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Objectives. The purpose of the study is to better understand the scope of research being conducted by Canadian paediatric and maternal health centres on the topic of maternal child health of northern populations. In addition, the results are intended to help assess the prospects for the creation of a research network dedicated to this topic. Study design. Questionnaire study complemented with review of database. Methods. Data were collected using a short questionnaire with qualitative and quantitative questions. Surveys were sent by email to members of two Canadian national paediatric groups, representing 17 organizations. Supplementary information was obtained through review of the database for research funded by the Canadian Institutes of Health Research (CIHR) and by the International Polar Year Program. Results. Response was limited, with most input coming from academic environments with a strong commitment to research conducted among northern populations. Research focuses included health as well as other disciplines. The definition of "the North" provided by respondents fit generally within the operational definition identified by the researchers. Conclusions. The topic of maternal and child health is more thoroughly examined among rural and remote populations than specifically among northern populations. The existence of a type of network, the evidence of a lack of inter-institutional communication and the identified need for support lead to the conclusion that a formal research network would be of benefit. Research is already funded by national funding agencies, suggesting that there may be an opportunity to collaborate with a national agency in the development of an appropriate network. [ABSTRACT FROM AUTHOR]

Abstract Background There are concerns about the frequency and appropriateness of psychostimulant drug prescription to children. In order to identify unusual or unexpected patterns of use or prescribing, we reviewed prescription of methylphenidate (Ritalin) to children and adolescents aged 19 years or less in British Columbia between 1990 and 1996. Methods We obtained information about patients, physicians and prescriptions from British Columbia's Triplicate Prescription Program database for controlled drugs. Prescription data were available for the period Jan. 1, 1990, to Dec. 31, 1996. Linkage with the BC Linked Health Dataset provided additional demographic and health information. Results In 1990, 1715 children received at least 1 prescription for methylphenidate (1.9 per 1000 children). By 1996, the number had increased to 10 881 children (11.0 per 1000). Because some children were prescribed methylphenidate in more than 1 year, we also calculated the frequency with which the drug was prescribed to children who had never received it before. This rate increased from 1.0 per 1000 children in 1990 to 4.7 per 1000 in 1995; the rate fell in 1996 to 3.5 per 1000. The number of children receiving methylphenidate varied across health regions of the province, from 12.0 to 35.4 per 1000. Use also varied by socioeconomic status quintile: in the 2 lowest (least privileged) quintiles, 21.6 per 1000 children received methylphenidate, compared with 18.4 per 1000 in the 3 highest quintiles (relative risk 1.2, 95% confidence interval 1.1-1.2). Pediatricians and psychiatrists wrote 23% and 21% of all prescriptions respectively. General practitioners accounted for 56% of all prescriptions and 41% of initial methylphenidate prescriptions. A claim for prior specialist consultation was found in 30% of such cases. Many of the children who received more than 10 prescriptions had seen 4 or more physicians. The average daily dosage prescribed differed little among general pract... [ABSTRACT FROM AUTHOR]

This research study sought to identify and categorize international marketing ethical problems that confront business managers in Australia and Canada. The study focused on ten major ethical problems developed from previous exploratory research. Managers from both countries indicate that the most frequently cited ethical problem is "gifts/favors/entertainment" and the most important ethical problem is "large-scale bribery". However, there exist significant differences in terms of rankings and mean values of frequency and importance ratings for other ethical problems. [ABSTRACT FROM AUTHOR]

Recommends ways in which the needs of children with chronic health conditions are met in an era of health services reform in Canada as of 2004. Importance of a comprehensive and competent medical care system; Care that supports child and family empowerment; Need to raise public awareness about health reform recommendations.

Background: This study examines the association between country of birth, language spoken at home, and lifetime illicit substance use in a Canadian national sample., Method: Secondary analysis of data was conducted using a sample of 8,656 persons who were between 15 and 54 years of age in 1994 and who participated in Canada's Alcohol and Other Drugs Survey., Results: Rates of substance use differed among the four groups (42.6% for Canadian-born who spoke official languages, 33.8% for Canadian-born who spoke non-official languages, 35.2% for foreign-born who spoke official languages, and 11.1% for foreign-born who spoke non-official languages). The rate differences persisted after adjustment for sociodemographic factors, religiousness, friends' use of substances, and participation in social activities., Interpretation: More in-depth studies that include culture-specific information are required to explain the rate differences. In addition, alternative preventive strategies may be required to reduce substance use among foreign-born persons.