48 results
Search Results
2. Nous avons besoin d'une nouvelle histoire: la marche et l'imagination wâhkôhtowin.
- Author
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Donald, Dwayne and Campeau, Traduit par Diane
- Subjects
ABORIGINAL Canadians ,CREE (North American people) ,INDIGENOUS peoples ,KINSHIP ,EDUCATORS ,WISDOM ,PHRONESIS - Abstract
Copyright of Journal of the Canadian Association for Curriculum Studies is the property of Journal of the Canadian Association for Curriculum Studies and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
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3. Le rôle des réseaux sociaux dans la communication de marque des hôpitaux canadiens.
- Author
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Aguerrebere, Pablo Medina
- Subjects
HOSPITALS ,SOCIAL media ,CORPORATE communications ,BRANDING (Marketing) ,REPUTATION - Abstract
Copyright of Canadian Journal of Information & Library Sciences is the property of Canadian Association for Information Science and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2018
- Full Text
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4. Quand la banlieue était le futur.
- Author
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POITRAS, CLAIRE
- Subjects
SUBURBS ,URBAN growth ,20TH century architecture ,LAND use ,CITIES & towns ,CANADIAN architecture ,SOCIAL conditions in Canada ,HISTORY ,CANADIAN history, 1945- - Abstract
Copyright of Zeitschrift für Kanada-Studien is the property of Gesellschaft fuer Kanada Studien e.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.)
- Published
- 2018
5. Mobilisations nationalistes au Québec : la CAQ, QS et l’élection de 2018.
- Author
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GUILLAUME DUFOUR, FRÉDÉRICK and TANGUAY, FRANÇOIS
- Subjects
CANADIAN elections ,NATIONALISM ,HISTORY & politics ,IDEOLOGY - Abstract
Copyright of Zeitschrift für Kanada-Studien is the property of Gesellschaft fuer Kanada Studien e.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.)
- Published
- 2021
6. Le rôle infirmier en santé mentale au programme d'hématologie-oncologie pédiatrique - Partie 1 : Développement d'une pratique infirmière novatrice.
- Author
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Bernier, Pascal, Desjardins, Leandra, Charette, Marie-Claude, Latour, Marie-Paule, and Bastien, Marie-Pierre
- Subjects
NURSING psychology ,PSYCHIATRIC nursing ,NURSES ,EVIDENCE-based nursing ,PEDIATRIC nursing ,PEDIATRIC nurses ,OCCUPATIONAL roles ,ACADEMIC medical centers ,NURSING models ,ONCOLOGY ,CANCER patients ,CHILDREN'S hospitals ,PSYCHIATRIC nurses ,PEDIATRICS ,HEMATOLOGY ,ONCOLOGY nursing ,PATIENT-centered care ,ADVANCED practice registered nurses ,CONCEPTUAL structures ,MEDICAL needs assessment ,HEALTH care teams ,CHILDREN - Abstract
Copyright of Canadian Oncology Nursing Journal is the property of Pappin Communications and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2024
- Full Text
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7. Quand le syndicat devient vecteur d'inégalités : les effets des clauses « orphelins » sur l'association syndicale.
- Author
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Gagné, Diane and Dupuis, Marie-Josée
- Subjects
CLAUSES (Law) ,POLICE unions ,FIRE fighters' labor unions ,AUXILIARY police ,COLLECTIVE labor agreements ,EMPLOYMENT discrimination ,INDUSTRIAL relations ,FIRE fighters ,POLICE - Abstract
Copyright of Industrial Relations / Relations Industrielles is the property of Universite Laval, Department of Industrial Relations and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
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8. LES EFFETS DES PROGRAMMES D'ÉTÉ DE LITTÉRATIE: LES THÉORIES SUR LES OPPORTUNITÉS D'APPRENTISSAGE ET LES ÉLÈVES « NON TRADITIONNELS » DANS LES ÉCOLES DE LANGUE FRANÇAISE EN ONTARIO.
- Author
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DAVIES, SCOTT, AURINI, JANICE, MILNE, EMILY, and JEAN-PIERRE, JOHANNE
- Subjects
- *
ACADEMIC achievement , *EDUCATIONAL intervention , *FRENCH language , *SUMMER schools , *LITERACY , *EDUCATION , *ELEMENTARY education ,CANADIAN French - Abstract
According to studies from the United States and English Canada, student achievement gaps grow over the summer months when children are not attending school, but summer literacy interventions can reduce those gaps. This paper presents data from a quasi-experiment conducted in eight Ontario French language school boards in 2010, 2011 and 2012 for 682 children in grades 1-3. Growth in literacy test scores between June and September are compared for 361 attendees of summer literacy programs and 321 control students. Summer program recruits initially had lower prior literacy scores and grades, and tended to hail from relatively disadvantaged social backgrounds. Yet, summer programs narrowed those pre-existing gaps. Effect sizes from a variety of regression and propensity score matching models ranged from .32 to .58, which is quite sizeable by the standards of elementary school interventions and summer programs. Effects were stronger among students whose parents reported not speaking French exclusively at home. Our paper considers learning opportunity theory in light of the "non-traditional" student in Ontario French language schools. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
9. Cigarette affordability in Canadian provinces: a 10-year review.
- Author
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Worrell M and Hagen L
- Subjects
- Canada epidemiology, Costs and Cost Analysis, Humans, Income, Taxes, Tobacco Products
- Abstract
The association between pricing and cigarette consumption is long-established. However, the effects of taxation alone can be diminished if relative income increases. Therefore, affordability is seen as a key determinant of demand for cigarettes, as it combines the impact of changing prices with economic growth or wage increases. This brief analysis employs methods used by the World Health Organization in examining cigarette affordability, and explores the trend in affordability across Canadian provinces over a 10-year period, from 2009 to 2019. The discussion illustrates how monitoring affordability over time can help policy makers in Canadian provinces design tobacco taxation for maximum impact., Competing Interests: LH is employed by an organization that receives public and private sector funding that is not derived from tobacco or vaping companies. MW has no conflicts of interest.
- Published
- 2021
- Full Text
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10. Informal peer support for rural doctors.
