11 results
Search Results
2. Toll of the COVID-19 Pandemic on the Primary Caregiver in Yazidi Refugee Families in Canada: A Feminist Refugee Epistemological Analysis.
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BANERJEE, PALLAVI, CHACKO, SOULIT, and KORSHA, SOUZAN
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REFUGEE families ,WOMEN refugees ,REFUGEES ,COVID-19 pandemic ,REFUGEE resettlement ,SOCIAL isolation ,SOCIAL justice ,YAZIDI genocide, 2014-2017 - Abstract
Existing discourse on refugee resettlement in the West is rife with imperialist and neoliberal allusions. Materially, this discourse assumes refugees as passive recipients of resettlement programs in the host country, thereby denying them their subjectivities. Given the amplification of all social and economic inequities during the pandemic, our paper explores how Canada's response to the pandemic visa-vis refugees impacted the everyday of Yazidis in Calgary - a recently arrived refugee group who survived the most horrific genocidal atrocities of our times. Based on interviews with Yazidi families in Calgary and with resettlement staff we unpack Canada's paternalistic response towards refugees during the COVID-19 pandemic. We show how resettlement provisions and social isolation along with pre-migration histories have furthered the conditions of social, economic, and affective inequities for Yazidis. We also show how Yazidi women who were most impacted by the genocide and the subsequent pandemic find ways of asserting their personhood and engage in healing through a land-based resettlement initiative. Adopting a feminist refugee epistemology and a southern moral imaginary as our discursive lenses, we highlight the need to dismantle the existing paternalistic structures and re(orient) resettlement practices and praxis to a social justice framework centering the voices of refugee women and families in their resettlement process. [ABSTRACT FROM AUTHOR]
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- 2022
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3. Development and evaluation of the IPLAY program: A protocol for a mixed-methods feasibility study targeting newcomer youth.
- Author
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Kwan, Matthew Y. W., Kandasamy, Sujane, Graham, Jeffrey D., Konopaki, Jennifer, and Brown, Denver M. Y.
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FEASIBILITY studies ,CITIES & towns ,CHILDREN of immigrants ,MOTIVATION (Psychology) ,AFFECT (Psychology) ,LITERACY - Abstract
Background: Physical Literacy (PL) is a synthesis construct that ties together movement competencies with affective, motivational, and knowledge-based elements. It is considered foundational to the development of physical activity-related outcomes. Many diverse organizations and programs have embraced the concept and are implementing programs targeting each of those core elements. However, research has lagged behind its interest and adoption. Among the more prominent gaps is the design and evaluation of programs that aim to increase PL within special populations such as new immigrants or refugee youth. Methods: The Immigrant-focused Physical Literacy for Youth (IPLAY) program is a co-developed evidence-informed 8-week PL program designed for new immigrant and refugee youths who have recently settled in Calgary, Alberta, Canada. This study aims to use a convergent parallel mixed-methods approach to collect, analyse, and interpret quantitative and qualitative data in the evaluation and iteration of the IPLAY program. Discussion: PL programs can be used as a tool to build confidence and physical competencies among newcomer youth. Furthermore, academic-community collaborations in the design and delivery of PL programs can help improve the access and interest for PL programs among newcomer youth. These partnerships are critical and timely considering the recent and upcoming waves of immigration to "arrival cities" across Canada. [ABSTRACT FROM AUTHOR]
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- 2023
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4. Plasma hPG80 (Circulating Progastrin) as a Novel Prognostic Biomarker for early-stage breast cancer in a breast cancer cohort.
