Sample records for viability ontario case

  1. Anatomy of a Tuition Freeze: The Case of Ontario (United States)

    Rexe, Deanna


    Using two conceptual frameworks from political science--Kingdon's (2003) multiple streams model and the advocacy coalition framework (Sabatier & Jenkins-Smith, 1993)--this case study examines the detailed history of a major tuition policy change in Ontario in 2004: a tuition freeze. The paper explores the social, political, and economic…

  2. Student Accounts of the Ontario Secondary School Literacy Test: A Case for Validation (United States)

    Cheng, Liying; Fox, Janna; Zheng, Ying


    The Ontario Secondary School Literacy Test (OSSLT) is a cross-curricular literacy test issued to all secondary school students in the province of Ontario. The test consists of a reading and a writing component, both of which must be successfully completed for secondary school graduation in Ontario. This study elicited 16 first language and second…

  3. Differentiation and Collaboration in a Competitive Environment: A Case Study of Ontario Postsecondary Education System (United States)

    Jafar, Hayfa


    The essay explores how the dynamics of competition and collaboration among Ontario's higher education institutions contribute to the system's differentiation strategy. The essay implements a content analysis approach to the Strategic Mandate Agreement submissions signed between the Ontario Government and the Ontario Colleges and Universities in…

  4. Anaphylaxis-related deaths in Ontario: a retrospective review of cases from 1986 to 2011 (United States)


    Background Examining deaths caused by anaphylaxis may help identify factors that may decrease the risk of these unfortunate events. However, information on fatal anaphylaxis is limited. The objectives of our study were to examine all cases of fatal anaphylaxis in Ontario to determine cause of death, associated features, co factors and trends in mortality. The identification of these factors is important for developing effective strategies to overcome gaps in monitoring and treatment of patients with food allergies and risk for anaphylaxis. Methods This was a retrospective case-series analysis of all causes of anaphylaxis-related deaths using data from the Ontario Coroner’s database between 1986 and 2011. Quantitative data (e.g. demographic) were analyzed using descriptive statistics and frequency analysis using SPSS. Qualitative data were analyzed using content analysis of grounded theory methodology. Results We found 92 deaths in the last 26 years related to anaphylaxis. Causes of death, in order of decreasing frequency, included food (40 cases), insect venom (30 cases), iatrogenic (16 cases), and idiopathic (6 cases). Overall, there appears to be a decline in the frequency of food related deaths, but an increase in iatrogenic causes of fatalities. We found factors associated with fatal anaphylaxis included: delayed epinephrine administration, asthma, allergy to peanut, food ingestion outside the home, and teenagers with food allergies. Conclusions Our findings indicate the need to improve epinephrine auto-injector use in acute reactions, particularly for teens and asthmatics with food allergies. In addition, education can be improved among food service workers and food industry in order to help food allergic patients avoid potentially fatal allergens. The increasing trend in iatrogenic related anaphylaxis is concerning, and requires monitoring and more investigation. PMID:25670935

  5. Drug Toxicity Deaths after Release from Incarceration in Ontario, 2006-2013: Review of Coroner's Cases.

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    Emily Groot

    Full Text Available There is an increased risk of death due to drug toxicity after release from incarceration. The purpose of this study was to describe the timing, rate and circumstances of drug toxicity deaths following release from incarceration. This information can be used to help design potential preventive interventions.We reviewed coroner's files to identify deaths in adults in Ontario between 2006 and 2013 caused by drug toxicity (n = 6,978 and these records were matched with provincial correctional records to identify individuals who died within one year of being released from incarceration (n = 702. Twenty percent (n = 137 of the 702 deaths occurred within one week of release. The majority (77%, n = 538 of deaths after release involved one or more opioids. Of the deaths involving opioids, intervention by another person may have been possible in 318 cases.Between 2006 and 2013 in Ontario, one in ten drug toxicity deaths in adults occurred within one year of release from provincial incarceration. These findings may help to inform the implemention and assessment of interventions aimed at reducing drug toxicity deaths following release from incarceration.

  6. Drug Toxicity Deaths after Release from Incarceration in Ontario, 2006-2013: Review of Coroner's Cases. (United States)

    Groot, Emily; Kouyoumdjian, Fiona G; Kiefer, Lori; Madadi, Parvaz; Gross, Jeremy; Prevost, Brittany; Jhirad, Reuven; Huyer, Dirk; Snowdon, Victoria; Persaud, Navindra


    There is an increased risk of death due to drug toxicity after release from incarceration. The purpose of this study was to describe the timing, rate and circumstances of drug toxicity deaths following release from incarceration. This information can be used to help design potential preventive interventions. We reviewed coroner's files to identify deaths in adults in Ontario between 2006 and 2013 caused by drug toxicity (n = 6,978) and these records were matched with provincial correctional records to identify individuals who died within one year of being released from incarceration (n = 702). Twenty percent (n = 137) of the 702 deaths occurred within one week of release. The majority (77%, n = 538) of deaths after release involved one or more opioids. Of the deaths involving opioids, intervention by another person may have been possible in 318 cases. Between 2006 and 2013 in Ontario, one in ten drug toxicity deaths in adults occurred within one year of release from provincial incarceration. These findings may help to inform the implemention and assessment of interventions aimed at reducing drug toxicity deaths following release from incarceration.

  7. West Nile virus in Ontario, Canada: A twelve-year analysis of human case prevalence, mosquito surveillance, and climate data.

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    Bryan V Giordano

    Full Text Available West Nile Virus (WNV first arrived in Ontario, Canada in 2001 and has since spread throughout most of the province, causing disease in humans. The provincial government established a province-wide surveillance program to monitor WNV transmission throughout the 36 regional health units. Here we have acquired records of WNV human and mosquito surveillance from 2002 to 2013 to describe seasonal and geographic trends in WNV activity in southern Ontario. Additionally, we obtained climate data from seven municipalities to investigate how temperature and precipitation affect WNV transmission dynamics. We identified a strong quadratic relationship between the number of confirmed human cases and positive Culex mosquito pools recorded at the end of each year (R2 = 0.9783, p < 0.001. Using Spearman rank correlation tests, we identified that the minimum infection rate of Culex pipiens/restuans pools are the strongest predictor of human cases at a 1 week lag period. We also identified positive correlations between minimum infection rates, temperature, vector abundance, and cumulative precipitation. Global Moran's I index indicates strong positive autocorrelation and clustering of positive Culex pool counts in southern Ontario. Local indicators of spatial association tests revealed a total of 44 high-high and 1 high-low trap locations (n = 680. In the current work we have identified when and where hot spots of WNV activity have occurred in southern Ontario. The municipalities surrounding the western shore of the Lake Ontario and Windsor-Essex County have the largest records of positive mosquitoes and human cases. We identified that positive mosquitoes are a strong indicator of human cases to follow in the coming weeks. An epidemic action threshold of cumulative positive Culex pools was established, allowing Ontario public health officials to predict an epidemic at epidemiological week 34 (rho = 0.90, p < 0.001. These data have the potential to contribute to

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

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    Anne E Deckert


    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.

  9. The Forces Shaping National Response(s) to Global Educational Regulatory Initiatives: The Case for Germany and Ontario (United States)

    Adam, Edmund G.


    This article argues that the stance toward global regulatory initiatives is influenced by the extent to which these regulatory initiatives threaten the comparative institutional advantages of the national economy. The cases through which this proposition is examined are the showpieces of Germany and Ontario: their system of vocational education…

  10. Student accounts of the Ontario Secondary School literacy Test: a case for validation


    Cheng, Liying; Fox, Janna; Zheng, Ying


    The Ontario Secondary School Literacy Test (OSSLT) is a cross-curricular literacy test issued to all secondary school students in the province of Ontario. The test consists of a reading and a writing component, both of which must be successfully completed for secondary school graduation in Ontario. This study elicited 16 first language and second language student accounts of their OSSLT test-taking processes immediately after the March 2006 test administration. The analysis of these students’...

  11. Economic viability of solar home systems: Case study of Bangladesh

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    Hossain Mondal, Md. Alam [Center for Development Research (ZEF), University of Bonn, Walter-Flex-Str. 3, 53113 Bonn (Germany)


    Bangladesh is richly endowed with solar energy. Solar Photovoltaic (PV) system seems to be an appropriate form of renewable energy despite the monsoon type of climate in Bangladesh. The most attractive use of solar home system (SHS) in Bangladesh is the lighting system. People in rural Bangladesh predominantly use kerosene oil based lamps for illuminating their homes at night. Dry cell batteries are used for radio and gradually car batteries are becoming popular for running TV near grid areas where the charging facilities are available. The cost of kerosene and charging cost of battery are quite high and solar home system can compete with them in this particular field. Six cases were analyzed to find out the economic sustainability of the solar home systems at selected villages in Gazipur district, Bangladesh during October 2004-December 2004 and also questionnaire survey method was followed to collect data. This study reveals that the solar home system is financially attractive for small rural business and household lighting with entertainment. Only for household lighting purpose the system is not financially and economically viable without considering social benefits. (author)

  12. Enabling the participation of marginalized populations: case studies from a health service organization in Ontario, Canada. (United States)

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


    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:

  13. Bologna through Ontario Eyes: The Case of the Advanced Diploma in Architectural Technology (United States)

    Mitchell, Amy D.; Feltham, Mark; Trotter, Lane


    Inspired by Ontario's burgeoning interest in postsecondary student mobility, this article examines how elements of Europe's Bologna Process can help bridge the college--university divide of Ontario's postsecondary system. Via discourse analysis of relevant qualification frameworks and program standards, it argues that the current system…

  14. Cases of Discrimination against Native People and Settlements of These Cases: From the Files of the Ontario Human Rights Commission, 1978-1982. (United States)

    Canadian Journal of Native Education, 1983


    In connection with Ontario Ministry of Education high school curriculum guidelines on teaching about Native peoples, eight case studies of discrimination against Canada Natives, and court settlements of these cases, can be used with nine suggested learning activities to help students recognize the effects of prejudice, stereotyping, and…

  15. Local Authorities’ contribution on Gastronomy Tourism Development: the case of Ontario, Canada


    Karagiannis, Dimitris; Metaxas, Theodore


    The role of Local Government (LG) in achieving tourism development is extremely important. A characteristic example is the province of Ontario in Canada, which managed with the assistance of the Ministries of Tourism and Culture and with the cooperation of the private sector, to create an effective tourism development tool promote the region through its gastronomy - Ontario Culinary Tourism Alliance (OCTA), a non-profit, industry driven organization which leads the implementation of the provi...

  16. Antimicrobial resistance and antimicrobial use associated with laboratory-confirmed cases of Campylobacter infection in two health units in Ontario


    Deckert, Anne E; Reid-Smith, Richard J.; Tamblyn, Susan E; Larry Morrell; Patrick Seliske; Jamieson, Frances B.; Rebecca Irwin; Dewey, Catherine E.; Patrick Boerlin; McEwen, Scott A.


    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.METHODS: Etest (bioMérieux SA, France) was used to determine the minimum inhibitory concentration of amoxicillin/clavulanic acid, ampicillin, chloramphenicol, ciprofloxacin (CIP), clindamycin, erythromycin (ER...

  17. Viability and Management Targets of Mediterranean Demersal Fisheries: The Case of the Aegean Sea.

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    George Tserpes

    Full Text Available Management of the Mediterranean demersal stocks has proven challenging mainly due to the multi-species character of the fisheries. In the present work, we focus on the multi-species demersal fisheries of the Aegean Sea (eastern Mediterranean aiming to study the effects of different management measures on the main commercial stocks, as well as to explore the economic viability of the fisheries depending upon these resources, by means of simulated projections. Utilizing the limited available data, our results demonstrated that, under the current exploitation pattern, the economic viability of the fleets is threatened, particularly if fuel prices increase. Additionally, the biological targets set for the most exploited species, such as hake, will not be met under the current management regime. The projections also showed that the only management scenario under which both resource sustainability and economic viability of the fisheries are ensured is the decrease of fleet capacity in terms of vessel numbers. In this case, however, measures to support the fisheries-dependent communities need to be implemented to prevent the collapse of local economies due to employment decrease. Scenarios assuming selectivity improvements would be also beneficial for the stocks but they showed low economic performance and their application would threaten the viability of the fleets, particularly that of the trawlers.

  18. Residential Knowledge of Native Tree Species: A Case Study of Residents in Four Southern Ontario Municipalities (United States)

    Almas, Andrew D.; Conway, Tenley M.


    In the past decade, municipalities across North America have increased investment in their urban forests in an effort to maintain and enhance the numerous benefits provided by them. Some municipalities have now drafted long-term urban forest management plans that emphasize the planting of native trees, to improve ecological integrity, and participation of residents, since the majority of urban trees are typically located on residential property. Yet it is unclear if residents are familiar with native trees or municipalities' urban forest management goals. Through a case study of southern Ontario municipalities, we administered a survey exploring residents' ability to correctly label common tree species as native or non-native, as well as their knowledge of urban forest management plans to test four hypotheses: 1) residents in municipalities with an urban forest management plans will be more knowledgeable about the native status of common street trees; 2) residents who have lived in the area longer will have greater knowledge; 3) knowledge level will be correlated with education level, ethnicity, and income; and 4) residents' knowledge will be related to having planted trees on their property. Our results indicate that residents are better able to identify common native trees than correctly determine which trees are non-native, although knowledge levels are generally low. Knowledge was significantly related to length of residency and tree planting experience, supporting hypotheses 2 and 4. These results highlight the importance of experience and local knowledge acquisition in relation to basic knowledge about urban trees, and also point to the failures of resident outreach within the case study municipalities.

  19. College-University Transfer Programs in Ontario: A History and a Case Study (United States)

    Hurlihey, Victoria


    In Ontario, the topic of increasing transferability between colleges and universities has recently attracted the attention of numerous individuals in the fields of higher education, politics and the local media--many of whom have suggested that increasing the availability of college to university transfer programs, also known as articulation…

  20. A Tale of Two Policies: The Case of School Discipline in an Ontario School Board (United States)

    Milne, Emily; Aurini, Janice


    This study examines how staff working for one Ontario school board perceive two distinct approaches to school discipline policy: the Safe Schools Act (Bill 81) and Progressive Discipline and School Safety (Bill 212). The more centrally controlled and rigid Safe Schools Act was criticized by interviewees and cited for human rights violations.…

  1. Perfusion Computed Tomography for the Assessment of Myocardial Viability — a Case Series

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    Morariu Mirabela


    Full Text Available Myocardial viability plays an important role in preventing the development of left ventricular remodeling following an acute myocardial infarction. A preserved viability in the infarcted area has been demonstrated to be associated with a lower amplitude of the remodeling process, while the extent of the non-viable myocardium is directly correlated with the amplitude of the remodeling process. A number of methods are currently in use for the quantification of the viable myocardium, and some of them are based on the estimation of myocardial perfusion during pharmacologic stress. 64-slice Multi-detector Computed Tomography (MDCT during vasodilator stress test, associated with CT Coronary Angiography (CCTA has a high diagnostic accuracy in evaluating myocardial perfusion. In this article, we present a sequence of 3 clinical cases that presented with symptoms of myocardial ischemia, who underwent 64-slice MDCT imaging at rest and during adenosine stress test, in order to assess the extent of the hypoperfused myocardial areas. Coronary artery anatomy and the Coronary Calcium Score was assessed for all 3 patients by performing CT Coronary Angiography. The combination of CT Angiography and adenosine stress CT myocardial perfusion imaging can accurately detect atherosclerosic lesions that cause perfusion abnormalities, compared with the combination of invasive angiography and single-photon emission computed tomography (SPECT.

  2. Organizational capacity and implementation change: a comparative case study of heart health promotion in Ontario public health agencies. (United States)

    Riley, Barbara L; Taylor, S Martin; Elliott, Susan J


    This paper reports the results of a comparative case study that examines factors influencing changes in implementation of heart health promotion activities in Ontario public health units. The study compared two cases that experienced large changes in implementation from 1994 to 1996, but in opposite directions. Multiple data sources were used, with an emphasis on secondary analyses of quantitative surveys of health units and other community agencies, and in-depth interviews of public health staff, collected as part of the Canadian Heart Health Initiative Ontario Project. Guided by social ecological and organizational theories, changes in implementation were explained by examining changes in (1) organizational predisposition to undertake heart health promotion activities, (2) organizational practices to undertake these activities, (3) other internal organizational factors and (4) external system factors. Findings show that in communities with diverse characteristics, implementation change was most strongly influenced by an interplay of changes in internal features of public health agencies; notably, leadership, structure and staff skills. Findings support a social ecological approach to health promotion by demonstrating the importance of the institutional context in the implementation change process, the interaction of individual (skills) and organizational (structure) levels in explaining implementation change, and community context in shaping the change process. Findings also reinforce the value of strengthening capacity within public health agencies and suggest further research on the implementation change process, especially in different systems and over longer periods of time.

  3. Viability and resilience of complex systems concepts, methods and case studies from ecology and society

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    Deffuant, Guillaume


    One common characteristic of a complex system is its ability to withstand major disturbances and the capacity to rebuild itself. Understanding how such systems demonstrate resilience by absorbing or recovering from major external perturbations requires both quantitative foundations and a multidisciplinary view of the topic. This book demonstrates how new methods can be used to identify the actions favouring the recovery from perturbations on a variety of examples including the dynamics of bacterial biofilms, grassland savannahs, language competition and Internet social networking sites. The reader is taken through an introduction to the idea of resilience and viability and shown the mathematical basis of the techniques used to analyse systems. The idea of individual or agent-based modelling of complex systems is introduced and related to analytically tractable approximations of such models. A set of case studies illustrates the use of the techniques in real applications, and the final section describes how on...

  4. Drug Toxicity Deaths after Release from Incarceration in Ontario, 2006-2013: Review of Coroner’s Cases (United States)

    Groot, Emily; Kouyoumdjian, Fiona G.; Kiefer, Lori; Madadi, Parvaz; Gross, Jeremy; Prevost, Brittany; Jhirad, Reuven; Huyer, Dirk; Snowdon, Victoria; Persaud, Navindra


    Background There is an increased risk of death due to drug toxicity after release from incarceration. The purpose of this study was to describe the timing, rate and circumstances of drug toxicity deaths following release from incarceration. This information can be used to help design potential preventive interventions. Methods and Findings We reviewed coroner’s files to identify deaths in adults in Ontario between 2006 and 2013 caused by drug toxicity (n = 6,978) and these records were matched with provincial correctional records to identify individuals who died within one year of being released from incarceration (n = 702). Twenty percent (n = 137) of the 702 deaths occurred within one week of release. The majority (77%, n = 538) of deaths after release involved one or more opioids. Of the deaths involving opioids, intervention by another person may have been possible in 318 cases. Conclusions Between 2006 and 2013 in Ontario, one in ten drug toxicity deaths in adults occurred within one year of release from provincial incarceration. These findings may help to inform the implemention and assessment of interventions aimed at reducing drug toxicity deaths following release from incarceration. PMID:27384044

  5. Evaluating risk factors for endemic human Salmonella Enteritidis infections with different phage types in Ontario, Canada using multinomial logistic regression and a case-case study approach

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    Varga Csaba


    Full Text Available Abstract Background Identifying risk factors for Salmonella Enteritidis (SE infections in Ontario will assist public health authorities to design effective control and prevention programs to reduce the burden of SE infections. Our research objective was to identify risk factors for acquiring SE infections with various phage types (PT in Ontario, Canada. We hypothesized that certain PTs (e.g., PT8 and PT13a have specific risk factors for infection. Methods Our study included endemic SE cases with various PTs whose isolates were submitted to the Public Health Laboratory-Toronto from January 20th to August 12th, 2011. Cases were interviewed using a standardized questionnaire that included questions pertaining to demographics, travel history, clinical symptoms, contact with animals, and food exposures. A multinomial logistic regression method using the Generalized Linear Latent and Mixed Model procedure and a case-case study design were used to identify risk factors for acquiring SE infections with various PTs in Ontario, Canada. In the multinomial logistic regression model, the outcome variable had three categories representing human infections caused by SE PT8, PT13a, and all other SE PTs (i.e., non-PT8/non-PT13a as a referent category to which the other two categories were compared. Results In the multivariable model, SE PT8 was positively associated with contact with dogs (OR=2.17, 95% CI 1.01-4.68 and negatively associated with pepper consumption (OR=0.35, 95% CI 0.13-0.94, after adjusting for age categories and gender, and using exposure periods and health regions as random effects to account for clustering. Conclusions Our study findings offer interesting hypotheses about the role of phage type-specific risk factors. Multinomial logistic regression analysis and the case-case study approach are novel methodologies to evaluate associations among SE infections with different PTs and various risk factors.

  6. Tourism climatology for camping: a case study of two Ontario parks (Canada) (United States)

    Hewer, Micah J.; Scott, Daniel; Gough, William A.


    Climate and weather act as central motivators for the travel decisions of tourists. Due to their seasonality, these factors determine the availability and quality of certain outdoor recreational activities. Park visitation in Ontario, Canada, has been identified as a weather sensitive tourism and recreation activity. This study used a survey-based approach to identify and compare stated weather preferences and thresholds, as well as weather-related decision-making for campers at two provincial parks in Ontario, Canada. The two parks were selected for differing physical and environmental characteristics (forested lake versus coastal beach). Statistically significant differences were detected between the two parks in relation to the importance of weather and weather-based decision-making. Specific temperatures that were considered ideal and thresholds that were too cool and too warm were identified for both parks, both during the day and the night. Heavy rain and strong winds were the most influential factors in weather-related decision-making and on-site behavioural adaptations. Beach campers placed greater importance on the absence of rain and the presence of comfortable temperatures compared to forest campers. In addition, beach campers were more likely to leave the park early due to incremental weather changes. The results of this study suggest that beach campers are more sensitive to weather than forest campers.

