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The communities of Banff, Canmore, Lake Louise, and Kananaskis are home to some of Alberta's most popular tourist attractions. In recent years, the area has seen a significant increase in foreign-born residents. The Bow Valley Immigration Partnership (BVIP) brings together immigrants and stakeholders from multiple sectors to identify and implement strategies to promote integration.
In collaboration with community service agencies and local employers, we developed the Bow Valley Workplace Inclusion Charter (WIC), a set of voluntarily adopted policies designed to increase inclusive practices in the workplace and promote integration of newcomers into the community. We then recruited and supported several employers in the area to make and implement specific commitments related to improving social determinants of health such as working conditions, social inclusion, education, and social support networks for immigrant workers.
Eight Bow Valley employers, providing work for 38% of workers in the area, were enrce.We originally proposed a study to examine changes in disparities in "obesity" between Indigenous and non-Indigenous Canadian populations, as called for in the Truth and Reconciliation Commission, Article 19 (2015), which calls for ongoing monitoring of disparities in health outcomes. Instead, we questioned the importance of reducing the prevalence of "obesity" as a health goal for Indigenous peoples. This critical commentary provides an overview of Canadian Indigenous populations' weight, its relationship with health outcomes, and weight stigma and discrimination, using an Indigenous feminist lens. We introduce the applicability of a Two-Eyed Seeing approach utilizing a Health-At-Every-Size (HAES®) model and Indigenous ways of knowing, as a starting point, to understand weight, health, and our bodies. A new paradigm is needed to identify and close health gaps as noted in Article 19 of the Truth and Reconciliation Calls to Action (2015). We respectfully call upon health professionals and public health bodies to acknowledge the harm of weight stigma and discrimination in their practice and policies, and we encourage Indigenous peoples to (re)claim and (re)vitalize body sovereignty.
On January 1, 2020, the Government of Ontario passed a regulation banning vaping advertisements by retailers, apart from specialty shops. A motivation for this ban was to limit youth exposure to vaping advertisements. The primary goal of this research was to evaluate the impact of this ban on the number and density of vaping advertisements surrounding secondary schools. Additionally, we examined whether the number of vaping advertisements varied by school socio-demographic characteristics.
This study used a pre-post design. Audits were conducted December 2019 (pre-ban) and again January to February 2020 (post-ban), to identify vaping advertisements within 800m surrounding secondary schools (n = 18) in London, Ontario.
Prior to the ban, there were 266 vaping advertisements within 800m of secondary schools. After the ban, this was reduced to 58, a 78.2% reduction. The mean number of vaping advertisements surrounding schools significantly decreased from 18.1 before the ban to 3.6 after the ban (p < 0.00ting of vaping products. Continued monitoring of the geographic accessibility and promotion of vaping products is warranted.The ongoing COVID-19 pandemic has emerged as an unprecedented challenge for healthcare systems across the world. To date, there has been little application of a race, migration and gender lens to explore the long-term health and social consequences of COVID-19 in African, Caribbean and Black (ACB) communities in Canada, who have been disproportionately impacted by this pandemic. The evidence presented in this commentary suggests that recovery strategies need to adopt an intersectional lens taking into account race, migration and gender since ACB women and ACB immigrant women have been among the populations most impacted both personally and economically. To do so, there is an urgent need to incorporate variables capturing race, beyond "visible minority" status; gender, beyond looking at differences between women and men; and factors to help understand the complexities of migration trajectories (i.e., beyond the dichotomy of born in Canada versus not born in Canada categories) in Canadian datasets. We provide examples of policy and practice initiatives that will be urgently required to address the needs of these population groups as these race-based data become available.
The current standard of care for acute atrial fibrillation (AF) focuses primarily on immediate restoration of sinus rhythm by cardioversion, although AF often terminates spontaneously.
To identify determinants of early spontaneous conversion (SCV) in patients presenting at the emergency department (ED) because of AF.
An observational study was performed of patients who visited the ED with documented AF between July 2014 and December 2016. The clinical characteristics and demographics of patients with and without SCV were compared.
We enrolled 943patients (age 69 ± 12years, 47% female). SCV occurred within 3 h of presentation in 158patients (16.8%). Logistic regression analysis showed that duration of AF <24 h [odds ratio (OR) 7.7, 95% confidence interval (CI) 3.5-17.2, p < 0.001], left atrial volume index <42 ml/m
(OR1.8, 95% CI 1.2-2.8, p = 0.010), symptoms of near-collapse at presentation (OR2.4, 95% CI 1.2-5.1, p = 0.018), alower body mass index (BMI) (OR0.9, 95% CI 0.91-0.99, p = 0.028), alonger QTc time during AF (OR1.01, 95% CI 1.0-1.02, p = 0.002) and first-detected AF (OR2.5, 95% CI 1.6-3.9, p < 0.001) were independent determinants of early SCV.