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Prieur, Alexandre, Harper, Andrew, Khan, Momtafin, Vire, Bérengère, Joubert, Dominique, Payen, Léa, and Kopciuk, Karen
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CANCER relapse ,BREAST cancer ,PROPORTIONAL hazards models ,PROGNOSIS ,STERNUM ,SURVIVAL rate - Abstract
Background: Recurrence and metastases are still frequent outcomes after initial tumour control in women diagnosed with breast cancer. Although therapies are selected based on tumour characteristics measured at baseline, prognostic biomarkers can identify those at risk of poor outcomes. Circulating progastrin or hPG
80 was found to be associated with survival outcomes in renal and hepatocellular carcinomas and was a plausible prognostic biomarker for breast cancer. Methods: Women with incident breast cancers from Calgary, Alberta, Canada enrolled in the Breast to Bone (B2B) study between 2010 to 2016 and provided blood samples prior to any treatment initiation. Plasma from these baseline samples were analysed for circulating progastrin or hPG80 . Participant characteristics as well as tumour ones were evaluated for their association with hPG80 and survival outcomes (time to recurrence, recurrence – free survival, breast cancer specific survival and overall survival) in Cox proportional hazards regression models. Results: The 464 participants with measurable hPG80 in this study had an average age of 57.03 years (standard deviation of 11.17 years) and were predominantly diagnosed with Stage I (52.2%) and Stage II (40.1%) disease. A total of 50 recurrences and 50 deaths were recorded as of June 2022. In Cox PH regression models adjusted for chemotherapy, radiation therapy, cancer stage and age at diagnosis, log hPG80 (pmol/L) significantly increased the risks for recurrence (Hazard Ratio (HR) = 1.330, 95% Confidence Interval (CI) = (0.995 – 1.777, p = 0.054)), recurrence-free survival (HR = 1.399, 95% CI = (1.106 – 1.770), p = 0.005) and overall survival (HR = 1.385, 95% CI = (1.046 – 1.834), = 0.023) but not for breast cancer specific survival (HR = 1.015, 95% CI = (0.684 – 1.505), p = 0.942). Conclusions: hPG80 levels measured at diagnosis were significantly associated with the risk of recurrence or death from any cause in women with breast cancer. Since the recurrence rates of breast cancer are still relatively high amongst women diagnosed at an early stage, identifying women at high risk of recurrence at their time of diagnosis is important. hPG80 is a promising new prognostic biomarker that could improve the identification of women at higher risk of poor outcomes. [ABSTRACT FROM AUTHOR]- Published
- 2023
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5. Patient and ward related risk factors in a multi-ward nosocomial outbreak of COVID-19: Outbreak investigation and matched case–control study.
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Leal, Jenine, O'Grady, Heidi M., Armstrong, Logan, Dixit, Devika, Khawaja, Zoha, Snedeker, Kate, Ellison, Jennifer, Erebor, Joyce, Jamieson, Peter, Weiss, Amanda, Salcedo, Daniel, Roberts, Kimberley, Wiens, Karen, Croxen, Matthew A., Berenger, Byron M., Pabbaraju, Kanti, Lin, Yi-Chan, Evans, David, and Conly, John M.
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COVID-19 pandemic ,COVID-19 ,HOSPITAL patients ,MEDICAL personnel ,WHOLE genome sequencing - Abstract
Background: Risk factors for nosocomial COVID-19 outbreaks continue to evolve. The aim of this study was to investigate a multi-ward nosocomial outbreak of COVID-19 between 1st September and 15th November 2020, occurring in a setting without vaccination for any healthcare workers or patients. Methods: Outbreak report and retrospective, matched case–control study using incidence density sampling in three cardiac wards in an 1100-bed tertiary teaching hospital in Calgary, Alberta, Canada. Patients were confirmed/probable COVID-19 cases and contemporaneous control patients without COVID-19. COVID-19 outbreak definitions were based on Public Health guidelines. Clinical and environmental specimens were tested by RT-PCR and as applicable quantitative viral cultures and whole genome sequencing were conducted. Controls were inpatients on the cardiac wards during the study period confirmed to be without COVID-19, matched to outbreak cases by time of symptom onset dates, age within ± 15 years and were admitted in hospital for at least 2 days. Demographics, Braden Score, baseline medications, laboratory measures, co-morbidities, and hospitalization characteristics were collected on cases and controls. Univariate and multivariate conditional logistical regression was used to identify independent risk factors for nosocomial COVID-19. Results: The outbreak involved 42 healthcare workers and 39 patients. The strongest independent risk factor for nosocomial COVID-19 (IRR 3.21, 95% CI 1.47–7.02) was exposure in a multi-bedded room. Of 45 strains successfully sequenced, 44 (97.8%) were B.1.128 and differed from the most common circulating community lineages. SARS-CoV-2 positive cultures were detected in 56.7% (34/60) of clinical and environmental specimens. The multidisciplinary outbreak team observed eleven contributing events to transmission during the outbreak. Conclusions: Transmission routes of SARS-CoV-2 in hospital outbreaks are complex; however multi-bedded rooms play a significant role in the transmission of SARS-CoV-2. [ABSTRACT FROM AUTHOR]
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- 2023
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6. Developing EMR-based algorithms to Identify hospital adverse events for health system performance evaluation and improvement: Study protocol.
