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Copyright of Canadian Journal of Film Studies is the property of University of Toronto Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Suicide is a complex, multidimensional event, and a significant challenge for prevention globally. Artificial intelligence (AI) and machine learning (ML) have emerged to harness large-scale datasets to enhance risk detection. In order to trust and act upon the predictions made with ML, more intuitive user interfaces must be validated. Thus, Interpretable AI is one of the crucial directions which could allow policy and decision makers to make reasonable and data-driven decisions that can ultimately lead to better mental health services planning and suicide prevention. This research aimed to develop sex-specific ML models for predicting the population risk of suicide and to interpret the models. Data were from the Quebec Integrated Chronic Disease Surveillance System (QICDSS), covering up to 98% of the population in the province of Quebec and containing data for over 20,000 suicides between 2002 and 2019. We employed a case-control study design. Individuals were considered cases if they were aged 15+ and had died from suicide between January 1st, 2002, and December 31st, 2019 (n = 18339). Controls were a random sample of 1% of the Quebec population aged 15+ of each year, who were alive on December 31st of each year, from 2002 to 2019 (n = 1,307,370). We included 103 features, including individual, programmatic, systemic, and community factors, measured up to five years prior to the suicide events. We trained and then validated the sex-specific predictive risk model using supervised ML algorithms, including Logistic Regression (LR), Random Forest (RF), Extreme Gradient Boosting (XGBoost) and Multilayer perceptron (MLP). We computed operating characteristics, including sensitivity, specificity, and Positive Predictive Value (PPV). We then generated receiver operating characteristic (ROC) curves to predict suicides and calibration measures. For interpretability, Shapley Additive Explanations (SHAP) was used with the global explanation to determine how much the input features contribute to the models' output and the largest absolute coefficients. The best sensitivity was 0.38 with logistic regression for males and 0.47 with MLP for females; the XGBoost Classifier with 0.25 for males and 0.19 for females had the best precision (PPV). This study demonstrated the useful potential of explainable AI models as tools for decision-making and population-level suicide prevention actions. The ML models included individual, programmatic, systemic, and community levels variables available routinely to decision makers and planners in a public managed care system. Caution shall be exercised in the interpretation of variables associated in a predictive model since they are not causal, and other designs are required to establish the value of individual treatments. The next steps are to produce an intuitive user interface for decision makers, planners and other stakeholders like clinicians or representatives of families and people with live experience of suicidal behaviors or death by suicide. For example, how variations in the quality of local area primary care programs for depression or substance use disorders or increased in regional mental health and addiction budgets would lower suicide rates. [ABSTRACT FROM AUTHOR]

Background: The PAROLE-Onco program was introduced in the province of Quebec, Canada in 2019. It integrates accompanying patients (APs), i.e., people who have been affected by cancer, into the clinical team as full members. These APs use their experiential knowledge with people undergoing treatment and with clinical teams. The aim of this paper is to evaluate, within the framework of two university medical centers, the perceptions of breast cancer patients who receive support from APs, particularly in terms of their active involvement in their care trajectory. Methods: A qualitative study based on semi-structured interviews with accompanied patients was performed. Fourteen individual interviews were conducted between July and September 2021 with women presenting different profiles in terms of age, education, professional status, type of treatment, family situation, and clinical background. The data were analyzed using thematic analysis, focusing on patients' perceptions of APs' contributions and suggested improvements for accessing AP support. Results: Three themes emerged from the semi-structured interviews: communication modalities used to connect patients with their APs, the characteristics of the support provided by APs, and the perceived effects of this support on the patients. Patients expressed a preference for telephone communication, highlighting its convenience and accessibility. The support provided by APs included emotional and informational support, neutrality, and adaptability. This relationship improved patient communication, reduced anxiety, helped regain control, and enhanced overall quality of life. The results emphasized the added value of APs in complementing the support offered by healthcare professionals. Patients noted the critical role of APs in helping them navigate the healthcare system, better understand their treatment processes, and manage their emotions. The ability of APs to provide practical advice and emotional reassurance was particularly valued. Overall, the findings underscored the significant impact of AP support on patients' experiences and highlighted areas for enhancing this service. Conclusion: This study highlights, during the care trajectory of people affected by breast cancer, APs' contribution to patients' emotional well-being because they improve, in particular, the management of emotions and communication with health professionals. Plain english summary: In 2019, we initiated the PAROLE-Onco program in Quebec, Canada, to support cancer patients by integrating Accompanying Patients (APs) into the medical team. These individuals, who have personally experienced cancer, join as full team members, sharing their insights with both patients and medical staff. Our study delved into the perceptions of breast cancer patients at two university hospitals regarding APs' involvement in their care trajectory. Through interviews with 14 women of diverse backgrounds and cancer experiences, we found that APs were instrumental in enhancing communication with doctors, facilitating the expression of challenging emotions, and aiding in treatment decisions. Patients valued the inclusion of APs in their care team and expressed gratitude for their support. Nonetheless, some encountered difficulties in reaching out to APs due to a lack of awareness or challenges involved in connecting. Overall, our research underscores the positive impact of involving APs in the care of breast cancer patients, and of enhancing emotional well-being and communication throughout the treatment journey. [ABSTRACT FROM AUTHOR]

The study of the contemporary history of geography through the prism of the sociology of professions makes it possible to explore geographers' professional paths as objects of sociohistorical enquiry. Through the analysis of archival documents, three periods have been delineated, thus showing the contextual nature of the debates surrounding the presence of geographers in the workplace. From 1945 to 1962, we observe the gradual division of geography into three categories of distinct social realms: schools, university, and the professional environment. From 1963 to 1978, we witness the rise and fall of a controversial collective project, namely the foundation of a provincial accreditation board for Quebec's geographers. From 1979 to the end of the 20th century, we can notice the evolution of the "Association des géographes du Québec", which became the "Association professionnelle des géographes du Québec" in 1985. Despite the failure of the accreditation body project, the association reveals itself as a place of democratic representation and defence of applied geography and geographer's expertise. [ABSTRACT FROM AUTHOR]

In Quebec (Canada), the roll-out of the vaccination started slowly in December 2020 due to limited vaccine supply. While the first and second doses were well-accepted among adults and vaccine uptake was above 90%, in late 2021 and 2022, vaccine acceptance decreased for children vaccination and receipt of a 3rd or a 4th dose. In the autumn of 2022, four focus groups were conducted with vaccine-hesitant parents of children aged 0–4 and adults who expressed little intention to receive a booster dose. The objective of this study was to gather participants' perspectives on vaccination in general, on the COVID-19 vaccination campaign and the information available, and to gain insights into the underlying reasons for their low intention of either having their child(ren) vaccinated, or receiving an additional dose of vaccine. A total of 35 participants took part in the focus groups. While participants expressed a certain level of trust and confidence in public health and government authorities regarding pandemic management and the vaccination campaign, they were also concerned that transparent information was lacking to support an informed decision on booster doses and children's vaccination. Many participants felt adequately protected against the infection during the focus groups, citing a lack of perceived benefits as the primary reason for refusing a booster dose. Parents who refused to administer the COVID-19 vaccine to their young children felt that the vaccine was not useful for children and were concerned about potential side effects. The majority reported that their opinions regarding other recommended vaccines had not changed since the beginning of the pandemic. While these results are reassuring, our findings highlight the importance of transparency in public health communications about vaccines to increase confidence and to develop strategies to address vaccine fatigue and complacency toward COVID-19 vaccines. [ABSTRACT FROM AUTHOR]

