to estimate inverse probability weights for the precise timing (days) of in-person physician visit after discharge and weighted competing risk outcome models...
May 15, 2018: Health Services Research
https://www.readbyqxmd.com/read/29766376/long-term-etanercept-retention-patterns-and-factors-associated-with-treatment-discontinuation-a-retrospective-cohort-study-using-canadian-claims-level-data
#12
Majed Khraishi, Jelena Ivanovic, Yvonne Zhang, Brad Millson, Marie-Josee Brabant, Katia Charland, John Woolcott, Heather Jones
To examine 12-month retention rates over 6 years of etanercept patients in Canada, and to identify factors associated with treatment discontinuation. A retrospective cohort study was conducted using longitudinal prescription drug claims data from IQVIA Private Drug Plan database (PDP), Ontario Public Drug Plan database (OPDP), and Régie de l'assurance maladie du Québec database (RAMQ). Between 07/2008 and 06/2010, bio-naïve patients who initiated etanercept were identified and followed for 72 months. Twelve-month retention rates were estimated in one-year increments and factors associated with time to discontinuation over the 72-month period were identified using a Cox proportional hazards regression model...
May 16, 2018: Clinical Rheumatology
https://www.readbyqxmd.com/read/29764106/the-challenges-of-a-complex-and-innovative-telehealth-project-a-qualitative-evaluation-of-the-eastern-quebec-telepathology-network
#13
Hassane Alami, Jean-Paul Fortin, Marie-Pierre Gagnon, Hugo Pollender, Bernard Têtu, France Tanguay
BACKGROUND: The Eastern Quebec Telepathology Network (EQTN) has been implemented in the province of Quebec (Canada) to support pathology and surgery practices in hospitals that are lack of pathologists, especially in rural and remote areas. This network includes 22 hospitals and serves a population of 1.7 million inhabitants spread over a vast territory. An evaluation of this network was conducted in order to identify and analyze the factors and issues associated with its implementation and deployment, as well as those related to its sustainability and expansion...
September 13, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/29762633/using-a-mixture-of-bivariate-regression-model-to-explore-heterogeneity-of-effects-of-use-of-inhaled-corticosteroids-on-gestational-age-and-birthweight-among-pregnant-women-with-asthma
#14
Mariia Samoilenko, Lucie Blais, Isabelle Boucoiran, Geneviève Lefebvre
Asthma is a heterogeneous disease, and responses to asthma medications vary noticeably among patients. A substantively oriented objective of this study was to explore the potential heterogeneous effects of maternal inhaled corticosteroids (ICS) exposure on gestational age (GA) at delivery and birthweight (BW) using a cohort of 6,197 pregnancies from women with asthma (Quebec, Canada, 1998-2008). A methodologically oriented objective was to comprehensively describe the application of a Bayesian two-component mixture of bivariate regressions to address this issue and estimate the effects of ICS on GA and BW jointly...
May 14, 2018: American Journal of Epidemiology
https://www.readbyqxmd.com/read/29760272/physical-activity-assessment-and-counseling-in-quebec-family-medicine-groups
#15
Aurélie Baillot, Jean-Patrice Baillargeon, Alex Paré, Thomas G Poder, Christine Brown, Marie-France Langlois
OBJECTIVE: To determine how often primary health care providers (PHCPs) in family medicine groups (FMGs) assess physical activity (PA) levels, provide PA counseling (PAC), and refer patients to exercise professionals; to describe patients' PA levels, physical fitness, and satisfaction regarding their PA management in FMGs; to describe available PA materials in FMGs and PHCPs' PAC self-efficacy and PA knowledge; and to identify characteristics of patients and PHCPs that determine the assessment of PA and PAC provided by PHCPs...
May 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29759976/missed-opportunities-for-prevention-of-vertical-hiv-transmission-in-canada-1997-2016-a-surveillance-study
#16
Ari Bitnun, Terry Lee, Jason Brophy, Lindy M Samson, Fatima Kakkar, Wendy Vaudry, Ben Tan, Deborah M Money, Joel Singer, Laura J Sauvé, Ariane Alimenti
BACKGROUND: Vertical HIV transmission has declined in Canada, but missed opportunities for prevention continue to occur. We sought to determine the adequacy, and changes over time in adequacy, of uptake of maternal and neonatal antiretroviral therapy for the prevention of vertical HIV transmission, and to determine the vertical transmission rate over time and according to adequacy of antenatal antiretroviral therapy during the combination antiretroviral therapy era in Canada. METHODS: The Canadian Perinatal HIV Surveillance Program collects data annually through retrospective chart review concerning HIV-infected women and their infants...
