Publications
| Title | Abstract | Year(sorted descending) Filter | PMID Filter |
|---|
| referring patients to nurses: outcomes and evaluation of a nurse flexible sigmoidoscopy training program for colorectal cancer screening. | colorectal cancer is a significant health burden. several screening options exist that can detect colorectal cancer at an early stage, leading to a more favourable prognosis. however, despite years of knowledge on best practice, screening rates are still very low in canada, particularly in ontario. the present paper reports on efforts to increase the flexible sigmoidoscopy screening capacity in ontario by training nurses to perform this traditionally physician-performed procedure. drawing on ame ... | 2007 | 17505566 |
| the halifax disaster (1917): eye injuries and their care. | explosions, man-made and accidental, continue to require improved emergency medical responses. in the 1917 halifax explosion, an inordinate number of penetrating eye injuries occurred. a review of their treatment provides insight into a traumatic event with unique ophthalmological importance. archived personal and government documents relating to the halifax explosion were reviewed at the public archives of nova scotia, canada, along with a review of current literature. twelve ophthalmologists t ... | 2007 | 17510478 |
| a community-based approach to influenza assessment and treatment during a pandemic. | in the event of an influenza pandemic, hospitals and community-based health services will be overwhelmed. to ensure that life-saving health services are able to continue, the ontario health plan for an influenza pandemic (ohpip) provides direction for assessing and treating patients with influenza, remotely and through the implementation of alternate assessment, treatment and referral centres (flu centres). the ohpip also provides tools and resources for local pandemic planners to assist them wi ... | 2007 | 17521067 |
| influenza pandemic planning: one organization's experience. | this article highlights influenza pandemic planning by a geriatric facility in order to ensure preparedness for staff, clients and families. by describing our experience, we hope that other facilities that provide geriatric, long-term care services are able to advance their own pandemic plans. | 2007 | 17521068 |
| pandemic influenza planning for children and youth: who's looking out for our kids? | recent worldwide attention on influenza pandemics has mainly focused on planning and preparation. some published plans appear to have missed some unique considerations relevant to children and youth, leaving a serious and potentially devastating gap in our pandemic response. this paper highlights those unique considerations and encourages health administrators and policy-makers to rise to the challenge and demonstrate leadership by ensuring that all institutions consider children and youth in th ... | 2007 | 17521069 |
| does difference matter? diversity and human rights in a hospital workplace. | the urban hospital workplace is a dynamic environment that mirrors the cultural and social diversity of the modern city. this paper explores the literature relating to diversity in the workplace and then describes an urban canadian teaching hospital's comprehensive approach to the promotion of an equitable and inclusive diverse environment. with this goal, four years ago the hospital established an office of diversity and human rights staffed by a social worker. the office provides education, tr ... | 2007 | 17548272 |
| observation of practices at petting zoos and the potential impact on zoonotic disease transmission. | although petting zoos are common at public events and allow the public to interact with animals, there has been minimal evaluation of practices at petting zoos. | 2007 | 17554694 |
| establishing a comprehensive continuum from an evidentiary base to policy development for health technologies: the ontario experience. | the aim of this study was to describe a comprehensive continuum that has developed in ontario between government and key stakeholder groups, including hospitals, physicians, academic institutions, clinical epidemiologists, health economists, industry, and bioethicists to achieve evidence-based recommendations for policy development. | 2007 | 17579931 |
| human becoming and 80/20: an innovative professional development model for nurses. | the authors describe a study that evaluated implementation of a professional development model in which nurses spend 80% of their salaried time in direct patient care and 20% of their salaried time on professional development. the professional development time includes focused learning about patient-centered practice guided by the human becoming nursing theory. a qualitative descriptive preproject-process-postproject method and a longitudinal, repeated measures, descriptive-comparative method we ... | 2007 | 17595405 |
| germ-line dna copy number variation frequencies in a large north american population. | genomic copy number variation (cnv) is a recently identified form of global genetic variation in the human genome. the affymetrix genechip 100 and 500 k snp genotyping platforms were used to perform a large-scale population-based study of cnv frequency. we constructed a genomic map of 578 cnv regions, covering approximately 220 mb (7.3%) of the human genome, identifying 183 previously unknown intervals. copy number changes were observed to occur infrequently (<1%) in the majority (>93%) of these ... | 2007 | 17638019 |
| pathogen and indicator variability in a heavily impacted watershed. | water samples were collected from 36 locations within the grand river watershed, in southwestern ontario, canada from july 2002 to december 2003 and were analyzed for total coliforms, fecal coliforms, escherichia coli, escherichia coli o157:h7, and thermophilic campylobacter spp. a subset of samples was also analyzed for cryptosporidium spp., giardia spp., culturable human enteric viruses, and clostridium perfringens. storm and snowmelt events were sampled at two locations including a drinking w ... | 2007 | 17674573 |