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

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


    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)

  8. Natural resource-based industries and prostate cancer risk in Northeastern Ontario: a case-control study. (United States)

    Sritharan, Jeavana; Demers, Paul A; Harris, Shelley A; Cole, Donald C; Kreiger, Nancy; Sass-Kortsak, Andrea; Lightfoot, Nancy


    Prostate cancer continues to be the most commonly diagnosed cancer in men, and there is limited knowledge on its preventable risk factors. A number of occupational exposures in natural resource-based industries are suspected to be related to prostate cancer risk. This study investigates associations between employment in these industries and prostate cancer. Data were from a population-based, case-control study previously conducted in Northeastern Ontario. Incident cases (N=760) aged 45-85 years and diagnosed with prostate cancer between 1995 and 1998 were identified from the Ontario Cancer Registry. Controls (N=1632) were recruited using telephone listings, and were frequency matched to cases by age. Lifetime occupational history was collected for all participants. Logistic regression was used to estimate ORs and their associated 95% CIs. Elevated risks were observed for employment in forestry and logging industries (OR=1.87, 95% CI 1.32 to 2.73) and occupations (OR=1.71, 95% CI 1.24 to 2.35), and these risks increased with duration of employment for ≥10 years. Elevated risks were also found for employment in wood products industries (OR=1.45, 95% CI 1.07 to 1.97), and paper and allied products industries (OR=1.43, 95% CI 1.03 to 2.00), and when duration of employment was ≥10 years. There were also elevated risks in agriculture and mining-related work; however, these findings were not consistent across industry and occupation categories. Prostate cancer risk may be associated with work in several natural resource industries, primarily in the forest industries. To further evaluate observed associations, studies should focus on natural resource-based exposures in larger populations with improved exposure assessment. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to

  9. A Case Study of the Integration of Information and Communication Technology in a Northern Ontario First Nation Community High School: Challenges and Benefits (United States)

    Laronde, Gerald; MacLeod, Katarin; Frost, Lorraine; Waller, Ken


    A case study approach was used in examining Information and Communication Technology (ICT) use within a small First Nation high school in Northern Ontario. Quantitative and qualitative data was gathered from students, teacher, and the administrator, who participated in an online survey, followed by interviews on their use of ICT in education. How…

  10. Association between cervical screening and prevention of invasive cervical cancer in Ontario: a population-based case-control study. (United States)

    Vicus, Danielle; Sutradhar, Rinku; Lu, Yan; Kupets, Rachel; Paszat, Lawrence


    The aim of this study was to estimate the effect of cervical screening in the prevention of invasive cervical cancer among age groups, using a population-based case-control study in the province of Ontario, Canada. Exposure was defined as cervical cytology history greater than 3 months before the diagnosis date of cervical cancer (index date). Cases were women who were diagnosed with cervical cancer between January 1, 1998, and December 31, 2008. Controls were women without a diagnosis of cervical cancer on, or before, December 31, 2008. Two controls were matched to each case on year of birth and income quintile, as of the index date. Conditional logistic regression was used to estimate the odds ratio for having been screened among those with cervical cancer. Cervical cancer screening performed between 3 and 36 months before the index date was protective against invasive cervical cancer in women aged 40 through 69 years. In women younger than 40 years, cervical cancer screening performed 3 to 36 months before the index date was not protective. Cervical screening is associated with a reduced risk for invasive cervical cancer among women older than 40 years. Cervical cancer resources should be focused on maximizing the risk reduction.

  11. Antimicrobial resistance and antimicrobial use associated with laboratory-confirmed cases of Campylobacter infection in two health units in Ontario. (United States)

    Deckert, Anne E; Reid-Smith, Richard J; Tamblyn, Susan E; Morrell, Larry; Seliske, Patrick; Jamieson, Frances B; Irwin, Rebecca; Dewey, Catherine E; Boerlin, Patrick; McEwen, Scott A


    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. Etest (bioMérieux SA, France) was used to determine the minimum inhibitory concentration of amoxicillin/clavulanic acid, ampicillin, chloramphenicol, ciprofloxacin (CIP), clindamycin, erythromycin (ERY), gentamicin, nalidixic acid and tetracycline. Data regarding antimicrobial use were collected from 250 cases. Of the 250 cases, 165 (65.7%) reported staying home or being hospitalized due to campylobacteriosis. Fifty-four per cent of cases (135 of 249) reported taking antimicrobials to treat campylobacteriosis. In 115 cases (51.1%), fecal culture results were not used for treatment decisions because they were not available before the initiation of antimicrobial treatment and/or they were not available before the cessation of symptoms. Of the 250 cases, 124 (49.6%) had available Campylobacter isolates, of which 66 (53.2%) were resistant to at least one of the antimicrobials tested. No resistance to ampicillin, chloramphenicol or gentamicin was found in these isolates. Six isolates (4.8%) were resistant to CIP. Two isolates (1.6%) were resistant to ERY; however, no isolates were resistant to both CIP and ERY. Prudent use practices should be promoted among physicians to reduce the use of antimicrobials for the treatment of gastroenteritis in general and campylobacteriosis in particular, as well as to minimize the future development of resistance to these antimicrobials in Campylobacter species.

  12. The Case of Dr George Gale V. the College of Physicians and Surgeons of Ontario: A Legal Analysis

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    Matthew Wilton


    Full Text Available On March 15, 2002, anaesthetist and pain practitioner, Dr George Gale, had his license to practice medicine in Ontario revoked by a decision of the Discipline Committee of the College of Physicians and Surgeons of Ontario (CPSO (1,2. To that point, Dr Gale had practiced medicine as an anaesthetist in Ontario without incident. The CPSO Discipline Committee hearing had taken place over 22 days in 2001 and 2002. The focus of the CPSO prosecution against Dr Gale was his pain practice conducted at a well-known pain clinic in Toronto, Ontario. By an Ontario Divisional Court decision dated October 10, 2003, the CPSO Discipline Committee decision was set aside on appeal (3. Most importantly, the Ontario Divisional Court held that the penalty of revocation levied against Dr Gale was unfair and based on several serious errors made by the Discipline Committee. A closer examination of the decisions of both the Discipline Committee and the Ontario Divisional Court will hopefully illustrate both the medical standards of practice issues for pain practitioners, and some of the perils created by the self governing activities of the CPSO. To put the Gale decision in proper context, it will be necessary for us to briefly examine the function of the CPSO and its Discipline Committee.

  13. Viability Theory

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    Aubin, Jean-Pierre; Saint-Pierre, Patrick


    Viability theory designs and develops mathematical and algorithmic methods for investigating the adaptation to viability constraints of evolutions governed by complex systems under uncertainty that are found in many domains involving living beings, from biological evolution to economics, from environmental sciences to financial markets, from control theory and robotics to cognitive sciences. It involves interdisciplinary investigations spanning fields that have traditionally developed in isolation. The purpose of this book is to present an initiation to applications of viability theory, explai


    Directory of Open Access Journals (Sweden)

    Karim Mamdouh ABBAS


    Full Text Available The present study aims to analyze viability of some applied cost systems. The population of the study is some Egyptian manufacturing firms. The number of received questionnaires was 385. The results indicated that , according to the application extent indicator, the currently cost systems in Egyptian manufacturing firms may be descendingly arranged as follows: Activity Based Costing (ABC system, Target Costing (TC system , Resource Consumption Accounting (RCA system, Activity Based Management (ABM ,Other systems, Theory of Constraints (TOC and Value Chain (VC analysis.

  15. Challenges to evidence-based health promotion: a case study of a Food Security Coalition in Ontario, Canada. (United States)

    Meyer, Samantha B; Edge, Sara S; Beatty, Jocelyn; Leatherdale, Scott; Perlman, Chris; Dean, Jennifer; Ward, Paul R; Kirkpatrick, Sharon I


    Developing the evidence base for health promotion can be challenging because interventions often have to target competing determinants of health, including social, structural, environmental and political determinants; all of which are difficult to measure and thus evaluate. Drawing on a case study of food insecurity, which refers to inadequate access to food due to financial constraints, we illustrate the challenges faced by community-based organizations in collecting data to form an evidence base for the development and evaluation of collective programmes aimed at addressing food insecurity. Interviews were conducted with members of a multi-stakeholder coalition (n = 22 interviewees; n = 10 organizations) who collectively work to address food insecurity in their community through a range of community-based programmes and services. Member organizations also provided a list of measures currently used to inform programme and service development and evaluation. Data were collected in a city in Southern Ontario, Canada between May and September 2015. Participants identified four barriers to collecting data: Organizational needs and philosophies; concerns surrounding clientele wellbeing and dignity; issues of feasibility; and restrictive requirements imposed by funding bodies. Participants also discussed their previous successes in collecting meaningful data for identifying impact. Our results point to the challenge of generating data suitable for developing and evaluating programmes aimed at broader determinants of health, while maintaining the primary goal of meeting clients' needs. Documenting change at intermediate- and macro-levels would provide evidence for the collective effectiveness of current programmes and services offered. However, appropriate resources need to be invested to allow for scientific evaluation. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please email:

  16. Genetic incompatibility dampens hybrid fertility more than hybrid viability: yeast as a case study.

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    Meibo Xu

    Full Text Available Genetic incompatibility is believed to be the major cause of postzygotic reproductive isolation. Despite huge efforts seeking for speciation-related incompatibilities in the past several decades, a general understanding of how genetic incompatibility evolves in affecting hybrid fitness is not available, primarily due to the fact that the number of known incompatibilities is small. Instead of further mapping specific incompatible genes, in this paper we aimed to know the overall effects of incompatibility on fertility and viability, the two aspects of fitness, by examining 89 gametes produced by yeast S. cerevisiae-S. paradoxus F1 hybrids. Homozygous F2 hybrids formed by autodiploidization of F1 gametes were subject to tests for growth rate and sporulation efficiency. We observed much stronger defects in sporulation than in clonal growth for every single F2 hybrid strain, indicating that genetic incompatibility affects hybrid fertility more than hybrid viability in yeast. We related this finding in part to the fast-evolving nature of meiosis-related genes, and proposed that the generally low expression levels of these genes might be a cause of the observation.

  17. Spread of porcine circovirus associated disease (PCVAD in Ontario (Canada swine herds: Part II. Matched case-control study

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    Young Beth


    Full Text Available Abstract Background The emergence of porcine circovirus associated disease (PCVAD was associated with high mortality in swine populations worldwide. Studies performed in different regions identified spatial, temporal, and spatio-temporal trends as factors contributing to patterns of the disease spread. Patterns consistent with spatial trend and spatio-temporal clustering were already identified in this dataset. On the basis of these results, we have further investigated the nature of local spread in this report. The primary objective of this study was to evaluate risk factors for incidence cases of reported PCVAD. Results A time-matched case-control study was used as a study design approach, and conditional logistic regression as the analytical method. The main exposure of interest was local spread, which was defined as an unidentified mechanism of PCVAD spread between premises located within 3 kilometers of the Euclidean distance. Various modifications of variables indicative of local spread were also evaluated. The dataset contained 278 swine herds from Ontario originally sampled either from diagnostic laboratory submissions or directly from the target population. A PCVAD case was defined on the basis of the producer's recall. Existence of apparent local spread over the entire study period was confirmed (OR = 2.26, 95% CI: 1.06, 4.83, and was further identified to be time-varying in nature - herds experiencing outbreaks in the later part of the epidemic were more likely than control herds to be exposed to neighboring herds experiencing recent PCVAD outbreaks. More importantly, the pattern of local spread was driven by concurrent occurrence of PCVAD on premises under the same ownership (OREXACTwithin ownership = 25.6, 95% CI: 3.4, +inf; OREXACToutside ownership = 1.3, 95% CI: 0.45, 3.3. Other significant factors included PRRSv status of a herd (OREXACT = 1.9, 95% CI: 1.0, 3.9, after adjusting for geographical location by including the binary

  18. Changing Visions of Excellence in Ontario School Policy: The Cases of "Living and Learning" and "For the Love of Learning" (United States)

    Bruno-Jofre, Rosa; Hills, George


    In this essay, Rosa Bruno-Jofre and George Hills examine two major Ontario policy documents: 1968's "Living and Learning" and 1994's "For the Love of Learning." The purpose is, first, to gain insight into the uses of the term "excellence" in the context of discourse about educational aims and evaluation, and, second,…

  19. Economical Analysis of Different Clinical Approaches in Pre-Viability Amniorrhexis—A Case Series

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    Samuel Engemise


    Full Text Available Prolonged oligohydramnios following extreme preterm prelabour rupture of membranes (EPPROM is traditionally associated with a high morbidity and mortality to both the mother and the baby. The clinical maternal evaluation and fetal ultrasound assessment may provide important prognostic information for the clinicians and should be taken into account when counselling the patients so as to provide them with enough information to make decision of continuing or interrupting the pregnancy. Current financial constraints on the National Healthcare Service (NHS resources make it imperative for clinical decision-makers and budgetary planners to make the right decision of continuing or terminating a second trimester pre-viability amniorrhexis for desperate parents. To assess the economic consequences following EPPROM, the risk of infection to both baby and mother, psychological impact on the parents and associated complications and further disability after delivery on this fragile group of patients to the NHS resources. We review the clinical course, outcome, and the challenges to parents and health care professionals on three pregnancies complicated by EPPROM, occurring before 24 weeks’ gestation with a membrane rupture to delivery interval (latent period of 14 days or more. The anticipated birth of an extremely premature infant poses many challenges for parents and health care professionals. As parents are faced with difficult decisions that can have a long-term impact on the infant, family and country’s resources, it is critical to provide the type of information and support that is needed by them. Taking all these into consideration with the period of ventilation and respiratory assistance in Neonatal Intensive Care Unit (NICU is essential to provide maximum chances for survival, minimizing the risk for long term sequelae of the neonate and provides the parents enough time to decide on making the right decision with the associated guidance of the

  20. Using a Bedside Video-assisted Test Tube Test to Assess Stoma Viability: A Report of 4 Cases. (United States)

    Ahmad, Sarwat; Turner, Keli; Shah, Paulesh; Diaz, Jose


    Mucosal discoloration of an intestinal stoma may indicate self-limited venous congestion or necrosis necessitating operative revision. A common bedside technique to assess stoma viability is the "test tube test". A clear tube is inserted into the stoma and a hand-held light is used to assess the color of the stoma. A technique (video-assisted test tube test [VATTT]) developed by the authors utilizes a standard video bronchoscope inserted into a clear plastic blood collection tube to visually inspect and assess the mucosa. This technique was evaluated in 4 patients (age range 49-72 years, all critically ill) with a discolored stoma after emergency surgery. In each case, physical exam revealed ischemic mucosa at the surface either immediately after surgery or after worsening hypotension weeks later. Serial test tube test assessments were ambiguous when trying to assess deeper mucosa. The VATTT assessment showed viable pink mucosa beneath the surface and until the fascia was revealed in 3 patients. One (1) patient had mucosal ischemia down to the fascia, which prompted operative revision of the stoma. The new stoma was assessed with a VATTT and was viable for the entire length of the stoma. VATTT provided an enhanced, magnified, and clearer way to visually assess stoma viability in the postoperative period that can be performed at the bedside with no adverse events. It may prevent unnecessary relaparotomy or enable earlier diagnosis of deep ostomy necrosis. Validity and reliability studies are warranted.

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

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


    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.

  2. Genetic variants in vitamin d pathway genes and risk of pancreas cancer; results from a population-based case-control study in ontario, Canada.

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    Laura N Anderson

    Full Text Available Recent studies of 25-hydroxyvitamin D (25(OHD levels and pancreas cancer have suggested a potential role of the vitamin D pathway in the etiology of this fatal disease. Variants in vitamin-D related genes are known to affect 25(OHD levels and function and it is unknown if these variants may influence pancreatic cancer risk. The association between 87 single nucleotide polymorphisms (SNPs in 11 genes was evaluated within the Ontario Pancreas Cancer Study, a population-based case-control study. Pancreatic cancer cases with pathology confirmed adenocarcinoma were identified from the Ontario Cancer Registry (n = 628 and controls were identified through random digit dialing (n = 1193. Age and sex adjusted odds ratios (OR and 95% confidence intervals (CI were estimated by multivariate logistic regression. SNPs in the CYP24A1, CYP2R1, calcium sensing receptor (CASR, vitamin D binding protein (GC, retinoid X receptor-alpha (RXRA and megalin (LRP2 genes were significantly associated with pancreas cancer risk. For example, pancreas cancer risk was inversely associated with CYP2R1 rs10741657 (AA versus GG, OR = 0.70; 95%CI: 0.51-0.95 and positively with CYP24A1 rs6127119 (TT versus CC. OR = 1.94; 95%CI: 1.28-2.94. None of the associations were statistically significant after adjustment for multiple comparisons. Vitamin D pathway gene variants may be associated with pancreas cancer risk and future studies are needed to understand the possible role of vitamin D in tumorigenesis and may have implications for cancer-prevention strategies.

  3. Implementing the first regional hospice palliative care program in Ontario: the Champlain region as a case study. (United States)

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


    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

  4. Case series of fertility treatment in HIV-discordant couples (male positive, female negative: the Ontario experience.

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    Trent Newmeyer

    Full Text Available The success of combination antiretroviral therapies for the treatment of human immunodeficiency virus (HIV has resulted in prolonged life expectancy (over 40 years from diagnosis and an improved quality of life for people living with HIV. The risk of vertical HIV transmission during pregnancy has been reduced to less than 1%. As a result of these breakthroughs and as many of these individuals are of reproductive age, fertility issues are becoming increasingly important for this population. One population in which conception planning and reduction of horizontal HIV transmission warrants further research is HIV-discordant couples where the male partner is HIV-positive and the female partner is HIV-negative. Sperm washing is a technique carried out in a fertility clinic that separates HIV from the seminal fluid. Although sperm washing followed by intrauterine insemination significantly reduces the risk of horizontal HIV transmission, there has been limited access to the procedure in North America. Furthermore, little is known about the conception decision-making experiences of HIV-discordant couples who might benefit from sperm washing. Chart reviews and semi-structured interviews were completed with 12 HIV-discordant couples in Ontario, Canada. Couples were recruited through HIV clinics and one fertility clinic that offered sperm washing. Participants identified a number of factors that affected their decision-making around pregnancy planning. Access to sperm washing and other fertility services was an issue (cost, travel and few clinics. Participants identified a lack of information on the procedure (availability, safety. Sources of support (social networks, healthcare providers were unevenly distributed, especially among those who did not disclose their HIV status to friends and family. Finally, the stigmatisation of HIV continues to have a negative affect on HIV-discordant couples and their intentions to conceive. Access to sperm washing and

  5. Differential temperature preferences and thresholds among summer campers in Ontario's southern provincial parks: a Canadian case study in tourism climatology (United States)

    Hewer, Micah J.; Scott, Daniel J.; Gough, William A.


    Weather and climate are important factors in relation to outdoor recreation and tourism. Camping and park visitation are weather sensitive activities very likely to be impacted by projected climate change. Temperature is the weather variable that has received the greatest attention within the tourism climatology literature and was the greatest predictor of park visitation within previous assessments. This study uses a stated climate preferences approach, relying on survey-based data, to explore differences for temperature preferences and thresholds among campers in Ontario parks. Statistically significant differences (at the 95% confidence level) in mean values for temperature preferences and thresholds were recorded based on various camper characteristics, such as the following: activity selection, age, gender, distance travelled, length of stay, life cycle stage, camping experience, and camping equipment. Swimmers preferred warmer day-time temperatures. Older campers preferred cooler temperatures and were more sensitive to heat stress, in the day and night time. Females preferred warmer temperatures and were less sensitive to heat stress during the night time. Campers who had travelled further distances to reach the park or planned to stay for longer periods were less sensitive to heat stress. Campers with children in their group preferred warmer temperatures and were less sensitive to heat stress, in the day and at night. Respondents with higher levels of camping experience preferred warmer temperatures at night. Tent campers were less sensitive to heat stress, in the day and at night. The results of this study have direct implications for previous and future climate change impact assessments on park visitation.

  6. Bathymetry of Lake Ontario (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...

  7. Conflict Management in Participatory Approaches to Water Management: A Case Study of Lake Ontario and the St. Lawrence River Regulation

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    Alison Furber


    Full Text Available The International Joint Commission (IJC has been involved in a 14-year effort to formulate a new water regulation plan for the Lake Ontario St. Lawrence River (“LOSLR” area that balances the interests of a diverse group of stakeholders including shipping and navigation, hydropower, environment, recreational boating, municipal and domestic water supply, First Nations, and shoreline property owners. It has embraced the principles of collaborative and participatory management and, applying a Shared Visioning Planning (SVP approach, has worked closely with stakeholders throughout all stages of this process; however, conflicts between competing stakeholders have delayed and complicated this effort. The overarching aim of this paper is to consider the extent to which the SVP approach employed by the IJC was effective in managing conflict in the LOSLR context. Audio recordings and transcriptions of public and technical hearings held by the IJC in 2013 have been systematically analysed using stakeholder mapping and content analysis methods, to gain insight into the stakeholder universe interacting with the IJC on Plan 2014.  The principal conclusions of this paper are that (a the Shared Vision Planning approach employed by the IJC had some significant successes in terms of conflict management—particularly notable is the success that has been achieved with regards to integration of First Nation concerns; (b there is a distinct group of shoreline property owners, based in New York State, who remain opposed to Plan 2014—the IJC’s public outreach and participation efforts have not been successful in reconciling their position with that of other stakeholders due to the fact that this stakeholder group perceive that they can only lose out from any regulation change and are therefore unlikely to be motivated to engage productively in any planning dialogue; and (c a solution would require that the problem be reframed so that this stakeholder can see

  8. Community-scale assessment of rooftop-mounted solar energy potential with meteorological, atlas, and GIS data: a case study of Guelph, Ontario (Canada)

    National Research Council Canada - National Science Library

    McIntyre, Joseph H


    Forward-thinking governments recognize that local renewable resource use is crucial to the resilience of communities and are developing and implementing community energy plans (CEPs). Guelph, Ontario, (Canada...

