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At Durham College in September 2021, a new program of study was launched in Fitness and Health Promotion (FHP) that included an increased focus on health promotion and wellness curriculum. The current study investigated how perceived wellness, motivation, and self-directed learning measures change as students progress through the new FHP program and examined correlations between the perception of wellness, motivation, self-directed learning measures, and academic success. As students progressed through the program there was an increase in perceived wellness (p

If “transcendental homelessness” is the modern condition, Lawrence is an especially instructive example of how to live within it. His emigré life, partly imposed and partly chosen, was experienced with a vivid appreciation of the “spirit of place,” and of places. Perhaps for Lawrence to be at home was a cosmic state experienced most intensely through a life on the move. Martin Heidegger similarly speaks of dwelling as a state of Being and invokes Hölderlin’s words “poetically, man dwells on this earth.” But home is a temporal as well as a spatial location and whereas Heidegger privileges the rootedness of ancestral continuity, Lawrence, who also dwelt poetically, seems to seek a world always new, or renewed. The present paper seeks to illustrate this contrast by examining several moments in the oeuvre.

During the 2023 Canadian Bioethics Society forum, 28 practicing healthcare ethicists (PHEs) and other attendees from across Canada, including bioethics students and fellows, gathered virtually for a collaborative workshop entitled “Towards Evaluating Clinical Ethics Consultation Effectiveness: Engagement in a Scoping Review of Reported Outcomes”. The workshop was open to all members of the bioethics community who registered for the forum but was designed primarily for PHEs.

In March 2020, a significant amount of education moved online because of the COVID-19 pandemic restrictions. Due to these restrictions, Durham College offered an alternative online synchronous option (virtual lab delivery) in September 2021 and students were given an option to select their preferred lab option for one course, Fitness Assessment 1. While online delivery has advantages (accessibility, convenience, and reduced costs), student success requires elevated levels of motivation and the capacity to self-direct learning. It is important to ensure the quality of online synchronous delivery in post-secondary education and investigate how a virtual lab option (online synchronous delivery) impacts self-directed learning (SDL), motivation, self-regulated learning (SRL), and academic success. Students were recruited from the virtual lab group (n = 13) and the in-person lab group (n = 10) and completed questionnaires at baseline (week 1) and following the course (week 14). The effect of SRL and motivation was measured by the Motivated Strategies for Learning Questionnaire (MSLQ) and the effects of SDL was measured by the Self-directed Learning Readiness Scale (SDLRS). This study also investigated the impact of delivery method on academic success (as measured by final calculated grade). Both delivery groups scored >150 on the SDLRS at both timepoints indicating a high readiness for self-directed learning. There was a significant effect of delivery method for the overall MSLQ score (p = 0.009) as well as the MSLQ learning domain (p = 0.005) with higher scores achieved by the virtual learning group. There was a trend towards higher final calculated grade for the in-person delivery group (84.3%) as compared to the virtual group (80.1%). These findings suggest that the students who selected the virtual learning option possessed a greater capacity to self-regulate their learning process using metacognitive and behavioral strategies. This has implications for post-secondary education design and implementation as certain predispositions may make some students more likely to engage in self-directed learning and students may require differential educational approaches based on these differences.

ABSTRACTBackground Balance between benefits and harms of using opioids for the management of chronic noncancer pain (CNCP) must be carefully considered on a case-by-case basis. There is no one-size-fits-all approach that can be executed by prescribers and clinicians when considering this therapy.Aim The aim of this study was to identify barriers and facilitators for prescribing opioids for CNCP through a systematic review of qualitative literature.Methods Six databases were searched from inception to June 2019 for qualitative studies reporting on provider knowledge, attitudes, beliefs, or practices pertaining to prescribing opioids for CNCP in North America. Data were extracted, risk of bias was rated, and confidence in evidence was graded.Results Twenty-seven studies reporting data from 599 health care providers were included. Ten themes emerged that influenced clinical decision making when prescribing opioids. Providers were more comfortable to prescribe opioids when (1) patients were actively engaged in pain self-management, (2) clear institutional prescribing policies were present and prescription drug monitoring programs were used, (3) long-standing relationships and strong therapeutic alliance were present, and (4) interprofessional supports were available. Factors that reduced likelihood of prescribing opioids included (1) uncertainty toward subjectivity of pain and efficacy of opioids, (2) concern for the patient (e.g., adverse effects) and community (i.e., diversion), (3) previous negative experiences (e.g., receiving threats), (4) difficulty enacting guidelines, and (5) organizational barriers (e.g., insufficient appointment duration and lengthy documentation).Conclusions Understanding barriers and facilitators that influence opioid-prescribing practices offers insight into modifiable targets for interventions that can support providers in delivering care consistent with practice guidelines.

