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Describes the planning, implementation and assessment of the Term Paper Clinic (TPC) reference service in academic libraries due to shrinking budgets and expanding enrollments. Exploration of innovative ways in academic libraries to provide individualized services to clients; Conduction of the TPC for undergraduates at the University of Toronto.

Based upon qualitative interviews with 54 women and men living with HIV across Ontario, Canada, this paper examines the impact of HIV criminalization on the sexual and romantic relationships of people living with HIV. This research highlights the navigation strategies people living with HIV create and employ to both navigate and protect themselves from the law. Through a thematic and intersectional analysis, this study shows how adoption of these strategies is unequal, with access to navigation strategies varying along lines of gender, race, and sexual orientation. As a result, women and racialized people living with HIV face more difficulties navigating the impact of the law. HIV criminalization in Canada fuels and validates HIV stigma and produces vulnerability both within and outside of the relationships of people living with HIV. This paper seeks to understand HIV criminalization from the perspective of those governed by the law, in hopes of producing knowledge which will contribute to legal reform, inform policy, and support the development of efficacious secondary prevention initiatives. [ABSTRACT FROM AUTHOR]

The fate of dissolved organic matter (DOM) in lakes and streams is significantly affected by photochemical transformation of DOM. A series of laboratory photochemical experiments was conducted to describe long-term changes in photochemical properties of DOM. The stream samples used in this study originated from three different catchments on the southern-most part of the Boreal ecozone near Dorset, Ontario, Canada. A first-order kinetics equation was used to model photochemical degradation of DOM and the kinetic rate constant, K, was used as an indicator of photochemical properties of DOM. Highest K was observed in samples from the catchment dominated by coniferous forest while the lowest K was measured in the deciduous catchment. Kinetic rate constants from all three catchments showed a sinusoidal pattern during the hydrological year. K increased steadily during autumn and winter and decreased during spring and summer. The highest values were observed during spring melt events when DOM was flushed from terrestrial sources by high flows. The minimum rate constants were found in summer when discharge was lowest. DOM molecular weight and specific absorbance at 254nm also exhibited annual cycles corresponding to the seasonal cycles of terrestrial organic matter but the relationships between these properties and K was probably affected by previous exposure to solar radiation during transit from the catchment as well as pH and iron. [ABSTRACT FROM AUTHOR]

Introduction: Throughout the COVID-19 pandemic, primary care nurses were often redeployed to areas outside of primary care to mitigate staffing shortages. Despite this, there is a scarcity of literature describing their perceptions of and experiences with redeployment during the pandemic. Objectives: This paper aims to: 1) describe the perspectives of primary care nurses with respect to redeployment, 2) discuss the opportunities/challenges associated with redeployment of primary care nurses, and 3) examine the nature (e.g., settings, activities) of redeployment by primary care nurses during the COVID-19 pandemic. Methods: In this qualitative study, semi-structured interviews were conducted with primary care nurses (i.e., Nurse Practitioners, Registered Nurses, and Licensed/Registered Practical Nurses), from four regions in Canada. These include the Interior, Island, and Vancouver Coastal Health regions in British Columbia; Ontario Health West region in Ontario; the province of Nova Scotia; and the province of Newfoundland and Labrador. Data related to redeployment were analyzed thematically. Results: Three overarching themes related to redeployment during the COVID-19 pandemic were identified: (1) Call to redeployment, (2) Redeployment as an opportunity/challenge, and (3) Scope of practice during redeployment. Primary care nurses across all regulatory designations reported variation in the process of redeployment within their jurisdiction (e.g., communication, policies/legislation), different opportunities and challenges that resulted from redeployment (e.g., scheduling flexibility, workload implications), and scope of practice implications (e.g., perceived threat to nursing license). The majority of nurses discussed experiences with redeployment being voluntary in nature, rather than mandated. Conclusions: Redeployment is a useful workforce strategy during public health emergencies; however, it requires a structured process and a decision-making approach that explicitly involves healthcare providers affected by redeployment. Primary care nurses ought only to be redeployed after other options are considered and arrangements made for the care of patients in their original practice area. [ABSTRACT FROM AUTHOR]

Diameter at breast height (DBH) is a unique attribute used to characterize forest growth and development for forest management planning and to understand forest ecology. Forest managers require an array of DBHs of forest stands, which can be reconstructed using selected probability distribution functions (PDFs). However, there is a lack of practices that fit PDFs of sub-dominating species grown in natural mixed forests. This study aimed to fit PDFs and develop predictive models for PDF parameters, so that the predicted distribution would represent dynamic forest structures and compositions in mixed forest stands. We fitted three of the simplest forms of PDFs, log-normal, gamma, and Weibull, for the DBH of eight tree species, namely balsam fir (Abies balsamea [L.] Mill.), eastern white pine (Pinus strobus L.), paper birch (Betula papyrifera Marshall), red maple (Acer rubrum L.), red pine (Pinus resinosa Aiton), sugar maple (Acer saccharum Marshall), trembling aspen (Populus tremuloides Michx), and white spruce (Picea glauca [Moench] Voss), all grown in natural-origin mixed forests in Ontario province, Canada. We estimated the parameters of the PDFs as a function of DBH mean and standard deviation for these species. Our results showed that log-normal fit the best among the three PDFs. We demonstrated that the predictive model could estimate the recovered parameters unbiasedly for all species, which can be used to reconstruct the DBH distributions of these tree species. In addition to prediction, the cross-validated R2 for the DBH mean ranged between 0.76 for red maple and 0.92 for red pine. However, the R2 for the regression of the standard deviation ranged between 0.00 for red pine and 0.69 for sugar maple, although it produced unbiased predictions and a small mean absolute bias. As these mean and standard deviations are regressed with dynamic covariates (such as stem density and stand basal area), in addition to climate and static geographic variables, the predicted DBH distribution can reflect change over time in response to management or any type of disturbance in the regime of the given geography. The predictive model-based DBH distributions can be applied to the design of appropriate silviculture systems for forest management planning. [ABSTRACT FROM AUTHOR]

