ERIC Educational Resources Information Center
Simon, Pierre; Heft, Riva
These proceedings, presented in English and French, summarize a seminar on the present and future of adult education programs in Quebec. Six Quebec universities were represented. The conference was opened by Dr. Pierre Simon, who introduced the theme and rationale of the day-long workshop. Dr. Charles Bertrand welcomed the participants,…
ERIC Educational Resources Information Center
Simmt, Elaine, Ed.; Davis, Brent, Ed.; McLoughlin, John Grant, Ed.
2000-01-01
This document contains the proceedings of the annual meeting of the Canadian Mathematics Education Study Group (CMESG) held at the University of Quebec in Montreal, Canada, May 26-30, 2000. The proceedings consist of two plenary lectures, five working groups, four topic sessions, new Ph.D. reports, and panel discussions. Papers include: (1)…
ERIC Educational Resources Information Center
Danis, Claudia, Ed.; Hrimech, Mohamed, Ed.
The following papers (with nine in French) are included: "Refocusing the Multicultural Discourse in Adult Education" (Acton); "University Extension and the Service University" (Archer); "Linking Cases to Course Content" (Block); "The Effects of Education on Food Security among Low Income Urban Adults"…
40 CFR 87.8 - Incorporation by reference.
Code of Federal Regulations, 2013 CFR
2013-07-01
... sources listed below. It is also available for inspection at the National Archives and Records...) International Civil Aviation Organization, Document Sales Unit, 999 University Street, Montreal, Quebec, Canada...
40 CFR 87.8 - Incorporation by reference.
Code of Federal Regulations, 2014 CFR
2014-07-01
... sources listed below. It is also available for inspection at the National Archives and Records...) International Civil Aviation Organization, Document Sales Unit, 999 University Street, Montreal, Quebec, Canada...
ERIC Educational Resources Information Center
Archambault, Jean; Garon, Roseline
2012-01-01
This paper presents a reform initiative, the Supporting Montreal Schools Program (SMSP), created by the government of Quebec to assist 184 low socio-economic-status schools in Montreal implement seven reform strategies prescribed by the government. On a regular basis, the professional team of the SMSP engages in reflection and research with…
Hassan, Ghayda; Mekki-Berrada, Abdelwahed; Rousseau, Cécile; Lyonnais-Lafond, Gabrielle; Jamil, Uzma; Cleveland, Janet
2016-07-14
This paper discusses results from a pilot study conducted in the spring of 2014 among young adults living in Montreal. The main objective of this study was to assess the relation between perception of the Charter of Quebec Values, 1 self-identification, perception of intercommunity relations, perceived discrimination, and psychological well-being in young students enrolled in undergraduate or graduate programs of a francophone university in Montreal. A total of 441 students (30.5% male, 69.5% female) took part in a web survey designed by the research team. The data analyses and results suggest that the debate around the Charter of Quebec values was associated with a shift from a predominantly positive perception of intercommunity relations to a predominantly negative one, particularly among women, immigrants, and those who self-identified as cultural or religious minorities. In addition, more than 30% of participants reported having experienced some form of ethnic or religious discrimination since the Charter was released (personally or as a witness). This was particularly the case among immigrants, as well as those who self-identified as bicultural or from cultural or religious minority groups. This study's results thus highlight the exacerbation of intercommunity tensions linked to the public debate around identity and intercommunity relations in Quebec. © The Author(s) 2016.
Encouraging Self-Regulated Learning through Electronic Portfolios
ERIC Educational Resources Information Center
Abrami, Philip C.; Wade, C. Anne; Pillay, Vanitha; Aslan, Ofra; Bures, Eva M.; Bentley, Caitlin
2008-01-01
At the Centre for the Study of Learning and Performance (CSLP) at Concordia University in Montreal, Quebec, we have developed the Electronic Portfolio Encouraging Active Reflective Learning Software (ePEARL) to promote student self-regulation and enhance student core competencies. This paper summarizes the literature on electronic portfolios…
Why Some Stay: A Study of Factors Contributing to Persistence In Undergraduate Physics.
ERIC Educational Resources Information Center
Vazquez-Abad, Jesus; And Others
This paper reports on research undertaken to provide information about the factors influencing student persistence in undergraduate physics programs at the University of Montreal in Quebec, Canada. Data collection methods included student interviews, faculty and staff interviews, and two separate questionnaire administrations to students enrolled…
ERIC Educational Resources Information Center
Gube, Maren; Shore, Bruce M.
2018-01-01
From the 1990s until 2017 the High Ability and Inquiry Research Group (HAIR) at McGill University in Montreal, received C$1.3M in research funds from Canadian, Quebec, and US agencies to support its research and graduate training in education and educational psychology. Their research encompassed two principal areas, Inquiry in Education and…
A Journey toward Excellence: An Interview with Bruce M. Shore
ERIC Educational Resources Information Center
Henshon, Suzanna E.
2010-01-01
Bruce M. Shore is in his 39th year as a Professor of Educational Psychology in the Department of Educational and Counseling Psychology at McGill University in Montreal, Quebec, Canada, and Associate Director (McGill) of the multi-campus Centre for the Study of Learning and Performance. For 21 years he was jointly appointed as a member of the…
ERIC Educational Resources Information Center
Krawczyk, Andrea; Lau, Elsa; Perez, Samara; Delisle, Vanessa; Amsel, Rhonda; Rosberger, Zeev
2012-01-01
Objective: To compare the efficacy of 2 human papillomavirus (HPV) educational interventions on increasing HPV knowledge and vaccination intentions in college students. Participants: Male (n = 60) and female (n = 140) undergraduates (M[subscript age] = 20.4, SD = 2.3) recruited from a university in Montreal, Quebec, Canada, from October 2009 to…
Conference Eighth International Symposium on Blood Substitutes
2001-04-01
Dept. of Bioengin, 0412 Japan University of California, San eishun(mn.waseda.ac.ip Diego 9500 Gilman Drive, John Frangos , Ph.D. La Jolla, CA 92093...Ph.D. La Jolla, CA 92093 Professor of Physiology and frangos @bioeng.ucsd.edu Medicine McGill University 3655 Drummond Street Montreal, Quebec, CANADA...Break 1050 1-2 Fabry 1050 V-3 Kerger 1100 1110 1-3 Manjufa P4Tsuchida 1105 V-4 Kim 1120 V-5 Kingma1130 I-4 Kramer 1130 P5 Frangos 1135 V-6 Pittman 1150
ERIC Educational Resources Information Center
Abou, Selim
This study, the result of interviews conducted in Quebec and Montreal in the spring of 1975, deals with the adaptation, integration, and acculturation of the Lebanese immigrants in Quebec since the end of World War II. This new immigration wave is contrasted with the one that took place around 1880. Generally speaking, the situation in both the…
2007-01-21
ISS014-E-12686 (21 Jan. 2007) --- This wintry scene of Quebec Province in Canada was photographed by one of the Expedition 14 crew members aboard the Earth-orbiting International Space Station. In 1535 Jacques Cartier landed on an island in the St. Lawrence River and named a 233 meter-high mountain Mount Royal. Montreal is a city on that island that grew up around the mountain. The city of Montreal (near center frame) is located on the Ile de Montreal to the northwest of the St. Lawrence river (the wider body of water). It was not until 1642 that Ville Marie, founded by missionaries, would officially become the city of Montreal. The cityscape contrasts well with the farmland and natural forests in this summer view. Today Montreal is the largest city in the province of Quebec, and is the second most populous metropolitan area in Canada -- in 1991 the population was just more than one million in the city and 3,127,242 in the metropolitan area. While owing its early growth to the fur trade, the city is a leading producer of aircraft, chemical and pharmaceutical products, and is a major petroleum production center. Nearly half of Canada's .8 billion aerospace industry is located in the Montreal area.
Dupras, Jérôme; Fetue Ndefo, Franck; He, Jie
2016-01-01
This study used a contingent choice method to determine the economic value of improving various ecosystem services (ESs) of the Blue Network of Greater Montreal (Quebec, Canada). Three real projects were used and the evaluation focused on six ESs that are related to freshwater aquatic ecosystems: biodiversity, water quality, carbon sequestration, recreational activities, landscape aesthetics and education services. We also estimated the value associated with the superficies of restored sites. We calculated the monetary value that a household would be willing to pay for each additional qualitative or quantitative unit of different ESs, and these marginal values range from $0.11 to $15.39 per household per unit. Thus, under certain assumptions, we determined the monetary values that all Quebec households would allocate to improve each ES in Greater Montreal by one unit. The most valued ES was water quality ($13.5 million), followed by education services ($10.7 million), recreational activities ($8.9 million), landscape aesthetics ($4.1 million), biodiversity ($1.2 million), and carbon sequestration ($0.1 million). Our results ascribe monetary values to improved (or degraded) aquatic ecosystems in the Blue Network of Greater Montreal, but can also enhance economic analyses of various aquatic ecosystem restoration and management projects. PMID:27513558
Poder, Thomas G; Dupras, Jérôme; Fetue Ndefo, Franck; He, Jie
2016-01-01
This study used a contingent choice method to determine the economic value of improving various ecosystem services (ESs) of the Blue Network of Greater Montreal (Quebec, Canada). Three real projects were used and the evaluation focused on six ESs that are related to freshwater aquatic ecosystems: biodiversity, water quality, carbon sequestration, recreational activities, landscape aesthetics and education services. We also estimated the value associated with the superficies of restored sites. We calculated the monetary value that a household would be willing to pay for each additional qualitative or quantitative unit of different ESs, and these marginal values range from $0.11 to $15.39 per household per unit. Thus, under certain assumptions, we determined the monetary values that all Quebec households would allocate to improve each ES in Greater Montreal by one unit. The most valued ES was water quality ($13.5 million), followed by education services ($10.7 million), recreational activities ($8.9 million), landscape aesthetics ($4.1 million), biodiversity ($1.2 million), and carbon sequestration ($0.1 million). Our results ascribe monetary values to improved (or degraded) aquatic ecosystems in the Blue Network of Greater Montreal, but can also enhance economic analyses of various aquatic ecosystem restoration and management projects.
Project Selection in Monolithic Organizations.
1974-08-01
indicators reflecting government’s objectives, forecast the total impact of R & D activities and evaluate them in terms of these indicators. This will be... Industrial Innovation Centre. P.O. Box 6079 Station A Montreal, Quebec H3C 3A7 43. James T. Goode Department of Comerce Japan’s Postwar Experience With and...Faculty of Administration, Study of the Snowmobile Industry University of Sherbrooke. in Canada and the Role that Technological Innovation has Played in
The Second Language Component of Primary French Immersion Programs in Montreal, Quebec, Canada.
ERIC Educational Resources Information Center
Schauber, Holli; And Others
1995-01-01
Describes a long-standing Montreal bilingual program that completely immerses Anglophone students in a French academic context. Support from the target-language culture and environmental reinforcements contribute to students' academic success and steady program enrollment. Such immersion education has produced functionally bilingual Anglophone…
The decline of official language minorities in Quebec and English Canada.
Beaujot, R P
1982-01-01
"This paper considers the evolution of French outside of Quebec and the English in Quebec.... The total historical set of national data on ethnicity, mother tongue, knowledge of official languages and home language [is first presented]. The 120 year stability showing French at around 30 percent of the national total is a function of compensating factors including high French fertility and high English immigration. During the 1960s both of these demographic supports disappeared and thus mobility across linguistic lines has become a particularly sensitive issue. "The picture with regard to French outside of Quebec has changed rather radically in the last thirty-five years. For instance, there was one French child to every nine in 1941 and one to every twenty-one children in 1976. While the English of Quebec were once represented in various parts of the province, their strength is now largely limited to the Montreal metropolitan area which includes 76 percent of the English mother tongue group. Outside of Montreal, the English amounted to 7.9 percent of Quebec's population in 1941 and 5.6 percent in 1976. The paper concludes with a discussion of the social factors that underlie these trends and their relevance to the models of institutional and territorial bilingualism." (summary in FRE) excerpt
Campylobacter coli Outbreak in Men Who Have Sex with Men, Quebec, Canada, 2010–2011
Helferty, Melissa; Sylvestre, Jean-Loup; Allard, Robert; Pilon, Pierre A.; Poisson, Michel; Bekal, Sadjia
2013-01-01
During September 2010–November 2011, a cluster of erythromycin-susceptible, tetracycline- and ciprofloxacin-resistant Campylobacter coli pulsovar 1 infections was documented, involving 10 case-patients, in Montreal, Quebec, Canada. The findings suggested sexual transmission of an enteric infection among men who have sex with men. PMID:23647786
ERIC Educational Resources Information Center
Breton-Carbonneau, Gabrielle; Cleghorn, Ailie; Evans, Rinelle; Pesco, Diane
2012-01-01
Comparative research in multilingual urban primary schools indicates that the pedagogical and political goals of schooling may operate at cross-purposes. Classroom observations and teacher interview-discussions were conducted in classes for immigrant children in Montreal, Quebec, Canada, where the language of instruction is French, and in classes…
ERIC Educational Resources Information Center
Howard, Philip S. S.
2014-01-01
In the midst of the complicated racial-linguistic landscape that is Montreal, Quebec, the educational experiences of the relatively small population of Anglophone Blacks are often invisibilized within the education literature, and relatively little attention is paid to the nature of Black students' and educators' struggles with racism and…
ERIC Educational Resources Information Center
Jorgensen, Mary; Fichten, Catherine; King, Laura; Havel, Alice
2018-01-01
The purpose of these conference proceedings is to provide an in-depth understanding of what was presented and discussed at the Ed-ICT International Network Montreal Symposium: Stakeholder Perspectives. The focus of the Ed-ICT International Network is to explore the role that information and communication technologies (ICTs)--including computers,…
ERIC Educational Resources Information Center
Todd, Sharon
1998-01-01
Examines media reports about the expulsion of a girl from a Montreal (Quebec, Canada) high school for wearing the "hijab" (Islamic head covering or garment). Shows, using psychoanalytic concepts, how the media images created a sense of self for Montreal's Francophone and Anglophone communities. Explores the question of tolerance and the…
Montreal, Quebec, Canada as seen from STS-60
NASA Technical Reports Server (NTRS)
1994-01-01
The city of Montreal is located on the island of Montreal at the confluence of the St. Lawrence and Ottawa Rivers. Despite its distance from the sea (1,000 miles) Montreal is a large inland port. It is also Canada's largest city and the second largest French speaking city in the world. This particular snow covered scene highlights the major highways and street patterns throughout the metropolitan Montreal area. The runways of the two large international airports of Mirabel (located 25 miles northwest of downtown Montreal) and Dorval (located approximately 8 miles west of the downtown area) are clearly visible on this photograph. Even the outline of Mount Royal Park, near downtown central business district, can be seen. Patches of open, ice-free water (very dark areas) are detectable as the St. Lawrence River (Seaway) makes its way along the south and southeastern side of Montreal.
Montreal, Quebec, Canada as seen from STS-60
1994-02-09
STS060-94-072 (3-11 Feb 1994) --- The city of Montreal is located on the island of Montreal at the confluence of the St. Lawrence and Ottawa Rivers. Despite its distance from the sea (1,000 miles) Montreal is a large inland port. It is also Canada's largest city and the second largest French speaking city in the world. This particular snow covered scene highlights the major highways and street patterns throughout the metropolitan Montreal area. The runways of the two large international airports of Mirabel (located 25 miles northwest of downtown Montreal) and Dorval (located approximately 8 miles west of the downtown area) are clearly visible on this photograph. Even the outline of Mount Royal Park, an imposing hilly feature near the downtown central business district, can be seen. Patches of open, ice-free (very dark areas) are detectable as the St. Lawrence River (Seaway) makes its way along the south and southeastern side of Montreal.
ERIC Educational Resources Information Center
Boucher, Anne-Marie
A study of parental expectations and attitudes toward non-native language instruction in the public schools in the Montreal (Quebec) region focused specifically on the parents involved in parent-school liaison organizations related to the "polyvalentes", or nontraditional, broad-spectrum secondary schools. Two objectives were to learn…
Benmarhnia, Tarik; Bailey, Zinzi; Kaiser, David; Auger, Nathalie; King, Nicholas; Kaufman, Jay S
2016-11-01
The impact of heat waves on mortality and health inequalities is well documented. Very few studies have assessed the effectiveness of heat action plans (HAPs) on health, and none has used quasi-experimental methods to estimate causal effects of such programs. We developed a quasi-experimental method to estimate the causal effects associated with HAPs that allows the identification of heterogeneity across subpopulations, and to apply this method specifically to the case of the Montreal (Quebec, Canada) HAP. A difference-in-differences approach was undertaken using Montreal death registry data for the summers of 2000-2007 to assess the effectiveness of the Montreal HAP, implemented in 2004, on mortality. To study equity in the effect of HAP implementation, we assessed whether the program effects were heterogeneous across sex (male vs. female), age (≥ 65 years vs. < 65 years), and neighborhood education levels (first vs. third tertile). We conducted sensitivity analyses to assess the validity of the estimated causal effect of the HAP program. We found evidence that the HAP contributed to reducing mortality on hot days, and that the mortality reduction attributable to the program was greater for elderly people and people living in low-education neighborhoods. These findings show promise for programs aimed at reducing the impact of extreme temperatures and health inequities. We propose a new quasi-experimental approach that can be easily applied to evaluate the impact of any program or intervention triggered when daily thresholds are reached. Citation: Benmarhnia T, Bailey Z, Kaiser D, Auger N, King N, Kaufman J. 2016. A difference-in-differences approach to assess the effect of a heat action plan on heat-related mortality, and differences in effectiveness according to sex, age, and socioeconomic status (Montreal, Quebec). Environ Health Perspect 124:1694-1699; http://dx.doi.org/10.1289/EHP203.
Earth Observations taken by the Expedition 26 Crew
2010-12-24
ISS026-E-012474 (24 Dec. 2010) --- A night view of the Montreal metropolitan area is featured in this image photographed by an Expedition 26 crew member on the International Space Station. This photograph of the Montreal, Quebec, Canada metropolitan area (center) illustrates the extent of urbanization made clearly visible by city lights at night. Major roadways and industrial areas are traced by bright white lighting, while the adjacent residential and commercial land uses are characterized by more diffuse yellow-gold lighting. Rivers and other water bodies appear black, while the surrounding rural countryside is faintly illuminated by moonlight. Blurry areas at top and bottom left are caused by cloud cover. Montreal is the largest city in the dominantly French-speaking Province of Quebec. The metropolitan area is the country?s second-largest, having been surpassed by Toronto in 1976. While the city of Montreal proper is located on?and almost completely covers?the Island of Montreal at the confluence of the St. Lawrence (center) and Ottawa Rivers (not visible), the city takes its name from Mont Royal located at the city?s center . Several smaller urban areas form a loose ring around the Montreal metro region: Sorel-Tracy, Saint-Hyacinthe, Saint-Jean-sur-Richelieu, Salaberry-de-Valleyfield, Saint-Jerome, and Joliette are among those that can be readily identified. The International Space Station was located over the Pennsylvania-New York border (near Warren, PA) at the time this image was taken?a ground distance of approximately 600 kilometers southwest of Montreal. This distance from the camera target, coupled with the oblique (inclined) viewing angle from the ISS, results in the foreshortened appearance of urban areas in the image.
Richer, Marie-Claire; Marchionni, Caroline; Lavoie-Tremblay, Melanie; Aubry, Monique
2013-01-01
It has been shown that classifying projects into a typology allows improved allocation of resources and promotes project success. However, a typology of healthcare projects has yet to be developed. The projects encountered by the Transition Support Office at the McGill University Health Centre in Montreal, Quebec, where a major redevelopment project is under way, were classified into a typology unique to the healthcare context. Examples of the 3 project types, Process, People, and Practice, are provided to clarify the specific support strategies and context-adapted interventions that were instrumental to their success.
ERIC Educational Resources Information Center
Wilson, Dottie C.; And Others
1978-01-01
This section describes hospice or palliative care programs for terminally ill patients and their families. The programs described are in Montreal, Quebec; Halifax, Nova Scotia; New Haven, Connecticut; Marin County, California; Tucson, Arizona; and Springfield, Illinois. (Author/JEL)
ERIC Educational Resources Information Center
Association of Canadian Community Colleges.
The papers presented at this meeting of the annual conference of the Quebec Association of Collegiate Pedagogy and the Association of Canadian Community Colleges covered the following topics: (1) Students and Teachers, including papers focusing on faculty and student characteristics and concerns; (2) Development of Human Resources, including…
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
Growing Physics and Astronomy Public Outreach in Montreal
NASA Astrophysics Data System (ADS)
Simard, Gabrielle; Lepo, Kelly
2017-01-01
AstroMcGill was founded in 2011 by an enthusiastic group of undergraduate students, graduate students and post-doctoral fellows. It serves as the education and public outreach (EPO) branch of the astronomy group within the Physics Department at McGill University in Montreal, Quebec. Over the last five years, AstroMcGill has grown from organizing sporadic visits in a couple primary schools to running a successful inquiry-based outreach programme for grade 4-6 students, the McGill Space Explorers. During the same time span, the attendance at public AstroNight lectures ramped up from attracting a few dozen people to over 500 people each month. We will highlight the recent successes of the programme and our best guesses for the reasons behind this success. We will also discuss the challenges of working in a bilingual city as we juggle our majority anglophone volunteers, a mandatory french science curriculum for primary school children and the (somewhat) overlapping English- and French-speaking communities in the city.
Utility of the Montreal assessment of need questionnaire for community mental health planning.
Tremblay, Jacques; Bamvita, Jean-Marie; Grenier, Guy; Fleury, Marie-Josée
2014-09-01
Needs assessment facilitates mental health services planning, provision, and evaluation. This study aimed to (a) validate a new instrument, the Montreal Assessment of Needs Questionnaire (MANQ), and (b) use this to assess variations and predictors of need (number and seriousness) in 297 individuals with severe mental disorders for 18 months, during implementation of the Quebec Mental Health Action Plan. MANQ internal and external validations were adequate. Variables significantly associated with need number and seriousness variations were used to build multiple linear regression models. Autonomous housing, not receiving welfare, not having consulted a health educator, higher level of help from services, Alcohol Use Disorders Identification Test total score, and social support were associated with decreasing need number and seriousness over time. Having a higher education was also associated with decreasing need number. In a reform context, the MANQ's unique ability to detect rapid improvement in patient needs has usefulness for Quebec mental health planning.
14 CFR 91.703 - Operations of civil aircraft of U.S. registry outside of the United States.
Code of Federal Regulations, 2011 CFR
2011-01-01
... International Civil Aviation Organization (Attention: Distribution Officer), P.O. Box 400, Succursale, Place de L'Aviation Internationale, 1000 Sherbrooke Street West, Montreal, Quebec, Canada H3A 2R2. [Doc. No...
Remediation plans in family medicine residency
Audétat, Marie-Claude; Voirol, Christian; Béland, Normand; Fernandez, Nicolas; Sanche, Gilbert
2015-01-01
Abstract Objective To assess use of the remediation instrument that has been implemented in training sites at the University of Montreal in Quebec to support faculty in diagnosing and remediating resident academic difficulties, to examine whether and how this particular remediation instrument improves the remediation process, and to determine its effects on the residents’ subsequent rotation assessments. Design A multimethods approach in which data were collected from different sources: remediation plans developed by faculty, program statistics for the corresponding academic years, and students’ academic records and rotation assessment results. Setting Family medicine residency program at the University of Montreal. Participants Family medicine residents in academic difficulty. Main outcome measures Assessment of the content, process, and quality of remediation plans, and students’ academic and rotation assessment results (successful, below expectations, or failure) both before and after the remediation period. Results The framework that was developed for assessing remediation plans was used to analyze 23 plans produced by 10 teaching sites for 21 residents. All plans documented cognitive problems and implemented numerous remediation measures. Although only 48% of the plans were of good quality, implementation of a remediation plan was positively associated with the resident’s success in rotations following the remediation period. Conclusion The use of remediation plans is well embedded in training sites at the University of Montreal. The residents’ difficulties were mainly cognitive in nature, but this generally related to deficits in clinical reasoning rather than knowledge gaps. The reflection and analysis required to produce a remediation plan helps to correct many academic difficulties and normalize the academic career of most residents in difficulty. Further effort is still needed to improve the quality of plans and to support teachers.
2009-06-25
STS009-48-3139 (28 Nov-8 Dec 1983) --- Canada (Quebec) the contrast between forest, water, and snow make the Manicouagane impact formation stand out. Location: 150 miles (250 Km) NNW of Sept Iles or 500 miles (800 Km) NNE of Montreal on the Canadian Shield.
Effects of a Comprehensive Police Suicide Prevention Program
Mishara, Brian L.; Martin, Normand
2012-01-01
Background: Police suicides are an important problem, and many police forces have high rates. Montreal police suicide rates were slightly higher than other Quebec police rates in the 11 years before the program began (30.5/100,000 per year vs. 26.0/100,000). Aims: To evaluate Together for Life, a suicide prevention program for the Montreal police. Methods: All 4,178 members of the Montreal police participated. The program involved training for all officers, supervisors, and union representatives as well as establishing a volunteer helpline and a publicity campaign. Outcome measures included suicide rates, pre-post assessments of learning, focus groups, interviews, and follow-up of supervisors. Results: In the 12 years since the program began the suicide rate decreased by 79% (6.4/100,000), while other Quebec police rates had a nonsignificant (11%) increase (29.0/100,000). Also, knowledge increased, supervisors engaged in effective interventions, and the activities were highly appreciated. Limitations: Possibly some unidentified factors unrelated to the program could have influenced the observed changes. Conclusions: The decrease in suicides appears to be related to this program since suicide rates for comparable populations did not decrease and there were no major changes in functioning, training, or recruitment to explain the differences. Comprehensive suicide prevention programs tailored to the work environment may significantly impact suicide rates. PMID:22450038
Saint Lawrence Seaway Navigation-Aid System Study : Volume I - Text and Appendixes A and D
DOT National Transportation Integrated Search
1978-09-01
The requirements for a navigation guidance system which will effect an increase in the ship processing capacity of the Saint Lawrence Seaway (Lake Ontario to Montreal, Quebec) are developed. The requirements include a specification of system position...
ERIC Educational Resources Information Center
MacLeod, Lewis
1978-01-01
Description of a simulation game in which the objective is to keep a city's streets clear of snow through the winter without overspending the road and traffic maintenance department's budget. Journal available from Faculty of Education, 3700 McTavish Street, Montreal, H3A 1Y2, Quebec, Canada. (Author/CK)
Utility of the Montreal Assessment of Need Questionnaire for Community Mental Health Planning
Tremblay, Jacques; Bamvita, Jean-Marie; Grenier, Guy; Fleury, Marie-Josée
2014-01-01
Abstract Needs assessment facilitates mental health services planning, provision, and evaluation. This study aimed to a) validate a new instrument, the Montreal Assessment of Needs Questionnaire (MANQ), and b) use this to assess variations and predictors of need (number and seriousness) in 297 individuals with severe mental disorders for 18 months, during implementation of the Quebec Mental Health Action Plan. MANQ internal and external validations were adequate. Variables significantly associated with need number and seriousness variations were used to build multiple linear regression models. Autonomous housing, not receiving welfare, not having consulted a health educator, higher level of help from services, Alcohol Use Disorders Identification Test total score, and social support were associated with decreasing need number and seriousness over time. Having a higher education was also associated with decreasing need number. In a reform context, the MANQ’s unique ability to detect rapid improvement in patient needs has usefulness for Quebec mental health planning. PMID:25099300
[Management systems of the quality of health care in Quebec hospitals].
François, P
2001-03-31
The aim of this study was to take stock of the development of quality management systems in the Quebec health care services. The study relied on semi-guided interviews and on a documentary analysis. It concerned the structure and the activity of quality management in 4 Montreal university hospitals as well as on outside organizations dealing with quality of care. Quality management of the health care services is dealt with by council on health care accreditation and regional health and social services agencies. In hospitals, the quality of services is managed by structures created by the administration council and the top management: the piloting committee, the head of quality assurance, the executive committees and the multidisciplinary team or self-evaluation of the hospital, and development of plans for improvement. Other activities are management of complaints, users satisfaction evaluation and follow-up of indicators. This system of quality management of services is currently expanding. This change of paradigm leads to accepting the view of services users and to change quality management methods. Those methods have evolved from normative approach to a continuous quality improvement approach.
ITTALKS: A Case Study in the Semantic Web and DAML
2005-01-01
For example, a Centaurus room manager agent [26] could watch ITTALKS for events happening in a room for which it is responsible in order to enable...01), Montreal, Quebec, Canada, May 29 2001. [26] Lalana Kagal, Vlad Korolev, Harry Chen, Anupam Joshi, and Timothy Finin. Centaurus : A framework for
DOT National Transportation Integrated Search
1978-09-01
The requirements for a navigation guidance system which will effect an increase in the ship processing capacity of the Saint Lawrence Seaway (Lake Ontario to Montreal, Quebec) are developed. The requirements include a specification of system position...
DOT National Transportation Integrated Search
1978-09-01
The requirements for a navigation guidance system which will effect an increase in the ship processing capacity of the Saint Lawrence Seaway (Lake Ontario to Montreal, Quebec) are developed. The requirements include a specification of system position...
ERIC Educational Resources Information Center
Heft, Riva, Ed.; Rovinescu, Olivia, Ed.
The following papers from a conference on the dimensions of literacy in a multicultural society are included in this volume: "Literacy: Affirmation and Empowerment in a Multicultural Society" (Simms); "Literacy, Border Pedagogy, and Multiculturalism in the Aftermath of the Los Angeles Uprising" (Giroux); "Alphabetisme et…
Student Disengagement in English-Speaking Montréal
ERIC Educational Resources Information Center
Vallée, Daniel; Ruglis, Jessica
2017-01-01
This article discusses how student disengagement is conceptualized by English-speaking youth attending English urban public schools in Montreal, Quebec. School dropout is theorized as being a culminating event in a process of school disengagement (Rumberger, 2011). Using 2 qualitative methods (maps and interviews) in a grounded theory approach…
77 FR 20006 - Reports and Updates on Programs and Research Projects
Federal Register 2010, 2011, 2012, 2013, 2014
2012-04-03
... ARCTIC RESEARCH COMMISSION Reports and Updates on Programs and Research Projects Notice is hereby given that the U.S. Arctic Research Commission will hold its 97th meeting in Montreal, Quebec, Canada... meeting. (3) Commissioners and staff reports. (4) Discussion and presentations concerning Arctic research...
NBIC: Ballast Water Reporting Forms
for the Coast Guard's Equivalent Reporting Program (ERP). The ERP program is restricted to NON regulations, submit a BWMR at least 24 hours before the vessel arrives in Montreal, Quebec. Non-US/non | FAQ| Equivalent Reporting Program Privacy policy - Terms of Use - Contact us: nbic@ballastreport.org
Reading the World through Words: Cultural Themes in Heritage Chinese Language Textbooks
ERIC Educational Resources Information Center
Curdt-Christiansen, Xiao Lan
2008-01-01
This paper explores the social and cultural knowledge embedded in the textbooks for language and literacy education in a Chinese heritage language school, the Zhonguo School, in Montreal, Quebec, Canada. It examines how Chinese language arts textbooks introduce the child reader to cultural knowledge considered legitimate and valued in China as…
ERIC Educational Resources Information Center
Montreal Univ. (Quebec).
These proceedings contain 46 papers. Brief English-language titles include: "Some Research Findings on Study Methods in Adult Distance Education" (Bajtelsmit); "Self Planned Professional Learning among Public School Adult Education Directors" (Beder, et al.); "Participation in Study Circles and the Creation of Analysis" (Beder, et al.);…
The Effectiveness of Computer-Based Hypermedia Teaching Modules for Radiology Residents.
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Azevedo, Roger; And Others
This paper explains the rationale for utilizing computer-based, hypermedia tutorials for radiology education and presents the results of a field test of this educational technique. It discusses the development of the hypermedia tutorials at Montreal General Hospital (Quebec, Canada) in 1991-92 and their use in the radiology residency program. The…
St. Lawrence Seaway, Quebec, Canada
1991-05-06
STS039-83-059 (28 April-6 May 1991) --- This high oblique view taken from over southeastern Quebec, looking to the southwest down the estuary of the St. Lawrence River (Fleuve Saint-Laurent). The primary road on the north side of the river (right) runs from Quebec, at the end of the estuary behind Ile D'Orleans, northeast to its terminus at Sept-Iles (near nadir, and not visible in this scene). The St. Lawrence disappears underneath the cloud bank over western New York and Ontario just to the west of Montreal. The light snow cover enhances the area of forests (dark) and non-forest (white). In this view, most of the irregular areas of white on the right side of the St. Lawrence River are previously forested areas that were burned over during the extraordinary Canadian forest fires of 1989.
Godard, Béatrice; Moubé, Zéphirin
2013-01-01
It is inmportant to emphasize three aspects concerning the construction and teaching of 'French bioethics: the maintenance and promotion ofa multidisciplinary approach; a greater autonomy in the management and development of training programs; positioning a power of attraction and development in French-speaking countries. Bioethics is defined as a field of interdisciplinary studies at the junction of the health sciences and the humanities and, more importantly, directly connected to the reality of the health community, research and public Policy. A greater autonomy in the management and development of training programs is also capital. The danger of being dominated by one discipline involved whether medicine, law, philosophy, theology is real and prevents from promoting methodological approaches that are both theoretical and empirical. Finally, compliance with local and national, but also disciplinary diversity is essential to the construction and teaching of French bioethics. As such, the University of Montreal has positioned itself as a leader in the French-speaking countries: at the junction of North America and European countries, Quebec has developed its own specificity in bioethics, which is a force of attraction for many countries of the French-speaking world. In this context, the Bioethics Programs at the University of Montreal rely heavily on knowledge transfer to other cultures. Moreover, the internationalization of training programs in French bioethics is a major issue in the current context of globalization and transmission of knowledge.
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Shamsie, S.J., Ed.
Discussed in a conference report on adolescent psychology are the varieties of behavioral problems and family dynamics by Richard Jenkins, biological growth during adolescence by J.R. Unwin, management of adolescents in a general hospital setting by Henry Kravitz, and educational problems in disturbed adolescents by S.J. Shamsie, Jean-L. Lapointe,…
Early Childhood Development in the Montreal Study Area (Quebec). Understanding the Early Years
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Human Resources Development Canada, 2003
2003-01-01
Understanding the Early Years (UEY) is a national research initiative. It provides communities with information to enable them to make informed decisions about the best policies and most appropriate programs for Canadian families with young children. This report is based on one of seven communities studied in 2001-2002. Children's outcomes were…
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Nesset, Valerie
2015-01-01
Introduction: As part of a larger study in 2006 of the information-seeking behaviour of third-grade students in Montreal, Quebec, Canada, a model of their information-seeking behaviour was developed. To further improve the model, an extensive examination of the literature into information-seeking behaviour and information literacy was conducted…
Learning Strategies of Students Attending a "Second Chance" School
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Cartier, Sylvie C.; Langevin, Louise; Robert, Josianne
2011-01-01
This study was conducted in Quebec with 608 students (aged 16-19) in four "second chance" schools of the greater Montreal area. The objectives were twofold: (a) to identify the strategies of these students in the context of five learning activities; and (b) to compare the strategies of students who had withdrawn from school after their…
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Bush, Drew; Sieber, Renee; Seiler, Gale; Chandler, Mark
2018-01-01
This study with 79 students in Montreal, Quebec, compared the educational use of a National Aeronautics and Space Administration (NASA) global climate model (GCM) to climate education technologies developed for classroom use that included simpler interfaces and processes. The goal was to show how differing climate education technologies succeed…
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Flannery, Daniele, Ed.; And Others
This document contains the following conference presentations and panel discussions: "What Went on at the 1990 CPAE [Commission of Professors of Adult Education] Meetings in Salt Lake City" (Michael Collins); "Reflections on the Commission of Professors of Adult Education" (Robert M. Smith); "Reconstructing the Mainstream:…
Translation between Academic Research, Community and Practice: A Forum Theatre Process
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Hamel, Sonia
2015-01-01
On 6 February 2008, a deliberative theatre experiment was held at the National Archives of Quebec. Inspired by the democratic virtues of public deliberation but preoccupied with its blind spots, Forum Theatre was used to initiate discussion about the social tensions between the homeless and other dwellers of public space in downtown Montreal.…
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Canadian Association for the Study of Adult Education, Guelph (Ontario).
These proceedings contain 28 papers (20 in English and 8 in French), including the following: "Beyond Ideology: The Case of the Corporate Classroom" (Zinman); "De quelques dimensions paradoxales de l'education interculturelle" (Ollivier); "Ideology, Indoctrination and the Language of Physics" (Winchester);…
Mechakra-Tahiri, Samia; Zunzunegui, Maria Victoria; Préville, Michel; Dubé, Micheline
2009-11-01
To compare the prevalence of depression within the elderly Quebec population residing in rural areas, urban areas and metropolitan Montreal, and to assess differences in the associations between social relationships and depression across these urban and rural settings. Data originate from the first wave of the ESA (Etude de Santé des Ainés) longitudinal study on mental health of community dwelling older persons aged over 65 (n = 2670). Depression, including major and minor depression, measured using a computer questionnaire; the ESA-Q developed by the research team and based on the DSM-IV criteria. Assessments of associations between depression and geographic area, informal social networks and community participation were estimated adjusting for demographic, socioeconomic and health characteristics. The prevalence of depression was higher in rural (17%) and urban areas (15.1%) than in metropolitan Montreal (10.3%). The odds ratio of rural (OR = 2.01 95% CI 1.59-2.68) and urban (OR = 1.75; 95% CI 1.25-2.45) areas compared to the metropolitan area increased slightly after adjustment by all social and health covariates. Our study indicated that social support and the lack of conflict in intimate relationships were associated with lower prevalence of depression in all areas. Geographic differences in depression exist within the elderly population in Quebec that may generate significant impact on their health and functional abilities. Further research should be conducted to explain these differences. Copyright 2009 John Wiley & Sons, Ltd.
SIR-B image of Montreal from STS 41-G
NASA Technical Reports Server (NTRS)
1984-01-01
False-color image showing Montreal, Quebec, Canada, and was acquired by the Shuttle Imaging Radar-B (SIR-B) during STS 41-G. The St. lawrence River dominates the right portion of the photo. Several bridges cossing the river are visible. Pink and blue areas are generally buildings or pavement. Light green areas regions of natural vegetation; darker green areas are generally cultivated regions. A race track like structure is apparent at top left. The Riviere des Milles Illes and the Riviere des Prairies (left and right, respectively), join to form a U-shaped waterway at the center of the image. The large elliptical green-centered feature west of the St. Lawrence is Mt. Royal.
Baillargeon, D
1999-01-01
This article examines the story of the Assistance maternelle de Montreal, an organization founded in 1912 by a group of bourgeois catholic women to provide material assistance and free medical services to poor pregnant mothers of the city. I want to show that even if the timid intervention of the Quebec state allowed the AM to survive during the almost 50 years, the rise of the experts in the health field--a phenomenon to which the AM has largely contributed--and in the philanthropic sector led to the marginalization of the female volunteers within the very institution they had created.
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Tan, Eloise; Lefebvre, Haidee Smith
2010-01-01
Through a qualitative approach of narrative inquiry, this paper examines how Quebec's distinct society identity interacted with objectives of a Multicultural Education course in Montreal. The authors, one of whom was a teaching assistant in the course and the other a student in the course, interviewed seven students and the professor. The…
1998-01-01
photochemical exposure, these monomer systems form highly crosslinked networks which exhibit low intrinsic ab- sorption in the wavelength range extending...losses. The tip is also coated with a PFA Teflon coating to minimize the sticking of the cauterized tissue onto the tip. The dedicated forceps is mounted
Culture and Interculturality in the Adult ESL Context in Urban Quebec: A Case Study
ERIC Educational Resources Information Center
Dytynyshyn, Nancy; Collins, Laura
2012-01-01
This article examines the treatment of culture and the development of interculturality in the transcripts of a complete 36-hour ESL course organized by a community center in Montreal. The adult participants came from a variety of linguistic and cultural backgrounds. The adult second-language class has been identified as a potentially rich context…
Leaf Quality and the Host Preferences of Gypsy Moth in the Northern Deciduous Forest
Martin J. Lechowicz
1983-01-01
Both gypsy morh host preferences and the foliage characteristics thaL have been implicated as factors in host selection were monitored from 1979 to 1982 in a Quercus-Acer-Ostrya forest near Montreal, Quebec. The preliminary analyses of these data suggest the hypothesis that gypsy moth larvae preferentially attack trees that have high sugar:tannin...
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Association for Education in Journalism and Mass Communication.
The Television section of the proceedings contains the following 10 papers: "Financial Commitment and Performance in Local Television News: Applying the Industrial Organizational Model" (Angela Powers); "The Relationship between Censorship and the Emotional and Critical Tone of Television News Coverage of the Persian Gulf War"…
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Association for Education in Journalism and Mass Communication.
The Advertising section of the proceedings contains the following 16 papers: "Ethics of Advertising Practitioners: An Explanation Based on a Classical Theoretical Framework" (Cornelius B. Pratt and E. Lincoln James); "Sex Roles in Frightening Film Newspaper Advertisements: An Overview of the Past 50 Years" (Melissa M. Spirek);…
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Association for Education in Journalism and Mass Communication.
The Politics and Mass Media section of the proceedings contains the following eight papers: "Politics and the War on Drugs: Patterns of News Coverage" (Lisa Brockmeier); "The Challenge of Bearing Witness in Political Reporting: Making the Public Conversational Partners" (Karon Reinboth Speckman); "The Concrete-Avoidance…
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Association for the Advancement of Computing in Education, 2012
2012-01-01
This year's E-Learn conference has numerous exciting presentations and keynotes. Many speakers will be discussing how education is changing in the forthcoming years. Among them are Dale Stephens who works with the social movement "Uncollege" that empower students to create their own education, Saul Carliner who talks about Massive Online…
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Karsenti, Thierry; Garnier, Yves Daniel
2002-01-01
A pilot project that created a school Web site and e-mail service demonstrated the importance of information technology to Montreal (Quebec) 4th-grade students and their teachers. E-mail allowed teachers to have more efficient and less time-consuming communications with parents and allowed parents to more closely engage in their children's school…
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Driscoll, Margaret, Ed.; Reeves, Thomas C., Ed.
The 7th annual E-Learn world conference on e-learning in corporate, government, healthcare, and higher education organized by the Association for the Advancement of Computing in Education (AACE) includes more than 600 papers. Papers from this proceedings come from contributors representing more than 50 countries, sharing their perspectives and…
ERIC Educational Resources Information Center
Association for Education in Journalism and Mass Communication.
The More Miscellaneous Studies section of the proceedings contains the following 34 papers: "The Louisville Courier-Journal's News Content after Purchase by Gannett" (Hansen and Coulson); "Reflection of Cultural Values in Advertising: A Comparative Analysis of Taiwan and U.S. Advertising" (Zandpour and Qian); "Sex,…
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Seneca Nation Educational Foundation, Salamanca, NY.
The Newspaper Business section of the proceedings contains the following 13 papers: "Daily Newspaper Market Structure, Concentration and Competition" (Stephen Lacy and Lucinda Davenport); "Who's Making the News? Changing Demographics of Newspaper Newsrooms" (Ted Pease); "Race, Gender and White Male Backlash in Newspaper…
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Ellyson, Catherine; Andrew, Caroline; Clément, Richard
2016-01-01
Combining policy analysis with language policy and planning analysis, our article comparatively assesses two models of adult immigrants' language education in two very different provinces of the same federal country. In order to do so, we focus specifically on two questions: "'Why' do governments provide language education to adults?"…
ERIC Educational Resources Information Center
Association for Education in Journalism and Mass Communication.
The Magazine section of these proceedings contains the following six papers: "An Analysis of 'Magazine Type': Toward an Empirically Based Typology of Magazines and Non-Newspaper Periodicals" (Marcia R. Prior-Miller); "'Redbook': Changes in Attitude and Advice 1965-1990" (Jennifer Harbour); "A Quantitative Analysis of U.S.…
Network collaboration of organisations for homeless individuals in the Montreal region
Fleury, Marie-Josée; Grenier, Guy; Lesage, Alain; Ma, Nan; Ngui, André Ngamini
2014-01-01
Introduction We know little about the intensity and determinants of interorganisational collaboration within the homeless network. This study describes the characteristics and relationships (along with the variables predicting their degree of interorganisational collaboration) of 68 organisations of such a network in Montreal (Quebec, Canada). Theory and methods Data were collected primarily through a self-administered questionnaire. Descriptive analyses were conducted followed by social network and multivariate analyses. Results The Montreal homeless network has a high density (50.5%) and a decentralised structure and maintains a mostly informal collaboration with the public and cross-sectorial sectors. The network density showed more frequent contacts among four types of organisations which could point to the existence of cliques. Four variables predicted interorganisational collaboration: organisation type, number of services offered, volume of referrals and satisfaction with the relationships with public organisations. Conclusions and discussion The Montreal homeless network seems adequate to address non-complex homelessness problems. Considering, however, that most homeless individuals present chronic and complex profiles, it appears necessary to have a more formal and better integrated network of homeless organisations, particularly in the health and social service sectors, in order to improve services. PMID:24520216
ERIC Educational Resources Information Center
Association for Education in Journalism and Mass Communication.
The Miscellaneous Studies section of the proceedings contains the following 16 papers: "Mickey Mouse and Bugs Bunny: Iconography of Two Corporate Stars" (William A. Mikulak); "We Know Who You Are: A Niche Communications Explication and Model" (Jana Frederick-Collins); "The Ways They Get Their Stories: Is Utilitarianism the…
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Bresler, Liora, Ed.; Ellis, Nancy C., Ed.
2000-01-01
This volume contains papers which encompass visual arts, drama, music, literature, and poetry education, creating a space for scholars from diverse intellectual traditions. Following editorial notes and a message from the Arts and Learning Special Interest Group Chair, David Betts, are the papers of part 1, The Interconnectedness of Issues across…
ERIC Educational Resources Information Center
Association for Education in Journalism and Mass Communication.
The International Media section of the proceedings contains the following 13 papers: "Text and Context: A Case Study of International News Discourse" (Shujen Wang); "The Future of Public Service Broadcasting in Japan and the U.K.: A Comparative Analysis" (Roya Akhavan-Majid); "Reinventing Freedom of the Press: The Search…
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American Association for Adult and Continuing Education, Washington, DC. Commission of Professors of Adult Education.
This document contains the following 30 papers (most with short abstracts): "The Teacher Transition Response" (Carley); "There Must Be Some Meaning to This: Storytelling as a Research Method" (Group for Collaborative Inquiry); "The Impact of Patient, Social and Political, Practice Environment, and Physician Factors on the Integration of Health…
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Vitaro, Frank; And Others
1992-01-01
This article, written in French, describes and evaluates the first phase of a program to prevent drug addiction among 110 fifth-grade girls with behavior problems in Montreal (Quebec, Canada). Evaluation of the instructional program showed positive results for student knowledge level, attitudes, and behaviors and supported program continuation…
ERIC Educational Resources Information Center
Association for Education in Journalism and Mass Communication.
Section B of the Journalism History section of the proceedings contains the following nine papers: "Weep into Silence/Cries of Rage: Bitter Divisions in Hawaii's Japanese Press" (Tom Brislin); "Viewing the Newspaper as International: The First International Organization of Journalists Debates News Copyright 1894-1898" (Ulf…
Krause, Rachel J; McLaughlin, J Daniel; Marcogliese, David J
2010-07-01
Parasite communities were examined in johnny darters (Etheostoma nigrum) collected from five localities in the St. Lawrence River in southwestern Quebec: two reference localities, one polluted locality upstream of the Island of Montreal and downstream of industrial and agricultural activity, and two polluted localities downstream of the Island of Montreal in the plume from the wastewater treatment facility. Twenty-four helminth species were found. Fish from the upstream polluted locality had the highest parasite species richness and total parasite numbers, and fish from the downstream polluted localities the lowest. Nonmetric multivariate analyses were conducted using square-root-transformed Bray-Curtis dissimilarity index. An analysis of similarity, dendrogram of centroids, and a permutational multivariate analysis of variance with contrasts all showed that fish from the reference localities had different parasite community composition than those from the polluted localities, and fish from the upstream polluted locality had different parasite communities than fish from the downstream polluted localities. Differences between reference and polluted localities were mainly due to higher abundances of the brain-encysting trematode, Ornithodiplostomum sp., at the reference localities. Differences between upstream and downstream polluted localities were mainly due to a higher diversity and abundance of trematodes in fish at the upstream locality.
Earth observations taken from shuttle Discovery during STS-85 mission
1997-08-12
STS085-506-081 (7-19 August 1997) --- Montreal is a city on an island that grew up around the mountain -- in 1535 Jacques Cartier landed on an island in the St. Lawrence River and named a 233 meter-high mountain Mount Royal. It was not until 1642 that Ville Marie, founded by missionaries, would officially become the city of Montreal. The cityscape contrasts well with the farmland and natural forests in this summer view. Today Montreal is the largest city in the province of Quebec, and is the second most populous metropolitan area in Canada -- in 1991 the population was just more than one million in the city and 3,127,242 in the metropolitan area. While owing its early growth to the fur trade, the city is a leading producer of aircraft, chemical and pharmaceutical products, and is a major petroleum production center. Nearly half of Canada's .8 billion aerospace industry is located in the Montreal area. In the image captured by the astronauts, the lighter blue, wide river is the St. Lawrence. The city of Montreal is located on the Ile de Montreal to the northwest of the St. Lawrence river. The Ottawa River enters the St. Lawrence near the center of the view. Mirabel International Airport stands out well, on the north side of the city. The long, narrow strips of land in the image are indicative of French agricultural land use. The narrow ends of farmlands are oriented perpendicular to rivers so that more farmers will have access to water resources.
A Tale of Two Logics: Social Reproduction and Mobilisation in University Access in Quebec, 1945-2000
ERIC Educational Resources Information Center
Laplante, Benoît; Doray, Pierre; Bastien, Nicolas; Chenard, Pierre
2016-01-01
The 2012 Quebec students' protests against university tuition fees fostered a debate on access to higher education in Quebec, and specifically on the Quebec "educational lag". Using census data, we show that degree-holding is the same among Quebec French-speaking and Ontario English-speaking populations. Using event history analysis, we…
ERIC Educational Resources Information Center
Association for Education in Journalism and Mass Communication.
Section A of the Media and Law section of the proceedings contains the following nine papers: "RICO and the First Amendment: Racketeering Laws Threaten Free Expression" (Matthew D. Bunker and others); "Press Coverage of the Federal Appellate Courts: Technology and a Shared Notion of Newsworthiness" (Rebekah V. Bromley);…
ERIC Educational Resources Information Center
Association for Education in Journalism and Mass Communication.
The Mass Media Effects section of the proceedings contains the following eight papers: "The Spiral of Static: A Multivariate Analysis of a Public Opinion Theory Applied to Perception of Radio Station Popularity" (Terry Wedel and Tony Rimmer); "More Than Just Talk: Uses, Gratifications and the Telephone" (Garrett J. O'Keefe and…
ERIC Educational Resources Information Center
Association for Education in Journalism and Mass Communication.
Section B of the Media and Law section of the proceedings contains the following nine papers: "The Professional Person as Libel Plaintiff: Reexamination of the Public Figure Doctrine" (Harry W. Stonecipher and Don Sneed); "The Anti-Federalists and Taxation under the Free Press Clause of the First Amendment" (Brad Thompson);…
DOE Office of Scientific and Technical Information (OSTI.GOV)
Davis, Robert M.; David, Elizabeth; Pugash, Robyn A.
Fibrotic central venous occlusions in patients with thoracic malignancy and prior radiotherapy can be impassable with standard catheters and wires, including the trailing or stiff end of a hydrophilic wire. We report two patients with superior vena cava syndrome in whom we successfully utilized a radiofrequency guide wire (PowerWire, Baylis Medical, Montreal, Quebec, Canada) to perforate through the occlusion and recanalize the occluded segment to alleviate symptoms.
ERIC Educational Resources Information Center
Association for Education in Journalism and Mass Communication.
The Health, Science, and the Environment section of these proceedings contains the following seven papers: "Columbus, Mars, and the Changing Images and Ideologies of Exploration: A Critical Examination" (Lin Bin and August T. Horvath); "Prime Time TV Portrayals of Sex, 'Safe Sex' and AIDS: A Longitudinal Analysis" (Dennis T.…
ERIC Educational Resources Information Center
Association for Education in Journalism and Mass Communication.
Section A of the Journalism History section of the proceedings contains the following 10 papers: "Mixed Messages in a Progressive Newspaper: The Milwaukee Journal and Woman Suffrage, 1911-1912" (Elizabeth Burt); "The Search for Unity: The Importance of the Black Press in the Emigration/Colonization Issues of the 1800s" (Bernell…
ERIC Educational Resources Information Center
Association for Education in Journalism and Mass Communication.
The Media and Technology section of these proceedings contains the following six papers: "The Effects of Tabular and Graphical Display Formats on Time Spent Processing Statistics" (James D. Kelly); "Program Choice in a Broadband Environment" (Steven S. Wildman and Nancy Y. Lee); "Visual Crosstabs: A Technique for Enriching Information Graphics"…
1980-10-01
service sponsored by the Maritime Administration and operated by the Transportation Research Board of the National Research Council. Information...Engineering Specialist INTERCAN LOGISTICAL SERVICES LIMITED 751 Victoria Sq. Montreal, Quebec H26 2J3 Canada John J. Dougherty VP INTERSHIPPING CONSULTANTS...this burden, to Washington Headquarters Services , Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204
A bibliometric analysis of digestive health research in Canada.
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.
Gourdji, Shannon
2018-05-28
In urbanized regions with expansive impervious surfaces and often low vegetation cover, air pollution due to motor vehicles and other combustion sources, is a problem. The poor air quality days in Montreal, Quebec are mainly due to fine particulate matter and ozone. Businesses using wood ovens are a source of particulates. Careful vegetation selection and increased green roof usage can improve air quality. This paper reviews different green roofs and the capability of plants in particulate matter (PM), ozone (O 3 ) as well as nitrogen dioxide (NO 2 ) level reductions. Both the recommended green roof category and plants to reduce these pollutants in Montreal's zone 5 hardiness region are provided. Green roofs with larger vegetation including shrubs and trees, or intensive green roofs, remove air pollutants to a greater extent and are advisable to implement on existing, retrofitted or new buildings. PM is most effectively captured by pines. The small Pinus strobus 'Nana', Pinus mugho var. pumilio, Pinus mugho 'Slowmound' and Pinus pumila 'Dwarf Blue' are good candidates for intensive green roofs. Drought tolerant, deciduous broadleaved trees with low biogenic volatile organic compound emissions including Japanese Maple or Acer palmatum 'Shaina' and 'Mikawa-Yatsubusa' are options to reduce O 3 levels. Magnolias are tolerant to NO 2 and it is important in their metabolic pathways. The small cold-tolerant Magnolia 'Genie' is a good option to remove NO 2 in urban settings and to indirectly reduce O 3 formation. Given the emissions by Montreal businesses' wood ovens, calculations performed based on their respective complex roof areas obtained via Google Earth Pro indicates 88% Pinus mugho var. pumilio roof coverage can annually remove 92.37 kg of PM 10 of which 35.10 kg is PM 2.5 . The removal rates are 4.00 g/m 2 and 1.52 g/m 2 for PM 10 and PM 2.5 , respectively. This paper provides insight to addressing air pollution through urban rooftop greening. Copyright © 2018 Elsevier Ltd. All rights reserved.
Goldberg, M S; Bailar, J C; Burnett, R T; Brook, J R; Tamblyn, R; Bonvalot, Y; Ernst, P; Flegel, K M; Singh, R K; Valois, M F
2000-10-01
This study was undertaken in order to shed light on which groups of the general population may be susceptible to the effects of ambient particles. The objectives of the study were (1) to determine whether concentrations of particles in the ambient air of Montreal, Quebec, were associated with daily all-cause and cause-specific mortality in the period 1984 to 1993, and (2) to determine whether groups of the population had higher than average risks of death from exposure to particles. From the network of fixed-site air pollution monitors in Montreal we obtained daily mean levels of various measures of particles, gaseous pollutants, and weather variables measured at Dorval International Airport. We also used measurements of sulfate from an acid rain monitoring station 150 km southeast of the city (Sutton, Quebec). We estimated associations for particulate matter (PM) with an aerodynamic diameter of 10 microns or smaller (PM10), or 2.5 microns or smaller (PM2.5), total suspended particles (TSP), coefficient of haze (COH), an extinction coefficient, and sulfate. Because substantial data for fine particles were missing, we developed a regression model to predict PM2.5 and to predict sulfate from PM2.5. In the main body of the report, we present results for COH, predicted PM2.5, and sulfate. Detailed results for all pollutants are included in Appendices H through O, which are available on request from Health Effects Institute and from the HEI web site at www.healtheffects.org. To address the first objective, we made use of the underlying causes of death among all 140,939 residents of Montreal who died between 1984 and 1993. We regressed the logarithm of daily counts of cause-specific mortality on the daily mean levels for a variety of measures of particles, accounting for seasonal and subseasonal fluctuations in the mortality time series, overdispersion, and weather factors. To address the second objective, we developed algorithms to define conditions that subjects had prior to death, with the focus on cardiopulmonary diseases. These algorithms were based on information retained on the databases of the universal Quebec Health Insurance Plan (QHIP). The databases include records of all procedures (e.g., type of surgery), physician visits, and consultations carried out by all physicians in Quebec. For persons > or = 65 years and for all recipients of social assistance the prescription database contains records of all pharmaceuticals dispensed (type of medication, dose, quantity). For each group of conditions defined, we used the same statistical model that was used in the analyses of all nonaccidental causes of death. In the analyses of cause-specific mortality, we found evidence of associations for all nonaccidental causes of death and specific causes of death--cancer, coronary artery disease, respiratory diseases, and diabetes--that were consistent across most metrics of ambient air particle concentrations, evaluated as the 3-day mean of particle concentrations measured on the day of death (lag 0) and on each of the two days before death (lag 1, lag 2). Associations for all cardiovascular diseases combined were found only with sulfate. As well, we generally found increased daily mortality for persons 65 years of age and over. The results for all nonaccidental causes of death are similar to findings from other studies; the mean percent increase in mortality for a 100 micrograms/m3 increase in daily TSP at lag 0 was 6.7%. In the analyses of the groups defined from the QHIP data, there was little evidence of associations with air pollutants among persons who before death were classified as having acute or chronic upper respiratory diseases, airways diseases, hypertension, acute coronary artery diseases, and cerebrovascular diseases. On the other hand, we found consistent increases across most types of ambient particles for persons who had cancer, acute lower respiratory diseases, any form of cardiovascular disease, chronic coronary artery diseases, and congestive heart failure. As well, we found an association for individuals who did not have any cardiovascular disease, lower respiratory diseases, and cancer. This latter group consisted of persons who had no interactions with the health care system one year before death (12%) and individuals with a wide variety of potentially fatal diseases (52%), including neurological conditions (12%), diabetes (8%), cardiac dysrhythmias (8%), dementia (6%), organic psychotic disorders (6%), and anemias (4%). As statistical power was reduced in the analyses presented above, differences between groups (e.g., < 65 and > or = 65 year age groups) were not usually statistically significant. The association with diabetes has not been reported previously, and this needs to be replicated in other studies. (ABSTRACT TRUNCATED)
Charest, Émilie; Gagné, Marie-Hélène; Goulet, Julie
2017-08-01
This article discusses the development and pretesting of key visual imagery in a promotional campaign developed in Quebec, Canada. This campaign is the media-based component of a broader prevention strategy involving the use of the Triple P program (Sanders, 1999). The purpose was to pretest with parents the preliminary version of a poster that uses the campaign's key visual imagery prior to final production. In total, 26 parents from the regions of Quebec City and Montreal participated in four focus groups. Two general themes emerged from the focus groups: (i) emotions and reactions arising from the key visual imagery; and (ii) comprehension of the message being conveyed. Based on this information, recommendations were made to the marketing agency, which then modified the campaign's key visual imagery and proposed a final layout.