- Author
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Wilkinson T, Ajjawi R, and Mansouri S
- Subjects
- Humans, Female, Male, Canada, Adult, Middle Aged, Physicians psychology, Qualitative Research, Peer Group, Social Support, Rural Health Services
- Abstract
Introduction: Practising medicine exposes physicians to emotionally difficult situations, which can be devastating, and for which they might be unprepared. Informal peer support has been recognised as helpful, although this phenomenon is understudied. Hence, it is important to develop a better understanding of the features of helpful informal peer support from the experiences of physicians who have successfully moved through such difficult events. This could lead to new and potentially more effective ways to support struggling physicians., Methods: Rural Canadian generalist physicians were interviewed. Using a hermeneutic phenomenological approach, data analysis was oriented towards understanding features of helpful informal peer support and the meanings that participants derived from the experience., Results: Eleven rural generalist physicians took part. Peer support prompted the processing of difficult emotional experiences, which initially seemed insurmountable and career-ending. Participants overcame feelings of emotional distress after even brief encounters of informal peer support. Most participants described the support they received as vitally important. After the peer support encounter, practitioners no longer thought of leaving medical practice and felt more able to handle such difficulties moving forward., Conclusions: Informal peer support enabled recipients to move through an emotionally difficult experience. Empathy, shared vulnerability and connection were the part of the peer support encounter. In addition, the support offered benefits which are known to help physicians not only process emotionally difficult events but also to acquire 'post-traumatic growth'. Practitioners, healthcare leaders and medical educators all have roles to play in enabling the conditions for informal peer support to flourish., Introduction: La pratique de la médecine expose les médecins à des situations émotionnellement difficiles, qui peuvent être dévastatrices, et auxquelles ils ne sont pas préparés. Le soutien informel par les pairs a été reconnu comme utile, même si ce phénomène est peu étudié. Il est donc important de mieux comprendre les caractéristiques du soutien informel par les pairs à partir des expériences de médecins qui ont réussi à traverser des événements aussi difficiles. Cela pourrait conduire à de nouvelles façons, potentiellement plus efficaces, de soutenir les médecins en difficulté., Mthodes: Onze médecins généralistes canadiens ruraux ont été interrogés. En utilisant une approche phénoménologique herméneutique, l'analyse des données a été orientée vers la compréhension des caractéristiques du soutien informel utile par les pairs et des significations que les participants ont tirées de l'expérience., Rsultats: Le soutien des pairs a incité à vivre des expériences émotionnelles difficiles, qui semblaient au départ insurmontables et mettant fin à une carrière. Les participants ont surmonté leurs sentiments de détresse émotionnelle après même de brèves rencontres de soutien informel par leurs pairs. La plupart des participants ont décrit le soutien qu'ils ont reçu comme étant d'une importance vitale. Après la rencontre de soutien par les pairs, les praticiens ne pensaient plus à quitter la pratique médicale et SE sentaient plus capables de faire face à de telles difficultés à l'avenir., Conclusion: Le soutien informel par les pairs a permis aux bénéficiaires de traverser une expérience émotionnellement difficile. L'empathie, la vulnérabilité partagée et la connexion faisaient partie de la rencontre de soutien par les pairs. En outre, le soutien a offert des avantages connus pour aider les médecins non-seulement à gérer des événements émotionnellement difficiles, mais également à acquérir une 'croissance post-traumatique'. Les praticiens, les dirigeants des soins de santé et les enseignants en médecine ont tous un rôle à jouer pour permettre aux conditions propices au soutien informel par les pairs de s'épanouir., (Copyright © 2024 Copyright: © 2024 Society of Rural Physicians of Canada.)
- Published
- 2024
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11. From Taking Ownership to Decolonization: Looking Back over Five Decades of Indigenous Post-Secondary Education in Quebec = De la prise en charge a la decolonisation: Un regard retrospectif sur cinq decennies d'education postsecondaire autochtone au Quebec
- Author
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Ratel, Jean-Luc, Bacon, Marco, and Pilote, Annie
- Abstract
In the early days soon after the release of the landmark policy paper "Indian Control of Indian Education" (1972), postsecondary studies among Indigenous people in Quebec were still new and relatively unknown. Against a backdrop of Indigenous communities starting to take ownership of their own services, the demand for postsecondary Indigenous graduates began to increase significantly, resulting in the development of tailored programs and services: the Amerindianization program led by UQAC in 1971 and the founding of Manitou College in 1973, for example, stand out as two major milestones. The distinctive linguistic reality of Quebec moreover soon became apparent, adding to the initial bilingual dimension (moving from an Indigenous language to an non-Indigenous one) the duality of a francophone and anglophone education system rooted in colonial history. Drawing on a review of literature on postsecondary Indigenous education in Quebec from 1972 to 2021, our analysis in the present article is framed around the changes that took place over these past five decades in programs and services provided by postsecondary institutions. Also discussed are issues involving Indigenous student paths marked by identity, systemic racism and discrimination. We note that in spite of sustained efforts by an increasing number of institutions, Indigenous people still face enduring barriers. We conclude with some thoughts on the university and the CEGEP as postsecondary institutions, their development model and their role in decolonizing and democratizing education. [The English version of this article was translated by Marisa Panetta-Jones.]
- Published
- 2021
12. Incursion dans les archives de l'hôpital Montfort : Partir à la quête du processus de « déhospitalisation » des patients hospitalisés sur les unités psychiatriques de courte durée.
- Author
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HARRISSON, SANDRA, BRUYNINX, GADYS, MACCORDICK, NICOLAS M. H., and TESSIER, FRANÇOIS
- Subjects
PSYCHIATRIC records ,ELECTRONIC health records ,HOSPITALS ,DIGITIZATION of archival materials ,MEDICAL record access control ,DEINSTITUTIONALIZATION ,TWENTIETH century ,HISTORY - Abstract
Copyright of Canadian Bulletin of Medical History 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.)
- Published
- 2015
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13. De l'Afrique au Québec: les réseaux missionnaires comme vecteurs d'intégration socio-ecclésiale.
- Author
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Foisy, Catherine
- Subjects
CHURCH work with immigrants ,AFRICANS ,CULTURAL transmission ,CITY missions ,SOCIAL integration ,HISTORY of Quebec (Province) ,AFRICAN migrations ,TWENTIETH century ,HISTORY - Abstract
Copyright of Historical Studies is the property of Canadian Catholic Historical Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2015
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14. Le choix de l'école catholique de langue française en Ontario: mutations du rapport identitaire des Franco-Ontariens au catholicisme.
- Author
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Nault, Jean-François
- Subjects
CATHOLIC schools ,ETHNIC identity of French-Canadians ,EDUCATION of French-Canadians ,SCHOOL choice ,CANADIAN French ,FRENCH-Canadians ,FRENCH-Canadian students ,RELIGION ,SOCIAL history - Abstract
Copyright of Historical Studies is the property of Canadian Catholic Historical Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2015
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15. Les investissements directs étrangers au Canada : des débats qui ont forgé l’histoire économique canadienne.
