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Background/Aims: Molar pregnancy is a rare complication of pregnancy. Patients face surgery, human chorionic gonadotropin monitoring and potentially systemic treatment, resulting in unique support needs. This study's aim was to explore the impacts of gestational trophoblastic disease on embodied and emotional experience. Methods: This qualitative study considered stories of molar pregnancy from 20 women in the UK, US, Canada and Australia. These were drawn from 18 publicly available online blogs and eight semi-structured interviews, and analysed thematically. Results: Three themes were developed: 'loss', describing women's responses to their pregnancy ending; 'isolation', comprising 'rarity', 'lack of awareness' and support seeking; and 'alienation', capturing the unfamiliarity of diagnosis, 'failure' and barriers to 'moving forward'. Conclusions: Experiences are shaped by wider narratives of 'typical' pregnancy. Patient care requires an individualised and responsive approach, and non-specialist practitioners should feel confident in discussing molar pregnancy and have access to up-to-date guidance. [ABSTRACT FROM AUTHOR]

Canada is often praised for successfully integrating ethnically diverse immigrants into its multicultural nation, so successful indeed that the country has been considered an exception to the twenty-first-century right-wing populist wave. The recent ascent of political mobilization associated with right-wing populist repertoires across Canada, however, has exposed the need to revisit the exceptionalism thesis. With this goal in mind, our article examines the contemporary right-wing responses to the Liberal Party of Canada's (LPC) post-2015 discourses and policies on immigration and multiculturalism. Building on existing scholarship, we first characterize the LPC's approach as a nation-building project with strong middle-class partialities that emphasize high skills and human capital. We then explore how right-wing parties oppose or embrace this 'middle-class nation-building'. Qualitatively analyzing the platforms of center-right parties and those further to the right at the federal and provincial levels (Alberta and Québec), we observe three prevalent response types: those that follow a cultural logic to prioritize identity and values, an economic logic to underline merit and contribution, or a combination of the two. Besides modulating the Canadian exceptionalism thesis, our findings complicate the assumed dichotomy between market-based and cultural forms of nationalism, as political actors can merge them in various permutations. [ABSTRACT FROM AUTHOR]

In this paper, we examine the paradoxes of hailing health care workers as "Covid-19 heroes" in Canada and the United Kingdom. We ask how public discourses—primarily by governments, politicians, mainstream media, but also by racially minoritized groups and migrant-led associations—frame the ambiguous social and legal status of mostly women of color "essential" health care workers during the pandemic. We argue that hailing is a form of conditional inclusion. Hailing involves both the camouflaging of individuals' low-class status, precarious position in the workplace, gendered and racially minoritized positionality and insecure/non-permanent immigration status on the one hand, as well as the potential for resistance, emancipation, wider organizing, and claims-making on the other. Through a focus on Filipino/a workers because of their high levels of representation as health care staff in both contexts, our empirical analysis underlines that hailing as conditional inclusion is asymmetrical and unequal. It enables co-optation and deflection from structural inequalities as the price of conditional inclusion of selected individuals and groups. However, at the same time, hailing generates resistance. Through "tiny openings" these contradictions are named, and the binary language of inclusion/exclusion is challenged. [ABSTRACT FROM AUTHOR]

While the values and practices usually subsumed under the notion of "good citizenship" are said to have changed dramatically over the past 25 years or so, scholars are still struggling to characterize the concrete nature of these changes. Proposing a novel interdisciplinary approach that marries normative theory with empirically driven political sociology, in this paper we examine the explanations and justifications that flanked a plethora of new citizenship policies implemented under the former Stephen Harper-led Conservative government (2006–2015) in Canada. Critically employing Amitai Etzioni's comparative typology of citizenship philosophies, we examine three types of Conservative policy discourses pertaining to citizenship, namely speeches given by the Minister of Citizenship and Immigration, speeches given by members of the Conservative Party in the House of Commons, and government press releases. In contrast to Etzioni's optimistic presentation of neo-communitarianism in political and philosophical terms, our study reveals that the exclusionary discourses and practices that accompany this approach in practice demand greater attention. In the case of the Harper Conservatives, we argue that their approach is best understood as a re-communitarianization of citizenship in neoliberal times that creatively, but only sparingly, invokes libertarian and liberal ideals in comparison to its use of what we identify to be (1) patriotic and (2) insecure communitarian discourses. Our findings point to both the exclusionary potentials and realities of neo-communitarian citizenship. They contribute to scholarship that argues the that the destruction of social ties, solidarity and "community" through neoliberal and neoconservative politics is often camouflaged and/or advanced by aggressive neo-communitarian discourses that harken back to or reinvent past ethnic or monocultural nationalisms, while only selectively including "deserving" Others at the margins. [ABSTRACT FROM AUTHOR]

Despite the prevalence of mental health problems, society continues to stigmatize and discriminate against people with mental illness and in particular, schizophrenia. Among the negative consequences of stigma, is that some individuals with mental illness internalize negative stereotypes about themselves, referred to as self-stigma, which is associated with a reluctance to seek needed treatment. The challenge to overcome mental illness stigma has led to the development of global anti-stigma initiatives, which effectively engage young people in school-based programs. The present study examines the effectiveness of a single-session anti-stigma intervention with high school youth (n = 254). The findings replicate and extend previous work demonstrating that a brief anti-stigma initiative can produce significant improvements in knowledge, social distance, and self-stigma. Self-stigma was found to be associated with low self-esteem and factors affecting self-disclosure were identified. Implications for school curricula, mental health policy, and future research are discussed. (Contains 1 table.)