Energetic Polyoxetane Thermoplastic Elastomers: Synthesis and Characterization
1988-12-01
Stockmayer, L. D. Moore, M. Fixman, and B. N. Epstein, Copolymers in Dilute Solution. I. Preliminary Results for Styrene- Methyl Methacrylate , J. Polym. Sci... methyl groups of p-dicumyl chloride showed a singlet peak at about 2.0 ppm. The integration ratio of the peak at 2.0 ppm and 7.6 ppm is about 3 within...were prepared by Aerojet. 1H and 13C NMR spectra of polymer solutions in deuteriochloro- form (CDCl3), MSD Isotopes, Montreal, Quebec, Canada, were
1992-12-31
receptor were decreased. In the presence of nicotine 1.0pM, the Kd values of rat cerebral muscarinic receptor bound with its agonist P3H] oxotremorine -M...inhibitory effects of GTPrS on [1 3H] oxotremorine -M binding were potentiated.It is suggsted that the binding properties of brain muscarinic receptor...interval) the dose-response curves of M-agonists arecoline and oxotremorine for producing salivation shifted leftward. Above demonstrated phenomena
ERIC Educational Resources Information Center
Bellavance, Michel
1980-01-01
The intervention of the Canadian government in financing Quebec universities has followed various paths through individual or institutional direct or indirect grants, operating or investment grants, and fiscal transfers. The historical evolution of federal grants to Quebec universities is described by singling out four periods. In French.…
Rahme, Elham; Low, Nancy C. P.; Lamarre, Suzanne; Turecki, Gustavo; Bonin, Jean-Pierre; Daneau, Diane; Habel, Youssef; Yung, Emily C. C.; Morin, Suzanne; Szkrumelak, Nadia; Singh, Santokh; Renaud, Johanne; Lesage, Alain
2015-01-01
Objective We conducted a chart review to identify postsecondary students and nonstudents in the same age range who presented to the emergency department following a suicide attempt to (1) compare demographic characteristics and suicide risk factors and (2) determine factors associated with more serious attempts requiring hospitalizations. Method The study was conducted in 1 tertiary trauma hospital and 1 community hospital affiliated with McGill University, Montreal, Quebec, Canada, between January 1, 2009, and March 31, 2010. Charts of patients with potential suicide attempts were identified from medical records using ICD-10 codes that indicated traumatic injury, intentional self-harm, poisoning, and psychiatric or perception/cognition disorders and from the emergency department triage file using keywords that indicated suicidality or self-harm at presentation. Results In multivariable logistic regression models (odds ratio, 95% CI), students were younger (per 5-year increase: 0.22, 0.12–0.41), less likely to be born in Canada (0.17, 0.06–0.44), and more likely to use less violent methods (laceration, poisoning, other, multiple methods) versus more violent methods (collision, jump, fire burns, firearm, hanging) in their attempt. Fewer students had a history of substance abuse (0.12, 0.02–0.94) but were not different from nonstudents on history of other mental disorders. Less students attempted suicide in the winter/spring (January–April) versus fall (September–December) semester (0.32, 0.11–0.91). Students who attempted suicide were more likely to have family/social support. Those who attempted suicide in the previous year were more likely to require hospitalization for their current suicide attempt. Conclusions Knowledge of specific factors associated with suicide attempts in young people can help inform and guide suicide prevention efforts in both academic and community settings. Specific to the findings of this study regarding the method of suicide attempt used, for example, limiting access to dangerous substances or large quantities of medications may help prevent or reduce suicide attempts in this population. PMID:26835175
ERIC Educational Resources Information Center
RESNA: Association for the Advancement of Rehabilitation Technology, Washington, DC.
These proceedings were composed of 290 papers, submitted by 700 authors from 15 countries, in the field of rehabilitation engineering and technology. Of the 290 papers, 13 are written in French. Papers are generally two to four pages in length, and are organized within the following areas of rehabilitation technology: service delivery practice (15…
Perception of dental illness among persons receiving public assistance in Montreal.
Bedos, Christophe; Brodeur, Jean-Marc; Levine, Alissa; Richard, Lucie; Boucheron, Laurence; Mereus, Witnisse
2005-08-01
We examined rationales for behaviors related to dental care among persons receiving public assistance in Montreal, Quebec. Fifty-seven persons receiving public assistance participated in 8 focus groups conducted in 2002. Sessions were recorded on audiotape and transcribed; analyses included debriefing sessions and coding and interpreting transcribed data. In the absence of dental pain and any visible cavity, persons receiving public assistance believed they were free of dental illness. However, they knew that dental pain signals a pathological process that progressively leads to tooth decay and, therefore, should be treated by a dentist. However, when in pain, despite recognizing that they needed professional treatment, they preferred to wait and suffer because of a fear of painful dental treatments and a reluctance to undertake certain procedures. Persons receiving public assistance have perceptions about dental health and illness that prevent them from receiving early treatment for tooth decay, which may lead to disagreements with dentists when planning dental treatments.
The Rational Approach to Budget Cuts: One University's Experience. ASHE 1987 Annual Meeting Paper.
ERIC Educational Resources Information Center
Hardy, Cynthia
The experiences of the University of Montreal in using a rational-analytic framework to allocate resources at a time of budget costs are discussed. The following characteristics for rational decision-making are identified and applied to the University of Montreal: whether goals were known, whether alternative methods of resource allocation were…
Richard, Lucie; Chiocchio, François; Essiembre, Hélène; Tremblay, Marie-Claude; Lamy, Geneviève; Champagne, François; Beaudet, Nicole
2014-02-01
Communities of practice (CoPs) are among the professional development strategies most widely used in such fields as management and education. Though the approach has elicited keen interest, knowledge pertaining to its conceptual underpinnings is still limited, thus hindering proper assessment of CoPs' effects and the processes generating the latter. To address this shortcoming, this paper presents a conceptual model that was developed to evaluate an initiative based on a CoP strategy: Health Promotion Laboratories are a professional development intervention that was implemented in local public health organizations in Montreal (Quebec, Canada). The model is based on latest theories on work-group effectiveness and organizational learning and can be usefully adopted by evaluators who are increasingly called upon to illuminate decision-making about CoPs. Ultimately, validation of this conceptual model will help advance knowledge and practice pertaining to CoPs as well as professional and organizational development strategies in public health. Copyright © 2014 Longwoods Publishing.
Goldberg, Mark S; Burnett, Richard T; Stieb, David M; Brophy, James M; Daskalopoulou, Stella S; Valois, Marie-France; Brook, Jeffrey R
2013-10-01
Persons with underlying health conditions may be at higher risk for the short-term effects of air pollution. We have extended our original mortality time series study in Montreal, Quebec, among persons 65 years of age and older, for an additional 10 years (1990-2003) to assess whether these associations persisted and to investigate new health conditions. We created subgroups of subjects diagnosed with major health conditions one year before death using billing and prescription data from the Quebec Health Insurance Plan. We used parametric log-linear Poisson models within the distributed lag non-linear models framework, that were adjusted for long-term temporal trends and daily maximum temperature, for which we assessed associations with NO2, O3, CO, SO2, and particles with aerodynamic diameters 2.5 μm in diameter or less (PM2.5). We found positive associations between daily non-accidental mortality and all air pollutants but O3 (e.g., for a cumulative effect over a 3-day lag, with a mean percent change (MPC) in daily mortality of 1.90% [95% confidence interval: 0.73, 3.08%] for an increase of the interquartile range (17.56 μg m(-3)) of NO2). Positive associations were found amongst persons having cardiovascular disease (cumulative MPC for an increase equal to the interquartile range of NO2=2.67%), congestive heart failure (MPC=3.46%), atrial fibrillation (MPC=4.21%), diabetes (MPC=3.45%), and diabetes and cardiovascular disease (MPC=3.50%). Associations in the warm season were also found for acute and chronic coronary artery disease, hypertension, and cancer. There was no persuasive evidence to conclude that there were seasonal associations for cerebrovascular disease, acute lower respiratory disease (defined within 2 months of death), airways disease, and diabetes and airways disease. These data indicate that individuals with certain health conditions, especially those with diabetes and cardiovascular disease, hypertension, atrial fibrillation, and cancer, may be susceptible to the short-term effects of air pollution. © 2013 Elsevier B.V. All rights reserved.
Dendukuri, Nandini; McCusker, Jane; Bellavance, François; Cardin, Sylvie; Verdon, Josée; Karp, Igor; Belzile, Eric
2005-03-01
Emergency department (ED) use in Quebec may be measured from varied sources, eg, patient's self-reports, hospital medical charts, and provincial health insurance claims databases. Determining the relative validity of each source is complicated because none is a gold standard. We sought to compare the validity of different measures of ED use without arbitrarily assuming one is perfect. Data were obtained from a nursing liaison intervention study for frail seniors visiting EDs at 4 university-affiliated hospitals in Montreal. The number of ED visits during 2 consecutive follow-up periods of 1 and 4 months after baseline was obtained from patient interviews, from medical charts of participating hospitals, and from the provincial health insurance claims database. Latent class analysis was used to estimate the validity of each source. The impact of the following covariates on validity was evaluated: hospital visited, patient's demographic/clinical characteristics, risk of functional decline, nursing liaison intervention, duration of recall, previous ED use, and previous hospitalization. The patient's self-report was found to be the least accurate (sensitivity: 70%, specificity: 88%). Claims databases had the greatest validity, especially after defining claims made on consecutive days as part of the same ED visit (sensitivity: 98%, specificity: 98%). The validity of the medical chart was intermediate. Lower sensitivity (or under-reporting) on the self-report appeared to be associated with higher age, low comorbidity and shorter length of recall. The claims database is the most valid method of measuring ED use among seniors in Quebec compared with hospital medical charts and patient-reported use.
Modification of the Geographic Corrosivity Index and its Application to Overseas Bases
2008-03-01
reduction in aerosol production, possibly due to a decrease in the impact of surf hitting the shoreline. Setting the fetch rating to a value of five...Lake 0.07 0.07 Quebec Bagotville 0.11 0.11 Mirabel/Montreal 0.23 0.23 Indonesia Denpasar/Bali 9.93 9.9 Jakarta International 4.04 4.0... Indonesia 27.6 78.6 5199 250.0 1039.6 259.9 9.93 Jakarta Int’l Asia - Indonesia 27.4 79.9 5470 280.5 376.9 105.7 4.04 Kuantan Asia - Malaysia 26.9 85.7
Cargo, Margaret D; Delormier, Treena; Lévesque, Lucie; McComber, Alex M; Macaulay, Ann C
2011-01-01
PURPOSE. To assess the evolution of perceived ownership of a university-Aboriginal community partnership across three project stages. DESIGN. Survey administration to project partners during project formalization (1996-T1), mobilization (1999-T2), and maintenance (2004-T3). SETTING. Aboriginal community of Kahnawake, outside Montreal, Quebec, Canada. PARTICIPANTS. Partners involved in influencing decision making in the Kahnawake Schools Diabetes Prevention Project (KSDPP). MEASURE AND ANALYSIS . A measure of perceived primary ownership subjected to linear trend analysis. RESULTS. KSDPP staff were perceived as primary owner at T1 and shared ownership with Community Advisory Board (CAB) members at T2 and T3. Trend tests indicated greater perceived ownership between T1 and T3 for CAB (χ(2)(1) = 12.3, p < .0001) and declining KSDPP staff (χ(2)(1) = 10.5, p < .001) ownership over time. Academic partners were never perceived as primary owners. CONCLUSION. This project was community driven from the beginning. It was not dependent on an external academic change agent to activate the community and develop the community's capacity to plan and implement a solution. It still took several years for the grassroots CAB to take responsibility from KSDPP staff, thus indicating the need for sustained funding to build grassroots community capacity.
Da Rosa, P; Rousseau, Marie-Claude; Edasseri, A; Henderson, M; Nicolau, B
2017-12-01
Socioeconomic position (SEP) is inversely associated with most oral health outcomes, but the patterns of association may vary depending on the specific outcome. We estimated associations between SEP and two oral health outcomes, dental caries and traumatic dental injuries (TDI), in Quebec children. We used data from the baseline visit of the QUALITY (QUebec Adipose and Lifestyle Investigation in Youth) Cohort, an ongoing study in Montreal and Quebec, Canada. The analytical sample included 590 children aged 8-10 years. Data on parents' SEP (household income, education) and children's health behaviours and involvement in sports were obtained through questionnaires and interviews. Oral health outcomes (dental caries and TDI in permanent teeth) were assessed by clinical oral exam. Negative binomial regression was used to model dental caries (DMFS index) and number of teeth with TDI adjusting for selected covariates. The mean (SD) DMFS and number of TDI were 0.61 (1.43) and 0.12 (0.43), respectively. Compared to the upper quartile of income, children in the lower quartile had a DMFS approximately 3 times higher (PRR=2.68, 95% CI: 1.43, 5.04). Adjusting for oral health and nutritional behaviours had no effect. Conversely, children in the highest income quartile had a 3 times higher number of teeth with TDI compared to the lowest quartile (PRR=3.14, 95% CI: 1.22, 8.08). Physical activity did not explain this relationship. Parents' education was not associated with dental caries or TDI. SEP seems to play a different role in the cause of dental caries and TDI. Copyright© 2017 Dennis Barber Ltd.
Electronic Thesis Initiative: Pilot Project of McGill University, Montreal
ERIC Educational Resources Information Center
Park, Eun G.; Zou, Qing; McKnight, David
2007-01-01
Purpose: To set up a protocol for electronic thesis and dissertation (ETD) submission for the electronic thesis initiative pilot project at McGill University in Montreal, Canada. Design/methodology/approach: An electronic thesis and dissertation submission protocol was implemented and tested. To test authoring tools, we had 50 students submit…
Phosphorus cycling in Montreal's food and urban agriculture systems.
Metson, Geneviève S; Bennett, Elena M
2015-01-01
Cities are a key system in anthropogenic phosphorus (P) cycling because they concentrate both P demand and waste production. Urban agriculture (UA) has been proposed as a means to improve P management by recycling cities' P-rich waste back into local food production. However, we have a limited understanding of the role UA currently plays in the P cycle of cities or its potential to recycle local P waste. Using existing data combined with surveys of local UA practitioners, we quantified the role of UA in the P cycle of Montreal, Canada to explore the potential for UA to recycle local P waste. We also used existing data to complete a substance flow analysis of P flows in the overall food system of Montreal. In 2012, Montreal imported 3.5 Gg of P in food, of which 2.63 Gg ultimately accumulated in landfills, 0.36 Gg were discharged to local waters, and only 0.09 Gg were recycled through composting. We found that UA is only a small sub-system in the overall P cycle of the city, contributing just 0.44% of the P consumed as food in the city. However, within the UA system, the rate of recycling is high: 73% of inputs applied to soil were from recycled sources. While a Quebec mandate to recycle 100% of all organic waste by 2020 might increase the role of UA in P recycling, the area of land in UA is too small to accommodate all P waste produced on the island. UA may, however, be a valuable pathway to improve urban P sustainability by acting as an activity that changes residents' relationship to, and understanding of, the food system and increases their acceptance of composting.
Crouse, Dan L.; Goldberg, Mark S.; Ross, Nancy A.; Chen, Hong; Labrèche, France
2010-01-01
Background Only about 30% of cases of breast cancer can be explained by accepted risk factors. Occupational studies have shown associations between the incidence of breast cancer and exposure to contaminants that are found in ambient air. Objectives We sought to determine whether the incidence of postmenopausal breast cancer is associated with exposure to urban air pollution. Methods We used data from a case–control study conducted in Montreal, Quebec, in 1996–1997. Cases were 383 women with incident invasive breast cancer, and controls were 416 women with other incident, malignant cancers, excluding those potentially associated with selected occupational exposures. Concentrations of nitrogen dioxide (NO2) were measured across Montreal in 2005–2006. We developed a land-use regression model to predict concentrations of NO2 across Montreal for 2006, and developed two methods to extrapolate the estimates to 1985 and 1996. We linked these estimates to addresses of residences of subjects at time of interview. We used unconditional logistic regression to adjust for accepted and suspected risk factors and occupational exposures. Results For each increase of 5 ppb NO2 estimated in 1996, the adjusted odds ratio was 1.31 (95% confidence interval, 1.00–1.71). Although the size of effect varied somewhat across periods, we found an increased risk of approximately 25% for every increase of 5 ppb in exposure. Conclusions We found evidence of an association between the incidence of postmenopausal breast cancer and exposure to ambient concentrations of NO2. Further studies are needed to confirm whether NO2 or other components of traffic-related pollution are indeed associated with increased risks. PMID:20923746
ERIC Educational Resources Information Center
Lefebvre, Bernard; Lemieux, Andre
1985-01-01
Results of a survey of those charged with the training of French-speaking college teachers in Quebec universities concerning the importance of various aspects of education in general and of its value to themselves are presented. (MSE)
Boucher, Annie Christine; Mimee, Benjamin; Montarry, Josselin; Bardou-Valette, Sylvie; Bélair, Guy; Moffett, Peter; Grenier, Eric
2013-10-01
The golden cyst nematode (Globodera rostochiensis), native to South America, has been introduced in many parts of the world, including Europe and North America. Recently, it was found for the first time in the province of Quebec, Canada in the locality of St. Amable near Montreal. To date, very few studies have examined the population genetics of this pest. Consequently, there is a lack of knowledge about the genetic structure and evolution of this nematode. In this study, twelve new microsatellite markers were developed in order to explore these questions. These markers were used to genotype fifteen populations originating from different regions of the world, including five from Canada. Within populations, the highest genetic diversity was consistently observed in the populations from Bolivia, the postulated region of origin of the golden nematode, and the lowest in populations from British Columbia (Canada) and New York (USA). The two Quebec populations were very similar to each other and to the population found in Newfoundland, but surprisingly, they were significantly different from three other North American populations including those from New York and British Columbia. Based on our results, we conclude that the golden cyst nematode has been introduced in North America at least twice from distinct regions of the world. Crown Copyright © 2013. Published by Elsevier Inc. All rights reserved.
Gabriele-Rivet, Vanessa; Fairbrother, Julie-Hélène; Tremblay, Donald; Harel, Josée; Côté, Nathalie; Arsenault, Julie
2016-01-01
Feral pigeons (Columbia livia) can harbor a range of zoonotic pathogens. A transversal study was undertaken to estimate the prevalence of feral pigeons infected by various pathogens in public areas in Montreal, Quebec. Cloacal swabs from captured birds were cultured for Salmonella spp. and Campylobacter spp. and tested by real-time polymerase chain reaction (RT-PCR) for the detection of Coxiella burnetii. An oropharyngeal swab was also submitted to real-time reverse-transcription polymerase chain reaction (RRT-PCR) for the detection of Newcastle disease virus. Among the 187 pigeons tested from 10 public areas, 9.1% (95% CI: 3.0 to 15.2) were positive for Campylobacter spp. with all strains identified as Campylobacter jejuni. The Campylobacter status of birds was not associated with individual characteristics of birds, with the exception of body score. None of the pigeons tested positive for the other pathogens. Direct or indirect contacts with feral pigeons may constitute a potential risk for Campylobacter infection in humans. PMID:26733736
Links between casino proximity and gambling participation, expenditure, and pathology.
Sévigny, Serge; Ladouceur, Robert; Jacques, Christian; Cantinotti, Michael
2008-06-01
Two studies investigated the relationship between casino proximity and gambling participation, expenditure, and pathology. In Study 1, 8,842 participants were categorized into 1 of 4 driving distances from their home to the nearest casino in the province of Quebec: 0-100 km, 100.01-200 km, 200.01-300 km, or 300.01-981 km. In Study 2, 5,158 participants, who lived within a 100-km driving distance from the Montreal casino, were classified into 1 of 5 equidistant, 20-km driving distances. A survey company interviewed participants regarding their gambling habits. Results indicated a positive link between casino proximity and gambling participation (at the provincial and Montreal levels) and expenditure (at the provincial level only) but no link with the current prevalence rate of probable pathological gambling or of problem gambling. In a setting in which many types of gambling activities are available, casino proximity in itself does not appear to explain the rate of gambling-related problems. It is necessary to continue prospective research on exposure and adaptation theories as potential explanations for the development of pathological gambling. 2008 APA
Architecture, religion, and tuberculosis in Sainte-Agathe-des-Monts, Quebec.
Adams, Annmarie; Poutanen, Mary Anne
2009-01-01
This paper explores the architecture of the Mount Sinai Sanatorium in Sainte-Agathe-des-Monts (Qc) to disentangle the role of religion in the treatment of tuberculosis. In particular, we analyze the design of Mount Sinai, the jewel in the crown of Jewish philanthropy in Montreal, in relation to that of the nearby Laurentian Sanatorium. While Mount Sinai offered free treatment to the poor in a stunning, Art Deco building of 1930, the Protestant hospital had by then served paying patients for more than two decades in a purposefully home-like, Tudor-revival setting. Using architectural historian Bernard Herman's concept of embedded landscapes, we show how the two hospitals differed in terms of their relationship to site, access, and, most importantly, to city, knowledge, and community. Architects Scopes & Feustmann, who designed the Laurentian hospital, operated an office at Saranac Lake, New York, America's premier destination for consumptives. The qualifications of Mount Sinai architects Spence & Goodman, however, derived from their experience with Jewish institutions in Montreal. Following Herman's approach to architecture through movement and context, how did notions of medical therapy and Judaism intersect in the plans of Mount Sinai?
Engler, Kim; Rollet, Kathleen; Lessard, David; Thomas, Réjean; Lebouché, Bertrand
2016-10-01
Quebec's HIV epidemic persists, particularly among men who have sex with men (MSM) and in Montreal. Increasing access to HIV testing is necessary and community-based rapid testing offers one strategy. This paper examines the clienteles and activities of a rapid HIV testing site in Montreal, the pilot project Actuel sur Rue. Comparative analyses were conducted with 1357 MSM, 147 heterosexual men and 64 women who visited Actuel sur Rue between July 2012 and November 2013 on socio-demographics, health, drug use, sexual practices/infection and HIV testing/prevention. Significant group differences were observed in each category. Actuel sur Rue received 1901 clients, conducted 1417 rapid HIV tests and tested 77 never-tested individuals. Rapid testing produced a high reactive rate (2%). Only 1/28 of those with reactive tests had no previous HIV testing, and 36% had used post-exposure prophylaxis, suggesting missed opportunities for prevention. Findings highlight diverse client vulnerability profiles and the relevance of checkpoints and further prevention efforts. © The Author(s) 2016.
Recovering Plastics in a Hospital Can Have Environmental, Social and Economic Benefits.
Ribesse, Jérôme; Robitaille, Nathalie
2016-01-01
Plastics are omnipresent in today's healthcare facilities. In Quebec, recyclable plastics (the ones with a 1 to 7 number on it, excluding number 6 or styrofoam) represent 7% of all the waste generated by healthcare institutions - 2,907 tonnes each year (Proulx et al. 2009). The vast majority of these plastics are sent to landfill instead of being recycled due to the lack of suitable recycling systems. In collaboration with three Montreal-based hospitals, Synergie Santé Environnement (SSE) conducted an 18-month pilot project to implement a sustainable plastic recycling system with threefold objectives: reduce landfill costs, obtain royalties for the plastics and assure traceability.
ERIC Educational Resources Information Center
Giles, Geoffrey J.
Quebec colleges remained firmly entrenched in the pure classicism of prerevolutionary France until well into the twentieth century. Formal Roman Catholic Church control of Laval University, a Jesuit university, ceased in 1965 at a time when the institution and its administration were expanding greatly, and the faculty quickly began to resent the…
Face-offs in reproductive immunology: the Montreal forum meeting report.
Croy, B Anne; Baines, Malcolm G
2004-10-01
The combined 12th International Congress of Immunology (ICI) and the 4th Annual Conference of the Federation of Clinical Immunological Societies (FOCIS) was held in Montreal, Canada July 18-23, 2004 and attracted over 6000 immunologists and almost 4000 abstracts. The host society, the Canadian Society for Immunology (CSI) spent many years in preparation for this large meeting and encouraged its members to propose topics for symposia and mini-symposia and to sponsor satellite meetings. With sponsorship of CSI; the Canadian Institutes of Health Research; the University of Guelph, Guelph, ON; Queen's University, Kingston, ON; McGill University, Montreal, QU, Canada; and the American Society for Reproductive Immunology, a focused, highly successful, one day satellite meeting on human uterine immunology was held. The highlights of the presentations and discussions are reported.
Cannabis cultivation in Quebec: between space-time hotspots and coldspots.
Chadillon-Farinacci, Véronique; Apparicio, Philippe; Morselli, Carlo
2015-03-01
Cannabis cultivation has become increasingly localized, whether soil-based or hydroponic growing methods are used. Characteristics of a given location, such as its climate and the equipment it requires may influence general accessibility or attract different types of offenders based on potential profits. The location of crops, especially hydroponic crops, suggests a certain proximity to the consumer market via semi-urban and urban environments, while making it possible to avoid detection. This article examines the cannabis market through its cultivation. The stability of temporal and spatial clusters of cannabis cultivation, hotspots, and coldspots between 2001 and 2009 in the province of Quebec, Canada, are addressed. Studying the geography of crime is not a new endeavor, but coldspots are rarely documented in drug market research. Using arrests and general population data, as well as Kulldorff's scan statistics, results show that the temporal distribution of cannabis cultivation is highly seasonal for soil-based methods. Hydroponic production shows adaptation to its soil-based counterpart. Stable patterns are found for both spatial distributions. Hotspots for soil-based cultivation are found near several urban centers and the Ontario border. For hydroponic cannabis cultivation, a new hotspot suggests the emergence of an American demand for Quebec-grown cannabis between 2007 and 2009. Curiously, the region surrounding Montreal, the largest urban center in Quebec, is a recurrent and stable coldspot for both methods of cultivation. For all periods, spatial clusters are stronger for soil-based methods than in the hydroponic context. Temporal differences and spatial similarities between soil-based cultivation and hydroponic cultivation are discussed. The role of the metropolis is also addressed. Copyright © 2015 Elsevier B.V. All rights reserved.
Labrèche, France; Kosatsky, Tom; Przybysz, Raymond
2008-01-01
The absence of ongoing surveillance for childhood asthma in Montreal, Quebec, prompted the present investigation to assess the validity and practicality of administrative databases as a foundation for surveillance. To explore the consistency between cases of asthma identified through physician billings compared with hospital discharge summaries. Rates of service use for asthma in 1998 among Montreal children aged one, four and eight years were estimated. Correspondence between the two databases (physician billing claims versus medical billing claims) were explored during three different time periods: the first day of hospitalization, during the entire hospital stay, and during the hospital stay plus a one-day margin before admission and after discharge ('hospital stay +/- 1 day'). During 1998, 7.6% of Montreal children consulted a physician for asthma at least once and 0.6% were hospitalized with a principal diagnosis of asthma. There were no contemporaneous physician billings for asthma 'in hospital' during hospital stay +/- 1 day for 22% of hospitalizations in which asthma was the primary diagnosis recorded at discharge. Conversely, among children with a physician billing for asthma 'in hospital', 66% were found to have a contemporaneous in-hospital record of a stay for 'asthma'. Both databases of hospital and medical billing claims are useful for estimating rates of hospitalization for asthma in children. The potential for diagnostic imprecision is of concern, especially if capturing the exact number of uses is more important than establishing patterns of use.
Dubuc, Marie-Maude; Aubertin-Leheudre, Mylène; Karelis, Antony D.
2017-01-01
Background: The purpose of this study was to investigate the relationship between physical, psychosocial, lifestyle and sociodemographic factors with academic performance in female undergraduate students. Methods: One hundred undergraduate female students from the Faculty of Science at the University of Quebec at Montreal participated in this study (mean age = 24.4 ± 4.6 years old). All participants provided their university transcript and had to complete at least 45 course credits from their bachelor degree. Body composition (DXA), handgrip strength, estimated maximal oxygen consumption (VO2 max) (Bruce Protocol) and blood pressure were measured. Participants also completed a questionnaire on their psychosocial, academic motivation, lifestyle and sociodemographic profile. Results: Significant correlations were observed between GPA with estimated VO2 max (r = 0.32), intrinsic motivation toward knowledge (r = 0.23), intrinsic motivation toward accomplishment (r = 0.27) and external regulation (r = -0.30, P = 0.002). In addition, eating breakfast every morning and being an atheist was positively associated with academic performance (P < 0.05). Finally, a stepwise linear regression analysis showed that external regulation, intrinsic motivation toward accomplishment, VO2 max levels and eating a daily breakfast explained 28.5 % of the variation in the GPA in our cohort. Conclusions: Results of the present study indicate that motivational, physical and lifestyle factors appear to be predictors of academic performance in female undergraduate students. PMID:28479964
NASA Astrophysics Data System (ADS)
2010-08-01
All papers published in this Volume 12 of IOP Conference Series: Earth and Environmental Science have been peer reviewed through processes administered by the editors of the 25th IAHR Symposium on Hydraulic Machinery and Systems proceedings, Professor Romeo Susan-Resiga, Dr Sebastian Muntean and Dr Sandor Bernad. Reviews were conducted by expert referees from the Scientific Committee to the professional and scientific standards expected of a proceedings journal published by IOP Publishing. The members of the Scientific Committee who selected and reviewed the papers included in the Proceedings of the 25th IAHR Symposium on Hydraulic Machinery and Systems are: Anton ANTONTechnical University of Civil Engineering, BucharestRomania François AVELLANEcole Polytechnique Fédérale de LausanneSwitzerland Fidel ARZOLAEDELCAVenezuela Thomas ASCHENBRENNERVoith Hydro Gmb H & Co. KG, HeidenheimGermany Anton BERGANTLitostroj Power d.o.o., LjubljanaSlovenia Gerard BOISENSAM, LilleFrance Hermod BREKKENTNU, TrondheimNorway Stuart COULSON Voith Hydro Inc., YorkUSA Eduard EGUSQUIZAPolytechnical University Catalonia BarcelonaSpain Arpad FAYUniversity of MiskolczHungary Richard FISHERVoith Hydro Inc., York USA Regiane FORTES-PATELLAInstitut Polytechnique de GrenobleFrance Aleksandar GAJICUniversity of BelgradeSerbia Arno GEHRERAndritz Hydro GrazAustria José GONZÁLEZUniversidad de OviedoSpain François GUIBAULTEcole Polytechnique de MontrealCanada Chisachi KATOUniversity of TokyoJapan Kwang-Yong KIMInha University, IncheonKorea Jiri KOUTNIKVoith Hydro Gmb H & Co. KG, HeidenheimGermany Adrian LUNGUDunarea de Jos University of GalatiRomania Christophe NICOLETPower Vision Engineering Sàrl, LausanneSwitzerland Torbjøm K. NIELSENNTNU, TrodheimNorway Michihiro NISHIKyushu Institute of TechnologyJapan Maryse PAGEHydro Quebec IREQ, VarennesCanada Etienne PARKINSONAndritz Hydro LtdSwitzerland František POCHYLYBrno UniversityCzech Republic Stefan RIEDELBAUCHVoith Hydro Gmb H & Co. KG, HeidenheimGermany Albert RUPRECHTUniversity of StuttgartGermany Michel SABOURINAlstom Hydro Canada Inc.Canada Rudolf SCHILLINGTechnische Universität MünchenGermany Qing-Hua SHIDong Fang Electrical Machinery Co.China Aleš SKOTAKCKD Blansko Engineering, a. s.Czech Republic Romeo F. SUSAN-RESIGAPolitehnica University of TimisoaraRomania Geraldo TIAGO FILHOUniversidade Federal de ItajubaBrazil Yoshinobu TSUJIMOTOOsaka UniversityJapan Bart van ESCHTechnische Universiteit EindhovenNetherland Thi C. VUAndritz Hydro Ltd, QuebecCanada Satoshi WATANABEKyushu University, FukuokaJapan Yulin WUTsinghua University, BeijingChina The reviewing process was organized in several steps. First, the 238 abstracts submitted for the symposium were reviewed, and 197 were accepted, with 30 abstracts having recommendations. Second, the authors have submitted 152 full-length papers, and each paper has been reviewed by two referees. The recommendations have been sent back to the authors, in order to prepare the final form or the paper. Third, 118 papers have been received in final form, accounting for the referees recommendations, to be included in the proceedings and to be presented at the symposium.
Merchavy, Shlomo; Marom, Tal; Forest, Veronique-Isabelle; Hier, Michael; Mlynarek, Alex; McHugh, Tobial; Payne, Richard
2015-01-01
To study the rate of postoperative hypocalcemia following completion thyroidectomy (CT), in comparison with the hypocalcemia rate following total thyroidectomy (TT). A retrospective study, performed at the McGill University Thyroid Cancer Center, Montreal, Quebec, Canada, from 2007 to 2012. Medical records of adult patients undergoing CT and TT operated by a single surgeon were reviewed. Data were extracted for demographics, postoperative calcium levels, surgical logs, and final surgical pathology. Hypocalcemia was defined as corrected serum calcium level ≤ 1.90 mmol/L, with concurrent serum parathyroid hormone <8 ng/L, and/or any signs or symptoms of hypocalcemia. There were 68 CTs and 146 TTs. Transient hypocalcemia occurred in 1 of 68 (1.5%) and 18 of 146 (12.5%) patients in the CT and TT groups, respectively. The rate of hypocalcemia was significantly lower in the CT compared with the TT group (P = .02). In both groups, there were no cases of permanent hypocalcemia. The risk of transient of hypocalcemia in patients undergoing CT is significantly lower than the rate of hypocalcemia in patients undergoing TT. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2014.
NASA Astrophysics Data System (ADS)
Breau, Sébastien; Shin, Michael; Burkhart, Nick
2018-01-01
The spatial configurations of changes in the distribution of incomes within Canada's eight largest metropolitan areas are examined using a new approach based on dynamic local indicators of spatial association. These changes are characterized by increasing spatial polarization (or divergence) between higher- and lower-income neighbourhoods in Montreal, Toronto, Ottawa-Gatineau, Calgary and Vancouver. Though patterns of spatial polarization are less pronounced in Edmonton, Winnipeg and Quebec City, several lower-income neighbourhoods in these cities nevertheless appear to be losing ground relative to other neighbourhoods. These neighbourhoods are typically characterized by higher levels of precarious employment and higher shares of visible minority and recent immigrant populations.
Lierville, Anne-Lise; Grou, Christine; Pelletier, Jean-François
2015-01-01
In terms of health and social services, the territory of the province of Quebec is covered by four large 'integrated university health networks,' which are involved in the coordination of care delivery and medical training. The francophone components of the public mental health system for Montreal are thus primarily linked to the Integrated University Health Network of University of Montreal. In 2010, the Faculty of Medicine of the University of Montreal has included in its development strategy a firm commitment to the development and implementation of the 'patient partner expertise' in research, training and care in order to make this expertise no less than the brand of the Faculty. This commitment applies to all medical specialties that are taught at University of Montreal, including in psychiatry. More recently, the Institut universitaire en santé mentale de Montréal (IUSMM) has endorsed a new clinical vision that promotes full citizenship, which implies that service users and carers are considered as full partners with a specific expertise to be fully deployed. The objective of this paper is to examine, from an ethical point of view, the challenges that may be associated with involving such lay persons in various levels of mental health care planning and delivery, and in research. This study is mainly based on a review of the institutional processes that are in place at the IUSMM to promote service users' participation in care planning and delivery, and in research. The focus is on the practicalities and conditions for the exercise of such an active participation, as some questions and concerns emerged through a series of interviews with different stakeholders. These issues are addressed and discussed through the lenses of the ethical values that were formalized at IUSMM. Despite a firm institutional commitment at IUSMM to implement its new citizenship-oriented clinical vision through greater service users' involvement, little is known about the possible negative impacts of their participation, on themselves and for regular employees. There is a consensus on the symbolic value of recognizing the potential of service users as contributors, as a peer workers or peer research assistants. This is an historic advance compared to a time when they were considered only as more or less passive recipients of services or as a simple research subjects. Some risk factors were nonetheless identified: isolation, emotional fatigue, possible relapse, insecurity, sometimes tensed relations with health or research professionals and misunderstanding. In organizational terms, among the pitfalls, the study highlighted the need for more cautious preparatory steps, guidance and support for service users and for professionals as well, and the importance of a global and integrated governance strategy. This study points to three main recommendations to better anticipate and manage possible risks associated with more or less improvised service users' active participation, as lay persons, in complex planning and service delivery and in research. The first would be directed towards professionals for them to reflect on the quality of the doctor-patient relationship in their facility as to see how service users can help to improve this relationship, but among a variety of stakeholders and without being the sole responsible for such an improvement, or for the lack of improvement thereof. The second recommendation would propose to draw an objective evaluative assessment of participatory approaches at the organizational level, promoting a real return of experience and in light of the issues raised by these practices. The third would recommend an update of the organizational ethical values when introducing practices that change the current paradigms of the provision of care and services and of research.
Deger, Leylâ; Plante, Céline; Jacques, Louis; Goudreau, Sophie; Perron, Stéphane; Hicks, John; Kosatsky, Tom; Smargiassi, Audrey
2012-01-01
BACKGROUND: Little attention has been devoted to the effects on children’s respiratory health of exposure to sulphur dioxide (SO2) in ambient air from local industrial emissions. Most studies on the effects of SO2 have assessed its impact as part of the regional ambient air pollutant mix. OBJECTIVE: To examine the association between exposure to stack emissions of SO2 from petroleum refineries located in Montreal’s (Quebec) east-end industrial complex and the prevalence of active asthma and poor asthma control among children living nearby. METHODS: The present cross-sectional study used data from a respiratory health survey of Montreal children six months to 12 years of age conducted in 2006. Of 7964 eligible households that completed the survey, 842 children between six months and 12 years of age lived in an area impacted by refinery emissions. Ambient SO2 exposure levels were estimated using dispersion modelling. Log-binomial regression models were used to estimate crude and adjusted prevalence ratios (PRs) and 95% CIs for the association between yearly school and residential SO2 exposure estimates and asthma outcomes. Adjustments were made for child’s age, sex, parental history of atopy and tobacco smoke exposure at home. RESULTS: The adjusted PR for the association between active asthma and SO2 levels was 1.14 (95% CI 0.94 to 1.39) per interquartile range increase in modelled annual SO2. The effect on poor asthma control was greater (PR=1.39 per interquartile range increase in modelled SO2 [95% CI 1.00 to 1.94]). CONCLUSIONS: Results of the present study suggest a relationship between exposure to refinery stack emissions of SO2 and the prevalence of active and poor asthma control in children who live and attend school in proximity to refineries. PMID:22536578
Lebouché, B; Engler, K; Machouf, N; Lessard, D; Thomas, R
2016-02-01
The effective use of pre-exposure prophylaxis (PrEP) as an HIV prevention strategy depends on its uptake by individuals at high risk of infection. Few Canadian data are available on interest in PrEP among men who have sex with men (MSM). This study aimed to identify predictors of interest in PrEP among MSM clients of a rapid HIV-testing site in Montreal's gay village (Actuel sur Rue). Data were collected using a self-administered and a community agent-administered questionnaire. Among men reporting at least one male sexual partner and visiting the site between July 2012 and November 2013, we aimed to identify sociodemographic, sexual and temporal predictors of interest in taking effective PrEP with logistic regression analyses (univariate and multivariable). Over half (55%; n = 653) of the sample of 1179 MSM were interested in PrEP. Among the 14 variables considered in the univariate analyses, only (younger) age, (greater) number of sexual partners (in the past 3 months), being part of a serodiscordant couple (in the past 12 months), ever combining sex with drugs and temporal events were associated with interest in PrEP at P < 0.20 and were included in the multivariable analyses. In the multivariable model, only being part of a serodiscordant couple [adjusted odds ratio (aOR) 2.56; 95% confidence interval (CI) 1.44-4.58], having > 10 partners (aOR 1.73; 95% CI 1.17-2.55) and responding after the publication of Quebec's interim PrEP guidelines (aOR 1.82; 95% CI 1.22-2.71) proved significant. In this assessment of predictors of PrEP interest among Canadian MSM, partnering issues and the arrival of PrEP guidelines in Quebec (10 July 2013) were most closely linked to PrEP interest. © 2015 British HIV Association.
Perreault, Kadija; Pineault, Raynald; Da Silva, Roxane Borgès; Provost, Sylvie; Feldman, Debbie E
2017-09-01
To assess the degree of collaboration in primary health care organizations between FPs and other health care professionals; and to identify organizational factors associated with such collaboration. Cross-sectional survey. Primary health care organizations in the Montreal and Monteregie regions of Quebec. Physicians or administrative managers from 376 organizations. Degree of collaboration between FPs and other specialists and between FPs and nonphysician health professionals. Almost half (47.1%) of organizations reported a high degree of collaboration between FPs and other specialists, but a high degree of collaboration was considerably less common between FPs and nonphysician professionals (16.5%). Clinic collaboration with a hospital and having more patients with at least 1 chronic disease were associated with higher FP collaboration with other specialists. The proportion of patients with at least 1 chronic disease was the only factor associated with collaboration between FPs and nonphysician professionals. There is room for improvement regarding interprofessional collaboration in primary health care, especially between FPs and nonphysician professionals. Organizations that manage patients with more chronic diseases collaborate more with both non-FP specialists and nonphysician professionals. Copyright© the College of Family Physicians of Canada.
Lévesque, D; Cattaneo, A; Deschamps, G; Hudon, C
2017-02-01
As a part of the FreshWater Watch project aiming to promote volunteers' water monitoring in 25 cities around the world, St. Lawrence River water quality was characterized at 28 public shoreline parks around Montreal Island, Quebec, Canada. This involved training of 69 citizen scientists by researchers of the Université de Montréal in five one-day sessions. Shoreline sampling yielded 174 data points over three summers (May 2013 to November 2015). Water turbidity, nitrate and phosphate concentrations were measured in situ, together with the thickness and type of beach-cast vegetation, and the relative abundance of different types of beach litter. Data generated by citizen scientists provided 1) an overview of the water quality of the St. Lawrence and Des Prairies rivers around the Island of Montreal, 2) an estimation of the quantity and types of beach-cast aquatic plants and filamentous algae, and 3) novel insights into the distribution of the nuisance cyanobacterium Lyngbya wollei. Overall, half of the sites were classified as "good" being characterized by low turbidity, nitrate and phosphate concentrations, and little deposition of beach-cast vegetation. Lyngbya wollei was found at 57% of the sites, revealing a more frequent occurrence than initially anticipated. The amount of litter recorded along the shoreline was generally small, comprising items related to picnicking (cans/bottles), smoking, and fishing activities in most parks. Wind exposure and rain events explained a significant fraction of the variability in nutrient concentration and turbidity among sites and dates. Shoreline condition assessed from water quality and vegetation data from this study was not correlated, however, with the most serious problem of faecal coliform counts gathered by the City of Montreal. This assessment of the quality and utilization of shoreline parks provides additional information to support planning and management activities of municipalities. Crown Copyright © 2016. Published by Elsevier B.V. All rights reserved.
Tran, Nathalie Y L; Charbonneau, Johanne; Valderrama-Benitez, Valeria
2013-01-01
Through the conceptual lens of the archaic and modern gift, this study aims to examine perceived limitations and facilitators to increasing blood donations within Black communities in Montreal, Canada. The overall objective is to support blood agencies, such as Héma-Québec, in understanding the challenges and opportunities they face in promoting blood donation among Black communities in pluralistic societies. Thirty-three semi-structured qualitative interviews were conducted with donors and leaders of ethnocultural groups in Montreal: of these, 6 were Héma-Québec employees; 3 were Caribbean blood drive organizers; 14 were leaders of African, Caribbean or Black multiethnic churches and community groups; and finally, 10 were donors, including 2 African, 4 French-speaking Haitian and 4 English-speaking Caribbean. The existence of multiple Black communities in Montreal reflects the various facilitators and obstacles facing Héma-Québec. Caribbean and African communities have their own experiences with regard to blood donation as well as different relationships with the broader Quebec society, both of which have great impact on how they perceive the cause. Questions of trust, of giving to the family and to the community, as well as perceived social exclusion appear to be fundamental issues for our informants. The current participation of groups interested in bettering the lives of those affected by sickle cell anaemia combined with the fact that leaders felt more comfortable donating to someone close to the community suggests that the promotion of blood donation through this angle would be well received. Trust issues, perceived discrimination and social exclusion have structural and historical roots that can only be partly overcome with long-term efforts to increase awareness, develop collaborative partnerships and increase institutional efforts to adapt to the challenges of blood donation from Black citizens.
NASA Astrophysics Data System (ADS)
Abdellaoui, Amr
This research project presents a complete modelling process of the effects of GIC on Hydro-Quebec power system network for system planning studies. The advantage of the presented method is that it enables planning engineers to simulate the effects of geomagnetic disturbances on the Hydro-Quebec System under different conditions and contingencies within reasonable calculation time frame. This modelling method of GIC in electric power systems has been applied to the Hydro-Quebec System. An equivalent HQ DC model has been achieved. A numerical calculation method of DC sources from a non-uniform geoelectric field has been developed and implemented on HQ DC model. Harmonics and increased reactive power losses of saturated transformers have been defined as a function of GIC through a binary search algorithm using a chosen HQ magnetization curve. The evolution in time of each transformer saturation according to its effective GIC has been evaluated using analytical formulas. The reactive power losses of saturated transformers have been modeled in PSS/E[1] HQ network as constant reactive current loads assigned to the corresponding transformer buses. Finally, time domain simulations have been performed with PSS/E taking into account transformer saturation times. This has been achieved by integrating HQ DC model results and analytical calculations results of transformer saturation times into an EMTP load model. An interface has been used to link EMTP load model to HQ PSS/E network. Different aspects of GIC effects on the Hydro-Quebec system have been studied, including the influence of uniform and non-uniform geoelectric fields, the comparison of reactive power losses of the 735kV HQ system with those of Montreal network, the risks to voltage levels and the importance of reactive power dynamic reserve. This dissertation presents a new GIC modelling approach for power systems for planning and operations purposes. This methodology could be further enhanced, particularly, the aspect regarding the transformer saturation times. Hence more research remains to be pursued in this area.
ERIC Educational Resources Information Center
Lebrun, Johanne; Lenoir, Yves; Oliveira, Anderson Araujo; Morin, Marie-Pier; McConnell, Anne Catherine
2011-01-01
This article presents the results of a survey questionnaire involving 841 third and fourth year students enrolled in a French language Bachelors degree program in Elementary Education at four Quebec universities. The questionnaire dealt with pre-service elementary teachers' representations of the teaching and learning of four school subjects:…
ERIC Educational Resources Information Center
Crespo, Manuel; And Others
1986-01-01
A survey of 25 Quebec university department chairmen concerning the management of budgetary austerity found that administrative responses are generally perceived as reactionary and short-sighted, but long-term solutions proposed by chairmen are based on conflicting views of the overall role of the institution. (MSE)
Rink, N; Muttalib, F; Morantz, G; Chase, L; Cleveland, J; Rousseau, C; Li, P
2017-11-01
In June 2012, the government of Canada severely restricted the scope of the Interim Federal Health Program that had hitherto provided coverage for the health care needs of refugee claimants. The Quebec government decided to supplement coverage via the provincial health program. Despite this, we hypothesized that refugee claimant children in Montreal would continue to experience significant difficulties in accessing basic health care. (1) Report the narrative experiences of refugee claimant families who were denied health care services in Montreal following June 2012, (2) describe the predominant barriers to accessing health care services and understanding their impact using thematic analysis and (3) derive concrete recommendations for child health care providers to improve access to care for refugee claimant children. Eleven parents recruited from two sites in Montreal participated in semi-structured interviews designed to elicit a narrative account of their experiences seeking health care. Interviews were recorded, transcribed, coded using NVivo software and subjected to thematic analysis. Thematic analysis of the data revealed five themes concerning barriers to health care access: lack of continuous health coverage, health care administrators/providers' lack of understanding of Interim Federal Health Program coverage, refusal of services or fees charged, refugee claimants' lack of understanding about health care rights and services and language barriers, and four themes concerning the impact of denial of care episodes: potential for adverse health outcomes, psychological distress, financial burden and social stigma. We propose eight action points for advocacy by Canadian paediatricians to improve access to health care for refugee claimant children in their communities and institutions.
Pollution and Climate Effects on Tree-Ring Nitrogen Isotopes
NASA Astrophysics Data System (ADS)
Savard, M. M.; Bégin, C.; Marion, J.; Smirnoff, A.
2009-04-01
BACKGROUND Monitoring of nitrous oxide concentration only started during the last 30 years in North America, but anthropogenic atmospheric nitrogen has been significantly emitted over the last 150 years. Can geochemical characteristics of tree rings be used to infer past changes in the nitrogen cycle of temperate regions? To address this question we use nitrogen stable isotopes in 125 years-long ring series from beech specimens (Fagus grandifolia) of the Georgian Bay Islands National Park (eastern Ontario), and pine (Pinus strobus) and beech trees of the Arboretum Morgan near Montreal (western Quebec). To evaluate the reliability of the N stable isotopes in wood treated for removal of soluble materials, we tested both tree species from the Montreal area. The reproducibility from tree to tree was excellent for both pine and beech trees, the isotopic trends were strongly concordant, and they were not influenced by the heartwood-sapwood transition zone. The coherence of changes of the isotopic series observed for the two species suggests that their tree-ring N isotopic values can serve as environmental indicator. RESULTS AND INTERPRETATION In Montreal and Georgian Bay, the N isotopes show strong and similar parallel agreement (Gleichlaufigkeit test) with the climatic parameters. So in fact, the short-term isotopic fluctuations correlate directly with summer precipitation and inversely with summer and spring temperature. A long-term decreasing isotope trend in Montreal indicates progressive changes in soil chemistry after 1951. A pedochemical change is also inferred for the Georgian Bay site on the basis of a positive N isotopic trend initiated after 1971. At both sites, the long-term ^15N series correlate with a proxy for NOx emissions (Pearson correlation), and carbon-isotope ring series suggest that the same trees have been impacted by phytotoxic pollutants (Savard et al., 2009a). We propose that the contrasted long-term nitrogen-isotope changes of Montreal and Georgian Bay reflect deposition of NOx emissions from cars and coal-power plants, with higher proportions from coal burning in Georgian Bay (Savard et al., 2009b). This interpretation is conceivable because recent monitoring indicates that coal-power plant NOx emissions play an important role in the annual N budget in Ontario, but they are negligible on the Quebec side. CONCLUSION Interpretations of long tree-ring N isotopic series in terms of effects generated by airborne N-species have been previously advocated. Here we further propose that the contrasted isotopic trends obtained for wood samples from two regions reflect different regional anthropogenic N deposition combined with variations of climatic conditions. This research suggests that nitrogen tree-ring series may record both regional climatic conditions and anthropogenic perturbations of the N cycle. REFERENCES Savard, M.M., Bégin,C., Marion, J., Aznar, J.-C., Smirnoff, A., 2009a. Changes of Air Quality in an urban region as inferred from tree-ring width and stable isotopes. Chapter 9 in "Relating Atmospheric Source Apportionment to Vegetation Effects: Establishing Cause Effect Relationships" (A. Legge ed.). Elsevier, Amsterdam; doi: 10.1016/S1474-8177(08)00209x. Savard, M.M., Bégin, C., Smirnoff, A., Marion, J., Rioux-Paquette, E., 2009b. Tree-ring nitrogen isotopes reflect climatic effects and anthropogenic NOx emissions. Env. Sci. Tech (doi: 10.1021/es802437k).
Théroux, Jean; Le May, Sylvie; Fortin, Carole; Labelle, Hubert
2015-01-01
BACKGROUND: Back pain (BP) has often been associated with adolescent idiopathic scoliosis (AIS), which is a three-dimensional deviation of the vertebral column. In adolescents, chronic pain appears to be a predictor of health care utilization and has a negative impact on physical, psychological and family well-being. In this population, BP tends to be persistent and may be a predictor of BP in adulthood. OBJECTIVE: To document the prevalence and management of BP in AIS patients. METHODS: A retrospective chart review of AIS patients who were referred to Sainte-Justine University Teaching Hospital (Montreal, Quebec) from 2006 to 2011 was conducted. RESULTS: A total of 310 randomly selected charts were reviewed. Nearly one-half of the patients (47.3%) mentioned that they experienced BP, most commonly in the lumbar (19.7%) and thoracic regions (7.7%). The type of BP was documented in only 36% (n=112) of the charts. Pain intensity was specified in only 21% (n=65) of the charts. In approximately 80% (n=248) of the charts, no pain management treatment plan was documented. CONCLUSIONS: The prevalence of BP was moderately high among the present sample of adolescents with AIS. An improved system for documenting BP assessment, type, treatment plan and treatment effectiveness would improve pain management for these patients. PMID:25831076
Loiselle, Carmen G; Dubois, Sylvie
2009-01-01
This quasi-experimental longitudinal study documented the impact of a comprehensive cancer informational intervention using information technology on healthcare service use among individuals newly diagnosed with cancer. Women with breast cancer (n = 205) and men with prostate cancer (n = 45) were recruited within 8 weeks of diagnosis at 4 university teaching hospitals in Montreal, Quebec, Canada. The intervention group (n = 148) received a 1-hour training on information technology use, a CD-ROM on cancer, and a list of reputable cancer-related Web sites. The intervention material was available for a period of 8 weeks. The control group (n = 102) received usual care. Self-reported questionnaires were completed at T1 (baseline), T2 (1 week after intervention), and T3 (3 months after intervention). Using multivariate statistics, the experimental group reported significantly more satisfaction with cancer information received compared to the control group. No significant differences were found between experimental and control groups in their reliance on healthcare services. However, women as opposed to men spent more time with nurses, were more satisfied with cancer information received, and relied more heavily on health services. Future research would explore whether the latter observations reflect genuine sex differences or are more contingent on the specific cancer diagnosis.
Phosphorus Cycling in Montreal’s Food and Urban Agriculture Systems
Metson, Geneviève S.; Bennett, Elena M.
2015-01-01
Cities are a key system in anthropogenic phosphorus (P) cycling because they concentrate both P demand and waste production. Urban agriculture (UA) has been proposed as a means to improve P management by recycling cities’ P-rich waste back into local food production. However, we have a limited understanding of the role UA currently plays in the P cycle of cities or its potential to recycle local P waste. Using existing data combined with surveys of local UA practitioners, we quantified the role of UA in the P cycle of Montreal, Canada to explore the potential for UA to recycle local P waste. We also used existing data to complete a substance flow analysis of P flows in the overall food system of Montreal. In 2012, Montreal imported 3.5 Gg of P in food, of which 2.63 Gg ultimately accumulated in landfills, 0.36 Gg were discharged to local waters, and only 0.09 Gg were recycled through composting. We found that UA is only a small sub-system in the overall P cycle of the city, contributing just 0.44% of the P consumed as food in the city. However, within the UA system, the rate of recycling is high: 73% of inputs applied to soil were from recycled sources. While a Quebec mandate to recycle 100% of all organic waste by 2020 might increase the role of UA in P recycling, the area of land in UA is too small to accommodate all P waste produced on the island. UA may, however, be a valuable pathway to improve urban P sustainability by acting as an activity that changes residents’ relationship to, and understanding of, the food system and increases their acceptance of composting. PMID:25826256
Test de Français Laval-Montreal: Does It Measure What It Should Measure?
ERIC Educational Resources Information Center
Schmit, Romain; Saif, Shahrzad
2015-01-01
This article reports on a study conducted as part of a larger investigation of the predictive validity of the Test de Français Laval-Montreal (TFLM), a high-stakes French language test used for admission and placement purposes for Teacher-Training Programs (TTPs) in major francophone universities in Canada (Schmitt, 2015). The objective of this…
Pomey, Marie-Pascale; Forest, Pierre-Gerlier; Palley, Howard A; Martin, Elisabeth
2007-09-01
In January 1997, the government of Quebec, Canada, implemented a public/private prescription drug program that covered the entire population of the province. Under this program, the public sector collaborates with private insurers to protect all Quebecers from the high cost of drugs. This article outlines the principal features and history of the Quebec plan and draws parallels between the factors that led to its emergence and those that led to the passage of the Medicare Prescription Drug, Improvement and Modernization Act (MMA) in the United States. It also discusses the challenges and similarities of both programs and analyzes Quebec's ten years of experience to identify adjustments that may help U.S. policymakers optimize the MMA.
