220,545 results on '"Alberta"'
Search Results
2. First to $15: Alberta's Minimum Wage Policy on Employment by Wages, Ages, and Places.
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Fossati, Sebastian and Marchand, Joseph
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INCOMES policy (Economics) ,MINIMUM wage ,EMPLOYMENT policy ,YOUNG workers ,LABOR supply ,CITIES & towns - Abstract
Most minimum wage studies are identified on small, plentiful, mostly expected wage changes, spread out over time. A recent set of changes have instead been large, rapid, and unexpected, following the "Fight for $15" movement. Alberta is the first North American province, state, or territory to have this $15 minimum wage, with an unexpectedly large increase (47%) occurring over a short time horizon (3 years). The employment effects of this policy are estimated using a synthetic control approach on Labour Force Survey data. Similar to the existing literature, workers moved up the wage distribution, increment by increment, but with a higher distributional reach. Employment losses occurred at similar elasticities, but with large level changes, mostly among younger workers. Newer to the literature, regional employment losses were found in four of the five non-urban economic regions, but not in Alberta's two main cities, showing the significance and nuance of regional heterogeneity. [ABSTRACT FROM AUTHOR]
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- 2024
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3. Using Qualtrics XM to Create a Point-of-Use Survey to Assess the Usability of a Local Implementation of Primo.
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Black, Matthew, Ganshorn, Heather, and Wheeler, Justine
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REMOTE access networks , *ACADEMIC libraries , *LIBRARY reference services , *DATABASE searching , *APPLICATION software , *MOBILE apps , *SURVEYS , *LIBRARY public services , *INFORMATION retrieval , *WORLD Wide Web , *INFORMATION technology - Abstract
In 2020, Libraries and Cultural Resources (LCR) at the University of Calgary used Qualtrics XM to design and pilot a point-of-use survey to collect user feedback on the usability of our implementation of Primo, Ex Libris's web-scale discovery service. Over a two-week period, users were presented with the pop-up survey while searching and asked to provide feedback. This article summarizes how we designed and implemented this point-of-use survey and the lessons learned from this project. [ABSTRACT FROM AUTHOR]
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- 2023
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4. MAIN OFFICES
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ALSTOM Transportation Inc. -- International economic relations ,Railcar Management Inc. -- International economic relations ,Greenbrier Companies Inc. -- International economic relations ,Railroads -- Cars ,Web sites ,Railroad equipment industry -- International economic relations ,Company Web site/Web page ,Business ,Transportation industry - Abstract
3M COMPANY 3M Center 235-3A-09, St. Paul, MN 55144-1000, Tel: 651 733-3879, Toll Free: 800 553-1380, Web Site: www. jm.com, Abrasives, tapes, respirators and reflective markings for rail cars. A. [...]
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- 2024
5. Canadian Oil Sands Producers Invest in Operations: As demand and production grows, oils sands operators use new equipment and technology to mine more safely and efficiently
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Plovie, Mack
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Imperial Oil Company Inc. -- Investments -- International economic relations ,Canadian Natural Resources Ltd. -- International economic relations -- Investments ,Suncor Energy Inc. -- Investments -- International economic relations ,Oil sands ,Petroleum industry -- International economic relations ,Automobile services industry -- International economic relations ,Rivers ,Natural resources -- Alberta -- Canada -- United States ,Company investment ,Business ,Engineering and manufacturing industries ,Petroleum, energy and mining industries - Abstract
Situated in the Western Canadian Sedimentary Basin lies the third largest oil resource in the world, the Canadian Oil Sands, containing approximately 164 billion barrels of oil, or 95% of [...]
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- 2024
6. Culturally responsive policy development: Co-constructing assessment and reporting practices with First Nation educators in Alberta
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Hill, S Laurie and Sietz, Paolina
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- 2023
7. Lethal wolf control elicits change in moose habitat selection in unexpected ways.
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Ethier, Claire A., Barnas, Andrew F., Boucher, Nicole P., Baillie‐David, Katherine, and Fisher, Jason T.
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REINDEER , *MOOSE , *CARIBOU , *PREDATOR management , *HABITAT selection , *PREDATION , *WOLVES - Abstract
Moose (Alces alces) and woodland caribou (Ranger tarandus caribou) are the 2 large prey species for wolves (Canis lupus) in the Nearctic boreal forest in North America. Caribou have declined, with widespread anthropogenic disturbance as the ultimate cause and wolf predation as the proximal cause. To conserve caribou the government of Alberta, Canada initiated a wolf control program to reduce predation rates on caribou populations and contribute to caribou population recovery. Predators play an important role in shaping the structure and function of ecosystems through top‐down forces. We hypothesized that the strongest factors influencing moose occurrences would reflect changes in predation risk before and after the onset of wolf control. We weighed evidence for competing hypothesis by deploying cameras across a highly industrialized landscape in Alberta for 3 years after wolf control (2017–2020), capitalizing on 3 years of existing data before the onset of wolf control (2011–2014). We created generalized linear models representing competing hypotheses about moose response to natural and anthropogenic landscape features before and after wolf control, examining support for each in an information‐theoretic framework. Prior to wolf control, the model containing landscape features providing security cover was best‐supported, but this was scale‐dependent. After wolf control, the model containing landscape features that offer increased forage opportunities was best‐supported. Unexpectedly, the direction of effect was often opposite to predictions, with moose avoiding some features thought to provide security and forage. We demonstrate that lethal predator control affects the spatial distribution of its primary prey species but in ways we do not fully comprehend, highlighting the need for a better understanding of community dynamics following wolf control. [ABSTRACT FROM AUTHOR]
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- 2024
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8. Impact of COVID-19 Pandemic on Chronic Obstructive Pulmonary Disease Healthcare Use, Exacerbations, and Mortality: A Population Study.
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Lam, Grace Y., Wen, Chuan, Ronksley, Paul E., Bakal, Jeffrey A., Bhutani, Mohit, Soril, Lesley J. J., Stickland, Michael K., Gross, Douglas P., and Weatherald, Jason
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COVID-19 ,CHRONIC obstructive pulmonary disease ,COVID-19 pandemic ,EMERGENCY room visits ,DISEASE management ,MEDICAL care - Abstract
Rationale: Existing work suggests that patients with chronic obstructive pulmonary disease (pwCOPD) presented less frequently to the emergency department and were less likely to be hospitalized during the coronavirus disease (COVID-19) pandemic, but it is unclear if this was due to improved health and disease management or to increased barriers and/or avoidance of health care. Objectives: The objective of this study was to determine the impact of the pandemic on inpatient and outpatient healthcare use, disease incidence, and mortality rates in pwCOPD. Methods: A retrospective population-based analysis using linked administrative datasets from Alberta, Canada 18 months before and after March 12, 2020 was conducted to measure hospitalization, emergency department and outpatient visits, and COPD outpatient exacerbations during these time periods. Mortality data were also analyzed before versus after the pandemic, taking confirmed COVID-19 infection within 30 days into account. Subgroup analysis based on COPD exacerbation risk stratification was undertaken to determine if healthcare use differed based on exacerbation risk. Finally, sex-based analysis of healthcare use during the pandemic was also completed. Results: Hospitalization or emergency department visits and outpatient treatment for acute exacerbations of COPD dropped, whereas total outpatient COPD visits, including both virtual and in person, increased during the pandemic for pwCOPD. The mortality rate increased even after adjusting for COVID-19–associated deaths. Sex-based subgroup analysis showed a greater drop in acute care use for females, but the rise in mortality was seen for both sexes, with men experiencing a greater rate of mortality than women. Conclusions: Overall, pwCOPD accessed acute care resources less during the pandemic, which may have contributed to a rise in non–COVID-19 all-cause mortality. [ABSTRACT FROM AUTHOR]
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- 2024
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9. Visualizing the risk landscape to adaptively increase post-release survival of translocated Galliformes.
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Nelson, Shelley L., Saher, D. Joanne, Huang, John, McKinnon, Donald T., Coleing, Amelia, Griebel, Ilsa A., Wellicome, Troy I., Moehrenschlager, Axel, and Heinrichs, Julie A.
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CAPTIVITY ,GALLIFORMES ,SAGE grouse ,ENVIRONMENTAL risk ,MORTALITY risk factors ,POPULATION viability analysis ,SURVIVAL rate - Abstract
Translocation of captive-bred animals is a widely used conservation strategy to support the recovery of imperiled wild populations. Identifying which factors enhance or limit survival after release can be important in adapting translocation strategies, particularly for species with low survival rates after release from captivity. Many translocation programs track post-translocation survival, but few complete spatial-statistical assessments of mortality risk associated with release environments. Typically, few animals are released from captive breeding programs, limiting the sample size available for analyses. We aimed to create a workflow that used limited datasets to evaluate the influence of spatial conditions and other factors on mortality risk. Greater sage-grouse (Centrocercus urophasianus) are endangered in Canada and of conservation concern throughout their range in the United States. After the species declined precipitously in Canada, a captive breeding program was initiated with subsequent releases in Alberta and Saskatchewan. Despite success in captive breeding, mortality rates of released sage-grouse were high. We used GPS- and VHF-based locations of released sage-grouse to determine how spatial features influence mortality risk of sage-grouse after release from captivity. We implemented a multistep approach to quantify and map risk relative to the environmental features associated with mortality. We also assessed whether the movement behaviors of sage-grouse correspond with environmental risk factors by using a combination of survival models and integrated step-selection functions. Mortality of sage-grouse in Alberta was hastened in areas close to anthropogenic disturbance. Although birds in Alberta avoided areas of higher mortality risk, those in Saskatchewan did not, perhaps due to environmental and selection constraints. This multistep approach allowed us to utilize small sample sizes to assess key risk factors in the landscape. This process supports the adaptive modification of translocation plans and can similarly support other data-limited scientists and managers in assessing environmental mortality risk and defining conservation actions for endangered species. [ABSTRACT FROM AUTHOR]
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- 2024
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10. Dairy farmers' considerations for antimicrobial treatment of clinical mastitis in British Columbia and Alberta, Canada.
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de Jong, Ellen, van der Velden, Inge, Smid, Anne-Marieke C., Ida, Jennifer A., Reyher, Kristen K., Kelton, David F., and Barkema, Herman W.
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DAIRY farmers ,MASTITIS ,TERMINATION of treatment ,DRUG accessibility ,DAIRY farms - Abstract
Introduction: Clinical mastitis (CM) treatment decision-making is a multifaceted process that remains relatively understudied, despite CM being one of the most prevalent diseases on dairy farms worldwide, contributing greatly to the use of antimicrobials in the dairy industry. This study aimed to gain insights into decision-making mechanisms employed by dairy farmers in British Columbia and Alberta, Canada, when dealing with CM. Methods: Interviews were held with 15 dairy farmers in the Canadian provinces of British Columbia and Alberta and analyzed using reflexive thematic analysis to develop both the decision-pathway and overarching themes influencing the CM decisions by farmers in this region. Results and discussion: The analysis generated a decision-making process that begins with identification and classification of CM, guided by visual characteristics of milk and the udder, available milk production and quality data, presence of systemic signs, and additional diagnostics. Subsequently, CM cases are assessed based on the likelihood of cure, value of the cow, and herd goals to decide whether antimicrobial treatment is desired. Next, a treatment choice is made by evaluating severity and urgency of the case, availability of drugs and timing of the case. Finally, definition of treatment success and progression over time following the treatment decision guides the termination of treatment. Three overarching themes were generated that shape the decision-making process: 'Personal attributes', including personal approach and experiential knowledge; 'Inter-actor dynamics', such as shared decision-making and dynamics among producers, veterinarians, and milkers; and 'Moving beyond protocols', which highlights the dynamic nature of mastitis decision-making. These insights have the potential to inform the development of effective interventions to improve CM antimicrobial use that align with the reality of farming operations within Western Canada, and potentially beyond. [ABSTRACT FROM AUTHOR]
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- 2024
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11. A multidimensional tool to measure farm stressors: development and initial validation of the farmer stress assessment tool (FSAT).