This paper describes the development of an innovative interprofessional doctorate in health and social care, within an academic framework designed explicitly to ensure that candidates must demonstrate qualities of cognitive application commensurate with doctoral study, yet must also meet the practice-focused outcomes of a professional doctorate. The degree requires students to attend highly interactive workshops in Stage 1 that encourage academic debate and "doctoral" development, in contrast to the "taught" modular elements of many other professional doctorates. Papers submitted during Stage 1 assume increasing levels of complex doctoral skills in developing a research proposal that undergoes the same rigorous evaluation required of PhD students in securing University Approval. The degree is awarded at the end of Stage 2 only after defence of a thesis in a viva voce examination that involves procedures and processes defined by the University for the award of PhD. (Contains 1 table and 2 figures.)

A balanced or modified school year is a rearrangement of the traditional school calendar to provide more continuous learning throughout the school year. Students receive the same amount of instructional time as those on the traditional calendar but in-school time is more evenly balanced with out-of-school time throughout the year. It has been the subject of discussion in a number of educational jurisdictions in the United Kingdom, and the available research shows that it has both advantages and disadvantages. The main social argument for this change is rooted in the notion that the traditional calendar is outdated in today's society. The main academic argument is that it is better suited to the way children learn, and that balancing the year alleviates the problems associated with learning loss, particularly over the long summer break. This article focuses on the balanced calendar from the perspective of the early years. It examines the current literature, and presents the views of early educators working in two Canadian schools where a balanced calendar is offered alongside a traditional one. These early childhood educators believe that a more balanced year is eminently suited to young learners. In this context, the balanced school year calendar is known as a Modified School Year.

Subclinical pulmonary tuberculosis (PTB) is a recently described intermediate state of great interest, but about which little is known. This study sought to describe and compare the frequency of key radiologic features of subclinical PTB on chest radiograph (CXR) versus computed tomographic scan (CT), and to interpret the clinical and public health relevance of the differences. Diagnostic CXRs and CT scans of the thorax and neck in a 16-year cohort of subclinical PTB patients in Canada were re-acquired and read by two independent readers and arbitrated by a third reader. Logistic regression models were fit to determine how likely CXR features can be detected by CT scan versus CXR after adjustment for age and sex. Among 296 subclinical patients, CXRs were available in 286 (96.6%) and CT scans in 94 (32.9%). CXR features in patients with and without CT scans were comparable. Lung cavitation was 4.77 times (95% CI 1.95–11.66), endobronchial spread 19.36 times (95% CI 8.05–46.52), and moderate/far-advanced parenchymal disease 3.23 times (95% CI 1.66–6.30), more common on CT scan than CXR. We conclude that the extent to which CXRs under-detect key radiologic features in subclinical PTB is substantial. This may have public health and treatment implications. [ABSTRACT FROM AUTHOR]

Background: Very little is known about subclinical pulmonary TB (PTB), a recently described intermediate state, in high-income countries.Research Question: What is the prevalence of subclinical PTB in Canada? What are its diagnostic chest radiography features? What is the relationship between those features and time to culture positivity, and what is the association between DNA fingerprint clustering, a measure of local transmission, and radiographic or other features in the foreign-born?Study Design and Methods: We used primary source data to identify a 16-year retrospective cohort of patients with PTB. Demographic and mycobacteriologic features in patients with subclinical and clinical disease were compared, and the reason for assessment of patients with subclinical disease was described. Diagnostic chest radiographs in patients with subclinical disease were read by two independent readers and were arbitrated by a third reader. Linear regression was used to compute time to culture positivity (in days) in relationship to the change in chest radiograph findings from normal or minimally abnormal to moderately or far advanced, adjusted for age and sex and stratified by reason for assessment. Multivariate logistic regression was used in foreign-born patients with subclinical disease to determine associations between DNA fingerprint clustering of Mycobacterium TB isolates and age, sex, chest radiograph features, and time since arrival.Results: We identified 1,656 patients with PTB, 347 of whom (21%) were subclinical. Compared with patients with clinical disease, patients with subclinical disease were more likely to be foreign-born (90.2% vs 79.6%) and to demonstrate negative smear results (88.2% vs 43.5%). The median time to culture-positivity was 18 days (interquartile range [IQR], 14-25 days) vs 12 days (IQR, 7-17 days). Most patients with PTB (75.2%) were identified during active case finding. Parenchymal disease was absent or minimal on chest radiography in 86.4% of patients. More advanced disease on chest radiography was associated with shorter times to culture positivity in nonstratified (by 3.3 days) and stratified (by 4.5-5.8 days) analysis (active case-finding groups). DNA fingerprint clustering was associated with male sex and a longer time between arrival and diagnosis.Interpretation: Subclinical patients with PTB constitute a substantial and heterogeneous minority of patients with PTB in high-income countries. DNA fingerprint clustering is consistent with some, albeit limited, local transmission. [ABSTRACT FROM AUTHOR]

