Educational Alliance for a Sustainable Toronto: The University of Toronto and the City's United Nations University (UNU) Regional Centre of Expertise

ERIC Educational Resources Information Center

Stefanovic, Ingrid Leman

2008-01-01

Purpose: The purpose of this paper is to describe the role that the University of Toronto has had in helping to establish a Regional Centre of Expertise (RCE) on Education for Sustainable Development in Toronto, Canada. The way in which the RCE initiative has helped to move forward the university's own five-year plan will also be discussed.…

Rapporteur Summaries of Plenary, Symposia, and Oral sessions from the XXIIIrd World Congress of Psychiatric Genetics Meeting in Toronto, Canada, October 16-20, 2015

PubMed Central

Zai, Gwyneth; Alberry, Bonnie; Arloth, Janine; Bánlaki, Zsófia; Bares, Cristina; Boot, Erik; Camilo, Caroline; Chadha, Kartikay; Chen, Qi; Cole, Christopher B.; Cost, Katherine Tombeau; Crow, Megan; Ekpor, Ibene; Fischer, Sascha B.; Flatau, Laura; Gagliano, Sarah; Kirli, Umut; Kukshal, Prachi; Labrie, Viviane; Lang, Maren; Lett, Tristram A.; Maffioletti, Elisabetta; Maier, Robert; Mihaljevic, Marina; Mittal, Kirti; Monson, Eric T.; O'Brien, Niamh L.; Østergaard, Søren Dinesen; Ovenden, Ellen; Patel, Sejal; Peterson, Roseann E.; Pouget, Jennie G.; Rovaris, Diego Luiz; Seaman, Lauren; Shankarappa, Bhagya; Tsetsos, Fotis; Vereczkei, Andrea; Wang, Chenyao; Xulu, Khethelo; Yuen, Ryan K. C.; Zhao, Jingjing; Zai, Clement C.; Kennedy, James L.

2016-01-01

The XXIIIrd World Congress of Psychiatric Genetics (WCPG) meeting, sponsored by the International Society of Psychiatric Genetics (ISPG), was held in Toronto, ON, Canada, on October 16-20, 2015. Approximately 700 participants attended to discuss the latest state-of-the-art findings in this rapidly advancing and evolving field. The following report was written by trainee travel awardees. Each was assigned one session as a rapporteur. This manuscript represents the highlights and topics that were covered in the plenary sessions, symposia, and oral sessions during the conference, and contains major notable and new findings. PMID:27606929

Teachers' Views of the Challenges of Teaching Grade 9 Applied Mathematics in Toronto Schools

ERIC Educational Resources Information Center

Stoilescu, Dorian; McDougall, Douglas; Egodawatte, Gunawardena

2016-01-01

Mathematics teachers, mathematics department heads, curriculum leaders, and administrators from 11 schools in four school boards from Toronto, Ontario, Canada, participated in a project to improve the teaching and learning in grade 9 mathematics classrooms. In each of these schools, an implementation team was created, so that at least three…

"All Methods--and Wedded to None": The Deaf Education Methods Debate and Progressive Educational Reform in Toronto, Canada, 1922-1945

ERIC Educational Resources Information Center

Ellis, Jason A.

2014-01-01

This article is about the deaf education methods debate in the public schools of Toronto, Canada. The author demonstrates how pure oralism (lip-reading and speech instruction to the complete exclusion of sign language) and day school classes for deaf schoolchildren were introduced as a progressive school reform in 1922. Plans for further oralist…

The prevalence and risks of early childhood caries (ECC) in Toronto, Canada.

PubMed

Al-Jewair, Thikriat S; Leake, James L

2010-10-14

To determine the prevalence and risks of early childhood caries (ECC) among children less than 71 months of age in Toronto, Canada, and to evaluate the association between parental/caregiver depression and ECC. A secondary analysis of data previously collected by the Toronto Public Health as part of the 2003 Toronto Perinatal and Child Health Survey was performed. The 90-item survey was conducted over the telephone to 1,000 families with children from zero years (birth) to six years of age. Parents/caregivers were asked about factors related to the development and health of their children. For this study, only children younger than six years of age (less than 71 months) were included (n=833). The primary outcome of interest was self-reported and measured by the response to the question of whether a physician/dentist had ever told the parent/caregiver his/her child had ECC. The prevalence of ECC was 4.7 percent (37 of 791 children). The child's age, his/her history of dental visits, teeth brushing, the use of fluoridated toothpaste, the parent's/caregiver's depressive tendencies, the language spoken at home, and the household annual income were all significant in the bivariate analysis. Multiple logistic regression identified four factors associated with ECC: the child's age (being three years of age or older), having at least one parent/caregiver with depression, not speaking English at home, and having an annual household income less than $40,000 in Canadian dollars (CAD). While a child's age, home language, and household income are known risks for ECC, the finding that parental/caregiver depression may be related to ECC is new. Multiple risk factors are involved in the development of early childhood caries. Of particular importance are demographic (e.g., child's age), social (e.g., annual household income), and psychosocial factors (e.g., parental/caregiver depression) that are indirectly linked to ECC. More attention needs to be placed on understanding the role

Characterizing the spatial distribution of ambient ultrafine particles in Toronto, Canada: A land use regression model.

PubMed

Weichenthal, Scott; Van Ryswyk, Keith; Goldstein, Alon; Shekarrizfard, Maryam; Hatzopoulou, Marianne

2016-01-01

Exposure models are needed to evaluate the chronic health effects of ambient ultrafine particles (<0.1 μm) (UFPs). We developed a land use regression model for ambient UFPs in Toronto, Canada using mobile monitoring data collected during summer/winter 2010-2011. In total, 405 road segments were included in the analysis. The final model explained 67% of the spatial variation in mean UFPs and included terms for the logarithm of distances to highways, major roads, the central business district, Pearson airport, and bus routes as well as variables for the number of on-street trees, parks, open space, and the length of bus routes within a 100 m buffer. There was no systematic difference between measured and predicted values when the model was evaluated in an external dataset, although the R(2) value decreased (R(2) = 50%). This model will be used to evaluate the chronic health effects of UFPs using population-based cohorts in the Toronto area. Crown Copyright © 2015. Published by Elsevier Ltd. All rights reserved.

TECHNOLOGY EVALUATION REPORT: TORONTO HARBOUR COMMISSIONERS (THC) SOIL RECYCLE TREATMENT TRAIN. Project Summary

EPA Science Inventory

A demonstration of the Toronto Harbour Commissioners' (THC) Soil Recycle Treatment Train was performed under the Superfund Innovative Technology Evaluation (SITE) Program at a pilot plant facility in Toronto, Ontario, Canada. The Soil Recycle Treatment Train, which consists of s...

University of Toronto: Marketing from Scratch

ERIC Educational Resources Information Center

Mun, Almira

2008-01-01

Established in 1827, the University of Toronto is regarded as one of Canada's leading academic and research institutions. It has the highest number of students (both undergraduate and graduate), the most faculty members, and the widest range of courses among Canadian universities. It has often been referred to as the "Harvard of the…

Concentrations in air of organobromine, organochlorine and organophosphate flame retardants in Toronto, Canada

NASA Astrophysics Data System (ADS)

Shoeib, Mahiba; Ahrens, Lutz; Jantunen, Liisa; Harner, Tom

2014-12-01

Concentrations of organobromine (BFRs), organochlorine (CFRs) and organophosphate esters flame retardants and plasticizers (PFRs) in air were monitored for over one year at an urban site in Toronto, Canada during 2010-2011. The mean value for polybrominated diphenyl ethers (BDEs) (gas + particle phase) was 38 pg/m3 with BDE-47 and BDE-99 as the dominant congeners. The mean concentrations in air for ∑non-BDE (BFRs and CFRs), was 9.6 pg/m3 - about four times lower than the BDEs. The brominated FRs: TBP-AE, BTBPE, EH-TBB, BEH-TEBP and the chlorinated syn- and anti-DP were detected frequently, ranging from 87% to 96%. Highest concentrations in air among all flame retardant classes were observed for the Σ-PFRs. The yearly mean concentration in air for ΣPFRs was 2643 pg/m3 with detection frequency higher than 80%. Except for TBP-AE and b- DBE-DBCH, non-BDEs (BFRs, CFRs and PFRs) were mainly associated with the particle phase. BDE concentrations in air were positively correlated with temperature indicating that volatilization from local sources was an important factor controlling levels in air. This correlation did not hold for most BFRs, CFRs and PFRs which were mainly on particles. For these compounds, air concentrations in Toronto are likely related to emissions from point sources and advective inputs. This study highlights the importance of urban air monitoring for FRs. Urban air can be considered a sentinel for detecting changes in the use and application of FRs in commercial products.

Inadequacy of cervical cancer screening among urban recent immigrants: a population-based study of physician and laboratory claims in Toronto, Canada.

PubMed

Lofters, Aisha; Glazier, Richard H; Agha, Mohammad M; Creatore, Maria I; Moineddin, Rahim

2007-06-01

In Canada, Pap smears are recommended from 18 to 69. Self-reported socioeconomic gradients in screening have been documented in North America but there have been few direct measures of Pap smear use among immigrants or socially disadvantaged groups. Our purpose was to investigate whether socioedemographic factors are related to cervical cancer screening in Toronto, Canada. Pap smears were identified using fee and laboratory codes in Ontario physician service claims for 3 years (2000-2002 inclusive) for women aged 18-66. Area-level socioeconomic factors were derived from the 2001 census. At the individual level, recent registrants for health coverage, over 80% of whom are expected to be recent immigrants, were identified as women first registering after January 1, 1993. Among 724,584 women, 55.4% had Pap smears within 3 years. Recent immigration, visible minority, foreign language, low income and low education were all associated with significantly lower area rates. Recent registrants had much lower rates than non-recent registrants (36.9% versus 60.9%). Pap smear rates in Toronto fall below those dictated by evidence-based practice. Recent registrants, a largely immigrant group, have particularly low rates. Efforts to improve coverage need to emphasize women who recently immigrated and those with socioeconomic disadvantage.

Immigration, barriers to healthcare and transnational ties: A case study of South Korean immigrants in Toronto, Canada.

PubMed

Wang, Lu; Kwak, Min-Jung

2015-05-01

The paper analyzes the healthcare-seeking behavior of South Korean immigrants in Toronto, Canada, and how transnationalism shapes post-migration health and health-management strategies. Built upon largely separate research areas in ethnicity and health, health geography, and transnationalism, the paper conceptualizes immigrant health as influenced by individual characteristics, the migration and resettlement experience, and place effects at both a local and a transnational scale. A mixed-method approach is used to capture insights into health status and experiences in accessing local and transnational healthcare among South Korean immigrants - a fast growing visible minority group in Canada. Statistical analysis of data from the Canadian Community Health Survey discloses patterns and trends in health and healthcare use among the Korean Canadian, overall foreign-born, and native-born populations. Focus groups reveal in-depth information on the decline of Korean immigrants' health status and the array of sociocultural, economic and geographic barriers in accessing healthcare in Canada, which gave rise to their transnational use of health resources in the home country. The transnational strategies included traveling to South Korea for medical examinations or treatment, importing medications from South Korea to Canada, and consulting health resources in South Korea by phone or email. The results provide timely knowledge on how a recent immigrant group adapts to Canada in the domain of health and adds a transnational perspective to the literature on ethnicity and health. Copyright © 2014 Elsevier Ltd. All rights reserved.

Drug problems among homeless individuals in Toronto, Canada: prevalence, drugs of choice, and relation to health status

PubMed Central

2010-01-01

Background Drug use is believed to be an important factor contributing to the poor health and increased mortality risk that has been widely observed among homeless individuals. The objective of this study was to determine the prevalence and characteristics of drug use among a representative sample of homeless individuals and to examine the association between drug problems and physical and mental health status. Methods Recruitment of 603 single men, 304 single women, and 284 adults with dependent children occurred at homeless shelters and meal programs in Toronto, Canada. Information was collected on demographic characteristics and patterns of drug use. The Addiction Severity Index was used to assess whether participants suffered from drug problems. Associations of drug problems with physical and mental health status (measured by the SF-12 scale) were examined using regression analyses. Results Forty percent of the study sample had drug problems in the last 30 days. These individuals were more likely to be single men and less educated than those without drug problems. They were also more likely to have become homeless at a younger age (mean 24.8 vs. 30.9 years) and for a longer duration (mean 4.8 vs. 2.9 years). Marijuana and cocaine were the most frequently used drugs in the past two years (40% and 27%, respectively). Drug problems within the last 30 days were associated with significantly poorer mental health status (-4.9 points, 95% CI -6.5 to -3.2) but not with poorer physical health status (-0.03 points, 95% CI -1.3 to 1.3)). Conclusions Drug use is common among homeless individuals in Toronto. Current drug problems are associated with poorer mental health status but not with poorer physical health status. PMID:20181248

Toronto: A New Global City of Learning

ERIC Educational Resources Information Center

Hamlin, Daniel; Davies, Scott

2016-01-01

Toronto, Canada, is emblematic of a new stratum of global cities. Unlike many world capitals, the city has gained stature only over the past half century, having successfully post-industrialized into a new economy and become a major world centre for immigration. Paradoxically, education has emerged as both a major driver of change and a divider of…

Dietary acculturation of Arab immigrants in the Greater Toronto Area.

PubMed

Abou El Hassan, Dahlia; Hekmat, Sharareh

2012-01-01

We explored the eating habits of Arab immigrants to determine whether they have maintained their traditional diet or have consumed a more Westernized diet since immigrating to Canada. Arab immigrants who had been in Canada for at least eight years and were currently living in the Greater Toronto Area were recruited. A sample of 24 Arab immigrants completed a mailed, self-administered questionnaire, and six participated in a focus group. The focus group discussion was transcribed verbatim and results were recorded. Latent content analysis was used to analyze, code, and categorize emerging themes. Arab immigrants consumed a mixture of both Arabic and Western food and perceived their current diet to be healthier than it was before they immigrated to Canada. Factors that influenced their food choices included increased nutrition health awareness, differences in food preferences and preparation methods, and preservation of dietary practices in the new environment. Our findings will help dietitians who work with Arab immigrants to become more aware of factors that motivate this group's food choices, and to create nutrition programs that are more culturally sensitive.

Weather sensitivity for zoo visitation in Toronto, Canada: a quantitative analysis of historical data.

PubMed

Hewer, Micah J; Gough, William A

2016-11-01

Based on a case study of the Toronto Zoo (Canada), multivariate regression analysis, involving both climatic and social variables, was employed to assess the relationship between daily weather and visitation. Zoo visitation was most sensitive to weather variability during the shoulder season, followed by the off-season and, then, the peak season. Temperature was the most influential weather variable in relation to zoo visitation, followed by precipitation and, then, wind speed. The intensity and direction of the social and climatic variables varied between seasons. Temperatures exceeding 26 °C during the shoulder season and 28 °C during the peak season suggested a behavioural threshold associated with zoo visitation, with conditions becoming too warm for certain segments of the zoo visitor market, causing visitor numbers to decline. Even light amounts of precipitation caused average visitor numbers to decline by nearly 50 %. Increasing wind speeds also demonstrated a negative influence on zoo visitation.

Weather sensitivity for zoo visitation in Toronto, Canada: a quantitative analysis of historical data

NASA Astrophysics Data System (ADS)

Hewer, Micah J.; Gough, William A.

2016-11-01

Based on a case study of the Toronto Zoo (Canada), multivariate regression analysis, involving both climatic and social variables, was employed to assess the relationship between daily weather and visitation. Zoo visitation was most sensitive to weather variability during the shoulder season, followed by the off-season and, then, the peak season. Temperature was the most influential weather variable in relation to zoo visitation, followed by precipitation and, then, wind speed. The intensity and direction of the social and climatic variables varied between seasons. Temperatures exceeding 26 °C during the shoulder season and 28 °C during the peak season suggested a behavioural threshold associated with zoo visitation, with conditions becoming too warm for certain segments of the zoo visitor market, causing visitor numbers to decline. Even light amounts of precipitation caused average visitor numbers to decline by nearly 50 %. Increasing wind speeds also demonstrated a negative influence on zoo visitation.

Science Across Borders: 5th Annual Natural Health Product Research Conference—March 26–29, 2008, Toronto, Canada

PubMed Central

2010-01-01

Canada is experiencing a growing interest in the use of alternative therapies and products particularly natural health products (NHP). In 1997, Canadians spent around C$ 2 billion on NHP. In an attempt to catch with this popularity of NHP use, Canadian researchers and administrators from academia, industry and government jointly established the Natural Health Product Research Society of Canada (NHPRS). Since its formation, NHPRS has been organizing an annual meeting which brings together world renowned researchers and experts in the area of NHP research. For 2008, the annual NHPRS meeting took place in Toronto from the 26th to 29th of March with a focus on ‘Science Across Borders: Global Natural Health Products Research’. The scientific program was spread into three days of plenary lectures and oral presentations. The different sessions containing these talks were on: ethnobotany around the world; chemical analysis of NHP; product standards and quality control; ethnomedicine; novel analytical approaches; systemic research, nutrisciences and molecular medicine; and drug development from NHP. The meeting proved to be a great success in terms of the speakers that were invited and based on the data that was presented which highlighted recent research taking place in the field of NHP not only in Canada but from many parts of the world. PMID:18955362

Sexual health: the role of sexual health services among homeless young women living in Toronto, Canada.

PubMed

Oliver, Vanessa; Cheff, Rebecca

2012-05-01

Recent statistics indicate limited condom use, high STI (sexually transmitted infection) rates, and a general lack of knowledge about reproductive and sexual health among homeless youth. This research focuses on the experiences of homeless female and transgendered youth, providing an insider's perspective on shaping sexual health interventions. This qualitative research is based on life history interviews and participant observation with eight homeless young women who reflect the diversity of the homeless population in Toronto, Ontario, Canada. Their particularized sexual experiences and health-seeking behaviors illustrate the range of issues faced by this community, speaking to the efficacy of current health promotion strategies. Too often faced with judgmental health and social service providers who they perceive to undermine their agency and empowerment, these women highlight the challenges they face when seeking sexual and reproductive health services and information. In addition to speaking to the struggles and frustrations they face in regard to their sexual health and the services with which they choose to interact, the women provide suggestions for improved care. From these, the authors include key recommendations for the provision of culturally competent, sex-positive, and nonjudgmental health services with the hope that health practitioners and promoters can learn from these experiences, both positive and negative, when caring for and supporting young women living in exceptional circumstances.

Acute impacts of extreme temperature exposure on emergency room admissions related to mental and behavior disorders in Toronto, Canada.

PubMed

Wang, Xiang; Lavigne, Eric; Ouellette-kuntz, Hélène; Chen, Bingshu E

2014-02-01

The purpose of this study was to assess the effects of extreme ambient temperature on hospital emergency room visits (ER) related to mental and behavioral illnesses in Toronto, Canada. A time series study was conducted using health and climatic data from 2002 to 2010 in Toronto, Canada. Relative risks (RRs) for increases in emergency room (ER) visits were estimated for specific mental and behavioral diseases (MBD) after exposure to hot and cold temperatures while using the 50th percentile of the daily mean temperature as reference. Poisson regression models using a distributed lag non-linear model (DLNM) were used. We adjusted for the effects of seasonality, humidity, day-of-the-week and outdoor air pollutants. We found a strong association between MBD ER visits and mean daily temperature at 28°C. The association was strongest within a period of 0-4 days for exposure to hot temperatures. A 29% (RR=1.29, 95% CI 1.09-1.53) increase in MBD ER vists was observed over a cumulative period of 7 days after exposure to high ambient temperature (99th percentile vs. 50th percentile). Similar associations were reported for schizophrenia, mood, and neurotic disorers. No significant associations with cold temperatures were reported. The ecological nature and the fact that only one city was investigated. Our findings suggest that extreme temperature poses a risk to the health and wellbeing for individuals with mental and behavior illnesses. Patient management and education may need to be improved as extreme temperatures may become more prevalent with climate change. © 2013 Elsevier B.V. All rights reserved.

Qualitative cross-sectional study of the perceived causes of depression in South Asian origin women in Toronto

PubMed Central

Ekanayake, Samanthika; Ahmad, Farah

2012-01-01

Objective To explore how South Asian origin women in Toronto, Canada, understand and explain the causes of their depression. Design Cross-sectional in-depth qualitative interviews. Setting Outpatient service in Toronto, Ontario. Participants Ten women with symptoms of depression aged between 22 and 65 years of age. Seven were from India, two from Sri Lanka and one from Pakistan. Four were Muslim, three Hindu and three Catholic. Two participants had university degrees, one a high school diploma and seven had completed less than a high school education. Eight were married, one was unmarried and one a widow. Results Three main factors emerged from the participant narratives as the causes of depression: family and relationships, culture and migration and socioeconomic. The majority of the participants identified domestic abuse, marital problems and interpersonal problems in the family as the cause of their depression. Culture and migration and socioeconomic factors were considered contributory. None of our study participants reported spiritual, supernatural or religious factors as causes of depression. Conclusion A personal–social–cultural model emerged as the aetiological paradigm for depression. Given the perceived causation, psycho-social treatment methods may be more acceptable for South Asian origin women. PMID:22337816

Toronto First Duty: Integrating Kindergarten, Childcare, and Parenting Support to Help Diverse Families Connect to Schools

ERIC Educational Resources Information Center

Pelletier, Janette; Corter, Carl

2005-01-01

The focus of this article is a research and development project underway in Toronto, Ontario, Canada. The project is Toronto First Duty, reflecting that the "first duty of a state is to see that every child born therein shall be well-housed, clothed, fed, and educated, till it attain years of discretion," according to 19th century…

Energy Solutions, Neo-Liberalism, and Social Diversity in Toronto, Canada

PubMed Central

Teelucksingh, Cheryl; Poland, Blake

2011-01-01

In response to the dominance of green capitalist discourses in Canada’s environmental movement, in this paper, we argue that strategies to improve energy policy must also provide mechanisms to address social conflicts and social disparities. Environmental justice is proposed as an alternative to mainstream environmentalism, one that seeks to address systemic social and spatial exclusion encountered by many racialized immigrants in Toronto as a result of neo-liberal and green capitalist municipal policy and that seeks to position marginalized communities as valued contributors to energy solutions. We examine Toronto-based municipal state initiatives aimed at reducing energy use while concurrently stimulating growth (specifically, green economy/green jobs and ‘smart growth’). By treating these as instruments of green capitalism, we illustrate the utility of environmental justice applied to energy-related problems and as a means to analyze stakeholders’ positions in the context of neo-liberalism and green capitalism, and as opening possibilities for resistance. PMID:21318023

Brazilian immigrants' oral health literacy and participation in oral health care in Canada.

PubMed

Calvasina, Paola; Lawrence, Herenia P; Hoffman-Goetz, Laurie; Norman, Cameron D

2016-02-15

Inadequate functional health literacy is a common problem in immigrant populations. The aim of this study was to investigate the association between oral (dental) health literacy (OHL) and participation in oral health care among Brazilian immigrants in Toronto, Ontario, Canada. The study used a cross-sectional design and a convenience sample of 101 Brazilian immigrants selected through the snowball sampling technique. Data were analyzed using descriptive statistics and logistic regression modeling. Most of the sample had adequate OHL (83.1 %). Inadequate/marginal OHL was associated with not visiting a dentist in the preceding year (OR = 3.61; p = 0.04), not having a dentist as the primary source of dental information (OR = 5.55; p < 0.01), and not participating in shared dental treatment decision making (OR = 1.06; p = 0.05; OHL as a continuous variable) in multivariate logistic regressions controlling for covariates. A low average annual family income was associated with two indicators of poor participation in oral health care (i.e., not having visited a dentist in the previous year, and not having a dentist as regular source of dental information). Limited OHL was linked to lower participation in the oral health care system and with barriers to using dental services among a sample of Brazilian immigrants. More effective knowledge transfer will be required to help specific groups of immigrants to better navigate the Canadian dental care system.

Qualitative cross-sectional study of the perceived causes of depression in South Asian origin women in Toronto.

PubMed

Ekanayake, Samanthika; Ahmad, Farah; McKenzie, Kwame

2012-01-01

To explore how South Asian origin women in Toronto, Canada, understand and explain the causes of their depression. Cross-sectional in-depth qualitative interviews. Outpatient service in Toronto, Ontario. Ten women with symptoms of depression aged between 22 and 65 years of age. Seven were from India, two from Sri Lanka and one from Pakistan. Four were Muslim, three Hindu and three Catholic. Two participants had university degrees, one a high school diploma and seven had completed less than a high school education. Eight were married, one was unmarried and one a widow. Three main factors emerged from the participant narratives as the causes of depression: family and relationships, culture and migration and socioeconomic. The majority of the participants identified domestic abuse, marital problems and interpersonal problems in the family as the cause of their depression. Culture and migration and socioeconomic factors were considered contributory. None of our study participants reported spiritual, supernatural or religious factors as causes of depression. A personal-social-cultural model emerged as the aetiological paradigm for depression. Given the perceived causation, psycho-social treatment methods may be more acceptable for South Asian origin women.

"The normative idea of queer is a white person": understanding perceptions of white privilege among lesbian, bisexual, and queer women of color in Toronto, Canada.

PubMed

Logie, Carmen H; Rwigema, Marie-Jolie

2014-01-01

White privilege constructs whiteness as normative and central to lesbian, gay, bisexual, and queer (LGBQ) identities and is reproduced through social norms, media representations, and daily interactions. We aimed to enhance understanding of the processes by which white privilege was experienced among lesbian, bisexual, and queer (LBQ) women of color in Toronto, Canada. We conducted two focus groups with LBQ women of color, one with participants who self-identified as masculine of center (n = 8) and the second with participants who identified as feminine of center (n = 8). Findings indicate that LBQ women of color experience intersectional stigma (e.g., homophobia, racism, sexism) on a daily basis. Participant narratives revealed that white privilege shaped the representations of women of color in a particular way that promoted their exclusion from white LBQ spaces and broader society. By representing queerness as white, LBQ women of color were rendered invisible in both queer and racialized communities. LBQ women of color were further marginalized by constructions of "real" women as passive, feminine and white, and conversely perceptions of women of color as aggressive, emotional, and hypersexualized. These representations inform spatialized practices and social interactions through constructing racialized communities as discriminatory and "backwards" while maintaining the invisibility of white privilege and racism in LBQ spaces.

Exploring diabetes management amongst immigrant Sikhs in the Greater Toronto Area: a qualitative study.

PubMed

Uppal, Gina; Sibbald, Shannon L; Melling, James

2016-12-01

This study describes the ethnocultural influences associated with managing diabetes (Type 2) in a small sample of older Sikh immigrants in Toronto, Canada. The South Asian community, which includes Sikhs, is the fastest growing immigrant population, the second largest visible minority in Canada, and is five times more likely to have diabetes than their Canadian counterparts. The relationship between culture, immigration, and management of diabetes has been recognized, but research of how these areas intersect in the Sikh community is sparse. Data were collected using qualitative semi-structured interviews, and participants were recruited via purposive and snowball sampling techniques. Data were analysed using constant comparative methods. The complexities of diabetes management are organized in this study as the (1) external (2) internal and (3) actualized experiences participants faced navigating cultural dynamics, understanding their diagnosis, and interacting with health resources. An individual's diabetes diagnosis and treatment plan interacts with layers beyond the health system which must be understood in order to provide health care that is truly an empowering resource.

Mental health and hospital chaplaincy: strategies of self-protection (case study: toronto, Canada).

PubMed

Kianpour, Masoud

2013-01-01

This is a study about emotion management among a category of healthcare professional - hospital chaplains - who have hardly been the subject of sociological research about emotions. The aim of the study was to understand how chaplains manage their work-related emotions in order to protect their mental health, whilst also providing spiritual care. Using in-depth, semi structured interviews, the author spoke with 21 chaplains from five faith traditions (Christianity, Islam, Judaism, Buddhism and modern paganism) in different Toronto (Canada) Hospitals to see how they manage their emotion, and what resources they rely on in order to protect their mental health. Data analysis was perfumed according to Sandelowski's method of qualitative description. The average age and work experience of the subjects interviewed in this study are 52 and 9.6 respectively. 11 chaplains worked part-time and 10 chaplains worked full-time. 18 respondents were women and the sample incudes 3 male chaplains only. The findings are discussed, among others, according to the following themes: work-life balance, self-reflexivity, methods of self-care, and chaplains' emotional make-up. Emotion management per se is not a problem. However, if chaplains fail to maintain a proper work-life balance, job pressure can be harmful. As a strategy, many chaplains work part-time. As a supportive means, an overwhelming number of chaplains regularly benefit from psychotherapy and/or spiritual guidance. None.

Undergraduate otolaryngology education at the University of Toronto: a review using a curriculum mapping system.

PubMed

Oyewumi, Modupe; Isaac, Kathryn; Schreiber, Martin; Campisi, Paolo

2012-02-01

The aim of Canadian medical school curricula is to provide educational experiences that satisfy the specific objectives set out by the Medical Council of Canada. However, for specialties such as otolaryngology, there is considerable variability in student exposure to didactic and clinical teaching across Canadian medical schools, making it unclear whether students receive sufficient teaching of core otolaryngology content and clinical skills. The goal of this review was to assess the exposure to otolaryngology instruction in the undergraduate medical curriculum at the University of Toronto. Otolaryngology objectives were derived from objectives created by the Medical Council of Canada and the University of Toronto. The University of Toronto's recently developed Curriculum Mapping System (CMap) was used to perform a keyword search of otolaryngology objectives to establish when and to what extent essential topics were being taught. All (10 of 10) major topics and skills identified were covered in the undergraduate medical curriculum. Although no major gaps were identified, an uneven distribution of teaching time exists. The majority (> 90%) of otolaryngology education occurs during year 1 of clerkship. The amount of preclerkship education was extremely limited. Essential otolaryngology topics and skills are taught within the University of Toronto curriculum. The CMap was an effective tool to assess the otolaryngology curriculum and was able to identify gaps in otolaryngology education during the preclerkship years of medical school. As a result, modifications to the undergraduate curriculum have been implemented to provide additional teaching during the preclerkship years.

Training in Toronto's "New Economy"=La formation dans la "nouvelle" economie de Toronto.

ERIC Educational Resources Information Center

Community Perspectives Series, 2002

2002-01-01

This Community Perspectives Series document includes statements about the new economy in Toronto made by four participants in a March 2001 forum. The new economy was defined by the moderator as "an economy that emphasizes knowledge and technical processes put to the production of goods and other outputs so that an individual's knowledge is…

Are you ready? Exploring readiness to engage in exercise among people living with HIV and multimorbidity in Toronto, Canada: a qualitative study

PubMed Central

Simonik, Alya; Vader, Kyle; Ellis, Denine; Kesbian, Dirouhi; Leung, Priscilla; Jachyra, Patrick; Chan Carusone, Soo; O'Brien, Kelly K

2016-01-01

Objectives Our aim was to explore readiness to engage in exercise among people living with HIV and multimorbidity. Design We conducted a descriptive qualitative study using face-to-face semistructured interviews with adults living with HIV. Setting We recruited adults (18 years or older) who self-identified as living with HIV and 2 or more additional health-related conditions from a specialty hospital in Toronto, Canada. Participants 14 participants with a median age of 50 years and median number of 9 concurrent health-related conditions participated in the study. The majority of participants were men (64%) with an undetectable viral load (71%). Outcome measures We asked participants to describe their readiness to engage in exercise and explored how contextual factors influenced their readiness. We analysed interview transcripts using thematic analysis. Results We developed a framework to describe readiness to engage in exercise and the interplay of factors and their influence on readiness among adults with HIV and multimorbidity. Readiness was described as a diverse, dynamic and fluctuating spectrum ranging from not thinking about exercise to routinely engaging in daily exercise. Readiness was influenced by the complex and episodic nature of HIV and multimorbidity comprised of physical impairments, mental health challenges and uncertainty from HIV and concurrent health conditions. This key factor created a context within which 4 additional subfactors (social supports, perceptions and beliefs, past experience with exercise, and accessibility) may further hinder or facilitate an individual's position along the spectrum of readiness to exercise. Conclusions Readiness to engage in exercise among people living with HIV is a dynamic and fluctuating construct that may be influenced by the episodic nature of HIV and multimorbidity and 4 subfactors. Strategies to facilitate readiness to exercise should consider the interplay of these factors in order to enhance

A review of screening mammography participation and utilization in Canada.

PubMed

Doyle, G P; Major, D; Chu, C; Stankiewicz, A; Harrison, M L; Pogany, L; Mai, V M; Onysko, J

2011-09-01

Participation rate is an important indicator for a screening program's effectiveness; however, the current approach to measuring participation rate in Canada is not comparable with other countries. The objective of this study is to review the measurement of screening mammography participation in Canada, make international comparisons, and propose alternative methods. Canadian breast cancer screening program data for women aged 50 to 69 years screened between 2004 and 2006 were extracted from the Canadian Breast Cancer Screening Database (CBCSD). The fee-for-services (FSS) mammography data (opportunistic screening mammography) were obtained from the provincial ministries of health. Both screening mammography program participation and utilization were examined over 24 and 30 months. Canada's screening participation rate increases from 39.4% for a 24-month cut-off to 43.6% for a 30-month cut-off. The 24-month mammography utilization rate is 63.1% in Canada, and the 30-month utilization rate is 70.4%. Due to the differences in health service delivery among Canadian provinces, both programmatic participation and overall utilization of mammography at 24 months and 30 months should be monitored.

Residents as health advocates: The development, implementation and evaluation of a child advocacy initiative at the University of Toronto (Toronto, Ontario).

PubMed

Au, Hosanna; Harrison, Megan; Ahmet, Alexandra; Orsino, Angela; Beck, Carolyn E; Tallett, Susan; Gans, Marvin; Birken, Catherine S

2007-09-01

Advocacy is an integral part of a paediatrician's role. The Royal College of Physicians and Surgeons of Canada has identified advocacy as one of the essential Canadian Medical Education Directives for Specialists competencies, and participation in child advocacy work as an important component of paediatric residency training. The objective of the present paper was to describe the development, implementation and evaluation of the first four years of the child advocacy initiative at the University of Toronto (Toronto, Ontario). Ideas for community child advocacy projects were generated through a literature review, and a link to a local elementary school was identified. Teacher and parent focus groups were conducted to identify areas for resident involvement. Workshops were then developed, implemented and evaluated by paediatric residents. Six child advocacy projects between 2001 and 2004 were conducted based on results from the focus groups. These included annual clothing drives, as well as workshops for parents and children about nutrition, safety, parenting, illness management and basic first aid. More than 95% of parents reported that the workshops were useful or very useful, more than 92% felt that they learned something new and more than 83% wanted the residents to return for further workshops. Teachers and residents gave positive informal feedback. Through the child advocacy initiative, paediatric residents had the opportunity to develop skills in advocacy, learn about the determinants of child health and become community partners in advocating for children. Such an initiative can be incorporated into the residency curriculum to help residents develop competency in advocacy.

A social ecological approach to understanding correlates of lifetime sexual assault among sexual minority women in Toronto, Canada: results from a cross-sectional internet-based survey

PubMed Central

Logie, C. H.; Alaggia, R.; Rwigema, M. J.

2014-01-01

Stigma, discrimination and violence contribute to health disparities among sexual minorities. Lesbian, bisexual and queer (LBQ) women experience sexual violence at similar or higher rates than heterosexual women. Most research with LBQ women, however, has focused on measuring prevalence of sexual violence rather than its association with health outcomes, individual, social and structural factors. We conducted a cross-sectional online survey with LBQ women in Toronto, Canada. Multivariate logistic regression analyses were conducted to assess correlates of lifetime sexual assault (LSA). Almost half (42%) of participants (n = 415) reported experiences of LSA. Participants identifying as queer were more likely to have experienced LSA than those identifying as lesbian. When controlling for socio-demographic characteristics, experiencing LSA was associated with higher rates of depression, sexually transmitted infections (STIs), receiving an STI test, belief that healthcare providers were not comfortable with their LBQ sexual orientation, and sexual stigma (overall, perceived and enacted). A history of sexual violence was associated with lower: self-rated health, overall social support, family social support and self-esteem. This research highlights the salience of a social ecological framework to inform interventions for health promotion among LBQ women and to challenge sexual stigma and sexual violence. PMID:24412812

The Physically Handicapped and Health Impaired Children: Do They Prosper in Regular Toronto Elementary Schools?

ERIC Educational Resources Information Center

Larter, Sylvia E.

The experience of 88 physically handicapped and health impaired (PH/HI) children attending Toronto, Canada, regular elementary schools in either regular classes or "integrated" special education classes was assessed with regard to their academic, social, emotional, medical, and physical needs. The integrated classification meant they…

Toronto area ozone: Long-term measurements and modeled sources of poor air quality events

NASA Astrophysics Data System (ADS)

Whaley, C. H.; Strong, K.; Jones, D. B. A.; Walker, T. W.; Jiang, Z.; Henze, D. K.; Cooke, M. A.; McLinden, C. A.; Mittermeier, R. L.; Pommier, M.; Fogal, P. F.

2015-11-01

The University of Toronto Atmospheric Observatory and Environment Canada's Centre for Atmospheric Research Experiments each has over a decade of ground-based Fourier transform infrared (FTIR) spectroscopy measurements in southern Ontario. We present the Toronto area FTIR time series from 2002 to 2013 of two tropospheric trace gases—ozone and carbon monoxide—along with surface in situ measurements taken by government monitoring programs. We interpret their variability with the GEOS-Chem chemical transport model and determine the atmospheric conditions that cause pollution events in the time series. Our analysis includes a regionally tagged O3 model of the 2004-2007 time period, which quantifies the geographical contributions to Toronto area O3. The important emission types for 15 pollution events are then determined with a high-resolution adjoint model. Toronto O3, during pollution events, is most sensitive to southern Ontario and U.S. fossil fuel NOx emissions and natural isoprene emissions. The sources of Toronto pollution events are found to be highly variable, and this is demonstrated in four case studies representing local, short-, middle-, and long-range transport scenarios. This suggests that continental-scale emission reductions could improve air quality in the Toronto region. We also find that abnormally high temperatures and high-pressure systems are common to all pollution events studied, suggesting that climate change may impact Toronto O3. Finally, we quantitatively compare the sensitivity of the surface and column measurements to anthropogenic NOx emissions and show that they are remarkably similar. This work thus demonstrates the usefulness of FTIR measurements in an urban area to assess air quality.

Multiliteracies, Pedagogy and Identities: Teacher and Student Voices from a Toronto Elementary School

ERIC Educational Resources Information Center

Giampapa, Frances

2010-01-01

In this article, I draw on an ethnographic case study of one Toronto elementary school, as part of a Canada-wide action research project: Multiliteracy Project (www.multiliteracies.ca). I have explored how Perminder, a grade-4 teacher, developed a multiliteracies pedagogy, drawing on her own and her students' identities and linguistic and cultural…

Grannies, elders, and friends: aging Aboriginal women in Toronto.

PubMed

Baskin, Cyndy; Davey, Caitlin J

2015-01-01

Based on a research project in Toronto, Canada, this article highlights the strengths and resiliency of 12 female Aboriginal Elders and seniors as they age together. For these women, being actively involved in their families and the Aboriginal community gives them a solid grounding in who they are, what their roles are and how they contribute to the whole. Of particular significance is the support and friendship the women offer each other through their commonalities, activities, and sense of humor.

Women's Class Strategies as Activism in Native Community Building in Toronto, 1950-1975

ERIC Educational Resources Information Center

Howard-Bobiwash, Heather

2003-01-01

Between the end of World War II and the early 1970s, many Native women in Ontario came to Toronto in the hopes of accessing higher education, jobs, and freedom denied them on reserves under the oppression of federal government tutelage. However, much of the literature on Native rural-urban migration in Canada concentrates on an association between…

Conceptualizing Geosexual Archetypes: Mapping the Sexual Travels and Egocentric Sexual Networks of Gay and Bisexual Men in Toronto, Canada.

PubMed

Gesink, Dionne; Wang, Susan; Guimond, Tim; Kimura, Lauren; Connell, James; Salway, Travis; Gilbert, Mark; Mishra, Sharmistha; Tan, Darrell; Burchell, Ann N; Brennan, David J; Logie, Carmen H; Grace, Daniel

2018-06-01

There are complex, synergistic, and persistent sexually transmitted infection (STI) epidemics affecting gay, bisexual and other men who have sex with men (gbMSM) in every major urban centre across North America. We explored the spatial architecture of egocentric sexual networks for gbMSM in Toronto, Canada. Our integrative mixed methods study included in-depth interviews with 31 gbMSM between May and July 2016. During interviews, participants mapped their egocentric sexual network for the preceding 3 months geographically. At the end, a self-administered survey was used to collect sociodemographic characteristics, online technology use, and STI testing and history. We identified 6 geosexual archetypes: hosters, house-callers, privates, rovers, travellers, and geoflexibles. Hosters always, or almost always (≥80%), hosted sex at their home. House-callers always, or almost always (≥80%), had sex at their partner's home. Rovers always or almost always (≥80%) had sex at public venues (eg, bath houses, sex clubs) and other public spaces (eg, parks, cruising sites). Privates had sex in private-their own home or their partner's (part hoster, part house-caller). Travellers had sex away from their home, either at a partner's home or some other venue or public space (part house-caller, part rover). Geoflexibles had sex in a variety of locations-their home, their partner's home, or public venues. All hosters and rovers, and to a lesser extent, geoflexibles, reported a history of syphilis and human immunodeficiency virus. Prioritizing interventions to hosters, rovers, and geoflexibles may have an important impact on reducing STI transmission.

Maintaining distance from a necessary intrusion: a postcolonial perspective on dying at home for Chinese immigrants in Toronto, Canada.

PubMed

Seto Nielsen, Lisa; Angus, Jan E; Gastaldo, Denise; Howell, Doris; Husain, Amna

2013-10-01

The purpose of this study was to describe and examine how meanings of home condition negotiations of care for Chinese immigrants with advanced cancer receiving palliative home care in Toronto, Canada. This focused ethnographic study drew on the tenets of postcolonial theory to examine the social and material circumstances associated with dying at home for Chinese immigrants. Eleven key informants were recruited, in addition to 4 cases comprised of a Chinese immigrant care recipient, primary family caregiver, and home visiting nurse. Individual, open-ended interviews were conducted with each participant, along with observations of home visits. Palliative care was not viewed strictly as an intrusion that was thrust upon the home without permission or invitation, but an insertion into the routines of the home that was necessary because care recipients recognized the need for palliative care providers to help navigate the system and negotiate dying at home. Consequently, care recipients and family caregivers also sought to minimize the intrusions of palliative care by preserving everyday routines and engaging with family and friends. Although the study was focused on Chinese immigrants, the findings resonate with and speak more broadly to the contextual, systemic, social, and material circumstances associated with dying at home for immigrants with advanced cancer. Nurses providing palliative home care to immigrants may begin to critically examine assumptions of "cultural" beliefs about cancer and end-of-life care and look beyond identifying ethno-specific practices, but come to recognize how nurses are implicated in a culture of palliative care. Copyright © 2013 Elsevier Ltd. All rights reserved.

Schooling Transnational Speakers of the Societal Language: Language Variation Policy-Making in Madrid and Toronto

ERIC Educational Resources Information Center

Schecter, Sandra R.; García Parejo, Isabel; Ambadiang, Théophile; James, Carl E.

2014-01-01

A cross-national comparative study in Toronto, Ontario, Canada and Madrid, Spain examines educational policies and practices that target immigrant students for whom the language variety normally spoken in the host country represents a second dialect. Policy contexts and schooling environments of the two urban centres were analyzed to gain deeper…

A social ecological approach to understanding correlates of lifetime sexual assault among sexual minority women in Toronto, Canada: results from a cross-sectional internet-based survey.

PubMed

Logie, C H; Alaggia, R; Rwigema, M J

2014-08-01

Stigma, discrimination and violence contribute to health disparities among sexual minorities. Lesbian, bisexual and queer (LBQ) women experience sexual violence at similar or higher rates than heterosexual women. Most research with LBQ women, however, has focused on measuring prevalence of sexual violence rather than its association with health outcomes, individual, social and structural factors. We conducted a cross-sectional online survey with LBQ women in Toronto, Canada. Multivariate logistic regression analyses were conducted to assess correlates of lifetime sexual assault (LSA). Almost half (42%) of participants (n = 415) reported experiences of LSA. Participants identifying as queer were more likely to have experienced LSA than those identifying as lesbian. When controlling for socio-demographic characteristics, experiencing LSA was associated with higher rates of depression, sexually transmitted infections (STIs), receiving an STI test, belief that healthcare providers were not comfortable with their LBQ sexual orientation, and sexual stigma (overall, perceived and enacted). A history of sexual violence was associated with lower: self-rated health, overall social support, family social support and self-esteem. This research highlights the salience of a social ecological framework to inform interventions for health promotion among LBQ women and to challenge sexual stigma and sexual violence. © The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

"We don't exist": a qualitative study of marginalization experienced by HIV-positive lesbian, bisexual, queer and transgender women in Toronto, Canada.

PubMed

Logie, Carmen H; James, Llana; Tharao, Wangari; Loutfy, Mona R

2012-09-07

Lesbian, bisexual, queer and transgender (LBQT) women living with HIV have been described as invisible and understudied. Yet, social and structural contexts of violence and discrimination exacerbate the risk of HIV infection among LBQT women. The study objective was to explore challenges in daily life and experiences of accessing HIV services among HIV-positive LBQT women in Toronto, Canada. We used a community-based qualitative approach guided by an intersectional theoretical framework. We conducted two focus groups; one focus group was conducted with HIV-positive lesbian, bisexual and queer women (n = 7) and the second with HIV-positive transgender women (n = 16). Participants were recruited using purposive sampling. Focus groups were digitally recorded and transcribed verbatim. Thematic analysis was used for analyzing data to enhance understanding of factors that influence the wellbeing of HIV-positive LBQT women. Participant narratives revealed a trajectory of marginalization. Structural factors such as social exclusion and violence elevated the risk for HIV infection; this risk was exacerbated by inadequate HIV prevention information. Participants described multiple barriers to HIV care and support, including pervasive HIV-related stigma, heteronormative assumptions in HIV-positive women's services and discriminatory and incompetent treatment by health professionals. Underrepresentation of LBQT women in HIV research further contributed to marginalization and exclusion. Participants expressed a willingness to participate in HIV research that would be translated into action. Structural factors elevate HIV risk among LBQT women, limit access to HIV prevention and present barriers to HIV care and support. This study's conceptualization of a trajectory of marginalization enriches the discussion of structural factors implicated in the wellbeing of LBQT women and highlights the necessity of addressing LBQT women's needs in HIV prevention, care and research

Applicability of geochemical techniques and artificial sweeteners in discriminating the anthropogenic sources of chloride in shallow groundwater north of Toronto, Canada.

PubMed

Khazaei, Esmaeil; Milne-Home, William

2017-05-01

Elevated levels of chloride concentration due to anthropogenic activities including the road salts, septic effluent and agricultural sources are common in shallow groundwater of the recent glacial deposits north of Toronto, Ontario, Canada. Identifying suitable techniques for discriminating the source of the chloride concentration helps to better plan the protection of groundwater in the area. This paper examines the applicability of geochemical techniques with emphasis on Panno et al. (Ground Water 44: 176-187, 2006) and Mullaney et al. (2009) graphical approaches for discriminating the sources of chloride with known causes of impacts. The results indicated that the graphical methods developed using Cl - , Br - and/or total nitrogen (N) could identify the combined sources of road salts and septic systems. However, discriminating between the road salts, septic effluent or agricultural sources needs to be complemented by other techniques including the artificial sweeteners and isotope tracers.

A comparison of health access between permanent residents, undocumented immigrants and refugee claimants in Toronto, Canada.

PubMed

Campbell, Ruth M; Klei, A G; Hodges, Brian D; Fisman, David; Kitto, Simon

2014-02-01

Understanding the immigrant experience accessing healthcare is essential to improving their health. This qualitative study reports on experiences seeking healthcare for three groups of immigrants in Toronto, Canada: permanent residents, refugee claimants and undocumented immigrants. Undocumented immigrants who are on the Canadian Border Services Agency deportation list are understudied in Canada due to their precarious status. This study will examine the vulnerabilities of this particular subcategory of immigrant and contrast their experiences seeking healthcare with refugee claimants and permanent residents. Twenty-one semi-structured, one-on-one qualitative interviews were conducted with immigrants to identify barriers and facilitators to accessing healthcare. The open structure of the interviews enabled the participants to share their experiences seeking healthcare and other factors that were an integral part of their health. This study utilized a community-based participatory research framework. The study identifies seven sections of results. Among them, immigration status was the single most important factor affecting both an individual's ability to seek out healthcare and her experiences when trying to access healthcare. The healthcare seeking behaviour of undocumented immigrants was radically distinct from refugee claimants or immigrants with permanent resident status, with undocumented immigrants being at a greater disadvantage than permanent residents and refugee claimants. Language barriers are also noted as an impediment to healthcare access. An individual's immigration status further complicates their ability to establish relationships with family doctors, access prescriptions and medications and seek out emergency room care. Fear of authorities and the complications caused by the above factors can lead to the most disadvantaged to seek out informal or black market sources of healthcare. This study reaffirmed previous findings that fear of deportation

Tapping into the "Standing-Reserve": A Comparative Analysis of Workers' Training Programmes in Kolkata and Toronto

ERIC Educational Resources Information Center

Maitra, Saikat; Maitra, Srabani

2015-01-01

This paper examines employment-related training programmes offered by state funded agencies and multinational corporations in Toronto (Canada) and Kolkata (India). In recent years both cities have witnessed a rise in the service sector industries aligned with global regimes of flexible work and the consequent reinvention of a worker subject that…

Ethnocultural and sex characteristics of patients attending a tertiary care pain clinic in Toronto, Ontario

PubMed Central

Mailis-Gagnon, Angela; Yegneswaran, Balaji; Nicholson, Keith; Lakha, SF; Papagapiou, Marios; Steiman, Amanda J; Ng, Danny; Cohodarevic, Tea; Umana, Margarita; Zurowski, Mateusz

2007-01-01

BACKGROUND: Ethnocultural factors and sex may greatly affect pain perception and expression. Emerging literature is also documenting racial and ethnic differences in pain access and care. OBJECTIVE: To define the sex and ethnocultural characteristics of patients attending a tertiary care, university-affiliated pain clinic in Toronto, Ontario. METHODS: Data were collected on 1242 consecutive, new patients seen over a three-year period at the Comprehensive Pain Program (CPP) in downtown Toronto. Data were compared with the Canada 2001 Census. RESULTS: English-speaking, Canadian-born patients constituted 58.6% of the CPP population, similar to the 2001 Canadian Census data for the Greater Toronto Area. Certain visible minority groups (Indo-Pakistani and Chinese) were significantly under-represented, while European groups were over-represented. While women outnumbered men, they presented with lower levels of physical pathology in general, particularly in certain ethnic groups. Patients from Europe (representing primarily immigrants who arrived in Canada before 1960), were older, by 10 years to 15 years, than the average CPP population, and had a much higher incidence of physical or medical disorders. CONCLUSIONS: The implications of the study and the importance of sex and ethnicity in terms of presentation to Canadian pain clinics are discussed. Future well-designed studies are needed to shed light on the role of both patients’ and physicians’ ethnicity and sex in pain perception and expression, decision-making regarding pain treatments and acceptance of pain treatments. PMID:17505571

Conceptualizing Geosexual Archetypes: Mapping the Sexual Travels and Egocentric Sexual Networks of Gay and Bisexual Men in Toronto, Canada

PubMed Central

Gesink, Dionne; Wang, Susan; Guimond, Tim; Kimura, Lauren; Connell, James; Salway, Travis; Gilbert, Mark; Mishra, Sharmistha; Tan, Darrell; Burchell, Ann N.; Brennan, David J.; Logie, Carmen H.; Grace, Daniel

2018-01-01

Background There are complex, synergistic, and persistent sexually transmitted infection (STI) epidemics affecting gay, bisexual and other men who have sex with men (gbMSM) in every major urban centre across North America. We explored the spatial architecture of egocentric sexual networks for gbMSM in Toronto, Canada. Methods Our integrative mixed methods study included in-depth interviews with 31 gbMSM between May and July 2016. During interviews, participants mapped their egocentric sexual network for the preceding 3 months geographically. At the end, a self-administered survey was used to collect sociodemographic characteristics, online technology use, and STI testing and history. Results We identified 6 geosexual archetypes: hosters, house-callers, privates, rovers, travellers, and geoflexibles. Hosters always, or almost always (≥80%), hosted sex at their home. House-callers always, or almost always (≥80%), had sex at their partner’s home. Rovers always or almost always (≥80%) had sex at public venues (eg, bath houses, sex clubs) and other public spaces (eg, parks, cruising sites). Privates had sex in private—their own home or their partner's (part hoster, part house-caller). Travellers had sex away from their home, either at a partner’s home or some other venue or public space (part house-caller, part rover). Geoflexibles had sex in a variety of locations—their home, their partner’s home, or public venues. All hosters and rovers, and to a lesser extent, geoflexibles, reported a history of syphilis and human immunodeficiency virus. Conclusions Prioritizing interventions to hosters, rovers, and geoflexibles may have an important impact on reducing STI transmission. PMID:29465690

Investigating the effect of sociodemographic factors on 30-day hospital readmission among medical patients in Toronto, Canada: a prospective cohort study

PubMed Central

Kuluski, Kerry; Costa, Andrew P; Sinha, Samir K; Glazier, Richard H; Forster, Alan; Jeffs, Lianne

2017-01-01

Objective To examine the influence of patient-level sociodemographic factors on the incidence of hospital readmission within 30 days among medical patients in a large Canadian metropolitan city. Design Prospective cohort study. Setting and participants Patients admitted to the General Internal Medicine service of an urban teaching hospital in Toronto, Canada participated in a survey of sociodemographic information. Patients were not surveyed if deemed medically unstable, receiving care in medical/surgical step-down beds or were isolated for infection control. Included in the final analysis was a diverse cohort of 1427 adult, non-palliative, patients who were discharged home. Measures Thirteen patient-level sociodemographic variables were examined in relation to time to unplanned all-cause readmission within 30 days. Illness level was accounted for by the following covariates: self-perceived health status, previous hospital utilisation, primary diagnosis case mix group, Charlson Comorbidity Index score and inpatient length of stay. Results Approximately, 14.4% (n=205) of patients experienced readmission within 30 days. Sociodemographic factors were not significantly associated with time to readmission in unadjusted and adjusted analyses. Indicators of illness level, namely, previous hospitalisations, were the strongest risk factors for readmission within this cohort. One previous admission (adjusted HR 1.78; 95% CI 1.22 to 2.59, P<0.01) and at least four previous emergency department visits (adjusted HR 2.33; 95% CI 1.46 to 4.43, P<0.01) were associated with increased hazard of readmission within 30 days. Conclusions Patient-level sociodemographic factors did not influence the incidence of unplanned all-cause readmission within 30 days. Further research is needed to understand the generalisability of our findings and investigate whether contextual factors, such as access to universal health insurance coverage, attenuate the effects of sociodemographic factors

“We don't exist”: a qualitative study of marginalization experienced by HIV-positive lesbian, bisexual, queer and transgender women in Toronto, Canada

PubMed Central

Logie, Carmen H; James, LLana; Tharao, Wangari; Loutfy, Mona R

2012-01-01

Background Lesbian, bisexual, queer and transgender (LBQT) women living with HIV have been described as invisible and understudied. Yet, social and structural contexts of violence and discrimination exacerbate the risk of HIV infection among LBQT women. The study objective was to explore challenges in daily life and experiences of accessing HIV services among HIV-positive LBQT women in Toronto, Canada. Methods We used a community-based qualitative approach guided by an intersectional theoretical framework. We conducted two focus groups; one focus group was conducted with HIV-positive lesbian, bisexual and queer women (n=7) and the second with HIV-positive transgender women (n=16). Participants were recruited using purposive sampling. Focus groups were digitally recorded and transcribed verbatim. Thematic analysis was used for analyzing data to enhance understanding of factors that influence the wellbeing of HIV-positive LBQT women. Results Participant narratives revealed a trajectory of marginalization. Structural factors such as social exclusion and violence elevated the risk for HIV infection; this risk was exacerbated by inadequate HIV prevention information. Participants described multiple barriers to HIV care and support, including pervasive HIV-related stigma, heteronormative assumptions in HIV-positive women's services and discriminatory and incompetent treatment by health professionals. Underrepresentation of LBQT women in HIV research further contributed to marginalization and exclusion. Participants expressed a willingness to participate in HIV research that would be translated into action. Conclusions Structural factors elevate HIV risk among LBQT women, limit access to HIV prevention and present barriers to HIV care and support. This study's conceptualization of a trajectory of marginalization enriches the discussion of structural factors implicated in the wellbeing of LBQT women and highlights the necessity of addressing LBQT women's needs in HIV

The use of traditional medicine by Ghanaians in Canada.

PubMed

Barimah, Kofi B; van Teijlingen, Edwin R

2008-06-16

Research into health and health-care seeking behaviour amongst immigrant populations suggests that culturally-based behaviours change over time towards those prevalent in the host culture. Such acculturation of immigrant groups occurs as part of the interaction of immigrants with mainstream culture. This study examined the acculturation of Ghanaian immigrants in Greater Toronto Area (Canada) focusing particularly on attitudes towards and usage of Ghanaian traditional medicine (TRM). The study used both quantitative and qualitative methods. Structured questionnaire interviews were conducted with a sample of Ghanaians in active collaboration with the Ghanaian-Canadian Association in the Greater Toronto Area (GTA). A total of 512 questionnaire interviews were conducted. In addition, three focus groups of nine participants each were conducted with a sub-sample of Ghanaians in Canada. Both the questionnaire and the focus groups indicated that nearly 73% of the Ghanaian immigrants in Canada have a positive attitude toward Ghanaian TRM. This is in comparison with less than 30% who have changed their attitude for various reasons. Some of the attraction of TRM lies in its holistic origin. Ghanaians in the GTA have been pursuing 'integration' and 'assimilation' in their acculturation in Canada. Some have given up or modified some of their attitudes and opinions toward TRM to embrace the 'modern' or 'civilized' way of living. There is the need for health care providers and other stakeholders to be aware of the influence of religion on African immigrants during their acculturation process. Although modernity is said to be founded on the 'ruthless undermining of tradition', there is no evidence to suggest that Ghanaian traditional religion has been undermined to such an extent that there is a major change in attitudes towards TRM.

The Toronto District School Board: A Global City School System's Structures, Processes, and Student Outcomes

ERIC Educational Resources Information Center

Parekh, Gillian; Flessa, Joseph; Smaller, Harry

2016-01-01

In this article we describe the ways that academic opportunity is distributed within the Toronto District School Board (TDSB), Canada's largest and most demographically diverse public education system. By putting a range of recent outcome data into historical, organizational, and policy contexts, we provide a snapshot of how one of North America's…

Minority Stress and Safer Sex Practices Among Sexual Minority Women in Toronto, Canada: Results from a Cross-Sectional Internet-Based Survey.

PubMed

Logie, Carmen H; Lacombe-Duncan, Ashley; MacKenzie, Rachel K; Poteat, Tonia

2016-12-01

Sexual stigma is a chronic stressor that enhances vulnerability to mental health disparities among lesbian, gay, bisexual, and queer people. Sexual stigma has also been associated with reduced uptake of safer sex practices, such as condom use, among gay and bisexual men. Scant research has examined the relationship between sexual stigma and safer sex practices among sexual minority women (SMW), including lesbian, bisexual, and queer women. We explored associations between sexual stigma and safer sex practices among SMW. We also tested the interaction between sexual stigma, social support, and resilient coping in this relationship. A cross-sectional internet-based survey was administered to SMW in Toronto, Canada. Among 388 participants with complete measurement data, simple linear regression indicated both perceived and enacted sexual stigma were positively associated with uptake of safer sex practices. In multivariable analyses, significant interactions were found between perceived sexual stigma and resilient coping, and between enacted sexual stigma and social support. At low levels of resilient coping, higher levels of perceived sexual stigma were associated with fewer safer sex practices, while at high levels of resilient coping the relationship was reversed. At low levels of social support, higher levels of enacted sexual stigma were associated with fewer safer sex practices, while at high levels of social support the relationship was reversed. These findings document complex relationships between sexual stigma dimensions, coping, social support, and safer sex practices. Understanding the role these variables play in uptake of safer sex practices can inform sexual health interventions tailored for SMW.

Status report - FoodReach Toronto: lowering food costs for social agencies and community groups

PubMed Central

Paul, Coleman; John, Gultig; Barbara, Emanuel; Marianne, Gee; Heather, Orpana

2018-01-01

Abstract Toronto has the largest absolute number of food insecure households for any metropolitan census area in Canada: of its 2.1 million households, roughly 252 000 households (or 12%) experience some level of food insecurity. Community organizations (including social agencies, school programs, and child care centres) serve millions of meals per year to the city’s most vulnerable citizens, but often face challenges accessing fresh produce at affordable prices. Therefore in 2015, Toronto Public Health, in collaboration with public- and private-sector partners, launched the FoodReach program to improve the efficiency of food procurement among community organizations by consolidating their purchasing power. Since being launched, FoodReach has been used by more than 50 community organizations to provide many of Toronto’s most marginalised groups with regular access to healthy produce. PMID:29323864

Being on the web of unions: an interview with D'Arcy Martin, Toronto, Ontario, Canada.

PubMed

Martin, D'Arcy

2012-01-01

D'Arcy Martin is a labor educator in Toronto. He started his career in adult education and made the transition to labor educator. He has been the Canadian education director for Steelworkers, Communications Workers, and the merged Communications, Energy and Paperworkers Union. He is also coordinator of the Centre for the Study of Education and Work at the University of Toronto, which brings together academics and unionists to research the informal learning of workers. In the following interview, D'Arcy talked about his experiences as a Canadian labor educator, how being an internationalist has influenced his views, and how the dynamics of power influence not only workers and their unions, but educators, too. D'Arcy described his work as "being on the web … to go sideways, that is, to draw connections, including international ones, amongst people of like mind and to build collective power by inviting people to learn together."

Arauco: The Role of a Housing Cooperative Community in the Mental Health and Social Adaptation of Latin American Refugees in Toronto.

ERIC Educational Resources Information Center

Allodi, F.; Rojas, A.

1988-01-01

Studies the social adjustment of 30 Chilean refugee families who comprise the Arauco Housing Cooperative in Toronto, Canada. Concludes that preservation of the parent child relationship in times of stress is the key to the child's continuing development. (FMW)

'By Just What Procedure Am I To Be Guillotined?': Academic Freedom in the Toronto Forestry Faculty between the Wars.