Pomey, Marie-Pascale; Forest, Pierre-Gerlier; Palley, Howard A; Martin, Elisabeth
2007-01-01
In January 1997, the government of Quebec, Canada, implemented a public/private prescription drug program that covered the entire population of the province. Under this program, the public sector collaborates with private insurers to protect all Quebecers from the high cost of drugs. This article outlines the principal features and history of the Quebec plan and draws parallels between the factors that led to its emergence and those that led to the passage of the Medicare Prescription Drug, Improvement and Modernization Act (MMA) in the United States. It also discusses the challenges and similarities of both programs and analyzes Quebec's ten years of experience to identify adjustments that may help U.S. policymakers optimize the MMA. PMID:17718665
[Exploring some clinical aspects of the issue of Québec paternity.].
Martinat, S
1985-01-01
This article is part of a P.R.D. Research in Clinical Psychology on the father and, on a broader base, on Fatherhood ir} Quebec. The research was initiated in 1979 by the Department of Psychology of Quebec University jointly with the creation of a research laboratory around the theme "the role of the father in the Quebec society in evolution". The question of the father's place and functions in the society of Quebec is raised. The emphasis of the maternal presence in the relationship between parents and children is examined as well as the function of certain cultural traditions, religious ones in particular, in the resolution of certain problems of fatherhood. According to the author, the socio-cultural past of Quebec has a distinct influence on the problem of fatherhood. In a Quebec family the father is traditionally absent and a figure of authority. What is the situation today? Some clinical examples taken from the research are used to illustrate better certain aspects of the paternal dynamics.
Pinti, Daniele L; Retailleau, Sophie; Barnetche, Diogo; Moreira, Floriane; Moritz, Anja M; Larocque, Marie; Gélinas, Yves; Lefebvre, René; Hélie, Jean-François; Valadez, Arisai
2014-10-01
One hundred ninety-eight groundwater wells were sampled to measure the (222)Rn activity in the region between Montreal and Quebec City, eastern Canada. The aim of this study was to relate the spatial distribution of (222)Rn activity to the geology and the hydrogeology of the study area and to estimate the potential health risks associated with (222)Rn in the most populated area of the Province of Quebec. Most of the groundwater samples show low (222)Rn activities with a median value of 8.6 Bq/L. Ninety percent of samples show (222)Rn activity lower than 100 Bq/L, the exposure limit in groundwater recommended by the World Health Organization. A few higher (222)Rn activities (up to 310 Bq/L) have been measured in wells from the Appalachian Mountains and from the magmatic intrusion of Mont-Saint-Hilaire, known for its high level of indoor radon. The spatial distribution of (222)Rn activity seems to be related mainly to lithology differences between U-richer metasediments of the Appalachian Mountains and magmatic intrusions and the carbonaceous silty shales of the St. Lawrence Platform. Radon is slightly enriched in sodium-chlorine waters that evolved at contact with clay-rich formations. (226)Ra, the parent element of (222)Rn could be easily adsorbed on clays, creating a favorable environment for the production and release of (222)Rn into groundwater. The contribution of groundwater radon to indoor radon or by ingestion is minimal except for specific areas near Mont-Saint-Hilaire or in the Appalachian Mountains where this contribution could reach 45% of the total radioactive annual dose. Copyright © 2014 Elsevier Ltd. All rights reserved.
Subtropical air masses over eastern Canada: Their links to extreme precipitation
NASA Astrophysics Data System (ADS)
Gyakum, John; Wood, Alice; Milrad, Shawn; Atallah, Eyad
2017-04-01
We investigate extremely warm, moist air masses with an analysis of 850-hPa equivalent potential temperature (θe) extremes at Montreal, Quebec. The utility of using this metric is that it represents the thermodynamic property of air that ascends during a precipitation event. We produce an analysis of the 40 most extreme cases of positive θe, 10 for each season, based upon standardized anomalies from the 33-year climatology. The analysis shows the cases to be characterized by air masses with distinct subtropical traits for all seasons: reduced static stability, anomalously high precipitable water, and anomalously elevated dynamic tropopause heights. Persistent, slow moving upper- and lower-level features were essential in the build up of high- θe air encompassing much of eastern Canada. The trajectory analysis also showed anticyclonic curvature to all paths in all seasons, implying that the subtropical anticyclone is crucial in the transport of high- θe air. These atmospheric rivers during the winter are characterized by trajectories from the subtropical North Atlantic, and over the Gulf Stream current, northward into Montreal. In contrast, the summer anticyclonic trajectories are primarily continental, traveling from Texas north-northeastward into the Great Lakes, and then eastward into Montreal. The role of the air mass in modulating the strength of a precipitation event is addressed with an analysis of the expression, P = RD, where P is the total precipitation, and R is the precipitation rate, averaged through the duration, D, of the event. Though appearing simple, this expression includes R, (assumed to be same as condensation, with an efficiency of 1), which may be expressed as the product of vertical motion and the change of saturation mixing ratio following a moist adiabat, through the troposphere. This expression for R includes the essential ingredients of lift, air mass temperature, and static stability (implicit in vertical motion). We use this expression for precipitation rate to study the extreme precipitation events in Montreal that are associated with these same cases of extreme warm, moist air masses, and their physical impacts on the precipitation rate. Implications of this air mass modulation on precipitation rate are discussed in the context of longer-term global climate change.
Canadian federalism and the Canadian health care program: a comparison of Ontario and Quebec.
Palley, H A
1987-01-01
The Quebec and Ontario health insurance and health service delivery systems, developed within the parameters of federal regulations and national financial subsidies, provide generally universal and comprehensive basic hospital and medical benefits and increasingly provide for the delivery of long-term care services. Within a framework of cooperative federalism, the health care systems of Ontario and Quebec have developed uniquely. In terms of vital statistics, the health of Ontario and Quebec residents generally is comparable. In viewing expenditures, Quebec has a more clearly articulated plan for providing accessible services to low-income persons and for integrating health and social services, although it has faced some difficulties in seeking to achieve the latter goal. Its plans for decentralized services are counter-balanced by a strong provincial role in health policy decision-making. Quebec's political culture also allows the province to play a stronger role in hospital planning and in the regulation of physician income than one finds in Ontario. These political dynamics allow Quebec an advantage in control of costs. In Ontario, in spite of some recent setbacks, physician interests and hospital sector interests play a more active role in health system bargaining and are usually able to influence remuneration and resource allocation decisions more than physician interests and hospital sector interests in Quebec.
Gusmano, Michael K; Strumpf, Erin; Fiset-Laniel, Julie; Weisz, Daniel; Rodwin, Victor G
2018-06-19
Although eliminating financial barriers to care is a necessary condition for improving access to health services, it is not sufficient. Given the contrasting health systems with regard to financing and organization of health insurance in the United States and Canada, there is a long history of comparing these countries. We extend the empirical studies on the Canadian and US health systems by comparing access to ambulatory care as measured by hospitalization rates for ambulatory care sensitive conditions (ACSC) in Montreal and New York City. We find that, in New York, ACSC rates were more than twice as high (12.6 per 1000 population) as in Montreal (4.8 per 1000 population). After controlling for age, sex, and number of diagnoses, significant differences in ACSC rates are present in both cities, but are more pronounced in New York. Our findings are consistent with the hypothesis that universal, first-dollar health insurance coverage has contributed to lower ACSC rates in Montreal than New York. However, Montreal's surprisingly low ACSC rate calls for further research.
Gill, Kathryn J; Campbell, Emily; Gauthier, Gail; Xenocostas, Spyridoula; Charney, Dara; Macaulay, Ann C
2014-08-20
Substance abuse is a worldwide public health concern. Extensive scientific research has shown that screening and brief interventions for substance use disorders administered in primary care provide substantial benefit at relatively low cost. Frontline health clinicians are well placed to detect and treat patients with substance use disorders. Despite effectiveness shown in research, there are many factors that impact the implementation of these practices in real-world clinical practice. Recently, the Ministry of Health and Social Services in Quebec, Canada, issued two policy documents aimed at introducing screening and early intervention for substance abuse into frontline healthcare clinics in Quebec. The current research protocol was developed in order to study the process of implementation of evidence-based addiction treatment practices at three primary care clinics in Montreal (Phase 1). In addition, the research protocol was designed to examine the efficacy of overall policy implementation, including barriers and facilitators to addictions program development throughout Quebec (Phase 2). Phase 1 will provide an in-depth case study of knowledge translation and implementation. The study protocol will utilize an integrated knowledge translation strategy to build collaborative mechanisms for knowledge exchange between researchers, addiction specialists, and frontline practitioners (guided by the principles of participatory-action research), and directly examine the process of knowledge uptake and barriers to transfer using both qualitative and quantitative methodologies. Evaluation will involve multiple measures, time points and domains; program uptake and effectiveness will be determined by changes in healthcare service delivery, sustainability and outcomes. In Phase 2, qualitative methods will be utilized to examine the contextual facilitators and barriers that frontline organizations face in implementing services for substance dependence. Phase 2 will provide the first study exploring the wide-scale implementation of frontline services for substance dependence in the province of Quebec and yield needed information about how to effectively implement mandated policies into clinical practice and impact public health. Findings from this research program will contribute to the understanding of factors associated with implementation of frontline services for substance dependence and help to inform future policy and organizational support for the implementation of evidence-based practices.
Doucet, Michèle Y; Vrins, André
2010-01-01
Annual alumni and employer surveys, initially designed as outcomes assessment tools, were integrated into a new internal quality assurance strategy to improve the doctor of veterinary medicine program at the University of Montreal's Faculté de Médecine Vétérinaire. Data collected annually from the classes of 2004-2007 indicated that alumni and their employers were generally satisfied with their level of preparation after one year of professional activity. Specific weaknesses were found in non-technical skills such as communication and resource management. These data were used in support of other forms of feedback to guide curricular reform.
Towards the assessment and management of contaminated dredged materials.
Agius, Suzanne J; Porebski, Linda
2008-04-01
Environment Canada's Disposal at Sea Programme hosted the Contaminated Dredged Material Management Decisions Workshop in Montreal, Quebec, Canada, on 28-30 November 2006. The workshop brought together over 50 sediment assessment and management experts from academic, industrial, and regulatory backgrounds and charged them with drafting a potential framework to assess contaminated dredged materials and compare the risks of various disposal alternatives. This article summarizes the recommendations made during the workshop concerning the development of sediment assessment tools, the interpretation of these tools, and the essential attributes of a comparative risk assessment process. The major outcomes of the workshop include a strong recommendation to develop a national dredging or sediment management strategy, a potential decision-making framework for the assessment of dredged materials and comparative risk assessment of disposal options, and the expansion of minimum sediment characterization requirements for nonroutine disposal permit applications.
Symposium Review: Metal and Polymer Matrix Composites at MS&T 2013
NASA Astrophysics Data System (ADS)
Gupta, Nikhil; Paramsothy, Muralidharan
2014-06-01
This article reflects on the presentations made during the Metal and Polymer Matrix Composites symposium at Materials Science and Technology 2013 (MS&T'13) held in Montreal (Quebec, Canada) from October 27 to 31. The symposium had three sessions on metal matrix composites and one session on polymer matrix composites containing a total of 23 presentations. While the abstracts and full-text papers are available through databases, the discussion that took place during the symposium is often not captured in writing and gets immediately lost. We have tried to recap some of the discussion in this article and hope that it will supplement the information present in the proceedings. The strong themes in the symposium were porous composites, aluminum matrix composites, and nanocomposites. The development of processing methods was also of interest to the speakers and attendees.
The Rational Approach to Budget Cuts: One University's Experience.
ERIC Educational Resources Information Center
Hardy, Cynthia
1988-01-01
The University of Montreal's choice of the rational model of decision-making in managing budget cutbacks is explored and compared with other approaches, including the bureaucratic, garbage can, political, and collegial models. (MSE)
Comparative Outcomes of Traumatic Brain Injury from Biking Accidents With or Without Helmet Use.
Dagher, Jehane H; Costa, Camille; Lamoureux, Julie; de Guise, Elaine; Feyz, Mitra
2016-01-01
To determine if health outcomes and demographics differ according to helmet status between persons with cycling-related traumatic brain injuries (TBI). This is a retrospective study of 128 patients admitted to the Montreal General Hospital following a TBI that occurred while cycling from 2007-2011. Information was collected from the Quebec trauma registry and the coroner's office in cases of death from cycling accidents. The independent variables collected were socio-demographic, helmet status, clinical and neurological patient information. The dependent variables evaluated were length of stay (LOS), extended Glasgow outcome scale (GOS-E), injury severity scale (ISS), discharge destination and death. 25% of cyclists wore a helmet. The helmet group was older, more likely to be university educated, married and retired. Unemployment, longer intensive care unit (ICU) stay, severe intracranial bleeding and neurosurgical interventions were more common in the no helmet group. There was no significant association between the severity of the TBI, ISS scores, GOS-E or death and helmet wearing. The median age of the subjects who died was higher than those who survived. Cyclists without helmets were younger, less educated, single and unemployed. They had more severe TBIs on imaging, longer LOS in ICU and more neurosurgical interventions. Elderly cyclists admitted to the hospital appear to be at higher risk of dying in the event of a TBI.
2016-06-08
Yacovitch, E. Garand, J. B. Kim, C. Hock, T. Theis, and D. M. Neumark, Faraday Disc. 157, 399 (2012). [10] I. Yourshaw, T. Lenzer, G. Reiser, and D...University of Nottingham, Faraday Lecture Invited Lecture June 3-5, 2013 Quebec City, Quebec, Canada “Herbert P. Broida Prize Lecture: Probing
Ngom, Roland; Gosselin, Pierre; Blais, Claudia; Rochette, Louis
2016-01-01
This study aimed at determining the role of proximity to specific types of green spaces (GSes) as well as their spatial location in the relationship with the most morbid cardiovascular diseases (CVD) and diabetes. We measured the accessibility to various types of GS and used a cross-sectional approach at census Dissemination Area (DA) levels in the Montreal and Quebec City metropolitan zones for the period 2006–2011. Poisson and negative binomial regression models were fitted to quantify the relationship between distances to specific types of GS and CVD morbidity as well as some risk factors (diabetes and hypertension) while controlling for several social and environmental confounders. GSes that have sports facilities showed a significant relationship to cerebrovascular diseases: the most distant population had an 11% higher prevalence rate ratio (PRR) compared to the nearest, as well as higher diabetes risk (PRR 9%) than the nearest. However, the overall model performance and the understanding of the role of GSes with sport facilities may be substantially achieved with lifestyle factors. Significantly higher prevalence of diabetes and cerebrovascular diseases as well as lower access to GSes equipped with sports facilities were found in suburban areas. GSes can advantageously be used to prevent some CVDs and their risk factors, but there may be a need to reconsider their types and location. PMID:27089356
Differences in access to services in rural emergency departments of Quebec and Ontario.
Fleet, Richard; Pelletier, Christina; Marcoux, Jérémie; Maltais-Giguère, Julie; Archambault, Patrick; Audette, Louis David; Plant, Jeff; Bégin, François; Tounkara, Fatoumata Korika; Poitras, Julien
2015-01-01
Rural emergency departments (EDs) are important safety nets for the 20% of Canadians who live there. A serious problem in access to health care services in these regions has emerged. However, there are considerable geographic disparities in access to trauma center in Canada. The main objective of this project was to compare access to local 24/7 support services in rural EDs in Quebec and Ontario as well as distances to Levels 1 and 2 trauma centers. Rural EDs were identified through the Canadian Healthcare Association's Guide to Canadian Healthcare Facilities. We selected hospitals with 24/7 ED physician coverage and hospitalization beds that were located in rural communities. There were 26 rural EDs in Quebec and 62 in Ontario meeting these criteria. Data were collected from ministries of health, local health authorities, and ED statistics. Fisher's exact test, the t-test or Wilcoxon-Mann-Whitney test, were performed to compare rural EDs of Quebec and Ontario. All selected EDs of Quebec and Ontario agreed to participate in the study. The number of EDs visits was higher in Quebec than in Ontario (19 322 ± 6 275 vs 13 446 ± 8 056, p = 0.0013). There were no significant differences between Quebec and Ontario's local population and small town population density. Quebec's EDs have better access to advance imaging services such as CT scanner (77% vs 15%, p < .0001) and most the consultant support and ICU (92% vs 31%, p < .0001). Finally, more than 40% of rural EDs in Quebec and Ontario are more than 300 km away from Levels 1 and 2 trauma centers. Considering that Canada has a Universal health care system, the discrepancies between Quebec and Ontario in access to support services are intriguing. A nationwide study is justified to address this issue.
NASA Astrophysics Data System (ADS)
Mongeau, R.; Baudouin, Y.; Cavayas, F.
2017-10-01
Ville de Montreal wanted to develop a system to identify heat islands and microparticles at the urban scale and to study their formation. UQAM and UdeM universities have joined their expertise under the framework "Observatoire Spatial Urbain" to create a representative geospatial database of thermal and atmospheric parameters collected during the summer months. They innovated in the development of a methodology for processing high resolution hyperspectral images (1-2 m). In partnership with Ville de Montreal, they integrated 3D geospatial data (topography, transportation and meteorology) in the process. The 3D mapping of intraurban heat islands as well as air micro-particles makes it possible, initially, to identify the problematic situations for future civil protection interventions during extreme heat. Moreover, it will be used as a reference for the Ville de Montreal to establish a strategy for public domain tree planting and in the analysis of urban development projects.
El-Hamamsy, Ismaïl; Jacques, Frédéric; Perrault, Louis P; Bouchard, Denis; Demers, Philippe; White, Michel; Pelletier, Guy B; Racine, Normand; Pellerin, Michel; Carrier, Michel
2009-01-01
BACKGROUND: Mechanical circulatory support systems (MCSS) have been available in Canada since 1986. Accepted indications include bridging to transplantation or recovery. The present study reviewed the results following MCSS implantation at the Montreal Heart Institute (Montreal, Quebec). METHODS: From September 1987 to September 2006, 43 MCSS were implanted (32 Thoratec [Thoratec Corporation, USA], nine Cardio West TAH [SynCardia Systems Inc, USA], two Novacor [World Heart Corporation, Canada]) in 43 patients (mean [± SD] age 44±13 years; range 19 to 64 years). Indications for implantation included cardiogenic shock due to ischemic (n=19), viral (n=10) or other types of cardiomyopathies (n=14). RESULTS: The mean ejection fraction before implantation was 17.6±6.5% (range 10% to 45%). Before MCSS implantation, most patients showed signs of end-organ failure, including mechanical ventilation (77%), central venous pressure higher than 16 mmHg (44%), oliguria (35%) and hepatic dysfunction (19%). The mean duration of MCSS support was 22.8±32.8 days (range one to 158 days). Survival to transplantation or recovery was 74%. Only one patient was successfully bridged to recovery. Complications were common during MCSS support. They included re-exploration for bleeding (47%), respiratory failure (44%), renal failure requiring temporary dialysis (40%), infection (33%) and neurological events (16%). Only one patient had device failure. In patients successfully bridged to transplantation, early actuarial survival (one month) following transplantation averaged 71±8% and was 57±9% at one year. CONCLUSION: MCSS support with a left ventricular assist device or a total artificial heart provides an effective means of bridging terminally ill patients to transplantation or recovery. Early survival after transplantation shows satisfactory results. However, these results come at the expense of frequent device-related complications, and device failure remains a constant threat. PMID:19214294
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.
Vertical heterogeneity in predation pressure in a temperate forest canopy
Aikens, Kathleen R.; Buddle, Christopher M.
2013-01-01
The forest canopy offers a vertical gradient across which variation in predation pressure implies variation in refuge quality for arthropods. Direct and indirect experimental approaches were combined to assess whether canopy strata differ in ability to offer refuge to various arthropod groups. Vertical heterogeneity in impact of avian predators was quantified using exclosure cages in the understory, lower, mid, and upper canopy of a north-temperate deciduous forest near Montreal, Quebec. Bait trials were completed in the same strata to investigate the effects of invertebrate predators. Exclusion of birds yielded higher arthropod densities across all strata, although treatment effects were small for some taxa. Observed gradients in predation pressure were similar for both birds and invertebrate predators; the highest predation pressure was observed in the understory and decreased with height. Our findings support a view of the forest canopy that is heterogeneous with respect to arthropod refuge from natural enemies. PMID:24010017
ERIC Educational Resources Information Center
Lepage, Danielle, Ed.; Dominik, Annette, Ed.
Presentations by students at a colloquium on student research on the occasion of the 50th anniversary of the University of Laval's Faculty of Letters, March 18-19, 1988, include: "Une enquete sur la qualite du francais ecrit au Quebec"; "Amenagement linguistique et neologie"; "Analyse syntaxique des 'arrets et retours' en…
Setayeshgar, Solmaz; Maximova, Katerina; Ekwaru, John Paul; Gray-Donald, Katherine; Henderson, Mélanie; Paradis, Gilles; Tremblay, Angelo; Veugelers, Paul
2017-02-01
To quantify the association of dietary quality with prospective changes in adiposity. Children participating in the QUALITY (QUebec Adipose and Lifestyle InvesTigation in Youth) study underwent examination at baseline and at 2-year follow-up. Dietary quality was assessed by the Diet Quality Index-International (DQII) using three non-consecutive 24 h diet recalls at baseline. The DQII has four main categories: dietary adequacy, variety, moderation and overall balance. Fat mass index (FMI; [fat mass (kg)]/[height (m)]2), central FMI (CFMI; [trunk fat mass (kg)]/[height (m)]2), percentage body fat (%BF; [total fat mass (kg)]/[total mass (kg)]) and percentage central BF (%CBF; [trunk fat mass (kg)]/[total mass (kg)]) were assessed through dual-energy X-ray absorptiometry. Children were selected from schools in the greater Montreal, Sherbrooke and Quebec City metropolitan areas between 2005 and 2008, Quebec, Canada. A total of 546 children aged 8-10 years, including 244 girls and 302 boys. Regression analysis adjusting for age, sex, energy intake, physical activity and Tanner stage revealed that every 10-unit improvement in overall DQII score was associated with lower gain in CFMI (β=-0·08; 95 % CI -0·17, -0·003) and %BF (β=-0·55; 95 % CI -1·08, -0·02). Each unit improvement in dietary adequacy score was associated with lower gain in FMI (β=-0·05; 95 % CI -0·08, -0·008), CFMI (β=-0·03; 95 % CI -0·05, -0·007), %BF (β=-0·15; 95 % CI -0·28, -0·03) and %CBF (β=-0·09; 95 % CI -0·15, -0·02). Promotion of dietary quality and adequacy may reduce weight gain in childhood and prevent chronic diseases later in life.
Southern Quebec in Late Winter
NASA Technical Reports Server (NTRS)
2002-01-01
These images of Canada's Quebec province were acquired by the Multi-angle Imaging SpectroRadiometer on March 4, 2001. The region's forests are a mixture of coniferous and hardwood trees, and 'sugar-shack' festivities are held at this time of year to celebrate the beginning of maple syrup production. The large river visible in the images is the northeast-flowing St. Lawrence. The city of Montreal is located near the lower left corner, and Quebec City, at the upper right, is near the mouth of the partially ice-covered St. Lawrence Seaway.
Both spectral and angular information are retrieved for every scene observed by MISR. The left-hand image was acquired by the instrument's vertical-viewing (nadir) camera, and is a false-color spectral composite from the near-infrared, red, and blue bands. The right-hand image is a false-color angular composite using red band data from the 60-degree backward-viewing, nadir, and 60-degree forward-viewing cameras. In each case, the individual channels of data are displayed as red, green, and blue, respectively.Much of the ground remains covered or partially covered with snow. Vegetation appears red in the left-hand image because of its high near-infrared brightness. In the multi-angle composite, vegetated areas appear in shades of green because they are brighter at nadir, possibly as a result of an underlying blanket of snow which is more visible from this direction. Enhanced forward scatter from the smooth water surface results in bluer hues, whereas urban areas look somewhat orange, possibly due to the effect of vertical structures which preferentially backscatter sunlight.The data were acquired during Terra orbit 6441, and cover an area measuring 275 kilometers x 310 kilometers.MISR was built and is managed by NASA's Jet Propulsion Laboratory, Pasadena, CA, for NASA's Office of Earth Science, Washington, DC. The Terra satellite is managed by NASA's Goddard Space Flight Center, Greenbelt, MD. JPL is a division of the California Institute of Technology.Taxonomic and functional trait diversity of wild bees in different urban settings.
Normandin, Étienne; Vereecken, Nicolas J; Buddle, Christopher M; Fournier, Valérie
2017-01-01
Urbanization is one of the major anthropogenic processes contributing to local habitat loss and extirpation of numerous species, including wild bees, the most widespread pollinators. Little is known about the mechanisms through which urbanization impacts wild bee communities, or the types of urban green spaces that best promote their conservation in cities. The main objective of this study was to describe and compare wild bee community diversity, structure, and dynamics in two Canadian cities, Montreal and Quebec City. A second objective was to compare functional trait diversity among three habitat types (cemeteries, community gardens and urban parks) within each city. Bees were collected using pan traps and netting on the same 46 sites, multiple times, over the active season in 2012 and 2013. A total of 32,237 specimens were identified, representing 200 species and 6 families, including two new continental records, Hylaeus communis Nylander (1852) and Anthidium florentinum (Fabricius, 1775). Despite high community evenness, we found significant abundance of diverse species, including exotic ones. Spatio-temporal analysis showed higher stability in the most urbanized city (Montreal) but low nestedness of species assemblages among the three urban habitats in both cities. Our study demonstrates that cities are home to diverse communities of wild bees, but in turn affect bee community structure and dynamics. We also found that community gardens harbour high levels of functional trait diversity. Urban agriculture therefore contributes substantially to the provision of functionally diverse bee communities and possibly to urban pollination services.
Taxonomic and functional trait diversity of wild bees in different urban settings
Buddle, Christopher M.; Fournier, Valérie
2017-01-01
Urbanization is one of the major anthropogenic processes contributing to local habitat loss and extirpation of numerous species, including wild bees, the most widespread pollinators. Little is known about the mechanisms through which urbanization impacts wild bee communities, or the types of urban green spaces that best promote their conservation in cities. The main objective of this study was to describe and compare wild bee community diversity, structure, and dynamics in two Canadian cities, Montreal and Quebec City. A second objective was to compare functional trait diversity among three habitat types (cemeteries, community gardens and urban parks) within each city. Bees were collected using pan traps and netting on the same 46 sites, multiple times, over the active season in 2012 and 2013. A total of 32,237 specimens were identified, representing 200 species and 6 families, including two new continental records, Hylaeus communis Nylander (1852) and Anthidium florentinum (Fabricius, 1775). Despite high community evenness, we found significant abundance of diverse species, including exotic ones. Spatio-temporal analysis showed higher stability in the most urbanized city (Montreal) but low nestedness of species assemblages among the three urban habitats in both cities. Our study demonstrates that cities are home to diverse communities of wild bees, but in turn affect bee community structure and dynamics. We also found that community gardens harbour high levels of functional trait diversity. Urban agriculture therefore contributes substantially to the provision of functionally diverse bee communities and possibly to urban pollination services. PMID:28286711
Shunning the Bird's Eye View: General Science in the Schools of Ontario and Quebec
NASA Astrophysics Data System (ADS)
Hoffman, Michelle
2013-04-01
This paper considers the adoption of general science courses in two Canadian provinces, Ontario and Quebec, during the 1930s. In Ontario, a few science teachers had followed the early general science movements in the United States and Britain with interest. During the 1930s, several developments made the cross-disciplinary, applied thrust of general science particularly appealing to Ontario educationists. These developments included a new demand for vocational education, renewed reservations about pedagogical rationales based on transfer of training, and a growing professional divide between high school science teachers and university scientists. Around the same time, scientists in the Quebec's French-language universities were engaged in a concerted campaign to expand the place of science in the province's francophone secondary schools. The province's prestigious classical colleges, which were the scientists' principal target for reform, privileged an inductive view of science that had little in common with the applied, cross-disciplinary emphasis of the general science courses gaining support in English-speaking school systems. In 1934, however, a popular American general science textbook was adopted in a workers' cooperative devoted to adult education. Comparing the fate of general science within these two education systems draws attention to the fact that general science made inroads in francophone Quebec but had little influence in public and private schools. In light of the growing support general science enjoyed elsewhere, we are led to explore why general science met with little overt interest by Quebec scientists pushing for school science reform during the 1930s.
Predictors of Publication Productivity Among Hospital Pharmacists in France and Quebec
Lelièvre, Joachim; Lebel, Denis; Prot-Labarthe, Sonia
2011-01-01
Objective To describe publications by hospital pharmacists in France and Quebec and evaluate factors predictive of publication productivity. Method Variables related to scientific publication productivity were identified through a search of the literature and organized into 4 themes (ie, personal and professional characteristics, hospital activities, research and publishing activities, publication-related motivations and perceptions). A questionnaire was developed that included short-answer items and 58 multiple-choice questions to determine respondents' level of agreement with statements about their motivations and perceptions surrounding publishing. Results Four hundred twenty-two hospital pharmacists (218 respondents from France and 204 from Quebec) were recruited. Respondents from France were more prolific than those from Quebec, even when considering factors such as time worked and gender. Furthermore, the percentage of respondents working in a university health center was lower in France than Quebec (46% vs. 70%, p = 0.001), as was the percentage of respondents indicating a mastery of English (43% vs. 88%, p = 0.001). Conclusion Seven factors were predictive of the number of publications per respondent in France and Quebec: practicing hospital pharmacy in France, being male, having academic duties or a PhD, having participated in a clinical trial, having secured funding in one's own name for a research project, and allocating a greater number of hours per week to research. PMID:21451771
Beauregard, Mario
2008-01-01
Mario Beauregard, PhD, a cognitive neuroscientist at the University of Montreal in Canada, has been studying the neuroscience of consciousness and mystical experience for many years, including a study investigating the brain activity of Carmelite nuns, for which he has received considerable media attention. He conducted postdoctoral research at the University of Texas and the Montreal Neurological Institute at McGill University. He was selected by the World Media Net, a consortium of major daily newspapers in Europe and North America created at the turn of the new millenium as one of "100 Pioneers of the 21st Century." He is co-author with Denyse O'Leary of the book The Spiritual Brain: A Neuroscientist's Case for the Existence of the Soul (HarperOne, 2007). Dr Beauregard was recently interviewed by Sheldon Lewis, editor in chief of Advances.
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),…
End-of-Life Care in Nunavik, Quebec: Inuit Experiences, Current Realities, and Ways Forward.
Hordyk, Shawn Renee; Macdonald, Mary Ellen; Brassard, Paul
2017-06-01
Increasing longevity for Inuit living in Nunavik, northern Quebec, has resulted in heightened rates of cancers and chronic diseases necessitating complex treatments. Consequently, end-of-life (EOL) care, once the domain of Inuit families and communities, has come to include professionalized healthcare providers with varying degrees of awareness of factors to consider in providing care to Inuit populations. To better understand the factors shaping EOL care in Nunavik to support the development of a sustainable model of care. Using focused ethnography, we conducted participant observations and informal and semistructured interviews with 103 participants (community members, healthcare practitioners, and administrators) across Nunavik and in Montreal, the affiliated tertiary care center. Data domains included the following: care trajectories; patient and family experiences receiving and providing EOL care; local and urban resources and challenges; and ways forward. Sociocultural, historical, and geographic factors shape EOL care in Nunavik, presenting a complex set of challenges for Inuit patients, families, and healthcare providers. A sustainable model of EOL care requires building on shared initiatives, capitalizing on the existing strengths in communities, and attending to the multiple bereavement needs in the region. Building a sustainable model of EOL care requires respectful collaboration among governing structures, healthcare institutions, and community members. It must centrally value local knowledge and initiatives. To ensure Inuit families and patients are supported throughout the dying process, future initiatives must centrally include local stakeholders in both the design and evaluation of any changes to the current healthcare system.
A Longitudinal Empirical Investigation of the Pathways Model of Problem Gambling.
Allami, Youssef; Vitaro, Frank; Brendgen, Mara; Carbonneau, René; Lacourse, Éric; Tremblay, Richard E
2017-12-01
The pathways model of problem gambling suggests the existence of three developmental pathways to problem gambling, each differentiated by a set of predisposing biopsychosocial characteristics: behaviorally conditioned (BC), emotionally vulnerable (EV), and biologically vulnerable (BV) gamblers. This study examined the empirical validity of the Pathways Model among adolescents followed up to early adulthood. A prospective-longitudinal design was used, thus overcoming limitations of past studies that used concurrent or retrospective designs. Two samples were used: (1) a population sample of French-speaking adolescents (N = 1033) living in low socio-economic status (SES) neighborhoods from the Greater Region of Montreal (Quebec, Canada), and (2) a population sample of adolescents (N = 3017), representative of French-speaking students in Quebec. Only participants with at-risk or problem gambling by mid-adolescence or early adulthood were included in the main analysis (n = 180). Latent Profile Analyses were conducted to identify the optimal number of profiles, in accordance with participants' scores on a set of variables prescribed by the Pathways Model and measured during early adolescence: depression, anxiety, impulsivity, hyperactivity, antisocial/aggressive behavior, and drug problems. A four-profile model fit the data best. Three profiles differed from each other in ways consistent with the Pathways Model (i.e., BC, EV, and BV gamblers). A fourth profile emerged, resembling a combination of EV and BV gamblers. Four profiles of at-risk and problem gamblers were identified. Three of these profiles closely resemble those suggested by the Pathways Model.
The experience of patients with cancer who develop venous thromboembolism: an exploratory study.
Mockler, Alison; O'Brien, Brigit; Emed, Jessica; Ciccotosto, Gina
2012-05-01
To better understand the experience of venous thromboembolism (VTE) from the points of view of patients with cancer during various stages of the cancer experience. Qualitative, descriptive. Various inpatient and outpatient units of a large urban university-affiliated hospital in Montreal, Quebec, Canada. Purposive sample of 10 participants who were anticipating, had recently undergone, or were currently undergoing cancer treatment and who had received a VTE diagnosis within the past year. Semistructured interviews were transcribed verbatim. Thematic analysis of data revealed themes contributing to understanding the lived experience of VTE during cancer care. The experience of patients with cancer who develop VTE. Patients' initial reaction to VTE included VTE as a life-threat, past experience with VTE, and VTE as the "cherry on the sundae" in light of other cancer-related health issues. Patients' coping with VTE also included three themes: VTE being overshadowed by unresolved cancer-related concerns, VTE as a setback in cancer care, and attitudes about VTE treatment. This study contributes new insight into the experience of patients with cancer who develop VTE. The most salient finding was that patients having no prior VTE knowledge experienced VTE as more challenging. Future studies comparing experiences with VTE across the various stages of cancer care are needed. Study findings suggest that patient education about VTE would be useful for the initial reaction and subsequent coping phases of VTE, thus representing an important target area for nursing intervention.
Impact of a multipronged education strategy on antibiotic prescribing in Quebec, Canada.
Weiss, Karl; Blais, Régis; Fortin, Anne; Lantin, Sonia; Gaudet, Michel
2011-09-01
Antibiotic overuse and resistance have become a major threat in the last 2 decades. Many programs tried to optimize antibiotic consumption in the inpatient setting, but the outpatient environment that represents the bulk of antibiotic use has been challenging. Following a significant rise of Clostridium difficile infections, all the health care stakeholders in the province of Quebec, Canada initiated a global education program targeting physicians and pharmacists. A bundle approach was used; 11 user-friendly guidelines were produced by a group of experts and sent to all physicians and pharmacists in Quebec in January 2005. Downloadable versions of guidelines were posted on a dedicated Web site. They were promoted by professional organizations, universities, and experts during educational events, and there was strong acceptance by the pharmaceutical industry with a willingness to follow the recommendations in their marketing. The Intercontinental Medical Statistics (IMS) database was used to analyze and compare Quebec's total outpatient prescriptions per 1000 inhabitants with those in the other Canadian provinces for 2 time periods: preintervention (January 2003 to December 2004), and postintervention (February 2005 to December 2007). In 2004, antibiotic consumption per capita was 23.3% higher in Canada generally than in Quebec. After the guidelines dissemination, the gap between Quebec and the other Canadian provinces increased by 4.1 prescriptions/1000 inhabitants (P = .0002), and the trend persisted 36 months later. Antibiotic costs fell $134.5/1000 inhabitants in Quebec compared with the rest of Canada (P = .054). The implementation of guidelines significantly reduced antibiotic prescriptions in Quebec compared with the rest of the country, and there was a strong trend toward significant cost reduction.
When "Less is More": The Optimal Design of Language Laboratory Hardware.
ERIC Educational Resources Information Center
Kershaw, Gary; Boyd, Gary
1980-01-01
The results of a process of designing, building, and "de-bugging" two replacement language laboratory hardware systems at Concordia University (Montreal) are described. Because commercially available systems did not meet specifications within budgetary constraints, the systems were built by the university technical department. The systems replaced…
Differences in Access to Services in Rural Emergency Departments of Quebec and Ontario
Archambault, Patrick; Audette, Louis David; Plant, Jeff; Bégin, François; Poitras, Julien
2015-01-01
Introduction Rural emergency departments (EDs) are important safety nets for the 20% of Canadians who live there. A serious problem in access to health care services in these regions has emerged. However, there are considerable geographic disparities in access to trauma center in Canada. The main objective of this project was to compare access to local 24/7 support services in rural EDs in Quebec and Ontario as well as distances to Levels 1 and 2 trauma centers. Materials and Methods Rural EDs were identified through the Canadian Healthcare Association's Guide to Canadian Healthcare Facilities. We selected hospitals with 24/7 ED physician coverage and hospitalization beds that were located in rural communities. There were 26 rural EDs in Quebec and 62 in Ontario meeting these criteria. Data were collected from ministries of health, local health authorities, and ED statistics. Fisher’s exact test, the t-test or Wilcoxon-Mann-Whitney test, were performed to compare rural EDs of Quebec and Ontario. Results All selected EDs of Quebec and Ontario agreed to participate in the study. The number of EDs visits was higher in Quebec than in Ontario (19 322 ± 6 275 vs 13 446 ± 8 056, p = 0.0013). There were no significant differences between Quebec and Ontario’s local population and small town population density. Quebec’s EDs have better access to advance imaging services such as CT scanner (77% vs 15%, p < .0001) and most the consultant support and ICU (92% vs 31%, p < .0001). Finally, more than 40% of rural EDs in Quebec and Ontario are more than 300 km away from Levels 1 and 2 trauma centers. Conclusions Considering that Canada has a Universal health care system, the discrepancies between Quebec and Ontario in access to support services are intriguing. A nationwide study is justified to address this issue. PMID:25874948
Núñez, Loreto; Icaza, Gloria; Contreras, Violeta; Correa, Gloria; Canales, Tatiana; Mejía, Gloria; Oxman-Martínez, Jacqueline; Moreau, Jacques
2013-01-01
To identify the factors that influence the use of dental services in 4-7-year-olds and in 10-13-year-olds resident in the cities of Talca (Chile) and Montreal (Canada). A nonprobabilistic cross-sectional study was carried out in 147 boys and girls in Talca and in 94 boys and girls in Montreal between 2009 and 2011. Sociodemographic variables were recorded in parents and children, including age and sex. Data were also gathered on parental education, family composition, and proximity to health centers within neighborhoods. The data were analyzed with Fisher's exact test and the robust Cox regression model (with constant time) with a significance level of 0,05. In Talca, parental education was significantly associated with dental care visits at least twice a year. The children of parents with university education were 2.20 times more likely to consult a dentist (95% CI: 1.30-3.73). Children whose parents perceived their children's health positively were 53% (OR = 0,47; 95% CI: 0,28-0,77) less likely to consult a dentist. In Montreal, the children of parents with university education were 2.10 times more likely to consult a dentist (95%CI: 1.17-3.76), while older children (10-13 years) were 2.11 (95% CI: 1.15-3.88) times more likely to consult a dentist. In both cities, parental education level was associated with the use of dental services. Copyright © 2012 SESPAS. Published by Elsevier Espana. All rights reserved.
From Quebec to Tokyo: Perspectives on TQM.
ERIC Educational Resources Information Center
Desjardins, Claude; Obara, Yoshiaki
1993-01-01
In a letter to a Japanese university president, a French-Canadian educational administration student ponders the fundamental contradictions between the authoritarian, hierarchical Japanese education system and the Total Quality Management principles driving Japanese industry. The university president's reply explains how de-individualization,…
What Arab Students Say about Their Linguistic and Educational Experiences in Canadian Universities
ERIC Educational Resources Information Center
Abukhattala, Ibrahim
2013-01-01
In this inquiry, I examine the cross educational experiences of ten Arab undergraduate students in two English-language universities in Montreal. Participants were from Libya, Tunisia, Algeria, and Morocco and have been in Canada for three to seven years. Classic qualitative methodological tools of in-depth interviews, participant observation and…
The University-Public Health Partnership for Public Health Research Training in Quebec, Canada.
Paradis, Gilles; Hamelin, Anne-Marie; Malowany, Maureen; Levy, Joseph; Rossignol, Michel; Bergeron, Pierre; Kishchuk, Natalie
2017-01-01
Enhancing effective preventive interventions to address contemporary public health problems requires improved capacity for applied public health research. A particular need has been recognized for capacity development in population health intervention research to address the complex multidisciplinary challenges of developing, implementing, and evaluating public health practices, intervention programs, and policies. Research training programs need to adapt to these new realities. We have presented an example of a 2003 to 2015 training program in transdisciplinary research on public health interventions that embedded doctoral and postdoctoral trainees in public health organizations in Quebec, Canada. This university-public health partnership for research training is an example of how to link science and practice to meet emerging needs in public health.
Wizman, Sarah; Lamarre, Valérie; Coic, Lena; Kakkar, Fatima; Le Meur, Jean-Baptiste; Rousseau, Céline; Boucher, Marc; Tapiero, Bruce
2016-03-15
Advances in diagnostic and therapeutic modalities for congenital cytomegalovirus (CMV) infection have generated a mounting interest in identifying mothers susceptible to CMV. The objectives of this study were to evaluate the prevalence and socio-demographic determinants of CMV susceptibility and CMV awareness, among pregnant women, in Montreal, Quebec. Between April and December 2012, women delivering at Centre Hospitalier Universitaire Sainte Justine were recruited for the study. Stored serum from the first trimester of pregnancy was tested for CMV IgG. Knowledge about CMV and socio-demographic characteristics were collected via standardized questionnaire. Four hundred and ninety one women were enrolled in the study. Overall, 225 mothers (46%) were seronegative for CMV, and 85% (n = 415) were unaware of CMV or the associated risks in pregnancy. Significant risk factors for CMV seronegative status included Canadian vs. foreign born (aOR 6.88, 95% CI 4.33-10.94), and high vs. low family income (aOR 4.68, 95% CI 2.09-10.48). Maternal employment status was the only significant predictor of CMV unawareness, with unemployed mothers at the highest risk (aOR 85.6, 95% CI 17.3-421.3). Nearly half of pregnant women studied were at risk of primary infection, and yet, the majority was unaware of potential risks associated with CMV. Canadian born mothers and those with a high socioeconomic status were more likely to be CMV seronegative. Increased education about CMV infection, through public health interventions and obstetrician/pediatric counseling, is needed for all pregnant women.
Marcoux, Danielle; Dang, Julie; Auguste, Hedwige; McCuaig, Catherine; Powell, Julie; Hatami, Afshin; Maari, Catherine; Le Meur, Jean-Baptiste
2018-05-01
An increase in dermatophyte infections caused by African species is reported in countries receiving African immigrants. Our goal was to determine the epidemiologic and clinical characteristics of tinea capitis in children infected with African species of dermatophytes in Montreal, Canada. Demographic and clinical data from medical records of children infected with African species of dermatophytes were retrieved retrospectively (2000-2016) at Sainte-Justine University Hospital Center. In Montreal, the number of tinea capitis cases caused by African species of dermatophytes increased sixfold over 17 years. African immigrant children (84%), men and boys (61%), and preschoolers (2-5 years old) (51%) were the most frequently affected in our 315 cases. Family contamination was frequent (45%). Referring physicians prescribed systemic antifungal treatment in 39% of cases and pediatric dermatologist consultants in 90%. Treatment failure to oral terbinafine occurred in 39% of Microsporum audouinii infections. In Montreal, there was a significant increase in tinea capitis caused by African species of dermatophytes. Microsporum audouinii is highly transmissible and often resistant to oral terbinafine. Recognizing tinea capitis trends in a given environment will improve patient care. © 2018 Wiley Periodicals, Inc.
NASA Astrophysics Data System (ADS)
Zoro, Emma-Georgina
The objective of this project is to carry out a comparative analysis of two urban environments with remote sensing and Geographic Informations Systems, integrating multi-source data. The city of Abidjan (Cote d'Ivoire) and Montreal Island (Quebec) were selected. This study lies within the context of the strong demographic and space growths of urban environments. A supervised classification based on the theory of evidence allowed the identification of mixed pixels. However, the accuracy of this method is lower than that of the bayesian theory. Nevertheless, this method showed that the most credible classes (maximum believes in "closed world") are most probable (maximum probabilities) and thus confirms the bayesian maximum-likelihood decision. On the other hand, the contrary is not necessarily true because of the rules of combination. The urban cover map resulting from classification by the maximum likelihood method was then used to determine a relation between the residential surface and the number of inhabitants in a sector. Moreover, the area of green spaces was an input data (environmental component) for the Urban Development Indicator (IDU), the elaborated model for quantifying the quality of life in urban environment. Moreover, this indicator was defined to allow a total and efficient comparison of urban environments. Following a thorough bibliographical review, seven criteria were retained to describe the optimal conditions for the populations well-being. These criteria were then estimated from standardized indices. The choice of these criteria is a function of the availability of the data to be integrated into the GIS. As the criteria selected have not the same importance in the definition of the quality of urban life, one needed to rank by the method of multicriteria hierarchy and to normalize them in order to join them together in only one parameter. The composite indicator IDU thus obtained allowed to establish that Abidjan had an average development in 1995. While Montreal Island had a strong urban development. Moreover, the comparison of the IDUs reveals requirements of health and educational facilities for Abidjan. In addition, from 1989 to 1995, Abidjan developed itself while Montreal Island showed a light decreasing IDU between 1991 and 1996. Theses assertions are confirmed by the studies carried out on these urban communities and validated the relevance of IDU for quantifying and comparing urban development. Such work can be used by decisions makers to establish urban policies for sustainable development.
ERIC Educational Resources Information Center
Brochu, Mireille
This report reviews and compares the impact of university support policies in Ontario to those of Quebec, Alberta, and British Columbia and proposes a framework to regenerate the research infrastructure of Ontario universities. It identifies erosion in Ontario's comparative and competitive position within Canada though Ontario still performs about…
NASA Astrophysics Data System (ADS)
Fils-Aime, Nestor
Having in perspective the slight representativeness of students, from Haitian background, from the most unprivileged sections of the great region of Montreal in the scientific fields in High School and in the choices of career, this study intends to examine the effect of the individual characteristics as well as the associated factors related to the familial, scholastic, socio-economic, and cultural environment upon the attitudes of those students toward sciences. The analysis of the datum is based on the results of a questionnaire focusing on the socio-demographic profile of a group of students from fourth and fifth year attending two multiethnic High Schools of the North-Crown of Montreal as well as on the interviews with fifteen of those students who are from a haitian background. There were also interviews with some parents, a member of a community organism, some staff members of some schools as well as some Haitian-Quebecer professionals and scientists, in order to have a critical viewpoint upon the different positions expressed by the fifteen students. The Bronfenbrenner's ecosystemic model (1979, 1986) has been used as scope of reference allowing to draw the prominent aspects from the attitudes toward science in the students, from haitian background. The synthesis of ideas expressed by different interviewee reveals the existence of a environment not much enhancing the value of sciences around of students, from Haitian background. The socio-economic conditions, the familial practices, the ethnocultural status as well as some individual representations of sciences contribute to create and maintain some attitudes very little committed to sciences in those students. The study shows how much it is urgent to demystify the sciences by breaking with some stereotypes that prevent some categories of students from acceding to sciences. It also commands to politicians, concerning education, to be more open to ethnocultural differences and to explore some dynamic ways in order to make the scientific culture accessible to all social groups. Key words: science learning, attitudes toward science, multiethnicity, ecosystemic model, environmental factors, High School students, immigration, socio-economic status, ethnocultural status, haitian background, econominically disadvantaged area, students attitudes.
Using experienced activity spaces to measure foodscape exposure.
Kestens, Yan; Lebel, Alexandre; Daniel, Mark; Thériault, Marius; Pampalon, Robert
2010-11-01
Researchers are increasingly interested in understanding how food environments influence eating behavior and weight-related health outcomes. Little is known about the dose-response relationship between foodscapes and behavior or weight, with measures of food exposure having mainly focused on fixed anchor points including residential neighborhoods, schools, or workplaces. Recent calls have been made to extend the consideration of environmental influences beyond local neighborhoods and also to shift away from place-based, to people-based, measures of exposure. This report presents analyses of novel activity-space measures of exposure to foodscapes, combining travel survey data with food store locations in Montreal and Quebec City, Canada. The resulting individual activity-space experienced foodscape exposure measures differ from traditional residential-based measures, and show variations by age and income levels. Furthermore, these activity-space exposure measures once modeled, can be used as predictors of health outcomes. Hence, travel surveys can be used to estimate environmental exposure for health survey participants. Copyright © 2010 Elsevier Ltd. All rights reserved.
NASA Astrophysics Data System (ADS)
Brousseau, Denis; Thibault, Simon; Lavigne, Jean-François; Véran, Jean-Pierre
2016-07-01
With the upcoming construction of ELTs, several existing technologies are being pushed beyond their performance limit and it became essential to develop and evaluate alternatives. We present a specifically designed focal plane box which will allow to evaluate, directly on-sky, the performance of a number of next generation adaptive optics related technologies The system will able us to compare the performance of several new wavefront sensors in contrast to a Shack-Hartman wavefront sensor. The system has been designed for the "Observatoire du Mont Mégantic" (OMM) which hosts a telescope having a 1.6-meter diameter primary. The OMM telescope, located halfway between Montreal and Quebec City, is known to be an excellent location to develop and test precursor instruments which can then be upscaled to larger telescopes (ex. SPIOMM which led to SITELLE at the CFHT). We present the results of the first run made at the telescope and also identify problems that were encountered. We also propose a series of modifications to the system that will help to solve these issues.
'Growing Old' in Shelters and 'On the Street': Experiences of Older Homeless People.
Grenier, Amanda; Sussman, Tamara; Barken, Rachel; Bourgeois-Guérin, Valerie; Rothwell, David
2016-01-01
Homelessness among older people in Canada is both a growing concern, and an emerging field of study. This article reports thematic results of qualitative interviews with 40 people aged 46 to 75, carried out as part of a mixed-methods study of older people who are homeless in Montreal, Quebec, Canada. Our participants included people with histories of homelessness (n = 14) and persons new to homelessness in later life (n = 26). Interviews focused on experiences at the intersections of aging and homelessness including social relationships, the challenges of living on the streets and in shelters in later life, and the future. This article outlines the 5 main themes that capture the experience of homelessness for our participants: age exacerbates worries; exclusion and isolation; managing significant challenges; shifting needs and realities; and resilience, strength, and hope. Together, these findings underscore the need for specific programs geared to the unique needs of older people who are homeless.
Rousseau, Cécile; Hassan, Ghayda; Moreau, Nicolas; Thombs, Brett D
2011-05-01
We compared the evolution of perception of discrimination from 1998 to 2007 among recent Arab (Muslim and non-Muslim) and Haitian immigrants to Montreal; we also studied the association between perception of discrimination and psychological distress in 1998 and 2007. We conducted this cross-sectional comparative research with 2 samples: one recruited in 1998 (n = 784) and the other in 2007 (n = 432). The samples were randomly extracted from the registry of the Ministry of Immigration and Cultural Communities of Quebec. Psychological distress was measured with the Hopkins Symptom Checklist-25. The perception of discrimination increased from 1998 to 2007 among the Arab Muslim, Arab non-Muslim, and Haitian groups. Muslim Arabs experienced a significant increase in psychological distress associated with discrimination from 1998 to 2007. These results confirm an increase in perception of discrimination and psychological distress among Arab Muslim recent immigrant communities after September 11, 2001, and highlight the importance this context may have for other immigrant groups.
Read, Suzanne C.; Carrier, Marie-Eve; Whitley, Rob; Gold, Ian; Tulandi, Togas
2014-01-01
Abstract Objectives: To explore the use of complementary and alternative medicine (CAM) for infertility in a multicultural healthcare setting and to compare Western and non-Western infertility patients' reasons for using CAM and the meanings they attribute to CAM use. Design: Qualitative semi-structured interviews using thematic analysis. Settings/location: Two infertility clinics in Montreal, Quebec, Canada. Participants: An ethnoculturally varied sample of 32 heterosexual infertile couples. Results: CAM used included lifestyle changes (e.g., changing diet, exercise), alternative medicine (e.g., acupuncture, herbal medicines), and religious methods (e.g., prayers, religious talismans). Patients expressed three attitudes toward CAM: desperate hope, casual optimism, and amused skepticism. Participants' CAM use was consistent with cultural traditions of health and fertility: Westerners relied primarily on biomedicine and used CAM mainly for relaxation, whereas non-Westerners' CAM use was often influenced by culture-specific knowledge of health, illness and fertility. Conclusions: Understanding patients' CAM use may help clinicians provide culturally sensitive, patient-centered care. PMID:25127071
Stories and metaphors in the sensemaking of multiple primary health care organizational identities.
Rodríguez, Charo; Bélanger, Emmanuelle
2014-03-04
The Quebec primary health care delivery system has experienced numerous reforms over the last 15 years. In this study, we sought to examine how managers and primary care providers made sense of the creation of successive new primary care organizational forms. We conducted a longitudinal qualitative case study in a primary care practice group located in Montreal, Quebec, for over 6 years (2002 to 2008). The data sources for the study include 31 semi-structured interviews with key informants, in-situ observations of group meetings, as well as documents and field notes. Textual material was submitted to narrative and metaphor analysis. The core metaphor of the journey came from a set of stories in which the members of this primary care group depicted the processes undertaken towards developing a multidisciplinary cooperative practice, which include an uneasy departure, uncertainty about the destination, conflict among members who jump ship or stay on board, negotiations about the itinerary, and, finally, enduring challenges in leading the way and being pioneers of change in the organization of primary care in their institutional context. Identification with the initial family medicine unit identity was persistent over time, but successive reforms further enriched its meaning as it became a multidisciplinary primary care practice pioneering organizational change. In order to support primary care reforms in complex institutional fields, this study proposes that decision-makers undertake a journey in which they recognize both the need to capitalize on existing meaningful and legitimated organizational identities, as well as the necessity for collective leadership in the management of multiple organizational identities over time.
2007-05-01
Supervised College student Leanna Lagpacan, The Scripps Research Institute 2004 -Supervised Ph.D student Sharon Bergquist, The... students in the University of Montreal 1999-2004 - Research supported by Novartis Pharma fellowship (Oncology) 2005 -University Research Council...DATE: May 2007 TYPE OF REPORT: Annual PREPARED FOR: U.S. Army Medical Research and Materiel Command
Cameron, Colin; Bell-Rogers, Patricia; McDowall, Rebeccah; Rebelo, Ana R.; Cai, Hugh Y.
2014-01-01
This study analyzed sheep prion protein (PrP) genotypes of samples submitted from Ontario and other provinces of Canada to the Animal Health Laboratory at the University of Guelph, Guelph, Ontario, between 2005 and 2012. In Ontario, the proportion of scrapie-resistant sheep increased from 2005 to 2012 as evidenced by an increase in the ARR haplotype. When Canadian provinces (Alberta, Ontario, Quebec, and Nova Scotia) were compared from 2008 to 2012, a high proportion of scrapie-resistant sheep was found in all the provinces. The proportions of resistant sheep were lower in Alberta and Quebec than in Ontario and Nova Scotia. Alberta had higher proportions of susceptible sheep and a higher frequency of VRQ alleles, and Quebec had a higher frequency of the ARQ allele. PMID:25355994
French language space science educational outreach
NASA Astrophysics Data System (ADS)
Schofield, I.; Masongsong, E. V.; Connors, M. G.
2015-12-01
Athabasca University's AUTUMNX ground-based magnetometer array to measure and report geomagnetic conditions in eastern Canada is located in the heart of French speaking Canada. Through the course of the project, we have had the privilege to partner with schools, universities, astronomy clubs and government agencies across Quebec, all of which operate primarily in French. To acknowledge and serve the needs of our research partners, we have endeavored to produce educational and outreach (EPO) material adapted for francophone audiences with the help of UCLA's department of Earth, Planetary and Space Sciences (EPSS). Not only will this provide greater understanding and appreciation of the geospace environment unique to Quebec and surrounding regions, it strengthens our ties with our francophone, first nations (native Americans) and Inuit partners, trailblazing new paths of research collaboration and inspiring future generations of researchers.