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Wu, Guosong, Eastwood, Cathy, Zeng, Yong, Quan, Hude, Long, Quan, Zhang, Zilong, Ghali, William A., Bakal, Jeffrey, Boussat, Bastien, Flemons, Ward, Forster, Alan, Southern, Danielle A., Knudsen, Søren, Popowich, Brittany, and Xu, Yuan
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ELECTRONIC health records ,NATURAL language processing ,ALGORITHMS ,RESEARCH protocols - Abstract
Background: Measurement of care quality and safety mainly relies on abstracted administrative data. However, it is well studied that administrative data-based adverse event (AE) detection methods are suboptimal due to lack of clinical information. Electronic medical records (EMR) have been widely implemented and contain detailed and comprehensive information regarding all aspects of patient care, offering a valuable complement to administrative data. Harnessing the rich clinical data in EMRs offers a unique opportunity to improve detection, identify possible risk factors of AE and enhance surveillance. However, the methodological tools for detection of AEs within EMR need to be developed and validated. The objectives of this study are to develop EMR-based AE algorithms from hospital EMR data and assess AE algorithm's validity in Canadian EMR data. Methods: Patient EMR structured and text data from acute care hospitals in Calgary, Alberta, Canada will be linked with discharge abstract data (DAD) between 2010 and 2020 (n~1.5 million). AE algorithms development. First, a comprehensive list of AEs will be generated through a systematic literature review and expert recommendations. Second, these AEs will be mapped to EMR free texts using Natural Language Processing (NLP) technologies. Finally, an expert panel will assess the clinical relevance of the developed NLP algorithms. AE algorithms validation: We will test the newly developed AE algorithms on 10,000 randomly selected EMRs between 2010 to 2020 from Calgary, Alberta. Trained reviewers will review the selected 10,000 EMR charts to identify AEs that had occurred during hospitalization. Performance indicators (e.g., sensitivity, specificity, positive predictive value, negative predictive value, F
1 score, etc.) of the developed AE algorithms will be assessed using chart review data as the reference standard. Discussion: The results of this project can be widely implemented in EMR based healthcare system to accurately and timely detect in-hospital AEs. [ABSTRACT FROM AUTHOR]- Published
- 2022
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7. Experiences of wellbeing and resilience among refugee mothers and families in Calgary during the COVID-19 pandemic, and the role of participation in HIPPY, a home visiting program.
- Author
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Zivot, Chloe, Dewey, Cate, Brockington, Meghan, Nwebube, Chioma, Asfour, Ghaid, Vattikonda, Natasha, Bell, Debbie, Srinivasan, Sharada, and Little, Matthew
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REFUGEE families ,WELL-being ,COVID-19 pandemic ,PSYCHOLOGICAL resilience ,SOCIAL isolation - Abstract
In order to provide meaningful and effective support to refugees in Canada during the COVID-19 pandemic, as well as during post-pandemic recovery efforts, it is critical to explore the experiences of refugee mothers and families during the pandemic, and to identify sources of resilience that can be leveraged to promote individual and household wellbeing. From November 2020 to June 2021, we conducted in-depth interviews with mothers from refugee backgrounds (n = 28) who resettled in Calgary, Alberta and are currently participating in the Multicultural Home Instruction for Parents of Preschool Youngsters (HIPPY) program. Interviews were conducted virtually using Microsoft Teams; we sought to better understand the pathways and barriers to wellbeing experienced by refugee mothers during the pandemic. The results indicate that the refugee mothers and families in our study experienced widespread disruptions to education and employment and increased motherhood burden, contributing to diminished wellbeing. Mental health was further impacted by heightened levels of worry, stress and social isolation, as well as intense fear pertaining to the spread of SARS-CoV-2. Some mothers reported experiencing barriers to accessing healthcare services and reliable health information during the pandemic. In the face of these challenges, the mothers demonstrated great resilience and identified tangible individual, household and extra-household factors and resources that supported them in coping with the impact of the COVID-19 pandemic. Additionally, our findings suggest that participation in HIPPY played a significant role in fostering the resilience of the participating mothers and families during the pandemic, speaking to the potential of home visiting intervention models in mitigating household hardship during current and future public health crises. [ABSTRACT FROM AUTHOR]
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- 2022
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8. Animal Protection, Law Enforcement, and Occupational Health: Qualitative Action Research Highlights the Urgency of Relational Coordination in a Medico-Legal Borderland.
