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Individual differences in emotional reactivity emerge early in development and predict important child outcomes. Unfortunately, methods used to assess these often fail to tap dynamic changes in emotion, obscuring nuanced relationships between maladaptive emotional reactivity and early internalizing psychopathology. We therefore explored the utility of an emerging, multimethod approach for examining children's emotional reactivity. Thirty-nine children (22 girls; M[subscript age] = 7.19 years, SD = 0.76) viewed 11 video clips eliciting happiness, sadness, or fear. We used multilevel growth curve modeling to estimate change in children's self-reported and observed emotion across clips of increasing potency. Higher anxious/depressive symptoms predicted steeper trajectories of child-rated happiness and lower happiness and fear toward low-intensity clips. Higher depressive symptoms predicted lower child-rated sadness toward a low-intensity clip. The limited associations between children's symptoms and emotion ratings averaged across clips suggested that modeling child emotion across stimuli of varying intensity yields a valuable index of emotional reactivity.

The completion of a 3-d food record, using commonly available nutrient analysis software, is a typical assignment for students in nutrition and food science programs. While these assignments help students evaluate their personal diets, it is insufficient to teach students about surveys of large population cohorts. This paper shows how the Test, Survey, and Pools tool in the learning management system Blackboard™ (Blackboard Inc.) was used to collect the individual food and nutrition intake data from the 3-d food records of students in a large introductory nutrition class. This student-generated database was then used to illustrate population level analyses. Examples of the types of analyses include (a) use of the Estimated Average Requirement cut point method to identify nutrients of concern; (b) the use of food intakes to determine the proportion of students consuming the recommended servings of foods from each food group; (c) the analysis of intakes of nutrients that are overconsumed such as salt, saturated fat, and trans fat; and (d) correlations between macronutrients (for example, as fat intake increases, carbohydrate intake decreases). The use of a database, derived from the students own food intakes, connects with student interests, and the analysis of such a database illustrates an authentic task in the nutritional sciences.

This study tested societal effects on caregiver/teacher ratings of behavioral/emotional problems for 10,521 preschoolers from 15 societies. Many societies had problem scale scores within a relatively narrow range, despite differences in language, culture, and other characteristics. The small age and gender effects were quite similar across societies. The rank orders of mean item ratings were similar across diverse societies. For 7,380 children from 13 societies, ratings were also obtained from a parent. In all 13 societies, mean Total Problems scores derived from parent ratings were significantly higher than mean Total Problems scores derived from caregiver/teacher ratings, although the size of the difference varied somewhat across societies. Mean cross-informant agreement for problem scale scores varied across societies. Societies were very similar with respect to which problem items, on average, received high versus low ratings from parents and caregivers/teachers. Within every society, cross-informant agreement for item ratings varied widely across children. In most respects, results were quite similar across 15 very diverse societies. (Contains 5 tables and 1 figure.)

Report of a second target (T2) is impaired when presented within 500 ms of the first (T1). This attentional blink (AB) is known to cause a delay in T2 processing during which T2 must be stored in a labile memory buffer. We explored the buffer's characteristics using different types of masks after T2. These characteristics were inferred by determining what attributes of T2 are hindered by a given form of masking. In Experiments 1-3, trailing metacontrast and four-dot masks produced ABs of equal magnitudes, implicating the onset-transient triggered by the mask as the mechanism underlying the AB and strongly suggesting a locus in early vision. In Experiment 4, metacontrast and four-dot masks were presented in a common-onset masking (COM) paradigm in which a brief, combined display of T2 and the mask was followed by a longer display of the mask alone. COM is thought to occur late in the sequence of processing events. No AB occurred with COM, confirming the critical role of the mask's onset transients and ruling out a high-level locus for the labile memory buffer. (Contains 2 footnotes and 6 figures.)

Distinctions between rural and urban populations are well documented in environmental sociology literature. Rural and urban places may exert different influences on participation in environmentally supportive behavior (ESB) as well as on other forms of environmental concern (EC). The influence of these distinct geographies may be due to present circumstances or because of childhood socialization in these places. Using data from a national survey in Canada (n=51 664), we use cognitive (basic values, environmental worldview, and environmental attitude) and behavioral indicators (public and private sphere) of EC to explore differences among rural and urban populations and we include analyses accounting for place of socialization. We extend the conventional private sphere category of ESB by including stewardship behaviors. Results showed few differences between rural and urban residents on indicators of EC. Rural residents, however, scored higher on altruistic values, placed a higher priority on the environment, and reported higher participation in recycling and stewardship behaviors. Analysis that included place of socialization showed differences on environmental worldview, basic values, and some ESB. In terms of ESB, we conclude that residence and place of socialization may be less of a factor than opportunity and highlight the importance of providing services and facilities. We recommend future research on residence and ESB include a variety of behaviors that reflect opportunities for both rural and urban residents. (Contains 4 tables and 1 figure.)

Established populations of the non-native horned-face bee, Osmia cornifrons (Radoszkowski, 1887), and the taurus mason bee, Osmia taurus Smith, 1873 (Hymenoptera: Megachilidae), have been identified from Canada for the first time. In the US, the importation of O. cornifrons, beginning in the 1970s, led to its release for agricultural crop pollination and spread across the country. In this article, we report on O. cornifrons captured while sampling wild bees in Toronto, Ontario using hand nets, bug vacuums, and vane traps, as well as established populations in trap nests, from 2017-2020. The morphologically similar O. taurus, which was accidentally introduced to the US with shipments of imported O. cornifrons, was also recorded in our samples. Recently, a few individual O. taurus specimens have been identified from Ontario and Quebec; however, the extent of our sampling included nests, indicating it is also established in Canada. Others have shown its population growth to have been associated with concordant declines in abundances of native mason bee species in the US, and similar impacts are possible in Canada if action is not taken. We propose three non-mutually exclusive possible pathways for the arrival of O. cornifrons, as well as O. taurus, in Canada: (1) natural migration northward from non-native populations in the US, (2) international importation in the 1980s-2000s to support agricultural research programs, and (3) unintentional release of mason bee cocoons purchased from non-local vendors. We argue that a focus on enhancing populations of locally occurring native bees and stronger policy on the importation and sale of non-native bees are needed. [ABSTRACT FROM AUTHOR]

