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Introduction: Wildfires impact large populations worldwide with increasing frequency and severity. In Canada, the fire season has affected more areas this year with potential implications for individuals' well-being and quality of life (QoL). Objective: This study aimed to explore data related to the well-being and QoL of individuals living in areas impacted by wildfires in two Canadian provinces. Methodology: A cross-sectional survey was used to collect data from the residents in the two provinces who subscribed to the Text4Hope mental health support service. Descriptive and inferential statistics were applied using World Health Organization Well-Being Index (WHO-5). Results: Out of 1802 Text4Hope subscribers, 298 responded to the baseline surveys, yielding a response rate of (16.5%). The mean score of QoL was (40.8/100 ± 20.7). Most respondents were from Alberta (84.2%), 40 years old or below (28.3%), females (85.2%), Caucasian (83.5%), in a relationship (56.4%), employed (63.6%), received diagnoses of depression (56.6%), and anxiety (52.9%).The overall prevalence of low QoL was (67.3%; 95% CI: 61.2–73.1%) that was mostly reported among subscribers who were from Nova Scotia (70.5%), 40 years old or younger (71.2%), other gender (83.3%), Black/Hispanic and other ethnicity (85.7% each), having high-school or less education (70.3%), not in a relationship (74.1%), and unemployed (73.6%). In terms of clinical factors, low QoL was most prevalent among those who received the diagnoses of depression (74%) and anxiety (74.3%), and those who have been receiving antidepressants (71.8%) or benzodiazepines (93.3%). Regarding wildfire-related factors, the highest prevalence of low QoL was reported among those living in a region that has recently been impacted by the wildfires (74.7%) and those who have been less frequently watching television images about the devastation caused by the recent wildfires (72.6%). The multivariate logistic regression analysis model predicting the low QoL including the various variables was statistically significant; Χ2 (df = 19; n = 254) = 31.69, p = 0.03. It was found that living in a region impacted by wildfires (37.9%) was the only significant predictor of low QoL (adjusted OR: 1.96; 95% CI: 1.05–3.65). Conclusions: The impact of wildfire on the QoL and well-being among people living in impacted regions is significant. It is empirical for the health authorities to support those who are disadvantaged by wildfire via running of screening programs to early identify mental health symptoms and addressing the living conditions of the survivors, along with the provision of innovative means of mental health support. This necessitates enhanced planning of the governments and health authorities to overcome such adverse psychological consequences of these events. [ABSTRACT FROM AUTHOR]

Unions in North America have a long history of financial support for charities, non-profits and other community-based organisations. However, very little research has been conducted into how much, to whom and why this financial support is provided. This article reports on a survey examining the financial donation patterns of unions in the Canadian province of Alberta. Alberta is chosen as the jurisdiction for the study as the provincial government recently enacted legislation (commonly referred to as Bill 32) that may force unions to reduce community-based donations, which would negatively impact those organisations and interfere with a core union function. The survey also examines how union financial support changes due to the implementation of this legislation. The study finds that a small but not insignificant percentage of union expenditures are devoted to community giving and that unions tend to donate to a narrow range of causes and organisations. It also finds that union responses to donation-dampening legislation were mixed, in part due to the politically controversial nature of the legislation. [ABSTRACT FROM AUTHOR]

Management of invasive species and pathogens requires information about the traffic of potential vectors. Such information is often taken from vector traffic models fitted to survey data. Here, user‐specific data collected via mobile apps offer new opportunities to obtain more accurate estimates and to analyse how vectors' individual preferences affect propagule flows. However, data voluntarily reported via apps may lack some trip records, adding a significant layer of uncertainty. We show how the benefits of app‐based data can be exploited despite this drawback.Based on data collected via an angler app, we built a stochastic model for angler traffic in the Canadian province Alberta. There, anglers facilitate the spread of whirling disease, a parasite‐induced fish disease. The model is temporally and spatially explicit and accounts for individual preferences and repeating behaviour of anglers, helping to address the problem of missing trip records.We obtained estimates of angler traffic between all subbasins in Alberta. The model's accuracy exceeds that of direct empirical estimates even when fewer data were used to fit the model. The results indicate that anglers' local preferences and their tendency to revisit previous destinations reduce the number of long interwaterbody trips potentially dispersing whirling disease. According to our model, anglers revisit their previous destination in 64% of their trips, making these trips irrelevant for the spread of whirling disease. Furthermore, 54% of fishing trips end in individual‐specific spatially contained areas with mean radius of 54.7 km. Finally, although the fraction of trips that anglers report was unknown, we were able to estimate the total yearly number of fishing trips in Alberta, matching an independent empirical estimate.Policy implications. We make two major contributions: (1) we provide a model that uses mobile app data to boost the mechanistic accuracy of classic propagule transport models, and (2) we demonstrate the importance of individual‐specific behaviour of vectors for propagule transport. Ignoring vectors' local preferences and their tendency to revisit previous destinations can lead to significant overestimates of vector traffic and biased estimates of propagule flows. This has clear implications for the management of invasive species and animal diseases. [ABSTRACT FROM AUTHOR]

The implementation of school reforms to advance reconciliation with Indigenous peoples provides an opportunity to explore what Canadians think is important in framing their identities and values. This paper draws on data from a survey of public perspectives on education for reconciliation activities in two Canadian provinces, Alberta and Saskatchewan. We consider the broader community context within which schools are located. By examining public perspectives, we are able to assess how curricular initiatives related to reconciliation are understood by community members, both as a priority in itself and in relation to other key curricular areas. Informed by critical race theory, our findings suggest that reconciliation is restricted to activities that do not involve extensive change to existing curricular and ideational frameworks. These perspectives exist alongside extensive opposition to reconciliation justified by claims that Indigenous experiences and perspectives are receiving undue attention relative to more pressing educational priorities. Our findings suggest that aims to transform dominant understandings about Canadian history and identity remain far from being fulfilled. [ABSTRACT FROM AUTHOR]

Background: Autosomal dominant (AD) spinocerebellar ataxias (SCAs) encompass a large group of rare disorders, which occurs in individuals of different ethnic backgrounds. To date, demographics, and clinical descriptions of AD SCA in Canada are lacking. Methods: A retrospective chart review of patients with a genetically confirmed diagnosis of AD SCAs was performed at five tertiary centers across Canada in the provinces of Quebec, Alberta, and Ontario. Demographic, genetic, and clinical information were collected and analyzed. Results: A total of 203 patients with AD SCA were identified. Weighted estimated prevalence of AD SCA in three large Canadian provinces was calculated (2.25 cases per 100.000) which is in keeping with the figures documented worldwide. We found that the distribution of the most common SCA differed when comparing provinces. The most prevalent SCA diagnosis in Ontario was SCA3 (49%), while the most prevalent SCA diagnosis in Alberta and Quebec was SCA2 in 26% and 47%, respectively. SCA6 was the third most prevalent SCA subtype in Quebec (14%), which was not seen as commonly in other provinces. SCA1 was uncommonly seen in both Alberta and Quebec, despite being common in Ontario. Conclusions: In this largest Canadian study, we describe the prevalence, distribution, and clinical characteristics of AD SCA. We found that the distribution of the most common SCA differed in the three provinces studied. This finding reflects the heterogenous nature of the Canadian population. [ABSTRACT FROM AUTHOR]