ABSTRACTBackground Chronic pain affects approximately one in every five Canadians and has a substantial impact on psychological well-being, relationships, ability to attend work or school, and overall functioning.The Ottawa Hospital Pain Clinic introduced orientation sessions, with the aim of providing new patients with pain education to help prepare patients for engagement with multimodal pain management strategies. This report summarizes the results of a formative evaluation of the orientation session at The Ottawa Hospital Pain Clinic to determine whether patients perceived the orientation session as beneficial.Methods Interviews were conducted, transcribed, and then thematically analyzed to understand patients’ perspectives on the orientation session. Coding was done by two team members using the constant comparison analyses method with key ideas, concepts, and patterns identified and compared to identify similarities.Results Between September 6 and October 18, 2019, 18 patients attended an orientation session and 12 consented to participation and completed telephone interviews. The six themes identified included (1) feeling of community, (2) participants feeling heard by providers, (3) appreciation of the holistic approach, (4) availability of community resources, (5) barriers to access, and (6) discordant feelings of preparedness for the physician appointment.Conclusion Results from this evaluation indicate that the orientation session offered at The Ottawa Hospital Pain Clinic improves chronic pain literacy, reduces feeling of isolation, and instills hope. As such, it appears to be a valuable component of pain clinic programs.

I begin by revisiting Lawrence’s reading of Dana’s Two Years before the Mast reading it not as a critique of Dana but as a Lawrencian fiction in which the sea plays a central symbolic role. As Lawrence reflects on the vital relation of the human and the non-human, the sea seems to represent its destructive possibilities which Dana and Melville variously encounter, and thereby allow Lawrence to explore. In the Dana essay it is especially necessary, but not easy, to hold in focus the competing levels of the literal and scientific, on the one hand, and the metaphorical and visionary on the other. Sometimes the relation is strained as I suggest occurs in the flogging episode but this double vision is the basis for appreciating Lawrence’s representation of the sea.

The SpongeScapes project aims to accelerate understanding Nature-based Solutions (NBS) that enhance the sponge functioning of soil, groundwater, and surface water ecosystems, improving landscape resilience against hydrometeorological extremes across diverse climates. One NBS being explored within SpongeScapes is the adoption of Regenerative Agricultural Practices (RAPs) such as reduced tillage and cover cropping. These practices can improve soil health and potentially increase water retention capacity, compared to conventional agriculture practices that degrade soil structure and porosity. However, quantifying RAP benefits is challenging due to the delayed soil response to management changes. This report discusses an exploratory approach of back-analysing long-term soil moisture datasets to assess the impacts of RAPs on soil water retention capacity. By inferring changes in saturated water content (proxy for porosity), findings from trend analyses on UK case studies provide insights into the potential of RAPs as an NBS for enhancing landscape water resilience through improved soil sponge functioning.

The European-inspired bilingualism and bi-legal system in Cameroon lead to an irregular profile and may be interesting for the European Union (EU) in its quest for preservation of intercultural processes through translation. The Organization for the Harmonization of Business Law in Africa (OHADA) of which Cameroon is part is only affiliated to Civil Law. However, the two legal systems employed in Cameroon (where both Civil Law and Common Law are used) are based on a balance in what concerns the conceptual, epistemic and stylistic representation. Intercultural dysfunction is the consequence of the lack of methodology in legal translation. Collaboration between legal translators and practitioners is key to adopt an agreed-upon model in multilingualism.