The sensitivity of amphibian species to shifts in environmental conditions has been exhibited through long‐term population studies and the projection of ecological niche models under expected conditions. Species in biodiversity hotspots have been the focus of ample predictive modeling studies, while, despite their significant ecological value, wide‐ranging and common taxa have received less attention. We focused on predicting range restriction of the spotted salamander (Ambystoma maculatum), blue‐spotted salamander (A. laterale), four‐toed salamander (Hemidactylium scutatum), and red‐backed salamander (Plethodon cinereus) under future climate scenarios. Using bias‐corrected future climate data and biodiversity database records, we developed maximum entropy (MaxEnt) models under current conditions and for climate change projections in 2050 and 2070. We calculated positivity rates of species localities to represent proportions of habitat expected to remain climatically suitable with continued climate change. Models projected under future conditions predicted average positivity rates of 91% (89–93%) for the blue‐spotted salamander, 23% (2–41%) for the spotted salamander, 4% (0.7–9%) for the four‐toed salamander, and 61% (42–76%) for the red‐backed salamander. Range restriction increased with time and greenhouse gas concentration for the spotted salamander, four‐toed salamander, and red‐backed salamander. Common, widespread taxa that often receive less conservation resources than other species are at risk of experiencing significant losses to their climatic ranges as climate change continues. Efforts to maintain populations of species should be focused on regions expected to experience fewer climatic shifts such as the interior and northern zones of species' distributions. [ABSTRACT FROM AUTHOR]

Growing evidence points to the dynamic role that kerogen is playing on Earth's surface in controlling atmospheric chemistry over geologic time. Although quantitative constraints on the weathering of kerogen remain loose, its changing weathering behavior modulated by the activity of glaciers suggests that this largest pool of reduced carbon on Earth may have played a key part in atmospheric CO2 variability across recent glacial–interglacial cycles and beyond. This work enunciates the possibility of kerogen oxidation as a major driver of atmospheric CO2 increase in the wake of glacial episodes. This hypothesis of centennial- and millennial-timescale relevance for this chemical weathering pathway is substantiated by several lines of independent evidence synthesized in this contribution, including the timing of atmospheric CO2 increase, atmospheric CO2 isotope composition (13C and 14C), kerogen oxidation kinetics, observations of kerogen reburial, and modeling results. The author hypothesizes that the deglaciation of kerogen-rich lithologies in western Canada contributed to the characteristic deglacial increase in atmospheric CO2 , which reached an inflection point ≤ 300 years after the Laurentide Ice Sheet retreated into the kerogen-poor Canadian Shield. To reconcile the release of isotopically light carbon via kerogen oxidation with Earth surface carbon pool constraints, major oceanic degassing and biospheric regrowth must have acted in concert across glacial–interglacial transitions. Additionally, a process such as a strong shift in the ratio of C3 to C4 -derived organic matter must be invoked to maintain isotope mass balance, a point key for reconciling the hypothesis with the carbon isotope record of marine dissolved inorganic carbon. In order to test this hypothesis, quantitative constraints on the contribution of kerogen oxidation to CO2 rise at glacial terminations are needed through systematic studies on (1) CO2 fluxes emanating from the weathering of different lithologies, (2) oxidation kinetics of kerogen along glacial chronosequences, and (3) high-resolution temporal changes in the aerial extent of glacially exposed lithological units and glacial flour. [ABSTRACT FROM AUTHOR]

Abstract: Animal companionship can have many physical and psychological benefits; however, animals can also be a source of zoonotic infection, including enteric illnesses; it has been estimated that in Canada, nearly 85,000 enteric illnesses due to eight pathogens occur each year related to animal contact. There is a lack of baseline data on animal‐related exposures in Canada and around the world. This information is critical to inform quantitative and qualitative risk assessments to prioritize intervention efforts in public health and reduce the associated burden of enteric illness. To help address this issue and assist evaluation of the risks associated with animal contact, the Foodbook study, conducted in 2014–2015, assessed exposure to animals, animal food and animal‐related venues within the last 7 days among Canadians. Data were analysed by province and territory, age group and urban/rural residency. Overall, dogs and cats were the most commonly reported animal exposures (43.3% and 31.9%, respectively). The data suggest farm animal exposure occurs primarily at a farm/barn, and to a lesser extent at other animal‐related venues (e.g., petting zoos or agricultural fairs). Approximately one in 25 respondents handled raw pet food within the last 7 days; the majority of which had also been exposed to a dog (86.4%). Children aged 0–9 years reported relatively high exposure to four types of high‐risk animals: rodents (5.6%), poultry (4.0%), reptiles (2.1%) and amphibians (1.8%); with the most vulnerable children aged <5 years also reporting exposure to many of these high‐risk animals. These results highlight potential areas for targeted intervention that can focus on high‐risk populations (e.g., young children) exhibiting potentially risky behaviour such as being exposed to certain high‐risk animals, or handling pet food, treats and raw pet food diets. Additionally, these results support the need to better understand the burden of enteric illness associated with animals and their environments. [ABSTRACT FROM AUTHOR]

In Canada, over 400,000 enteric diseases related to drinking water occur each year, highlighting the importance of understanding sources of Canadians' drinking and recreational water exposures. To address this need, a population-based telephone survey of 10,942 Canadians was conducted between 2014 and 2015, assessing Canadian's drinking water sources and recreational water exposures using a seven-day recall method. Results were analyzed by province/territory, season, age group, gender, income, education, and urban/rural status. Store-bought bottled water was reported by nearly 20% of survey respondents as their primary drinking water source, while approximately 11% of respondents reported private well. The proportion of private well users was significantly greater than the national average in the Maritime Provinces where approximately 40-56% of respondents reported this as their primary drinking water source. As expected, Canadians' recreational water activities and exposures (e.g., swimming, pool, lake, and waterpark) peaked during summer and were most commonly reported among children aged 0-9 years. Waterborne disease in Canada requires a multi-faceted public health approach. Canadian baseline data on water exposures can inform policy and public health strategies (e.g., recreational water guidelines, private well water testing recommendations) and support research and risk assessment related to mitigating waterborne illness [ABSTRACT FROM AUTHOR]