Methane flux measurements were carried out at a temperate forest (Haliburton Forest and Wildlife Reserve) in central Ontario (45° 170' 11" N, 78° 32' 19" W) from June-October, 2011. Continuous measurements were made by an off-axis integrated cavity output spectrometer Fast Greenhouse Gas Analyzer (FGGA) from Los Gatos Research Inc. that measures methane (CH4) at 10 Hz sampling rates. Fluxes were calculated from the gas measurements in conjunction with wind data collected by a 3-D sonic anemometer using the eddy covariance (EC) method. Observed methane fluxes showed net uptake of CH4 over the measurement period with an average uptake flux (± standard deviation of the mean) of -2.7±0.13 nmolm-2 s-1. Methane fluxes showed a seasonal progression with average rates of uptake increasing from June through September and remaining high in October. This pattern was consistent with a decreasing trend in soil moisture content at the monthly time scale. On the diurnal timescale, there was evidence of increased uptake during the day, when the mid-canopy wind speed was at a maximum. These patterns suggest that substrate supply of CH4 and oxygen to methanotrophs, and in certain cases hypoxic soil conditions supporting methanogenesis in low-slope areas, drive the observed variability in fluxes. A network of soil static chambers used at the tower site showed close agreement with the eddy covariance flux measurements. This suggests that soil-level microbial processes, and not abiological leaf-level CH4 production, drive overall CH4 dynamics in temperate forest ecosystems such as Haliburton Forest. [ABSTRACT FROM AUTHOR]

Background: Improving equity and early access to palliative care for underserved populations in Canada is a priority. Little is known regarding access to palliative and end-of-life care in the Black population. Methods: We undertook a scoping review using the framework by Arksey and O'Malley to identify knowledge, access gaps, and experiences of palliative and end-of-life care among Blacks living with life-limiting illnesses in Canada. Primary studies, discussion papers, books, and reports were considered eligible. We followed a comprehensive search strategy developed by an information scientist. Searches were performed in the following bibliographic databases: Medline, EMBASE, PsycINFO via OVID, CINAHL via EBSCOhost, Scopus and Cochrane Library via Wiley. The search strategy was derived from three main concepts: (1) Black people; (2) Canada and Canadian provinces; (3) Palliative, hospice, or end-of-life care. No publication date or language limits were applied. Titles and abstracts were screened for eligibility by one reviewer and full text by two independent reviewers. Results: The search yielded 233 articles. Nineteen articles were selected for full-text review, and 7 articles met the inclusion criteria. These studies were published between 2010 and 2021, and conducted in the provinces of Ontario and Nova Scotia only. Studies used both quantitative and qualitative methods and included cancer decedents, next of kin, family caregivers and religious leaders. Sample sizes in various studies ranged from 6 − 2,606 participants. Included studies reported a general lack of understanding about palliative and end-of-life care, positive and negative experiences, and limited access to palliative and end-of-life care for Blacks, across all care settings. Conclusion: Findings suggest limited knowledge of palliative care and inequities in access to palliative and end-of-life care for Blacks living with life-limiting illnesses in 2 Canadian provinces. There is an urgent need for research to inform tailored and culturally acceptable strategies to improve understanding and access to palliative care and end-of-life care among Blacks in Canada. [ABSTRACT FROM AUTHOR]

Students with disabilities are far less likely than their peers to participate in work-integrated learning (WIL). This gap may contribute to the high levels of unemployment for people with disabilities. Unemployment rates compound when accounting for intersectional identities, with disabled people of color experiencing even higher rates of unemployment. Skill development through opportunities such as WIL is critical to ensure equity -deserving groups can transition successfully from post-secondary institutions into the workforce. Without a transparent, collaborative accommodations process in an environment that is actively reducing stigma and ableism, it is likely students with disabilities will continue to be underrepresented in WIL and the workforce after graduation. This paper presents an overview of disability, barriers to participation, and relevant Canadian legislation. The authors then propose an outline for developing a collaborative accommodations process for WIL opportunities. [ABSTRACT FROM AUTHOR]

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.)

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

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.)