| spring-harvested game birds from the western james bay region of northern ontario, canada: organochlorine concentrations in breast muscle. | although studies have assessed organochlorine concentration in breast tissue (pectoral muscle) of fall-harvested game birds in canada, data for spring-harvested game birds are limited, especially for remote sub-arctic areas. taking into account that most traditional aboriginal diets include a large number of spring-harvested game birds, there is a need to assess organochlorine concentration in spring-harvested water birds with respect to suitability for human consumption. we examined organochlor ... | 2007 | 17675140 |
| methodological issues in detecting gene-gene interactions in breast cancer susceptibility: a population-based study in ontario. | there is growing evidence that gene-gene interactions are ubiquitous in determining the susceptibility to common human diseases. the investigation of such gene-gene interactions presents new statistical challenges for studies with relatively small sample sizes as the number of potential interactions in the genome can be large. breast cancer provides a useful paradigm to study genetically complex diseases because commonly occurring single nucleotide polymorphisms (snps) may additively or synergis ... | 2007 | 17683639 |
| association between elevated whole blood epstein-barr virus (ebv)-encoded rna ebv polymerase chain reaction and reduced incidence of acute lung allograft rejection. | accurate functional assessment of patient immunosuppression after solid-organ transplantation remains elusive. despite therapeutic serum immunosuppressive drug levels many lung transplant recipients still develop allograft rejection. we investigated the hypothesis that detection of latent epstein-barr virus (ebv) in peripheral blood may be a functional marker for the net effects of administered immunosuppression. | 2007 | 17692789 |
| prevalence of resistance to 11 antimicrobials among campylobacter coill isolated from pigs on 80 grower-finisher farms in ontario. | we carried out a cross-sectional study to investigate antimicrobial resistance patterns of campylobacter coli isolated from ontario grower-finisher pigs. from january to june 2004, 1200 samples were collected from 80 farms by obtaining a constant number (15) of fecal samples per farm. susceptibility of the isolates to 11 antimicrobial drugs was determined by the agar-dilution technique. the overall prevalence of resistance to 1 or more antimicrobials among the isolates was 99.2%. high levels of ... | 2007 | 17695593 |
| east-west symposium on nasopharyngeal cancer. | to achieve greater understanding of the epidemiology, pathogenesis, molecular oncology, diagnostic, and therapeutic aspects of nasopharyngeal cancer (npc), an international meeting was held in june 2005, toronto, canada. | 2007 | 17141974 |
| toronto's health department in action: influenza in 1918 and sars in 2003. | this article compares the toronto health department's role in controlling the 1918 influenza epidemic with its activities during the sars outbreak in 2003 and concludes that local health departments are the foundation for successful disease containment, provided that there is effective coordination, communication, and capacity. in 1918, toronto's moh charles hastings was the acknowledged leader of efforts to contain the disease, care for the sick, and develop an effective vaccine, because neithe ... | 2007 | 17035296 |
| appropriate measures of influenza immunization program effectiveness. | groll and thomson's evaluation of the effectiveness of ontario's universal influenza immunization campaign used per capita cases of laboratory-confirmed influenza. we argue that these data are susceptible to various biases and should not be used as an outcome measure. laboratory data are traditionally used to identify the presence of influenza activity rather than to identify levels of influenza activity. a better measure of viral activity is the proportion of influenza tests positive; whereas t ... | 2007 | 17052813 |
| in utero pesticide exposure and childhood morbidity. | in humans, immune development begins early in embryonic life and continues throughout the early postnatal period. although a number of pesticides have been observed to induce developmental immunotoxicity in mice, few human studies have examined the long term effects of in utero pesticide exposure on childhood morbidity. empirical evidence suggests that the vulnerable period for toxic insults to the developing immune system extends from early gestation to adolescence in humans and animals. using ... | 2007 | 17084836 |
| mitochondrial dna identification of game and harvested freshwater fish species. | the use of dna in forensics has grown rapidly for human applications along with the concomitant development of bioinformatics and demographic databases to help fully realize the potential of this molecular information. similar techniques are also used routinely in many wildlife cases, such as species identification in food products, poaching and the illegal trade of endangered species. the use of molecular techniques in forensic cases related to wildlife and the development of associated databas ... | 2007 | 16690237 |
| disability management practices in ontario health care workplaces. | workplace disability management programs are important in managing injury and disability. | 2007 | 16816995 |
| an exploratory spatial analysis of pneumonia and influenza hospitalizations in ontario by age and gender. | pneumonia and influenza represent a significant public health burden in canada and abroad. knowledge of how this burden varies geographically provides clues to understanding the determinants of these illnesses, and insight into the effective management of health-care resources. we conducted a retrospective, population-based, ecological-level study to assess age- and gender-specific spatial patterns of pneumonia and influenza hospitalizations in the province of ontario, canada from 1992 to 2001. ... | 2007 | 16824252 |
| health promotion in australia: twenty years on from the ottawa charter. | australia has a longstanding history of promoting health through programs that reflect the principles of the ottawa charter and recognising the importance of social determinants of health. health promotion programs are delivered by a wide range of organisations, in a wide range of settings and sectors for, or with, multiple groups. since the mid-1980s aspects of infrastructure and capacity for health promotion, such as human and financial resources, have been put in place including the establish ... | 2007 | 18372869 |