Troodontid material from the Maastrichtian of North America is extremely rare, beyond isolated teeth from microvertebrate sites. Here we describe troodontid frontals from the early Maastrichtian Horseshoe Canyon Formation (Horsethief Member). The most complete specimen, TMP 1993.105.0001, is notably foreshortened and robust when compared with numerous specimens referred to Troodon from the Dinosaur Park Formation, and exhibits several characteristics that distinguish it from other Late Cretaceous troodontids. Morphometric analyses reinforce shape differences between TMP 1993.105.0001 and other North American troodontids, and show that proportional differences are independent of size. We therefore erect a new taxon, Albertavenator curriei gen. et sp. nov., which is diagnosed by the following autapomorphies: (1) primary supraciliary foramen is truncated anteriorly by the lacrimal contact; (2) superficial (ectocranial) surface of the frontal proportionally shorter than all known troodontids, with a length to width ratio under 1.3; and (3) frontoparietal contact in which an enlarged lappet of the frontal extends medially to extensively overlap the lateral region of the anteromedial process of the parietal. Interestingly, tooth and jaw morphology from the single relatively complete dentary recovered from the Horseshoe Canyon cannot be distinguished from dentaries and teeth from the Dinosaur Park Formation. If the dentary and teeth from the Horsethief Member of the Horseshoe Canyon Formation prove to belong to A. curriei, extensive overlap in tooth morphology between the Dinosaur Park and Horseshoe Canyon formations reinforces the notion that tooth morphotypes do not exhibit strong correspondence to species alpha diversity, and may encompass multiple closely related taxa. [ABSTRACT FROM AUTHOR]

Background: A dietary protein intake higher than the Recommended Dietary Allowance during an energy deficit helps to preserve lean body mass (LBM), particularly when combined with exercise. Objective: The purpose of this study was to conduct a proof-of-principle trial to test whether manipulation of dietary protein intake during a marked energy deficit in addition to intense exercise training would affect changes in body composition. Design: We used a single-blind, randomized, parallel-group prospective trial. During a 4-wk period, we provided hypoenergetic (w40% reduction compared with requirements) diets providing 33 ± 1 kcal/ kg LBM to young men who were randomly assigned (n = 20/group) to consume either a lower-protein (1.2 g ⋅ kg-1 ⋅ d-1) control diet (CON) or a higher-protein (2.4 g ⋅ kg-1 ⋅ d-1) diet (PRO). All subjects performed resistance exercise training combined with high-intensity interval training for ± d/wk. A 4-compartment model assessment of body composition was made pre- and postintervention. Results: As a result of the intervention, LBM increased (P < 0.05) in the PRO group (1.2 ± 1.0 kg) and to a greater extent (P < 0.05) compared with the CON group (0.1 ± 1.0 kg). The PRO group had a greater loss of fat mass than did the CON group (PRO: 24.8 61.6 kg; CON: 23.5 ± 1.4kg; P < 0.05). All measures of exercise performance improved similarly in the PRO and CON groups as a result of the intervention with no effect of protein supplementation. Changes in serum cortisol during the intervention were associated with changes in body fat (r = 0.39, P = 0.01) and LBM (r = 20.34, P = 0.03). Conclusions: Our results showed that, during a marked energy deficit, consumption of a diet containing 2.4 g protein ⋅ kg-1 ⋅ d-1 was more effective than consumption of a diet containing 1.2 g protein ⋅ kg-1 ⋅ d-1 in promoting increases in LBM and losses of fat mass when combined with a high volume of resistance and anaerobic exercise. Changes in serum cortisol were associated with changes in body fat and LBM, but did not explain much variance in either measure. This trial was registered at clinicaltrials.gov as NCT01776359. [ABSTRACT FROM AUTHOR]

Background. The incidence of self-reported acute gastrointestinal illness (AGI) in Rigolet, Nunatsiavut, and Iqaluit, Nunavut, is higher than reported elsewhere in Canada; as such, understanding AGI-related healthcare use is important for healthcare provision, public health practice and surveillance of AGI. Objectives. This study described symptoms, severity and duration of self-reportedAGI in the general population and examined the incidence and factors associated with healthcare utilization for AGI in these 2 Inuit communities. Design. Cross-sectional survey data were analysed using multivariable exact logistic regression to examine factors associated with individuals' self-reported healthcare and over-the-counter (OTC) medication utilization related to AGI symptoms. Results. In Rigolet, few AGI cases used healthcare services [4.8% (95% CI=1.5-14.4%)]; in Iqaluit, some cases used healthcare services [16.9% (95% CI=11.2-24.7%)]. Missing traditional activities due to AGI (OR=3.8; 95% CI=1.18-12.4) and taking OTC medication for AGI symptoms (OR=3.8; 95% CI=1.2-15.1) were associated with increased odds of using healthcare services in Iqaluit. In both communities, AGI severity and secondary symptoms (extreme tiredness, headache, muscle pains, chills) were significantly associated with increased odds of taking OTC medication. Conclusions. While rates of self-reportedAGI were higher in Inuit communities compared to non-Inuit communities in Canada, there were lower rates of AGI-related healthcare use in Inuit communities compared to other regions in Canada. As such, the rates of healthcare use for a given disease can differ between Inuit and non-Inuit communities, and caution should be exercised in making comparisons between Inuit and non-Inuit health outcomes based solely on clinic records and healthcare use. [ABSTRACT FROM AUTHOR]

A stochastic model was used to estimate the annual number of human cases of ceftiofur-resistant Salmonella Heidelberg in Québec and Ontario (2003–2011) attributable to chicken consumption and human antimicrobial consumption, using Canadian surveillance data.A stochastic model was used to estimate the number of human cases of ceftiofur-resistant Salmonella enterica serovar Heidelberg in Québec and Ontario attributable to chicken consumption and excess cases attributable to human prior antimicrobial consumption. The annual mean incidence of S. Heidelberg (Québec/Ontario) decreased from 70/62 cases per 100 000 in 2004 to 29/30 cases per 100 000 in 2007 (Québec)/2008 (Ontario), increasing to 59/45 cases per 100 000 in 2011. The annual mean incidence of ceftiofur-resistant cases from chicken decreased from 8/7 cases per 100 000 in 2004 to 1/1 cases per 100 000 in 2007 (Québec)/2008 (Ontario), increasing to 7/5 cases per 100 000 in 2011. The annual mean total number of excess ceftiofur-resistant cases from chicken attributable to human prior antimicrobial consumption (Québec/Ontario) decreased from 71/123 in 2004 to 6/24 in 2007 (Québec)/2008 (Ontario), but increased to 62/91 in 2011. This model will support future work to determine the increased severity, mortality and healthcare costs for ceftiofur-resistant Salmonella Heidelberg infections. These results provide a basis for the evaluation of future public health interventions to address antimicrobial resistance. [ABSTRACT FROM AUTHOR]

