[The institutionalization of health impact assessment in Quebec: a feasible model in Spain?].

PubMed

Boldo, Elena; St-Pierre, Louise; Mendell, Anika; Benoit, François

2011-01-01

In Canada, the province of Quebec has institutionalized Health Impact Assessment (HIA) by including it in its Public Health Act (PHA). In Spain, the Ministry of Health, Social Policy and Equality is in the process of reforming its PHA, and plans to include HIA in this legislation. This study reviews the factors that have led to the effective implementation of HIA in Quebec and discusses the possible applications of the Quebec model in the Spanish context. Information was gathered through interviews conducted in various public health institutions in Quebec. The Quebec model was compared to the Spanish situation, to identify potential needs associated with the practice of HIA in Spain. In Quebec, public health institutions have developed a strategy for effective implementation of HIA. This strategy is based on several measures: creation of a network of ministerial representatives, development of an internal procedure at the Ministry of Health and Social Services to respond to requests, preparation of methodological guidelines, establishment of a research program, strengthening of knowledge transfer mechanisms, and establishment of communication and participation tools. HIA legislation does not guarantee its successful implementation. The institutionalization of HIA requires establishing a well-designed structure, as well as the allocation of adequate resources. The Quebec experience offers one model of HIA implementation that could be adapted to our country, taking into account elements of Spanish idiosyncrasies. Copyright © 2011 SESPAS. Published by Elsevier Espana. All rights reserved.

The Quebec National Library on the Web.

ERIC Educational Resources Information Center

Kieran, Shirley; Sauve, Diane

1997-01-01

Provides an overview of the Quebec National Library (Bibliotheque Nationale du Quebec, or BNQ) Web site. Highlights include issues related to content, design, and technology; IRIS, the BNQ online public access catalog; development of the multimedia catalog; software; digitization of documents; links to bibliographic records; and future…

J'ai le gout du Quebec (I Am in the Mood for Quebec)!

ERIC Educational Resources Information Center

Tetu de Labsade, Francoise

1981-01-01

Hails the vitality of the French language in the Quebec region as it manifests itself through advertisements, from political slogans to storefront signs. Discusses the relationship between the language of the Quebecois and their culture, and offers an effective visual commentary through numerous illustrations. (MES)

Quebec: La valse des valeurs (Quebec: The Waltz of Values).

ERIC Educational Resources Information Center

Ueberschlag, Roger

1991-01-01

In recent decades, Quebec has been continuously examining its educational values, addressing in particular the effectiveness of traditional educational methods and curricula, role of institutional culture in academic success, and value placed on ethnic integration. Priority should be given to cognitive development and systematic evaluation but…

The Real Face of Separatism. Quebec Report.

ERIC Educational Resources Information Center

Kelebay, Yarema Gregory

1997-01-01

Provides an update on the continuing debate over separatism for the Canadian province of Quebec. Briefly profiles "La Patente," a group that eventually became the organizational core of the separatist movement. Maintains that the separatist movement is a well-organized minority that doesn't reflect the majority opinion in Quebec. (MJP)

Le partage du champ scolaire au Quebec: Reconversion et invention de domaines de pratique au sein de l'organisation scolaire, 1930-1990 (The Division of the School System in Quebec: Reconversion and Invention of the Spheres of Practice within School Organization, 1930-199O).

ERIC Educational Resources Information Center

Mellouki, M'hammed; Lemieux, Nicole

1995-01-01

Offers a historical analysis of the system of educational and professional counseling in Quebec (1930-90) and the separate role of the school inspection system (1851-1964) as they relate to important changes going on currently in Quebec society. Considers the role of both counselors and school inspectors--as intellectuals--in cultural mediation…

A nutritional comparison of foods and beverages marketed to children in two advertising policy environments.

PubMed

Potvin Kent, Monique; Dubois, Lise; Wanless, Alissa

2012-09-01

Childhood obesity is associated with children's exposure to food/beverage marketing. Policy options in this area are being sought in order to reduce childhood obesity rates on a population-level. We examined the nutritional quality of foods advertised to children during their preferred television viewing in Ontario (Canada), where advertising is self-regulated by industry, and in Quebec (Canada), where a child-directed advertising ban exists. A total of 428 children aged 10-12 years completed television viewing diaries for 7 days. Thirty-two television stations were recorded simultaneously between 6 AM and midnight. A content analysis of 90 h of English Ontario, French Quebec, and English Quebec children's preferred viewing was then undertaken. A total of 429 food and beverage advertisements were analyzed and their nutritional quality was assessed. Food advertisements in the Quebec French sample were statistically significantly higher in total fat, saturated fat and protein, and lower in carbohydrates and sugar per 100 g, and as a percentage of energy than food ads in the two English samples. A statistically significantly lower percentage of the Quebec French food advertisements were classified as either high fat, sugar or sodium and a smaller proportion of food ads were classified as "less healthy" compared to the Ontario and Quebec English samples. These results suggest that the Quebec advertising ban is influencing the macronutrient profile of advertised foods viewed by French Quebec children during their preferred viewing and that their promotions are marginally healthier than that viewed by the English samples.

Refugee Adaptation and Community Structure: The Indochinese in Quebec City, Canada.

ERIC Educational Resources Information Center

Dorais, Louis-Jacques

1991-01-01

The ways in which Vietnamese, Cambodians, and Laotians now living in Quebec City (Canada) have established over the last 10-15 years distinct ethnic communities are discussed, and their community structure is described. A limited comparison with some other Indochinese communities highlights some features of the Quebec ethnic groups. (SLD)

International Briefing 28: Training and Development in Quebec

ERIC Educational Resources Information Center

Foucher, Roland; Hassi, Abderrahman

2013-01-01

This briefing examines training and development (T&D) in Quebec, one of 10 provinces and three territories that make up Canada. Quebec has three distinguishing characteristics that encourage analysis of its T&D separately from that of Canada as a whole. First, it is the only North American region with a majority francophone population.…

Public/private partnerships for prescription drug coverage: policy formulation and outcomes in Quebec's universal drug insurance program, with comparisons to the Medicare prescription drug program in the United States.

PubMed

Pomey, Marie-Pascale; Forest, Pierre-Gerlier; Palley, Howard A; Martin, Elisabeth

2007-09-01

In January 1997, the government of Quebec, Canada, implemented a public/private prescription drug program that covered the entire population of the province. Under this program, the public sector collaborates with private insurers to protect all Quebecers from the high cost of drugs. This article outlines the principal features and history of the Quebec plan and draws parallels between the factors that led to its emergence and those that led to the passage of the Medicare Prescription Drug, Improvement and Modernization Act (MMA) in the United States. It also discusses the challenges and similarities of both programs and analyzes Quebec's ten years of experience to identify adjustments that may help U.S. policymakers optimize the MMA.

Public/Private Partnerships for Prescription Drug Coverage: Policy Formulation and Outcomes in Quebec's Universal Drug Insurance Program, with Comparisons to the Medicare Prescription Drug Program in the United States

PubMed Central

Pomey, Marie-Pascale; Forest, Pierre-Gerlier; Palley, Howard A; Martin, Elisabeth

2007-01-01

In January 1997, the government of Quebec, Canada, implemented a public/private prescription drug program that covered the entire population of the province. Under this program, the public sector collaborates with private insurers to protect all Quebecers from the high cost of drugs. This article outlines the principal features and history of the Quebec plan and draws parallels between the factors that led to its emergence and those that led to the passage of the Medicare Prescription Drug, Improvement and Modernization Act (MMA) in the United States. It also discusses the challenges and similarities of both programs and analyzes Quebec's ten years of experience to identify adjustments that may help U.S. policymakers optimize the MMA. PMID:17718665

Differences in Access to Services in Rural Emergency Departments of Quebec and Ontario

PubMed Central

Archambault, Patrick; Audette, Louis David; Plant, Jeff; Bégin, François; Poitras, Julien

2015-01-01

Introduction Rural emergency departments (EDs) are important safety nets for the 20% of Canadians who live there. A serious problem in access to health care services in these regions has emerged. However, there are considerable geographic disparities in access to trauma center in Canada. The main objective of this project was to compare access to local 24/7 support services in rural EDs in Quebec and Ontario as well as distances to Levels 1 and 2 trauma centers. Materials and Methods Rural EDs were identified through the Canadian Healthcare Association's Guide to Canadian Healthcare Facilities. We selected hospitals with 24/7 ED physician coverage and hospitalization beds that were located in rural communities. There were 26 rural EDs in Quebec and 62 in Ontario meeting these criteria. Data were collected from ministries of health, local health authorities, and ED statistics. Fisher’s exact test, the t-test or Wilcoxon-Mann-Whitney test, were performed to compare rural EDs of Quebec and Ontario. Results All selected EDs of Quebec and Ontario agreed to participate in the study. The number of EDs visits was higher in Quebec than in Ontario (19 322 ± 6 275 vs 13 446 ± 8 056, p = 0.0013). There were no significant differences between Quebec and Ontario’s local population and small town population density. Quebec’s EDs have better access to advance imaging services such as CT scanner (77% vs 15%, p < .0001) and most the consultant support and ICU (92% vs 31%, p < .0001). Finally, more than 40% of rural EDs in Quebec and Ontario are more than 300 km away from Levels 1 and 2 trauma centers. Conclusions Considering that Canada has a Universal health care system, the discrepancies between Quebec and Ontario in access to support services are intriguing. A nationwide study is justified to address this issue. PMID:25874948

L'evaluation de la competence linguistique des membres des ordres professionnels au Quebec (The Quebec Region Evaluation of Professional Personnel's Language Proficiency).

ERIC Educational Resources Information Center

Gareau, Claude

1981-01-01

Describes a testing program designed to assess the French language proficiency of professionals desiring to practice in the Quebec region. Discusses the criteria used for the construction, administration, and scoring of the tests in compliance with the 1977 French language legislation. (MES)

Indians of Quebec and the Maritime Provinces (An Historical Review).

ERIC Educational Resources Information Center

Department of Indian Affairs and Northern Development, Ottawa (Ontario).

Giving the history of the Indians of Quebec and the maritime provinces (Nova Scotia, New Brunswick, the Prince Edward Island), this document covers the period from the arrival of European explorers in the New World to 1967. Reviewing the history of these Indians, sections are devoted to (1) colonization of Acadia, (2) colonization of Quebec, (3)…

Le Federalisme Canadien et les Subventions aux Universites Quebecoises. (The Intervention of the Canadian Government in Quebec Universities.)

ERIC Educational Resources Information Center

Bellavance, Michel

1980-01-01

The intervention of the Canadian government in financing Quebec universities has followed various paths through individual or institutional direct or indirect grants, operating or investment grants, and fiscal transfers. The historical evolution of federal grants to Quebec universities is described by singling out four periods. In French.…

Social Studies in Quebec: How to Break the Chains of Oppression of Visible Minorities and of the Quebec Society

ERIC Educational Resources Information Center

Vallerand, Viviane

2016-01-01

Despite having multiculturalism as a core value, the province of Quebec has significant issues affecting the inclusion of visible minorities, such as positive discrimination, reasonable accommodation, and the fact of cultural divide. The presence of these minority groups brings out the tension between respecting differences and protecting…

Origine Historique de la Situation Linguistique Quebecoise (Historical Origins of the Language Situation in Quebec)

ERIC Educational Resources Information Center

Corbeil, Jean Claude

1976-01-01

The language situation in Quebec is discussed from the point of view of the influence of the British conquest, the history of education in the province, the make-up of the working class, and the position of Quebec in the North American continent. (Text is in French.) (CDSH/CLK)

Citizenship, Secularity and the Ethics and Religious Culture Program of Quebec

ERIC Educational Resources Information Center

Zaver, Arzina; DeMartini, Ashley

2016-01-01

This article focuses on some of the broader complexities of citizenship in Quebec, paying particular attention to the Quiet Revolution and Bill 60 (Charter of Values) in order to understand how these historical events shape contemporary politics. Using a case study of the Ethics and Religious Culture Program (ERC) in Quebec, we seek to highlight…

Actes des Journees de linguistique (Proceedings of the Linguistics Conference) (13th, Quebec, Canada, March 25-26, 1999).

ERIC Educational Resources Information Center

Kavanagh, Eric, Ed.

Papers on language research in this volume include the following: Pour une comparaison des voyelles nasals du Quebec et du Haut-Jura: observations, methodologie et outils infomatiques (A Comparison of Quebec and Haut-Jura's Nasal Vowels: Observations, Methodologies, and Instrumentation) (Vincent Arnaud and Claude Paradis); Le negociation du sens…

Social acceptance and population confidence in telehealth in Quebec.

PubMed

Poder, Thomas G; Bellemare, Christian A; Bédard, Suzanne K; Lemieux, Renald

2015-02-21

Access to healthcare in remote areas is difficult and telehealth could be a promising avenue if accepted by the population. The aim of this study is to assess social acceptance and population confidence in telehealth in the Province of Quebec. We conducted a survey using a questionnaire assessing the social acceptance of and confidence level in telehealth. Two strategies were used: 1) paper questionnaires were sent to two hospitals in Quebec; and 2) online questionnaires were randomly sent by a firm specialized in online survey to a representative sample of the population of the Province of Quebec. Respondents were all residents of the Province of Quebec and 18 years and older. Questions were scored with a four-level Likert scale. A total of 1816 questionnaires were analyzed (229 written and 1,587 online questionnaires). The socio-demographic variables in our samples, especially the online questionnaires, were fairly representative of Quebec's population. Overall, social acceptance scored at 77.71% and confidence level at 65.76%. Both scores were higher in the case of treatment (3 scenarios were proposed) vs. diagnosis (p < 0.05). No difference was found when respondents were asked to respond for themselves and for a member of their family, which demonstrates a true interest in telehealth in Quebec. In addition, we found a significant difference (p < 0.05) between written and online questionnaires regarding social acceptance (80.75% vs. 77.33%) and confidence level (74.84% vs. 64.55%). These differences may be due to social desirability or avidity bias in the written questionnaires. Our results suggest that the population in Quebec encourages the development of telehealth for real time diagnosis and long distance treatment for regions deprived of healthcare professionals.

Impact of a multipronged education strategy on antibiotic prescribing in Quebec, Canada.

PubMed

Weiss, Karl; Blais, Régis; Fortin, Anne; Lantin, Sonia; Gaudet, Michel

2011-09-01

Antibiotic overuse and resistance have become a major threat in the last 2 decades. Many programs tried to optimize antibiotic consumption in the inpatient setting, but the outpatient environment that represents the bulk of antibiotic use has been challenging. Following a significant rise of Clostridium difficile infections, all the health care stakeholders in the province of Quebec, Canada initiated a global education program targeting physicians and pharmacists. A bundle approach was used; 11 user-friendly guidelines were produced by a group of experts and sent to all physicians and pharmacists in Quebec in January 2005. Downloadable versions of guidelines were posted on a dedicated Web site. They were promoted by professional organizations, universities, and experts during educational events, and there was strong acceptance by the pharmaceutical industry with a willingness to follow the recommendations in their marketing. The Intercontinental Medical Statistics (IMS) database was used to analyze and compare Quebec's total outpatient prescriptions per 1000 inhabitants with those in the other Canadian provinces for 2 time periods: preintervention (January 2003 to December 2004), and postintervention (February 2005 to December 2007). In 2004, antibiotic consumption per capita was 23.3% higher in Canada generally than in Quebec. After the guidelines dissemination, the gap between Quebec and the other Canadian provinces increased by 4.1 prescriptions/1000 inhabitants (P = .0002), and the trend persisted 36 months later. Antibiotic costs fell $134.5/1000 inhabitants in Quebec compared with the rest of Canada (P = .054). The implementation of guidelines significantly reduced antibiotic prescriptions in Quebec compared with the rest of the country, and there was a strong trend toward significant cost reduction.

Association between junk food consumption and fast-food outlet access near school among Quebec secondary-school children: findings from the Quebec Health Survey of High School Students (QHSHSS) 2010-11.

PubMed

Cutumisu, Nicoleta; Traoré, Issouf; Paquette, Marie-Claude; Cazale, Linda; Camirand, Hélène; Lalonde, Benoit; Robitaille, Eric

2017-04-01

We investigated the association between junk food consumption at lunchtime (JCL) and fast-food outlet access near school among secondary-school children in Quebec. A geographic information system database was used to characterize the food environment around a sub-sample of 374 public schools in which 26 655 students were enrolled. The outcome variable was JCL during the previous week, dichotomized into low JCL (none or once) v. high JCL (twice or more). Access to fast-food outlets near school was assessed using an existing database of fast-food outlets in Quebec. Covariates included student (age, sex and self-rated perceived health), family (familial status and parental education) and school (urban/rural status and deprivation) variables. Hierarchical logistic regression models were employed for analyses using PROC GLIMMIX of SAS version 9.3. Province of Quebec, Canada. We used data from the Quebec Health Survey of High School Students (QHSHSS) 2010-11, a survey of secondary-school Quebec students. Exposure to two or more fast-food outlets within a radius of 750 m around schools was associated with a higher likelihood of excess JCL (OR=1·50; 95 % CI 1·28, 1·75), controlling for the characteristics of the students, their families and their schools. The food environment surrounding schools can constitute a target for interventions to improve food choices among secondary-school children living in the province of Quebec. Transforming environments around schools to promote healthy eating includes modifying zoning regulations that restrict access to fast-food outlets around schools.

How Canada Changed from Exporting Asbestos to Banning Asbestos: The Challenges That Had to Be Overcome.

PubMed

Ruff, Kathleen

2017-09-27

Less than ten years ago, the asbestos industry enjoyed the support of every Quebec and Canadian political party. The Chrysotile Institute and the International Chrysotile Association, both located in Quebec, aggressively marketed asbestos around the world, claiming scientific evidence showed that chrysotile asbestos could be safely used. The industry created a climate of intimidation. Consequently, no groups advocating for victims of asbestos or campaigning for its outright ban existed in Quebec to challenge the industry. A campaign was launched to mobilize the scientific community to speak out. Working with scientists, activists, and asbestos victims around the world, a small group of Quebec scientists exposed the false arguments of the asbestos industry. They publicly and repeatedly challenged the unscientific and unethical asbestos policy of the government. By appealing to Quebec values and holding those in power accountable, the campaign won public support and succeeded against all odds in defeating the asbestos industry.

Origine et evolution du bilinguisme judiciaire au Quebec (Origin and Evolution of Judicial Bilingualism in Quebec).

ERIC Educational Resources Information Center

St. Laurent, Gilles

The history and conditions of the use of English and French in the exercise of justice in Quebec are outlined in the context of the problems, sociopolitical realities, and procedural impact of language usage. The history is chronicled in six segments: 1760-1764, a period of British military government and political standoff between British and…

Les Enseignants du Quebec, 1965-66 a 1971-72. [The Teachers of Quebec]. Documents Demographie Scolaire, 9-18.

ERIC Educational Resources Information Center

Lavoie, Yolande

This document presents descriptive information and statistics on teachers in Quebec from 1965-66 to 1971-72. The overall intent of this study is described as a complete presentation of information on teachers and a review of their individual characteristics with particular attention paid to the level of teaching, experience, and training.…

Interference lexicale dans la langue quebecoise rurale (1900-1950) (Lexical Interference in Rural Quebec's Language, 1900-1950).

ERIC Educational Resources Information Center

Rogers, David-F.

A study of rural Quebec's language showed that by comparison with the urban version, it is less influenced by anglicisms, and the borrowing that has occurred is not solely of terms of civilization designating objects or notions susceptible to exchange between anglophones and francophones in Quebec. Certain anglicisms seem to have become integrated…

La culture politique du Mouvement Quebec Francais [The Political Culture of the "French Quebec Movement"].

ERIC Educational Resources Information Center

Turcotte, Denis

This study of the "Mouvement Quebec Francais (MQF)" covers the period from March 1971 through Spring 1974. The fundamental postulate of the study is that if the political culture is internalized by individuals, it is at the same time borne by groups. The study of groups represents, therefore, a good vehicle to reveal the most significant…

Les droits linguistiques et scolaires au Quebec et au Canada (Linguistic and Educational Rights in Quebec and Canada).

ERIC Educational Resources Information Center

Tetley, William

A review of the language laws and conventions in Canada and the province of Quebec focuses on: Canadian constitutional law concerning education and language, including the 1867 constitution, the 1960 declaration of linguistic rights, and a 1969 law on official languages; the language of government and instruction in Manitoba; language usage in the…

Authentication controversies and impactite petrography of the New Quebec Crater

NASA Technical Reports Server (NTRS)

Marvin, Ursula B.; Kring, David A.

1992-01-01

The literature reports that led to the current acceptance of New Quebec Crater (Chubb Crater) as an authentic impact crater are reviewed, and it is noted that, for reasons that are not entirely clear, a meteoritic origin for the New Quebec Crater achieved wider acceptance at an earlier data than for the Lake Bosumtwi Crater, for which petrographic and chemical evidence is more abundant and compelling. The petrography of two impact melt samples from the New Quebec Crater was investigated, and new evidence is obtained on the degrees of shock metamorphism affecting the accessory minerals such as apatite, sphene, magnetite, and zircon.

Cystic fibrosis mutations in North American populations of French ancestry: Analysis of Quebec French-Canadian and Louisiana Acadian families

PubMed Central

Rozen, Rima; Schwartz, Robert H.; Hilman, Bettina C.; Stanislovitis, Pat; Horn, Glenn T.; Klinger, Katherine; Daigneault, Jocelyne; De Braekeleer, Marc; Kerem, Bat-sheva; Tsui, Lap-Chee; Fujiwara, T. Mary; Morgan, Kenneth

1990-01-01

A 3-bp deletion (ΔF508) in the cystic fibrosis (CF) gene is the mutation on the majority of CF chromosomes. We studied 112 CF families from North American populations of French ancestry: French-Canadian families referred from hospitals in three cities in Quebec and from the Saguenay-Lac St. Jean region of northeastern Quebec and Acadian families living in Louisiana. ΔF508 was present on 71%, 55%, and 70% of the CF chromosomes from the major-urban Quebec, Saguenay-Lac St. Jean, and Louisiana Acadian families, respectively. A weighted estimate of the proportion of ΔF508 in the French-Canadian patient population of Quebec was 70%. We found that 95% of the CF chromosomes with ΔF508 had D7S23 haplotype B, the most frequent haplotype on CF chromosomes. In the Saguenay-Lac St. Jean families, 86% of the CF chromosomes without ΔF508 had the B haplotype, compared with 31% for the major-urban Quebec and Louisiana Acadian families. The incidence of CF in the Saguenay-Lac St. Jean population was 1/895 live-born infants. PMID:2220803

The Effects of Competition from Private Schooling on French Public School Districts in the Province of Quebec

ERIC Educational Resources Information Center

Caldas, Stephen J.; Bernier, Sylvain

2012-01-01

The Province of Quebec subsidizes nearly 50% of private education, and at the same time heavily regulates private schools. To date, no studies have been done to determine the effect of the unique nature of competition from K-12 private schools on public school education of the sort found in Quebec. The authors used multiple regression to determine…

Adaptation linguistique et culturelle: L'experience des refugies d'Asie du sud-est au Quebec (Linguistic and Cultural Adaptation: The Experience of Southeast Asian Refugees in Quebec).

ERIC Educational Resources Information Center

Chan, Kwok B.; Dorais, Louis-Jacques

A collection of papers, in English and French, on the adjustment processes and problems of Southeast Asian refugees in Quebec includes: "Prelude to Resettlement: A Clinical View on the Transit Camp Experience of Vietnamese Refugees" (David Loveridge, Kwok B. Chan); "Une communaute culturelle en situation de diglossie: Les…

How Canada Changed from Exporting Asbestos to Banning Asbestos: The Challenges That Had to Be Overcome

PubMed Central

Ruff, Kathleen

2017-01-01

Less than ten years ago, the asbestos industry enjoyed the support of every Quebec and Canadian political party. The Chrysotile Institute and the International Chrysotile Association, both located in Quebec, aggressively marketed asbestos around the world, claiming scientific evidence showed that chrysotile asbestos could be safely used. The industry created a climate of intimidation. Consequently, no groups advocating for victims of asbestos or campaigning for its outright ban existed in Quebec to challenge the industry. A campaign was launched to mobilize the scientific community to speak out. Working with scientists, activists, and asbestos victims around the world, a small group of Quebec scientists exposed the false arguments of the asbestos industry. They publicly and repeatedly challenged the unscientific and unethical asbestos policy of the government. By appealing to Quebec values and holding those in power accountable, the campaign won public support and succeeded against all odds in defeating the asbestos industry. PMID:28953226

[Research, impact and adaptation in public health for the new climate of Quebec].

PubMed

Gosselin, Pierre; Bélanger, Diane

2010-01-01

After its modest beginnings focusing on arctic Quebec in 1999, the Quebec research programme on health and climate change became interested in the remainder of the province around 2002. The European heat wave in 2003 accelerated the pace of this programme and prompted the Quebec health sector's participation in the Ouranos Research Consortium. The research findings from the 2003-2006 period have directly fed into the health component of the Quebec government's climate change action plan (2006-2012), financed through the first carbon tax in the Americas. This component is planning for a series of adaptations to the health network and to some other public networks, which will apply to construction, the built environment and outdoor developments, clinical management methods and practices, public health surveillance as well as emergency preparedness. In this article, the authors describe how research is supporting action and implementation, while also preparing for the future, and how this interaction has progressively established itself over the last 10 years.

How Should Citizenship Be Integrated into High School History Programs? Public Controversies and the Quebec "History and Citizenship Education" Curriculum: An Analysis

ERIC Educational Resources Information Center

Ethier, Marc-Andre; Lefrancois, David

2012-01-01

This article is divided into two sections. The first section reviews the national high school history programs in Quebec from 1905 onward. It focuses on the national and civic identity developed through the programs, as well as on political wrangles over their identity-building goals. Because the Quebec public school system was denominational, and…

The decline of official language minorities in Quebec and English Canada.

PubMed

Beaujot, R P

1982-01-01

"This paper considers the evolution of French outside of Quebec and the English in Quebec.... The total historical set of national data on ethnicity, mother tongue, knowledge of official languages and home language [is first presented]. The 120 year stability showing French at around 30 percent of the national total is a function of compensating factors including high French fertility and high English immigration. During the 1960s both of these demographic supports disappeared and thus mobility across linguistic lines has become a particularly sensitive issue. "The picture with regard to French outside of Quebec has changed rather radically in the last thirty-five years. For instance, there was one French child to every nine in 1941 and one to every twenty-one children in 1976. While the English of Quebec were once represented in various parts of the province, their strength is now largely limited to the Montreal metropolitan area which includes 76 percent of the English mother tongue group. Outside of Montreal, the English amounted to 7.9 percent of Quebec's population in 1941 and 5.6 percent in 1976. The paper concludes with a discussion of the social factors that underlie these trends and their relevance to the models of institutional and territorial bilingualism." (summary in FRE) excerpt

Predictors of Publication Productivity Among Hospital Pharmacists in France and Quebec

PubMed Central

Lelièvre, Joachim; Lebel, Denis; Prot-Labarthe, Sonia

2011-01-01

Objective To describe publications by hospital pharmacists in France and Quebec and evaluate factors predictive of publication productivity. Method Variables related to scientific publication productivity were identified through a search of the literature and organized into 4 themes (ie, personal and professional characteristics, hospital activities, research and publishing activities, publication-related motivations and perceptions). A questionnaire was developed that included short-answer items and 58 multiple-choice questions to determine respondents' level of agreement with statements about their motivations and perceptions surrounding publishing. Results Four hundred twenty-two hospital pharmacists (218 respondents from France and 204 from Quebec) were recruited. Respondents from France were more prolific than those from Quebec, even when considering factors such as time worked and gender. Furthermore, the percentage of respondents working in a university health center was lower in France than Quebec (46% vs. 70%, p = 0.001), as was the percentage of respondents indicating a mastery of English (43% vs. 88%, p = 0.001). Conclusion Seven factors were predictive of the number of publications per respondent in France and Quebec: practicing hospital pharmacy in France, being male, having academic duties or a PhD, having participated in a clinical trial, having secured funding in one's own name for a research project, and allocating a greater number of hours per week to research. PMID:21451771

A checklist approach for monitoring neotropical migrant birds: Twenty-year trends in birds of Quebec Using EPOQ

Treesearch

Andre Cyr; Jacques Larivee

1993-01-01

EPOQ (Studies of Bird Populations in Quebec) is a data base on birds of Quebec containing more than 2.2 million records of observations recorded on 158,000 checklists from 3,600 observation sites since 1950. Trends were measured for each of four subsets of EPOQ data between 1970 and 1989 (all year, spring (April-May), summer (June-July), and fall (August-October) as...

PubMed Central

Martin, Michel

1995-01-01

Three physicians elected to Quebec's national assembly during the 1994 provincial election are trying to sell the benefits of sovereignty. Psychiatrist Denis Lazure says it is time for Quebec to go its own way because “there are two distinct peoples in Canada and one of them doesn't have a country.” He says his experiences within organized medicine helped him reach this conclusion. Dr. Ed Coffey, president of the Quebec Medical Association, disputes Lazure's conclusions. Imagesp1125-ap1127-a

The Quebec Heart Institute: 50 years of excellence in cardiology

PubMed Central

Dagenais, Gilles R; Philippon, François; Després, Jean-Pierre; Dumesnil, Jean G; Cartier, Paul; Bogaty, Peter M; Lemieux, Michel; Moisan, André

2007-01-01

The Quebec Heart Institute was established in 1957 at the Laval Hospital in Sainte-Foy, Quebec. Since then, clinical and research activities have made this Institute one of the largest tertiary care cardiology centres in Canada. With its vast catchment area of more than 3,000,000 people, the Institute has developed a strong collaboration with referral physicians centred on clinical, teaching and research interests. The Institute pioneered several aspects of cardiac surgery, invasive cardiology, echocardiography, basic research and, more recently, a network of researchers and clinicians working in the field of ‘metabolic cardiology’. The first 50 years of the Quebec Heart Institute are depicted in this overview, which will also introduce this special supplement to The Canadian Journal of Cardiology. PMID:17932581

Innovative approach to facilitate reuse of nonhazardous industrial solid waste as building material

DOE Office of Scientific and Technical Information (OSTI.GOV)

St-Laurent, S.G.; Boutin, A.

1997-12-31

The steel industry generates large volumes of inorganic nonhazardous solid waste. During the last five years, Quebec`s steel industry has developed new technologies to recover metal from slags and tailings. Since these processes recover 10 to 30 percent of the metal, large volumes of nonhazardous residues still need to be recycled or disposed of. In order to encourage recycling initiatives, le Ministere de l`Environnement et de la Faune du Quebec (MEF) (Quebec`s Ministry of Environment and Wildlife) established guidelines for the management of nonhazardous industrial solid waste. The aim of these guidelines is to propose a test procedure to evaluatemore » the quality of the material and to define material classes based on their potential for reuse. The evaluation procedure is based on standard tests, generally used for the evaluation of stabilized and solidified hazardous waste. The protocol includes an analysis of the total content of metals in the residue, the determination of the acid neutralization capacity and the prediction of the acid generation potential when the residue contains significant levels of sulfides. The protocol includes three different leachate tests in order to evaluate the mobility of contaminants present in the residue. The leaching procedures are: (1) an equilibrium extraction with water, (2) a modified TCLP extraction, and (3) an acid rain simulation effect extraction. A method is actually under development to collect leachate from a material pile subject to 18 months of rainfall. Materials are categorized into different classes according to their test results. Various potential reuse options are associated with material classes. Evaluation criteria were defined by using water quality standards and results obtained by testing reference construction material supplied by the Quebec`s Ministere des Transports (Ministry of Transportation).« less

Food marketing on children's television in two different policy environments.

PubMed

Kent, Monique Potvin; Dubois, Lise; Wanless, Alissa

2011-06-01

To examine the differences in exposure to food marketing on television between English children in Ontario, and French and English children in Quebec as each group is influenced by different advertising policies. In total, 428 children aged 10-12 completed television viewing diaries for 7 days. During the same week, 32 television stations were recorded between 6 am and 12 am. A content analysis of advertisements, contests and sponsorship announcements that aired during children's 90 hours of preferred programming was then undertaken. Twenty-six percent of advertisements, 18% of contests and 22% of sponsorships were food/beverage related. Similar rates of food marketing were seen across all three population groups. French Quebec subjects were exposed to significantly more beverage promotions and fewer grain products, candy and snack food promotions. French Quebec children were targeted less frequently, and media characters/celebrities were used less often than in the English groups. The Quebec advertising ban does not appear to be limiting the amount of food/beverage advertising seen by children aged 10-12. However, food categories and marketing techniques used differ in the preferred viewing of French Quebec children.

Estimating occupational exposure to carcinogens in Quebec.

PubMed

Labrèche, France; Duguay, Patrice; Ostiguy, Claude; Boucher, Alexandre; Roberge, Brigitte; Peters, Cheryl E; Demers, Paul A

2013-09-01

We estimated the extent of exposure to occupational carcinogens in Quebec, Canada, to help raise awareness of occupational cancers. Proportions of workers exposed to 21 recognized and 17 probable carcinogens (according to Quebec occupational health regulation and the International Agency for Research on Cancer [IARC] classification) were extracted from various sources: workplace monitoring data, research projects, a population survey, radiation protection data, exposure estimates from the Carcinogen Exposure Canada (CAREX Canada) Project database, and published exposure data. These proportions were applied to Quebec labor force data. Among the 38 studied, carcinogens with the largest proportions of exposed workers were solar radiation (6.6% of workers), night shift work/rotating shift work including nights (6.0%), diesel exhaust fumes (4.4%), wood dust (2.9%) and polycyclic aromatic hydrocarbons (2.0%). More than 15 carcinogens were identified in several industrial sectors, and up to 100,000 young workers are employed in these sectors. Although crude, estimates obtained with different data sources allow identification of research and intervention priorities for cancer in Quebec. Copyright © 2013 Wiley Periodicals, Inc.

Corrections and Additions to the Publication, Identification and Geographical Distribution of the Mosquitoes of North America, North of Mexico

DTIC Science & Technology

1982-01-01

l’hemiarctiques, un type seculaire de biotope a larves de moustiques (Culicidae). Can. Entomol. 112:1007-1012. Harbach, R. E. and K. L. Knight. 1981 (1982...1980. Inventaire des moustiques (Diptera: Culicidae) du sud du Quebec, 1973-1978. Ann. Sot. Entomol. Quebec 25:195-206. 1981. du Quibec...Historique des listes de moustiques (Diptera: Culicidae) Ann. Sot. Entomol. Quebec 26:3-8. (List of 51 species.) Heaps, J. W. 1980. Occurrence of

L'enseignement collegial: des priorities pour un renouveau de la formation. Rapport sur l'etat et les besoins de l'enseignement collegial. (College Education: Priorities for Renewal. Report on the Status and the Needs of College Education).

ERIC Educational Resources Information Center

Conseil des Colleges, Quebec (Quebec).

Projections are provided in this report on the characteristics of Quebec society in the year 2000, direction that must be given to Quebec's community colleges' mission, and how college education should be organized and managed. First, a summary report, corresponding to the full-length report, is presented. Part 1, Quebec Society: Foreseeable…

Quebec's Ice Storm '98: "all cards wild, all rules broken" in Quebec's shell-shocked hospitals

PubMed Central

Hamilton, J

1998-01-01

The remarkable ice storm that brought life to a standstill in most of Eastern Ontario and Quebec in January had a huge impact on medical services. Hospitals that lost power found themselves serving as shelters not only for patients but also for staff members and nearby residents. Doctors' offices were forced to close and a large number of operations were cancelled. The 2 articles that follow detail the huge impact the "ice storm of the century" had on health care. PMID:9627567

Quantifying Terrestrial Ecosystem Carbon Stocks for Future GHG Mitigation, Sustainable Land-Use Planning and Adaptation to Climate Change in Quebec, Canada.

NASA Astrophysics Data System (ADS)

Garneau, M.; van Bellen, S.

2016-12-01

Based on various databases, carbon stocks of terrestrial ecosystems in the boreal and arctic biomes of Quebec were quantified as part of an evaluation of their capacity to mitigate anthropogenic greenhouse gas (GHG) emissions and estimate their vulnerability with respect to recent climate change and land use changes. The results of this project are contributing to the establishment of the Strategy for Climate Change Adaptation as well as the 2013-2020 Climate Change Action Plan of the Quebec Ministry of Environment, which aim to adapt the Quebec society to the effects of climate change and the reduction of GHG emissions. The total carbon stock of the soils of the forest and peatland ecosystems of Quebec was quantified at 18.00 Gt C or 66.0 Gt CO2-equivalent, of which 95% corresponds to the boreal and arctic regions. The mean carbon mass per unit area (kg C m-2) of peatlands is about nine times higher than that of forests, with values of 100,0 kg C m-2 for peatlands and 10,9 kg C m-2 for forest stands. In 2013, total anthropogenic emissions in Quebec were quantified at 82.6 Mt CO2-equivalent (Environment Canada, 2015), or 1.25‰ of the total Quebec ecosystem carbon stock. The total stock thus represents the equivalent of about 800 years of anthropogenic emissions at the current rate, divided between 478 years for peatlands and 321 years for forest soils. Future GHG mitigation policies and sustainable land-use planning should be supported by scientific data on terrestrial ecosystems carbon stocks. An increase in investments in peatland, wetland and forest conservation, management and rehabilitation may contribute to limit greenhouse gas emissions. It is therefore essential, that, following the objectives of multiple international organisations, the management of terrestrial carbon stocks becomes part of the national engagement to reduce GHG emissions.

Mergers and integrated care: the Quebec experience.

PubMed

Demers, Louis

2013-01-01

As a researcher, I have studied the efforts to increase the integration of health and social services in Quebec, as well as the mergers in the Quebec healthcare system. These mergers have often been presented as a necessary transition to break down the silos that compartmentalize the services dispensed by various organisations. A review of the studies about mergers and integrated care projects in the Quebec healthcare system, since its inception, show that mergers cannot facilitate integrated care unless they are desired and represent for all of the actors involved an appropriate way to deal with service organisation problems. Otherwise, mergers impede integrated care by creating increased bureaucratisation and standardisation and by triggering conflicts and mistrust among the staff of the merged organisations. It is then preferable to let local actors select the most appropriate organisational integration model for their specific context and offer them resources and incentives to cooperate.

Mergers and integrated care: the Quebec experience

PubMed Central

Demers, Louis

2013-01-01

As a researcher, I have studied the efforts to increase the integration of health and social services in Quebec, as well as the mergers in the Quebec healthcare system. These mergers have often been presented as a necessary transition to break down the silos that compartmentalize the services dispensed by various organisations. A review of the studies about mergers and integrated care projects in the Quebec healthcare system, since its inception, show that mergers cannot facilitate integrated care unless they are desired and represent for all of the actors involved an appropriate way to deal with service organisation problems. Otherwise, mergers impede integrated care by creating increased bureaucratisation and standardisation and by triggering conflicts and mistrust among the staff of the merged organisations. It is then preferable to let local actors select the most appropriate organisational integration model for their specific context and offer them resources and incentives to cooperate. PMID:23687474

The use of palliative sedation: A comparison of attitudes of French-speaking physicians from Quebec and Switzerland.

PubMed

Dumont, Serge; Blondeau, Danielle; Turcotte, Véronique; Borasio, Gian Domenico; Currat, Thierry; Foley, Rose-Anna; Beauverd, Michel

2015-08-01

Previous literature has suggested that laws and regulations may impact the use of palliative sedation. Our present study compares the attitudes of French-speaking physicians practicing in the Quebec and Swiss environments, where different laws are in place regarding physician-assisted suicide. Data were drawn from two prior studies, one by Blondeau and colleagues and another by Beauverd and coworkers, employing the same two-by-two experimental design with length of prognosis and type of suffering as independent variables. Both the effect of these variables and the effect of their interaction on Swiss and Quebec physicians' attitudes toward sedation were compared. The written comments of respondents were submitted to a qualitative content analysis and summarized in a comparative perspective. The analysis of variance showed that only the type of suffering had an effect on physicians' attitudes toward sedation. The results of the Wilcoxon test indicated that the attitudes of physicians from Quebec and Switzerland tended to be different for two vignettes: long-term prognosis with existential suffering (p = 0.0577) and short-term prognosis with physical suffering (p = 0.0914). In both cases, the Swiss physicians were less prone to palliative sedation. The attitudes of physicians from Quebec and Switzerland toward palliative sedation, particularly regarding prognosis and type of suffering, seem similar. However, the results suggest that physicians from Quebec could be slightly more open to palliative sedation, even though most were not in favor of this practice as an answer to end-of-life existential suffering.

Electroconvulsive Therapy Practice in the Province of Quebec: Linked Health Administrative Data Study from 1996 to 2013.

PubMed

Lemasson, Morgane; Haesebaert, Julie; Rochette, Louis; Pelletier, Eric; Lesage, Alain; Patry, Simon

2017-01-01

As part of a quality improvement process, we propose a model of routinely monitoring electroconvulsive therapy (ECT) in Canadian provinces using linked health administrative databases to generate provincial periodic reports, influence policy, and standardise ECT practices. ECT practice in Quebec was studied from 1996 to 2013, using longitudinal data from the Quebec Integrated Chronic Disease Surveillance System of the Institut National de Santé Publique du Québec, which links 5 health administrative databases. The population included all persons, aged 18 y and over, eligible for the health insurance registry, who received an ECT treatment at least once during the year. Among recorded cases, 75% were identified by physician claims and hospitalisation files, 19% exclusively by physician claims, and 6% by hospitalisation files. From 1996 to 2013, 8,149 persons in Quebec received ECT with an annual prevalence rate of 13 per 100,000. A decline was observed, which was more pronounced in women and in older persons. On average, each patient received 9.7 treatments of ECT annually. The proportion of acute ECT decreased whereas maintenance treatment proportions increased. A wide variation in the use of ECT was observed among regions and psychiatrists. This study demonstrates the profitable use of administrative data to monitor ECT use in Quebec, and provides a reliable method that could be replicated in other Canadian provinces. Although Quebec has one of the lowest utilisation rates reported in industrialized countries, regional disparities highlighted the need for a deeper examination of the quality and monitoring of ECT care and services.

Mortality inequality in populations with equal life expectancy: Arriaga's decomposition method in SAS, Stata, and Excel.

PubMed

Auger, Nathalie; Feuillet, Pascaline; Martel, Sylvie; Lo, Ernest; Barry, Amadou D; Harper, Sam

2014-08-01

Life expectancy is used to measure population health, but large differences in mortality can be masked even when there is no life expectancy gap. We demonstrate how Arriaga's decomposition method can be used to assess inequality in mortality between populations with near equal life expectancy. We calculated life expectancy at birth for Quebec and the rest of Canada from 2005 to 2009 using life tables and partitioned the gap between both populations into age and cause-specific components using Arriaga's method. The life expectancy gap between Quebec and Canada was negligible (<0.1 years). Decomposition of the gap showed that higher lung cancer mortality in Quebec was offset by cardiovascular mortality in the rest of Canada, resulting in identical life expectancy in both groups. Lung cancer in Quebec had a greater impact at early ages, whereas cardiovascular mortality in Canada had a greater impact at older ages. Despite the absence of a gap, we demonstrate using decomposition analyses how lung cancer at early ages lowered life expectancy in Quebec, whereas cardiovascular causes at older ages lowered life expectancy in Canada. We provide SAS/Stata code and an Excel spreadsheeet to facilitate application of Arriaga's method to other settings. Copyright © 2014 Elsevier Inc. All rights reserved.

The burgeoning field of transdisciplinary adaptation research in Quebec (1998-): a climate change-related public health narrative.

PubMed

Gosselin, Pierre; Bélanger, Diane; Lapaige, Véronique; Labbé, Yolaine

2011-01-01

This paper presents a public health narrative on Quebec's new climatic conditions and human health, and describes the transdisciplinary nature of the climate change adaptation research currently being adopted in Quebec, characterized by the three phases of problem identification, problem investigation, and problem transformation. A transdisciplinary approach is essential for dealing with complex ill-defined problems concerning human-environment interactions (for example, climate change), for allowing joint research, collective leadership, complex collaborations, and significant exchanges among scientists, decision makers, and knowledge users. Such an approach is widely supported in theory but has proved to be extremely difficult to implement in practice, and those who attempt it have met with heavy resistance, succeeding when they find the occasional opportunity within institutional or social contexts. In this paper we narrate the ongoing struggle involved in tackling the negative effects of climate change in multi-actor contexts at local and regional levels, a struggle that began in a quiet way in 1998. The paper will describe how public health adaptation research is supporting transdisciplinary action and implementation while also preparing for the future, and how this interaction to tackle a life-world problem (adaptation of the Quebec public health sector to climate change) in multi-actors contexts has progressively been established during the last 13 years. The first of the two sections introduces the social context of a Quebec undergoing climate changes. Current climatic conditions and expected changes will be described, and attendant health risks for the Quebec population. The second section addresses the scientific, institutional and normative dimensions of the problem. It corresponds to a "public health narrative" presented in three phases: (1) problem identification (1998-2002) beginning in northern Quebec; (2) problem investigation (2002-2006) in which the issues are successively explored, understood, and conceptualized for all of Quebec, and (3) problem transformation (2006-2009), which discusses major interactions among the stakeholders and the presentation of an Action Plan by a central actor, the Quebec government, in alliance with other stakeholders. In conclusion, we underline the importance, in the current context, of providing for a sustained transdisciplinary adaptation to climatic change. This paper should be helpful for (1) public health professionals confronted with establishing a transdisciplinary approach to a real-world problem other than climate change, (2) professionals in other sectors (such as public safety, built environment) confronted with climate change, who wish to implement transdisciplinary adaptive interventions and/or research, and (3) knowledge users (public and private actors; nongovernment organizations; citizens) from elsewhere in multi-contexts/environments/sectors who wish to promote complex collaborations (with us or not), collective leadership, and "transfrontier knowledge-to-action" for implementing climate change-related adaptation measures.

Problemes et methodes de la lexicographie quebecoise (Problems and Methods of Quebec Lexicography).

ERIC Educational Resources Information Center

Cormier, Monique C., Ed.; Francoeur, Aline, Ed.

Papers on lexicographic research in Quebec (Canada) include: "Indications semantiques dans les dictionnaires bilingues" ("Semantic Indications in Bilingual Dictionaries) (Johanne Blais, Roda P. Roberts); "Definitions predictionnairiques de 'maison, batiment, et pavillon'" ("Pre-dictionary definitions of 'house,…

Quebec. Reference Series No. 30.

ERIC Educational Resources Information Center

Department of External Affairs, Ottawa (Ontario).

This booklet, one of a series featuring the Canadian provinces, presents a brief overview of Quebec and is suitable for teacher reference or student reading. Separate sections discuss geography, climate, population, history, political history, recent politics, agriculture, forestry, mining, manufacturing and industry, hydroelectric power,…

Portrait of rural emergency departments in Quebec and utilisation of the Quebec Emergency Department Management Guide: a study protocol

PubMed Central

Fleet, Richard; Archambault, Patrick; Légaré, France; Chauny, Jean-Marc; Lévesque, Jean-Frédéric; Ouimet, Mathieu; Dupuis, Gilles; Haggerty, Jeannie; Poitras, Julien; Tanguay, Alain; Simard-Racine, Geneviève; Gauthier, Josée

2013-01-01

Introduction Emergency departments are important safety nets for people who live in rural areas. Moreover, a serious problem in access to healthcare services has emerged in these regions. The challenges of providing access to quality rural emergency care include recruitment and retention issues, lack of advanced imagery technology, lack of specialist support and the heavy reliance on ambulance transport over great distances. The Quebec Ministry of Health and Social Services published a new version of the Emergency Department Management Guide, a document designed to improve the emergency department management and to humanise emergency department care and services. In particular, the Guide recommends solutions to problems that plague rural emergency departments. Unfortunately, no studies have evaluated the implementation of the proposed recommendations. Methods and analysis To develop a comprehensive portrait of all rural emergency departments in Quebec, data will be gathered from databases at the Quebec Ministry of Health and Social Services, the Quebec Trauma Registry and from emergency departments and ambulance services managers. Statistics Canada data will be used to describe populations and rural regions. To evaluate the use of the 2006 Emergency Department Management Guide and the implementation of its various recommendations, an online survey and a phone interview will be administered to emergency department managers. Two online surveys will evaluate quality of work life among physicians and nurses working at rural emergency departments. Quality-of-care indicators will be collected from databases and patient medical files. Data will be analysed using statistical (descriptive and inferential) procedures. Ethics and dissemination This protocol has been approved by the CSSS Alphonse–Desjardins research ethics committee (Project MP-HDL-1213-011). The results will be published in peer-reviewed scientific journals and presented at one or more scientific conferences. PMID:23633423

Portrait of rural emergency departments in Quebec and utilisation of the Quebec Emergency Department Management Guide: a study protocol.

PubMed

Fleet, Richard; Archambault, Patrick; Légaré, France; Chauny, Jean-Marc; Lévesque, Jean-Frédéric; Ouimet, Mathieu; Dupuis, Gilles; Haggerty, Jeannie; Poitras, Julien; Tanguay, Alain; Simard-Racine, Geneviève; Gauthier, Josée

2013-01-01

Emergency departments are important safety nets for people who live in rural areas. Moreover, a serious problem in access to healthcare services has emerged in these regions. The challenges of providing access to quality rural emergency care include recruitment and retention issues, lack of advanced imagery technology, lack of specialist support and the heavy reliance on ambulance transport over great distances. The Quebec Ministry of Health and Social Services published a new version of the Emergency Department Management Guide, a document designed to improve the emergency department management and to humanise emergency department care and services. In particular, the Guide recommends solutions to problems that plague rural emergency departments. Unfortunately, no studies have evaluated the implementation of the proposed recommendations. To develop a comprehensive portrait of all rural emergency departments in Quebec, data will be gathered from databases at the Quebec Ministry of Health and Social Services, the Quebec Trauma Registry and from emergency departments and ambulance services managers. Statistics Canada data will be used to describe populations and rural regions. To evaluate the use of the 2006 Emergency Department Management Guide and the implementation of its various recommendations, an online survey and a phone interview will be administered to emergency department managers. Two online surveys will evaluate quality of work life among physicians and nurses working at rural emergency departments. Quality-of-care indicators will be collected from databases and patient medical files. Data will be analysed using statistical (descriptive and inferential) procedures. This protocol has been approved by the CSSS Alphonse-Desjardins research ethics committee (Project MP-HDL-1213-011). The results will be published in peer-reviewed scientific journals and presented at one or more scientific conferences.

Survey of Educational Values among Educators of French-Speaking Teachers at the Universities of Quebec.

ERIC Educational Resources Information Center

Lefebvre, Bernard; Lemieux, Andre

1985-01-01

Results of a survey of those charged with the training of French-speaking college teachers in Quebec universities concerning the importance of various aspects of education in general and of its value to themselves are presented. (MSE)

PubMed Central

Lallier, R.; Olivier, G.; Chartier, P.; Turcotte, C.; Dionet, B.; Paulhus, P.

1981-01-01

Presence of the bacterial kidney disease in salmonid fish in Quebec During the summers of 1979 and 1980, wild and hatchery fish were analysed for the presence of the bacterial kidney disease (BKD) agent in salmonid fish in Quebec by the indirect immunofluorescence technique. The causative agent of BKD was detected in all hatcheries tested. Ten to 25% of the fish were positive. The presence of this agent was independent of age and species. We were unable to detect the BKD in fish from the rivers in the northern part of Quebec (over the 50th parallel). The first detection of BKD in Quebec was made in the spring of 1979 in a hatchery. A high mortality occurred in fish over a year old. The majority of the fish were positive by immunofluorescence and the bacteriun was isolated from some fish. Three weeks before the disease appeared, six ponds received fish from this hatchery. No mortality was observed in those ponds and in the middle of the summer the percentage of carrier fish by immunofluorescence was approximately 20%. PMID:7340922

Public participation in strategic environmental assessment (SEA): Critical review and the Quebec (Canada) approach

DOE Office of Scientific and Technical Information (OSTI.GOV)

Gauthier, Mario, E-mail: mario.gauthier@uqo.c; Simard, Louis, E-mail: lsimard@uottawa.c; Waaub, Jean-Philippe, E-mail: waaub.jean-philippe@uqam.c

2011-01-15

It is widely accepted that public participation must be a part of strategic environmental assessment (SEA) procedures, and yet few studies have been conducted on the implementation of SEA public participation procedures. Accordingly, the theoretical and practical aspects of public participation in SEA remain research priorities for environmental policy-making. This paper presents a review of the Quebec (Canada) model of public participation in SEA through an evaluation of six public hearings on proposed directions and policies concerning, respectively, hazardous waste, forest protection, residual materials, energy, water management and pig farming. First, the authors examine the theoretical dimensions of SEA andmore » public participation in the process. Second, they give a summary of the lessons that can be learned from the few Canadian and international experiences. Third, they outline the Quebec experience. Finally, they conclude by evaluating the opportunities and limitations of the Quebec experience and make some recommendations to improve its application.« less

Towards a Community-Based Dementia Care Strategy: A Perspective from Quebec.

PubMed

Godard-Sebillotte, Claire; Vedel, Isabelle; Bergman, Howard

Morton-Chang et al. highlighted in their article the key strategic pillars of a community-based dementia care strategy: put "people first," support informal caregiving and enable "ground up" innovation and change. In our commentary, we draw upon our experience as authors of the Quebec Alzheimer Plan and evaluators of its implementation by the Quebec Ministry of Health and Social Services (MSSS). To us, a sustainable dementia care strategy entails a patient-centred approach, grounded in primary care, caring for persons with dementia at every stage of the disease. Implementation of such a strategy requires an ongoing effort to allow innovation adoption by clinicians and organizations.

Policy change and the politics of ideas: the emergence of the Canada/Quebec Pension Plans.

PubMed

Babich, Kristina; Béland, Daniel

2009-08-01

Stressing the direct impact of ideas on policy change, this article explores the adoption of the Canada and Quebec Pension Plans (C/QPP) in 1965 by addressing two closely related questions: in the mid-1960s: why did the federal government decide to create an earnings-related public pension system on top of the existing Old Age Security program? Second, why did that new system feature a replacement rate higher than initially proposed as well as a separate scheme for the province of Quebec? In order to answer these two questions, the article analyzes the debates leading to the enactment of the C/QPP.

Arguments at Mealtime and Child Energy Intake

ERIC Educational Resources Information Center

Burnier, Daniel; Dubois, Lise; Girard, Manon

2011-01-01

Objective: To examine how arguments at mealtimes relate to children's daily energy intake. Design: A cross-sectional study using data obtained through the Quebec Longitudinal Study of Child Development 1998-2010 (QLSCD), a representative sample of children born in 1998, in the province of Quebec, Canada. Setting: Face-to-face interviews,…

AmeriFlux CA-Qfo Quebec - Eastern Boreal, Mature Black Spruce

DOE Data Explorer

Margolis, Hank A. [Université Laval

2016-01-01

This is the AmeriFlux version of the carbon flux data for the site CA-Qfo Quebec - Eastern Boreal, Mature Black Spruce. Site Description - 49.69247° N / 74.34204° W, elevation of 387 mm, 90 - 100 yr old Black Spruce, Jack Pine, feather moss

Prenatal Exposure of the Northern Quebec Inuit Infants to Environmental Contaminants.

ERIC Educational Resources Information Center

Muckle, Gina; Ayotte, Pierre; Dewailly, Eric; Jacobson, Sandra W.; Jacobson, Joseph L.

2001-01-01

Through their marine-based diet, the Inuit of Nunavik (Quebec) are exposed to neurotoxic environmental contaminants that impact cognitive development. Mercury levels in Nunavik Inuit mothers and newborns were higher than in U.S. and Canadian populations but lower than in previous Arctic samples. Lead, polychlorinated biphenyls, chorinated…

Where Can You Buy a River?

ERIC Educational Resources Information Center

Coon-Come, Matthew

1991-01-01

Since 1975, Quebec hydroelectric projects have had negative impacts on the Cree hunting way of life and sacred sites, caused mercury contamination, and disrupted natural cycles of water and wildlife. Supported by contracts with New York State, new massive projects will destroy the six largest rivers in northwestern Quebec. (SV)

Perspektiven der angewandten Linguistik (Perspectives in Applied Linguistics).

ERIC Educational Resources Information Center

Watts, Richard J., Ed.; Werlen, Iwar, Ed.

1995-01-01

Articles in this issue include: "Complementarite et concurrence des politiques linguistiques au Canada: Le choix du medium d'instruction au Quebec et en Ontario" (The Complementarity and Competition of Language Policies in Canada: The Choice of Medium of Instruction in Quebec and Ontario) (Normand Labrie); "Presentation de la…

Introduction bibliographique a la civilisation du Quebec (A Bibliographic Introduction to the Civilization of Quebec).

ERIC Educational Resources Information Center

Chartier, Armand

1979-01-01

This selected bibliography covers the following categories: general reference works; history, both general and specialized; biographies and autobiographies; human sciences, including sociology and anthropology; politics and government; law; education and language; culture, including art, architecture, music, popular arts, cuisine, and traditions.…

Drug addiction among Quebec physicians.

PubMed Central

Wallot, H.; Lambert, J.

1982-01-01

Data collected by the Quebec Board of Physicians show that during the 5 years from 1974 to 1978 the prevalence of addiction to opiates among Quebec physicians was 2.8/1000. The physician addicts had greater mobility and a higher attrition rate than their peers. The typical addict was male, a general practitioner and married. He often suffered from pain, fatigue, overwork, and financial and marital difficulties. His addiction had begun at approximately 35 years of age and had become evident about 3 1/2 years later. Meperidine was the preferred opiate. Some of the physicians lost their licences to practise for variable periods of time; for these the prognosis was gloomy. Depression was the main psychiatric disorder diagnosed. PMID:7074490

Nunavik: Inuit-Controlled Education in Arctic Quebec. Northern Lights Series.

