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Simulation has been recognized for its ability to develop competency-level skills and as a replacement for some introductory fieldwork (FW) hours. This study explored how occupational therapy competency-related skills developed over sequential in-person simulations across health practice contexts during Level 1 FW. Entry-to-practice occupational therapy students (N = 66) participated in six sequential, formative, Level 1 FW simulations. The first three sequential simulations (the same patient case evolves in each successive interaction) included a trained simulated patient in a community mental health context and the following three engaged a trained simulated inpatient in a physical health context. Evaluation rubric variables included selected Competencies for Occupational Therapists in Canada (2021) scaffolded to performance expectations at an introductory Level 1 FW placement level. Quantitative pre-post comparison design with secondary data analysis was analyzed using Wilcoxon signed-rank test and ordered logistic regression. Each additional simulation demonstrated significant increases in the odds of improved performance in clinical skills, clinical decision making, responding to evolving patient's needs and priorities, identifying their own strengths and weaknesses, articulating clinical reasoning, and receiving constructive criticism. However, students' skills in the physical health context for decision-making and responding to the patient's needs and priorities did not demonstrate the same improvement trajectories as the mental health context. Sequential simulations are an effective modality for developing Level 1 competency related skills in different practice contexts. Depending on the competency-related practice skill and context, three or more formative unfolding simulations in that context may be needed for a significant improvement.

Despite the visibility of equity, diversity, inclusion, and Indigenization (EDI&I) discourses within large institutions, such as post-secondary institutions, research has chronicled only modest advancements on these stated values. Blocks to advancements in EDI&I stem, in part, from the structural nature of racist and sexist domination, and especially its embeddedness in both formal and informal norms of institutions. Based on a close examination of two EDI&I initiatives in university contexts, and direct experiences of "pushback" against these initiatives, this article conceptualizes institutional gaslighting, whereby universities paradoxically both embrace EDI&I discourse, on the one hand, while simultaneously deploying strategies that prevent dismantling systemic inequalities, on the other. A conceptualization of this dynamic is designed to help others identify and address forms of resistance, especially in settings of high stated value, and ultimately advance these values within large institutions.

This is a composite article which brings together the international perspectives of the editorial board of the Journal of Adventure Education and Outdoor Learning to explore the impacts of artificial intelligence (AI) on the field of adventure education and outdoor learning (AE/OL). Building on the AE/OL profession's response to the impacts of COVID-19 on outdoor and environmental education in 2020, this article includes authors from 10 countries including Australia, Brazil, Canada, England, Japan, Kenya, the Netherlands, New Zealand, Norway, and Wales. The statements discuss the impacts and opportunities of AI for the AE/OL professions, researchers, the nature of being in and with the outdoors, and Indigenous knowledges. The intention of this article is not to present a definitive summary of the state of the profession, but to provide examples of the ways in which diverse people are responding to the challenges and opportunities of AI. By sharing these views, and identifying some commonalities, we hope that AE/OL educators, practitioners, researchers and managers can creatively and cautiously seize the opportunities of this technological revolution.

A retrospective chart review was utilized to gather the outcomes of occupational therapy services for young children who experienced trauma. Subjects (n = 22) were between the ages of 0-5 years, had at least two adverse childhood experiences (ACEs) reported, and received treatment from an occupational therapist and, either or both, a recognized mental health provider or speech-language pathologist. Caregivers of 22 subjects completed an initial Canadian Occupational Performance Measure (COPM) with the most frequently identified problem area categories of Regulation and Developmental Skill Growth. For the 10 subjects for whom a final COPM assessment was available, caregiver perception of child performance and caregiver satisfaction improved by an average of two points. Results from three additional standardized assessments showed varying results in areas tested. Results suggested receiving occupational therapy treatment within an interprofessional team led to positive outcomes for children who experienced trauma. However, further research is needed to determine the specific and most effective means to measure the outcomes of occupational therapy interventions for this population.

In September 2013, the Queen's University Accelerated Route to Medical School (QuARMS), an innovative 2-year premedical curriculum which combines coursework, seminars, fieldwork, and faculty mentorship, was developed. After successful completion of the program, students are eligible to enter medical school. A key aspect of this learning stream is the integrated service-learning aspect which is scaffolded across both years of study and includes in class sessions, community projects, mentoring, and assessment. This paper provides the results of a mixed-methods program evaluation designed to examine students' QuARMS service learning experiences. Overall, students were happy with the service learning component of the program, and indicated that the in-class and experiential service-learning sessions were beneficial. However, students also indicated that they wanted more structure and feedback while working on their projects.

The demand for counseling services in Canadian post-secondary settings has grown dramatically over the past decade putting increased demands on limited resources as colleges and universities were never intended to be part of the mental health treatment continuum of care. One response at many institutions has been to introduce walk-in counseling programs to avoid lengthy waiting lists and to deal with issues more readily. However, this too has implications for staffing for there are times when there are not enough staff to handle student needs while at other times counselors spend hours with no client contact. Weather is one factor that many believe impacts clinic attendance and while there is a mixed literature supporting the influence of this variable it pertains nearly exclusively to medical settings. This study, examining walk-in counseling attendance through an entire academic year of one university in southwestern Ontario, found that daylight, precipitation, and temperature were not statistically related to the number of students who sought counseling.

