Waste management practices in Ontario`s workplaces: An emerging industrial ecology

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-09-01

Describes a study commissioned to evaluate employee attitudes and behaviours with respect to participation in workplace initiatives in waste diversion/reduction, to examine management initiatives related to waste diversion and reduction/recycling/reuse, and to report on Ontario Ministry of Environment & Energy activities related to industrial, commercial, and institutional (ICI) waste diversion activities. Linkages between management and employees, management and government, and ICI activities and government were also studied. The study methodology included a literature review, a series of interviews with key stakeholders, industry associations, and waste management companies, and a series of 12 case studies spanning major industrial sectors in Ontario. Issues addressed in the study include the factors that trigger waste diversion activities by ICI establishments, barriers to the initiation of waste diversion practices, and the social aspects of waste reduction/recycling/reuse practices.

Schedule and cost reduction of nuclear generating facilities in Ontario study overview

International Nuclear Information System (INIS)

Huterer, J.

1991-01-01

During the five year period 1985 to 1990, Ontario Hydro conducted a major study with the objective to reduce the cost and construction duration for future nuclear generating facilities in Ontario. This paper reports on the study called Major Projects: Schedule and Cost Reduction Study (SCRS). Ontario Hydro is a public utility with the responsibility for meeting electricity need for the province of Ontario with a population of 9.6 million. In order to adequately address future electricity needs, Ontario Hydro has developed and submitted a demand/supply plan which covers the next 25 years. The SCRS for major projects contributed to this demand/supply plan

The safety of Ontario's nuclear power reactors. A scientific and technical review. Ontario Hydro Submission to the Ontario Nuclear Safety Review

International Nuclear Information System (INIS)

1987-01-01

Ontario Hydro is responsible for the safety of its nuclear stations: safety analysis, design and construction, training of operators, operating practices, and maintenance procedures. The utility must demonstrate to the regulatory body and the public that it is capable of operating nuclear stations safely. the dedicated attention of management and workers alike has been given to the achievement of an excellent safety record. Safety begins with well understood corporate goals, objectives and policies, and the clear assignment of responsibilities to well-trained, competent people who have the relevant experience and the right information and equipment. A prime cause of both the Chernobyl and the Three Mile Island accidents was a breakdown in operational procedures and human factors. On the contrary, the pressure tube failure at Pickering unit 2 in 1983 was understood almost immediately by the operators, who took the correct steps to shut down the reactor. This success is related to well-designed control room information systems and good understanding of fundamentals by the operators. Increasingly, in the design of nuclear plant control and instrumentation systems and in training in Ontario Hydro, the well-being, capabilities and limitations of humans are being taken into account. This report describes the series of barriers between the radioactive material in the fuel and the series of barriers between the radioactive material in the fuel and the environment, and the stringent quality control and technical measures taken to make the likelihood of malfunctions very small. Defence in depth protection for the public is a feature of all Ontario Hydro nuclear stations. As safety-related systems are updated in new stations, improvements are in some cases being backfitted to older stations

The effect of continuing professional development on public complaints: a case-control study.

Science.gov (United States)

Wenghofer, Elizabeth F; Campbell, Craig; Marlow, Bernard; Kam, Sophia M; Carter, Lorraine; McCauley, William

2015-03-01

This study aimed to investigate the relationship between participation in different types of continuing professional development (CPD), and incidences and types of public complaint against physicians. Cases included physicians against whom complaints were made by members of the public to the medical regulatory body in Ontario, Canada, the College of Physicians and Surgeons of Ontario (CPSO), during 2008 and 2009. The control cohort included physicians against whom no complaints were documented during the same period. We focused on complaints related to physician communication, quality of care and professionalism. The CPD data included all Royal College of Physicians and Surgeons of Canada (RCPSC) and College of Family Physicians of Canada (CFPC) CPD programme activities reported by the case and control physicians. Multivariate logistic regression models were used to determine if the independent variable, reported participation in CPD, was associated with the dependent variable, the complaints-related status of the physician in the year following reported CPD activities. A total of 2792 physicians were included in the study. There was a significant relationship between participation in CPD, type of CPD and type of complaint received. Analysis indicated that physicians who reported overall participation in CPD activities were significantly less likely (odds ratio 0.604; p = 0.028) to receive quality of care-related complaints than those who did not report participating in CPD. Additionally, participation in group-based CPD was less likely (OR 0.681; p = 0.041) to result in quality of care-related complaints. The findings demonstrate a positive relationship between participation in the national CPD programmes of the CFPC and RCPSC, and lower numbers of public complaints received by the CPSO. As certification bodies and regulators alike are increasingly mandating CPD, they are encouraged to continually evaluate the effectiveness of their programmes to maximise

Wastewater quality control at Sarnia (Ontario, Canada) petrochemical industries

Energy Technology Data Exchange (ETDEWEB)

Vianna, Arlinda C [Servico Nacional de Aprendizagem Industrial (SENAI), Salvador, BA (Brazil); Souza, Eliane S; Himmelman, William [Lambton College, Sarnia, ON (Canada)

1994-12-31

Ontario industries are required by law to meet strict regulations under the provinces under MISA initiative (Municipal-Industrial Strategy for Abatement). The petroleum-petrochemical area was selected as a leader in the development of new environmental objectives, and monitoring and training programs. Sarnia has become a world leader in industrial environmental control systems and the approach toward zero emissions. 4 refs., 6 figs., 2 tabs.

Wastewater quality control at Sarnia (Ontario, Canada) petrochemical industries

Energy Technology Data Exchange (ETDEWEB)

Vianna, Arlinda C. [Servico Nacional de Aprendizagem Industrial (SENAI), Salvador, BA (Brazil); Souza, Eliane S.; Himmelman, William [Lambton College, Sarnia, ON (Canada)

1993-12-31

Ontario industries are required by law to meet strict regulations under the provinces under MISA initiative (Municipal-Industrial Strategy for Abatement). The petroleum-petrochemical area was selected as a leader in the development of new environmental objectives, and monitoring and training programs. Sarnia has become a world leader in industrial environmental control systems and the approach toward zero emissions. 4 refs., 6 figs., 2 tabs.

Enabling the participation of marginalized populations: case studies from a health service organization in Ontario, Canada.

Science.gov (United States)

Montesanti, Stephanie R; Abelson, Julia; Lavis, John N; Dunn, James R

2017-08-01

We examined efforts to engage marginalized populations in Ontario Community Health Centers (CHCs), which are primary health care organizations serving 74 high-risk communities. Qualitative case studies of community participation in four Ontario CHCs were carried out through key informant interviews with CHC staff to identify: (i) the approaches, strategies and methods used in participation initiatives aimed specifically at engaging marginalized populations in the planning of and decision making for health services; and (ii) the challenges and enablers for engaging these populations. The marginalized populations involved in the community participation initiatives studied included Low-German Speaking Mennonites in a rural town, newcomer immigrants and refugees in an urban downtown city, immigrant and francophone seniors in an inner city and refugee women in an inner city. Our analysis revealed that enabling the participation of marginalized populations requires CHCs to attend to the barriers experienced by marginalized populations that constrain their participation. Key informants outlined the features of a 'community development approach' that they rely on to address the barriers to marginalized peoples' involvement by strengthening their skills, abilities and leadership in capacity-building activities. The community development approach also shaped the participation methods that were used in the engagement process of CHCs. However, key informants also described the challenges of applying this approach, influenced by the cultural values of some groups, which shaped their willingness and motivation to participate. This study provides further insight into the approach, strategies and methods used in the engagement process to enable the participation of marginalized populations, which may be transferable to other health services settings. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Vitamin D and Fracture Risk in Early Childhood: A Case-Control Study.

Science.gov (United States)

Anderson, Laura N; Heong, Sze Wing; Chen, Yang; Thorpe, Kevin E; Adeli, Khosrow; Howard, Andrew; Sochett, Etienne; Birken, Catherine S; Parkin, Patricia C; Maguire, Jonathon L

2017-06-15

The objective of this study was to evaluate the association of vitamin D intake and serum levels with fracture risk in children under 6 years of age. A case-control study was conducted in Toronto, Ontario, Canada. Cases were recruited from the fracture clinic at the Hospital for Sick Children, and matched controls were obtained from the TARGet Kids! primary-care research network. Controls were matched to cases on age, sex, height, and season. Fracture risk was estimated from conditional logistic regression, with adjustment for skin type, fracture history, waist circumference, outdoor free play, neighborhood income, soda consumption, and child's birth weight. A total of 206 cases were recruited during May 2009-April 2013 and matched to 343 controls. Serum 25-hydroxyvitamin D concentration (per 10-nmol/L increment: adjusted odds ratio (aOR) = 0.95, 95% confidence interval (CI): 0.88, 1.03) and intake of cow's milk (2 cups/day vs. 2 cups/day: aOR = 1.39 (95% CI: 0.85, 2.23)) were not significantly associated with reduced odds of fracture. A statistically significant association was observed between child use of vitamin D supplements and decreased odds of fracture (yes vs. no: aOR = 0.42, 95% CI: 0.25, 0.69). Vitamin D supplementation, but not serum 25-hydroxyvitamin D level or milk intake, was associated with reduced fracture risk among these healthy young children. © The Author 2017. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

An ecological study of cancer incidence in Port Hope, Ontario from 1992 to 2007.

Science.gov (United States)

Chen, Jing; Moir, Deborah; Lane, Rachel; Thompson, Patsy

2013-03-01

A plant processing radium and uranium ores has been operating in the town of Port Hope since 1932. Given the nuclear industry located in the community and ongoing public health concerns, cancer incidence rates in Port Hope were studied for a recent 16 year period (1992-2007) for continued periodic cancer incidence surveillance of the community. The cancer incidence in the local community for all cancers combined was similar to the Ontario population, health regions with similar socio-economic characteristics in Ontario and in Canada, and the Canadian population. No statistically significant differences in childhood cancer, leukaemia or other radiosensitive cancer incidence were observed, with the exception of statistically significant elevated lung cancer incidence among women. However, the statistical significance was reduced or disappeared when the comparison was made to populations with similar socio-economic characteristics. These findings are consistent with previous ecological, case-control and cohort studies conducted in Port Hope, environmental assessments, and epidemiological studies conducted elsewhere on populations living around similar facilities or exposed to similar environmental contaminants. Although the current study covered an extended period of time, the power to detect risk at the sub-regional level of analysis was limited since the Port Hope population is small (16,500). The study nevertheless indicated that large differences in cancer incidence are not occurring in Port Hope compared to other similar communities and the general population.

Exploratory case-control study of brain tumors in adults

International Nuclear Information System (INIS)

Burch, J.D.; Craib, K.J.; Choi, B.C.; Miller, A.B.; Risch, H.A.; Howe, G.R.

1987-01-01

An exploratory study of brain tumors in adults was carried out using 215 cases diagnosed in Southern Ontario between 1979 and 1982, with an individually matched, hospital control series. Significantly elevated risks were observed for reported use of spring water, drinking of wine, and consumption of pickled fish, together with a significant protective effect for the regular consumption of any of several types of fruit. While these factors are consistent with a role for N-nitroso compounds in the etiology of these tumors, for several other factors related to this hypothesis, no association was observed. Occupation in the rubber industry was associated with a significant relative risk of 9.0, though no other occupational associations were seen. Two previously unreported associations were with smoking nonfilter cigarettes with a significant trend and with the use of hair dyes or sprays. The data do not support an association between physical head trauma requiring medical attention and risk of brain tumors and indicate that exposure to ionizing radiation and vinyl chloride monomer does not contribute any appreciable fraction of attributable risk in the population studied. The findings warrant further detailed investigation in future epidemiologic studies

Case-control studies in neurosurgery.

Science.gov (United States)

Nesvick, Cody L; Thompson, Clinton J; Boop, Frederick A; Klimo, Paul

2014-08-01

Observational studies, such as cohort and case-control studies, are valuable instruments in evidence-based medicine. Case-control studies, in particular, are becoming increasingly popular in the neurosurgical literature due to their low cost and relative ease of execution; however, no one has yet systematically assessed these types of studies for quality in methodology and reporting. The authors performed a literature search using PubMed/MEDLINE to identify all studies that explicitly identified themselves as "case-control" and were published in the JNS Publishing Group journals (Journal of Neurosurgery, Journal of Neurosurgery: Pediatrics, Journal of Neurosurgery: Spine, and Neurosurgical Focus) or Neurosurgery. Each paper was evaluated for 22 descriptive variables and then categorized as having either met or missed the basic definition of a case-control study. All studies that evaluated risk factors for a well-defined outcome were considered true case-control studies. The authors sought to identify key features or phrases that were or were not predictive of a true case-control study. Those papers that satisfied the definition were further evaluated using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist. The search detected 67 papers that met the inclusion criteria, of which 32 (48%) represented true case-control studies. The frequency of true case-control studies has not changed with time. Use of odds ratios (ORs) and logistic regression (LR) analysis were strong positive predictors of true case-control studies (for odds ratios, OR 15.33 and 95% CI 4.52-51.97; for logistic regression analysis, OR 8.77 and 95% CI 2.69-28.56). Conversely, negative predictors included focus on a procedure/intervention (OR 0.35, 95% CI 0.13-0.998) and use of the word "outcome" in the Results section (OR 0.23, 95% CI 0.082-0.65). After exclusion of nested case-control studies, the negative correlation between focus on a procedure

The role of taxation policy and incentives in wind-based distributed generation projects viability. Ontario case study

International Nuclear Information System (INIS)

Albadi, M.H.; El-Saadany, E.F.

2009-01-01

Taxation policy and incentives play a vital role in wind-based distributed generation projects viability. In this paper, a thorough techno-economical evaluation of wind-based distributed generation projects is conducted to investigate the effect of taxes and incentives in the economic viability of investments in this sector. This paper considers the effects of Provincial income taxes, capital cost allowance (CCA), property taxes, and wind power production Federal incentives. The case study is conducted for different wind turbines and wind speed scenarios. Given turbine and wind speed data, the Capacity Factor (CF) of each turbine and wind speed scenario was calculated. Net Present Value (NPV) and Internal Rate of Return (IRR) for different scenarios were then used to assess the project's viability considering Ontario Standard Offer Program (SOP) for wind power. (author)

Antimicrobial Resistance and Antimicrobial Use Associated with Laboratory-Confirmed Cases of Campylobacter Infection in Two Health Units in Ontario

Directory of Open Access Journals (Sweden)

Anne E Deckert

2013-01-01

Full Text Available AIM: A population-based study was conducted over a two-year period in the Perth District (PD and Wellington-Dufferin-Guelph (WDG health units in Ontario to document antimicrobial resistance and antimicrobial use associated with clinical cases of laboratory-confirmed campylobacteriosis.

Association of total energy intake and macronutrient consumption with colorectal cancer risk: results from a large population-based case-control study in Newfoundland and Labrador and Ontario, Canada.

Science.gov (United States)

Sun, Zhuoyu; Liu, Lin; Wang, Peizhong Peter; Roebothan, Barbara; Zhao, Jin; Dicks, Elizabeth; Cotterchio, Michelle; Buehler, Sharon; Campbell, Peter T; McLaughlin, John R; Parfrey, Patrick S

2012-03-26

Diet is regarded as one of the most important environmental factors associated with colorectal cancer (CRC) risk. A recent report comprehensively concluded that total energy intake does not have a simple relationship with CRC risk, and that the data were inconsistent for carbohydrate, cholesterol and protein. The objective of this study was to identify the associations of CRC risk with dietary intakes of total energy, protein, fat, carbohydrate, fiber, and alcohol using data from a large case-control study conducted in Newfoundland and Labrador (NL) and Ontario (ON), Canada. Incident colorectal cancer cases (n = 1760) were identified from population-based cancer registries in the provinces of ON (1997-2000) and NL (1999-2003). Controls (n = 2481) were a random sample of residents in each province, aged 20-74 years. Family history questionnaire (FHQ), personal history questionnaire (PHQ), and food frequency questionnaire (FFQ) were used to collect study data. Logistic regression was used to evaluate the association of intakes of total energy, macronutrients and alcohol with CRC risk. Total energy intake was associated with higher risk of CRC (OR: 1.56; 95% CI: 1.21-2.01, p-trend = 0.02, 5th versus 1st quintile), whereas inverse associations emerged for intakes of protein (OR: 0.85, 95%CI: 0.69-1.00, p-trend = 0.06, 5th versus 1st quintile), carbohydrate (OR: 0.81, 95%CI: 0.63-1.00, p-trend = 0.05, 5th versus 1st quintile) and total dietary fiber (OR: 0.84, 95% CI:0.67-0.99, p-trend = 0.04, 5th versus 1st quintile). Total fat, alcohol, saturated fatty acids, monounsaturated fatty acids, polyunsaturated fatty acids, and cholesterol were not associated with CRC risk. This study provides further evidence that high energy intake may increase risk of incident CRC, whereas diets high in protein, fiber, and carbohydrate may reduce the risk of the disease.

Association of total energy intake and macronutrient consumption with colorectal cancer risk: results from a large population-based case-control study in Newfoundland and Labrador and Ontario, Canada

Directory of Open Access Journals (Sweden)

Sun Zhuoyu

2012-03-01

Full Text Available Abstract Background Diet is regarded as one of the most important environmental factors associated with colorectal cancer (CRC risk. A recent report comprehensively concluded that total energy intake does not have a simple relationship with CRC risk, and that the data were inconsistent for carbohydrate, cholesterol and protein. The objective of this study was to identify the associations of CRC risk with dietary intakes of total energy, protein, fat, carbohydrate, fiber, and alcohol using data from a large case-control study conducted in Newfoundland and Labrador (NL and Ontario (ON, Canada. Methods Incident colorectal cancer cases (n = 1760 were identified from population-based cancer registries in the provinces of ON (1997-2000 and NL (1999-2003. Controls (n = 2481 were a random sample of residents in each province, aged 20-74 years. Family history questionnaire (FHQ, personal history questionnaire (PHQ, and food frequency questionnaire (FFQ were used to collect study data. Logistic regression was used to evaluate the association of intakes of total energy, macronutrients and alcohol with CRC risk. Results Total energy intake was associated with higher risk of CRC (OR: 1.56; 95% CI: 1.21-2.01, p-trend = 0.02, 5th versus 1st quintile, whereas inverse associations emerged for intakes of protein (OR: 0.85, 95%CI: 0.69-1.00, p-trend = 0.06, 5th versus 1st quintile, carbohydrate (OR: 0.81, 95%CI: 0.63-1.00, p-trend = 0.05, 5th versus 1st quintile and total dietary fiber (OR: 0.84, 95% CI:0.67-0.99, p-trend = 0.04, 5th versus 1st quintile. Total fat, alcohol, saturated fatty acids, monounsaturated fatty acids, polyunsaturated fatty acids, and cholesterol were not associated with CRC risk. Conclusion This study provides further evidence that high energy intake may increase risk of incident CRC, whereas diets high in protein, fiber, and carbohydrate may reduce the risk of the disease.

Activities and results of the terrestrial effects program: acid precipitation in Ontario study (Apios)

Energy Technology Data Exchange (ETDEWEB)

Linzon, S N

1986-11-01

Studies on the terrestrial effects of acidic precipitation in Ontario involve determining the effects on soils, crops, forests, lichens, mosses and biogeochemical systems. In the soils program, a baseline study was started in 1980 to establish a reliable and uniform data base for soils across the province, in order to identify future trends. Soil sensitivity criteria are being derived for mapping purposes. Starting in 1982, a complex, sophisticated mobile rain exclusion canopy system was constructed outdoors for controlled acid rain studies to determine the dose-response relationships of field crops. In response to numerous complaints a program was designed to determine the role that acidic precipitation is playing in the decline of sugar maple trees in Ontario. At 8 sites, tree conditions were noted, samples of foliage, bark, roots and soil were collected for chemical analysis, and increment cores and discs (from felled trees) were taken for radial growth patterns. Results from this study indicated that acidic precipitation was an additional stress to insect outbreaks and spring droughts. Intensive surveys have been conducted in selected areas in Ontario to identify the current viability and distribution of common denominator lichens and mosses. Biogeochemical studies are being conducted at four watersheds in Ontario. The different watersheds are located in progressively decreasing atmospheric deposition loadings from east to west across the province. The studies are attempting to document the role of contrasting terrestrial ecosystems in the process of lake acidification by atmospheric deposition. 9 references.

Direct medical costs of motorcycle crashes in Ontario.

Science.gov (United States)

Pincus, Daniel; Wasserstein, David; Nathens, Avery B; Bai, Yu Qing; Redelmeier, Donald A; Wodchis, Walter P

2017-11-20

There is no reliable estimate of costs incurred by motorcycle crashes. Our objective was to calculate the direct costs of all publicly funded medical care provided to individuals after motorcycle crashes compared with automobile crashes. We conducted a population-based, matched cohort study of adults in Ontario who presented to hospital because of a motorcycle or automobile crash from 2007 through 2013. For each case, we identified 1 control absent a motor vehicle crash during the study period. Direct costs for each case and control were estimated in 2013 Canadian dollars from the payer perspective using methodology that links health care use to individuals over time. We calculated costs attributable to motorcycle and automobile crashes within 2 years using a difference-in-differences approach. We identified 26 831 patients injured in motorcycle crashes and 281 826 injured in automobile crashes. Mean costs attributable to motorcycle and automobile crashes were $5825 and $2995, respectively ( p motorcycle crashes compared with automobile crashes (2194 injured annually/100 000 registered motorcycles v. 718 injured annually/100 000 registered automobiles; incidence rate ratio [IRR] 3.1, 95% confidence interval [CI] 2.8 to 3.3, p motorcycles v. 12 severe injuries annually/100 000 registered automobiles; IRR 10.4, 95% CI 8.3 to 13.1, p motorcycle in Ontario costs the public health care system 6 times the amount of each registered automobile. Medical costs may provide an additional incentive to improve motorcycle safety. © 2017 Joule Inc. or its licensors.

Citizen and consumer attitudes towards electricity industry restructuring : an Ontario (Canada) case-study

International Nuclear Information System (INIS)

Rowlands, I.; Parker, P.; Scott, D.

2001-01-01

This report examines public attitudes regarding electricity restructuring in Ontario. A survey from the Waterloo region in western Ontario provided responses to questions about attitudes towards restructuring and strategies for advancing environmental goals. A 158-item survey was sent to 1,110 individuals, between September 2000 and April 2001. A total of 474 questionnaires were answered, for a response rate of 43 per cent. It was noted that although the response rate was high, the survey may not be representative because the respondents were older, better educated, and wealthier than the general population. In addition, the respondents had previously indicated they were willing to pay $25 for a home energy evaluation, suggesting a special interest in issues regarding energy and the environment. Respondents were first asked whether they agreed, disagreed or were not sure about the need to restructure, whether a single government power company should supply electricity, or whether they were pleased to choose a power company of their choice. The respondents were then asked to rank the importance of the price of electricity, the quality of customer service, whether the electricity is generated in southern Ontario, the environmental effects of the electricity produced by the company, the reputation of the company, and reliability of electricity. Price and reliability ranked as the highest priorities by respondents. Citizens' attitudes toward premium-priced green electricity were also examined. The general conclusion was that while many respondents wanted a sustainable electricity system, most of them will look for the cheapest electricity product once the market is opened. 6 refs., 3 tabs

An ecological study of cancer incidence in Port Hope, Ontario from 1992 to 2007

International Nuclear Information System (INIS)

Chen Jing; Moir, Deborah; Lane, Rachel; Thompson, Patsy

2013-01-01

A plant processing radium and uranium ores has been operating in the town of Port Hope since 1932. Given the nuclear industry located in the community and ongoing public health concerns, cancer incidence rates in Port Hope were studied for a recent 16 year period (1992–2007) for continued periodic cancer incidence surveillance of the community. The cancer incidence in the local community for all cancers combined was similar to the Ontario population, health regions with similar socio-economic characteristics in Ontario and in Canada, and the Canadian population. No statistically significant differences in childhood cancer, leukaemia or other radiosensitive cancer incidence were observed, with the exception of statistically significant elevated lung cancer incidence among women. However, the statistical significance was reduced or disappeared when the comparison was made to populations with similar socio-economic characteristics. These findings are consistent with previous ecological, case-control and cohort studies conducted in Port Hope, environmental assessments, and epidemiological studies conducted elsewhere on populations living around similar facilities or exposed to similar environmental contaminants. Although the current study covered an extended period of time, the power to detect risk at the sub-regional level of analysis was limited since the Port Hope population is small (16 500). The study nevertheless indicated that large differences in cancer incidence are not occurring in Port Hope compared to other similar communities and the general population. (paper)

Heat stress related dairy cow mortality during heat waves and control periods in rural Southern Ontario from 2010-2012.

Science.gov (United States)

Bishop-Williams, Katherine E; Berke, Olaf; Pearl, David L; Hand, Karen; Kelton, David F

2015-11-27

Heat stress is a physiological response to extreme environmental heat such as heat waves. Heat stress can result in mortality in dairy cows when extreme heat is both rapidly changing and has a long duration. As a result of climate change, heat waves, which are defined as 3 days of temperatures of 32 °C or above, are an increasingly frequent extreme weather phenomenon in Southern Ontario. Heat waves are increasing the risk for on-farm dairy cow mortality in Southern Ontario. Heat stress indices (HSIs) are generally based on temperature and humidity and provide a relative measure of discomfort which can be used to predict increased risk of on-farm dairy cow mortality. In what follows, the heat stress distribution was described over space and presented with maps. Similarly, on-farm mortality was described and mapped. The goal of this study was to demonstrate that heat waves and related HSI increases during 2010-2012 were associated with increased on-farm dairy cow mortality in Southern Ontario. Mortality records and farm locations for all farms registered in the CanWest Dairy Herd Improvement Program in Southern Ontario were retrieved for 3 heat waves and 6 three-day control periods from 2010 to 2012. A random sample of controls (2:1) was taken from the data set to create a risk-based hybrid design. On-farm heat stress was estimated using data from 37 weather stations and subsequently interpolated across Southern Ontario by geostatistical kriging. A Poisson regression model was applied to assess the on-farm mortality in relation to varying levels of the HSI. For every one unit increase in HSI the on-farm mortality rate across Southern Ontario increases by 1.03 times (CI95% (IRR) = (1.025,1.035); p = ≤ 0.001). With a typical 8.6 unit increase in HSI from a control period to a heat wave, mortality rates are predicted to increase by 1.27 times. Southern Ontario was affected by heat waves, as demonstrated by high levels of heat stress and increased on-farm mortality

Ontario Hydro annual report 1975

International Nuclear Information System (INIS)

A financial report and statistics on Ontario energy demand are presented. Efforts to secure a reliable supply of coal and uranium are described. Ontario Hydro's expansion is now controlled by capital availability and not power demand, and this has affected 11 construction projects, including heavy water plants and nuclear generating stations. (E.C.B.)

Early detection of emerald ash borer infestation using multisourced data: a case study in the town of Oakville, Ontario, Canada

Science.gov (United States)

Zhang, Kongwen; Hu, Baoxin; Robinson, Justin

2014-01-01

The emerald ash borer (EAB) poses a significant economic and environmental threat to ash trees in southern Ontario, Canada, and the northern states of the USA. It is critical that effective technologies are urgently developed to detect, monitor, and control the spread of EAB. This paper presents a methodology using multisourced data to predict potential infestations of EAB in the town of Oakville, Ontario, Canada. The information combined in this study includes remotely sensed data, such as high spatial resolution aerial imagery, commercial ground and airborne hyperspectral data, and Google Earth imagery, in addition to nonremotely sensed data, such as archived paper maps and documents. This wide range of data provides extensive information that can be used for early detection of EAB, yet their effective employment and use remain a significant challenge. A prediction function was developed to estimate the EAB infestation states of individual ash trees using three major attributes: leaf chlorophyll content, tree crown spatial pattern, and prior knowledge. Comparison between these predicted values and a ground-based survey demonstrated an overall accuracy of 62.5%, with 22.5% omission and 18.5% commission errors.

Measles Outbreak with Unique Virus Genotyping, Ontario, Canada, 2015.

Science.gov (United States)

Thomas, Shari; Hiebert, Joanne; Gubbay, Jonathan B; Gournis, Effie; Sharron, Jennifer; Severini, Alberto; Jiaravuthisan, Manisa; Shane, Amanda; Jaeger, Valerie; Crowcroft, Natasha S; Fediurek, Jill; Sander, Beate; Mazzulli, Tony; Schulz, Helene; Deeks, Shelley L

2017-07-01

The province of Ontario continues to experience measles virus transmissions despite the elimination of measles in Canada. We describe an unusual outbreak of measles in Ontario, Canada, in early 2015 that involved cases with a unique strain of virus and no known association among primary case-patients. A total of 18 cases of measles were reported from 4 public health units during the outbreak period (January 25-March 23, 2015); none of these cases occurred in persons who had recently traveled. Despite enhancements to case-patient interview methods and epidemiologic analyses, a source patient was not identified. However, the molecular epidemiologic analysis, which included extended sequencing, strongly suggested that all cases derived from a single importation of measles virus genotype D4. The use of timely genotype sequencing, rigorous epidemiologic investigation, and a better understanding of the gaps in surveillance are needed to maintain Ontario's measles elimination status.

Assessing the financial positions of Ontario's new electricity companies

Energy Technology Data Exchange (ETDEWEB)

Connell, T. (Standard and Poor' s, Toronto, ON (Canada))

1999-01-01

This paper describes the methodology, including the criteria factors, comparable ratings and key credit issues used in assessing the financial positions of Ontario Power Generation Inc., and the Ontario Hydro Services Company. The rating criteria factors include both business factors (such as ownership structure, regulation, service area, operations, management, etc.,) and financial factors (e.g. financial policies and guidelines, recent financial performance, margin analysis, capital structure and borrowing plans, financial projections and sensitivities). Key credit issues include considerations of competitive dynamics, nuclear portfolio performance (for Genco), regulatory changes, cost control, capital spending program, retail business exposure, future financial performance. Comparisons are made with corresponding positions of comparable entities in Australia, Finland, New Zealand, the UK, and the USA. In the case of Ontario Power Generation Inc., the company is assessed to have significant advantages initially, but various uncertainties over the medium term warrant a more cautious view of the credit profile. For the Ontario Hydro Services Company the business risks appear to be low and moderate leverage entails a strong, stable credit profile. The overall assessment of the two companies is that while certain questions such as the workability and credibility of the new industry structure, the problem of stranded debt and questions about the liquidity of market participants remain unsolved, Ontario Power Generation Inc., and the Ontario Hydro Services Company ratings compare favorably with ratings of global industry peers.

Summary of Ontario Hydro's 1990-91 zebra mussel research program

International Nuclear Information System (INIS)

Claudi, R.; Wiancko, P.M.

1992-01-01

Ontario Hydro is the principal supplier of electricity to the Province of Ontario. It serves 3.6 million customers, with an inservice capacity of 28,200 MW. Ontario Hydro has seven fossil, five nuclear, and four hydraulic stations in the Great Lakes Basin and surrounding watershed. In addition, there are another 60 inland hydraulic stations and numerous dams. As the largest single user of raw water from the Great Lakes Basin, Ontario Hydro recognized the need to control zebra mussels early in 1989. At that time, very little was known in North America about the zebra mussel life cycle and potential impact. European utilities were consulted, but as we now know, zebra mussels are not perceived to be a problem in Europe at this time. To satisfy the immediate need for control, chlorination was identified as the most effective interim measure to prevent the fouling of systems which draw water from the aquatic environment. Due to the current regulatory environment, this solution is considered short term and Ontario Hydro was compelled to initiate a comprehensive research effort aimed at providing alternative methods of control. Most of the research effort during 1990, was methods of control. Most of the research effort during 1990, was directed towards this goal. Many alternative control measures, both chemical and nonchemical were considered. Also considered were the potential effects of the control measures and zebra mussels on station operations. A multidisciplinary team involving aquatic biologists, chemists, corrosion specialists, and civil and mechanical engineers from the various departments of Ontario Hydro was asked to address the problem. Some of the research also involved collaborative studies with universities, US utilities, American Water Works Association, and Canadian industries. Following is a summary of the research effort in 1990, and a preview of the research underway in 1991

Economic instruments for environmental policy making in Ontario

International Nuclear Information System (INIS)

Barg, S.; Duraiappah, A.; Van Exan, S.

2000-01-01

The conditions and approaches required for a successful implementation of economic instruments in Ontario are reviewed. The advantages and disadvantages of economic instruments are discussed, as are some design issues. Some best practices and practical experiences from Canada, the United States, and Europe are examined through the use of nine specific case studies. Each one highlights a different environmental challenge, such as energy efficiency, air pollution, water pollution, waste management along with the solutions that were implemented. The situations described were not all successful, but there is much to be learned from unsuccessful episodes. Lessons learned from the review of the case studies were presented. The points to ponder when using economic instruments in Ontario were highlighted. The command and control policy instrument must be kept in context when considering economic instruments. The reasons that underline the preference of the economic theory for economic instruments are discussed. The different types of economic instruments are described, and the considerations related to the design and comparison of economic instruments is briefly discussed. The authors concluded with several points to ponder: there are a number of options available, details must not be neglected, consultation with the interested parties is important, there is a need for frequent reassessment, and using a number of instruments is helpful. 55 refs., tabs., figs

Mortality from myocardial infarction following postlumpectomy radiotherapy for breast cancer: a population-based study in Ontario, Canada

International Nuclear Information System (INIS)

Paszat, Lawrence F.; Mackillop, William J.; Groome, Patti A.; Schulze, Karleen; Holowaty, Eric

1999-01-01

Purpose: To compare the risk of mortality from myocardial infarction (MI) after left-sided postlumpectomy radiotherapy (RT) to the risk after right-sided postlumpectomy RT. Methods: We conducted a population-based cohort study of cases of invasive female breast cancer in Ontario, diagnosed between January 1, 1982 and December 31, 1987 (n = 25,570). Records of the Ontario Cancer Registry (OCR) were linked to hospital procedure and discharge abstracts and to RT records from Ontario cancer centers. A case was labelled as lumpectomy if this was the maximum breast surgery within 4 months of diagnosis. Postlumpectomy RT occurred up to 1 year postdiagnosis. Laterality was assigned from the laterality descriptor of the RT records. A case was labelled as having had a fatal MI if ICD code 410 (myocardial infarction) was recorded as the cause of death in the OCR. We used logistic regression to compare the likelihood of utilization of : 1. Dose per fraction > 2.00 Gy; 2. cobalt vs. linac; and 3. boost RT. We used life table analysis and the log rank test comparing the time to fatal MI from diagnosis of breast cancer between women who received left-sided postlumpectomy RT and women who received right-sided. We used Cox proportional hazards models to study the relative risk for left-sided cases overall, and stratified by age, RT characteristics, and among conditional survival cohorts. Results: Postlumpectomy RT was received by 1,555 left-sided and 1,451 right-sided cases. With follow-up to December 31, 1995, 2% of women with left-sided RT had a fatal MI compared to 1% of women with right-sided RT. Comparison of the time to failure between women who had left-sided RT and women who had right-sided RT showed the left-sided RT group to be associated with a higher risk of fatal MI (p = 0.02). Adjusting for age at diagnosis, the relative risk for fatal MI with left-sided postlumpectomy RT was 2.10 (1.11, 3.95). Conclusion: Among women who received postlumpectomy RT for breast cancer

Groundwater impact studies at three Ontario Hydro coal ash landfills

International Nuclear Information System (INIS)

Johnston, H.M.; Vorauer, A.G.; Chan, H.T.

1992-01-01

Ontario Hydro has produced on the order of 21 million Mg of coal fly ash over the past 40 years, of which, 80% has gone to various landfill sites in the province of Ontario. Hydrogeologic investigations have been performed in the vicinity of three Ontario Hydro coal ash landfill sites to assess the environmental impact of fly ash landfilling on the local groundwater regime. Two of the waste management facilities are associated with thermal generating stations (Lambton TGS and Nanticoke TGS) and are founded on relatively impermeable clay deposits. The third site, Birchwood Park, is a former sand and gravel pit for which the landfill design did not incorporate the use of a liner material. The rates of groundwater flow through the overburden materials a the three sites vary from less than 1 cm/a at the Lambton TGS site, to between 3.45 cm/a and 115 cm/a at contaminant transport at these sites also varies from being controlled by molecular diffusion to advection. This paper discusses the migration rates of contaminants from fly ash leachate at each of the three sites with implications to landfill containment and design

A randomised controlled study to evaluate the effectiveness of targeted occupational health and safety consultation or inspection in Ontario manufacturing workplaces.

Science.gov (United States)

Hogg-Johnson, Sheilah; Robson, Lynda; Cole, Donald C; Amick, Benjamin C; Tompa, Emile; Smith, Peter M; van Eerd, Dwayne; Mustard, Cameron

2012-12-01

From 2004 to 2008, the prevention system in Ontario, Canada ran the High Risk Firm Initiative, an injury-experience based targeted consultation or inspection programme. Our objective was to establish whether prevention system targeting of firms was effective in improving injury outcomes. Randomised controlled parallel groups. Population included all manufacturing firms registered with the Ontario Workplace Safety & Insurance Board in 2005. Firms ranked between the 2nd and 10th percentile on a composite measure of occupational health and safety performance were randomised to three study arms in 2006: targeted for Health & Safety Association (HSA) consultation, targeted for Ministry of Labour (MOL) inspection, or services as usual. Data included firm characteristics (sector, size, years in business, region, branches), work injury claims 2002-2008 and measures of consulting and inspecting activity. Negative binomial generalised estimating equations modelled claim and disability day rates by study arm and year, controlling for firm characteristics. Among 2153 firms, firm characteristics and 2002-2005 rates of work injury claims and disability days were similar across arms. Firm outcomes were significantly different from year to year, but study arm by year interactions were insignificant indicating similar trends for all three study arms. 83% of HSA targeted firms were contacted and 63% engaged while 75% of MOL targeted firms were inspected with orders written in 56%. Consultation and enforcement programmes as implemented were not sufficient to reduce work injury outcomes over 21 month follow-up. Lack of benefit could be due to non-specific firm selection methods, limited firm participation in interventions, low intervention intensity or insensitivity of available outcomes.

The quality control program for an Ontario Hydro operated thermoluminescence dosimetry service at nuclear generating stations

International Nuclear Information System (INIS)

Orr, B.H.; Walsh, M.L.

1975-11-01

An essential aspect of the Ontario Hydro TLD service is the operation of an acceptable quality control (QC) program. The QC program which has been generally accepted by the A.E.C.B. is presented in this document. The aims of the program are as follows: (1) to ensure that Ontario Hydro maintains an acceptable standard of dosimetry; (2) to be able to demonstrate to any interested party that the dose measurements for individual workers have a high degree of credibility. (author)

Ontario electricity rates and industrial competitiveness

International Nuclear Information System (INIS)

2006-01-01

Industrial electricity prices in Ontario rose significantly after the opening of the competitive Ontario electricity market in 2002, thereby widening the gap between industrial electricity prices in Ontario and those in other Canadian provinces. Navigant Consulting Ltd. conducted this study at the request of the Association of Major Power Consumers in Ontario (AMPCO) to research and compare current and historical electricity prices in Ontario and other jurisdictions in North America. The study provided an independent analysis of how industrial electricity prices in Ontario compare to those in other jurisdiction in which AMPCO members operate. It also formed the basis for comparing the impacts of electricity policy on the economic competitiveness of major power consumers in Ontario. The relative electricity intensity in the United States, Ontario and other Canadian provinces was reviewed for specific industries, including forest products, steel manufacturing, petroleum refining, chemical manufacturing and cement manufacturing. Publicly available aggregate data from Statistics Canada and the United States Bureau of the Census was then used to compare average electricity prices for industrial customers in Ontario. The data confirmed that Ontario has experienced a decline in its competitive price advantage in industrial electricity. Delivered industrial electricity prices in Ontario have increased by more than 60 per cent since 2001. Industrial electricity prices in Ontario rose above those in Quebec, Manitoba, British Columbia and New Brunswick. In addition, industrial electricity prices in Ontario rose above those in competing states such as Ohio and Illinois, in part due to the increase in the value of the Canadian dollar. It was concluded that the price increase may lead to a greater decline in economic output in Ontario compared to competing jurisdictions. 2 tabs., 14 figs., 1 appendix

Parental perceptions of school-based influenza immunisation in Ontario, Canada: a qualitative study

Science.gov (United States)

MacDougall, Donna; Crowe, Lois; Pereira, Jennifer A; Kwong, Jeffrey C; Quach, Susan; Wormsbecker, Anne E; Ramsay, Hilary; Salvadori, Marina I; Russell, Margaret L

2014-01-01

Objective To understand the perspectives of Ontario parents regarding the advantages and disadvantages of adding influenza immunisation to the currently existing Ontario school-based immunisation programmes. Design Descriptive qualitative study. Participants Parents of school-age children in Ontario, Canada, who were recruited using a variety of electronic strategies (social media, emails and media releases), and identified as eligible (Ontario resident, parent of one or more school-age children, able to read/write English) on the basis of a screening questionnaire. We used stratified purposeful sampling to obtain maximum variation in two groups: parents who had ever immunised at least one child against influenza or who had never done so. We conducted focus groups (teleconference or internet forum) and individual interviews to collect data. Thematic analysis was used to analyse the data. Setting Ontario, Canada. Results Of the 55 participants, 16 took part in four teleconference focus groups, 35 in 6 internet forum focus groups and four in individual interviews conducted between October 2012 and February 2013. Participants who stated that a school-based influenza immunisation programme would be worthwhile for their child valued its convenience and its potential to reduce influenza transmission without interfering with the family routine. However, most thought that for a programme to be acceptable, it would need to be well designed and voluntary, with adequate parental control and transparent communication between the key stakeholder groups of public health, schools and parents. Conclusions These results will benefit decision-makers in the public health and education sectors as they consider the advantages and disadvantages of immunising children in schools as part of a system-wide influenza prevention approach. Further research is needed to assess the perceptions of school board and public health stakeholders. PMID:24902736

Policy communities and allocation of internalized cost : negotiation of the Ontario acid rain program, 1982-1985

Energy Technology Data Exchange (ETDEWEB)

MacDonald, D.C.

1997-12-31

The process of allocating the internalized cost of environmental protection amongst industrial concerns and governments was studied. The issue was addressed by reviewing the literature on the treatment of externalities by economists, and the literature describing the approach to policy analysis by the the policy communities. An examination of a case study in which the cost of sulphur dioxide emission reductions was allocated amongst the major Ontario sources during the development of the 1985 national and Ontario acid rain programs was presented. The study provided an insight into issues regarding Canadian environmental policy and policy communities theory and practice. The Ontario allocation was negotiated by Ontario alone, even though it was part of a national program. The environmental movement also had no role in this Ontario policy decisions. The power to influence the Ontario cabinet belonged to MOE, Inco, and Ontario Hydro through negotiations and compromise, which conforms to the basic premise of the policy communities approach.

Case-control vaccine effectiveness studies: Preparation, design, and enrollment of cases and controls.

Science.gov (United States)

Verani, Jennifer R; Baqui, Abdullah H; Broome, Claire V; Cherian, Thomas; Cohen, Cheryl; Farrar, Jennifer L; Feikin, Daniel R; Groome, Michelle J; Hajjeh, Rana A; Johnson, Hope L; Madhi, Shabir A; Mulholland, Kim; O'Brien, Katherine L; Parashar, Umesh D; Patel, Manish M; Rodrigues, Laura C; Santosham, Mathuram; Scott, J Anthony; Smith, Peter G; Sommerfelt, Halvor; Tate, Jacqueline E; Victor, J Chris; Whitney, Cynthia G; Zaidi, Anita K; Zell, Elizabeth R

2017-06-05

Case-control studies are commonly used to evaluate effectiveness of licensed vaccines after deployment in public health programs. Such studies can provide policy-relevant data on vaccine performance under 'real world' conditions, contributing to the evidence base to support and sustain introduction of new vaccines. However, case-control studies do not measure the impact of vaccine introduction on disease at a population level, and are subject to bias and confounding, which may lead to inaccurate results that can misinform policy decisions. In 2012, a group of experts met to review recent experience with case-control studies evaluating the effectiveness of several vaccines; here we summarize the recommendations of that group regarding best practices for planning, design and enrollment of cases and controls. Rigorous planning and preparation should focus on understanding the study context including healthcare-seeking and vaccination practices. Case-control vaccine effectiveness studies are best carried out soon after vaccine introduction because high coverage creates strong potential for confounding. Endpoints specific to the vaccine target are preferable to non-specific clinical syndromes since the proportion of non-specific outcomes preventable through vaccination may vary over time and place, leading to potentially confusing results. Controls should be representative of the source population from which cases arise, and are generally recruited from the community or health facilities where cases are enrolled. Matching of controls to cases for potential confounding factors is commonly used, although should be reserved for a limited number of key variables believed to be linked to both vaccination and disease. Case-control vaccine effectiveness studies can provide information useful to guide policy decisions and vaccine development, however rigorous preparation and design is essential. Published by Elsevier Ltd.

Cogeneration markets in Ontario

International Nuclear Information System (INIS)

Poredos, S.

1993-01-01

Cogeneration offers a key strategy which supports global competitiveness for Ontario businesses, encourages energy efficiency and environmental protection, and offers natural gas utilities and producers stable long-term incremental markets. By supporting cogeneration projects, electric utilities will benefit from increased flexibility. Natural gas is the fuel of choice for cogeneration, which can in most cases be easily integrated into existing operations. In Ontario, electric demand grew along with the gross domestic product until 1990, but has decreased with the recent economic recession. The provincial utility Ontario Hydro is resizing itself to stabilize total rate increases of 30% over the last three years and supporting reduction of its high debt load. Rate increases are supposed to be limited but this may be difficult to achieve without further cost-cutting measures. Cogeneration opportunities exist with many institutional and industrial customers who are trying to remain globally competitive by cutting operating costs. In general, cogeneration can save 20% or more of total annual energy costs. Due to excess capacity, Ontario Hydro is not willing to purchase electric power, thus only electric load displacement projects are valid at this time. This will reduce overall savings due to economies of scale. In southwestern Ontario, Union Gas Ltd. has been successful in developing 40 MW of electric displacement projects, providing a total load of 5 billion ft 3 of natural gas (50% of which is incremental). Over 3,000 MW of technical cogeneration potential is estimated to exist in the Union Gas franchise area

DDACE cogeneration systems : 10 case studies

Energy Technology Data Exchange (ETDEWEB)

NONE

2009-07-01

DDACE Power Systems are experts in green energy power generation and provide solutions that deal with waste and industrial by-products. The company develops practical energy solutions that address environmental and financial concerns facing both industrial and municipal customers. The following 10 case studies are examples of the installations that DDACE Power Systems have completed in recent years: (1) a combined heat and emergency power installation on the roof of a 19 storey apartment building on Bloor Street in Toronto, Ontario. The cogeneration package provides electricity and heat to the entire building, replacing an old diesel generator, (2) a combined heat and emergency power installation at the Villa Colombo extended care facility in Vaughan, Ontario. The cogeneration system provides heat and power to the building, as well as emergency power, (3) emergency standby power with demand response capabilities at Sobeys Distribution Warehouse in Vaughan, Ontario. The primary purpose of the 2.4 MW low emission, natural gas fuelled emergency standby generator is to provide emergency power to the building in the event of a grid failure, (4) a dual fuel combined heat and power installation at the Queensway Carleton Hospital in Ottawa, Ontario that provides electricity, hot water and steam to all areas of the hospital, (5) a tri-generation installation at the Ontario Police College in Aylmer, Ontario which provides power and heat to the building as well as emergency power in the event of a grid failure. An absorption chiller provides cooling in the summer and an exhaust emission control system reduces NOx emissions, (6) a biomass gasification installation at Nexterra Energy in Kamloops, British Columbia. The 239 kW generator is fueled by synthesis gas, (7) biogas utilization at Fepro Farms in Cobden, Ontario for treatment of the facility's waste products. The biogas plant uses cow manure, as well as fats, oil and grease from restaurants to produce electricity and

Ontario is not ready to face a large-scale nuclear accident

International Nuclear Information System (INIS)

2017-07-01

On paper, in Japan as elsewhere, nuclear emergency plans are based on international standards and all look similar. The counter measures are sheltering, potassium iodate prophylaxis, evacuation and control of foodstuffs. With 18 nuclear reactors to produce electricity and a research reactor, Ontario should be especially well prepared. Moreover, in USA, there are six power plants located at less than 100 km from the Canadian border. Would Ontario do better than Japan in case of a severe nuclear disaster? Ontario is not ready to face a severe nuclear accident and the population surrounding nuclear power stations are at risk. The large number of inhabitants will hamper protective response actions. Consequently, Canadian authorities keep lax protective action levels. Using more stringent levels would mean to extend the protection zone that would include a too large number of persons. Canadian authorities should openly acknowledge that a severe nuclear accident could happen in Ontario like in any other country and trigger a complete reorganisation of emergency preparedness and response (EP and R) to cope with such a possibility. New response plans should be defined with the involvement of stakeholders

The epidemiology of travel-related Salmonella Enteritidis in Ontario, Canada, 2010–2011

Directory of Open Access Journals (Sweden)

Tighe Mary-Kathryn

2012-05-01

Full Text Available Abstract Background Increases in the number of salmonellosis cases due to Salmonella Enteritidis (SE in 2010 and 2011 prompted a public health investigation in Ontario, Canada. In this report, we describe the current epidemiology of travel-related (TR SE, compare demographics, symptoms and phage types (PTs of TR and domestically-acquired (DA cases, and estimate the odds of acquiring SE by region of the world visited. Methods All incident cases of culture confirmed SE in Ontario obtained from isolates and specimens submitted to public health laboratories were included in this study. Demographic and illness characteristics of TR and DA cases were compared. A national travel survey was used to provide estimates for the number of travellers to various destinations to approximate rates of SE in travellers. Multivariate logistic regression was used to estimate the odds of acquiring SE when travelling to various world regions. Results Overall, 51.9% of SE cases were TR during the study period. This ranged from 35.7% TR cases in the summer travel period to 65.1% TR cases in the winter travel period. Compared to DA cases, TR cases were older and were less likely to seek hospital care. For Ontario travellers, the adjusted odds of acquiring SE was the highest for the Caribbean (OR 37.29, 95% CI 17.87-77.82 when compared to Europe. Certain PTs were more commonly associated with travel (e.g., 1, 4, 5b, 7a, Atypical than with domestic infection. Of the TR cases, 88.9% were associated with travel to the Caribbean and Mexico region, of whom 90.1% reported staying on a resort. Within this region, there were distinct associations between PTs and countries. Conclusions There is a large burden of TR illness from SE in Ontario. Accurate classification of cases by travel history is important to better understand the source of infections. The findings emphasize the need to make travellers, especially to the Caribbean, and health professionals who provide advice to

Clinical Telemedicine Utilization in Ontario over the Ontario Telemedicine Network.

Science.gov (United States)

O'Gorman, Laurel D; Hogenbirk, John C; Warry, Wayne

2016-06-01

Northern Ontario is a region in Canada with approximately 775,000 people in communities scattered across 803,000 km(2). The Ontario Telemedicine Network (OTN) facilitates access to medical care in areas that are often underserved. We assessed how OTN utilization differed throughout the province. We used OTN medical service utilization data collected through the Ontario Health Insurance Plan and provided by the Ministry of Health and Long Term Care. Using census subdivisions grouped by Northern and Southern Ontario as well as urban and rural areas, we calculated utilization rates per fiscal year and total from 2008/2009 to 2013/2014. We also used billing codes to calculate utilization by therapeutic area of care. There were 652,337 OTN patient visits in Ontario from 2008/2009 to 2013/2014. Median annual utilization rates per 1,000 people were higher in northern areas (rural, 52.0; urban, 32.1) than in southern areas (rural, 6.1; urban, 3.1). The majority of usage in Ontario was in mental health and addictions (61.8%). Utilization in other areas of care such as surgery, oncology, and internal medicine was highest in the rural north, whereas primary care use was highest in the urban south. Utilization was higher and therapeutic areas of care were more diverse in rural Northern Ontario than in other parts of the province. Utilization was also higher in urban Northern Ontario than in Southern Ontario. This suggests that telemedicine is being used to improve access to medical care services, especially in sparsely populated regions of the province.

Report of a Study of Ontario Medical School Admissions Policies and Practices, 1975.

Science.gov (United States)

Council of Ontario Universities, Toronto.

Presented are the results of a study of admissions policies and practices in the five Ontario schools of medicine. The study consists of a review of published information and a detailed examination of 1975 statistics from the Ontario Medical School Application Service, supplemented by a series of interviews with medical school admissions officers,…

Methodology Series Module 2: Case-control Studies.

Science.gov (United States)

Setia, Maninder Singh

2016-01-01

Case-Control study design is a type of observational study. In this design, participants are selected for the study based on their outcome status. Thus, some participants have the outcome of interest (referred to as cases), whereas others do not have the outcome of interest (referred to as controls). The investigator then assesses the exposure in both these groups. The investigator should define the cases as specifically as possible. Sometimes, definition of a disease may be based on multiple criteria; thus, all these points should be explicitly stated in case definition. An important aspect of selecting a control is that they should be from the same 'study base' as that of the cases. We can select controls from a variety of groups. Some of them are: General population; relatives or friends; and hospital patients. Matching is often used in case-control control studies to ensure that the cases and controls are similar in certain characteristics, and it is a useful technique to increase the efficiency of the study. Case-Control studies can usually be conducted relatively faster and are inexpensive - particularly when compared with cohort studies (prospective). It is useful to study rare outcomes and outcomes with long latent periods. This design is not very useful to study rare exposures. Furthermore, they may also be prone to certain biases - selection bias and recall bias.

An overview of quality control practices in Ontario with particular reference to cholesterol analysis.