ERIC Educational Resources Information Center

Vick-Westgate, Ann

This book documents the debate among the Inuit of Nunavik (northern Quebec) over the purposes, strengths, and weaknesses of public schools in their 14 arctic communities. The book begins with a summary of the history of education in Nunavik, including traditional Inuit methods and purposes of education. The 14 communities comprise the Kativik…

Towards a Taxonomy of Intergenerational Knowledge Transfer Practices: Insights from an International Comparison (Germany-Quebec)

ERIC Educational Resources Information Center

Kuyken, Kerstin; Ebrahimi, Mehran; Saives, Anne-Laure

2018-01-01

Purpose: This paper aims to develop a better understanding of intergenerational knowledge transfer (IKT) practices by adopting a context-related and comparative perspective. Design/methodology/approach: A qualitative case study design involving 83 interviews and non-participative observation in German and Quebec organizations has been chosen.…

English as a Minority Language in Quebec

ERIC Educational Resources Information Center

Boberg, Charles

2012-01-01

The variety of English spoken by about half a million people in the Canadian province of Quebec is a minority language in intensive contact with French, the local majority language. This unusual contact situation has produced a unique variety of English which displays many instances of French influence that distinguish it from other types of…

Two Related Occupational Cases of Legionella longbeachae Infection, Quebec, Canada

PubMed Central

Lajoie, Élisabeth; Lord, Judith; Lalancette, Cindy; Marchand, Geneviève; Levac, Éric; Lemieux, Marc-André; Hudson, Patricia; Lajoie, Louise

2016-01-01

Two patients with no exposure to gardening compost had related Legionella longbeachae infections in Quebec, Canada. Epidemiologic investigation and laboratory results from patient and soil samples identified the patients’ workplace, a metal recycling plant, as the likely source of infection, indicating a need to suspect occupational exposure for L. longbeachae infections. PMID:27314946

Student Organizations in Canada and Quebec's "Maple Spring"

ERIC Educational Resources Information Center

Bégin-Caouette, Olivier; Jones, Glen A.

2014-01-01

This article has two major objectives: to describe the structure of the student movement in Canada and the formal role of students in higher education governance, and to describe and analyze the "Maple Spring," the dramatic mobilization of students in opposition to proposed tuition fee increases in Quebec that eventually led to a…

Understanding the Difficulties Hindering Inter-Agency Collaboration for Students with Special Needs in Quebec

ERIC Educational Resources Information Center

Tetreault, Sylvie; Patenaude, David; McLaughlin, Dayna; Freeman, Andrew; Gascon, Hubert; Beaupré, Pauline; Carrière, Monique; Deschênes, Pascale Marier

2015-01-01

In 2003, the government of Quebec established the "Agreement for the Complementarity of Services Between the Health and Social Services Network and the Education Network" to define principles and obligations for inter-agency collaboration aimed at students with special needs and their families. This study documents the perspectives of…

Quebec's Tele-Universite: A Long Way to Xanadu

ERIC Educational Resources Information Center

Guillemet, Patrick

2005-01-01

This article is a descriptive overview of one aspect of the history of Quebec's Tele-universite (TU). This case is used to unveil the inter-organizational and political tensions which may accompany the somewhat difficult development of a distance education model. Teleuniversite was created in 1972 as an experimental project by the Universite du…

Campylobacter coli Outbreak in Men Who Have Sex with Men, Quebec, Canada, 2010–2011

PubMed Central

Helferty, Melissa; Sylvestre, Jean-Loup; Allard, Robert; Pilon, Pierre A.; Poisson, Michel; Bekal, Sadjia

2013-01-01

During September 2010–November 2011, a cluster of erythromycin-susceptible, tetracycline- and ciprofloxacin-resistant Campylobacter coli pulsovar 1 infections was documented, involving 10 case-patients, in Montreal, Quebec, Canada. The findings suggested sexual transmission of an enteric infection among men who have sex with men. PMID:23647786

An Asset Management System for School Buildings in Quebec

ERIC Educational Resources Information Center

Gerbasi, Dino; Marchand, Gilles

2005-01-01

Presented here are the major reasons why an asset management system (AMS) is needed, a brief history of their evolution and a description of the initiative undertaken by Quebec to implement such a system. The appendix contains the recommended basic requirements for an asset management system. (Contains 1 figure and 4 footnotes.)

Co-operative Education in the Pulp and Paper Sector in Quebec.

ERIC Educational Resources Information Center

Savoie-Zajc, Lorraine; Dolbec, Andre

2003-01-01

A cooperative education program involved student practica in Quebec pulp and paper mills. Using the concept of community of practice and a typology of work experience, data from 175 students indicated that schools and workplaces placed traditional roles regarding theory and practice. Organizational cultures remained separate and opportunities for…

Mandatory Driver Training and Road Safety: The Quebec Experience.

ERIC Educational Resources Information Center

Potvin, Louise; And Others

1988-01-01

1983 legislation making driver training courses mandatory for any person in Quebec seeking a first driver's license had no effect on the risk of accident or the mortality/morbidity rate for newly licensed drivers over 18. However, since 1983 more women under 18 are becoming licensed, and their risks may be increased. (Author/BJV)

Analyzing Constructions of Polytheistic and Monotheistic Religious Traditions: A Critical Multicultural Approach to Textbooks in Quebec

ERIC Educational Resources Information Center

Abdou, Ehaab D.; Chan, W. Y. Alice

2017-01-01

How are religious traditions and exchanges between them constructed in textbooks used in Quebec? Through a critical discourse analysis of History and Citizenship Education, and Ethics and Religious Culture textbooks, we find that the Abrahamic monotheistic tradition is valorized, while non-Abrahamic monotheistic traditions and polytheism are…

Quebec's Toxic Pollution Concern.

ERIC Educational Resources Information Center

Mingie, Walter

The best solution to the problems of increased pollution of Quebec lakes and rivers with toxic wastes and increased incidence of pollution related diseases is to educate children, to make them aware of the environment and man's interrelationship with it. Attitudes of concern, based on knowledge, must be developed so that as adults, they will take…

Quebec's Bifurcated Schools: Tensions between Democratic and Commercial Values

ERIC Educational Resources Information Center

LeVasseur, Louis

2015-01-01

In education decentralization policy may be beneficial in terms of overcoming an overly cumbersome bureaucracy in educational systems. However, it can also have adverse effects in terms of competition, yielding new kinds of inequalities. This is true in Quebec, where the division of educational labor and the emergence of technical work were…

Aboriginal youth suicide in Quebec: the contribution of public policy for prevention.

PubMed

Tousignant, Michel; Vitenti, Livia; Morin, Nathalie

2013-01-01

The high rate of youth suicide in some First Nations villages of Northern Quebec is an important public health problem. Based on a six-year field study in three villages belonging to the Atikamekw and Anishinabe groups, this paper proposes changes in three areas of social policy that could contribute to prevention of youth suicide. These three areas are: youth protection, administration of justice, and housing. An argument is made first to adapt the youth protection law of Quebec and to give greater responsibility to communities in individual cases in order to prevent child placement outside the villages. Regarding the administration of justice, we suggest initiatives to encourage rapid prosecution of crimes on reserves and the adoption of an approach based on reconciliation between perpetrator and victim. Finally, we indicate how housing measures could help safeguard children's wellbeing given that overcrowding can contribute to suicide. The discussion also proposes that these three key changes in social policy could be relevant in other Aboriginal communities both within and outside of Quebec. Copyright © 2013 Elsevier Ltd. All rights reserved.

Factors associated with HPV vaccination among adult women in Quebec.

PubMed

Kiely, Marilou; Sauvageau, Chantal; Dubé, Eve; Deceuninck, Genevieve; De Wals, Philippe

2013-07-01

Human papillomavirus (HPV) infections are the most common sexually transmitted infections in North America and are associated with cervical cancer. A publicly-funded HPV immunization program was launched in the province of Quebec, Canada, in the fall of 2008. The aim of this study was to explore factors associated with HPV immunization among young adult women not targeted by this program. A questionnaire was mailed to 2400 24-y-old women randomly selected from the Quebec provincial health insurance database and 56% responded. Factors associated with vaccination status were analyzed using a multivariate logistic regression model. Few women had received at least one dose of HPV vaccine among the 1347 respondents. Age at first sexual intercourse ≥ 20 y, participating in cervical cancer screening, higher education level, being born in Quebec and some positive beliefs about HPV were associated with vaccination. The rate of immunization in women who had to pay for the HPV vaccine was very low and was associated with characteristics that are generally associated with a lower risk for HPV infection and cervical cancer. Efforts are needed to reach at-risk adult women.

[Quebec Pregnancy Cohort: prevalence of medication use during gestation and pregnancy outcomes].

PubMed

Bérard, Anick; Sheehy, Odile

2014-01-01

Many women are exposed to medications during pregnancy. The Quebec Pregnancy Cohort (QPC) is a prospective population-based cohort which includes all data on pregnancies and children between January 1997 and December 2008. We linked four administrative databases in Quebec, Canada: RAMQ (medical and pharmaceutical), MED-ECHO (hospitalizations), ISQ (births/deaths), and MELS (Ministry of Education). Pregnancies included were covered by the Quebec prescription drug insurance plan (36% of women aged 15-45 years) from 12 months prior until the end of pregnancy. We analyzed 97,680 pregnancies. Prevalence of medication use was 74% pre-pregnancy, 56% during pregnancy, and 80% post-pregnancy. Most frequently used medications during pregnancy were antibiotics (47%), antiemetic drugs (23%), and non-steroïdal anti-inflammatory drugs (NSAIDs) [17%]. Medication users were more likely to have spontaneous abortions, preterm births, children with congenital malformations and postpartum depression than non-users (p<0.01). Medications are commonly used during pregnancy. The QPC is a powerful tool for perinatal pharmacoepidemiological research. © 2014 Société Française de Pharmacologie et de Thérapeutique.

Digitization of a geologic map for the Quebec-Maine-Gulf of Maine global geoscience transect

USGS Publications Warehouse

Wright, Bruce E.; Stewart, David B.

1990-01-01

The Bedrock Geologic Map of Maine was digitized and combined with digital geologic data for Quebec and the Gulf of Maine for the Quebec-Maine-Gulf of Maine Geologic Transect Project. This map is being combined with digital geophysical data to produce three-dimensional depictions of the subsurface geology and to produce cross sections of the Earth's crust. It is an essential component of a transect that stretches from the craton near Quebec City, Quebec, to the Atlantic Ocean Basin south of Georges Bank. The transect is part of the Global Geosciences Transect Project of the International Lithosphere Program. The Digital Line Graph format is used for storage of the digitized data. A coding scheme similar to that used for base category planimetric data was developed to assign numeric codes to the digitized geologic data. These codes were used to assign attributes to polygon and line features to describe rock type, age, name, tectonic setting of original deposition, mineralogy, and composition of igneous plutonic rocks, as well as faults and other linear features. The digital geologic data can be readily edited, rescaled, and reprojected. The attribute codes allow generalization and selective retrieval of the geologic features. The codes allow assignment of map colors based on age, lithology, or other attribute. The Digital Line Graph format is a general transfer format that is supported by many software vendors and is easily transferred between systems.

The Quebec emergency department guide: A cross-sectional study to evaluate its use, perceived usefulness, and implementation in rural emergency departments.

PubMed

Fleet, Richard; Hegg-Deloye, Sandrine; Maltais-Giguère, Julie; Légaré, France; Ouimet, Mathieu; Poitras, Julien; Tanguay, Alain; Archambault, Patrick; Levesque, Jean-Frédéric; Simard-Racine, Geneviève; Dupuis, Gilles

2017-12-07

The Quebec Emergency Department Management Guide (QEDMG) is a unique document with 78 recommendations designed to improve the organization of emergency departments (EDs) in the province of Quebec. However, no study has examined how this guide is perceived or used by rural health care management. We invited all directors of professional services (DPS), directors of nursing services (DNS), head nurses (HN), and emergency department directors (EDD) working in Quebec's rural hospitals to complete an online survey (144 questions). Simple frequency analyses (percentage [%] and 95% confidence interval) were conducted to establish general familiarity and use of the QEDMG, as well as perceived usefulness and implementation of its recommendations. Seventy-three percent (19/26) of Quebec's rural EDs participated in the study. A total of 82% (62/76) of the targeted stakeholders participated. Sixty-one percent of respondents reported being "moderately or a lot" familiar with the QEDMG, whereas 77% reported "almost never or sometimes" refer to this guide. Physician management (DPS, EDD) were more likely than nursing management (DNS and especially HN) to report "not at all" or "little" familiarity on use of the guide. Finally, 98% of the QEDMG recommendations were considered useful. Although the QEDMG is considered a useful guide for rural EDs, it is not optimally known or used in rural EDs, especially by physician management. Stakeholders should consider these findings before implementing the revised versions of the QEDMG.

Electroconvulsive Therapy Use in Youth in the Province of Quebec

PubMed Central

Loiseau, Annie; Harrisson, Marie-Claude; Beaudry, Vincent; Patry, Simon

2017-01-01

Objectives Electroconvulsive therapy’s (ECT) safety and tolerability is well-established in the treatment of severe psychiatric disorders in adults, but has been less studied in youth. The aim of the present study was to describe the use of ECT in youth in Quebec City and obtain Child and Adolescent Psychiatrists’ (CAP) perceptions in the province of Quebec. Methods The authors reviewed charts of minors who received ECT treatment in the Quebec City metropolitan area between 1995 and 2014 (part 1). Data was also collected on CAP perceptions and experience of ECT use in youth by means of a survey (part 2). Results Part 1 included four girls and two boys, aged between 15 and 17. The main diagnoses were: mood disorders and schizoaffective disorder. Patients received between four and twelve ECT sessions. Five patients responded to treatment, whereas one did not. Treatment and side effects are presented. For part 2, 53 CAP answered the survey. Forty-eight (91%) thought ECT is a good treatment option after failure of other therapeutic modalities and 12 (23%) had prescribed it. All respondents wished to receive additional training regarding ECT use in youth. Conclusion Our results are consistent with the notion that ECT use in youth with a refractory and complex disease is a safe and effective treatment, although rarely used. The majority of psychiatrists treating children and adolescents in Quebec favor ECT when all available therapeutic modalities have failed, but wished they had more training regarding its use. PMID:28331498

Electroconvulsive Therapy Use in Youth in the Province of Quebec.

PubMed

Loiseau, Annie; Harrisson, Marie-Claude; Beaudry, Vincent; Patry, Simon

2017-01-01

Electroconvulsive therapy's (ECT) safety and tolerability is well-established in the treatment of severe psychiatric disorders in adults, but has been less studied in youth. The aim of the present study was to describe the use of ECT in youth in Quebec City and obtain Child and Adolescent Psychiatrists' (CAP) perceptions in the province of Quebec. The authors reviewed charts of minors who received ECT treatment in the Quebec City metropolitan area between 1995 and 2014 (part 1). Data was also collected on CAP perceptions and experience of ECT use in youth by means of a survey (part 2). Part 1 included four girls and two boys, aged between 15 and 17. The main diagnoses were: mood disorders and schizoaffective disorder. Patients received between four and twelve ECT sessions. Five patients responded to treatment, whereas one did not. Treatment and side effects are presented. For part 2, 53 CAP answered the survey. Forty-eight (91%) thought ECT is a good treatment option after failure of other therapeutic modalities and 12 (23%) had prescribed it. All respondents wished to receive additional training regarding ECT use in youth. Our results are consistent with the notion that ECT use in youth with a refractory and complex disease is a safe and effective treatment, although rarely used. The majority of psychiatrists treating children and adolescents in Quebec favor ECT when all available therapeutic modalities have failed, but wished they had more training regarding its use.

Portrait of trauma care in Quebec's rural emergency departments and identification of priority intervention needs to improve the quality of care: a study protocol

PubMed Central

Fleet, Richard; Tounkara, Fatoumata Korika; Ouimet, Mathieu; Dupuis, Gilles; Poitras, Julien; Tanguay, Alain; Fortin, Jean Paul; Trottier, Jean-Guy; Ouellet, Jean; Lortie, Gilles; Plant, Jeff; Morris, Judy; Chauny, Jean Marc; Lauzier, François; Légaré, France

2016-01-01

Introduction Trauma remains the primary cause of death in individuals under 40 years of age in Canada. In Quebec, the Trauma Care Continuum (TCC) has been demonstrated to be effective in decreasing the mortality rate among trauma victims. Although rural citizens are at greater risk for trauma and trauma death, no empirical data concerning the effectiveness of the TCC for the rural population in Quebec are available. The emergency departments (EDs) are important safety nets for rural citizens. However, our data indicate that access to diagnostic support services, such as intensive care units and CT is limited in rural areas. The objectives are to (1) draw a portrait of trauma services in rural EDs; (2) explore geographical variations in trauma care in Quebec; (3) identify adaptable factors that could reduce variation; and (4) establish consensus solutions for improving the quality of care. Methods and analysis The study will take place from November 2015 to November 2018. A mixed methodology (qualitative and quantitative) will be used. We will include data (2009–2013) from all trauma victims treated in the 26 rural EDs and tertiary/secondary care centres in Quebec. To meet objectives 1 and 2, data will be gathered from the Ministry's Database of the Quebec Trauma Registry Information System. For objectives 3 and 4, the project will use the Delphi method to develop consensus solutions for improving the quality of trauma care in rural areas. Data will be analysed using a Poisson regression to compare mortality rate during hospital stay or death on ED arrival (objectives 1 and 2). Average scores and 95% CI will be calculated for the Delphi questionnaire (objectives 3 and 4). Ethics and dissemination This protocol has been approved by CSSS Alphonse-Desjardins research ethics committee (Project MP-HDL-2016-003). The results will be published in peer-reviewed journals. PMID:27098826

The Quebec Pregnancy Cohort – Prevalence of Medication Use during Gestation and Pregnancy Outcomes

PubMed Central

Bérard, Anick; Sheehy, Odile

2014-01-01

Purpose We evaluated the potential and the validity of the Quebec Pregnancy Cohort (QPC) as a research tool in perinatal pharmacoepidemiology. Methods The QPC was built by linking four administrative databases: RAMQ (medical and pharmaceutical data), Med-Echo (hospitalizations), ISQ (births/deaths), and MELS (Ministry of Education data). A self-administered questionnaire was sent to a random sample of women to collect lifestyle information. The QPC includes data on all pregnancies of women covered by the Quebec provincial prescription drug insurance between 1998 and 2008. Date of entry in the QPC is the first day of pregnancy, and women are followed during and after pregnancy; children are followed after birth up until 2009. The prevalence of prescribed medications before, during and after pregnancy was compared between time-window. Pregnancy outcomes were also estimated among pregnancies ending with a live born infant. Results The QPC included 289,688 pregnancies of 186,165 women. Among them, 167,398 ended with a delivery representing 19.4% of all deliveries occurring in the Province of Quebec between 1998–2009. The total frequency of abortions was 35.9% in the QPC comparable to the 36.4% observed in the Province of Quebec. The prevalence of prescribed medication use was 74.6%, 59.0%, and 79.6% before, during and after pregnancy, respectively. Although there was a statistically significant decrease in the proportion of use once the pregnancy was diagnosed (p<.01), post-pregnancy prescribed medication use returned above the pre-pregnancy level. The prevalence of pregnancy outcomes found in the QPC were similar to those observed in the Province of Quebec. Conclusion The QPC is an excellent tool for the study of the risk and benefit of drug use during the perinatal period. This cohort has the advantage of including a validated date of beginning of pregnancy giving the possibility of assigning the exact gestational age at the time of maternal exposure. PMID:24705674

The Quebec Pregnancy Cohort--prevalence of medication use during gestation and pregnancy outcomes.

PubMed

Bérard, Anick; Sheehy, Odile

2014-01-01

We evaluated the potential and the validity of the Quebec Pregnancy Cohort (QPC) as a research tool in perinatal pharmacoepidemiology. The QPC was built by linking four administrative databases: RAMQ (medical and pharmaceutical data), Med-Echo (hospitalizations), ISQ (births/deaths), and MELS (Ministry of Education data). A self-administered questionnaire was sent to a random sample of women to collect lifestyle information. The QPC includes data on all pregnancies of women covered by the Quebec provincial prescription drug insurance between 1998 and 2008. Date of entry in the QPC is the first day of pregnancy, and women are followed during and after pregnancy; children are followed after birth up until 2009. The prevalence of prescribed medications before, during and after pregnancy was compared between time-window. Pregnancy outcomes were also estimated among pregnancies ending with a live born infant. The QPC included 289,688 pregnancies of 186,165 women. Among them, 167,398 ended with a delivery representing 19.4% of all deliveries occurring in the Province of Quebec between 1998-2009. The total frequency of abortions was 35.9% in the QPC comparable to the 36.4% observed in the Province of Quebec. The prevalence of prescribed medication use was 74.6%, 59.0%, and 79.6% before, during and after pregnancy, respectively. Although there was a statistically significant decrease in the proportion of use once the pregnancy was diagnosed (p<.01), post-pregnancy prescribed medication use returned above the pre-pregnancy level. The prevalence of pregnancy outcomes found in the QPC were similar to those observed in the Province of Quebec. The QPC is an excellent tool for the study of the risk and benefit of drug use during the perinatal period. This cohort has the advantage of including a validated date of beginning of pregnancy giving the possibility of assigning the exact gestational age at the time of maternal exposure.

The burgeoning field of transdisciplinary adaptation research in Quebec (1998–): a climate change-related public health narrative

PubMed Central

Gosselin, Pierre; Bélanger, Diane; Lapaige, Véronique; Labbé, Yolaine

2011-01-01

This paper presents a public health narrative on Quebec’s new climatic conditions and human health, and describes the transdisciplinary nature of the climate change adaptation research currently being adopted in Quebec, characterized by the three phases of problem identification, problem investigation, and problem transformation. A transdisciplinary approach is essential for dealing with complex ill-defined problems concerning human–environment interactions (for example, climate change), for allowing joint research, collective leadership, complex collaborations, and significant exchanges among scientists, decision makers, and knowledge users. Such an approach is widely supported in theory but has proved to be extremely difficult to implement in practice, and those who attempt it have met with heavy resistance, succeeding when they find the occasional opportunity within institutional or social contexts. In this paper we narrate the ongoing struggle involved in tackling the negative effects of climate change in multi-actor contexts at local and regional levels, a struggle that began in a quiet way in 1998. The paper will describe how public health adaptation research is supporting transdisciplinary action and implementation while also preparing for the future, and how this interaction to tackle a life-world problem (adaptation of the Quebec public health sector to climate change) in multi-actors contexts has progressively been established during the last 13 years. The first of the two sections introduces the social context of a Quebec undergoing climate changes. Current climatic conditions and expected changes will be described, and attendant health risks for the Quebec population. The second section addresses the scientific, institutional and normative dimensions of the problem. It corresponds to a “public health narrative” presented in three phases: (1) problem identification (1998–2002) beginning in northern Quebec; (2) problem investigation (2002–2006) in which the issues are successively explored, understood, and conceptualized for all of Quebec, and (3) problem transformation (2006–2009), which discusses major interactions among the stakeholders and the presentation of an Action Plan by a central actor, the Quebec government, in alliance with other stakeholders. In conclusion, we underline the importance, in the current context, of providing for a sustained transdisciplinary adaptation to climatic change. This paper should be helpful for (1) public health professionals confronted with establishing a transdisciplinary approach to a real-world problem other than climate change, (2) professionals in other sectors (such as public safety, built environment) confronted with climate change, who wish to implement transdisciplinary adaptive interventions and/or research, and (3) knowledge users (public and private actors; nongovernment organizations; citizens) from elsewhere in multi-contexts/environments/sectors who wish to promote complex collaborations (with us or not), collective leadership, and “transfrontier knowledge-to-action” for implementing climate change-related adaptation measures. PMID:21966228

Construction of a Computerized Adaptive Testing Version of the Quebec Adaptive Behavior Scale.

ERIC Educational Resources Information Center

Tasse, Marc J.; And Others

Multilog (Thissen, 1991) was used to estimate parameters of 225 items from the Quebec Adaptive Behavior Scale (QABS). A database containing actual data from 2,439 subjects was used for the parameterization procedures. The two-parameter-logistic model was used in estimating item parameters and in the testing strategy. MicroCAT (Assessment Systems…

Community-Based Occupational Therapy Services for Children: A Quebec Survey on Service Delivery

ERIC Educational Resources Information Center

Cotellesso, Annie; Mazer, Barbara; Majnemer, Annette

2009-01-01

Community-based occupational therapy (OT) services are intended to promote social integration and minimize disability. The objective of this study was to describe community-based OT services for children in the province of Quebec, Canada. Specific aims included (a) to determine the proportion of Centres Locaux de Services Communautaires (CLSCs)…

Decision-Making Rationales among Quebec VET Student Aged 25 and Older

ERIC Educational Resources Information Center

Cournoyer, Louis; Deschenaux, Frédéric

2017-01-01

Each year, a large number of students aged 25 years and over take part in vocational and education training (VET) programs in the Province of Quebec, Canada. The life experiences of many of these adults are marked by complex psychosocial and professional events, which may have influenced their career decision-making processes. This paper aimed to…

Factors Influencing the Adoption of a Health Promoting School Approach in the Province of Quebec, Canada

ERIC Educational Resources Information Center

Deschesnes, M.; Trudeau, F.; Kebe, M.

2010-01-01

This study examined a prediction model that integrated three categories of predictors likely to influence adoption of the Quebec Healthy Schools (HS) approach, i.e. attributes of the approach, individual and contextual characteristics. HS receptivity was considered as a potential mediator. For this study, 141 respondents representing 96 schools…

Elementary Teachers' Formative Evaluation Practices in an Era of Curricular Reform in Quebec, Canada

ERIC Educational Resources Information Center

Thomas, Lynn; Deaudelin, Colette; Desjardins, Julie; Dezutter, Olivier

2011-01-01

This study examines the formative evaluation practices of 13 experienced elementary school teachers in Quebec, Canada at the level of teacher-student interaction. The qualitative study is based on both semi-structured and stimulated recall interviews as well as videotapes of classroom activities. The participating teachers were found to be using…

Necessary Conditions to Implement Innovation in Remote Networked Schools: The Stakeholders' Perceptions

ERIC Educational Resources Information Center

Turcotte, Sandrine; Hamel, Christine

2008-01-01

Remote Networked Schools (RNS) is an initiative by the Quebec Ministry of Education, Leisure and Sports (MELS) to investigate solutions that the use of information and communication technologies (ICT) can offer for the preservation of small rural schools in Quebec, Canada. The implementation of RNS mobilized then--as it still does now--the local…

[An essay on Quebec's demographic development from 1534 to 2034].

PubMed

Charbonneau, H

1984-04-01

A general review of the development of the population of Quebec since 1534 is presented in the form of separate summaries for each 50-year period. Topics discussed include sources of data, estimates of the North American Indian population, and estimates of immigration. Some consideration is given to projections to the year 2034. (summary in ENG, SPA)

The Internationalization of In-Service Teacher Training in Quebec Cegeps and Their Foreign Partners: An Institutional Perspective

ERIC Educational Resources Information Center

Begin-Caouette, Olivier

2012-01-01

Through a case study of Quebec's general and vocational colleges (cegeps), this article analyzes the role that institutions play in internationalizing the in-service training they provide to their teachers, and explains how partnerships with educational institutions in developing countries contribute to this process. Data from a questionnaire…

Multilingual Codeswitching in Quebec Rap: Poetry, Pragmatics and Performativity

ERIC Educational Resources Information Center

Sarkar, Mela; Winer, Lise

2006-01-01

Quebec rap lyrics stand out on the world Hip-Hop scene by virtue of the ease and rapidity with which performers in this multilingual, multiethnic youth community codeswitch, frequently among three or more languages or language varieties (usually over a French and/or English base) in the same song. We construct a framework for understanding…

Assessing Forty Years of Language Planning on the Vitality of the Francophone and Anglophone Communities of Quebec

ERIC Educational Resources Information Center

Bourhis, Richard Y.; Sioufi, Rana

2017-01-01

This article analyses how language laws favouring French improved the vitality of the Francophone majority relative to the declining Anglophone minority of Quebec. Part one provides a review of Canadian Government efforts to provide federal bilingual services to Francophones and Anglophones across Canada. Using the ethnolinguistic vitality…

Tensions between Teaching Sexuality Education and Neoliberal Policy Reform in Quebec's Professional Competencies for Beginning Teachers

ERIC Educational Resources Information Center

Parker, Dan; McGray. Robert

2015-01-01

This research draws into question the effects that neoliberal policy reforms--with an emphasis on individual and measurable "competencies"--has on new teachers teaching sexuality education in Quebec. While we examine professional competencies that teachers can use to define their mandate for teaching sexuality education as a beginning…

A Sociolinguistic Comparison between Quebec's Charter of the French Language and the 1989 Language Laws of Five Soviet Republics.

ERIC Educational Resources Information Center

Maurais, Jacques

1991-01-01

Compares the language laws of five Soviet Republics (Estonia, Latvia, Lithuania, Moldavia, and Kazakhstan) with Quebec's Charter of the French Language along the following lines: proclamation of an official language; the common language in question; language of communication with customers and citizens; language of education; and linguistic…

Toward Embracing Multiple Perspectives in World History Curricula: Interrogating Representations of Intercultural Exchanges between Ancient Civilizations in Quebec Textbooks

ERIC Educational Resources Information Center

Abdou, Ehaab D.

2017-01-01

Guided by critical discourse analysis, this study analyzes how ancient civilizations are constructed in high school history textbooks used in Quebec, Canada. The findings suggest that the narrative generally ignores 2-way intercultural exchanges. The narrative is also Eurocentric, silencing sub-Saharan Africa's contributions and nonmaterial…

Actes des Journees de Linguistique (Proceedings of the Linguistics Conference) (11th, Quebec, Canada, March 20-21, 1997).

ERIC Educational Resources Information Center

Caouette, Claudine, Ed.; Larrivee, Pierre, Ed.

English translations of articles in French in this issue include these: "Discourse Reported in the Print Media"; "Comparison of Register in Quebec and French Speakers"; "Method of Description of Specialized Verbs in View of Machine Translation Applications"; "Dialectal Areas in the Brazilian State of Rio Grande…

Pedagogical and Political Encounters in Linguistically and Culturally Diverse Primary Classrooms: Examples from Quebec, Canada, and Gauteng, South Africa

ERIC Educational Resources Information Center

Breton-Carbonneau, Gabrielle; Cleghorn, Ailie; Evans, Rinelle; Pesco, Diane

2012-01-01

Comparative research in multilingual urban primary schools indicates that the pedagogical and political goals of schooling may operate at cross-purposes. Classroom observations and teacher interview-discussions were conducted in classes for immigrant children in Montreal, Quebec, Canada, where the language of instruction is French, and in classes…

A/Political Education: A Survey of Quebec Students' Perceptions of Their Citizenship Education

ERIC Educational Resources Information Center

Fournier-Sylvester, Nicole

2014-01-01

This survey of 370 recent high school graduates reveals that history and citizenship courses in Quebec focus on cultural and religious viewpoints, favour a transmission approach to learning, and fail to connect the political process to students' concerns and interests. Without a clear conception of citizenship as a reference point, this curriculum…

Interaction Effects between Maternal Lifetime Depressive/Anxiety Disorders and Correlates of Children's Externalizing Symptoms

ERIC Educational Resources Information Center

Piche, Genevieve; Bergeron, Lise; Cyr, Mireille; Berthiaume, Claude

2011-01-01

We investigated the interaction effects between mother's lifetime depressive/anxiety disorders and psychosocial correlates of 6 to 11 year-old children's self-reported externalizing symptoms in the Quebec Child Mental Health Survey. A representative subsample of 1,490 Quebec children aged 6 to 11 years was selected from the original sample. We…

Inequality in treatment use among elderly patients with acute myocardial infarction: USA, Belgium and Quebec.

PubMed

Perelman, Julian; Shmueli, Amir; McDonald, Kathryn M; Pilote, Louise; Saynina, Olga; Closon, Marie-Christine

2009-07-30

Previous research has provided evidence that socioeconomic status has an impact on invasive treatments use after acute myocardial infarction. In this paper, we compare the socioeconomic inequality in the use of high-technology diagnosis and treatment after acute myocardial infarction between the US, Quebec and Belgium paying special attention to financial incentives and regulations as explanatory factors. We examined hospital-discharge abstracts for all patients older than 65 who were admitted to hospitals during the 1993-1998 period in the US, Quebec and Belgium with a primary diagnosis of acute myocardial infarction. Patients' income data were imputed from the median incomes of their residential area. For each country, we compared the risk-adjusted probability of undergoing each procedure between socioeconomic categories measured by the patient's area median income. Our findings indicate that income-related inequality exists in the use of high-technology treatment and diagnosis techniques that is not justified by differences in patients' health characteristics. Those inequalities are largely explained, in the US and Quebec, by inequalities in distances to hospitals with on-site cardiac facilities. However, in both Belgium and the US, inequalities persist among patients admitted to hospitals with on-site cardiac facilities, rejecting the hospital location effect as the single explanation for inequalities. Meanwhile, inequality levels diverge across countries (higher in the US and in Belgium, extremely low in Quebec). The findings support the hypothesis that income-related inequality in treatment for AMI exists and is likely to be affected by a country's system of health care.

Rheumatoid arthritis prevalence in Quebec.

PubMed

Bernatsky, Sasha; Dekis, Alaa; Hudson, Marie; Pineau, Christian A; Boire, Gilles; Fortin, Paul R; Bessette, Louis; Jean, Sonia; Chetaille, Ann L; Belisle, Patrick; Bergeron, Louise; Feldman, Debbie Ehrmann; Joseph, Lawrence

2014-12-19

To estimate rheumatoid arthritis (RA) prevalence in Quebec using administrative health data, comparing across regions. Cases of RA were ascertained from physician billing and hospitalization data, 1992-2008. We used three case definitions: 1) ≥ 2 billing diagnoses, submitted by any physician, ≥ 2 months apart, but within 2 years; 2) ≥ 1 diagnosis, by a rheumatologist; 3) ≥1 hospitalization diagnosis (all based on ICD-9 code 714, and ICD-10 code M05). We combined data across these three case definitions, using Bayesian hierarchical latent class models to estimate RA prevalence, adjusting for the imperfect sensitivity and specificity of the data. We compared urban versus rural regions. Using our case definitions and no adjustment for error, we defined 75,760 cases for an over-all RA prevalence of 9.9 per thousand residents. After adjusting for the imperfect sensitivity and specificity of our case definition algorithms, we estimated Quebec RA prevalence at 5.6 per 1000 females and 4.1 per 1000 males. The adjusted RA prevalence estimates for older females were the highest for any demographic group (9.9 cases per 1,000), and were similar in rural and urban regions. In younger males and females, and in older males, RA prevalence estimates were lower in rural versus urban areas. Without adjustment for error inherent in administrative databases, RA prevalence in Quebec was approximately 1%, while adjusted estimates are approximately half that. The lower prevalence in rural areas, seen for most demographic groups, may suggest either true regional variations in RA risk, or under-ascertainment of cases in rural Quebec.

Shunning the Bird's Eye View: General Science in the Schools of Ontario and Quebec

NASA Astrophysics Data System (ADS)

Hoffman, Michelle

2013-04-01

This paper considers the adoption of general science courses in two Canadian provinces, Ontario and Quebec, during the 1930s. In Ontario, a few science teachers had followed the early general science movements in the United States and Britain with interest. During the 1930s, several developments made the cross-disciplinary, applied thrust of general science particularly appealing to Ontario educationists. These developments included a new demand for vocational education, renewed reservations about pedagogical rationales based on transfer of training, and a growing professional divide between high school science teachers and university scientists. Around the same time, scientists in the Quebec's French-language universities were engaged in a concerted campaign to expand the place of science in the province's francophone secondary schools. The province's prestigious classical colleges, which were the scientists' principal target for reform, privileged an inductive view of science that had little in common with the applied, cross-disciplinary emphasis of the general science courses gaining support in English-speaking school systems. In 1934, however, a popular American general science textbook was adopted in a workers' cooperative devoted to adult education. Comparing the fate of general science within these two education systems draws attention to the fact that general science made inroads in francophone Quebec but had little influence in public and private schools. In light of the growing support general science enjoyed elsewhere, we are led to explore why general science met with little overt interest by Quebec scientists pushing for school science reform during the 1930s.

The economic value of Quebec's water fluoridation program.

PubMed

Tchouaket, Eric; Brousselle, Astrid; Fansi, Alvine; Dionne, Pierre Alexandre; Bertrand, Elise; Fortin, Christian

2013-01-01

Dental caries is a major public health problem worldwide, with very significant deleterious consequences for many people. The available data are alarming in Canada and the province of Quebec. The water fluoridation program has been shown to be the most effective means of preventing caries and reducing oral health inequalities. This article analyzes the cost-effectiveness of Quebec's water fluoridation program to provide decision-makers with economic information for assessing its usefulness. An approach adapted from economic evaluation was used to: (1) build a logic model for Quebec's water fluoridation program; (2) determine its implementation cost; and (3) analyze its cost-effectiveness. Documentary analysis was used to build the logic model. Program cost was calculated using data from 13 municipalities that adopted fluoridation between 2002 and 2010 and two that received only infrastructure grants. Other sources were used to collect demographic data and calculate costs for caries treatment including costs associated with travel and lost productivity. The analyses showed the water fluoridation program was cost-effective even with a conservatively estimated 1 % reduction in dental caries. The benefit-cost ratio indicated that, at an expected average effectiveness of 30 % caries reduction, one dollar invested in the program saved $71.05-$82.83 per Quebec's inhabitant in dental costs (in 2010) or more than $560 million for the State and taxpayers. The results showed that the drinking-water fluoridation program produced substantial savings. Public health decision-makers could develop economic arguments to support wide deployment of this population-based intervention whose efficacy and safety have been demonstrated and acknowledged.

Vitality and Ethnolinguistic Attitudes of Acadians, Franco-Ontarians and Francophone Quebecers: Two or Three Solitudes in Canada's Bilingual Belt?

ERIC Educational Resources Information Center

Sioufi, Rana; Bourhis, Richard Y.; Allard, Réal

2016-01-01

Do French-Canadian (FC) minorities in New Brunswick and Ontario remain as committed as majority Francophone Quebecers in developing their vitality within Canada's bilingual belt? FCs constitute host communities for interprovincial migrants of FC and English-Canadian (EC) background who can bolster or weaken the vitality of FCs. How FCs and ECs…

Inclusion on the Agenda in Four Different School Contexts in Canada (Ontario, Manitoba, New Brunswick and Quebec)

ERIC Educational Resources Information Center

Belanger, Nathalie; Gougeon, Nathalie A.

2009-01-01

Four case studies from four different Canadian provinces (Ontario, Manitoba, New Brunswick, and Quebec) are examined in order to better understand meanings given to an inclusive approach in education, as it is defined and experienced by the actors, practitioners, parents, and students. The data examined in this article come from a larger research…

Engagement of Educators and Parents in Students' Health Education in a Low Socioeconomic School in Quebec: A Case Study

ERIC Educational Resources Information Center

Rivard, Marie-Claude; Deslandes, Rollande

2013-01-01

Objective: This qualitative study aimed to describe how educators and parents engage with students on health issues within the context of the Healthy School Approach in a disadvantaged Quebec school. Method: Individual interviews were conducted at the school setting with both educators ("n" = 5) and parents ("n" = 5) during the…

University Reform in Quebec: The Strike at Laval 1976. Yale Higher Education Research Group Working Paper.

ERIC Educational Resources Information Center

Giles, Geoffrey J.

Quebec colleges remained firmly entrenched in the pure classicism of prerevolutionary France until well into the twentieth century. Formal Roman Catholic Church control of Laval University, a Jesuit university, ceased in 1965 at a time when the institution and its administration were expanding greatly, and the faculty quickly began to resent the…

Shunning the Bird's Eye View: General Science in the Schools of Ontario and Quebec

ERIC Educational Resources Information Center

Hoffman, Michelle

2013-01-01

This paper considers the adoption of general science courses in two Canadian provinces, Ontario and Quebec, during the 1930s. In Ontario, a few science teachers had followed the early general science movements in the United States and Britain with interest. During the 1930s, several developments made the cross-disciplinary, applied thrust of…

Four engine aircraft experience in the application of Bacillus thuringiensis against the spruce budworm in Quebec

Treesearch

Louis Dorais

1985-01-01

I want, during this presentation, to give you a spray program coordinator point of view on Bt and try to explain why things are always different in Quebec. Not always better but always different, even in the application of Bacillus thuringiensis where 4 engine aircrafts were used to control the spruce budworm, Choristoneura funiferana...

The Differentiated Impact of Kangaroo Class Programmes in Quebec Primary Schools: Examining Behavioural Improvements in Relation to Student Characteristics

ERIC Educational Resources Information Center

Lavoie, Christine; Couture, Caroline; Bégin, Jean-Yves; Massé, Line

2017-01-01

Inspired by Nurture Groups, Kangaroo Class (KC) programmes have been gradually expanding in francophone schools throughout the Canadian Province of Quebec. These classes are designed for primary students with social, emotional and behavioural difficulties (SEBDs) and aim to provide children with a nurturing and predictable environment. To date, KC…

Approche pedagogique d'un classique du cinema quebecois: Mon Oncle Antoine (Instructional Approach to a Quebec Film Classic: My Uncle Antoine).

ERIC Educational Resources Information Center

Viswanathan, Jacqueline

1990-01-01

An approach that introduces a Quebec film into a college-level course for advanced students of French is described. The technique addresses three aspects of the film: organization; the significance of certain film-making processes; and cultural and social aspects of the film as they relate to Quebecoise culture. (MSE)

Lambs to the Slaughter? Young Francophones and the Role of English in Quebec Today

ERIC Educational Resources Information Center

Oakes, Leigh

2010-01-01

In recent years, there has been a resurgence of fears concerning the status of English in Quebec. Unlike in the past, many now claim that it is francophones themselves who risk undermining the achievements of 30 years of successful status planning. The finger is pointed in particular at young francophones, accused of adopting an unfettered…

Projets Pilotes Quebecois Portant sur L'Integration Scolaire aux Niveaux Pre-Scolaire et Primaire (Quebec Pilot Projects on Mainstreaming of Preschool and Primary-Level Schoolchildren).

ERIC Educational Resources Information Center

Saint-Laurent, Lise; And Others

1992-01-01

This article synthesizes 55 Quebec (Canada) pilot projects on mainstreaming of pupils with learning disabilities, behavior disorders, physical or sensorial handicaps, or mental handicaps, at preschool and elementary levels. It focuses on extent of integration, interventions, training and support for teachers, and evaluation methodology used.…

New Insights in Catalytic Sites: Characterization of Spectroscopy and Reactivity of Metal Oxide Clusters with Anion Slow Electron Velocity-Map Imaging

DTIC Science & Technology

2016-06-08

Yacovitch, E. Garand, J. B. Kim, C. Hock, T. Theis, and D. M. Neumark, Faraday Disc. 157, 399 (2012). [10] I. Yourshaw, T. Lenzer, G. Reiser, and D...University of Nottingham, Faraday Lecture Invited Lecture June 3-5, 2013 Quebec City, Quebec, Canada “Herbert P. Broida Prize Lecture: Probing

Contemporary disease management in Quebec.

PubMed

Gogovor, Amédé; Savoie, Michelle; Moride, Yola; Krelenbaum, Marilyn; Montague, Terrence

2008-01-01

Health or disease management (DM) has emerged as a promising solution to improve the quality of healthcare and patient outcomes in a cost-efficient way. This solution is particularly relevant in the care of our increasing, and aging, patient populations with multiple chronic diseases. This article reviews the recent history and current status of DM in the province of Quebec and summarizes its evolving perspectives and future prospects. Most DM projects in Quebec have developed from a public-private partnership, and they have addressed several disease states. The results of completed programs confirmed the presence of care gaps--the differences between best and usual care in several disease states. They also identified process changes leading to improved practices and enhanced professional satisfaction among stakeholders. Priorities identified for further research include increased knowledge of the underlying causes of care gaps and greater concentration on the measurement of clinical, humanistic and fiscal outcomes and their causal links to DM structures and processes. Although still embryonic in Quebec and Canada, the available evidence suggests that DM partnerships are practical and functional vehicles to expedite knowledge creation and transfer in the care of whole populations of patients. Future projects offer the promise of updated knowledge and continuously improved care and outcomes.

Contribution of maternal age to preterm birth rates in Denmark and Quebec, 1981-2008.

PubMed

Auger, Nathalie; Hansen, Anne V; Mortensen, Laust

2013-10-01

We sought evidence to support the hypothesis that advancing maternal age is potentially causing a rise in preterm birth (PTB) rates in high-income countries. We assessed maternal age-specific trends in PTB using all singleton live births in Denmark (n = 1 674 308) and Quebec (n = 2 291 253) from 1981 to 2008. We decomposed the country-specific contributions of age-specific PTB rates and maternal age distribution to overall PTB rates over time. PTB rates increased from 4.4% to 5.0% in Denmark and from 5.1% to 6.0% in Quebec. Rates increased the most in women aged 20 to 29 years, whereas rates decreased or remained stable in women aged 35 years and older. The overall increase over time was driven by age-specific PTB rates, although the contribution of younger women was countered by fewer births at this age in both Denmark and Quebec. PTB rates increased among women aged 20 to 29 years, but their contribution to the overall PTB rates was offset by older maternal age over time. Women aged 20 to 29 years should be targeted to reduce PTB rates, as potential for prevention may be greater in this age group.

Court refuses to reconsider Hydro-Quebec case

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1993-02-01

A US court has denied a request that it reconsider a decision upholding Hydro-Quebec's $4 billion sale of 340 MW to 16 Vermont utilities. The Vermont Supreme Court issued the decision in October, rejecting arguments that the contract would result in construction of Hydro-Quebec's giant Grande Baleine (Great Whale) hydroelectric development, flooding Creek Indian lands and harming waterfowl. The Vermont Public Service Board endorsed the 340-MW sale - the continuation of a previous sale - to 24 utilities in 1990, but rejected sale of an additional 110 MW without more proof that the power is needed and that its generationmore » would not cause undue environmental damage. Since 1990, one utility merged with another, and seven withdrew from the contract, leaving 16 buyers. The New England Coalition for Energy Efficiency and the Environment and the Grand Council of the Cree appealed the Public Service Board approval. The high court agreed with the Public Service Board that the 340-MW purchase - a fraction of Hydro-Quebec's total 24,000-MW output - is a continuation of an earlier purchase and that no new construction at James Bay is necessary to supply the power. That finding undercut arguments about Grande Baleine's effects on the Cree.« less

My Brothers Were All "Learnt out" and My Sons Soon Would Be: Public Debate over Schooling in Quebec, 1814-1823

ERIC Educational Resources Information Center

Curtis, Bruce

2011-01-01

A public debate over the market provision of schooling and the possibilities of monitorial pedagogy raged in the city of Quebec during the second decade of the nineteenth century. Debate intensified when a group of small merchant manufacturers organised a school association in 1818. The group was denounced by private venture schoolmasters as…

[Training of managers and politicians in ethics of science and ethics of public health].

PubMed

Beaudry, Nicole

2013-01-01

First of all, I will identify the various possible objectives of training in ethics of science and health. I will then examine the institutional context in which managers and politicians act in the light of what is done in Quebec. This analysis will lead me to defend the thesis that in Quebec at least such training is necessary.

Cooperative strategies for forest science management and leadership in an increasingly complex and globalized world: Proceedings of a workshop; 23- 26 August 1998; Quebec City, Quebec, Canada

Treesearch

Lane G. Eskew; David R. DeYoe; Denver P. Burns; Jean-Claude Mercier

1999-01-01

The purpose of this workshop was to develop organizational networks to help achieve best practices in management and leadership of forest research and foster continuous learning toward that goal through organizational benchmarking. The papers and notes herein document the presentations and discussions of the workshop.

Ethics Education Seen through the Lens of Habermas's Conception of Practical Reason: The Quebec Education Program

ERIC Educational Resources Information Center

Bouchard, Nancy; Morris, Ronald W.

2012-01-01

This paper examines the Quebec Education Program (QEP), particularly the new course in ethics and religious culture (ERC), in the light of Habermas's conception of the moral and ethical uses of practical reason. Habermas's discursive theory of morality is used to assess the program's understanding of what it means to be competent in moral matters.…

Quebec's Child Care Services: What Are the Mechanisms Influencing Children's Behaviors across Quantity, Type, and Quality of Care Experienced?

ERIC Educational Resources Information Center

Lemay, Lise; Bigras, Nathalie; Bouchard, Caroline

2015-01-01

The objective of this study was to examine how quantity, type, and quality of care interact in predicting externalizing and internalizing behaviors of 36-month-old children attending Quebec's educational child care from their first years of life. To do so, the authors examined two hypothesized models: (1) a mediation model where quantity, type,…

Common challenges for ecological modelling: Synthesis of facilitated discussions held at the symposia organized for the 2009 conference of the International Society for Ecological Modelling in Quebec City, Canada

USDA-ARS?s Scientific Manuscript database

The eleven symposia organized for the 2009 conference of the International Society for Ecological Modelling (ISEM 2009) held in Quebec City, Canada, October 6-9, 2009, included facilitated discussion sessions following formal presentations. Each symposium focused on a specific subject, and all the s...

Using High School Football to Promote Life Skills and Student Engagement: Perspectives from Canadian Coaches and Students

ERIC Educational Resources Information Center

Camiré, Martin; Trundel, Pierre

2013-01-01

In Canada, adolescent boys have been shown to have a higher high school dropout rate compared to girls. This situation is particularly evident in the country's second largest province by population, Quebec. The sport of Canadian football has recently gained in popularity in Quebec as many people believe that the sport can be used to promote both…

Characteristics and Contributions of School Subjects at the Elementary Level: Results of a Survey of Pre-Service Elementary Teachers from Four Quebec Universities

ERIC Educational Resources Information Center

Lebrun, Johanne; Lenoir, Yves; Oliveira, Anderson Araujo; Morin, Marie-Pier; McConnell, Anne Catherine

2011-01-01

This article presents the results of a survey questionnaire involving 841 third and fourth year students enrolled in a French language Bachelors degree program in Elementary Education at four Quebec universities. The questionnaire dealt with pre-service elementary teachers' representations of the teaching and learning of four school subjects:…

Austerite et gestion dans les universites quebecoises: une analyse des perceptions de directeurs de departement=Austerity and Administration in Quebec's Universities: An Analysis of Department Heads' Perceptions.

ERIC Educational Resources Information Center

Crespo, Manuel; And Others

1986-01-01

A survey of 25 Quebec university department chairmen concerning the management of budgetary austerity found that administrative responses are generally perceived as reactionary and short-sighted, but long-term solutions proposed by chairmen are based on conflicting views of the overall role of the institution. (MSE)

Teaching Ethics and Religious Culture in Quebec High Schools: An Overview, Contextualization and Some Analytical Comments

ERIC Educational Resources Information Center

Rymarz, Richard

2012-01-01

In 2008 Quebec introduced a new ethics and religious culture course. This marks a significant development in Canadian education as the mandated curriculum is intended for use in publically funded secular schools. In the past such courses have been in the domain of denominational schools. This new approach is examined in the context of the profound…

Evaluation of the Processes and Outcomes of Implementing a Competency Model to Foster Research Knowledge Utilization in Education

ERIC Educational Resources Information Center

Briand-Lamarche, Mélodie; Pinard, Renée; Thériault, Pascale; Dagenais, Christian

2016-01-01

To encourage the use of research-based information (RBI) in education in Quebec, the "Centre de transfert pour la réussite educative du Québec" CTREQ and the RENARD team, a knowledge transfer research team, developed the Competency Model for Knowledge Translation to Support Educational Achievement among Quebec Youth. They then developed…

The Certification of Teachers' Language Competence in Quebec in French and English: Two Different Perspectives?

ERIC Educational Resources Information Center

Laurier, Michel; Baker, Beverly

2015-01-01

Language tools are reflections of the academic traditions of assessment developers, as well as the perceptions of language quality as held by a society. The certification of Quebec's teachers offers an interesting case in point: the Québec Government's "ministère de l'Éducation, du Loisir et du Sport" (MELS) requires that all students in…

What Is the Meaning of the Integration of the Cultural Dimension into Schools, According to the Official Discourse of the Province of Quebec?

ERIC Educational Resources Information Center

Cote, Heloise; Simard, Denis

2008-01-01

Since 1992, Quebec's Ministry of Education and Ministry of Culture and Communications have been creating programs designed to integrate a cultural dimension into schools--a process requiring partnerships between teachers and professionals in the cultural domain. This domain comprises the objects and practices pertaining to the realm of arts and…

Lymphogranuloma venereum in Quebec: Re-emergence among men who have sex with men

PubMed Central

Boutin, CA; Venne, S; Fiset, M; Fortin, C; Murphy, D; Severini, A; Martineau, C; Longtin, J; Labbé, AC

2018-01-01

Background Lymphogranuloma venereum (LGV) is a sexually transmitted infection (STI) caused by Chlamydia trachomatis genotypes L1, L2 and L3. This LGV is associated with significant morbidity and increased risk of HIV transmission. While fewer than two cases per year were reported in Quebec before 2005, LGV emerged in 2005–2006 with 69 cases, followed by a period of low incidence (2007–2012), and subsequent re-emergence since 2013. Objectives To describe the incidence of LGV in Quebec and the characteristics of the affected population, including demographics and risk factors, clinical manifestations, laboratory tests, treatments and reinfection rates. Methods Descriptive data were collected from the notifiable diseases records through the Institut national de santé publique du Québec (INSPQ) infocentre portal. Questionnaires were obtained through the enhanced surveillance system and transmitted anonymously to the Quebec Ministry of Health. In-depth analysis was performed on cases from 2013 to 2016. Results There were 338 cases of LGV over the four-year period in Quebec. All cases were male, excluding one transsexual. Mean age was 41 years. Most lived in Montréal (81%) and were men who have sex with men (MSM; 99%). The majority (83%) reported four sexual partners or more in the last year, met mostly through the Internet (77%) and in saunas (73%). Frequency of sexual intercourse with out-of-province residents decreased in 2013–2016 (27%) compared with 2005–2012 (38%). History of STIs was frequent: 83% were HIV-infected, 81% reported previous syphilis and 78% previous gonorrhea. Recreational drug use was frequent (57%), reaching 71% in 2016. Most cases were symptomatic, a proportion which decreased in 2016 (68%) compared with 2013–2015 (82%; p=0.006). Clinical presentations included proctitis (86%), lymphadenopathy (13%) and ulcer/papule (12%). Reinfections, mostly within two years of first infection, occurred in 35 individuals (10%). Conclusion The re-emergence of LGV in Quebec involves an urban subpopulation composed almost exclusively of MSM with STIs, who have a high number of partners and often use drugs. PMID:29770100

Lymphogranuloma venereum in Quebec: Re-emergence among men who have sex with men.

PubMed

Boutin, C A; Venne, S; Fiset, M; Fortin, C; Murphy, D; Severini, A; Martineau, C; Longtin, J; Labbé, A C

2018-02-01

Lymphogranuloma venereum (LGV) is a sexually transmitted infection (STI) caused by Chlamydia trachomatis genotypes L 1 , L 2 and L 3 . This LGV is associated with significant morbidity and increased risk of HIV transmission. While fewer than two cases per year were reported in Quebec before 2005, LGV emerged in 2005-2006 with 69 cases, followed by a period of low incidence (2007-2012), and subsequent re-emergence since 2013. To describe the incidence of LGV in Quebec and the characteristics of the affected population, including demographics and risk factors, clinical manifestations, laboratory tests, treatments and reinfection rates. Descriptive data were collected from the notifiable diseases records through the Institut national de santé publique du Québec (INSPQ) infocentre portal. Questionnaires were obtained through the enhanced surveillance system and transmitted anonymously to the Quebec Ministry of Health. In-depth analysis was performed on cases from 2013 to 2016. There were 338 cases of LGV over the four-year period in Quebec. All cases were male, excluding one transsexual. Mean age was 41 years. Most lived in Montréal (81%) and were men who have sex with men (MSM; 99%). The majority (83%) reported four sexual partners or more in the last year, met mostly through the Internet (77%) and in saunas (73%). Frequency of sexual intercourse with out-of-province residents decreased in 2013-2016 (27%) compared with 2005-2012 (38%). History of STIs was frequent: 83% were HIV-infected, 81% reported previous syphilis and 78% previous gonorrhea. Recreational drug use was frequent (57%), reaching 71% in 2016. Most cases were symptomatic, a proportion which decreased in 2016 (68%) compared with 2013-2015 (82%; p =0.006). Clinical presentations included proctitis (86%), lymphadenopathy (13%) and ulcer/papule (12%). Reinfections, mostly within two years of first infection, occurred in 35 individuals (10%). Conclusion: The re-emergence of LGV in Quebec involves an urban subpopulation composed almost exclusively of MSM with STIs, who have a high number of partners and often use drugs.

Portrait of trauma care in Quebec's rural emergency departments and identification of priority intervention needs to improve the quality of care: a study protocol.

PubMed

Fleet, Richard; Tounkara, Fatoumata Korika; Ouimet, Mathieu; Dupuis, Gilles; Poitras, Julien; Tanguay, Alain; Fortin, Jean Paul; Trottier, Jean-Guy; Ouellet, Jean; Lortie, Gilles; Plant, Jeff; Morris, Judy; Chauny, Jean Marc; Lauzier, François; Légaré, France

2016-04-20

Trauma remains the primary cause of death in individuals under 40 years of age in Canada. In Quebec, the Trauma Care Continuum (TCC) has been demonstrated to be effective in decreasing the mortality rate among trauma victims. Although rural citizens are at greater risk for trauma and trauma death, no empirical data concerning the effectiveness of the TCC for the rural population in Quebec are available. The emergency departments (EDs) are important safety nets for rural citizens. However, our data indicate that access to diagnostic support services, such as intensive care units and CT is limited in rural areas. The objectives are to (1) draw a portrait of trauma services in rural EDs; (2) explore geographical variations in trauma care in Quebec; (3) identify adaptable factors that could reduce variation; and (4) establish consensus solutions for improving the quality of care. The study will take place from November 2015 to November 2018. A mixed methodology (qualitative and quantitative) will be used. We will include data (2009-2013) from all trauma victims treated in the 26 rural EDs and tertiary/secondary care centres in Quebec. To meet objectives 1 and 2, data will be gathered from the Ministry's Database of the Quebec Trauma Registry Information System. For objectives 3 and 4, the project will use the Delphi method to develop consensus solutions for improving the quality of trauma care in rural areas. Data will be analysed using a Poisson regression to compare mortality rate during hospital stay or death on ED arrival (objectives 1 and 2). Average scores and 95% CI will be calculated for the Delphi questionnaire (objectives 3 and 4). This protocol has been approved by CSSS Alphonse-Desjardins research ethics committee (Project MP-HDL-2016-003). The results will be published in peer-reviewed journals. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Survival of American Black Ducks radiomarked in Quebec, Nova Scotia and Vermont

USGS Publications Warehouse

Longcore, J.R.; McAuley, D.G.; Clugston, D.A.; Bunck, C.M.; Giroux, J.-F.; Ouellet, C.; Parker, G.R.; Dupuis, P.; Stotts, D.B.; Goldsberry, J.R.