Bailey, Joanna J; Sabbagh, Melanie; Loiselle, Carmen G; Boileau, Johanne; McVey, Lynne
2010-04-01
Informational support to family members of ICU patients has significant potential for reducing their psychological distress, enabling them to better cope and support the patient. To describe family member perception of informational support, anxiety, satisfaction with care, and their interrelationships, to guide further refinement of a local informational support initiative and its eventual evaluation. This cross-sectional descriptive correlational pilot study collected data from a convenience sample of 29 family members using self-report questionnaires. 22-bed medical-surgical intensive care unit of a 659-bed university affiliated teaching hospital in Montreal, Quebec, Canada. Mean informational support, assessed with a modified version of the CCFNI (Molter and Leske, 1983), was 55.41(SD=13.28; theoretical range of 20-80). Mean anxiety, assessed with the State Anxiety Scale (Spielberger et al., 1983) was 45.41 (SD=15.27; theoretical range of 20-80). Mean satisfaction with care, assessed using Androfact (Version 4.0, 2001), was 83.09 (SD=15.49; theoretical range of 24-96). A significant positive correlation was found between informational support and satisfaction with care (r=0.741, p<.001). No significant relationships were noted between informational support and anxiety nor between satisfaction with care and anxiety. Findings are related to the ultimate objectives of refining a local informational support initiative and its eventual evaluation, and in so doing, are of more widespread interest to others striving to make evidence based improvements to the care of similar populations. Copyright 2009 Elsevier Ltd. All rights reserved.
Mayo, Nancy E; Scott, Susan
2011-11-01
to estimate the extent to which a case-management intervention for persons newly discharged into the community following an acute stroke effected a change in stroke outcome in comparison with usual care. a re-analysis of stratified, balanced, randomised clinical trial. five university-affiliated acute-care hospitals in Montreal, Quebec, Canada. a total of 190 persons (mean age 70 years) returning home directly from the acute-care hospital following a first or recurrent stroke with a need for health-care supervision post-discharge because of low function, co-morbidity or isolation. for 6 weeks following discharge a nurse case manager delivered, depending on need, over 50 different nursing interventions (range 2-15 per person), which targeted physical, emotional and psychological impairments, role participation restrictions and health perception. seven of the SF-36 subscales were used to measure the targeted constructs, at the post-intervention and 6 month evaluations. Seven binary response variables were created with a change of 10 points the criterion for individual response. Generalised estimating equations, equivalent to a logistic regression for multiple outcomes, were used. the odds of responding to one or more outcomes was 41% greater in the intervention group than in the control group [odds ratio (OR): 1.41; 95% confidence interval (CI): 1.11-1.79]. an analysis considering the complexity of the intervention and outcomes targeted indicated effectiveness of the nurse case-management post-stroke, whereas the traditional one outcome analysis did not.
McQuirter, Megan; Castiglia, Luisa Luciani; Loiselle, Carmen G; Wong, Nora
2010-05-01
To explore the decision-making process of women with a BRCA1 or BRCA2 gene mutation who have chosen to undergo prophylactic mastectomy. Cross-sectional, qualitative, descriptive design. Participants were recruited from an outpatient cancer prevention center in the oncology and medical genetics departments of a large university-affiliated hospital in Montreal, Quebec, Canada. 10 women carrying a BRCA1 or BRCA2 mutation; 8 previously had had a prophylactic mastectomy and 2 were scheduled for surgery at the time of study. Semistructured, in-depth interviews were conducted. Field notes were written and audiotapes were transcribed verbatim. The textual data were coded and analyzed. Decision-making process for prophylactic mastectomy. Two broad findings emerged. First, several intrapersonal and contextual factors interacted throughout the process to move women either closer to choosing a prophylactic mastectomy or further from the decision. Second, all women reported experiencing a "pivotal point," an emotionally charged event when the decision to have a prophylactic mastectomy became definitive. Pivotal points for patients included either receiving a positive result for a genetic mutation or a breast cancer diagnosis for herself or a family member in the context of positive mutation status. Decision making about prophylactic mastectomy was an affective and intuitive process incorporating contexts and their relations rather than a rational, straight-forward process of weighing pros and cons. Supportive interventions for women in this population should explicitly address the individual and the inter-relationships of contextual factors that shape decision making about prophylactic mastectomy while recognizing important affective components involved.
The Perceived Effect of Duty Hour Restrictions on Learning Opportunities in the Intensive Care Unit.
Sabri, Nessrine; Sun, Ning-Zi; Cummings, Beth-Ann; Jayaraman, Dev
2015-03-01
Many countries have reduced resident duty hours in an effort to promote patient safety and enhance resident quality of life. There are concerns that reducing duty hours may impact residents' learning opportunities. We (1) evaluated residents' perceptions of their current learning opportunities in a context of reduced duty hours, and (2) explored the perceived change in resident learning opportunities after call length was reduced from 24 continuous hours to 16 hours. We conducted an anonymous, cross-sectional online survey of 240 first-, second-, and third-year residents rotating through 3 McGill University-affiliated intensive care units (ICUs) in Montreal, Quebec, Canada, between July 1, 2012, and June 30, 2013. The survey investigated residents' perceptions of learning opportunities in both the 24-hour and 16-hour systems. Of 240 residents, 168 (70%) completed the survey. Of these residents, 63 (38%) had been exposed to both 24-hour and 16-hour call schedules. The majority of respondents (83%) reported that didactic teaching sessions held by ICU staff physicians were useful. However, of the residents trained in both approaches to overnight call, 44% reported a reduction in learner attendance at didactic teaching sessions, 48% reported a reduction in attendance at midday hospital rounds, and 40% reported a perceived reduction in self-directed reading after the implementation of the new call schedule. A substantial proportion of residents perceived a reduction in the attendance of instructor-directed and self-directed reading after the implementation of a 16-hour call schedule in the ICU.
Training future surgeons for management roles: the resident-surgeon-manager conference.
Hanna, Waël C; Mulder, David S; Fried, Gerald M; Elhilali, Mostafa; Khwaja, Kosar A
2012-10-01
OBJECTIVE To demonstrate that senior surgical residents would benefit from focused training by professionals with management expertise. Although managerial skills are recognized as necessary for the successful establishment of a surgical practice, they are not often emphasized in traditional surgical residency curricula. DESIGN Senior residents from all surgical subspecialties at McGill University were invited to participate in a 1-day management seminar. Precourse questionnaires aimed at evaluating the residents' perceptions of their own managerial knowledge and preparedness were circulated. The seminar was then given in the form of interactive lectures and case-based discussions. The questionnaires were readministered at the end of the course, along with an evaluation form. Precourse and postcourse data were compared using the Freeman-Halton extension of the Fisher exact test to determine statistical significance (P < .05). SETTING McGill University Health Centre in Montreal, Quebec, Canada. PARTICIPANTS A total of 43 senior residents. RESULTS Before the course, the majority of residents (27 of 43 [63%]) thought that management instruction only happened "from time to time" in their respective programs. After the course, 15 residents (35%) felt that management topics were "well addressed," and 19 (44%) felt that management topics have been "very well addressed" (P < .01). Residents noted a significant improvement in their ability to perform the following skills after the course: giving feedback, delegating duties, coping with stress, effective learning, and effective teaching. On the ensemble of all managerial skills combined, 26 residents (60%) rated their performance as "good" or "excellent" after the course vs only 21 (49%) before the course (P = .02). Residents also noted a statistically significant improvement in their ability to perform the managerial duties necessary for the establishment of a surgical practice. CONCLUSIONS Surgical residency programs have the responsibility of preparing their residents for leadership and managerial roles in their future careers. An annual seminar serves as a starting point that could be built on for incorporating formal management training in surgical residency curricula.
ERIC Educational Resources Information Center
Observatory on Borderless Higher Education, 2010
2010-01-01
The Ministry of Education in Canada's province of Quebec is threatening to significantly reduce McGill University (McGill)'s operating grant in response to a proposed Master's of Business Administration (MBA) tuition fee increase. From September 2010, the university's Desautels Faculty of Management is aiming to substantially raise the current…
NASA Astrophysics Data System (ADS)
Nguimbus, Raphael
La determination de l'impact des facteurs sous controle et hors controle qui influencent les volumes de vente des magasins de detail qui vendent des produits homogenes et fortement substituables constitue le coeur de cette these. Il s'agit d'estimer un ensemble de coefficients stables et asymtotiquement efficaces non correles avec les effets specifiques aleatoires des sites d'essence dans le marche de Montreal (Quebec, Canada) durant is periode 1993--1997. Le modele econometrique qui est ainsi specifie et teste, isole un ensemble de quatre variables dont le prix de detail affiche dans un site d'essence ordinaire, la capacite de service du site pendant les heures de pointe, les heures de service et le nombre de sites concurrents au voisinage du site dans un rayon de deux kilometres. Ces quatre facteurs influencent les ventes d'essence dans les stations-service. Les donnees en panel avec les methodes d'estimation robustes (estimateur a distance minimale) sont utilisees pour estimer les parametres du modele de vente. Nous partons avec l'hypothese generale selon laquelle il se developpe une force d'attraction qui attire les clients automobilistes dans chaque site, et qui lui permet de realiser les ventes. Cette capacite d'attraction varie d'un site a un autre et cela est du a la combinaison de l'effort marketing et de l'environnement concurrentiel autour du site. Les notions de voisinage et de concurrence spatiale expliquent les comportements des decideurs qui gerent les sites. Le but de cette these est de developper un outil d'aide a la decision (modele analytique) pour permettre aux gestionnaires des chaines de stations-service d'affecter efficacement les ressources commerciales dans ies points de vente.
Stories and metaphors in the sensemaking of multiple primary health care organizational identities
2014-01-01
Background The Quebec primary health care delivery system has experienced numerous reforms over the last 15 years. In this study, we sought to examine how managers and primary care providers made sense of the creation of successive new primary care organizational forms. Methods We conducted a longitudinal qualitative case study in a primary care practice group located in Montreal, Quebec, for over 6 years (2002 to 2008). The data sources for the study include 31 semi-structured interviews with key informants, in-situ observations of group meetings, as well as documents and field notes. Textual material was submitted to narrative and metaphor analysis. Results The core metaphor of the journey came from a set of stories in which the members of this primary care group depicted the processes undertaken towards developing a multidisciplinary cooperative practice, which include an uneasy departure, uncertainty about the destination, conflict among members who jump ship or stay on board, negotiations about the itinerary, and, finally, enduring challenges in leading the way and being pioneers of change in the organization of primary care in their institutional context. Identification with the initial family medicine unit identity was persistent over time, but successive reforms further enriched its meaning as it became a multidisciplinary primary care practice pioneering organizational change. Conclusions In order to support primary care reforms in complex institutional fields, this study proposes that decision-makers undertake a journey in which they recognize both the need to capitalize on existing meaningful and legitimated organizational identities, as well as the necessity for collective leadership in the management of multiple organizational identities over time. PMID:24588933
Low-income working immigrant families in Quebec: Exploring their challenges to well-being.
Pitt, Rebecca S; Sherman, Jessica; Macdonald, Mary Ellen
2016-03-16
To identify low-income working families' health challenges and understand their barriers and facilitators to navigating those challenges. We conducted a focused ethnographic study in a food bank in Montreal, Quebec. Using purposeful sampling, we recruited participants who had at least one employed family member and one live-in child. Sensitizing concepts included social determinants of health (SDH) and family strengths. Participant observation, focus groups and in-depth interviews constituted the primary means of data collection. Thematic and contextual analyses were conducted iteratively. We recruited 25 participants, 22 clients (15 women and 7 men with up to 5 children per family) and 3 members of staff. All clients were immigrants, having been in Canada for a range of 2 months to 23 years, thus reflecting the ethnic demography of the site. Families described health as physical, mental and socio-cultural well-being. Challenges to well-being included insufficient finances, non-standard work, hurdles in professional equivalency, isolation, children's acculturation, inadequate access to health care and the Canadian winter. Personal and structural barriers and facilitators to navigating challenges centred on parents' sense of the challenges being finite, control over discrete dimensions of life and hope of children's future success. Families who incorporated these perceptions into their narratives seemed to describe the challenges as navigable. Importantly, the SDH model did not anticipate the degree to which challenges would be defined by immigration factors. In order to help low-income working immigrant families face diverse challenges to well-being, community workers and policy-makers must consider the specific challenges of immigration and the importance of individual families' outlooks as they navigate them.
Laverdière, Émélie; Généreux, Mélissa; Gaudreau, Pierrette; Morais, José A; Shatenstein, Bryna; Payette, Hélène
2015-06-18
Heat vulnerability is increasing owing to climate change, aging and urbanization. This vulnerability may vary geographically. Our study examined the prevalence and distribution of risk and protective factors of heat-related outcomes among older adults across three health regions of Southern Quebec (Canada). This secondary cross-sectional study used data from the 1st follow-up of the NuAge longitudinal study, a cohort of community-dwelling older adults, aged 68-82 years at baseline, of three health regions: Eastern Townships, Montreal and Laval. Prevalence of factors, identified in Health Canada guidelines, was measured. An Older Adult Heat Vulnerability Index (OAHVI) simultaneously considering medical, social and environmental factors was constructed. The distribution of each factor and OAHVI was examined across the three regions. Results were weighted for age, sex (overall and region-specific analyses) and region (overall analyses). Ninety percent of participants had ≥1 risk factor, the most prevalent being: cardiovascular medication (50.8%), hypertension (46.7%), living alone (39.2%), cardiovascular disease (36.9%), living in an urban heat island (34.7%) and needing help in activities of daily living (26.5%). Two thirds of participants had ≥1 protective factor, the most prevalent being talking on the phone daily (70.9%). Heat vulnerability varied greatly by region and this variation was mainly attributable to social and environmental rather than medical factors. According to the OAHVI, 87.2% of participants cumulated ≥2 factors (median = 3.0 factors/participant). Our results support the need for small-scale assessment of heat vulnerability. This study could help stakeholders tackle heat-related illness and develop regionally tailored prevention programs.
Morinville, Véronique; Ahmed, Najma; Ibberson, Cindy; Kovacs, Lajos; Kaczorowski, Janusz; Bryan, Stirling; Collet, Jean-Paul; Schreiber, Richard
2016-04-01
Biliary atresia (BA) is a leading cause of liver failure and liver transplantation in pediatrics. BA manifests by 3 weeks of life with jaundice and pale stools. Delayed diagnosis and surgical intervention with Kasai portoenterostomy after 3 months of age is significantly associated with poor prognosis for native liver survival. A national Taiwan infant stool color card (SCC) screening program has entirely eliminated late Kasai portoenterostomy >90 days of age and improved native liver survival. A recent large-scale prospective cohort study in British Columbia, Canada, indicated that distribution of SCC on the maternity ward was feasible, led to high utilization rate, and was cost-effective. The aim of the present study was to assess the generalizability of this screening strategy in another Canadian jurisdiction with a different sociodemographic profile. An SCC was distributed to families of newborns discharged at St Mary's Hospital Center, Montreal, Quebec. Families were instructed to monitor their infant's stool color for 21 days and then complete and mail the SCC to the study center. Phone surveys to families who did not return cards were used to estimate total card utilization rate. Two thousand two hundred forty-six infants were eligible for inclusion; 99.9% were enrolled. Mail SCC return rate was 63.3%. No cases of BA were identified. All of the 118 families who completed the phone survey reported that they had utilized the SCC. Conservative and optimistic estimates for total card utilization rates were 82% and 100%, respectively. The high enrollment and utilization rates in this screening study strongly support the feasibility of implementing a Canadian SCC screening program to improve outcomes of children with BA.
Conformity of commercial oral single solid unit dose packages in hospital pharmacy practice.
Thibault, Maxime; Prot-Labarthe, Sonia; Bussières, Jean-François; Lebel, Denis
2008-06-01
There are limited published data on the labelling of single unit dose packages in hospitals. The study was conducted in three large hospitals (two adult and one paediatric) in the metropolitan Montreal area, Quebec, Canada. The objective is to evaluate the labelling of commercial oral single solid unit dose packages available in Canadian urban hospital pharmacy practice. The study endpoint was the labelling conformity of each unit dose package for each criterion and overall for each manufacturer. Complete labelling of unit dose packages should include the following information: (1) brand name, (2) international non-proprietary name or generic name, (3) dosage, (4) pharmaceutical form, (5) manufacturer's name, (6) expiry date, (7) batch number and (8) drug identification number. We also evaluated the ease with which a single unit dose package is detached from a multiple unit dose package for quick, easy and safe use by pharmacy staff. Conformity levels were compared between brand-name and generic packages. A total of 124 different unit dose packages were evaluated. The level of conformity of each criterion varied between 19 and 50%. Only 43% of unit dose packages provided an easy-to-detach system for single doses. Among the 14 manufacturers with three or more unit dose packages evaluated, eight (57%) had a conformity level less than 50%. This study describes the conformity of commercial oral single solid unit dose packages in hospital pharmacy practice in Quebec. A large proportion of unit dose packages do not conform to a set of nine criteria set out in the guidelines of the American Society of Health-System Pharmacists and the Canadian Society of Hospital Pharmacists.
A Building Development Plan at Laval University, Quebec
ERIC Educational Resources Information Center
Daoust, Gilles
2004-01-01
Laval University is launching a series of major development projects aimed at meeting the needs of an institution that currently offers over 350 academic programmes to more than 36,000 students. This article will focus on three of the most important construction projects that are already under way or about to start: the Wood Processing Centre,…
Literacy promotion at the Montreal Children’s Hospital
Erdos, Caroline; Ferdinand, Jae-Marie
2017-01-01
Abstract The foundations for language and literacy are set in utero when babies hear the tone of their mother’s voice (1). There is strong evidence of a positive relationship between early literacy experiences and language and academic outcomes (2). Unfortunately, many parents do not know about the benefits of reading to and with young children, and many children enter school without the basic skills needed to learn to read and succeed. Physicians who have contact with young families are in a distinctive position to promote reading, though despite its evidence base, it has not yet become a universal intervention. A short description of the projects at the Montreal Children’s Hospital is provided. PMID:29479189
40 CFR 87.8 - Incorporation by reference.
Code of Federal Regulations, 2012 CFR
2012-07-01
... the sections of this part where we reference it. Anyone may purchase copies of these materials from the International Civil Aviation Organization, Document Sales Unit, 999 University Street, Montreal... below. It is also available for inspection at the National Archives and Records Administration (NARA...
The Effects of Lighting and Interpersonal Distance on Counseling Interactions
ERIC Educational Resources Information Center
Dumont, Florent; Lecomte, Conrad
1975-01-01
Results showed a significant interactive effect of lighting and distance on the communication of empathy. Requests for reprints should be sent to F. Dumont, McGill University, 3700 McTavish Street, Montreal, P.Q., H3A 1Y2. (Author)
"Hebdo-Chim," a Web Application To Support Learning in a Chemistry Methods Pre-Service Course.
ERIC Educational Resources Information Center
Vasquez-Abad, Jesus
1999-01-01
Describes one use of the World Wide Web in support of learning in a chemistry methods course for preservice teachers at the University of Montreal. Discusses an assignment involving a treasure hunt on the Web. (Author/CCM)
1987-08-01
ESTIMATION FOR STOCHASTIC PROCESSES by C. C. Heyde Australian National University Canberra, Australia ABSTRACT Optimality is a widely and loosely used...Case 240 S. Australia 1211 Geneva 24 Switzerland Christopher C. Heyde Dept. of Statistics, IAS Patricia Jacobs . Australian National University...Universitat Regensburg USA Postfach D-8400 Regensburg Anatole Joffe W. Germany Dept. of Mathematics & Statatistics Frank Kelly Universite de Montreal
Beck, Ivan T
2006-09-01
The present paper reviews the life and achievements of Professor Boris Petrovich Babkin (MD DSc LLD). History is only worth writing about if it teaches us about the future; therefore, this historical review concludes by describing what today's and future gastrointestinal physiologists could learn from Dr Babkin's life. Dr Babkin was born in Russia in 1877. He graduated with an MD degree from the Military Medical Academy in St Petersburg, Russia, in 1904. Not being attracted to clinical practice, and after some hesitation concerning whether he would continue in history or basic science of medicine, he entered the laboratory of Professor Ivan Petrovich Pavlov. Although he maintained an interest in history, in Pavlov's exciting environment he became fully committed to physiology of the gastrointestinal system. He advanced quickly in Russia and was Professor of Physiology at the University of Odessa. In 1922, he was critical of the Bolshevik revolution, and after a short imprisonment, he was ordered to leave Russia. He was invited with his family by Professor EH Starling (the discoverer of secretin) to his department at University College, London, England. Two years later, he was offered a professorship in Canada at Dalhousie University, Halifax, Nova Scotia. After contributing there for four years, he joined McGill University, Montreal, Quebec, in 1928 as Research Professor. He remained there for the rest of his career. Between 1940 and 1941, he chaired the Department, and following retirement, he remained as Research Professor. At the invitation of the world-famous neurosurgeon, Wilder Penfield, Dr Babkin continued as Research Fellow in the Department of Neurosurgery until his death in 1950 at age 73. His major achievements were related to establishing the concept of brain-gut-brain interaction and the influence of this on motility, as well as on interface of multiple different cells, nerves and hormones on secretory function. He had a major role in the rediscovery of gastrin. He established a famous school of gastrointestinal physiologists at McGill University. He supported his trainees and helped them establish their careers. He received many honors: a DSc in London, England, and an LLD from Dalhousie University. Most importantly, he was the recipient of the Friedenwald Medal of the American Gastroenterological Association for lifelong contributions to the field. Dr Babkin taught us his philosophical aspect of approaching physiology, his devotion to his disciples and his overall kindness. Most importantly, he has proven that one can achieve international recognition by publishing mainly in Canadian journals. He is an example to follow.
Beck, Ivan T
2006-01-01
The present paper reviews the life and achievements of Professor Boris Petrovich Babkin (MD DSc LLD). History is only worth writing about if it teaches us about the future; therefore, this historical review concludes by describing what today’s and future gastrointestinal physiologists could learn from Dr Babkin’s life. Dr Babkin was born in Russia in 1877. He graduated with an MD degree from the Military Medical Academy in St Petersburg, Russia, in 1904. Not being attracted to clinical practice, and after some hesitation concerning whether he would continue in history or basic science of medicine, he entered the laboratory of Professor Ivan Petrovich Pavlov. Although he maintained an interest in history, in Pavlov’s exciting environment he became fully committed to physiology of the gastrointestinal system. He advanced quickly in Russia and was Professor of Physiology at the University of Odessa. In 1922, he was critical of the Bolshevik revolution, and after a short imprisonment, he was ordered to leave Russia. He was invited with his family by Professor EH Starling (the discoverer of secretin) to his department at University College, London, England. Two years later, he was offered a professorship in Canada at Dalhousie University, Halifax, Nova Scotia. After contributing there for four years, he joined McGill University, Montreal, Quebec, in 1928 as Research Professor. He remained there for the rest of his career. Between 1940 and 1941, he chaired the Department, and following retirement, he remained as Research Professor. At the invitation of the world-famous neurosurgeon, Wilder Penfield, Dr Babkin continued as Research Fellow in the Department of Neurosurgery until his death in 1950 at age 73. His major achievements were related to establishing the concept of brain-gut-brain interaction and the influence of this on motility, as well as on interface of multiple different cells, nerves and hormones on secretory function. He had a major role in the rediscovery of gastrin. He established a famous school of gastrointestinal physiologists at McGill University. He supported his trainees and helped them establish their careers. He received many honors: a DSc in London, England, and an LLD from Dalhousie University. Most importantly, he was the recipient of the Friedenwald Medal of the American Gastroenterological Association for lifelong contributions to the field. Dr Babkin taught us his philosophical aspect of approaching physiology, his devotion to his disciples and his overall kindness. Most importantly, he has proven that one can achieve international recognition by publishing mainly in Canadian journals. He is an example to follow. PMID:17001399
Acceptability of Bibliotherapy for Patients With Cancer: A Qualitative, Descriptive Study.
Roberts, Nicole; Lee, Virginia; Ananng, Bethsheba; Körner, Annett
2016-09-01
To determine the acceptability of a self-help workbook, Mastering the Art of Coping in Good Times and Bad, for patients with cancer. . Descriptive, qualitative. . Participants were recruited from the psychosocial support cancer centers of two tertiary care teaching hospitals in Montreal, Quebec, Canada. . 18 individuals diagnosed with cancer. . A semistructured interview guide with open-ended questions was used to gather feedback from participants about the workbook. . 18 participants completed the interviews from which the data emerged. Two main categories were identified from the respondents' interviews regarding the acceptability of the workbook. The first category focuses on content, whereas the other focuses on recommendations. Interviewees specified the following content as most helpful. Bibliotherapy gives patients access to knowledge to help them cope and engage in their own self-management. The workbook Mastering the Art of Coping in Good Times and Bad may be an acceptable means of helping them manage their stress. . Bibliotherapy is not only cost-effective and easy to administer but also an acceptable minimal intervention.
Roustit, Christelle; Chaix, Basile; Chauvin, Pierre
2007-10-01
Recent changes in family structure are associated with an increase in psychosocial maladjustment in adolescents. We examined, from a public health intervention perspective, the association between family breakup and psychosocial maladjustment in adolescents and assessed the mediating role of family-functioning variables. We analyzed data from the Social and Health Survey of Children and Adolescents in Quebec, Montreal, Canada, which was conducted in 1999. Sample-weighted logistic regression analyses were performed to determine the risk of internalizing disorders, externalizing disorders, substance abuse, and alcohol consumption in relation to family breakups and family-functioning variables, after adjusting for socioeconomic factors. All 4 of the indicators of psychosocial maladjustment were significantly associated with family breakup. The association between family breakups and internalizing disorders was mediated by parental psychological distress and low paternal emotional support. Independently, the witnessing of interparental violence was also strongly associated with internalizing disorders. For the other 3 outcomes, that is, externalizing disorders, substance abuse, and alcohol consumption, family breakup and family-functioning variables had independent effects. Family-based interventions and social approaches are complementary support modalities for adolescents experiencing family disruptions.
Venkataraman, Shruthi; Jordan, Gerald; Pope, Megan A; Iyer, Srividya N
2018-06-01
To better understand cultural competence in early intervention for psychosis, we compared service users' and service providers' perceptions of the importance of providers being culturally competent and attentive to aspects of culture. At a Canadian early intervention programme, a validated scale was adapted to assess service user (N = 51) and provider (N = 30) perceptions of service providers' cultural competence and the importance accorded thereto. Analyses of variance revealed that the importance of service providers being culturally competent was rated highest by service providers, followed by visible minority service users, followed by white service users. Providers rated themselves as being more interested in knowing about service users' culture than service users perceived them to be. Service users accorded less import to service providers' cultural competence than providers themselves, owing possibly to varied socialization. A mismatch in users' and providers' views on providers' efforts to know their users' cultures may influence mental healthcare outcomes. © 2017 John Wiley & Sons Australia, Ltd.
Risk assessment instruments in clinical practice.
Côté, Gilles; Crocker, Anne G; Nicholls, Tonia L; Seto, Michael C
2012-04-01
To determine whether the items in one of the most widely validated instruments of violence risk assessment, the Historical-Clinical-Risk Management-20 (HCR-20), are used in review board hearings to assess the risk of violence by people found Not Criminally Responsible on account of Mental Disorder (NCRMD). This study was conducted from October 2004 to August 2006 in Quebec's sole forensic psychiatric hospital and 2 large civil psychiatric hospitals designated for the care of people declared NCRMD in the Montreal metropolitan area. The risk assessments presented by clinicians at annual review board hearings and the boards' rationale for the release or detention of people found NCRMD were contrasted with the risk assessments conducted by the research team using the HCR-20. The final sample was comprised of 96 men. Very few of the risk factors identified by prior research (HCR-20 items) were mentioned in the hearing process, whether in clinical reports, discussions during the hearing, or in the disposition justification. The findings confirm that there remains a significant gap between research evidence and risk assessment practice.
Determinants of Child Attachment in the Years Postpartum in a High-Risk Sample of Immigrant Women.
Lecompte, Vanessa; Rousseau, Cécile
2017-10-07
Our goal was to examine maternal mental health and associated stresses in a sample of high-risk immigrant mothers, and its association with child insecure attachment in the years following childbirth. Mothers and their child (Mage = 37 months) were recruited through a Health and Social Service organization in the Parc-Extension neighborhood in Montreal, Quebec. Mothers completed the Hopkins Symptoms Checklist (HSCL-25), the Multidimensional Scale of Perceived Social Support (MPSS) and a sociodemographic questionnaire that included questions on premature delivery and birth weight. Attachment behaviors were coded out of a videotaped free play sequence using the Preschool and Early School-Age Attachment Rating Scales (PARS). Analysis revealed high levels of clinical anxiety and depression, low social support and low attachment security. Significant mean differences and associations were found between anxiety, depression, social support, preterm delivery and child attachment. These results underscore the importance of screening for anxiety and depression early in the postnatal years, in order to prevent associated consequences such as child insecure attachment. Results also highlight the importance of building positive social networks, especially with immigrant populations.
Hassan, Ghayda; Moreau, Nicolas; Thombs, Brett D.
2011-01-01
Objectives. We compared the evolution of perception of discrimination from 1998 to 2007 among recent Arab (Muslim and non-Muslim) and Haitian immigrants to Montreal; we also studied the association between perception of discrimination and psychological distress in 1998 and 2007. Methods. We conducted this cross-sectional comparative research with 2 samples: one recruited in 1998 (n = 784) and the other in 2007 (n = 432). The samples were randomly extracted from the registry of the Ministry of Immigration and Cultural Communities of Quebec. Psychological distress was measured with the Hopkins Symptom Checklist-25. Results. The perception of discrimination increased from 1998 to 2007 among the Arab Muslim, Arab non-Muslim, and Haitian groups. Muslim Arabs experienced a significant increase in psychological distress associated with discrimination from 1998 to 2007. Conclusions. These results confirm an increase in perception of discrimination and psychological distress among Arab Muslim recent immigrant communities after September 11, 2001, and highlight the importance this context may have for other immigrant groups. PMID:20724695
Diverse pathways to care for children with stomach pain in a Canadian cosmopolitan city.
Fortin, Sylvie; Gauthier, Annie; Gomez, Liliana; Bibeau, Gilles; Rasquin, Andrée; Faure, Christophe
2014-09-01
In Montreal, Quebec, 31% of the population is born outside Canada. Yet, only 9% of patient consultations for symptoms associated with functional gastrointestinal disorders (FGIDs) are from immigrants at the Paediatric Gastroenterology Clinic at Sainte-Justine's University Hospital Centre. This discrepancy inspired a multidisciplinary exploratory study (anthropological and paediatric) to examine the sociological, interpretative and pragmatic aspects of immigrant and non-immigrant patients and family life with FGIDs. This paper examines the discrepancy between immigrant and non-immigrant paediatric patients with FGIDs and presents the different pathways to care utilised by families. Semi-structured interviews were carried out between November 2008 and June 2009, with children and their parents. In total, 38 families were recruited: with 27 families (including a child experiencing abdominal pain, his/her siblings, mother and/or father as well as any other significant individual living in the family home) from the community and 11 from the paediatric gastroenterology clinic. A comparative analysis between the immigrant and non-immigrant groups focused on perceptions, meanings and actions taken to relieve/alleviate symptoms. Immigrant and non-immigrant families alternate and combine different therapeutic environments: home, alternative healing therapies and medical paths to care. Our analysis suggests that culture (as a set of values, beliefs and ways of being), as well as social interactions within family life and the clinic, shape pathways to care. The analysis highlights the centrality of receptiveness--and more widely the social dimensions--of all medical encounters. Treatment disparities between immigrant and non-immigrant families in pathways to care help us to understand these patients' social world and the intricate relationships between values and social milieux, between culture, practices of symptom management and rationales guiding diverse therapeutic actions. © 2014 John Wiley & Sons Ltd.
NUTRITION AND METABOLISM OF MARINE BACTERIA1
Takacs, Frank P.; Matula, Tibor I.; MacLeod, Robert A.
1964-01-01
Takacs, Frank P. (McGill University, Montreal, Quebec, Canada), Tibor I. Matula, and Robert A. MacLeod. Nutrition and metabolism of marine bacteria. XIII. Intracellular concentrations of sodium and potassium ions in a marine pseudomonad. J. Bacteriol. 87:510–518. 1964.—Washed cells of a marine pseudomonad were suspended in buffered salt solutions containing, in addition to MgSO4, NaCl and KCl at various concentrations. The cells were centrifuged from the medium and analyzed for Na+ and K+. Inulin and C14-carboxypolyglucose were employed to estimate the volume of extracellular fluid associated with the packed cells. Intracellular Na+ and K+ concentrations were determined by correcting for the amount of Na+ and K+ in the extracellular fluid. At all levels of Na+ in the suspending medium (0 to 1 m), the intracellular and extracellular Na+ concentrations within the limits of experimental error were the same. The intracellular K+ concentrations were approximately double the extracellular concentrations at the two levels of K+ tested (0.01 and 0.15 m) and were not influenced by the amount of Na+ present. Intracellular and extracellular Cl− concentrations were the same at the one level of Cl− examined. The intracellular fluid volume varied with the NaCl or KCl concentration of the suspending medium, being greatest in the absence of added salts, decreasing to a minimum at 0.3 m salt, and then increasing slightly at higher salt concentrations. Most of the intracellular Na+ could be removed by washing with solutions of MgSO4 or sucrose, but a small amount [10 to 15 μmoles/g (dry weight)] remained bound to the cells. PMID:14129666
Diaconu, Gabriel; Turecki, Gustavo
2009-11-01
To explore the association between obsessive-compulsive personality disorder (OCPD) and suicidal behavior. Subjects referred for a psychiatric consultation were evaluated with structured interviews for mood and personality disorders (the Structured Clinical Interview for DSM-III-R and the Structured Clinical Interview for DSM-III-R Axis II Disorders), a history of suicidal behavior, and levels of coping. A total of 311 subjects were investigated using a 3-group design to test the association between OCPD and suicidal behavior, controlling for the presence of depression. Subjects with OCPD and a history of depression were compared to depressed subjects without any Axis II diagnosis and to subjects without depression or personality disorders. The study was conducted at Verdun Community Psychiatric Clinic, Douglas Hospital, McGill University, in Montreal, Quebec, Canada, and subjects were recruited from 2003 until 2005. Subjects in the comorbid OCPD-depression group presented increased current and lifetime suicide ideation compared to the groups with depression alone or without depression or personality disorders (P = .004); they also had increased history of suicide attempts (P = .04), which were often multiple attempts (P = .01). They also scored lower on the Reasons for Living Inventory (RFL) and the Death Anxiety Questionnaire. Interestingly, comorbid OCPD-depression patients differed from patients with depression alone on the Moral Objections items of the RFL, on which individuals with OCPD-depression scored lowest. Limitations of this study were its cross-sectional design, retrospective sample, and limited generalizability to the population at large. Obsessive-compulsive personality disorder is a factor increasing risk for nonfatal suicidal behavior independently of risk conferred by depressive disorders. Copyright 2009 Physicians Postgraduate Press, Inc.
Relationship between protein intake and dynapenia in postmenopausal women.
Filion, M E; Barbat-Artigas, S; Dupontgand, S; Fex, A; Karelis, A D; Aubertin-Leheudre, M
2012-07-01
The purpose of this study was to investigate the relationship between protein intake and dynapenia. A cross-sectional/observational study. Department of Kinanthropology at the University of Quebec at Montreal. Seventy-two non-frail postmenopausal women aged between 50 to 75 years were recruited. Body weight (BW), lean body mass (LBM; %) and skeletal muscle mass (bio-electrical impedancemetry analysis), maximum voluntary handgrip strength (using hand dynamometer), aerobic capacity (VO2peak) and dietary intake were measured. Women were divided according to dynapenia criteria. The strongest correlation between muscle strength and protein intake was observed when we express the amount of protein in g/d/BW. No differences for age, BMI, status of menopause, fat mass and VO2peak were observed between non-dynapenic, type I dynapenic and type II dynapenic women, independently of the criteria used. We observed significant differences in protein intake (g/d/BW) between non-dynapenic and type II dynapenic (p<0.01) as well as between type I dynapenic and type II dynapenic (p<0.01) when dynapenia was expressed in kg/BW and in kg/LBM, respectively. It should be noted that no differences in LBM between the three groups were observed when dynapenia was expressed in kg/BW and kg/LBM. Protein intake for all groups respected the RDA of 0.8 to 1.2 g/d/BW (non-dynapenic: 1.44/1.38; type I dynapenic: 1.30/1.33; type II dynapenic: 1.05/1.08 g/d/BW). Protein intake seems to play a role in the development of dynapenia particularly at the level of type II dynapenia. Therefore, an increase in the recommended daily allowance for protein intake may be warranted.
47 CFR 87.285 - Scope of service.
Code of Federal Regulations, 2014 CFR
2014-10-01
.... Equipment must be designed so that it will engage in data link exchange only with the aircraft whose... obtained from the ICAO, Customer Services Unit, 999 University Street, Montréal, Quebec H3C 5H7, Canada, by...
Lyons, Christopher
2007-01-01
The Osler Library of the History of Medicine was opened in 1929 at McGill University, Montreal, Canada. Sir William Osler (1849-1919), arguably McGill's and Canada's most famous doctor at the time, had bequeathed his magnificent library of almost 8,000 historical works in medicine and, to a lesser extent, science and literature to the university. Under the 30-year reign of its first librarian, Dr. W W. Francis, the Osler Library became famous for its rare books and for its connection with Sir William. Since the 1950s, however, the library has pursued an active collection development policy for both primary and secondary material that has taken it far beyond Osler's original gift. The library has grown in both the size and scope of its holdings and the services it offers to scholars and students of the history of medicine. These have made the Osler Library a major resource centre for studies in the history of the health sciences. This article looks at the Osler Library today in the hopes of making the range of its collections and services better known to the Canadian and international communities.
Lapaige, Véronique; Essiembre, Hélène
2010-01-01
It has become increasingly clear to the international scientific community that climate change is real and has important consequences for human health. To meet these new challenges, the World Health Organization recommends reinforcing the adaptive capacity of health systems. One of the possible avenues in this respect is to promote awareness and knowledge translation in climatic health, at both the local and global scales. Within such perspective, two major themes have emerged in the field of public health research: 1) the development of advanced training adapted to 'global environment' change and to the specific needs of various groups of actors (doctors, nurses, public health practitioners, health care managers, public service managers, local communities, etc) and 2) the development of strategies for implementing research results and applying various types of evidence to the management of public health issues affected by climate change. Progress on these two fronts will depend on maximum innovation in transdisciplinary and transsectoral collaborations. The general purpose of this article is to present the program of a new research and learning chair designed for this double set of developmental objectives - a chair that emphasizes 'innoversity' (the dynamic relationship between innovation and diversity) and 'transfrontier ecolearning for adaptive actions'. The Écoapprentissages, santé mentale et climat collaborative research chair (University of Montreal and Quebec National Public Health Institute) based in Montreal is a center for 'transdisciplinary research' on the transfrontier knowledge-for-action that can aid adaptation of the public health sector, the public mental health sector, and the public service sector to climate change, as well as a center for complex collaborations on evidence-based climatic health 'training'. This program-focused article comprises two main sections. The first section presents the 'general' and 'specific contexts' in which the chair emerged. The 'general context' pertains to the health-related challenge of finding ways to integrate, transfer, and implement knowledge, a particularly pointed challenge in Canada. The 'specific context' refers to the emerging research field of adaptation of public health to climate change. In the second section, the characteristics of the research chair are more extensively detailed (the vision of 'innoversity' and ' transfrontier knowledge-for-action,' the approach of shared responsibility and complex collaboration, objectives, and major axes of research). We conclude with a call for complex collaboration toward knowledge-for-action in public health services/mental health services/public services' adaptation to climate change: this call is aimed at individual and institutional actors in the North and South/West and East concerned by these issues.
Mass Communication: A Guide to Reference Sources.
ERIC Educational Resources Information Center
McGill Univ., Montreal (Quebec). McLennan Library.
For the study of mass communication in social, cultural and political contexts, this annotated resource guide presents a list of materials available in the McGill University Libraries in Montreal, Canada. As a select bibliography, the guide concentrates on current sources, although some historical coverage of newspaper and journalism is included.…
ERIC Educational Resources Information Center
Shulman, Harvey
2002-01-01
Three faculty members of Concordia University in Montreal, who played integral roles in the formation of a highly successful core curriculum as part of their institution, discuss the logistics, the politics, and the philosophy behind the founding and growth of their Liberal Arts College. For Harvey Shulman, the program, which has attracted…
Economics: A Guide to Reference Sources.
ERIC Educational Resources Information Center
Mason, Mary, Comp.
Approximately 84 reference materials on economics located in the McLennan Library, McGill University (Montreal), are cited in this annotated bibliography. The bibliography serves to provide an overview of the printed bibliographic and reference sources useful for the study of economics. Financial and business sources and statistical compendia and…
Fostering Problem-Solving in a Virtual Environment
ERIC Educational Resources Information Center
Morin, Danielle; Thomas, Jennifer D. E.; Saadé, Raafat George
2015-01-01
This article investigates students' perceptions of the relationship between Problem-Solving and the activities and resources used in a Web-based course on the fundamentals of Information Technology at a university in Montreal, Canada. We assess for the different learning components of the course, the extent of perceived problem-solving skills…
Anthropology: Guide to Reference Sources.
ERIC Educational Resources Information Center
Mason, Mary G., Ed.
More than 80 anthropology source materials concentrating on cultural and social anthropology are cited in this annotated bibliography. Materials, located in the McLennan Library at McGill University (Montreal), are listed according to type of material. Library of Congress call numbers are presented; dates of publication range from 1950 to 1985.…
AGE-RELATED, MULTIPLE-SYSTEM EFFECTS FROM ENVIRONMENTAL EXPOSURE TO AIRBORNE MANGANESE (MN)
Past research has tentatively associated excessive manganese (Mn) exposure with Parkinson-like effects in older adults, violent and aggressive behavior in young adults, and learning and neurobehavioral deficits in elementary school children. Our recent EPA/University of Quebec at...
Communication Analysis of Environment.
ERIC Educational Resources Information Center
Malik, M. F.; Thwaites, H. M.
This textbook was developed for use in a Concordia University (Quebec) course entitled "Communication Analysis of Environment." Designed as a practical application of information theory and cybernetics in the field of communication studies, the course is intended to be a self-instructional process, whereby each student chooses one…
Russian History; A Guide to Reference Sources.
ERIC Educational Resources Information Center
McGill Univ., Montreal (Quebec). McLennan Library.
This guide identifies reference sources for the study of Russian and Soviet history available in the McGill University (Montreal) McLennan Library. Russian, English, French, and German language works covering Russian history from its origins to World War II are included. The guide is arranged in two parts: general reference sources and…
Sociology: A Guide to Reference Sources.
ERIC Educational Resources Information Center
Giffin, Meredith
Sociology, the study of the organization and activities of human societies, encompasses many fields of inquiry and consequently the literature of the discipline is vast. In providing access to some of this literature, this guide concentrates on reference sources which may be found in McLennan Library of McGill University, Montreal, Canada. Areas…
Indigenous Nutrition: Using Traditional Food Knowledge to Solve Contemporary Health Problems
ERIC Educational Resources Information Center
Milburn, Michael P.
2004-01-01
There is a growing recognition of the need to change current dietary patterns and of the value of traditional foodways. The Center for Indigenous Peoples' Nutrition and Environment, based at McGill University in Montreal, is a research and education resource for Indigenous Peoples created by Canada's Aboriginal Leaders to support traditional…
Pratique d'apprentissage en ligne aux etudes superieures (Online Learning for Higher Education).
ERIC Educational Resources Information Center
Marchand, Louise
2001-01-01
Online learning requires new approaches to teaching and learning. At the University of Montreal, 28 graduate students in education and adult students specializing in educational technology attended an experimental distance education course. Students identified advantages and disadvantages of online learning/teaching and reflected on how the course…
Education Relative a l'Environnement: Regards, Recherches, Reflexions. Volume 1.
ERIC Educational Resources Information Center
1999
This document reports the work of an inter-university colloquium in Montreal in November, 1997 on research on the evaluation of education relative to the environment. Papers include: (1) "Un "patrimoine" de recherche en construction" (Lucie Sauve); (2) "Pour une recherche en education relative l'environnement "centree sur l'objet partage"" (Louis…
Interdisciplinarity: Policies and Practices. AIR Forum Paper 1978.
ERIC Educational Resources Information Center
Assimopoulos, Nadia; Belanger, Charles H.
Interdisciplinary policies and practices at the University of Montreal were studied to determine their effectiveness. The three study objectives were to: (1) determine the magnitude of the range set up by the department degree structure to give student majors an opportunity to take courses outside their basic discipline; (2) assess the degree of…
Education Relative a l'Environnement: Regards, Recherches, Reflexions. Volume 2.
ERIC Educational Resources Information Center
2000
This document reports the work of inter-university research taken in Montreal in November, 2000 of research on the evaluation of education relative to the environment. Papers include: (1) "Quelle evaluation pour quelle education relative l'environnement?" (Georgia Liarakou and Eugenie Flogaitis); (2) "Quand evaluer c'est apprendre ensemble: Une…
Two decades of cardiac transplantation at the Montreal Heart Institute
Jacques, Frédéric; Carrier, Michel; Pelletier, Guy B; White, Michel; Racine, Normand; Pellerin, Michel; Bouchard, Denis; Demers, Philippe; Perrault, Louis P
2008-01-01
BACKGROUND: The first heart transplantation in Canada was performed in 1968 at the Montreal Heart Institute (Montreal, Quebec). After nine patients transplanted in the precyclosporine era, the program was stopped. With the advent of cyclosporine, the program was reactivated in 1983. OBJECTIVE: To review the experience of the Montreal Heart Institute with heart transplantation between 1983 and 2005. METHODS: Three hundred patients underwent heart transplantation and were followed at the transplant clinic. Patients were divided into two groups: group 1 – first decade (1983 to 1993, n=145) and group 2 – second decade (1994 to 2005, n=155). RESULTS: There were 125 men (86%) and 20 women (14%) with a mean age of 45±10 years in group 1 compared with 118 men (76%) and 37 women (24%) with a mean age of 48±12 years in group 2 (P=0.03 and P=0.02, respectively). Indications for transplantation included congestive heart failure and/or ischemic heart disease in the majority of patients of both groups, with 83% in group 1 and 73% in group 2, respectively. In group 1, 30 patients (21%) required preoperative pharmacological support and 13 patients (9%) were on mechanical support compared with 16 (10%) and 34 (22%) patients in group 2 (P<0.01). The mean age of donors was 27±10 years and 34±13 years in groups 1 and 2, respectively (P<0.01). Major causes of mortality for donors included a motor vehicle accident in 65 cases (45%) and brain hemorrhage in 43 cases (30%) in group 1 compared with 34 cases (22%) and 68 cases (44%) in group 2 donors (P<0.01). The one-, five- and 10-year actuarial survival rates were 86%, 77% and 71%, respectively, in group 1 compared with 84%, 80% and 68%, respectively, in group 2 (P=0.95). The one-, five- and 10-year freedom from rejection rates were 35%, 28% and 25%, respectively, in group 1 compared with 41%, 36% and 33%, respectively, in group 2 (P=0.13). The one-, five- and 10-year freedom from infection rates were 38%, 24% and 17%, respectively, in group 1 compared with 37%, 23% and 19%, respectively, in group 2 (P=0.72). The one- and five-year freedom from graft coronary artery disease rates were 93% and 67%, respectively, in group 1 compared with 88% and 81%, respectively, in group 2 (P<0.01). The one-, five- and 10-year cancer-free survival rates were 98%, 91% and 73%, respectively, in group 1 compared with 98%, 90% and 77%, respectively, in group 2 (P=0.76). CONCLUSIONS: Patients who underwent heart transplantation in the second decade of the investigators’ experience were older and in worse pre-operative clinical condition; the donors were also older. However, survival and event-free survival rates remained similar throughout both periods. PMID:18340393
Rossignol, M; Abenhaim, L; Bonvalot, Y; Gobeille, D; Shrier, I
1996-12-15
A prospective cohort study. To describe health services utilization for low back pain in the province of Quebec, Canada, and to compare it with North American guidelines. The Quebec Task Force and the Agency for Health Care Planning and Research (United States) published guidelines for the management of low back pain in 1987 and 1994, respectively. A cohort of 2147 adults with low back pain identified at the Quebec Worker's Compensation Board were selected randomly and observed over 2 years' time for their health care utilization profile. During the study period, 57.8% of the workers still under active care 7 weeks after their back injury had not yet been referred to a specialist. Specialized imaging techniques were obtained by 4.5% of the patients, with a delay of 7 weeks or more in 66% of them. Surgery was performed on 1.6% of the patients. The presence of an initial specific diagnosis and proximity to a university hospital significantly increased utilization rate and reduced the delays. Health services utilization for back pain in Quebec was equal or lower to what currently is practiced elsewhere, but access to specialists was not meeting the current recommendations. This would represent a 12% net increase in new specialist contacts and a quicker access in 39% who saw a specialist. Before such an effort can be considered, health care planners will need a better definition of the role of the specialist consultation in the guidelines and scientific evidence specifically addressing their benefit in primary care, especially in the absence of a specific diagnosis.
SAFARI: An Environment for Creating Tutoring Systems in Industrial Training.
ERIC Educational Resources Information Center
Gecsei, J.; Frasson, C.
Safari is a cooperative project involving four Quebec universities, two industrial partners (Virtual Prototypes, Inc., providing the VAPS software package, and Novasys, Inc., a consulting firm specializing in artificial intelligence and training), and government. VAPS (Virtual Applications Prototyping System) is a commercial interface-building and…
Native Peoples. A Guide to Reference Sources.
ERIC Educational Resources Information Center
McGill Univ., Montreal (Quebec). Libraries.
This guide from McGill University (Quebec, Canada) emphasizes sources for ethnological research and includes materials reflecting concerns of social anthropology and historical approaches to the study of native peoples. Some government documents and map collections are included. Sources are arranged in the following categories: (1) handbooks and…
NewSpace: The Emerging Commercial Space Industry
NASA Technical Reports Server (NTRS)
Martin, Gary L.
2014-01-01
Presenter will give a lecture on the emerging commercial space industry at International Space University's 2014 Space Studies Program (SSP) at McGill University in Montreal, Canada. The presentation consists of 38 Powerpoint slides and describes the emerging commercial space sector, key players and capabilities. The slides explain which areas that the commercial sector is taking hold, what new markets are attracting start up companies, and which companies are participating. A discussion of how governments can help with the new industry's development is offered.
Kestens, Yan; Lebel, Alexandre; Chaix, Basile; Clary, Christelle; Daniel, Mark; Pampalon, Robert; Theriault, Marius; P Subramanian, S V
2012-01-01
Environmental exposure to food sources may underpin area level differences in individual risk for overweight. Place of residence is generally used to assess neighbourhood exposure. Yet, because people are mobile, multiple exposures should be accounted for to assess the relation between food environments and overweight. Unfortunately, mobility data is often missing from health surveys. We hereby test the feasibility of linking travel survey data with food listings to derive food store exposure predictors of overweight among health survey participants. Food environment exposure measures accounting for non-residential activity places (activity spaces) were computed and modelled in Montreal and Quebec City, Canada, using travel surveys and food store listings. Models were then used to predict activity space food exposures for 5,578 participants of the Canadian Community Health Survey. These food exposure estimates, accounting for daily mobility, were used to model self-reported overweight in a multilevel framework. Median Odd Ratios were used to assess the proportion of between-neighborhood variance explained by such food exposure predictors. Estimates of food environment exposure accounting for both residential and non-residential destinations were significantly and more strongly associated with overweight than residential-only measures of exposure for men. For women, residential exposures were more strongly associated with overweight than non-residential exposures. In Montreal, adjusted models showed men in the highest quartile of exposure to food stores were at lesser risk of being overweight considering exposure to restaurants (OR = 0.36 [0.21-0.62]), fast food outlets (0.48 [0.30-0.79]), or corner stores (0.52 [0.35-0.78]). Conversely, men experiencing the highest proportion of restaurants being fast-food outlets were at higher risk of being overweight (2.07 [1.25-3.42]). Women experiencing higher residential exposures were at lower risk of overweight. Using residential neighbourhood food exposure measures may underestimate true exposure and observed associations. Using mobility data offers potential for deriving activity space exposure estimates in epidemiological models.
Nosyk, Bohdan; Brissette, Suzanne; Chettiar, Jill; Schneeberger, Pascal; Marsh, David C.; Krausz, Michael; Anis, Aslam; Schechter, Martin T.
2008-01-01
The North American Opiate Medication Initiative (NAOMI) is a randomized controlled trial evaluating the feasibility and effectiveness of heroin-assisted treatment (HAT) in the Canadian context. Our objective is to analyze the profile of the NAOMI participant cohort in the context of illicit opioid use in Canada and to evaluate its comparability with patient profiles of European HAT studies. Recruitment began in February 2005 and ended in March 2007. Inclusion criteria included opioid dependence, 5 or more years of opioid use, regular opioid injection, and at least two previous opiate addiction treatment attempts. Standardized assessment instruments such as the European Addiction Severity Index and the Maudsley Addiction Profile were employed. A total of 251 individuals were randomized from Vancouver, BC (192, 76.5%), and Montreal, Quebec (59, 23.5%); 38.5% were female, the mean age was 39.7 years (SD:8.6), and participants had injected drugs for 16.5 years (SD:9.9), on average. In the prior month, heroin was used a mean of 26.5 days (SD:7.4) and cocaine 16 days (SD;12.6). Vancouver had significantly more patients residing in unstable housing (88.5 vs. 22%; p < 0.001) and higher use of smoked crack cocaine (16.9 days vs. 2.3 days in the prior month; p < 0.001), while a significantly higher proportion of Montreal participants reported needle sharing in the prior 6 months (25% vs. 3.7%; p < 0.001). In many respects, the patient cohort was similar to the European trials; however, NAOMI had a higher proportion of female participants and participants residing in unstable housing. This study suggests that the NAOMI study successfully recruited participants with a profile indicated for HAT. It also raises concern about the high levels of crack cocaine use and social marginalization. PMID:18758964
Chase, Liana E; Cleveland, Janet; Beatson, Jesse; Rousseau, Cécile
2017-06-01
In 2012 the Canadian government made significant cuts to its historically strong federal refugee health coverage plan. While this policy had negligible effects on the level of coverage provided to asylum seekers in Quebec, there is evidence that this group nonetheless experienced reduced healthcare access during the period of polarized national debate that ensued. This study engaged the "candidacy" model of healthcare access to illuminate factors contributing to the observed gap between entitlement and access. Twenty-five semi-structured interviews were conducted with asylum seekers in Montreal to elicit narrative accounts of difficulties encountered in the pursuit of healthcare. Thematic content analysis in conjunction with a holistic examination of help-seeking trajectories revealed several important barriers to obtaining care, including widespread confusion and misinformation about refugee health coverage, cumbersome administrative procedures specific to asylum seekers, and long wait times. Feelings of marginalization and insecurity associated with precarious migratory status appeared to amplify the effects of these barriers to care such that even a minor access difficulty could have dramatic effects on future help-seeking and access outcomes. Demonstrating awareness of public discourses interrogating their deservingness of health coverage, participants often interpreted access difficulties as evidence of health professionals' unwillingness to serve them. Such interpretations conspired with fears associated with the asylum claim process to suppress self-advocacy, further help-seeking, and at times even information-seeking. This finding is particularly significant in that it suggests a mechanism through which hostile public representations of forced migrants-increasingly prevalent in Western host countries-can themselves endanger the physical, psychological, and social health of highly disadvantaged populations, even in the presence of strong entitlement policies. We close with reflections on how theoretical models of healthcare access might be adjusted to better accommodate the unique experiences of precarious status migrants. Copyright © 2017 Elsevier Ltd. All rights reserved.
Engler, Kim; Rollet, Kathleen; Lessard, David; Thomas, Réjean; Lebouché, Bertrand
2016-04-01
Increasing access and uptake of HIV testing among at-risk women is needed. Examining women's motives for visiting a community-based rapid HIV testing site (Actuel sur Rue-AsR) oriented to men who have sex with men (MSM) could offer suggestions. To compare the "heterosexual" female and male clients of AsR, located in Montreal's (Canada) gay village, to better understand the women's particular HIV prevention and sexual health service needs. This cross-sectional pilot study analyzed questionnaire data provided by AsR clients and staff (nurse and community agent teams) between July 2012 and November 2013. Women and men reporting only opposite-sex partners were compared with chi-square, Fisher's exact, and Kruskal-Wallis tests, as appropriate, on sociodemographics, HIV-related behaviors, motives for visiting AsR, and health service provision. AsR received 1901 clients. Among these, 55 women and 147 men reported only opposite-sex partners. Women were significantly younger. Significantly greater proportions of women visited AsR because no appointment was necessary (67% vs. 48%), sought testing for condom failure (18% vs. 5%), and had no regular doctor (44% vs. 27%). Both groups mainly chose AsR for the rapid test results (80% and 77%), visited it to receive the rapid HIV test (71% and 76%), and sought testing due to unprotected vaginal sex (44% and 43%). Similar proportions saw the nurse (91% and 89%), received the rapid HIV test (44% and 35%), and were linked to a medical clinic (49% and 52%), especially, to receive complete sexually transmitted infection testing (50% and 44%). The results of this innovative study highlight the draw of rapid HIV testing for "heterosexual" users of a site mainly targeting MSM. They also suggest that further research is warranted into the importance for this group of women clients of drop-in and linkage services, particularly given their possible lesser access to regular care. © The Author(s) 2016.
Evaluation of a High-End Distance Delivery MBA Program.
ERIC Educational Resources Information Center
Dicks, Dennis
The John Molson School of Business at Concordia University in Montreal has been addressing the need for new skills in aviation management for almost a decade through its International Aviation MBA, in partnership with the International Air Transport Association (IATA). The School set out in early 1999 to create a version of the program which could…
Why Some Stay: A Study of Factors Contributing to Persistence in Undergraduate Physics.
