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Background: Family violence, which includes intimate partner abuse, child abuse, and elder abuse, is a serious public health concern. Primary healthcare (PHC) offers a vital opportunity to identify and address family violence, yet barriers prevent the effective implementation of family violence interventions in PHC settings. The purpose of this study is to improve family violence identification and response in Alberta's PHC settings by exploring readiness factors. Methods: An integrated knowledge translation approach, combining implementation science and participatory action research, was employed to develop a readiness assessment tool for addressing family violence within PHC settings in Alberta. The research involved three phases: phase 1 involved a rapid evidence assessment, phase 2 engaged a panel of healthcare and family violence experts to explore readiness components in the Alberta context, and phase 3 utilized a 3-round Delphi consensus-building process to refine readiness indicators. Results: Phase 1 findings from a rapid evidence assessment highlighted five main models/tools for assessing readiness to implement family violence interventions in PHC settings. In phase 2, additional concepts were identified through exploration with healthcare and family violence expert panel members, resulting in a total of 16 concepts for assessing family violence readiness within the Alberta PHC context. The 3-round Delphi consensus-building process in Phase 3 involved nine panelists, who collectively agreed on the inclusion of all concepts and indicators, yielding a total of 60 items for the proposed readiness assessment tool for addressing family violence in PHC within Alberta. Conclusion: The current study lays the groundwork for future family violence intervention programs, offering insights into key components that promote readiness for implementing comprehensive programs and supporting PHC organizations in effectively addressing family violence. [ABSTRACT FROM AUTHOR]

Herbicide resistance in western Canada has increased interest in alternative weed management strategies. Physical impact mills, a form of harvest weed seed control, have been identified as a strategy that may be well suited for Canadian use. The efficacy of the Harrington Seed Destructor, a physical impact mill, was evaluated in 20 producer fields in Alberta on a wide spectrum of weed species over 3 years. Significant differences in weed densities between the physical impact mill treatment and the regular harvest densities were few; however, some population density reductions were observed. Measurable reductions in weed densities may have been limited by the short timeframe of the experiment, the high initial densities of the weeds, or the targeted weed species having dormancy or longer term seedbanks. Additionally, identified knowledge gaps on how best to optimize physical impact mill efficacy may have reduced the efficacy of the physical impact mill in this study. This study showed no conclusive evidence for the efficacy of a physical impact mill on tested weed species under field conditions. However, it did provide a number of important considerations for future studies. [ABSTRACT FROM AUTHOR]

Energy companies in the Athabasca Oil Sands Region in Alberta, Canada are evaluating the viability of incorporating pit lakes into reclamation closure designs to both sequester tailings and re-integrate the mining lease into the broader natural landscape. Lake Miwasin is a pilot-scale oil sands pit lake encompassed by a constructed catchment where the volume of the water cap is not actively managed. This study compared the water balance during the open water season over two consecutive years with contrasting levels of summertime precipitation. The first year had above average rainfall triggering surface water inflow events that diluted the over-winter water volume by ~ 25%. Flushing of the deepest layers of the water column was restricted from May – September as thermal stratification inhibited complete lake mixing. The second year had below average rainfall resulting in minimal surface water inflow and a drop in lake stage of ~ 30 cm. As the constructed catchment lacks both natural water bodies and connectivity to a legacy groundwater system, freshwater additions to the lake during the summer season were governed by rainfall. This research highlights challenges with constructing sustainable reclamation landscapes within a region characterised by variations in interannual and decadal water cycles. [ABSTRACT FROM AUTHOR]

Objective: In Canada, population norms are only available for 2 provinces, Alberta and Quebec. The objective of this study was to derive the population norms for the EQ-5D-5L based on a representative sample of the Canadian general population. Methods: Data from the Canadian EQ-5D-5L valuation study, a cross-sectional study, were used. A quota sampling method was used to recruit a representative sample of the Canadian general population in terms of age, sex, and education. EQ-5D-5L utilities and EQ VAS were summarized using descriptive statistics and the impact of demographic characteristics on the EQ-5D-5L utilities was evaluated using statistical hypothesis testing and Tobit regression. Results: 1207 eligible participants were included in the analysis. Pain/discomfort (53.1%) was the most frequently reported domain with any problem, and self-care (7.6%) domain was the least. The mean (standard deviation [SD]) EQ-5D-5L utility was 0.864 (0.121) and the mean (SD) EQ VAS was 82.3 (14.23). The highest mean EQ-5D-5L utility was 0.881 in age group 25–34 while the lowest was 0.839 in age group 55–64. Participants who had full-time employment, were married, a higher annual household income and no chronic health conditions had significantly higher EQ-5D-5L utilities. Conclusion: This article reports the first Canadian population norms for the EQ-5D-5L and can be used as population references for economic evaluations and clinical research. [ABSTRACT FROM AUTHOR]

Background: The COVID-19 (C19) pandemic shocked primary care systems around the world. Those systems responded by supporting patients in the community, and acute care facilities in crisis. In Canada, the Patient Medical Home (PMH) is a widely adopted care model that aims to operationalize the tenets and principles of Primary Health Care (PHC) as developed since the Alma-Ata Declaration. This paper describes how personnel working in and with Primary Care Networks (PCNs) in Alberta, Canada deployed the PMH model and its underlying PHC principles to frame and respond to the C19 shock., Methods: Using purposive and snowball sampling techniques, we interviewed 57 participants who worked in public health and primary care, including community-based family physicians. We used interpretive description to analyze the interviews., Results: PCN staff and physicians described how the PMH model was foundational to normal operations, and how C19 responses were framed by the patient-centric, team-delivered, and continuous care principles the model shares with PHC. Specifically, participants described ensuring access to care, addressing the social determinants of health, being patient centered, and redeploying and expanding PHC teams to accomplish these goals., Discussion: Delivering PHC through the PMH allowed physicians and allied health staff to deliver patient-centered, team-based, holistic bio-medical services to Albertans. In tailoring services to meet the specific social and health needs of the populations served by each PCN, healthcare providers were able to ensure relevant support remained available and accessible., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.