Explore perceptions and preoccupations regarding use of medical cannabis against chronic musculoskeletal pain, among patients and physicians.Design: Qualitative study using interviews with patients and physicians, based on the Theory of Planned Behavior (TPB).Setting: The study was conducted in Quebec, Canada, in spring 2020.Subjects: We included 27 adult patients and 11 physicians (GPs, anesthesiologists, psychiatrists, and a rheumatologist); the mean age of patients was 48.2 years; 59.3% of patients and 36.4% of physicians were women; 59.3% of patients used no medical cannabis at the time of study; 45.5% of physicians had never authorized it.Methods: Semi-structured interviews were conducted, transcribed and for the qualitative analysis codes were developed in a hybrid, inductive and deductive approach. Guided by the TPB, facilitators and barriers, perceived benefits and harms, and perceived norms that may influence cannabis use or authorization were documented.Results: Although medical cannabis is an interesting avenue for the relief of chronic musculoskeletal pain, doctors and patients agreed that it remained a last line option, due to the lack of scientific evidence regarding its safety and efficacy. The norms surrounding medical cannabis also play an important role in the social and professional acceptance of this therapeutic option.Conclusion: Medical cannabis is seen as a last line option among interventions in the management of chronic pain, and attitudes and prior experiences play a role in the decision to use it. Study results may contribute to improved shared decision making between patients and physicians regarding this option.Plain Language Summary: Little is known about the motivations, perceptions, and preoccupations of patients with chronic pain and their physicians regarding the use of medical cannabis against chronic pain. A qualitative study was done on the attitudes and perceptions of these patients and their physicians. We performed semi-structured interviews, guided by the Theory of Planned Behavior, with chronic pain patients and with physicians treating such patients. Results indicate that both patients and physicians consider medical cannabis as a last line therapeutic option against chronic pain. Also, both groups expressed a need for stronger evidence on the effectiveness and safety of medical cannabis, as well as for more and clearer guidance on when and how to use this additional option in the treatment of chronic pain. [ABSTRACT FROM AUTHOR]

Expanding shrubs in the Arctic trap blowing snow, increasing snow height and accelerating permafrost warming. Topography also affects snow height as snow accumulates in hollows. The respective roles of topography and erect vegetation in snow accumulation were investigated using a UAV-borne lidar at two nearby contrasted sites in northern Quebec, Canada. The North site featured tall vegetation up to 2.5 m high, moderate snow height, and smooth topography. The South site featured lower vegetation, greater snow height, and rougher topography. There was little correlation between topography and vegetation height at both sites. Vegetation lower than snow height had very little effect on snow height. When vegetation protruded above the snow, snow height was well correlated with vegetation height. The topographic position index (TPI) was well correlated with snow height when it was not masked by the effect of protruding vegetation. The North site with taller vegetation therefore showed a good correlation between vegetation height and snow height, R2 = 0.37, versus R2 = 0.04 at the South site. Regarding topography, the reverse was observed between TPI and snow height, with R2 = 0.29 at the North site and R2 = 0.67 at the South site. The combination of vegetation height and TPI improved the prediction of snow height at the North site (R2 = 0.59) but not at the South site because vegetation height has little influence there. Vegetation was therefore the main factor determining snow height when it protruded above the snow. When it did not protrude, snow height was mostly determined by topography. Significance Statement: Wind-induced snow drifting is a major snow redistribution process in the Arctic. Shrubs trap drifting snow, and drifting snow accumulates in hollows. Determining the respective roles of both these processes in snow accumulation is required to predict permafrost temperature and its emission of greenhouse gases, because thicker snow limits permafrost winter cooling. Using a UAV-borne lidar, we have determined snow height distribution over two contrasted sites in the Canadian low Arctic, with varied vegetation height and topography. When snow height exceeds vegetation height, topography is a good predictor of snow height, with negligible effect of buried vegetation. When vegetation protrudes above the snow, combining both topography and vegetation height is required for a good prediction of snow height. [ABSTRACT FROM AUTHOR]

Background: Lyme disease (LD) emerged in southern Québec at the start of the century, with many municipalities now endemic. A coordinated active surveillance programme has been in place in the province of Québec since 2014, including a limited number of sentinel field sites resampled each year and a larger set of accessory field sites that change yearly according to the LD surveillance signal. We aimed to evaluate whether a sentinel approach to active surveillance was more representative of LD risk to human populations, compared to risk-based surveillance. Methods: We compared enzootic hazard measures (average nymph densities) from sentinel and accessory sites with LD risk (number of human LD cases) across the study area between 2015 and 2019 using local bivariate Moran's I analysis. Results: Hazard measures from sentinel sites captured spatial risk significantly better than data from accessory sites (x2=20.473, p<0.001). In addition, sentinel sites successfully tracked the interannual trend in LD case numbers, whereas accessory sites showed no association despite the larger sample size. Conclusion: Where surveillance aims to document changes in tick-borne disease risk over time and space, we suggest that repeated sampling of carefully selected field sites may be most effective, while risk-based surveillance may be more usefully applied to confirm the presence of emerging disease risk in a specific region of interest or to identify suitable sites for long-term monitoring as LD and other tick-borne diseases continue to emerge. [ABSTRACT FROM AUTHOR]

Introduction: Early in the COVID-19 pandemic, reagent availability was not uniform, and infrastructure had to be urgently adapted to undertake COVID-19 surveillance. Methods: Before the validation of centralized testing, two enzyme-linked immunosorbent assays (ELISA) were established independently at two decentralized sites using different reagents and instrumentation. We compared the results of these assays to assess the longitudinal humoral response of SARS-CoV-2-positive (i.e., PCR-confirmed), non-hospitalized individuals with mild to moderate symptoms, who had contracted SARSCoV-2 prior to the appearance of variants of concern in Québec, Canada. Results: The two assays exhibited a high degree of concordance to identify seropositive individuals, thus validating the robustness of the methods. The results also confirmed that serum immunoglobulins persist = 6 months post-infection among non-hospitalized adults and that the antibodies elicited by infection crossreacted with the antigens from P.1 (Gamma) and B.1.617.2 (Delta) variants of concern. Discussion: Together, these results demonstrate that immune surveillance assays can be rapidly and reliably established when centralized testing is not available or not yet validated, allowing for robust immune surveillance. [ABSTRACT FROM AUTHOR]

Hydraulic behavior and pollutant removal efficiency of three stormwater end-of-pipe control structures were evaluated and compared. Three detention basins (wet, dry, and semi-dry, i.e. dry with a wet central channel) were monitored within three sites of Southern Quebec, Canada. Water samples were collected upstream and downstream of the basins and analyzed for total suspended solids (TSS), nitrogen, total phosphorous, and ions related to de-icing salts. Generalized linear models and hydrological/hydraulic (SWMM) models were developed to compute the long-term TSS and total phosphorous load removal efficiency for two of the studied basins. Results indicate that even when considering uncertainties, removal rates are the highest for the wet basin and the lowest for the dry one. The addition of a wet channel in the semi-dry basin leads to higher removal efficiency than in the dry basin (e.g. median TSS concentration removal of 69% and 14%, respectively, for the semi-dry and dry basins). [ABSTRACT FROM AUTHOR]

Copyright of Canadian Journal of Film Studies is the property of University of Toronto Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aerial insectivores show worldwide population declines coinciding with shifts in agricultural practices. Increasing reliance on certain agricultural practices is thought to have led to an overall reduction in insect abundance that negatively affects aerial insectivore fitness. The relationship between prey availability and the fitness of insectivores may thus vary with the extent of agricultural intensity. It is therefore imperative to quantify the strength and direction of these associations. Here we used data from an 11‐year study monitoring the breeding of Tree Swallows (Tachycineta bicolor) and the availability of Diptera (their main prey) across a gradient of agricultural intensification in southern Québec, Canada. This gradient was characterized by a shift in agricultural production, whereby landscapes composed of forage and pastures represented less agro‐intensive landscapes and those focusing on large‐scale arable row crop monocultures, such as corn (Zea mays) or soybean (Glycine max) that are innately associated with significant mechanization and agro‐chemical inputs, represented more agro‐intensive landscapes. We evaluated the landscape characteristics affecting prey availability and how this relationship influences the fledging success, duration of the nestling period, fledgling body mass, and wing length as these variables are known to influence the population dynamics of this species. Diptera availability was greatest within predominately forested landscapes, while within landscapes dominated by agriculture, it was marginally greater in less agro‐intensive areas. Of the measured fitness and body condition proxies, both fledging success and nestling body mass were positively related to prey availability. The impact of prey availability varied across the agricultural gradient as fledging success improved with increasing prey levels within forage landscapes yet declined in more agro‐intensive landscapes. Finally, after accounting for prey availability, fledging success was lowest, nestling periods were the longest, and wing length of fledglings were shortest within more agro‐intensive landscapes. Our results highlight the interacting roles that aerial insect availability and agricultural intensification have on the fitness of aerial insectivores, and by extension how food availability may interact with other aspects of breeding habitats to influence the population dynamics of predators. [ABSTRACT FROM AUTHOR]