ERIC Educational Resources Information Center
Vazquez-Abad, Jesus; Winer, Laura R.; Derome, Jean-Robert
1997-01-01
Relates that concerns about the dropout rate among physics majors at the University of Montreal (Canada) led to a study of student persistence. Indicates that those who dropped out and those who stayed differed in their perceptions of their skills and knowledge, and their confidence in finishing the program. Presents preliminary recommendations.…
Fifty Years in Child and Adolescent Psychiatry
ERIC Educational Resources Information Center
Werry, John
2013-01-01
John Werry completed training in child and adolescent psychiatry at McGill University in Montreal, and has been a world renowned leader in children's mental health. Drawing on a half century of work in Canada, the United States, and his native New Zealand, he shares his reflections and vision for the future in the interview given for this…
Professional Training in Listening and Spoken Language--A Canadian Perspective
ERIC Educational Resources Information Center
Fitzpatrick, Elizabeth
2010-01-01
Several factors undoubtedly influenced the development of listening and spoken language options for children with hearing loss in Canada. The concept of providing auditory-based rehabilitation was popularized in Canada in the 1960s through the work of Drs. Daniel Ling and Agnes Ling in Montreal. The Lings founded the McGill University Project for…
Inflation Is Pricing Out Quality. AIR Forum 1981 Paper.
ERIC Educational Resources Information Center
Belanger, Charles H.; Lavallee, Lise
The way that inflation has created pressure points on quantity of resouces and quality of outcomes in postsecondary education is examined, along with the situation of the chemistry department of the University of Montreal. Data from the chemistry department for 1971-80 are used to assess the impact of inflation on various objects of expenditures…
Body Talk: Examining a Collaborative Multiple-Visit Program for Visitors with Eating Disorders
ERIC Educational Resources Information Center
Baddeley, Gwen; Evans, Laura; Lajeunesse, Marilyn; Legari, Stephen
2017-01-01
"Sharing the Douglas/Sharing the Museum," a collaboration program of the Montreal Museum of Fine Arts (MMFA), the Douglas Mental Health Institute and the Department of Creative Arts Therapies at Concordia University, serves patients from the Eating Disorder Unit of the Douglas. Participants eat lunch at the museum and look at, talk…
ERIC Educational Resources Information Center
Austin, David
2009-01-01
Drawing on his personal experience as a university student in the 1990s as well as those of a little-known 1960s Montreal-based group, the Caribbean Conference Committee, Austin calls for a return of community education and to the idea that education has meaning and value on its own term. He argues that the joining of theory with practice…
ERIC Educational Resources Information Center
Lange, Jessica; Lannon, Amber; McKinnon, Dawn
2014-01-01
This article explores the closing of the Howard Ross Library of Management at McGill University, Montreal, Canada. We hypothesized that closing a branch library would result in a decline in the use of library services. We measured library service using circulation statistics, library instruction workshop statistics, and data from the online survey…
Nontraditional Student Withdrawal from Undergraduate Accounting Programmes: A Holistic Perspective
ERIC Educational Resources Information Center
Fortin, Anne; Sauvé, Louise; Viger, Chantal; Landry, France
2016-01-01
A collaborative project of several Quebec universities, this study investigates nontraditional student withdrawal from undergraduate accounting programmes. A nontraditional student is older than 24, or is a commuter or a part-time student, or combines some of these characteristics. Univariate and multivariate analyses of student dropout factors…
"CanCore": In Canada and around the World
ERIC Educational Resources Information Center
Friesen, Norm
2005-01-01
In this article, the author discusses "CanCore," a learning resource metadata initiative funded by Industry Canada and supported by Athabasca University, Alberta, and TeleUniversite du Quebec, and describes the increasing range of international uses of the "CanCore" metadata for the indexing of learning objects.…
Mulcahy, D M; McCormack, D M; Stephens, M M
1998-12-01
Intra-articular calcaneal fractures are associated with significant long-term morbidity, and considerable controversy exists regarding the optimum method of treating them. The contact characteristics in the intact subtalar joint were determined at known loads and for different positions of the ankle and subtalar joint, using pressure-sensitive film (Super Low; Fuji, Itochu Canada Ltd, Montreal, Quebec). We measured the contact area to joint area ratio (pressure > 5 kg force/cm2 [kgf/cm2]) which normalizes for differences in joint size and the ratio of high pressure zone (>20 kgf/cm2) as a reflection of overall increase in joint pressure. Three simulated fracture patterns were then created and stabilized with either 1 or 2 mm of articular incongruity. Eight specimens were prepared with a primary fracture line through the posterior facet, eight with a joint depression-type fracture, and six with a central joint depression fracture. A measure of 1 to 2 mm of incongruity in the posterior facet for all three fracture patterns produced significant unloading of the depressed fragment, with a redistribution of the overall pattern of pressure distribution to parts of the facet that were previously unloaded.
A population-based case-control study of cancer of the bile ducts and gallbladder in Quebec, Canada.
Ghadirian, P; Simard, A; Baillargeon, J
1993-01-01
In a population-based case-control study of pancreatic cancer in Greater Montreal between 1984 and 1988, a total of 24 patients with cancer of the bile ducts and 33 patients suffering from cancer of the gallbladder were compared to 239 population-based controls. This study was part of the SEARCH program of the International Agency for Research on Cancer. In cases of cancer of the bile ducts, smoking nonfiltered cigarettes produced a relative risk of 2.82 and a 95% confidence interval of 1.01-7.86 after adjustment for age, sex, other smoking habits, alcohol consumption, schooling, and respondent status. Laxative intake was associated with a risk of 2.87 (1.00-8.22). Coffee drinkers were collectively at lower risk than non-drinkers: OR = 0.26 (0.07-0.95). In patients with cancer of the gallbladder, constipation was related to a risk of 3.19 (1.02-9.95) after adjustment for the same factors. In cases with previous gallbladder problems, the risk was found to be significant [OR = 7.96 (2.03-31.2)], 8 times greater in cases than in controls.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Gardiner, K.
Tremendous progress has been made in the construction of physical and genetic maps of the human chromosomes. The next step in the solving of disease related problems, and in understanding the human genome as a whole, is the systematic isolation of transcribed sequences. Many investigators have already embarked upon comprehensive gene searches, and many more are considering the best strategies for undertaking such searches. Because these are likely to be costly and time consuming endeavors, it is important to determine the most efficient approaches. As a result, it is critical that investigators involved in the construction of transcriptional maps havemore » the opportunity to discuss their experiences and their successes with both old and new technologies. This document contains the proceedings of the Fourth Annual Workshop on the Identification of Transcribed Sequences, held in Montreal, Quebec, October 16-18, 1994. Included are the workshop notebook, containing the agenda, abstracts presented and list of attendees. Topics included: Progress in the application of the hybridization based approaches and exon trapping; Progress in transcriptional map construction of selected genomic regions; Computer assisted analysis of genomic and protein coding sequences and additional new approaches; and, Sequencing and mapping of random cDNAs.« less
What can organizations do to improve family physicians’ interprofessional collaboration?
Perreault, Kadija; Pineault, Raynald; Da Silva, Roxane Borgès; Provost, Sylvie; Feldman, Debbie E.
2017-01-01
Abstract Objective To assess the degree of collaboration in primary health care organizations between FPs and other health care professionals; and to identify organizational factors associated with such collaboration. Design Cross-sectional survey. Setting Primary health care organizations in the Montreal and Monteregie regions of Quebec. Participants Physicians or administrative managers from 376 organizations. Main outcome measures Degree of collaboration between FPs and other specialists and between FPs and nonphysician health professionals. Results Almost half (47.1%) of organizations reported a high degree of collaboration between FPs and other specialists, but a high degree of collaboration was considerably less common between FPs and nonphysician professionals (16.5%). Clinic collaboration with a hospital and having more patients with at least 1 chronic disease were associated with higher FP collaboration with other specialists. The proportion of patients with at least 1 chronic disease was the only factor associated with collaboration between FPs and nonphysician professionals. Conclusion There is room for improvement regarding interprofessional collaboration in primary health care, especially between FPs and nonphysician professionals. Organizations that manage patients with more chronic diseases collaborate more with both non-FP specialists and nonphysician professionals. PMID:28904048
A comparison of teacher and principal perception of an outstanding biology teacher
NASA Astrophysics Data System (ADS)
Searles, William E.; Ng, Raymond W. M.
The purpose of this study was to ascertain the level of agreement or disagreement between principals and teachers when using established criteria to measure the effectiveness of a biology teacher. To obtain information regarding their perceptions of an outstanding biology teacher, twenty-two principals and forty-one biology teachers were chosen randomly from English-speaking high schools within a 50 km radius of metropolitan Montreal, Quebec, Canada. The measuring instrument was a modified version of Dieter's questionnaire that evolved from his doctoral study of the National Association of Biology Teachers-Outstanding Biology Teacher Award Program. The data collected from the two populations were tested using one-way ANOVA (analysis of variance) or by applying normal approximation. Results indicated that both the principals and teachers agree on the relative importance of most criteria, particularly those related to the teacher's classroom behavior and academic background in biology. From such results, it was possible to construct one stereotype of the outstanding biology teacher. A number of recommendations were made from the results of the study, which were directed to the (a) teachers and their professional organization, (b) principals and the school boards, (c) teacher training institutions, and (d) researchers in teacher evaluation.
Houde, Magali; Berryman, David; de Lafontaine, Yves; Verreault, Jonathan
2014-05-01
Restrictions in the utilization of polybrominated diphenyl ether (PBDE) mixtures have led to the increased usage of alternative flame retardant additives in a wide range of commercial applications. The present study examined the occurrence of established and emerging flame retardants (FRs) in fish from a densely-populated urbanized sector of the St. Lawrence River (Montreal, Quebec, Canada). Thirty-eight PBDE congeners and sixteen emerging FRs were determined in fish belonging to three predatory species (yellow perch, northern pike, and muskellunge). The ∑PBDE in fish were up to 24,115 ng/g lipid weight (l.w.) in the apex predator muskellunge. Twelve emerging FRs including bis(2-ethylhexyl)-tetrabromophthalate (BEHTBP), pentabromoethylbenzene (PBEB), Dechlorane Plus (anti and syn), dechloranes (Dec) 602, Dec 604, Dec 604 Compound B (Dec 604 CB), and Chlordene Plus (CP) were detected (>0.01 ng/gl.w.) in the liver of muskellunge and northern pike but not in yellow perch homogenates. This is the first report of Dec 604 CB in any fish species. The bioavailability of these FRs in human-impacted aquatic ecosystems warrants further environmental assessment and toxicity testing. Crown Copyright © 2014. Published by Elsevier B.V. All rights reserved.
From Osler to Olafson. The evolution of veterinary pathology in North America.
Saunders, L Z
1987-01-01
Most branches of biological science in North America developed first in the United States, and later were taught and practiced in Canada. An exception was veterinary pathology, which as a discipline taught in veterinary colleges and as a field of research, developed first in Canada, and from there crossed the border to the United States. Pathology was first taught at the Montreal Veterinary College, founded in 1866 by Duncan McEachran, a graduate of the Edinburgh Veterinary College. From the outset, he formed a close association with the medical faculty of McGill University, permitting his students to attend the same classes in the basic subjects with the medical students. Eventually, the Montreal Veterinary College became formally affiliated with McGill University, as the Faculty of Comparative Medicine and Veterinary Science. The McGill veterinary faculty was forced to close for economic reasons in 1903, but it left an enduring legacy, particularly in the field of veterinary pathology. The legacy, a novel concept in the 1870's, was that pathology was the cornerstone of a veterinary education; the place where anatomy, physiology, chemistry and botany met with the clinical subjects, and gave the latter meaning. This tradition was formed at the Montreal Veterinary College by the world renowned physician William Osler, North America's leading medical teacher, whom McEachran had invited to teach at the College in 1876 in addition to his duties in the faculty of medicine. Osler had studied with Virchow in Berlin and applied his methods of autopsy technique and of scientific inquiry to his teaching of both human and veterinary pathology at McGill. Osler also undertook investigations into various diseases of domestic animals, at the request of McEachran, who doubled as Chief Veterinary Inspector for the Dominion Department of Agriculture. Osler left McGill University in 1884. Only after that year did other North American veterinary schools adopt pathology as a discipline of instruction. However, by 1884, Osler had already left his indelible imprint on the students (both medical and veterinary) he had taught in Montreal, one of whom took over the teaching of pathology in the veterinary college. Another, who followed Osler's example and also studied in Berlin with Virchow, wrote the first book in the English language on veterinary post mortem technique in 1889.(ABSTRACT TRUNCATED AT 400 WORDS) Images Fig. 1. Fig. 2. Fig. 4. Fig. 6. Fig. 8. Fig. 9. Fig. 10. Fig. 11. Fig. 12. Fig. 13. Fig. 14. Fig. 15. PMID:3552167
40 CFR 82.4 - Prohibitions for class I controlled substances.
Code of Federal Regulations, 2014 CFR
2014-07-01
... not Party to the 1987 Montreal Protocol unless that foreign state is complying with the 1987 Montreal Protocol (For ratification status, see: http://ozone.unep.org/new_site/en/treaty_ratification_status.php... Montreal Protocol, unless that foreign state is complying with the 1987 Montreal Protocol (For ratification...
The Canadian Geo-location Endeavour Using Isotopes and Trace Elements in Hair
NASA Astrophysics Data System (ADS)
Chartrand, Michelle M. G.; St-Jean, Gilles; Dalpe, Claude; Wojtyk, James
2010-05-01
The Canadian human hair provenance project has two main objectives: 1) to build a Canadian database of isotopes and trace elements from tap water and hair samples, and 2) to assess the extent of temporal effects on these samples. To address objective 1, a cross-Canada sampling campaign has been started to collect hair and tap water samples. In the past two years, our group has collected samples from the eastern part of Canada (Newfoundland, Nova Scotia, New Brunswick, Prince Edward Island, Quebec and Ontario). Water samples are divided into three groups - groundwater, surface water and bottled water. The GIS maps show the isotopic distribution of the tap water sources varies with latitude. Hair is analyzed for carbon (C), nitrogen (N) and hydrogen (H) isotopes. The C and N results show that in general, Canadians eat a typical diet showing a small isotopic variation. However, some cases will be presented which may explain why some people have C and N values outlying the collected sample average. In terms of H isotopes in human hair, GIS maps illustrate the distribution of this isotope in the eastern provinces of Canada. In some cases, a large variation in H was observed for the same locality with no significant difference in human activities and/or consumption. However, based on hair collected from across Canada from previous years, H isotopes in hair show a correlation to water collected from the same locality. To address objective 2, hair and tap water samples were collected at 4 month intervals (to represent different seasons in Canada) from several volunteers residing in two cities located in the province of Ontario (i.e. Sudbury and Ottawa) and one city from the province of Quebec (i.e. Montreal). For all isotopes measured, there was little variation observed over the course of the year in any individual from those small to medium-size cities. On-going sampling efforts will address if any variation may occur on a yearly basis.
[Health education in Quebec: developments over the past decade and current prospects].
Gagnon, Hélène; Valentini, Hélène
2013-01-01
This study examines the views of five university professors in the province of Quebec on recent trends and developments in health education, the relative importance of health education as a health promotion strategy, and future prospects. Interviews were conducted and the participants were asked to validate the findings. Despite minor differences, the participants were found to have similar views on health education. The interviews also pointed to a significant emphasis on recent developments in our understanding of the factors influencing health behaviors and the theoretical foundations underlying processes of change. However, much remains to be done to put this knowledge into practice. In Quebec, the field of health education has involved an increasingly diverse range of actors in recent years, although nurses continue to play an important role. Some feel that the emphasis on creating supportive environments for health and public policies has had a negative impact on the development of health education in Quebec. For others, we are witnessing the emergence of a more integrated system combining different health promotion strategies. In terms of future prospects, some remain pessimistic, emphasizing the potential effects of the current economic climate or the potential negative impact of the rise of therapeutic education, which may be at the expense of a more systemic approach. Others are more optimistic, arguing that the future of health education will be a matter of political will and that it will depend on the efforts of stakeholders to promote consistent and complementary measures.
1986-10-01
Montreal, one of the most civilized and cosmopolitan of North American cities, is the 2nd city in Canada in size and the largest French-speaking city. Of the 2.8 million people who lived there at census time in 1981, 45% chose both French and English as their official language, 41% chose French, and 1% used some other language. Fully 68% of Montreal residents said their mother tongue was French, and 68% also said they spoke French at home. The importance of bilingualism to the business culture of Montreal cannot be overemphasized. In the last decade, French-Canadians have taken an increasingly stronger role in business. Upper-middle-class suburbs that as little as 10 years ago had only 10% of their residents who were of French-Canadian descent now have as many as 50-60% of their residents who are French-Canadians. Most residents of Montreal willingly learn 2 languages. US firms should assume that all representatives who are sent to Montreal should be fluent in both French and English. Montreal's 2,828,349 people create a population density of 1004.9 persons per square kilometer. Montreal has 665 census tracts, which are described in the Metropolitan Atlas Series. Nearly 62% of Montreal's population fall between the ages of 20 and 64--the prime working ages. Although Montreal is 79% Catholic, it does not have the high fertility levels often associated with Catholic areas. There were 1,026,920 households in Montreal in 1981 with an average of 2.7 persons per household. 71% of these were census family households. Montreal had 1,026,895 occupied dwellings in 1985 with an average of 5 rooms each. About 71% of the population aged 15 and over that were not in school were in the labor force; 41% of the labor force was female. The largest employment category for men was manufacturing (16%) and the largest for women was clerical work (39%).
Doodnaught, Graeme M.; Benito, Javier; Monteiro, Beatriz P.; Beauchamp, Guy; Grasso, Stefania C.; Steagall, Paulo V.
2017-01-01
This study investigated agreement among undergraduate and graduate veterinary students and veterinary anesthesiologists on video pain assessment at the University of Montreal. Pain assessment in dogs and cats appeared to be affected by gender, previous experience, and degree of training despite a small population of observers. PMID:28761184
ERIC Educational Resources Information Center
Canadian Teachers' Federation, Ottawa (Ontario).
This report contains the proceedings of a 2-day interprovincial conference attended by 38 teachers, registrars, university professors, and trustees to discuss means of reducing the complexity of teacher certification regulations and of enabling teachers to move more freely among the various provinces. Included are four presentations on the…
Teaching Learning Theories Via the Web.
ERIC Educational Resources Information Center
Schnackenberg, Heidi L.
This paper describes a World Wide Web site on learning theories, developed as a class assignment for a course on learning and instructional theories at Concordia University (Quebec). Groups of two to four students developed pages on selected theories of learning that were then linked to a main page developed by the instructor and a doctoral…
Psychological Safety of Women on Campus.
ERIC Educational Resources Information Center
Butler-Kisber, Lynn
A safety audit took place at McGill University (Quebec, Canada) with special consideration of women's feelings of safety on campus. Initially, a mini-audit took place at the urban campus in and around several buildings with a group of students, faculty and staff and a representative from the local action committee on violence. The administration…
China: A Guide to Reference Sources in English and Chinese.
ERIC Educational Resources Information Center
Chen, Su, Comp.; Slavin, Suzy M., Ed.
This guide to selected reference sources in the McGill University (Quebec) Library for Sinology (the study of the language, history, literature, and civilization of China) contains annotated listings for English and Chinese language materials in the following categories: (1) guides to the literature (6 references); (2) encyclopedias (3…
ERIC Educational Resources Information Center
Perusse, Lyse
This study, which was conducted at the University of Quebec over a period of six months, focuses on four systems for online information retrieval that are available to users at the university and provide access to some of the same databases: BRS (Bibliographic Retrieval Services Inc.), CAN/OLE (Canadian On-Line Inquiry), Lockheed DIALOG, and…
Djandji, Fabienne; Lamontagne, Alexandrine J; Blais, Lucie; Bacon, Simon L; Ernst, Pierre; Grad, Roland; Lavoie, Kim L; McKinney, Martha L; Desplats, Eve; Ducharme, Francine M
2017-03-31
Despite national recommendations, most patients with asthma are not given a written action plan . The objectives were to ascertain physicians' endorsement of potential enablers to providing a written action plan, and the determinants and proportion, of physician-reported use of a written action plan. We surveyed 838 family physicians, paediatricians, and emergency physicians in Quebec. The mailed questionnaire comprised 102 questions on asthma management, 11 of which pertained to written action plan and promising enablers. Physicians also selected a case vignette that best corresponded to their practice and reported their management. The survey was completed by 421 (56%) physicians (250 family physicians, 115 paediatricians and 56 emergency physicians); 43 (5.2%) reported providing a written action plan to ≥70% of their asthmatic patients and 126 (30%) would have used a written action plan in the selected vignette. Most (>60%) physicians highly endorsed the following enablers: patients requesting a written action plan, adding a blank written action plan to the chart, receiving a copy of the written action plan completed by a consultant, receiving a monetary compensation for its completion, and having another healthcare professional explain the completed written action plan to patients. Four determinants were significantly associated with providing a written action plan: being a paediatrician (RR:2.1), treating a child (RR:2.0), aiming for long-term asthma control (RR:2.5), and being aware of national recommendations to provide a written action plan to asthmatic patients (RR:2.9). A small minority of Quebec physicians reported providing a written action plan to most of their patients, revealing a huge care gap. Several enablers to improve uptake, highly endorsed by physicians, should be prioritised in future implementation efforts. ENCOURAGING DOCTORS TO PROVIDE WRITTEN ACTION PLANS: Changes to practice organization and doctors' perceptions should encourage the provision of written action plans for all asthma patients. International guidelines state that effective long-term treatment of asthma requires educated self-management, regular reviews and provision of a written action plan (WAP). However, many patients have poor asthma control and as few as 30 per cent have a WAP. Fabienne Djandji at the Saint-Justine University Central Hospital in Montreal, Canada, and co-workers conducted a survey of 421 doctors to determine their attitudes and provision of WAPs. Only 5.2 per cent of respondents provided WAPs to patients; those treating children or aiming for long-term asthma control were more likely to do so. The doctors said that incentives to provide WAPs would include requests from patients themselves, being paid to complete WAPs and having extra support from specialists or other health care professionals such as pharmacists.
Architectural Heritage: An Experiment in Montreal's Schools.
ERIC Educational Resources Information Center
Leveille, Chantal
1982-01-01
A museum program in Montreal encourages elementary and secondary school students to examine their surroundings and neighborhoods. Units focus on stained glass windows, houses, history of Montreal, the neighborhood, and architectural heritage. (KC)
ERIC Educational Resources Information Center
Karsenti, Thierry; Thibert, Gilles
This study was designed to better understand the motivational impact of a compulsory Web-based course, "Introduction to Educational Research," on student teachers' enrollment in a four-year teacher education program in a Quebec, Canada university. The hypothesis was that this course, which promoted self-determination, feelings of…
Rediscovering Awe: A New Front in Humanistic Psychology, Psychotherapy, and Society
ERIC Educational Resources Information Center
Schneider, Kirk J.
2008-01-01
This article is adapted from an invited address to the University of Laval, Quebec City, on April 7, 2006. The purpose of the article is to describe an emerging psycho-spiritual paradigm that veers between dogmatic fundamentalism and postmodern nihilism. This "depth" spirituality is based on a rediscovery of our native capacity for…
Crawford, D S; Xiong, D Z
1988-01-01
In March/April 1986, the medical library at McGill University in Montreal, Canada signed a cooperative agreement with the China Medical University (CMU) Library in Shenyang, China. This paper analyzes the operations of the CMU library within the context of the Chinese system of medical education, health care delivery, and medical librarianship. The CMU library is described in terms of collections, cataloging procedures, filing, public services (reference, bibliographic instruction, circulation, copy service), interlibrary loans, networking, conservation of materials, and personnel. Some interesting comparisons are made between the two libraries with respect to holdings, services provided, and training of staff. The plans for future cooperation are outlined. PMID:3370377
Global travel patterns and risk of measles in Ontario and Quebec, Canada: 2007-2011.
Wilson, Sarah E; Khan, Kamran; Gilca, Vladimir; Miniota, Jennifer; Deeks, Shelley L; Lim, Gillian; Eckhardt, Rose; Bolotin, Shelly; Crowcroft, Natasha S
2015-08-18
In 2011 the largest measles outbreak in North America in a decade occurred in Quebec, Canada with over 700 cases. In contrast, measles activity in neighbouring province Ontario remained low (8 cases). Our objective was to determine the extent to which the difference could be explained by differing travel patterns. We explored the relationship between measles cases over 2007-2011, by importation classification, in Quebec and Ontario in relation to global travel patterns to each province using an ecological approach. Global measles exposure was estimated by multiplying the monthly traveler volume for each country of origin into Quebec or Ontario by the yearly measles incidence rate for the corresponding country. Visual inspection of temporal figures and calculation of Pearson correlation coefficients were performed. Global measles exposure was similar in Ontario and Quebec. In Quebec, there was a nearly perfectly linear relationship between annual measles cases and its global measles exposure index over 2007-2011 (r = 0.99, p = 0.001). In contrast, there was a non-significant association in Ontario. The 2011 rise in Quebec's index was largely driven by a dramatic increase in measles activity in France the same year. Global measles activity was associated with measles epidemiology in Quebec. Global measles exposure risk is higher in Ontario than Quebec. Differences in measles epidemiology between Ontario and Quebec from 2007-2011 are not explained by greater exposure in Quebec. A combination of alternative factors may be responsible, including differences in population susceptibility.
Jaffe, Peter G; Berman, Helene; MacQuarrie, Barb
2011-09-01
The importance of Canadian research on violence against women became a national focus after the 1989 murder of 14 women at École Polytechnique in Montreal. This tragedy led to several federal government studies that identified a need to develop centers for applied research and community-university alliances on violence against women. One such center is the Centre for Research & Education on Violence against Women and Children. The Centre was founded in London, Canada in 1992 out of a partnership of a university, a community college, and community services. The centre's history and current activities are summarized as a model for the development and sustainability of similar centers.
ERIC Educational Resources Information Center
Souque, Jean-Pascal, Ed.; Dufour, Paul, Ed.
Proceedings are presented of a symposium on science education in Quebec, which was sponsored by the Science Council of Canada and the Association des Professeurs de Sciences du Quebec. Papers and authors addressing the background and present state of Quebec science education are as follows: "Science Teaching at the Secondary Level: An…
Clarence Sumner Greene, Sr.: the first African-American neurosurgeon.
McClelland, Shearwood; Harris, Kimbra S
2006-12-01
Largely because of the advances of the Civil Rights movement in the mid-20th century, an increasing number of African-Americans have had the opportunity to become physicians and enter the distinguished field of neurosurgery. Many have made the most of this opportunity, becoming prominent in both academics and private practice. Unfortunately, the details regarding the first African-American neurosurgeon, Clarence Sumner Greene, Sr., have remained in relative obscurity. Born on December 26, 1901 in Washington, D.C., Dr. Greene received his M.D. from the Howard University College of Medicine with distinction in 1936. After 7 years of general surgery residency and 4 years as a professor of surgery at Howard University, he was granted the opportunity by the legendary Wilder G. Penfield to train in neurosurgery at the world-renowned Montreal Neurological Institute from 1947 to 1949. Receiving high praise from Dr. Penfield, Dr. Greene became the first African-American certified by the American Board of Neurological Surgery on October 22, 1953. Subsequently, he was appointed as chair of neurosurgery at Howard University, where he successfully treated intracranial aneurysms, brain tumors, and herniated intervertebral discs until his tragic death in 1957. The diligence and perseverance of Clarence Sumner Greene, Sr., M.D., D.D.S., F.A.C.S. enabled him to overcome incredible odds to become the first African-American neurosurgeon, trained by Dr. Penfield at the Montreal Neurological Institute. A true pioneer, his achievements have opened the door for subsequent African-Americans to enhance the field of neurosurgery.
Dying at home: experience of the Verdun local community service centre.
Kiyanda, Brigitte Gagnon; Dechêne, Geneviève; Marchand, Robert
2015-04-01
To demonstrate that it is possible for a team of palliative care nurses in an urban centre to care for more than 50% of their terminally ill patients at home until they die, and that medical care delivered in the home is a determining factor in death at home versus death in a hospital. Analysis of place of death of terminally ill patients who died in 2012 and 2013 (N = 212) and who had been cared for by palliative care nurses, by type of medical care. The centre local de services communautaires (CLSC) in Verdun, Que, an urban neighbourhood in southwest Montreal. A total of 212 terminally ill patients. Rate of deaths at home. Of the 212 patients cared for at home by palliative care nurses, 56.6% died at home; 62.6% received medical home care from CLSC physicians, compared with 5.0% who did not receive medical home care from any physician. Combined with a straightforward restructuring of the nursing care delivered by CLSCs, development of medical services delivered in the home would enable the more than 50% of terminally ill patients in Quebec who are cared for by CLSCs to die at home--something that most of them wish for. Copyright© the College of Family Physicians of Canada.
Assaad, Michael-Andrew; Janvier, Annie; Lapointe, Anie
2018-02-01
This study determined whether there was a difference in the conclusions reached by neonatologists in morbidity and mortality conferences based on their level of involvement in a case. All neonatal deaths occurring between August 2014 and September 2015 at the neonatal intensive care unit of Sainte-Justine Hospital, Montreal, Quebec, Canada, were reviewed by internal physicians involved in the case and external physicians who were not. The reviewers were asked to identify positive and negative clinical practice items and provide written recommendations. These were classified into eight categories and compared for each case. During the study, 55 patients died leading to 110 reviews and a total of 590 positive and negative items. Most items were in the communication (25.2%), ethical decision-making (16.7%) and clinical management (14.8%) categories. Both the internal and external reviewers were in agreement 48.5% of the time for positive items and 44.8% for negative items. There were 242 written recommendations, which differed significantly among the internal and external reviewers. Reviews of neonatal deaths by two independent reviewers, internal physicians and external physicians, led to different positive and negative practice items and recommendations. This could allow for a richer discussion and improve recommendations for patient care. ©2017 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
Delay to orthopedic consultation for isolated limb injury
Rouleau, Dominique M.; Feldman, Debbie Ehrmann; Parent, Stefan
2009-01-01
ABSTRACT OBJECTIVE To describe referral mechanisms for referral to orthopedic surgery for isolated limb injuries in a public health care system and to identify factors affecting access. DESIGN Cross-sectional survey. SETTING Orthopedic surgery service in a level 1 trauma centre in Montreal, Que. PARTICIPANTS We conducted a prospective study of 166 consecutive adults (mean age 48 years) referred to orthopedic surgery for isolated limb injuries during a 4-month period. MAIN OUTCOME MEASURES Self-reported data on the nature of the trauma, the elapsed time between injury and orthopedic consultation, the number and type of previous primary care consultations, sociodemographic characteristics, and the level of satisfaction with care. RESULTS Average time between the injury and orthopedic consultation was 89 hours (range 3 to 642), with an average of 68 hours (range 0 to 642) for delay between primary care consultation and orthopedic consultation. A total of 36% of patients with time-sensitive diagnoses had unacceptable delays to orthopedic consultation according to the Quebec Orthopaedic Association guidelines. Lower limb injury, consulting first at another hospital, living far from the trauma centre, patient perception of low severity, and having a soft tissue injury were associated with longer delays. CONCLUSION Identifying gaps and risk factors for slower access might help improve referral mechanisms for orthopedic consultation. PMID:19826162
Evaluating the impact of municipal water fluoridation on the aquatic environment.
Osterman, J W
1990-01-01
Although highly beneficial for dental health, low concentrations of fluoride in environmental waters may be toxic to several organisms. In an era of heightened public awareness about the environment, this may lead city officials to withhold implementing water fluoridation for environmental reasons. This paper presents a mass balance approach to evaluate this perceived risk. Generally speaking, fluoridated water loss during use, dilution of sewage by rain and ground water infiltrate, fluoride removal during secondary sewage treatment, and diffusion dynamics at effluent outfall combine to eliminate fluoridation-related environmental effects. In Montreal, water fluoridation would raise average aquatic fluoride levels in the waste water plume immediately below effluent outfall by only 0.05-0.09 mg/l. Downstream, these changes would be only 0.02-0.05 mg/l at 1 km, and 0.01-0.03 mg/l at 2 km below outfall. Overall river fluoride concentrations theoretically would be raised by 0.001-0.002 mg/l, a value not measurable by current analytical techniques. All resulting concentrations would be well below those recommended for environmental safety and would not exceed natural levels found elsewhere in Quebec. A literature review did not reveal any examples of municipal water fluoridation causing recommended environmental concentrations to be exceeded, although excesses occurred in several cases of severe industrial water pollution. PMID:2400035
Medical team interdependence as a determinant of use of clinical resources.
Sicotte, C; Pineault, R; Lambert, J
1993-01-01
OBJECTIVE. Our objective, based on organization theory, is to examine whether interdependence among physicians leads to coordination problems that in turn may explain variations observed in the use of clinical resources. DATA SOURCES/STUDY SETTING. Secondary data about episodes of in-hospital care were collected over a 14-month period in two midsize acute care hospitals located in two suburbs of Montreal, Quebec. STUDY DESIGN. Hierarchical regression analysis was used to assess the marginal effect of medical team interdependence on clinical resource utilization after taking into account the effect attributable to the nature of several morbidities taken as specific and distinct tasks. PRINCIPAL FINDINGS. Medical team interdependence is found within medical specialties as well as between specialties. The largest portion of resource utilization was explained by morbidity characteristics, whereas team interdependence had a weaker, but systematic effect for all morbidities studied (15 regression models out of 18 performed). Task coordination was found to become more difficult as the number of physicians coming from different specialties increased in the context of teamwork. CONCLUSIONS. Results suggest that team practice does not entirely overcome coordination problems inherent to task (morbidity) interdependence. In considering the individual (especially the attending) physician as the main factor responsible for resource utilization, other factors related to team practice may too readily be overlooked. PMID:8270423
Bryant, Toba; Brown, Ivan; Cogan, Tara; Dallaire, Clemence; Laforest, Sophie; McGowan, Patrick; Raphael, Dennis; Richard, Lucie; Thompson, Loraine; Young, Joyce
2004-01-01
A national project investigated seniors' perceptions of the influences upon their quality of life. The seven participating cities were Montreal, Quebec City, Ottawa, Toronto, Regina, Vancouver and Whitehorse. The project focussed on policy decisions affecting the quality of life of seniors. It was a participatory study in which seniors controlled the direction and shape of the project in each city. Focus groups and individual interviews with seniors and stakeholders. Data analysis used qualitative methods to see the world through the eyes of participants. Each project was committed to hearing the voices of seniors and their views on which issues were affecting the quality of their lives. Across the seven cities, seniors highlighted access to information, health care, housing, income security, safety and security, social contacts and networks, and transportation as key issues that affect the quality of life of seniors in Canada. The findings affirm the value of participatory activities that involve seniors working with other sectors as a productive policy-informing approach. The Seniors' Quality of Life projects demonstrate the conceptual power of the determinants of health perspective to understand seniors' quality of life issues. While seniors considered health care to be a continuing concern, they also recognized socio-economic issues as significantly affecting the quality of their lives.
Not Just Fun and Games: Toy Advertising on Television Targeting Children Promotes Sedentary Play.
Potvin Kent, Monique; Velkers, Clive
2017-10-01
To examine the volume of television toy advertising targeting Canadian children and to determine if it promotes active or sedentary play, targets males or females more frequently, and has changed over time. Data for toy/game advertising from 27 television stations in Toronto for the month of May in 2006 and 2013 were licensed from Neilsen Media Research (Montreal, Quebec, Canada). A content analysis was performed on all ads to determine what age group and gender were targeted and whether physical or sedentary activity was being promoted. Comparisons were made between 2006 and 2013. There were 3.35 toy ads/h/children's specialty station in 2013 (a 15% increase from 2006). About 88% of toy ads promoted sedentary play in 2013, a 27% increase from 2006 levels, while toy ads promoting active play decreased by 33%. In both 2006 and 2013, a greater number of sedentary toy ads targeted males (n = 1519, May 2006; n = 2030, May 2013) compared with females (n = 914, May 2006; n = 1619, May 2013), and between 2006 and 2013, these ads increased significantly for both males and females. Future research should explore whether such advertising influences children's preferences for activities and levels of physical activity.
Cognition in the Brain: Investigations Using Positron Emission Tomography
1992-07-16
0029 DDIRESS (City. State and ZIP Code) 10. SOURCE Of FUNDING NOS. _____________ .dg. 410 PROGRAM PROJECT TASKC WORK .,%r illing Air Force Base, DC...Bethesda, MD 20892 20. Daniel Bubb, M.D. Department of Neurolinguistics Montreal Neurological Institute 15. Sung-cheng tHuang, Ph.D. 3801 University...Chief of Pediatric Neu- rology Service Director, Center for Morphomet- 24. Terry Allard, Ph.D. ric Analysis Cognitive Science Programs Kennedy 9 Office
Effect of Playing a Video Game on Adults' and Adolescents' Spatial Visualization.
ERIC Educational Resources Information Center
Pepin, Michel; Dorval, Michel
This paper presents the results of two studies which were performed to assess the effects of the practice of an interactive video game on spatial visualization test scores. The first study used 70 Laval University undergraduate students as subjects, while subjects for the second study were 101 seventh grade students from the area of Quebec City.…
Evolution of Students' Reasoning Skills on a Two Year Basis in a PBL Curriculum in Medicine.
ERIC Educational Resources Information Center
Bedard, Denis; And Others
A 2-year study at the University of Sherbrooke (Quebec) investigated the changes in six medical students' clinical reasoning processes as they participated in a problem-based learning (PBL) curriculum. In each year, students performed a think-aloud protocol with two medical case problems to solve, one in cardiology and one in urology. In the…
ERIC Educational Resources Information Center
Desrosiers, Jean-Yves
1991-01-01
Task modulation is being examined as a means for improved utilization of human resources and greater flexibility within departments of Quebec universities. In this paper (written in French), a definition for this concept is proposed, the literature is reviewed, and prerequisite and other conditions critical to successful implementation are…
How Canada's Asbestos Industry Was Defeated in Quebec.
Ruff, Kathleen
2017-02-01
Less than a decade ago, the Quebec asbestos industry enjoyed support from all the political parties in the Canadian House of Commons and the Quebec National Assembly, as well as from business and union organizations. Two lobby organizations (Chrysotile Institute and International Chrysotile Association) had significant global impact in promoting asbestos use and defeating asbestos ban efforts in developing countries. Quebec's two asbestos mines planned to expand operations and make Quebec the second biggest global asbestos exporter. With the aid of lobbyists, public relations consultants, and government financing, the asbestos industry came close to succeeding. The article examines how a campaign of international solidarity, involving scientific experts, asbestos victims, and health activists in Quebec, Canada, and overseas, succeeded in closing the two mines and defeating the political and social power that the Quebec asbestos industry had wielded for a century. This victory ended Canada's destructive role as global propagandist for the asbestos industry.
Fontaine, L
1995-01-01
"This article addresses the way in which the Province of Quebec has obtained increasing power in the area of immigration.... Data from interviews with key members of [the Ministry of Immigration] and from selected documents are drawn on to illustrate Quebec's cultural politics. The Quebec position on the question of immigration as it has evolved in the context of immigration policies defined by the federal government in Ottawa is examined.... In particular, the present article considers how attempts to construct a cultural identity and a nation-state in Quebec have had important consequences for immigration policy and for attitudes and policies concerning Quebec's cultural minorities. The emergence of the notion of 'cultural communities' as a result of the constitutional rivalry and the on-going struggle for legitimacy between Quebec and Ottawa is also explored." excerpt
[Work and mental health: risk groups].
Vézina, M; Gingras, S
1996-01-01
Analysis of the Quebec Health survey identified those Quebec industrial sectors and professions in which workers are at risk of higher psychological distress and lower psychological well-being. Risk levels were measured by odds ratio, controlling for: health status, sex, social support and stressful life events. Results show that those at risk are blue collar workers and less qualified workers of traditional sectors. Lower job latitude could explain those results. Results show that risk of mental health problems is significantly higher in the following industrial sectors: leather, chemicals, paint and varnish industries; urban bus transport and taxi; shoe, clothing and textile retail stores; department stores; restaurant services; insurance and public administration (excluding defence). Risk of mental health problems is higher in the following professions road transport (excluding truck drivers); textile, leather, fur manufacturing and repairing; housekeeping and maintenance; painters, tapestry-workers, insulation and waterproofing, food and beverages sector; data processors; editors and university professors.
NASA Astrophysics Data System (ADS)
Intes, Xavier; Djeziri, Salim; Ichalalene, Zahia; Mincu, Niculae; Wang, Yong; St.-Jean, Philippe; Lesage, Frédéric; Hall, David; Boas, David A.; Polyzos, Margaret
2004-10-01
Near-infrared (NIR) technology appears promising as a non-invasive clinical technique for breast cancer screening and diagnosis. The technology capitalizes on the relative transparency of human tissue in this spectral range and its sensitivity to the main components of the breast:; water, lipid and hemoglobin. In this work we present initial results obtained using the SoftScan® breast-imaging system developed by ART, Advanced Research Technologies inc., Montreal. This platform consists of a 4-wavelength time-resolved scanning system used to quantify non-invasively the local functional state of breast tissue. The different aspects of the system used to retrieve 3D optical contrast will be presented. Furthermore, preliminary data obtained from a prospective study conducted at The Royal Victoria Hospital of the McGill University Health Center in Montreal will be discussed. Analysis of the data gathered by SoftScan® demonstrated the potential of the technology in discriminating between healthy and diseased tissue.
Wagner, Monika; Brumelis, Daina; Gehr, Ronald
2002-01-01
The Montreal Urban Community Wastewater Treatment Plant (MUCWTP) located in Montreal. Quebec, Canada, uses physicochemical treatment processes prior to discharging wastewater into the St. Lawrence River via an outfall tunnel of 2 hours retention time. Although chlorination facilities exist, they are not being used, and the MUCWTP is seeking alternative methods for disinfection to achieve a 2- to 3-log fecal coliform reduction. Liquid chemical disinfectants were attractive options because of their low capital costs. This led to an investigation of the feasibility of using hydrogen peroxide or peracetic acid. A method for measuring peroxycompounds (hydrogen peroxide or peracetic acid plus hydrogen peroxide) was developed using the peroxidase-based oxidation of 2,2'-azino-bis(3-ethylbenz-thiazoline-6-sulfuric acid) diammonium salt (ABTS) with hydrogen peroxide. The validity of the method was confirmed using effluent from the MUCWTP. Recovery was higher than 90% for peracetic acid levels as low as 1.0 mg/L. Quenching of hydrogen peroxide was achieved with 50-mg/L catalase; quenching of peracetic acid was achieved with 100 mg/L of sodium thiosulfate, followed by 50 mg/L of catalase. Batch disinfection tests were conducted on MUCWTP effluent. Hydrogen peroxide and peracetic acid in wastewater over time could be modeled as a second-order decay, with the decay "constant" being a function of the initial concentration of peroxycompounds. This function was the same for both hydrogen peroxide and peracetic acid, possibly indicating similar decomposition pathways in wastewater matrices. Disinfection was modeled using a modified Hom equation. Required doses of hydrogen peroxide to reach the target fecal coliform levels ranged from 106 to 285 mg/L, with the higher doses occurring when ferric chloride instead of alum was used as the coagulant. Hence, hydrogen peroxide was infeasible as a disinfectant for this application. On the other hand, the peracetic acid dose needed to achieve the target fecal coliform level was only 0.6 to 1.6 mg/L. Therefore, peracetic acid seems to be a promising disinfectant for physicochemical or primary effluent, or combined sewer overflows.
Association between Activity Space Exposure to Food Establishments and Individual Risk of Overweight
Kestens, Yan; Lebel, Alexandre; Chaix, Basile; Clary, Christelle; Daniel, Mark; Pampalon, Robert; Theriault, Marius; p Subramanian, S. V.
2012-01-01
Objective Environmental exposure to food sources may underpin area level differences in individual risk for overweight. Place of residence is generally used to assess neighbourhood exposure. Yet, because people are mobile, multiple exposures should be accounted for to assess the relation between food environments and overweight. Unfortunately, mobility data is often missing from health surveys. We hereby test the feasibility of linking travel survey data with food listings to derive food store exposure predictors of overweight among health survey participants. Methods Food environment exposure measures accounting for non-residential activity places (activity spaces) were computed and modelled in Montreal and Quebec City, Canada, using travel surveys and food store listings. Models were then used to predict activity space food exposures for 5,578 participants of the Canadian Community Health Survey. These food exposure estimates, accounting for daily mobility, were used to model self-reported overweight in a multilevel framework. Median Odd Ratios were used to assess the proportion of between-neighborhood variance explained by such food exposure predictors. Results Estimates of food environment exposure accounting for both residential and non-residential destinations were significantly and more strongly associated with overweight than residential-only measures of exposure for men. For women, residential exposures were more strongly associated with overweight than non-residential exposures. In Montreal, adjusted models showed men in the highest quartile of exposure to food stores were at lesser risk of being overweight considering exposure to restaurants (OR = 0.36 [0.21–0.62]), fast food outlets (0.48 [0.30–0.79]), or corner stores (0.52 [0.35–0.78]). Conversely, men experiencing the highest proportion of restaurants being fast-food outlets were at higher risk of being overweight (2.07 [1.25–3.42]). Women experiencing higher residential exposures were at lower risk of overweight. Conclusion Using residential neighbourhood food exposure measures may underestimate true exposure and observed associations. Using mobility data offers potential for deriving activity space exposure estimates in epidemiological models. PMID:22936974
Rates of minor adverse events and health resource utilization postcolonoscopy.
Marquez Azalgara, Vladimir; Sewitch, Maida J; Joseph, Lawrence; Barkun, Alan N
2014-12-01
Little is known about minor adverse events (MAEs) following outpatient colonoscopies and associated health care resource utilization. To estimate the rates of incident MAE at two, 14 and 30 days postcolonoscopy, and associated health care resource utilization. A secondary aim was to identify factors associated with cumulative 30-day MAE incidence. A longitudinal cohort study was conducted among individuals undergoing an outpatient colonoscopy at the Montreal General Hospital (Montreal, Quebec). Before colonoscopy, consecutive individuals were enrolled and interviewed to obtain data regarding age, sex, comorbidities, use of antiplatelets/anticoagulants and previous symptoms. Endoscopy reports were reviewed for intracolonoscopy procedures (biopsy, polypectomy). Telephone or Internet follow-up was used to obtain data regarding MAEs (abdominal pain, bloating, diarrhea, constipation, nausea, vomiting, blood in the stools, rectal or anal pain, headaches, other) and health resource use (visits to emergency department, primary care doctor, gastroenterologist; consults with nurse, pharmacist or telephone hotline). Rates of incident MAEs and health resources utilization were estimated using Bayesian hierarchical modelling to account for patient clustering within physician practices. Of the 705 individuals approached, 420 (59.6%) were enrolled. Incident MAE rates at the two-, 14- and 30-day follow-ups were 17.3% (95% credible interval [CrI] 8.1% to 30%), 10.5% (95% CrI 2.9% to 23.7%) and 3.2% (95% CrI 0.01% to 19.8%), respectively. The 30-day rate of health resources utilization was 1.7%, with 0.95% of participants seeking the services of a physician. No predictors of the cumulative 30-day incidence of MAEs were identified. The incidence of MAEs was highest in the 48 h following colonoscopy and uncommon after two weeks, supporting the Canadian Association of Gastroenterology's recommendation for assessment of late complications at 14 days. Predictors of new onset of MAEs were not identified, but wide CrIs did not rule out possible associations. Although <1% of participants reported consulting a physician for MAEs, this figure may represent a substantial number of visits given the increasing number of colonoscopies performed annually. Postcolonoscopy MAEs are common, occur mainly in the first two weeks postcolonoscopy and result in little use of health resources.
Federal Register 2010, 2011, 2012, 2013, 2014
2010-03-17
... DEPARTMENT OF TRANSPORTATION Surface Transportation Board [STB Docket No. AB-1043 (Sub-No. 1)] Montreal, Maine & Atlantic Railway, Ltd.--Discontinuance of Service and Abandonment--In Aroostook and Penobscot Counties, ME On February 25, 2010, Montreal, Maine & Atlantic Railway, Ltd. (MMA) filed with the...
40 CFR 82.15 - Prohibitions for class II controlled substances.
Code of Federal Regulations, 2013 CFR
2013-07-01
... to the Montreal Protocol that has ratified the Beijing Amendments. Parties that have ratified the... Party to the Montreal Protocol that has provided notice, certification, and data in accordance with... by the Ozone Secretariat. Or, (3) A Party to the Montreal Protocol operating under Article 5(1) to...
40 CFR 82.15 - Prohibitions for class II controlled substances.
Code of Federal Regulations, 2012 CFR
2012-07-01
... to the Montreal Protocol that has ratified the Beijing Amendments. Parties that have ratified the... Party to the Montreal Protocol that has provided notice, certification, and data in accordance with... by the Ozone Secretariat. Or, (3) A Party to the Montreal Protocol operating under Article 5(1) to...
Berney, Alexandre; Leyton, Marco; Gravel, Paul; Sibon, Igor; Sookman, Debbie; Neto, Pedro Rosa; Diksic, Mirko; Nakai, Akio; Pinard, Gilbert; Todorov, Christo; Okazawa, Hidehiko; Blier, Pierre; Nordahl, Thomas Edward; Benkelfat, Chawki
2013-01-01
Context The hypothesis of a serotonin (5-hydroxytryptamine [5-HT]) dysfunction in obsessive-compulsive disorder (OCD) stems largely from the clinical efficacy of 5-HT reuptake inhibitors. Serotonergic abnormalities in the unmedicated symptomatic state, however, remain to be fully characterized. Objective To investigate brain regional 5-HT synthesis, as indexed by positron emission tomography and the α-[11C]methyl-L-tryptophan trapping constant (K*), in treatment-free adults meeting criteria for OCD. Design Between-group comparison. Setting Department of Psychiatry and Montreal Neurological Institute, McGill University, and Department of Psychology, McGill University Health Centre, Quebec, Canada. Participants Twenty-one medication-free patients with OCD (15 men with a mean [SD] age of 33.2 [9.3] years and 6 women with a mean [SD] age of 35.8 [7.1] years) and 21 healthy controls matched for age and sex (15 men with a mean [SD] age of 32.9 [10.1] years and 6 women with a mean [SD] age of 36.5.5 [8.6] years). Main Outcome Measure The α-[11C]methyl-L-tryptophan brain trapping constant K*, which was analyzed with Statistical Parametric Mapping (SPM8) and with proportional normalization (extent threshold of 100 voxels with a peak threshold of P≤.005). Results Compared with healthy controls, the patients with OCD exhibited significantly greater α-[11C]methyl-L-tryptophan trapping in the right hippocampus and left temporal gyrus (Brodmann area 20). In the larger sub-sample of all men, these same differences were also evident, as well as higher K* values in the caudate nucleus. Individual differences in symptom severity correlated positively with K* values sampled from the caudate and temporal lobe of the patients with OCD, respectively. There were no regions where the patients exhibited abnormally low K* values. Volumetric analyses found no morphometric alterations that would account for the group differences. Conclusion The results support previous reports of greater striatal and temporal lobe activity in patients with OCD than in healthy controls and suggest that these disturbances include a serotonergic component. Previously reported glucose metabolic disturbances in OCD involving the orbitofrontal and cingulate cortices, in comparison, might reflect postsynaptic changes in the serotonergic system. PMID:21383250
Andersen, Stephen O; Halberstadt, Marcel L; Borgford-Parnell, Nathan
2013-06-01
In 1974, Mario Molina and F. Sherwood Rowland warned that chlorofluorocarbons (CFCs) could destroy the stratospheric ozone layer that protects Earth from harmful ultraviolet radiation. In the decade after scientists documented the buildup and long lifetime of CFCs in the atmosphere; found the proof that CFCs chemically decomposed in the stratosphere and catalyzed the depletion of ozone; quantified the adverse effects; and motivated the public and policymakers to take action. In 1987, 24 nations plus the European Community signed the Montreal Protocol. Today, 25 years after the Montreal Protocol was agreed, every United Nations state is a party (universal ratification of 196 governments); all parties are in compliance with the stringent controls; 98% of almost 100 ozone-depleting chemicals have been phased out worldwide; and the stratospheric ozone layer is on its way to recovery by 2065. A growing coalition of nations supports using the Montreal Protocol to phase down hydrofluorocarbons, which are ozone safe but potent greenhouse gases. Without rigorous science and international consensus, emissions of CFCs and related ozone-depleting substances (ODSs) could have destroyed up to two-thirds of the ozone layer by 2065, increasing the risk of causing millions of cancer cases and the potential loss of half of global agricultural production. Furthermore, because most, ODSs are also greenhouse gases, CFCs and related ODSs could have had the effect of the equivalent of 24-76 gigatons per year of carbon dioxide. This critical review describes the history of the science of stratospheric ozone depletion, summarizes the evolution of control measures and compliance under the Montreal Protocol and national legislation, presents a review of six separate transformations over the last 100 years in refrigeration and air conditioning (A/C) technology, and illustrates government-industry cooperation in continually improving the environmental performance of motor vehicle A/C.
Andersen, Stephen O; Halberstadt, Marcel L; Borgford-Parnell, Nathan
2013-06-01
In 1974, Mario Molina and F. Sherwood Rowland warned that chlorofluorocarbons (CFCs) could destroy the stratospheric ozone layer that protects Earth from harmful ultraviolet radiation. In the decade after, scientists documented the buildup and long lifetime of CFCs in the atmosphere; found the proof that CFCs chemically decomposed in the stratosphere and catalyzed the depletion of ozone; quantified the adverse effects; and motivated the public and policymakers to take action. In 1987, 24 nations plus the European Community signed the Montreal Protocol. Today, 25 years after the Montreal Protocol was agreed, every United Nations state is a party (universal ratification of 196 governments); all parties are in compliance with the stringent controls; 98% of almost 100 ozone-depleting chemicals have been phased out worldwide; and the stratospheric ozone layer is on its way to recovery by 2065. A growing coalition of nations supports using the Montreal Protocol to phase down hydrofluorocarbons, which are ozone safe but potent greenhouse gases. Without rigorous science and international consensus, emissions of CFCs and related ozone-depleting substances (ODSs) could have destroyed up to two-thirds of the ozone layer by 2065, increasing the risk of causing millions of cancer cases and the potential loss of half of global agricultural production. Furthermore, because most ODSs are also greenhouse gases, CFCs and related ODSs could have had the effect of the equivalent of 24-76 gigatons per year of carbon dioxide. This critical review describes the history of the science of stratospheric ozone depletion, summarizes the evolution of control measures and compliance under the Montreal Protocol and national legislation, presents a review of six separate transformations over the last 100 years in refrigeration and air conditioning (A/C) technology, and illustrates government-industry cooperation in continually improving the environmental performance of motor vehicle A/C. [Box: see text].
The Practice of School Psychology in Quebec English Schools: Current Challenges and Opportunities
ERIC Educational Resources Information Center
Finn, Cindy A.
2016-01-01
In Quebec, school psychology is alive and well. This article outlines current challenges and opportunities related to the practice of psychology in Quebec English schools. Changes to the practice of psychology in Quebec over the last decade have had an impact on the delivery of psychological services in schools. Modifications of the admission…
ERIC Educational Resources Information Center
Baker, Ryan S. J. d., Ed.; Merceron, Agathe, Ed.; Pavlik, Philip I., Jr., Ed.
2010-01-01
The Third International Conference on Data Mining (EDM 2010) was held in Pittsburgh, PA, USA. It follows the second conference at the University of Cordoba, Spain, on July 1-3, 2009 and the first edition of the conference held in Montreal in 2008, and a series of workshops within the AAAI, AIED, EC-TEL, ICALT, ITS, and UM conferences. EDM 2011…
ERIC Educational Resources Information Center
Whalen, Robert, Ed.; Tatlow, Fred, Ed.
A compilation of conference proceedings and addresses, in English and in French, of an August, 1967 meeting in Quebec, Canada is presented. Nelson Brooks offers the keynote speech on bilingualism today. Other speakers and topics include Guy Plastre on the conference theme, Ronald Sutherland on French and English-Canadian literature, Jean-Paul…
Federal Register 2010, 2011, 2012, 2013, 2014
2011-02-01
... Penobscot Counties, Me.; Montreal, Maine & Atlantic Railway, Ltd.--Discontinuance of Service and Abandonment--in Aroostook and Penobscot Counties, ME. Montreal, Maine & Atlantic Railway, Ltd. (MMA) has requested..., approximately 233 miles of rail line in Aroostook and Penobscot Counties, Me. This line was the subject of the...
14 CFR 203.3 - Filing requirements for adherence to Montreal Agreement.
Code of Federal Regulations, 2013 CFR
2013-01-01
... Montreal Agreement. 203.3 Section 203.3 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF... DEFENSES § 203.3 Filing requirements for adherence to Montreal Agreement. All direct U.S. and foreign air... liability limitations of the Warsaw Convention and Hague Protocol approved by CAB Order E-23680, dated May...
14 CFR 203.3 - Filing requirements for adherence to Montreal Agreement.
Code of Federal Regulations, 2012 CFR
2012-01-01
... Montreal Agreement. 203.3 Section 203.3 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF... DEFENSES § 203.3 Filing requirements for adherence to Montreal Agreement. All direct U.S. and foreign air... liability limitations of the Warsaw Convention and Hague Protocol approved by CAB Order E-23680, dated May...
14 CFR 203.3 - Filing requirements for adherence to Montreal Agreement.
Code of Federal Regulations, 2014 CFR
2014-01-01
... Montreal Agreement. 203.3 Section 203.3 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF... DEFENSES § 203.3 Filing requirements for adherence to Montreal Agreement. All direct U.S. and foreign air... liability limitations of the Warsaw Convention and Hague Protocol approved by CAB Order E-23680, dated May...