ERIC Educational Resources Information Center

Kuhlberg, Mark

2002-01-01

Focuses on the University of Toronto (Canada) forestry faculty; university president Robert Falconer's firing of W. N. Millar, an outspoken professor; and the politically sensitive university climate during early 20th century. Dissention over Millar's firing brought focus on limited academic freedom of speech and caused further restriction of…

Prevalence of positive coeliac disease serology and HLA risk genotypes in a multiethnic population of adults in Canada: a cross-sectional study

PubMed Central

Jamnik, Joseph; Villa, Christopher R; Dhir, Sirbarinder Bryn; Jenkins, David J A; El-Sohemy, Ahmed

2017-01-01

Objectives Coeliac disease (CD) is a complex autoimmune disorder with known genetic risk factors. Approximately 1% of individuals of European ancestry have CD, but the prevalence among different ethnicities living in Canada remains unknown. The objective of the present study was to determine the prevalence of positive CD serology in a population of Canadian adults living in Toronto, and to determine whether the prevalence of CD seropositivity and predisposing human leucocyte antigen (HLA)-DQ2/DQ8 risk genotypes differ between major ethnocultural groups. Design Cross-sectional screening study of participants from the Toronto Nutrigenomics and Health and the Toronto Healthy Diet studies. Setting University campus and households across Toronto, Canada. Participants: free-living Adults (n=2832) of diverse ethnocultural backgrounds. Main outcome measures Prevalence of positive CD serology was determined by screening for antitissue transglutaminase antibodies in individuals with predisposing HLA-DQ2/DQ8 genotypes. HLA genotypes were determined using six single nucleotide polymorphisms in the HLA gene region. Results Of the 2832 individuals screened, a total of 25 (0.88%; 95% CI 0.57% to 1.30%) were determined to have positive CD serology. The majority of seropositive CD cases were undiagnosed (87%). Prevalence was highest among Caucasians (1.48%; 95% CI 0.93% to 2.23%), and similar in those of ‘Other’ (0.74%; 95% CI 0.09% to 2.63%) or ‘Unknown’ (0.43; 95% CI 0.01% to 2.36%) ethnicity. No cases of positive CD serology were identified among East Asian or South Asian individuals. East Asians had a lower prevalence of HLA risk genotypes than Caucasians and South Asians (p<0.005). Conclusions The prevalence of positive CD serology among Canadian adults living in Toronto is likely ~1%, with 87% of cases being undiagnosed. These findings suggest the need for better screening in high genetic risk groups. Trial registration number NCT00516620; Post-results.

Meteorological and air quality impacts of increased urban albedo and vegetative cover in the Greater Toronto Area, Canada

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

Taha, Haider; Hammer, Hillel; Akbari, Hashem

2002-04-30

The study described in this report is part of a project sponsored by the Toronto Atmospheric Fund, performed at the Lawrence Berkeley National Laboratory, to assess the potential role of surface property modifications on energy, meteorology, and air quality in the Greater Toronto Area (GTA), Canada. Numerical models were used to establish the possible meteorological and ozone air-quality impacts of increased urban albedo and vegetative fraction, i.e., ''cool-city'' strategies that can mitigate the urban heat island (UHI), significantly reduce urban energy consumption, and improve thermal comfort, particularly during periods of hot weather in summer. Mitigation is even more important duringmore » critical heat wave periods with possible increased heat-related hospitalization and mortality. The evidence suggests that on an annual basis cool-city strategies are beneficial, and the implementation of such measures is currently being investigated in the U.S. and Canada. We simulated possible scenari os for urban heat-island mitigation in the GTA and investigated consequent meteorological changes, and also performed limited air-quality analysis to assess related impacts. The study was based on a combination of mesoscale meteorological modeling, Lagrangian (trajectory), and photochemical trajectory modeling to assess the potential meteorological and ozone air-quality impacts of cool-city strategies. As available air-quality and emissions data are incompatible with models currently in use at LBNL, our air-quality analysis was based on photochemical trajectory modeling. Because of questions as to the accuracy and appropriateness of this approach, in our opinion this aspect of the study can be improved in the future, and the air-quality results discussed in this report should be viewed as relatively qualitative. The MM5 meteorological model predicts a UHI in the order of 2 to 3 degrees C in locations of maxima, and about 1 degree C as a typical value over most of the urban

Homeworking: Home Office or Home Sweatshop? Report on Current Conditions of Homeworkers in Toronto's Garment Industry. NALL Working Paper.

ERIC Educational Resources Information Center

Ng, Roxana; Wong, Renita Yuk-Lin; Choi, Angela

The current conditions of home workers in the garment industry in Toronto, Canada, were examined through in-depth telephone interviews with 30 Chinese-speaking immigrant women who were employed as home workers in 1999. The paper dicusses the formal training and informal learning experiences of immigrant woman who are garment workers. A comparison…

The magnitude, share and determinants of unpaid care costs for home-based palliative care service provision in Toronto, Canada.

PubMed

Chai, Huamin; Guerriere, Denise N; Zagorski, Brandon; Coyte, Peter C

2014-01-01

With increasing emphasis on the provision of home-based palliative care in Canada, economic evaluation is warranted, given its tremendous demands on family caregivers. Despite this, very little is known about the economic outcomes associated with home-based unpaid care-giving at the end of life. The aims of this study were to (i) assess the magnitude and share of unpaid care costs in total healthcare costs for home-based palliative care patients, from a societal perspective and (ii) examine the sociodemographic and clinical factors that account for variations in this share. One hundred and sixty-nine caregivers of patients with a malignant neoplasm were interviewed from time of referral to a home-based palliative care programme provided by the Temmy Latner Centre for Palliative Care at Mount Sinai Hospital, Toronto, Canada, until death. Information regarding palliative care resource utilisation and costs, time devoted to care-giving and sociodemographic and clinical characteristics was collected between July 2005 and September 2007. Over the last 12 months of life, the average monthly cost was $14 924 (2011 CDN$) per patient. Unpaid care-giving costs were the largest component - $11 334, accounting for 77% of total palliative care expenses, followed by public costs ($3211; 21%) and out-of-pocket expenditures ($379; 2%). In all cost categories, monthly costs increased exponentially with proximity to death. Seemingly unrelated regression estimation suggested that the share of unpaid care costs of total costs was driven by patients' and caregivers' sociodemographic characteristics. Results suggest that overwhelming the proportion of palliative care costs is unpaid care-giving. This share of costs requires urgent attention to identify interventions aimed at alleviating the heavy financial burden and to ultimately ensure the viability of home-based palliative care in future. © 2013 John Wiley & Sons Ltd.

Effect of air quality alerts on human health: a regression discontinuity analysis in Toronto, Canada.

PubMed

Chen, Hong; Li, Qiongsi; Kaufman, Jay S; Wang, Jun; Copes, Ray; Su, Yushan; Benmarhnia, Tarik

2018-01-01

Ambient air pollution is a major health risk globally. To reduce adverse health effects on days when air pollution is high, government agencies worldwide have implemented air quality alert programmes. Despite their widespread use, little is known about whether these programmes produce any observable public-health benefits. We assessed the effectiveness of such programmes using a quasi-experimental approach. We assembled a population-based cohort comprising all individuals who resided in the city of Toronto (Ontario, Canada) from 2003 to 2012 (about 2·6 million people). We ascertained seven health outcomes known to be affected by short-term elevation of air pollution, using provincial health administrative databases. These health outcomes were cardiovascular-related mortality, respiratory-related mortality, and hospital admissions or emergency-department visits for acute myocardial infarction, heart failure, stroke, asthma, and chronic obstructive pulmonary disease (COPD). We applied a regression discontinuity design to assess the effectiveness of an intervention (ie, the air quality alert programme). To quantify the effect of the air quality alert programme, we estimated for each outcome both the absolute rate difference and the rate ratio attributable to programme eligibility (by intention-to-treat analysis) and the alerts themselves (by two-stage regression approach), respectively. Between Jan 1, 2003, and Dec 31, 2012, on average between three and 27 daily cardiovascular or respiratory events were reported in Toronto (depending on the outcome). Alert announcements reduced asthma-related emergency-department visits by 4·73 cases per 1 000 000 people per day (95% CI 0·55-9·38), or in relative terms by 25% (95% CI 1-47). Programme eligibility also led to 2·05 (95% CI 0·07-4·00) fewer daily emergency-department visits for asthma. We did not detect a significant reduction in any other health outcome as a result of alert announcements or programme

Annual atmospheric mercury species in downtown Toronto, Canada.

PubMed

Song, Xinjie; Cheng, Irene; Lu, Julia

2009-03-01

Real-time concentrations of atmospheric gaseous elemental mercury (GEM), reactive gaseous mercury (RGM), and mercury associated with particles having sizes <2.5 microm (P-Hg < 2.5) were simultaneously measured in downtown Toronto from December 2003 to November 2004. The annual mean concentrations of GEM, P-Hg < 2.5 and RGM were 4.5 +/- 3.1 ng m(-3) (99.2%), 21.5 +/- 16.4 pg m(-3) (0.5%) and 14.2 +/- 13.2 pg m(-3) (0.3%), respectively. The concentrations for all the measured Hg species were highly variable throughout the year and were lower in winter than in the other three seasons. The maximum concentrations of Hg species were observed in June and were a result of the high number of Hg spikes (using [GEM] >10 ng m(-3) as an indicator) that occurred in the month. Nighttime (between 9pm-6am) concentrations of Hg species were higher than those of daytime. The results revealed: (1) an urban area is a continuous source of Hg species that have the potential to pose impacts on local, regional and global scales; (2) local/regional anthropogenic sources contributed significantly to the levels and the distributions of the Hg species in the urban atmosphere. More studies are needed to identify and quantify the anthropogenic sources of Hg and the Hg species emitted from these sources; (3) surface emission and photochemical reactions (including the reactions involving ozone) did not have significant influence on the levels of Hg species and their distribution in the urban atmosphere.

Blood cadmium concentrations and environmental exposure sources in newcomer South and East Asian women in the Greater Toronto Area, Canada

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

Wiseman, C.L.S., E-mail: clare.wiseman@utoronto.ca

Background: Immigrant women are often identified as being particularly vulnerable to environmental exposures and health effects. The availability of biomonitoring data on newcomers is limited, thus, presenting a challenge to public health practitioners in the identification of priorities for intervention. Objectives: In fulfillment of data needs, the purpose of this study was to characterize blood concentrations of cadmium (Cd) among newcomer women of reproductive age (19–45 years of age) living in the Greater Toronto Area (GTA), Canada and to assess potential sources of environmental exposures. Methods: A community-based model, engaging peer researchers from the communities of interest, was used formore » recruitment and follow-up purposes. Blood samples were taken from a total of 211 newcomer women from South and East Asia, representing primary, regional origins of immigrants to the GTA, and environmental exposure sources were assessed via telephone survey. Metal concentrations were measured in blood samples (diluted with 0.5% (v/v) ammonium hydroxide and 0.1% (v/v) octylphenol ethoxylate) using a quadrupole ICP-MS. Survey questions addressed a wide range of environmental exposure sources, including dietary and smoking patterns and use of nutritional supplements, herbal products and cosmetics. Results: A geometric mean (GM) blood Cd concentration of 0.39 µg/L (SD:±2.07 µg/L) was determined for study participants (min/max: <0.045 µg /L (LOD)/2.36 µg/L). Several variables including low educational attainment (Relative Ratio (RR) (adjusted)=1.50; 95% CI 1.17–1.91), milk consumption (RR (adjusted)=0.86; 95% CI 0.76–0.97), and use of zinc supplements (RR (adjusted)=0.76; 95% CI 0.64–0.95) were observed to be significantly associated with blood Cd concentrations in the adjusted regression model. The variable domains socioeconomic status (R{sup 2}{sub adj}=0.11) and country of origin (R{sup 2}{sub adj}=0.236) were the strongest predictors of blood Cd

Institutionalized Mutuality in Canada-China Management Education Collaboration

ERIC Educational Resources Information Center

Wei, Shuguang; Liu, Xianjun

2015-01-01

This paper examines the Canada-China Management Education Program (CCMEP, 1983-1996) between the University of Toronto (UT) and Huazhong University of Science and Technology (HUST). In this paper, we create a "Three Levels/Four Parameters" analytical framework, based on the concept of mutuality from Johan Galtung (1980) and the concept…

Correlates of a lifetime history of sexually transmitted infections among women who have sex with women in Toronto, Canada: results from a cross-sectional internet-based survey.

PubMed

Logie, Carmen H; Navia, Daniela; Loutfy, Mona R

2015-06-01

Structural drivers of sexually transmitted infections (STI) among women who have sex with women (WSW) have been underexplored. The study objective was to understand sociodemographic, individual, structural, and sexual health factors associated with a lifetime history of STI among WSW. A cross-sectional survey was conducted in 2012 to engage a peer-driven recruitment sample of WSW in Toronto, Canada. Data were collected among a convenience sample of 466 WSW using an online structured interview. Approximately one-fifth (n=89, 19.1%) of participants reported an STI diagnosis history. Participants identifying as bisexual were more likely, and lesbians less likely, to report an STI history than those identifying as queer. In multivariate logistic regression analyses adjusted for sociodemographic variables, STI history was associated with intrapersonal (STI knowledge, HIV/STI risk perceptions), interpersonal (male sex partners in past 3 months, number of lifetime sexual partners) and structural (sexual stigma, history of forced sex, belief healthcare provider (HCP) uncomfortable addressing sexual orientation) factors as well as sexual healthcare uptake (ever had STI/HIV test, STI/Pap test in past 2 years). Gender-non-conforming participants were less likely to report an STI history. This research is among the first to examine intrapersonal, interpersonal and structural factors correlated with an STI history among WSW. Findings highlight the importance of STI prevention strategies for WSW to be tailored to sexual identity, with particular attention to bisexual women's needs. Interventions should connect to sexual healthcare, address sexual stigma and train HCP to better meet the needs of WSW. 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.

Buffalo, Toronto and Niagara Falls at night as seen from STS-60

NASA Image and Video Library

1994-02-09

STS060-06-037 (3-11 Feb 1994) --- The city lights of Buffalo and Toronto outline the shores of the east end of Lake Erie and the west end of Lake Ontario in this night scene of western New York and southern Ontario. Between the two major cities are the cities of Niagara Falls, New York and Niagara Falls, Canada, which straddle the Niagara River just north of the actual falls. This photograph was taken with a special ASA-1600 film that is normally used for night-time photography of aurora, noctilucent clouds, biomass burning, and city lights.

Human Brain Proteome Project - 12th HUPO BPP Workshop. 26 September 2009, Toronto, Canada.

PubMed

Gröttrup, Bernd; Eisenacher, Martin; Stephan, Christian; Marcus, Katrin; Lee, Bonghee; Meyer, Helmut E; Park, Young Mok

2010-06-01

The HUPO Brain Proteome Project (HUPO BPP) held its 12th workshop in Toronto on 26 September 2009 prior to the HUPO VIII World Congress. The principal aim of this project is to obtain a better understanding of neurodiseases and ageing, with the ultimate objective of discovering prognostic and diagnostic biomarkers, in addition to the development of novel diagnostic techniques and new medications. The attendees came together to discuss progress in the human clinical neuroproteomics and to define the needs and guidelines required for more advanced proteomic approaches.

Measuring and improving cervical, breast, and colorectal cancer screening rates in a multi-site urban practice in Toronto, Canada.

PubMed

Feldman, Joshua; Davie, Sam; Kiran, Tara

2017-01-01

Our Family Health Team is located in Toronto, Canada and provides care to over 35 000 patients. Like many practices in Canada, we took an opportunistic approach to cervical, breast, and colorectal cancer screening. We wanted to shift to a proactive, population-based approach but were unable to systematically identify patients overdue for screening or calculate baseline screening rates. Our initiative had two goals: (1) to develop a method for systematically identifying patients eligible for screening and whether they were overdue and (2) to increase screening rates for cervical, breast, and colorectal cancer. Using external government data in combination with our practice's electronic medical record, we developed a process to identify patients eligible and overdue for cancer screening. After generating baseline data, we implemented an evidence-based, multifaceted intervention to improve cancer screening rates. We sent a personalized reminder letter to overdue patients, provided physicians with practice-level audit and feedback, and improved our electronic reminder function by updating charts with accurate data on the Fecal Occult Blood Test (FOBT). Following our initial intervention, we sought to maintain and further improve our screening rates by experimenting with alternative recall methods and collecting patient feedback. Screening rates significantly improved for all three cancers. Between March 2014 and December 2016, the cervical cancer screening rate increased from 60% to 71% (p<0.05), the breast cancer screening rate increased from 56% to 65% (p<0.05), and the overall colorectal screening rate increased from 59% to 70% (p<0.05). The increase in colorectal screening rates was largely due to an increase in FOBT screening from 18% to 25%, while colonoscopy screening remained relatively unchanged, shifting from 45% to 46%. We also found that patients living in low income neighbourhoods were less likely to be screened. Following our intervention, this equity gap

Density, destinations or both? A comparison of measures of walkability in relation to transportation behaviors, obesity and diabetes in Toronto, Canada.

PubMed

Glazier, Richard H; Creatore, Maria I; Weyman, Jonathan T; Fazli, Ghazal; Matheson, Flora I; Gozdyra, Peter; Moineddin, Rahim; Kaufman-Shriqui, Vered; Shriqui, Vered Kaufman; Booth, Gillian L

2014-01-01

The design of suburban communities encourages car dependency and discourages walking, characteristics that have been implicated in the rise of obesity. Walkability measures have been developed to capture these features of urban built environments. Our objective was to examine the individual and combined associations of residential density and the presence of walkable destinations, two of the most commonly used and potentially modifiable components of walkability measures, with transportation, overweight, obesity, and diabetes. We examined associations between a previously published walkability measure and transportation behaviors and health outcomes in Toronto, Canada, a city of 2.6 million people in 2011. Data sources included the Canada census, a transportation survey, a national health survey and a validated administrative diabetes database. We depicted interactions between residential density and the availability of walkable destinations graphically and examined them statistically using general linear modeling. Individuals living in more walkable areas were more than twice as likely to walk, bicycle or use public transit and were significantly less likely to drive or own a vehicle compared with those living in less walkable areas. Individuals in less walkable areas were up to one-third more likely to be obese or to have diabetes. Residential density and the availability of walkable destinations were each significantly associated with transportation and health outcomes. The combination of high levels of both measures was associated with the highest levels of walking or bicycling (p<0.0001) and public transit use (p<0.0026) and the lowest levels of automobile trips (p<0.0001), and diabetes prevalence (p<0.0001). We conclude that both residential density and the availability of walkable destinations are good measures of urban walkability and can be recommended for use by policy-makers, planners and public health officials. In our setting, the combination of both

Density, Destinations or Both? A Comparison of Measures of Walkability in Relation to Transportation Behaviors, Obesity and Diabetes in Toronto, Canada

PubMed Central

Glazier, Richard H.; Creatore, Maria I.; Weyman, Jonathan T.; Fazli, Ghazal; Matheson, Flora I.; Gozdyra, Peter; Moineddin, Rahim; Shriqui, Vered Kaufman; Booth, Gillian L.

2014-01-01

The design of suburban communities encourages car dependency and discourages walking, characteristics that have been implicated in the rise of obesity. Walkability measures have been developed to capture these features of urban built environments. Our objective was to examine the individual and combined associations of residential density and the presence of walkable destinations, two of the most commonly used and potentially modifiable components of walkability measures, with transportation, overweight, obesity, and diabetes. We examined associations between a previously published walkability measure and transportation behaviors and health outcomes in Toronto, Canada, a city of 2.6 million people in 2011. Data sources included the Canada census, a transportation survey, a national health survey and a validated administrative diabetes database. We depicted interactions between residential density and the availability of walkable destinations graphically and examined them statistically using general linear modeling. Individuals living in more walkable areas were more than twice as likely to walk, bicycle or use public transit and were significantly less likely to drive or own a vehicle compared with those living in less walkable areas. Individuals in less walkable areas were up to one-third more likely to be obese or to have diabetes. Residential density and the availability of walkable destinations were each significantly associated with transportation and health outcomes. The combination of high levels of both measures was associated with the highest levels of walking or bicycling (p<0.0001) and public transit use (p<0.0026) and the lowest levels of automobile trips (p<0.0001), and diabetes prevalence (p<0.0001). We conclude that both residential density and the availability of walkable destinations are good measures of urban walkability and can be recommended for use by policy-makers, planners and public health officials. In our setting, the combination of both

Assessing Greenhouse Gas emissions in the Greater Toronto Area using atmospheric observations (Invited)

NASA Astrophysics Data System (ADS)

Vogel, F. R.; Chan, E.; Huang, L.; Levin, I.; Worthy, D.

2013-12-01

Urban areas are said to be responsible for approximately 75% of anthropogenic Greenhouse Gases (GHGs) emissions while comprising only two percent of the land area [1]. This limited spatial expansion should facilitate a monitoring of anthropogenic GHGs from atmospheric observations. As major sources of emissions, cities also have a huge potential to drive emissions reductions. To effectively manage emissions, cities must however, first measure and report these publicly [2]. Modelling studies and measurements of CO2 from fossil fuel burning (FFCO2) in densely populated areas does, however, pose several challenges: Besides continuous in-situ observations, i.e. finding an adequate atmospheric transport model, a sufficiently fine-grained FFCO2 emission model and the proper background reference observations to distinguish the large-scale from the local/urban contributions to the observed FFCO2 concentration offsets ( ΔFFCO2) are required. Pilot studies which include the data from two 'sister sites*' in the vicinity of Toronto, Canada helped to derive flux estimates for Non-CO2 GHGs [3] and improve our understanding of urban FFCO2 emissions. Our 13CO2 observations reveal that the contribution of natural gas burning (mostly due to domestic heating) account for 80%×7% of FFCO2 emissions in the Greater Toronto Area (GTA) during winter. Our 14CO2 observations in the GTA, furthermore, show that the local offset of CO2 (ΔCO2) between our two sister sites can be largely attributed to urban FFCO2 emissions. The seasonal cycle of the observed ΔFFCO2 in Toronto, combined with high-resolution atmospheric modeling, helps to independently assess the contribution from different emission sectors (transportation, primary energy and industry, domestic heating) as predicted by a dedicated city-scale emission inventory, which deviates from a UNFCCC-based inventory. [1] D. Dodman. 2009. Blaming cities for climate change? An analysis of urban greenhouse gas emissions inventories

VizieR Online Data Catalog: The Canada-France Redshift Survey (CFRS) (Lilly+, 1995)

NASA Astrophysics Data System (ADS)

Lilly, S. J.; Le Fevre, O.; Crampton, D.; Hammer, F.; Tresse, L.

2001-11-01

The Canada-France Redshift Survey (CFRS) is a collaboration between astronomers in Canada and France: Simon Lilly (University of Toronto), Olivier Le Fevre and Francois Hammer (Observatoire de Paris Meudon), David Crampton (Dominion Astrophysical Observatory, Victoria), Laurence Tresse (Cambridge University), and David Schade and Dan Hudon (University of Toronto). The survey is based primarily on observations with the 3.6m Canada-France-Hawaii Telescope (CFHT) on Mauna Kea, Hawaii. The CFRS consists of spectra of over 1000 faint objects selected to have 17.5 < I(AB) < 22.5 in five regions of sky. The survey is providing the first systematic study of normal galaxies at redshifts z > 0.5, corresponding to look-back times of greater than 50% of the age of the Universe. Observations of CFRS galaxies have also been made with the Hubble Space Telescope and the survey will form the basis of future studies with a number of other ground-based and space facilities. We have written a lay-persons guide to the CFRS and the main scientific results that are emerging from it. (1 data file).

Status and health security: an exploratory study of irregular immigrants in Toronto.

PubMed

Simich, Laura; Wu, Fei; Nerad, Sonja

2007-01-01

This qualitative study explores experiences of living without regular immigration status and implications for health security among irregular migrants in Toronto. Irregular migrants include those who lack secure status in Canada, including visitors who overstay visas; refugee claimants awaiting status determination; and failed claimants remaining in the country without authorization, awaiting deportation or following alternative procedures when judicial appeal is impossible. In-depth, semi-structured interviews were conducted with irregular migrants recruited at a downtown community health centre. Interview transcripts were coded and analyzed using grounded theory and qualitative analytical techniques. The theoretical framework employed anthropological metaphors of liminality and examined psychosocial factors associated with stress. Experiences of the study sample counter popular assumptions about irregular immigrants. The majority of study participants came to Canada to escape violence as well as lack of economic opportunity in home countries in Latin America, and most have tried to follow correct immigration procedures. Most are parents working in low-paying, exploitative jobs. They have attempted to lead productive and meaningful lives, but lack social support beyond the immediate family. They showed signs of suffering from trauma, depression, chronic stress, family separation and stress-related physical illnesses. Despite expressing self-esteem and using personal coping skills effectively, many reported unmet health needs and described barriers to help-seeking. Beyond the individual, the greatest impact of living without status appeared to be on the family, especially the children. More comprehensive information about this growing population is needed for health promotion, provision of mental health services and fair policy formulation.

Expressed racial identity and hypertension in a telephone survey sample from Toronto and Vancouver, Canada: do socioeconomic status, perceived discrimination and psychosocial stress explain the relatively high risk of hypertension for Black Canadians?

PubMed

Veenstra, Gerry

2012-10-12

Canadian research on racial health inequalities that foregrounds socially constructed racial identities and social factors which can explain consequent racial health inequalities is rare. This paper adopts a social typology of salient racial identities in contemporary Canada, empirically documents consequent racial inequalities in hypertension in an original survey dataset from Toronto and Vancouver, Canada, and then attempts to explain the inequalities in hypertension with information on socioeconomic status, perceived experiences with institutionalized and interpersonal discrimination, and psychosocial stress. Telephone interviews were conducted in 2009 with 706 randomly selected adults living in the City of Toronto and 838 randomly selected adults living in the Vancouver Census Metropolitan Area. Bivariate analyses and logistic regression modeling were used to examine relationships between racial identity, hypertension, socio-demographic factors, socioeconomic status, perceived discrimination and psychosocial stress. The Black Canadians in the sample were the most likely to report major and routine discriminatory experiences and were the least educated and the poorest. Black respondents were significantly more likely than Asian, South Asian and White respondents to report hypertension controlling for age, immigrant status and city of residence. Of the explanatory factors examined in this study, only educational attainment explained some of the relative risk of hypertension for Black respondents. Most of the risk remained unexplained in the models. Consistent with previous Canadian research, socioeconomic status explained a small portion of the relatively high risk of hypertension documented for the Black respondents. Perceived experiences of discrimination both major and routine and self-reported psychosocial stress did not explain these racial inequalities in hypertension. Conducting subgroup analyses by gender, discerning between real and perceived experiences

Does the age of acute care physicians impact their (1) crisis management performance and (2) learning after simulation-based education? A protocol for a multicentre prospective cohort study in Toronto and Ottawa, Canada.

PubMed

Alam, Fahad; LeBlanc, Vicki R; Baxter, Alan; Tarshis, Jordan; Piquette, Dominique; Gu, Yuqi; Filipkowska, Caroline; Krywenky, Ashley; Kester-Greene, Nicole; Cardinal, Pierre; Au, Shelly; Lam, Sandy; Boet, Sylvain; Clinical Trials Group, Perioperative Anesthesia

2018-04-21

The proportion of older acute care physicians (ACPs) has been steadily increasing. Ageing is associated with physiological changes and prospective research investigating how such age-related physiological changes affect clinical performance, including crisis resource management (CRM) skills, is lacking. There is a gap in the literature on whether physician's age influences baseline CRM performance and also learning from simulation. We aim to investigate whether ageing is associated with baseline CRM skills of ACPs (emergency, critical care and anaesthesia) using simulated crisis scenarios and to assess whether ageing influences learning from simulation-based education. This is a prospective cohort multicentre study recruiting ACPs from the Universities of Toronto and Ottawa, Canada. Each participant will manage an advanced cardiovascular life support crisis-simulated scenario (pretest) and then be debriefed on their CRM skills. They will then manage another simulated crisis scenario (immediate post-test). Three months after, participants will return to manage a third simulated crisis scenario (retention post-test). The relationship between biological age and chronological age will be assessed by measuring the participants CRM skills and their ability to learn from high-fidelity simulation. This protocol was approved by Sunnybrook Health Sciences Centre Research Ethics Board (REB Number 140-2015) and the Ottawa Health Science Network Research Ethics Board (#20150173-01H). The results will be disseminated in a peer-reviewed journal and at scientific meetings. NCT02683447; Pre-results. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

The Toronto Connection: Poverty, Perceived Ability, and Access to Education Equity

ERIC Educational Resources Information Center

Parekh, Gillian; Killoran, Isabel; Crawford, Cameron

2011-01-01

This study explores the educational opportunities available to secondary high school students in the Toronto District School Board (TDSB), using both public TDSB and Ontario Ministry of Education data. Family income, parental education, and student participation in special education (excluding Gifted) are key units of analysis, as are the types of…

Integrating bioethics into postgraduate medical education: the University of Toronto model.

PubMed

Howard, Frazer; McKneally, Martin F; Levin, Alex V

2010-06-01

Bioethics training is a vital component of postgraduate medical education and required by accreditation organizations in Canada and the United States. Residency program ethics curricula should ensure trainees develop core knowledge, skills, and competencies, and should encourage lifelong learning and teaching of bioethics. Many physician-teachers, however, feel unprepared to teach bioethics and face challenges in developing and implementing specialty-specific bioethics curricula. The authors present, as one model, the innovative strategies employed by the University of Toronto Joint Centre for Bioethics. They postulate that centralized support is a key component to ensure the success of specialty-specific bioethics teaching, to reinforce the importance of ethics in medical training, and to ensure it is not overshadowed by other educational concerns.

The effect of temperature on arson incidence in Toronto, Ontario, Canada

NASA Astrophysics Data System (ADS)

Yiannakoulias, Niko; Kielasinska, Ewa

2016-05-01

Studies of crime and weather have largely excluded arson from empirical and theoretical consideration, yet weather could influence arson frequency over short time frames, influencing the motivation and activity of potential arsonists, as well as the physical possibility of fire ignition. This study aims to understand the role of weather on urban arson in order to determine its role in explaining short-term variations in arson frequency. We use data reported to the Ontario Fire Marshall's office of arson events in the City of Toronto between 1996 and 2007 to estimate the effect of temperature, precipitation, wind conditions and air pressure on arson events while controlling for the effects of holidays, weekends and other calendar-related events. We find that temperature has an independent association with daily arson frequency, as do precipitation and air pressure. In this study area, cold weather has a larger influence on arson frequency than hot weather. There is also some evidence that extremely hot and cold temperatures may be associated with lower day-time arson frequency, while night-time arson seems to have a simpler positive linear association with temperature.

The effect of temperature on arson incidence in Toronto, Ontario, Canada.

PubMed

Yiannakoulias, Niko; Kielasinska, Ewa

2016-05-01

Studies of crime and weather have largely excluded arson from empirical and theoretical consideration, yet weather could influence arson frequency over short time frames, influencing the motivation and activity of potential arsonists, as well as the physical possibility of fire ignition. This study aims to understand the role of weather on urban arson in order to determine its role in explaining short-term variations in arson frequency. We use data reported to the Ontario Fire Marshall's office of arson events in the City of Toronto between 1996 and 2007 to estimate the effect of temperature, precipitation, wind conditions and air pressure on arson events while controlling for the effects of holidays, weekends and other calendar-related events. We find that temperature has an independent association with daily arson frequency, as do precipitation and air pressure. In this study area, cold weather has a larger influence on arson frequency than hot weather. There is also some evidence that extremely hot and cold temperatures may be associated with lower day-time arson frequency, while night-time arson seems to have a simpler positive linear association with temperature.

Metal and metalloid accumulation in cultivated urban soils: A medium-term study of trends in Toronto, Canada.

PubMed

Wiseman, Clare L S; Zereini, Fathi; Püttmann, Wilhelm

2015-12-15

This study aims to examine the elemental enrichment patterns in low to medium traffic areas over a three year period in Toronto, Canada. Soils were sampled at three locations with different volumes of traffic between 2010 and 2013. A range of elements, including V, Cr, Mn, Cu, Cd, As, Sb and Pb, were measured in acid digested samples using ICP-MS. While the concentrations of Cd, Sb and Pb were found to be relatively low, a significant, albeit small increase in their levels over time was determined for all sites. For the low traffic areas, median Cd, Sb and Pb concentrations increased from 0.18mg Cd/kg, 0.14mg Sb/kg and 12mg Pb/kg in 2010 to 0.38mg Cd/kg, 0.21mg Sb/kg and 15mg Pb/kg in 2012, respectively. For the medium traffic site, the respective levels of Cd and Sb rose from 0.19mg Cd/kg and 0.14mg Sb/kg in 2010 to 0.49mg Cd/kg and 0.28mg Sb/kg in 2012. Median Pb concentrations at the medium traffic site were comparable to those at the low traffic sites (13mg/kg in 2010 and 15mg/kg in 2012). Principal Component Analysis (PCA) revealed the existence of two components (rotated), which explained 77% of the variance for all sites: 1. PC1 with large loadings of V, Cr, Co and Cu that likely originate from the commercial soil originally used for monitoring purposes, and 2. PC2 with high correlations between Cd, Sb and Pb, attributed to traffic sources of emissions. The resuspension and transport of more mobile fractions of contaminated dust and soil particles is hypothesized to be contributing to an elemental enrichment of soils located in low traffic areas. Copyright © 2015 Elsevier B.V. All rights reserved.

Blood cadmium concentrations and environmental exposure sources in newcomer South and East Asian women in the Greater Toronto Area, Canada.

PubMed

Wiseman, C L S; Parnia, A; Chakravartty, D; Archbold, J; Zawar, N; Copes, R; Cole, D C

2017-04-01

Immigrant women are often identified as being particularly vulnerable to environmental exposures and health effects. The availability of biomonitoring data on newcomers is limited, thus, presenting a challenge to public health practitioners in the identification of priorities for intervention. In fulfillment of data needs, the purpose of this study was to characterize blood concentrations of cadmium (Cd) among newcomer women of reproductive age (19-45 years of age) living in the Greater Toronto Area (GTA), Canada and to assess potential sources of environmental exposures. A community-based model, engaging peer researchers from the communities of interest, was used for recruitment and follow-up purposes. Blood samples were taken from a total of 211 newcomer women from South and East Asia, representing primary, regional origins of immigrants to the GTA, and environmental exposure sources were assessed via telephone survey. Metal concentrations were measured in blood samples (diluted with 0.5% (v/v) ammonium hydroxide and 0.1% (v/v) octylphenol ethoxylate) using a quadrupole ICP-MS. Survey questions addressed a wide range of environmental exposure sources, including dietary and smoking patterns and use of nutritional supplements, herbal products and cosmetics. A geometric mean (GM) blood Cd concentration of 0.39µg/L (SD:±2.07µg/L) was determined for study participants (min/max: <0.045µg/L (LOD)/2.36µg/L). Several variables including low educational attainment (Relative Ratio (RR) (adjusted)=1.50; 95% CI 1.17-1.91), milk consumption (RR (adjusted)=0.86; 95% CI 0.76-0.97), and use of zinc supplements (RR (adjusted)=0.76; 95% CI 0.64-0.95) were observed to be significantly associated with blood Cd concentrations in the adjusted regression model. The variable domains socioeconomic status (R 2 adj =0.11) and country of origin (R 2 adj =0.236) were the strongest predictors of blood Cd. Blood Cd concentrations fell below those generally considered to be of human health

Going beyond Language: Soft Skill-ing Cultural Difference and Immigrant Integration in Toronto, Canada

ERIC Educational Resources Information Center

Allan, Kori

2016-01-01

This article traces how a language and soft skills training approach to Canadian immigrant integration emerged with Canada's shift towards a post-industrial tertiary economy. In this economy, soft skills index characteristics of ideal workers that fit the needs of Canada's post-Fordist labour regime. It examines how skills' training is not viewed…

From Early Exploration to Space Weather Forecasts: Canada's Geomagnetic Odyssey

NASA Astrophysics Data System (ADS)

Lam, Hing-Lan

2011-05-01

Canada is a region ideally suited for the study of space weather: The north magnetic pole is encompassed within its territory, and the auroral oval traverses its vast landmass from east to west. Magnetic field lines link the country directly to the outer magnetosphere. In light of this geographic suitability, it has been a Canadian tradition to install ground monitors to remotely sense the space above Canadian territory. The beginning of this tradition dates back to 1840, when Edward Sabine, a key figure in the “magnetic crusade” to establish magnetic observatories throughout the British Empire in the nineteenth century, founded the first Canadian magnetic observatory on what is now the campus of the University of Toronto, 27 years before the birth of Canada. This observatory, which later became the Toronto Magnetic and Meteorological Observatory, marked the beginning of the Canadian heritage of installing magnetic stations and other ground instruments in the years to come. This extensive network of ground-based measurement devices, coupled with space-based measurements in more modern times, has enabled Canadian researchers to contribute significantly to studies related to space weather.

Toronto, Canada

ERIC Educational Resources Information Center

Rofes, Eric

2003-01-01

This article introduces Karleen Pendleton Jimenez's book for young children, "Are You a Boy or a Girl?", represents a landmark achievement in queer literature in the early childhood classroom and deserves special attention by pre-school and primary teachers, academics working in early childhood education, and parents, particularly…

Long-term exposure to ambient ultrafine particles and respiratory disease incidence in in Toronto, Canada: a cohort study.

PubMed

Weichenthal, Scott; Bai, Li; Hatzopoulou, Marianne; Van Ryswyk, Keith; Kwong, Jeffrey C; Jerrett, Michael; van Donkelaar, Aaron; Martin, Randall V; Burnett, Richard T; Lu, Hong; Chen, Hong

2017-06-19

Little is known about the long-term health effects of ambient ultrafine particles (<0.1 μm) (UFPs) including their association with respiratory disease incidence. In this study, we examined the relationship between long-term exposure to ambient UFPs and the incidence of lung cancer, adult-onset asthma, and chronic obstructive pulmonary disease (COPD). Our study cohort included approximately 1.1 million adults who resided in Toronto, Canada and who were followed for disease incidence between 1996 and 2012. UFP exposures were assigned to residential locations using a land use regression model. Random-effect Cox proportional hazard models were used to estimate hazard ratios (HRs) describing the association between ambient UFPs and respiratory disease incidence adjusting for ambient fine particulate air pollution (PM 2.5 ), NO 2 , and other individual/neighbourhood-level covariates. In total, 74,543 incident cases of COPD, 87,141 cases of asthma, and 12,908 cases of lung cancer were observed during follow-up period. In single pollutant models, each interquartile increase in ambient UFPs was associated with incident COPD (HR = 1.06, 95% CI: 1.05, 1.09) but not asthma (HR = 1.00, 95% CI: 1.00, 1.01) or lung cancer (HR = 1.00, 95% CI: 0.97, 1.03). Additional adjustment for NO 2 attenuated the association between UFPs and COPD and the HR was no longer elevated (HR = 1.01, 95% CI: 0.98, 1.03). PM 2.5 and NO 2 were each associated with increased incidence of all three outcomes but risk estimates for lung cancer were sensitive to indirect adjustment for smoking and body mass index. In general, we did not observe clear evidence of positive associations between long-term exposure to ambient UFPs and respiratory disease incidence independent of other air pollutants. Further replication is required as few studies have evaluated these relationships.

Activity space-based measures of the food environment and their relationships to food purchasing behaviours for young urban adults in Canada.

PubMed

Widener, Michael J; Minaker, Leia M; Reid, Jessica L; Patterson, Zachary; Ahmadi, Tara Kamal; Hammond, David

2018-03-16

To examine the potential links between activity spaces, the food retail environment and food shopping behaviours for the population of young, urban adults. Participants took part in the Canada Food Study, which collected information on demographics, food behaviour, diet and health, as well as an additional smartphone study that included a seven-day period of logging GPS (global positioning system) location and food purchases. Using a time-weighted, continuous representation of participant activity spaces generated from GPS trajectory data, the locations of food purchases and a geocoded food retail data set, negative binomial regression models were used to explore what types of food retailers participants were exposed to and where food purchases were made. Toronto, Montreal, Vancouver, Edmonton and Halifax, Canada. Young adults aged 16-30 years (n 496). These participants were a subset of the larger Canada Food Study. Demographics, household food shopper status and city of residence were significantly associated with different levels of exposure to various types of food retailers. Food shopping behaviours were also statistically significantly associated with demographics, the activity space-based food environment, self-reported health and city of residence. The study confirms that food behaviours are related to activity space-based food environment measures, which provide a more comprehensive accounting of food retail exposure than home-based measures. In addition, exposure to food retail and food purchasing behaviours of an understudied population are described.

Caught between a rock and a hard place: mental health of migrant live-in caregivers in Canada.

PubMed

Vahabi, Mandana; Wong, Josephine Pui-Hing

2017-05-23

Canada depends on Temporary Foreign Workers (TFWs), also known as migrant workers, to fill labour shortage in agriculture, hospitality, construction, child/senior care, and other low-skilled occupations. Evidence shows that TFWs, especially women live-in caregivers (LC), constitute a vulnerable population. Their health is compromised by the precarious and harsh working and living conditions they encounter. There is a paucity of research on the mental health of LCs, their support systems and access to mental health services. In this community-based exploratory study, we used mixed methods of survey and focus groups to explore the work related experiences and mental health of migrant live-in caregivers in the Greater Toronto Area in Ontario, Canada. Convenience and snowball sampling were used to recruit participants. The inclusion criteria were: being 18 years or older, initially migrated to Canada as TFWs under LC program, resided in the Greater Toronto Area, and able to understand and converse in English based on self-report. This paper reports on the focus group results derived from inductive thematic analysis. A total of 30 women LCs participated in the study. Most of them were from the Philippines. A number of key themes emerged from the participants' narratives: (1) precarious migration-employment status (re)produces exploitation; (2) deskilling and downward social mobility reinforce alienation; (3) endurance of hardship for family back home; (4) double lives of public cheerfulness and private anguish; and (4) unrecognized mental health needs. The study results reflected gross injustices experienced by these women. A multi-faceted approach is required to improve the working and living conditions of this vulnerable group and ultimately their health outcomes. We recommend the following: government inspection to ensure employer compliance with the labour standards and provision of safe working and living conditions; change immigration policy to allow migrant

Did the suicide barrier work after all? Revisiting the Bloor Viaduct natural experiment and its impact on suicide rates in Toronto.

PubMed

Sinyor, Mark; Schaffer, Ayal; Redelmeier, Donald A; Kiss, Alex; Nishikawa, Yasunori; Cheung, Amy H; Levitt, Anthony J; Pirkis, Jane

2017-06-19

This research aims to determine the long-term impact of the Bloor Street Viaduct suicide barrier on rates of suicide in Toronto and whether media reporting had any impact on suicide rates. Natural experiment. City of Toronto, Canada; records at the chief coroner's office of Ontario 1993-2003 (11 years before the barrier) and 2004-2014 (11 years after the barrier). 5403 people who died by suicide in the city of Toronto. Changes in yearly rates of suicide by jumping at Bloor Street Viaduct, other bridges including nearest comparison bridge and walking distance bridges, and buildings, and by other means. Suicide rates at the Bloor Street Viaduct declined from 9.0 deaths/year before the barrier to 0.1 deaths/year after the barrier (incidence rate ratio (IRR) 0.005, 95% CI 0.0005 to 0.19, p=0.002). Suicide deaths from bridges in Toronto also declined significantly (IRR 0.53, 95% CI 0.40 to 0.71, p<0.0001). Media reports about suicide at the Bloor Street Viaduct were associated with an increase in suicide-by-jumping from bridges the following year. The current study demonstrates that, over the long term, suicide-by-jumping declined in Toronto after the barrier with no associated increase in suicide by other means. That is, the barrier appears to have had its intended impact at preventing suicide despite a short-term rise in deaths at other bridges that was at least partially influenced by a media effect. Research examining barriers at other locations should interpret short-term results with caution. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Does exposure to simulated patient cases improve accuracy of clinicians' predictive value estimates of diagnostic test results? A within-subjects experiment at St Michael's Hospital, Toronto, Canada.

PubMed

Armstrong, Bonnie; Spaniol, Julia; Persaud, Nav

2018-02-13

Clinicians often overestimate the probability of a disease given a positive test result (positive predictive value; PPV) and the probability of no disease given a negative test result (negative predictive value; NPV). The purpose of this study was to investigate whether experiencing simulated patient cases (ie, an 'experience format') would promote more accurate PPV and NPV estimates compared with a numerical format. Participants were presented with information about three diagnostic tests for the same fictitious disease and were asked to estimate the PPV and NPV of each test. Tests varied with respect to sensitivity and specificity. Information about each test was presented once in the numerical format and once in the experience format. The study used a 2 (format: numerical vs experience) × 3 (diagnostic test: gold standard vs low sensitivity vs low specificity) within-subjects design. The study was completed online, via Qualtrics (Provo, Utah, USA). 50 physicians (12 clinicians and 38 residents) from the Department of Family and Community Medicine at St Michael's Hospital in Toronto, Canada, completed the study. All participants had completed at least 1 year of residency. Estimation accuracy was quantified by the mean absolute error (MAE; absolute difference between estimate and true predictive value). PPV estimation errors were larger in the numerical format (MAE=32.6%, 95% CI 26.8% to 38.4%) compared with the experience format (MAE=15.9%, 95% CI 11.8% to 20.0%, d =0.697, P<0.001). Likewise, NPV estimation errors were larger in the numerical format (MAE=24.4%, 95% CI 14.5% to 34.3%) than in the experience format (MAE=11.0%, 95% CI 6.5% to 15.5%, d =0.303, P=0.015). Exposure to simulated patient cases promotes accurate estimation of predictive values in clinicians. This finding carries implications for diagnostic training and practice. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights

Seniors in Action: A Case Study of Participation at the University of Toronto by the Senior Alumni Association.

ERIC Educational Resources Information Center

Gleberzon, William

Objectives, administrative organization, and activities of the Senior Alumni Association of the University of Toronto, which consists of members at least 60 years old, are described. The programs of the association are self-sustaining and generated from fees charged for its continuing education courses. Surplus funds generated by these fees are…

77 FR 43131 - Request for Comments on Negotiating Objectives With Respect to Canada's Participation in the...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-23

... participation in the ongoing negotiations of a Trans-Pacific Partnership (TPP) trade agreement, and notice of public hearing. SUMMARY: The United States intends to commence negotiations with Canada as part of the ongoing negotiations of a TPP trade agreement. Including Canada in the TPP negotiations furthers the...

Strategic responses to fiscal constraints: a health policy analysis of hospital-based ambulatory physical therapy services in the Greater Toronto Area (GTA).

PubMed

Landry, Michel D; Verrier, Molly C; Williams, A Paul; Zakus, David; Deber, Raisa B

2009-01-01

Ambulatory physical therapy (PT) services in Canada are required to be insured under the Canada Health Act, but only if delivered within hospitals. The present study analyzed strategic responses used by hospitals in the Greater Toronto Area (GTA) to deliver PT services in an environment of fiscal constraint. Key informant interviews (n = 47) were conducted with participants from all hospitals located within the GTA. Two primary strategic responses were identified: (1) "load shedding" through the elimination or reduction of services, and (2) "privatization" through contracting out or creating internal for-profit subsidiary clinics. All hospitals reported reductions in service delivery between 1996 and 2003, and 15.0% (7/47 hospitals) fully eliminated ambulatory services. Although only one of 47 hospitals contracted out services, another 15.0% (7/47) reported that for-profit subsidiary clinics were created within the hospital in order to access other more profitable forms of quasi-public and private funding. Strategic restructuring of services, aimed primarily at cost containment, may have yielded short-term financial savings but has also created a ripple effect across the continuum of care. Moreover, the rise of for-profit subsidiary clinics operating within not-for-profit hospitals has emerged without much public debate and with little research to evaluate its impact.

Interactive Environment Familiarization and Indicator Trainer: User Evaluation

DTIC Science & Technology

2015-01-01

data collected as part of this study was approved either by Defence Research and Development Canada’s Human Research Ethics Board or by the Director ...deployment experience in Afghanistan. Participants were not remunerated for their participation as no abnormal stress or discomfort was anticipated (DAOD...Wojtarowicz (DRDC Toronto) Run Director : Cpl Philip Mach (DRDC Toronto) Work breakdown element: 12rr03 ACRONYMS CF Canadian Forces CFB

High-resolution quantification of atmospheric CO2 mixing ratios in the Greater Toronto Area, Canada

NASA Astrophysics Data System (ADS)

Pugliese, Stephanie C.; Murphy, Jennifer G.; Vogel, Felix R.; Moran, Michael D.; Zhang, Junhua; Zheng, Qiong; Stroud, Craig A.; Ren, Shuzhan; Worthy, Douglas; Broquet, Gregoire

2018-03-01

Many stakeholders are seeking methods to reduce carbon dioxide (CO2) emissions in urban areas, but reliable, high-resolution inventories are required to guide these efforts. We present the development of a high-resolution CO2 inventory available for the Greater Toronto Area and surrounding region in Southern Ontario, Canada (area of ˜ 2.8 × 105 km2, 26 % of the province of Ontario). The new SOCE (Southern Ontario CO2 Emissions) inventory is available at the 2.5 × 2.5 km spatial and hourly temporal resolution and characterizes emissions from seven sectors: area, residential natural-gas combustion, commercial natural-gas combustion, point, marine, on-road, and off-road. To assess the accuracy of the SOCE inventory, we developed an observation-model framework using the GEM-MACH chemistry-transport model run on a high-resolution grid with 2.5 km grid spacing coupled to the Fossil Fuel Data Assimilation System (FFDAS) v2 inventories for anthropogenic CO2 emissions and the European Centre for Medium-Range Weather Forecasts (ECMWF) land carbon model C-TESSEL for biogenic fluxes. A run using FFDAS for the Southern Ontario region was compared to a run in which its emissions were replaced by the SOCE inventory. Simulated CO2 mixing ratios were compared against in situ measurements made at four sites in Southern Ontario - Downsview, Hanlan's Point, Egbert and Turkey Point - in 3 winter months, January-March 2016. Model simulations had better agreement with measurements when using the SOCE inventory emissions versus other inventories, quantified using a variety of statistics such as correlation coefficient, root-mean-square error, and mean bias. Furthermore, when run with the SOCE inventory, the model had improved ability to capture the typical diurnal pattern of CO2 mixing ratios, particularly at the Downsview, Hanlan's Point, and Egbert sites. In addition to improved model-measurement agreement, the SOCE inventory offers a sectoral

Do school crossing guards make crossing roads safer? A quasi-experimental study of pedestrian-motor vehicle collisions in Toronto, Canada.

PubMed

Rothman, Linda; Perry, Daniel; Buliung, Ron; Macarthur, Colin; To, Teresa; Macpherson, Alison; Larsen, Kristian; Howard, Andrew

2015-07-31

The presence of school crossing guards has been associated with more walking and more pedestrian-motor vehicle collisions (PMVCs) in area-level cross-sectional analyses. The objectives of the study were to (1) Determine the effect on PMVC rates of newly implemented crossing guards in Toronto, Canada (2) Determine where collisions were located in relation to crossing guards throughout the city, and whether they occurred during school travel times. School crossing guards with 50 m buffers were mapped along with police-reported child PMVCs from 2000-2011. (1) A quasi-experimental study identified all age collision counts near newly implemented guards before and after implementation, modeled using repeated measures Poisson regression adjusted for season and built environment variables. (2) A retrospective cohort study of all child PMVCS throughout the city to determine the proportions of child PMVCs which occurred during school travel times and at guard locations. There were 27,827 PMVCs, with 260 PMVCs at the locations of 58 newly implemented guards. Repeated measures adjusted Poisson regression found PMVCs rates remained unchanged at guard locations after implementation (IRR 1.02, 95 % CI 0.74, 1.39). There were 568 guards citywide with 1850 child PMVCs that occurred at guard locations. The majority of child PMVCs occurred outside school travel times (n = 1155, 62 %) and of those that occurred during school travel times, only 95 (13.7 %) were at a guard location. School crossing guards are a simple roadway modification to increase walking to school without apparent detrimental safety effects. Other more permanent interventions are necessary to address the frequency of child PMVCs occurring away from the location of crossing guards, and outside of school travel times.

Association between neighbourhood walkability and metabolic risk factors influenced by physical activity: a cross-sectional study of adults in Toronto, Canada

PubMed Central

Loo, C K Jennifer; Greiver, Michelle; Aliarzadeh, Babak; Lewis, Daniel

2017-01-01

Objective To determine whether neighbourhood walkability is associated with clinical measures of obesity, hypertension, diabetes and dyslipidaemia in an urban adult population. Design Observational cross-sectional study. Setting Urban primary care patients. Participants 78 023 Toronto residents, aged 18 years and over, who were formally rostered or had at least 2 visits between 2012 and 2014 with a primary care physician participating in the University of Toronto Practice Based Research Network (UTOPIAN), within the Canadian Primary Care Sentinel Surveillance Network (CPCSSN). Main outcome measures Differences in average body mass index (BMI), systolic and diastolic blood pressure, fasting blood glucose, haemoglobin A1c (HbA1C), total cholesterol, high-density lipoprotein (HDL), low-density lipoprotein and triglyceride between residents in the highest versus the lowest quartile of neighbourhood walkability, as estimated using multivariable linear regression models and stratified by age. Outcomes were objectively measured and were retrieved from primary care electronic medical records. Models adjusted for age, sex, smoking, medications, medical comorbidities and indices of neighbourhood safety and marginalisation. Results Compared with those in the lowest walkability quartile, individuals in the highest quartile had lower mean BMI (−2.64 kg/m2, 95% CI −2.98 to −2.30; p<0.001), systolic blood pressure (−1.35 mm Hg, 95% CI −2.01 to −0.70; p<0.001), diastolic blood pressure (−0.60 mm Hg, 95% CI 1.06 to −0.14; p=0.010) and HbA1c (−0.063%, 95% CI −0.11 to −0.021; p=0.003) and higher mean HDL (0.052 mmol/L, 95% CI 0.029 to 0.075; p<0.001). In age-stratified analyses, differences in the mean BMI were consistently observed for adults aged 18 to under 40 (−4.44 kg/m2, 95% CI −5.09 to −3.79; p<0.001), adults aged 40–65 (−2.74 kg/m2, 95% CI −3.24 to −2.23; p<0.001) and adults aged over 65 (−0.87 kg/m2, 95% CI −1

"Sisters, Mothers, Daughters and Aunties": HIV vaccine acceptability among African, Caribbean and other Black women in Toronto.

PubMed

Weaver, James; Newman, Peter A; Williams, Charmaine C; Massaquoi, Notisha; Brown, Marsha

2013-08-20

Black women in Canada are at disproportionately high risk for HIV. We assessed HIV vaccine acceptability and correlates of acceptability among Black women from African and Caribbean communities in Toronto. "Sisters, Daughters, Mothers, and Aunties" was a community-based research project. Black women of African and Caribbean descent were recruited using venue-based sampling across diverse community organizations in Toronto. We used a structured questionnaire to collect data on socio-demographic characteristics and acceptability of 8 future HIV vaccines, each defined by a set of 7 dichotomous attributes. Conjoint analysis was used to quantify the relative impact of vaccine attributes on acceptability, with multiple regression to adjust for socio-demographic characteristics associated with overall acceptability. Mean vaccine acceptability was 58.8 (SD=17.2) on the 100-point scale. Efficacy had the greatest impact on acceptability, followed by side effects, cost, duration of protection, and number of doses. Acceptability of a high (99%) efficacy vaccine (70.1/100) was significantly greater than for a 50% efficacy vaccine (47.6/100). Vaccine acceptability was significantly higher among women of Caribbean versus African descent, ever married versus single women, and women with full-time versus part-time employment. Black women in Toronto indicated a modest level of acceptability for future HIV vaccines. Educational interventions that address the benefits of partially efficacious vaccines and clearly explain potential side effects, as well as vaccine cost subsidies may promote HIV vaccine uptake. Differences in acceptability within Black communities suggest that tailored multi-level interventions may mitigate barriers to uptake.

Multi-criteria decision analysis for health technology assessment in Canada: insights from an expert panel discussion.

PubMed

Diaby, Vakaramoko; Goeree, Ron; Hoch, Jeffrey; Siebert, Uwe

2015-02-01

Multi-criteria decision analysis (MCDA), a decision-making tool, has received increasing attention in recent years, notably in the healthcare field. For Canada, it is unclear whether and how MCDA should be incorporated into the existing health technology assessment (HTA) decision-making process. To facilitate debate on improving HTA decision-making in Canada, a workshop was held in conjunction with the 8th World Congress on Health Economics of the International Health Economics Association in Toronto, Canada in July 2011. The objective of the workshop was to discuss the potential benefits and challenges related to the use of MCDA for HTA decision-making in Canada. This paper summarizes and discusses the recommendations of an expert panel convened at the workshop to discuss opportunities and concerns with reference to the implementation of MCDA in Canada.

Biomaterials in Canada: the first four decades.

PubMed

Brash, John L

2005-12-01

Biomaterials research in Canada began in the 1960s. Over the past four decades significant contributions have been made across a broad spectrum covering dental, orthopaedic, cardiovascular, neuro, and ocular biomaterials. Canadians have also been active in the derivative area of tissue engineering. Biomaterials laboratories are now established in universities and research institutes from coast to coast, supported mainly by funding from the Federal and Provincial Governments. The Canadian Biomaterials Society was formed in 1971 and has played an important role in the development of the field. The Society played host to the 5th World Biomaterials Congress in Toronto in 1996. The work of Canadian researchers over the past four decades is summarized briefly. It is concluded that biomaterials and tissue engineering is a mature, strong area of research in Canada and appears set to continue as such into the future.

A bibliometric analysis of digestive health research in Canada.

PubMed

Tuitt, Desiree; Knight, Frank; Lipman, Tara

2011-11-01

Measurement of the impact and influence of medical⁄scientific journals, and of individual researchers has become more widely practiced in recent decades. This is driven, in part, by the increased availability of data regarding citations of research articles, and by increased competition for research funding. Digestive disease research has been identified as a particularly strong discipline in Canada. The authors collected quantitative data on the impact and influence of Canadian digestive health research. The present study involved an analysis of the research impact (Hirsch factor) and research influence (Influence factor) of 106 digestive health researchers in Canada. Rankings of the top 25 researchers on the basis of the two metrics were dominated by the larger research groups at the University of Toronto (Toronto, Ontario), McMaster University (Hamilton, Ontario), and the Universities of Calgary (Calgary, Alberta) and Alberta (Edmonton, Alberta), but with representation by other research groups at the Universities of Manitoba (Winnipeg, Manitoba), Western Ontario (London, Ontario) and McGill University (Montreal, Quebec). Female and male researchers had similar scores for the two metrics, as did basic scientists versus clinical investigators. Strategic recruitment, particularly of established investigators, can have a major impact on the ranking of research groups. Comparing these metrics over different time frames can provide insights into the vulnerabilities and strengths of research groups.

Racialized and gendered disparities in occupational exposures among Chinese and white workers in Toronto.

PubMed

Premji, Stephanie; Lewchuk, Wayne

2014-01-01

We examined disparities in hazardous employment characteristics and working conditions among Chinese and white workers in Toronto, Canada. We used self-administered questionnaire data from a 2005-2006 population-based survey (n = 1611). Using modified Poisson regression, we examined the likelihood for Chinese workers of experiencing adverse exposures compared to whites. Models were stratified by sex and adjusted for differences in human capital. Work sector was conceptualized as a mediating variable. Chinese workers were generally more likely to report adverse exposures. In many cases, disparities were only evident or more pronounced among women. The shorter length of time in Canada of Chinese relative to whites accounted for some of the observed disparities. Meanwhile, the higher educational level of Chinese compared to whites provided them with no protection from adverse exposures. The risk of experiencing discrimination on the labor market and at work was more than 50% higher among Chinese men and women as compared to whites, and those disparities, though reduced, persisted after adjustment for confounders. Discrimination is far more prevalent among Chinese than among whites and may explain their disproportionate exposure to other hazards.

Interactive Online Modules and Videos for Learning Geological Concepts at the University of Toronto Department of Earth Sciences

NASA Astrophysics Data System (ADS)

Veglio, E.; Graves, L. W.; Bank, C. G.

2014-12-01

We designed various computer-based applications and videos as educational resources for undergraduate courses at the University of Toronto in the Earth Science Department. These resources were developed in effort to enhance students' self-learning of key concepts as identified by educators at the department. The interactive learning modules and videos were created using the programs MATLAB and Adobe Creative Suite 5 (Photoshop and Premiere) and range from optical mineralogy (extinction and Becke line), petrology (equilibrium melting in 2-phase systems), crystallography (crystal systems), geophysics (gravity anomaly), and geologic history (evolution of Canada). These resources will be made available for students on internal course websites as well as through the University of Toronto Earth Science's website (www.es.utoronto.ca) where appropriate; the video platform YouTube.com may be used to reach a wide audience and promote the material. Usage of the material will be monitored and feedback will be collected over the next academic year in order to gage the use of these interactive learning tools and to assess if these computer-based applications and videos foster student engagement and active learning, and thus offer an enriched learning experience.

Strategic Responses to Fiscal Constraints: A Health Policy Analysis of Hospital-Based Ambulatory Physical Therapy Services in the Greater Toronto Area (GTA)

PubMed Central

Verrier, Molly C.; Williams, A. Paul; Zakus, David; Deber, Raisa B.

2009-01-01

ABSTRACT Purpose: Ambulatory physical therapy (PT) services in Canada are required to be insured under the Canada Health Act, but only if delivered within hospitals. The present study analyzed strategic responses used by hospitals in the Greater Toronto Area (GTA) to deliver PT services in an environment of fiscal constraint. Methods: Key informant interviews (n = 47) were conducted with participants from all hospitals located within the GTA. Results: Two primary strategic responses were identified: (1) “load shedding” through the elimination or reduction of services, and (2) “privatization” through contracting out or creating internal for-profit subsidiary clinics. All hospitals reported reductions in service delivery between 1996 and 2003, and 15.0% (7/47 hospitals) fully eliminated ambulatory services. Although only one of 47 hospitals contracted out services, another 15.0% (7/47) reported that for-profit subsidiary clinics were created within the hospital in order to access other more profitable forms of quasi-public and private funding. Conclusions: Strategic restructuring of services, aimed primarily at cost containment, may have yielded short-term financial savings but has also created a ripple effect across the continuum of care. Moreover, the rise of for-profit subsidiary clinics operating within not-for-profit hospitals has emerged without much public debate and with little research to evaluate its impact. PMID:20808483

When Ernest Jones First Arrived in Toronto; or, Reappraising the Bruce Letter.

PubMed

Kuhn, Philip

2018-01-01

In July 1962, Toronto-based surgeon, Herbert Bruce, wrote a private and confidential letter to social worker and historian Cyril Greenland with some memories and impressions of Sigmund Freud's lifelong friend and biographer, Ernest Jones, in Toronto (1908-1913). In the letter, Bruce described Jones as a "sexual pervert." Despite Bruce's condemnation of Jones, historians and biographers have largely ignored his controversial memories of Jones in Toronto. The article traces how scholars have handled the existence of the Bruce letter, and the consequences for how this history has been understood. In the latter half of the article, the author considers how the existence of this letter might offer insights into how the Toronto medical establishment regarded Ernest Jones.

Gender role orientations and alcohol use among Moscow and Toronto adults.

PubMed

Van Gundy, Karen; Schieman, Scott; Kelley, Margaret S; Rebellon, Cesar J

2005-12-01

Using self-report data from representative community samples of Moscow and Toronto adults, we examine the effects of sex, masculinity, and femininity on alcohol use. Consistent with prior research, our results show that men in Moscow and Toronto drink significantly more than women; women in both samples tend more toward conventional femininity than men; and masculinity levels are greater among Toronto men relative to Toronto women. Moscow men and women, however, show comparable masculinity levels. Neither masculinity nor femininity explains the sex gap in alcohol use in either sample. However, sex- and sample-specific effects are identified. In Toronto, femininity is associated with higher alcohol use among women. In Moscow, masculinity is associated with lower use among men and higher use among women. The findings provide preliminary support for our assertion that the characteristics of national contexts, such as drinking norms and "Soviet-style socialism" [Cockerham, Snead, and Dewaal (2002). Journal of Health and Social Behavior, 43, 42-55] interact with traditional gender role orientations to influence alcohol use patterns. We suggest that a movement toward culturally sensitive policies that consider sex-specific social expectations and responses may contribute to improved health outcomes across nations.