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Purc-Stephenson, R. J., Dedrick, S., and Hood, D.
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MASLACH Burnout Inventory ,CONVENIENCE sampling (Statistics) ,EXPLORATORY factor analysis ,PREDICTIVE validity ,LITERATURE reviews ,CONFIRMATORY factor analysis ,AGRICULTURAL implements - Abstract
Background: Farming is a stressful occupation, and a growing body of research shows that farm stressors are associated with poor mental health. To date, there are few methodologically sound surveys that assess farm stressors, and none have been validated for the Canadian context. Our study aimed to: (a) investigate the types of stressors experienced by farmers, (b) develop a farm stress assessment tool and test its factor structure and internal consistency, and (c) assess its criterion-related validity to self-reported levels of anxiety, depression, burnout, and resilience among farmers. Methods: We developed a 20-item survey based on a review of the literature, examining existing farm stress surveys, and consulting 10 farmers and agricultural industry experts. Then, a convenience sample of farmers living in Alberta, Canada (Sample 1, N = 354) completed a questionnaire containing the 20-item farm stress survey and four validated measures that assessed depression, anxiety, burnout, and resilience. Sample 1 was used to assess the factor structure using exploratory factor analysis (EFA), internal consistency, and criterion-validity of the survey. Next, a convenience sample of farmers living outside of Alberta (Sample 2, N = 138) was used to evaluate the factor structure of the survey using confirmatory factor analysis (CFA). Results: The results of the EFA revealed five underlying dimensions of farm stressors: Unexpected work disruptions, Agricultural hazards, Farm and financial planning, Isolation, and Regulations and public pressure. The subscales accounted for 61.6% of the variance, and the internal consistency (Cronbach's alpha) ranged from 0.66 to.75. Subscale correlations were below 0.44, indicating evidence of discriminant validity. Correlations between the five subscales and the four mental health outcome variables supported the criterion-related validity of the survey. The results of the CFA indicated that the data fit the model, and fit was further improved by correlating one pair of error terms. Conclusions: Preliminary analysis of our Farmer Stress Assessment Tool (FSAT) suggests it is a reliable and valid instrument for measuring a range of stressors farmers face. Implications for policy and community-based mental health interventions that help farmers manage the enduring stressors of agriculture is discussed. [ABSTRACT FROM AUTHOR]
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- 2024
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12. Youth mental health care use during the COVID-19 pandemic in Alberta, Canada: an interrupted time series, population-based study.
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Russell, Matthew Joseph, Urichuk, Liana, Parker, Naomi, Agyapong, Vincent Israel Opoku, Rittenbach, Katherine, Dyson, Michele P., and Hilario, Carla
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MEDICAL care use , *HEALTH services accessibility , *CROSS-sectional method , *MENTAL health services , *RESEARCH funding , *SEX distribution , *DESCRIPTIVE statistics , *AGE distribution , *POPULATION geography , *DATA analysis software , *CONFIDENCE intervals , *COVID-19 pandemic , *SOCIAL classes - Abstract
Background: During the COVID-19 pandemic, youth had rising mental health needs and changes in service accessibility. Our study investigated changes in use of mental health care services for Canadian youth in Alberta before and during the COVID-19 pandemic. We also investigated how youth utilization patterns differed for subgroups based on social factors (i.e., age, gender, socioeconomic status, and geography) previously associated with health care access. Methods: We used cross-sectional population-based data from Alberta, Canada to understand youth (15–24 year) mental health care use from 2018/19 to 2021/22. We performed interrupted time series design, segmented regression modeling on type of mental health care use (i.e., general physician, psychiatrist, emergency room, and hospitalization) and diagnosis-related use. We also investigated the characteristics of youth who utilized mental health care services and stratified diagnosis-related use patterns by youth subgroups. Results: The proportion of youth using mental health care significantly increased from 15.6% in 2018/19 to 18.8% in 2021/22. Mental health care use showed an immediate drop in April 2020 when the COVID-19 pandemic was declared and public health protections were instituted, followed by a steady rise during the next 2 years. An increase was significant for general physician and psychiatrist visits. Most individual diagnoses included in this study showed significant increasing trends during the pandemic (i.e., anxiety, adjustment, ADHD, schizophrenia, and self-harm), with substance use showing an overall decrease. Mortality rates greatly increased for youth being seen for mental health reasons from 71 per 100,000 youth in 2018/19 to 163 per 100,000 in 2021/22. In addition, there were clear shifts over time in the characteristics of youth using mental health care services. Specifically, there was increased utilization for women/girls compared to men/boys and for youth from wealthier neighborhoods. Increases over time in the utilization of services for self-harm were limited to younger youth (15–16 year). Conclusions: The study provides evidence of shifts in mental health care use during the COVID-19 pandemic. Findings can be used to plan for ongoing mental health needs of youth, future pandemic responses, and other public health emergencies. [ABSTRACT FROM AUTHOR]
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- 2024
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13. Feasibility Study of Anisotropic Full-Waveform Inversion with DAS Data in a Vertical Seismic Profile Configuration at the Newell County Facility, Alberta, Canada.
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Qu, Luping, Pan, Wenyong, Innanen, Kristopher, Macquet, Marie, and Lawton, Donald
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SURFACE waves (Seismic waves) , *VERTICAL seismic profiling , *EARTH sciences , *INVERSION (Geophysics) , *FEASIBILITY studies , *OPTICAL fibers , *CARBON dioxide - Abstract
As an emerging seismic acquisition technology, distributed acoustic sensing (DAS) has drawn significant attention in earth science for long-term and cost-effective monitoring of underground activities. Field seismic experiments with optical fibers in a vertical seismic profile (VSP) configuration were conducted at the Newell County Facility of Carbon Management Canada in Alberta, Canada, for CO 2 injection and storage monitoring. Seismic full-waveform inversion (FWI) represents one promising approach for high-resolution imaging of subsurface model properties. In this study, anisotropic FWI with variable density is applied to the DAS-recorded walk-away VSP data for characterizing the subsurface velocity, anisotropy, and density structures, serving as baseline models for future time-lapse studies at the pilot site. Synthetic inversion experiments suggest that, without accounting for anisotropy, the inverted density structures by isotropic FWI are damaged by strong trade-off artifacts. Anisotropic FWI can provide more accurate P-wave velocity, density, and valuable anisotropy models. Field data applications are then performed to validate the effectiveness and superiority of the proposed methods. Compared to the inversion outputs of isotropic FWI, the inverted P-wave velocity by anisotropic FWI matches trend variation of the well log more closely. In the inverted density model, the CO 2 injection formation can be clearly resolved. The inverted anisotropy parameters provide informative references to interpret the structures and lithology around the target CO 2 injection zone. [ABSTRACT FROM AUTHOR]
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- 2024
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14. The Access Paradox: unmet healthcare needs among young adults in Alberta – an exploratory study of the systemic ironies in healthcare accessibility.
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Rao, Sandy
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HEALTH services accessibility , *CROSS-sectional method , *HEALTH status indicators , *MENTAL health , *MEDICAL care , *LOGISTIC regression analysis , *HELP-seeking behavior , *FUNCTIONAL status , *ANXIETY , *AFFECTIVE disorders , *MULTIVARIATE analysis , *CHI-squared test , *RESEARCH , *CONCEPTUAL structures , *MEDICAL needs assessment , *HEALTH equity , *DATA analysis software , *SELF-perception - Abstract
There is a pressing need to investigate how young adults' access to healthcare, including how delayed help‐seeking behaviours and the complexities inherent in traditional healthcare systems, exacerbate the challenges they face. This study explores the associations among functional impairments, self‐perceptions of health, anxiety and mood disorders and their potential relationship to unmet healthcare needs among young adults aged 20–29. This cross‐sectional study used data from the 2017–2018 Canadian Community Health Survey to analyse a sample of 1636 young adults from Alberta, Canada. Central to the analysis was the application of conceptual framework of access to health care, as it offers a comprehensive view of healthcare access. Among the sampled young adults, 7.0% reported unmet healthcare needs. Self‐perceived unmet healthcare needs were significantly associated with anxiety disorders, functional impairments—specifically cognitive and social skills, and self‐perceptions of poor or fair mental health, as opposed to those perceiving their mental health as excellent. Multivariable analyses incorporating extraneous variables were not statistically significant, emphasising the critical role of systemic and structural factors in healthcare access. The study presents preliminary insights into the intricate dynamics shaping unmet healthcare needs. These insights can guide future research and practice advances, particularly in developing targeted interventions that effectively reduce healthcare disparities and enhance access to healthcare services for young adults. [ABSTRACT FROM AUTHOR]
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- 2024
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15. The Spectrum of Intracranial Arteriopathies and Ischemic Strokes in Pediatric Tubercular Meningitis: A Tricentric Study From Eastern India.
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Das, Suman, Ray, Biman Kanti, Nandi, Madhumita, Mondal, Gobinda, and Paul, Dilip Kumar
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ISCHEMIC stroke , *INTERNAL carotid artery , *MENINGITIS , *STROKE , *MAGNETIC resonance angiography - Abstract
Addressing the need to uniformly classify arteriopathies among patients with arterial ischemic stroke (AIS) due to tubercular meningitis (TBM), we used the Childhood AIS Standardised Classification and Diagnostic Evaluation (CASCADE) criteria. This tri-centric prospective study included children aged 0.5-12 years with TBM and AIS. Magnetic resonance angiographies (MRAs) were done during admission and repeated 3 and 12 months after discharge. Arteriopathies were classified according to the primary CASCADE criteria. We used the modified Pediatric Alberta Stroke Programme Early Computed Tomography Score as an ordinal measure of infarct volume. The severity of arteriopathies was graded using the focal cerebral arteriopathy severity score (FCASS). The final outcomes were measured at the 12-month follow-up visit using the Pediatric Stroke Outcome Measure (PSOM). Out of 55 patients, 64% had MRA-evidenced arteriopathies and 84% had multiple infarcts. The middle cerebral (46%) and internal carotid arteries (22%) were most commonly affected. The basal ganglia (70%) and the cerebral cortex (61%) were most commonly infarcted. CASCADE categories included 3b (40%), 1d (38%), 2b (16%), 2c (5%), progressive (32%), and stable (44%) arteriopathies. Younger age, hypertrophic pachymeningitis, cortical infarcts, recurrent strokes, progressive arteriopathies, EEG abnormalities, and mortality were significantly higher among patients with MRA-proven arteriopathies. Patients with progressive arteriopathies had a significantly higher prevalence of hypertrophic pachymeningitis, cortical infarcts, and recurrent strokes. FCASS correlated positively with outcomes measured by the Pediatric Stroke Outcome Measure and modified Pediatric Alberta Stroke Programme Early Computed Tomography Score. The CASCADE classification clarified the arteriopathy patterns, enabling us to correlate them with the characteristics of the infarcts. FCASS is useful to grade the arteriopathy severity and progression in TBM. [ABSTRACT FROM AUTHOR]
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- 2024
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16. Multi‐method sampling increases detectability and assessment of spatio‐temporal interactions of mammals and birds in wetland habitats.