2000-01-01

We monitored survival of 397 radiomarked juvenile American black ducks (Anas rubripes) distributed among Les Escoumins (n = 75) and Kamouraska, Quebec (n = 84), Amherst Point, Nova Scotia (n = 89), and a site on the Vermont-Quebec border (n = 149) during autumn 1990 and 1991. Eighty-six percent (215 of 250) of all confirmed mortalities during the study was from hunting; 72% of marked ducks were shot and retrieved and 14% were shot and unretrieved. We tested for differences in survival in relation to sex, body mass, year (1990-91, 1991-92), and among the 4 locations for each of 2 monitoring periods (early, EMP; late, LMP). With data from the EMP for Vermont-Quebec in 1990 and 1991, Les Escoumins in 1990, and Amherst Point in 1991, survival of hatching-year (HY) males and females did not differ (P = 0.357). For sexes combined for the EMP, survival of ducks was greater in 1991 than 1990 (P = 0.086), and differed among locations (P = 0.013). Survival (years combined) was greater at Amherst Point than at Kamouraska (P = 0.003) and Vermont-Quebec (P = 0.002) during the EMP. The highest survival rate at Amherst Point (0.545 ? 0.056 [SE]) was associated with the latest date (8 Oct) of season opening; the lowest survival rate (0.395 ? 0.043) was at the Vermont-Quebec border, where hunter numbers and activity were greatest. For the LMP, no interaction between years and locations was detected (P = 0.942), and no differences in survival existed between years (P = 0.102) and among locations (P = 0.349). No association was detected between body mass at capture and survival of combined males and females during the EMP (P = 0.572) or during the LMP (P = 0.965). When we censored hunting losses for combined years for each period, EMP or LMP, all survival estimates exceeded 0.800 (0.809-0.965). These data emphasize need for an improved harvest strategy for American black ducks in North America to allow for increases in breeding populations to achieve population goals.

Survival of female mallards along the Vermont–Quebec border region

USGS Publications Warehouse

Longcore, Jerry R.; McAuley, Daniel G.; Heisey, Dennis M.; Bunck, Christine M.; Clugston, David A.

2016-01-01

Understanding effects of location and timing of harvest seasons on mortality of ducks and geese from hunting is important in forming regulations that sustain viable waterfowl populations throughout their range. During 1990 and 1991 we alternately marked 80 hatching year (HY), female mallards along the Vermont–Quebec border; half with radio-transmitters and bands and half with only aluminum leg bands. We monitored radio-marked ducks daily and recorded survival status weekly for 15 weeks from August until December each year. Mallard mortalities began 25 September when the hunting season opened in the Province of Quebec, Canada. Overall survival of mallards at week 10 did not differ between years (0.51 in 1990 vs. 0.43 in 1991) or differ from that of HY American black ducks (0.44 females, 0.42 males) based on proportional hazard analysis in a Bayesian framework. The mortality rates for mallards from hunting (0.47) and causes unrelated to hunting (0.06) were similar between years and to those rates for HY black ducks at that same site. Hunter harvest accounted for most of the mortality recorded during this study and illegal feeding (i.e., baiting) at sites just before and during the hunting season was observed. Females with lower body condition index had greater mortality rates; a 1-standard-deviation increase in condition index would reduce mortality hazard by about 29%. Management options that may increase mallard survival in the area include lowering daily bag limit in Quebec and suspending split hunting seasons in Vermont that increase harvest, delaying opening date of hunting in Quebec to allow for increased body condition before hunting season opens, and improving enforcement of baiting restrictions.

Should the gap be filled between guidelines and actual practice for management of low back pain in primary care? The Quebec experience.

PubMed

Rossignol, M; Abenhaim, L; Bonvalot, Y; Gobeille, D; Shrier, I

1996-12-15

A prospective cohort study. To describe health services utilization for low back pain in the province of Quebec, Canada, and to compare it with North American guidelines. The Quebec Task Force and the Agency for Health Care Planning and Research (United States) published guidelines for the management of low back pain in 1987 and 1994, respectively. A cohort of 2147 adults with low back pain identified at the Quebec Worker's Compensation Board were selected randomly and observed over 2 years' time for their health care utilization profile. During the study period, 57.8% of the workers still under active care 7 weeks after their back injury had not yet been referred to a specialist. Specialized imaging techniques were obtained by 4.5% of the patients, with a delay of 7 weeks or more in 66% of them. Surgery was performed on 1.6% of the patients. The presence of an initial specific diagnosis and proximity to a university hospital significantly increased utilization rate and reduced the delays. Health services utilization for back pain in Quebec was equal or lower to what currently is practiced elsewhere, but access to specialists was not meeting the current recommendations. This would represent a 12% net increase in new specialist contacts and a quicker access in 39% who saw a specialist. Before such an effort can be considered, health care planners will need a better definition of the role of the specialist consultation in the guidelines and scientific evidence specifically addressing their benefit in primary care, especially in the absence of a specific diagnosis.

Changes in the treatment and outcomes of acute myocardial infarction in Quebec, 1988-1995

PubMed Central

Pilote, L; Lavoie, F; Ho, V; Eisenberg, M J

2000-01-01

BACKGROUND: Few studies have reported population-based information on the treatment trends and outcomes of patients who have had an acute myocardial infarction (AMI). We therefore examined patterns of care and outcomes for AMI patients in Quebec, Canada, between 1988 and 1995. METHODS: Longitudinal data files of hospital admissions in Quebec (Med-Echo database) and inpatient and outpatient services (Régie de l'Assurance Maladie du Québec database) were used to construct cohorts of all AMI patients in the province between 1988 and 1995. Temporal trends in the use of cardiac procedures after an AMI, discharge prescriptions and mortality rates were examined. RESULTS: Between 1988 and 1995 the age- and sex-adjusted rates of AMI in the Quebec population declined (148 per 100,000 in 1988 to 137 per 100,000 in 1995). The use of intensive cardiac procedures increased in the same period; the 1-year cumulative incidence rate of catheterization increased from 28% in 1988 to 31% in 1994, that of angioplasty rose from 8% to 15% and that of coronary artery bypass surgery from 6% to 8%. Prescriptions for ASA, beta-blockers, lipid-lowering agents and angiotensin-converting enzyme inhibitors increased, and prescriptions for nitrates and calcium antagonists decreased. These temporal changes were paralleled by a decrease in mortality rates post-AMI. All-cause 1-year cumulative incidence mortality rates decreased from 23% in 1988 to 19% in 1994. INTERPRETATION: The decrease in AMI-related mortality in Quebec between 1988 and 1995 may be linked to changes in treatment strategies (i.e., increased use of cardiac surgical procedures and medications shown to increase survival). PMID:10920727

Moho Depth and Bulk Crustal Properties in Northern Quebec and Labrador

NASA Astrophysics Data System (ADS)

Vervaet, F.; Darbyshire, F. A.

2016-12-01

Northern Quebec and Labrador lie at the heart of the Laurentian landmass and preserve over 3 billion years of continental evolution. In this region the Archean Superior and Nain cratons are surrounded by Paleoproterozoic orogens such as New-Quebec, Trans-Hudson and Torngat, as well as the younger Grenville orogen to the SE. Study of crustal structure in this region provides valuable information on the assembly of the North American continent. We use data from 8 seismic stations installed in summer 2011 as part of the QUiLLE (Quebec-Labrador Lithospheric Experiment) project to investigate crustal structure, using receiver function analysis. The data set covers 5 years (2011-2016) for most of the stations, comprising several hundred events of magnitude ≥5 and epicentral distance 30-90°. After initial data processing and quality control, several tens of events per station were used in an H-κ stacking analysis to estimate Moho depth and bulk crustal properties. Some stations show significant complexity in their receiver functions, leading to inconclusive H-κ results, but the majority show a consistent Moho signal from which crustal parameters are successfully extracted. Crustal thickness varies from 33 to 49 km, with the thickest crust associated with the Trans-Hudson orogen in the Ungava region of northernmost Quebec and the thinnest beneath the central Labrador coast. Vp/Vs ratios (κ) lie in the range 1.71-1.86, with the majority of values consistent with granite-gneiss-tonalite bulk crustal compositions. The receiver functions are combined with surface-wave group velocity data to model the crustal structures in more detail beneath each station, allowing us to investigate crustal layering, Moho complexity and lateral heterogeneity.

Macrosomia, Perinatal and Infant Mortality in Cree Communities in Quebec, 1996-2010

PubMed Central

Xiao, Lin; Zhang, Dan-Li; Torrie, Jill; Auger, Nathalie; McHugh, Nancy Gros-Louis; Luo, Zhong-Cheng

2016-01-01

Background Cree births in Quebec are characterized by the highest reported prevalence of macrosomia (~35%) in the world. It is unclear whether Cree births are at greater elevated risk of perinatal and infant mortality than other First Nations relative to non-Aboriginal births in Quebec, and if macrosomia may be related. Methods This was a population-based retrospective birth cohort study using the linked birth-infant death database for singleton births to mothers from Cree (n = 5,340), other First Nations (n = 10,810) and non-Aboriginal (n = 229,960) communities in Quebec, 1996–2010. Community type was ascertained by residential postal code and municipality name. The primary outcomes were perinatal and infant mortality. Results Macrosomia (birth weight for gestational age >90th percentile) was substantially more frequent in Cree (38.0%) and other First Nations (21.9%) vs non-Aboriginal (9.4%) communities. Comparing Cree and other First Nations vs non-Aboriginal communities, perinatal mortality rates were 1.52 (95% confidence intervals 1.17, 1.98) and 1.34 (1.10, 1.64) times higher, and infant mortality rates 2.27 (1.71, 3.02) and 1.49 (1.16, 1.91) times higher, respectively. The risk elevations in perinatal and infant death in Cree communities attenuated after adjusting for maternal characteristics (age, education, marital status, parity), but became greater after further adjustment for birth weight (small, appropriate, or large for gestational age). Conclusions Cree communities had greater risk elevations in perinatal and infant mortality than other First Nations relative to non-Aboriginal communities in Quebec. High prevalence of macrosomia did not explain the elevated risk of perinatal and infant mortality in Cree communities. PMID:27517613

St. Lawrence Seaway, Quebec, Canada

NASA Image and Video Library

1991-05-06

STS039-83-059 (28 April-6 May 1991) --- This high oblique view taken from over southeastern Quebec, looking to the southwest down the estuary of the St. Lawrence River (Fleuve Saint-Laurent). The primary road on the north side of the river (right) runs from Quebec, at the end of the estuary behind Ile D'Orleans, northeast to its terminus at Sept-Iles (near nadir, and not visible in this scene). The St. Lawrence disappears underneath the cloud bank over western New York and Ontario just to the west of Montreal. The light snow cover enhances the area of forests (dark) and non-forest (white). In this view, most of the irregular areas of white on the right side of the St. Lawrence River are previously forested areas that were burned over during the extraordinary Canadian forest fires of 1989.

Prion protein genotypes of sheep as determined from 3343 samples submitted from Ontario and other provinces of Canada from 2005 to 2012

PubMed Central

Cameron, Colin; Bell-Rogers, Patricia; McDowall, Rebeccah; Rebelo, Ana R.; Cai, Hugh Y.

2014-01-01

This study analyzed sheep prion protein (PrP) genotypes of samples submitted from Ontario and other provinces of Canada to the Animal Health Laboratory at the University of Guelph, Guelph, Ontario, between 2005 and 2012. In Ontario, the proportion of scrapie-resistant sheep increased from 2005 to 2012 as evidenced by an increase in the ARR haplotype. When Canadian provinces (Alberta, Ontario, Quebec, and Nova Scotia) were compared from 2008 to 2012, a high proportion of scrapie-resistant sheep was found in all the provinces. The proportions of resistant sheep were lower in Alberta and Quebec than in Ontario and Nova Scotia. Alberta had higher proportions of susceptible sheep and a higher frequency of VRQ alleles, and Quebec had a higher frequency of the ARQ allele. PMID:25355994

Editorial Conference Comments by the General Chairman

NASA Astrophysics Data System (ADS)

Hopkins, M. A.

2009-12-01

This paper tells about the comments given by the general chairman in the 2009 conference at Quebec City's Hilton and convection centre in the province of Quebec, canada. NSREC is recoginized as one of the premier international conference on radiation effects in electronic materials, devices and systems. Also the radiation effects in microelectronic devices and materials are discussed. Reliability effects in electronic device is also given in the conference.

Actes des journees de linguistique: Colloque sur la recherche etudiante (Proceedings of the Linguistics Conference: Colloquium on Student Research) (Quebec, Canada, March 18-19, 1988).

ERIC Educational Resources Information Center

Lepage, Danielle, Ed.; Dominik, Annette, Ed.

Presentations by students at a colloquium on student research on the occasion of the 50th anniversary of the University of Laval's Faculty of Letters, March 18-19, 1988, include: "Une enquete sur la qualite du francais ecrit au Quebec"; "Amenagement linguistique et neologie"; "Analyse syntaxique des 'arrets et retours' en…

Changes in Suicide Methods in Quebec between 1987 and 2000: The Possible Impact of Bill C-17 Requiring Safe Storage of Firearms

ERIC Educational Resources Information Center

Caron, Jean; Julien, Marie; Huang, Jean Hua

2008-01-01

This study presents the changes in the overall and firearm suicide rates for Quebec (Canada) before and after Bill C-17, which was implemented to secure safe storage of firearms. It covers 20,009 suicide cases reported to the coroner's office. Interrupted time series analysis is used to compare suicide rates in the two periods. Firearm suicide…

Canada a country of two solitudes when smoking rates among anglophones, francophones compared

PubMed Central

Wharry, S

1997-01-01

Delegates attending a recent national conference on smoking and health learned that there are distinct differences in smoking habits between anglophones and francophones, and that Quebec has the world's highest smoking rate for adult women. Speakers said the high smoking rate in Quebec points to the need for francophone-specific antismoking messages, not simply messages that have been translated from English. PMID:9012732

Temporal trends in genital warts among individuals covered by the public prescription drug insurance plan in the province of Quebec, Canada, from 1998 to 2007.

PubMed

Steben, Marc; Ouhoummane, Najwa; Rodier, Caroline; Brassard, Paul

2013-04-01

We assessed temporal trend in the incidence and prevalence of genital warts (GWs) in the province of Quebec, Canada, between 1998 and 2007 as a baseline for future assessment of the impact of Quebec human papillomavirus vaccination program. Data on GWs were obtained from the linkage of the physician service claims and the public insurance drug plan databases. Genital warts were identified through a prescription of podofilox, a medical procedure code specific to GWs or a diagnosis code for viral warts followed by a prescription of imiquimod or fluorouracil within 2 weeks. An episode was considered incident if it was preceded by a 12-month interval period free of GWs care. During the study period, a total of 27,138 episodes of GWs occurred among 24,267 individuals. The age-standardized incidence rate increased over time in men and women. The highest incidence was observed in women aged 20 to 24 years (391.9/100,000) and in men aged 25 to 29 years (383.3/100,000). Similar trends in prevalence were observed. The incidence and prevalence of GWs has increased among the population covered by the public insurance drug plan in Quebec.

Low back pain prevalence in healthcare professionals and identification of factors affecting low back pain.

PubMed

Çınar-Medeni, Özge; Elbasan, Bulent; Duzgun, Irem

2017-01-01

Work-related musculoskeletal system diseases are commonly observed among nurses, physiotherapists, dentists, and dieticians. To assess working postures of nurses, physiotherapists, dentists and dieticians, to identify whether low back pain (LBP) is present, and to put forth the correlation between LBP, working posture, and other factors. Twenty seven physiotherapists, 34 nurses, 30 dentists, and 16 dieticians were included. Impairment ratings of cases with LBP were analysed with Quebec Back Pain Disability Scale (Quebec). Working postures were analysed with Owako Working Posture Analysis System. LBP was observed in 70.09% of healthcare professionals. Of the individuals suffering from LBP, 57.2% were working with a risky posture. 40.63% of individuals without LBP were using risky working postures. Trunk and head posture distribution of individuals with and without LBP was found as different from each other (p < 0.05). LBP prevalence of dentists and nurses were higher compared to other groups (p < 0.05). Quebec scores of professionals with LBP were not different among occupations (p > 0.05). Quebec scores were observed as correlated with various factors in various occupation groups. Considering that head-neck and trunk postures are changeable factors that are among the factors affecting LBP, correcting the working posture gains importance.

Impact of the Charter of Quebec Values on psychological well-being of francophone university students.

PubMed

Hassan, Ghayda; Mekki-Berrada, Abdelwahed; Rousseau, Cécile; Lyonnais-Lafond, Gabrielle; Jamil, Uzma; Cleveland, Janet

2016-07-14

This paper discusses results from a pilot study conducted in the spring of 2014 among young adults living in Montreal. The main objective of this study was to assess the relation between perception of the Charter of Quebec Values, 1 self-identification, perception of intercommunity relations, perceived discrimination, and psychological well-being in young students enrolled in undergraduate or graduate programs of a francophone university in Montreal. A total of 441 students (30.5% male, 69.5% female) took part in a web survey designed by the research team. The data analyses and results suggest that the debate around the Charter of Quebec values was associated with a shift from a predominantly positive perception of intercommunity relations to a predominantly negative one, particularly among women, immigrants, and those who self-identified as cultural or religious minorities. In addition, more than 30% of participants reported having experienced some form of ethnic or religious discrimination since the Charter was released (personally or as a witness). This was particularly the case among immigrants, as well as those who self-identified as bicultural or from cultural or religious minority groups. This study's results thus highlight the exacerbation of intercommunity tensions linked to the public debate around identity and intercommunity relations in Quebec. © The Author(s) 2016.

Adaptation and Evaluation of Online Self-learning Modules to Teach Critical Appraisal and Evidence-Based Practice in Nursing: An International Collaboration.

PubMed

Gagnon, Johanne; Gagnon, Marie-Pierre; Buteau, Rose-Anne; Azizah, Ginette Mbourou; Jetté, Sylvie; Lampron, Amélie; Simonyan, David; Asua, José; Reviriego, Eva

2015-07-01

Healthcare professionals need to update their knowledge and acquire skills to continually inform their practice based on scientific evidence. This study was designed to evaluate online self-learning modules on critical appraisal skills to promote the use of research in clinical practice among nurses from Quebec (Canada) and the Basque Country (Spain). The teaching material was developed in Quebec and adapted to the Basque Country as part of an international collaboration project. A prospective pre-post study was conducted with 36 nurses from Quebec and 47 from the Basque Country. Assessment comprised the administration of questionnaires before and after the course in order to explore the main intervention outcomes: knowledge acquisition and self-learning readiness. Satisfaction was also measured at the end of the course. Two of the three research hypotheses were confirmed: (1) participants significantly improved their overall knowledge score after the educational intervention; and (2) they were, in general, satisfied with the course, giving it a rating of seven out of 10. Participants also reported a greater readiness for self-directed learning after the course, but this result was not significant in Quebec. The study provides unique knowledge on the cultural adaptation of online self-learning modules for teaching nurses about critical appraisal skills and evidence-based practice.

Borehole Tilt Measurements at the Charlevoix Observatory, Quebec.

DTIC Science & Technology

1983-01-31

1q. KEY WORDS (Continue on reverse side it necessary end identify by block number) Borehole tiltmeter Earthquakes Tidal, secular and transient tilts 20...ABSTRACT (Continue on reverse side If necessary and Identify by block number) An array of three Bodenseewerk Gbp borehole tiltmeters has been...established to measure tidal, transient and secular tilting of the Earth’s surface in the Charlevoix region of Quebec. Two of the tiltmeters operate at a

Canadian Mathematics Education Study Group = Groupe Canadien d'Etude en Didactique des Mathematiques. Proceedings of the Annual Meeting (24th, Montreal, Quebec, Canada, May 26-30, 2000).

ERIC Educational Resources Information Center

Simmt, Elaine, Ed.; Davis, Brent, Ed.; McLoughlin, John Grant, Ed.

2000-01-01

This document contains the proceedings of the annual meeting of the Canadian Mathematics Education Study Group (CMESG) held at the University of Quebec in Montreal, Canada, May 26-30, 2000. The proceedings consist of two plenary lectures, five working groups, four topic sessions, new Ph.D. reports, and panel discussions. Papers include: (1)…

Lake Erie Water Level Study. Appendix D. Commercial Navigation.

DTIC Science & Technology

1981-07-01

this area. This system also serves the large Canadian mining operations in Quebec and Labrador and metropolitan areas on the St. Lawrence River in Quebec...The bulk cargo forecasts were obtained from expert secondary sources such as the U.S. Bureau of Mines and U.S. Department of Agriculture. The utility...advantage of the overwhelming cost savings that exist. As such, over 97 percent of Superior District (i.e., Minnesota , Wisconsin and Michigan) iron

New Learning Technologies and Media in Quebec: Profile and Positioning of the Main Stakeholders = Portrait et positionnement des intervenants en nouvelles technologies et nouveaux medias d'apprentissage au Quebec.

ERIC Educational Resources Information Center

Human Resources Development Canada, Hull (Quebec). Office of Learning Technologies.

This document is the product of a study that was conducted to identify the target audience of Canada's Office of Learning Technologies (OLT), determine which stakeholders should be involved in developing the OLT's action program; and recommend specific actions for the OLT to take. Chapter 1 provides an overview of the study methodology, which…

The National Shipbuilding Research Program: Contaminated Sediment Management Guide for NSRP Shipyards. Appendix 4: Removal Technologies

DTIC Science & Technology

1999-10-22

la performance technique et environnementale de PAmphibex Journal: Report for Environment Canada-Quebec Region and Environment Quebec Date: Mar 1995...cell. Exceed Set Standards? This demonstration was used to finalize operational and performance standards to be used for the audit of innovative...suspended solids measurements will be performed inside the confined area in order to audit the removal technology. All provisions should be taken to

How One Science Teacher Redefines a Science Teaching Practice around a Theme: A Case Study in the Context of Educational Reform in Quebec

ERIC Educational Resources Information Center

Barma, Sylvie; Bader, Barbara

2013-01-01

In the context of an education reform in Quebec, this case study illustrates how a science teacher's practice was redefined with nine classes over a period of four months on a specific, integrative theme inspired by issues of daily life in an attempt to increase her students' motivation and to better make sense of some scientific concepts…

The Al-Hiraak Movement in Yemen: A Study of the Implications of Federalization on a Secession Movement

DTIC Science & Technology

2014-12-04

backing the established 19 Allen Buchanan, Secession: The Morality of Political Divorce from Fort Sumter to Lithuania and Quebec (Boulder: Westview...behavior as being a result of either deprivation or social marginalization. Deprivation is generally defined as poverty or the denial of political...South Arabia. London: I.B. Tauris, 2011. Buchanan, Allen. Secession: The Morality of Political Divorce from Fort Sumter to Lithuania and Quebec

Colleges Celebrations 92: Actes du Congres = College Celebrations 92: Proceedings of the Combined Conference of the Association des colleges communacutaires du Canada and the Association quebecoise de pedagogie collegiale (Montreal, Quebec, May 24-27, 1992).

ERIC Educational Resources Information Center

Association of Canadian Community Colleges.

The papers presented at this meeting of the annual conference of the Quebec Association of Collegiate Pedagogy and the Association of Canadian Community Colleges covered the following topics: (1) Students and Teachers, including papers focusing on faculty and student characteristics and concerns; (2) Development of Human Resources, including…

[The complex travel of cinchona barks between Peru and Québec Hôtel-Dieu, in the middle of the eighteenth century].

PubMed

Simon, Lorène; Lafont, Olivier

2016-03-01

Duplessis sisters, who were religious nuns in Hôtel-Dieu (Quebec hospital), were exchanging letters with a French apothecary from Dieppe in Normandy, named Jacques-Tranquilain Féret. They asked him to send them in Quebec the drugs and medicines their apothecary needed. Amongst these drugs were cinchona barks that came from Callao in Peru by boat, passed Cape Horn and then sailed to Cadiz, the great Spanish port. Then they embarked to Rouen, which was the French port for goods coming from overseas. The goods from Peru had then to be transported on little fishing boats to Dieppe, where Féret received the barks. The apothecary sent these drugs to Quebec by boats sailing either from Rouen or from La Rochelle. So these Peruvian drugs had to cross two times the Ocean before accessing to North America.

Convergence or divergence of male and female physicians' hours of work and income.

PubMed

Dedobbeleer, N; Contandriopoulos, A P; Desjardins, S

1995-08-01

This article verifies if the increase in the percentage of women in the medical profession led to the convergence of male and female physicians' hours of work as well as income. Active physicians in Quebec in 1978 were compared to the ones in 1988. Data were obtained from the computerized files of the Quebec Corporation of Physicians and the Régie d'assurance-maladie du Quebec. Despite the increasing representation of women in the medical profession, gender differences in hours worked and income remained. However, results also showed a tendency toward a convergence in total hours of work, more behavioral variation among women physicians and some behavioral change among men. The experience of the past should thus not be used as the basis for projections of future physician productivity or for medical manpower planning purposes without a careful analysis of trends in behavioral changes.

Geologic map of the Sherbrooke-Lewiston area, Maine, New Hampshire, and Vermont, United States, and Quebec, Canada

USGS Publications Warehouse

Moench, R.H.; Boone, G.M.; Bothner, Wallace A.; Boudette, E.L.; Hatch, N.L.; Hussey, A. M.; Marvinney, R.G.

1995-01-01

This map is part of a folio of maps of the Lewiston 1° x 2° quadrangle, Maine, New Hampshire, and Vermont, and part of the Sherbrooke 1° x 2° quadrangle, Maine, New Hampshire, and Vermont, United States, and Quebec, Canada, prepared under the Conterminous United States Mineral Assessment Program (CUSMAP). Adjacent areas in Quebec are shown, in order to illustrate the geologic continuity between northwestern Maine and northern Vermont and New Hampshire. Other results of the project are contained in reports by Nowlan and others (1990a,b,c; stream sediment geochemistry), and Cox (1990; potential tin resources related to the White Mountain Plutonic-Volcanic Suite), Bothner and others (in press; complete Bouguer gravity and aeromagnetic maps), Moench and Boudette (in press, geologic synthesis and mineral occurrence map), and Moench (in press; metallic mineral resources).

[Emigration of Quebec physicians: motivation for departure and return].

PubMed

Leduc, N; Bilodeau, H; Contandriopoulos, A P; Sainte-Marie, G; Fournier, M A; Dandavino, A

2001-01-01

Since the 80's, outmigration of physicians from Quebec is steadily increasing. About 46 percent of outmigrating doctors explain their move by factors related to their occupational life (higher income, greater opportunity in the academic career, larger amount of resources devoted to the health care system). Nearly 40 percent relate their decision to personal factors (greater job opportunity for their wife/husband, quality of family life...). The factors linked to the context of the receiving place (political climate, linguistic regulations, income tax level...) play a minor role on the migration decision. As concerns the returning physicians, 80 percent explain their decision by personal factors. The factors linked to the occupational life have a lower role. It appears therefore that doctor outmigration from Quebec is not directly determined by manpower policies adopted by the Province during the last two decades, except the policies directly linked to the income level of professionals.

A 735 kV shunt reactors automatic switching system for Hydro-Quebec network

DOE Office of Scientific and Technical Information (OSTI.GOV)

Bernard, S.; Trudel, G.; Scott, G.

1996-11-01

In recent years, Hydro-Quebec has undertaken a major program to upgrade the reliability of its transmission system. Much efforts have been directed toward increasing the system`s capacity to withstand extreme contingencies, usually caused by multiple incidents or the successive tripping of transmission lines. In order to counter such events, Hydro-Quebec has adopted a defensive scheme. Based entirely on automatic action, this scheme will mainly rely on: a 735 kV shunt reactor switching system (called MAIS); a generation rejection and/or remote load-shedding system (called RPTC); an underfrequency load-shedding system. The MAIS system, which is the subject of this paper, will bemore » implemented in 22 substations and is required to control voltage on the system after a severe event. Each MAIS system, acting locally, is entirely independent and will close or trip shunt reactors in response to local conditions.« less

Mortality and morbidity associated with gunshot in raptorial birds from the province of Quebec: 1986 to 2007

PubMed Central

Desmarchelier, Marion; Santamaria-Bouvier, Ariane; Fitzgérald, Guy; Lair, Stéphane

2010-01-01

Although raptors have been protected for decades in Quebec they are still regular victims of poaching. The objective of this study was to characterize cases of raptor shootings in Quebec over the last 2 decades. We reviewed clinical files, radiographs, and pathology reports on 4805 free-flying birds of prey admitted to the Faculté de médecine vétérinaire between 1986 and 2007. Evidence of gunshots was detected in 6.4% of the birds. Large species, such as ospreys, turkey vultures, snowy owls, and bald eagles represented the most frequently targeted species. The percentage of shot birds has decreased from 13.4% during 1991 to 1992 to 2.2% in 2006 to 2007. Potential reasons for this trend include a decrease in the presence of firearms in raptor habitats and changes in human attitude towards raptorial birds. PMID:20357944

Locked on course: Hydro-Quebec`s commitment to mega-projects

DOE Office of Scientific and Technical Information (OSTI.GOV)

Maxwell, J.; Briscoe, F.; Suzuki, Tatsujiro

1997-01-01

Large organizations often escalate their commitments to mega-project development, even after evidence becomes available of adverse environmental consequences or lack of economic feasibility. This escalation of commitment transcends both sectorial and national boundaries. Preeminent examples include controversial nuclear projects in the US, hydroelectric projects like the Three Gorges Dam in China, and transport projects like the Chunnel and the Concorde. In this article, the authors examine the experience of Hydro-Quebec with the Great Whale Project. They argue that Hydro-Quebec escalated its commitment even after serious questions emerged about its environmental impacts and economic feasibility, because of (1) its earlier successmore » with large projects, (2) its engineering culture`s norms for consistency, and (3) its role in the government`s desire for economic and cultural autonomy. Finally, they discuss the changes that are necessary to break commitments to such projects.« less

Changes in fall-related mortality in older adults in Quebec, 1981-2009.

PubMed

Gagné, M; Robitaille, Y; Jean, S; Perron, P-A

2013-09-01

Our purpose was to evaluate changes in fall-related mortality in adults aged 65 years and over in Quebec and to propose a case definition based on all the causes entered on Return of Death forms. The analysis covers deaths between 1981 and 2009 recorded in the Quebec vital statistics data. While the number of fall-related deaths increased between 1981 and 2009, the adjusted falls-related mortality rate remained relatively stable. Since the early 2000s, this stability has masked opposing trends. The mortality rate associated with certified falls (W00-W19) has increased while the rate for presumed falls (exposure to an unspecified factor causing a fracture) has decreased. For fall surveillance, analyses using indicators from the vital statistics data should include both certified falls and presumed falls. In addition, a possible shift in the coding of fall-related deaths toward secondary causes should be taken into account.

PubMed Central

Maziade, Jean; Théorêt, Johanne

2004-01-01

OBJECTIVE: To describe the patients residents see in one hospital's family medicine unit and to determine whether these patients resemble family medicine patients in other Quebec hospitals. DESIGN: Descriptive study. SETTING: Urban teaching hospital. PARTICIPANTS: Patients 20 years and older who were admitted to the family medicine unit at Hôpital du St-Sacrement between April 1, 1999, and March 31, 2000, were compared with all patients admitted in general medicine to Quebec hospitals during this period. MAIN OUTCOME MEASURES: Sex, age, main diagnosis, secondary diagnoses, types of diseases, length of stay, number of consultations and specialties involved, referral after hospitalization. RESULTS: Patients hospitalized in this unit were older, had more secondary diagnoses, and stayed in hospital slightly longer than patients hospitalized in general medicine in Quebec as a whole. Residents were, therefore, exposed to patients who were more medically complex. CONCLUSION: Patients to whom residents were exposed resemble patients they will see in future hospital practice. PMID:15648384

Transcultural adaptation and validation of Hindi version of Quebec Back Pain Disability Scale.

PubMed

Zaidi, Sahar; Verma, Shalini; Moiz, Jamal Ali; Hussain, Mohammed E

2017-08-07

To transculturally adapt the Quebec Back Pain Disability Scale for Hindi-speaking population and examine its psychometric properties in patients with low back pain. The Quebec Back Pain Disability Scale was translated and cross-culturally adapted into Hindi following international guidelines. Hindi version of the scale was completed by 120 patients with low back pain and 60 healthy controls. Patients with low back pain were also administered the Hindi-Roland Morris Disability Questionnaire and Visual Analog Scale. Psychometric evaluation included test-retest reliability, convergent and discriminative validity. Exploratory factor analysis was carried out to determine the factor structure. The factorial analysis revealed a four-factor solution (bending/carrying, ambulation/reach, prolonged postures and rest). Convergent validity was confirmed by high correlation of Hindi Quebec Back Pain Disability Scale to the Hindi version of Roland Morris Disability Questionnaire (r = 0.77 and p < 0.001) as well as Visual Analog Scale (r = 0.682 and p < 0.001) scores. Discriminative validity was established by significantly different scores for patients with low back pain and the healthy controls (35.36 ± 18.6 vs. 9.13 ± 6.08 and p < 0.001). The translated version of the scale showed remarkable internal consistency (Cronbach α = 0.98) and the intraclass correlation coefficient of test-retest reliability was excellent (ICC 2,1 =0.96). MDC 95 and SEM scores obtained were 10.28 and 3.71, respectively. The Hindi version of Quebec Back Pain Disability Scale has good test-retest reliability, discriminative and convergent validity and is appropriate for clinical and research use in Hindi-speaking low back pain patients. Implications for rehabilitation Linguistically and culturally adapted questionnaires help researchers make adequate inferences about instruments measuring health and quality of life. The translated version would serve as a valid research tool allowing comparability of data across cultures thus, providing opportunities for large multicenter, multicountry trials. A Hindi Quebec Back Pain Disability Scale version will help to improve the quality and efficacy of assessment of low back pain by developing in patients, a better understanding of the items which can be easily correlated with the activities of daily living.

Report on Results of Borehole Tilt Measurements from the Charlevoix Observatory, Quebec

DTIC Science & Technology

1986-11-30

with long baseline tiltmeters ; any mechanical in- " _____,_ stability in the sensor or of the instrument/rock 3 ,.w ,-- interface produces...KEY WORDS (Continue on reverse side if necessary and identify by block number) ’Earth tides, tiltmeters , tidal loading, seismic activity, linear and...Water Table, Variations in a Seismically Active Region ip Quebec, Canada’ b iH-J. Kiimpel, J.A. Peters, and D.R. Bower. The array of three tiltmeters is

The economic benefits of reducing cardiovascular disease mortality in Quebec, Canada.

PubMed

Boisclair, David; Décarie, Yann; Laliberté-Auger, François; Michaud, Pierre-Carl; Vincent, Carole

2018-01-01

We assess how different scenarios of cardiovascular disease (CVD) prevention, aimed at meeting targets set by the World Health Organization (WHO) for 2025), may impact healthcare spending in Quebec, Canada over the 2050 horizon. We provide long-term forecasts of healthcare use and costs at the Quebec population level using a novel dynamic microsimulation model. Using both survey and administrative data, we simulate the evolution of the Quebec population's health status until death, through a series of dynamic transitions that accounts for social and demographic characteristics associated with CVD risk factors. A 25% reduction in CVD mortality between 2012 and 2025 achieved through decreased incidence could contain the pace of healthcare cost growth towards 2050 by nearly 7 percentage points for consultations with a physician, and by almost 9 percentage points for hospitalizations. Over the 2012-2050 period, the present value of cost savings is projected to amount to C$13.1 billion in 2012 dollars. The years of life saved due to improved life expectancy could be worth another C$38.2 billion. Addressing CVD mortality directly instead would bring about higher healthcare costs, but would generate more value in terms of years of life saved, at C$69.6 billion. Potential savings associated with plausible reductions in CVD, aimed at reaching a World Health Organization target over a 12-year period, are sizeable and may help address challenges associated with an aging population.

[Knowledge and attitudes toward vaccination among midwives in Quebec].

PubMed

Dubé, Eve; Vivion, Maryline; Valderrama, Alena; Sauvageau, Chantal

2013-01-01

Vaccine acceptability among Quebec midwives is not well documented. The purpose of this study was to examine midwives' knowledge, attitudes and practices relating to immunization in Quebec. Semi-structured interviews were conducted with 25 participants (17 midwives and 8 midwifery students). The mean duration of the interviews was 1 hour. The interviews were conducted in 2010 and were audiotaped, transcribed and submitted to content analysis using NVivo 8 software. In addition to the laws regulating midwifery practice in Quebec, the findings suggest that most midwifery interventions are based on midwifery philosophy. Informed choice is one of the key principles of this philosophy. In order to help women make an informed decision about vaccination, midwives seek to outline the pros and cons of vaccination using government documentation, as well as other sources such as books on naturopathy. Most of the participating midwives recognized that vaccination has advantages, including disease prevention and free vaccines. Various arguments against vaccination were also identified. Most of these were related to the vaccination schedule and to combined vaccines. Some of the participants noted that it was difficult to find unbiased information about vaccination. This study highlights the key role of midwifery philosophy in midwifery practice. Most decisions (such as vaccination) are made on the basis of the principle of informed choice. Most of the participants noted that they lacked information on vaccination.

Whole-of-society approach for public health policymaking: a case study of polycentric governance from Quebec, Canada.

PubMed

Addy, Nii A; Poirier, Alain; Blouin, Chantal; Drager, Nick; Dubé, Laurette

2014-12-01

In adopting a whole-of-society (WoS) approach that engages multiple stakeholders in public health policies across contexts, the authors propose that effective governance presents a challenge. The purpose of this paper is to highlight a case for how polycentric governance underlying the WoS approach is already functioning, while outlining an agenda to enable adaptive learning for improving such governance processes. Drawing upon a case study from Quebec, Canada, we employ empirically developed concepts from extensive, decades-long work of the 2009 Nobel laureate Elinor Ostrom in the governance of policy in nonhealth domains to analyze early efforts at polycentric governance in policies around overnutrition, highlighting interactions between international, domestic, state and nonstate actors and processes. Using information from primary and secondary sources, we analyze the emergence of the broader policy context of Quebec's public health system in the 20th century. We present a microsituational analysis of the WoS approach for Quebec's 21st century policies on healthy lifestyles, emphasizing the role of governance at the community level. We argue for rethinking prescriptive policy analysis of the 20th century, proposing an agenda for diagnostic policy analysis, which explicates the multiple sets of actors and interacting variables shaping polycentric governance for operationalizing the WoS approach to policymaking in specific contexts. © 2014 New York Academy of Sciences.

Model Effects on GLAS-Based Regional Estimates of Forest Biomass and Carbon

NASA Technical Reports Server (NTRS)

Nelson, Ross

2008-01-01

ICESat/GLAS waveform data are used to estimate biomass and carbon on a 1.27 million sq km study area. the Province of Quebec, Canada, below treeline. The same input data sets and sampling design are used in conjunction with four different predictive models to estimate total aboveground dry forest biomass and forest carbon. The four models include nonstratified and stratified versions of a multiple linear model where either biomass or (square root of) biomass serves as the dependent variable. The use of different models in Quebec introduces differences in Provincial biomass estimates of up to 0.35 Gt (range 4.942+/-0.28 Gt to 5.29+/-0.36 Gt). The results suggest that if different predictive models are used to estimate regional carbon stocks in different epochs, e.g., y2005, y2015, one might mistakenly infer an apparent aboveground carbon "change" of, in this case, 0.18 Gt, or approximately 7% of the aboveground carbon in Quebec, due solely to the use of different predictive models. These findings argue for model consistency in future, LiDAR-based carbon monitoring programs. Regional biomass estimates from the four GLAS models are compared to ground estimates derived from an extensive network of 16,814 ground plots located in southern Quebec. Stratified models proved to be more accurate and precise than either of the two nonstratified models tested.

Community pharmacists' knowledge, beliefs and attitudes towards immunization in Quebec.

PubMed

Valiquette, Jean Rémi; Bédard, Pascal

2015-03-12

To describe the knowledge, beliefs and attitudes of Quebec's pharmacists towards immunization and determine their perceived barriers to pharmacist-led immunization. The current study was a descriptive survey of pharmacists working in a community setting in Quebec. Pharmacists were randomly chosen from a list of Quebec's community pharmacies and were contacted by phone from January 17 to 25, 2013. Participating pharmacists were given a web link to the online questionnaire. An e-mail reminder was sent 5-7 days after the first contact. A total of 201 community pharmacists were contacted during the study period, and 115 answered the survey, generating a 57% response rate. The vast majority of respondents answered that vaccines have more benefits than adverse effects. Approximately 52% answered that pharmacists should be able to prescribe and administer vaccines, pending a legislative change. These pharmacists were more interested in administering travel (92%), flu (88%) and pandemic (85%) vaccines than regularly scheduled vaccines for adults (65%) or children (18%). Leading barriers to pharmacist-led immunization were lack of time (90%) and training (92%), and the most common factors that would help its implementation were increased immunization training (95%) and adequate remuneration (92%). These findings should push for a renewed discussion about the role of pharmacists as immunization agents in Canadian provinces where pharmacists do not have the right to administer vaccines.

Adaptation and Evaluation of a Multi-Criteria Decision Analysis Model for Lyme Disease Prevention

PubMed Central

Aenishaenslin, Cécile; Gern, Lise; Michel, Pascal; Ravel, André; Hongoh, Valérie; Waaub, Jean-Philippe; Milord, François; Bélanger, Denise

2015-01-01

Designing preventive programs relevant to vector-borne diseases such as Lyme disease (LD) can be complex given the need to include multiple issues and perspectives into prioritizing public health actions. A multi-criteria decision aid (MCDA) model was previously used to rank interventions for LD prevention in Quebec, Canada, where the disease is emerging. The aim of the current study was to adapt and evaluate the decision model constructed in Quebec under a different epidemiological context, in Switzerland, where LD has been endemic for the last thirty years. The model adaptation was undertaken with a group of Swiss stakeholders using a participatory approach. The PROMETHEE method was used for multi-criteria analysis. Key elements and results of the MCDA model are described and contrasted with the Quebec model. All criteria and most interventions of the MCDA model developed for LD prevention in Quebec were directly transferable to the Swiss context. Four new decision criteria were added, and the list of proposed interventions was modified. Based on the overall group ranking, interventions targeting human populations were prioritized in the Swiss model, with the top ranked action being the implementation of a large communication campaign. The addition of criteria did not significantly alter the intervention rankings, but increased the capacity of the model to discriminate between highest and lowest ranked interventions. The current study suggests that beyond the specificity of the MCDA models developed for Quebec and Switzerland, their general structure captures the fundamental and common issues that characterize the complexity of vector-borne disease prevention. These results should encourage public health organizations to adapt, use and share MCDA models as an effective and functional approach to enable the integration of multiple perspectives and considerations in the prevention and control of complex public health issues such as Lyme disease or other vector-borne and zoonotic diseases. PMID:26295344

Fine mapping and association studies of a high-density lipoprotein cholesterol linkage region on chromosome 16 in French-Canadian subjects

PubMed Central

Dastani, Zari; Pajukanta, Päivi; Marcil, Michel; Rudzicz, Nicholas; Ruel, Isabelle; Bailey, Swneke D; Lee, Jenny C; Lemire, Mathieu; Faith, Janet; Platko, Jill; Rioux, John; Hudson, Thomas J; Gaudet, Daniel; Engert, James C; Genest, Jacques

2010-01-01

Low levels of high-density lipoprotein cholesterol (HDL-C) are an independent risk factor for cardiovascular disease. To identify novel genetic variants that contribute to HDL-C, we performed genome-wide scans and quantitative association studies in two study samples: a Quebec-wide study consisting of 11 multigenerational families and a study of 61 families from the Saguenay–Lac St-Jean (SLSJ) region of Quebec. The heritability of HDL-C in these study samples was 0.73 and 0.49, respectively. Variance components linkage methods identified a LOD score of 2.61 at 98 cM near the marker D16S515 in Quebec-wide families and an LOD score of 2.96 at 86 cM near the marker D16S2624 in SLSJ families. In the Quebec-wide sample, four families showed segregation over a 25.5-cM (18 Mb) region, which was further reduced to 6.6 Mb with additional markers. The coding regions of all genes within this region were sequenced. A missense variant in CHST6 segregated in four families and, with additional families, we observed a P value of 0.015 for this variant. However, an association study of this single-nucleotide polymorphism (SNP) in unrelated Quebec-wide samples was not significant. We also identified an SNP (rs11646677) in the same region, which was significantly associated with a low HDL-C (P=0.016) in the SLSJ study sample. In addition, RT-PCR results from cultured cells showed a significant difference in the expression of CHST6 and KIAA1576, another gene in the region. Our data constitute additional evidence for a locus on chromosome 16q23-24 that affects HDL-C levels in two independent French-Canadian studies. PMID:19844255

Adaptation and Evaluation of a Multi-Criteria Decision Analysis Model for Lyme Disease Prevention.

PubMed

Aenishaenslin, Cécile; Gern, Lise; Michel, Pascal; Ravel, André; Hongoh, Valérie; Waaub, Jean-Philippe; Milord, François; Bélanger, Denise

2015-01-01

Designing preventive programs relevant to vector-borne diseases such as Lyme disease (LD) can be complex given the need to include multiple issues and perspectives into prioritizing public health actions. A multi-criteria decision aid (MCDA) model was previously used to rank interventions for LD prevention in Quebec, Canada, where the disease is emerging. The aim of the current study was to adapt and evaluate the decision model constructed in Quebec under a different epidemiological context, in Switzerland, where LD has been endemic for the last thirty years. The model adaptation was undertaken with a group of Swiss stakeholders using a participatory approach. The PROMETHEE method was used for multi-criteria analysis. Key elements and results of the MCDA model are described and contrasted with the Quebec model. All criteria and most interventions of the MCDA model developed for LD prevention in Quebec were directly transferable to the Swiss context. Four new decision criteria were added, and the list of proposed interventions was modified. Based on the overall group ranking, interventions targeting human populations were prioritized in the Swiss model, with the top ranked action being the implementation of a large communication campaign. The addition of criteria did not significantly alter the intervention rankings, but increased the capacity of the model to discriminate between highest and lowest ranked interventions. The current study suggests that beyond the specificity of the MCDA models developed for Quebec and Switzerland, their general structure captures the fundamental and common issues that characterize the complexity of vector-borne disease prevention. These results should encourage public health organizations to adapt, use and share MCDA models as an effective and functional approach to enable the integration of multiple perspectives and considerations in the prevention and control of complex public health issues such as Lyme disease or other vector-borne and zoonotic diseases.

Proceedings of the 2008 Annual Meeting of the Canadian Mathematics Education Study Group = Actes de la Rencontre Annuelle 2008 du Groupe Canadien d'Etude en Didactique des Mathematiques (32nd, Sherbrooke, Quebec, Canada, May 23-27, 2008)

ERIC Educational Resources Information Center

Liljedahl, Peter, Ed.; Oesterle, Susan, Ed.; Berneche, Christian, Ed.

2009-01-01

This submission contains the Proceedings of the 2008 Annual Meeting of the Canadian Mathematics Education Study Group (CMESG), held at the Universite de Sherbrooke in Sherbrooke, Quebec. The CMESG is a group of mathematicians and mathematics educators who meet annually to discuss mathematics education issues at all levels of learning. The aims of…

[Not Available].

PubMed

Collin, Johanne; Hughes, David

2016-01-01

In The Mind of Modernism, Mark Micale demonstrates the ubiquity of the concept of hysteria in the French imagination at the turn of the century. Taking this approach as our starting point, our study attempts to determine if the notion of degeneration played a similar role in the interactions of psychiatry, culture and politics in Quebec. Our analysis of a variety of historical sources demonstrates that the concept of degeneration did indeed penetrate aspects of psychiatric nosology, medical literature, news media, fiction, and political discourse in Quebec.

PRISMA: Program of Research to Integrate the Services for the Maintenance of Autonomy. A system-level integration model in Quebec

PubMed Central

MacAdam, Margaret

2015-01-01

The Program of Research to Integrate the Services for the Maintenance of Autonomy (PRISMA) began in Quebec in 1999. Evaluation results indicated that the PRISMA Project improved the system of care for the frail elderly at no additional cost. In 2001, the Quebec Ministry of Health and Social Services made implementing the six features of the PRISMA approach a province-wide goal in the programme now known as RSIPA (French acronym). Extensive Province-wide progress has been made since then, but ongoing challenges include reducing unmet need for case management and home care services, creating incentives for increased physician participation in care planning and improving the computerized client chart, among others. PRISMA is the only evaluated international model of a coordination approach to integration and one of the few, if not the only, integration model to have been adopted at the system level by policy-makers. PMID:26417212

Managing medical technology: lessons for the United States from Quebec and France.

PubMed

Rosenau, P V

2000-01-01

Important modifications to technology assessment, diffusion, adoption, and utilization must take place if the United States is to better employ medical technology and save resources so as to assure access for the uninsured and underinsured. The United States can learn from other health systems that are more successful in achieving these goals. The author selects for comparison the health systems of France and Quebec. The discussion focuses on the differences between the three systems in the management of medical technology on a range of policy-relevant dimensions, including health system structure, attitudes about planning versus market competition, government regulation, the balance between decentralization and centralization, the needs of the individual and those of the society, linkages between technology assessment and policy-making, and the importance of medical technology assessment for medical practice. Seven specific recommendations are made for better managing medical technology in the United States, drawing on what can be observed from the experiences of Quebec and France.

Projected Changes to Streamflow Characteristics in Quebec Basins as Simulated by the Canadian Regional Climate Model (CRCM4)

NASA Astrophysics Data System (ADS)

Huziy, O.; Sushama, L.; Khaliq, M.; Lehner, B.; Laprise, R.; Roy, R.

2011-12-01

According to the Intergovernmental Panel on Climate Change (IPCC, 2007), an intensification of the global hydrological cycle and increase in precipitation for some regions around the world, including the northern mid- to high-latitudes, is expected in future climate. This will have an impact on mean and extreme flow characteristics, which need to be assessed for better development of adaptation strategies. Analysis of the mean and extreme streamflow characteristics for Quebec (North-eastern Canada) basins in current climate and their projected changes in future climate are assessed using a 10 member ensemble of current (1970 - 1999) and future (2041 - 2070) Canadian RCM (CRCM4) simulations. Validation of streamflow characteristics, performed by comparing modeled values with those observed, available from the Centre d'expertise hydrique du Quebec (CEHQ) shows that the model captures reasonably well the high flows. Results suggest increase in mean and 10 year return levels of 1 day high flows, which appear significant for most of the northern basins.

La Belle Mort en Milieu Rural: a report of an ethnographic study of the good death for Quebec rural francophones.

PubMed

Veillette, Anne-Marie; Fillion, Lise; Wilson, Donna M; Thomas, Roger; Dumont, Serge

2010-01-01

An ethnographic study was undertaken in two rural areas of Quebec to conceptualize the good death. The findings reveal that a good quality of life for the dying person and his or her family and friends is essential for a good death. The resulting conceptual model emphasized four dimensions: physical, spiritual, social, and emotiona/psychological. These dimensions were determined to be similar to those discovered through a previous urban study, indicating that there may be considerable overlap between good deaths in rural and urban areas. Some findings of this Quebec French-language rural study were similar to those of an Alberta English-language rural study, indicating that rural people may have some common needs and interests with regard to the good death. As such, there could be some common elements of the good death that transcend culture or ethnicity. Chief among these is the desire of rural people to die at home or in their home communities.

The Search is on for Coherent Performance Measurement in Healthcare Organizations. Has Quebec Reached a Crossroads?

PubMed

Fache, Philippe; Sicotte, Claude; Minvielle, Étienne

2016-05-01

This research looks back at a 10-year period (2004-2014) to understand the development and outlook for healthcare organization performance measurement in the Quebec healthcare system, in an attempt to objectivize relationships within the configuration of its principal institutional actors. This is a qualitative study combining the use of official publications and fieldwork based on 13 semi-directed interviews, conducted in 2014, with informers in key performance measurement positions within the Quebec healthcare system. Performance measurement has generated tensions, both internally between different branches of the Department of Health and externally against a strong coalition of external institutional actors, which were defending a shared homogeneous vision of performance. Four major types of political power plays, owing to the power struggles around performance models and indicators, converged around the same implicit issue of the need to attain greater legitimacy in order to impose an authoritative frame of reference. Copyright © 2016 Longwoods Publishing.

How divergent conceptions among health and education stakeholders influence the dissemination of healthy schools in Quebec.

PubMed

Deschesnes, Marthe; Couturier, Yves; Laberge, Suzanne; Campeau, Louise

2010-12-01

This paper focuses on dissemination of the healthy schools (HS) approach in the province of Quebec, Canada. Dissemination aims at raising awareness about HS and promoting its adhesion among actors concerned with youth health in school. As HS is a joint initiative based on agreement and collaboration between health and educational sectors, the positions of stakeholders that foster cooperation between these sectors were considered to be critical to optimize its dissemination. The study's objectives were to: (i) examine and contrast the stakeholders' conceptions of HS and (ii) understand how converging and diverging stakeholders' positions on HS favourably or negatively influence its dissemination in Quebec. Gray's analytical approach to collaboration and its focus on stakeholders' mindframe about a domain served as a conceptual lens to examine stakeholders' positions regarding HS. Collection methods included documentary analysis and semi-structured interviews of 34 key internal and external informants at the provincial, regional and local levels. The results showed consensual adhesion to fundamental principles of the HS approach. However, differences in conceptualization between provincial authorities of the two sectors concerning the way to disseminate HS have been observed. These differences represented a significant barrier to HS optimal dissemination. A dialogue between the two authorities appears to be essential to arrive at a negotiated and shared conceptualization of this issue in the Quebec context, thus allowing agreements for adequate support. The results may serve as the basis for a more fruitful dialogue between actors from the two sectors, at different administrative levels.

Normative data for the Clock Drawing Test for French-Quebec mid- and older aged healthy adults.

PubMed

Turcotte, Valérie; Gagnon, Marie-Eve; Joubert, Sven; Rouleau, Isabelle; Gagnon, Jean-François; Escudier, Frédérique; Koski, Lisa; Potvin, Olivier; Macoir, Joël; Hudon, Carol

2018-05-09

The Clock Drawing Test (CDT) is frequently used to screen for cognitive impairment, however, normative data for Rouleau et al.'s scoring system are scarce. The present study aims to provide norms for Rouleau et al.'s scoring system that are tailored to Quebec French-speaking mid- and older aged healthy adults. Six researchers from various research centers across the Province of Quebec (Canada) sent anonymous data for 593 (391 women) healthy community-dwelling volunteers (age range: 43-93 years; education range: 5-23 years) who completed the CDT 'drawing on command' version. This command version (setting the clock hands to 11:10, without a pre-drawn circle) was administrated as part of a more extensive neuropsychological assessment, or along with cognitive screening instruments. Each drawn clock was scored according to the quantitative criteria set by Rouleau et al.'s scoring system. CDT scores were significantly correlated with age (r(592) = -.132, p = .001) and years of education (r(592) = .116, p = .005), but not with sex (r(592) = .065, p = .112). Since data were skewed towards higher test scores, the percentiles method was used for analysis. Percentile ranks stratified by age and education are presented. These normative data for Rouleau et al.'s scoring system will contribute towards adequately screening for cognitive decline in Quebec French-speaking healthy adults, by also taking into account individual characteristics such as age and education.

[Health education in Quebec: developments over the past decade and current prospects].

PubMed

Gagnon, Hélène; Valentini, Hélène

2013-01-01

This study examines the views of five university professors in the province of Quebec on recent trends and developments in health education, the relative importance of health education as a health promotion strategy, and future prospects. Interviews were conducted and the participants were asked to validate the findings. Despite minor differences, the participants were found to have similar views on health education. The interviews also pointed to a significant emphasis on recent developments in our understanding of the factors influencing health behaviors and the theoretical foundations underlying processes of change. However, much remains to be done to put this knowledge into practice. In Quebec, the field of health education has involved an increasingly diverse range of actors in recent years, although nurses continue to play an important role. Some feel that the emphasis on creating supportive environments for health and public policies has had a negative impact on the development of health education in Quebec. For others, we are witnessing the emergence of a more integrated system combining different health promotion strategies. In terms of future prospects, some remain pessimistic, emphasizing the potential effects of the current economic climate or the potential negative impact of the rise of therapeutic education, which may be at the expense of a more systemic approach. Others are more optimistic, arguing that the future of health education will be a matter of political will and that it will depend on the efforts of stakeholders to promote consistent and complementary measures.

Processus de modelisation et etude des orages geomagnetiques dans les reseaux electriques: Impact sur le reseau de transport d'Hydro-Quebec

NASA Astrophysics Data System (ADS)

Abdellaoui, Amr

This research project presents a complete modelling process of the effects of GIC on Hydro-Quebec power system network for system planning studies. The advantage of the presented method is that it enables planning engineers to simulate the effects of geomagnetic disturbances on the Hydro-Quebec System under different conditions and contingencies within reasonable calculation time frame. This modelling method of GIC in electric power systems has been applied to the Hydro-Quebec System. An equivalent HQ DC model has been achieved. A numerical calculation method of DC sources from a non-uniform geoelectric field has been developed and implemented on HQ DC model. Harmonics and increased reactive power losses of saturated transformers have been defined as a function of GIC through a binary search algorithm using a chosen HQ magnetization curve. The evolution in time of each transformer saturation according to its effective GIC has been evaluated using analytical formulas. The reactive power losses of saturated transformers have been modeled in PSS/E[1] HQ network as constant reactive current loads assigned to the corresponding transformer buses. Finally, time domain simulations have been performed with PSS/E taking into account transformer saturation times. This has been achieved by integrating HQ DC model results and analytical calculations results of transformer saturation times into an EMTP load model. An interface has been used to link EMTP load model to HQ PSS/E network. Different aspects of GIC effects on the Hydro-Quebec system have been studied, including the influence of uniform and non-uniform geoelectric fields, the comparison of reactive power losses of the 735kV HQ system with those of Montreal network, the risks to voltage levels and the importance of reactive power dynamic reserve. This dissertation presents a new GIC modelling approach for power systems for planning and operations purposes. This methodology could be further enhanced, particularly, the aspect regarding the transformer saturation times. Hence more research remains to be pursued in this area.

Analysis of hydroxylated metabolites of PCBs (OH-PCBs) and other chlorinated phenolic compounds in whole blood from Canadian inuit.

