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The results and interpretations of published Canadian field studies on the reproductive status of fish in waters receiving pulp and paper mill effluent discharges were reviewed. Most of the information was obtained from indicator measurements such as gonad size, fecundity, and serum steroid levels in wild fish sampled at reference and effluent-exposed sites. Difficulties in selecting appropriate sampling sites, natural variability, and the ecological relevance of the indicator measurements were identified as major complicating factors for the interpretation of the field data. Consequently, it was not possible to conclude to what extent, if any, widespread effects on fish reproduction are being caused by pulp and paper mill effluents or that specific manufacturing processes are causing such effects. Further research on the normal variability and predictive capability of reproductive indicators, for example, using an integrated approach (i.e., laboratory testing, mesocosm studies, and field work), is recommended. [ABSTRACT FROM AUTHOR]

This paper examines the political history of the failed struggle to require companies to justify their plant closing decisions in Canada's industrial heartland of Ontario. Demands for the public review of plant closing decisions began, locally, in the auto town of Windsor in the 1950s and 1960s and reached Toronto with the closure of Dunlop Tire in 1970. Another wave of closures struck in 1980, this time reaching deep into rural and small-town Ontario as well as larger industrial towns and cities, generalizing concern. The resulting Select Committee on Plant Shutdowns and Employee Adjustment, created by the Ontario legislature, took it upon itself to conduct the kind of public review of recent closures that was long demanded. Due to the strength of the political opposition to any interference with management rights, it was essential that proponents could point to precedents in Western Europe. Trade unionists also grounded their argument in favour of government regulation in the moral economy idea that long-service workers accrued a proprietary right to their jobs. [ABSTRACT FROM AUTHOR]

Purpose: The prevalence of substance use disorders among incarcerated individuals in Canada is substantially higher than in the general population. Many incarcerated individuals with opioid use disorder remain untreated due to inadequate access to opioid agonist therapy (OAT). A considerable proportion of overdose-related deaths in the province of Ontario are individuals who have recently been released from prison. The purpose of this paper is to highlight that discontinuation of OAT as a disciplinary measure remains an active concern within prisons in Canada and places individuals with opioid use disorder at increased risk of relapse and resultant overdose death.Design/methodology/approach: This case report describes an incarcerated client with opioid use disorder who was initially stable on OAT, but was forcibly tapered off OAT as a disciplinary measure and subsequently relapsed to illicit opioid use while in custody.Findings: This case calls attention to concerns regarding treatment of opioid use disorder during incarceration, as forcible detoxification from OAT as a disciplinary measure is a highly dangerous practice. The authors discuss concerns regarding diversion and ways in which prison-based OAT programs can be improved to increase their safety and acceptability among correctional staff. Ongoing advocacy is required on the part of health-care workers and policymakers to ensure that individuals are able to appropriately access this life-saving therapy while incarcerated.Originality/value: To the best of the authors' knowledge, this is the first case report to describe forcible tapering of OAT as a disciplinary measure during incarceration. Despite existing evidence emphasizing the significant risk of overdose associated with detoxification from opioids, this case highlights the need for further research into the causes and prevalence of this practice. [ABSTRACT FROM AUTHOR]

Background: This paper provides a critical review of the decision‐making process of the Ontario Ministry of Health and Long‐Term Care (MOHLTC) regarding which migraine treatment drugs will be covered under the Ontario Drug Benefit Formulary (ODB). Main Text: Under MOHLTC policy, triptans and OnabotulinumtoxinA are available to patients only through the Exceptional Access Program (EAP). This policy, and justifications for it, are examined with reference to clinical guidelines, patient experiences, and health policy literature. The contexts and consequences of compromised access are outlined. Improvements in access to these treatments are suggested by highlighting how a country with similar healthcare infrastructure – Australia – employs policies that more adequately meet the needs of migraine patients as they secure treatments. Conclusions: Despite clinically significant gains in the discovery of safe and effective migraine‐specific treatments the ODB thus far has failed to align its practice with current clinical recommendations. This forces patients to rely heavily on medication that, while still effective for some, is potentially suboptimal. This review concludes it is prudent, at minimum, to follow clinical recommendations that advocate for the removal of triptans from EAP and recategorize them as Limited Use drugs. Ideally, moving them to a general benefit would further remove the barriers experienced by patients attempting to access this treatment. [ABSTRACT FROM AUTHOR]

