Search

This article examines how recent policy reforms in Nova Scotia, Canada, encouraged and constrained distributed leadership in the provincial public education system. The study found the language of newly enacted legislation and policies encouraged distributed leadership by endorsing collaborative team processes for school improvement and special education/inclusive education. However, distributed leadership was constrained by the elimination of elected school boards, the reduced authority of school advisory councils, the altered duties of educational leaders, and the failure to enact essential supports for distributed leadership. Overall, this analysis found that recent policy reforms strengthened the control of the provincial ministry of education at the expense of local, democratic participation in education. The need for new organizational structures and processes for citizen participation in twenty-first century education was identified.

The rapid adoption of online technologies to deliver postsecondary education amid the COVID-19 pandemic has highlighted the potential for online learning, as well as important equity gaps to be addressed. For over ten years, McMaster University has delivered graduate global health education through a blended-learning approach. In partnership with universities in the Netherlands, India, Thailand, Norway, Colombia, and Sudan, experts from across the Consortium deliver lectures online to students around the world. In 2020, two courses were piloted with small groups of students from Canada and Colombia using machine translation supported by bilingual tutors. Students met weekly via video conferencing software, speaking in English and Spanish and relying on machine translation software to transcribe and translate for group members. Qualitative semi-structured interviews were conducted with students, tutors, and instructors to explore how artificial intelligence can be harnessed to integrate multilingual group work into course offerings, challenging the dominant use of English as the principal language of instruction in global health education. Findings highlight the potential for machine translation to bridge language divides, while also underscoring several key limitations of currently available technology. Further research is needed to investigate the potential for machine translation in facilitating multilingual online education as a pathway to more equitable and inclusive online learning environments.

This article aims to explore how social studies teachers understand their role in the delivery of course content. Drawing on data from an interpretive study completed as part of a Master of Education degree, the article investigates how social studies teachers understand their personal ideology as it relates to their teaching, navigate the prescriptions of the curriculum outcome model, and justify their respective positions on the political, economic, and social issues examined in their classrooms. These considerations will seek to present a clear understanding of contemporary social studies pedagogy, the extent of ideological liberties taken by public school social studies teachers, their implications, and potential impacts on student learning and political, social, and economic understandings.

Purpose: To determine the minimum number of events (training or matches) for producing valid acceleration–speed (AS) profiles from global navigation satellite system (GNSS) data. Methods: Nine elite female soccer players participated in a 4-week training camp consisting of 19 events. AS profile metrics calculated from different combinations of athlete events were compared to force–velocity (FV) profile metrics from 2 × 40-m stand-alone sprint effort trials, using the same GNSS 10-Hz technology. Force–velocity profiles were calculated, from which AS profiles were obtained. AS profiles from training and matches were generated by plotting acceleration and speed points and performing a regression through the maximal points to obtain the AS metrics (theoretical maximal speed, x-intercept [in meters per second], theoretical maximal acceleration, y-intercept [in meters per second squared], and the slope per second). A linear mixed model was performed with the AS metrics as the outcome variables, the number of events as a fixed effect, and the participant identifier as a mixed effect. Dunnett post hoc multiple comparisons were used to compare the means of each number of event grouping (1–19 events) to those estimated from the dedicated sprint test. Results: Theoretical maximal speed and theoretical maximal acceleration means were no longer significantly different from the isolated sprint reference with 9 to 19 (small to trivial differences = −0.31 to −0.04 m·s−1, P =.12–.99) and 6 to 19 (small differences = −0.4 to −0.28 m·s−2, P =.06–.79) events, and the slopes were no longer different with 1 to 19 events (trivial differences = 0.06–0.03 s−1, P =.35–.99). Conclusions: AS profiles can be estimated from a minimum of 9 days of tracking data. Future research should investigate methodology resulting in AS profiles estimated from fewer events. [ABSTRACT FROM AUTHOR]

The 100th anniversary of the first article (published in 1921) examining student success and the high school to university transition in chemistry provides an excellent opportunity to consider what has -- and has not -- changed in chemistry education. This review details the development and findings of chemistry education research specifically as it relates to student learning and success over this extended time period. After considering the changing educational context and definition of success, this research will be described under three main themes: different ways of knowing (learning objectives and outcomes), thinking (scientific reasoning and problem solving), and learning (preferences and approaches to studying). A key finding is that while our understanding of effective teaching and learning has advanced significantly since the early 1900s, so too have the curriculum expectations and cognitive demands placed upon students increased significantly. Thus despite the many advances and innovations in chemistry education, an achievement gap persists between high school and post-secondary education for many students to this day. A comprehensive picture of the factors influencing student success developed from the research literature not only helps understand this disconnect; it also provides an opportunity to reflect on lessons learned for teaching, learning, and directions for future research.

This article reviews the state of Canada's undergraduate research opportunities (UROs) in the life sciences across various institutions. Survey data gathered in 2019 from 20 departments in 14 universities show that all responding departments offer well-established forms of research that include credit-based directed studies or honors-thesis courses. Paid research opportunities are offered by 80-95 percent of the responding departments. Newer-generation UROs such as course-based undergraduate research experiences and inquiry-based lab courses were found to be offered by more than half of responding departments. Additionally, 60 percent reported having co-curricular and student-driven URO initiatives. Overall, the survey data reflect a well-established and growing portfolio of UROs at universities across Canada.