Science.gov (United States)

Krishnan, S; Webb, S; Henderson, A R; Cheung, C M; Nazir, D J; Richardson, H

1999-03-01

The Laboratory Proficiency Testing Program (LPTP) assesses the analytical performance of all licensed laboratories in Ontario. The LPTP Enzymes, Cardiac Markers, and Lipids Committee conducted a "Patterns of Practice" survey to assess the in-house quality control (QC) practices of laboratories in Ontario using cholesterol as the QC paradigm. The survey was questionnaire-based seeking information on statistical calculations, software rules, review process and data retention, and so on. Copies of the in-house cholesterol QC graphs were requested. A total of 120 of 210 laboratories were randomly chosen to receive the questionnaires during 1995 and 1996; 115 laboratories responded, although some did not answer all questions. The majority calculate means and standard deviations (SD) every month, using anywhere from 4 to >100 data points. 65% use a fixed mean and SD, while 17% use means calculated from the previous month. A few use a floating or cumulative mean. Some laboratories that do not use fixed means use a fixed SD. About 90% use some form of statistical quality control rules. The most common rules used to detect random error are 1(3s)/R4s while 2(2s)/4(1s)/10x are used for systematic errors. About 20% did not assay any QC at levels >5.5 mmol/L. Quality control data are reviewed daily (technologists), weekly and monthly (supervisors/directors). Most laboratories retain their QC records for up to 3 years on paper and magnetic media. On some QC graphs the mean and SD, QC product lot number, or reference to action logs are not apparent. Quality control practices in Ontario are, therefore, disappointing. Improvement is required in the use of clinically appropriate concentrations of QC material and documentation on QC graphs.

A Population-based Study of the Fractionation of Palliative Radiotherapy for Bone Metastasis in Ontario

International Nuclear Information System (INIS)

Kong, Weidong; Zhang-Salomons, Jina; Hanna, Timothy P.; Mackillop, William J.

2007-01-01

Purpose: To describe the use of palliative radiotherapy (PRT) for bone metastases in Ontario between 1984 and 2001 and identify factors associated with the choice of fractionation. Methods and Materials: Electronic RT records from the nine provincial RT centers in Ontario were linked to the Ontario Cancer Registry to identify all courses of PRT for bone metastases. Results: Between 1984 and 2001, 44,884 patients received 74,432 courses of PRT for bone metastases in Ontario. The mean number of courses per patient was 1.7, and 65% of patients received only a single course of PRT for bone metastasis. The mean number of fractions per course was 3.9. The proportion of patients treated with a single fraction increased from 27.2% in 1984-1986 to 40.3% in 1987-1992 and decreased thereafter. Single fractions were used more frequently in patients with a shorter life expectancy, in older patients, and in patients who lived further from an RT center. Single fractions were used more frequently when the prevailing waiting time for RT was longer. There were wide variations in the use of single fractions among the different RT centers (intercenter range, 11.8-62.3%). Intercenter variations persisted throughout the study period and were not explained by differences in case mix. Conclusions: Despite increasing evidence of the effectiveness of single-fraction PRT for bone metastases, most patients continued to receive fractionated PRT throughout the two decades of this study. Single fractions were used more frequently when waiting times were longer. There was persistent, unexplained variation in the fractionation of PRT among different centers

Ontario Hydro decontamination experience

Energy Technology Data Exchange (ETDEWEB)

Lacy, C S; Patterson, R W; Upton, M S [Chemistry and Metallurgy Department, Central Production Services, Ontario Hydro, ON (Canada)

1991-04-01

Ontario Hydro currently operates 18 nuclear electric generating units of the CANDU design with a net capacity of 12,402 MW(e). An additional 1,762 MW(e) is under construction. The operation of these facilities has underlined the need to have decontamination capability both to reduce radiation fields, as well as to control and reduce contamination during component maintenance. This paper presents Ontario Hydro decontamination experience in two key areas - full heat transport decontamination to reduce system radiation fields, and component decontamination to reduce loose contamination particularly as practised in maintenance and decontamination centres. (author)

Ontario Hydro decontamination experience

International Nuclear Information System (INIS)

Lacy, C.S.; Patterson, R.W.; Upton, M.S.

1991-01-01

Ontario Hydro currently operates 18 nuclear electric generating units of the CANDU design with a net capacity of 12,402 MW(e). An additional 1,762 MW(e) is under construction. The operation of these facilities has underlined the need to have decontamination capability both to reduce radiation fields, as well as to control and reduce contamination during component maintenance. This paper presents Ontario Hydro decontamination experience in two key areas - full heat transport decontamination to reduce system radiation fields, and component decontamination to reduce loose contamination particularly as practised in maintenance and decontamination centres. (author)

Final report to the Atomic Energy Control Board on project management capabilities using NAOP as a case study

International Nuclear Information System (INIS)

Masters, P.

1998-01-01

The purpose of this report is to identify practices of the Atomic Energy Control Board that support or detract from the implementation of collaborative cross-functional project management and to recommend ways and means of increasing the Board's ability to respond to projects. Ontario Hydro's Nuclear Asset Optimization Program (NAOP) and the Board's response to that program form the basis of a case study for the purposes of this report. Issues examined include: Whether the Board follows a logical project management framework when it addresses projects such as the NAOP; where the Board exhibits good practices in addressing project such as the NAOP; and where the Board needs to develop better practices

Case-control studies in diabetes. Do they really use a case-control design?

Science.gov (United States)

Ramos, Analía; Mendoza, Lilian Cristina; Rabasa, Fernanda; Bolíbar, Ignasi; Puig, Teresa; Corcoy, Rosa

2017-07-01

Studies defined as case-control do not always use this design. We aimed to estimate the frequency of mislabelled case-control studies in published articles in the area of diabetes and to identify the predictors of incorrect labelling. We searched Medline and Web of Science for articles with "diabetes" and "case control" in title and filtered for language (English/Romance) and period (January 2010-December 2014). Inclusion criteria were: (1) statement to use a case-control design in title, (2) to be a final full-length publication and (3) to have original data in the area of diabetes. Three independent reviewers went through titles, looked for full texts and reviewed them. Discrepancies were settled with a fourth reviewer. Expert epidemiologist advice was requested in case of doubt. case-control mislabelling; addressed predictors: publication year, journal impact factor and journal subject. proportion of mislabelled CC articles and assessment of predictors by multivariate logistic regression analysis. We retrieved 362 articles, 251 of them fulfilling inclusion criteria. The proportion of mislabelled CC studies was 43.8% (confidence interval 95% 37.7-50.0%). Most mislabelled studies had a cross-sectional design (82.7%). Predictors of mislabelling were publication year, journal impact factor and journal area. A relevant subset of studies defined as case-control in the area of diabetes correspond to mislabelled cross-sectional studies. Incorrect labelling misleads readers regarding the interpretation of results and the cause-effect hypothesis. Researchers, reviewers and editors should be aware of and commit to settle this issue.

Politics of environmental regulation: acid rain in Ontario

Energy Technology Data Exchange (ETDEWEB)

Hogarth Wood, G P

1984-01-01

This study looks at the case of the Ontario government and Inco Limited in order to explain political responses to the acid rain issue and to generalize about the dynamics of environmental regulation. Existing accounts of the acid rain situation neglect a systematic explanation of the political processes that guide the selection of policy. This reflects a tendency in Canadian public policy analysis generally. Most literature in this field is both apolitical and atheoretical. In addition, most models of public policy focus attention on a narrow range of policy determinants, making the models inappropriate as exclusive guides for public policy analysis. This study follows an approach that assumes that no variable can, a priori, be viewed as the primary determinant of a policy choice. Instead, relevant features of the economic, social, and political environment surrounding the policy process have to be examined in addition to that process itself. Accordingly, a number of potential influences on the acid rain policy outcome in Ontario are explored: the economic structure of Ontario, political-geographic factors, the role of science and technology, political power in the province, political values and attitudes, the institutional structure of Ontario politics, and finally, the policy process itself. This exercise points to the overriding influence of the political system environment, particularly the economic structure of the province, in explaining the policy choice. The findings of this study can be extended to explain regulatory responses to the issue in other political jurisdictions.

A case-control study of support/opposition to wind turbines: Perceptions of health risk, economic benefits, and community conflict

International Nuclear Information System (INIS)

Baxter, Jamie; Morzaria, Rakhee; Hirsch, Rachel

2013-01-01

Despite considerable quantitative case study research on communities living with turbines, few have studied the roles played by the perceptions of: health risk, economic benefits/fairness, and intra-community conflict. We report the findings from a case-control survey which compares residents living with/without turbines in their community to understand the relative importance of these variables as predictors of turbine support. Ontario is the context for this study as it is a place where the pace of turbine installations is both very high and extremely politicized. As expected 69% of residents in the case community would vote in favour of local turbines yet surprisingly, only 25% would do so in the control community. Though the literature suggests that aesthetic preferences best predict turbine support the key predictors in this study are: health risk perception, community benefits, general community enhancement, and a preference for turbine-generated electricity. Concern about intra-community conflict is high in both the case (83%) and control (85%) communities as is concern about the fairness of local economic benefits (56% and 62%, respectively); yet neither is significant in the models. We discuss the implications of these findings particularly in terms of the consequences of a technocratic decide-announce-defend model of renewable facility siting. - Highlights: • We compare turbine support in a community living with turbines against a matched control. • We include health risk perception, economic benefits, and community conflict as predictors. • Turbine support is highest in the turbine community and surprisingly low in the control. • Health risk perception and economic benefits consistently predict turbine support. • Economic benefits distribution and conflict are important, but not consistent predictors

Expanding the epidemiologic profile: risk factors for active tuberculosis in people immigrating to Ontario

Science.gov (United States)

Wobeser, Wendy L.; Yuan, Lilian; Naus, Monika; Corey, Paul; Edelson, Jeff; Heywood, Neil; Holness, D. Linn

2000-01-01

Background Many people immigrating to Canada come from countries with a high burden of tuberculosis. The aim of this study was to develop a detailed epidemiologic profile of foreign-born people with tuberculosis living in Ontario. Methods In this population-based case-control study, cases of tuberculosis diagnosed in 1994-1995 were identified from the database of the Ontario Reportable Disease Information Service and were considered eligible for analysis if a record of landing (receipt of permission to establish residence in Canada) from the period 1986-1995 was found in the Citizenship and Immigration Canada (CIC) database, if the person was at least 11 years of age at the time their visa was issued, and if the person had not been diagnosed with tuberculosis before becoming legally landed in Canada. Control subjects, who met the same criteria as the case subjects but who did not have tuberculosis in 1994-1995, were identified from a CIC database for landed immigrants. Results A total of 1341 cases of tuberculosis in foreign-born people were reported in Ontario in 1994-1995. A record of landing was found in CIC databases for 1099 of these people, 224 of whom were not legally landed at the time of diagnosis. In total, 602 cases met the inclusion criteria. The 2 strongest determinants of risk among those who had become landed within the preceding 10 years were referral for medical surveillance by immigration officials (odds ratio [OR] 3.8, 95% confidence interval [CI] 2.6-6.0) and world region of origin (Somalia [OR 67.7, 95% CI 31.3-154.9], Vietnam [OR 25.0, 95% CI 12.5-50.0], the Philippines [OR 11.9, 95% CI 6.0-23.3], other sub-Saharan African countries [OR 11.6, 95% CI 5.7-23.2], India [OR 9.7, 95% CI 4.9-18.9], China [OR 6.1, 95% CI 3.1-12.1], other Asian countries [OR 4.7, 95% CI 2.4-9.1], the Middle East [OR 4.1, 95% CI 2.0-8.3], Latin America [OR 1.9, 95% CI 0.9-3.8), and the former socialist countries of Europe [OR 1.8, 95% CI 0.8-3.8]; the reference

Accounting for control mislabeling in case-control biomarker studies.

Science.gov (United States)

Rantalainen, Mattias; Holmes, Chris C

2011-12-02

In biomarker discovery studies, uncertainty associated with case and control labels is often overlooked. By omitting to take into account label uncertainty, model parameters and the predictive risk can become biased, sometimes severely. The most common situation is when the control set contains an unknown number of undiagnosed, or future, cases. This has a marked impact in situations where the model needs to be well-calibrated, e.g., when the prediction performance of a biomarker panel is evaluated. Failing to account for class label uncertainty may lead to underestimation of classification performance and bias in parameter estimates. This can further impact on meta-analysis for combining evidence from multiple studies. Using a simulation study, we outline how conventional statistical models can be modified to address class label uncertainty leading to well-calibrated prediction performance estimates and reduced bias in meta-analysis. We focus on the problem of mislabeled control subjects in case-control studies, i.e., when some of the control subjects are undiagnosed cases, although the procedures we report are generic. The uncertainty in control status is a particular situation common in biomarker discovery studies in the context of genomic and molecular epidemiology, where control subjects are commonly sampled from the general population with an established expected disease incidence rate.

Ontario Power Authority district energy research report : final report

International Nuclear Information System (INIS)

2010-02-01

This paper presented an analysis of the technical and economic characteristics of district energy in Ontario. The market context for district energy was evaluated, and institutional issues that may influence the future development and operation of district energy systems in Ontario were explored. Technical, economic, and environmental analyses of district energy based on different neighbourhood sizes, types, and district energy systems were presented. Three case studies were included to demonstrate real world district energy applications. A set of interviews conducted with representatives of the province's district energy supply chain was also provided in order to provide a framework for district energy opportunities and challenges within the province. 22 tabs., 16 figs.

Selling from Ontario into the U.S. midwest

International Nuclear Information System (INIS)

Green, B.

2002-01-01

The market structure of the Midwest Independent System Operator (MISO) for the electric power grid was described with reference to physical bilateral markets, multi-control areas, and MISO services such as security coordination, congestion management, billing, generator interconnections, tariff administration, energy imbalance, market monitoring, and electronic scheduling. The drivers impacting MISO development include MISO-PJM-SPP common market initiative, the FERC Standard Market Design initiative, the integration of alliance companies with MISO, and the division of functional responsibilities between RTOs and ITCs. The characteristics of the Michigan market were described, along with participation in the midwest (Ohio and Michigan) wholesale and retail markets. It was noted that in order for Ontario to sell to the midwest, the Ontario market design would need a successful export bid each hour to get power out of the province. Sales of ancillary services from Ontario-based generation are not permitted in the initial Ontario market design. Energy and transmission is currently bundled in Ontario tariffs. 1 fig

Selling from Ontario into the U.S. midwest

Energy Technology Data Exchange (ETDEWEB)

Green, B. [Ontario Power Generation Inc., Toronto, ON (Canada)

2002-07-01

The market structure of the Midwest Independent System Operator (MISO) for the electric power grid was described with reference to physical bilateral markets, multi-control areas, and MISO services such as security coordination, congestion management, billing, generator interconnections, tariff administration, energy imbalance, market monitoring, and electronic scheduling. The drivers impacting MISO development include MISO-PJM-SPP common market initiative, the FERC Standard Market Design initiative, the integration of alliance companies with MISO, and the division of functional responsibilities between RTOs and ITCs. The characteristics of the Michigan market were described, along with participation in the midwest (Ohio and Michigan) wholesale and retail markets. It was noted that in order for Ontario to sell to the midwest, the Ontario market design would need a successful export bid each hour to get power out of the province. Sales of ancillary services from Ontario-based generation are not permitted in the initial Ontario market design. Energy and transmission is currently bundled in Ontario tariffs. 1 fig.

Examining the Relationship between Economic Hardship and Child Maltreatment Using Data from the Ontario Incidence Study of Reported Child Abuse and Neglect-2013 (OIS-2013

Directory of Open Access Journals (Sweden)

Rachael Lefebvre

2017-02-01

Full Text Available There is strong evidence that poverty and economic disadvantage are associated with child maltreatment; however, research in this area is underdeveloped in Canada. The purpose of this paper is to examine the relationship between economic hardship and maltreatment for families and children identified to the Ontario child protection system for a maltreatment concern. Secondary analyses of the Ontario Incidence Study of Reported Child Abuse and Neglect-2013 (OIS-2013 were conducted. The OIS-2013 examines the incidence of reported maltreatment and the characteristics of children and families investigated by child welfare authorities in Ontario in 2013. Descriptive and bivariate chi-square analyses were conducted in addition to a logistic regression predicting the substantiation of maltreatment. In 9% of investigations, the household had run out of money for food, housing, and/or utilities in the past 6 months. Children in these households were more likely to have developmental concerns, academic difficulties, and caregivers with mental health concerns and substance use issues. Controlling for key clinical and case characteristics, children living in families facing economic hardship were almost 2 times more likely to be involved in a substantiated maltreatment investigation (OR = 1.91, p < 0.001. The implications in regard to future research and promoting resilience are discussed.

Thyroid cancer incidence among Asian immigrants to Ontario, Canada: A population-based cohort study.

Science.gov (United States)

Shah, Baiju R; Griffiths, Rebecca; Hall, Stephen F

2017-09-01

The highest rates of thyroid cancer are observed in Pacific Island nations as well as Australia and Asian countries bordering the Pacific. The objective of this study was to determine the risk for thyroid cancer among immigrants to Canada from Southeast and East Asia compared with immigrants from other regions and nonimmigrants. This was a population-based, longitudinal cohort study using health care administrative data to examine all residents of Ontario without pre-existing thyroid cancer. Individuals were followed from January 1997 or 5 years after they became eligible for health care coverage in Ontario, whichever came later. Patients were followed until March 2015 for incident-differentiated thyroid cancer, and then for recurrence. The study followed 14,659,733 individuals for a median of 17 years. Thyroid cancer incidence was 43.8 cases per 100,000 person-years among Southeast Asian immigrants, 28.6 cases per 100,000 person-years among East Asian immigrants, 21.5 cases per 100,000 person-years among other immigrants, and 14.5 cases per 100,000 person-years among nonimmigrants. Incidence was highest among immigrants from the Philippines (52.7 cases per 100,000 person-years), South Korea (33.5 cases per 100,000 person-years), and China (30.0 cases per 100,000 person-years). Adjusted hazard ratios for thyroid cancer compared with nonimmigrants were 2.66 (95% confidence interval, 2.48-2.84) for Southeast Asian immigrants, 1.87 (95% confidence interval, 1.75-2.00) for East Asian immigrants, and 1.51 (95% confidence interval, 1.45-1.57) for other immigrants. Immigrants were more likely to have papillary histology and stage I cancer. East Asian immigrants, but not Southeast Asian immigrants, had a lower risk of recurrence (hazard ratio, 0.73 [95% confidence interval, 0.57-0.94] and 1.01 [95% confidence interval, 0.81-1.26], respectively). Immigrants from Southeast and East Asia had markedly higher thyroid cancer incidence than nonimmigrants. At particularly elevated

Ontario energy review

International Nuclear Information System (INIS)

1990-03-01

This publication provides a review of the developments in Ontario in relation to the national and international energy scene. Ontario is the largest energy consumer in Canada and is highly dependent on external energy sources. Several developments have significantly altered the Ontario energy scene. Oil and gas markets have become deregulated and market forces increasingly determine prices. A free trade agreement with the United States makes Ontario even more affected by international markets. Oil and gas prices have fallen from the high levels of the 1980s, but energy efficiency and conservation continue to be extremely important because they affect economic performance and the environment. In the next few years the greatest challenges will be to continue improving energy efficiency, to reduce the impact of energy on the environment, and to ensure the availability of sufficient energy supplies for future needs. This review contains statistics on energy in Ontario and explains them for the non-specialist. (7 tabs., figs.)

Ontario Hydro's nuclear program

International Nuclear Information System (INIS)

McCredie, J.

1984-01-01

This report briefly describes Ontario Hydro's nuclear program, examining the design and construction status, and the future from Ontario Hydro's perspective. Ontario Hydro relies heavily on nuclear power. Nuclear fuel was responsible for approximately 34% of Ontario Hydro's energy production in 1983. The nuclear proportion was supplied by twelve operating units located: NPD, Douglas Point, Pickering A and B. It is expected that by approximately 1992, 65% of the total energy needs will be generated through nuclear power

Expanding exports, increasing smog : Ontario Power Generation's and Hydro One's strategies to continue coal-fired electricity generation in Ontario

International Nuclear Information System (INIS)

Gibbons, J.

2002-06-01

The production of coal-fired electricity increased by approximately 150 per cent in Ontario between 1995 and 2000. As a result, the smog-causing emissions generated by the five coal-fired power plants operated by Ontario Power Generation caused an increase in smog and worsened air quality in the province as well as affecting air quality as far afield as the Atlantic provinces. Between 2002 and 2005, it is expected that the Pickering and Bruce nuclear plants will be returned to service, making the electricity generated by the coal plants surplus to Ontario's needs. Increasing this surplus are the planned natural gas generating stations. Ontario Power Generation is planning on using this surplus to export it to the United States rather than phasing out its reliance on coal. The increase in exports to the United States Northeast and Midwest is planned with Hydro One, already busy increasing its transmission capacity to the United States by 1,000 megawatt (MW). This plan involves laying 975 MW submarine cable from the Nanticoke Generating Station (operated by Ontario Power Generation) under Lake Erie to Pennsylvania, Ohio, or both states. At the moment, the exports are constrained by the government emissions limits imposed by the Ontario government on sulphur dioxide and nitrogen oxides. This constraint could be removed if Ontario Power Generation decides to pay further for pollution controls for sulphur dioxide and nitrogen oxides at its coal stations. Unfortunately, increasing the exports would also result in emissions increases for 28 other uncapped pollutants such as lead, mercury and arsenic. The author recommended that the Ontario government ban non-emergency coal-fired electricity exports to improve air quality in the province. refs., 8 figs

An Outbreak of Foodborne Botulism in Ontario

Directory of Open Access Journals (Sweden)

Mona R Loutfy

2003-01-01

Full Text Available Botulism is a rare paralytic illness resulting from a potent neurotoxin produced by Clostridium botulinum. Botulism in Canada is predominately due to C botulinum type E and affects mainly the First Nations and Inuit populations. The most recent outbreak of botulism in Ontario was in Ottawa in 1991 and was caused by C botulinum type A. We report an outbreak of foodborne type B botulism in Ontario, which implicated home-canned tomatoes. The outbreak was characterized by mild symptoms in two cases and moderately severe illness in one case. The investigation shows the importance of considering the diagnosis of botulism in patients presenting with cranial nerve and autonomic dysfunction, especially when combined with gastrointestinal complaints; it also highlights the importance of proper home canning technique.

Social Media for Enhancing Stakeholders' Innovation Networks in Ontario, Canada

NARCIS (Netherlands)

Kaushik, Pawandeep; Chowdhuy, Ataharul; Hambly Odame, Helen; Passen, van Annemarie

2018-01-01

This case study assessed local food stakeholders' use of Facebook and Twitter to support interaction and build their networks of innovation in Ontario. Data were collected using Netlytic − an online data mining tool from the social media platforms − and key informant interviews. Findings revealed

Serological studies on the infection of dogs in Ontario with Borrelia burgdorferi, the etiological agent of Lyme disease

Science.gov (United States)

Artsob, Harvey; Barker, Ian K.; Fister, Richard; Sephton, Gregory; Dick, Daryl; Lynch, John A.; Key, Doug

1993-01-01

A serological study was undertaken to determine whether dogs in Ontario are being exposed to Borrelia burgdorferi, the etiological agent of Lyme disease. This study consisted of a survey of randomly selected dogs and testing of diagnostic submissions from candidate Lyme disease cases. The survey of 1,095 dogs, bled between January 1988 and August 1989, revealed a total of 65 (5.9%) enzyme-linked immunosorbent assay (ELISA) reactors, of which 22 had immuno-fluorescent antibody assay (IFA) titers ≥1:32. All but one of the IFA-positive and 10 of the ELISA-positive, IFA-negative sera were further tested by western blot. Eight western blot positive and three equivocal reactors were obtained. Three of the eight confirmed reactors had visited areas known to be endemic for Lyme disease, leaving five reactors that might have been infected in previously undocumented areas for B. burgdorferi activity in Ontario. Diagnostic submissions of sera from 223 dogs were received between August 1987 and February 1992. Test results revealed 21 (9.4%) IFA reactors, of which only six had significant titers (≥1:256) and were reactive by an immunodot Borrelia test. All six dogs had travelled to known Lyme endemic areas. Based on results obtained from this study, it seems likely that the agent of Lyme disease is not widespread in Ontario. PMID:17424284

Ontario Hydro annual report 1985

International Nuclear Information System (INIS)

1986-04-01

Ontario Hydro is a corporation without share capital created by a special statute of the Province of Ontario in 1906. It now operates under the authority of the Power Corporation Act, R.S.O. 1980, Chapter 384, as amended, with broad powers to generate, supply and deliver electric power throughout the province. It is also authorized to produce and sell steam and hot water as primary products. The Corporation's prime objective is to supply the people of Ontario with electricity at the lowest feasible cost consistent with high safety and quality of service standards. Ontario Hydro's main activity is wholesaling electric power to municipal utilities in urban areas who, in turn, retail it to customers in their service areas. In 1985, approximately 3,166,000 customers were served by Ontario Hydro and the municipal utilities in the province. Ontario Hydro operates 81 hydraulic, fossil and nuclear generating stations and an extensive power grid across Ontario to meet the province's demands for electric energy. Interconnections with other systems place the Corporation in an extensive electrical grid that covers a large segment of the North American continent. Ontario Hydro is a financially self-sustaining corporation. The Province of Ontario guarantees bonds and notes issued to the public by the Corporation

The safety of Ontario's nuclear power reactors. A scientific and tecnical review. Vol. 1: Report to the Minister, technical report and annexes

International Nuclear Information System (INIS)

Hare, F.K.

1988-01-01

In December 1986 a study of the safety of the design, operating procedures and emergency plans associated with Ontario Hydro's nuclear generating plants was commissioned by the government of the province of Ontario. After receiving briefs from many interested groups and individuals, visiting the power plants, and consulting with nuclear industry and regulatory representatives in Canada and other countries, the commissioner presented this report to the Minister of Energy for Ontario. His major conclusion is that Ontario Hydro reactors are being operated safely and at high standards of technical performance. No significant adverse impact has been detected in either the work force or the public. The risk of accidents serious enough to affect the public adversely can never be zero, but is very remote. Major recommendations are that: Ontario Hydro re-examine its operational organization closely and commission a study of factors affecting human performance; and, that priority be given to finding a solution to pressure tube performance problems and to improving in-reactor monitoring. Sixteen other recommendations are presented relating to research and development, information exchange with other organizations, reactor performance, training, severe accident analysis, the provincial nuclear emergency plan, epidemiological studies, the Atomic Energy Control Board, public hearings, and women in the nuclear industry. This volume contains a detailed technical analysis of the CANDU system, its associated safety procedures, emergency measures required in the case of a nuclear accident, and regulation of the Canadian nuclear industry. Annexes provide further details on the operation of the Ontario Nuclear Safety Review

Energy, cost, and emission end-use profiles of homes: An Ontario (Canada) case study

International Nuclear Information System (INIS)

Aydinalp Koksal, Merih; Rowlands, Ian H.; Parker, Paul

2015-01-01

Highlights: • Hourly electricity consumption data of seven end-uses from 25 homes are analyzed. • Hourly load, cost, and emission profiles of end-uses are developed and categorized. • Side-by-side analysis of energy, cost, and environmental effects is conducted. • Behaviour and outdoor temperature based end-uses are determined. • Share of each end-use in the total daily load, cost, and emission is determined. - Abstract: Providing information on the temporal distributions of residential electricity end-uses plays a major role in determining the potential savings in residential electricity demand, cost, and associated emissions. While the majority of the studies on disaggregated residential electricity end-use data provided hourly usage profiles of major appliances, only a few of them presented analysis on the effect of hourly electricity consumption of some specific end-uses on household costs and emissions. This study presents side-by-side analysis of energy, cost, and environment effects of hourly electricity consumption of the main electricity end-uses in a sample of homes in the Canadian province of Ontario. The data used in this study are drawn from a larger multi-stakeholder project in which electricity consumption of major end-uses at 25 homes in Milton, Ontario, was monitored in five-minute intervals for six-month to two-year periods. In addition to determining the hourly price of electricity during the monitoring period, the hourly carbon intensity is determined using fuel type hourly generation and the life cycle greenhouse gas intensities specifically determined for Ontario’s electricity fuel mix. The hourly load, cost, and emissions profiles are developed for the central air conditioner, furnace, clothes dryer, clothes washer, dishwasher, refrigerator, and stove and then grouped into eight day type categories. The side-by-side analysis of categorized load, cost, and emission profiles of the seven electricity end-uses provided information on

34. annual conference Ontario Petroleum Institute

International Nuclear Information System (INIS)

1995-01-01

A total of 18 papers, dealing with a variety of issues relevant to the petroleum industry, such as marketing strategies, feasibility studies and exploration technologies, were combined in this volume of proceedings of the 34th annual conference of the Ontario Petroleum Institute. Some of the papers presented case studies of hydrocarbon reserves in North America, along with their depositional histories. Oil yields and resource potential of fractured reservoirs was the subject of some presentations. Studies of cores from drilling sites and complete stratigraphic columns of some oil fields were also presented. (Papers are paged individually). refs., tabs., figs

Market surveillance in Ontario

International Nuclear Information System (INIS)

Chandler, H.

2002-01-01

On May 1, 2002 both wholesale and retail electricity markets in Ontario were opened to competition. Wholesale electricity market sales of 150 TWh were valued at over $11 billion with 27,500 MW in service installed capacity and 4,000 to 6,000 MW import/export capability with strong interconnections to the Quebec, the Midwest and the Northeast. The key players in Ontario's electricity market are the Ontario Energy Board (OEB), the Independent Electricity Market Operator (IMO), Ontario Power Generation, and Hydro One. The OEB regulatory framework includes licensing and front line, daily monitoring of whole sale market. Serious capacity problems in Ontario have manifested themselves in tight supply and demand situations and highly volatile prices. The paper included graphs of available reserves for 1996 to 2002, HOEP trends and frequency, HOEP comparison, and a sensitivity to demand forecast. 1 tab., 6 figs

Nuclear power at Ontario Hydro

International Nuclear Information System (INIS)

Tapon, F.; Osborne, T.J.

1980-01-01

This case study shows that the diffusion of nuclear power in the electric public utility industry in Canada approximates the logistic growth curve, in agreement with previous results on technological innovation diffusion in the U.S. private sector. Many of the economic variables that affect this diffusion in the private sectors in the U.S. and Canada are also significant in the public sector in Canada. Too few utilities have adopted nuclear technology to permit using regression analysis to study the effect of environmental and regulatory factors on the growth of Ontario Hydro. Thus, cost-benefit analysis for each province might be more effective

Serological studies on the infection of dogs in Ontario with Borrelia burgdorferi, the etiological agent of Lyme disease

OpenAIRE

Artsob, Harvey; Barker, Ian K.; Fister, Richard; Sephton, Gregory; Dick, Daryl; Lynch, John A.; Key, Doug

1993-01-01

A serological study was undertaken to determine whether dogs in Ontario are being exposed to Borrelia burgdorferi, the etiological agent of Lyme disease. This study consisted of a survey of randomly selected dogs and testing of diagnostic submissions from candidate Lyme disease cases. The survey of 1,095 dogs, bled between January 1988 and August 1989, revealed a total of 65 (5.9%) enzyme-linked immunosorbent assay (ELISA) reactors, of which 22 had immuno-fluorescent antibody assay (IFA) tite...

Is there a future for coal in Ontario?

International Nuclear Information System (INIS)

Davies, G.

2004-01-01

This PowerPoint presentation examined the efficacy of a governmental decision in 2003 to close all Ontario coal stations by 2007. Coal currently represents one quarter of Ontario's energy and capacity. Projected supply and demand gaps for Ontario were presented for up to 2020. Ontario's supply options were outlined. It was noted that between $30 and $40 billion in investment in the electricity sector will be needed over the next 10 to 15 years. It was observed that closing coal plants may reduce pollution by 6 per cent at a cost of $2 billion. More than half the smog affecting Ontario comes from the United States, while much of the remaining half is caused by transportation emissions. Details of energy strategies related to coal in the United States were discussed. New coal power plant technologies include supercritical combustion; advanced air pollution control; circulating fluidized bed combustion and integrated coal gasification combined cycles. Coal power plant performance criteria were presented. Various research programs in the United States were reviewed, and roadmap performance targets were presented. It was concluded that high prices and uncertainty for natural gas fired options may reinforce views on the need to rethink coal closures. A strategy was recommended in which Ontario pursued economic options for reducing emissions across all sectors. New investments in latest and best technology for emissions reduction in Ontario's coal-fired stations were recommended, as well as a North American agreement on clean air, and increased Canadian participation in U.S. technology development efforts for clean coal and zero emissions plants by 2025. tabs., figs

Ontario's Clean Air Action Plan : protecting environmental and human health in Ontario

International Nuclear Information System (INIS)

2004-01-01

Ontario's Clean Air Action Plan was launched in June 2000 in an effort to improve air quality and comply with the Canada-Wide Standards for Particulate Matter and Ozone. This paper describes Ontario's approach to reducing smog. Smog-related air pollution is linked to health problems such as premature death, respiratory and heart problems. Smog also contributes to environmental problems such as damage to forests, agricultural crops and natural vegetation. The two main ingredients of smog are ground level ozone and particulate matter. In order to reduce the incidence of smog, the following four key smog-causing pollutants must be reduced: nitrogen oxides, volatile organic compounds, sulphur dioxide and particular matter. This paper includes the 2001 estimates for Ontario's emissions inventory along with Ontario's smog reduction targets. It was noted that approximately half of all smog in Ontario comes from sources in the midwestern United States. The province of Ontario is committed to replacing coal-fired power plants with cleaner sources of energy. It is also considering emission caps for key industrial sectors. The key players in reducing smog include municipalities, industry, individuals, the federal government and programs that reduce emissions in the United States. 3 figs., 8 tabs., 1 appendix

Hospital visitors as controls in case-control studies

Directory of Open Access Journals (Sweden)

Gulnar Azevedo S Mendonça

2001-10-01

Full Text Available OBJECTIVE: Selecting controls is one of the most difficult tasks in the design of case-control studies. Hospital controls may be inadequate and random controls drawn from the base population may be unavailable. The aim was to assess the use of hospital visitors as controls in a case-control study on the association of organochlorinated compounds and other risk factors for breast cancer conducted in the main hospital of the "Instituto Nacional de Câncer" -- INCA (National Cancer Institute in Rio de Janeiro (Brazil. METHODS: The study included 177 incident cases and 377 controls recruited among female visitors. Three different models of control group composition were compared: Model 1, with all selected visitors; Model 2, excluding women visiting relatives with breast cancer; and Model 3, excluding all women visiting relatives with any type of cancer. Odds ratios (OR and 95% confidence intervals were calculated to test the associations. RESULTS: Age-adjusted OR for breast cancer associated with risk factors other than family history of cancer, except smoking and breast size, were similar in the three models. Regarding family history of all cancers, except for breast cancer, there was a decreased risk in Models 1 and 2, while in Model 3 there was an increased risk, but not statistically significant. Family history of breast cancer was a risk factor in Models 2 and 3, but no association was found in Model 1. In multivariate analysis a significant risk of breast cancer was found when there was a family history of breast cancer in Models 2 and 3 but not in Model 1. CONCLUSIONS: These results indicate that while investigating risk factors unrelated to family history of cancer, the use of hospital visitors as controls may be a valid and feasible alternative.

Optimization of biofuel production from corn stover under supply uncertainty in Ontario

Directory of Open Access Journals (Sweden)

Jonathan Ranisau

2017-12-01

Full Text Available In this paper, a biofuel production supply chain optimization framework is developed that can supply the fuel demand for 10% of Ontario. Different biomass conversion technologies are considered, such as pyrolysis and gasification and subsequent hydro processing and the Fischer-Tropsch process. A supply chain network approach is used for the modeling, which enables the optimization of both the biorefinery locations and the associated transportation networks. Gasification of corn stover is examined to convert waste biomass into valuable fuel. Biomass-derived fuel has several advantages over traditional fuels including substantial greenhouse gas reduction, generating higher quality synthetic fuels, providing a use for biomass waste, and potential for use without much change to existing infrastructure. The objective of this work is to show the feasibility of the use of corn stover as a biomass feedstock to a hydrocarbon biofuel supply chain in Ontario using a mixed-integer linear programming model while accounting for the uncertainty in the availability of corn stover. In the case study, the exact number of biorefineries is left as a policy decision and the optimization is carried out over a range of the possible numbers of facilities. The results obtained from the case study suggests implementing gasification technology followed by Fischer-Tropsch at two different sites in Ontario. The optimal solution satisfied 10% of the yearly fuel demand of Ontario with two production plants (14.8 billion L of fuel and requires an investment of $42.9 billion, with a payback period of about 3 years.

Evaluating the implementation of health and safety innovations under a regulatory context: a collective case study of Ontario's safer needle regulation.

Science.gov (United States)

Chambers, Andrea; Mustard, Cameron A; Breslin, Curtis; Holness, Linn; Nichol, Kathryn

2013-01-22

Implementation effectiveness models have identified important factors that can promote the successful implementation of an innovation; however, these models have been examined within contexts where innovations are adopted voluntarily and often ignore the socio-political and environmental context. In the field of occupational health and safety, there are circumstances where organizations must adopt innovations to comply with a regulatory standard. Examining how the external environment can facilitate or challenge an organization's change process may add to our understanding of implementation effectiveness. The objective of this study is to describe implementation facilitators and barriers in the context of a regulation designed to promote the uptake of safer engineered medical devices in healthcare. The proposed study will focus on Ontario's safer needle regulation (2007) which requires healthcare organizations to transition to the use of safer engineered medical devices for the prevention of needlestick injuries. A collective case study design will be used to learn from the experiences of three acute care hospitals in the province of Ontario, Canada. Interviews with management and front-line healthcare workers and analysis of supporting documents will be used to describe the implementation experience and examine issues associated with the integration of these devices. The data collection and analysis process will be influenced by a conceptual framework that draws from implementation science and the occupational health and safety literature. The focus of this study in addition to the methodology creates a unique opportunity to contribute to the field of implementation science. First, the study will explore implementation experiences under circumstances where regulatory pressures are influencing the organization's change process. Second, the timing of this study provides an opportunity to focus on issues that arise during later stages of implementation, a phase

Ontario Hydro's DSP update

International Nuclear Information System (INIS)

Anon.

1992-01-01

Ontario Hydro's Demand/Supply Plan (DSP), the 25 year plan which was submitted in December 1989, is currently being reviewed by the Environmental Assessment Board (EAB). Since 1989 there have been several changes which have led Ontario Hydro to update the original Demand/Supply Plan. This information sheet gives a quick overview of what has changed and how Ontario Hydro is adapting to that change

Ontario electricity industry restructuring

International Nuclear Information System (INIS)

1999-01-01

The objective of Ontario's electricity industry restructuring was described as an effort to enhance Ontario's competitiveness. It is believed that restructuring can be accomplished without an increase in electricity rates. In a series of charts, the report provides the timeline of restructuring from the time of the Macdonald report in 1995 to the beginning of open competition in Ontario electricity markets. It oulines the principles underlying the financial restructuring and the financial results of restructuring, including the size of the stranded debt ($ 7.8 billion). It lists the changes that have occurred since October 1998, explains some key factors in valuing the successor companies and profiles the Ontario Electricity Financial Corporation. Restructuring of the industry is expected to have a neutral to positive impact on Ontario's fiscal position. The residual stranded debt of $7.8 billion will be retired through revenues generated by the electricity sector, without recourse to the Provincial Treasury. 9 figs

The safety of Ontario's nuclear power reactors. A scientific and technical review. Selected consultants' reports

International Nuclear Information System (INIS)

Hare, F.K.

1988-01-01

The Review commissioned 31 consultants to prepare detailed analyses of specific safety-related questions raised by the design and operation of Ontario Hydro's CANDU reactors. This volume presents 10 of these reports, which I judge to be of sufficient general importance to justify the cost of wide circulation. They have been reproduced precisely as they were submitted. They do not express the Review's own judgements, but do contain a major part of the evidence that influenced those judgements. In several cases the consultants have presented formal recommendations. Some of these have been incorporated, often in modified form, as Review recommendations, in the Minister's Report. Others remain simply as recommendations from the individual consultants. I agree with most of them, but have not seen them as central to the Review's conclusions. I suggest that appropriate institutions--most notably Ontario Hydro and Atomic Energy Control Board--study them, and act as they see fit

Reappraisal of the seismotectonics of southern Ontario

International Nuclear Information System (INIS)

Mohajer, A.A.

1987-11-01

The fundamental objectives of this study were to review and improve the seismological data base as an aid in more realistic evaluation of seismic hazard in southern Ontario. For this purpose, the following procedures have been undertaken: In the first stage, the types of errors in earthquake location files are identified, sources of uncertainties are discussed and a sensitivity analysis of the errors to different parameters is presented. In the second stage, a group location technique, Joint Hypocenter Determination (JHD), has been utilized to improve the locations of a group of 67 well-recorded events, mostly from the more active region near the Ottawa River and in western Quebec. The third stage, to relocate smaller and less reliably detected events in southern Ontario, utilized a nw algorithm, 'HYPOCENTER', which proved very efficient and flexible in the test runs for handling local explosion and natural events. A preliminary interpretation of the seismicity patterns in the study regions shows that earthquakes of magnitude 3 and larger tend to align along preferred seismic trends which may, in turn, be controlled by weakness planes in the Earth's crust. These inferred trends coincide with dominant northwesterly and northeasterly striking structural directions. For earthquakes smaller than magnitude 4 prior to 1970 and for microearthquakes (M<3) which occurred near the Lake Ontario shoreline, the detection coverage was not sufficient to conclusively discuss accurate locations and causative mechanisms

Full cost accounting for decision making at Ontario Hydro

International Nuclear Information System (INIS)

Plagiannakos, T.

1996-01-01

Ontario Hydro's approach to full cost accounting (FCA) was outlined in response to questions raised earlier, in another forum, regarding Ontario Hydro's views on FCA. FCA was defined as an evaluation framework (as opposed to an accounting system) which tries to account for the internal (private) as well as the external (environment and human health) costs and benefits and integrate them into business decisions. When the external impacts cannot be monetized, qualitative evaluations are used based on the damage costing approach, which Ontario Hydro prefers to the cost of control method recommended by its critics. In general, however, Ontario Hydro is not opposed to FCA in so far as it puts the Utility in a better position to make more informed decisions, improve environmental cost management, avoid future costs, enhance revenue, improve environmental quality, contribute to environmental policy, and contribute to sustainable development. 1 fig

Tectonic implications of seismic activity recorded by the northern Ontario seismograph network

International Nuclear Information System (INIS)

Wetmiller, R.J.; Cajka, M.G.

1989-01-01

The northern Ontario seismograph network, which has operated under the Canadian Nuclear Fuel Waste Management Program since 1982, has provided valuable data to supplement those recorded by the Canadian national networks on earthquake activity, rockburst activity, the distribution of regional seismic velocities, and the contemporary stress field in northern Ontario. The combined networks recorded the largest earthquake known in northwestern Ontario, M 3.9 near Sioux Lookout on February 11, 1984, and many smaller earthquakes in northeastern Ontario. Focal mechanism solutions of these and older events showed high horizontal stress and thrust faulting to be dominant features of the contemporary tectonics of northern Ontario. The zone of more intense earthquake activity in western Quebec appeared to extend northwestward into the Kapuskasing area of northeastern Ontario, where an area of persistent microearthquake activity had been identified by a seismograph station near Kapuskasing. Controlled explosions of the 1984 Kapuskasing Uplift seismic profile experiment recorded on the northern Ontario seismograph network showed the presence of anomalously high LG velocities in northeastern Ontario (3.65 km/s) that when properly taken into account reduced the mislocation errors of well-recorded seismic events by 50% on average

Ontario freight movement study

International Nuclear Information System (INIS)

Anon.

1995-11-01

The freight (cargo) transportation sector accounts for a major use of fossil fuels and contributes significantly to greenhouse gas emissions. A study was conducted to estimate and forecast emissions from transportation in Ontario, by mode, over the next 15 years, and to examine ways in which those emissions could be reduced. Published data of freight transportation industries was used to examine the fuel consumption characteristics of each mode, followed by a review of emission rates. It was determined that truck transportation accounts for most CO 2 emissions (about 70%). Rail follows with 21% and the marine and air modes contribute relatively small shares (6% and 2%). New intermodal technologies being introduced by the railways were discussed. They have been designed to make intermodal transport more accessible to a wider segment of the freight market. A recommendation was made which would require all truck shipments over 500 km, accounting for fully one half of truck tonne-km, to have their line-haul component diverted to this new more fuel-efficient mode (i.e., from truck to rail). refs., tabs., figs

The London Fibromyalgia Epidemiology Study: comparing the demographic and clinical characteristics in 100 random community cases of fibromyalgia versus controls.

Science.gov (United States)

White, K P; Speechley, M; Harth, M; Ostbye, T

1999-07-01

To identify demographic and clinical features that distinguish fibromyalgia (FM) from other chronic widespread pain. We identified 100 confirmed FM cases, 76 widespread pain controls, and 135 general controls in a random community survey of 3395 noninstitutionalized adults living in London, Ontario. FM cases were distinguished from pain controls using the 1990 American College of Rheumatology (ACR) classification criteria for FM. The mean age of FM cases was 47.8 years (range 19 to 86), the same as for pain controls; 86% of FM cases were female versus 67.1% of pain controls (p < 0.01). FM cases were less educated than general controls (p = 0.03). Male and female FM cases were similar, except females were older and reported more major symptoms (both p = 0.02). FM cases reported more severe pain and fatigue, more symptoms, more major symptoms, and worse overall health than pain controls or general controls. The most commonly reported major symptoms among FM cases were musculoskeletal pain (77.3%), fatigue (77.3%), severe fatigue lasting 24 h after minimal activity (77.0%), nonrestorative sleep (65.7%), and insomnia (56.0%). Subjects with 11-14 tender points were more similar to those with 15-18 tender points than to those with 7-10 points in 11 of 14 clinical variables. On multivariate analysis, 4 symptoms distinguished FM cases from pain controls: pain severity (p = 0.004), severe fatigue lasting 24 h after minimal activity (p = 0.006), weakness (p = 0.008), and self-reported swelling of neck glands (p = 0.01). In the general population, adults who meet the ACR definition of FM appear to have distinct features compared to those with chronic widespread pain who do not meet criteria.

Case Studies in Modelling, Control in Food Processes.

Science.gov (United States)

Glassey, J; Barone, A; Montague, G A; Sabou, V

This chapter discusses the importance of modelling and control in increasing food process efficiency and ensuring product quality. Various approaches to both modelling and control in food processing are set in the context of the specific challenges in this industrial sector and latest developments in each area are discussed. Three industrial case studies are used to demonstrate the benefits of advanced measurement, modelling and control in food processes. The first case study illustrates the use of knowledge elicitation from expert operators in the process for the manufacture of potato chips (French fries) and the consequent improvements in process control to increase the consistency of the resulting product. The second case study highlights the economic benefits of tighter control of an important process parameter, moisture content, in potato crisp (chips) manufacture. The final case study describes the use of NIR spectroscopy in ensuring effective mixing of dry multicomponent mixtures and pastes. Practical implementation tips and infrastructure requirements are also discussed.

Meeting Ontario's electricity needs : a critical review of the Ontario Power Authority's supply mix advice report

International Nuclear Information System (INIS)

Gibbons, J.; Fracassi, J.

2006-01-01

In December, 2005 the Ontario Power Authority (OPA) outlined its proposed blueprint for meeting Ontario's electricity needs to 2025 in the document entitled Supply Mix Advice Report. As a result of the actions taken by the current government, the OPA believes that Ontario will have adequate electricity supplies to meet the province's needs until 2013. However, it stated that Ontario will require an additional 15,000 megawatts of new generation capacity between 2013 and 2025. The OPA also recommends that a significant proportion of this new generation capacity be nuclear. The Ontario Clean Air Alliance undertook a review of the OPA report and identified several discrepancies including an over-estimation of Ontario's rate of electricity load growth from 2005 to 2025; an under-estimation of the potential for electricity productivity improvements to reduce electricity demand and raise living standards; an under-estimation of renewable energy supply potential; an under-estimation of the potential for biomass and natural gas fired combined heat and power plants to meet electricity needs and increase the competitiveness of Ontario's industries; an under-estimation of the economic costs and risks of nuclear power; and a biased recommendation for a 70 million dollar resource acquisition budget against energy efficiency investments that would reduce demand and raise living standards. This report provides the Ontario Clean Air Alliances' analysis of the OPA report and presents it own recommendations for how Ontario can increase its electricity productivity and meet its electricity supply needs until 2025. The report concluded that the Government of Ontario should direct the OPA to develop a long-term strategy to raise the price of electricity up to its full cost without raising the electricity bills of low income consumers or impairing the competitiveness of Ontario's industries. It was suggested that Ontario's electricity productivity should be increased to the same level as

Epidemiology of serogroup B invasive meningococcal disease in Ontario, Canada, 2000 to 2010

Directory of Open Access Journals (Sweden)

Dang Vica

2012-08-01

Full Text Available Abstract Background Invasive meningococcal disease (IMD caused by serogroup B is the last major serogroup in Canada to become vaccine-preventable. The anticipated availability of vaccines targeting this serogroup prompted an assessment of the epidemiology of serogroup B disease in Ontario, Canada. Methods We retrieved information on confirmed IMD cases reported to Ontario’s reportable disease database between January 1, 2000 and December 31, 2010 and probabilistically-linked these cases to Public Health Ontario Laboratory records. Rates were calculated with denominator data obtained from Statistics Canada. We calculated a crude number needed to vaccinate using the inverse of the infant ( Results A total of 259 serogroup B IMD cases were identified in Ontario over the 11-year period. Serogroup B was the most common cause of IMD. Incidence ranged from 0.11 to 0.27/100,000/year, and fluctuated over time. Cases ranged in age from 13 days to 101 years; 21.4% occurred in infants, of which 72.7% were Conclusions Although rare, the proportion of IMD caused by serogroup B has increased and currently causes most IMD in Ontario, with infants having the highest risk of disease. Although serogroup B meningococcal vaccines are highly anticipated, our findings suggest that decisions regarding publicly funding serogroup B meningococcal vaccines will be difficult and may not be based on disease burden alone.

Case-Control Studies - An Efficient Observational Study Design

NARCIS (Netherlands)

van Stralen, Karlijn J.; Dekker, Friedo W.; Zoccali, Carmine; Jager, Kitty J.

2010-01-01

Case-control studies are an efficient research method for investigating risk factors of a disease. The method involves the comparison of the odds of exposure in a patient group with that of the odds of exposure in a control group. As only a minority of the population is included in the study, less

Ontario Hydro statistical yearbook 1990

International Nuclear Information System (INIS)

1990-01-01

Ontario Hydro was created in 1906 by a special statute of the Province of Ontario. It is a financially self-sustaining corporation without share capital. The yearbook is a compilation of financial data detailed by financial statements and sales and revenue figures for the year 1990. It is broken down by municipalities served in Ontario

Ontario Hydro statistical yearbook 1990

Energy Technology Data Exchange (ETDEWEB)

NONE

1991-12-31

Ontario Hydro was created in 1906 by a special statute of the Province of Ontario. It is a financially self-sustaining corporation without share capital. The yearbook is a compilation of financial data detailed by financial statements and sales and revenue figures for the year 1990. It is broken down by municipalities served in Ontario.

New rules for competition: Ontario to cap power plant emissions

International Nuclear Information System (INIS)

Anon.

1999-01-01

The Ontario government through the Dept. of the Environment announced on November 16, 1999 that it would cut the emissions from Ontario coal burning power plants that cause acid rain and smog. This announcement was a much anticipated clarification of the government's plans to clean up the power industry since the enactment of the Electricity Competition Act more than one year past. The announcement signals the beginning of a public discussion process between government and stakeholders on the environmental rules for electricity generation in Ontario. The Ontario government is expected to release draft regulations for controlling coal burning power plant emissions in the near future. Consulations with stakeholders on the regulations, as well as the rules for disclosure and labeling, are anticipated to begin in a few months. The announcement set out four principles for environmental performance in the competitive electricity market. Anti-smog requirements will be included in the stringent environmental requirements to be built into Ontario's new, competitive electricity market. The strong measures which the government will put into place when the market opens later in 2000 include: (1) regulations to cut smog and acid gas emissions for all Ontario electricity generators on the grid - these regulations will include Ontario Hydro's voluntary nitrogen oxide limits; (2) emission performance standards to define maximum acceptable emission levels for all generators wanting to sell in the Ontario market; (3) a framework to support opportunities to make greater use of more efficient, environmentally responsible technologies; and (4) disclosure requirements to ensure that electricity consumers can understand the environmental implications of their purchasing decisions

A prospective-controlled study of pregnant veterinary staff exposed to inhaled anesthetics and X-rays

International Nuclear Information System (INIS)

Shuhaiber, S.; Radee, I. C.; Sakkar, M.; Koren, G.; Einarson, A.