Lyme disease (LD) is a tick-borne disease which has been emerging in temperate areas in North America, Europe, and Asia. In Quebec, Canada, the number of human LD cases is increasing rapidly and thus surveillance of LD risk is a public health priority. In this study, we aimed to evaluate the ability of active sentinel surveillance to track spatiotemporal trends in LD risk. Using drag flannel data from 2015–2019, we calculated density of nymphal ticks (DON), an index of enzootic hazard, across the study region (southern Quebec). A Poisson regression model was used to explore the association between the enzootic hazard and LD risk (annual number of human cases) at the municipal level. Predictions from models were able to track both spatial and interannual variation in risk. Furthermore, a risk map produced by using model predictions closely matched the official risk map published by provincial public health authorities, which requires the use of complex criteria-based risk assessment. Our study shows that active sentinel surveillance in Quebec provides a sustainable system to follow spatiotemporal trends in LD risk. Such a network can support public health authorities in informing the public about LD risk within their region or municipality and this method could be extended to support Lyme disease risk assessment at the national level in Canada. [ABSTRACT FROM AUTHOR]

Copyright of Enfances, Familles, Generations is the property of Enfances, Familles, Generations 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.)

Background: Despite increases in cases of Lyme disease, little is known about the management and clinical course of the disease in Canada. We aimed to describe the management and clinical course of Lyme disease in patients treated in acute care facilities in Quebec and to assess adherence to the 2006 Infectious Diseases Society of America (IDSA) guideline. Methods: This retrospective multicentre cohort study included pediatric and adult patients with serologically confirmed Lyme disease treated in acute care facilities (12 community hospitals and 2 tertiary care centres) of 2 endemic regions of Quebec (Estrie and Montérégie), from 2004 to 2017. We considered drug choice, prescribed dose and treatment duration in assessing adherence of prescriptions to the 2006 IDSA guideline. The main outcome was complete resolution of symptoms at 3 months after the initiation of treatment. Results: We included 272 patients from 14 institutions (age range 3–87 yr). Early disseminated Lyme disease (140 patients [51%]) was predominant. Adherence to the IDSA guideline was observed in 235 (90%) of the 261 cases with complete information, and adherence was stable over time (2004–2013: 57/64 [89%]; 2014–2015: 64/71 [90%]; 2016–2017: 114/126 [90%]; p = 0.8). Non-adherence to the guideline (n = 26) was predominantly due to longer-than-recommended treatment duration (16/26 [62%]). Resolution of objective signs at 3 months after treatment initiation occurred in 265 (99%) of 267 patients, whereas post-treatment Lyme disease syndrome was observed in 27 patients (10%) with increasing incidence over time (2004–2013: 3/65 [5%]; 2014–2015: 4/73 [5%]; 2016–2017: 20/129 [16%]; p = 0.02). Interpretation: We observed clinical resolution of Lyme disease in 99% of the patients, and most treatments (90%) complied with the 2006 IDSA guideline. The incidence of post-treatment Lyme disease syndrome increased over the study period, warranting further prospective studies. [ABSTRACT FROM AUTHOR]

Background: The process of talent identification in ice hockey occurs during middle adolescence when players are selected to participate in "off-season" evaluation camps, where coaches observe their fitness levels and status of development. Recently, the Quebec ice hockey federation opted for a holistic approach by evaluating players based on three criteria: (1) fitness, (2) skating abilities and (3) personality traits and psychological assets. This study aimed to analyze the discriminant validity of a multi-dimensional talent identification testing protocol in competitive ice hockey. Method: Data were collected from 160 adolescent hockey players who took part in Team Quebec summer evaluation camps. Off-ice fitness, skating abilities and psychological variables were measured on two consecutive days. Descriptive statistics, group comparisons (gender, positions) and discriminant analyses (selected versus non-selected) were performed. Results: No differences were observed among males in which selected players were similar to non-selected. Results from discriminant analyses also showed no discriminant function for male players. For females, selected players displayed higher fitness, on-ice agility and psychological characteristics. Nine performance markers were significantly discriminant. Conclusions: A holistic evaluation protocol allows for the discrimination of selected and non-selected players in elite ice hockey. Developing more discriminant tests is a promising avenue of research in male ice hockey. Knowing the factors that are associated with team selection in competitive ice hockey allow to focus on the specific attributes to work with young promising players. [ABSTRACT FROM AUTHOR]

Recruitment and dispersal are important demographic rates and studying their determinants is particularly important in the current context of global anthropogenic perturbations. In birds, and especially for migratory species, assessing these rates is challenging because of the difficulties involved in tracking individuals beyond fledging. Here we assessed the determinants of nest box local recruitment and natal dispersal distances in a declining aerial insectivore, the tree swallow Tachycineta bicolor. We used a 16‐year dataset obtained from the long term monitoring of a population breeding within a 10 200‐km2 study system located along a gradient of agricultural intensification in southern Québec, Canada. Yearly nest box local recruitment rates ranged there in between 1.0% and 3.2%. Heavier nestlings who fledged earlier were more likely to recruit. Natal dispersal distances were generally short (mean ± SD = 12.7 ± 13.8 km) in the study system and were influenced by different factors depending on sex. Females dispersed over shorter distances when conspecific occupancy on breeding site was high, while males dispersed farther in the presence of competing house sparrows Passer domesticus and when their mother was young. Selection of breeding locations appeared to take place at multiple scales and individuals recruited in sites with characteristics similar to their natal sites. Our results provide important information concerning the factors influencing nest box local recruitment and natal dispersal dynamics of this migratory species. These factors should be considered in conservation practices for this species in order to support production of recruits in habitats favorable to their survival. [ABSTRACT FROM AUTHOR]

Copyright of Avian Diseases is the property of American Association of Avian Pathologists, Inc. 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.)

Objective: The comparable severities of cluster B personality disorders and schizophrenia are increasingly recognized. The authors sought to compare the general medical and psychiatric comorbid conditions and use of medical services among individuals with one or both of these disorders.Methods: Data were collected from the linked health administrative databases of Quebec's universal health plan in the Quebec Integrated Chronic Disease Surveillance System, which covers 99% of Quebec's population. The study cohort of 2016-2017 included almost 7.05 million people, and the study covered the 1996-2017 period.Results: Comorbid conditions were extremely prevalent in the three groups studied-persons with cluster B personality disorders, schizophrenia, or both-compared with the general population. People having both disorders had the highest prevalence of comorbid conditions. Psychiatric services were used more frequently by individuals in all three groups than among those in the general population, and use was especially high among people with both disorders. Medical care service use was heterogeneous, with patients with cluster B personality disorders using more medical care services but fewer specialized outpatient treatments and psychotherapy than those with schizophrenia or with both disorders.Conclusions: The three cohorts had higher rates of comorbid conditions and health care service use than individuals in the general population. Patients with cluster B personality disorders used fewer psychiatric services than patients with schizophrenia or with both disorders. One explanation for this difference may be that people with cluster B personality disorders encounter more obstacles in accessing mental health care services. [ABSTRACT FROM AUTHOR]