Objective: We investigated facets of posttraumatic growth (PTG) theory, including the nature of the index event, the relationship between suffering and PTG, and prosocial correlates of PTG. Methods: Undergraduate students (N = 253) completed measures of PTG and trauma-related, psychopathology/affect, and prosocial correlates. Results: Differences emerged in PTG according to event severity, with greater PTG for those who experienced a trauma compared to a stressor. PTG was associated with nearly all trauma-related, select psychopathology/affect (e.g., anxiety, positive affect) and prosocial (e.g., empathy, volunteerism) variables. In a multivariable model, race/ethnicity, helpfulness, perceived chronicity of distress, and positive affect were associated with PTG. Curvilinear trends demonstrated that moderate chronicity of distress and current emotional distress from trauma were associated with the greatest PTG. Conclusions: Findings highlight factors associated with growth, including a moderately distressing trauma, positive affect, and prosocial behavior. Results clarify PTG theory and contribute to understanding conflicting evidence in prior PTG literature.

Older adults are especially unlikely to seek mental health services, and internalized stigma is a key reason why. However, little research has investigated which older adults are particularly likely to have stigma influence help-seeking. To address this, we tested whether perceived control (PC) moderates an internalized stigma model in which public stigma is internalized as self-stigma, which negatively predicts help-seeking attitudes and help-seeking intentions. We employed moderated mediation analysis of cross-sectional, secondary data from 348 psychologically distressed Canadian adults aged 65 years and older. Participants completed an online survey that included measures of public stigma of help-seeking, self-stigma of help-seeking, help-seeking attitudes, conditional help-seeking intentions, psychological distress, and PC. PC emerged as a moderator of the internalized stigma model. Those lower in PC were more likely to have public stigma negatively predict help-seeking intentions through the serial mediation of (a) self-stigma and (b) help-seeking attitudes. Further, those lower in PC were more likely to have public stigma internalized as self-stigma and more likely to have negative help-seeking attitudes predict lower help-seeking intentions. Finally, those lower in PC also had lower help-seeking intentions in the face of low levels of self-stigma. These results contribute to a nuanced understanding of which older adults are unlikely to seek help. Identifying PC as a moderator of the internalized stigma model suggests that interventions that enhance PC should protect against public stigma's internalization and improve help-seeking behaviors for older adults who need such help. Public Significance Statement: This study demonstrates that if distressed older adults are low in perceived control (i.e., they feel they have little control over influencing outcomes and events), they are more likely to avoid seeking psychological help when exposed to help-seeking stigma. This is important because older adults are the age demographic least likely to seek help for mental health concerns, and enhancing perceptions of control is one way to improve treatment seeking. [ABSTRACT FROM AUTHOR]

Objective: To compare how different imputation methods affect the estimates and performance of a prediction model for premature mortality. Study Design and Setting: Sex-specific Weibull accelerated failure time survival models were run on four separate datasets using complete case, mode, single and multiple imputation to impute missing values. Six performance measures were compared to access predictive accuracy (Nagelkerke R2, integrated brier score), discrimination (Harrell's c-index, discrimination slope) and calibration (calibration in the large, calibration slope). Results: The highest proportion of missingness for a single variable was 10.86% for the female model and 8.24% for the male model. Comparing the performance measures for complete case, mode, single and multiple imputation: the Nagelkerke R2 values for the female model was 0.1084, 0.1116, 0.1120 and 0.111–0.1120 with the male model exhibited similar variation of 0.1050, 0.1078, 0.1078 and 0.1078–0.1081. Harrell's c-index also demonstrated small variation with values of 0.8666, 0.8719, 0.8719 and 0.8711–0.8719 for the female model and 0.8549, 0.8548, 0.8550 and 0.8550–0.8553 for the male model. Conclusion: In the scenarios examined in this study, mode imputation performed well when using a population health survey compared to single and multiple imputation when predictive performance measures is the main model goal. To generate unbiased hazard ratios, multiple imputation methods were superior. This study shows the need to consider the best imputation approach for a predictive model development given the conditions of missing data and the goals of the analysis. [ABSTRACT FROM AUTHOR]

Background: Previous research has shown that nostalgia for the pre-addicted self can motivate people living with addiction to engage in behavior change. Objective: Herein, we explored nostalgia for the addictive behavior—labeled addiction-related nostalgia (ARN)—among people in recovery from engaging in addictive behavior. We tested the novel idea that ARN is positively associated with ambivalence about recovery. We also hypothesized that ARN may counteract the positive influence of optimism on individuals' commitment to recovery. Results: In two studies involving individuals in recovery from a gambling (Study 1; N=301) or alcohol use disorder (Study 2; N=604), ARN was linked to increased ambivalence about recovery, while optimism was associated with decreased ambivalence. As expected, the interaction between optimism and ARN revealed that nostalgia either eliminated (Study 1) or reduced (Study 2) the negative relation between optimism and ambivalence. Conclusions: These findings underscore the challenges posed by ARN in the recovery process and emphasize the importance of interventions that address and mitigate its impact while considering the moderating role of optimism. [ABSTRACT FROM AUTHOR]