Background: Up to 150 million North Americans currently use a groundwater system as their principal drinking water source. These systems are a potential source of exposure to enteric pathogens, contributing to the burden of waterborne disease. Waterborne disease outbreaks have been associated with US and Canadian groundwater systems over the past two decades. However, to date, this literature has not been reviewed in a comprehensive manner. Methods and Principal Findings: A combined review and pooled-analysis approach was used to investigate groundwater contamination in Canada and the US from 1990 to 2013; fifty-five studies met eligibility criteria. Four study types were identified. It was found that study location affects study design, sample rate and studied pathogen category. Approximately 15% (316/2210) of samples from Canadian and US groundwater sources were positive for enteric pathogens, with no difference observed based on system type. Knowledge gaps exist, particularly in exposure assessment for attributing disease to groundwater supplies. Furthermore, there is a lack of consistency in risk factor reporting (local hydrogeology, well type, well use, etc). The widespread use of fecal indicator organisms in reported studies does not inform the assessment of human health risks associated with groundwater supplies. Conclusions: This review illustrates how groundwater study design and location are critical for subsequent data interpretation and use. Knowledge gaps exist related to data on bacterial, viral and protozoan pathogen prevalence in Canadian and US groundwater systems, as well as a need for standardized approaches for reporting study design and results. Fecal indicators are examined as a surrogate for health risk assessments; caution is advised in their widespread use. Study findings may be useful during suspected waterborne outbreaks linked with a groundwater supply to identify the likely etiological agent and potential transport pathway. [ABSTRACT FROM AUTHOR]

IMPORTANCE Tadalafil is used to treat erectile dysfunction after prostate cancer treatment, but its role as a preventive agent is undefined. OBJECTIVES To determine primarily whether tadalafil preserved erectile function in men treated with radiotherapy for prostate cancer, and secondarily to determine whether participant- or partner-reported overall sexual function and sexual and marital satisfaction were affected. DESIGN, SETTING, AND PARTICIPANTS Stratified, placebo-controlled, double-blind, parallel-group study with 1:1 randomization at 76 community-based and tertiary medical sites in the United States and Canada. Two hundred forty-two participants with intact erectile function scheduled to receive radiotherapy for prostate cancer were recruited between November 2009 and February 2012 with follow-up through March 2013. INTERVENTIONS One hundred twenty-one participants were assigned 5 mg of tadalafil daily and 121 were assigned placebo for 24 weeks starting with external radiotherapy (63%) or brachytherapy (37%). Participant-reported International Index of Erectile Function response before radiotherapy and at weeks 2 and 4, between weeks 20 and 24, between weeks 28 and 30, and 1 year thereafter. Participants and partners could respond also to the Sexual Adjustment Questionnaire and to the Locke Marital Adjustment Test before radiotherapy, between weeks 20 and 24 and weeks 28 and 30, and at 1 year. MAIN OUTCOMES AND MEASURES Primary outcome was off-drug spontaneous erectile function 28 to 30 weeks after radiotherapy started. Secondary end points were spontaneous erection at 1 year; overall sexual function and satisfaction; marital adjustment; and partner-reported satisfaction and marital adjustment at 28 to 30 weeks and 1 year, predictors of tadalafil response; and adverse events. RESULTS Among 221 evaluable participants, 80 (79%; 95% CI, 70%-88%) assigned to receive tadalafil retained erectile function between weeks 28 and 30 compared with 61 (74%; 95% CI, 63%-85%) assigned to receive placebo (P = .49); an absolute difference of 5% (95% CI, -9% to 19%). A significant difference was also not observed at 1 year (72%; 95% CI, 60%-84% vs 71%; 95% CI, 59%-84%; P = .93). Tadalafil was not associated with significantly improved overall sexual function or satisfaction; a significant difference was not observed in any domain subscale. Partners of men assigned tadalafil noted no significant effect on sexual satisfaction, and marital adjustment was not significantly improved in participants or partners. CONCLUSIONS AND RELEVANCE Among men undergoing radiotherapy for prostate cancer, daily use of tadalafil compared with placebo did not result in improved erectile function. These findings do not support daily use of tadalafil to prevent erectile dysfunction in these patients. [ABSTRACT FROM AUTHOR]

Abstract: Understanding consumers' food safety practices is helpful in reducing food-borne illness. A systematic literature search was conducted to establish a baseline of consumer food safety practices in Canada, identify research gaps and make recommendations for future research. To date, this is the first study examining Canadian populations which gathers survey results measuring consumer food safety practices from both peer-reviewed, published literature and non-peer-reviewed public opinion research reports. The search found 26 Canadian publications from 1998 to 2011. Questions covered frequency of food preparation, sources of food safety information, consumer confidence and assigned food safety responsibility, awareness of food safety, knowledge of high-risk groups and high-risk foods, and personal experience with food-borne illness. Food safety behaviours were evaluated according to the ‘clean’, ‘separate’, ‘chill’ and ‘cook’ principles emphasized by the Canadian Partnership for Consumer Food Safety Education's FightBAC® Program. Overall, results differed considerably between studies due to variations in study designs, populations, survey questions and definitions of correct behaviour. However, the analysis provided a general indication of areas requiring targeted consumer food safety education such as increasing thermometer use when cooking meats, raising awareness of high-risk populations and knowledge of high-risk foods, and expanding messaging to the internet and social media. Consumer food safety studies in Canada were limited to self-reported behaviours. Future research could include observational studies to validate results from self-reported food safety practices, and provide more accurate information on consumer food handling practices. Finally, establishing a set of standard food safety questions that can be compared between future surveys would contribute to a comprehensive baseline against which future food safety interventions could be measured. [Copyright &y& Elsevier]

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Abstract: This article details a systematic review of medical evaluation forms in support of licensing decisions for medically at-risk drivers. Comparisons were made between all-inclusive forms utilized by 52 State and Provincial Departments of Motor Vehicles (DMVs) in the US and Canada. Comparisons focused on length, format, content, instructional quality, medical coverage, ease of use, and other qualitative characteristics. Median page length was 2 (range 1–10), and mean word count was 1083 (494–3884). Common response options included open-ended (98%), forced choice (87%), and check box (81%). While the majority of forms (77%) required driver consent, only 24% requested information from the driver. Less than half (46%) included text on confidentiality protection. While all forms requested general medical information, just over half included specific sections for vision (54%) and cognitive/neurological conditions (56%). Most forms (81%) required that a judgment be made concerning driver safety, and half prompted for possible license restrictions. Criterion-based quality ratings were assigned on a five-point Likert scale by group consensus. One third of forms were rated as marginal or poor in comprehensiveness and utility, and just two garnered an excellent overall rating. Findings are discussed relative to current research on driver fitness and elements of a proposed model form. Best practice recommendations include a page length limitation, emphasis on in-person evaluation (i.e., as opposed to a records-only review), prompts to collect crash and other driving history information, clear instructions and stepwise format, content prompts across relevant medical categories, documentation of functional status and impairment levels, options for driving with restrictions in lieu of de-licensing, and emphasis on relative (vs. absolute) clinical judgments of overall driver safety. [Copyright &y& Elsevier]