Examination of temporal and spatial variability of NO2 VCDs measured using mobile-MAX-DOAS in Toronto, Canada.

NASA Astrophysics Data System (ADS)

Davis, Zoe; Baray, Sabour; Khanbabkhani, Aida; Fujs, William; Csukat, Csilla; McLaren, Robert

2017-04-01

Mobile-MAX-DOAS is an innovative technique used to estimate pollutant emission rates and validate satellite measurements and air quality models. It is essential to identify and examine factors that can significantly impact the accuracy of this developing technique. Mobile-MAX-DOAS measurements were conducted in Toronto, Canada with a mini-MAX-DOAS instrument mounted (pointing backwards) on top of a car during August and September, 2016. Scattered sunlight spectra were collected every 45 seconds in the continuously repeated sequence of elevation angles of 30o, 30o, 30o, 30o, 40o, 30o, 90o. Tropospheric VCDs were determined using the geometric approximation from DSCDs fitted using a near-noon, low NO2 VCD FRS spectrum. The study goal was to examine the validity of the assumption that VCDs remain relatively constant at each measured location on a driving route encircling an urban area of interest with typical time periods of 1.5-3 hours to estimate emissions and whether driving direction significantly impacts results. NO2 VCD temporal variability was therefore determined by repeating driving routes in both directions in quick succession on multiple days. Strong temporal variability in NO2 VCDs of up to a factor of two were observed for some routes for the same vehicle locations under constant prevailing wind conditions within <2 hours. These differences may be due to the effects of transport, changing tropospheric chemistry and/or diurnal trends in emissions rates. Under these conditions measurements along different portions of the encircled area in a large city may not be representative of the entire measurement period, introducing error into the final emission estimate. Certain straight roads exhibited significantly different VCDs within < 30 minutes when the instrument azimuth pointing direction was changed by 180o. The weighted average VCD was ˜8(±3x) x1016molec. cm-1 from driving in one direction but ˜4 (± 1.5) x1016molec. cm-1 from driving in the opposite

SITE DEMONSTRATION BULLETIN: SOIL RECYCLING TREATMENT TRAIN - THE TORONTO HARBOUR COMMISSIONERS

EPA Science Inventory

The Toronto Harbour Commissioners (THC) have developed a soil treatment train designed to treat inorganic and organic contaminants in soils. THC has conducted a large-scale demonstration of these technologies in an attempt to establish that contaminated soils at the Toronto Port...

TORONTO HARBOUR COMMISSIONERS (THC) SOIL RECYCLE TREATMENT TRAIN - APPLICATIONS ANALYSIS REPORT

EPA Science Inventory

The Toronto Harbour Commissioners (THC) have developed a soil treatment train designed to treat inorganic and organic contaminants in soils. THC has conducted a large-scale demonstration of these technologies in an attempt to establish that contaminated soils at the Toronto Port ...

"The Walls Were Closing in, and We Were Trapped": A Qualitative Analysis of Street Youth Suicide

ERIC Educational Resources Information Center

Kidd, Sean A.

2004-01-01

Semistructured interviews focusing on suicide were conducted with 80 street youth in agencies and on the streets of Toronto, Ontario, Canada, and Vancouver, British Columbia, Canada. Participants described their understandings of the phenomenon of suicide among street youth and the meanings suicide held for them. Qualitative analysis of the…

Food capacities and satisfaction in participants in food security community interventions in Montreal, Canada.

PubMed

Roncarolo, Federico; Adam, Caroline; Bisset, Sherri; Potvin, Louise

2016-12-01

Food insecurity is steadily increasing in Canada. The objective of this paper is to determine if food capacities and satisfaction of recently enrolled participants in food security interventions are associated with the intervention having either a traditional or an alternative type of approach. Participants having recently accessed traditional (n = 711) or alternative community interventions (n = 113) in the Montreal metropolitan area, Canada, were interviewed with a questionnaire. The categorizing variable was participation in a community organization providing either traditional interventions, aimed to help people cope with the urgent need of food, or alternative interventions, aimed at first assistance, in addition to the creation of long-term solutions such as social integration and skills development. Participants' food and nutrition-related capacities and food satisfaction are studied. Multilevel regression models were used to assess whether participants took part in a traditional or alternative interventions. These interventions do not reach the same population. Relative to participants in alternative food security interventions, participants in traditional interventions demonstrated less capacity for accessing information about food safety and healthiness, and perceived their diet as less healthy. Traditional food security participants also paid less attention to the nutritional properties of food and reported less satisfaction with quantity, variety and taste of the food they accessed. The reasons why individuals who may benefit the most from alternative interventions were unlikely to participate should be investigated. The potential that food security interventions may inadvertently reinforce social inequalities in health should be considered in future intervention research. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Graduate House, University of Toronto, Ontario.

ERIC Educational Resources Information Center

Stephens, Suzanne

2002-01-01

Illustrates how the University of Toronto combined the modernist architectural typologies of perimeter block and the skip- stop plan to create a dormitory that served as a gateway to its campus. Photos and a floor plan are included. (GR)

Participative Budgeting, Budget Evaluation, and Organizational Trust in Post-Secondary Educational Institutions in Canada

ERIC Educational Resources Information Center

Simmons, Cynthia V.

2012-01-01

The purpose of this research was to investigate the relationship between a participative budgeting system, the attitudes toward the budget, and levels of organizational trust held by administrators in post-secondary institutions. A 50-item questionnaire was distributed to college and university administrators across Canada. A series of regression…

Ko-Pamoja: the feasibility of a lay health educator-led breast and cervical screening program for Black women in Ontario, Canada (short report).

PubMed

Lofters, Aisha; Jain, Ankur; Siu, Winnie; Kyte, Meghan; Lee-Foon, Nakia; Scott, Fran; Nnorom, Onye

2017-11-01

Effective strategies are needed to actively encourage Black women in Canada to adhere to breast and cervical cancer screening and follow-up. In this study, we describe "Ko-Pamoja," a pilot peer education program for breast and cervical cancer screening targeted specifically at Black women in Toronto, Canada. We used an Afrocentric lens to design the program, whose purpose was to increase awareness of cancer susceptibility and the benefits of screening for breast and cervical cancer for Black women. Participants were recruited through three Black-predominant churches. We used pre- and post-session questionnaires to assess changes in participant awareness of cancer susceptibility and screening guidelines, and changes in screening self-efficacy. 30 women attended sessions. Ko-Pamoja was able to increase awareness of cancer susceptibility, awareness of screening guidelines, and screening self-efficacy. Two months after the last session, four women had been screened for breast cancer at a participating mammogram site. Building on the successes of Ko-Pamoja, future versions are being developed in the region. These versions will be adapted to take into account our lessons learned while maintaining the Afrocentric lens and community-focussed approach, in order to promote cancer screening and ultimately improve outcomes.

Comparing the risk of work-related injuries between immigrants to Canada and Canadian-born labour market participants.

PubMed

Smith, P M; Mustard, C A

2009-06-01

To examine the burden of work-related injuries among immigrants to Canada compared to Canadian-born labour force participants. Using data from the 2003 and 2005 Canadian Community Health Surveys (n = 99,115), two nationally representative population samples, we examined the risk of self-reported, activity limiting work-related injuries among immigrants with varying time periods since arrival in Canada. Models were adjusted for hours of work in the last 12 months as well as various demographic and work-related variables. Immigrant men in their first 5 years in Canada reported lower rates of activity limiting injuries compared to Canadian-born respondents. Surprisingly, the percentage of injuries that required medical attention was much higher among recent immigrants compared to Canadian-born respondents, resulting in an increased risk of activity limiting injuries requiring medical attention among immigrant men compared to Canadian-born labour force participants. No excess risk was found among female immigrants compared to Canadian-born female labour market participants. Immigrant men in their first 5 years in Canada are at increased risk of work-related injuries that require medical attention. A similar risk is not present among immigrant women. Further, given differences in the number of activity limiting injuries requiring medical attention across immigrant groups, we believe this excess risk among immigrant men may be underestimated in the current data source. Future research should attempt to fully capture the barriers faced by immigrants in obtaining safe employment, the number of injuries that are sustained by immigrants while working, and the consequences of these injuries.

Greening the Toronto District School Board.

ERIC Educational Resources Information Center

Root, Emily

2002-01-01

The Toronto District School Board (Ontario) established a department of environmental education to lighten the school board's impact on the environment and to increase ecological literacy among students. School programs have been developed in the areas of eco-literacy, energy conservation, waste management, and school yard greening. One program…

The Pre-Exposure Prophylaxis-Stigma Paradox: Learning from Canada's First Wave of PrEP Users.

PubMed

Grace, Daniel; Jollimore, Jody; MacPherson, Paul; Strang, Matthew J P; Tan, Darrell H S

2018-01-01

With the emergence of daily oral tenofovir disoproxil fumarate and emtricitabine-based pre-exposure prophylaxis (PrEP) use in Canada, questions have emerged concerning the impacts of this HIV prevention tool on gay men's social and sexual lives. We conducted small focus groups and individual qualitative interviews with 16 gay men in Toronto who were part of the 'first wave' of Canadian PrEP users. Participants were on PrEP for at least one year as part of a demonstration project (November 2014-June 2016). These participants accessed PrEP before regulatory approval by Health Canada in February 2016. The mean age of participants was 37.6 years (SD 11.02); 94% completed secondary education, and 69% were white. Sex-stigma emerged as a complex theme in men's accounts of PrEP use across three overlapping domains: (1) PrEP-related stigma, including discussions of concealment and stigma from friends, family, and sexual partners, (2) PrEP as a perceived tool for combating HIV-related stigma, where some men said that they no longer discussed HIV status with sexual partners, and (3) PrEP as illuminating structural stigma, where it was attributed to unmasking stigma related to sex and sexuality. For some participants, PrEP has allowed for liberating sex and a self-described return to normalcy-normal, exciting, pleasurable sex that was no longer reliant on condom use. Paradoxically, some men said that PrEP use both led them to experience stigmatizing reactions within their social and sexual networks, while also helping to remove stigma, shame, and fear related to HIV, sexuality, and sex with gay men living with HIV.

Study protocol: Mobilizing Asian men in Canada to reduce stigma of mental illness.

PubMed

Guruge, Sepali; Fung, Kenneth Po-Lun; Sidani, Souraya; Este, David; Morrow, Marina; McKenzie, Kwame; Wong, Josephine Pui-Hing

2018-06-19

The available evidence on interventions addressing the stigma of mental illness is limited because of small samples, lack of diversity in study samples, and exclusion of people living with mental illness. To date, no published studies have evaluated anti-stigma interventions for Asian men in Canada. Aim This paper describes the protocol of a study to evaluate psychological and collective empowerment interventions (ACT, CEE, and ACT+CEE) in addressing self-stigma and social stigma in Asian communities in three urban settings in Canada: Toronto, Calgary and Vancouver. The study targets Asian men living with or affected by mental illness, and community leaders interested in stigma reduction and advocacy. Guided by a population health promotion framework and an ecological approach to health, the study will use a repeated measure design with mixed methods for data collection. In total, 2160 participants will be enrolled to detect moderate-to-large effect sizes, while accounting for possible attrition. Participants will be randomly assigned to one of three interventions or a control group, using a randomization matrix. Established measures will be used to collect outcome data at pretest, post-test, and 3 and 6 months follow-up, along with focus group discussions and monthly activity logs. Mixed linear models will compare participants' stigma, psychological flexibility, valued life domains, mindfulness, and empowerment readiness within and between groups. The project will generate new knowledge on the applicability and effectiveness of evidence-based psychological and collective empowerment interventions (ACT, CEE, and ACT+CEE) in addressing stigma of mental illness and mobilizing community leadership. Copyright © 2018 Elsevier Inc. All rights reserved.

Association between neighbourhood walkability and metabolic risk factors influenced by physical activity: a cross-sectional study of adults in Toronto, Canada.

PubMed

Loo, C K Jennifer; Greiver, Michelle; Aliarzadeh, Babak; Lewis, Daniel

2017-04-08

To determine whether neighbourhood walkability is associated with clinical measures of obesity, hypertension, diabetes and dyslipidaemia in an urban adult population. Observational cross-sectional study. Urban primary care patients. 78 023 Toronto residents, aged 18 years and over, who were formally rostered or had at least 2 visits between 2012 and 2014 with a primary care physician participating in the University of Toronto Practice Based Research Network (UTOPIAN), within the Canadian Primary Care Sentinel Surveillance Network (CPCSSN). Differences in average body mass index (BMI), systolic and diastolic blood pressure, fasting blood glucose, haemoglobin A1c (HbA1C), total cholesterol, high-density lipoprotein (HDL), low-density lipoprotein and triglyceride between residents in the highest versus the lowest quartile of neighbourhood walkability, as estimated using multivariable linear regression models and stratified by age. Outcomes were objectively measured and were retrieved from primary care electronic medical records. Models adjusted for age, sex, smoking, medications, medical comorbidities and indices of neighbourhood safety and marginalisation. Compared with those in the lowest walkability quartile, individuals in the highest quartile had lower mean BMI (-2.64 kg/m 2 , 95% CI -2.98 to -2.30; p<0.001), systolic blood pressure (-1.35 mm Hg, 95% CI -2.01 to -0.70; p<0.001), diastolic blood pressure (-0.60 mm Hg, 95% CI 1.06 to -0.14; p=0.010) and HbA1c (-0.063%, 95% CI -0.11 to -0.021; p=0.003) and higher mean HDL (0.052 mmol/L, 95% CI 0.029 to 0.075; p<0.001). In age-stratified analyses, differences in the mean BMI were consistently observed for adults aged 18 to under 40 (-4.44 kg/m 2 , 95% CI -5.09 to -3.79; p<0.001), adults aged 40-65 (-2.74 kg/m 2 , 95% CI -3.24 to -2.23; p<0.001) and adults aged over 65 (-0.87 kg/m 2 , 95% CI -1.48 to -0.26; p=0.005). There was a clinically meaningful association between living in the most

Challenges of Diabetes Self-Management in Adults Affected by Food Insecurity in a Large Urban Centre of Ontario, Canada

PubMed Central

Chan, Justine; DeMelo, Margaret; Gingras, Jacqui; Gucciardi, Enza

2015-01-01

Objective. To explore how food insecurity affects individuals' ability to manage their diabetes, as narrated by participants living in a large, culturally diverse urban centre. Design. Qualitative study comprising of in-depth interviews, using a semistructured interview guide. Setting. Participants were recruited from the local community, three community health centres, and a community-based diabetes education centre servicing a low-income population in Toronto, Ontario, Canada. Participants. Twenty-one English-speaking adults with a diagnosis of diabetes and having experienced food insecurity in the past year (based on three screening questions). Method. Using six phases of analysis, we used qualitative, deductive thematic analysis to transcribe, code, and analyze participant interviews. Main Findings. Three themes emerged from our analysis of participants' experiences of living with food insecurity and diabetes: (1) barriers to accessing and preparing food, (2) social isolation, and (3) enhancing agency and resilience. Conclusion. Food insecurity appears to negatively impact diabetes self-management. Healthcare professionals need to be cognizant of resources, skills, and supports appropriate for people with diabetes affected by food insecurity. Study findings suggest foci for enhancing diabetes self-management support. PMID:26576154

Challenges of Diabetes Self-Management in Adults Affected by Food Insecurity in a Large Urban Centre of Ontario, Canada.

PubMed

Chan, Justine; DeMelo, Margaret; Gingras, Jacqui; Gucciardi, Enza

2015-01-01

Objective. To explore how food insecurity affects individuals' ability to manage their diabetes, as narrated by participants living in a large, culturally diverse urban centre. Design. Qualitative study comprising of in-depth interviews, using a semistructured interview guide. Setting. Participants were recruited from the local community, three community health centres, and a community-based diabetes education centre servicing a low-income population in Toronto, Ontario, Canada. Participants. Twenty-one English-speaking adults with a diagnosis of diabetes and having experienced food insecurity in the past year (based on three screening questions). Method. Using six phases of analysis, we used qualitative, deductive thematic analysis to transcribe, code, and analyze participant interviews. Main Findings. Three themes emerged from our analysis of participants' experiences of living with food insecurity and diabetes: (1) barriers to accessing and preparing food, (2) social isolation, and (3) enhancing agency and resilience. Conclusion. Food insecurity appears to negatively impact diabetes self-management. Healthcare professionals need to be cognizant of resources, skills, and supports appropriate for people with diabetes affected by food insecurity. Study findings suggest foci for enhancing diabetes self-management support.

Prevalence of Sexually Transmitted Viral and Bacterial Infections in HIV-Positive and HIV-Negative Men Who Have Sex with Men in Toronto

PubMed Central

Liu, Juan; Loutfy, Mona R.; Tharao, Wangari; Rebbapragada, Anuradha; Huibner, Sanja; Kesler, Maya; Halpenny, Roberta; Grennan, Troy; Brunetta, Jason; Smith, Graham; Reko, Tatjana; Kaul, Rupert

2016-01-01

Background Hepatitis B (HBV), hepatitis C (HCV) and other sexually transmitted infections (STIs) have been associated with HIV transmission risk and disease progression among gay men and other men who have sex with men (MSM), but the frequency and distribution of STIs in this community in Canada has not been extensively studied. Methods We recruited MSM living with and without HIV from a large primary care clinic in Toronto. Participants completed a detailed socio-behavioural questionnaire using ACASI and provided blood for syphilis, HIV, HBV and HCV, herpes simplex virus type 1 (HSV-1) and type 2 (HSV-2), and human cytomegalovirus (CMV) serology, urine for chlamydia and gonorrhea, and a self-collected anal swab for human papillomavirus (HPV) molecular diagnostics. Prevalences were expressed as a proportion and compared using chi-square. Results 442 MSM were recruited, 294 living with HIV and 148 without. Active syphilis (11.0% vs. 3.4%), ever HBV (49.4% vs. 19.1%), HCV (10.4% vs. 3.4%), HSV-2 (55.9% vs. 38.2%), CMV (98.3% vs. 80.3%) and high-risk (HR) anal HPV (67.6% vs. 51.7%) infections were significantly more common in men living with HIV. Chlamydia and gonorrhea were infrequent in both groups. Regardless of HIV infection status, age and number of lifetime male sexual partners were associated with HBV infection and lifetime injection drug use with HCV infection. Conclusions Syphilis and viral infections, including HBV, HCV, HSV-2, CMV, and HR-HPV, were common in this clinic-based population of MSM in Toronto and more frequent among MSM living with HIV. This argues for the implementation of routine screening, vaccine-based prevention, and education programs in this high-risk population. PMID:27391265

Prevalence of Sexually Transmitted Viral and Bacterial Infections in HIV-Positive and HIV-Negative Men Who Have Sex with Men in Toronto.

PubMed

Remis, Robert S; Liu, Juan; Loutfy, Mona R; Tharao, Wangari; Rebbapragada, Anuradha; Huibner, Sanja; Kesler, Maya; Halpenny, Roberta; Grennan, Troy; Brunetta, Jason; Smith, Graham; Reko, Tatjana; Kaul, Rupert

2016-01-01

Hepatitis B (HBV), hepatitis C (HCV) and other sexually transmitted infections (STIs) have been associated with HIV transmission risk and disease progression among gay men and other men who have sex with men (MSM), but the frequency and distribution of STIs in this community in Canada has not been extensively studied. We recruited MSM living with and without HIV from a large primary care clinic in Toronto. Participants completed a detailed socio-behavioural questionnaire using ACASI and provided blood for syphilis, HIV, HBV and HCV, herpes simplex virus type 1 (HSV-1) and type 2 (HSV-2), and human cytomegalovirus (CMV) serology, urine for chlamydia and gonorrhea, and a self-collected anal swab for human papillomavirus (HPV) molecular diagnostics. Prevalences were expressed as a proportion and compared using chi-square. 442 MSM were recruited, 294 living with HIV and 148 without. Active syphilis (11.0% vs. 3.4%), ever HBV (49.4% vs. 19.1%), HCV (10.4% vs. 3.4%), HSV-2 (55.9% vs. 38.2%), CMV (98.3% vs. 80.3%) and high-risk (HR) anal HPV (67.6% vs. 51.7%) infections were significantly more common in men living with HIV. Chlamydia and gonorrhea were infrequent in both groups. Regardless of HIV infection status, age and number of lifetime male sexual partners were associated with HBV infection and lifetime injection drug use with HCV infection. Syphilis and viral infections, including HBV, HCV, HSV-2, CMV, and HR-HPV, were common in this clinic-based population of MSM in Toronto and more frequent among MSM living with HIV. This argues for the implementation of routine screening, vaccine-based prevention, and education programs in this high-risk population.

Use of an HIV-risk screening tool to identify optimal candidates for PrEP scale-up among men who have sex with men in Toronto, Canada: disconnect between objective and subjective HIV risk.

PubMed

Wilton, James; Kain, Taylor; Fowler, Shawn; Hart, Trevor A; Grennan, Troy; Maxwell, John; Tan, Darrell Hs

2016-01-01

Identifying appropriate pre-exposure prophylaxis (PrEP) candidates is a challenge in planning for the safe and effective roll-out of this strategy. We explored the use of a validated HIV risk screening tool, HIV Incidence Risk Index for Men who have Sex with Men (HIRI-MSM), to identify "optimal" candidates among MSM testing at a busy sexual health clinic's community testing sites in Toronto, Canada. Between November 2014 and April 2015, we surveyed MSM undergoing anonymous HIV testing at community testing sites in Toronto, Canada, to quantify "optimal" candidates for scaling up PrEP roll-out, defined as being at high objective HIV risk (scoring ≥10 on the HIRI-MSM), perceiving oneself at moderate-to-high HIV risk and being willing to use PrEP. Cascades were constructed to identify barriers to broader PrEP uptake. The association between HIRI-MSM score and both willingness to use PrEP and perceived HIV risk were explored in separate multivariable logistic regression analyses. Of 420 respondents, 64.4% were objectively at high risk, 52.5% were willing to use PrEP and 27.2% perceived themselves at moderate-to-high HIV risk. Only 16.4% were "optimal" candidates. Higher HIRI-MSM scores were positively associated with both willingness to use PrEP (aOR=1.7 per 10 score increase, 95%CI=1.3-2.2) and moderate-to-high perceived HIV risk (aOR=1.7 per 10 score increase, 95%CI=1.2-2.3). The proportion of men who were "optimal" candidates increased to 42.9% when the objective HIV risk cut-off was changed to top quartile of HIRI-MSM scores (≥26). In our full cascade, a very low proportion (5.3%) of MSM surveyed could potentially benefit from PrEP under current conditions. The greatest barrier in the cascade was low perception of HIV risk among high-risk men, but considerable numbers were also lost in downstream cascade steps. Of men at high objective HIV risk, 68.3% did not perceive themselves to be at moderate-to-high HIV risk, 23.6% were unaware of PrEP, 40.1% were not

Use of an HIV-risk screening tool to identify optimal candidates for PrEP scale-up among men who have sex with men in Toronto, Canada: disconnect between objective and subjective HIV risk

PubMed Central

Wilton, James; Kain, Taylor; Fowler, Shawn; Hart, Trevor A; Grennan, Troy; Maxwell, John; Tan, Darrell HS

2016-01-01

Introduction Identifying appropriate pre-exposure prophylaxis (PrEP) candidates is a challenge in planning for the safe and effective roll-out of this strategy. We explored the use of a validated HIV risk screening tool, HIV Incidence Risk Index for Men who have Sex with Men (HIRI-MSM), to identify “optimal” candidates among MSM testing at a busy sexual health clinic's community testing sites in Toronto, Canada. Methods Between November 2014 and April 2015, we surveyed MSM undergoing anonymous HIV testing at community testing sites in Toronto, Canada, to quantify “optimal” candidates for scaling up PrEP roll-out, defined as being at high objective HIV risk (scoring ≥10 on the HIRI-MSM), perceiving oneself at moderate-to-high HIV risk and being willing to use PrEP. Cascades were constructed to identify barriers to broader PrEP uptake. The association between HIRI-MSM score and both willingness to use PrEP and perceived HIV risk were explored in separate multivariable logistic regression analyses. Results Of 420 respondents, 64.4% were objectively at high risk, 52.5% were willing to use PrEP and 27.2% perceived themselves at moderate-to-high HIV risk. Only 16.4% were “optimal” candidates. Higher HIRI-MSM scores were positively associated with both willingness to use PrEP (aOR=1.7 per 10 score increase, 95%CI=1.3–2.2) and moderate-to-high perceived HIV risk (aOR=1.7 per 10 score increase, 95%CI=1.2–2.3). The proportion of men who were “optimal” candidates increased to 42.9% when the objective HIV risk cut-off was changed to top quartile of HIRI-MSM scores (≥26). In our full cascade, a very low proportion (5.3%) of MSM surveyed could potentially benefit from PrEP under current conditions. The greatest barrier in the cascade was low perception of HIV risk among high-risk men, but considerable numbers were also lost in downstream cascade steps. Of men at high objective HIV risk, 68.3% did not perceive themselves to be at moderate-to-high HIV risk

Long-path measurements of pollutants and micrometeorology over Highway 401 in Toronto

NASA Astrophysics Data System (ADS)

You, Yuan; Staebler, Ralf M.; Moussa, Samar G.; Su, Yushan; Munoz, Tony; Stroud, Craig; Zhang, Junhua; Moran, Michael D.

2017-11-01

Traffic emissions contribute significantly to urban air pollution. Measurements were conducted over Highway 401 in Toronto, Canada, with a long-path Fourier transform infrared (FTIR) spectrometer combined with a suite of micrometeorological instruments to identify and quantify a range of air pollutants. Results were compared with simultaneous in situ observations at a roadside monitoring station, and with output from a special version of the operational Canadian air quality forecast model (GEM-MACH). Elevated mixing ratios of ammonia (0-23 ppb) were observed, of which 76 % were associated with traffic emissions. Hydrogen cyanide was identified at mixing ratios between 0 and 4 ppb. Using a simple dispersion model, an integrated emission factor of on average 2.6 g km-1 carbon monoxide was calculated for this defined section of Highway 401, which agreed well with estimates based on vehicular emission factors and observed traffic volumes. Based on the same dispersion calculations, vehicular average emission factors of 0.04, 0.36, and 0.15 g km-1 were calculated for ammonia, nitrogen oxide, and methanol, respectively.

Assessing health impacts of the December 2013 Ice storm in Ontario, Canada.

PubMed

Rajaram, Nikhil; Hohenadel, Karin; Gattoni, Laera; Khan, Yasmin; Birk-Urovitz, Elizabeth; Li, Lennon; Schwartz, Brian

2016-07-11

Ice, or freezing rain storms have the potential to affect human health and disrupt normal functioning of a community. The purpose of this study was to assess acute health impacts of an ice storm that occurred in December 2013 in Toronto, Ontario, Canada. Data on emergency department visits were obtained from the National Ambulatory Care Reporting System. Rates of visits in Toronto during the storm period (December 21, 2013 - January 1, 2014) were compared to rates occurring on the same dates in the previous five years (historical comparison) and compared to those in a major unaffected city, Ottawa, Ontario (geographic comparison). Overall visits and rates for three categories of interest (cardiac conditions, environmental causes and injuries) were assessed. Rate ratios were calculated using Poisson regression with population counts as an offset. Absolute counts of carbon monoxide poisoning were compared descriptively in a sub-analysis. During the 2013 storm period, there were 34 549 visits to EDs in Toronto (12.46 per 1000 population) compared with 10 794 visits in Ottawa (11.55 per 1000 population). When considering year and geography separately, rates of several types of ED visits were higher in the storm year than in previous years in both Toronto and Ottawa. Considering year and geography together, rates in the storm year were higher for overall ED visits (RR: 1.10, 95 % CI: 1.09-1.11) and for visits due to environmental causes (RR: 2.52, 95 % CI: 2.21-2.87) compared to previous years regardless of city. For injuries, visit rates were higher in the storm year in both Toronto and Ottawa, but the increase in Toronto was significantly greater than the increase in Ottawa, indicating a significant interaction between geography and year (RR: 1.23, 95 % CI: 1.16-1.30). This suggests that the main health impact of the 2013 Ice Storm was an increase in ED visits for injuries, while other increases could have been due to severe weather across Ontario at that time

A cohort study of intra-urban variations in volatile organic compounds and mortality, Toronto, Canada.

PubMed

Villeneuve, Paul J; Jerrett, Michael; Su, Jason; Burnett, Richard T; Chen, Hong; Brook, Jeffrey; Wheeler, Amanda J; Cakmak, Sabit; Goldberg, Mark S

2013-12-01

This study investigated associations between long-term exposure to ambient volatile organic compounds (VOCs) and mortality. 58,760 Toronto residents (≥35 years of age) were selected from tax filings and followed from 1982 to 2004. Death information was extracted using record linkage to national mortality data. Land-use regression surfaces for benzene, n-hexane, and total hydrocarbons were generated from sampling campaigns in 2002 and 2004 and assigned to residential addresses in 1982. Cox regression was used to estimate relationships between each VOC and non-accidental, cardiovascular, and cancer mortality. Positive associations were observed for each VOC. In multi-pollutant models the benzene and total hydrocarbon signals were strongest for cancer. The hazard ratio for cancer that corresponded to an increase in the interquartile range of benzene (0.13 μg/m(3)) was 1.06 (95% CI = 1.02-1.11). Our findings suggest ambient concentrations of VOCs were associated with cancer mortality, and that these exposures did not confound our previously reported associations between NO2 and cardiovascular mortality. Crown Copyright © 2013. Published by Elsevier Ltd. All rights reserved.

Gender and the smoking behaviour of Ethiopian immigrants in Toronto.

PubMed

Hyman, I; Fenta, H; Noh, S

2008-01-01

The objective of this paper is to present descriptive data on gender and smoking among Ethiopian immigrants in Toronto, Canada. The study used a cross-sectional epidemiological survey design (N = 342). The main outcome measures identified subjects as current (regular or occasional) smokers, daily smokers and former smokers. Overall, 20.8% of the individuals in the sample were current smokers and 15.7% were daily smokers. Although smoking rates (current and daily) were significantly higher among males compared to females, nearly twice as many female as male daily smokers reported that they began smoking post-migration (60.0% vs. 30.2%). Furthermore, 80.0% of female compared to nearly 56% of male daily smokers reported that they were smoking more post-migration. A significantly higher proportion of males compared to females were former daily smokers (17.8% vs. 4.4%). These findings present a challenge for public health professionals in terms of preventing the adoption of smoking among Ethiopian females and facilitating smoking cessation among Ethiopian males. Correlates with current smoking suggested that smoking prevention and cessation programs in newcomer immigrant communities may benefit from incorporating social, economic and religious contexts of these newcomers' lives from a gender-specific perspective.

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

Islam, National Identity and Public Secondary Education: Perspectives from the Somali Diaspora in Toronto, Canada

ERIC Educational Resources Information Center

Collet, Bruce A.

2007-01-01

Public schools have historically been key sites where children learn of and adopt a common national identity. In states where multiculturalism plays a central role in the articulation of a national identity, schools actively recognize and support the diverse cultures of their students in fulfilling this function. Canada is a state where, via…

DRDC Technical Stream Integrated Capabilities and Vision

DTIC Science & Technology

2011-09-01

Brenda Fraser Allan Keefe Nada Pavlovic Doug Saunders Phil Terhaar Defence R&D Canada Technical Memorandum DRDC Toronto...Beechinor Hamid Boland Brenda Fraser Allan Keefe Nada Pavlovic Doug Saunders Phil Terhaar Defence R&D Canada – Toronto...Technical Memorandum DRDC Toronto TM 2011-017 September 2011 Principal Author Original signed by Allan Keefe Allan Keefe Technical

L'alphabetisation et les femmes (Women and Literacy) Round Table (Toronto, Ontario, Canada, June 17-20, 1991). English Translation.

ERIC Educational Resources Information Center

Ontario Dept. of Education, Toronto.

The transcript (translated into English) of a roundtable discussion of literacy among francophone women in Canada begins with the personal narrative of one women who gained literacy skills as an adult. The panel of three specialists in francophone women's literacy in Canada then look at the literacy rate among Canadian women, and the demand for…

Hierarchical Goal Analysis of Dynamic Decision Making in Microworld Experiments

DTIC Science & Technology

2009-03-01

7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS( ES ) Defence R&D Canada - Toronto,1133 Sheppard Avenue West,PO Box 2000,Toronto, Ontario, Canada M3M...3B9, 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS( ES ) 10. SPONSOR/MONITOR’S ACRONYM(S) 11. SPONSOR...Majesté la Reine (en droit du Canada), telle que représentée par le ministre de la Défense nationale, 2009 DRDC Toronto TM 2008-211 i

Perceived barriers in accessing food among recent Latin American immigrants in Toronto

PubMed Central

2013-01-01

Objective In Canada, recent immigrant households experience more food insecurity than the general population, but limited information is available about the personal, cultural, and social factors that contribute to this vulnerability. This study focused on recent Latin American (LA) immigrants to explore their perceived barriers in acquiring safe, nutritious, and culturally-appropriate food. Design A cross-sectional mixed-method design was applied to collect information from a convenience sample of 70 adult Spanish/Portuguese speakers who had arrived in Toronto within the last five years. Face-to-face interviews were conducted with primary household caregivers to obtain responses about barriers to acquiring food for their households; data were analyzed using a thematic analysis technique. Results Four main categories of barriers were identified: limited financial resources; language difficulty; cultural food preferences; and poor knowledge of available community-based food resources and services. Inadequate income was the main impediment in accessing adequate food, and was related to affordability of food items, accessibility of food outlets and transportation cost, and limited time for grocery shopping due to work conditions. Language barriers affected participants’ ability to obtain well-paid employment and their awareness about and access to available community-based food resources. Cultural barriers were related to food preferences and limited access to culturally-appropriate foods and resources. Conclusion The main barrier to food security among our sample of LA newcomers to Toronto is limited financial resources, highlighting the need for policies and strategies that could improve their financial power to purchase sufficient, nutritious, and culturally-acceptable food. Linguistic barriers and limited information among newcomers suggest the need to provide linguistically- and culturally-appropriate information related to community-based food programs and

Interpretation of diagnostic laboratory tests for severe acute respiratory syndrome: the Toronto experience

PubMed Central

Tang, Patrick; Louie, Marie; Richardson, Susan E.; Smieja, Marek; Simor, Andrew E.; Jamieson, Frances; Fearon, Margaret; Poutanen, Susan M.; Mazzulli, Tony; Tellier, Raymond; Mahony, James; Loeb, Mark; Petrich, Astrid; Chernesky, Max; McGeer, Allison; Low, Donald E.; Phillips, Elizabeth; Jones, Steven; Bastien, Nathalie; Li, Yan; Dick, Daryl; Grolla, Allen; Fernando, Lisa; Booth, Timothy F.; Henry, Bonnie; Rachlis, Anita R.; Matukas, Larissa M.; Rose, David B.; Lovinsky, Reena; Walmsley, Sharon; Gold, Wayne L.; Krajden, Sigmund

2004-01-01

Background An outbreak of severe acute respiratory syndrome (SARS) began in Canada in February 2003. The initial diagnosis of SARS was based on clinical and epidemiological criteria. During the outbreak, molecular and serologic tests for the SARS-associated coronavirus (SARS-CoV) became available. However, without a “gold standard,” it was impossible to determine the usefulness of these tests. We describe how these tests were used during the first phase of the SARS outbreak in Toronto and offer some recommendations that may be useful if SARS returns. Methods We examined the results of all diagnostic laboratory tests used in 117 patients admitted to hospitals in Toronto who met the Health Canada criteria for suspect or probable SARS. Focusing on tests for SARS-CoV, we attempted to determine the optimal specimen types and timing of specimen collection. Results Diagnostic test results for SARS-CoV were available for 110 of the 117 patients. SARS-CoV was detected by means of reverse-transcriptase polymerase chain reaction (RT-PCR) in at least one specimen in 59 (54.1%) of 109 patients. Serologic test results of convalescent samples were positive in 50 (96.2%) of 52 patients for whom paired serum samples were collected during the acute and convalescent phases of the illness. Of the 110 patients, 78 (70.9%) had specimens that tested positive by means of RT-PCR, serologic testing or both methods. The proportion of RT-PCR test results that were positive was similar between patients who met the criteria for suspect SARS (50.8%, 95% confidence interval [CI] 38.4%–63.2%) and those who met the criteria for probable SARS (58.0%, 95% CI 44.2%–70.7%). SARS-CoV was detected in nasopharyngeal swabs in 33 (32.4%) of 102 patients, in stool specimens in 19 (63.3%) of 30 patients, and in specimens from the lower respiratory tract in 10 (58.8%) of 17 patients. Interpretation These findings suggest that the rapid diagnostic tests in use at the time of the initial outbreak lack

Resourceful masculinities: exploring heterosexual Black men's vulnerability to HIV in Ontario, Canada.

PubMed

Husbands, Winston; Oakes, Wesley; Mbulaheni, Tola; Ongoïba, Fanta; Pierre-Pierre, Valérie; Luyombya, Henry

2017-10-29

Heterosexually active Black men are alleged to endorse masculine norms that increase their and their female partners' vulnerability to HIV. These norms include Black men's inability or reluctance to productively engage their own health-related personal and interpersonal vulnerabilities. We draw on data from the iSpeak research study in Ontario, Canada, to assess whether and how heterosexual Black men cope with personal and inter-personal vulnerability, namely that heterosexual Black men: avoid emotionally supportive relationships with other men (and women), which diminishes their capacity to productively acknowledge and resolve their health-related challenges; are reticent to productively acknowledge and address HIV and health on a personal level; and are pathologically secretive about their health, which compounds their vulnerability and precipitates poor health outcomes. iSpeak was implemented in 2011 to 2013, and included two focus groups with HIV-positive and HIV-negative self-identified heterosexual men (N = 14) in Toronto and London, a focus group with community-based health promotion practitioners who provide HIV-related services to Black communities in Ontario (N = 6), and one-on-one interviews with four researchers distinguished for their scholarship with/among Black communities in Toronto. Participants in the men's focus group were recruited discretely through word-of-mouth. Focus groups were audiotaped and transcribed verbatim. Team members independently read the transcripts, and then met to identify, discuss and agree on the emerging themes. We demonstrate that iSpeak participants (a) engage their personal and interpersonal vulnerabilities creatively and strategically, (b) complicate and challenge familiar interpretations of Black men's allegedly transgressive masculinity through their emotional and practical investment in their health, and (c) demonstrate a form of resourceful masculinity that ambiguously aligns with patriarchy. We conclude

Participation in clinical trials among women living with HIV in Canada

PubMed Central

Hankins, C; Lapointe, N; Walmsley, S

1998-01-01

BACKGROUND: To describe participation in clinical trials among HIV-positive women enrolled since 1993 in the Canadian Women's HIV Study, a prospective open cohort study. METHODS: All HIV-positive women being followed at hospital-based or community-based clinics at 28 sites in 11 Canadian cities were eligible to participate in the Canadian Women's HIV Study. Baseline and follow-up information was collected for 413 women every 6 months by study nurses using standardized questionnaires. Data included sociodemographic variables, HIV exposure group, CD4 count, disease classification, use of antiretroviral therapies and participation in clinical trials. RESULTS: At study intake 15.0% (62/413) of the women had participated in a clinical trial; an additional 8.5% (35/413) participated during a median follow-up of 18 months. Multivariate analysis revealed that the following factors were independently associated with participation in a clinical trial: white race (adjusted odds ratio [OR] 3.38, p = 0.001), current use of antiretroviral therapy (adjusted OR 2.01, p = 0.008), completion of secondary school (adjusted OR 1.97, p = 0.024) and residence in the Prairies or Atlantic provinces (adjusted OR 1.98, p = 0.043). INTERPRETATION: Although the overall clinical trial participation rate of 23.5% was relatively high among HIV-positive women, injection drug users were underrepresented in this study population, and non-white women, women who did not complete high school and women not receiving antiretroviral therapy were less likely than white women, women of higher education and women receiving antiretroviral therapy to participate in clinical trials in Canada. Because of the importance of trial participants being representative of the population for which therapeutic agents are intended, HIV clinical trials must recruit women with lower literacy levels, non-white women, women not receiving antiretroviral therapy and women who are injection drug users to ensure generalizability

77 FR 34874 - Airworthiness Directives; Bombardier, Inc. Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-12

...., Q-Series Technical Help Desk, 123 Garratt Boulevard, Toronto, Ontario M3K 1Y5, Canada; telephone 416...., Q-Series Technical Help Desk, 123 Garratt Boulevard, Toronto, Ontario M3K 1Y5, Canada; telephone 416...

78 FR 49240 - Airworthiness Directives; Bombardier, Inc. Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-13

... Bombardier, Inc., Q-Series Technical Help Desk, 123 Garratt Boulevard, Toronto, Ontario M3K 1Y5, Canada... Bombardier, Inc., Q Series Technical Help Desk, 123 Garratt Boulevard, Toronto, Ontario M3K 1Y5, Canada...

Adolescent Girls' Perceived Barriers to Participation in Physical Activity

ERIC Educational Resources Information Center

Dwyer, John J. M.; Allison, Kenneth R.; Goldenberg, Ellie R.; Fein, Allan J.; Yoshida, Karen K.; Boutilier, Marie A.

2006-01-01

Research shows a decline in physical activity levels during adolescence, particularly among girls. This study explored perceived barriers to participation in moderate and vigorous physical activity among adolescent girls who live in a large ethnoracially and socioeconomically diverse city. A total of 73 adolescent girls in Toronto participated in…

A feasibility study of a culturally and gender-specific dance to promote physical activity for South Asian immigrant women in the greater Toronto area.

PubMed

Vahabi, Mandana; Damba, Cynthia

2015-01-01

Despite ample evidence demonstrating the protective effect of physical activity, the uptake of regular physical activity among South Asian (SA) women remains relatively low. The purpose of this study was to explore the feasibility and health impacts of implementing a culture- and gender-specific physical activity among SA immigrant women residing in Greater Toronto Area (GTA) in Ontario, Canada. A community-based mixed methods approach combining cohort pretest and posttest design and qualitative methods employing in depth interviews was used. Twenty-seven SA women from the GTA participated in a 6-week, 2 days per week, Bollywood Dance exercise program led by a female SA instructor. The participation rate was considerably high (85%) and approximately 82% of the participants attended 10 or more of the classes offered. The participants' physical measurements (weight, waist and hip, and body mass index) decreased, although not significantly, over the 6-week period and there was an improvement in their physical, mental, and social health. During the face-to-face interviews, participants reported feeling less stressed and tired, being more mentally and physically robust, and having a sense of fulfillment and self-satisfaction. The only common criticism expressed was that the 6-week duration of the intervention was too short. The results showed that the Bollywood Dance was a feasible strategy in engaging SA immigrant women in physical activity. The key aspects when designing culture- and gender-specific dance interventions include community participation and active engagement in planning and implementation of the program, a supportive environment, same gender and culturally attuned dance instructor, easy access, and minimal to no cost. Copyright © 2015 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

78 FR 75291 - Airworthiness Directives; Bombardier, Inc. Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-11

... Bombardier, Inc., Q-Series Technical Help Desk, 123 Garratt Boulevard, Toronto, Ontario M3K 1Y5, Canada... Technical Help Desk, 123 Garratt Boulevard, Toronto, Ontario M3K 1Y5, Canada; telephone 416-375-4000; fax...

Geographic and birth cohort associations of Kaposi's sarcoma among homosexual men in Canada.

PubMed

Schechter, M T; Marion, S A; Elmslie, K D; Ricketts, M N; Nault, P; Archibald, C P

1991-09-01

The authors conducted an analysis of all 677 cases of Kaposi's sarcoma among the 3,047 cases of acquired immunodeficiency syndrome diagnosed in homosexual/bisexual men in Canada between 1980 and 1989. The proportion with Kaposi's sarcoma declined from 32.2% during 1980-1985 to 15.0% in 1989. The proportion with Kaposi's sarcoma was significantly higher in primary epidemic centers (Vancouver, Toronto, and Montreal) and in men in the 1945-1954 birth cohort independent of year of diagnosis. These data are consistent with an environmental cofactor for Kaposi's sarcoma which is likely to be a sexually transmitted agent.

Comparing the burden of illness of haemophilia between resource-constrained and unconstrained countries: the São Paulo-Toronto Hemophilia Study.

PubMed

Carneiro, J D A; Blanchette, V; Ozelo, M C; Antunes, S V; Villaca, P R; Young, N L; Castro, D; Brandão, L R; Carcao, M; Abad, A; Feldman, B M

2017-09-01

Although the regular replacement of clotting factor concentrates (prophylaxis) has been well established as the standard of care for severe haemophilia, the high cost of factor concentrates has limited access to prophylaxis in countries with under-developed or developing economies. We studied the health gap that could be addressed by providing unlimited access to clotting factor concentrates with implementation of long-term prophylaxis initiated from an early age in life. We performed a cross-sectional study of a random, representative sample of boys with moderate and severe haemophilia at three haemophilia treatment centres in Sao Paulo, Brazil, and one centre in Toronto, Canada. Canadian subjects were more often treated with prophylaxis, and began treatment at an earlier age. Fewer Canadian subjects had bleeds within the preceding 6 months (19 vs. 34, P = 0.003). Canadian subjects had lower (better) Pettersson radiographic scores (1.5 vs. 6.0, P = 0.0016), lower (better) Hemophilia Joint Health Scores (5.5 vs. 10.5, P = 0.0038), higher (better) Activity Scale for Kids scores (96.6 vs. 92.0, P = 0.033), more time spent in vigorous activity, and higher (better) social participation scores. Our findings suggest that increasing access to clotting factor concentrates for young boys with severe haemophilia is a global imperative. © 2017 John Wiley & Sons Ltd.

Pediatric manpower in Canada: a cross-country survey.

PubMed Central

Rieder, M J; Hanmer, S J; Haslam, R H

1989-01-01

Health care costs and government cutbacks in Canadian training posts have caused concerns about physician manpower. To determine the present pediatric manpower situation a cross-country survey was undertaken of all pediatricians and their practice patterns. Of the 2060 recipients of a questionnaire 5% were found to not be pediatricians. Of the remaining 1960, 69% returned a completed questionnaire. Overall, 70% of the pediatricians were men, although among those less than 35 years of age 49% were women. Across Canada 37% of the pediatricians practised primary care, 25% secondary care and 38% tertiary care. There were wide regional differences in practice patterns, with large numbers of primary care pediatricians in Winnipeg, Toronto, Ottawa and the province of Quebec; few pediatricians in the Maritimes and the remainder of western Canada practised primary care. Non-Canadian graduates accounted for 33% of the pediatricians and represented a considerable proportion of tertiary care pediatricians. Cutbacks in numbers of pediatric training positions and restrictions on immigration of foreign pediatricians may lead to unexpected deficiencies in the availability of some types of pediatric practitioners, especially those in tertiary care. PMID:2910397

History of Cardiovascular Surgery at Toronto General Hospital.

PubMed

Lee, Myunghyun M; Alvarez, Juglans; Rao, Vivek

2016-01-01

The Division of Cardiovascular Surgery at Toronto General Hospital has enjoyed an enviable history of academic achievement and clinical success. The foundations of this success are innovation, creativity and excellence in patient care, which continue to influence the current members of the division. Copyright © 2016 Elsevier Inc. All rights reserved.

Continuous Near-Road Monitoring of Ultrafine Particles from 2010-2015 in Toronto, Canada

NASA Astrophysics Data System (ADS)

Su, Y.; Sofowote, U.; Debosz, J.; Munoz, T.

2015-12-01

Ultrafine particles (UFPs) have an aerodynamic diameter less than 100 nanometre (nm). Their large surface areas per unit mass favor absorption of toxic chemicals in air. UFPs could penetrate deep into the respiratory or cardiovascular systems and pose adverse health effects. Recent studies showed the association between children exposure to UFPs and their systolic blood pressure. In urban environments, primary sources of UFPs are from road traffic emissions and account for most of the total particle numbers. Controls on UPFs rely on better understanding of their emission sources and environmental behaviour. Ontario Ministry of the Environment and Climate Change have monitored UFPs since 2010 at two near-road stations in Toronto by using TSI 3031 UFP monitors. One station is located in mixed residential and industrial area and 16 meters from a major road with over 20,000 vehicles per day. The other station is surrounded by mixed residential and commercial buildings and 20 meters from a major road with over 20,000 vehicles per day. UFPs concentrations were monitored using six size channels: 20-30nm, 30-50nm, 50-70nm, 70-100nm, 100-200nm, and 200-450nm. The TSI 3031 monitors generally performed well for long-term UFP monitoring. Multi-year measurements of UFPs at the two stations show no apparent inter-annual variation or seasonality. Smaller particles (i.e., 20-50 nm) were found to be composed of over 50% of the measured particles. The observations are generally consistent with the theoretical understanding of particle nuclei mode and accumulation mode. When air mass originated from road traffic, UFPs were elevated in morning traffic hours and to a less extent in the late afternoon. The elevated UFPs number concentrations coincided with other traffic-related air pollutants like nitrogen oxides and black carbon. Moreover, higher number concentrations were found on weekdays than weekends. The observations suggest that UFPs are mostly from vehicle emissions.

Exploring Older Adults' Health Information Seeking Behaviors

ERIC Educational Resources Information Center

Manafo, Elizabeth; Wong, Sharon

2012-01-01

Objective: To explore older adults' (55-70 years) health information-seeking behaviors. Methods: Using a qualitative methodology, based on grounded theory, data were collected using in-depth interviews. Participants were community-living, older adults in Toronto, Canada who independently seek nutrition and health information. Interview transcripts…

Retrospective investigation of chronic wasting disease of cervids at the Toronto Zoo, 1973–2003

PubMed Central

Dubé, Caroline; Mehren, Kay G.; Barker, Ian K.; Peart, Brian L.; Balachandran, Aru

2006-01-01

The occurrence of chronic wasting disease (CWD) at the Toronto Zoo was investigated retrospectively, based on an examination of management, animal health, and postmortem records, and immunohistochemical studies. Records of animal movements, clinical signs, and postmortem findings were examined for all cervids 1973–2003. All available samples of fixed, wax-embedded lymphoid or central nervous system tissue from cervids that died at the Toronto Zoo from 1973 to 2003, > 12 months of age, were tested, using prion protein immunostaining. Chronic wasting disease prion antigen was detected in 8 of 105 animals tested: 7 mule deer and 1 black-tailed deer. The most likely method of introduction was the importation of CWD-infected animals from a zoo in the United States. Animal-to-animal contact and environmental contamination were the most likely methods of spread of CWD at the zoo. No mule deer left the Toronto Zoo site, and the last animal with CWD died in 1981. Historic findings and ongoing testing of cervids indicate that the Toronto Zoo collection has very low risk of currently being infected with CWD. PMID:17217088

University of Toronto Instructors' Experiences with Developing MOOCs

ERIC Educational Resources Information Center

Najafi, Hedieh; Rolheiser, Carol; Harrison, Laurie; Håklev, Stian

2015-01-01

We interviewed eight University of Toronto (U of T) instructors who have offered MOOCs on Coursera or EdX between 2012 and 2014 to understand their motivation for MOOC instruction, their experience developing and teaching MOOCs, and their perceptions of the implications of MOOC instruction on their teaching and research practices. Through…

Retail availability and marketing of electronic cigarettes in Canada.

PubMed

Hammond, David; White, Christine M; Czoli, Christine D; Martin, Christina L; Magennis, Paul; Shiplo, Samantha

2015-10-09

Canada is among an increasing number of countries with restrictions on the sale of electronic cigarettes (e-cigarettes). In Canada, e-cigarettes containing nicotine have not been approved for sale; however, e-cigarettes that do not contain nicotine and do not make health claims can be sold. To date, there is little empirical evidence assessing the retail availability and marketing of e-cigarettes in countries such as Canada. Audits were conducted at 59 brick-and-mortar retail outlets (grocery stores, convenience stores, tobacconist shops and vape shops) in four cities (Vancouver, Toronto, Montreal and Halifax) in August-October 2014. In addition, a total of 21 e-cigarette manufacturer/retailer websites were audited, and inquiries were made as to whether the companies sold nicotine-containing products. Overall, 76% of the retail outlets sold e-cigarette products. Of convenience stores, grocery stores and tobacconist shops with e-cigarettes for sale, the vast majority (94%) sold nicotine-free products only; in contrast, all the vape shops sold at least one nicotine-containing e-cigarette product. Front counter displays were the most common form of in-store promotions and were present in virtually all convenience stores, tobacconist shops and vape shops. Nicotine-containing e-cigarettes were available for purchase at approximately half (52%) of the online e-cigarette retailers surveyed. E-cigarettes with and without nicotine are widely available and marketed at a variety of retail outlets in Canada. "Illegal" sales of nicotinecontaining e-cigarettes were predominantly found at vape shops and online outlets, suggesting limited compliance with existing regulations.

Socioeconomic status and utilization of amblyopia services at a tertiary pediatric hospital in Canada.

PubMed

Sharma, Abhishek; Wong, Agnes M F; Colpa, Linda; Chow, Amy H Y; Jin, Ya-Ping

2016-12-01

To evaluate whether socioeconomic status is associated with equal utilization of amblyopia services at The Hospital for Sick Children (SickKids), a pediatric tertiary hospital in Canada. This is a retrospective, cross-sectional study. The medical records of children aged under 7 years diagnosed with amblyopia at SickKids from 2007 to 2009 were reviewed. Socioeconomic status was derived from patients' residential postal codes through linking with income data in the 2006 Canadian census report. Patients were divided into 5 income quintiles to compare with amblyopia service utilization. The main outcome measure was the observed distribution of amblyopia patients by socioeconomic status versus the expected distribution of 20% for each quintile. The analyses included 336 patients. Children with amblyopia at SickKids were more likely to come from the richest neighbourhood (32.5%), whereas children from each of the 3 lowest quintiles (14.6%-15.5%) were less likely to present at SickKids. These results differed significantly from the expected 20% for each quintile (p < 0.0001). All types of amblyopia were significantly under-represented for children from the lower socioeconomic groups. When analyses were stratified by travel distance to the hospital, a significant inequality between the lower and higher income quintiles remained for nonmetropolitan Toronto patients, but not for metropolitan Toronto patients. Despite a publicly funded health-care system in Canada, children from lower socioeconomic neighbourhoods in distant areas utilize the amblyopia services in a tertiary pediatric centre less often than those from higher socioeconomic status. Copyright © 2016 Canadian Ophthalmological Society. All rights reserved.

Beyond SARS: ethnic community organization's role in public health -- a Toronto experience.

PubMed

Weizhen Dong

2008-12-01

The SARS outbreak in Toronto was a public health crisis. It was particularly frightening to the Chinese-Canadians, because of the origin of the deadly disease. The Chinese-Canadian community organizations launched various activities to help the Chinese-Canadians as well as other Asian-Canadian communities to fight against SARS and its social side-effects. From launching the SARS Supporting Line, distributing health promotional material, disseminating SARS related information, paying tribute to frontline health workers, and promoting local business, to fundraising for SARS related research; they played an active role in easing the public's anxiety, especially for the Chinese-Canadians in the great Toronto area. The culturally diverse population brought problems as well as solutions. Ethnic groups have expertise in almost all areas, including people with leadership skills. The Toronto Chinese community's experience in combating SARS is a good example. The Chinese-Canadian community organizations' activities during the SARS outbreak demonstrate that ethnic minority organizations can play an important role in public health, especially in a public health crisis, and beyond.

Public health surveillance for the Toronto 2015 Pan/Parapan American Games.

PubMed

Chan, E; Hohenadel, K; Lee, B; Helferty, M; Harris, J R; Macdonald, L; Badiani, T

2017-07-06

Public health surveillance for previous Olympic and Paralympic Games have been described in the literature, but surveillance for regional, multisport events on a smaller scale have rarely been explored. To describe the public health surveillance planning, implementation, results, and lessons learned from the 2015 Pan/Parapan American Games in Toronto, Ontario, Canada. Public health surveillance planning for the Games began two years in advance and involved local, provincial and federal partners, primarily focusing on infectious disease. From June to August, 2015, enhanced public health surveillance was conducted to support situational awareness and to facilitate the detection of infectious diseases and outbreaks, environmental health hazards and impacts and other major health events. No major public health incidents occurred that were associated with or a result of hosting the Games. There were two cases of reportable infectious diseases associated with the Games, and 18 public health investigations involving Games-accredited individuals (six related to vaccine-preventable diseases and 12 related to gastrointestinal illnesses or food/water safety violations). Enhanced communication mechanisms, rather than routine and syndromic surveillance systems, were the primary sources of initial notification to surveillance partners on investigations. Working with its partners, Ontario created a robust public health surveillance system for the 2015 Pan/Parapan American Games. Lessons learned, as well as the relationships and capacity developed through this experience, will be applied towards public health surveillance planning for future events.

``How am I going to work?'' Barriers to employment for immigrant Latinos and Latinas living with HIV in Toronto.

PubMed

Serrano, Angel

2015-06-05

For individuals with HIV positive status, multiple barriers exist to accessing and re-entering employment. Studies on employment for people living with HIV lack a detailed consideration of race and ethnicity. This is the first article that focuses on barriers to employment for the HIV positive Latino community in the Canadian context. To document the barriers that a sample of HIV positive Latinos and Latinas encounter in finding and maintaining employment in Toronto. A non-probability sample of immigrant and refugee Latino men and women living with HIV/AIDS in Toronto participated in in-depth interviews concerning their experiences in the labor market, emphasizing the barriers that they have faced in access to employment. Interviews were audio recorded, transcribed and later analysed with NVivo 9. Two sets of barriers emerged from the analysis: structural barriers that immigrants encounter in access to employment, such as language difficulties, lack of Canadian work experience and anti-immigrant feelings and barriers to employment for HIV positive individuals, principally HIV related stigma and health related issues. Due to their intersectional identities as immigrants/refugees and HIV positive individuals, participants face compounded barriers to employment: Language difficulties, lack of migrant status and Canadian work experience, anti-immigrant sentiments in the labor market, ageism, HIV related stigma and side effects of medications among other barriers related with an HIV positive condition. Such barriers locate participants in a marginalized position in Canadian society.

Program design features that can improve participation in health education interventions

PubMed Central

Gucciardi, Enza; Cameron, Jill I; Liao, Chen Di; Palmer, Alison; Stewart, Donna E

2007-01-01

Background Although there have been reported benefits of health education interventions across various health issues, the key to program effectiveness is participation and retention. Unfortunately, not everyone is willing to participate in health interventions upon invitation. In fact, health education interventions are vulnerable to low participation rates. The objective of this study was to identify design features that may increase participation in health education interventions and evaluation surveys, and to maximize recruitment and retention efforts in a general ambulatory population. Methods A cross-sectional questionnaire was administered to 175 individuals in waiting rooms of two hospitals diagnostic centres in Toronto, Canada. Subjects were asked about their willingness to participate, in principle, and the extent of their participation (frequency and duration) in health education interventions under various settings and in intervention evaluation surveys using various survey methods. Results The majority of respondents preferred to participate in one 30–60 minutes education intervention session a year, in hospital either with a group or one-on-one with an educator. Also, the majority of respondents preferred to spend 20–30 minutes each time, completing one to two evaluation surveys per year in hospital or by mail. Conclusion When designing interventions and their evaluation surveys, it is important to consider the preferences for setting, length of participation and survey method of your target population, in order to maximize recruitment and retention efforts. Study respondents preferred short and convenient health education interventions and surveys. Therefore, brevity, convenience and choice appear to be important when designing education interventions and evaluation surveys from the perspective of our target population. PMID:17996089

New Toronto clinic for men may be sign of growing entrepreneurship within medicine.

PubMed Central

Lowry, F

1995-01-01

A Toronto physician has opened a new clinic for male patients, particularly highly stressed executives, who pay to have their physical, mental and nutritional health assessed. The Health Institute for Men, which opened in January, is located close to the Toronto Stock Exchange. It charges $450 for the initial visit, which includes a complete history, mental-assessment exam and thorough physical. The chair of the CMA Board of Directors considers the clinic a sign of growing entrepreneurship within Canadian medicine. Images p204-a p204-b PMID:7600471

SITE DEMONSTRATION OF THE TORONTO HARBOUR COMMISSIONERS SOIL RECYCLING PROJECT

EPA Science Inventory

The U.S. Environmental Protection Agency (EPA), in cooperation with the Toronto Harbour Commissioners (THC), conducted a Superfund InnovativeTechnology Evaluation (SITE) demonstration of the THC Soil Recycle Treatment Train. The treatment train consists of three technologies op...

Assessing the Quality of Life of Persons with Developmental Disabilities: Description of a New Model, Measuring Instruments, and Initial Findings.

ERIC Educational Resources Information Center

Raphael, Dennis; And Others

1996-01-01

A conceptual model of quality of life, developed at the Centre for Health Promotion at the University of Toronto (Canada), and associated instrumentation for collecting data from persons with developmental disabilities are presented. Results from a preliminary study with 41 participants support the reliability and validity of the model's…

Multiculturalism or Ethnic Hegemony: A Critique of Multicultural Education in Toronto.

ERIC Educational Resources Information Center

Rahim, Aminur

1990-01-01

Reviews the historical development of multicultural education in Toronto (Ontario), and considers the relevance of different models. Argues that present educational policy continues to preserve an Anglo-Saxon hegemony. (FMW)

Neighborhood settings, types of social capital and depression among immigrants in Toronto.

PubMed

Daoud, Nihaya; Haque, Nasim; Gao, Meiyin; Nisenbaum, Rosane; Muntaner, Carles; O'Campo, Patricia

2016-04-01

Few studies consider the associations between neighborhood social capital and immigrant's mental health. We examined associations between bonding, bridging and linking social capital and depression among immigrants in Toronto neighborhoods. We used data on immigrants from the neighborhood effects on health and well-being (NEHW) study, conducted in 47 randomly selected greater Toronto area neighborhoods (sample = 916), and a study of one low-income, immigrant receiving neighborhood (IRN) (sample = 600). We conducted logistic regression models for depression (Epidemiologic Studies Depression Scale, CES-D) and social capital types: bonding (social cohesion and informal social control), bridging (group membership) and linking (engagement in political activities), while adjusting for different covariates. The prevalence of depression was 22.9 % in IRN and 21.4 % in NEHW. The associations between social capital types and depression differed in each sample. Lower social cohesion (bonding) was associated with higher depression in NEHW only. Lower linking social capital (never participated in political activities) was associated with lower depression in IRN only. These associations were consistent after adjustment for different covariates. Results suggest that social cohesion might have a protective effect from depression among immigrants in NEHW. In IRN, lower linking social capital associated with lower depression might reflect opposite direction association. Bridging social capital was not associated with depression in either sample, indicating that current community building might be insufficient to impact depression. Different pathways might explain how depression among immigrants is impacted by social capital types operating in different neighborhood settings; this could be examined in future longitudinal studies.

Radicalization in the National Economic Climate: Discovery Workshop at DRDC Toronto 7-8 December 2009

DTIC Science & Technology

2010-04-01

self-blame, and guilt or shame. The model provides an account of how economic Radicalization in the National Economic Climate Discovery Workshop at...RADICALIZATION IN THE NATIONAL ECONOMIC CLIMATE DISCOVERY WORKSHOP AT DRDC TORONTO 7-8 DECEMBER 2009 Gauthier, M.; Lamoureux, T. CAE...1 0 . Radicalization in the National Economic Climate Discovery Workshop at DRDC Toronto 7-8 December 2009 April 2010 – ii – © Her Majesty

Proceedings of the Toronto TEAM/ACES workshop

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

Turner, L.R.