Adolescents and young adults (AYAs; 15–39 years) diagnosed with cancer have unique medical and psychosocial needs. These needs could be better addressed through research that is focused on the topics that matter most to them. However, there is currently no patient-oriented research agenda for AYA cancer in Canada. This manuscript describes the early development and project protocol for a priority-setting partnership (PSP) for establishing the top 10 research priorities for AYA cancer in Canada. This project follows the PSP methodology outlined by the James Lind Alliance (JLA) to engage patients, caregivers, and clinicians in research prioritization. The steps of a JLA PSP include establishing a steering group and project partners, gathering uncertainties, data processing and verifying uncertainties, interim priority setting, and a final priority setting workshop. The AYA cancer PSP will result in a top 10 list of research priorities identified by Canadian AYA patients, caregivers, and clinicians that will be published and shared broadly with the research community. The first steering group meeting was held in April 2023, and the project is ongoing. The establishment of a patient-oriented research agenda for AYA cancer will catalyze a long-term and impactful research focus and ultimately improve outcomes for AYA patients with cancer in Canada. [ABSTRACT FROM AUTHOR]

The purpose of this study was to describe the design and evolution of a unique and successful Master of Science program in anatomical sciences at one Canadian post-secondary institution and to evaluate its long-term impact on student learning. This program prepares students to teach anatomy and design curricula in the anatomical sciences and is structured around three pillars of competency--content (disciplinary knowledge and transferable skills), pedagogy, and inquiry. Graduates of the program from the last ten years were surveyed, to better understand the knowledge, skills, and habits of mind they have adopted and implemented since completion. Interest was taken in identifying aspects of the program that students found particularly beneficial and areas that needed to be further developed. Based on the findings, this program has been a highly valuable experience for the graduates especially in helping them develop transferable skills, and grow as individuals. The hope is that other institutions that have similar programs in place or are considering developing them would benefit from this description of the program design and the sharing of the lessons learned.

This longitudinal study inventoried the types of services accessed by a sample of Alberta families of children with or at-risk for disabilities. We explored the role of severity of disability, parental stress, and family income on services accessed. With few exceptions, services were accessed more frequently as the children's lives progressed but higher income families accessed more services than lower income families, even though the latter families had children with more severe disabilities. Difficulties accessing services and lack of services were reported by lower income families. The authors conclude that integrated services are necessary to improve access for those families most in need. (Contains 4 figures.)

Amending soil with manure from cattle fed biochar (BC) (biochar–manure [BM]) is a potential best management practice to improve plant nutrition in the circular economy. Yet, information concerning the agronomic performance of BM under temperate field conditions is scarce. A 2‐year study on a Gray Luvisol was conducted to determine the effect of BM on the crop growth of spring wheat (Triticum aestivum L.), followed by canola (Brassica napus L.), soil fertility, and microbial function. Treatments included (i) no amendments (control), (ii) BC at 5 and 10 Mg·ha−1 (BC5 and BC10), (iii) regular stockpiled manure (RM) at 100 kg total N·ha−1, (iv) stockpiled BM at 100 kg total N·ha−1, and (v) BC and RM (BC+RM) or BC and BM (BC+BM) at the aforementioned rates. During the wheat growing season in 2020, which had high precipitation, grain yield was 2.4 times greater in BM+BC10 than in BM alone (1416 vs. 579 kg·ha−1, p < 0.001), highlighting synergistic effects of BM together with BC application on agronomic performance. Conversely, lower precipitation and warmer temperatures in the canola growing season in 2021 hampered any statistical differences among treatments. While soil microbial biomass did not change by the end of the experiment, shifts toward amino acid utilization with BC additions in both crops potentially influenced crop growth and nitrogen‐use efficiency. In summary, BM+BC at 10 Mg·ha−1 performed best in this study during the first cropping season under cold and rainy conditions. Core Ideas: Biochar and biochar–manure additions increased wheat production.There were shifts toward amino acid utilization with biochar additions.Precipitation and temperature played an essential part in level of biochar addition benefits. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Medical Imaging & Radiation Sciences is the property of Elsevier B.V. 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.)

Objectives: In response to COVID-19's first wave, provincial governments rapidly implemented several public health directives, including isolation measures and care facility visitor restrictions, which profoundly affected healthcare delivery at the end of life and dying experiences and perceptions. The objective of this study was to identify implications of early policy changes for dying at home. Methods: Analysis of interviews with 29 key informants with expertise in the policy and practice context of dying at home and care for those dying at home was conducted as part of a larger mixed-methods study on dying at home in Canada. Results: Initial pandemic policy responses, especially visitor restrictions and limitations to home care services, shaped dying at home in relation to three themes: (1) increasing preferences and demand for, yet constrained system ability to support dying at home; (2) reinforcing and illuminating systemic reliance on and need for family/friend caregivers and community organizations, while constraining their abilities to help people die at home; and (3) illuminating challenges in developing and implementing policy changes during a pandemic, including equity-related implications. Conclusion: This study contributes to broader understanding of the multifaceted impacts of COVID-19 policy responses in various areas within Canadian healthcare systems. Implications for healthcare delivery and policy development include (1) recognizing the role of family/friend caregivers and community organizations in end-of-life care, (2) recognizing health inequities at the end of life, and (3) considering possible changes in future end-of-life preferences and public attitudes about dying at home and responsibility for end-of-life care. [ABSTRACT FROM AUTHOR]

