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Péloquin, F., É. Marmen, V. Gélinas, A. Plaisance, and P. Archambault. "P049: Goals of care discussion in the emergency department: is it possible." CJEM 22, S1 (May 2020): S81—S82. http://dx.doi.org/10.1017/cem.2020.255.
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Introduction: The Institut national d'excellence en santé et en services sociaux in Quebec published guidelines suggesting that emergency physicians should establish emergency department (ED) patients’ goals of care when appropriate. The objective of this study was to explore emergency physicians’ opinions about leading goals of care discussion (GCD) in their daily practice. Methods: This study used a qualitative design based on the Normalisation Process Theory (NPT); a middle-range theory used to explain the sustainability of implementing complex healthcare interventions. It was conducted in a single academic ED in Lévis, Québec. We planned to recruit a minimal convenience sample of 10 participants. Between April and May 2018, we conducted semi-structured interviews and transcribed the audio records verbatims. Deductive thematic analysis based on the NPT was conducted using Nvivo 12.0. Two authors codified the content of each interview under the four NPT macro-level constructs: coherence, cognitive participation, collective action and reflexive monitoring. A kappa score was calculated to measure the coding inter-rater reliability. Results: We interviewed 10 ED physicians (50 % women; 60% certified by the College of Family Physicians of Canada (Emergency Medicine)). No new ideas emerged after the 9th interview. Our thematic analysis identified 13 themes. Inter-rater reliability of coding was substantial (kappa = 0.72). The coherence construct contained the following themes: common concept of interpersonal communication, efficiency of care and anxiety generated by the discussion, the identification of an acute deterioration leading to the GCD, coming together of clinician, patient and family, and the importance of knowing patients’ goals of care before medical handover. The cognitive participation construct involved the following themes: lack of training on the new goals of care form and availability of reminders to promote the recommendation. One theme characterized the collective action construct: heterogeneous prioritization for leading GCD. The reflexive monitoring construct contained 4 themes: need to take action before patients consult in the ED, need to develop education programs, need for legislation and the impossibility of systematic GCD for all patients. Conclusion: Goals of care discussion is possible and essential with selected patients in the ED. Nevertheless, policy-making efforts remain necessary to ensure the systematization of the recommendation.
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Rudin, Ronald. "In Whose Interest? The Early Years of the First Caisse Populaire, 1900‑1945." Historical Papers 22, no. 1 (April 26, 2006): 157–77. http://dx.doi.org/10.7202/030969ar.
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Abstract In 1900 Alphonse Desjardins opened the first caisse populaire at Lévis, a small town located across the St. Lawrence from Quebec City. Many historians have seen the establishment and the early operations of the Caisse populaire de Lévis in heroic terms, as it proved to be the beginning of the development of a vast cooperative movement. Desjardins and his colleagues were described as disinterested men only desirous of providing financial services to the poor. This characterization has a certain validity, as credit was made available that could not have been found elsewhere. Nevertheless, such a perspective ignores the fact that the founders of the caisse and their successors were members of the local petite bourgoisie who were profoundly insecure regarding their place in an industrializing Quebec. As a result, the operations of this caisse up to the end of World War II were not always in the best interests of the poorer elements of Lévis.
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Maletz, Jörg. "Arenig biostratigraphy of the Pointe-de-Lévy slice, Quebec Appalachians, Canada." Canadian Journal of Earth Sciences 34, no. 6 (June 1, 1997): 733–52. http://dx.doi.org/10.1139/e17-061.
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The Pointe-de-Lévy slice includes a nearly complete Arenig graptolite succession. A conspicuous gap exists in the Yapeenian (Ya) to lower Darriwilian (Da) part (Ya 1 – Da 1). The lithological column is compiled from several sections at Lévis, Quebec, that yield only parts of the complete succession. The graptolite zonation can be compared closely with that from the Cow Head Group of western Newfoundland and the Deep Kill Formation of eastern New York. The Shumardia "Limestone" is differentiated into four graptolite zones and subzones, of which the youngest zone clearly belongs to the Llanvirn. The Araneograptus murrayi and Holmograptus lentus zones are documented for the first time from the Lévis area. The Undulograptus dentatus Zone of the latest Arenig is introduced.
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Chené, Adèle, and Marie‐José Fleury. "COLLEGE STUDIES AFTER 50 YEARS OF AGE: A QUEBEC EXPERIENCE." Educational Gerontology 18, no. 5 (January 1992): 497–510. http://dx.doi.org/10.1080/0360127920180507.
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Hendry, Michael T., C. Derek Martin, and S. Lee Barbour. "Measurement of cyclic response of railway embankments and underlying soft peat foundations to heavy axle loads." Canadian Geotechnical Journal 50, no. 5 (May 2013): 467–80. http://dx.doi.org/10.1139/cgj-2012-0118.
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This paper presents the deformation and pore-water pressure response within peat foundations below three different railway embankments in response to cyclic heavy axle loading. The study sites include two at Canadian National (CN) Railway's Edson and Lac-La-Biche subdivisions in northern Alberta, and one at CN′s Lévis subdivision in southeastern Quebec. The three sites were instrumented to monitor the spatial distribution of strain, pore pressure generation, and stress, and the distribution of horizontal cyclic displacement with depth during the passage of trains. The horizontal cyclic displacement with depth was measured using a ShapeAccelArray (SAA). An analysis was conducted to determine how close the peat is to yielding under heavy axle loads. This analysis was based on the elastic response determined from undrained triaxial testing, a constitutive model developed for peat, and finite element modelling. The field response and the numerical modelling suggest that the embankments at the northern Alberta sites are stable under current loading conditions. The highest potential for yielding at these sites occurs just beneath the embankment and at the interface between the peat and underlying stiffer soil. At the Lévis site the analysis suggests that a recently constructed ditch concentrates shear stress at a location where the principal stress orientation corresponds to a reduced strength of peat and may have increased the potential for yielding.
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Prujiner, Alain. "Injonction interlocutoire - Mandamus - Immunité de la Couronne – Discrétion administrative - Paiement de subventions." Chronique de jurisprudence 19, no. 4 (April 12, 2005): 1061–67. http://dx.doi.org/10.7202/042285ar.
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The function of interlocutory injunctions is changing in Quebec procedural law. Its field of operation is extending and the case of Driscoll College v. Morin opens up new perspectives as regards four points : the use of mandamus, Crown immunity, administrative discretion and the power to order the payment of a sum of money. Yet it seems that new difficulties will rise before long, which may require a complete reassessment of the interlocutory injunction's role in Quebec law.
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Bérubé, Marc-André, Jacques Locat, Pierre Gélinas, Jean-Yves Chagnon, and Paul Lefrançois. "Black shale heaving at Sainte-Foy, Quebec, Canada." Canadian Journal of Earth Sciences 23, no. 11 (November 1, 1986): 1774–81. http://dx.doi.org/10.1139/e86-163.
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Oxidation of pyrite and crystallization of sulphate minerals in rock fractures have locally produced ground heaving in excess of 10 cm in the foundations of a college at Sainte-Foy, near Québec (Quebec). Black shales of the Sainte-Foy Formation are involved; they contain about 2% disseminated framboidal pyrite and 3% calcite. Reaction products identified with a scanning electron microscope (SEM) equipped with an energy-dispersive X-ray chemical analyser (EDXA) are iron hydroxides and numerous sulphate minerals containing calcium, iron, potassium, aluminum, magnesium, manganese, barium, and strontium. In Ontario, heaving of black shales has been observed in the Ottawa area in particular; rock expansion there was mainly attributed to crystallization of gypsum along the bedding plane cleavages of the shales. At Sainte-Foy, fibroferrite, a fibrous iron–aluminum sulphate mineral, probably also contributed significantly to heaving.
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LABERGH, CHRISTIANE, and W. E. SACKSTON. "ADAPTABILITY AND DISEASES OF JERUSALEM ARTICHOKE (Helianthus tuberosus) IN QUEBEC." Canadian Journal of Plant Science 67, no. 1 (January 1, 1987): 349–53. http://dx.doi.org/10.4141/cjps87-050.
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An early and a midseason cultivar of Jerusalem artichoke (JA) (Helianthus tuberosus) were better adapted than a late cultivar at Macdonald College and L’Acadie, Quebec, and Ottawa, Ontario. Diseases observed on JA were powdery mildew (Erysiphe cichoracearum), Sclerotinia rot (S. sclerotiorum), and apical chlorosis (Pseudomonas syringae pv. tagetis).Key words: Jerusalem artichoke, Helianthus tuberosus, adaptability, powdery mildrew, Sclerotinia rot, apical chlorosis
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Isherwood, Geoffrey B. "College Choice: A Survey of English-Speaking High School Students in Quebec." Canadian Journal of Education / Revue canadienne de l'éducation 16, no. 1 (1991): 72. http://dx.doi.org/10.2307/1495218.