Background: Helicobacter pylori infection is prevalent worldwide and can lead to peptic ulcer disease (PUD) and gastric cancer. Effective diagnosis and treatment of H. pylori infection by gastroenterologists and family physicians is crucial. However, there are differing views on optimal diagnosis and treatment. The objective of this study is to understand the impressions of Canadian physicians regarding H. pylori diagnosis and treatment and whether impressions differ between gastroenterologists and family physicians. A second objective is to understand physician perspectives on rising antibiotic resistance and how that guides empiric management. Methods: A survey facilitated via REDCap was administered to Canadian gastroenterologists and family physicians. A total of 105 participants completed the survey, including 43 gastroenterologists and 62 family physicians. Gastroenterologists were recruited from across the country and family physicians were recruited from Manitoba. Results: For diagnosis of H. pylori, 67% of gastroenterologists reported endoscopic biopsies for histology assessment as most common and 73% of family physicians reported serology as their main diagnostic test. While nearly all gastroenterologists believed antibiotic resistance to be a problem, nearly one quarter of family physicians did not believe it was a problem. Conclusions: There is variability in practices among both gastroenterologists and family physicians regarding diagnosis of H. pylori infection. There was consensus that local antibiotic resistance patterns should guide management. If known, the degree and patterns of antibiotic resistance could bring a more uniform consensus to H. pylori management. Greater education of physicians, especially family physicians regarding management of H pylori is needed. [ABSTRACT FROM AUTHOR]

Insecure attachment styles (anxious and avoidant) are significantly associated with the severity of gaming disorder (GD) symptoms. Research has also suggested that emotion dysregulation may be one mechanism by which insecure attachment styles lead to greater severity of GD symptoms. In this study, we tested the potential mediating role of emotion dysregulation in a sample of university students. A mediation model was tested among 287 undergraduate students aged 16–41 at the University of Calgary, Canada. Participants completed self-report measures of severity of GD (Game Addiction Inventory for Adults), attachment (Experiences in Close Relationships), and emotion dysregulation (Difficulties in Emotion Regulation Scale). As hypothesized, greater insecure attachment was significantly associated with greater GD symptoms and increased emotion dysregulation severity. Further, emotion dysregulation predicted greater GD symptoms when controlling for insecure attachment. Critically, emotion dysregulation significantly mediated the relationship between insecure attachment and GD. The results from this study suggest that emotion dysregulation may mediate the relationship between insecure attachment and excessive gaming among university students. These results have the potential to inform the distinction between non-problematic engagement and GD. [ABSTRACT FROM AUTHOR]

Aims: To identify and better understand themes related to why people living with obesity (PwO) in Canada may not use professional support and to explore potential strategies to address the challenges. Methods: One‐on‐one interviews and online surveys, informed by the Theoretical Domains Framework, were conducted. A total of 20 PwO were interviewed and a separate group of 200 PwO were surveyed. Results from the interviews guided the development of the survey. Spearman's correlation analysis was performed to investigate the association between the theme domain scores of the PwO and their prior experience with obesity management strategies. Results: The 200 PwO surveyed provided representation across Canada and were diverse in age, background and gender. The most prominent domains associated with use of professional support by PwO were: Intention (rs = −0.25; p < 0.01); Social/Professional Role and Identity (rs = −0.15; p < 0.05); and Optimism (rs = −0.15; p < 0.05). For example, PwO without professional support less often reported being transparent in obesity discussions, perceived obesity to be part of their identity, and expected to manage the illness long term. Many PwO hesitated to use various adjunctive therapies due to concerns about affordability, long‐term effectiveness, and side effects. Conclusion: This study identified contextual, perception and resource considerations that contribute to healthcare decision‐making and the use by PwO of professional support to manage obesity, and highlighted key areas to target with interventions to facilitate obesity management. Strategies such as consistent access to healthcare support and educational resources, as well as improved financial support may help PwO to feel more comfortable with exploring new strategies and take control of their healthcare. [ABSTRACT FROM AUTHOR]

This study adds to a small body of Canadian literature investigating the ways that newcomer women experience, and are impacted by, intimate partner violence (IPV). The study involved qualitative interviews with 15 newcomer women who migrated to Saskatchewan, Canada, from 12 different countries. These findings provide insight into participants' complex lived experiences and illustrate how women's status as newcomers intersected with their experiences of IPV. As well as abuse related to language ability and immigration status, participants in our study described their experiences of physical; sexual; emotional; psychological; economic; and legal abuse; as well as coercive control; isolation; surveillance, stalking, and harassment while in the relationship and after separation; challenges with shared parenting; and the imposition of patriarchal values. Perpetrators of IPV maintained control by intentionally isolating survivors, and participants were also isolated due to their status as a newcomer and their limited English-language ability and social connections. [ABSTRACT FROM AUTHOR]

This paper describes the results of a survey to determine the factors that serve as barriers or enablers to the implementation of web-based learning in colleges of education. A total of 229 faculty members responded to the survey. Of these, 104 had never taught a web-based course while 125 had taught at least one online course. Results of the survey showed that Education faculty in this sample had an overall neutral position about the readiness of colleges of education to implement web-based learning. The survey found that financial resources, infrastructure, and support were seen as barriers to implementation while organizational culture, policies, a commitment to learning, and evaluation were seen as enablers to implementation. Open-ended responses showed that there were interesting differences based on the perceived lack of time and perceived lack of social interaction between faculty who have taught online and those who have not. (Contains 5 tables.)

Background: This study compares emergency department (ED) revisits for patients receiving hospital-based substance-use support compared to those who did not receive specialized addiction services at Health Sciences North in Sudbury, Ontario, Canada. Methods: The study is a retrospective observational study using administrative data from all patients presenting with substance use disorder (SUD) at Health Sciences North from January 1, 2018, and August 31, 2022 with ICD-10 codes from the Discharge Abstract Database (DAD) and the National Ambulatory Care Database (NACRS). There were two interventions under study: addiction medicine consult services (AMCS group), and specialized addiction medicine unit (AMU group). The AMCS is a consult service offered for patients in the ED and those who are admitted to the hospital. The AMU is a specialized inpatient medical unit designed to offer addiction support to stabilize patients that operates under a harm-reduction philosophy. The primary outcome was all cause ED revisit within 30 days of the index ED or hospital visit. The secondary outcome was all observed ED revisits in the study period. Kaplan–Meier curves were used to measure the proportion of 30-day revisits by exposure group. Odds ratios and Hazard Ratios were calculated using logistic regression models with random effects and Cox-proportional hazard model respectively. Results: A total of 5,367 patients with 10,871 ED index visits, and 2,127 revisits between 2018 and 2022 are included in the study. 45% (2,340/5,367) of patient were not admitted to hospital. 30-day revisits were less likely among the intervention group: Addiction Medicine Consult Services (AMCS) in the ED significantly reduced the odds of revisits (OR 0.53, 95% CI 0.39–0.71, p < 0.01) and first revisits (OR 0.42, 95% CI 0.33–0.53, p < 0.01). The AMU group was associated with lower revisits odds (OR 0.80, 95% CI 0.66–0.98, p = 0.03). For every additional year of age, the odds of revisits slightly decreased (OR 0.99, 95% CI 0.98–1.00, p = 0.01) and males were found to have an increased risk compared to females (OR 1.50, 95% CI 1.35–1.67, p < 0.01). Interpretation: We observe statistically significant differences in ED revisits for patients receiving hospital-based substance-use support at Health Sciences North. Hospital-based substance-use supports could be applied to other hospitals to reduce 30-day revisits. [ABSTRACT FROM AUTHOR]