Summary: Obesity and obesity‐related illness have become an increasingly prevalent problem in Canada and around the globe. Due to this situation, consumers' attitudes towards salt use have changed. The objective of this study was to investigate individuals' attitudes towards salt use and identify if they are choosing to reduce salt in their diet using unrestrictive questions. A convenience sample of 193 participants, residing in Atlantic Canada were recruited. Word association tasks were used to identify their attitudes towards salt‐reduced foods and high‐salt food products. Furthermore, an open‐ended comment question was used to identify consumers' salt reduction strategies. Participants considered salt‐reduced foods to be healthy and specifically indicated that they help to reduce blood pressure. However, they also considered them to be bland and lack flavour. The participants identified that they believed processed foods to be high in salt, especially processed meats. The majority of participants (70% of the overall population; 89% of older adults above 65 years of age) said they are trying to reduce their salt intake. The most frequently mentioned strategies for reducing salt and sodium intake were making homemade meals, purchasing low‐salt and sodium‐labelled foods, reading nutrition fact labels and removing saltshakers from their table at home. [ABSTRACT FROM AUTHOR]

Background: Blood donors at the extremes of the age spectrum (16–19 years vs. ≥75 years) are characterized by increased risks of iron deficiency and anemia, and are often underrepresented in studies evaluating the effects of donor characteristics on red blood cells (RBC) transfusion effectiveness. The aim of this study was to conduct quality assessments of RBC concentrates from these unique age groups. Study design: We characterized 150 leukocyte‐reduced (LR)‐RBCs units from 75 teenage donors, who were matched by sex, and ethnicity with 75 older donors. LR‐RBC units were manufactured at three large blood collection centers in the USA and Canada. Quality assessments included storage hemolysis, osmotic hemolysis, oxidative hemolysis, osmotic gradient ektacytometry, hematological indices, and RBC bioactivity. Results: RBC concentrates from teenage donors had smaller (9%) mean corpuscular volume and higher (5%) RBC concentration compared with older donors counterparts. Stored RBCs from teenage donors exhibited increased susceptibility to oxidative hemolysis (>2‐fold) compared with RBCs from older donors. This was observed at all testing centers independent of sex, storage duration, or the type of additive solution. RBCs from teenage male donors had increased cytoplasmatic viscosity and lower hydration compared with older donor RBCs. Evaluations of RBC supernatant bioactivity suggested that donor age was not associated with altered expression of inflammatory markers (CD31, CD54, and IL‐6) on endothelial cells. Conclusions: The reported findings are likely intrinsic to RBCs and reflect age‐specific changes in RBC antioxidant capacity and physical characteristics that may impact RBC survival during cold storage and after transfusion. [ABSTRACT FROM AUTHOR]

We explored 12-month-olds' flexibility in accepting phonotactically illegal or ill-formed word forms in a modified associative-learning task. Sixty-four English-learning infants were presented with a training phase that either clarified the purpose of a sound--object association task or left the task ambiguous. Infants were then habituated to sets of Czech words with onsets that are illegal in English (e.g., ptak), consonantal sounds (e.g., /l/), or novel functionlike words (e.g., iv). When infants were provided with a training phase that highlighted the purpose of the task, they associated the phonotactically illegal Czech words, but not the consonantal sounds or novel functionlike words, with objects. Thus, English-learning 12-month-old infants' flexibility in associating various sound forms with novel objects is limited to labels that share the structural shape of well-formed nounlike words.

A unique partnership among five universities, funded in part by Montreal philanthropist Stephen Jarislowsky, has created what’s believed to be a first-of-its-kind network in Canada to promote ethics and high standards of ethics, trust, and political leadership. In this article, the authors describe the program’s aims and outline past and planned events and activities. The authors conclude with a call to parliamentarians, political staff, and non-partisan parliamentary employees to share ideas with and make requests to the program’s chairs. [ABSTRACT FROM AUTHOR]

The genesis of this article was a request from the "Journal of Geography in Higher Education" to provide a reflection piece about our article 'Dear Diary: Early Career Geographers Collectively Reflect on their Qualitative Field Research Experiences' (2011) that won the journal's biennial award for 2009-2011. This request has afforded us the opportunity to reconnect as a team and, through self-directed interviews, to reflect upon how writing "Dear Diary" continues to influences our current perceptions of journaling in qualitative research. More specifically, we focus here on the relationships between journaling and our approach to research, team-based collaboration, and our current teaching and mentoring practices. We all continue to keep fieldwork journals and perceive reflexive journaling as a crucial tool for qualitative methods and other collaborative ventures.

Peatland pools are freshwater bodies that are highly dynamic aquatic ecosystems because of their small size and their development in organic‐rich sediments. However, our ability to understand and predict their contribution to both local and global biogeochemical cycles under rapidly occurring environmental change is limited because the spatiotemporal drivers of their biogeochemical patterns and processes are poorly understood. We used (1) pool biogeochemical data from 20 peatlands in eastern Canada, the United Kingdom, and southern Patagonia and (2) multi‐year data from an undisturbed peatland of eastern Canada, to determine how climate and terrain features drive the production, delivering and processing of carbon (C), nitrogen (N), and phosphorus (P) in peatland pools. Across sites, climate (24%) and terrain (13%) explained distinct portions of the variation in pool biogeochemistry, with climate driving spatial differences in pool dissolved organic C (DOC) concentration and aromaticity. Within the multi‐year dataset, DOC, carbon dioxide (CO2), total N concentrations, and DOC aromaticity were highest in the shallowest pools and at the end of the growing seasons, and increased gradually from 2016 to 2021 in relation to a combination of increases in summer precipitation, mean air temperature for the previous fall, and number of extreme summer heat days. Given the contrasting effects of terrain and climate, broad‐scale terrain characteristics may offer a baseline for the prediction of small‐scale pool biogeochemistry, while broad‐scale climate gradients and relatively small year‐to‐year variations in local climate induce a noticeable response in pool biogeochemistry. These findings emphasize the reactivity of peatland pools to both local and global environmental change and highlight their potential to act as widely distributed climate sentinels within historically relatively stable peatland ecosystems. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Journal of Occupational Therapy 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.)