Methane, a potent greenhouse gas, is critically underregulated in Canada. We review the sources of methane emissions in Canada, policies in place, policy coverage, and mitigation options for each source. Three sectors account for 96 per cent of Canada's methane emissions: oil and gas, agriculture, and waste. The oil and gas sector is the largest contributor to national methane emissions, as well as the only sector with methane mitigation regulations and a methane reduction target. Agriculture is the largest source of unregulated and unpriced methane, mainly because livestock is the largest single source of methane emissions in Canada. In a best case scenario, direct regulatory coverage is approximately 58 per cent of methane emissions, with indirect regulatory coverage via offset markets accounting for 14 per cent. However, data gaps and policy exemptions and gaps make this measure of potential coverage an overestimate. Emissions measurement challenges hinder methane emissions management for all sectors. Due largely to these challenges, 28 per cent of Canada's methane emissions are unregulated and policy options are limited. Better methane management, relying on better measurement, is crucial to achieving Canada's 2030 and 2050 emissions reduction goals. Key short-term policy actions are improving and standardizing current emissions estimates, matching emissions to policy coverage, and identifying unregulated sources. Longer-term actions require further study of cost-effective regulatory options across all sources, to support stricter regulations or well-defined market-based approaches with measurable outcomes. [ABSTRACT FROM AUTHOR]

Infrastructure corridors are among the most complicated transactions in Canada. Establishing a pre-determined corridor and completing linear infrastructure projects within it requires transactions related to property rights, infrastructure planning, design, construction, financing, operation and maintenance, securing public support or social licence, and because of the long overdue recognition of Indigenous rights and title, informed support from affected Indigenous communities. This paper uses a comparative systems analysis to identify specific transaction costs in four areas -- historic, infrastructure development process, fiscal and economic systems. We argue these transaction costs can be significantly reduced by systematically implementing Indigenous fiscal, infrastructure and lands jurisdictions because this will permanently ensure that Indigenous communities and people are able to receive similar fiscal and economic benefits generated from infrastructure corridor projects as those enjoyed by other Canadians and other governments. [ABSTRACT FROM AUTHOR]

We offer a comparative analysis of the trends in vertical merger policy in the U.S. and Canada. Guidelines issued by the U.S. agencies hold lessons for Canada, which has no guidelines that are dedicated specifically to vertical mergers. Canadian policy—as reflected in consent decrees and rules set in specific cases by the agency—has nonetheless developed along similar lines as in the U.S. The sharpest difference between policies in the two jurisdictions is in the consumer welfare standard of the U.S. policy versus a standard that is close to total surplus in Canada. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Journal of Economics is the property of Wiley-Blackwell 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.)

Taking Canada as a widely envied and imitated example of liberal, "difference-blind" economic immigration, in this paper, I examine the permeability, constraints, and symbolic meaning of the different requirements of the naturalization process from the perspective of those who have undergone the process. Based on interviews with recently naturalized Canadians, my study reveals that the three steps of the application process – filing the application, studying the citizenship guide and sitting the test, attending the citizenship ceremony and swearing the citizenship oath – constitute mostly blurred boundaries for skilled and highly educated immigrants, with occasional bright boundaries related to management flaws, classed naturalization, and cultural biases. Specifically, immigrants endowed with valued forms of human capital are naturalizing fast and easily even if they are members of racial, ethnic or religious minorities. This underscores the strength of multiculturalism as national identity and ethos of societal integration. However, the attainment of citizenship in the multicultural nation does not come quasi-automatically as a right for everyone after years of lawful residency. Rather, it is granted as an earned privilege only to those who demonstrate the successful mastery of the skills and mindset of middle-class professionals. Since naturalization now operates along the same econocentric logic that governs immigrant selection through the points system, individuals admitted through non-economic streams, such as refugees and immigrants in the family class are increasingly struggling with the naturalization process. This raises questions about the implicit biases and new fault lines of seemingly difference-blind middle-class nation-building through immigration. [ABSTRACT FROM AUTHOR]

Aims: Concomitant cardiac amyloidosis (CA) in severe aortic stenosis (AS) is difficult to recognize, since both conditions are associated with concentric left ventricular thickening. We aimed to assess type, frequency, screening parameters, and prognostic implications of CA in AS.Methods and Results: A total of 191 consecutive AS patients (81.2 ± 7.4 years; 50.3% female) scheduled for transcatheter aortic valve replacement (TAVR) were prospectively enrolled. Overall, 81.7% underwent complete assessment including echocardiography with strain analysis, electrocardiography (ECG), cardiac magnetic resonance imaging (CMR), 99m Tc-DPD scintigraphy, serum and urine free light chain measurement, and myocardial biopsy in immunoglobulin light chain (AL)-CA. Voltage/mass ratio (VMR; Sokolow-Lyon index on ECG/left ventricular mass index) and stroke volume index (SVi) were tested as screening parameters. Receiver operating characteristic curve, binary logistic regression, and Kaplan-Meier curve analyses were performed. CA was found in 8.4% of patients (n = 16); 15 had transthyretin (TTR)-CA and one AL-CA. While global longitudinal strain by echo did not reliably differentiate AS from CA-AS [area under the curve (AUC) 0.643], VMR as well as SVi showed good discriminative power (AUC 0.770 and 0.773, respectively), which was comparable to extracellular volume by CMR (AUC 0.756). Also, VMR and SVi were independently associated with CA by multivariate logistic regression analysis (P = 0.016 and P = 0.027, respectively). CA did not significantly affect survival 15.3 ± 7.9 months after TAVR (P = 0.972).Conclusion: Both TTR- and AL-CA can accompany severe AS. Parameters solely based on ECG and echocardiography allow for the identification of the majority of CA-AS. In the present cohort, CA did not significantly worsen prognosis 15.3 months after TAVR. [ABSTRACT FROM AUTHOR]