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Rault, Dawn, Adams, Cindy L., Springett, Jane, and Rock, Melanie J.
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ANIMAL welfare ,INDUSTRIAL hygiene ,LAW enforcement ,ACTION research ,BORDERLANDS - Abstract
Simple Summary: In this article, we report on action research in the Canadian province of Alberta, based on forging alliances with officers who enforce federal, provincial, and municipal legislation involving animals. Some of these officers worked in rural areas, and others worked in urban areas. Some mainly enforced Alberta's Animal Protection Act, while a few specialized in enforcing Canada's Criminal Code. For the most part, however, participating officers had a mandate to enforce animal-related local bylaws. Such ordinances or rulebooks exist because Alberta's Municipal Government Act allows local councils to enact legislation regarding domestic and wild animals, particularly as regards people's health, property, safety, and welfare. Many professionals refer to policies such as these, which are deeply rooted in the western legal tradition, such as "animal control." Our findings illuminate how animal-control policies and personnel can help to protect domesticated animals, not just people. Even so, our research highlights that animal-control policies as well as animal-protection policies routinely fail to protect officers who enforce legislation involving animals. Furthermore, whenever officers who enforce legislation involving animals work in unsafe conditions, this endangers human as well as non-human lives. Across Canada and internationally, laws exist to protect animals and to stop them from becoming public nuisances and threats. The work of officers who enforce local bylaws protects both domestic animals and humans. Despite the importance of this work, research in this area is emergent, but growing. We conducted research with officers mandated to enforce legislation involving animals, with a focus on local bylaw enforcement in the province of Alberta, Canada, which includes the city of Calgary. Some experts regard Calgary as a "model city" for inter-agency collaboration. Based on partnerships with front-line officers, managers, and professional associations in a qualitative multiple-case study, this action-research project evolved towards advocacy for occupational health and safety. Participating officers spoke about the societal benefits of their work with pride, and they presented multiple examples to illustrate how local bylaw enforcement contributes to public safety and community wellbeing. Alarmingly, however, these officers consistently reported resource inadequacies, communication and information gaps, and a culture of normalized disrespect. These findings connect to the concept of "medico-legal borderlands," which became central to this study. As this project unfolded, we seized upon opportunities to improve the officers' working conditions, including the potential of relational coordination to promote the best practices. [ABSTRACT FROM AUTHOR]
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- 2022
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9. The Modern Day Asylum: A Mad Studies Informed Approach to Understanding De- Institutionalization, Madness and Chronic Homelessness.
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Milaney, Katrina, Rankin, Joanna, and Zaretsky, Lisa
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HOMELESSNESS ,INSTITUTIONAL care ,DEINSTITUTIONALIZATION ,ATTEMPTED suicide ,MENTAL illness ,MENTAL health ,HOMELESS persons - Abstract
Copyright of Canadian Journal of Disability Studies is the property of Canadian Disability Studies 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.)
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- 2022
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10. Respiratory and cardiovascular condition-related physician visits associated with wildfire smoke exposure in Calgary, Canada, in 2015: a population-based study.