| antiviral therapy and outcomes of influenza requiring hospitalization in ontario, canada. | we conducted a prospective cohort study to assess the impact of antiviral therapy on outcomes of patients hospitalized with influenza in southern ontario, canada. | 2007 | 18190317 |
| the effects of cycle time on the physical demands of a repetitive pick-and-place task. | this study seeks to elucidate the effects of the cycle time of a pick-and-place task on muscle activity, grip force, posture, and perception-based measures (discomfort and difficulty). six healthy adults (3 males, 3 females) participated. a 4 x 2 repeated measures design was used with cycle time (1, 2, 5, and 10s) and grip (power and chuck) as independent variables. the task consists of repetitively picking a 0.7 kg part and placing it into a bin. a reduction in cycle time (ct) resulted in both ... | 2007 | 17113031 |
| detection of stratospheric ozone intrusions by windprofiler radars. | stratospheric ozone attenuates harmful ultraviolet radiation and protects the earth's biosphere. ozone is also of fundamental importance for the chemistry of the lowermost part of the atmosphere, the troposphere. at ground level, ozone is an important by-product of anthropogenic pollution, damaging forests and crops, and negatively affecting human health. ozone is critical to the chemical and thermal balance of the troposphere because, via the formation of hydroxyl radicals, it controls the capa ... | 2007 | 17994096 |
| cultural and religious aspects of care in the intensive care unit within the context of patient-centred care. | on january 31, 2007, ontario's critical care strategy hosted a workshop for healthcare providers examining cultural and religious perspectives on patient care in the intensive care unit (icu). the workshop provided an opportunity for the ministry of health and long-term care (mohltc) to engage service providers and discuss important issues regarding cultural and religious perspectives affecting critical care service delivery in ontario. while a favourable response to the workshop was anticipated ... | 2007 | 18019898 |
| safety is not negotiable: the importance of occupational health and safety to pandemic planning. | the 2003 outbreak of severe acute respiratory syndrome, or sars, generated a great deal of attention around the ability of canada's health system to respond to a health crisis. this event underscored a very serious reality--on the whole, canada's health system was not prepared to quickly and efficiently deal with a health emergency. this reality was particularly clear in canada's largest city, toronto, as the hospital system was not able to contain the outbreak. armed with little knowledge of th ... | 2007 | 18030032 |
| can an expanded and integrated occupational health service help buffer the impact of a global influenza outbreak in healthcare organizations? | at first glance, the accompanying article by silas et al. makes for a somewhat-curious read. the picture they paint of the possible risk of a global pandemic posed by the avian influenza virus h5n1 is indeed a chilling one, not only for the possible extent of the epidemic itself but also because of the likely burden it could place on an already thinly stretched healthcare workforce. it therefore raises a rather alarming contradiction. given our recent experience of living through the consequence ... | 2007 | 18030035 |
| trends in influenza vaccination in canada, 1996/1997 to 2005. | this article reports recent trends in influenza vaccination rates in canada, provides data on predictors of vaccination in canada for 2005, and examines longer-term effects of ontario's universal influenza immunization program on vaccine uptake. | 2007 | 18074993 |
| detection of dechlorane plus in residential indoor dust in the city of ottawa, canada. | dechlorane plus (dp), a flame retardant recently identified in the air and sediment of the great lakes region, has been detected in residential indoor dust in the city of ottawa, canada using gas chromatography-mass spectrometry under negative chemical ionization mode. dp was detected in all dust samples with a concentration range of 2.3 to 182 ng g(-1), except for one dust sample (5683 ng g(-1)) which was much higher. the levels of dp in indoor dust were several times higher than those in the s ... | 2007 | 18075076 |
| physician peer assessments for compliance with methadone maintenance treatment guidelines. | medical associations and licensing bodies face pressure to implement quality assurance programs, but evidence-based models are lacking. to improve the quality of methadone maintenance treatment (mmt), the college of physicians and surgeons of ontario, canada, conducts an innovative quality assurance program on the basis of peer assessments. using data from this program, we assessed physician compliance with mmt guidelines and determined whether physician factors (e.g., training, years of practic ... | 2007 | 18085599 |
| the circulating proangiogenic factors cyr61 (ccn1) and nov (ccn3) are significantly decreased in placentae and sera of preeclamptic patients. | it is thought that preeclampsia results from a shallow invasion of the extravillous trophoblast into the decidua and maternal vessels, which in turn leads to hypoxia and uteroplacental insufficiency. here, the authors focus on the expression of the proangiogenic secreted molecules cyr61 (ccn1) and nov (ccn3) in human placentae during normal pregnancy compared with preeclamptic placentae. cyr61 and nov are strongly expressed in endothelial cells as well as in the extravillous trophoblast, with in ... | 2007 | 18089610 |
| meeting review: options for the control of influenza vi. | a pandemic outbreak of viral influenza could occur if highly virulent zoonotic strains (such as avian h5n1) were to acquire the ability to transmit among humans. this possibility has increased concern, interest, and investigation in the influenza field. this heightened interest was reflected in the participation of numerous health officials, clinicians, and scientific investigators in the sixth conference on the options for the control of influenza held in toronto, ontario, canada from june 17-2 ... | 2007 | 18158726 |
| prevalence and molecular characterization of giardia duodenalis and cryptosporidium spp. in dairy cattle in ontario, canada. | giardia duodenalis and cryptosporidium spp. are intestinal protozoan parasites that infect a wide range of host species, including humans. molecular characterization of these parasites has demonstrated that a number of genotypes and species are common to both humans and animals, and that zoonotic transmission may occur. numerous studies have reported a high prevalence of g. duodenalis and cryptosporidium spp. in cattle, particularly calves, and these animals are frequently associated with zoonot ... | 2007 | 17964724 |