This article explores how teachers' experiences of teaching accelerated courses in a residential setting compared with their experiences of teaching in their traditional contexts. It looks at how teachers responded to the opportunities the accelerated format provided and how this caused them to revisit not only what they taught, but how they taught. Teaching in an intense residential setting also allowed teachers to be more aware of their students as learners and caused them to revisit the purpose of higher education. Suggestions are made for how accelerated courses could be seen as part of an academic year as they offer advantages to both teacher and student. (Contains 5 figures.)

Sixty-four seniors were introduced to computers through a series of five weekly workshops. Participants were given instruction followed by hands-on experience for topics related to social communication, information seeking, games, and word processing and were observed to determine their preferences for instructional support. Observations of sessions as well as pre- and posttest surveys were completed. Overall, participants were more likely to request instructional support that involved scaffolding rather than direct instruction or a combination of instructional approaches. Survey results indicated more positive and less anxious attitudes toward computers over time. Men experienced an increase in comfort and use of computers over sessions. Discussion centers on creating educational environments that optimize computer learning among seniors. (Contains 2 tables.)

Students' perceptions of school safety and experiences with bullying were examined in a large Canadian cohort of 5,493 girls and 5,659 boys in Grades 4 to 12. Results indicate notable differences in when and where students felt safe based on their own perceptions of safety and their own experiences with bullying, particularly across elementary and secondary schools. For elementary students, especially those involved in bullying, the playground/school yard and outside recess/break time were particularly hazardous, whereas for secondary students involved in bullying, the hallways, school lunchroom/cafeteria, and outside recess/break were considered especially dangerous. The commonality across student-identified unsafe areas is that they tend to not be well supervised by school personnel. Accordingly, the present results underscore the need to increase adult supervision in areas in which an overwhelming majority of students report feeling unsafe. (Contains 2 tables and 2 notes.)

The paper describes the introduction of Web 2.0 techniques and tools at the Yarra Plenty public library in Victoria, beginning with library staff. The author argues that as libraries move from Web 1.0 type delivery systems to the social networking world of Library 2.0 librarians need to deploy and make accessible these radically different systems, social interactions and library places. Whilst formats have changed, and will continue to change, delivery systems have changed and will continue to change, skill sets and competencies have changed and will continue to change, the users, the citizens who fund and value library services, still need to have their social, cultural and recreational needs met in both the virtual and physical domains in which libraries operate. (Contains 1 figure and 1 table.)

Purpose: We examined whether written emotional disclosure reduces stress and improves health outcomes for family caregivers of physically frail and cognitively impaired older adults, as it has been shown to do for certain student and clinical populations. Design and Methods: Primary caregivers of older adults attending a day program were randomly assigned to expressive-writing (n = 14), time-management (n = 13), or history-writing (n = 13) conditions. Participants wrote for 20 minutes on four occasions over a 2-week period, and they completed self-report measures of caregiver burden and health prior to the intervention, immediately afterward, and at 1-month follow-up. Results: Contrary to expectations, expressive-writing and history-writing participants performed similarly across outcomes. Only caregiver participants in the time-management condition experienced significant mental and physical health improvements after writing. Implications: The results of this study add to a growing body of research demonstrating equivocal effects of expressive writing with clinical samples, and they suggest the potential benefit of written time management for stressed caregivers. (Contains 3 tables.)

This paper explores tensions between individual desires to enact the work of academic development practice in ways that foster authenticity, and the pressure to fabricate proper identities in the service of the performative university. Through auto-ethnographic inquiry, three academic developers together ask, "How are we and our practices true to who we are, to our colleagues and university, and to the purposes of higher education?" Our writing aims to encourage reflection on the moral and ethical dimensions of the work of academic development. Our discussion identifies particular individual and collective strategies of healing and transformation that will lead academics, and academic developers, toward a more authentic practice. (Contains 1 note.)

This study uses virtual reference transcripts for which patrons completed exit surveys to seek any correlations between user and librarian satisfaction within virtual reference transactions. By analyzing transcripts with a focus on three elements-technology performance, preferred reference practices, and the demonstrated communication levels of both the library staff member and the patron-the authors sought to determine whether these three elements had any bearing on satisfaction in virtual reference sessions.