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

According to Blatt (2004; Blatt & Luyten, 2009) and others (e.g., Beck, Epstein, Harrison, & Emery, 1983), establishing positive self-definition and mature relatedness to others represent core lifespan developmental tasks. In a sample of emerging adults, this study examined the effects of the quality of one close friendship and changes in romantic relationship status on the development of maladaptive personality traits from each domain (self-criticism and neediness and connectedness), and the effects of changes in these personality factors on the development of depressive symptoms. Participants consisted of 82 (13 male) emerging adults (Mage = 19.00, SD = 0.75) and a single corresponding close friend. At baseline, participants and their friends completed measures of the quality of their relationship (i.e., acceptance and autonomy support). At baseline and again 12 months later, participants completed measures of self-criticism, neediness, connectedness, depressive symptoms, and current romantic relationship status. Adjusting for gender and baseline age, structural equation models showed that better friendship quality predicted decreases in self-criticism, which in turn predicted lower levels of depressive symptoms. Entering into a romantic relationship predicted increases in connectedness. Connectedness was unrelated to depression, although increases in neediness over time predicted increases in depressive symptoms. Results highlight the role of one close friend and changes in romantic relationship status in the development of self-definition and relatedness during emerging adulthood, and the role of those personality factors in the development of depression.

The dire wolf (Canis dirus) had a broad geographic range in Pleistocene North and South America. Its northernmost occurrence has been reported from late Pleistocene deposits in Medicine Hat, Alberta, representing the only record of the taxon in Canada. However, the dentary upon which these reports were based has never been described or illustrated. The Medicine Hat specimen is badly crushed and appears to be from an old individual, which precludes the observation of adult diagnostic morphological characters. Geometric morphometrics were used to test the previous identification of the Medicine Hat dentary. A landmark‐based principal component analysis and a canonical variates analysis suggests that the specimen more strongly resembles dire wolf specimens than grey wolf (Canis lupus). Identification of the Medicine Hat specimen as C. dirus supports it as the northernmost occurrence of this species in North America. However, we note the potential for allometric relationships that may confound differentiation between grey and dire wolves based on the morphology of the dentary. This study concludes by identifying future work needed in the areas of canid allometry and the biogeography of late Pleistocene North America and Beringia. [ABSTRACT FROM AUTHOR]

Instream barriers remain ubiquitous threats to freshwater species and their habitats. Decisions regarding barrier removal are often aimed at maximizing habitat area and connectivity for freshwater fish; yet can be challenging due to the sheer number of barriers, uncertainty in species presence, abundance, and habitat quality, as well as limited budgets alongside high costs of restoration. Here, we apply systematic conservation planning to prioritize in‐stream barrier removal aimed at restoring habitat connectivity for 14 populations of wild Pacific salmon in the lower Fraser River, Canada's most productive salmon‐bearing river. To understand how priorities change when stream quality is considered, we contrast scenarios that maximize habitat extent with scenarios that include four indicators of habitat quality. Region‐wide, approximately 64% of naturally accessible stream length is currently blocked by barriers. We estimate approximately 75% of this alienated habitat (over 1600 km of stream), could have full access restored with an investment of $200 million CAD, whereas 60% could be restored for half this amount. When stream quality was considered within the optimization, priorities for barriers removal shifted away from urbanized floodplain valleys towards less developed areas. The spatial shift in priorities meant that species like chum salmon (Oncorhynchus keta) would see less restored habitat. To inform barrier removal strategies using these model scenarios, an iterative and adaptive approach will be required that includes the values and priorities of rights and titleholders. Continuous improvement in data quality, accuracy, and feedback from monitoring as barriers are restored is also crucial. [ABSTRACT FROM AUTHOR]

Since their introduction to North America in the 1980s, research to develop effective control tools for invasive mussels (Dreissena polymorpha and D. rostriformis bugensis) has been ongoing across various research institutions using a range of testing methods. Inconsistencies in experimental methods and reporting present challenges for comparing data, repeating experiments, and applying results. The Invasive Mussel Collaborative established the Toxicity Testing Work Group (TTWG) in 2019 to identify "best practices" and guide development of a standard framework for dreissenid mussel toxicity testing protocols. We reviewed the literature related to laboratory‐based dreissenid mussel toxicity tests and determined the degree to which standard guidelines have been used and their applicability to dreissenid mussel testing. We extracted detailed methodology from 99 studies from the peer‐reviewed and gray literature and conducted a separate analysis for studies using presettlement and postsettlement mussels. We identified specific components of methods and approaches that could be refined or standardized for dreissenid mussels. These components included species identification, collection methods, size/age class distinction, maintenance practices, testing criteria, sample size, response measures, reporting parameters, exposure methods, and mortality criteria. We consulted experts in the field of aquatic toxicology and dreissenid mussel biology on our proposed. The final recommendations contained in the present review are based on published standard guidelines, methods reported in the published and gray literature, and the expertise of TTWG members and an external panel. In addition, our review identifies research needs for dreissenid mussel testing including improved methods for early–life stage testing, comparative data on life stages and between dreissenid mussel species, inclusion of a reference toxicant, and additional testing of nontarget species (i.e., other aquatic organisms). Environ Toxicol Chem 2023;42:1649–1666. © 2023 His Majesty the King in Right of Canada. Environmental Toxicology and Chemistry published by Wiley Periodicals LLC on behalf of SETAC. Reproduced with the permission of the Minister of Environment and Climate Change Canada. This article has been contributed to by U.S. Government employees and their work is in the public domain in the USA. [ABSTRACT FROM AUTHOR]