Image Based Sexual Abuse (IBSA) denotes the creation, distribution, and/or threat of distribution of intimate images of another person online without their consent. The present study aims to extend emerging research on perpetration of IBSA with the development and preliminary validation for the moral disengagement in IBSA scale, while also examining the role of the dark triad, sadism, and sexism in a person’s likelihood to perpetrate IBSA. One hundred and twenty English speaking participants (76 women, 44 men; mean age=33 years) were recruited via social media. Machiavellianism and psychopathy were found to predict IBSA proclivity, whilst rivalry narcissism predicted greater feelings of excitement and amusement towards IBSA. Moral disengagement predicted IBSA proclivity and blaming the victim. It was also positively related to greater feelings of amusement and excitement towards IBSA. This suggests a distinct personality profile of IBSA perpetrators, and that moral disengagement mechanisms play a role in facilitating and reinforcing this behaviour.

Writing centres play a vital role in supporting all forms of student academic writing in higher education (HE) institutions, including digital writing projects (DWPs)—multiliterate and multimodal, often video-and-audio-based projects, produced using digital technologies. The importance of writing support for multimodal composing is evident in emerging research on both the multi-skilled practices of writer-designers and the conceptual shifts involved in their adoption. Currently, no research exists regarding the Canadian context of writing centre support for DWPs. To address this, we conducted two surveys: one of 22 Canadian writing centres asking about DWPs prevalence, technology and skills readiness, and DWP awareness; and one of faculty at a large Canadian university, asking about DWPs prevalence and frequency and types of DWP assignments. We find a significant disconnect between the number of DWPs being assigned by faculty and the number being supported in writing centres. We also find a significant lack of writing centre preparedness for supporting DWPs. This paper calls, with some urgency, for writing centres to invest in the reality of student writing in Canadian HE, to begin developing instructional materials, equipment, and skilled staff to support DWPs.Les centres d’écriture jouent un rôle essentiel pour soutenir toutes les formes d’écriture des étudiants et des étudiantes universitaires dans les établissements d’enseignement supérieur, y compris pour les projets de rédaction numérique - multilittéraires et multimodaux - projets qui sont souvent basés sur la vidéo et l’audio et produits à l’aide de technologies numériques. L’importance du support d’écriture pour les compositions multimodales est évident dans le cas des recherches qui portent sur les pratiques polyvalentes des rédacteurs-concepteurs et des rédactrices-conceptrices et sur les changements conceptuels liés à leur adoption. À l’heure actuelle, il n’existe aucune recherche sur le contexte canadien de soutien offert par les centres d’écriture pour les projets de rédaction numérique. Afin de redresser cette situation, nous avons mené deux sondages : le premier auprès de 22 centres d’écriture canadiens, à qui nous avons posé des questions sur la prévalence des projets de rédaction numérique, sur la technologie et la préparation aux compétences, et sur la prise de conscience des projets de rédaction numérique; le second auprès de professeurs et de professeures qui enseignent dans des universités canadiennes, à qui nous avons posé des questions sur la prévalence, la fréquence et les types de projets de rédaction numérique assignés aux étudiants et aux étudiantes. Nous avons trouvé qu’il existait un décalage important entre le nombre de projets de rédaction numérique assignés par les professeurs et les professeures et le nombre de ces projets soutenus par les centres d’écriture. Nous avons également trouvé qu’il existait un manque important de préparation pour soutenir les projets de rédaction numérique. Dans cet article, nous demandons aux centres d’écriture, avec une certaine urgence, d’investir dans la réalité de l’écriture des étudiants et des étudiantes dans les universités canadiennes, afin de commencer à développer du matériel d’instruction, de l’équipement et du personnel compétent pour soutenir les projets de rédaction numérique.