| ontario courts award compensation for emotional distress associated with the loss of a pet. | 2007 | 17966341 | |
| rehabilitation services after total joint replacement in ontario, canada: can 'prehabilitation' programs mediate an increasing demand? | total joint replacements (tjr) have emerged as a critical health policy issue. in particular, canadian demand for these surgeries is forecast to grow annually by 8.7% in the next decade. although the medical and surgical aspects of tjr have received considerable attention, very little research has explored the impact of increased tjr on the demand for rehabilitation services. in this study, we conducted seven focus group discussions across the province of ontario (canada) with multiple stakehold ... | 2007 | 17975449 |
| tsetse and other biting fly responses to nzi traps baited with octenol, phenols and acetone. | octenol (1-octen-3-ol), acetone, 4-methylphenol, 3-n-propylphenol, and other potential attractants (human urine, stable fly faeces), as well as guiacol, creosol (potential repellents), were tested as baits for biting flies in north america using standard phthalogen blue if3gm cotton nzi traps, or similar commercial polyester traps. baits were tested during the summers of 2001-04 at a residence in canada and during january-august 2001 at a dairy in the u.s.a. behaviour in the presence of octenol ... | 2007 | 17373949 |
| mlh1 -93g>a promoter polymorphism and the risk of microsatellite-unstable colorectal cancer. | although up to 30% of patients with colorectal cancer have a positive family history of colorectal neoplasia, few colorectal cancers can be explained by mutations in high-penetrance genes. we investigated whether polymorphisms in dna mismatch repair genes are associated with the risk of colorectal cancer. | 2007 | 17374836 |
| giving patients information on abnormal cytology and human papillomavirus: survey of health providers. | knowledge of the link between hpv and cervical cancer is low among women. health providers may be required to give information and counseling on hpv. this study surveyed health providers' comfort in counseling women about hpv. | 2007 | 17375699 |
| a qualitative examination of changing practice in canadian neonatal intensive care units. | the goal was to explore the perspectives of health care professionals on factors that influence change to policies, protocols and practices in the neonatal intensive care unit (nicu) with regard to nosocomial infection and chronic lung disease. study design an exploratory descriptive design using semi-structured individual and focus group interviews was used. individual interviews (n=76) and focus group sessions (n=14 with a total of 78 participants) were conducted for a total of 154 health prof ... | 2007 | 17378877 |
| the standardization of critical care nursing education and training: strategies for advancing clinical practice in ontario's adult icus. | in 2004/2005, the ontario ministry of health and long-term care (mohltc) launched a critical care transformation strategy with a goal to enhance service delivery through improved access, quality and system resource management. health human resources planning was seen as essential to the success of the strategy, particularly recruitment, education/training and retention of critical care nurses. a nursing task group was invited to articulate core competencies and practice standards that can be app ... | 2007 | 17396479 |
| two charter challenges launched against canada's sex work laws. | in march 2007, a constitutional challenge to canada's sex work laws was filed with the ontario superior court of justice. five months later, a second challenge was initiated in the province of british columbia. these simultaneous, but separate, cases argue that significant portions of the sections of the criminal code of canada related to adult sex work violate the free expression, liberty, security and equality provisions of the canadian charter of rights and freedoms. | 2007 | 18459196 |
| man accused of failing to disclose hiv-positive status convicted of 15 counts of aggravated sexual assault. | 2007 | 18461692 | |
| seniors falls investigative methodology (sfim): a systems approach to the study of falls in seniors. | an in-depth understanding of human factors and human error is lacking in current research on seniors' falls. additional knowledge is needed to understand why seniors are falling. the purpose of this article is to describe the adapting of the integrated safety investigation methodology (isim) (used for investigating transportation and industrial accidents) to studying seniors' falls. an adapted version-the seniors falls investigative methodology (sfim)-uses a systems approach to take an investiga ... | 2007 | 18238732 |
| ready, aye ready? support mechanisms for healthcare workers in emergency planning: a critical gap analysis of three hospital emergency plans. | in response to the 2003 global outbreak of severe acute respiratory syndrome (sars), and the threat of pandemic influenza, canadian hospitals have been actively developing and revising their emergency plans. healthcare workers are a particularly vulnerable group at risk of occupational exposure during infectious disease outbreaks, as seen during sars and as documented/reported in the recent national survey of the work and health of nurses (statistics canada, 2006). approximately one third of can ... | 2007 | 18488833 |
| genetic susceptibility to heart disease in canada: lessons from patients with familial hypercholesterolemia. | much of the recent progress in treating patients with heart disease due to narrowed coronary arteries has resulted from studying disease evolution in patients with rare monogenic forms of disease. for instance, autosomal dominant familial hypercholesterolemia (fh, mim (mendelian inheritance in man) 143890) typically results from heterozygous mutations in ldlr encoding the low-density lipoprotein (ldl) receptor. deficient ldlr activity results in elevated circulating ldl cholesterol, which accumu ... | 2006 | 17426749 |