Objective: The goal of this study was to (1) Describe the patient population of a newly implemented addiction medicine consult service (AMCS); (2) Evaluate referrals to community-based addiction support services and acute health service use, over time; (3) Provide lessons learned. Methods: A retrospective observational analysis was conducted at Health Sciences North in Sudbury, Ontario, Canada, with a newly implemented AMCS from November 2018 and July 2021. Data were collected using the hospital's electronic medical records. The outcomes measured included the number of emergency department visits, inpatient admissions, and re-visits over time. An interrupted time-series analysis was performed to measure the effect of AMCS implementation on acute health service use at Health Sciences North. Results: A total of 833 unique patients were assessed through the AMCS. A total of 1,294 referrals were made to community-based addiction support services, with the highest proportion of referrals between August and October 2020. The post-intervention trend for ED visits, ED re-visits, ED length of stay, inpatient visits, re-visits, and inpatient length of stay did not significantly differ from the pre-intervention period. Conclusion: Implementation of an AMCS provides a focused service for patients using with substance use disorders. The service resulted in a high referral rate to community-based addiction support services and limited changes in health service usage. [ABSTRACT FROM AUTHOR]

Community-based monitoring (CBM) is a widely used form of scientific data collection in which local community members directly participate in ecosystem research and also help the process by sharing traditional ecological knowledge and local understanding of land and resources. This paper presents a review of the challenges and opportunities associated with CBM projects in Canada and internationally. While Canadian cases are the primary focus, international examples are drawn on to provide additional context. Based on our review of 121 documents and publications, we found that CBM helps fill science research gaps by providing access to continuous data sets on the ecosystems being studied. CBM also increases the credibility of the data among users, as the community itself takes part in the environmental monitoring process. CBM supports cross-cultural learning and the co-production of knowledge by using traditional ecological knowledge with science, thereby enabling researchers, scientists and community members to learn from one another. Our review suggests that although there are multiple successes, CBM faces several challenges that constrain its progress including funding shortages, lack of support for local stewardship, and inadequate training for local users in the operation of equipment and data collection methods. Data sharing and rights on the use of data are also constraining to the long-term success of CBM programs. [ABSTRACT FROM AUTHOR]

In 2017, the Association of Theological Schools sponsored the Preparing for 2040 Initiative to help theological schools and seminaries respond to the growing diversity in faith communities. Seminary faculty play a crucial role in shaping and training future religious and spiritual leaders, who in turn act as pastoral helping professionals in their communities. Therefore, it is germane to understand the diversity and justice commitments and goals of the educators that shape and influence pastoral leaders in local communities. Little has been studied, however, about the diversity and justice commitments of these pastoral leaders' instructors. To address this gap, we tested a model of relational spirituality and mature alterity previously used in prior studies with seminary students. Faculty and staff (N = 303) from seminaries accredited by the Association of Theological Schools across the United States and Canada were invited to participate. Participants completed measures of dispositional humility and compassion, social justice commitment, commitment to intercultural competence, respect for religious diversity, purpose beyond the self, and spiritual impression management. Results based on a series of hierarchical regression models showed both humility and compassion were significantly positively related to (a) social justice commitment, (b) commitment to intercultural competence, and (c) purpose beyond the self over and above the effect of spiritual impression management. Compassion was also positively related to respect for religious diversity. Implications are discussed for future research, faculty development, and theological education in these areas. [ABSTRACT FROM AUTHOR]

This study examined the relationships between culture and the health status of older Chinese in Canada. Data were collected through face-to-face interviews with a cross-sectional, randomly selected sample of 2,272 older Chinese between 55 and 101 years of age in seven Canadian cities. Health status was assessed by the number of chronic illnesses, by limitations in ADL and IADL, and by information on the Medical Outcome Study Short Form SF-36. Although cultural variables explained only a small proportion of variance in health status, having a stronger level of identification with traditional Chinese health beliefs was significant in predicting physical health, number of illnesses, and limitations on IADL. Other cultural variables, including religion, country of origin, and length of residence in Canada, were also significant in predicting some health variables. Interventions to improve health should focus on strategies to enhance cultural compatibility between users and the health delivery system.

This qualitative study adds to research on the experiences of professionals who support newcomer women who have experienced intimate partner violence (IPV). Findings from seven focus groups with 32 service providers from newcomer-serving and domestic violence agencies in Saskatchewan, Canada, include newcomer survivors' experiences of isolation, the impact of IPV on newcomer children, and challenges and opportunities for supporting newcomer women who have experienced IPV. Service providers described gaps in existing services and the need for additional services; they also described ways of working effectively with newcomer women survivors of IPV and their children. Professionals indicated the importance of a trauma-and-violence-informed, survivor-centered approach and highlighted the need for compassion, empathy, and patience when working with newcomer women who have experienced IPV. This article includes recommendations for service providers, including IPV shelters and services and newcomer-serving agencies, to improve service to newcomer survivors. [ABSTRACT FROM AUTHOR]