2002-01-01

Most veterinary staff are women of reproductive age. They are exposed to 'waste' anesthetic gas and ionizing radiation in their workplace, which may endanger fetal safety. Presently, exposure of female veterinary staff to these health hazards has not been adequately addressed in the medical literature. Our primary objective was to investigate the incidence of major malformations associated with occupational exposure to inhaled anesthetics and/or radiation among pregnant veterinary staff. The secondary objective was to determine the rates of other adverse outcomes. We prospectively collected data on and followed-up women occupationally exposed to inhaled anesthetics and/or radiation in veterinary practices in Ontario, and compared them to controls matched for maternal age gestational age at the time of call to the Motherisk Program. A total of 95 women wee prospectively enrolled and followed-up. Among the participants there were 87 (93.5%) and 88 (92.8%) live births in the study and control groups, respectively. There were 4 (4.8%) major birth defects in the study group and 3 (3.4%) in the control group. The rates of spontaneous abortion were also similar, 6 (6.4%) cases in the study group and 7(7.4%) cases in the control group. These results suggest that Ontario female veterinary staff exposed to inhaled anesthetics and/or radiation do not seem to be at an increased risk for major malformations above baseline risk. (author)

[Ontario Hydro]. Corporate performance report, 1994

International Nuclear Information System (INIS)

1995-01-01

Summarizes Ontario Hydro's corporate performance for the year, with actual results being compared against planned values. Also includes additional indicators that illustrate noteworthy trends in corporate performance. Corporate results are reported under the new organizational structure implemented in 1993, beginning with overall results in such areas as customer service, environmental stewardship, human resources, and finance. This is followed by reports from the Generation Business Group, Customer Services Group, Corporate Business Group, General Counsel and Secretary, Ontario Hydro Audit, Strategic Planning, Environment and Communication Group, and Ontario Hydro enterprises (Ontario Hydro Technologies, Ontario Hydro International). The appendix includes summary financial statements

Clinical guidelines and the fate of medical autonomy in Ontario.

Science.gov (United States)

Rappolt, S G

1997-04-01

Conceptually, clinical guidelines and professional autonomy have a paradoxical relationship. Despite being the quintessence of medical knowledge at the corporate level, guidelines diminish the clinical autonomy of individual practitioners, and therefore threaten medicine's justification for its autonomy. Theorists have argued that professional autonomy will be retained through elite dominance of practitioners, while comparative research suggests that economic autonomy can be traded off to retain clinical autonomy. Under government pressure to regulate the growth of Ontario physicians' fee-for-service public expenditure, the profession's representative organization, the Ontario Medical Association (OMA), promoted voluntary clinical guidelines, hoping to both constrain costs and preserve professional control over the content of medical care. The OMA collaborated with the Ministry of Health in developing guidelines and establishing a provincial centre for health service research. Ontario's practitioners disregarded the OMA's exhortations to implement clinical guidelines, suggesting that in the absence of external constraints, practitioners can subvert elite dominance. However, practitioners' unchecked clinical and economic autonomy, combined with evidence of wide provincial variations in medical care, served to legitimize the government's increasingly unilateral control over the schedule of insured medical services, and, in 1993, their imposition of a global cap on physicians' fee-for-service income pool. When analysed in the context of ongoing Ministry-OMA relations, the failure of the OMA's guidelines strategy to constrain medical service costs has expedited an overall decline in medical autonomy in Ontario. The emergence and course of Ontario's clinical guidelines movement is consistent with the view that medical autonomy is contingent upon broad class forces, and the conceptualization of professional organizations as instruments for mediated occupational control.

Pilot case-control study of paediatric falls from windows.

Science.gov (United States)

Johnston, Brian D; Quistberg, D Alexander; Shandro, Jamie R; Partridge, Rebecca L; Song, Hyun Rae; Ebel, Beth E

2011-12-01

Unintentional falls from windows are an important cause of paediatric morbidity. There have been no controlled studies to identify modifiable environmental risk factors for window falls in young children. The authors have piloted a case-control study to test procedures for case identification, subject enrolment, and environmental data collection. Case windows were identified when a child 0-9 years old presented for care after a fall from that window. Control windows were identified (1) from the child's home and (2) from the home of an age- and gender-matched child seeking care for an injury diagnosis not related to a window fall. Study staff visited enrolled homes to collect window measurements and conduct window screen performance tests. The authors enrolled and collected data on 18 case windows, 18 in-home controls, and 14 matched community controls. Six potential community controls were contacted for every one enrolled. Families who completed the home visit viewed study procedures positively. Case windows were more likely than community controls to be horizontal sliders (100% vs 50%), to have deeper sills (6.28 vs 4.31 inches), to be higher above the exterior surface (183 vs 82 inches), and to have screens that failed below a threshold derived from the static pressure of a 3-year-old leaning against the mesh (60.0% vs 16.7%). Case windows varied very little from in-home controls. Case-control methodology can be used to study risk factors for paediatric falls from windows. Recruitment of community controls is challenging but essential, because in-home controls tend to be over-matched on important variables. A home visit allows direct measurement of window type, height, sill depth, and screen performance. These variables should all be investigated in subsequent, larger studies covering major housing markets.

The Hydroelectric Business Unit of Ontario Power Generation Inc

International Nuclear Information System (INIS)

Gaboury, J.

2001-01-01

The focus of this presentation was on the generation and sale of electricity. Prior to deregulation, companies that generated electricity had a readily available customer base to whom the electricity could be sold. The author discussed some of the changes affecting the industry as a result of deregulation of the electricity market in Ontario: the increasing number of companies, as well as the increased number of generators supplying power within the province. Currently 85 per cent of the generation in Ontario is met by Ontario Power Generation (OPG) and this percentage will decrease through de-control. De-control can be achieved in a variety of ways, either through the sale of assets, leases, asset swaps. The market rules dictate that OPG not control in excess of 35 per cent of the generation supply in Ontario, OPG is examining the situation. New supply being constructed or new interconnections with neighboring markets could affect the total assets that would have to be de-controlled. OPG has a mix of generation that includes hydroelectric, fossil, and nuclear, as well as a single wind turbine. Green power, defined as electricity generation deemed less intrusive environmentally than most traditional generation, includes wind, water, landfill gas, solar and others, and could affect the mix of generation. It is expected that there will be a niche market for green power, especially when one considers the reduction in emissions. It could represent a viable option for smaller startup companies, as less capital is required. The options for selling the power, either to the spot market or by entering into a bilateral contract with another customer, were explained

Adequacy of the ophthalmology workforce under Ontario's Local Health Integration Networks.

Science.gov (United States)

Lin, Tony; Xu, Mark; Hooper, Philip L

2016-06-01

To determine the current distribution of ophthalmologists across Ontario's Local Health Integration Networks (LHINs) and the influence on LHIN-specific cataract surgery wait times. Cross-sectional study. Ophthalmologists listed in the College of Physicians and Surgeons (CPSO) database and the Canadian population. A list of ophthalmologists and their practice locations were obtained from the CPSO website. The total population count for Ontario was obtained from the Statistics Canada census. The population counts for the population aged 65 years and older were generated using the Canadian Socioeconomic Information Management System (CANSIM) table 109-5425. Cataract surgery wait times were obtained from the Ontario Ministry of Health. Statistical analysis was completed using Microsoft Excel using StatPlus software. There are currently 3.28 ophthalmologists per 100 000 total population in Ontario. LHIN-specific ratios ranged from 8.87 (Toronto Central) to 1.67 (Central West), with 3 out of 14 LHINs having met the previously recommended ratio of 3.37. Median cataract surgery wait times ranged from 30 to 72 days. Although the number of cataract surgeries performed was positively correlated with the population aged 65 years and older (p < 0.001), there was no statistically significant association between wait times and number of cataract cases per 1000 population (p = 0.41). Although Ontario appears to have a sufficient number of ophthalmologists overall, there is significant variation in the distribution of the ophthalmology workforce at the LHIN level. This variation did not appear to significantly influence LHIN-specific cataract surgery wait times. Copyright © 2016 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.

Transferability of geodata from European to Canadian (Ontario) sedimentary rocks to study gas transport from nuclear wastes repositories

International Nuclear Information System (INIS)

Fall, M.; Ghafari, H.; Evgin, E.; Nguyen, T.S.

2010-01-01

Document available in extended abstract form only. A deep geological repository (DGR) for low and intermediate level waste in southern Ontario is currently proposed, at a depth of approximately 680 m in an argillaceous limestone formation (Cobourg Limestone) overlain by 200 m of low permeability shale (Ordovician Shale). Significant quantities of gas could be generated in the aforementioned DGR from several processes (e.g., degradation of waste forms, corrosion of waste containers). The accumulation and release of such gases from the repository system may affect a number of processes that influence its long-term safety. Consequently, safety assessments of the proposed DGR need to be supported by a solid understanding of the main mechanisms associated with gas generation and migration and the capability to mathematically model those mechanisms. The development of those mathematical models would usually require the consideration of complex coupled thermo-hydro-mechanical- chemical (THMC) processes. A research program is being conducted in the Department of Civil Engineering of the University of Ottawa in collaboration with the Canadian Nuclear Safety Commission (CNSC) to model the coupled THMC processes associated with gas migration and their impacts on the safety of DGR in southern Ontario. The development and validation of such model as well as the assessment of the impact of gas migration need the acquisition of sufficient amount of (good quality) data on the geomechanical, geochemical, hydraulic, thermal properties of the sedimentary rocks in Southern Ontario as well as relevant gas transport parameters, such as gas entry pressure, Klinkenberg effect, intrinsic permeability, capillary pressure-water saturation relationship. During the past fifteen years, several laboratory and field investigations have been conducted in several countries to acquire geo-data to study and model the THMC processes associated with gas migration in DGR in sedimentary rocks. However

Examining Competition in Ontario's Higher Education Market

Science.gov (United States)

Farhan, Bayan Yousef

2017-01-01

Financial challenges have forced many publicly funded academic institutions in Ontario to adopt a corporate model and to use market tools to compete in the higher education market and maintain their enrolment and revenue levels. This study has analyzed how competition affects publicly funded universities in Ontario. Competition was examined by…

Development and implementation of the Ontario Stroke System: the use of evidence

Directory of Open Access Journals (Sweden)

Jill I. Cameron

2007-08-01

Full Text Available Introduction The Ontario Stroke System was developed to enhance the quality and continuity of stroke care provided across the care continuum. Research Objective To identify the role evidence played in the development and implementation of the Ontario Stroke System. Methods This study employed a qualitative case study design. In-depth interviews were conducted with six members of the Ontario Stroke System provincial steering committee. Nine focus groups were conducted with: Regional Program Managers, Regional Education Coordinators, and seven acute care teams. To supplement these findings interviews were conducted with eight individuals knowledgeable about national and international models of integrated service delivery. Results Our analyses identified six themes. The first four themes highlight the use of evidence to support the process of system development and implementation including: 1 informing system development; 2 mobilizing governmental support; 3 getting the system up and running; and 4 integrating services across the continuum of care. The final two themes describe the foundation required to support this process: 1 human capacity and 2 mechanisms to share evidence. Conclusion This study provides guidance to support the development and implementation of evidence-based models of integrated service delivery.

New avenues in cobalt-60 production at Ontario Hydro

International Nuclear Information System (INIS)

Mylvaganam, C.K.; Ronchka, R.A.

1990-01-01

Ontario Hydro produces cobalt-60 in the control rods of twelve power reactors. These reactors have a typical flux of 2 x 10 14 neutrons/cm 2 /s, making them efficient producers of cobalt-60. Current annual production is 45 million curies. Since the primary function of these reactors is the production of electricity, their flexibility to meet the needs of commercial cobalt production by the control rod route is limited. Ontario Hydro is therefore developing innovative production techniques, making use of the CANDU reactor's unique ability to be fuelled on-power. These techniques will enable production to better respond to the market's requirements for quantity and specific activity. As it is supplementary to control rod production, annual supply could potentially reach 165 million curies. (author)

A look forward to the competitive landscape of Ontario's electricity supply

International Nuclear Information System (INIS)

Carr, J.

1998-01-01

The government of Ontario is a shareholder in Ontario Hydro and is responsible for ensuring that the public receives electricity service at the lowest, most prudent price. The current monopoly arrangement provides Ontario with a revenue stream that is predictable and amenable to control. However, the emerging restructuring of Ontario's electricity supply system will be strongly dependent on the direction determined by government policy. Other factors that will have significant influence on developments will be the restructuring initiatives outside the province, and the attractiveness of the electricity sector to investors. In November 1997, Ontario released a white paper by the Minister of Energy, Science and Technology, entitled 'Direction for change'. This document is a preliminary statement of potential policy regarding electricity restructuring in Ontario. Some of the key elements of the White Paper were: (1) the creation of a competitive market in the year 2000 for both wholesale and retail customers, (2) separating monopoly operations from competitive business activities throughout the electricity sector, (3) expanding the role on the Ontario Energy Board to give it regulatory power over the electricity sector, and (4) introducing measures to ensure environmental protection. Three other relevant reports were also released in December 1997: (1) Report of the Select Committee on Ontario Hydro Nuclear Affairs, (2) Ontario Energy Board Advisory Report on Legislative Change Requirements for Natural Gas Deregulation, and (3) Report of the Toronto Transition Team. The government policy indicated by these various reports appear to represent a careful balance of many conflicting interests and obligations. According to expert observers, the emerging policy appears to have the necessary technical, financial and political support to ensure a successful competitive electricity supply system in Ontario. 4 refs

Market prices for solar electricity in Ontario

International Nuclear Information System (INIS)

Rowlands, I.H.

2006-01-01

The Ontario electricity supply is facing considerable challenges while demand is increasing due to a growing population and increased economic growth needs. In response to these challenges, the government of Ontario established the Ontario Power Authority (OPA) in 2004 to ensure adequate, reliable and secure electricity supply and resources in Ontario. The OPA has also engaged in activities to facilitate the diversification of sources of electricity supply by promoting the use of cleaner energy sources and technologies, including alternative energy sources and renewable energy. The purpose of this paper was to advance discussions regarding the contribution that solar PV can make to Ontario's supply mix. In particular, it determined the value of the electricity that would have been produced by a PV system located in Waterloo, Ontario under the following 4 pricing regimes: (1) the conventional small user tariff system currently in place in Ontario, (2) the time-of-use pricing system that is voluntarily available to those who have smart meters installed in their facilities, (3) the spot market, hourly prices, to which some of Ontario's largest electricity users are exposed, and (4) the recently-proposed rate for standard offer contracts for PV systems. The study showed that a solar PV system that produces 3,000 kWh of electricity over the course of a year would generate different revenue amounts, ranging from the smallest amount of approximately $174.00 to $1,260.00, depending on the pricing regime. The pricing regime that reflects real, time-of-day electricity prices appears to be most advantageous to solar PV systems. It was recommended that additional work is needed regarding the other benefits of solar PV, such as avoided capacity/generation needs, avoided transmission and distribution cost and losses, environmental benefits, and job creation. 3 refs., 4 tabs., 8 figs

Ontario pharmacists' crisis over Bill 16: A missed opportunity?

Science.gov (United States)

Rosenthal, Meagen; Austin, Zubin; Tsuyuki, Ross T

2012-01-01

In 2010, the Ontario government brought forward Bill 16, which, among other things, removed pharmacists' professional allowances. While many would disagree with this unilateral action by the Ontario government, it also could have served as a crisis for change towards patient-centred care. We sought to examine the response of the pharmacy profession in Ontario to this crisis as it relates to the vision outlined in the Blueprint for Pharmacy. We systematically examined publicly available responses to Schedule 5 of Ontario's Bill 16 during the period from April to June 16, 2010. A rapid textual analysis of the data using tag or word clouds and a qualitative content analysis were performed on all of the data collected. The rapid textual analysis revealed that the most frequently used terms were "pharmacist," "pharmacy" and "professional allowances"; the least used were "layoffs," "service cuts" and "patient care." Content analysis revealed 4 themes: the desire to maintain the status quo of practice, a focus on the business of pharmacy, pharmacy stakeholders' perceptions of government's attitude towards the profession and changes to patient services. It is notable that patient care was almost completely absent from the discussion, a reflection that our profession has not embraced patient-centred care. This also represents a missed opportunity - a crisis that could have been used to move the profession towards the Blueprint's vision. We thought that the Blueprint had already achieved this consensus, but the Ontario experience has shown that this may not be the case.

Homocyst(e)ine and cardiovascular disease: a systematic review of the evidence with special emphasis on case-control studies and nested case-control studies.

Science.gov (United States)

Ford, Earl S; Smith, S Jay; Stroup, Donna F; Steinberg, Karen K; Mueller, Patricia W; Thacker, Stephen B

2002-02-01

Elevated concentrations of homocyst(e)ine are thought to increase the risk of vascular diseases including coronary heart disease and cerebrovascular disease. We searched MEDLINE (1966-1999), EMBASE (1974-1999), SciSearch (1974- 1999), and Dissertation Abstracts (1999) for articles and theses about homocyst(e)ine concentration and coronary heart disease and cerebrovascular disease. We included 57 publications (3 cohort studies, 12 nested case-control studies, 42 case-control studies) that reported results on 5518 people with coronary heart disease (11,068 control subjects) and 1817 people with cerebrovascular disease (4787 control subjects) in our analysis. For coronary heart disease, the summary odds ratios (OR) for a 5-micromol/l increase in homocyst(e)ine concentration were 1.06 (95% CI : 0.99-1.13) for 2 publications of cohort studies, 1.23 (95% CI : 1.07-1.41) for 10 publications of nested case-control studies, and 1.70 (95% CI : 1.50-1.93) for 26 publications of case-control studies. For cerebrovascular disease, the summary OR for a 5-micromol/l increase in homocyst(e)ine concentration were 1.10 (95% CI : 0.94-1.28) for 2 publications of cohort studies, 1.58 (95% CI : 1.35-1.85) for 5 publications of nested case-control studies, and 2.16 (95% CI : 1.65-2.82) for 17 publications of case-control studies. Prospective studies offer weaker support than case-control studies for an association between homocyst(e)ine concentration and cardiovascular disease. Although other lines of evidence support a role for homocyst(e)ine in the pathogenesis of cardiovascular disease, more information from prospective epidemiological studies or clinical trials is needed to clarify this role.

Gabapentin, opioids, and the risk of opioid-related death: A population-based nested case-control study.

Directory of Open Access Journals (Sweden)

Tara Gomes

2017-10-01

Full Text Available Prescription opioid use is highly associated with risk of opioid-related death, with 1 of every 550 chronic opioid users dying within approximately 2.5 years of their first opioid prescription. Although gabapentin is widely perceived as safe, drug-induced respiratory depression has been described when gabapentin is used alone or in combination with other medications. Because gabapentin and opioids are both commonly prescribed for pain, the likelihood of co-prescription is high. However, no published studies have examined whether concomitant gabapentin therapy is associated with an increased risk of accidental opioid-related death in patients receiving opioids. The objective of this study was to investigate whether co-prescription of opioids and gabapentin is associated with an increased risk of accidental opioid-related mortality.We conducted a population-based nested case-control study among opioid users who were residents of Ontario, Canada, between August 1, 1997, and December 31, 2013, using administrative databases. Cases, defined as opioid users who died of an opioid-related cause, were matched with up to 4 controls who also used opioids on age, sex, year of index date, history of chronic kidney disease, and a disease risk index. After matching, we included 1,256 cases and 4,619 controls. The primary exposure was concomitant gabapentin use in the 120 days preceding the index date. A secondary analysis characterized gabapentin dose as low (<900 mg daily, moderate (900 to 1,799 mg daily, or high (≥1,800 mg daily. A sensitivity analysis examined the effect of concomitant nonsteroidal anti-inflammatory drug (NSAID use in the preceding 120 days. Overall, 12.3% of cases (155 of 1,256 and 6.8% of controls (313 of 4,619 were prescribed gabapentin in the prior 120 days. After multivariable adjustment, co-prescription of opioids and gabapentin was associated with a significantly increased odds of opioid-related death (odds ratio [OR] 1.99, 95% CI

Implications of the Ontario government's white paper and competition strategies for Ontario's municipal electric utilities

International Nuclear Information System (INIS)

Wills, D.L.

1998-01-01

The strategies that Municipal Electric Utilities (MEU) should follow to deal with competition were discussed. North Bay Hydro is the 34th largest MEU out of 300 in Ontario but it serves only 23,000 out of 4 million electrical customers in Ontario. Therefore, the main strategy for municipal utilities to ensure their future would be to become part of an alliance and association like the MEA and the SAC - the Strategic Alliance for Competition and Customer Choice. Strong criticism was voiced regarding the contents of the recent Ontario Government White Paper for being vague with regard to electrical distribution and the role of MEUs in Ontario. It was suggested that it is vitally important that MEUs ally themselves with other stakeholders, to resist an Ontario Hydro monopoly, to make sure that prices stay low, to avoid excessive debt and bureaucratic inefficiency, be innovative, and consumer oriented and be prepared to anticipate events and conditions. 3 figs

Proceedings of the 44. annual Ontario Petroleum Institute's oil and gas conference

International Nuclear Information System (INIS)

2005-01-01

This annual conference focused on developments related to the Ontario Petroleum industry. Issues concerning hydrocarbon potential were examined as well as geological information related to oil and gas activities in the region. The conference was divided into 6 sessions. Session 1 provided updates on employment issues in Ontario's oil and gas industry with respect to regulations and staffing as well as an update of issues concerning the geosciences profession in the province. Session 2 examined approaches to predictive geochemistry for buried gas and oil targets. Session 3 presented a comparison of Cambrian reservoir rocks as well as details of a natural channel realignment project. Session 4 presented details of new renewable technologies for the Ontario petroleum industry as well as a regional stratigraphic synthesis for the Paleozoic of southern Ontario. Session 5 provided a primer on tax rules, workers industry needs and an update on training delivery. Session 6 examined approaches to contaminant control. A study of hydrodynamics at the ice-bed interface was also presented. The conference featured 13 presentations, of which 3 have been catalogued separately for inclusion in this database. refs., tabs., figs

Ontario freight movement study: component two

International Nuclear Information System (INIS)

Hackston, D.; Lake, R.; Schwier, C.; Tardif, L.P.; English, G.; Bunting, M.

1995-11-01

The freight (cargo) transportation sector accounts for a major use of fossil fuels and contributes significantly to greenhouse gas emissions. A study was conducted to assess the prospects, in terms of CO 2 emission reduction, of alternatives to present freight distribution, especially alternatives involving the use of rail instead of truck. Statistical data for Ontario freight transportation were analyzed for fuel consumption, CO 2 emission and cost consequences. Railway fuel consumption was calculated for detailed routing descriptions using a model that computed route and service specific fuel use. The information was compared directly with truck fuel consumption. It was determined that shippers who needed quick, accurately timed shipments preferred trucking over rail, while price conscious shippers, or those with heavy loading commodities preferred rail. An important goal of the study was to identify the enormity of the challenges involved, and clarify the potential tradeoffs by showing different strategies, with respect to CO 2 reduction and related economic impacts. refs., tabs., figs

The safety of Ontario's nuclear power reactor. A scientific and technical review. Report to the Minister

International Nuclear Information System (INIS)

Hare, F.K.

1988-01-01

In December 1986 a study of the safety of the design, operating procedures and emergency plans associated with Ontario Hydro's nuclear generating plants was commissioned by the government of the province of Ontario. After receiving briefs from many interested groups and individuals, visiting the power plants, and consulting with nuclear industry and regulatory representatives in Canada and other countries, the commissioner presented this report to the Minister of Energy for Ontario. His major conclusion is that Ontario Hydro reactors are being operated safely and at high standards of technical performance. No significant adverse impact has been detected in either the work force or the public. The risk of accidents serious enough to affect the public adversely can never be zero, but is very remote. Major recommendations are that: Ontario Hydro re-examine its operational organization closely and commission a study of factors affecting human performance; and, that priority be given to finding a solution to pressure tube performance problems and to improving in-reactor monitoring. Sixteen other recommendations are presented relating to research and development, information exchange with other organizations, reactor performance, training, severe accident analysis, the provincial nuclear emergency plan, epidemiological studies, the Atomic Energy Control Board, public hearings, and women in the nuclear industry

Working and Living in Northern vs Southern Ontario Is Associated with the Duration of Compensated Time off Work: A Retrospective Cohort Study

Directory of Open Access Journals (Sweden)

S Senthanar

2015-07-01

Full Text Available Background: Northern Ontario, Canada has a larger elder population, more resource-based employment, and limited access to physicians and specialists compared to southern Ontario. Given these important differences, it is possible that work disability rates will vary between the two Ontario jurisdictions. Objective: To determine the association between time lost due to workplace injuries and illnesses occurring in northern vs southern Ontario and work disability duration from 2006– 2011. Methods: The study base included all lost-time claims approved by the Workplace Safety and Insurance Board in Ontario, Canada for workplace injury or illness compensation occurring between January 1, 2006 and December 31, 2011. All eligible participants had to be 18 years of age or older at the time of making the claim and participants were excluded if one of the three variables used to determine location (claimant home postal code, workplace geographical code, and WSIB firm location were missing. Multivariable proportional hazards regression models were used to estimate hazard ratios and 95% confidence intervals adjusted for sex, age, occupation, part of body, and nature of injury relating Ontario geographical location to compensated time off work. Results: A total of 156 453 lost-time claims were approved over the study period. Injured and ill workers from northern Ontario were 16% less likely to return to work than those from southern Ontario. Adjustment for potential confounding factors had no effect. Conclusion: The disability duration in northern Ontario is longer than that in southern Ontario. Future research should focus on assessing the relevant factors associated with this observation to identify opportunities for intervention.

Ontario perspective on interregional markets

International Nuclear Information System (INIS)

Shalaby, A.

2003-01-01

On May 1, 2002, wholesale and retail electricity markets in Ontario were opened to competition. The industry structure has been completely unbundled into separate entities for power generation, distribution and transmission. There are currently 20 generators, 90 distributors and 4 transmitters in Ontario. Trade with neighbouring jurisdictions has increased and now accounts for 10 to 15 per cent of demand on summer peak days. Import/export capability with the United States (northeast and midwest) and other Canadian provinces (Quebec and Manitoba) is 4,000 to 6,000 MW. Ontario has not had new generation or transmission capacity in several years and the heat waves of summer 2002 resulted in a heavier power demand than forecasted. The province had to rely heavily on power imports resulting in high and volatile electricity prices. In response to customer complaints, the Ontario government froze retail rates and in a recent policy directive announced a public ownership policy for transmission with further consultation on improving supply competition in Ontario. FERC order 888 and the increased role of independent power producers has improved trading opportunities between Canada and the United States. The presentation highlighted recent trade trends and outlined the specific impact of the Standard Market Design on Canadian markets. It was noted that Ontario should work on ensuring power reliability, transmission planning, inter-regional coordination, and joint investments with neighbouring jurisdictions. 9 figs

An Exploration of the Implementation of Restorative Justice in an Ontario Public School

Science.gov (United States)

Reimer, Kristin

2011-01-01

This qualitative case study explores the implementation of restorative justice within one Ontario Public School. Restorative justice is a philosophy and a process for dealing with harmful behaviour, viewing such behaviour as a violation of relationships, not rules. My research seeks to present how restorative justice has been implemented in one…

Ontario's power market post November 11

International Nuclear Information System (INIS)

Murphy, P.

2003-01-01

This paper provides a review of Ontario's first year with an open electricity market. The year 2002 to 2003 had record energy demands with challenges on the supply side. In particular, generation availability was below expectations during the summer months. This demonstrated that price predictability and volatility needs to be addressed and investment in new power generation is needed in Ontario. Ontario demand forecasts outpace supply for the long term outlook. In addition, most of Ontario's generating plants are aging and will soon exceed their nominal service life, requiring major refurbishment or replacement. Decisions are needed now on the future of coal in Ontario's generation mix. It was also noted that transmission reinforcements are needed in the Greater Toronto Area (GTA). In the short term, consumers can expect delays in return to service of nuclear units, forced extensions to planned outages, and reduced outlook for energy from hydroelectric resources. It was noted that Ontario will continue to rely on imports, although emergency generation is being installed. 5 figs

Ontario Energy Corporation annual report 1981. [Monograph

Energy Technology Data Exchange (ETDEWEB)

1981-01-01

The Ontario Energy Corporation's mission of providing leadership and investment capital for selected energy ventures brought its total participation in projects from $16.4 million to $669 million, and its total assets increased from $44.4 million to $693 million during the year. The annual report review major operations with Ontario Energy Resources Ltd., Onexco Ltd., Ontario Alternate Energy Ltd., Ontario Power Share Ltd., and Ontario Energy in Transportation Ltd. The financial report includes a balance sheet, income and retained earnings statement, and a summary of financial changes during the reporting period. 1 figure, 4 tables. (DCK)

Matched case-control studies: a review of reported statistical methodology

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Niven DJ

2012-04-01

Full Text Available Daniel J Niven1, Luc R Berthiaume2, Gordon H Fick1, Kevin B Laupland11Department of Critical Care Medicine, Peter Lougheed Centre, Calgary, 2Department of Community Health Sciences, University of Calgary, Calgary, Alberta, CanadaBackground: Case-control studies are a common and efficient means of studying rare diseases or illnesses with long latency periods. Matching of cases and controls is frequently employed to control the effects of known potential confounding variables. The analysis of matched data requires specific statistical methods.Methods: The objective of this study was to determine the proportion of published, peer reviewed matched case-control studies that used statistical methods appropriate for matched data. Using a comprehensive set of search criteria we identified 37 matched case-control studies for detailed analysis.Results: Among these 37 articles, only 16 studies were analyzed with proper statistical techniques (43%. Studies that were properly analyzed were more likely to have included case patients with cancer and cardiovascular disease compared to those that did not use proper statistics (10/16 or 63%, versus 5/21 or 24%, P = 0.02. They were also more likely to have matched multiple controls for each case (14/16 or 88%, versus 13/21 or 62%, P = 0.08. In addition, studies with properly analyzed data were more likely to have been published in a journal with an impact factor listed in the top 100 according to the Journal Citation Reports index (12/16 or 69%, versus 1/21 or 5%, P ≤ 0.0001.Conclusion: The findings of this study raise concern that the majority of matched case-control studies report results that are derived from improper statistical analyses. This may lead to errors in estimating the relationship between a disease and exposure, as well as the incorrect adaptation of emerging medical literature.Keywords: case-control, matched, dependent data, statistics

Epidemiology of multiple sclerosis in London and Middlesex County, Ontario, Canada.

Science.gov (United States)

Hader, W J; Elliot, M; Ebers, G C

1988-04-01

A case-controlled epidemiologic study of multiple sclerosis (MS) was carried out in London, Ontario, and its surrounding Middlesex County for the period 1974-1983. The prevalence rates for clinically definite/probable MS on January 1, 1984 were 94/100,000 for the city and 91/100,000 for the county. The estimated annual incidence rate for the decade 1974-83 was 3.4/100,000. The female-to-male sex ratio was 2.5:1. A familial history of MS was recorded in 14.4% of close relatives and a total of 17% when distant relatives are included. The MS group is predominantly of British (70%) and European (23%) origin. The urban-rural residence pattern analysis indicates no significant regional influence on the risk of developing MS.

Population versus hospital controls for case-control studies on cancers in Chinese hospitals.

Science.gov (United States)

Li, Lin; Zhang, Min; Holman, D'Arcy

2011-12-15

Correct control selection is crucial to the internal validity of case-control studies. Little information exists on differences between population and hospital controls in case-control studies on cancers in Chinese hospital setting. We conducted three parallel case-control studies on leukemia, breast and colorectal cancers in China between 2009 and 2010, using population and hospital controls to separately match 540 incident cases by age, gender and residency at a 1:1 ratio. Demographic and lifestyle factors were measured using a validated questionnaire in face-to-face interview. Odds ratios (ORs) and 95% confidence intervals (CIs) were obtained using conditional logistic regression analyses. The two control groups had closely similar exposure distributions of 15 out of 16 factors, with the only exception being that hospital controls were less likely to have a BMI ≥ 25 (OR = 0.71, 95% CI: 0.54, 0.93). For exposure of green tea drinking, the adjusted ORs (95% CIs) comparing green tealeaves intake ≥ 1000 grams annually with non-drinkers were 0.51 (0.31, 0.83) and 0.21 (0.27, 0.74) for three cancers combined, 0.06 (0.01, 0.61) and 0.07 (0.01, 0.47) for breast cancer, 0.52 (0.29, 0.94) and 0.45 (0.25, 0.82) for colorectal cancer, 0.65 (0.08, 5.63) and 0.57 (0.07, 4.79) for leukemia using hospital and population controls respectively. The study found that hospital controls were comparable with population controls for most demographic characteristics and lifestyle factors measured, but there was a slight difference between the two control groups. Hospital outpatients provide a satisfactory control group in hospital-based case-control study in the Chinese hospital setting.

Population versus hospital controls for case-control studies on cancers in Chinese hospitals

Directory of Open Access Journals (Sweden)

Li Lin

2011-12-01

Full Text Available Abstract Background Correct control selection is crucial to the internal validity of case-control studies. Little information exists on differences between population and hospital controls in case-control studies on cancers in Chinese hospital setting. Methods We conducted three parallel case-control studies on leukemia, breast and colorectal cancers in China between 2009 and 2010, using population and hospital controls to separately match 540 incident cases by age, gender and residency at a 1:1 ratio. Demographic and lifestyle factors were measured using a validated questionnaire in face-to-face interview. Odds ratios (ORs and 95% confidence intervals (CIs were obtained using conditional logistic regression analyses. Results The two control groups had closely similar exposure distributions of 15 out of 16 factors, with the only exception being that hospital controls were less likely to have a BMI ≥ 25 (OR = 0.71, 95% CI: 0.54, 0.93. For exposure of green tea drinking, the adjusted ORs (95% CIs comparing green tealeaves intake ≥ 1000 grams annually with non-drinkers were 0.51 (0.31, 0.83 and 0.21 (0.27, 0.74 for three cancers combined, 0.06 (0.01, 0.61 and 0.07 (0.01, 0.47 for breast cancer, 0.52 (0.29, 0.94 and 0.45 (0.25, 0.82 for colorectal cancer, 0.65 (0.08, 5.63 and 0.57 (0.07, 4.79 for leukemia using hospital and population controls respectively. Conclusions The study found that hospital controls were comparable with population controls for most demographic characteristics and lifestyle factors measured, but there was a slight difference between the two control groups. Hospital outpatients provide a satisfactory control group in hospital-based case-control study in the Chinese hospital setting.

Assessment of global phase uncertainty in case-control studies

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van Houwelingen Hans C

2009-09-01

Full Text Available Abstract Background In haplotype-based candidate gene studies a problem is that the genotype data are unphased, which results in haplotype ambiguity. The measure 1 quantifies haplotype predictability from genotype data. It is computed for each individual haplotype, and for a measure of global relative efficiency a minimum value is suggested. Alternatively, we developed methods directly based on the information content of haplotype frequency estimates to obtain global relative efficiency measures: and based on A- and D-optimality, respectively. All three methods are designed for single populations; they can be applied in cases only, controls only or the whole data. Therefore they are not necessarily optimal for haplotype testing in case-control studies. Results A new global relative efficiency measure was derived to maximize power of a simple test statistic that compares haplotype frequencies in cases and controls. Application to real data showed that our proposed method gave a clear and summarizing measure for the case-control study conducted. Additionally this measure might be used for selection of individuals, who have the highest potential for improving power by resolving phase ambiguity. Conclusion Instead of using relative efficiency measure for cases only, controls only or their combined data, we link uncertainty measure to case-control studies directly. Hence, our global efficiency measure might be useful to assess whether data are informative or have enough power for estimation of a specific haplotype risk.

Sulfur pollution: an environmental study of Welland, Ontario

Science.gov (United States)

Michael R. Moss

1977-01-01

The distribution of sulfur as an environmental pollutant is analysed in the vicinity of Welland, Ontario. A biogeochemical-cycle approach enables areas of excess accumulation to be compared among all linked ecosystem components. Although the patterns of distribution are similar, the amounts of sulfur accumulated in different ecosystems, grassland and woodland, show...

Ontario feed-in-tariff programs

International Nuclear Information System (INIS)

Yatchew, Adonis; Baziliauskas, Andy

2011-01-01

Recent feed-in-tariff (FIT) programs in Ontario, Canada have elicited a very strong supply response. Within the first year of their inception, the Ontario Power Authority received applications totaling over 15,000 MW, equivalent to about 43% of current Ontario electricity generating capacity. The overwhelming share of applications is for wind-power (69%) and solar photovoltaic (28%) generating facilities. Wind generation is being remunerated at 14-19 cents /kWh. Solar facilities receive from 40 to 80 cents /kWh. The initiative, which responds to Provincial legislation is administratively divided into applications for facilities exceeding 10 kW (the FIT program) and those less than or equal to 10 kW (the microFIT program). This paper describes the programs and their features, compares them to their predecessors in Ontario as well as to programs elsewhere, analyses the reasons for the very strong response, and assesses their efficacy and sustainability. - Research highlights: → Recent feed-in-tariff (FIT) programs in Ontario, Canada have elicited a very strong supply response. Within the first year, applications totaled over 15,000 MW, equivalent to about 43% of current Ontario electricity generating capacity. → Most projects are either solar or wind. → Likely causes of strong supply response-preferred system access and favorable, secure tariffs. (Wind generation is being remunerated at 14-19 cents /kWh. Solar facilities receive from 40 to 80 cents /kWh.) → Long term political sustainability of present program is in question.

Curricular Ethics in Early Childhood Education Programming: A Challenge to the Ontario Kindergarten Program

Science.gov (United States)

Heydon, Rachel M.; Wang, Ping

2006-01-01

Through a case study of a key Canadian early childhood education program, The Kindergarten Program (Ontario Ministry of Education and Training, 1998a), we explore the relationship between curricular paradigms and early childhood education (ECE) models, and the opportunities that each creates for enacting ethical teaching and learning…

[Ontario Hydro]. Corporate performance report, 1993

International Nuclear Information System (INIS)

1994-01-01

Summarizes Ontario Hydro's corporate performance for the year, with actual results being compared against planned values established in the approved corporate financial plan and work program budget. Also includes additional indicators that illustrate noteworthy trends in corporate performance. Corporate results are reported under the new organizational structure implemented in mid-1993, beginning with overall results in such areas as customer satisfaction, electricity sales, human resources, and environmental protection. This is followed by reports from the Electricity Group (supply, generation, transmission), the Energy Services and Environment Group (load saved and shifted, non-utility generation, retail distribution), and Ontario Hydro enterprises (Ontario Hydro Technologies, Ontario Hydro International). The appendix contains summary financial statements

Fifteen years of radioactive waste management at Ontario Hydro

International Nuclear Information System (INIS)

Carter, T.J.; Rao, P.K.M.

1985-01-01

Ontario Hydro is a large Canadian utility producing 84% (7394 MWe) of the Nuclear Electricity generated in Canada. The low- and intermediate-level radioactive wastes generated by the Ontario Hydro program are currently being managed at the Bruce Nuclear Power Development with various volume reduction, packaging and interim storage systems. Ontario Hydro also owns and operates a radioactive waste transportation system. Studies are in progress for final disposal of these wastes in a suitable geology in Ontario. Since its inception in 1971, Ontario Hydro's radioactive waste management program has evolved into providing a full fledged radioactive waste management capability to the utility's two nuclear generation centres at Pickering and Bruce, and later in the decade, to Darlington. This paper summarizes the various developments in this program; highlights the major facilities both in-service and planned to be built; reviews the experiences gained over fifteen years of in-house waste management; and discusses the proposed reorientation towards ultimate disposal of these wastes. 2 refs., 8 figs., 1 tab

Factors That Are Important to Succession Planning: A Case Study of One Ontario College of Applied Arts and Technology

Science.gov (United States)

Morrin, Arleen

2013-01-01

The Canadian population is aging; many are rapidly advancing towards the age of normal retirement (Miner, 2010). The demographics for Ontario colleges are similar; in 2009, 70 percent of administrators and faculty were baby boomers, and 40 percent of the workforce in the college sector was eligible for retirement (OCASA, 2009). In 2010, there were…

Ontario Power Generation's proposed L and ILW deep geologic repository : an overview of geoscientific studies

Energy Technology Data Exchange (ETDEWEB)

Jensen, M; Lam, T.; Luhowy, D.; McLay, J.; Semec, B.; Frizzell, R. [Nuclear Waste Management Organization, Toronto, ON (Canada)

2009-07-01

This paper reported on a multi-disciplinary geoscientific study to confirm the suitability of storing low and intermediate level radioactive waste in a deep geologic repository (DGR). The study is being conducted by the Nuclear Waste Management Organization on behalf of Ontario Power Generation (OPG). The DGR would involve the excavation of waste emplacement rooms within the Ordovician age argillaceous limestones 680 m beneath OPG's Bruce site near Tiverton, Ontario. The repository would require the excavation of nearly 890,000 m{sup 3} of rock to accommodate 200,000 m{sup 3} of radioactive waste within a 28 Ha repository footprint. A concrete floor will be poured to provide a stable base for stacking the waste packages. The first phase of the geoscientific site characterisation plan (GSCP) was prepared in 2005. The GSCP provides a comprehensive and internationally peer-reviewed basis for DGR-related geoscientific studies. The GSCP describes surface and sub-surface site characterization activities required to evaluate the technical suitability of the proposed DGR concept. The GSCP also provides a geoscientific basis for the post-closure safety assessment and contributes to the development of an integrated DGR safety case describing the expected long-term safety and potential impacts of the DGR. Interim results have shown that the middle-upper Ordovician formations proposed to host and enclose the DGR comprise a stable, saline and extremely low permeability groundwater regime. This paper provided an overview of the coordinated site-specific and regional studies to characterize the Bruce site and support the DGR safety case. The work program is scheduled for completion in late 2010 in support of the submittal of an Environmental Impact Statement and regulatory site Preparation/Construction License application in early 2011. 17 refs., 8 figs.

Association Between Anemia and Cerebral Venous Thrombosis: Case-Control Study

NARCIS (Netherlands)

Coutinho, Jonathan M.; Zuurbier, Susanna M.; Gaartman, Aafke E.; Dikstaal, Arienne A.; Stam, Jan; Middeldorp, Saskia; Cannegieter, Suzanne C.

2015-01-01

Anemia is often considered to be a risk factor for cerebral venous thrombosis (CVT), but this assumption is mostly based on case reports. We investigated the association between anemia and CVT in a controlled study. Unmatched case-control study: cases were adult patients with CVT included in a

The safety of Ontario's nuclear reactors

International Nuclear Information System (INIS)

1980-06-01

A Select Committee of the Legislature of Ontario was established to examine the affairs of Ontario Hydro, the provincial electrical utility. Extensive public hearings were held on several topics including the safety of nuclear power reactors operating in Ontario. The Committee found that these reactors are acceptably safe. Many of the 24 recommendations in this report deal with the licensing process and public access to information. (O.T.)

Large catchment area recharges Titan's Ontario Lacus

Science.gov (United States)

Dhingra, Rajani D.; Barnes, Jason W.; Yanites, Brian J.; Kirk, Randolph L.

2018-01-01

We seek to address the question of what processes are at work to fill Ontario Lacus while other, deeper south polar basins remain empty. Our hydrological analysis indicates that Ontario Lacus has a catchment area spanning 5.5% of Titan's surface and a large catchment area to lake surface area ratio. This large catchment area translates into large volumes of liquid making their way to Ontario Lacus after rainfall. The areal extent of the catchment extends to at least southern mid-latitudes (40°S). Mass conservation calculations indicate that runoff alone might completely fill Ontario Lacus within less than half a Titan year (1 Titan year = 29.5 Earth years) assuming no infiltration. Cassini Visual and Infrared Mapping Spectrometer (VIMS) observations of clouds over the southern mid and high-latitudes are consistent with precipitation feeding Ontario's large catchment area. This far-flung rain may be keeping Ontario Lacus filled, making it a liquid hydrocarbon oasis in the relatively dry south polar region.

Waiting Lists for Radiation Therapy: A Case Study

Directory of Open Access Journals (Sweden)

Singer Peter A

2001-04-01

Full Text Available Abstract Background Why waiting lists arise and how to address them remains unclear, and an improved understanding of these waiting list "dynamics" could lead to better management. The purpose of this study is to understand how the current shortage in radiation therapy in Ontario developed; the implications of prolonged waits; who is held accountable for managing such delays; and short, intermediate, and long-term solutions. Methods A case study of the radiation therapy shortage in 1998-99 at Princess Margaret Hospital, Toronto, Ontario, Canada. Relevant documents were collected; semi-structured, face-to-face interviews with ten administrators, health care workers, and patients were conducted, audio-taped and transcribed; and relevant meetings were observed. Results The radiation therapy shortage arose from a complex interplay of factors including: rising cancer incidence rates; broadening indications for radiation therapy; human resources management issues; government funding decisions; and responsiveness to previous planning recommendations. Implications of delays include poorer cancer control rates; patient suffering; and strained doctor-patient relationships. An incompatible relationship exists between moral responsibility, borne by government, and legal liability, borne by physicians. Short-term solutions include re-referral to centers with available resources; long-term solutions include training and recruiting health care workers, improving workload standards, increasing compensation, and making changes to the funding formula. Conclusion Human resource planning plays a critical role in the causes and solutions of waiting lists. Waiting lists have harsh implications for patients. Accountability relationships require realignment.

Renewables without limits : moving Ontario to advanced renewable tariffs by updating Ontario's groundbreaking standard offer program

International Nuclear Information System (INIS)

Gipe, P.

2007-11-01

The Ontario Sustainable Energy Association (OSEA) promotes the development of community-owned renewable energy generation. It was emphasized that in order to achieve OSEA's original objectives of developing as much renewable energy as quickly as possible through community participation, changes are needed to Ontario's groundbreaking standard offer contract (SOC) program. This report examined the status of Ontario's SOC program and proposed changes to the program as part of the program's first two-year review. The report provided a summary of the program and discussed each of the program's goals, notably to encourage broad participation; eliminate barriers to distributed renewable generation; provide a stable market for renewable generation; stimulate new investment in renewable generation; provide a rigorous pricing model for setting the tariffs; create a program applicable to all renewable technologies; provide a simple, streamlined, and cost-effective application process; and provide a dispute resolution process. The program goals as developed by the Ontario Power Authority and Ontario Energy Board were discussed with reference to mixed results to date; simplicity; removing barriers; balancing targets with value to ratepayers; and building on the efforts of OSEA. Advanced renewable tariffs (ART) and tariff determination was also discussed along with ART's in Germany, France, Spain and Ontario. Inflation indexing; tariff degression; proposed new tariffs by technology; and other costs and factors affecting profitability were also reviewed. ref., tabs

The Dishwater Menace: Healthy Drinking Spaces and the Public Good in Post-Prohibition Ontario.

Science.gov (United States)

Malleck, Dan

2017-01-01

This paper examines inter-bureaucracy tension, negotiation, and resolution in the case of the oversight of beverage room sanitation in Ontario in the 1930s and 1940s. Both the Liquor Control Board of Ontario (LCBO) and various public health authorities claimed authority over the health status of public drinking spaces. But the LCBO had legislative priority. The ensuing debates regarding health and cleanliness linked issues of beverage room glass sanitation to a biopolitical approach to public drinking. Developing a more scientifically sophisticated approach to beverage glass cleaning required a balancing of administrative priorities. Perfect sanitation was expensive and complicated, and the LCBO's mandate demanded attention to the financial viability of beverage rooms. The LCBO needed to forge a trade off between safety and viability, while maintaining a public drinking system that dissuaded illegal drinking. The subsequent compromise in beverage room glass sanitation tied contemporary chemical sanitizers to the challenging economics of depression-era beverage room management.

Case-control vaccine effectiveness studies: Data collection, analysis and reporting results.

Science.gov (United States)

Verani, Jennifer R; Baqui, Abdullah H; Broome, Claire V; Cherian, Thomas; Cohen, Cheryl; Farrar, Jennifer L; Feikin, Daniel R; Groome, Michelle J; Hajjeh, Rana A; Johnson, Hope L; Madhi, Shabir A; Mulholland, Kim; O'Brien, Katherine L; Parashar, Umesh D; Patel, Manish M; Rodrigues, Laura C; Santosham, Mathuram; Scott, J Anthony; Smith, Peter G; Sommerfelt, Halvor; Tate, Jacqueline E; Victor, J Chris; Whitney, Cynthia G; Zaidi, Anita K; Zell, Elizabeth R

2017-06-05

The case-control methodology is frequently used to evaluate vaccine effectiveness post-licensure. The results of such studies provide important insight into the level of protection afforded by vaccines in a 'real world' context, and are commonly used to guide vaccine policy decisions. However, the potential for bias and confounding are important limitations to this method, and the results of a poorly conducted or incorrectly interpreted case-control study can mislead policies. In 2012, a group of experts met to review recent experience with case-control studies evaluating vaccine effectiveness; we summarize the recommendations of that group regarding best practices for data collection, analysis, and presentation of the results of case-control vaccine effectiveness studies. Vaccination status is the primary exposure of interest, but can be challenging to assess accurately and with minimal bias. Investigators should understand factors associated with vaccination as well as the availability of documented vaccination status in the study context; case-control studies may not be a valid method for evaluating vaccine effectiveness in settings where many children lack a documented immunization history. To avoid bias, it is essential to use the same methods and effort gathering vaccination data from cases and controls. Variables that may confound the association between illness and vaccination are also important to capture as completely as possible, and where relevant, adjust for in the analysis according to the analytic plan. In presenting results from case-control vaccine effectiveness studies, investigators should describe enrollment among eligible cases and controls as well as the proportion with no documented vaccine history. Emphasis should be placed on confidence intervals, rather than point estimates, of vaccine effectiveness. Case-control studies are a useful approach for evaluating vaccine effectiveness; however careful attention must be paid to the collection

Case-control study on uveal melanoma (RIFA: rational and design

Directory of Open Access Journals (Sweden)

Schmidt-Pokrzywniak Andrea

2004-08-01

Full Text Available Abstract Background Although a rare disease, uveal melanoma is the most common primary intraocular malignancy in adults, with an incidence rate of up to 1.0 per 100,000 persons per year in Europe. Only a few consistent risk factors have been identified for this disease. We present the study design of an ongoing incident case-control study on uveal melanoma (acronym: RIFA study that focuses on radiofrequency radiation as transmitted by radio sets and wireless telephones, occupational risk factors, phenotypical characteristics, and UV radiation. Methods/Design We conduct a case-control study to identify the role of different exposures in the development of uveal melanoma. The cases of uveal melanoma were identified at the Division of Ophthalmology, University of Essen, a referral centre for tumours of the eye. We recruit three control groups: population controls, controls sampled from those ophthalmologists who referred cases to the Division of Ophthalmology, University of Duisburg-Essen, and sibling controls. For each case the controls are matched on sex and age (five year groups, except for sibling controls. The data are collected from the study participants by short self-administered questionnaire and by telephone interview. During and at the end of the field phase, the data are quality-checked. To estimate the effect of exposures on uveal melanoma risk, we will use conditional logistic regression that accounts for the matching factors and allows to control for potential confounding.

Struggling doctors in specialist training: a case control study

DEFF Research Database (Denmark)

O'Neill, Lotte; Norberg, Karen; Thomsen, Maria

), or transferred (i.e. had unplanned changes in place of training/ward due to failure to thrive or due to inadequate development of competences), or dropped out (i.e. were dismissed from, had resigned from, or changed their speciality). Controls were a random sample of doctors in the source population, who were......Abstract summary The aim of this cummulative incidence case-control study was to examine: if struggling trainees in medical specialist training (cases) tended to struggle already in medical school or not compared to non-struggling controls, and which performance indicators during medical school...... seemed to predict struggling in postgraduate education if any. The study design is rooted in epidemiological methodology. Struggling doctors in specialist training: a case-control study. It has been reported in the international literature, that around 3-10% of doctors in post-garduate specialist...

Alternative models for restructuring Ontario's electric sector

International Nuclear Information System (INIS)

Bright, D.; Salaff, S.

1996-01-01

The future of Ontario Hydro and the provincial electrical sector was discussed. Various models proposed for restructuring Ontario's electric sector were described and views of some of the stake holders were presented, among them the views of AMPCO, MEA, the Ontario Chamber of Commerce, IPPSO, Ontario Hydro Management, Energy Probe and the Power Workers' Union. In general, most stake holders were in favour of privatization to some degree except for the Power Workers' Union which was unalterably opposed to privatization, claiming that it would lead to quantum increases in electricity rates. 2 figs

Global warming: Towards a strategy for Ontario

International Nuclear Information System (INIS)

1990-01-01

A discussion paper is provided as background to a proposed public review of a strategy for Ontario's response to global warming. Global warming arises from the generation of greenhouse gases, which come from the use of fossil fuels, the use of chlorofluorocarbons, and deforestation. Energy policy is the backbone of achieving climate stability since the burning of fossil fuels releases most of the greenhouse gases, mainly carbon dioxide. Canada is, by international standards, a very energy-intensive country and is among the world's largest emitters of carbon dioxide on a per capita basis. Ontario is the largest energy-using province in Canada, and fossil fuels represent over 80% of provincial energy use. A proposed goal for Ontario is to provide leadership in stabilizing atmospheric concentrations of the greenhouse gases, while minimizing the social, economic, and environmental costs in Ontario of adapting to global warming. A proposed first step to address global warming is to achieve reductions in expected emissions of the greenhouse gases, especially carbon dioxide, so that levels by the year 2000 are lower than in 1989. Current policies and regulations helping to reduce the greenhouse effect include some of the current controls on automotive emissions and the adoption by the provincial electric utility of targets to reduce electricity demand. New initiatives include establishment of minimum energy efficiency standards and reduction of peak-day electricity use. Action steps for future consideration are detailed in the categories of greenhouse gas emissions reductions, carbon dioxide absorption, and research and analysis into global warming

Nonnatural deaths of children under the age of 5 years in Ontario, Canada: A retrospective autopsy analysis of 10 years (2006-2015

Directory of Open Access Journals (Sweden)

Syeda Sakina Rizvi

2017-01-01

Full Text Available The goal of this study is to unravel the common patterns observed among nonnatural deaths of children under 5 years and suggest ways to prevent such unnecessary deaths. The study was confined to the province of Ontario to allow the identification of regional specific patterns. The database at the Office of the Chief Coroner of Ontario was searched for all pediatric deaths from the years 2006-2015. All nonnatural deaths for children under the age of 5 years, including sudden infant death syndrome, were selected for the study. Manner and cause of death along with the corresponding year were recorded in tables. In the 10-year period, 940 nonnatural deaths were identified in Ontario through autopsy records which are equal to approximately 36.7% of the total childhood deaths. There were 295 accidental cases (11.6% and 71 homicides (2.8%. The leading causes of nonnatural childhood deaths in Ontario were drowning, traffic accidents, blunt trauma, and asphyxia. Nonnatural deaths are preventable through education and training of parents. Implementation of educational interventions can significantly reduce nonnatural deaths of children in Ontario.