| three challenges to the ottawa spirit of health promotion, trends in global health, and disabled people. | health promotion according to the 1986 ottawa charter of the first global health promotion conference "is the process of enabling people to increase control over, and to improve, their health. to reach a state of complete physical, mental and social well-being, an individual or group must be able to identify and to realize aspirations, to satisfy needs, and to change or cope with the environment". in this commentary, i explore three powerful challenges to the spirit of the ottawa charter and to ... | 2006 | 17120882 |
| surge capacity and casualization: human resource issues in the post-sars health system. | in ontario, the unpredictable funding climate of the 1990s led health care organizations to look for ways to reduce costs. adopting a just-in-time staffing policy, they employed fewer full-time workers, scheduled part-time workers to work regular shifts, took on more casual staff, and became increasingly reliant on agency nurses and overtime to cover shifts. these policies resulted in higher costs and reduced surge capacity, and placed the health of nurses and patients in jeopardy. fewer staff m ... | 2006 | 16827414 |
| triple reassortant h3n2 influenza a viruses, canada, 2005. | since january 2005, h3n2 influenza viruses have been isolated from pigs and turkeys throughout canada and from a swine farmer and pigs on the same farm in ontario. these are human/classical swine/avian reassortants similar to viruses that emerged in us pigs in 1998 but with a distinct human-lineage neuraminidase gene. | 2006 | 16836834 |
| lack of evidence of epstein-barr virus infection in patients with castleman's disease. molecular genetic analysis. | epstein-barr virus (ebv) infection is associated with a diverse group of malignancies and many lymphoproliferative disorders. castleman's disease (cd) is atypical lymphoproliferative disorder. the role of ebv in the pathogenesis of cd is not clear yet. the objective of this study is to investigate the ebv status in cd. | 2006 | 16883438 |
| distribution and characterization of borrelia burgdorferi isolates from ixodes scapularis and presence in mammalian hosts in ontario, canada. | the blacklegged tick, ixodes scapularis say (acari: ixodidae), has a wide geographical distribution in ontario, canada, with a detected range extending at least as far north as the 50th parallel. our data of 591 adult i. scapularis submissions collected from domestic animals (canines, felines, and equines) and humans during a 10-yr period (1993-2002) discloses a monthly questing activity in ontario that peaks in may and october. the lyme disease spirochete borrelia burgdorferi johnson, schmidt, ... | 2006 | 16892637 |
| relationship between climate, pollen concentrations of ambrosia and medical consultations for allergic rhinitis in montreal, 1994-2002. | the aim of this study is to evaluate the influence of meteorological factors on ambrosia pollen concentrations and its impact on medical consultations for allergic rhinitis of residents from various socio-economic levels in montréal (québec, canada) between 1994 and 2002. the study was conducted to recognize the sensitivity of pollen productivity to daily climate variability in order to estimate the consequences on human health vulnerability in the context of global climate change. information r ... | 2006 | 16899280 |
| a prescription for ontario's wait time strategy. | after a late start, ontario is well on its way to implementing an ambitious wait time strategy that has already begun to show some tangible improvements in access to the five priority areas. this commentary argues that in addition to the supporting tools identified in the lead essay, a sustainable wait time strategy must encompass prevention and demand management, address shortages in health human resources, provide patients with recourse to a safety valve and promote interprovincial standards a ... | 2006 | 16914940 |
| the management of heat stress for the firefighter: a review of work conducted on behalf of the toronto fire service. | this report provides a summary of research conducted through a grant provided by the workplace safety insurance board of ontario. the research was divided into two phases; first, to define safe work limits for firefighters wearing their protective clothing and working in warm environments; and, the second, to examine strategies to reduce the thermal burden and extend the operational effectiveness of the firefighter. for the first phase, subjects wore their protective ensemble and carried their s ... | 2006 | 16922185 |
| anatomy of a pandemic: emergency departments woefully unprepared for bird flu outbreak. | 2006 | 16938903 | |
| abandoned mid-canada radar line sites in the western james region of northern ontario, canada: a source of organochlorines for first nations people? | the potential exists for human exposure to polychlorinated biphenyls (pcbs) and other contaminants originating from abandoned mid-canada radar line (mcrl) sites in sub-arctic canada. we examined patterns of differences with respect to body burden of organochlorines (lipid-adjusted) between residents of the ontario first nations of fort albany (the site of mcrl site 050) and kashechewan (no radar base) and hamilton (an industrial, southern ontario community) to assess whether the presence of site ... | 2006 | 16959301 |
| predictors of influenza immunization among home care clients in ontario. | this study examined factors associated with the receipt of influenza vaccination among ontario home care clients. | 2006 | 16967757 |
| laboratory-confirmed influenza-associated hospitalizations among children in the metropolitan toronto and peel region by active surveillance, 2004-2005. | 2006 | 16989046 | |
| estimation of human resource needs and cost of adding registered dietitians to primary care networks. | information on human resources and costs is needed to plan for the addition of registered dietitian (rd) services to new models of primary health care (phc). estimates were developed, based on an analysis of an enhanced rd model of counselling and health promotion services in three ontario family health networks (fhns). | 2006 | 17020641 |
| wrongful convictions, lessons learned: the canadian experience. | following the wrongful conviction of a man for the sexual assault and murder of a child, the province of ontario commissioned a public inquiry to prevent future miscarriages of justice. the implementation of several recommendations regarding forensic laboratory procedure and the presentation of expert evidence has proven to be beneficial to the canadian criminal justice system. | 2006 | 17029917 |