Floating Catchment Area (FCA) methods are a popular tool to investigate accessibility to public facilities, in particular health care services. FCA approaches are attractive because, unlike other accessibility measures, they take into account the potential for congestion of facilities. This is done by 1) considering the population within the catchment area of a facility to calculate a variable that measures level of service, and then 2) aggregating the level of service by population centers subject to catchment area constraints. In this paper we discuss an effect of FCA approaches, an artifact that we term demand and level of service inflation. These artifacts are present in previous implementations of FCA methods. We argue that inflation makes interpretation of estimates of accessibility difficult, which has possible deleterious consequences for decision making. Next, we propose a simple and intuitive approach to proportionally allocate demandand and level of service in FCA calculations. The approach is based on a standardization of the impedance matrix, similar to approaches popular in the spatial statistics and econometrics literature. The result is a more intiuitive measure of accessibility that 1) provides a local version of the provider-to-population ratio; and 2) preserves the level of demand and the level of supply in a system. We illustrate the relevant issues with some examples, and then empirically by means of a case study of accessibility to family physicians in the Hamilton Census Metropolitan Area (CMA), in Ontario, Canada. Results indicate that demand and supply inflation/deflation affect the interpretation of accessibility analysis using existing FCA methods, and that the proposed adjustment can lead to more intuitive results. [ABSTRACT FROM AUTHOR]

The decision to substantiate child maltreatment is one of the many complex decisions workers must make daily. Utilizing data from the Ontario Incidence study 2013, this paper examines what child, family and environmental characteristics workers paid attention to when making the determination that a child had experienced maltreatment. This study adds to the Canadian body of research on factors that influence the decision to substantiate maltreatment by exploring the Ontario population. Caregiver risk factors, uncooperative parents, older children, and children with emotional or mental health concerns all increase the likelihood of substantiation. The decision to substantiate current maltreatment was strongly influenced by the workers' assessment of the future risk of maltreatment. Further research is need to explore worker and organizational factors that also influence this risk focus and how much of an influence the current risk assessment tools have on the workers' assessment of future risk and substantiation. [ABSTRACT FROM AUTHOR]

Reconciling diverse forest values within policy and decision-making processes is an ongoing challenge in forestry. The use of environmental impact assessment (EIA) provides potential for improving forest management and making it more responsive to diverse interests. This paper examines EIA in Canadian and Finnish forest planning. In Finland there has been a reluctance to see EIA as a tool for forest planning while in Canada some provinces have long applied EIA to forest management. Ontario, Canada, provides one example of applying EIA to forest planning at a range of scales in order to advance integrated planning and help conflict management. The paper provides a brief analysis of the Finnish forest planning system, an illustration of the Ontario EIA forest management experience, and then considers the application of EIA to Finnish forest management. The paper concludes that EIA may be workable for Finnish state forests and would likely enhance planning and management, but given the existing institutional frameworks EIA would be difficult to apply to private forests. [ABSTRACT FROM AUTHOR]

Abstract: This paper examines the provision of mobility options being one of the important policy areas vital to addressing transportation accessibility of the elderly. A provincial analysis, taking the case of the Province of Ontario in Canada, is warranted given that the country’s highly decentralized system puts provincial policies at the forefront in meeting this challenge. The paper evaluates the important progress made in this policy area and stressed the need to go beyond the traditional policy focus on the less able-bodied elderly and consider the increased heterogeneity of the elderly population with respect to lifestyle, preferences, resources, health and physical abilities. While significant efforts have been made, a more explicit recognition of population aging in Ontario’s transport policy motivation that could strongly influence transport strategies and investments attuned to the mobility concerns in an aging society remains to be seen. The paper summarizes the general concerns in the literature, policy developments, and the challenges in crafting solutions in terms of policy and research for Ontario and other regions with similar institutional setup. [ABSTRACT FROM AUTHOR]