- Author
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Lefebvre, Benjamin
- Subjects
FOREIGN investments ,WORLD War II ,CANADIAN history ,GOVERNMENT policy ,ECONOMIC history - Abstract
Copyright of Interventions Économiques is the property of Association d'Economie Politique and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
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16. Surmonter le nationalisme patriotique: une appréciation critique de l'ordre politique et constitutionnel au Canada.
- Author
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GAGNON, ALAIN-G.
- Subjects
RELIGIOUS diversity ,CANADIAN federal government ,NATIONALISM ,PATRIOTISM - Abstract
Copyright of Zeitschrift für Kanada-Studien is the property of Gesellschaft fuer Kanada Studien e.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.)
- Published
- 2021
17. A comparative systematic scan of COVID-19 health literacy information sources for Canadian university students.
- Author
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Mahmood S, Lobendino Flores JV, Di Ruggiero E, Ardiles P, Elhagehassan H, and Purewal S
- Subjects
- Canada epidemiology, Cross-Sectional Studies, Humans, Students, Universities, COVID-19 epidemiology, Health Literacy
- Abstract
Introduction: With the rapid spread of online coronavirus-related health information, it is important to ensure that this information is reliable and effectively communicated. This study observes the dissemination of COVID-19 health literacy information by Canadian postsecondary institutions aimed at university students as compared to provincial and federal government COVID-19 guidelines., Methods: We conducted a systematic scan of web pages from Canadian provincial and federal governments and from selected Canadian universities to identify how health information is presented to university students. We used our previously implemented health literacy survey with Canadian postsecondary students as a sampling frame to determine which academic institutions to include. We then used specific search terms to identify relevant web pages using Google and integrated search functions on government websites, and compared the information available on pandemic measures categorized by university response strategies, sources of expertise and branding approaches., Results: Our scan of Canadian government and university web pages found that universities similarly created one main page for COVID-19 updates and information and linked to public sector agencies as a main resource, and mainly differed in their provincial and local sources for obtaining information. They also differed in their strategies for communicating and displaying this information to their respective students., Conclusion: The universities in our sample outlined similar policies for their students, aligning with Canadian government public health recommendations and their respective provincial or regional health authorities. Maintaining the accuracy of these information sources is important to ensure student health literacy and counter misinformation about COVID-19., Competing Interests: The authors declare that they have no conflicts of interest.
- Published
- 2022
- Full Text
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18. Les plans d'intervention au Canada : analyse comparée des fonctions.
- Author
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Tremblay, Philippe and Belley, Stéphanie
- Subjects
EDUCATIONAL planning ,EDUCATIONAL change ,INDIVIDUALIZED instruction ,INCLUSIVE education ,REFERENCE sources ,LEGAL documents - Abstract
Copyright of Comparative & International Education is the property of Canadian & International Education and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2018
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19. Pratiques de conciliation travail-famille et détresse psychologique des salariés québécois : une comparaison selon le genre.
- Author
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Boulet, Maude and Le Bourdais, Céline
- Subjects
FAMILY-work relationship ,SEXUAL division of labor ,EMPLOYEE well-being ,FAMILIES ,GENDER ,PSYCHOLOGICAL distress ,INDUSTRIAL relations - Abstract
Copyright of Industrial Relations / Relations Industrielles is the property of Universite Laval, Department of Industrial Relations and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
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20. Le transfert des pratiques de flexibilisation de l'emploi dans une firme multinationale : le rôle charnière des acteurs locaux des filiales.
- Author
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Adanhounme, Armel Brice
- Subjects
OCCUPATIONAL adaptation ,FOREIGN subsidiaries ,INTERNATIONAL business enterprises ,PERSONNEL management ,LABOR unions ,BUSINESS & politics ,CROSS-cultural differences ,MANNERS & customs - Abstract
Copyright of Industrial Relations / Relations Industrielles is the property of Universite Laval, Department of Industrial Relations and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
- Full Text
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21. Amélioration ou polarisation ? Évolution de la structure et de la qualité des emplois au Québec et au Canada, 1997-2013.
- Author
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Lapointe, Paul-André and Bach, Catherine
- Subjects
JOB classification ,QUALITY of work life ,INCOME inequality ,POLARIZATION (Economics) ,PROFESSIONAL employees ,INDUSTRIAL relations - Abstract
Copyright of Industrial Relations / Relations Industrielles is the property of Universite Laval, Department of Industrial Relations and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
- Full Text
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22. Salaires et productivité du travail au Canada depuis le début du 20e siècle : les travailleurs bénéficient-ils de la croissance économique?
- Author
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Rouillard, Jacques and Rouillard, Jean-François
- Subjects
REAL wages ,LABOR productivity ,ECONOMIC development ,CANADIAN economy ,CANADIAN economy, 1991- ,WAGES ,COLLECTIVE bargaining ,LABOR organizing ,LABOR unions ,LIBERALISM ,NEOLIBERALISM ,INDUSTRIAL relations research ,HISTORY ,TWENTIETH century - Abstract
Copyright of Industrial Relations / Relations Industrielles is the property of Universite Laval, Department of Industrial Relations and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2015
- Full Text
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23. La violence physique au travail et la santé : le droit québécois régissant 'indemnisation et la prévention.
- Author
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Lippel, Katherine and Lanctôt, Nathalie
- Subjects
VIOLENCE in the workplace ,INDUSTRIAL hygiene ,GOVERNMENT policy on industrial safety ,INDUSTRIAL safety ,INDUSTRIAL safety laws ,HISTORY ,GOVERNMENT policy - Abstract
Copyright of Industrial Relations / Relations Industrielles is the property of Universite Laval, Department of Industrial Relations and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2014
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24. Le soutien financier à la garde d'enfants : les effets sur le travail des femmes, le revenu des familles et les finances publiques.
- Author
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Clavet, Nicholas-James and Duclos, Jean-Yves
- Subjects
FEDERAL aid to day care centers ,QUEBECOIS politics & government ,CHILD care ,FAMILY policy ,TAX credits ,TAX deductions ,SUBSIDIES ,LABOR supply - Abstract
Copyright of Canadian Public Policy 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.)
- Published
- 2014
- Full Text
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25. Revue de Bibliothèque et Archives nationales du Québec.