This article examines policy responses in Canada and the US to the shale revolution and changing North American oil and gas markets. We outline the effect of the shale revolution on North American oil and gas markets, and how the subsequent energy policy choices in each country changed the relationship between Canada and the US. In the US, increasing production, combined with the policy imperative of maintaining energy security, led to less support for Canadian supply and the subsequent on-off-on saga of the Keystone XL pipeline. In Canada, growing concern about the balance between the environment and the economy led to stalled pipeline development and reform of regulatory systems, problems exacerbated by the new policy direction in the US. [ABSTRACT FROM AUTHOR]

Describes a course that documents in often laborious and relatively uncritical detail the history of the Canadian press and its American and British antecedents. Describes a course on the contemporary press consisting of various forms of press criticism. (HTH)

Examined the origin of music content on radio stations in the Windsor, Ontario, area. Concluded that American recordings and radio broadcasts are strongly preferred by canadian youth despite government policies. (PD)

Discusses the implications of the demographic and geographic situation of libraries in Canada for library unionization. Insight is also provided into issues directly related to library management and library unions, including five factors which cause distrust and dissatisfaction. (CHC)

Concludes that United States press coverage of the Quebec separatism referendum concentrated on the results and on constitutional reform rather than on the background aspects of the issue. (FL)

Citizenship revocation has returned to the political agenda. In recent years, many Western democracies have either legislated or considered legislating citizenship revocation for terrorism offences. This paper analyses how Canada's short-lived experiment with citizenship revocation was represented in political, media and online discourses. Specifically, it identifies who has been interpreted a presumed candidate(s) of citizenship revocation, and analyses the discursive strategies employed to associate these targets with specific ethnic, national, or religious groups. We find that references to Muslims dominated public discourses on citizenship revocation. The articulation of these references reveals that Muslims were targeted not as individuals but as a category, indirectly branding them as less Canadian, and thereby symbolically un-belonging them from Canadian citizenship. [ABSTRACT FROM AUTHOR]

Vaccine effectiveness (VE) against influenza B was derived separately for Victoria and Yamagata lineages across 8 seasons (2010–2011 to 2017–2018) in Canada when trivalent influenza vaccine was predominantly used. VE was ≥50% regardless of lineage match to circulating viruses, except when the vaccine strain was unchanged from the prior season. [ABSTRACT FROM AUTHOR]

The occurrence of influenza in different climates is shown to be associated with multiple meteorological factors. Incidence of influenza has been reported to increase during rainy seasons in tropical climates and during dry, cold months of winter in temperate climates. This study was designed to explore the role of absolute humidity (AH), relative humidity (RH), temperature, and wind speed (WS) on influenza activity in Toronto area, Ontario, Canada. Environmental data obtained from four meteorological stations in Toronto area, for the period of January 1, 2010 to December 31, 2015, were linked to patient's influenza data obtained for the same locality and period. Data were analyzed using correlation, negative binomial regressions with linear predictors and splines to capture the non-linear relationship between exposure and outcomes. Our study found a negative association of both AH and temperature with influenza A and B viruses. Effect of RH in influenza A and B was controversial Temperature fluctuation was associated with increased influenza B virus. Influenza virus was less likely to be detected from community patients than those tested as part of an institutional outbreak investigation. This could be more indicative of nosocomial transmission, rather than climactic factors. The non-linear nature of the relation between influenza A virus and temperature and influenza B virus and AH, RH and temperature could explain the complexity and variation between influenza A and B viruses. Predicting influenza activity is important for the timing of disease prevention and control measures as well as for resource allocation. [ABSTRACT FROM AUTHOR]

Background: New immigrants to Canada with a history of tuberculosis or evidence of old healed tuberculosis on chest radiograph are referred to public health authorities for medical surveillance. This ostensible public health protection measure identifies a subgroup of patients (referrals) who are at very low risk (compared to non-referrals) of transmission. Methods: To assess whether earlier diagnosis or a different phenotypic expression of disease explains this difference, we systematically reconstructed the immigration and transmission histories from a well-defined cohort of recently-arrived referral and non-referral pulmonary tuberculosis cases in Canada. Incident case chest radiographs in all cases and sequential past radiographs in referrals were re-read by three experts. Change in disease severity from pre-immigration radiograph to incident radiograph was the primary, and transmission of tuberculosis, the secondary, outcome. Results: There were 174 cohort cases; 61 (35.1%) referrals and 113 (64.9%) non-referrals. Compared to non-referrals, referrals were less likely to be symptomatic (26% vs. 80%), smear-positive (15% vs. 50%), or to have cavitation (0% vs. 35%) or extensive disease (15% vs. 59%) on chest radiograph. After adjustment for referral status, time between films, country-of-birth, age and co-morbidities, referrals were less likely to have substantial changes on chest radiograph; OR 0.058 (95% CI 0.018–0.199). All secondary cases and 82% of tuberculin skin test conversions occurred in contacts of non-referrals. Conclusions: Phenotypically different disease, and not earlier diagnosis, explains the difference in transmission risk between referrals and non-referrals. Screening, and treating high-risk non-referrals for latent tuberculosis is necessary to eliminate tuberculosis in Canada. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Medical Imaging & Radiation Sciences is the property of Elsevier B.V. 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.)