Background: Diabetic retinopathy is a sight-threatening ocular complication of diabetes. Screening is an effective way to reduce severe complications, but screening attendance rates are often low, particularly for newcomers and immigrants to Canada and people from cultural and linguistic minority groups. Building on previous work, in partnership with patient and health system stakeholders, we co-developed a linguistically and culturally tailored tele-retinopathy screening intervention for people living with diabetes who recently immigrated to Canada from either China or African-Caribbean countries. Methods: Following an environmental scan of diabetes eye care pathways in Ottawa, we conducted co-development workshops using a nominal group technique to create and prioritize personas of individuals requiring screening and identify barriers to screening that each persona may face. Next, we used the Theoretical Domains Framework to categorize the barriers/enablers and then mapped these categories to potential evidence-informed behaviour change techniques. Finally with these techniques in mind, participants prioritized strategies and channels of delivery, developed intervention content, and clarified actions required by different actors to overcome anticipated intervention delivery barriers. Results: We carried out iterative co-development workshops with Mandarin and French-speaking individuals living with diabetes (i.e., patients in the community) who immigrated to Canada from China and African-Caribbean countries (n = 13), patient partners (n = 7), and health system partners (n = 6) recruited from community health centres in Ottawa. Patients in the community co-development workshops were conducted in Mandarin or French. Together, we prioritized five barriers to attending diabetic retinopathy screening: language (TDF Domains: skills, social influences), retinopathy familiarity (knowledge, beliefs about consequences), physician barriers regarding communication for screening (social influences), lack of publicity about screening (knowledge, environmental context and resources), and fitting screening around other activities (environmental context and resources). The resulting intervention included the following behaviour change techniques to address prioritized local barriers: information about health consequence, providing instructions on how to attend screening, prompts/cues, adding objects to the environment, social support, and restructuring the social environment. Operationalized delivery channels incorporated language support, pre-booking screening and sending reminders, social support via social media and community champions, and providing using flyers and videos as delivery channels. Conclusion: Working with intervention users and stakeholders, we co-developed a culturally and linguistically relevant tele-retinopathy intervention to address barriers to attending diabetic retinopathy screening and increase uptake among two under-served groups. [ABSTRACT FROM AUTHOR]

Research documenting the impact of COVID-19 on Two-Spirit, lesbian, gay, bisexual, transgender, and queer (2SLGBTQ+) populations in Canada is limited. Our objectives were to investigate the impact of COVID-19 lockdown measures on the lives of trans, nonbinary, and other gender nonconforming (TGNC) people. Engage COVID-19 is a mixed methods study examining the impact of COVID-19 on gay, bisexual, queer, and other men who have sex with men (GBQM) living in Vancouver, Toronto, and Montreal, Canada. Using purposive sampling, we conducted in-depth qualitative interviews (between November 2020–February 2021 and June–October 2021) with 93 participants who discussed the impact of COVID-19 on their lives. Seventeen participants were identified as TGNC. TGNC participants reported barriers to trans healthcare during the initial months of the COVID-19 pandemic. Several participants indicated that some public health interventions during COVID-19 (i.e., lockdowns) eased the pressure to "perform" gender due to fewer in-person interactions. During lockdowns, TGNC participants increasingly cultivated community networks online. Nevertheless, participants reported longing for the social support that was available to them during pre-COVID. Lack of access to community spaces during lockdowns had a negative impact on participants' mental health, despite reduced pressure to perform gender and opportunities for social engagement in online spaces. [ABSTRACT FROM AUTHOR]

We describe changes in the comprehensiveness of services delivered by family physicians in 4 Canadian provinces (British Columbia, Manitoba, Ontario, Nova Scotia) during the periods 1999-2000 and 2017-2018 and explore if changes differ by years in practice. We measured comprehensiveness using province-wide billing data across 7 settings (home, long-term care, emergency department, hospital, obstetrics, surgical assistance, anesthesiology) and 7 service areas (pre/postnatal care, Papanicolaou [Pap] testing, mental health, substance use, cancer care, minor surgery, palliative home visits). Comprehensiveness declined in all provinces, with greater changes in number of service settings than service areas. Decreases were no greater among new-to-practice physicians. [ABSTRACT FROM AUTHOR]

Describes the complex context of language choice in schools in Cree communities on the east coast of James bay in Quebec before Cree was used as the language of instruction. Four important threads of concern were identified: locus of control, economies of scale, community visions of language and education, and the role of literacies. (Author/VWL)

Background: Since the onset of the COVID-19 pandemic in March 2020 in Canada, the availability of sexual health services including sexually transmitted and blood-borne infection (STBBI) testing has been negatively impacted in the province of Ontario due to their designation as "non-essential" health services. As a result, many individuals wanting to access sexual healthcare continued to have unmet sexual health needs throughout the pandemic. In response to this, sexual health service providers have adopted alternative models of testing, such as virtual interventions and self-sampling/testing. Our objective was to investigate service providers' experiences of disruptions to STBBI testing during the COVID-19 pandemic in Ontario, Canada, and their acceptability of alternative testing services. Methods: Between October 2020-February 2021, we conducted semi-structured virtual focus groups (3) and in-depth interviews (11) with a diverse group of sexual health service providers (n = 18) including frontline workers, public health workers, sexual health nurses, physicians, and sexual health educators across Ontario. As part of a larger community-based research study, data collection and analysis were led by three Peer Researchers and a Community Advisory Board was consulted throughout the research process. Transcripts were transcribed verbatim and analysed with NVivo software following grounded theory. Results: Service providers identified the reallocation of public health resources and staff toward COVID-19 management, and closures, reduced hours, and lower in-person capacities at sexual health clinics as the causes for a sharp decline in access to sexual health testing services. Virtual and self-sampling interventions for STBBI testing were adopted to increase service capacity while reducing risks of COVID-19 transmission. Participants suggested that alternative models of testing were more convenient, accessible, safe, comfortable, cost-effective, and less onerous compared to traditional clinic-based models, and that they helped fill the gaps in testing caused by the pandemic. Conclusions: Acceptability of virtual and self-sampling interventions for STBBI testing was high among service providers, and their lived experiences of implementing such services demonstrated their feasibility in the context of Ontario. There is a need to approach sexual health services as an essential part of healthcare and to sustain sexual health services that meet the needs of diverse individuals. [ABSTRACT FROM AUTHOR]