- Author
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KOCHKINA, SVETLANA
- Subjects
- *
ARCHIVES , *NONFICTION - Published
- 2015
26. Provincial and territorial congenital anomalies surveillance: a summary of surveillance programs across Canada.
- Author
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Bedard T, Nava de Escalante Y, Cole C, Dang K, Jeyaraman M, Johnston K, Miao Q, Rickert L, and Nelson C
- Subjects
- Humans, Canada epidemiology, Infant, Newborn, Congenital Abnormalities epidemiology, Congenital Abnormalities diagnosis, Population Surveillance methods
- Abstract
The Canadian Congenital Anomalies Surveillance Network was established in 2002 to address gaps in the national surveillance of congenital anomalies (CAs) and support the sustainability of high-quality, population-based, CA surveillance systems within provinces and territories. This paper highlights the methodologies of each local CA surveillance system, noting similarities and variabilities between each system, to contribute to enhanced national CA surveillance efforts., Competing Interests: This manuscript was supported by the Public Health Agency of Canada (PHAC; to YN); by BORN Ontario (to QM); and by the BC Ministry of Health (to YN). PHAC provides funding to LR and MJ to attend meetings and travel. LR is supported by electronic equipment and office space provided by Newfoundland and Labrador Health Services and by salary funding provided to Newfoundland and Labrador Health Services from PHAC, in-kind with Newfoundland and Labrador Health Services. MJ received a grant from the Canadian Institutes of Health Research in 2020 for an unrelated research project. CC is supported by contract funding provided to the IWK Health Centre from PHAC for work related to Nova Scotia and in-kind contributions to represent Health PEI. CN is a contract lecturer at Lakehead University and Carleton University.
- Published
- 2024
- Full Text
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27. Private screen access in early adolescence predicts subsequent academic and social impairment at the end of high school for boys and girls.
- Author
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Gauthier B and Pagani LS
- Subjects
- Male, Female, Humans, Adolescent, Child, Longitudinal Studies, Canada epidemiology, Parents, Organizations, Schools
- Abstract
Introduction: Youth media guidelines in Canada and the United States recommend that bedrooms should remain screen-free zones. This study aims to verify whether bedroom screens at age 12 years prospectively predict academic and social impairment by age 17 years., Methods: Participants were from the Quebec Longitudinal Study of Child Development birth cohort (661 girls and 686 boys). Linear regression analyses estimated associations between having a bedroom screen (television or computer) at age 12 years and selfreported overall grades, dropout risk, prosocial behaviour and likelihood of having experienced a dating relationship in the past 12 months at age 17 years, while adjusting for potential individual and family confounding factors., Results: For both girls and boys, bedroom screens at age 12 years predicted lower overall grades (B = -2.41, p ≤ 0.001 for boys; -1.61, p ≤ 0.05 for girls), higher dropout risk (B = 0.16, p ≤ 0.001 for boys; 0.17, p ≤ 0.001 for girls) and lower likelihood of having experienced a dating relationship (B = -0.13, p ≤ 0.001 for boys; -0.18, p ≤ 0.001 for girls) at age 17. Bedroom screens also predicted lower levels of prosocial behaviour (B = -0.52, p ≤ 0.001) at age 17 years for boys., Conclusion: The bedroom as an early adolescent screen-based zone does not predict long-term positive health and well-being. Pediatric recommendations to parents and youth should be more resolute about bedrooms being screen-free zones and about unlimited access in private exposures in childhood., Competing Interests: None. The study sponsors had no role in study design; the collection, analysis or interpretation of data; the writing; the report; or the decision to submit the paper for publication.
- Published
- 2024
- Full Text
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28. [A case for the inclusion of oculocutaneous albinism as a skin-related Neglected Tropical Disease].
- Author
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Aquaron R, Lund P, and Baker C
- Subjects
- Humans, Neglected Diseases, Canada, South Africa epidemiology, Albinism, Oculocutaneous epidemiology, Albinism, Skin Neoplasms epidemiology
- Abstract
Oculocutaneous albinism (OCA) is genetically transmitted. In this paper we advocate for this disease to be included in the NTD list of the WHO. OCA type 2 is the most common form of albinism in sub-Saharan Africa, with a prevalence of 1 in 7900 among the Bamileke of Cameroon, 1 in 3900 in South Africa and 1 in 1100 among the Ibos of Nigeria, as compared to a prevalence of 1 in 10,000 among African Americans and 1 in 36,000 among White Americans and Europeans. The medical problems related to ophthalmological aspects (poor visual acuity, ametropia, nystagmus, photophobia) and dermatological aspects of albinism (sensitivity to UV rays from the sun and development of skin cancers) are well known. However, their management is often challenging for persons with albinism in sub-Saharan Africa because of their financial burden and the difficulty of accessing medical specialists. In many African countries, persons with albinism are also very often the subject of social, cultural, medical, moral and economic discrimination, which can limit their access to education, employment and community life. They are considered 'white Africans', intermediary and incomplete, with innate powers for good and evil. This particularity has made persons with albinism the targets of mutilations and/or ritual attacks for the purposes of using their body parts in the preparation of charms to bring good luck, health or prosperity. On 13 June 2013, as a result of lobbying by the Canadian NGO Under the Same Sun and African albinism associations, United Nations bodies including UNESCO and the WHO (World Health Organization) responded and a Resolution addressing the discrimination and attacks was voted in. The date has since become International Albinism Awareness Day and is celebrated on a different theme each year with great energy and impact, especially by French, English and Portuguese speaking albinism associations across sub-Saharan Africa. In 2015 the Human Rights Council created the position of Independent Expert on Albinism to better collect and analyse data on the rights of persons with albinism around the world, and especially in countries where ritual attacks occur. The data collected by albinism associations and the authorities thus go directly to the UN Human Rights Directorate. Despite this international attention to the attacks on persons with albinism, one of the biggest threats is skin cancer, which very often leads to early death. In 2022, the WHO launched a strategic framework for the control and management of neglected skin-related neglected tropical diseases - an additional reason to include oculocutaneous albinism as an NTD. Although the focus is currently limited to dermatoses of an infectious nature, we argue here for the integration of oculocutaneous albinism among NTDs because the deadliness of these carcinomas in sub-Saharan Africa is well-known and has been examined in a number of medical publications. Here, we propose that oculocutaneous albinism in sub-Saharan Africa be classified as an NTD to help people with albinism have access to health, economic, social and cultural rights., (Copyright © 2023 SFMTSI.)
- Published
- 2023
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29. The Royal Canadian Mounted Police (RCMP) Study: protocol for a prospective investigation of mental health risk and resilience factors.