Animals are expected to select a breeding habitat using cues that should reflect, directly or not, the fitness outcome of the different habitat options. However, human-induced environmental changes can alter the relationships between habitat characteristics and their fitness consequences, leading to maladaptive habitat choices. The most severe case of such nonideal habitat selection is the ecological trap, which occurs when individuals prefer to settle in poor-quality habitats while better ones are available. Here, we studied the adaptiveness of nest box selection in a tree swallow (Tachycineta bicolor) population breeding over a 10-year period in a network of 400 nest boxes distributed along a gradient of agricultural intensification in southern Québec, Canada. We first examined the effects of multiple environmental and social habitat characteristics on nest box preference to identify potential settlement cues. We then assessed the links between those cues and habitat quality as defined by the reproductive performance of individuals that settled early or late in nest boxes. We found that tree swallows preferred nesting in open habitats with high cover of perennial forage crops, high spring insect biomass, and high density of house sparrows (Passer domesticus), their main competitors for nest sites. They also preferred nesting where the density of breeders and their mean number of fledglings during the previous year were high. However, we detected mismatches between preference and habitat quality for several environmental variables. The density of competitors and conspecific social information showed severe mismatches, as their relationships to preference and breeding success went in opposite direction under certain circumstances. Spring food availability and agricultural landscape context, while related to preferences, were not related to breeding success. Overall, our study emphasizes the complexity of habitat selection behavior and provides evidence that multiple mechanisms may potentially lead to an ecological trap in farmlands. [ABSTRACT FROM AUTHOR]

This retrospective multicenter cohort study assessed temporal changes in the severity and mortality rate of blastomycosis in Quebec, Canada, and identified risk factors for death in patients with blastomycosis in 1988-2016. The primary outcome was 90-day all-cause deaths. Among 185 patients, 122 (66%) needed hospitalization and 30 (16%) died. We noted increases in the proportion of severe cases, in age at diagnosis and in the proportion of diabetic and immunocompromised patients over time. Independent risk factors for death were age (adjusted odds ratio [aOR] 1.04, 95% CI 1.00-1.07), immunosuppression (aOR 4.2, 95% CI 1.5-11.6), and involvement of >2 lung lobes (aOR 5.3, 95% CI 1.9-14.3). There was no association between the Blastomyces genotype group and all-cause mortality. The proportion of severe cases of blastomycosis has increased in Quebec over the past 30 years, partially explained by the higher number of immunosuppressed patients. [ABSTRACT FROM AUTHOR]

In the context of increasing global environmental changes, it has become progressively important to understand the effects of human activity on wildlife populations. Declines in several avian populations have been observed since the 1970s, especially with respect to many farmland and grassland birds, which also include some aerial insectivores. Changes in farming practices referred to as agricultural intensification coincide with these major avian declines. Among those practices, increased pesticide use is hypothesized to be a key driver of avian population declines as it can lead to both toxicological and trophic effects. While numerous laboratory studies report that birds experience acute and chronic effects upon consuming pesticide treated food, little is known about the effects of the exposure to multiple pesticides on wildlife in natural settings. We monitored the breeding activities of Tree Swallows (Tachycineta bicolor) on 40 farms distributed over a gradient of agricultural intensification in southern Québec, Canada, to evaluate the presence of pesticides in their diet and quantify the exposure effects of those compounds on their reproductive performance between 2013 and 2018. We first assessed the presence of 54 active agents (or derivatives) found in pesticides in 2,081 food boluses (insects) delivered to nestlings by parents and documented their spatial distribution within our study area. Second, we assessed the effect of pesticide exposure through food (number of active agents detected and number of contaminated boluses on a given farm for a given year, while controlling for sampling effort) on clutch size as well as hatching and fledging successes and nestling's mass upon fledging. Pesticides were ubiquitous in our study system and nearly half (46%) of food boluses were contaminated by at least one active agent. Yet we found no relationship between our proxies of food contamination by pesticides and Tree Swallow reproductive performance. More studies are needed to better understand the putative role of pesticides in the decline of farmland birds and aerial insectivores as potential sublethal effects of pesticides can carry over to later life stages and impact fitness. [ABSTRACT FROM AUTHOR]

This paper presents a methodology to estimate free residual chlorine concentrations (FRCC) in full-scale water distribution system (WDS) using different degradation kinetics according to pipe material, age and diameter. Intensive field sampling campaigns and laboratory-scale tests were carried out to estimate total and bulk volume FRCC in three WDS. Bulk kinetic constants were estimated for water temperatures typical of different seasons in the Quebec City area (Canada). With field-measured FRCC at all sampling sites and an estimation of travel times through the use of a hydraulic model, total, bulk and pipe wall kinetic constants were obtained with ranges of 10.2 to 130.4, 4.1 to 43.8 and 8.5 to 114.9 10−3/h, respectively. Pipe wall kinetics tend to dominate the total degradation process for older grey and ductile cast-iron pipes, followed by newer ductile iron pipes and then PVC and pre-stressed concrete pipes (mostly installed from 1990). The developed methodology and results will be useful to improve the prediction of FRCC through hydraulic and water quality modelling. [ABSTRACT FROM AUTHOR]

Is there such a thing as an "ordinary day"? Through the content analysis of four newspapers from the province of Quebec, Canada, for September 17, 2013, 2014 and 2015, we notice that religion and magic find a way to permeate not only news coverage, but also the less glamorous parts of newspapers such as obituaries and classified advertisements, making the content somewhat "extraordinary". Christianity is an important topic of discussion throughout all three years, both implicitly and explicitly, because of the Catholic history of Quebec. Islam is also very present in 2013–2015 because of major political debates about laïcité and religious symbols as well as international events involving Islamic extremism and the fear of terrorism. Finally, we find that magic is also on display, mainly through classifieds advertisements for supernatural services, which shows that conventional religion still tends to dominate the news, while magic slips through the crevasses of the less glamorous sections of the papers. [ABSTRACT FROM AUTHOR]

Introduction: Administrative health databases (AHD) are critical to guide health service management and can inform the whole spectrum of substance‐related disorders (SRD). This study estimates prevalence and mortality rates of SRD in administrative health databases. Methods: The Quebec Integrated Chronic Disease Surveillance System consists of linked AHD. Analyses were performed on data of all Quebec residents aged 12 and over and eligible for health‐care coverage using the International Classification of Diseases (ninth or tenth revision) for case identification. Mortality rate ratios stratified by causes of death were obtained to calculate an excess of mortality. Results: Since 2001–2002, the annual age‐adjusted prevalence rate of diagnosed overall SRD remained stable (8.6 per 1000 in 2017–2018). In any given year, the annual prevalence rate was significantly higher in males; adolescents had the lowest rate, while adults 65 years and older the highest. The annual 2017–2018 rate was 2.1 per 1000 for alcohol‐induced disorder, 1.9 for other drug‐induced disorder, 0.7 for alcohol intoxication and 0.6 for other drug intoxications. Cumulative rate of any diagnosis related to alcohol was 32 per 1000 females and 53 per 1000 males (2001–2018), and 33 per 1000 females and 49 per 1000 males for any diagnosis related to other drugs. There was an excess of all‐cause mortality among individuals with SRD compared to the general population. Discussion and Conclusions: AHD can complement epidemiological surveys in monitoring SRD jurisdiction‐wide. Surveillance of services utilisation and interventions, coupled with health outcomes like mortality, could be useful in guiding health services planning. [ABSTRACT FROM AUTHOR]

Background: There is a lack of consensus in current practice guidelines regarding routine neuroimaging in patients with stage IV non-small cell lung cancer (NSCLC) without neurologic symptoms, and there is a paucity of data on the impact of such imaging on overall survival (OS). Methods: This retrospective study included 257 patients with stage IV NSCLC without neurologic symptoms diagnosed between January 1, 2013 and December 31, 2016 at Institut universitaire de cardiologie et de pneumologie de Québec (IUCPQ). The primary objective of this study was to compare the evolution of patients with stage IV NSCLC who had baseline brain imaging versus with who did not. Secondary objectives were to determine the proportion of patients who underwent brain imaging in their initial investigation and the proportion of patients who developed metachronous central nervous system (CNS) metastasis. Results: CNS imaging, mainly with computed tomography (CT), was performed at diagnosis in 56% of patients, and the prevalence of synchronous CNS metastasis among these patients was 32%. There was no difference in median OS between patients who underwent initial CNS imaging and those who did not, but we did show a tendency for a higher cumulative incidence of metachronous CNS metastasis in patients without baseline imaging. These metachronous metastases were symptomatic and were more often not treated when compared to synchronous metastases. Conclusions: In this small, unicentric retrospective study, there was no benefit with routine neuroimaging in terms of median OS in stage IV NSCLC patients without neurologic symptoms. [ABSTRACT FROM AUTHOR]