Patterned genital injury in cases of rape - A case-control study

DEFF Research Database (Denmark)

Astrup, Birgitte Schmidt; Ravn, Pernille; Thomsen, Jørgen Lange

2013-01-01

A pattern of genital injury that separates trauma seen in sexual assault cases from trauma seen following consensual sexual intercourse has been a matter of debate. This study aimed at clarifying the question by eliminating as many confounders as possible in a prospective, case-control setup. A t...

The economics of age-group swimming in Ontario.

Science.gov (United States)

Eynon, R B; Kitchen, P D; Semotiuk, D M

1980-09-01

This study investigated the socio-economic status of the parents of Ontario swimmers and parental expenditures, in terms of time and money, in support of competitive swimming. Questionnaires were mailed to a sample of 400 families of Ontario competitive swimmers. Spearman rho analyses were used to determine the relationships of membership fee, total cost and total time spent by the parents to the ability and age of the swimmer and the number of hours of practice and swim meets. Parents of Ontario competitive swimmers are upper middle class and devote a great deal of their time (X = 433 hours) and money (X = $744.00) annually to competitive swimming. Total expenditures and time spend by the parents were greater for those children were young and also for those whose children demonstrated greater ability (i.e., closer to Ontario record). Spearman rho analyses suggested that membership fees are not determined on the basis of age, number of practice hours or number of swim meets.

Overview of surgery for oral cavity cancer in Ontario.

Science.gov (United States)

Eskander, Antoine; Irish, Jonathan; Gullane, Patrick; Gilbert, Ralph; de Almeida, John R; Freeman, Jeremy; Giuliani, Meredith; Urbach, David R; Goldstein, David P

2016-07-01

The pupose of this study was to describe variations in incidence and resection rates of patients with oral cavity squamous cell carcinoma (SCC) in Ontario. All oral cavity SCCs in Ontario between 2003 and 2010 were identified from the Ontario Cancer Registry. Incidence and resection rates along with variations in care were compared by sociodemographic factors and Ontario health regions. The 8-year incidence rates for oral cavity SCC was 21.3 per 100,000 with variations by sex, age group, neighborhood income, and community size. Seventy-four percent of patients underwent an oral cavity cancer resection, of which 91% were at a regional head and neck cancer center. Variations in resection rates existed by region of residence and treatment. Oral cavity cancer incidence rates vary by sex, age, neighborhood income, community size, and health region. Resection rates vary by age and health region. Oral cavity cancer care is highly regionalized in Ontario. © 2015 Wiley Periodicals, Inc. Head Neck 38: 1113-1118, 2016. © 2015 Wiley Periodicals, Inc.

Adverse Events following 12 and 18 Month Vaccinations: a Population-Based, Self-Controlled Case Series Analysis

OpenAIRE

Wilson, Kumanan; Hawken, Steven; Kwong, Jeffrey C.; Deeks, Shelley; Crowcroft, Natasha S.; Van Walraven, Carl; Potter, Beth K.; Chakraborty, Pranesh; Keelan, Jennifer; Pluscauskas, Michael; Manuel, Doug

2011-01-01

BACKGROUND: Live vaccines have distinct safety profiles, potentially causing systemic reactions one to 2 weeks after administration. In the province of Ontario, Canada, live MMR vaccine is currently recommended at age 12 months and 18 months. METHODS: Using the self-controlled case series design we examined 271,495 12 month vaccinations and 184,312 18 month vaccinations to examine the relative incidence of the composite endpoint of emergency room visits or hospital admissions in consecutive o...

The offshore fish community in southern Lake Ontario, 1972-1998

Science.gov (United States)

Owens, Randall W.; O'Gorman, Robert; Eckert, Thomas H.; Lantry, Brian F.; Munawar, M.

2003-01-01

The authors document the status of Lake Ontario's open-water fish community in 1972, near the beginning of an era of massive fish stocking and when phosphorus levels in the lake from anthropogenic inputs, were near their peak. They then describe changes that occurred in the fish community in 1978-98. This was a period when large numbers of young salmonid piscivores were released annually, sea lamprey control continued to improve, and phosphorus levels were declining due to successful nutrient abatement programs. Coincident with the above, the lower food web was changed by the addition of new exotic invertebrates, the zooplankter Bythotrephes cederstroemi and particularly the zebra mussel, Dreissena polymorpha, and quagga mussel, D. bugensis. The picture of the fish community structure is drawn from records of catches in bottom trawls and gill nets during surveys of southern Lake Ontario conducted the the U.S. Geological Survey (USGS) and the New York Department of Environmental Conservation (NYDEC), from records of fish stocked in Lake Ontario by the NYDEC, and from a creel census of boat anglers returning to southern Lake Ontario ports conducted by the NYDEC.

Adolescent Tobacco and Cannabis Use: Young Adult Outcomes from the Ontario Child Health Study

Science.gov (United States)

Georgiades, Katholiki; Boyle, Michael H.

2007-01-01

Background: This study examines the longitudinal associations between adolescent tobacco and cannabis use and young adult functioning. Methods: Data for analysis come from the Ontario Child Health Study (OCHS), a prospective study of child health, psychiatric disorder and adolescent substance use in a general population sample that began in 1983,…

The uranium deposits of Ontario

International Nuclear Information System (INIS)

Robertson, J.A.

1981-01-01

The principal types of uranium deposits in Ontario are carbonatites and fenites, alkalic volcanic rocks, pegiatites, calc-silicate rocks, pyritic quartz-pebble conglomerates, polymictic conglomerates and some pelitic rocks, and various 'pitchblende' deposits including late Precambrian unconformities, possibly late Precambrian diabase dikes, and other unconformities: carbonates, sandstones, lignites, and semi-pelitic rocks of middle and upper Precambrian age. Only red unzoned pegmatite and the pyritic quartz-pebble conglomerate have supported production. Ontario reasonably assured and estimated resources in the economic and subeconomic categories in 1977 amounted to 553 000 tonnes U, and 1977 production was 4000 tonnes U. Measured, indicated, and inferred resources in the Elliot Lake - Agnew Lake area are at least 400 000 tonnes U. The latter deposits are also a significant thorium resource. Geological features reflecting major changes in physics and chemistry are prime controls on distribution of uranium deposits. Geological province and subprovince boundaries, major faults, higher metamorphic grades, domain boundaries related to quartz monzonite batholiths, alkalic complexes, and the distribution of carbonate rocks are examples of such geological features

Ontario's new electricity market and the future of OPG

International Nuclear Information System (INIS)

Howes, H.

2002-01-01

The recent measures taken by Ontario Power Generation since 1998 to deregulate the electricity market in the province of Ontario are reviewed. The opening of Ontario's power market in May 2002 will oblige Ontario Power Generation to reduce its market share. The author reviewed the current status of the energy market in Ontario and noted a modest growth in demand. A significant portion of the energy supply is being provided by nuclear, fossil fuels and hydro energy. The challenge facing Ontario Power Generation is to stay competitive in the new deregulated market and to participate in the energy market in the United States. 6 figs

Beware: The empire striking back: An update of regulatory changes in Ontario`s gas and electricity business as at February 1998

Energy Technology Data Exchange (ETDEWEB)

Rosenberg, K. [Gowling, Strathy and Henderson, Toronto, ON (Canada)

1998-09-01

A review of what is happening with regard to deregulation of the gas and electricity industry in Ontario was presented. Recently, a series of government actions in Ontario have recommended fundamental changes in the gas and electric power sector. Prior to the October 31, 1985 agreement, no competitive market existed within local distribution franchises in Ontario or elsewhere in Canada. The Agreement created gas on gas competition and enabled consumers to purchase natural gas from producers at negotiated prices. The Ontario government`s proposed legislation and implementation schedule forecasts even more fundamental changes for the province`s electric power industry. Essentially, the legislation proposes to break up Ontario Hydro into several different entities and transfer regulatory authority to the Ontario Energy Board. The pending legislation also envisages the structural separation of local distribution companies into natural monopolies which will compete in the marketplace. The possibility of privatizing part or all of Ontario`s nuclear assets is also part of the ongoing debate. It was the author`s view that unless there is immediate and complete structural separation of all monopoly services within the gas and electric utilities, the market will not be truly competitive. Instead, regulated monopoly pricing would be replaced by unregulated oligopoly pricing. 1 tab.

Case studies in rural recycling. Public service report series

Energy Technology Data Exchange (ETDEWEB)

Cosper, S.D.; Hallenbeck, W.H.; Brenniman, G.R.

1994-02-01

Due to state planning requirements and federal landfill regulations, solid waste management in rural areas (particularly recycling) has received much attention in recent years. The growth of recycling during the 1980s occurred mainly in urban and suburban areas. Therefore, rural recycling is still a relatively new enterprise. This report presents several rural recycling case studies from Colorado, Illinois, Indiana, Iowa, Minnesota, Tennessee, and Ontario, Canada to provide examples of successes and problems. This report also discusses the current issues of cooperative marketing of recyclables and municipal solid waste flow control. With respect to recycling, a rural region does not have ready access to markets for collected materials and has difficulty in generating easily marketable quantities of recyclables. (Copyright (c) 1994 The Board of Trustees of the University of Illinois.)

Ontario Hydro CANDU operating experience

International Nuclear Information System (INIS)

Bartholomew, R.W.; Woodhead, L.W.; Horton, E.P.; Nichols, M.J.; Daly, I.N.

1987-01-01

The CANDU Pressurized Heavy Water (CANDU-PHW) type of nuclear-electric generating station has been developed jointly by Atomic Energy of Canada Limited and Ontario Hydro. This report highlights Ontario Hydro's operating experience using the CANDU-PHW system, with a focus on worker and public safety, operating performance and costs, and reliability of system components

Future changes of temperature and heat waves in Ontario, Canada

Science.gov (United States)

Li, Zhong; Huang, Guohe; Huang, Wendy; Lin, Qianguo; Liao, Renfei; Fan, Yurui

2018-05-01

Apparent changes in the temperature patterns in recent years brought many challenges to the province of Ontario, Canada. As the need for adapting to climate change challenges increases, the development of reliable climate projections becomes a crucial task. In this study, a regional climate modeling system, Providing Regional Climates for Impacts Studies (PRECIS), is used to simulate the temperature patterns in Ontario. Three PRECIS runs with a resolution of 25 km × 25 km are carried out to simulate the present (1961-1990) temperature variations. There is a good match between the simulated and observed data, which validates the performance of PRECIS in reproducing temperature changes in Ontario. Future changes of daily maximum, mean, and minimum temperatures during the period 2071-2100 are then projected under the IPCC SRES A2 and B2 emission scenarios using PRECIS. Spatial variations of annual mean temperature, mean diurnal range, and temperature seasonality are generated. Furthermore, heat waves defined based on the exceedance of local climatology and their temporal and spatial characteristics are analyzed. The results indicate that the highest temperature and the most intensive heat waves are most likely to occur at the Toronto-Windsor corridor in Southern Ontario. The Northern Ontario, in spite of the relatively low projected temperature, would be under the risk of long-lasting heat waves, and thus needs effective measures to enhance its climate resilience in the future. This study can assist the decision makers in better understanding the future temperature changes in Ontario and provide decision support for mitigating heat-related loss.

Ontario hydro radioactive material transportation field guide

International Nuclear Information System (INIS)

Howe, W.

1987-01-01

The recent introduction of both the AECB Transport Packaging of Radioactive Material Regulations and Transport Canada's Transportation of Dangerous Goods Regulations have significantly altered the requirements for transporting radioactive material in Canada. Extensive additional training as well as certification of several hundred Ontario Hydro employees has been necessary to ensure compliance with the additional and revised regulatory requirements. To assist in the training of personnel, an 'active' corporate Ontario Hydro Field Guide for Radioactive Material Transport document has been developed and published. The contents of this Field Guide identify current Ontario Hydro equipment and procedures as well as the updated relevant regulatory requirements within Canada. In addition, to satisfying Ontario Hydro requirements for this type of information over two thousand of these Field Guides have been provided to key emergency response personnel throughout the province of Ontario to assist in their transportation accident response training

An epidemiological investigation of the early phase of the porcine epidemic diarrhea (PED) outbreak in Canadian swine herds in 2014: A case-control study.

Science.gov (United States)

Perri, Amanda M; Poljak, Zvonimir; Dewey, Cate; Harding, John C S; O'Sullivan, Terri L

2018-02-01

The first case of porcine epidemic diarrhea (PED) in Canada was diagnosed in January 2014 in Ontario, approximately 9 months after PED emerged in the United States. An early investigation of the Canadian outbreak suspected that the probable source of the virus was contaminated feed. The objective of this study was to evaluate the role of feed and other possible factors in the early phase of the PED outbreak in Canadian swine herds. The study period of interest for this case-control study was January 22nd to March 1st, 2014. A case herd was defined as a swine herd with a confirmed positive laboratory diagnostic test (RT-PCR) results for PED virus, along with pigs exhibiting typical clinical signs at the herd level during the study period. A questionnaire was administered to participating producers from the 22 Canadian swine herds enrolled (n = 9 case and n = 13 control herds). Case herd producers were asked to provide information from the initial day of onset of clinical signs and 30 days prior to that day. Control herds were matched to a case herd on the basis of province, herd type and approximate size. The period of interest for a control herd was matched to the initial day of clinical signs of PED for the case herd, along with the 30 days prior to this day. The questionnaire questions focused on herd demographics, biosecurity protocols, live animal movements onto and off sites, deadstock movements, feed and people movements for both the case and control herds. The questionnaire for control herds were based on their matched case's period of interest, and together with case herds formed a matched stratum. Multivariable exact conditional logistic regression and mixed multivariable logistic regression models, with the matched stratum as a random effect, were used to assess the association between various risk factors and the odds of PED introduction into a herd. After adjusting for biosecurity practices, the odds of a PED occurrence was 38.1 (95% CI: 2

Coal-fired electricity generation in Ontario

International Nuclear Information System (INIS)

2001-03-01

This report examines coal-fired electricity generation in Ontario and recommends actions to be taken by the provincial government to protect the environment. The recommendations are also designed to assist in making decisions about the environmental safeguards needed for a competitive electricity industry. The report examines air emissions from coal-fired generating plants in the larger context of air pollution in the province; summarizes background information on key air pollutants; provides an individual profile of all coal-fired power stations in the province; and benchmarks Ontario's emissions performance by comparing it with 19 nearby U.S. jurisdictions. Current and proposed environmental controls for fossil fuel power generation in the province are elaborated. Options for maximizing environmental performance and the framework for strengthening environmental protection are reviewed. The report also contains a series of findings and recommendations which are deemed necessary before the moratorium imposed on the sale of coal-fired electricity plants imposed in May 2000, can be lifted. tabs., figs

Retailers test Ontario market

Energy Technology Data Exchange (ETDEWEB)

Kishewitsch, S.

2000-04-01

In anticipation of the full opening of the Ontario electricity market in November 2000, some of the newly-licensed electricity retailers are reported to be ready to begin testing the market early, hoping that all the uncertainties that still exist about pricing will be worked out in time. Among those jumping in now is Direct Energy Marketing, a retailer which claims 800,000 households in Ontario as electricity supply customers, as well as a wholesale gas marketing business. Direct Energy began retail electrical marketing on April 3, 2000, starting cautiously with small commercial operations as the initial target. Greengrid Electric, another of the new marketers, planned to begin marketing in mid-April, offering 100 per cent renewable-sourced electricity. Provident Energy Management, one of the new marketers whose licence is still pending, hopes to begin direct marketing as soon as its licence is confirmed. Another marketer ready to go as soon its license is issued is the former Sault Ste. Marie Hydro, now reorganized as PUC Energies Inc. PUC has the advantage of having a firm contract with a NUG (non-utility generator), Great Lakes Power, signed while PUC was still a municipal electric utility. As far as the other potential marketers are concerned, caution overrides opportunity for the present. Principal concerns are uncertainty over the retail settlement code, the electronic business data transfer system, transmission and distribution tariffs, whether existing non-utility generator contracts will allow for supply to another party, and over how quickly Ontario Power Generation Inc's (successor to Ontario Hydro) market power will be ratcheted down. Many of the potential marketers feel that despite the Ontario government's desire to see more competition, the power mitigation agreement, as it now reads, leaves little room for the small retailer to compete.

Retailers test Ontario market

International Nuclear Information System (INIS)

Kishewitsch, S.

2000-01-01

In anticipation of the full opening of the Ontario electricity market in November 2000, some of the newly-licensed electricity retailers are reported to be ready to begin testing the market early, hoping that all the uncertainties that still exist about pricing will be worked out in time. Among those jumping in now is Direct Energy Marketing, a retailer which claims 800,000 households in Ontario as electricity supply customers, as well as a wholesale gas marketing business. Direct Energy began retail electrical marketing on April 3, 2000, starting cautiously with small commercial operations as the initial target. Greengrid Electric, another of the new marketers, planned to begin marketing in mid-April, offering 100 per cent renewable-sourced electricity. Provident Energy Management, one of the new marketers whose licence is still pending, hopes to begin direct marketing as soon as its licence is confirmed. Another marketer ready to go as soon its license is issued is the former Sault Ste. Marie Hydro, now reorganized as PUC Energies Inc. PUC has the advantage of having a firm contract with a NUG (non-utility generator), Great Lakes Power, signed while PUC was still a municipal electric utility. As far as the other potential marketers are concerned, caution overrides opportunity for the present. Principal concerns are uncertainty over the retail settlement code, the electronic business data transfer system, transmission and distribution tariffs, whether existing non-utility generator contracts will allow for supply to another party, and over how quickly Ontario Power Generation Inc's (successor to Ontario Hydro) market power will be ratcheted down. Many of the potential marketers feel that despite the Ontario government's desire to see more competition, the power mitigation agreement, as it now reads, leaves little room for the small retailer to compete

Ontario energy market review and outlook

International Nuclear Information System (INIS)

Brett, J.T.

1997-01-01

The current status of the natural gas industry and the electric power industry in Ontario, in terms of deregulation, was described. Natural gas utilities will exit the regulated gas market over the next few years and transfer their existing residential and small commercial gas contracts to their unregulated affiliates. Nevertheless, a regulated gas supply option will remain until the regulator is assured that consumer protection issues have been properly addressed, and there is a truly competitive market. Ontario Hydro is a vertically integrated virtual monopoly. It lags behind B.C., Alberta, Quebec and Nova Scotia in terms of deregulation and restructuring, although the MacDonald Commission's recent report recommended sweeping changes to Ontario Hydro's monopoly over the electric power industry. A final response from the Ontario government is still pending. The convergence of the electric power and natural gas industries was also discussed

Modeling livestock population structure: a geospatial database for Ontario swine farms.

Science.gov (United States)

Khan, Salah Uddin; O'Sullivan, Terri L; Poljak, Zvonimir; Alsop, Janet; Greer, Amy L

2018-01-30

Infectious diseases in farmed animals have economic, social, and health consequences. Foreign animal diseases (FAD) of swine are of significant concern. Mathematical and simulation models are often used to simulate FAD outbreaks and best practices for control. However, simulation outcomes are sensitive to the population structure used. Within Canada, access to individual swine farm population data with which to parameterize models is a challenge because of privacy concerns. Our objective was to develop a methodology to model the farmed swine population in Ontario, Canada that could represent the existing population structure and improve the efficacy of simulation models. We developed a swine population model based on the factors such as facilities supporting farm infrastructure, land availability, zoning and local regulations, and natural geographic barriers that could affect swine farming in Ontario. Assigned farm locations were equal to the swine farm density described in the 2011 Canadian Census of Agriculture. Farms were then randomly assigned to farm types proportional to the existing swine herd types. We compared the swine population models with a known database of swine farm locations in Ontario and found that the modeled population was representative of farm locations with a high accuracy (AUC: 0.91, Standard deviation: 0.02) suggesting that our algorithm generated a reasonable approximation of farm locations in Ontario. In the absence of a readily accessible dataset providing details of the relative locations of swine farms in Ontario, development of a model livestock population that captures key characteristics of the true population structure while protecting privacy concerns is an important methodological advancement. This methodology will be useful for individuals interested in modeling the spread of pathogens between farms across a landscape and using these models to evaluate disease control strategies.

Ontario's energy action plan

International Nuclear Information System (INIS)

2003-07-01

In the fall of 2002, the government of Ontario announced an action plan designed to ensure stable electricity prices while additional electricity generating capacity is built. The action plan included a strategy for encouraging major private sector investments in wind, solar and other renewable energy sources. The strategies for new renewable energy projects include: property tax incentives, business income tax incentives, and sales tax rebates. Initiatives to increase supply include: Toronto's Portland 550 megawatt, natural gas-fired generating station, Niagara Falls' Beck Tunnel Project, and Windsor's 580 megawatt natural gas-fired generating station. The government is promoting energy conservation by reducing its electricity consumption by 10 per cent, and setting a target where 20 per cent of electricity consumed in the province must be from renewable energy sources. The use of interval meters by Ontario residents is being encouraged. A provincial sales tax rebate is being offered to customers buying select energy efficient appliances. In its commitment to environmental protection, the Ontario government is phasing out coal, offering rebates for solar energy systems, implementing measures to reduce acid rain, and investing $3.25 billion over ten years to renew and expand public transit. In Chatham, Ontario, a plant producing ethanol from corn was built, and others are planned for other parts of the province. Tax incentives are also offered for alternative fuel users. 1 ref., 1 tab

A control room lighting study

International Nuclear Information System (INIS)

Vaidya, V.V.; Iwasa-Madge, K.M.; Howard, B.; Willson, R.B.

1984-01-01

Operators at a Heavy Water Plant in Ontario, Canada complained about lighting-related difficulties in the control room. The Human Factors Engineering Unit was requested to perform a lighting survey and make recommendations to improve the control centre lighting conditions. This paper describes the control room, the operator tasks, the procedures used for the lighting survey, the findings, and the changes recommended

The Misconception of Case-Control Studies in the Plastic Surgery Literature: A Literature Audit.

Science.gov (United States)

Hatchell, Alexandra C; Farrokhyar, Forough; Choi, Matthew

2017-06-01

Case-control study designs are commonly used. However, many published case-control studies are not true case-controls and are in fact mislabeled. The purpose of this study was to identify all case-control studies published in the top three plastic surgery journals over the past 10 years, assess which were truly case-control studies, clarify the actual design of the articles, and address common misconceptions. MEDLINE, Embase, and Web of Science databases were searched for case-control studies in the three highest-impact factor plastic surgery journals (2005 to 2015). Two independent reviewers screened the resulting titles, abstracts, and methods, if applicable, to identify articles labeled as case-control studies. These articles were appraised and classified as true case-control studies or non-case-control studies. The authors found 28 articles labeled as case-control studies. However, only six of these articles (21 percent) were truly case-control designs. Of the 22 incorrectly labeled studies, one (5 percent) was a randomized controlled trial, three (14 percent) were nonrandomized trials, two (9 percent) were prospective comparative cohort designs, 14 (64 percent) were retrospective comparative cohort designs, and two (9 percent) were cross-sectional designs. The mislabeling was worse in recent years, despite increases in evidence-based medicine awareness. The majority of published case-control studies are not in fact case-control studies. This misunderstanding is worsening with time. Most of these studies are actually comparative cohort designs. However, some studies are truly clinical trials and thus a higher level of evidence than originally proposed.

[Overview of acupuncture development in Ontario Canada].

Science.gov (United States)

Wang, Fang; Wu, Bin-jiang

2012-04-01

The history of acupuncture in Ontario, Canada was traced, and the current status as welI as the prospection were introduced in this paper. Statistics showed that the history of acupuncture in Ontario started in the 1880s, and it was only popular in China Town and Chinese community. In the 1970s, it gradually merged into the mainstream of the society, and entered into a growing period. With the tide of Chinese immigration in the 1980s and 1990s, acupuncture matured rapidly. In 2006, the "Traditional Chinese Medicine Act" was passed in Ontario, it was considered as a milestone in the history of acupuncture. At present, just like the other 23 health care professions, acupuncture has already be included into the legislation system, and become a component of Ontario's health care system. At the same time, the law and regulation may also promote the establishment of "pure Chinese Medicine" in Ontario.

Association between allergies, asthma, and breast cancer risk among women in Ontario, Canada.

Science.gov (United States)

Lowcock, Elizabeth C; Cotterchio, Michelle; Ahmad, Noor

2013-05-01

To investigate the association between allergies, asthma, and breast cancer risk in a large, population-based case-control study. Breast cancer cases (n = 3,101) were identified using the Ontario Cancer Registry and population controls (n = 3,471) through random digit dialing. Self-reported histories of allergies, hay fever, and asthma were collected by questionnaire. Logistic regression was used to assess associations between breast cancer risk and history of allergy/hay fever and asthma, with 16 possible confounders examined. Analyses were stratified by menopausal status. A history of allergies or hay fever was associated with a small reduction in breast cancer risk [age-adjusted odds ratio (AOR) = 0.86, 95 % confidence interval (CI) 0.77-0.96] and did not differ by menopausal status. Asthma was not associated with breast cancer risk overall; however, among premenopausal women, asthma was associated with a reduced risk of breast cancer (AOR = 0.72, 95 % CI 0.54-0.97). A history of allergies may be associated with a modest reduction in breast cancer risk. Asthma does not appear to be associated with breast cancer risk overall; however, asthma may be associated with reduced breast cancer risk among premenopausal women.

A case-control study assessing depression in patients with periodontitis

Directory of Open Access Journals (Sweden)

Shiyamali Sundararajan

2017-01-01

Full Text Available Background: Chronic periodontitis is an inflammatory disease of the supporting structures of the tooth. One of the important non-oral risk factors for periodontitis is psychosocial stress and depression. Depression affects oral health by affecting the immune system through its effects on hypothalamic pituitary axis system. Periodontal inflammatory surface area (PISA is a system used to assess inflammatory burden in the periodontal tissue. Aim: The aim of this study is to assess the relationship between PISA and depression. Settings and Design: The design of the study is case-control study. Materials and Methods: The study design is a case-control study with forty patients each in case and control groups. The periodontal inflammatory level was assessed by PISA system and the levels of depression was assessed by using Beck's Depression Inventory (BDI. Statistical Analysis: Student's t-test was used to compare PISA and BDI scores. The BDI score (mean ± standard deviation [SD] for controls was 12.75 ± 6.82 compared to 22.73 ± 4.40 for the cases. The comparison (t = 7.78 was statistically significant at P < 0.0001. The PISA score (mean ± SD for controls was 210.47 ± 76.80 compared to the PISA score of 1069.50 ± 204.21 for cases which was statistically significant (t = 24.90; P < 0.0001. Results: Significantly higher BDI scores were observed in patients with chronic periodontitis than healthy controls. Conclusion: This study clearly reveals a significant association between the severity of depression and inflammatory burden.

Mandated Community Service in High School and Subsequent Civic Engagement: The Case of the "Double Cohort" in Ontario, Canada

Science.gov (United States)

Henderson, Ailsa; Brown, Steven D.; Pancer, S. Mark; Ellis-Hale, Kimberly

2007-01-01

In 1999, the Ontario provincial government introduced into its high school curriculum a requirement that students complete 40 h of volunteer community service before graduation. At the same time, the high school curriculum was shortened from five years to four. Consequently, the 2003 graduating class of Ontario high school students contained two…

An Evil Hitherto Unchecked: Eugenics and the 1917 Ontario Royal Commission on the Care and Control of the Mentally Defective and Feeble-Minded.

Science.gov (United States)

Koester, C Elizabeth

2016-01-01

In 1917, the Ontario government appointed the Royal Commission on the Care and Control of the Mentally Defective and Feeble-Minded, headed by Justice Frank Hodgins. Its final report made wide-ranging recommendations regarding the segregation of feeble-minded individuals, restrictions on marriage, the improvement of psychiatric facilities, and the reform of the court system, all matters of great concern to the eugenics movement. At the same time, however, it refrained from using explicitly eugenic vocabulary and ignored the question of sterilization. This article explores the role the commission played in the trajectory of eugenics in Ontario (including the province's failure to pass sterilization legislation) and considers why its recommendations were disregarded.

The restructuring of the Ontario electricity market

International Nuclear Information System (INIS)

Doucet, J.A.

1999-01-01

A summary of the current status of the deregulation of the electricity market in Ontario was presented. To follow global deregulation trends, the Ontario Government has embarked on a considerable restructuring of the Ontario electricity market. The monopoly position of Ontario Hydro has been removed by restructuring the provincial utility into two separate companies, GENCO and SERVCO, which will be responsible for the generation and transmission and distribution of electricity, respectively. Other mechanisms put in place to favour a free and competitive market for electricity in the province, such as the arrival on the market of other electricity producers, and the establishment of the independent market operator, are also discussed. 2 tabs

Ontario Hydro CANDU operating experience

International Nuclear Information System (INIS)

Jackson, H.A.; Woodhead, L.W.; Fanjoy, G.R.

1984-03-01

The CANDU Pressurized Heavy Water (CANDU-PHW) type of nuclear-electric generating station has been developed jointly by Atomic Energy of Canada Limited and Ontario Hydro. This report highlights Ontario Hydro's operating experience using the CANDU-PHW system, with a focus on the operating performance and costs, reliability of system components and nuclear safety considerations for the workers and the public

Is case-chaos methodology an appropriate alternative to conventional case-control studies for investigating outbreaks?

Science.gov (United States)

Edelstein, Michael; Wallensten, Anders; Kühlmann-Berenzon, Sharon

2014-08-15

Case-chaos methodology is a proposed alternative to case-control studies that simulates controls by randomly reshuffling the exposures of cases. We evaluated the method using data on outbreaks in Sweden. We identified 5 case-control studies from foodborne illness outbreaks that occurred between 2005 and 2012. Using case-chaos methodology, we calculated odds ratios 1,000 times for each exposure. We used the median as the point estimate and the 2.5th and 97.5th percentiles as the confidence interval. We compared case-chaos matched odds ratios with their respective case-control odds ratios in terms of statistical significance. Using Spearman's correlation, we estimated the correlation between matched odds ratios and the proportion of cases exposed to each exposure and quantified the relationship between the 2 using a normal linear mixed model. Each case-control study identified an outbreak vehicle (odds ratios = 4.9-45). Case-chaos methodology identified the outbreak vehicle 3 out of 5 times. It identified significant associations in 22 of 113 exposures that were not associated with outcome and 5 of 18 exposures that were significantly associated with outcome. Log matched odds ratios correlated with their respective proportion of cases exposed (Spearman ρ = 0.91) and increased significantly with the proportion of cases exposed (b = 0.054). Case-chaos methodology missed the outbreak source 2 of 5 times and identified spurious associations between a number of exposures and outcome. Measures of association correlated with the proportion of cases exposed. We recommended against using case-chaos analysis during outbreak investigations. © The Author 2014. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

The Glioma International Case-Control Study

DEFF Research Database (Denmark)

Amirian, E. Susan; Armstrong, Georgina N; Zhou, Renke

2016-01-01

Decades of research have established only a few etiological factors for glioma, which is a rare and highly fatal brain cancer. Common methodological challenges among glioma studies include small sample sizes, heterogeneity of tumor subtypes, and retrospective exposure assessment. Here, we briefly...... describe the Glioma International Case-Control (GICC) Study (recruitment, 2010-2013), a study being conducted by the Genetic Epidemiology of Glioma International Consortium that integrates data from multiple data collection sites, uses a common protocol and questionnaire, and includes biospecimen...

Comprehensive nitrogen budgets for controlled tile drainage fields in eastern ontario, Canada.

Science.gov (United States)

Sunohara, M D; Craiovan, E; Topp, E; Gottschall, N; Drury, C F; Lapen, D R

2014-03-01

Excessive N loading from subsurface tile drainage has been linked to water quality degradation. Controlled tile drainage (CTD) has the potential to reduce N losses via tile drainage and boost crop yields. While CTD can reduce N loss from tile drainage, it may increase losses through other pathways. A multiple-year field-scale accounting of major N inputs and outputs during the cropping season was conducted on freely drained and controlled tile drained agricultural fields under corn ( L.)-soybean [ (L.) Merr.] production systems in eastern Ontario, Canada. Greater predicted gaseous N emissions for corn and soybean and greater observed lateral seepage N losses were observed for corn and soybean fields under CTD relative to free-draining fields. However, observed N losses from tile were significantly lower for CTD fields, in relation to freely drained fields. Changes in residual soil N were essentially equivalent between drainage treatments, while mass balance residual terms were systematically negative (slightly more so for CTD). Increases in plant N uptake associated with CTD were observed, probably resulting in higher grain yields for corn and soybean. This study illustrates the benefits of CTD in decreasing subsurface tile drainage N losses and boosting crop yields, while demonstrating the potential for CTD to increase N losses via other pathways related to gaseous emissions and groundwater seepage. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

Proceedings of the Ontario Petroleum Institute's 48. annual conference : Ontario oil, gas and storage conference

International Nuclear Information System (INIS)

2009-01-01

This conference discussed issues related to Ontario's petroleum industry and evaluated the province's potential hydrocarbon plays. Geological studies of interest to oil and gas operators were presented along with storage opportunities for hydrocarbons in underground formations. Regulatory issues related to the environmental impacts of oil and gas operations on soil and groundwater were reviewed, and various mitigation options for treating soils impacted by hydrocarbons were discussed. New technologies currently being used in Ontario's petroleum industry were presented together with various investment and exploration opportunities. An economic update of recent oil and gas activities in the region was also presented. The conference was divided into 7 sessions, and featured 17 presentations, of which 11 have been catalogued separately for inclusion in this database. tabs., figs.

Colon cancer controls versus population controls in case-control studies of occupational risk factors

DEFF Research Database (Denmark)

Kaerlev, Linda; Lynge, Elsebeth; Sabroe, Svend

2004-01-01

are interchangeable with the experience for population controls. Patient controls may even be preferable from population controls under certain conditions. In this study we examine if colon cancer patients can serve as surrogates for proper population controls in case-control studies of occupational risk factors...... about occupational, medical and life style conditions. RESULTS: No statistical significant difference for educational level, medical history or smoking status was seen between the two control groups. There was evidence of a higher alcohol intake, less frequent work as a farmer and less exposure...... to pesticides among colon cancer controls. CONCLUSIONS: Use of colon cancer controls may provide valid exposure estimates in studies of many occupational risk factors for cancer, but not for studies on exposure related to farming....

Practice patterns in the management of patients with differentiated thyroid cancer in Ontario Canada 2000-2008

Science.gov (United States)

2014-01-01

Background The extent of treatment for differentiated thyroid cancer remains controversial. The objective of this study was to describe the variations in practice prior to diagnosis and for the first year after diagnosis, including the investigations, the extent of surgery and the use of RAI 131, for all patients with thyroid cancer (TC) treated Jan 1 2000 to Dec 2008 across Ontario Canada. Method Population-based study of all patients who had a therapeutic surgical procedure for TC based on the data holdings of the Institute of Clinical Investigative Sciences (ICES) linking the Ontario Cancer Registry to the Ontario Health Insurance Plan and to the Canadian Institutes of Health Information. The analysis includes comparisons between health care utilization/geographic regions and between treating specialties. The study population was 12957 patients. Results There was a 112% increase in case detection over 9 years. Overall the initial (index) surgery was less-than-total thyroidectomy (LTT) in 37.6% and 63.4% of the patients who had total thyroidectomy (TT) as an index surgery went on to adjuvant RAI, however there was wide variation in all aspects of patient care across the province, between Local Health Networks and between surgical specialties. Conclusion In Ontario, there was wide variation for most aspects of the management of TC and, as the incidence of TC is increasing at least 7% per year in females, these data provide a foundation for future discussions, the provision of health care services and research. PMID:25055715

Electricity deregulation roundup : Ontario prepares for electricity deregulation and anxiously watches impact elsewhere

International Nuclear Information System (INIS)

Hurst, R.

2000-01-01

As the time for deregulation of Ontario's electric power industry approaches, consumers are watching other Canadian and American jurisdictions to see what deregulation will mean in terms of energy costs. Albertans have expressed serious concerns about the impact of deregulating their electric power industry. They found that in the four years since deregulation in their province, electricity prices increased when markets opened to competition. The proposed start date for deregulation in Ontario is November 1, 2000. This paper suggests that if investors don't put out significant resources, problems such as power shortages and brownouts could occur, as was the case in Alberta. Potential investors in the Ontario electricity market are already sceptical because the Ontario government, in an effort to protect consumers from unreasonable price increases, has tabled legislation that restricts the efforts of municipal utility companies to raise distribution rates. One step that will inspire some confidence is the recently finalized deal between Ontario Power Generation and British Energy to operate the Bruce Nuclear Power Station. Independent consultants have warned that electricity prices will continue to increase with deregulation for a least the next few years. Industrial customers will be the hardest hit. In California, America's first deregulated electricity market, the power grid is strained and prices have doubled or tripled in one year

Built environment interventions aimed at improving physical activity levels in rural Ontario health units: a descriptive qualitative study.

Science.gov (United States)

Coghill, Cara-Lee; Valaitis, Ruta K; Eyles, John D

2015-05-03

Few studies to date have explored the relationship between the built environment and physical activity specifically in rural settings. The Ontario Public Health Standards policies mandate that health units in Ontario address the built environment; however, it is unclear how public health practitioners are integrating the built environment into public health interventions aimed at improving physical activity in chronic disease prevention programs. This descriptive qualitative study explored interventions that have or are being implemented which address the built environment specifically related to physical activity in rural Ontario health units, and the impact of these interventions. Data were collected through twelve in-depth semi-structured interviews with rural public health practitioners and managers representing 12 of 13 health units serving rural communities. Key themes were identified using qualitative content analysis. Themes that emerged regarding the types of interventions that health units are employing included: Engagement with policy work at a municipal level; building and working with community partners, committees and coalitions; gathering and providing evidence; developing and implementing programs; and social marketing and awareness raising. Evaluation of interventions to date has been limited. Public health interventions, and their evaluations, are complex. Health units who serve large rural populations in Ontario are engaging in numerous activities to address physical activity levels. There is a need to further evaluate the impact of these interventions on population health.

Revitalizing the nuclear business at Ontario Hydro

International Nuclear Information System (INIS)

Talbot, K.

1994-01-01

Ontario Hydro, North America's largest electric power utility, with an installed capacity of 34,000 MW, has under gone a major restructuring over the past year to better align itself with a changing electricity market and evolving customer needs. The single largest new business unit within the new Ontario Hydro is Ontario Hydro Nuclear (OHN), responsible for engineering, operation and maintenance of the Corporation's 20 large nuclear units at three generating sites, OHN faces a significant challenge in returning Ontario's nuclear units to the world-leading performance levels they enjoyed in the past, particularly the older Pickering A and Bruce A plants. However, steady progress is being made as evidenced by improving peer reviews and overall capacity and financial performance

Risk Factors for Anemia in Pregnancy: A Case Control Study

Directory of Open Access Journals (Sweden)

Rutuja Pundkar

2017-12-01

Full Text Available Background: Aim of the study was to find the risk factors leading to Anemia in pregnancy. The main objective was to study the various sociodemographic factors leading to anemia. And to assess the knowledge about anemia among study participants. Material and methods: The present Case control study was carried out at Primary Health Centre, to determine the risk factors leading to anemia in pregnancy. A total of 308 pregnant females were registered. Among them two groups were made, group I cases and group II controls. Each group had 50 cases each. Laboratory test were done and females having hemoglobin less than 11mg/dl were considered anemic. Anemic females were considered cases and females having Hb >11mg/dl were considered controls. Data analysis was done using SPSS software. Results: The overall mean haemoglobin (Hb was 11.55g/dL in controls, whereas it was seen that among the cases it was 9.58g/dL.It would seem that diet, family size, education, social class, gravida and parity are associated with anemia in pregnancy. Conclusion: After adjusting for all the possible covariates there seems to be significant association between Hb levels and age group, education level, family size, diet, gravida and parity.

Evaluating the effect of Focus Farms on Ontario dairy producers' knowledge, attitudes, and behavior toward control of Johne's disease.

Science.gov (United States)

Roche, S M; Jones-Bitton, A; Meehan, M; Von Massow, M; Kelton, D F

2015-08-01

This study evaluated a participatory-based, experiential learning program, Ontario Focus Farms (FF), which aimed to change dairy producer behavior to control Johne's disease (JD) in Ontario, Canada. The goals were to (1) assess the effect of FF on participating dairy producers' knowledge, attitudes, and behavior with regard to JD control; (2) compare changes in these factors among FF participants to changes among a group of nonparticipating dairy producers; and (3) describe the characteristics of producers who made at least one on-farm management change. Pre- and post-FF intervention questionnaires collected data on respondents' knowledge, attitudes, behavior, herd production, and demographic information; before and after JD-risk assessments were used to assess respondents' on-farm risk of JD transmission. Overall, 176 dairy producers participated in the FF process; 39.8% (70/176) of FF and 14.6% (52/357) of control participants responded to both the pre- and postintervention questionnaires. Upon comparison, FF respondents were more likely to be younger, have larger herds, and have higher management scores. The proportion of FF participants who reported making at least one on-farm change (81%) was significantly higher than that of control respondents (38%). Overall, FF respondents significantly changed their risk score in 4 out of 5 risk areas and had an average reduction of 13 points in their overall risk score between before and after risk assessments. Control respondents' risk assessment scores did not significantly change during the study period. In a JD knowledge assessment, FF and control respondents exhibited a moderate knowledge score before the intervention period, with median scores of 75.9% (22/29) in each group. The FF respondents significantly increased their score at the postintervention assessment, with a median of 82.8% (24/29); control-respondent scores did not significantly change. Both FF and control respondents held strong positive attitudes

Comparable Worth Comes to the Private Sector: The Case of Ontario

OpenAIRE

Michael Baker; Nicole Fortin

2000-01-01

We investigate the effect of pro-active comparable worth legislation, covering both the public and private sectors, on wages, employment and the gender gap. Our focus is the pay equity initiative adopted by the Canadian province of Ontario in the early 1990s. Our preliminary finding is that the law fell short of its goal of reducing gender based wage differentials.Firm surveys indicate that the effect of the legislation was blunted by lack of compliance in small private firms, the low inciden...

Case of disclosure of HIV status helps to clarify privacy law in Ontario.

Science.gov (United States)

Lang, Renée

2008-07-01

A judge in the Ontario Superior Court of Justice has dismissed a breach of privacy suit on the basis that the plaintiff failed to prove that the disclosure of his HIV status had caused him harm. The judgment set out guidelines for how future claims of breach of privacy should be addressed.

Outcomes of a natural rubber latex control program in an Ontario teaching hospital.

Science.gov (United States)

Tarlo, S M; Easty, A; Eubanks, K; Parsons, C R; Min, F; Juvet, S; Liss, G M

2001-10-01

Allergy to natural rubber latex (NRL) has been frequently reported in health care workers. However, there is little published evidence of the outcome of hospital intervention programs to reduce exposure and detect cases of sensitization early. This study assesses the effects of intervention to reduce NRL allergy in an Ontario teaching hospital with approximately 8000 employees. A retrospective review assessed annual numbers of employees visiting the occupational health clinic, allergy clinic, or both for manifestations of NRL allergy compared with the timing of introduction of intervention strategies, such as worker education, voluntary medical surveillance, and hospital conversion to low-protein, powder-free NRL gloves. The number of workers identified with NRL allergy rose annually, from 1 in 1988 to 6 in 1993. When worker education and voluntary medical surveillance were introduced in 1994, a further 25 workers were identified. Nonsterile gloves were changed to low-protein, powder-free NRL gloves in 1995: Diagnoses fell to 8 workers that year, and 2 of the 3 nurses who had been off work because of asthma-anaphylaxis were able to return to work with personal avoidance of NRL products. With a change to lower protein, powder-free NRL sterile gloves in 1997, allergy diagnoses fell to 3, and only 1 new case was identified subsequently up to May 1999. No increased glove costs were incurred as a result of consolidated glove purchases. This program to reduce NRL allergy in employees was effectively achieved without additional glove costs while reducing expenses from time off work and workers' compensation claims.

Hypothyroidism among SLE patients: Case-control study.

Science.gov (United States)

Watad, Abdulla; Mahroum, Naim; Whitby, Aaron; Gertel, Smadar; Comaneshter, Doron; Cohen, Arnon D; Amital, Howard

2016-05-01

The prevalence of hypothyroidism in SLE patients varies considerably and early reports were mainly based on small cohorts. To investigate the association between SLE and hypothyroidism. Patients with SLE were compared with age and sex-matched controls regarding the proportion of hypothyroidism in a case-control study. Chi-square and t-tests were used for univariate analysis and a logistic regression model was used for multivariate analysis. The study was performed utilizing the medical database of Clalit Health Services. The study included 5018 patients with SLE and 25,090 age and sex-matched controls. The proportion of hypothyroidism in patients with SLE was increased compared with the prevalence in controls (15.58% and 5.75%, respectively, Phypothyroidism (odds ratio 2.644, 95% confidence interval 2.405-2.908). Patients with SLE have a greater proportion of hypothyroidism than matched controls. Therefore, physicians treating patients with SLE should be aware of the possibility of thyroid dysfunction. Copyright © 2016 Elsevier B.V. All rights reserved.

[Ontario Hydro International Inc.]. Annual report 1993

International Nuclear Information System (INIS)

1994-01-01

Ontario Hydro International Inc. is the international representative of Ontario Hydro. OHII operates as a global utility that markets Ontario Hydro's services and products. Its mission is to be the leader in energy efficiency and sustainable development in the international marketplace. This report describes the year's activities in the following areas: Energy management and environment, hydroelectric generation, nuclear products and services, fossil generation, grid (transmission) business, utility management, Asia Power Group Inc. The document also includes financial highlights and international and customer contracts

One Health and EcoHealth in Ontario: a qualitative study exploring how holistic and integrative approaches are shaping public health practice in Ontario.

Science.gov (United States)

Leung, Zee; Middleton, Dean; Morrison, Karen

2012-05-16

There is a growing recognition that many public health issues are complex and can be best understood by examining the relationship between human health and the health of the ecosystems in which people live. Two approaches, One Health and Ecosystem Approaches to Health (EcoHealth), can help us to better understand these intricate and complex connections, and appear to hold great promise for tackling many modern public health dilemmas. Although both One Health and EcoHealth have garnered recognition from numerous health bodies in Canada and abroad, there is still a need to better understand how these approaches are shaping the practice of public health in Ontario.The purpose of this study was to characterize how public health actors in Ontario are influenced by the holistic principles which underlie One Health and EcoHealth, and to identify important lessons from their experiences. Ten semi-structured interviews were conducted with ten participants from the public health sphere in Ontario. Participants encompassed diverse perspectives including infectious disease, food systems, urban agriculture, and environmental health. Interviews were recorded, transcribed and analyzed using qualitative content analysis to identify major themes and patterns. Four major themes emerged from the interviews: the importance of connecting human health with the environment; the role of governance in promoting these ideas; the value of partnerships and collaborations in public health practice; and the challenge of operationalizing holistic approaches to public health. Overall study participants were found to be heavily influenced by concepts couched in EcoHealth and One Health literature, despite a lack of familiarity with these fields. Although One Health and EcoHealth are lesser known approaches in the public health sphere, their holistic and systems-based principles were found to influence the thoughts, values and experiences of public health actors interviewed in this study. This

A fluvial mercury budget for Lake Ontario.

Science.gov (United States)

Denkenberger, Joseph S; Driscoll, Charles T; Mason, Edward; Branfireun, Brian; Warnock, Ashley

2014-06-03

Watershed mercury (Hg) flux was calculated for ten inflowing rivers and the outlet for Lake Ontario using empirical measurements from two independent field-sampling programs. Total Hg (THg) flux for nine study watersheds that directly drain into the lake ranged from 0.2 kg/yr to 13 kg/yr, with the dominant fluvial THg load from the Niagara River at 154 kg/yr. THg loss at the outlet (St. Lawrence River) was 68 kg/yr and has declined approximately 40% over the past decade. Fluvial Hg inputs largely (62%) occur in the dissolved fraction and are similar to estimates of atmospheric Hg inputs. Fluvial mass balances suggest strong in-lake retention of particulate Hg inputs (99%), compared to dissolved total Hg (45%) and methyl Hg (22%) fractions. Wetland land cover is a good predictor of methyl Hg yield for Lake Ontario watersheds. Sediment deposition studies, coupled atmospheric and fluvial Hg fluxes, and a comparison of this work with previous measurements indicate that Lake Ontario is a net sink of Hg inputs and not at steady state likely because of recent decreases in point source inputs and atmospheric Hg deposition.

"Strengthening" Ontario Universities: A Neoliberal Reconstruction of Higher Education

Science.gov (United States)

Rigas, Bob; Kuchapski, Renée

2016-01-01

This paper reviews neoliberalism as an ideology that has influenced higher education generally and Ontario higher education in particular. It includes a discourse analysis of "Strengthening Ontario's Centres of Creativity, Innovation and Knowledge" (Ontario Ministry of Training, Colleges, and Universities, 2012), a government discussion…

Selective serotonin reuptake inhibitors and gastrointestinal bleeding: a case-control study.

Directory of Open Access Journals (Sweden)

Alfonso Carvajal

Full Text Available BACKGROUND: Selective serotonin reuptake inhibitors (SSRIs have been associated with upper gastrointestinal (GI bleeding. Given their worldwide use, even small risks account for a large number of cases. This study has been conducted with carefully collected information to further investigate the relationship between SSRIs and upper GI bleeding. METHODS: We conducted a case-control study in hospitals in Spain and in Italy. Cases were patients aged ≥18 years with a primary diagnosis of acute upper GI bleeding diagnosed by endoscopy; three controls were matched by sex, age, date of admission (within 3 months and hospital among patients who were admitted for elective surgery for non-painful disorders. Exposures to SSRIs, other antidepressants and other drugs were defined as any use of these drugs in the 7 days before the day on which upper gastrointestinal bleeding started (index day. RESULTS: 581 cases of upper GI bleeding and 1358 controls were considered eligible for the study; no differences in age or sex distribution were observed between cases and controls after matching. Overall, 4.0% of the cases and 3.3% of controls used an SSRI antidepressant in the week before the index day. No significant risk of upper GI bleeding was encountered for SSRI antidepressants (adjusted odds ratio, 1.06, 95% CI, 0.57-1.96 or for whichever other grouping of antidepressants. CONCLUSIONS: The results of this case-control study showed no significant increase in upper GI bleeding with SSRIs and provide good evidence that the magnitude of any increase in risk is not greater than 2.

Ontario Interns Fight Back: Modes of Resistance Against Unpaid Internships

Directory of Open Access Journals (Sweden)

William Webb

2015-09-01

Full Text Available In this article I report on three ways that interns and those sympathetic to their plight are opposing unpaid internships, focusing on the Canadian province of Ontario as a case. First, I analyze the ways that interns engage in social activism to raise awareness about problems with unpaid internships. Second, I examine several lawsuits that interns have waged against companies in an attempt to secure back pay. Third, I analyze the Ontario Ministry of Labour’s response to the growing concerns surrounding unpaid internships, and recent proposals that aim to strengthen governmental regulations. Arguing that possibilities for change have arisen largely due to the efforts of interns themselves, I conclude each section by noting some of the strengths and limitations afforded by each type of resistance.

Climate change impacts: an Ontario perspective

International Nuclear Information System (INIS)

Mortsch, L.

1995-11-01

Significant changes in the climate system which are likely to affect biophysical, social and economic systems in various ways, were discussed. Trends in greenhouse gas levels show that during the 20. century, human activity has changed the make-up of the atmosphere and its greenhouse effect properties. A pilot study on the impacts of climate change identified changes in the water regime such as declines in net basin supply, lake levels and outflows, as important concerns. These changes would have impacts on water quality, wetlands, municipal water supply, hydroelectric power generation, commercial shipping, tourism and recreation, and to a lesser extent, on food productions. Climate impact assessments suggest that world conditions will change significantly as a result. Those with less resources are likely to be most affected by climate change, and the impacts on other regions of the world will be more significant to Ontario than the direct impacts on Ontario itself. In an effort to keep pace with global changes, Ontario will have to limit emissions, conduct research in innovative technology and develop greater awareness of the risk of climate change. refs., tabs., figs

X-ray safety in Ontario

International Nuclear Information System (INIS)

1980-03-01

In July 1979 the Ontario Advisory Committee on Radiology was formed to develop a comprehensive strategy for x-ray safety in the province. At its hearings the committee recieved submissions from groups representing physicians, dentists, chiropractors, radiological technicians, physiotherapists, podiatrists, and consumers, among others; these briefs are included as appendices to the report. The report surveys the historical background and the current situation in Ontario, and makes recommendations for an organized safety program. (L.L.)

Determinants of podoconiosis, a case control study | Feleke ...

African Journals Online (AJOL)

The sample size was calculated using Epi-info soft ware: 95% CI, 85% power, control to case ratio of 2:1, expected frequency of barefoot among controls 50%, odds ratio of 1.5 and non-response rate of 10% yielding 1148 study participants. Binary logistic regression was used to identify the determinants of Podoconiosis.