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Fichten, Catherine S., Jennison V. Asuncicion, Maria Barile, Chantal Robillard, Myrtis E. Fossey, and Daniel Lamb. "Canadian Postsecondary Students With Disabilities: Where Are They?" Canadian Journal of Higher Education 33, no. 3 (December 31, 2003): 71–113. http://dx.doi.org/10.47678/cjhe.v33i3.183441.
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Results of a Canada-wide and a Quebec based study of students with a variety of disabilities in Canadian postsecondary education are presented. Study 1 involved 156 professionals. They represent 80% of the population of professionals who provide on-campus disability support services. Results indicate that (1) 8% of postsecondary institutions reported not having any students with disabilities, (2) overall, 2% of students are registered to receive disability related services from their post- secondary institutions, and (3) this varies from 1/2% to 6% across the country. Junior/community colleges had a higher percentage of students with disabilities registered to receive disability related services (3 3/4%) than universities (1 2/3%). (4) Distance education had 3%. (5) Quebec has a smaller proportion of both college (2/3% vs 6%) and university (1/2%) vs 2 1/2%) students with disabilities than the rest of Canada. A targeted study involving 46 professionals who provide disability related services in Quebec's public junior/community colleges, the CEGEPs, revealed that lack of recognition of learning disabilities for postsecondary funding by the Quebec government is an important contributor to the small percentages, although it cannot explain the huge discrepancies between Quebec and the rest of Canada. Extrapolation suggests that there are over 100,000 students with disabilities currently enrolled in Canadian postsecondary education, although only 1/4 to 1/2 of them register to receive disability related services.
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Page, Alex, Philip R. Wilby, Claire J. T. Mellish, Mark Williams, and Jan A. Zalasiewicz. "Dawsonia Nicholson: linguliform brachiopods, crustacean tail-pieces and a problematicum rather than graptolite ovarian vesicles." Earth and Environmental Science Transactions of the Royal Society of Edinburgh 99, no. 3-4 (December 2008): 251–66. http://dx.doi.org/10.1017/s175569100900704x.
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ABSTRACTThough little is known of the graptoloid reproductive mechanism, graptolites with putatively sac-like appendages, supposedly ovarian vesicles, have been known from the Moffat Shales Group, Southern Uplands, Scotland, for over 150 years. Locally, these co-occur with isolated, two-dimensional, discoidal or ovato-triangular fossils. In the 1870s, Nicholson interpreted these isolated fossils as being graptoloid ‘egg-sacs’ detached from their parent and existing as free-swimming bodies. He assigned them to his genus Dawsonia, though the name was pre-occupied by a trilobite, and named four species: D. campanulata, D. acuminata, D. rotunda and D. tenuistriata. A reassessment of Nicholson’s type material from the Silurian of Moffatdale, Scotland, and from the Ordovician Lévis Formation of Quebec, Canada, shows that Dawsonia Nicholson comprises the inarticulate brachiopods Acrosaccus? rotundus, Paterula? tenuistriata and Discotreta cf. levisensis, the tail-piece of the crustacean Caryocaris acuminata and the problematic fossil D. campanulata. Though D. campanulata resembles sac-like graptolite appendages, morphometric analysis reveals the similarity to be superficial and the systematic position of this taxon remains uncertain. There is no definite evidence of either D. campanulata or sac-like graptoloid appendages having had a reproductive function.
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Robitaille, Éric, Pascale Bergeron, and Maxime Houde. "Analysis of the geographical accessibility of vape shops in the vicinity of Quebec’s secondary and college educational institutions." Health Promotion and Chronic Disease Prevention in Canada 39, no. 8/9 (September 2019): 235–43. http://dx.doi.org/10.24095/hpcdp.39.8/9.01.
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Introduction A significant proportion of secondary school students and young adults in Quebec have experimented with electronic cigarettes (e-cigarettes). Both personal and environmental factors have been associated with the use of vaping products by youth. Geographical accessibility to the points of sale of these products may be one of these factors. The purpose of this study is to develop a profile of the spatial distribution of stores specializing in the sale of vaping products (vape shops) in the vicinity of secondary schools, colleges and CEGEPs in the province of Quebec. Methods We calculated the accessibility of businesses to account for geographical exposure. Analyses were conducted to provide a snapshot of the situation in Quebec and to identify associations between the characteristics of educational institutions and geographical accessibility to vape shops. Results A total of 299 vape shops were identified. Colleges are closer to a vape shop (median distance: 1.2 km) than are secondary schools (median distance: 2.3 km). Large private colleges located in urban areas are closer to specialized vape shops. Medium or large private secondary schools located in urban and more advantaged areas are also closer to a specialized vape shop. Conclusion This study is a step in developing an understanding of the location of vaping product shops and their geographical accessibility to young people. Important to consider is the geographical accessibility of young people to non-specialized shops that also sell e-cigarettes and then any potential connections between geographical accessibility to such non-specialized shops and the use of vaping products by young people.
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Thibault, S., V. Gélinas, S. Turcotte, A. Pépin, R. Renald, N. Le Sage, P. Plante, et al. "MP48: Head computerized tomography overuse in adults with mild traumatic brain injury in a single Quebec emergency department." CJEM 22, S1 (May 2020): S60. http://dx.doi.org/10.1017/cem.2020.196.
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Introduction: Choosing Wisely Canada has reported rates of unnecessary head computed tomography (CT) scans for low-risk mild traumatic brain injury (mTBI) patients in Ontario and Alberta ranging from 14% to 46%. Local data for Quebec is currently not available. We sought to estimate the overuse of CT scans among adults with mTBI in the emergency department (ED) of a single level II trauma center in Quebec. Methods: We performed a retrospective chart review of adults who visited the ED of Hôtel-Dieu de Lévis from 04/01/2016 to 03/31/2017. Using an administrative database (Med-GPS, Montreal), we randomly sampled ED patients aged over 18 that had an initial Glasgow Coma Scale score of 13 to 15 and had suffered from a mTBI in the last 24 hours. We excluded patients with an unclear history of trauma, a bleeding disorder/anticoagulation, a history of seizure, any acute focal neurological deficit, a return visit for reassessment of the same injury, unstable vital signs, or a pregnancy. Data was extracted by two reviewers who analyzed separate charts. They used the Canadian CT Head Rule (CCHR) to determine relevance of CT scans. Overuse was determined if a patient without any high or medium risk CCHR criteria underwent a scan. A third reviewer verified a 10% random sample of the data extraction for each primary reviewer and inter-rater reliability was assessed using the kappa statistic. Results: From the 942 eligible mTBI patients, we randomly selected 418 patient charts to review, of which 217 met all inclusion and exclusion criteria (56% were men and the mean age was 48 years old (SD = 21)). Among included patients, 101 were determined as low risk. The overuse proportion was 26% (26/101), 95% CI [18-35]. Two CT scans were assessed as abnormal, but none revealed life-threatening injuries and only one was considered clinically significant with a subdural hematoma of 9 mm. Inter-rater reliability was substantial to perfect (kappa = 0.6 and 1.0) for each primary reviewer. Conclusion: We identified head CT scan overuse in this ED. This will support local quality improvement initiatives to reduce unnecessary head CT scans for adults with mTBI.
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Abdi, Dalel, Barbara J. Cade-Menun, Noura Ziadi, Yichao Shi, Gilles Bélanger, Julie Lajeunesse, and Jean Lafond. "A31P-NMR spectroscopic study of phosphorus forms in two phosphorus-fertilized grassland soils in eastern Canada." Canadian Journal of Soil Science 99, no. 2 (June 1, 2019): 161–72. http://dx.doi.org/10.1139/cjss-2018-0125.