Agricultural pesticides usage has been increasing globally. These compounds have been developed to disrupt pest species physiology, but because their specificity is limited, they can also have adverse effects on non-target organisms. Recent studies have shown that the damaging toxicological effects of pesticides can be amplified in stressful environments. However, few studies have documented these effects in natural settings where organisms are simultaneously exposed to pesticides and to other environmental stressors such as parasites. In this study, we assessed both pesticide and ectoparasite effects on the physiology of a free-ranging bird. We measured physiological markers including haematocrit, bacteria-killing ability (BKA) and leucocyte counts, as well as exposure to haematophagous Protocalliphora larvae, in tree swallow nestlings (Tachycineta bicolor), a declining aerial insectivore, in southern Québec, Canada, for over 3 years. We found that combined exposure to pesticides and Protocalliphora larvae was negatively related to haematocrit, suggesting possible synergistic effects. However, we found no such relationships with BKA and leucocyte counts, highlighting the complexity of physiological responses to multiple stressors in natural settings. Populations of several aerial insectivores are declining, and although sublethal pesticide effects on physiology are suspected, our results suggest that exposure to other factors, such as parasitism, should also be considered to fully assess these effects, especially because pesticides are increasingly present in the environment. [ABSTRACT FROM AUTHOR]

Research framework : The socio-legal context of Quebec provides access to different modalities of egg donation to conceive a child by assisted procreation. The present qualitative empirical research is concerned with directed egg donation in which the donor is known to the recipient couple (CR). Objectives : This article aims to better understand each person's place in this new family reality and studies the impact of recourse to egg donation on the feeling of maternal identity and filiation. Methodology : Semi-structured interviews accompanied by the production of a free genogram (GL) were carried out with eight donors and eight CRs. An inductive and iterative logic guided the collection and analysis of data by conceptualizing categories. Results : The development of an affective and relational history between donors and CR emerges as a backdrop to issues specific to each. If there is indeed a meeting between them, the psychological stakes which they cross and which appear during the realization of the GL reveal distinct psychic Conclusions : This is the opportunity for the donor to construct a meaning to her donation in relation to her personal and family history, establishing the bases of a donation narrative that allows a work of historicization and re-subjectivation. Parents, for their part, construct the story that allowed them to give birth to their child, questioning the place of the donor and the link with her, as well as the maternal identity. Contribution : Such a design narrative participates in the construction of the parental identity, in particular that of the recipient, and combines with the gift narrative to think about the origins of the child. This article contributes to the reflection on becoming a parent using directed egg donation. He raises the importance of offering support that allows everyone to develop a narrative in continuity with their own story. [ABSTRACT FROM AUTHOR]

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Aims: No instrument has been developed to explicitly assess the professional culture of mental health workers interacting with severely mentally ill people in publicly or privately run mental health care services. Because of theoretical and methodological concerns, we designed a self-administered questionnaire to assess the professional culture of mental health services workers. The study aims to validate this tool, named the Mental Health Professional Culture Inventory (MHPCI). The MHPCI adopts the notion of 'professional culture' as a hybrid construct between the individual and the organisational level that could be directly associated with the professional practices of mental health workers. Methods: The MHPCI takes into consideration a multidimensional definition of professional culture and a discrete number of psychometrically derived dimensions related to meaningful professional behaviour. The questionnaire was created and developed by a conjoint Italian-Canadian research team with the purpose of obtaining a fully cross-cultural questionnaire and was pretested in a pilot study. Subsequently, a validation survey was conducted in northern Italy and in Canada (Montreal area, Quebec). Data analysis was conducted in different steps designed to maximise the cross-cultural adaptation of the questionnaire through a recursive procedure consisting of performing a principal component analysis (PCA) on the Italian sample (N = 221) and then testing the resulting factorial model on the Canadian sample (N = 237). Reliability was also assessed with a test-retest design. Results: Four dimensions emerged in the PCA and were verified in the confirmatory factor analysis: family involvement, users' sexuality, therapeutic framework and management of aggression risk. All the scales displayed good internal consistency and reliability. Conclusions: This study suggests the MHPCI could be a valid and reliable instrument to measure the professional behaviour of mental health services workers. The content of the four scales is consistent with the literature on psychosocial rehabilitation, suggesting that the instrument could be used to evaluate staff behaviour regarding four crucial dimensions of mental health care. [ABSTRACT FROM AUTHOR]

Natural selection has been studied for several decades, resulting in the computation of thousands of selection estimates. Although the importance of environmental conditions on selection has often been suggested, published estimates rarely take into account the effects of environmental heterogeneity on selection patterns. Here, we estimated linear and nonlinear viability selection gradients on morphological traits of 12‐day old nestlings in a wild population of tree swallows (Tachycineta bicolor) across a large‐scale heterogeneous study system in southern Québec, Canada. We assessed the environmental drivers of nestling survival and evaluated their effects on strength and direction of selection gradients. Separate analyses of environmental variables showed that high temperatures and heavy rainfall caused stronger positive linear selection on morphological traits. Weaker linear selection was also measured in more extensively cultivated areas. Both strength and shape of nonlinear quadratic and correlational components of selection were modified by environmental variables. Considering all environmental variables revealed that precipitation since hatching affected patterns of linear selection on traits, while temperatures since hatching shaped nonlinear selection patterns. Our study underlines the importance of quantifying linear and nonlinear natural selection under various environmental conditions and how the evolutionary response of traits may be affected by ongoing human‐induced environmental changes. [ABSTRACT FROM AUTHOR]

The reception by the media of Indigenous peoples' political actions raises the issues of the discourses and representations at work in the public space. This paper examines how the Atikamekw Nehirowisiw Nation, their territorialities and political actions are represented by French‐speaking written media in Quebec. What are the discourses mobilized to apprehend the issues related to their land claims and contestation? By mobilizing a corpus of newspapers' articles published between 2000 and 2015, this study underlines the coexistence of opposed discourses. On the one hand, a colonial conception remains, reinterpreting the legal and historical legitimacy of the Atikamekw occupation and claims on the territory. On the other hand, the presence and reproduction, particularly through the words of Indigenous leaders, of an accommodating discourse towards Atikamekw's political actions cannot be ignored. The cohabitation between these two discourses highlights different sets of representations, emphasizing the ongoing colonial imaginaries in Quebec. Messages clés: Il y a cohabitation d'ensembles discursifs distincts dans l'espace médiatique québécois par rapport aux revendications des Atikamekw Nehirowisiwok.Cette cohabitation peut se caractériser par une forme de rencontre ou de flexibilité, plus particulièrement sur le plan des représentations du territoire et des territorialités.Les représentations du territoire et des territorialités sont liées aux images des acteurs/groupes et des actions collectives, voire les conditionnent. [ABSTRACT FROM AUTHOR]