PubMed Central

Sandau, C D; Ayotte, P; Dewailly, E; Duffe, J; Norstrom, R J

2000-01-01

In this study, we identified the main hydroxylated polychlorinated biphenyls (OH-PCBs) and other chlorinated phenolic compounds and we determined their relative concentrations in whole blood from 13 male and 17 female Inuit from northern Quebec, Canada, and from a pooled whole blood sample from southern Quebec. We also determined concentrations of polychlorinated biphenyls (PCBs). Total OH-PCB concentrations were variable among the Inuit samples, ranging over 2 orders of magnitude (0.117-11.6 ng/g whole blood wet weight). These concentrations were equal to and up to 70 times those found for the southern Quebec pooled whole blood sample. Geometric mean concentrations of total OH-PCBs were 1.73 and 1.01 ng/g whole blood for Inuit men and women, respectively, and 0.161 ng/g whole blood for the southern population pool. There are limited data available for comparison, but the levels of OH-PCBs in Inuit are higher than those previously reported in the literature for other populations. There was a significant correlation (p < 0.005) between OH-PCBs and PCBs (r = 0.84) and both correlated significantly (p < 0.005) with age (r = 0.68 and 0.78, respectively). The ratio of OH-PCBs to PCBs was lower in Inuit (0.11) than in the southern Quebec pool (0.33). There is no apparent explanation for the difference. There was considerable variability in the congener pattern of the identified OH-PCBs. The main metabolite, 4-OH-CB109 (4-OH-2,3,3',4', 5-pentachlorobiphenyl), constituted 12-62% of the total OH-PCBs in the samples. Pentachlorophenol (PCP) was the dominant phenolic compound in blood, constituting 46% (geometric mean) of the total quantitated chlorinated phenolic compounds. PCP concentrations in Inuit blood ranged from 0.558 to 7.77 ng/g on a wet weight basis. All but two Inuit samples had lower concentrations than the southern Quebec pool (6.29 ng/g). The possible role of OH-PCBs in mediating PCB-induced adverse effects needs to be investigated further. Images Figure 1 Figure 2 Figure 3 Figure 4 PMID:10903613

Whole Genome Sequencing of a Canadian Bovine Gammaherpesvirus 4 Strain and the Possible Link between the Viral Infection and Respiratory and Reproductive Clinical Manifestations in Dairy Cattle

PubMed Central

Gagnon, Carl A.; Traesel, Carolina Kist; Music, Nedzad; Laroche, Jérôme; Tison, Nicolas; Auger, Jean-Philippe; Music, Sanela; Provost, Chantale; Bellehumeur, Christian; Abrahamyan, Levon; Carman, Susy; DesCôteaux, Luc; Charette, Steve J.

2017-01-01

Bovine gammaherpesvirus 4 (BoHV-4) is a herpesvirus widespread in cattle populations, and with no clear disease association. Its genome contains a long unique coding region (LUR) flanked by polyrepetitive DNA and 79 open reading frames (ORFs), with unique 17 ORFs, named Bo1 to Bo17. In 2009, a BoHV-4 strain was isolated (FMV09-1180503: BoHV-4-FMV) from cattle with respiratory disease from Quebec, Canada, and its LUR was sequenced. Despite the overall high similarity, BoHV-4-FMV had the most divergent LUR sequence compared to the two known BoHV-4 reference strain genomes; most of the divergences were in the Bo genes and in the repeat regions. Our phylogenetic analysis based on DNA polymerase and thymidine kinase genes revealed that virus isolate was BoHV-4 gammaherpesvirus and clustered it together with European BoHV-4 strains. Because BoHV-4-FMV was isolated from animals presenting respiratory signs, we have updated the BoHV-4 Canadian cattle seroprevalence data and tried to find out whether there is a link between clinical manifestation and BoHV-4 seropositivity. An indirect immunofluorescence assay (IFA) was performed with nearly 200 randomized sera of dairy cattle from two Canadian provinces, Quebec (n = 100) and Ontario (n = 91). An additional set of sera obtained from Quebec, from the healthy (n = 48) cows or from the animals experiencing respiratory or reproductive problems (n = 75), was also analyzed by IFA. BoHV-4 seroprevalence in Canadian dairy cattle was 7.9% (Quebec: 6% and Ontario: 9.9%). Among animals from the Quebec-based farms, diseased animals showed higher BoHV-4 seropositivity than healthy animals (P < 0.05), with a significant 2.494 odds ratio of being seropositive in sick compared to healthy animals. Although there is no established direct link between BoHV-4 and specific diseases, these seroprevalence data suggest the possible involvement of BoHV-4 in dairy cattle diseases. PMID:28670580

Physician, heal thyself: Survey of users of the Quebec Physicians Health Program.

PubMed

Blais, Régis; Safianyk, Catherine; Magnan, Anne; Lapierre, André

2010-10-01

To document the opinions of the users of the Quebec Physicians Health Program (QPHP) about the services they received. Mailed questionnaire. Quebec. A total of 126 physicians who used QPHP services between 1999 and 2004. Users' overall rating of the QPHP services, their opinions about the program, and whether their situations improved as a result of accessing QPHP services. Ninety-two of the 126 physicians surveyed returned their completed questionnaires, providing a response rate of 73%. Most respondents thought that the QPHP services were good or excellent (90%), most would use the program again (86%) or recommend it (96%), and most thought the Quebec physician associations and the Collège des médecins du Québec should continue funding the QPHP (97%). Most respondents thought the service confidentiality was excellent (84%), as was staff professionalism (82%), and 62% thought the quality of the services they were referred to was excellent. However, only 57% believed their situations had improved with the help of the QPHP. The QPHP received good marks from its users. Given the effects of physician burnout on patients and on the health care system, it is not only a personal problem, but also a collective problem. Thus, actions are needed not only to set up programs like the QPHP for those suffering from burnout, but also to prevent these types of problems. Because family physicians are likely to be the first ones consulted by their physician patients in distress, they play a key role in acknowledging these problems and referring those colleagues to the appropriate help programs when needed.

Lay people's interpretation of ethical values related to mass vaccination; the case of A(H1N1) vaccination campaign in the province of Quebec (French Canada).

PubMed

Massé, Raymond; Désy, Michel

2014-12-01

Pandemic influenza ethics frameworks are based on respect of values and principles such as regard for autonomy, responsibility, transparency, solidarity and social justice. However, very few studies have addressed the way in which the general population views these moral norms. (i) To analyse the receptiveness of the population of French-speaking Quebecers to certain ethical principles promoted by public health authorities during the AH1N1 vaccination campaign. (ii) To add to the limited number of empirical studies that examine the population's perception of ethical values. Eight months after the end of the AH1N1 vaccination campaign in the Province of Quebec (Canada), 100 French-speaking Quebecers were assembled in ten focus groups. Discussions focussed on the level of respect shown by public health authorities for individual autonomy, the limits of appeals for solidarity, the balance between vaccination efficiency and social justice towards non-prioritized subpopulations, vaccination as a demonstration of civic duty and social responsibility. The population acknowledged a high level of individual responsibility towards family members and agreed to vaccination to protect children and ageing parents. However, the concepts of civic duty and solidarity did not elucidate unanimous support, despite the fact that social justice stood out as a dominant value of public morals. The ethical principles promoted in influenza pandemic ethics frameworks are subject to reinterpretation by the population. An ethic of public health must consider their understanding of the fundamental values that legitimize mass vaccination. © 2012 John Wiley & Sons Ltd.

Social Values, Regulatory Tensions and Professional Practices with Underprivileged Populations: The Case of Quebec's Oral Healthcare System

PubMed Central

Bedos, Christophe

2011-01-01

Objective: Dentists may experience frustration in their practice with people living on welfare, often perceiving them in a negative light. The difficulties encountered are detrimental to the patient—professional relationship and contribute to compromising access to care for this underprivileged population. In order to fully understand patient—professional interactions, we must consider the macroscopic contexts in which they occur. This paper examines the systemic influences of these interpersonal relationships to deepen our understanding of an important access-to-care determinant for people living on welfare. Methods: Two frameworks are applied to the analysis of Quebec's oral healthcare system: the social values framework and the regulatory logics framework. Results: Our assessment leads us to posit two phenomena: (1) certain negative stereotypes regarding patients living on welfare allow dentists to manage the inevitable regulatory conflicts (i.e., economic vs. professional) involved in their practice and (2) the behaviours of people living on welfare are frequently judged according to the social values embodied in the organization of Quebec's oral healthcare system, delivery and financing. Conclusion: Quebec's oral healthcare system fails to provide effective access to care for individuals living in poverty, and the government must significantly augment its involvement in this healthcare sector. Dentists should also understand the impact that systemic influences have on their rapport with people living on welfare. We argue that new orientations for the field of dental professional education should be considered. This paper was originally published in French, in the journal Pratiques et Organisation des Soins 2011 42(3). PMID:22851989

Investigating Socioeconomic Position in Dental Caries and Traumatic Dental Injury among Children in Quebec.

PubMed

Da Rosa, P; Rousseau, Marie-Claude; Edasseri, A; Henderson, M; Nicolau, B

2017-12-01

Socioeconomic position (SEP) is inversely associated with most oral health outcomes, but the patterns of association may vary depending on the specific outcome. We estimated associations between SEP and two oral health outcomes, dental caries and traumatic dental injuries (TDI), in Quebec children. We used data from the baseline visit of the QUALITY (QUebec Adipose and Lifestyle Investigation in Youth) Cohort, an ongoing study in Montreal and Quebec, Canada. The analytical sample included 590 children aged 8-10 years. Data on parents' SEP (household income, education) and children's health behaviours and involvement in sports were obtained through questionnaires and interviews. Oral health outcomes (dental caries and TDI in permanent teeth) were assessed by clinical oral exam. Negative binomial regression was used to model dental caries (DMFS index) and number of teeth with TDI adjusting for selected covariates. The mean (SD) DMFS and number of TDI were 0.61 (1.43) and 0.12 (0.43), respectively. Compared to the upper quartile of income, children in the lower quartile had a DMFS approximately 3 times higher (PRR=2.68, 95% CI: 1.43, 5.04). Adjusting for oral health and nutritional behaviours had no effect. Conversely, children in the highest income quartile had a 3 times higher number of teeth with TDI compared to the lowest quartile (PRR=3.14, 95% CI: 1.22, 8.08). Physical activity did not explain this relationship. Parents' education was not associated with dental caries or TDI. SEP seems to play a different role in the cause of dental caries and TDI. Copyright© 2017 Dennis Barber Ltd.

Compliance with Baby-Friendly policies and practices in hospitals and community health centers in Quebec.

PubMed

Haiek, Laura N

2012-08-01

Since 2001, Quebec's ministry of health and social services has prioritized implementation of the Baby-Friendly Initiative (BFI), which includes the original hospital initiative and its expansion to community services. The objective was to document across the province compliance with the BFI's Ten Steps to Successful Breastfeeding in hospitals, Seven Point Plan in community health centers (CHCs), and International Code of Marketing of Breast-Milk Substitutes (Code). Using managers/staff, mothers, and observers, the author measured the extent of implementation of indicators formulated for each step/point and the Code, based on the revised WHO/UNICEF recommendations. Mean compliance scores in Quebec were 3.13 for 140 CHCs (range, 0 to 7) and 4.54 for 60 hospitals/birthing centers (range, 0 to 10). The mean compliance score for the Code was 0.69 for both CHCs and hospitals/birthing centers. The evaluation documented marked variations in implementation level for each of the steps/points and the Code. Also, managers/staff, mothers, and observers differed in their report of BFI compliance for most steps/points and the Code. Facilities that had applied for or obtained BFI designation demonstrated higher compliance with the BFI than those that had not. Results disseminated to participating organizations allowed comparisons on a regional/provincial perspective and in relation to BFI-designated facilities. Furthermore, this first portrait of BFI compliance in Quebec provided provincial, regional, and local health authorities with valuable information that can be used to bring about policy and organizational changes to achieve the international standards required for Baby-Friendly certification.

Genomics and Public Health Research: Can the State Allow Access to Genomic Databases?

PubMed Central

Cousineau, J; Girard, N; Monardes, C; Leroux, T; Jean, M Stanton

2012-01-01

Because many diseases are multifactorial disorders, the scientific progress in genomics and genetics should be taken into consideration in public health research. In this context, genomic databases will constitute an important source of information. Consequently, it is important to identify and characterize the State’s role and authority on matters related to public health, in order to verify whether it has access to such databases while engaging in public health genomic research. We first consider the evolution of the concept of public health, as well as its core functions, using a comparative approach (e.g. WHO, PAHO, CDC and the Canadian province of Quebec). Following an analysis of relevant Quebec legislation, the precautionary principle is examined as a possible avenue to justify State access to and use of genomic databases for research purposes. Finally, we consider the Influenza pandemic plans developed by WHO, Canada, and Quebec, as examples of key tools framing public health decision-making process. We observed that State powers in public health, are not, in Quebec, well adapted to the expansion of genomics research. We propose that the scope of the concept of research in public health should be clear and include the following characteristics: a commitment to the health and well-being of the population and to their determinants; the inclusion of both applied research and basic research; and, an appropriate model of governance (authorization, follow-up, consent, etc.). We also suggest that the strategic approach version of the precautionary principle could guide collective choices in these matters. PMID:23113174

Native American Admixture in the Quebec Founder Population

PubMed Central

Moreau, Claudia; Lefebvre, Jean-François; Jomphe, Michèle; Bhérer, Claude; Ruiz-Linares, Andres; Vézina, Hélène; Roy-Gagnon, Marie-Hélène; Labuda, Damian

2013-01-01

For years, studies of founder populations and genetic isolates represented the mainstream of genetic mapping in the effort to target genetic defects causing Mendelian disorders. The genetic homogeneity of such populations as well as relatively homogeneous environmental exposures were also seen as primary advantages in studies of genetic susceptibility loci that underlie complex diseases. European colonization of the St-Lawrence Valley by a small number of settlers, mainly from France, resulted in a founder effect reflected by the appearance of a number of population-specific disease-causing mutations in Quebec. The purported genetic homogeneity of this population was recently challenged by genealogical and genetic analyses. We studied one of the contributing factors to genetic heterogeneity, early Native American admixture that was never investigated in this population before. Consistent admixture estimates, in the order of one per cent, were obtained from genome-wide autosomal data using the ADMIXTURE and HAPMIX software, as well as with the fastIBD software evaluating the degree of the identity-by-descent between Quebec individuals and Native American populations. These genomic results correlated well with the genealogical estimates. Correlations are imperfect most likely because of incomplete records of Native founders’ origin in genealogical data. Although the overall degree of admixture is modest, it contributed to the enrichment of the population diversity and to its demographic stratification. Because admixture greatly varies among regions of Quebec and among individuals, it could have significantly affected the homogeneity of the population, which is of importance in mapping studies, especially when rare genetic susceptibility variants are in play. PMID:23776491

A microprocessor card software server to support the Quebec health microprocessor card project.

PubMed

Durant, P; Bérubé, J; Lavoie, G; Gamache, A; Ardouin, P; Papillon, M J; Fortin, J P

1995-01-01

The Quebec Health Smart Card Project is advocating the use of a memory card software server[1] (SCAM) to implement a portable medical record (PMR) on a smart card. The PMR is viewed as an object that can be manipulated by SCAM's services. In fact, we can talk about a pseudo-object-oriented approach. This software architecture provides a flexible and evolutive way to manage and optimize the PMR. SCAM is a generic software server; it can manage smart cards as well as optical (laser) cards or other types of memory cards. But, in the specific case of the Quebec Health Card Project, SCAM is used to provide services between physicians' or pharmacists' software and IBM smart card technology. We propose to expose the concepts and techniques used to provide a generic environment to deal with smart cards (and more generally with memory cards), to obtain a dynamic an evolutive PMR, to raise the system global security level and the data integrity, to optimize significantly the management of the PMR, and to provide statistic information about the use of the PMR.

[Are new forms of primary health care organization (PHLU) associated with a better health care experience for patients with chronic diseases in Quebec?].

PubMed

Pineault, Raynald; Da Silva, Roxane Borgés; Provost, Sylvie; Fournier, Michel; Prud'homme, Alexandre

2015-01-01

To assess the extent to which new forms of PHC organization - Family medicine groups (FMG) and Network clinics (NC) - established in Quebec since 2003, are associated with a better experience of care than other forms of PHC organization, for patients with chronic diseases. Two surveys were conducted in 2010 in two regions of Quebec: the first among 9,180 residents and the second among 606 PHC organizations. Indices of experience of care were constructed concerning accessibility, continuity, comprehensiveness and perceived outcomes. Five categories of chronic diseases were selected. Descriptive analyses and multilevel regression analyses were conducted to compare the different forms of PHC organization. Individuals with chronic diseases tend to report a better experience of care than those without chronic diseases for all dimensions except for accessibility. FMGs compare to group practices on all dimensions and NCs are associated with a poorer experience of care on most dimensions. Experience of care associated with FMGs and NCs is not superior to that associated with group practices.

Delinquent behaviors among students exposed to family violence in Quebec schools

PubMed Central

Cénat, Jude Mary; Hébert, Martine; Blais, Martin; Lavoie, Francine; Guerrier, Mireille

2016-01-01

Objective Juvenile delinquency is one of the major public concerns in many countries. This study aims to document the association between exposure to interparental violence and delinquent behaviors among high school students in Quebec (Canada). Methods A representative sample of 8194 students aged 14–20 years was recruited in Quebec (Canada) high schools. Participants completed a questionnaire describing delinquent behaviors as well as exposure to interparental psychological and physical violence. Findings Overall, one out of two participants has experienced delinquent behaviors and 61.8% of them have reported having been exposed to at least one of the two forms of family violence. Overall, youth exposed to interparental violence are more likely to experience delinquent behaviors. Both psychological and physical interparental violence were significantly and independently associated with delinquent behaviors. Conclusion The findings of this study point out the vulnerability of youth exposed to interparental violence. They also highlight the need in the prevention of juvenile delinquency to focus not only on youth but also on both parents that may have been involved in family violence. PMID:28111591

Environmental pleural plaques in residents of a Quebec chrysotile mining town

DOE Office of Scientific and Technical Information (OSTI.GOV)

Churg, A.; DePaoli, L.

1988-07-01

We report four cases of pleural plaques found at autopsy in individuals who resided in or near the chrysotile mining town of Thetford Mines, Quebec, and who had never been employed in the chrysotile mining and milling industry. Three of these patients were farmers, and one was a road construction worker. Lung asbestos content of these cases was compared with that of a group of nine persons living in the same vicinity who did not have pleural plaques. The plaque group was found to have an equal chrysotile content but about a fourfold elevation in median tremolite content, a statisticallymore » significant increase. Fiber sizes were the same in both groups. Also, one plaque case had an elevated level of relatively long titanium oxide fibers. These observations suggest that environmental pleural plaques in this region of Quebec are probably caused by exposure to tremolite derived from local soil and rock and that other types of mineral fibers such as titanium oxide may occasionally also be the cause of such lesions.« less

Correlates of bullying in Quebec high school students: the vulnerability of sexual-minority youth

PubMed Central

Cénat, Jude Mary; Blais, Martin; Hébert, Martine; Lavoie, Francine; Guerrier, Mireille

2015-01-01

Purpose Bullying has become a significant public health issue, particularly among youth. This study documents cyberbullying, homophobic bullying and bullying at school or elsewhere and their correlates among both heterosexual and sexual-minority high school students in Quebec (Canada). Method A representative sample of 8,194 students aged 14–20 years was recruited in Quebec (Canada) high schools. We assessed cyberbullying, homophobic bullying and bullying at school or elsewhere in the past 12 months and their association with current self-esteem and psychological distress as well as suicidal ideations. Results Bullying at school or elsewhere was the most common form of bullying (26.1%), followed by cyberbullying (22.9%) and homophobic bullying (3.6%). Overall, girls and sexual-minority youth were more likely to experienced cyberbullying and other form of bullying as well as psychological distress, low self-esteem and suicidal ideations. The three forms of bullying were significantly and independently associated with all mental health outcomes. Conclusions The results underscore the relevance of taking into account gender and sexual orientation variations in efforts to prevent bullying experience and its consequences. PMID:26047959

A dynamic model for organic waste management in Quebec (D-MOWIQ) as a tool to review environmental, societal and economic perspectives of a waste management policy.

PubMed

Hénault-Ethier, Louise; Martin, Jean-Philippe; Housset, Johann

2017-08-01

A dynamic systems model of organic waste management for the province of Quebec, Canada, was built. Six distinct modules taking into account social, economical and environmental issues and perspectives were included. Five scenarios were designed and tested to identify the potential consequences of different governmental and demographic combinations of decisions over time. Among these scenarios, one examines Quebec's organic waste management policy (2011-2015), while the other scenarios represent business as usual or emphasize ecology, economy or social benefits in the decision-making process. Model outputs suggest that the current governmental policy should yield favorable environmental benefits, energy production and waste valorization. The projections stemming from the current policy action plan approach the benefits gained by another scenario emphasizing the environmental aspects in the decision-making process. As expected, without the current policy and action plan in place, or business as usual, little improvements are expected in waste management compared to current trends, and strictly emphasizing economic imperatives does not favor sustainable organic waste management. Copyright © 2017. Published by Elsevier Ltd.

Impact of physician distribution policies on primary care practices in rural Quebec.

PubMed

Da Silva, Roxane Borgès; Pineault, Raynald

2012-01-01

Accessibility and continuity of primary health care in rural Canada are inadequate, mainly because of a relative shortage of family physicians. To alleviate the uneven distribution of physicians in rural and urban regions, Quebec has implemented measures associated with 3 types of physician practices in rural areas. The objectives of our study were to describe the practices of these types of physicians in a rural area and to analyze the impact of physician distribution policies aimed at offsetting the lack of resources. Data were drawn from a medical administrative database and included information related to physicians' practices in the rural area of Beauce, Que., in 2007. The practices of permanently settled physicians in rural areas differ from those of physicians who substitute for short periods. Permanently settled physicians offer mostly primary care services, whereas physicians who temporarily substitute devote much of their time to hospital-based practice. Physician distribution policies implemented in Quebec to compensate for the lack of medical resources in rural areas have reduced the deficit in hospital care but not in primary care.

IRSL dating of Middle Pleistocene interglacial sediments from southern Quebec (Canada) using multiple and single grain aliquots

USGS Publications Warehouse

Balescu, S.; Lamothe, M.; Auclair, M.; Shilts, W.W.

2001-01-01

The IRSL dating of Middle Pleistocene interglacial fluvial sediments from Southern Quebec, correlated with oxygen isotopic stage 7, yields optical dates much younger than the expected geological age. Single grain IRSL measurements on alkali-feldspars, following the fadia protocol developed by Lamothe and Auclair (Earth and Planetary Science Letters, 171, 319-323, 1999), suggest that anomalous fading is the most probable cause for this severe age underestimation. The IRSL dates corrected for this anomalous fading are in better agreement with the expected ages. ?? 2000 Elsevier Science Ltd.

Adult Education: The Past, the Present, and the Future. Proceedings of the Annual Conference of the Canadian Association for the Study of Adult Education (14th, Montreal, Quebec, Canada, June 1-3, 1995) = L'Education des Adultes: Un Passe, Un Present, un Avenir. Les Actes du Congress Annuel, l'Association Canadienne pour l'Etude de l'Education des Adultes (14e, Montreal, Quebec, Canada, 1-3 Juin, 1995).

ERIC Educational Resources Information Center

Danis, Claudia, Ed.; Hrimech, Mohamed, Ed.

The following papers (with nine in French) are included: "Refocusing the Multicultural Discourse in Adult Education" (Acton); "University Extension and the Service University" (Archer); "Linking Cases to Course Content" (Block); "The Effects of Education on Food Security among Low Income Urban Adults"…

L'interdisciplinarite en sciences sociales pour l'etude du contact des langues (Interdisciplinarity in Social Sciences of the Study of the Relationships of Languages). Proceedings of a Colloquium of the International Center for Research on Bilingualism and the Institute for Interethnic and Intercultural Studies and Research (2nd, Quebec City, Quebec, Canada, October 1-5, 1984).

ERIC Educational Resources Information Center

Prujiner, Alain, Ed.

Papers given at an international conference applying the social sciences to the study of the relationships of languages include the following: "Reseaux sociaux et comportements langagiers en milieu de contact des langues" ("Social Networks and Language Behaviors in a Language Contact Setting") by M. Blanc and J. Hamers, with…

[The Quebec Healthy Cities and Towns Network: a powerful movement faced with new challenges].

PubMed

Simard, Paule

2007-01-01

After twenty years serving its members, the Quebec Healthy Cities and Towns Network (QHCTN) faces several challenges. There are currently many changes being made in the local organization and the administration of services. The Network, through its capacity to mobilize the different municipalities, is the best placed to advocate and support a coordinated approach to government initiatives and also to encourage partnerships with other institutions (education, health, socio-economic) and communities. There is, nonetheless, a need to rethink its direct support to members, especially in terms of communication and networking among them.

Hospital power structure and the democratization of hospital administration in Quebec.

PubMed

Eakin, J M

1984-01-01

In 1973, the Canadian Province of Quebec 'democratized' its hospital boards of directors by replacing the previous 'elite' boards by boards representative of the hospitals' major interest groups. This study looks at the impact of these participatory boards on the distribution of power within hospitals, particularly their effect on the hospital administrators' position of control in relation to their boards of directors and medical staff. Findings include a deterioration in the administrators' sense of organizational control, a weakening of the boards' authority over physicians, and a concentration of decision-making outside of the boardroom.

Estimation de l'equivalent en eau de la neige en milieu subarctique du Quebec par teledetection micro-ondes passives

NASA Astrophysics Data System (ADS)

Vachon, Francois

The snow cover (extent, depth and water equivalent) is an important factor in assessing the water balance of a territory. In a context of deregulation of electricity, better knowledge of the quantity of water resulting from snowmelt that will be available for hydroelectric power generation has become a major challenge for the managers of Hydro-Quebec's generating plant. In fact, the snow on the ground represents nearly one third of Hydro-Quebec's annual energy reserve and the proportion is even higher for northern watersheds. Snowcover knowledge would therefore help optimize the management of energy stocks. The issue is especially important when one considers that better management of water resources can lead to substantial economic benefits. The Research Institute of Hydro-Quebec (IREQ), our research partner, is currently attempting to optimize the streamfiow forecasts made by its hydrological models by improving the quality of the inputs. These include a parameter known as the snow water equivalent (SWE) which characterizes the properties of the snow cover. At the present time, SWE data is obtained from in situ measurements, which are both sporadic and scattered, and does not allow the temporal and spatial variability of SWE to be characterized adequately for the needs of hydrological models. This research project proposes to provide the Quebec utility's hydrological models with distributed SWE information about its northern watersheds. The targeted accuracy is 15% for the proposed period of analysis covering the winter months of January, February and March of 2001 to 2006. The methodology is based on the HUT snow emission model and uses the passive microwave remote sensing data acquired by the SSM/I sensor. Monitoring of the temporal and spatial variations in SWE is done by inversion of the model and benefits from the assimilation of in situ data to characterize the state of snow cover during the season. Experimental results show that the assimilation technique of in situ data (density and depth) can reproduce the temporal variations in SWE with a RMSE error of 15.9% (R2=0.76). The analysis of land cover within the SSMI pixels can reduce this error to 14.6% ( R2=0.66) for SWE values below 300 mm. Moreover, the results show that the fluctuations of SWE values are driven by changes in snow depths. Indeed, the use of a constant value for the density of snow is feasible and makes it possible to get as good if not better results. These results will allow IREQ to assess the suitability of using snow cover information provided by the remote sensing data in its forecasting models. This improvement in SWE characterization will meet the needs of IREQ for its work on optimization of the quality of hydrological simulations. The originality and relevance of this work are based primarily on the type of method used to quantify SWE and the site where it is applied. The proposed method focuses on the inversion of the HUT model from passive remote sensing data and assimilates in situ data. Moreover, this approach allows high SWE values (> 300 mm) to be quantified, which was impossible with previous methods. These high SWE values are encountered in areas with large amounts of snow such as northern Quebec. Keywords. remote sensing, microwave, snow water equivalent (SWE), model, retrieval, data assimilation, SWE monitoring, spatialization Complete reference. Vachon, F. (2009) Snow water equivalent retrieval in a subartic environment of Quebec using passive microwave remote sensing. Ph.D. Thesis, Sherbrooke University, Sherbrooke, 211 p.

Temporal trends in Inuit, First Nations and non-Aboriginal birth outcomes in rural and northern Quebec.

PubMed

Simonet, Fabienne; Wilkins, Russell; Luo, Zhong-Cheng

2012-01-01

The objective was to assess trends in Inuit, First Nations and non-Aboriginal birth outcomes in the rural and northern regions of Quebec. In a birth cohort-based study of all births to residents of rural and northern Quebec from 1991 through 2000 (n = 177,193), we analyzed birth outcomes and infant mortality for births classified by maternal mother tongue (Inuit, First Nations or non-Aboriginal) and by community type (predominantly First Nations, Inuit or non-Aboriginal). From 1991-1995 to 1996-2000, there was a trend of increasing rates of preterm birth for all 6 study groups. In all rural and northern areas, low birth weight rates increased significantly only for the Inuit mother tongue group [RR1.45 (95% CI 1.05-2.01)]. Stillbirth rates showed a non-significant increase for the Inuit mother tongue group [RR1.76 (0.64-4.83)]. Neonatal mortality rates decreased significantly in the predominantly non-Aboriginal communities and in the non-Aboriginal mother tongue group [RR0.78 (0.66-0.92)], and increased non-significantly for the First Nations mother tongue group [RR2.17 (0.71-6.62)]. Perinatal death rates increased for the First Nations mother tongue grouping in northern areas [RR2.19 (0.99-4.85)]. There was a disconcerting rise of some mortality outcomes for births to First Nations and Inuit mother tongue women and to women in predominantly First Nations and Inuit communities, in contrast to some improvements for births to non-Aboriginal mother tongue women and to women in predominantly non-Aboriginal communities in rural or northern Quebec, indicating a need for improving perinatal and neonatal health for Aboriginal populations in rural and northern regions.

Cannabis cultivation in Quebec: between space-time hotspots and coldspots.

PubMed

Chadillon-Farinacci, Véronique; Apparicio, Philippe; Morselli, Carlo

2015-03-01

Cannabis cultivation has become increasingly localized, whether soil-based or hydroponic growing methods are used. Characteristics of a given location, such as its climate and the equipment it requires may influence general accessibility or attract different types of offenders based on potential profits. The location of crops, especially hydroponic crops, suggests a certain proximity to the consumer market via semi-urban and urban environments, while making it possible to avoid detection. This article examines the cannabis market through its cultivation. The stability of temporal and spatial clusters of cannabis cultivation, hotspots, and coldspots between 2001 and 2009 in the province of Quebec, Canada, are addressed. Studying the geography of crime is not a new endeavor, but coldspots are rarely documented in drug market research. Using arrests and general population data, as well as Kulldorff's scan statistics, results show that the temporal distribution of cannabis cultivation is highly seasonal for soil-based methods. Hydroponic production shows adaptation to its soil-based counterpart. Stable patterns are found for both spatial distributions. Hotspots for soil-based cultivation are found near several urban centers and the Ontario border. For hydroponic cannabis cultivation, a new hotspot suggests the emergence of an American demand for Quebec-grown cannabis between 2007 and 2009. Curiously, the region surrounding Montreal, the largest urban center in Quebec, is a recurrent and stable coldspot for both methods of cultivation. For all periods, spatial clusters are stronger for soil-based methods than in the hydroponic context. Temporal differences and spatial similarities between soil-based cultivation and hydroponic cultivation are discussed. The role of the metropolis is also addressed. Copyright © 2015 Elsevier B.V. All rights reserved.

Nonmedical Use of Prescription Medication Among Adolescents Using Drugs in Quebec.

PubMed

Roy, Élise; Nolin, Marc-Antoine; Traoré, Issouf; Leclerc, Pascale; Vasiliadis, Helen-Maria

2015-12-01

To determine the prevalence and factors associated with nonmedical use of prescription medication (NMUPM) among adolescents who use drugs (ages 12 to 17 years) in Quebec. Secondary data analyses were carried out with data from a 6-month study, namely, the 2010-2011 Quebec Health Survey of High School Students-a large-scale survey that sought to gain a better understanding of the health and well-being of young Quebecers in high school. Bivariate and multivariate logistic regression analyses were conducted to study NMUPM among adolescents who use drugs, according to sociodemographic characteristics, peer characteristics, health indicators (anxiety, depression, or attention-deficit disorder [ADD] with or without hyperactivity), self-competency, family environment, and substance use (alcohol and drug use) factors. Among adolescents who had used drugs in the previous 12 months, 5.4% (95% CI 4.9% to 6.0%) reported NMUPM. Based on multivariate analyses, having an ADD (adjusted odds ratio [AOR] 1.47; 95% CI 1.13 to 1.91), anxiety disorder (AOR 2.14; 95% CI 1.57 to 2.92), low self-esteem (AOR 1.62; 95% CI 1.26 to 2.08), low self-control (AOR 1.95; 95% CI 1.55 to 2.45), low parental supervision (AOR 1.43; 95% CI 1.11 to 1.83), regular alcohol use (AOR 1.72; 95% CI 1.36 to 2.16), and polysubstance use (AOR 4.09; 95% CI 3.06 to 5.48) were associated with increased odds of reporting NMUPM. The observed prevalence of NMUPM was lower than expected. However, the associations noted with certain mental health disorders and regular or heavy use of other psychoactive substances are troubling. Clinical implications are discussed.

Prevalence of gestational diabetes mellitus among James Bay Cree women in northern Quebec

PubMed Central

Rodrigues, S; Robinson, E; Gray-Donald, K

1999-01-01

BACKGROUND: The prevalence of gestational diabetes mellitus has been reported to vary widely in aboriginal populations. Most of the data have come from the United States. To help determine the extent of gestational diabetes in Canada's aboriginal population, the authors assessed the prevalence in a population of Cree women in northern Quebec. METHODS: A cross-sectional study was conducted using the National Diabetes Data Group (NDDG) criteria. Information was obtained from patient charts on pregnancies between January 1995 and December 1996 among women residing in 9 Cree communities in the eastern James Bay region of northern Quebec. Women who were not Cree, had pre-existing diabetes, had spontaneous abortion or were receiving glucocorticoid treatment were excluded. RESULTS: Data on 654 pregnancies that met the inclusion criteria were available. Results of the screening oral glucose challenge test were available for 579 of the pregnancies; the remaining 75 were excluded. The mean gestational age at screening was 28.3 (standard deviation 2.6) weeks. The prevalence of gestational diabetes was 12.8% (74/579) (95% confidence interval [CI] 10.1%-15.5%). The prevalence in the inland communities was twice as high as that in the coastal communities (18.0% v. 9.3%, p = 0.002). Women with gestational diabetes or impaired glucose tolerance tended to be older, have had more pregnancies, weigh more before pregnancy and have heavier babies than those with a normal glycemic status. INTERPRETATION: The prevalence of gestational diabetes among James Bay Cree women in northern Quebec is twice as high as that among women in the general North American population and the second highest reported in an aboriginal group worldwide. PMID:10333830

Aboveground carbon in Quebec forests: stock quantification at the provincial scale and assessment of temperature, precipitation and edaphic properties effects on the potential stand-level stocking.

PubMed

Duchesne, Louis; Houle, Daniel; Ouimet, Rock; Lambert, Marie-Claude; Logan, Travis

2016-01-01

Biological carbon sequestration by forest ecosystems plays an important role in the net balance of greenhouse gases, acting as a carbon sink for anthropogenic CO2 emissions. Nevertheless, relatively little is known about the abiotic environmental factors (including climate) that control carbon storage in temperate and boreal forests and consequently, about their potential response to climate changes. From a set of more than 94,000 forest inventory plots and a large set of spatial data on forest attributes interpreted from aerial photographs, we constructed a fine-resolution map (∼375 m) of the current carbon stock in aboveground live biomass in the 435,000 km(2) of managed forests in Quebec, Canada. Our analysis resulted in an area-weighted average aboveground carbon stock for productive forestland of 37.6 Mg ha(-1), which is lower than commonly reported values for similar environment. Models capable of predicting the influence of mean annual temperature, annual precipitation, and soil physical environment on maximum stand-level aboveground carbon stock (MSAC) were developed. These models were then used to project the future MSAC in response to climate change. Our results indicate that the MSAC was significantly related to both mean annual temperature and precipitation, or to the interaction of these variables, and suggest that Quebec's managed forests MSAC may increase by 20% by 2041-2070 in response to climate change. Along with changes in climate, the natural disturbance regime and forest management practices will nevertheless largely drive future carbon stock at the landscape scale. Overall, our results allow accurate accounting of carbon stock in aboveground live tree biomass of Quebec's forests, and provide a better understanding of possible feedbacks between climate change and carbon storage in temperate and boreal forests.

[Demography perspectives and forecasts of the demand for electricity].

PubMed

Roy, L; Guimond, E

1995-01-01

"Demographic perspectives form an integral part in the development of electric load forecasts. These forecasts in turn are used to justify the addition and repair of generating facilities that will supply power in the coming decades. The goal of this article is to present how demographic perspectives are incorporated into the electric load forecasting in Quebec. The first part presents the methods, hypotheses and results of population and household projections used by Hydro-Quebec in updating its latest development plan. The second section demonstrates applications of such demographic projections for forecasting the electric load, with a focus on the residential sector." (SUMMARY IN ENG AND SPA) excerpt

[The psychiatric revolution in Quebec, 1950-1962. From asylum to community psychiatry and the open door].

PubMed

Duprey, Catherine

2011-01-01

Psychiatry opens to the world at a time when the very basis of psychiatric practice, namely the asylum, is called into question. Studies appear in Quebec and Canadian journals concurrent to the introduction of new formulas for care, such as the delivery of psychiatric services in general hospitals and clinics, that allow patients to be treated outside the walls of psychiatric hospitals. In addition, postwar psychiatry takes an optimistic view toward the future of children with impairments through the creation of specialized schools and workshops. From the mid-20th century onward, the thinking in psychiatry centres on the open door.

Correlates of bullying in Quebec high school students: The vulnerability of sexual-minority youth.

PubMed

Cénat, Jude Mary; Blais, Martin; Hébert, Martine; Lavoie, Francine; Guerrier, Mireille

2015-09-01

Bullying has become a significant public health issue, particularly among youth. This study documents cyberbullying, homophobic bullying and bullying at school or elsewhere and their correlates among both heterosexual and sexual-minority high school students in Quebec (Canada). A representative sample of 8194 students aged 14-20 years was recruited in Quebec (Canada) high schools. We assessed cyberbullying, homophobic bullying and bullying at school or elsewhere in the past 12 months and their association with current self-esteem and psychological distress as well as suicidal ideations. Bullying at school or elsewhere was the most common form of bullying (26.1%), followed by cyberbullying (22.9%) and homophobic bullying (3.6%). Overall, girls and sexual-minority youth were more likely to experience cyberbullying and other forms of bullying as well as psychological distress, low self-esteem and suicidal ideations. The three forms of bullying were significantly and independently associated with all mental health outcomes. The results underscore the relevance of taking into account gender and sexual orientation variations in efforts to prevent bullying experience and its consequences. Crown Copyright © 2015. Published by Elsevier B.V. All rights reserved.

Review of Canadian species of the genus Mocyta Mulsant & Rey (Coleoptera, Staphylinidae, Aleocharinae), with the description of a new species and a new synonymy.

PubMed

Klimaszewski, Jan; Webster, Reginald P; Bourdon, Caroline; Pelletier, Georges; Godin, Benoit; Langor, David W

2015-01-01

Six species of the genus Mocyta Mulsant & Rey are reported from Canada: Mocytaamblystegii (Brundin), Mocytabreviuscula (Mäklin), Mocytadiscreta (Casey), Mocytafungi (Gravenhorst), Mocytaluteola (Erichson), and Mocytasphagnorum Klimaszewski & Webster, sp. n. New provincial and state records include: Mocytabreviuscula - Saskatchewan and Oregon; Mocytadiscreta - Quebec, Ontario and Saskatchewan; Mocytaluteola - New Brunswick, Quebec, Ontario, Massachusetts and Minnesota; and Mocytafungi - Saskatchewan. Mocytasphagnorum is described from eastern Canada from specimens captured in Newfoundland, New Brunswick, Quebec and Ontario. Mocytanegligens Mulsant and Rey, a native European species suspected of occurring in Canada, is excluded from the Nearctic fauna based on comparison of European types with similarly coloured Canadian specimens, which are now identified as Mocytaluteola. The European species, Mocytagilvicollis (Scheerpeltz), is synonymized with another European nominal species, Mocytanegligens, based on examination of type material of the two species. Lectotypes are designated for Eurypronotadiscreta Casey, Athetagilvicollis Scheerpeltz, Homalotaluteola Erichson, Colpodotanegligens Mulsant and Rey, Acrotonaprudens Casey and Dolosotaredundans Casey. The latter species is here synonymized with Mocytaluteola. A review of the six Nearctic species is provided, including keys to species and closely related genera, colour habitus images, images of genitalia, biological information and maps of their distributions in Canada.

Dynamic security contingency screening and ranking using neural networks.

PubMed

Mansour, Y; Vaahedi, E; El-Sharkawi, M A

1997-01-01

This paper summarizes BC Hydro's experience in applying neural networks to dynamic security contingency screening and ranking. The idea is to use the information on the prevailing operating condition and directly provide contingency screening and ranking using a trained neural network. To train the two neural networks for the large scale systems of BC Hydro and Hydro Quebec, in total 1691 detailed transient stability simulation were conducted, 1158 for BC Hydro system and 533 for the Hydro Quebec system. The simulation program was equipped with the energy margin calculation module (second kick) to measure the energy margin in each run. The first set of results showed poor performance for the neural networks in assessing the dynamic security. However a number of corrective measures improved the results significantly. These corrective measures included: 1) the effectiveness of output; 2) the number of outputs; 3) the type of features (static versus dynamic); 4) the number of features; 5) system partitioning; and 6) the ratio of training samples to features. The final results obtained using the large scale systems of BC Hydro and Hydro Quebec demonstrates a good potential for neural network in dynamic security assessment contingency screening and ranking.

Evaluation of the midwifery pilot projects in Quebec: an overview. L'Equipe d'Evaluation des Projets-Pilotes Sages-Femmes.

PubMed

Blais, R; Joubert, P

2000-01-01

In 1990, the province of Quebec adopted a law authorizing the evaluation of the practice of midwifery through eight pilot projects. The projects, which took the form of birth centres outside hospitals, started operating in 1994. The objectives of the evaluation were 1) to compare midwives' services to current physician services with regard to maternal and neonatal mortality and morbidity, the use of obstetrical intervention, individualization and continuity of care as perceived by clients, and cost; and 2) to identify the professional and organizational factors associated with the integration of midwives into the health care system. A mixed evaluative design was used: a multiple case study with each pilot project representing a case and a cohort study where 1,000 women followed by midwives in the birth centres were matched with 1,000 women followed by physicians in the usual hospital-based services. Various quantitative and qualitative data collection instruments were used. Overall, many results were favourable to midwifery practice, while some were favourable to medical care. Following the evaluation, the Government of Quebec decided to legalize the practice of midwifery.

Vulnerability of Quebec drinking-water treatment plants to cyanotoxins in a climate change context.

PubMed

Carrière, Annie; Prévost, Michèle; Zamyadi, Arash; Chevalier, Pierre; Barbeau, Benoit

2010-09-01

Cyanobacteria are a growing concern in the province of Quebec due to recent highly publicised bloom episodes. The health risk associated with the consumption of drinking water coming from contaminated sources was unknown. A study was undertaken to evaluate treatment plants' capacity to treat cyanotoxins below the maximum recommended concentrations of 1.5 microg/L microcystin-LR (MC-LR) and the provisional concentration of 3.7 microg/L anatoxin-a, respectively. The results showed that close to 80% of the water treatment plants are presently able to treat the maximum historical concentration measured in Quebec (5.35 microg/L MC-LR equ.). An increase, due to climate change or other factors, would not represent a serious threat because chlorine, the most popular disinfectant, is effective in treating MC-LR under standard disinfection conditions. The highest concentration of anatoxin-a (2.3 microg/L) measured in natural water thus far in source water is below the current guideline for treated waters. However, higher concentrations of anatoxin-a would represent a significant challenge for the water industry as chlorine is not an efficient treatment option. The use of ozone, potassium permanganate or powder activated carbon would have to be considered.

Conception et validation d'un modele d'analyse et de suivi pour une politique energetique durable et acceptable de l'energie eolienne: Une etude comparative France-Quebec

NASA Astrophysics Data System (ADS)

Feurtey, Evariste

In this research, we built a conceptual model of a sustainable and acceptable wind power policy that we tried to validate through the case study of France and Quebec in the wind energy sector. Our qualitative and comparative approach helps us to illustrate the interaction of institutional variables studied, including the national context of emergence, the balance of power between pressure groups, the supranational and exogenous influences, level of political commitment, policy and regulatory instruments, social acceptance and energy policy mechanisms. The research confirms that the neo-corporatism is present in France as in Quebec. With the unfavorable energy context (low cost of electricity tariff, lack of electricity demand, and an already low zero carbon electric mix), it is an important factor explaining : 1) the 20 years delay accumulated by France and Quebec in the development of wind projects or industrial sector; 2) the 10% limited penetration scale given to wind energy. We also demonstrate that the political commitment to develop wind energy fluctuates with the government majority, the energy context or the influence of pressure groups. This manifests itself in a lack of continuity of policies and tariff instruments used. In both national case studies, the results also show that balanced policies and regulations ensure sustainable development of wind energy only if they allow a sufficient market size. The search results also illustrates that the conceptual division made between acceptance of wind sector, acceptance of ownership, local acceptance is very instructive. Social controversies, though multifactorial, are connected to both a critique of the development model too industrial and private, territorial dilemmas (closed environment), energy context (electric surplus in Quebec), or related to strategic planning system and centralized decision. An important issue for a more acceptable wind policy in the future will come to a greater plurality of ownership, variety of wind projects scale, diversity of financial support mechanisms. This transformation to a more territorial policy that require renewables also calls for decentralization and ecological modernization of institutions. Sustainable and acceptable energy policy requires obtaining a stabilized consensus on the long-term energy mix, which should be done by a comprehensive energy and public debate upstream the development of energy policy. Keywords: energy policy, social acceptance, wind energy, environmental assessment, components, interactions.

[Immigrants and the national question: a comparative study of Quebecois and Walloon societies].

PubMed

Assimopoulos, N; Humblet, J

1987-06-01

"The essay presents a comparative analysis of two Francophone regions, [Wallonia, Belgium] and Quebec [Canada], which have experienced similar institutional and cultural problems, following the great migrant inflows. If, on the one hand, these immigrants constitute an enriching opportunity for the local population, on the other hand, they can aggravate pre-existing difficulties or raise the question of their integration. While the Canadian federal system allows Quebec an autonomous legislation in the field of immigration and of linguistic choices, [Wallonia] is bound to the decisions of the central Belgian government. The expectations of local and immigrant population push toward more open policies regarding citizenship, immigration and linguistic choices." (SUMMARY IN ENG) excerpt

Public media communications about H1N1, risk perceptions and immunization behaviours: A Quebec-France comparison.

PubMed

Rousseau, Cécile; Moreau, Nicolas; Dumas, Marie-Pier; Bost, Ida; Lefebvre, Sylvie; Atlani-Duault, Laëtitia

2015-02-01

During the H1N1 pandemic, governments tailored their communications plans in order to influence risk perception and promote public compliance with the public health plan measures. Considering the volume and the content of calls to flu information centres as indicators of the public risk perception, this mixed method study compares the relation between public communications, risk perception and immunization behaviour in Quebec and France. Results suggest that advocating for clear information and coordination between health authorities and the media promotes adherence to preventive behaviour. However, over-exaggerating the risks and minimizing the population's agency may undermine health authority credibility. © The Author(s) 2013.

An Experiment with Public-Oriented Knowledge Transfer: A Video on Quebec's Bill 10

PubMed Central

Lemoine, Marie-Ève; Laliberté, Maude

2016-01-01

When decision-makers are engaged in a polarized discourse and leaving aside evidence-based recommendations, is there a role for researchers in the dissemination of this scientific evidence to the general public as a means to counterbalance the debate? In response to the controversial Bill 10 in Quebec, we developed and posted a knowledge transfer video on YouTube to help stimulate critical public debate. This article explains our approach and methodology, and the impact of the video, which, in the space of two weeks, had more than 9,500 views, demonstrating the pertinence of such initiatives. We conclude with recommendations for other research groups to engage in public debates. PMID:27232235

The Politics of Access to Expensive Drugs: INESSS and the Innovative Pharmaceutical Industry

PubMed Central

Hughes, David

2012-01-01

The innovative pharmaceutical industry employs thousands of people in Quebec and so has the ability to exert strong political pressure; the public statements of Sanofi-Aventis concerning the provincial reimbursement of certain expensive drugs are an example. “Maintaining a dynamic biopharmaceutical industry” is one of four main axes of the drug policy of Quebec's ministry of health. However, this role of government should not take precedence over the efficient and equitable management of health resources. We defend the legitimate and responsible choice of the Institut national d'excellence en santé et en services sociaux du Québec (INESSS) to require an acceptable cost-effectiveness ratio from expensive new drugs. PMID:23634161

Acute esophageal necrosis and low-flow state

PubMed Central

Burtally, Ahmad; Gregoire, Philippe

2007-01-01

Acute esophageal necrosis (AEN), also called black esophagus, is quite exceptional. Endoscopic findings show circumferential black discolouration of the esophagus with or without exudates. The etiology of AEN is presently unknown and is assumed to be multifactorial. Distal esophageal involvement with proximal extension ending sharply at the gastroesophageal junction is the most common presentation. The present case report describes the clinical and endoscopic evolution of black esophagus observed in a patient with significant peripheral vascular disease, who was presented to the intensive care unit at the Hopital Saint-Francois d’Assise (Quebec City, Quebec). Through an extensive review of the literature, common underlying clinical conditions of patients diagnosed with AEN have been identified. PMID:17431514

Characterization of a novel founder MSH6 mutation causing Lynch syndrome in the French Canadian population.

PubMed

Castellsagué, E; Liu, J; Volenik, A; Giroux, S; Gagné, R; Maranda, B; Roussel-Jobin, A; Latreille, J; Laframboise, R; Palma, L; Kasprzak, L; Marcus, V A; Breguet, M; Nolet, S; El-Haffaf, Z; Australie, K; Gologan, A; Aleynikova, O; Oros-Klein, K; Greenwood, C; Mes-Masson, A M; Provencher, D; Tischkowitz, M; Chong, G; Rousseau, F; Foulkes, W D

2015-06-01

We identified an MSH6 mutation (c.10C>T, p.Gln4*) causing Lynch syndrome (LS) in 11 French Canadian (FC) families from the Canadian province of Quebec. We aimed to investigate the molecular and clinical implications of this mutation among FC carriers and to assess its putative founder origin. We studied 11 probands and 27 family members. Additionally 6433 newborns, 187 colorectal cancer (CRC) cases, 381 endometrial cancer (EC) cases and 179 additional controls, all of them from Quebec, were used. Found in approximately 1 of 400 newborns, the mutation is one of the most common LS mutations described. We have found that this mutation confers a greater risk for EC than for CRC, both in the 11 studied families and in the unselected cases: EC [odds ratio (OR) = 7.5, p < 0.0001] and CRC (OR = 2.2, p = 0.46). Haplotype analyses showed that the mutation arose in a common ancestor, probably around 430-656 years ago, coinciding with the arrival of the first French settlers. Application of the results of this study could significantly improve the molecular testing and clinical management of LS families in Quebec. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Normative data for a computer-assisted version of the auditory three-consonant Brown-Peterson paradigm in the elderly French-Quebec population.

PubMed

Callahan, Brandy L; Belleville, Sylvie; Ferland, Guylaine; Potvin, Olivier; Tremblay, Marie-Pier; Hudon, Carol; Macoir, Joël

2014-01-01

The Brown-Peterson task is used to assess verbal short-term memory as well as divided attention. In its auditory three-consonant version, trigrams are presented to participants who must recall the items in correct order after variable delays, during which an interference task is performed. The present study aimed to establish normative data for this test in the elderly French-Quebec population based on cross-sectional data from a retrospective, multi-center convenience sample. A total of 595 elderly native French-speakers from the province of Quebec performed the Memoria version of the auditory three-consonant Brown-Peterson test. For both series and item-by-item scoring methods, age, education, and, in most cases, recall after a 0-second interval were found to be significantly associated with recall performance after 10-second, 20-second, and 30-second interference intervals. Based on regression model results, equations to calculate Z scores are presented for the 10-second, 20-second and 30-second intervals and for each scoring method to allow estimation of expected performance based on participants' individual characteristics. As an important ceiling effect was observed at the 0-second interval, norms for this interference interval are presented in percentiles.

Primary Care Reform: Can Quebec's Family Medicine Group Model Benefit from the Experience of Ontario's Family Health Teams?

PubMed Central

Breton, Mylaine; Lévesque, Jean-Frédéric; Pineault, Raynald; Hogg, William

2011-01-01

Canadian politicians, decision-makers, clinicians and researchers have come to agree that reforming primary care services is a key strategy for improving healthcare system performance. However, it is only more recently that real transformative initiatives have been undertaken in different Canadian provinces. One model that offers promise for improving primary care service delivery is the family medicine group (FMG) model developed in Quebec. A FMG is a group of physicians working closely with nurses in the provision of services to enrolled patients on a non-geographic basis. The objectives of this paper are to analyze the FMG's potential as a lever for improving healthcare system performance and to discuss how it could be improved. First, we briefly review the history of primary care in Quebec. Then we present the FMG model in relation to the four key healthcare system functions identified by the World Health Organization: (a) funding, (b) generating human and technological resources, (c) providing services to individuals and communities and (d) governance. Next, we discuss possible ways of advancing primary care reform, looking particularly at the family health team (FHT) model implemented in the province of Ontario. We conclude with recommendations to inspire other initiatives aimed at transforming primary care. PMID:23115575

The app will see you now: mobile health, diagnosis, and the practice of medicine in Quebec and Ontario

PubMed Central

Lang, Michael; Zawati, Ma’n H

2018-01-01

Abstract Mobile health applications are increasingly being used as tools of medicine. Outside of the clinic, some of these applications may contribute to diagnoses made absent a physician's care. We argue that this contravenes reservations of diagnosis to healthcare professionals in the law of two Canadian provinces: Quebec and Ontario. On the one hand, the law conceives of diagnosis in relatively broad terms. Drawing an association between symptoms and illness, for example, has been recognized in case law as sufficient. On the other hand, provincial law reserves diagnosis to physicians and other healthcare professionals. We argue that a number of health applications are capable of drawing associations between symptoms and disease and, in doing so, of delivering diagnoses in contravention of the law of Quebec and Ontario. This places mobile health applications in a poorly understood legal space. While prosecution is unlikely, the increasing ubiquity and technological sophistication of health applications promises to make such diagnosis widespread. We suggest that the legal status of such mobile health apps should be given serious attention. While our analysis focuses on the state of the law in Canada's largest provinces, we suggest that our argument will have implications in other jurisdictions. PMID:29707219

Evaluation of the Quebec Healthy Enterprise Standard: Effect on Adverse Psychosocial Work Factors and Psychological Distress.

PubMed

Letellier, Marie-Claude; Duchaine, Caroline S; Aubé, Karine; Talbot, Denis; Mantha-Bélisle, Marie-Michèle; Sultan-Taïeb, Hélène; St-Hilaire, France; Biron, Caroline; Vézina, Michel; Brisson, Chantal

2018-02-28

Adverse psychosocial work factors are recognized as a significant source of psychological distress, resulting in a considerable socioeconomic burden. The impact of occupational health standards that aim to reduce these adverse work factors, such as the Quebec Healthy Enterprise Standard (QHES), is of great interest for public health. The aim of this study was to evaluate, for the first time, the effect of QHES interventions targeting adverse psychosocial work factors on the prevalence of these factors and of psychological distress among ten Quebec organizations. These outcomes were assessed by questionnaire using validated instruments before (T1, n = 2849) and 2-3 years following (T2, n = 2560) QHES implementation. Beneficial effects of interventions were observed for two adverse psychosocial work factors: low rewards (ratio of prevalence ratios (PRs) = 0.77, 95% CI = 0.66-0.91) and low social support at work (ratio of PRs = 0.89, 95% CI = 0.77-1.03). Moreover, beneficial effects of interventions were also observed on the prevalence of high psychological distress (ratio of PRs = 0.86, 95% CI = 0.75-0.998). Psychosocial interventions implemented in the context of this standard improved the psychosocial work environment and had beneficial effects on workers' mental health.

Smoke Plume Over Eastern Canada

NASA Technical Reports Server (NTRS)

2007-01-01

In late May, a massive smoke plume hundreds of kilometers across blew eastward over New Brunswick toward the Atlantic Ocean. On May 26, 2007, the Moderate Resolution Imaging Spectroradiometer (MODIS) on NASA's Terra satellite captured this image at 11:40 a.m. local time. By the time MODIS took this picture, the smoke appeared to have completely detached itself from the source, a large fire burning in southwestern Quebec, beyond the western edge of this image. In this image, the smoke appears as a gray-beige opaque mass with fuzzy, translucent edges. The plume is thickest in the southwest and diminishes toward the northeast. Just southwest of the plume is a red outline indicating a hotspot an area where MODIS detected anomalously warm surface temperatures, such as those resulting from fires. This hotspot, however, is not the source for this smoke plume. According to a bulletin from the National Oceanic and Atmospheric Administration, the southwestern Quebec fire was the source. According to reports from the Canadian Interagency Forest Fire Centre on May 29, that fire was estimated at 63,211 hectares (156,197 acres), and it was classified as 'being held.' At the same time, more than 20 wildfires burned in Quebec, news sources reported, and firefighters from other Canadian provinces and the United States had been brought in to provide reinforcements for the area's firefighters.

Use and reimbursement costs of smoking cessation medication under the Quebec public drug insurance plan.

PubMed

Tremblay, Michèle; Payette, Yves; Montreuil, Annie

2009-01-01

Since October 2000, the nicotine patch, nicotine gum and bupropion have been reimbursed under Quebec's public drug insurance plan. The objective of this study is to describe use of these medications between October 2000 and December 2004 by smokers covered by the public plan, as well as the costs of reimbursing these medications. Data from the Régie de l'assurance maladie du Québec were used to analyze prescriptions for smoking cessation medication issued to persons insured under the public drug insurance plan. Between October 1, 2000, and December 31, 2004, more than 300,000 Quebeckers covered by the public drug insurance plan were reimbursed for smoking cessation medications. This corresponds to a yearly average of 14% of all smokers insured under the public plan. The proportion of employment assistance recipients who used these medications was higher than the proportion of seniors or "other" insurance plan participants. Nicotine patches were the treatment of choice for most users. A total of $55 million was reimbursed by the public drug insurance plan for the nicotine patch, nicotine gum and bupropion over this four-year period. The reimbursement provisions put in place in Quebec in 2000 were successful in reaching financially disadvantaged smokers, at a cost that was comparable with other effective smoking cessation services.

Impacts of the Canadian forest fires on atmospheric mercury and carbonaceous particles in Northern New York.