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

Background: In June 2016, Canada legalized medical assistance in dying (MAiD). From the outset, some healthcare institutions (including faith-based and non-faith-based hospitals, hospices, and residential aged care facilities) have refused to allow aspects of MAiD onsite, resulting in patient transfers for MAiD assessments and provision. There have been media reports highlighting the negative consequences of these "institutional objections", however, very little research has examined their nature and impact. Methods: This study reports on findings from 48 semi-structured qualitative interviews conducted with MAiD assessors and providers, MAiD team members (working to coordinate care and lead MAiD programs in institutions and health authorities), and family caregivers on their experiences with institutional objection. Participants were recruited from the Canadian provinces of British Columbia, Ontario, and Nova Scotia. Data were analyzed using inductive thematic analysis. Results: Themes identified were: (1) basis for institutional objection (with objections commonly rooted in religious values and a particular philosophy of palliative care); (2) scope of objection (demonstrating a wide range of practices objected to); (3) lack of transparency regarding institutional position; (4) impacts on patients; (5) impacts on health practitioners; and (6) catalysts for change. Participants reported that many institutions' objections had softened over time, lessening barriers to MAiD access and adverse impacts on patients and health practitioners. Participants attributed this positive change to a range of catalysts including advocacy by health practitioners and family members, policymaking by local health authorities, education, and relationship building. Nevertheless, some institutions, particularly faith-based ones, retained strong objections to MAiD, resulting in forced transfers and negative emotional and psychological impacts on patients, family members, and health practitioners. Conclusions: This paper adds to the limited evidence base about the impacts of institutional objection and can inform practical and regulatory solutions in Canada and abroad. Reform is needed to minimize the negative impacts on patients, their caregivers, and health practitioners involved in MAiD practice. [ABSTRACT FROM AUTHOR]

Vineyards are agroecosystems of great importance in the Niagara Region, Ontario (Canada). Due to its microclimate, this region is projected to be impacted by climate change with temperature increases, changes in precipitation patterns in all seasons, and greater frequency of extreme weather events. The aim of this review paper is to summarize which seasonal changes are expected to occur in the Niagara Region and assess how such changes are likely to affect the main components of the vineyard ecosystem (i.e., soil, vines, invertebrates, and pathogens). It is expected that by 2080 the region will experience an increase in temperature in all four seasons; an increase in precipitation during the fall, winter, and spring; and a decrease in precipitation during summer months. Impacts of the projected changes will likely lead to vine water stress, yield loss, increases in incidents of diseases, increases in the spread of new pests, and changes in grape quality ultimately resulting in lower wine quality and/or production. Current management practices will need to be better understood and adaptive strategies introduced to enhance grape growers' ability to minimize these impacts. [ABSTRACT FROM AUTHOR]

Background: Screening for lung cancer with low dose CT can facilitate the detection of early-stage lung cancers that are amenable to treatment, reducing mortality related to lung cancer. Individuals are considered eligible for lung cancer screening if they meet specific high-risk criteria, such as age and smoking history. Population groups that are at highest risk of lung cancer, and therefore, the target of lung cancer screening interventions, are also the least likely to participate in lung cancer screening. This can lead to a widening of health inequities. Deliberate effort is needed to both reduce lung cancer risk (through upstream interventions that promote smoking cessation) as well as midstream interventions that promote equitable access to lung cancer screening. Methods: This protocol paper describes an equity-informed patient-oriented research study. Our study aims to promote equitable access to lung cancer screening by partnering with patients to co-design an e-learning module for healthcare providers. The learning module will describe the social context of lung cancer risk and promote access to lung cancer screening by increasing equity at the point of care. We have applied the Generative Co-Design Framework for Healthcare Innovation and detail our study processes in three phases and six steps: Pre-design (establishing a study governance structure); Co-design (identifying research priorities, gathering and interpreting data, co-developing module content); and Post-design (pilot testing the module and developing an implementation plan). Discussion: Patient engagement in research can promote the design and delivery of healthcare services that are accessible and acceptable to patients. This is particularly important for lung cancer screening as those at highest risk of developing lung cancer are also those who are least likely to participate in lung cancer screening. By detailing the steps of our participatory co-design journey, we are making visible the processes of our work so that they can be linked to future outcomes and related impact, and inform a wide range of patient co-led processes. Plain English summary: Lung cancer is the most commonly diagnosed cancer in Canada and is responsible for a quarter of all cancer-related deaths in the country. Screening for lung cancer using tools such as a CT scan can allow us to find lung cancers when they are still small and curable. People can receive a lung CT scan depending on how old they are and for how long they have smoked cigarettes. Certain groups of people, particularly those who have fewer resources such as time and money, and those who experience injustice because of who they are and how they look are less likely to participate in lung cancer screening. We can increase participation in lung cancer screening by educating healthcare providers on appropriate and timely ways to talk to patients about lung cancer screening. In this paper, we outline the steps of a patient-partnered study in which many different stakeholders such as patients, providers and policy-makers have come together with a goal to improve equity in access to lung cancer screening. We will do this by jointly creating an online learning module that will educate healthcare providers on how life experiences shape smoking behaviour and lung cancer risk. The module will also impart key skills on how to deliver care which is timely, appropriate and safe. Once the module is ready it will be freely available to all healthcare providers to support the fair and just delivery of lung cancer screening in the province of Ontario and elsewhere. [ABSTRACT FROM AUTHOR]

Engineering has long been a male-dominated profession, with a reputation of being less than welcoming to women. In Canada and other Western countries, efforts to attract more women into the field date back decades. As a result of such initiatives, women entering engineering today could experience their work differently than those who preceded them. This paper draws on the life course paradigm to determine whether there are gender differences in engineering across age cohort. Analysing data from a survey and in-depth interviews with engineers in Ontario, Canada, the paper explores whether gender intersects with age cohort to determine experiences of employment, opportunities, and work-family conflict. Although women share some experiences across age - such as concerns about pay and recognition - differences by cohort emerged. Young women are disadvantaged compared to young men and others with respect to securing stable employment in engineering. Older women report more challenges with work-family conflict and have less decision-making authority at work. Interviews further suggest that young women both have it 'easier' and harder than others. The findings demonstrate how the life course paradigm can also be used to shed light on the intersection of gender and age in professions. [ABSTRACT FROM AUTHOR]