Canada ratified the United Nations Convention on the Law of the Sea (UNCLOS) in 2003. With that ratification is an obligation to submit data and information to the U.N. pertaining to the limits of the country's extended continental shelf (ECS); the portion of the juridical continental shelf that extends beyond 200 nautical miles. A team of Canadian scientists, managers, and legal experts that included representation from three Federal Departments (Natural Resources Canada, Fisheries and Oceans Canada, and Global Affairs Canada) with additional support from other departments, spent 13 years compiling and acquiring data to provide the scientific evidence to support delineation of Canada's seaward most maritime limit. The submission has the potential to provide Canada with 2.4 million km2 of additional submarine landmass in the Atlantic and the Arctic oceans over which Canada exercises sovereign rights for the purpose of exploring and exploiting its natural resources. Specific information such as the tectonic framework of the continental margin, the geomorphology of the margin and in particular the continental slope, the geologic nature of adjoined ridges, rises, and plateaux, and sediment thickness within adjacent basins are examples of fundamental pieces of geoscientific information needed to substantiate Canada's outermost maritime limits. This paper highlights a number of segments of Canada's continental margins to showcase this scientific evidence and how it is applied in the UNCLOS context. In doing so, the paper demonstrates the geologic complexity of Canada's margins as illustrated in scientific publications that have resulted from these new data collections, while at the same time presenting new scientific evidence and interpretations. This collection of data and information provides a wealth of new knowledge in Canada's offshore regions. The massive data compilation in the Atlantic led to conception of continental margins, in a source-to-sink scenario, as having an equilibrium base level or graded form, comparable to river systems. Departures from this shape relate to the interplay of sedimentary processes and in particular to those processes that do not fit the source-to-sink paradigm. For example, a significant part of the Atlantic margin is shown to be heavily influenced by along-slope geostrophic currents that generated massive contourite drift deposits. These deposits reflect lateral transport of sediment that had a significant impact on the morphology of the margin. The role of mass transport processes in shaping continental margins is also highlighted, and in particular the collapses of entire segments of the margin were observed. The prominent role mass failure processes play in delivering sediment to the adjacent abyssal plain is also critical in the ECS context. These observations challenge the entrenched notion of a continental margin comprising a shelf, slope, and rise and in particular the concept of the "continental rise". Prior to 2006, regions of the Arctic Ocean seaward of the Canadian landmass had fewer than 5000 km of seismic reflection data. The massive efforts of Arctic coastal States to map their margins for ECS purposes have led to a leap in technological advances to acquire data in ice-covered seas and have led to a wealth of new geoscientific knowledge. Perhaps foremost amongst this knowledge is demonstration that Canada Basin is indeed a fully developed ocean basin, albeit significantly infilled with sediment. Based on this knowledge and identification of related structures, new realistic tectonic scenarios for opening of the Amerasia Basin are proposed that include a significant component of transform or strike-slip motions. With seismic velocity and rock sample information, the continental nature of Alpha and Mendeleev ridges has been substantiated. Even bathymetric data were lacking in the Arctic and new editions of seafloor maps now support grids of 500 m spacing; although some regions remain sparse. Once thought to be relatively stagnant, sedimentary processes such as found in many ocean basins were discovered in the Arctic Ocean. Evidence of geostrophic currents, sediment mass failures, and deep-sea turbidity current channels were found to be ubiquitous, even in the deepest parts of the Arctic's basins. [ABSTRACT FROM AUTHOR]

This article discusses seven "megatrends" in rehabilitation services for people with disabilities. They include changes in the demography of disability, the empowerment of people with disabilities, the policy of integration, and the rising cost of health and social services. Also considered are changes in rehabilitation service delivery and the role of assistive technology. (Author/DB)

According to the Public Health Agency of Canada, approximately 62,050 people were living with HIV in Canada in 2018, and of those, 13% were undiagnosed. Currently, no single strategy provides complete protection or is universally effective across all demographic groups at risk for HIV. However, HIV preexposure prophylaxis (PrEP) is the newest HIV prevention strategy that shows promise. To date, two products have received an indication for PrEP by Health Canada: emtricitabine/tenofovir disoproxil fumarate (Truvada®; FTC/TDF) and emtricitabine/tenofovir alafenamide (Descovy®; FTC/TAF). Despite the high efficacy of these PrEP intervention methods, access to PrEP in Canada remains low. Identifying and addressing barriers to PrEP access, especially in high-risk groups, are necessary to reduce HIV transmission in Canada. While guidelines published by the Center for Disease Control and Prevention (CDC) include FTC/TAF information, the efficacy of FTC/TAF for PrEP has not yet been considered in Canada's clinical practice guidelines. Thus, the current paper reviews data regarding the use of FTC/TDF and FTC/TAF for PrEP, which may be useful for Canadian healthcare providers when counseling and implementing HIV prevention methods. The authors highlight these data in relation to various at-risk populations and review ongoing clinical trials investigating novel PrEP agents. Overall, FTC/TDF PrEP is effective for many populations, including men who have sex with men, transgender women, heterosexuals with partners living with HIV, and people who use drugs. While there is fewer data reported on the efficacy of FTC/TAF to date, recent clinical trials have demonstrated noninferiority of FTC/TAF in comparison to FTC/TDF. Notably, as studies have shown that FTC/TAF maintains renal function and bone mineral density to a greater extent than FTC/TDF, FTC/TAF may be a safer option for patients experiencing renal and/or bone dysfunction, for those at risk of renal and bone complications, and for those who develop FTC/TDF-related adverse events. [ABSTRACT FROM AUTHOR]

The current study investigated the impact of the COVID pandemic lockdown on gambling and problem gambling in Canada. The AGRI National Project's online panel participants (N = 3449) provided baseline gambling data 6 months prior to the pandemic. Re-surveying this sample during the lockdown provided an opportunity to make quantitative comparisons of the changes. Nearly one-third of gamblers reported ceasing gambling altogether during the lockdown. For the continuing gamblers, quantitative data indicated significant decreases in gambling frequency, time spent in gambling sessions, money spent, and the number of game types played. Qualitative perceptions of changes in gambling were examined and the accuracy of these reports were not closely aligned with actual changes in gambling. Gambling platform was the only gambling engagement metric where increases were found with ~ 17% of the gambling sample migrating to online gambling during the lockdown. Although problem gambling within the sample generally declined, consistent with previous literature, it was also found that gambling online—among other biopsychosocial factors—was a significant predictor for classification as a problem gambler during the lockdown. COVID-specific influences on health, employment, leisure time and social isolation were moderately associated with problem gambling scores but were not independent predictors of changes in gambling engagement during lockdown. Future studies are required to assess if the pandemic related changes in gambling evidenced in this study remain stable, or if engagement reverts to pre-pandemic levels when the pandemic response allows for the re-opening of land-based gambling venues. [ABSTRACT FROM AUTHOR]