  9. Quantifying the impact of community quarantine on SARS transmission in Ontario: estimation of secondary case count difference and number needed to quarantine

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    Laflèche Julie ML


    Full Text Available Abstract Background Community quarantine is controversial, and the decision to use and prepare for it should be informed by specific quantitative evidence of benefit. Case-study reports on 2002-2004 SARS outbreaks have discussed the role of quarantine in the community in transmission. However, this literature has not yielded quantitative estimates of the reduction in secondary cases attributable to quarantine as would be seen in other areas of health policy and cost-effectiveness analysis. Methods Using data from the 2003 Ontario, Canada, SARS outbreak, two novel expressions for the impact of quarantine are presented. Secondary Case Count Difference (SCCD reflects reduction in the average number of transmissions arising from a SARS case in quarantine, relative to not in quarantine, at onset of symptoms. SCCD was estimated using Poisson and negative binomial regression models (with identity link function comparing the number of secondary cases to each index case for quarantine relative to non-quarantined index cases. The inverse of this statistic is proposed as the number needed to quarantine (NNQ to prevent one additional secondary transmission. Results Our estimated SCCD was 0.133 fewer secondary cases per quarantined versus non-quarantined index case; and a NNQ of 7.5 exposed individuals to be placed in community quarantine to prevent one additional case of transmission in the community. This analysis suggests quarantine can be an effective preventive measure, although these estimates lack statistical precision. Conclusions Relative to other health policy areas, literature on quarantine tends to lack in quantitative expressions of effectiveness, or agreement on how best to report differences in outcomes attributable to control measure. We hope to further this discussion through presentation of means to calculate and express the impact of population control measures. The study of quarantine effectiveness presents several methodological and

  10. Calcium and vitamin D and risk of colorectal cancer: results from a large population-based case-control study in Newfoundland and Labrador and Ontario. (United States)

    Sun, Zhuoyu; Wang, Peizhong Peter; Roebothan, Barbara; Cotterchio, Michelle; Green, Roger; Buehler, Sharon; Zhao, Jinhui; Squires, Josh; Zhao, Jing; Zhu, Yun; Dicks, Elizabeth; Campbell, Peter T; Mclaughlin, John R; Parfrey, Patrick S


    Previous epidemiological studies have been suggestive but inconclusive in demonstrating inverse associations of calcium, vitamin D, dairy product intakes with risk of colorectal cancer (CRC). We conducted a large population-based comparison of such associations in Newfoundland and Labrador (NL) and Ontario (ON). A case control study design was used. Colorectal cancer cases were new CRC patients aged 20-74 years. Controls were a sex and age-group matched random sample of the population in each province. 1760 cases and 2481 controls from NL and ON were analyzed. Information on dietary intake and lifestyle was collected using self-administered food frequency and personal history questionnaires. Controls reported higher mean daily intakes of total calcium and total vitamin D than cases in both provinces. In ON, significant reduced CRC risk was associated with intakes of total calcium (OR of highest vs. lowest quintiles was 0.57, 95% CI 0.42-0.77, p(trend) = 0.03), total vitamin D (OR = 0.73, 95% CI 0.54-1.00), dietary calcium (OR = 0.76, 95% CI 0.60-0.97), dietary vitamin D (OR = 0.77, 95% CI 0.61-0.99), total dairy products and milk (OR = 0.78, 95% CI 0.60-1.00), calcium-containing supplements use (OR = 0.76). In NL, the inverse associations of calcium, vitamin D with CRC risk were most pronounced among calcium- or vitamin D-containing supplement users (OR = 0.67, 0.68, respectively). Results of this study add to the evidence that total calcium, dietary calcium, total vitamin D, dietary vitamin D, calcium- or vitamin D-containing supplement use may reduce the risk of CRC. The inverse associations of CRC risk with intakes of total dairy products and milk may be largely due to calcium and vitamin D.

  11. How is unemployment among people with mental illness conceptualized within social policy? A case study of the Ontario Disability Support Program. (United States)

    Gewurtz, Rebecca E; Cott, Cheryl; Rush, Brian; Kirsh, Bonnie


    Government policy shapes and is shaped by society's views of important social issues such as employment among people with disabilities. This article explores how unemployment among people with mental illness has been understood and characterized within social policy. Drawing on a qualitative case study that explored the construction and implementation of policy reform within the employment support branch of the Ontario Disability Support Program, this paper examines assumptions about unemployment among people with mental illness that underlie social policy and their impact on employment services and supports. The most prominent messages that emerged from the data focused on unemployment among people with mental illness as a function of personal responsibility, limitations and a lack of motivation. Although there was awareness of the role of social and systemic factors, these issues were given less weight, especially when describing employment support practices. There is a lack of sufficient attention to complex and deeply-rooted social and systemic inequalities within social policy and employment services. There is a need to expand conceptualizations of unemployment among people with mental illness within social policy, and develop interventions that address complex social factors and systemic constraints that can limit employment opportunities.

  12. Dietary N-nitroso compounds and risk of colorectal cancer: a case-control study in Newfoundland and Labrador and Ontario, Canada. (United States)

    Zhu, Yun; Wang, Peizhon Peter; Zhao, Jing; Green, Roger; Sun, Zhuoyu; Roebothan, Barbara; Squires, Josh; Buehler, Sharon; Dicks, Elizabeth; Zhao, Jinhui; Cotterchio, Michelle; Campbell, Peter T; Jain, Meera; Parfrey, Patrick S; Mclaughlin, John R


    Several N-nitroso compounds (NOC) have been shown to be carcinogenic in a variety of laboratory animals, but evidence of their carcinogenicity in humans is lacking. We aimed to examine the association between NOC intake and colorectal cancer (CRC) risk and possible effect modification by vitamins C and E and protein in a large case-control study carried out in Newfoundland and Labrador and Ontario, Canada. A total of 1760 case patients with pathologically confirmed adenocarcinoma and 2481 population controls were asked to complete a self-administered FFQ to evaluate their dietary intakes 1 year before diagnosis (for cases) or interview (for controls). Adjusted OR and 95 % CI were calculated across the quintiles of NOC (measured by N-nitrosodimethylamine (NDMA)) intake and relevant food items using unconditional logistic regression. NDMA intake was found to be associated with a higher risk of CRC (highest v. lowest quintiles: OR 1·42, 95 % CI 1·03, 1·96; P for trend = 0·005), specifically for rectal carcinoma (OR 1·61, 95 % CI 1·11, 2·35; P for trend = 0·01). CRC risk also increased with the consumption of NDMA-containing meats when the highest tertile was compared with the lowest tertile (OR 1·47, 95 % CI 1·03, 2·10; P for trend = 0·20). There was evidence of effect modification between dietary vitamin E and NDMA. Individuals with high NDMA and low vitamin E intakes had a significantly increased risk than those with both low NDMA and low vitamin E intakes (OR 3·01, 95 % CI 1·43, 6·51; P for interaction = 0·017). The present results support the hypothesis that NOC intake may be positively associated with CRC risk in humans. Vitamin E, which inhibits nitrosation, could modify the effect of NDMA on CRC risk.

  13. The Impact of a Values-Based Supply Chain (VBSC on Farm-Level Viability, Sustainability and Resilience: Case Study Evidence

    Directory of Open Access Journals (Sweden)

    Teresa Hooks


    Full Text Available The ‘Agriculture of the Middle’ (AotM development paradigm emphasises that in order to survive, family farms must transition from a supply chain approach to a values-based supply chain (VBSC approach, involving amendments to both product type and actor dynamics within the chain. This paper presents a qualitative case study of a beef co-operative integrated to a VBSC. We use an analytical framework of viability, sustainability and resilience to analyse impacts at farm-level. Our analysis highlights a number of positive effects on farm-level viability, sustainability and resilience. These benefits stemmed largely from improvements to market orientation, price stability, and members’ capacities in responding to problems. However, the autonomy of the co-operative was challenged by VBSC chain members, which impacted negatively on the stability of the co-operative.

  14. Enabling transformational change: the Ontario shores experience. (United States)

    Raymond, Glenna; Walton, Mark


    This case study outlines key considerations for healthcare organizations experiencing significant transformational change, based on the experience of Ontario Shores Centre for Mental Health Sciences (Ontario Shores), formerly Whitby Mental Health Centre. Significant systemic change requires specific and intentional efforts from the leaders tasked with carrying out transformational activities. This article presents the perspectives of leaders involved in the transformation of Ontario Shores as it moved from a government-based agency to a stand-alone specialty psychiatric hospital in 2006. During this time, several conventional strategies were employed to manage the transition, but various critical approaches also emerged that assisted the organization to effect significant change and achieve marked improvements over key evaluation metrics. These critical strategies included maximizing the distinct and collective roles of governance and leadership; balancing strategy and action through a culture of accountability; leveraging strategic communication opportunities; and shifting the organizational mindset.

  15. Reported intake of selected micronutrients and risk of colorectal cancer: results from a large population-based case-control study in Newfoundland, Labrador and Ontario, Canada. (United States)

    Sun, Zhuoyu; Zhu, Yun; Wang, Peizhong Peter; Roebothan, Barbara; Zhao, Jing; Zhao, Jinhui; Dicks, Elizabeth; Cotterchio, Michelle; Buehler, Sharon; Campbell, Peter T; McLaughlin, John R; Parfrey, Patrick S


    The impact of micronutrient intake and colorectal cancer (CRC) risk is poorly understood. The objective of this study was to evaluate the associations of selected micronutrients with risk of incident CRC in study participants from Newfoundland, Labrador (NL) and Ontario (ON), Canada. We conducted a population-based study among 1760 case participants and 2481 age- and sex-matched control participants. Information on diet and other lifestyle factors were measured using a food frequency questionnaire and a personal history questionnaire. Odds ratios (OR) and 95% confidence intervals (CI) were calculated using unconditional logistic regression, controlling for covariables. Highest compared to lowest quartile intakes of certain micronutrients were associated with lower risk of CRC, including: calcium (from food and supplements (FS), OR=0.59; 95% CI=0.45-0.77, and from food only (FO): OR=0.76, 95% CI=0.59-0.97), vitamin C (FS:OR=0.67; 95%CI:0.51-0.88), vitamin D (FS: OR=0.73; 95% CI: 0.57-0.94, FO: OR=0.79, 95% CI=0.62-1.00), riboflavin (FS: OR=0.61; 95% CI=0.47-0.78, and folate (FS: OR=0.72; 95% CI=0.56-0.92). Higher risk of CRC was observed for iron intake (highest versus lowest quintiles: OR=1.34, 95% CI=1.01-1.78). This study presents evidence that dietary intake of calcium, vitamin D, vitamin C, riboflavin and folate are associated with a lower risk of incident CRC and that dietary intake of iron may be associated with a higher risk of the disease.

  16. Energetic and economic viability of olive stone recovery as a renewable energy source: a Southern Italy case study

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    Alessandro Parenti


    Full Text Available The recovery of olive stones for biofuel is becoming increasingly widespread in olive milling plants. In this study we look at the economic and energetic benefits of using a de-stoner machine in a small-to-medium sized oil milling plant. The performance of the olive stone recovery system was evaluated over a full olive oil production season. The energetic viability of the de-stoner was assessed using a Life Cycle Assessment approach, and the break-even point was achieved when about 56 tons of olives had been processed, which is less than the annual production of the mill in question. Similarly, in economic terms, the machine covered its costs after about a quarter of its technical life.

  17. Adapting Surface Ground Motion Relations to Underground conditions: A case study for the Sudbury Neutrino Observatory in Sudbury, Ontario, Canada (United States)

    Babaie Mahani, A.; Eaton, D. W.


    Ground Motion Prediction Equations (GMPEs) are widely used in Probabilistic Seismic Hazard Assessment (PSHA) to estimate ground-motion amplitudes at Earth's surface as a function of magnitude and distance. Certain applications, such as hazard assessment for caprock integrity in the case of underground storage of CO2, waste disposal sites, and underground pipelines, require subsurface estimates of ground motion; at present, such estimates depend upon theoretical modeling and simulations. The objective of this study is to derive correction factors for GMPEs to enable estimation of amplitudes in the subsurface. We use a semi-analytic approach along with finite-difference simulations of ground-motion amplitudes for surface and underground motions. Spectral ratios of underground to surface motions are used to calculate the correction factors. Two predictive methods are used. The first is a semi-analytic approach based on a quarter-wavelength method that is widely used for earthquake site-response investigations; the second is a numerical approach based on elastic finite-difference simulations of wave propagation. Both methods are evaluated using recordings of regional earthquakes by broadband seismometers installed at the surface and at depths of 1400 m and 2100 m in the Sudbury Neutrino Observatory, Canada. Overall, both methods provide a reasonable fit to the peaks and troughs observed in the ratios of real data. The finite-difference method, however, has the capability to simulate ground motion ratios more accurately than the semi-analytic approach.

  18. An Investigation of GIS Overlay and PCA Techniques for Urban Environmental Quality Assessment: A Case Study in Toronto, Ontario, Canada

    Directory of Open Access Journals (Sweden)

    Kamil Faisal


    Full Text Available The United Nations estimates that the global population is going to be double in the coming 40 years, which may cause a negative impact on the environment and human life. Such an impact may instigate increased water demand, overuse of power, anthropogenic noise, etc. Thus, modelling the Urban Environmental Quality (UEQ becomes indispensable for a better city planning and an efficient urban sprawl control. This study aims to investigate the ability of using remote sensing and Geographic Information System (GIS techniques to model the UEQ with a case study in the city of Toronto via deriving different environmental, urban and socio-economic parameters. Remote sensing, GIS and census data were first obtained to derive environmental, urban and socio-economic parameters. Two techniques, GIS overlay and Principal Component Analysis (PCA, were used to integrate all of these environmental, urban and socio-economic parameters. Socio-economic parameters including family income, higher education and land value were used as a reference to assess the outcomes derived from the two integration methods. The outcomes were assessed through evaluating the relationship between the extracted UEQ results and the reference layers. Preliminary findings showed that the GIS overlay represents a better precision and accuracy (71% and 65%, respectively, comparing to the PCA technique. The outcomes of the research can serve as a generic indicator to help the authority for better city planning with consideration of all possible social, environmental and urban requirements or constraints.

  19. Clinical Telemedicine Utilization in Ontario over the Ontario Telemedicine Network


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


    Abstract Introduction: Northern Ontario is a region in Canada with approximately 775,000 people in communities scattered across 803,000?km2. 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. Materials and Methods: 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. ...

  20. An Outbreak of Foodborne Botulism in Ontario

    Directory of Open Access Journals (Sweden)

    Mona R Loutfy


    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.

  1. Clinical Telemedicine Utilization in Ontario over the Ontario Telemedicine Network. (United States)

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


    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.

  2. A systematic approach to selecting the best probability models for annual maximum rainfalls - A case study using data in Ontario (Canada) (United States)

    Nguyen, Truong-Huy; El Outayek, Sarah; Lim, Sun Hee; Nguyen, Van-Thanh-Van


    Many probability distributions have been developed to model the annual maximum rainfall series (AMS). However, there is no general agreement as to which distribution should be used due to the lack of a suitable evaluation method. This paper presents hence a general procedure for assessing systematically the performance of ten commonly used probability distributions in rainfall frequency analyses based on their descriptive as well as predictive abilities. This assessment procedure relies on an extensive set of graphical and numerical performance criteria to identify the most suitable models that could provide the most accurate and most robust extreme rainfall estimates. The proposed systematic assessment approach has been shown to be more efficient and more robust than the traditional model selection method based on only limited goodness-of-fit criteria. To test the feasibility of the proposed procedure, an illustrative application was carried out using 5-min, 1-h, and 24-h annual maximum rainfall data from a network of 21 raingages located in the Ontario region in Canada. Results have indicated that the GEV, GNO, and PE3 models were the best models for describing the distribution of daily and sub-daily annual maximum rainfalls in this region. The GEV distribution, however, was preferred to the GNO and PE3 because it was based on a more solid theoretical basis for representing the distribution of extreme random variables.

  3. Incorporating sex, gender and vulnerable populations in a large multisite health research programme: The Ontario Pharmacy Evidence Network as a case study. (United States)

    Cooke, Martin; Waite, Nancy; Cook, Katie; Milne, Emily; Chang, Feng; McCarthy, Lisa; Sproule, Beth


    Funders now frequently require that sex and gender be considered in research programmes, but provide little guidance about how this can be accomplished, especially in large research programmes. The purpose of this study is to present and evaluate a model for promoting sex- and gender-based analysis (SGBA) in a large health service research programme, the Ontario Pharmacy Evidence Network (OPEN). A mixed method study incorporating (1) team members' critical reflection, (2) surveys (n = 37) and interviews (n = 23) at programme midpoint, and (3) an end-of-study survey in 2016 with OPEN research project teams (n = 6). Incorporating gender and vulnerable populations (GVP) as a cross-cutting theme, with a dedicated team and resources to promote GVP research across the programme, was effective and well received. Team members felt their knowledge was improved, and the programme produced several sex- and gender-related research outputs. Not all resources were well used, however, and better communication of the purposes and roles of the team could increase effectiveness. The experience of OPEN suggests that dedicating resources for sex and gender research can be effective in promoting SGBA research, but that research programmes should also focus on communicating the importance of SGBA to their members.

  4. The effect of storage temperature and duration on northern red oak acorn viability and vigour (United States)

    Thomas L. Noland; Andree E. Morneault; Daniel C. Dey; Dave. Deugo


    Three separate collections of Ontario sources of northern red oak (Quercus rubra L.) acorns were made to determine the effects of long-term cold storage at +2°C, -1°C, and -2°C on their viability and vigour. We measured acorn moisture content, percent germination during storage, speed of germination and total germination...

  5. Impact of individual resilience and safety climate on safety performance and psychological stress of construction workers: A case study of the Ontario construction industry. (United States)

    Chen, Yuting; McCabe, Brenda; Hyatt, Douglas


    The construction industry has hit a plateau in terms of safety performance. Safety climate is regarded as a leading indicator of safety performance; however, relatively little safety climate research has been done in the Canadian construction industry. Safety climate may be geographically sensitive, thus it is necessary to examine how the construct of safety climate is defined and used to improve safety performance in different regions. On the other hand, more and more attention has been paid to job related stress in the construction industry. Previous research proposed that individual resilience may be associated with a better safety performance and may help employees manage stress. Unfortunately, few empirical research studies have examined this hypothesis. This paper aims to examine the role of safety climate and individual resilience in safety performance and job stress in the Canadian construction industry. The research was based on 837 surveys collected in Ontario between June 2015 and June 2016. Structural equation modeling (SEM) techniques were used to explore the impact of individual resilience and safety climate on physical safety outcomes and on psychological stress among construction workers. The results show that safety climate not only affected construction workers' safety performance but also indirectly affected their psychological stress. In addition, it was found that individual resilience had a direct negative impact on psychological stress but had no impact on physical safety outcomes. These findings highlight the roles of both organizational and individual factors in individual safety performance and in psychological well-being. Construction organizations need to not only monitor employees' safety performance, but also to assess their employees' psychological well-being. Promoting a positive safety climate together with developing training programs focusing on improving employees' psychological health - especially post-trauma psychological

  6. Transmission system planning in Ontario

    Energy Technology Data Exchange (ETDEWEB)

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


    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.

  7. Reforming Ontario Early Learning: A Review (United States)

    Ryan, Thomas; Date, Gavin


    Herein, we address the reformation of Ontario early learning. Over the next 3 years, all 4- and 5-year-olds in Ontario (Canada) will be able to attend full-day early learning with child care, before and after school provided by the Government of Ontario Ministry of Education. The benefits of such a change are both academic and societal and are…

  8. The effects of storage conditions on the viability of ...

    African Journals Online (AJOL)

    The effects of storage conditions on the viability of enteropathogenics bacteria in biobanking of human stools: Cases of Yersinia enterocolitica, Salmonella enterica Typhimurium and Vibrio cholerae O: 1.

  9. Fingerprinting TCE Sources and Natural Attenuation Capacity of a Sedimentary Bedrock Aquifer using Compound Specific Isotope Analysis - A Case Study in the City of Guelph, Ontario. (United States)

    Lima, P. L.; Aravena, R.; Parker, B. L.; Cherry, J. A.