Background: In Canada, the Canadian Institutes of Health Research launched the Strategy for Patient-Oriented Research (SPOR) in 2011. The strategy defines 'patient-oriented research' as a continuum of research that engages patients as partners, focuses on patient priorities, and leads to improved patient outcomes. The overarching term 'patient' is inclusive of individuals with personal experience of a health issue as well as informal caregivers including family and friends. The vision for the strategy is improved patient experiences and outcomes through the integration of patient-oriented research findings into practice, policy, and health system improvement. Building capacity in patient-oriented research among all relevant stakeholders, namely patients, practitioners, organizational leaders, policymakers, researchers, and research funders is a core element of the strategy. Main body: The objective of this paper is to describe capacity building initiatives in patient-oriented research led by the Ontario SPOR SUPPORT Unit in Ontario, Canada over the period 2014–2020. Conclusion: The Ontario SPOR SUPPORT Unit Working Group in Training and Capacity Development has led numerous capacity building initiatives: developed a Capacity Building Compendium (accessed greater than 45,000 times); hosted Masterclasses that have trained hundreds of stakeholders (patients, practitioners, organizational leaders, policymakers, researchers, and trainees) in the conduct and use of patient-oriented research; funded the development of online curricula on patient-oriented research that have reached thousands of stakeholders; developed a patient engagement resource center that has been accessed by tens of thousands of stakeholders; identified core competencies for research teams and research environments to ensure authentic and meaningful patient partnerships in health research; and shared these resources and learnings with stakeholders across Canada, North America, and internationally. Plain English summary: In 2011, Canada developed a Strategy for Patient-Oriented Research. The aim of the strategy was to ensure that patients were included as equal partners in research, with the goal to improve the patient experience and enhance health outcomes using research findings to influence clinical care, policy, and health system improvement. Building capacity in patient-oriented research is a core element of the strategy. Since 2014, the Ontario SPOR SUPPORT Unit has led numerous initiatives to build capacity in patient-oriented research. Successes include a Capacity Building Compendium (a catalogue of resources that has been accessed greater than 45,000 times); courses on how to do and how to use patient-oriented research that have trained hundreds of patients, practitioners, organizational leaders, policymakers, and researchers; created online patient-oriented research materials; developed a patient engagement resource center; identified what is required to ensure authentic and meaningful patient partnerships in research; and shared these resources and learnings widely. [ABSTRACT FROM AUTHOR]

Simple Summary: This paper looks at changes in weight, physical activity, and food/dietary intake during the first year of the COVID-19 pandemic in undergraduate students enrolled in a Canadian university. The investigation used an online survey format to collect data at the end of the two lockdown periods over one year. Participants were recruited from universities across Canada. The results show a modest weight gain accompanied by a decrease in physical activity and an unhealthy change in diet. Specifically, students reported that their engagement in specific physical activities and overall activity levels decreased during the lockdowns. The number of calories also decreased over time, while the foods consumed decreased in nutritional value. Thus, the modest weight gain observed may have resulted from the decrease in physical activity and diet quality. In conclusion, Canadian food and physical activity recommendations were not met during the lockdowns caused by the pandemic, which highlights the physical and nutritional implications of confinement. This study examined changes in body mass and body mass index (BMI), physical activity, and dietary intake in Canadian university students during the first year of the COVID-19 pandemic. Two self-reported recall surveys were conducted: after the first lockdown in September 2020 (T1) and following the second lockdown in March 2021 (T2). Eligible participants were full-time undergraduate students attending a Canadian university and residing in Canada during the first year of the pandemic. At T1, 510 students (99 male, 411 female) completed the survey, and of those, 135 (32 males, 103 females) completed the survey at T2 (73% attrition). At both T1 and T2, most participants were 18–24 years of age (93% and 90%, respectively), Caucasian (73% and 78%, respectively), and resided in the province of Ontario (79% and 80%, respectively). Body mass increased from T1 to T2 (+0.91 ± 3.89 kg t(132) = −2.7, p = 0.008). BMI also increased from T1 to T2 (+0.30 ± 1.33 kg/m2 [t(130) = −2.5, p = 0.012), with a greater number of participants within the overweight range (19.8% versus 24.4%, respectively). At T1, 38% of the participants reported a decrease in physical activity, while the number of students reporting a decrease in activity increased to 56% at T2. Dietary energy intake decreased from 1678 ± 958 kcal/day at T1 to 1565 ± 842 kcal/day at T2 [c2(1) = 7.2, p = 0.007]. Diet quality also decreased, with participants not meeting the recommended daily allowance for essential macro and micronutrients. A decrease was observed in daily servings of fruits (−27%, p < 0.001), vegetables (−72%, p < 0.001), and grains (−68%, p < 0.001). In conclusion, despite a small decrease in dietary energy intake, a modest weight gain occurred during the first year of the COVID-19 pandemic in this cohort of Canadian university students, which was potentially related to decreased physical activity and diet quality. [ABSTRACT FROM AUTHOR]