This paper provides insights into the little‐explored gendered perspective of the parenting practices of Somali immigrant mothers in a Canadian province (Alberta). We use a critical ethnographic methodology and a transnational feminist framework. Semi‐structured interviews were conducted with ten Somali mothers aged 18 to 50. Mothers were interviewed about their parenting practices in a post‐migration context, including challenges. Our results show immigrant mothers combine their cultural values with new values from Canada that they find effective. We find gendered differences in how parenting experiences are perceived. Our results suggest the need for anti‐racist and culturally safe health, education, and child policies and practices. [ABSTRACT FROM AUTHOR]

Background: Directly-funded home care (DF) provides government funds to people who need assistance with the activities of daily living, allowing them to arrange their own services. As programs expand globally, many allow DF clients to hire home care agencies to organize their services rather than finding their own workers. In Canada, half of the DF home care programs allow users to purchase agency services. The goal of this research is to describe the role of agency providers in DF home care in Canada and consider potential equity implications for service access from the perspectives of clients and families. Methods: Framed with intersectionality, the study included online focus groups with families and clients (n = 56) in the two Canadian provinces of Alberta and Manitoba between June 2021-April 2022. All transcripts underwent qualitative thematic analysis using open and axial coding techniques. Each transcript was analyzed by two of three possible independent coders using Dedoose qualitative analysis software. Results: The article presents five thematic findings. First, the focus groups document high rates of satisfaction with the care regardless of whether the client uses agency providers. Second, agency providers mediate some of the administrative barriers and emotional strain of using DF home care, and this is especially important for family caregivers who are working or have additional care responsibilities. Third, there are out-of-pocket expenses reported by most participants, with agency clients describing administrative fees despite lower pay for the frontline care workers. Fourth, agencies are not generally effective for linguistic and/or cultural matching between workers and families. Finally, we find that DF care programs cannot compensate for a limited informal support network. Conclusions: Clients and families often intentionally choose DF home care after negative experiences with other public service options, yet the results suggest that in some Canadian contexts, DF home care is a privilege only afforded to some. Given the growing inequalities that exist in Canadian society, all public home care options must be open to all who need it, irrespective of ability to pay, degree of social support, or competence in the English language. [ABSTRACT FROM AUTHOR]

Some slug species are considered a nuisance in agriculture and horticulture worldwide, causing economic losses to growers. Phasmarhabditis is a genus of bacteria-feeding nematodes that can parasitize slugs and snails and thus potentially serve as a biological control agent. Canada had no record of Phasmarhabditis until a survey conducted in 2019 reported a Canadian strain of Phasmarhabditis californica from a single Arion rufus slug. To build on this discovery, we surveyed three major agricultural sites, ten greenhouses, and nurseries in Alberta from June to September 2021 to collect pest slug species and investigate their associated nematodes, specifically P. californica. Slugs were collected from the field and returned to the laboratory to check for emerging nematodes on White traps. We collected 1331 slugs belonging to nine species, with Deroceras reticulatum being the most common. Only 45 (3.38%) slug samples were positive for nematodes, and the majority were identified to species level: Alloionema appendiculatum, Caenorhabditis briggsae, Caenorhabditis elegans, Panagrolaimus subelongatus, and Mesorhabditis spiculigera. We did not isolate P. californica from any of the slugs collected from these survey sites, which included the original site where P. californica was discovered. However, four D. reticulatum slugs retrieved from a residential garden sample were infected with P. californica. These findings suggest the possibility of a fragmented distribution of P. californica across Alberta. Future research should focus on extensively surveying agriculture and horticulture sites and residential gardens in different provinces across Canada. [ABSTRACT FROM AUTHOR]

The Canadian Prairie Provinces (Alberta, Saskatchewan and Manitoba) are home to species from 29 of the 45 spider families currently found in Canada. Here we provide a beginner-friendly dichotomous key to the spider families of the Canadian Prairies. The key includes numerous photos, line drawings, and simplified definitions of anatomical characters necessary for family-level identification. For each family we include an illustrated summary of important character states, a whole-body photo of an exemplar of the family, and number of species of the family currently reported from the Prairie Provinces. [ABSTRACT FROM AUTHOR]

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Crossfield is located in the province of Alberta in Canada and is one of the most well-known reservoirs of hydrocarbons. Since the 1950s, there has been continuous exploitation of more than 10 formations such as Cardium, Viking, Ellerslie, Elkton, Shunda, and Wabamun. Because of its location near the Foothills, the southwestern part of the Western Canada Sedimentary Basin, the Crossfield area has a complex geology and relatively deeper reservoirs, therefore requiring an in-depth examination of each formation. In this study, geological, technical, and economic analyses were performed on each formation within the 10 sections of the study lands in the Crossfield area. As the result of the study, there was potential for drilling 48 horizontal wells in the Cardium A zone and the Viking formation. In addition, it turned out to be economically feasible even at the WTI price of 60 dollars per barrel considering Alberta's Royalty Framework, which is determined by the production rate and the price of oil, and the Horizontal Oil New Well Royalty Rate feature. A further study is required to investigate the exploitation potential of the Cardium B zone, the Ellerslie, and the Elkton formations in this area. [ABSTRACT FROM AUTHOR]

Albertans4HealthResearch, supported by the Alberta Strategy for Patient-Oriented Research Patient Engagement Team, hosted a virtual round table discussion to develop a list of considerations for successful partnerships in patient-oriented research. The group, which consists of active patient partners across the Canadian province of Alberta and some research staff engaged in patient-oriented research, considered advice for academic researchers on how to best partner with patients and community members on health research projects. The group identified four main themes, aligned with the national strategy for patient-oriented research (SPOR) patient engagement framework, highlighting important considerations for researchers from the patient perspective, providing practical ways to implement SPOR's key principles: inclusiveness, support, mutual respect, and co-building. This commentary considers the process behind this engagement exercise and offers advice directly from active patient research partners on how to fulfill the operational patient engagement mandate. Academic research teams can use this guidance when considering how to work together with patient partners and community members. Plain English summary: Albertans4HealthResearch, supported by the Alberta Strategy for Patient-Oriented Research (AbSPORU) Patient Engagement Team, hosted a virtual round table discussion to develop a list of considerations for successful partnerships in patient-oriented research. The group, which consists of active patient partners across the Canadian province of Alberta and some research staff engaged in patient-oriented research, considered advice for academic researchers on how to best partner with patients and community members on health research projects. The group identified four main themes, aligned with the national Strategy for Patient-Oriented Research (SPOR) Patient Engagement Framework, highlighting important considerations for researchers from the patient perspective, providing practical ways to implement SPOR's key principles: inclusiveness, support, mutual respect, and co-building. This commentary considers the process behind this engagement exercise and offers advice directly from active patient research partners on how to fulfill the operational patient engagement mandate. Academic research teams can use this guidance when considering how to work together with patient partners and community members. [ABSTRACT FROM AUTHOR]