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Hood, Glynnis A.
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WETLANDS , *BIRD populations , *BIRD habitats , *MAMMALS , *AMERICAN mink , *WILDLIFE monitoring , *BEAVERS , *FRESHWATER habitats , *CICONIIFORMES - Abstract
Freshwater habitats support high levels of biodiversity and provide important habitat for wetland‐dependent taxa; however, impairment of aquatic connectivity through wetland loss, stream alterations and light pollution impacts species persistence and community resilience. Quantifying occupancy of these habitats to assess their use by mammals and birds can be challenging, especially for cryptic species.This study examines wetland habitat use by mammals and birds, and their spatial and temporal relationships within the Beaver Hills Biosphere in Alberta, Canada. As part of a multi‐method detection approach, camera boxes, cameras on beaver dams, and camera rafts allowed for multivariate analyses to determine temporal and spatial patterns of habitat use and species associations, while field sampling and environmental DNA (eDNA) provided data on site occupancy by a subset of semi‐aquatic mammals.From ~50,000 images, over 84 species were detected, including 52 species of birds and 25 species of mammals. Several species were spatially associated, and although most species of mammals exhibited temporal overlap, there were distinct differences, especially on beaver dams where predators such as coyotes and white‐tailed deer shared the same space. Temporally, birds were detected most often during the day and mammals at night. During new moon phases, use of beaver dams by beavers decreased dramatically, and use of camera rafts by muskrats increased.Winter field surveys allowed for a broad overview of wetland occupancy and abundance of some species, particularly by beavers and muskrats, and occasionally winter use by other semi‐aquatic mammals. Where there was limited detection of more cryptic species of semi‐aquatic mammals, eDNA analysis successfully detected American water shrew, American mink, North American river otter and northern bog lemming more often than camera and field methods.Applying a multi‐method monitoring approach for mammals and birds in wetland habitats is critical at a time when freshwater systems are experiencing dramatic declines in relative abundance of monitored wildlife populations, with many of these species underrepresented in conventional surveys. [ABSTRACT FROM AUTHOR]
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- 2024
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17. A Cross-Sectional Validation of Horos and CoreSlicer Software Programs for Body Composition Analysis in Abdominal Computed Tomography Scans in Colorectal Cancer Patients.
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Jiménez-Sánchez, Andrés, Soriano-Redondo, María Elisa, Pereira-Cunill, José Luis, Martínez-Ortega, Antonio Jesús, Rodríguez-Mowbray, José Ramón, Ramallo-Solís, Irene María, and García-Luna, Pedro Pablo
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BODY composition , *MUSCULAR atrophy , *MUSCLE mass , *ADIPOSE tissues , *RESOURCE-limited settings - Abstract
Background: Body composition assessment using computed tomography (CT) scans may be hampered by software costs. To facilitate its implementation in resource-limited settings, two open-source segmentation programs (Horos and CoreSlicer) were transversally validated in colorectal cancer patients. Methods: Contrast-enhanced abdominal CT scans were analyzed following the Alberta protocol. The Cross-Sectional Area (CSA) and intensities of skeletal muscle tissue (MT), subcutaneous adipose tissue (SAT), visceral adipose tissue (VAT), and intramuscular adipose tissue (IMAT) were measured. The Skeletal Muscle Index (SMI) was calculated. Cutoff points were applied to the SMI, MT intensity, and VAT CSA to define muscle atrophy, myosteatosis, and abdominal obesity. The inter-software agreement was evaluated using different statistical tools. Results: A total of 68 participants were measured. The MT CSA and SMI displayed no differences. The MT CSA agreement was excellent, and both programs provided equal muscle atrophy prevalences. CoreSlicer underestimated the MT intensity, with a non-significant myosteatosis prevalence increase (+5.88% and +8.82%) using two different operative definitions. CoreSlicer overestimated the CSA and intensity in both VAT and SAT, with a non-significant increase (+2.94%) in the abdominal obesity prevalence. Conclusions: Both software programs were feasible tools in the study group. The MT CSA showed great inter-software agreement and no muscle atrophy misdiagnosis. Segmentation differences in the MT intensity and VAT CSA caused limited diagnostic misclassification in the study sample. [ABSTRACT FROM AUTHOR]
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- 2024
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18. Predicting airborne ascospores of Sclerotinia sclerotiorum through machine learning and statistical methods.
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Reich, Jonathan, McLaren, Debra, Kim, Yong Min, Wally, Owen, Yevtushenko, Dmytro, Hamelin, Richard, and Chatterton, Syama
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STATISTICAL learning , *SCLEROTINIA sclerotiorum , *MACHINE learning , *ASCOSPORES , *SUPPORT vector machines , *BEANS - Abstract
A main biological constraint of dry bean (Phaseolus vulgaris) production in Canada is white mould, caused by the fungal pathogen Sclerotinia sclerotiorum. The primary infectious propagules of S. sclerotiorum are airborne ascospores and monitoring the air for inoculum levels could help predict the severity of white mould in bean fields. Daily air samples were collected in commercial dry bean fields in Alberta, Manitoba and Ontario and ascospores were quantified using quantitative PCR. Daily weather data was obtained from in‐field weather stations. The number of ascospores on a given day was modelled using 63 different environmental variables and several modelling methods, both regression and classification approaches, were implemented with machine learning (ML) (random forests, logistic regression and support vector machines) and statistical (generalized linear models) approaches. Across all years and provinces, ascospores were most highly correlated with ascospore release from the previous day (r ranged from 0.15 to 0.6). This variable was also the only variable included in all models and had the greatest weight in all models. Models without this variable had much poorer performance than those with it. Correlations of ascospores with other environmental variables varied by province and sometimes by year. A comparison of ML and statistical models revealed that they both performed similarly, but that the statistical models were easier to interpret. However, the precise relationship between airborne ascospore levels and in‐field disease severity remains unclear, and spore sampling methods will require further development before they can be deployed as a disease management tool. [ABSTRACT FROM AUTHOR]
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- 2024
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19. Describing the characteristics and symptom profile of a group of urban patients experiencing socioeconomic inequity and receiving palliative care: a descriptive exploratory analysis.
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Moore, Harrison, Bablitz, Cara, Santos Salas, Anna, Morris, Heather, Sinnarajah, Aynharan, and Watanabe, Sharon M.
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HEALTH services accessibility , *PALLIATIVE treatment , *SECONDARY analysis , *RESEARCH funding , *SOCIOECONOMIC disparities in health , *SOCIOECONOMIC factors , *PILOT projects , *QUESTIONNAIRES , *SEX distribution , *DESCRIPTIVE statistics , *AGE distribution , *CHRONIC diseases , *RESEARCH methodology , *RESEARCH , *ECONOMIC impact , *TERMINAL care , *TERMINALLY ill , *HOUSING , *LENGTH of stay in hospitals , *HEALTH equity , *HOMELESSNESS , *COMMUNITY-based social services - Abstract
Background: Individuals experiencing socioeconomic inequity have worse health outcomes and face barriers to palliative and end-of-life care. There is a need to develop palliative care programs tailored to this underserved population. Objectives: To understand the characteristics and symptom profiles of a group of urban patients experiencing socioeconomic inequity and receiving palliative care. Design: Descriptive exploratory analysis of a patient dataset. The patient dataset was generated through a pilot research study with patients experiencing socioeconomic inequity and life-limiting illness who received a community-based palliative care intervention. Methods: The intervention took place over 1 year in the Palliative Care Outreach and Advocacy Team, a community-based urban palliative care clinic in Edmonton, Alberta, Canada, serving persons experiencing socioeconomic inequity. Participants had to be at least 18 years of age, be able to communicate in English, require palliative care for a life-limiting illness, and be able to consent to inclusion in the study. Results: Twenty-five participants were enrolled. Participants predominantly identified as male and Indigenous, experienced poverty and housing instability, and had metastatic cancer. Our participants rated their pain, shortness of breath, and anxiety as more severe than the broader community-based palliative care population in the same city. Most patients died in inpatient hospices (73%). Conclusion: Our analysis provides an in-depth picture of an understudied, underserved population requiring palliative care. Given the higher symptom severity experienced by participants, our analysis highlights the importance of person-centered palliative care. We suggest that socioeconomic inequity should be considered in patients with life-limiting illnesses. Further research is needed to explore palliative care delivery to those facing socioeconomic inequity. [ABSTRACT FROM AUTHOR]
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- 2024
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20. Epidemiology, linkage to care and natural history of women of childbearing age with chronic hepatitis B: A population‐based study.
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Kochaksaraei, Golasa Samadi, Yang, Fengjuan, Seow, Cynthia H., Barkema, Herman W., Coffin, Carla S., and Shaheen, Abdel‐Aziz
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CHRONIC hepatitis B , *NATURAL history , *CHILDBEARING age , *WOMEN'S history , *HEPATITIS B , *EPIDEMIOLOGY - Abstract
Pregnant women with chronic hepatitis B (CHB) are a priority population for hepatitis B care. Identification of HBV status prior to pregnancy would facilitate timely maternal interventions and perinatal care. In our study, we aimed to study the epidemiology of CHB among women of childbearing age (WoCBA, 18–49 years) in Alberta, Canada. We retrospectively analysed Alberta Analytics databases to study CHB epidemiology, natural history and care linkage among WoCBA in Alberta, between April 2012 and March 2021. A Poisson regression was conducted to estimate incidence of newly identified CHB cases and prevalence trends, whereas predictors of care linkage were determined using logistic regression. Age/sex‐adjusted incidence of newly identified CHB among WoCBA between 2015 and 2020 was 36.2/100,000 person/years, highest among individuals aged 30–39 years. Incidence of newly identified CHB decreased from 52.6 to 18.2/100,000 between 2015 and 2020, but prevalence increased from 131.7 to 248.6/100,000 in the same period. Newly identified CHB incident cases (n = 2124) had lower survival rates than age/sex‐matched Canadians, with a standardized mortality ratio of 5.7 (95% CI 2.6–11.0). Increasing age (years) at diagnosis (HR, 1.2; 95% CI 1.1–1.3) was independently associated with mortality. Comorbid hepatocellular carcinoma, anti‐HBV treatment and year of diagnosis were not significantly associated with mortality. Of the 1927 women with 2436 hepatitis B surface antigen‐positive pregnancies from 2012 to 2020, only 27.6% had recommended HBV assessment during pregnancy. Of those women meeting criteria for antiviral therapy to prevent mother‐to‐child transmission (MTCT), only 66.4% received treatment. Suboptimal management during pregnancy and overall lower survival rates highlight the need to address care linkage barriers in women of childbearing age living with CHB. [ABSTRACT FROM AUTHOR]
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- 2024
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21. The Impact of the COVID‐19 Pandemic on Pattern of Antibiotic and Opioid Prescriptions by Dentists in Alberta, Canada.