A case-control study of risk factors for epithelial ovarian cancer

Directory of Open Access Journals (Sweden)

Ghaem Maghami Noori F

2001-09-01

Full Text Available Ovarian cancer is second prevalent cancer among gynecologic malignancies and the most common type of ovarian cancer is epithelial form (85-90 percent. To detect the risk factors for the epithelial ovarian cancer, a case-control study was conducted in Valieasr hospital in 1988. In this study, 118 cases with epithelial ovarian cancer (according histological records and 240 controls without any gynecological cancer in gynecologic clinic had been interviewed. For data analysis, T-test, Chi2 test and logistic regression have been used at a =0.05 as level of significance. The mean age in cases was 50±13 and in controls was 49.9±12 years, without significant different. The mean number of pregnancies and parity in cases was less than controls, significantly (P<0.03. The mean months of breast feeding in cases was less than controls (54.9±71.2 versus 82.4±62.7 (P<0.001. The cases had a lower mean age of menarch than controls (P=0.03. 58 percent of cases and 21.3 percent of controls hadn't used any contraception methods (P=0.00001. The mean years of contraception was significantly less in cases versus controls (P<0.001. The odds ratio for epithelial ovarian cancer was 0.24 (95 percent CI: 0.13-0.48 in OCP users, 0.47 (95 percent CI: 0.005-0.43 in TL method, and was 0.41 (95 percent CI: 0.22-0.76 in other contraception methods, relative to women who hadn't used any contraception methods. This study reveals that epithelial ovarian cancer risk increases significantly with earlier menarch, decreasing number of pregnancy, deliveries duration of breast feeding and use of contraception methods. Use of contraception pill and tubal ligation method decreases risk of epithelial ovarian cancer.

Reducing selection bias in case-control studies from rare disease registries.

Science.gov (United States)

Cole, J Alexander; Taylor, John S; Hangartner, Thomas N; Weinreb, Neal J; Mistry, Pramod K; Khan, Aneal

2011-09-12

In clinical research of rare diseases, where small patient numbers and disease heterogeneity limit study design options, registries are a valuable resource for demographic and outcome information. However, in contrast to prospective, randomized clinical trials, the observational design of registries is prone to introduce selection bias and negatively impact the validity of data analyses. The objective of the study was to demonstrate the utility of case-control matching and the risk-set method in order to control bias in data from a rare disease registry. Data from the International Collaborative Gaucher Group (ICGG) Gaucher Registry were used as an example. A case-control matching analysis using the risk-set method was conducted to identify two groups of patients with type 1 Gaucher disease in the ICGG Gaucher Registry: patients with avascular osteonecrosis (AVN) and those without AVN. The frequency distributions of gender, decade of birth, treatment status, and splenectomy status were presented for cases and controls before and after matching. Odds ratios (and 95% confidence intervals) were calculated for each variable before and after matching. The application of case-control matching methodology results in cohorts of cases (i.e., patients with AVN) and controls (i.e., patients without AVN) who have comparable distributions for four common parameters used in subject selection: gender, year of birth (age), treatment status, and splenectomy status. Matching resulted in odds ratios of approximately 1.00, indicating no bias. We demonstrated bias in case-control selection in subjects from a prototype rare disease registry and used case-control matching to minimize this bias. Therefore, this approach appears useful to study cohorts of heterogeneous patients in rare disease registries.

Analysis of the potential for wind energy production in northwestern Ontario

Energy Technology Data Exchange (ETDEWEB)

Brown, C K; Warne, D F

1975-11-01

A study of the feasibility of generating electric power from wind generators at remote sites in Northwestern Ontario has been carried out on behalf of the Ontario Ministry of Energy, with project management from Ontario Hydro. The work included (1) a survey of commercially available wind driven electric plant, both currently available and planned for production, (2) an analysis of existing wind data and preparation of an isovent map for Ontario showing annual mean wind speeds, (3) the selection of suitable sites for a demonstration unit and a prototype system, (4) the matching of available plant to the wind regimes to predict annual energy production, and (5) a systems analysis of pure diesel, hybrid wind/diesel and pure wind electric plants to determine the cost of power from the various alternatives.

A prevalence-based association test for case-control studies.

Science.gov (United States)

Ryckman, Kelli K; Jiang, Lan; Li, Chun; Bartlett, Jacquelaine; Haines, Jonathan L; Williams, Scott M

2008-11-01

Genetic association is often determined in case-control studies by the differential distribution of alleles or genotypes. Recent work has demonstrated that association can also be assessed by deviations from the expected distributions of alleles or genotypes. Specifically, multiple methods motivated by the principles of Hardy-Weinberg equilibrium (HWE) have been developed. However, these methods do not take into account many of the assumptions of HWE. Therefore, we have developed a prevalence-based association test (PRAT) as an alternative method for detecting association in case-control studies. This method, also motivated by the principles of HWE, uses an estimated population allele frequency to generate expected genotype frequencies instead of using the case and control frequencies separately. Our method often has greater power, under a wide variety of genetic models, to detect association than genotypic, allelic or Cochran-Armitage trend association tests. Therefore, we propose PRAT as a powerful alternative method of testing for association.

Clinical mastitis in dairy cattle in Ontario: frequency of occurrence and bacteriological isolates.

OpenAIRE

Sargeant, J M; Scott, H M; Leslie, K E; Ireland, M J; Bashiri, A

1998-01-01

The objective of this study was to describe the frequency of occurrence of clinical mastitis in dairy herds in Ontario. The study group consisted of 65 dairy farms involved in a 2-year observational study, which included recording all clinical mastitis cases and milk sampling of quarters with clinical mastitis. Lactational incidence risks of 9.8% for abnormal milk only, 8.2% for abnormal milk with a hard or swollen udder, and 4.4% for abnormal milk plus systemic signs of illness related to ma...

Recommendations and comments on the report of the Ontario Nuclear Safety Review

International Nuclear Information System (INIS)

1988-12-01

The report of the Ontario Nuclear Safety Review (ONSR) prepared by Dr. F. Kenneth Hare in March 1988, is reviewed by the Advisory Committee on Nuclear Safety (ACNS) to assess for the Atomic Energy Control Board the relevance and importance of the ONSR recommendations and comments. The ACNS conclusions from this study are embodied in nineteen recommendations, as well as several suggestions and some specific comments

Should Controls With Respiratory Symptoms Be Excluded From Case-Control Studies of Pneumonia Etiology? Reflections From the PERCH Study.

Science.gov (United States)

Higdon, Melissa M; Hammitt, Laura L; Deloria Knoll, Maria; Baggett, Henry C; Brooks, W Abdullah; Howie, Stephen R C; Kotloff, Karen L; Levine, Orin S; Madhi, Shabir A; Murdoch, David R; Scott, J Anthony G; Thea, Donald M; Driscoll, Amanda J; Karron, Ruth A; Park, Daniel E; Prosperi, Christine; Zeger, Scott L; O'Brien, Katherine L; Feikin, Daniel R

2017-06-15

Many pneumonia etiology case-control studies exclude controls with respiratory illness from enrollment or analyses. Herein we argue that selecting controls regardless of respiratory symptoms provides the least biased estimates of pneumonia etiology. We review 3 reasons investigators may choose to exclude controls with respiratory symptoms in light of epidemiologic principles of control selection and present data from the Pneumonia Etiology Research for Child Health (PERCH) study where relevant to assess their validity. We conclude that exclusion of controls with respiratory symptoms will result in biased estimates of etiology. Randomly selected community controls, with or without respiratory symptoms, as long as they do not meet the criteria for case-defining pneumonia, are most representative of the general population from which cases arose and the least subject to selection bias. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America.

SF6 ventilation study at Agnew Lake Mines, Ontario

International Nuclear Information System (INIS)

1979-03-01

In September 1978, James F. MacLaren Limited was awarded a contract by the Canada Centre for Mineral and Energy Technology (CANMET) to undertake a ventilation study at an underground uranium mine using sulphur hexafluoride (SF 6 ) as a tracer gas. The mine selected for the study was that of Agnew Lake Mines Limited in Northern Ontario. This is a relatively new mine with the combined mine/mill facilities first operational in mid-1977. Uranium is recovered from broken ore by in-situ leaching. The ventilation study was divided into two phases. A laboratory study was undertaken to develop a practical sampling technique, provide an evaluation of the logistics of long range sample transport and develop a laboratory analytical technique. Field programmes demonstrated the SF 6 tracer gas technique for mine ventilation trouble-shooting with the intent of providing information which will lead to more efficient use of existing mine ventilation capacity. This report outlines the findings of the laboratory study and the two field programmes

Descriptive study of enteric zoonoses in Ontario, Canada, from 2010 – 2012

Directory of Open Access Journals (Sweden)

Yvonne Whitfield

2017-02-01

Full Text Available Abstract Background Contact with animals and their environment has long been recognized as an important source of enteric zoonoses. However, there are limited data available on the burden of illness associated with specific types of animals in Canada. This study describes the overall burden of enteric zoonoses in Ontario, Canada from 2010 to 2012. Methods Confirmed cases of seven enteric zoonotic diseases (campylobacteriosis, cryptosporidiosis, giardiasis, listeriosis, salmonellosis, verotoxin-producing E. coli (VTEC infection, and yersiniosis with episode dates from 2010 to 2012 were extracted from the integrated Public Health Information System (iPHIS. Reported exposures were categorized as animal contact, foodborne, waterborne and ‘other’, with animal contact grouped into nine sub-categories based on the type of animal or transmission setting. Overall incidence rates and proportions by animal exposure categories, age and sex-specific incidence rates and hospitalization and death proportions were calculated and sex proportions compared. Results Our study found that approximately 26% of the enteric pathogens assessed during the 2010 to 2012 period reported contact with animals and their environments as the mode of transmission. Of enteric disease cases reporting animal contact, farm exposures were reported for 51.3%, dog or cat exposures for 26.3%, and reptile or amphibian exposures for 8.9%. Conclusions Contact with animals was reported more frequently during the period 2010 to 2012 in comparison to the period 1997 to 2003 when 6% or less of enteric cases were associated with animal contact. Public health professionals, stakeholders associated with animals and their related industries (e.g., pet treats, mobile zoos, abattoirs, and the public should recognize that animal contact is an important source of enteric illnesses in order to take measures to reduce the burden of illness from animal sources.

Restructuring in Ontario : electricity sector reform

International Nuclear Information System (INIS)

Pospisil, S.

2004-01-01

Ontario's electricity reform strategy was outlined along with challenge facing Ontario's electricity supply and demand with particular focus on the issue of replacing coal-fired generation. According to reports by the Independent Electricity Market Operator, short-term reserve margins were higher in 2004 than they were in 2003 due to the return to service of some nuclear generating units and planned capacity additions. Ontario's long-term supply and demand situation was also examined. It was noted that lenders hesitate to finance the expansion of generation companies selling into the spot market. Many lenders are requiring that half of the project's output be sold in advance on contract. Other challenges include Ontario's aging generation infrastructure and rising energy prices. The presentation included graphs that compared electricity costs for residential and small business customers across various provinces and states. The main supply and conservation challenges revolve around the large investments required by 2020 to replace coal plants, retire nuclear plants and projected load growth. Ontario's current generation capacity is 154 TWh and the mix is represented by 40 per cent nuclear, 25 per cent coal, 25 per cent hydro, 8 per cent natural gas, 1 per cent oil, and 1 per cent biomass and other renewable energy sources. This paper also addressed the issue of coal generation and air pollution and emphasized the importance of looking at the broad externalities associated with air emissions. tabs., figs

Creating a competitive electricity market in Ontario - The energy consumer perspective

International Nuclear Information System (INIS)

Ford, M.

1997-01-01

The large consumers' perspective on the Ontario Government's decision to delay action on restructuring the electric power industry was provided, and recommendations were offered as to the best course of action that the Government ought to take. Ontario Hydro's proposal to restructure itself into separate generation, transmission and retail corporations, and to introduce competition into the Corporation was attacked as unworkable, in that it could not help but encourage price manipulation. The large consumer group also argued that retail distribution in Ontario needs major rationalization without an Ontario Hydro presence. In place of the Ontario Hydro proposal the Association of Major Power Consumers in Ontario (AMPCO) recommends a separate transmission system including an independent system operator, a restructuring of local distribution within a definite time frame and consistent criteria, to be worked out by municipal utilities and Ontario Hydro Retail, and establishment of a Transition Authority independent of Ontario Hydro with a mandate to carry out these changes. While the Ontario Government appears to be unlikely to undertake such a'risky' initiative at this stage of its mandate, significant change, including competition, remains inevitable. It is not a question of whether, but when a fully competitive energy market in Ontario will become a reality. tabs., figs

A RANDOMIZED CONTROLLED PLACEBO STUDY OF DEXTROSE IONTOPHORESIS VERSUS DEXTROSE PROLOTHERAPY IN CASE OF KNEE OSTEOARTHRITIS

Directory of Open Access Journals (Sweden)

Mahmoud Mohamed Ahmed Ewidea

2015-12-01

Full Text Available Background: Osteoarthritis is the most common cause of musculoskeletal pain and disability in the knee joint. This study investigated the efficacy of Dextrose iontophoresis versus Dextrose prolotherapy in case of knee osteoarthritis in a randomized, placebo-controlled, double-blinded study. Methods: sixty patients diagnosed mild to moderate osteoarthritis were included in the study. Their age's were45:65 years with mean age 51 ± 3.5 years. Patients were divided randomly into three equal groups, group (Areceived 50 % dextrose iontophoresis, group (B Each patient received three intra-articular injections of dextrose at 1-month intervals in weeks 0, 4, and 8 and group (C received sham iontophoresis. The outcome measurements were Western Ontario and McMaster Universities arthritis index (WOMAC values, knee ROM, and pain severity at rest (seated and in activity (after walking 6 m using the visual analogue scale (VAS were recorded. The patients were evaluated for these parameters before allocated in their groups then after 4, 8, and 24 weeks later. Results: compared to sham group (placebo there were significant improvement of VAS and ROM of iontophoresis group than sham (placebo group (p<0.000. Also there were significant improvement of prolotherapy group than placebo (p<0.006, and 0.02 respectively. Furthermore there was significant improve of iontophoresis group than prolotherapy where p was <0.000 for VAS, ROM and (WOMAC. Conclusion: The results of this study suggested that both dextrose iontophoresis and dextrose prolotherapy may be as useful modalities in treatment of osteoarthritis with better effects of dextrose iontophoresis than prolotherapy.

Laryngeal sarcoidosis: a case-control study.

Science.gov (United States)

Duchemann, Boris; Lavolé, Armelle; Naccache, Jean-Marc; Nunes, Hilario; Benzakin, Sylvain; Lefevre, Marine; Kambouchner, Marianne; Périé, Sophie; Valeyre, Dominique; Cadranel, Jacques

2014-10-20

We undertook a study on a series of laryngeal sarcoidosis (LS), a very rare and often threatening localization to better specify laryngeal manifestations, sarcoidosis clinical expression and long-term follow-up. This was a retrospective case-control study. All LS patients from two French centers were included and compared to sarcoidosis patients without laryngeal localization with two controls for one patient. Twelve consecutive LS patients were recruited between 1993 and 2011. LS revealed sarcoidosis in eight cases (67%). The most common symptoms were hoarseness (77%), inspiratory dyspnea (38%) and dysphagia (38%). Epidemiological characterisics were not different. Extrapulmonary localizations were significantly more common in LS patients than in controls (92% vs. 54%, p=0.02), particularly lupus pernio (25% vs. 0%, p=0.03) and nasosinusal involvement (83% vs. 4%, p<0.01) while thoracic involvement was less frequent (58% vs 100%, p < 0.01). Treatment rates were higher in the LS group (92% vs. 58%, p=0.04), and treatment duration was longer (median: 81 vs. 13 months, p=0.04), with frequent long-term treatment (67%, N=8/12). Two patients underwent surgery. One patient needed temporary tracheostomy during the course of the disease; Remission rates were lower in LS patients (9% vs. 58% at 2 years p<0.01). Eventually, there was no death nor definitive tracheotomy. LS is a rare condition that is often associated to other loco-regional localizations. LS are often difficult to manage. Survival is good but may require a medico-surgical approach.

Cross currents : hydroelectricity and the engineering of northern Ontario

Energy Technology Data Exchange (ETDEWEB)

Manore, J.L. [Calgary Univ., AB (Canada)

1999-05-01

The history of hydroelectric development in northern Ontario was reviewed and analysed with special emphasis on the developments along the Mattagami and Abitibi Rivers. The objective was to examine the important factors that shaped modern hydroelectric development in Canada. System builders, the privately owned Nesbitt Thomson Company, the publicly owned Hydro Electric Power Corporation of Ontario and the eventual evolution of the single power system under Ontario Hydro are chronicled. Broad historical themes such as the technological impacts, regionalism, indigenous rights, plus environmental and economic issues are examined, in addition to an appreciation of the importance of electricity in the manufacturing sector of Ontario, the impact of hydroelectric development on the northern environment and on the northern First Nations, who rely on rivers for their subsistence. Until fairly recently, government policies and interpretations of law often excluded the recognition of Aboriginal uses of river systems, thereby limiting First Nations` peoples ability to practice traditional ways of life. In essence, the book is an account of how the northeastern power system in Ontario shaped the social, political and natural environments and how the development of northeastern power sources by southern power developers shaped the regional interactions between Ontario`s north and south. refs., figs.

Case-control study of gadodiamide-related nephrogenic systemic fibrosis

DEFF Research Database (Denmark)

Marckmann, Peter; Skov, Lone; Rossen, Kristian

2007-01-01

exposed to gadodiamide develop nephrogenic systemic fibrosis. METHODS: We conducted a case-control study of 19 histologically verified cases and 19 sex- and age-matched controls. All subjects had chronic renal failure when exposed to gadodiamide. Clinical, biochemical and pharmacological data were.......02). CONCLUSIONS: Increasing cumulative gadodiamide exposure, high-dose epoietin-beta treatment, and higher serum concentrations of ionized calcium and phosphate increase the risk of gadodiamide-related nephrogenic systemic fibrosis in renal failure patients. Severe cases seem to develop primarily among patients......BACKGROUND: Nephrogenic systemic fibrosis may be caused by gadolinium (Gd)-containing magnetic resonance imaging contrast agents. Most reported cases were associated with one particular agent, gadodiamide. Yet, unidentified cofactors might explain why only a minority of renal failure patients...

Reducing selection bias in case-control studies from rare disease registries

Directory of Open Access Journals (Sweden)

Mistry Pramod K

2011-09-01

Full Text Available Abstract Background In clinical research of rare diseases, where small patient numbers and disease heterogeneity limit study design options, registries are a valuable resource for demographic and outcome information. However, in contrast to prospective, randomized clinical trials, the observational design of registries is prone to introduce selection bias and negatively impact the validity of data analyses. The objective of the study was to demonstrate the utility of case-control matching and the risk-set method in order to control bias in data from a rare disease registry. Data from the International Collaborative Gaucher Group (ICGG Gaucher Registry were used as an example. Methods A case-control matching analysis using the risk-set method was conducted to identify two groups of patients with type 1 Gaucher disease in the ICGG Gaucher Registry: patients with avascular osteonecrosis (AVN and those without AVN. The frequency distributions of gender, decade of birth, treatment status, and splenectomy status were presented for cases and controls before and after matching. Odds ratios (and 95% confidence intervals were calculated for each variable before and after matching. Results The application of case-control matching methodology results in cohorts of cases (i.e., patients with AVN and controls (i.e., patients without AVN who have comparable distributions for four common parameters used in subject selection: gender, year of birth (age, treatment status, and splenectomy status. Matching resulted in odds ratios of approximately 1.00, indicating no bias. Conclusions We demonstrated bias in case-control selection in subjects from a prototype rare disease registry and used case-control matching to minimize this bias. Therefore, this approach appears useful to study cohorts of heterogeneous patients in rare disease registries.

Public awareness of income-related health inequalities in Ontario, Canada

Directory of Open Access Journals (Sweden)

Shankardass Ketan

2012-05-01

Full Text Available Abstract Introduction Continued action is needed to tackle health inequalities in Canada, as those of lower income continue to be at higher risk for a range of negative health outcomes. There is arguably a lack of political will to implement policy change in this respect. As a result, we investigated public awareness of income-related health inequalities in a generally representative sample of Ontarians in late 2010. Methods Data were collected from 2,006 Ontario adults using a telephone survey. The survey asked participants to agree or disagree with various statements asserting that there are or are not health inequalities in general and by income in Ontario, including questions pertaining to nine specific conditions for which inequalities have been described in Ontario. A multi-stage process using binary logistic regression determined whether awareness of health inequalities differed between participant subgroups. Results Almost 73% of this sample of Ontarians agreed with the general premise that not all people are equally healthy in Ontario, but fewer participants were aware of health inequalities between the rich and the poor (53%–64%, depending on the framing of the question. Awareness of income-related inequalities in specific outcomes was considerably lower, ranging from 18% for accidents to 35% for obesity. Conclusions This is the first province-wide study in Canada, and the first in Ontario, to explore public awareness on health inequalities. Given that political will is shaped by public awareness and opinion, these results suggest that greater awareness may be required to move the health equity agenda forward in Ontario. There is a need for health equity advocates, physicians and researchers to increase the effectiveness of knowledge translation activities for studies that identify and explore health inequalities.

Suspected survivor bias in case-control studies: stratify on survival time and use a negative control.

Science.gov (United States)

van Rein, Nienke; Cannegieter, Suzanne C; Rosendaal, Frits R; Reitsma, Pieter H; Lijfering, Willem M

2014-02-01

Selection bias in case-control studies occurs when control selection is inappropriate. However, selection bias due to improper case sampling is less well recognized. We describe how to recognize survivor bias (i.e., selection on exposed cases) and illustrate this with an example study. A case-control study was used to analyze the effect of statins on major bleedings during treatment with vitamin K antagonists. A total of 110 patients who experienced such bleedings were included 18-1,018 days after the bleeding complication and matched to 220 controls. A protective association of major bleeding for exposure to statins (odds ratio [OR]: 0.56; 95% confidence interval: 0.29-1.08) was found, which did not become stronger after adjustment for confounding factors. These observations lead us to suspect survivor bias. To identify this bias, results were stratified on time between bleeding event and inclusion, and repeated for a negative control (an exposure not related to survival): blood group non-O. The ORs for exposure to statins increased gradually to 1.37 with shorter time between outcome and inclusion, whereas ORs for the negative control remained constant, confirming our hypothesis. We recommend the presented method to check for overoptimistic results, that is, survivor bias in case-control studies. Copyright © 2014 Elsevier Inc. All rights reserved.

Design, construction and operation of Ontario Hydro's CANDU plants

International Nuclear Information System (INIS)

Campbell, P.G.

1981-06-01

Ontario Hydro has been producing electricity commercially from nuclear power since 1968, using CANDU reactors which have proved enormously successful. The 206-MW Douglas Point station, nearly 10 times larger than the first Canadian power reactor, NPD-2, resulted from a cooperative effort between Atomic Energy of Canada Ltd., the provincial government of Ontario, and Ontario Hydro. This approach led to a basic working relationship between the parties, with Ontario Hydro acting as project manager and builder, and AECL acting as consultant with respect to the nuclear components. Before Douglas Point was fully commissioned Ontario Hydro was ready to commit itself to more nuclear stations, and work was started on the four-unit Pickering nuclear generating station. Multi-unit stations were adopted to achieve economies of scale, and the concept has been retained for all subsequent nuclear power plants constructed in the province. The organization of Ontario Hydro's project management, construction, and operation of nuclear generating stations is described. Performance of the existing stations and cost of the power they produce have been entirely acceptable

Forbearance, Regulation, and Market Power in Natural Gas Storage: The Case of Ontario

Energy Technology Data Exchange (ETDEWEB)

Brown, D.; Ware, R.; Wetston, H.

2007-07-01

In late 2006 the Ontario Energy Board rendered a landmark decision to forbear from the price regulation of natural gas storage services. This paper examines the key issues and provides some economic analysis of the evidence. The decision followed a proceeding during which evidence was given on whether the market for storage is competitive or is subject to significant market power possessed by dominant and incumbent utility firms in the province. Intervenors in the proceeding were in broad agreement on the use of standard concepts from North American antitrust analysis of merger reviews: identification of the relevant product and geographic markets, analysis of market structure within the relevant market, and assessment of barriers to entry. A critical issue at the hearing was the extent of the geographic market; a broad market encompassing U.S. storage facilities in neighbouring states supports a finding of competition, whereas a narrower geographic market restricted to Ontario makes market power more likely. Since gas storage is only as functional as the pipelines connected to it, evidence was directed at assessing the availability of pipeline capacity in both primary and secondary markets. (auth)

Heat wave generates questions about Ontario's generation capacity

International Nuclear Information System (INIS)

Horne, D.

2005-01-01

Concerns regarding Ontario's power generation capacity were raised following a major blackout which occurred in August 2003. Power demand reached 26,170 MW during the weeks leading to the blackout, forcing the Independent Electricity System Operator (IESO) to ask residents to reduce electricity use during the day. The grid operator had also issued a forecast that Toronto could face rolling blackouts during times of heavy power demand. Ontario power consumption records were set in June and July of 2003 due to a heat wave, with hourly demand exceeding 25,000 MW on 53 occasions. Ontario was forced to import up to 3,400 MW (13 per cent of its power needs) from neighbouring provinces and the United States. During that period, the price of power had risen sharply to over 30 cents a kilowatt hour, although household consumers were still charged in the 5 to 10 cent range per kilowatt hour. However, it was noted that taxpayers will eventually bear the cost of importing power. The IESO noted that importing electricity is cheaper than the generation available in Ontario and that it is more economical to import, based on the market clearing price of all generators. In 2004, the IESO purchased 6 per cent of their electricity from the United States. That figure is expected to increase for 2005. Ontario generators produced 26.9 million MWh more in the summer of 2005 than during the same period in 2004 to meet electricity demand levels. It was noted that although importing power presently meets peak demand, the IESO agrees there is a need for new generation within Ontario. In addition to restarting Ontario's Pickering and Bruce nuclear facilities, more than 3,300 MW of new gas-fired generation is under construction or approved, and more than 9,000 MW are in various stages of approval. This paper discussed the effect of high energy costs on industry and Ontario's ability to meet future electricity demand in comparison to neighbouring jurisdictions. Issues regarding grid maintenance

Association Between High Environmental Heat and Risk of Acute Kidney Injury Among Older Adults in a Northern Climate: A Matched Case-Control Study.

Science.gov (United States)

McTavish, Rebecca K; Richard, Lucie; McArthur, Eric; Shariff, Salimah Z; Acedillo, Rey; Parikh, Chirag R; Wald, Ron; Wilk, Piotr; Garg, Amit X

2018-02-01

An association between high heat and acute kidney injury (AKI) has been reported in warm climates. However, whether this association generalizes to a northern climate, with more variable temperatures, is unknown. Matched case-control study. Our study focused on older adults (mean age, 80 years) in the northern climate of Ontario, Canada. 52,913 case patients who had a hospital encounter with AKI in April through September 2005 to 2012 were matched with 174,222 controls for exact date, age, sex, rural residence, income, and history of chronic kidney disease. Heat periods were defined as 3 consecutive days exceeding the 95th percentile of area-specific maximum temperature. Hospital encounter (inpatient admission or emergency department visit) with a diagnosis of AKI. ORs (95% CIs) were used to assess the association between heat periods and AKI. To quantify the effect in absolute terms, we multiplied the population incidence rate of AKI in the absence of heat periods by our adjusted OR (an approximate of relative risk). Heat periods were significantly associated with higher risk for AKI (adjusted OR, 1.11; 95% CI, 1.00-1.23). Heat periods in absolute terms were associated with an additional 182 cases of AKI per 100,000 person-years during the warm season. We did not know how long persons were outside or if they had access to air conditioning. In a northern climate, periods of higher environmental heat were associated with a modestly higher risk for hospital encounter with AKI among older adults. Copyright © 2017 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.

Risk factors associated with lipomyelomeningocele: a case-control study.

Science.gov (United States)

Esmaeili, Arash; Hanaei, Sara; Fadakar, Kaveh; Dadkhah, Sahar; Arjipour, Mahdi; Habibi, Zohreh; Nejat, Farideh; El Khashab, Mostafa

2013-01-01

In general, it seems that both genetic and environmental factors play important roles in the induction of neural tube defects. Lipomyelomeningocele (LipoMMC) is a rather common type of closed neural tube defect, but only limited studies have investigated the potential risk factors of this anomaly. Therefore, the purpose of this case-control study was to investigate the risk factors involved in LipoMMC formation. Various risk factors were evaluated in 35 children between 1 month and 10 years of age with LipoMMC in a hospital-based case-control study. The 2 control arms consisted of 35 children with myelomeningocele (MMC group) and 35 children with congenital anomalies other than central nervous system problems (control group). All groups were matched for age and visited the same hospital. A structured questionnaire was used for the collection of all data, including the mothers' weight and height during pregnancy, education, reproductive history, previous abortions, and socioeconomic status, as well as the parents' consanguinity and family history of the same anomalies. Univariate analysis of the children with LipoMMC compared to the control group showed that the use of periconceptional folic acid supplementation was significantly lower in the MMC and LipoMMC groups compared to the control group. In addition, comparison of the MMC and control groups revealed statistically significant differences regarding the use of folic acid and maternal obesity. In multivariate analysis, use of folic acid in the periconceptional period and during the first trimester was an independent risk factor for LipoMMC and MMC. Furthermore, maternal obesity was a significantly positive risk factor for MMC. The probable risk factors for LipoMMC were investigated in this case-control study. Consumption of folic acid in the periconceptional period and during the first trimester is an independent protective factor against LipoMMC. It seems that larger studies are needed to examine other possible

Retrospective exposure assessment and quality control in an international multi-centre case-control study

DEFF Research Database (Denmark)

Tinnerberg, H; Heikkilä, P; Huici-Montagud, A

2003-01-01

The paper presents the exposure assessment method and quality control procedure used in an international, multi-centre case-control study within a joint Nordic and Italian cohort. This study was conducted to evaluate whether occupational exposure to carcinogens influenced the predictivity of high...... was higher among the original assessors (the assessor from the same country as the subject) than the average prevalence assessed by the other four in the quality control round. The original assessors classified more job situations as exposed than the others. Several reasons for this are plausible: real...... country-specific differences, differences in information available to the home assessor and the others and misunderstandings or difficulties in translation of information. To ensure the consistency of exposure assessments in international retrospective case-control studies it is important to have a well...

Canadian federalism and the Canadian health care program: a comparison of Ontario and Quebec.

Science.gov (United States)

Palley, H A

1987-01-01

The Quebec and Ontario health insurance and health service delivery systems, developed within the parameters of federal regulations and national financial subsidies, provide generally universal and comprehensive basic hospital and medical benefits and increasingly provide for the delivery of long-term care services. Within a framework of cooperative federalism, the health care systems of Ontario and Quebec have developed uniquely. In terms of vital statistics, the health of Ontario and Quebec residents generally is comparable. In viewing expenditures, Quebec has a more clearly articulated plan for providing accessible services to low-income persons and for integrating health and social services, although it has faced some difficulties in seeking to achieve the latter goal. Its plans for decentralized services are counter-balanced by a strong provincial role in health policy decision-making. Quebec's political culture also allows the province to play a stronger role in hospital planning and in the regulation of physician income than one finds in Ontario. These political dynamics allow Quebec an advantage in control of costs. In Ontario, in spite of some recent setbacks, physician interests and hospital sector interests play a more active role in health system bargaining and are usually able to influence remuneration and resource allocation decisions more than physician interests and hospital sector interests in Quebec.

La implementación de programas de educación en medios: el caso Ontario Implementing Mandates in Media Education: The Ontario Experience

Directory of Open Access Journals (Sweden)

Barry Duncan

2009-03-01

Full Text Available Este artículo expone un informe sobre la educación en alfabetización mediática en Ontario. Brinda una visión general del plan de estudios para la alfabetización mediática propuesta por el gobierno regional. Específicamente, describe varias aproximaciones para la enseñanza acerca de los medios, así como la teoría que apuntala los documentos del plan de estudios y las prácticas en el aula. También describe el trabajo de organizaciones y asociaciones clave que ayudaron a priorizar la educación en alfabetización mediática, y ofrece sugerencias para el desarrollo exitoso y la implementación de programas de alfabetización mediática. La conclusión discute los retos y el curso futuro de la alfabetización mediática más allá del caso Ontario, centrándose en nueve tesis clave para el éxito en su implementación en todo el mundo. This analysis presents a report on media literacy education in Ontario. It provides an overview of the curriculum for media literacy that is mandated by the provincial government. Specifically, it describes various approaches for teaching about the media as well as the theory that underpins curriculum documents and classroom practices. The analysis also describes the work of key organizations and partnerships that helped prioritize media literacy education, and offers suggestions for the successful development and implementation of media literacy programs. The conclusion discusses the challenges and future directions for media literacy beyond the Ontario case, focusing on nine key tenets for success in its implementation worldwide.

Risk Factors Profile of Shoulder Dystocia in Oman: A Case Control Study

OpenAIRE

Maha M. Al-Khaduri; Rania Mohammed Abudraz; Sayed G. Rizvi; Yahya M. Al-Farsi

2014-01-01

Objective: This study aimed to assess the risk factor profile of shoulder dystocia and associated neonatal complications in Oman, a developing Arab country. Methods: A retrospective case-control study was conducted among 111 cases with dystocia and 111 controls, identified during 1994-2006 period in a tertiary care hospital in Oman. Controls were randomly selected among women who did not have dystocia, and were matched to cases on the day of delivery. Data related to potential risk factor...

Fractionation of Palliative Radiation Therapy for Bone Metastases in Ontario: Do Practice Guidelines Guide Practice?

Energy Technology Data Exchange (ETDEWEB)

Ashworth, Allison [Division of Cancer Care and Epidemiology, Queen' s Cancer Research Institute, Queen' s University, Kingston, Ontario (Canada); Cancer Center of Southeastern Ontario, Kingston, Ontario (Canada); Kong, Weidong [Division of Cancer Care and Epidemiology, Queen' s Cancer Research Institute, Queen' s University, Kingston, Ontario (Canada); Chow, Edward [Sunnybrook Regional Cancer Centre, Toronto, Ontario (Canada); Mackillop, William J., E-mail: william.mackillop@krcc.on.ca [Division of Cancer Care and Epidemiology, Queen' s Cancer Research Institute, Queen' s University, Kingston, Ontario (Canada); Cancer Center of Southeastern Ontario, Kingston, Ontario (Canada)

2016-01-01

Purpose: To evaluate the effect of a provincial practice guideline on the fractionation of palliative radiation therapy for bone metastases (PRT.B) in Ontario. Methods and Materials: The present retrospective study used electronic treatment records linked to Ontario's population-based cancer registry. Hierarchical multivariable regression analysis was used to evaluate temporal trends in the use of single fractions (SFs), controlling for patient-related factors associated with the use of SFs. Results: From 1984 to 2012, 43.9% of 161,835 courses of PRT.B were administered as SFs. The percentage of SF courses was greater for older patients (age <50 years, 39.8% vs age >80 years, 52.5%), those with a shorter life expectancy (survival >12 months, 36.9% vs < 1 month, 53.6%), and those who lived farther from a radiation therapy center (<10 km, 42.1% vs > 50 km, 47.3%). The percentage of SFs to spinal fields was lower than that to other skeletal sites (31.5% vs 57.1%). The percentage of SFs varied among the cancer centers (range, 26.0%-67.8%). These differences were all highly significant in the multivariable analysis (P<.0001). In 2004, Cancer Care Ontario released a practice guideline endorsing the use of SFs for uncomplicated bone metastases. The rate of use of SFs increased from 42.3% in the pre-guideline period (1999-2003) to 52.6% in the immediate post-guideline period (2004-2007). However, it subsequently decreased again to 44.0% (2009-2012). These temporal trends were significant after controlling for patient-related factors in the multivariable analysis (P<.0001). Large intercenter variations in the use of SFs persisted after publication of the guideline. Conclusions: The publication of an Ontario practice guideline endorsing the use of SF PRT.B was associated with only a transient increase in the use of SFs in Ontario and did little to reduce intercenter variations in fractionation.

Children in Need of Protection: Reporting Policies in Ontario School Boards

Science.gov (United States)

Shewchuk, Samantha

2014-01-01

A clear, well defined policy can help empower school personnel to make informed decisions on how to handle cases of suspected child abuse. This article presents an analysis of (N = 64) school board child abuse reporting policies and procedures in Ontario and explored what training, resources, and support school boards state they will provide to…

Annual report 1993 (Ontario Hydro, Toronto)

Energy Technology Data Exchange (ETDEWEB)

NONE

1994-12-31

Ontario Hydro`s prime objective is to supply the people of Ontario with electricity at cost while maintaining high standards of safety and service. The annual report presents energy efficiency and competitiveness, operations in review, the environmental performance of the Corporation, the future, and choices for a sustainable future. A financial review and analysis is also provided, along with an auditor`s report and financial statements.

Case-control study of fetal microchimerism and breast cancer.

Directory of Open Access Journals (Sweden)

Vijayakrishna K Gadi

2008-03-01

Full Text Available Prior pregnancy is known to protect against development of breast cancer. Recent studies have demonstrated that pregnancy has the capacity to establish small numbers of immunologically active fetal-derived cells in the mother, a phenomenon known as fetal microchimerism (FMc. We asked whether presence of FMc, routinely acquired during pregnancy, is a protective factor for breast cancer.DNA extracts from peripheral blood specimens were obtained from a population-based case-control study of risk factors for breast cancer in women 21 to 45 years old. Specimens were tested with quantitative PCR for presence and concentrations of male DNA presumed to derive from prior pregnancies with a male fetus. Odds ratios (OR and 95% confidence intervals (CI were estimated with consideration of multiple established reproductive and environmental risk factors for breast cancer. FMc results were generated on 99 parous women, 54 with primary invasive breast cancer and 45 general population controls. FMc prevalence was 56% (25/45 and 26% (14/54 in controls and cases, respectively. Women harboring FMc were less likely to have had breast cancer (OR = 0.29, 95% CI 0.11-0.83; p = 0.02, adjusting for age, number of children, birth of a son, history of miscarriage, and total DNA tested. In addition, FMc concentrations were higher in controls versus cases (p = 0.01. Median concentrations were 2 (0-78 and 0 (0-374 fetal genomes/10(6 maternal genomes in controls and cases, respectively.Results suggest that the enigma of why some parous women are not afforded protection from breast cancer by pregnancy might in part be explained by differences in FMc. Mechanistic studies of FMc-derived protection against breast cancer are warranted.

Dengue infection and miscarriage: a prospective case control study.

Directory of Open Access Journals (Sweden)

Peng Chiong Tan

Full Text Available BACKGROUND: Dengue is the most prevalent mosquito borne infection worldwide. Vertical transmissions after maternal dengue infection to the fetus and pregnancy losses in relation to dengue illness have been reported. The relationship of dengue to miscarriage is not known. METHOD: We aimed to establish the relationship of recent dengue infection and miscarriage. Women who presented with miscarriage (up to 22 weeks gestation to our hospital were approached to participate in the study. For each case of miscarriage, we recruited 3 controls with viable pregnancies at a similar gestation. A brief questionnaire on recent febrile illness and prior dengue infection was answered. Blood was drawn from participants, processed and the frozen serum was stored. Stored sera were thawed and then tested in batches with dengue specific IgM capture ELISA, dengue non-structural protein 1 (NS1 antigen and dengue specific IgG ELISA tests. Controls remained in the analysis if their pregnancies continued beyond 22 weeks gestation. Tests were run on 116 case and 341 control sera. One case (a misdiagnosed viable early pregnancy plus 45 controls (39 lost to follow up and six subsequent late miscarriages were excluded from analysis. FINDINGS: Dengue specific IgM or dengue NS1 antigen (indicating recent dengue infection was positive in 6/115 (5·2% cases and 5/296 (1·7% controls RR 3·1 (95% CI 1·0-10 P = 0·047. Maternal age, gestational age, parity and ethnicity were dissimilar between cases and controls. After adjustments for these factors, recent dengue infection remained significantly more frequently detected in cases than controls (AOR 4·2 95% CI 1·2-14 P = 0·023. INTERPRETATION: Recent dengue infections were more frequently detected in women presenting with miscarriage than in controls whose pregnancies were viable. After adjustments for confounders, the positive association remained.

Assessing Ontario's Personal Support Worker Registry

Directory of Open Access Journals (Sweden)

Audrey Laporte

2013-08-01

Full Text Available In response to the growing role of personal support workers (PSWs in the delivery of health care services to Ontarians, the Ontario government has moved forward with the creation of a PSW registry. This registry will be mandatory for all PSWs employed by publicly funded health care employers, and has the stated objectives of better highlighting the work that PSWs do in Ontario, providing a platform for PSWs and employers to more easily access the labour market, and to provide government with information for human resources planning. In this paper we consider the factors that brought the creation of a PSW registry onto the Ontario government’s policy agenda, discuss how the registry is being implemented, and provide an analysis of the strengths and weaknesses of this policy change.

Ontario Hydro's transportation of radioactive material and emergency response plan

International Nuclear Information System (INIS)

Karmali, N.

1993-01-01

Ontario Hydro has been transporting radioactive material for almost 30 years without any exposure to the public or release to the environment. However, there have been three accidents involving Hydro's shipments of radioactive material. In addition to the quality packaging and shipping program, Ontario Hydro has an Emergency Response Plan and capability to deal with an accident involving a shipment of radioactive material. The Corporation's ability to respond, to effectively control and contain the situation, site remediation, and to provide emergency public information in the event of a road accident minimizes the risk to the public and the environment. This emphasizes their commitment to worker safety, public safety and impact to the environment. Response capability is mandated under various legislation and regulations in Canada

A demand/supply and price outlook for electricity in Ontario

International Nuclear Information System (INIS)

Dalton, J.

2004-01-01

This paper presents the demand/supply and price outlook for electricity in Ontario. The paper examines the near term outlook, critical demand and supply issues, the projected Ontario demand/supply balances and finally concludes by looking at the challenges for Ontario's new market structure

Temporal trends in the association between socioeconomic status and cancer survival in Ontario: a population-based retrospective study

Science.gov (United States)

Dabbikeh, Andrew; Peng, Yingwei; Mackillop, William J.; Booth, Christopher M.; Zhang-Salomons, Jina

2017-01-01

Background: Cancer survival is known to be associated with socioeconomic status. The income gap between the richer and poorer segments of the population has widened over the last 20 years in Canada. The purpose of this study was to investigate temporal trends in disparities in cancer-specific survival related to socioeconomic status in Ontario. Methods: There were 920 334 cancer cases between 1993 and 2009 in the Ontario Cancer Registry. We linked median household income from the Canadian census to the registry. We calculated 5-year cancer-specific survival rates for all cancers combined and for specific cancer sites by socioeconomic status quintile and year of diagnosis, and modelled time to death using Cox regression. Results: Between 1993 and 2009, for all cancers combined, the hazard of death decreased by 3.1% (hazard ratio [HR] 0.969 [95% confidence interval (CI) 0.967-0.971]) per year in the richest quintile and by 1.2% (HR 0.988 [95% CI 0.987-0.990]) per year in the poorest quintile. The corresponding values for breast cancer were 4.3% (HR 0.957 [95% CI 0.951-0.964]) and 2.0% (HR 0.980 [95% CI 0.975-0.986]); for lung cancer, 1.4% (HR 0.986 [95% CI 0.982-0.990]) and 0.3% (HR 0.997 [95% CI 0.995-1.000]); for colorectal cancer, 3.7% (HR 0.963 [95% CI 0.958-0.968]) and 1.8% (HR 0.982 [95% CI 0.978-0.985]); and for head and neck cancer, 3.1% (HR 0.969 [95% CI 0.958-0.979]) and 1.0% (HR 0.990 [95% CI 0.983-0.996]). Interpretation: Between 1993 and 2009, cancer-specific survival in Ontario improved more among patients from affluent communities than among those from poorer communities. This phenomenon cannot be explained by increased disparity in income. PMID:28877916

Cycling to high school in Toronto, Ontario, Canada: Exploration of school travel patterns and attitudes by gender

NARCIS (Netherlands)

Wittmann, K.; Savan, B.; Ledsham, T.; Liu, G.; Lay, J.

2015-01-01

This study surveyed attitudes, behaviors, social norms, and perceived control among the populations of students at three high schools in downtown Toronto, Ontario, Canada. The results showed a pattern of hesitancy to cycle on the part of female high school students compared with their male

More than energy: Ontario Hydro final annual report, January 1998 - March 1999

International Nuclear Information System (INIS)

1999-01-01

Ontario Hydro ceased operations on March 31, 1999 and its assets and functions were transferred by provincial statute to two successor corporations: Ontario Power Generation Corp. (OPG) and Ontario Hydro Services Inc. Its functions were also transferred to the Independent Electricity Market Operator and the Electrical Safety Authority, two not-for-profit agencies. The original act defining Ontario Hydro was replaced by the Energy Competition Act, 1998. Until the demerger of the company on April 1, 1999, Ontario Hydro served 108 direct industrial clients, almost one million retail clients and 255 municipal utilities. Ontario Power Generation inherited Ontario Hydro's generating portfolio, making it one of the largest power producers in North America in terms of installed capacity. The OPG system includes 69 hydroelectric stations, three nuclear sites, and six operating fossil fueled stations. Total installed system capacity is approximately 31,000 megawatts, and Ontario Hydro's total sales in 1998 were almost 139 terawatt hours. Ontario Hydro Services Company is an energy services-based transmission and distribution company. It owns and maintains 29,000 km of transmission lines, 114,700 km of distribution lines, 245 km of high-voltage underground cable, 256 transformer stations, 928 distribution and regulation stations, and 250 microwave stations. It also retains the retail business held by Ontario Hydro, which serves over 950,000 clients, and the transmission and generating business for 23 remote communities in Northern Ontario

Transmission system planning in Ontario

Energy Technology Data Exchange (ETDEWEB)

Barrie, D; Macedo, F X; Mcconnach, J S [Ontario Hydro, Toronto, ON (Canada)

1994-12-31

In recent years, new and modified approaches to planning the large transmission system that serves the province of Ontario, Canada, have been necessary to accommodate the rapidly changing planning environment including slower uncertain growth, ageing of facilities, integration of demand side management and non utility generation options, increased competitiveness, increased financial stresses and affordable constraints. This paper describes some of the new and modified approaches and tools that have been adopted or are being developed by Ontario Hydro to cope with this changing environment. (author) 9 refs., 4 figs.

Lottery promotions at the point-of-sale in Ontario, Canada.

Science.gov (United States)

Planinac, Lynn C; Cohen, Joanna E; Reynolds, Jennifer; Robinson, Daniel J; Lavack, Anne; Korn, David

2011-06-01

We documented the extent of point-of-sale (POS) lottery promotions in Ontario, Canada and the relationship between lottery promotions and store and city characteristics. This is the first quantitative study of POS lottery promotions. A total of 366 stores-independent and chain convenience stores, gas stations and grocery stores-were visited across 20 cities in Ontario. Data collectors unobtrusively observed the type of lottery promotions in each store and completed a data collection checklist. A lottery promotion index was created and hierarchical linear modeling (HLM) was conducted to examine the relationship between extent of lottery promotions and independent variables such as neighbourhood socioeconomic status and city prevalence of lottery ticket purchasing. POS lottery promotions were widespread across Ontario, with the highest level of promotion found in independent convenience stores. In the multivariable HLM model, none of the remaining independent variables remained statistically significant, except for store type. Lottery promotions are extensive at the POS in Ontario. These findings can help initiate discussions around the appropriateness and possible future regulation of this form of advertising.

Towards a sustainable electricity system for Ontario : interim report

International Nuclear Information System (INIS)

2004-04-01

More changes have occurred in Ontario's electricity sector in the past 5 years than over the preceding 9 decades since the creation of Ontario Hydro Electric Power Commission in 1906. The province's nuclear generating facilities were taken out of service in 1997 for safety and maintenance overhauls. The existing nuclear facilities, which account for 28 per cent of the province's generating capacity, will reach the end of their operational lifetimes by 2018. The government of Ontario also announced the phasing out of Ontario Power Generation's coal-fired plants by 2007 due to the environmental health impacts of their operation. These changes have ignited debate over the province's future electricity needs and how they might be met. This study examined by how much electricity demand in Ontario could be reduced through the adoption of energy efficient technologies, fuel switching, cogeneration and demand response measures. It also examined how much future supply could be obtained from renewable energy sources such as wind, the upgrading of existing hydroelectric facilities, and the development of new solar, biomass and small-scale hydro facilities. It also examined how to accommodate the remaining grid demand and which public policies should be adopted to maximize efficiency and other demand side measures. The impacts of the policies were simulated using the Canadian Integrated Modelling System (CIMS) computer model developed by the Energy and Materials Research Group at Simon Fraser University. The CIMS simulations were conducted under the assumptions that barriers to cogeneration would be removed, financial incentives would be provided along with innovative financing programs. The study revealed that capital investments of $18.2 billion over the 2005-2020 period would be required to reduce peak demand of 12,300 MW relative to the business and usual forecast through efficiency, fuel switching and cogeneration. 13 refs., 8 tabs

Qat use and esophageal cancer in Ethiopia: A pilot case-control study.

Directory of Open Access Journals (Sweden)

Maria E Leon

Full Text Available Qat (Catha edulis chewing is reported to induce lesions in the buccal mucosa, irritation of the esophagus, and esophageal reflux. Case series suggest a possible etiological role in oral and esophageal cancers. This pilot study aimed to generate preliminary estimates of the magnitude and direction of the association between qat use and esophageal cancer (EC risk and to inform the logistics required to conduct a multi-center case-control study.Between May 2012 and May 2013, 73 EC cases (including 12 gastro-esophageal junction cases and 133 controls matched individually on sex, age, and residence were enrolled at two endoscopy clinics and a cancer treatment hospital in Addis Ababa. A face-to-face structured questionnaire was administered. Qat use was defined as ever having chewed qat once a week or more frequently for at least one year. Odds ratios were calculated using conditional logistic regression.Only 8% of cases resided in Addis Ababa. Qat use was more frequent in cases (36% than in controls (26%. A 2-fold elevation in EC risk was observed in ever qat chewers compared with never users in unadjusted conditional logistic regression (OR = 2.12; 95% CI = 0.94, 4.74, an association that disappeared after adjusting for differences in tobacco use, consumption of alcohol and green vegetables, education level, and religion (OR = 0.95; 0.22, 4.22. Among never tobacco users, however, a non-significant increase in EC risk was suggested in ever qat users also after adjustment. Increases in EC risk were observed with ever tobacco use, alcohol consumption, low consumption of green vegetables, a salty diet, illiteracy, and among Muslims; the four latter associations were significant.This pilot study generated EC risk estimates in association with a habit practiced by millions of people and never before studied in a case-control design. Results must be interpreted cautiously in light of possible selection bias, with some demographics such as education level

Analgesics use and ESRD in younger age: a case-control study

Directory of Open Access Journals (Sweden)

Moehner Sabine

2007-12-01

Full Text Available Abstract Background An ad hoc peer-review committee was jointly appointed by Drug Authorities and Industry in Germany, Austria and Switzerland in 1999/2000 to review the evidence for a causal relation between phenacetin-free analgesics and nephropathy. The committee found the evidence as inconclusive and requested a new case-control study of adequate design. Methods We performed a population-based case-control study with incident cases of end-stage renal disease (ESRD under the age of 50 years and four age and sex-matched neighborhood controls in 170 dialysis centers (153 in Germany, and 17 in Austria from January 1, 2001 to December 31, 2004. Data on lifetime medical history, risk factors, treatment, job exposure and intake of analgesics were obtained in a standardized face-to-face interview using memory aids to enhance accuracy. Study design, study performance, analysis plan, and study report were approved by an independent international advisory committee and by the Drug Authorities involved. Unconditional logistic regression analyses were performed. Results The analysis included 907 cases and 3,622 controls who had never used phenacetin-containing analgesics in their lifetime. The use of high cumulative lifetime dose (3rd tertile of analgesics in the period up to five years before dialysis was not associated with later ESRD. Adjusted odds ratios with 95% confidence intervals were 0.8 (0.7 – 1.0 and 1.0 (0.8 – 1.3 for ever- compared with no or low use and high use compared with low use, respectively. The same results were found for all analgesics and for mono-, and combination preparations with and without caffeine. No increased risk was shown in analyses stratifying for dose and duration. Dose-response analyses showed that analgesic use was not associated with an increased risk for ESRD up to 3.5 kg cumulative lifetime dose (98 % of the cases with ESRD. While the large subgroup of users with a lifetime dose up to 0.5 kg (278 cases and

Obstacles to action in arthritis: a community case-control study.

Science.gov (United States)

Hutton, Ingrid; Gamble, Greg; McLean, Grant; Butcher, Hugh; Gow, Peter; Dalbeth, Nicola

2009-07-01

Despite the benefits of physical activity, people with arthritis are less active than the general population. The aim of this study was to determine the motivators and obstacles to physical activity for adults with arthritis. Participants were identified from the Obstacles to Action Study, a community based study of 8163 adults, which explored barriers and motivators to physical activity. A 1:1 case-control study was designed; cases were identified as those participants who reported arthritis (n = 1106). Each case was matched with an age, sex and ethnicity-matched non-arthritis control (n = 1106). Cases were less likely to achieve recommended physical activity targets (58.8% vs. 68.1% P = 0.00001). Furthermore, fewer people with arthritis believed that physical activity would help them lead healthy lives (86.7% vs. 91.3% P = 0.006) or viewed physical activity as a priority (53.8% vs. 59.8% P = 0.005). Cases were less confident in their abilities to try a new activity (37.1% vs. 43.7% P = 0.002) or maintain a healthy weight (65.0% vs. 74.3% P = 0.00001). Cases also reported greater negative impact scores for barriers to activity, particularly arthritis, accessibility, cost and discomfort while exercising. Motivators and environmental barriers to activity were similar for cases and controls. These findings persisted after adjusting for educational level, body mass index and comorbidities. People with arthritis are less active and demonstrate different attitudes toward physical activity. Although people with arthritis identify similar environmental barriers, they have different psychosocial barriers. In order to design effective physical activity programs for people with arthritis, these barriers must be specifically addressed.