The third TEAM Workshop of the third round was held at Ontario Hydro in Toronto 25--26 October 1990, immediately following the Conference on Electromagnetic Field Computation. This was the first Joint Workshop with ACES (Applied Computational Electromagnetics Society), whose goals are similar to TEAM, but who tend to work at higher frequencies (Antennas, Propagation, and Scattering). A fusion problem, the eddy current heating of the case of the Euratom Large Coil Project Coil, was adapted as Problem 14 at the Oxford Workshop, and a solution to that problem was presented at Toronto by Oskar Biro of the Graz (Austria) Universitymore » of Technology. Individual solutions were also presented for Problems 8 (Flaw in a Plate) and 9 (Moving Coil inside a Pipe). Five new solutions were presented to Problem 13 (DC Coil in a Ferromagnetic Yoke), and Koji Fujiwara of Okayama University summarized these solutions along with the similar number presented at Oxford. The solutions agreed well in the air but disagreed in the steel. Codes with a formulation in magnetic field strength or scalar potential underestimated the flux density in the steel, and codes based on flux density or vector potential overestimated it. Codes with edge elements appeared to do better than codes with nodal elements. These results stimulated considerable discussions; in my view that was the most valuable result of the workshop.« less

White Fear: Analyzing Public Objection to Toronto's Africentric School

ERIC Educational Resources Information Center

Levine-Rasky, Cynthia

2014-01-01

In September 2009, the Toronto District School Board opened a publicly funded Africentric alternative school that today serves a population of about 135 students. While the founding of the eponymous school was the result of successful advocacy on the part of African-Canadian communities in the city, it was met with controversy. Readily observed in…

The case of Iranian immigrants in the greater Toronto area: a qualitative study.

PubMed

Dastjerdi, Mahdieh

2012-02-27

Iranians comprise an immigrant group that has a very different cultural background from that of the mainstream Canadian population and speaks a language other than English or French; in this case mainly Farsi (Persian). Although Iranian immigrants in Toronto receive a high proportion of care from Farsi-speaking family physicians and health care providers than physicians who cannot speak Farsi, they are still not satisfied with the provided services. The purpose of this study was to identify the obstacles and issues Iranian immigrants faced in accessing health care services as seen through the eyes of Iranian health care professionals/providers and social workers working in Greater Toronto Area, Canada. Narrative inquiry was used to capture and understand the obstacles this immigrant population faces when accessing health care services, through the lens of fifty Iranian health care professionals/providers and social workers. Thirty three health care professionals and five social workers were interviewed. To capture the essence of issues, individual interviews were followed by three focus groups consisting of three health care professionals and one social worker in each group. Three major themes emerged from the study: language barrier and the lack of knowledge of Canadian health care services/systems; lack of trust in Canadian health care services due to financial limitations and fear of disclosure; and somatization and needs for psychological supports. Iranians may not be satisfied with the Canadian health care services due to a lack of knowledge of the system, as well as cultural differences when seeking care, such as fear of disclosure, discrimination, and mistrust of primary care. To attain equitable, adequate, and effective access to health care services, immigrants need to be educated and informed about the Canadian health care system and services it provides. It would be of great benefit to this population to hold workshops on health topics, and mental health

An Auxiliary Gas Supply to Improve Safety During Aborted Dives with the Canadian Underwater Mine Countermeasures Apparatus (CUMA) (Un Systeme Auxiliaire D’approvisionnement en gaz Augmente la Securite des Plongeurs Utilisant L’appareil Canadien de Deminage Sous-marin (ACDSM) lors des Remontees D’urgence)

DTIC Science & Technology

2010-11-01

Des expériences de validation ont été menées de juin 2002 à novembre 2003, au cours de quatre séries de plongées. Les données consignées par...Eaton; A.J. Ward; D.J. Woodward; DRDC Toronto TR 2010-081; R & D pour la défense Canada – Toronto; Novembre 2010. Introduction ou contexte: L’appareil...semaines, qui ont eu lieu de juin 2002 à novembre 2003. Un contrôle Doppler des participants aux fins de décompression et l’analyse continue des gaz

Examining Urban Expansion Using Multi-Temporal Landsat Imagery: a Case Study of the Montreal Census Metropolitan Area from 1975 TO 2015, Canada

NASA Astrophysics Data System (ADS)

Ma, Lingfei; Zhao, He; Li, Jonathan

2016-06-01

Urban expansion, particularly the movement of residential and commercial land use to sub-urban areas in metropolitan areas, has been considered as a significant signal of regional economic development. In 1970s, the economic centre of Canada moved from Montreal to Toronto. Since some previous research have been focused on the urbanization process in Greater Toronto Area (GTA), it is significant to conduct research in its counterpart. This study evaluates urban expansion process in Montréal census metropolitan area (CMA), Canada, between 1975 and 2015 using satellite images and socio-economic data. Spatial and temporal dynamic information of urbanization process was quantified using Landsat imagery, supervised classification algorithms and the post-classification change detection technique. Accuracy of the Landsat-derived land use classification map ranged from 80% to 97%. The results indicated that continuous growth of built-up areas in the CMA over the study period resulted in a decrease in the area of cultivated land and vegetation. The results showed that urban areas expanded 442 km2 both along major river systems and lakeshores, as well as expanded from urban centres to surrounded areas. The analysis revealed that urban expansion has been largely driven by population growth and economic development. Consequently, the urban expansion maps produced in this research can assist decision-makers to promote sustainable urban development, and forecast potential changes in urbanization growth patterns.

Context and Cardiovascular Risk Modification in Two Regions of Ontario, Canada: A Photo Elicitation Study

PubMed Central

Angus, Jan E.; Rukholm, Ellen; Michel, Isabelle; Larocque, Sylvie; Seto, Lisa; Lapum, Jennifer; Timmermans, Katherine; Chevrier-Lamoureux, Renée; Nolan, Robert P.

2009-01-01

Cardiovascular diseases, which include coronary heart diseases (CHD), remain the leading cause of death in Canada and other industrialized countries. This qualitative study used photo-elicitation, focus groups and in-depth interviews to understand health behaviour change from the perspectives of 38 people who were aware of their high risk for CHD and had received information about cardiovascular risk modification while participating in a larger intervention study. Participants were drawn from two selected regions: Sudbury and District (northern Ontario) and the Greater Toronto Area (southern Ontario). Analysis drew on concepts of place and space to capture the complex interplay between geographic location, sociodemographic position, and people’s efforts to understand and modify their risk for CHD. Three major sites of difference and ambiguity emerged: 1) place and access to health resources; 2) time and food culture; and 3) itineraries or travels through multiple locations. All participants reported difficulties in learning and adhering to new lifestyle patterns, but access to supportive health resources was different in the two regions. Even within regions, subgroups experienced different patterns of constraint and advantage. In each region, “fast” food and traditional foods were entrenched within different temporal and social meanings. Finally, different and shifting strategies for risk modification were required at various points during daily and seasonal travels through neighbourhoods, to workplaces, or on vacation. Thus health education for CHD risk modification should be place-specific and tailored to the needs and resources of specific communities. PMID:19826558

Public health surveillance for the Toronto 2015 Pan/Parapan American Games

PubMed Central

Chan, E; Hohenadel, K; Lee, B; Helferty, M; Harris, JR; Macdonald, L; Badiani, T

2017-01-01

Background Public health surveillance for previous Olympic and Paralympic Games have been described in the literature, but surveillance for regional, multisport events on a smaller scale have rarely been explored. Objective To describe the public health surveillance planning, implementation, results, and lessons learned from the 2015 Pan/Parapan American Games in Toronto, Ontario, Canada. Intervention Public health surveillance planning for the Games began two years in advance and involved local, provincial and federal partners, primarily focusing on infectious disease. From June to August, 2015, enhanced public health surveillance was conducted to support situational awareness and to facilitate the detection of infectious diseases and outbreaks, environmental health hazards and impacts and other major health events. Outcomes No major public health incidents occurred that were associated with or a result of hosting the Games. There were two cases of reportable infectious diseases associated with the Games, and 18 public health investigations involving Games-accredited individuals (six related to vaccine-preventable diseases and 12 related to gastrointestinal illnesses or food/water safety violations). Enhanced communication mechanisms, rather than routine and syndromic surveillance systems, were the primary sources of initial notification to surveillance partners on investigations. Conclusion Working with its partners, Ontario created a robust public health surveillance system for the 2015 Pan/Parapan American Games. Lessons learned, as well as the relationships and capacity developed through this experience, will be applied towards public health surveillance planning for future events. PMID:29770080

Gendered Motivational Processes Affecting High School Mathematics Participation, Educational Aspirations, and Career Plans: A Comparison of Samples from Australia, Canada, and the United States

ERIC Educational Resources Information Center

Watt, Helen M. G.; Shapka, Jennifer D.; Morris, Zoe A.; Durik, Amanda M.; Keating, Daniel P.; Eccles, Jacquelynne S.

2012-01-01

In this international, longitudinal study, we explored gender differences in, and gendered relationships among, math-related motivations emphasized in the Eccles (Parsons) et al. (1983) expectancy-value framework, high school math participation, educational aspirations, and career plans. Participants were from Australia, Canada, and the United…

Road de-icing salt as a potential constraint on urban growth in the Greater Toronto Area, Canada

NASA Astrophysics Data System (ADS)

Howard, Ken W. F.; Maier, Herb

2007-04-01

North America's fifth most populated municipality — the Greater Toronto Area (GTA) — is undergoing rapid urban development with serious questions being raised regarding the long-term impacts of urban growth on the quality and quantity of ground and surface water. Degradation of groundwater quality by NaCl de-icing salt is the primary concern since there are no cost effective alternatives to NaCl de-icing salt and there is little evidence that salt loadings to the subsurface can be significantly reduced. In 2001, the issue acquired a new sense of urgency when de-icing chemicals containing inorganic chloride salts (with or without ferrocyanide de-caking agents) were designated as toxic under the Canadian Environmental Protection Act. To heighten concerns, future growth in the GTA will inevitably take place in areas where groundwater is regularly used for potable supply. Studies using groundwater flow and transport models show that significant deterioration of groundwater quality can be expected in shallow aquifers as a result of urban development with chloride concentrations approaching the drinking water quality standard of 250 mg/l. Results demonstrate that urban planning needs a fresh approach that explicitly includes groundwater protection and aquifer management in the decision-making process, clearly defines acceptable environmental performance standards and makes greater use of groundwater models to evaluate alternative urban designs.

Road de-icing salt as a potential constraint on urban growth in the Greater Toronto Area, Canada.

PubMed

Howard, Ken W F; Maier, Herb

2007-04-01

North America's fifth most populated municipality--the Greater Toronto Area (GTA)--is undergoing rapid urban development with serious questions being raised regarding the long-term impacts of urban growth on the quality and quantity of ground and surface water. Degradation of groundwater quality by NaCl de-icing salt is the primary concern since there are no cost effective alternatives to NaCl de-icing salt and there is little evidence that salt loadings to the subsurface can be significantly reduced. In 2001, the issue acquired a new sense of urgency when de-icing chemicals containing inorganic chloride salts (with or without ferrocyanide de-caking agents) were designated as toxic under the Canadian Environmental Protection Act. To heighten concerns, future growth in the GTA will inevitably take place in areas where groundwater is regularly used for potable supply. Studies using groundwater flow and transport models show that significant deterioration of groundwater quality can be expected in shallow aquifers as a result of urban development with chloride concentrations approaching the drinking water quality standard of 250 mg/l. Results demonstrate that urban planning needs a fresh approach that explicitly includes groundwater protection and aquifer management in the decision-making process, clearly defines acceptable environmental performance standards and makes greater use of groundwater models to evaluate alternative urban designs.

Building a Trail, Building Character

ERIC Educational Resources Information Center

Elgie, Bill; MacLean, Ross; Dykstra, Rebecca

2007-01-01

In Grade 9, Upper Canada College (UCC) students participate in a week-long outdoor education program in Halton Region, west of Toronto. This week is the culmination of over 60 days of total outdoor education programming between Senior Kindergarten and Grade 9. Activities during the expedition include moving water canoeing, mountain biking, hiking,…

Education programs of the Institute for Optical Sciences at the University of Toronto

NASA Astrophysics Data System (ADS)

Istrate, Emanuel; Miller, R. J. Dwayne

2009-06-01

The Institute for Optical Sciences at the University of Toronto is an association of faculty members from various departments with research interests in optics. The institute has an extensive program of academic activities, for graduate and undergraduate students, as well as public outreach. For undergraduate students, we have a course on holography. We provide opportunities for students to gain optics experience through research by providing access to summer research positions and by enrolling them in the Research Skills Program, a summer course teaching the basic skills needed in research. For graduate students, we offer the Distinguished Visiting Scientists program, where world-renowned researchers come for a week, giving a series of 3 lectures and interacting closely with students and professors. The extended stay allows the program to run like a mini-course. We launched a Collaborative Master's Program in Optics, where students earn a degree from their home department, along with a certification of participation in the collaborative program. Physics, Chemistry and Engineering students attending together are exposed to the various points of view on optics, ranging from the pure to the applied sciences. For the general public, we offer the Stoicheff Lecture, a yearly public lecture on optics, organized with the Royal Canadian Institute. Our institute also initiated Science Rendezvous, a yearly public celebration of science across the Greater Toronto Area, with lab tours, demonstrations, and other opportunities to learn about science and those who are actively advancing it. This year, this event attracted over 20,000 attendees.

ANNUAL VOLUME OF PROCEEDINGS, ADDRESSES, AND RESEARCH PAPERS OF THE ANNUAL MEETING AND EDUCATIONAL EXHIBIT OF THE ASSOCIATION OF SCHOOL BUSINESS OFFICIALS OF THE UNITED STATES AND CANADA (53D, MIAMI BEACH, FLORIDA, OCTOBER 14-19, 1967).

ERIC Educational Resources Information Center

FOSTER, CHARLES W.

A VERBATIM REPORTING OF PRESENTATIONS MADE AT THE 53D ANNUAL MEETING OF THE ASSOCIATION OF SCHOOL BUSINESS OFFICIALS OF THE UNITED STATES AND CANADA, HELD IN MIAMI BEACH, FLORIDA, OCTOBER 14-19, 1967, INCLUDES THE KEYNOTE ADDRESS BY THE HONORABLE BARRY G. LOWES, CHAIRMAN OF THE METROPOLITAN TORONTO BOARD OF EDUCATION, ON PURPOSES, PROBLEMS, AND…

"You Have to Adapt Because You Have No Other Choice": The Stories of Strength and Resilience of 208 Homeless Youth in New York City and Toronto

ERIC Educational Resources Information Center

Kidd, Sean A.; Davidson, Larry

2007-01-01

Presented in this paper are the results of a qualitative analysis of the narratives of 208 homeless youth interviewed on streets and in agencies in New York City and Toronto. The interviews focused on the participants' stories about their struggles to survive and negotiate meaningful and healthy lives in coming to the streets, living on the…

Experience with Canada's First Policy on Concussion Education and Management in Schools.

PubMed

Hachem, Laureen D; Kourtis, George; Mylabathula, Swapna; Tator, Charles H

2016-07-01

In response to the rising incidence of concussions among children and adolescents, the province of Ontario recently introduced the Ontario Policy/Program Memorandum on Concussions (PPM No. 158) requiring school boards to develop a concussion protocol. As this is the first policy of its kind in Canada, the impact of the PPM is not yet known. An electronic survey was sent to all high school principals in the Toronto District School Board 1 year after announcement of the PPM. Questions covered extent of student, parent, and staff concussion education along with concussion management protocols. Of 109 high school principals contacted, 39 responded (36%). Almost all schools provided concussion education to students (92%), with most education delivered through physical education classes. Nearly all schools had return to play (92%) and return to learn (77%) protocols. Although 85% of schools educated staff on concussions, training was aimed at individuals involved in sports/physical education. Only 43.6% of schools delivered concussion education to parents, and many principals requested additional resources in this area. One year after announcement of the PPM, high schools in the Toronto District School Board implemented significant student concussion education programs and management protocols. Staff training and parent education required further development. A series of recommendations are provided to aid in future concussion policy development.

Assessing urban forest effects and values: Toronto's urban forest

Treesearch

David J. Nowak; Robert E. III Hoehn; Allison R. Bodine; Eric J. Greenfield; Alexis Ellis; Theodore A. Endreny; Yang Yang; Tian Zhou; Ruthanne Henry

2013-01-01

An analysis of trees in Toronto, Ontario, reveals that this city has about 10.2 million trees with a tree and shrub canopy that covers approximately 26.6 percent of the city. The most common tree species are eastern white-cedar, sugar maple, and Norway maple. The urban forest currently stores an estimated 1.1 million metric tons of carbon valued at CAD$25.0 million. In...

Effect of the New Insulation Liner on Noise Levels in the CH124B (Sea King) Aircraft

DTIC Science & Technology

2008-11-01

noise levels in the CH124B (Sea King) aircraft Bernadette Quémerais; DRDC Toronto TM 2008-182; R & D pour la défense Canada – Toronto; Novembre ... 13 vi DRDC Toronto TR 2008-182 List of figures Figure 1. Hoover, door closed, co...TR 2008-182 This page intentionally left blank. DRDC Toronto TR 2008-182 13 List of symbols/abbreviations/acronyms/initialisms

Nutritional assessment of charitable meal programmes serving homeless people in Toronto.

PubMed

Tse, Carmen; Tarasuk, Valerie

2008-12-01

To assess the potential nutritional contribution of meals provided in a sample of community programmes for homeless individuals, to determine the effect of food donations on meal quality and to develop food-based guidance for meals that would meet adults' total nutrient needs. Toronto, Canada. An analysis of weighed meal records from eighteen programmes. The energy and nutrient contents of meals were compared to requirement estimates to assess contribution to total needs, given that homeless people have limited access to nutritious foods. Mixed linear modelling was applied to determine the relationship between the use of food donations and meal quality. The composition of meals that would meet adults' nutrient requirements was determined by constructing simulated meals, drawing on the selection of foods available to programmes. In all, seventy meals, sampled from eighteen programmes serving homeless individuals. On average, the meals contained 2.6 servings of grain products, 1.7 servings of meat and alternatives, 4.1 servings of vegetables and fruits and 0.4 servings of milk products. The energy and nutrient contents of most meals were below adults' average daily requirements. Most meals included both purchased and donated foods; the vitamin C content of meals was positively associated with the percentage of energy from donations. Increasing portion sizes improved the nutrient contribution of meals, but the provision of more milk products and fruits and vegetables was required to meet adults' nutrient requirements. The meals assessed were inadequate to meet adults' nutrient requirements. Improving the nutritional quality of meals requires additional resources.

Inventorying Toronto's single detached housing stocks to examine the availability of clay brick for urban mining.

PubMed

Ergun, Deniz; Gorgolewski, Mark

2015-11-01

This study examines the stocks of clay brick in Toronto's single detached housing, to provide parameters for city scale material reuse and recycling. Based on consensus from the literature and statistics on Toronto's single detached housing stocks, city scale reusable and recyclable stocks were estimated to provide an understanding of what volume could be saved from landfill and reintroduced into the urban fabric. On average 2523-4542 m(3) of brick was determined to be available annually for reuse, which would account for 20-36% of the volume of virgin brick consumed in new house construction in 2012. A higher volume, 6187 m(3) of brick, was determined to be available annually for recycling because more of the prevalence of cement-based mortar, which creates challenges for brick reuse in Toronto. The results demonstrated that older housing containing reusable brick were being mostly landfilled and replaced with housing that contained only recyclable brick. Copyright © 2015 Elsevier Ltd. All rights reserved.

Narratives in Two Languages: Storytelling of Bilingual Cantonese-English Preschoolers

ERIC Educational Resources Information Center

Rezzonico, Stefano; Goldberg, Ahuva; Mak, Katy Ka-Yan; Yap, Stephanie; Milburn, Trelani; Belletti, Adriana; Girolametto, Luigi

2016-01-01

Purpose: The aim of this study was to compare narratives generated by 4-year-old and 5-year-old children who were bilingual in English and Cantonese. Method: The sample included 47 children (23 who were 4 years old and 24 who were 5 years old) living in Toronto, Ontario, Canada, who spoke both Cantonese and English. The participants spoke and…

A retrospective review of general surgery training outcomes at the University of Toronto

PubMed Central

Compeau, Christopher; Tyrwhitt, Jessica; Shargall, Yaron; Rotstein, Lorne

2009-01-01

Background Surgical educators have struggled with achieving an optimal balance between the service workload and education of surgical residents. In Ontario, a variety of factors during the past 12 years have had the net impact of reducing the clinical training experience of general surgery residents. We questioned what impact the reductions in trainee workload have had on general surgery graduates at the University of Toronto. Methods We evaluated graduates from the University of Toronto general surgery training program from 1995 to 2006. We compared final-year In-Training Evaluation Reports (ITERs) of trainees during this interval. For purposes of comparison, we subdivided residents into 4 groups according to year of graduation (1995–1997, 1998–2000, 2001–2003 and 2004–2006). We evaluated postgraduate “performance” by categorizing residents into 1 of 4 groups: first, residents who entered directly into general surgery practice after graduation; second, residents who entered into a certification subspecialty program of the Royal College of Physicians and Surgeons of Canada (RCPSC); third, residents who entered into a noncertification program of the RCPSC; and fourth, residents who entered into a variety of nonregulated “clinical fellowships.” Results We assessed and evaluated 118 of 134 surgical trainees (88%) in this study. We included in the study graduates for whom completed ITER records were available and postgraduate training records were known and validated. The mean scores for each of the 5 evaluated residency training parameters included in the ITER (technical skills, professional attitudes, application of knowledge, teaching performance and overall performance) were not statistically different for each of the 4 graduating groups from 1995 to 2006. However, we determined that there were statistically fewer general surgery graduates (p < 0.05) who entered directly into general surgery practice in the 2004–2006 group compared with the 1998�

The contributions of W.D. Stevenson to the development of neurosurgery in Atlantic Canada.

PubMed

Mukhida, K; Mendez, I

1999-08-01

The establishment of a neurosurgical department in Halifax in January 1948 marked the beginnings of the first dedicated neurosurgical service in Atlantic Canada. The development of neurosurgery in Halifax occurred in a receptive place and time. The Victoria General Hospital, the region's largest tertiary care centre, and the Dalhousie University Faculty of Medicine were in a period of growth associated with medical specialization and departmentalization, changes inspired in part by the Flexner Report of 1910. Atlantic Canadians during this period were increasingly looking to specialists for their medical care. Although this social environment encouraged the establishment of surgical specialty services, the development of neurosurgery in Halifax, as in other parts of Canada, was closely associated with the efforts of individual neurosurgeons, such as William D. Stevenson. After training with Kenneth G. McKenzie in Toronto, Stevenson was recruited to Halifax and established the first neurosurgical department in Atlantic Canada. From the outset and over his twenty-six years as Department Head at the Victoria General Hospital and Dalhousie University, Stevenson worked to maintain the department's commitment to clinical practice, medical education, and research. Although Stevenson single-handedly ran the service for several years after its inception, by the time of his retirement in 1974 the neurosurgery department had grown to include five attending staff surgeons who performed over two thousand procedures each year. This paper highlights the importance of Stevenson's contributions to the development of neurosurgery in Atlantic Canada within the context of the social and medical environment of the region.

Pathways between under/unemployment and health among racialized immigrant women in Toronto.

PubMed

Premji, Stephanie; Shakya, Yogendra

2017-02-01

We sought to document pathways between under/unemployment and health among racialized immigrant women in Toronto while exploring the ways in which gender, class, migration and racialization, as interlocking systems of social relations, structure these relationships. We conducted 30 interviews with racialized immigrant women who were struggling to get stable employment that matched their education and/or experience. Participants were recruited through flyers, partner agencies and peer researcher networks. Most interviews (21) were conducted in a language other than English. Interviews were transcribed, translated as appropriate and analyzed using NVivo software. The project followed a community-based participatory action research model. Under/unemployment negatively impacted the physical and mental health of participants and their families. It did so directly, for example through social isolation, as well as indirectly through representation in poor quality jobs. Under/unemployment additionally led to the intensification of job search strategies and of the household/caregiving workload which also negatively impacted health. Health problems, in turn, contributed to pushing participants into long-term substandard employment trajectories. Participants' experiences were heavily structured by their social location as low income racialized immigrant women. Our study provides needed qualitative evidence on the gendered and racialized dimensions of under/unemployment, and adverse health impacts resulting from this. Drawing on intersectional analysis, we unpack the role that social location plays in creating highly uneven patterns of under/unemployment and negative health pathways for racialized immigrant women. We discuss equity informed strategies to help racialized immigrant women overcome barriers to stable work that match their education and/or experience.

Medium-term outcome of Toronto aortic valve replacement: single center experience.

PubMed

Li, Wei; Price, Susanna; O'Sullivan, Christine A; Kumar, Pankaj; Jin, Xu Y; Henein, Michael Y; Pepper, John R

2008-09-26

Long-term competence of any aortic prosthesis is critical to its clinical durability. Bioprosthetic valves, and in particular the stentless type have been proposed to offer superior haemodynamic profiles with consequent potential for superior left-ventricular mass regression. These benefits however are balanced by the potential longevity of the implanted valve. The aims of this study were to assess medium-term Toronto aortic valve function and its effect on left-ventricular function. Between 1992 and 1996 86 patients underwent Toronto aortic valve replacement for aortic valve disease and were followed up annually. Prospectively collected data was analyzed for all patients where detailed echocardiographic follow-up was available. Echocardiographic studies were analyzed at 2+/-0.6 and 6+/-1.4 years after valve replacement. Data collected included left-ventricular systolic and diastolic dimensions, fractional shortening and left-ventricular mass. In addition, data on aortic valve and root morphology, peak aortic velocities, time velocity integral, stroke volume and the mechanism of valve failure where relevant, were also collected. Complete echocardiographic data were available for eighty-four patients, age 69+/-9 years, 62 male. Additional coronary artery bypass grafting was performed in 38% of patients. Twelve (14%) valves had failed during follow-up, 7 (8%) requiring re-operation. Valve failure was associated with morphologically bicuspid native aortic valve (9/12), and progressive dilatation of the aortic sinuses, sino-tubular junction and ascending aorta (11/12). Left-ventricular mass index remained high (184+/-75 g/m(2)) and did not continue to regress between early and medium-term follow-up (175.8+/-77 g/m(2)). Although more than 90% of implanted Toronto aortic valves remained haemodynamically stable with low gradient at medium-term follow-up, young age and larger aortic dimensions in patients with valve failure suggest better outcome if used in the elderly

A Census of Midsize to Large Supermarkets in Toronto: A Cross-Sectional Analysis of the Consumer Nutrition Environment.

PubMed

Camden, Andi; Levy, Jennifer; Bassil, Kate; Vanderlinden, Loren; Barnett, Olanna White; Minaker, Leia M; Mulligan, Kate; Campbell, Monica

2018-06-01

Assess the consumer nutrition environment in midsize to large supermarkets by supermarket type and area-level socioeconomic variables. Cross-sectional census of 257 supermarkets using the Toronto Nutrition Environment Measures Survey in Stores. Toronto, Canada. Availability; price and linear shelf space of fruits and vegetables vs energy-dense snack foods by supermarket type; after-tax, low-income measure; and neighborhood improvement area. Multivariate linear regression. There was a high availability of fruits (7.7 of 8) and vegetables (9.5 of 11). There was similar linear shelf space for fruits and vegetables vs energy-dense snack foods (ratio, 1.1 m). Adjusted fruit prices were lowest in quintiles 1 (β = -$1.30; P = .008), 2 (β = -$1.41; P = .005), and 3 (β = -$1.89; P < .001) vs quintile 5 (lowest percentage of people living with low income) and in ethnic (β = -$3.47; P < .001) and discount stores (β = -$5.64; P < .001) vs conventional. Adjusted vegetable prices were lowest in quintiles 2 (β = -$1.87; P = .04), 3 (β = -$1.78; P = .03), and 4 (β = -$2.65; P = .001) vs quintile 5 and in ethnic (β = -$7.10; P < .001) and discount (β = -$5.49; P < .001) stores. They were highest in other (β = + $3.08; P = .003) vs conventional stores. Adjusted soda and chips prices were lower in discount (β = -$1.16; P < .001) and higher in other stores (β = + $0.67; P < .001) vs conventional. Findings do not indicate inequities in shelf space, availability, or price across diverse neighborhoods. Practitioners can use findings to help consumers navigate supermarkets to make healthy choices. Copyright © 2017 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

Testing the hierarchy of effects model: ParticipACTION's serial mass communication campaigns on physical activity in Canada.

PubMed

Craig, C L; Bauman, A; Reger-Nash, B

2010-03-01

The hierarchy of effects (HOE) model is often used in planning mass-reach communication campaigns to promote health, but has rarely been empirically tested. This paper examines Canada's 30 year ParticipACTION campaign to promote physical activity (PA). A cohort from the nationally representative 1981 Canada Fitness Survey was followed up in 1988 and 2002-2004. Modelling of these data tested whether the mechanisms of campaign effects followed the theoretical framework proposed in the HOE. Campaign awareness was measured in 1981. Outcome expectancy, attitudes, decision balance and future intention were asked in 1988. PA was assessed at all time points. Logistic regression was used to sequentially test mediating and moderating variables adjusting for age, sex and education. No selection bias was observed; however, relatively fewer respondents than non-respondents smoked or were underweight at baseline. Among those inactive at baseline, campaign awareness predicted outcome expectancy which in turn predicted positive attitude to PA. Positive attitudes predicted high decision balance, which predicted future intention. Future intention mediated the relationship between decision balance and sufficient activity. Among those sufficiently active at baseline, awareness was unrelated to outcome expectancy and inversely related to positive attitude. These results lend support to the HOE model, in that the effects of ParticipACTION's serial mass media campaigns were consistent with the sequential rollout of its messages, which in turn was associated with achieving an active lifestyle among those initially insufficiently active. This provides support to an often-used theoretical framework for designing health promotion media campaigns.

A Conceptual Framework for Understanding Armed Non State Actors (ANSAs): Strategic Roles and Operational Dynamics

DTIC Science & Technology

2014-08-01

Dynamics” (Project Code: 10az01). The Socio- cognitive Systems Section (SCSS) at Defence Research and Development Canada (DRDC), Toronto Research Centre...these actors to its core strategic-level factors. It serves as a cognitive model—or “primer”—on this class of irregular adversary as well as a...1.1 Background The Socio- Cognitive Systems Section (SCSS) at Defence Research and Development Canada (DRDC), Toronto Research Centre has completed a

77 FR 66413 - Airworthiness Directives; Bombardier, Inc. Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-05

... Bombardier, Inc., Q-Series Technical Help Desk, 123 Garratt Boulevard, Toronto, Ontario M3K 1Y5, Canada..., contact Bombardier, Inc., Q-Series Technical Help Desk, 123 Garratt Boulevard, Toronto, Ontario M3K 1Y5...

Innovation in Educational Markets: An Organizational Analysis of Private Schools in Toronto

ERIC Educational Resources Information Center

Davies, Scott; Quirke, Linda

2005-01-01

This study examines whether new private schools are innovative, drawing on theories of markets and institutions. Choice advocates claim that markets spark innovation, while institutional theory suggests that isomorphic forces will limit novel school forms. Using qualitative data from third sector private schools in Toronto, three hypotheses about…

A population-based study of premature mortality in relation to neighbourhood density of alcohol sales and cheque cashing outlets in Toronto, Canada

PubMed Central

Matheson, Flora I; Creatore, Maria Isabella; Gozdyra, Piotr; Park, Alison L; Ray, Joel G

2014-01-01

Objective Alcohol overuse and poverty, each associated with premature death, often exist within disadvantaged neighbourhoods. Cheque cashing places (CCPs) may be opportunistically placed in disadvantaged neighbourhoods, where customers abound. We explored whether neighbourhood density of CCPs and alcohol outlets are each related to premature mortality among adults. Design Retrospective population-based study. Setting 140 neighbourhoods in Toronto, Ontario, 2005–2009. Participants Adults aged 20–59 years. Measures Our primary outcome was premature all-cause mortality among adults aged 20–59 years. Across neighbourhoods we explored neighbourhood density, in km2, of CCPs and alcohol outlets, and the relation of each to premature mortality. Poisson regression provided adjusted relative risks (aRRs) and 95% CIs, adjusting for material deprivation quintile (Q), crime Q and number of banks. Results Intentional self-harm, accidental poisoning and liver disease were among the top five causes of premature death among males aged 20–59 years. The overall premature mortality rate was 96.3/10 000 males and 55.9/10 000 females. Comparing the highest versus lowest CCP density Q, the aRR for death was 1.25 (95% CI 1.15 to 1.36) among males and 1.11 (95% CI 0.99 to 1.24) among females. The corresponding aRR comparing the highest Q versus lowest Q alcohol outlet density in relation to premature mortality was 1.36 (95% CI 1.25 to 1.48) for males and 1.11 (95% CI 1.00 to 1.24) for females. The pattern of the relation between either CCPs or alcohol outlet density and premature mortality was typically J shaped. Conclusions There is a J-shaped relation between CCP or alcohol outlet density and premature mortality, even on controlling for conventional measures of poverty. Formal banking and alcohol reduction strategies might be added to health promotion policies aimed at reducing premature mortality in highly affected neighbourhoods. PMID:25518874

Trend analysis of long-term temperature time series in the Greater Toronto Area (GTA)

NASA Astrophysics Data System (ADS)

Mohsin, Tanzina; Gough, William A.

2010-08-01

As the majority of the world’s population is living in urban environments, there is growing interest in studying local urban climates. In this paper, for the first time, the long-term trends (31-162 years) of temperature change have been analyzed for the Greater Toronto Area (GTA). Annual and seasonal time series for a number of urban, suburban, and rural weather stations are considered. Non-parametric statistical techniques such as Mann-Kendall test and Theil-Sen slope estimation are used primarily for the assessing of the significance and detection of trends, and the sequential Mann test is used to detect any abrupt climate change. Statistically significant trends for annual mean and minimum temperatures are detected for almost all stations in the GTA. Winter is found to be the most coherent season contributing substantially to the increase in annual minimum temperature. The analyses of the abrupt changes in temperature suggest that the beginning of the increasing trend in Toronto started after the 1920s and then continued to increase to the 1960s. For all stations, there is a significant increase of annual and seasonal (particularly winter) temperatures after the 1980s. In terms of the linkage between urbanization and spatiotemporal thermal patterns, significant linear trends in annual mean and minimum temperature are detected for the period of 1878-1978 for the urban station, Toronto, while for the rural counterparts, the trends are not significant. Also, for all stations in the GTA that are situated in all directions except south of Toronto, substantial temperature change is detected for the periods of 1970-2000 and 1989-2000. It is concluded that the urbanization in the GTA has significantly contributed to the increase of the annual mean temperatures during the past three decades. In addition to urbanization, the influence of local climate, topography, and larger scale warming are incorporated in the analysis of the trends.

Intestinal toxemia botulism in 3 adults, Ontario, Canada, 2006-2008.

PubMed

Sheppard, Yolanda D; Middleton, Dean; Whitfield, Yvonne; Tyndel, Felix; Haider, Shariq; Spiegelman, Jamie; Swartz, Richard H; Nelder, Mark P; Baker, Stacey L; Landry, Lisa; Maceachern, Ross; Deamond, Sherri; Ross, Lorrie; Peters, Garth; Baird, Michelle; Rose, David; Sanders, Greg; Austin, John W

2012-01-01

Five cases of intestinal toxemia botulism in adults were identified within an 18-month period in or near Toronto, Ontario, Canada. We describe findings for 3 of the 5 case-patients. Clinical samples contained Clostridium botulinum spores and botulinum neurotoxins (types A and B) for extended periods (range 41-61 days), indicative of intestinal toxemia botulism. Patients' clinical signs improved with supportive care and administration of botulinum antitoxin. Peanut butter from the residence of 1 case-patient yielded C. botulinum type A, which corresponded with type A spores found in the patient's feces. The food and clinical isolates from this case-patient could not be distinguished by pulsed-field gel electrophoresis. Two of the case-patients had Crohn disease and had undergone previous bowel surgery, which may have contributed to infection with C. botulinum. These cases reinforce the view that an underlying gastrointestinal condition is a risk factor for adult intestinal toxemia botulism.

Participant experiences in a smartphone-based health coaching intervention for type 2 diabetes: A qualitative inquiry.

PubMed

Pludwinski, Sarah; Ahmad, Farah; Wayne, Noah; Ritvo, Paul

2016-04-01

We investigated the experience of individuals diagnosed with type 2 diabetes mellitus (T2DM) who participated in an intervention in which the key elements were the provision of a smartphone and self-monitoring software. The interviews focused on use of a smartphone and the effects on motivation for health behavior change. This was a qualitative evaluation of participants in a larger T2DM self-management randomized controlled trial (RCT) conducted at the Black Creek Community Health Centre (BCCHC) in Toronto, Canada (ClinicalTrials.gov Identifier: NCT02036892). The study is based on semi-structured interviews (n = 11) that were audio taped and analyzed with a thematic analytic approach. The RCT compared the effectiveness of six months of smartphone-based self-monitoring and health coaching with a control group who received health coaching without internet or smartphone-based assistance. Qualitative data analyses resulted in derivation of four major themes that describe participant experience: (a) 'smartphone and software', describes smartphone use in relation to health behavior change; (b) 'health coach' describes how client/health coach relationships were assisted by smartphone use; (c) 'overall experience' describes perceptions of the overall intervention; and (d) 'frustrations in managing chronic conditions' describes difficulties with the complexities of T2DM management from a patient perspective. Findings suggest that interventions with T2DM assisted by smartphone software and health coaches actively engage individuals in improved hemoglobin A1c (HbA1c) control. © The Author(s) 2015.

"It's for us -newcomers, LGBTQ persons, and HIV-positive persons. You feel free to be": a qualitative study exploring social support group participation among African and Caribbean lesbian, gay, bisexual and transgender newcomers and refugees in Toronto, Canada.

PubMed

Logie, Carmen H; Lacombe-Duncan, Ashley; Lee-Foon, Nakia; Ryan, Shannon; Ramsay, Hope

2016-07-02

Stigma and discrimination harm the wellbeing of lesbian, gay, bisexual and transgender (LGBT) people and contribute to migration from contexts of sexual persecution and criminalization. Yet LGBT newcomers and refugees often face marginalization and struggles meeting the social determinants of health (SDOH) following immigration to countries such as Canada. Social isolation is a key social determinant of health that may play a significant role in shaping health disparities among LGBT newcomers and refugees. Social support may moderate the effect of stressors on mental health, reduce social isolation, and build social networks. Scant research, however, has examined social support groups targeting LGBT newcomers and refugees. The purpose of this qualitative study was to explore experiences of social support group participation among LGBT African and Caribbean newcomers and refugees in an urban Canadian city. We conducted 3 focus groups with a venue-based sample of LGBT African and Caribbean newcomers and refugees (n = 29) who attended social support groups at an ethno-specific AIDS Service Organization. Focus groups followed a semi-structured interview guide and were analyzed using narrative thematic techniques. Participant narratives highlighted immigration stressors, social isolation, mental health issues, and challenges meeting the SDOH. Findings reveal multi-level benefits of social support group participation at intrapersonal (self-acceptance, improved mental health), interpersonal (reduced isolation, friendships), community (reciprocity, reduced stigma and discrimination), and structural (housing, employment, immigration, health care) levels. Findings suggest that social support groups tailored for LGBT African and Caribbean newcomers and refugees can address social isolation, community resilience, and enhance resource access. Health care providers can provide support groups, culturally and LGBT competent health services, and resource access to promote LGBT

Immigration as a crisis tendency for HIV vulnerability among racialised women living with HIV in Ontario, Canada: an anti-oppressive lens.

PubMed

Kteily-Hawa, Roula N; Islam, Shazia; Loutfy, Mona

2018-04-16

South Asian immigrant women in Canada face unique structural barriers that influence their HIV vulnerability. Using an intersectional and anti-oppressive lens, we explored the role of immigration in bringing about changes in gender roles and the structure of gender relations and their effect on HIV risk among immigrant women as they experienced crisis tendencies in the face of hegemonic masculinity. Informed by Connell's theory of gender, the study entailed in-depth interviews with 12 self-identified South Asian immigrant women living in the Greater Toronto Area, in Ontario, Canada. A thematic analysis yielded four themes: power relations, emotional relations, gendered division of labour and social norms. Our findings revealed interdependencies between immigration and each of structural, individual and normative factors (the themes) as they pertain to crisis tendencies when patriarchy is disrupted. Given the rapid increase in global immigration, the connections between transnationalism and hegemony, and the established link between immigration and HIV, future research should extend this work to other immigrant communities.

The Personal Genome Project Canada: findings from whole genome sequences of the inaugural 56 participants

PubMed Central

Reuter, Miriam S.; Walker, Susan; Thiruvahindrapuram, Bhooma; Whitney, Joe; Cohn, Iris; Sondheimer, Neal; Yuen, Ryan K.C.; Trost, Brett; Paton, Tara A.; Pereira, Sergio L.; Herbrick, Jo-Anne; Wintle, Richard F.; Merico, Daniele; Howe, Jennifer; MacDonald, Jeffrey R.; Lu, Chao; Nalpathamkalam, Thomas; Sung, Wilson W.L.; Wang, Zhuozhi; Patel, Rohan V.; Pellecchia, Giovanna; Wei, John; Strug, Lisa J.; Bell, Sherilyn; Kellam, Barbara; Mahtani, Melanie M.; Bassett, Anne S.; Bombard, Yvonne; Weksberg, Rosanna; Shuman, Cheryl; Cohn, Ronald D.; Stavropoulos, Dimitri J.; Bowdin, Sarah; Hildebrandt, Matthew R.; Wei, Wei; Romm, Asli; Pasceri, Peter; Ellis, James; Ray, Peter; Meyn, M. Stephen; Monfared, Nasim; Hosseini, S. Mohsen; Joseph-George, Ann M.; Keeley, Fred W.; Cook, Ryan A.; Fiume, Marc; Lee, Hin C.; Marshall, Christian R.; Davies, Jill; Hazell, Allison; Buchanan, Janet A.; Szego, Michael J.; Scherer, Stephen W.

2018-01-01

BACKGROUND: The Personal Genome Project Canada is a comprehensive public data resource that integrates whole genome sequencing data and health information. We describe genomic variation identified in the initial recruitment cohort of 56 volunteers. METHODS: Volunteers were screened for eligibility and provided informed consent for open data sharing. Using blood DNA, we performed whole genome sequencing and identified all possible classes of DNA variants. A genetic counsellor explained the implication of the results to each participant. RESULTS: Whole genome sequencing of the first 56 participants identified 207 662 805 sequence variants and 27 494 copy number variations. We analyzed a prioritized disease-associated data set (n = 1606 variants) according to standardized guidelines, and interpreted 19 variants in 14 participants (25%) as having obvious health implications. Six of these variants (e.g., in BRCA1 or mosaic loss of an X chromosome) were pathogenic or likely pathogenic. Seven were risk factors for cancer, cardiovascular or neurobehavioural conditions. Four other variants — associated with cancer, cardiac or neurodegenerative phenotypes — remained of uncertain significance because of discrepancies among databases. We also identified a large structural chromosome aberration and a likely pathogenic mitochondrial variant. There were 172 recessive disease alleles (e.g., 5 individuals carried mutations for cystic fibrosis). Pharmacogenomics analyses revealed another 3.9 potentially relevant genotypes per individual. INTERPRETATION: Our analyses identified a spectrum of genetic variants with potential health impact in 25% of participants. When also considering recessive alleles and variants with potential pharmacologic relevance, all 56 participants had medically relevant findings. Although access is mostly limited to research, whole genome sequencing can provide specific and novel information with the potential of major impact for health care. PMID:29431110

The Personal Genome Project Canada: findings from whole genome sequences of the inaugural 56 participants.

PubMed

Reuter, Miriam S; Walker, Susan; Thiruvahindrapuram, Bhooma; Whitney, Joe; Cohn, Iris; Sondheimer, Neal; Yuen, Ryan K C; Trost, Brett; Paton, Tara A; Pereira, Sergio L; Herbrick, Jo-Anne; Wintle, Richard F; Merico, Daniele; Howe, Jennifer; MacDonald, Jeffrey R; Lu, Chao; Nalpathamkalam, Thomas; Sung, Wilson W L; Wang, Zhuozhi; Patel, Rohan V; Pellecchia, Giovanna; Wei, John; Strug, Lisa J; Bell, Sherilyn; Kellam, Barbara; Mahtani, Melanie M; Bassett, Anne S; Bombard, Yvonne; Weksberg, Rosanna; Shuman, Cheryl; Cohn, Ronald D; Stavropoulos, Dimitri J; Bowdin, Sarah; Hildebrandt, Matthew R; Wei, Wei; Romm, Asli; Pasceri, Peter; Ellis, James; Ray, Peter; Meyn, M Stephen; Monfared, Nasim; Hosseini, S Mohsen; Joseph-George, Ann M; Keeley, Fred W; Cook, Ryan A; Fiume, Marc; Lee, Hin C; Marshall, Christian R; Davies, Jill; Hazell, Allison; Buchanan, Janet A; Szego, Michael J; Scherer, Stephen W

2018-02-05

The Personal Genome Project Canada is a comprehensive public data resource that integrates whole genome sequencing data and health information. We describe genomic variation identified in the initial recruitment cohort of 56 volunteers. Volunteers were screened for eligibility and provided informed consent for open data sharing. Using blood DNA, we performed whole genome sequencing and identified all possible classes of DNA variants. A genetic counsellor explained the implication of the results to each participant. Whole genome sequencing of the first 56 participants identified 207 662 805 sequence variants and 27 494 copy number variations. We analyzed a prioritized disease-associated data set ( n = 1606 variants) according to standardized guidelines, and interpreted 19 variants in 14 participants (25%) as having obvious health implications. Six of these variants (e.g., in BRCA1 or mosaic loss of an X chromosome) were pathogenic or likely pathogenic. Seven were risk factors for cancer, cardiovascular or neurobehavioural conditions. Four other variants - associated with cancer, cardiac or neurodegenerative phenotypes - remained of uncertain significance because of discrepancies among databases. We also identified a large structural chromosome aberration and a likely pathogenic mitochondrial variant. There were 172 recessive disease alleles (e.g., 5 individuals carried mutations for cystic fibrosis). Pharmacogenomics analyses revealed another 3.9 potentially relevant genotypes per individual. Our analyses identified a spectrum of genetic variants with potential health impact in 25% of participants. When also considering recessive alleles and variants with potential pharmacologic relevance, all 56 participants had medically relevant findings. Although access is mostly limited to research, whole genome sequencing can provide specific and novel information with the potential of major impact for health care. © 2018 Joule Inc. or its licensors.

Municipal Landfilling Practice And Its Impact On Groundwater Resources In And Around Urban Toronto, Canada

NASA Astrophysics Data System (ADS)

Howard, K. W. F.; Eyles, N.; Livingstone, S.

1996-01-01

The hazardous contents of municipal landfills are rarely documented and problems are usually not recognised until landfill leachate pollutes a well or surface-water body. By this time, the groundwater is often extensively contaminated with little opportunity for redress. Recent studies in southern Ontario have adopted a pro-active stance to this issue. The location, size, design and geologic setting of almost 1,200 active and inactive landfills have been documented; in addition, a contaminant-source audit has been performed for a representative region of urban Toronto, where 82 landfills sites are contained in an area of 700 km2. Groundwater flow modeling reveals that at half the sites groundwater travel time to major urban streams and Lake Ontario is less than 10 years, suggesting that chemically conservative chemicals released at these sites would have a rapid impact on surface-water quality. The sites are as large as 99 ha, and waste thickness normally ranges from 3-30 m. In the audited area, the sites contain an estimated 4.6×107 tons of material, consisting primarily of domestic waste, incinerator ashes, and construction and commercial debris; some sites are believed, however, to have received liquid waste from industrial sources. The chemical audit indicates that more than 1.3 million tons, or approximately 2.9 percent of the landfill waste, will enter the landfill leachate. About 99 percent of the leachable mass is composed of calcium, magnesium, sodium, nitrogen (as ammonia, nitrate, and nitrite), chloride, sulphate, and bicarbonate. However, the real potential damage must be measured by the degree of environmental degradation that would ensue if the leachate is released to the subsurface. Ignoring the possible effects of chemical biodegradation and volatilization within the aquifer, calculations indicate that 17 of the 39 leachate components investigated are individually capable of contaminating at least 2×1012 liters of water in excess of Provincial

The Relationship between Retail Merchandising in the Content Area and Its Effect on Comprehension and Reading Rate as Measured by Retail Merchandising Reading Tests Given to Selected Secondary School Students in Metropolitan Toronto.

ERIC Educational Resources Information Center

Best, Jane

A total of 99 students from a Toronto secondary vocational school participated in a study to determine whether students who studied retail merchandising differed significantly in comprehension and reading rate from students who did not study retail merchandising. An experimental group composed of 50 merchandising students and a control group of 49…

The experiences of professional nurses who have migrated to Canada: cosmopolitan citizenship or democratic racism?

PubMed

Turrittin, Jane; Hagey, Rebecca; Guruge, Sepali; Collins, Enid; Mitchell, Mitzi

2002-08-01

This interpretive research analyses the discourse of nurses who migrated to Canada and experienced racism. They also experienced reprisals when they formally complained about racism in a context of denial of the problem of racism by colleagues and employers. The present work focuses on two issues arising from the data: the problem of how to make racism visible among those who have a vested interest in denying its existence and the emotional cool of those filing grievances or complaints in contrast with the hot reaction of those being challenged when racism is named. We introduce two theoretical perspectives to address these phenomena called democratic racism and cosmopolitan citizenship, respectively. The former, as defined by Henry et al. (The Colour of Democracy: Racism in Canadian Society. Harcourt Brace, Canada, Toronto, 1996), describes the coexistence of both democratic values and practices that discount people of colour advertently or inadvertently. We outline the notion of cosmopolitan citizenship that is argued by Turner (Politics of the Global City. Routledge, London, 2000) to be an orientation resulting from global microcosms in cities teeming with diversity. The characteristic orientations of cool and stewardship are useful for describing some of the discourse expressed by each participant in our study all of whom challenged racism practices, not on nationalistic grounds, but rather out of concern for universal human rights. Their characteristics qualify them for cosmopolitan citizenship under Turner's perspective. We suggest that anti-racist activists have been cosmopolitan citizens for decades and argue that while cosmopolitan citizenship may have taken root in neo-liberal movements, it appears to have tactical attributes in the struggle with democratic racism. In conclusion, we advocate for a cosmopolitan citizenship ethic to facilitate a rational move toward racial integration in the profession through the sharing of power and privilege. One goal in

The impact of gentrification on ethnic neighbourhoods in Toronto: a case study of little Portugal.

PubMed

Murdie, Robert; Teixeira, Carlos

2011-01-01

Despite extensive literature on the nature and impact of gentrification, there has been little consideration of the effects of gentrification on ethnic neighbourhoods. This study evaluates the negative and positive effects of gentrification on the Portuguese in west central Toronto. Details concerning the settlement patterns of the Portuguese, the characteristics of Portuguese residents and patterns of gentrification in inner-city Toronto were obtained from census data. Evaluations of neighbourhood change and attitudes of the residents towards gentrification were obtained from key informant and focus group interviews. The results suggest considerable ambivalence among the respondents, but most agreed that the long-term viability of Little Portugal as an immigrant reception area with a good supply of low-cost housing is in doubt.

Actual sexual risk and perceived risk of HIV acquisition among HIV-negative men who have sex with men in Toronto, Canada.

PubMed

Kesler, Maya A; Kaul, Rupert; Liu, Juan; Loutfy, Mona; Gesink, Dionne; Myers, Ted; Remis, Robert S

2016-03-11

Theory suggests that perceived human immunodeficiency virus (HIV) risk and actual HIV risk behaviour are cyclical whereby engaging in high risk behaviour can increase perceived risk, which initiates precautionary behaviour that reduces actual risk, and with time reduces perceived risk. While current perceived risk may impact future actual risk, it is less clear how previous actual risk shapes current perceived risk. If individuals do not base their current perceived risk on past behaviour, they lose the protective effect of perceived risk motivating precautionary behaviour. Our goal was to determine the impact of actual risk on perceived risk. Sexually active men who have sex with men (MSM) were recruited at the Maple Leaf Medical Clinic in downtown Toronto from September 2010 to June 2012. Participants completed a socio-behavioural questionnaire using an Audio Computer Assisted Self-Interview (ACASI). Actual HIV risk (primary predictor) was constructed by applying principal component analysis (PCA) to eight sexual risk survey questions and comprised three components which reflected sex with casual partners, sex with HIV-positive regular partners and sex with HIV unknown status regular partners. Perceived HIV risk (outcome) was measured by asking participants what the chances were that they would ever get HIV. Multivariable logistic regression was used to measure the association between actual and perceived HIV risk. One hundred and fifty HIV-negative MSM were recruited (median age 44.5 years [IQR 37-50 years]). Twenty percent of MSM perceived their HIV risk to be high. The odds of having a high perceived risk was significantly higher in those with high actual HIV risk indicated by low condom use with an HIV-positive regular partner compared to those with low actual HIV risk indicated by high condom use with an HIV-positive regular partner (Odds Ratio (OR) 18.33, 95% confidence interval (CI) 1.65-203.45). Older age was associated with lower perceived risk but only

DRDC Toronto Guidelines for Compensation of Subjects Participating in Research Studies

DTIC Science & Technology

2008-09-01

research subject, it is increasingly likely to amount to an undue incentive for participation.” The Tri-Council Policy statement also describes in... spirometry equipment 0 Tilt table restrictive posture 1 Wrist actigraphy 0 Use of active heating or cooling vests to prevent the fall or rise of core

Re-bordering spaces of trauma: auto-ethnographic reflections on the immigrant and refugee experience in an inner-city high school in Toronto

NASA Astrophysics Data System (ADS)

Feuerverger, Grace

2011-08-01

The objective of this research study is to offer a glimpse into the lives of some newly-arrived students of different racial, linguistic and religious backgrounds as they confront the process of immigration and therefore personal and social displacement within the context of a Toronto inner-city high school. These students carry with them hidden but enduring scars that influence all aspects of their educational lives. In many cases their experience is steeped in trauma. Using auto-ethnographic methodology, this research is devoted to giving voice to these students who inhabit a space filled with suffering and loss but also resilience and cautious hope. If we really care about these vulnerable students in our classrooms, we must rethink and reshape our understanding of teaching and learning that is more fundamentally linked to the lived experiences of students coming from places of war and other oppressions. These issues are crucial for the future of nation-building and citizenship education in pluralistic Western societies such as Canada, both in and out of school.

Monitoring trace gases in downtown Toronto using open-path Fourier transform infrared spectroscopy

NASA Astrophysics Data System (ADS)

Byrne, B.; Strong, K.; Colebatch, O.; Fogal, P.; Mittermeier, R. L.; Wunch, D.; Jones, D. B. A.

2017-12-01

Emissions of greenhouse gases (GHGs) in urban environments can be highly heterogeneous. For example, vehicles produce point source emissions which can result in heterogeneous GHG concentrations on scales <10 m. The highly localized scale of these emissions can make it difficult to measure mean GHG concentrations on scales of 100-1000 m. Open-Path Fourier Transform Infrared Spectroscopy (OP-FTIR) measurements offer spatial averaging and continuous measurements of several trace gases simultaneously in the same airmass. We have set up an open-path system in downtown Toronto to monitor trace gases in the urban boundary layer. Concentrations of CO2, CO, CH4, and N2O are derived from atmospheric absorption spectra recorded over a two-way atmospheric open path of 320 m using non-linear least squares fitting. Using a simple box model and co-located boundary layer height measurements, we estimate surface fluxes of these gases in downtown Toronto from our OP-FTIR observations.

Cardiac rehabilitation and the therapeutic environment: the importance of physical, social, and symbolic safety for programme participation among women.

PubMed

Sutton, Erica J; Rolfe, Danielle E; Landry, Mireille; Sternberg, Leonard; Price, Jennifer A D

2012-08-01

To report an exploration of the multidimensionality of safety in cardiac rehabilitation programmes as perceived by women who were enrolled in the Women's Cardiovascular Health Initiative in Toronto, Canada. Cardiovascular disease is the leading cause of death among women. Although cardiac rehabilitation is clinically effective, significantly fewer women than men participate in available programmes. The literature identifies factors affecting women's cardiac rehabilitation participation, and provides possible explanations for this gender disparity. Although safety is mentioned among the barriers to women's cardiac rehabilitation participation, the extent to which safety contributes to programme participation, completion, and maintenance remains under-explored in the cardiac rehabilitation literature. We conducted an exploratory qualitative study to examine the role safety and place play for women engaged in cardiac prevention and rehabilitation at the Women's Cardiovascular Health Initiative. Methods.  From 2005-2006, 14 participants engaged in semi-structured, qualitative interviews lasting 30-90 minutes. Discussions addressed women's experiences at the Women's Cardiovascular Health Initiative. Interview transcripts were analysed using thematic analysis. Three themes were developed: 'Safety', which was sub-categorized according to physical, social, and symbolic interpretations of safety, 'searching for a sense of place', and 'confidence and empowerment'. Feeling physically, socially, and symbolically safe in one's cardiac rehabilitation environment may contribute to programme adherence and exercise maintenance for women. Focusing on comprehensive notions of safety in future cardiac rehabilitation research could offer insight into why many women do not maintain an exercise regimen in currently structured cardiac rehabilitation and community programmes. © 2012 Blackwell Publishing Ltd.

Barriers to participation in global surgery academic collaborations, and possible solutions: a qualitative study.

PubMed

Fallah, Parisa Nicole; Bernstein, Mark

2018-04-06

OBJECTIVE There is a global lack of access to surgical care, and this issue disproportionately affects those in low- and middle-income countries. Global surgery academic collaborations (GSACs) between surgeons in high-income countries and those in low- and middle-income countries are one possible sustainable way to address the global surgical need. The objective of this study was to examine the barriers to participation in GSACs and to suggest ways to increase involvement. METHODS A convenience sample of 86 surgeons, anesthesiologists, other physicians, residents, fellows, and nurses from the US, Canada, and Norway was used. Participants were all health care providers from multiple specialties and multiple academic centers with varied involvement in GSACs. More than half of the participants were neurosurgeons. Participants were interviewed in person or over Skype in Toronto over the course of 2 months by using a predetermined set of open-ended questions. Thematic content analysis was used to evaluate the participants' responses. RESULTS Based on the data, 3 main themes arose that pointed to individual, community, and system barriers for involvement in GSACs. Individual barriers included loss of income, family commitments, young career, responsibility to local patients, skepticism of global surgery efforts, ethical concerns, and safety concerns. Community barriers included insufficient mentorship and lack of support from colleagues. System barriers included lack of time, minimal academic recognition, insufficient awareness, insufficient administrative support and organization, and low political and funding support. CONCLUSIONS Steps can be taken to address some of these barriers and to increase the involvement of surgeons from high-income countries in GSACs. This could lead to a necessary scale-up of global surgery efforts that may help increase worldwide access to surgical care.

Sensitive and controversial ethical issues subject of groundbreaking Toronto exhibit.

PubMed Central

Kezwer, G; Kramer, D

1996-01-01

Medical research and practice have always posed many ethical dilemmas for scientists and physicians, but technologic advances mean that the questions are becoming even more difficult. That is why an exhibit, A Question of Truth, that is being prepared at Toronto's Ontario Science Centre is so timely. It examines the biases and political climates in which science operates, as well as the relative subjectivity of truth, knowledge and reality. Images p1484-a p1485-a p1486-a PMID:8943940

Using a Delphi process to define priorities for prison health research in Canada

PubMed Central

Kouyoumdjian, Fiona G; Schuler, Andrée; McIsaac, Kathryn E; Pivnick, Lucie; Matheson, Flora I; Brown, Glenn; Kiefer, Lori; Silva, Diego; Hwang, Stephen W

2016-01-01

Objectives A large number of Canadians spend time in correctional facilities each year, and they are likely to have poor health compared to the general population. Relatively little health research has been conducted in Canada with a focus on people who experience detention or incarceration. We aimed to conduct a Delphi process with key stakeholders to define priorities for research in prison health in Canada for the next 10 years. Setting We conducted a Delphi process using an online survey with two rounds in 2014 and 2015. Participants We invited key stakeholders in prison health research in Canada to participate, which we defined as persons who had published research on prison health in Canada since 1994 and persons in the investigators’ professional networks. We invited 143 persons to participate in the first round and 59 participated. We invited 137 persons to participate in the second round and 67 participated. Primary and secondary outcome measures Participants suggested topics in the first round, and these topics were collated by investigators. We measured the level of agreement among participants that each collated topic was a priority for prison health research in Canada for the next 10 years, and defined priorities based on the level of agreement. Results In the first round, participants suggested 71 topics. In the second round, consensus was achieved that a large number of suggested topics were research priorities. Top priorities were diversion and alternatives to incarceration, social and community re-integration, creating healthy environments in prisons, healthcare in custody, continuity of healthcare, substance use disorders and the health of Aboriginal persons in custody. Conclusions Generated in an inclusive and systematic process, these findings should inform future research efforts to improve the health and healthcare of people who experience detention and incarceration in Canada. PMID:26769790

Latino-Hispanic Student Voices and Self-Representation through Digital Storytelling

ERIC Educational Resources Information Center

Mogadime, Dolana; O'Sullivan, Michael

2017-01-01

Forty percent of Portuguese and Spanish speaking students in Toronto do not complete high school (Brown, 2006). This daunting statistic motivated Pueblito Canada, a Toronto-based Non-Governmental Organization (NGO) committed to Latino-Hispanic children, to initiate collaboration with the local Hispanic Development Council, a community activist…

A Brownfields strategy for the Toronto Port Area

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

Ibbotson, B.G.; Benson, B.A.

The Port Area of Toronto consists of several hundred acres, much of it created by filling near-shore sections of the Inner Harbour. The quality of the fill materials and the industrial activities that have taken place in the Port Area have resulted in soil and/or ground water quality conditions at many locations that do not meet current regulatory criteria and guidelines. As the administrator of properties representing more than 400 acres in the Port Area, the City of Toronto Economic Development Corporation (TEDCO) has a leadership role in the redevelopment of the Port Area. To date, a few TEDCO sitesmore » have always been restored and redeveloped on an individual basis, with little attention paid to ground water issues. To move forward on other redevelopment initiatives and to attract capital, it is necessary to increase the certainty with respect to regulatory requirements, the distribution of liabilities, and those parts of decision-making processes that consider soil and ground water issues. To address these needs, TEDCO has designed an overall soil and ground water management strategy that can be applied to its properties in the Port Area. The resulting strategy consists of four interrelated parts: an area-wide initiative to monitor ground water characteristics and assess ecological conditions; a collection of three protocols for managing individual sites; an information management system; and direction on the administration of the strategy. Together, the four parts provide a comprehensive and pragmatic approach to managing soil and ground water on TEDCO properties. The use of a multi-party agreement to formalize the strategy and specify roles and responsibilities of TEDCO, the municipality, and the Ontario Ministry of Environment and Energy is recommended.« less

Introducing Darwinism to Toronto's post-1887 reconstituted medical school.