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Immel, Riley, Bohlouli, Babak, and Amin, Maryam
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DENTISTS ,COVID-19 pandemic ,TIME series analysis ,DENTAL offices ,MEDICAL prescriptions ,DENTAL care - Abstract
Objectives: After the shutdown of most dental services during the COVID‐19 lockdown, the oral health community was concerned about an increase in prescribing opioids and antibiotics by dentists due to patients' limited access to dental offices. Therefore, the objective of this study was to investigate the impact of COVID‐19 pandemic on the pattern of antibiotic and opioid prescriptions by dentists in Alberta, Canada. Methods: Data obtained from the Tracked Prescription Program were divided into antibiotics and opioids. Time periods were outlined as pre‐, during‐, and postlockdown (phase 1 and 2). For the number of prescriptions and average supply, each monthly average was compared to the corresponding prelockdown monthly average, using descriptive analysis. Time series analyses were conducted using regression analyses with an autoregressive error model. Data were trained and tested on monthly observations before lockdown and predicted for during‐ and postlockdown. Results: A total of 1.1 million antibiotics and 400,000 opioids dispense were tracked. Decreases in the number of prescriptions during lockdown presented for antibiotics (n = 24,933 vs. 18,884) and opioids (n = 8892 vs. 6051). Average supplies (days) for the antibiotics (n = 7.10 vs. 7.55) and opioids (n = 3.92 vs. 4.05) were higher during the lockdown period. In the trend analyses, the monthly number of antibiotic and opioid prescriptions showed the same pattern and decreased during lockdown. Conclusion: The COVID‐19 pandemic altered the trends of prescribing antibiotics and opioids by dentists. The full impact of COVID‐19 pandemic on the population's oral health in light of changes in prescribing practices by dentists during and after lockdown warrants further investigation. [ABSTRACT FROM AUTHOR]
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- 2024
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22. Individual tree detection and classification from RGB satellite imagery with applications to wildfire fuel mapping and exposure assessments.
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Bennett, L., Yu, Z., Wasowski, R., Selland, S., Otway, S., and Boisvert, J.
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REMOTE-sensing images ,MACHINE learning ,WILDFIRES ,CONVOLUTIONAL neural networks ,FOREST density - Abstract
Background: Wildfire fuels are commonly mapped via manual interpretation of aerial photos. Alternatively, RGB satellite imagery offers data across large spatial extents. A method of individual tree detection and classification is developed with implications to fuel mapping and community wildfire exposure assessments. Methods: Convolutional neural networks are trained using a novel generational training process to detect trees in 0.50 m/px RGB imagery collected in Rocky Mountain and Boreal natural regions in Alberta, Canada by Pleiades-1 and WorldView-2 satellites. The workflow classifies detected trees as 'green-in-winter'/'brown-in-winter', a proxy for coniferous/deciduous, respectively. Key results: A k-fold testing procedure compares algorithm detections to manual tree identification densities reaching an R
2 of 0.82. The generational training process increased achieved R2 by 0.23. To assess classification accuracy, satellite detections are compared to manual annotations of 2 cm/px drone imagery resulting in average F 1 scores of 0.85 and 0.82 for coniferous and deciduous trees respectively. The use of model outputs in tree density mapping and community-scale wildfire exposure assessments is demonstrated. Conclusion & Implications: The proposed workflow automates fine-scale overstorey tree mapping anywhere seasonal (winter and summer) 0.50 m/px RGB satellite imagery exists. Further development could enable the extraction of additional properties to inform a more complete fuel map. High-resolution satellite imagery is collected around various communities in Alberta, Canada. Machine learning algorithms are used to detect and classify individual trees from collected imagery in an automated fashion. Use of the algorithm in fuel mapping and community wildfire exposure assessments is explored. [ABSTRACT FROM AUTHOR]- Published
- 2024
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23. Perinatal Predictors and Mediators of Attachment Patterns in Preschool Children: Exploration of Children's Contributions in Interactions with Mothers.
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Kurbatfinski, Stefan, Woo, Jennifer, Ntanda, Henry, Giesbrecht, Gerald, and Letourneau, Nicole
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SCALE analysis (Psychology) ,EDINBURGH Postnatal Depression Scale ,RESEARCH funding ,PRENATAL exposure delayed effects ,RECEIVER operating characteristic curves ,CRONBACH'S alpha ,DATA analysis ,COMPULSIVE behavior ,ATTACHMENT behavior ,QUESTIONNAIRES ,HYDROCORTISONE ,DESCRIPTIVE statistics ,CHI-squared test ,MOTHER-infant relationship ,PSYCHOLOGICAL stress ,PSYCHOLOGY of mothers ,RESEARCH ,STATISTICS ,MOTHER-child relationship ,SOCIAL support ,FACTOR analysis ,PSYCHOLOGICAL tests ,DATA analysis software ,CONFIDENCE intervals ,MENTAL depression ,SALIVA ,VIDEO recording ,CHILDREN - Abstract
Insecure and disorganized attachment patterns in children are linked to poor health outcomes over the lifespan. Attachment patterns may be predicted by variables that influence the quality of children's interactions with their primary caregivers/parents (usually mothers) such as prenatal and postnatal exposures and the children's own behaviours in interactions. The purposes of this exploratory study were to examine: (1) prenatal predictors of children's attachment patterns, and (2) postnatal mediators and moderators of associations between prenatal predictors and children's attachment patterns, with adjustment for relevant covariates. Mother–child dyads (n = 214) from the longitudinal Alberta Pregnancy Outcomes and Nutrition (APrON) cohort were studied using valid and reliable measures. Hayes' mediation analysis was employed to determine direct and indirect effects. Mothers' prenatal cortisol levels directly predicted disorganized (versus organized) child attachment in unadjusted models. Children's passivity (in adjusted models) and compulsivity (in unadjusted and adjusted models) in parent-child interactions mediated the pathway between mothers' prenatal cortisol levels and children's disorganized attachment patterns. Serial mediation analyses revealed that mothers' cortisol levels predicted their children's cortisol levels, which predicted children's compulsivity, and, ultimately, disorganized attachment in both unadjusted and adjusted models. No predictors were correlated with children's insecure (versus secure) attachment. This exploratory research suggests that prenatal exposure to mothers' cortisol levels and children's behavioural contributions to parent–child interaction quality should be considered in the genesis of children's attachment patterns, especially disorganization. Interventions focused on parent-child interactions could also focus on addressing children's behavioral contributions. [ABSTRACT FROM AUTHOR]
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- 2024
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24. Population‐level changes in perinatal death for pregnancies prior to and during the COVID‐19 pandemic: A pregnancy cohort analysis.
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Funk, Anna, Stephenson, Nikki, McNeil, Deborah A., Kuret, Verena, Castillo, Eliana, Parmar, Radhmilla, Nerenberg, Kara A., Teare, Gary, Klein, Kristin, and Metcalfe, Amy
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COVID-19 pandemic , *PERINATAL death , *PREGNANCY , *DISEASE risk factors , *COHORT analysis , *TIME series analysis - Abstract
Background Objectives Methods Results Conclusion Results of population‐level studies examining the effect of the COVID‐19 pandemic on the risks of perinatal death have varied considerably.To explore trends in the risk of perinatal death among pregnancies beginning prior to and during the pandemic using a pregnancy cohort approach.This secondary analysis included data from singleton pregnancies ≥20 weeks' gestation in Alberta, Canada, beginning between 5 March 2017 and 4 March 2021. Perinatal death (i.e. stillbirth or neonatal death) was the primary outcome considered. The risk of this outcome was calculated for pregnancies with varying gestational overlap with the pandemic (i.e. none, 0–20 weeks, entire pregnancy). Interrupted time series analysis was used to further determine temporal trends in the outcome by time period of interest.There were 190,853 pregnancies during the analysis period. Overall, the risk of perinatal death decreased with increasing levels of pandemic exposure; this outcome was experienced in 1.0% (95% confidence interval [CI] 0.9, 1.0), 0.9% (95% CI 0.8, 1.1) and 0.8% (95% CI 0.7, 0.9) of pregnancies with no overlap, partial overlap and complete pandemic overlap respectively. Pregnancies beginning during the pandemic that had high antepartum risk scores less frequently led to perinatal death compared to those beginning prior; 3.3% (95% CI 2.7, 3.9) versus 5.7% (95% CI 5.0, 6.5) respectively. Interrupted time‐series analysis revealed a decreasing temporal trend in perinatal death for pregnancies beginning ≤40 weeks prior to the start of the COVID‐19 pandemic (i.e. with pandemic exposure), with no trend for pregnancies beginning >40 weeks pre‐pandemic (i.e. no pandemic exposure).We observed a decrease in perinatal death for pregnancies overlapping with the COVID‐19 pandemic in Alberta, particularly among those at high risk of these outcomes. Specific pandemic control measures and government response programmes in our setting may have contributed to this finding. [ABSTRACT FROM AUTHOR]
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- 2024
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25. Depression, anxiety, and poor well-being at discharge from psychiatric hospitals: prevalence and risk factors.
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Wanying Mao, Shalaby, Reham, Owusu, Ernest, Elgendy, Hossam Eldin, Agyapong, Belinda, Eboreime, Ejemai, Silverstone, Peter, Chue, Pierre, Xin-Min Li, Vuong, Wesley, Ohinmaa, Arto, Taylor, Valerie, Greenshaw, Andrew J., and Agyapong, Vincent I. O.
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HOSPITAL admission & discharge ,WELL-being ,MENTAL illness ,ANXIETY ,PSYCHIATRIC hospital care - Abstract
Background: Being ready for discharge is vital to successful hospital-to-home transitions. For many patients, however, the transition from psychiatric hospital care to outpatient care can be challenging. An in-depth understanding of the mental health conditions of patients at discharge is crucial and instructive for recovery research. Objective: The purpose of this study was to determine the prevalence and risk factors of depression, anxiety, and poor well-being symptoms among patients who are about to be discharged from psychiatric units in Alberta, Canada. Our aim was to help determine the prevalence of anxiety, depression, and overall well-being among the general psychiatric inpatient population in Alberta before discharge and the potential factors which may influence this. Methods: This epidemiological study used a cross-sectional quantitative survey from March 8, 2022, to November 5, 2023, to assess depression, anxiety, and wellbeing. Participants were invited to complete an online questionnaire that contained demographics, clinical information, and responses to the PHQ-9, GAD-7, and WHO-5 questionnaires. SPSS version 25 was used to analyze the data. Descriptive, univariate, and multivariate regression analyses were employed. Result: The study found that the prevalence of likely depression, anxiety, and poor well-being among patients about to be discharged was 37.1%, 56.4%, and 48.3%, respectively. Based on a logistic regression model, there was a statistically significant association between anxiety, depression, and poor well-being diagnoses and multiple socio-demographic and clinical factors such as ethnicity, primary mental health diagnoses, education level, housing status, depression, anxiety, and well-being at baseline. Conclusion: Mental health assessment at discharge is a critical step in the recovery and transition of care. There is still a need for further research to identify the underlying causes and robust predictors of mental health symptoms in patients about to be discharged and to provide appropriate interventions and supportive resources both before and following discharge. Future research utilizing these findings may help identify key opportunities to improve outcomes for patients after discharge. [ABSTRACT FROM AUTHOR]
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- 2024
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26. Mammal responses to human recreation depend on landscape context.