Chartrand, Mylène; Guénette, Line; Brouillette, Denis; Côté, Stéphane; Huot, Roger; Landry, Jérôme; Martineau, Josée; Perreault, Sylvie; White-Guay, Brian; Williamson, David; Martin, Élisabeth; Gagnon, Marie-Mireille; Lalonde, Lyne
2018-04-01
Few studies have evaluated the quality of oral anticoagulant management by community pharmacists. There is no complete set of quality indicators available for this purpose. To develop a set of specific quality indicators to assess oral anticoagulant management by community pharmacists for patients with atrial fibrillation (AF). Quality indicators were developed in 3 phases. In phase 1, potential quality indicators were generated based on clinical guidelines and a literature review. In phase 2, a modified RAND appropriateness method involving 2 rounds was implemented with 9 experts, who judged the appropriateness of quality indicators generated in phase 1 based on the extent to which they were accurate, based on evidence, relevant, representative of best practices, and measurable in community pharmacies. Phase 3 consisted of a feasibility assessment in 5 community pharmacies on 2 patients each. The final set included 38 quality indicators grouped into 6 categories: documentation (n = 29), risk assessment (n = 3), clinical control (n = 1), clinical follow-up (n = 15), choice of therapy (n = 11), and interaction management (n = 8). The quality indicators referred to process of care (n = 34), clinical outcomes (n = 2), or structure of care (n = 2). There were 24 quality indicators related to vitamin K antagonists (VKAs), and 17 were related to direct oral anticoagulants (DOACs). To assess quality indicators, a questionnaire was developed for completion by community pharmacists for each patient, which included 17 questions about VKA patients and 12 questions about DOAC patients. A first set of quality indicators is now available to assess the quality of oral anticoagulant management by community pharmacists for patients with AF. This research was supported by the Réseau Québécois de recherche sur le médicament (RQRM); the Blueprint for Pharmacy in collaboration with Pfizer Canada; and the Cercle du Doyen of the Faculty of Pharmacy, University of Montreal. The study sponsors were not involved in the study design, data collection, data interpretation, the writing of the article, or the decision to submit the report for publication. Chartrand received a scholarship from the Fonds de Recherche du Québec en Santé (FRQ-S), the Réseau Québécois de recherche sur l'usage des médicaments with Pfizer, and the Faculty of Pharmacy, University of Montreal. Guénette holds a Junior-1 Clinician Researcher Award from the FRQ-S in partnership with the Société québécoise d'hypertension artérielle. Williamson holds a Junior-1 Career Award from the FRQ-S. Côté reported being a medical speaker for Bayer, Boehringer Ingelheim Canada, and Pfizer Canada. The other authors reported no conflicts of interest. Study concept and design were contributed by Lalonde, Chartrand, and Martin. Chartrand, Martin, and Lalonde collected the data, along with Brouillette, Côté, Huot, Landry, Martineau, Perreault, Williamson, and White-Guay. Data interpretation was performed by Chartrand, Gagnon, and Lalonde, along with Guénette and Martin. The manuscript was primarily written by Chartrand, along with Guénette and Lalonde, and revised by Chartrand, Guénette, and Lalonde, along with the other authors. A portion of this study's results was presented at the 4th RQRM Annual Meeting on September 22-23, 2014, in Orford, Quebec, Canada, in the form of an abstract, which was published in the Journal of Population Therapeutics and Clinical Pharmacology, 2014;21(2):e312.
ERIC Educational Resources Information Center
Deshaies, Denise, Ed.; Ouellon, Conrad, Ed.
Papers, all in French, address four issues concerning linguistics and language in Quebec: language quality and linguistic reality; linguistic politics and the future of French in Quebec; the linguist's role in modern society; and dictionaries. Each section includes an untitled, substantive introduction and several papers. Papers include:…
Ahmed, Sara; Ware, Patrick; Visca, Regina; Bareil, Celine; Chouinard, Maud-Christine; Desforges, Johanne; Finlayson, Roderick; Fortin, Martin; Gauthier, Josée; Grimard, Dominique; Guay, Maryse; Hudon, Catherine; Lalonde, Lyne; Lévesque, Lise; Michaud, Cecile; Provost, Sylvie; Sutton, Tim; Tousignant, Pierre; Travers, Stella; Ware, Mark; Gogovor, Amede
2015-10-15
Seven chronic disease prevention and management programs were implemented across Quebec with funding support from a provincial-private industry funding initiative. Given the complexity of implementing integrated primary care chronic disease management programs, a knowledge transfer meeting was held to share experiences across programs and synthesize common challenges and success factors for implementation. The knowledge translation meeting was held in February 2014 in Montreal, Canada. Seventy-five participants consisting of 15 clinicians, 14 researchers, 31 knowledge users, and 15 representatives from the funding agencies were broken up into groups of 10 or 11 and conducted a strengths, weaknesses, opportunities, and threats analysis on either the implementation or the evaluation of these chronic disease management programs. Results were reported back to the larger group during a plenary and recorded. Audiotapes were transcribed and summarized using pragmatic thematic analysis. Strengths to leverage for the implementation of the seven programs include: (1) synergy between clinical and research teams; (2) stakeholders working together; (3) motivation of clinicians; and (4) the fact that the programs are evidence-based. Weaknesses to address include: (1) insufficient resources; (2) organizational change within the clinical sites; (3) lack of referrals from primary care physicians; and (4) lack of access to programs. Strengths to leverage for the evaluation of these programs include: (1) engagement of stakeholders and (2) sharing of knowledge between clinical sites. Weaknesses to address include: (1) lack of referrals; (2) difficulties with data collection; and (3) difficulties in identifying indicators and control groups. Opportunities for both themes include: (1) fostering new and existing partnerships and stakeholder relations; (2) seizing funding opportunities; (3) knowledge transfer; (4) supporting the transformation of professional roles; (5) expand the use of health information technology; and (6) conduct cost evaluations. Fifteen recommendations related to mobilisation of primary care physicians, support for the transformation of professional roles, and strategies aimed at facilitating the implementation and evaluation of chronic disease management programs were formulated based on the discussions at this knowledge translation event. The results from this knowledge translation day will help inform the sustainability of these seven chronic disease management programs in Quebec and the implementation and evaluation of similar programs elsewhere.
ERIC Educational Resources Information Center
Legoux, Marie-Noelle
1980-01-01
A modular-type course in French was developed at the "Centre d'anglais et de francais" at McGill University (Montreal) to meet the needs of incoming students who were lacking skills in listening and oral expression. The course is composed of eight modules a semester, each module corresponding to 15 to 20 hours work on the student's part. The…
Solar stills for agricultural purposes
NASA Technical Reports Server (NTRS)
Selcuk, M. K.; Tran, V. V.
1975-01-01
Basic concepts of using desalinated water for agricultural purposes are outlined. A mathematical model describing heat and mass transfer in a system combining a solar still with a greenhouse, its solution, and test results of a small-scale unit built at the Middle East Technical University, Ankara, Turkey, are discussed. The unit was employed to demonstrate the technical feasibility of the system. Further development and modifications are necessary for larger-scale operations. The basis of an optimization study which is underway at the Brace Research Institute of McGill University in Montreal, Canada, aimed at finding the best combination of design and operation parameters is also presented.
Universal coverage of IVF pays off.
Vélez, M P; Connolly, M P; Kadoch, I-J; Phillips, S; Bissonnette, F
2014-06-01
What was the clinical and economic impact of universal coverage of IVF in Quebec, Canada, during the first calendar year of implementation of the public IVF programme? Universal coverage of IVF increased access to IVF treatment, decreased the multiple pregnancy rate and decreased the cost per live birth, despite increased costs per cycle. Public funding of IVF assures equality of access to IVF and decreases multiple pregnancies resulting from this treatment. Public IVF programmes usually mandate a predominant SET policy, the most effective approach for reducing the incidence of multiple pregnancies. This prospective comparative cohort study involved 7364 IVF cycles performed in Quebec during 2009 and 2011 and included an economic analysis. IVF cycles performed in the five centres offering IVF treatment in Quebec during 2009, before implementation of the public IVF programme, were compared with cycles performed at the same centres during 2011, the first full calendar year following implementation of the programme. Data were obtained from the Canadian Assisted Reproductive Technologies Register (CARTR). Comparisons were made between the two periods in terms of utilization, pregnancy rates, multiple pregnancy rates and costs. The number of IVF cycles performed in Quebec increased by 192% after the new policy was implemented. Elective single-embryo transfer was performed in 1.6% of the cycles during Period I (2009), and increased to 31.6% during Period II (2011) (P < 0.001). Although the clinical pregnancy rate per embryo transfer was lower in 2011 than in 2009 (24.9 versus 39.9%, P < 0.001), the multiple pregnancy rate was greatly reduced (6.4 versus 29.4%, P < 0.001). The public IVF programme increased government costs per IVF treatment cycle from CAD$3730 to CAD$4759. Despite increased costs per cycle, the efficiency defined by the cost per live birth, which factored in downstream health costs up to 1 year post delivery, decreased from CAD$49 517 to CAD$43 362 per baby conceived by either fresh and frozen cycles. The costs described in the economic model are likely an underestimate as they do not factor in many of the long-term costs that can occur after 1 year of age. The information collected in the Canadian ART register precludes the calculation of cumulative pregnancy rates. Our study confirms that the implementation of a public IVF programme favouring eSET not only sharply decreases the incidence of multiple pregnancy, but also reduces the cost per live birth. M.P.V. holds a fellowship award from the Canadian Institutes of Health Research (CIHR). The economic analysis performed by M.P.C. was supported by an unrestricted grant from Ferring Pharmaceutical.
40 CFR 82.4 - Prohibitions for class I controlled substances.
Code of Federal Regulations, 2012 CFR
2012-07-01
... not listed as a Party to the 1987 Montreal Protocol unless that foreign state is complying with the 1987 Montreal Protocol (See appendix C, annex 2 of this subpart); (2) Import or export any quantity of... to this subpart, from any foreign state not Party to the 1987 Montreal Protocol (as noted in appendix...
40 CFR 82.4 - Prohibitions for class I controlled substances.
Code of Federal Regulations, 2013 CFR
2013-07-01
... not listed as a Party to the 1987 Montreal Protocol unless that foreign state is complying with the 1987 Montreal Protocol (See appendix C, annex 2 of this subpart); (2) Import or export any quantity of... to this subpart, from any foreign state not Party to the 1987 Montreal Protocol (as noted in appendix...
ERIC Educational Resources Information Center
Blanc, Michel, Ed.; Hamers, Josiane F., Ed.
Papers from an international conference on the interaction of languages and dialects in contact are presented in this volume. Papers include: "Quelques reflexions sur la variation linguistique"; "The Investigation of 'Language Continuum' and 'Diglossia': A Macrological Case Study and Theoretical Model"; "A Survey of…
Divergent modes of integration: the Canadian way.
Jiwani, Izzat; Fleury, Marie-Josée
2011-01-01
The paper highlights key trajectories and outcomes of the recent policy developments toward integrated health care delivery systems in Quebec and Ontario in the primary care sector and in the development of regional networks of health and social services. It particularly explores how policy legacies, interests and cultures may be mitigated to develop and sustain different models of integrated health care that are pertinent to the local contexts. In Quebec, three decades of iterative developments in health and social services evolved in 2005 into integrated centres for health and social services at the local levels (CSSSs). Four integrated university-based health care networks provide ultra-specialised services. Family Medicine Groups and network clinics are designed to enhance access and continuity of care. Ontario's Family Health Teams (2004) constitute an innovative public funding for private delivery model that is set up to enhance the capacity of primary care and to facilitate patient-based care. Ontario's Local Health Integration Networks (LHINs) with autonomous boards of provider organisations are intended to coordinate and integrate care. Integration strategies in Quebec and Ontario yield clinical autonomy and power to physicians while simultaneously making them key partners in change. Contextual factors combined with increased and varied forms of physician remunerations and incentives mitigated some of the challenges from policy legacies, interests and cultures. Virtual partnerships and accountability agreements between providers promise positive but gradual movement toward integrated health service systems.
A retrospective study of nineteen ataxic horses
Nappert, Germain; Vrins, André; Breton, Luc; Beauregard, Michel
1989-01-01
A retrospective study of 19 ataxic horses admitted to the College of Veterinary Medicine of the University of Montreal during the period of January 1985 to December 1988 is presented. There were 11 cases of cervical vertebral malformation, four of equine degenerative myeloencephalopathy, two of equine protozoal myeloencephalitis, one each of vertebral osteomyelitis and intervertebral disc protrusion. The clinical diagnosis of ataxia in horses requires neurological, radiographic, myelographic, and laboratory examinations. ImagesFigure 1.Figure 2.Figure 3. PMID:17423438
ERIC Educational Resources Information Center
Crespo, Manuel; Hache, Jean B.
1990-01-01
A study compared choices made by administrators in French- and English-language institutions under growing fiscal constraints. Areas of agreement are considerable, but university administrators are adhering less closely to government priorities than other institutions, and some differences in institutional choices appear to be related to the…
Quest for safer skies: Modeling golden eagles and wind energy to reduce turbine risk
Todd Katzner; Tricia Miller; Scott Stoleson
2014-01-01
In a patch of sky above Pennsylvania, a golden eagle moves languidly, never flapping but passing quickly as it cruises southward on a cushion of air. It is migrating to its wintering grounds after a season of breeding in Quebec. As part of a team studying eagles on a daily basisa project supported by the U.S. Forest Service (USFS), West Virginia University,...
ERIC Educational Resources Information Center
Langlois, Andre; Kitchen, Peter
2001-01-01
Used 1996 Canadian census data to examine the spatial structure and intensity of urban deprivation in Montreal. Analysis of 20 indicators of urban deprivation identified 6 main types of deprivation in the city and found that they were most visible on the Island of Montreal. Urban deprivation was not confined to the inner city. (SM)
Code of Federal Regulations, 2012 CFR
2012-07-01
... listed in appendix C to this subpart (Parties to the Montreal Protocol) must agree either to transfer to... permitted under the Montreal Protocol or to receive from the person for the current control period some... by the United States to the Secretariat of the Montreal Protocol for an essential use exemption may...
Code of Federal Regulations, 2013 CFR
2013-07-01
... listed in appendix C to this subpart (Parties to the Montreal Protocol) must agree either to transfer to... permitted under the Montreal Protocol or to receive from the person for the current control period some... by the United States to the Secretariat of the Montreal Protocol for an essential use exemption may...
Code of Federal Regulations, 2011 CFR
2011-07-01
... listed in appendix C to this subpart (Parties to the Montreal Protocol) must agree either to transfer to... permitted under the Montreal Protocol or to receive from the person for the current control period some... by the United States to the Secretariat of the Montreal Protocol for an essential use exemption may...
Code of Federal Regulations, 2014 CFR
2014-07-01
... listed in appendix C to this subpart (Parties to the Montreal Protocol) must agree either to transfer to... permitted under the Montreal Protocol or to receive from the person for the current control period some... by the United States to the Secretariat of the Montreal Protocol for an essential use exemption may...
Steinbacher, M; Vollmer, M K; Buchmann, B; Reimann, S
2008-03-01
A combination of reconstructed histories, long-term time series and recent quasi-continuous observations of non-CO2 greenhouse gases at the high-Alpine site Jungfraujoch is used to assess their current global radiative forcing budget and the influence of regulations due to the Montreal Protocol on Substances that Deplete the Ozone Layer in terms of climate change. Extrapolated atmospheric greenhouse gases trends from 1989 assuming a business-as-usual scenario, i.e. no Montreal Protocol restriction, are presented and compared to the observations. The largest differences between hypothetical business-as-usual mixing ratios and current atmospheric observations over the last 16 years were found for chlorinated species, in particular methyl chloroform (CH3CCl3) at 167 to 203 ppt and chlorofluorocarbon-12 (CFC-12) at 121 to 254 ppt. These prevented increases were used to estimate the effects of their restrictions on the radiative forcing budget. The net direct effect due to the Montreal Protocol regulations reduces global warming and offsets about 14 to 30% of the positive greenhouse effect related to the major greenhouse gases CO2, CH4, N2O and also SF6, and about 12 to 22% of the hypothetical current radiative forcing increase without Montreal Protocol restrictions. Thus, the Montreal Protocol succeeded not only in reducing the atmospheric chlorine content in the atmosphere but also dampened global warming. Nevertheless, the Montreal Protocol controlled species still add to global warming.
Gosselin, Virginie; Généreux, Mélissa; Gagneur, Arnaud; Petit, Geneviève
2016-01-01
ABSTRACT In 2011, the monovalent rotavirus vaccine was introduced into a universal immunization program in Quebec (Canada). This retrospective cohort study assessed vaccine effectiveness (VE) in preventing acute gastroenteritis (AGE) and rotavirus gastroenteritis (RVGE) hospitalizations among children <3 y living in the Quebec Eastern Townships region according to socioeconomic status (SES). Data were gathered from a tertiary hospital database paired with a regional immunization registry. Three cohorts of children were followed: (1) vaccinated children born in post-universal vaccination period (2011–2013, n = 5,033), (2) unvaccinated children born in post-universal vaccination period (n = 1,239), and (3) unvaccinated children born in pre-universal vaccination period (2008–2010, n = 6,436). In each cohort, AGE and RVGE hospitalizations were identified during equivalent follow-up periods to calculate VE globally and according to neighborhood-level SES. Using multivariable logistic regression, adjusted odds ratios (OR) were computed to obtain VE (1-OR). Adjusted VE of 2 doses was 62% (95% confidence interval [CI]: 37%–77%) and 94% (95%CI: 52%–99%) in preventing AGE and RVGE hospitalization, respectively. Stratified analyses according to SES showed that children living in neighborhoods with higher rates of low-income families had significantly lower VE against AGE hospitalizations compared to neighborhoods with lower rates of low-income families (30% vs. 78%, p = 0.027). Our results suggest that the rotavirus vaccine is highly effective in preventing severe gastroenteritis in young children, particularly among the most well-off. SES seems to influence rotavirus VE, even in a high-income country like Canada. Further studies are needed to determine factors related to lower rotavirus VE among socioeconomically disadvantaged groups. PMID:27367155
AmeriFlux CA-Qc2 Quebec - 1975 Harvested Black Spruce (HBS75)
DOE Office of Scientific and Technical Information (OSTI.GOV)
Margolis, Hank
This is the AmeriFlux version of the carbon flux data for the site CA-Qc2 Quebec - 1975 Harvested Black Spruce (HBS75). Site Description - Quebec - Eastern Boreal; Black Spruce forest harvested in 1975.
Guérin, A; Lebel, D; Marando, N; Prot-Labarthe, S; Bourdon, O; Bussières, J-F
2014-05-01
Hospital pharmacy practice has evolved differently between France and Quebec. While this development is part of broader systems, French and Quebec hospitals have undergone significant changes over the years to cope with challenges, among others, the economic and demographic realities. The main objective is to evaluate and compare the perception of French and Quebec hospital pharmacists about the factors that have contributed to the evolution of pharmacy practice in their respective context. This is a descriptive cross-sectional study. The study focuses on a sample of experienced hospital pharmacists in France and Quebec. We targeted a convenience sample of 50 respondents per country. An online questionnaire with 15 pharmaceutical activities to which are connected nine factors that may have influenced the implementation of each of these activities in each country was used. The mean score was calculated for each of the nine factors for each activity. The perception of French and Quebec hospital pharmacists was then compared. A P value less than 0.05 was considered statistically significant. Two hundred and sixty hospital pharmacists were directly contacted in France and 79 in Quebec. Seventy-eight French pharmacists and 77 Quebec pharmacists responded to the survey, that is a respective response rate of 30% and 97%, respectively. The hierarchy of factors that contributed to the evolution of pharmacy practice was similar between the two countries, legislative and regulatory factors as well as the concern for risk management and quality dominate; scientific human, economic factors and training have a relatively similar position. For cons, the news factor (6th in France against the 10th position in Quebec) and the academic factor (10th position in France against the 6th position in Quebec) obtained inverse scores between France and Quebec. There are few data on the determinants of the evolution of hospital pharmacy in France and Quebec. The hierarchy of factors that contributed to the evolution of pharmacy practice is similar between the two countries, although differences of rank were found for the news and academic factors. Further studies are needed to better understand the factors that influence the evolution of pharmacy practice in health care institutions. Copyright © 2014 Elsevier Masson SAS. All rights reserved.
Greek Day Education in and around Montreal: The Case for a Greek Trilingual High School.
ERIC Educational Resources Information Center
Bombas, Leonidas C.
The history of the education of Montreal's Greek population is traced in this report, which is partly intended to act as a stimulus for future planning and development. Six chapters contain, respectively: (1) a history of Greek day education in and around Montreal, from its origin in 1910 with the founding of the "Plato" school to its…
State corporations and resource based development in Quebec, Canada
DOE Office of Scientific and Technical Information (OSTI.GOV)
Bradbury, J.H.
1982-01-01
A case study of state corporations in the forestry, mining, and petroleum sectors in resource frontier regions reveals the extent of state involvement in infrastructure and production in Quebec. The intention of government corporations was to encourage Quebec enterprise, to promote resource extraction in hinterland regions, and to contribute to the ''economic liberation'' of Quebec, as part of a regional policy of ''maitres chez nous.'' A complex set of relationships involving regional and international investments, ideology, and economic nationalism are discussed for the period 1960-1980. It is concluded that the state has become an integral part of regional development inmore » selected resource frontier regions in Quebec.« less
NASA Astrophysics Data System (ADS)
Zokagoa, Jean-Marie; Soulaïmani, Azzeddine
2012-06-01
This article presents a reduced-order model (ROM) of the shallow water equations (SWEs) for use in sensitivity analyses and Monte-Carlo type applications. Since, in the real world, some of the physical parameters and initial conditions embedded in free-surface flow problems are difficult to calibrate accurately in practice, the results from numerical hydraulic models are almost always corrupted with uncertainties. The main objective of this work is to derive a ROM that ensures appreciable accuracy and a considerable acceleration in the calculations so that it can be used as a surrogate model for stochastic and sensitivity analyses in real free-surface flow problems. The ROM is derived using the proper orthogonal decomposition (POD) method coupled with Galerkin projections of the SWEs, which are discretised through a finite-volume method. The main difficulty of deriving an efficient ROM is the treatment of the nonlinearities involved in SWEs. Suitable approximations that provide rapid online computations of the nonlinear terms are proposed. The proposed ROM is applied to the simulation of hypothetical flood flows in the Bordeaux breakwater, a portion of the 'Rivière des Prairies' located near Laval (a suburb of Montreal, Quebec). A series of sensitivity analyses are performed by varying the Manning roughness coefficient and the inflow discharge. The results are satisfactorily compared to those obtained by the full-order finite volume model.
Canadian Orofacial Pain Team workshop report on the global year against orofacial pain.
Lavigne, Gilles J; Sessle, Barry J
2015-01-01
The year 2013-2014 has been designated the Global Year Against Orofacial Pain by the International Association for the Study of Pain. Accordingly, a multidisciplinary Canadian and international group of clinical, research and knowledge-transfer experts attended a workshop in Montreal, Quebec. The workshop had two aims: to identify new pathways for innovative diagnosis and management of chronic orofacial pain states; and to identify opportunities for further collaborative orofacial pain research and education in Canada. Three topics related to chronic orofacial pain were explored: biomarkers and pain signatures for chronic orofacial pain; misuse of analgesic and opioid pain medications for managing chronic orofacial pain; and complementary alternative medicine, topical agents and the role of stress in chronic orofacial pain. It was determined that further research is needed to: identify biomarkers of chronic orofacial post-traumatic neuropathic pain, with a focus on psychosocial, physiological and chemical-genetic factors; validate the short- and long-term safety (i.e., no harm to health, and avoidance of misuse and addiction) of opioid use for two distinct conditions (acute and chronic orofacial pain, respectively); and promote the use of topical medications as an alternative treatment in dentistry, and further document the benefits and safety of complementary and alternative medicine, including stress management, in dentistry. It was proposed that burning mouth syndrome, a painful condition that is not uncommon and affects mainly postmenopausal women, should receive particular attention.
Canadian Orofacial Pain Team workshop report on the Global Year Against Orofacial Pain
Lavigne, Gilles J; Sessle, Barry J
2015-01-01
The year 2013–2014 has been designated the Global Year Against Orofacial Pain by the International Association for the Study of Pain. Accordingly, a multidisciplinary Canadian and international group of clinical, research and knowledge-transfer experts attended a workshop in Montreal, Quebec. The workshop had two aims: to identify new pathways for innovative diagnosis and management of chronic orofacial pain states; and to identify opportunities for further collaborative orofacial pain research and education in Canada. Three topics related to chronic orofacial pain were explored: biomarkers and pain signatures for chronic orofacial pain; misuse of analgesic and opioid pain medications for managing chronic orofacial pain; and complementary alternative medicine, topical agents and the role of stress in chronic orofacial pain. It was determined that further research is needed to: identify biomarkers of chronic orofacial post-traumatic neuropathic pain, with a focus on psychosocial, physiological and chemical-genetic factors; validate the short-and long-term safety (ie, no harm to health, and avoidance of misuse and addiction) of opioid use for two distinct conditions (acute and chronic orofacial pain, respectively); and promote the use of topical medications as an alternative treatment in dentistry, and further document the benefits and safety of complementary and alternative medicine, including stress management, in dentistry. It was proposed that burning mouth syndrome, a painful condition that is not uncommon and affects mainly postmenopausal women, should receive particular attention. PMID:25522352
Body-Related Shame and Guilt Predict Physical Activity in Breast Cancer Survivors Over Time.
Castonguay, Andrée L; Wrosch, Carsten; Pila, Eva; Sabiston, Catherine M
2017-07-01
To test body-related shame and guilt as predictors of breast cancer survivors' (BCS') moderate to vigorous intensity physical activity (MVPA) during six months and to examine motivational regulations as mediators of this association. . Prospective study. . Survivors were recruited through advertisements and oncologist referrals from medical clinics and hospitals in Montreal, Quebec, Canada. . 149 female BCS. . Self-reports of body-related shame and guilt, motivational regulations, and MVPA were measured among BCS at baseline. MVPA was assessed a second time six months later. Residual change scores were used. . Body-related shame and guilt; external, introjected, and autonomous (identified and intrinsic) motivational regulations; MVPA. . In the multiple mediation models, body-related shame was associated with low levels of MVPA, as well as external, introjected, and autonomous motivational regulations. Guilt was related to high levels of MVPA and introjected and autonomous motivational regulations. Indirect effects linked shame, guilt, and MVPA via autonomous motivation. Only body-related shame was a significant predictor of six-month changes in MVPA. . Based on these results, the specific emotions of shame and guilt contextualized to the body differentially predict BCS' health motivations and behavior over time. . Survivorship programs may benefit from integrating intervention strategies aimed at reducing body-related shame and helping women manage feelings of guilt to improve physical activity.
Exploring hope and healing in patients living with advanced non-small cell lung cancer.
Eustache, Chloe; Jibb, Emily; Grossman, Mary
2014-09-01
To explore the experience and meaning of hope in relation to the healing process of patients living with stage IIIb or IV non-small cell lung cancer. Interpretative qualitative study design. Peter Brojde Lung Cancer Centre in the Jewish General Hospital in Montreal, Quebec, Canada. 12 English- and French-speaking patients, aged 36-78 years. One 60-90-minute semistructured interview per participant was conducted. An inductive approach to data analysis was taken, involving immersion in the data, coding, classifying, and creating linkages. Four main themes emerged: (a) the morass of shattered hope, (b) tentative steps toward a new hope paradigm, (c) reframing hope within the context of a life-threatening illness, and (d) strengthening the link between hope and wellness. Patients described a process where hope was diminished or lost entirely, regained, and reshaped as they learned to live and grow following their diagnosis. This study adds to the literature by describing the dynamic nature of hope as well as factors facilitating or hindering the hope process. It demonstrates how finding meaning, a structural component of healing, can be used to envision a new hopeful future. This study suggests hope and healing cannot exist in isolation, and highlights the importance of understanding the fluctuating nature of hope in patients with advanced lung cancer to foster it, therefore promoting healing.
Costa, Camille K; Dagher, Jehane H; Lamoureux, Julie; de Guise, Elaine; Feyz, Mitra
2015-01-01
The goal of this study is to determine if a difference in societal costs exists from traumatic brain injuries (TBI) in patients who wear helmets compared to non-wearers. This is a retrospective cost-of-injury study of 128 patients admitted to the Montreal General Hospital (MGH) following a TBI that occurred while cycling between 2007-2011. Information was collected from Quebec Trauma Registry. The independent variables collected were socio-demographic, helmet status, clinical and neurological patient information. The dependent variables evaluated societal costs. The median costs of hospitalization were significantly higher (p = 0.037) in the no helmet group ($7246.67 vs. $4328.17). No differences in costs were found for inpatient rehabilitation (p = 0.525), outpatient rehabilitation (p = 0.192), loss of productivity (p = 0.108) or death (p = 1.000). Overall, the differences in total societal costs between the helmet and no helmet group were not significantly different (p = 0.065). However, the median total costs for patients with isolated TBI in the non-helmet group ($22, 232.82) was significantly higher (p = 0.045) compared to the helmet group ($13, 920.15). Cyclists sustaining TBIs who did not wear helmets in this study were found to cost society nearly double that of helmeted cyclists.
The 3rd Canadian Symposium on Hepatitis C Virus: Expanding care in the interferon-free era
MacParland, Sonya A; Bilodeau, Marc; Grebely, Jason; Bruneau, Julie; Cooper, Curtis; Klein, Marina; Sagan, Selena M; Choucha, Norma; Balfour, Louise; Bialystok, Frank; Krajden, Mel; Raven, Jennifer; Roberts, Eve; Russell, Rodney; Houghton, Michael; Tyrrell, D Lorne; Feld, Jordan J
2014-01-01
Hepatitis C virus (HCV) currently infects approximately 250,000 individuals in Canada and causes more years of life lost than any other infectious disease in the country. In August 2011, new therapies were approved by Health Canada that have achieved higher response rates among those treated, but are poorly tolerated. By 2014/2015, short-course, well-tolerated treatments with cure rates >95% will be available. However, treatment uptake is poor due to structural, financial, geographical, cultural and social barriers. As such, ‘Barriers to access to HCV care in Canada’ is a crucial topic that must be addressed to decrease HCV disease burden and potentially eliminate HCV in Canada. Understanding how to better care for HCV-infected individuals requires integration across multiple disciplines including researchers, clinical services and policy makers to address the major populations affected by HCV including people who inject drugs, baby boomers, immigrants and Aboriginal and/or First Nations people. In 2012, the National CIHR Research Training Program in Hepatitis C organized the 1st Canadian Symposium on Hepatitis C Virus (CSHCV) in Montreal, Quebec. The 2nd CSHCV was held in 2013 in Victoria, British Columbia. Both symposia were highly successful, attracting leading international faculty with excellent attendance leading to dialogue and knowledge translation among attendees of diverse backgrounds. The current article summarizes the 3rd CSHCV, held February 2014, in Toronto, Ontario. PMID:25314353
Housing for persons with serious mental illness: consumer and service provider preferences.
Piat, Myra; Lesage, Alain; Boyer, Richard; Dorvil, Henri; Couture, Audrey; Grenier, Guy; Bloom, David
2008-09-01
This study evaluated the housing preferences of a representative sample of consumers with serious mental illness living in seven types of housing in Montreal, Quebec, and compared these with their case managers' housing preferences for them. An inventory of all housing for this population was developed in consultation with administrators of three psychiatric hospitals and the regional health board. The inventory included seven categories: housing in a hospital setting, hostels, group homes, foster homes, supervised apartments, social housing (low-income housing or cooperative), and private rooming homes. A stratified random sample of 48 consumers was selected in each category. In all, 315 consumers and their case managers completed the Consumer Housing Preference Survey. Most consumers preferred living in housing that offered them more autonomy than the housing in which they were currently living. Case managers preferred housing that offered some structure, such as supervised apartments. Forty-four percent of consumers preferred to live in their own apartment. More than a third of consumers preferred to live in their current housing. When evaluating housing preferences, it is important to elicit the viewpoints of mental health consumers as well as their case managers. Special attention should be given to the type of housing where consumers currently live. A variety of housing, not just autonomous housing, is needed to meet the specific housing preferences of individuals with serious mental illness.
Smith, Kimberley J; Pagé, Véronique; Gariépy, Geneviève; Béland, Mélanie; Badawi, Ghislaine; Schmitz, Norbert
2012-01-01
Diabetes control is a multifaceted process involving successful adherence to a self-care regimen as indicated by improved health outcomes. The aim of this study was to ascertain the construct validity of self-reported diabetes control in a population-based survey. This study assessed 1848 participants with type 2 diabetes who took part in the Montreal Diabetes Health and Wellbeing Study in Quebec, Canada. Participants were administered the diabetes complications index as well as sociodemographic and health questions. Fair/poor diabetes control was associated with being less likely to check blood glucose weekly, being less likely to drink alcohol, being more likely to report being physically inactive, reporting fair/poor eating habits, being obese and having 1 or more diabetes complications. When all variables were included in a regression model the two variables most strongly associated with poor fair/poor diabetes control were reporting fair/poor eating habits (odds ratio 1.36, 95% CI 1.00-1.85) and having 2 or more diabetes complications (odds ratio 1.60, 95% CI 1.06-2.40). Results from this study indicate that self-rated diabetes control has associations with diabetes-specific self-care behaviours and outcomes, and is a general indicator of self-care and diabetes-related complications in a population-based survey. Crown Copyright © 2011. Published by Elsevier Ireland Ltd. All rights reserved.
Barometer Rising: Don't Count English Quebec Out Yet. Quebec Report.
ERIC Educational Resources Information Center
Kelebay, Yarema Gregory
1996-01-01
Analyzes the political arguments and special interests surrounding the recent referendum regarding the separation of Quebec from Canada. Characterizes the separatists' campaign as defined by lies, evasion, and demagoguery. Discusses the political reconfiguring occurring among the profederalists. (MJP)
1983-10-01
BIT A,, M 115V ACBB N 270V DC RETURN p 115V ACCA R IW DC POWER S INTERLOCK RETURN T STRUCTURE GROUND U FIBER OPTICS BUS V ADDRESS BIT A,, w...Ontario Kl A 0K2 Canada FGAN- FFM , D-5307 Wachtberg-Werthhoven Germany Concordia University, 7141 Sherbrooke St. W. Montreal, QueH4BlRG Canada
Klag, Malvina; Richer, Marie-Claire
2016-01-01
This paper describes the emergence of an "information brokerage" in the project management office of the McGill University Health Centre (MUHC) in Montreal. This process evolved during unprecedented transformation linked to a redevelopment project. Information brokering became a core function in the MUHC's context of major change. To develop an information brokering model, the paper draws upon the literature on knowledge brokering, applies Daft and Lengel's (1986) seminal framework on information processing in organizations, and builds on the MUHC experience. The paper proposes that knowledge brokering and information brokering are related, yet distinct in content, purpose and structure.
[The scale of social provisions: their validation in Quebec].
Caron, J
1996-01-01
This article presents the results of the Quebec validation of the Social Provisions Scale (Cutrona et Russell, 1989). L'échelle de provision sociales was administered to 790 people on the course of two studies. The first one included 387 university students of first level and the second was realized with 266 people from the general population, 79 welfare recipients and 58 persons with a diagnosis related to psychosis. The results show that the scale presents a good internal coherence and a satisfying temporal stability, thus assuring the fidelity of the instrument. The factorial analyses have not reproduced exactly the same profile as the original instrument, however the moderate correlations between the different social provisions sustain the validity of the multidimensional construct of social support. Moreover, analyses of the variance and the discriminating analysis allow to acknowledge that the sub-scales have a high discriminating power; they allow to distinguish the general population from welfare recipients and people suffering from psychosis. Finally, norms are presented for the general population.
ERIC Educational Resources Information Center
Simmt, Elaine, Ed.; Davis, Brent, Ed.
2005-01-01
This submission contains the Proceedings of the 2004 Annual Meeting of the Canadian Mathematics Education Study Group (CMESG), held at Universite Laval in Quebec City, Quebec. The CMESG is a group of mathematicians and mathematics educators who meet annually to discuss mathematics education issues at all levels of learning. The aims of the Study…
The Montreal Protocol treaty and its illuminating history of science-policy decision-making
NASA Astrophysics Data System (ADS)
Grady, C.
2017-12-01
The Montreal Protocol on Substances that Deplete the Ozone Layer, hailed as one of the most effective environmental treaties of all time, has a thirty year history of science-policy decision-making. The partnership between Parties to the Montreal Protocol and its technical assessment panels serve as a basis for understanding successes and evaluating stumbles of global environmental decision-making. Real-world environmental treaty negotiations can be highly time-sensitive, politically motivated, and resource constrained thus scientists and policymakers alike are often unable to confront the uncertainties associated with the multitude of choices. The science-policy relationship built within the framework of the Montreal Protocol has helped constrain uncertainty and inform policy decisions but has also highlighted the limitations of the use of scientific understanding in political decision-making. This talk will describe the evolution of the scientist-policymaker relationship over the history of the Montreal Protocol. Examples will illustrate how the Montreal Protocol's technical panels inform decisions of the country governments and will characterize different approaches pursued by different countries with a particular focus on the recently adopted Kigali Amendment. In addition, this talk will take a deeper dive with an analysis of the historic technical panel assessments on estimating financial resources necessary to enable compliance to the Montreal Protocol compared to the political financial decisions made through the Protocol's Multilateral Fund replenishment negotiation process. Finally, this talk will describe the useful lessons and challenges from these interactions and how they may be applicable in other environmental management frameworks across multiple scales under changing climatic conditions.
Zhao, Jin-Ping; Sheehy, Odile; Bérard, Anick
2015-01-01
Congenital anomalies are the consequence of a complex interaction between genetic predisposition and fetal environment. Based on the Congenital Anomalies Surveillance in Canada Report, between 1998 and 2007 the rate of congenital heart defects in Quebec was significantly higher than the Canadian average; no data on the overall prevalence of congenital anomalies for Quebec or data on regional variations in any province are available. To estimate the prevalence of major congenital malformations (MCMs) in all of the 17 administrative regions of Quebec. Using data from the Quebec Pregnancy Cohort, we included infants if they were born between January 1, 1998 and December 31, 2008. MCMs were identified within the infant's first year of life using validated ICD-9 and ICD-10 codes. The rate of MCMs was calculated and stratified on Quebec's administrative regions. Among 152,353 eligible infants, the prevalence of MCMs was 36.6 (all rates were reported as per 1,000 live births). The regions with the highest rate of MCMs were Lanaudière (48.1), Laval (45.8), and Mauricie (45.1). Regions with the lowest rate were Outaouais (13.4), Côte-Nord (19.1), Abitibi-Témiscamingue (27.5), Gaspésie-îles-de-la-Madeleine (27.9), and Saguenay-Lac-Saint-Jean (28.9). Congenital heart defects (10.3) and musculoskeletal anomalies (12.6) were the most common. Laval had the highest rate of heart defects (16.1), and Lanaudière had the highest rate of musculoskeletal anomalies (22.0). The central regions of Quebec had high rate of MCMs, whereas the relatively genetically homogenous peripheral regions of Quebec had lower rate of MCM, suggesting the importance of fetal growth environment in the etiology of MCMs in Quebec.
Comparison of access to services in rural emergency departments in Quebec and British Columbia.
Fleet, Richard; Audette, Louis-David; Marcoux, Jérémie; Villa, Julie; Archambault, Patrick; Poitras, Julien
2014-11-01
Although emergency departments (EDs) in Canada's rural areas serve approximately 20% of the population, a serious problem in access to health care services has emerged. The objective of this project was to compare access to support services in rural EDs between British Columbia and Quebec. Rural EDs were identified through the Canadian Healthcare Association's Guide to Canadian Healthcare Facilities. We selected hospitals with 24/7 ED physician coverage and hospitalization beds that were located in rural communities (using the rural and small town definition from Statistics Canada). Data were collected from ministries of health, local health authorities, and ED statistics. A telephone interview was administered to collect denominative user data statistics and determine the status of services. British Columbia has more rural EDs (n = 34) than Quebec (n = 26). EDs in Quebec have higher volumes (19,310 versus 7,793 annual visits). With respect to support services, 81% of Quebec rural EDs have a 24/7 on-call general surgeon compared to 12% for British Columbia. Nearly 75% of Quebec rural EDs have 24/7 access to computed tomography versus only 3% for British Columbia. Rural EDs in Quebec are also supported by a greater proportion of intensive care units (88% versus 15%); however, British Columbia appears to have more medevac aircraft/helicopters than Quebec. The results suggest that major differences exist in access to support services in rural EDs in British Columbia and Quebec. A nationwide study is justified to address this issue of variability in rural and remote health service delivery and its impact on interfacility transfers and patient outcomes.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Hamilton, G.
1993-12-31
When New York governor Mario Cuomo pulled the plug on a purchase of 1,000 megawatts of power from Hydro-Quebec last June, the provincial utility talked tough. The cancellation, a senior Hydro-Quebec official claimed, would not jeopardize the future of its controversial Great Whale hydro project in the North. Bu Hydro-Quebec has quietly shoved Great Whale onto the back burner while an environmental review is underway. In the meantime the utility is barreling ahead with another mega-dam. The Ste. Marquerite project planned for north-eastern Quebec is modest by Hydro-Quebec standards, generating less than a third the power of Great Whale. Still,more » with an 880-megawatt power station and 190 square miles of reservoirs, it is one of the largest hydro projects on any drawing board in North America. Environmentalists say it is being pushed ahead without a serious study of its impacts. This article details the environmental impacts of the project, and the extended impacts, not yet accounted for.« less
[The institutionalization of health impact assessment in Quebec: a feasible model in Spain?].
Boldo, Elena; St-Pierre, Louise; Mendell, Anika; Benoit, François
2011-01-01
In Canada, the province of Quebec has institutionalized Health Impact Assessment (HIA) by including it in its Public Health Act (PHA). In Spain, the Ministry of Health, Social Policy and Equality is in the process of reforming its PHA, and plans to include HIA in this legislation. This study reviews the factors that have led to the effective implementation of HIA in Quebec and discusses the possible applications of the Quebec model in the Spanish context. Information was gathered through interviews conducted in various public health institutions in Quebec. The Quebec model was compared to the Spanish situation, to identify potential needs associated with the practice of HIA in Spain. In Quebec, public health institutions have developed a strategy for effective implementation of HIA. This strategy is based on several measures: creation of a network of ministerial representatives, development of an internal procedure at the Ministry of Health and Social Services to respond to requests, preparation of methodological guidelines, establishment of a research program, strengthening of knowledge transfer mechanisms, and establishment of communication and participation tools. HIA legislation does not guarantee its successful implementation. The institutionalization of HIA requires establishing a well-designed structure, as well as the allocation of adequate resources. The Quebec experience offers one model of HIA implementation that could be adapted to our country, taking into account elements of Spanish idiosyncrasies. Copyright © 2011 SESPAS. Published by Elsevier Espana. All rights reserved.
The Quebec National Library on the Web.
ERIC Educational Resources Information Center
Kieran, Shirley; Sauve, Diane
1997-01-01
Provides an overview of the Quebec National Library (Bibliotheque Nationale du Quebec, or BNQ) Web site. Highlights include issues related to content, design, and technology; IRIS, the BNQ online public access catalog; development of the multimedia catalog; software; digitization of documents; links to bibliographic records; and future…
J'ai le gout du Quebec (I Am in the Mood for Quebec)!
ERIC Educational Resources Information Center
Tetu de Labsade, Francoise
1981-01-01
Hails the vitality of the French language in the Quebec region as it manifests itself through advertisements, from political slogans to storefront signs. Discusses the relationship between the language of the Quebecois and their culture, and offers an effective visual commentary through numerous illustrations. (MES)
Quebec: La valse des valeurs (Quebec: The Waltz of Values).
ERIC Educational Resources Information Center
Ueberschlag, Roger
1991-01-01
In recent decades, Quebec has been continuously examining its educational values, addressing in particular the effectiveness of traditional educational methods and curricula, role of institutional culture in academic success, and value placed on ethnic integration. Priority should be given to cognitive development and systematic evaluation but…
The Real Face of Separatism. Quebec Report.
ERIC Educational Resources Information Center
Kelebay, Yarema Gregory
1997-01-01
Provides an update on the continuing debate over separatism for the Canadian province of Quebec. Briefly profiles "La Patente," a group that eventually became the organizational core of the separatist movement. Maintains that the separatist movement is a well-organized minority that doesn't reflect the majority opinion in Quebec. (MJP)
ERIC Educational Resources Information Center
Mellouki, M'hammed; Lemieux, Nicole
1995-01-01
Offers a historical analysis of the system of educational and professional counseling in Quebec (1930-90) and the separate role of the school inspection system (1851-1964) as they relate to important changes going on currently in Quebec society. Considers the role of both counselors and school inspectors--as intellectuals--in cultural mediation…
Chow, Dorothy K L; Leong, Rupert W L; Lai, Larry H; Wong, Grace L H; Leung, Wai-Keung; Chan, Francis K L; Sung, Joseph J Y
2008-04-01
Phenotypic evolution of Crohn's disease occurs in whites but has never been described in other populations. The Montreal classification may describe phenotypes more precisely. The aim of this study was to validate the Montreal classification through a longitudinal sensitivity analysis in detecting phenotypic variation compared to the Vienna classification. This was a retrospective longitudinal study of consecutive Chinese Crohn's disease patients. All cases were classified by the Montreal classification and the Vienna classification for behavior and location. The evolution of these characteristics and the need for surgery were evaluated. A total of 109 patients were recruited (median follow-up: 4 years, range: 6 months-18 years). Crohn's disease behavior changed 3 years after diagnosis (P = 0.025), with an increase in stricturing and penetrating phenotypes, as determined by the Montreal classification, but was only detected by the Vienna classification after 5 years (P = 0.015). Disease location remained stable on follow-up in both classifications. Thirty-four patients (31%) underwent major surgery during the follow-up period with the stricturing [P = 0.002; hazard ratio (HR): 3.3; 95% CI: 1.5-7.0] and penetrating (P = 0.03; HR: 5.8; 95% CI: 1.2-28.2) phenotypes according to the Montreal classification associated with the need for major surgery. In contrast, colonic disease was protective against a major operation (P = 0.02; HR: 0.3; 95% CI: 0.08-0.8). This is the first study demonstrating phenotypic evolution of Crohn's disease in a nonwhite population. The Montreal classification is more sensitive to behavior phenotypic changes than is the Vienna classification after excluding perianal disease from the penetrating disease category and was useful in predicting course and the need for surgery.
Validity of Montreal Cognitive Assessment in non-english speaking patients with Parkinson's disease.
Krishnan, Syam; Justus, Sunitha; Meluveettil, Radhamani; Menon, Ramshekhar N; Sarma, Sankara P; Kishore, Asha
2015-01-01
The Montreal Cognitive Assessment is a brief and easy screening tool for accurately testing cognitive dysfunction in Parkinson's disease. We tested its validity for use in non-English (Malayalam) speaking patients with Parkinson's disease. We developed a Malayalam (a south-Indian language) version of Montreal Cognitive Assessment and applied to 70 patients with Parkinson's disease and 60 age- and education-matched healthy controls. Metric properties were assessed, and the scores were compared with the performance in validated Malayalam versions of Mini Mental Status Examination and Addenbrooke's Cognitive Examination. The Montreal Cognitive Assessment-Malayalam showed good internal consistency and test-retest reliability and its scores correlated with Mini Mental Status Examination (patients: R = 0.70; P < 0.001; healthy controls: R = 0.26; P = 0.04) and Addenbrooke's Cognitive Examination (patients: R = 0.8; P < 0.001; healthy controls: R = 0.52; P < 0.001) scores. This study establishes the reliability of cross-cultural adaptation of Montreal Cognitive Assessment for assessing cognition in Malayalam-speaking Parkinson's disease patients for early screening and potential future interventions for cognitive dysfunction.
Jozaghi, Ehsan; Reid, Andrew A; Andresen, Martin A
2013-07-09
This paper will determine whether expanding Insite (North America's first and only supervised injection facility) to more locations in Canada such as Montreal, cost less than the health care consequences of not having such expanded programs for injection drug users. By analyzing secondary data gathered in 2012, this paper relies on mathematical models to estimate the number of new HIV and Hepatitis C (HCV) infections prevented as a result of additional SIF locations in Montreal. With very conservative estimates, it is predicted that the addition of each supervised injection facility (up-to a maximum of three) in Montreal will on average prevent 11 cases of HIV and 65 cases of HCV each year. As a result, there is a net cost saving of CDN$0.686 million (HIV) and CDN$0.8 million (HCV) for each additional supervised injection site each year. This translates into a net average benefit-cost ratio of 1.21: 1 for both HIV and HCV. Funding supervised injection facilities in Montreal appears to be an efficient and effective use of financial resources in the public health domain.
2004-02-09
for Sicily (New York: E.P. Dutton, 1943), 71-91. xvi Ibid., 76. xvii Ibid. xviii Ibid. xix Ibid., 77. xx Ibid. xxi Hugh Pond. Sicily (London...of the Life at Quebec and of the Famous Battle at Saratoga. Introduction by: Sydney Jackman Toronto: Macmillan, 1963. Bird, Harrison. March...University of Michigan Press, 1998. Pond, Hugh . Sicily. London: William Kimber & Clark Limited, 1962. Strassler, Robert B. The Landmark Thucydides
Potvin Kent, Monique; Dubois, Lise; Wanless, Alissa
2012-09-01
Childhood obesity is associated with children's exposure to food/beverage marketing. Policy options in this area are being sought in order to reduce childhood obesity rates on a population-level. We examined the nutritional quality of foods advertised to children during their preferred television viewing in Ontario (Canada), where advertising is self-regulated by industry, and in Quebec (Canada), where a child-directed advertising ban exists. A total of 428 children aged 10-12 years completed television viewing diaries for 7 days. Thirty-two television stations were recorded simultaneously between 6 AM and midnight. A content analysis of 90 h of English Ontario, French Quebec, and English Quebec children's preferred viewing was then undertaken. A total of 429 food and beverage advertisements were analyzed and their nutritional quality was assessed. Food advertisements in the Quebec French sample were statistically significantly higher in total fat, saturated fat and protein, and lower in carbohydrates and sugar per 100 g, and as a percentage of energy than food ads in the two English samples. A statistically significantly lower percentage of the Quebec French food advertisements were classified as either high fat, sugar or sodium and a smaller proportion of food ads were classified as "less healthy" compared to the Ontario and Quebec English samples. These results suggest that the Quebec advertising ban is influencing the macronutrient profile of advertised foods viewed by French Quebec children during their preferred viewing and that their promotions are marginally healthier than that viewed by the English samples.
Refugee Adaptation and Community Structure: The Indochinese in Quebec City, Canada.
ERIC Educational Resources Information Center
Dorais, Louis-Jacques
1991-01-01
The ways in which Vietnamese, Cambodians, and Laotians now living in Quebec City (Canada) have established over the last 10-15 years distinct ethnic communities are discussed, and their community structure is described. A limited comparison with some other Indochinese communities highlights some features of the Quebec ethnic groups. (SLD)
International Briefing 28: Training and Development in Quebec
ERIC Educational Resources Information Center
Foucher, Roland; Hassi, Abderrahman
2013-01-01
This briefing examines training and development (T&D) in Quebec, one of 10 provinces and three territories that make up Canada. Quebec has three distinguishing characteristics that encourage analysis of its T&D separately from that of Canada as a whole. First, it is the only North American region with a majority francophone population.…
Rates of minor adverse events and health resource utilization postcolonoscopy
Azalgara, Vladimir Marquez; Sewitch, Maida J; Joseph, Lawrence; Barkun, Alan N
2014-01-01
BACKGROUND: Little is known about minor adverse events (MAEs) following outpatient colonoscopies and associated health care resource utilization. OBJECTIVE: To estimate the rates of incident MAE at two, 14 and 30 days postcolonoscopy, and associated health care resource utilization. A secondary aim was to identify factors associated with cumulative 30-day MAE incidence. METHODS: A longitudinal cohort study was conducted among individuals undergoing an outpatient colonoscopy at the Montreal General Hospital (Montreal, Quebec). Before colonoscopy, consecutive individuals were enrolled and interviewed to obtain data regarding age, sex, comorbidities, use of antiplatelets/anticoagulants and previous symptoms. Endoscopy reports were reviewed for intracolonoscopy procedures (biopsy, polypectomy). Telephone or Internet follow-up was used to obtain data regarding MAEs (abdominal pain, bloating, diarrhea, constipation, nausea, vomiting, blood in the stools, rectal or anal pain, headaches, other) and health resource use (visits to emergency department, primary care doctor, gastroenterologist; consults with nurse, pharmacist or telephone hotline). Rates of incident MAEs and health resources utilization were estimated using Bayesian hierarchical modelling to account for patient clustering within physician practices. RESULTS: Of the 705 individuals approached, 420 (59.6%) were enrolled. Incident MAE rates at the two-, 14- and 30-day follow-ups were 17.3% (95% credible interval [CrI] 8.1% to 30%), 10.5% (95% CrI 2.9% to 23.7%) and 3.2% (95% CrI 0.01% to 19.8%), respectively. The 30-day rate of health resources utilization was 1.7%, with 0.95% of participants seeking the services of a physician. No predictors of the cumulative 30-day incidence of MAEs were identified. DISCUSSION: The incidence of MAEs was highest in the 48 h following colonoscopy and uncommon after two weeks, supporting the Canadian Association of Gastroenterology’s recommendation for assessment of late complications at 14 days. Predictors of new onset of MAEs were not identified, but wide CrIs did not rule out possible associations. Although <1% of participants reported consulting a physician for MAEs, this figure may represent a substantial number of visits given the increasing number of colonoscopies performed annually. CONCLUSION: Postcolonoscopy MAEs are common, occur mainly in the first two weeks postcolonoscopy and result in little use of health resources. PMID:25575107
Implementation of the Montreal heat response plan during the 2010 heat wave.
Price, Karine; Perron, Stéphane; King, Norman
2013-02-11
The objective of this paper is to describe Montreal's heat response plan and its application during the July 2010 heat wave. The Montreal heat response plan is designed to ensure the surveillance of weather and health indicators during the summer season and to coordinate actions to be undertaken during this period to reduce morbidity and mortality due to heat, particularly when weather thresholds are reached or an increase in health indicators is observed. It was developed to coordinate and apply intervention measures on the Island of Montreal and has been in effect since 2004. In the beginning of July 2010, Montreal experienced a heat wave that lasted 5 days. During this period, health indicators such as total mortality, prehospital emergency transports, calls to the health information line and hospital admissions were monitored by the Montreal public health surveillance system. The decision to implement emergency interventions and actions performed by regional and local public health and municipal partners (intervention level) was made following attainment of a predetermined weather threshold and increases in health indicators. The significant increase in daily observed mortality from all causes and in particular people dying at home or in the community prompted the Director of public health to conduct a chart review of all people deceased from July 5 to July 11, 2010 to determine cause of death and underlying health conditions. During the heat wave, there were 304 reported deaths from all causes in Montreal residents, of which 106 were probably or possibly heat-related. Major underlying health conditions in heat-related deaths included cardiovascular problems and mental health illness. Furthermore, in the case of people with mental illness who died during the heat wave, the chart review revealed that many were contacted 24 hours prior to their death by health care professionals, family members, neighbours or friends. Following the 2010 heat wave, the Montreal heat response plan and heat surveillance system were updated to include initiatives to better communicate preventive measures to the vulnerable populations and to intervene earlier during a heat wave.
IFESS 2005 Special Session 5 Artifical Vision. Final progress report
DOE Office of Scientific and Technical Information (OSTI.GOV)
Weiland, James D.
A special session on visual prostheses was held during the Annual Meeting of the International Functional Electrical Stimulation Society (IFESS), in Montreal, Canada, July 5-9, 2005. IFESS is a meeting that typically attracts researchers in implantable nerve stimulators, functional electrical stimulation, and rehabilitation. All of these areas have significant overlap with the retinal prosthesis, but these areas have decades of research behind them. The special session provided a forum for researchers with vast experience in nerve stimulation to interact with leading research in retinal and cortical visual prostheses. The grant paid for the travel and conference costs of the presentersmore » in the session. The session was chaired by James Weiland (the PI on this grant). The session co-chair was Phil Troyk, Ph.D., from the Illinois Institute of Technology. The Department of Energy was acknowledged at the start of the session as the sponsor. The following talks were delivered: Clinical Trial of a Prototype Retinal Prosthesis James Weiland, Ph.D. Doheny Eye Institute, Los Angeles, California The U.S. Department of Energy's Artificial Sight Program Elias Greenbaum, Ph.D. Oak Ridge National Laboratory, Oak Ridge, Tennessee A 16-Channel stimulator ASIC for use in an intracortical visual prosthesis Phillip R. Troyk, Ph.D. Illinois Institute of Technology, Chicago, Illinois Two approaches to the Optic Nerve Visual Prosthesis Jean Delbeke, M.D. University Cath de Louvain, Louvain, Belgium Design and Implementation of High Power Efficiency Modules for a Cortical Visual Stimulator Mohammad Sawan, Ph.D. Ecole Polytechnique de Montreal, Montreal, Canada Remaining funds from the grant were used to support Dr. Weiland's travel to the Association for Research in Vision and Ophthalmology in May 2006, with DOE approval, where several projects, supported by the DOE artificial retina program, were presented.« less
ERIC Educational Resources Information Center
Gareau, Claude
1981-01-01
Describes a testing program designed to assess the French language proficiency of professionals desiring to practice in the Quebec region. Discusses the criteria used for the construction, administration, and scoring of the tests in compliance with the 1977 French language legislation. (MES)
Indians of Quebec and the Maritime Provinces (An Historical Review).
ERIC Educational Resources Information Center
Department of Indian Affairs and Northern Development, Ottawa (Ontario).
Giving the history of the Indians of Quebec and the maritime provinces (Nova Scotia, New Brunswick, the Prince Edward Island), this document covers the period from the arrival of European explorers in the New World to 1967. Reviewing the history of these Indians, sections are devoted to (1) colonization of Acadia, (2) colonization of Quebec, (3)…
ERIC Educational Resources Information Center
Vallerand, Viviane
2016-01-01
Despite having multiculturalism as a core value, the province of Quebec has significant issues affecting the inclusion of visible minorities, such as positive discrimination, reasonable accommodation, and the fact of cultural divide. The presence of these minority groups brings out the tension between respecting differences and protecting…
ERIC Educational Resources Information Center
Corbeil, Jean Claude
1976-01-01
The language situation in Quebec is discussed from the point of view of the influence of the British conquest, the history of education in the province, the make-up of the working class, and the position of Quebec in the North American continent. (Text is in French.) (CDSH/CLK)
Citizenship, Secularity and the Ethics and Religious Culture Program of Quebec
ERIC Educational Resources Information Center
Zaver, Arzina; DeMartini, Ashley
2016-01-01
This article focuses on some of the broader complexities of citizenship in Quebec, paying particular attention to the Quiet Revolution and Bill 60 (Charter of Values) in order to understand how these historical events shape contemporary politics. Using a case study of the Ethics and Religious Culture Program (ERC) in Quebec, we seek to highlight…
ERIC Educational Resources Information Center
Kavanagh, Eric, Ed.