Early spontaneous conversion of acute AF occurs in almost one-sixth of admitted patients during ashort initial observation in the ED. Spontaneous conversion is most likely to occur in patients with first-onset, short-duration AF episodes, lower BMI, and normal left atrial size.
Early spontaneous conversion of acute AF occurs in almost one-sixth of admitted patients during a short initial observation in the ED. Spontaneous conversion is most likely to occur in patients with first-onset, short-duration AF episodes, lower BMI, and normal left atrial size.
Because of insufficient data about their benefit-risk ratio in real life, drugs used for Alzheimer's disease (AD; cholinesterase inhibitors and memantine) were withdrawn from the list of reimbursable drugs in France on 1 August 2018.
In this context, this study aimed to investigate the effects of the removal of AD drugs from the list of reimbursed drugs among patients followed in memory centres in France, in terms of prevalence and factors associated with drug discontinuation and evolution of disease management and cognition after drug discontinuation.
This is an observational study based on data from the National Alzheimer Data Bank ('Banque Nationale Alzheimer' [BNA]), which centralizes information about patients consulting in memory centres. The drug discontinuation rate was estimated among patients receiving AD drugs at the last visit before the end of reimbursement. Factors associated with drug discontinuation were investigated among sociodemographic and disease characteristics, as well as among ththe evolution of MMSE score.
This study provides real-life information about the use of AD drugs after they were withdrawn from reimbursement in France and shows that drug discontinuation was limited among patients followed in memory centres and accompanied by increased use of other healthcare resources.
This study provides real-life information about the use of AD drugs after they were withdrawn from reimbursement in France and shows that drug discontinuation was limited among patients followed in memory centres and accompanied by increased use of other healthcare resources.Schools can be a setting to address mental health needs of sexual and gender minority (SGM) youth. check details Gender-Sexuality Alliances (GSAs), as extracurricular support groups, provide an existing structure that could be leveraged to reach SGM youth and deliver services. Nevertheless, limited data indicate the prevalence of depression and anxiety among GSA members, how often GSAs discuss mental health, or their receptivity to resources. Participants in the current study were 580 youth (Mage = 15.59; 79% sexual minority, 57% cisgender female; 68% White) and 58 advisors in 38 GSAs purposively sampled across Massachusetts. Youth completed established measures of depression and anxiety; advisors reported how frequently their GSAs discussed mental health; and both reported their interest in mental health materials. Among youth, 70.1% scored above the threshold indicating probable mild depression, and 34.4% scored above the threshold suggesting concerning anxiety. Adjusted odds ratios indicated that the odds of depression and anxiety were higher for SGM members relative to heterosexual and cisgender members, particularly among youth reporting SGM identities that have been underrepresented. GSAs discussed mental health with some frequency over the school year. Youth and advisors expressed strong interest in resources. Findings support the case for developing selective and indicated school-based prevention programming for youth in GSAs to address their mental health needs.Since Frege, mental content (conscious content) has been distinguished from the meaning of natural language and not regarded mental content as the meaning of language expression. This anti-psychological view cuts off the connection between the meaning of language and mental content, giving rise to the failures in solving the problems of mind. Instead of thinking about linguistic meaning and mental content separately, philosophers of mind put more emphasis on mental content and even equate the meaning of linguistic expressions with it. Therefore, the issues that what the relationship between linguistic meaning and mental content is and how they are connected are not well answered so far. The author argues in this paper that 1) People attach meaning to symbols through communication activities when they have mental contents, thus forming the language, which is also a process of achieving psychological certainty in turn; 2) the relationship between linguistic meaning and mental content is similar to the interdependent relationship between monetary value and the use value of commodities. Without the latter, the former will lose its source, and the former also affects the latter. Philosophers of mind pay little attention to the interplay between language and mental content. Based on the above arguments and previous theories, this paper conceives a general model of the generation of linguistic meaning.This article stems from an interest taken in discussing the usage of the terms ambivalence and ambiguity, which are very present in Psychology's publications and savoir faire. It is important to reiterate that in common sense and even in scientific publications these terms are often used as synonyms or notions of little conceptual delimitation. The relevance of such differentiation is proposed once these notions participates of the emergence of the new in human subjective experience, and, in a methodological approach, ambiguity and ambivalence are dimensions that leads the researcher goes beyond a repetitive sterile description of the subject's speech, moving towards new perspectives of the psychological data. This paper aims to retrieve the qualifying power of such notions by making a broader reflection on the functions of language in the production of interpretive realities. We also propose to bring up a reflection about ambiguity in the construction of meaning and to reiterate ambivalences as inherent to human nature, its affective record and the process of human becoming.
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