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Phosphorus (P) fertilization can increase grassland production, but will also alter P forms, changing their cycling and potential for loss in runoff. We assessed the effects of mineral P fertilization on soil P forms in timothy swards at two sites in Quebec, Canada. Soil samples (10 cm depth) were collected in autumn 2013 from replicate plots at Lévis on a Kamouraska clay and at Normandin on a Labarre clay loam, each having received three rates of triple superphosphate (0, 20, and 40 kg P ha−1) for 4 yr. These were analyzed for pH, total carbon (TC), total nitrogen (TN), and total phosphorus (TP); Mehlich-3-extractable aluminium (AlM3), iron (FeM3), calcium (CaM3), and P (PM3); and31P nuclear magnetic resonance spectroscopy (31P-NMR) following sodium hydroxide–ethylenediaminetetraacetic acid (NaOH–EDTA) extraction. Phosphorus fertilization had no significant effects on soil TC, TN, AlM3, FeM3, CaM3, and pH, but significantly increased TP, NaOH–EDTA-extractable total P and total inorganic P, PM3, orthophosphate, and glucose 6-phosphate at both sites. In contrast, NaOH–EDTA-extractable total organic P, total orthophosphate diesters, and scyllo-inositol hexaphosphate decreased with P fertilization. Phosphorus fertilization over 4 yr increased soluble inorganic P and decreased organic P at both grassland sites.
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Ladouceur, Robert, Dominique Dubé, and Annie Bujold. "Prevalence of Pathological Gambling and Related Problems among College Students in the Quebec Metropolitan Area." Canadian Journal of Psychiatry 39, no. 5 (June 1994): 289–93. http://dx.doi.org/10.1177/070674379403900509.
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The prevalence of pathological gambling and problems associated with it were measured among 1,471 students of three colleges in the Quebec city metropolitan area. Almost 90% of the students had gambled and 21.7% of the students engage in this behaviour once a week or more. The prevalence of pathological gamblers was found to be 2.8% for the entire sample. The percentage of pathological gamblers was much higher among males (5.7%) than females (0.6%). The results indicate that pathological gambling is associated with economic, professional and interpersonal problems. The discussion addresses the implications of the present findings and suggests avenues for future research.
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Kamanzi, Pierre Canisius. "School Market in Quebec and the Reproduction of Social Inequalities in Higher Education." Social Inclusion 7, no. 1 (January 10, 2019): 18–27. http://dx.doi.org/10.17645/si.v7i1.1613.
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The purpose of this article is to show that the stratification of the Quebec high school market contributes to the reproduction of social inequalities in higher education. The results obtained from a sample (N = 2,677) of a cohort of students born in 1984 and observed up to the age of 22 show that the influence of social origin operates in large part via mediation of the type of institution attended. Students enrolled in private or public institutions offering enriched programs (in mathematics, science or languages) are significantly more likely to access college and university education than their peers who attended a public institution offering only regular programs. Additional analyses reveal that the probability of attending a private or public institution offering enriched programs is strongly correlated with the social origin of the student. The influence of the education market itself operates through differences in performance and educational aspirations that characterize students in three types of establishments.
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Théberge, Isabelle, Marie-Hélène Guertin, Nathalie Vandal, Jean-Marc Daigle, Michel-Pierre Dufresne, Nancy Wadden, Rene Shumak, et al. "Clinical Image Quality and Sensitivity in an Organized Mammography Screening Program." Canadian Association of Radiologists Journal 69, no. 1 (February 2018): 16–23. http://dx.doi.org/10.1016/j.carj.2017.09.002.
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Purpose The study sought to examine the association between clinical image quality of mammograms and screening sensitivity. Methods Four radiologists evaluated the clinical image quality of 374 invasive screen-detected cancers and 356 invasive interval breast cancers for which quality evaluation of screening mammograms could be assessed from cancers diagnosed among participants in the Quebec Breast Cancer Screening Program in 2007. Quality evaluation was based on the Canadian Association of Radiologists accreditation criteria, which are similar to those of the American College of Radiology. The association between clinical quality and screening sensitivity was assessed by logistic regression. Adjusted sensitivity and adjusted sensitivity ratios were obtained through marginal standardization. No institutional review board approval was required. Results A proportion of 28% (206 of 730) of screening mammograms had lower overall quality for the majority of assessments. Positioning was the quality attribute that was the most frequently deficient. The 2-year screening sensitivity reached 68%. Sensitivity of screening was not statistically associated with the overall quality (ratio of 2-year sensitivity = 1.03; 95% confidence interval: 0.93-1.15) or with any quality attributes (positioning, exposure, compression, sharpness, artifacts, contrast). Results were similar for the 1-year sensitivity. Conclusions Although not all mammograms in the Quebec screening program met the optimum quality required by the Canadian Association of Radiologists or American College of Radiology accreditation, the screening mammograms produced in this population-based organized screening program reached a high enough level of quality so that the remaining variation in quality is too little to impair screening sensitivity.
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Kocak, Kenan, and Guy Delisle. "Interview with Guy Delisle." European Comic Art 7, no. 2 (September 1, 2014): 90–114. http://dx.doi.org/10.3167/eca.2014.070205.
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Guy Delisle was born in Canada’s Quebec City in 1966. He studied animation at Sheridan College in Oakville, near Toronto, and has worked for animation companies in Canada, France, Germany, China and North Korea. His comics career started at L’Association, where from 1995 onwards he contributed to the French periodical Lapin, whilst also working on the Canadian magazine Spoutnik. Delisle is also an active animator strongly associated with Dupuis-Audiovisuel. He has just finished the third volume of his current series, Le Guide du mauvais père [A Users Guide to Neglectful Parenting], which will be available in January 2015.
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Dussault, Marc, and Stéphane Thibodeau. "Professional Isolation and Performance at Work of School Principals." Journal of School Leadership 7, no. 5 (September 1997): 521–36. http://dx.doi.org/10.1177/105268469700700505.
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The aim of this study is to investigate the relationship between professional isolation of school principals and their performance at work. Principals of a suburban area of the province of Quebec(n = 109) were administered French versions of the UCLA Loneliness Scale and Self-Appraisal Instrument for Community College Administrators. The results indicate, as expected, a negative and significant correlation (r = –.27, p = .005) between isolation and self-report of performance at work of school principals. The results highlight the importance of looking for ways to reduce professional isolation of principals and to pursue research on this topic.
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Miconi, Diana, Youssef Oulhote, Ghayda Hassan, and Cécile Rousseau. "Sympathy for violent radicalization among college students in Quebec (Canada): The protective role of a positive future orientation." Psychology of Violence 10, no. 3 (May 2020): 344–54. http://dx.doi.org/10.1037/vio0000278.
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Mair, M., S. P. Barrett, T. Campbell, and B. Ditto. "Prevalence, disclosure and interpretations of sexual activities in a sample of Canadian college-aged blood donors." International Journal of STD & AIDS 14, no. 6 (June 1, 2003): 399–403. http://dx.doi.org/10.1258/095646203765371295.
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This study assessed the prevalence, level of disclosure, and interpretations of sexual activities in a sample of 123 college-aged blood donors in Montreal, Quebec. Within six months of their donation, participants completed an anonymous questionnaire designed to assess sexual definitions, levels of disclosure to sexual partners, as well as prevalence of various blood safety behavioural risks. Responses indicated that (1) there was a lack of consensus regarding what constitutes 'sex', (2) levels of sexual disclosure varied widely, and (3) participants engaged in numerous blood safety behavioural risk activities. These results are discussed with respect to their implications for how people think about sex, particularly in the blood donation context. Suggestions to improve specific blood donor screening questions are also presented.
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Frank, Jason R. "Building a national organization of future emergency medicine physicians." CJEM 1, no. 02 (July 1999): 132. http://dx.doi.org/10.1017/s1481803500003948.
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Resident interest in emergency medicine (EM) is on the rise. Each year, postgraduate matches add to the ranks of Canadian EM residents, and the Canadian Association of Emergency Physicians (CAEP) Residents’ Section (RS) continues to expand. The numbers are inspiring. This year, 16 residents accepted Royal College EM postgraduate year-1 (PGY-1) slots. Many more began their CCFP(EM) PGY-3 year, and this doesn’t include the residents who matched separately to EM training programs in Quebec. At the same time, the Canadian Resident Matching Service (CaRMS) matched about 433 new Family Medicine residents and 63 new Pediatrics residents. A significant number of these groups will also go on to develop interests and skills in EM.
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Fitzhugh, William W. "The Tuvaaluk and Torngat archaeological projects: Review and assessment." Études/Inuit/Studies 39, no. 2 (December 2, 2016): 27–60. http://dx.doi.org/10.7202/1038142ar.