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Marion, Solène, Curveira Santos, Gonçalo, Herdman, Emily, Hubbs, Anne, Kearney, Sean Patrick, and Burton, A. Cole
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MAMMAL conservation , *OUTDOOR recreation , *ANIMAL behavior , *MAMMAL communities , *RECREATION - Abstract
Rapid growth in outdoor recreation may have important and varied effects on terrestrial mammal communities. Few studies have investigated factors influencing variation in observed responses of multiple mammal species to recreation. We used data from 155 camera traps, in western Alberta (Canada), and a hierarchical Bayesian community modelling framework to document 15 mammal species responses to recreation, test for differential responses between predators and prey, and evaluate the influence of local context. Factors characterizing context were trail designation (i.e., use by motorized vs non-motorized), management type, forest cover, landscape disturbance, and season. We used three measures to characterize variation in recreation pressure: distance to trail, trail density, and an index of recreation intensity derived from the platform Strava. We found limited evidence for strong or consistent effects of recreation on mammal space use. However, mammal space use was better explained by an interaction between recreation and the influencing factors than by either on their own. The strongest interaction was between trail density and management type; mammals were more likely to avoid sites near a higher density of trails in areas with more restrictive management. We found that responses to recreation varied with the trail designation, although there were not clear or consistent differences between responses to trails designated for motorized vs. non-motorized use. Overall, we found that responses were species- and context-dependent. Limiting the density of trails may be important for reducing negative impacts to mammals within conservation areas. We show that using multiple measures of recreation yields more insight into the varied effects of human disturbances on wildlife. We recommend investigating how different characteristics of recreation (noise, speed, and visibility) influence animal behaviors. Multispecies monitoring and modelling across multiple landscapes that vary in recreation pressure can lead to an adaptive management approach to ensuring outdoor recreation coexistence with wildlife. [ABSTRACT FROM AUTHOR]
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- 2024
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27. AC-ASPECTS, ACh-ASPECTS, and H-ASPECTS: new imaging scales to assess territorial and total cerebral hemispheric ischemic injury.
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Rodriguez, Maria Paz, Taleb, Shayandokht, Lee, Jenny Ji-hyun, Liebeskind, David S., and Saver, Jeffrey L.
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ISCHEMIC stroke ,ANTERIOR cerebral artery ,INTERNAL carotid artery ,STROKE ,ENDOVASCULAR surgery - Abstract
Background: The extent of ischemic injury in acute stroke is assessed in clinical practice using the Acute Stroke Prognosis Early CT Score (ASPECTS) rating system. However, current ASPECTS semi-quantitative topographic scales assess only the middle cerebral artery (MCA) (original ASPECTS) and posterior cerebral (PC-ASPECTS) territories. For treatment decision-making in patients with anterior cerebral artery (ACA) occlusions and internal carotid artery (ICA) occlusions with large ischemic cores, measures of all hemispheric regions are desirable. Methods: In this cohort study, anatomic rating systems were developed for the anterior cerebral (AC-ASPECTS, 3 points) and anterior choroidal artery (AChASPECTS, 1 point) territories. In addition, a total supratentorial hemisphere (H-ASPECTS, 16 points) score was calculated as the sum of the MCA ASPECTS (10 regions), supratentorial PC-ASPECTS (2 regions), AC-ASPECTS (3 regions), and ACh-ASPECTS (1 region). Three raters applied these scales to initial and 24 h CT and MR images in consecutive patients with ischemic stroke (IS) due to ICA, M1-MCA, and ACA occlusions. Results: Imaging ratings were obtained for 96 scans in 50 consecutive patients with age 74.8 (±14.0), 60% female, NIHSS 15.5 (9.25–20), and occlusion locations ICA 34%; M1-MCA 58%; and ACA 8%. Treatments included endovascular thrombectomy +/− thrombolysis in 72%, thrombolysis alone in 8%, and hemicraniectomy in 4%. Among experienced clinicians, inter-rater reliability for AC-, ACh-, and H-ASPECTS scores was substantial (kappa values 0.61–0.80). AC-ASPECTS abnormality was present in 14% of patients, and ACh-ASPECTS abnormality in 2%. Among patients with ACA and ICA occlusions, H-ASPECTS scores compared with original ASPECTS scores were more strongly associated with disability level at discharge, ambulatory status at discharge, discharge destination, and combined inpatient mortality and hospice discharge. Conclusion: AC-ASPECTS, ACh-ASPECTS, and H-ASPECTS expand the scope of acute IS imaging scores and increase correlation with functional outcomes. This additional information may enhance prognostication and decision-making, including endovascular thrombectomy and hemicraniectomy. [ABSTRACT FROM AUTHOR]
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- 2024
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28. Comparison of hospitalization events among residents of assisted living and nursing homes during COVID-19: Do settings respond differently during public health crises?
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Maxwell, Colleen J., McArthur, Eric, Hogan, David B., Dampf, Hana, Poss, Jeffrey, Amuah, Joseph E., Bronskill, Susan E., Youngson, Erik, Hsu, Zoe, and Hoben, Matthias
- Subjects
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COVID-19 pandemic , *NURSING care facilities , *CONGREGATE housing , *GENERALIZED estimating equations , *HOSPITAL care , *POISSON regression - Abstract
Background: COVID-19 and resulting health system and policy decisions led to significant changes in healthcare use by nursing homes (NH) residents. It is unclear whether healthcare outcomes were similarly affected among older adults in assisted living (AL). This study compared hospitalization events in AL and NHs during COVID-19 pandemic waves 1 through 4, relative to historical periods. Methods: This was a population-based, repeated cross-sectional study using linked clinical and health administrative databases (January 2018 to December 2021) for residents of all publicly subsidized AL and NH settings in Alberta, Canada. Setting-specific monthly cohorts were derived for pandemic (starting March 1, 2020) and comparable historical (2018/2019 combined) periods. Monthly rates (per 100 person-days) of all-cause hospitalization, hospitalization with delayed discharge, and hospitalization with death were plotted and rate ratios (RR) estimated for period (pandemic wave vs historical comparison), setting (AL vs NH) and period-setting interactions, using Poisson regression with generalized estimating equations, adjusting for resident and home characteristics. Results: On March 1, 2020, there were 9,485 AL and 14,319 NH residents, comparable in age (mean 81 years), sex (>60% female) and dementia prevalence (58–62%). All-cause hospitalization rates declined in both settings during waves 1 (AL: adjusted RR 0.60, 95%CI 0.51–0.71; NH: 0.74, 0.64–0.85) and 4 (AL: 0.76, 0.66–0.88; NH: 0.65, 0.56–0.75) but unlike NHs, AL rates were not significantly lower during wave 2 (and increased 27% vs NH, January 2021). Hospitalization with delayed discharge increased in NHs only (during and immediately after wave 1). Both settings showed a significant increase in hospitalization with death in wave 2, this increase was larger and persisted longer for AL. Conclusions: Pandemic-related changes in hospitalization events differed for AL and NH residents and by wave, suggesting unique system and setting factors driving healthcare use and outcomes in these settings in response to this external stress. [ABSTRACT FROM AUTHOR]
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- 2024
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29. The effects of a course‐based mindfulness intervention on college student perfectionism, stress, anxiety, self‐compassion, and social connectedness.
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Bearden, Anomi G., Turnbull, Blaire, Wallace, Carmella, Prosser, Steven, and Vincent, Akeem
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MINDFULNESS , *SELF-compassion , *SOCIAL belonging , *PERFECTIONISM (Personality trait) , *COLLEGE students , *ANXIETY - Abstract
Rising perfectionism levels within post‐secondary students could be one reason for students' challenges with adaptation to post‐secondary. Recent research has suggested mindfulness‐based interventions may be a promising avenue for mitigating high perfectionism, in addition to improving emotional and social well‐being. The objective of this study was to assess the effects of 8 weeks of a mindfulness course on post‐secondary students (compared to a non‐meditating control group). Variables of interest were mindfulness, multidimensional perfectionism (self‐oriented, other‐oriented, and socially prescribed types), stress, anxiety, self‐compassion, and social connectedness. Students self‐enrolled into a mindfulness class offered at a college in Alberta, Canada (n = 15). The experimental sample, aged 18−54 (M = 25.27, SD = 11.47), were 96.7% female. A control group was recruited from first‐ and second‐year psychology classes (n = 30), with ages ranging from 17 to 38 (M = 21.70, SD = 5.36) and 70% identifying as female. Students completed in‐person surveys near the beginning of the term and again after 8 weeks. ANOVAs and linear regression analyses were conducted. In line with previous studies, results indicated that college students practicing mindfulness evidenced lower perfectionism (self‐oriented and other‐oriented types), stress, and anxiety, along with higher mindfulness and self‐compassion. Additionally, interpersonal benefits were revealed as the mindfulness group increased in social connectedness. Perplexing results suggest two routes to social connection, as the control group also showed an increase in social connection, potentially motivated by higher stress and self‐criticism. Findings from the current study are impressive (given the small sample size and the high‐stress time of the term during which post‐test measures were taken) and suggest that integrating mindfulness practices into the curriculum can enhance emotional and social well‐being for postsecondary students. Practitioner points: College students in a mindfulness course evidenced intrapersonal benefits after 8 weeks, including lowered perfectionism (self‐oriented and other‐oriented types), stress, and anxiety; and increased mindfulness and self‐compassion when compared to a non‐meditating control group.Surprisingly, both the mindfulness and control groups demonstrated enhanced social connectedness over time, but the increase in social connection for the control group seemed to be associated with greater stress and self‐criticism.Given the small sample size and the high‐stress time of the term during which posttest measures were taken, results from this study are impressive and add to a growing body of research that suggests mindfulness is helpful to incorporate into the curriculum to enhance emotional and social well‐being for students. [ABSTRACT FROM AUTHOR]
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- 2024
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30. Wolverine density, survival, and population trends in the Canadian boreal forest.
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Scrafford, Matthew A., Seguin, Jacob L., McCaw, Laura K., Boyce, Mark S., and Ray, Justina C.
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TAIGAS , *SNOW cover , *DRUM set , *TUNDRAS , *INDUSTRIALIZATION , *DENSITY , *ANIMAL population density - Abstract
There is limited information available on wolverine (Gulo gulo) population density and trends in the boreal forest of North America. We estimated wolverine density using spatial capture‐recapture methods across 2 boreal forest study areas in Red Lake, Ontario (26,568 km2) and Rainbow Lake, Alberta (19,084 km2), Canada. We also used radio‐telemetry data to estimate annual survival of adult and sub‐adult wolverines and evaluated population trends with a stage‐based matrix model. We used an array of run poles and live traps to detect wolverines. In Red Lake over 3 winter field seasons (2019–2022), we detected 56 individual wolverines (17 females, 32 males, and 7 unknown sex), and in Rainbow Lake over 2 field seasons (2014–2016), we detected 48 individuals (19 females, 18 males, and 11 of unknown sex). Average densities in Red Lake and Rainbow Lake were 3.64 and 6.74 wolverines/1,000 km2, respectively. Adults and sub‐adults occurred at equal abundance. Spring snow cover, roads, and industrial developments were not associated with spatial patterns of wolverine density. Most deaths occurred near roads; wolverines were killed in fur traps set along roads, by wolves using roads to travel, and by vehicles. The largest source of death was from incidental (n = 6 in Red Lake) or licensed fur trapping (n = 8 in Rainbow Lake) and we report 8 injuries from fur trapping sets. Red Lake survival estimates for adults (0.87) and sub‐adults (0.86) contributed to a stable population trend. Rainbow Lake survival estimates for adults (0.66) and sub‐adults (0.50) contributed to a declining population trend based on a relatively low sample of radio‐days. Red Lake and Rainbow Lake combined survival estimates for adults (0.77) and sub‐adults (0.73) also contributed to a declining population trend. Our survival and population modeling suggests that human‐caused mortality is a significant risk to these populations. Our results can be applied to wolverine status assessments and used as benchmarks for future monitoring. Wolverine population stability or growth might be achieved by reducing incidental trapping deaths or injury and hindering human access to wolverine habitats through decommissioning or limiting development of industrial roads or other anthropogenic linear features. [ABSTRACT FROM AUTHOR]
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- 2024
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31. Increased Virtual Visits to Physicians During the COVID-19 Pandemic and Estimated Impact on Physician Compensation: The Case of Lung and Colorectal Cancers, Chronic Obstructive Pulmonary Diseases, and Heart Failure in Alberta, Canada.