ARRAY(0x562b0261f5a8) [ABSTRACT FROM AUTHOR]

Background: Vaccine effectiveness (VE) estimates for 2015-2016 seasonal influenza vaccine are reported from Canada's Sentinel Practitioner Surveillance Network (SPSN). This season was characterized by a delayed 2009 pandemic influenza A(H1N1) virus (A[H1N1]pdm09) epidemic and concurrent influenza B(Victoria) virus activity. Potential influences on VE beyond antigenic match are explored, including viral genomic variation, birth cohort effects, prior vaccination, and epidemic period.Methods: VE was estimated by a test-negative design comparing the adjusted odds ratio for influenza test positivity among vaccinated compared to unvaccinated participants. Vaccine-virus relatedness was assessed by gene sequencing and hemagglutination inhibition assay.Results: Analyses included 596 influenza A(H1N1)pdm09 and 305 B(Victoria) cases and 926 test-negative controls. A(H1N1)pdm09 viruses were considered antigenically related to vaccine (unchanged since 2009), despite phylogenetic clustering within emerging clade 6B.1. The adjusted VE against A(H1N1)pdm09 was 43% (95% confidence interval [CI], 25%-57%). Compared to other age groups, VE against A(H1N1)pdm09 was lower for adults born during 1957-1976 (25%; 95% CI, -16%-51%). The VE against A(H1N1)pdm09 was also lower for participants consecutively vaccinated during both the current and prior seasons (41%; 95% CI, 18%-57%) than for those vaccinated during the current season only (75%; 95% CI, 45%-88%), and the VE among participants presenting in March-April 2016 (19%; 95% CI, -15%-44%) was lower than that among those presenting during January-February 2016 (62%; 95% CI, 44%-74%). The adjusted VE for B(Victoria) viruses was 54% (95% CI, 32%-68%), despite lineage-level mismatch to B(Yamagata) vaccine. The further variation in VE as observed for A(H1N1)pdm09 was not observed for B(Victoria).Conclusions: Influenza VE findings may require consideration of other agent-host and immuno-epidemiologic influences on vaccine performance beyond antigenic match, including viral genomic variation, repeat vaccination, birth (immunological) cohort effects, and potential within-season waning of vaccine protection. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Journal of Economics is the property of Wiley-Blackwell 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.)

Age-related differences in influenza B lineage detection were explored in the community-based Canadian Sentinel Practitioner Surveillance Network (SPSN) from 2010-2011 to 2015-2016. Whereas >80% of B(Victoria) cases were <40 years old, B(Yamagata) cases showed a bimodal age distribution with 27% who were <20 years old and 61% who were 30-64 years old, but with a notable gap in cases between 20 and 29 years old (4%). Overall, the median age was 20 years lower for B(Victoria) vs B(Yamagata) cases (20 vs 40 years; P < .01). Additional phylodynamic and immuno-epidemiological research is needed to understand age-related variation in influenza B risk by lineage, with potential implications for prevention and control across the lifespan. [ABSTRACT FROM AUTHOR]

Objective: The purpose of this study is to understand the practices and approaches followed by Canadian universities in copyright education, permissions clearance, and policy development in light of major changes to Canadian copyright law that occurred in mid-2012. The study also seeks to identify aspects of copyright management perceived by the universities to be challenging. Methods - In 2015, an invitation to complete an online survey on institutional copyright practices was sent to the senior administrator at member libraries of Canada's four regional academic library consortia. The invitation requested completion of the survey by the person best suited to respond on behalf of the institution. Study methods were largely adapted from those used in a 2008 survey conducted by another researcher who targeted members of same library consortia. Results - While the university library maintained its leadership role in copyright matters across the institution, the majority of responding institutions had delegated responsibility for copyright to a position or office explicitly labeled copyright. In contrast, respondents to the 2008 survey most often held the position of senior library administrator. Blanket licensing was an accepted approach to managing copyright across Canadian universities in 2008, but by 2015 it had become a live issue, with roughly half of the respondents indicating their institutions had terminated or were planning to terminate their blanket license. Conclusion - In just seven years we have witnessed a significant increase in specialized attention paid to copyright on Canadian university campuses and in the breadth of resources dedicated to helping the university community understand, comply with, and exercise various provisions under Canadian copyright law, which include rights for creators and users. [ABSTRACT FROM AUTHOR]

Under the original version of the Strengthening Canadian Citizenship Act (2014), dual citizens having committed high treason, terrorism or espionage could lose their Canadian citizenship. In this paper, we examine how the measure was discussed in Canada's mainstream newspapers. We ask: who/what is seen as the target of citizenship revocation? What does this tell us about the direction that Canadian citizenship is moving towards? Our findings show that Canadian newspapers were more often critical than supportive of the citizenship revocation provision. However, the press ignored the involvement of non-Muslim, white, Western-origin Canadians in terrorist acts and interpreted the measure as one that was mostly affecting Canadian Muslims. Thus, despite advocating for equal citizenship in principle, in their writing and reporting practice, Canadian newspapers constructed Canadian Muslims as suspicious and less Canadian nonetheless. [ABSTRACT FROM AUTHOR]