PubMed

Court, John P M

2011-01-01

Charles Darwin's scientific paradigm was largely welcomed in Canadian academic biology and medicine, while reaction among other faculty and laypeople ranged from interest to outrage. In 1874, Ramsay Wright, a Darwinian-era biologist from Edinburgh, was appointed to the University of Toronto's Chair of Natural History. Over his 38-year career Wright integrated the evolutionary perspective into medical and biology teaching without accentuating its controversial source. He also applied the emerging German experimental research model and laboratory technology. This study identifies five categories of scientific and personal influences upon Wright through archival research on biographical sources and his writings.

Walking to work in Canada: health benefits, socio-economic characteristics and urban-regional variations.

PubMed

Kitchen, Peter; Williams, Allison; Chowhan, James

2011-04-04

There is mounting concern over increasing rates of physical inactivity and overweight/obesity among children and adult in Canada. There is a clear link between the amount of walking a person does and his or her health. The purpose of this paper is to assess the health factors, socio-economic characteristics and urban-regional variations of walking to work among adults in Canada. Data is drawn from two cycles of the Canadian Community Health Survey: 2001 and 2005. The study population is divided into three groups: non-walkers, lower-duration walkers and high-duration walkers. Logistic regression modeling tests the association between levels of walking and health related outcomes (diabetes, high blood pressure, stress, BMI, physical activity), socio-economic characteristics (sex, age, income, education) and place of residence (selected Census Metropolitan Areas). In 2005, the presence of diabetes and high blood pressure was not associated with any form of walking. Adults within the normal weight range were more likely to be high-duration walkers. Females and younger people were more likely to be lower-duration walkers but less likely to be high-duration walkers. There was a strong association between SES (particularly relative disadvantage) and walking to work. In both 2001 and 2005, the conditions influencing walking to work were especially prevalent in Canada's largest city, Toronto, as well as in several small to medium sized urban areas including Halifax, Kingston, Hamilton, Regina, Calgary and Victoria. A number of strategies can be followed to increase levels of walking in Canada. It is clear that for many people walking to work is not possible. However, strategies can be developed to encourage adults to incorporate walking into their daily work and commuting routines. These include mass transit walking and workplace walking programs.

Mismatched racial identities, colourism, and health in Toronto and Vancouver.

PubMed

Veenstra, Gerry

2011-10-01

Using original telephone survey data collected from adult residents of Toronto (n = 685) and Vancouver (n = 814) in 2009, I investigate associations between mental and physical health and variously conceived racial identities. An 'expressed racial identity' is a self-identification with a racial grouping that a person will readily express to others when asked to fit into official racial classifications presented by Census forms, survey researchers, insurance forms, and the like. Distinguishing between Asian, Black, South Asian, and White expressed racial identities, I find that survey respondents expressing Black identity are the most likely to report high blood pressure or hypertension, a risk that is slightly attenuated by socioeconomic status, and that respondents expressing Asian identity are the most likely to report poorer self-rated mental health and self-rated overall health, risks that are not explained by socioeconomic status. I also find that darker-skinned Black respondents are more likely than lighter-skinned Black respondents to report poor health outcomes, indicating that colourism, processes of discrimination which privilege lighter-skinned people of colour over their darker-skinned counterparts, exists and has implications for well-being in Canada as it does in the United States. Finally, 'reflected racial identity' refers to the racial identity that a person believes that others tend to perceive him or her to be. I find that expressed and reflected racial identities differ from one another for large proportions of self-expressed Black and South Asian respondents and relatively few self-expressed White and Asian respondents. I also find that mismatched racial identities correspond with relatively high risks of various poor health outcomes, especially for respondents who consider themselves White but believe that others tend to think they are something else. I conclude by presenting a framework for conceptualizing multifaceted suites of racial

Cluster of cases of severe acute respiratory syndrome among Toronto healthcare workers after implementation of infection control precautions: a case series.

PubMed

Ofner-Agostini, Marianna; Gravel, Denise; McDonald, L Clifford; Lem, Marcus; Sarwal, Shelley; McGeer, Allison; Green, Karen; Vearncombe, Mary; Roth, Virginia; Paton, Shirley; Loeb, Mark; Simor, Andrew

2006-05-01

To review the severe acute respiratory syndrome (SARS) infection control practices, the types of exposure to patients with SARS, and the activities associated with treatment of such patients among healthcare workers (HCWs) who developed SARS in Toronto, Canada, after SARS-specific infection control precautions had been implemented. A retrospective review of work logs and patient assignments, detailed review of medical records of patients with SARS, and comprehensive telephone-based interviews of HCWs who met the case definition for SARS after implementation of infection control precautions. Seventeen HCWs from 6 hospitals developed disease that met the case definition for SARS after implementation of infection control precautions. These HCWs had a mean age (+/-SD) of 39+/-2.3 years. Two HCWs were not interviewed because of illness. Of the remaining 15, only 9 (60%) reported that they had received formal infection control training. Thirteen HCWs (87%) were unsure of proper order in which personal protective equipment should be donned and doffed. Six HCWs (40%) reused items (eg, stethoscopes, goggles, and cleaning equipment) elsewhere on the ward after initial use in a room in which a patient with SARS was staying. Use of masks, gowns, gloves, and eyewear was inconsistent among HCWs. Eight (54%) reported that they were aware of a breach in infection control precautions. HCWs reported fatigue due to an increased number and length of shifts; participants worked a median of 10 shifts during the 10 days before onset of symptoms. Seven HCWs were involved in the intubation of a patient with SARS. One HCW died, and the remaining 16 recovered. Multiple factors were likely responsible for SARS in these HCWs, including the performance of high-risk patient care procedures, inconsistent use of personal protective equipment, fatigue, and lack of adequate infection control training.

Examining the Traits-Desires-Intentions-Behavior (TDIB) model for fertility planning in women living with HIV in Ontario, Canada.

PubMed

Wagner, Anne C; Ivanova, Elena L; Hart, Trevor A; Loutfy, Mona R

2014-11-01

The objective of this study was to determine the predictors of fertility behavior (i.e., trying to become pregnant) in a large representative sample of women living with HIV of reproductive age in Ontario, Canada. The Traits-Desires-Intentions-Behavior model was used to examine the key predictors of reproductive decision making and behavior. A total of 320 women living with HIV were included in the current analysis. The women living with HIV were between the ages of 18 and 52 (mean=37.23, SD=7.53), 56.4% had at least one child living in the home, over 40% identified as being of African ethnicity, and the average time since HIV diagnosis was 10.49 years (SD=5.71). In hierarchical multilevel analysis, perceived family support for trying to become pregnant, living in a large metropolitan city (i.e., Toronto), women's fertility desires, and fertility intentions were associated with fertility behavior (χ(2)9=59.97, p<0.001). As only 10.6% of participants reported engaging in fertility-related behavior, while 57.5% intended a pregnancy in the future, identifying barriers to fertility and discrepancies between intentions and behaviors can support policy programs and assist health care providers to better facilitate the fertility goals of women living with HIV.

Examining the Traits-Desires-Intentions-Behavior (TDIB) Model for Fertility Planning in Women Living with HIV in Ontario, Canada

PubMed Central

Ivanova, Elena L.; Hart, Trevor A.; Loutfy, Mona R.

2014-01-01

Abstract The objective of this study was to determine the predictors of fertility behavior (i.e., trying to become pregnant) in a large representative sample of women living with HIV of reproductive age in Ontario, Canada. The Traits-Desires-Intentions-Behavior model was used to examine the key predictors of reproductive decision making and behavior. A total of 320 women living with HIV were included in the current analysis. The women living with HIV were between the ages of 18 and 52 (mean=37.23, SD=7.53), 56.4% had at least one child living in the home, over 40% identified as being of African ethnicity, and the average time since HIV diagnosis was 10.49 years (SD=5.71). In hierarchical multilevel analysis, perceived family support for trying to become pregnant, living in a large metropolitan city (i.e., Toronto), women's fertility desires, and fertility intentions were associated with fertility behavior (χ29=59.97, p<0.001). As only 10.6% of participants reported engaging in fertility-related behavior, while 57.5% intended a pregnancy in the future, identifying barriers to fertility and discrepancies between intentions and behaviors can support policy programs and assist health care providers to better facilitate the fertility goals of women living with HIV. PMID:25291213

Comparison of Microbial and Chemical Source Tracking Markers To Identify Fecal Contamination Sources in the Humber River (Toronto, Ontario, Canada) and Associated Storm Water Outfalls.

PubMed

Staley, Zachery R; Grabuski, Josey; Sverko, Ed; Edge, Thomas A

2016-11-01

Storm water runoff is a major source of pollution, and understanding the components of storm water discharge is essential to remediation efforts and proper assessment of risks to human and ecosystem health. In this study, culturable Escherichia coli and ampicillin-resistant E. coli levels were quantified and microbial source tracking (MST) markers (including markers for general Bacteroidales spp., human, ruminant/cow, gull, and dog) were detected in storm water outfalls and sites along the Humber River in Toronto, Ontario, Canada, and enumerated via endpoint PCR and quantitative PCR (qPCR). Additionally, chemical source tracking (CST) markers specific for human wastewater (caffeine, carbamazepine, codeine, cotinine, acetaminophen, and acesulfame) were quantified. Human and gull fecal sources were detected at all sites, although concentrations of the human fecal marker were higher, particularly in outfalls (mean outfall concentrations of 4.22 log 10 copies, expressed as copy numbers [CN]/100 milliliters for human and 0.46 log 10 CN/100 milliliters for gull). Higher concentrations of caffeine, acetaminophen, acesulfame, E. coli, and the human fecal marker were indicative of greater raw sewage contamination at several sites (maximum concentrations of 34,800 ng/liter, 5,120 ng/liter, 9,720 ng/liter, 5.26 log 10 CFU/100 ml, and 7.65 log 10 CN/100 ml, respectively). These results indicate pervasive sewage contamination at storm water outfalls and throughout the Humber River, with multiple lines of evidence identifying Black Creek and two storm water outfalls with prominent sewage cross-connection problems requiring remediation. Limited data are available on specific sources of pollution in storm water, though our results indicate the value of using both MST and CST methodologies to more reliably assess sewage contamination in impacted watersheds. Storm water runoff is one of the most prominent non-point sources of biological and chemical contaminants which can

Comparison of Microbial and Chemical Source Tracking Markers To Identify Fecal Contamination Sources in the Humber River (Toronto, Ontario, Canada) and Associated Storm Water Outfalls

PubMed Central

Grabuski, Josey; Sverko, Ed; Edge, Thomas A.

2016-01-01

ABSTRACT Storm water runoff is a major source of pollution, and understanding the components of storm water discharge is essential to remediation efforts and proper assessment of risks to human and ecosystem health. In this study, culturable Escherichia coli and ampicillin-resistant E. coli levels were quantified and microbial source tracking (MST) markers (including markers for general Bacteroidales spp., human, ruminant/cow, gull, and dog) were detected in storm water outfalls and sites along the Humber River in Toronto, Ontario, Canada, and enumerated via endpoint PCR and quantitative PCR (qPCR). Additionally, chemical source tracking (CST) markers specific for human wastewater (caffeine, carbamazepine, codeine, cotinine, acetaminophen, and acesulfame) were quantified. Human and gull fecal sources were detected at all sites, although concentrations of the human fecal marker were higher, particularly in outfalls (mean outfall concentrations of 4.22 log10 copies, expressed as copy numbers [CN]/100 milliliters for human and 0.46 log10 CN/100 milliliters for gull). Higher concentrations of caffeine, acetaminophen, acesulfame, E. coli, and the human fecal marker were indicative of greater raw sewage contamination at several sites (maximum concentrations of 34,800 ng/liter, 5,120 ng/liter, 9,720 ng/liter, 5.26 log10 CFU/100 ml, and 7.65 log10 CN/100 ml, respectively). These results indicate pervasive sewage contamination at storm water outfalls and throughout the Humber River, with multiple lines of evidence identifying Black Creek and two storm water outfalls with prominent sewage cross-connection problems requiring remediation. Limited data are available on specific sources of pollution in storm water, though our results indicate the value of using both MST and CST methodologies to more reliably assess sewage contamination in impacted watersheds. IMPORTANCE Storm water runoff is one of the most prominent non-point sources of biological and chemical contaminants

Cardiac Rehabilitation Series: Canada

PubMed Central

Grace, Sherry L.; Bennett, Stephanie; Ardern, Chris I.; Clark, Alexander

2015-01-01

Cardiovascular disease is among the leading causes of mortality and morbidity in Canada. Cardiac rehabilitation (CR) has a long robust history here, and there are established clinical practice guidelines. While the effectiveness of CR in the Canadian context is clear, only 34% of eligible patients participate, and strategies to increase access for under-represented groups (e.g., women, ethnic minority groups) are not yet universally applied. Identified CR barriers include lack of referral and physician recommendation, travel and distance, and low perceived need. Indeed there is now a national policy position recommending systematic inpatient referral to CR in Canada. Recent development of 30 CR Quality Indicators and the burgeoning national CR registry will enable further measurement and improvement of the quality of CR care in Canada. Finally, the Canadian Association of CR is one of the founding members of the International Council of Cardiovascular Prevention and Rehabilitation, to promote CR globally. PMID:24607018

There's no such thing as bad weather, just the wrong clothing: climate, weather and active school transportation in Toronto, Canada.

PubMed

Mitra, Raktim; Faulkner, Guy

2012-07-10

Climatic conditions may enable or deter active school transportation in many North American cities, but the topic remains largely overlooked in the existing literature. This study explores the effect of seasonal climate (i.e., fall versus winter) and weekly weather conditions (i.e., temperature, precipitation) on active travelling to school across different built and policy environments. Home-to-school trips by 11-12-year-old children in the City of Toronto were examined using data from the 2006 Transportation Tomorrow Survey. Binomial logistic regressions were estimated to explore the correlates of the choice of active (i.e., walking) versus non-active (i.e., private automobile, transit and school bus) mode for school trips. Climate and weather-related variables were not associated with choice of school travel mode. Children living within the sidewalk snow-plough zone (i.e., in the inner-suburban neighbourhoods) were less likely to walk to school than children living outside of the zone (i.e., in the inner-city neighbourhoods). Given that seasonality and short-term weather conditions appear not to limit active school transportation in general, built environment interventions designed to facilitate active travel could have benefits that spill over across the entire year rather than being limited to a particular season. Educational campaigns with strategies for making the trip fun and ensuring that the appropriate clothing choices are made are also warranted in complementing built environment modifications.

Experiences participating in a community-based exercise programme from the perspective of people living with HIV: a qualitative study

PubMed Central

Montgomery, Chantal A; Henning, Katherine J; Kantarzhi, Sarah R; Kideckel, Tamar B; Yang, Cheryl F M; O'Brien, Kelly K

2017-01-01

Objectives Our aim was to explore the experiences of engaging in a community-based exercise programme (CBEP) from the perspective of people living with HIV (PLWH). Design We conducted a descriptive qualitative study using semistructured interviews. Setting We recruited adults living with HIV who participated in a 16-week CBEP in Toronto, Canada. Participants 11 participants, the majority men (64%), with a median age of 52 years, and living with a median of 5 concurrent health conditions in addition to HIV participated in the study. Outcome measures We asked participants about their overall experiences: strengths, limitations and perceived benefits of the CBEP; factors influencing participation and current level of exercise after completion of the CBEP. We administered a self-reported demographic questionnaire followed by the Rapid Assessment of Physical Activity (RAPA) questionnaire. We analysed interview data using thematic analysis. Results We developed a framework that describes the experiences before, during and after the CBEP; and the perceived impact of the CBEP on health, which influenced the intent to, engagement in and sustainability of exercise among PLWH. Participants described the positive impact of the CBEP on their physical, mental and social health. Interviews were completed at a median of 6 months after the CBEP, when 9 participants reported ongoing engagement in exercise, but to a lesser extent than during the CBEP. Intrinsic and extrinsic factors facilitated or hindered engagement in exercise throughout all phases of the CBEP. The episodic nature of HIV and multimorbidity influenced engagement in exercise and posed challenges to re-engagement after periods of inactivity. Conclusions CBEPs provide an opportunity to enhance physical activity, perceived health outcomes and knowledge about exercise for PLWH. Community-based exercise is a strategy that may be used by health providers to promote engagement in sustained physical activity for PLWH

A Research Report on the Toronto Board of Education's Response to Adult Literacy.

ERIC Educational Resources Information Center

Tsuji, Gerry K.; And Others

Since 1985, the number of adult literacy programs provided by the Toronto Board of Education has increased by 500 percent and learners by almost 300 percent, so that in 1989, almost 9,000 adults are enrolled in nearly 700 classes. Two distinct groups are being served: a unilingual group, most of whom are Canadian-born, English-speaking young…

Assessing the relevance of neighbourhood characteristics to the household food security of low-income Toronto families.

PubMed

Kirkpatrick, Sharon I; Tarasuk, Valerie

2010-07-01

Although the sociodemographic characteristics of food-insecure households have been well documented, there has been little examination of neighbourhood characteristics in relation to this problem. In the present study we examined the association between household food security and neighbourhood features including geographic food access and perceived neighbourhood social capital. Cross-sectional survey and mapping of discount supermarkets and community food programmes. Twelve high-poverty neighbourhoods in Toronto, Ontario, Canada. Respondents from 484 low-income families who had children and who lived in rental accommodations. Food insecurity was pervasive, affecting two-thirds of families with about a quarter categorized as severely food insecure, indicative of food deprivation. Food insecurity was associated with household factors including income and income source. However, food security did not appear to be mitigated by proximity to food retail or community food programmes, and high rates of food insecurity were observed in neighbourhoods with good geographic food access. While low perceived neighbourhood social capital was associated with higher odds of food insecurity, this effect did not persist once we accounted for household sociodemographic factors. Our findings raise questions about the extent to which neighbourhood-level interventions to improve factors such as food access or social cohesion can mitigate problems of food insecurity that are rooted in resource constraints. In contrast, the results reinforce the importance of household-level characteristics and highlight the need for interventions to address the financial constraints that underlie problems of food insecurity.

Understanding perceptions of community participation in persons with severe mental illness: A mixed-methods approach.

PubMed

Day, Angela K; Lalla, Rajiv; Frederick, Tyler; Tarasoff, Lesley A; Virdee, Gursharan; McKenzie, Kwame; Zahn, William; Kidd, Sean A

2017-03-01

This study aims to measure community participation in persons with severe mental illness (SMI) in Toronto, Ontario and outlines a methodological approach for understanding the dimensions of community participation. A mixed methods approach was used to define activity spaces through participatory mapping and a qualitative survey interview for participants (N = 31), selected through a stratified purposeful sampling strategy. Five neighbourhoods in Toronto were sampled in an attempt to obtain an ethnically diverse sample. Participants were interviewed over the study period and asked to draw maps indicating places that constituted their community. A qualitative interview was also administered to understand participants' perceptions of their communities. Point locations from the mapping exercise were used to measure and construct activity spaces using a mean circle approach; outlying locations were simultaneously recorded. Observed spatial patterns were then analyzed alongside the findings of the qualitative interviews. There were no observed relationships between the number of locations reported by participants and the resultant activity space or outlier count. There were no quantitative relationships between activity space size and perceptions of community by participants. However, qualitative data revealed that a number of underlying factors (mental health status and associated stigma; relationships with friends and family; cultural background; income; and neighbourhood safety) influenced participants' activity spaces. These results highlight the ways that community participation is influenced by an interplay of determinants, all of which have implications for service delivery and population-level interventions. They also point to the importance of mixed methods approaches in spatial analysis.

Results of implementation of a hospital-based strategy to reduce cesarean delivery among low-risk women in Canada.

PubMed

Shoemaker, Esther S; Bourgeault, Ivy L; Cameron, Carol; Graham, Ian D; Hutton, Eileen K

2017-11-01

To assess the cesarean delivery (CD) rate among low-risk pregnancies before and after implementation of a hospital-based program in Canada. A prospective before-and-after study was conducted to assess the effects of the CARE (CAesarean REduction) strategy, which was developed and implemented at Markham Stouffville Hospital, Toronto, ON, Canada, in 2010 to reduce CD among low-risk women. Hospital records were reviewed to identify changes in the proportions of CD performed during 12 months (April 2009-March 2010) before implementation of the CARE strategy versus 12 months after implementation (April 2012-March 2013) at Markham Stouffville Hospital and 36 hospitals of the same level in the same province. At the intervention hospital, 30.3% (964/3181) of women underwent CD in 2009-2010, compared with 26.4% (803/3045) in 2012-2013 (difference -3.9%, P<0.001). By contrast, no significant difference was recorded in control hospitals (28.1% [23 694/84 361] vs 28.2% [23 683/83 895]; difference 0.1%, P=0.5157). Implementation of the CARE strategy reduced rates of CD among the target population. © 2017 International Federation of Gynecology and Obstetrics.

Dueler’s Dilemma: A One-Person Computer Gaming Platform for Decision Making

DTIC Science & Technology

2007-11-01

Peter Tikuisis; Keefe, Allan A.; DRDC Toronto TM 2007-091; R & D pour la défense Canada – Toronto; Novembre 2007. « Dueler’s Dilemma » est un jeu... 13 5 Summary...numbers. The possibility that both the subject and opponent are hit is negligible and therefore ignored (see text). .................................. 13

Using a Delphi process to define priorities for prison health research in Canada.

PubMed

Kouyoumdjian, Fiona G; Schuler, Andrée; McIsaac, Kathryn E; Pivnick, Lucie; Matheson, Flora I; Brown, Glenn; Kiefer, Lori; Silva, Diego; Hwang, Stephen W

2016-01-14

A large number of Canadians spend time in correctional facilities each year, and they are likely to have poor health compared to the general population. Relatively little health research has been conducted in Canada with a focus on people who experience detention or incarceration. We aimed to conduct a Delphi process with key stakeholders to define priorities for research in prison health in Canada for the next 10 years. We conducted a Delphi process using an online survey with two rounds in 2014 and 2015. We invited key stakeholders in prison health research in Canada to participate, which we defined as persons who had published research on prison health in Canada since 1994 and persons in the investigators' professional networks. We invited 143 persons to participate in the first round and 59 participated. We invited 137 persons to participate in the second round and 67 participated. Participants suggested topics in the first round, and these topics were collated by investigators. We measured the level of agreement among participants that each collated topic was a priority for prison health research in Canada for the next 10 years, and defined priorities based on the level of agreement. In the first round, participants suggested 71 topics. In the second round, consensus was achieved that a large number of suggested topics were research priorities. Top priorities were diversion and alternatives to incarceration, social and community re-integration, creating healthy environments in prisons, healthcare in custody, continuity of healthcare, substance use disorders and the health of Aboriginal persons in custody. Generated in an inclusive and systematic process, these findings should inform future research efforts to improve the health and healthcare of people who experience detention and incarceration in Canada. 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/

Report on the National Learning Roundtable (Edmonton, Alberta, Canada, March 19-20, 2001).

ERIC Educational Resources Information Center

Lowe, Graham S.

Forty-five individuals from a wide range of organizations and backgrounds participated in a national roundtable on learning in Canada. Working in small groups and plenaries, participants proposed a vision for learning as a way to address the widely expressed concern that Canada is not moving fast enough to increase learning opportunities and to…

Promoting HIV Testing for Gay and Bisexual Men: An Evaluation of the 2011-2012 Campaign in Toronto and Ottawa.

PubMed

Adam, Barry D; Gardner, Sandra; Major, Carol; Campbell, Diana; Light, Lucia; Globerman, Jason

2016-01-01

This article reports on a social marketing campaign directed toward high-risk men who have sex with men in Toronto and Ottawa to encourage testing for HIV and syphilis; improve knowledge about HIV transmission, seroconversion symptoms, and the HIV window period; and heighten awareness of syphilis transmission and its relationship to facilitating HIV transmission. Evaluation data were collected from a large-scale online pre-and postcampaign survey of sexually active men who have sex with men and from laboratory testing data. Men who turned up to be tested also filled out an exit survey. The campaign websites attracted some 15,000 unique visitors, 54% of whom had an IP address in Toronto or Ottawa. Laboratory data showed a 20% increase in HIV testing in Toronto over the campaign compared to the previous year. The overall rate of HIV-positive tests remained relatively constant. Knowledge levels about seroconversion symptoms, sexually transmitted infection and HIV transmission, and the HIV window period were significantly better among postcampaign survey respondents aware of the campaign compared to postcampaign respondents who were not aware and compared to precampaign respondents. © 2015 Society for Public Health Education.

Aboriginal Post-Secondary Education and Labour Market Outcomes: Canada, 1996.

ERIC Educational Resources Information Center

Hull, Jeremy

This report presents data from the 1996 Census of Canada concerning educational attainment, educational success, and labor market outcomes among Aboriginal people and others in Canada. There has been clear educational progress among registered Indians over the past decade, particularly in high school completion and postsecondary participation.…

A comparison of community response to aircraft noise at Toronto International and Oshawa Municipal airports†

NASA Astrophysics Data System (ADS)

Taylor, S. M.; Hall, F. L.; Birnie, S. E.

1981-07-01

Debate continues over the validity of a single dose-response relationship to describe annoyance due to transportation noise. Doubts about the appropriateness of a single relationship have centred primarily on the issue of differential response to the same noise level for different sources (e.g., aircraft, road traffic and trains). However, recent work suggests that response may vary for different types of the same source, namely aircraft, dependent upon the character, and specifically the number, of operations. Recent data collected around Toronto International and Oshawa Municipal airports permit a test of differences in four aggregate response variables. For the same NEF level, the percent at all annoyed at the two airports is not statistically different. The percent highly annoyed and the percent reporting speech interference are both significantly greater at Toronto but the percent reporting sleep interruption is greater at Oshawa. These differences can be explained in terms of the operational characteristics of the two airports.

Everyday Electrical Engineering: A One-Week Summer Academy Course for High School Students

ERIC Educational Resources Information Center

Mehrizi-Sani, A.

2012-01-01

A summer academy is held for grade 9-12 high school students at the University of Toronto, Toronto, ON, Canada, every year. The academy, dubbed the Da Vinci Engineering Enrichment Program (DEEP), is a diverse program that aims to attract domestic and international high school students to engineering and sciences (and possibly recruit them). DEEP…

Toronto's 2-1-1 healthcare services for immigrant populations.

PubMed

Cortinois, Andrea A; Glazier, Richard H; Caidi, Nadia; Andrews, Gavin; Herbert-Copley, Mary; Jadad, Alejandro R

2012-12-01

Although access to information on health services is particularly important for recent immigrants, numerous studies have shown that their use of information and referral services is limited. This study explores the role played by 2-1-1 Toronto in supporting recent immigrants. The study objectives were to (1) understand whether 2-1-1 Toronto is reaching and supporting recent immigrants and (2) gain a better appreciation of the information needs of this population group. A phone survey was conducted in 2005-2006 to collect information on 2-1-1 users' characteristics and levels of satisfaction. Survey data were compared (in 2006) with census data to assess their representativeness. To achieve Objective 2, semistructured qualitative interviews were conducted and analyzed in 2006-2007, with a subset of Spanish-speaking callers. Recent immigrants were overrepresented among 2-1-1 callers. However, the survey population was substantially younger and had higher levels of formal education than the general population. Health-related queries represented almost one third of the total. The survey showed very high levels of satisfaction with the service. Many interviewees described their first experiences with the Canadian healthcare system negatively. Most of them had relied on disjointed, low-quality information sources. They trusted 2-1-1 but had discovered it late. Results are mixed in terms of 2-1-1's support to immigrants. A significant percentage of users do not take full advantage of the service. The service could become the information "entry point" for recent immigrants if it was able to reach them early in the resettlement process. Proactive, community-oriented work and a more creative use of technology could help. Copyright © 2012 American Journal of Preventive Medicine. All rights reserved.

Electric Vehicle Site Operator Program

NASA Astrophysics Data System (ADS)

1992-05-01

Kansas State University, with funding support from federal, state, public, and private companies, is participating in the Department of Energy's Electric Vehicle Site Operator Program. Through participation is this program, Kansas State is demonstrating, testing, and evaluating electric or hybrid vehicle technology. This participation will provide organizations the opportunity to examine the latest EHV prototypes under actual operating conditions. KSU proposes to purchase one electric or hybrid van and four electric cars during the first two years of this five year program. KSU has purchased one G-Van built by Conceptor Industries, Toronto, Canada and has initiated a procurement order to purchase two Soleq 1992 Ford EVcort stationwagons.

Modelling urban δ13C variations in the Greater Toronto Area

NASA Astrophysics Data System (ADS)

Pugliese, S.; Vogel, F. R.; Murphy, J. G.; Worthy, D. E. J.; Zhang, J.; Zheng, Q.; Moran, M. D.

2015-12-01

Even in urbanized regions, carbon dioxide (CO2) emissions are derived from a variety of biogenic and anthropogenic sources and are influenced by atmospheric transport across borders. As policies are introduced to reduce the emission of CO2, there is a need for independent verification of emissions reporting. In this work, we aim to use carbon isotope (13CO2 and 12CO2) simulations in combination with atmospheric measurements to distinguish between CO2 sources in the Greater Toronto Area (GTA), Canada. This is being done by developing an urban δ13C framework based on existing CO2 emission data and forward modelling using a chemistry transport model, CHIMERE. The framework is designed to use region specific δ13C signatures of the dominant CO2 sources together with a CO2 inventory at a fine spatial and temporal resolution; the product is compared against highly accurate 13CO2 and 12CO2 ambient data. The strength of this framework is its potential to estimate both locally produced and regionally transported CO­2. Locally, anthropogenic CO­2 in urban areas is often derived from natural gas combustion (for heating) and gasoline/diesel combustion (for transportation); the isotopic signatures of these processes are significantly different (approximately d13CVPDB = -40 ‰ and -26 ‰ respectively) and can be used to infer their relative contributions. Furthermore, the contribution of transported CO2 can also be estimated as nearby regions often rely on other sources of heating (e.g. coal combustion), which has a very different signature (approximately d13CVPDB = -23 ‰). We present an analysis of the GTA in contrast to Paris, France where atmospheric observations are also available and 13CO2 has been studied. Utilizing our δ13C framework and differences in sectoral isotopic signatures, we quantify the relative contribution of CO2 sources on the overall measured concentration and assess the ability of this framework as a tool for tracing the evolution of sector

Downsizing in the public sector: Metro-Toronto's hospitals.

PubMed

Flint, Douglas H

2003-01-01

This study has two objectives. First, to predict the outcomes of a public sector downsizing; second to measure effects of downsizing at organizational and inter-organizational levels. Primary data to assess the organizational level effects was collected through interviews with senior executives at two of Metro-Toronto's hospitals. Secondary data, to assess the inter-organizational effects, was collected from government documents and media reports. Due to the exploratory nature of the study's objectives a case study method was employed. Most institutional downsizing practices aligned with successful outcomes. Procedures involved at the inter-organizational level aligned with unsuccessful outcomes and negated organizational initiatives. This resulted in an overall alignment with unsuccessful procedures. The implication, based on private sector downsizings, is that the post-downsized hospital system was more costly and less effective.

Evaluation of the ThinkFirst Canada, Smart Hockey, brain and spinal cord injury prevention video

PubMed Central

Cook, D; Cusimano, M; Tator, C; Chipman, M; Macarthur, C

2003-01-01

Objective: The ThinkFirst Canada Smart Hockey program is an educational injury prevention video that teaches the mechanisms, consequences, and prevention of brain and spinal cord injury in ice hockey. This study evaluates knowledge transfer and behavioural outcomes in 11–12 year old hockey players who viewed the video. Design: Randomized controlled design. Setting: Greater Toronto Minor Hockey League, Toronto Ontario. Subjects: Minor, competitive 11–12 year old male ice hockey players and hockey team coaches. Interventions: The Smart Hockey video was shown to experimental teams at mid-season. An interview was conducted with coaches to understand reasons to accept or refuse the injury prevention video. Main outcome measures: A test of concussion knowledge was administered before, immediately after, and three months after exposure to the video. The incidence of aggressive penalties was measured before and after viewing the video. Results: The number of causes and mechanisms of concussion named by players increased from 1.13 to 2.47 and from 0.67 to 1.22 respectively. This effect was maintained at three months. There was no significant change in control teams. There was no significant change in total penalties after video exposure; however, specific body checking related penalties were significantly reduced in the experimental group. Conclusion: This study showed some improvements in knowledge and behaviours after a single viewing of a video; however, these findings require confirmation with a larger sample to understand the sociobehavioural aspects of sport that determine the effectiveness and acceptance of injury prevention interventions. PMID:14693901

The prevalence of appendiceal fecaliths in patients with and without appendicitis. A comparative study from Canada and South Africa.

PubMed Central

Jones, B A; Demetriades, D; Segal, I; Burkitt, D P

1985-01-01

Appendicitis is more common in developed than in developing societies and appendiceal fecaliths are thought to have an etiologic role in the disease. The geographic distribution of appendiceal fecaliths was investigated by systematic, intraoperative palpation of the appendix in patients in Toronto, Canada and Johannesburg, South Africa. The incidences of fecaliths found on pathologic sectioning of the appendix in appendicitis patients in both societies were compared. In the Canadian population, the prevalence of fecaliths in patients whose appendices were palpated incidentally was 32% versus 52% for those with appendicitis (p less than 0.01). In the African population, the prevalence of fecaliths in patients whose appendices were palpated incidentally was four per cent versus 23% for those with appendicitis (p = 0.04). The difference in prevalence of incidental appendiceal fecaliths in the two populations was statistically significant (p less than 0.005). The prevalence of fecaliths is higher in developed countries, such as Canada, than in developing countries, such as Africa, and is also higher in patients with than in those without appendicitis. These data support the theory that the low-fiber diets consumed in developed countries lead to fecalith formation, which then predisposes to appendicitis. PMID:2990360

In Toronto, Catholic Schools Are Public!

ERIC Educational Resources Information Center

Matthews, Carl J.

1990-01-01

Provides a historical overview of Catholic education in Canada, with particular emphasis on Ontario's publicly funded Separate School System. Discusses the administrative structure, financial resources, and flaws of this system. (DMM)

Severe Acute Respiratory Syndrome and the Delivery of Continuing Medical Education: Case Study from Toronto

ERIC Educational Resources Information Center

Davis, Dave; Ryan, David; Sibbald, Gary; Rachlis, Anita; Davies, Sharon; Manchul, Lee; Parikh, Sagar

2004-01-01

Introduction: Severe acute respiratory syndrome (SARS) struck Toronto in the spring of 2003, causing many deaths, serious morbidity, forced quarantine of thousands of individuals, and the closure of all provincial hospitals for several weeks. Given the direction by public health authorities to cancel or postpone all continuing medical education…

50 CFR 21.61 - Population control of resident Canada geese.

Code of Federal Regulations, 2010 CFR

2010-10-01

... geese to extend to one-half hour after sunset, and removes daily bag limits for resident Canada geese... section may be implemented only between the hours of one-half hour before sunrise to one-half hour after... individuals participated in the program; (iii) The total number of resident Canada geese shot and retrieved...

50 CFR 21.61 - Population control of resident Canada geese.

Code of Federal Regulations, 2014 CFR

2014-10-01

... geese to extend to one-half hour after sunset, and removes daily bag limits for resident Canada geese... section may be implemented only between the hours of one-half hour before sunrise to one-half hour after... individuals participated in the program; (iii) The total number of resident Canada geese shot and retrieved...

50 CFR 21.61 - Population control of resident Canada geese.

Code of Federal Regulations, 2012 CFR

2012-10-01

... geese to extend to one-half hour after sunset, and removes daily bag limits for resident Canada geese... section may be implemented only between the hours of one-half hour before sunrise to one-half hour after... individuals participated in the program; (iii) The total number of resident Canada geese shot and retrieved...

50 CFR 21.61 - Population control of resident Canada geese.

Code of Federal Regulations, 2011 CFR

2011-10-01

... geese to extend to one-half hour after sunset, and removes daily bag limits for resident Canada geese... section may be implemented only between the hours of one-half hour before sunrise to one-half hour after... individuals participated in the program; (iii) The total number of resident Canada geese shot and retrieved...

50 CFR 21.61 - Population control of resident Canada geese.

Code of Federal Regulations, 2013 CFR

2013-10-01

... geese to extend to one-half hour after sunset, and removes daily bag limits for resident Canada geese... section may be implemented only between the hours of one-half hour before sunrise to one-half hour after... individuals participated in the program; (iii) The total number of resident Canada geese shot and retrieved...

Condom vending machines in Canada's secondary schools.

PubMed

Kerr, D L

1990-03-01

to this action. Other participating schools include Qualicum School District in Vancouver Island, British Columbia, and Toronto's 36 secondary schools.

78 FR 31976 - Notice Pursuant to the National Cooperative Research and Production Act of 1993-Members of SGIP 2...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-28

...; CSA Group, Toronto, Ontario, CANADA; Greater Sudbury Hydro Inc., Sudbury, Ontario, CANADA; Lockheed...; NovaTech LLC, Quakertown, PA; Quadlogic Controls Corp., Long Island City, NY; Kyocera..., Arlington, VA; Gas Technology Institute, Des Plaines, IL; HD-PLC Alliance, Fukuoka, JAPAN; TeMix Inc., Los...

Extracurricular participation among children with epilepsy in Canada.

PubMed

Kamath, Sangita; Fayed, Nora; Goodman, Carly; Streiner, David L; Ronen, Gabriel M

2016-03-01

Participation in extracurricular activities creates opportunities for children to foster friendships, promote a sense of belonging, and improve physical and mental well-being. The objective of this study was to determine the relationship(s) of personal factors, seizure variables, and social supports with extracurricular participation in children with epilepsy (CWE). Baseline analysis of the QUALITÉ longitudinal study cohort of children aged 8-14 years (N=426) was conducted. Variables hypothesized to be related to the participation of CWE were classified using the International Classification of Functioning, Disability and Health according to body functions (presence of generalized tonic-clonic seizures in the past month, on/off AEDs, and seizure severity), environmental factors (perceived social support from parents and friends), and personal factors (sex, age, family structure, and family income). Analysis of variables related to extracurricular participation was conducted with regression modeling. Personal factors of age, gender, and family structure as well as body function variables of generalized tonic-clonic seizures and seizure severity were found to be the most important to extracurricular participation based on how frequently they were included in the final models (16/16 and 13/16 times, respectively). When parental support was found to be related to participation, the association was negative in 6 out of 16 models. The personal factors that are related to extracurricular participation among children with epilepsy mirror samples based on the general population, although seizures also play an important role. The relationship between perceived parental support and actual participation levels warrants further exploration. Copyright © 2015 Elsevier Inc. All rights reserved.

Test Review: Wechsler, D. (2014),"Wechsler Intelligence Scale for Children, Fifth Edition: Canadian 322 (WISC-V[superscript CDN])." Toronto, Ontario: Pearson Canada Assessment.

ERIC Educational Resources Information Center

Cormier, Damien C.; Kennedy, Kathleen E.; Aquilina, Alexandra M.

2016-01-01

The Wechsler Intelligence Scale for Children, Fifth Edition: Canadian (WISC-V[superscript CDN]; Wechsler, 2014) is published by Pearson Canada Assessment. The WISC-V[superscript CDN] is a norm-referenced, individually administered intelligence battery that provides a comprehensive diagnostic profile of the cognitive strengths and weaknesses of…

Proceedings of the 2009 Annual Meeting of the Canadian Mathematics Education Study Group = Actes de la Rencontre Annuelle 2009 du Groupe Canadien d'Etude en Didactique des Mathematiques (33rd, Toronto, Ontario, Canada, June 5-June 9, 2009)

ERIC Educational Resources Information Center

Liljedahl, Peter, Ed.; Oesterle, Susan, Ed.; Abu-Bakare, Veda, Ed.

2010-01-01

This submission contains the Proceedings of the 2009 Annual Meeting of the Canadian Mathematics Education Study Group (CMESG), held at York University in Toronto, Ontario. 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 the Study Group…

Canada moving backwards on illegal drugs.

PubMed

Hyshka, Elaine; Butler-McPhee, Janet; Elliott, Richard; Wood, Evan; Kerr, Thomas

2012-01-01

Internationally, illegal drug use remains a major public health problem. In response, many countries have begun to shift their illegal drug policies away from enforcement and towards public health objectives. Recently, both the Global Commission on Drug Policy and the Supreme Court of Canada have endorsed this change in direction, supporting empirically sound illegal drug policies that reduce criminalization and stigmatization of drug users and bolster treatment and harm reduction efforts. Until recently, Canada was a participant in this growing movement towards rational drug policy. Unfortunately, in recent years, policy changes have made Canada one of the few remaining advocates of a "war-on-drugs" approach. Indeed, the current government has implemented a number of new illegal drug policies that contradict well-established scientific evidence from public health, criminology and other fields. As such, their approach is expected to do little to reduce the harms associated with substance use in Canada. The authors call on the current government to heed the recommendations of the Global Commission's report and learn from the many countries that are innovating in illegal drug policy by prioritizing evidence, human rights and public health.

Young Children's Perceptions of Social Withdrawal in China and Canada

ERIC Educational Resources Information Center

Coplan, Robert J.; Zheng, Shujie; Weeks, Murray; Chen, Xinyin

2012-01-01

The goal of the present study was to explore attitudes and responses to different forms of social withdrawal in China and Canada. Participants in this study were children in early elementary school in the People's Republic of China (n = 213; 113 boys, 100 girls, M[subscript age] = 6.11 years) and Canada (n = 162; 60 boys, 102 girls, M[subscript…

Comparing health system performance assessment and management approaches in the Netherlands and Ontario, Canada

PubMed Central

Tawfik-Shukor, Ali R; Klazinga, Niek S; Arah, Onyebuchi A

2007-01-01

Background Given the proliferation and the growing complexity of performance measurement initiatives in many health systems, the Netherlands and Ontario, Canada expressed interests in cross-national comparisons in an effort to promote knowledge transfer and best practise. To support this cross-national learning, a study was undertaken to compare health system performance approaches in The Netherlands with Ontario, Canada. Methods We explored the performance assessment framework and system of each constituency, the embeddedness of performance data in management and policy processes, and the interrelationships between the frameworks. Methods used included analysing governmental strategic planning and policy documents, literature and internet searches, comparative descriptive tables, and schematics. Data collection and analysis took place in Ontario and The Netherlands. A workshop to validate and discuss the findings was conducted in Toronto, adding important insights to the study. Results Both Ontario and The Netherlands conceive health system performance within supportive frameworks. However they differ in their assessment approaches. Ontario's Scorecard links performance measurement with strategy, aimed at health system integration. The Dutch Health Care Performance Report (Zorgbalans) does not explicitly link performance with strategy, and focuses on the technical quality of healthcare by measuring dimensions of quality, access, and cost against healthcare needs. A backbone 'five diamond' framework maps both frameworks and articulates the interrelations and overlap between their goals, themes, dimensions and indicators. The workshop yielded more contextual insights and further validated the comparative values of each constituency's performance assessment system. Conclusion To compare the health system performance approaches between The Netherlands and Ontario, Canada, several important conceptual and contextual issues must be addressed, before even attempting any

A Compton Gamma Imager for Criminal and National Security Investigation

DTIC Science & Technology

2014-05-01

which is led by Defence Research and Development Canada’s Centre for Security Science, in partnership with Public Safety Canada. Partners in the...project include National Research Council, McGill University, Royal Canadian Mounted Police, Public Safety Canada, Toronto Police, and Canada Border...16  6.2.1  Follow-on Research ...................................................................................... 16  6.2.2  Follow-on

An investigation of the Attenuation Provided by the Surefire EP3 Sonic Defender (Trademark) Earplug

DTIC Science & Technology

2008-05-01

Reine (en droit du Canada), telle que représentée par le ministre de la Défense nationale, 2008 DRDC Toronto TR 2008-040 i Abstract...Surefire chez cinq hommes et cinq femmes. Selon le fabricant, un orifice percé dans le bouchon permet aux sons dont le niveau est sans danger de ...dispositif avec l’orifice ouvert et fermé en l’absence de bruits impulsifs. Cinq hommes et cinq femmes y ont participé. Le seuil d’audibilité de chaque

The incidence of bone metastasis after early-stage breast cancer in Canada.

PubMed

Liede, Alexander; Jerzak, Katarzyna J; Hernandez, Rohini K; Wade, Sally W; Sun, Ping; Narod, Steven A

2016-04-01

Current information on the incidence and prevalence of bone metastases in women with breast cancer is scarce. This study examined the occurrence and predictors of bone metastases, as well as post-metastasis survival in a prospective cohort of Canadian women with breast cancer. We included women treated for early-stage (stage I, II, or III) breast cancer at the Henrietta Banting Breast Centre (HBBC) in Toronto, Canada between 1987 and 2000. Data were abstracted from medical records and pathology reports in the HBBC database; follow-up extended to end of data availability or August 31, 2015. Actuarial survival analyses provided cumulative incidence of bone metastases at 5, 10, and 15 years after breast cancer diagnosis. Kaplan-Meier curves describe breast cancer mortality. Regression models assessed patient, tumor, and treatment characteristics as predictors of bone metastases with all-cause mortality as a competing risk. Among 2097 women studied, the 5-, 10-, and 15-year probability of bone metastasis was 6.5, 10.3, and 11.3 % for the first recurrence, and 8.4, 12.5, and 13.6 % for any bone recurrence. At median follow-up (12.5 years), 13.2 % of patients had bone metastases. Median survival was 1.6 years following bone metastasis, and shorter if both bone and visceral metastases occurred. Advanced age and adjuvant treatment with tamoxifen were protective against bone metastasis. In this representative cohort of women diagnosed with early-stage breast cancer in Ontario, Canada, with long follow-up, the incidence of bone metastases was consistent with longitudinal studies from the United Kingdom, Denmark, and the US.

Entre Reproduction et Mobilisation: les Rapports de Genre EN Formation Continue EN France et AU Canada

NASA Astrophysics Data System (ADS)

Fourner, Christine; Béret, Pierre; Doray, Pierre; Bélanger, Paul

2009-01-01

REPRODUCTION OR MOBILISATION? GENDER PROPORTIONS IN CONTINUING EDUCATION IN FRANCE AND CANADA - Initial education provisions for women have evolved greatly over the past 40 years. But what about their situation within adult education and training? This article, comparing Canada and France, shows that, while it is well known that more women than men participate in adult education, their greater presence in professional training courses is a new development. The analysis highlights certain particular findings, such as the growing demand for continuing education in Canada and the increased rate of participation by full-time employees in France. In both countries, a number of social factors continue to influence women's participation.

Smoking environments in transition: the experiences of recent Chinese migrants to Canada.

PubMed

Li, Jia; Collins, Damian

2017-01-01

International migrants experience first-hand differences between countries in terms of the social meanings, spatial regulation and prevalence of smoking. This research centred on the smoking-related perceptions, experiences and behaviours of recent migrants from China to Canada. Eight focus groups were held in Edmonton, Alberta, in July-October 2013 to explore migrants' understandings of the practices and meanings of smoking in both countries. There were 58 participants (37 non-smokers and 21 smokers), most of whom were international students. Qualitative content analysis of focus group transcripts was undertaken to identify key themes. Participants observed that smoking remains almost ubiquitous in China due to ineffective spatial restrictions and the social importance of smoking among men. By contrast, smoking bans in Canada were perceived as effective due to widespread compliance and expectations of enforcement. They were conscious that male smoking was both less prevalent and less socially valued in Canada; conversely, female smoking was perceived as more accepted in Canada than in China. There was broad agreement that smoking was tolerated in Canada, provided it occurred in appropriate places. Complying with widespread spatial restrictions brought about changes in smokers' behaviours: they smoked less often, and consumed fewer cigarettes. Because smoking was more difficult to perform, participants thought the Canadian context supported quitting. Non-smokers were enthusiastic about smoke-free environments in Canada, and had become acculturated to air that did not smell of smoke. These findings affirm the importance of comprehensive smoking bans, backed by enforcement, in contributing to the denormalisation of smoking and the protection of non-smokers. © 2015 The Authors. Health and Social Care in the Community Published by John Wiley & Sons Ltd.

Automated Border Control Systems as Part of e-border Crossing Process

DTIC Science & Technology

2015-01-01

which is led by Defence Research and Development Canada’s Centre for Security Science, in partnership with Public Safety Canada. The project was led...Canada, as represented by the Minister of National Defence, 2015 © Sa Majesté la Reine (en droit du Canada), telle que représentée par le ministre de...FAST US,EU (2013): AVATAR kiosks Examples: US, Canada: Deployed in Vancouver, Montreal, Toronto, and Chicago International Airports

78 FR 44961 - Endangered Species; Marine Mammals; Receipt of Applications for Permit

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-25

... discretion of the Service Director. III. Permit Applications A. Endangered Species Applicant: St. Louis Zoo... jubatus) that live or lived in zoos in Canada from the Toronto Zoo, Scarborough, Canada, for the purpose of scientific research on the occurrence of feline coronavirus in cheetahs in Canadian zoos. This...

Operational Considerations for the Standby Diver in CUMA Dives

DTIC Science & Technology

2010-11-01

avec ACDSM R.Y. Nishi; A.J. Ward; D.J. Eaton; DRDC Toronto TM 2010-082; R & D pour la défense Canada – Toronto; Novembre 2010. Introduction ou...11  Figure A-5. Computed inert gas loading in first and second compartments for 5 min at 9 msw .. 13 ... 13   Figure A-7. Computed inert gas loading in first and second compartments for 30

Public Libraries as Partners in Astronomy Outreach

NASA Astrophysics Data System (ADS)

Percy, J.

2017-09-01

Public libraries have proven to be effective partners in bringing astronomy to audiences across the large and diverse city of Toronto, Canada, and enabling astronomers - both young and old - to interact with members of our community. This article reflects on the author's experience working with public libraries, especially the Toronto Public Library (TPL), the busiest public library system in the world, to deliver over forty public presentations.

Applied Computational Electromagnetics Society Journal, Volume 9, Number 2

DTIC Science & Technology

1994-07-01

input/output standardization; code or technique optimization and error minimization; innovations in solution technique or in data input/output...THE APPLIED COMPUTATIONAL ELECTROMAGNETICS SOCIETY JOURNAL EDITORS 3DITOR-IN-CH•IF/ACES EDITOR-IN-CHIEP/JOURNAL MANAGING EDITOR W. Perry Wheless...Adalbert Konrad and Paul P. Biringer Department of Electrical and Computer Engineering, University of Toronto Toronto, Ontario, CANADA M5S 1A4 Ailiwir

A Study of the Role of Small Ethnic Retail Grocery Stores in Urban Renewal in a Social Housing Project, Toronto, Canada.

PubMed

Komakech, Morris D C; Jackson, Suzanne F

2016-06-01

Urban renewal often drives away the original residents, replacing them with higher income residents who can afford the new spaces, leading to gentrification. Urban renewal that takes place over many years can create uncertainties for retailers and residents, exacerbating the gentrification process. This qualitative study explored how the urban renewal process in a multi-cultural social housing neighborhood in Toronto (Regent Park) affected the small ethnic retail grocery stores (SERGS) that supplied ethnic foods and items to the ethnic populations living there. Interviews were conducted with ten SERGS store owners/managers and 16 ethnic residents who lived in Regent Park before renewal and were displaced, or who were displaced and returned. The SERGS stated that they provided culturally familiar items and offered a social credit scheme that recognized existing social relationships and allowed low-income residents to afford food and other amenities in a dignified manner and pay later, without penalty or interest. At the same time, the SERGS were unsupported during the renewal, were excluded from the civic planning processes, could not compete for space in the new buildings, and experienced declining sales and loss of business. The residents stated that the SERGS were trusted, provided a valued cultural social spaces for ethnic identity formation, and ethnic food security but they faced many uncertainties about the role of SERGS in a renewed neighborhood. Based on this study, it is recommended that ethnic retailers be recognized for the role they play in formulating ethnic identities and food security in mixed-use mixed-income communities and that they be included in planning processes during urban renewal. Such recognition may enable more former residents to return and lessen the gentrification.

Traditional Chinese medicine research and education in Canada.

PubMed

Ghayur, Muhammad Nabeel

2009-06-01

Abstract Traditional Chinese Medicine (TCM) is one of the oldest forms of medicine in the world. There has been a growing interest in TCM in Canada in terms of consumers and also among the research community. To cater for this interest, the Canadian Institute of Chinese Medicinal Research (CICMR) was established in 2004. Since its formation, CICMR has been organizing annual meetings. In 2008, the CICMR meeting, jointly organized with the Ontario Ginseng Innovation Research Centre, was held from October 16th to 19th, in London, Ontario, Canada. The meeting saw a number of participants and speakers from many countries who discussed TCM in a Canadian perspective. The talks and presentations focused on TCM practices in Asia and Canada; analytical techniques for unravelling the science behind TCM; basic and clinical research findings in the areas of cancer and cardiovascular diseases; safety and quality control issues; the regulatory and educational framework of TCM in Canada; and the latest findings in agricultural, chemical, and pharmacological research on ginseng from all over the world. The meeting successfully provided a platform for constructive discussions on TCM practices and research and education in Canada and the world.

Experiences participating in a community-based exercise programme from the perspective of people living with HIV: a qualitative study.

PubMed

Montgomery, Chantal A; Henning, Katherine J; Kantarzhi, Sarah R; Kideckel, Tamar B; Yang, Cheryl F M; O'Brien, Kelly K

2017-04-04

Our aim was to explore the experiences of engaging in a community-based exercise programme (CBEP) from the perspective of people living with HIV (PLWH). We conducted a descriptive qualitative study using semistructured interviews. We recruited adults living with HIV who participated in a 16-week CBEP in Toronto, Canada. 11 participants, the majority men (64%), with a median age of 52 years, and living with a median of 5 concurrent health conditions in addition to HIV participated in the study. We asked participants about their overall experiences: strengths, limitations and perceived benefits of the CBEP; factors influencing participation and current level of exercise after completion of the CBEP. We administered a self-reported demographic questionnaire followed by the Rapid Assessment of Physical Activity (RAPA) questionnaire. We analysed interview data using thematic analysis. We developed a framework that describes the experiences before, during and after the CBEP; and the perceived impact of the CBEP on health, which influenced the intent to, engagement in and sustainability of exercise among PLWH. Participants described the positive impact of the CBEP on their physical, mental and social health. Interviews were completed at a median of 6 months after the CBEP, when 9 participants reported ongoing engagement in exercise, but to a lesser extent than during the CBEP. Intrinsic and extrinsic factors facilitated or hindered engagement in exercise throughout all phases of the CBEP. The episodic nature of HIV and multimorbidity influenced engagement in exercise and posed challenges to re-engagement after periods of inactivity. CBEPs provide an opportunity to enhance physical activity, perceived health outcomes and knowledge about exercise for PLWH. Community-based exercise is a strategy that may be used by health providers to promote engagement in sustained physical activity for PLWH. Published by the BMJ Publishing Group Limited. For permission to use (where

Perceptions of organizational capacity to promote physical activity in Canada and ParticipACTION's influence five years after its relaunch: a qualitative study.

PubMed

Ramanathan, Subha; Faulkner, Guy; Berry, Tanya; Deshpande, Sameer; Latimer-Cheung, Amy E; Rhodes, Ryan E; Spence, John C; Tremblay, Mark S

2018-04-01

ParticipACTION is a Canadian physical activity communications and social marketing organization relaunched in 2007. The purpose of this study was to qualitatively investigate organizational capacity for physical activity promotion among Canadian organizations, and the influence of ParticipACTION on capacity five years after relaunch. Using a purposive sampling strategy, semi-structured telephone interviews were conducted with 44 key informants representing national, provincial, and local organizations with a mandate to promote physical activity. Interview data were analyzed using a thematic analytic approach. Organizational capacity in terms of partnerships and collaborations, and the general climate for physical activity promotion have improved since ParticipACTION's relaunch. Although financial resources reduced the ability of organizations to fulfil their mandates, internal factors such as skilled employees and sponsorships, and external factors such as technological improvements in communication and information sharing helped to offset this strain. There were mixed feelings on ParticipACTION's contribution to capacity. While ParticipACTION has brought more attention to inactivity, this was perceived as a complement to work already taking place. While some organizations perceived ParticipACTION's relaunch as competition to funding and access to popular media, others found it as an opportunity to co-brand social marketing campaigns, utilizing ParticipACTION's products and reputation. According to participants, organizational capacity to promote physical activity in Canada has increased since 2007 in subtle but important ways because of a strong climate for physical activity promotion, skilled employees, and information sharing technology. Organizational capacity changes were minimally attributed to ParticipACTION.

The role of the Toronto Girls' Home, 1863-1910.

PubMed

Neff, Charlotte

2011-01-01

It has been suggested that the role of Ontario children's homes, who had for half a century been helping disadvantaged children, changed significantly and immediately under the 'Children's Protection Act of 1893'. However, the records of the girls admitted to Toronto Girls' Home from 1863 to 1910 suggest that this was not the case, for this home at least. For most of their history, their core clientele was the children of poor respectable parents dealing with a crisis or who could not both work and care for their children. Thus, although prior to 1893 they did also care for a significant number of neglected children, and after 1893 fewer such children were admitted, the Home continued for more than 20 years to help families as they always had, providing a form of family support for which the child protection system was not designed.

76 FR 1460 - Notice Pursuant to the National Cooperative Research and Production Act of 1993-INS Global...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-10

... University, Toronto, Ontario, CANADA; Library Video Company, Wynnewood, PA; SMART Technologies, Calgary... project remains open, and INS Global Learning Consortium, Inc. intends to file additional written...

Health Canada/BIOTECanada Summit on regulatory and clinical topics related to subsequent entry biologics (biosimilars), Ottawa, Canada, 14 May 2012.

PubMed

Kay, Jonathan; Feagan, Brian G; Guirguis, Micheal S; Keystone, Edward C; Klein, Agnes V; Lubiniecki, Anthony S; Mould, Diane R; Nyarko, Kwasi A; Ridgway, Anthony A G; Trudeau, Maureen E; Wang, Jian

2012-11-01

In May 2012, Health Canada and other participants held a National Summit on Subsequent Entry Biologics (SEBs). Health Canada released a guidance document in March 2010 describing policy positions and data requirements for approval of SEBs. While Health Canada and health agencies in other regulatory jurisdictions are aligned on many scientific principles related to biosimilar drugs, Health Canada's specific requirements may not be widely understood by many Canadian stakeholders. The Summit provided an opportunity for education and dialog among physicians who prescribe biologics, provincial payers, and industry on the following topics: preclinical and clinical comparability studies; manufacturing and other product differences; extrapolation of indications; substitution and interchangeability of SEBs with reference biologic drugs in clinical practice; payers' current perspective; pharmacovigilance and naming. It is anticipated that the consensus reached at this meeting will further educate Canadian healthcare professionals, provincial payers, and insurers about the appropriate use of SEBs, and may be of general interest to others internationally. Copyright © 2012 The International Alliance for Biological Standardization. All rights reserved.

"Fear of Stigmatisation": Black Canadian Youths' Reactions to the Implementation of a Black-Focused School in Toronto

ERIC Educational Resources Information Center

Gordon, Megan K.; Zinga, Dawn M.

2012-01-01

The black-focused school introduced by the Toronto District School Board (TDSB) in 2009 has been controversial since the community consultations were conducted. Although media representations and Dei (1996, 2006) provide insight into what Torontonians' reactions are to the proposed black-focused school, the reactions of black youth in the Greater…

Academic Achievement, Academic Self-Concept, and Academic Motivation of Immigrant Adolescents in the Greater Toronto Area Secondary Schools

ERIC Educational Resources Information Center

Areepattamannil, Shaljan; Freeman, John G.

2008-01-01

The study examined the self-reported academic achievement, academic self-concept, and academic motivation of 573 immigrant and nonimmigrant adolescents in the Greater Toronto Area (GTA) secondary schools. Descriptive Discriminant Analyses indicated that the immigrant adolescents had higher performance in mathematics, higher math and school…

Modest rise in chlamydia and gonorrhoea testing did not increase case detection in a clinical HIV cohort in Ontario, Canada

PubMed Central

Burchell, Ann N; Grewal, Ramandip; Allen, Vanessa G; Gardner, Sandra L; Moravan, Veronika; Bayoumi, Ahmed M; Kaul, Rupert; McGee, Frank; Millson, Margaret (Peggy) E; Remis, Robert S; Raboud, Janet; Mazzulli, Tony; Rourke, Sean B

2014-01-01

Objectives We described patterns of testing for chlamydia and gonorrhoea infection among persons in specialty HIV care in Ontario, Canada, from 2008 to 2011. Methods We analysed data from 3165 participants in the OHTN Cohort Study attending one of seven specialty HIV care clinics. We obtained chlamydia and gonorrhoea test results via record linkage with the provincial public health laboratory. We estimated the proportion of participants who underwent testing annually, the positivity rate among those tested and the proportion diagnosed with chlamydia or gonorrhoea among all under observation. We explored risk factors for testing and diagnosis using multiple logistic regression analysis. Results The proportion tested annually rose from 15.2% (95% CI 13.6% to 16.7%) in 2008 to 27.0% (95% CI 25.3% to 28.6%) in 2011 (p<0.0001). Virtually all were urine-based nucleic acid amplification tests. Testing was more common among men who have sex with men (MSM), younger adults, Toronto residents, persons attending primary care clinics and persons who had tested in the previous year or who had more clinic visits in the current year. We observed a decrease in test positivity rates over time. However, the annual proportion diagnosed remained stable and in 2011 this was 0.97% (95% CI 0.61% to 1.3%) and 0.79% (95% CI 0.46% to 1.1%) for chlamydia and gonorrhoea, respectively. Virtually all cases were among MSM. Conclusions Chlamydia and gonorrhoea testing increased over time while test positivity rates declined and the overall proportion diagnosed remained stable, suggesting that the modest increase in testing did not improve case detection. PMID:25178285

JPRS Report, Telecommunications.

DTIC Science & Technology

1988-07-11

Telecommunications Contract From Malaysia [Toronto THE GLOBE AND MAIL, 19 May 88] 2 CHINA China on Satellite Communications, Space Development [Liu...alone. /9738 Bell Receives Telecommunications Contract From Malaysia 55200045 Toronto THE GLOBE AND MAIL in English 19 May 88 p B8 [Text] Bell...Canada International Inc., a unit of BCE Inc. of Montreal, has been awarded a two-year contract by Syarikat Telekom Malaysia Berhad (STM

Boundary Spanners and Advocacy Leaders: Black Educators and Race Equality Work in Toronto and London, 1968-1995

ERIC Educational Resources Information Center

Johnson, Lauri

2016-01-01

This comparative study examines the historical development of race equality efforts during the 1970s and 1980s in two global cities--Toronto and London--and the role of African Canadian and Black British educators in longstanding school-community partnerships. I characterize the leadership stance of Black educators as boundary spanners and…

Hereditary colorectal cancer registries in Canada: report from the Colorectal Cancer Association of Canada consensus meeting; Montreal, Quebec; October 28, 2011

PubMed Central

Rothenmund, H.; Singh, H.; Candas, B.; Chodirker, B.N.; Serfas, K.; Aronson, M.; Holter, S.; Volenik, A.; Green, J.; Dicks, E.; Woods, M.O.; Gilchrist, D.; Gryfe, R.; Cohen, Z.; Foulkes, W.D.

2013-01-01

At a consensus meeting held in Montreal, October 28, 2011, a multidisciplinary group of Canadian experts in the fields of genetics, gastroenterology, surgery, oncology, pathology, and health care services participated in presentation and discussion sessions for the purpose of developing consensus statements pertaining to the development and maintenance of hereditary colorectal cancer registries in Canada. Five statements were approved by all participants. PMID:24155632

Challenges facing physician scientist trainees: a survey of trainees in Canada's largest undergraduate and postgraduate programs in a single centre.