Introduction: Sensitive mother-infant interactions are important predictors of long-term mother-infant relationship, which is one factor having a positive impact on infant development. Considering preterm infants’ immaturity, mother-infant interactions and maternal sensitivity may not develop optimally. A systematic review showed that current evidence on the effectiveness of parent-infant interventions promoting parental sensitivity in the neonatal intensive care unit (NICU) is of low to very low quality. Objective: The objective of this paper is to report the development process of a novel nursing intervention, using a theory and evidence-based approach, to enhance maternal sensitivity and preterm infant neurodevelopment in the NICU. Methods: The Medical Research Council’s guidance to develop and evaluate complex health interventions, that is an evidence and theory-based approach, was used for this study. Thus, based on the MRC framework, three main steps were conducted: 1- Identifying existing empirical evidence; 2- Identifying and developing theory; 3- Modeling processes and outcomes. Results: We developed a guided participation intervention for mothers to participate in their preterm infant’s care and positioning (‘GP_Posit’). ‘GP_Posit’ is based upon the Attachment theory, the Guided Participation theory as well as the Synactive theory of development. Conclusion: This novel intervention is being tested in a pilot randomized controlled trial (NCT03677752).

Efforts to date have not advanced Indigenous participation, capacity building and knowledge in Arctic environmental science in Canada because Arctic environmental science has yet to acknowledge, or truly practice decolonizing research. The expanding literature on decolonizing and Indigenous research provides guidance towards these alternative research approaches, but less has been written about how you do this in practice and the potential role for non-Indigenous research partners in supporting Inuit self-determination in research. This paper describes the decolonizing methodology of a non-Indigenous researcher partner and presents a co-developed approach, called the Sikumiut model, for Inuit and non-Indigenous researchers interested in supporting Inuit self-determination. In this model the roles of Inuit and non-Indigenous research partners were redefined, with Inuit governing the research and non-Indigenous research partners training and mentoring Inuit youth to conduct the research themselves. The Sikumiut model shows how having Inuit in decision-making positions ensured Inuit data ownership, accessibility, and control over how their Inuit Qaujimajatuqangit is documented, communicated, and respected for its own scientific merit. It examines the benefits and potential to build on the existing research capacity of Inuit youth and describes the guidance and lessons learned from a non-Indigenous researcher in supporting Inuit self-determination in research.

Introduction : La rétroaction vidéo (RV) constitue une intervention efficace pour favoriser la sensibilité maternelle. La RV n’a pas été étudiée en contexte d’allaitement maternel (AM) auprès de mères vivant en contextes de vulnérabilité sociale et économique. Objectif : Examiner la faisabilité, l’acceptabilité et les effets préliminaires de la RV et de l’information de soutien à l’établissement de la relation mère-enfant dans le contexte d’AM auprès de mères participant à un programme communautaire. Méthodes : Une étude pilote à laquelle ont participé 20 mères, dont 6 dans le groupe A (2 RV), 6 dans le groupe B (1 RV) et 8 dans le groupe C (témoin), ainsi que 8 infirmières. Pendant la rétroaction, l’infirmière arrête la bande vidéo afin d’aider la mère à reconnaître une interaction positive entre elle et son enfant. Les participantes ont rempli un questionnaire d’acceptabilité et de faisabilité et participé à une entrevue. Les mères ont rempli un questionnaire sur la sensibilité maternelle et un autre sur l’allaitement. Résultats : Les participantes ont trouvé la RV acceptable et faisable. La RV n’a pas eu d’effet sur la sensibilité maternelle. La durée totale de l’allaitement semblait plus longue dans les groupes expérimentaux. De plus, les infirmières ont trouvé la RV utile pour renforcer la relation infirmière-mère. Discussion et conclusion : La RV est acceptable et faisable du point de vue des mères et des infirmières. Deux RV semblent plus satisfaisantes pour les mères qu’une seule. Plus d’études sont nécessaires pour évaluer l’efficacité de la RV.