Résumé: La préparation de produits stériles nécessite un cadre normatif strict afin de standardiser et d'optimiser les pratiques. Au printemps 2014, l'Ordre des pharmaciens du Québec a donc révisé sa norme existante et publié deux nouvelles normes relatives à la préparation de produits stériles. Plusieurs recommandations supplémentaires et modifications ont été ajoutées à la norme existante, datant de 1995, pour assurer une meilleure protection du public, dont le recours à un équipement de protection individuel, à des procédures aseptiques strictes et à la détermination de date limite d'utilisation des préparations. Le tout a conduit à deux normes indépendantes à l'attention des pharmaciens responsables à l'encadrement de la préparation de produits stériles au Québec. L'une concerne les produits stériles non dangereux (norme 2014.01) et l'autre, les produits stériles dangereux (norme 2014.02). Le pharmacien évoluant à travers ce type de pratique doit bien connaître les divers aspects de ces normes afin de contribuer au maintien de la qualité et à l'absence de contamination des préparations stériles. Il lui importe en outre d'assurer la sécurité du personnel affecté à la préparation de produits stériles dangereux, qui encourt des risques non négligeables si les exigences ne sont pas intégralement respectées. The production of sterile preparations requires a strict regulatory framework in order to standardize and optimize aseptic techniques. In spring 2014, the Ordre des pharmaciens du Québec has reviewed its existing guidelines and published two new standards for sterile preparations. Several recommendations and modifications have been added to the existing 1995 standard to provide greater public protection, including the use of the required protective garb, strict aseptic procedures and determination of the Beyond-Use Date of the preparations. Two independent standards are now available for pharmacists who supervise the production of sterile preparations in Quebec. One concerns non-hazardous sterile preparations (standard 2014.01) and the other concern hazardous sterile preparations (standard 2014.02). Pharmacist involved in this type of practice must be familiar with the various aspects of these standards in order to maintain the quality and to minimize microbial and chemical contamination. It is also important to ensure the safety of the assigned personnel to the compounding of hazardous sterile preparations which must fully respect the requirements to avoid significant risks. [ABSTRACT FROM AUTHOR]

Objectives: To lay the groundwork for the arrival of Recovery Mentors (RMs) in some of its multidisciplinary teams, a Continuing Professional Development (CPD) conference was organized in a large public agency in the province of Quebec, Canada. The aim was to come up collectively with recommendations to improve access to recovery-oriented care and services for this vulnerable population by recognizing the epistemic value of their lived experience. Methods: A series of workshops were organized among health professionals to reflect on their practice and to discuss the role of RMs for improving epistemic equity and recognition of the experiential knowledge. In preparation for these workshops participants completed the Recovery Self-Assessment (RSA). The RSA is a 32-item questionnaire designed to gauge the degree to which programs implement recovery-oriented practices, which should notably include RMs in multidisciplinary teams (five-point Likert scale: 1= strongly disagree ; 5 = strongly agree). The interactive workshops were hosted by RMs as trainers who first shared their lived experience and understanding of recovery. Results: Eighty-height of the 105 participants completed the RSA. The highest score on the RSA was for the item Staff believe in the ability of program participants to recover (mean = 4.2/5). The lowest score was for the item People in recovery are encouraged to attend agency advisory boards and management meetings (mean = 2.2/5). Based on the average inter-item correlation, a reliability test confirmed an excellent internal consistency for the French RSA scale, with a Cronbach's Alpha of.9. Means and standard deviation for each item of the RSA questionnaires were calculated. The results did not differ by participant characteristics. Results to the RSA and results from the workshops that were co-hosted by RMs were reported in the plenary session and further discussed. The workshops, the RSA and the whole CPD conference raised awareness among health professionals about stigmatizing attitudes and epistemic inequity in actual service provision. Conclusion: RMs could be invited to actively participate and attend advisory boards and management meetings more frequently and on a more regular basis for ongoing quality improvement towards better access to recovery-oriented practices. This CPD conference has shown the acceptability and feasibility of including RMs as trainers for better recognition of the epistemic value of the experiential knowledge of recovery. They can help health professionals to recognize and better appreciate service users as knowers and potential contributors to knowledge. [ABSTRACT FROM AUTHOR]

As scientific understanding of the heritable aspects of cancer deepens, the need to effectively communicate genetic information within the families of cancer patients becomes more acute. In the palliative care context, the question of when and how to disclose a patient's genetic information raises a host of ethical, legal, and social issues, including the challenges of communicating during the end-of-life stage and complex familial and cultural dynamics. In this paper, the authors outline the legal components of these issues in three civil law jurisdictions with similarly comprehensive approaches to healthcare and palliative care - Quebec, Belgium, and France - and provide insights from bioethics literature and normative documents on the disclosure of genetic information at the end of life. From this research, the authors propose a strategy for palliative care providers who are considering available options to communicate hereditary health information. [ABSTRACT FROM AUTHOR]

Genetic diversity at immune genes and levels of parasitism are known to affect patterns of (dis)assortative mating in several species. Heterozygote advantage and/or good genes should shape mate choice originating from pathogen/parasite-driven selection at immune genes. However, the stability of these associations, and whether they vary with environmental conditions, are still rarely documented. In this study, we describe mating patterns in a wild population of tree swallows (Tachycineta bicolor) over 4 years and assess the effects of haemosporidian parasite infection and immune genetic diversity at β-defensin genes on those patterns within two habitats of contrasting environmental quality, in southern Québec, Canada. We first show that mating patterns were only very weakly related to individual status of infection by haemosporidian parasites. However, we found a difference between habitats in mating patterns related to infection status, which was likely due to a non-random distribution of individuals, as noninfected mating pairs were more frequent in lower quality habitats. Mating patterns also differed depending on β-defensin heterozygosity at AvBD2, but only for genetic partners outside of the social couple, with heterozygous individuals pairing together. Our study underlines the importance of considering habitat heterogeneity in studies of sexual selection. [ABSTRACT FROM AUTHOR]

Hunting has multiple consequences for wildlife, and it can be an important source of environmental pollution. Most big game hunters use lead (Pb) ammunition that shed metal fragments in the tissues of harvested animals. These Pb fragments become available to scavengers when hunters discard contaminated slaughter remains in the environment. This exposure route has been extensively studied in avian scavengers, but few studies have investigated Pb exposure from ammunition in mammals. Mammalian scavengers, including American black bears (Ursus americanus), frequently use slaughter remains discarded by hunters. The objective of this study was to investigate whether big game harvest density influenced long-term Pb exposure in American black bears from Quebec, Canada. Our results showed that female black bears had higher tooth Pb concentrations in areas with higher big game harvest densities, but such relationship was not evident in males. We also showed that older bears had higher tooth Pb concentrations compared to younger ones. Overall, our study showed that Pb exposure increases with age in black bears and that some of that Pb likely comes from bullet fragments embedded in slaughter remains discarded by hunters. These results suggest that hunters may drive mammalian scavengers into an evolutionary trap, whereby the long-term benefits of consuming slaughter remains could be negated due to increased Pb exposure. [Display omitted] • Tooth Pb concentrations in American black bears were determined by ICP-MS. • Age was an important predictor of tooth Pb concentration in black bears. • High big game harvest density was associated with higher tooth Pb concentrations. • Big game hunters may create an evolutionary trap for mammalian scavengers. [ABSTRACT FROM AUTHOR]

This paper presents a methodology to assess and reduce water residence times in a water distribution system in order to improve water quality. The methodology was developed and validated on Quebec City's main distribution system. A tracer study was conducted to evaluate real residence times and results are presented in the 'companion paper' (Part I) in this issue. A hydraulic model was then built to simulate the mean residence times (MRT) and develop strategies to reduce them. An optimization algorithm (hybrid discrete dynamically dimensioned search, HD-DDS) was used to calibrate the model using flows and pressures measured in the distribution system. Results show that the suggested methodology can lead to significant reductions in MRT (25.6%) in parts of the distribution system, but could also lead to significant loss in pressure, which should be monitored closely. [ABSTRACT FROM AUTHOR]