- Author
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Carleton RN, Krätzig GP, Sauer-Zavala S, Neary JP, Lix LM, Fletcher AJ, Afifi TO, Brunet A, Martin R, Hamelin KS, Teckchandani TA, Jamshidi L, Maguire KQ, Gerhard D, McCarron M, Hoeber O, Jones NA, Stewart SH, Keane TM, Sareen J, Dobson K, and Asmundson GJG
- Subjects
- Canada epidemiology, Humans, Prospective Studies, Surveys and Questionnaires, Mental Health, Police
- Abstract
The Royal Canadian Mounted Police (RCMP), like all public safety personnel (PSP), are frequently exposed to potentially psychologically traumatic events that contribute to posttraumatic stress injuries (PTSI). Addressing PTSI is impeded by the limited available research. In this protocol paper, we describe the RCMP Study, part of the concerted efforts by the RCMP to reduce PTSI by improving access to evidence-based assessments, treatments and training as well as participant recruitment and RCMP Study developments to date. The RCMP Study has been designed to (1) develop, deploy and assess the impact of a system for ongoing annual, monthly and daily evidence-based assessments; (2) evaluate associations between demographic variables and PTSI; (3) longitudinally assess individual differences associated with PTSI; (4) augment the RCMP Cadet Training Program with skills to proactively mitigate PTSI; and (5) assess the impact of the augmented training condition (ATC) versus the standard training condition (STC). Participants in the STC (n = 480) and ATC (n = 480) are assessed before and after training and annually for 5 years on their deployment date; they also complete brief monthly and daily surveys. The RCMP Study results are expected to benefit the mental health of all participants, RCMP and PSP by reducing PTSI among all who serve.
- Published
- 2022
- Full Text
- View/download PDF
30. Update on cancer incidence trends in Canada, 1984 to 2017.
- Author
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Demers AA, Saint-Jacques N, Ellison L, Brenner D, Fitzgerald N, Aziz S, and Turner D
- Subjects
- Canada epidemiology, Female, Humans, Incidence, Male, Registries, Colorectal Neoplasms epidemiology, Neoplasms epidemiology
- Abstract
This paper highlights findings on cancer trends from the Canadian Cancer Statistics 2021 report. Trends were measured using annual percent change (APC) of age-standardized incidence rates. Overall, cancer incidence rates are declining (-1.1%) but the findings are specific to the type of cancer and patient sex. For example, in males, the largest decreases per year were for prostate (-4.4%), colorectal (-4.3%), lung (-3.8%), leukemia (-2.6%) and thyroid (-2.4%) cancers. In females, the largest decreases were for thyroid (-5.4%), colorectal (-3.4%) and ovarian (-3.1%) cancers., Competing Interests: The authors have no conflicts of interest to declare.
- Published
- 2022
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- View/download PDF
31. Development and formative evaluation of the Canadian Armed Forces Surveillance and Outbreak Management System (CAF SOMS): applications for COVID-19 and beyond.
- Author
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Dubiniecki C, Gottschall S, and Praught J
- Subjects
- Canada epidemiology, Disease Outbreaks prevention & control, Humans, Pandemics prevention & control, SARS-CoV-2, COVID-19 epidemiology, COVID-19 prevention & control
- Abstract
The COVID-19 pandemic highlighted limitations in the current public health data infrastructure, and the need for a comprehensive, real-time, centralized, user-friendly data management system suitable for both disease surveillance and outbreak management. To address these issues, the Canadian Forces Health Services Group developed the webbased Canadian Armed Forces Surveillance and Outbreak Management System (CAF SOMS). This paper details the development of the CAF SOMS, provides formative evaluation results and includes a discussion of the lessons learned and intent to use the CAF SOMS in future to enhance the CAF's disease surveillance and outbreak management capability beyond COVID-19., Competing Interests: The authors declare no conflicts of interest.
- Published
- 2022
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32. Investigating individual-level correlates of e-cigarette initiation among a large sample of Canadian high school students.
- Author
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Williams GC, Cole AG, de Groh M, Jiang Y, and Leatherdale ST
- Subjects
- Adolescent, Canada epidemiology, Female, Humans, Male, Schools, Students, Electronic Nicotine Delivery Systems, Vaping
- Abstract
Introduction: Having a better understanding of individual factors associated with e-cigarette initiation can help improve prevention efforts. Therefore, this study aimed to (1) identify baseline characteristics associated with e-cigarette initiation, and (2) determine whether changes in these baseline characteristics were associated with e-cigarette initiation., Methods: This study used data from Year 6 (2017/18, baseline) and Year 7 (2018/19, follow-up) of the COMPASS study. The final sample included 12 315 students in Grades 9 to 11 who reported never having tried e-cigarettes at baseline. Students reported demographic information, other substance use, school behaviours, physical activity, sedentary behaviour, sleep, symptoms of anxiety and depression, and emotional regulation and flourishing scores. Hierarchical GEE models, stratified by gender, examined the association between (1) baseline characteristics and e-cigarette initiation at follow-up and (2) changes in baseline characteristics and e-cigarette initiation at follow-up., Results: In total, 29% of students who had not yet initiated e-cigarette use reported initiating e-cigarette use at follow-up. Students in Grades 10 and 11 were less likely to initiate e-cigarette use. Other substance use, skipping school and meeting the physical activity guidelines at baseline and one-year changes to these behaviours were associated with e-cigarette initiation among both male and female students. Additionally, some differences were noted between females and males., Conclusion: Given that other health behaviours were associated with e-cigarette initiation, prevention approaches should target multiple health-risk behaviours to help prevent youth e-cigarette use. Additionally, school-based approaches may benefit by being implemented at the beginning of high school or in junior high school., Competing Interests: Scott Leatherdale is an Associate Scientific Editor with the HPCDP Journal but has recused himself from the review process for this paper. The authors have no other conflicts of interest to declare.
- Published
- 2021
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33. Nimble, efficient and evolving: the rapid response of the National Collaborating Centres to COVID-19 in Canada.
- Author
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Dobbins M, Dubois A, Atkinson D, Bellefleur O, Betker C, Haworth-Brockman M, and Ma L
- Subjects
- COVID-19 epidemiology, COVID-19 transmission, Canada, Humans, COVID-19 prevention & control, Communicable Disease Control organization & administration, Intersectoral Collaboration, Public Health Administration
- Abstract
Since December 2019, there has been a global explosion of research on COVID-19. In Canada, the six National Collaborating Centres (NCCs) for Public Health form one of the central pillars supporting evidence-informed decision making by gathering, synthesizing and translating emerging findings. Funded by the Public Health Agency of Canada and located across Canada, the six NCCs promote and support the use of scientific research and other knowledges to strengthen public health practice, programs and policies. This paper offers an overview of the NCCs as an example of public health knowledge mobilization in Canada and showcases the NCCs' contribution to the COVID-19 response while reflecting on the numerous challenges encountered., Competing Interests: None
- Published
- 2021
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34. Substance use classes and symptoms of anxiety and depression among Canadian secondary school students.