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Thanh, Nguyen Xuan, Waye, Arianna, Stewart, Douglas, Weatherald, Jason, Lam, Grace Y., Stickland, Michael K., Hill, Michael D., Choy, Jonathan, Chuck, Anderson W., and Wasylak, Tracy
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CHRONIC obstructive pulmonary disease , *COVID-19 pandemic , *PHYSICIAN services utilization , *MEDICAL care , *PHYSICIANS , *VISITATION in hospitals - Abstract
Introduction: The COVID-19 pandemic started in Alberta in March 2020 and significantly increased telehealth service use and provision reducing the risk of virus transmission. We examined the change in the number and proportion of virtual visits by physician specialty and condition (chronic obstructive pulmonary diseases [COPD], heart failure [HF], colorectal and lung cancers), as well as associated changes in physician compensation. Methods: A population-based design was used to analyze all processed physician claims comparing the number and proportion of virtual visits and associated physician billings relative to in-person between pre- (2019/2020) and intra-pandemic (2020/2021). Physician compensations were the claim amounts paid by the health insurance. Results: Pre-pandemic (intra-), there were 8,981 (8,897) lung cancer, 9,245 (9,029) colorectal, 37,558 (36,292) HF, and 68,270 (52,308) COPD patients. Each patient had totally 2.3–4.7 (of which 0.4–0.6% were virtual) general practitioner (GP) visits and 0.9–2.3 (0.2–0.7% were virtual) specialist visits per year pre-pandemic. The average number and proportion of per-patient virtual visits to GPs and specialists grew significantly pre- to intra-pandemic by 2,138–4,567%, and 2,201–7,104%, respectively. Given the lower fees of virtual compared with in-person visits, the reduction in physician compensation associated with the increased use of virtual care was estimated at $3.85 million, with $2.44 million attributed to specialist and $1.41 million to GP. Discussion: Utilization of telehealth increased significantly, while the physician billings per patient and physician compensation declined early in the pandemic in Alberta for the four chronic diseases considered. This study forms the basis for future study in understanding the impact of virtual care, now part of the fabric of health care delivery, on quality of care and patient safety, overall health service utilization (such as diagnostic imaging and other investigations), as well as economic impacts to patients, health care systems, and society. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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32. Post-ICU psychology support during the COVID-19 pandemic.
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Reynolds-Cowie, Paul, Kirkwood, Kim, and O'Connor, Rory
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MEDICAL protocols , *PATIENT education , *EVALUATION of human services programs , *CONTENT analysis , *QUESTIONNAIRES , *CATASTROPHIC illness , *RETROSPECTIVE studies , *DESCRIPTIVE statistics , *PSYCHOEDUCATION , *PSYCHOLOGICAL adaptation , *TELEMEDICINE , *INTENSIVE care units , *MEDICAL records , *ACQUISITION of data , *CONCEPTUAL structures , *SOCIAL support , *COVID-19 pandemic , *COVID-19 , *EMPLOYMENT reentry , *MEDICAL referrals , *PATIENT aftercare , *HEALTH care teams - Abstract
Background: Critical illness survival rates have improved, but patients frequently face prolonged new or worsened physical, cognitive and psychosocial impairments. These difficulties associated with critical care admission are known as post-intensive care syndrome (PICS). Aims: The multidisciplinary Intensive care Syndrome: Promoting Independence and Return to Employment (InS:PIRE) programme was developed to support patients in the recovery period from critical illness. During the COVID-19 pandemic, the psychology support offered by this service was adapted from an in-person group to individual remote review. This audit evaluated both the extent to which this input aligned with the recommended guidelines and the acceptability of this adapted delivery to this patient group, which could help guide post-pandemic psychology input to the service. Study Design: The records of 207 patients were analysed retrospectively. The nature of support offered to a sub-sample of 50 patients detailed in clinical summary letters was compared with the Faculty of Intensive Care Medicine (2019) guidelines. Telephone calls were made to gather feedback on the virtual psychology support from 10 patients. Results: Psychological difficulties were identified by 111 of the 207 patients who attended the virtual clinic. A total of 88 of these patients accepted referral for virtual psychology support and 67 (76%) of those patients attended. The virtual psychology support offered was found to be largely in accordance with ICU aftercare guidance and acceptable to patients. Patients found the summary letters of consultations accurate and helpful. Most patients expressed a preference for in-person support and the opportunity to meet other patients. Conclusions: The adaptations to the psychology support offered by InS:PIRE during the COVID-19 pandemic were found to be largely in line with ICU aftercare psychology guidelines and were acceptable to patients. Further research is needed on future methods of delivering psychology support for this patient group. Relevance to Clinical Practice: This audit highlights issues important to patients in the post-ICU period based on individual consultations not previously possible. Patient opinion was sought on the impact of changing the delivery of post-ICU psychological support, which will help guide future improvements in the service. [ABSTRACT FROM AUTHOR]
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- 2024
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33. In-situ electrokinetic remediation of salt-impacted soil at a decommissioned well site.
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Kong, Ricky S., Ilogu, Chibuzo, and Sobze, Jean-Marie
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ELECTRIC conductivity of soils , *SOIL remediation , *CHEMICAL spills , *SOIL depth , *SOIL pollution - Abstract
Chemical spills are common at oil and gas facilities and traditionally remediation occurs by excavating and removing the contaminated soil, which is environmentally destructive and financially expensive. Electrokinetic (EK) remediation is an alternative method that can reduce the amount of soil that is removed and relies on the electromigration of ions towards the electrodes after a current is applied. We investigated whether EK remediation would affect soil electrical conductivity (EC), Na+, K+, Mg2+, Ca2+, Cl–, and SO42– concentrations at various soil depths. The study occurred at a decommissioned oil wellsite in northern Alberta, where processed water spills had occurred. The treatments included (1) one EK run + 100 kW power [Zones E and G], (2) one EK run + 300 kW power [Zones B and H], (3) two EK runs + 100 kW power [Zones C and F]. The treatments reduced EC within the top 2 m of the soil, which was associated with reductions in Na+ and Cl– in Zones BH and EG, and reductions in Mg2+ in Zones CF. Sulfates were elevated in the top 2 m in all treatments relative to the control. Higher EC values were observed in Zones BH (300 kW) relative to Zones EG (100 kW) at all depths. In addition, Zones CF (2 EK cycles) had higher EC than Zones EG (1 EK cycle). When initial concentrations are considered, increased power and duration may improve efficacy. EK technology can be a tool to remediate sites and potentially reduce the impacts on the environment. [ABSTRACT FROM AUTHOR]
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- 2024
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34. Describing High School Stakeholders' Preferences for a Return‐to‐School Framework Following Concussion.
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Shepherd, Heather A., Heming, Emily, Reed, Nick, Caron, Jeffrey G., Yeates, Keith O., and Emery, Carolyn A.
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RE-entry students , *PARENTS , *QUALITATIVE research , *ACADEMIC accommodations , *HIGH school students , *INTERVIEWING , *CONTENT analysis , *HEALTH policy , *PARENT attitudes , *DESCRIPTIVE statistics , *THEMATIC analysis , *SOUND recordings , *TEACHERS , *COLLEGE teacher attitudes , *CONCEPTUAL structures , *RESEARCH methodology , *COMMUNICATION , *CONVALESCENCE , *STAKEHOLDER analysis , *STUDENT attitudes , *HEALTH education , *SOCIAL support , *DATA analysis software , *FAMILY support , *BRAIN concussion , *SCHOOL health services - Abstract
Background: Return to school supports are recommended to facilitate adolescents' re‐entry to school following a concussion. However, little is known as to what school stakeholders prefer for a return‐to‐school process. This study sought to describe the preferences of high school students, parents, and educators for a Return‐to‐School Framework for adolescents following a concussion. Methods: We conducted qualitative semi‐structured, 1‐on‐1 or group interviews with high school students (n = 6), parents (n = 5), and educators (n = 15) from Calgary, Canada. Interviews aimed to describe participants' preferences for a Return‐to‐School Framework for students following a concussion. Interviews were analyzed using conventional content analysis. Results: We organized the data into 4 main themes: (1) purpose of the Return‐to‐School Framework; (2) format and operation of the Return‐to‐School Framework; (3) communication about a student's concussion; and (4) necessity of concussion education for students and educators. Implications for School Health Policy, Practice, and Equity: A Return‐to‐School Framework following concussion should be developed in consultation with families, educators, and students and supports should be tailored to each student. Conclusions: Participants preferred a standardized and consistent Return‐to‐School Framework including ongoing communication between stakeholders as well as feasible and individualized school supports. [ABSTRACT FROM AUTHOR]
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- 2024
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35. Episodic deterioration of plant diversity in rich fens with or without in situ oil sands exploration disturbance.
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Caners, Richard T., Crisfield, Varina, and Lieffers, Victor J.
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- *
OIL sands , *PLANT diversity , *PETROLEUM prospecting , *FENS , *WATER table , *MOSSES - Abstract
Peatlands with ground surfaces near the water table may be sensitive to disturbances that reduce this distance to water. Shrubby rich fens (SRF) in northern Alberta, Canada, are restricted to the wettest landscape positions and are characterized by brown mosses and stunted trees on weakly consolidated and saturated substrates. In situ oil sands exploration (OSE) practices have established thousands of drilling pads to explore for deeply buried bitumen deposits, with many located on peatlands. In the development of OSE pads on peatlands, the vegetation layer is removed, eliminating the functionally important hummock‐hollow surface topography. We examined the spontaneous regeneration of bryophytes and vascular plants and surface microtopography on SRF, 7 and again 14 years after pad abandonment. In both sampling years, drilling pad surfaces were closer to the water table (mean pad elevation 2012 = 3.3 cm, 2019 = 5.6 cm) and had minor topography compared to adjacent reference habitat. We found, however, over the 7 years, that for both drilling pads and reference habitat, bryophyte and vascular plant richness decreased, and most species declined in frequency. Furthermore, for pads and reference habitat, density of tree seedlings decreased, and expansion of hummock‐forming mosses was limited. Findings suggest that drilling pads and their natural counterparts on SRF may be prone to episodic reductions in plant diversity and ecosystem retrogression, likely resulting from prolonged surface saturation during summers with high rainfall. Because of their wet landscape positions and environmental vulnerability, SRF are likely the peatland habitats slowest to recover following OSE pad construction. [ABSTRACT FROM AUTHOR]
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- 2024
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36. Lessons for becoming bison wise and bear aware in Elk Island National Park.