Understanding the epidemiology of COVID-19 among children and youth in Canada will help to inform public health measures in settings where children gather. As of April 27, 2020, provinces and territories provided the Public Health Agency of Canada with detailed information on 24,079 cases, of which 3.9% (n=938) were younger than 20 years of age. The detection rate per 100,000 population was lower in this age group (11.9 per 100,000), compared with those aged 20–59 years (72.4 per 100,000) and 60 and older (113.6 per 100,000). The median age among those younger than 20 years of age was 13 years, and cases were distributed equally across male and female genders. Among provinces and territories with more than 100 cases, 1.6% to 9.8% of cases were younger than 20 years of age. Cases in this age group were more likely to be asymptomatic: 10.7% compared with 2.4% in those aged 20–59 years and 4.1% in those aged 60 and older. Children and youth experienced severe outcomes less often, but 2.2% (n=15/672) of cases within this age group were severe enough to require hospitalization. Based on available exposure information, 11.3% (n=59/520) of cases aged younger than 20 years had no known contact with a case. Canadian findings align with those of other countries.

La compréhension de l’épidémiologie de la COVID-19 chez les enfants et les jeunes au Canada aidera à éclairer les mesures de santé publique dans les milieux où les enfants se rassemblent. En date du 27 avril 2020, les gouvernements des provinces et territoires ont fourni à l’Agence de la santé publique du Canada des renseignements détaillés sur 24 079 cas, dont 3,9 % (n = 938) avaient moins de 20 ans. Le taux de détection pour 100 000 habitants était plus faible dans ce groupe d’âge (11,9 pour 100 000), par rapport aux personnes âgées de 20 à 59 ans (72,4 pour 100 000) et de 60 ans et plus (113,6 pour 100 000). L’âge médian des personnes de moins de 20 ans était de 13 ans, et les cas étaient répartis également entre les hommes et les femmes. Parmi les provinces et territoires comptant plus de 100 cas, 1,6 % à 9,8 % des cas étaient âgés de moins de 20 ans. Les cas de ce groupe d’âge étaient plus susceptibles d’être asymptomatiques, soit 10,7 % comparativement à 2,4 % chez les 20 à 59 ans et à 4,1 % chez les 60 ans et plus. Les enfants et les jeunes ont moins souvent connu des résultats graves, mais 2,2 % (n = 15/672) des cas dans ce groupe d’âge étaient suffisamment graves pour nécessiter une hospitalisation. Selon les renseignements disponibles sur l’exposition, 11,3 % (n = 59/520) des cas âgés de moins de 20 ans n’avaient aucun contact connu avec un cas. Les résultats du Canada correspondent à ceux d’autres pays.

Sintering and microstructural development in ceramics has long been studied in a two-dimensional grain size-density space, with only texture (i.e. deviation of grain orientation from random) used to gain first insights into additional parametric spaces. Following an increased interest for grain boundary engineering and a deeper understanding of dopant effects on sintering and grain boundaries, the theory of complexion transitions for ceramics has been introduced over the last decade, providing a new base for advanced microstructure engineering in ceramics. With emergence of high entropy ceramics over the last 5 years, the combination of both yields new grounds for exploration and engineering of functional ceramic materials of the future.

Implication Statement Medical education is increasingly delivered at distributed sites away from Academic Health Sciences Centres. The Council of Ontario Faculties of Medicine recommends schools develop resources and metrics to foster regional campus scholarly activity. Opportunities for distributed program trainees must support learning core skills in research and critical appraisal to comply with medical school accreditation standards and to develop their interests and skills in scholarly work for their future medical careers. We describe a scholarly activity program that is a template for distributed campuses or regional teaching sites seeking to increase learner and faculty engagement and research productivity.

Background Access to multidisciplinary pain management treatment in Canada is limited, with wait times up to 4 years. Stepped care approaches to mental health treatment have led to substantial reduction and elimination of wait times and may be applicable to chronic pain settings. There is no unifying framework for stepped care chronic pain programs. A systematic review of the efficacy of stepped care in chronic pain management conducted by the Canadian Agency for Drugs and Technologies reported varied results that may be due to heterogeneous stepped care models across facilities. Aim We propose a unifying framework for multidisciplinary stepped care chronic pain programs and present its application at The Ottawa Hospital Pain Clinic. The Ottawa Hospital stepped care framework is an eight-tiered approach that allows patients the opportunity to decide collaboratively with a health care professional which treatment program will best suit their needs for the management of chronic pain. As levels of stepped care increase, the time and resource commitment to each step will also increase. Treatment is stepped up or down, depending on patient needs. Method This is a descriptive case study. Results Implementing the interprofessional model of care with the stepped care program has eliminated wait times for access to The Ottawa Hospital Pain Clinic Interprofessional Chronic Pain Management Program and has improved communication between professions of the interprofessional team, resulting in better care for patients. Conclusion More research is needed to further develop and evaluate the clinical efficacy of stepped care to manage chronic pain.