    Chlorinated volatile organic compounds were detected in an industrial facility (site) in the upper part of the underlying dolomite bedrock aquifer. The primary chlorinated solvent detected at the site is trichloroethene (TCE), and associated daughter products, such as cis-1,2- dichloroethene (cis-1,2-DCE) and vinyl chloride (VC), are also present. Several conventional monitoring wells installed at the site were recently sampled for VOCs analysis, inorganic sensitive REDOX parameters and Compound Specific Isotope Analyses (CSIA) of 13C and 37Cl in order to evaluate the natural attenuation capacity of the local upper bedrock aquifer. A municipal well was also included in this study. The municipal well is located approximately 500 meters southwest from the investigated site and consists of anuncased bedrock well completed to 102 meters below ground surface (mbgs). Chlorinated volatile organic compounds were detected in this well during the evaluation of municipal groundwater resources performed in the early 1990s by the City of Guelph. Neither the City nor the Ministry of the Environment of the Province of Ontario (MOE) have been able to satisfactorily determine the origin of these compounds. Groundwater for VOCs analysis and CSIA were therefore collected in the municipal well in order to evaluate the relationship between the TCE detected in the municipal well and the TCE plume detected in the nearby industrial facility. The inorganic data indicated that the local upper aquifer is under sulfate-reducing conditions in some areas where typical VOC's daughter products and highly enriched δ13C and δ 37Cl values of TCE and cis-1,2-DCE were observed. These findings indicated that microbial reductive dechlorination of TCE is occurring in some areas of the local aquifer. The δ 13C values of TCE obtained in groundwater from the conventional wells were approximately 10 ‰ more depleted than δ 13C values obtained for the deep municipal production well. These data indicate

  10. Analyzing Sustainable Energy Opportunities for a Small Scale Off-Grid Facility: A Case Study at Experimental Lakes Area (ELA), Ontario (United States)

    Duggirala, Bhanu

    This thesis explored the opportunities to reduce energy demand and renewable energy feasibility at an off-grid science "community" called the Experimental Lakes Area (ELA) in Ontario. Being off-grid, ELA is completely dependent on diesel and propane fuel supply for all its electrical and heating needs, which makes ELA vulnerable to fluctuating fuel prices. As a result ELA emits a large amount of greenhouse gases (GHG) for its size. Energy efficiency and renewable energy technologies can reduce energy consumption and consequently energy cost, as well as GHG. Energy efficiency was very important to ELA due to the elevated fuel costs at this remote location. Minor upgrades to lighting, equipment and building envelope were able to reduce energy costs and reduce load. Efficient energy saving measures were recommended that save on operating and maintenance costs, namely, changing to LED lights, replacing old equipment like refrigerators and downsizing of ice makers. This resulted in a 4.8% load reduction and subsequently reduced the initial capital cost for biomass by 27,000, by 49,500 for wind power and by 136,500 for solar power. Many alternative energies show promise as potential energy sources to reduce the diesel and propane consumption at ELA including wind energy, solar heating and biomass. A biomass based CHP system using the existing diesel generators as back-up has the shortest pay back period of the technologies modeled. The biomass based CHP system has a pay back period of 4.1 years at 0.80 per liter of diesel, as diesel price approaches $2.00 per liter the pay back period reduces to 0.9 years, 50% the generation cost compared to present generation costs. Biomass has been successfully tried and tested in many off-grid communities particularly in a small-scale off-grid setting in North America and internationally. Also, the site specific solar and wind data show that ELA has potential to harvest renewable resources and produce heat and power at competitive

  11. Viability, invariance and applications

    CERN Document Server

    Carja, Ovidiu; Vrabie, Ioan I


    The book is an almost self-contained presentation of the most important concepts and results in viability and invariance. The viability of a set K with respect to a given function (or multi-function) F, defined on it, describes the property that, for each initial data in K, the differential equation (or inclusion) driven by that function or multi-function) to have at least one solution. The invariance of a set K with respect to a function (or multi-function) F, defined on a larger set D, is that property which says that each solution of the differential equation (or inclusion) driven by F and issuing in K remains in K, at least for a short time.The book includes the most important necessary and sufficient conditions for viability starting with Nagumo's Viability Theorem for ordinary differential equations with continuous right-hand sides and continuing with the corresponding extensions either to differential inclusions or to semilinear or even fully nonlinear evolution equations, systems and inclusions. In th...

  12. Economic and Financial Viability Plan for the Enterpreneurship of a Lyric Theatre Low-Cost Company: The Case of Zarzuela in Spain

    Directory of Open Access Journals (Sweden)

    de Sancha Navarro Jesús Manuel


    Full Text Available Taking into account that one of the major handicaps when undertaken in the cultural sector is the problem of cost and demand volatility, this paper aims to implement a viability plan for the entrepreneurship of a lyric theatre low-cost company, dedicated to Zarzuela performance, a type of Spanish music like Opera. Firstly, the cultural sector data are analysed in terms of supply and demand and secondly a viability plan is carried out for three years. According to the results it is concluded that this type of venture is very risky if you do not have grant or other financial resources, due to the variability of demand and the increase in unit costs as the artistic performance has a fixed production technology that cannot absorb the technical progress of the rest of the economy.

  13. The adoption of residential solar photovoltaic systems in the presence of a financial incentive: A case study of consumer experiences with the Renewable Energy Standard Offer Program in Ontario (Canada) (United States)

    Adachi, Christopher William Junji


    Traditionally, high initial capital costs and lengthy payback periods have been identified as the most significant barriers that limit the diffusion of solar photovoltaic (PV) systems. In response, the Ontario Government, through the Ontario Power Authority (OPA), introduced the Renewable Energy Standard Offer Program (RESOP) in November, 2006. The RESOP offers owners of solar PV systems with a generation capacity under 10MW a 20 year contract to sell electricity back to the grid at a guaranteed rate of $0.42/kWh. While it is the intent of incentive programs such as the RESOP to begin to lower financial barriers in order to increase the uptake of solar PV systems, there is no guarantee that the level of participation will in fact rise. The "on-the-ground" manner in which consumers interact with such an incentive program ultimately determines its effectiveness. The purpose of this thesis is to analyze the relationship between the RESOP and solar PV system consumers. To act on this purpose, the experiences of current RESOP participants are presented, wherein the factors that are either hindering or promoting utilization of the RESOP and the adoption of solar PV systems are identified. This thesis was conducted in three phases--a literature review, preliminary key informant interviews, and primary RESOP participant interviews--with each phase informing the scope and design of the subsequent stage. First, a literature survey was completed to identify and to understand the potential drivers and barriers to the adoption of a solar PV system from the perspective of a consumer. Second, nine key informant interviews were completed to gain further understanding regarding the specific intricacies of the drivers and barriers in the case of Ontario, as well as the overall adoption system in the province. These interviews were conducted between July and September, 2008. Third, interviews with 24 RESOP participants were conducted; they constitute the primary data set. These

  14. Analysis of 44 Cases before the Landlord and Tenant Board Involving Bed Bug Infestations in Ontario, Canada: Focus on Adjudicator Decisions Based on Entomological/Pest Management Evidence and Accountability under the Residential Tenancy Act and Other Applicable Legislation

    Directory of Open Access Journals (Sweden)

    Sam Bryks


    Full Text Available The resurgence of bed bugs in major urban centres in North America has resulted in conflict between landlords and tenants. This is commonly focused on attribution of blame for source of infestation, on responsibility, on costs for preparation, treatment and losses, and for compensation as rent abatement and/or alternative temporary housing. In Ontario, Canada, these issues are often decided by adjudicators at the Landlord and Tenant Board hearing claims, counter-claims and defense by legal representation (lawyers and paralegals as well as through mediation. Evidence in these hearings may include photographs, invoices for costs as well as testimony by tenants, landlords and “expert witnesses” who are most often pest control firms representing their landlord clients. A total of 44 Landlord and Tenant Board adjudicated cases available online were analyzed. The analysis included elements of the decisions such as adjudicator, claimant (landlord or tenant, basis of claim, review of evidence, amount of claim, amount awarded, and evaluation of the quality of the evidence. The results of the analysis of these findings are discussed. Recommendations for improvement of adjudicator decisions on the basis of knowledge of bed bug biology and Integrated Pest Management best practices are presented as well as the importance of education of tenants and landlords to a process of mutual trust, support and accountability.

  15. Viability of telework at PROCEMPA. (United States)

    Fetzner, Maria Amelia de Mesquita


    At the end of the 20th century, telework appears as one of the modalities of flexible work, which is related to new organizational structures as well as to increasing use of technology. It revolutionizes the traditional ways of performing work. Its implementation creates a number of questions to be answered by the organizations and the individuals involved. This article presents a case study on the viability of implementing telework at Procempa (The Data Processing Company of the City of Porto Alegre). The case study analyzes the technical, organizational, psychological, legal, and labor union dimensions. As a result of this study, we can identify the organization's stage of readiness for telework, the conditions under which it would be implemented, and the specific issues of an implementation.

  16. Viability and Resilience of Languages in Competition (United States)

    Chapel, Laetitia; Castelló, Xavier; Bernard, Claire; Deffuant, Guillaume; Eguíluz, Víctor M.; Martin, Sophie; Miguel, Maxi San


    We study the viability and resilience of languages, using a simple dynamical model of two languages in competition. Assuming that public action can modify the prestige of a language in order to avoid language extinction, we analyze two cases: (i) the prestige can only take two values, (ii) it can take any value but its change at each time step is bounded. In both cases, we determine the viability kernel, that is, the set of states for which there exists an action policy maintaining the coexistence of the two languages, and we define such policies. We also study the resilience of the languages and identify configurations from where the system can return to the viability kernel (finite resilience), or where one of the languages is lead to disappear (zero resilience). Within our current framework, the maintenance of a bilingual society is shown to be possible by introducing the prestige of a language as a control variable. PMID:20126655

  17. Probiotic viability – does it matter?

    Directory of Open Access Journals (Sweden)

    Sampo J. Lahtinen


    Full Text Available Probiotics are viable by definition, and viability of probiotics is often considered to be a prerequisite for the health benefits. Indeed, the overwhelming majority of clinical studies in the field have been performed with viable probiotics. However, it has also been speculated that some of the mechanisms behind the probiotic health effects may not be dependent on the viability of the cells and, therefore, is also possible that also non-viable probiotics could have some health benefits. The efficacy of non-viable probiotics has been assessed in a limited number of studies, with varying success. While it is clear that viable probiotics are more effective than non-viable probiotics and that, in many cases, viability is indeed a prerequisite for the health benefit, there are also some cases where it appears that non-viable probiotics could also have beneficial effects on human health.

  18. Irregular Shelterwood Cuttings Promote Viability of European Yew Population Growing in a Managed Forest: A Case Study from the Starohorské Mountains, Slovakia

    Directory of Open Access Journals (Sweden)

    Denisa Sedmáková


    Full Text Available The increasing probability of Taxus baccata (L. decline given climate change brings forth many uncertainties for conservation management decisions. In this article, the authors present the effects of applying regeneration cuttings since the year 2000 on the viability of the understory yew population. By collecting data from a stand located at the centre of the largest population of European yew in Slovakia, containing approximately 160,000 individuals, and analysing tree-ring records from 38 sampled trees, the improved performance of yews, including stem growth, seed production, and number of regenerated individuals, was revealed. Thinning the canopy by removing 15% of the growing stock volume per decade, combined with the subsequent irregular shelterwood cuttings, was assessed as a useful strategy. Moreover, lower radial growth of females compared to males, but simultaneously their similar response to climate, suggests a possible trade-off between reproduction and growth. Release cuttings of up to 30% of the standing volume in the vicinity of the female trees, executed in the rainy summers following warmer winters, and consistent elimination of deer browsing, can further enhance the positive effects of applied cuts on yew viability. Overall, the suggested active measures could be considered as an effective option to preserve the unique biodiversity of calcareous beech-dominated forests in Central Europe.

  19. Attitudes of Ontario psychiatrists towards health insurance.


    Lippman, D. H.; Lowy, F H; Rickhi, B


    In 1979 the opinions of Ontario psychiatrists were sought regarding the influence of the Ontario Health Insurance Plan (OHIP) on the practice of their specialty. Full replies to a 44-item questionnaire were received from more than half the certified psychiatrists in Ontario, half of whom had been in practice before the introduction of OHIP. Both satisfaction and uneasiness were expressed about most aspects of health insurance. Many of the 416 psychiatrists stated that OHIP had improved acces...

  20. A rural shelter in Ontario adapting to address the changing needs of women who have experienced intimate partner violence: a qualitative case study. (United States)

    Mantler, Tara; Wolfe, Barat


    Intimate partner violence is a significant public health problem, with shelters offering the predominant community-based solution. Shelters in Canada are mandated to provide a safe place, protection planning, advocacy and counseling among other services. Recently it has been noted the role of the shelter was shifting from an inpatient to outpatient model with a focus on increased integration of health and social services. This changing role of the shelter is amplified within the rural context where resources and cultural norms may be limited or incompatible with help-seeking behaviors. Women's shelters located in rural settings provide services within a specific cultural context that can be at odds with the needs of women who have experienced abuse, because cultural values such as rural pride, lack of anonymity, and lack of services may inhibit access to health and social services. The purpose of this in-depth qualitative case study was to examine and explore how one rural Canadian women's shelter role was changing and how the shelter was adapting to achieve the changing role. The theoretical framework utilized was a feminist intersectional lens. Qualitative interviews (averaging 60 minutes) were conducted with shelter service providers (n=6) and women staying in the shelter or utilizing shelter services (n=4). Throughout semi-structured interviews, data-trustworthy steps were taken including member-checking and paraphrasing to ensure data were an accurate representation of participants' experiences. Inductive content analysis of all interviews and field notes was conducted independently by two researchers. Analysis revealed the shelter's role was changing to include filling gaps, case management, and system navigation. To achieve the changing role, relationship building, community mobilization (both education and empowerment), and redesigning delivery were implemented as adaptation strategies. Together both the changing role of the shelter and the adaptation

  1. The Ontario Energy Marketers Association

    Energy Technology Data Exchange (ETDEWEB)

    Baker, W.F.C. [Ontario Energy Marketers Association, ON (Canada)


    An overview of the role of the Ontario Energy Marketers Association (OEMA) and its future orientation was presented. Participants in the OEMA include agents, brokers, marketers, local distribution companies, public interest representatives, associations and government representatives. The role of the OEMA is to encourage open competition for the benefit and protection of all energy consumer and market participants. As well, the OEMA serves as a forum for key industry stakeholders to resolve market issues outside the regulatory arena, set standards and codes of practice, establish customer education programs, and develop industry input into public policy making.

  2. Examining Competition in Ontario's Higher Education Market (United States)

    Farhan, Bayan Yousef


    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…

  3. Libraries in Ontario: MedlinePlus (United States)

    ... this page: Libraries in Ontario To use the sharing features on ... JavaScript. Barrie Royal Victoria Regional Health Centre Health Library 201 Georgian Drive Barrie, ON L4M 6M2 CANADA ...

  4. 37 CFR 1.807 - Viability of deposit. (United States)


    ... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Viability of deposit. 1.807... COMMERCE GENERAL RULES OF PRACTICE IN PATENT CASES Biotechnology Invention Disclosures Deposit of Biological Material § 1.807 Viability of deposit. (a) A deposit of biological material that is capable of...

  5. Combining hydrogen evolution and corrosion data - A case study on the economic viability of selected metal cathodes in microbial electrolysis cells (United States)

    Brown, Robert Keith; Schmidt, Ulrike Christiane; Harnisch, Falk; Schröder, Uwe


    In this study, hydrogen evolution reaction (HER) catalytic and corrosion data is determined for selected metal cathode materials. The HER data was gathered using cyclic voltammetry (CV) in electrolytes with several pH values and varying current densities. Of the tested materials, the stainless steel alloy EN 1.4401/AISI 316 generally had the lowest HER overpotentials at the pH values 0.25, 7 and 9. At the higher pH values of 11 and 14 a custom NiMoFe alloy with a m/m% composition of 60-30-10 showed the lowest overpotentials. After each CV experiment, the electrolyte solution was analyzed to determine the corrosion of the metal cathodes. Results of corrosion measurements showed that the stainless steels EN 1.4401 had the lowest corrosion losses on average across all tested pH values. Combining HER and corrosion data revealed that: In the pH 9 electrolyte solution, EN 1.4401 was not always the best catalyst in terms of its overpotential, but it incurs the least material costs due to its lack of corrosion, this balance thereby making it the ;best choice; under the given conditions. The combination of HER and corrosion data provides a more effective framework for discussing economic viability than either data set alone.

  6. 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. (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


    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.

  7. Economic Appraisal of Ontario's Universal Influenza Immunization Program: A Cost-Utility Analysis (United States)

    Sander, Beate; Kwong, Jeffrey C.; Bauch, Chris T.; Maetzel, Andreas; McGeer, Allison; Raboud, Janet M.; Krahn, Murray


    Background In July 2000, the province of Ontario, Canada, initiated a universal influenza immunization program (UIIP) to provide free seasonal influenza vaccines for the entire population. This is the first large-scale program of its kind worldwide. The objective of this study was to conduct an economic appraisal of Ontario's UIIP compared to a targeted influenza immunization program (TIIP). Methods and Findings A cost-utility analysis using Ontario health administrative data was performed. The study was informed by a companion ecological study comparing physician visits, emergency department visits, hospitalizations, and deaths between 1997 and 2004 in Ontario and nine other Canadian provinces offering targeted immunization programs. The relative change estimates from pre-2000 to post-2000 as observed in other provinces were applied to pre-UIIP Ontario event rates to calculate the expected number of events had Ontario continued to offer targeted immunization. Main outcome measures were quality-adjusted life years (QALYs), costs in 2006 Canadian dollars, and incremental cost-utility ratios (incremental cost per QALY gained). Program and other costs were drawn from Ontario sources. Utility weights were obtained from the literature. The incremental cost of the program per QALY gained was calculated from the health care payer perspective. Ontario's UIIP costs approximately twice as much as a targeted program but reduces influenza cases by 61% and mortality by 28%, saving an estimated 1,134 QALYs per season overall. Reducing influenza cases decreases health care services cost by 52%. Most cost savings can be attributed to hospitalizations avoided. The incremental cost-effectiveness ratio is Can$10,797/QALY gained. Results are most sensitive to immunization cost and number of deaths averted. Conclusions Universal immunization against seasonal influenza was estimated to be an economically attractive intervention. Please see later in the article for the Editors' Summary

  8. Viabilidade financeira da pasteurização lenta de leite na fazenda: estudo de caso Economic viability of on farm slow milk pasteurization: a case study[

    Directory of Open Access Journals (Sweden)

    E.V. Holanda Jr.


    Full Text Available O estudo descreve a viabilidade financeira da pasteurização lenta de leite, a partir da análise da rentabilidade frente a diferentes variações, em uma propriedade rural localizada na região metropolitana de Belo Horizonte, MG, no ano contábil de 1998. Foram utilizadas anotações das despesas e receitas complementadas por entrevistas semi-estruturadas. A produção e compra de leite foram os principais componentes dos custos operacionais totais. A pasteurização representou 12% do custo operacional e a rentabilidade sobre o capital total 10,5%. A rentabilidade variou mais frente aos preços de venda do leite e aos custos operacionais totais de produção do que aos investimentos e diferença de inventário animal. A pasteurização de leite na fazenda mostrou-se uma alternativa viável de acordo com a situação estudada.The study describes the economical viability of milk low temperature long time pasteurization, based on the profitability analysis according to different variations, in a rural property located in the Belo Horizonte (Minas Gerais State metropolitan region, in 1998. Notes of expenses and receipts were used, complemented by producers semi-structured interviews. Milk production and purchase were the major components of the total operational costs. The pasteurization cost represented 12% of the invested money and the profitability was 10.5% per year. The profitability variation was higher due to the milk selling prices as well as to the total production’s operational costs than to the investments and to the difference of animals’ inventory. In farm milk pasteurization showed to be a viable alternative, according to the studied situation.

  9. Viability of Baylisascaris procyonis Eggs


    Shira C Shafir; Sorvillo, Frank J.; Sorvillo, Teresa; Eberhard, Mark L.


    Infection with Baylisascaris procyonis roundworms is rare but often fatal and typically affects children. We attempted to determine parameters of viability and methods of inactivating the eggs of these roundworms. Loss of viability resulted when eggs were heated to 62°C or desiccated for 7 months but not when frozen at –15°C for 6 months.

  10. Indians culture in the tourism of Ontario

    Directory of Open Access Journals (Sweden)

    Besermenji Snežana


    Full Text Available The first association to potential tourists, when they mention Ontario or Canada, is endless and untouched natural area. Numerous forest areas and beautiful lakes, wild animals moving freely in these expanses of the famous Niagara Falls are important part of Ontario tourism offer. Regarding cultural assets of Ontario and of the entire Canada, it may not have old city quarters as Europe, but it certainly has a long history. This history includes Indians whose customs and culture are very interesting for tourists.

  11. Keystone Organization for Ontario's Open Source Ecosystem

    Directory of Open Access Journals (Sweden)

    Rowland Few


    Full Text Available Many companies, individuals and organizations in Ontario produce and use open source assets and processes to provide unique value to their customers, clients, and themselves. To better enable these companies, individuals and organizations to (i co-evolve capabilities and roles, (ii align themselves with companies holding leadership roles, and (iii invest in shared visions, the Talent First Network (TFN has become the keystone organization of Ontario's open source ecosystem. This article introduces the TFN and identifies the steps it is taking to better support the Ontario Open Source Ecosystem.

  12. Services available to sight-impaired and legally blind patients in Ontario: the Ontario model. (United States)

    Lapointe, Marie Louise


    The Participation and Activity Limitation Survey undertaken by Statistics Canada in 2001 identified 635,000 Canadians who have a seeing disability. By 2015 these numbers are expected to double, with the largest group of patients residing in Ontario, the province with the largest population. Ontario has a long-established history of vision rehabilitation, but recent demographic changes and an ever-increasing older population have made the planning of vision rehabilitation services in Ontario (as in the rest of Canada) even more urgent. The intent of this paper is to present the variety of services currently available to the visually impaired in Ontario.

  13. Western Ontario: Waterfowl breeding population survey: 1986 (United States)

    US Fish and Wildlife Service, Department of the Interior — This report summarizes the Waterfowl Breeding Population and Habitat Survey for western Ontario during 1986. The primary purpose of the survey is to provide...

  14. Trio Estonia esineb Lõuna-Ontarios

    Index Scriptorium Estoniae


    Lõuna-Ontario muusikahuvilistel on tänu Eesti Sihtkapitalile Kanadas ja Cathedral Bluffs sümfooniaorkestrile harukordne võimalus saada oktoobrikuus osa kõrgetasemelise Trio Estonia musitseerimisest

  15. Expanding Scope of Practice for Ontario Optometrists

    National Research Council Canada - National Science Library

    Emily Bray; Ivy Bourgault


    In 2011, The Optometry Act, 1991 was amended to include The Designated Drugs and Standards of Practice Regulation which expanded the scope of practice for Ontario optometrists to include prescribing...

  16. An integrated dialysis delivery network in Ontario. (United States)

    Peters, K; Ryan, H


    In August 1995, the Ontario Ministry of Health (MOH) issued a request for proposal (RFP) for the establishment of new and expanded dialysis services. London Health Sciences Centre (LHSC) was successful in expanding its integrated dialysis delivery network with satellites in Stratford, Woodstock and Owen Sound. This achievement required collaboration of LHSC and host hospital staff to meet the challenging RFP requirements. With final approval received in January 1997, efforts were required to establish an operational model supporting self-care and full-care patients, to train satellite staff and patients, and to manage the resulting clinical impact. A balanced scorecard (Kaplan & Norton, 1992) evaluation model was developed. Initial outcome data indicate that full-care patients in satellites require more fallback support to London units, experience more hypotensive episodes during dialysis and, in some cases, demonstrate lower levels of dialysis adequacy and nutritional status when compared to satellite self-care patients. Findings from these data will assist in revising patient inclusion criteria and processes to optimize community-based dialysis.