| occurrence and reductions of pharmaceuticals and personal care products and estrogens by municipal wastewater treatment plants in ontario, canada. | over the last ten years there have been reports of pharmaceuticals and personal care product (ppcp) residuals in municipal wastewater treatment plant (wwtp) effluents. the principle goal of this study was specifically to expand and in some cases establish a canadian database for the presence of selected acidic drugs, triclosan, polycyclic musks, and selected estrogens in mwwtp influent and effluent. the impact of treatment configuration (e.g. lagoons, conventional activated sludge (cas), and cas ... | 2006 | 16697441 |
| the impact of nursing work environments on patient safety outcomes: the mediating role of burnout/engagement. | to test a theoretical model of professional nurse work environments linking conditions for professional nursing practice to burnout and, subsequently, patient safety outcomes. | 2006 | 16705307 |
| the effect of universal influenza immunization on vaccination rates in ontario. | this article examines the association between introduction of ontario's universal influenza immunization program and changes in vaccination rates over time in ontario, compared with the other provinces combined. | 2006 | 16716034 |
| building on existing models from human medical education to develop a communication curriculum in veterinary medicine. | communication is a core clinical skill of veterinary medicine and one that needs to be taught and learned to the same degree as other clinical skills. to provide this education and essential expertise, veterinary schools in many countries, especially including north america, the united kingdom, and australia, have begun to develop programs and communication curricula. human medical education, however, has 30 years' experience in developing communication curricula, and is thus an excellent resour ... | 2006 | 16767635 |
| ozone treatment and the depletion of detectable pharmaceuticals and atrazine herbicide in drinking water sourced from the upper detroit river, ontario, canada. | the depletion and degradation of pharmacologically active compounds (phacs) and pesticides as a function of ozonation in drinking water treatment processes is not well studied. the a.h. weeks drinking water treatment plant (dwtp) serves the city of windsor, ontario canada, and incorporates ozone treatment into the production of drinking water. this dwtp also operates a real-time, scaled down pilot plant, which has two parallel streams, conventional and ozone plus conventional treatments. in this ... | 2006 | 16777173 |
| hiv-positive woman suing police, man who allegedly infected her and his family. | by statement of claim dated 18 april 2005, a windsor woman is suing a man she alleges infected her with hiv. she is also suing the windsor police service and the man's family. | 2006 | 16805004 |
| surge capacity associated with restrictions on nonurgent hospital utilization and expected admissions during an influenza pandemic: lessons from the toronto severe acute respiratory syndrome outbreak. | current influenza pandemic models predict a surge in influenza-related hospitalizations in affected jurisdictions. one proposed strategy to increase hospital surge capacity is to restrict elective hospitalizations, yet the degree to which this measure would meet the anticipated is unknown. | 2006 | 16807399 |
| characteristics of programs involving canine visitation of hospitalized people in ontario. | to determine the distribution of canine-visitation programs in ontario and to characterize the nature of the programs the dogs are affiliated with. | 2006 | 16807853 |
| influenza outbreak in an ontario long-term care home--january 2005. | 2006 | 17086678 | |
| human factors in action: getting "pumped" at a nursing usability laboratory. | we describe our experience with a nursing usability laboratory, where human factors design principles were applied to common nursing procedures. our first step was to develop a human factors usability checklist. we then used this checklist while observing 11 nurses completing two standardized tasks on a simulated patient: (1) programming an insulin infusion and (2) programming a heparin infusion. we found that a usability checklist can help to uncover systematic error-provoking conditions in nur ... | 2006 | 17087172 |
| canadian guidelines for the management of adult growth hormone deficiency. | to develop guidelines for the management of growth hormone (gh) deficiency in canadian adults to facilitate rational use of gh in appropriate indications. | 2006 | 16737084 |
| health services delivery: reframing policies for global nursing migration in north america--a canadian perspective. | a number of initiatives are currently under way to address the canadian nursing sector study's recommendations for integrated human resource planning, including some of the particular challenges posted by international nurse migration. this article identifies and discusses some of the initiatives currently being undertaken in ontario and elsewhere. | 2006 | 17071698 |
| pathologic analysis of 19 heart valves with silver-coated sewing rings. | the st. jude medical silzone (silzone) mechanical heart valve was voluntarily recalled (january 2000) due to an unusually high incidence of paravalvular leaks. we present the first series of human morphological data on the failure of these valves. | 2006 | 17073948 |
| blastomycosis in a young african man presenting with a pleural effusion. | blastomyces dermatitidis is a dimorphic fungus endemic to north-western ontario, manitoba and some parts of the united states. the fungus is also endemic to parts of africa. pulmonary and extrapulmonary findings of a 24-year-old african man who presented with weight loss, dry cough and chronic pneumonia not resolving with antibiotic treatment are presented. the unusual occurrence of pulmonary blastomycosis associated with skin lesions and a moderate pleural effusion is reported. | 2006 | 17149463 |
| the business case for patient safety. | the leadership team at university health network describes why it decided to pursue a new information technology initiative to substantially reduce human and system errors and omissions associated with medication management. | 2006 | 17163112 |