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Williams GC, Patte KA, Ferro MA, and Leatherdale ST
- Subjects
- Adolescent, Anxiety epidemiology, Canada epidemiology, Cross-Sectional Studies, Depression epidemiology, Female, Humans, Male, Schools, Students, Electronic Nicotine Delivery Systems, Substance-Related Disorders epidemiology
- Abstract
Introduction: Few studies have assessed patterns of substance use among Canadian adolescents. This cross-sectional study examined substance use classes among Canadian secondary school students and associations with anxiety and depression., Methods: This study used data from Year 6 (2017/18) of the COMPASS study. Students (n = 51 767) reported their substance use (alcohol, cannabis, cigarette and e-cigarette use) and anxiety and depression symptoms. We employed latent class analysis to identify substance use classes and multinomial logistic regression to examine how anxiety and depression were associated with class membership., Results: Overall, 40% of students indicated having anxiety and/or depression (50% in females; 29% in males) and 60% of students reported substance use (60% in females; 61% in males). We identified three substance use classes: poly-use, dual use, and non-use. Females with both anxiety and depression had the highest odds of being in the poly-use class compared to the non-use class (odds ratio [OR] = 4.09; 95% confidence interval [CI]: 3.59-4.65) followed by females with depression only (OR = 2.65; 95% CI: 2.31-3.04) and males with both anxiety and depression (OR = 2.48; 95% CI: 2.19-2.80). Symptomatology was also associated with belonging to the dual use class except among males with anxiety only (OR = 1.13; 95% CI: 0.94-1.37)., Conclusion: Canadian secondary school students are engaging in dual and poly-substance use, and anxiety and depression were associated with such use. Females had a higher prevalence of anxiety and depression and should be a priority population for mental health programming., Competing Interests: Scott Leatherdale is an Associate Scientific Editor with the HPCDP Journal, but has recused himself from the review process for this paper. The authors declare there are no other conflicts of interest.
- Published
- 2021
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- View/download PDF
35. Injury hospitalizations in Canada 2018/19.
- Author
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Yao X, Skinner R, McFaull S, and Thompson W
- Subjects
- Adult, Age Factors, Aged, Asphyxia epidemiology, Canada epidemiology, Child, Female, Humans, Male, Self-Injurious Behavior epidemiology, Accidental Falls prevention & control, Accidental Falls statistics & numerical data, Accidents, Traffic statistics & numerical data, Cost of Illness, Hospitalization statistics & numerical data, Wounds and Injuries epidemiology, Wounds and Injuries etiology, Wounds and Injuries therapy
- Abstract
National injury hospitalization statistics are essential for understanding the burden and pattern of injuries. This paper used the Discharge Abstract Database to analyse injury hospitalizations in Canada (excluding Quebec) for fiscal year 2018/19. The results show that unintentional injuries were the eighth leading cause of hospitalization compared to all other diseases and conditions. For unintentional injury-related hospitalizations, in rank order, the leading causes were falls, suffocation, motor vehicle traffic crashes, poisonings, struck by/against, and fire/hot object/smoke. However, the rankings were different across age groups., Competing Interests: All authors declare no conflicts of interest.
- Published
- 2020
- Full Text
- View/download PDF
36. Hacking systemic lupus erythematosus (SLE): outcomes of the Waterlupus hackathon.
- Author
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Cardwell FS, Bisung E, Clarke AE, and Elliott SJ
- Subjects
- Adolescent, Adult, Canada, Female, Humans, Lupus Erythematosus, Systemic complications, Male, Middle Aged, Translational Research, Biomedical, Young Adult, Cost of Illness, Lupus Erythematosus, Systemic economics, Lupus Erythematosus, Systemic therapy, Quality of Life, Stakeholder Participation
- Abstract
Introduction: There is a growing literature demonstrating the benefits of engaging knowledge-users throughout the research process. We engaged a multi-stakeholder team to undertake a hackathon as part of an integrated knowledge translation (iKT) process to develop nonpharmacological interventions to enhance the economic lives of people with systemic lupus erythematosus (SLE). The aims of this research were to (1) increase understanding of the economic challenges of living with SLE through stakeholder engagement at a research hackathon; (2) investigate possible interventions to improve the economic lives of individuals affected by SLE in Canada; and (3) document the outcomes of the Waterlupus hackathon., Methods: Waterlupus was held at the University of Waterloo in May 2019, attended by lupus advocacy organization representatives, researchers, physicians, individuals with lived experience and students. We conducted participant observation with participants' understanding and consent; notes from the hackathon were qualitatively analyzed to document hackathon outcomes., Results: At the conclusion of the 28-hour hackathon event, five teams pitched nonpharmacological interventions to address the economic challenges of living with SLE. The winning team's pitch focussed on increasing accessibility of affordable sun-protective clothing. Other Waterlupus outcomes include increased awareness of SLE among participants, and professional and informal networking opportunities., Conclusion: This paper contributes to a limited literature on health hackathons. The successful outcomes of Waterlupus emphasize the value of hackathons as an iKT tool. Research about how knowledge-users perceive hackathons is an important next step., Competing Interests: There are no conflicts of interest to disclose.
- Published
- 2020
- Full Text
- View/download PDF
37. At-a-glance - Cancer trends in Canada, 1984 to 2015.
- Author
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Demers AA, Brenner DR, Smith L, and Shaw A
- Subjects
- Canada epidemiology, Female, Humans, Incidence, Male, Neoplasms epidemiology
- Abstract
Examining incidence trends of all cancers combined in order to understand cancer trends can be misleading, as patterns can vary across individual cancer types. This paper highlights findings on trends over time from Canadian Cancer Statistics 2019, as measured by the annual percent change (APC) of age-standardized incidence rates. Among the results were a recent increase in thyroid cancer in males (APC: 6.4%, 1997-2015), as well as decreases in prostate cancer (APC: -9.1%, 2011-2015) and cervical cancer (APC: -3.3%, 2010-2015)., Competing Interests: The authors have no conflicts of interest to declare.