We expand on ongoing debates about the role of economic losses and benefits for a clean energy transition. Rather than focusing on the potential economic benefits of alternative industries and energy sources, we highlight the role of economic optimism people display towards the fossil fuel industry. We argue that people's confidence in the fossil fuel industry to remain an important economic driver in the future can undermine support for climate policies because people do not perceive a need to turn to alternative industries for economic prosperity. Instead, they continue to support the status-quo. We test our argument using survey level data collected in the spring of 2019 in the Canadian province of Alberta, an ideal case due to the province's economic dependence on the fossil fuel industry. The results support our argument, highlighting the need for policymakers to develop communication strategies on future economic benefits of energy transition. [ABSTRACT FROM AUTHOR]

Labour markets of oil-exporting regions will be impacted by a global transition to low-carbon energy as oil demand reduces to meet the aims of the Paris Agreement. Together with direct job losses in the oil and gas industry, indirect employment effects on other sectors should also be considered to ensure a just transition. We explore these direct and indirect employment impacts that could result from the low-carbon transition by analysing the effect of oil price fluctuations on the labour market of Alberta, a Canadian province economically reliant on oil sands extraction. We employ a mixed methods approach, contextualizing our quantitative analysis with first-hand experiences of career transitions using interviews with oil sands workers. We estimate a vector autoregression for province-wide insights and explore sector-specific dynamics using time series regressions. We find that the price discount on Canadian oil sands, which is determined by local factors like crude oil quality and pipeline capacity, does not significantly affect employment, while the global oil price does. This finding puts in doubt claims of long-term employment benefits from new pipelines. We find that at a provincial scale, oil price fluctuations lead to employment levels also fluctuating. Our analysis at the sectoral level shows that these job fluctuations extend beyond oil and gas to other sectors, such as construction and some service sectors. These findings suggest that the province's current economic dependence on oil creates job precarity because employment in various sectors is sensitive to a volatile oil market. Furthermore, due to this sectoral sensitivity to oil price changes, workers in these sectors may be especially at risk in a low-carbon transition and warrant special attention in the development of provincial and national just transition policies. Transitional assistance can support workers directly, while economic diversification in Alberta can reduce reliance on international oil markets and thereby ensure stable opportunities in existing and new sectors. Decreased global oil demand is likely to create employment risks for workers in Alberta and other fossil fuel producing regions of the world. Current economic dependence on oil sands extraction in Alberta leads to job precarity across sectors, including in those seemingly unrelated to extraction. Proactive economic diversification in anticipation of the low-carbon transition could reduce precarity by mitigating the effects of oil price fluctuations on employment levels in the long term. Workers in sectors with higher oil price sensitivity (i.e. oil and gas, construction, professional services, manufacturing, accommodations, and food services sectors) could be prioritized in coordinated just transition policies at the local, provincial, and national scales. The details of career transitions gleaned from our interviews suggest that tripartite social dialogue would contribute meaningfully to just transition policy development. [ABSTRACT FROM AUTHOR]

Background: Substance use is common among people who visit emergency departments (EDs) frequently. We aimed to characterize subgroups within this cohort to better understand care needs/gaps, and generalizability of characteristics in three Canadian provinces.Methods: This was a retrospective cohort study (April 1st, 2013 to March 31st, 2016) of ED patients in Ontario, Alberta, and British Columbia (B.C.) We included patients ≥ 18 years with substance use-related healthcare contact during the study period and frequent ED visits, defined as those in the top 10% of ED utilization when all patients were ordered by annual ED visit number. We used linked administrative databases including ED visits and hospitalizations (all provinces); mental heath-related hospitalizations (Ontario and Alberta); and prescriptions, physician services, and mortality (B.C.). We compared to cohorts of people with (1) frequent ED visits and no substance use, and (2) non-frequent ED visits and substance use. We employed cluster analysis to identify subgroups with distinct visit patterns and clinical characteristics during index year, April 1st, 2014 to March 31st, 2015.Results: In 2014/15, we identified 19,604, 7,706, and 9,404 people with frequent ED visits and substance use in Ontario, Alberta, and B.C (median 37-43 years; 60.9-63.0% male), whose ED visits and hospitalizations were higher than comparison groups. In all provinces, cluster analyses identified subgroups with "extreme" and "moderate" frequent visits (median 13-19 versus 4-6 visits/year). "Extreme" versus "moderate" subgroups had more hospitalizations, mental health-related ED visits, general practitioner visits but less continuity with one provider, more commonly left against medical advice, and had higher 365-day mortality in B.C. (9.3% versus 6.6%; versus 10.4% among people with frequent ED visits and no substance use, and 4.3% among people with non-frequent ED visits and substance use). The most common ED diagnosis was acute alcohol intoxication in all subgroups.Conclusions: Subgroups of people with "extreme" (13-19 visits/year) and "moderate" (4-6 visits/year) frequent ED visits and substance use had similar utilization patterns and characteristics in Ontario, Alberta, and B.C., and the "extreme" subgroup had high mortality. Our findings suggest a need for improved evidence-based substance use disorder management, and strengthened continuity with primary and mental healthcare. [ABSTRACT FROM AUTHOR]

Background A comprehensive evaluation of progress in cancer survival for all cancer types combined in Canada has recently been accomplished. An analogous evaluation across Canadian provinces has yet to be conducted. Data and methods Data from 1992 to 2017 are from the population-based Canadian Cancer Registry death-linked analytic file. Provincial cancer survival index (CSI) estimates were calculated as the weighted sum of the sex- and cancer-specific age-standardized provincial net survival estimates. Provincial sex-specific CSI estimates were calculated separately using sex-specific cancer type weights. Data availability (Quebec) and sufficiency (Prince Edward Island and the territories) issues precluded CSI calculations for all jurisdictions. Results For the most recent period, 2013 to 2017, the five-year CSI was highest in Ontario (64.1%) and Alberta (63.3%), and lowest in Nova Scotia (60.8%). Significant progress in the five-year CSI since the period from 1992 to 1996 was observed in each province; the largest increases occurred in Alberta (8.7 percentage points) and Ontario (8.6 percentage points). Alberta's increase improved its relative provincial ranking from eighth to second. The influence of prostate cancer on provincial changes in the CSI since the period from 2003 to 2007 varied considerably from strongly counterproductive in New Brunswick, Saskatchewan and Nova Scotia because of decreasing prostate cancer survival, to strongly productive in Manitoba. Interpretation Significant progress has been made in five-year cancer survival for all cancers combined since the early 1990s in each Canadian province studied. However, the magnitude of the progress has not been uniform across the provinces, and the cancer and sex combinations that have most influenced it have varied by province and period. [ABSTRACT FROM AUTHOR]