  17. Effect of lake-wide planktivory by the pelagic prey fish community in Lakes Michigan and Ontario (United States)

    Rand, Peter S.; Stewart, Donald J.; Lantry, Brian F.; Rudstam, Lars G.; Johannsson, Ora E.; Goyke, Andrew P.; Brandt, Stephen B.; O'Gorman, Robert; Eck, Gary W.


    We compared predatory demand by pelagic planktivorous prey fish with invertebrate production in Lake Michigan during 1987 and in Lake Ontario during 1990. Predation by the planktivores in Lake Ontario was nearly fourfold higher than in Lake Michigan (approx. 87 g wet weight∙m−2∙year−1). Predation rates on Mysis were comparable in Lakes Michigan and Ontario (approx. 21 g∙m−2∙year−1), while predation on Diporeia was markedly higher in Lake Michigan than in Lake Ontario (21.3 vs. 8.5 g wet weight∙m−2∙year−1). In Lake Ontario, predatory demand on zooplankton exceeded our best estimate of production by a factor of 1.7. Similarly, predation estimates on Mysis in Lake Ontario were 1.2–2.0 times the estimated rate of production, depending on the production model used. Lake Michigan planktivores consumed approximately 55% of available zooplankton production in 1987, indicating that competition for prey resources, if operating, was not as intense as that in Lake Ontario in 1990. It is unclear how to resolve the paradox that predation could markedly exceed available prey production in some cases. There could be sources of error in the estimates of both the supply and demand sides of these trophic relationships.

  18. Risk of colorectal cancer among immigrants to Ontario, Canada. (United States)

    Paszat, Lawrence; Sutradhar, Rinku; Liu, Ying; Baxter, Nancy N; Tinmouth, Jill; Rabeneck, Linda


    The risk of colorectal cancer (CRC) varies around the world and between females and males. We aimed to compare the risk of CRC among immigrants to Ontario, Canada, to its general population. We used an exposure-control matched design. We identified persons in the Immigration, Refugees and Citizenship Canada Permanent Resident Database with first eligibility for the Ontario Health Insurance Plan between July 1, 1991 and June 30, 2008 at age 40 years or older, and matched five controls by year of birth and sex on the immigrant's first eligibility date. We identified CRC from the Ontario Cancer Registry between the index date and December 31, 2014. All analyses were stratified by sex. We calculated crude and relative rates of CRC. We estimated risk of CRC over time by the Kaplan-Meier method and compared immigrants to controls in age and sex stratified strata using log-rank tests. We modeled the hazard of CRC using Cox proportional hazards regression, accounting for within-cluster correlation by a robust sandwich variance estimation approach, and assessed an interaction with time since eligibility. Among females, 1877 cases of CRC were observed among 209,843 immigrants, and 16,517 cases among 1,049,215 controls; the crude relative rate among female immigrants was 0.623. Among males, 1956 cases of CRC were observed among 191,792 immigrants and 18,329 cases among 958,960 controls; the crude relative rate among male immigrants was 0.582.. Comparing immigrants to controls in all age and sex stratified strata, the log rank test p  = 75 years at index, where p = 0.01. The age-adjusted hazard ratio (HR) for CRC among female immigrants was 0.63 (95% CI 0.59, 0.67) during the first 10 years, and 0.66 (95% CI 0.59, 0.74) thereafter. Among male immigrants the age-adjusted HR = 0.55 (95% CI 0.52, 0.59) during the first 10 years and increased to 0.63 (95% CI 0.57, 0.71) thereafter. The adjusted HR > = 1 only among immigrants born in Europe and Central Asia. The risk

  19. Life cycle cost and economic assessment of biochar-based bioenergy production and biochar land application in Northwestern Ontario, Canada

    Directory of Open Access Journals (Sweden)

    Krish Homagain


    Full Text Available Background Replacement of fossil fuel based energy with biochar-based bioenergy production can help reduce greenhouse gas emissions while mitigating the adverse impacts of climate change and global warming. However, the production of biochar-based bioenergy depends on a sustainable supply of biomass. Although, Northwestern Ontario has a rich and sustainable supply of woody biomass, a comprehensive life cycle cost and economic assessment of biochar-based bioenergy production technology has not been done so far in the region. Methods In this paper, we conducted a thorough life cycle cost assessment (LCCA of biochar-based bioenergy production and its land application under four different scenarios: 1 biochar production with low feedstock availability; 2 biochar production with high feedstock availability; 3 biochar production with low feedstock availability and its land application; and 4 biochar production with high feedstock availability and its land application- using SimaPro®, EIOLCA® software and spreadsheet modeling. Based on the LCCA results, we further conducted an economic assessment for the break-even and viability of this technology over the project period. Results It was found that the economic viability of biochar-based bioenergy production system within the life cycle analysis system boundary based on study assumptions is directly dependent on costs of pyrolysis, feedstock processing (drying, grinding and pelletization and collection on site and the value of total carbon offset provided by the system. Sensitivity analysis of transportation distance and different values of C offset showed that the system is profitable in case of high biomass availability within 200 km and when the cost of carbon sequestration exceeds CAD $60 per tonne of equivalent carbon (CO2e. Conclusions Biochar-based bioenergy system is economically viable when life cycle costs and environmental assumptions are accounted for. This study provides a medium scale

  20. Early Days for the Differentiation Policy Framework in Ontario (United States)

    Sianos, Helen


    The Ontario Ministry of Training, Colleges and Universities in Canada released "Ontario's Differentiation Policy Framework for Postsecondary Education" in 2013. This chapter examines the mandate as it pertains to the college sector.

  1. Lessons learned from Ontario wind energy disputes (United States)

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


    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.

  2. Assessing Ontario's Personal Support Worker Registry

    Directory of Open Access Journals (Sweden)

    Audrey Laporte


    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.

  3. Student Perceptions of Literacy after the Ontario Secondary Literacy Course: A Qualitative Inquiry

    Directory of Open Access Journals (Sweden)

    Thomas G. Ryan


    Full Text Available Adolescent literacy has emerged via the high-stakesstandardized test known as the Ontario Secondary School Literacy Test (OSSLTas a critical area of debate and study. Research has indicated a directconnection between literacy and identity, and that student literacy practicesdiffer from traditional measures of literacy located in school curriculum andevaluated via standardized tests such as the OSSLT. Outcomes such as limitedachievement, difficulties with literacy and the development of literacy skills,and subsequent below standard scorescan diminish student self-concept, lower self-esteem, and impede self-efficacy.This ethnographic case study illuminated the impact of OSSLT and subsequentmandatory enrolment in the Ontario Secondary School Literacy Course usingsemi-structured interviews involving high-school students from a northernOntario secondary school. Previous related research outcomes, whichdemonstrated a connection between standardized test scores and self-concept,were realized via participants’ understanding and perception of literacy, andthrough mitigating factors impacting literacy engagement and achievement.

  4. Children in Need of Protection: Reporting Policies in Ontario School Boards (United States)

    Shewchuk, Samantha


    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…

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

    Directory of Open Access Journals (Sweden)

    Dang Vica


    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.

  6. An Exploration of the Implementation of Restorative Justice in an Ontario Public School (United States)

    Reimer, Kristin


    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…

  7. Evaluation of a Family and Community Engagement Strategy in Three Ontario Communities (United States)

    Black, Glenda L.; Cantalini-Williams, Maria; Elliott-Johns, Susan E.; Wideman, Ron


    The Learning Partnership (TLP) initiated a Family and Community Engagement Strategy (FACES) initiative in three Ontario communities to foster active and responsive relationships among community partners and enhanced family engagement in transitions to school. A case study research design, grounded in participatory action research, was used to…

  8. Resource Development in Ontario's Colleges--What's the Future? (United States)

    Gouveia, Cindy O. Y.


    This paper provides a brief historical account, and differences in philanthropy between Ontario's colleges and universities. Several theoretical concepts will be explored to explain donor motivation in Ontario's higher education sector. The final section of this paper explores non-traditional resource development strategies that Ontario colleges…

  9. Opening Doors to Nursing Degrees: A Proposal from Ontario's Colleges (United States)

    Colleges Ontario, 2010


    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…

  10. "Strengthening" Ontario Universities: A Neoliberal Reconstruction of Higher Education (United States)

    Rigas, Bob; Kuchapski, Renée


    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…

  11. The viability of perilabyrinthine osteocytes

    DEFF Research Database (Denmark)

    Bloch, Sune Land; Kristensen, Søren Lund; Sørensen, Mads Sølvsten


    Bone remodeling is highly inhibited around the inner ear space, most likely by the anti-resorptive action of the inner ear cytokine osteoprotegerin (OPG) entering perilabyrinthine bone through the lacuno-canalicular porosity (LCP). This extracellular signaling pathway depends on the viability...

  12. Proof of Economic Viability of Blended Learning Business Models (United States)

    Druhmann, Carsten; Hohenberg, Gregor


    The discussion on economically sustainable business models with respect to information technology is lacking in many aspects of proven approaches. In the following contribution the economic viability is valued based on a procedural model for design and evaluation of e-learning business models in the form of a case study. As a case study object a…

  13. Direct medical costs of motorcycle crashes in Ontario. (United States)

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


    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.

  14. Cooperative science to inform Lake Ontario management: Research from the 2013 Lake Ontario CSMI program (United States)

    Watkins, James M.; Weidel, Brian C.; Fisk, Aaron T.; Rudstam, Lars G.


    Since the mid-1970s, successful Lake Ontario management actions including nutrient load and pollution reductions, habitat restoration, and fish stocking have improved Lake Ontario. However, several new obstacles to maintenance and restoration have emerged. This special issue presents management-relevant research from multiple agency surveys in 2011 and 2012 and the 2013 Cooperative Science and Monitoring Initiative (CSMI), that span diverse lake habitats, species, and trophic levels. This research focused on themes of nutrient loading and fate; vertical dynamics of primary and secondary production; fish abundance and behavior; and food web structure. Together these papers identify the status of many of the key drivers of the Lake Ontario ecosystem and contribute to addressing lake-scale questions and management information needs in Lake Ontario and the other Great Lakes and connecting water bodies.

  15. The fruit flies (Tephritidae) of Ontario (United States)

    Thirteen species of Tephritidae are newly recorded from Ontario, and alternative format keys are provided to the 31 genera and 72 species of fruit fly now known from, or likely to occur, in the province. Standard dichotomous keys to genera, and simplified field keys to genera and species are provide...

  16. Early fire history near Papineau lake, Ontario (United States)

    Daniel C. Dey; Richard P. Guyette


    Research that defines the role of fire in upland red oak-pine ecosystems in central Ontario is being conducted by the Great Lakes-St. Lawrence Silviculture program. Site-specific fire histories are being developed that document fire frequency, fire behavior, fire effects on forest regeneration and grwoth, and the influnce of human activites on fire disturbances. This...

  17. Early fire history near Seguin Falls, Ontario (United States)

    Daniel C. Dey; Richard P. Guyette


    This report is one of a series of site-specfic fire histories being developed for red oak (Quercus rubra L.)-pine ecosystems in central Ontario. Collectively, these studies documents the role of fire in upland oak forests. this information also provides an ecological basis for developing silviculture prescriptions that use prescribed burning to...

  18. Smokeless Tobacco Use among Ontario Students. (United States)

    Adlaf, Edward M.; Smart, Reginald G.


    Estimated use and characteristics of users of smokeless tobacco among probability sample of 4,267 Ontario (Canada) teenagers. Results indicated that smokeless tobacco use was not common, varying from one to three percent depending on age and gender, but was more likely to occur among smokers (10% to 32%). Group most prone to use was young smoking…

  19. The Teachers' Strike Study. Sudbury, Ontario, 1980. (United States)

    Radecki, Henry; Evans, Susan

    Focusing on the 1980 strike of public secondary school teachers in Sudbury, Ontario, this study examined attitudes of those involved; ascertained feelings toward the school system that may have emerged since the strike; and examined events, influences, and developments leading to the strike and prolonging the strike. The field study represented…

  20. Feasibility of Small Wind Turbines in Ontario: Integrating Power Curves with Wind Trends

    Directory of Open Access Journals (Sweden)

    Masaō Ashtine


    Full Text Available Micro-scale/small wind turbines, unlike larger utility-scale turbines, produce electricity at a rate of 300 W to 10 kW at their rated wind speed and are typically below 30 m in hub-height. These wind turbines have much more flexibility in their costs, maintenance and siting, owing to their size, and can provided wind energy in areas much less suited for direct supply to the grid system. In the future under climate change, the energy landscape will likely shift from the present centralized electricity generation and delivery system to a more distributed and locally-generated electricity and delivery system. In the new system configuration, the role of relatively small sustainable electricity generators like small wind turbines will likely become more prominent. However, the small wind industry has been substantially slow to progress in Ontario, Canada, and there is much debate over its viability in a growing energy dependent economy. This study seeks to demonstrate the performance of a small wind turbine, and speculate on its potential power output and trend over Ontario historically over the last 33 years using the North American Regional Reanalysis (NARR data. We assessed the efficiency of a Bergey Excel 1 kW wind turbine at the pre-established Kortright Centre for Conservation test site, located north of Toronto. Using a novel approach, the Bergey optimized power curve was incorporated with reanalysis data to establish power output across Ontario at three-hour resolution. Small turbine-based wind power around the Great Lakes and eastern James Bay increased during winter and fall, contributing up to 10% of the annual electricity demand in some regions in Ontario. We purport that increases in power output are driven by long-term reductions in sea and lake ice concentrations affecting atmospheric stability in surrounding regions.

  1. Regulating Traditional Chinese Medicine Practitioners and Acupuncturists in Ontario, Canada

    Directory of Open Access Journals (Sweden)

    Glen E. Randall


    Full Text Available In 2006, the Ontario government passed the Traditional Chinese Medicine Act, which granted Traditional Chinese Medicine practitioners and Acupuncturists (TCM/A practitioners self-regulatory status under the Regulated Health Professions Act, 1991. The goal of the legislation was to create a new regulatory college that would set and enforce high standards of care and safety in order to enhance public protection and access to a range of traditional and alternative therapies. In April 2013, the College of Traditional Chinese Medicine Practitioners and Acupuncturists of Ontario was officially launched. Several factors account for the government’s decision to delegate self-regulatory authority to TCM/A practitioners through the creation of a regulatory college. In particular, the government’s decision seems to have been influenced by lobbying of some practitioners, greater public acceptance of alternative medicines, patient safety concerns related to acupuncture cases in the media, and the precedence of self-regulatory status being granted to these practitioners in other provinces. The degree to which the legislation has achieved its goals is difficult to determine given the short period of time the regulatory college has existed. However, the fact that the college has developed standards of practice to guide TCM/A practitioners and has a process in place to address public complaints is an early indication of movement toward achieving the policy’s goals.

  2. Abundance, viability and culturability of Antarctic bacteria

    Digital Repository Service at National Institute of Oceanography (India)

    LokaBharathi, P.A.; DeSouza, M.J.B.D.; Nair, S.; Chandramohan, D.

    The viability of total number of bacteria decide the mineralisation rate in any ecosystem and ultimately the fertility of the region. This study aims at establishing the extent of viability in the standing stock of the Antarctic bacterial population...

  3. Benthic prey fish assessment, Lake Ontario 2013 (United States)

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


    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 (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 abundance and weight indices increased slightly as compared to 2012. The number

  4. Deep structure beneath Lake Ontario: Crustal-scale Grenville subdivisions (United States)

    Forsyth, D. A.; Milkereit, B.; Zelt, Colin A.; White, D. J.; Easton, R. M.; Hutchinson, Deborah R.


    Lake Ontario marine seismic data reveal major Grenville crustal subdivisions beneath central and southern Lake Ontario separated by interpreted shear zones that extend to the lower crust. A shear zone bounded transition between the Elzevir and Frontenac terranes exposed north of Lake Ontario is linked to a seismically defined shear zone beneath central Lake Ontario by prominent aeromagnetic and gravity anomalies, easterly dipping wide-angle reflections, and fractures in Paleozoic strata. We suggest the central Lake Ontario zone represents crustal-scale deformation along an Elzevir–Frontenac boundary zone that extends from outcrop to the south shore of Lake Ontario.Seismic images from Lake Ontario and the exposed western Central Metasedimentary Belt are dominated by crustal-scale shear zones and reflection geometries featuring arcuate reflections truncated at their bases by apparent east-dipping linear reflections. The images show that zones analogous to the interpreted Grenville Front Tectonic Zone are also present within the Central Metasedimentary Belt and support models of northwest-directed crustal shortening for Grenvillian deep crustal deformation beneath most of southeastern Ontario.A Precambrian basement high, the Iroquoian high, is defined by a thinning of generally horizontal Paleozoic strata over a crestal area above the basement shear zone beneath central Lake Ontario. The Iroquoian high helps explain the peninsular extension into Lake Ontario forming Prince Edward County, the occurrence of Precambrian inlier outcrops in Prince Edward County, and Paleozoic fractures forming the Clarendon–Linden structure in New York.

  5. Tychastic measure of viability risk

    CERN Document Server

    Aubin, Jean-Pierre; Dordan, Olivier


    This book presents a forecasting mechanism of the price intervals for deriving the SCR (solvency capital requirement) eradicating the risk during the exercise period on one hand, and measuring the risk by computing the hedging exit time function associating with smaller investments the date until which the value of the portfolio hedges the liabilities on the other. This information, summarized under the term “tychastic viability measure of risk” is an evolutionary alternative to statistical measures, when dealing with evolutions under uncertainty. The book is written by experts in the field and the target audience primarily comprises research experts and practitioners.

  6. Integrated ecosystem assessment: Lake Ontario water management.

    Directory of Open Access Journals (Sweden)

    Mark B Bain

    Full Text Available BACKGROUND: Ecosystem management requires organizing, synthesizing, and projecting information at a large scale while simultaneously addressing public interests, dynamic ecological properties, and a continuum of physicochemical conditions. We compared the impacts of seven water level management plans for Lake Ontario on a set of environmental attributes of public relevance. METHODOLOGY AND FINDINGS: Our assessment method was developed with a set of established impact assessment tools (checklists, classifications, matrices, simulations, representative taxa, and performance relations and the concept of archetypal geomorphic shoreline classes. We considered each environmental attribute and shoreline class in its typical and essential form and predicted how water level change would interact with defining properties. The analysis indicated that about half the shoreline of Lake Ontario is potentially sensitive to water level change with a small portion being highly sensitive. The current water management plan may be best for maintaining the environmental resources. In contrast, a natural water regime plan designed for greatest environmental benefits most often had adverse impacts, impacted most shoreline classes, and the largest portion of the lake coast. Plans that balanced multiple objectives and avoided hydrologic extremes were found to be similar relative to the environment, low on adverse impacts, and had many minor impacts across many shoreline classes. SIGNIFICANCE: The Lake Ontario ecosystem assessment provided information that can inform decisions about water management and the environment. No approach and set of methods will perfectly and unarguably accomplish integrated ecosystem assessment. For managing water levels in Lake Ontario, we found that there are no uniformly good and bad options for environmental conservation. The scientific challenge was selecting a set of tools and practices to present broad, relevant, unbiased, and accessible

  7. Gun control and suicide in Ontario. (United States)

    Carrington, P J; Moyer, S


    To assess the impact of the 1978 Canadian gun control law on suicide rates in Ontario, the authors compared firearm and nonfirearm suicide rates for 1965-1977 with those for 1979-1989. There was a decrease in level and trend over time of firearm and total suicide rates and no indication of substitution of other methods. These decreases may be only partly due to the legislation.

  8. Potential carbon credit and community expectations towards viability ...

    African Journals Online (AJOL)

    The paper presents results of the potential carbon credit and community expectations towards viability of REDD+ projects in Ugalla- Masito ecosystem using a case of Ilagala and Karago villages whereby REDD+ is being piloted. Various data collection methods were employed and these included focused group discussion, ...

  9. Domestic impact of tuberculosis screening among new immigrants to Ontario, Canada (United States)

    Khan, Kamran; Hirji, M. Mustafa; Miniota, Jennifer; Hu, Wei; Wang, Jun; Gardam, Michael; Rawal, Sameer; Ellis, Edward; Chan, Angie; Creatore, Maria I.; Rea, Elizabeth


    Background: All Canadian immigrants undergo screening for tuberculosis (TB) before immigration, and selected immigrants must undergo postimmigration surveillance for the disease. We sought to quantify the domestic health impact of screening for TB in all new immigrants and to identify mechanisms to enhance effectiveness and efficiency of this screening. Methods: We linked preimmigration medical examination records from 944 375 immigrants who settled in Ontario between 2002 and 2011 to active TB reporting data in Ontario between 2002 and 2011. Using a retrospective cohort study design, we measured birth country–specific rates of active TB detected through preimmigration screening and postimmigration surveillance. We then quantified the proportion of active TB cases among residents of Ontario born abroad that were detected through postimmigration surveillance. Using Cox regression, we identified independent predictors of active TB postimmigration. Results: Immigrants from 6 countries accounted for 87.3% of active TB cases detected through preimmigration screening, and 10 countries accounted for 80.4% of cases detected through postimmigration surveillance. Immigrants from countries with a TB (all-sites) incidence rate of less than 30 cases per 100 000 persons resulted in pre- and postimmigration detection of 2.4 and 0.9 cases per 100 000 immigrants, respectively. Postimmigration surveillance detected 2.6% of active TB cases in Ontario residents born abroad, and TB was detected a median of 18 days earlier in those undergoing surveillance than in those who were not referred to surveillance or who did not comply. Predictors of active TB postimmigration included radiographic markers of old TB, birth country, immigration category, location of application for residency, immune status and age. Interpretation: Universal screening for TB in new immigrants has a modest impact on the domestic burden of active TB and is highly inefficient. Focusing preimmigration screening in

  10. Domestic impact of tuberculosis screening among new immigrants to Ontario, Canada. (United States)

    Khan, Kamran; Hirji, M Mustafa; Miniota, Jennifer; Hu, Wei; Wang, Jun; Gardam, Michael; Rawal, Sameer; Ellis, Edward; Chan, Angie; Creatore, Maria I; Rea, Elizabeth


    All Canadian immigrants undergo screening for tuberculosis (TB) before immigration, and selected immigrants must undergo postimmigration surveillance for the disease. We sought to quantify the domestic health impact of screening for TB in all new immigrants and to identify mechanisms to enhance effectiveness and efficiency of this screening. We linked preimmigration medical examination records from 944,375 immigrants who settled in Ontario between 2002 and 2011 to active TB reporting data in Ontario between 2002 and 2011. Using a retrospective cohort study design, we measured birth country-specific rates of active TB detected through preimmigration screening and postimmigration surveillance. We then quantified the proportion of active TB cases among residents of Ontario born abroad that were detected through postimmigration surveillance. Using Cox regression, we identified independent predictors of active TB postimmigration. Immigrants from 6 countries accounted for 87.3% of active TB cases detected through preimmigration screening, and 10 countries accounted for 80.4% of cases detected through postimmigration surveillance. Immigrants from countries with a TB (all-sites) incidence rate of less than 30 cases per 100 000 persons resulted in pre- and postimmigration detection of 2.4 and 0.9 cases per 100 000 immigrants, respectively. Postimmigration surveillance detected 2.6% of active TB cases in Ontario residents born abroad, and TB was detected a median of 18 days earlier in those undergoing surveillance than in those who were not referred to surveillance or who did not comply. Predictors of active TB postimmigration included radiographic markers of old TB, birth country, immigration category, location of application for residency, immune status and age. Universal screening for TB in new immigrants has a modest impact on the domestic burden of active TB and is highly inefficient. Focusing preimmigration screening in countries with high incidence rates and revising

  11. Lake Ontario benthic prey fish assessment, 2015 (United States)

    Weidel, Brian C.; Walsh, M.G.; Holden, J. P.; Connerton, M.J.