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In the late 1970s, two large, multi-disciplinary, multi-year archaeological programs were initiated along the coasts of northern Labrador and Ungava in northern Quebec. Both envisioned a new model for Arctic archaeology that integrated archaeology, ethnography, environmental studies, earth sciences, and informatics. The Tuvaaluk research program was directed by Patrick Plumet at the Université du Québec à Montréal, and the Torngat Archaeological Project (TAP) by William Fitzhugh at the Smithsonian Institution and Richard Jordan at Bryn Mawr College. Project periods lasted roughly five years and included researchers and students from several institutions. The Tuvaaluk project concentrated on Paleoeskimo and Thule cultures, while TAP included research on Maritime Archaic and later Indian cultures as well as Paleoeskimo and Inuit cultures. This paper reviews and compares Tuvaaluk and TAP goals, methods, results, lessons learned, and legacies.
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Bisharaa, S. E., R. Justusb, and T. M. Graberc. "Held by the College of Diplomates of the American Board of Orthodontics in Quebec City, Canada on July 13-17, 1997." American Journal of Orthodontics and Dentofacial Orthopedics 113, no. 1 (January 1998): 5–6. http://dx.doi.org/10.1016/s0889-5406(98)70269-0.
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Van Die, Marguerite. "Friendship and Dialogue Between Ontario and Quebec Henri-Paul Cunningham and F. Temple Kingston, editors Windsor: Canterbury College, 1985. Pp. xiv + 174." Studies in Religion/Sciences Religieuses 15, no. 3 (September 1986): 407. http://dx.doi.org/10.1177/000842988601500322.
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Desautels, Luc, Christiane Gohier, Jacques Joly, France Jutras, and Jean Gabin Ntebutse. "Une enquête sur l’éthique professionnelle des enseignants du collégial québécois : caractéristiques, points de repère et stratégies utilisés pour traiter de préoccupations éthiques." Canadian Journal of Higher Education 42, no. 1 (April 4, 2012): 43–62. http://dx.doi.org/10.47678/cjhe.v42i1.1900.
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Some results of a survey on professional ethics conducted among francophone college teachers in Quebec are compared with a review of the literature and the results of focus groups previously held on the subject. The justification reasons behind the ethical nature of certain professional concerns, along with the guidelines and the resolution strategies used to address those concerns, are found to be similar. These justifications relate primarily to situations where there is a conflict of conscience, a conflict of values or consequences on others, particularly students; the calling into question of professional integrity stands out as a particular justification not mentioned in earlier studies. The guidelines to deal with dilemmas are also similar: institutional normative texts and values deemed relevant by the teachers come first. The results show a good balance between the use of these two types of guidelines (external and internal) by teachers. The main strategies applied by teachers for resolving dilemmas are peer discussions and personal reflection.
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Blay-Palmer, Alison. "FLEdGE (Food: Locally Embedded, Globally Engaged) Partnership." Canadian Food Studies / La Revue canadienne des études sur l'alimentation 8, no. 2 (August 5, 2021): 1–5. http://dx.doi.org/10.15353/cfs-rcea.v8i2.539.
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The Food: Locally Embedded, Globally Engaged (FLEdGE) SSHRC-funded Partnership has deep roots in relationships developed over time among academics and community-based practitioners. FLEdGE emerged from community-driven research in Ontario on food hubs and community resilience dating from 2010. From there it expanded to include seven research nodes across Canada and three thematic international working groups, with over 90 researchers, students, and community partners involved in the project. As a multi-institutional project, FLEdGE has nodes in British Columbia (Kwantlen Polytechnic University)/Alberta (University of Alberta), Northwest Territories (Wilfrid Laurier University), northern Ontario (Lakehead University), eastern Ontario (Carleton University), southern Ontario (Wilfrid Laurier University; University of Guelph; University of Waterloo); Quebec (McGill University; Dawson College); and Atlantic Canada (Dalhousie University; Carleton University). There are two or more lead researchers in each node, typically from different disciplines and several community partners in each node. In this way, FLEdGE branched out to include more than 90 partners and collaborators.
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Punzi, P. E., J. Nye, J. E. Swasey, and R. W. Thomas. "Career Advancement Comparison Between Ornamental Horticulture Associate Degree and Nondegree Programs." HortTechnology 9, no. 1 (January 1999): 114–16. http://dx.doi.org/10.21273/horttech.9.1.114.
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This study was conducted to determine if there is a difference between the career advancement of alumni of ornamental horticulture associate (terminal) degree and nondegree programs. A survey of the alumni of three associate degree and three nondegree training programs was administered, using guidelines from career advancement validation research conducted at Alverno College, Milwaukee. Wis. (Ben-Ur and Rogers, 1994). Six programs were selected from North Carolina, Maine, Ohio, and southeastern Canada, including parts of Ontario and Quebec and all of New Brunswick and Nova Scotia. The programs were selected because of their perceived high reputations, as based on a survey sent to eight selected Longwood Gardens staff (Kennett Square, Pa.) and six professors in the Plant and Soils Science Department at the University of Delaware (Newark). Survey respondents were initially chosen based on their knowledge of the field of horticulture and of ornamental horticulture educational programs. The statistical analysis of the data did not support the presupposition that there would be a significant difference between the career advancement in favor of graduates from horticultural associate degree programs.
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Hudon, G., R. Laprise, and L. Guindon. "46. Did the CME/CPD train leave with half the passengers? A needs assessment of Québec specialist associations' CPD units." Clinical & Investigative Medicine 30, no. 4 (August 1, 2007): 52. http://dx.doi.org/10.25011/cim.v30i4.2806.
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This presentation reports on the results of a needs assessment conducted amongst the 34 Quebec specialist associations, which are accredited as CME/CPD providers by Quebec’s College of Physicians, in accordance with the Canadian Association of Continuing Medical Education’s criteria.
In 2006, a mix of methods (survey, semi-structured interviews and program documentation review) were used to assess CPD units’ learning needs in the areas of CME and CPD, the extent to which they carried out a list of specific tasks associated to providers’ responsibilities, barriers encountered in meeting standards, and the kind of help needed to improve performance.
Although CME/CPD fields have evolved considerably in the past 20 years, results indicate that few of the advances have made their way down to the associations. The majority still provides education in the form of traditional CME, where speakers talk about new developments in medicine. Whereas the systematic approach of CME is well integrated in most units, few go beyond perceptions in their needs assessments, use problem-based learning methods, enablers, reinforcement and outcome evaluations, or help specialists self-evaluate and reflect on their practice. These methods and approaches are believed to increase CME effectiveness.
Most Canadian specialists get a large proportion of their CE from non academic medical organizations such as professional associations and learned societies. However, information available in the literature does not allow generalization of our observations to other organizations of this nature. Since non academic organizations are important CME/CPD providers, we propose that more attention be given on the way trainers are trained and innovations are shared in our CE system. What minimal knowledge and skills should be required of a CME/CPD professional today? Together with its affiliated associations and academic partners, the Federation of Medical Specialists of Quebec (FMSQ) has decided to tackle this important issue in the coming years.
Olson CA, Tooman TR, Leist JC. Contents of a core library in continuing medical education: a delphi study. JCEHP 2005; 25:278-88.
Davis DA, Thomson MA, Oxman AD, Haynes RB. Changing physician performance: a systematic review of the effect of continuing medical education strategies. JAMA 1995; 274:700-5.
Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients' care. Lancet 2003; 362:1225-30.
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Zakaria, Ahmed Sayed, Richard Haddad, Alice Dragomir, Wassim Kassouf, Sero Andonian, and Armen Garo Aprikian. "Royal College surgical objectives of urologic training: A survey of faculty members from Canadian training programs." Canadian Urological Association Journal 8, no. 5-6 (June 16, 2014): 167. http://dx.doi.org/10.5489/cuaj.1720.
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Introduction: According to the Royal College objectives of training in urology, urologic surgical procedures are divided as category A, B and C. We wanted to determine the level of proficiency required and achieved by urology training faculty for Royal College accreditation.Methods: We conducted a survey that was sent electronically to all Canadian urology training faculty. Questions focused on demographics (i.e., years of practice, geographic location, subspecialty, access to robotic surgery), operating room contact with residents, opinion on the level of proficiency required from a list of 54 surgical procedures, and whether their most recent graduates attained category A proficiency in these procedures.Results: The response rate was 43.7% (95/217). Among respondents, 92.6% were full timers, 21.1% practiced urology for less than 5 years and 3.2% for more than 30 years. Responses from Quebec and Ontario formed 69.4% (34.7% each). Of the respondents, 37.9% were uro-oncologists and 75.7% reported having access to robotic surgery. Sixty percent of faculty members operate with R5 residents between 2 to 5 days per month. When respondents were asked which categories should be listed as category A, only 8 procedures received 100% agreement. Also, results varied significantly when analyzed by sub-specialty. For example, almost 50% or more of uro-oncologists believed that radical cystectomy, anterior pelvic exenteration and extended pelvic lymphadenectomy should not be category A. The following procedures had significant disagreement suggesting the need for re-classification: glanular hypospadias repair, boari flap, entero-vesical and vesico-vaginal fistulae repair. Overall, more than 80% of faculty reported that their recent graduating residents had achieved category A proficiency, in a subset of procedures. However, more than 50% of all faculty either disagreed or were ambivalent that all of their graduating residents were Category A proficient in several procedures.Conclusions: There is sufficient disagreement among Canadian urology faculty to suggest another revision of the current Royal College list of category A procedures.