Tragedy is one of those terms which refers both to a specific literary genre and to a general world view. The two meanings are to be distinguished but cannot perhaps be fully separated since the ambiguous relation between art and life underwrites the power and significance of the form. At the same time this relation has a different meaning when approached from either side. Lawrence’s remark that “tragedy ought really to be a great kick at misery” sits at the heart of this ambiguity. It seems to be a Nietzschean affirmation of life through the tragic experience; an affirmation for which Yeats’s poem “Lapis Lazuli” provides perhaps the most striking example in English. Yet Lawrence was hostile to the mode of aestheticism represented by Nietzsche and Yeats. Where they assimilate life into art, he constantly distrusts any art, even an affirmative one, that claims a privileged standpoint on life.

INTRODUCTION: Health care data accuracy feeds the development of sound healthcare policy and the prioritisation of interventions in scarce resource environments. We designed a retrospective study at the sole paediatric government hospital in Sierra Leone to examine mortality statistics, specifically: the accuracy of mortality data collected in 2017; and the quality of cause of death (CoD) reporting for 2017. METHODS: the retrospective audit included all available mortality statistics collected at the hospital during the 2017 calendar year. For the purpose of calculating a mortality rate, admission data was additionally gathered. Four different hospital entities were identified that collected mortality data (the Monitoring and Evaluation (MandE) office; the nurse ledgers; the office of births and deaths; and the mortuary). Data from each hospital entity were used the comparative analysis. RESULTS: striking differences were found in the rate of hospital mortality reported by different entities. The M and E office (responsible for providing data to the ministry of health and sanitation) reported a hospital mortality rate of 2.94% in 2017. Mortuary and nursing admissions records showed a hospital mortality rate of 18.7%. Discrepancies and issues of quality in CoD reporting between hospital entities were identified. CONCLUSION: significant variations were found in the generation of official hospital mortality data. Mortality data informs health service prioritisation, resource distribution, outcome measures and epidemiological surveillance. Resources to support quality improvement initiatives are needed in the creation of an in-hospital system that reports accurate data with a process for real-time institutional data feedback.

Background: Undergraduate medical students seek as much information as possible as to how residency programs select candidates. The Canadian Residency Matching Service (CaRMS) website is one of their primary sources of information. Students may be more competitive in the match if they know whether scholarly activity is used in the selection process by their preferred programs, as described on the CaRMS website.. Methods: For all 17 Canadian faculties of medicine, 2019 R1 entry internal medicine, family medicine and pediatrics program descriptions were reviewed on the CaRMS website looking for keywords related to scholarly activity. Results: Forty-one percent of family medicine, 65% of internal medicine and 71% of pediatric programs explicitly stated having interest in applicants with scholarly experience. In Western Canada, 80% of internal medicine and 60% of pediatrics programs included scholarly activity in their CaRMS description of criteria considered in ranking applications. Similarly, in Ontario, 66% of internal medicine and 83% of pediatrics programs mentioned scholarly activity as a valuable quality. In Quebec 100% of family medicine and 50% of pediatrics programs include scholarly activity in their descriptions. Pediatrics and internal medicine programs (100%) in Atlantic Canada mentioned scholarly activities but neither of the two Atlantic Canada internal medicine programs mentioned scholarly activities. Conclusion: Undergraduate medical students can use this project to prioritize extracurricular activities and scholarly work to be competitive for application to family medicine, internal medicine and pediatrics residency programs.