The federal government's decision to impose a minimum national price on carbon emissions has the potential to make certain businesses in the country less competitive. Specifically, there are emissions-intensive and trade-exposed industries across Canada that compete against producers from other jurisdictions where governments do not put a price on carbon. For these industries, the obligation to pay a carbon price creates a competitive disadvantage. Specifically, these businesses will face higher costs and may encounter a loss of market share to international competitors from jurisdictions that lack the same emission-control measures. That not only hurts Canadian businesses, it could also negate any emissions reductions that carbon pricing in Canada achieves on a global scale. The federal government has opted to protect such emissions-intensive, tradeexposed businesses using subsidies called output-based allocations (OBAs). This is the same system that Alberta is introducing through its forthcoming Carbon Competiveness Regulation. It also shares certain similarities with cap-and-trade programs, such as those in Ontario and Quebec, which provide free allocations of emissions permits to certain firms. OBAs are a desirable complementary policy to a carbon price as they maintain the incentive for producers to invest in production methods and facilities that are less emissions intensive. So while producers are still, nevertheless, subsidized to offset the tax burden of the carbon price, they will, under an OBA system, see greater benefits the more they work to reduce their emissions intensity. Still, to function most effectively and most efficiently, an OBA policy should follow certain key principles. The most critical principle in the design of an OBA policy is ensuring that OBAs are allocated to facilities independent of their individual emission levels, and allocated equally (on a per unit basis) to facilities producing the same product. One of the major flaws with Alberta's current Specified Gas Emitters Regulation (SGER) is that it does not follow this principle. Rather, subsidies under SGER are allocated based on a facility's historical emissions intensity. As a result, more generous subsidies are given to those facilities that are "dirtier" (that is, those with higher emissions intensities) than to "cleaner" facilities with lower emission intensities. Secondly, it is important for a well-designed OBA policy to have transparent costs. Including a clear accounting of OBAs in government finance reports will ensure the public is fully aware of the revenues being directed to the subsidies. Thirdly, OBAs for different facilities are best allocated using a classification system based on the product being produced, and not using more conventional industry-classification codes. Commonly used conventional industry classifications--for example, conventional oil and natural gas extraction--group together facilities that produce distinct products and compete in different markets. Consequently, this classification will not recognize the various levels of emissions intensity and trade exposure within an industry. This will result in some facilities receiving more OBAs than they should and others receiving less than they should. Finally, a well-designed OBA system should seek to be as administratively efficient as possible with minimal implementation costs imposed on government and businesses. It is important to recognize that the federal carbon price and OBAs are a new policy and that many large emitting facilities have been making investment decisions based on a previous regulatory environment. Therefore, a compromise approach may be to initially provide an output subsidy based on a facility's past emissions intensity (as Alberta has historically done under its SGER system) and then to transition gradually to the optimal OBA system over time. [ABSTRACT FROM AUTHOR]

How do 'we' know our fellow citizens? This paper considers two processes where recognition occurs in the Canadian context: passports and naturalisation. Using document and policy analysis we argue there are two major forms of knowledge called upon to sort insiders from outsiders. Mechanical knowledge involves tests and evaluations driven by document-matching, biometrics and fact-checking exercises. Moral knowledge concerns the kind of lives we live among our peers and our intentions towards the political community. We note that in the Canadian case tensions exist between expectation and reality around citizen recognition. The state increasingly aspires to know the citizen through procedural checks or material observation yet encounters limitations that require some form of interpersonal knowledge rooted in human-to-human relationships. Drawing on these processes, in conclusion we suggest that how knowledge about citizenship is framed serves to sort outsiders from insiders, endorses specific behaviours over others and empowers the state to redefine the meaning of citizenship. [ABSTRACT FROM AUTHOR]

In terms of solidifying the economic foundations of competition policy, Canadian merger law is much further advanced than merger law in any other jurisdiction. This article evaluates the developments in the Canadian law and draws both positive and negative lessons for integrating economic principles into merger law generally. The balancing weights test adopted in Canadian law for incorporating efficiencies into merger assessment has firm support in economics. But the implementation of this test has run into problems. A sharp wedge remains in Canada between the law and the economics of merger evaluation. [ABSTRACT FROM AUTHOR]

The article considers the field of political sociology in Canada in light of the 2014 Citizenship Act. It reviews works including the essay essay "Citizenship and Social Class" by T. H. Marshall, the work "Citizenship and Nationhood in France and Germany," by Rogers Brubaker, and the book "Citizenship and Immigration" by Christian Joppke.

Background: Computer-aided detection to identify and diagnose pulmonary tuberculosis is being explored. While both cavitation on chest radiograph and smear-positivity on microscopy are independent risk factors for the infectiousness of pulmonary tuberculosis it is unknown which radiographic pattern, were it detectable, would provide the greatest public health benefit; i.e. reduced transmission. Herein we provide that evidence. Objectives: 1) to determine whether pulmonary tuberculosis in a high income, low incidence country is more likely to present with “typical” adult-type pulmonary tuberculosis radiographic features and 2) to determine whether those with “typical” radiographic features are more likely than those without such features to transmit the organism and/or cause secondary cases. Methods: Over a three-year period beginning January 1, 2006 consecutive adults with smear-positive pulmonary tuberculosis in the Province of Alberta, Canada, were identified and their pre-treatment radiographs scored by three independent readers as “typical” (having an upper lung zone predominant infiltrate, with or without cavitation but no discernable adenopathy) or “atypical” (all others). Each patient’s pre-treatment bacillary burden was carefully documented and, during a 30-month transmission window, each patient’s transmission events were recorded. Mycobacteriology, radiology and transmission were compared in those with “typical” versus “atypical” radiographs. Findings: A total of 97 smear-positive pulmonary tuberculosis cases were identified, 69 (71.1%) with and 28 (28.9%) without “typical” chest radiographs. “Typical” cases were more likely to have high bacillary burdens and cavitation (Odds Ratios and 95% Confidence Intervals: 2.75 [1.04–7.31] and 9.10 [2.51–32.94], respectively). Typical cases were also responsible for most transmission events—78% of tuberculin skin test conversions (p<0.002) and 95% of secondary cases in reported close contacts (p<0.01); 94% of secondary cases in “unreported” contacts (p<0.02). Conclusion: As a group, smear-positive pulmonary tuberculosis patients with typical radiographic features constitute the greatest public health risk. This may have implications for automated detection systems. [ABSTRACT FROM AUTHOR]