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Wright, James R., Samuel J. M. M. Alberti, Christopher Lyons, and Richard S. Fraser. "Maude Abbott and the Origin and Mysterious Disappearance of the Canadian Medical War Museum." Archives of Pathology & Laboratory Medicine 142, no. 10 (May 7, 2018): 1292–301. http://dx.doi.org/10.5858/arpa.2017-0425-hp.
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Context.— 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, MD, 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. Objective.— To explore Abbott's role in the development of the CMWM during and after World War I and to trace its history. Design.— Available primary and secondary historical sources were reviewed. Results.— 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. Conclusions.— 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.
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Robinson-Cohen, Cassianne, Danielle Pilon, Marie-France Dubois, and Vicky Tagalakis. "An Assessment of Surgical Thromboprophylaxis in a Tertiary Care Center." Clinical and Applied Thrombosis/Hemostasis 17, no. 6 (September 9, 2010): E39—E45. http://dx.doi.org/10.1177/1076029610382652.
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Background: Venous thromboembolism (VTE) is a frequent surgical complication. The American College of Chest Physicians (ACCP) recommends implementation of pharmacologic thromboprophylaxis according to surgery type and VTE risk factors. We conducted a retrospective cohort study of surgical admissions to determine the rate and predictors of use and appropriate use of thromboprophylaxis as defined by the 2004 ACCP guidelines and to determine the risk of postoperative VTE. Methods: Using data from an administrative health care database of the Centre Hospitalier Universitaire de Sherbrooke in the province of Quebec, we assembled a cohort of all consecutive surgical admissions in 2006 that met ACCP criteria for pharmacologic thromboprophylaxis and assessed rates of thromboprophylaxis presence and appropriateness. Multiple logistic regression was used to determine characteristics associated with thromboprophylaxis prescription. The incidence of postoperative VTE was assessed at 3 months. Results: Of 2286 surgical admissions that met criteria for pharmacologic thromboprophylaxis, 81% received thromboprophylaxis and, of these, 31% received appropriate thromboprophylaxis as per ACCP guidelines. Male sex, age below 40 years, and short-duration hospitalization were significantly associated with absent and inappropriate thromboprophylaxis. Cancer diagnosis and heart failure within 3 months preceding surgery were protective against inappropriate thromboprophylaxis (OR 0.43, 95% CI [0.33-0.57] and 0.43 [0.26-0.70], respectively). At 3 months following surgery, 27 patients (1.2%) developed VTE. Patients who developed VTE were more likely to have had a previous VTE than patients who did not develop a VTE ( P < .0001). Conclusions: Targeted recommendations, in particular concerning male patients with short duration hospitalization, may improve thromboprophylaxis compliance and appropriateness rates.
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Lira-Gonzales, Maria-Lourdes, and Hossein Nassaji. "The Amount and Usefulness of Written Corrective Feedback Across Different Educational Contexts and Levels." TESL Canada Journal 37, no. 2 (December 2, 2020): 1–22. http://dx.doi.org/10.18806/tesl.v37i2.1333.
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This study examined and compared different written corrective feedback techniques used by English as a second language (ESL) teachers in three different educational contexts and levels (primary, secondary, and college) in Quebec, Canada. In particular, it examined whether there were any differences in the types of errors made, the kind and degree of feedback provided, as well as the students’ ability to incorporate the feedback while revising their texts. Data were collected at the three aforementioned contexts from six ESL teachers in their intact classes when they corrected their students’ (N = 128) written essays (drafts and revisions). Results revealed an important difference across the three levels in terms of students’ errors, teachers’ feedback, and students’ revisions. They showed that (a) while grammatical errors were made more frequently by primary students, lexical errors were made more frequently by college students; (b) primary and secondary students received more direct than indirect feedback, while college students received more indirect feedback; (c) the secondary and college students were more successful in incorporating the feedback into their revisions than primary students.
La présente étude a examiné et comparé plusieurs techniques de rétroactions correctives écrites utilisées par des enseignants d’anglais langue seconde (ALS) dans trois contextes et niveaux d’éducation différents (primaire, secondaire et collégial) au Québec, au Canada. En particulier, elle a examiné s’il existait des différences dans les types d’erreurs qui étaient faites, quelle sorte et quel niveau de rétroaction étaient fournis ainsi que la capacité des élèves à intégrer la rétroaction lorsqu’ils révisaient leurs textes. On a recueilli des données dans les trois contextes susmentionnés auprès de six enseignants d’ALS dans leurs classes intactes lorsqu’ils corrigeaient les rédactions (brouillons et révisions) de leurs élèves (N = 128). Les résultats ont révélé une différenc importante dans les trois niveaux en ce qui concerne les erreurs des élèves, la rétroaction des enseignants et les révisions des élèves. Les résultats ont montré que (a), alors que les élèves de primaire faisaient plus d’erreurs grammaticales, les élèves de collège faisaient plus d’erreurs lexicales; (b) les élèves de primaire et de secondaire recevaient plus de rétroaction directe qu’indirecte, alors que les élèves de collège recevaient plus de rétroaction indirecte; (c) les élèves de secondaire et de collège réussissaient mieux à incorporer la rétroaction dans leurs révisions que les élèves de primaire.
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Casson, Peter R., Sonja B. Kristiansen, Edward Umstot, Sandra A. Carson, and John E. Buster. "Ovarian hyperstimulation augments adrenal dehydroepiandrosterone sulfate secretion**Supported in part by the American College of Obstetricians and Gynecologists-Ortho Academic Training Fellowship, of which Dr. Casson is the 1990-1991 recipient ††Presented in part at the Annual Meetings of the Canadian Fertility and Andrology Society, Quebec, Quebec, Canada, September 11 to 14, 1991; and Kananaskis, alberta, Canada, November 25 to 28, 1992." Fertility and Sterility 65, no. 5 (May 1996): 950–53. http://dx.doi.org/10.1016/s0015-0282(16)58267-3.
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Sinclair, Douglas, Peter Toth, Alecs Chochinov, John Foote, Kirsten Johnson, Jill McEwen, David Messenger, et al. "Health human resources for emergency medicine: a framework for the future." CJEM 22, no. 1 (November 26, 2019): 40–44. http://dx.doi.org/10.1017/cem.2019.446.
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ABSTRACTIn June of 2016, the Collaborative Working Group (CWG) on the Future of Emergency Medicine presented its final report at the Canadian Association of Emergency Physicians (CAEP) annual meeting in Quebec City. The CWG report made a number of recommendations concerning physician Human Health Resource (HHR) shortfalls in emergency medicine, specific changes for both the Royal College of Physicians and Surgeons of Canada (FRCPC) and the College of Family Physicians of Canada (CCFP-EM) training programs, HHR needs in rural and remote hospitals, future collaboration of the CCFP-EM and FRCPC programs, and directions for future research. All recommendations were endorsed by CAEP, the Royal College of Physicians and Surgeons of Canada (RCPSC), and the College of Family Physicians of Canada (CFPC). The CWG report was published in CJEM and has served as a basis for ongoing discussion in the emergency medicine community in Canada. The CWG identified an estimated shortfall of 478 emergency physicians in Canada in 2016, rising to 1071 by 2020 and 1518 by 2025 assuming no expansion of EM residency training capacity. In 2017, the CAEP board struck a new committee, The Future of Emergency Medicine in Canada (FEMC), to advocate with appropriate stakeholders to implement the CWG recommendations and to continue with this important work. FEMC led a workshop at CAEP 2018 in Calgary to develop a regional approach to HHR advocacy, recognizing different realities in each province and region. There was wide representation at this workshop and a rich and passionate discussion among those present. This paper represents the output of the workshop and will guide subsequent deliberations by FEMC. FEMC has set the following three goals as we work toward the overarching purpose to improve timely access to high quality emergency care: (1) to define and describe categories of emergency departments (EDs) in Canada, (2) define the full time equivalents required by category of ED in Canada, and (3) recommend the ideal combination of training and certification for emergency physicians in Canada. A fourth goal supports the other three goals: (4) urge further consideration and implementation of the CWG-EM recommendations related to coordination and optimization of the current two training programs. We believe that goals 1 and 2 can largely be accomplished by the CAEP annual meeting in 2020, and goal 3 by the CAEP annual meeting in 2021. Goal 4 is ongoing with both the RCPSC and the CFPC. We urge the EM community across Canada to engage with our committee to support improved access and EM care for all Canadians.