In 2015, the predominantly visible minority immigrant community of Herongate, in Ottawa, Ontario, was slated for redevelopment by its landlord, Timbercreek Asset Management. This redevelopment involved mass eviction of the incumbent tenants, demolition of the existing affordable housing and its replacement with luxury rentals, which, by all indications, are beyond the financial reach of the former Herongage tenants. This paper seeks to problematize large-scale residential real estate redevelopment in Canada and examine its impact, using the Herongate situation as a case study. Among other things, it profiles the Herongate community, its history and present redevelopment, and explores the legal framework, and the limits thereof, constraining mass evictions of this type in Ontario. The findings indicate that the selection of Herongate for redevelopment was not fortuitous; generally, racialized and immigrant communities like Herongate are disproportionately likely to be selected for large-scale redevelopment projects, and thus subjected to mass-evictions. Further results suggest that the dissolution of the Herongate community -- and the attendant dislocation of its members -- has exacted a pronounced social and economic toll and compounded the racial discrimination already experienced by the former Herongate residents, most of whom are visible minorities. The paper concludes with an appeal to imbue the redevelopment process with a greater regard for social justice, and a right to housing as a policy solution to address the injustice caused by real estate redevelopment. [ABSTRACT FROM AUTHOR]

Little research has been carried out on young people transitioning out of care in Canada. The objective of this paper was to describe and comment on the services provided to youth leaving care systems in Canada, with a focus on the four provinces with the largest populations (Ontario, Quebec, British Columbia, and Alberta). The Quebec government offers only one limited-access transition program, which has just been extended to age 25. Ontario, British Columbia, and Alberta offer several transition programs, which include financial, education, and life skills components. In British Columbia, these offer support up to age 29. The 6 remaining provinces and the 3 territories offer support to a maximum age that ranges from 21 to 26. Most offer a general financial allowance, and some offer additional supports that can include a housing allowance, tuition waivers, and job training. British Columbia and Ontario offer the most supports, including medical assistance, tuition waivers, and mental health supports. Research is needed to find out which supports are most beneficial, and under which circumstances. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Rural & Community Development is the property of Brandon University, Rural Development Institute 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.)

Canada's immigration policy is regarded globally as a best practice model for selecting highly skilled migrants. Yet, upon arrival many immigrants face challenges integrating into employment. Where immigrants settle is one factor that has been shown to impact on employment integration. In Canada, regionalization policies have resulted in more immigrants settling in small to mid‐sized cities. It is important to understand how these local systems are organized to promote immigrant integration into employment. Using a systems approach, this paper presents a case study of immigrant employment in a mid‐sized city in Ontario, Canada. Through a document review and stakeholder interviews, a systems map was developed, and local perspectives were analyzed. Results demonstrate that in a mid‐sized city, few organizations play a large role in immigrant employment. The connections between these core organizations and the local labour market are complex. Any potential challenges to the system that interfere with these connections can cause a delay for newcomers seeking employment. As cities begin to experience growth driven by immigration, there is a need to ensure local services are not only available but also working effectively within the larger employment system. Key messages: An important focus of Canada's immigration policy has been to improve employment integration locally.Using a systems approach allows mid‐sized cities to identify local services and how they are connected to promote employment integration of newcomers.Greater connectivity between services can streamline the employment process for immigrants settling in mid‐sized cities. [ABSTRACT FROM AUTHOR]

"Short-term load forecasting (STLF)" is increasingly significant because of the extensive use of distributed energy resources, the incorporation of intermitted RES, and the implementation of DSM. This paper provides a novel ensemble forecasting model with wavelet transform for the STLF depending on the decomposition principle of load profiles. The model can effectively capture the portion of daily load profiles caused by seasonal variations. The results indicate that it is possible to improve STLF accuracy with the proposed method. The proposed approach is tested with the data taken from Ontario's electricity market in Canada. The results show that the proposed technique performs well in-terms of prediction when compared to existing traditional and cutting-edge methods. The performance of the model was validated with different datasets. Moreover, this approach can provide accurate load forecasting using ensemble models. Therefore, utilities and smart grid operators can use this approach as an additional decision-making tool to improve their real-time decisions. [ABSTRACT FROM AUTHOR]

This paper examines how organizations create evangelists, members of key audiences who build a critical mass of support for new ways of doing things. We conduct a longitudinal, inductive study of Ontario's cool-climate wineries and members of six external audience groups who evangelized on behalf of their emerging winemaking practice. We found that wineries drew from three institutionalized vinicultural templates-- "provenance," "hedonic," and "glory"--to craft rituals designed to convert these audience members. These rituals led to inspiring emotional experiences among audience members with receptive gourmand and regional identities, driving them to engage in evangelistic behaviors. While a growing body of work on evangelists has emphasized their individual characteristics, the role of emotions in driving their activities, as well as how they advocate for organizations, our study demonstrates how evangelism can be built through ritualized interactions with organizations. Specifically, we reveal how organizations develop rituals that translate emerging practices into inspiring emotional experiences for particular members of audiences. This suggests that rituals can be used not only to incite dedication within organizational boundaries, but to inspire members of external audiences to act as social conduits through which emerging practices spread. [ABSTRACT FROM AUTHOR]