Abstract: In this study, measurements of gravity were made to map and model the thickness of Quaternary deposits (sand and clay) overlying Ordovician limestones in a suburb of Ottawa (Orléans, Ontario). Because ground motion amplification is partly related to the thickness of unconsolidated deposits, this work helps refine the assessment of the earthquake damage potential of the area. It also helps the mapping of clay basins, which can locally exceed 100m in thickness, where ground motion amplification can occur. Previous work, including well log data and seismic methods, have yielded a wealth of information on near-surface geology in Orléans, thereby providing the necessary constraints to test the applicability of gravity modeling in other locations where other methods cannot always be used. Some 104 gravity stations were occupied in an 8×12km test area in the Orléans. Stations were accurately located with differential GPS that provided centimetric accuracy in elevation. Densities of the unconsolidated Quaternary deposits (Champlain Sea clay) determined on core samples and densities determined on limestone samples from outcrops were used to constrain models of the clay layer overlying the higher density bedrock formations (limestone). The gravity anomaly map delineates areas where clay basins attain>100m depth. Assuming a realistic density for the Champlain Sea clays (1.9–2.1g/cm3), the thickness over the higher density bedrock formations (Ordovician carbonate rocks) was modeled and compared with well logs and two seismic reflection profiles. The models match quite well with the information determined from well logs and seismic methods. It was found that gravity and the thickness of unconsolidated deposits are correlated but the uncertainties in both data sets preclude the definition of a direct correlation between the two. We propose that gravity measurements at a local scale be used as an inexpensive means of mapping the thickness of unconsolidated deposits in low-density urban areas. To obtain meaningful results, three conditions must exist. Firstly, elevations of gravity stations must be measured accurately using differential GPS; secondly, that the regional gravity field must be well defined, and thirdly, that the local geology be simple enough to be realistically represented with a two-layer model. [Copyright &y& Elsevier]

Customer revenge and avoidance in the context of online complaints by the public are hot topics. This article helps managers to understand the phenomenon and to prevent damage. Do online complainers hold a grudge-in terms of revenge and avoidance desires-over time? Results show that time affects the two desires differently: although revenge decreases over time, avoidance increases over time, indicating that customers hold a grudge. Then, we examine the moderation effect of a strong relationship on how customers hold this grudge. Indeed firms' best customers have the longest unfavorable reactions. This is called the love-becomes-hate effect. Specifically, over time the revenge of strong-relationship customers decreases more slowly, and their avoidance increases more rapidly, than for weak-relationship customers. Further, we explore a solution to attenuate this damaging effect: the firm offering an apology and compensation after the online complaint. Overall, strong-relationship customers are more amenable to any level of recovery attempt. [ABSTRACT FROM AUTHOR]

Classifying communities as forest dependent based on economic indicators implies that residents of these communities share a utilitarian view of forest management whereby resource extraction and economic benefits are the primary focus. In this study, we test this hypothesis by examining the relationship between forest dependency, value orientation, and views on forest management. Data were collected by mail survey from 1521 residents of the Province of New Brunswick, Canada, in 2007. We classify respondents based on levels of forest dependency of their area of residence and their forest value orientation. We examine variation in beliefs about forest management, goals of forest management, and public involvement across levels of forest dependency and forest value orientation. Results showed some differences among residents from regions with different levels of forest dependence. Considerably greater variation, however, occurred among forest value orientation clusters. This study suggests that regardless of the level of forest dependency, communities comprised a mix of value orientations and that examining populations based on level of forest dependency may mask a plurality of views on forest management within communities. [ABSTRACT FROM AUTHOR]

In response to growing pressures to reduce the clinker content in cement and hence the CO2 emissions associated with its production, the Canadian Standards Association (CSA A3001-08) introduced a new classification of cement in 2008, this being Portland limestone cement (PLC) containing up to 15% limestone. PLC is now permitted in the production of all classes of concrete in Canada except for sulfate-exposure classes (CSA A23.1-09). Considerable laboratory testing has been conducted in Canada in recent years to demonstrate that PLC with up to 15% limestone can be manufactured to produce equivalent performance to a Portland cement in terms of concrete strength and other properties, including durability. The equivalent performance is achieved by optimizing the PLC with regards to composition and particle-size distribution, and this is achieved by intergrinding rather than blending of the Portland cement and limestone. This paper presents data from a number of recent full-scale field trials where PLC has been used in paving projects in Quebec, Alberta, and Nova Scotia. In each field trial, the performance of PLC concrete has been compared with that of equivalent concrete produced using Portland cement (PC), and concretes have been produced with varying levels (up to 50%) of supplementary cementing materials (SCM). Testing of concrete produced during the field trials has included compressive strength, freeze-thaw and deicer-salt-scaling resistance, chloride permeability, and chloride diffusion. The results indicate that concrete performance is strongly influenced by the level of SCM used, but is independent of whether PLC or PC is used. The use of such PLC has the potential to bring about a 10% reduction in the greenhouse gas emissions associated with the production of Portland cement clinker. The acceptable performance of concrete containing combinations of PLC and SCM will permit further reductions in the CO2 footprint of the concrete; in one mix, the clinker content was just 41% of the total mass of cementing material. [ABSTRACT FROM AUTHOR]

Abstract: We describe a potential problem with the use of standardisation techniques that fit growth curves directly to measurement data. The existence of medium-frequency variance (considered here to represent timescales of decades to a century) in the common climate-related forcing of tree growth can bias the removal of supposed “non-climate” variance, leading to distortion of the external forcing signal in tree growth chronologies. This is most prevalent at the ends of the chronologies. The term “trend distortion” is used to describe this effect. The idea that the common forcing signal can be removed from multiple series of ring measurements so as not to bias the chronology standardisation process constitutes the rationale for this discussion. This simple first attempt to mitigate the trend distortion problem, using division of the common signal into the original measurement data, represents an empirical “signal-free” standardisation approach. This can reduce or remove the distortion in the expressed external forcing signal. However, as with previous data-adaptive curve-fitting approaches, this leads to the need to adjust the overall trend of the resulting chronology which has arbitrary slope after being standardised using the “signal-free” method. Hence, the use of signal-free methods will limit the preservation of long-timescale variance to that of the length of the chronology. Trend distortion is described and demonstrated using simulated and measured ring-width series. Signal-free methods are developed and are used to minimise trend distortion in chronologies produced using so-called “conservative” standardisation methods, applied here to ring-width measurements from northern Scandinavia but also to samples from Canada. Some of the limitations of using traditional standardisation and some of the potential benefits and limitations of using signal-free methods in conjunction with traditional standardisation methods are presented and discussed. [Copyright &y& Elsevier]