Continuous urban expansion transforms the natural land cover into impervious surfaces across the world. It increases the city's thermal intensity that impacts the local climate, thus, warming the urban environment. Surface urban heat island (SUHI) is an indicator of quantifying such local urban warming. In this study, we quantified SUHI for the two most populated cities in Alberta, Canada, i.e., the city of Calgary and the city of Edmonton. We used the moderate resolution imaging spectroradiometer (MODIS) acquired land surface temperature (LST) to estimate the day and nighttime SUHI and its trends during 2001–2020. We also performed a correlation analysis between SUHI and selected seven influencing factors, such as urban expansion, population, precipitation, and four large-scale atmospheric oscillations, i.e., Sea Surface Temperature (SST), Pacific North America (PNA), Pacific Decadal Oscillation (PDO), and Arctic Oscillation (AO). Our results indicated a continuous increase in the annual day and nighttime SUHI values from 2001 to 2020 in both cities, with a higher magnitude found for Calgary. Moreover, the highest value of daytime SUHI was observed in July for both cities. While significant warming trends of SUHI were noticed in the annual daytime for the cities, only Calgary showed it in the annual nighttime. The monthly significant warming trends of SUHI showed an increasing pattern during daytime in June, July, August, and September in Calgary, and March and September in Edmonton. Here, only Calgary showed the nighttime significant warming trends in March, May, and August. Further, our correlation analysis indicated that population and built-up expansion were the main factors that influenced the SUHI in the cities during the study period. Moreover, SST indicated an acceptable relationship with SUHI in Edmonton only, while PDO, PNA, and AO did not show any relation in either of the two cities. We conclude that population, built-up size, and landscape pattern could better explain the variations of the SUHI intensity and trends. These findings may help to develop the adaptation and mitigating strategies in fighting the impact of SUHI and ensure a sustainable city environment. [ABSTRACT FROM AUTHOR]

Sex pheromones are known for only a few major click beetle (Coleoptera: Elateridae) pests in North America. These pheromones could be used to monitor, as well as control, adult beetles. Our objective was to identify the sex pheromone of female Selatosomus aeripennis destructor (Brown), a predominant elaterid pest species in farmland in the Canadian Prairie provinces. Headspace volatiles from a group of S. a. destructor females were collected and analyzed by coupled gas chromatography‐electroantennographic detection (GC‐EAD) and gas chromatography‐mass spectrometry (GC‐MS). The GC‐EAD recordings revealed two candidate pheromone components that elicited weak (CPC‐1) or strong (CPC‐2) responses from adult male S. a. destructor antennae. The mass spectra of CPC‐1 and CPC‐2 indicated, and authentic standards confirmed, that they were the isomers (E)‐β‐farnesene and (Z,E)‐α‐farnesene, respectively. In three field experiments at various sites in Alberta, Canada, traps baited with synthetic (Z,E)‐α‐farnesene captured 7.1×, 6.8×, and 2.6× more males than unbaited control traps. In follow‐up experiments, traps baited with (Z,E)‐α‐farnesene captured significantly more males, but significantly fewer females, than unbaited control traps, indicating sex pheromone autodetection by females. (E)‐β‐Farnesene on its own was not attractive as a trap lure, and when added to (Z,E)‐α‐farnesene at a 20:1 ratio, it reduced the lure's attractiveness. Our data support the conclusion that (Z,E)‐α‐farnesene is the major sex pheromone component of S. a. destructor females, with both an intra‐ and inter‐sexual communication function. [ABSTRACT FROM AUTHOR]

Metastatic breast cancer (MBC) patient outcomes may vary according to distinct health care payers and different countries. We compared 291 Alberta (AB), Canada and 9429 US patients < 65 with de novo MBC diagnosed from 2010 through 2014. Data were extracted from the provincial Breast Data Mart and from the National Cancer Institute's SEER program. US patients were divided by insurance status (US privately insured, US Medicaid or US uninsured). Kaplan-Meier and log-rank analyses were used to assess differences in OS and hazard ratios (HR) were estimated using Cox models. Multivariate models were adjusted for age, surgical status, and biomarker profile. No difference in OS was noted between AB and US patients (HR = 0.92 (0.77–1.10), p = 0.365). Median OS was not reached for the US privately insured and AB groups, and was 11 months and 8 months for the US Medicaid and US uninsured groups, respectively. The 3-year OS rates were comparable between US privately insured and AB groups (53.28% (51.95–54.59) and 55.54% (49.49–61.16), respectively). Both groups had improved survival (p < 0.001) relative to the US Medicaid and US uninsured groups [39.32% (37.25–41.37) and 40.53% (36.20–44.81)]. Our study suggests that a universal health care system is not inferior to a private insurance-based model for de novo MBC. [ABSTRACT FROM AUTHOR]

The mantra from emergency management professionals is that lessons learned when enacted are beneficial; when they are not, it is a lesson observed. The COVID-19 pandemic has required healthcare organisations to be agile and responsive. This paper describes how Alberta Health Services leveraged the lessons learned from previous incidents in order to provide a flexible response to a rapidly evolving situation. [ABSTRACT FROM AUTHOR]

• There is a relatively increased rate of A1AT genotype diagnoses in Alberta. • The relatively higher rate increases with the severity of the A1AT genotype. • There is a younger age at the time of A1AT diagnosis in Alberta males. • The differential rate of diagnosis may be explained by lifestyle differences. The diagnosis of alpha-1-antitrypsin (A1AT) deficiency has been hindered by obscurity concerning the testing process and treatment implications. In this study, we aimed to identify regional differences in the diagnostic rates for A1AT deficiency in the western Canadian provinces of British Columbia (BC) and Alberta (AB). The number of A1AT deficiency variant genotype (ZZ, SZ, MZ, SS, and MS) diagnoses were reviewed for BC and AB. The regional diagnostic rates for A1AT deficiency variants in these two provinces, normalized for the predicted population prevalence of each variant genotype, was defined as the annual provincial diagnostic rate (APDR) for a given variant genotype. Sex specific variations in the mean age at diagnosis for the five variant genotypes were compared both within and between provinces. The SZ and MZ genotype APDRs were significantly increased in the AB population compared to the BC population. The SS and MS APDRs were similar between AB and BC. There was a significantly decreased mean age of diagnosis for AB males, as compared to BC males (for the SZ, MS, and MZ genotypes) and as compared to AB females (for the MS, MZ, and SS genotypes). There were no significant differences in the mean age of diagnosis between the females and males in BC, or between females in AB and BC, for any genotype. The notably higher APDR for more severe A1AT deficiency genotypes, and lower mean age of diagnosis for most variant genotypes in AB males, deserves further investigation to determine the explanation(s) for these differences. [ABSTRACT FROM AUTHOR]