PubMed

Wang, Yungang; Huang, Jiaoyan; Zananski, Tiffany J; Hopke, Philip K; Holsen, Thomas M

2010-11-15

The impact of Canadian forest fires in Quebec on May 31, 2010 on PM(2.5), carbonaceous species, and atmospheric mercury species was observed at three rural sites in northern New York. The results were compared with previous studies during a 2002 Quebec forest fire episode. MODIS satellite images showed transport of forest fire smoke from southern Quebec, Canada to northern New York on May 31, 2010. Back-trajectories were consistent with this regional transport. During the forest fire event, as much as an 18-fold increase in PM(2.5) concentration was observed. The concentrations of episode-related OC, EC, BC, UVBC, and their difference (Delta-C), reactive gaseous mercury (RGM), and particle-bound mercury (PBM) were also significantly higher than those under normal conditions, suggesting a high impact of Canadian forest fire emissions on air quality in northern New York. PBM, RGM, and Delta-C are all emitted from forest fires. The correlation coefficient between Delta-C and other carbonaceous species may serve as an indicator of forest fire smoke. Given the marked changes in PBM, it may serve as a more useful tracer of forest fires over distances of several hundred kilometers relative to GEM. However, the Delta-C concentration changes are more readily measured.

Development and Implementation of a Registry of Patients Attending Multidisciplinary Pain Treatment Clinics: The Quebec Pain Registry

PubMed Central

Lanctôt, H.; Beaudet, N.; Boulanger, A.; Bourgault, P.; Cloutier, C.; De Koninck, Y.; Dion, D.; Dolbec, P.; Germain, L.; Sarret, P.; Shir, Y.; Taillefer, M.-C.; Trépanier, A.; Truchon, R.

2017-01-01

The Quebec Pain Registry (QPR) is a large research database of patients suffering from various chronic pain (CP) syndromes who were referred to one of five tertiary care centres in the province of Quebec (Canada). Patients were monitored using common demographics, identical clinical descriptors, and uniform validated outcomes. This paper describes the development, implementation, and research potential of the QPR. Between 2008 and 2013, 6902 patients were enrolled in the QPR, and data were collected prior to their first visit at the pain clinic and six months later. More than 90% of them (mean age ± SD: 52.76 ± 4.60, females: 59.1%) consented that their QPR data be used for research purposes. The results suggest that, compared to patients with serious chronic medical disorders, CP patients referred to tertiary care clinics are more severely impaired in multiple domains including emotional and physical functioning. The QPR is also a powerful and comprehensive tool for conducting research in a “real-world” context with 27 observational studies and satellite research projects which have been completed or are underway. It contains data on the clinical evolution of thousands of patients and provides the opportunity of answering important research questions on various aspects of CP (or specific pain syndromes) and its management. PMID:28280406

The Economic Value of the Greater Montreal Blue Network (Quebec, Canada): A Contingent Choice Study Using Real Projects to Estimate Non-Market Aquatic Ecosystem Services Benefits

PubMed Central

Dupras, Jérôme; Fetue Ndefo, Franck; He, Jie

2016-01-01

This study used a contingent choice method to determine the economic value of improving various ecosystem services (ESs) of the Blue Network of Greater Montreal (Quebec, Canada). Three real projects were used and the evaluation focused on six ESs that are related to freshwater aquatic ecosystems: biodiversity, water quality, carbon sequestration, recreational activities, landscape aesthetics and education services. We also estimated the value associated with the superficies of restored sites. We calculated the monetary value that a household would be willing to pay for each additional qualitative or quantitative unit of different ESs, and these marginal values range from $0.11 to $15.39 per household per unit. Thus, under certain assumptions, we determined the monetary values that all Quebec households would allocate to improve each ES in Greater Montreal by one unit. The most valued ES was water quality ($13.5 million), followed by education services ($10.7 million), recreational activities ($8.9 million), landscape aesthetics ($4.1 million), biodiversity ($1.2 million), and carbon sequestration ($0.1 million). Our results ascribe monetary values to improved (or degraded) aquatic ecosystems in the Blue Network of Greater Montreal, but can also enhance economic analyses of various aquatic ecosystem restoration and management projects. PMID:27513558

The Economic Value of the Greater Montreal Blue Network (Quebec, Canada): A Contingent Choice Study Using Real Projects to Estimate Non-Market Aquatic Ecosystem Services Benefits.

PubMed

Poder, Thomas G; Dupras, Jérôme; Fetue Ndefo, Franck; He, Jie

2016-01-01

This study used a contingent choice method to determine the economic value of improving various ecosystem services (ESs) of the Blue Network of Greater Montreal (Quebec, Canada). Three real projects were used and the evaluation focused on six ESs that are related to freshwater aquatic ecosystems: biodiversity, water quality, carbon sequestration, recreational activities, landscape aesthetics and education services. We also estimated the value associated with the superficies of restored sites. We calculated the monetary value that a household would be willing to pay for each additional qualitative or quantitative unit of different ESs, and these marginal values range from $0.11 to $15.39 per household per unit. Thus, under certain assumptions, we determined the monetary values that all Quebec households would allocate to improve each ES in Greater Montreal by one unit. The most valued ES was water quality ($13.5 million), followed by education services ($10.7 million), recreational activities ($8.9 million), landscape aesthetics ($4.1 million), biodiversity ($1.2 million), and carbon sequestration ($0.1 million). Our results ascribe monetary values to improved (or degraded) aquatic ecosystems in the Blue Network of Greater Montreal, but can also enhance economic analyses of various aquatic ecosystem restoration and management projects.

Evaluation of the Quebec Healthy Enterprise Standard: Effect on Adverse Psychosocial Work Factors and Psychological Distress

PubMed Central

Letellier, Marie-Claude; Duchaine, Caroline S.; Mantha-Bélisle, Marie-Michèle; Sultan-Taïeb, Hélène; St-Hilaire, France; Biron, Caroline; Vézina, Michel; Brisson, Chantal

2018-01-01

Adverse psychosocial work factors are recognized as a significant source of psychological distress, resulting in a considerable socioeconomic burden. The impact of occupational health standards that aim to reduce these adverse work factors, such as the Quebec Healthy Enterprise Standard (QHES), is of great interest for public health. The aim of this study was to evaluate, for the first time, the effect of QHES interventions targeting adverse psychosocial work factors on the prevalence of these factors and of psychological distress among ten Quebec organizations. These outcomes were assessed by questionnaire using validated instruments before (T1, n = 2849) and 2–3 years following (T2, n = 2560) QHES implementation. Beneficial effects of interventions were observed for two adverse psychosocial work factors: low rewards (ratio of prevalence ratios (PRs) = 0.77, 95% CI = 0.66–0.91) and low social support at work (ratio of PRs = 0.89, 95% CI = 0.77–1.03). Moreover, beneficial effects of interventions were also observed on the prevalence of high psychological distress (ratio of PRs = 0.86, 95% CI = 0.75–0.998). Psychosocial interventions implemented in the context of this standard improved the psychosocial work environment and had beneficial effects on workers’ mental health. PMID:29495632

Mapping the Use of Engineered NM in Quebec's Industries and Research Laboratories

NASA Astrophysics Data System (ADS)

Ostiguy, Claude; Emond, Claude; Dossa, Inès; Malki, Yasmina; Boily, Chantale; Roughley, David; Plavski, Anton; Endo, Charles-Anica

2013-04-01

Engineered NanoMaterials (NM) offer an opportunity to develop a wide variety of new products with unique properties but many studies have shown potential OHS risks specific to NM. Addressing these risks requires knowledge about release of NM into the workplaces. This research aimed to map the state of nanotechnology OHS practices in Quebec through a questionnaire following a first contact by telephone when possible and by compiling the type and volumes of NM used as well as gathering information related to the working conditions and OHS aspects. This survey was conducted among 1310 Quebec industries and 653 researchers working in different specialties potentially involved in the development/production/distribution/integration of NM and use of NM containing products. Overall, 90 questionnaires, including 51 from the industries, were completed. These showed that NM are mainly used into the powder form, in many different sectors and deserve a wide range of markets. The prevention measures implemented vary widely from a workplace to another but about one third of the participants report that they have implemented NP adapted prevention measures but they remain worried on some specific operations. More than 50% of the participants request more information about the safe laboratory/plant design, toxicity, regulation, good work practices and prevention measures, efficiency of personal protective equipment and environmental impacts.

Earth Observations taken by the Expedition 11 crew

NASA Image and Video Library

2005-05-28

ISS011-E-07471 (28 May 2005) --- Sept-Îles, Gulf of St Lawrence, Quebec, Canada is featured in this image photographed by an Expedition 11 crewmember on the International Space Station (ISS). Seven Island Bay (left side of the image) is one of the largest (8–10 kilometers across) and best protected bays on Quebec’s north shore of the Gulf of St. Lawrence. Because this is both a deep water port and ice-free year round, Sept-Îles is one of Quebec’s busiest ports. Locally produced materials (iron ore, alumina) comprise the bulk of port traffic, but Sept-Îles also acts as a trans-shipment point for goods moving to Europe, the Far East and South America. The small city of Sept-Îles (~30,000 people) appears in the center of the view; Pointe Noir is opposite the city in the lower left corner. The industrial park lies top left and the angled runways of the airport appear east of the city. Five (of the bay’s seven) islands appear at the bottom of the view. Wind and swells produce patterns on the water. Ships can be seen in the bay and a ship wake appears between the two left islands at the bottom of the view.

New Curculionoidea (Coleoptera) records for Quebec, Canada

PubMed Central

de Tonnancour, Pierre; Anderson, Robert S.; Bouchard, Patrice; Chantal, Claude; Dumont, Stéphane; Vigneault, Robert

2017-01-01

Abstract The following species of Curculionoidea are newly recorded from the Canadian province of Quebec: Coelocephalapion emaciipes (Fall, 1898); Ischnopterapion virens (Herbst, 1797); Omphalapion hookerorum (Kirby, 1808); Perapion punctinasum (J.B. Smith, 1884) (all Brentidae); Anthonomus robustulus LeConte, 1876; Pseudanthonomus helvolus (Boheman, 1843); Bagous magister LeConte, 1876; Bagous tanneri O’Brien, 1979; Buchananius striatus (LeConte, 1876); Ceutorhynchus bolteri Dietz, 1896; Ceutorhynchus pallidactylus (Marsham, 1802); Ceutorhynchus pauxillus Dietz, 1896; Conotrachelus buchanani Schoof, 1942; Conotrachelus pusillus LeConte, 1878; Conotrachelus recessus (Casey, 1910); Curculio rubidus (Gyllenhal, 1835); Cylindrocopturus longulus (LeConte, 1876); Hadroplontus litura (Fabricius, 1775); Hypera rumicis (Linnaeus, 1758); Lixus terminalis LeConte, 1876; Myosides seriehispidus Roelofs, 1873; Phloeotribus dentifrons (Blackman, 1921); Plocamus echidna (LeConte, 1876); Scolytus muticus Say, 1824; Sirocalodes sericans (LeConte, 1876); Smicronyx sculpticollis Casey, 1892 (all Curculionidae). Among these, Buchananius striatus, Conotrachelus buchanani, Conotrachelus pusillus, and Curculio rubidus (all Curculionidae) are also recorded from Canada for the first time. The latter is also newly reported from Ontario. Collecting data are provided for Lixus punctinasus LeConte, 1876, previously reported to occur in Canada without any further information, and for Choragus sayi LeConte, 1876 (Anthribidae) and Rhyssomatus aequalis Horn, 1873 (Curculionidae), both previously recorded from Quebec, also without further details. PMID:28769721

Prevalence of risk factors for acquiring measles during the 2011 outbreak in Quebec and impact of the province-wide school-based vaccination campaign on population immunity.

PubMed

Billard, Marie-Noëlle; De Serres, Gaston; Gariépy, Marie-Claude; Boulianne, Nicole; Toth, Eveline; Landry, Monique; Skowronski, Danuta M

2017-01-01

A large measles outbreak occurred in Quebec, Canada, in 2011. Although nearly two-thirds of the cases occurred in only two health districts, a mass vaccination campaign targeting all Quebec elementary and high school students without valid two-dose history was undertaken to prevent future outbreaks. We compared rates of non-vaccination and age at first measles vaccine dose among students in the two most-affected districts and the rest of the province and estimated the improvement in overall student measles immunity due to the mass school-based vaccination campaign. Data were extracted from the provincial vaccination registry for students in kindergarten to grade 11 during the 2011/2012 school year. A telephone survey was conducted in three sub-groups: students whose first measles vaccine dose recorded in the vaccination registry was received during the 2011 school vaccination campaign; students with no dose recorded in the registry whose parents refused receipt during the school campaign; and students with no dose recorded in the registry and no information about parental consent/refusal during the school campaign. Neither the prevalence of being non-vaccinated nor a younger age at first pediatric dose were higher in the two most-affected districts versus the rest of the province. The school campaign vaccinated nearly 8% of all students including 7% who previously received at least one dose. Before the outbreak, 3% of students were not vaccinated and one-third of these (1%/3%) were vaccinated during the campaign. The campaign likely increased the absolute school population immunity by just 1.7%. The concentration of measles cases in the two most-affected health districts during the large Quebec outbreak is not explained by more students who were unvaccinated or who had received their first vaccine dose at a younger age. The vaccination campaign reached one-third of unvaccinated students and only marginally improved population immunity.

Escherichia coli O157:H7 Outbreak Associated with the Consumption of Beef and Veal Tartares in the Province of Quebec, Canada, in 2013.

PubMed

Gaulin, Colette; Ramsay, Danielle; Catford, Angela; Bekal, Sadjia

2015-07-01

An Escherichia coli O157:H7 outbreak occurred in 2013 that was associated with the consumption of beef and veal tartares in the province of Quebec. This report describes the results of the ensuing investigation. As the outbreak was identified, all individuals in the province of Quebec affected with the same strain of E. coli O157:H7 as defined by pulsed-field gel electrophoresis were interviewed using a standardized questionnaire. Cases reported from other provinces in Canada were interviewed by their public health authorities and the results were reported to the Quebec public health authorities. Microbiological and environmental investigations were conducted by the Sous-ministériat à la santé animale et à l'inspection des aliments du Ministère de l'Agriculture, des Pêcheries et de l'Alimentation du Québec, by the Ville de Montréal's Food Inspection Branch, and by the Canadian Food Inspection Agency at the restaurants, suppliers, and slaughterhouses identified. In total, seven individuals in three different Canadian provinces became ill following infection with the same outbreak strain of E. coli O157:H7. Two cases were hospitalized and one had severe hemolytic uremic syndrome. No deaths were reported. Two restaurant locations serving different tartare meals including, beef, veal, salmon, tuna, and duck were identified as potential sources of the outbreak. No deficiencies at the restaurant locations were observed during inspections by food inspectors. The risk of consuming tartare can be lowered when basic hygienic rules are followed, temperature is strictly controlled, and fresh meat is used. However, even if handling, chopping, and temperature control during storage of the meat are considered adequate, tartare is a raw product and the risk of contamination is present. Consumers should be advised that consuming this product can lead to serious illness.

Application of a 3D Model to Assess the Thermo-Hydrological Effects of Climate Warming in a Discontinuous Permafrost Zone, Umiujaq, Northern Quebec, Canada

NASA Astrophysics Data System (ADS)

Parhizkar, M.; Therrien, R.; Molson, J. W. H.; Lemieux, J. M.; Fortier, R.; Talbot Poulin, M. C.; Therrien, P.; Ouellet, M.

2016-12-01

The rate of permafrost degradation in northern Quebec, Canada, has increased over the last two decades due to climate warming, which is expected to significantly modify the hydrogeologic and thermal regimes. Groundwater accessibility is also expected to increase and could become a significant source of drinking water for northern communities. In this project, an integrated surface water / groundwater flow model, HydroGeoSphere, is being applied to a 2 km2catchment in northern Quebec to assess the effect of future climate change on thermo-hydrological conditions as well as on changes in groundwater availability for northern communities. The catchment is located in a discontinuous but widespread permafrost zone near Umiujaq (northern Quebec, Canada) where the subsurface consists of a 10-30 m-thick coarse-grained glaciofluvial layer forming a good aquifer beneath a permafrost-rich silty marine unit. A conceptual thermo-hydrological model of the catchment has been built from field data collected over 5 years, including hydraulic heads, stream flow rates, subsurface geology, as well as ground temperatures and thermal fluxes around two 10-20 m-thick permafrost mounds. The integrated 3D numerical model includes variably-saturated groundwater flow with transient recharge, as well as advective-conductive heat transport driven by transient air temperatures (varying from about -40 to +30 ºC) and a geothermal heat flux of 60 mW/m2. The model is calibrated to observed heads and temperatures by coupling PEST with HydroGeoSphere, allowing changes in hydraulic and thermal conductivities. Preliminary results are consistent with the available observed data, however non-uniqueness remains an important issue. The simulations are providing useful predictions of the permafrost thaw rate and associated changes to the hydrogeological flow system, including increased aquifer recharge following permafrost thaw.

Challenges in listeriosis cluster and outbreak investigations, Province of Quebec, 1997-2011.

PubMed

Gaulin, Colette; Gravel, Geneviève; Bekal, Sadjia; Currie, Andrea; Ramsay, Danielle; Roy, Sophie

2014-01-01

Public health authorities place a high priority on investigating listeriosis outbreaks, and these epidemiological investigations remain challenging. Some approaches have been described in the literature to address these challenges. This review of listeriosis clusters and outbreaks investigated in the Province of Quebec (Quebec) highlights investigative approaches that contributed to identifying the source of these outbreaks. The Laboratoire de Santé Publique du Québec (LSPQ) implemented pulsed-field gel electrophoresis (PFGE) molecular subtyping in 1997 to identify Listeria monocytogenes clusters among isolates from invasive listeriosis cases identified throughout Quebec. A cluster was defined as three cases or more with the same or similar PFGE profiles (≤3 band difference) occurring over a 4-month period. An investigation was initiated if the epidemiologic indicators suggested a common source. Listeriosis data from LSPQ's database were reviewed to identify and describe clusters detected from 1997 to 2011, including those that led to an outbreak investigation. Epidemiological reports prepared following each outbreak were also reviewed. Eleven clusters were identified in the province by LSPQ between 1997 and 2011. Outbreak investigations were initiated for six clusters, four of which involved more than 10 cases. Factors that contributed to identifying the source for three of these outbreaks highlighted the value of (1) making all stakeholders (food safety and inspection services, public health authorities, and laboratories) aware of any ongoing investigation and sharing relevant information even if the source is not yet identified; (2) promptly collecting food samples identified and considered as possible vehicles of infection identified during the interview of a Listeria case; (3) collecting food items and/or environmental samples in locations reported in common by cases in the same cluster. Multiple approaches should be considered when investigating L. monocytogenes clusters. Networks to facilitate continuous exchange of human and food data between public health and food safety partners should be encouraged.

Active Neotectonic Structures in Glacial and Postglacial Sediment in Lake Timiskaming, Timiskaming Graben, Ontario/Quebec Canada

NASA Astrophysics Data System (ADS)

Doughty, M.; Eyles, N.; Eyles, C.

2009-05-01

The Timiskaming Graben (TG) is a northwest-trending arm of the Ottawa-Bonnechere Graben and the St. Lawrence Rift System (SLRS) in eastern Canada. Together they form a 600 km long failed rift in the Canadian Shield, extending southward along the border of Ontario and Quebec to the St.Lawrence River Valley onto the Hudson Valley and Lake Champlain in the USA. The Timiskaming Graben preserves faulted outliers of Early Paleozoic limestones and has been reactivated several time during the Phanerozoic most recently during the breakup of Pangea. The 110 kilometre-long, ~100 m deep Lake Timiskaming fills the inner part of the Timiskaming Graben along the border of Ontario and Quebec. It is the postglacial successor to glacial Lake Barlow ponded against the northward-retreating Laurentide Ice Sheet some 9,000 years BP. The sedimentary record of Lake Timiskaming was established by collecting more than 1000 line kilometres of high-resolution 'chirp' seismic profiles, side scan and multibeam survey data between 2003 and 2007. These show that bathymetric relief is the product of ongoing tectonic subsidence where lateglacial Barlow glaciolacustrine and postglacial sediments are extensively deformed by closely-spaced horst and grabens. The greatest subsidence has occurred within a narrow (< 3 km) and deep (up to 209 m) central graben basin. We are able to infer the presence of hitherto unrecognized bounding and relay faults within the graben, and a 20 km long 8 m high fault scarp and sand blows produced by large postglacial earthquakes. The region is one of the most seismically active areas in eastern North America (Western Quebec Seismic Zone) with frequent moderate to large magnitude (> M5) intracratonic earthquakes. Structural activity is ongoing along the Timiskaming Graben and its lateglacial and postglacial sediment record provides the clearest evidence to date of modern intracratonic faulting anywhere in eastern North America.

The clonal root system of balsam poplar in upland sites of Quebec and Alberta.

PubMed

Adonsou, Kokouvi E; DesRochers, Annie; Tremblay, Francine; Thomas, Barb R; Isabel, Nathalie

2016-10-01

Balsam poplar seeds are short-lived and require moist seedbeds soon after they are released to germinate. In addition to sexual reproduction, balsam poplar stands can regenerate clonally by root suckering. The origin of stands will in turn affect their genetic structure and root system architecture, which are poorly understood for upland forest stands. Three stands were hydraulically excavated in Quebec (moist) and Alberta (dry) to determine the origin of trees and to characterize root systems with respect to presence of parental roots and root grafts connections. Clones were identified using single-nucleotide polymorphism (SNPs), and all stems, roots and root grafts were aged using dendrochronology techniques. All 82 excavated trees were of sucker origin, and four of the six stands contained a single clone. Parental root connections were found between 22% and 25% of excavated trees, and 53% and 48% of trees were linked with a root graft between the same or different clones, in Alberta and Quebec, respectively. Mean distance between trees connected by parental root was significantly lower than the distance between unconnected trees (0.47 ± 0.25 m vs. 3.14 ± 0.15 m and 1.55 ± 0.27 m vs. 4.25 ± 0.13 m) in Alberta and in Quebec, respectively. The excavations also revealed many dead stumps with live roots, maintained through root connections with live trees. This research highlights that balsam poplar growing in upland stands is a clonal species that can maintain relatively high genotypic diversity, with frequent root connections between trees at maturity. Maintaining an extensive root system through root connections increases the chances of a clone surviving when the above ground tree is dead and may also enhance the resilience of balsam poplar stands after disturbance.

Temporal trends in Inuit, First Nations and non-Aboriginal birth outcomes in rural and northern Quebec

PubMed Central

Simonet, Fabienne; Wilkins, Russell; Luo, Zhong-Cheng

2012-01-01

Objectives The objective was to assess trends in Inuit, First Nations and non-Aboriginal birth outcomes in the rural and northern regions of Quebec. Study design and methods In a birth cohort-based study of all births to residents of rural and northern Quebec from 1991 through 2000 (n = 177,193), we analyzed birth outcomes and infant mortality for births classified by maternal mother tongue (Inuit, First Nations or non-Aboriginal) and by community type (predominantly First Nations, Inuit or non-Aboriginal). Results From 1991–1995 to 1996–2000, there was a trend of increasing rates of preterm birth for all 6 study groups. In all rural and northern areas, low birth weight rates increased significantly only for the Inuit mother tongue group [RR1.45 (95% CI 1.05–2.01)]. Stillbirth rates showed a non-significant increase for the Inuit mother tongue group [RR1.76 (0.64–4.83)]. Neonatal mortality rates decreased significantly in the predominantly non-Aboriginal communities and in the non-Aboriginal mother tongue group [RR0.78 (0.66–0.92)], and increased non-significantly for the First Nations mother tongue group [RR2.17 (0.71–6.62)]. Perinatal death rates increased for the First Nations mother tongue grouping in northern areas [RR2.19 (0.99–4.85)]. Conclusion There was a disconcerting rise of some mortality outcomes for births to First Nations and Inuit mother tongue women and to women in predominantly First Nations and Inuit communities, in contrast to some improvements for births to non-Aboriginal mother tongue women and to women in predominantly non-Aboriginal communities in rural or northern Quebec, indicating a need for improving perinatal and neonatal health for Aboriginal populations in rural and northern regions. PMID:22973566

Cost-effectiveness of drug-eluting coronary stents in Quebec, Canada.

PubMed

Brophy, James M; Erickson, Lonny J

2005-01-01

The aim of this investigation was to assess the incremental cost-effectiveness of replacing bare metal coronary stents (BMS) with drug-eluting stents (DES) in the Province of Quebec, Canada. The strategy used was a cost-effectiveness analysis from the perspective of the health-care provider, in the province of Quebec, Canada (population 7.5 million). The main outcome measure was the cost per avoided revascularization intervention. Based on the annual Quebec rate of 14,000 angioplasties with an average of 1.7 stents per procedure and a purchase cost of $2,600 Canadian dollar (CDN) for DES, 100 percent substitution of BMS with DES would require an additional $45.1 million CDN of funding. After the benefits of reduced repeat revascularization interventions are included, the incremental cost would be $35.2 million CDN. The cost per avoided revascularization intervention (18 percent coronary artery bypass graft, 82 percent percutaneous coronary intervention [PCI]) would be $23,067 CDN. If DES were offered selectively to higher risk populations, for example, a 20 percent subgroup with a relative restenosis risk of 2.5 times the current bare metal rate, the incremental cost of the program would be $4.9 million CDN at a cost of $7,800 per avoided revascularization procedure. Break-even costs for the program would occur at DES purchase cost of $1,161 for 100 percent DES use and $1,627 for selective 20 percent DES use for high-risk patients for restenosis (RR = 2.5). Univariate and Monte Carlo sensitivity analyses indicate that the parameters most affecting the analysis are the capacity to select patients at high risk of restenosis, the average number of stents used per PCI, baseline restenosis rates for BMS, the effectiveness ratio of restenosis prevention for DES versus BMS, the cost of DES, and the revascularization rate after initial PCI. Sensitivity analyses suggest little additional health benefits but escalating cost-effectiveness ratios once a DES penetration of 40 percent has been attained. Under current conditions in Quebec, Canada, selective use of DES in high-risk patients is the most acceptable strategy in terms of cost-effectiveness. Results of such an analysis would be expected to be similar in other countries with key model parameters similar to those used in this model. This model provides an example of how to evaluate the cost-effectiveness of selective use of a new technology in high-risk patients.

Crash Rates of Quebec Drivers with Medical Conditions

PubMed Central

Dow, Jamie; Gaudet, Michel; Turmel, Émilie

2013-01-01

Using a databank that combines comprehensive medical data with the driving records of 96% of the drivers in Quebec, odds ratios were calculated for crash risk involving death or serious injury according to the diagnosis of medical conditions traditionally associated with increased crash risk. Results were controlled for age, sex, residence (rural/urban), possession of a professional licence (classes 1 – 4), previous involvement in a crash with injury or death and for the presence of other medical conditions. In addition, crash risk was calculated for drivers with multiple conditions. There was a slight to moderate increase in crash risk for most of the conditions and an incremental increase in crash risk as the number of conditions increased. PMID:24406946

The University-Public Health Partnership for Public Health Research Training in Quebec, Canada.

PubMed

Paradis, Gilles; Hamelin, Anne-Marie; Malowany, Maureen; Levy, Joseph; Rossignol, Michel; Bergeron, Pierre; Kishchuk, Natalie

2017-01-01

Enhancing effective preventive interventions to address contemporary public health problems requires improved capacity for applied public health research. A particular need has been recognized for capacity development in population health intervention research to address the complex multidisciplinary challenges of developing, implementing, and evaluating public health practices, intervention programs, and policies. Research training programs need to adapt to these new realities. We have presented an example of a 2003 to 2015 training program in transdisciplinary research on public health interventions that embedded doctoral and postdoctoral trainees in public health organizations in Quebec, Canada. This university-public health partnership for research training is an example of how to link science and practice to meet emerging needs in public health.

[Knowledge and beliefs of professional workers in education, health and social services towards ADHD].

PubMed

Massé, Line; Couture, Caroline; Anciaux, Valentine

2010-01-01

This study aims at better understanding the knowledge and beliefs of professional workers in school, health and social service settings in Quebec regarding ADHD. The authors examine the important discrepancies identified by Cohen (1999) between identified standard practices in treating ADHD patients and practices used in Quebec. This situation could be linked to insufficient knowledge of workers or certain of their beliefs that oppose these practices and their reluctance to implement them in their environment. Two measurement scales were utilised : the Attention Deficit Hyperactivity Disorder Orientation Scale (ADHDOS, Couture, 2002) and the Survey of ADHD of Jerome and al. (1994). Results show among other things, that knowledge and beliefs vary according to professionals'background and training.

Jets over Labrador and Quebec: noise effects on human health.

PubMed Central

Rosenberg, J

1991-01-01

OBJECTIVE: To determine whether the noise from low-level flights over Labrador and Quebec is harmful to human health. DATA SOURCE AND SELECTION: Search of MEDLINE for articles on the effect of noise, particularly impulse noise associated with low-level flights, and a search of the references from identified articles. DATA SYNTHESIS: The noise levels from low-level flights could affect hearing acuity. However, the more important consequences appear to be stress-mediated physiologic effects, especially cardiovascular ones, and psychologic distress, particularly in children. Subjective perception of control over the noise has been found to mitigate some physiologic effects. CONCLUSION: There is sufficient evidence to show that the noise from low-level flights is harmful to human health. PMID:2007238

1857 PatentExtant Construction Comparison Powerscourt Bridge, Spanning Chateauguay River, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

1857 Patent-Extant Construction Comparison - Powerscourt Bridge, Spanning Chateauguay River, First Concession Road, Elgin/Hichinbrooke, Huntingdon County, Quebec, Canada, Chateaugay, Franklin County, NY

Review of Canadian species of the genus Mocyta Mulsant & Rey (Coleoptera, Staphylinidae, Aleocharinae), with the description of a new species and a new synonymy

PubMed Central

Klimaszewski, Jan; Webster, Reginald P.; Bourdon, Caroline; Pelletier, Georges; Godin, Benoit; Langor, David W.

2015-01-01

Abstract Six species of the genus Mocyta Mulsant & Rey are reported from Canada: Mocyta amblystegii (Brundin), Mocyta breviuscula (Mäklin), Mocyta discreta (Casey), Mocyta fungi (Gravenhorst), Mocyta luteola (Erichson), and Mocyta sphagnorum Klimaszewski & Webster, sp. n. New provincial and state records include: Mocyta breviuscula – Saskatchewan and Oregon; Mocyta discreta – Quebec, Ontario and Saskatchewan; Mocyta luteola – New Brunswick, Quebec, Ontario, Massachusetts and Minnesota; and Mocyta fungi – Saskatchewan. Mocyta sphagnorum is described from eastern Canada from specimens captured in Newfoundland, New Brunswick, Quebec and Ontario. Mocyta negligens Mulsant and Rey, a native European species suspected of occurring in Canada, is excluded from the Nearctic fauna based on comparison of European types with similarly coloured Canadian specimens, which are now identified as Mocyta luteola. The European species, Mocyta gilvicollis (Scheerpeltz), is synonymized with another European nominal species, Mocyta negligens, based on examination of type material of the two species. Lectotypes are designated for Eurypronota discreta Casey, Atheta gilvicollis Scheerpeltz, Homalota luteola Erichson, Colpodota negligens Mulsant and Rey, Acrotona prudens Casey and Dolosota redundans Casey. The latter species is here synonymized with Mocyta luteola. A review of the six Nearctic species is provided, including keys to species and closely related genera, colour habitus images, images of genitalia, biological information and maps of their distributions in Canada. PMID:25829852

Prevalence of Chlamydia trachomatis, Neisseria gonorrhoeae, and HIV infection among drug users attending an STD/HIV prevention and needle-exchange program in Quebec City, Canada.

PubMed

Poulin, C; Alary, M; Bernier, F; Ringuet, J; Joly, J R

1999-08-01

To determine the prevalence of Chlamydia trachomatis, Neisseria gonorrhoeae, and human immunodeficiency virus (HIV) infection among injection and noninjection drug users in Quebec City and to identify associated risk factors. Cross-sectional study of 738 drug users attending a sexually transmitted disease/HIV prevention and needle-exchange program in Quebec City, Canada. The prevalences of N. gonorrhoeae and C. trachomatis were, respectively, 0.4% (95% CI: 0.08%-1.2%) and 3.4% (95% Cl: 2.2%-5.0%). Through multivariate analysis, risk factors associated with sexually transmitted diseases were: among women, being aged between 20 and 24 years and having unprotected sex with commercial partners; in noninjection drug users; cocaine use and first intercourse before 13 years of age; in male noninjection drug users, having regular sexual partners in the previous 6 months. No case of HIV was found in participants who have never injected drugs, but the prevalence was 5.5% (6/110) among the exinjectors and 10.1% (35/347) in current injectors. Moderate sexually transmitted disease and HIV prevalences were found, although a high proportion of drug users reported risky behaviors. Needle-exchange program sites may offer a good opportunity to provide sexually transmitted disease/HIV prevention and medical services to drug users.

Is eating pleasure compatible with healthy eating? A qualitative study on Quebecers' perceptions.

PubMed

Landry, Myriam; Lemieux, Simone; Lapointe, Annie; Bédard, Alexandra; Bélanger-Gravel, Ariane; Bégin, Catherine; Provencher, Véronique; Desroches, Sophie

2018-06-01

Given that traditional interventions promoting the adoption of a healthy diet are having limited impacts on the population's food choices and eating behaviours, researchers and health practitioners could explore alternative strategies such as the use of eating pleasure to promote healthy eating. To inform future interventions using this approach, this study aimed to explore how a sample of Quebecers perceives and defines eating pleasure and healthy eating. Specific objectives were to verify what commonalities can be found between their definitions of eating pleasure and healthy eating, and what differences can be observed in their answers based on their sex and body mass index (BMI). Twelve focus groups were conducted in Quebec City, Canada, among women and men with a normal weight and with obesity (n = 92). Verbatim transcripts were double-coded using NVivo10. Participants mostly defined eating pleasure through food characteristics related to sensory qualities and psychosocial contexts. In contrast, they mostly mentioned food characteristics related to nutritional quality and ways to regulate eating behaviours to define healthy eating. Most salient perceptions were similar among subgroups based on sex or BMI. Results showed that in participants' perceptions, the concepts of eating pleasure and healthy eating were different, but appeared to be mostly compatible, which makes the integration of eating pleasure a promising avenue for interventions promoting healthy eating. Copyright © 2018 Elsevier Ltd. All rights reserved.

Numerical modeling of late Glacial Laurentide advance of ice across Hudson Strait: Insights into terrestrial and marine geology, mass balance, and calving flux

USGS Publications Warehouse

Pfeffer, W.T.; Dyurgerov, M.; Kaplan, M.; Dwyer, J.; Sassolas, C.; Jennings, A.; Raup, B.; Manley, W.

1997-01-01

A time-dependent finite element model was used to reconstruct the advance of ice from a late Glacial dome on northern Quebec/Labrador across Hudson Strait to Meta Incognita Peninsula (Baffin Island) and subsequently to the 9.9-9.6 ka 14C Gold Cove position on Hall Peninsula. Terrestrial geological and geophysical information from Quebec and Labrador was used to constrain initial and boundary conditions, and the model results are compared with terrestrial geological information from Baffin Island and considered in the context of the marine event DC-0 and the Younger Dryas cooling. We conclude that advance across Hudson Strait from Ungava Bay to Baffin Island is possible using realistic glacier physics under a variety of reasonable boundary conditions. Production of ice flux from a dome centered on northeastern Quebec and Labrador sufficient to deliver geologically inferred ice thickness at Gold Cove (Hall Peninsula) appears to require extensive penetration of sliding south from Ungava Bay. The discharge of ice into the ocean associated with advance and retreat across Hudson Strait does not peak at a time coincident with the start of the Younger Dryas and is less than minimum values proposed to influence North Atlantic thermohaline circulation; nevertheless, a significant fraction of freshwater input to the North Atlantic may have been provided abruptly and at a critical time by this event.

Divergent modes of integration: the Canadian way.

PubMed

Jiwani, Izzat; Fleury, Marie-Josée

2011-01-01

The paper highlights key trajectories and outcomes of the recent policy developments toward integrated health care delivery systems in Quebec and Ontario in the primary care sector and in the development of regional networks of health and social services. It particularly explores how policy legacies, interests and cultures may be mitigated to develop and sustain different models of integrated health care that are pertinent to the local contexts. In Quebec, three decades of iterative developments in health and social services evolved in 2005 into integrated centres for health and social services at the local levels (CSSSs). Four integrated university-based health care networks provide ultra-specialised services. Family Medicine Groups and network clinics are designed to enhance access and continuity of care. Ontario's Family Health Teams (2004) constitute an innovative public funding for private delivery model that is set up to enhance the capacity of primary care and to facilitate patient-based care. Ontario's Local Health Integration Networks (LHINs) with autonomous boards of provider organisations are intended to coordinate and integrate care. Integration strategies in Quebec and Ontario yield clinical autonomy and power to physicians while simultaneously making them key partners in change. Contextual factors combined with increased and varied forms of physician remunerations and incentives mitigated some of the challenges from policy legacies, interests and cultures. Virtual partnerships and accountability agreements between providers promise positive but gradual movement toward integrated health service systems.

Wait times for physical and occupational therapy in the public system for people with arthritis in quebec.

PubMed

Delaurier, Ashley; Bernatsky, Sasha; Raymond, Marie-Hélène; Feldman, Debbie Ehrmann

2013-01-01

Although arthritis is the leading cause of pain and disability in Canada, and physical therapy (PT) and occupational therapy (OT) are beneficial both for chronic osteoarthritis (OA) and for inflammatory arthritis such as rheumatoid arthritis (RA), there appear to be problems with access to such services. The aim of this study was to document wait times from referral by physician to consultation with PT or OT in the public health care system for people with arthritis in Quebec, Canada. Appointments were requested by telephone, using hypothetical case scenarios; wait times were defined as the time between initial request and appointment date. Descriptive statistics were used to examine the wait times in relation to diagnosis, service provider and geographic area. For both scenarios (OA and RA) combined, 13% were offered an appointment within 6 months, 13% offered given an appointment within 6-12 months, 24% were told they would need to wait longer than 12 months, and 22% were refused services. The remaining 28% were told they would require an evaluation appointment for functional assessment before being given an appointment for therapy. No difference was found between RA and OA diagnoses. Our study suggests that most people with arthritis living in the province of Quebec are not receiving publicly accessible PT or OT intervention in a timely manner.

Quebec mental health services networks: models and implementation

PubMed Central

Fleury, Marie-Josée

2005-01-01

Abstract Purpose In the transformation of health care systems, the introduction of integrated service networks is considered to be one of the main solutions for enhancing efficiency. In the last few years, a wealth of literature has emerged on the topic of services integration. However, the question of how integrated service networks should be modelled to suit different implementation contexts has barely been touched. To fill that gap, this article presents four models for the organization of mental health integrated networks. Data sources The proposed models are drawn from three recently published studies on mental health integrated services in the province of Quebec (Canada) with the author as principal investigator. Description Following an explanation of the concept of integrated service network and a description of the Quebec context for mental health networks, the models, applicable in all settings: rural, urban or semi-urban, and metropolitan, and summarized in four figures, are presented. Discussion and conclusion To apply the models successfully, the necessity of rallying all the actors of a system, from the strategic, tactical and operational levels, according to the type of integration involved: functional/administrative, clinical and physician-system is highlighted. The importance of formalizing activities among organizations and actors in a network and reinforcing the governing mechanisms at the local level is also underlined. Finally, a number of integration strategies and key conditions of success to operationalize integrated service networks are suggested. PMID:16773157

Genetic diversity of the golden potato cyst nematode Globodera rostochiensis and determination of the origin of populations in Quebec, Canada.

PubMed

Boucher, Annie Christine; Mimee, Benjamin; Montarry, Josselin; Bardou-Valette, Sylvie; Bélair, Guy; Moffett, Peter; Grenier, Eric

2013-10-01

The golden cyst nematode (Globodera rostochiensis), native to South America, has been introduced in many parts of the world, including Europe and North America. Recently, it was found for the first time in the province of Quebec, Canada in the locality of St. Amable near Montreal. To date, very few studies have examined the population genetics of this pest. Consequently, there is a lack of knowledge about the genetic structure and evolution of this nematode. In this study, twelve new microsatellite markers were developed in order to explore these questions. These markers were used to genotype fifteen populations originating from different regions of the world, including five from Canada. Within populations, the highest genetic diversity was consistently observed in the populations from Bolivia, the postulated region of origin of the golden nematode, and the lowest in populations from British Columbia (Canada) and New York (USA). The two Quebec populations were very similar to each other and to the population found in Newfoundland, but surprisingly, they were significantly different from three other North American populations including those from New York and British Columbia. Based on our results, we conclude that the golden cyst nematode has been introduced in North America at least twice from distinct regions of the world. Crown Copyright © 2013. Published by Elsevier Inc. All rights reserved.

40 CFR 87.8 - Incorporation by reference.

Code of Federal Regulations, 2013 CFR

2013-07-01

... sources listed below. It is also available for inspection at the National Archives and Records...) International Civil Aviation Organization, Document Sales Unit, 999 University Street, Montreal, Quebec, Canada...

40 CFR 87.8 - Incorporation by reference.

Code of Federal Regulations, 2014 CFR

2014-07-01

... sources listed below. It is also available for inspection at the National Archives and Records...) International Civil Aviation Organization, Document Sales Unit, 999 University Street, Montreal, Quebec, Canada...

New Staphylinidae (Coleoptera) records with new collection data from New Brunswick and an addition to the fauna of Quebec: Staphylininae

PubMed Central

Webster, Reginald P.; Smetana, Aleš; Sweeney, Jon D.; DeMerchant, Ian

2012-01-01

Abstract Forty-four species of Staphylininae are newly reported from New Brunswick, bringing the total number of species known from the province to 126. Quedius criddlei (Casey) is reported for the first time from Quebec. Bisnius cephalotes (Gravenhorst) is removed from the faunal list of New Brunswick due to a lack of supporting voucher specimens. Additional locality data are presented for seven species either recently recorded from the province or with few previous records and little habitat data. We provide the first documented records of Atrecus americanus (Casey), Quedius erythrogaster Mannerheim, Quedius labradorensis labradorensis Smetana, Quedius plagiatus (Mannerheim), and Neobisnius terminalis (LeConte) from New Brunswick. Collection and habitat data are presented and discussed for all species. PMID:22577325

French language space science educational outreach

NASA Astrophysics Data System (ADS)

Schofield, I.; Masongsong, E. V.; Connors, M. G.

2015-12-01

Athabasca University's AUTUMNX ground-based magnetometer array to measure and report geomagnetic conditions in eastern Canada is located in the heart of French speaking Canada. Through the course of the project, we have had the privilege to partner with schools, universities, astronomy clubs and government agencies across Quebec, all of which operate primarily in French. To acknowledge and serve the needs of our research partners, we have endeavored to produce educational and outreach (EPO) material adapted for francophone audiences with the help of UCLA's department of Earth, Planetary and Space Sciences (EPSS). Not only will this provide greater understanding and appreciation of the geospace environment unique to Quebec and surrounding regions, it strengthens our ties with our francophone, first nations (native Americans) and Inuit partners, trailblazing new paths of research collaboration and inspiring future generations of researchers.

Projects in eastern Canada encounter strong opposition. [Hydroelectric power plants planned

DOE Office of Scientific and Technical Information (OSTI.GOV)

Carr, F.H.

1993-09-13

At the end of August, Quebec's provincial utility submitted a long-awaited environmental impact statement on its proposed Great Whale project near Hudson Bay. It faces opposition, as does a big project planned in Labrador. Hydro-Quebec's EIS says its $10-billion, 3,210-Mw project [open quotes]would have impacts that are generally moderate and localized, and that can be mitigated,[close quotes] according to a utility spokeswoman. But environmental and Native American groups opposed to the project say its three powerhouses on the Great Whale River and 600 sq miles of new impoundments would destroy hunting and fishing areas and mar the environment. Five federalmore » and provincial review panels will determine over the next several weeks if the EIS meets their requirements.« less

Cyberbullying, psychological distress and self-esteem among youth in Quebec Schools

PubMed Central

Cénat, Jude Mary; Hébert, Martine; Blais, Martin; Lavoie, Francine; Guerrier, Mireille; Derivois, Daniel

2015-01-01

Purpose The advent of new technologies and social media offers a host of possibilities for teenagers to consolidate social networks. Unfortunately, new technologies also represent a potential setting for experiences of victimization. Methods The present study explores the prevalence of cyberbullying victimization in a representative sample of 8 194 teenagers in Quebec and the adverse associated consequences. Results Results indicate that 18% of boys and close to 1 out of 4 girls report at least one incident of cyberbullying in the past 12 months. Cyberbullying victimization contributes to the prediction of low self-esteem and psychological distress over and above other experiences of bullying in schools or other settings. Conclusions Cyberbullying appear as one important target for the design of prevention and intervention services designed for youth. PMID:25128859

New Coleoptera records from New Brunswick, Canada: Anthribidae, Brentidae, Dryophthoridae, Brachyceridae, and Curculionidae, with additions to the fauna of Quebec, Nova Scotia and Prince Edward Island

PubMed Central

Webster, Reginald P.; Anderson, Robert S.; Sweeney, Jon D.; DeMerchant, Ian

2012-01-01

Abstract We report 63 species of Curculionoidea that are new to New Brunswick (three species of Anthribidae, four species of Brentidae, three species of Dryophthoridae, three species of Brachyceridae, 50 species of Curculionidae). Among these are 27 species (two Anthribidae, two Brenthidae, one Brachyceridae, 22 Curculionidae) that are also newly recorded for the Maritime provinces, and one species, Plesiobaris disjuncta Casey (Curculionidae) that is newly recorded for Canada from New Brunswick and Quebec. Bagous planatus LeConte is reinstated to the faunal list of New Brunswick. Two species of Curculionidae are newly recorded from Nova Scotia and the Maritime provinces, and two others are reported for the first time for Prince Edward Island. PMID:22539901

Cyberbullying, psychological distress and self-esteem among youth in Quebec schools.

PubMed

Cénat, Jude Mary; Hébert, Martine; Blais, Martin; Lavoie, Francine; Guerrier, Mireille; Derivois, Daniel

2014-12-01

The advent of new technologies and social media offers a host of possibilities for teenagers to consolidate social networks. Unfortunately, new technologies also represent a potential setting for experiences of victimization. The present study explores the prevalence of cyberbullying victimization in a representative sample of 8 194 teenagers in Quebec and the adverse associated consequences. Results indicate that 18% of boys and close to 1 out of 4 girls report at least one incident of cyberbullying in the past 12 months. Cyberbullying victimization contributes to the prediction of low selfesteem and psychological distress over and above other experiences of bullying in schools or other settings. Cyberbullying appear as one important target for the design of prevention and intervention services designed for youth. Copyright © 2014 Elsevier B.V. All rights reserved.

Quebec platelet disorder.

PubMed

Hayward, Catherine P M; Rivard, Georges E

2011-04-01

Quebec platelet disorder (QPD) is an autosomal dominant bleeding disorder associated with a unique gain-of-function defect in fibrinolysis. In the past 5 years, there have been important advances in the understanding of the pathogenesis of QPD, including its genetic cause, which is a copy number variation mutation of PLAU, the gene for urokinase plasminogen activator (uPA). QPD is the first bleeding disorder identified to be caused by a PLAU mutation and it is also the first bleeding disorder recognized to result from a gene copy number mutation. The molecular defect of QPD leads to marked overexpression of uPA during megakaryopoiesis, producing profibrinolytic platelets that contain active forms of uPA in their α-granules. This article summarizes expert opinions on the features of QPD and recent advances in the understanding of its pathogenesis and genetic cause.

Willingness to pay and the sensitivity of willingness to pay for interdisciplinary musculoskeletal clinics: a contingent valuation study in Quebec, Canada.

PubMed

Poder, Thomas G; He, Jie

2016-12-01

Orthopedics is a discipline that requires a continuum of care in close collaboration with physicians, nurses, and healthcare professionals to ensure effective rehabilitation. In some cases, the wait time for a consultation may be very long, which can jeopardize the patient's rehabilitation and sometimes even cause complications that lead to a loss of autonomy. In Quebec, there is a severe shortage of healthcare professionals-and of orthopedic surgeons, in particular-specializing in musculoskeletal problems. To address this problem, public managers have decided to establish interdisciplinary musculoskeletal clinics in regions outside the two major cities of Montréal and Québec. The major benefits of these clinics are that they reduce the wait time for consultation and treatment while maintaining service quality. Although their benefits are certain, these clinics remain threatened by relatively high initial costs. This study's objective is to evaluate whether the population of Quebec has a quantifiable willingness to pay (WTP) to establish these clinics. To our knowledge, this is the first study of its kind either in the province of Quebec or elsewhere. We selected 3822 subjects randomly within the target population using Internet surveys, telephone surveys and self-administered paper surveys as our methods of recruitment. Three payment vehicles were used and each participant was randomly allocated among these: tax, donation or lump-sum fee. A contingent valuation question using a referendum format with the option "don't know" was used. Econometric estimates were performed using probit and Wang's models. Our results indicate that the population of Quebec may potentially have a mean WTP of 42.3 Canadian dollars per person for such clinics, which would enable a mean reduction from 12 to 4 months of wait time. However, the WTP is found to be very sensitive to the survey mode and the payment vehicle used: about 1.2-2 times more important in the tax and the lump-sum fee scenarios than in the donation scenario, and about 3-4 times less important in the Internet survey than in the telephone or self-administered paper surveys. In addition, this amount was strongly affected by the introduction of a new governmental health-related policy that arose during the survey and led to a minimal drop in WTP of about 30-50 %. This strong sensitivity led us to the three following recommendations for future contingent valuation studies: (1) favour Internet surveys, (2) use a payment vehicle that limit uncertainty in the WTP answer and allow to socialize benefits, as the tax scenario in our study, and (3) strictly apply the "divide by 2" rule of the NOAA panel.

New England

Atmospheric Science Data Center

2014-05-15

article title:  Summer Turns to Autumn in New England     View Larger Image ... 20, 2000 (right). The images include eastern Vermont, New Hampshire, and western Maine, as well as the southeastern corner of Quebec ...

Water Footprint of Hydroelectricity: A Case Study of Two Large Canadian Boreal Watersheds

NASA Astrophysics Data System (ADS)

Irambona, C.; Music, B.; Nadeau, D.; Mahdi, T. F.; Strachan, I. B.

2015-12-01

20% of Canada's total freshwater is located in the province of Quebec, where 30% of the country's energy is produced from hydropower. Hydroelectric generation uses a considerable amount of water through evaporation from the reservoirs. The blue water footprint is an indicator of the annual freshwater consumption related to hydropower production. Although environmental effects of reservoir impounding have been previously investigated, their impacts on local and regional evapotranspiration are still not well understood due to the lack of long-term observation data. This study aims to assess the blue water footprint of two large hydroelectric systems located in the Canadian boreal forest. To do so, we use hydro-meteorological data from two specially designed climate simulations (a 'no-reservoir' and a 'post-impoundment' simulation) performed by the fifth generation of the Canadian Regional Climate Model (CRCM5) driven by the ERA-Interim reanalysis. Land-surface processes in the CRCM5 are parameterized by the Canadian Land Surface Scheme (CLASS V3.6), while surface fluxes over the water bodies are simulated by the 1-D lake model (Flake). A 'no-reservoir' and a 'post-impoundment' simulation are carried by adjusting the water fraction on the reservoir grids. Both simulations cover a 42 years period (1970-2012) at 0.11° horizontal resolution, consisting of 300 x 300 grid points centered on the province of Quebec. The two watersheds under study (200 000 km² total) are located in Northern Quebec (49-54°N), Canada, where more than 42% of the province power generation capacity is installed with eight reservoirs covering a total area of 10 000 km². A first validation of the 'post-impoundment' simulation is performed using micrometeorological ground observations, complemented with available hydro-meteorological data from Environment Canada weather stations. Then, each reservoir water footprint is calculated using the 'post-impoundment' simulation. Finally, the net evapotranspiration and the pre and post impoundment water budgets are assessed on the watershed scale. Results from this study are expected to be useful for water resources management in Quebec and other similar boreal environments.

[Access to government-funded psychotherapy: Comparing the point of view of psychologists and psychotherapists].

PubMed

Bradley, Stacy; Doucet, Rachelle; Kohler, Erich; Drapeau, Martin

Objectives Within the Quebec context, as well as the larger Canadian and International context, increasing access to mental health care treatment has become a major health care priority (see Peachey, Hicks, & Adams, 2013). Initiatives to increase access through government-funded psychotherapy have been successfully implemented in Australia and the United Kingdom. The current study sought to document how licensed psychologists and psychotherapists in Quebec differ in their attitudes about the components of these government-funded psychotherapy programs and increasing access to psychotherapy treatment.Methods The target population for the study included both psychologists and psychotherapists whom were licensed to practice psychotherapy with the Ordre of Psychologists of Quebec. Participants (N = 1 275) were recruited by email to participate in an online questionnaire focusing on components such as the services that should be offered in a new government-funded psychotherapy model (eg., individual therapy, family therapy; including employment and debt counselling), the choice and autonomy clinicians have in their treatment interventions, the role of the referring General Practitioner (GP), the fees per psychotherapy hour, the hiring structure (e.g., in the public sector versus reimbursing private psychotherapy services), among others.Results The results indicated that psychotherapists were more in favour of including family and couple therapy, and employment/vocational counselling than psychologists. Psychologists were more in favour of using evidence-based practices as well as tracking treatment outcomes using validated measures, and publishing treatment satisfaction ratings to the public. Psychotherapists were more in favour of being paid on a session-to-session basis as opposed to be being hired on a salaried basis to offer government-funded psychotherapy.Conclusions Given that psychologists and psychotherapists differ in their training background and have historically played different roles in the health care system, it is important to understand how they differ in their perspectives on accessibility to psychotherapy. The implications for implementing government-funded psychotherapy initiatives in Quebec given the different professional perspectives of the two groups are discussed.

From policy to practice: implementing frontline community health services for substance dependence--study protocol.

PubMed

Gill, Kathryn J; Campbell, Emily; Gauthier, Gail; Xenocostas, Spyridoula; Charney, Dara; Macaulay, Ann C

2014-08-20

Substance abuse is a worldwide public health concern. Extensive scientific research has shown that screening and brief interventions for substance use disorders administered in primary care provide substantial benefit at relatively low cost. Frontline health clinicians are well placed to detect and treat patients with substance use disorders. Despite effectiveness shown in research, there are many factors that impact the implementation of these practices in real-world clinical practice. Recently, the Ministry of Health and Social Services in Quebec, Canada, issued two policy documents aimed at introducing screening and early intervention for substance abuse into frontline healthcare clinics in Quebec. The current research protocol was developed in order to study the process of implementation of evidence-based addiction treatment practices at three primary care clinics in Montreal (Phase 1). In addition, the research protocol was designed to examine the efficacy of overall policy implementation, including barriers and facilitators to addictions program development throughout Quebec (Phase 2). Phase 1 will provide an in-depth case study of knowledge translation and implementation. The study protocol will utilize an integrated knowledge translation strategy to build collaborative mechanisms for knowledge exchange between researchers, addiction specialists, and frontline practitioners (guided by the principles of participatory-action research), and directly examine the process of knowledge uptake and barriers to transfer using both qualitative and quantitative methodologies. Evaluation will involve multiple measures, time points and domains; program uptake and effectiveness will be determined by changes in healthcare service delivery, sustainability and outcomes. In Phase 2, qualitative methods will be utilized to examine the contextual facilitators and barriers that frontline organizations face in implementing services for substance dependence. Phase 2 will provide the first study exploring the wide-scale implementation of frontline services for substance dependence in the province of Quebec and yield needed information about how to effectively implement mandated policies into clinical practice and impact public health. Findings from this research program will contribute to the understanding of factors associated with implementation of frontline services for substance dependence and help to inform future policy and organizational support for the implementation of evidence-based practices.

Assessing the performance of centralized waiting lists for patients without a regular family physician using clinical-administrative data.

PubMed

Breton, Mylaine; Smithman, Mélanie Ann; Brousselle, Astrid; Loignon, Christine; Touati, Nassera; Dubois, Carl-Ardy; Nour, Kareen; Boivin, Antoine; Berbiche, Djamal; Roberge, Danièle

2017-01-05

With 4.6 million patients who do not have a regular family physician, Canada performs poorly compared to other OECD countries in terms of attachment to a family physician. To address this issue, several provinces have implemented centralized waiting lists to coordinate supply and demand for attachment to a family physician. Although significant resources are invested in these centralized waiting lists, no studies have measured their performance. In this article, we present a performance assessment of centralized waiting lists for unattached patients implemented in Quebec, Canada. We based our approach on the Balanced Scorecard method. A committee of decision-makers, managers, healthcare professionals, and researchers selected five indicators for the performance assessment of centralized waiting lists, including both process and outcome indicators. We analyzed and compared clinical-administrative data from 86 centralized waiting lists (GACOs) located in 14 regions in Quebec, from April 1, 2013, to March 31, 2014. During the study period, although over 150,000 patients were attached to a family physician, new requests resulted in a 30% median increase in patients on waiting lists. An inverse correlation of average strength was found between the rates of patients attached to a family physician and the proportion of vulnerable patients attached to a family physician meaning that as more patients became attached to an FP through GACOs, the proportion of vulnerable patients became smaller (r = -0.31, p < 0.005). The results showed very large performance variations both among GACOs of different regions and among those of a same region for all performance indicators. Centralized waiting lists for unattached patients in Quebec seem to be achieving their twofold objective of attaching patients to a family physician and giving priority to vulnerable patients. However, the demand for attachment seems to exceed the supply and there appears to be a tension between giving priority to vulnerable patients and attaching of a large number of patients. Results also showed heterogeneity in the performance of centralized waiting lists across Quebec. Finally, our findings suggest it is critical that similar mechanisms should use available data to identify the best strategies for reducing variations and improving performance.

Estimating the burden of lung cancer and the efficiency of home radon mitigation systems in some Canadian provinces.