PubMed

Ballios, Brian G; Rosenblum, Norman D

2014-10-04

A number of indicators suggest that the physician scientist career track is threatened. As such, it is an opportune time to evaluate current training models. Perspectives on physician scientist education and career path were surveyed in trainees at the University of Toronto, home to Canada's longest standing physician scientist training programs. Trainees from the Clinician Investigator Program (CIP) and MD/PhD Program at the University of Toronto were surveyed. Liekert-style closed-ended questions were used to assess future career goals, present and future perspectives and concerns about and beliefs on training. Demographic information was collected regarding year of study, graduate degree program and focus of clinical and health research. Statistical analysis included non-parametric tests for sub-group comparisons. Both groups of trainees were motivated to pursue a career as a physician scientist. While confident in their decision to begin and complete physician scientist training, they expressed concerns about the level of integration between clinical and research training in the current programs. They also expressed concerns about career outlook, including the ability to find stable and sustainable careers in academic medicine. Trainees highlighted a number of factors, including career mentorship, as essential for career success. These findings indicate that while trainees at different stages consistently express career motivation, they identified concerns that are program- and training stage-specific. These concerns mirror those highlighted in the medical education literature regarding threats to the physician scientist career path. Understanding these different and changing perspectives and exploring those differences could form an important basis for trainee program improvements both nationally and internationally.

Perceptions of organizational capacity to promote physical activity in Canada and ParticipACTION’s influence five years after its relaunch: a qualitative study

PubMed Central

Subha, Ramanathan; Guy, Faulkner; Tanya, Berry; Sameer, Deshpande; Amy E., Latimer-Cheung; Ryan E., Rhodes; John C., Spence; Mark S., Tremblay

2018-01-01

Abstract Introduction: ParticipACTION is a Canadian physical activity communications and social marketing organization relaunched in 2007. The purpose of this study was to qualitatively investigate organizational capacity for physical activity promotion among Canadian organizations, and the influence of ParticipACTION on capacity five years after relaunch. Methods: Using a purposive sampling strategy, semi-structured telephone interviews were conducted with 44 key informants representing national, provincial, and local organizations with a mandate to promote physical activity. Interview data were analyzed using a thematic analytic approach. Results: Organizational capacity in terms of partnerships and collaborations, and the general climate for physical activity promotion have improved since ParticipACTION’s relaunch. Although financial resources reduced the ability of organizations to fulfil their mandates, internal factors such as skilled employees and sponsorships, and external factors such as technological improvements in communication and information sharing helped to offset this strain. There were mixed feelings on ParticipACTION’s contribution to capacity. While ParticipACTION has brought more attention to inactivity, this was perceived as a complement to work already taking place. While some organizations perceived ParticipACTION’s relaunch as competition to funding and access to popular media, others found it as an opportunity to co-brand social marketing campaigns, utilizing ParticipACTION’s products and reputation. Conclusion: According to participants, organizational capacity to promote physical activity in Canada has increased since 2007 in subtle but important ways because of a strong climate for physical activity promotion, skilled employees, and information sharing technology. Organizational capacity changes were minimally attributed to ParticipACTION. PMID:29671966

RED CELL GLUCOSE-6-PHOSPHATE DEHYDROGENASE DEFICIENCY--A NEWLY RECOGNIZED CAUSE OF NEONATAL JAUNDICE AND KERNICTERUS IN CANADA.

PubMed

NAIMAN, J L; KOSOY, M H

1964-12-12

Seven male newborns of Chinese, Greek and Italian origin presented with severe hemolytic jaundice due to red cell glucose-6-phosphate dehydrogenase (G-6-PD) deficiency. In five, the hemolysis was precipitated by inhalation of mothball vapours in the home. Kernicterus was evident upon admission in six infants and was fatal in four of these.G-6-PD deficiency should be suspected as a cause of jaundice in all full-term male infants of these ethnic groups. The diagnosis can be confirmed in any hospital by the methemoglobin reduction test. In areas similar to Toronto, Canada, where these high-risk ethnic groups prevail, the following measures are recommended: (1) detection of G-6-PD deficient newborns by screening cord bloods of all infants of these ethnic groups; (2) protection of affected infants from potentially hemolytic agents such as naphthalene, certain vitamin K preparations, and sulfonamides; and (3) observation of serum bilirubin levels to assess the need for exchange transfusion for hyperbilirubinemia.

Red Cell Glucose-6-Phosphate Dehydrogenase Deficiency—A Newly Recognized Cause of Neonatal Jaundice and Kernicterus in Canada

PubMed Central

Naiman, J. Lawrence; Kosoy, Martin H.

1964-01-01

Seven male newborns of Chinese, Greek and Italian origin presented with severe hemolytic jaundice due to red cell glucose-6-phosphate dehydrogenase (G-6-PD) deficiency. In five, the hemolysis was precipitated by inhalation of mothball vapours in the home. Kernicterus was evident upon admission in six infants and was fatal in four of these. G-6-PD deficiency should be suspected as a cause of jaundice in all full-term male infants of these ethnic groups. The diagnosis can be confirmed in any hospital by the methemoglobin reduction test. In areas similar to Toronto, Canada, where these high-risk ethnic groups prevail, the following measures are recommended: (1) detection of G-6-PD deficient newborns by screening cord bloods of all infants of these ethnic groups; (2) protection of affected infants from potentially hemolytic agents such as naphthalene, certain vitamin K preparations, and sulfonamides; and (3) observation of serum bilirubin levels to assess the need for exchange transfusion for hyperbilirubinemia. ImagesFig. 1 PMID:14226101

[Toronto clinical scoring system in diabetic peripheral neuropathy].

PubMed

Liu, Feng; Mao, Ji-Ping; Yan, Xiang

2008-12-01

To evaluate the application value of Toronto clinical scoring system (TCSS) and its grading of neuropathy for diabetic peripheral neuropathy (DPN), and to explore the relationship between TCSS grading of neuropathy and the grading of diabetic nephropathy and diabetic retinopathy. A total of 209 patients of Type 2 diabtes (T2DM) underwent TCSS. Taking electrophysiological examination as a gold standard for diagnosing DPN, We compared the results of TCSS score > or = 6 with electrophysiological examination, and tried to select the optimal cut-off points of TCSS. The corresponding accuracy, sensitivity, and specificity of TCSS score > or = 6 were 76.6%, 77.2%, and 75.6%, respectively.The Youden index and Kappa were 0.53 and 0.52, which implied TCSS score > or = 6 had a moderate consistency with electrophysiological examination. There was a linear positive correlation between TCSS grading of neuropathy and the grading of diabetic nephropathy and diabetic retinopathy (P<0.05). The optimal cut-off point was 5 or 6 among these patients. TCSS is reliable in diagnosing DPN and its grading of neuropathy has clinical value.

The impacts of precursor reduction and meteorology on ground-level ozone in the Greater Toronto Area

NASA Astrophysics Data System (ADS)

Pugliese, S. C.; Murphy, J. G.; Geddes, J. A.; Wang, J. M.

2014-08-01

Tropospheric ozone (O3) is a major component of photochemical smog and is a known human health hazard, as well as a damaging factor for vegetation. Its precursor compounds, nitrogen oxides (NOx) and volatile organic compounds (VOCs), have a variety of anthropogenic and biogenic sources and exhibit non-linear effects on ozone production. As an update to previous studies on ground-level ozone in the Greater Toronto Area (GTA), we present an analysis of NO2, VOC and O3 data from federal and provincial governmental monitoring sites in the GTA from 2000 to 2012. We show that, over the study period, summertime 24 h VOC reactivity and NO2 midday (11:00-15:00) concentrations at all sites decreased significantly; since 2000, all sites experienced a decrease in NO2 of 28-62% and in measured VOC reactivity of at least 53-71%. Comparing 2002-2003 to 2011-2012, the summed reactivity of OH towards NO2 and a suite of measured VOCs decreased from 8.6 to 4.6 s-1. Ratios of reactive VOC pairs indicate that the effective OH concentration experienced by primary pollutants in the GTA has increased significantly over the study period. Despite the continuous decrease in precursor levels, ozone concentrations are not following the same pattern at all stations; it was found that the Canada-wide Standard for ozone continues to be exceeded at all monitoring stations. Additionally, while the years 2008-2011 had consistently lower ozone levels than previous years, 2012 experienced one of the highest recorded summertime ozone concentrations and a large number of smog episodes. We demonstrate that these high ozone observations in 2012 may be a result of the number of days with high solar radiation, the number of stagnant periods and the transport of high ozone levels from upwind regions.

Accessing health services through the back door: a qualitative interview study investigating reasons why people participate in health research in Canada.

PubMed

Townsend, Anne; Cox, Susan M

2013-10-12

Although there is extensive information about why people participate in clinical trials, studies are largely based on quantitative evidence and typically focus on single conditions. Over the last decade investigations into why people volunteer for health research have become increasingly prominent across diverse research settings, offering variable based explanations of participation patterns driven primarily by recruitment concerns. Therapeutic misconception and altruism have emerged as predominant themes in this literature on motivations to participate in health research. This paper contributes to more recent qualitative approaches to understanding how and why people come to participate in various types of health research. We focus on the experience of participating and the meanings research participation has for people within the context of their lives and their health and illness biographies. This is a qualitative exploratory study informed by grounded theory strategies. Thirty-nine participants recruited in British Columbia and Manitoba, Canada, who had taken part in a diverse range of health research studies participated in semi-structured interviews. Participants described their experiences of health research participation including motivations for volunteering. Interviews were recorded, transcribed, and analyzed using constant comparisons. Coding and data management was supported by Nvivo-7. A predominant theme to emerge was 'participation in health research to access health services.' Participants described research as ways of accessing: (1) Medications that offered (hope of) relief; (2) better care; (3) technologies for monitoring health or illness. Participants perceived standard medical care to be a "trial and error" process akin to research, which further blurred the boundaries between research and treatment. Our findings have implications for recruitment, informed consent, and the dichotomizing of medical/health procedures as either research or

Women in Physics in Canada

NASA Astrophysics Data System (ADS)

McKenna, Janis

2012-10-01

Here we are in the 21st century in Canada, where most of us would say that young girls and boys have equal access to education, opportunities, and careers of their own choice. In Canada, women currently outnumber men in full-time university enrollment, in Medical Schools and in Law Schools. 48% of the Canadian work force is female, yet women make up only 21% of working professionals in science, engineering and technology. Canada-wide in Physics, the situation is such that only 20% of our BSc graduates are women, and 19% of our PhD graduates are women. It is evident that the ``leaky pipeline'' in Physics leaks most at a young age, before BSc graduation. High school physics statistics in BC indicate that while most of the grade 12 science and math disciplines have roughly equal numbers of young men and women enrolled, this is not the case for high school physics, where province-wide, only 30% of Physics 12 students are women. (Biology is also skewed, but in the other direction: 62% of Biology 12 students are women) This poster will present current statistics and will hopefully be a wake-up call for us all to consider participating in more outreach in science, and especially physics, in our high schools.

Cardiac rehabilitation in Canada and Arab countries: comparing availability and program characteristics.

PubMed

Turk-Adawi, Karam I; Terzic, Carmen; Bjarnason-Wehrens, Birna; Grace, Sherry L

2015-11-26

Despite the high burden of cardiovascular diseases in Arab countries, little is known about cardiac rehabilitation (CR) delivery. This study assessed availability, and CR program characteristics in the Arab World, compared to Canada. A questionnaire incorporating items from 4 national / regional published CR program surveys was created for this cross-sectional study. The survey was emailed to all Arab CR program contacts that were identified through published studies, conference abstracts, a snowball sampling strategy, and other key informants from the 22 Arab countries. An online survey link was also emailed to all contacts in the Canadian Association of Cardiovascular Prevention and Rehabilitation directory. Descriptive statistics were used to describe all closed-ended items in the survey. All open-ended responses were coded using an interpretive-descriptive approach. Eight programs were identified in Arab countries, of which 5 (62.5 %) participated; 128 programs were identified in Canada, of which 39 (30.5%) participated. There was consistency in core components delivered in Arab countries and Canada; however, Arab programs more often delivered women-only classes. Lack of human resources was perceived as the greatest barrier to CR provision in all settings, with space also a barrier in Arab settings, and financial resources in Canada. The median number of patients served per program was 300 for Canada vs. 200 for Arab countries. Availability of CR programs in Arab countries is incredibly limited, despite the fact that most responses stemmed from high-income countries. Where available, CR programs in Arab countries appear to be delivered in a manner consistent with Canada.

Breaking the Myth of Flexible Work: Contingent Work in Toronto. A Study Conducted by the Contingent Workers Project.

ERIC Educational Resources Information Center

de Wolff, Alice

A survey of 205 people, 4 group interviews with approximately 30 people, and 6 design and analysis meetings involving approximately 40 people were conducted in a 1999 participatory study of contingent workers in Toronto. (Contingent work was defined to be lower-waged forms of non-permanent work arrangements that include contracting, employment…

Sex With Neighbors: Canada and Canadians in the U.S. Homophile Press.

PubMed

Stein, Marc

2017-01-01

This article examines U.S. homophile magazine contributions from and representations of Canada from 1953 to 1964. Drawing on 240 articles, letters, and other items that were published in ONE, Mattachine Review, and The Ladder, the essay first reviews Canadian-authored materials and then shows that U.S. gay and lesbian movement periodicals depicted Canada as more sexually conservative than the United States in three ways and more sexually liberal in one way. The magazines presented Canada as more sexually conservative in its failure to develop an organized gay and lesbian movement, its policies and practices of sexual censorship, and its opposition to progressive homosexual law reform. They portrayed Canada as more sexually liberal in the ways that its mainstream media covered homosexuality. The essay argues that U.S. homophile representations of Canada participated in the ongoing construction and reconstruction of U.S. nationalism. In demonstrating that the magazines generally represented Canada as more sexually conservative than the United States in the years from 1953 to 1964, the essay also shows that more recent depictions of Canada as more sexually liberal are relatively new.

Phoenix Rising: The Helen Sawyer Hogg Telescope Finds a New Home in Argentina.

NASA Astrophysics Data System (ADS)

Garrison, R. F.; Levato, O. H.

2004-12-01

For 26 years (1971-1997), the University of Toronto operated a very productive 60-cm optical telescope on Carnegie's Cerro Las Campanas in north-central Chile. Due to a series of cutbacks in subsidies through NSERC, Canada's research-funding agency, the doors were closed on 01 July 1997 (Canada Day). Following an agreement between astronomers at DDO (Canada) and CASLEO, Argentina, the telescope and dome were relocated on Cerro Burek in Parque Nacional El Leoncita, Argentina, just on the other side of the Andes from Ovalle, Chile. The new building is 3 meters higher and has a dozen ventilating windows. The result is unexpectedly superior seeing. The average point spread function is 0.7 arcseconds. During construction of the building and rebuilding of the telescope, all decisions were made with the intention of operating the telescope remotely, initially from the warmroom of the CASLEO 2.15 meter telescope and ultimately from Toronto and San Juan.

Long-term athlete development Canada: attempting system change and multi-agency cooperation.

PubMed

Norris, Stephen R

2010-01-01

This text provides a synopsis, as well as some greater detail, concerning the "Canadian Sport for Life" project Long-Term Athlete Development Canada (LTAD) initiated in 2004. The genesis of the project may be found in the Canadian Sport Policy released in 2002 by Sport Canada, the sport participation and performance agency within the Canadian Heritage Ministry of the Canadian Government. The project has grown from relatively humble beginnings to become a system-wide movement and catalyst for change that encompasses not only sport participation and excellence, but also aspects to do with education, health, and general recreation. Additionally, it involves all age groups (cradle to grave). Although the project was initiated on behalf of performance sport, it is a clear example of how sport can influence and interact with many facets of a society. In Canada, LTAD clearly is tied to a philosophy that spans a broad narrative from healthy active lives to elite sport performance.

Ethno-cultural diversity in the experience of widowhood in later life: Chinese widows in Canada.

PubMed

Martin-Matthews, Anne; Tong, Catherine E; Rosenthal, Carolyn J; McDonald, Lynn

2013-12-01

This paper utilizes Helena Znaniecka Lopata's concept of life frameworks as a lens through which to understand the experience of widowhood amongst elderly Chinese immigrant women living in Toronto, Canada. While Lopata defined life frameworks as including social supports, social relations and social roles, for these widows, personal resources (framed in Chinese cultural context) were also important aspects of life frameworks. In-depth interviews with 20 widows contacted through a Chinese community center were conducted in Mandarin and Cantonese and then transcribed and interpreted through team-based qualitative analyses. These women ranged in age from 69 to 93 years and had been in Canada an average of 17 years, with over half of them widowed following immigration. Our analysis framed the widows' narratives in terms of four types of supports defined by Lopata: social, service, financial and emotional supports. They had fairly extensive social and service supports focused primarily around family and the Chinese community. Although norms of filial piety traditionally dictate sons as primary supports, daughters predominated as providers of supports to these widows. Interpreted from a life course perspective, financial supports were deemed sufficient, despite overall limited financial means. Emotional support was more nuanced and complex for these widows. Loneliness and feelings of social isolation were prevalent. Nevertheless, themes of acceptance and satisfaction dominated our findings, as did reciprocity and exchange. The narrative accounts of these widows depict a complexity of experience rooted in their biographies as Chinese women and as immigrants, rather than primarily in widowhood itself. © 2013.

Disabilities and Inclusive Practices within Toronto Preschools

ERIC Educational Resources Information Center

Killoran, Isabel; Tymon, Dorothy; Frempong, George

2007-01-01

A current objective in Canada is a provision of childcare services for all children. This objective has not been achieved as many children, especially those with disabilities, are often denied services from publicly funded daycare centres. The authors argue that policy discussions framed from an inclusive perspective provide a better understanding…

Closeness and Competition in the Inter-Ethnic and Co-Ethnic Friendships of Early Adolescents in Toronto and Montreal

ERIC Educational Resources Information Center

Schneider, Barry H.; Dixon, Kristopher; Udvari, Stephen

2007-01-01

The purpose of this study is to compare the inter-ethnic and co-ethnic friendships of 390 junior high school students in multi-ethnic neighborhoods of Montreal and Toronto. Friendship dyads were identified on the basis of reciprocal nomination as close friends. The quality of the friendships was measured by questionnaires completed by both members…

Exploring spatial patterns of sudden cardiac arrests in the city of Toronto using Poisson kriging and Hot Spot analyses

PubMed Central

2017-01-01

Introduction Our study looked at out-of-hospital sudden cardiac arrest events in the City of Toronto. These are relatively rare events, yet present a serious global clinical and public health problem. We report on the application of spatial methods and tools that, although relatively well known to geographers and natural resource scientists, need to become better known and used more frequently by health care researchers. Materials and methods Our data came from the population-based Rescu Epistry cardiac arrest database. We limited it to the residents of the City of Toronto who experienced sudden arrest in 2010. The data was aggregated at the Dissemination Area level, and population rates were calculated. Poisson kriging was carried out on one year of data using three different spatial weights. Kriging estimates were then compared in Hot Spot analyses. Results Spatial analysis revealed that Poisson kriging can yield reliable rates using limited data of high quality. We observed the highest rates of sudden arrests in the north and central parts of Etobicoke, western parts of North York as well as the central and southwestern parts of Scarborough while the lowest rates were found in north and eastern parts of Scarborough, downtown Toronto, and East York as well as east central parts of North York. Influence of spatial neighbours on the results did not extend past two rings of adjacent units. Conclusions Poisson kriging has the potential to be applied to a wide range of healthcare research, particularly on rare events. This approach can be successfully combined with other spatial methods. More applied research, is needed to establish a wider acceptance for this method, especially among healthcare researchers and epidemiologists. PMID:28672029

Exploring spatial patterns of sudden cardiac arrests in the city of Toronto using Poisson kriging and Hot Spot analyses.

PubMed

Przybysz, Raymond; Bunch, Martin

2017-01-01

Our study looked at out-of-hospital sudden cardiac arrest events in the City of Toronto. These are relatively rare events, yet present a serious global clinical and public health problem. We report on the application of spatial methods and tools that, although relatively well known to geographers and natural resource scientists, need to become better known and used more frequently by health care researchers. Our data came from the population-based Rescu Epistry cardiac arrest database. We limited it to the residents of the City of Toronto who experienced sudden arrest in 2010. The data was aggregated at the Dissemination Area level, and population rates were calculated. Poisson kriging was carried out on one year of data using three different spatial weights. Kriging estimates were then compared in Hot Spot analyses. Spatial analysis revealed that Poisson kriging can yield reliable rates using limited data of high quality. We observed the highest rates of sudden arrests in the north and central parts of Etobicoke, western parts of North York as well as the central and southwestern parts of Scarborough while the lowest rates were found in north and eastern parts of Scarborough, downtown Toronto, and East York as well as east central parts of North York. Influence of spatial neighbours on the results did not extend past two rings of adjacent units. Poisson kriging has the potential to be applied to a wide range of healthcare research, particularly on rare events. This approach can be successfully combined with other spatial methods. More applied research, is needed to establish a wider acceptance for this method, especially among healthcare researchers and epidemiologists.

Planning for strategic change? A participative planning approach for community hospitals.

PubMed

MacDonald, S K; Beange, J E; Blachford, P C

1992-01-01

Strategic planning is becoming to hospitals what business case analysis is to private corporations. In fact, this type of planning is becoming essential for the professional management of Ontario hospitals. The participative strategic planning process at Toronto East General Hospital (TEGH) is an example of how a professionally structured and implemented strategic planning process can be successfully developed and implemented in a community hospital. In this article, the environmental factors driving planning are reviewed and the critical success factors for the development and implementation of a strategic plan are examined in the context of TEGH's experience.

Modest rise in chlamydia and gonorrhoea testing did not increase case detection in a clinical HIV cohort in Ontario, Canada.

PubMed

Burchell, Ann N; Grewal, Ramandip; Allen, Vanessa G; Gardner, Sandra L; Moravan, Veronika; Bayoumi, Ahmed M; Kaul, Rupert; McGee, Frank; Millson, Margaret Peggy E; Remis, Robert S; Raboud, Janet; Mazzulli, Tony; Rourke, Sean B

2014-12-01

We described patterns of testing for chlamydia and gonorrhoea infection among persons in specialty HIV care in Ontario, Canada, from 2008 to 2011. We analysed data from 3165 participants in the OHTN Cohort Study attending one of seven specialty HIV care clinics. We obtained chlamydia and gonorrhoea test results via record linkage with the provincial public health laboratory. We estimated the proportion of participants who underwent testing annually, the positivity rate among those tested and the proportion diagnosed with chlamydia or gonorrhoea among all under observation. We explored risk factors for testing and diagnosis using multiple logistic regression analysis. The proportion tested annually rose from 15.2% (95% CI 13.6% to 16.7%) in 2008 to 27.0% (95% CI 25.3% to 28.6%) in 2011 (p<0.0001). Virtually all were urine-based nucleic acid amplification tests. Testing was more common among men who have sex with men (MSM), younger adults, Toronto residents, persons attending primary care clinics and persons who had tested in the previous year or who had more clinic visits in the current year. We observed a decrease in test positivity rates over time. However, the annual proportion diagnosed remained stable and in 2011 this was 0.97% (95% CI 0.61% to 1.3%) and 0.79% (95% CI 0.46% to 1.1%) for chlamydia and gonorrhoea, respectively. Virtually all cases were among MSM. Chlamydia and gonorrhoea testing increased over time while test positivity rates declined and the overall proportion diagnosed remained stable, suggesting that the modest increase in testing did not improve case detection. 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.

Substances used in completed suicide by overdose in Toronto: an observational study of coroner's data.

PubMed

Sinyor, Mark; Howlett, Andrew; Cheung, Amy H; Schaffer, Ayal

2012-03-01

To identify the substances used by people who die from suicide by overdose in Toronto and to determine the correlates of specific categories of substances used. Coroner's records for all cases of suicide by overdose in Toronto, Ontario, during a 10-year period (1998 to 2007) were examined. Data collected included demographic data, all substances detected, and those determined by the coroner to have caused death. Logistic regression analyses were used to examine demographic and clinical factors associated with suicide by different drug types. There were 397 documented suicides by overdose (mean age 49.1 years, 50% female). Most substances detected were psychotropic prescription medications (n = 245), followed by other prescription medications (n = 143) and over-the-counter (OTC) medications (n = 83). More than one-half of all suicides by overdose were determined to have only one specific substance as the cause of death (n = 206). In suicides where only one class of substance was present in lethal amounts, OTC medication (n = 48), opioid analgesics (n = 44), and tricyclic antidepressants (n = 44) were most common. Suicides by overdose involved the use of different classes of substances, including psychotropic prescription medication, other prescription medications, as well as OTC medications. Physicians and pharmacists should be aware of commonly used prescription and OTC medications in overdose and exercise increased vigilance in prescribing or dispensing them to at-risk patients.

Transport Canada's surveys of seat belt use in Canada, 2004-2005

DOT National Transportation Integrated Search

2006-02-01

The September 2004 and September 2005 surveys measured the seat belt usage rate separately in : rural Canada and urban Canada. Rural Canada was defined as towns with a population of less : than 10,000 but more than 1,000 that are located outside any ...

Accessing health services through the back door: a qualitative interview study investigating reasons why people participate in health research in Canada

PubMed Central

2013-01-01

Background Although there is extensive information about why people participate in clinical trials, studies are largely based on quantitative evidence and typically focus on single conditions. Over the last decade investigations into why people volunteer for health research have become increasingly prominent across diverse research settings, offering variable based explanations of participation patterns driven primarily by recruitment concerns. Therapeutic misconception and altruism have emerged as predominant themes in this literature on motivations to participate in health research. This paper contributes to more recent qualitative approaches to understanding how and why people come to participate in various types of health research. We focus on the experience of participating and the meanings research participation has for people within the context of their lives and their health and illness biographies. Methods This is a qualitative exploratory study informed by grounded theory strategies. Thirty-nine participants recruited in British Columbia and Manitoba, Canada, who had taken part in a diverse range of health research studies participated in semi-structured interviews. Participants described their experiences of health research participation including motivations for volunteering. Interviews were recorded, transcribed, and analyzed using constant comparisons. Coding and data management was supported by Nvivo-7. Results A predominant theme to emerge was 'participation in health research to access health services.’ Participants described research as ways of accessing: (1) Medications that offered (hope of) relief; (2) better care; (3) technologies for monitoring health or illness. Participants perceived standard medical care to be a “trial and error” process akin to research, which further blurred the boundaries between research and treatment. Conclusions Our findings have implications for recruitment, informed consent, and the dichotomizing of medical

Neurosurgery workforce in Canada, 1996 to 2011. Canadian Neurosurgical Society.

PubMed Central

Hugenholtz, H

1996-01-01

OBJECTIVE. To determine the number of neurosurgeons in clinical practice in Canada on Jan. 1, 1996, and their practice profile and to determine requirements for 2001 and 2011. DESIGN. Telephone survey and national mail survey. SETTING. Canada. PARTICIPANTS. All 174 neurosurgeons in Canada engaged in active clinical practice on Jan. 1, 1996, and all residents enrolled in neurosurgery training programs in Canada during the 1995-96 academic year. OUTCOME MEASURES. Demographic characteristics, full-time equivalents, workload, attrition, reasons for exit, vacancies, supply and shortfall. RESULTS. All 174 neurosurgeons responded to the survey. There is a chronic shortage of 25 neurosurgeons in Canada. Sixty-two established neurosurgeons will have stopped practice by 2001 and 181 by 2011. They will need to be replaced, for a total requirement of 87 and 206 neurosurgeons by 2001 and 2011 respectively. Canadian neurosurgery training programs can currently generate only up to 69 and 177 graduates by 2001 and 2011 respectively. During the period 1985-95, 50% of neurosurgery graduates emigrated from Canada within 2 years of obtaining certification, creating potential deficits of up to 52 and 117 neurosurgeons by 2001 and 2011 respectively. CONCLUSIONS. Strategies need to be developed quickly to address not only the chronic shortfall but also the attrition of established neurosurgeons. Strategies to increase and retain the number of Canadian neurosurgery graduates are also needed. PMID:8673984

The Future of Postgraduate Medical Education in Canada.

PubMed

Busing, Nick; Harris, Ken; MacLellan, Anne-Marie; Moineau, Geneviève; Oandasan, Ivy; Rourke, James; Saxena, Anurag

2015-09-01

The Future of Medical Education in Canada Postgraduate (FMEC PG) Project was launched in 2010 by a consortium of four organizations: the Association of Faculties of Medicine of Canada, the Collège des Médecins du Québec, the College of Family Physicians of Canada, and the Royal College of Physicians and Surgeons of Canada. The FMEC PG study set out to review the state of the Canadian postgraduate medical education (PGME) system and make recommendations for improvements and changes. The extensive process included literature reviews, commissioned papers, stakeholder interviews, international consultations, and dialogue with the public and learners. The resulting key findings and 10 recommendations, published in a report in 2012, represent the collective vision of the consortium partner organizations for PGME in Canada. Implementation of the recommendations began in 2013 and will continue beyond 2016.In this article, the authors describe the complex process of developing the recommendations, highlight several recommendations, consider implementation processes and issues, and share lessons learned to date. They reflect on the ways in which the transformation of a very complex and complicated PGME system has required many stakeholders to work together on multiple interventions simultaneously. Notwithstanding the challenges for the participating organizations, changes have been introduced and sustainability is being forged. Throughout this process, the consortium partners and other stakeholders have continued to address the social accountability role of all physicians with respect to the public they serve.

Survey of Trends in Adult Education and Training in Canada (1985-1995). Report of Canada in Preparation for CONFINTEA V.

ERIC Educational Resources Information Center

Beaudet, Gaetan; Senechal, Gilles

Between 1985 and 1995, the progress of adult education in Canada was largely influenced by the restructuring of the economy and the job market; the changing nature of the state; the media and new information and communication technologies; and social and cultural change. Adult participation in education and training increased from 19 percent in…

Changes in the volume, power and nutritional quality of foods marketed to children on television in Canada

PubMed Central

Potvin Kent, Monique; Martin, Cherie L; Kent, Emily A

2014-01-01

Objective To evaluate the self-regulatory Children's Food and Beverage Advertising Initiative pre- and post-implementation in terms of volume of marketing, marketing techniques, and nutritional quality of foods marketed to children on television. Methods Data for 11 food categories for May 2006 and 2011 were purchased from Nielsen Media Research for two children's specialty channels in Toronto. A content analysis of food advertisements examining the volume and marketing techniques was undertaken. Nutritional information on each advertisement was collected and comparisons were made between 2006 and 2011. Results The volume of ads aired by Canadian Children's Food and Beverage Advertising Initiative (CAI) companies on children's specialty channels decreased by 24% between 2006 and 2011; however, children and teens were targeted significantly more, and spokes-characters and licensed characters were used more frequently in 2011 compared to 2006. The overall nutritional quality of CAI advertisements remains unchanged between 2006 and 2011. Conclusion There are clear weaknesses in the self-regulatory system in Canada. Food advertising needs to be regulated to protect the health of Canadian children. PMID:24975614

Entity Profiling for Intelligence Using the Graphical Overview of Social and Semantic Interactions of People (GOSSIP) Software Tool

DTIC Science & Technology

2010-11-01

TR 2010-188; R & D pour la défense Canada – Toronto; Novembre 2010. Introduction ou contexte : En règle générale, l’analyste du renseignement ou...model humans Series3 DRDC Toronto TR 2010-188 13 Figure 4. continued. Profiles for famous names generated by subjects and the model...document is classified) 13 . ABSTRACT (A brief and factual summary of the document. It may also appear elsewhere in the body of the document itself. It is

Transnational surrogacy: Canada's contradictions.

PubMed

Lozanski, Kristin

2015-01-01

Transnational commercial surrogacy represents a form of medical tourism undertaken by intended parents who seek to hire women in other countries, increasingly often in the global South, as surrogates. While much of the scholarly literature focuses on the conditions of surrogacy within host countries, such as India, there has been limited analysis of transnational surrogacy focused upon origin countries. In this article, I build upon the scholarship that explores the impact of host country structures on transnational surrogacy, with special attention to the significance of Canadian citizenship policy through analysis of legislation and policy vis-à-vis transnational commercial surrogacy. The Canadian case demonstrates clear contradictions between the legislation and policy that is enacted domestically to prohibit commercial surrogacy within Canada and legislation and policy that implicitly sanctions commercial surrogacy through the straightforward provision of citizenship for children born of such arrangements abroad. The ethical underpinnings of Canada's domestic prohibition of commercial surrogacy, which is presumed to exploit women and children and to impede gender equality, are violated in Canada's bureaucratic willingness to accept children born of transnational commercial surrogacy as citizens. Thus, the ethical discourses apply only to Canadian citizens within Canadian geography. The failure of the Canadian government to hold Canadian citizens who participate in transnational commercial surrogacy to the normative imperatives that prohibit the practice within the country, or to undertake a more nuanced, and necessarily controversial, discussion of commercial surrogacy reinforces transnational disparities in terms of whose bodies may be commodified as a measure of gendered inequality. Copyright © 2014 Elsevier Ltd. All rights reserved.

Communication beliefs about youth and old age in Asia and Canada.

PubMed

Ryan, Ellen Bouchard; Jin, Youngsun; Anas, Ann P; Luh, Jessica J

2004-12-01

Two cross-cultural studies compared beliefs in Asia and Canada about communication in later life. With an expanded version of the Language in Adulthood Questionnaire, respondents rated a young or old adult target on communication skills selected to elicit both negative and positive stereotypes. Chinese, Chinese-Canadian, and Canadian participants were compared in Study 1 while younger and older respondents from South Korea and Canada were contrasted in Study 2. All groups showed negative beliefs about hearing and memory in old age. Positive communication beliefs were also evident for empathy, storytelling and social skills. Participants in Asia showed less stereotyping overall, for both negative and positive beliefs. Significant age interactions in Study 2 reflected positive communication beliefs only for the older participants. In line with recent investigations of the multidimensional impact of Eastern traditions, greater positivity toward older adults was not observed in Asia. This work highlights the importance of assessing both positive and negative age beliefs in cross-cultural comparisons.

78 FR 77615 - Airworthiness Directives; Bombardier, Inc. Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-24

... information identified in this proposed AD, contact Bombardier, Inc., Q-Series Technical Help Desk, 123... Technical Help Desk, 123 Garratt Boulevard, Toronto, Ontario M3K 1Y5, Canada; telephone 416-375-4000; fax...

Early school leaving among immigrants in Toronto secondary schools.

PubMed

Anisef, Paul; Brown, Robert S; Phythian, Kelli; Sweet, Robert; Walters, David

2010-05-01

While education statistics confirm that there is little difference in the dropout rates of native-born and immigrant youth, analyses of Toronto District School Board (TDSB) data have revealed significant variation in school persistence within immigrant groups. Among newcomer youth, the decision to leave school early has been reported to be strongly influenced by socioeconomic status as well as such factors as country of origin, age at arrival, generational status, family structure, and academic performance. While living in low-income conditions is thought to place both foreign- and Canadian-born youth at risk of poor school performance and early school withdrawal, their substantially higher incidence of poverty suggests that today's immigrant youth are likely to face greater obstacles to academic success that may in turn have detrimental, long-term consequences. This paper uses TDSB data to investigate the extent to which living below the low-income cutoff affects the likelihood of dropping out of secondary school, while taking into account generational status as well as a variety risk factors, noted above. Policy implications are discussed.

Are immigrants in Canada over-represented in riskier jobs relative to Canadian-born labor market participants?

PubMed

Tiagi, Raaj

2015-09-01

This paper uses new data to examine the gap in injury and fatality rates between immigrant men and women and their Canadian-born counterparts. Data from the 2011 National Household Survey and the Association of Workers' Compensation Boards of Canada were used to determine the difference in occupational and industry injury and fatality rates between various arrival cohorts of immigrants and those Canadian born. For both men and women, there is no significant difference in occupational injury and fatality rates between various arrival cohorts of immigrants and Canadian-born workers. However, industry injury and fatality rates are lower for the most recent arrival cohorts of immigrants relative to Canadian-born workers. Although immigrants face many hurdles and challenges in their resettlement process in Canada, given the evidence from the paper, they are not likely to be at higher risk for work-related injuries relative to those Canadian-born. © 2015 Wiley Periodicals, Inc.

Terrorism in Canada.

PubMed

Kollek, Daniel

2003-01-01

This paper reviews terrorism in Canada, assessing the incidence and nature of terrorist activity, the potential targets of terrorist attacks, risk factors to Canadian nationals and institutions, and the responses of the Canadian government in dealing with the threat and the effectiveness of those responses. Despite the fact that there have been no recent high-profile terrorist events in Canada, this country has a serious terrorism problem, the key manifestation of which is the multitude of terrorist organizations that have designated Canada as a base of operations. In addition, Canadians have been attacked overseas and Canadian organizations, both local and abroad, are potential targets of terrorist activity. Canadian attempts to deal with terrorism through foreign and domestic policy have been ineffective, primarily because the policies have been poorly enforced. Until recently, terrorist organizations legally could raise funds in Canada, in direct contravention of international treaties signed by Canada. It is possible that the ineffectiveness in enforcing the anti-terrorism legislation stems from hope that placating terrorist organizations, and the countries that support them, will prevent Canada from becoming a target. Unfortunately evidence from other countries has shown this strategy to be ineffective.

Ethnic differences in mental health service use among White, Chinese, South Asian and South East Asian populations living in Canada.

PubMed

Tiwari, Suresh K; Wang, Jianli

2008-11-01

Health services in Canada are publicly funded. However, the use of health services, especially mental health services, by ethnic minority groups in Canada, has not been well studied. The objectives of the study were to estimate the 12-month prevalence of mental health service use by ethnicities, overall and among those with major depression, and to identify factors associated with mental health services use in different ethnic groups in Canada. Data from the Canadian Community Health Survey (CCHS-1.1) were used. Participants included in this analysis were white who were born in Canada (n = 108,192), white immigrants (n = 10,892), Chinese (n = 1,785), South Asian (n = 1,214), and South East Asian immigrants (n = 818). Participants were selected using multiple staged, stratified random sampling procedures from household residents aged 12 years or older in ten provinces. White people were more likely to have used mental health services than Chinese participants and those from South Asian and South East Asian regions. The Chinese participants appeared to be less likely to have used mental health services than those in the South Asian and South East Asian groups, in those without major depression. In Canada, Asian immigrants are less likely to use mental health service use than white people. More studies are needed to examine factors affecting mental health service use in Asian immigrants living in North America.

Asian International Student Transition to High School in Canada

ERIC Educational Resources Information Center

Popadiuk, Natalee

2010-01-01

There is a paucity of studies conducted with unaccompanied adolescent international students. In this qualitative inquiry, I present a thematic analysis of the critical incidents that Chinese, Japanese, and Korean participants reported as either facilitating or hindering to their transition to Canada. Using the Critical Incident Technique, I…

Magnetic resonance imaging in Canada: dissemination and funding.

PubMed

Rankin, R N

1999-04-01

To determine the dissemination of magnetic resonance imaging (MRI) units in Canada, and the funding sources used to buy, site and operate them. Review of available data in the medical literature and on the Internet to determine dissemination. Based on these data, a survey was faxed to all the MRI sites in Canada requesting information on sources of funding, hours of operation, numbers of examinations performed and expansion plans. There were 53 operating MRI sites in Canada at the end of 1997. There are 1.7 MRI units per 1 million population in Canada, compared with 4.3 per 1 million for a range of comparable European countries, and 9.4 per 1 million for a worldwide sample of similar industrial countries. The survey showed that a minority of sites received any government funding for capital acquisition (23%) or related building costs (19%). A direct government grant to at least partially cover operating costs was available at 42% of sites. The average numbers of examinations performed was 3653 per site per year, with average operating hours of 64 per week, and a throughput of 1.1 examinations per hour. These figures are equivalent to those from sites in other countries. Despite the fact that Canada has a state-funded health care system, the single payer--government--is the smallest participant in funding MRI. MRI is widely accepted as a major advance in medical imaging, with future expansion in its capabilities assured. The important role of MRI in medical diagnosis and treatment is undisputed. Canada's position as the country with the lowest dissemination of this technology, and the need for a strategy to fund future technology acquisition in the health care system, must be addressed by all levels of government.

The Senior Toronto Oncology Panel (STOP) Study: Research Participation for Older Adults With Cancer and Caregivers.

PubMed

Puts, Martine T E; Sattar, Schroder; Fossat, Takami; Fitch, Margaret I; Macdonald, Geraldine J; Hsu, Tina; Szumacher, Ewa; Stephens, Douglas A; Robinson, Joseph; Macdonald, David; Choate, Andrew S; Pitters, Eric; Liu, Barbara; Jeffs, Lianne; McGilton, Katherine S; Alibhai, Shabbir M H

2017-10-01

Background: Patient engagement in research may lead to better-designed studies and improved health outcomes. The objectives of this study were to identify the research priorities of older adults with cancer (OAWCs) and their caregivers and examine how to engage these individuals in research teams and what supports are needed. Methods: We conducted 3 public meetings and 7 focus groups to delineate research priorities and the supports needed to facilitate integration of OAWCs and their caregivers on research teams. Results: A total of 33 older adults and 19 caregivers attended a public meeting and 27 older adults and 17 caregivers participated in a focus group. Most of the OAWCs and their caregivers had never participated in research before. Three themes were identified from the focus groups: (1) motivation to be on a team; (2) ability to make meaningful contributions; and (3) logistical considerations to facilitate engagement. Most participants were motivated to be a research team member and be involved in all steps of research if it could benefit them or future patients and caregivers. OAWCs and their caregivers were highly motivated to improve outcomes. Required logistics included flexibility regarding time and location, accessibility to computer technology, transportation support, materials worded in lay language, and attending/having short training sessions, as well as the presence of peer support. Conclusions: OAWCs and their caregivers are very motivated and willing to participate in research and to be research team members. Logistics and the social aspects of being on a team are important. Copyright © 2017 by the National Comprehensive Cancer Network.

Learning Experience.

ERIC Educational Resources Information Center

Kapelos, George Thomas

2001-01-01

Considers how a controversial new student residence hall at the University of Toronto, Canada, has focused the community's attention on the use of contemporary architecture in dormitory design. Photos and site and floor plans are provided. (GR)

A population-based study of premature mortality in relation to neighbourhood density of alcohol sales and cheque cashing outlets in Toronto, Canada.

PubMed

Matheson, Flora I; Creatore, Maria Isabella; Gozdyra, Piotr; Park, Alison L; Ray, Joel G

2014-12-17

Alcohol overuse and poverty, each associated with premature death, often exist within disadvantaged neighbourhoods. Cheque cashing places (CCPs) may be opportunistically placed in disadvantaged neighbourhoods, where customers abound. We explored whether neighbourhood density of CCPs and alcohol outlets are each related to premature mortality among adults. Retrospective population-based study. 140 neighbourhoods in Toronto, Ontario, 2005-2009. Adults aged 20-59 years. Our primary outcome was premature all-cause mortality among adults aged 20-59 years. Across neighbourhoods we explored neighbourhood density, in km(2), of CCPs and alcohol outlets, and the relation of each to premature mortality. Poisson regression provided adjusted relative risks (aRRs) and 95% CIs, adjusting for material deprivation quintile (Q), crime Q and number of banks. Intentional self-harm, accidental poisoning and liver disease were among the top five causes of premature death among males aged 20-59 years. The overall premature mortality rate was 96.3/10,000 males and 55.9/10,000 females. Comparing the highest versus lowest CCP density Q, the aRR for death was 1.25 (95% CI 1.15 to 1.36) among males and 1.11 (95% CI 0.99 to 1.24) among females. The corresponding aRR comparing the highest Q versus lowest Q alcohol outlet density in relation to premature mortality was 1.36 (95% CI 1.25 to 1.48) for males and 1.11 (95% CI 1.00 to 1.24) for females. The pattern of the relation between either CCPs or alcohol outlet density and premature mortality was typically J shaped. There is a J-shaped relation between CCP or alcohol outlet density and premature mortality, even on controlling for conventional measures of poverty. Formal banking and alcohol reduction strategies might be added to health promotion policies aimed at reducing premature mortality in highly affected neighbourhoods. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please

Incident detection on an arterial roadway

DOT National Transportation Integrated Search

1997-01-01

Presented here is the development of an automatic incident detection algorithm for use on Lakeshore Boulevard, Toronto, Canada, based on volume or occupancy data recorded from fixed-loop detectors. Four prospective logics were based on 20-sec interva...

Generation X Leaders from London, New York and Toronto: Conceptions of Social Identity and the Influence of City-Based Context

ERIC Educational Resources Information Center

Edge, Karen; Descours, Katherine; Oxley, Laura

2017-01-01

Inspired by scholarly calls to focus more intently on the influence of context on leaders' construction and negotiation of identity, this paper draws on evidence from our Economic and Social Research Council (ESRC) project in London, New York City and Toronto. Throughout the paper, we strive to illuminate how the city-based context influences how…

Concurrent Disorders and Health Care Utilization Among Homeless and Vulnerably Housed Persons in Canada.

PubMed

Zhang, Linda; Norena, Monica; Gadermann, Anne; Hubley, Anita; Russell, Lara; Aubry, Tim; To, Matthew J; Farrell, Susan; Hwang, Stephen; Palepu, Anita

2018-01-01

Individuals who are homeless or vulnerably housed have a higher prevalence of concurrent disorders, defined as having a mental health diagnosis and problematic substance use, compared to the general housed population. The study objective was to investigate the effect of having concurrent disorders on health care utilization among homeless or vulnerably housed individuals, using longitudinal data from the Health and Housing in Transition Study. In 2009, 1190 homeless or vulnerably housed adults were recruited in Ottawa, Toronto, and Vancouver, Canada. Participants completed baseline interviews and four annual follow-up interviews, providing data on sociodemographics, housing history, mental health diagnoses, problematic drug use with the Drug Abuse Screening Test (DAST-10), problematic alcohol use with the Alcohol Use Disorders Identification Test (AUDIT), chronic health conditions, and utilization of the following health care services: emergency department (ED), hospitalization, and primary care. Concurrent disorders were defined as the participant having ever received a mental health diagnosis at baseline and having problematic substance use (i.e., DAST-10 ≥ 6 and/or AUDIT ≥ 20) at any time during the study period. Three generalized mixed effects logistic regression models were used to examine the independent association of having concurrent disorders and reporting ED use, hospitalization, or primary care visits in the past 12 months. Among our sample of adults who were homeless or vulnerably housed, 22.6% (n = 261) reported having concurrent disorders at baseline. Individuals with concurrent disorders had significantly higher odds of ED use (adjusted odds ratio [AOR] = 1.71; 95% confidence interval [CI], 1.4-2.11), hospitalization (AOR = 1.45; 95% CI, 1.16-1.81), and primary care visits (AOR = 1.34; 95% CI, 1.05-1.71) in the past 12 months over the four-year follow-up period, after adjusting for potential confounders. Concurrent disorders were associated with

Breast cancer and screening information needs and preferred communication medium among Iranian immigrant women in Toronto.

PubMed

Vahabi, Mandana

2011-11-01

Few studies have investigated what information women from minority immigrant groups need about breast cancer and screening. Nor has much research been conducted about how such women would prefer to receive this information. Mere translation of breast cancer and screening information from generic materials, without considering and respecting women's unique historical, political, and cultural experiences, is insufficient. This study explored breast cancer and screening information needs and preferred methods of communication among Iranian immigrant women. A convenience sample of 50 women was recruited and interviewed over a 4-month period (June-September 2008); all resided in Toronto Canada, and had no history of breast cancer. Tape-recorded interviews were transcribed and analysed using a thematic analysis technique. While generic breast health communication focusing on physiological risk information meets some of the needs of Iranian immigrant women, results showed that the needs of this group go beyond this basic information. This group is influenced by historical, sociopolitical, and cultural experiences pre- and post-immigration. Their experiences with chemical war, unsafe physical environment (air and water pollution), and their sociopolitical situation appear to have limited their access to accurate and reliable breast cancer and screening information in their homeland. Moreover, the behavioural and psychosocial changes they face after immigration appear to have a strong influence on their breast cancer and screening information needs. Considering their limited time due to their multiple demands post-migration, multi-media methods were highly preferred as a communication means by this group. The results of this study can be used to guide the design and implementation of culturally sensitive breast health information. For instance, video presentations conducted by a trusted Iranian healthcare professional focusing on socioculturally relevant breast cancer risk

76 FR 67178 - Riverbank Hydro No. 15 LLC; Notice of Preliminary Permit Application Accepted for Filing and...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-31

... Corps. Applicant Contact: Mr. Kuo-Bao Tong, Riverbank Power Corporation, Royal Bank Plaza, South Tower, P.O. Box 166, 200 Bay Street, Suite 3230, Toronto, ON, Canada M5J2J4. (416) 861-0092 x 154. FERC...

CSSP Environmental Scan 2013

DTIC Science & Technology

2014-09-01

average tropical cyclone maximum wind speed [33]. For Canada, the impact will be significant. While Western and Atlantic Canada will likely...the onset of a pandemic (most recently in 2009) [51]. Avian influenza, commonly known as ‘ bird flu,’ is another area of acute concern. Although it...extensive discussion see Andrew Nikiforuk, Pandemonium: Bird Flu, Mad Cow Disease, and Other Biological Plagues of the 21st Century (Toronto: Viking, 2006

Community Participation in the Space Infrared Telescope Facility (SIRTF) Mission: an Overview

NASA Astrophysics Data System (ADS)

Gehrz, R. D.; Beichman, C. A.; Bicay, M. D.; Caroff, L. J.; Christian, C. A.; Clemens, D. P.; Cruikshank, D. P.; Cutri, R. M.; Greenhouse, M. A.; Hanner, M. S.; Jones, T. J.; Miller, R. B.; Rieke, M. J.; Thronson, H. A., Jr.; Weiler, E. J.; Werner, M. W.; Woodward, C. E.

1996-12-01

Seventy five to eighty percent of the observing time on SIRTF will be awarded to the general astronomical community through Legacy Project (LP), Guest Observer (GO), Target of Opportunity (ToO), and Director's Discretionary Observations (DDO) programs. We describe the organization of the community of potential SIRTF observers under the auspices of the SIRTF Community Task Force (CTF) and summarize the activities of the CTF since its organization in late 1994. The CTF has appointed Working Groups (WGs) that include broad community representation to explore issues related to the definition of the LP, GO, and ToO Programs. Additional Wgs have been designated to study SIRTF Solar System Science and Data Archiving and Analysis. White papers delineating the major issues currently before the WGs can be read on the SIRTF-homepage at http://www.ipac.caltech.edu/SIRTF. An interactive forum on the homepage will enable the community to participate actively during the mission definition phase. Activities conducted at the SIRTF Community Workshops held at the 185th (January 1995, Tucson, AZ), 187th (January 1996, Austin, TX), and 189th (January, 1997, Toronto Canada) AAS meetings are summarized. A current version of the SIRTF Science Activities Timeline (SSAT) is presented. The SSAT defines the schedule for community activities that are necessary to conduct the SIRTF mission through its design, development, construction, preflight testing, and flight phases. Major milestones to be described include a series of workshops to define the LP program, NASA Research Announcement (NRA) releases for the LP and GO Programs, and NRA releases for flight-phase data archiving and analysis activities. An estimate of the fractional distribution of SIRTF observing time among Guaranteed Time Observations (GTOs), LPS, GOs, ToOs, and DDOs during the flight phase is presented. Further information regarding community activities in support of this NASA mission can be found on the SIRTF-homepage.

Results of Transport Canada's survey of seat belt use in Canada, 2002-2003

DOT National Transportation Integrated Search

2004-09-01

The September 2002 and September 2003 surveys were the first of their kind: the first to : measure the seat belt usage rate separately in rural Canada and urban Canada. Rural Canada was : defined as towns with a population of less than 10,000 but mor...

Motivations of nurses who migrate to Canada as domestic workers.

PubMed

Salami, B; Nelson, S; Hawthorne, L; Muntaner, C; McGillis Hall, L

2014-12-01

While some trained nurses migrate to destination countries to work as domestic workers, little is known about their migration motivations. This study explores the motivations of Philippine educated nurses who migrated to Canada through the Live-in Caregiver Program from 2001 to 2011 (a Canadian domestic worker programme). A single case study qualitative methodology and the transnational feminist concept of global care chains were utilized for this study. Interviews of 15 Philippine educated nurses who migrated to Canada as domestic workers were conducted in the province of Ontario, Canada, between February to October 2012. All participants had a baccalaureate degree from the Philippines. Interviews were tape recorded, transcribed verbatim and analysed using critical discourse analysis, aided by NVIVO 10 data analysis software. Findings reveal a multi-step immigration process in which nurses migrate from the Philippines to the Middle East (especially Saudi Arabia) and finally to Canada. While emigration from the Philippines is mainly economically driven, migration from the Middle East to Canada is primarily motivated by the desire for Canadian citizenship for the family. Also, perceived social status and lifestyle in Canada as compared to the Middle East motivates this group of women to migrate to Canada. The major limitation of this study is the lack of input from nursing policy makers. Gender-based familial ideologies and perspective on social status influence the migration decision of this group of nurses. Implications for nursing and health policy makers include the provision of clear pre-migration information (including on the nursing registration process) to internationally educated nurses, advocacy for stronger immigration policies to ensure the integration of internationally educated nurses and a consideration of gender in all health human resource policies. © 2014 International Council of Nurses.

Prevalence of bla TEM-220 gene in Penicillinase-producing Neisseria gonorrhoeae strains carrying Toronto/Rio plasmid in Argentina, 2002 - 2011.

PubMed

Gianecini, Ricardo; Oviedo, Claudia; Guantay, Cristina; Piccoli, Laura; Stafforini, Graciela; Galarza, Patricia

2015-12-16

Penicillinase-producing Neisseria gonorroheae (PPNG) was first isolated in 1976. PPNG strains carrying bla TEM-1 and bla TEM-135 gene have been described in different countries. Recently, a novel bla TEM-220 allele was detected in PPNG isolates carrying Toronto/Rio plasmid. The prevalence and characteristics of TEM-220 strains worldwide are unknown, and therefore, it needs to be studied. The purpose of this study was to detect bla TEM-220 gene in PPNG strains possessing Toronto/Rio plasmid over a period of ten years in Argentina, and to evaluate the proportion of isolates producing non-TEM-220 containing the T539C substitution in the bla TEM allele. One hundred and fifty one PPNG isolates carrying Toronto/Rio plasmid were studied between 2002 and 2011. A mismatch amplification mutation assay (MAMA) PCR was used to identify the T539C substitution in the bla TEM allele and a MAMA-PCR protocol was developed to detect the G547A substitution in the bla TEM-220. The reference agar dilution method of the Clinical and Laboratory Standard Institute (CLSI) was used for susceptibility testing to five β-lactams antibiotics, ciprofloxacin, tetracycline and azithromycin. In all TEM-220-producing isolates, the whole bla TEM gene was sequenced and the isolates were typed using N. gonorroheae multiantigen sequence typing (NG-MAST). MAMA PCR successfully identified the G547A substitution in the bla TEM-220 allele. The proportion of isolates that possessed the bla TEM-220 allele was 2.6 %, and 93.2 % MAMA TEM-220 PCR-negative isolates showed the T539C substitution in the bla TEM gene. No differences in the susceptibility to five beta-lactam antibiotics tested were observed in PPNG isolates TEM-220-producing and PPNG isolates carrying the T539C substitution in the bla TEM gene. All TEM-220 isolates were indistinguishable by NG-MAST. This is the first study which shows the prevalence of bla TEM-220 in N. gonorrhoeae isolates carrying Toronto/Rio plasmid in Argentina. Although the bla

ASA24-Canada

Cancer.gov

A Canadian adaptation of the Automated Self-Administered 24-hour Dietary Assessment Tool (ASA24-Canada), developed by the Food Directorate at Health Canada in collaboration with NCI, has been freely available since April 2014.

Study Canada: An Overview.

ERIC Educational Resources Information Center

Monahan, Robert L.; And Others

The document presents the first of five units on Canada developed for classroom use in American secondary schools. This unit, an overview of Canada, offers a sequence of information sheets for students and class activity suggestions for teachers which use a comparative approach stressing an understanding of Canada from the viewpoints of both…

Demand for University Continuing Education in Canada: Who Participates and Why?

ERIC Educational Resources Information Center

Adamuti-Trache, Maria; Schuetze, Hans G.

2009-01-01

The demand for and participation in continuing education by Canadian university graduates who completed bachelor and/or first professional degrees in 1995 are analyzed in this article. Within five years of completing their first degree, in addition to participating in graduate programs, a large number of those graduates participated in non-degree…

Co-creating a psychiatric resident program with Ethiopians, for Ethiopians, in Ethiopia: the Toronto Addis Ababa Psychiatry Project (TAAPP).

PubMed

Alem, Atalay; Pain, Clare; Araya, Mesfin; Hodges, Brian D

2010-01-01

Globalization in medical education often means a "brain drain" of desperately needed health professionals from low- to high-income countries. Despite the best intentions, partnerships that simply transport students to Western medical schools for training have shockingly low return rates. Ethiopia, for example, has sent hundreds of physicians abroad for specialty training over the past 30 years, the vast majority of whom have not returned. This represents a highly problematic net transfer of financial and human resources from the Ethiopian people to Western countries that have failed to develop their own adequate health human resource plans. With this background in mind, in 2003 Addis Ababa University invited the University of Toronto to collaborate on the first Ethiopian psychiatric residency program to be run entirely in Ethiopia. Called the Toronto Addis Ababa Psychiatry Project (TAAPP), it was established on the principle of supplementing the ability of the small Addis Ababa University Department of Psychiatry to teach, provide clinical supervision, and to help develop educational capacity. Over the last 6 years the model has involved a large number of University of Toronto faculty and residents who have spent blocks of 1 month each in Addis Ababa. This article describes the first three phases of TAAPP (I) Development of a model residency program; (II) Enhancing clinical, educational and leadership capacity; and (III) Sustainability, faculty development, and continuing education. Between 2003 and 2009, the number of psychiatrists in Ethiopia increased from 11 to 34; the Addis Ababa University Department of Psychiatry faculty increased members from three to nine. There are new departments of psychiatry established in four other university hospitals in Ethiopia outside the capital city. Mental health services are now being integrated within the national system of primary care. An important issue that underscores such a partnership is the risk of simply exporting

Fragmented Inclusion: Community Participation and Lesbian, Gay, Bisexual, Trans, and Queer People with Diagnoses of Schizophrenia and Bipolar Disorder

PubMed Central

Pilling, Merrick; Howison, Meg; Frederick, Tyler; Ross, Lori; Bellamy, Chyrell D.; Davidson, Larry; McKenzie, Kwame; Kidd, Sean

2017-01-01

Community participation is often cited as a crucial component of wellness for people with mental health diagnoses. Few studies explore community participation from the perspective of LGBTQ people with diagnoses of schizophrenia and bipolar disorder. This paper describes an in-depth qualitative study with 16 lesbian, gay, bisexual, trans, and queer (LGBTQ) people and 18 social service workers, and 2 key informants in Toronto, Ontario that examined access to communities for LGBTQ people with mental health diagnoses. Results indicate that community participation is particularly relevant to this group given the functions of communities for marginalized people as a source of support and resistance. However, the participants faced barriers to accessing support and creating social networks due to the lack of intersectional inclusion in various contexts, including LGBTQ communities and mental health/mad communities. PMID:28253016

Sustainable capacity building among immigrant communities: the raising sexually healthy children program in Canada.

PubMed

Narushima, Miya; Wong, Josephine Pui-Hing; Li, Anda; Sutdhibhasilp, Noulmook

2014-03-01

The Raising Sexually Healthy Children (RSHC) program is a peer-to-peer leadership training program for immigrant parents in Toronto, Canada. It was established in 1998 with the goal of promoting family sex education and parent-child communication. This evaluative study examined the developmental processes and outcomes of the RSHC program to identify the strengths, challenges and insights that can be used to improve the program. It employed a multi-case study approach to compare the RSHC programs delivered in the Chinese, Portuguese and Tamil communities. Data collection methods included focus groups, individual interviews and document analysis. The cross-case analysis identified both common and unique capacity building processes and outcomes in the three communities. In this paper, we report factors that have enhanced and hindered sustainable capacity building at the individual, group/organizational and community levels, and the strategies used by these communities to address challenges common to immigrant families. We will discuss the ecological and synergetic, but time-consuming processes of capacity building, which contributed to the sustainability of RSHC as an empowering health promotion program for immigrant communities. We conclude the paper by noting the implications of using a capacity building approach to promote family health in ethno-racial-linguistic minority communities.

The Science Gap in Canada: A Post-Secondary Perspective

ERIC Educational Resources Information Center

Kennepohl, Dietmar

2009-01-01

Despite having its students score among the top in the world in mathematics and science, the level of science literacy and participation in science-related fields in Canada is relatively low. In the context of the economic and societal benefits afforded by science, this article reviews what is already being done in support of science, technology…

Vascular Access Practice Patterns in Canada: A National Survey

PubMed Central

Dumaine, Chance; Kiaii, Mercedeh; Miller, Lisa; Moist, Louise; Oliver, Matthew J.; Lok, Charmaine E.; Hiremath, Swapnil; MacRae, Jennifer M.

2018-01-01

Background: One of the mandates of the Canadian Society of Nephrology’s (CSN) Vascular Access Working Group (VAWG) is to inform the nephrology community of the current status of vascular access (VA) practice within Canada. To better understand VA practice patterns across Canada, the CSN VAWG conducted a national survey. Objectives: (1) To inform on VA practice patterns, including fistula creation and maintenance, within Canada. (2) To determine the degree of consensus among Canadian clinicians regarding patient suitability for fistula creation and to assess barriers to and facilitators of fistula creation in Canada. Design: Development and implementation of a survey. Setting: Community and academic VA programs. Participants: Nephrologists, surgeons, and nurses who are involved in VA programs across Canada. Measurements: Practice patterns regarding access creation and maintenance, including indications and contraindications to fistula creation, as well as program-wide facilitators of and barriers to VA. Methods: A small group of CSN VAWG members determined the scope and created several VA questions which were then reviewed by 5 additional VAWG members (4 nephrologists and 1 VA nurse) to ensure that questions were clear and relevant. The survey was then tested by the remaining members of the VAWG and refinements were made. The final survey version was submitted electronically to relevant clinicians (nephrologists, surgeons, and nurses) involved or interested in VA across Canada. Questions centered around 4 major themes: (1) Practice patterns regarding access creation (preoperative assessment and maturation assessment), (2) Practice patterns regarding access maintenance (surveillance and salvage), (3) Indications and contraindications for arteriovenous (AV) access creation, and (4) Facilitators of and barriers to fistula creation and utilization. Results: Eighty-two percent (84 of 102) of invited participants completed the survey; the majority were nurses or VA

Bilingual Education Project: Evaluation of the 1973-74 French Immersion Program in Grades K-2 at Allenby Public School, Toronto.

ERIC Educational Resources Information Center

Barik, Henri C.; And Others

The school performance of pupils in grades K-2 of the French immersion program in operation at Allenby Public School in Toronto is evaluated in comparison with that of pupils in the regular English program. The results indicate that by the end of kindergarten pupils in both programs are equally ready for beginning school work in grade 1. By the…

Counselling Expectations of a Sample of East Asian and Caucasian Canadian Undergraduates in Canada

ERIC Educational Resources Information Center

Fowler, Darren M.; Glenwright, Brittni J.; Bhatia, Maneet; Drapeau, Martin

2011-01-01

This study investigated whether East Asians differ from Caucasian Canadians in their expectations about counselling. Participants in this study included 31 East Asian and 53 Caucasian Canadian university students. The East Asian participants were all first-generation East Asians living in Canada, originally from China, Korea, Japan, or Vietnam.…

Le Point sur L'immersion au Canada (The Argument for...Immersion in Canada).