Introduction: Initiation of chemotherapy in patients with cancer near end-of-life (EOL) has become more frequent due to an increasing number of treatment options. We aimed to analyze the proportion of metastatic colorectal cancer patients (mCRC) in Alberta, Canada, who were started on a new chemotherapy regimen within 90 days of death. Methods: This was a retrospective, population-based study using data from the cancer measurement outcomes and evaluation (C-MORE) database. All patients who received chemotherapy for mCRC in a large Canadian province from January 1, 2011, to December 31, 2016, were included in the current analysis. We identified the proportion of patients who initiated chemotherapy near EOL. Further, we analyzed the associations of baseline factors with initiation of chemotherapy near EOL. Results: We identified 511 patients with mCRC who received chemotherapy. Of these, 132 (25.8%) initiated chemotherapy near EOL. Charlson's comorbidity index (CCI) score (score 1: OR, 0.524; 95% CI, 0.279–0.985; P = 0.045; CCI score > 1: OR, 0.366; 95% CI, 0.180–0.746; P = 0.006) and Eastern cooperative oncology group performance status (ECOG PS) (ECOG PS 2: OR, 4.457; 95% CI 2.518–7.890; P < 0.0001; ECOG PS > 2: OR 7.725; 95% CI 3.465–17.222; P < 0.0001) were predictive of initiation of chemotherapy near EOL. The most frequent chemotherapy regimens initiated were FOLFIRI (17%), capecitabine (15%), and panitumumab (15%), respectively. Conclusions: Chemotherapy is frequently initiated near EOL in patients with mCRC. Routine clinical assessments including ECOG PS and comorbid medical conditions can help select patients with mCRC who are unlikely to benefit from palliative chemotherapy and prevent the adverse events and healthcare costs associated with such interventions near EOL. [ABSTRACT FROM AUTHOR]

Alberta is the only Canadian province without a provincial sales tax (PST). Despite repeated calls from prominent economists and other policy experts, Alberta politicians have long rejected the idea of creating a PST in the province. This is not only the case of previous Progressive Conservative governments but also of the New Democratic (NDP) government of Rachel Notley. Partisanship alone cannot explain why politicians in the province have been so reluctant to consider the creation of a PST, which has become the "third rail of Alberta politics" (touch it and die). Using the concept of ideational policy feedback, this article argues that, in addition to structural factors such as the availability of resource revenues to create massive fiscal downfalls in good times, the ways in which politicians have framed comparatively low taxes as an "Alberta Advantage" makes the creation of a PST particularly risky from an electoral standpoint. [ABSTRACT FROM AUTHOR]

Brachytherapy (BT) target dose and coverage are critical to the cure of locally advanced cervical cancer (CC). Advances in imaging, volumetric definitions, and BT planning aims/constraints have collectively been associated with improved tumor control outcomes over traditional practices. But some historic conventions remain in BT, such as applying uniform radiobiological parameters (RbP). Having previously generated a/b and T 1/2 from CC cell lines, we explored the potential impact of differing RbP against population-based outcomes in an era of MR-BT boost. All CC patients seen 1/2013 - 12/2015 in the Canadian province of Alberta (AB), and treated with radical (chemo)radiotherapy (external beam (EBRT) + BT), were identified. From health records, demographic, clinicopathologic, treatment and outcomes data were abstracted. Descriptive and Kaplan-Meier methods were supplemented by Cox-regression multivariable analysis (MVA), factoring in experimentally derived (exp) RbP for BT tumor doses (in addition to treated doses using conventional a/b and T 1/2 (10 Gy, 1.5 h)). 127 women (median age 50.5 y [23-82]) received curative (chemo)EBRT+BT in AB's 2 tertiary cancer centers (2:1), after exclusions (such as n=12 oligometastatic). Over half (73/125) were smokers. Squamous (SCC) predominated (76.4%) over adenocarcinoma-containing (ADC, 16.5%) or higher-risk (3.1%) histologies, with 3.9% incompletely characterized carcinoma. Primaries were mainly FIGO(2009) clinical stage IIB (37.8%, with the remainder IB 29.9%, IIA 10.2%, IIIA 2.4%, IIIB 15.0%, and IVA 3.9%); 61.4% were node(LN)-positive (pelvic and/or para-aortic (PA)) on imaging. Most (n=102) had weekly cisplatin (median 5 cycles [1-6]) with usual pelvic±PA EBRT (45-50.8 Gy EQD2 in 25-28 fx) and image-based intracavitary BT (67.7% PDR 1-2 fx, vs HDR 1-3 fx; 96.9% MRI; 15% hybrid interstitial). N=12 had initial hemostatic 1-2 fx (5-7.2 Gy); EBRT boost was sequential (3.6-21 Gy in 1.8-4 Gy/fx, to LN/parametria/pelvis) in n=26, simultaneous integrated in n=2. Median overall treatment time (OTT) was 48 days [38-112]. 9 of 127 had no chemotherapy. At BT, median HR-CTV volume was 29.8 cm3 [9.6-212.1], with median treated D90, 88.3 Gy EQD2 [53.4-122.1] (Point A 79.6 [56.3-146.2]). Applying a/b 5.6 Gy and T 1/2 3.4 h for SCC (4.3 Gy and 1.0 h for ADC), exp HR-CTV D90 and Point A medians were 102.0 [54.6-177.9] and 86.9 [57.7-225.8] Gy EQD2. Median follow-up was 83 months [4-115], with 5y-OS of 69.3% and pelvic LC, 79.9%. Clinical stage group (p=0.001) and OTT (p=0.008) were associated with OS (LN or chemotherapy status did not reach statistical significance). Exp target dose (Point A, p=0.029; D90, p=0.028) but not treated HR-CTV D90 or volume (trend only) also showed association. For ADC (not SCC), 5y-OS varied by exp, not treated, dose (Point A 79.5% vs 61.2%, p=0.013; D90 54.7% vs 80.3%, p=0.006). On MVA, OTT and exp Point A dose were significant predictors of OS after adjusting for age, chemo, stage, HR-CTV volume and smoking status. Pelvic LC differed, on univariate analysis, by stage (p=0.025), LN status (p=0.021), and exp D90 (p=0.022), with trends observed for OTT and HR-CTV volume but not histology, chemotherapy, BT imaging or center. 5y-LC of ADC also differed by exp Point A (93.2% vs 72.4%, p=0.062) and exp D90 (68.5% vs. 92.3%, p=0.019) doses, but not on MVA. Real-world late outcomes for a province-wide CC cohort are reflective of treatment factors, more so than disease burden. Further understanding of RbP is needed for optimum application in CC and outcomes-informed EBRT+BT dosing. [ABSTRACT FROM AUTHOR]

• We apply ERGM using Bayesian techniques to a large multilevel criminal network. • Collaboration across organised criminal groups depends on illicit market overlap. • In general, market overlap between groups makes collaboration less likely. • Outlaw Motorcycle Gangs are more likely to collaborate when their markets overlap. Collaboration between members of different criminal groups is an important feature of crime that is considered organised, as it allows criminals to access resources and skills in order to exploit illicit economic opportunities. Collaboration across criminal groups is also difficult and risky due to the lack of institutions supporting peaceful cooperation in illicit markets. Thus cross-group collaboration has been thought to take place mostly among small and transient groups. This paper determines whether and under what conditions members of different, larger organised crime groups collaborate with one another. To do so we use intelligence data from the Canadian province of Alberta, centering on criminals and criminal groups engaged in multiple crime types in multiple geographic locations. We apply a multilevel network analytical framework and exponential random graph models using Bayesian techniques to uncover the determinants of cross-group criminal collaboration. We find cross-group collaboration depends not only on co-location, but also on the types of groups to which the criminals are affiliated, and on illicit market overlap between groups. When groups are operating in the same geographically-situated illicit markets their members tend not to collaborate with one another, providing evidence for the difficulty or undesirability of cross-group collaboration in illicit markets. Conversely, members of Outlaw Motorcycle Gangs are more likely to collaborate across groups when markets overlap, suggesting the superior capacity and motivation of biker gangs to coordinate criminal activity. Our paper contributes to the understanding of criminal networks as complex, emergent, and spatially embedded market phenomena. [ABSTRACT FROM AUTHOR]