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Bueddefeld, Jill, Ostrem, Julie, Murphy, Michelle, Maraj, Ramona, and Halpenny, Elizabeth
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- *
ANIMAL behavior , *NATIONAL parks & reserves , *BISON , *ELK , *ENVIRONMENTAL education , *BEARS , *BLACK bear - Abstract
Biospheres are working landscapes that promote conservation and sustainable land-use while also providing space for outdoor recreation, environmental education, and research. This study focuses on Elk Island National Park in Alberta, Canada, which is part of the Beaver Hills Biosphere. The park is home to bison and black bears and growing visitor numbers have increased the potential for human-wildlife conflict. With a focus on the promotion of human-wildlife coexistence, this study takes a mixed-methods approach to develop and evaluate an environmental education program targeted to improve visitor awareness about safety around bison and bears at Elk Island National Park. The program was found to be effective in teaching visitors about safe behaviors around wildlife and key themes arose about important learning outcomes. In particular, the findings indicate interpretation and environmental education programs have the potential to increase awareness about safety for both humans and wildlife and shift away from more human-centric perceptions. [ABSTRACT FROM AUTHOR]
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- 2024
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37. Outcomes of hepatocellular carcinoma patients treated in the lenvatinib and immunotherapy era (2018–2021) compared to the sorafenib era (2008–2018).
- Author
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Lim, Chloe A., Amaro, Carla P., Ding, Philip Q., Cheung, Winson Y., and Tam, Vincent C.
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- *
HEPATOCELLULAR carcinoma , *SORAFENIB , *IMMUNOTHERAPY , *OVERALL survival , *PROGRESSION-free survival - Abstract
Background: Lenvatinib (LEN) and atezolizumab + bevacizumab (A + B) have drastically changed the treatment paradigm for advanced hepatocellular carcinoma (HCC). Before these landmark trials, sorafenib (SOR) served as the standard first‐line treatment for a decade. Our study aimed to assess the outcomes of HCC patients treated during the SOR era (2008–2018) in contrast to those in the post‐SOR era (2018–2021), of which the predominant first‐line treatments were LEN or A + B. Methods: Inclusion criteria of the study were all HCC patients in the Canadian province of Alberta who started first‐line systemic therapy at cancer centers between 1 January 2008 and 31 December 2021. Survival outcomes, including overall survival (OS) and progression‐free survival (PFS), along with clinician‐assessed response rate (RR), were subject to retrospective analysis. Results: Of 372 total patients, 230 received treatment in the SOR era and 142 in the post‐SOR era. The demographic and clinical characteristics for the SOR era and post‐SOR era groups are as follows, respectively: the median age was 63 and 64 years, 80% and 81% were male, and 24% and 11% were of East Asian ethnicity. Before receiving systemic treatment, 40% and 33% received TACE, 7% and 9% received TARE, and 3% and 14% received SBRT in the two eras, respectively. In the post‐SOR era, patients received A + B (23%), LEN (51%), and SOR (23%) as first‐line treatment. There was a statistically significant improvement in RR (15% vs. 26%; p = 0.02), median PFS (3.8 months vs. 7.9 months; p < 0.0001), and median OS (9.8 months vs. 17.0 months; p < 0.0001). Conclusions: In this retrospective multicenter real‐world study, HCC patients treated in the post‐SOR era, where LEN and A + B were commonly used first‐line treatments, exhibited superior OS, PFS, and RR compared to patients treated in the SOR era. The findings of this study affirm the tangible progress achieved in the real world in enhancing outcomes for HCC patients through advancements in treatments over the past 15 years. [ABSTRACT FROM AUTHOR]
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- 2024
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38. Introduction and testing of a cost-effective GNSS system for landslide monitoring.
- Author
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Berru Garcia, Ingrid Arantxa, Macciotta, Renato, Rodriguez, Jorge, Gräpel, Chris, Skirrow, Roger, and Tappenden, Kristen
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LANDSLIDES ,GLOBAL Positioning System ,SURVEYING (Engineering) - Abstract
The use of Global Navigation Satellite System (GNSS) in combination with real-time kinematic technique, known as differential GNSS (dGNSS), has increased in recent years for monitoring landslide displacements and detecting early signs of potential failure, enabling an earlier response for risk mitigation than traditional monitoring techniques. GNSS offers several advantages, including high accuracy and high-frequency data collection. Although more cost-effective, their affordability may still present challenges for public organizations managing multiple landslides in their territory. The SparkFun is a suite of components for GNSS assembly designed for topographic surveying, that integrates u-blox ZED-F9P or ZED-F9R modules. The system offers the benefits of dGNSS technology while being more affordable than other market options. It also avoids relying on phone signals for data storage on a cloud server. This paper presents the SparkFun system, its components, and how it can be assembled to create a dGNSS system for landslide monitoring. The deployment and testing at the Chin Coulee landslide in Alberta are discussed. Over the 6-month testing period, the system achieved millimeter accuracy (up to 14 mm), aligning with the manufacturer's specifications. Estimated system errors were found to be comparable to a commercially available dGNSS system (Ophelia Geocube). Additionally, the system exhibits displacement trends similar to the 2018 Geocube monitoring campaign; however, for future deployments, the robustness of the power supply system and the insulation of the equipment need to be enhanced. Overall, the SparkFun system appears to be a promising and cost-effective alternative for monitoring landslide displacements. [ABSTRACT FROM AUTHOR]
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- 2024
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39. Toxicity Evaluation of Water and Pore Water from a Pilot-Scale Pit Lake in the Alberta Oil Sands Region to Daphnia Species.
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Davila-Arenas, Catherine Estefany, Doig, Lorne, Ji, Xiaowen, Panigrahi, Banamali, Ezugba, Immanuela, and Liber, Karsten
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DAPHNIA magna ,OIL sands ,TOXICITY testing ,PORE water ,DAPHNIA ,CHRONIC toxicity testing - Abstract
Significant amounts of tailings and oil sands process-affected water (OSPW) are generated by bitumen extraction in the Alberta Oil Sands region. These by-products are potentially toxic to aquatic organisms and require remediation. The study site was Lake Miwasin, a pilot-scale pit lake integrated into broader reclamation efforts. It consists of treated tailings overlaid with blended OSPW and freshwater, exhibiting meromictic conditions and harboring aquatic communities. This study assessed the potential toxicity of Lake Miwasin surface water (LMW) and pore water (LMP) using saline-acclimated Cladocera, including lab strains of Daphnia magna and Daphnia pulex and native Daphnia species collected in brackish Humboldt Lake (HL) and Lake Miwasin (LM). The pore water evaluation was used to represent a worst-case water quality scenario during pond stratification. Additionally, the inclusion of native organisms incorporated site-specific adaptations and regional sensitivity into the toxicity evaluation. Our results showed that LMW did not display acute or chronic toxicity to lab species and native Daphnia sp. (HL). Conversely, LMP was acutely toxic to both lab species and native D. pulex (LM). In chronic tests (12 days exposure), LMP negatively affected reproduction in D. pulex (lab), with reductions in the number of offspring. Limited ability to acclimated organisms to the high salinity levels of LMP resulted in a shortened exposure duration for the chronic toxicity test. In addition to salinity being identified as a stressor in LMP, toxicity identification evaluation (TIE) phase I findings demonstrated that the observed toxicity for D. magna (lab) and D. pulex (LM, native) might be attributed to ammonia and metals in LMP. Further investigations are required to confirm the contributions of these stressors to LMP toxicity. [ABSTRACT FROM AUTHOR]
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- 2024
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40. Social Identity Leadership in Canada: The Impact of Group Identity and Individual Prototypicality on Leadership Attainment.
- Author
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Routley, Sam
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GROUP identity ,LEADERSHIP ,KNOWLEDGE gap theory ,COMMUNICATION methodology - Abstract
Copyright of International Journal of Canadian Studies is the property of University of Toronto Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2024
- Full Text
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41. Selenium bioaccumulation in Daphnia pulex via aqueous and dietary exposure.
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Davila-Arenas, Catherine Estefany, Doig, Lorne E., Ji, Xiaowen, Panigrahi, Banamali, Ezugba, Immanuela, Liu, Xia, and Liber, Karsten
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DAPHNIA pulex ,BIOACCUMULATION ,SELENIUM ,OIL sands ,WATER quality ,PLANT growing media - Abstract
Pit lakes are currently being investigated as a way to store and reclaim waste materials in the Alberta Oil Sands (AOS) region, Canada. Lake Miwasin (LM) is a pilot-scale pit lake consisting of treated fine tailings overlayed with oil sands process-affected water (OSPW) blended with fresh surface water. In October 2021, the surface water contained a mean concentration of 1.33 ± 0.04 µg/L dissolved selenium (Se), slightly above the Canadian Council of Ministers of Environment water quality guideline for long-term protection of aquatic life (1 µg Se/L). This study assessed the bioaccumulation of Se by the cladoceran Daphnia pulex under laboratory conditions through both aqueous and dietary exposure routes for comparison to field-collected specimens. In 12-day semi-static tests, lab-cultured D.pulex were exposed to water, and algae grown in media spiked with selenate. Results showed that Se bioaccumulation by lab-cultured D. pulex increased in all exposure treatments from days 5 to 12, with maximum Se concentrations of 3.08–3.47 µg/g dry weight (dw) observed within the exposure range tested. Interestingly, lower Se bioaccumulation concentrations (1.26–1.58 µg/g dw) were observed in the highest dissolved Se and dietary Se treatments, suggesting potential internal regulatory mechanisms. In addition, native D. pulex (LM) collected from Lake Miwasin and cultured in-house were exposed in 8-day semi-static tests to Lake Miwasin surface water and algae cultured in Lake Miwasin surface water. Selenium bioaccumulation in native D. pulex (LM) ranged from 2.00 to 2.04 µg/g dw at day 8 and was not significantly different (p > 0.05) compared to Se concentrations in D. pulex collected from Lake Miwasin (2.15 ± 0.28 µg/g) in summer 2022. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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42. Effectiveness of immune checkpoint inhibitor therapy on bone metastases in non-small-cell lung cancer.
- Author
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Abbott, Annalise G., Meyers, Daniel E., Elmi-Assadzadeh, Golpira, Stukalin, Igor, Marro, Alessandro, Puloski, Shannon K. T., Morris, Don G., Cheung, Winson Y., and Monument, Michael J.
- Subjects
NON-small-cell lung carcinoma ,BONE metastasis ,IMMUNE checkpoint inhibitors ,PROGRESSION-free survival ,PROGNOSIS - Abstract
Background: Bone metastases (BoMs) are prevalent in patients with metastatic non-small-cell lung cancer (NSCLC) however, there are limited data detailing how BoMs respond to immune checkpoint inhibitors (ICIs). The purpose of this study was to compare the imaging response to ICIs of BoMs against visceral metastases and to evaluate the effect of BoMs on survival. Materials and methods: A retrospective, multicentre cohort study was conducted in patients with NSCLC treated with nivolumab or pembrolizumab in Alberta, Canada from 2015 to 2020. The primary endpoint was the real-world organ specific progression free survival (osPFS) of bone versus visceral metastases. Visceral metastases were categorized as adrenal, brain, liver, lung, lymph node, or other intra-abdominal lesions. The secondary outcome was overall survival (OS) amongst patients with and without BoMs. Results: A total of 573 patients were included of which all patients had visceral metastases and 243 patients (42.4%) had BoMs. High PD-L1 expression was identified in 268 patients (46.8%). No significant difference in osPFS was observed between bone, liver, and intra-abdominal metastases (p=0.20 and p=0.76, respectively), with all showing shorter osPFS than other disease sites. There was no difference in the osPFS of extra-thoracic sites of disease in patients with high PD-L1 expression. There was significant discordance between visceral disease response and bone disease response to ICI (p=0.047). The presence of BoMs was an independent poor prognostic factor for OS (HR 1.26, 95%CI: 1.05-1.53, p=0.01). Conclusion: Metastatic bone, liver, and intra-abdominal lesions demonstrated inferior clinical responses to ICI relative to other sites of disease. Additionally, the presence of bone and liver metastases were independent poor prognostic factors for overall survival. This real-world data suggests that BoMs respond poorly to ICI and may require treatment adjuncts for disease control. [ABSTRACT FROM AUTHOR]
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- 2024
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43. Long-term follow-up of laryngeal Rhinosporidium seeberi diagnosed by PCR and treated with laser ablation and voriconazole nebulization in a retired thoroughbred polo horse.