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Mahsin, M D, Cabaj, Jason, and Saini, Vineet
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PHYSICIAN services utilization ,CONGESTIVE heart failure ,WILDFIRES ,PARTICULATE matter ,RESPIRATORY diseases ,SMOKE ,CARDIOVASCULAR diseases risk factors ,AIR pollution ,RESEARCH ,RESEARCH methodology ,CARDIOVASCULAR diseases ,EVALUATION research ,COMPARATIVE studies ,RESEARCH funding ,PHYSICIANS ,ENVIRONMENTAL exposure - Abstract
Background: We studied the impact of fine particulate matter (PM2.5) exposure due to a remote wildfire event in the Pacific Northwest on daily outpatient respiratory and cardiovascular physician visits during wildfire (24-31 August, 2015) and post-wildfire period (1-30 September, 2015) relative to the pre-wildfire period (1-23 August, 2015) in the city of Calgary, Canada.Methods: A quasi-Poisson regression model was used for modelling daily counts of physician visits due to PM2.5 while adjusting for day of the week (weekday versus weekend or public holiday), wildfire exposure period (before, during, after), methane, relative humidity, and wind direction. A subgroup analysis of those with pre-existing diabetes or hypertension was performed.Results: An elevated risk of respiratory disease morbidity of 33% (relative risk: RR) [95% confidence interval (CI): 10%-59%] and 55% (95% CI: 42%-69%) was observed per 10µg/m3 increase in PM2.5 level during and after wildfire, respectively, relative to the pre-wildfire time period. Increased risk was observed for children aged 0-9 years during (RR = 1.57, 95% CI: 1.21-2.02) and after the wildfire (RR = 2.11, 95% CI: 1.86-2.40) especially for asthma, acute bronchitis and acute respiratory infection. The risk of physician visits among seniors increased by 11% (95% CI: 3%-21%), and 19% (95% CI: 7%-33%) post-wildfire for congestive heart failure and ischaemic heart disease, respectively. Individuals with pre-existing diabetes had an increased risk of both respiratory and cardiovascular morbidity in the post-wildfire period (RR = 1.35, 95% CI: 1.09-1.67; RR = 1.22, 95% CI: 1.01-1.46, respectively).Conclusions: Wildfire-related PM2.5 exposure led to increased respiratory condition-related outpatient physician visits during and after wildfires, particularly for children. An increased risk of physician visits for congestive heart failure and ischaemic heart disease among seniors in the post-wildfire period was also observed. [ABSTRACT FROM AUTHOR]- Published
- 2022
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11. Exploring diatom diversity through cultures - a case study from the Bow River, Canada.
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Skibbe, Oliver, Abarca, Nelida, Forrest, Francine, and Werner, Petra
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NAVICULA ,DIATOMS ,LIFE cycles (Biology) ,BIOLOGICAL classification ,WATER quality ,ENVIRONMENTAL sampling ,GENETIC barcoding - Abstract
Diatom cultures can help answer taxonomic, biogeographic and ecological questions on a local and global scale. Unialgal cultures are derived from a single cell and provide abundant material for morphological and molecular analyses. The link between the historic morphological species concept and molecular data is becoming increasingly important with the use of eDNA metabarcoding. Additionally, cultures provide insights into the life cycle of diatoms and thereby complement taxonomy and species ecology. In this study, we present an approach to extract benthic diatoms from an environmental sample to generate unialgal cultures. We explored diatom diversity in preserved assemblages and by culturing as many different taxa as possible from benthic freshwater samples taken on the same day from the Bow River in Calgary, Canada. With both methods we found a total of 221 different benthic diatom taxa, of which 182 were identified in the preserved diatom assemblages. Interestingly, an additional 39 taxa only appeared in the cultures. In total 129 strains were cultivated, representing 71 different taxa. This study includes pictures of living cells demonstrating the additional merits of unialgal cultures, as they provide information on plastid details, auxospores and endosymbionts. Both, the identification of the diatom assemblages and the generation and identification of strains provide the foundation for additional water quality assessment tools, taxonomic insights, and molecular references libraries. [ABSTRACT FROM AUTHOR]
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- 2022
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