Periodontal disease and spontaneous preterm birth: a case control study

Directory of Open Access Journals (Sweden)

Eley Barry

2006-07-01

Full Text Available Abstract Background Several studies have suggested an association between periodontal disease and prematurity but this finding has not been consistently observed. Methods Case control study. Cases (n = 50 were women who had delivered after spontaneous preterm labor at Results There was no difference in the proportion of sites with significant attachment loss (≥3 mm: Cases-3.2%, Controls-2.2% p = 0.21. The gingival crevicular fluid concentrations of elastase and gingipain were elevated in cases vs. controls 238.8 uU/ul vs. 159.6 uU/ul p = .007 and 2.70 uU/ul vs. 1.56 uU/ul p = .001. On multivariate analysis, the mean log concentration of elastase, but not of gingipain, remained a significant predictor of preterm labor p = .0.015. Conclusion We found no evidence that clinical periodontal disease is associated with spontaneous preterm birth. Elevated gingival crevicular fluid levels of elastase were associated with preterm birth but further research is needed before this can be assumed to be a causal relationship.

A population-based study of homicide deaths in Ontario, Canada using linked death records.

Science.gov (United States)

Lachaud, James; Donnelly, Peter D; Henry, David; Kornas, Kathy; Calzavara, Andrew; Bornbaum, Catherine; Rosella, Laura

2017-07-24

Homicide - a lethal expression of violence - has garnered little attention from public health researchers and health policy makers, despite the fact that homicides are a cause of preventable and premature death. Identifying populations at risk and the upstream determinants of homicide are important for addressing inequalities that hinder population health. This population-based study investigates the public health significance of homicides in Ontario, Canada, over the period of 1999-2012. We quantified the relative burden of homicides by comparing the socioeconomic gradient in homicides with the leading causes of death, cardiovascular disease (CVD) and neoplasm, and estimated the potential years of life lost (PYLL) due to homicide. We linked vital statistics from the Office of the Registrar General Deaths register (ORG-D) with Census and administrative data for all Ontario residents. We extracted all homicide, neoplasm, and cardiovascular deaths from 1999 to 2012, using International Classification of Diseases codes. For socioeconomic status (SES), we used two dimensions of the Ontario Marginalization Index (ON-Marg): material deprivation and residential instability. Trends were summarized across deprivation indices using age-specific rates, rate ratios, and PYLL. Young males, 15-29 years old, were the main victims of homicide with a rate of 3.85 [IC 95%: 3.56; 4.13] per 100,000 population and experienced an upward trend over the study period. The socioeconomic neighbourhood gradient was substantial and higher than the gradient for both cardiovascular and neoplasms. Finally, the PYLL due to homicide were 63,512 and 24,066 years for males and females, respectively. Homicides are an important cause of death among young males, and populations living in disadvantaged neighbourhoods. Our findings raise concerns about the burden of homicides in the Canadian population and the importance of addressing social determinants to address these premature deaths.

Ontario's changing electrical sector : implications for air quality and human health

International Nuclear Information System (INIS)

Perrota, K.; De Leon, F.

1999-03-01

Concerns regarding the changes to Ontario's electricity sector and the impacts that these changes may have on the environment and public health are discussed. Two of the major changes include the implementation of the Nuclear Asset Optimization Plan, and the introduction of competition to Ontario's electrical market. Both changes could have profound impacts on air quality in Toronto and the rest of Ontario. This report recommends that the Ontario Minister of Environment and the Ontario Minister of Energy, Science and Technology establish: a regulatory framework to ensure that competition in Ontario's electrical sector does not lead to greater reliance on coal-fired generating stations and further degradation of air quality, human health and the environment in Toronto and the rest of southern Ontario; annual air emission caps for the entire electrical sector to limit the volume of air pollutants released each year; a renewable energy standard which defines the percentage of electricity that must be generated with renewable energies by electrical suppliers serving Ontario consumers; and a public benefit fund to support the promotion of energy conservation and the development of renewable energies with a surcharge on the transmission of electricity. 35 refs., 5 tabs

External radiotherapy prior to thyroid cancer: A case-control study

International Nuclear Information System (INIS)

Hallquist, A.; Loefroth, P.O.; Hardell, L.

1993-01-01

The aim of this investigation was to study previous radiotherapy of malignant diseases as a risk factor for thyroid cancer. By using the Swedish Cancer Registry all cases of thyroid cancer with another malignant disease at least one year previously and living within the catchment area of the hospital were traced. During 1959-1989 a total of 1056 cases of thyroid cancer were identified. Of these, 37 had had another previous malignant disease and they constituted the cases in this study. As controls four persons with at least two malignant diseases, thyroid cancer excluded, were selected for each case from the same cancer registry. Ten (27.0%) of the 37 patients with thyroid cancer as a second tumor had earlier been irradiated with the treatment dose including the thyroid gland as compared with 34 (24.5%) of the 139 control patients. Eight of the ten cases with previous irradiation of the thyroid gland had papillary cancer. The median latency was 13 years. The estimated radiation dose in the thyroid varied between 3 and 40 Gy. External radiotherapy gave a crude odds ratio of 1.1 with 95% confidence interval = 0.5-2.8 for thyroid cancer. The weighted odds ratio was calculated to 2.3 with confidence interval = 0.5-8.9. This case-control study gave a nonsignificantly increased odds ratio for thyroid cancer in patients with external radiotherapy including the thyroid gland. 26 refs., 4 tabs

Compendium of Statistical and Financial Information: Ontario Universities, 2001-02.

Science.gov (United States)

Council of Ontario Universities, Toronto.

This compendium presents data about aspects of the Ontario University System, Canada. It is a companion to the "Financial Report of Ontario Universities," the annual series of volumes prepared under the auspices of the Council of Financial OfficersUniversities of Ontario (COFO-UO). The Compendium contains supplementary information on…

Deregulation experiences in Alberta and Ontario

International Nuclear Information System (INIS)

Axford, D.

2003-01-01

A brief introduction of Nexen Chemicals, one of the largest producers of sodium chlorate in the world, was offered, and a map displaying its locations throughout the world was displayed. Nexen is one of Canada's largest independent oil and gas producers, while Nexen Marketing is involved in the marketing of natural gas in North America. In January 2001, the deregulated market opened in Alberta. High natural gas prices, generation shortages, high prices in California and an upcoming provincial election all combined to complicate the situation. A high degree of volatility characterized the market. A chart displaying weekly average Alberta power and gas prices from Jan 2002 to 13 Oct 2002 was shown. In Ontario, the market opened in May 2002, and the demand growth rate was in the 1 to 2 per cent range. The author indicated that approximately 20 per cent of homeowners in Ontario have signed deals with retailers, contrary to Alberta where very few have done so. A similar chart displaying weekly average Ontario power prices was presented. The issues in Ontario are: consistency in policy, increase market transparency, transmission / distribution price flexibility, overall transmission / distribution to industrial consumers high, and increasing costs of the system operator. In Alberta, the issues are: government intent, congestion management issues, and billing settlement errors that continue. The opportunities offered by a deregulated market include process responsiveness which is rewarded, the ability to look in forward prices when prices fit margin requirement, and gives companies the opportunity to participate in the development of the market. Various charts were also displayed to further illustrate the market in both Alberta and Ontario. figs

AUTOSORO: A fuel management study program for Ontario Hydro CANDU reactors

International Nuclear Information System (INIS)

Wilk, L.

1988-01-01

A computer program, AUTOSORO, has been developed to automatically simulate an Ontario Hydro CANDU reactor core for any time duration according to user-defined on-power refuelling criteria. It is a three-dimensional two-group diffusion code coupled to refuelling decision logic at three screening levels: burnup, coupled neighbor, full-core. A central feature is a projected local-iteration scheme for predicting fuelling-induced local neutron flux changes. Comparisons of AUTOSORO results with actual histories demonstrate that it will be an excellent productivity tool for future in-core fuel management studies, reducing several man-months of effort to several man-hours

Nutritional risk assessment for Hip fracture, A Case control study

OpenAIRE

Torbergsen, Anne Cathrine

2016-01-01

The study was conducted at Oslo University Hospital, Norway. Patients were included from September 2009 until April 2011. In total 116 patients and 73 healthy non-fractured controls participated. The study has 3 parts. In the first part, we studied micronutrients and the risk of hip fracture in a case control study. In the second part, we conducted a randomized controlled nutrition intervention trial and finally, in the third part, we studied if micronutrients were associated with delirium in...

The potential of solar PV in Ontario

International Nuclear Information System (INIS)

McMonagle, R.

2005-01-01

Canada has lagged behind other industrialized nations in the growth of solar energy markets. Currently, over 78 per cent of the global market for solar energy is for grid-connected applications where power is fed into the electrical distribution network. Less than 3.5 per cent of the Canadian solar market is grid-connected. This report investigated the potential size of the photovoltaic (PV) market in Ontario given adequate support from both governments and utilities. The forecast was based on sustainable growth levels that the solar industry as a whole might maintain over an extended period of time. It was suggested that it is technically feasible to install over 3000 MW of PV in single, detached homes in the province, which could generate over 3200 GWh each year. If the right policy conditions were put in place, the technical potential for PV on all buildings in Ontario is over 14,000 MW by 2025, which would generate over 13,000 GWh annually. Support mechanisms such as the Advanced Renewable Tariff (ART) or Standard Offer Contracts (SOC) will enable the PV industry to build capacity. Future markets for PV include new homes, commercial buildings and the existing housing stock. With a properly designed system, it is forecasted that the deployment of PV by 2025 could result in the involvement of 400,000 homes with over 1200 MW of installed capacity and over 290 MW installed annually by 2025. Recommendations to Ontario Power Authority's (OPA) report supply mix report focused on the use of SOCs as the appropriate support mechanism to start building solar capacity in Ontario, as projections using SOCs would see Ontario following the growth patterns of other nations. It was concluded that the OPA report does not acknowledge the current growth rates of PV globally, nor does it fully consider the potential of PV in Ontario. 9 refs., 8 figs

Risk Factors For Ectopic Pregnancy : A Case Control Study

Directory of Open Access Journals (Sweden)

Deshmukh J.S

1999-01-01

Full Text Available Research question: Which are the risk factors for ectopic pregnancy . Objective: To study the strength of association between hypothesised risk factors and ectopic pregnancy. Study design: Unmatched case- control study. Setting: Government Medical College, Hospital, Nagpur. Participants: 133 cases of ectopic pregnancy and equal number of controls (non pregnant women admitted to study hospital. Study variables : Pelvic inflammatory diseases, sexually transmitted diseases, IUD use at conception , past use of IUD, prior ectopic pregnancy, OC pills use at the time of conception, past use of OC pills, induced abortion, spontaneous abortion, infertility and pelvic and abdominal surgery. Statistical analysis: Odds ratios & their 95% CI, Pearson’s chi square test, unconditional logistic regression analysis and population attributable risk proportion. Results : Use of IUD at conception, prior ectopic pregnancy , pelvic inflammatory disease, sexually transmitted diseases, infertility, OC pills use at the time of conception, past use of IUD and induced abortion were found to be significantly associated with ectopic pregnancy. Conclusion: Identification of these risk factors for etopic pregnancy shall help in early detection and appropriate management in an individual case and it may help in devising a comprehensive preventive strategy for ectopic pregnancy

Ontario Hydro Research Division annual report 1988

International Nuclear Information System (INIS)

1988-01-01

The Research Division of Ontario Hydro conducts research in the fields of chemistry, civil engineering, electrical engineering, mechanical engineering, metallurgy, and operations. Much of the research has a bearing on the safe, environmentally benign operation of Ontario Hydro's nuclear power plants. Particular emphasis has been placed on nuclear plant component aging and plant life assurance

Opening Doors to Nursing Degrees: A Proposal from Ontario's Colleges

Science.gov (United States)

Colleges Ontario, 2010

2010-01-01

Ontario needs to expand nursing education options to improve access to the nursing profession, create better pathways amongst all nursing occupations, and build Ontario's capacity to meet the province's long-term nursing needs. Ontario's colleges are capable of playing a larger role within a long-term provincial strategy for sustaining and…

Compendium of Statistical and Financial Information: Ontario Universities, 2000-01.

Science.gov (United States)

Council of Ontario Universities, Toronto.

This compendium presents data on various aspects of the Ontario University System, Canada. It is a companion to the Financial Report of Ontario Universities, the annual series of volumes prepared under the auspices of the Council of Financial Officers-Universities of Ontario (COFO-UO). This compendium contains supplementary information that helps…

Influence of an independent quarterly audit on publicly reported vancomycin-resistant enterocococi bacteremia data in Ontario, Canada.

Science.gov (United States)

Prematunge, Chatura; Policarpio, Michelle E; Johnstone, Jennie; Adomako, Kwaku; Nadolny, Emily; Lam, Freda; Li, Ye; Brown, Kevin A; Garber, Gary

2018-04-13

All Ontario hospitals are mandated to self-report vancomycin-resistant enterocococi (VRE) bacteremias to Ontario's Ministry of Health and Long-term Care for public reporting purposes. Independent quarterly audits of publicly reported VRE bacteremias between September 2013 and June 2015 were carried out by Public Health Ontario. VRE bacteremia case-reporting errors between January 2009 and August 2013 were identified by a single retrospective audit. Employing a quasiexperimental pre-post study design, the relative risk of VRE bacteremia reporting errors before and after quarterly audits were modeled using Poisson regression adjusting for hospital type, case counts reported to the Ministry of Health and Long-term Care, and autocorrelation via generalized estimating equation. Overall, 24.5% (126 out of 514) of VRE bacteremias were reported in error; 114 out of 367 (31%) VRE bacteremias reported before quarterly audits and 12 out of 147 (8.1%) reported after audits were found to be incorrect. In adjusted analysis, quarterly audits of VRE bacteremias were associated with significant reductions in reporting errors when compared with before quarterly auditing (relative risk, 0.17; 95% confidence interval, 0.05-0.63). Risk of reporting errors among community hospitals were greater than acute teaching hospitals of the region (relative risk, 4.39; 95% CI, 3.07-5.70). This study found independent quarterly audits of publicly reported VRE bacteremias to be associated with significant reductions in reporting errors. Public reporting systems should consider adopting routine data audits and hospital-targeted training to improve data accuracy. Crown Copyright © 2018. Published by Elsevier Inc. All rights reserved.

Response rates in case-control studies of cancer by era of fieldwork and by characteristics of study design.

Science.gov (United States)

Xu, Mengting; Richardson, Lesley; Campbell, Sally; Pintos, Javier; Siemiatycki, Jack

2018-04-09

The purpose of this study was to describe time trends in response rates in case-control studies of cancer and identify study design factors that influence response rate. We reviewed 370 case-control studies of cancer published in 12 journals during indicator years in each of the last four decades. We estimated time trends of response rates and reasons for nonresponse in each of the following types of study subjects: cases, medical source controls, and population controls. We also estimated response rates according to characteristics of study context. Median response rates among cases and population controls were between 75% and 80% in the 1970s. Between 1971 and 2010, study response rates declined by 0.31% per year for cases and 0.78% for population controls. Only a minority of studies reported reasons for nonparticipation; subject refusal was the most common reported reason. Studies conducted in North America had lower median response rates than studies conducted in Europe. In-person and telephone interviews elicited higher response rates than mail questionnaires. Response rates from case-control studies of cancer have declined, and this could threaten the validity of results derived from these studies. Copyright © 2018 Elsevier Inc. All rights reserved.

Violence against Women and Gastroschisis: A Case-Control Study

Directory of Open Access Journals (Sweden)

Daniel Ruiz

2013-10-01

Full Text Available Background: Gastroschisis, a birth defect characterized by herniated fetal abdominal wall, occurs more commonly in infants born to teenage and young mothers. Ischemia of the vascular vitelline vessels is the likely mechanism of pathogenesis. Given that chronic stress and violence against women are risk factors for cardiovascular disease we explored whether these may represent risk factors for gastroschisis, when they occur during pregnancy. A case-control study was conducted, with 15 incident cases of children born with gastroschisis in the Region of Murcia, Spain, from December 2007 to June 2013. Forty concurrent controls were recruited at gestation weeks 20–24 or post-partum. All mothers of cases and controls completed a comprehensive, in-person, ‘green sheet’ questionnaire on environmental exposures. Results: Mothers of children with gastroschisis were younger, smoked more cigarettes per week relative to controls, were exposed to higher amounts of illegal drugs, and suffered from domestic violence more frequently than the controls. Multivariable logistic regression analysis highlights periconceptional ‘gender-related violence’ (OR: 16.6, 95% CI 2.7 to 101.7 and younger maternal age (OR 1.1, 95% CI 1.0–1.3. Conclusions: Violence against pregnant women is associated with birth defects, and should be studied in more depth as a cause-effect teratogenic. Psychosocial risk factors, including gender-based violence, are important for insuring the health and safety of the pregnant mother and the fetus.

Sample size calculations for case-control studies

Science.gov (United States)

This R package can be used to calculate the required samples size for unconditional multivariate analyses of unmatched case-control studies. The sample sizes are for a scalar exposure effect, such as binary, ordinal or continuous exposures. The sample sizes can also be computed for scalar interaction effects. The analyses account for the effects of potential confounder variables that are also included in the multivariate logistic model.

Drug and alcohol crash risk : a case-control study.

Science.gov (United States)

2016-12-01

This study used a case-control design to estimate the risk of crashes involving drivers using drugs, alcohol or both. Data was collected in Virginia Beach, Virginia, for 20 months. The study obtained biological measures on more than 3,000 crash...

Technology and tuberculosis control: the OUT-TB Web experience.

Science.gov (United States)

Guthrie, Jennifer L; Alexander, David C; Marchand-Austin, Alex; Lam, Karen; Whelan, Michael; Lee, Brenda; Furness, Colin; Rea, Elizabeth; Stuart, Rebecca; Lechner, Julia; Varia, Monali; McLean, Jennifer; Jamieson, Frances B

2017-04-01

Develop a tool to disseminate integrated laboratory, clinical, and demographic case data necessary for improved contact tracing and outbreak detection of tuberculosis (TB). In 2007, the Public Health Ontario Laboratories implemented a universal genotyping program to monitor the spread of TB strains within Ontario. Ontario Universal Typing of TB (OUT-TB) Web utilizes geographic information system (GIS) technology with a relational database platform, allowing TB control staff to visualize genotyping matches and microbiological data within the context of relevant epidemiological and demographic data. OUT-TB Web is currently available to the 8 health units responsible for >85% of Ontario's TB cases and is a valuable tool for TB case investigation. Users identified key features to implement for application enhancements, including an e-mail alert function, customizable heat maps for visualizing TB and drug-resistant cases, socioeconomic map layers, a dashboard providing TB surveillance metrics, and a feature for animating the geographic spread of strains over time. OUT-TB Web has proven to be an award-winning application and a useful tool. Developed and enhanced using regular user feedback, future versions will include additional data sources, enhanced map and line-list filter capabilities, and development of a mobile app. © The Author 2016. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com

Role of nutrition in pre-eclampsia and eclampsia cases, a case control study

Directory of Open Access Journals (Sweden)

Punyatoya Bej

2014-12-01

Full Text Available Background: Preeclampsia and eclampsia during pregnancy contribute to maternal and fetal morbidity as well as mortality. The identification of the role of maternal nutrition during pregnancy will help in reducing morbidity and mortality. Aims & Objective: The objective of this study is to find out the role of nutrition, in the form of total calorie, protein, fruits, iron, folic acid and calcium intake in the development of preeclampsia and eclampsia among pregnant women in a tertiary level hospital. Material Methods: After ethical approval and informed consent, 122 women who delivered beyond 22 weeks of gestation and diagnosed as preeclampsia or eclampsia were selected. Simultaneously, 122 controls with no diagnosis of preeclampsia or eclampsia were selected from the post natal ward. Cases and controls were administered the same pre-tested questionnaire containing questions related to food and micronutrient intake by cases and control. Results: Logistic regression was applied in the statistical analysis. The factors that were found to be significant predictors of risk for development of preeclampsia and eclampsia were higher calorie intake (adjusted Odds Ratio (OR 14.12 [6.41-43.23] P < 0.001, less protein intake (adjusted OR 3.87 [1.97-8.01] P < 0.001 during pregnancy. Fruits intake in both cases and controls were similar. 77.9% of cases and 84.4% of controls had taken iron tablets during their antenatal period. 75.4% of cases and 82.8% of controls had taken calcium tablets during their antenatal period. Iron and calcium intake is not significantly associated with development of preeclampsia and eclampsia. Conclusion: Higher calorie intake and less protein intake during pregnancy were associated with development of preeclampsia and eclampsia. Fruits intake, iron and calcium intake were not associated with development of preeclampsia and eclampsia

Cross currents : hydroelectricity and the engineering of northern Ontario

International Nuclear Information System (INIS)

Manore, J.L.

1999-01-01

The history of hydroelectric development in northern Ontario was reviewed and analysed with special emphasis on the developments along the Mattagami and Abitibi Rivers. The objective was to examine the important factors that shaped modern hydroelectric development in Canada. System builders, the privately owned Nesbitt Thomson Company, the publicly owned Hydro Electric Power Corporation of Ontario and the eventual evolution of the single power system under Ontario Hydro are chronicled. Broad historical themes such as the technological impacts, regionalism, indigenous rights, plus environmental and economic issues are examined, in addition to an appreciation of the importance of electricity in the manufacturing sector of Ontario, the impact of hydroelectric development on the northern environment and on the northern First Nations, who rely on rivers for their subsistence. Until fairly recently, government policies and interpretations of law often excluded the recognition of Aboriginal uses of river systems, thereby limiting First Nations' peoples ability to practice traditional ways of life. In essence, the book is an account of how the northeastern power system in Ontario shaped the social, political and natural environments and how the development of northeastern power sources by southern power developers shaped the regional interactions between Ontario's north and south. refs., figs

Dancing the Two-Step in Ontario's Long-term Care Sector: More Deterrence-oriented Regulation = Ownership and Management Consolidation.

Science.gov (United States)

Daly, Tamara

2015-03-01

This paper explores shifts in public and private delivery over time through an analysis of Ontario's approach to LTC funding and regulation in relation to other jurisdictions in Canada and abroad. The case of Ontario's long-term care (LTC) policy evolution - from the 1940s until early 2013 -- shows how moving from compliance to deterrence oriented regulation can support consolidation of commercial providers' ownership and increase the likelihood of non-profit and public providers outsourcing their management.

Risk factors for gallbladder cancer: a case-control study.

Science.gov (United States)

Jain, Kajal; Sreenivas, V; Velpandian, T; Kapil, Umesh; Garg, Pramod Kumar

2013-04-01

Risk factors for gallbladder cancer (GBC) except gallstones are not well known. The objective was to study the risk factors for GBC. In a case-control study, 200 patients with GBC, 200 healthy controls and 200 gallstones patients as diseased controls were included prospectively. The risk factors studied were related to socioeconomic profile, life style, reproduction, diet and bile acids. On comparing GBC patients (mean age 51.7 years; 130 females) with healthy controls, risk factors were chemical exposure [odd ratios (OR): 7.0 (2.7-18.2); p < 0.001)], family history of gallstones [OR: 5.3 (1.5-18.9); p < 0.01)], tobacco [OR: 4.1 (1.8-9.7); p < 0.001)], fried foods [OR: 3.1 (1.7-5.6); p < 0.001], joint family [OR: 3.2 (1.7-6.2); p < 0.001], long interval between meals [OR: 1.4 (1.2-1.6); p < 0.001] and residence in Gangetic belt [OR: 3.3 (1.8-6.2); p < 0.001]. On comparing GBC cases with gallstone controls, risk factors were female gender [OR: 2.4 (1.3-4.3); p = 0.004], residence in Gangetic belt [OR: 2.3 (1.2-4.4); p = 0.012], fried foods [OR: 2.5 (1.4-4.4); p < 0.001], diabetes [OR: 2.7 (1.2-6.4); p = 0.02)], tobacco [OR 3.8 (1.7-8.1); p < 0.001)] and joint family [OR: 2.1 (1.2-3.4); p = 0.004]. The ratio of secondary to primary bile acids was significantly higher in GBC cases than gallstone controls (20.8 vs. 0.44). Fried foods, tobacco, chemical exposure, family history of gallstones, residence in Gangetic belt and secondary bile acids were significant risk factors for GBC. Copyright © 2012 UICC.

A case-control study of risk factors for male infertility in Southern ...

African Journals Online (AJOL)

Aim: The purpose of this study was to evaluate the association between selected potential socio-demographic and behavioural risk factors and infertility in Nigeria males. Methods: The study consisted of cases and controls. The cases were 150 males with proven male infertility, while the controls were 150 fertile males with ...

Translating Research into Practice: Establishing a Network of Climate Change Practitioners in Ontario, Canada

Science.gov (United States)

Milner, G. A.

2017-12-01

Climate research and information continues to emerge at a rapid pace from the academic and scientific community. Decisions being made today by planners, engineers and staff across the Province of Ontario rely on science and information to plan and build our systems for the long term. Of course, as scientific information evolves continuously to produce lessons learned and new evidence, on the ground decisions often become entrenched in outdated information and need updating. Given this, bridging the gap between research to policy, and research to practice is of critical importance as the Province of Ontario upgrades its infrastructure, plans for long term growth in population within the Great Lakes Basin, and manages its natural systems and resources responsibly. The Ontario Climate Consortium (OCC) is an interdisciplinary network of academics and practitioners established in 2011 in the province that works to mobilize climate research findings towards building capacity, inspiring climate action, and training end-users with the latest science. The OCC has collaborated with more than 39 organizations throughout Ontario and across Canada, including government agencies at all levels (local, provincial and federal), non-profit organizations and private sector companies. This presentation will describe the foundations of climate action in Ontario, Canada including the landscape of climate adaptation practitioners from both public and private organizations. Furthermore, this presentation will feature lessons learned from the OCC network, including: 1) What comprises effective partnerships to undertake climate change adaptation planning for cities; 2) How to build the foundation for capacity at agencies with limited resources or expertise in the climate change field; and 3) How to successfully mobilize complex climate data for end-users to produce usable tools (through a case study research project). The latter will present findings from a two-year research project

Case-Control Studies of Sporadic Enteric Infections: A Review and Discussion of Studies Conducted Internationally from 1990 to 2009

Science.gov (United States)

Fullerton, Kathleen E.; Scallan, Elaine; Kirk, Martyn D.; Mahon, Barbara E.; Angulo, Frederick J.; de Valk, Henriette; van Pelt, Wilfrid; Gauci, Charmaine; Hauri, Anja M.; Majowicz, Shannon; O’Brien, Sarah J.

2015-01-01

Epidemiologists have used case-control studies to investigate enteric disease outbreaks for many decades. Increasingly, case-control studies are also used to investigate risk factors for sporadic (not outbreak-associated) disease. While the same basic approach is used, there are important differences between outbreak and sporadic disease settings that need to be considered in the design and implementation of the case-control study for sporadic disease. Through the International Collaboration on Enteric Disease “Burden of Illness” Studies (the International Collaboration), we reviewed 79 case-control studies of sporadic enteric infections caused by nine pathogens that were conducted in 22 countries and published from 1990 through to 2009. We highlight important methodological and study design issues (including case definition, control selection, and exposure assessment) and discuss how approaches to the study of sporadic enteric disease have changed over the last 20 years (e.g., making use of more sensitive case definitions, databases of controls, and computer-assisted interviewing). As our understanding of sporadic enteric infections grows, methods and topics for case-control studies are expected to continue to evolve; for example, advances in understanding of the role of immunity can be used to improve control selection, the apparent protective effects of certain foods can be further explored, and case-control studies can be used to provide population-based measures of the burden of disease. PMID:22443481

Proceedings of the Ontario Energy Association's 2004 annual conference

International Nuclear Information System (INIS)

2004-01-01

The Ontario Energy Association (OEA) is a unique trade association that represents key participants in Ontario's converging natural gas and electricity industries. Its members include energy producers, transmitters, distributors, marketers, and retailers. This conference provided a forum to discuss the role of energy policy and energy conservation in promoting competitive and efficient gas and electricity markets in Ontario. The conference featured 15 presentations, of which 3 have been catalogued separately for inclusion in this database

Marketing program for R2000 in Ontario

International Nuclear Information System (INIS)

Killins, B.L.

1990-01-01

In the Ontario new housing market, Ontario Hydro's goal is to reduce the demand for electricity, increase the utility's visibility in this market, and increase customer satisfaction. Analyses have demonstrated that it costs less to construct new houses according to R-2000 insulation standards than to install new power production and transmission facilities. Research has also shown that R-2000 houses have better air quality and energy efficiency than ordinary houses. Nevertheless, most home builders have little enthusiasm for R-2000 houses; the strictness of airtightness standards, the slowness of certification, excessive paperwork, and a lack of promised marketing support are cited as the reasons for this. Ontario Hydro and builders' associations have signed a cooperative agreement for certifying new houses with the object of self-financing the program. The program intends to see construction of 1,000 R-2000 houses in 1990. To carry out this objective, some elements have been added to Ontario Hydro's marketing program in order to make potential customers aware of the advantages of the R-2000 house. Field staff will receive rigorous training in order to prepare them for helping the diverse types of builders. A mail campaign, focusing on areas not served by natural gas where significant numbers of new houses are being built, intends to bring home builders and buyers together. In February 1990, Ontario Hydro signed agreements with four major housing manufacturers to construct a significant proportion of the R-2000 housing stock

Ontario's uranium mining industry

International Nuclear Information System (INIS)

Runnalls, O.J.C.

1981-01-01

This report traces the Ontario uranium mining industry from the first discovery of uranium north of Sault Ste. Marie through the uranium boom of the 1950's when Elliot Lake and Bancroft were developed, the cutbacks of the 1960s, the renewed enthusiasm in exploration and development of the 1970s to the current position when continued production for the domestic market is assured. Ontario, with developed mines and operational expertise, will be in a position to compete for export markets as they reopen. The low level of expenditures for uranium exploration and the lack of new discoveries are noted. The report also reviews and places in perspective the development of policies and regulations governing the industry and the jurisdictional relationships of the Federal and Provincial governments

Association of Serum Uric Acid with Preeclampsia: A Case Control Study

Directory of Open Access Journals (Sweden)

Razia Sultana

2013-07-01

Full Text Available Background: Preeclampsia (PE is still one of the important causes of maternal and fetal mortality in Bangladesh. Many researches have been done to identify a unique screening test that would predict the risk of developing PE before the classic symptoms appear. One of the most accessible and easiest screening tests is serum uric acid measurement. Numerous studies have demonstrated a relation between elevated maternal serum uric acid levels and adverse maternal and fetal outcome. Among several pathophysiologic factors the most commonly accepted explanation for hyperuricemia in PE is increased reabsorption and decreased excretion of uric acid.Objective: The aim of the present study was to assess the association of serum uric acid with preeclampsia.Materials and method: A case control study was conducted in the department of Biochemistry, Dhaka Medical College, Dhaka from July 2010 to June 2011. A total number of 100 pregnant women in third trimester of pregnancy attending in Obstetrics and Gynaecology department of Dhaka Medical College Hospital were selected purposively as study subjects. Among them 50 pregnant women with preeclampsia were selected as cases and 50 normal healthy pregnant women as controls.Results: Most of the study subjects were within 21 – 30 years of age group and mean age in case and control was 24.06±3.71 and 24.66±3.22 years respectively, which was not statistically different. Mean gestational age in case and control was 33.50±2.55 weeks and 33.60±2.95 weeks respectively, which was also not statistically different. Among the study subjects majority was primi in both groups (case 76%, contol 58% showing no statistical significance. Majority of the subjects in both groups were irregular in their antenatal checkup (case 52%, contol 40%. Uric acid concentration was measured in all the study subjects. The mean serum uric acid concentration in cases and controls were 7.01±1.90 mg/dl and 4.55±1.63 mg/dl respectively. This

Brain-relevant antibodies in first-episode psychosis: a matched case-control study.

Science.gov (United States)

Gaughran, Fiona; Lally, John; Beck, Katherine; McCormack, Ruaidhri; Gardner-Sood, Poonam; Coutinho, Ester; Jacobson, Leslie; Lang, Bethan; Sainz-Fuertes, Ricardo; Papanastasiou, Evangelos; Di Forti, Marta; Nicholson, Tim; Vincent, Angela; Murray, Robin M

2018-06-01

There has been much recent excitement about the possibility that some cases of psychosis may be wholly due to brain-reactive antibodies, with antibodies to N-methyl-D-aspartate receptor (NMDAR) and the voltage-gated potassium channel (VGKC)-complex reported in a few patients with first-episode psychosis (FEP). Participants were recruited from psychiatric services in South London, UK, from 2009 to 2011 as part of the Genetics and Psychosis study. We conducted a case-control study to examine NMDAR and VGKC-complex antibody levels and rates of antibody positivity in 96 patients presenting with FEP and 98 controls matched for age and sex. Leucine-rich glioma inactiviated-1 (LGI1) and contactin-associated protein (CASPR) antibodies were also measured. Notably, patients with suspicion of organic disease were excluded. VGKC-complex antibodies were found in both cases (n = 3) and controls (n = 2). NMDAR antibody positivity was seen in one case and one control. Either LGI1-Abs or CASPR2-Abs were found in three cases and three controls. Neuronal antibody staining, consistent with the above results or indicating potential novel antigens, was overall positive in four patients but also in six controls. Overall, antibody positivity was at low levels only and not higher in cases than in controls. This case-control study of the prevalence of antibodies in FEP does not provide evidence to support the hypothesis that FEP is associated with an immune-mediated process in a subgroup of patients. Nevertheless, as other bio-clinical factors may influence the effect of such antibodies in a given individual, and patients with organic neurological disease may be misdiagnosed as FEP, the field requires more research to put these findings in context.

Aetiology of handball injuries : a case-control study

NARCIS (Netherlands)

Dirx, M.; Bouter, L. M.; de Geus, G. H.

This article presents the results of a case-control study regarding the background to handball injuries among players of 12 years and older. Data were collected by means of a written questionnaire on the nature, location and direct causes of the injuries as well as information on risk factors.

Ontario's standard offer programs: moving toward a cleaner energy future

International Nuclear Information System (INIS)

Shervill, P.

2006-01-01

The Ontario Standard Offer Program is designed to ensure reliable, long-term electricity supply for Ontario. The functional areas of the program are planning, conservation and supply sector development. The long-term plan is to create a self-sustaining electricity market in Ontario with 2700 MW renewable sources by 2010 including wind, waterpower, solar photovoltaic (PV) and biomass

Meanings of Success and Successful Leadership in Ontario, Canada, in Neo-Liberal Times

Science.gov (United States)

Winton, Sue; Pollock, Katina

2016-01-01

The provincial government of Ontario, Canada, has committed itself to raising student achievement, closing achievement gaps, and increasing the public's confidence in public education. It has introduced many policies, including the Ontario Leadership Strategy (OLS), to support these goals. Our study examined how teachers, administrators, support…

Misclassification of Case-Control Studies in Neurosurgery and Proposed Solutions.

Science.gov (United States)

Esene, Ignatius Ngene; Mbuagbaw, Lawrence; Dechambenoit, Gilbert; Reda, Wael; Kalangu, Kazadi K

2018-04-01

Case-control studies (CCS) and cohort studies (CS) are common research designs in neurosurgery. But the term case-control study is frequently misused in the neurosurgical literature, with many articles reported as CCS, even although their methodology does not respect the basic components of a CCS. We sought to estimate the extent of these discrepancies in neurosurgical literature, explore factors contributing to mislabeling, and shed some light on study design reporting. We identified 31 top-ranking pure neurosurgical journals and searched them for articles reported as CCS, either in the title or in the abstract. The articles were read to determine if they really were CCS according to STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines. Article assessment was conducted in duplicate (agreement [κ statistics] = 99.82%). Two hundred and twenty-four articles met our inclusion criteria, 133 of which (59.38%) correctly labeled the case-control design, whereas 91 (40.62%) misclassified this study design. Cohort studies (CS) were the most common design mislabeled as case-control studies in 76 articles (33.93%), 57 of which (25.45%) were retrospective CS. The mislabeling of CCS impairs the appropriate indexing, classification, and sorting of evidence. Mislabeling CS for CCS leads to a downgrading of evidence as CS represent the highest level of evidence for observational studies. Odds ratios instead of relative risk are reported for these studies, resulting in a distortion of the measurement of the effect size, compounded when these are summarized in systematic reviews and pooled in meta-analyses. Many studies reported as CCS are not true CCS. Reporting guidelines should include items that ensure that studies are labeled correctly. STROBE guidelines should be implemented in assessment of observational studies. Researchers in neurosurgery need better training in research methods and terminology. We also recommend accrued vigilance from

How do community pharmacists make decisions? Results of an exploratory qualitative study in Ontario.

Science.gov (United States)

Gregory, Paul A M; Whyte, Brenna; Austin, Zubin

2016-03-01

As the complexity of pharmacy practice increases, pharmacists are required to make more decisions under ambiguous or information-deficient conditions. There is scant literature examining how pharmacists make decisions and what factors or values influence their choices. The objective of this exploratory research was to characterize decision-making patterns in the clinical setting of community pharmacists in Ontario. The think-aloud decision-making method was used for this study. Community pharmacists with 3 or more years' experience were presented with 2 clinical case studies dealing with challenging situations and were asked to verbally reason through their decision-making process while being probed by an interviewer for clarification, justification and further explication. Verbatim transcripts were analyzed using a protocol analysis method. A total of 12 pharmacists participated in this study. Participants experienced cognitive dissonance in attempting to reconcile their desire for a clear and confrontation-free conclusion to the case discussion and the reality of the challenge presented within each case. Strategies for resolving this cognitive dissonance included strong emphasis on the educational (rather than decision-making) role of the pharmacist, the value of strong interpersonal relationships as a way to avoid conflict and achieve desired outcomes, the desire to seek external advice or defer to others' authority to avoid making a decision and the use of strict interpretations of rules to avoid ambiguity and contextual interpretation. This research was neither representative nor generalizable but was indicative of patterns of decisional avoidance and fear of assuming responsibility for outcomes that warrant further investigation. The think-aloud method functioned effectively in this context and provided insights into pharmacists' decision-making patterns in the clinical setting. Can Pharm J (Ott) 2016;149:90-98.

Using existing case-mix methods to fund trauma cases.

Science.gov (United States)

Monakova, Julia; Blais, Irene; Botz, Charles; Chechulin, Yuriy; Picciano, Gino; Basinski, Antoni

2010-01-01

Policymakers frequently face the need to increase funding in isolated and frequently heterogeneous (clinically and in terms of resource consumption) patient subpopulations. This article presents a methodologic solution for testing the appropriateness of using existing grouping and weighting methodologies for funding subsets of patients in the scenario where a case-mix approach is preferable to a flat-rate based payment system. Using as an example the subpopulation of trauma cases of Ontario lead trauma hospitals, the statistical techniques of linear and nonlinear regression models, regression trees, and spline models were applied to examine the fit of the existing case-mix groups and reference weights for the trauma cases. The analyses demonstrated that for funding Ontario trauma cases, the existing case-mix systems can form the basis for rational and equitable hospital funding, decreasing the need to develop a different grouper for this subset of patients. This study confirmed that Injury Severity Score is a poor predictor of costs for trauma patients. Although our analysis used the Canadian case-mix classification system and cost weights, the demonstrated concept of using existing case-mix systems to develop funding rates for specific subsets of patient populations may be applicable internationally.

Independent power and cogeneration in Ontario's new competitive electricity market

International Nuclear Information System (INIS)

Barnstable, A.G.

1999-01-01

The factors influencing the initial market pricing in the early years of Ontario's new electricity market were discussed with particular insight on the potential for near term development of independent power and cogeneration. The major factors influencing prices include: (1) no increase in retail prices, (2) financial restructuring of Ontario Hydro, (3) the Market Power Mitigation Agreement, (4) tighter power plant emissions standards, and (5) an electricity supply and demand balance. Generation competition is not expected to influence market pricing in the early years of the new electricity market. Prices will instead reflect the restructuring decisions of the Ontario government. The decision to have Ontario Power Generation Inc. (OPGI) as a single generator for Ontario Hydro's generation assets will ensure that average spot market pricing in the early market years will be close to a 3.8 c/kWh revenue cap

Ontario regulatory update

International Nuclear Information System (INIS)

Thompson, P.

1998-01-01

This paper provides a summary of recent events which when combined add up to a gradual but unmistakable movement of the energy sector in Ontario towards a fully competitive market. Some of the events precipitating this movement towards competition include the passing of the Energy Competition Act of 1998 (Bill 35), electricity deregulation, regulatory reform of the natural gas sector, and changes to the consumer protection legislation. The role of the Ontario Energy Board was also updated to bring it in line with the demands of the competitive marketplace. Among the new roles that the Board will assume are to facilitate competition, to maintain fair and reasonable rates, and to facilitate rational expansion. Another objective is to provide opportunities for including energy efficiency in government policies. Implications of the changes in the OEB's mandate for market participants were also discussed, including (1) regulated gas sales and delivery mechanisms, (2) transactional services, (3) contract restructuring, (4) consumer protection, (5) supervision of competitive market participants, and (6) market surveillance

Wind power and bats : Ontario guideline

Energy Technology Data Exchange (ETDEWEB)

McGuiness, F. [Ontario Ministry of Natural Resources, Peterborough, ON (Canada). Renewable Energy Resources; Stewart, J. [Ontario Ministry of Natural Resources, Toronto, ON (Canada). Wildlife Section

2008-07-01

None of the 8 species of bats in Ontario are considered as species at risk. However, all bats in Ontario are protected under the Fish and Wildlife Conservation Act. The Ontario Ministry of Natural Resources (MNR) is responsible for identifying significant wildlife habitat for bats, including hibernacula and maternity roosts. The MNR's role in wind development includes environmental assessments (EA) and surveys. The MNR bat guideline includes a summary of Ontario species, a literature review of research related to wind turbines and bats, and a review of methods for assessing and monitoring bats. Guideline development includes a bat working group responsible for obtaining data on risk factors and monitoring requirements. The MNR has determined that site selection is critical for minimizing potential impacts. Wind farm proponents can use MNR data, information, and maps for their site selection process. Information requirements include bat species data; habitat data; and meteorological data. The presence of risk factors results in a sensitivity rating. The MNR is also developing a site sensitivity mapping project in order to assist proponents in making siting decisions. All proposed sites are required to conduct pre-construction site surveys. Acoustic detectors and radar are used to determine bat activity at the site. Monitoring and mitigation strategies include selective wind turbine shutdown during key periods or weather conditions. tabs., figs.

The Ontario Energy Board`s draft standard supply service code: effects on air quality

Energy Technology Data Exchange (ETDEWEB)

Gibbons, J.; Bjorkquist, S. [Ontario Clean Air Alliance, Toronto, ON (Canada)

1999-06-29

The Ontario Clean Air Alliance (OCAA), a coalition of 67 organizations, takes issue with the Ontario Energy Board`s draft document `Standard Supply Service Code`, particularly sections 2.2.2. and 2.5.2 which they claim are not in the public interest unless the Ontario government implements the OCAA`s recommended emission caps. The alliance is of the view that without strict new environmental regulations the proposed Code would encourage the use of coal for electricity generation. Public health, the environment, consumer interests, job creation and promotion of a competitive electricity market would all be jeopardized by this development, the alliance states. The argument is supported by extensive reference to the Final Report of the Ontario Market Design Committee (MDC) which also emphasized the importance of combining the introduction of competition with appropriate environmental regulations, singling out the emission cap and trade program, and recommending that it be launched concurrently with the electricity market opening for competition. The view of the MDC was that public support for restructuring would not be forthcoming in the absence of regulatory measures to control power plant emissions. 25 refs.

Exposure to pistachio pesticides and stillbirth: a case-control study.

Science.gov (United States)

Razi, Saeid; Rezaeian, Mohsen; Dehkordi, Fatemeh Ghani; Manshoori, Azita; Goujani, Reza; Vazirinejad, Reza

2016-01-01

Stillbirth is an undesirable outcome of pregnancy. In light of the increasing use of pesticides and growing concerns about the possible health effects of agricultural pesticides, we investigated the effect of exposure to pistachio pesticides on stillbirth in pregnant mothers. This case-control study was conducted in Rafsanjan, Iran from 2011 to 2012. A total of 125 females who had a recent stillbirth were included as the case group, and 250 controls were selected from females who had a recent live birth. For each case, two controls with the nearest propensity score to the case were selected. Data were collected using a protocol developed by the researcher that involved interviewing respondents and reviewing their medical records. Conditional multivariate and univariate logistic regression analysis were performed and odds ratios (ORs) and 95% confidence intervals (CIs) were calculated. The ORs of stillbirth in mothers living in pistachio gardens and those who were exposed to sprayed pesticides, in comparison to the controls, were 14.1 (95% CI, 3.3 to 63.4) and 5.0 (95% CI, 1.2 to 28.6), respectively. No significant differences were found in stillbirth rates according to the distance between the mother's residence and a pistachio garden or involvement in agricultural activities. The results of our study showed that exposure to pistachio pesticides during pregnancy may increase the likelihood of stillbirth in mothers.

Planning for gasification of cellulosic wastes: Issues, feasibility and case study

International Nuclear Information System (INIS)

Staniewski, M.E.

1993-01-01

Gasification is presented as a concept that can assist municipalities and private companies to reduce the amount of solid waste generated and to utilize the cellulosic fraction of such waste as a biofuel. The technical and economic feasibility of cellulosic waste gasification is examined along with the implications associated with the environmental, social, and regulatory issues within a planning context. Study methods included a literature review, survey research employing nonstructured interviews, and a case study analysis. Opportunities for gasification are focused on regional governments in Ontario. The case study concentrated on the Regional Municipality of Waterloo. Regional governments in Ontario can benefit from utilizing the gasification concept to achieve a substantial reduction in the waste stream in an environmentally sound manner and contribute to solving worldwide problems associated with fossil fuel utilization. However, provincial and public acceptance will affect regional government decisions regarding gasification. Separate legislation should be enacted distinguishing gasification from incineration. In addition, the effectiveness of the environmental approval process must be improved; present procedures consume excess time and resources and act to discourage the involvement of public and private proponents. Public acceptance is likely to be affected by negative experiences associated with solid waste combustion. Nonbiased, reliable information is needed to clarify doubts and stress gasification's potential benefits. 85 refs., 15 figs., 26 tabs

Risk factors for measles among adults in Tianjin, China: Who should be controls in a case-control study?

Science.gov (United States)

Wagner, Abram L; Boulton, Matthew L; Gillespie, Brenda W; Zhang, Ying; Ding, Yaxing; Carlson, Bradley F; Luo, Xiaoyan; Montgomery, JoLynn P; Wang, Xiexiu

2017-01-01

Control groups in previous case-control studies of vaccine-preventable diseases have included people immune to disease. This study examines risk factors for measles acquisition among adults 20 to 49 years of age in Tianjin, China, and compares findings using measles IgG antibody-negative controls to all controls, both IgG-negative and IgG-positive. Measles cases were sampled from a disease registry, and controls were enrolled from community registries in Tianjin, China, 2011-2015. Through a best subsets selection procedure, we compared which variables were selected at different model sizes when using IgG-negative controls or all controls. We entered risk factors for measles in two separate logistic regression models: one with measles IgG-negative controls and the other with all controls. The study included 384 measles cases and 1,596 community controls (194 IgG-negative). Visiting a hospital was an important risk factor. For specialty hospitals, the odds ratio (OR) was 4.53 (95% confidence interval (CI): 1.28, 16.03) using IgG-negative controls, and OR = 5.27 (95% CI: 2.73, 10.18) using all controls. Variables, such as age or length of time in Tianjin, were differentially selected depending on the control group. Individuals living in Tianjin ≤3 years had 2.87 (95% CI: 1.46, 5.66) times greater odds of measles case status compared to all controls, but this relationship was not apparent for IgG-negative controls. We recommend that case-control studies examining risk factors for infectious diseases, particularly in the context of transmission dynamics, consider antibody-negative controls as the gold standard.

Endoscopic Follow-Up of Positive Fecal Occult Blood Testing in the Ontario FOBT Project

Directory of Open Access Journals (Sweden)

Lawrence Paszat

2007-01-01

Full Text Available BACKGROUND: The Ontario FOBT Project is a pilot study of fecal occult blood testing (FOBT for colorectal cancer screening conducted among age-eligible volunteers (50 to 75 years in 12 of 37 public health regions in Ontario.

[Application of nested case-control study on safe evaluation of post-marketing traditional Chinese medicine injection].

Science.gov (United States)

Xiao, Ying; Zhao, Yubin; Xie, Yanming

2011-10-01

The nested case-control study design (or the case-control in a cohort study) is described here as a new study design used in safe evaluation of post-marketing traditional Chinese medicine injection. In the nested case-control study, cases of a disease that occur in a defined cohort are identified and, for each, a specified number of matched controls is selected from among those in the cohort who have not developed the disease by the time of disease occurrence in the case. For many research questions, the nested case-control design potentially offers impressive reductions in costs and efforts of data collection and analysis compared with the full cohort approach, with relatively minor loss in statistical efficiency. The nested case-control design is particularly advantageous for studies in safe evaluation of post-marketing traditional Chinese medicine injection. Some examples of the application of nested case-control study were given.

Ideology and wildlands management: The case of Rondeau Provincial Park, Ontario

Science.gov (United States)

Mann, D. L.; Nelson, J. G.

1980-03-01

This is a critical examination of some of the basic concepts that have guided management of parks and related reserves, often termed wildlands. Study is focussed on Rondeau Provincial Park, Ontario, and on concepts such as wilderness, primeval forest, and the Carolinian forest. Deer culling and other management policies and practices have been based upon the idea that the highly valued sassafras, tulip, and other species of the Carolinian forest are decreasing due to browsing. Field mapping and analysis of historic vegetation records indicate that this trend is not in fact occurring. Historic research also reveals difficulties in defining the Carolinian or other perceived types of forest for management purposes. A major reassessment of ideology and management policy and practice seem to be required in Rondeau and other wildlands. Vague or general concepts such as wilderness or preservation should be strongly complemented and supported by more precise statements of objectives, a learning attitude, and experimentation and research. As a result of the technical uncertainties and value judgments frequently involved, management should also be based upon the expressed preferences and continuing involvement of citizens.

18-month outlook : An assessment of the adequacy of the Ontario electricity system from January 2002 to June 2003

International Nuclear Information System (INIS)

2001-01-01

The Independent Electricity Market Operator (IMO) has monitored the state of electricity demand and available supply in Ontario and has reported its findings to the Minister of Energy, Science and Technology and to the Ontario Energy Board. This report presents the IMO's assessment of the adequacy of resources and transmission for the Ontario electricity system for the 18-month period from January 2002 to June 2003. The assessment was based on current information on forecasts of electricity demand and available supply. The existing installed generation within Ontario was summarized. Existing power facilities include nuclear, coal, oil, gas, hydroelectric, wind-powered, wood and waste-fuelled generation. The installations range from less than 1 MW in size to 881 MW net electrical output. The total generating capacity in Ontario is 29,523 MW, excluding embedded generators that are not managed by the Ontario Electricity Financial Corporation or generation not connected to the IMO-controlled grid. In addition, the Bruce Nuclear Unit was not included because it is currently in laid-up state. This report discussed changes from the previous 18-month outlook in terms of power demand. It also presented outlooks of the transmission outage plan, system voltage, thermal concerns and forced outages. The general conclusion reached in this report is that there will be sufficient resources and transmission available to Ontario to supply Ontario demands and to meet the Northeast Power Coordinating Council (NPCC) resource criteria for the next 18 months. tabs., figs

Leptospira Exposure and Gardeners: A Case-Control Seroprevalence Study

Science.gov (United States)

Alvarado-Esquivel, Cosme; Hernandez-Tinoco, Jesus; Sanchez-Anguiano, Luis Francisco; Ramos-Nevarez, Agar; Cerrillo-Soto, Sandra Margarita; Guido-Arreola, Carlos Alberto

2016-01-01

Background Leptospira can be found in soil. However, it is unclear whether occupational exposure to soil may represent a risk for Leptospira infection in humans. Therefore, we sought to determine the association of Leptospira IgG seroprevalence with the occupation of gardener, and to determine the epidemiological characteristics of gardeners associated with Leptospira exposure. Methods We performed a case-control study in 168 gardeners and 168 age- and gender-matched control subjects without gardening occupation in Durango City, Mexico. The seroprevalence of anti-Leptospira IgG antibodies in cases and controls was determined using an enzyme immunoassay. Bivariate and multivariate analyses were used to assess the association of Leptospira exposure and the characteristics of the gardeners. Results Anti-Leptospira IgG antibodies were found in 10 (6%) of 168 gardeners and in 15 (8.9%) of 168 control subjects (odds ratio (OR): 0.64; 95% confidence interval (CI): 0.28 - 1.48; P = 0.40). Multivariate analysis showed that Leptospira seropositivity was positively associated with female gender (OR: 5.82; 95% CI: 1.11 - 30.46; P = 0.03), and negatively associated with eating while working (OR: 0.21; 95% CI: 0.05 - 0.87; P = 0.03). In addition, multivariate analysis showed that high anti-Leptospira levels were associated with consumption of boar meat (OR: 28.00; 95% CI: 1.20 - 648.80; P = 0.03). Conclusions This is the first case-control study of Leptospira exposure in gardeners. Results do not support an association of Leptospira exposure with the occupation of gardener. However, further studies to confirm the lack of this association are needed. The potential role of consumption of boar meat in Leptospira infection deserves further investigation. PMID:26668679

Baldness and testicular cancer: the EPSAM case-control study.