Background: The Michael G. DeGroote School of Medicine expanded its medical education across three campus sites (Hamilton, Niagara Regional and Waterloo Regional) in 2007. Ensuring the efficacy and equivalency of the quality of training are important accreditation considerations in distributed medical education. In addition, given the social accountability mission implicit to distributed medical education, the proportion of learners at each campus that match to family medicine residency programs upon graduation is of particular interest. Methods: By way of between campus comparisons of Canadian Residency Matching Service (CaRMS) match rates, this study investigates the family medicine match proportion of medical students from McMaster’s three medical education campuses. These analyses are further supported by between campus comparisons of Personal Progress Index (PPI), Objective Structured Clinical Examination (OSCE), Medical Council of Canada Qualifying Examination-Part 1 (MCCQE1) performances that offer insight into the equivalency and efficacy of the educational outcomes at each campus. Results: The Niagara Regional Campus (NRC) demonstrated a significantly greater proportion of students matched to family medicine. With respect to education equivalency, the proportion of students’ PPI scores that were more than two SD below the mean was comparable across campuses. OSCE analysis yielded less than 2% differences across campuses with no differences in the last year of training. The MCCQE1 pass rates were not statistically significant between campuses and there were no differences in CaRMS match rates. With respect to education efficacy, there were no differences among the three campuses’ pass rates on the MCCQE1 and CaRMS match rates with the national rates. Conclusions: Students in all campuses received equivalent educational experiences and were efficacious when compared to national metrics, while residency matches to family medicine were greater in the NRC. The reasons for this difference may be a factor of resident and leadership role-models as well as the local hospital and community environment.

Rachael, Katelyn, Pam and Matt take up Sara Ahmed’s (2012) concepts of fleeting encounters and brick walls as they reflect on the feminist and decolonizing nature of their work. This paper is the product of months of conversation between the co-authors. Through the use of autoethnographical and participatory approaches, the authors seek to invite the reader into a co-constructed space where mutual support and inspiration shape the future actions of the participants as they grapple with their ethical responsibilities as learners and educators.

The usefulness of fragments of organic material preserved in the environment of metallic objects in a funerary context has been widely demonstrated in Switzerland and Germany. Their detailed study provides valuable information on practices, clothing and sepulchral deposits. This kind of approach is rarely observed in France. Some of the methods have been tested on a few graves of an important cemetery discovered in Harfleur (Seine-Maritime). This article offers a historiographical overview of the topic in question, a critical review of sampling techniques, global facts on organic materials conservation, the method of extraction and recording, as well as comments on the difficulties of identification or interpretation. The issue of renditions is also discussed. Many examples and four case studies illustrate the results.

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The Beringian Coevolution Project (BCP), a field program underway in the high northern latitudes since 1999, has focused on building key scientific infrastructure for integrated specimen-based studies on mammals and their associated parasites. BCP has contributed new insights across temporal and spatial scales into how ancient climate and environmental change have shaped faunas, emphasizing processes of assembly, persistence, and diversification across the vast Beringian region. BCP collections also represent baseline records of biotic diversity from across the northern high latitudes at a time of accelerated environmental change. These specimens and associated data form an unmatched resource for identifying hidden diversity, interpreting past responses to climate oscillations, documenting contemporary conditions, and anticipating outcomes for complex biological systems in a regime of ecological perturbation. Because of its dual focus on hosts and parasites, the BCP record also provides a foundation for comparative analyses that can document the effects of dynamic change on the geographic distribution, transmission dynamics, and emergence of pathogens. By using specific examples from carnivores, eulipotyphlans, lagomorphs, rodents, ungulates, and their associated parasites, we demonstrate how broad, integrated field collections provide permanent infrastructure that informs policy decisions regarding human impact and the effect of climate change on natural populations.