In 2018, using in-depth, semi-structured, collaborative dialogues, I asked 11 child and youth care practitioners working in various Canadian provinces, including British Columbia, Alberta, and Ontario, "How do you understand, name, reproduce, contest, and struggle with White settler privilege?" The intent was to name and challenge the dominant Whitestream norms in child and youth care. This project was inspired by the significant work of Indigenous and racialized activist- scholars to address the ongoing overrepresentation of Indigenous families across colonial systems in which child and youth care practitioners work, such as the child welfare and justice systems, and the underrepresentation in others, such as educational systems. Participants named colonial violence and systemic racism as entrenched in child and youth care practice while recognizing the difficulty of challenging dominant White norms and conventions in the classroom and field. I explore how this key finding unsettles child and youth care pedagogy and practice. In closing, I propose two practical ethical pathways towards unsettling White settler privilege in child and youth care. [ABSTRACT FROM AUTHOR]

Background: Implementation scientists and practitioners, alike, recognize the importance of sustaining practice change, however post-implementation studies of interventions are rare. This is a protocol for the Sustainment, Sustainability and Spread Study (SSaSSy). The purpose of this study is to contribute to knowledge on the sustainment (sustained use), sustainability (sustained benefits), and spread of evidence-based practice innovations in health care. Specifically, this is a post-implementation study of an evidence-informed, Care Aide-led, facilitation-based quality-improvement intervention called SCOPE (Safer Care for Older Persons (in long-term care) Environments). SCOPE has been implemented in nursing homes in the Canadian Provinces of Manitoba (MB), Alberta (AB) and British Columbia (BC). Our study has three aims: (i) to determine the role that adaptation/contextualization plays in sustainment, sustainability and spread of the SCOPE intervention; (ii) to study the relative effects on sustainment, sustainability and intra-organizational spread of high-intensity and low-intensity post-implementation "boosters", and a "no booster" condition, and (iii) to compare the relative costs and impacts of each booster condition.Methods/design: SSaSSy is a two-phase mixed methods study. The overarching design is convergent, with qualitative and quantitative data collected over a similar timeframe in each of the two phases, analyzed independently, then merged for analysis and interpretation. Phase 1 is a pilot involving up to 7 units in 7 MB nursing homes in which SCOPE was piloted in 2016 to 2017, in preparation for phase 2. Phase 2 will comprise a quasi-experiment with two treatment groups of low- and high-intensity post-implementation "boosters", and an untreated control group (no booster), using pretests and post-tests of the dependent variables relating to sustained care and management practices, and resident outcomes. Phase 2 will involve 31 trial sites in BC (17 units) and AB (14 units) nursing homes, where the SCOPE trial concluded in May 2019.Discussion: This project stands to advance understanding of the factors that influence the sustainment of practice changes introduced through evidence-informed practice change interventions, and their associated sustainability. Findings will inform our understanding of the nature of the relationship of fidelity and adaptation to sustainment and sustainability, and afford insights into factors that influence the intra-organizational spread of practice changes introduced through complex interventions. [ABSTRACT FROM AUTHOR]

This paper provides an empirical estimation of the effects of provincial corporate tax rates on economic growth using annual panel data from Canadian provinces over the period 1981-2016. Our empirical approach enables us to investigate the long-run relationship between provincial tax rates and economic growth by allowing short-run dynamics to vary across provinces. We find that a reduction in the provincial CIT rate has a statistically significant positive effect on economic growth rate. Based on our preferred specification of the econometric model, a one percentage-point reduction in a provincial government's statutory CIT rate increases the growth rate by 0.12 percentage points four years after the initial CIT rate cut and increases real per capita GDP by 1.2 per cent in the long run. The results are robust to various sensitivity checks. These results are consistent with the empirical estimates in our previous study of Ferede and Dahlby (2012), who used a different econometric methodology and sample period. They are also broadly consistent with the findings of recent empirical studies of the impact of corporate income taxes on the economic performance of U.S. states. In a companion communiqué, we use the econometric results to estimate the increase in Alberta's growth rate from the Alberta government's announced reduction in the provincial CIT rate from 12 per cent in 2018 to eight per cent in 2022. [ABSTRACT FROM AUTHOR]

Waterbird species face numerous threats and many are declining globally, but knowledge of distribution, abundance, and trend remains poor for many species. Five species of marsh-nesting colonial waterbirds are poorly monitored in Canada, and especially so in the core of their range in the Canadian Prairie Provinces (Alberta, Saskatchewan, and Manitoba). We summarized published and unpublished data on abundance and distribution of breeding colonies of Western Grebe (Aechmophorus occidentalis), Franklin's Gull (Leucophaeus pipixcan), Black Tern (Chlidonias niger), Forster's Tern (Sterna forsteri), and Black-crowned Night-Heron (Nycticorax nycticorax) in Alberta, Saskatchewan, and Manitoba. We also examined the degree of overlap in nesting phenology (egg dates) and summarized survey methods that have been used to monitor the species during the breeding season—information that may be useful for the development of a multispecies monitoring program. For all species, the largest number of records of breeding colonies occurred in Alberta, with records declining eastward through Saskatchewan and Manitoba. We identified a number of breeding colonies occurring outside of currently defined species ranges, especially for the poorly studied Forster's Tern. Of 137 waterbodies hosting a colony of at least one species over the past 10 yr, 57 (41.6%) hosted colonies of at least 2 species, and 3 (2.2%) hosted colonies of all 5 species. Species tended to be reasonably synchronous in their breeding phenology, but Franklin's Gulls and Black-crowned Night-Herons tended to initiate nesting slightly earlier than the other species. We conclude that a multispecies survey timed in late May or early June to count nests and/or incubating adults, using either ground-based or aerial surveys, would likely be the most appropriate for monitoring all species jointly in the Prairie Provinces. The approach we take to compiling data from multiple sources on species occurrence and breeding phenology may be applicable to others wishing to examine the feasibility of a multispecies monitoring plan. [ABSTRACT FROM AUTHOR]