With its 2016 budget, the Government of Alberta laid out the basic details of the carbon tax rebate. The rebate is constructed to increase based on household size, and will decrease with income after a pre-set cutoff. The government has stated six in 10 households will be eligible for a full rebate, with an additional six per cent receiving a partial rebate. This paper examines the income distribution of Albertans, to determine how the rebate and income cutoffs affect different types of Alberta families. Using easily available data from Statistics Canada, we shed light on the question of who will receive a carbon-tax rebate. Based on 2013 data on median incomes, single-parent families, elderly families and single Albertans are all groups where a majority of households will receive rebates. In some cases, it appears well over 50 per cent of those groups will receive a full rebate. However, fewer than 50 per cent of Alberta families that are couples (with and without children) will receive a rebate. Still, even those that get a rebate will not necessarily exactly break even against the additional costs they incur from a carbon tax. Interestingly, the lowest-income households, which are most likely to qualify for a rebate, appear to be in a position where they will receive a larger refund than they will pay in carbon taxes. For households where incomes fall in the middle of the provincial distribution, the data suggest that the rebate will come close to compensating for additional costs of the carbon tax, although it may fall slightly short. The analysis presented below is a first pass at a very important question facing Albertans. When data from the 2016 census becomes available, we will be much better able to evaluate which Albertans will be eligible for the rebate. The census will enable a more precise evaluation of whether the rebate matches the government's 66 per cent goal. [ABSTRACT FROM AUTHOR]

At the beginning of the 21st century, many countries until the 1990s implemented multicultural policies that have backtracked. This article examines how multiculturalism as an idea and normative framework of immigrant integration evolved in Canada, the country that initiated it. Juxtaposing two recent time periods, the 1990s and the early 2000s, I conduct an analysis of dominant media and government discourses, which are interpreted against the backdrop of relevant policy changes. The theoretical framework underlines the relevance of socioethnic leveraging, which takes places as one group is constructed as socially, culturally, or morally more (or less) deviant from the dominant norm than the other. The outcome of leveraging can be fairly integrative. It can also reinforce minority marginalization. The analysis documents the importance of Québécois nationalism for the construction of Canadian multicultural identity in the 1990s and its relative absence during the reinvigoration of an Anglo-Saxon Canadian national core in the following decade. The article concludes that, from a comparative perspective, multiculturalism in Canada remains strong. However, its meaning has changed from being “about us” to being “about them.” Hence, although it was originally meant to be a national identity for all Canadians, it now risks becoming a minority affair. The fact that even in Canada multiculturalism has lost much of its original meaning should serve as a wake-up all. It suggests, among others, that the relationship between the national majority and minority groups need rethinking. [ABSTRACT FROM PUBLISHER]

The article responds to reviews in this issue by J. Denis, H. Ramos, and S. H. Riggins of the author's book "Us, Them & Others: Pluralism & National Identity in Diverse Societies." Topics discussed include the formation of pluralist group identities, multiculturalism, and social relations. Other topics include the concept of the Other, political sociology, and interethnic relations.

Background: Enterovirus D68 (EV-D68) has been detected infrequently and has not been associated with severe disease in Canada. In the early fall of 2014, following an unusual case increase in the United States, clusters of EV-D68 among children and some adults manifesting severe symptoms were reported in Canada. Objective: To provide an initial epidemiological summary of pediatric cases hospitalized with EV-D68 in Canada. Methods: A time-limited surveillance pilot was conducted collecting information on pediatric cases (less than 18 years of age) hospitalized with EV-D68 between September 1 and 30, 2014. Results: In total, 268 cases were reported from Ontario (n=210), Alberta (n=45), and British Columbia (n=13). Of the 268 reported cases, 64.9% (n=174) were male; the sex difference was statistically significant (p<0.01). Age was reported for 255 cases, with a mean age for males of 5.4 years and for females of 5.3 years. For cases with data available, 6.8% (18/266) were admitted to an intensive care unit. Of those where clinical illness was recorded, respiratory illness alone was present in 98.3% (227/231), neurologic illness alone was present in 0.4% (n=1), and both illnesses were present in 0.9% of cases (n=2); cases with neither respiratory nor neurologic illness were rare (n=1). Of the 90 cases with additional clinical information available, 43.3% were reported as having asthma. No deaths were reported among the 268 cases. Conclusion: The EV-D68 outbreak in Canada in September 2014 represents the beginning of a novel outbreak associated with severe illness in children. These findings provide the first epidemiological summary of severe cases of EV-D68 as an emergent respiratory pathogen in Canada. The continued investigation of this pathogen is necessary to build on these results and capture the full spectrum of associated illness. [ABSTRACT FROM AUTHOR]