INTRODUCTION: le cancer de l'œsophage est une affection rare. Le pronostic péjoratif est lié au diagnostic tardif. La survie à 5 ans est de moins de 20%. Le but de ce travail était de rechercher les facteurs associés à la survie des patients atteints d'un cancer de l'œsophage au Cameroun.Méthodes: il s'agissait d'une étude pronostique, sur une période de 11 ans allant du 1er janvier 2005 au 31 décembre 2015 dans les Hôpitaux Généraux de Yaoundé et de Douala. Les paramètres étudiés étaient ceux associés à la survie. La survie était établie en fonction de la date du diagnostic et de la date du décès ou de la dernière consultation. Le logiciel SPSS (Statistical Package for Social Sciences) version 23 a permis l'analyse des données. La survie était présentée sous forme de courbe de Kaplan Meier. Le Test de Log Rank a permis la comparaison entre les différents groupes. La régression de Cox a permis de ressortir les différents facteurs associés. Le seuil de significativité était de 0,05.Résultats: nous avons colligé 49 dossiers. L'âge moyen était de 57,83 ans. Le sexe masculin était présent dans 71,4% (n = 35) des cas pour un sex ratio à 2,49. Le suivi moyen était de 3,2 mois. La médiane de survie était de 6,67 mois (IC95% [1,33-10,4]) et la moyenne de survie était de 7,99 mois (IC95% [4,42-11,17]). En analyse multivariée après ajustement il ressortait que le stade IV était un facteur prédictif de mortalité (HR = 2,79; IC95% [1,13-6,89], p = 0,025]).Conclusion: le cancer de l'œsophage reste une affection rare au pronostic péjoratif. Le facteur pronostique est le stade tumoral.

Background: Fetal alcohol spectrum disorder (FASD), a complex diagnosis that includes a wide range of neurodevelopmental disabilities, results from exposure to alcohol in the womb. FASD remains poorly understood by Canadians, which could contribute to reported stigma faced by both people with FASD and women who drink alcohol while pregnant. Methods: To better understand how information about FASD is presented in the public sphere, we conducted content analysis of 286 articles from ten major English-language Canadian newspapers (2002-2015). We used inductive coding to derive a coding guide from the data, and then iteratively applied identified codes back onto the sample, checking inter-coder reliability. Results: We identified six major themes related to clinical and scientific media content: 1) prevalence of FASD and of women’s alcohol consumption; 2) research related to FASD; 3) diagnosis of FASD; 4) treatment of FASD and maternal substance abuse; 5) primary disabilities associated with FASD; and 6) effects of alcohol exposure during pregnancy. Discussion: Across these six themes, we discuss three instances of ethically consequential exaggeration and misrepresentation: 1) exaggeration about FASD rates in Indigenous communities; 2) contradiction between articles about the effects of prenatal alcohol exposure; and 3) scientifically accurate information that neglects the social context of alcohol use and abuse by women. Respectively, these representations could lead to harmful stereotyped beliefs about Indigenous peoples, might generate confusion about healthy choices during pregnancy, and may unhelpfully inflame debates about sensitive issues surrounding women’s choices.

Various concepts and practices of reproduction are central to the work of Canadian embroidery artist Anna Torma, even when the artist’s materials and techniques impede manual, mechanical, or digital reproduction of the work itself. Reproduction is at once a creative act, a literal and metaphorical genealogy, and a biological imperative; it becomes a sort of guiding principle in Torma’s embroideries. Through her use of art works created by others and through the recurring themes of biology and evolution, Torma creates artistic and familial genealogies that demonstrate new ways of thinking about reproduction in/of textile art.

In many ways, the British General Election campaign of 2017 marked a return to ‘old politics’ with the reaffirmation of a two-party system and levels of voter turnout not seen in 25 years. The Conservative Party, as in previous elections, relied to a considerable extent on negative campaigning and pledged to implement traditional conservative policies supporting grammar schools and blood sports. Yet, the campaign also appeared to be characterised by a ‘new politics’, embodied by the style and policies of the Labour Party leader Jeremy Corbyn. This was a politics that largely relied on positive campaigning and mobilised grassroots activism to an extent rarely seen before, ensuring that it inspired new voters. This article focuses on the role of the ‘new politics’ in the election campaign before moving on to discuss the future of such politics under Labour in opposition and perhaps in power. It will be asked to what extent ordinary people can help shape Labour Party policy, questioning whether Labour can manage to liberate itself from its own internal party machinery and from its traditional reliance on the State in order to move durably beyond the ‘old politics’ towards a democratised ‘new politics’.

Entretien avec Pan Bouyoucas, Montréal, le 23 mars 2016