    Benthic prey fishes are a critical component of the Lake Ontario food web, serving as energy vectors from benthic invertebrates to native and introduced piscivores. Since the late 1970’s, Lake Ontario benthic prey fish status was primarily assessed using bottom trawl observations confined to the lake’s south shore, in waters from 8 – 150 m (26 – 492 ft). In 2015, the Benthic Prey Fish Survey was cooperatively adjusted and expanded to address resource management information needs including lake-wide benthic prey fish population dynamics. Effort increased from 55 bottom trawl sites to 135 trawl sites collected in depths from 8 - 225m (26 – 738 ft). The spatial coverage of sampling was also expanded and occurred in all major lake basins. The resulting distribution of tow depths more closely matched the available lake depth distribution. The additional effort illustrated how previous surveys were underestimating lake-wide Deepwater Sculpin, Myoxocephalus thompsonii, abundance by not sampling in areas of highest density. We also found species richness was greater in the new sampling sites relative to the historic sites with 11 new fish species caught in the new sites including juvenile Round Whitefish, Prosopium cylindraceum, and Mottled sculpin, Cottus bairdii. Species-specific assessments found Slimy Sculpin, Cottus cognatus abundance increased slightly in 2015 relative to 2014, while Deepwater Sculpin and Round Goby, Neogobius melanostomus, dramatically increased in 2015, relative to 2014. The cooperative, lake-wide Benthic Prey Fish Survey expanded our understanding of benthic fish population dynamics and habitat use in Lake Ontario. This survey’s data and interpretations influence international resource management decision making, such as informing the Deepwater Sculpin conservation status and assessing the balance between sport fish consumption and prey fish populations. Additionally a significant Lake Ontario event occurred in May 2015 when a single

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

    Directory of Open Access Journals (Sweden)

    Tighe Mary-Kathryn


    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

  13. Recent findings from the Ontario Student Drug Use Survey


    Adlaf, E M; Ivis, F J


    BACKGROUND: Every 2 years, the Addiction Research Foundation of Ontario, a division of the Centre for Addiction and Mental Health, sponsors the Ontario Student Drug Use Survey. The results of the surveys conducted in 1995 and 1997 are presented here and compared with results from the early 1990s. METHODS: Questionnaires were completed by 3870 and 3990 Ontario public school students enrolled in grades 7, 9, 11 and 13 in 1995 and 1997 respectively. The outcome measures were prevalence of use of...

  14. Analyzing the Potential Risk of Climate Change on Lyme Disease in Eastern Ontario, Canada Using Time Series Remotely Sensed Temperature Data and Tick Population Modelling

    Directory of Open Access Journals (Sweden)

    Angela Cheng


    Full Text Available The number of Lyme disease cases (Lyme borreliosis in Ontario, Canada has increased over the last decade, and that figure is projected to continue to increase. The northern limit of Lyme disease cases has also been progressing northward from the northeastern United States into southeastern Ontario. Several factors such as climate change, changes in host abundance, host and vector migration, or possibly a combination of these factors likely contribute to the emergence of Lyme disease cases in eastern Ontario. This study first determined areas of warming using time series remotely sensed temperature data within Ontario, then analyzed possible spatial-temporal changes in Lyme disease risk in eastern Ontario from 2000 to 2013 due to climate change using tick population modeling. The outputs of the model were validated by using tick surveillance data from 2002 to 2012. Our results indicated areas in Ontario where Lyme disease risk changed from unsustainable to sustainable for sustaining Ixodes scapularis (black-legged tick populations. This study provides evidence that climate change has facilitated the northward expansion of black-legged tick populations’ geographic range over the past decade. The results demonstrate that remote sensing data can be used to increase the spatial detail for Lyme disease risk mapping and provide risk maps for better awareness of possible Lyme disease cases. Further studies are required to determine the contribution of host migration and abundance on changes in eastern Ontario’s Lyme disease risk.

  15. Improving the environmental performance of Ontario ski area operations

    Energy Technology Data Exchange (ETDEWEB)

    Del Matto, T. [Canadian Centre for Pollution Prevention, Sarnia, ON (Canada)


    This presentation discussed how to improve the environmental performance of Ontario ski area operations. It provided some context as to the significance of Ontario ski resorts to the sport of alpine skiing in Canada and provided a map of projected climate change impacts to the skiing industry in southern Ontario. It discussed the various operations involved in a ski resort and opportunities for resource use and waste generation through materials, energy and water. It discussed the formation of a task force to provide the Ontario Snow Resorts Association membership with a forum on issues related to pollution prevention. figs.

  16. Wildlife Tunnel Enhances Population Viability

    Directory of Open Access Journals (Sweden)

    Rodney van der Ree


    Full Text Available Roads and traffic are pervasive components of landscapes throughout the world: they cause wildlife mortality, disrupt animal movements, and increase the risk of extinction. Expensive engineering solutions, such as overpasses and tunnels, are increasingly being adopted to mitigate these effects. Although some species readily use such structures, their success in preventing population extinction remains unknown. Here, we use population viability modeling to assess the effectiveness of tunnels for the endangered Mountain Pygmy-possum (Burramys parvus in Australia. The underpasses reduced, but did not completely remove, the negative effects of a road. The expected minimum population size of a "reconnected" population remained 15% lower than that of a comparable "undivided" population. We propose that the extent to which the risk of extinction decreases should be adopted as a measure of effectiveness of mitigation measures and that the use of population modeling become routine in these evaluations.

  17. Malthus, Boserup and population viability. (United States)

    Bonneuil, N


    The Malthus-Boserup explanatory framework is revisited from the point of view of viability theory. Instead of imposing a univocal relationship between population pressure and level of knowledge, the way technology will change is not determined, it is only constrained. This leads to regard any situation as associated to a set of reachable futures. When no possibility is left for systems to avoid extinction, systems are no longer viable. Hence, the control-phase space can be divided into regions corresponding to gradual danger or security. This point of view allows the introduction of ideas such as incentives to create or to use new knowledge, gives a role to the threatening power of Malthusian checks, and leaves space for a specific variety of behaviors. The Boserupian theme then appears indirectly, emerging from the constraints imposed by the inertia of technological change.

  18. Insegnamiento dell'italiano nell'Ontario (The Teaching of Italian in Ontario) (United States)

    Verna, Anthony


    Paper read at the International Congress of Teachers of Italian held at the Universita Italiana per Stranieri in Perugia, Italy, August 27-28, 1971. Discusses the patterns of growth of Italian studies in Ontario at high school and university levels. (DS)

  19. Waiting times for radiation therapy in Ontario. (United States)

    Benk, Veronique; Przybysz, Raymond; McGowan, Tom; Paszat, Lawrence


    The mass media and clinical journals have reported lengthy waiting times after surgery before initiation of radiation therapy (RT) for cancer across Canada. We aimed to describe the length of time between the last date of surgery or biopsy or chemotherapy and first date of RT. This is a population-based study measuring waiting times for RT in Ontario among all patients with potentially curable cancer of the cervix, tonsil and larynx and a random sample of women who had had breast cancer resection, whose first date of RT fell between Sept. 1, 2001, and Aug. 31, 2002. Abstraction of original health care records provided each patient's demographics, cancer stage and cancer treatment (last surgery, consultation, simulation, first RT). Last dates of chemotherapy before RT were obtained from abstraction or from Ontario Health Insurance Plan (OHIP) files, and last dates of surgery before RT were compared with dates in the Canadian Institute for Health Information (CIHI) Discharge Abstract Database. Waiting times between the last date of surgery or chemotherapy and the first date of RT varied significantly among the health regions of Ontario. Increasing age, but not the presence of comorbidity, was associated with longer waiting times. Women who did not receive postoperative chemotherapy before RT for breast cancer waited significantly longer than all others. Measurement of waiting times for cancer RT must discount time during which adjuvant intravenous chemotherapy is administered after surgery and before RT. There appears to be a formal or informal process by which those at highest risk begin RT most rapidly.

  20. Hepatitis Delta Infections in Toronto, Ontario


    S. Victor Feinman; Barnet Berris; John L. Gerin; Robert H. Purcell


    This study assessed the prevalence of hepatitis delta virus infection, the relation of this infection to the clinical and histological status and to the geographic origin of 216 patients with hepatitis B virus infection in Toronto, Ontario. Evidence of delta infection was present in 13 of the 216 patients (6.0%). It was more common in patients with acute hepatitis (11.1%) and with chronic hepatitis (16.7%) than in asymptomatic carriers (3.6%). It was not present in the three patients with hep...

  1. 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


    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.

  2. Pedagogical over Punitive: The Academic Integrity Websites of Ontario Universities (United States)

    Griffith, Jane


    This study is a snapshot of how Ontario universities are currently promoting academic integrity (AI) online. Rather than concentrating on policies, this paper uses a semiotic methodology to consider how the websites of Ontario's publicly funded universities present AI through language and image. The paper begins by surveying each website and…

  3. Education Governance Reform in Ontario: Neoliberalism in Context (United States)

    Sattler, Peggy


    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…

  4. The Scientisation of Schooling in Ontario, 1910-1934 (United States)

    Milewski, Patrice


    This paper analyses the science of education that was formed in Ontario between the years 1910 and 1934. It is substantiated through the use of archival material such as curriculum documents, statutes, annual reports, the published proceedings of the Ontario Educational Association (OEA) and a close reading of the "Science of Education"…

  5. Ontario Kindergarten Teachers' Social Media Discussions about Full Day Kindergarten (United States)

    Lynch, Meghan


    This exploratory netnographic study describes how a sample of Ontario kindergarten teachers perceive the new Ontario Full Day Kindergarten (FDK) curriculum. Discussions from teacher message boards, the comment sections of online news articles, and interviews with kindergarten teachers were analyzed and coded using a qualitative approach. Analysis…

  6. Results without Rancor or Ranking: Ontario's Success Story (United States)

    Levin, Ben; Glaze, Avis; Fullan, Michael


    Much has been written about sustainable large-scale change, but there are few examples of it. Over the last four years, the province of Ontario, Canada, has been engaged in just that work of moving from a system that was in constant conflict to one that has generated both much improved student outcomes and positive energy. The Ontario education…

  7. Economic viability of anaerobic digestion

    Energy Technology Data Exchange (ETDEWEB)

    Wellinger, A. [INFOENERGIE, Ettenhausen (Switzerland)


    The industrial application of anaerobic digestion is a relatively new, yet proven waste treatment technology. Anaerobic digestion reduces and upgrades organic waste, and is a good way to control air pollution as it reduces methane and nitrous gas emissions. For environmental and energy considerations, anaerobic digestion is a nearly perfect waste treatment process. However, its economic viability is still in question. A number of parameters - type of waste (solid or liquid), digester system, facility size, product quality and end use, environmental requirements, cost of alternative treatments (including labor), and interest rates - define the investment and operating costs of an anaerobic digestion facility. Therefore, identical facilities that treat the same amount and type of waste may, depending on location, legislation, and end product characteristics, reveal radically different costs. A good approach for evaluating the economics of anaerobic digestion is to compare it to treatment techniques such as aeration or conventional sewage treatment (for industrial wastewater), or composting and incineration (for solid organic waste). For example, the cost (per ton of waste) of in-vessel composting with biofilters is somewhat higher than that of anaerobic digestion, but the investment costs 1 1/2 to 2 times more than either composting or anaerobic digestion. Two distinct advantages of anaerobic digestion are: (1) it requires less land than either composting or incinerating, which translates into lower costs and milder environmental and community impacts (especially in densely populated areas); and (2) it produces net energy, which can be used to operate the facility or sold to nearby industries.

  8. Alcohol use among immigrants in Ontario, Canada. (United States)

    Agic, Branka; Mann, Robert E; Tuck, Andrew; Ialomiteanu, Anca; Bondy, Susan; Simich, Laura; Ilie, Gabriela


    This study examined prevalence of alcohol consumption among immigrants and the Canadian-born populations of Ontario by ethnic origin, and the association between ethnicity, country of birth, age at arrival, length of residence in Canada and drinking measures. Data were derived from the Centre for Addiction and Mental Health (CAMH) Monitor, a cross-sectional survey of Ontario adults, conducted between January 2005 and December 2010 (n = 13,557). The prevalence of alcohol consumption and risk drinking was generally lower among foreign-born than Canadian-born respondents, but significant variations across ethnic groups were found. In general, foreign-born respondents of European descent reported higher rates of alcohol use and risk drinking than foreign-born respondents from other ethnic groups. We also observed that ethnicity effects varied by whether or not respondents were born in Canada, and by the age at which they arrived in Canada. While previous studies generally found an increase in immigrants' alcohol consumption with years in Canada, our data suggest that longer duration of residence may have either positive or negative effects on immigrants' alcohol use, depending on the country of origin/traditional drinking pattern. More research is needed to explore determinants of alcohol use and risk drinking among immigrants and to identify those groups at highest risk. © 2015 Australasian Professional Society on Alcohol and other Drugs.

  9. Groundwater Management Along Lake Ontario's North Shore (United States)

    Holysh, S.; Gerber, R.; Doughty, M.


    A large stretch of the north shore of Lake Ontario is characterized by a till plain that slopes down from the Oak Ridges Moraine, a 160 km long ridge of sand, silt and gravel deposits oriented in an approximately east-west direction north of Lake Ontario. Since 2000, an ongoing collaborative, multi-faceted program has been underway to better characterize the groundwater flow system on the Lake's north shore. The program is a collaborative effort between Conservation Authorities (Ontario's watershed management bodies), and several large municipalities (City of Toronto, Regional Municipalities of Peel, York and Durham). The program has three main components: database, geology and groundwater flow modeling; each of which is being actively managed and updated. In Ontario, as in many jurisdictions in North America, water and environmental data has long been neglected. Studies that involve the measurement of hydrological parameters and the collection of useful data are commonly required for approval of land use change by provincial, regional and/or local government agencies. So although data is frequently collected (at a considerable cost), it has never been rigorously assembled into a comprehensive database that can be used for future reference. Rather, the data is collected by consultants, reported through various studies, and then simply lost in archived files. In a similar fashion, individuals at many government agencies have collected water related data that now reside in locations unknown and, thus, unavailable to others in the organization. With this in mind, a comprehensive digital database was assembled to establish the foundation for long term successful groundwater management. The data model design incorporates information required for groundwater modeling purposes, thus extending beyond that of traditional groundwater information. The key data sources include borehole geology, water levels, pumping rates, surface water flows, climate data and water quality

  10. Does the balanced scorecard support organizational viability?

    NARCIS (Netherlands)

    Achterbergh, J.M.I.M.; Beeres, R.J.M.; Vriens, D.J.


    In this paper we assess whether the balanced scorecard (BSC) supports the necessary functions for organizational viability. To this purpose, we use the viable system model (VSM) as a means to describe the functions required for organizational viability. Then we use the VSM as a template to assess

  11. Pollen viability and membrane lipid composition

    NARCIS (Netherlands)

    Bilsen, van D.G.J.L.


    In this thesis membrane lipid composition is studied in relation to pollen viability during storage. Chapter 1 reviews pollen viability, membranes in the dry state and membrane changes associated with cellular aging. This chapter is followed by a study of age-related changes in phospholipid

  12. Vaccine and Immunization Surveillance in Ontario (VISION) - using linked health administrative databases to monitor vaccine safety. (United States)

    Wilson, Kumanan; Hawken, Steven; Kwong, Jeffrey C; Deeks, Shelley L; Crowcroft, Natasha S; Manuel, Douglas


    Vaccine safety surveillance is a critical component of any population-wide vaccination program. In the province of Ontario, Canada we developed a vaccine safety surveillance system utilizing linked health administration databases. VISION (Vaccine and Immunization Surveillance in Ontario) has conducted population based self-controlled case series analyses to evaluate the safety of recommended pediatric vaccines in the general population and in specific subgroups. We present our experiences with developing this system including preliminary findings and challenges. Key methodological observations include: (1) aggregate health services data as an endpoint appears useful (2) graphical description of events following vaccination are valuable and (3) relative incidence ratios are helpful for overcoming the healthy vaccinee effect. Copyright © 2012 Elsevier Ltd. All rights reserved.

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

    Directory of Open Access Journals (Sweden)

    Jonathan Ranisau


    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.

  14. Fetal viability as a threshold to personhood. A legal analysis. (United States)

    Peterfy, A


    This essay opens with an examination of US laws concerning fetal viability as they apply to induced abortion, to a mother's right to refuse medical treatment necessary to save the life of a fetus, and to the rights to file suit for the wrongful death of unborn children. The history of abortion policies in the US is traced from the common law period of the early 19th century to the restrictive post-Civil War laws and the decisions of the Supreme Court in Roe vs. Wade, which upheld the constitutionality of previability abortions; Webster vs. Reproductive Health Services, in which the Court assigned viability to the 20th week of pregnancy and acknowledged that States could have a compelling previability interest in the fetus; and the Casey decision, which provided tolerance for limits on the availability of abortion before viability as long as the limits did not create an "undue burden" on the woman seeking the abortion. Courts dealing with the issue of compelling a mother to undergo medical treatment to save her fetus have been inconsistent as they balanced the state's interest in the fetus against the mother's rights to privacy. Judges have tended to err on the side of forcing the medical interventions, but the most recent trend is against this sort of judgement. In these cases, fetal viability has also served as a dividing line. The inconsistency of the legal system is illustrated by the fact that, whereas the fetus now has a legal existence, wrongful death actions entered on behalf of a nonviable fetus have often been denied although courts have been more willing to extend protection to fetuses in wrongful death tort cases than in abortion or medical intervention cases. Criminal law has a unique set of rules for dealing with fetuses as some states have broadened their definitions of "homicide" to include fetuses, even nonviable fetuses. Courts, however, are reluctant to enlarge criminal statutes on their own. While the central position given to the role of

  15. Geographic distribution of ophthalmologists in Ontario: a 10-year review. (United States)

    Micieli, Jonathan A


    Previous studies have shown that access to appropriate care is lacking in low-income and rural areas. The goal of this study was to assess the geographic variation in the number of ophthalmologists in Ontario from the 2000 to 2010 fiscal years. Population-based analysis of the geographic distribution of Ontario ophthalmologists. All ophthalmologists who held an Ontario license and received payment through the Ontario Health Insurance Plan. Demographic information was obtained through Intellihealth Ontario's Medical Service Provider data source. Ontario counties were stratified into low-population (400000) groups. The ratio of ophthalmologists to population was greatest in low-population counties in 2000 (1:65601) and increased further in 2010 (1:75434). Only medium-sized counties saw an improvement in the ophthalmologist-to-population ratio over the study period. There was no statistical difference in the number of ophthalmologists per 100000 population between small, medium, and large counties. Counties with an ophthalmology residency program had a significantly higher number of ophthalmologists per population compared with those without one (1:18162 vs 1:44245). Geographic disparities exist in the distribution of ophthalmologists in Ontario. The highest ratios of ophthalmologists to population are found in areas with an ophthalmology residency program. New strategies are needed to improve the overall numbers and distribution of ophthalmologists to meet the demands of the aging population and reduce the burden of vision loss in Canada. Copyright © 2014 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.

  16. 76 FR 11436 - Application to Export Electric Energy; Ontario Power Generation (United States)


    ... Application to Export Electric Energy; Ontario Power Generation AGENCY: Office of Electricity Delivery and Energy Reliability, DOE. ACTION: Notice of Application. SUMMARY: Ontario Power Generation Inc. (OPG) has..., Ontario Power Generation Inc., ] 700 University Ave., Toronto, Ontario M5G 1XG and Jerry L. Pfeffer...

  17. The Efficacy of Key Performance Indicators in Ontario Universities as Perceived by Key Informants (United States)

    Chan, Vivian


    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.…



    Aires, Ayrana Soares; Silva, Luís Eduardo Carelli Teixeira da; Barros, Alderico Girão Campos de; Azevedo, Gustavo Borges Laurindo de; Naves, Cleiton Dias


    ABSTRACT Objective: This study describes the use of materials for modern cervical instrumentation, evaluating its viability in children and adolescents, and the techniques used in different cases. The efficacy of the techniques was analyzed through improvement of pain, maintenance of cervical range of motion, recovery of craniocervical stability, bone consolidation, and spinal stenosis in the postoperative follow-up. Method: Retrospective study of the clinical and radiological parameters of 2...