Science.gov (United States)

Moirano, G; Zugna, D; Grasso, C; Lista, P; Ciuffreda, L; Segnan, N; Merletti, F; Richiardi, L

2016-03-01

The etiology of testicular cancer is largely unexplained. Research has mainly focused on prenatal exposures, especially to sex hormones, while less attention has been paid to exposures that may act also postnatally. As baldness has been previously associated with testicular cancer risk we focused on baldness and body hairiness, which are both associated with androgen activity. We used data of the Postnatal Exposures and Male Health (EPSAM) study, a case-control study on testicular cancer conducted in the Province of Turin, Italy, involving cases diagnosed between 1997 and 2008. Information was collected using mailed questionnaires. Analyses included 255 cases and 459 controls. We calculated ORs and 95% CIs to estimate testicular cancer risk among those who developed baldness and among those with body hairiness. We found an inverse association between testicular cancer and baldness (OR: 0.67, 95% CI: 0.46-0.98) and body hairiness (OR: 0.78, 95% CI: 0.53-1.16), although the latter had wider CIs. The inverse association between baldness and testicular cancer is consistent with the results from previous studies. These results suggest that androgens activity may influence testicular cancer risk. © 2016 American Society of Andrology and European Academy of Andrology.

The lack of selection bias in a snowball sampled case-control study on drug abuse.

Science.gov (United States)

Lopes, C S; Rodrigues, L C; Sichieri, R

1996-12-01

Friend controls in matched case-control studies can be a potential source of bias based on the assumption that friends are more likely to share exposure factors. This study evaluates the role of selection bias in a case-control study that used the snowball sampling method based on friendship for the selection of cases and controls. The cases selected fro the study were drug abusers located in the community. Exposure was defined by the presence of at least one psychiatric diagnosis. Psychiatric and drug abuse/dependence diagnoses were made according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R) criteria. Cases and controls were matched on sex, age and friendship. The measurement of selection bias was made through the comparison of the proportion of exposed controls selected by exposed cases (p1) with the proportion of exposed controls selected by unexposed cases (p2). If p1 = p2 then, selection bias should not occur. The observed distribution of the 185 matched pairs having at least one psychiatric disorder showed a p1 value of 0.52 and a p2 value of 0.51, indicating no selection bias in this study. Our findings support the idea that the use of friend controls can produce a valid basis for a case-control study.

Climatic warming and potential demands for irrigation water in southwest Ontario

International Nuclear Information System (INIS)

Brklacich, M.

1990-01-01

The potential impacts of global warming on demand for irrigation water in southwestern Ontario are discussed. The climatic change scenarios considered derive from the Goddard Institute for Space Studies (GISS) general circulation model, which suggests that the frost-free season in southwestern Ontario will be extended from the current 166 days to 223 days under a doubling of atmospheric carbon dioxide. The 1.76 million ha of agricultural land in southwestern Ontario was disaggregated into 365 unique land units, reflecting regional variability in soil quality, topography and climate. Analyses were conducted for individual crops on each of the land units, and results were aggregated to a regional level. Overall, a longer, warmer but relatively drier crop growing season could be expected in southwestern Ontario under this scenario. Climatic change impacts will vary from crop to crop, and will have a greater impact on corn yield than soybeans or wheat. Yield improvements stemming from irrigation should be greater with corn than with the other two crops. 16 refs., 1 tab

Creating a cultural analysis tool for the implementation of Ontario's civil mental health laws.

Science.gov (United States)

Dhand, Ruby

2016-01-01

Ethno-racial people with mental health disabilities experience multiple inequities and differential outcomes when interacting with Ontario's civil mental health laws. Given the increasing multi-racial population in Ontario, there is a need to develop mechanisms to address these intersecting issues. Other countries that have created evaluative tools for mental health legislation include the United Kingdom and Australia. Australia's Rights Analysis Tool, the United Kingdom's Race Equality Impact Assessment, the Scottish Recovery Tool, and the World Health Organization's Mental Health and Human Rights checklist are examples of evaluative tools developed for mental health legislation. Such a tool does not exist in Canada, let alone in Ontario specifically. Thus, this study developed a Cultural Analysis Tool (CAT) consisting of specific and meaningful thematic questions that can be used by practitioners when addressing issues of culture and equity for ethno-racial people with mental health disabilities interacting with Ontario's civil mental health laws. It is hoped that the CAT, and the research underlying its development, will enable practitioners to critically question whether cultural and intersecting concerns are being appropriately addressed within an ethno-racial client's case and, furthermore, how equitable outcomes can be achieved. This article describes and analyzes the methodology, research and qualitative data used to develop the CAT. It then presents and examines the CAT itself. The qualitative data was drawn from thirty-five semi-structured interviews with seven members of each of the following groups: (1) ethno-racial people with mental health disabilities including in-patients and ex-patients, (2) lawyers who practice in the area of mental health law, (3) health care professionals including psychiatrists, nurses and social workers, (4) service providers such as front-line case workers at mental health agencies and (5) adjudicators, government advisors

Mental Health Consultation Among Ontario's Immigrant Populations.

Science.gov (United States)

Islam, Farah; Khanlou, Nazilla; Macpherson, Alison; Tamim, Hala

2017-11-16

the connection between physical and mental health and migration variables such as length of stay in Canada, years since immigration, and other important migration variables (beyond the scope of the CCHS which require further study) need to be developed. Examination of the social determinants of mental health is critical to understand how we can best serve the mental health needs of Ontario's immigrant populations.

Ontario Hydro looks at security

International Nuclear Information System (INIS)

Green, B.J.; Kee, B.

1995-01-01

Ontario Hydro operates 20 CANDU reactors on three different sites. Since 1984, a review of security arrangements on all the sites has taken place on a five-yearly basis. The review process for 1995 is outlined. The three objectives were as follows: to assess current security threats and risks to the stations; to assess the adequacy of the existing programme to protect against current threats; by comparing the security programme against those of comparable entities to establish benchmarks for good practice as a basis for improvements at Ontario Hydro. Valuable insights gained through the review are listed. These could be useful to other utilities. (UK)

Risk factors for idiopathic orbital inflammation: a case-control study

NARCIS (Netherlands)

Bijlsma, Ward R.; van Gils, Carla H.; Paridaens, Dion; Mourits, Maarten P.; Kalmann, Rachel

2011-01-01

Objective To identify risk factors involved in the development of idiopathic orbital inflammation (IOI). Methods Case-control study of 69 adults who had had a first episode of IOI and 296 adult controls with rhegmatogenous retinal detachment (RD) selected from three orbital centres in The

Branding Prince Edward County as a Gastronomic Niche Tourism Destination: A Case Study

OpenAIRE

Geneviève Brisson; Rocci Luppicini

2015-01-01

Increasingly, gastronomy is playing a role in people's motivation for travel, and destinations are making food and beverages their main attraction. This study explored the growing field of gastronomic tourism, a type of niche tourism, through the theoretical framework of destination branding theory. Using a qualitative case study research design, this research examined the branding of the emergent region of Prince Edward County, Ontario, Canada as a gastronomic niche tourism destination from ...

Education Governance Reform in Ontario: Neoliberalism in Context

Science.gov (United States)

Sattler, Peggy

2012-01-01

This paper explores the relationship between neoliberal ideology and the discourse and practice of education governance reform in Ontario over the last two decades. It focuses on changes in education governance introduced by successive Ontario governments: the NDP government from 1990 to 1995, the Progressive Conservative government from 1995 to…

Implementing the first regional hospice palliative care program in Ontario: the Champlain region as a case study.

Science.gov (United States)

Pereira, José; Contant, Jocelyne; Barton, Gwen; Klinger, Christopher

2016-07-26

Regionalization promotes planning and coordination of services across settings and providers to meet population needs. Despite the potential advantages of regionalization, no regional hospice palliative care program existed in Ontario, Canada, as of 2010. This paper describes the process and early results of the development of the first regional hospice palliative care program in Ontario. The various activities and processes undertaken and the formal agreements, policies and documents are described. A participative approach, started in April 2009, was used. It brought together over 26 health service providers, including residential hospices, a palliative care unit, community and hospital specialist consultation teams, hospitals, community health and social service agencies (including nursing), individual health professionals, volunteers, patients and families. An extensive stakeholder and community vetting process was undertaken that included work groups (to explore key areas such as home care, the hospital sector, hospice and palliative care unit beds, provision of care in rural settings, e-health and education), a steering committee and input from over 320 individuals via e-mail and town-halls. A Transitional Leadership Group was elected to steer the implementation of the Regional Program over the summer of 2010. This group established the by-laws and details regarding the governance structure of the Regional Program, including its role, responsibilities, reporting structures and initial performance indicators that the Local Health Integration Network (LHIN) approved. The Regional Program was formally established in November 2010 with a competency-based Board of 14 elected members to oversee the program. Early work involved establishing standards and performance indicators for the different sectors and settings in the region, and identifying key clinical needs such as the establishment of more residential hospice capacity in Ottawa and a rural framework to ensure

A Baseline Study of Ontario Teachers' Views of Environmental and Outdoor Education

Science.gov (United States)

Pedretti, Erminia; Nazir, Joanne; Tan, Michael; Bellomo, Katherine; Ayyavoo, Gabriel

2012-01-01

This paper describes a research that came about as a result of several converging factors in Ontario: a resurgence of interest in environmental and outdoor education (including outdoor education (OE) centres); recent publications supporting environmental and outdoor education; and curriculum revisions across subject areas that include…

A case-control study: occupational cooking and the risk of uveal melanoma

Directory of Open Access Journals (Sweden)

Marr Anja

2010-10-01

Full Text Available Abstract Background A European-wide population based case-control study (European rare cancer study undertaken in nine European countries examined risk factors for uveal melanoma. They found a positive association between cooks and the risk of uveal melanoma. In our study we examine whether cooks or people who worked in cook related jobs have an increased uveal melanoma risk. Methods We conducted a case-control study during 2002 and 2005. Overall, 1653 eligible subjects (age range: 20-74 years, living in Germany participated. Interviews were conducted with 459 incident uveal melanoma cases, 827 population controls, 180 ophthalmologist controls and 187 sibling controls. Data on occupational exposure were obtained from a self-administered postal questionnaire and a computer-assisted telephone interview. We used conditional logistic regression to estimate odds ratios adjusting for the matching factors. Results Overall, we did not observe an increased risk of uveal melanoma among people who worked as cooks or who worked in cook related jobs. When we restricted the source population of our study to the population of the Federal State of Northrhine-Westphalia, we observed an increased risk among subjects who were categorized as cooks in the cases-control analysis. Conclusion Our results are in conflict with former results of the European rare cancer study. Considering the rarity of the disease laboratory in vitro studies of human uveal melanoma cell lines should be done to analyze potential exposure risk factors like radiation from microwaves, strong light from incandescent ovens, or infrared radiation.

An assessment of the environmental benefits of demand management for the province of Ontario

International Nuclear Information System (INIS)

Plagiannakos, T.; Fordyce, A.; Boone, C.; Gooder, B.; Camacho, F.

1993-01-01

This study focused on the environmental impacts of fossil-fired generation that is expected to be displaced by electrical efficiency improvement programs and higher efficiency standards in the province on Ontario by the year 2000. Air emission dispersions were modelled by generating station. The impacts of air emission reductions on human mortality, human morbidity, building materials, agricultural crops, forests and lakes and fisheries were quantified using dose-response functions taken from the literature or estimated for the province of Ontario. Environmental impacts were monetized using cost data specific to Ontario. The final outcome was an estimate of the environmental benefits associated with emission reductions in fossil-fuelled power plants due to efficiency improvements in electricity use in the province of Ontario. (author). 7 refs., 4 tabs

Solar and the future of Ontario's electricity supply

International Nuclear Information System (INIS)

McMonagle, R.

2005-01-01

The potential contribution of solar energy to Ontario's electricity supply was evaluated in this PowerPoint presentation. Only 3.5 per cent of Canada's photovoltaic (PV) systems are connected to the electricity grid. However, 47 per cent of all homes in Ontario have the potential to install 3 kW PV arrays, and the solar industry has the potential to achieve growth rates of between 50 to 75 per cent, with medium term sustainable growth estimated at 30 to 40 per cent annually. The benefits of grid-connected solar energy include employment and wealth creation in Ontario; reductions in peak demand; and improved grid efficiency. It was noted that the price of solar PV is declining. Various market niches for solar energy technologies were outlined, and the targeting of early adopters was recommended as a first market for PV growth. An overview of the value of PV build-ups in California was presented, as well details of international tariffs and rates. A 10 year program leading to the installation of 15,000 PV systems or 40 MWp of installed capacity in Ontario by 2015 was outlined, as well as a plan for solar financing. It was concluded that priming the market now will mean that solar will be prepared to contribute to Ontario's supply during the 2015-2025 period, when its price will be competitive. refs., tabs., figs

Circulating folate levels and colorectal adenoma: a case-control study and a meta-analysis.

Science.gov (United States)

Park, Yeong Mi; Youn, Jiyoung; Cho, Chang Ho; Kim, Sung Hi; Lee, Jung Eun

2017-10-01

The relationship between folate and colorectal neoplasia remains controversial. We examined the association between serum folate concentrations and colorectal adenomas in a case-control study of Korean adults and conducted a meta-analysis. Our case-control study included 113 pairs of case and control who underwent colonoscopy and provided blood samples. We used multivariable conditional logistic regression models to obtain the odds ratios and 95% confidence interval (CIs). For meta-analysis, we identified the relevant studies by searching the PubMed database up to February 2017, included our case-control study and combined the study-specific relative risks (RRs) using a random-effects model. In this case-control study, we included 58 men and 55 women with colorectal adenomas and sex and fasting status matched the controls. We did not find any significant association between the serum folate levels and colorectal adenomas in either men or women. For meta-analysis, a total of eleven studies were included in our analysis and classified into two groups; polyp clearance group (PC) for the studies that included participants who underwent endoscopies and had their polyps removed at baseline; and no polyp clearance group (NPC) for the studies that included participants whose histories of endoscopies were unknown or who underwent their first endoscopies. Four PC (1,311 cases and 1,672 non-cases) and eight NPC studies (3,501 cases and 11,347 non-cases) were included. The combined RRs (95% CIs) comparing the bottom with the top categories of circulating folate levels were 1.07 (0.97-1.18) for the NPC group but 1.45 (1.16-1.74) for the PC group. Low circulating folate levels were associated with new adenoma formation.

Characteristics of administrators and quality of care in Ontario care facilities

OpenAIRE

Keays, Sean Charles

2007-01-01

This exploratory study investigated administrator and facility predictors of quality of care (QOC) in care facilities (CF). Surveys were mailed to all 602 CF administrators in Ontario; half of whom responded. Quality was measured using the last certification inspection report obtained from the Ontario Ministry of Health and Long-Term Care public report on certified CF. Quality predictors were found using multiple regression analysis. Education and experience as an administrator in current pos...

Association between smoking habits and acne vulgaris. A case-control study

Directory of Open Access Journals (Sweden)

Alice Mannocci

2012-09-01

Full Text Available

Background: acne vulgaris, is one of the most common skin disorder. Previous studies about the role of smoke in the pathogenesis of acne reported contradictory results. The aim of this study was to conduct a case-control study investigating the relationship between tobacco smoking and acne.

Methods: a case-control study was performed during the period September 2009 - February 2010. A questionnaire was administrated to each participant, to assess the association acne - smoke. Cases were outpatients of the Dermatologic Ambulatory of the “Fiorini” Hospital, Sapienza University of Rome (Italy. Controls were age and gender-matched to the cases. The ratio cases-controls was 1:2. A univariate and a multiple logistic regression analysis were conducted; Odds Ratio (OR and the relative 95% confidence interval (95%CI were assessed. The statistical significance was set at p < 0.05.

Results: crude OR for the association acne - smoke was 7.26 (IC=2.27-23.18; adjusted OR for sex and age was 5.47 (IC=1.67-17.97. Of 93 cases, 6 had a severe grade of acne (6.5%, 19 had an intermediate grade of acne (20.4%, and 68 had a mild grade of acne (73.1%. No one of the smokers had a severe grade of acne, one had an intermediate grade of acne and 11 had mild acne; these differences are not statistically significant.

Conclusions: the association between acne and smoke shows an increased risk (OR=7.26 with a statistically significant CI. Moreover, people ≥ 18 years of age have twice the risk compared to persons < 18 years of age (OR=2.31.

Exposure to pistachio pesticides and stillbirth: a case-control study

Directory of Open Access Journals (Sweden)

Saeid Razi

2016-04-01

Full Text Available OBJECTIVES Stillbirth is an undesirable outcome of pregnancy. In light of the increasing use of pesticides and growing concerns about the possible health effects of agricultural pesticides, we investigated the effect of exposure to pistachio pesticides on stillbirth in pregnant mothers. METHODS This case-control study was conducted in Rafsanjan, Iran from 2011 to 2012. A total of 125 females who had a recent stillbirth were included as the case group, and 250 controls were selected from females who had a recent live birth. For each case, two controls with the nearest propensity score to the case were selected. Data were collected using a protocol developed by the researcher that involved interviewing respondents and reviewing their medical records. Conditional multivariate and univariate logistic regression analysis were performed and odds ratios (ORs and 95% confidence intervals (CIs were calculated. RESULTS The ORs of stillbirth in mothers living in pistachio gardens and those who were exposed to sprayed pesticides, in comparison to the controls, were 14.1 (95% CI, 3.3 to 63.4 and 5.0 (95% CI, 1.2 to 28.6, respectively. No significant differences were found in stillbirth rates according to the distance between the mother’s residence and a pistachio garden or involvement in agricultural activities. CONCLUSIONS The results of our study showed that exposure to pistachio pesticides during pregnancy may increase the likelihood of stillbirth in mothers.

Province of Ontario nuclear emergency plan. Pt. 1

International Nuclear Information System (INIS)

1986-06-01

The Province of Ontario Nuclear Emergency Plan has been developed pursuant to Section 8 of the Emergency Plans Act, 1983. This plan replaces the Province of Ontario Nuclear Contingency Off-Site Plan (June 1980) which is no longer applicable. The wastes plan includes planning, preparation, emergency organization and operational responsibilities and policy

Campylobacteriosis in New Zealand: results of a case-control study.

OpenAIRE

Eberhart-Phillips, J; Walker, N; Garrett, N; Bell, D; Sinclair, D; Rainger, W; Bates, M

1997-01-01

STUDY OBJECTIVE: To identify and assess the contributions of major risk factors for campylobacteriosis in New Zealand. DESIGN: Case-control study. Home interviews were conducted over nine months using a standardised questionnaire to assess recent food consumption and other exposures. SETTING: Four centres in New Zealand with high notification rates of campylobacter infections--Auckland, Hamilton, Wellington, and Christchurch. PARTICIPANTS: Case patients were 621 people notified between 1 June...

Bathymetry of Lake Ontario

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — Bathymetry of Lake Ontario has been compiled as a component of a NOAA project to rescue Great Lakes lake floor geological and geophysical data and make it more...

Measuring Social Capital in Hamilton, Ontario

Science.gov (United States)

Kitchen, Peter; Williams, Allison; Simone, Dylan

2012-01-01

Social capital has been studied by academics for more than 20 years and within the past decade there has been an explosion of growth in research linking social capital to health. This paper investigates social capital in Hamilton, Ontario by way of a telephone survey of 1,002 households in three neighbourhood groups representing high, mixed and…

Risk factors for neural tube defects in Riyadh City, Saudi Arabia: Case-control study.

Science.gov (United States)

Salih, Mustafa A M; Murshid, Waleed R; Mohamed, Ashry Gad; Ignacio, Lena C; de Jesus, Julie E; Baabbad, Rubana; El Bushra, Hassan M

2014-01-01

Both genetic and non-genetic environmental factors are involved in the etiology of neural tube defects (NTD) which affect 0.5-2/1000 pregnancies worldwide. This study aimed to explore the risk factors for the development of NTD in Saudi population, and highlight identifiable and preventable causes. Similar studies are scarce in similar populations ofthe Arabian Peninsula and North Africa. This is an unmatched concurrent case-control study including NTD cases born at King Khalid University Hospital, Riyadh during a 4-year period (2002-2006). The case-control study included 25 cases and 125 controls (case: control ratio of 1:5). Years of formal education, employment, household environment (including availability of air conditioning) and rate of parental consanguinity did not differ between mothers of cases and controls. Significantly higher proportion of mothers of cases had history of stillbirth compared to control mothers (16% vs 4.1%, P=0.02). Also family history of hydrocephalus and congenital anomalies were more prevalent in cases than controls (P values=0.0000 and 0.003, respectively). There was significant protective effect of periconceptional folic acid consumption both prior to conception (OR 0.02, 95% CI 0.00-0.07) and during the first 6 weeks of conception (OR 0.13, 95% CI 0.04-0.39). Further research, including a larger cohort, is required to enable ascertainment of gene-nutrient and gene environment interactions associated with NTD in Saudi Arabia.

Potential risk factors for diabetic neuropathy: a case control study

Directory of Open Access Journals (Sweden)

Nooraei Mahdi

2005-12-01

Full Text Available Abstract Background Diabetes mellitus type II afflicts at least 2 million people in Iran. Neuropathy is one of the most common complications of diabetes and lowers the patient's quality of life. Since neuropathy often leads to ulceration and amputation, we have tried to elucidate the factors that can affect its progression. Methods In this case-control study, 110 diabetic patients were selected from the Shariati Hospital diabetes clinic. Michigan Neuropathic Diabetic Scoring (MNDS was used to differentiate cases from controls. The diagnosis of neuropathy was confirmed by nerve conduction studies (nerve conduction velocity and electromyography. The multiple factors compared between the two groups included consumption of angiotensin converting enzyme inhibitors (ACEI, blood pressure, serum lipid level, sex, smoking, method of diabetes control and its quality. Results Statistically significant relationships were found between neuropathy and age, gender, quality of diabetes control and duration of disease (P values in the order: 0.04, 0.04, Conclusion In this study, hyperglycemia was the only modifiable risk factor for diabetic neuropathy. Glycemic control reduces the incidence of neuropathy, slows its progression and improves the diabetic patient's quality of life. More attention must be paid to elderly male diabetic patients with poor diabetes control with regard to regular foot examinations and more practical education.

Heat stress related dairy cow mortality during heat waves and control periods in rural Southern Ontario from 2010?2012

OpenAIRE

Bishop-Williams, Katherine E.; Berke, Olaf; Pearl, David L.; Hand, Karen; Kelton, David F.

2015-01-01

Background Heat stress is a physiological response to extreme environmental heat such as heat waves. Heat stress can result in mortality in dairy cows when extreme heat is both rapidly changing and has a long duration. As a result of climate change, heat waves, which are defined as 3 days of temperatures of 32 ?C or above, are an increasingly frequent extreme weather phenomenon in Southern Ontario. Heat waves are increasing the risk for on-farm dairy cow mortality in Southern Ontario. Heat st...

Comparative study of control selection in a national population-based case-control study: Estimating risk of smoking on cancer deaths in Chinese men.

Science.gov (United States)

Jiang, Jingmei; Liu, Boqi; Nasca, Philip C; Han, Wei; Zou, Xiaonong; Zeng, Xianjia; Tian, Xiaobing; Wu, Yanping; Zhao, Ping; Li, Junyao

2009-10-28

To assess the validation of a novel control selection design by comparing the consistency between the new design and a routine design in a large case-control study that was incorporated into a nationwide mortality survey in China. A nationwide mortality study was conducted during 1989-1991. Surviving spouses or other relatives of all adults who died during 1986-1988 provided detailed information about their own as well as the deceased person's smoking history. In this study, 130,079 males who died of various smoking-related cancers at age 35 or over were taken as cases, while 103,248 male surviving spouses (same age range with cases) of women who died during the same period and 49,331 males who died from causes other than those related to smoking were used as control group 1 and control group 2, respectively. Consistency in the results when comparing cases with each of the control groups was assessed. Consistency in the results was observed in the analyses using different control groups although cancer deaths varied with region and age. Equivalence could be ascertained using a 15% criterion in most cancer deaths which had high death rates in urban areas, but they were uncertain for most cancers in rural areas irrespective of whether the hypothesis testing showed significant differences or not. Sex-matched living spouse control design as an alternative control selection for a case-control study is valid and feasible, and the basic principles of the equivalence study are also supported by epidemiological survey data.

Alternative pricing regimes in Ontario : exploring the impacts

International Nuclear Information System (INIS)

Rowlands, I.H.

2006-01-01

Legislative goals were recently established in Ontario to promote reliability and quality of electricity service and to ensure that distribution rates for customers remain reasonable. This presentation explored the effect of changing electricity pricing structures on residential customers in Ontario. This study investigated a period between May to December 2005, in the town of Milton, Ontario. Monthly demand was measured for each month, and monthly weighted averages were presented. Residents with electric heating were removed from the sample. Four pricing structure scenarios were examined: (1) flat rates; (2) time-of-use pricing regimes; (3) real time pricing regimes; and (4) critical peak pricing. Average monthly consumption rates for July and August for all 4 scenarios were presented. Results for time-of-use were compared to flat rates, which showed a slight increase in monthly costs. Real time average monthly electricity costs were significantly higher. Time-of-use costs increased by 57 per cent during the periods examined. Real time pricing regimes resulted in a 196 per cent rise in costs. It was concluded that more research must be done to explore the policy implications of pricing regimes and their effect on consumer behaviour. refs., tabs., figs

Microbial Characteristics of Peri-Implantitis : A Case-Control Study

NARCIS (Netherlands)

de Waal, Y C M; Eijsbouts, H V L C; Winkel, E G; van Winkelhoff, A J

BACKGROUND: Aim of this case-control study was to compare oral microbiological characteristics of subjects with healthy peri-implant conditions and subjects with peri-implantitis and to explore the influence of various patient-related and implant-related factors on the microbiological

Social capital and adverse treatment outcomes of tuberculosis: a case-control study.

Science.gov (United States)

Deshmukh, P R; Mundra, A; Dawale, A

2017-08-01

'Social capital' refers to social norms, relationships, networks and values that affect the functioning and development of society. Social capital influences health positively, but its role in the treatment outcomes of tuberculosis (TB) is not known. To study the role of social capital in determining adverse TB treatment outcomes. Of 516 patients registered under the Revised National Tuberculosis Control Programme in 2014 in Wardha Tuberculosis Unit, Wardha, India, we included 88 patients with adverse treatment outcomes as cases and 187 controls from among those without adverse outcomes. Multiple logistic regression was used to compare standardised Z-scores. A greater proportion of controls than cases belonged to higher quartiles of social capital and its domains than cases, and the mean standardised Z-score was also consistently higher among controls than cases. Respectively 47% and 15% of cases and controls were in the poorest quartile of social capital, whereas respectively 10% and 33% of cases and controls were in the richest quartile. Each unit increase in Z-score of overall social capital reduced the odds of adverse treatment outcomes by 63.1%. Appropriate interventions for building social capital for TB patients and linking them with the programme would improve programme performance.

Transforming Ontario's Power Generation Company

International Nuclear Information System (INIS)

Manley, J.; Epp, J.; Godsoe, P.C.

2004-01-01

The OPG Review Committee was formed by the Ontario Ministry of Energy to provide recommendations and advice on the future role of Ontario Power Generation Inc. (OPG) in the electricity sector. This report describes the future structure of OPG with reference to the appropriate corporate governance and senior management structure. It also discusses the potential refurbishing of the Pickering A nuclear generating Units 1, 2 and 3. The electricity system in Ontario is becoming increasingly fragile. The province relies heavily on electricity imports and the transmission system is being pushed to near capacity. Three nuclear generating units are out of service. The problems can be attributed to the fact that the electricity sector has been subjected to unpredictable policy changes for more than a decade, and that the largest electricity generator (OPG) has not been well governed. OPG has had frequent senior management change, accountability has been weak, and cost overruns have delayed the return to service of the Pickering nuclear power Unit 4. It was noted that the generating assets owned and operated by OPG are capable of providing more than 70 per cent of Ontario's electricity supply. Decisive action is needed now to avoid a potential supply shortage of about 5,000 to 7,000 megawatts by 2007. In its current state, OPG risks becoming a burden on ratepayers. Forty recommendations were presented, some of which suggest that OPG should become a rate-regulated commercial utility focused on running and maintaining its core generating assets. This would require that the government act as a shareholder, and the company operate like a commercial business. It was also emphasized that the market must be allowed to bring in new players. refs., tabs., figs

Hygiene behaviour and hospitalized severe childhood diarrhoea: a case-control study.

OpenAIRE

Baltazar, J. C.; Tiglao, T. V.; Tempongko, S. B.

1993-01-01

The relationship between personal and domestic hygiene behaviour and hospitalized childhood diarrhoea was examined in a case-control study of 356 cases and 357 controls from low-income families in metropolitan Manila. Indices of hygiene behaviour were defined for overall cleanliness, kitchen hygiene, and living conditions. Only the indices for overall cleanliness and kitchen hygiene were significantly associated with diarrhoea. An increasing excess risk of hospitalization with severe diarrhoe...

Candidate gene analysis of spontaneous preterm delivery: New insights from re-analysis of a case-control study using case-parent triads and control-mother dyads

Directory of Open Access Journals (Sweden)

Myking Solveig

2011-12-01

Full Text Available Abstract Background Spontaneous preterm delivery (PTD has a multifactorial etiology with evidence of a genetic contribution to its pathogenesis. A number of candidate gene case-control studies have been performed on spontaneous PTD, but the results have been inconsistent, and do not fully assess the role of how two genotypes can impact outcome. To elucidate this latter point we re-analyzed data from a previously published case-control candidate gene study, using a case-parent triad design and a hybrid design combining case-parent triads and control-mother dyads. These methods offer a robust approach to genetic association studies for PTD compared to traditional case-control designs. Methods The study participants were obtained from the Norwegian Mother and Child Cohort Study (MoBa. A total of 196 case triads and 211 control dyads were selected for the analysis. A case-parent triad design as well as a hybrid design was used to analyze 1,326 SNPs from 159 candidate genes. We compared our results to those from a previous case-control study on the same samples. Haplotypes were analyzed using a sliding window of three SNPs and a pathway analysis was performed to gain biological insight into the pathophysiology of preterm delivery. Results The most consistent significant fetal gene across all analyses was COL5A2. The functionally similar COL5A1 was significant when combining fetal and maternal genotypes. PON1 was significant with analytical approaches for single locus association of fetal genes alone, but was possibly confounded by maternal effects. Focal adhesion (hsa04510, Cell Communication (hsa01430 and ECM receptor interaction (hsa04512 were the most constant significant pathways. Conclusion This study suggests a fetal association of COL5A2 and a combined fetal-maternal association of COL5A1 with spontaneous PTD. In addition, the pathway analysis implied interactions of genes affecting cell communication and extracellular matrix.

Uranium and thorium deposits of Northern Ontario

International Nuclear Information System (INIS)

Robertson, J.A.; Gould, K.L.

1983-01-01

This, the second edition of the uranium-thorium deposit inventory, describes briefly the deposits of uranium and/or thorium in northern Ontario, which for the purposes of this circular is defined as that part of Ontario lying north and west of the Grenville Front. The most significant of the deposits described are fossil placers lying at or near the base of the Middle Precambrian Huronian Supergroup. These include the producing and past-producing mines of the Elliot Lake - Agnew Lake area. Also included are the pitchblende veins spatially associated with Late Precambrian (Keweenawan) diabase dikes of the Theano Point - Montreal River area. Miscellaneous Early Precambrian pegmatite, pitchblende-coffinite-sulphide occurrences near the Middle-Early Precambrian unconformity fringing the Lake Superior basin, and disseminations in diabase, granitic rocks, alkalic complexes and breccias scattered throughout northern Ontario make up the rest of the occurrences

Lumbar lordosis and pars interarticularis fractures: a case-control study

International Nuclear Information System (INIS)

Bugg, William G.; Lewis, Mark; Juette, Arne; Cahir, John G.; Toms, Andoni P.

2012-01-01

The aim of this study is to examine the relationship between lumbar lordosis and pars interarticularis fractures. In this retrospective case-control study we compare the angle of lumbar lordosis and the angle of the S1 vertebral endplate (as a measure of pelvic tilt) in patients with bilateral L5 pars interarticularis fractures with age- and sex-matched control cases with normal MRI examinations of the lumbar spine. Twenty-nine cases of bilateral L5 pars interarticularis fractures with matched control-cases were identified on MRI (16 male, 13 female, age 9-63 years). The angle of lordosis was measured between the inferior L4 and superior S1 vertebral endplates on a standing lateral lumbar spine radiograph for both groups. The mean angle of lordosis about the L5 vertebra was 36.9 (SD = 6.5 ) in the pars interarticularis fracture group, and 30.1 (SD = 6.4 ) in the control group. The difference between the two groups was significant (mean difference 6.8 , Student's t test: P < 0.001). The mean angle of sacral tilt measured was 122.2 (SD = 10.16 ) for controls and 136.4 (SD = 10.86 ) for patients with pars defects. The difference in the means of 14.2 was statistically significantly different (P < 0.0001). Sacral tilt represented by a steeply angled superior endplate of S1 is associated with a significantly increased angle of lordosis, between L4 and S1, and pars fractures at L5. Steep angulation of the first sacral vertebral segment maybe the predisposing biomechanical factor that leads to pincer-like impingement of the pars interarticularis and then spondylolysis. (orig.)

Lumbar lordosis and pars interarticularis fractures: a case-control study

Energy Technology Data Exchange (ETDEWEB)

Bugg, William G; Lewis, Mark; Juette, Arne; Cahir, John G; Toms, Andoni P [Cotman Centre, Norwich Radiology Academy, Norwich, Norfolk (United Kingdom)

2012-07-15

The aim of this study is to examine the relationship between lumbar lordosis and pars interarticularis fractures. In this retrospective case-control study we compare the angle of lumbar lordosis and the angle of the S1 vertebral endplate (as a measure of pelvic tilt) in patients with bilateral L5 pars interarticularis fractures with age- and sex-matched control cases with normal MRI examinations of the lumbar spine. Twenty-nine cases of bilateral L5 pars interarticularis fractures with matched control-cases were identified on MRI (16 male, 13 female, age 9-63 years). The angle of lordosis was measured between the inferior L4 and superior S1 vertebral endplates on a standing lateral lumbar spine radiograph for both groups. The mean angle of lordosis about the L5 vertebra was 36.9 (SD = 6.5 ) in the pars interarticularis fracture group, and 30.1 (SD = 6.4 ) in the control group. The difference between the two groups was significant (mean difference 6.8 , Student's t test: P < 0.001). The mean angle of sacral tilt measured was 122.2 (SD = 10.16 ) for controls and 136.4 (SD = 10.86 ) for patients with pars defects. The difference in the means of 14.2 was statistically significantly different (P < 0.0001). Sacral tilt represented by a steeply angled superior endplate of S1 is associated with a significantly increased angle of lordosis, between L4 and S1, and pars fractures at L5. Steep angulation of the first sacral vertebral segment maybe the predisposing biomechanical factor that leads to pincer-like impingement of the pars interarticularis and then spondylolysis. (orig.)

Lumbar lordosis and pars interarticularis fractures: a case-control study

Energy Technology Data Exchange (ETDEWEB)

Bugg, William G.; Lewis, Mark; Juette, Arne; Cahir, John G.; Toms, Andoni P. [Cotman Centre, Norwich Radiology Academy, Norwich, Norfolk (United Kingdom)

2012-07-15

The aim of this study is to examine the relationship between lumbar lordosis and pars interarticularis fractures. In this retrospective case-control study we compare the angle of lumbar lordosis and the angle of the S1 vertebral endplate (as a measure of pelvic tilt) in patients with bilateral L5 pars interarticularis fractures with age- and sex-matched control cases with normal MRI examinations of the lumbar spine. Twenty-nine cases of bilateral L5 pars interarticularis fractures with matched control-cases were identified on MRI (16 male, 13 female, age 9-63 years). The angle of lordosis was measured between the inferior L4 and superior S1 vertebral endplates on a standing lateral lumbar spine radiograph for both groups. The mean angle of lordosis about the L5 vertebra was 36.9 (SD = 6.5 ) in the pars interarticularis fracture group, and 30.1 (SD = 6.4 ) in the control group. The difference between the two groups was significant (mean difference 6.8 , Student's t test: P < 0.001). The mean angle of sacral tilt measured was 122.2 (SD = 10.16 ) for controls and 136.4 (SD = 10.86 ) for patients with pars defects. The difference in the means of 14.2 was statistically significantly different (P < 0.0001). Sacral tilt represented by a steeply angled superior endplate of S1 is associated with a significantly increased angle of lordosis, between L4 and S1, and pars fractures at L5. Steep angulation of the first sacral vertebral segment maybe the predisposing biomechanical factor that leads to pincer-like impingement of the pars interarticularis and then spondylolysis. (orig.)

[Child abuse in Tlaxcala: a case-control study].

Science.gov (United States)

Herrada-Huidobro, A; Nazar-Beutelspacher, A; Cassaball-Núñez, M; Vega-Ramos, R; Nava-Cruz, C B

1992-01-01

A longitudinal, retrospective and descriptive study about child abuse was carried out in the Hospitals of the Tlaxcala Secretariat of Health, Mexico. The information was obtained from hospitalized children's charts between January first and November 30, 1991. The charts included were those belonging to zero to 14 year old children with injuries, poisoning, and II-III degrees of malnutrition. Four child-abuse criteria were established: physical, sexual, non organic malnutrition and mixed (physical and non organic malnutrition). Two control groups were defined. Different patterns were observed between accidental and non accidental injuries, malnutrition and poisoning among the case and the control groups. The study provides useful information for the integral diagnosis of child abuse in hospitalized children.

Field-based random sampling without a sampling frame: control selection for a case-control study in rural Africa.

Science.gov (United States)

Crampin, A C; Mwinuka, V; Malema, S S; Glynn, J R; Fine, P E

2001-01-01

Selection bias, particularly of controls, is common in case-control studies and may materially affect the results. Methods of control selection should be tailored both for the risk factors and disease under investigation and for the population being studied. We present here a control selection method devised for a case-control study of tuberculosis in rural Africa (Karonga, northern Malawi) that selects an age/sex frequency-matched random sample of the population, with a geographical distribution in proportion to the population density. We also present an audit of the selection process, and discuss the potential of this method in other settings.

State risk discourse and the regulatory preservation of traditional medicine knowledge: The case of acupuncture in Ontario, Canada.

Science.gov (United States)

Ijaz, Nadine; Boon, Heather; Muzzin, Linda; Welsh, Sandy

2016-12-01

Several United Nations bodies have advised countries to actively preserve Traditional Medicine (TM) knowledge and prevent its misappropriation in regulatory structures. To help advance decision-making around this complex regulatory issue, we examine the relationship between risk discourse, epistemology and policy. This study presents a critical, postcolonial analysis of divergent risk discourses elaborated in two contrasting Ontario (Canada) government reports preceding that jurisdiction's regulation of acupuncture, the world's most widely practised TM therapy. The earlier (1996) report, produced when Ontario's regulatory lobby was largely comprised of Chinese medicine practitioners, presents a risk discourse inclusive of biomedical and TM knowledge claims, emphasizing the principle of regulatory 'equity' as well as historical and sociocultural considerations. Reflecting the interests of an increasingly biomedical practitioner lobby, the later (2001) report uses implicit discursive means to exclusively privilege Western scientific perspectives on risk. This report's policy recommendations, we argue, suggest misappropriation of TM knowledge. We advise regulators to consider equitable adaptations to existing policy structures, and to explicitly include TM evidentiary perspectives in their pre-regulatory assessments. Copyright © 2016 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Dietary and lifestyle characteristics of colorectal cancer in Jordan: a case-control study.

Science.gov (United States)

Arafa, Mostafa A; Waly, Mostafa I; Jriesat, Sahar; Al Khafajei, Ahmed; Sallam, Sunny

2011-01-01

We evaluated dietary pattern and lifestyle characteristics of patients with colorectal cancer (CRC) in Jordan. The case-control study included 220 recently diagnosed CRC cases and 220 age and gender matched healthy subjects as a control group. The participating CRC cases had lower dietary intake of fibre, folate, vitamin B12, β-carotene, vitamin C and selenium as compared to controls (P<0.05). The frequency of consumption of fruits and vegetables was also lower among CRC cases, while the frequency of consumption of red meat and saturated fat was higher and positively associated with CRC risk. Furthermore, family history for CRC played a positive role and the majority of CRC cases and controls had a low physical activity level. A sedentary lifestyle and a diet low in fruits and vegetables, and high in animal red meat and saturated fat, appeared associated with CRC among the studied Jordanian subjects. This is consistent with the reported CRC studies in developed nations indicating global causal effects for this tumour type.

Incidence of breast and colorectal cancer among immigrants in Ontario, Canada: a retrospective cohort study from 2004-2014.

Science.gov (United States)

Shuldiner, Jennifer; Liu, Ying; Lofters, Aisha

2018-05-08

Studies have shown that morbidity and mortality rates due to cancer among recent immigrants are lower than those among the native-born population. The objectives of this study were to describe the incidence of colorectal and breast cancer among immigrants from major regions of the world compared to Canadian-born residents of the province of Ontario and to examine the role of length of stay and neighborhood income. Retrospective cohort study including all individuals 18 years and over residing in Ontario from 2004 to 2014. Age-standardized incidence rates (ASIR) were calculated for immigrants from each world region versus Canadian-born residents and stratified by neighborhood income quintile and length of stay. Binomial regression analysis was used to determine the association of neighbourhood income, length of stay, and location of birth with colorectal and breast cancer incidence. Canadian immigrants born in South Asia had the lowest colorectal and breast cancer incidence (colorectal: women: ASIR = 0.14; men: ASIR = 0.18; breast: ASIR = 1.00) compared to long-term residents during the study period (colorectal: women: ASIR = .57; men: ASIR = .72; breast cancer ASIR = 1.61). In multivariate analyses, neighboorhood income did not consistently play a significant role in colorectal cancer incidence; however higher neighbourhood income was a risk factor for breast cancer among immigrant women (adjusted relative risk for highest neighboorhood income quintile versus lowest income quintile =1.21, 95% CI = 1.18-1.24). Increased length of stay was associated with higher risk of cancer. After adjusting for age, neighborhood income, and length of stay, those born in Europe and Central Asia had the highest risk of colorectal cancer compared to those born in East Asia and Pacific and those born in the Middle East had the greatest additional risk of breast cancer. After correcting for age, breast and colorectal cancer incidence rates among immigrants

Nuclear cluster strategy Carolinas - Ontario - Saskatchewan

International Nuclear Information System (INIS)

Oberth, R.

2012-01-01

Organization of Candu Industries (OCI) is an industry association representing the interests of 170 private sector suppliers of products and services to the Canadian and offshore nuclear industries. OCI member companies, mainly in Ontario, employ over 30,000 highly specialized workers with over 12,000 working in nuclear area. OCI's objectives are to sustain the domestic nuclear program by building support among political leaders, the public and local communities, assist OCI member companies in becoming the preferred suppliers for domestic nuclear projects (competitive), assist OCI member companies in international nuclear markets - trade missions and vendor workshops. OCI is at the heart of an 'Ontario nuclear cluster'. The Carolinas have shown what can be achieved when industry, academia, S&T centers and governments collaborate with a shared vision to achieve a common goals. Ontario has the assets to become a stronger center for nuclear excellence. OCI is working to bring the pieces together. Saskatchewan has the assets to become a center of excellence in Small Modular Reactors (SMR) by licensing and constructing the first SMR in Canada.

The short-term impact of Ontario's generic pricing reforms.

Directory of Open Access Journals (Sweden)

Michael R Law

Full Text Available Canadians pay amongst the highest generic drug prices in the world. In July 2010, the province of Ontario enacted a policy that halved reimbursement for generic drugs from the public drug plan, and substantially lowered prices for private purchases. We quantified the impact of this policy on overall generic drug expenditures in the province, and projected the impact in other provinces had they mimicked this pricing change.We used quarterly prescription generic drug dispensing data from the IMS-Brogan CompuScript Audit. We used the price per unit in both the pre- and post-policy period and two economics price indexes to estimate the expenditure reduction in Ontario. Further, we used the post-policy Ontario prices to estimate the potential reduction in other provinces.We estimate that total expenditure on generic drugs in Ontario during the second half of 2010 was between $181 and $194 million below what would be expected if prices had remained at pre-policy level. Over half of the reduction in spending was due to savings on just 10 generic ingredients. If other provinces had matched Ontario's prices, their expenditures over during the latter half of 2010 would have been $445 million lower.We found that if Ontario's pricing scheme were adopted nationally, overall spending on generic drugs in Canada would drop at least $1.28 billion annually--a 5% decrease in total prescription drug expenditure. Other provinces should seriously consider both changes to their generic drug prices and the use of more competitive bulk purchasing policies.

Case-control study of mesothelioma in the shipyard industry

International Nuclear Information System (INIS)

Correa-Villasenor, A.

1987-01-01

A nested case-control study was undertaken to investigate the relationship between occupational exposures to asbestos and low-level gamma radiation and mesothelioma. One hundred nineteen cases and four hundred fifty-two latency-matched controls were selected. Analyses were conducted using the conditional maximum likelihood estimate of the odds ratio and conditional logistic regression for matched sets. The results from the analyses revealed a relationship between asbestos exposure and mesothelioma; the strength of this relationship increased with the intensity and duration of the asbestos exposure. Exposure to low-level gamma radiation was also associated with an increased risk of mesothelioma. There was no interaction between asbestos and radiation. Shipyard employment in non-asbestos jobs and male gender were also found to be associated with mesothelioma

Hygiene behaviour and hospitalized severe childhood diarrhoea: a case-control study.

Science.gov (United States)

Baltazar, J C; Tiglao, T V; Tempongko, S B

1993-01-01

The relationship between personal and domestic hygiene behaviour and hospitalized childhood diarrhoea was examined in a case-control study of 356 cases and 357 controls from low-income families in metropolitan Manila. Indices of hygiene behaviour were defined for overall cleanliness, kitchen hygiene, and living conditions. Only the indices for overall cleanliness and kitchen hygiene were significantly associated with diarrhoea. An increasing excess risk of hospitalization with severe diarrhoea was noted as the ratings for standards of hygiene became lower, and this excess risk persisted even after controlling for confounding variables. The implications of our findings for the control of diarrhoeal disease are discussed.

Milestones on the social accountability journey: Family medicine practice locations of Northern Ontario School of Medicine graduates.

Science.gov (United States)

Hogenbirk, John C; Timony, Patrick E; French, Margaret G; Strasser, Roger; Pong, Raymond W; Cervin, Catherine; Graves, Lisa

2016-03-01

To assess the effect of different levels of exposure to the Northern Ontario School of Medicine's (NOSM's) distributed medical education programs in northern Ontario on FPs' practice locations. Cross-sectional design using longitudinal survey and administrative data. Canada. All 131 Canadian medical graduates who completed FP training in 2011 to 2013 and who completed their undergraduate (UG) medical degree or postgraduate (PG) residency training or both at NOSM. Exposure to NOSM's medical education program at the UG (n = 49) or PG (n = 31) level or both (n = 51). Primary practice location in September of 2014. Approximately 16% (21 of 129) of FPs were practising in rural northern Ontario, 45% (58 of 129) in urban northern Ontario, and 5% (7 of 129) in rural southern Ontario. Logistic regression found that more rural Canadian background years predicted rural practice in northern Ontario or Ontario, with odds ratios of 1.16 and 1.12, respectively. Northern Canadian background, sex, marital status, and having children did not predict practice location. Completing both UG and PG training at NOSM predicted practising in rural and northern Ontario locations with odds ratios of 4.06 to 48.62. Approximately 61% (79 of 129) of Canadian medical graduate FPs who complete at least some of their training at NOSM practise in northern Ontario. Slightly more than a quarter (21 of 79) of these FPs practise in rural northern Ontario. The FPs with more years of rural background or those with greater exposure to NOSM's medical education programs had higher odds of practising in rural northern Ontario. This study shows that NOSM is on the road to reaching one of its social accountability milestones.

Continuing education for primary health care nurse practitioners in Ontario, Canada.

Science.gov (United States)

Baxter, Pamela; DiCenso, Alba; Donald, Faith; Martin-Misener, Ruth; Opsteen, Joanne; Chambers, Tracey

2013-04-01

The Council of Ontario University Programs in Nursing offers a nine-university, consortium-based primary health care nurse practitioner education program and on-line continuing education courses for primary health care nurse practitioners. Our study sought to determine the continuing education needs of primary health care nurse practitioners across Ontario, how best to meet these needs, and the barriers they face in completing continuing education. Surveys were completed by 83 (40%) of 209 learners who had participated in continuing education offered by the Council of Ontario University Programs in Nursing between 2004 and 2007. While 83% (n=50) of nurse practitioners surveyed indicated that continuing education was extremely important to them, they also identified barriers to engaging in continuing education offerings including; time intensity of the courses, difficulty taking time off work, family obligations, finances and fatigue. The most common reason for withdrawal from a continuing education offering was the difficulty of balancing work and study demands. Continuing education opportunities are important to Ontario primary health care nurse practitioners, and on-line continuing education offerings have been well received, but in order to be taken up by their target audience they must be relevant, readily accessible, flexible, affordable and offered over brief, intense periods of time using technology that is easy to use and Internet sites that are easily navigated. Copyright © 2012 Elsevier Ltd. All rights reserved.

The long-term outlook for nuclear capacity in Ontario

International Nuclear Information System (INIS)

Archinoff, G.H.

1979-04-01

This report derives three estimates of long-term nuclear growth in Ontario for use in strategy studies of alternate nuclear fuel cycles. The low and high estimates encompass the full range of possible long-term nuclear growth rates. The middle, or base growth, estimate represents the nuclear growth pattern which seems at the present time most likely to occur. For the base growth estimate, nuclear capacity in Ontario reaches 31 GWe in 2000, grows to 175 GWe by 2060, and then remains constant. For the high growth estimate, the capacity in 2000 is 33 GWe, and climbs continuously to 833 GWe by the year 2100. (auth)

Job Satisfaction Among Gerontological Social Workers in Ontario, Canada.

Science.gov (United States)

Simons, Kelsey; An, Sofiya

2015-01-01

Little is known about job satisfaction among Canada's social work workforce in aging, although social workers remain a key component of interdisciplinary care in health and social service settings. This study begins to address this gap in knowledge by examining individual, interpersonal, and job-design factors influencing the job satisfaction of gerontological social workers in Ontario. Data were collected via two online surveys with a sample drawn from the Ontario Association of Social Workers' membership list (N = 104). A multiple regression model explained 37% of the variance in job satisfaction, F = 5.47[10, 93], p social work clinicians, and providing educational and clinical supports to clinicians.

Thyroid cancer in French Polynesia: a population based case control study

International Nuclear Information System (INIS)

Brindel, P.; Doyon, F.; Adjadj, E.; Vathaire, F. de; Drozdovitch, V.; Bouville, A.; Paoaafaite, J.; Teuri, J.

2006-01-01

Full text of publication follows: Because a previous study had shown that registered thyroid cancer incidence is higher among natives of French Polynesia (FP) than in other Maori populations from Hawaii and New-Zealand, a case-control study of thyroid cancer coordinated by Unit 605 of INSERM was conducted in FP. The main objective was to assess the potential role of atmospheric nuclear weapons tests performed by France between 1966 and 1974 on such a high incidence. The study included 600 subjects born and residing in FP: 229 cases of differentiated thyroid carcinoma diagnosed between 1979 and 2004, aged up to 30 years old at start of nuclear weapons testing and 371 control s matched on gender and birth date randomly selected from t he FP registry of births. Face to face interviews were conducted from 2002 to 2004 by specialized investigators native from FP who received a specific formation for this study. Addresses were collected from the territorial medical insurance, which covers all the inhabitants, whatever their professional status. Detailed information about nutrition at time of interview and at the end of adolescence was collected by means of a semi-quantitative method using pictures. Data concerning residence, hormonal and reproductive life, familial and personal background of thyroid pathologies and cancers, and professional and environmental exposure to carcinogens were also collected. For each study subject, radiation thyroid dose was estimated taking into account residential history and dietary habits of the subject and deposition densities of radionuclides reconstructed for each island where the subject resided during the testing period. The iodine intake will be estimated from the dietary questionnaire, as well as from mass-spectrometry measurements of stable iodine in nail clippings, which were collected during the interviews. Among the 229 cases, 89% were females, 54% declared themselves as of pure Maori origin, another 36% of Maori-Asian or Maori

Emission trading in Ontario : Understanding and managing compliance risk

Energy Technology Data Exchange (ETDEWEB)

White, A. [Mirant Canada Energy Marketing ltd., Toronto, ON (Canada)

2002-07-01

Mirant is one of the top five American energy marketer of power and gas, with more than 20,700 megawatts (MW) of electric generating capacity worldwide, of which 13,600 is in North America. The author presented a chart displaying nitrogen oxide emissions in Ontario, followed by another chart with the emissions of sulphur dioxide also in Ontario. The emission targets for the power sector were reviewed, as were the nitrogen oxide emission limits from 2002 to 2010. The major features of the Ontario legislation were discussed, covering allowance allocation, unlimited banking and limited provisions for credit. Ontario fossil capacity was reviewed, followed by emission allowance allocation. The issues and risks for Independent Power Producers were discussed. They included the emission rate compared to that of the competition, how much the facility was run last year and how much you expect to run it next year, the possibility of buying allowances or credits and at what cost. Looking to the future, the government of Ontario has announced bold actions on industry emissions. The initiatives include consultations, emission limits for both nitrogen oxide and sulphur dioxide from all major industrial emitters, and tighter province-wide targets and timelines for nitrogen oxide and sulphur dioxide. refs., tabs., figs.

Emission trading in Ontario : Understanding and managing compliance risk

International Nuclear Information System (INIS)

White, A.