Objective: To assess and compare the favourability of healthy public policy options to promote healthy eating from the perspective of members of the general public and policy influencers in two Canadian provinces.Design: The Chronic Disease Prevention Survey, administered in 2016, required participants to rank their level of support for different evidence-based policy options to promote healthy eating at the population level. Pearson's χ 2 significance testing was used to compare support between groups for each policy option and results were interpreted using the Nuffield Council on Bioethics' intervention ladder framework.Setting: Alberta and Québec, Canada.ParticipantsMembers of the general public (n 2400) and policy influencers (n 302) in Alberta and Québec.Results: General public and policy influencer survey respondents were more supportive of healthy eating policies if they were less intrusive on individual autonomy. However, in comparing levels of support between groups, we found policy influencers indicated significantly stronger support overall for healthy eating policy options. We also found that policy influencers in Québec tended to show more support for more restrictive policy options than their counterparts from Alberta.Conclusions: These results suggest that additional knowledge brokering may be required to increase support for more intrusive yet impactful evidence-based policy interventions; and that the overall lower levels of support among members of the public may impede policy influencers from taking action on policies to promote healthy eating. [ABSTRACT FROM AUTHOR]

Highlights • We model short and long-term well-to-wheel GHG impacts of plug-in electric vehicles (PEVs). • PEVs offer substantial GHG emissions reductions in all contexts explored. • In short-term (2015), PEVs cut GHGs by 34% to 98%, varying by regional grid mix. • In long-term (2050), PEV GHG intensity is 36% to 74% lower than 2015 levels. • Even the higher-carbon electricity region sees strong PEV GHG benefit in long-term. Abstract Plug-in electric vehicles (PEVs) can contribute to deep greenhouse gas (GHG) reduction targets but their efficacy depends on the sources of electricity. PEV GHG intensity can vary over time (and regionally), making it unclear how policymakers should regulate PEVs in the short and long-term. To explore this uncertainty, we model the short-term (Study 1) and long-term (Study 2) well-to-wheels GHG intensity of PEVs in three regions with very different electricity grid profiles: the Canadian provinces of British Columbia, Alberta, and Ontario. Study 1 uses empirical data on vehicle preferences, driving patterns, and recharge access from a representative survey of new vehicle buyers in Canada (n = 1754) to construct a temporally-explicit model of PEV usage in 2015. Fleet-wide emissions intensity of PEVs varies substantially between regions, with the greatest reduction potential relative to conventional gasoline vehicles seen in British Columbia (78–98%), followed by Ontario (58–92%) and Alberta (34–41%). Study 2 simulates the potential long-term dynamics of technology, behavior, and emissions with the CIMS energy-economy model. With the emissions intensity of electricity decreasing by at least one-third by 2050 and vehicle energy efficiency improving over time, simulation results find that, compared to 2015, 2050 fleet average PEV emissions are 40–52% lower in British Columbia, 57–74% lower in Alberta, and 36–46% lower in Ontario. Overall, we find that PEVs offer substantial GHG emissions benefits compared to conventional vehicles in all scenarios explored. Policy makers seeking deep GHG cuts may want to support PEV adoption, even in jurisdictions that presently use relatively carbon-intensive electricity. [ABSTRACT FROM AUTHOR]

In the first decade of the twenty-first century the Canadian province of Alberta was enjoying vigorous economic and demographic growth. To address concerns with cumulative impacts on the landscape and rising user conflicts the provincial government introduced a policy that articulated the need for regional planning and the greater use of market-based instruments to incent land stewardship. This was followed by enabling legislation called the Alberta Land Stewardship Act (ALSA). The policy instruments of conservation easements, conservation offsets, and transfer of development credits were identified as being of special interest and were enabled by ALSA. We review the development of policy for each of these instruments subsequent to the legislation and suggest that implementation has faltered in marked departure from the initial enthusiasm for the policy direction. • In 2008-2009 the Canadian province of Alberta introduced new policy and legislation for regional planning and the use of market-based instruments (MBIs) for land stewardship. • MBIs of interest include conservation easements, conservation offsets and transfer of development credits • Despite years of discussions and consultations, there has been little progress made on implementation of the MBIs. • The laggard implementation of MBIs in Alberta may be explained by recent economic and political turns as well as obstacles previously described in the literature. [ABSTRACT FROM AUTHOR]

• We examined self-harm death counts during COVID-19 in four Canadian provinces. • Observed self-harm death counts were generally lower than predicted self-harm death counts. • Differences between observed and predicted self-harm death counts were not statistically significant. • Lockdown stringency and COVID-19 case numbers were not associated with observed self-harm death counts. Governments implemented lockdowns and other physical distancing measures to stop the spread of SARS-CoV-2 (COVID-19). Resulting unemployment, income loss, poverty, and social isolation, coupled with daily reports of dire news about the COVID-19 pandemic, could serve as catalysts for increased self-harm deaths (SHD). This ecological study examined whether observed SHD counts were higher than predicted SHD counts during the pandemic period in the Canadian provinces of Alberta, British Columbia, Ontario, and Québec. The study also explored whether SHD counts during the pandemic were affected by lockdown severity (measured using the lockdown stringency index [LSI]) and COVID-19 case numbers. We utilized publicly available SHD data from January 2018 through November 2020, and employed AutoRegressive Integrated Moving Average (ARIMA) modelling, to predict SHD during the COVID-19 period (March 21 to November 28, 2020). We used Poisson and negative binomial regression to assess ecological associations between the LSI and COVID-19 case numbers, controlling for seasonality, and SHD counts during the COVID-19 period. On average, observed SHD counts were lower than predicted counts during this period (p < 0.05 [except Alberta]). Additionally, LSI and COVID-19 case numbers were not statistically significantly associated with SHD counts. [ABSTRACT FROM AUTHOR]

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Annexation is the most common form of municipal boundary adjustment in Canada, yet a systematic analysis of annexations is missing from the academic literature. This begs two key questions: Why do Canadian municipalities annex land? What are the land use outcomes of annexation? This qualitative and quantitative case study of Alberta, a Canadian prairie province, reveals that trends in annexation activity, motivations, and land use outcomes are broadly informative, but every instance of annexation is a story of local ambitions and outcomes. Through a series of examples, we illustrate a growth-driven, inherently political and economic process of annexation that is sometimes complex, and one in which the outcomes of annexation may not always match the motivations for it. We find that multiple motivations (that may be intertwined) prompt municipal annexations; furthermore, development in the annexed area occurred at the expense of the non-annexed parts of annexing municipalities, particularly in small towns and villages. This leads us to believe that annexation is perhaps a contributing factor to urban sprawl and land fragmentation. The study calls into question the efficacy of annexation as a policy tool for municipal boundary adjustment or as a substitute for conducting regional planning. • Annexation is a contributing factor to urban sprawl and land fragmentation. • Multiple motivations (that may be intertwined) prompt municipal annexations such as expand municipal revenues, and expect large-scale development. • development in the annexed area occurs at the expense of the non-annexed parts of annexing municipalities, particularly in small towns and villages. [ABSTRACT FROM AUTHOR]