Papers on language research in this volume include the following: Pour une comparaison des voyelles nasals du Quebec et du Haut-Jura: observations, methodologie et outils infomatiques (A Comparison of Quebec and Haut-Jura's Nasal Vowels: Observations, Methodologies, and Instrumentation) (Vincent Arnaud and Claude Paradis); Le negociation du sens…
Social acceptance and population confidence in telehealth in Quebec.
Poder, Thomas G; Bellemare, Christian A; Bédard, Suzanne K; Lemieux, Renald
2015-02-21
Access to healthcare in remote areas is difficult and telehealth could be a promising avenue if accepted by the population. The aim of this study is to assess social acceptance and population confidence in telehealth in the Province of Quebec. We conducted a survey using a questionnaire assessing the social acceptance of and confidence level in telehealth. Two strategies were used: 1) paper questionnaires were sent to two hospitals in Quebec; and 2) online questionnaires were randomly sent by a firm specialized in online survey to a representative sample of the population of the Province of Quebec. Respondents were all residents of the Province of Quebec and 18 years and older. Questions were scored with a four-level Likert scale. A total of 1816 questionnaires were analyzed (229 written and 1,587 online questionnaires). The socio-demographic variables in our samples, especially the online questionnaires, were fairly representative of Quebec's population. Overall, social acceptance scored at 77.71% and confidence level at 65.76%. Both scores were higher in the case of treatment (3 scenarios were proposed) vs. diagnosis (p < 0.05). No difference was found when respondents were asked to respond for themselves and for a member of their family, which demonstrates a true interest in telehealth in Quebec. In addition, we found a significant difference (p < 0.05) between written and online questionnaires regarding social acceptance (80.75% vs. 77.33%) and confidence level (74.84% vs. 64.55%). These differences may be due to social desirability or avidity bias in the written questionnaires. Our results suggest that the population in Quebec encourages the development of telehealth for real time diagnosis and long distance treatment for regions deprived of healthcare professionals.
Cutumisu, Nicoleta; Traoré, Issouf; Paquette, Marie-Claude; Cazale, Linda; Camirand, Hélène; Lalonde, Benoit; Robitaille, Eric
2017-04-01
We investigated the association between junk food consumption at lunchtime (JCL) and fast-food outlet access near school among secondary-school children in Quebec. A geographic information system database was used to characterize the food environment around a sub-sample of 374 public schools in which 26 655 students were enrolled. The outcome variable was JCL during the previous week, dichotomized into low JCL (none or once) v. high JCL (twice or more). Access to fast-food outlets near school was assessed using an existing database of fast-food outlets in Quebec. Covariates included student (age, sex and self-rated perceived health), family (familial status and parental education) and school (urban/rural status and deprivation) variables. Hierarchical logistic regression models were employed for analyses using PROC GLIMMIX of SAS version 9.3. Province of Quebec, Canada. We used data from the Quebec Health Survey of High School Students (QHSHSS) 2010-11, a survey of secondary-school Quebec students. Exposure to two or more fast-food outlets within a radius of 750 m around schools was associated with a higher likelihood of excess JCL (OR=1·50; 95 % CI 1·28, 1·75), controlling for the characteristics of the students, their families and their schools. The food environment surrounding schools can constitute a target for interventions to improve food choices among secondary-school children living in the province of Quebec. Transforming environments around schools to promote healthy eating includes modifying zoning regulations that restrict access to fast-food outlets around schools.
Hydrofluorocarbon (HFC) Scenarios, Climate Effects and the Montreal Protocol
NASA Astrophysics Data System (ADS)
Velders, G. J. M.; Fahey, D. W.; Daniel, J. S.
2016-12-01
The Montreal Protocol has reduced the use of ozone-depleting substances by more than 95% from its peak levels in the 1980s. As a direct result the use of hydrofluorocarbons (HFCs) as substitute compounds has increased significantly. National regulations to limit HFC use have been adopted recently in the European Union, Japan and USA, and four proposals have been submitted to amend the Montreal Protocol to substantially reduce growth in HFC use. The Parties of the Montreal Protocol have discussed these proposals during their meetings in 2016. The effects of the national regulations and Montreal Protocol amendment proposals on climate forcings and surface temperatures will be presented. Global scenarios of HFC emissions reach 4.0-5.3 GtCO2-eq yr-1 in 2050, which corresponds to a projected growth from 2015 to 2050 which is 9% to 29% of that for CO2 over the same time period. In 2050, in percent of global HFC emissions, China ( 30%), India and the rest of Asia ( 25%), Middle East and northern Africa ( 10%), and USA ( 10%) are the principal source regions; and refrigeration and stationary air conditioning are the major use sectors. Calculated baseline emissions are reduced by 90% in 2050 by implementing the North America Montreal Protocol amendment proposal. This corresponds to a reduction in surface temperature attributed to HFCs from 0.1 oC to 0.04 oC in 2050 and from 0.3-0.4 oC to 0.02 oC in 2100.
Ruff, Kathleen
2017-09-27
Less than ten years ago, the asbestos industry enjoyed the support of every Quebec and Canadian political party. The Chrysotile Institute and the International Chrysotile Association, both located in Quebec, aggressively marketed asbestos around the world, claiming scientific evidence showed that chrysotile asbestos could be safely used. The industry created a climate of intimidation. Consequently, no groups advocating for victims of asbestos or campaigning for its outright ban existed in Quebec to challenge the industry. A campaign was launched to mobilize the scientific community to speak out. Working with scientists, activists, and asbestos victims around the world, a small group of Quebec scientists exposed the false arguments of the asbestos industry. They publicly and repeatedly challenged the unscientific and unethical asbestos policy of the government. By appealing to Quebec values and holding those in power accountable, the campaign won public support and succeeded against all odds in defeating the asbestos industry.
MicroTribological Performance of Au-MoS2 and Ti-MoS2 Coatings with Varying Contact Pressure
2011-02-15
Dvorak, S.D., Wahl, K.J., Singer, I.L.: In situ analysis of third body contributions to sliding friction of a Pb-Mo-S coating in dry and humid air...University, Montreal. QC H3A 2B2, Canada e-mail: richard.chromik@mcgill.ca J. R. Lince Tribology Section, Spacecraft Materials Laboratory, The Aerospace...than a decade, the testing of nano- and micro-scale sliding contacts has been an important research area that seeks to improve the tribological
2010-01-01
Background The Canadian healthcare system is currently experiencing important organizational transformations through the reform of primary healthcare (PHC). These reforms vary in scope but share a common feature of proposing the transformation of PHC organizations by implementing new models of PHC organization. These models vary in their performance with respect to client affiliation, utilization of services, experience of care and perceived outcomes of care. Objectives In early 2005 we conducted a study in the two most populous regions of Quebec province (Montreal and Montérégie) which assessed the association between prevailing models of primary healthcare (PHC) and population-level experience of care. The goal of the present research project is to track the evolution of PHC organizational models and their relative performance through the reform process (from 2005 until 2010) and to assess factors at the organizational and contextual levels that are associated with the transformation of PHC organizations and their performance. Methods/Design This study will consist of three interrelated surveys, hierarchically nested. The first survey is a population-based survey of randomly-selected adults from two populous regions in the province of Quebec. This survey will assess the current affiliation of people with PHC organizations, their level of utilization of healthcare services, attributes of their experience of care, reception of preventive and curative services and perception of unmet needs for care. The second survey is an organizational survey of PHC organizations assessing aspects related to their vision, organizational structure, level of resources, and clinical practice characteristics. This information will serve to develop a taxonomy of organizations using a mixed methods approach of factorial analysis and principal component analysis. The third survey is an assessment of the organizational context in which PHC organizations are evolving. The five year prospective period will serve as a natural experiment to assess contextual and organizational factors (in 2005) associated with migration of PHC organizational models into new forms or models (in 2010) and assess the impact of this evolution on the performance of PHC. Discussion The results of this study will shed light on changes brought about in the organization of PHC and on factors associated with these changes. PMID:21122145
Levesque, Jean-Frédéric; Pineault, Raynald; Provost, Sylvie; Tousignant, Pierre; Couture, Audrey; Da Silva, Roxane Borgès; Breton, Mylaine
2010-12-01
The Canadian healthcare system is currently experiencing important organizational transformations through the reform of primary healthcare (PHC). These reforms vary in scope but share a common feature of proposing the transformation of PHC organizations by implementing new models of PHC organization. These models vary in their performance with respect to client affiliation, utilization of services, experience of care and perceived outcomes of care. In early 2005 we conducted a study in the two most populous regions of Quebec province (Montreal and Montérégie) which assessed the association between prevailing models of primary healthcare (PHC) and population-level experience of care. The goal of the present research project is to track the evolution of PHC organizational models and their relative performance through the reform process (from 2005 until 2010) and to assess factors at the organizational and contextual levels that are associated with the transformation of PHC organizations and their performance. This study will consist of three interrelated surveys, hierarchically nested. The first survey is a population-based survey of randomly-selected adults from two populous regions in the province of Quebec. This survey will assess the current affiliation of people with PHC organizations, their level of utilization of healthcare services, attributes of their experience of care, reception of preventive and curative services and perception of unmet needs for care. The second survey is an organizational survey of PHC organizations assessing aspects related to their vision, organizational structure, level of resources, and clinical practice characteristics. This information will serve to develop a taxonomy of organizations using a mixed methods approach of factorial analysis and principal component analysis. The third survey is an assessment of the organizational context in which PHC organizations are evolving. The five year prospective period will serve as a natural experiment to assess contextual and organizational factors (in 2005) associated with migration of PHC organizational models into new forms or models (in 2010) and assess the impact of this evolution on the performance of PHC. The results of this study will shed light on changes brought about in the organization of PHC and on factors associated with these changes.
The Importance of the Montreal Protocol in Protecting the Earth's Hydroclimate
NASA Astrophysics Data System (ADS)
Seager, R.; Wu, Y.; Polvani, L. M.
2012-12-01
The 1987 Montreal Protocol regulating emissions of ozone depleting chlorofluorocarbons (CFCs) was motivated primarily by the harm to human health and ecosystems arising from increased exposure to ultraviolet-B (UV-B) radiation associated with depletion from the ozone layer. It is now known that the Montreal Protocol has reduced global warming since CFCs are greenhouse gases (GHGs). In this paper we show that the Montreal Protocol also significantly protects the Earth's hydroclimate, even though this was also not a motivating factor in the decision-making that led to the Protocol. General Circulation Model (GCM) results show that in the coming decade (2020-29), under the 'World Avoided' scenario of no regulations on CFC emissions, the subtropical dry zones would in general get drier, and the middle and high latitude regions wetter. This change is similar, in both pattern and magnitude, to that in the coming decade caused by projected increases in carbon dioxide concentrations. This implies that because of the Montreal Protocol, and the ozone depletion and global warming associated with CFCs thus avoided, the hydrological cycle changes in the coming decade will be significantly less than what they otherwise would have been.
ERIC Educational Resources Information Center
St. Laurent, Gilles
The history and conditions of the use of English and French in the exercise of justice in Quebec are outlined in the context of the problems, sociopolitical realities, and procedural impact of language usage. The history is chronicled in six segments: 1760-1764, a period of British military government and political standoff between British and…
ERIC Educational Resources Information Center
Lavoie, Yolande
This document presents descriptive information and statistics on teachers in Quebec from 1965-66 to 1971-72. The overall intent of this study is described as a complete presentation of information on teachers and a review of their individual characteristics with particular attention paid to the level of teaching, experience, and training.…
ERIC Educational Resources Information Center
Rogers, David-F.
A study of rural Quebec's language showed that by comparison with the urban version, it is less influenced by anglicisms, and the borrowing that has occurred is not solely of terms of civilization designating objects or notions susceptible to exchange between anglophones and francophones in Quebec. Certain anglicisms seem to have become integrated…
ERIC Educational Resources Information Center
Turcotte, Denis
This study of the "Mouvement Quebec Francais (MQF)" covers the period from March 1971 through Spring 1974. The fundamental postulate of the study is that if the political culture is internalized by individuals, it is at the same time borne by groups. The study of groups represents, therefore, a good vehicle to reveal the most significant…
ERIC Educational Resources Information Center
Tetley, William
A review of the language laws and conventions in Canada and the province of Quebec focuses on: Canadian constitutional law concerning education and language, including the 1867 constitution, the 1960 declaration of linguistic rights, and a 1969 law on official languages; the language of government and instruction in Manitoba; language usage in the…
Authentication controversies and impactite petrography of the New Quebec Crater
NASA Technical Reports Server (NTRS)
Marvin, Ursula B.; Kring, David A.
1992-01-01
The literature reports that led to the current acceptance of New Quebec Crater (Chubb Crater) as an authentic impact crater are reviewed, and it is noted that, for reasons that are not entirely clear, a meteoritic origin for the New Quebec Crater achieved wider acceptance at an earlier data than for the Lake Bosumtwi Crater, for which petrographic and chemical evidence is more abundant and compelling. The petrography of two impact melt samples from the New Quebec Crater was investigated, and new evidence is obtained on the degrees of shock metamorphism affecting the accessory minerals such as apatite, sphene, magnetite, and zircon.
Rozen, Rima; Schwartz, Robert H.; Hilman, Bettina C.; Stanislovitis, Pat; Horn, Glenn T.; Klinger, Katherine; Daigneault, Jocelyne; De Braekeleer, Marc; Kerem, Bat-sheva; Tsui, Lap-Chee; Fujiwara, T. Mary; Morgan, Kenneth
1990-01-01
A 3-bp deletion (ΔF508) in the cystic fibrosis (CF) gene is the mutation on the majority of CF chromosomes. We studied 112 CF families from North American populations of French ancestry: French-Canadian families referred from hospitals in three cities in Quebec and from the Saguenay-Lac St. Jean region of northeastern Quebec and Acadian families living in Louisiana. ΔF508 was present on 71%, 55%, and 70% of the CF chromosomes from the major-urban Quebec, Saguenay-Lac St. Jean, and Louisiana Acadian families, respectively. A weighted estimate of the proportion of ΔF508 in the French-Canadian patient population of Quebec was 70%. We found that 95% of the CF chromosomes with ΔF508 had D7S23 haplotype B, the most frequent haplotype on CF chromosomes. In the Saguenay-Lac St. Jean families, 86% of the CF chromosomes without ΔF508 had the B haplotype, compared with 31% for the major-urban Quebec and Louisiana Acadian families. The incidence of CF in the Saguenay-Lac St. Jean population was 1/895 live-born infants. PMID:2220803
Biron, Annie; Marquis, Marie
2015-03-01
The main objective is to examine the perception Quebec nutrition students have of the future of the profession based on critical incidents they have reported. An electronic questionnaire was sent to the 158 nutrition students graduating from the three Quebec universities offering a nutrition program. The critical incident technique was chosen as the qualitative method. A theme and subtheme table was devised from the analysis of the incidents and entered into Excel to synthesize the data. Results: Positive incidents were associated with the recognition of other professionals and clients, an understanding of the scope of the profession and related opportunities, and the impact of nutrition interventions. Negative incidents mainly pertained to lack of recognition, competition, the realization that employment opportunities are limited, work conditions, and the ability to assert their roles as dietitians. Most of the incidents reported occurred during practicums. Leadership competencies should be developed to help dietitians take their place on care teams and create a space for themselves in the public sphere. Furthermore, practicum experiences are fundamental in the development of the image students have of the profession.
Seismic Vulnerability Assessment for Montreal -An Application of HAZUS-MH4
NASA Astrophysics Data System (ADS)
Yu, Keyan
2011-12-01
Seismic loss estimation for Montreal, Canada is performed for a 2% in 50 years seismic hazard using the HAZUS-MH4 tool developed by US Federal Emergency Management. The software is manipulated to accept a Canadian setting for the Montreal study region, which includes 522 census tracts. The accuracy of loss estimations using HAZUS is dependent on the quality and quantity of data collection and preparation. The data collected for Montreal study region comprise: (1) the building inventory (2) hazard maps regarding soil amplification, liquefaction, and landslides (3) population distribution at three different times of the day (4) census demographic information and (5) synthetic ground motion contour maps using three different ground motion prediction equations. All these data are prepared and assembled into geodatabases that are compatible with the HAZUS software. The study estimated that roughly 5% of the building stock would be damaged with direct economic losses evaluated at 1.4 billion dollars for a scenario corresponding to the 2% in 50 years scenario. The maximum number of casualties associated with this scenario corresponds to a time of occurrence of 2pm and would result in approximately 500 people being injured. Epistemic uncertainty was considered by obtaining damage estimates for three attenuation functions that were developed for Eastern North America. The results indicate that loss estimates are highly sensitive to the choice of the attenuation function and suggests that epistemic uncertainty should be considered both for the definition of the hazard function and in loss estimation methodologies. The next steps in the study should be to increase the size of the survey area to the Greater Montreal which includes more than 3 million inhabitants and to perform more targeted studies for critical areas such as downtown Montreal, and the south-eastern tip of Montreal. The current study was performed mainly for the built environment; the next phase will need to include more information relative to lifelines and their impact on risks.
Comparability of Internet and telephone data in a survey on the respiratory health of children.
Plante, Céline; Jacques, Louis; Chevalier, Serge; Fournier, Michel
2012-01-01
Mixing survey administration modes has generated concern about the comparability of responses between modes. To explore the differences in respondent profiles, and responses between Internet and telephone questionnaires in a survey on respiratory diseases. The data were generated from a mixed Internet and telephone survey of respiratory diseases among children in Montreal (Quebec), in 2006. Comparison of 12 selected questions was performed after standardization for respondent education and income. Stratification of analysis on education and income categories was also performed for the questions with significantly divergent responses. Six questions showed significant differences in responses between modes after standardization. The largest differences among the closed-ended questions were observed for highly prevalent symptoms, dry cough during the night (difference of 9% for positive answer [P<0.01]) and symptoms of allergic rhinitis (difference of 7% for positive answer [P<0.01]). A large discrepancy was also found in the multiple choice question and with an open-ended response (ie, free answer). For the three potentially sensitive questions, a desirability bias was probably present in one question on smoking habits (difference of 2.6 % for positive answer [P<0.05]). The differences observed between Internet and telephone responses to selected questions were not completely explained by socioeconomic disparities among the respondents. In a mixed-mode survey (Internet and telephone), caution should be used when formulating sensitive, complex, open-ended and long-ended questions, and those related to highly prevalent and nonspecific symptoms.
[The concept of autonomy (synthetic and operation indicators of old age : a systemic approach).].
Lebeau, A; Sicotte, C; Tilquin, C; Tremblay, L
1980-01-01
The present study is a follow-up of a research project made in 1978 by the Equipe de Recherche Opérationnelle en Santé (EROS) of the Department of Health Administration at the Université de Montréal. The aims were a) firstly to construct a classification instrument by type for long-term care patients, enabling us, to identify these beneficiaries' needs, as well as to guide their placement in a health services' system. And b) to evaluate this instrument (realibility and validity), c) to initiate its implementation and d) to utilize it for evaluating the present placement system. This study constitutes the first stage in an approach aimed at producing, on the basis of a systematic scanning of data collected within the framework of the above-mentioned project; a comprehensive descriptive analysis of the social/health characteristics of an aged population (65 years and over) in one of Quebec's social/ health regions i.e. Montreal's South Shore. At first, the authors define the context and the objectives of the study undertaken; secondly, they define the concept of autonomy by showing how the latter is expressed concretely according to the observation instrument (evaluation form of the individual's functional autonomy). Thirdly, a presentation is made of the method of measurement, as well as certain results concerning an index of restricted autonomy directly released to situations of observable behaviour (e, g. daily-life activities, exploring the outside world, and housekeeping).
Blais, Marie-Claude; Maunsell, Elizabeth; Grenier, Sophie; Lauzier, Sophie; Dorval, Michel; Pelletier, Sylvie; Guay, Stéphane; Robidoux, André; Provencher, Louise
2014-09-01
The study objectives were to identify key information components that would be the basic content of a brief informational intervention, developed from a population perspective, to empower individual couple members facing breast cancer and to validate the relevance and acceptability of these components. A review of information relevant to couples facing cancer presented in internet sites and documents of national cancer organizations was made to identify information components to include in a brief informational intervention. These information components were framed as messages, that is, very brief sentences or tips. To validate the relevance and acceptability of these messages, six focus groups were conducted in Quebec City and Montreal among women who had had breast cancer and their spouses. Reactions to the messages were synthesized by analyzing the verbatim transcripts. A total of 70 individuals (35 women with an average of 14 months since diagnosis and 35 spouses) participated in the groups. The content of almost all messages was seen as relevant, although nuances and improvements were discussed. However, the message format provoked irritation and will need improvement. Findings provide validation of the relevance, from the viewpoint of women and their spouses, of the message content to be part of a brief informational intervention intended to empower couples as they cope with breast cancer. Couples approved of the idea of being guided in their adjustment to breast cancer. However, the message format requires adaptation and further testing.
Neville, C; Da Costa, D; Mill, C; Rochon, M; Aviña-Zubieta, J A; Pineau, C A; Eng, D; Fortin, P R
2014-02-01
Systemic lupus erythematosus is an inflammatory autoimmune disease associated with high morbidity and unacceptable mortality. A major challenge for persons with lupus is coping with their illness and complex care. Our objective was to identify the informational and resource needs of persons with lupus, rheumatologists, and allied health professionals treating lupus. Our findings will be applied toward the development of an innovative web-based technology, the Lupus Interactive Navigator (LIN™), to facilitate and support engagement and self-management for persons with lupus. Eight focus groups were conducted: four groups of persons with lupus (n=29), three groups of rheumatologists (n=20), and one group of allied health professionals (n=8). The groups were held in British Columbia, Ontario, and Quebec. All sessions were audio-recorded and transcribed verbatim. Qualitative analysis was performed using grounded theory. The transcripts were reviewed independently and coded by the moderator and co-moderator using 1) qualitative data analysis software developed by Provalis Research, Montreal, Canada, and 2) manual coding. Four main themes emerged: 1) specific information and resource needs; 2) barriers to engagement in health care; 3) facilitators of engagement in health care; and 4) tools identified as helpful for the self-management of lupus. These findings will help guide the scope of LIN™ with relevant information topics and specific tools that will be most helpful to the diverse needs of persons with lupus and their health care providers.
Chevalier, S; Saoud, F; Gray-Donald, K; Morais, J A
2008-12-01
To estimate the prevalence of malnutrition in frail elders undergoing rehabilitation and the association between their nutritional status and physical function. Observational study of new participants undergoing ambulatory rehabilitation. Two Geriatric Day Hospitals (GDH) in Montreal, Quebec. 121 women and 61 men. Evaluation of nutritional status, body composition and physical function. The nutritional status was assessed with a composite index based on anthropometric measurements and serum albumin, as well as using the Mini Nutritional Assessment (MNA) questionnaire. Patients were classified as well-nourished, having mild/at risk of malnutrition or malnourished. Body composition was estimated by bioimpedance and handgrip strength and gait speed by standard methods. 13% of patients were found to be mildly malnourished, whereas 6% were malnourished. Malnourished patients were older and had worse cognition, lower BMI, and % body fat (all p<0.05). Malnourished patients and those with mild malnutrition had lower weight, triceps skinfold thickness, muscle and fat mass (all, p<0.003). Handgrip strength was different according to the nutritional status (p=0.034) and correlated with muscle mass (r=0.65, p<0.001). MNA classified 53% of patients as being at risk whereas 3% were malnourished and it correlated with gait speed (r=0.26, p=0.001). There is a high prevalence of patients in GDH at risk or with mild malnutrition. Being malnourished was associated with worse physical performance, which suggests that a nutritional intervention may be of benefit in improving their physical function.
Robidoux, P Y; Choucri, A; Bastien, C; Sunahara, G I; López-Gastey, J
2001-01-01
Septic tank sludge is regularly hauled to the Montreal Urban Community (MUC) wastewater treatment plant. It is then discharged and mixed with the wastewater inflow before entering the primary chemical treatment process. An ecotoxicological procedure integrating chemical and toxicological analyses has been recently developed and applied to screen for the illicit discharge of toxic substances in septic sludge. The toxicity tests used were the Microtox, the bacterial-respiration, and the lettuce (Lactuca sativa) root elongation tests. In order to validate the applicability of the proposed procedure, a two-year interlaboratory study was carried out. In general, the results obtained by two independent laboratories (MUC and the Centre d'expertise en analyse environnementale du Quebec) were comparable and reproducible. Some differences were found using the Microtox test. Organic (e.g., phenol and formaldehyde) and inorganic (e.g., nickel and cyanide) spiked septic sludge were detected with good reliability and high efficiency. The relative efficiency to detect spiked substances was > 70% and confirms the results of previous studies. In addition, the respiration test was the most efficient toxicological tool to detect spiked substances, whereas the Microtox was the least efficient (< 15%). Efficiencies to detect spiked contaminants were also similar for both laboratories. These results support previous data presented earlier and contribute to the validation of the ecotoxicological procedure used by the MUC to screen toxicity in septic sludge.
NASA Astrophysics Data System (ADS)
Wang, An; Fallah-Shorshani, Masoud; Xu, Junshi; Hatzopoulou, Marianne
2016-10-01
Near-road concentrations of nitrogen dioxide (NO2), a known marker of traffic-related air pollution, were simulated along a busy urban corridor in Montreal, Quebec using a combination of microscopic traffic simulation, instantaneous emission modeling, and air pollution dispersion. In order to calibrate and validate the model, a data collection campaign was designed. For this purpose, measurements of NO2 were conducted mid-block along four segments of the corridor throughout a four-week campaign conducted between March and April 2015. The four segments were chosen to be consecutive and yet exhibiting variability in road configuration and built environment characteristics. Roadside NO2 measurements were also paired with on-site and fixed-station meteorological data. In addition, traffic volumes, composition, and routing decisions were collected using video-cameras located at upstream and downstream intersections. Dispersion of simulated emissions was conducted for eight time slots and under a range of meteorological conditions using three different models with vastly different dispersion algorithms (OSPM, CALINE 4, and SIRANE). The three models exhibited poor correlation with near-road NO2 concentrations and were better able to simulate average concentrations occurring along the roadways rather than the range of concentrations measured under diverse meteorological and traffic conditions. As hypothesized, the model SIRANE that can handle a street canyon configuration was the most sensitive to the built environment especially to the presence of tall buildings around the road. In contrast, CALINE exhibited the lowest sensitivity to the built environment.
Cholera, canals, and contagion: Rediscovering Dr. Beck's report.
Tuite, Ashleigh R; Chan, Christina H; Fisman, David N
2011-08-01
Cholera first appeared in North America (in Montreal and Quebec) in 1832 and spread rapidly across the eastern half of the continent. The dispatch of American disease control experts to Lower Canada in anticipation of cholera's spread implies that medical professionals expected spread, possibly from contagion, even though the notion that cholera was contagious was disparaged in medical writings of the time, and would be until John Snow's landmark work in London in the 1850s. Snow's insights derived largely from his observations on spatial and temporal patterns of cholera cases. We discuss a document from the 1832 epidemic, the report of Dr. Lewis Beck to New York's Governor Throop, which anticipates Snow in presenting geospatial data that imply cholera's contagiousness. Beck shows that the movements of immigrants along the newly completed New York state canal system resulted in sequential cholera outbreaks along the canal's path. Although aware of the degree to which this suggested contagion, Beck argues strenuously against the contagiousness of cholera. We explore the social context of early nineteenth-century medicine that probably led Beck to disbelieve his own observations, and to favor a medical model inconsistent with his data. Themes that emerge from our inquiry include belief in disease as a physical manifestation of defective morality, stigmatization of the poor and immigrant groups, and reluctance to overturn prevailing medical models that themselves reflected the economic position of medical practitioners. We show that these themes continue to serve as obstacles to innovation in medical and public health practice today.
The importance of the Montreal Protocol in protecting climate.
Velders, Guus J M; Andersen, Stephen O; Daniel, John S; Fahey, David W; McFarland, Mack
2007-03-20
The 1987 Montreal Protocol on Substances that Deplete the Ozone Layer is a landmark agreement that has successfully reduced the global production, consumption, and emissions of ozone-depleting substances (ODSs). ODSs are also greenhouse gases that contribute to the radiative forcing of climate change. Using historical ODSs emissions and scenarios of potential emissions, we show that the ODS contribution to radiative forcing most likely would have been much larger if the ODS link to stratospheric ozone depletion had not been recognized in 1974 and followed by a series of regulations. The climate protection already achieved by the Montreal Protocol alone is far larger than the reduction target of the first commitment period of the Kyoto Protocol. Additional climate benefits that are significant compared with the Kyoto Protocol reduction target could be achieved by actions under the Montreal Protocol, by managing the emissions of substitute fluorocarbon gases and/or implementing alternative gases with lower global warming potentials.
The importance of the Montreal Protocol in protecting climate
Velders, Guus J. M.; Andersen, Stephen O.; Daniel, John S.; Fahey, David W.; McFarland, Mack
2007-01-01
The 1987 Montreal Protocol on Substances that Deplete the Ozone Layer is a landmark agreement that has successfully reduced the global production, consumption, and emissions of ozone-depleting substances (ODSs). ODSs are also greenhouse gases that contribute to the radiative forcing of climate change. Using historical ODSs emissions and scenarios of potential emissions, we show that the ODS contribution to radiative forcing most likely would have been much larger if the ODS link to stratospheric ozone depletion had not been recognized in 1974 and followed by a series of regulations. The climate protection already achieved by the Montreal Protocol alone is far larger than the reduction target of the first commitment period of the Kyoto Protocol. Additional climate benefits that are significant compared with the Kyoto Protocol reduction target could be achieved by actions under the Montreal Protocol, by managing the emissions of substitute fluorocarbon gases and/or implementing alternative gases with lower global warming potentials. PMID:17360370
ERIC Educational Resources Information Center
Caldas, Stephen J.; Bernier, Sylvain
2012-01-01
The Province of Quebec subsidizes nearly 50% of private education, and at the same time heavily regulates private schools. To date, no studies have been done to determine the effect of the unique nature of competition from K-12 private schools on public school education of the sort found in Quebec. The authors used multiple regression to determine…
ERIC Educational Resources Information Center
Chan, Kwok B.; Dorais, Louis-Jacques
A collection of papers, in English and French, on the adjustment processes and problems of Southeast Asian refugees in Quebec includes: "Prelude to Resettlement: A Clinical View on the Transit Camp Experience of Vietnamese Refugees" (David Loveridge, Kwok B. Chan); "Une communaute culturelle en situation de diglossie: Les…
NASA Astrophysics Data System (ADS)
Vachon, Francois
The snow cover (extent, depth and water equivalent) is an important factor in assessing the water balance of a territory. In a context of deregulation of electricity, better knowledge of the quantity of water resulting from snowmelt that will be available for hydroelectric power generation has become a major challenge for the managers of Hydro-Quebec's generating plant. In fact, the snow on the ground represents nearly one third of Hydro-Quebec's annual energy reserve and the proportion is even higher for northern watersheds. Snowcover knowledge would therefore help optimize the management of energy stocks. The issue is especially important when one considers that better management of water resources can lead to substantial economic benefits. The Research Institute of Hydro-Quebec (IREQ), our research partner, is currently attempting to optimize the streamfiow forecasts made by its hydrological models by improving the quality of the inputs. These include a parameter known as the snow water equivalent (SWE) which characterizes the properties of the snow cover. At the present time, SWE data is obtained from in situ measurements, which are both sporadic and scattered, and does not allow the temporal and spatial variability of SWE to be characterized adequately for the needs of hydrological models. This research project proposes to provide the Quebec utility's hydrological models with distributed SWE information about its northern watersheds. The targeted accuracy is 15% for the proposed period of analysis covering the winter months of January, February and March of 2001 to 2006. The methodology is based on the HUT snow emission model and uses the passive microwave remote sensing data acquired by the SSM/I sensor. Monitoring of the temporal and spatial variations in SWE is done by inversion of the model and benefits from the assimilation of in situ data to characterize the state of snow cover during the season. Experimental results show that the assimilation technique of in situ data (density and depth) can reproduce the temporal variations in SWE with a RMSE error of 15.9% (R2=0.76). The analysis of land cover within the SSMI pixels can reduce this error to 14.6% ( R2=0.66) for SWE values below 300 mm. Moreover, the results show that the fluctuations of SWE values are driven by changes in snow depths. Indeed, the use of a constant value for the density of snow is feasible and makes it possible to get as good if not better results. These results will allow IREQ to assess the suitability of using snow cover information provided by the remote sensing data in its forecasting models. This improvement in SWE characterization will meet the needs of IREQ for its work on optimization of the quality of hydrological simulations. The originality and relevance of this work are based primarily on the type of method used to quantify SWE and the site where it is applied. The proposed method focuses on the inversion of the HUT model from passive remote sensing data and assimilates in situ data. Moreover, this approach allows high SWE values (> 300 mm) to be quantified, which was impossible with previous methods. These high SWE values are encountered in areas with large amounts of snow such as northern Quebec. Keywords. remote sensing, microwave, snow water equivalent (SWE), model, retrieval, data assimilation, SWE monitoring, spatialization Complete reference. Vachon, F. (2009) Snow water equivalent retrieval in a subartic environment of Quebec using passive microwave remote sensing. Ph.D. Thesis, Sherbrooke University, Sherbrooke, 211 p.
Social inequalities in health information seeking among young adults in Montreal.
Gagné, Thierry; Ghenadenik, Adrian E; Abel, Thomas; Frohlich, Katherine L
2018-06-01
Over their lifecourse, young adults develop different skills and preferences in relationship to the information sources they seek when having questions about health. Health information seeking behaviour (HISB) includes multiple, unequally accessed sources; yet most studies have focused on single sources and did not examine HISB's association with social inequalities. This study explores 'multiple-source' profiles and their association with socioeconomic characteristics. We analyzed cross-sectional data from the Interdisciplinary Study of Inequalities in Smoking involving 2093 young adults recruited in Montreal, Canada, in 2011-2012. We used latent class analysis to create profiles based on responses to questions regarding whether participants sought health professionals, family, friends or the Internet when having questions about health. Using multinomial logistic regression, we examined the associations between profiles and economic, social and cultural capital indicators: financial difficulties and transportation means, friend satisfaction and network size, and individual, mother's, and father's education. Five profiles were found: 'all sources' (42%), 'health professional centred' (29%), 'family only' (14%), 'Internet centred' (14%) and 'no sources' (2%). Participants with a larger social network and higher friend satisfaction were more likely to be in the 'all sources' group. Participants who experienced financial difficulties and completed college/university were less likely to be in the 'family only' group; those whose mother had completed college/university were more likely to be in this group. Our findings point to the importance of considering multiple sources to study HISB, especially when the capacity to seek multiple sources is unequally distributed. Scholars should acknowledge HISB's implications for health inequalities.
Benefits of Addressing HFCs under the Montreal Protocol 2014
The United States, Canada, and Mexico together submitted a proposal in April 2015 to phase-down production and consumption of hydrofluorocarbons (HFCs) under the Montreal Protocol. This paper presents an analysis of the potential benefits of such action.
Ruff, Kathleen
2017-01-01
Less than ten years ago, the asbestos industry enjoyed the support of every Quebec and Canadian political party. The Chrysotile Institute and the International Chrysotile Association, both located in Quebec, aggressively marketed asbestos around the world, claiming scientific evidence showed that chrysotile asbestos could be safely used. The industry created a climate of intimidation. Consequently, no groups advocating for victims of asbestos or campaigning for its outright ban existed in Quebec to challenge the industry. A campaign was launched to mobilize the scientific community to speak out. Working with scientists, activists, and asbestos victims around the world, a small group of Quebec scientists exposed the false arguments of the asbestos industry. They publicly and repeatedly challenged the unscientific and unethical asbestos policy of the government. By appealing to Quebec values and holding those in power accountable, the campaign won public support and succeeded against all odds in defeating the asbestos industry. PMID:28953226
[Research, impact and adaptation in public health for the new climate of Quebec].
Gosselin, Pierre; Bélanger, Diane
2010-01-01
After its modest beginnings focusing on arctic Quebec in 1999, the Quebec research programme on health and climate change became interested in the remainder of the province around 2002. The European heat wave in 2003 accelerated the pace of this programme and prompted the Quebec health sector's participation in the Ouranos Research Consortium. The research findings from the 2003-2006 period have directly fed into the health component of the Quebec government's climate change action plan (2006-2012), financed through the first carbon tax in the Americas. This component is planning for a series of adaptations to the health network and to some other public networks, which will apply to construction, the built environment and outdoor developments, clinical management methods and practices, public health surveillance as well as emergency preparedness. In this article, the authors describe how research is supporting action and implementation, while also preparing for the future, and how this interaction has progressively established itself over the last 10 years.
ERIC Educational Resources Information Center
Ethier, Marc-Andre; Lefrancois, David
2012-01-01
This article is divided into two sections. The first section reviews the national high school history programs in Quebec from 1905 onward. It focuses on the national and civic identity developed through the programs, as well as on political wrangles over their identity-building goals. Because the Quebec public school system was denominational, and…
CIAN - Cell Imaging and Analysis Network at the Biology Department of McGill University
Lacoste, J.; Lesage, G.; Bunnell, S.; Han, H.; Küster-Schöck, E.
2010-01-01
CF-31 The Cell Imaging and Analysis Network (CIAN) provides services and tools to researchers in the field of cell biology from within or outside Montreal's McGill University community. CIAN is composed of six scientific platforms: Cell Imaging (confocal and fluorescence microscopy), Proteomics (2-D protein gel electrophoresis and DiGE, fluorescent protein analysis), Automation and High throughput screening (Pinning robot and liquid handler), Protein Expression for Antibody Production, Genomics (real-time PCR), and Data storage and analysis (cluster, server, and workstations). Users submit project proposals, and can obtain training and consultation in any aspect of the facility, or initiate projects with the full-service platforms. CIAN is designed to facilitate training, enhance interactions, as well as share and maintain resources and expertise.
Reed, Gail
2016-07-01
After leaving Chile during the Pinochet era, Dr Morales studied economics, health administration and international health at the University of Montreal. But his baptism in the field came in Haiti, where he was first PAHO advisor to the health ministry, and then for five years was responsible for human resources and health economics in the PAHO offices in the capital of Port-au-Prince. He was at his post during the flooding in Gonaïves, five hurricanes, the 2010 earthquake and the ensuing cholera epidemic-doubtless the most dramatic and complex times for the country's health in recent history. Before becoming the PAHO/WHO Representative in Cuba in 2015, he was Regional Advisor in Financing and Health Economics based in Washington, DC. In that role, he plunged into the often thorny debates about just how far governments of the Americas were willing to go towards achieving universal health-universal coverage plus universal access. The result was a historic resolution passed in late 2014 by PAHO's Directing Council (CD53.R14 Strategy for Universal Access to Health and Universal Health Coverage). Dr Morales talks about the process, the outcomes… and the road ahead.
Andre Cyr; Jacques Larivee
1993-01-01
EPOQ (Studies of Bird Populations in Quebec) is a data base on birds of Quebec containing more than 2.2 million records of observations recorded on 158,000 checklists from 3,600 observation sites since 1950. Trends were measured for each of four subsets of EPOQ data between 1970 and 1989 (all year, spring (April-May), summer (June-July), and fall (August-October) as...
Martin, Michel
1995-01-01
Three physicians elected to Quebec's national assembly during the 1994 provincial election are trying to sell the benefits of sovereignty. Psychiatrist Denis Lazure says it is time for Quebec to go its own way because “there are two distinct peoples in Canada and one of them doesn't have a country.” He says his experiences within organized medicine helped him reach this conclusion. Dr. Ed Coffey, president of the Quebec Medical Association, disputes Lazure's conclusions. Imagesp1125-ap1127-a
The Quebec Heart Institute: 50 years of excellence in cardiology
Dagenais, Gilles R; Philippon, François; Després, Jean-Pierre; Dumesnil, Jean G; Cartier, Paul; Bogaty, Peter M; Lemieux, Michel; Moisan, André
2007-01-01
The Quebec Heart Institute was established in 1957 at the Laval Hospital in Sainte-Foy, Quebec. Since then, clinical and research activities have made this Institute one of the largest tertiary care cardiology centres in Canada. With its vast catchment area of more than 3,000,000 people, the Institute has developed a strong collaboration with referral physicians centred on clinical, teaching and research interests. The Institute pioneered several aspects of cardiac surgery, invasive cardiology, echocardiography, basic research and, more recently, a network of researchers and clinicians working in the field of ‘metabolic cardiology’. The first 50 years of the Quebec Heart Institute are depicted in this overview, which will also introduce this special supplement to The Canadian Journal of Cardiology. PMID:17932581
Respiratory medicine and research at McGill University: A historical perspective
Martin, James G; Schwartzman, Kevin
2015-01-01
The history of respiratory medicine and research at McGill University (Montreal, Quebec) is tightly linked with the growth of academic medicine within its teaching hospitals. Dr Jonathan Meakins, a McGill medical graduate, was recruited to the Royal Victoria Hospital in 1924; as McGill’s first full-time clinical professor and Physician-in-Chief at the Royal Victoria Hospital. His focus on respiratory medicine led to the publication of his first book, Respiratory Function in Disease, in 1925. Meakins moved clinical laboratories from the Department of Pathology and placed them within the hospital. As such, he was responsible for the development of hospital-based research. Dr Ronald Christie was recruited as a postdoctoral fellow by Meakins in the early 1930s. After his fellowship, he returned to Britain but came back to McGill from St Bartholomew’s Hospital (London, United Kingdom) to become Chair of the Department of Medicine in 1955; he occupied the post for 10 years. He published extensively on the mechanical properties of the lung in common diseases such as emphysema and heart failure. Dr David Bates was among Dr Christie’s notable recruits; Bates in turn, recruited Drs Maurice McGregor, Margaret Becklake, William Thurlbeck, Joseph Milic-Emili, Nicholas Anthonisen, Charles Bryan and Peter Macklem. Bates published extensively in the area of respiratory physiology and, with Macklem and Christie, coauthored the book Respiratory Function in Disease, which integrated physiology into the analysis of disease. Dr JA Peter Paré joined the attending staff of the Royal Victoria Hospital and the Royal Edward Laurentian Hospital in 1949. A consummate clinician and teacher, he worked closely with Dr Robert Fraser, the Chair of Radiology, to write the reference text Diagnosis of Diseases of the Chest. This was a sentinel contribution in its focus on radiographic findings as the foundation for a systematic approach to diagnosis, and the correlation of these findings with pathological and clinical observations. Dr Margaret Becklake immigrated to Montreal from South Africa in 1957. Her research focused on occupational lung disease. She established the respiratory epidemiology research unit at McGill. She was renowned for her insistence on the importance of a clearly stated, relevant research question and for her clarity and insight. Dr William Thurlbeck, another South African, had developed an interest in emphysema and chronic bronchitis and applied a structure-function approach in collaboration with Peter Macklem and other respirologists. As chief of the Royal Victoria autopsy service, he used pathological specimens to develop a semiquantitative grading system of gross emphysema severity. He promoted the use of morphometry to quantify structural abnormalities. Dr James Hogg studied the functional consequences of pathological processes for lung function during his PhD studies under the joint supervision of Drs Macklem and Thurlbeck. His contributions to understanding the structural basis for chronic obstructive pulmonary disease (COPD) are numerous, reflecting his transdisciplinary knowledge of respiratory pathology and physiology. He trained other outstanding investigators such as Peter Paré Jr, with whom he founded the Pulmonary Research Laboratory in St Paul’s Hospital in Vancouver (British Columbia) in 1977. A signal event in the evolution of respiratory research at McGill was the construction of the Meakins-Christie Laboratories in 1972. These laboratories were directed by Dr Peter Macklem, a trainee of Dr Becklake’s. The research within the laboratory initially focused on respiratory mechanics, gas distribution within the lung and the contribution of airways of different sizes to the overall mechanical behaviour of the lungs. The effects of cigarette smoking on lung dysfunction, mechanisms of possible loss of lung elastic recoil in asthma and control of bronchomotor tone were all additional areas of active investigation. Dr Macklem pioneered the study of the physiological consequences of small airway pathology. Dr Joseph Milic-Emili succeeded Dr Macklem as director of the Meakins-Christie Laboratories in 1979. Milic-Emili was renowned for his work on ventilation distribution and the assessment of pleural pressure. He led the development of convenient tools for the assessment of respiratory drive. He clarified the physiological basis for carbon dioxide retention in patients with COPD placed on high inspired oxygen concentrations. Another area that captured many investigators’ attention in the 1980s was the notion of respiratory failure as a consequence of respiratory muscle fatigue. Dr Charalambos (‘Charis’) Roussos made seminal contributions in this field. These studies triggered a long-lasting interest in respiratory muscle training, in rehabilitation, and in noninvasive mechanical ventilation for acute and chronic respiratory failure. Dr Ludwig Engel obtained his PhD under the supervision of Peter Macklem and established himself in the area of ventilation distribution in health and in bronchoconstriction and the mechanics of breathing in asthma; he trained many investigators including one of the authors, Dr Jim Martin, who succeeded Milic-Emili as director of the Meakins Christie Laboratories from 1993 to 2008. Dr Martin developed small animal models of allergic asthma, and adopted a recruitment strategy that diversified the research programs at the Meakins Christie Laboratories. Dr Manuel Cosio built on earlier work with Macklem and Hogg in his development of key structure-function studies of COPD. He was instrumental in recruiting a new generation of young investigators with interests in sleep medicine and neuromuscular diseases. The 1970s and 1980s also witnessed the emergence of a topnotch respiratory division at the Montreal General Hospital, in large part reflecting the leadership of Dr Neil Colman, later a lead author of the revised Fraser and Paré textbook. At the Montreal General, areas of particular clinical strength and investigation included asthma, occupational and immunological lung diseases. In 1989, the Meakins Christie Laboratories relocated to its current site on Rue St Urbain, adjacent to the Montreal Chest Institute. Dr Qutayba Hamid, on faculty at the Brompton Hospital, joined the Meakins-Christie Labs in 1994. In addition to an outstanding career in the area of the immunopathology of human asthma, he broadened the array of techniques routinely applied at the labs and has ably led the Meakins-Christie Labs from 2008 to the present. The Meakins Christie Laboratories have had a remarkable track record that continues to this day. The basis for its enduring success is not immediately clear but it has almost certainly been linked to the balance of MD and PhD scientists that brought perspective and rigour. The diverse disciplines and research programs also facilitated adaptation to changing external research priorities. The late 1990s and the early 21st century also saw the flourishing of the Respiratory Epidemiology Unit, under the leadership of Drs Pierre Ernst, Dick Menzies and Jean Bourbeau. It moved from McGill University to the Montreal Chest Institute in 2004. This paved the way for expanded clinical and translational research programs in COPD, tuberculosis, asthma, respiratory sleep disorders and other pulmonary diseases. The faculty now comprises respiratory clinician-researchers and PhD scientists with expertise in epidemiological methods and biostatistics. Respiratory physiology and medicine at McGill benefitted from a strong start through the influence of Meakins and Christie, and a tight linkage between clinical observation and physiological research. The subsequent recruitment of talented and creative faculty members with absolute dedication to academic medicine continued the legacy. No matter how significant the scientific contributions of the individuals themselves, their most important impact resulted from the training of a large cohort of other gifted physicians and graduate students. Some of these are further described in the accompanying full-length online article. PMID:25664457
Montreal Protocol: The Gift that Keeps on Giving
NASA Astrophysics Data System (ADS)
Reifsnyder, D. A.
2012-12-01
Unlike many of my contemporaries, I did not begin my career with CFCs, ozone, and the Montreal Protocol. Instead, I began with climate change issue. In October 1989 I became Director of the Department of State's Office of Global Change, after the George H.W. Bush Administration agreed to host the Third Plenary of the Intergovernmental Panel on Climate Change (IPCC) at Georgetown University. Bert Bolin was IPCC Chair, Bill Reilly was EPA Administrator and John Sununu was White House Chief of Staff. I survived those early years and afterward had a long run with the climate change policy - lasting through six administrations. Last year I even chaired the Ad Hoc Group on Long-Term Cooperative Action in Durban at the 17th Conference of the Parties under the UN FCCC. I really plunged into the ozone issue in 2006 when I became the Deputy Assistant Secretary for Environment. By then ozone was hardly ever mentioned, except to recall that the Montreal Protocol was undoubtedly the most successful multilateral environmental agreement ever undertaken - and to contrast it nostalgically with others that have not fared so well - particularly climate. Even worse, ozone was ancient history and most people thought we had solved that problem. Richard Benedict's Ozone Diplomacy had long been a staple of college courses on the global environment but few graduates saw a career in ozone, and it had become difficult to find people in government who were willing to work on it. In early 2007, my staff and I met with colleagues at EPA to brainstorm about the global effort to phase out chlorofluorocarbons (CFCs) and move to alternatives - hydrochlorofluorocarbons (HCFCs). The transition from CFCs was nearing its end but HCFCs, though less potent, were still a problem for the ozone layer. We began to wonder -- could something be done to accelerate the phaseouts of HCFCs? We realized that proposing an acceleration would mean that developed countries would need to go first. Only later would they be followed by developing countries. The question was, could we do it? And if we could, how could we get others developed countries and then developing countries on side? After our internal discussions, State and EPA convened a workshop with U.S. stakeholders from the private sector and the environmental community. To our delight, both groups thought the United States should take the initiative. In retrospect, the winds were favorable - 2007 marked the 25th Anniversary of the Montreal Protocol and many wanted to celebrate it with something significant. The private sector felt that it could meet an accelerated timetable for phasing out HCFCs - the technology was there. It was also clear that money in the Montreal Protocol Multilateral Fund had begun to decline with the developing country phaseout of CFCs and would decline even more steeply unless a new basis were found to continue it. But favorable winds do not always make for a smooth sail - and path to the accelerated phaseouts of 2007 proved challenging. At the time, practically no one thought the effort would succeed. Still, we did succeed. Yet even then it took time to for many to appreciate the significant benefits for the climate system, beyond the benefits to the stratospheric ozone layer. In fact, the continuing story of the Montreal Protocol is one of the gift that keeps on giving.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Sella, G.E.; Cunnane, S.C.; McInnes, R.A.
1981-06-01
The role of copper and its correlations to other parameters has been investigated in a male-fertility pilot study at a University infertility clinic in Montreal. Serum and semen Cu concentrations were determined in 100 men (age 25 to 54 years) referred to the clinic for infertility evaluation. The results of the significant correlations between serum Cu concentrations and male fertility parameters such as (1) the serum concentrations of the hormones FSH, LH and prolactin; (2) spermatozoal count, viability and progression and (3) seminal zinc concentrations are reported.
Del Brutto, Oscar H; Mera, Robertino M; Sullivan, Lauren J; Zambrano, Mauricio; King, Nathan R
2016-10-01
We aimed to assess whether carotid siphon calcifications (as seen on computed tomography) are associated with worse performance in the Montreal Cognitive Assessment in 584 stroke-free individuals living in rural Ecuador. Using mean Montreal Cognitive Assessment score of subjects with Grade 1 calcifications (23.1 ± 4.2) as the referent category, fully adjusted generalized linear models showed significant associations between severity of carotid siphon calcifications and cognitive performance (mean Montreal Cognitive Assessment scores: 20.2 ± 4.8 for Grade 2 (p = 0.004), 19.7 ± 5.3 for Grade 3 (p = 0.0001), and 18.8 ± 4.1 for Grade 4 (p = 0.02)). Predictive Montreal Cognitive Assessment score margins were higher in individuals with Grade 1 calcifications than in other groups. This study shows an inverse relationship between calcium content in the carotid siphon and cognitive performance in Amerindians.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Kosatsky, T.; Przybysz, R.; Shatenstein, B.
1999-02-01
Fishing and fish consumption are widely practiced among members of certain ethnocultural groups. Information assessment led them to ascribe high levels of consumption of locally caught sportfish to Montrealers of Asian origin and to hypothesize that their choices of species and fish organs differ from those of the majority group. An exploratory assessment of contaminant bioindicators reflective of St. Lawrence river fish consumption was conducted in late 1995 among nine Vietnamese and nine Bangladeshi Montreal sportfishers identified by community contacts. Vietnamese participants, six men and three women, were 27--70 years of age and had immigrated to Canada 3--20 years earlier.more » In contrast, the nine Bangladeshi males aged 28--41 years had been in Canada for 2--13 years. Bioindicator concentrations among Bangladeshi and Vietnamese participants are compared to those found for majority-community Montreal-area high-level consumers recruited on the St. Lawrence River during winter 1995.« less
Innovative approach to facilitate reuse of nonhazardous industrial solid waste as building material
DOE Office of Scientific and Technical Information (OSTI.GOV)
St-Laurent, S.G.; Boutin, A.
1997-12-31
The steel industry generates large volumes of inorganic nonhazardous solid waste. During the last five years, Quebec`s steel industry has developed new technologies to recover metal from slags and tailings. Since these processes recover 10 to 30 percent of the metal, large volumes of nonhazardous residues still need to be recycled or disposed of. In order to encourage recycling initiatives, le Ministere de l`Environnement et de la Faune du Quebec (MEF) (Quebec`s Ministry of Environment and Wildlife) established guidelines for the management of nonhazardous industrial solid waste. The aim of these guidelines is to propose a test procedure to evaluatemore » the quality of the material and to define material classes based on their potential for reuse. The evaluation procedure is based on standard tests, generally used for the evaluation of stabilized and solidified hazardous waste. The protocol includes an analysis of the total content of metals in the residue, the determination of the acid neutralization capacity and the prediction of the acid generation potential when the residue contains significant levels of sulfides. The protocol includes three different leachate tests in order to evaluate the mobility of contaminants present in the residue. The leaching procedures are: (1) an equilibrium extraction with water, (2) a modified TCLP extraction, and (3) an acid rain simulation effect extraction. A method is actually under development to collect leachate from a material pile subject to 18 months of rainfall. Materials are categorized into different classes according to their test results. Various potential reuse options are associated with material classes. Evaluation criteria were defined by using water quality standards and results obtained by testing reference construction material supplied by the Quebec`s Ministere des Transports (Ministry of Transportation).« less
Food marketing on children's television in two different policy environments.
Kent, Monique Potvin; Dubois, Lise; Wanless, Alissa
2011-06-01
To examine the differences in exposure to food marketing on television between English children in Ontario, and French and English children in Quebec as each group is influenced by different advertising policies. In total, 428 children aged 10-12 completed television viewing diaries for 7 days. During the same week, 32 television stations were recorded between 6 am and 12 am. A content analysis of advertisements, contests and sponsorship announcements that aired during children's 90 hours of preferred programming was then undertaken. Twenty-six percent of advertisements, 18% of contests and 22% of sponsorships were food/beverage related. Similar rates of food marketing were seen across all three population groups. French Quebec subjects were exposed to significantly more beverage promotions and fewer grain products, candy and snack food promotions. French Quebec children were targeted less frequently, and media characters/celebrities were used less often than in the English groups. The Quebec advertising ban does not appear to be limiting the amount of food/beverage advertising seen by children aged 10-12. However, food categories and marketing techniques used differ in the preferred viewing of French Quebec children.
Estimating occupational exposure to carcinogens in Quebec.
Labrèche, France; Duguay, Patrice; Ostiguy, Claude; Boucher, Alexandre; Roberge, Brigitte; Peters, Cheryl E; Demers, Paul A
2013-09-01
We estimated the extent of exposure to occupational carcinogens in Quebec, Canada, to help raise awareness of occupational cancers. Proportions of workers exposed to 21 recognized and 17 probable carcinogens (according to Quebec occupational health regulation and the International Agency for Research on Cancer [IARC] classification) were extracted from various sources: workplace monitoring data, research projects, a population survey, radiation protection data, exposure estimates from the Carcinogen Exposure Canada (CAREX Canada) Project database, and published exposure data. These proportions were applied to Quebec labor force data. Among the 38 studied, carcinogens with the largest proportions of exposed workers were solar radiation (6.6% of workers), night shift work/rotating shift work including nights (6.0%), diesel exhaust fumes (4.4%), wood dust (2.9%) and polycyclic aromatic hydrocarbons (2.0%). More than 15 carcinogens were identified in several industrial sectors, and up to 100,000 young workers are employed in these sectors. Although crude, estimates obtained with different data sources allow identification of research and intervention priorities for cancer in Quebec. Copyright © 2013 Wiley Periodicals, Inc.
Boatwright, John
2018-06-21
We analyze the Fourier spectra of S+Lg+surface wave groups from the horizontal and vertical components of broadband and accelerogram recordings of 120 small and moderate (2< Mw <6) earthquakes recorded by Canadian and American stations sited on rock at distances from 3 to 600 kilometers. There are seven Mw 4.0–4.5, six Mw 4.5–5.0, and three Mw ≥5 earthquakes in this event set. We test the regional spectral analysis by comparing the moment magnitudes with the moment magnitudes from the earthquake moment tensors determined by Bob Herrmann (St. Louis University) for 27 events, obtaining dMw=0.004±0.074. We determine the Lg attenuation in seven regions within northeastern North America: Charlevoix, lower St. Lawrence, Maine, Northern New York, lower Great Lakes, Ontario, and Nunavut. These attenuation estimates yield an average attenuation Q= (368±13)f (0.54±0.02) for the Appalachian region, a stronger attenuation Q= (317±16)f (0.54±0.03) for the Appalachian lowlands, and a weaker attenuation Q=(455±20)f (0.51±0.02) for Ontario and western Quebec. For events in Nunavut and northernmost Quebec, we estimate a similar attenuation for r <450 km, but a weaker attenuation Q= (773±70)f (0.27±0.06) for Lg propagation for 450< r <1700 kilometers. This far-regional attenuation allows us to analyze recordings of the 1989 Ungava and Payne Bay earthquakes obtained in Ontario and southern Quebec. We use these regional attenuations to determine the corner frequencies, stress drops, and radiated energies of the 120 earthquakes.