2002-01-01

Mirant is one of the top five American energy marketer of power and gas, with more than 20,700 megawatts (MW) of electric generating capacity worldwide, of which 13,600 is in North America. The author presented a chart displaying nitrogen oxide emissions in Ontario, followed by another chart with the emissions of sulphur dioxide also in Ontario. The emission targets for the power sector were reviewed, as were the nitrogen oxide emission limits from 2002 to 2010. The major features of the Ontario legislation were discussed, covering allowance allocation, unlimited banking and limited provisions for credit. Ontario fossil capacity was reviewed, followed by emission allowance allocation. The issues and risks for Independent Power Producers were discussed. They included the emission rate compared to that of the competition, how much the facility was run last year and how much you expect to run it next year, the possibility of buying allowances or credits and at what cost. Looking to the future, the government of Ontario has announced bold actions on industry emissions. The initiatives include consultations, emission limits for both nitrogen oxide and sulphur dioxide from all major industrial emitters, and tighter province-wide targets and timelines for nitrogen oxide and sulphur dioxide. refs., tabs., figs

Looking inside the black box: a theory-based process evaluation alongside a randomised controlled trial of printed educational materials (the Ontario printed educational message, OPEM to improve referral and prescribing practices in primary care in Ontario, Canada

Directory of Open Access Journals (Sweden)

Lemyre Louise

2007-11-01

Full Text Available Abstract Background Randomised controlled trials of implementation strategies tell us whether (or not an intervention results in changes in professional behaviour but little about the causal mechanisms that produce any change. Theory-based process evaluations collect data on theoretical constructs alongside randomised trials to explore possible causal mechanisms and effect modifiers. This is similar to measuring intermediate endpoints in clinical trials to further understand the biological basis of any observed effects (for example, measuring lipid profiles alongside trials of lipid lowering drugs where the primary endpoint could be reduction in vascular related deaths. This study protocol describes a theory-based process evaluation alongside the Ontario Printed Educational Message (OPEM trial. We hypothesize that the OPEM interventions are most likely to operate through changes in physicians' behavioural intentions due to improved attitudes or subjective norms with little or no change in perceived behavioural control. We will test this hypothesis using a well-validated social cognition model, the theory of planned behaviour (TPB that incorporates these constructs. Methods/design We will develop theory-based surveys using standard methods based upon the TPB for the second and third replications, and survey a subsample of Ontario family physicians from each arm of the trial two months before and six months after the dissemination of the index edition of informed, the evidence based newsletter used for the interventions. In the third replication, our study will converge with the "TRY-ME" protocol (a second study conducted alongside the OPEM trial, in which the content of educational messages was constructed using both standard methods and methods informed by psychological theory. We will modify Dillman's total design method to maximise response rates. Preliminary analyses will initially assess the internal reliability of the measures and use

On the Analysis of Case-Control Studies in Cluster-correlated Data Settings.

Science.gov (United States)

Haneuse, Sebastien; Rivera-Rodriguez, Claudia

2018-01-01

In resource-limited settings, long-term evaluation of national antiretroviral treatment (ART) programs often relies on aggregated data, the analysis of which may be subject to ecological bias. As researchers and policy makers consider evaluating individual-level outcomes such as treatment adherence or mortality, the well-known case-control design is appealing in that it provides efficiency gains over random sampling. In the context that motivates this article, valid estimation and inference requires acknowledging any clustering, although, to our knowledge, no statistical methods have been published for the analysis of case-control data for which the underlying population exhibits clustering. Furthermore, in the specific context of an ongoing collaboration in Malawi, rather than performing case-control sampling across all clinics, case-control sampling within clinics has been suggested as a more practical strategy. To our knowledge, although similar outcome-dependent sampling schemes have been described in the literature, a case-control design specific to correlated data settings is new. In this article, we describe this design, discuss balanced versus unbalanced sampling techniques, and provide a general approach to analyzing case-control studies in cluster-correlated settings based on inverse probability-weighted generalized estimating equations. Inference is based on a robust sandwich estimator with correlation parameters estimated to ensure appropriate accounting of the outcome-dependent sampling scheme. We conduct comprehensive simulations, based in part on real data on a sample of N = 78,155 program registrants in Malawi between 2005 and 2007, to evaluate small-sample operating characteristics and potential trade-offs associated with standard case-control sampling or when case-control sampling is performed within clusters.

Lake Ontario: Food web dynamics in a changing ecosystem (1970-2000)

Science.gov (United States)

Mills, E.L.; Casselman, J.M.; Dermott, R.; Fitzsimons, J.D.; Gal, G.; Holeck, K. T.; Hoyle, J.A.; Johannsson, O.E.; Lantry, B.F.; Makarewicz, J.C.; Millard, E.S.; Munawar, I.F.; Munawar, M.; O'Gorman, R.; Owens, R.W.; Rudstam, L. G.; Schaner, T.; Stewart, T.J.

2003-01-01

We examined stressors that have led to profound ecological changes in the Lake Ontario ecosystem and its fish community since 1970. The most notable changes have been reductions in phosphorus loading, invasion by Dreissena spp., fisheries management through stocking of exotic salmonids and control of sea lamprey (Petromyzon marinus), and fish harvest by anglers and double-crested cormorants (Phalacrocorax auritus). The response to these stressors has led to (i) declines in both algal photosynthesis and epilimnetic zooplankton production, (ii) decreases in alewife (Alosa pseudoharengus) abundance, (iii) declines in native Diporeia and lake whitefish (Coregonus clupeaformis), (iv) behavioral shifts in alewife spatial distribution benefitting native lake trout (Salvelinus namaycush), threespine stickleback (Gasterosteus aculeatus), and emerald shiner (Notropis atherinoides) populations, (v) dramatic increases in water clarity, (vi) predation impacts by cormorants on select fish species, and (vii) lake trout recruitment bottlenecks associated with alewife-induced thiamine deficiency. We expect stressor responses associated with anthropogenic forces like exotic species invasions and global climate warming to continue to impact the Lake Ontario ecosystem in the future and recommend continuous long-term ecological studies to enhance scientific understanding and management of this important resource.

Risk Factors Profile of Shoulder Dystocia in Oman: A Case Control Study

Science.gov (United States)

Al-Khaduri, Maha M.; Abudraz, Rania Mohammed; Al-Farsi, Yahya M.

2014-01-01

Objective This study aimed to assess the risk factor profile of shoulder dystocia and associated neonatal complications in Oman, a developing Arab country. Methods A retrospective case-control study was conducted among 111 cases with dystocia and 111 controls, identified during 1994-2006 period in a tertiary care hospital in Oman. Controls were randomly selected among women who did not have dystocia, and were matched to cases on the day of delivery. Data related to potential risk factors, delivery, and obstetric complications were collected. Results Dystocia was significantly associated with older maternal age, higher parity, larger BMI, diabetes, and previous record of dystocia. In addition, dystocia was associated more with vacuum and forceps deliveries. Routine traction (51%) was the most used manoeuvre. Among dystocia cases, 13% were associated with fetal complications of which Erb’s Palsy was the most prevalent (79%). Conclusion Our finding of significant associations with risk factors lays out the ground to develop a predictability index for shoulder dystocia, which would help in making it preventable. Further p rospective studies are required to confirm the obtained results. PMID:25337307

Risk Factors Profile of Shoulder Dystocia in Oman: A Case Control Study

Directory of Open Access Journals (Sweden)

Maha M. Al-Khaduri

2014-09-01

Full Text Available Objective: This study aimed to assess the risk factor profile of shoulder dystocia and associated neonatal complications in Oman, a developing Arab country. Methods: A retrospective case-control study was conducted among 111 cases with dystocia and 111 controls, identified during 1994-2006 period in a tertiary care hospital in Oman. Controls were randomly selected among women who did not have dystocia, and were matched to cases on the day of delivery. Data related to potential risk factors, delivery, and obstetric complications were collected. Results: Dystocia was significantly associated with older maternal age, higher parity, larger BMI, diabetes, and previous record of dystocia. In addition, dystocia was associated more with vacuum and forceps deliveries. Routine traction (51% was the most used manoeuvre. Among dystocia cases, 13% were associated with fetal complications of which Erb’s Palsy was the most prevalent (79%. Conclusion: Our finding of significant associations with risk factors lays out the ground to develop a predictability index for shoulder dystocia, which would help in making it preventable. Further prospective studies are required to confirm the obtained results.

Seven steps to an energy efficient Ontario

International Nuclear Information System (INIS)

2003-01-01

The future of the electricity market in Ontario is examined in light of the recent debate concerning deregulation. This report focuses on measures that would have to be taken to ensure that there will be sufficient electricity available to serve the needs of Ontario. Increasing supply, or decreasing demand are discussed as the obvious answers to the problem at hand. The report concludes that: (1) mechanisms to encourage Demand Side Management and Demand Response have all but disappeared since the opening of the competitive electricity market in Ontario, (2) the current market structure does nothing to stimulate increased supply, nor does it encourage measures to reduce demand; as such, the result is an unsustainable situation. The report further concludes that Demand Side Management and Demand Response programs are essential components of the success of Ontario's evolving electricity market, and recommends programs that are designed and implemented in a manner that dovetail with parallel policies dealing with supply challenges. Seven essential elements of such a policy are discussed. These are: (1) vision and a clear set of goals for demand side management; (2) appropriate market drivers, principles and pricing incentives; (3) a central co-ordinating authority for managing demand side management; (4) appropriate implementation agents to manage programs and processes; (5) incentives to motivate change; (6) widespread education of the market; and (7) appropriate tactics to enable demand side management in sectors

Analysis of single nucleotide polymorphisms in case-control studies.

Science.gov (United States)

Li, Yonghong; Shiffman, Dov; Oberbauer, Rainer

2011-01-01

Single nucleotide polymorphisms (SNPs) are the most common type of genetic variants in the human genome. SNPs are known to modify susceptibility to complex diseases. We describe and discuss methods used to identify SNPs associated with disease in case-control studies. An outline on study population selection, sample collection and genotyping platforms is presented, complemented by SNP selection, data preprocessing and analysis.

Neotectonic investigations in Southern Ontario. Prince Edward County - Phase 2

International Nuclear Information System (INIS)

McFall, G.H.; Allam, A.

1991-06-01

This report summarizes the preliminary results of geological and geophysical investigations and offshore side scan sonar surveys of the bedrock and unconsolidated sediments in Prince Edward County, Southern Ontario, by the Ontario Geological Survey in 1989. Investigations were focused on deformations in the bedrock and the surficial deposits. Some of these deformations may be neotectonic in origin. Low magnitude seismicity in the Prince Edward County region appears to be spatially related to a major regional fault system that crosses Lake Ontario and consists of the seismically active Clarendon-Linden Fault System in New York State, the Picton-Napanee and Rideau Faults, the Frontenac-Sharbot Lake Terrane Boundary and the assumed Salmon River Fault in Ontario. Detailed observations were made in the Long Point study area and the Mountain View and Picton Quarries. Bedrock structural features were documented, including: joints; normal, reverse and strike strip faults; brittle folds; and Jurassic age ultramafic dyke. Detailed refraction seismic surveys were conducted across a local fault and possible fold structures. Magnetic surveys, conducted in conjunction with the offshore side scan sonar surveys, documented large magnetic anomalies southeast of Point Petre and at the northeast end of Long Reach. Side scan sonar surveys of the lake bottom to the east of Point Petre confirm the presence of pop-ups in that area of the lake bottom which is immediately adjacent to where pop-ups are observed on land. The pop-ups present in the lake bottom have similar orientations to those mapped in the study area

Applications of low altitude remote sensing in agriculture upon farmers' requests--a case study in northeastern Ontario, Canada.

Directory of Open Access Journals (Sweden)

Chunhua Zhang

Full Text Available With the growth of the low altitude remote sensing (LARS industry in recent years, their practical application in precision agriculture seems all the more possible. However, only a few scientists have reported using LARS to monitor crop conditions. Moreover, there have been concerns regarding the feasibility of such systems for producers given the issues related to the post-processing of images, technical expertise, and timely delivery of information. The purpose of this study is to showcase actual requests by farmers to monitor crop conditions in their fields using an unmanned aerial vehicle (UAV. Working in collaboration with farmers in northeastern Ontario, we use optical and near-infrared imagery to monitor fertilizer trials, conduct crop scouting and map field tile drainage. We demonstrate that LARS imagery has many practical applications. However, several obstacles remain, including the costs associated with both the LARS system and the image processing software, the extent of professional training required to operate the LARS and to process the imagery, and the influence from local weather conditions (e.g. clouds, wind on image acquisition all need to be considered. Consequently, at present a feasible solution for producers might be the use of LARS service provided by private consultants or in collaboration with LARS scientific research teams.

Applications of Low Altitude Remote Sensing in Agriculture upon Farmers' Requests– A Case Study in Northeastern Ontario, Canada

Science.gov (United States)

Zhang, Chunhua; Walters, Dan; Kovacs, John M.

2014-01-01

With the growth of the low altitude remote sensing (LARS) industry in recent years, their practical application in precision agriculture seems all the more possible. However, only a few scientists have reported using LARS to monitor crop conditions. Moreover, there have been concerns regarding the feasibility of such systems for producers given the issues related to the post-processing of images, technical expertise, and timely delivery of information. The purpose of this study is to showcase actual requests by farmers to monitor crop conditions in their fields using an unmanned aerial vehicle (UAV). Working in collaboration with farmers in northeastern Ontario, we use optical and near-infrared imagery to monitor fertilizer trials, conduct crop scouting and map field tile drainage. We demonstrate that LARS imagery has many practical applications. However, several obstacles remain, including the costs associated with both the LARS system and the image processing software, the extent of professional training required to operate the LARS and to process the imagery, and the influence from local weather conditions (e.g. clouds, wind) on image acquisition all need to be considered. Consequently, at present a feasible solution for producers might be the use of LARS service provided by private consultants or in collaboration with LARS scientific research teams. PMID:25386696

Applications of low altitude remote sensing in agriculture upon farmers' requests--a case study in northeastern Ontario, Canada.

Science.gov (United States)

Zhang, Chunhua; Walters, Dan; Kovacs, John M

2014-01-01

With the growth of the low altitude remote sensing (LARS) industry in recent years, their practical application in precision agriculture seems all the more possible. However, only a few scientists have reported using LARS to monitor crop conditions. Moreover, there have been concerns regarding the feasibility of such systems for producers given the issues related to the post-processing of images, technical expertise, and timely delivery of information. The purpose of this study is to showcase actual requests by farmers to monitor crop conditions in their fields using an unmanned aerial vehicle (UAV). Working in collaboration with farmers in northeastern Ontario, we use optical and near-infrared imagery to monitor fertilizer trials, conduct crop scouting and map field tile drainage. We demonstrate that LARS imagery has many practical applications. However, several obstacles remain, including the costs associated with both the LARS system and the image processing software, the extent of professional training required to operate the LARS and to process the imagery, and the influence from local weather conditions (e.g. clouds, wind) on image acquisition all need to be considered. Consequently, at present a feasible solution for producers might be the use of LARS service provided by private consultants or in collaboration with LARS scientific research teams.

The use of the bootstrap in the analysis of case-control studies with missing data

DEFF Research Database (Denmark)

Siersma, Volkert Dirk; Johansen, Christoffer

2004-01-01

nonparametric bootstrap, bootstrap confidence intervals, missing values, multiple imputation, matched case-control study......nonparametric bootstrap, bootstrap confidence intervals, missing values, multiple imputation, matched case-control study...

Analysis of strontium-90 in the bones of brown trout (Salmo trutta) from Lake Ontario

International Nuclear Information System (INIS)

Manos, C.G. Jr.; Kinney, R.M.; Lisk, D.J.

1993-01-01

Radionuclides such as Sr-90, mainly from liquid effluent releases from nuclear power generating facilities, can contaminate water and biota. Lake Ontario ultimately receives the outflow from each of the other Great Lakes. In the work reported, brown trout (Salmo trutta) were captured from Lake Ontario and their entire skeletal bone material analyzed for Sr-90. They showed an average concentration of Sr-90 approximately four times greater than control brown trout captured from nearby Cayuga Lake in Central New York State which has no nuclear generating facilities. The results are discussed considering fallout and hydrographic considerations. (author)

Radon and Lung Cancer Case-Control Study in Middle Ural

International Nuclear Information System (INIS)

Kirdin, I.A.; Lezhnin, V.L.; Yarmoshenko, I.V.; Ekidin, A.

2001-01-01

Full text: The pilot phase of radon and lung cancer case-control study has been performed in Karpinsk and Pervouralsk towns of Middle Ural region of Russia. The case group consists of 341 persons with lung cancer and living in that towns at least five previous years. The lung cancer diagnoses were carefully verified by instrumental techniques and 70% of its were morphologically validated. The persons for the control group (448) were chosen from the population living in that towns at least five years taking into account the age and sex. The special epidemiological questionnaire was developed which includes the items by the groups of factors as follow: clinical data, social factors, chronic lung diseases, life habit, tobacco smoking, alcohol drinking, diet preference etc. The epidemiological questionnaires were fulfilled for each member of case and control groups. Radon gas concentration and thoron equilibrium equivalent concentration measurements had been performed using nuclear track detectors and grab sampling accordingly in the dwellings of case and control groups members. By preliminary estimation the odds ratios are 1, 0.91, 1.2, 1.1 in the ranges of radon and thoron equilibrium equivalent concentration 0-6, 3-13, 13-36 and 36-370 Bq/m 3 respectively. The deeper and more rigorous analysis as well as different independent approaches will be discussed in the paper.(author)

High risk human papillomavirus in the periodontium : A case control study.

Science.gov (United States)

Shipilova, Anna; Dayakar, Manjunath Mundoor; Gupta, Dinesh

2017-01-01

Human papilloma viruses (HPVs) are small DNA viruses that have been identified in periodontal pocket as well as gingival sulcus. High risk HPVs are also associated with a subset of head and neck carcinomas. It is thought that the periodontium could be a reservoir for HPV. 1. Detection of Human Papilloma virus (HPV) in periodontal pocket as well as gingival of patients having localized chronic periodontitis and gingival sulcus of periodontally healthy subjects. 2. Quantitative estimation of E6 and E7 mRNA in subjects showing presence of HPV3. To assess whether periodontal pocket is a reservoir for HPV. This case-control study included 30 subjects with localized chronic Periodontitis (cases) and 30 periodontally healthy subjects (controls). Two samples were taken from cases, one from periodontal pocket and one from gingival sulcus and one sample was taken from controls. Samples were collected in the form of pocket scrapings and gingival sulcus scrapings from cases and controls respectively. These samples were sent in storage media for identification and estimation of E6/E7 mRNA of HPV using in situ hybridization and flow cytometry. Statistical analysis was done by using, mean, percentage and Chi Square test. A statistical package SPSS version 13.0 was used to analyze the data. P value oral cancer, periodontitis and HPV. However prospective studies are required to further explore this link.

Characteristics and prognosis of pneumococcal endocarditis: a case-control study.

Science.gov (United States)

Daudin, M; Tattevin, P; Lelong, B; Flecher, E; Lavoué, S; Piau, C; Ingels, A; Chapron, A; Daubert, J-C; Revest, M

2016-06-01

Case series have suggested that pneumococcal endocarditis is a rare disease, mostly reported in patients with co-morbidities but no underlying valve disease, with a rapid progression to heart failure, and high mortality. We performed a case-control study of 28 patients with pneumococcal endocarditis (cases), and 56 patients with non-pneumococcal endocarditis (controls), not matched for sex and age, during the years 1991-2013, in one referral centre. Alcoholism (39.3% versus 10.7%; p endocarditis. Cardiac surgery was required in 64.3% of patients with pneumococcal endocarditis, much earlier than in patients with non-pneumococcal endocarditis (mean time from symptom onset, 14.1 ± 18.2 versus 69.0 ± 61.1 days). In-hospital mortality rates were similar (7.1% versus 12.5%). Streptococcus pneumoniae causes rapidly progressive endocarditis requiring life-saving early cardiac surgery in most cases. Copyright © 2016 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

Comments on nuclear reactor safety in Ontario

International Nuclear Information System (INIS)

1987-08-01

The Chalk River Technicians and Technologists Union representing 500 technical employees at the Chalk River Nuclear Laboratories of AECL submit comments on nuclear reactor safety to the Ontario Nuclear Safety Review. Issues identified by the Review Commissioner are addressed from the perspective of both a labour organization and experience in the nuclear R and D field. In general, Local 1568 believes Ontario's CANDU nuclear reactors are not only safe but also essential to the continued economic prosperity of the province

Putative periodontopathic bacteria and herpesviruses in pregnant women: a case-control study

OpenAIRE

Lu, Haixia; Zhu, Ce; Li, Fei; Xu, Wei; Tao, Danying; Feng, Xiping

2016-01-01

Little is known about herpesvirus and putative periodontopathic bacteria in maternal chronic periodontitis. The present case-control study aimed to explore the potential relationship between putative periodontopathic bacteria and herpesviruses in maternal chronic periodontitis.Saliva samples were collected from 36 pregnant women with chronic periodontitis (cases) and 36 pregnant women with healthy periodontal status (controls). Six putative periodontopathic bacteria (Porphyromonas gingivalis ...

The Efficacy of Key Performance Indicators in Ontario Universities as Perceived by Key Informants

Science.gov (United States)

Chan, Vivian

2015-01-01

The Ontario Ministry of Education and Training's Task Force on University Accountability first proposed key performance indicators (KPIs) for colleges and universities in Ontario in the early 1990s. The three main KPIs for Ontario universities are the rates of (1) graduation, (2) employment, and (3) Ontario Student Assistance Program loan default.…

Ontario Business Survey Program on energy : impacts of power failure on Ontario businesses

International Nuclear Information System (INIS)

2003-01-01

The Ontario Chamber of Commerce conducted a survey for its members between August 19-23, 2003 to determine the impact of the massive power failure that took place on August 14, 2003. This paper presents the results of the survey which are based on a total of 929 respondents across Ontario. The primary businesses that participated in the survey were: manufacturing, service, technology, commercial, retail, automotive, steel, forestry, and resource businesses. 78 per cent of the respondents replied that the power disruption had a negative impact on their business. 48 per cent of the respondents were without power for 11-24 hours. 65 per cent of the businesses did not have a blackout contingency plan in place, but 63 per cent responded that they will likely develop a plan for future power failures. The survey also asked business members how they would rate the federal, provincial and municipal government's response to the emergency. The participants ranked the top 3 actions that governments can take to prevent future outages as follows: (1) review possible changes to the interconnected grid system, (2) ensure sufficient supply within Ontario, and (3) invest in alternative forms of energy such as solar and wind power. Other recommendations were to implement a sliding scale of energy pricing to reflect the true cost of energy. It was suggested that tax incentives should be offered to encourage energy conservation and the use of alternative energy sources. 2.6 per cent of the respondents suggested that excess energy should not be sold to neighbouring jurisdictions. 1 tab., 6 figs

Sensitivity of GRACE-derived estimates of groundwater-level changes in southern Ontario, Canada

Science.gov (United States)

Hachborn, Ellen; Berg, Aaron; Levison, Jana; Ambadan, Jaison Thomas

2017-12-01

Amidst changing climates, understanding the world's water resources is of increasing importance. In Ontario, Canada, low water conditions are currently assessed using only precipitation and watershed-based stream gauges by the Conservation Authorities in Ontario and the Ministry of Natural Resources and Forestry. Regional groundwater-storage changes in Ontario are not currently measured using satellite data by research institutes. In this study, contributions from the Gravity Recovery and Climate Experiment (GRACE) data are compared to a hydrogeological database covering southern Ontario from 2003 to 2013, to determine the suitability of GRACE total water storage estimates for monitoring groundwater storage in this location. Terrestrial water storage data from GRACE were used to determine monthly groundwater storage (GWS) anomaly values. GWS values were also determined by multiplying groundwater-level elevations (from the Provincial Groundwater Monitoring Network wells) by specific yield. Comparisons of GRACE-derived GWS to well-based GWS data determined that GRACE is sufficiently sensitive to obtain a meaningful signal in southern Ontario. Results show that GWS values produced by GRACE are useful for identifying regional changes in groundwater storage in areas with limited available hydrogeological characterization data. Results also indicate that GRACE may have an ability to forecast changes in groundwater storage, which will become useful when monitoring climate shifts in the near future.

Lessons learned from Ontario wind energy disputes

Science.gov (United States)

Fast, Stewart; Mabee, Warren; Baxter, Jamie; Christidis, Tanya; Driver, Liz; Hill, Stephen; McMurtry, J. J.; Tomkow, Melody

2016-02-01

Issues concerning the social acceptance of wind energy are major challenges for policy-makers, communities and wind developers. They also impact the legitimacy of societal decisions to pursue wind energy. Here we set out to identify and assess the factors that lead to wind energy disputes in Ontario, Canada, a region of the world that has experienced a rapid increase in the development of wind energy. Based on our expertise as a group comprising social scientists, a community representative and a wind industry advocate engaged in the Ontario wind energy situation, we explore and suggest recommendations based on four key factors: socially mediated health concerns, the distribution of financial benefits, lack of meaningful engagement and failure to treat landscape concerns seriously. Ontario's recent change from a feed-in-tariff-based renewable electricity procurement process to a competitive bid process, albeit with more attention to community engagement, will only partially address these concerns.

Ontario hydro waste storage concepts and facilities

International Nuclear Information System (INIS)

Carter, T.J.; Mentes, G.A.

1976-01-01

Ontario Hydro presently operates 2,200 MWe of CANDU heavy water reactors with a further 11,000 MWe under design or construction. The annual quantities of low and medium level solid wastes expected to be produced at these stations are tabulated. In order to manage these wastes, Ontario Hydro established a Radioactive Waste Operations Site within the Bruce Nuclear Power Development located on Lake Huron about 250 km northwest of Toronto. The Waste Operations Site includes a 19-acre Storage Site plus a Radioactive Waste Volume Reduction Facility consisting of an incinerator and waste compactor. Ontario has in use or under construction both in-ground and above-ground storage facilities. In-ground facilities have been used for a number of years while the above-ground facilities are a more recent approach. Water, either in the form of precipitation, surface or subsurface water, presents the greatest concern with respect to confinement integrity and safe waste handling and storage operations

Waterparks are high risk for cryptosporidiosis: A case-control study in Victoria, 2015.

Science.gov (United States)

de Gooyer, Tanyth E; Gregory, Joy; Easton, Marion; Stephens, Nicola; Fearnley, Emily; Kirk, Martyn

2017-06-30

An increase in notifications of cryptosporidiosis was observed in Victoria between March and April 2015. Cases mostly resided in one metropolitan region and hypothesis-generating interviews identified common exposures to aquatic facilities. We conducted a case-control study to determine exposure source(s) and facilitate control measures. Laboratory-confirmed cases of cryptosporidiosis from the region of interest notified between 1 March and 23 April 2015 were included. Controls residing in the same region were recruited from participants in a population health survey and frequency matched (2 per case) by age group. Details of exposure to potential risk factors were collected using a standardised telephone questionnaire for the 14-days prior to illness for cases, and an analogous exposure period for controls. Univariable and multivariable logistic regression were used to determine risk factors associated with illness using STATA SE 13.1. Thirty cases and 66 controls were included in the study. Half the cases were less than 12 years of age and 62% were female. Illness was most strongly associated with recreational water exposure at any waterpark (adjusted odds ratio (aOR)=73.5; 95% confidence interval (CI):6.74-802), and specifically at Victorian waterparks (aOR=45.6; 95% CI:5.20-399). Cases were linked with attendance at either a waterpark in the region or an adjacent region. As a result of this investigation, hyperchlorination was completed at identified facilities and swim hygiene information distributed. This study reinforces the potential for recreational water facilities, particularly waterparks, to act as a transmission source of Cryptosporidium infections. Continued communication to patrons is required to ensure healthy swimming practice in Victorian aquatic facilities.

Adaptation of Chain Event Graphs for use with Case-Control Studies in Epidemiology.

Science.gov (United States)

Keeble, Claire; Thwaites, Peter Adam; Barber, Stuart; Law, Graham Richard; Baxter, Paul David

2017-09-26

Case-control studies are used in epidemiology to try to uncover the causes of diseases, but are a retrospective study design known to suffer from non-participation and recall bias, which may explain their decreased popularity in recent years. Traditional analyses report usually only the odds ratio for given exposures and the binary disease status. Chain event graphs are a graphical representation of a statistical model derived from event trees which have been developed in artificial intelligence and statistics, and only recently introduced to the epidemiology literature. They are a modern Bayesian technique which enable prior knowledge to be incorporated into the data analysis using the agglomerative hierarchical clustering algorithm, used to form a suitable chain event graph. Additionally, they can account for missing data and be used to explore missingness mechanisms. Here we adapt the chain event graph framework to suit scenarios often encountered in case-control studies, to strengthen this study design which is time and financially efficient. We demonstrate eight adaptations to the graphs, which consist of two suitable for full case-control study analysis, four which can be used in interim analyses to explore biases, and two which aim to improve the ease and accuracy of analyses. The adaptations are illustrated with complete, reproducible, fully-interpreted examples, including the event tree and chain event graph. Chain event graphs are used here for the first time to summarise non-participation, data collection techniques, data reliability, and disease severity in case-control studies. We demonstrate how these features of a case-control study can be incorporated into the analysis to provide further insight, which can help to identify potential biases and lead to more accurate study results.

Ontario Hydro's integrated air management plan

International Nuclear Information System (INIS)

Kalvins, A.K.; Brown, D.; Camacho, F.; Howes, H.; Jantzi, B.; Lin, X.; Lui, P.; Melo, O.T.; Mortimer, W.P.; Reuber, B.

1992-01-01

Ontario Hydro is developing an integrated air management plan as a tool for comparing the environmental impacts of fossil-fuel power generation options. The goal is to relate equipment, location, emissions, and impacts and to identify the optimum way to manage the utility's fossil generation system in view of upcoming environmental regulations and public expectations. The eight steps of the plan are briefly described: definition of power generation scenarios (upgrading, conversion to natural gas, non-utility generation, alternative technologies); estimation of emissions for each generation and fuel option studied; identification of impact of air emissions on building materials, agriculture, forests, lakes, and fisheries; modelling of air emissions dispersion; quantification of damage to pollution receptors; quantification of full fuel cycle effects; and comparison of the scenarios. The scenario having the lowest overall environmental impact involved upgrading the existing fossil-fuel system with additional air emissions controls and two integrated gasification combined cycle plants. 9 refs., 3 figs., 3 tabs

Hydrogen and fuel cell research networking in Ontario

Energy Technology Data Exchange (ETDEWEB)

Peppley, B.A. [Queen' s-RMC Fuel Cell Research Centre, Kingston, ON (Canada)

2009-07-01

This presentation reviewed the activities of the Ontario Fuel Cell Research and Innovation Network since its launch in 2006. Funded by the Ontario Ministry of Research and Innovation, the project involves 17 academic researchers from 8 universities and is supported by 8 industrial partners. The group of researchers has made progress in supporting the developing fuel cell industry in Ontario and in Canada. Their work has the potential to help deploy the province's automotive-oriented manufacturing sector in directions that address the issues of clean air and climate change. New initiatives in the development of hydrogen and fuel cell technologies are instrumental in expanding this network to leverage new business activities in the post financial crisis period. These activities are expected to result in economic benefits for job and economic growth.

The Ontario Psychosocial Oncology Framework: a quality improvement tool.

Science.gov (United States)

Li, Madeline; Green, Esther

2013-05-01

To overview the newly developed Psychosocial Health Care for Cancer Patients and Their Families: A Framework to Guide Practice in Ontario and Guideline Recommendations in the context of Canadian psychosocial oncology care and propose strategies for guideline uptake and implementation. Recommendations from the 2008 Institute of Medicine standard Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs were adapted into the Ontario Psychosocial Oncology (PSO) Framework. Existing practice guidelines developed by the Canadian Partnership against Cancer and Cancer Care Ontario and standards developed by the Canadian Association of Psychosocial Oncology are supporting resources for adopting a quality improvement (QI) approach to the implementation of the framework in Ontario. The developed PSO Framework, including 31 specific actionable recommendations, is intended to improve the quality of comprehensive cancer care at both the provider and system levels. Important QI change management processes are described as Educate - raising awareness among medical teams of the significance of psychosocial needs of patients, Evidence - developing a research evidence base for patient care benefits from psychosocial interventions, and Electronics - using technology to collect patient reported outcomes of both physical and emotional symptoms. The Ontario PSO Framework is unique and valuable in providing actionable recommendations that can be implemented through QI processes. Overall, the result will be improved psychosocial health care for the cancer population. Copyright © 2012 John Wiley & Sons, Ltd.

First report of DMI insensitive Cercospora beticola on sugar beet in Ontario, Canada

Science.gov (United States)

Cercospora leaf spot (CLS), caused by the fungal pathogen Cercospora beticola, is an economically important foliar disease of sugar beet in Ontario, Canada and worldwide. Fungicides are an important tool in the control of CLS. The first demethylation inhibitor (DMI) fungicide for sugar beet was regi...

Mental illness, poverty and stigma in India: a case-control study.

Science.gov (United States)

Trani, Jean-Francois; Bakhshi, Parul; Kuhlberg, Jill; Narayanan, Sreelatha S; Venkataraman, Hemalatha; Mishra, Nagendra N; Groce, Nora E; Jadhav, Sushrut; Deshpande, Smita

2015-02-23

To assess the effect of experienced stigma on depth of multidimensional poverty of persons with severe mental illness (PSMI) in Delhi, India, controlling for gender, age and caste. Matching case (hospital)-control (population) study. University Hospital (cases) and National Capital Region (controls), India. A case-control study was conducted from November 2011 to June 2012. 647 cases diagnosed with schizophrenia or affective disorders were recruited and 647 individuals of same age, sex and location of residence were matched as controls at a ratio of 1:2:1. Individuals who refused consent or provided incomplete interview were excluded. Higher risk of poverty due to stigma among PSMI. 38.5% of PSMI compared with 22.2% of controls were found poor on six dimensions or more. The difference in multidimensional poverty index was 69% between groups with employment and income of the main contributors. Multidimensional poverty was strongly associated with stigma (OR 2.60, 95% CI 1.27 to 5.31), scheduled castes/scheduled tribes/other backward castes (2.39, 1.39 to 4.08), mental illness (2.07, 1.25 to 3.41) and female gender (1.87, 1.36 to 2.58). A significant interaction between stigma, mental illness and gender or caste indicates female PSMI or PSMI from 'lower castes' were more likely to be poor due to stigma than male controls (ppoverty linked to SMI are pervasive and intertwined. In particular for low caste and women, it is a strong predictor of poverty. Exclusion from employment linked to negative attitudes and lack of income are the highest contributors to multidimensional poverty, increasing the burden for the family. Mental health professionals need to be aware of and address these issues. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Why we must move quickly to open Ontario's power market

International Nuclear Information System (INIS)

Brooks, J.

2001-01-01

This paper presented issues regarding the reform in Ontario's electricity sector and why the Independent Power Producer's Society of Ontario (IPPSO) believes it is necessary to open the electricity market in the province as soon as possible. The 400 members of IPPSO include developers, suppliers, consultants and various professionals working in the fields of co-generation, small hydro, biomass, wind energy and other technologies with a total generating capacity of about 1600 MW in Ontario. The government of Ontario recently announced four principles for implementing competition in the electricity sector which were protecting the consumers and offering choice, creating a strong business climate, protecting the environment, and supporting innovation and alternative energy development. This paper described the possible indicators of success in implementing these four principles and provided a historical perspective on the motivation for bringing in competition

Importance of Internal Audit and Internal Control in an organization - Case Study

OpenAIRE

Bubilek, Olga

2017-01-01

This research is a descriptive case study of a company. It presents concepts of the internal audit and internal control based on an example of a Finnish company. The research examines the role and importance that internal audit and internal controls have in an organization. The main research question is “What is the role and importance of internal audit and internal control in an organization” Additional sub-questions relating to the case company that will allow for better understanding of...

Smoke and mirrors: used oil management policy in Ontario

International Nuclear Information System (INIS)

Valiante, U.

1997-01-01

The burning of used oil for space heating is a practice that has been increasing since 1992 when the waste fuel regulation was amended to give northern generators without access to used oil collection an option for managing their used oil. In 1996, about 10 million litres of used oil was burned in Ontario at over 600 locations, in garages, automotive repair facilities, industrial locations and greenhouses. The modified space heaters that burn used motor oils operate without pollution controls. In addition to emissions associated with pollution from uncontrolled combustion, used oil fired space heaters burn what should be a reusable commodity that is high in value added chemical and energy content. A comparison of emissions in grams per 1000 hours of use of a used oil heater and a natural gas heater was presented. It was suggested that as the preferred environmental strategy, the Ontario government should encourage used oil collectors and re-refiners to make used oil management convenient, accessible, and cost-effective in order to protect the health of communities in which used oil is generated

Nutritional variables and work-related accidents: a case-control study.

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de Medeiros, M A T; Zangirolani, Lia Thieme Oikawa; Cordeiro, Ricardo Carlos; da Costa, Proença Rossana Pacheco; Diez-Garcia, Rosa Wanda

2014-01-01

Nutritional aspects are important for the prevention of diseases and disorders, and few studies have focused on the relationship between risk of work injury and nutritional variables. This study aimed to verify whether nutritional variables constitute risk factors for work-related accidents. 1,422 industrial workers (600 cases plus 822 controls). A case-control study was carried out in an industrial city in south-east Brazil. A multiple logistic regression model was adjusted using work-related accidents as the response variable and nutritional variables as predictors. The associations were assessed by Odds Ratio (OR), with a p-value work-related accidents were (a) attending formal education for an above average number of years (OR=0.91, pwork-related accidents. This indicates the need, during the formulation of policies for these kinds of government benefits, to include nutrition aspects in order to minimize work-related accidents risks.

Comparison of two control groups for estimation of oral cholera vaccine effectiveness using a case-control study design.

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Franke, Molly F; Jerome, J Gregory; Matias, Wilfredo R; Ternier, Ralph; Hilaire, Isabelle J; Harris, Jason B; Ivers, Louise C

2017-10-13

Case-control studies to quantify oral cholera vaccine effectiveness (VE) often rely on neighbors without diarrhea as community controls. Test-negative controls can be easily recruited and may minimize bias due to differential health-seeking behavior and recall. We compared VE estimates derived from community and test-negative controls and conducted bias-indicator analyses to assess potential bias with community controls. From October 2012 through November 2016, patients with acute watery diarrhea were recruited from cholera treatment centers in rural Haiti. Cholera cases had a positive stool culture. Non-cholera diarrhea cases (test-negative controls and non-cholera diarrhea cases for bias-indicator analyses) had a negative culture and rapid test. Up to four community controls were matched to diarrhea cases by age group, time, and neighborhood. Primary analyses included 181 cholera cases, 157 non-cholera diarrhea cases, 716 VE community controls and 625 bias-indicator community controls. VE for self-reported vaccination with two doses was consistent across the two control groups, with statistically significant VE estimates ranging from 72 to 74%. Sensitivity analyses revealed similar, though somewhat attenuated estimates for self-reported two dose VE. Bias-indicator estimates were consistently less than one, with VE estimates ranging from 19 to 43%, some of which were statistically significant. OCV estimates from case-control analyses using community and test-negative controls were similar. While bias-indicator analyses suggested possible over-estimation of VE estimates using community controls, test-negative analyses suggested this bias, if present, was minimal. Test-negative controls can be a valid low-cost and time-efficient alternative to community controls for OCV effectiveness estimation and may be especially relevant in emergency situations. Copyright © 2017. Published by Elsevier Ltd.

High risk human papillomavirus in the periodontium : A case control study

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Anna Shipilova

2017-01-01

Full Text Available Background: Human papilloma viruses (HPVs are small DNA viruses that have been identified in periodontal pocket as well as gingival sulcus. High risk HPVs are also associated with a subset of head and neck carcinomas. It is thought that the periodontium could be a reservoir for HPV. Aims: 1. Detection of Human Papilloma virus (HPV in periodontal pocket as well as gingival of patients having localized chronic periodontitis and gingival sulcus of periodontally healthy subjects. 2. Quantitative estimation of E6 and E7 mRNA in subjects showing presence of HPV3. To assess whether periodontal pocket is a reservoir for HPV. Settings and Design: This case-control study included 30 subjects with localized chronic Periodontitis (cases and 30 periodontally healthy subjects (controls. Two samples were taken from cases, one from periodontal pocket and one from gingival sulcus and one sample was taken from controls. Methods and Materials: Samples were collected in the form of pocket scrapings and gingival sulcus scrapings from cases and controls respectively. These samples were sent in storage media for identification and estimation of E6/E7 mRNA of HPV using in situ hybridization and flow cytometry. Statistical analysis: Statistical analysis was done by using, mean, percentage and Chi Square test. A statistical package SPSS version 13.0 was used to analyze the data. P value < 0.05 was considered as statistically significant. Results: pocket samples as well as sulcus samples for both cases and controls were found to contain HPV E6/E7 mRNAInterpretation and Conclusion: Presence of HPV E6/E7 mRNA in periodontium supports the hypothesis that periodontal tissues serve as a reservoir for latent HPV and there may be a synergy between oral cancer, periodontitis and HPV. However prospective studies are required to further explore this link.

Psychiatric morbidity in psoriasis: A case-control study

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Sunil Goyal

2017-01-01

Full Text Available Objective: Psoriasis is a chronic, relapsing and disfiguring dermatological disorder with a significant effect on occupational, social, and other areas of functioning. Psychological stress has been known to have a significant role in the onset and exacerbation of this illness. To study the prevalence of psychiatric morbidity in psoriasis and the influence of specified demographic, psychological, social and illness-related variables. Methods: The study was carried out at a tertiary care hospital in a large urban setup. In this case–control study, 100 cases of psoriasis were studied in comparison with healthy controls who were matched for sociodemographic profile. The participants were given a sociodemographic questionnaire, clinical profile sheet, and psoriasis area and severity index (PASI. General Health Questionnaire-12 (GHQ-12 was used to screen for psychological distress, and subsequently, Hospital Anxiety and Depression Scale for screening for depression and anxiety and World Health Organization Quality of Life-BREF scale for assessing the quality of life (QOL were administered. The results obtained were analyzed for evaluating the psychiatric morbidity and its various correlates. Appropriate statistical analysis was done using SPSS 21. Results: Using GHQ-12 cutoff score (≥3 for psychological distress, the overall prevalence of psychological distress was significantly more in cases of in comparison to healthy controls with an odds ratio of 8.54 (95% confidence interval 3.16–23.07, P < 0.0001. Statistical analysis showed a statistically significant correlation of educational status with QOL and severity of skin lesions (PASI with anxiety level. Severe skin lesions, more so on visible body parts were associated more commonly with psychological distress. Conclusions: All patients of psoriasis should be educated about the nature of the illness and screened for psychological distress. Dermatologists and family members should be educated to

Methodological issues in detecting gene-gene interactions in breast cancer susceptibility: a population-based study in Ontario

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Onay Venus

2007-08-01

Full Text Available Abstract Background There is growing evidence that gene-gene interactions are ubiquitous in determining the susceptibility to common human diseases. The investigation of such gene-gene interactions presents new statistical challenges for studies with relatively small sample sizes as the number of potential interactions in the genome can be large. Breast cancer provides a useful paradigm to study genetically complex diseases because commonly occurring single nucleotide polymorphisms (SNPs may additively or synergistically disturb the system-wide communication of the cellular processes leading to cancer development. Methods In this study, we systematically studied SNP-SNP interactions among 19 SNPs from 18 key genes involved in major cancer pathways in a sample of 398 breast cancer cases and 372 controls from Ontario. We discuss the methodological issues associated with the detection of SNP-SNP interactions in this dataset by applying and comparing three commonly used methods: the logistic regression model, classification and regression trees (CART, and the multifactor dimensionality reduction (MDR method. Results Our analyses show evidence for several simple (two-way and complex (multi-way SNP-SNP interactions associated with breast cancer. For example, all three methods identified XPD-[Lys751Gln]*IL10-[G(-1082A] as the most significant two-way interaction. CART and MDR identified the same critical SNPs participating in complex interactions. Our results suggest that the use of multiple statistical approaches (or an integrated approach rather than a single methodology could be the best strategy to elucidate complex gene interactions that have generally very different patterns. Conclusion The strategy used here has the potential to identify complex biological relationships among breast cancer genes and processes. This will lead to the discovery of novel biological information, which will improve breast cancer risk management.

Selection of controls in case-control studies on maternal medication use and risk of birth defects

NARCIS (Netherlands)

Bakker, M.K.; de Walle, H.E.; Dequito, A.; van den Berg, P.B.; de Jong-van den Berg, L.T.

BACKGROUND:: In case-control studies on teratogenic risks of maternal drug use during pregnancy, the use of normal or malformed controls may lead to recall-bias or selection bias. This can be avoided by using controls with a genetic disorder. However, researchers are hesitant to use these as

Evaluating the potential for scoping in the Ontario environmental assessment process. Manuscript report No. MR23-90

Energy Technology Data Exchange (ETDEWEB)

Cattrysse, L F

1990-01-01

Boundary setting and focusing were identified as problems encountered in the Halton Region environmental assessment (EA) study and in other experiences with the Ontario process. This study was conducted to examine the nature of the problems encountered in the Ontario EA process using the Halton Region EA example; evaluate the potential for utilizing the Everitt and Colnett (1987) scoping method with the Ontario EA process according to the set of normative principles adapted from Ross et al. (1986); and establish some fundamental problems and prerequisites for operationalizing scoping mechanisms.

Risk factors for cataract: A case control study

Directory of Open Access Journals (Sweden)

Ughade Suresh

1998-01-01

Full Text Available The present study was designed as a hospital-based, group-matched, case-control investigation into the risk factors associated with age-related cataract in central India. The study included 262 cases of age-related cataract and an equal number of controls. A total of 21 risk factors were evaluated: namely, low socioeconomic status (SES, illiteracy, marital status, history of diarrhoea, history of diabetes, glaucoma, use of cholinesterase inhibitors, steroids, spironolactone, nifedipine, analgesics, myopia early in life, renal failure, heavy smoking, heavy alcohol consumption, hypertension, low body mass index (BMI, use of cheaper cooking fuel, working in direct sunlight, family history of cataract, and occupational exposure. In univariate analysis, except marital status, low BMI, renal failure, use of steroids, spironolactone, analgesics, and occupational exposure, all 14 other risk factors were found significantly associated with age-related cataract. Unconditional multiple logistic regression analysis confirmed the significance of low SES, illiteracy, history of diarrhoea, diabetes, glaucoma, myopia, smoking, hypertension and cheap cooking fuel. The etiological role of these risk factors in the outcome of cataract is confirmed by the estimates of attributable risk proportion. The estimates of population attributable risk proportion for these factors highlight the impact of elimination of these risk factors on the reduction of cataract in this population.

Benthic prey fish assessment, Lake Ontario 2013

Science.gov (United States)

Weidel, Brian C.; Walsh, Maureen; Connerton, Michael J.

2014-01-01

The 2013 benthic fish assessment was delayed and shortened as a result of the U.S. Government shutdown, however the assessment collected 51 of the 62 planned bottom trawls. Over the past 34 years, Slimy Sculpin abundance in Lake Ontario has fluctuated, but ultimately decreased by two orders of magnitude, with a substantial decline occurring in the past 10 years. The 2013 Slimy Sculpin mean bottom trawl catch density (0.001 ind.·m-2, s.d.= 0.0017, n = 52) and mean biomass density (0.015 g·m-2 , s.d.= 0.038, n = 52) were the lowest recorded in the 27 years of sampling using the original bottom trawl design. From 2011-2013, the Slimy Sculpin density and biomass density has decreased by approximately 50% each year. Spring bottom trawl catches illustrate Slimy Sculpin and Round Goby Neogobius melanostoma winter habitat overlaps for as much as 7 months out of a year, providing opportunities for competition and predation. Invasive species, salmonid piscivory, and declines in native benthic invertebrates are likely all important drivers of Slimy Sculpin population dynamics in Lake Ontario. Deepwater Sculpin Myoxocephalus thompsonii, considered rare or absent from Lake Ontario for 30 years, have generally increased over the past eight years. For the first time since they were caught in this assessment, Deepwater Sculpin density and biomass density estimates declined from the previous year. The 2013 abundance and density estimates for trawls covering the standard depths from 60m to 150m was 0.0001 fish per square meter and 0.0028 grams per square meter. In 2013, very few small (recruitment. Nonnative Round Gobies were first detected in the USGS/NYSDEC Lake Ontario spring Alewife assessment in 2002. Since that assessment, observations indicate their population has expanded and they are now found along the entire south shore of Lake Ontario, with the highest densities in U.S. waters just east of the Niagara River confluence. In the 2013 spring-based assessment, both the

Co-Prevalence of Tremor with Spasmodic Dysphonia: A Case-Control Study

Science.gov (United States)

White, Laura; Klein, Adam; Hapner, Edie; Delgaudio, John; Hanfelt, John; Jinnah, H. A.; Johns, Michael

2011-01-01

OBJECTIVES/HYPOTHESIS The aim of this study was to define the co-prevalence of tremor with spasmodic dysphonia (SD). STUDY DESIGN A single institution prospective, case-control study was performed from May 2010 to July 2010. METHODS Consecutive patients with SD (cases) and other voice disorders (controls) were enrolled prospectively. Each participant underwent a voice evaluation and an evaluation for tremor. RESULTS 146 voice disorder controls and 128 patients with SD were enrolled. 26% of patients with SD had vocal tremor, 21% had non-vocal tremor. Patients with SD were 2.8 times more likely to have co-prevalent tremor than the control group (OR = 2.81; 95% CI, 1.55 to 5.08) and only 35% of patients with SD had been seen by a neurologist for the evaluation of dystonia and tremor. CONCLUSIONS Tremor is highly prevalent in patients with SD. It is important for each patient diagnosed with SD to undergo an evaluation for tremor, this is especially important in patients diagnosed with vocal tremor. Level of evidence 3b. PMID:21792965

Ontario demand response scenarios

International Nuclear Information System (INIS)

Rowlands, I.H.

2005-09-01

Strategies for demand management in Ontario were examined via 2 scenarios for a commercial/institutional building with a normal summertime peak load of 300 kW between 14:00 and 18:00 during a period of high electricity demand and high electricity prices. The first scenario involved the deployment of a 150 kW on-site generator fuelled by either diesel or natural gas. The second scenario involved curtailing load by 60 kW during the same periods. Costs and benefits of both scenarios were evaluated for 3 groups: consumers, system operators and society. Benefits included electricity cost savings, deferred transmission capacity development, lower system prices for electricity, as well as environmental changes, economic development, and a greater sense of corporate social responsibility. It was noted that while significant benefits were observed for all 3 groups, they were not substantial enough to encourage action, as the savings arising from deferred generation capacity development do not accrue to individual players. The largest potential benefit was identified as lower prices, spread across all users of electricity in Ontario. It was recommended that representative bodies cooperate so that the system-wide benefits can be reaped. It was noted that if 10 municipal utilities were able to have 250 commercial or institutional customers engaged in distributed response, then a total peak demand reduction of 375 MW could be achieved, representing more than 25 per cent of Ontario's target for energy conservation. It was concluded that demand response often involves the investment of capital and new on-site procedures, which may affect reactions to various incentives. 78 refs., 10 tabs., 5 figs

Can iridology detect susceptibility to cancer? A prospective case-controlled study.

Science.gov (United States)

Münstedt, Karsten; El-Safadi, Samer; Brück, Friedel; Zygmunt, Marek; Hackethal, Andreas; Tinneberg, Hans-Rudolf

2005-06-01

This prospective case-control study aimed to investigate the value of iridology as a diagnostic tool in detecting some common cancers. One hundred ten (110) subjects were enrolled in the study: 68 subjects had histologically proven cancers of the breast, ovary, uterus, prostate, or colorectum, and 42 were control subjects. All subjects were examined by an experienced practitioner of iridology, who was unaware of their gender or medical details. He was allowed to suggest up to five diagnoses for each subject and his results were then compared with each subject's medical diagnosis to determine the accuracy of iridology in detecting malignancy. Iridology identified the correct diagnosis in only 3 cases (sensitivity, 0.04). Iridology was of no value in diagnosing the cancers investigated in this study.

Prevalence, Recurrence, and Incidence of Current Depressive Symptoms among People Living with HIV in Ontario, Canada: Results from the Ontario HIV Treatment Network Cohort Study.

Science.gov (United States)

Choi, Stephanie K Y; Boyle, Eleanor; Cairney, John; Collins, Evan J; Gardner, Sandra; Bacon, Jean; Rourke, Sean B

2016-01-01

Current studies of depression among people living with HIV focus on describing its point prevalence. Given the fluctuating nature of depression and its profound impacts on clinical and quality-of-life outcomes, this study aimed to examine the prevalence, recurrence and incidence of current depressive symptoms and its underlying catalysts longitudinally and systematically among these individuals. We conducted a prospective cohort study between October 1, 2007 and December 31, 2012 using longitudinal linked data sources. Current depressive symptoms was identified using the Centre for Epidemiologic Studies Depression Scale or the Kessler Psychological Distress Scale, first at baseline and again during follow-up interviews. Multivariable regressions were used to characterize the three outcomes. Of the 3,816 HIV-positive participants, the point prevalence of depressive symptoms was estimated at 28%. Of the 957 participants who were identified with depressive symptoms at baseline and who had at least two years of follow-up, 43% had a recurrent episode. The cumulative incidence among 1,745 previously depressive symptoms free participants (at or prior to baseline) was 14%. During the five-year follow-up, our multivariable models showed that participants with greater risk of recurrent cases were more likely to feel worried about their housing situation. Participants at risk of developing incident cases were also likely to be younger, gay or bisexual, and unable to afford housing-related expenses. Depressive symptoms are prevalent and likely to recur among people living with HIV. Our results support the direction of Ontario's HIV/AIDS Strategy to 2026, which addresses medical concerns associated with HIV (such as depression) and the social drivers of health in order to enhance the overall well-being of people living with or at risk of HIV. Our findings reinforce the importance of providing effective mental health care and demonstrate the need for long-term support and