  19. Oil heritage district : Lambton County Ontario

    Energy Technology Data Exchange (ETDEWEB)

    Shearer, W. [Wendy Shearer Landscape Architect, Kitchener, ON (Canada)


    This paper discussed a project conducted to assess the cultural heritage values of oil field equipment in Lambton County, Ontario. Oil was discovered in the region in 1858, after which a boom and bust cycle of exploration created a large rural-industrial landscape. The region now contains a unique collection of historic oil equipment. The region's industrial footprint is interwoven with village settlements, agricultural settlements, and a railway and road network linking the region to remote refineries. Oil wells in the region still operate using a jerker line system developed in the early twentieth century. The operational oil wells are subject to fluctuating oil prices and environmental protection requirements. The project presents a rare opportunity to place industrial heritage conservation directly in the hands of business operators and regulators, while also functioning as part of a living community. 2 figs.

  20. Feminism and women's health professions in Ontario. (United States)

    Adams, Tracey L; Bourgeault, Ivy Lynn


    Historically, prevailing gender ideologies were an important element in both the exclusionary strategies employed by male occupational groups and the countervailing responses by female groups. The way in which evolving gender ideologies, and feminism in particular, influence the continuing struggle for greater status and recognition by female professions, however, remains to be fully explored. In this paper, we examine the impact and the role of feminism and feminist ideologies within three female professional projects: nursing, dental hygiene and midwifery in Ontario. We argue that feminism provides an ideology of opposition that enables leaders in these professions to battle against professional inequalities by laying bare the gender inequalities that underlie them. Framing their struggles in feminist terms, female professions also seek recognition for the uniquely female contribution they make to the health care division of labour. At the same time, there exists a tension between ideals of feminism and ideals of professionalism, that has the potential to undermine female professional projects.

  1. Salmonella investigation in an Ontario feed mill. (United States)

    Hacking, W C; Mitchell, W R; Carlson, H C


    The frequency of Salmonella contamination of feedstuffs and finished broiler chicken feeds at an Ontario feed mill were investigated over a four-month period. Samples of feed ingredients and finished pelleted feeds were collected at various points during manufacture and cultured in trypticase soy broth prior to selective enrichment for isolation of Salmonella. Salmonella contamination was found in 4.3% of 93 finished pelleted broiler feeds examined. The contamination appeared to result primarily from the incorporation of contaminated animal protein ingredients into the feed. Meatmeal and the broiler, premix, which contained meatmeal as a filler, were most frequently contaminated followed by feather meal. Pelleting failed to eliminate the Salmonellae from the feeds. The methods used failed to detect Salmonella in the environment of the feed mill or its delivery trucks. Recommendations for control are made. PMID:369663

  2. Ontario children have outgrown the Broselow tape. (United States)

    Milne, William Ken; Yasin, Abeer; Knight, Janine; Noel, Daniel; Lubell, Richard; Filler, Guido


    The Broselow Pediatric Emergency Tape (Armstrong Medical Industries, Inc., Lincolnshire, IL) (BT) is a well-established length-based tool for estimation of body weight for children during resuscitation. In view of pandemic childhood obesity, the BT may no longer accurately estimate weight. We therefore studied the BT in children from Ontario in a large recent patient cohort. Actual height and weight were obtained from an urban and a rural setting. Children were prospectively recruited between April 2007 and July 2008 from the emergency department and outpatient clinics at the London Health Science Centre. Rural children from junior kindergarten to grade 4 were also recruited in the spring of 2008 from the Avon Maitland District School Board. Data for preschool children were obtained from three daycare centres and the electronic medical record from the Maitland Valley Medical Centre. The predicted weight from the BT was compared to the actual weight using Spearman rank correlation; agreement and percent error (PE) were also calculated. A total of 6,361 children (46.2% female) were included in the study. The median age was 3.9 years (interquartile range [IQR] 1.56-7.67 years), weight was 17.2 kg (IQR 11.6-25.4 kg), and height was 103.5 cm (IQR 82-124.4 cm). Although the BT weight estimate correlated with the actual weight (r  =  0.95577, p < 0.0001), the BT underestimated the actual weight by 1.62 kg (7.1% ± 16.9% SD, 95% CI -26.0-40.2). The BT had an ≥ 10% PE 43.7% of the time. Although the BT remains an effective method for estimating pediatric weight, it was not accurate and tended to underestimate the weight of Ontario children. Until more accurate measurement tools for emergency departments are developed, physicians should be aware of this discrepancy.

  3. Terminology for pregnancy loss prior to viability

    DEFF Research Database (Denmark)

    Kolte, A M; Bernardi, L A; Christiansen, O B


    Pregnancy loss prior to viability is common and research in the field is extensive. Unfortunately, terminology in the literature is inconsistent. The lack of consensus regarding nomenclature and classification of pregnancy loss prior to viability makes it difficult to compare study results from...... different centres. In our opinion, terminology and definitions should be based on clinical findings, and when possible, transvaginal ultrasound. With this Early Pregnancy Consensus Statement, it is our goal to provide clear and consistent terminology for pregnancy loss prior to viability....

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

    Directory of Open Access Journals (Sweden)

    Jill I. Cameron


    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.

  5. Near viability for fully nonlinear differential inclusions

    National Research Council Canada - National Science Library

    Irina Căpraru; Alina Lazu


    .... We establish a viability result under Lipschitz hypothesis on F, that consists in proving the existence of solutions of the differential inclusion above, starting from a given set, which remain...

  6. Poxvirus viability and signatures in historical relics

    National Research Council Canada - National Science Library

    McCollum, Andrea M; Li, Yu; Wilkins, Kimberly; Karem, Kevin L; Davidson, Whitni B; Paddock, Christopher D; Reynolds, Mary G; Damon, Inger K


    Although it has been >30 years since the eradication of smallpox, the unearthing of well-preserved tissue material in which the virus may reside has called into question the viability of variola virus decades or centuries...

  7. Intraspecific variation in pollen viability, germination and ...

    African Journals Online (AJOL)

    Oleaceae) cultivars 'Koroneiki', 'Mastoidis' and 'Kalamata' was studied with scanning electron microscopy to identify genotype- distinguishing characters that could be employed for morphological cultivar discrimination. Pollen viability and germination ...

  8. Patterns of care for the initial management of cervical cancer in Ontario. (United States)

    Elit, L; Schultz, S; Prysbysz, R; Barbera, L; Saskin, R; Gunraj, N; Wilton, A S; Urbach, D; Simunovic, M


    To facilitate the planning of resources for cancer services in Ontario, Cancer Care Ontario commissioned an evaluation of operative services delivered for cervical cancer. Women with an incident diagnosis of cervical cancer were identified from 1 April, 2003 to 31 March, 2004 using the Ontario Cancer Registry. Record linkages were created to other provincial health databases such as the Ontario Health Insurance Plan. There were 513 incident cases. Disease-specific rates of cancer were higher in rural areas and those from lower income quintiles. Forty-three percent of women had no surgery. Use of surgery did not appear to vary by SEC, urban/rural residence or LHIN. Women of younger age were more like to receive surgery for cervical cancer. Gynecologists conducted 63% of the operations. Gynecologics were most likely to complete a lymphadenectomy (70.3%). All women were assessed by CXR. Only 22% of women had a CT scan of the abdomen and pelvis. Radiation consults were performed in half of the women with cervix cancer but treatment was only delivered to half of those seen. Medical oncologists saw about 10% of women with cervical cancers. There appear to be variations in incidence rates of cervical cancer, with cancers being more frequent in rural areas. In two-thirds of the population, surgery is performed in the region where the patient lives. Subspecialty care from gynecologic oncologists was provided to one-third of women. These preliminary data would be enhanced with further information such as comorbidity, treatment intent (palliative/curative), histology, grade and stage.

  9. Who are the providers of gynaecologic cancer surgical care in Ontario? (United States)

    Elit, Laurie; Schultz, Susan; Simunovic, Marko; Urbach, David


    To investigate the provision of surgical care for women with gynaecologic cancers in Ontario by examining the rate and distribution of procedures by hospital type, physician specialty, and region. Women with an incident diagnosis of a gynaecologic malignancy were identified from April 1, 2003, to March 31, 2004, using the Ontario Cancer Registry. Records were linked to other provincial health databases, such as the Ontario Health Insurance Plan. The number of women with uterine cancer (UC) was 1436, with ovarian cancer (OC) 963, and cervical cancer (CC) 513. Surgery was a component of care for 94.7% of women with UC, for 72.7% of women with OC, and 57.1% of women with CC. Community hospitals were responsible for surgeries in 55.9% of UC, 38% of OC, and 37% of CC. The most common operation in the community hospital for UC was total abdominal hysterectomy and bilateral salpingo-oophorectomy (83.2%); for OC, it was unilateral or bilateral salpingo-oophorectomy (43%); and for CC it was total abdominal hysterectomy (46%) or cone biopsy (46%). The mean number of annual cases per community hospital was 14 for UC, three for OC, and three for CC. In academic centres, the acuity and volume was between four and 10 times higher. Gynaecologists performed 58.2% of all cancer surgeries: 68.2% of UC procedures, 41% of OC procedures, and 49.6% of CC procedures. The type of surgeries gynaecologists performed for each cancer are mirrored in the numbers seen in the community hospital. Gynaecologists perform over half of the operations for gynaecologic cancers in Ontario. The types of procedures reflect those seen in the community hospitals. Quality indicators must be defined to assess appropriateness. These data would be enhanced with further information about staging. The data reveal patterns which should influence planning for manpower and hospital resource requirements.

  10. Probiotic viability – does it matter?


    Sampo J. Lahtinen


    Probiotics are viable by definition, and viability of probiotics is often considered to be a prerequisite for the health benefits. Indeed, the overwhelming majority of clinical studies in the field have been performed with viable probiotics. However, it has also been speculated that some of the mechanisms behind the probiotic health effects may not be dependent on the viability of the cells, and therefore is also possible that also nonviable probiotics could have some health benefits. The eff...

  11. 2001 USACE LRE Topobathy Lidar: Lake Ontario (NY) (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Office for Coastal Management received the 2001 Lake Ontario dataset with 2 separate metadata records in 2013 on a hard-drive device from the USGS Center for...

  12. Cell motility, morphology, viability and proliferation in response to nanotopography on silicon black

    DEFF Research Database (Denmark)

    Lopacinska, Joanna M.; Gradinaru, Cristian; Wierzbicki, Rafal


    standard measurements of cell viability, proliferation, and morphology on various surfaces. We also analyzed the motility of cells on the same surfaces, as recorded in time lapse movies of sparsely populated cell cultures. We find that motility and morphology vary strongly with nano-patterns, while...... viability and proliferation show little dependence on substrate type. We conclude that motility analysis can show a wide range of cell responses e. g. over a factor of two in cell speed to different nano-topographies, where standard assays, such as viability or proliferation, in the tested cases show much...

  13. Practice patterns in the management of patients with differentiated thyroid cancer in Ontario Canada 2000-2008 (United States)


    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

  14. Practice patterns in the management of patients with differentiated thyroid cancer in Ontario Canada 2000-2008. (United States)

    Hall, Stephen F; Irish, Jonathan C; Groome, Patti A; Urbach, David R


    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. 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. 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. 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.

  15. Market Myths and Facts - the Ontario Context

    Energy Technology Data Exchange (ETDEWEB)

    Dorey, S.


    The world has learned much about electricity markets and what they can and can't do over the past few years, but some myths persist. Why they persist is a subject for those who study politics, interests and influence. This paper provides a perspective on myths which have affected the reliable and economic delivery of electricity to customers, particularly with respect to transmission. Hydro One effectively provides the transmission network for the Province of Ontario, Canada. As Hydro One is a wires company, the paper is not intended to address the issues which affect the generation or conservation sectors of the industry, except where they directly relate to the wires. The proposition of this paper is that electricity transmission is best treated as an essential public good. Transmission as a market participant and a traded commodity has generally not worked with respect to assuring that the system continues to be developed to meet the basic need of customers for reliable and affordable electricity. (auth)

  16. Fungal Spores Viability on the International Space Station (United States)

    Gomoiu, I.; Chatzitheodoridis, E.; Vadrucci, S.; Walther, I.; Cojoc, R.


    In this study we investigated the security of a spaceflight experiment from two points of view: spreading of dried fungal spores placed on the different wafers and their viability during short and long term missions on the International Space Station (ISS). Microscopic characteristics of spores from dried spores samples were investigated, as well as the morphology of the colonies obtained from spores that survived during mission. The selected fungal species were: Aspergillus niger, Cladosporium herbarum, Ulocladium chartarum, and Basipetospora halophila. They have been chosen mainly based on their involvement in the biodeterioration of different substrate in the ISS as well as their presence as possible contaminants of the ISS. From biological point of view, three of the selected species are black fungi, with high melanin content and therefore highly resistant to space radiation. The visual inspection and analysis of the images taken before and after the short and the long term experiments have shown that all biocontainers were returned to Earth without damages. Microscope images of the lids of the culture plates revealed that the spores of all species were actually not detached from the surface of the wafers and did not contaminate the lids. From the adhesion point of view all types of wafers can be used in space experiments, with a special comment on the viability in the particular case of iron wafers when used for spores that belong to B. halophila (halophilic strain). This is encouraging in performing experiments with fungi without risking contamination. The spore viability was lower in the experiment for long time to ISS conditions than that of the short experiment. From the observations, it is suggested that the environment of the enclosed biocontainer, as well as the species'specific behaviour have an important effect, reducing the viability in time. Even the spores were not detached from the surface of the wafers, it was observed that spores used in the

  17. Viability analysis in biological evaluations: Concepts of population viability analysis, biological population, and ecological scale (United States)

    Gregory D. Hayward; John R. Squires


    Environmental protection strategies often rely on environmental impact assessments. As part of the assessment process biologists are routinely asked to evaluate the effects of management actions on plants and animals. This evaluation often requires that biologists make judgments about the viability of affected populations. However, population viability...

  18. Effect of air drying on bacterial viability: A multiparameter viability assessment

    NARCIS (Netherlands)

    Nocker, A.; Fernández, P.S.; Montijn, R.; Schuren, F.


    The effect of desiccation on the viability of microorganisms is a question of great interest for a variety of public health questions and industrial applications. Although viability is traditionally assessed by plate counts, cultivation-independent methods are increasingly applied with the aim to

  19. On the evolution of genetic incompatibility systems. V. Origin of sporophytic self-incompatibility in response to overdominance in viability. (United States)

    Uyenoyama, M K


    Conditions for the origin of partial sporophytic self-incompatibility (SSI) are obtained from two quantitative models, which differ with respect to the determination of offspring viability. Offspring viability depends solely on the source (self or nonself) of the fertilizing pollen in the first model, which describes changes only at a primitive S-locus itself. Two loci evolve in the second model: overdominant viability selection maintains an arbitrary number of alleles at one locus, with SSI under the control of a separate locus. In both cases, the origin of SSI requires that the relative change in the numbers of offspring derived by the two reproductive modes compensate for the twofold cost of outcrossing. In the first model studied, the viability of inbred offspring fully determines the relative change in the numbers of inbred and outbred offspring produced. In the second model, the relative change in offspring numbers depends in addition on associations between the S-locus and the viability locus. Because these two-locus associations are comparable in magnitude to the differences between the viabilities of inbred and outbred offspring, SSI can arise under less restrictive conditions than expected from the one-locus model. Greater allelic multiplicity at the viability locus facilitates the origin of SSI by reducing the relative viability of inbred offspring. Tight linkage between the S-locus and the viability locus and high rates of receipt of self-pollen promote the generation and maintenance of associations between the S-locus and the viability locus. In populations in which more than two viability alleles are maintained, the active S-allele can invade even in the absence of linkage with the viability locus. The present study establishes that incompatibility systems can arise in response to identity disequilibrium between a modifier of incompatibility and a locus subject to overdominant viability selection; in particular, compensation for the twofold cost of

  20. Law and ethics at the border of viability. (United States)

    Krug, E F


    The Supreme Court of Texas in the case of Miller v. HCA announced a rule in 2003 (118 s.w. 3d 758) that a physician attending the delivery of a severely premature infant may provide life-sustaining treatment for that infant under 'emergent circumstances' as a matter of law without first obtaining parental consent. This paper examines issues of law and ethics relevant to decisions about infant resuscitation at the border of viability. It is argued that there is typically no emergency when infants are delivered at 23 weeks gestation, and parents should be asked for informed consent before resuscitation in the delivery room.

  1. Economic Viability and Marketing Strategies of Periwinkle ...

    African Journals Online (AJOL)

    The economic viability and marketing strategies of periwinkle species in twelve major markets across Rivers State Nigeria were investigated using structured questionnaires. The results indicated that marketing strategies are enroute, through harvesters (collectors), to wholesalers (those who purchase in small quantities ...

  2. Extending the viability of sea urchin gametes. (United States)

    Spiegler, M A; Oppenheimer, S B


    The sea urchin is the material of choice for studying many early developmental events. Methods to extend the viability of sea urchin gametes have not received much attention, but it is well known that the eggs are easily damaged by freezing. This study was designed to extend the viability of Lytechinus pictus eggs and sperm without freezing. Gamete viability measurements were based on relative numbers of fertilized vs unfertilized eggs, percentage fertilization, and on observations of embryonic development. Results indicate that gametes can be stored longer and at lower temperatures than previously described. Sperm were consistently kept viable for at least 12 days with little decrease in viability when stored in glass test tubes or plastic petri dishes and submerged in ice inside a refrigerator at 0 +/- 1 degree C. In one experiment, sperm stored in glass test tubes on ice remained viable up to 20 days after extraction. Eggs were maintained from 1 to 7 days, rather than the 1 day or so previously reported, when stored in glass test tubes submerged in ice in a refrigerator at 0 +/- 1 degree C. Results of egg and sperm experiments varied at different times in the season. Such variations may be caused by seasonal cytoplasmic changes, population differences, or the time mature individuals were maintained unfed in aquaria prior to use. Results from this study should be useful for a variety of research, mariculture, and teaching applications in which sea urchin supplies are limited or when the same gamete population is required for subsequent experiments.

  3. Incorporating evolutionary processes into population viability models

    NARCIS (Netherlands)

    Pierson, J.C.; Beissinger, S.R.; Bragg, J.G.; Coates, D.J.; Oostermeijer, J.G.B.; Sunnucks, P.; Schumaker, N.H.; Trotter, M.V.; Young, A.G.


    We examined how ecological and evolutionary (eco-evo) processes in population dynamics could be better integrated into population viability analysis (PVA). Complementary advances in computation and population genomics can be combined into an eco-evo PVA to offer powerful new approaches to understand

  4. Assessment of myocardial viability using PET

    Energy Technology Data Exchange (ETDEWEB)

    Yoon, Seok Nam [College of Medicine, Ajou University, Suwon (Korea, Republic of)


    The potential for recovery of left ventricular dysfunction after myocardial revascularization represents a practical clinical definition for myocardial viability. The evaluation of viable myocardium in patients with severe global left ventricular dysfunction due to coronary artery disease and with regional dysfunction after acute myocardial infarction is an important issue whether left ventricular dysfunction may be reversible or irreversible after therapy. If the dysfunction is due to stunning or hibernation, functional improvement is observed. But stunned myocardium may recover of dysfunction with no revascularization. Hibernation is chronic process due to chronic reduction in the resting myocardial blood flow. There are two types of myocardial hibernation; 'functional hibernation' with preserved contractile reserve and 'structural hibernation' without contractile reserve in segments with preserved glucose metabolism. This review focus on the application of F-18 FDG and other radionuclides to evaluate myocardial viability. In addition the factors influencing predictive value of FDG imaging for evaluating viability and the different criteria for viability are also reviewed.

  5. Viability of mesenchymal stem cells during electrospinning

    Directory of Open Access Journals (Sweden)

    G. Zanatta


    Full Text Available Tissue engineering is a technique by which a live tissue can be re-constructed and one of its main goals is to associate cells with biomaterials. Electrospinning is a technique that facilitates the production of nanofibers and is commonly used to develop fibrous scaffolds to be used in tissue engineering. In the present study, a different approach for cell incorporation into fibrous scaffolds was tested. Mesenchymal stem cells were extracted from the wall of the umbilical cord and mononuclear cells from umbilical cord blood. Cells were re-suspended in a 10% polyvinyl alcohol solution and subjected to electrospinning for 30 min under a voltage of 21 kV. Cell viability was assessed before and after the procedure by exclusion of dead cells using trypan blue staining. Fiber diameter was observed by scanning electron microscopy and the presence of cells within the scaffolds was analyzed by confocal laser scanning microscopy. After electrospinning, the viability of mesenchymal stem cells was reduced from 88 to 19.6% and the viability of mononuclear cells from 99 to 8.38%. The loss of viability was possibly due to the high viscosity of the polymer solution, which reduced the access to nutrients associated with electric and mechanical stress during electrospinning. These results suggest that the incorporation of cells during fiber formation by electrospinning is a viable process that needs more investigation in order to find ways to protect cells from damage.

  6. Viability of smallholder dairying in Wedza, Zimbabwe. (United States)

    Zvinorova, Plaxedis Ivy; Halimani, Tinyiko Edward; Mano, Renneth T; Ngongoni, Nobbert Takarwirwa


    Viability differences in smallholder dairy farming are a result of differences in access to markets and services. It is hypothesized that innovations that improve productivity and market linkages also improve returns and viability. The viability of smallholder dairying in Wedza was characterised by interviewing 52 households using semi-structured questionnaires. Information on demographics, production, marketing, livestock numbers, assets and constraints was obtained. Farmers were resource-constrained with differences in access to resources. The highly resourced farmers had higher milk output and numbers of livestock. Almost 40 % of the households were female-headed, and these dominated the poor category. Household sizes ranged from 4 to 13 persons. Milk off-take was low (3.7 ± 0.53 l/cow/day), due to various constraints. Only rich farmers had viable enterprises in purely financial terms. Per litre cost of milk was more than selling price (US$0.96) for most farmers except the relatively rich. Operating ratios were 1.7, 0.6, 1.4 and 1.1 for the poor, rich, sub-centre and milk collection centre farmers, respectively. This means incomes from the dairy activities did not cover costs. Sensitivity analysis indicated that increases in total variable costs and labour reduced returns. Milk production and viability were influenced by access to resources and markets.