Introduction and Aims The aim of our paper is to present trend data concerning public opinion on alcohol policy in the Canadian province of Ontario over a 16-year period (1996-2011), to assess if the level of support for alcohol control policies changed over this period and if any changes in public support for alcohol policy parallel real changes in alcohol distribution in Ontario. Design and Methods Selected policy-related items from 10 probability surveys of Ontario adults were analysed by means of logistic regression. Results A significant decline was found for attitudes supporting restricting corner stores sales and government control of liquor stores. A weaker decline was seen for attitudes towards reducing the number of places to buy alcohol. However, an increasing trend for attitudes favouring the status quo or greater control through taxes and hours of sale was found. There was no significant trend for attitudes towards maintaining the current level or reducing the number of liquor or beer stores. While there was some variation in trends in support by demographic characteristics and drinking level, not one sector stood out. Discussion and Conclusions A gradual erosion of support is evident and concurrent with gradual increase in access to alcohol in Ontario during the time-period under study. The decline in support for alcohol control measures seems to be a general rather than a focused development. It appears that this was largely due to a shift in a greater percentage supporting the status quo, not a move towards increasing access to alcohol. [ABSTRACT FROM AUTHOR]

Local bioenergy will play a crucial role in national and regional sustainable energy strategies. Effective siting and feedstock procurement strategies are critical to the development and implementation of bioenergy systems. This paper aims to improve spatial decision-support in this domain by shifting focus from homogenous (forestry or agricultural) regions toward heterogeneous regions--i.e., areas with a presence of both forestry and agricultural activities; in this case, eastern Ontario, Canada. Multiple land-cover and resource map series are integrated in order to produce a spatially distributed GIS-based model of resource availability. These data are soft-linked with spreadsheet-based linear models in order to estimate and compare the quantity and supply-cost of the full range of non-food bioenergy feedstock available to a prospective developer, and to assess the merits of a mixed feedstock stream relative to a homogenous feedstock stream. The method is applied to estimate bioenergy production potentials and biomass supply-cost curves for a number of cities in the study region. Comparisons of biomass catchment areas; supply-cost curves; resource density maps; and resource flow charts demonstrate considerable strategic and operational advantages to locating a facility within the region's "transition zone" between forestry and agricultural activities. Existing and emerging bioenergy technologies that are feedstock agnostic and therefore capable of accepting a mixed-feedstock stream are reviewed with emphasis on "intermediates" such as wood pellets; biogas; and bio-oils, as well as bio-industrial clusters. [ABSTRACT FROM AUTHOR]

This paper concentrates on a seminal figure in the history of Canadian education who has never previously been the subject of historical examination: Duncan McArthur. As Deputy Minister, then Minister of Education, in Ontario between 1934 and 1942, he guided the province’s public schools during a period of dramatic reorganisation within a context transformed throughout the interwar years by modernity, economic instability, urbanisation and industrialisation. Under McArthur’s leadership, revised programmes of study formally introduced the rhetoric of progressive education into Canada’s most populous public school system. This rhetoric wove together three distinct themes – meliorism, efficiency and child study – articulating a progressivist educational vision for Ontario’s teachers and students. [ABSTRACT FROM PUBLISHER]

In some communities in the Province of Ontario, Canada, economic development functions have been outsourced from departments within the city structure to external organizations such as economic development corporations (EDCs). This study takes an in-depth look at the activities of EDCs, with a focus on the rationale for outsourcing, EDCs' policies and strategies, cooperative efforts, and the challenges EDCs face. The paper is based on extensive interviews with 21 CEOs/presidents of these corporations. The findings indicate that EDCs are typically private-public partnerships that exist at local and regional levels, that this approach is part of a comprehensive strategy to deal with the changing field of economic development and the uncertain global economy. [ABSTRACT FROM AUTHOR]