Ensemble rainfall forecasts are of high interest for decision making, as they provide an explicit and dynamic assessment of the uncertainty in the forecast. However, for hydrological forecasting, their low resolution currently limits their use to large watersheds. To bridge this gap, various implementations of a spatial statistical downscaling method were compared, bringing Environment Canada's global ensemble rainfall forecasts from a 100 × 70-km resolution down to 6 × 4-km while increasing each pixel's rainfall variance and preserving its original mean. This was applied for nine consecutive days of summer 2009 with strong rain events over Quebec City, Canada. For comparison purposes, simpler methods were also implemented such as the bilinear interpolation, which disaggregates global forecasts without modifying their variance. The meteorological products were evaluated, using different scores and diagrams, against observed values taken from Quebec City rain gauge network. The most important conclusions of this work are that the overall quality of the forecasts was preserved during the disaggregation procedure and that the disaggregated products using the variance-enhancing method were of similar quality than bilinear interpolation products. However, variance and dispersion of the different members were, of course, much improved for the variance-enhanced products, compared with the bilinear interpolation, which is a decisive advantage. Therefore, there is an interest in implementing variance-enhancing methods to disaggregate global ensemble rainfall forecasts. Copyright © 2012 Her Majesty the Queen in right of Canada. Published by John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Theoretical studies have shown that discharges from retention tanks could have a negative impact on the WWTP's (Wastewater Treatment Plant) effluent. Characterization of such discharges is necessary to better understand these impacts. This study aims at: (1) characterizing water quality during emptying of a tank; and (2) characterizing the temporal variation of settling velocities of the waters released to the WWTP. Two full-scale sampling campaigns (18 rain events) have been realized in Quebec City and laboratory analyses have shown a wide variability of total suspended solids (TSS) and Chemical Oxygen Demand (COD) concentrations in the water released from the tank. Suspended solids seem to settle quickly because they are only found in large amounts during the first 15 min of pumping to the WWTP. These solids are hypothesized to come from the pumping in which solids remained after a previous event. When these solids are evacuated, low TSS containing waters are pumped from the retention tank. A second concentration peak occurs at the end of the emptying period when the tank is cleaned with wash water. Finally, settling velocity studies allowed characterizing combined sewer wastewaters by separating three main fractions of pollutants which correspond to the beginning, middle and end of emptying. In most cases, it is noticed that particle settling velocities increase as the pollutant load increases. [ABSTRACT FROM AUTHOR]

This paper presents a methodology that can effectively identify contributions of water sources to end-use water consumption in distribution network locations. The sector selected for the study is a residential sector of Quebec City supplied with drinking water directly from the main supply pipes from the water treatment plant and by re-chlorinated water from a reservoir. The proposed methodology relies on three strategies: a hydraulic characterization of the distribution network, a tracer study and a water quality characterization study. A tracer study was conducted by injecting CaCl2 brine at the reservoir outlet in order to increase calcium concentrations in water from that source. It was then possible to associate sampling points at which calcium concentrations showed an increase during the test as being supplied by the reservoir. A water quality characterization study was conducted simultaneously with the tracer study, making it possible to validate the distribution zones identified. This validation was made possible by analysing the difference between residual chlorine values from the two sources; in fact, water from the reservoir had distinctively higher levels due to re-chlorination. With this fact, it was possible to identify distribution zones at points where the calcium concentration had remained constant during the tracer test. [ABSTRACT FROM AUTHOR]

A number of artistic activities and events underscored the 400th anniversary of the founding of Québec City. Publishing was no exception and several works about Québec City were published in 2008. This article presents a selection of monographs, illustrated works and special issues of periodicals that presented a specific aspect of Québec City. Each entry is made up of a short summary and a description of the principal qualities and limits as well as an indication of the readership. [ABSTRACT FROM AUTHOR]

After only a few years of operation, an extensive rain gauge network provides fruitful information on temporal patterns of local storms, helping urban water, managers with in the difficult choice of appropriate design storms. A total of 1470 1-h storms were identified for the period 1999-2005 in Québec City based on rainfall depth and interevent time criteria. Taking advantage of a clustering technique, the Kohonen neural network, 1-h storms were divided into 16 clusters depending on similarities in their temporal patterns, and then lumped into four groups. The database revealed that about one-third of all storms have a uniform intensity, one-third are early-peaking, and one-third are either symmetrical or late-peaking. Early-peaking patterns include the highest maximal 5-min intensity: 0.22-0.30 of the rainfall depth range, therefore in the same range as common Canadian 10-year design storms. [ABSTRACT FROM AUTHOR]

Simple Summary: Commercial orchards from Quebec (Canada) were followed for over 40 years to track patterns of activity of major fruit pests, fruit damage and impacts (environmental and financial) of pesticide applications. Some insects (as expected) were more prevalent in the insecticide-free orchard than in commercial orchards, while others were (surprisingly) more prevalent in commercial orchards or as prevalent in both orchard types. Annual fruit damage in the insecticide-free orchard was extremely high (as much as 98% for a single pest) and mostly from the apple maggot, the plum curculio and the codling moth. In commercial orchards, fruit damage was ten times less important and mostly from the plum curculio, the tarnished plant bug and the oblique-banded leafroller. The number of registered pesticides, the number of applications and the total cost of pesticides gradually increased from 1977 to 2019, while the environmental and health risks followed a downward trend for most pesticide categories. The historical trends presented here were likely modulated by external factors such as the pesticide regulatory framework, the arrival of non-native insects and climate change. A group of commercial orchards from Quebec (Canada) was followed from 1977 to 2019 as part of a project to implement Integrated Pest Management (IPM) practices. Collected data comprised activity of major fruit pests (from monitoring traps), fruit damage at harvest and pesticide applications, from which the annual costs and impacts of protection programs over 42 years were calculated. Activity and fruit damage in commercial orchards were compared to patterns observed in a reference insecticide-free orchard. Some insects (European apple sawfly, codling moth, apple maggot) were more prevalent in the insecticide-free orchard than in commercial orchards, while others were more prevalent in commercial orchards (oblique-banded leafroller) or as prevalent in both orchard types (tarnished plant bug). Annual fruit damage in the insecticide-free orchard was mostly from the apple maggot (up to 98%), the plum curculio (up to 90%) and the codling moth (up to 58%). The average situation was different in commercial orchards, whose damage was mostly from the plum curculio (up to 7.6%), the tarnished plant bug (up to 7.5%) and the oblique-banded leafroller (up to 1.7%). While the number of registered pesticides, the number of applications and the total cost of pesticides gradually increased from 2002 to 2019, the risks incurred, as measured by indicators of environmental and health impacts, followed a downward trend for insecticides and acaricides and varied slightly for fungicides. [ABSTRACT FROM AUTHOR]

Background: In Canada, 30%-60% of patients presenting to emergency departments are ambulatory. This category has been labeled as a source of emergency department overuse. Acting on the presumption that primary care practices and walk-in clinics offer equivalent care at a lower cost, governments have invested massively in improving access to these alternative settings in the hope that patients would present there instead when possible, thereby reducing the load on emergency departments. Data in support of this approach remain scarce and equivocal. Objective: The aim of this study is to compare the value of care received in emergency departments, walk-in clinics, and primary care practices by ambulatory patients with upper respiratory tract infection, sinusitis, otitis media, tonsillitis, pharyngitis, bronchitis, influenza-like illness, pneumonia, acute asthma, or acute exacerbation of chronic obstructive pulmonary disease. Methods: A multicenter prospective cohort study will be performed in Ontario and Québec. In phase 1, a time-driven activity-based costing method will be applied at each of the 15 study sites. This method uses time as a cost driver to allocate direct costs (eg, medication), consumable expenditures (eg, needles), overhead costs (eg, building maintenance), and physician charges to patient care. Thus, the cost of a care episode will be proportional to the time spent receiving the care. At the end of this phase, a list of care process costs will be generated and used to calculate the cost of each consultation during phase 2, in which a prospective cohort of patients will be monitored to compare the care received in each setting. Patients aged 18 years and older, ambulatory throughout the care episode, and discharged to home with one of the aforementioned targeted diagnoses will be considered. The estimated sample size is 1485 patients. The 3 types of care settings will be compared on the basis of primary outcomes in terms of the proportion of return visits to any site 3 and 7 days after the initial visit and the mean cost of care. The secondary outcomes measured will include scores on patient-reported outcome and experience measures and mean costs borne wholly by patients. We will use multilevel generalized linear models to compare the care settings and an overlap weights approach to adjust for confounding factors related to age, sex, gender, ethnicity, comorbidities, registration with a family physician, socioeconomic status, and severity of illness. Results: Phase 1 will begin in 2021 and phase 2, in 2023. The results will be available in 2025. Conclusions: The end point of our program will be for deciders, patients, and care providers to be able to determine the most appropriate care setting for the management of ambulatory emergency respiratory conditions, based on the quality and cost of care associated with each alternative. International Registered Report Identifier (IRRID): PRR1-10.2196/25619 JMIR Res Protoc 2021;10(2):e25619 doi:10.2196/25619 [ABSTRACT FROM AUTHOR]