Background: The cascade of care framework is an effective way to measure attrition at various stages of engagement in Opioid Agonist Treatment (OAT). The primary objective of the study was to describe the cascade of care for patients who have accessed OAT from a network of specialized addiction clinics in Ontario, Canada. The secondary objectives were to evaluate correlates associated with retention in OAT at various stages and the impact of patients' location of the residence on retention in OAT.Design: A multi-clinic retrospective cohort study was conducted using electronic medical record (EMR) data from the largest network of OAT clinics in Canada (70 clinics) from 2014 to 2020. Study participants included all patients who received OAT from the network of clinics during the study period.Measurements: In this study, four stages of the cascade of care framework were operationalized to identify treatment engagement patterns, including patients retained within 90 days, 90 to 365 days, one to 2 years, and more than 2 years. Correlates associated with OAT retention for 90 days, 90 to 365 days, 1 to 2 years, and more than 2 years were also evaluated and compared across rural and urban areas in northern and southern Ontario.Results: A total of 32,487 patients were included in the study. Compared to patients who were retained in OAT for 90 days, patients who were retained for 90 to 365 days, 1 to 2 years, or more than 2 years were more likely to have a higher number of treatment attempts, a higher number of average monthly urine drug screening and a lower proportion of positive urine drug screening results for other drug use.Conclusion: Distinct sociodemographic and clinical factors are likely to influence treatment retention at various stages of engagement along the OAT continuum. Research is required to determine if tailored strategies specific to people at different stages of retention have the potential to improve outcomes of OAT. [ABSTRACT FROM AUTHOR]

Freshwater turtles face many threats but roadkill is one of the most serious for many species. Roadkill of turtles is not uniformly distributed across roads but aggregated in certain areas, termed hotspots. A key question in identifying hotspots is whether they are fixed locations or if they shift from year to year because of changes in movement patterns. We compared how one, two, and three years of road survey data compared with the pooled data from four years of surveys. We found 254 turtles during 73 surveys during four years along a 15.5 km road section in Ottawa, Ontario, Canada. The four years of pooled data produced four hotspots ("pooled hotspots") while each year or combination of years produced from three to five hotspots, four of which approximately corresponded to the pooled hotspots. The average percentage overlap of hotspots between one, two, or three years of survey data and the pooled hotspots ranged from 58.7% to 88.9%. Just one year of surveys sometimes missed one of the pooled hotspots, underestimated the spatial extent of the pooled hotspots, and also sometimes produced an additional "temporary" hotspot. Two years of surveys generally produced better approximations of the pooled hotspots and better identified the spatial extent of those hotspots. [ABSTRACT FROM AUTHOR]

The present study provides a profile of Canadian Indigenous gambling and problem gambling using the 2018 Canadian Community Health Survey (CCHS) (n = 23,952 adults; 1,324 Indigenous) and an online panel survey of 10,199 gamblers (n = 589 Indigenous). The relative popularity of different types of gambling was similar between Indigenous and non-Indigenous samples. However, there was higher Indigenous participation in electronic gambling machines (EGMs), bingo, instant lotteries, overall gambling and a higher rate of problem gambling (2.0% versus 0.5%). Variables predictive of Indigenous problem gambling were EGM participation, gambling fallacies, having a mental or substance use disorder, sports betting, and male gender. Compared to non-Indigenous problem gamblers, Indigenous problem gamblers had higher substance use and lower impulsivity. In general, variables predictive of Indigenous problem gambling were the same ones predictive of problem gambling in all populations, with elevated Indigenous problem gambling rates primarily being due to elevated rates of these generic risk factors. Many of these risk factors are modifiable. Particular consideration should be given to reducing the disproportionate concentration of EGMs in geographic areas having the highest concentration of Indigenous people and ameliorating the disadvantageous social conditions in this population that are conducive to mental health and substance use problems. [ABSTRACT FROM AUTHOR]

The objectives of this study are to test the efficacy of Cognitive-Behavioral Social Skills Training (CBSST) in enhancing social function in a sample of older patients with schizophrenia, and to assess whether baseline cognition moderates response to CBSST. To address these objectives, we conducted a randomized controlled trial of 63 participants, randomized 1:1 into CBSST or Treatment-As-Usual (TAU). The setting was a community-based geriatric mental health outpatient clinic in Toronto, Ontario, Canada. Data were collected at baseline, and week 18, 36 and 52, between June 2008 and May 2014. Participants were outpatients, aged 60 or older, with a diagnosis of schizophrenia or schizoaffective disorder and no evidence of dementia or other conditions associated with cognitive or functional impairment. The intervention was a weekly group CBSST for 36 weeks. Cognition, including executive function, was assessed at baseline. Modified total score on the Independent Living Skills Survey (ILSS) at 18, 36, and 52 weeks was the primary outcome measure. In a linear mixed model analysis, the ILSS trajectory was better in the CBSST group than the TAU group, with significantly better function at 36 (Cohen's d = 0.75) and 52 weeks (Cohen's d = 0.92). Baseline executive dysfunction moderated CBSST response, whereby participants with more severe executive dysfunction experienced the most improvement in ILSS. CBSST was efficacious in patients with late-life schizophrenia and prevented decline in social function over a one-year period. CBSST was most beneficial for patients with more severe executive dysfunction, i.e., those who needed skills training the most. [ABSTRACT FROM AUTHOR]

Background: Despite the success of gold standard cognitive-behavioral therapy for problem and disordered gambling, the majority of individuals with gambling problems do not seek or receive professional treatment. Thus, the development of less intrusive self-directed interventions has been encouraged. Bibliotherapy for problem gambling has shown promise, both alone and in combination with motivational interviews, but there is still a lack of online self-directed intervention research. The current randomized controlled trial proposes to assess the additive benefit of a single digital motivational interview delivered in conjunction with an online self-directed treatment program for problem gambling and gambling disorder.Methods: A two-arm randomized controlled trial will be conducted, wherein eligible participants (N=270) will be recruited across Canada via internet advertisements posted to several platforms. All participants will receive access to an online self-directed gambling intervention program. Participants will be randomly assigned to either complete the online program alone or receive a digital motivational interview, conducted through an online audioconferencing platform (i.e., Microsoft Teams) to supplement the online program. The primary outcomes of gambling severity, frequency, and expenditures will be tracked along with secondary outcomes (i.e., depression, anxiety, general distress, alcohol use, and online program user data) over a 24-month period. It is expected that participants in both groups will experience a reduction in symptoms across the board, but more substantial improvements will be observed in the group that receives a supplemental motivational interview.Discussion: The results of this trial will expand upon prior gambling intervention research by informing best practices for the provision of online self-help for problem gambling.Trial Registration: ISRCTN ISRCTN13009468 . Registered on 7 July 2020. [ABSTRACT FROM AUTHOR]