Background: The Infant Maternal Perinatal Advanced Care Team program was launched in 2018 to enhance perinatal palliative care services in Toronto, Canada. Methods: Pilot patients were (1) carrying a fetus with a life-limiting diagnosis and (2) receiving care at the high-risk fetal center. Individualized care included opportunities for establishing goals, labor/delivery planning, grief support, and pediatric palliative care support. Results: A total of 107 patients were included during the two-year clinical pilot program. Of those who continued their pregnancy, 45% had care goals focused on comfort while 55% had goals focused on life prolongation. A significant proportion in both groups experienced a fetal or neonatal death. For babies who received comfort-focused care, one-third were transferred to hospice or home. Conclusions: A comprehensive perinatal palliative care pathway ensures that more families receive options of pre- and postnatal palliative care supports in varied circumstances where there is significant risk of fetal and neonatal mortality. [ABSTRACT FROM AUTHOR]

To combat global warming, Canada has committed to reducing greenhouse gases to be (GHGs) 40 %–45 % below 2005 emission levels by 2025. Monitoring emissions and deriving accurate inventories are essential to reaching these goals. Airborne methods can provide regional and area source measurements with small error if ideal conditions for sampling are met. In this study, two airborne mass-balance box-flight algorithms were compared to assess the extent of their agreement and their performance under various conditions. The Scientific Aviation's (SciAv) Gaussian algorithm and the Environment and Climate Change Canada's top-down emission rate retrieval algorithm (TERRA) were applied to data from five samples. Estimates were compared using standard procedures, by systematically testing other method fits, and by investigating the effects on the estimates when method assumptions were not met. Results indicate that in standard scenarios the SciAv and TERRA mass-balance box-flight methods produce similar estimates that agree (3 %–25 %) within algorithm uncertainties (4 %–34 %). Implementing a sample-specific surface extrapolation procedure for the SciAv algorithm may improve emission estimation. Algorithms disagreed when non-ideal conditions occurred (i.e., under non-stationary atmospheric conditions). Overall, the results provide confidence in the box-flight methods and indicate that emissions estimates are not overly sensitive to the choice of algorithm but demonstrate that fundamental algorithm assumptions should be assessed for each flight. Using a different method, the Airborne Visible InfraRed Imaging Spectrometer – Next Generation (AVIRIS-NG) independently mapped individual plumes with emissions 5 times larger than the source SciAv sampled three days later. The range in estimates highlights the utility of increased sampling to get a more complete understanding of the temporal variability of emissions and to identify emission sources within facilities. In addition, hourly on-site activity data would provide insight to the observed temporal variability in emissions and make a comparison to reported emissions more straightforward. [ABSTRACT FROM AUTHOR]

Background: Lack of patient access to family physicians in Canada is a concern. The role of recent physician graduates in this problem of supply of primary care services has not been established. We sought to establish whether career stage or graduation cohort were related to family physician practice volume and continuity of care over time. Methods: We conducted a retrospective cohort study of family physician practice from 1997/98 to 2017/18. We collected administrative health and physician claims data in British Columbia, Manitoba, Ontario and Nova Scotia. We included all physicians who registered with their respective provincial regulatory colleges as having a medical specialty of family practice or who had billed the provincial health insurance system for patient care as family physicians, or both. We used regression models to isolate the effects of 3-year categories of years in practice (at all career stages), time period and cohort on patient contacts and physician-level continuity of care. Results: Between 1997/98 and 2017/18, the median number of patient contacts per provider per year fell by between 515 and 1736 contacts in the 4 provinces examined. Median contacts peaked at 27–29 years in practice in all provinces, and median physician-level continuity of care increased until 30 or more years in practice. We found no association between graduation cohort and patient contacts or physician-level continuity of care. Interpretation: Recent cohorts of family physicians practise similarly to their predecessors in terms of practice volumes and continuity of care. Because family physicians of all career stages showed declining patient contacts, we suggest that system-wide solutions to recent challenges in the accessibility of primary care in Canada are needed. [ABSTRACT FROM AUTHOR]

Introduction: Immigrants from high tuberculosis-burdened countries have been shown to have an increased risk of latent tuberculosis infection (LTBI). To reduce the risk of increased tuberculosis cases in Canada, the country has a comprehensive immigration medical examination process that identifies individuals with active tuberculosis using chest X-ray; however, it fails to identify LTBI. The lack of LTBI identification is concerning because immigrants with LTBI are at an increased risk of developing active tuberculosis within their first few years of migration due to stressful experiences common to many immigrants. Objectives: The goal of this pilot study is to improve the current LTBI screening protocols among immigrants from high tuberculosis incidence countries and to better prevent and manage tuberculosis cases, by introducing an LTBI screening pilot program. The objectives are threefold: 1) to screen LTBI in immigrants from high tuberculosis incidence countries, including immigrants identified as being at risk of LTBI by the NB health care system, using the QuantiFERON-TB Gold Plus interferon-gamma release assay (IGRA); 2) to offer LTBI treatment and supports to those identified as having LTBI; and 3) to assess immigrant and health care providers (HCPs) satisfaction of the LTBI screening pilot program. Methods: This cross-sectional study seeks to recruit 288 participants. Participants will be recruited via posters, social media platforms, invitations at immigrant wellness check-ups, presentations to local ethnocultural groups, and by snowball sampling. Consenting participants will be asked to submit a blood sample for LTBI screening; if positive, participants will be assessed and offered treatment for LTBI based on clinical assessment. Participants and HCPs' feedback will be gathered via short questionnaires. For the quantitative portion of the study, descriptive statistics will be used to summarize participant characteristics and feedback. Simultaneous logistic regression will be performed to identify variables associated with the IGRA test outcome and evidence of increased CD8 T-cell immune response among those found to be LTBI-positive. Qualitative results will be analyzed using inductive thematic analysis. Discussion: The findings from this study will allow us to understand the role of the IGRA LTBI screening assay and its feasibility and acceptability by immigrants and HCPs in New Brunswick. The findings will additionally provide information on the enhancers and barriers of LTBI screening and management useful in determining how best to expand the LTBI screening program if deemed appropriate. [ABSTRACT FROM AUTHOR]