| regional, seasonal, and antimicrobial resistance distributions of salmonella typhimurium in canada: a multi-provincial study. | this study was conducted to describe the geographical and seasonal distributions of reported human salmonella typhimurium (st) definitive type 104 (dt104) cases, to compare these characteristics to those of non-dt1 04 cases, and to investigate specific antimicrobial resistance (amr) patterns in four canadian provinces. | 2006 | 17203731 |
| cryptosporidium spp. and other zoonotic enteric parasites in a sample of domestic dogs and cats in the niagara region of ontario. | to determine the prevalence of cryptosporidium spp. and other zoonotic enteric parasites in a sample of domestic dogs and cats in the niagara region, ontario, 5 of 26 clinics invited by mail survey reported their parasitological findings over 24 months. stool samples collected by 1 clinic over 68 days were investigated for parasites by using several techniques (fecal concentration, acid-fast staining, and a cryptosporidium immunoassay). the 5 clinics that provided data indicated toxocara spp. as ... | 2006 | 17217087 |
| the low seroprevalence of tick-transmitted agents of disease in dogs from southern ontario and quebec. | infectious diseases caused by pathogens transmitted by ticks and other insect vectors are an important cause of morbidity and mortality in both dogs and humans throughout north america. the purpose of this study was to determine the seroprevalence of selected vector-transmitted pathogens in southern ontario and quebec. samples submitted to the vector borne disease diagnostic laboratory (vbddl) at the north carolina state university college of veterinary medicine were evaluated for antibodies to ... | 2006 | 17217089 |
| supreme court affirms that ontario tribunal has power to consider human rights code. | 2006 | 17373081 | |
| what's behind the data: an examination of the processes and policies underlying the routine collection of clinical data in ontario hospitals. | this article surveyed the processes and policies underlying the routine collection of clinical data in acute care hospitals in ontario, canada. although there is evidence of a small shortfall in the availability of human resources, most health records departments employ experienced staff with health records certification. however, there is much more important variation in the documented and undocumented processes used to generate routinely collected clinical data. current guidelines and coding s ... | 2006 | 17290809 |
| negotiating participation: understanding the "how" in an ergonomic change team. | in participatory ergonomic (pe) interventions, "how" effective participation by workplace parties can be achieved remains unclear. we conducted a case study of the dynamics of an ergonomic change team (ect) process in a medium-sized (175 employees) automotive foam manufacturing plant. we present analyses of observer field notes and post-intervention interviews from which key elements on the dynamics of the "how" emerged: (1) impacts of facilitators' involvement and interests; (2) tensions in del ... | 2006 | 15993376 |
| the relationship between extreme heat and ambulance response calls for the city of toronto, ontario, canada. | concern over the impact of extreme heat upon human health has increased in recent years. though much research has evaluated the relationships between the two, few studies have attempted to quantify this vulnerability on a sub-metropolitan area level. using a geographic information system (gis), ambulance calls for a 4-year period from 1999 to 2002 was analyzed in relation to extreme heat for the city of toronto, ontario, canada. ambulance response calls were plotted on a map to understand the sp ... | 2006 | 16225860 |
| restructuring home care in the 1990s: geographical differentiation in ontario, canada. | through exploring the geographically differentiated effects of restructuring on the work of home care practitioners, labor process change is found to be spatially specific. it is through examining the spatiallity of labor process change that the differential impacts of health care restructuring on human health care resources can be determined. this has implications for human health care resource availability and service provision, which is particularly an issue for medically under-serviced regio ... | 2006 | 16338637 |
| godzilla in the corridor: the ontario sars crisis in historical perspective. | ontario nurses were employed as the front-line workers when sars descended upon toronto in march 2003. once the crisis had subsided, many nurses remarked that sars had forever altered their chosen profession; employment, which they once viewed as relatively safe, had been transformed into potentially life-threatening. this discussion provides descriptions of these expressions through nurses who experienced the crisis and chose to go on the public record. secondly, it compares the subjective perc ... | 2006 | 16324846 |
| understanding the new human genetics: a review of scientific editorials. | developments in genetics are expected to have a profound impact on health and health care, yet much remains to be learned about how leaders of the research and clinical communities view and frame these expectations. we conducted a comprehensive review of editorials about developments in genetic medicine published in scientific journals, to understand what this elite group of commentators anticipate. editorials are an important resource for understanding how the new genetics is understood and por ... | 2006 | 16377046 |
| an exposure assessment for selected pharmaceuticals within a watershed in southern ontario. | recent studies from a number of countries have shown that measurable concentrations of both human and veterinary pharmaceuticals can be found in a variety of environmental matrices such as surface and ground water, soils, and sediments. few data are available that characterize the sources, exposure and effects of pharmaceuticals in the environment and there is clearly a need to define these parameters within a canadian context. we present in this paper the first report in southern ontario, canad ... | 2006 | 16403551 |