Abstract: Atmospheric mercury (Hg) loadings to Lake Ontario were estimated using data measured at two land-based sites: Sterling, NY and Point Petre, Ont., as part of the Lake Ontario air deposition study (LOADS) between April 2002 and March 2003. These loadings were compared with those estimated using intensive data measured onboard the R/V Lake Guardian in April 2002, September 2002, and July 2003 (each approximately one week). Measured concentrations and modeled mass transfer coefficients of elemental mercury (Hg0), reactive gaseous mercury (RGM) and particulate mercury (Hg(p)) in air and total Hg in precipitation were incorporated into a total deposition model including wet deposition, air–water gas exchange and particle dry deposition. Urban/rural Hg concentration ratios were assumed based on literature values. Assuming that 10% of the lake was influenced by urban areas, the annual net Hg atmospheric loadings of wet deposition, net air–water gas exchange of Hg0 (deposition=300kgyr−1 and emission=410kgyr−1) and RGM, and Hg(p) dry deposition to Lake Ontario were estimated to be 170, −110, 68, and 20kg, respectively, resulting in a net loading of 150kgyr−1. Net Hg loadings were largest in the fall (46kg) and smallest in the summer (20kg). Hg0, wet, RGM and Hg(p) deposition contributed 55%, 30%, 12%, and 3.6% of the total Hg deposition, respectively. The net loading was found to be most sensitive to the assumed urban/rural concentration ratios, wind speed, DGM concentration and Hg0 transfer velocity. An increase in the influence of urban areas from 0% to 30% resulted in a 90% increase in the total loading demonstrating the complexity and non-linearity of the atmospheric deposition of mercury to Lake Ontario and the importance of quantifying the urban footprint. [Copyright &y& Elsevier]

Sense-of-place research has grown in recent years and has attracted interest from a diverse range of disciplines. Beckley (2003) suggests that it may be possible to disaggregate persons' attachment to biophysical versus sociocultural aspects of sense of place. Stedman (2003) and Beckley (2003) challenge researchers to experiment with new methods for examining the subject. This research addresses the challenges through the use of resident-employed photography. The method was used to elicit sense-of-place values in four communities across Canada. Participants took photographs of things that most attached them to their communities or region. Participants were interviewed about their photographs, and 937 photo-narrative data points were created and analyzed. The analysis involved ascribing photo-narratives to single response categories. Residents distributed their photographs fairly evenly between sociocultural and biophysical dimensions of their communities; however, many attachments involve both sociocultural and biophysical influences. [ABSTRACT FROM AUTHOR]

The article presents an examination of Canada's Ukrainian population as well as the total Slavonic population based on census records from 2001. The article takes an historic examination of the Ukrainian population which accounts for the majority of the Slavonic population and explores issues related to Ukrainian immigration. It compares Canada's Ukrainian, Polish and Russian populations and explores immigration during the inter-war period as well as the post-war period following World War II. It also discusses how the Cold War affected Canada's Slavonic population.

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This project addresses two important issues relevant to the health of Canadians: the risk of waterborne illness and the health impacts of global climate change. The Canadian health burden from waterborne illness is unknown, although it presumably accounts for a significant proportion of enteric illness. Recently, large outbreaks with severe consequences produced by E. coli O157:H7 and Cryptosporidium have alarmed Canadians and brought demands for political action. A concurrent need to understand the health impacts of global climate changes and to develop strategies to prevent or prepare for these has also been recognized. There is mounting evidence that weather is often a factor in triggering waterborne disease outbreaks. A recent study of precipitation and waterborne illness in the United States found that more than half the waterborne disease outbreaks in the United States during the last half century followed a period of extreme rainfall. Projections of international global climate change scenarios suggest that, under conditions of global warming most of Canada may expect longer summers, milder winters, increased summer drought, and more extreme precipitation. Excess precipitation, floods, high temperatures, and drought could affect the risk of waterborne illness in Canada. The existing scientific information regarding most weather-related adverse health impacts and on the impacts of global climate change on health in Canada is insufficient for informed decision making. The results of this project address this need through the investigation of the complex systemic interrelationships between disease incidence, weather parameters, and water quality and quantity, and by projecting the potential impact of global climate change on those relationships. [ABSTRACT FROM AUTHOR]

The well-being of residents of resource dependent communities is a question of traditional interest to rural sociologists. The label "resource dependent" obscures how this relationship may vary between particular resource industries, regions, or indicators of well-being. Few analyses have compared the relationship between well-being and resource dependence across different industries, nor tested competing theories about the relationship between resource dependence and well-being. Our paper presents an overview of the relationship between resource dependence— agriculture, fisheries, mining, energy, forestry—and human well-being in Canada. Analysis of 1996 Statistics Canada data revealed a great deal of variation in the effect of "resource" dependence on indicators of well-being (e.g., human capital, unemployment, income): some industries exhibit fairly positive outcomes (e.g., agriculture), others more negative outcomes (e.g., fishing). Consistent with analyses conducted in the United States, these relationships vary by region, suggesting the need for models that incorporate the particulars of place and industry. [ABSTRACT FROM AUTHOR]

Rural sociologists have a lengthy history of examining the relationship between natural resource dependence and community well-being. This paper contributes to the understanding of this relationship in several ways. First, census data were used to describe forest sector dependence in two Canadian provinces where levels of dependence were much higher than those commonly found in the United States. Second, instead of linear regression analysis, a structural equation model was used to provide estimates for three indicators of well-being (income, poverty, and immigration) within a single model and then the model was tested for overall suitability. Using market segmentation theory, this paper shows that forest dependence and well-being in New Brunswick is more consistent with many places in the United States where the pulp and paper industry alone is positively associated with well-being indicators. In contrast, pulp and paper, logging, and lumber sectors in British Columbia are positively associated with well-being. The model also reveals less transience in forestry towns than was previously assumed. These findings are discussed along with estimated effects between indicators of community well-being. [ABSTRACT FROM AUTHOR]