PubMed

Al-Arydah, Mo'tassem

2018-06-01

Lung cancer (LC) is the leading cause of death of cancer in Canada in both men and women, and indoor radon is the second leading cause of LC after tobacco smoking. The Population Attributable Risk (PAR) is used to assess radon exposure risk. In this work we estimate the burden of LC in some Canadian provinces. We use the PAR to identify the radon levels responsible for most LC cases. Finally, we use the PAR function of the two variables, radon action and target levels, to search for a possible optimal mitigation program. The LC burden for Ontario, Alberta, Manitoba, Quebec and British Columbia was estimated using provincial radon and mortality data. Then the PAR and LC cases for these provinces were estimated over the period 2006-2009 at different given indoor radon exposure levels. Finally, the PAR function when radon action levels and radon target levels are variables was analyzed. The highest burden of LC in 2006-2009 was in Ontario and Quebec. During the period 2006-2009, 6% of houses in Ontario, 9% of houses in Alberta, 19% of houses in Manitoba, 7% of houses in Quebec, and 5% of houses in British Columbia had radon levels higher than 200 Bq/m 3 and were responsible about 913, 211, 260, 972, and 258 lives, respectively. Radon mitigation programs could have prevented these LC cases. The BEIR VI assumption for the United States (US) population, 95% of LC deaths in men and 90% of LC deaths in women are Ever-Smokers (ES), can be applied to the Canadian population. The PAR is a linear function in the target radon value with an estimated slope of 0.0001 for Ontario, Alberta, Quebec and British Columbia, and 0.0004 for Manitoba. The PAR is almost a square root function in the radon action level. The PAR is sensitive to changes in the radon mitigation program and as such, any improvement is a worthwhile investment. Copyright © 2018 Elsevier B.V. All rights reserved.

Molecular Typing of Legionella pneumophila Isolates in the Province of Quebec from 2005 to 2015.

PubMed

Lévesque, Simon; Lalancette, Cindy; Bernard, Kathryn; Pacheco, Ana Luisa; Dion, Réjean; Longtin, Jean; Tremblay, Cécile

2016-01-01

Legionella is found in natural and man-made aquatic environments, such as cooling towers and hot water plumbing infrastructures. Legionella pneumophila serogroup 1 (Lp1) is the most common etiological agent causing waterborne disease in the United States and Canada. This study reports the molecular characterization of Lp strains during a 10 year period. We conducted sequence-based typing (SBT) analysis on a large set of Lp isolates (n = 284) to investigate the province of Quebec sequence types (STs) distribution in order to identify dominant clusters. From 2005 to 2015, 181 clinical Lp isolates were typed by SBT (141 sporadic cases and 40 outbreak related cases). From the same period of time, 103 environmental isolates were also typed. Amongst the 108 sporadic cases of Lp1 typed, ST-62 was the most frequent (16.6%), followed by ST-213 (10.2%), ST-1 (8.3%) and ST-37 (8.3%). Amongst other serogroups (SG), ST-1327 (SG5) (27.3%) and ST-378 (SG10) (12.2%) were the most frequent. From the environmental isolates, ST-1 represent the more frequent SBT type (26.5%). Unweighted pair group method with arithmetic mean (UPGMA) dendrogram from the 108 sporadic cases of SG1 contains 4 major clusters (A to D) of related STs. Cluster B contains the majority of the strains (n = 61) and the three most frequent STs in our database (ST-62, ST-213 and ST-1). During the study period, we observed an important increase in the incidence rate in Quebec. All the community associated outbreaks, potentially or confirmed to be associated with a cooling tower were caused by Lp1 strains, by opposition to hospital associated outbreaks that were caused by serogroups of Lp other than SG1. The recent major Quebec City outbreak caused by ST-62, and the fact that this genotype is the most common in the province supports whole genome sequencing characterization of this particular sequence type in order to understand its evolution and associated virulence factors.

Genetics Home Reference: oculopharyngeal muscular dystrophy

MedlinePlus

... This condition is much more common in the French-Canadian population of the Canadian province of Quebec, ... A, Perie S, Pouget J, Eymard B; Neurologists of French Neuromuscular Reference Centers CORNEMUS and FILNEMUS. Correlation between ...

Models of Care

ERIC Educational Resources Information Center

Wilson, Dottie C.; And Others

1978-01-01

This section describes hospice or palliative care programs for terminally ill patients and their families. The programs described are in Montreal, Quebec; Halifax, Nova Scotia; New Haven, Connecticut; Marin County, California; Tucson, Arizona; and Springfield, Illinois. (Author/JEL)

40 CFR 267.14 - What are my security requirements?

Code of Federal Regulations, 2014 CFR

2014-07-01

... facility. (b) Your facility must have: (1) A 24-hour surveillance system (for example, television... example, facilities in counties bordering the Canadian province of Quebec must post signs in French, and...

40 CFR 267.14 - What are my security requirements?

Code of Federal Regulations, 2012 CFR

2012-07-01

... facility. (b) Your facility must have: (1) A 24-hour surveillance system (for example, television... example, facilities in counties bordering the Canadian province of Quebec must post signs in French, and...

40 CFR 267.14 - What are my security requirements?

Code of Federal Regulations, 2013 CFR

2013-07-01

... facility. (b) Your facility must have: (1) A 24-hour surveillance system (for example, television... example, facilities in counties bordering the Canadian province of Quebec must post signs in French, and...

40 CFR 267.14 - What are my security requirements?

Code of Federal Regulations, 2011 CFR

2011-07-01

... facility. (b) Your facility must have: (1) A 24-hour surveillance system (for example, television... example, facilities in counties bordering the Canadian province of Quebec must post signs in French, and...

Taconic plate kinematics as revealed by foredeep stratigraphy, Appalachian Orogen

USGS Publications Warehouse

Bradley, D.C.

1989-01-01

Destruction of the Ordovician passive margin of eastern North America is recorded by an upward deepening succession of carbonates, shales, and flysch. Shelf drowning occurred first at the northern end of the orogen in Newfoundland, then at the southern end of the orogen in Georgia, and finally in Quebec. Diachronism is attributed to oblique collision between an irregular passive margin, that had a deep embayment in Quebec, and at least one east dipping subduction complex. The rate of plate convergence during collision is estimated at 1 to 2 cm/yr, and the minimum width of the ocean that closed is estimated at 500 to 900 km. The drowning isochron map provides a new basis for estimating tectonic transport distances of four of these allochthons (about 165 to 450 km), results not readily obtained by conventional structural analysis. -Author

Evaluation of a community health representative program among the Cree of northern Quebec.

PubMed

Lavallée, C; James, C A; Robinson, E J

1991-01-01

The James Bay Cree Community Health Representative (CHR) program was implemented in 1984 to train persons from the Cree population of northern Quebec to act as health care advocates and educators, as intermediaries between the Cree population, health services and local organizations, and as participants in assessing health needs. A formative evaluation was initiated which included quantitative analysis of the daily tasks of CHRs and a qualitative component based on documentary research, observation and semi-structured interviews. The evaluation revealed that CHRs actively participated in the ongoing community health programs mainly through health education; the people interviewed showed a high level of satisfaction. However, direct supervision, sufficient continuing education for the CHRs and better integration into health care teams are long-term goals which need to be emphasized in the program.

Development and pretest of key visual imagery in a campaign for the prevention of child maltreatment.

PubMed

Charest, Émilie; Gagné, Marie-Hélène; Goulet, Julie

2017-08-01

This article discusses the development and pretesting of key visual imagery in a promotional campaign developed in Quebec, Canada. This campaign is the media-based component of a broader prevention strategy involving the use of the Triple P program (Sanders, 1999). The purpose was to pretest with parents the preliminary version of a poster that uses the campaign's key visual imagery prior to final production. In total, 26 parents from the regions of Quebec City and Montreal participated in four focus groups. Two general themes emerged from the focus groups: (i) emotions and reactions arising from the key visual imagery; and (ii) comprehension of the message being conveyed. Based on this information, recommendations were made to the marketing agency, which then modified the campaign's key visual imagery and proposed a final layout.

Survival of the fittest? The democratization of hospital administration in Quebec.

PubMed

Eakin, J M

1984-01-01

In 1973 the Canadian Province of Quebec "democratized" its hospital boards of directors by replacing their traditional lay community or religious members with individuals more representative of the hospitals' major interest groups. In the province's English-speaking hospitals, patients, community organizations, physicians and nonprofessional hospital employees elected representatives to boards that were formerly comprised mostly of business executives. After a brief description of the social organization of the former "elite" boards and their role in the distribution of power within hospitals, the paper demonstrates how the "elite" board members and hospital administrators retained control despite "democratization." Several theoretical explanations for this outcome are critically examined in the light of these empirical findings. One suggestion is that the "elite" administration survived democratization because it was "fitter" in terms of ability to influence the hospitals' major economic and political constraints.

Temporal trends of alcohol and drug use among Inuit of Northern Quebec, Canada.

PubMed

Fortin, Marilyn; Bélanger, Richard E; Boucher, Olivier; Muckle, Gina

2015-01-01

Alcohol and drug use is a serious health problem for many indigenous populations across Canada, including Inuit. The literature on substance use in these populations is too sparse to devise public health interventions. The present article portrays alcohol and drug use among Inuit living in Nunavik (Northern Quebec) between the 1990s and 2000s, and identifies socio-demographic characteristics related to substance use. The Santé Québec Health Survey (1992) and the Nunavik Inuit Health Survey Qanuippitaa (2004) served as databases for this empirical work. Statistical comparisons were made of substance use variables in the 2 samples. Proportions were compared by chi-square tests (p≤0.05) with benchmarking of statistics for all of Quebec and, when available, all of Canada. Alcohol and drug use among Inuit increased significantly between 1992 and 2004, particularly among young adults. Alcohol users consumed significantly more alcohol per drinking episode than other Canadians in both time periods. Considerable cannabis use was widespread. In 2004, no significant differences in frequencies of heavy drinking episodes were observed by gender, with 60% of drug users consuming alcohol on a regular basis. As in other populations from North America, this study profiles the increase in substance use among Inuit from Nunavik in the first part of the last 20 years. We observed distinct substance use patterns among them in comparison to other Canadians. Such findings, if replicated in the coming years, emphasize the need for major, culturally-relevant public health interventions in this population.

School Absenteeism As an Adjunct Surveillance Indicator: Experience during the Second Wave of the 2009 H1N1 Pandemic in Quebec, Canada

PubMed Central

Kom Mogto, Christelle Aïcha; De Serres, Gaston; Douville Fradet, Monique; Lebel, Germain; Toutant, Steve; Gilca, Rodica; Ouakki, Manale; Janjua, Naveed Zafar; Skowronski, Danuta M.

2012-01-01

Background A school absenteeism surveillance system was implemented in the province of Quebec, Canada during the second wave of the 2009 H1N1pandemic. This paper compares this surveillance approach with other available indicators. Method All (3432) elementary and high schools from Quebec were included. Each school was required to report through a web-based system any day where the proportion of students absent for influenza-like illness (ILI) exceeded 10% of current school enrolment. Results Between October 18 and December 12 2009, 35.6% of all schools met the 10% absenteeism threshold. This proportion was greater in elementary compared to high schools (40% vs 19%) and in smaller compared to larger schools (44% vs 22%). The maximum absenteeism rate was reached the first day of reporting or within the next two days in 55% and 31% of schools respectively. The first reports and subsequent peak in school absenteeism provincially preceded the peak in paediatric hospitalization by two and one weeks, respectively. Trends in school surveillance otherwise mirrored other indicators. Conclusion During a pandemic, school outbreak surveillance based on a 10% threshold appears insufficient to trigger timely intervention within a given affected school. However, school surveillance appears well-correlated and slightly anticipatory compared to other population indicators. As such, school absenteeism warrants further evaluation as an adjunct surveillance indicator whose overall utility will depend upon specified objectives, and other existing capacity for monitoring and response. PMID:22479531

Quebec Trophoblastic Disease Registry: how to make an easy-to-use dynamic database.

PubMed

Sauthier, Philippe; Breguet, Magali; Rozenholc, Alexandre; Sauthier, Michaël

2015-05-01

To create an easy-to-use dynamic database designed specifically for the Quebec Trophoblastic Disease Registry (RMTQ). It is now well established that much of the success in managing trophoblastic diseases comes from the development of national and regional reference centers. Computerized databases allow the optimal use of data stored in these centers. We have created an electronic data registration system by producing a database using FileMaker Pro 12. It uses 11 external tables associated with a unique identification number for each patient. Each table allows specific data to be recorded, incorporating demographics, diagnosis, automated staging, laboratory values, pathological diagnosis, and imaging parameters. From January 1, 2009, to December 31, 2013, we used our database to register 311 patients with 380 diseases and have seen a 39.2% increase in registrations each year between 2009 and 2012. This database allows the automatic generation of semilogarithmic curves, which take into account β-hCG values as a function of time, complete with graphic markers for applied treatments (chemotherapy, radiotherapy, or surgery). It generates a summary sheet for a synthetic vision in real time. We have created, at a low cost, an easy-to-use database specific to trophoblastic diseases that dynamically integrates staging and monitoring. We propose a 10-step procedure for a successful trophoblastic database. It improves patient care, research, and education on trophoblastic diseases in Quebec and leads to an opportunity for collaboration on a national Canadian registry.

Understanding the parents of children with special needs: collaboration between health, social and education networks.

PubMed

Tétreault, S; Freeman, A; Carrière, M; Beaupré, P; Gascon, H; Marier Deschênes, P

2014-11-01

In 2003, Quebec's Ministry of Health and Social Services (MSSS) and the Ministry of Education, Recreation and Sports (MELS) concluded the Agreement for the complementarity of services between the health and social services network and the education network. The objectives of the current investigation were to evaluate the implementation of this Agreement and its impact upon renewal of practices and services, and to investigate the consequences for children with special needs and their families. The specific focus of this article is to describe parents' perspectives regarding the impact of this Agreement upon them and their children. Interviews were conducted with 56 parents of children with disabilities, social maladjustment or learning difficulties across the province of Quebec. Data were analysed using content analysis. Most parents were not directly aware of any contact between school staff and health or social professionals, although discussions might have been held without their knowledge. The intervention plans seemed to be the main vehicle through which some parents perceived collaboration to be occurring. For parents, the impact upon actual practices or collaborative work is either minimal or non-existent. School inclusion of children with special needs is a challenge for all societies. The Agreement illustrates the Quebec government's intent to promote an alliance between two complex networks and has the potential to greatly benefit children and their families. However, more concrete action is required in order to realize specific changes regarding work cohesion and service organization for these groups. © 2013 John Wiley & Sons Ltd.

The symbolic roots of blood donation.

PubMed

Charbonneau, Johanne; Tran, Nathalie Y-Lang

2013-12-01

Throughout history, blood has been embedded with powerful and paradoxical connotations. In the last decades, a more rational conception based on scientific knowledge has emerged, portraying blood as a "disenchanted" and utilitarian object, hence more apt for donation between strangers. This study aims to examine blood's representations in Quebec, Canada. Data were collected in four separate studies carried out between 2009 and 2011 in Quebec. A total of 234 1 to 1½ hour-long semi-structured qualitative interviews were conducted with: 184 donors (including lapsed donors) and 50 nondonors; 106 women and 128 men from a variety of age groups eligible to donate; 76 minority informants from Asian, Middle-Eastern, Latin American, African, and Caribbean origins; and 158 informants from the majority society. Many respondents donated blood because it was a "useful" substance. Others associated blood donation with a gift of vitality, strength, and energy. Some stressed the irreplaceable nature of blood, its rarity, and preciousness. It can also be associated with worrisome representations and seen as "bad" or carry infections: as a fluid, it has the ability to cross troublesome body boundaries. This overview of contemporary representations of blood in relation to blood donation in Quebec illustrates that though this substance might be disenchanted for many, it still maintains its mysteriousness for others, which underpins the importance of its social, cultural, and religious representations that can potentially lead to useful avenues in improving donor recruitment and retention. © 2013 American Association of Blood Banks.

Comparison of the Effects of Telephone Suicide Prevention Help by Volunteers and Professional Paid Staff: Results from Studies in the USA and Quebec, Canada.

PubMed

Mishara, Brian L; Daigle, Marc; Bardon, Cécile; Chagnon, François; Balan, Bogdan; Raymond, Sylvaine; Campbell, Julie

2016-10-01

Research since the 1960s has consistently found that lay volunteers are better at helping suicidal callers than professionals. Yet, professional degrees are increasingly becoming requirements for helpline workers. In our first study, we conducted post hoc comparisons of U.S. helplines with all professional paid staff, all lay volunteers, and a mix of both, using silent monitoring and standardized assessments of 1,431 calls. The volunteer centers more often conducted risk assessments, had more empathy, were more respectful of callers, and had significantly better call outcome ratings. A second study of five Quebec suicide prevention centers used silent monitoring to compare telephone help in 1,206 calls answered by 90 volunteers and 39 paid staff. Results indicate no significant differences between the volunteers and paid employees on outcome variables. However, volunteers and paid staff with over 140 hours of call experience had significantly better outcomes. Unlike the United States, Quebec paid employees were not required to have advanced professional degrees. We conclude from these results and previous research that there is no justification for requiring that suicide prevention helpline workers be mental health professionals. In fact, the evidence to date indicates that professionals may be less effective in providing telephone help to suicidal individuals when compared to trained lay volunteers. © 2016 The Authors. Suicide and LifeThreatening Behavior published by Wiley Periodicals, Inc. on behalf of American Association of Suicidology.

Diversity of ARSACS mutations in French-Canadians.

PubMed

Thiffault, I; Dicaire, M J; Tetreault, M; Huang, K N; Demers-Lamarche, J; Bernard, G; Duquette, A; Larivière, R; Gehring, K; Montpetit, A; McPherson, P S; Richter, A; Montermini, L; Mercier, J; Mitchell, G A; Dupré, N; Prévost, C; Bouchard, J P; Mathieu, J; Brais, B

2013-01-01

The growing number of spastic ataxia of Charlevoix-Saguenay (SACS) gene mutations reported worldwide has broadened the clinical phenotype of autosomal recessive spastic ataxia of Charlevoix-Saguenay (ARSACS). The identification of Quebec ARSACS cases without two known SACS mutation led to the development of a multi-modal genomic strategy to uncover mutations in this large gene and explore phenotype variability. Search for SACS mutations by combining various methods on 20 cases with a classical French-Canadian ARSACS phenotype without two mutations and a group of 104 sporadic or recessive spastic ataxia cases of unknown cause. Western blot on lymphoblast protein from cases with different genotypes was probed to establish if they still expressed sacsin. A total of 12 mutations, including 7 novels, were uncovered in Quebec ARSACS cases. The screening of 104 spastic ataxia cases of unknown cause for 98 SACS mutations did not uncover carriers of two mutations. Compounds heterozygotes for one missense SACS mutation were found to minimally express sacsin. The large number of SACS mutations present even in Quebec suggests that the size of the gene alone may explain the great genotypic diversity. This study does not support an expanding ARSACS phenotype in the French-Canadian population. Most mutations lead to loss of function, though phenotypic variability in other populations may reflect partial loss of function with preservation of some sacsin expression. Our results also highlight the challenge of SACS mutation screening and the necessity to develop new generation sequencing methods to ensure low cost complete gene sequencing.

SyllabO+: A new tool to study sublexical phenomena in spoken Quebec French.

PubMed

Bédard, Pascale; Audet, Anne-Marie; Drouin, Patrick; Roy, Johanna-Pascale; Rivard, Julie; Tremblay, Pascale

2017-10-01

Sublexical phonotactic regularities in language have a major impact on language development, as well as on speech processing and production throughout the entire lifespan. To understand the impact of phonotactic regularities on speech and language functions at the behavioral and neural levels, it is essential to have access to oral language corpora to study these complex phenomena in different languages. Yet, probably because of their complexity, oral language corpora remain less common than written language corpora. This article presents the first corpus and database of spoken Quebec French syllables and phones: SyllabO+. This corpus contains phonetic transcriptions of over 300,000 syllables (over 690,000 phones) extracted from recordings of 184 healthy adult native Quebec French speakers, ranging in age from 20 to 97 years. To ensure the representativeness of the corpus, these recordings were made in both formal and familiar communication contexts. Phonotactic distributional statistics (e.g., syllable and co-occurrence frequencies, percentages, percentile ranks, transition probabilities, and pointwise mutual information) were computed from the corpus. An open-access online application to search the database was developed, and is available at www.speechneurolab.ca/syllabo . In this article, we present a brief overview of the corpus, as well as the syllable and phone databases, and we discuss their practical applications in various fields of research, including cognitive neuroscience, psycholinguistics, neurolinguistics, experimental psychology, phonetics, and phonology. Nonacademic practical applications are also discussed, including uses in speech-language pathology.

Eastern equine encephalitis virus: high seroprevalence in horses from Southern Quebec, Canada, 2012.

PubMed

Rocheleau, Jean-Philippe; Arsenault, Julie; Lindsay, L Robbin; DiBernardo, Antonia; Kulkarni, Manisha A; Côté, Nathalie; Michel, Pascal

2013-10-01

Eastern equine encephalitis virus (EEEV) is a highly pathogenic arbovirus that infects humans, horses, and other animals. There has been a significant increase in EEEV activity in southeastern Canada since 2008. Few data are available regarding nonlethal EEEV infections in mammals, and consequently the distribution and pathogenicity spectrum of EEEV infections in these hosts is poorly understood. This cross-sectional study focuses on the evaluation of viral activity in southern Quebec's horses by seroprevalence estimation. A total of 196 horses, 18 months and older, which had never been vaccinated against EEEV and have never traveled outside Canada, were sampled from 92 barns distributed throughout three administrative regions of southern Quebec. Blood samples were taken from each horse and titrated for EEEV antibodies by plaque reduction neutralization test (PRNT). Equine population vaccination coverage was estimated by surveying horse owners and equine practitioners. PRNT results revealed an EEEV seroprevalence up to 8.7%, with 95% confidence limits ranging from 4.4% to 13.0%. Vaccination coverage was estimated to be at least 79%. Our study reveals for the first time in Canada a measure of EEEV seroprevalence in horses. High seroprevalence in unvaccinated animals challenges the perception that EEEV is a highly lethal pathogen in horses. Monitoring high-risk vector-borne infections such as EEEV in animal populations can be an important element of a public health surveillance strategy, population risk assessment and early detection of epidemics.

Interest and applicability of acute care surgery among surgeons in Quebec: a provincial survey.

PubMed

Joos, Émilie; Trottier, Vincent; Thauvette, Daniel

2013-08-01

Acute care surgery (ACS) comprises trauma and emergency surgery. The purpose of this new specialty is to involve trauma and nontrauma surgeons in the care of acutely ill patients with a surgical pathology. In Quebec, few acute care surgery services (ACSS) exist, and the concept is still poorly understood by most general surgeons. This survey was meant to determine the opinions and interest of Quebec general surgeons in this new model. We created a bilingual electronic survey using a Web interface and sent it by email to all surgeons registered with the Association québécoise de chirurgie. A reminder was sent 2 weeks later to boost response rates. The response rate was 36.9%. Most respondents had academic practices, and 16% worked in level 1 trauma centres. Most respondents had a high operative case load, and 66% performed at least 10 urgent general surgical cases per month. Although most (88%) thought that ACS was an interesting field, only 45% were interested in participating in an ACSS. Respondents who deemed this concept least applicable to their practices were more likely to be working in nonacademic centres. Despite a strong interest in emergency general surgery, few surgeons were interested in participating in an ACSS. This finding may be explained by lack of comprehension of this new model and by comfort with traditional practice. We aim to change this paradigm by demonstrating the feasibility and benefits of the new ACSS at our centre in a follow-up study.

Assessing the location and magnitude of the 20 October 1870 Charlevoix, Quebec, earthquake

USGS Publications Warehouse

Ebel, John E.; Dupuy, Megan; Bakun, William H.

2013-01-01

The Charlevoix, Quebec, earthquake of 20 October 1870 caused damage to several towns in Quebec and was felt throughout much of southeastern Canada and along the U.S. Atlantic seaboard from Maine to Maryland. Site‐specific damage and felt reports from Canadian and U.S. cities and towns were used in analyses of the location and magnitude of the earthquake. The macroseismic center of the earthquake was very close to Baie‐St‐Paul, where the greatest damage was reported, and the intensity magnitude MI was found to be 5.8, with a 95% probability range of 5.5–6.0. After corrections for epicentral‐distance differences are applied, the modified Mercalli intensity (MMI) data for the 1870 earthquake and for the moment magnitude M 6.2 Charlevoix earthquake of 1925 at common sites show that on average, the MMI readings are about 0.8 intensity units smaller for the 1870 earthquake than for the 1925 earthquake, suggesting that the 1870 earthquake was MI 5.7. A similar comparison of the MMI data for the 1870 earthquake with the corresponding data for the M 5.9 1988 Saguenay event suggests that the 1870 earthquake was MI 6.0. These analyses all suggest that the magnitude of the 1870 Charlevoix earthquake is between MI 5.5 and MI 6.0, with a best estimate of MI 5.8.

Balancing work and family in the low-wage service sector: the role of legislated and collectively-bargained norms in Quebec.

PubMed

Bernstein, Stéphanie

2011-01-01

This paper looks at the role of legislated norms of general application in shaping "family-friendly" workplaces and their interaction with collectively-bargained standards in the retail service sector and more specifically, in a single unionized retail sector in Quebec, Canada. The methodology used is traditional legal research methodology: analysis of laws, collective agreements and case law. The principal norms examined concern parental and family leave, working time and disparities between different employment statuses. A series of legislative provisions have been adopted in Quebec over the last 30 years whose objectives are the improvement of family-related leave and the reduction of working time. Unions have also negotiated provisions in collective agreements with these same goals. In the low-wage retail sector studied, the working time standards negotiated between the unions and the employers reflect the characteristics of the sector, most notably extended opening hours, seven days a week. Predictability of hours also varies according to employment status. Such issues as family-unfriendly working time arrangements (last-minute scheduling, asocial hours, etc.) and the need for flexibility in family-related leave are insufficiently taken into account by the legislated and bargained provisions. A fine analysis and comprehension of existing formal regulation, be it legislated or collectively-bargained, is required to fully understand workers' experiences with work-family balance and to identify the gaps between formal norms and the needs expressed by workers with respect to work-family balance.

Social relationships and depression among people 65 years and over living in rural and urban areas of Quebec.

PubMed

Mechakra-Tahiri, Samia; Zunzunegui, Maria Victoria; Préville, Michel; Dubé, Micheline

2009-11-01

To compare the prevalence of depression within the elderly Quebec population residing in rural areas, urban areas and metropolitan Montreal, and to assess differences in the associations between social relationships and depression across these urban and rural settings. Data originate from the first wave of the ESA (Etude de Santé des Ainés) longitudinal study on mental health of community dwelling older persons aged over 65 (n = 2670). Depression, including major and minor depression, measured using a computer questionnaire; the ESA-Q developed by the research team and based on the DSM-IV criteria. Assessments of associations between depression and geographic area, informal social networks and community participation were estimated adjusting for demographic, socioeconomic and health characteristics. The prevalence of depression was higher in rural (17%) and urban areas (15.1%) than in metropolitan Montreal (10.3%). The odds ratio of rural (OR = 2.01 95% CI 1.59-2.68) and urban (OR = 1.75; 95% CI 1.25-2.45) areas compared to the metropolitan area increased slightly after adjustment by all social and health covariates. Our study indicated that social support and the lack of conflict in intimate relationships were associated with lower prevalence of depression in all areas. Geographic differences in depression exist within the elderly population in Quebec that may generate significant impact on their health and functional abilities. Further research should be conducted to explain these differences. Copyright 2009 John Wiley & Sons, Ltd.

The national trajectory project of individuals found not criminally responsible on account of mental disorder in Canada. Part 4: criminal recidivism.

PubMed

Charette, Yanick; Crocker, Anne G; Seto, Michael C; Salem, Leila; Nicholls, Tonia L; Caulet, Malijai

2015-03-01

To examine criminal recidivism rates of a large sample of people found not criminally responsible on account of mental disorder (NCRMD) in Canada's 3 most populous provinces, British Columbia, Ontario, and Quebec. Public concern about the dangerousness of people found NCRMD has been fed by media attention on high-profile cases. However, little research is available on the rate of reoffending among people found NCRMD across Canadian provinces. Using data from the National Trajectory Project, this study examined 1800 men and women in British Columbia (n = 222), Ontario (n = 484), and Quebec (n = 1094) who were found NCRMD between May 2000 and April 2005 and followed until December 2008. Recidivism was relatively low after 3 years (17%). There were interprovincial differences after controlling for number of prior criminal offences, diagnosis, seriousness of the index offence, and supervision by the review boards. British Columbia (10%) and Ontario (9%) were similar, whereas Quebec had almost twice the recidivism (22%). People who had committed severe violent index offences were less likely to reoffend than those who had committed less severe offences. People from the sample were less likely to reoffend when under the purview of review boards, across all 3 provinces. The results of this study, along with other research on processing differences, suggest systemic differences in the trajectories and outcomes of persons found NCRMD need to be better understood to guide national policies and practices.

The National Trajectory Project of Individuals Found Not Criminally Responsible on Account of Mental Disorder in Canada. Part 4: Criminal Recidivism

PubMed Central

Charette, Yanick; Crocker, Anne G; Seto, Michael C; Salem, Leila; Nicholls, Tonia L; Caulet, Malijai

2015-01-01

Objective: To examine criminal recidivism rates of a large sample of people found not criminally responsible on account of mental disorder (NCRMD) in Canada’s 3 most populous provinces, British Columbia, Ontario, and Quebec. Public concern about the dangerousness of people found NCRMD has been fed by media attention on high-profile cases. However, little research is available on the rate of reoffending among people found NCRMD across Canadian provinces. Method: Using data from the National Trajectory Project, this study examined 1800 men and women in British Columbia (n = 222), Ontario (n = 484), and Quebec (n = 1094) who were found NCRMD between May 2000 and April 2005 and followed until December 2008. Results: Recidivism was relatively low after 3 years (17%). There were interprovincial differences after controlling for number of prior criminal offences, diagnosis, seriousness of the index offence, and supervision by the review boards. British Columbia (10%) and Ontario (9%) were similar, whereas Quebec had almost twice the recidivism (22%). People who had committed severe violent index offences were less likely to reoffend than those who had committed less severe offences. People from the sample were less likely to reoffend when under the purview of review boards, across all 3 provinces. Conclusion: The results of this study, along with other research on processing differences, suggest systemic differences in the trajectories and outcomes of persons found NCRMD need to be better understood to guide national policies and practices. PMID:25886688

Implementing Key Strategies for Successful Network Integration in the Quebec Substance-Use Disorders Programme

PubMed Central

Perreault, Michel; Grenier, Guy; Imboua, Armelle; Brochu, Serge

2016-01-01

Background: Fragmentation and lack of coordination often occur among organisations offering treatment for individuals with substance-use disorders. Better integration from a system perspective within a network of organisations offering substance-use disorder services can be developed using various integration strategies at the administrative and clinical levels. This study aims to identify integration strategies implemented in Quebec substance-use disorder networks and to assess their strengths and limitations. Methods: A total of 105 stakeholders representing two regions and four local substance-use disorder networks participated in focus groups or individual interviews. Thematic qualitative and descriptive quantitative analyses were conducted. Results: Six types of service integration strategies have been implemented to varying degrees in substance-use disorder networks. They are: 1) coordination activities-governance, 2) primary-care consolidation models, 3) information and monitoring management tools, 4) service coordination strategies, 5) clinical evaluation tools and 6) training activities. Conclusion: Important investments have been made in Quebec for the training and assessment of individuals with substance-use disorders, particularly in terms of support for emergency room liaison teams and the introduction of standardised clinical evaluation tools. However, the development of integration strategies was insufficient to ensure the implementation of successful networks. Planning, consolidation of primary care for substance-use disorders and systematic implementation of various clinical and administrative integration strategies are needed in order to ensure a better continuum of care for individuals with substance-use disorders. PMID:27616951

[Fighting cholera in shanty-town. Successful experience of a Quebec project adapted to Peru].

PubMed

Fréchette, L; Peralta, M

1994-12-01

Originally designed in Quebec, the MOI project was a collaboration between two professors of social work from Quebec and two members of the Peruvian NGO called SUR in Villa de Salvador, one of poorest slum areas on the outskirts of Lima. The approach is founded on the notion that the body is the primary instrument through which a person can interact with the world around him or her, and that the physical and mental health of an individual exists within the context of healthy conditions of life that must include at least a basic social and health infrastructure as well as healthy hygiene practices on the part of individuals, families and the local community. Preschool children (ages 4-6), study a different part of the body and its proper care each week through classroom observation games. Parents' help is requested to modify unhealthy conditions, at the same time to enrich the children's experience and to mobilize the community to improve health conditions. During the 1991 cholera epidemic, not a single case was counted in the experimental district, despite its clearly socio-economically impoverished status, and despite the fact that the Ministry of Health recorded 86,650 cases in the Lima-Callao district, accounting for about 40% of the total number of cases in the Peru. The prior work made it easier to explain how cholera is spread and what special new measures needed to be taken in addition to the hygiene habits already taught.(ABSTRACT TRUNCATED AT 250 WORDS)

UAVSAR Radar Imagery of Boreal Forests Around Quebec City, Canada

NASA Image and Video Library

2009-09-01

JPL Uninhabited Aerial Vehicle Synthetic Aperture Radar collected this composite radar image around Québec City, Canada, during an 11-day campaign to study the structure of temperate and boreal forests.

Regionalisms, Nationalisms, and the Canadian State.

ERIC Educational Resources Information Center

Knight, David B.

1984-01-01

Concentrating on events in Canada during the last ten years, this article discusses the Quebec separatist movement and other strong regionalisms in Canada. Important processes involved with conflict and compromise within the Canadian state are examined. (RM)

133. NORTH PLANT SCRUBBER SYSTEM FOR GB MANUFACTURING PLANT. VIEW ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

133. NORTH PLANT SCRUBBER SYSTEM FOR GB MANUFACTURING PLANT. VIEW TO WEST. - Rocky Mountain Arsenal, Bounded by Ninety-sixth Avenue & Fifty-sixth Avenue, Buckley Road, Quebec Street & Colorado Highway 2, Commerce City, Adams County, CO

47. PROCESS PIPING AT SOUTH EDGE OF SOUTH PLANT. VIEW ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

47. PROCESS PIPING AT SOUTH EDGE OF SOUTH PLANT. VIEW TO NORTHEAST. - Rocky Mountain Arsenal, Bounded by Ninety-sixth Avenue & Fifty-sixth Avenue, Buckley Road, Quebec Street & Colorado Highway 2, Commerce City, Adams County, CO

Les entreprises commerciales (Commercial Enterprises).

ERIC Educational Resources Information Center

Schwab, Wallace

1979-01-01

Examines the legal concept of "corporate body" in French and English law, as well as that of the "company," the "corporation," and the "society"; and discusses the manifestations of a dual legal heritage in commercial enterprises in Quebec. (AM)

Cost-effectiveness of midwifery services vs. medical services in Quebec. LEquipe dEvaluation des Projets-Pilotes Sages-Femmes.

PubMed

Reinharz, D; Blais, R; Fraser, W D; Contandriopoulos, A P

2000-01-01

This study compared the cost-effectiveness of midwife services provided in birth centres operating as pilot projects with current hospital-based medical services in the province of Quebec. One thousand midwives' clients were matched with 1,000 physicians' clients on the basis of socio-demographic characteristics and obstetrical risk. Direct costs for the prenatal, intrapartum and postpartum periods were estimated. Effectiveness was assessed on the basis of three clinical indicators and four indices related to the individualization of care as assessed by women. Results show that the costs of midwife services were barely lower than or equal to those of physician services, but cost-effectiveness ratios were to the advantage of the midwife group, except for one clinical indicator (neonatal ventilation). Overall, this study provides rational support for the process of legalizing midwifery in the province.

[Work and mental health: risk groups].

PubMed

Vézina, M; Gingras, S

1996-01-01

Analysis of the Quebec Health survey identified those Quebec industrial sectors and professions in which workers are at risk of higher psychological distress and lower psychological well-being. Risk levels were measured by odds ratio, controlling for: health status, sex, social support and stressful life events. Results show that those at risk are blue collar workers and less qualified workers of traditional sectors. Lower job latitude could explain those results. Results show that risk of mental health problems is significantly higher in the following industrial sectors: leather, chemicals, paint and varnish industries; urban bus transport and taxi; shoe, clothing and textile retail stores; department stores; restaurant services; insurance and public administration (excluding defence). Risk of mental health problems is higher in the following professions road transport (excluding truck drivers); textile, leather, fur manufacturing and repairing; housekeeping and maintenance; painters, tapestry-workers, insulation and waterproofing, food and beverages sector; data processors; editors and university professors.

Toxins and tradition: the impact of food-chain contamination on the Inuit of northern Quebec.

PubMed Central

Wormworth, J

1995-01-01

The dependence of Quebec Inuit on their traditional diet, known as "country food," is complicated by the presence of toxins in the northern food chain. Dr. Eric Dewailly's unexpected finding of high levels of polychlorinated biphenyls (PCBs) in Inuit women's breast milk prompted years of research into this troubling public health issue. In his recent study of heavy-metal contaminants Dewailly found that mercury and organic chlorine compounds such as PCBs were the major toxins in Inuit blood samples. Although not present at levels high enough to endanger adults, these contaminants may have adverse developmental effects on fetuses and breast-fed infants. Although country food is a major source of contaminants, it contains important nutrients that counter some of the toxic effects. Dewailly's research indicates that the nutritional, economic and cultural benefits of country food far outweigh the risks. Images p1238-a PMID:7736374

AmeriFlux CA-Qcu Quebec - Eastern Boreal, Black Spruce/Jack Pine Cutover

DOE Data Explorer

Margolis, Hank A. [Université Laval

2016-01-01

This is the AmeriFlux version of the carbon flux data for the site CA-Qcu Quebec - Eastern Boreal, Black Spruce/Jack Pine Cutover. Site Description - The ground is gently rolling with a weak slope (<5%). In mesic areas (designated as well to moderately well drained areas, according to the Canadian System of Soil Classification (Agriculture Canada Expert Committee on Soil Survey, 1983)), the soil is a ferro-humic to humic podzol covered by an organic layer having an average depth of 26 cm (Fig. 1). In humid areas, the soil is organic (imperfectly to poorly drained) with an average organic layer of 125 cm. Mesic areas accounted for approximately 75% of the total surface area of the footprint and humid areas accounted for 25%. Full-time continuous measurements eneded in 2011. Intermittent measurements are on-going as resources permit.

[Relations between maternal food practices and diet of preschool age Quebec children].

PubMed

Dulude, Geneviève; Marquis, Marie

2013-01-01

The goal of this study is to examine the relationships between mothers' food practices and the diets of their preschool children. Daycare facilities on the Island of Montréal recruited 122 mothers to complete a self-administered questionnaire that addressed the impact of parents' food practices on their children's diets, particularly the frequency of intake and food preferences. Correlations were observed between three maternal food practices--restrictions, pressure to eat and food reward--and children's eating behaviour. These three practices correlated with less desirable eating behaviours in children. This study suggests that in Quebec, mothers' food practices have a direct impact on the food practices of their children. Mothers must therefore be informed about the counterproductive nature of some food practices and given tools to develop healthier food strategies by focusing on children's appetites and emphasizing the pleasure of eating.

The law and ethics in relation to dentists treating HIV-positive patients: two recent court cases.

PubMed

Graham, P E; Miller, N M; Harel-Raviv, M

1995-06-01

Two recent Canadian judgements regarding the application of human rights legislation to dentistry and HIV-seropositive patients are summarized and discussed. In the Ontario case of Jerome v. DeMarco, the Ontario Human Rights tribunal found that seropositivity constitutes a "handicap" under human rights legislation. However, the tribunal dismissed the claim by a seropositive patient that he had been illegally discriminated against by a dentist who, on learning the patient was seropositive, delayed treating him until the end of the day. This decision served as a precedent in the lengthy Quebec small claims court judgment of Hamel v. Malaxos. In this case, the dentist was held to have violated Quebec human rights legislation by trying to refer an HIV-seropositive patient to a hospital treatment centre rather than performing the appropriate dental treatment himself. Court judgments regarding this problem are reported and discussed.

Sporadic Legionnaires' disease: the role of domestic electric hot-water tanks.

PubMed

Dufresne, S F; Locas, M C; Duchesne, A; Restieri, C; Ismaïl, J; Lefebvre, B; Labbé, A C; Dion, R; Plante, M; Laverdière, M

2012-01-01

Sporadic community-acquired legionellosis (SCAL) can be acquired through contaminated aerosols from residential potable water. Electricity-dependent hot-water tanks are widely used in the province of Quebec (Canada) and have been shown to be frequently contaminated with Legionella spp. We prospectively investigated the homes of culture-proven SCAL patients from Quebec in order to establish the proportion of patients whose domestic potable hot-water system was contaminated with the same Legionella isolate that caused their pneumonia. Water samples were collected in each patient's home. Environmental and clinical isolates were compared using pulsed-field gel electrophoresis. Thirty-six patients were enrolled into the study. Legionella was recovered in 12/36 (33%) homes. The residential and clinical isolates were found to be microbiologically related in 5/36 (14%) patients. Contaminated electricity-heated domestic hot-water systems contribute to the acquisition of SCAL. The proportion is similar to previous reports, but may be underestimated.

Shrub communities as inhibitors of plant succession in southern Quebec

NASA Astrophysics Data System (ADS)

Meilleur, Alain; Véronneau, Hélène; Bouchard, André

1994-11-01

The purpose of our research was to identify shrub species growing in southern Quebec that inhibit ecological succession in power-line corridors. Results are presented in three parts. First, clonal characteristics that allowed the establishment of stable communities were identified. Second, successional vector analysis identified those species that have the potential to inhibit succession. In poorly drained sites those species were Cornus stolonifera, C. obliqua, Salix petiolaris, and Spiraea alba. In well-drained sites, those species were Zanthoxylum americanum, Rubus idaeus, Spiraea alba, Rhus typhina, and Thuja occidentalis. Third, analysis of variance showed that there is a significantly larger number of tree seedlings found in adjacent herbaceous communities than found under the dense cover of Cornus stolonifera, C. obliqua, Salix petiolaris, Spiraea alba, Rhus typhina, Rubus idaeus, Thuya occidentalis, and Zanthoxylum americanum. These results indicate that the planting of selected shrub species could, through biological control, delay reforestation.

Linguistic Minorities in Canada and Health

PubMed Central

Bouchard, Louise; Desmeules, Martin

2013-01-01

Official language minorities (Francophones outside of Quebec and Anglophones in Quebec) make up about 6.4% of the Canadian population. Even though the Canadian constitution gives legal equality status to French and English, there is still room to ask if this equality is maintained in the health sector. In other words, do Francophone and Anglophone communities of Canada have the same health profiles regardless of their minority or majority status? Do they have access to the same health services and in the same conditions? The objective of this paper is to identify the health issues associated with belonging to a linguistic minority. Our research allows us to highlight the social and health disparities that can be attributed to belonging to a minority. In the Canadian context, which has two official languages, an equitable health policy will have to take into consideration language as a determinant of health. PMID:24289938

[Linguistic minorities in Canada and health].

PubMed

Bouchard, Louise; Desmeules, Martin

2013-10-01

Official language minorities (Francophones outside of Quebec and Anglophones in Quebec) make up about 6.4% of the Canadian population. Even though the Canadian constitution gives legal equality status to French and English, there is still room to ask if this equality is maintained in the health sector. In other words, do Francophone and Anglophone communities of Canada have the same health profiles regardless of their minority or majority status? Do they have access to the same health services and in the same conditions? The objective of this paper is to identify the health issues associated with belonging to a linguistic minority. Our research allows us to highlight the social and health disparities that can be attributed to belonging to a minority. In the Canadian context, which has two official languages, an equitable health policy will have to take into consideration language as a determinant of health. Copyright © 2013 Longwoods Publishing.

Coalition Priorité Cancer and the Pharmaceutical Industry in Quebec: Conflicts of Interest in the Reimbursement of Expensive Cancer Drugs?

PubMed Central

Hughes, David; Williams-Jones, Bryn

2013-01-01

In the context of scarce public resources, patient interest groups have increasingly turned to private organizations for financing, including the pharmaceutical industry. This practice puts advocacy groups in a situation of potential conflicts between the interests of patients and those of the drug companies. The interests of patients and industry can converge on issues related to the approval and reimbursement of medications. But even on this issue, interests do not always align perfectly. Using the Quebec example of Coalition Priorité Cancer (CPC) as a case study, we examine the ethical issues raised by such financial relationships in the context of drug reimbursement decision-making. We collected, compiled and analyzed publicly available information on the CPC's organization and activities; this approach allowed us to raise and discuss important questions regarding the possible influence exerted on patient groups by donors. We conclude with some recommendations. PMID:23968674

Participation in policy discourse: new form of exclusion for seniors with disabilities?

PubMed

Raymond, Émilie; Grenier, Amanda

2013-06-01

Recent discourses on aging emphasize the value of older people's social participation. How participation is defined in policy, however, may not correspond with seniors' realities. This article reports on the results of a critical discourse analysis conducted on aging policy in Quebec between 2005 and 2011. Results indicate that participation definitions can be problematic recommendations, standards, and expectations. Over time, participation increasingly came to be defined as productivity. The participation context also changed from collective responsibility to community adjustment and personal choice. Finally, policy texts reflected a polarization between activity and a loss of autonomy that linked participation with health status. Results suggest that, although innovative in the Canadian context, articulation of participation in Quebec's recent policies on aging lacks the politics from which to discuss difference, otherness, and access to participative opportunities. The case of older people's aging with disabilities illustrates the challenges of the new participatory agenda.

Quaternary geologic map of the Quebec 4 degrees x 6 degrees quadrangle, United States and Canada

USGS Publications Warehouse

State compilations by Borns, H. W.; Gadd, N.R.; LaSalle, Pierre; Martineau, Ghismond; Chauvin, Luc; Fulton, R.J.; Chapman, W.F.; Wagner, W.P.; Grant, D.R.; edited and integrated by Richmond, Gerald Martin; Fullerton, David S.

1987-01-01

The Quaternary Geologic Map of the Quebec 4? x 6? Quadrangle was mapped as part of the Quaternary Geologic Atlas of the United States. The atlas was begun as an effort to depict the areal distribution of surficial geologic deposits and other materials that accumulated or formed during the past 2+ million years, the period that includes all activities of the human species. These materials are at the surface of the Earth. They make up the 'ground' on which we walk, the 'dirt' in which we dig foundations, and the 'soil' in which we grow crops. Most of our human activity is related in one way or another to these surface materials that are referred to collectively by many geologists as regolith, the mantle of fragmental and generally unconsolidated material that overlies the bedrock foundation of the continent. The maps were compiled at 1:1,000,000 scale.

Utility of the Montreal assessment of need questionnaire for community mental health planning.

PubMed

Tremblay, Jacques; Bamvita, Jean-Marie; Grenier, Guy; Fleury, Marie-Josée

2014-09-01

Needs assessment facilitates mental health services planning, provision, and evaluation. This study aimed to (a) validate a new instrument, the Montreal Assessment of Needs Questionnaire (MANQ), and (b) use this to assess variations and predictors of need (number and seriousness) in 297 individuals with severe mental disorders for 18 months, during implementation of the Quebec Mental Health Action Plan. MANQ internal and external validations were adequate. Variables significantly associated with need number and seriousness variations were used to build multiple linear regression models. Autonomous housing, not receiving welfare, not having consulted a health educator, higher level of help from services, Alcohol Use Disorders Identification Test total score, and social support were associated with decreasing need number and seriousness over time. Having a higher education was also associated with decreasing need number. In a reform context, the MANQ's unique ability to detect rapid improvement in patient needs has usefulness for Quebec mental health planning.

Quebec platelet disorder: features, pathogenesis and treatment.

PubMed

Diamandis, Maria; Veljkovic, D Kika; Maurer-Spurej, Elisabeth; Rivard, Georges E; Hayward, Catherine P M

2008-03-01

Quebec platelet disorder (QPD) is a rare, autosomal-dominant, inherited bleeding disorder that is associated with unique abnormalities in fibrinolysis. Its hallmark features are delayed-onset bleeding following hemostatic challenges that responds to fibrinolytic inhibitor therapy and increased expression and storage of the fibrinolytic enzyme urokinase plasminogen activator in platelets, without increased plasma urokinase plasminogen activator or systemic fibrinolysis. The increased urokinase plasminogen activator in QPD platelets is only partially inhibited, and, as a result, there is intraplatelet generation of plasmin, and secondary degradation of many platelet alpha-granule proteins. During clot formation, the urokinase plasminogen activator released by QPD platelets leads to platelet-dependent increased fibrinolysis, and this is postulated to be a major contributor to QPD bleeding. The focus of the present review is to summarize the current state of knowledge on QPD, including the history of this disorder, its clinical and laboratory features, and recommended approaches for its diagnosis and treatment.

Physician, heal thyself

PubMed Central

Blais, Régis; Safianyk, Catherine; Magnan, Anne; Lapierre, André

2010-01-01

ABSTRACT OBJECTIVE To document the opinions of the users of the Quebec Physicians Health Program (QPHP) about the services they received. DESIGN Mailed questionnaire. SETTING Quebec. PARTICIPANTS A total of 126 physicians who used QPHP services between 1999 and 2004. MAIN OUTCOME MEASURES Users’ overall rating of the QPHP services, their opinions about the program, and whether their situations improved as a result of accessing QPHP services. RESULTS Ninety-two of the 126 physicians surveyed returned their completed questionnaires, providing a response rate of 73%. Most respondents thought that the QPHP services were good or excellent (90%), most would use the program again (86%) or recommend it (96%), and most thought the Quebec physician associations and the Collège des médecins du Québec should continue funding the QPHP (97%). Most respondents thought the service confidentiality was excellent (84%), as was staff professionalism (82%), and 62% thought the quality of the services they were referred to was excellent. However, only 57% believed their situations had improved with the help of the QPHP. CONCLUSION The QPHP received good marks from its users. Given the effects of physician burnout on patients and on the health care system, it is not only a personal problem, but also a collective problem. Thus, actions are needed not only to set up programs like the QPHP for those suffering from burnout, but also to prevent these types of problems. Because family physicians are likely to be the first ones consulted by their physician patients in distress, they play a key role in acknowledging these problems and referring those colleagues to the appropriate help programs when needed. PMID:20944027

Temporal trends of alcohol and drug use among Inuit of Northern Quebec, Canada

PubMed Central

Fortin, Marilyn; Bélanger, Richard E.; Boucher, Olivier; Muckle, Gina

2015-01-01

Background Alcohol and drug use is a serious health problem for many indigenous populations across Canada, including Inuit. The literature on substance use in these populations is too sparse to devise public health interventions. Objective The present article portrays alcohol and drug use among Inuit living in Nunavik (Northern Quebec) between the 1990s and 2000s, and identifies socio-demographic characteristics related to substance use. Design The Santé Québec Health Survey (1992) and the Nunavik Inuit Health Survey Qanuippitaa (2004) served as databases for this empirical work. Statistical comparisons were made of substance use variables in the 2 samples. Proportions were compared by chi-square tests (p≤0.05) with benchmarking of statistics for all of Quebec and, when available, all of Canada. Results Alcohol and drug use among Inuit increased significantly between 1992 and 2004, particularly among young adults. Alcohol users consumed significantly more alcohol per drinking episode than other Canadians in both time periods. Considerable cannabis use was widespread. In 2004, no significant differences in frequencies of heavy drinking episodes were observed by gender, with 60% of drug users consuming alcohol on a regular basis. Conclusions As in other populations from North America, this study profiles the increase in substance use among Inuit from Nunavik in the first part of the last 20 years. We observed distinct substance use patterns among them in comparison to other Canadians. Such findings, if replicated in the coming years, emphasize the need for major, culturally-relevant public health interventions in this population. PMID:26689846

Women in pediatrics: the experience in Quebec.

PubMed

St-Laurent-Gagnon, T; Duval, R C; Lippé, J; Côté-Boileau, T

1993-03-01

To compare the practice patterns of female pediatricians in Quebec with those of their male counterparts and to identify specific factors influencing these practice patterns. Matched cohort questionnaire survey. Primary, secondary and tertiary care pediatric practices in Quebec. All 146 female pediatricians and 133 of the 298 male pediatricians, matched for age as well as type and site of practice; 119 (82%) of the female and 115 (86%) of the male pediatricians responded. Demographic and family data as well as detailed information about the practice profile. The two groups were comparable regarding demographic data, professional work and patient care. Compared with the male respondents, the female pediatricians were younger and saw more outpatients. The mean number of hours worked per week, excluding on-call duty, was 40.5 (standard deviation [SD] 12.4) for the women and 48.9 (SD 12.0) for the men (p < 0.001). The female pediatricians were more likely than their male counterparts to have spouses who were also physicians (40%) or in another profession (45%). The female pediatricians without children worked significantly fewer hours than the male pediatricians with or without children (p < 0.001). Children (p = 0.006), but not the number of children (p = 0.452), had a significant effect on the number of hours worked by the female pediatricians. The duality of the role of female physicians as mothers and professional caregivers must be considered during workload evaluations. If the same style of practice and the increase in the proportion of female pediatricians continue, about 20% more pediatricians will be needed in 10 years to accomplish the same workload.

Temporal trends in prevalence, incidence, and mortality for rheumatoid arthritis in Quebec, Canada: a population-based study.

PubMed

Jean, Sonia; Hudson, Marie; Gamache, Philippe; Bessette, Louis; Fortin, Paul R; Boire, Gilles; Bernatsky, Sasha

2017-12-01

Health administrative data are a potentially efficient resource to conduct population-based research and surveillance, including trends in incidence and mortality over time. Our objective was to explore time trends in incidence and mortality for rheumatoid arthritis (RA), as well as estimating period prevalence. Our RA case definition was based on one or more hospitalizations with a RA diagnosis code, or three or more RA physician-billing codes, over 2 years, with at least one RA billing code by a rheumatologist, orthopedic surgeon, or internist. To identify incident cases, a "run-in" period of 5 years (1996-2000) was used to exclude prevalent cases. Crude age and sex-specific incidence rates were calculated (using data from 2001 to 2015), and sex-specific incidence rates were also standardized to the 2001 age structure of the Quebec population. We linked the RA cohort (both prevalent and incident patients) to the vital statistics registry, and standardized mortality rate ratios were generated. Negative binomial regression was used to test for linear change in standardized incidence rates and mortality ratios. The linear trends in standardized incidence rates did not show significant change over the study period. Mortality in RA was significantly higher than the general population and this remained true throughout the study period. Our prevalence estimate suggested 0.8% of the Quebec population may be affected by RA. RA incidence appeared relatively stable, and mortality was substantially higher in RA versus the general population and remained so over the study period. This suggests the need to optimize long-term RA outcomes.

Foods offered in Quebec school cafeterias: do they promote healthy eating habits? Results of a provincial survey.

PubMed

Morin, Pascale; Demers, Karine; Gray-Donald, Katherine; Mongeau, Lyne

2012-06-05

A school environment that encourages students to opt for food with sound nutritional value is both essential and formative in ensuring that young people adopt healthy eating habits. The aim of this paper is to describe the food offered for lunch in the cafeteria service lines in Quebec schools on regular school days. A cross-sectional survey was conducted between November 2008 and June 2009 with a representative sample of 207 French-speaking schools in the province of Quebec. The response rate was 71%. The cafeteria food available from the service line was observed directly and systematically by research assistants trained in observational procedures. Bivariate and descriptive analyses were performed. While most schools offered a vegetable side dish, only 71% of primary schools, 71% of public secondary schools, and 54% of private secondary schools did not offer cold-cut dishes, stuffed pastry, or a fried food on their daily menus. The sandwiches available were rarely made with whole-grain bread. Public secondary schools had more cookies, biscuits, muffins, and chewing gum than private primary and secondary schools. Milk was available in 85% of the primary schools. Most of the schools had eliminated sodas but were still offering fruit cocktails instead of 100% fruit juice. The school eating environment changed significantly from 2002 to 2009, presumably as a result of the government action plan and the Framework Policy. Improvements must be made with respect to reducing added sugar in beverages and desserts and promoting baked rather than fried snacks. Vigilance is required since many new products are making their way into the market.

Language and infant mortality in a large Canadian province.

PubMed

Auger, N; Bilodeau-Bertrand, M; Costopoulos, A

2016-10-01

Infant mortality in minority populations of Canada is poorly understood, despite evidence of ethnic inequality in other countries. We studied infant mortality in different linguistic groups of Quebec, and assessed how language and deprivation impacted rates over time. Population-level study of vital statistics data for 1,985,287 live births and 10,283 infant deaths reported in Quebec from 1989 through 2012. We computed infant mortality rates for French, English, and foreign languages according to level of material deprivation. Using Kitagawa's method, we evaluated the impact of changes in mortality rates, and population distribution of language groups, on infant mortality in the province. Infant mortality declined from 6.05 to 4.61 per 1000 between 1989-1994 and 2007-2012. Most of the decline was driven by Francophones who contributed 1.39 fewer deaths per 1000 births over time, and Anglophones of wealthy and middle socio-economic status who contributed 0.13 fewer deaths per 1000 births. The foreign language population and poor Anglophones contributed more births over time, including 0.08 and 0.02 more deaths per 1000 births, respectively. Mortality decreased for Francophones and Anglophones in each level of deprivation. Rates were lower for foreign languages, but increased over time, especially for the poor. Infant mortality rates decreased for Francophones and Anglophones in Quebec, but increased for foreign languages. Poor Anglophones and individuals of foreign languages contributed more births over time, and slowed the decrease in infant mortality. Language may be useful for identifying inequality in infant mortality in multicultural nations. Copyright © 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Characteristics of physicians and patients who join team-based primary care practices: evidence from Quebec's Family Medicine Groups.

PubMed

Coyle, Natalie; Strumpf, Erin; Fiset-Laniel, Julie; Tousignant, Pierre; Roy, Yves

2014-06-01

New models of delivering primary care are being implemented in various countries. In Quebec, Family Medicine Groups (FMGs) are a team-based approach to enhance access to, and coordination of, care. We examined whether physicians' and patients' characteristics predicted their participation in this new model of primary care. Using provincial administrative data, we created a population cohort of Quebec's vulnerable patients. We collected data before the advent of FMGs on patients' demographic characteristics, chronic illnesses and health service use, and their physicians' demographics, and practice characteristics. Multivariate regression was used to identify key predictors of joining a FMG among both patients and physicians. Patients who eventually enrolled in a FMG were more likely to be female, reside outside of an urban region, have a lower SES status, have diabetes and congestive heart failure, visit the emergency department for ambulatory sensitive conditions and be hospitalized for any cause. They were also less likely to have hypertension, visit an ambulatory clinic and have a usual provider of care. Physicians who joined a FMG were less likely to be located in urban locations, had fewer years in medical practice, saw more patients in hospital, and had patients with lower morbidity. Physicians' practice characteristics and patients' health status and health care service use were important predictors of joining a FMG. To avoid basing policy decisions on tenuous evidence, policymakers and researchers should account for differential selection into team-based primary health care models. Copyright © 2014. Published by Elsevier Ireland Ltd.

Prevalence and co-occurrence of violence against children in the Quebec population.