Background: The availability of national data on the prevalence of antimicrobial resistant infections in smaller, community, northern and rural acute care hospitals is limited. The objective of this article is to determine the prevalence of infections caused by selected antimicrobialresistant organisms (AROs) in these smaller hospitals. Methods: A point prevalence survey was conducted by 55 hospitals between February and May 2019 and included representation from all 10 Canadian provinces. Eligible hospitals were those with 350 or fewer beds. Data were collected on hospital characteristics. De-identified patient data were collected on selected infections (pneumonia, urinary tract infections, bloodstream infections, skin/soft tissue infections, surgical site infections, and Clostridioides difficile infections) for selected AROs (methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococci, extended-spectrum β-lactamase-producing organisms and carbapenemase-producing organisms). Data on antimicrobial prescribing and infection prevention and control precautions were also collected. Results: A total of 3,640 patients were included in the survey. Median patient age was 73 years, and 52.8% (n=1,925) were female. Selected infections were reported in 14.4% (n=524) of patients, of which 6.9% (n=36) were associated with an ARO infection. Infection prevention and control additional precautions were in place for 13.7% (n=500) of patients, of which half (51.0%, n=255) were due to an ARO. Approximately one third (35.2%, n=1,281) of patients had at least one antimicrobial prescribed. Conclusion: Antimicrobial-resistant organisms remain a serious threat to public health in Canada. The results of this survey warrant further investigation into AROs in smaller Canadian hospitals as a potential reservoir of antimicrobial resistance. [ABSTRACT FROM AUTHOR]

• Entomophagy has been identified as a sustainable option for consumers. • Knowledge (nutritional, sustainable and traditional) about crickets was presented to participants. • Traditional information impacted their sensory perception and emotional response. • Traditional information decrease belief that eating insects is disgusting. Entomophagy has been proposed as a sustainable solution to increasing food demands worldwide. However, insect consumption is associated with negative attitudes, and this is a major barrier to consumption for many Western consumers. A consumer acceptability trial was conducted providing information about the nutritional benefits, sustainability benefits and traditional/current consumption of insects. The trial evaluated how this information affected Western consumers' (residing in Atlantic Canada, n = 148) sensory perception and emotional response to cookies containing cricket powder. All participants evaluated an initial sample (cookie made with cricket powder) and were then randomly assigned to receive information about nutritional benefits (Nutritional), sustainable benefits (Sustainable) or traditional/current consumption of insects (Traditional) before evaluating a second cookie containing crickets. The information did not affect their hedonic response to the cookies, but it did change their sensory perception. Participants who were shown the Sustainable information more frequently selected nutty, dry, and hard, while participants that were shown the Traditional information, more frequently selected pale, and vanilla. Furthermore, the Nutritional information led to an increased selection of the disgusted emotion, while the Traditional information led to an increased selection of interested and a decreased selection of adventurous. Additionally, the Traditional information decreased the participants' beliefs that eating insects is disgusting and unnatural and will increase the risk of infectious diseases. The results indicate that information about traditional/current insect consumption is more impactful than nutritional and sustainability information on Western consumers' attitudes towards entomophagy. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Journal of Hospital Pharmacy / Journal Canadien de la Pharmacie Hospitalière is the property of Canadian Society of Hospital Pharmacists 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.)

Copyright of British Journal of Canadian Studies is the property of Liverpool University Press / Journals 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.)

Tuberculosis is a significant cause of morbidity worldwide and is a priority at the provincial and federal levels in Canada. It is known that tuberculosis transmission networks are complex and span many years as well as different jurisdictions and countries. MIRU-VNTR is a universal tuberculosis genotyping method that utilizes a 24-loci pattern and it has shown promise in identifying inter and intrajurisdictional clusters within Canada. MIRU-VNTR data collected over 10 years from the National Reference Centre for Mycobacteriology (NRCM) were analyzed in this study. Some clusters were unique to a single province/territory, while others spanned multiple provinces and/or territories in Canada. The use of a universal laboratory test can enhance contact tracing, provide geographical information on circulating genotypes, and hence, aid in tuberculosis investigation by public health. The housing of all data on one platform, technical ease of the method, easy exchange of data between jurisdictions, and strong collaboration with laboratories and surveillance units at the provincial and federal levels have the potential to identify possible outbreaks in real time. [ABSTRACT FROM AUTHOR]