Objective: The relationship between parity and risk of diabetes is controversial, and little information is available regarding associations between parity and measures of insulin resistance and beta-cell function. The objective of this study was to investigate the association between parity and risk of glucose intolerance and related metabolic disorders using data from a population-based study in a Native Canadian community.Research Design and Methods: Female participants (n = 383, aged 12-79 years) provided fasting blood samples for the determination of glucose, insulin, C-peptide, and proinsulin concentrations. A 75-g oral glucose tolerance test was administered, and diabetes and impaired glucose tolerance were diagnosed according to World Health Organization criteria. Waist circumference and percent body fat were determined. Information regarding occurrence of live births and previously diagnosed diabetes was obtained from interviewer-administered questionnaires.Results: Parity was associated with a significantly reduced risk of diabetes (nulliparous vs. >or=1 birth, odds ratio 0.43, 95% CI 0.19- 0.94, P < 0.05) after adjustment for age and waist circumference. In addition, nondiabetic nulliparous women had significantly elevated concentrations of fasting insulin and proinsulin relative to nondiabetic parous women (all P < 0.05) in analyses adjusted for age and waist circumference.Conclusions: Our results are consistent with those from other populations experiencing high rates of diabetes and suggest the presence of a diabetes-prone phenotype within the nulliparous subcohort of this population, which may contribute to infertility. [ABSTRACT FROM AUTHOR]

Social, political and economic conditions are changing in rural Canada. The forest industry has operated in rural communities throughout the nation for several centuries and the relationships between forest companies and communities have evolved over that time. This paper outlines a model for company-community relations that will foster sustainable communities given the new realities that exist in rural Canada. The model will benefit forest industry firms as well as the communities that host them. Six problems that inhibit sustainability in timber-dependent communities are outlined and several ideas for corporate action to address these challenges are offered. Among these are supporting human capital development, leadership development, and entrepreneurship; nurturing healthy communities; and ensuring that costs and benefits associated with timber-dependence are distributed evenly across regions where specific companies have a sphere of influence and within specific communities where companies operate. [ABSTRACT FROM AUTHOR]

The article discusses the Canadian-American relations in the Arctic and the effect of environmental influences on territorial claims. It focuses on the position of Canadian foreign policy concerning the Arctic regions which is based on the unsettled nature of international law in the Arctic and the effect of environmental factors. Furthermore, it discusses how Canadian foreign policy elaborates the Sprout's paradigm of perception in decision-making.

Milne Fiord, located on the coastal margin of the Last Ice Area (LIA) in the High Arctic (82°N, Canada), harbors an epishelf lake, a rare type of ice-dependent ecosystem in which a layer of freshwater overlies marine water connected to the open ocean. This microbe-dominated ecosystem faces catastrophic change due to the deterioration of its ice environment related to warming temperatures. We produced the first assessment of viral abundance, diversity, and distribution in this vulnerable ecosystem and explored the niches available for viral taxa and the functional genes underlying their distribution. We found that the viral community in the freshwater layer was distinct from, and more diverse than, the community in the underlying seawater and contained a different set of putative auxiliary metabolic genes, including the sulfur starvation-linked gene tauD and the gene coding for patatin-like phospholipase. The halocline community resembled the freshwater more than the marine community, but harbored viral taxa unique to this layer. We observed distinct viral assemblages immediately below the halocline, at a depth that was associated with a peak of prasinophyte algae and the viral family Phycodnaviridae. We also assembled 15 complete circular genomes, including a putative Pelagibacter phage with a marine distribution. It appears that despite its isolated and precarious situation, the varied niches in this epishelf lake support a diverse viral community, highlighting the importance of characterizing underexplored microbiota in the Last Ice Area before these ecosystems undergo irreversible change. [ABSTRACT FROM AUTHOR]

Ring-billed Gull (Larus delawarensis) populations have dramatically increased throughout their geographic range with the largest concentrations in the Great Lakes region of Canada and the United States. Large populations of gulls cause conflict with humans at recreational beaches, where their effects on human health and safety include bacteria contamination from gull feces. We used border collies to harass and exclude gulls from beaches in summer 2012 and 2013, then measured gull numbers and Escherichia coli. Dogs were effective at reducing gull numbers by 56–76% during continuous and noncontinuous dog treatment periods. Levels of E. coli were lower on dog-treated beaches, but only during the first half of the summer. Mixed modeling analysis showed presence of dogs was a strong predictor of gull numbers and E. coli levels, with variation among dogs, possibly related to age. Noncontinuous use of dogs, applied within an integrated beach management framework, can provide a nonlethal method for reducing gull use and E. coli levels at recreational beaches. [ABSTRACT FROM AUTHOR]

Attention allocation to positive and negative stimuli differs. For example, the flanker-interference asymmetry describes a pattern of results on flanker tasks using emotional stimuli, where a typical flanker-interference effect is observed for positive targets but not for negative targets. There are two dominant explanations for the flanker-interference asymmetry. According to the emotion-first explanation, negative targets are preferentially processed to facilitate the processing of potentially threatening stimuli. In contrast, feature-first explanations argue that the asymmetry results from differences in perceptual complexity between positive and negative stimuli. Three experiments used schematic emotional faces in a flanker task to directly compare these explanations. To manipulate the perceptual complexity of the stimuli, an enclosing circle was present on half of the trials. In all three experiments, reaction times showed the expected flanker-interference asymmetry, but the pattern was not influenced by the presence of the circle. However, event-related potentials showed that perceptual complexity influenced both the structural encoding and evaluative processing of the faces in the N170 and P3b time windows. These results suggest that both perceptual complexity and emotional valence play an important role in the processing of schematic emotional faces, but that emotional valence may have a stronger effect at evaluative stages of processing. Other findings show that the enclosing circle may alter the perceived emotional expression of neutral faces. [ABSTRACT FROM AUTHOR]