PubMed

Tourigny, Marc; Hébert, Martine; Joly, Jacques; Cyr, Mireille; Baril, Karine

2008-08-01

A literature review on the incidence of different forms of child maltreatment revealed that rates in Australia and Quebec (Canada) were similar. This study sought to determine the prevalence and co-occurrence of various forms of violence (physical, sexual and psychological) and explore gender and age difference. A telephone inquiry was conducted with a representative sample of 1,002 adults from the province of Quebec. More than one in three adults (37%) reported having experienced at least one of three forms of violence in childhood. Twelve per cent (12%) of the adults experienced two forms of violence while 4% of the respondents reported having experienced all three forms of violence in childhood. Psychological violence (22%) was the form most frequently reported, followed by physical violence (19%) and sexual violence (16%). The different prevalence rates did not vary as a function of age. However, regarding gender, women were more likely to report having been sexually victimised (rape and fondling) and less likely to report having experienced physical violence. A lower percentage of women reported having sustained no form of childhood victimisation and a higher percentage of women reported have experienced both sexual and psychological violence compared to men. These results, including both the global rates and those particular to each gender, are comparable to findings in similar North American studies. The co-occurrence rates noted are salient enough to necessitate particular attention to diverse clinical clientele and need to be considered in future research exploring the risk factors of violence and its subsequent repercussions.

Genetic variants of FTO influence adiposity, insulin sensitivity, leptin levels, and resting metabolic rate in the Quebec Family Study.

PubMed

Do, Ron; Bailey, Swneke D; Desbiens, Katia; Belisle, Alexandre; Montpetit, Alexandre; Bouchard, Claude; Pérusse, Louis; Vohl, Marie-Claude; Engert, James C

2008-04-01

A genome-wide association study conducted by the Wellcome Trust Case Control Consortium recently associated single nucleotide polymorphisms (SNPs) in the FTO (fatso/fat mass and obesity associated) gene with type 2 diabetes. These associations were shown to be mediated by obesity. Other research groups found similar results in Europeans and Hispanics but not African Americans. The mechanism by which FTO influences obesity and type 2 diabetes is currently unknown. The present study investigated the role of two FTO SNPs (rs17817449 and rs1421085) in adiposity, insulin sensitivity, and body weight regulation, including energy intake and expenditure. We genotyped 908 individuals from the Quebec City metropolitan area that participated in the Quebec Family Study, a long-term study of extensively phenotyped individuals designed to investigate factors involved in adiposity. We found significant associations for both SNPs with several obesity-related phenotypes. In particular, rs17817449 was associated with BMI (P = 0.0014), weight (P = 0.0059), and waist circumference (P = 0.0021) under an additive model. In addition, this FTO SNP influenced fasting insulin (P = 0.011), homeostasis model assessment of insulin resistance (P = 0.038), and an insulin sensitivity index derived from an oral glucose tolerance test (P = 0.0091). Associations were also found with resting metabolic rate (RMR) (P = 0.042) and plasma leptin levels (P = 0.036). Adjustment for BMI abolished the associations with insulin sensitivity, RMR, and plasma leptin levels. These results confirm that genetic variation at the FTO locus contributes to the etiology of obesity, insulin resistance, and increased plasma leptin levels.

Interest and applicability of acute care surgery among surgeons in Quebec: a provincial survey

PubMed Central

Joos, Émilie; Trottier, Vincent; Thauvette, Daniel

2013-01-01

Background Acute care surgery (ACS) comprises trauma and emergency surgery. The purpose of this new specialty is to involve trauma and nontrauma surgeons in the care of acutely ill patients with a surgical pathology. In Quebec, few acute care surgery services (ACSS) exist, and the concept is still poorly understood by most general surgeons. This survey was meant to determine the opinions and interest of Quebec general surgeons in this new model. Methods We created a bilingual electronic survey using a Web interface and sent it by email to all surgeons registered with the Association québécoise de chirurgie. A reminder was sent 2 weeks later to boost response rates. Results The response rate was 36.9%. Most respondents had academic practices, and 16% worked in level 1 trauma centres. Most respondents had a high operative case load, and 66% performed at least 10 urgent general surgical cases per month. Although most (88%) thought that ACS was an interesting field, only 45% were interested in participating in an ACSS. Respondents who deemed this concept least applicable to their practices were more likely to be working in nonacademic centres. Conclusion Despite a strong interest in emergency general surgery, few surgeons were interested in participating in an ACSS. This finding may be explained by lack of comprehension of this new model and by comfort with traditional practice. We aim to change this paradigm by demonstrating the feasibility and benefits of the new ACSS at our centre in a follow-up study. PMID:23883506

Association of paraoxonase gene cluster polymorphisms with ALS in France, Quebec, and Sweden.

PubMed

Valdmanis, P N; Kabashi, E; Dyck, A; Hince, P; Lee, J; Dion, P; D'Amour, M; Souchon, F; Bouchard, J-P; Salachas, F; Meininger, V; Andersen, P M; Camu, W; Dupré, N; Rouleau, G A

2008-08-12

The paraoxonase gene cluster on chromosome 7 comprising the PON1-3 genes is an attractive candidate for association in amyotrophic lateral sclerosis (ALS) given the role of paraoxonase genes during the response to oxidative stress and their contribution to the enzymatic break down of nerve toxins. Oxidative stress is considered one of the mechanisms involved in ALS pathogenesis. Evidence for this includes the fact that mutations of SOD1, which normally reduce the production of toxic superoxide anion, account for 12% to 23% of familial cases in ALS. In addition, PON variants were shown to be associated with susceptibility to ALS in several North American and European populations. We extended this analysis to examine 20 single nucleotide polymorphisms (SNPs) across the PON gene cluster in a set of patients from France (480 cases, 475 controls), Quebec (159 cases, 95 controls), and Sweden (558 cases, 506 controls). Although individual SNPs were not considered associated on their own, a haplotype of SNPs at the C-terminal portion of PON2 that includes the PON2 C311S amino acid change was significant in the French (p value 0.0075) and Quebec (p value 0.026) populations as well as all three populations combined (p value 1.69 x 10(-6)). Stratification of the samples showed that this variation was pertinent to ALS susceptibility as a whole, and not to a particular subset of patients. These findings contribute to the increasing weight of evidence that genetic variants in the paraoxonase gene cluster are associated with amyotrophic lateral sclerosis.

New design of care: Assessment of an interdisciplinary orthopaedic clinic with a pivot nurse in the province of Quebec.

PubMed

Poder, Thomas G; Bellemare, Christian; Bédard, Suzanne K; He, Jie; Lemieux, Renald

2010-01-01

New designs of care in orthopaedic clinics are needed to cope with the shortage of orthopaedic surgeons and the lengthening of waiting times. To assess the effectiveness of an interdisciplinary orthopaedic clinic with a pivot nurse in the Canadian province of Quebec with regard to accessibility, quality of care, efficacy and efficiency of the clinic, and patient's quality of life. Two strategies were developed: (1) a selected cohort of new patients attending an orthopaedic service from February to September 2008 were entered into a database recording patient details, source of referral, diagnosis, satisfaction, and quality of life (36-Item Short Form Health Survey version 2). In this setting, 2 sets of questionnaires were administered to the patients: the first one during the first visit and the second one, 2 months later. A total of 243 patients from the case control were compared with 89 patients of the case study, where an interdisciplinary orthopaedic clinic with a pivot nurse has been developed; (2) costs per patient were calculated using the staff timesheets provided by the two orthopaedic clinics. The results showed a significant reduction in the waiting-list duration (accessibility) in the case study clinic owing to a strong decrease in the inappropriate consultations with the orthopaedic consultant. The quality of care remained high, and the target surgeries for total hip and knee replacement were reached, despite a strong shortage of orthopaedic doctors. Interdisciplinary orthopaedic clinic with a pivot nurse is a new approach in the province of Quebec and first results are encouraging.

Dispersal of Mycobacterium tuberculosis via the Canadian fur trade

PubMed Central

Pepperell, Caitlin S.; Granka, Julie M.; Alexander, David C.; Behr, Marcel A.; Chui, Linda; Gordon, Janet; Guthrie, Jennifer L.; Jamieson, Frances B.; Langlois-Klassen, Deanne; Long, Richard; Nguyen, Dao; Wobeser, Wendy; Feldman, Marcus W.

2011-01-01

Patterns of gene flow can have marked effects on the evolution of populations. To better understand the migration dynamics of Mycobacterium tuberculosis, we studied genetic data from European M. tuberculosis lineages currently circulating in Aboriginal and French Canadian communities. A single M. tuberculosis lineage, characterized by the DS6Quebec genomic deletion, is at highest frequency among Aboriginal populations in Ontario, Saskatchewan, and Alberta; this bacterial lineage is also dominant among tuberculosis (TB) cases in French Canadians resident in Quebec. Substantial contact between these human populations is limited to a specific historical era (1710–1870), during which individuals from these populations met to barter furs. Statistical analyses of extant M. tuberculosis minisatellite data are consistent with Quebec as a source population for M. tuberculosis gene flow into Aboriginal populations during the fur trade era. Historical and genetic analyses suggest that tiny M. tuberculosis populations persisted for ∼100 y among indigenous populations and subsequently expanded in the late 19th century after environmental changes favoring the pathogen. Our study suggests that spread of TB can occur by two asynchronous processes: (i) dispersal of M. tuberculosis by minimal numbers of human migrants, during which small pathogen populations are sustained by ongoing migration and slow disease dynamics, and (ii) expansion of the M. tuberculosis population facilitated by shifts in host ecology. If generalizable, these migration dynamics can help explain the low DNA sequence diversity observed among isolates of M. tuberculosis and the difficulties in global elimination of tuberculosis, as small, widely dispersed pathogen populations are difficult both to detect and to eradicate. PMID:21464295

78 FR 74126 - Combined Notice of Filings #1

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-10

... Installed Capacity Requirement, Hydro Quebec Interconnection Capability Credits and Related Values for the.... Take notice that the Commission received the following electric reliability filings: Docket Numbers: RR13-3-001. Applicants: North American Electric Reliability Corporation. Description: Compliance Filing...

47 CFR 87.285 - Scope of service.

Code of Federal Regulations, 2014 CFR

2014-10-01

.... Equipment must be designed so that it will engage in data link exchange only with the aircraft whose... obtained from the ICAO, Customer Services Unit, 999 University Street, Montréal, Quebec H3C 5H7, Canada, by...

A Pest of Importance

USDA-ARS?s Scientific Manuscript database

Potato cyst nematodes (PCN), G. rostochiensis and G. pallida, are internationally-recognized quarantine pests and considered the most devastating pests of potatoes worldwide. PCNs continue to spread throughout North America and were recently detected in Idaho (G. pallida) and Quebec and Alberta, Can...

Earth Observation

NASA Image and Video Library

2013-07-04

ISS036-E-015342 (4 July 2013) --- A number of Quebec, Canada wildfires southeast of James Bay were recorded as part of a series of photographs taken and downlinked to Earth on July 4 by the Expedition 36 crew members aboard the International Space Station.

Earth Observation

NASA Image and Video Library

2013-07-04

ISS036-E-015335 (4 July 2013) --- A number of Quebec, Canada wildfires southeast of James Bay were recorded as part of a series of photographs taken and downlinked to Earth on July 4 by the Expedition 36 crew members aboard the International Space Station.

ESL Magazine, 2000.

ERIC Educational Resources Information Center

Rosenthal, Marilyn, Ed.

2000-01-01

Issues in this volume include the following feature articles: "Grammar: Rules and Reasons Working Together" (Diane Larsen-Freeman); "TESOL Sets Sail for Vancouver" (Nancy Storer); "The Reading Lab: An Invitation to Read" (Jean Zukowski/Faust); "Quebec: A Unique North American ESL Teaching Experience"…

Mars Methane Analogue Mission (M3): Analytical Techniques and Operations

NASA Astrophysics Data System (ADS)

Cloutis, E.; Vrionis, H.; Qadi, A.; Bell, J. F.; Berard, G.; Boivin, A.; Ellery, A.; Jamroz, W.; Kruzelecky, R.; Mann, P.; Samson, C.; Stromberg, J.; Strong, K.; Tremblay, A.; Whyte, L.; Wing, B.

2011-03-01

The Mars Methane Analogue Mission (M3) project is designed to simulate a rover-based search for, and analysis of, methane sources on Mars at a serpentinite open pit mine in Quebec, using a variety of instruments.

March to Disaster: Major General Edward Braddock and the Monongahela Campaign

DTIC Science & Technology

2008-12-12

Origins of Braddock’s Leadership ................................................................................ 39  Diplomacy: Assemblies and Headmen...from the port of Brest . Approximately six French battalions were to bolster the defenses of Quebec and Louisburg. All Politics Are Local Figure 8

The impact of primary healthcare reform on equity of utilization of services in the province of Quebec: a 2003-2010 follow-up.

PubMed

Ouimet, Marie-Jo; Pineault, Raynald; Prud'homme, Alexandre; Provost, Sylvie; Fournier, Michel; Levesque, Jean-Frédéric

2015-11-30

In 2003, the Quebec government made important changes in its primary healthcare (PHC) system. This reform included the creation of new models of PHC, Family Medicine Groups (e.g. multidisciplinary health teams with extended opening hours and enrolment of patients) and Network Clinics (clinics providing access to investigation and specialist services). Considering that equity is one of the guiding principles of the Quebec health system, our objectives are to assess the impact of the PHC reform on equity by examining the association between socio-economic status (SES) and utilization of healthcare services between 2003 and 2010; and to determine how the organizational model of PHC facilities impacts utilization of services according to SES. We held population surveys in 2005 (n = 9206) and 2010 (n = 9180) in the two most populated regions of Quebec province, relating to utilization and experience of care during the preceding two years, as well as organizational surveys of all PHC facilities. We performed multiple logistical regression analyses comparing levels of SES for different utilization variables, controlling for morbidity and perceived health; we repeated the analyses, this time including type of PHC facility (older vs newer models). Compared with the lowest SES, highest SES is associated with less emergency room visits (OR 0.80) and higher likelihood of at least one visit to a PHC facility (OR 2.17), but lower likelihood of frequent visits to PHC (OR 0.69), and higher affiliation to a family doctor (OR 2.04). Differences remained stable between the 2005 and 2010 samples except for likelihood of visit to PHC source which deteriorated for the lowest SES. Greater improvement in affiliation to family doctor was seen for the lowest SES in older models of PHC organizations, but a deterioration was seen for that same group in newer models. Differences favoring the rich in affiliation to family doctor and likelihood of visit to PHC facility likely represent inequities in access to PHC which remained stable or deteriorated after the reform. New models of PHC organizations do not appear to have improved equity. We believe that an equity-focused approach is needed in order to address persisting inequities.

Amassing power in a northern landscape: J. B. Duke and the development of the Saguenay River, 1897-1927

NASA Astrophysics Data System (ADS)

Massell, David Perera

Beginning at the turn of the century, Chapter One reconstructs the process by which the Provincial Government of Quebec sold--individually, outright, and cheaply--the waterfalls and rapids strung out along the length of the Saguenay River. The small-scale Canadian power projects stalled, however, for want of capital or power customers in a remote North American region. A major shift in developmental scale ensues in Chapter Two as a Canadian who owned riparian rights, Thomas "Carbide" Willson, uncorks a genie of American capital in industrialist J. B. Duke. While Duke was invited to participate in the Saguenay's development as a third party, Chapter Three describes how the aggressive New York trader seizes the entire length of the river for his exclusive use. Chapter Four recounts the unexpectedly stiff resistance to the industrial plans of Duke's lieutenants by a young French-Canadian engineer named Arthur Amos, head of Quebec's newly established Hydraulic Service. Stymied in Quebec City, Duke nonetheless proves remarkably agile in the broader theater of multinational enterprise. As Chapter Five documents, Duke succeeds in rounding up an array of industrial power customers to justify the enormous cost of his dams, most notably Delaware-based explosives manufacturer E. I du Pont de Nemours Powder Company. Ultimately Du Pont gets cold feet, and Duke's giant electrochemical scheme collapses around him at the end of 1915. Only after 1920, in Chapter Six, is Duke able to proceed with his project in a changed political and business climate of the postwar period. Contemplating aluminum manufacture by his own company, in Chapter Seven, he attempts to procure the requisite supply of high grade bauxite. But he encounters ferocious competition for possession of the essential raw material. Choosing to merge rather than fight, Duke and Alcoa's President Arthur Vining Davis ally in 1925. Their deal sealed, the two businessmen send their Canadian lawyer to Quebec City to sidestep the remaining government protections against destructive flooding of the Saguenay-Lake St. John region. Without consultation with, or notification of, the area's farmers, the dam's gates are shut, the Saguenay's waters rise, and power flows to industries now gathering to set up shop in the shadow of the dam. (Abstract shortened by UMI.)

An at-site flood estimation method in the context of nonstationarity II. Statistical analysis of floods in Quebec

NASA Astrophysics Data System (ADS)

Gado, Tamer A.; Nguyen, Van-Thanh-Van

2016-04-01

This paper, the second of a two-part paper, investigates the nonstationary behaviour of flood peaks in Quebec (Canada) by analyzing the annual maximum flow series (AMS) available for the common 1966-2001 period from a network of 32 watersheds. Temporal trends in the mean of flood peaks were examined by the nonparametric Mann-Kendall test. The significance of the detected trends over the whole province is also assessed by a bootstrap test that preserves the cross-correlation structure of the network. Furthermore, The LM-NS method (introduced in the first part) is used to parametrically model the AMS, investigating its applicability to real data, to account for temporal trends in the moments of the time series. In this study two probability distributions (GEV & Gumbel) were selected to model four different types of time-varying moments of the historical time series considered, comprising eight competing models. The selected models are: two stationary models (GEV0 & Gumbel0), two nonstationary models in the mean as a linear function of time (GEV1 & Gumbel1), two nonstationary models in the mean as a parabolic function of time (GEV2 & Gumbel2), and two nonstationary models in the mean and the log standard deviation as linear functions of time (GEV11 & Gumbel11). The eight models were applied to flood data available for each watershed and their performance was compared to identify the best model for each location. The comparative methodology involves two phases: (1) a descriptive ability based on likelihood-based optimality criteria such as the Bayesian Information Criterion (BIC) and the deviance statistic; and (2) a predictive ability based on the residual bootstrap. According to the Mann-Kendall test and the LM-NS method, a quarter of the analyzed stations show significant trends in the AMS. All of the significant trends are negative, indicating decreasing flood magnitudes in Quebec. It was found that the LM-NS method could provide accurate flood estimates in the context of nonstationarity. The results have indicated the importance of taking into consideration the nonstationary behaviour of the flood series in order to improve the quality of flood estimation. The results also provided a general impression on the possible impacts of climate change on flood estimation in the Quebec province.

Utilization of non-steroidal anti-inflammatory drugs in Quebec: adherence to the Canadian consensus on prescription guidelines.

PubMed

Moride, Yola; Ducruet, Thierry; Boivin, Jean-François; Lavoie, Frédéric; Rochon, Sophie

2005-01-01

Adverse events associated with the use of non-steroidal anti-inflammatory drugs (NSAIDs) have led to the publication of Canadian prescription guidelines. Prescription practices following the publication of these guidelines and the introduction of COX-2 inhibitors in the Quebec formulary of reimbursed medications remain largely unexplored. To compare the prevalence of contra-indications and selected risk factors for NSAID-toxicity among COX-2 inhibitor users and non-selective NSAID users. A case-control analysis was conducted in a random sample of Quebec adult drug plan members who were treated with celecoxib (n=42,422 cases), rofecoxib (n=25,674 cases), full-dose (anti-inflammatory doses) of non-selective NSAIDs (n=9,673 cases), or low-dose NSAIDs (n=2,745 controls) in the year 2000. Data were obtained from the Quebec prescription and medical services databases (RAMQ). Patients with a history of gastropathy were more likely to be prescribed COX-2 inhibitors than low-dose NSAIDs; the odds ratios were 1.73 (95%CI: 1.56-1.91) and 1.49 (1.33-1.66), respectively for celecoxib and rofecoxib. Corresponding results for concomitant use of anticoagulants were 1.95 (1.34-2.83) for celecoxib and 1.87 (1.26-2.77) for rofecoxib, and for use of corticosteroids they were 1.29 (1.08-1.54) and 1.23 (1.01-1.49). Conversely, patients with the following characteristics were less likely to receive COX-2 inhibitors than low-dose non-selective NSAIDs: age 75+ (OR=0.64; 0.56-0.72 for celecoxib, OR=0.48; 0.76-0.99 for rofecoxib), hypertension (OR=0.83; 0.75-0.92 for celecoxib, OR=0.87; 0.77-0.97 for rofecoxib), and concomitant use of diuretics (OR=0.72; 0.63-0.82 for celecoxib; OR=0.77; 0.66-0.89 for rofecoxib). Patients with risk factors for NSAID gastropathy were more likely prescribed COX-2 inhibitors, while the presence of other contra-indications led to the prescription of low-dose non-selective NSAIDs. However, 12.7% of users of full-dose non-selective NSAIDs were age 75+ and 12.0% had a history of gastropathy, which are considered important risk factors for adverse events.

Cosmogenic 10Be Dating of Northern Quebec-Labrador Glacial Lake Shorelines and Drainage Deposits: Implications for the Final Meltwater Discharges of the Last Deglaciation

NASA Astrophysics Data System (ADS)

Roy, M.; Dube-Loubert, H.; Schaefer, J. M.; Hébert, S.

2017-12-01

The decay of the Laurentide ice sheet played an important role in the climate variability of the last deglaciation, notably through large discharges of meltwater from glacial lakes that disturbed the Atlantic meridional overturning oceanic circulation (AMOC). These former climate-forcing events are now under focus due to growing evidence showing that the present-day increase in freshwater releases from Greenland and other Arctic glaciers may potentially lead to a slowdown of the AMOC and cause important climate feedbacks. In northern Quebec and Labrador, the end of the deglaciation led to the formation of at least 10 important glacial lakes that drained into the nearby Labrador Sea where repeated meltwater discharges could have destabilized the ocean surface conditions in this key sector of the North Atlantic Ocean. Although the drainage of these ice-dammed lakes may form a good analogue for modern processes, the lack of direct constraints on the physiographic configuration and temporal evolution of these lakes limits our understanding of the timing and climate impact of these final meltwater pulses. Here we applied cosmogenic 10Be dating to raised boulder shorelines belonging to Lake Naskaupi, one of the largest glacial lakes in northern Quebec and Labrador. We reconstructed the lake extent and meltwater volume, as well as its lake-level history by systematic mapping of geomorphic features. We sampled a total of 16 boulders at 4 sites along the valley. In addition, we dated five boulders belonging to a large-scale outburst flood deposit recording the abrupt drainage of the lake. The distribution of the 21 ages shows a remarkable consistency, yielding a mean age of 7.8 ± 0.4 ka (1 outlier excluded). The ages from the shorelines are indistinguishable from those of the outburst flood deposit, suggesting that Lake Naskaupi existed for a relatively short time span. These new chronological data constrain the timing of the lake development and attendant drainage, thereby allowing this meltwater discharge to be placed confidently into the North Atlantic deglaciation framework. Further applications of our novel approach to the other glacial lakes of northern Quebec and Labrador should improve our understanding of the history of meltwater discharges of the late deglaciation and their potential role in past climate excursions.

Summer outdoor temperature and occupational heat-related illnesses in Quebec (Canada)

DOE Office of Scientific and Technical Information (OSTI.GOV)

Adam-Poupart, Ariane; Smargiassi, Audrey; Institut national de santé publique du Québec

2014-10-15

Background: Predicted rise in global mean temperature and intensification of heat waves associated with climate change present an increasing challenge for occupational health and safety. Although important scientific knowledge has been gathered on the health effects of heat, very few studies have focused on quantifying the association between outdoor heat and mortality or morbidity among workers. Objective: To quantify the association between occupational heat-related illnesses and exposure to summer outdoor temperatures. Methods: We modeled 259 heat-related illnesses compensated by the Workers' Compensation Board of Quebec between May and September, from 1998 to 2010, with maximum daily summer outdoor temperatures inmore » 16 health regions of Quebec (Canada) using generalized linear models with negative binomial distributions, and estimated the pooled effect sizes for all regions combined, by sex and age groups, and for different time lags with random-effect models for meta-analyses. Results: The mean daily compensation count was 0.13 for all regions of Quebec combined. The relationship between daily counts of compensations and maximum daily temperatures was log-linear; the pooled incidence rate ratio (IRR) of daily heat-related compensations per 1 °C increase in daily maximum temperatures was 1.419 (95% CI 1.326 to 1.520). Associations were similar for men and women and by age groups. Increases in daily maximum temperatures at lags 1 and 2 and for two and three-day lag averages were also associated with increases in daily counts of compensations (IRRs of 1.206 to 1.471 for every 1 °C increase in temperature). Conclusion: This study is the first to quantify the association between occupational heat-related illnesses and exposure to summer temperatures in Canada. The model (risk function) developed in this study could be useful to improve the assessment of future impacts of predicted summer outdoor temperatures on workers and vulnerable groups, particularly in colder temperate zones. - Highlights: • 259 heat-related compensated illnesses were modeled with ambient temperature • An overall risk ratio of 1.419 (95% CI 1.326–1.520) for every 1 °C increase was found • Risk estimates were similar for men and women and by large age groups. • There were little lag effects (IRRs of 1.206 to 1.471 for every 1 °C increase)« less

Les cooperatives et l'electrification rurale du Quebec, 1945--1964

NASA Astrophysics Data System (ADS)

Dorion, Marie-Josee

Cette these est consacree a l'histoire de l'electrification rurale du Quebec, et, plus particulierement, a l'histoire des cooperatives d'electricite. Fondees par vagues successives a partir de 1945, les cooperatives rurales d'electricite ont ete actives dans plusieurs regions du Quebec et elles ont electrifie une partie significative des zones rurales. Afin de comprendre le contexte de la creation des cooperatives d'electricite, notre these debute (premiere partie) par une analyse du climat sociopolitique des annees precedant la naissance du systeme cooperatif d'electrification rurale. Nous y voyons de quelle facon l'electrification rurale devient progressivement, a partir de la fin des annees 1920, une question d'actualite a laquelle les divers gouvernements qui se succedent tentent de trouver une solution, sans engager---ou si peu---les fonds de l'Etat. En ce sens, la premiere etatisation et la mise sur pied d'Hydro-Quebec, en 1944, marquent une rupture quant au mode d'action privilegie jusque-la. La nouvelle societe d'Etat se voit cependant retirer son mandat d'electrifier le monde rural un an apres sa fondation, car le gouvernement Duplessis, de retour au pouvoir, prefere mettre en place son propre modele d'electrification rurale. Ce systeme repose sur des cooperatives d'electricite, soutenues par un organisme public, l'Office de l'electrification rurale (OER). L'OER suscite de grandes attentes de la part des ruraux et c'est par centaines qu'ils se manifestent. Cet engouement pour les cooperatives complique la tache de l'OER, qui doit superviser de nouvelles societes tout en assurant sa propre organisation. Malgre des hesitations et quelques delais introduits par un manque de connaissances techniques et de personnel qualifie, les commissaires de l'OER se revelent perspicaces et parviennent a mettre sur pied un systeme cooperatif d'electrification rurale qui produit des resultats rapides. Il leur faudra cependant compter sur l'aide des autres acteurs engages dans l'electrification, les organismes publics et les compagnies privees d'electricite. Cette periode de demarrage et d'organisation, traitee dans la deuxieme partie de la these, se termine en 1947-48, au moment ou l'OER et les cooperatives raffermissent leur maitrise du systeme cooperatif d'electrification rurale. Les annees 1948 a 1955 (troisieme partie de these) correspondent a une periode de croissance pour le mouvement cooperatif. Cette partie scrute ainsi le developpement des cooperatives, les vastes chantiers de construction et l'injection de millions de dollars dans l'electrification rurale. Cette troisieme partie prend egalement acte des premiers signes que quelque chose ne va pas si bien dans le monde cooperatif. Nous y verrons egalement les ruraux a l'oeuvre: comme membres, d'abord, mais aussi en tant que benevoles, puis a l'emploi des cooperatives. La quatrieme et derniere partie, les annees 1956 a 1964, aborde les changements majeurs qui ont cours dans l'univers cooperatif; il s'agit d'une ere nouvelle et difficile pour le mouvement cooperatif, dont les reseaux paraissent inadaptes aux changements de profil de la consommation d'electricite des usagers. L'OER sent alors le besoin de raffermir son controle des cooperatives, car il pressent les problemes et les defis auxquels elles auront a faire face. Notre etude se termine par l'acquisition des cooperatives par Hydro-Quebec, en 1963-64. Fondee sur des sources riches et variees, notre demarche propose un eclairage inedit sur une dimension importante de l'histoire de l'electricite au Quebec. Elle permet, ce faisant, de saisir les rouages et l'action de l'Etat sous un angle particulier, avant sa profonde transformation amorcee au cours des annees 1960. De meme, elle apporte quelques cles nouvelles pour une meilleure comprehension de la dynamique des milieux ruraux de cette periode.

Stereo Pair, with Topographic Height as Color, Manicouagan Crater, Quebec, Canada

NASA Image and Video Library

2003-03-27

Manicouagan Crater is one of the world largest and oldest known impact craters and perhaps the one most readily apparent to astronauts in orbit. The age of the impact is estimated at 214 million years before present.

Opening remarks of session moderator

Treesearch

Perry J. Brown

1999-01-01

It is a pleasure to be in Quebec City to learn about this very important topic of managing research. We have an interesting panel to share ideas about managing science. They will talk about: Research Priorities; Goals and Objectives; Managing Human Resources; Evaluating Research.

Forestry Across Borders: Proceedings of the New England Society of American Foresters 84th Winter Meeting

Treesearch

Jeffrey S. Ward; Mark J., eds. Twery

2004-01-01

Contains 19 short papers and abstracts presented at the 84th annual winter meeting of the New England Society of American Foresters, Forestry Across Borders, in Quebec City, Canada, March 23-26, 2004.

Earth Observation

NASA Image and Video Library

2013-07-04

ISS036-E-015355 (4 July 2013) --- A number of Quebec, Canada wildfires near the Manicouagan Reservoir (seen at bottom center) were recorded in a series of photographs taken and downlinked to Earth on July 4 by the Expedition 36 crew members aboard the International Space Station.

14 CFR 91.703 - Operations of civil aircraft of U.S. registry outside of the United States.

Code of Federal Regulations, 2011 CFR

2011-01-01

... International Civil Aviation Organization (Attention: Distribution Officer), P.O. Box 400, Succursale, Place de L'Aviation Internationale, 1000 Sherbrooke Street West, Montreal, Quebec, Canada H3A 2R2. [Doc. No...

A Turbulent Year.

ERIC Educational Resources Information Center

McDowell, Stirling

1984-01-01

Issues discussed include Prime Minister Pierre Trudeau's impending retirement, high unemployment, the Quebec separatist movement, the dual language question in Manitoba and Western Canada, labor strife in British Columbia, the effects of the national economic recession on children, and Canadian hopes for the future. (JBM)

119. NORTH PLANT GB WAREHOUSE (BUILDING 1607), WITH DISCHARGED TON ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

119. NORTH PLANT GB WAREHOUSE (BUILDING 1607), WITH DISCHARGED TON CONTAINERS IN FOREGROUND. VIEW TO SOUTHEAST. - Rocky Mountain Arsenal, Bounded by Ninety-sixth Avenue & Fifty-sixth Avenue, Buckley Road, Quebec Street & Colorado Highway 2, Commerce City, Adams County, CO

Understanding Government and Railroad Strategy for Crude Oil Transportation in North America

DOT National Transportation Integrated Search

2015-09-20

On July 6, 2013, an oil-laden unit train derailed and exploded in Lac-Mgantic, Quebec, Canada, killing 47 people, shocking and saddening many, and leading to significantly increased public scrutiny of crude oil transported by rail. Simultaneously, ...

s09-48-3139

NASA Image and Video Library

2009-06-25

STS009-48-3139 (28 Nov-8 Dec 1983) --- Canada (Quebec) the contrast between forest, water, and snow make the Manicouagane impact formation stand out. Location: 150 miles (250 Km) NNW of Sept Iles or 500 miles (800 Km) NNE of Montreal on the Canadian Shield.

52. SOUTH PLANT PROCESS PIPING OVERHEAD RACK, WITH SHELL OIL ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

52. SOUTH PLANT PROCESS PIPING OVERHEAD RACK, WITH SHELL OIL COMPANY FACILITIES IN BACKGROUND. VIEW TO SOUTHEAST. - Rocky Mountain Arsenal, Bounded by Ninety-sixth Avenue & Fifty-sixth Avenue, Buckley Road, Quebec Street & Colorado Highway 2, Commerce City, Adams County, CO

From Quebec to Tokyo: Perspectives on TQM.

ERIC Educational Resources Information Center

Desjardins, Claude; Obara, Yoshiaki

1993-01-01

In a letter to a Japanese university president, a French-Canadian educational administration student ponders the fundamental contradictions between the authoritarian, hierarchical Japanese education system and the Total Quality Management principles driving Japanese industry. The university president's reply explains how de-individualization,…

Earth Observation

NASA Image and Video Library

2013-07-04

ISS036-E-015354 (4 July 2013) --- A number of Quebec, Canada wildfires near the Manicouagan Reservoir (seen at lower left) were recorded as part of a series of photographs taken and downlinked to Earth on July 4 by the Expedition 36 crew members aboard the International Space Station.

Suicidal Thoughts among Adolescents: An Intercultural Approach.

ERIC Educational Resources Information Center

Choquet, Marie; And Others

1993-01-01

Conducted two epidemiological surveys of suicidal ideation among adolescents in France and Quebec. Results suggest that, in both France and Canada, suicidal ideation was linked to drug use (especially tobacco, illicit drugs, and psychotropic medicine), nonspecific somatic complaints (especially tiredness, sleep difficulties, depression, and…

Alpha 90. Current Research in Literacy.

ERIC Educational Resources Information Center

Hautecoeur, Jean-Paul, Ed.

This publication contains 21 reports that explore and document literacy. Following an introduction (Jean-Paul Hautecoeur), the first part deals with literacy in North America. Reports are "Functional Illiteracy and the 'New Literacy'" (Jean-Pierre Velis); "Literacy Policy in Quebec: An Historical Overview" (Jean-Paul…

AGE-RELATED, MULTIPLE-SYSTEM EFFECTS FROM ENVIRONMENTAL EXPOSURE TO AIRBORNE MANGANESE (MN)

EPA Science Inventory

Past research has tentatively associated excessive manganese (Mn) exposure with Parkinson-like effects in older adults, violent and aggressive behavior in young adults, and learning and neurobehavioral deficits in elementary school children. Our recent EPA/University of Quebec at...

Rates of stillbirth by gestational age and cause in Inuit and First Nations populations in Quebec.

PubMed

Auger, Nathalie; Park, Alison L; Zoungrana, Hamado; McHugh, Nancy Gros-Louis; Luo, Zhong-Cheng

2013-04-02

Inuit and First Nations populations have higher rates of stillbirth than non-Aboriginal populations in Canada do, but little is known about the timing and cause of stillbirth in Aboriginal populations. We compared gestational age- and cause-specific stillbirth rates in Inuit and First Nations populations with the rates in the non-Aboriginal population in Quebec. Data included singleton stillbirths and live births at 24 or more gestational weeks among Quebec residents from 1981 to 2009. We calculated odds ratios (ORs), rate differences and 95% confidence intervals (CIs) for the retrospective cohort of Inuit and First Nations births relative to non-Aboriginal births using fetuses at risk (i.e., ongoing pregnancies) as denominators and adjusting for maternal characteristics. The main outcomes were stillbirth by gestational age (24-27, 28-36, ≥ 37 wk) and cause of death. Rates of stillbirth per 1000 births were greater among Inuit (6.8) and First Nations (5.7) than among non-Aboriginal (3.6) residents. Relative to the non-Aboriginal population, the risk of stillbirth was greater at term (≥ 37 wk) than before term for both Inuit (OR 3.1, 95% CI 1.9 to 4.8) and First Nations (OR 2.6, 95% CI 2.1 to 3.3) populations. Causes most strongly associated with stillbirth were poor fetal growth, placental disorders and congenital anomalies among the Inuit, and hypertension and diabetes among the First Nations residents. Stillbirth rates in Aboriginal populations were particularly high at term gestation. Poor fetal growth, placental disorders and congenital anomalies were important causes of stillbirth among the Inuit, and diabetic and hypertensive complications were important causes in the First Nations population. Prevention may require improvements in pregnancy and obstetric care.

Gender's Role in Exposure to Interparental Violence, Acceptance of Violence, Self-Efficacy, and Physical Teen Dating Violence Among Quebec Adolescents.

PubMed

Ruel, Catherine; Lavoie, Francine; Hébert, Martine; Blais, Martin

2017-05-01

Despite efforts to prevent physical teen dating violence, it remains a major public health issue with multiple negative consequences. This study aims to investigate gender differences in the relationships between exposure to interparental violence (mother-to-father violence, father-to-mother violence), acceptance of dating violence (perpetrated by boys, perpetrated by girls), and self-efficacy to disclose teen dating violence. Data were drawn from Waves 1 and 2 of the Quebec Youth Romantic Relationships Project, conducted with a representative sample of Quebec high school students. Analyses were conducted on a subsample of 2,564 teenagers who had been in a dating relationship in the past 6 months (63.8% girls, mean age of 15.3 years). Path analyses were conducted to investigate the links among exposure to interparental violence, acceptance of violence, self-efficacy to disclose teen dating violence (measured at Wave 1), and physical teen dating violence (measured at Wave 2). General exposure to interparental violence was linked, through acceptance of girl-perpetrated violence, to victimization among both genders and to girls' perpetration of physical teen dating violence. No significant difference was identified in the impact of the gender of the perpetrating parent when considering exposure to interparental violence. Self-efficacy to disclose personal experiences of violence was not linked to exposure to interparental violence or to experiences of physical teen dating violence. The findings support the intergenerational transmission of violence. Moreover, the findings underline the importance of targeting acceptance of violence, especially girl-perpetrated violence, in prevention programs and of intervening with children and adolescents who have witnessed interparental violence.

Asbestos and carcinogenicity

DOE Office of Scientific and Technical Information (OSTI.GOV)

McDonald, J.C.; McDonald, A.D.

1990-08-24

It is alleged that there have been 67 or more cases of mesothelioma among Quebec chrysotile miners and millers. Of the many thousand individuals employed by the Quebec chrysotile mining and milling industry since its inception, no one known how many have died or of these how many from mesothelioma. At a 1989 meeting in Ottawa, Ontario, Canada, it was stated that a cohort of 11,379 persons born between 1891 and 1920 and employed for 1 month or more, there had been 11 cases of mesothelioma among 4,547 deaths to the end of 1975; by 1978 there were 18 cases,more » and a follow-up to 1990 will soon be completed. More than 70% of the cohort have now died, and a study of a subsample indicates that the eventual number of cases of mesotheliomas may be about 30. A disproportionate number of these (at least seven) were exposed to crocidolite in a small local factory, and one had substantial exposure to amosite. Could the remaining cases be attributed to fibrous tremolite contamination Whether or not chrysotile per se is capable of inducing mesothelioma, it is clear that workers whose exposure has been only to commercial chrysotile have suffered much less from mesothelioma than, for example, those exposed for even a few months to crocidolite in gas mask filter manufacture or cigarette filter manufacture, in whom 16 to 19% of all deaths were attributable to this cause. In the general population of the Quebec chrysotile mining towns, exposed over generations to chrysotile concentrations far greater than anything encountered in public buildings, there have been few if any cases of mesothelioma attributable to nonoccupational exposure.« less

Regional spectral analysis of moderate earthquakes in northeastern North America—Final Report to the Nuclear Regulatory Commission, Project V6240, Task 3

USGS Publications Warehouse

Boatwright, John

2018-06-21

We analyze the Fourier spectra of S+Lg+surface wave groups from the horizontal and vertical components of broadband and accelerogram recordings of 120 small and moderate (2< Mw <6) earthquakes recorded by Canadian and American stations sited on rock at distances from 3 to 600 kilometers. There are seven Mw 4.0–4.5, six Mw 4.5–5.0, and three Mw ≥5 earthquakes in this event set. We test the regional spectral analysis by comparing the moment magnitudes with the moment magnitudes from the earthquake moment tensors determined by Bob Herrmann (St. Louis University) for 27 events, obtaining dMw=0.004±0.074. We determine the Lg attenuation in seven regions within northeastern North America: Charlevoix, lower St. Lawrence, Maine, Northern New York, lower Great Lakes, Ontario, and Nunavut. These attenuation estimates yield an average attenuation Q= (368±13)f (0.54±0.02) for the Appalachian region, a stronger attenuation Q= (317±16)f (0.54±0.03) for the Appalachian lowlands, and a weaker attenuation Q=(455±20)f (0.51±0.02) for Ontario and western Quebec. For events in Nunavut and northernmost Quebec, we estimate a similar attenuation for r <450 km, but a weaker attenuation Q= (773±70)f (0.27±0.06) for Lg propagation for 450< r <1700 kilometers. This far-regional attenuation allows us to analyze recordings of the 1989 Ungava and Payne Bay earthquakes obtained in Ontario and southern Quebec. We use these regional attenuations to determine the corner frequencies, stress drops, and radiated energies of the 120 earthquakes.

Cross-cultural perspectives on decision making regarding noninvasive prenatal testing: A comparative study of Lebanon and Quebec.

PubMed

Haidar, Hazar; Vanstone, Meredith; Laberge, Anne-Marie; Bibeau, Gilles; Ghulmiyyah, Labib; Ravitsky, Vardit

2018-01-01

Noninvasive prenatal testing (NIPT), based on the detection of cell-free fetal DNA in maternal blood, has transformed the landscape of prenatal care by offering clinical benefits (noninvasive, high specificity and sensitivity, early detection of abnormalities) compared to existing prenatal screening tests. NIPT has expanded rapidly and is currently commercially available in most of the world. As NIPT spreads globally, culturally sensitive and ethically sound implementation will require policies that take into consideration the social and cultural context of prenatal testing decisions. In a Western context, the main ethical argument for providing access and public funding of prenatal tests is the promotion of reproductive autonomy (also referred to as "procreative liberty" and "reproductive freedom"), by enabling pregnant women and couples to access information about the fetus in order to choose a certain course of action for pregnancy management (continuation of pregnancy and preparation for birth or termination). So how is the framework of reproductive autonomy operationalized in non-Western cultural contexts? We used Quebec, Canada, and Beirut, Lebanon, for case studies to explore what ethical considerations related to reproductive autonomy should guide the implementation of the test in various cultural contexts. To answer this question, we conducted a qualitative study to (1) explore the perceptions, values, and preferences of pregnant women and their partners about NIPT and (2) examine how these values and perceptions influence reproductive autonomy and decision making in relation to NIPT in these two different cultural settings, Lebanon and Quebec. Our findings may guide health care professionals in providing counseling and in helping women and their partners make better informed prenatal testing decisions. Further, at a policy level, such understanding might inform the development of local guidelines and policies that are appropriate to each context.

Effect of summer outdoor temperatures on work-related injuries in Quebec (Canada).

PubMed

Adam-Poupart, Ariane; Smargiassi, Audrey; Busque, Marc-Antoine; Duguay, Patrice; Fournier, Michel; Zayed, Joseph; Labrèche, France

2015-05-01

To quantify the associations between occupational injury compensations and exposure to summer outdoor temperatures in Quebec (Canada). The relationship between 374,078 injuries compensated by the Workers' Compensation Board (WCB) (between May and September, 2003-2010) and maximum daily outdoor temperatures was modelled using generalised linear models with negative binomial distributions. Pooled effect sizes for all 16 health regions of Quebec were estimated with random-effect models for meta-analyses for all compensations and by sex, age group, mechanism of injury, industrial sector and occupations (manual vs other) within each sector. Time lags and cumulative effect of temperatures were also explored. The relationship between daily counts of compensations and maximum daily temperatures reached statistical significance for three health regions. The incidence rate ratio (IRR) of daily compensations per 1°C increase was 1.002 (95% CI 1.002 to 1.003) for all health regions combined. Statistically significant positive associations were observed for men, workers aged less than 45 years, various industrial sectors with both indoor and outdoor activities, and for slips/trips/falls, contact with object/equipment and exposure to harmful substances/environment. Manual occupations were not systematically at higher risk than non-manual and mixed ones. This study is the first to quantify the association between work-related injury compensations and exposure to summer temperatures according to physical demands of the occupation and this warrants further investigations. In the context of global warming, results can be used to estimate future impacts of summer outdoor temperatures on workers, as well as to plan preventive interventions. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Usefulness of Canadian Public Health Insurance Administrative Databases to Assess Breast and Ovarian Cancer Screening Imaging Technologies for BRCA1/2 Mutation Carriers.

PubMed

Larouche, Geneviève; Chiquette, Jocelyne; Plante, Marie; Pelletier, Sylvie; Simard, Jacques; Dorval, Michel

2016-11-01

In Canada, recommendations for clinical management of hereditary breast and ovarian cancer among individuals carrying a deleterious BRCA1 or BRCA2 mutation have been available since 2007. Eight years later, very little is known about the uptake of screening and risk-reduction measures in this population. Because Canada's public health care system falls under provincial jurisdictions, using provincial health care administrative databases appears a valuable option to assess management of BRCA1/2 mutation carriers. The objective was to explore the usefulness of public health insurance administrative databases in British Columbia, Ontario, and Quebec to assess management after BRCA1/2 genetic testing. Official public health insurance documents were considered potentially useful if they had specific procedure codes, and pertained to procedures performed in the public and private health care systems. All 3 administrative databases have specific procedures codes for mammography and breast ultrasounds. Only Quebec and Ontario have a specific procedure code for breast magnetic resonance imaging. It is impossible to assess, on an individual basis, the frequency of others screening exams, with the exception of CA-125 testing in British Columbia. Screenings done in private practice are excluded from the administrative databases unless covered by special agreements for reimbursement, such as all breast imaging exams in Ontario and mammograms in British Columbia and Quebec. There are no specific procedure codes for risk-reduction surgeries for breast and ovarian cancer. Population-based assessment of breast and ovarian cancer risk management strategies other than mammographic screening, using only administrative data, is currently challenging in the 3 Canadian provinces studied. Copyright © 2016 Canadian Association of Radiologists. Published by Elsevier Inc. All rights reserved.

Measurement Properties of the Quebec Back Pain Disability Scale in Patients With Nonspecific Low Back Pain: Systematic Review.

PubMed

Speksnijder, Caroline M; Koppenaal, Tjarco; Knottnerus, J André; Spigt, Mark; Staal, J Bart; Terwee, Caroline B

2016-11-01

The Quebec Back Pain Disability Scale (QBPDS) has been translated into different languages, and several studies on its measurement properties have been done. The purpose of this review was to critically appraise and compare the measurement properties, when possible, of all language versions of the QBPDS by systematically reviewing the methodological quality and results of the available studies. Bibliographic databases (PubMed, Embase, CINAHL, and PsycINFO) were searched for articles with the key words "Quebec," "back," "pain," and "disability" in combination with a methodological search filter for finding studies on measurement properties concerning the development or evaluation of the measurement properties of the QBPDS in patients with nonspecific low back pain. Assessment of the methodological quality was carried out by the reviewers using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist for both the original language version of the QBPDS in English and French and all translated versions. The results of the measurement properties were rated based on criteria proposed by Terwee et al. The search strategy resulted in identification of 1,436 publications, and 27 articles were included in the systematic review. There was limited-to-moderate evidence of good reliability, validity, and responsiveness of the QBPDS for the different language versions, but for no language version was evidence available for all measurement properties. For research and clinical practice, caution is advised when using the QBPDS to measure disability in patients with nonspecific low back pain. Strong evidence is lacking on all measurement properties for each language version of the QBPDS. © 2016 American Physical Therapy Association.

(222)Rn activity in groundwater of the St. Lawrence Lowlands, Quebec, eastern Canada: relation with local geology and health hazard.

PubMed

Pinti, Daniele L; Retailleau, Sophie; Barnetche, Diogo; Moreira, Floriane; Moritz, Anja M; Larocque, Marie; Gélinas, Yves; Lefebvre, René; Hélie, Jean-François; Valadez, Arisai

2014-10-01

One hundred ninety-eight groundwater wells were sampled to measure the (222)Rn activity in the region between Montreal and Quebec City, eastern Canada. The aim of this study was to relate the spatial distribution of (222)Rn activity to the geology and the hydrogeology of the study area and to estimate the potential health risks associated with (222)Rn in the most populated area of the Province of Quebec. Most of the groundwater samples show low (222)Rn activities with a median value of 8.6 Bq/L. Ninety percent of samples show (222)Rn activity lower than 100 Bq/L, the exposure limit in groundwater recommended by the World Health Organization. A few higher (222)Rn activities (up to 310 Bq/L) have been measured in wells from the Appalachian Mountains and from the magmatic intrusion of Mont-Saint-Hilaire, known for its high level of indoor radon. The spatial distribution of (222)Rn activity seems to be related mainly to lithology differences between U-richer metasediments of the Appalachian Mountains and magmatic intrusions and the carbonaceous silty shales of the St. Lawrence Platform. Radon is slightly enriched in sodium-chlorine waters that evolved at contact with clay-rich formations. (226)Ra, the parent element of (222)Rn could be easily adsorbed on clays, creating a favorable environment for the production and release of (222)Rn into groundwater. The contribution of groundwater radon to indoor radon or by ingestion is minimal except for specific areas near Mont-Saint-Hilaire or in the Appalachian Mountains where this contribution could reach 45% of the total radioactive annual dose. Copyright © 2014 Elsevier Ltd. All rights reserved.

A Decade of Experience in Primary Prevention of Clostridium difficile Infection at a Community Hospital Using the Probiotic Combination Lactobacillus acidophilus CL1285, Lactobacillus casei LBC80R, and Lactobacillus rhamnosus CLR2 (Bio-K+).

PubMed

Maziade, Pierre-Jean; Pereira, Pascale; Goldstein, Ellie J C

2015-05-15

In August 2003, the 284-bed community hospital Pierre-Le Gardeur (PLGH) in Quebec experienced a major outbreak associated with the Clostridium difficile NAP1/027/BI strain. Augmented standard preventive measures (SPMs) were not able to control this outbreak. It was decided in February 2004 to give to every adult inpatient on antibiotics, without any exclusion, a probiotic (Bio-K+: Lactobacillus acidophilus CL1285, Lactobacillus casei LBC80R, and Lactobacillus rhamnosus CLR2) within 12 hours of the antibiotic prescription. Augmented SPMs were continued. The use of the probiotic in addition to SPMs was associated with a marked reduction of C. difficile infection (CDI). During the 10 years of observation, 44 835 inpatients received Bio-K+, and the CDI rate at PLGH declined from 18.0 cases per 10,000 patient-days and remained at low mean levels of 2.3 cases per 10,000 patient-days. Additionally, 10-year data collected by the Ministry of Health in Quebec comparing the CDI rate between Quebec hospitals showed that CDI rates at PLGH were consistently and continuously lower compared with those at similar hospitals. Blood cultures were monitored at PLGH for Lactobacillus bacteremia through the 10 years' experience, and no Lactobacillus bacteremias were detected. Despite the limitation of an observational study, we concluded that the probiotic Bio-K+ was safe and effective in decreasing our primary CDI rate. © The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

Population prevalence of APOE, APOC3 and PPAR-alpha mutations associated to hypertriglyceridemia in French Canadians.

PubMed

Garenc, Christophe; Aubert, Samuel; Laroche, Jèrôme; Girouard, Joël; Vohl, Marie-Claude; Bergeron, Jean; Rousseau, François; Julien, Pierre

2004-01-01

Hypertriglyceridemia (HTG) is known as a common metabolic disorder associated with increased production, decrease catabolism and/or decreased hepatic uptake of triglyceride (TG)-rich particles. We assessed, in the Quebec City population, the allele frequency and haplotype distributions of mutations in genes related to HTG, such as the apolipoprotein E (APOE) (C112R and C158R), the apolipoprotein CIII (APOC3) (C-482T and C3238G) and the peroxisome proliferator-activated receptor alpha (PPARalpha) (L162V) genes. A total of 938 anonymous unlinked newborns from the metropolitan Quebec City area have been genotyped. Allele frequencies observed in the Quebec City population differed from known frequencies determined in other Caucasian populations. The co-transmitted allele distribution between the two-marker genotypes APOE/APOC3(C3238G) and APOC3(C-482T)/PPARalpha(L162V) presented a weak deviation from the assumption of genetic independence. Also, we observed a non-independent distribution of the T-482/G3238 allele combinations within the APOC3 gene, suggesting strong linkage disequilibrium between the C-482T and C3238G polymorphisms. Moreover, comparisons of allele frequencies observed in the population of Québec City to those obtained in other Caucasian populations suggested that the population of Québec City may be at a lower risk of developing HTG due to APOE, APOC3 and PPARalpha genetic variants. However, the strong linkage disequilibrium and the two-marker genotype distributions observed in the APOC3 gene suggest that these two variants may functionally interact in the Québec City population.

Reliability and validity of the French-Canadian version of the scoliosis research society 22 questionnaire in France.

PubMed

Lonjon, Guillaume; Ilharreborde, Brice; Odent, Thierry; Moreau, Sébastien; Glorion, Christophe; Mazda, Keyvan

2014-01-01

Outcome study to determine the internal consistency, reproducibility, and concurrent validity of the French-Canadian version of the Scoliosis Research Society 22 (SRS-22 fcv) patient questionnaire in France. To determine whether the SRS-22 fcv can be used in a population from France. The SRS-22 has been translated and validated in multiple countries, notably in the French-Canadian language in Quebec, Canada. Use of SRS-22 fcv seems appropriate for evaluating adolescent idiopathic scoliosis in France. However, French-Canadian French is noticeably different from the French spoken in France, and no study has investigated the use of a French-Canadian version of a health-quality questionnaire in another French population. The methods used for validating the SRS-22 fcv in Quebec were adopted for use with a group of 200 adolescents with idiopathic scoliosis and 60 healthy adolescents in France. Reliability and reproducibility were measured by the Cronbach α and intraclass correlation coefficient (ICC), construct validity by factorial analysis, concurrent validity by the Short-Form of the survey, and discriminant validity by analysis of variance and multivariate linear regression. In France, the SRS-22 fcv showed good global internal consistency (Cronbach α = 0.87, intraclass correlation coefficient = 0.92), a coherent factorial structure, and high correlation coefficients between the SRS-22 fcv and Short-Form of the survey (P < 0.001). However, reliability and validity were slightly less than that for the instrument's original validation and the validation of the SRS-22 fcv in Quebec. These differences could be explained by language and cultural differences. The SRS-22 fcv is relevant for use in France, but further development and validation of a specific French questionnaire remain necessary to improve the assessment of functional outcomes of adolescents with scoliosis in France. N/A.

Greenhouse gas emissions from waste stabilisation ponds in Western Australia and Quebec (Canada).

PubMed

Glaz, Patricia; Bartosiewicz, Maciej; Laurion, Isabelle; Reichwaldt, Elke S; Maranger, Roxane; Ghadouani, Anas

2016-09-15

Waste stabilisation ponds (WSPs) are highly enriched environments that may emit large quantities of greenhouse gases (GHG), including CO2, CH4 and N2O. However, few studies provide detailed reports on these emissions. In the present study, we investigated GHG emissions from WSPs in Western Australia and Quebec, Canada, and compared emissions to WSPs from other climatic regions and to other types of aquatic ecosystems. Surface water GHG concentrations were related to phytoplankton biomass and nutrients. The CO2 was either emitted or absorbed by WSPs, largely as a function of phytoplankton dynamics and strong stratification in these shallow systems, whereas efflux of CH4 and N2O to the atmosphere was always observed albeit with highly variable emission rates, dependent on treatment phase and time of the day. The total global warming potential index (GWP index, calculated as CO2 equivalent) of emitted GHG from WSPs in Western Australia averaged 12.8 mmol m(-2) d(-1) (median), with CO2, CH4 and N2O respectively contributing 0%, 96.7% and 3.3% of the total emissions, while in Quebec WSPs this index was 194 mmol m(-2) d(-1), with a relative contribution of 93.8, 3.0 and 3.2% respectively. The CO2 fluxes from WSPs were of the same order of magnitude as those reported in hydroelectric reservoirs and constructed wetlands in tropical climates, whereas CH4 fluxes were considerably higher compared to other aquatic ecosystems. N2O fluxes were in the same range of values reported for WSPs in subtropical climate. Copyright © 2016 Elsevier Ltd. All rights reserved.

Assessment of Dietary Sodium and Potassium in Canadians Using 24-Hour Urinary Collection.

PubMed

Mente, Andrew; Dagenais, Gilles; Wielgosz, Andreas; Lear, Scott A; McQueen, Matthew J; Zeidler, Johannes; Fu, Lily; DeJesus, Jane; Rangarajan, Sumathy; Bourlaud, Anne-Sophie; De Bluts, Anne Leblanc; Corber, Erica; de Jong, Veronica; Boomgaardt, Jacob; Shane, Alexandra; Jiang, Ying; de Groh, Margaret; O'Donnell, Martin J; Yusuf, Salim; Teo, Koon

2016-03-01

Although salt intake derived from data on urinary sodium excretion in free-living populations has been used in public policy, a population study on urinary sodium excretion has not been done in Canada. We assessed dietary sodium and potassium intake using a 24-hour urine collection in a large survey of urban and rural communities from 4 Canadian cities and determined the association of these electrolytes with blood pressure (BP). One thousand seven hundred consecutive individuals, aged 37-72 years, attending their annual follow-up visits of the ongoing Prospective and Urban Rural Epidemiology (PURE) study in Vancouver, Hamilton, Ottawa, and Quebec City, Canada, collected a 24-hour urine sample using standardized procedures. Mean sodium excretion was 3325 mg/d and mean potassium excretion was 2935 mg/d. Sodium excretion ranged from 3093 mg/d in Vancouver to 3642 mg/d in Quebec City, after adjusting for covariates. Potassium excretion ranged from 2844 mg/d in Ottawa to 3082 mg/d in Quebec City. Both electrolytes were higher in men than in women and in rural populations than in urban settings (P < 0.001 for all). Sodium excretion was between 3000 and 6000 mg/d in 48.3% of the participants, < 3000 mg/d in 46.7%, and > 6000 mg/d in only 5%. No significant association between sodium or potassium excretion and BP was found. Sodium consumption in these Canadians is within a range comparable to other Western countries, and intake in most individuals is < 6000 mg/d, with only 5% at higher levels. Within this range, sodium or potassium levels were not associated with BP. Copyright © 2016 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

Gender Difference in Internet Use and Internet Problems among Quebec High School Students.