- Published
- 2019
- Full Text
- View/download PDF
38. At-a-glance - 2015 injury deaths in Canada.
- Author
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Yao X, Skinner R, McFaull S, and Thompson W
- Subjects
- Canada epidemiology, Female, Humans, Male, Mortality trends, Wounds and Injuries mortality
- Abstract
Injuries continue to be a public health concern in Canada. National injury death data are essential for understanding the magnitude and pattern of injuries. This paper used the Vital Statistics - Death database to examine deaths associated with injuries in 2015. Injuries were ranked against causes of death, and more in-depth analysis of injury categories was conducted by sex and age. Unintentional injuries were the 6th leading causes of death overall, with different ranking by sex. Among unintentional injury deaths, leading causes included falls, poisonings, motor vehicle traffic collisions, and suffocation, which varied by age group., Competing Interests: All authors declare no conflicts of interest.
- Published
- 2019
- Full Text
- View/download PDF
39. Commentary - The Climate Change and Health Adaptation Program: Indigenous Climate Leaders' Championing Adaptation Effort.
- Author
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Richards G, Frehs J, Myers E, and Van Bibber M
- Subjects
- Canada, Female, Humans, Indigenous Peoples, Leadership, Male, Program Development, Program Evaluation, Adaptation, Physiological, Climate Change, Health Services, Indigenous organization & administration, Health Status, Mental Health
- Abstract
The Climate Change and Health Adaptation Program (CCHAP) is a program within the First Nations Inuit Health Branch of Indigenous Services Canada (which was previously under the responsibility of Health Canada). The CCHAP supports Inuit and First Nation communities in mitigating and adapting to the health impacts of climate change. The impacts of climate change on Indigenous health can be observed in multiple areas including, but not limited to, food security, cultural medicines, mental health and landbased practices. This program seeks to address the needs of climate change and health in First Nation and Inuit communities to support resiliency and adaptation to a changing climate both now and in the future through its emphasis on youth and capacity building. The commentary is based on the Program's eleven years of experience working with and for Indigenous communities and provides an overview of the CCHAP model and the work it has and continues to support. This paper demonstrates three examples of community-based projects to mitigate and adapt to the health impacts of climate change to demonstrate climate change resiliency within Indigenous communities., Competing Interests: The authors declare no conflicts of interest.
- Published
- 2019
- Full Text
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40. Promotion of physical activity in rural, remote and northern settings: a Canadian call to action.
- Author
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Nykiforuk CIJ, Atkey K, Brown S, Caldwell W, Galloway T, Gilliland J, Kongats K, McGavock J, and Raine KD
- Subjects
- Canada, Environment Design, Humans, Exercise, Health Priorities, Health Promotion, Rural Population
- Abstract
Introduction: The lack of policy, practice and research action on physical activity and features of the physical (built and natural) environments in rural, remote and northern settings is a significant threat to population health equity in Canada. This paper presents a synthesis of current evidence on the promotion of physical activity in non-urban settings, outcomes from a national priority-setting meeting, and a preliminary call to action to support the implementation and success of population-level initiatives targeting physical activity in non-urban settings., Methods: We conducted a "synopses of syntheses" scoping review to explore current evidence on physical activity promotion in rural, remote, northern and natural settings. Next, we facilitated a collaborative priority-setting conference with 28 Canadian experts from policy, research and practice arenas to develop a set of priorities on physical activity in rural, remote and northern communities. These priorities informed the development of a preliminary Canadian call to action., Results: We identified a limited number of reviews that focused on physical activity and the built environment in rural, remote and northern communities. At the prioritysetting conference, participants representing rural, remote and northern settings identified top priorities for policy, practice and research action to begin to address the gaps and issues noted in the literature. These priorities include self-identifying priorities at the community level; compiling experiences; establishing consistency in research definitions and methods; and developing mentorship opportunities., Conclusion: Coordinated action across policy, practice and research domains will be essential to the success of the recommendations presented in this call to action., Competing Interests: The authors declare that they have no conflicts of interest.
- Published
- 2018
- Full Text
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41. Individual, programmatic and systemic indicators of the quality of mental health care using a large health administrative database: an avenue for preventing suicide mortality.
- Author
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Thibodeau L, Rahme E, Lachaud J, Pelletier É, Rochette L, John A, Reneflot A, Lloyd K, and Lesage A
- Subjects
- Canada, Confidentiality, Databases, Factual, Humans, Mental Health Services economics, Mental Disorders therapy, Mental Health Services standards, Primary Health Care standards, Quality Indicators, Health Care, Suicide Prevention
- Abstract
Suicide is a major public health issue in Canada. The quality of health care services, in addition to other individual and population factors, has been shown to affect suicide rates. In publicly managed care systems, such as systems in Canada and the United Kingdom, the quality of health care is manifested at the individual, program and system levels. Suicide audits are used to assess health care services in relation to the deaths by suicide at individual level and when aggregated at the program and system levels. Large health administrative databases comprise another data source used to inform population-based decisions at the system, program and individual levels regarding mental health services that may affect the risk of suicide. This status report paper describes a project we are conducting at the Institut national de santé publique du Québec (INSPQ) with the Quebec Integrated Chronic Disease Surveillance System (QICDSS) in collaboration with colleagues from Wales (United Kingdom) and the Norwegian Institute of Public Health. This study describes the development of quality of care indicators at three levels and the corresponding statistical analysis strategies designed. We propose 13 quality of care indicators, including system-level and several population-level determinants, primary care treatment, specialist care, the balance between care sectors, emergency room utilization, and mental health and addiction budgets, that may be drawn from a chronic disease surveillance system., Competing Interests: The authors have no conflicts of interest to disclose.
- Published
- 2018
- Full Text
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42. Exploring the impact of the 'new' ParticipACTION: overview and introduction of the special issue.
- Author
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Faulkner G, Yun L, Tremblay MS, and Spence JC
- Subjects
- Advertising, Canada, Capacity Building, Health Knowledge, Attitudes, Practice, Humans, Information Dissemination, Program Evaluation, Exercise, Health Communication, Health Promotion methods, Health Promotion organization & administration, Social Marketing
- Abstract
ParticipACTION is the Canadian physical activity communications and social marketing organization first launched in the fall of 1971 and then ceased operations in 2001. ParticipACTION was relaunched in 2007. Framed as a public health natural experiment, evidence was collected from a population-based survey of knowledge, awareness, understanding of physical activity, and physical activity levels among Canadians (individual level), and key informant surveys and interviews examining capacity, readiness and advocacy for physical activity promotion among physical activity organizations (organizational level). The purpose of this paper is to first provide an overview of some of the major initiatives undertaken by the 'new' ParticipACTION that may have contributed to any changes at these individual or organizational levels. Second, the paper sets the stage for the three empirical papers in this special series reporting follow-up results., Competing Interests: GF, MST and JCS serve on the ParticipACTION Research Advisory Group.