Background: Homelessness is becoming an international public health issue in most developed countries, including Canada. Homelessness is regarded as both political and socioeconomic problems warranting broad and consistent result-oriented approaches.Methods: This paper represents the qualitative findings of a project that explored risk factors associated with family homelessness and strategies that could mitigate and prevent homelessness among families using a focused ethnographic study guided by the principles of participatory action research (PAR). The sample includes 36 family members residing at a family shelter who participated in focus groups over two years (between April 2016 and December 2017). Most of the participants were single-parent women.Results: The analysis yielded five major themes including, life challenges, lack of understanding of the system, existing power differentials, escaping from hardship, and a theme of proposed solutions for reducing family homelessness in the community.Conclusion: The findings illustrated the complex nature of family homelessness in Ontario; that the interaction of multiple systems can put families at risk of homelessness. Findings from this study underscore the need for urgent housing protocols aimed at educating homeless families on how to navigate and understand the system, enhance their conflict resolution skills, and develop strategies beyond relocation to help them to cope with difficulties with housing. [ABSTRACT FROM AUTHOR]

Unexpected observations of strong radiowave scatter at a ~85–90 km altitude with very high frequency radars were explained in the early 1990s, when it was demonstrated that these were due to special turbulent and small-scale scatterers with high Schmidt number. Studies of these phenomena have primarily been concentrated in polar regions, and the events seem most prominent in regions of very cold air (below 140 K). Such radar echoes are referred to as polar mesosphere summer echoes (PMSE), and are rare at lower latitudes. In this paper we report observations of similar scatterers at sites below 50° latitude. The nature of these scatterers is discussed and results are compared to observations at the polar site of Eureka, Canada. Mid-latitude observations at frequencies of 48.92 and 45.47 MHz were made, respectively, at Abitibi Canyon (49.9° N latitude) and Markstay (46.5° N latitude) in Ontario, Canada. In particular, we look at the relationship of these scatterers to geophysical parameters, especially the Ap index. Our results suggest that mesospheric air with temperatures less than 140 K now exists below 50° latitude. This may be an indication of an equator-ward creep of global mesospheric cooling (which is associated with the well-known tropospheric global warming), but the scatterers at lower latitudes also demonstrate correlation with the Ap index. On the other hand, the polar scatterers at Eureka demonstrated no correlation of any significance with Ap. The importance of these results in regard to the global distribution of mesospheric temperatures is discussed, and comparisons to other measurements are made. [ABSTRACT FROM AUTHOR]

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The federal government's role in Canadian health-care funding policy has historically been a matter of writing cheques to the provinces and territories, leaving the nuts and bolts of funding policy for the provinces and territories to work out. Unfortunately, provinces and territories are stuck in policies from the past that have led to underperformance of their health care systems even as their health budgets continue to grow. There are opportunities for the federal government to remove some of provinces' and territories' barriers to adopting new policies for funding health care. Episode-based payments could help break down barriers between and within sectors and providers. Episode-based payments create financial incentives by aligning care providers across settings, with physicians potentially engaging in financial risk-sharing partnerships. The American example, led by U.S. Medicare insurance, suggests that the use of episode-based payments can work for certain conditions even in siloed and fragmented settings. Similarly, capitation-based funding models create incentives for organizations to work together across sectors. Reducing fragmentation includes primary care-centred organizations that span physical and mental health, and requires improvements to the intersection between primary and secondary care. These new-to-Canada models allocate a pre-set budget to provider organizations for health care based on each resident's health. The goal of these primary care-focused models is to align funding with resident's long-term health outcomes. The federal government can use what leverage it has to remove provinces' and territories' barriers to funding policy reforms. The federal government can fund research into best practices, fund the development of new streams of data that better measure value from health care funding, and support ways to link social care data with health care data. On a per capita basis, combined provincial, territorial and federal spending on health care places Canada among the highest of wealthiest countries in the world. Progress on the quadruple aim is elusive and ill-measured. Frustratingly, money does not appear to be the primary reason for underperformance in health care; the problem is likely due to how it is spent. Ontario is experimenting, albeit narrowly and slowly, with some new initiatives in episode-based funding, without causing ruptures in Canadian society. Provincial and territorial funding policies involve costly trade-offs. COVID-induced pressures on health care may tip the balance of these trade-offs towards funding policies previously considered too dynamic. Even with the widespread aversion to use market forces that prevails in Canadian health care, the use of funding policies to shape new and different incentives or activities might work in Canada, too. [ABSTRACT FROM AUTHOR]

Jackfish Bay is an isolated bay on the north shore of Lake Superior, Canada that has received effluent from a large bleached-kraft pulp mill since the 1940s. Studies conducted in the late 1980s found evidence of reductions in sex steroid hormone levels in multiple fish species living in the Bay, and increased growth, condition and relative liver weights, with a reduction in internal fat storage, reduced gonadal sizes, delayed sexual maturation, and altered levels of circulating sex steroid hormones in white sucker (Catostomus commersonii). These early studies provided some of the first pieces of evidence of endocrine disruption in wild animals. Studies on white sucker have continued at Jackfish Bay, monitoring fish health after the installation of secondary waste treatment (1989), changes in the pulp bleaching process (1990s), during facility maintenance shutdowns and during a series of facility closures associated with changing ownership (2000s), and were carried through to 2019 resulting in a 30-year study of fish health impacts, endocrine disruption, chemical exposure, and ecosystem recovery. The objective of the present study was to summarize and understand more than 75 physiological, endocrine, chemical and whole organism endpoints that have been studied providing important context for the complexity of endocrine responses, species differences, and challenges with extrapolation. Differences in body size, liver size, gonad size and condition persist, although changes in liver and gonad indices are much smaller than in the early years. Population modeling of the initial reproductive alterations predicted a 30% reduction in the population size, however with improvements over the last couple of decades those population impacts improved considerably. Reflection on these 30 years of detailed studies, on environmental conditions, physiological, and whole organism endpoints, gives insight into the complexity of endocrine responses to environmental change and mitigation. [ABSTRACT FROM AUTHOR]