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The John Porter Lecture at the annual meeting of the Canadian Sociological Association in Victoria 2013 draws upon my book Us, Them, and Others: Pluralism and National Identity in Diverse Societies. Incorporating the findings from an analysis of Canadian English-language newspaper discourses during the 1990s into a theoretical framework inspired by Weberian sociology, the book argues that pluralism is best understood as a dynamic set of triangular relations where the compromise between unequal groups-'us' and 'others'-is rendered meaningful through the confrontation with real or imagined outsiders ('them'). The lecture summarizes the theoretical contribution and explains how multiculturalism became consolidated in dominant Canadian discourses in the late 1990s. The lecture then discusses changes to Canadian multicultural identity at the beginning of the twenty-first century. [ABSTRACT FROM AUTHOR]

This article discusses a recent amendment to the Canadian Citizenship Act, which retroactively restores or gives Canadian citizenship to ‘hundreds of thousands of unsuspecting foreigners, most of them Americans’ (P. Dvorak, 2009. Canada issues a wake-up call: you may be a citizen.The Wall Street Journal,17 April. Available from:http://online.wsj.com/article/SB123993183347727843.html) while also restricting the inheritance of Canadian citizenship to the first-generation born abroad. Aiming to redress past discriminations based on gender, marital status and dual citizenship while simultaneously curtailing modern citizenship's dubious ius sanguinis provision, the new law might be interpreted as perpetuating Canada's reputation as a world leader in interethnic relations and human rights. A contextual analysis of the new law, by contrast, shows that the opposite is the case: the boundaries that are being drawn by Canada's new citizenship regime follow the now common trend of re-ethnicization and securitization. Specifically, they conflate kinship and Whiteness, thereby leading, on the one hand, to the construction of possible citizens whose authenticity and loyalty to the nation are unquestioned. On the other hand, within the logic of the new laws and their surrounding discourses, non-White, non-Christian ‘impossible citizens’ emerge, whose lack of loyalty and instrumental use of their Canadian passport are said to be eroding the value of citizenship from within. [ABSTRACT FROM PUBLISHER]

The release of a new study guide for immigrants aiming to become Canadian citizens in 2009 was the first major reform of this document since its inception in 1995. This paper examines the coverage of the Anglo-Canadian and Franco-Québécois press surrounding the new citizenship guide. Rather than supporting the widely accepted thesis that Canada is marked by a « collision of identities », our study suggests the emergence of an implicit alliance between the two Canadian “solitudes” with respect to their understanding of citizenship. In particular, the two groups of newspapers agree upon the necessity to protect « acquired gains » of Canadian society against the beliefs and practices of an uncivilized « Other ». Nevertheless, we should not jump to conclusions: does the convergence of media representations of Canadian citizenship really reflect the emergence of a shared collective identity in Quebec and Canada? [ABSTRACT FROM PUBLISHER]

We propose a multicomponent surveillance platform to incorporate genotypic, phenotypic, and epidemiologic indicators into the assessment of influenza virus, new variant circulation, vaccine relatedness, and vaccine effectiveness. The utility of such a system is illustrated for the 2010–2011 season in Canada.Background. During the 2010–2011 winter, a large number of outbreaks due to influenza A/H3N2 at long-term care facilities, including higher-than-expected attack rates among vaccinated staff, were reported in some regions of Canada. Interim analysis from the community-based sentinel surveillance system showed circulating H3N2 variants and suboptimal vaccine effectiveness (VE), assessed here for the entire season's data set.Methods. Nasal/nasopharyngeal swabs and epidemiologic details were collected from patients presenting to sentinel sites within 7 days of onset of influenza-like illness. Cases tested positive for influenza by real-time reverse-transcription polymerase chain reaction; controls tested negative. Odds ratios for medically attended, laboratory-confirmed influenza in vaccinated vs nonvaccinated participants were used to derive adjusted VE. Viruses were characterized by hemagglutination inhibition (HI), and the hemagglutinin genes of a subset were sequenced to explore vaccine relatedness.Results. Final 2010–2011 VE analysis included 1718 participants (half aged 20–49 years), 93 with A(H1N1)pdm09, 408 with A/H3N2, and 199 with influenza B. Among adults aged 20–49 years, adjusted VE was 65% (95% confidence interval [CI], 8%–87%) for A(H1N1)pdm09 and 66% (95% CI, 10%–87%) for influenza B. Vaccine effectiveness was substantially lower for A/H3N2, at 39% (95% CI, 0%–63%). Phylogenetic analysis identified 2 circulating H3N2 variant clades, A/HongKong/2121/2010 (87%) and A/Victoria/208/2009 (11%), bearing multiple amino acid substitutions at antigenic sites (12 and 8, respectively) compared with the H3N2 vaccine component used in Canada (A/Victoria/210/2009[NYMC X-187]). However, HI characterized all H3N2 isolates as well matched to the vaccine.Conclusions. Public health observations of increased facility H3N2 outbreaks were consistent with the sentinel network's detection of genetic variants and suboptimal VE but not with conventional HI characterization. We highlight the utility of a multicomponent sentinel surveillance platform that incorporates genotypic, phenotypic, and epidemiologic indicators into the assessment of influenza virus, new variant circulation, vaccine relatedness, and VE. [ABSTRACT FROM PUBLISHER]