Objectives of this study were to determine whether single-family room (SFR) design enhances parental presence, involvement, and maternal well-being during neonatal intensive care hospitalization. An observational cohort including mothers of infants was randomly assigned to receive care in a tertiary-level open-bay (OB) (n = 35) or SFR (n = 36). Mothers were asked to complete daily diaries documenting parental presence, involvement in care, and questionnaires examining maternal well-being. Mother and father mean presence (standard deviation) was significantly higher in the SFR—17.4 (5.2) and 13.6 (6.8)—compared to OB—11.9 (6.3) and 4.6 (3.7) hours/day. Total time spent in care activities did not differ for mothers, except SFR mothers spent more time expressing breast milk (EBM). SFR fathers had greater involvement with care activities. There were no other significant differences. The SFR was associated with greater maternal presence, but not greater involvement in care activities except for EBM, nor improved maternal well-being. The SFR appears to have greater impact on fathers' involvement in care and comforting activities, although the amount of time involved remained quite low compared with mothers. Further studies examining ways to enhance parental involvement in the neonatal intensive care unit are warranted. [ABSTRACT FROM AUTHOR]

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

Loss of connectivity caused by anthropogenic barriers is a key threat for migratory freshwater species. The anadromous life history of salmonids means that barriers on streams can decrease the amount of habitat available for spawning and rearing. To set appropriate targets for restoration, it is important to know how different populations have been impacted in terms of the location and extent of historically available habitat that has been lost or has become inaccessible. Using mapped and predicted barriers to fish passage in streams and diking infrastructure, the amount of both floodplain and linear stream habitat that remains accessible today was estimated for 14 populations of salmon in the Lower Fraser River, British Columbia, Canada's most productive salmon river. To place these estimates within a historical context, the floodplain area was estimated using vegetation records from the 1850s, and lost streams were estimated using a digital elevation model‐derived stream network. To bolster areas where little mapping has been done, current barrier data were used to predict locations likely to have barriers. Accessibility to floodplain was poor across the entire region with only 15% of the historical floodplain remaining accessible. Linear stream habitat ranged in accessibility from 28% to 99% across populations based on mapped barriers. Inclusion of predicted barriers revealed an additional 33 km of potentially inaccessible stream habitat and the modeled stream network located approximately 1700 km of stream length that has been completely lost. Comparing habitat accessibility and barrier density against the assessed status of populations revealed insights useful for understanding the impact of barriers on spawning and rearing and guiding the allocation of restoration effort. Applying methods for addressing missing data, such as lost streams and unmapped barriers, was essential for estimating the accessibility of habitat within a historical context. While much emphasis has been placed on the role of marine conditions in wild Pacific salmon recovery, the magnitude of habitat loss in the Fraser cannot be ignored and suggests it is a major driver of observed salmon declines. [ABSTRACT FROM AUTHOR]

Background: This study evaluated how telemedicine as a modality for opioid agonist treatment compares to in-person care. Methods: We conducted a retrospective cohort study of patients enrolled in opioid agonist treatment between January 1, 2011, and December 31, 2015, in Ontario, Canada. We compared patients who received opioid agonist treatment predominantly in person, mixed, and predominantly by telemedicine. We used a logistic regression model to evaluate mortality, a Cox proportional hazard model to assess retention, and a negative binomial regression model to evaluate emergency department visits and hospitalizations. The study was performed using administrative health data with physician billing data from the Ontario Health Insurance Plan and prescription data from the Ontario Drug Benefit databases. Results: A total of 55,924 individuals were included in the study. Receiving opioid agonist treatment by predominantly telemedicine was not associated with all-cause mortality (OR = 0.9, 95% CI: 0.8–1.0), 1-year treatment retention (OR = 1.0, 95% CI: 0.9–1.1), or opioid-related emergency department visits and hospitalizations when compared to in-person care. The rate of emergency department visits (IRR = 1.4), the rate of mental health-related emergency department visits (IRR = 1.5), and the rate of mental health-related hospitalizations per year (IRR = 1.2) was higher for patients who received opioid agonist treatment predominantly by telemedicine compared to in person. Conclusion: Our findings support the conclusion that telemedicine is equal to in-person care regarding mortality opioid-related emergency department visits and retention, and is a viable option for those seeking opioid agonist treatment. [ABSTRACT FROM AUTHOR]

Understanding how risk factors affect populations across their annual cycle is a major challenge for conserving migratory birds. For example, disease outbreaks may happen on the breeding grounds, the wintering grounds, or during migration and are expected to accelerate under climate change. The ability to identify the geographic origins of impacted individuals, especially outside of breeding areas, might make it possible to predict demographic trends and inform conservation decision‐making. However, such an effort is made more challenging by the degraded state of carcasses and resulting low quality of DNA available. Here, we describe a rapid and low‐cost approach for identifying the origins of birds sampled across their annual cycle that is robust even when DNA quality is poor. We illustrate the approach in the common loon (Gavia immer), an iconic migratory aquatic bird that is under increasing threat on both its breeding and wintering areas. Using 300 samples collected from across the breeding range, we develop a panel of 158 single‐nucleotide polymorphisms (SNP) loci with divergent allele frequencies across six genetic subpopulations. We use this SNP panel to identify the breeding grounds for 142 live nonbreeding individuals and carcasses. For example, genetic assignment of loons sampled during botulism outbreaks in parts of the Great Lakes provides evidence for the significant role the lakes play as migratory stopover areas for loons that breed across wide swaths of Canada, and highlights the vulnerability of a large segment of the breeding population to botulism outbreaks that are occurring in the Great Lakes with increasing frequency. Our results illustrate that the use of SNP panels to identify breeding origins of carcasses collected during the nonbreeding season can improve our understanding of the population‐specific impacts of mortality from disease and anthropogenic stressors, ultimately allowing more effective management. [ABSTRACT FROM AUTHOR]