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Diorio, Caroline, Antoine Bouchard-Fortier, Caty Blanchette, and Louise Provencher. "Prognostic and predictive value of a low estrogen receptor expression in breast cancer: A retrospective study from a reference center." Journal of Clinical Oncology 31, no. 15_suppl (May 20, 2013): 627. http://dx.doi.org/10.1200/jco.2013.31.15_suppl.627.
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627 Background: Threshold of estrogen receptors positivity in breast cancer has been lowered to ≥1% of stained cells by immunohistochemistry testing. This change was based on experts’ recommendations from the 2009 St Gallen International Expert Consensus and from the 2010 guidelines of the American Society of Clinical Oncology (ASCO)/College of American Pathologists (CAP). However few studies support these guidelines and the benefit of treating weakly positive estrogen receptor tumors (1-9%) is unknown. Methods: We identified 2221 breast cancer patients with estrogen receptors tested by ligand-based assay, treated and followed in our institution between 1976 and 2008. Date and cause of death were identified through linkage to Quebec Mortality File. A multivariate Cox proportional-hazards model was used to assess the effect of estrogen receptor levels on breast cancer mortality in patients who received hormonal therapy (tamoxifen). Results: In patients with low estrogen receptors, 17% (383 patients) were within 0-3 fmol/mg of cytosol and 12% (266 patients) were within 4-9 fmol/mg of cytosol. Patients with estrogen receptor levels of 0-3, 4-9, 10-19, 20-49, and ≥50 fmol/mg of cytosol had a 20-year breast cancer survival rate of 56%, 56%, 63%, 71% and 60% respectively. From the 2221 patients, 661 (29.8%) received hormonal therapy. In these patients, estrogen receptor levels of 0-3, 4-9, 10-19, 20-49 and ≥50 fmol/mg of cytosol were associated with lower breast cancer mortality (HR (p-value) of 1.00 (reference), 0.59 (0.09), 0.19 (<0.0001), 0.26 (<0.0001) and 0.31 (<0.0001) respectively); with significant mortality reduction only for estrogen receptor levels ≥10 fmol/mg of cytosol. Conclusions: A weak expression of estrogen receptors (<10 fmol/mg) in breast cancer is associated with increase breast cancer mortality. Our results did not show a significant benefit to treat these patients with hormonal therapy as oppose to those with estrogen receptor levels ≥10 fmol/mg of cytosol. To further support these findings, a similar study should be repeated in patients with estrogen receptors tested by immunohistochemistry.
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Finnie, Ross, and Richard E. Mueller. "Access to Post-Secondary Education: How does Québec Compare to the Rest of Canada?" Articles 93, no. 3 (March 29, 2019): 441–74. http://dx.doi.org/10.7202/1058428ar.
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This research uses the Youth in Transition Survey, Reading Cohort (“YITS-A”) to analyse access to post-secondary education (PSE) in Québec in comparison to other Canadian provinces and regions. We begin by presenting access rates by region and show that university participation rates in Québec are relatively low, while college rates are high in comparison to other provinces, although these differences are presumably due in part to the cégep system in Québec. We then undertake an econometric analysis which reveals that the effects of parental education on access to PSE are much stronger than the effects of family income, and are relatively uniform across the country. The substantially weaker family income effects (stronger for females than males) figure most importantly for the Atlantic Provinces, but much less elsewhere, including in Québec. We also find that the relationships between test scores from the Programme for International Student Assessment (PISA), which measures academic ‘‘performance’’ and ‘‘ability’’ and even more so high school grades, differ by province, and are generally strongest in Ontario and weakest in Québec, again perhaps in part due to the cégep system which represents a mediating influence between high school performance and university attendance, in particular. Males are much less likely to attend university across the country, but this gap is widest in Quebec. Our analysis of traditionally under-represented and minority groups points to students from rural Québec actually being at no disadvantage in terms of PSE participation, second-generation immigrants doing especially well in comparison to other provinces, but more recent first-generation immigrants not faring nearly so well in Québec. Finally, young Québecers who do not go on to PSE (especially the Francophone majority) are much more likely than other Canadian youths to say that they simply have no aspirations to attend PSE, and to otherwise say they face no barriers to attending PSE. Policy implications are discussed using a fiscal lens.
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Serri, Omar, Hugues Beauregard, Eugenio Rasio, and Jules Hardy. "Decreased sensitivity to insulin in women with microprolactinomas**Supported by the Fondation Notre-Dame and the Quebec Research Health Fund.††Presented in part at the Fifty-Fourth Annual Meeting of the Royal College of Physicians and Surgeons of Canada, Vancouver, British Columbia, September 9 to 13, 1985." Fertility and Sterility 45, no. 4 (April 1986): 572–74. http://dx.doi.org/10.1016/s0015-0282(16)49291-5.
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Robinson-Cohen, Cassianne, Vicky Tagalakis, Marie-France Dubois, and Danielle Pilon. "An Assessment of Surgical Thromboprophylaxis in a Tertiary Care Center." Blood 112, no. 11 (November 16, 2008): 4052. http://dx.doi.org/10.1182/blood.v112.11.4052.4052.
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Abstract Background. Venous thromboembolism (VTE) is a frequent surgical complication. The type of surgery and baseline patient VTE risk factors are important in defining postoperative VTE risk. The 2004 American College of Chest Physicians (ACCP) recommends implementation of pharmacologic thromboprophylaxis according to surgery type and VTE risk factors. We conducted a retrospective cohort study of surgical patients to determine adherence to the 2004 ACCP surgical thromboprophylaxis recommendations and to assess for predictors of non-adherence. Methods. Using data from the administrative healthcare database CIRESSS (Centre Informatisé de Recherche Évaluative en Services en Soins de Santé), in patients admitted for surgery between January 1st and December 31st 2006 at the Centre Hospitalier Universitaire de Sherbrooke (CHUS), a tertiary care center in Sherbrooke, Quebec, Canada, we retrospectively assembled a cohort of all consecutively admitted surgical patients who met ACCP criteria for pharmacologic thromboprophylaxis. We assessed the proportion of patients who received in the 24 hours pre- and post-surgery a prescription for thromboprophylaxis. We used conditional logistic regression to determine clinical characteristics associated with an absent prescription. The incidence of objectively-defined symptomatic postoperative VTE was assessed at three months. Results. Of 2286 surgical admissions that met ACCP recommendations for pharmacologic thromboprophylaxis, 1852 (81%) received thromboprophylaxis and 434 (19%) did not. Male sex (odds ratio (OR): 1.9, 95% confidence interval (CI) (1.4–2.4)), age <40 years (OR: 1.8, 95% CI (1.2–2.9)), absent varicose veins (OR: 3.2, 95% CI (1.1–10.0)), pregnancy within 3 months of surgery (OR: 8.5, 95% CI (3.5–20.8)), a moderate risk for post-operative VTE as per ACCP criteria (OR: 4.4, 95% CI (2.9–6.52)), non-major surgery (OR: 4.5, 95% CI (2.3–8.8)), short-duration hospitalization (2–3 days vs. 13 days or more) (OR: 15.3, 95% CI (9.6–24.4)), absence of active cancer (OR: 1.6, 95% CI (1.2–2.1)), absence of heart failure (OR: 1.8, 95% CI (1.1–2.8)), and non-orthopaedic surgery (OR: 28.2, 95% CI (15.9–49.9)) were associated with lack of pharmacologic thromboprophylaxis. At three months following surgery, 16 patients (0.7%) developed VTE, and the adjusted relative risk of VTE in patients without thromboprophylaxis was 2.1 (95% CI:0.5–7.9). Conclusions. Though surgical thromboprophylaxis was observed in 81% of surgical patients, 19% of patients who met criteria for ACCP thromboprophylaxis did not receive prophylaxis. Targeted recommendations in particular toward pregnant women undergoing non-obstetrical surgery, patients with short duration hospitalization, and patients undergoing non-orthopaedic surgery may ameliorate thromboprophylaxis compliance rates, which in turn may impact on post-operative VTE risk.