Background: Indigenous communities in Canada face significant challenges with intergenerational trauma, which manifests in substance use disorders. There is consensus that connecting treatment approaches to culture, land, community, and spiritual practices is a pathway to healing trauma and substance use disorders for Indigenous peoples. Indigenous residential addiction treatment programs have been established as the primary intervention to provide healing for Indigenous peoples with substance use disorders and intergenerational trauma. However, there is limited evidence demonstrating the effectiveness of these programs. In collaboration with the Benbowopka Treatment Centre, this paper describes a study protocol which aims to evaluate the effectiveness of blending Indigenous Healing Practices and Seeking Safety for the treatment of Indigenous patients with intergenerational trauma and substance use disorders. Methods: We will conduct a pre/post Quasi Experimental Community trial, to compare historical treatment outcomes for patients following the implementation of Indigenous Healing and Seeking Safety. We will conduct quantitative and qualitative analyses to understand the differences before and after the intervention is implemented. The pre- Indigenous Healing and Seeking Safety intervention study window will span from 2013 to 2016; n = 343, and the post-Indigenous Healing and Seeking Safety intervention study window from 2018 to 2020; n > 300. All participants will be enrolled in the Benbowopka residential treatment for the first time during the study periods. All data will be anonymized at the time of data entry. Propensity matching will be undertaken for patient characteristics, including sex/gender, age, and substance use type. Results and conclusions: The study findings could be used to inform intergenerational trauma and substance use disorders residential treatment programming for Indigenous communities across Canada. Our work will contribute to the field of community-based intergenerational trauma and substance use disorders programming by addressing objectives that consider: (a) the patient perspective, (b) the program perspective, and (c) the community perspective. The study findings may validate an innovative approach for evaluating the effectiveness of residential addiction treatment and particularly the effective and appropriate care for Indigenous patients with intergenerational trauma and substance use disorders. [ABSTRACT FROM AUTHOR]

• Developing a new optimization model for designing a tire closed-loop supply chain. • Presenting a Spherical fuzzy logic method to calculate the importance of suppliers. • Discussing the application of the model in Greater Toronto Area, Canada. • Solving the multi-objective model using the augmented ε -constraint method. • Performing extensive sensitivity analyses and analyzing the results. For tire manufacturers to remain profitable while fulfilling environmental and social obligations such as producer responsibility, the opportunity lies in designing a tire Closed-Loop Supply Chain (CLSC) which combines forward and reverse supply chains. In this paper, a new multi-objective mixed-integer linear programming model is proposed to configure and optimize a multi-echelon, multi-product, multi-period tire CLSC network based on multiple recovery options and markets. For one of the objectives of the model, the weighting factors (importance) of suppliers are determined according to a unique framework of qualitative criteria. In this respect, a novel decision-making method based on Spherical fuzzy logic is developed. Finally, the solution approach is devised based on the formulation of the augmented ε -constraint method for finding efficient solutions. The application of the model is illustrated focusing on the region of Greater Toronto Area in Ontario, Canada. The optimal quantities for the flows of products, and number and locations of open facilities of the network are computed. The results show that the selected suppliers and allocated orders from them are impacted by considering multiple objectives. [ABSTRACT FROM AUTHOR]

This paper extends the multistage procedure set out by Fried, Schmidt, and Yaisa-warng (1999) to examine the importance of environmental factors when assessing the technical efficiency of water agencies. However, following Simar and Wilson's (2007) critique of multistage efficiency analyses, the paper uses a bootstrapping approach in order to have consistent inference. Data are from a cross-section of municipal water agencies in Ontario, Canada, during 1996. The main findings are that environmental factors explain some of the observed variation in efficiency scores and that water agencies' relative efficiency scores are changed substantially after controlling for environmental factors. [ABSTRACT FROM AUTHOR]

Background: Over the last three decades, there has been worldwide recognition of peer support contributions to improve mental healthcare provision. However, in the current literature, little attention has been paid to exploring perspectives of peer supporters on their involvement in mental health services provision. The purpose of the present study was to examine peer supporters' perspectives on the implementation of a transitional discharge model (TDM), an intervention for the community integration of people with mental illness. Methods: This paper represents ethnographic qualitative data collected as part of a study that used mixed methods to evaluate the implementation of TDM across nine hospitals from the Province of Ontario, in Canada. The study involved a sample of 66 peer supporters, who were recruited from participating Consumer/Survivor Initiative Organizations and Peer Support Programs. The study collected data using two sets of focus groups, which were held at 6 months and 1-year post implementation. Data analysis used an ethnography model of qualitative analysis. Results: Peer supporters expressed that their involvement in mental healthcare enhanced clients' autonomy and hope about their recovery, as well as established a safety net and reduced hospital readmissions. Peer supporters articulated that they assumed several roles to facilitate clients' transition from hospital to the community. These roles included: assisting clients in building their capacity and developing healthy routines; attending regular on-ward and community meetings; accompanying clients to their appointments; and working with clients to set goals for their recovery. The study showed hindrances to effective implementation of peer support programs, such as a lack of understanding and appreciation of peer supporter roles, lack of careful allocation of peer supporters to clients, and an absence of appropriate protocols for ensuring the safety and supervision of the peer supporters. Conclusions: Results of the TDM implementation demonstrated that involving peer supporters in mental healthcare delivery may benefit clients by enhancing autonomy and hope about their recovery, as well as establishing a safety net and reducing hospital readmissions. Results from the study have the potential to inform healthcare professionals and managers of strategies for developing effective peer support programs. [ABSTRACT FROM AUTHOR]