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

Paleopathology, or the study of ancient injuries and diseases, can enable the ecology and life history of extinct taxa to be deciphered. Large‐bodied ornithopods are the dinosaurs with the highest frequencies of paleopathology reported to‐date. Among these, the crested hadrosaurid Parasaurolophus walkeri is one of the most famous, largely due to its dramatic elongated and tubular nasal crest. The holotype of Parasaurolophus walkeri at the Royal Ontario Museum, Canada, displays several paleopathologies that have not been discussed in detail previously: a dental lesion in the left maxilla, perhaps related to periodontal disease; callus formation associated with fractures in three dorsal ribs; a discoidal overgrowth above dorsal neural spines six and seven; a cranially oriented spine in dorsal seven, that merges distally with spine six; a V‐shaped gap between dorsal spines seven and eight; and a ventral projection of the pubic process of the ilium which covers, and is fused with, the lateral side of the iliac process of the pubis. These lesions suggest that the animal suffered from one or more traumatic events, with the main one causing a suite of injuries to the anterior aspect of the thorax. The presence of several lesions in a single individual is a rare observation and, in comparison with a substantial database of hadrosaur paleopathological lesions, has the potential to reveal new information about the biology and behavior of these ornithopods. The precise etiology of the iliac abnormality is still unclear, although it is thought to have been an indirect consequence of the anterior trauma. The discoidal overgrowth above the two neural spines also seems to be secondary to the severe trauma inflicted on the ribs and dorsal spines, and probably represents post‐traumatic ossification of the base of the nuchal ligament. The existence of this structure has previously been considered in hadrosaurs and dinosaurs more generally through comparison of origin and insertion sites in modern diapsids (Rhea americana, Alligator mississippiensis, Iguana iguana), but its presence, structure, and origin‐attachment sites are still debated. The V‐shaped gap is hypothesized as representing the point between the stresses of the nuchal ligament, pulling the anterior neural spines forward, and the ossified tendons pulling the posterior neural spines backward. Different reconstructions of the morphology of the structure based on the pathological conditions affecting the neural spines of ROM 768 are proposed. Finally, we review the history of reconstructions for Parasaurolophus walkeri showing how erroneous misconceptions have been perpetuated over time or have led to the development of new hypotheses, including the wide neck model supported in the current research. [ABSTRACT FROM AUTHOR]

Background: As the legalization of recreational cannabis becomes more widespread, its impact on individuals with substance use disorders must be studied. Amidst an ongoing opioid crisis, Canada's legalization of recreational cannabis in October 2018 provides an important setting for investigation. We examined changes to cannabis use patterns in patients receiving medication-assisted treatment (MAT) for opioid use disorder (OUD) following legalization.Methods: This study includes cross-sectional data from 602 participants recruited 6 months pre-legalization and 788 participants recruited 6 months post-legalization, providing information on cannabis use. Regression analysis was used to estimate the association between legalization and cannabis use patterns. We collected longitudinal urine drug screens (UDSs) detecting cannabis-metabolites for 199 participants recruited pre-legalization and followed prospectively post-legalization. Conditional logistic regression was used to assess the association between legalization and UDS results.Results: Past-month cannabis use was self-reported by 54.8 and 52.3% of participants recruited pre- and post-legalization, respectively. Legalization was not associated with changes in any measured cannabis characteristics: cannabis use (OR 0.91, 95% CI 0.73-1.13), days of use/month (B -0.42, 95% CI - 2.05-1.21), money spent, or cannabis source. There was no association between legalization and prevalence of cannabis use on UDS (OR 1.67, 95% CI 0.93-2.99) or percentage of cannabis-positive UDSs (OR 1.00, 95% CI 0.99-1.01). Participants overwhelmingly reported that legalization would have no impact on their cannabis use (85.7%).Conclusions: Amongst patients treated for OUD, no significant change in cannabis use was observed following legalization; however, high rates of cannabis use are noted. [ABSTRACT FROM AUTHOR]

Indigenous peoples in Canada experience food insecurity at rates higher than any other Indigenous group in industrialized nations. It is estimated that 40-70 percent of First Nation households face food insecurity, compared to 7 percent for Settler populations. In this study, we use disaggregate household food expenditure data from 466 First Nation households in six First Nation communities located in the provinces of Alberta and Saskatchewan to explore the influence of household income, household size, age of head-of-household, and distance to commercial food markets on the quantity and types of foods purchased. We also explore spatial inequalities and issues related to the accessibility of food. Results indicate that while income, size, and age of the household head are significant determinants of total food expenditures, their impact changes with the type of food purchased and with the community. With the dietary transition of First Nations from traditional subsistence-based localized food systems to store bought foods, this study of the new food consumption paradigm has important implications for public policies on mitigating food insecurity in First Nation communities and for food subsidy programs such as Nutrition North Canada. [ABSTRACT FROM AUTHOR]

This chapter employs social network analysis in order to empirically explore the communication network established by the Toronto 18 in the three years before their arrest. It provides a basic conceptual overview of the extent, breadth, and nature of ideological and operational communiques between the disparate members within the Toronto 18 to further stimulate scholarly inquiry into similar relational dynamics within analogous terrorist groups. This chapter also provides readers with an understanding of certain group, social, and structural characteristics across three distinct periods: (1) the radicalization phase (January 2003 to October 2005); (2) the winter training camp (November 2005 to December 2005); and (3) the threemonth period surrounding the Opasatika property buying trip (January 2006 to March 2006). Research results are then presented and discussed, along with a brief overview of areas for future research. [ABSTRACT FROM AUTHOR]

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