- Published
- 2018
- Full Text
- View/download PDF
43. Evaluating the outcomes of complex nursing initiatives: Insights from the CANO/ACIO National Strategy for Chemotherapy Administration Project.
- Author
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Thorne S, Rashleigh L, Truant T, Hartzell R, and McQuestion M
- Subjects
- Canada, Humans, Antineoplastic Agents therapeutic use, Neoplasms drug therapy, Neoplasms nursing, Oncology Nursing
- Abstract
Because nursing interventions are typically complex and dynamic, evaluating their impact upon care and care systems is a notoriously daunting challenge. Nursing organizations seeking to evaluate the impact of their efforts are frequently frustrated by the gap between the evaluation research ideal and their available resources. In this paper, we describe a practical and manageable process developed to address such an evaluation challenge. Using a three-step inquiry approach, supported by modest organizational funding and a realistic level of voluntary member time, we were able to generate a meaningful understanding of intersecting outcomes arising from the implementation of CANO/ACIO's National Strategy for Chemotherapy Administration. On the basis of our experience, we see considerable merit in both process and outcomes of this form of targeted evaluation.
- Published
- 2015
- Full Text
- View/download PDF
44. The role of biosimilar granulocyte colony stimulating factor (GCSF) Zarzio for progenitor cell mobilization and the treatment of therapy-induced neutropenia in adult hematopoietic stem cell transplantation.
- Author
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Severson CC
- Subjects
- Adult, Aged, Aged, 80 and over, Biosimilar Pharmaceuticals economics, Canada, Europe, Female, Filgrastim economics, Humans, Male, Middle Aged, Stem Cells physiology, United States, Young Adult, Biosimilar Pharmaceuticals therapeutic use, Clinical Trials as Topic, Filgrastim therapeutic use, Hematopoietic Stem Cell Transplantation adverse effects, Neutropenia drug therapy, Neutropenia etiology, Stem Cells drug effects
- Abstract
Originator GCSF (Neupogen) has been used to mobilize progenitor stem cells and treat therapy-induced neutropenia in Canadian stem cell transplant settings for years. Although its benefit is not in question, viable alternatives are available. Biosimilar GCSF (Zarzio) is widely in use in Europe since 2009 and was recently approved in the U.S.for the same five indications as Neupogen. Zarzio is reported as safe, equally efficacious, more accessible and cost effective without negatively impacting patient outcomes. This paper summarizes the supporting evidence.
- Published
- 2015
45. Prospective roles for Canadian oncology nurses in breast cancer rapid diagnostic clinics.
- Author
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Zanchetta MS, Maheu C, Baku L, Wedderburn PJ, and Lemonde M
- Subjects
- Breast Neoplasms nursing, Canada, Clinical Competence, Evidence-Based Nursing, Female, Humans, Prospective Studies, Ambulatory Care Facilities, Breast Neoplasms diagnosis, Nurse's Role, Oncology Nursing
- Abstract
The introduction of rapid diagnostic clinics for breast cancer increases oncology nurses' (ONs) responsibility for patient education and coordination of multidisciplinary care. Developed as an outcome of the E-Mentorship Oncology Nursing Program, this paper proposes new roles for these nurses to respond effectively and competently to such diagnostic innovation. The Oslo Manual Conceptual Framework of Innovation inspired the idea of change in prospective ONs' roles, corroborated by the Canadian Association of Nurses in Oncology's Standards of Practice and Competencies. New roles for ONs that are informed by the domain of information dynamics and evidence-based care are proposed.
- Published
- 2015
- Full Text
- View/download PDF
46. Taking action: An exploration of the actions of exemplary oncology nurses when there is a sense of hopelessness and futility perceived by registered nurses at diagnosis, during treatment, and in palliative situations.
- Author
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Janzen KJ and Perry B
- Subjects
- Canada, Humans, Neoplasms diagnosis, Neoplasms nursing, Neoplasms therapy, Neoplasms psychology, Oncology Nursing, Palliative Care
- Abstract
"There is nothing more that can be done" is a phrase that may occasionally cross the minds of oncology nurses. This paper reports on the actions of exemplary oncology nurses who were faced with such situations where their colleagues gave up or turned away. The research question, "What actions do exemplary clinical oncology nurses (RNs) undertake in patient-care situations where further nursing interventions seem futile?" prefaced data collection via a secure website where 14 Canadian clinical oncology registered nurses (RNs) provided narratives documenting their actions. Thematic analysis utilized QRS NVivo 10 software and hand coding. Four themes were generated from data analysis: advocacy, not giving up, genuine presence, and moral courage. Implications for practice and future research are provided.
- Published
- 2015
- Full Text
- View/download PDF
47. Piloting an integrated education pathway as a strategy to prepare for and encourage oncology specialty certification.
- Author
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Savage P, Fitzgerald B, and Lee CT
- Subjects
- Canada, Education, Nursing, Continuing, Pilot Projects, Certification, Oncology Nursing education
- Abstract
Although continuing nursing education is crucial to improve professional and patient outcomes, programs in oncology nursing remain scarce, piecemeal, and focused on one modality of treatment, which limits the effectiveness of education interventions. The objectives of this paper are to describe the development and implementation of a longitudinal specialized oncology nursing education pathway program, and the evaluation results of a year-long pilot of the first stage of the program at a large university-affiliated cancer centre. Preliminary findings indicated that participants' perceived competence in health assessment and symptom management was improved after one year of enrolment in the education pathway. Next steps following this pilot, including implications for participants with regards to attaining oncology certification are also discussed.
- Published
- 2015
- Full Text
- View/download PDF
48. Relational ethics in everyday practice.
- Author
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Moore J, Engel J, and Prentice D
- Subjects
- Canada, Humans, Neoplasms nursing, Ethics, Nursing, Oncology Nursing
- Abstract
Oncology nurses frequently encounter ethical issues in their everyday practice because of the complex needs of patients, which require the expertise of many health care providers. The involvement of various health care providers, as well as of the patient and family means there is the potential for differing views about what is best for the patient. The focus of this paper is to share a case history describing the ethical issues experienced by nurses and to illustrate how relational ethics can offer guidance for nurses caring for patients with cancer.
- Published
- 2014
- Full Text
- View/download PDF
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