Background: Mental health, substance use/addiction and violence (MSV) are important issues affecting the well-being of Indigenous People in Canada. This paper outlines the protocol for a research-to-action program called the Mental Wellness Program (MWP). The MWP aims to increase community capacity, promote relationship-building among communities, and close gaps in services through processes that place value on and supports Indigenous communities' rights to self-determination and control. The MWP involves collecting and using local data to develop and implement community-specific mental wellness strategies in five First Nations in Ontario. Methods: The MWP has four key phases. Phase 1 (data collection) includes a community-wide survey to understand MSV issues, service needs and community strengths; in-depth interviews with individuals with lived experiences with MSV issues to understand, health system strengths, service gaps and challenges, as well as individual and community resilience factors; and focus groups with service providers to improve understanding of system weaknesses and strengths in addressing MSV. Phase 2 (review and synthesis) involves analysis of results from these local data sources and knowledge-sharing events to identify a priority area for strategic development based on local strengths and need. Phase 3 (participatory action research approach) involves community members, including persons with lived experience, working with the community and local service providers to develop, implement, and evaluate the MWP to address the selected priority area. Phase 4 (share) is focused on developing and implementing effective knowledge-sharing initiatives. Guidelines and models for building the MWP are shared regionally and provincially through forums, webinars, and social media, as well as cross-community mentoring. Discussion: MWP uses local community data to address MSV challenges by building on community supports and resilience factors. Drawing on local data and each community's system of formal and informal supports, the program includes sharing exemplary knowledge-to-action models and wellness strategies developed by and for First Nations people that can be used by other First Nations to identify shared wellness priorities in each community, and determine and execute next steps in addressing areas of main concern. [ABSTRACT FROM AUTHOR]

This paper presents a simplified approach to quantify the contribution of individual factors to the historical growth or decline in total travel between two points in time. The method employs person trip rates and distributions of the individual characteristics at the two time points to determine the portion of urban person travel increase or decrease associated with the change in each factor. The paper presents the application of the approach to investigate changes in person travel in the Greater Toronto Area between 1986 and 1996. Specifically, the study determined the change in person travel attributed to each of the following factors independently: change in population size, change in age distribution, change in residential location distribution, and change in employment status distribution (full time, part time, work at home). The data were obtained from the 1986 and 1996 Transportation Tomorrow Surveys (TTSs).Key words: transportation planning, travel demand.Cet article présente une approche simplifiée afin de quantifier la contribution des facteurs individuels à l'augmentation/diminution historique du nombre total de voyages entre deux points dans le temps. La méthode utilise les taux de déplacements des individus et les distributions des caractéristiques individuelles aux deux points dans le temps afin de déterminer l'augmentation/diminution de la portion des déplacements des individus en ville associée au changement de chaque facteur. Ensuite, l'article présente l'application de l'approche afin d'étudier les changements des déplacements des individus dans le Grand Toronto entre 1986 et 1996. Plus particulièrement, l'étude a déterminé que le changement dans les déplacements des individus est attribué à chacun de ces facteurs indépendants, soit le changement dans la taille de la population, le changement dans la distribution de l'âge, le changement dans la distribution des locations résidentielles et le changement dans la distribution du statut d'emploi (temps plein, temps partiel, travail à la maison). Les données ont été obtenues dans le Transportation Tomorrow Surveys (TTS) de 1986 et 1996.Mots clés : planification des transports, demande de déplacements.[Traduit par la Rédaction] [ABSTRACT FROM AUTHOR]

Editorial. Highlights the topics discussed at the International Conference on Treatment Decision-Making in the Clinical Encounter held in Hamilton, Ontario. Type and amount of involvement that patients want in treatment decision-making; Different physician communication styles; Different approaches to treatment decision-making; Roles of patients and physicians in treatment decision-making.

This paper examines the determinants and consequences of delay in the union certification process using data from certification applications and unfair labor practice complaints (ULPs) from British Columbia (1986-98) and Ontario (1993-98). During the period studied, there were several changes in delay-related laws, including laws regulating the presence and stringency of election time limits and the availability of expedited ULP hearings. Key findings are that ULPs against the employer reduced the likelihood of compliance with time limit laws except where expedited ULP hearings also existed; employer-filed objections to the application reduced the likelihood of compliance; and election delay reduced the likelihood of certification success both in policy regimes without time limits and in those where stipulated time limits were frequently breached. Overall, the results suggest that enforced time limits on elections coupled with expedited ULP hearings may substantially mitigate the adverse effects of election delay on certification success. [ABSTRACT FROM AUTHOR]

This paper examines the effect of public opinion polls on the Toronto Stock Exchange (TSE) during the campaign, period of the 1988 Canadian general election. Two hypotheses are investigated: first, did polls influence the TSE, and secondly, if so, did the nature of the influence suggest that investors were reacting to expectations concerning the Canada-U.S. Free Trade Agreement (FTA)? I find that the TSE was positively related to Conservative popularity as measured by polls, but that the differential, movement of TSE subindices, while not inconsistent with an PTA based interpretation, does not offer much additional supporting evidence. [ABSTRACT FROM AUTHOR]