The Access for Ontarians with Disabilities Act is developing standards for accessibility across the province. The Canadian Library Association has had service standards in place since 1997, so addressing accessibility in Ontario libraries is nothing new. However, public libraries are addressing new challenges to providing service as they transition from non-binding library association policy to binding legislation. This paper outlines a study of accessibility in Ontario public libraries through a capability-approach lens as described by Amartya Sen. [ABSTRACT FROM AUTHOR]

Moose (Alces alces) hunting and other means of forest food production employed by members ofFirstNations communities are undertaken as part oftheir treaty rights in Ontario, articulated in specific nation-to-nation agreements with the Government of Canada on behalf of the British Crown. Aroland First Nation in Northwestern Ontario is party to Treaty 9 (1905), which overtly protects the community's rights to hunt throughout the unoccupied tracts of Crown land claimed as "traditional territory." Traditional use supersedes provincial authority and, as such, is not managed by provincial policy or regulation. This jurisdictional divide has presented an interesting history and many challenges for both provincial managers and First Nations land users. Strained relationships between provincial authorities and First Nations, emergent from decades of misunderstandings of jurisdictional authority, have presented difficulty in all aspects of natural resource management. In this paper, we engaged community-based researchers in an exploration of the community's perspective of the current and historical management regime. In collaboration with community members, we interpret the results, discuss implications, and provide considerations for future managers and policy makers. We also quantified the annual moose harvest by Aro land and Ginoogaming First Nations that is only estimated by provincial managers; our results show provincial calculations may underestimate total harvests by up to 40%. This error could have significant implications for future moose populations, wildlife managers, and both provincial and First Nations hunters. The potential for such errors serves to highlight our call for provincial authorities to seek and engage First Nations perspectives and participation in moose management for the benefit of the entire community. [ABSTRACT FROM AUTHOR]

Canada’s book trade is fascinating not only because it really consists of two book trades—the Anglophone and the Francophone—but also because it is a site of intense and sustained policy interventions designed to foster greater domestic control. Examining the country’s book policies, Statistics Canada data, trade association membership rosters and trade directories, this paper reveals that Canada’s contemporary book trade is characterized by three features: circa 40 years of government interventions in response to foreign dominance; the central role of foreign firms despite these interventions; and the dominance of Toronto and Montreal as domestic sites of book production. [ABSTRACT FROM AUTHOR]

Background: This paper describes a study that explores the experiences of internationally educated nurses (IENs) in their efforts to gain entry to practice as Registered Nurses (RNs) in the province of Ontario, Canada. Aim: The aim was to uncover, in part, the issues related to professional nursing credentialling. Methods: This study was guided by a biographical narrative (qualitative) research methodology. A convenience sample of 12 IEN students volunteered for this study representing the Philippines, Mainland China, Korea, Ukraine and India. Findings: The findings were that the IENs progress through a three-phase journey in their quest for licensure in Ontario. These phases include: (1) hope – wanting the Canadian dream of becoming an RN in Ontario; (2) disillusionment – discovering that their home-country nursing qualifications do not meet Ontario RN entry to practice; and (3) navigating disillusionment – living the redefined Canadian dream by returning to nursing school to upgrade their nursing qualifications. Conclusions: Professional regulatory nursing bodies and nursing educators, as well as practising nurses, must be aware of the potentially confusing and unpleasant processes IENs go through as they qualify for the privilege of practising nursing in Ontario. [ABSTRACT FROM AUTHOR]

This paper focuses on the intersection between agriculture and tourism in which production and consumption come together in the form of wine tourism. Wine tourism is an experience which can be conceptualized at different geographical scales and which involves visitor perceptions of physical landscapes and built environment, as well as human interactions. Survey research in Niagara, Ontario wineries is used to provide a general profile of visitors to the winery region and to examine visitor assessment of the wine tourism experience from both a human service quality and an environmental contextual perspective. Overall, the rural landscape is found to be highly important in visitor enjoyment of the wine tourism experience. Niagara is a region of rapid wine tourism growth and this study raises issues in terms of the symbiosis between wineries and tourists and the quality of the wine tourism experience. [ABSTRACT FROM AUTHOR]