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Beck, Ivan T. "The Life, Achievements and Legacy of a Great Canadian Investigator: Professor Boris Petrovich Babkin (1877–1950)." Canadian Journal of Gastroenterology 20, no. 9 (2006): 579–88. http://dx.doi.org/10.1155/2006/745853.
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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.
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Hurteau, Marthe, and Yvan Bergeron. "Portrait Psycho-Sociologique D'Etudiants Presentant Des Tendances Suicidaires." Canadian Journal of Community Mental Health 10, no. 1 (April 1, 1991): 117–32. http://dx.doi.org/10.7870/cjcmh-1991-0008.
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The present article reports the results of a study of 550 Shawinigan Cégep students enrolled in their first year of college. The study attempts to establish the prevalence of suicidal behaviours and to describe predisposing factors identified by the authors such as family problems, lack of social support, depression, stressful events having a negative impact, and attitudes toward life and death. The information was gathered using a questionnaire combining several elements: (a) a questionnaire similar to the one used by Lamontagne (1986) and Tousignant, Bastien, Hamel, and Hanigan (1986) to identify family problems; (b) the Sarason, Levine, Basham, and Sarason (1983) Social Support Questionnaire, translated and adapted by De Man (1986), which evaluates social support; (c) the Aneshensel, Clark, and Fredrichs test (1983) which indicates the presence or absence of depression; (d) the Sarason, Johnson, and Siegel (1978) Life Experience Survey, measuring the quantity of stressful events experienced, and their impact on personal life; and (e) Beck's (1979) Scale of Suicide Ideation which measures attitudes toward life and death. Two questions were added for the present study: Did you ever attempt suicide? If yes, how many times? Three hundred and fifty-five students answered the questionnaire, making the level of participation 71% (355/550). Participants were divided into four groups; those having made a suicidal attempt (n = 28) or planned suicide (n = 16), those having a score of 30 or more on the test relating to suicidal ideation (n = 18), and those regarded as “normal” (n = 278). The cut-off point of 30 on the scale of suicidal ideation was determined by averaging the scores of those who made a suicide attempt and confirmed by a discriminant analysis. The students who had attempted suicide had major family problems, lacked social support, presented depressive tendencies, and had experienced stressful events having a negative impact on their lives. Furthermore, they manifested problems in their attitudes toward life and death. However, the study did not determine the contribution of each variable. The participants who had planned suicide, at first sight, did not seem to present more problems than those designated “normal,” which seems astonishing. This was explained by the fact that the planned suicide was not recent or was a cry for help which found a response. Participants with a score of 30 or more on the test of suicidal ideation are considered at high risk because they present problems similar to those who have attempted suicide. Finally, as would be expected, no major problems were presented by the subjects classified as “normal.” The present study has attempted to describe the difficulties encountered by participants presenting problems, that is to say, those who have attempted or planned suicide; and to identify those who up to now, have not been considered at risk because they have never made an attempt, but who are experiencing difficulties and in certain cases, are veritable “time bombs waiting to go off.” Despite the fact that the participants did not constitute a representative sample of the Quebec population, the results confirm those obtained in previous studies identifying predisposing factors in suicide. The information gathered in the course of the present study has enabled us to implement preventive intervention at the Shawinigan Cégep.
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Prothero, Donald R. "Late Pleistocene Archaeology and Ecology in the Far Northeast. Partially based on a symposium held in 2009 at the Quebec Archaeological Association Meeting. Peopling of the Americas Publications. Edited by Claude Chapdelaine; Foreword by, Christopher Ellis. College Station (Texas): Texas A&M University Press. $68.00. xvi + 247 p.; ill.; index. ISBN: 978-1-60344-790-4 (hc); 978-1-60344-805-5 (eb). 2012." Quarterly Review of Biology 89, no. 2 (June 2014): 167–68. http://dx.doi.org/10.1086/676060.
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Casson, Peter R., Lisa C. Faquin, Frankie B. Stentz, Arthur B. Straughn, Richard N. Andersen, Guy E. Abraham, and John E. Buster. "Replacement of dehydroepiandrosterone enhances T-lymphocyte insulin binding in postmenopausal women*†*Presented in part at the conjoint meeting of The American Fertility Society and the Canadian Fertility and Andrology Society, October 11 to 14, 1993, Montreal, Quebec, Canada.†Supported in part by The American College of Obstetrics and Gynecology, Ortho Academic Training Fellowship, of which Dr. Casson is the 1990–1991 recipient, and by clinical research center grant, United States Public Health Services RR00211–27, at the University of Tennessee, Memphis, Tennessee." Fertility and Sterility 63, no. 5 (May 1995): 1027–31. http://dx.doi.org/10.1016/s0015-0282(16)57542-6.
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"Logic model for mental health interventions: the recovery College Model in Quebec, Canada." International Journal of Development Research, July 28, 2021, 48781–84. http://dx.doi.org/10.37118/ijdr.22423.07.2021.
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The Recovery College (RC) model represents a worldwide innovation in health systems. First appeared in England and now established in five continents, the RC model proposes a mental health educational approach in the community, emphasizingco-production, co-learning, and equity between theoretical/clinic knowledge and experiential knowledge (1-3). All participants(individuals with or without mental health challenges, their relatives, mental health professionals, health and education service providers, citizens) have access to mental health, recovery, and well-being training(4). Both participants and trainers collectively learn and reflect on their mental health attitudes, behaviors, and practices. This article reports on the co-construction process followed by Quebec's RC team, the first to have developed a RC logic model. The logic model conception followed six steps/strategies: 1) Participant observations, 2) Analysis of administrative documents, 3) Informal interviews and meetings with stakeholders (trainers, health service managers, and partner organizations) to better understand the implicit assumptions of the intervention, 4) Review of the literature related to the recovery college model, 5) Co-construction of causal links between resources, activities, and outcomes, 6) Validation and synthesis of the logic model. Finally, the logic model was disseminated, highlighting the relationships between the strategic resources needed for the key activities of the intervention to produce the expected outcomes.
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Martin, Claude. "Production, Content, and Uses of Bestselling Books in Quebec." Canadian Journal of Communication 21, no. 4 (April 1, 1996). http://dx.doi.org/10.22230/cjc.1996v21n4a958.
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Abstract:
This paper aims to show the links between production, content, and audience for bestselling books in Quebec. It integrates communicational, literary, sociological, and economic methodologies. The study found that the bestseller market for books sold in French in Quebec is divided among books from the U.S., France, and Quebec. Quebec's authors and publishers get a share of approximately 40% of the market. Content of bestselling fiction and biographies can be characterized as having a storyline typically built around a struggle for social success. Bestsellers reach nearly half of the population. Women and people with a college education are typical readers of bestsellers. Psychological realism is
a strong element in the definition of a "good book.''
Résumé:
Nous voulons analyser les liens entre les conditions de production, les contenus et la réception des bestsellers au Québec. À cet effet, nous combinons les approches communicationnelle, littéraire, sociologique et
économique. Les livres d'origine étasunienne, française et québécoise se divisent le marché des bestsellers vendus en français au Québec. Les auteurs et les éditeurs québécois obtiennent environ 40% du marché. Le scénario motif le plus fréquent d'un bestseller du type roman ou biographie révèle un conflit centré sur la poursuite du succès d'un point de vue social. Les bestsellers sont lus par près de la moitié de la population. Les femmes et les personnes de scolarité collégiale représentent le principal contingent du lectorat. La définition d'un "bon livre" fait appel
au réalisme psychologique.
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Gilca, Rodica, Philippe De Wals, Sheila M. Nolan, Nicholas Kitchin, Joseph J. Eiden, Qin Jiang, C. Hal Jones, Kathrin U. Jansen, Annaliesa S. Anderson, and Louise Pedneault. "A Longitudinal Epidemiology Study of Meningococcal Carriage in Students 13 to 25 Years Old in Quebec." mSphere 3, no. 6 (December 5, 2018). http://dx.doi.org/10.1128/msphere.00427-18.