May 10, 2018: CMAJ Open
https://www.readbyqxmd.com/read/29759674/population-based-evaluation-of-major-adverse-events-after-catheter-ablation-for-atrial-fibrillation
#17
Michelle Samuel, Mohammad Almohammadi, Meytal Avgil Tsadok, Jacqueline Joza, Cynthia A Jackevicius, Maria Koh, Hassan Behlouli, Atul Verma, Louise Pilote, Vidal Essebag
OBJECTIVES: The purpose of this study was to evaluate the safety and incidence of periprocedural adverse events (AEs) among patients who underwent catheter ablation (CA) for atrial fibrillation (AF) in Quebec and Ontario, Canada. BACKGROUND: CA is evolving into the mainstay therapy for patients with symptomatic AF refractory to antiarrhythmic medication. However, the safety of CA at the population level over time requires further evaluation. METHODS: A population-based cohort was constructed using administrative databases of all patients who underwent CA between 1999 and 2014 in Quebec and Ontario, Canada...
December 11, 2017: JACC. Clinical Electrophysiology
https://www.readbyqxmd.com/read/29757352/evaluation-of-the-impact-of-a-rotavirus-vaccine-program-on-pediatric-acute-gastroenteritis-hospitalizations-estimating-the-overall-effect-attributable-to-the-program-as-a-whole-and-as-a-per-unit-change-in-rotavirus-vaccine-coverage
#18
Margaret K Doll, Caroline Quach, David L Buckeridge
Estimation of the overall effect of a vaccine program is essential, but the effect is typically estimated for a whole program. We estimate the overall effect of the Quebec rotavirus vaccine program launched in November 2011, and the effect for each 10% increase in rotavirus vaccine coverage on pediatric, all-cause acute gastroenteritis hospitalizations. We implemented negative binomial regressions adjusted for seasonality, long-term trends, and infection dynamics, to estimate the effect of the vaccine program as: 1) a dichotomous variable, representing program presence/absence, and linear term to account for changes in trend in the post-program period, or 2) a continuous variable, representing rotavirus vaccine coverage...
May 11, 2018: American Journal of Epidemiology
https://www.readbyqxmd.com/read/29755168/amount-and-content-of-sensorimotor-therapy-delivered-in-three-stroke-rehabilitation-units-in-quebec-canada
#19
Carol L Richards, Francine Malouin, Sylvie Nadeau, Joyce Fung, Line D'Amours, Claire Perez, Anne Durand
Purpose: This study creates a baseline clinical portrait of sensorimotor rehabilitation in three stroke rehabilitation units (SRUs) as a first step in implementing a multi-centre clinical research platform. Method: Participants in this cross-sectional, descriptive study were the patients and rehabilitation teams in these SRUs. Prospective (recording of therapy time and content and a Web-based questionnaire) and retrospective (chart audit) methods were combined to characterize the practice of the rehabilitation professionals...
2018: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/29753888/mobility-and-satisfaction-with-a-microprocessor-controlled-knee-in-moderately-active-amputees-a-multi-centric-randomized-crossover-trial
#20
Céline Lansade, Eric Vicaut, Jean Paysant, Doménico Ménager, Marie-Christine Cristina, Frank Braatz, Stephan Domayer, Dominic Pérennou, Gérard Chiesa
OBJECTIVE: Microprocessor-controlled knees are generally prescribed and reimbursed for active amputees. Recent studies suggested that this technology could be useful for amputees with moderate activity level. We compared the efficiency of a microprocessor-controlled knee (MPK, Kenevo, Otto Bock) and non-MPKs (NMPKs) in these indications. METHODS: A multi-centric randomized crossover trial was conducted in 16 hospitals from 3 European countries. Participants were randomized to an MPK-NMPK sequence, testing the MPK for 3 months and the NMPK for 1 month, or to an NMPK-MPK sequence, testing the NMPK for 1 month and the MPK for 3 months...
May 10, 2018: Annals of Physical and Rehabilitation Medicine
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