ERIC Educational Resources Information Center

Rebuffot, Jacques

A discussion of French immersion education in Canada begins with a general examination of language immersion, including the historical context and social climate from which the immersion approach has grown in Canada, its beginnings in Quebec and spread throughout Canada, and the status of the approach in the United States, a number of European…

Understanding sexual orientation and health in Canada: Who are we capturing and who are we missing using the Statistics Canada sexual orientation question?

PubMed

Dharma, Christoffer; Bauer, Greta R

2017-04-20

Public health research on inequalities in Canada depends heavily on population data sets such as the Canadian Community Health Survey. While sexual orientation has three dimensions - identity, behaviour and attraction - Statistics Canada and public health agencies assess sexual orientation with a single questionnaire item on identity, defined behaviourally. This study aims to evaluate this item, to allow for clearer interpretation of sexual orientation frequencies and inequalities. Through an online convenience sampling of Canadians ≥14 years of age, participants (n = 311) completed the Statistics Canada question and a second set of sexual orientation questions. The single-item question had an 85.8% sensitivity in capturing sexual minorities, broadly defined by their sexual identity, lifetime behaviour and attraction. Kappa statistic for agreement between the single item and sexual identity was 0.89; with past year, lifetime behaviour and attraction were 0.39, 0.48 and 0.57 respectively. The item captured 99.3% of those with a sexual minority identity, 84.2% of those with any lifetime same-sex partners, 98.4% with a past-year same-sex partner, and 97.8% who indicated at least equal attraction to same-sex persons. Findings from Statistics Canada surveys can be best interpreted as applying to those who identify as sexual minorities. Analyses using this measure will underidentify those with same-sex partners or attractions who do not identify as a sexual minority, and should be interpreted accordingly. To understand patterns of sexual minority health in Canada, there is a need to incorporate other dimensions of sexual orientation.

Changes in the volume, power and nutritional quality of foods marketed to children on television in Canada.

PubMed

Potvin Kent, Monique; Martin, Cherie L; Kent, Emily A

2014-09-01

To evaluate the self-regulatory Children's Food and Beverage Advertising Initiative pre- and post-implementation in terms of volume of marketing, marketing techniques, and nutritional quality of foods marketed to children on television. Data for 11 food categories for May 2006 and 2011 were purchased from Nielsen Media Research for two children's specialty channels in Toronto. A content analysis of food advertisements examining the volume and marketing techniques was undertaken. Nutritional information on each advertisement was collected and comparisons were made between 2006 and 2011. The volume of ads aired by Canadian Children's Food and Beverage Advertising Initiative (CAI) companies on children's specialty channels decreased by 24% between 2006 and 2011; however, children and teens were targeted significantly more, and spokes-characters and licensed characters were used more frequently in 2011 compared to 2006. The overall nutritional quality of CAI advertisements remains unchanged between 2006 and 2011. There are clear weaknesses in the self-regulatory system in Canada. Food advertising needs to be regulated to protect the health of Canadian children. © 2014 The Authors Obesity published by Wiley Periodicals, Inc. on behalf of The Obesity Society (TOS).

78 FR 78816 - Export Trade Certificate of Review

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-27

... Independent Film & Television Alliance, Application no. 89- 9A001. SUMMARY: The U.S. Department of Commerce issued an amended Export Trade Certificate of Review to Independent Film and Television Alliance (``IFTA... (Hollywood, CA), Entertainment One (Toronto, Ontario, Canada), Exclusive Films International, Limited...

Bed Bug Infestations in an Urban Environment

PubMed Central

Svoboda, Tomislav J.; De Jong, Iain J.; Kabasele, Karl J.; Gogosis, Evie

2005-01-01

Until recently, bed bugs have been considered uncommon in the industrialized world. This study determined the extent of reemerging bed bug infestations in homeless shelters and other locations in Toronto, Canada. Toronto Public Health documented complaints of bed bug infestations from 46 locations in 2003, most commonly apartments (63%), shelters (15%), and rooming houses (11%). Pest control operators in Toronto (N = 34) reported treating bed bug infestations at 847 locations in 2003, most commonly single-family dwellings (70%), apartments (18%), and shelters (8%). Bed bug infestations were reported at 20 (31%) of 65 homeless shelters. At 1 affected shelter, 4% of residents reported having bed bug bites. Bed bug infestations can have an adverse effect on health and quality of life in the general population, particularly among homeless persons living in shelters. PMID:15829190

Evaluation of constricted affect in chronic pain: an attempt using the Toronto Alexythymia Scale.

PubMed

Millard, R W; Kinsler, B L

1992-09-01

The Toronto Alexythymia Scale (TAS) was applied as a potential measure of constricted affect among a sample of patients with chronic, non-malignant pain (n = 195). As previously demonstrated with non-clinical samples, the scale was found to possess moderate reliability with two principal internal factors. These factors seemed to reflect social introversion and a lack of proneness to fantasy. There was a moderate, negative association between them. The domain sampled by the TAS was apparently heterogeneous, with total scores showing no relationship to reported disability or pain intensity and a low relationship to reported distress. These results suggest potential limitations of the TAS and the alexythymia construct as means for evaluating constricted affect that accompanies chronic pain.

Factors that influence career decisions in Canada's nurses.

PubMed

Price, Sheri; Hall, Linda McGillis; Lalonde, Michelle; Andrews, Gavin; Harris, Alexandra; MacDonald-Rencz, Sandra

2013-01-01

Understanding the experiences of nurses who have moved between the provinces and territories (P/T) in Canada for work provides insight into the role of professional socialization in career decision-making. This paper analyzes some of the qualitative data arising from a survey of nurses from across Canada. The findings provide insight into nurses' professional socialization and demonstrate that early perceptions and expectations of nursing practice can influence future career decisions such as mobility and intent to remain. Participants described how "caring" and direct patient contact were central to their choice of nursing and career satisfaction. As the data reveal, nursing is also regarded as a career that enables mobility to accommodate both family considerations and professional development opportunities. The findings highlight the need for professional socialization strategies and supports that motivate Canadian nurses to continue practising within the profession and the country.

Research projects in the Surgeon-Scientist and Clinician-Investigator programs at the University of Toronto (1987-2016): a cohort study.

PubMed

Goldenberg, Neil M; Steinberg, Benjamin E; Rutka, James T; Chen, Robert; Cabral, Val; Rosenblum, Norman D; Kapus, Andras; Lee, Warren L

2016-01-01

Physicians have traditionally been at the forefront of medical research, bringing clinical questions to the laboratory and returning with ideas for treatment. However, we have anecdotally observed a decline in the popularity of basic science research among trainees. We hypothesized that fewer resident physicians have been pursuing basic science research training over time. We examined records from residents in the Surgeon-Scientist and Clinician-Investigator programs at the University of Toronto (1987-2016). Research by residents was categorized independently by 2 raters as basic science, clinical epidemiology or education-related based on the title of the project, the name of the supervisor and Pubmed searches. The study population was divided into quintiles of time, and the proportion pursuing basic science training in each quintile was calculated. Agreement between the raters was 100%; the categorization of the research topic remained unclear in 9 cases. The proportion of trainees pursuing basic science training dropped by 60% from 1987 to 2016 ( p = 0.005). Significantly fewer residents in the Surgeon-Scientist and Clinician-Investigator Programs at the University of Toronto are pursuing training in the basic sciences as compared with previous years.

Canada Country Analysis Brief

EIA Publications

2015-01-01

Canada is a net exporter of most energy commodities and a significant producer of crude oil and other liquids from oil sands, natural gas, and hydroelectricity. Energy exports to the United States account for the vast majority of Canada's total energy exports. However, because of economic and other considerations, Canada is developing ways to diversify its trading partners, especially by expanding ties with emerging markets in Asia.

Old Age Income Security in Canada

PubMed Central

Willard, J. W.

1965-01-01

The position of older people in modern industrial society is markedly removed from the early industrial norm of continued participation in gainful employment until the end of life. Acceptance of a retirement age some 13 years before the end of average male life expectancy has brought with it serious social problems. At the same time, however, an increasingly productive economy has provided both the willingness and ability to complement the retirement provisions of individual initiative with public programs of old age income maintenance. This public support began in Canada with the voluntary approach embodied in the government annuities plan. A program of “public assistance” followed. These were succeeded, first, by the “universal payment” under the Old Age Security Act and, more recently, by the social insurance approach of the Canada Pension Plan. Along with improved public support, the role of occupational pension plans and of individually initiated retirement provisions continues to be substantial. Current interest in, and in some cases legislation on, such problems as vesting and solvency are leading to improvements in private pension programs. PMID:5828720

Old age income security in Canada.

PubMed

Willard, J W

1965-10-09

The position of older people in modern industrial society is markedly removed from the early industrial norm of continued participation in gainful employment until the end of life. Acceptance of a retirement age some 13 years before the end of average male life expectancy has brought with it serious social problems. At the same time, however, an increasingly productive economy has provided both the willingness and ability to complement the retirement provisions of individual initiative with public programs of old age income maintenance. This public support began in Canada with the voluntary approach embodied in the government annuities plan. A program of "public assistance" followed. These were succeeded, first, by the "universal payment" under the Old Age Security Act and, more recently, by the social insurance approach of the Canada Pension Plan. Along with improved public support, the role of occupational pension plans and of individually initiated retirement provisions continues to be substantial. Current interest in, and in some cases legislation on, such problems as vesting and solvency are leading to improvements in private pension programs.

First trimester medication abortion practice in the United States and Canada.

PubMed

Jones, Heidi E; O'Connell White, Katharine; Norman, Wendy V; Guilbert, Edith; Lichtenberg, E Steve; Paul, Maureen

2017-01-01

We conducted a cross-sectional survey of abortion facilities from professional networks in the United States (US, n = 703) and Canada (n = 94) to estimate the prevalence of medication abortion practices in these settings and to look at regional differences. Administrators responded to questions on gestational limits, while up to five clinicians per facility reported on 2012 medication abortion practice. At the time of fielding, mifepristone was not approved in Canada. 383 (54.5%) US and 78 (83.0%) Canadian facilities participated. In the US, 95.3% offered first trimester medication abortion compared to 25.6% in Canada. While 100% of providers were physicians in Canada, just under half (49.4%) were advanced practice clinicians in the US, which was more common in Eastern and Western states. All Canadian providers used misoprostol; 85.3% with methotrexate. 91.4% of US providers used 200 mg of mifepristone and 800 mcg of misoprostol, with 96.7% reporting home misoprostol administration. More than three-quarters of providers in both countries required an in-person follow-up visit, generally with ultrasound. 87.7% of US providers routinely prescribed antibiotics compared to 26.2% in Canada. Nonsteroidal anti-inflammatory drugs were the most commonly reported analgesic, with regional variation in opioid narcotic prescription. In conclusion, medication abortion practice follows evidence-based guidelines in the US and Canada. Efforts to update practice based on the latest evidence for reducing in-person visits and increasing provision by advanced practice clinicians could strengthen these services and reduce barriers to access. Research is needed on optimal antibiotic and analgesic use.

Reliability and validity of a new HIV-specific questionnaire with adults living with HIV in Canada and Ireland: the HIV Disability Questionnaire (HDQ).

PubMed

O'Brien, Kelly K; Solomon, Patricia; Bergin, Colm; O'Dea, Siobhán; Stratford, Paul; Iku, Nkem; Bayoumi, Ahmed M

2015-08-12

Our aim was to assess internal consistency reliability, construct validity, and test-retest reliability of the HDQ with adults living with HIV in Canada and Ireland. We recruited adults 18 years of age or older living with HIV from hospital clinics and AIDS service organizations in Canada and Ireland. We administered the HDQ paired with reference measures (World Health Organization Disability Assessment Schedule, SF-36 Questionnaire, Medical Outcomes Study Social Support Survey), and a demographic questionnaire. We calculated HDQ disability presence, severity and episodic scores (scored from 0-100). We calculated Cronbach's alpha and Intraclass Correlation Coefficients (ICC) (Canada only) for the disability severity and episodic scores and considered coefficients >0.80 and >0.70 as acceptable, respectively. To assess construct validity, we tested 40 a priori hypotheses of correlations between scores on the HDQ and reference measures and two known group hypotheses comparing HDQ presence and severity scores based on age and comorbidity. We considered acceptance of at least 75% of hypotheses as demonstrating support for construct validity. Of the 235 participants (139 Canada; 96 Ireland), the majority were men (74% Ireland; 82% Canada) and were taking antiretroviral therapy (88% Ireland; 91% Canada). Compared with Irish participants, Canadian participants were older (median age: 48 versus 41 years) and reported living with a higher median number of comorbidities (4 versus 1). Cronbach's alpha for Irish and Canadian participants were 0.97 (95% confidence interval (CI): 0.97-0.98) and 0.96 (95 % CI: 0.95-0.98), respectively, for the severity scale and 0.98 (95 % CI: 0.97-0.98) and 0.96 (95 % CI: 0.95-0.98), respectively, for the episodic scale. Of the 40 construct validity correlation hypotheses, 32 (80%) and 22 (55%) were supported among the Canadian and Irish samples respectively; both (100%) known group hypotheses were also supported. ICC values for Canadian

Critical Energy Infrastructure Protection in Canada

DTIC Science & Technology

2010-12-01

la participation volontaire du secteur privé dans le système intégré proposé et sur des mesures visant à encourager...que le gouvernement attache beaucoup d’importance à la protection des infrastructures énergétiques essentielles. Neuf ans après les attaques du 11...producteurs d’énergie et des services énergétiques qui sont si essentiels à la prospérité et au bien-être du Canada ainsi qu’à la sécurité de l’Amérique du

Preservice Teacher Knowledge of Basic Language Constructs in Canada, England, New Zealand, and the USA

ERIC Educational Resources Information Center

Washburn, Erin K.; Binks-Cantrell, Emily S.; Joshi, R. Malatesha; Martin-Chang, Sandra; Arrow, Alison

2016-01-01

The present study examined preservice teachers' (PSTs) knowledge of basic language constructs across four different English-speaking teacher preparations programs. A standardized survey was administered to participants from Canada (n = 80), England (n = 55), New Zealand (n = 26), and the USA (n = 118). All participants were enrolled in…

A Pilot Study of a Group-Based HIV and STI Prevention Intervention for Lesbian, Bisexual, Queer, and Other Women Who Have Sex with Women in Canada.

PubMed

Logie, Carmen H; Lacombe-Duncan, Ashley; Weaver, James; Navia, Daniela; Este, David

2015-06-01

Limited research has evaluated interventions to reduce HIV and sexually transmitted infection (STI) vulnerability among lesbian, bisexual, and queer (LBQ) women, and other women who have sex with women. The Queer Women Conversations (QWC) study examined the effectiveness of a group-based psycho-educational HIV/STI intervention with LBQ women in Toronto and Calgary, Canada. We conducted a nonrandomized cohort pilot study. Participants completed a pre-test, post-test, and 6-week follow-up. The primary outcome was sexual risk practices, while secondary objectives included intrapersonal (self-esteem, STI knowledge, resilient coping, depression), interpersonal (safer sex self-efficacy), community (community connectedness, social support), and structural (sexual stigma, access to healthcare) factors. The study was registered at http://clinicaltrials.gov. Forty-four women (mean age 28.7 years) participated in a weekend retreat consisting of six consecutive sessions tailored for LBQ women. Sessions covered a range of topics addressing behavioral and social-structural determinants of HIV/STI risk, including STI information, safer sex negotiation skills, and addressing sexual stigma. Adjusted for socio-demographic characteristics, sexual risk practices (β2=-2.96, 95% CI -4.43, -1.50), barrier use self-efficacy (β2=1.52, 95% CI 0.51, 2.53), STI knowledge (β2=4.41, 95% CI 3.52, 5.30), and sexual stigma (β2=-2.62, 95% CI -3.48, -1.75) scores showed statistically significant changes 6 weeks post-intervention. Initial increases in safer sex self-efficacy, social support, and community connectedness were not sustained at 6-week follow up, highlighting the need for booster sessions or alternative approaches to address social factors. Study results may inform HIV/STI prevention interventions, sexual health care provision, and support services tailored for LBQ women.

Exploring the role of the dental hygienist in reducing oral health disparities in Canada: A qualitative study.

PubMed

Farmer, J; Peressini, S; Lawrence, H P

2018-05-01

Reducing oral health disparities has been an ongoing challenge in Canada with the largest burden of oral disease exhibited in vulnerable populations, including Aboriginal people, the elderly, rural and remote residents, and newcomers. Dental hygienists are a unique set of professionals who work with and within communities, who have the potential to act as key change agents for improving the oral health of these populations. The purpose of this qualitative study was to explore, from the dental hygiene perspective, the role of dental hygienists in reducing oral health disparities in Canada. Dental hygienists and key informants in dental hygiene were recruited, using purposeful and theoretical sampling, to participate in a non-directed, semi-structured one-on-one in-depth telephone interview using Skype and Call Recorder software. Corbin and Strauss's grounded theory methodology was employed with open, axial, and selective coding analysed on N-Vivo Qualitative software. The resulting theoretical framework outlines strategies proposed by participants to address oral health disparities; these included alternate delivery models, interprofessional collaboration, and increased scope of practice. Participants identified variation in dental care across Canada, public perceptions of oral health and dental hygiene practice, and lack of applied research on effective oral health interventions as challenges to implementing these strategies. The research confirmed the important role played by dental hygienists in reducing oral health disparities in Canada. However, due to the fragmentation of dental hygiene practice across Canada, a unified voice and cohesive action plan is needed in order for the profession to fully embrace their role. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Addressing Household Food Insecurity in Canada - Position Statement and Recommendations - Dietitians of Canada.

PubMed

2016-09-01

POSITION STATEMENT It is the position of Dietitians of Canada that household food insecurity is a serious public health issue with profound effects on physical and mental health and social well-being. All households in Canada must have sufficient income for secure access to nutritious food after paying for other basic necessities. Given the alarming prevalence, severity and impact of household food insecurity in Canada, Dietitians of Canada calls for a pan-Canadian, government-led strategy to specifically reduce food insecurity at the household level, including policies that address the unique challenges of household food insecurity among Indigenous Peoples. Regular monitoring of the prevalence and severity of household food insecurity across all of Canada is required. Research must continue to address gaps in knowledge about household vulnerability to food insecurity and to evaluate the impact of policies developed to eliminate household food insecurity in Canada. Dietitians of Canada recommends: Development and implementation of a pan-Canadian government-led strategy that includes coordinated policies and programs, to ensure all households have consistent and sufficient income to be able to pay for basic needs, including food. Implementation of a federally-supported strategy to comprehensively address the additional and unique challenges related to household food insecurity among Indigenous Peoples, including assurance of food sovereignty, with access to lands and resources, for acquiring traditional/country foods, as well as improved access to more affordable and healthy store-bought/market foods in First Nation reserves and northern and remote communities. Commitment to mandatory, annual monitoring and reporting of the prevalence of marginal, moderate and severe household food insecurity in each province and territory across Canada, including among vulnerable populations, as well as regular evaluation of the impact of poverty reduction and protocols for

Evaluating the Feasibility of RESCUE: An Adjunctive HAI-Based Intervention for Veterans with PTSD

DTIC Science & Technology

2016-05-01

HAI) i) Study presented at symposium: “Human-Animal Interactions in Treating Veterans with PTSD” American Psychological Association ( APA ) 123rd Annual...Interactions in Treating Veterans with PTSD” American Psychological Association ( APA ) 123rd Annual Convention on 09-AUG-2015, Toronto, Canada.  Journal

76 FR 66324 - Notice Pursuant to the National Cooperative Research and Production Act of 1993-Advanced Media...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-26

..., Isilon Systems, Inc., Seattle, WA; Panasonic AVC Networks Company, Kadoma City, Osaka, JAPAN; VSN Video Steam Networks, S.L., Barcelona, SPAIN; Yangaroo, Inc., Toronto, Ontario, CANADA; Patrick Cusack... made in either the membership or planned activity of the group research project. Membership in this...

Asian Longhorned Beetle: Renewed threat to north-eastern USA and implications worldwide

USDA-ARS?s Scientific Manuscript database

The Asian Longhorned Beetle (ALB; ANOPLOPHORA GLABRIPENNIS Motschulsky) is a serious invasive pest of urban forests in North America and Europe, with infestations in New York, Illinois, New Jersey, Toronto, Canada, Germany, Austria, Italy and France. In July 2008 a new ALB infestation was discovere...

Performing to Understand: Cultural Wealth, Precarity, and Shelter-Dwelling Youth

ERIC Educational Resources Information Center

Gallagher, Kathleen; Rodricks, Dirk J.

2017-01-01

Collaborating with "Project: Humanity," an acclaimed socially engaged theatre company, we mobilized, over 16 weeks, an applied theatre methodology of drama workshops and traditional qualitative research methods to explore issues of spatialized inequality and localized poverty with a youth shelter community in Toronto, Canada.…

Major initiatives related to childhood obesity and physical inactivity in Canada: the year in review.

PubMed

Tremblay, Mark S

2012-01-01

This manuscript briefly reviews 15 significant initiatives related to childhood obesity and physical inactivity in Canada between September 2010 and September 2011. These include the: announcement of a Federal-Provincial-Territorial framework for action to promote healthy weights; implementation of the nutrition labeling initiative; launch of the CBC "Live Right Now" campaign; announcement of the Public Health Agency of Canada's innovation strategy funding related to obesity; publication of the Canadian Health Measures Survey physical activity findings; release of new Canadian physical activity and sedentary behaviour guidelines; launch of ParticipACTION's "Think Again" campaign; workshop on building trust to address the epidemic of obesity; start of the Canadian Pediatric Weight Management Registry; initiation of "Our Health Our Future: A National Dialogue on Healthy Weights"; release of the Active Healthy Kids Canada Report Card on Physical Activity for Children and Youth; National Obesity Summit; Nature Play Day and Sports Day in Canada; development of the Canadian Assessment of Physical Literacy; and the creation of Active Canada 20/20--A National Physical Activity Plan. The diversity and intensity of activity addressing the childhood obesity and physical inactivity "epidemic" in Canada is encouraging and must be maintained and enhanced.

Re-Bordering Spaces of Trauma: Auto-Ethnographic Reflections on the Immigrant and Refugee Experience in an Inner-City High School in Toronto

ERIC Educational Resources Information Center

Feuerverger, Grace

2011-01-01

The objective of this research study is to offer a glimpse into the lives of some newly-arrived students of different racial, linguistic and religious backgrounds as they confront the process of immigration and therefore personal and social displacement within the context of a Toronto inner-city high school. These students carry with them hidden…

Exploring Geographic Variation of Mental Health Risk and Service Utilization of Doctors and Hospitals in Toronto: A Shared Component Spatial Modeling Approach

PubMed Central

Perlman, Christopher

2018-01-01

Mental Health has been known to vary geographically. Different rates of utilization of mental health services in local areas reflect geographic variation of mental health and complexity of health care. Variations and inequalities in how the health care system addresses risks are two critical issues for addressing population mental health. This study examines these issues by analyzing the utilization of mental health services in Toronto at the neighbourhood level. We adopted a shared component spatial modeling approach that allows simultaneous analysis of two main health service utilizations: doctor visits and hospitalizations related to mental health conditions. Our results reflect a geographic variation of both types of mental health service utilization across neighbourhoods in Toronto. We identified hot and cold spots of mental health risks that are common to both or specific to only one type of health service utilization. Based on the evidence found, we discuss intervention strategies, focusing on the hotspots and provision of health services about doctors and hospitals, to improve mental health for the neighbourhoods. Limitations of the study and further research directions are also discussed. PMID:29587426

Identification of TEM-135 β-Lactamase in Neisseria gonorrhoeae Strains Carrying African and Toronto Plasmids in Argentina

PubMed Central

Gianecini, R.; Oviedo, C.; Littvik, A.; Mendez, E.; Piccoli, L.; Montibello, S.

2014-01-01

One hundred forty-three penicillinase-producing Neisseria gonorrhoeae (PPNG) isolates obtained in Argentina from 2008 and 2012 were examined to detect blaTEM-135 genes and to investigate plasmid profiles and multiantigen sequence types. Forty-two PPNG isolates were found to carry TEM-135, and two contained a new TEM derivative characterized as TEM-220. The blaTEM-135 allele was carried by the Toronto/Rio and African plasmids. Molecular epidemiology revealed that two blaTEM-135 isolates were related to previously described isolates from Thailand and China, indicating a common evolutionary origin. PMID:25367903

Risk factors for injuries in competitive Irish dancers enrolled in dance schools in Calgary, Canada.

PubMed

Eustergerling, Mercedes; Emery, Carolyn

2015-03-01

Irish dancing has become a popular activity following international exposure to touring dance companies. Previous studies have reported high injury incidence rates in dancers. The objective of this study was to examine risk factors for injuries in competitive Irish dancers in Calgary, Canada. This is a cross-sectional study. Competitive dancers over 12 years of age in Calgary, Canada, were eligible to participate. A pen-and-paper survey was administered to gather information on demographics, risk factors for injury, and injuries in the past year. Potential risk factors included age, competitive level, participation in other physical activities, years of participation in Irish dance, and performing a warm-up or cool-down. Incidence proportions (IP) and odds ratios (OR) were estimated. Three of the five accredited dance schools in Calgary participated and a total of 36 questionnaires were completed. Twenty-six dancers (IP=72.2%; 95% CI 54.8-85.8%) reported at least one Irish dance-related injury in the past year. There were 60 injuries reported and the majority (57%) were foot or ankle injuries. Elite level dancers (OR= 6.33; CI 1.27-31.57) and dancers over 18 years of age (OR= 24.43; CI 2.60-229.56) were at greater risk of injury in the past year than non-elite and younger dancers. Elite dancers and dancers over 18 years of age are at the greatest risk of injury in Irish dance in Calgary, Canada.

Increasing Accessibility: Lessons Learned in Retaining Special Population Students in Canada

ERIC Educational Resources Information Center

Smith, Clayton; Gottheil, Susan

2011-01-01

In Canada, changing demographics and increased competition--as well as social values based on equity--have inspired efforts to increase the postsecondary education (PSE) participation rates of youths from under-represented/under-served groups. Despite its population having the highest level of educational attainment among those of OECD countries,…

Future changes of temperature and heat waves in Ontario, Canada

NASA Astrophysics Data System (ADS)

Li, Zhong; Huang, Guohe; Huang, Wendy; Lin, Qianguo; Liao, Renfei; Fan, Yurui

2018-05-01

Apparent changes in the temperature patterns in recent years brought many challenges to the province of Ontario, Canada. As the need for adapting to climate change challenges increases, the development of reliable climate projections becomes a crucial task. In this study, a regional climate modeling system, Providing Regional Climates for Impacts Studies (PRECIS), is used to simulate the temperature patterns in Ontario. Three PRECIS runs with a resolution of 25 km × 25 km are carried out to simulate the present (1961-1990) temperature variations. There is a good match between the simulated and observed data, which validates the performance of PRECIS in reproducing temperature changes in Ontario. Future changes of daily maximum, mean, and minimum temperatures during the period 2071-2100 are then projected under the IPCC SRES A2 and B2 emission scenarios using PRECIS. Spatial variations of annual mean temperature, mean diurnal range, and temperature seasonality are generated. Furthermore, heat waves defined based on the exceedance of local climatology and their temporal and spatial characteristics are analyzed. The results indicate that the highest temperature and the most intensive heat waves are most likely to occur at the Toronto-Windsor corridor in Southern Ontario. The Northern Ontario, in spite of the relatively low projected temperature, would be under the risk of long-lasting heat waves, and thus needs effective measures to enhance its climate resilience in the future. This study can assist the decision makers in better understanding the future temperature changes in Ontario and provide decision support for mitigating heat-related loss.

The Benefits of Participating in Collaborative Committees.

ERIC Educational Resources Information Center

Belfiore, Mary Ellen

A study was conducted to show the effect that participation in workplace committees has on committee members. The subjects were 34 members of Workplace Education Center (WEC) projects of ABC Canada who work on establishing and maintaining workplace literacy initiatives; they were interviewed by phone or in group discussions. The study found that,…

Working life tables for females in Canada, 1971.

PubMed

Krishnan, P; Penning, M; Kurian, L

1981-01-01

This paper attempts to construct some working life tables (WLTs) for females in Canada, 1971. Attention is directed to methodological problems in female WLT construction, a suggested methodology, and loss due to mortality. The working life expectancy (WLE), which refers to the average number of years that a person is likely to spend in the labor force during his/her lifetime, reveals the extent of his/her contribution to the national economy. Although working life tables have been prepared for Canadian males, no attempt has been made previously to develop a WLT for the Canadian females. In some countries, such as Canada, the long census questionnaire collects additional pieces of information on labor force participation (LFP), even though the coverage is only on a part (but sizable) of the population. It is suggested that the information on "weeks worked" (Canadian Census wording) can be used to smooth out the bimodality problem in the female LFP. If a working woman works for an entire year, i.e., 52 weeks inclusive of paid holidays and vacation, she is said to contribute 1 woman year of working (or economically active) life to the economy. On the basis of this concept of a woman year of working life, all females who are working full time, part time, and not working can be considered in regard to their respective contributions of working lives to the national economy. An age limit is not indicated in the definition. The number of hours worked per day cumulated for the year and scaled down to the base of 1 woman year of working life would make the analysis more realistic. If the census data on weeks worked are tabulated by single years of age, or age groups for the female population, the average number of weeks worked specific for the various age categories can be computed. Those who are unemployed are taken as contributing zero weeks worked in the computation of the mean. Then the age specific participation rate is obtained as the percent of the average number of

Physicians' Knowledge of Alcohol, Tobacco and Folic Acid in Pregnancy

ERIC Educational Resources Information Center

Lefebvre, L. G.; Ordean, A.; Midmer, D.; Kahan, M.; Tolomiczenko, G.

2007-01-01

Objective: To assess: (1) physicians' knowledge and clinical confidence regarding problematic substance use in pregnancy compared to folic acid, and (2) physicians' desire for education in this area and their preferred learning modalities tools. Design: Self-administered survey. Setting: "Family Medicine Forum 2004" in Toronto, Canada.…

Dependence of U. S. Defense Systems on Foreign Technologies

DTIC Science & Technology

1990-12-01

systematic assess- ments. Projzct Socrates appeared closest to meeting this need. It had long-range goals of 14 I tracking most critical technologies and...Litton-Canada Toronto, ON Wright-Patterson AFB Dayton, OH Naval Avionics Facility Indianapolis, IN Kaiser Electronics San Jose , CA Naval Air Systems

Emotional Intelligence: The MSCEIT from the Perspective of Generalizability Theory

ERIC Educational Resources Information Center

Follesdal, Hallvard; Hagtvet, Knut A.

2009-01-01

The Mayer, Salovey, & Caruso Emotional Intelligence Test (MSCEIT) has been reported to provide reliable scores for the four-branch ability model of emotional intelligence [Mayer, J. D., Salovey, P., & Caruso, D. R. (2002). "Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT). User's manual." Toronto, Canada: Multi-Health…

Targeted Training: An Integrated Initiative.

ERIC Educational Resources Information Center

Valvasori, Joe

The Learning Enrichment Foundation (LEF) in Toronto, Ontario (Canada) offers 12 targeted training programs that have successfully helped "hard-to-serve" clients return to the workforce. Compared with traditional training, targeted training has a much narrower focus and adapts quickly to industry trends to meet employers' changing…

A Decade of Feminist Influence on Psychotherapy.

ERIC Educational Resources Information Center

Brodsky, Annette M.

1980-01-01

Last decade has seen some major impacts of feminism on institution of psychotherapy regarding theories, treatment techniques, and assessment instruments. Changes in attitudes toward women as therapists and as clients have reflected general advances of women's movement. Presented at American Psychological Association Convention, Toronto, Canada,…

75 FR 48990 - Notice of Receipt of Complaint; Solicitation of Comments Relating to the Public Interest

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-12

... Science Inc. of Toronto, Ontario, Canada; King Luminaire, Inc. of Jefferson, Ohio; and The StressCrete... of like or directly competitive articles in the United States, or United States consumers. In particular, the Commission is interested in comments that: (i) Explain how the articles potentially subject...

Commentary on "randomized clinical trial of vitamin D3 doses on prostatic vitamin D metabolite levels and Ki67 labeling in prostate cancer patients." Wagner D, Trudel D, Van der Kwast T, Nonn L, Giangreco AA, Li D, Dias A, Cardoza M, Laszlo S, Hersey K, Klotz L, Finelli A, Fleshner N, Vieth R, Department of Nutritional Sciences, University of Toronto, Ontario, Canada.: J Clin Endocrinol Metab 2013;98(4):1498-507 [Epub 2013 Mar 5].

PubMed

Olumi, Aria F

2014-02-01

Vitamin D3 might benefit prostate cancer (PCa) patients because prostate cells can locally synthesize the active hormone calcitriol. Our objective was to determine the effects of oral vitamin D3 on vitamin D metabolites and PCa proliferative activity in prostate tissue. We conducted a double-blind randomized clinical trial at surgical oncology clinics in Toronto, Canada. PCa patients (Gleason 6 or 7) participated in the study. Of 66 subjects who were enrolled, 63 completed the dosing protocol. Vitamin D3 (400, 10000, or 40000 IU/d) was orally administered before radical prostatectomy. We evaluated vitamin D metabolite levels and Ki67 labeling in surgical prostate tissue. Safety measures, PTH, and prostate-specific antigen (PSA) were also assessed. Prostate tissue and serum levels of vitamin D metabolites, including calcitriol, increased dose dependently (P<.03) and were significantly higher in the 40000-IU/d group than in every other dose group (P<.03). Prostate vitamin D metabolites correlated positively with serum levels (P<.0001). Ki67 measures did not differ significantly among vitamin D dose groups. However, cross-sectional analysis indicated that the calcitriol level attained in prostate was inversely associated with Ki67 intensity and Ki67 (3+) percent positive nuclei in PCa and benign tissue (P<.05). Safety measures did not change adversely with dosing. Compared with the 400-IU/d group, serum PTH and PSA were lower in the combined higher-dose groups at the end of the study (P< .02). Oral vitamin D3 raised prostate calcitriol levels (level 1 evidence) and modestly lowered both PSA and PTH. Although Ki67 expression did not differ among dose groups, its levels correlated inversely with prostate calcitriol. These suggestions of clinical benefit justify continued clinical research. Copyright © 2014 Elsevier Inc. All rights reserved.

Provider- and patient-related determinants of diabetes self-management among recent immigrants: Implications for systemic change.

PubMed

Hyman, Ilene; Shakya, Yogendra; Jembere, Nathaniel; Gucciardi, Enza; Vissandjée, Bilkis

2017-02-01

To examine provider- and patient-related factors associated with diabetes self-management among recent immigrants. Demographic and experiential data were collected using an international survey instrument and adapted to the Canadian context. The final questionnaire was pretested and translated into 4 languages: Mandarin, Tamil, Bengali, and Urdu. Toronto, Ont. A total of 130 recent immigrants with a self-reported diagnosis of type 2 diabetes mellitus who had resided in Canada for 10 years or less. Diabetes self-management practices (based on a composite of 5 diabetes self-management practices, and participants achieved a score for each adopted practice); and the quality of the provider-patient interaction (measured with a 5-point Likert-type scale that consisted of questions addressing participants' perceptions of discrimination and equitable care). A total of 130 participants in this study were recent immigrants to Canada from 4 countries of origin-Sri Lanka, Bangladesh, Pakistan, and China. Two factors were significant in predicting diabetes self-management among recent immigrants: financial barriers, specifically, not having enough money to manage diabetes expenses ( P  = .0233), and the quality of the provider-patient relationship ( P = .0016). Participants who did not have enough money to manage diabetes were 9% less likely to engage in self-management practices; and participants who rated the quality of their interactions with providers as poor were 16% less likely to engage in self-management practices. Financial barriers can undermine effective diabetes self-management among recent immigrants. Ensuring that patients feel comfortable and respected and that they are treated in culturally sensitive ways is also critical to good diabetes self-management. Copyright© the College of Family Physicians of Canada.

How did a Housing First intervention improve health and social outcomes among homeless adults with mental illness in Toronto? Two-year outcomes from a randomised trial

PubMed Central

O'Campo, Patricia; Stergiopoulos, Vicky; Nir, Pam; Levy, Matthew; Misir, Vachan; Chum, Antony; Arbach, Bouchra; Nisenbaum, Rosane; To, Matthew J; Hwang, Stephen W

2016-01-01

Objectives We studied the impact of a Housing First (HF) intervention on housing, contact with the justice system, healthcare usage and health outcomes among At Home/Chez Soi randomised trial participants in Toronto, a city with an extensive service network for social and health services for individuals who are experiencing homelessness and mental illness. Methods Participants identified as high needs were randomised to receive either the intervention which provided them with housing and supports by an assertive community treatment team (HF+ACT) or treatment as usual (TAU). Participants (N=197) had in-person interviews every 3 months for 2 years. Results The HF+ACT group spent more time stably housed compared to the TAU group with the mean difference between the groups of 45.8% (95% CI 37.1% to 54.4%, p<0.0001). Accounting for baseline differences, HF+ACT group showed significant improvements over TAU group for community functioning, selected quality-of-life subscales and arrests at some time points during follow-up. No differences between HF+ACT and TAU groups over the follow-up were observed for health service usage, community integration and substance use. Conclusions HF for individuals with high levels of need increased housing stability and selected health and justice outcomes over 2 years in a city with many social and health services. Trial registration number ISRCTN42520374. PMID:27619826

Immigrant Status and Secondary School Performance as Determinants of Post-Secondary Participation: A Comparison of Canada and Switzerland. OECD Education Working Papers, No. 77

ERIC Educational Resources Information Center

Picot, Garnett

2012-01-01

This working paper seeks to explore the reasons why educational attainment in the immigrant population varies between North America and Europe. Specifically, the examples of Canada and Switzerland are used as Canada has an immigrant population with a typically higher rate of post-secondary education than that of the domestic population, while in…

Potential use of tiltrotor aircraft in Canadian aviation

NASA Technical Reports Server (NTRS)

Gazdag, Denyse; Alton, Larry

1990-01-01

The aviation system in Canada is described as it relates to the potential applicability of tiltrotor technology. Commuter service in two corridors, the Vancouver-Victoria route on the west coast and the heavily traveled Montreal-Toronto corridor in eastern Canada, are examined. The operation of air service from the near-downtown Toronto STOLport and from the Vancouver-Victoria downtown heliport facilities is described. The emergency medical services, search and rescue, and natural resources development sectors are described with regard to the needs that tiltrotor technology could uniquely meet in these areas. The airport construction program in isolated communities of northern Quebec and possible tiltrotor service in northern regions are reviewed. The Federal and provincial governments' financial support policy regarding the aeronautical industry is to encourage the establishment and expansion of businesses in the field of aeronautics and to make possible the acquisition of new technology. This policy has implications for the tiltrotor program.

The impact of interest: how do family medicine interest groups influence medical students?

PubMed

Kerr, Jonathan R; Seaton, M Bianca; Zimcik, Heather; McCabe, Jennifer; Feldman, Kymm

2008-01-01

To describe the knowledge of, and experience with, the Interest Group in Family Medicine (IgFM) at the University of Toronto, among undergraduate medical students; to explore the effects of the IgFM on undergraduate medical students; and to help determine future directions for the IgFM and other family medicine interest groups in Canada. Qualitative descriptive design and focus groups. The Faculty of Medicine at the University of Toronto in Ontario. A total of 45 students in the undergraduate medical school program at the University of Toronto participated in this study. Approximately equal numbers of students from each year were represented in the sample. Focus groups were conducted to determine students' knowledge of, experiences with, and perspectives on the IgFM. The focus groups were audiotaped and transcribed verbatim. Transcripts were coded and analyzed for themes using qualitative content analysis. Data were collected until saturation of emerging themes was reached. The students were generally knowledgeable about the IgFM and many had attended IgFM events. The IgFM had different effects on students depending on their level of interest in family medicine (FM). For those already interested in FM, the IgFM helped to maintain and support that interest. For students still undecided about their career choices, the IgFM helped to support continued interest in FM by dispelling negative myths about the discipline, providing positive peer influences, and supplying information about careers in FM. For students not interested in FM, the IgFM provided helpful information about the discipline. Students also had many useful suggestions regarding the future direction of the IgFM. The IgFM has been successful in increasing medical student exposure to FM and in supporting students' interest in this discipline. Information from this study also provides strategies for future direction to the IgFM and other family medicine interest groups in Canada and the United States.

Spatio-temporal trends and monitoring design of perfluoroalkyl acids in the eggs of gull (Larid) species from across Canada and parts of the United States.

PubMed

Gewurtz, Sarah B; Martin, Pamela A; Letcher, Robert J; Burgess, Neil M; Champoux, Louise; Elliott, John E; Weseloh, D V Chip

2016-09-15

A large spatial dataset of perfluoroalkyl acid (PFAA) concentrations in eggs of herring gulls (Larus argentatus or congeneric species) collected from late April to early June between 2009 and 2014 from 28 colonies across Canada and parts of the Unites States was used to evaluate location-specific patterns in chemical concentrations and to generate hypotheses on the major sources affecting PFAA distributions. The highly bioaccumulative perfluorooctane sulfonic acid (PFOS) as well as other perfluoroalkyl sulfonic acids (PFSAs) showed the greatest concentrations in eggs from the lower Great Lakes of southern Ontario as well as from the St. Lawrence River. Despite the 2000 to 2002 phase-out of PFOS and related C8 chemistry by the major manufacturer at the time, ongoing losses from consumer products during use and disposal in urban/industrial locations continue to be major sources to the environment and are influencing the spatial trends of PFOS in Canada. In comparison to PFOS, perfluoroalkyl carboxylic acids (PFCAs) were not as concentrated in eggs in close proximity to urbanized/industrialized centers, but had surprisingly elevated levels in relatively remote regions such as Great Slave Lake, NT and East Bay in Hudson Bay, NU. The present results support the hypothesis that atmospheric transport and degradation of precursor chemicals, such as the fluorotelomer alcohols 8:2 FTOH and 10:2 FTOH, are influencing the spatial trends of PFCAs in Canada. A power analysis conducted on a representative urbanized/industrialized colony in the Toronto Harbour, ON, and a relatively remote colony in Lake Superior, emphasized the importance of consistent and long-term data collection in order to detect the anticipated changes in PFAA concentrations in Canadian gull eggs. Crown Copyright © 2016. Published by Elsevier B.V. All rights reserved.

Racial/ethnic variations in the main and buffering effects of ethnic and nonethnic supports on depressive symptoms among five ethnic immigrant groups in Toronto.

PubMed

Kim, Il-Ho; Noh, Samuel

2016-01-01

This study examined variations in the main and buffering effects of ethnic and nonethnic social support on depressive symptoms associated with discrimination among five immigrant groups in Toronto. Data were taken from the Toronto Study of Settlement and Health, a cross-sectional survey of adult immigrants from five ethnic communities (Vietnamese, Ethiopian, Iranian, Korean, and Irish) in Toronto. A total of 900 surveys were collected through face-to-face interviews conducted between April and September 2001. Significant ethnic variations were observed in the effects of both ethnic and nonethnic social supports on discrimination-related depressive symptoms. Regarding the main effect, ethnic social support was significantly stronger for Iranian, Ethiopian, and Korean immigrants than for Irish immigrants. The benefits of nonethnic support were stronger for Iranian immigrants compared to the effect found in the Irish sample. With respect to stress-buffering or stress-moderating effects of social support, ethnic support was significant in all ethnic groups, except the Vietnamese group. Nonethnic support aggravated the negative impact of discrimination on depressive symptoms in the Irish group, but exerted a stress-buffering effect in the Iranian group. Overall, social supports received from fellow ethnic group members had significant main effects (suppressing depressive symptoms) and stress-buffering effects and were most pronounced in the minority ethnic immigrant groups of Ethiopians, Koreans, and Iranians. The effects were least evident among the Vietnamese and Irish. Evidence for the stress-suppressing and stress-buffering role of cross-ethnic group supports was unclear, and even inverted among Irish immigrants. Empirical evidence from the current study seems to support the sociocultural similarity hypothesis of social support.

Bringing hope and change: a study of youth probation officers in Toronto.

PubMed

Umamaheswar, Janani

2013-09-01

Although youth probation (in some countries described as youth justice or youth offending work) has been widely discussed in older and more recent criminological literature, less attention has been paid to youth probation officers' accounts of their attitudes and strategies. In this study, the author uses in-depth interviews with 20 youth probation officers in Toronto, examining officers' attitudes toward the youth they work with and how these attitudes are reflected in the strategies that the officers use to achieve their professional goals. Findings reveal that the officers balance their authoritative and supportive roles not only to hold youth accountable, to encourage them to assert control over their lives, and to maintain optimism about the possibility of a nondeviant life, but also to assist the youth in attaining the means and resources necessary to make positive changes. These findings are interpreted within the framework of Canadian youth justice legislation as well as the broader desistance literature.

Effect of colleague and coworker abuse on family physicians in Canada

PubMed Central

Miedema, Baukje; Tatemichi, Sue; Hamilton, Ryan; Lambert-Lanning, Anita; Lemire, Francine; Manca, Donna P.; Ramsden, Vivian R.

2011-01-01

Abstract Objective To assess the effects of physician-colleague and coworker abuse on family physicians in Canada. Design A mixed-methods, bilingual study that included surveys and telephone interviews. Setting Canada. Participants Family physicians in active practice who were members of the College of Family Physicians of Canada in 2009. Methods Surveys were mailed to a random sample of family physicians (N = 3802), and 37 family physicians who had been abused in the past year participated in telephone interviews. Main findings A total of 770 surveys (20%) were completed. A small number of respondents reported having been subjected to abuse by physician colleagues (9%) or coworkers (6%) in the previous month. Many of the respondents reported that the same physician colleagues or coworkers were repeat abusers. More than three-quarters (77%) of the physician-colleague abusers were men, whereas more than three-quarters (77%) of the other coworker abusers were women. Interviewed family physicians described feeling humiliated and unappreciated, and developed symptoms of anxiety or depression. As a result of the abuse, some family physicians terminated their employment or refused to work in certain environments. The most striking effect of this abuse was that respondents reported losing confidence in their professional abilities and skills. Conclusion Although only a small number of family physicians experience abuse by physician colleagues and other coworkers, the effects can be considerable. Victims reported a loss of confidence in their clinical abilities and some subsequently were faced with mental health issues. PMID:22170201

The global financial crisis and health equity: early experiences from Canada.

PubMed

Ruckert, Arne; Labonté, Ronald

2014-01-06

It is widely acknowledged that austerity measures in the wake of the global financial crisis are starting to undermine population health results. Yet, few research studies have focused on the ways in which the financial crisis and the ensuing 'Great Recession' have affected health equity, especially through their impact on social determinants of health; neither has much attention been given to the health consequences of the fiscal austerity regime that quickly followed a brief period of counter-cyclical government spending for bank bailouts and economic stimulus. Canada has not remained insulated from these developments, despite its relative success in maneuvering the global financial crisis. The study draws on three sources of evidence: A series of semi-structured interviews in Ottawa and Toronto, with key informants selected on the basis of their expertise (n = 12); an analysis of recent (2012) Canadian and Ontario budgetary impacts on social determinants of health; and documentation of trend data on key social health determinants pre- and post the financial crisis. The findings suggest that health equity is primarily impacted through two main pathways related to the global financial crisis: austerity budgets and associated program cutbacks in areas crucial to addressing the inequitable distribution of social determinants of health, including social assistance, housing, and education; and the qualitative transformation of labor markets, with precarious forms of employment expanding rapidly in the aftermath of the global financial crisis. Preliminary evidence suggests that these tendencies will lead to a further deepening of existing health inequities, unless counter-acted through a change in policy direction. This article documents some of the effects of financial crisis and severe economic decline on health equity in Canada. However, more research is necessary to study policy choices that could mitigate this effect. Since the policy response to a similar set of

The global financial crisis and health equity: Early experiences from Canada

PubMed Central

2014-01-01

Background It is widely acknowledged that austerity measures in the wake of the global financial crisis are starting to undermine population health results. Yet, few research studies have focused on the ways in which the financial crisis and the ensuing ‘Great Recession’ have affected health equity, especially through their impact on social determinants of health; neither has much attention been given to the health consequences of the fiscal austerity regime that quickly followed a brief period of counter-cyclical government spending for bank bailouts and economic stimulus. Canada has not remained insulated from these developments, despite its relative success in maneuvering the global financial crisis. Methods The study draws on three sources of evidence: A series of semi-structured interviews in Ottawa and Toronto, with key informants selected on the basis of their expertise (n = 12); an analysis of recent (2012) Canadian and Ontario budgetary impacts on social determinants of health; and documentation of trend data on key social health determinants pre- and post the financial crisis. Results The findings suggest that health equity is primarily impacted through two main pathways related to the global financial crisis: austerity budgets and associated program cutbacks in areas crucial to addressing the inequitable distribution of social determinants of health, including social assistance, housing, and education; and the qualitative transformation of labor markets, with precarious forms of employment expanding rapidly in the aftermath of the global financial crisis. Preliminary evidence suggests that these tendencies will lead to a further deepening of existing health inequities, unless counter-acted through a change in policy direction. Conclusions This article documents some of the effects of financial crisis and severe economic decline on health equity in Canada. However, more research is necessary to study policy choices that could mitigate this effect

Smallpox Control in Canada

PubMed Central

Best, E. W. R.; Davies, J. W.

1965-01-01

During the period 1961 to 1963 there were 10 separate importations of smallpox cases by aircraft into England and Wales, Germany, Sweden, Poland and Canada. A feature of the resulting outbreaks was the number of cases and deaths of physicians and other health personnel. With the increasing volume of international air traffic there is a risk of importing incubating cases of smallpox into Canada, as occurred in 1962. Millions of Canadians have been protected against smallpox. Some complications of smallpox vaccination have occurred in Canada; such complications can be minimized by proper attention to contraindications to vaccination. The Food and Drug Directorate, Department of National Health and Welfare, has circularized all physicians in Canada to request their co-operation in reporting adverse reactions to drugs. This includes serious, unusual or unsuspected reactions to immunizing agents (vaccines, toxoids and antitoxins). The latter information will be shared with the Epidemiology Division, Department of National Health and Welfare, and the provincial epidemiologist and manufacturer concerned. The importance of maintaining the smallpox immunity of physicians, nurses and other hospital and health personnel in Canada is emphasized. PMID:14296005

Active Canada 20/20: A physical activity plan for Canada.

PubMed

Spence, John C; Faulkner, Guy; Costas Bradstreet, Christa; Duggan, Mary; Tremblay, Mark S

2016-03-16

Physical inactivity is a pressing public health concern. In this commentary we argue that Canada's approach to increasing physical activity (PA) has been fragmented and has lacked coordination, funding and a strategic approach. We then describe a potential solution in Active Canada 20/20 (AC 20/20), which provides both a national plan and a commitment to action from non-government and public sectors with a view to engaging corporate Canada and the general public. It outlines a road map for initiating, coordinating and implementing proactive initiatives to address this prominent health risk factor. The identified actions are based on the best available evidence and have been endorsed by the majority of representatives in the relevant sectors. The next crucial steps are to engage all those involved in public health promotion, service provision and advocacy at the municipal, provincial and national levels in order to incorporate AC 20/20 principles into practice and planning and thus increase the PA level of every person in Canada. Further, governments, as well as the private, not-for-profit and philanthropic sectors, should demonstrate leadership and continue their efforts toward providing the substantial and sustained resources needed to recalibrate Canadians' habitual PA patterns; this will ultimately improve the overall health of our citizens.

Some Numbers behind Canada's Decision to Adopt an Orphan Drug Policy: US Orphan Drug Approvals in Canada, 1997-2012.

PubMed

Herder, Matthew; Krahn, Timothy Mark

2016-05-01

We examined whether access to US-approved orphan drugs in Canada has changed between 1997 (when Canada chose not to adopt an orphan drug policy) and 2012 (when Canada reversed its policy decision). Specifically, we looked at two dimensions of access to US-approved orphan drugs in Canada: (1) regulatory access; and (2) temporal access. Whereas only 63% of US-approved orphan drugs were granted regulatory approval in 1997, we found that regulatory access to US-approved orphan drugs in Canada increased to 74% between 1997 and 2012. However, temporal access to orphan drugs is slower in Canada: in a head-on comparison of 40 matched drugs, only two were submitted and four were approved first in Canada; moreover, the mean review time in Canada (423 days) was longer than that in the US (mean = 341 days), a statistically significant difference (t[39] = 2.04, p = 0.048). These results raise questions about what motivated Canada's apparent shift in orphan drug policy. Copyright © 2016 Longwoods Publishing.

Canada starts to CHIME

NASA Astrophysics Data System (ADS)

2017-10-01

Canada has finished the construction of the country’s largest radio telescope. The C$16m Canadian Hydrogen Intensity-Mapping Experiment (CHIME) near Penticton, British Columbia, is the first research telescope to be built in Canada in more than 30 years.

Factors Affecting Applicants' Acceptance or Decline of Offers to Enroll in a Medical School.

ERIC Educational Resources Information Center

Cleave-Hogg, Doreen; And Others

1994-01-01

A University of Toronto (Canada) study of medical school applicants accepting (n=784) and declining (n=255) admission identified influential factors. Some (living cost, location) cannot be affected by the institution. The institution has limited control of others (faculty size, school environment) but can influence applicant perceptions. One…

A PERT/CPM of the Computer Assisted Completion of The Ministry September Report. Research Report.

ERIC Educational Resources Information Center

Feeney, J. D.

Using two statistical analysis techniques (the Program Evaluation and Review Technique and the Critical Path Method), this study analyzed procedures for compiling the required yearly report of the Metropolitan Separate School Board (Catholic) of Toronto, Canada. The computer-assisted analysis organized the process of completing the report more…

Once a physicist: Dave Donaldson

NASA Astrophysics Data System (ADS)

2017-08-01

Dave Donaldson is a professor of economics at the Massachusetts Institute of Technology, US, who conducts research on topics related to international and inter-regional trade in low-income countries. He grew up in Toronto, Canada and obtained an MPhys degree at the University of Oxford, UK, in 2001

Between the Frames: Youth Spectatorship and Theatre as Curated, "Unruly" Pedagogical Space

ERIC Educational Resources Information Center

Gallagher, Kathleen; Wessels, Anne

2013-01-01

In this article, we consider the aesthetic, political and pedagogical strengths of a verbatim theatre performance, "The Middle Place" by Project: Humanity, a play that explores the experiences of shelter youth in Toronto, Canada. This ethnographic study moved from drama classrooms into theatres and charted audience responses to the…

E-Books in the Sciences: If We Buy It Will They Use It?

ERIC Educational Resources Information Center

Nariani, Rajiv

2009-01-01

York University, Toronto, Canada has been acquiring e-books from different publishers and content providers. At present our University subscribes to electronic content from NetLibrary, ebrary, EBL, Oxford Scholarship Online, Oxford Reference Online, MyiLibrary, Safari, Springer, Oxford University Press, Knovel, Books24x7, Synthesis Engineering…

SHARAF: The Canadian Shared Authority File Project.

ERIC Educational Resources Information Center

MacIntosh, Helen

1982-01-01

Describes history, operating procedures, and current activities of group of users of the University of Toronto Library Automation System (UTLAS) who cooperated with each other, the bibliographic utility, and the National Library of Canada to produce an automated authority control system, termed Shared Authority File (SHARAF). Five references are…

Identification of TEM-135 β-lactamase in Neisseria gonorrhoeae strains carrying African and Toronto plasmids in Argentina.

PubMed

Gianecini, R; Oviedo, C; Littvik, A; Mendez, E; Piccoli, L; Montibello, S; Galarza, P

2015-01-01

One hundred forty-three penicillinase-producing Neisseria gonorrhoeae (PPNG) isolates obtained in Argentina from 2008 and 2012 were examined to detect blaTEM-135 genes and to investigate plasmid profiles and multiantigen sequence types. Forty-two PPNG isolates were found to carry TEM-135, and two contained a new TEM derivative characterized as TEM-220. The blaTEM-135 allele was carried by the Toronto/Rio and African plasmids. Molecular epidemiology revealed that two blaTEM-135 isolates were related to previously described isolates from Thailand and China, indicating a common evolutionary origin. Copyright © 2015, American Society for Microbiology. All Rights Reserved.

The importance of place of residence in patient satisfaction.

PubMed

Levinton, Carey; Veillard, Jeremy; Slutsky, Arthur; Brown, Adalsteinn

2011-10-01

To determine the effect of patients' place of residence on their evaluations of care, and to explore related policy implications. We used a conditional regression analysis of stratum matched case controls to examine whether place of residence of patients living in the Greater Toronto Area (GTA) or in Ontario outside of the GTA affects patient satisfaction with their experiences during hospitalization. One hundred and six acute care hospitals located in the province of Ontario, Canada. A total of 101 683 Ontario residents hospitalized as inpatients between 1 October 2002 and 30 June 2004. Patient satisfaction indicators publicly reported in Ontario comprising patient perceptions of consideration, responsiveness, communication, and overall impressions, scored on a continuous scale from 1 to 100. Patients who lived outside Toronto were consistently more satisfied than patients who lived inside Toronto when both types of patients were hospitalized in Toronto (P < 0.0001). In contrast, patients who lived inside Toronto were usually and substantially more satisfied than patients who lived outside Toronto when they were hospitalized in facilities outside Toronto (P < 0.02). These findings were consistent after adjustment for several patient-level predictor variables: age, sex, self-assessed health status and number of hospital stays in the last 6 months. Findings suggest that where patients live has a small but potentially important impact on how they rate their care. Residence may therefore be considered when designing public reporting systems and pay-for-performance programs. Further attention to patient-level factors may be important to accurate and useful public reporting of patient satisfaction.

Translating Research into Practice: Establishing a Network of Climate Change Practitioners in Ontario, Canada

NASA Astrophysics Data System (ADS)

Milner, G. A.

2017-12-01

Climate research and information continues to emerge at a rapid pace from the academic and scientific community. Decisions being made today by planners, engineers and staff across the Province of Ontario rely on science and information to plan and build our systems for the long term. Of course, as scientific information evolves continuously to produce lessons learned and new evidence, on the ground decisions often become entrenched in outdated information and need updating. Given this, bridging the gap between research to policy, and research to practice is of critical importance as the Province of Ontario upgrades its infrastructure, plans for long term growth in population within the Great Lakes Basin, and manages its natural systems and resources responsibly. The Ontario Climate Consortium (OCC) is an interdisciplinary network of academics and practitioners established in 2011 in the province that works to mobilize climate research findings towards building capacity, inspiring climate action, and training end-users with the latest science. The OCC has collaborated with more than 39 organizations throughout Ontario and across Canada, including government agencies at all levels (local, provincial and federal), non-profit organizations and private sector companies. This presentation will describe the foundations of climate action in Ontario, Canada including the landscape of climate adaptation practitioners from both public and private organizations. Furthermore, this presentation will feature lessons learned from the OCC network, including: 1) What comprises effective partnerships to undertake climate change adaptation planning for cities; 2) How to build the foundation for capacity at agencies with limited resources or expertise in the climate change field; and 3) How to successfully mobilize complex climate data for end-users to produce usable tools (through a case study research project). The latter will present findings from a two-year research project

Nutrition Needs Assessment of Young Special Olympics Participants

ERIC Educational Resources Information Center

Gibson, Jennifer C.; Temple, Viviene A.; Anholt, Jane P.; Gaul, Catherine A.

2011-01-01

Background: Children with intellectual disability (ID) are at increased risk for obesity and nutrition-related health concerns, yet there is a paucity of data describing their nutrition status. The purpose of this study was to evaluate nutritional challenges of young participants (2-10 years of age) enrolled in Special Olympics Canada (SOC)…

An introduction to the healthy corner store intervention model in Canada.

PubMed

Mah, Catherine L; Minaker, Leia M; Jameson, Kristie; Rappaport, Lissie; Taylor, Krystal; Graham, Marketa; Moody, Natalie; Cook, Brian

2017-09-14

The majority of Canadians' food acquisition occurs in retail stores. Retail science has become increasingly sophisticated in demonstrating how consumer environments influence population-level diet quality and health status. The retail food environment literature is new but growing rapidly in Canada, and there is a relative paucity of evidence from intervention research implemented in Canada. The healthy corner store model is a comprehensive complex population health intervention in small retail stores, intended to transform an existing business model to a health-promoting one through intersectoral collaboration. Healthy corner store interventions typically involve conversions of existing stores with the participation of health, community, and business sector partners, addressing business fundamentals, merchandising, and consumer demand. This article introduces pioneering experiences with the healthy corner store intervention in Canada. First, we offer a brief overview of the state of evidence within and outside Canada. Second, we discuss three urban and one rural healthy corner store initiatives, led through partnerships among community food security organizations, public health units, academics, and business partners, in Manitoba, Ontario, and Newfoundland and Labrador. Third, we synthesize the promising practices from these local examples, including aspects of both intervention science (e.g., refinements in measuring the food environment) and community-based practice (e.g., dealing with unhealthy food items and economic impact for the retailer). This article will synthesize practical experiences with healthy corner stores in Canada. It offers a baseline assessment of promising aspects of this intervention for health and health equity, and identifies opportunities to strengthen both science and practice in this area of retail food environment work.

Radiation oncology in Canada.

PubMed

Giuliani, Meredith; Gospodarowicz, Mary

2018-01-01

In this article we provide an overview of the Canadian healthcare system and the cancer care system in Canada as it pertains to the governance, funding and delivery of radiotherapy programmes. We also review the training and practice for radiation oncologists, medical physicists and radiation therapists in Canada. We describe the clinical practice of radiation medicine from patients' referral, assessment, case conferences and the radiotherapy process. Finally, we provide an overview of the practice culture for Radiation Oncology in Canada. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

The influence of the Children's Food and Beverage Advertising Initiative: change in children's exposure to food advertising on television in Canada between 2006-2009.

PubMed

Potvin Kent, M; Wanless, A

2014-04-01

To assess whether children's exposure to television food/beverage advertising has changed since the implementation of the self-regulatory Canadian Children's Food and Beverage Advertising Initiative (CAI). Data on 11 advertised food/beverage categories (candy, chocolate bars, cookies, portable snacks, cheese, yogurt, cereal, juices, soft drinks, diet soft drinks and fast food) were purchased from Nielsen Media Research for May 2006, 2009 and 2011 for the broadcasting markets of Toronto and Vancouver. The number of advertisements aired on 27 television stations between 0600 hours-1200 hours was determined in Toronto and Vancouver for May 2006, 2009 and 2011 and the percentage change in the number of spots between May 2006 and May 2011 on all stations, on children's specialty stations and on generalist stations was then calculated. The average number food/beverage spots seen by children aged 2-11 was determined for May 2006 and 2009 and the percentage change was calculated. On children's specialty channels, a 4.5% decrease in total spots aired was observed while spots aired on generalist stations increased by 44% (Toronto) and 45% (Vancouver). On all stations, children's total average exposure to food/beverage advertising increased by 16.8% in Toronto and 6.4% in Vancouver between 2006 and 2009. Significant increases were seen in snacks and yogurt in both cities, and in fast food in Toronto. On children's specialty channels, children's exposure to the food/beverage categories considered increased by 5.4% in Toronto and by 2.5% in Vancouver. Despite improvements in the volume of spots on children's specialty channels, children's exposure to food and beverage advertising has increased since the implementation of the CAI. The current self-regulatory system is failing to protect children from food marketing high in fat, sugar and sodium on television. Government regulation needs to be considered.