• 421 mammals were detected over 1572 trap-days in 23 hedgerows. • Hedgerow length, tree cover and understory density increased mammals' use of hedgerows. • Human disturbance and hedgerow width negatively affected mammals' use of hedgerows. • Mammals used all the hedgerows under study, as movement corridors and/or habitat. • Variables derived from remote sensing were useful to complement field data. Agricultural intensification causes habitat modification, sometimes leading to habitat loss and subsequent loss of connectivity. Remaining species in these agriculture-dominated landscapes often use hedgerows, such as windbreaks or riparian strips, as movement corridors or even as habitats. However, the understanding of the use of these hedgerows by mammals is limited and could be improved with the use of high-resolution remote sensing data, which are unbiased, detailed and repeatable. The aim of this study was to assess the attributes that affect medium- and large-sized mammals' use of hedgerows, with in situ and remotely sensed data (including LiDAR and multispectral images) in an agriculture-dominated landscape in southern Québec. Twenty-three hedgerows were selected and characterized with both field surveys and remote sensing analyses, like LiDAR metrics and vegetation indices. Wildlife frequentation of each hedgerow was measured using camera traps, from late spring to early fall in 2018. 431 mammal detections were obtained among all 23 hedgerows. From this, seven species were recorded, all of them opportunistic and well adapted to agricultural environment. Results showed significant differences in mammal use of hedgerows. Coefficients of the better-ranked models based on AICc indicated a positive relationship between hedgerow length and their use by mammals, and a negative relationship with the hedgerow width. Hedgerow use by mammals also increased as tree cover and understory density increased, and as human disturbance decreased. These results characterized for the first time the variables influencing hedgerow use by a broad set of medium- and large-sized mammal species and confirmed their use as movement corridors and/or habitat. This study also confirmed the complementary usefulness of variables derived from remote sensing combined with field data. The low explanatory power of variables often cited in the literature (e.g. NDVI, gappiness) also highlights the need to further explore their specific influence on mammals. The information provided by this study supports the beneficial role played by hedgerows for wildlife conservation in intensive agricultural landscapes. Management guidelines are provided as well as future research avenues. [ABSTRACT FROM AUTHOR]

This paper identifies the main sediment sources to the Beaudet Reservoir in Quebec (Canada) using sediment fingerprinting. The reservoir, which is built on the Bulstrode River and provides drinking water to Victoriaville, has decreased in capacity by 35% in the past 35 years. This study provides new data on fingerprinting in large and complex watersheds, a first in the province of Quebec. Nine sampling sites on the Bulstrode River and its three main tributaries were selected and five sampling campaigns were conducted. Samples from river bank profiles and adjacent fields, along with suspended sediments, were collected. All samples were sieved to 2 mm and analyzed for 137Caesium, 15 geochemical elements and sieved to 63 μm for color analysis. Source classification, based on an ANOVA test to verify the independence hypothesis and iterative linear discriminant analysis to optimize the ratio of inter-group/within-group variability, resulted in four sample classes: agricultural soils, forested soils, stream bank bottom and stream bank top. A Kruskal-Wallis H test then identified 21 out of the 32 tracers with p value < 0.05. The linear discriminant analysis led to a set of 14 tracers, namely 137Cs and 13 color coefficients with a discriminating result of 94%. That combination of 137Cs and color coefficients proved to be a cost-effective fingerprint. Based on MixSIAR modeling results, this sediment fingerprinting study has demonstrated that the main sediment sources varied within the watershed but, generally, forested soil particles dominated (33 to 49%), then agricultural soils (43 to 50%) reflecting the land use changes, followed by stream bank bottoms (82%) at the Beaudet Reservoir. [ABSTRACT FROM AUTHOR]

Exposure to oil can have long-term impacts on migratory birds. Following the 2010 Deepwater Horizon blowout in the Gulf of Mexico (GOM), we investigated potential impacts of oil exposure on a population of northern gannets (Morus bassanus) that breed on Bonaventure Island (Québec, Canada) and winter in GOM and along the U.S. Atlantic coast (AC). Blood and feather samples were collected from adults previously equipped with geolocators to determine wintering locations. Parent and alkylated polycyclic aromatic hydrocarbons (PAHs); trace metals; stable isotopes of carbon, nitrogen, and hydrogen; and immune, thyroid, steroid, retinoid, and genetic endpoints were measured. PAH and trace metal concentrations did not differ between gannets using different wintering sites. Feather stable isotope values varied significantly between birds from different wintering locations. Gannets wintering in GOM showed higher feather corticosterone and plasma thyroid hormone levels, which may indicate increased energetic demands and/or greater exposure to environmental stressors. Unlabelled Image • Potential impacts of the Deepwater Horizon spill on northern gannets were studied. • Plasma PAH levels did not differ among gannets wintering in Gulf of Mexico (GOM) and Atlantic coast. • Feather stable isotope values differed between birds from different wintering sites. • Thyroid hormones and feather corticosterone were higher in gannets wintering in GOM. • Wintering in GOM may incur increased costs and exposure to environmental stressors. [ABSTRACT FROM AUTHOR]

Selecting the optimal monitoring points in a water distribution network is challenging due to the complex spatiotemporal variability of water quality degradation. The lack of a standardized methodology for monitoring point selection forces operators to rely on general recommendations, historical data and professional experience, which can mask water quality problems and increase the risk to consumers. This study proposes a new methodology to optimize the selection of monitoring points in distribution networks. The method considers the spatiotemporal degradation of water quality, the definition of representative zones and two selection criteria: global representativeness and potential health risk. Representative zones were determined for each node of the network based on hydraulic paths and their water quality spatial variability. Part of the distribution network in Quebec City, Canada was used as the case study, in which four water quality parameters were investigated: free chlorine residual (FRC), heterotrophic plate counts (HPC), trihalomethanes (THMs) and haloacetic acids (HAAs). Seasonal variabilities (summer and winter) were also analyzed. The results obtained for the two criteria and for both seasons were compared, and methodological and practical recommendations were established for dynamic monitoring programs that respond to the needs of operators. • Understanding the spatiotemporal variability of drinking water quality is crucial for monitoring purposes. • Representative zones in the distribution system allows to identify optimal monitoring locations for water quality monitoring. • Seasonal variability strongly impacts the number and location of optimal monitoring points. • Free residual chlorine is the most important indicator affecting the number and location of required monitoring points. [ABSTRACT FROM AUTHOR]

This work investigated a rare earth element (REE) natural biogeochemical cycle in an area with a light rare earth element (LREE)-rich ferrocarbonatite intrusion. An REE determination in this geological environment allowed us to trace REE natural transfers in order to better manage future REE mining exploitations. Our findings suggest that although REE concentrations in abiotic compartments (soil and freshwater systems) and biotic samples (terrestrial and aquatic plants) were low, the LREE fractionation observed in the parent material was maintained along compartments. Additionally, Nd anomalies observed in the sediment pore water suggest a potential different biogeochemical cycle of this element in aquatic systems. According to the potential bioaccumulation of REEs in the organisms of two studied plants belonging to terrestrial and aquatic compartments, Equisetum arvense L. and Typha latifolia L. (respectively), we observed that REEs were not accumulated and that they showed limited REE transfer inside plants, but with an increased uptake of Eu relative to the other REEs. Our results indicated a low mobility and transfer of REEs from REE-rich bedrocks in a natural area toward terrestrial and freshwater systems, but also pointed to a dilution of the REE content in the different compartments, maintaining the LREE fractionation. Our findings provide new knowledge about the REE biochemical cycle in a natural area (from rocks to plants) and represent a starting point for an environmentally friendly exploitation of future REE mining areas. [ABSTRACT FROM AUTHOR]