| antibiotic resistance of campylobacter jejuni and campylobacter coli isolated from hog, beef, and chicken carcass samples from provincially inspected abattoirs in ontario. | campylobacterjejuni is one of the most common causes of bacterial foodborne infection in the united states, and there are reports of resistance of campylobacter spp. to antimicrobial agents used for the treatment of gastroenteritis. the purpose of this study was to determine the antimicrobial resistance patterns of campylobacter spp. isolated from hog, beef, and chicken carcasses from provincially inspected abattoirs in ontario. the agar dilution method was performed to measure antimicrobial res ... | 2006 | 16416896 |
| client-centred empowering partnering in nursing. | this paper explores nurses' experiences 1 year after an organization's commitment to providing a client-centred and client-empowering partnering approach to care. | 2006 | 16422714 |
| fluoride's effect on human dentin ultrasound velocity (elastic modulus) and tubule size. | despite fluoride (f) use in caries prevention, not much is known about its effects on tooth quality. this study evaluated the effect of tooth f concentration ([f]) on selected dentin structural and mechanical properties. third molars (n = 136) from toronto, which has 1 part per million (p.p.m.) water [f], montreal (0.2 p.p.m. water [f]), and fortaleza (brazil) (0.7 p.p.m. water [f]), were analyzed for [f], dental fluorosis (df) severity, ultrasound velocity, and dentin tubule size and density. t ... | 2006 | 16460346 |
| pitfalls of applying adaptive management to a wolf population in algonquin provincial park, ontario. | we examined adaptive management (am), applied as a science with testable and falsifiable hypothesis, in the context of a large carnivore population, specifically to wolf (canis lupus lycaon) management in algonquin provincial park, ontario, canada. evidence of a population decline was based upon 12 years of data on 137 different radio-collared wolves. because human killing accounted for an average of 66% of deaths, and most killing occurred adjacent to the park, a management prescription of comp ... | 2006 | 16465565 |
| a secure web-based approach for accessing transitional health information for people with traumatic brain injury. | a web-based transitional health record was created to provide regional healthcare professionals with ubiquitous access to information on people with brain injuries as they move through the healthcare system. participants included public, private, and community healthcare organizations/providers in eastern ontario (canada). one hundred and nineteen service providers and 39 brain injury survivors registered over 6 months. fifty-eight percent received english and 42% received bilingual services (en ... | 2006 | 16469409 |
| scientific conferences. u.s. caps number of aids researchers at toronto meeting. | 2006 | 16497898 | |
| assessing nickel bioavailability in smelter-contaminated soils. | metal contaminants in soil environments derived from industrial pollution have clearly established the need for research on bioavailability and potential health risks. much research has been conducted on metal sorption in soils. however, there is still a need to better understand the availability of metal contaminants to plants and microbes. such information will enhance both human health and decisions about remediation efforts. in this study, welland loam (typic epiaquoll) and quarry muck (terr ... | 2006 | 16499951 |
| the stream and its altered valley: integrating landscape ecology into environmental assessments of agro-ecosystems. | little is known about the importance of landscape and land cover to the implementation and performance of agricultural conservation projects designed to improve stream quality. in our study, we addressed the potential importance of landscape and land cover to conservation projects by measuring variation across 191 mu-basins (100-2400 ha) and integrating the observed variation into a study design aimed at determining the effectiveness of conservation projects. our findings indicate that there are ... | 2006 | 16502030 |
| association of functional variants of ptpn22 and tp53 in psoriatic arthritis: a case-control study. | recent studies have implicated ptpn22 and tp53 in susceptibility to several autoimmune diseases, including rheumatoid arthritis, suggesting that these genes are important in maintaining immune homeostasis. because autoimmune diseases may share similar susceptibility loci, investigation of these genes in psoriatic arthritis (psa) is of potential relevance. as a result we investigated known coding polymorphisms in ptpn22 and tp53 in a homogenous caucasian psa cohort from newfoundland, canada and a ... | 2006 | 16507123 |
| identification of human h1n2 and human-swine reassortant h1n2 and h1n1 influenza a viruses among pigs in ontario, canada (2003 to 2005). | since 2003, three novel genotypes of h1 influenza viruses have been recovered from canadian pigs, including a wholly human h1n2 virus and human-swine reassortants. these isolates demonstrate that human-lineage h1n2 viruses are infectious for pigs and that viruses with a human pb1/swine pa/swine pb2 polymerase complex can replicate in pigs. | 2006 | 16517910 |
| genotype and subtype analyses of cryptosporidium isolates from dairy calves and humans in ontario. | to assess the importance of dairy cattle as a source of human cryptosporidium infections in ontario, canada, 44 cryptosporidium isolates from neonatal dairy calves and 11 from sporadic human cases of cryptosporidiosis in the province were genotyped by pcr-rflp analyses of the cryptosporidium oocyst wall protein (cowp) and 18s rrna genes. isolates were also subtyped by sequence analysis of the 60-kda glycoprotein (gp60) gene. all bovine isolates successfully subtyped belonged to cryptosporidium p ... | 2006 | 16565813 |
| pneumatic tube delivery system for blood samples reduces turnaround times without affecting sample quality. | in this study, blood samples from ed patients that were delivered to the laboratory by a pneumatic tube delivery system and by a human courier were compared for timeliness and quality of results. | 2006 | 16580476 |
| relationships of work and practice environment to professional burnout: testing a causal model. | research has established clear links between nurses' experience of professional burnout and many qualities of work environments but more work is needed to clarify interrelationships among aspects of complex organizational settings. | 2006 | 16601626 |