Early Learning Canada: Workshop Leader Guide [and] Participant Resource [and] Trainer Manual. Learning & Reading Partners Adult Learning System.

ERIC Educational Resources Information Center

Estey, Nancy; MacIsaac, Maitland; Rendell, Sandra

Based on the understanding that the capacity to learn is optimized in the early years, Early Learning Canada (ELC) is a community workshop program for parents and adults who work with children from birth to age 6 and their families to facilitate life-long learning. This workshop leader guide explains the ELC principles, examines learning styles…

Gendered motivational processes affecting high school mathematics participation, educational aspirations, and career plans: a comparison of samples from Australia, Canada, and the United States.

PubMed

Watt, Helen M G; Shapka, Jennifer D; Morris, Zoe A; Durik, Amanda M; Keating, Daniel P; Eccles, Jacquelynne S

2012-11-01

In this international, longitudinal study, we explored gender differences in, and gendered relationships among, math-related motivations emphasized in the Eccles (Parsons) et al. (1983) expectancy-value framework, high school math participation, educational aspirations, and career plans. Participants were from Australia, Canada, and the United States (Ns = 358, 471, 418, respectively) in Grades 9/10 at Time 1 and Grades 11/12 at Time 2. The 3 samples came from suburban middle to upper-middle socioeconomic backgrounds, primarily of Anglo-European descent. Multivariate analyses of variance revealed stereotypic gender differences in educational and occupational outcomes only among the Australian sample. Multigroup structural equation models identified latent mean differences where male adolescents held higher intrinsic value for math in the Australian sample and higher ability/success expectancy in both North American samples. Ability/success expectancy was a key predictor in the North American samples, in contrast to intrinsic value in the Australian sample. Attainment/utility ("importance") values were more important for female adolescents' career choices, except in the Australian sample. Findings are interpreted in relation to gender socialization practices, degree and type of early choice, and specialization across settings. Implications are discussed for long-term math engagement and career selection for female and male adolescents. (PsycINFO Database Record (c) 2012 APA, all rights reserved).

The relationship between physician participation in continuing professional development programs and physician in-practice peer assessments.

PubMed

Wenghofer, Elizabeth F; Marlow, Bernard; Campbell, Craig; Carter, Lorraine; Kam, Sophia; McCauley, William; Hill, Lori

2014-06-01

To investigate the relationship between physicians' performance, as evaluated through in-practice peer assessments, and their participation in continuing professional development (CPD). The authors examined the predictive effects of participating in the CPD programs of the Royal College of Physicians and Surgeons of Canada and the College of Family Physicians of Canada one year before in-practice peer assessments conducted by the medical regulatory authority in Ontario, Canada, in 2008-2009. Two multivariate logistic regression models were used to determine whether physicians who reported participating in any CPD and group-based, assessment-based, and/or self-directed CPD activities were more or less likely to receive satisfactory assessments than physicians who had not. All models were adjusted for the effects of sex, age, specialty certification, practice location, number of patient visits per week, hours worked per week, and international medical graduate status. A total of 617 physicians were included in the study. Analysis revealed that physicians who reported participating in any CPD activities were significantly more likely (odds ratio [OR] = 2.5; P = .021) to have satisfactory assessments than those who had not. In addition, physicians participating in group-based CPD activities were more likely to have satisfactory assessments than those who did not (OR = 2.4; P = .016). There is encouraging evidence supporting a positive predictive association between participating in CPD and performance on in-practice peer assessments. The findings have potential implications for policies which require physicians to participate in programs of lifelong learning.

Becoming a Networked Public: Digital Ethnography, Youth and Global Research Collectives

ERIC Educational Resources Information Center

Gallagher, Kathleen; Wessels, Anne; Ntelioglou, Burcu Yaman

2013-01-01

The following article describes a research context that has privileged both virtual and placed-based ethnographic fieldwork, using a hybrid methodology of live and digital communications across school sites in Toronto, Canada; Lucknow, India; Taipei, Taiwan; and Boston, USA. The multi-site ethnographic study is concerned with questions of school…

Developing Quality Schools: A Handbook.

ERIC Educational Resources Information Center

Barlosky, Martin; Lawton, Stephen

This handbook combines the outcomes of the "Symposium on Quality Schools" (April 14, 15 and June 2, 3, 1994, Toronto, Canada) with a continuing presentation of the quality philosophy. It is designed to guide the development and implementation of quality-driven educational programs. Quality schools are committed to creating enhanced…

The Bridges Program.

ERIC Educational Resources Information Center

Bohnen, Elizabeth; Klie, Judy

This report describes BRIDGES, an employment equity special measures training program developed by the City of Toronto (Ontario, Canada). It was designed to help women employees move from their traditional jobs into trades, technical or operation (TTO) jobs within their own organization. The program is a combination of classroom sessions, shop…

Positive and Null Effects of Interprofessional Education on Attitudes toward Interprofessional Learning and Collaboration

ERIC Educational Resources Information Center

Kenaszchuk, Chris; Rykhoff, Margot; Collins, Laura; McPhail, Stacey; van Soeren, Mary

2012-01-01

Interprofessional education (IPE) for health and social care students may improve attitudes toward IPE and interprofessional collaboration (IPC). The quality of research on the association between IPE and attitudes is mediocre and IPE effect sizes are unknown. Students at a college in Toronto, Canada, attended an IPE workshop. A comparison group…

Negative Racial Encounters and Academic Outcomes of International and Domestic Students in Four Canadian Universities

ERIC Educational Resources Information Center

Grayson, J. Paul

2014-01-01

In Canada, there has been little systematic inquiry into the nature and extent of discrimination against university students and the potential impact of discrimination on educational outcomes. On the basis of an examination of domestic and international students at the University of British Columbia (Vancouver), York (Toronto), McGill (Montreal),…

International Perspectives on Literacy Learning with iPads

ERIC Educational Resources Information Center

Gallagher, Tiffany L.; Fisher, Douglas; Lapp, Diane; Rowsell, Jennifer; Simpson, Alyson; Scott, Ruth McQuirter; Walsh, Maureen; Ciampa, Katia; Saudelli, Mary Gene

2015-01-01

This article profiles the use of the iPad in classroom literacy activities in three instructional environments: Toronto, Canada; San Diego, United States; and Sydney, Australia. The two-year, qualitative study included observational fieldwork filming students' interactions with tablets in the midst of literacy events. Students in each context used…

Other People's Children.

ERIC Educational Resources Information Center

Owen, Trevor

1996-01-01

Discusses teaching English in Toronto, Ontario, Canada, where the majority of students have acquired English as an additional language. Suggests that teaching English in these classes presents rewarding and frustrating challenges--challenges which are at least as rewarding and frustrating for students as they are for teachers. Describes the ESL…

Measuring River Pollution

ERIC Educational Resources Information Center

Ayyavoo, Gabriel

2004-01-01

The Don River watershed is located within Canada's most highly urbanized area--metropolitan Toronto. Many residential and commercial uses, including alterations to the river's course with bridges, have had a significant impact on the Don's fauna and flora. Pollutants have degraded the river's water quality, a situation exacerbated by the…

Troubling Whiteness: Music Education and the "Messiness" of Equity Work

ERIC Educational Resources Information Center

Hess, Juliet

2018-01-01

At the elementary level, White, female music teachers largely populate music education. In the diverse schools of Toronto in Canada, teachers navigate their White subjectivities in a range of ways. My research examines the discourses, philosophies, and practices of four White, female elementary music educators who have striven to challenge…

(Re)Conceptualizing Design Approaches for Mobile Language Learning

ERIC Educational Resources Information Center

Hoven, Debra; Palalas, Agnieszka

2011-01-01

An exploratory study conducted at George Brown College in Toronto, Canada between 2007 and 2009 investigated language learning with mobile devices as an approach to augmenting ESP learning by taking learning outside the classroom into the real-world context. In common with findings at other community colleges, this study identified inadequate…

Continuing professional development is associated with increasing physical therapists' roles in arthritis management in Canada and the Netherlands.

PubMed

Li, Linda C; Hurkmans, Emalie J; Sayre, Eric C; Vliet Vlieland, Thea P M

2010-04-01

This study explored the relationships among the roles assumed by physical therapists in arthritis care and their previous participation in arthritis courses for continuing professional development (CPD). A cross-sectional mail survey was conducted. A total of 600 Canadian physical therapists and 461 Dutch physical therapists practicing in orthopedics were randomly selected to participate in a mail survey. The questionnaire covered areas related to their clinical practice, previous participation in arthritis-related CPD courses, and roles in the management of osteoarthritis (OA) and rheumatoid arthritis (RA). Poisson regression was used to explore the associations between physical therapists' participation in arthritis-related CPD courses and the number of roles they assumed in OA and RA care, after adjusting for personal characteristics, arthritis caseload, and country of practice. The survey response rates were 47.7% in Canada and 50.5% in the Netherlands. A total of 424 participants (Canada=224, the Netherlands=200) had treated patients with OA in the previous month, and 259 participants (Canada=68, Netherlands=191) had treated patients with RA in the previous month. The most common roles reported by participants were providing traditional physical therapy interventions and providing postsurgical care. Arthritis-related CPD courses significantly increased (ie, multiplied) the expected number of roles assumed by physical therapists by a factor of 1.32 (95% confidence interval=1.11, 1.56) in OA management and 1.69 (95% confidence interval=1.34, 2.13) in RA management. Physical therapists' roles in arthritis management were obtained through self-reporting, which might differ from their actual clinical practice. This exploratory analysis highlights the association between participation in arthritis-related CPD courses and the roles assumed by physical therapists in OA and RA management. Further research is needed to understand the effects of CPD activities on other

Internationally educated nurses in Canada: predictors of workforce integration.

PubMed

Covell, Christine L; Primeau, Marie-Douce; Kilpatrick, Kelley; St-Pierre, Isabelle

2017-04-04

Global trends in migration accompanied with recent changes to the immigrant selection process may have influenced the demographic and human capital characteristics of internationally educated nurses (IENs) in Canada and in turn the assistance required to facilitate their workforce integration. This study aimed to describe the demographic and human capital profile of IENs in Canada, to explore recent changes to the profile, and to identify predictors of IENs' workforce integration. A cross-sectional, descriptive, correlational survey design was used. Eligible IENs were immigrants, registered and employed as regulated nurses in Canada. Data were collected in 2014 via online and paper questionnaires. Descriptive statistics were used to examine the data by year of immigration. Logistic regression modeling was employed to identify predictors of IENs' workforce integration measured as passing the licensure exam to acquire professional recertification and securing employment. The sample consisted of 2280 IENs, representative of all Canadian provincial jurisdictions. Since changes to the immigrant selection process in 2002, the IEN population in Canada has become more racially diverse with greater numbers emigrating from developing countries. Recent arrivals (after 2002) had high levels of human capital (knowledge, professional experience, language proficiency). Some, but not all, benefited from the formal and informal assistance available to facilitate their workforce integration. Professional experience and help studying significantly predicted if IENs passed the licensure exam on their first attempt. Bridging program participation and assistance from social networks in Canada were significant predictors if IENs had difficulty securing employment. Nurses will continue to migrate from a wide variety of countries throughout the world that have dissimilar nursing education and health systems. Thus, IENs are not a homogenous group, and a "one size fits all" model may not be

The economic burden of schizophrenia in Canada in 2004.

PubMed

Goeree, R; Farahati, F; Burke, N; Blackhouse, G; O'Reilly, D; Pyne, J; Tarride, J-E

2005-12-01

improvements in the past decade in pharmacotherapy, programs and services available for patients with schizophrenia, the economic burden of schizophrenia in Canada remains high. The most significant factor affecting the cost of schizophrenia in Canada is lost productivity due to morbidity. Programs targeted at improving patient symptoms and functioning to increase workforce participation has the potential to make a significant contribution in reducing the cost of this severe mental illness in Canada.

9 CFR 93.517 - Swine from Canada.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Swine from Canada. 93.517 Section 93... CONVEYANCE AND SHIPPING CONTAINERS Swine Canada 7 § 93.517 Swine from Canada. (a) For purposes other than immediate slaughter. Swine offered for importation from Canada for purposes other than immediate slaughter...

9 CFR 93.517 - Swine from Canada.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 9 Animals and Animal Products 1 2014-01-01 2014-01-01 false Swine from Canada. 93.517 Section 93... CONVEYANCE AND SHIPPING CONTAINERS Swine Canada 7 § 93.517 Swine from Canada. (a) For purposes other than immediate slaughter. Swine offered for importation from Canada for purposes other than immediate slaughter...

9 CFR 93.517 - Swine from Canada.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 9 Animals and Animal Products 1 2011-01-01 2011-01-01 false Swine from Canada. 93.517 Section 93... CONVEYANCE AND SHIPPING CONTAINERS Swine Canada 7 § 93.517 Swine from Canada. (a) For purposes other than immediate slaughter. Swine offered for importation from Canada for purposes other than immediate slaughter...

9 CFR 93.517 - Swine from Canada.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 9 Animals and Animal Products 1 2012-01-01 2012-01-01 false Swine from Canada. 93.517 Section 93... CONVEYANCE AND SHIPPING CONTAINERS Swine Canada 7 § 93.517 Swine from Canada. (a) For purposes other than immediate slaughter. Swine offered for importation from Canada for purposes other than immediate slaughter...

9 CFR 93.517 - Swine from Canada.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 9 Animals and Animal Products 1 2013-01-01 2013-01-01 false Swine from Canada. 93.517 Section 93... CONVEYANCE AND SHIPPING CONTAINERS Swine Canada 7 § 93.517 Swine from Canada. (a) For purposes other than immediate slaughter. Swine offered for importation from Canada for purposes other than immediate slaughter...

On The Eve Of IYA2009 In Canada

NASA Astrophysics Data System (ADS)

Hesser, James E.; Breland, K.; Hay, K.; Lane, D.; Lacasse, R.; Lemay, D.; Langill, P.; Percy, J.; Welch, D.; Woodsworth, A.

2009-01-01

Local events organized by astronomy clubs, colleges and universities across Canada will softly launch IYA on Saturday, 10 January and begin building awareness of opportunities for every Canadian to experience a `Galileo Moment’ in 2009. The launch typifies our `grass roots’ philosophy based upon our strong partnership of amateurs and professionals which already represents an IYA legacy. In this poster we anticipate the activities of the first half of 2009 and exhibit the educational and public outreach materials and programs we have produced in both official languages, e.g., Astronomy Trading Cards, Mary Lou's New Telescope, Star Finder, etc. Some of these play central roles in our tracking of participation, including allowing people to register to have their name launched into space in 2010. Several contests for youth are underway, with the prize in one being an hour of Gemini telescope observing. In the first half of 2009 some 30,000 grade 6 students will experience `Music of the Spheres’ astronomical orchestral programming conducted by Galileo (a.k.a. Tania Miller, Victoria Symphony). Audiences in Canada and the US will experience Taflemusik's marvelous new soundscape of music and words exploring the deep connections between astronomy and Baroque-era music. An Astronomy Kit featuring Galileoscope for classroom and astronomy club EPO will be tested. Canada Post will issue two stamps during 100 Hours of Astronomy. A new production, Galileo Live!, by Canadian planetaria involving live actors will premier, as will the national Galileo Legacy Lectures in which top astronomers familiarize the public with forefront research being done in Canada. Image exhibits drawing upon material generated by Canadian astronomers and artists, as well as from the IAU Cornerstones, FETTU and TWAN, are opening in malls and airports early in 2009. We will present the latest information about these and other events.

Public health campaigns and their effect on stroke knowledge in a high-risk urban population: A five-year study.

PubMed

Metias, Maged M; Eisenberg, Naomi; Clemente, Michael D; Wooster, Elizabeth M; Dueck, Andrew D; Wooster, Douglas L; Roche-Nagle, Graham

2017-10-01

Background The level of knowledge of stroke risk factors and stroke symptoms within a population may determine their ability to recognize and ultimately react to a stroke. Independent agencies have addressed this through extensive awareness campaigns. The aim of this study was to determine the change in baseline knowledge of stroke risk factors, symptoms, and source of stroke knowledge in a high-risk Toronto population between 2010 and 2015. Methods Questionnaires were distributed to adults presenting to cardiovascular clinics at the University of Toronto in Toronto, Canada. In 2010 and 2015, a total of 207 and 818 individuals, respectively, participated in the study. Participants were identified as stroke literate if they identified (1) at least one stroke risk factor and (2) at least one stroke symptom. Results A total of 198 (95.6%) and 791 (96.7%) participants, respectively, completed the questionnaire in 2010 and 2015. The most frequently identified risk factors for stroke in 2010 and 2015 were, respectively, smoking (58.1%) and hypertension (49.0%). The most common stroke symptom identified was trouble speaking (56.6%) in 2010 and weakness, numbness or paralysis (67.1%) in 2015. Approximately equal percentages of respondents were able to identify ≥1 risk factor (80.3% vs. 83.1%, p = 0.34) and ≥1 symptom (90.9% vs. 88.7%, p = 0.38). Overall, the proportion of respondents who were able to correctly list ≥1 stroke risk factors and stroke symptoms was similar in both groups.(76.8% vs. 75.5%, p = 0.70). The most commonly reported stroke information resource was television (61.1% vs. 67.6%, p = 0.09). Conclusion Stroke literacy has remained stable in this selected high-risk population despite large investments in public campaigns over recent years. However, the baseline remains high over the study period. Evaluation of previous campaigns and development of targeted advertisements using more commonly used media sources offer opportunities to

The Civic Participation of Visible Minorities in Canadian Society: Framework and Issues for Research and Analysis.

ERIC Educational Resources Information Center

Bancroft, George W.; And Others

This exploratory study examines the issues connected with the civic participation of minority groups in Canada. Civic participation is service, either through appointment or election, on public boards and commissions other than those representing the participant's own ethnocultural group. Information was gathered from a literature review,…

LPN perspectives of factors that affect nurse mobility in Canada.

PubMed

Harris, Alexandra; Hall, Linda McGillis; Price, Sheri; Lalonde, Michelle; Andrews, Gavin; MacDonald-Rencz, Sandra

2013-01-01

Although the licensed practical nurse (LPN) workforce represents an ever-growing and valuable human resource, very little is known about reasons for practical nurse mobility. The purpose of this study was to describe LPN perspectives regarding motives for inter-provincial/territorial (P/T) movement in Canada. Participants included 200 LPNs from nine P/T, and data were analyzed using a qualitative descriptive approach. Three primary themes were identified regarding motivators for LPN migration, including (a) scope of practice, (b) education and advancement opportunities and (c) professional respect and recognition. Although current economic forces have a strong influence on nurse mobility, these findings emphasize that there are other equally important factors influencing LPNs to move between jurisdictions. As such, policy makers, administrators and researchers should further explore and address these themes in order to strengthen Canada's nursing workforce.

Findings of the Test and Evaluation Proof of Concept Trial at the NCOT Facility

DTIC Science & Technology

2002-04-01

Submitted by: M. L . Matthews, R. D. G. Webb, A. R. Keeble Humansystems Incorporated® 111 Farquhar Street, 2nd Floor Guelph, Ontario N1H 3N4 Project...Report DRDC- Toronto No. CR-2002-056 Q\\ l Humansystems Incorporated April2002 NCOT: Proof of Concept P517839.PDF [Page: 4 of 39] ~· ©HER MAJESTY THE...QUEEN IN RIGHT OF CANADA (2002) as represented by the Minister of National Defense ©SA MAJESTE LA REINE EN DROIT DUE CANADA (2002) Defense Nationale

Gender-Associated Perceptions of Barriers and Motivators to Physical Activity Participation in South Asian Punjabis Living in Western Canada.

PubMed

Caperchione, Cristina M; Chau, Shirley; Walker, Gordon J; Mummery, W Kerry; Jennings, Cally

2015-05-01

Gender is a sociocultural factor known to impact the physical activity (PA) behaviors of South Asians. The purpose of this research was to examine gender-associated perceptions of barriers and motivators for PA in a South Asian population living Canada. A random sample (N = 204) of South Asian Punjabi adults (18yrs+) completed a computer assisted telephone interview concerning their perceptions to PA participation. Content analysis was used to identify relevant main themes and chi-square analysis was used to calculate gender differences. Results indicated that women more often reported a lack of time due to work and family (χ2 = 7.284, df = 1, P = .007) and a lack of motivation (χ2 = 4.982, df = 1, P = .026), yet men more often reported climate (χ2 = 7.045, df = 1, P = .008) as a barrier. Regarding motivators, men more often reported prevention and reduction of disease (χ2 = 4.451, df = 1, P = .034) and watching others perform (χ2 = 10.827, df = 1, P = .001); however, reducing weight gain (χ2 = 4.806, df = 1, P = .028) and looking like others (χ2 = 4.730, df = 1, P = .029) were reported more often by women. Gender-associated differences concerning PA are present in this population and must be considered in the design and implementation of effective interventions.

Therapeutic interventions employed by Greater Toronto Area chiropractors on pregnant patients: results of a cross-sectional online survey

PubMed Central

Yuen, Tammy; Wells, Kayla; Benoit, Samantha; Yohanathan, Sahila; Capelletti, Lauren; Stuber, Kent

2013-01-01

Introduction: Due to different biomechanical, nutritional, and hormonal considerations, it is possible that chiropractors may employ different therapeutic interventions and recommendations for pregnant patients than non-pregnant ones. The objective of this study was to determine the therapeutic interventions that chiropractors who are members of the Ontario Chiropractic Association in the Greater Toronto Area most commonly provide to pregnant patients. Methods: An introductory e-mail was sent in October 2011 to 755 members of the Ontario Chiropractic Association within the Greater Toronto Area five days prior to a 15 question survey being distributed via e-mail. Reminder e-mails were sent 13 days and 27 days later. Using descriptive statistics, demographic information was reported along with reported use of different treatments and recommendations for pregnant patients Results: A response rate of 23% was obtained. The majority of the respondents (90%) reported using the Diversified technique on pregnant patients, followed by soft tissue therapy (62%) and Activator (42%). The most common adjunctive therapy recommended to pregnant patients was referral to massage therapy (90%). Most of the respondents (92%) indicated that they prescribe stretching exercises to pregnant patients and recommend a multivitamin (84%) or folic acid (81%) to pregnant patients. Conclusion: In agreement with previous research on chiropractic technique usage on non-pregnant patients, the majority of respondents indicated treating pregnant patients with the Diversified technique, with other chiropractic techniques being utilized at varying rates on pregnant patients. Most respondents indicated prescribing exercise, and making adjunctive and nutritional recommendations frequently for their pregnant patients. PMID:23754858

Computer use in primary care practices in Canada

PubMed Central

Anisimowicz, Yvonne; Bowes, Andrea E.; Thompson, Ashley E.; Miedema, Baukje; Hogg, William E.; Wong, Sabrina T.; Katz, Alan; Burge, Fred; Aubrey-Bassler, Kris; Yelland, Gregory S.; Wodchis, Walter P.

2017-01-01

Abstract Objective To examine the use of computers in primary care practices. Design The international Quality and Cost of Primary Care study was conducted in Canada in 2013 and 2014 using a descriptive cross-sectional survey method to collect data from practices across Canada. Participating practices filled out several surveys, one of them being the Family Physician Survey, from which this study collected its data. Setting All 10 Canadian provinces. Participants A total of 788 family physicians. Main outcome measures A computer use scale measured the extent to which family physicians integrated computers into their practices, with higher scores indicating a greater integration of computer use in practice. Analyses included t tests and 2 tests comparing new and traditional models of primary care on measures of computer use and electronic health record (EHR) use, as well as descriptive statistics. Results Nearly all (97.5%) physicians reported using a computer in their practices, with moderately high computer use scale scores (mean [SD] score of 5.97 [2.96] out of 9), and many (65.7%) reported using EHRs. Physicians with practices operating under new models of primary care reported incorporating computers into their practices to a greater extent (mean [SD] score of 6.55 [2.64]) than physicians operating under traditional models did (mean [SD] score of 5.33 [3.15]; t726.60 = 5.84; P < .001; Cohen d = 0.42, 95% CI 0.808 to 1.627) and were more likely to report using EHRs (73.8% vs 56.7%; χ12=25.43; P < .001; odds ratio = 2.15). Overall, there was a statistically significant variability in computer use across provinces. Conclusion Most family physicians in Canada have incorporated computers into their practices for administrative and scholarly activities; however, EHRs have not been adopted consistently across the country. Physicians with practices operating under the new, more collaborative models of primary care use computers more comprehensively and are more likely

Building the vegetation drought response index for Canada (VegDRI-Canada) to monitor agricultural drought: first results

USGS Publications Warehouse

Tadesse, Tsegaye; Champagne, Catherine; Wardlow, Brian D.; Hadwen, Trevor A.; Brown, Jesslyn; Demisse, Getachew B.; Bayissa, Yared A.; Davidson, Andrew M.

2017-01-01

Drought is a natural climatic phenomenon that occurs throughout the world and impacts many sectors of society. To help decision-makers reduce the impacts of drought, it is important to improve monitoring tools that provide relevant and timely information in support of drought mitigation decisions. Given that drought is a complex natural hazard that manifests in different forms, monitoring can be improved by integrating various types of information (e.g., remote sensing and climate) that is timely and region specific to identify where and when droughts are occurring. The Vegetation Drought Response Index for Canada (VegDRI-Canada) is a recently developed drought monitoring tool for Canada. VegDRI-Canada extends the initial VegDRI concept developed for the conterminous United States to a broader transnational coverage across North America. VegDRI-Canada models are similar to those developed for the United States, integrating satellite observations of vegetation status, climate data, and biophysical information on land use and land cover, soil characteristics, and other environmental factors. Collectively, these different types of data are integrated into the hybrid VegDRI-Canada to isolate the effects of drought on vegetation. Twenty-three weekly VegDRI-Canada models were built for the growing season (April–September) through the weekly analysis of these data using a regression tree-based data mining approach. A 15-year time series of VegDRI-Canada results (s to 2014) was produced using these models and the output was validated by randomly selecting 20% of the historical data, as well as holdout year (15% unseen data) across the growing season that the Pearson’s correlation ranged from 0.6 to 0.77. A case study was also conducted to evaluate the VegDRI-Canada results over the prairie region of Canada for two drought years and one non-drought year for three weekly periods of the growing season (i.e., early-, mid-, and late season). The comparison of the VegDRI-Canada

Canada Education Savings Program: Annual Statistical Review 2012

ERIC Educational Resources Information Center

Human Resources and Skills Development Canada, 2012

2012-01-01

The Canada Education Savings Program (CESP) has been an initiative of the Government of Canada since 1998. As part of the Department of Human Resources and Skills Development Canada, the program administers the Canada Education Savings Grant (CESG) and the Canada Learning Bond (CLB). These two initiatives help Canadian families save for a child's…

E-Learning in Canada

ERIC Educational Resources Information Center

McGreal, Rory; Anderson, Terry

2007-01-01

A principal characteristic of the Canadian experience with e-learning is the uniquely Canadian feature of provincial jurisdiction over education. Canada is the only country that does not have a national department or ministry of education. Therefore, any investigation of e-learning in Canada must focus more on specific provincial initiatives in…

Workshop to address gaps in regulation of minimally manipulated autologous cell therapies for homologous use in Canada.

PubMed

Chisholm, Jolene; von Tigerstrom, Barbara; Bedford, Patrick; Fradette, Julie; Viswanathan, Sowmya

2017-12-01

In Canada, minimally manipulated autologous cell therapies for homologous use (MMAC-H) are either regulated under the practice of medicine, or as drugs or devices under the Food and Drugs Act, Food and Drug Regulations (F&DR) or Medical Device Regulations (MDR). Cells, Tissues and Organs (CTO) Regulations in Canada are restricted to minimally manipulated allogeneic products for homologous use. This leaves an important gap in the interpretation of existing regulations. The purposes of this workshop co-organized by the Stem Cell Network and the Centre for Commercialization of Regenerative Medicine (CCRM) were to discuss the current state of regulation of MMAC-H therapies in Canada and compare it with other regulatory jurisdictions, with the intent of providing specific policy recommendations to Health Canada. Participants came to a consensus on the need for well-defined common terminology between regulators and stakeholders, a common source of confusion and misinformation. A need for a harmonized national approach to oversight of facilities providing MMAC-H therapies based on existing standards, such as Canadian Standards Association (CSA), was also voiced. Facilities providing MMAC-H therapies should also participate in collection of long-term data to ensure patient safety and efficacy of therapies. Harmonization across provinces of the procedures and practices involving administration of MMAC-H would be preferred. Participants felt that devices used to process MMAC-H are adequately regulated under existing MDR. Overly prescriptive regulation will stifle innovation, whereas insufficient regulation might allow unsafe or ineffective therapies to be offered. Until a clear, balanced and explicit approach is articulated, regulatory uncertainty remains a barrier. Copyright © 2017 International Society for Cellular Therapy. Published by Elsevier Inc. All rights reserved.

Project ECHO Telementoring Intervention for Managing Chronic Pain in Primary Care: Insights from a Qualitative Study.

PubMed

Carlin, Leslie; Zhao, Jane; Dubin, Ruth; Taenzer, Paul; Sidrak, Hannah; Furlan, Andrea

2017-09-27

Family physicians in Canada receive little training in chronic pain management; concomitantly, they face increasing pressure to reduce their prescribing of opioids. Project ECHO Ontario Chronic Pain/Opioid Stewardship (ECHO) is a telementoring intervention for primary care practitioners that enhances their pain management skills. This qualitative study reports participants' experiences and assessment of ECHO. An opportunistic sample of multidisciplinary primary care providers attending one of three residential weekend workshops participated in focus group discussions. University or hospital facilities in Toronto, Thunder Bay, and Kingston, Ontario, Canada. Seventeen physicians and 20 allied health professionals. Six focus group discussions were conducted at three different sites during 2014 and 2015. Transcripts were analyzed using a qualitative-descriptive approach involving analytic immersion in the data, reflection, and achieving consensus around themes discerned from transcribed discussions. Findings resolved into five main themes: 1) challenges of managing chronic pain in primary care; 2) ECHO participation and improvement in patient-provider interaction and participant knowledge; 3) the diffusion of knowledge gained through ECHO to participants' colleagues and patients; 4) ECHO participation generating a sense of community; and 5) disadvantages associated with participating in ECHO. Managing patients with chronic pain in primary care can be difficult, particularly in remote or underserved practices. Project ECHO offers guidance to primary care practitioners for their most challenging patients, promotes knowledge acquisition and diffusion, and stimulates the development of a "community of practice." © 2017 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

National consultation leads to agrivita research to practice plan for Canada.

PubMed

Asselin, Johanne; MacLeod, Martha L P; Dosman, James A

2009-01-01

A gap exists between research development and its implementation in agricultural health and safety. In order to fill this gap, the goal of this project was to consult agricultural stakeholders across Canada in order to identify the health and safety priorities in research and knowledge translation, and then to propose an approach to bridge the gap. Between April and August 2007, "A National Stakeholder Consultation on Health and Safety Research and its Effective Translation to the Agricultural Sector" was initiated by the Canadian Centre for Heath and Safety in Agriculture. The experiences and opinions of stakeholders across Canada were gathered through focus groups with over 150 participants in seven Canadian provinces and a survey of 289 individuals across Canada. Stakeholders identified a range of health and safety research priorities. Chemical exposure, stress, and farm safety issues were immediate concerns and issues surrounding labor and trained workers, whereas health problems and environmental issues were long-term concerns. Results identified research and knowledge translation priorities, which provided elements for a proposed program aiming at bridging the gap existing between research development and its translation into practice. A request for a knowledge translation/transfer mechanism, where all agricultural stakeholders from researchers to end users are involved in the process, was identified. Findings from the national consultation were used to develop a business plan entitled "Agrivita Research to Practice Program: A Partnership Plan for Health and Safety and its Effective Transfer to the Agricultural Sector in Canada." The plan provides for a coordinated and integrated approach in Canada, conceptually drawing on the American experience established by The National Institute for Occupational Safety and Health.

Canadian Seismicity Catalogue - Western Canada

NASA Astrophysics Data System (ADS)

Mulder, T.

2003-04-01

The first seismograph station in western Canada was installed in Victoria, BC, in 1898, under the Meteorological Service of Canada. By 1940, seismograph installations in Canada were amalgamated under the Dominion Observatory. The first short-period instruments were installed in western Canada in the early 1950's. The first digital instruments were installed in the mid-1970's. To date there are now 54 digital stations in western Canada that are routinely used in analysis as well as 2 paper-record stations. Detection ability has increased significantly over the past 20 years. Magnitude thresholds for locations vary over space and time reflecting seismicity levels, station distribution, and staffing levels. Currently the magnitude thresholds are (these do not necessarily equate to completeness levels): M=2.5-3.0 for western Canada; M=2.0 in the St Elias Mountains, YT, the northern Coast Mountains, BC, most of southern BC, and southwestern Alberta; M=1.0-1.5 in the Queen Charlotte Islands, southern Coast Mountains, and northern Vancouver Island; M=0.7-0.8 in southern Vancouver Island and the adjacent mainland. Events have been located with a variety of location programs over the years. A number of velocity models have been in use over time, currently resulting in a generic model for all of western Canada, and a model each for offshore, the Queen Charlotte Islands, and Vancouver Island. Recently purchased Antelope software will allow improved ability to maintain and possibly extend current magnitude thresholds as much of the daily analyst housekeeping tasks are decreased. Recent additions to the catalogue are regular computation of P-nodal and moment tensor solutions.

Can a Classroom Be a Family? Race, Space, and the Labour of Care in Urban Teaching

ERIC Educational Resources Information Center

Gallagher, Kathleen

2016-01-01

This article reports on findings from a case study of an eighth-grade teacher in an innercity school in downtown Toronto, Canada. It investigates the teacher's pedagogical use of the metaphor of "family," using interview data to underscore the effects produced by such an operating logic in a classroom. Methodologically, the article puts…

Characteristics and Predictors of Health Problems from Use among High-Frequency Cannabis Users in a Canadian University Student Population

ERIC Educational Resources Information Center

Fischer, Benedikt; Dawe, Meghan; Mcguire, Fraser; Shuper, Paul A; Jones, Wayne; Rudzinski, Katherine; Rehm, Jurgen

2012-01-01

Aims: Assess key cannabis use, risk and outcome characteristics among high-frequency cannabis users within a university student sample in Toronto, Canada. Methods: N = 134 active universities students (ages of 18-28) using cannabis at least three times per week were recruited by mass advertisement, telephone-screened and anonymously assessed by an…

Not Just Another Alternative School

ERIC Educational Resources Information Center

Gulson, Kalervo N.; Webb, P. Taylor

2016-01-01

In this article, we problematize the establishment of an Africentric Alternative School in Toronto, Canada. We argue that policy, and race and racializations cannot be understood outside of, or immune to, neoliberalism. We contend that policy is a form of racial biopolitics, and race is now produced through neoliberal markets, in conjunction with…

Unexpected Self-Expression and the Limits of Narrative Inquiry: Exploring Unconscious Dynamics in a Community-Based Digital Storytelling Workshop

ERIC Educational Resources Information Center

Brushwood Rose, Chloe; Granger, Colette A.

2013-01-01

This study explores the tension between self-knowledge and self-expression, and how it manifests in the processes of storytelling that unfold in digital storytelling workshops offered to new immigrant women living in Toronto, Canada. Both in their multi-modal complexity and in the significant shifts from their original telling, the digital stories…

Lap Top Computers and the Learning Disabled Student. A Study of the Value of Portable Computers to the Writing Progress of Students with Fine Motor Problems. No. 193.

ERIC Educational Resources Information Center

Yau, Maria; And Others

Fifty-six Toronto (Ontario, Canada) seventh-grade and eighth-grade learning-disabled students whose handwriting was very difficult to read were randomly assigned to either an experimental or comparison group. Experimental group students were loaned a portable computer to use freely at school and at home during the course of the experiment.…

Isolating the Barriers and Strategies for Prevention: A Kit about Violence and Women's Education for Adult Educators and Adult Learners.

ERIC Educational Resources Information Center

Elliott, Anne, Ed.; Williams, Patricia, Ed.

This document, which is intended for adult educators, contains information learned during the course of pilot workshops on the connections between violence and women's education that were held in four areas of Canada (Pine Grove, Montreal, Toronto, and the Yukon). First, the pilot workshops and development/use of the document are discussed, and…

Black Resistance in High School: Forging a Separatist Culture.

ERIC Educational Resources Information Center

Solomon, R. Patrick

This book is an ethnographic case study of the school experience of West Indian children in a high school in Toronto (Ontario, Canada), which focuses on how minorities fail to achieve upward social mobility through education. Chapter 1, "Black Cultural Forms in Schools," reviews theories of resistance and cultural inversion in the…

Knowledge of Breast Cancer and Screening Practices

ERIC Educational Resources Information Center

Vahabi, Mandana

2005-01-01

Objective: To assess young women's breast health knowledge and explore its relation to the use of screening mammography. Methods: A convenience sample of 180 women aged 25-45 residing in Toronto, Canada, with no history of breast cancer and mammography received an information brochure and four questionnaires which assessed their knowledge of…

Canada-U.S. Relations

DTIC Science & Technology

2010-09-03

Obama is quite popular in Canada. The two North American countries continue to cooperate widely in international security and political issues...39 North American Cooperation on Competitiveness and Security...the 1989 U.S.-Canada Free Trade Agreement, and the 1994 North American Free Trade Agreement. To many Canadians, however, Ottawa seemed at times to have

Evolution education in Canada's museums: Where is human evolution?

NASA Astrophysics Data System (ADS)

Bean, Sarah

While an interest in the origin of human beings may be a cultural universal, there are various views and beliefs about how this event took place. In Canada, a recent (2010) Angus Reid survey revealed that only 61% of Canadians accepted that humans evolved over millions of years; 39% of the population either believed in creationism or did not accept evolution as a scientific fact. These statistics suggest that human evolution education is a topic that needs to be addressed. This thesis investigates the role of museums in public education about human evolution. Prior to this study, the number of Canadian museums with exhibits about this topic was unknown. Sixteen Canadian museums participated in this study, and the results demonstrated that only two had permanent exhibits on human evolution, and one creationist museum presented a biblically-based account of human origins. Here, it is argued that more of Canada's museums should consider incorporating human evolution education into their mandates.

Hypertension in Canada: Past, Present, and Future.

PubMed

Schiffrin, Ernesto L; Campbell, Norman R C; Feldman, Ross D; Kaczorowski, Janusz; Lewanczuk, Richard; Padwal, Raj; Tobe, Sheldon W

2016-01-01

Canada has an extremely successful hypertension detection and treatment program. The aim of this review was to highlight the historic and current infrastructure and initiatives that have led to this success, and the outlook moving forward into the future. We discuss the evolution of hypertension awareness and control in Canada; contributions made by organizations such as the Canadian Hypertension Society, Blood Pressure Canada, and the Canadian Hypertension Education Program; the amalgamation of these organizations into Hypertension Canada; and the impact that Hypertension Canada has had on hypertension care in Canada. The important contribution that public policy and advocacy can have on prevention and control of blood pressure in Canada is described. We also highlight the importance of population-based strategies, health care access and organization, and accurate blood pressure measurement (including ambulatory, home, and automated office modalities) in optimizing hypertension prevention and management. We end by discussing how Hypertension Canada will move forward in the near and longer term to address the unmet residual risk attributable to hypertension and associated cardiovascular risk factors. Hypertension Canada will continue to strive to enhance hypertension prevention and control rates, thereby improving the quality of life and cardiovascular outcomes of Canadians, while at the same time creating a hypertension care model that can be emulated across the world. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

Race Relations: New Perspectives, New Delivery Systems for Education. Summary and Recommendations Section of the Proceedings of the Conference on Race Relations and Education (Toronto, Ontario, Canada, January 28-29, 1982).

ERIC Educational Resources Information Center

Ontario Human Rights Commission, Toronto.

The Race Relations Division of the Ontario (Canada) Human Rights Commission states its primary goal as that of helping the institutional sector of the society to deal with problems of racism and racial discrimination. In order to forward the belief that responsibility for promoting race relations lies with key government agencies and institutions…

Recruitment process of a Chinese immigrant study in Canada.

PubMed

Zou, Ping

2017-08-01

The objectives of this article were to provide a comprehensive overview of the recruitment experience and participant characteristics in an antihypertensive dietary educational intervention pilot trial among Chinese Canadians. The recruitment was conducted in a community centre. Two recruitment approaches, self-referral and proactive recruitment, were used. Among 618 Chinese Canadians in the blood pressure screening, 105 (17.0%) individuals were eligible to participate in this trial. Of the 105 eligible individuals, 45 (42.9%) declined enrollment and 60 (57.1%) consented to participate in the trial and were recruited. The most common reason for refusal was being unable to access to the education location (n=19, 42.2%) followed by being too busy to participate (n=18, 40.0%). All participants were Chinese immigrants and the mean number of years living in Canada was 9.2. Most participants had low English proficiency, accepted Chinese culture more than Western culture, and had strong traditional health beliefs. It is concluded that both self-referral and proactive recruitment approaches were effective. Home-based interventions using Internet and telephone should be used as alternative delivery approaches to improve recruitment rate and facilitate participation. Copyright © 2017 Elsevier Inc. All rights reserved.

Canada issues booklet describing acid rain

NASA Astrophysics Data System (ADS)

A booklet recently released by Environment Canada describes acid rain in terms easily understood by the general public. Although Acid Rain — The Facts tends somewhat to give the Canadian side of this intercountry controversial subject, it nevertheless presents some very interesting, simple statistics of interest to people in either the U.S. or Canada. Copies of the booklet can be obtained from Inquiry Environment Canada, Ottawa, Ontario K1A OH3, Canada, tel. 613-997-2800.The booklet points out that acid rain is caused by emissions of sulfur dioxide (SO2) and nitrogen oxides (NOx). Once released into the atmosphere, these substances can be carried long distances by prevailing winds and return to Earth as acidic rain, snow, fog, or dust. The main sources of SO2 emissions in North America are coal-fired power generating stations and nonferrous ore smelters. The main sources of NOx emissions are vehicles and fuel combustion. From economical and environmental viewpoints, Canada believes acid rain is one of the most serious problems presently facing the country: increasing the acidity of more than 20% of Canada's 300,000 lakes to the point that aquatic life is depleted and acidity of soil water and shallow groundwater is increasing, causing decline in forest growth and water fowl populations, and eating away at buildings and monuments. Acid rain is endangering fisheries, tourism, agriculture, and forest resources in an area of 2.6 million km2 (one million square miles) of eastern Canada, about 8% of Canada's gross national product.

Examination outcomes and work locations of international medical graduate family medicine residents in Canada.

PubMed

Mathews, Maria; Kandar, Rima; Slade, Steve; Yi, Yanqing; Beardall, Sue; Bourgeault, Ivy

2017-10-01

To describe the postgraduate medical education (PGME) examination outcomes and work locations of international medical graduates (IMGs); and to identify differences between Canadians studying abroad (CSAs) and non-CSAs. Cohort study using data from the National IMG Database and Scott's Medical Database. Canada. All IMGs who had first entered a family medicine residency program between 2005 and 2009, with the exclusion of US graduates, visa trainees, and fellowship trainees. We examined 4 outcomes: passing the Medical Council of Canada Qualifying Examination Part 2 (MCCQE2), obtaining Certification in Family Medicine (CCFP), working in Canada within 2 years of completing PGME training, and working in Canada in 2015. Of the 876 residents in the study, 96.1% passed the MCCQE2, 78.1% obtained a specialty designation, 37.7% worked in Canada within 2 years after their PGME, and 91.2% worked in Canada in 2015. Older graduates were more likely (odds ratio [OR] = 3.45; 95% CI 1.52 to 7.69) than recent graduates were to pass the MCCQE2, and residents who participated in a skills assessment program before their PGME training were more likely (OR = 9.60; 95% CI 1.29 to 71.63) than those who had not were to pass the MCCQE2. Women were more likely (OR = 1.67; 95% CI 1.20 to 2.33) to obtain a specialty designation than men were. Recent graduates were more likely (OR = 1.36; 95% CI 1.03 to 1.79) than older graduates were to work in Canada following training. Residents who were eligible for a full licence were more likely (OR = 3.72; 95% CI 2.30 to 5.99) to work in Canada in 2015 than those who were not eligible for a full licence were. While most IMGs who entered the family medicine PGME program passed the MCCQE2, 1 in 5 did not obtain Certification. Most IMG residents remain in Canada. Canadians studying abroad and non-CSA IMGs share similar examination success rates and retention rates. Copyright© the College of Family Physicians of Canada.

Suicide policy in Canada: lessons from history.

PubMed

Spiwak, Rae; Elias, Brenda; Bolton, James M; Martens, Patricia J; Sareen, Jitender

2012-07-18

In Canada, suicide has transitioned from being a criminal activity with much associated stigma, to being a public health concern that needs to be managed by governments and clinicians in a culturally sensitive manner. In Canada and worldwide, the social attitudes toward and legal interpretation of suicide have been dynamic. Much has been proposed in the development of suicide policy in Canada, however Canada is unique in that it remains one of the only industrialized countries without a national suicide prevention strategy. The current article provides a critical review of the history of suicide in Canada, as well as an appraisal of Canadian suicide prevention policies and key government and political milestones that have impacted suicide policy. Current activity regarding a national suicide prevention strategy in Canada is discussed, as well as potential options for clinician involvement.

[Electric and hybrid vehicle site operators program]: Thinking of the future. Second year third quarter report, January 1--March 31, 1993

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

Not Available

Kansas State University, with funding support from federal, state, public, and private companies, is participating in the Department of Energy`s Electric Vehicle Site Operator Program. Through participation in this program, Kansas State is displaying, testing, and evaluating electric or hybrid vehicle technology. This participation will provide organizations the opportunity to examine the latest EHV prototypes under actual operating conditions. KSU proposes to purchase one (1) electric or hybrid vans and two (2) electric cars during the first two years of this five-year program. KSU has purchased one G-Van built by Conceptor Industries, Toronto, Canada and has initiated a procurement ordermore » to purchase two (2) Soleq 1993 Ford EVcort station wagons. The G-Van has been signed in order for the public to be aware that this is an electric drive vehicle. Financial participants` names have been stenciled on the back door of the van. This vehicle is available for short term loan to interested utilities and companies. When other vehicles are obtained, the G-Van will be maintained on K-State`s campus.« less

Electric and hybrid vehicle site operators program: Thinking of the future

NASA Astrophysics Data System (ADS)

Kansas State University, with support from federal, state, public, and private companies, is participating in the Department of Energy's Electric Vehicle Site Operator Program. Through participation in this program, Kansas State is displaying, testing, and evaluating electric or hybrid vehicle technology. This participation will provide organizations the opportunity to examine the latest EHV prototypes under actual operating conditions. KSU proposes to purchase one electric or hybrid van and two electric cars during the first two years of this five-year program. KSU has purchased one G-Van built by Conceptor Industries, Toronto, Canada and has initiated a procurement order to purchase two Soleq 1993 Ford EVcort station wagons. The G-Van has been signed in order for the public to be aware that this is an electric drive vehicle. Financial participants' names have been stenciled on the back door of the van. This vehicle is available for short term loan to interested utilities and companies. When other vehicles are obtained, the G-Van will be maintained on K-State's campus.

Male Teacher Shortage: Black Teachers' Perspectives

ERIC Educational Resources Information Center

Martino, Wayne; Rezai-Rashti, Goli M.

2010-01-01

In this paper the authors draw on the perspectives of black teachers to provide a more nuanced analysis of male teacher shortage. Interviews with two Caribbean teachers in Toronto, Canada, are employed to illuminate the limits of an explanatory framework that foregrounds the singularity of gender as a basis for advocating male teachers as role…

Literature Review: Cognitive Effects of Thermal Strain

DTIC Science & Technology

2005-02-08

001/TOR Call up No. 7879 -05 On behalf of DEPARTMENT OF NATIONAL DEFENCE Defence Research and Development Canada – Toronto 1133 Sheppard...opérations de lutte contre l’incendie ou les opérations militaires. Humansystems® Incorporated Thermal Strain Literature Review Page vi Table of... VI LIST OF TABLES AND FIGURES

The Users of Cable TV Access Channels: A Study of the Diffusion and Adoption of a Communications Innovation.

ERIC Educational Resources Information Center

Sparkes, Vernone M.

A mail survey of 91 past and present users of the community programing (public access) channels in the Toronto, Canada, area revealed that personal contact is most important in the diffusion of knowledge about access opportunities. Friends and colleagues were the most often cited initial source of information; but contact by the cable company…

Contextual Worlds of Child Art: Experiencing Multiple Literacies through Images

ERIC Educational Resources Information Center

Binder, Marni

2011-01-01

This article draws from a larger study that examines the multiple literacies inherent in children's drawings. The author discusses a qualitative research project conducted with a split grade one and two classroom in Toronto, Canada. She argues that pictorial images can be read as a form of literacy, where thought is made public through visual…

Paper Cuts Don't Hurt at the Gerstein Library

ERIC Educational Resources Information Center

Cunningham, Heather; Feder, Elah; Muise, Isaac

2010-01-01

The Gerstein Science Information Centre (Gerstein Library) is one of 40 libraries within the University of Toronto (U of T) and is the largest academic science and health science library in Canada. It offers 109 computers and two networked printers for student, staff, and faculty use. In addition, the library provides patrons' laptops with…

Support to a Wireless Power System Design

DTIC Science & Technology

2011-12-01

refractive index which is the cause of turbulence. Turbulence effects can also have a serious impact on laser power beaming tests. The blooming effects...is mounted beside it. This aiming laser is a Hercules 375 CW laser made by Laserglow Technologies, 5 Adrian Avenue, Toronto, ON, M6N 5G4, Canada. Its

An Ethnodrama on Work-Related Learning in Precarious Jobs: Racialization and Resistance

ERIC Educational Resources Information Center

Sangha, Jasjit K.; Slade, Bonnie; Mirchandani, Kiran; Maitra, Srabani; Shan, Hongxia

2012-01-01

This article is based on a research project on the lived experiences of precarious workers in Toronto, Canada. Using interviews with women in part-time, contract, and temporary jobs in three sectors (telemarketing, retail, and garment), the project explores the ways in which racial hierarchies structure jobs as well as forms of resistance that…

The impact of an online interprofessional course in disaster management competency and attitude towards interprofessional learning.

PubMed

Atack, Lynda; Parker, Kathryn; Rocchi, Marie; Maher, Janet; Dryden, Trish

2009-11-01

A recent national assessment of emergency planning in Canada suggests that health care professionals are not properly prepared for disasters. In response to this gap, an interprofessional course in disaster management was developed, implemented and evaluated in Toronto, Canada from 2007 to 2008. Undergraduate students from five educational institutions in nursing, medicine, paramedicine, police, media and health administration programs took an eight-week online course. The course was highly interactive and included video, a discussion forum, an online board game and opportunity to participate in a high fidelity disaster simulation with professional staff. Curriculum developers set interprofessional competency as a major course outcome and this concept guided every aspect of content and activity development. A study was conducted to examine change in students' perceptions of disaster management competency and interprofessional attitudes after the course was completed. Results indicate that the course helped students master basic disaster management content and raised their awareness of, and appreciation for, other members of the interdisciplinary team. The undergraduate curriculum must support the development of collaborative competencies and ensure learners are prepared to work in collaborative practice.

Housing First: exploring participants' early support needs.

PubMed

Stergiopoulos, Vicky; Gozdzik, Agnes; O'Campo, Patricia; Holtby, Alixandra R; Jeyaratnam, Jeyagobi; Tsemberis, Sam

2014-04-13

Housing First has become a popular treatment model for homeless adults with mental illness, yet little is known about program participants' early experiences or trajectories. This study used a mixed methods design to examine participant changes in selected domains 6 months after enrollment in a Canadian field trial of Housing First. The study sample included 301 participants receiving the Housing First intervention at the Toronto site of the At Home/Chez Soi project. This study used a pre-post design to compare quantitative 6-month outcome data to baseline values in key domains and multivariate regression to identify baseline demographic, clinical or service use variables associated with observed changes in these domains. In addition, qualitative data exploring participant and service provider perspectives and experiences was collected via stakeholder interviews and focus groups, and analyzed using thematic analysis. The majority (60 to 72%) of participants followed the expected trajectory of improvement, with the remaining experiencing difficulties in community integration, mental health symptom severity, substance use, community functioning and quality of life 6 months after program enrollment. Diagnosis of psychotic disorder was associated with a reduction in quality of life from baseline to 6-months, while substance use disorders were associated with reduced mental illness symptoms and substance use related problems and an improvement in quality of life. Participants housed in independent housing at 6-months had greater improvements in community integration and quality of life, and greater reduction in mental illness symptoms, compared to those not independently housed. The quality of the working alliance was positively associated with improvements in physical and psychological community integration and quality of life. Qualitative data provided a unique window into the loneliness and isolation experienced by Housing First participants, as well as problems

Research Productivity and Rankings of Anesthesiology Departments in Canada and the United States: The Relationship Between the h-Index and Other Common Metrics [RETRACTED].

PubMed

Bunting, Alexandra C; Alavifard, Sepand; Walker, Benjamin; Miller, Donald R; Ramsay, Tim; Boet, Sylvain

2018-03-05

To evaluate the relative research productivity and ranking of anesthesiology departments in Canada and the United States, using the Hirsch index (h-index) and 4 other previously validated metrics. We identified 150 anesthesiology departments in Canada and the United States with an accredited residency program. Publications for each of the 150 departments were identified using Thomson's Institute for Scientific Information Web of Science, and the citation report for each department was exported. The bibliometric data were used to calculate publication metrics for 3 time periods: cumulative (1945-2014), 10 years (2005-2014), and 5 years (2010-2014). The following group metrics were then used to determine the publication impact and relative ranking of all 150 departments: h-index, m-index, total number of publications, sum of citations, and average number of citations per article. Ranking for each metric were also stratified by using a proxy for departmental size. The most common journals in which US and Canadian anesthesiology departments publish their work were identified. The majority (23 of the top 25) of top-ranked anesthesiology departments are in the United States, and 2 of the top 25 departments (University of Toronto; McGill University) are in Canada. There was a strong positive relationship between each of h-index, total number of publications, and the sum of citations (0.91-0.97; P < .0001). Departmental size correlates with increased academic productivity on most metrics. The most frequent journals in which US and Canadian anesthesiology departments publish are Anesthesiology, Anesthesia and Analgesia, and the Canadian Journal of Anesthesia. Our study ranked the Canadian and US anesthesiology departmental research productivity using the h-index applied to each department, total number of publications, total number of citations, and average number of citations. The strong relationship between the h-index and both the number of publications and number of

Human papillomavirus in oropharyngeal cancer in Canada: analysis of 5 comprehensive cancer centres using multiple imputation

PubMed Central

Habbous, Steven; Chu, Karen P.; Lau, Harold; Schorr, Melissa; Belayneh, Mathieos; Ha, Michael N.; Murray, Scott; O’Sullivan, Brian; Huang, Shao Hui; Snow, Stephanie; Parliament, Matthew; Hao, Desiree; Cheung, Winson Y.; Xu, Wei; Liu, Geoffrey

2017-01-01

BACKGROUND: The incidence of oropharyngeal cancer has risen over the past 2 decades. This rise has been attributed to human papillomavirus (HPV), but information on temporal trends in incidence of HPV-associated cancers across Canada is limited. METHODS: We collected social, clinical and demographic characteristics and p16 protein status (p16-positive or p16-negative, using this immunohistochemistry variable as a surrogate marker of HPV status) for 3643 patients with oropharyngeal cancer diagnosed between 2000 and 2012 at comprehensive cancer centres in British Columbia (6 centres), Edmonton, Calgary, Toronto and Halifax. We used receiver operating characteristic curves and multiple imputation to estimate the p16 status for missing values. We chose a best-imputation probability cut point on the basis of accuracy in samples with known p16 status and through an independent relation between p16 status and overall survival. We used logistic and Cox proportional hazard regression. RESULTS: We found no temporal changes in p16-positive status initially, but there was significant selection bias, with p16 testing significantly more likely to be performed in males, lifetime never-smokers, patients with tonsillar or base-of-tongue tumours and those with nodal involvement (p < 0.05 for each variable). We used the following variables associated with p16-positive status for multiple imputation: male sex, tonsillar or base-of-tongue tumours, smaller tumours, nodal involvement, less smoking and lower alcohol consumption (p < 0.05 for each variable). Using sensitivity analyses, we showed that different imputation probability cut points for p16-positive status each identified a rise from 2000 to 2012, with the best-probability cut point identifying an increase from 47.3% in 2000 to 73.7% in 2012 (p < 0.001). INTERPRETATION: Across multiple centres in Canada, there was a steady rise in the proportion of oropharyngeal cancers attributable to HPV from 2000 to 2012. PMID:28808115

Canada

ERIC Educational Resources Information Center

Lawson, Robert F.; Ghosh, Ratna

1986-01-01

Discusses Canada's problems in searching for a national identity and the controversy of the Federal policy of multiculturalism. Presents its objectives within a bilingual framework and the contradictions involved. Suggests a workable model involving assimilation conditioned by regional or local circumstances, useful also as a development strategy.…

Influence of health promotion bureaucracy on community participation: a Canadian case study.

PubMed

Boyce, William F

2002-03-01

The purpose of this paper is to illustrate, through a Canadian case study, the bureaucratic support and obstacles for community participation in health promotion. The paper begins with a brief history of the development of a participatory health promotion programme in Canada. The role of bureaucracies on participation of communities is highlighted. Secondly, the paper describes how a variety of bureaucratic factors affected grassroots community participation efforts of local projects in one province. Finally, discussion focuses on how community participation is constrained in a bureau-cratically mediated activity such as health promotion.

Canada Education Savings Program: Annual Statistical Review--2009

ERIC Educational Resources Information Center

Human Resources and Skills Development Canada, 2009

2009-01-01

The Canada Education Savings Program is an initiative of the Government of Canada. As part of the Department of Human Resources and Skills Development, the program administers the Canada Education Savings Grant and the Canada Learning Bond. These two initiatives help Canadian families save for a child's post-secondary education in Registered…

Cross-national replication of the gender identity interview for children.

PubMed

Wallien, Madeleine S C; Quilty, Lena C; Steensma, Thomas D; Singh, Devita; Lambert, Susan L; Leroux, Annie; Owen-Anderson, Allison; Kibblewhite, Sarah J; Bradley, Susan J; Cohen-Kettenis, Peggy T; Zucker, Kenneth J

2009-11-01

We administered the Gender Identity Interview for Children, a 12-item child-informant measure, to children referred clinically for gender identity problems in Toronto, Ontario, Canada (N = 329) and Amsterdam, The Netherlands (N = 228) and 173 control children. Confirmatory factor analysis identified a Cognitive Gender Confusion factor (4 items) and an Affective Gender Confusion factor (8 items). Patients from both clinics had a significantly higher deviant total score than the controls, and the Dutch patients had a significantly higher deviant score than the Toronto patients. In this cross-national study, we are the first to report on the validity of this measure to discriminate children with gender identity disorder from controls outside of North America.

Proceedings of the Canadian Frailty Network Summit: Medication Optimization for Frail Older Canadians, Toronto, Monday April 24, 2017

PubMed Central

Muscedere, John; Kim, Perry; Aitken, Peter; Gaucher, Michael; Osborn, Robin; Farrell, Barbara; Holroyd-Leduc, Jayna; Mallery, Laurie; Siu, Henry; Downar, James; Lee, Todd C.; McDonald, Emily; Burry, Lisa

2017-01-01

Appropriate and optimal use of medication and polypharmacy are especially relevant to the care of older Canadians living with frailty, often impacting their health outcomes and quality of life. A majority (two thirds) of older adults (65 or older) are prescribed five or more drug classes and over one-quarter are prescribed 10 or more drugs. The risk of adverse drug-induced events is even greater for those aged 85 or older where 40% are estimated to take drugs from 10 or more drug classes. The Canadian Frailty Network (CFN), a pan-Canadian non-for-profit organization funded by the Government of Canada through the Networks of Centres of Excellence Program (NCE), is dedicated to improving the care of older Canadian living with frailty and, as part of its mandate, convened a meeting of stakeholders from across Canada to seek their perspectives on appropriate medication prescription. The CFN Medication Optimization Summit identified priorities to help inform the design of future research and knowledge mobilization efforts to facilitate optimal medication prescribing in older adults living with frailty. The priorities were developed and selected through a modified Delphi process commencing before and concluding during the summit. Herein we describe the overall approach/process to the summit, a summary of all the presentations and discussions, and the top ten priorities selected by the participants. PMID:29296132

Pathology and diagnosis of avian bornavirus infection in wild Canada geese (Branta canadensis), trumpeter swans (Cygnus buccinator) and mute swans (Cygnus olor) in Canada: a retrospective study.

PubMed

Delnatte, Pauline; Ojkic, Davor; Delay, Josepha; Campbell, Doug; Crawshaw, Graham; Smith, Dale A

2013-04-01

Nine hundred and fifty-five pathology cases collected in Ontario between 1992 and 2011 from wild free-ranging Canada geese, trumpeter swans and mute swans were retrospectively evaluated for the pathology associated with avian bornavirus (ABV) infection. Cases were selected based on the presence of upper gastrointestinal impaction, central nervous system histopathology or clinical history suggestive of ABV infection. The proportion of birds meeting at least one of these criteria was significantly higher at the Toronto Zoo (30/132) than elsewhere in Ontario (21/823). Central, peripheral and autonomic nervous tissues were examined for the presence of lymphocytes and plasma cells on histopathology. The presence of virus was assessed by immunohistochemistry and reverse transcriptase-polymerase chain reaction (RT-PCR) on frozen brains and on formalin-fixed paraffin-embedded tissues. Among selected cases, 86.3% (44/51) were considered positive on histopathology, 56.8% (29/51) were positive by immunohistochemistry, and RT-PCR was positive on 88.2% (15/17) of the frozen brains and 78.4% (40/51) of the formalin-fixed paraffin-embedded samples. Histopathological lesions included gliosis and lymphoplasmacytic perivascular cuffing in brain (97.7%), spinal cord (50%), peripheral nerves (55.5%) and myenteric ganglia or nerves (62.8%), resembling lesions described in parrots affected with proventricular dilatation disease. Partial amino acid sequences of the nucleocapsid gene from seven geese were 100% identical amongst themselves and 98.1 to 100% identical to the waterfowl sequences recently described in the USA. Although ABV has been identified in apparently healthy geese, our study confirmed that ABV can also be associated with significant disease in wild waterfowl species.

Canada Education Savings Program: Annual Statistical Review 2011

ERIC Educational Resources Information Center

Human Resources and Skills Development Canada, 2011

2011-01-01

The Canada Education Savings Program has been an initiative of the Government of Canada since 1998. As part of the Department of Human Resources and Skills Development, the program administers the Canada Education Savings Grant and the Canada Learning Bond. These two initiatives help Canadian families save for a child's post-secondary education in…

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…

The Nature of Work and the Stress of Higher Status

ERIC Educational Resources Information Center

Schieman, Scott; Whitestone, Yuko Kurashina; Van Gundy, Karen

2006-01-01

Are occupational and work conditions associated with work-to-home conflict? If so, do those associations vary by gender? Among a sample of adults in Toronto, Canada, we found that men and women in higher-status occupations reported higher levels of work-to-home conflict than workers in lower-status jobs. In addition, we observed higher levels of…