PubMed

Dufour, Magali; Brunelle, Natacha; Tremblay, Joel; Leclerc, Danielle; Cousineau, Marie-Marthe; Khazaal, Yasser; Légaré, Andrée-Anne; Rousseau, Michel; Berbiche, Djamal

2016-10-01

There are presently no data available concerning Internet addiction (IA) problems among adolescents in Canada and the province of Quebec. The goal of this study is thus to document and compare the influence of gender on Internet use and addiction. The study data were collected from a larger research project on gambling among adolescents. Activities conducted online (applications used and time spent) as well as answers to the Internet Addiction Test (IAT) were collected from 3938 adolescents from grades 9 to 11. The two most often employed cut-off points for the IAT in the literature were documented: (40-69 and 70+) and (50+). Boys spent significantly more time on the Internet than did girls. A greater proportion of the girls made intense use of social networks, whereas a greater proportion of the boys made intense use of massively multiplayer online role-playing games, online games, and adult sites. The proportion of adolescents with a potential IA problem varied according to the cut-off employed. When the cut-off was set at 70+, 1.3% of the adolescents were considered to have an IA, while 41.7% were seen to be at risk. At a 50+ cut-off, 18% of the adolescents were considered to have a problem. There was no significant difference between the genders concerning the proportion of adolescents considered to be at risk or presenting IA problems. Finally, analysis of the percentile ranks would seem to show that a cut-off of 50+ better describes the category of young people at risk. The results of this study make it possible to document Internet use and IA in a large number of Quebec adolescents. © The Author(s) 2016.

Reliability, Validity, and Cross-Cultural Adaptation of the Turkish Version of the Bournemouth Questionnaire.

PubMed

Gunaydin, Gurkan; Citaker, Seyit; Meray, Jale; Cobanoglu, Gamze; Gunaydin, Ozge Ece; Hazar Kanik, Zeynep

2016-11-01

Validation of a self-report questionnaire. The purpose of this study was to investigate adaptation, validity, and reliability of the Turkish version of the Bournemouth Questionnaire. Low back pain is one of the most frequent disorders leading to activity limitation. This pain affects most of people in their lives. The most important point to evaluate patient's functional abilities and to decide a successful therapy procedure is to manage the assessment questionnaires precisely. One hundred ten patients with chronic low back pain were included in present study. To assess reliability, test-retest and internal consistency analyses were applied. The results of test-retest analysis were assessed by using Intraclass Correlation Coefficient method (95% confidence interval). For internal consistency, Cronbach alpha value was calculated. Validity of the questionnaire was assessed in terms of construct validity. For construct validity, factor analysis and convergent validity were tested. For convergent validity, total points of the Bournemouth Questionnaire were assessed with the total points of Quebec Back Pain Disability Scale and Roland Morris Disability Questionnaire by using Pearson correlation coefficient analysis. Cronbach alpha value was found 0.914, showing that this questionnaire has high internal consistency. The results of test-retest analysis were varying between 0.851 and 0.927, which shows that test-retest results are highly correlated. Factor analysis test indicated that this questionnaire had one factor. Pearson correlation coefficient of the Bournemouth Questionnaire with Roland Morris Disability Questionnaire was calculated 0.703 and it was found with Quebec Back Pain Disability Scale is 0.659. These results showed that the Bournemouth Questionnaire is very good correlated with Roland Morris Disability Questionnaire and Quebec Back Pain Disability Scale. The Turkish version of the Bournemouth Questionnaire is valid and reliable. 3.

Impact of abiraterone acetate with and without prior docetaxel chemotherapy on the survival of patients with metastatic castration-resistant prostate cancer: a population-based study

PubMed Central

Rocha, Joice; Aprikian, Armen G.; Vanhuyse, Marie; Cury, Fabio L.; Hu, Jason; Prévost, Noémie; Dragomir, Alice

2017-01-01

Background: Abiraterone acetate was introduced in Quebec in 2012 for the treatment of metastatic castration-resistant prostate cancer (mCRPC) in patients who had received chemotherapy with docetaxel. This study describes abiraterone use in the early postapproval period and its clinical effectiveness in Quebec, for both patients who had received docetaxel chemotherapy and those who could not receive docetaxel therapy owing to medical reasons. Methods: A retrospective cohort study was conducted using Quebec public health care administrative databases. Our cohort consisted of patients with mCRPC who received abiraterone between January 2012 and June 2013. Treatment groups were defined as patients who received abiraterone following docetaxel chemotherapy and those who received abiraterone without having had chemotherapy, under the "exception patient" measure. Study outcomes included overall survival, duration of abiraterone therapy and number of hospital days. Cox proportional hazard regression was used to estimate the effectiveness of abiraterone adjusted for several covariates. Results: Our cohort consisted of 303 patients with mCRPC treated with abiraterone (99 after chemotherapy and 204 as exception patients). The median age at initiation of abiraterone therapy was 75.0 for the postchemotherapy group and 80.0 for the exception patient group. The corresponding median survival values were 12 and 14 months (log-rank test p = 0.8). Risk of death was similar in the 2 groups (adjusted hazard ratio 0.89 [95% confidence interval 0.57-1.38]). Interpretation: The effectiveness of abiraterone in older patients who were ineligible for chemotherapy was similar to that of patients with prior docetaxel exposure. Overall, the real-world survival benefits of abiraterone were similar to those in the COU-AA-301 trial. PMID:28401143

Plasma concentrations of persistent organic pollutants in the Cree of northern Quebec, Canada: results from the multi-community environment-and-health study.

PubMed

Liberda, Eric N; Tsuji, Leonard J S; Martin, Ian D; Cote, Suzanne; Ayotte, Pierre; Dewailly, Eric; Nieboer, Evert

2014-02-01

Historically, resource development has had negative impacts on the traditional lifestyle of First Nation Cree Communities in the Province of Quebec, Canada. In response to the perceived need for fisheries restoration and for managing health concerns associated with environmental pollutants, the Mercury Program in the James Bay Region of Quebec was reconstituted in 2001 and broadened to include a wider range of chemicals of concern. Based on comprehensive surveys of the nine Cree Territory (Eeyou Istchee) communities in this region during the period 2002-2009, blood plasma concentrations are presented of Aroclor 1260, PCB congeners 28, 52, 99, 101, 105, 118, 128, 138, 153, 156, 163, 170, 180, 183, and 187, Aldrin, ß-HCH, α-Chlordane, γ-Chlordane, oxy-Chlordane, trans-Nonachlor, cis-Nonachlor, p,p'-DDT, p,p'-DDE, Hexachloro benzene (HCB), Mirex, PBB 153, PBDE 47, PBDE 99, PBDE 100, PBDE 153, Toxaphene 26, and Toxaphene 50. The organohalogenated compounds were extracted using solid-phase extraction and cleaned on florisil columns before high resolution HRGC-MS analysis. Principal component analysis (PCA) was used to reduce the large number of contaminant variables into a smaller number of uncorrelated variables. ANOVA identified significant differences between age groups, with the older participants having higher body burdens of legacy lipophilic contaminants, but not for the PBDEs. In certain female age groups, plasma concentrations of PBDEs were observed to be lower than for males; conversely, DDT was higher. Among communities, concentrations were different (p<0.001) for all contaminants. This work provides a baseline for the James Bay Eeyou Istchee communities who, to varying degrees, rely on food and other resources from the land and therefore are at higher risk of increased body burdens of legacy persistent organic pollutants (POPs). © 2013.

Trends in attitudes toward people living with HIV, homophobia, and HIV transmission knowledge in Quebec, Canada (1996, 2002, and 2010).

PubMed

Adrien, Alix; Beaulieu, Marianne; Leaune, Viviane; Perron, Michèle; Dassa, Clément

2013-01-01

People living with HIV (PWHIV) face negative attitudes that isolate and discourage them from accessing services. Understanding negative attitudes and the social environment can lead to more effective health promotion strategies and programs. However, a scale to measure attitudes has been lacking. We developed and validated attitudes toward PWHIV Scale to examine trends in attitudes toward PWHIV in Quebec in 1996, 2002, and 2010. We also examined the relationship between negative attitudes toward PWHIV, homophobia, and knowledge about HIV transmission. The scale included 16 items and had a five-factor structure: F1 (fear of being infected), F2 (fear of contact with PWHIV), F3 (prejudicial beliefs toward groups at high risk of HIV), F4 (tolerance regarding sexual mores and behaviors), and F5 (social support for PWHIV). The validity and reliability of the scale were assessed and found to be high. Overall, Quebecers had positive attitudes toward PWHIV, with more negative attitudes observed in subgroups defined as male, ≥50 years of age, <14 years of education, higher levels of homophobia, and below-average knowledge about HIV transmission. Scores were stable between 1996 and 2002, and increased in 2010. Negative attitudes were correlated with higher levels of homophobia and lesser knowledge about HIV transmission. The lowest scores for each factor were observed in the same subgroups that had low overall scores on the Attitudes Scale. The findings from this study can be used to intensify interventions that promote compassion for PWHIV, address attitudes toward homosexuality, and encourage greater knowledge about the transmission of HIV in these subgroups.

Coordination and resource-related difficulties encountered by Quebec's public health specialists and infectious diseases/medical microbiologists in the management of A (H1N1)--a mixed-method, exploratory survey.

PubMed

Nhan, Charles; Laprise, Réjean; Douville-Fradet, Monique; Macdonald, Mary Ellen; Quach, Caroline

2012-02-10

In Quebec, the influenza A (H1N1) pandemic was managed using a top-down style that left many involved players with critical views and frustrations. We aimed to describe physicians' perceptions--infectious diseases specialists/medical microbiologists (IDMM) and public health/preventive medicine specialists (PHPMS)--in regards to issues encountered with the pandemics management at the physician level and highlight suggested improvements for future healthcare emergencies. In April 2010, Quebec IDMM and PHPMS physicians were invited to anonymously complete a web-based learning needs assessment. The survey included both open-ended and multiple-choice questions. Descriptive statistics were used to report on the frequency distribution of multiple choice responses whereas thematic content analysis was used to analyse qualitative data generated from the survey and help understand respondents' experience and perceptions with the pandemics. Of the 102 respondents, 85.3% reported difficulties or frustrations in their practice during the pandemic. The thematic analysis revealed two core themes describing the problems experienced in the pandemic management: coordination and resource-related difficulties. Coordination issues included communication, clinical practice guidelines, decision-making, roles and responsibilities, epidemiological investigation, and public health expert advisory committees. Resources issues included laboratory resources, patient management, and vaccination process. Together, the quantitative and qualitative data suggest a need for improved coordination, a better definition of roles and responsibilities, increased use of information technologies, merged communications, and transparency in the decisional process. Increased flexibility and less contradiction in clinical practice guidelines from different sources and increased laboratory/clinical capacity were felt critical to the proper management of infectious disease emergencies.

Saint Lawrence Seaway Navigation-Aid System Study : Volume I - Text and Appendixes A and D

DOT National Transportation Integrated Search

1978-09-01

The requirements for a navigation guidance system which will effect an increase in the ship processing capacity of the Saint Lawrence Seaway (Lake Ontario to Montreal, Quebec) are developed. The requirements include a specification of system position...

OPTIMIZED REAL-TIME CONTROL OF COMBINED SEWERAGE SYSTEMS: TWO CASE STUDIES

EPA Science Inventory

The paper presents results of two case studies of Real-Time Control (RTC) alternatives evaluations that were conducted on portions of sewerage systems near Paris, France and in Quebec City, Canada, respectively. The studies were performed at real-scale demonstration sites. RTC ...

Blizzard!

ERIC Educational Resources Information Center

MacLeod, Lewis

1978-01-01

Description of a simulation game in which the objective is to keep a city's streets clear of snow through the winter without overspending the road and traffic maintenance department's budget. Journal available from Faculty of Education, 3700 McTavish Street, Montreal, H3A 1Y2, Quebec, Canada. (Author/CK)

A Model Assessing Relevant Factors in Building Minority Library Service.

ERIC Educational Resources Information Center

Bonin, Kenneth Roy

1983-01-01

Presents research design applicable to definition of minority library service needs for any minority language group in Canada, focusing on French-speaking population outside Quebec. Profiles of the target group's population, culture, needs, and library services are highlighted. Five sources are given. (EJS)

Winter Workshop.

ERIC Educational Resources Information Center

Council of Outdoor Educators of Quebec, Montreal.

Materials on 11 topics presented at a winter workshop for Quebec outdoor educators have been compiled into this booklet. Action story, instant replay, shoe factory, sound and action, and find an object to fit the description are described and recommended as group dynamic activities. Directions for five games (Superlative Selection; Data…

Medical Technology Modernization and Strategic Planning: Shaping Army Health Care

DTIC Science & Technology

1993-01-01

Hospital Publishing, Inc. 5 May 1992. Caro , J. J. and Trindade E., Cardiac Transplantation in Quebec: Survival, Costs and Cost-Effectiveness. Council...Secretary of Defense (Health Affairs). February 1988. Mendez , Enrique, Jr., Assistant Secretary of Defense for Health Affairs. Prepared Statement for

Children Using "Facebook": Teachers' Discursive Constructions of Childhood

ERIC Educational Resources Information Center

Chang-Kredl, Sandra; Kozak, Stephanie

2018-01-01

Conceptualizations of childhood are powerful determinants of adults' interactions with children, and technology and social networking systems are affecting the nature of teachers' knowledge of childhood. We analyzed questionnaire responses from 57 elementary-level teachers from Quebec regarding children's use of "Facebook". Through…

Preface

Treesearch

David DeYoe

1999-01-01

The idea for this workshop began in 1996 when the folks in Quebec, faced with some unappealing fiscal realities that promised to devastate their provincial forest research capacity, held a meeting that convened representatives from research organizations around the world to share their experiences under similar circumstances. The meeting gathered senior research...

Implementing Computer Technologies: Teachers' Perceptions and Practices

ERIC Educational Resources Information Center

Wozney, Lori; Venkatesh, Vivek; Abrami, Philip

2006-01-01

This study investigates personal and setting characteristics, teacher attitudes, and current computer technology practices among 764 elementary and secondary teachers from both private and public school sectors in Quebec. Using expectancy-value theory, the Technology Implementation Questionnaire (TIQ) was developed; it consists of 33 belief items…

Homme, Technologie et Societe

ERIC Educational Resources Information Center

Dube, Jacques

1974-01-01

The article, written in French, describes programs in the various Canadian Provinces to train teachers in the technical and vocational sector. All require a degree plus certification in a trade; special attention is paid to Quebec's experimental program of "situational pedagogy," which aims to create a master-craftsman/apprentice…

Communication Analysis of Environment.

ERIC Educational Resources Information Center

Malik, M. F.; Thwaites, H. M.

This textbook was developed for use in a Concordia University (Quebec) course entitled "Communication Analysis of Environment." Designed as a practical application of information theory and cybernetics in the field of communication studies, the course is intended to be a self-instructional process, whereby each student chooses one…

Standards and Practices in Outdoor Activities.

ERIC Educational Resources Information Center

Robertson, Stuart, Ed.

The guide provides a series of checklists and guidelines to assist Quebec outdoor education teachers and/or leaders and their principals in planning safe, enjoyable, educational experiences for elementary and secondary school students. The basic planning checklist itemizes specific tasks under eight categories: (1) preliminary discussion with…

The Middle School Learner: Instructional Planning for a Transitional Stage

ERIC Educational Resources Information Center

Brown, James

1978-01-01

Examines Piaget's concrete and formal operational stages of intellectual development in relation to the middle school learner. Presents teaching strategies requiring the learner to use concrete and formal operational forms of thought in dealing with a social studies unit about Quebec. (Author/JK)

Barriers to health-care and psychological distress among mothers living with HIV in Quebec (Canada).

PubMed

Blais, Martin; Fernet, Mylène; Proulx-Boucher, Karène; Lebouché, Bertrand; Rodrigue, Carl; Lapointe, Normand; Otis, Joanne; Samson, Johanne

2015-01-01

Health-care providers play a major role in providing good quality care and in preventing psychological distress among mothers living with HIV (MLHIV). The objectives of this study are to explore the impact of health-care services and satisfaction with care providers on psychological distress in MLHIV. One hundred MLHIV were recruited from community and clinical settings in the province of Quebec (Canada). Prevalence estimation of clinical psychological distress and univariate and multivariable logistic regression models were performed to predict clinical psychological distress. Forty-five percent of the participants reported clinical psychological distress. In the multivariable regression, the following variables were significantly associated with psychological distress while controlling for sociodemographic variables: resilience, quality of communication with the care providers, resources, and HIV disclosure concerns. The multivariate results support the key role of personal, structural, and medical resources in understanding psychological distress among MLHIV. Interventions that can support the psychological health of MLHIV are discussed.

Child sexual abuse as a risk factor for teen dating violence: Findings from a representative sample of Quebec youth

PubMed Central

Hébert, Martine; Moreau, Catherine; Blais, Martin; Lavoie, Francine; Guerrier, Mireille

2016-01-01

Child sexual abuse (CSA) is identified as a significant risk factor for later victimization in the context of adult intimate relationships, but less is known about the risk associated with CSA in early romantic relationships. This paper aims to document the association between CSA and teen dating victimization in a large representative sample of Quebec high-school students. As part of the Youths’ Romantic Relationships Project, 8,194 teens completed measures on CSA and psychological, physical and sexual dating violence. After controlling for other interpersonal traumas, results show that CSA contributed to all three forms of dating victimization among both boys and girls. The heightened risk of revictimization appears to be stronger for male victims of CSA. Intervention and prevention efforts are clearly needed to reduce the vulnerability of male and female victims of sexual abuse who are entering the crucial phase of adolescence and first romantic relationships. PMID:29308104

The effects of a 4-year program promoting bicycle helmet use among children in Quebec.

PubMed Central

Farley, C; Haddad, S; Brown, B

1996-01-01

OBJECTIVES. This study assessed the effectiveness of a 4-year program of bicycle helmet promotion that targeted elementary school children in one region of Quebec. The program revolved primarily around persuasive communication and community organization, combining standard educational activities and activities to facilitate helmet acquisition and use. METHODS. Helmet use was compared between more than 8000 young cyclists in municipalities exposed or not exposed to the program. Factors influencing helmet use were controlled through the use of multivariate analyses. RESULTS. Helmet use increased from 1.3% before program implementation to 33% in 1993. The program was clearly effective in most cycling circumstances and for various groups of children. However, the benefits of the program were unequally distributed; the program was one third as effective in poorer municipalities as in "average-rich" ones. CONCLUSIONS. This community-based program that combined various types of activities appeared to be effective. New intervention models are needed to ensure an equitable distribution of benefits. PMID:8561241

Coalition Priorité Cancer and the pharmaceutical industry in Quebec: conflicts of interest in the reimbursement of expensive cancer drugs?

PubMed

Hughes, David; Williams-Jones, Bryn

2013-08-01

In the context of scarce public resources, patient interest groups have increasingly turned to private organizations for financing, including the pharmaceutical industry. This practice puts advocacy groups in a situation of potential conflicts between the interests of patients and those of the drug companies. The interests of patients and industry can converge on issues related to the approval and reimbursement of medications. But even on this issue, interests do not always align perfectly. Using the Quebec example of Coalition Priorité Cancer (CPC) as a case study, we examine the ethical issues raised by such financial relationships in the context of drug reimbursement decision-making. We collected, compiled and analyzed publicly available information on the CPC's organization and activities; this approach allowed us to raise and discuss important questions regarding the possible influence exerted on patient groups by donors. We conclude with some recommendations. Copyright © 2013 Longwoods Publishing.

Nutrient status of the lowbush blueberry, Lac-Saint-Jean area, Quebec, Canada. [Vaccinium angustifolium

DOE Office of Scientific and Technical Information (OSTI.GOV)

Bouchard, A.R.; Gagnon, M.J.

1987-01-01

The lowbush blueberry (Vaccinium angustifolium Ait.) is an important commercial crop of the Lac-Saint-Jean area (Quebec, Canada). The major blueberry fields are located on sandy soils relatively poor in available mineral nutrients. The nutrients originate from a thin organic layer found on the top of these sandy soils. The leaf mineral contents (N, P, K, Mg, Ca, Mn, Fe, Cu, Zn and B) were measured in five blueberry fields during 1984 and 1985. Soil pH and soil available P, K, and Mg were also assessed. The results show that the leaf mineral contents are generally adequate. However, K and Znmore » might be occasionally deficient when compared to the actual established standards. The available Mg in soil was significantly correlated with the leaf Mg concentration. The data also suggest that the influence of the pH following the burn pruning seems to influence the nutrition of this species.« less

Proportional mortality: A study of 152 goats submitted for necropsy from 13 goat herds in Quebec, with a special focus on caseous lymphadenitis.

PubMed

Debien, Elaine; Hélie, Pierre; Buczinski, Sébastien; Lebœuf, Anne; Bélanger, Denise; Drolet, Richard

2013-06-01

The objectives of this study were to determine the main causes of mortality, with a special focus on caseous lymphadenits as a cause of death or wasting in caprine herds from Quebec. Goats (n = 152) from 13 herds were submitted for necropsy; the cause of mortality, and the presence, location, and cause of abscesses (if present) were recorded. Proportional mortalities were distributed as: Clostridium perfringens type D enterotoxemia (17.1%), pneumonia (13.8%), paratuberculosis (10.5%), listeriosis (6.6%), pregnancy toxemia (5.3%), caprine arthritis-encephalitis (4.6%), and caseous lymphadenitis (3.9%). Caseous lymphadenitis was diagnosed in 24.3% of the submitted goats, but was not a major cause of wasting or mortality. Abscesses were localized internally in 54.1% of the cases. Paratuberculosis was diagnosed in 29 goats (16 as cause of death) and was considered a major cause of wasting and/or mortality.

Cognitive function and distress after common whiplash injury.

PubMed

Smed, A

1997-02-01

In a prospective study 29 patients fulfilled the criteria of Whiplash-Associated Disorders grade III in the Quebec classification. One month postinjury, computerized neuropsychological tests, a clinical interview and the symptom checklist SCL-90-R were administered. Three whiplash scales were extrapolated from SCL-90-R: pain, subjective cognitive difficulties and sleep disorders. SCL-90-R was repeated 6 months later. One month after the accident, 85% of the patients had resumed work. Subjective cognitive disturbances, however, were frequent but unrelated to test performances, which were within the normal range. Patients reporting stressful life events unrelated to the injury had more symptoms and elevated levels of distress on all SCL-90-R syndrome scales. At follow-up their distress was unchanged, and subjective cognitive function had deteriorated. Stressful life events unrelated to the accident and a high level of distress 1 month postinjury may augment the risk of "late whiplash syndrome". Reassessment 3-6 weeks postinjury as recommended by the Quebec Task Force should include assessment of complicating social factors and a psychological symptom checklist.

Low night temperature effect on photosynthate translocation of two C4 grasses.

PubMed

Potvin, C; Strain, B R; Goeschl, J D

1985-10-01

Translocation of assimilates in plants of Echinochloa crus-galli, from Quebec and Mississippi, and of Eleusine indica from Mississippi was monitored, before and after night chilling, using radioactive tracing with the short-life isotope 11 C. Plants were grown at 28°/22°C (day/night temperatures) under either 350 or 675 μl·l -1 CO 2 . Low night temperature reduced translocation mainly by increasing the turn-over times of the export pool. E. crus-galli plants from Mississippi were the most susceptible to chilling; translocation being completely inhibited by exposure for one night to 7°C at 350 μl·l -1 CO 2 . Overall, plants from Quebec were the most tolerant to chilling-stress. For plants of all three populations, growth under CO 2 enrichment resulted in higher 11 C activity in the leaf phloem. High CO 2 concentrations also seemed to buffer the transport system against chilling injuries.

Prevalence of teen dating victimization among a representative sample of high school students in Quebec.

PubMed

Hébert, Martine; Blais, Martin; Lavoie, Francine

2017-01-01

The present study aimed to (1) examine prevalence rates and frequency of dating violence victimization among a representative sample of Quebec high school adolescents and (2) explore possible gender differences in these rates as well as in perceived impact of victimization. A sample of 8,194 students completed questionnaires evaluating dating victimization in the past 12 months as well as perceived impacts. Results show that psychological violence is the most frequent form of dating victimization reported. Girls are more likely to report experiences of psychological, physical, threatening behaviors as well as sexual dating victimization than boys. Analyses on different indicators of the impact of victimization (i.e. feelings of fear, distress and post-traumatic stress symptoms) reveal that teenage girls are more vulnerable to sustaining more pervasive impacts than boys. The findings underscore dating violence as a prevalent public health problem. A significant number of teens report dating victimization with girls more likely than boys to perceive negative impacts associated with the coercive behaviors experienced.

Utility of the Montreal Assessment of Need Questionnaire for Community Mental Health Planning

PubMed Central

Tremblay, Jacques; Bamvita, Jean-Marie; Grenier, Guy; Fleury, Marie-Josée

2014-01-01

Abstract Needs assessment facilitates mental health services planning, provision, and evaluation. This study aimed to a) validate a new instrument, the Montreal Assessment of Needs Questionnaire (MANQ), and b) use this to assess variations and predictors of need (number and seriousness) in 297 individuals with severe mental disorders for 18 months, during implementation of the Quebec Mental Health Action Plan. MANQ internal and external validations were adequate. Variables significantly associated with need number and seriousness variations were used to build multiple linear regression models. Autonomous housing, not receiving welfare, not having consulted a health educator, higher level of help from services, Alcohol Use Disorders Identification Test total score, and social support were associated with decreasing need number and seriousness over time. Having a higher education was also associated with decreasing need number. In a reform context, the MANQ’s unique ability to detect rapid improvement in patient needs has usefulness for Quebec mental health planning. PMID:25099300

Survey of utilization of medetomidine and atipamezole in private veterinary practice in Quebec in 2002

PubMed Central

Kaartinen, M. Johanna; Cuvelliez, Sophie; Brouillard, Line; Rondenay, Yves; Kona-Boun, Jean Jacques; Troncy, Eric

2007-01-01

This survey evaluates early perceptions about the use of medetomidine and atipamezole among veterinary practitioners in Quebec in 2002. Response rate was 23.5%; 71.1% of the practitioners did not use these products because of lack of information (69.3%), unavailability of the drugs in the practice (23.3%), or other reasons (7.3%), including concerns about the safety of alpha-2 agonists. Most veterinarians who used these products (70.4%) used them only rarely. Sedation by medetomidine was qualified as good (44.2%) or excellent (36%), and analgesia as good (46.5%) or average (32.7%). Waking up after atipamezole was qualified as good (47.5%) or excellent (40.9%). These perceptions indicate an opportunity for wider use of the products in veterinary practice. With more education and experience, practitioners could find medetomidine hydrochloride alone or in combination with an opioid useful for sedation, analgesia, and premedication for healthy animals. Reversal with atipamezole hydrochloride is considered effective, when residual sedation is undesirable. PMID:17824157

Association between outdoor ozone and compensated acute respiratory diseases among workers in Quebec (Canada).

PubMed

Adam-Poupart, Ariane; Labrèche, France; Busque, Marc-Antoine; Brand, Allan; Duguay, Patrice; Fournier, Michel; Zayed, Joseph; Smargiassi, Audrey

2015-01-01

Respiratory effects of ozone in the workplace have not been extensively studied. Our aim was to explore the relationship between daily average ozone levels and compensated acute respiratory problems among workers in Quebec between 2003 and 2010 using a time-stratified case-crossover design. Health data came from the Workers' Compensation Board. Daily concentrations of ozone were estimated using a spatiotemporal model. Conditional logistic regressions, with and without adjustment for temperature, were used to estimate odds ratios (ORs, per 1 ppb increase of ozone), and lag effects were assessed. Relationships with respiratory compensations in all industrial sectors were essentially null. Positive non-statistically significant associations were observed for outdoor sectors, and decreased after controlling for temperature (ORs of 0.98; 1.01 and 1.05 at Lags 0, 1 and 2 respectively). Considering the predicted increase of air pollutant concentrations in the context of climate change, closer investigation should be carried out on outdoor workers.

Vaccinating high-risk children with the intranasal live-attenuated influenza vaccine: the Quebec experience.

PubMed

Quach, Caroline

2014-12-01

Given the burden of illness associated with influenza, vaccination is recommended for individuals at high risk of complications. The live-attenuated influenza vaccine (LAIV) is administered by intranasal spray, thus directly stimulating mucosal immunity. In this review, we aimed to provide evidence for its efficacy and safety in different paediatric populations. We also share the Quebec experience of LAIV use through a publicly funded vaccination program for children with chronic, high-risk conditions. from randomized controlled trials in healthy children and in asthmatics have demonstrated superior efficacy of LAIV over the injectable vaccine (IIV). LAIV is well tolerated: its administration is associated with runny nose and nasal congestion, but not with asthma exacerbations and is well tolerated in children with cystic fibrosis, when compared to IIV. The vaccine is well accepted by children and parents and can easily be part of vaccination clinics in paediatric tertiary care centres targeting children with chronic, high-risk conditions, not leading to immunosuppression. Copyright © 2014 Elsevier Ltd. All rights reserved.

[The scale of social provisions: their validation in Quebec].

PubMed

Caron, J

1996-01-01

This article presents the results of the Quebec validation of the Social Provisions Scale (Cutrona et Russell, 1989). L'échelle de provision sociales was administered to 790 people on the course of two studies. The first one included 387 university students of first level and the second was realized with 266 people from the general population, 79 welfare recipients and 58 persons with a diagnosis related to psychosis. The results show that the scale presents a good internal coherence and a satisfying temporal stability, thus assuring the fidelity of the instrument. The factorial analyses have not reproduced exactly the same profile as the original instrument, however the moderate correlations between the different social provisions sustain the validity of the multidimensional construct of social support. Moreover, analyses of the variance and the discriminating analysis allow to acknowledge that the sub-scales have a high discriminating power; they allow to distinguish the general population from welfare recipients and people suffering from psychosis. Finally, norms are presented for the general population.

Preliminary evaluation of a lake whitefish (Coregonus clupeaformis) bioenergetics model

USGS Publications Warehouse

Madenjian, Charles P.; Pothoven, Steven A.; Schneeberger, Philip J.; O'Connor, Daniel V.; Brandt, Stephen B.

2005-01-01

We conducted a preliminary evaluation of a lake whitefish (Coregonus clupeaformis) bioenergetics model by applying the model to size-at-age data for lake whitefish from northern Lake Michigan. We then compared estimates of gross growth efficiency (GGE) from our bioenergetis model with previously published estimates of GGE for bloater (C. hoyi) in Lake Michigan and for lake whitefish in Quebec. According to our model, the GGE of Lake Michigan lake whitefish decreased from 0.075 to 0.02 as age increased from 2 to 5 years. In contrast, the GGE of lake whitefish in Quebec inland waters decreased from 0.12 to 0.05 for the same ages. When our swimming-speed submodel was replaced with a submodel that had been used for lake trout (Salvelinus namaycush) in Lake Michigan and an observed predator energy density for Lake Michigan lake whitefish was employed, our model predicted that the GGE of Lake Michigan lake whitefish decreased from 0.12 to 0.04 as age increased from 2 to 5 years.

The enigmatic nature of altruism in organ transplantation: a cross-cultural study of transplant physicians' views on altruism

PubMed Central

2010-01-01

Background Although altruism is a key principle in our current organ donation and transplantation system, the meanings and implications of the term have been widely debated. Recently, a new type of living organ donation--anonymous and non-directed, also called living altruistic donation (LAD)--has brought the issue into sharper focus. Transplant physicians' views on altruism might influence their attitudes and actions toward living altruistic donors. This study aimed to explore such views among transplant physicians in France and Quebec. Findings A total of 27 French and 19 Quebec transplant physicians participated in individual, semi-structured interviews between October 2004 and December 2005. The majority of these participants associated altruism with gratuitousness and saw altruistic acts as multiple and varied, ranging from showing consideration to saving a person's life. Conclusions The transplant physicians' discourses on altruism were quite diverse, leading us to question the relevance of the concept in organ transplantation and the appropriateness of the term "living altruistic donation." PMID:20673349

Communities of practice as a professional and organizational development strategy in local public health organizations in Quebec, Canada: an evaluation model.

PubMed

Richard, Lucie; Chiocchio, François; Essiembre, Hélène; Tremblay, Marie-Claude; Lamy, Geneviève; Champagne, François; Beaudet, Nicole

2014-02-01

Communities of practice (CoPs) are among the professional development strategies most widely used in such fields as management and education. Though the approach has elicited keen interest, knowledge pertaining to its conceptual underpinnings is still limited, thus hindering proper assessment of CoPs' effects and the processes generating the latter. To address this shortcoming, this paper presents a conceptual model that was developed to evaluate an initiative based on a CoP strategy: Health Promotion Laboratories are a professional development intervention that was implemented in local public health organizations in Montreal (Quebec, Canada). The model is based on latest theories on work-group effectiveness and organizational learning and can be usefully adopted by evaluators who are increasingly called upon to illuminate decision-making about CoPs. Ultimately, validation of this conceptual model will help advance knowledge and practice pertaining to CoPs as well as professional and organizational development strategies in public health. Copyright © 2014 Longwoods Publishing.

Relationship of Optical Anomalies, Zoning, and Microtopography in Vesuvianite from Jeffrey Mine, Asbestos, Quebec

NASA Astrophysics Data System (ADS)

Smith, Varina Campbell

The role of growth steps in inducing disequilibrium is investigated in crystals of vesuvianite from the Jeffrey mine, Asbestos, Quebec, using optical microscopy, atomic force microscopy, electron microprobe analysis, and single-crystal X-ray diffraction. The selective uptake of elements Fe and Al by asymmetric growth-steps on three crystallographic forms, {100}, {110}, and {121}, is documented. The prisms {100} and {110} show hillocks that display kinetically controlled oscillatory zoning along growth steps parallel to <010> and <11¯1>, but not on vicinal faces defined by [001] steps. Sector-specific zoning of extinction angles and 2V angles indicate different degrees of optical dissymmetrization in crystals spanning a range of growth habits. Unit-cell parameters and the presence of violating reflections confirm sectoral deviations from P4/nnc symmetry in the prismatic sectors. The partial loss of three glide planes follows the pattern expected from order of the cations Al and Fe induced by tangential selectivity at the edge of non-equivalent steps during layer-by-layer growth.

Emerging arboviruses in Quebec, Canada: assessing public health risk by serology in humans, horses and pet dogs.

PubMed

Rocheleau, J P; Michel, P; Lindsay, L R; Drebot, M; Dibernardo, A; Ogden, N H; Fortin, A; Arsenault, J

2017-10-01

Periodic outbreaks of West Nile virus (WNV), Eastern equine encephalitis virus (EEEV) and to a lesser extent, California serogroup viruses (CSGV), have been reported in parts of Canada in the last decade. This study was designed to provide a broad assessment of arboviral activity in Quebec, Canada, by conducting serological surveys for these arboviruses in 196 horses, 1442 dogs and 485 humans. Sera were screened by a competitive enzyme linked immunosorbent assay and positive samples confirmed by plaque reduction neutralisation tests. The percentage of seropositive samples was 83·7%, 16·5%, 7·1% in horses, 18·8%, 0·6%, 0% in humans, 11·7%, 3·1%, 0% in adult dogs and 2·9%, 0·3%, 0% in juvenile dogs for CSGV, WNV and EEEV, respectively. Serological results in horses and dogs appeared to provide a meaningful assessment of risk to public health posed by multiple arboviruses.

Quebec platelet disorder: update on pathogenesis, diagnosis, and treatment.

PubMed

Blavignac, Jessica; Bunimov, Natalia; Rivard, Georges E; Hayward, Catherine P M

2011-09-01

Quebec platelet disorder (QPD) is an autosomal dominant bleeding disorder associated with reduced platelet counts and a unique gain-of-function defect in fibrinolysis due to increased expression and storage of urokinase plasminogen activator (uPA) by megakaryocytes. QPD increases risks for bleeding and its key clinical feature is delayed-onset bleeding, following surgery, dental procedures or trauma, which responds only to treatment with fibrinolytic inhibitors. The genetic cause of the disorder is a tandem duplication mutation of the uPA gene, PLAU, which upregulates uPA expression in megakaryocytes by an unknown mechanism. The increased platelet stores of uPA trigger plasmin-mediated degradation of QPD α-granule proteins. The gain-of-function defect in fibrinolysis is thought to be central to the pathogenesis of QPD bleeding as the activation of QPD platelets leads to release of uPA from α-granules and accelerated clot lysis. The purpose of this review is to summarize current knowledge on QPD pathogenesis and the recommended approaches to QPD diagnosis and treatment. Thieme Medical Publishers.

Persons with Quebec platelet disorder have a tandem duplication of PLAU, the urokinase plasminogen activator gene.

PubMed

Paterson, Andrew D; Rommens, Johanna M; Bharaj, Bhupinder; Blavignac, Jessica; Wong, Isidro; Diamandis, Maria; Waye, John S; Rivard, Georges E; Hayward, Catherine P M

2010-02-11

Quebec platelet disorder (QPD) is an autosomal dominant bleeding disorder linked to a region on chromosome 10 that includes PLAU, the urokinase plasminogen activator gene. QPD increases urokinase plasminogen activator mRNA levels, particularly during megakaryocyte differentiation, without altering expression of flanking genes. Because PLAU sequence changes were excluded as the cause of this bleeding disorder, we investigated whether the QPD mutation involved PLAU copy number variation. All 38 subjects with QPD had a direct tandem duplication of a 78-kb genomic segment that includes PLAU. This mutation was specific to QPD as it was not present in any unaffected family members (n = 114), unrelated French Canadians (n = 221), or other persons tested (n = 90). This new information on the genetic mutation will facilitate diagnostic testing for QPD and studies of its pathogenesis and prevalence. QPD is the first bleeding disorder to be associated with a gene duplication event and a PLAU mutation.

True North

ERIC Educational Resources Information Center

Benson, Jo-Anne Mary

2007-01-01

For Americans wanting to explore beyond their frontiers, their neighbor to the north is an ideal destination. Much of Canada's population is concentrated near the shared border, mostly in Ontario and Quebec. While nature is an obvious draw, Canada's dynamic urban centers present their own sophisticated enticements, and the country's ten provinces…

SAFARI: An Environment for Creating Tutoring Systems in Industrial Training.

ERIC Educational Resources Information Center

Gecsei, J.; Frasson, C.

Safari is a cooperative project involving four Quebec universities, two industrial partners (Virtual Prototypes, Inc., providing the VAPS software package, and Novasys, Inc., a consulting firm specializing in artificial intelligence and training), and government. VAPS (Virtual Applications Prototyping System) is a commercial interface-building and…

33 CFR 401.24 - Application for preclearance.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Application for preclearance. 401.24 Section 401.24 Navigation and Navigable Waters SAINT LAWRENCE SEAWAY DEVELOPMENT CORPORATION... obtained from the Manager, St. Lambert, Quebec, or downloaded from the St. Lawrence Seaway Web site at http...

The James Bay Project: Reaction or Action?

ERIC Educational Resources Information Center

Mackwood, Gae

1991-01-01

Discusses the plan to restructure northern Quebec's landscape through the James Bay hydroelectric project. Suggests that the project offers opportunities to study development versus preservation, federal versus provincial powers, and the conflict between business and Native communities. Explores the need to teach students to care about social…

Earth Observation

NASA Image and Video Library

2013-07-03

ISS036-E-015292 (3 July 2013) --- A number of Quebec, Canada wildfires southeast of James Bay were recorded as part of a series of photographs taken and downlinked to Earth on July 3-4 by the Expedition 36 crew members aboard the International Space Station. This image was recorded on July 3.

The Cultural and Educational Transitioning of First Generation Immigrant Undergraduate Students in Quebec, Canada

ERIC Educational Resources Information Center

Sinacore, Ada L.; Lerner, Sasha

2013-01-01

The diversity of Canadian society and the significance of education for occupational mobility have prompted investigations into immigrant's educational attainment, yet little research examines immigrant post-secondary students. This phenomenological study illuminates the institutional, societal, educational, and psychosocial barriers facing…

Usability of Interactive Computers in Exhibitions: Designing Knowledgeable Information for Visitors

ERIC Educational Resources Information Center

Bernier, Roxane

2003-01-01

This article investigates three types of content presentation (video documentary, computerized dictionary, and games) within interactive computer use at the Quebec Museum of Civilization. The visitors' viewpoint is particularly relevant for interface designing outcomes, since they argued that terminals require specific content display for…

Encouraging Self-Regulated Learning through Electronic Portfolios

ERIC Educational Resources Information Center

Abrami, Philip C.; Wade, C. Anne; Pillay, Vanitha; Aslan, Ofra; Bures, Eva M.; Bentley, Caitlin

2008-01-01

At the Centre for the Study of Learning and Performance (CSLP) at Concordia University in Montreal, Quebec, we have developed the Electronic Portfolio Encouraging Active Reflective Learning Software (ePEARL) to promote student self-regulation and enhance student core competencies. This paper summarizes the literature on electronic portfolios…

Native Peoples. A Guide to Reference Sources.

ERIC Educational Resources Information Center

McGill Univ., Montreal (Quebec). Libraries.

This guide from McGill University (Quebec, Canada) emphasizes sources for ethnological research and includes materials reflecting concerns of social anthropology and historical approaches to the study of native peoples. Some government documents and map collections are included. Sources are arranged in the following categories: (1) handbooks and…

77 FR 36041 - Additional Designations, Foreign Narcotics Kingpin Designation Act

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-15

... identified by the President. In addition, the Secretary of the Treasury, in consultation with the Attorney.... 222, Colonia Ciudad del Sol, Zapopan, Jalisco 45050, Mexico; Calle Quebec 606 B, Prados Providencia, Guadalajara, Jalisco, Mexico; Calle Mango 2129, Colonia Paraisos del Colli, Guadalajara, Jalisco, Mexico...

Peer-Assisted Leadership: Reducing Educational Managers' Professional Isolation.

ERIC Educational Resources Information Center

Dussault, Marc; Barnett, Bruce G.

1996-01-01

Presents a study that verified the effects of the peer-assisted leadership program (PAL) on communication networks and professional isolation of 41 Quebec educational managers, using a one-group pretest posttest design. Results showed that PAL significantly reduced professional isolation without widening participants' communication networks. (34…

Defence Mechanisms against Mathematics.

ERIC Educational Resources Information Center

Nimier, Jaques

1993-01-01

Students (n=1420) from Belgium and Quebec and students (n=614) of the Marne department were questioned to study the different defense mechanisms they employed against mathematics. Six main ways of grouping the responses were identified: (1) phobic avoidance; (2) repression; (3) projection; (4) reparation; (5) introjection; and (6) reversal into…

Veal Liver as Food Vehicle for Human Campylobacter Infections.

PubMed

Gaulin, Colette; Ramsay, Danielle; Dion, Réjean; Simard, Marc; Gariépy, Céline; Levac, Éric; Hammond-Collins, Karon; Michaud-Dumont, Maude; Gignac, Mélanie; Fiset, Marc

2018-06-01

A matched case-control study in Quebec, Canada, evaluated consumption of veal liver as a risk factor for campylobacteriosis. Campylobacter was identified in 28 of 97 veal livers collected concurrently from slaughterhouses and retailers. Veal liver was associated with human Campylobacter infection, particularly when consumed undercooked.

Understanding Canadian Family Policy: Intents and Models.

ERIC Educational Resources Information Center

Kieren, Dianne K.

1991-01-01

Introduces some of the key concepts and issues that face Canadian policymakers as they attempt to provide relevant and sensitive actions in support of families and individuals in families. Reviews the Quebec model, considered to be excellent for the development of humanly sensitive family policy. (Author/JOW)

75 FR 35784 - Combined Notice of Filings #1

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-23

...: Puget Sound Energy, Inc. Description: Puget Sound Energy, Inc submits an amendment to its Open Access... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Combined Notice of Filings 1 June 15... following electric rate filings: Docket Numbers: ER97-851-021. Applicants: Hydro-Quebec Energy Services (U.S...

Determination of Source Parameters for Earthquakes in the Northeastern United States and Quebec, Canada by Using Regional Broadband Seismograms

NASA Astrophysics Data System (ADS)

Du, W.; Kim, W.; Sykes, L. R.

2001-05-01

We studied approximately 20 earthquakes which have occurred in the Northeastern United States and Quebec, southern Canada since 1990. These earthquakes have local magnitude (ML) ranging from 3.5 to 5.2 and are well recorded by broadband seismographic stations in the region. Focal depth and moment tensor of these earthquakes are determined by using waveform inversion technique in which the best fit double-couple mechanism is obtained through a grid search over strike, dip and rake angles. Complete synthetics for three-component displacement signals in the period range 1 to 30 seconds are calculated. In most cases, long period Pnl and surface waves are used to constrain the source parameters. Our results indicate that most of the events show the horizontal compression with near horizontal P axis striking NE-SW. However, three events along the lower St. Lawrence River shows the P axes striking ESE-SE (100-130 degrees) with plunge angles of about 20 degrees. Focal depths of these events range from 2 to 28 km. Four events along the Appalachian Mts. have occurred with 2 to 5 km depths -- Jan. 16, 1994 Reading, Pa sequence, Sep. 25, 1998 Pymatuning, Pa event, Jan. 26, 2001 Ashutabula, Oh earthquake and an event in the Charlevoix seismic zone, Canada (Oct. 28, 1997). Two events have occurred at depth greater than 20 km. These are Quebec City earthquake on Nov. 6, 1997 and Christieville, Quebec event on May 4, 1997. We also observed the apparent discrepancy between the moment magnitude (Mw) and local magnitude (ML). Preliminary results show that for the events studied, Mw tends to be about 0.3 magnitude units smaller than the corresponding ML. However, some events show comparable Mw and ML values, for instance, the 1994 Reading, Pa sequence and Oct. 28, 1997 Charlevoix earthquake. These events have occurred at shallow depths and show low stress drops (less than 100 bars). We believe that this magnitude discrepancy reflects the source characteristics of intraplate events in the region. A striking feature of the waveform inversion method in the Northeastern United States is that we can determine fairly reliable focal depth and mechanisms for earthquakes with magnitude down to 3.5 and in some cases, down to 2.5. It is mainly due to availability of high quality three-component, broadband waveform data at short epicentral distances due to increasing coverage of the broadband seismographs of the Lamont-Doherty Cooperative seismographic Network (LCSN), the National Seismographic Network (USNSN) and the Canadian National Seismographic Network (CNSN) in the region. ~

The Response to Conjugal Violence in Substance Abuse Treatment Settings.

ERIC Educational Resources Information Center

Brown, Thomas G.; Caplan, Thomas; Seraganian, Peter; Werk, Annette

The linkage between conjugal violence and substance abuse is well established. The evidence suggests that little coordination exists among the therapeutic communities positioned to treat co-existing problems. A survey was conducted in Quebec with professionals representing 57 substance abuse treatment centers, 38 of which were public. Questions…

Predictors of Adult Attitudes toward Corporal Punishment of Children

ERIC Educational Resources Information Center

Gagne, Marie-Helene; Tourigny, Marc; Joly, Jacques; Pouliot-Lapointe, Joelle

2007-01-01

This study identifies predictors of favorable attitudes toward spanking. Analyses were performed with survey data collected from a representative sample of 1,000 adults from Quebec, Canada. According to this survey, a majority of respondents endorsed spanking, despite their recognition of potential harm associated with corporal punishment (CP) of…

Why Some Stay: A Study of Factors Contributing to Persistence In Undergraduate Physics.

ERIC Educational Resources Information Center

Vazquez-Abad, Jesus; And Others

This paper reports on research undertaken to provide information about the factors influencing student persistence in undergraduate physics programs at the University of Montreal in Quebec, Canada. Data collection methods included student interviews, faculty and staff interviews, and two separate questionnaire administrations to students enrolled…

Machiavellian Behavior and School Principals' Level of Stress.

ERIC Educational Resources Information Center

Fortin, Jean-Claude

To explore the existence of a relationship between the school principal's perceived level of stress and his or her machiavellian behavior, principals of francophone secondary schools from Ontario and Quebec were asked to complete the Administrative Stress Index and the Machiavellian Scale Attitude Inventory. Of the 83 principals asked to…

Phytochemical constituents of Sarracenia purpurea L. (pitcher plant).

PubMed

Muhammad, Asim; Haddad, Pierre S; Durst, Tony; Arnason, John Thor

2013-10-01

From the leaves of Sarracenia purpurea, collected in Mistissini, Quebec, Canada, four goodyerosides and three phenolics and nine known compounds, were isolated. The structures of the compounds were determined by mass spectrometry, including HRMS, and by 1D and 2D NMR spectroscopy. Copyright © 2013 Elsevier Ltd. All rights reserved.

Introduction to the Special Issue on Innovative Applications of Artificial Intelligence 2014

DOE PAGES

Stracuzzi, David J.; Gunning, David

2015-09-28

This issue features expanded versions of articles selected from the 2014 AAAI Conference on Innovative Applications of Artificial Intelligence held in Quebec City, Canada. We present a selection of four articles describing deployed applications plus two more articles that discuss work on emerging applications.

Allocation of Property Taxes for Religious Schools in Canada.

ERIC Educational Resources Information Center

Lawton, S. B.

Five of Canada's ten provinces--Newfoundland, Quebec, Ontario, Saskatchewan, and Alberta--maintain systems of publicly supported religious schools, variously referred to as denominational, dissentient, or separate schools. In each of these, funding is shared between the province and the local communities, with the latter depending, for the most…

ITTALKS: A Case Study in the Semantic Web and DAML

DTIC Science & Technology

2005-01-01

For example, a Centaurus room manager agent [26] could watch ITTALKS for events happening in a room for which it is responsible in order to enable...01), Montreal, Quebec, Canada, May 29 2001. [26] Lalana Kagal, Vlad Korolev, Harry Chen, Anupam Joshi, and Timothy Finin. Centaurus : A framework for

Underlying Manifestations of Developmental Phonological Disorders in French-Speaking Pre-Schoolers

ERIC Educational Resources Information Center

Brosseau-Lapré, Françoise; Rvachew, Susan

2017-01-01

This study examined the psycholinguistic profiles of Quebec French-speaking children with developmental phonological disorders (DPD). The purpose was to determine whether the endophenotypes that have been identified in English-speaking children with DPD are similarly associated with speech impairment in French-speaking children. Seventy-two…

Persistence of Problematic Sexual Behaviors in Children

ERIC Educational Resources Information Center

Levesque, Mireille; Bigras, Marc; Pauze, Robert

2012-01-01

The purpose of this study was to identify personal and family predictors and correlates of persistence of problematic sexual behaviors (PSB) in children. Participants were the families of 49 children (ages 4-11 years) referred by Child Protective Services in 4 administrative districts of Quebec. Caregivers completed interviews and questionnaires…

Saint Lawrence Seaway Navigation-Aid System Study : Volume II - Appendix B - User's Manual and Documentation of Seaway Capacity and Capacity Analysis Programs

DOT National Transportation Integrated Search

1978-09-01

The requirements for a navigation guidance system which will effect an increase in the ship processing capacity of the Saint Lawrence Seaway (Lake Ontario to Montreal, Quebec) are developed. The requirements include a specification of system position...

Problematic Internet Use: Perceptions of Addiction Counsellors

ERIC Educational Resources Information Center

Acier, Didier; Kern, Laurence

2011-01-01

Despite a growing number of publications on problematic Internet use (PIU), there is no consensus on the nature of the phenomenon, its constituent criteria, and its clinical threshold. This qualitative study examines the perceptions of addiction counsellors who have managed individuals with PIU in Quebec (Canada). Four focus groups were conducted…

Introduction to the Special Issue on Innovative Applications of Artificial Intelligence 2014

DOE Office of Scientific and Technical Information (OSTI.GOV)

Stracuzzi, David J.; Gunning, David

This issue features expanded versions of articles selected from the 2014 AAAI Conference on Innovative Applications of Artificial Intelligence held in Quebec City, Canada. We present a selection of four articles describing deployed applications plus two more articles that discuss work on emerging applications.

Saint Lawrence Seaway Navigation-Aid System Study : Volume III - Appendix C - User's Manual and Documentation of the Ship Maneuvering Requirements Computer Program

DOT National Transportation Integrated Search

1978-09-01

The requirements for a navigation guidance system which will effect an increase in the ship processing capacity of the Saint Lawrence Seaway (Lake Ontario to Montreal, Quebec) are developed. The requirements include a specification of system position...

188. Photocopy of photograph, U.S. Army, ca. 1943 (original print ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

188. Photocopy of photograph, U.S. Army, ca. 1943 (original print located at Rocky Mountain Arsenal, Commerce City, Colorado). CLUSTER BOMB PRODUCTION. - Rocky Mountain Arsenal, Bounded by Ninety-sixth Avenue & Fifty-sixth Avenue, Buckley Road, Quebec Street & Colorado Highway 2, Commerce City, Adams County, CO

BIOREMEDIATION AND BIORESTORATION OF A CRUDE OIL CONTAMINATED FRESHWATER WETLAND ON THE ST. LAWRENCE RIVER

EPA Science Inventory

Biostimulation by nutrient enrichment and phytoremediation were studied for the restoration of an acutely stressed freshwater wetland experimentally exposed to crude oil. The research was carried out along the shores of the St. Lawrence River at Ste. Croix, Quebec, Canada. The ...

Holocaust Education in Quebec: Teachers' Positioning and Practices

ERIC Educational Resources Information Center

Moisan, Sabrina; Hirsch, Sivane; Audet, Geneviève

2015-01-01

Teaching about the Holocaust is mandatory in many societies. This prescription is justified by authorities with many reasons: educating pupils for a better understanding of human rights, peace, war, genocide, critical thinking, historical thinking, racism, etc. The Holocaust can carry a very strong moral and emotional charge. But why do teachers…

Professionnalisation ou Deprofessionnalisation: Une Base Conceptuelle pour L'evaluation de La Competence en Psychologie.

ERIC Educational Resources Information Center

Perron, Jacques; And Others

1980-01-01

Elements of professionalization--systematic body of theory, social recognition, monopoly, and degree of organization--are presented and applied to the development of professional psychology in Quebec. The concept of deprofessionalization is introduced as an alternative basis for evaluating competence in professional psychology. (Author)

Poorly Performing Physicians: Does the Script Concordance Test Detect Bad Clinical Reasoning?

ERIC Educational Resources Information Center

Goulet, Francois; Jacques, Andre; Gagnon, Robert; Charlin, Bernard; Shabah, Abdo

2010-01-01

Introduction: Evaluation of poorly performing physicians is a worldwide concern for licensing bodies. The College des Medecins du Quebec currently assesses the clinical competence of physicians previously identified with potential clinical competence difficulties through a day-long procedure called the Structured Oral Interview (SOI). Two peer…

Jackhammers and Alarm Clocks: Perceptions in Stereo.

ERIC Educational Resources Information Center

Picard, Daniel

1993-01-01

Discusses commercial bilingualism in Quebec. Deals with Canada's two official languages and classifies their contact with each other in the world of corporate or brand identity. Discusses what these languages must accomplish in the business world and the new perceptions resulting from their contact. Submits a theory of contact between three…

The Second Language Component of Primary French Immersion Programs in Montreal, Quebec, Canada.

ERIC Educational Resources Information Center

Schauber, Holli; And Others

1995-01-01

Describes a long-standing Montreal bilingual program that completely immerses Anglophone students in a French academic context. Support from the target-language culture and environmental reinforcements contribute to students' academic success and steady program enrollment. Such immersion education has produced functionally bilingual Anglophone…

126. DETAIL OF NORTH PLANT AMMUNITION DEMOLITION FACILITY, WITH ASSEMBLY ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

126. DETAIL OF NORTH PLANT AMMUNITION DEMOLITION FACILITY, WITH ASSEMBLY PLANT/WAREHOUSE (BUILDING 1601/1606/1701) IN BACKGROUND, FROM GB MANUFACTURING PLANT. VIEW TO NORTHWEST. - Rocky Mountain Arsenal, Bounded by Ninety-sixth Avenue & Fifty-sixth Avenue, Buckley Road, Quebec Street & Colorado Highway 2, Commerce City, Adams County, CO

125. NORTH PLANT AMMUNITION DEMOLITION FACILITY IN FOREGROUND AND ASSEMBLY ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

125. NORTH PLANT AMMUNITION DEMOLITION FACILITY IN FOREGROUND AND ASSEMBLY PLANT/WAREHOUSE (BUILDING 1601/1606/1701) IN BACKGROUND. FROM GB MANUFACTURING PLANT. VIEW TO NORTHWEST. - Rocky Mountain Arsenal, Bounded by Ninety-sixth Avenue & Fifty-sixth Avenue, Buckley Road, Quebec Street & Colorado Highway 2, Commerce City, Adams County, CO

215. Photocopy of photograph, U.S. Army, ca. 1970 (original print ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

215. Photocopy of photograph, U.S. Army, ca. 1970 (original print located at Rocky Mountain Arsenal, Commerce City, Colorado). CLEANING TON CONTAINERS IN BUILDING 1606. - Rocky Mountain Arsenal, Bounded by Ninety-sixth Avenue & Fifty-sixth Avenue, Buckley Road, Quebec Street & Colorado Highway 2, Commerce City, Adams County, CO

109. OVERALL VIEW OF NORTH PLANT, WITH DICHLORO TANK FARM ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

109. OVERALL VIEW OF NORTH PLANT, WITH DICHLORO TANK FARM IN LEFT CENT FOREGROUND AND ASSEMBLY PLANT/WAREHOUSE (BUILDING 1601/1606/1701) BEHIND. VIEW TO NORTHEAST. - Rocky Mountain Arsenal, Bounded by Ninety-sixth Avenue & Fifty-sixth Avenue, Buckley Road, Quebec Street & Colorado Highway 2, Commerce City, Adams County, CO

Optimized Real-Time Control of Combined Sewerage Systems: Two Case Studies (Proceedings Paper)

EPA Science Inventory

The paper presents results of two case studies of Real-Time Control (RTC) alternatives evaluations that were conducted on portions of sewerage systems near Paris, France and in Quebec City, Canada, respectively. The studies were performed at real-scale demonstration sites. RTC al...

Professional Identity: A Qualitative Inquiry of Experienced Counsellors

ERIC Educational Resources Information Center

Alves, Sara; Gazzola, Nicola

2011-01-01

There are many recent changes to the practice of counselling and psychotherapy in Canada. Newly established statutory regulation of psychotherapy in Ontario and Quebec, and new legislation in the province of Nova Scotia protecting the title "counselling therapist," are examples of an emerging trend in Canada that seeks to clearly define…

Nontraditional Student Withdrawal from Undergraduate Accounting Programmes: A Holistic Perspective

ERIC Educational Resources Information Center

Fortin, Anne; Sauvé, Louise; Viger, Chantal; Landry, France

2016-01-01

A collaborative project of several Quebec universities, this study investigates nontraditional student withdrawal from undergraduate accounting programmes. A nontraditional student is older than 24, or is a commuter or a part-time student, or combines some of these characteristics. Univariate and multivariate analyses of student dropout factors…