Contemporary forest-health initiatives require technologies and workflows that can monitor forest degradation and recovery simply and efficiently over large areas. Spectral recovery analysis—the examination of spectral trajectories in satellite time series—can help democratize this process, particularly when performed with cloud computing and open-access satellite archives. We used the Landsat archive and Google Earth Engine (GEE) to track spectral recovery across more than 57,000 forest harvest areas in the Canadian province of Alberta. We analyzed changes in the normalized burn ratio (NBR) to document a variety of recovery metrics, including year of harvest, percent recovery after five years, number of years required to achieve 80% of pre-disturbance NBR, and % recovery the end of our monitoring window (2018). We found harvest areas in Alberta to recover an average of 59.9% of their pre-harvest NBR after five years. The mean number of years required to achieve 80% recovery in the province was 8.7 years. We observed significant variability in pre- and post-harvest spectral recovery both regionally and locally, demonstrating the importance of climate, elevation, and complex local factors on rates of spectral recovery. These findings are comparable to those reported in other studies and demonstrate the potential for our workflow to support broad-scale management and research objectives in a manner that is complimentary to existing information sources. Measures of spectral recovery for all 57,979 harvest areas in our analysis are freely available and browseable via a custom GEE visualization tool, further demonstrating the accessibility of this information to stakeholders and interested members of the public. [ABSTRACT FROM AUTHOR]

• In certain collisions, booster seats seem effective at reducing odds of injury. • 62% of children aged 4 to 8 years were reported in booster seats at time of collision. • The findings support legislation promoting booster seat use in young children. Alberta remains the only province in Canada without booster seat legislation. To date, analyses of booster seat effectiveness compared with seatbelt only use have demonstrated mixed findings using observational data. This study uses Alberta police collision report data for the years 2010–2016, inclusive. Using a case-control study design, children aged four to eight years, who were reported by police to be injured (cases), were compared with uninjured controls for restraint use (seatbelt, booster seat or no restraint). Logistic regression was used to estimate the relation between booster seat use and injury with adjusted odds ratios (aORs) and 95% confidence intervals (CI), stratified by collision types. There were 12,922 children involved in collisions, of whom 570 were injured. Approximately 62% of all children included in the analysis were in a booster seat or safety seat at the time of collision. Crude analysis indicates higher odds of injury for seatbelt wearers compared with booster seat use (OR = 1.21; 95% CI: 1.02–1.44). Front-end vehicle-vehicle collisions, demonstrated higher odds of injury for seatbelt wearers relative to those in booster seats (aOR = 1.46; 95% CI: 1.03–2.07). This analysis indicates a protective effect of booster seats that varies depending on the type of collision and impact location. These regionally-specific injury data may encourage and inform policy on the use of booster seats. Moreover, stratification by collision type may be necessary to inform analyses on booster seat effectiveness. [ABSTRACT FROM AUTHOR]

Abstract: Major gaps exist in our understanding of transitions in care for older persons living in nursing homes. The purpose of the study was to identify key elements, from multiple stakeholder perspectives, that influence the success of transitions experienced by nursing home residents when they required transfer to a hospital emergency department. This interpretive descriptive study was conducted in two cities in the Canadian provinces of British Columbia and Alberta. Data were collected from 71 participants via focus groups and individual interviews with nursing home residents, family members, and professional healthcare providers working in nursing homes, emergency departments, and emergency medical services. Transcripts were analyzed using constant comparison. The elements contributing to the success of transitions reflected a patient- and family-centered approach to care. Transitions were influenced by the complex interplay of multiple elements that included: knowing the resident; critical geriatric knowledge and skilled assessment; positive relationships; effective communication; and timeliness. When one or more of the elements was absent or compromised, the success of the transition was also compromised. There was consistency about the importance of all the identified elements across all stakeholder groups whether they are residents, family members, or health professionals in nursing homes, emergency departments or emergency medical services. Aspects of many of these elements are modifiable and suggest viable targets for interventions aimed at improving the success of transitions for this vulnerable population. [Copyright &y& Elsevier]

The article offers information on the sessions conducted by various legislative committees of provinces in Canada including Saskatchewan, Alberta, and New Brunswick. It highlights the government bills passed during the 3rd Session in Alberta such as the Election Statues Amendment Act, Local Authorities Election Statutes Amendment Act, and Body Armour Control Act. It discusses the topics presented at the session in New Brunswick like the proposal for the energy agreement with Hydro-Québec.

Objective. To continue with workplace contamination monitoring in the Alberta Cancer Board (ACB) pharmacy practice environment. Setting. The ACB in the Canadian province of Alberta which includes two public tertiary centers and 19 associated community satellite sites based around the province in existing hospitals. Methods. After the completion of a Phase 1 and Phase 11 study,1 which investigated the feasibility of routine monitoring of antineoplastic agent contamination in the pharmacy practice environment, it was decided to launch a Phase III study. The Phase III study would be done at the Cross Cancer Institute in the main pharmacy department as well as at a brand new satellite pharmacy within the CCI hospital. Samples would be taken in these areas as well as on the outer exterior of latex gloves worn to prepare cyclophosphamide and other antineoplastics. Results. The result determined that the area in front of the biological safety cabinet in the main CCI pharmacy department as well as the exterior of the latex gloves showed evidence of cyclophosphamide contamination. The results from the sample taken in the new satellite pharmacy showed no evidence of cyclophosphamide contamination. Conclusion. Results from this study prompted a decision to launch a Phase IV study to determine the feasibility within our network, for routine monitoring as well as sampling throughout the clean room beyond the BSC. [ABSTRACT FROM AUTHOR]

Objective: Retail availability of cannabis has the potential to influence demand for both legal and illegal cannabis. The aims of the study were to: 1) estimate the percentage of consumers who report purchasing dried flower legally; and 2) examine the association between purchasing dried flower legally and retail availability, where retail availability was represented as: a) Canadian province; b) 'objective' retail proximity; and c) self-reported retail proximity.Methods: Data come from Canadian respondents in Wave 2 of the International Cannabis Policy Study (ICPS) conducted one year after non-medical cannabis legalization in September-October 2019. Respondents were 18+ years in Alberta/Quebec and 19+ years elsewhere and had purchased any dried flower in the past year (n = 2506). Respondents were recruited through commercial online panels. Weighted binary logistic regression models examined likelihood of purchasing dried flower legally.Results: Overall, 47.7 % of past-year dried flower purchasers reported last purchasing dried flower legally, with variation across provinces (range = 40.5 %-81.2 %). Likelihood of purchasing dried flower legally was greater among those who lived closer to a legal retail store based on Euclidean distance (<3 km vs. > 10 km: AOR = 1.56, 95 % CI: 1.20,2.02), and who had shorter self-reported travel time to a retail store (<5 min. vs. > 15 min.: AOR = 2.24, 95 % CI: 1.56,3.21).Conclusion: One year after legalization, retail availability was associated with last purchasing dried flower legally among past-year dried flower purchasers. To our knowledge, the current study is among the first to examine the legality of purchase source used for dried flower and retail availability of cannabis in Canada post-legalization. [ABSTRACT FROM AUTHOR]

The article focuses on the approaches of budgeting adopted by several provinces in Canada, including Alberta, Manitoba and British Columbia. It states that British Columbia uses a modified zero-base budget approach, whereas Manitoba uses decentralized departmental planning. It presents a comparison of provincial strategies, which includes the integration of expenditure control procedures into the formal budget process, and the degree of control achieved. It also discusses various governmental policies of several provinces, like their employment policy, role of political ideology and marketing. It presents description of the political trends and approaches that are being practiced in Canada since 1975.