Maziade, Pierre-Jean; Pereira, Pascale; Goldstein, Ellie J C
2015-05-15
In August 2003, the 284-bed community hospital Pierre-Le Gardeur (PLGH) in Quebec experienced a major outbreak associated with the Clostridium difficile NAP1/027/BI strain. Augmented standard preventive measures (SPMs) were not able to control this outbreak. It was decided in February 2004 to give to every adult inpatient on antibiotics, without any exclusion, a probiotic (Bio-K+: Lactobacillus acidophilus CL1285, Lactobacillus casei LBC80R, and Lactobacillus rhamnosus CLR2) within 12 hours of the antibiotic prescription. Augmented SPMs were continued. The use of the probiotic in addition to SPMs was associated with a marked reduction of C. difficile infection (CDI). During the 10 years of observation, 44 835 inpatients received Bio-K+, and the CDI rate at PLGH declined from 18.0 cases per 10,000 patient-days and remained at low mean levels of 2.3 cases per 10,000 patient-days. Additionally, 10-year data collected by the Ministry of Health in Quebec comparing the CDI rate between Quebec hospitals showed that CDI rates at PLGH were consistently and continuously lower compared with those at similar hospitals. Blood cultures were monitored at PLGH for Lactobacillus bacteremia through the 10 years' experience, and no Lactobacillus bacteremias were detected. Despite the limitation of an observational study, we concluded that the probiotic Bio-K+ was safe and effective in decreasing our primary CDI rate. © The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.
Selections from the ABC 2011 Annual Convention, Montreal, Canada
ERIC Educational Resources Information Center
Whalen, D. Joel; Andersen, Ken; Campbell, Gloria; Crenshaw, Cheri; Cross, Geoffrey A.; Grinols, Anne Bradstreet; Hildebrand, John; Newman, Amy; Ortiz, Lorelei A.; Paulson, Edward; Phillabaum, Melinda; Powell, Elizabeth A.; Sloan, Ryan
2012-01-01
The 12 Favorite Assignments featured in this article were presented at the 2011 Annual Convention of the Association for Business Communication (ABC), Montreal, Canada. A variety of learning objectives are featured: delivering bad news, handling difficult people, persuasion, reporting financial analysis, electronic media, face-to-face…
Barriers to Low Vision Rehabilitation: A Qualitative Approach
ERIC Educational Resources Information Center
Southall, Kenneth; Wittich, Walter
2012-01-01
Introduction: This study sought to describe and better understand barriers to accessing low vision rehabilitation services. Methods: A qualitative description research paradigm was employed. Focus group participants were recruited through their involvement in the Montreal Barriers Study in Montreal, Canada. Six focus groups (n = 21 participants)…
Adaptation of Salvadoran Refugees in Montreal.
ERIC Educational Resources Information Center
Jacob, Andre
1992-01-01
Analyzes the situation of Salvadoran refugees of rural origin to Montreal (Canada), using life histories of 11 males and 11 females in Canada less than 5 years. This study of adaptation highlights the special needs of this population, particularly for information about social services and government programs. (SLD)
1982-01-01
l’hemiarctiques, un type seculaire de biotope a larves de moustiques (Culicidae). Can. Entomol. 112:1007-1012. Harbach, R. E. and K. L. Knight. 1981 (1982...1980. Inventaire des moustiques (Diptera: Culicidae) du sud du Quebec, 1973-1978. Ann. Sot. Entomol. Quebec 25:195-206. 1981. du Quibec...Historique des listes de moustiques (Diptera: Culicidae) Ann. Sot. Entomol. Quebec 26:3-8. (List of 51 species.) Heaps, J. W. 1980. Occurrence of
ERIC Educational Resources Information Center
Conseil des Colleges, Quebec (Quebec).
Projections are provided in this report on the characteristics of Quebec society in the year 2000, direction that must be given to Quebec's community colleges' mission, and how college education should be organized and managed. First, a summary report, corresponding to the full-length report, is presented. Part 1, Quebec Society: Foreseeable…
76 FR 21425 - Montreal, Maine & Atlantic Railway, Ltd.-Abandonment Exemption-in Aroostook County, ME
Federal Register 2010, 2011, 2012, 2013, 2014
2011-04-15
... DEPARTMENT OF TRANSPORTATION Surface Transportation Board [Docket No. AB 1043 (Sub-No. 2X)] Montreal, Maine & Atlantic Railway, Ltd.--Abandonment Exemption-- in Aroostook County, ME On March 28, 2011... Van Buren, Aroostook County, Me. The line traverses United States Postal Service Zip Code 04785. In...
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... Protection regulations, the science of ozone layer depletion, and related topics. SUPPLEMENTARY INFORMATION... compliance with the Montreal Protocol on Substances that Deplete the Ozone Layer (Protocol) and the CAA.... obligations under Article 2H of the Montreal Protocol on Substances that Deplete the Ozone Layer (Protocol...
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... written trackage rights agreement, Montreal, Maine & Atlantic Railway, Ltd. (MMA) has agreed to grant... milepost 109 on MMA's Millinocket Subdivision) and Brownville Junction, Me. (at or about milepost 104.84 on the Mattawamkeag Subdivision of the Eastern Maine Railway (EMR)), including MMA's Brownville Junction...
Spagnolo, Jessica; Champagne, François; Leduc, Nicole; Melki, Wahid; Guesmi, Imen; Bram, Nesrine; Guisset, Ann-Lise; Piat, Myra; Laporta, Marc; Charfi, Fatma
2018-01-01
In order to make mental health services more accessible, the Tunisian Ministry of Health, in collaboration with the School of Public Health at the University of Montreal, the World Health Organization office in Tunisia and the Montreal World Health Organization-Pan American Health Organization Collaborating Center for Research and Training in Mental Health, implemented a training programme based on the Mental Health Gap Action Programme (mhGAP) Intervention Guide (IG) (version 1.0) , developed by the World Health Organization. This article describes the phase prior to the implementation of the training, which was offered to general practitioners working in primary care settings in the Greater Tunis area of Tunisia. The phase prior to implementation consisted of adapting the standard mhGAP-IG (version 1.0) to the local primary healthcare context. This adaptation process, an essential step before piloting the training, involved discussions with stakeholder groups, as well as field observations. Through the adaptation process, we were able to make changes to the standard training format and material. In addition, the process helped uncover systemic barriers to effective mental health care. Targeting these barriers in addition to implementing a training programme may help reduce the mental health treatment gap, and promote implementation that is successful and sustainable.
Pagliarin, Karina Carlesso; Gindri, Gigiane; Ortiz, Karin Zazo; Parente, Maria Alice Mattos Pimenta; Joanette, Yves; Nespoulous, Jean-Luc; Fonseca, Rochele Paz
2015-01-01
There is growing concern about understanding how sociodemographic variables may interfere with cognitive functioning, especially with regard to language. This study aimed to investigate the relationship between performance in the Brazilian version of the Montreal-Toulouse language assessment battery (MTL-BR) and education, age and frequency of reading and writing habits (FRWH). Cross-sectional study conducted in university and work environments in Rio Grande do Sul, Brazil. The MTL-BR was administered to a group of 233 healthy adults, aged 19 to 75 years (mean = 45.04, standard deviation, SD = 15.47), with at least five years of formal education (mean = 11.47, SD = 4.77). A stepwise multiple linear regression model showed that, for most tasks, the number of years of education, age and FRWH were better predictors of performance when analyzed together rather than separately. In separate analysis, education was the best predictor of performance in language tasks, especially those involving reading and writing abilities. The results suggested that the number of years of education, age and FRWH seem to influence performance in the MTL-BR, especially education. These data are important for making diagnoses of greater precision among patients suffering from brain injuries, with the aim of avoiding false positives.
Sierra, P; Loranger, S; Kennedy, G; Zayed, J
1995-07-01
Inhalation exposure to manganese (Mn) was measured for a group of garage mechanics and a control group of nonautomotive workers. The airborne Mn exposure of 35 garage mechanics suspected of being relatively highly exposed to Mn from MMT was measured at the workplace over one-week period. It also was measured for 30 nonautomotive workers at the University of Montreal. The environmental exposure also was measured for the two groups, as was the exposure to three other metals, aluminum (Al), iron (Fe), and zinc (Zn). At work the mechanics were exposed to Mn concentrations varying from 0.010 to 6.673 micrograms m-3 with a mean of 0.45 microgram m-5, while the control group was exposed to concentrations varying from 0.011 to 1.862 microgram m-3 with a mean of 0.04 microgram m-3. The mean environmental exposure for the two groups was similar to the Mn concentrations gathered in Montreal in 1992. Workplace concentrations of Al, Fe, and Zn also were higher for the garage mechanics. The results suggest that less than 10% of the Mn exposure of the garage mechanics was due to MMT. The levels of the metals measured were below the established limits for industrial and even environmental exposure.
Hébert, Réjean
2016-01-01
Funding long-term care (LTC) is a challenge under the existing Beveridgean universal healthcare system. The Autonomy Insurance (AI) plan developed in Quebec was an attempt to introduce public LTC insurance into our healthcare system. The AI benefit was based on an assessment of the needs of older people and those with disabilities using a disability scale (SMAF) and case-mix classification system (Iso-SMAF Profiles). Under the plan, the benefit would be used to fund public institutions or purchase services from private organizations. Case managers were responsible for assessments and helping users and their families plan services and decide how to use the AI benefit. Funding AI was based on general tax revenues without capitalized funding, under a separate protected budget program. Projections were made for the additional budget needed to support AI, which would have mitigated the forecast increase in LTC spending due to population aging. All the legal, administrative, funding, training and contractual issues were dealt with, for implementation of the plan in April 2015. Unfortunately, the project was still-born for political reasons, but it demonstrates the feasibility of this essential innovation for Canada.
Doll, Margaret K; Morrison, Kathryn T; Buckeridge, David L; Quach, Caroline
2016-10-15
Vaccination program evaluation includes assessment of vaccine uptake and direct vaccine effectiveness (VE). Often examined separately, we propose a design to estimate rotavirus vaccination coverage using controls from a rotavirus VE test-negative case-control study and to examine coverage following implementation of the Quebec, Canada, rotavirus vaccination program. We present our assumptions for using these data as a proxy for coverage in the general population, explore effects of diagnostic accuracy on coverage estimates via simulations, and validate estimates with an external source. We found 79.0% (95% confidence interval, 74.3%, 83.0%) ≥2-dose rotavirus coverage among participants eligible for publicly funded vaccination. No differences were detected between study and external coverage estimates. Simulations revealed minimal bias in estimates with high diagnostic sensitivity and specificity. We conclude that controls from a VE case-control study may be a valuable resource of coverage information when reasonable assumptions can be made for estimate generalizability; high rotavirus coverage demonstrates success of the Quebec program. © The Author 2016. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail journals.permissions@oup.com.
The Montreal Neurological Institute: training of the first African-American neurosurgeons.
McClelland, Shearwood
2007-01-01
BACKGROUND: Since its inception in 1934 by the legendary Dr. Wilder Penfield, the Montreal Neurological Institute (MNI) has provided world-renowned instruction in neurosurgery and related neurosciences, training many of the most prominent figures in the history of neurosurgery. Less well known is the role of the MNI in training the first African-American board-certified neurosurgeons. METHODS: A comprehensive review of pertinent modern and historical records spanning the past century was performed. RESULTS: From 1947-1965, the MNI trained the first African-American board-certified neurosurgeon, and three of the first four. The first, Dr. Clarence Greene, Sr., trained at MNI from 1947-1949. The next, Dr. Jesse Barber, Jr., trained at MNI from 1958-1961. Like Greene, Barber received his MD from the Howard University College of Medicine, was on the general surgery faculty at Howard before training at MNI under Penfield and returned to Howard following his training. The third, Dr. Lloyd Dayes, matriculated at MNI in 1960 after receiving his MD from the Loma Linda University School of Medicine and trained from 1961-1965 under Dr. Theodore Rasmussen, after which he returned to Loma Linda. Greene, Barber and Dayes were certified by the American Board of Neurological Surgery in 1953, 1963 and 1967, respectively, as the first, third and fourth African-American neurosurgeons. CONCLUSION: The willingness of the world-renowned MNI to train the first African-American neurosurgeons during a time of intense racial segregation in the United States played a major role in enabling subsequent African Americans to enter and enhance the field of neurosurgery. Images Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 PMID:17913121
Vanthuyne, Karine; Meloni, Francesca; Ruiz-Casares, Monica; Rousseau, Cécile; Ricard-Guay, Alexandra
2013-09-01
The Canadian government's recent cuts to healthcare coverage for refugee claimants has rekindled the debate in Canada about what medical services should be provided to individuals with precarious immigration status, and who should pay for these services. This article further explores this debate, focussing on the perceptions of healthcare workers in Montreal, a large multiethnic Canadian city. In April-June 2010, an online survey was conducted to assess how clinicians, administrators, and support staff in Montreal contend with the ethical and professional dilemmas raised by the issue of access to healthcare services for pregnant women and children who are partially or completely uninsured. Drawing on qualitative analysis of answers (n = 237) to three open-ended survey questions, we identify the discursive frameworks that our respondents mobilized when arguing for, or against, universal access to healthcare for uninsured patients. In doing so, we highlight how their positions relate to their self-evaluations of Canada's socioeconomic situation, as well as their ideological representations of, and sense of social connection to, precarious status immigrants. Interestingly, while abstract values lead some healthcare workers to perceive uninsured immigrants as "deserving" of universal access to healthcare, negative perceptions of these migrants, coupled with pragmatic considerations, pushed most workers to view the uninsured as "underserving" of free care. For a majority of our respondents, the right to healthcare of precarious status immigrants has become a "privilege", that as taxpayers, they are increasingly less willing to contribute to. We conclude by arguing for a reconsideration of access to healthcare as a right, and offer recommendations to move in this direction. Copyright © 2013 Elsevier Ltd. All rights reserved.
UV Impacts Avoided by the Montreal Protocol
NASA Technical Reports Server (NTRS)
Newman, Paul; McKenzie, Richard
2010-01-01
Temporal and geographical variabilities in the future "World Expected" UV environment are compared with the "World Avoided", which would have occurred without the Montreal Protocol on protection of the ozone layer and its subsequent amendments and adjustments. Based on calculations of clear-sky UV irradiances, the effects of the Montreal Protocol have been hugely beneficial to avoid the health risks, such as skin cancer, which are associated with high UV, while there is only a small increase in health risks, such as vitamin D deficiency, that are associated with low UV. However, interactions with climate change may lead to changes in cloud and albedo, and possibly behavioural changes which could also be important.
UV impacts avoided by the Montreal Protocol.
Newman, Paul A; McKenzie, Richard
2011-07-01
Temporal and geographical variabilities in the future "world expected" UV environment are compared with the "world avoided", which would have occurred without the Montreal Protocol on Substances That Deplete the Ozone Layer and its subsequent amendments and adjustments. Based on calculations of clear-sky UV irradiances, the effects of the Montreal Protocol have been hugely beneficial to avoid the health risks, such as skin cancer, which are associated with high UV, while there is only a small increase in health risks, such as vitamin D deficiency, that are associated with low UV. However, interactions with climate change may lead to changes in cloud and albedo, and possibly behavioural changes that could also be important.
ERIC Educational Resources Information Center
Blattel, Adrienne
2011-01-01
Being outdoors together seems to allow people to get beyond cultural differences effortlessly. This article describes how the author uses outdoor recreation to foster intercultural understanding and the integration of new immigrants in Montreal. She aims to foster crosscultural understanding and the integration of new immigrants through…
40 CFR Appendix J to Subpart A of... - [Reserved
Code of Federal Regulations, 2012 CFR
2012-07-01
... 40 Protection of Environment 18 2012-07-01 2012-07-01 false [Reserved] J Appendix J to Subpart A of Part 82-Parties to the Montreal Protocol Classied Under Article 5(1) That Have Banned the Import... Montreal Protocol Classied Under Article 5(1) That Have Banned the Import of Controlled Products That Rely...
40 CFR Appendix J to Subpart A of... - [Reserved
Code of Federal Regulations, 2010 CFR
2010-07-01
... 40 Protection of Environment 17 2010-07-01 2010-07-01 false [Reserved] J Appendix J to Subpart A of Part 82-Parties to the Montreal Protocol Classied Under Article 5(1) That Have Banned the Import... Montreal Protocol Classied Under Article 5(1) That Have Banned the Import of Controlled Products That Rely...
40 CFR Appendix J to Subpart A of... - [Reserved
Code of Federal Regulations, 2014 CFR
2014-07-01
... 40 Protection of Environment 18 2014-07-01 2014-07-01 false [Reserved] J Appendix J to Subpart A of Part 82-Parties to the Montreal Protocol Classied Under Article 5(1) That Have Banned the Import... Montreal Protocol Classied Under Article 5(1) That Have Banned the Import of Controlled Products That Rely...
40 CFR Appendix J to Subpart A of... - [Reserved
Code of Federal Regulations, 2013 CFR
2013-07-01
... 40 Protection of Environment 18 2013-07-01 2013-07-01 false [Reserved] J Appendix J to Subpart A of Part 82-Parties to the Montreal Protocol Classied Under Article 5(1) That Have Banned the Import... Montreal Protocol Classied Under Article 5(1) That Have Banned the Import of Controlled Products That Rely...
40 CFR Appendix J to Subpart A of... - [Reserved
Code of Federal Regulations, 2011 CFR
2011-07-01
... 40 Protection of Environment 17 2011-07-01 2011-07-01 false [Reserved] J Appendix J to Subpart A of Part 82-Parties to the Montreal Protocol Classied Under Article 5(1) That Have Banned the Import... Montreal Protocol Classied Under Article 5(1) That Have Banned the Import of Controlled Products That Rely...
Michael E. Goerndt; W. Keith Moser; Patrick D. Miles; Dave Wear; Ryan D. DeSantis; Robert J. Huggett; Stephen R. Shifley; Francisco X. Aguilar; Kenneth E. Skog
2016-01-01
One purpose of the Northern Forest Futures Project is to predict change in future forest attributes across the 20 States in the U.S. North for the period that extends from 2010 to 2060. The forest attributes of primary interest are the 54 indicators of forest sustainability identified in the Montreal Process Criteria and Indicators (Montreal Process Working Group, n.d...
Poupon, Viviane; Seyller, Annabel; Rouleau, Guy A
2017-08-30
The Montreal Neurological Institute is adopting an Open Science Policy that will be enacted by the Tanenbaum Open Science Institute. The aim is to accelerate the generation of knowledge and novel effective treatments for brain disorders by freeing science. Copyright © 2017 Elsevier Inc. All rights reserved.
14 CFR 213.7 - Filing requirements for adherence to Montreal Agreement.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Filing requirements for adherence to Montreal Agreement. 213.7 Section 213.7 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF... part 203 of this chapter. That form can be obtained from the Foreign Air Carrier Licensing Division (X...
NASA Astrophysics Data System (ADS)
Bush, Drew; Sieber, Renee; Seiler, Gale; Chandler, Mark
2018-04-01
This study with 79 students in Montreal, Quebec, compared the educational use of a National Aeronautics and Space Administration (NASA) global climate model (GCM) to climate education technologies developed for classroom use that included simpler interfaces and processes. The goal was to show how differing climate education technologies succeed and fail at getting students to evolve in their understanding of anthropogenic global climate change (AGCC). Many available climate education technologies aim to convey key AGCC concepts or Earth systems processes; the educational GCM used here aims to teach students the methods and processes of global climate modeling. We hypothesized that challenges to learning about AGCC make authentic technology-enabled inquiry important in developing accurate understandings of not just the issue but how scientists research it. The goal was to determine if student learning trajectories differed between the comparison and treatment groups based on whether each climate education technology allowed authentic scientific research. We trace learning trajectories using pre/post exams, practice quizzes, and written student reflections. To examine the reasons for differing learning trajectories, we discuss student pre/post questionnaires, student exit interviews, and 535 min of recorded classroom video. Students who worked with a GCM demonstrated learning trajectories with larger gains, higher levels of engagement, and a better idea of how climate scientists conduct research. Students who worked with simpler climate education technologies scored lower in the course because of lower levels of engagement with inquiry processes that were perceived to not actually resemble the work of climate scientists.
Ouellet-Plamondon, C; Abdel-Baki, A; Salvat, É; Potvin, S
2017-10-01
Many studies have concluded that cannabis use disorder (CUD) negatively influences outcomes in first-episode psychosis (FEP). However, few have taken into account the impact of concurrent misuse of other substances. This 2-year, prospective, longitudinal study of FEP patients, aged between 18 and 30 years, admitted to early intervention programs in Montreal, Quebec, Canada, examined the specific influence of different substance use disorders (SUD) (alcohol, cannabis, cocaine, amphetamines) on service utilization, symptomatic and functional outcomes in FEP. Drugs and alcohol were associated with lower functioning, but drugs had a greater negative impact on most measures at 2-year follow-up. Half of CUD patients and more than 65% of cocaine or amphetamine abusers presented polysubstance use disorder (poly-SUD). The only group that deteriorated from years 1 to 2 (symptoms and functioning) were patients with persistent CUD alone. Outcome was worse in CUD than in the no-SUD group at 2 years. Cocaine, amphetamines and poly-SUD were associated with worse symptomatic and functional outcomes from the 1st year of treatment, persisting over time with higher service utilization (hospitalization). The negative impact attributed to CUD in previous studies could be partly attributed to methodological flaws, like including polysubstance abusers among cannabis misusers. However, our investigation confirmed the negative effect of CUD on outcome. Attention should be paid to persistent cannabis misusers, since their condition seems to worsen over time, and to cocaine and amphetamine misusers, in view of their poorer outcome early during follow-up and high service utilization.
Maude Abbott and the Origin and Mysterious Disappearance of the Canadian Medical War Museum.
Wright, James R; Alberti, Samuel J M M; Lyons, Christopher; Fraser, Richard S
2018-05-07
- In the early 1900s, it was common practice to retain, prepare, and display instructive pathologic specimens to teach pathology to medical trainees and practitioners; these collections were called medical museums. Maude Abbott established her reputation by developing expertise in all aspects of medical museum work. She was a founder of the International Association of Medical Museums (later renamed the International Academy of Pathology) and became an internationally renowned expert on congenital heart disease. Her involvement in the Canadian Medical War Museum (CMWM) is less well known. - To explore Abbott's role in the development of the CMWM during and after World War I and to trace its history. - Available primary and secondary historical sources were reviewed. - Instructive pathologic specimens derived from Canadian soldiers dying during World War I were shipped to the Royal College of Surgeons in London, which served as a clearinghouse for museum specimens from Dominion forces. The Canadian specimens were repatriated to Canada, prepared by Abbott, and displayed at several medical meetings. Abbott, because she was a woman, could not enlist and so she reported to a series of enlisted physicians with no expertise in museology. Plans for a permanent CMWM building in Ottawa eventually failed and Abbott maintained the collection at McGill (Montreal, Quebec, Canada) until her death in 1940. We trace the CMWM after her death. - Sadly, after Abbott had meticulously prepared these precious teaching specimens so that their previous owners' ultimate sacrifice would continue to help their military brethren, the relics were bureaucratically lost.
Pelletier, Roxanne; Arsenault, André; Dupuis, Jocelyn; Laurin, Catherine; Blais, Lucie; Lavoie, Kim L
2015-01-01
Objectives To assess whether depression and anxiety increase the risk of mortality and major adverse cardiovascular events (MACE), among patients with and without coronary artery disease (CAD). Design and setting, and patients DECADE (Depression Effects on Coronary Artery Disease Events) is a prospective observational study of 2390 patients referred at the Montreal Heart Institute. Patients were followed for 8.8 years, between 1998 and 2009. Depression and anxiety were assessed using a psychiatric interview (Primary Care Evaluation of Mental Disorders, PRIME-MD). Outcomes data were obtained from Quebec provincial databases. Main outcome measures All-cause mortality and MACE. Results After adjustment for covariates, patients with depression were at increased risks of all-cause mortality (relative risk (RR)=2.84; 95% CI 1.25 to 6.49) compared with patients without depression. Anxiety was not associated with increased mortality risks (RR=0.86; 95% CI 0.31 to 2.36). When patients were stratified according to CAD status, depression increased the risk of mortality among patients with no CAD (RR=4.39; 95% CI 1.12 to 17.21), but not among patients with CAD (RR=2.32; 95% CI 0.78 to 6.88). Neither depression nor anxiety was associated with MACE among patients with or without CAD. Conclusions and relevance Depression, but not anxiety, was an independent risk factor for all-cause mortality in patients without CAD. The present study contributes to a better understanding of the relative and unique role of depression versus anxiety among patients with versus without CAD. PMID:26671946
Validation of the attitudes toward intellectual disability: ATTID questionnaire.
Morin, D; Crocker, A G; Beaulieu-Bergeron, R; Caron, J
2013-03-01
Individuals with an intellectual disability (ID) continue to experience major obstacles towards social, educational and vocational integration. Negative attitudes toward persons with ID has remained relevant over time and has led to discrimination and stigma. The present study describes the development of a new questionnaire for tapping into the general population's attitudes toward individuals with ID and addresses its psychometric properties. Adopting a multidimensional perspective, the Attitudes Toward Intellectual Disability Questionnaire (ATTID) was developed from a series of previously validated instruments and principles from the Montreal Declaration on Intellectual Disability (2004). The ATTID was administered by phone to 1605 randomly selected adult men and women, stratified by region in the Province of Quebec, Canada. The ATTID yielded a five-factor structure overlapping the tri-partite model of attitudes. The cognitive component was represented by two factors: knowledge of capacity and rights and knowledge of causes of ID. The affective component tapped into two factors: discomfort and sensitivity/compassion. Finally, the behavioural component emerged as a single factor. The ATTID had good internal consistency with Cronbach's alpha coefficients ranging from 0.59 to 0.89 for the five factors and of 0.92 for the overall questionnaire. Test-retest reliability yielded correlations from 0.62 to 0.83 for the five factors. The ATTID can be used to measure attitudes among different populations and allows comparisons over time within the same population as a function of various intervention strategies for de-stigmatising ID. © 2012 The Authors. Journal of Intellectual Disability Research © 2012 Blackwell Publishing Ltd.
Richard, Lucie; Gauvin, Lise; Gosselin, Céline; Laforest, Sophie
2009-03-01
Alongside community involvement, promoting social participation has been identified as a key strategy of fostering empowerment, one of the central tenets of the health promotion movement. Engagement in social and productive activities appears to be particularly beneficial to older adults, as it has been found to be associated with positive outcomes on a variety of health indicators. It is therefore critical to identify factors that might lead to greater social participation within these age groups. The objective of this study was to investigate the relationship between perceptions of neighbourhood user-friendliness and social participation while controlling for personal characteristics in a sample of seniors living in an urban environment. A convenience sample of older adults (n = 282) was recruited through community organizations located in high- average- and low-income Montreal neighbourhoods. Data were collected via an interviewer-administered questionnaire assessing social participation and various variables at the neighbourhood level (e.g. housing and social environment, walking environment and transportation, and services and amenities) and at the individual-level (e.g. health status and socio-demographic characteristics). Five variables emerged as independent predictors of social participation. Positive predictors retained in the final regression model included frequent walking episodes (almost every day), higher Vitality and General Health SF-12v2 scores, and perceived accessibility to key resources for older adults. Also included was a negative predictor: age (R2 of the final model = 0.28). Implications of the findings for research and action pertaining to ecological, health promotion interventions for older adults are identified.
Goldberg, Mark S; Wheeler, Amanda J; Burnett, Richard T; Mayo, Nancy E; Valois, Marie-France; Brophy, James M; Giannetti, Nadia
2015-01-01
We carried out this daily diary panel study in Montreal, Quebec, to determine whether oxygen saturation, pulse rate, blood pressure, self-rated health, and shortness of breath at night were associated with concentrations of indoor carbon monoxide (CO), and indoor and outdoor fine particles (PM2.5), temperature, and relative humidity. Over a 2-month consecutive period between 2008 and 2010, we measured daily indoor and outdoor levels of the air pollutants and weather variables and 55 subjects measured their daily health and other variables. To estimate the associations between the health outcomes and the environmental exposures, we used a mixed effects regression model using an autoregressive model of order-one and we adjusted for month and day and personal variables. The general pattern of associations can be summarized as follows: oxygen saturation was reduced for increases in indoor- and outdoor-PM2.5 and temperature. Pulse rate increased on the concurrent day for increases in indoor CO and PM2.5. Diastolic blood pressure increased with increasing indoor and outdoor PM2.5 and relative humidity. Systolic blood pressure increased with indoor PM2.5 and decreased with increasing indoor and outdoor temperature. Self-rated health diminished with increases in outdoor PM2.5 and indoor and outdoor temperature. Self-reported shortness of breath at night increased with increasing indoor and outdoor temperatures. Health in heart failure is affected in the short term by personal and environmental conditions that are manifest in intermediate physiological parameters.
Rezende, Flavio A; Qian, Cynthia X; Sapieha, Przemyslaw
2014-05-01
To perform a microbiological contamination analysis of the vitreous during office-based micro-incision vitrectomy surgery (MIVS) assessing whether the bacteria detected correlated with patient's ocular conjunctival flora. This is a prospective, interventional, nonrandomized case series of patients undergoing office-based MIVS, anti-VEGF, and dexamethasone intravitreal injections (triple therapy) for the treatment of wet age-related macular degeneration (AMD) and diabetic macular edema (DME).All patients were operated at a small procedure room in an ambulatory clinic of the Department of Ophthalmology, University of Montreal, Quebec, Canada. Conjunctival samples were done before placing the sclerotomies. The MIVS was done with a 23-gauge retractable vitrector, a 27-gauge infusion line, and a 29-gauge chandelier. Undiluted and diluted vitreous were collected for aerobic, anaerobic and fungal cultures. Outcomes measured were bacterial species identification within samples collected from the conjunctiva and the vitreous. Thirty-seven patients (37 eyes) were recruited and completed over 17 months of follow-up. Twenty-eight had wet AMD and nine had DME. There were 13 men and 24 women, with a mean age of 78 years. Eighteen patients (46%) had culture positive conjunctival flora. Twenty-six bacterial colonies were tabulated in total from the conjunctival swabs. All bacteria detected were gram-positive bacteria (100%), most commonly: Staphylococcus epidermitis in 11 (42%) and Corynebacterium sp. in 6 (23%). Only 1/18 patients had more than 3 species isolated, 6/18 patients had 2 species and 11/18 patients had 1 species identified on the conjunctival swab. Only 1 of the 37 undiluted midvitreous samples was culture positive, equating to a contamination rate of 2.7%. None of the diluted vitreous samples were culture positive. All cultures were negative for fungus. No serious postoperative complications occurred, including bacterial endophthalmitis, choroidal detachment, and retinal detachment. This preliminary study of office-based MIVS gives us insights on the ocular surface microbial profile and vitreous contamination rate of performing such procedures outside the OR-controlled environment. Our initial results seem to indicate that there is little risk of bacterial translocation and contamination from the conjunctiva into the vitreous. Therefore, if endophthalmitis occurs post-operatively, the source may likely arise after the procedure. Larger studies are needed to confirm our data.
Quebec's Ice Storm '98: "all cards wild, all rules broken" in Quebec's shell-shocked hospitals
Hamilton, J
1998-01-01
The remarkable ice storm that brought life to a standstill in most of Eastern Ontario and Quebec in January had a huge impact on medical services. Hospitals that lost power found themselves serving as shelters not only for patients but also for staff members and nearby residents. Doctors' offices were forced to close and a large number of operations were cancelled. The 2 articles that follow detail the huge impact the "ice storm of the century" had on health care. PMID:9627567
Swaine, Bonnie; Dassa, Clément; Koné, Anna; Dutil, Élisabeth; Demers, Louise; Trempe, Claire
2017-01-01
Purpose To determine the factorial validity, internal consistency, criterion-related and concurrent validity of the Perception of Quality of Rehabilitation Services - Montreal (PQRS-Montreal) questionnaire for persons receiving traumatic brain injury (TBI) rehabilitation services. Design Cross-sectional study. Setting Seventeen facilities providing acute care and intensive inpatient and outpatient TBI adult rehabilitation. Participants Five-hundred thirty adults (GCS = 3-15; mean age = 41.5 ± 16.9 years) who received rehabilitation were administered the questionnaire during an interview near time of discharge. Subjects responded to the 61 PQRS-Montreal items (five-point scale of agreement) and to the Client Satisfaction Question (CSQ8). Results Exploratory and confirmatory factor analyses identified three potential subscales (one- and two-factor solutions) explaining 26.1-41% of the variance (ecological approach, quality of team, service organization). The subscales' internal structures were interpretable and their internal consistency varied from 0.51 to 0.90 (Cronbach's α). Rehabilitation phase significantly and positively impacted factor scores and all factor scores were significantly and moderately correlated with CSQ8 scores. Conclusions The PQRS-Montreal possesses adequate psychometric properties supporting its use as a valid tool to measure patients' perception of the quality of TBI rehabilitation services. This tool could help guide the development and monitoring of TBI rehabilitation service delivery. Implications for Rehabilitation The importance of measuring and monitoring quality of care is increasingly important in rehabilitation. Using the experiences and perceptions of care of service users is a valid way of assessing the quality of rehabilitation services. The PQRS-Montreal has adequate psychometric properties supporting its use as a valid tool to measure patients' perception of the quality of TBI rehabilitation services. This tool could help guide the development and monitoring of TBI rehabilitation service delivery.
NASA Astrophysics Data System (ADS)
Garneau, M.; van Bellen, S.
2016-12-01
Based on various databases, carbon stocks of terrestrial ecosystems in the boreal and arctic biomes of Quebec were quantified as part of an evaluation of their capacity to mitigate anthropogenic greenhouse gas (GHG) emissions and estimate their vulnerability with respect to recent climate change and land use changes. The results of this project are contributing to the establishment of the Strategy for Climate Change Adaptation as well as the 2013-2020 Climate Change Action Plan of the Quebec Ministry of Environment, which aim to adapt the Quebec society to the effects of climate change and the reduction of GHG emissions. The total carbon stock of the soils of the forest and peatland ecosystems of Quebec was quantified at 18.00 Gt C or 66.0 Gt CO2-equivalent, of which 95% corresponds to the boreal and arctic regions. The mean carbon mass per unit area (kg C m-2) of peatlands is about nine times higher than that of forests, with values of 100,0 kg C m-2 for peatlands and 10,9 kg C m-2 for forest stands. In 2013, total anthropogenic emissions in Quebec were quantified at 82.6 Mt CO2-equivalent (Environment Canada, 2015), or 1.25‰ of the total Quebec ecosystem carbon stock. The total stock thus represents the equivalent of about 800 years of anthropogenic emissions at the current rate, divided between 478 years for peatlands and 321 years for forest soils. Future GHG mitigation policies and sustainable land-use planning should be supported by scientific data on terrestrial ecosystems carbon stocks. An increase in investments in peatland, wetland and forest conservation, management and rehabilitation may contribute to limit greenhouse gas emissions. It is therefore essential, that, following the objectives of multiple international organisations, the management of terrestrial carbon stocks becomes part of the national engagement to reduce GHG emissions.
Mergers and integrated care: the Quebec experience.
Demers, Louis
2013-01-01
As a researcher, I have studied the efforts to increase the integration of health and social services in Quebec, as well as the mergers in the Quebec healthcare system. These mergers have often been presented as a necessary transition to break down the silos that compartmentalize the services dispensed by various organisations. A review of the studies about mergers and integrated care projects in the Quebec healthcare system, since its inception, show that mergers cannot facilitate integrated care unless they are desired and represent for all of the actors involved an appropriate way to deal with service organisation problems. Otherwise, mergers impede integrated care by creating increased bureaucratisation and standardisation and by triggering conflicts and mistrust among the staff of the merged organisations. It is then preferable to let local actors select the most appropriate organisational integration model for their specific context and offer them resources and incentives to cooperate.
Mergers and integrated care: the Quebec experience
Demers, Louis
2013-01-01
As a researcher, I have studied the efforts to increase the integration of health and social services in Quebec, as well as the mergers in the Quebec healthcare system. These mergers have often been presented as a necessary transition to break down the silos that compartmentalize the services dispensed by various organisations. A review of the studies about mergers and integrated care projects in the Quebec healthcare system, since its inception, show that mergers cannot facilitate integrated care unless they are desired and represent for all of the actors involved an appropriate way to deal with service organisation problems. Otherwise, mergers impede integrated care by creating increased bureaucratisation and standardisation and by triggering conflicts and mistrust among the staff of the merged organisations. It is then preferable to let local actors select the most appropriate organisational integration model for their specific context and offer them resources and incentives to cooperate. PMID:23687474
[History of the department of Psychiatry at the University of Montreal].
Stip, Emmanuel
2015-01-01
In its current form, the Département de psychiatrie at the Université de Montréal (UdeM) was created in 1964. The first person to have headed was Dr. Gerard Beaudoin… Between 1948 and 1964, several others psychiatrists were heading the Département without necessary bearing a particular title.The directors of the Département from 1951 to now were: Drs. Fernand Côté, Camille Laurin, Gerard Beaudoin, Yvon Gauthier, Arthur Amyot, Francis Borgeat, Hugues Cormier, Sylvain Palardy, Jean Hébert, and Emmanuel Stip.When the Département opened, it was the second institution in Montréal that was training psychiatrists. During the first year, there were 3 psychiatric residents, but within 20 years this number had increased to 63. From the early years, teaching psychiatry to residents, and subsequently to all UdeM medical students, has been a priority in the Département, and over the years many psychiatrists trained at UdeM have attained leadership positions elsewhere. The Département attained an early reputation for excellence in both clinical and basic research.The strengths the Département developed in its early years in clinical psychopharmacology, in basic research in neurotransmitters, sleep, cognition, forensic, and in community psychiatry have been augmented more recently with active programs in psychotherapy research, substance abuse research, psychoneuroendocrinology, developmental aspects of behavior, genetics, epigenetics as well as the study of the brain through a variety of brain scanning techniques.The history of the Département de psychiatrie de l'Université de Montréal is largely dependent on that of each of the institutions affiliated to the Université: the Pavillon Albert-Prévost de l'Hôpital du Sacré-Coeur de Montréal (HSCM), the Institut universitaire en santé mentale de Montréal (IUSMM) and the CHU Sainte-Justine. We must also remember that the discovery of the potentiating of lithium by antidepressants was made by Dr. Demontigny team at the Hôpital Louis-H. Lafontaine (now IUSMM). Significant advances related to the interaction between the psychoanalytic movement and community psychiatry were greatly influenced by the work at the Pavillon Albert-Prévost and the emergence of behavioral therapies (Dr. Yves Lamontagne) and cognitive studies conducted by the Hôpital Louis-H. Lafontaine. Great discoveries about sleep were performed at the Hôpital du Sacré-Coeur de Montréal by teams gathered around Jacques-Yves Montplaisir.We also recall that two ministers from the Quebec government with important political responsibilities were members or directors of the Département de psychiatrie. These are Drs. Camille Laurin and Denis Lazure.The Département aims to strengthen clinical and basic research by contributing new knowledge that will improve care for people with mental disorders. These efforts benefit both patients and the medical students and residents being trained to care for them. The Département remains committed to its program, to pre-doctoral education (ensuring that all medical students at the Université are trained to recognize, diagnose, and be familiar with treatment options for mental disorders), to post-doctoral education for future psychiatrists, and to the care of Quebec's patients.For over 50 years, the academic department has played a key role in attracting and recruiting excellent academic and clinical resources to staff the programs and services of our hospital partners.
Gendron, Marie-Pierre; Martin, Brigitte; Oraichi, Driss; Bérard, Anick
2009-05-01
Medication use during pregnancy and lactation is prevalent. However, current knowledge of the risks and benefits of medication use during pregnancy and lactation is incomplete as the best available evidence has been obtained from cohort studies of inadvertent exposures and registries. This situation may partly explain health care providers' (HCP) risk perceptions and thus the increasing number of calls to Teratogen Information Services (TIS). The objectives of this study were (1) to identify the medication classes for which HCP are seeking counseling from the IMAGe center, a Quebec TIS; (2) to identify the medical conditions for which medication classes were used during pregnancy and lactation; (3) to identify and quantify predictors of medication information requests during pregnancy and lactation. A retrospective analysis of data was conducted within the population served by the IMAGe center, a TIS based at CHU Ste-Justine in Montreal, Quebec, Canada, that serves the French population of Canada. To be included, calls had to be received between January 1, 2004 and April 30, 2007, and the subject of the call had to be directly associated with the exposure, or not, of a pregnant or breastfeeding woman to medication. Multivariate generalized estimating equation (GEE) regression models were performed to identify the predictors of medication requests. A total of 11, 076 requests regarding medication exposure during pregnancy, 12 055 requests regarding pregnant women before the exposure took place, and 13, 364 requests regarding lactation were included for analyses. Pregnant women were most frequently exposed to antidepressants (17.3), antibiotics (6.3%), and benzodiazepines (5.3%). Prior to drug exposure, the most frequent inquiries by HCP were on antibiotics (11.0%), anti-inflammatory drugs (6.0%), and antiemetics (5.1%). Inquiries concerning lactating women most frequently requested information on the drug classes of antidepressants (10.8%), antibiotics (9.1%), and anti-inflammatory drugs (7.8%). Depressive disorders were an indication of antidepressant, benzodiazepine and antipsychotic exposures reported to IMAGe. Associations were found between medication use and maternal age, previous pregnancies, trimester of pregnancy at the time of the call and lifestyle habits. The IMAGe received frequent inquiries on antidepressant, antibiotic, and benzodiazepine exposures, with depressive disorders being the most frequently declared indication. Predictors of medication requests were identified among exposed women during pregnancy, and breastfeeding women. These results emphasize the need for effective studies on drug use during pregnancy and lactation and for better knowledge transfer programs.
Dumont, Serge; Blondeau, Danielle; Turcotte, Véronique; Borasio, Gian Domenico; Currat, Thierry; Foley, Rose-Anna; Beauverd, Michel
2015-08-01
Previous literature has suggested that laws and regulations may impact the use of palliative sedation. Our present study compares the attitudes of French-speaking physicians practicing in the Quebec and Swiss environments, where different laws are in place regarding physician-assisted suicide. Data were drawn from two prior studies, one by Blondeau and colleagues and another by Beauverd and coworkers, employing the same two-by-two experimental design with length of prognosis and type of suffering as independent variables. Both the effect of these variables and the effect of their interaction on Swiss and Quebec physicians' attitudes toward sedation were compared. The written comments of respondents were submitted to a qualitative content analysis and summarized in a comparative perspective. The analysis of variance showed that only the type of suffering had an effect on physicians' attitudes toward sedation. The results of the Wilcoxon test indicated that the attitudes of physicians from Quebec and Switzerland tended to be different for two vignettes: long-term prognosis with existential suffering (p = 0.0577) and short-term prognosis with physical suffering (p = 0.0914). In both cases, the Swiss physicians were less prone to palliative sedation. The attitudes of physicians from Quebec and Switzerland toward palliative sedation, particularly regarding prognosis and type of suffering, seem similar. However, the results suggest that physicians from Quebec could be slightly more open to palliative sedation, even though most were not in favor of this practice as an answer to end-of-life existential suffering.
Lemasson, Morgane; Haesebaert, Julie; Rochette, Louis; Pelletier, Eric; Lesage, Alain; Patry, Simon
2017-01-01
As part of a quality improvement process, we propose a model of routinely monitoring electroconvulsive therapy (ECT) in Canadian provinces using linked health administrative databases to generate provincial periodic reports, influence policy, and standardise ECT practices. ECT practice in Quebec was studied from 1996 to 2013, using longitudinal data from the Quebec Integrated Chronic Disease Surveillance System of the Institut National de Santé Publique du Québec, which links 5 health administrative databases. The population included all persons, aged 18 y and over, eligible for the health insurance registry, who received an ECT treatment at least once during the year. Among recorded cases, 75% were identified by physician claims and hospitalisation files, 19% exclusively by physician claims, and 6% by hospitalisation files. From 1996 to 2013, 8,149 persons in Quebec received ECT with an annual prevalence rate of 13 per 100,000. A decline was observed, which was more pronounced in women and in older persons. On average, each patient received 9.7 treatments of ECT annually. The proportion of acute ECT decreased whereas maintenance treatment proportions increased. A wide variation in the use of ECT was observed among regions and psychiatrists. This study demonstrates the profitable use of administrative data to monitor ECT use in Quebec, and provides a reliable method that could be replicated in other Canadian provinces. Although Quebec has one of the lowest utilisation rates reported in industrialized countries, regional disparities highlighted the need for a deeper examination of the quality and monitoring of ECT care and services.
Federal Register 2010, 2011, 2012, 2013, 2014
2011-03-14
... Known as Mittal Steel Walker Wire, a Subsidiary of Arcelor Mittal--Montreal, Including On-Site Leased... Steel Walker Wire, a subsidiary of Arcelor Mittal-- Montreal, including on-site leased workers from... Walker Wire, Inc., Ferndale, Michigan, separated from employment on or after July 23, 2006 through August...
ERIC Educational Resources Information Center
Heller, Monica S.
The decision of whether to use French or English in Montreal, Canada, is not always predetermined but must be negotiated by the interactants in conversation in ways that can be serious or humorous and have great potential for misunderstanding. The complex relationship between language choice and ethnicity is one factor involved in the decision…
Curtis H. Flather; Carolyn Hull Sieg
2000-01-01
Nine indicators of biodiversity conservation have been defined by the nations participating in the Montreal Process for assessing sustainability of temperate and boreal forests. Five of these indicators address compositional and spatial diversity of ecosystems; two address species diversity; and two are indirect measures of genetic diversity. Our objective was to...
Methods: Two case-control studies of occupation and lung cancer were conducted in Montreal, including 2,016 cases and 2,001 population controls. Occupational exposure to a host of agents was evaluated using a combination of subject-reported job history and expert assessment. We e...
Federal Register 2010, 2011, 2012, 2013, 2014
2011-05-27
... rights to Montreal, Maine & Atlantic Railway, Ltd. (MMA) over approximately 151 miles of rail line owned... Madawaska, ME (Subject Trackage).\\1\\ MMA states that, as of January 14, 2011, it sold the Subject Trackage... operate these lines. \\1\\ The Subject Trackage was formerly part of the Madawaska Subdivision of MMA...
Federal Register 2010, 2011, 2012, 2013, 2014
2011-06-03
... written trackage rights agreement, Montreal, Maine & Atlantic Railway, Ltd. (MMA) has agreed to grant... milepost 260 on MMA's Madawaska Subdivision) and the connection to the Canadian National Railway (CN) in St... ``* * * between MP 260 and the connection with MMA's Van Buren Subdivision at MP 264 and between the connection...
ERIC Educational Resources Information Center
Kim, Mi Song
2011-01-01
Based on a three-year ethnographic study, in such nested contexts involving six Korean-immigrant families, one regular French classroom, one private English institute, and one Korean church in Montreal, Canada, this study explores how the literacy practices and strategies of culturally and linguistically diverse (CLD) learners were influenced and…
ERIC Educational Resources Information Center
Hall, Koby Rogers; Salamanca, Manuel
2017-01-01
In this document we describe our experience relocating precarity and resiliency by way of arts activism, to denounce and make visible social injustices experienced by im/migrant communities in Montreal. Under the umbrella of the Immigrant Workers' Centre, and other allies from the im/migrant workers' movement, we combine knowledge building, action…
The "Montreal Declaration on Intellectual Disabilities" of 2004: An Important First Step
ERIC Educational Resources Information Center
Lecompt, Jocelin; Mercier, Celine
2007-01-01
The crowning accomplishment of the Montreal Pan-American Health Organization and World Health Organization Conference on Intellectual Disability in 2004 was the unanimous adoption and endorsement, by its 65 participants from 17 countries of the Americas, as well as the principal organizations committed to the defense of the rights of persons with…
ERIC Educational Resources Information Center
Nelson, Dean
2009-01-01
Following the Guidelines for Assessment and Instruction in Statistics Education (GAISE) recommendation to use real data, an example is presented in which simple linear regression is used to evaluate the effect of the Montreal Protocol on atmospheric concentration of chlorofluorocarbons. This simple set of data, obtained from a public archive, can…
Mehraj, Vikram; Cox, Joseph; Lebouché, Bertrand; Costiniuk, Cecilia; Cao, Wei; Li, Taisheng; Ponte, Rosalie; Thomas, Réjean; Szabo, Jason; Baril, Jean-Guy; Trottier, Benoit; Côté, Pierre; LeBlanc, Roger; Bruneau, Julie; Tremblay, Cécile; Routy, Jean-Pierre
2018-02-01
Guidelines regarding antiretroviral therapy (ART) initiation in HIV infection have varied over time, with the 2015 World Health Organization recommendation suggesting ART initiation at the time of diagnosis regardless of CD4 T-cell counts. Herein, we investigated the influence of socio-demographic and clinical factors in addition to time trends on early ART initiation among participants of the Montreal Primary HIV Infection Study. The Montreal Primary HIV Infection Study is a prospective cohort established in three community medical centres (CMCs) and two university medical centres (UMCs). Recently diagnosed HIV-infected adults were categorized as receiving early (vs. delayed) ART if ART was initiated within 180 days of the baseline visit. Associations between early ART initiation and socio-demographic, socio-economic and behavioural information were examined. Independent associations of factors linked with early ART initiation were determined using multivariable binary logistic regression analysis. A total of 348 participants had a documented date of HIV acquisition of <180 days. The median interquartile range (IQR) age of participants was 35 (28; 42) years and the majority were male (96%), having paid employment (63%), men who have sex with men (MSM) (78%) and one to four sexual partners in the last three months (70%). Participants presented with a median IQR HIV plasma viral load of 4.6 (3.7; 5.3) log 10 copies/ml, CD4 count of 510 (387; 660) cells/μl and were recruited in CMCs (52%) or UMCs (48%). Early ART initiation was observed in 47% of the participants and the trend followed a V-shaped curve with peaks in 1996 to 1997 (89%) and 2013 to 2015 (88%) with a dip in 2007 to 2009 (22%). Multivariable analyses showed that having a paid employment adjusted odds ratio (aOR: 2.43; 95% CI: 1.19, 4.95), lower CD4 count (aOR per 50 cell increase: 0.93; 95% CI: 0.87, 0.99) and care at UMCs (aOR: 2.03; 95% CI: 1.06 to 3.90) were independently associated with early ART initiation. Early ART initiation during primary HIV infection was associated with diminished biological prognostic factors and calendar time mirroring evolution of treatment guidelines. In addition, socio-economic factors such as having a paid employment, contribute to early ART initiation in the context of universal access to care in Canada. © 2018 The Authors. Journal of the International AIDS Society published by John Wiley & sons Ltd on behalf of the International AIDS Society.
Featured Image: H I Gas in the Triangulum Galaxy
NASA Astrophysics Data System (ADS)
Kohler, Susanna
2017-08-01
These spectacular images are of M33, otherwise known as the Triangulum Galaxy a spiral galaxy roughly 3 million light-years away. The views on the left and in the center are different Wide-field Infrared Survey Explorer (WISE) filters, and the view on the right is a full-resolution look at the H I gas distribution in M33s inner disk, made with data from the Dominion Radio Astrophysical Observatory (DRAO) Synthesis Telescope and Arecibo. In a new study, a team of authors led by Zacharie Sie Kam (University of Ouagadougou, Burkina Faso; University of Montreal, Canada) uses the H I gas observations to explore how the mass is distributed throughout M33 and how the gas moves as the galaxys disk rotates. To read more about what they learned, check out the paper below.CitationS. Z. Kam et al 2017 AJ 154 41. doi:10.3847/1538-3881/aa79f3
Auger, Nathalie; Feuillet, Pascaline; Martel, Sylvie; Lo, Ernest; Barry, Amadou D; Harper, Sam
2014-08-01
Life expectancy is used to measure population health, but large differences in mortality can be masked even when there is no life expectancy gap. We demonstrate how Arriaga's decomposition method can be used to assess inequality in mortality between populations with near equal life expectancy. We calculated life expectancy at birth for Quebec and the rest of Canada from 2005 to 2009 using life tables and partitioned the gap between both populations into age and cause-specific components using Arriaga's method. The life expectancy gap between Quebec and Canada was negligible (<0.1 years). Decomposition of the gap showed that higher lung cancer mortality in Quebec was offset by cardiovascular mortality in the rest of Canada, resulting in identical life expectancy in both groups. Lung cancer in Quebec had a greater impact at early ages, whereas cardiovascular mortality in Canada had a greater impact at older ages. Despite the absence of a gap, we demonstrate using decomposition analyses how lung cancer at early ages lowered life expectancy in Quebec, whereas cardiovascular causes at older ages lowered life expectancy in Canada. We provide SAS/Stata code and an Excel spreadsheeet to facilitate application of Arriaga's method to other settings. Copyright © 2014 Elsevier Inc. All rights reserved.
Gosselin, Pierre; Bélanger, Diane; Lapaige, Véronique; Labbé, Yolaine
2011-01-01
This paper presents a public health narrative on Quebec's new climatic conditions and human health, and describes the transdisciplinary nature of the climate change adaptation research currently being adopted in Quebec, characterized by the three phases of problem identification, problem investigation, and problem transformation. A transdisciplinary approach is essential for dealing with complex ill-defined problems concerning human-environment interactions (for example, climate change), for allowing joint research, collective leadership, complex collaborations, and significant exchanges among scientists, decision makers, and knowledge users. Such an approach is widely supported in theory but has proved to be extremely difficult to implement in practice, and those who attempt it have met with heavy resistance, succeeding when they find the occasional opportunity within institutional or social contexts. In this paper we narrate the ongoing struggle involved in tackling the negative effects of climate change in multi-actor contexts at local and regional levels, a struggle that began in a quiet way in 1998. The paper will describe how public health adaptation research is supporting transdisciplinary action and implementation while also preparing for the future, and how this interaction to tackle a life-world problem (adaptation of the Quebec public health sector to climate change) in multi-actors contexts has progressively been established during the last 13 years. The first of the two sections introduces the social context of a Quebec undergoing climate changes. Current climatic conditions and expected changes will be described, and attendant health risks for the Quebec population. The second section addresses the scientific, institutional and normative dimensions of the problem. It corresponds to a "public health narrative" presented in three phases: (1) problem identification (1998-2002) beginning in northern Quebec; (2) problem investigation (2002-2006) in which the issues are successively explored, understood, and conceptualized for all of Quebec, and (3) problem transformation (2006-2009), which discusses major interactions among the stakeholders and the presentation of an Action Plan by a central actor, the Quebec government, in alliance with other stakeholders. In conclusion, we underline the importance, in the current context, of providing for a sustained transdisciplinary adaptation to climatic change. This paper should be helpful for (1) public health professionals confronted with establishing a transdisciplinary approach to a real-world problem other than climate change, (2) professionals in other sectors (such as public safety, built environment) confronted with climate change, who wish to implement transdisciplinary adaptive interventions and/or research, and (3) knowledge users (public and private actors; nongovernment organizations; citizens) from elsewhere in multi-contexts/environments/sectors who wish to promote complex collaborations (with us or not), collective leadership, and "transfrontier knowledge-to-action" for implementing climate change-related adaptation measures.
NASA Astrophysics Data System (ADS)
Velders, G. J. M.
2015-12-01
Hydrofluorocarbons (HFCs) are used as substitutes for ozone-depleting substances that are being phased out globally under Montreal Protocol regulations. New global scenarios of HFC emissions reach 4.0-5.3 GtCO2-eq yr-1 in 2050, which corresponds to a projected growth from 2015 to 2050 which is 9% to 29% of that for CO2 over the same time period. New baseline scenarios are formulated for 10 HFC compounds, 11 geographic regions, and 13 use categories. These projections are the first to comprehensively assess production and consumption of individual HFCs in multiple use sectors and geographic regions with emission estimates constrained by atmospheric observations. In 2050, in percent of global HFC emissions, China (~30%), India and the rest of Asia (~25%), Middle East and northern Africa (~10%), and USA (~10%) are the principal source regions; and refrigeration and stationary air conditioning are the major use sectors. National regulations to limit HFC use have been adopted recently in the European Union, Japan and USA, and four proposals have been submitted in 2015 to amend the Montreal Protocol to substantially reduce growth in HFC use. Calculated baseline emissions are reduced by 90% in 2050 by implementing the North America Montreal Protocol amendment proposal. Global adoption of technologies required to meet national regulations would be sufficient to reduce 2050 baseline HFC consumption by more than 50% of that achieved with the North America proposal for most developed and developing countries. The new HFC scenarios and effects of national regulations and Montreal Protocol amendment proposals will be presented.
ERIC Educational Resources Information Center
Edge, Daniel; Oyefeso, Adenekan; Evans, Carys; Evans, Amber
2016-01-01
Objective: To determine the psychometric properties of the Montreal Cognitive Assessment (MoCA) in patients with a learning disability and examine it's utility for conducting mental capacity assessment. Method: This study was a cross-sectional, instrument validation study in an inpatient hospital setting, located in the East of England. The sample…
Code of Federal Regulations, 2010 CFR
2010-07-01
... this subpart (Parties to the Montreal Protocol) must agree to transfer to the person for the current control period some amount of production that the nation is permitted under the Montreal Protocol. If the... Protocol for class I, Group I through Group V and Group VII controlled substances until January 1, 1996 and...
Code of Federal Regulations, 2011 CFR
2011-07-01
... this subpart (Parties to the Montreal Protocol) must agree to transfer to the person for the current control period some amount of production that the nation is permitted under the Montreal Protocol. If the... Protocol for class I, Group I through Group V and Group VII controlled substances until January 1, 1996 and...