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ABSTRACTNeisseria meningitidiscarriage data are necessary to inform serogroup B (NmB) immunization program implementation. This longitudinal study compared detection methods to measureN. meningitidisthroat carriage prevalence in Quebec from November 2010 to December 2013 using cultured swab isolates and direct swab PCR from students in ninth grade (aged 13 to 15 years;n= 534) and eleventh grade/college entry (16 to 18 years;n= 363) and in university students in dormitories (18 to 25 years;n= 360) at 3 time points per group. Meningococcal and NmB carriage rates were lower in ninth- and eleventh-grade/college entry students than university students, regardless of methodology. Genotyping cultured isolates by PCR detected NmB and non-NmB in 2.1% and 7.3% of ninth-grade students, in 1.7% and 7.2% of eleventh-grade/college entry students, and in 7.5% and 21.9% of university students, respectively. NmB acquisition rates were 1.9, 0.7, and 3.3 per 1,000 person-months across respective age groups. Most NmB isolates (94.7%, 76.9%, and 86.8%, respectively) expressed subfamily A factor H binding-protein (fHBP) variants. The most common non-NmB serogroups were NmY (1.7%/1.1%) from ninth grade and eleventh grade/college entry and NmW (2.8%) from university students. Genomic analyses detected disease-associated sequence types in carriage isolates, and carriage could persist for months. This is the largest longitudinal carriage study in Canada and the first to report fHBP variants in NmB carriage isolates in healthy Canadians. These data contribute to identification of the optimal window for NmB vaccination in precollege adolescents and provide a baseline for investigating NmB vaccination effects on carriage in this population.IMPORTANCEDisease caused byNeisseria meningitidisis associated with serious complications and a high fatality rate. Asymptomatic individuals can harbor the bacterium in the throat, a state known as “carriage,” which can lead to person-to-person spread of the pathogen. This study examinedN. meningitidiscarriage from 2010 to 2013 among 2 groups in the Quebec City region: ninth-grade students (aged 13 to 15 years), who were also followed in their last year of high school (eleventh grade/college entry; 16 to 18 years), and university students (18 to 25 years); both groups have been shown in some other geographic regions to have high rates of carriage. This study demonstrated thatN. meningitidiscarriage rates were higher among university students in dormitories than ninth-grade and eleventh-grade/college entry students. Understanding carriage rates in these age groups leads to better strategies to controlN. meningitidisby targeting vaccination to those responsible for transmission within the population.
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Sawaya, Jean-Pierre. "Les Amérindiens domiciliés et le protestantisme au XVIIIe siècle : Eleazar Wheelock et le Dartmouth College." Historical Studies in Education / Revue d'histoire de l'éducation, January 7, 2011. http://dx.doi.org/10.32316/hse/rhe.v22i2.2332.
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Cet article étudie les stratégies élaborées au XVIIIe siècle par Eleazar Wheelock, le président fondateur du Dartmouth College, pour diffuser le protestantisme dans la vallée du Saint-Laurent et la participation des Amérindiens au projet presbytérien dans la province de Québec. En 1772, Wheelock forge une singulière alliance avec des chefs amérindiens pour introduire des missionnaires et des séminaristes dans les communautés autochtones puis recruter des enfants pour les éduquer et les instruire à Hanover (New Hampshire). Malgré les tentatives du clergé catholique-romain pour contrôler ces échanges, les Iroquois, les Abénaquis et les Hurons collaborent. Les protestants s’installent à Kahnawake et Odanak pour apprendre les langues et les coutumes indiennes, instaurent une école pour y enseigner l’anglais et prêcher l’Évangile et recrutent des enfants pour le premier pensionnat fréquenté par les Amérindiens du Québec, l’école industrielle et résidentielle de la Moor’s Indian Charity School du Dartmouth College.
This article examines the strategies developed by Eleazar Wheelock, the founding president of Dartmouth College, to spread Protestantism in the St. Laurence Valley and secure Aboriginal support for Presbyterianism in Quebec. In 1772, Wheelock forged a unique alliance with Aboriginal leaders that permitted the entry of missionaries and seminarians into their communities and the recruitment of children for education and religious instruction in Hanover, New Hampshire. Despite attempts by the Roman Catholic clergy to control these exchanges, the Iroquois, the Abenakis, and the Hurons all collaborated with Wheelock. Protestants settled in Kahnawake and Odanak to learn Aboriginal languages and customs and established a school to teach English, preach the Gospel, and recruit children for the first boarding school attended by Quebec Aboriginals, Moor’s Indian Charity School at Dartmouth College.
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Whittaker, Chris, and Elizabeth S. Charles. "FLIPPING OUT – REFLECTIONS ON TEN YEARS OF DEVELOPMENT, INNOVATION AND DESIGN IN TECHNOLOGY-RICH COLLABORATIVE LEARNING SPACES AND ACTIVE LEARNING PEDAGOGICAL CAPACITY BUILDING." Proceedings of the Canadian Engineering Education Association (CEEA), June 16, 2020. http://dx.doi.org/10.24908/pceea.vi0.14204.
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Drawing broadly on the reflective practices of design case research, this paper reviews ten years of development, innovation and design in technology-rich collaborative learning classrooms and active learning pedagogy at Dawson College. Grounded in a process of Design-Based Implementation Research and leveraging Researcher-Practitioner Partnerships, Dawson College has been a leading hub of evidence-based pedagogical development in Quebec for a decade. By recognizing the important interplay of technology, spaces, tools, pedagogy and design, our institution has sustained continual growth in capacity and infrastructure when it comes to student-centred learning, and it has learned important lessons in capacity building that can be applied to higher-education institutions broadly and to engineering in particular.
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Trepanier, James, and Robert Englebert. "The ‘Bilingual Incubator’: Student Attitudes Towards Bilingualism at Glendon College, 1966-1971." Historical Studies in Education / Revue d'histoire de l'éducation, May 1, 2014. http://dx.doi.org/10.32316/hse/rhe.v26i1.4336.
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Abstract:York University’s Glendon College, specialized in liberal arts, opened in 1966 in an atmosphere of national crisis. English-French relations appeared to be deteriorating as a result of the changes wrought by the Quiet Revolution in Quebec. Glendon College was conceived as an experiment in bilingual education which could help bridge the two solitudes by producing a new generation of bilingual public servants. This study discusses Glendon student attitudes towards bilingualism from 1966 until 1971, when university administrators eliminated mandatory bilingualism by admitting a separate English unilingual stream at the college. Though many Glendon students were interested in the same issues of social and generational politics as their peers at other institutions, they displayed a particular enthusiasm and regard for the politics of bilingualism and Canadian unity. Whether by organizing a nationally televised forum on Quebec society and politics, contesting the place of students in the governing structures of the university or debating how to best sustain a bilingual college in the heart of Toronto, students worked to recast the “Glendon experiment” to fit their own visions of bilingualism and national unity. Résumé: Le Collège Glendon, spécialisé en arts libéraux (humanités et sciences sociales) de l’Université York a ouvert ses portes en 1966 alors qu’il régnait au pays une atmosphère de crise. Les relations entre anglophones et francophones semblaient se détériorer surtout à cause des changements apportés par la Révolution tranquille du Québec. Glendon a été conçu à titre d’essai en éducation bilingue avec l’intention de jeter un pont entre les deux solitudes en assurant une nouvelle génération de fonctionnaires bilingues. Cette étude analyse les attitudes des étudiants envers le bilinguisme depuis 1966 jusqu’en 1971, l’année où les administrateurs de l’université supprimèrent le bilinguisme obligatoire en élargissant les critères d’admission au Collège pour y accueillir une cohorte d’étudiants unilingues anglophones. Quoique beaucoup d’étudiants s’intéressaient aux mêmes questions de politiques sociales de leur génération que leurs pairs dans d’autres institutions, ils firent preuve d’un intérêt et d’un enthousiasme particuliers vis-à-vis des politiques de bilinguisme et d’unité nationale. Les étudiants travaillèrent avec zèle à refondre « l’expérience Glendon » pour concorder avec leurs propres visions de bilinguisme et d’unité nationale, soit en organisant un forum sur la société et les politiques du Québec, soit en réclamant une place pour les étudiants dans les structures de gouvernance de l’université, ou encore, en entamant des débats sur la façon d’assurer la meilleure viabilité d’un collège bilingue au cœur de Toronto.
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Miconi, Diana, Antonio Calcagnì, Abdelwahed Mekki‐Berrada, and Cécile Rousseau. "Are there Local Differences in Support for Violent Radicalization? A Study on College Students in the Province of Quebec, Canada." Political Psychology, December 13, 2020. http://dx.doi.org/10.1111/pops.12718.
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