- Author
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Toner, Sara, Leguillette, Renaud, Israel, Júlia, Legge, Carolyn, Samani, An Razieh Eshraghi, Kavanagh, Molly, and Goodmanson, Mallory
- Subjects
THOROUGHBRED horse ,LASER ablation ,VORICONAZOLE ,ORAL drug administration ,LASER surgery ,SEMICONDUCTOR lasers - Abstract
Copyright of Canadian Veterinary Journal / Revue Vétérinaire Canadienne is the property of Canadian Veterinary Medical Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2024
44. An optimal sustainable planning strategy for national carbon capture deployment: A review on the state of CO2 capture in Canada.
- Author
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Usas, Samantha A. and Ricardez‐Sandoval, Luis
- Subjects
GRAND strategy (Political science) ,GAS industry ,GREENHOUSE gases ,PHYTOGEOGRAPHY ,CARBON - Abstract
This study reviews the steps Canada is taking to address sustainable decarbonization in the context of carbon capture. This work also presents a new optimal framework for national optimal deployment in need of strategic carbon capture implementation. This framework considers external environmental and social considerations often missing from implementation frameworks, which will aid policy makers in more well‐rounded deployment decisions. Thus far, Canada's carbon projects have captured a total of 36.3 Mt of CO2 which has cost over $2.7 billion to implement. The Canadian case study utilizing the proposed optimal planning strategy shows that implementation of 58 post‐combustion carbon capture (PCC) plants located in seven provinces (Alberta, British Columbia, New Brunswick, Nova Scotia, Ontario, Quebec, and Saskatchewan) would result in Canada meeting the national targets. This implementation includes 16 plants removing emissions from the Electricity sector, 16 from the Heavy Industry sector, and 26 from the Oil and gas sector resulting in new emissions levels of 11.82 MtCO2, 27.63 MtCO2, and 107.01 MtCO2 in each sector, respectively. Additional case studies examined the impact of Alberta's emissions and varying the national targets resulting in different optimal implementations plans. Through a sensitivity analysis on these targets, it was determined that plant distribution is heavily dependent on provincial energy and CO2 transport prices. Additionally, if Alberta were to reduce their GHG emissions by 50% through alternative sustainable methods, only 35 PCC plants would be required to meet national targets. This framework provides a sustainable tool for decision‐makers to accelerate decarbonization. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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45. WHO'S AFRAID OF GENDER? Anti-Trans Policies in Danielle Smith's Alberta
- Author
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Mason, Corinne L.
- Subjects
Transgender people ,Child welfare ,Parenting ,News, opinion and commentary ,Social sciences ,Women's issues/gender studies - Abstract
In February 2024, Alberta Premier Danielle Smith took to the social media platform X (formerly Twitter) to announce a flurry of anti-trans policies. In a seven-minute, slick video set to [...]
- Published
- 2024
46. A 360-Degree Approach to Wildfires in Canada: FortisAlberta combines conventional and innovative approaches to manage wildfire risk in a diverse operating environment
- Author
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Eck, Curtis
- Subjects
Electric transformers ,Wildfires ,Company business management ,Electronics and electrical industries - Abstract
With the Rocky Mountains on its western border and prairies to the east, the Canadian province of Alberta boasts a wide variety of natural landscapes. An abundance of forested locations [...]
- Published
- 2024
47. Leaving emergency departments without completing treatment among First Nations and non-First Nations patients in Alberta: a mixed-methods study
- Author
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McLane, Patrick, Bill, Lea, Healy, Bonnie, Barnabe, Cheryl, Plume, Tessy Big, Bird, Anne, Colquhoun, Amy, Holroyd, Brian R., Janvier, Kris, Louis, Eunice, Rittenbach, Katherine, Curtin, Kimberley D., Fitzpatrick, Kayla M., Mackey, Leslee, MacLean, Davis, and Rosychuk, Rhonda J.
- Subjects
Hospitals -- Emergency service ,Racism -- Research -- Methods -- Analysis ,Canadian native peoples -- Methods -- Research -- Analysis ,Emergency medicine -- Methods -- Research -- Analysis ,Health - Abstract
Background: Our previous research showed that, in Alberta, Canada, a higher proportion of visits to emergency departments and urgent care centres by First Nations patients ended in the patient leaving without being seen or against medical advice, compared with visits by non-First Nations patients. We sought to analyze whether these differences persisted after controlling for patient demographic and visit characteristics, and to explore reasons for leaving care. Methods: We conducted a mixed-methods study, including a population-based retrospective cohort study for the period of April 2012 to March 2017 using provincial administrative data. We used multivariable logistic regression models to control for demographics, visit characteristics, and facility types. We evaluated models for subgroups of visits with preselected illnesses. We also conducted qualitative, in-person sharing circles, a focus group, and 1-on-1 telephone interviews with health directors, emergency care providers, and First Nations patients from 2019 to 2022, during which we reviewed the quantitative results of the cohort study and asked participants to comment on them. We descriptively categorized qualitative data related to reasons that First Nations patients leave care. Results: Our quantitative analysis included 11 686 287 emergency department visits, of which 1 099 424 (9.4%) were by First Nations patients. Visits by First Nations patients were more likely to end with them leaving without being seen or against medical advice than those by non-First Nations patients (odds ratio 1.96, 95% confidence interval 1.94-1.98). Factors such as diagnosis, visit acuity, geography, or patient demographics other than First Nations status did not explain this finding. First Nations status was associated with greater odds of leaving without being seen or against medical advice in 9 of 10 disease categories or specific diagnoses. In our qualitative analysis, 64 participants discussed First Nations patients' experiences of racism, stereotyping, communication issues, transportation barriers, long waits, and being made to wait longer than others as reasons for leaving. Interpretation: Emergency department visits by First Nations patients were more likely to end with them leaving without being seen or against medical advice than those by non-First Nations patients. As leaving early may delay needed care or interfere with continuity of care, providers and departments should work with local First Nations to develop and adopt strategies to retain First Nations patients in care., Patients come to emergency departments and urgent care centres because they judge it as their best option for urgent care, but some leave without being seen or against medical advice [...]
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- 2024
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48. April 2024 obituaries
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Health ,University of Toronto - Abstract
Aitken, Harold E., Grimsby, Ont.; McGill University, 1955; general practice. Died Jan. 18, 2024, aged 94. Survived by 2 children, 6 grandchildren, and 3 great-grandchildren. Read Dr. Aitken's obituary: https://obituaries.thespec.com/obituary/dr-harold-aitken-1089308905 [...]
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- 2024
- Full Text
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49. 'There Is No Safe Place in This Plant': Refugee Workers in Canadian Meatpacking and the Limits of Permanent Legal Status
- Author
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Bragg, Bronwyn and Hyndman, Jennifer
- Subjects
Canadians ,Alien labor ,Employee rights ,Sociology and social work - Abstract
Following spring 2020's deadly COVID-19 outbreaks in the Alberta meatpacking industry, we conducted research with meatpackers who were formerly resettled refugees and now Canadian permanent residents (PRs) or Canadian citizens. Research with temporary foreign workers often promotes permanent legal status as a solution to poor conditions of precarious work in Canada, but even with permanent immigration status, former refugees experienced a large gap between their rights as 'guaranteed' by the state through their PR status and their daily work in meatpacking plants in rural Alberta. Work in the plants is dangerous, dirty, and difficult, and employees found it difficult to enact their rights as workers. Access to adequate breaks, sick days, and other mandated requirements was reported to be contested and contingent. Former refugees working in this sector experience unexpected 'unfreedom.' KEYWORDS refugees; legal status; precarious work; COVID-19, meatpacking; Canada Suite aux eclosions mortelles de COVID-19 dans I'industrie albertaine du conditionnement de la viande au printemps 2020, nous avons mene une recherche aupres d'emballeurs de viande qui etaient auparavant des refugies et qui sont maintenant residents permanents ou citoyens canadiens. Les recherches sur les travailleurs migrants temporaires presentment souvent le statut juridique permanent comme solution aux mauvaises conditions liees au travail precaire au Canada, mais meme avec un statut d'immigration permanent, les anciens refugies vivent un ecart entre leurs droits << garantis >> par I'Etat en vertu de leur statut permanent et leur travail quotidien dans les usines de conditionnement de la viande dans I'Alberta rurale. Le travail dans les usines est dangereux, sale et difficile et les employes eprouvent de la difficulty a faire valoir leurs droits comme travailleurs. L'acces a des pauses adequates, a des conges de maladie et a d'autres dispositions reglementaires a ete signale comme etant conteste et contingent. Les anciens refugies qui travaillent dans ce secteur font I'experience d'une 'non-liberte' inattendue., INTRODUCTION On April 19, 2020, 67-year-old Bui Thi Hiep was the first person to die in connection with the COVID-19 outbreak at the Cargill meat processing facility in High River, [...]
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- 2024
- Full Text
- View/download PDF
50. The Relative Contributions of Center Demographic, Director, Parental, Social, Environmental, and Policy Factors to Changes in Outdoor Play in Childcare Centers During the COVID-19 Pandemic.
- Author
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Hwang, Yeongho, Boyd, Madison, Davenport, Cody, and Carson, Valerie
- Subjects
COVID-19 pandemic ,PLAYGROUNDS ,PLAY environments ,PROVINCIAL governments ,SOCIAL support - Abstract
Background: The primary objective of this study was to investigate the relative contributions of factors from multiple social-ecological levels in explaining outdoor play changes in childcare centers during the COVID-19 pandemic. Methods: In Alberta, Canada, licensed childcare center directors (n = 160) completed an online questionnaire. For outcomes, changes in the frequency and duration of outdoor play in childcare centers during COVID-19 compared to before COVID-19 were measured. For exposures, center demographic, director, parental, social, environmental, and policy-level factors were measured. Hierarchical regression analyses were conducted separately for winter (December–March) and nonwinter months (April–November). Results: In most instances, factors at each social-ecological level explained a statistically significant amount of unique variance in changes in outdoor play in childcare centers during COVID-19. Full models accounted for more than 26% of the variance in the outcomes. Changes in parental interest in outdoor play was the most consistent correlate of changes in the frequency and duration of outdoor play in both winter and nonwinter months during COVID-19. In terms of changes in the duration of outdoor play, social support from the provincial government, health authority, and licensing, and changes in the number of play areas in licensed outdoor play spaces were also consistent correlates in both winter and nonwinter months during COVID-19. Conclusions: Factors from multiple social-ecological levels uniquely contributed to changes in outdoor play in childcare centers during the COVID-19 pandemic. Findings can help inform interventions and public health initiatives related to outdoor play in childcare centers during and after the ongoing pandemic. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
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