The environments of Arctic Ocean nearshore areas experience high intra- and inter-annual variability, making it difficult to evaluate the impact of anthropogenic warming. However, a sediment record from the southern Canadian Beaufort Sea allowed us to reconstruct the impacts of climate and environmental changes over the last 1300 years along the northern Yukon coast, Canada. The coring site (PG2303; 69.513°N, 138.895°W; water depth 32 m) is located in the Herschel Basin, where high sedimentation rates (0.1–0.5 cm a−1) allowed analyses at sub-centennial to decadal resolutions. Benthic foraminiferal, ostracod, and tintinnid assemblages, as well as the stable isotope composition of the foraminifera Elphidium clavatum and Cassidulina reniforme were used as paleoclimatic and ecological indicators, while the age model was based on the combined radiometric data of 14C, 210Pb and 137Cs. From ca 700 to 1050 CE, our data suggest penetration of offshore shelf-break waters inferred by the dominance of C. reniforme followed by the relatively abundant Triloculina trihedra in the foraminiferal assemblages as both species are associated with stable saline conditions. Afterwards, the occurrence of ostracods Kotoracythere arctoborealis and Normanicythere leioderma suggests influx of Pacific-sourced waters until ca. 1150 CE. From ∼1150–1650 CE, persistent frigid waters, limited sediment supply, and low abundances of microfossils suggest cold conditions with pervasive annual sea-ice cover that may have restricted upwelling of oceanic waters. After ∼1800 CE, the co-occurrence of Tintinnopsis fimbriata and bacterial/complex organic carbon feeder foraminifera (Quinqueloculina stalkeri , Textularia earlandi and Stetsonia horvathi), suggest an increased influence of freshwater rich in particulate organic matter, which may be related to the spreading of the Mackenzie River plume and/or increased coastal permafrost erosion during longer ice-free seasons. Based on these proxy data, the shift at ∼1800 CE marks the onset of regional warming, which further intensified after ∼1955 CE, likely in response to the anthropogenic forcing. • High oceanic inflow on the shelf leads to fluctuating salinities at ∼650–1050 CE. • At ∼1410–1650 CE, low sediment and microfossil fluxes mark the coldest interval. • A modern warming is recorded at ∼1800 CE in the southeastern Beaufort Sea. • Effects of warming include low salinities and enhanced terrestrial matter input. • The warming accelerates at ∼1955 CE, reaching maximum impact in the last two decades. [ABSTRACT FROM AUTHOR]

Background: The NRG/RTOG 9413 study showed that whole pelvic radiotherapy (WPRT) plus neoadjuvant hormonal therapy (NHT) improved progression-free survival in patients with intermediate-risk or high-risk localised prostate cancer compared with prostate only radiotherapy (PORT) plus NHT, WPRT plus adjuvant hormonal therapy (AHT), and PORT plus AHT. We provide a long-term update after 10 years of follow-up of the primary endpoint (progression-free survival) and report on the late toxicities of treatment.Methods: The trial was designed as a 2 × 2 factorial study with hormonal sequencing as one stratification factor and radiation field as the other factor and tested whether NHT improved progression-free survival versus AHT, and NHT plus WPRT versus NHT plus PORT. Eligible patients had histologically confirmed, clinically localised adenocarcinoma of the prostate, an estimated risk of lymph node involvement of more than 15% and a Karnofsky performance status of more than 70, with no age limitations. Patients were randomly assigned (1:1:1:1) by permuted block randomisation to receive either NHT 2 months before and during WPRT followed by a prostate boost to 70 Gy (NHT plus WPRT group), NHT 2 months before and during PORT to 70 Gy (NHT plus PORT group), WPRT followed by 4 months of AHT (WPRT plus AHT group), or PORT followed by 4 months of AHT (PORT plus AHT group). Hormonal therapy was combined androgen suppression, consisting of goserelin acetate 3·6 mg once a month subcutaneously or leuprolide acetate 7·5 mg once a month intramuscularly, and flutamide 250 mg twice a day orally for 4 months. Randomisation was stratified by T stage, Gleason Score, and prostate-specific antigen concentration. NHT was given 2 months before radiotherapy and was continued until radiotherapy completion; AHT was given at the completion of radiotherapy for 4 months. The primary endpoint progression-free survival was analysed by intention to treat. This study is registered with ClinicalTrials.gov, number NCT00769548. The trial has been terminated to additional follow-up collection and this is the final analysis for this trial.Findings: Between April 1, 1995, and June 1, 1999, 1322 patients were enrolled from 53 centres and randomly assigned to the four treatment groups. With a median follow-up of 8·8 years (IQR 5·07-13·84) for all patients and 14·8 years (7·18-17·4) for living patients (n=346), progression-free survival across all timepoints continued to differ significantly across the four treatment groups (p=0·002). The 10-year estimates of progression-free survival were 28·4% (95% CI 23·3-33·6) in the NHT plus WPRT group, 23·5% (18·7-28·3) in the NHT plus PORT group, 19·4% (14·9-24·0) in the WPRT plus AHT group, and 30·2% (25·0-35·4) in the PORT plus AHT group. Bladder toxicity was the most common grade 3 or worse late toxicity, affecting 18 (6%) of 316 patients in the NHT plus WPRT group, 17 (5%) of 313 in the NHT plus PORT group, 22 (7%) of 317 in the WPRT plus AHT group, and 14 (4%) of 315 in the PORT plus AHT group. Late grade 3 or worse gastrointestinal adverse events occurred in 22 (7%) of 316 patients in the NHT plus WPRT group, five (2%) of 313 in the NHT plus PORT group, ten (3%) of 317 in the WPRT plus AHT group, and seven (2%) of 315 in the PORT plus AHT group.Interpretation: In this cohort of patients with intermediate-risk and high-risk localised prostate cancer, NHT plus WPRT improved progression-free survival compared with NHT plus PORT and WPRT plus AHT at long-term follow-up albeit increased risk of grade 3 or worse intestinal toxicity. Interactions between radiotherapy and hormonal therapy suggests that WPRT should be avoided without NHT.Funding: National Cancer Institute. [ABSTRACT FROM AUTHOR]

Enteric illness associated with foodborne and waterborne disease is thought to be common in some Canadian Indigenous communities. This study aimed to understand the lived experience of acute gastrointestinal illness (AGI), including symptoms and severity, perceived causes, and healthcare seeking behaviors of AGI in the small Inuit community of Rigolet, Canada. A concurrent mixed quantitative and qualitative methods design was used. Two cross-sectional retrospective surveys provided quantitative data to examine self-reported AGI symptoms and the distribution of potential risk factors in the community. Qualitative data from in-depth interviews with one-third of AGI cases were analyzed using a constant-comparative method to describe symptoms and severity, identify perceived risk factors, and explore health seeking behavior of AGI in Rigolet. Of the survey respondents reporting AGI, most reported symptoms of diarrhea without vomiting, followed by diarrhea with vomiting, and vomiting without diarrhea. The most common secondary symptoms included stomach cramps and abdominal pain, nausea, and extreme tiredness. Community members identified potential risk factors for AGI that reflect the epidemiology triad (host, agent, and environmental factors), including hygiene, retail food, tap water, boil water advisories, and personal stress. Risk aversion and healthcare seeking behaviors reflected the core constructs of the Health Belief Model (perceived susceptibility, severity, and benefits and barriers to action). Understanding community experience, perspectives, and beliefs related to AGI is useful for public health practitioners and health care providers. This information is important especially considering the relatively high estimated burden of AGI and the relatively low healthcare seeking behaviors in some Indigenous communities compared to national estimates. Moreover, the mixed-methods approach used to understand the burden of AGI could be extended to other health research in Indigenous contexts. [ABSTRACT FROM AUTHOR]