  7. Pollen viability in Quercus robur L.

    Directory of Open Access Journals (Sweden)

    Batos Branislava


    Full Text Available The variability of viability (germination rate and the length of pollen tubes of fresh pedunculate oak (Quercus robur L. pollen grains was studied in vitro on a medium containing 15% sucrose. Spatial variability was studied by sampling fresh pollen grains from a total of thirteen trees at four different sites in the area of Belgrade (Košutnjak, Banovo Brdo, Ada Ciganlija and Bojčin Forest in a single year (2011. In order to assess temporal variability and determine the effects of climate change on a small time scale, we studied the viability of the pollen grains collected from one tree at the Banovo Brdo site in six different years (2004, 2005, 2006, 2007, 2011 and 2012. Interindividual variability was tested on the pollen grains sampled from eight trees at Ada Ciganlija in 2004. The percentage values of the pollen grain germination rate and the pollen tube length showed no statistically significant differences between the sites. However, the studied characteristics of the pollen grain viability (germination rate and pollen tube length showed statistically significant differences in both temporal (between the pollen collection years and interindividual variability. This type of research makes a valuable contribution to pedunculate oak breeding programs through the identification of trees with stable production and a good quality of pollen. Furthermore, it can be important in defining the patterns of spatial, temporal and individual variability of pollen grain viability under the influence of climate factors, which are showing compelling changing trends from year to year.

  8. Office-based procedures among urban and rural family physicians in Ontario

    National Research Council Canada - National Science Library

    R. Liisa Jaakkimainen; Priya R. Sood; Susan E. Schultz


    .... Descriptive cohort study using health administrative data. Ontario. All FPs and GPs who billed the Ontario Health Insurance Plan for at least 1 office-based procedure between January 1 and December 31, 2006 (N = 8648...

  9. 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


    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.

  10. Job turnover and regional attrition among physiotherapists in northern Ontario. (United States)

    Noh, S; Beggs, C E


    Results of an initial study indicated that the most significant factor affecting retention for Physiotherapists in Northern Ontario was perceived opportunity for career development. A follow-up study was completed two years later to determine: 1) actual job turnover and regional attrition among physiotherapists in Northern Ontario; and 2) the predictive validity of variables identified in the first study regarding job turnover and regional attrition. Job turnover occurred in 29.5% of those sampled and the regional attrition rate was 12%. Discriminant function analysis revealed factors affecting job turnover and regional attrition including professional experience, practice location, opportunity for career development and size of community of residence. Based on previous intention, indicated by participants, follow-up revealed that the initial study correctly predicted 77.5% of those who changed their jobs and 74.1% of those who left Northern Ontario. Identified factors provide direction for the development of strategies for recruitment and retention of physiotherapists.

  11. Health system redesign using Collective Impact: implementation of the Behavioural Supports Ontario initiative in Southwest Ontario. (United States)

    Gutmanis, Iris; Speziale, Jennifer; Hillier, Loretta M; van Bussel, Elisabeth; Girard, Julie; Simpson, Kelly


    This paper describes how the Collective Impact framework facilitated the design, implementation and development of a quality improvement initiative aimed at changing the way healthcare is provided to older adults living with mental health, addictions, neurocognitive and behavioral issues in southwestern Ontario. By promoting a common agenda, shared measurement systems, mutually reinforcing activities, continuous communication and with leadership from a backbone organization, system-wide change occurred. Outcomes, operational/strategic, clinical, capacity enhancement and community support structures as well as challenges are discussed. Improved coordination with primary care will further support enhanced clinical activities and capacity development strategies. Large-scale, multisectoral change is possible when aligned with a collaborative, problem-solving framework that promotes the commitment of many service providers/agencies to a common agenda.

  12. 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.

  13. Future changes of temperature and heat waves in Ontario, Canada (United States)

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


    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.

  14. Cost Assessment Methodology and Economic Viability of Tidal Energy Projects

    Directory of Open Access Journals (Sweden)

    Eva Segura


    Full Text Available The exploitation of technologies with which to harness the energy from ocean currents will have considerable possibilities in the future thanks to their enormous potential for electricity production and their high predictability. In this respect, the development of methodologies for the economic viability of these technologies is fundamental to the attainment of a consistent quantification of their costs and the discovery of their economic viability, while simultaneously attracting investment in these technologies. This paper presents a methodology with which to determine the economic viability of tidal energy projects, which includes a technical study of the life-cycle costs into which the development of a tidal farm can be decomposed: concept and definition, design and development, manufacturing, installation, operation and maintenance and dismantling. These cost structures are additionally subdivided by considering their sub-costs and bearing in mind the main components of the tidal farm: the nacelle, the supporting tidal energy converter structure and the export power system. Furthermore, a technical study is developed in order to obtain an estimation of the annual energy produced (and, consequently, the incomes generated if the electric tariff is known by considering its principal attributes: the characteristics of the current, the ability of the device to capture energy and its ability to convert and export the energy. The methodology has been applied (together with a sensibility analysis to the particular case of a farm composed of first generation tidal energy converters in one of the Channel Island Races, the Alderney Race, in the U.K., and the results have been attained by means of the computation of engineering indexes, such as the net present value, the internal rate of return, the discounted payback period and the levelized cost of energy, which indicate that the proposed project is economically viable for all the case studies.

  15. Exploring the Gap between Teacher Certification and Permanent Employment in Ontario: An Integrative Literature Review (United States)

    Brock, Allison; Ryan, Thomas G.


    The following integrative literature review illuminates the perceptible time gap that currently exists for new Ontario teachers graduating and moving from teacher preparation programs to permanent members of the Ontario teaching community. At a time of oversupply of teachers, many new teachers within Ontario and beyond its borders become…

  16. Creating a cultural analysis tool for the implementation of Ontario's civil mental health laws. (United States)

    Dhand, Ruby


    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

  17. Monitoring cell growth, viability, and apoptosis. (United States)

    Butler, Michael; Spearman, Maureen; Braasch, Katrin


    The accurate determination of cell growth and viability is pivotal to monitoring a bioprocess. Direct methods to determine the cell growth and/or viability in a bioprocess include microscopic counting, electronic particle counting, image analysis, in situ biomass monitoring, and dieletrophoretic cytometry. These methods work most simply when a fixed volume sample can be taken from a suspension culture. Manual microscopic counting is laborious but affords the advantage of allowing cell viability to be determined if a suitable dye is included. Electronic particle counting is a rapid total cell count method for replicate samples, but some data distortion may occur if the sample has significant cell debris or cell aggregates. Image analysis based on the use of digital camera images acquired through a microscope has advanced rapidly with the availability of several commercially available software packages replacing manual microscopic counting and viability determination. Biomass probes detect cells by their dielectric properties or their internal concentration of NADH and can be used as a continuous monitor of the progress of a culture. While the monitoring of cell growth and viability is an integral part of a bioprocess, the monitoring of apoptosis induction is also becoming more and more important in bioprocess control to increase volumetric productivity by extending bioprocess duration. Different fluorescent assays allow for the detection of apoptotic characteristics in a cell sample.Indirect methods of cell determination involve the chemical analysis of a culture component or a measure of metabolic activity. These methods are most useful when it is difficult to obtain intact cell samples. However, the relationship between these parameters and the cell number may not be linear through the phases of a cell culture. The determination of nucleic acid (DNA) or total protein can be used as an estimate of biomass, while the depletion of glucose from the media can be used

  18. No. 347-Obstetric Management at Borderline Viability. (United States)

    Ladhani, Noor Niyar N; Chari, Radha S; Dunn, Michael S; Jones, Griffith; Shah, Prakesh; Barrett, Jon F R


    The primary objective of this guideline was to develop consensus statements to guide clinical practice and recommendations for obstetric management of a pregnancy at borderline viability, currently defined as prior to 25+6 weeks. Clinicians involved in the obstetric management of women whose fetus is at the borderline of viability. Women presenting for possible birth at borderline viability. This document presents a summary of the literature and a general consensus on the management of pregnancies at borderline viability, including maternal transfer and consultation, administration of antenatal corticosteroids and magnesium sulfate, fetal heart rate monitoring, and considerations in mode of delivery. Medline, EMBASE, and Cochrane databases were searched using the following keywords: extreme prematurity, borderline viability, preterm, pregnancy, antenatal corticosteroids, mode of delivery. The results were then studied, and relevant articles were reviewed. The references of the reviewed studies were also searched, as were documents citing pertinent studies. The evidence was then presented at a consensus meeting, and statements were developed. The content and recommendations were developed by the consensus group from the fields of Maternal-Fetal Medicine, Neonatology, Perinatal Nursing, Patient Advocacy, and Ethics. The quality of evidence was rated using criteria described in the Grading of Recommendations Assessment, Development and Evaluation methodology framework (reference 1). The Board of the Society of Obstetricians and Gynaecologists of Canada approved the final draft for publication. The quality of evidence was rated using the criteria described in the Grading of Recommendations, Assessment, Development, and Evaluation methodology framework. The interpretation of strong and weak recommendations is described later. The Summary of Findings is available upon request. A multidisciplinary approach should be used in counselling women and families at borderline

  19. The market viability of nuclear hydrogen technologies.

    Energy Technology Data Exchange (ETDEWEB)

    Botterud, A.; Conzelmann, G.; Petri, M. C.; Yildiz, B.


    The Department of Energy Office of Nuclear Energy is supporting system studies to gain a better understanding of nuclear power's potential role in a hydrogen economy and what hydrogen production technologies show the most promise. This assessment includes identifying commercial hydrogen applications and their requirements, comparing the characteristics of nuclear hydrogen systems to those market requirements, evaluating nuclear hydrogen configuration options within a given market, and identifying the key drivers and thresholds for market viability of nuclear hydrogen options. One of the objectives of the current analysis phase is to determine how nuclear hydrogen technologies could evolve under a number of different futures. The outputs of our work will eventually be used in a larger hydrogen infrastructure and market analysis conducted for DOE-EE using a system-level market simulation tool now underway. This report expands on our previous work by moving beyond simple levelized cost calculations and looking at profitability, risk, and uncertainty from an investor's perspective. We analyze a number of technologies and quantify the value of certain technology and operating characteristics. Our model to assess the profitability of the above technologies is based on Real Options Theory and calculates the discounted profits from investing in each of the production facilities. We use Monte-Carlo simulations to represent the uncertainty in hydrogen and electricity prices. The model computes both the expected value and the distribution of discounted profits from a production plant. We also quantify the value of the option to switch between hydrogen and electricity production in order to maximize investor profits. Uncertainty in electricity and hydrogen prices can be represented with two different stochastic processes: Geometric Brownian Motion (GBM) and Mean Reversion (MR). Our analysis finds that the flexibility to switch between hydrogen and electricity leads

  20. Viability of encapsulated Lactobacillus sp. Mar 8

    Directory of Open Access Journals (Sweden)



    Full Text Available Lactobacillus sp. Mar 8 had advantages as probiotic digestive system cholesterol lowering Lactobacillus. Applying in industry, particular processing technique is necessary for gaining product that ready for marketing and consuming. Spray drying is common technique using in various food processing. High processing temperature, 100-200oC, for 3-10 second become the barrier because cells were under extreme temperature stress. Therefore, encapsulate was needed to protect the cells from those extreme conditions. Viability and survival rate of encapsulated Lactobacillus sp. Mar 8 have been investigated. The result showed that Lactobacillus sp. Mar 8 that was encapsulated by 10% skim milk has higher viability than those by 5% skim milk, namely 72.37% and 51.69% respectively. Survival rate of encapsulated Lactobacillus cells will come to zero in 41.28 years. Therefore, encapsulated Lactobacillus sp. Mar 8 may use as probiotic agent.

  1. Audit of provincial IVIG Request Forms and efficacy documentation in four Ontario tertiary care centres. (United States)

    Shih, A W; Jamula, E; Diep, C; Lin, Y; Armali, C; Heddle, N M; Traore, A; Doherty, J; Shah, N; Hillis, C M


    Retrospective audit of IVIG Request Forms in four Ontario tertiary care centres: to determine the case mix of new IVIG requests, to authenticate information provided, and to determine documentation of clinical efficacy. To understand contributors to increases in IVIG utilisation and to determine whether IVIG is being used and monitored appropriately. Intravenous immunoglobulin (IVIG) use in Canada is high compared with other developed countries. We performed a retrospective audit of new IVIG Request Forms across four tertiary care centres in Ontario, one with an active surveillance programme, to determine the case mix, authenticate information provided and assess documentation of efficacy. Consecutive adult patients with a first-time IVIG request in 2014 were included. The ordering physician specialty, form completeness, documentation of diagnostic criteria for the medical condition and indication for IVIG use and documentation of efficacy were assessed by form and chart review. Of 178 patients, the most common indications for IVIG were immune thrombocytopenia (24.2%) and secondary immune deficiency (20.2%). The most frequent prescribers were haematologists (37.6%) and neurologists (10.7%). Other conditions not listed on the form represented 24.2% of cases, with most not indicated in current guidelines. A total of 32.6% of cases overall lacked verification of diagnostic criteria and 51.7% lacked verification for IVIG utilisation criteria, with the number of cases meeting criteria based on documentation being higher at the active surveillance site (P = 0.005). A total of 19.1% of cases had a discrepancy between the indication written on the form and the documented clinical diagnosis. A total of 18.7% of clinic notes following IVIG had no mention of efficacy. Our audit demonstrates a lack of compliance with IVIG Request Form requirements, a lack of documentation of diagnostic criteria and efficacy, and suggests inappropriate use of IVIG. Current implementation of the

  2. How Ontario Spread Successful Practices across 5,000 Schools (United States)

    Glaze, Avis


    Ontario embraced a provincial lead improvement plan that was designed to improve its 5,000 schools by focusing on literacy and numeracy, improving high school graduation, and improving public support for education. Its primary strategy was developing networks of educators and building their capacity for growth.

  3. Constructing Bullying in Ontario, Canada: A Critical Policy Analysis (United States)

    Winton, Sue; Tuters, Stephanie


    As the prevalence and negative effects of bullying become widely known, people around the world seem desperate to solve the bullying "problem". A sizeable body of research about many aspects of bullying and a plethora of anti-bullying programmes and policies now exist. This critical policy analysis asks: how does Ontario, Canada's…

  4. Omitted Costs, Inflated Benefits: Renewable Energy Policy in Ontario (United States)

    Gallant, Parker; Fox, Glenn


    The government of Ontario has adopted wind energy development as an alternative energy source. It enacted the Green Energy and Economy Act, May 2009, with the intention to fast track the approval process regarding industrial wind turbines. The Act legislated a centralized decision making process while removing local jurisdictional authority.…

  5. Financial Literacy in Ontario: Neoliberalism, Pierre Bourdieu and the Citizen (United States)

    Arthur, Chris


    Utilizing concepts from Pierre Bourdieu I argue that the implementation of financial literacy education in Ontario public schools will, if uncontested, support a neoliberal consumer habitus (subjectivity) at the expense of the critical citizen. This internalization of the neoliberal ethos assists state efforts to shift responsibility for…

  6. Ontario Science Education Report Card. Canadian National Comparisons. Research Brief. (United States)

    Connelly, F. Michael

    Canada is one of nearly 40 countries involved in the Second International Science Study (SISS). The Ontario Ministry of Education used the data generated in the study as a vehicle for assessing science education in the province, and comparing the province to the rest of Canada. Each chapter of this report contains a non-technical summary of…

  7. The Psychologist Support Program of the Ontario Psychological Association. (United States)

    Jackson, Iris

    Members of the helping professions are not immune from physical or psychological impairments that interfere with competent and ethical practice. The types of problems faced by psychologists and the help offered by one support program are presented. The purpose of the Psychologist Support Program (PSP) of the Ontario (Canada) Psychological…

  8. Institutional Diversity in Ontario's University Sector: A Policy Debate Analysis (United States)

    Piché, Pierre G.; Jones, Glen A.


    In order to meet the demands in a cost-effective manner of an emerging knowledge society that is global in scope, structural higher education policy changes have been introduced in many countries with a focus on systemic and programmatic diversity. There has been an ongoing debate about institutional diversity in Ontario higher education,…

  9. Isolation prevalence of pulmonary nontuberculous mycobacteria in Ontario in 2007. (United States)

    Al Houqani, Mohammed; Jamieson, Frances; Chedore, Pamela; Mehta, Mauli; May, Kevin; Marras, Theodore K


    The reported prevalence of pulmonary nontuberculous mycobacteria (NTM) infections is increasing. To determine the 'isolation prevalence' of NTM in 2007 and compare it with previously published research that examined the increasing rates of isolation of NTM from clinical pulmonary specimens between 1997 and 2003. Isolation prevalence was investigated retrospectively by reviewing a cohort of all positive pulmonary NTM culture results from the Tuberculosis and Mycobacteriology Laboratory, Public Health Laboratory (Toronto, Ontario) in 2007, which identifies at least 95% of NTM isolates in Ontario. Isolation prevalence was calculated as the number of persons with a pulmonary isolate in a calendar year divided by the contemporary population and expressed per 100,000 population. Changes in isolation prevalence from previous years were assessed for statistical significance using generalized linear models with a negative binomial distribution. In 2007, 4160 pulmonary isolates of NTM were collected from 2463 patients. The isolation prevalence of all species (excluding Mycobacterium gordonae) was 19 per 100,000 population in 2007 - an increase from previous observations reported for Ontario - corresponding to an average annual increase of 8.5% from 1997 to 2007 (Pisolation prevalence of Mycobacterium avium complex (8.8%, Pmycobacteria remained relatively stable. The isolation prevalence of pulmonary NTM continues to increase significantly in Ontario, supporting the belief that pulmonary NTM disease is increasingly common.

  10. Implications of Key Performance Indicator Issues in Ontario Universities Explored (United States)

    Chan, Vivian


    Since 1998, the Ministry of Training, Colleges and Universities in Ontario, Canada, has required that data on specific key performance indicators (KPIs) be made public by its publicly funded universities. The information is intended to be used by universities to demonstrate their achievements, to improve their programmes and services, and to…

  11. Shared Geospatial Metadata Repository for Ontario University Libraries: Collaborative Approaches (United States)

    Forward, Erin; Leahey, Amber; Trimble, Leanne


    Successfully providing access to special collections of digital geospatial data in academic libraries relies upon complete and accurate metadata. Creating and maintaining metadata using specialized standards is a formidable challenge for libraries. The Ontario Council of University Libraries' Scholars GeoPortal project, which created a shared…

  12. Sulfur pollution: an environmental study of Welland, Ontario (United States)

    Michael R. Moss


    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...

  13. Prevalence of Problematic Video Gaming among Ontario Adolescents (United States)

    Turner, Nigel E.; Paglia-Boak, Angela; Ballon, Bruce; Cheung, Joyce T. W.; Adlaf, Edward M.; Henderson, Joanna; Chan, Vincy; Rehm, Jurgen; Hamilton, Hayley; Mann, Robert E.


    Video game playing has become a very popular activity among adolescents. Its impact on the mental health and well-being of players is just beginning to be explored. This paper reports on the prevalence of problematic gaming in a representative sample of 2,832 Ontario students in grades 7 to 12. The survey included questions about the school grade,…

  14. Physician satisfaction under the Ontario Health Insurance Plan. (United States)

    Kravitz, R L; Linn, L S; Shapiro, M F


    To determine the level of professional satisfaction experienced by physicians practicing in Ontario, Canada, a probability sample of 1,028 physicians was surveyed; 69% responded. The majority of Ontario doctors were at least moderately satisfied with each of 16 aspects of their work, and the percentage who were dissatisfied exceeded 15% for only four aspects. Factor analysis suggested the presence of four underlying satisfaction facets: satisfaction with quality of care, with the rewards of practice, with patients, and with the practice environment. Multivariate regression analysis supported the validity of the four-facet model and demonstrated a consistent association between lower satisfaction and younger age, lower income, and the perception that it is difficult to obtain fair reimbursement for medical services (P less than 0.05). Least satisfied physicians were most likely to have participated in the June, 1986 Ontario doctors' strike (P less than 0.001). Despite some misgivings, the majority of physicians practicing under the Ontario Health Insurance Plan in 1987 were satisfied with their professional lives. They were least satisfied with their ability to make administrative decisions and to manipulate the system for the benefit of their patients. Policymakers should be cognizant of the effects various strategies may have upon physician satisfaction as they consider new approaches to health care organization.

  15. Revisiting Constructivist Teaching Methods in Ontario Colleges Preparing for Accreditation (United States)

    Schultz, Rachel A.


    At the time of writing, the first community colleges in Ontario were preparing for transition to an accreditation model from an audit system. This paper revisits constructivist literature, arguing that a more pragmatic definition of constructivism effectively blends positivist and interactionist philosophies to achieve both student centred…

  16. Creating a Sustainability Scorecard as a predictive tool for measuring the complex social, economic and environmental impacts of industries, a case study: assessing the viability and sustainability of the dairy industry. (United States)

    Buys, L; Mengersen, K; Johnson, S; van Buuren, N; Chauvin, A


    Sustainability is a key driver for decisions in the management and future development of industries. The World Commission on Environment and Development (WCED, 1987) outlined imperatives which need to be met for environmental, economic and social sustainability. Development of strategies for measuring and improving sustainability in and across these domains, however, has been hindered by intense debate between advocates for one approach fearing that efforts by those who advocate for another could have unintended adverse impacts. Studies attempting to compare the sustainability performance of countries and industries have also found ratings of performance quite variable depending on the sustainability indices used. Quantifying and comparing the sustainability of industries across the triple bottom line of economy, environment and social impact continues to be problematic. Using the Australian dairy industry as a case study, a Sustainability Scorecard, developed as a Bayesian network model, is proposed as an adaptable tool to enable informed assessment, dialogue and negotiation of strategies at a global level as well as being suitable for developing local solutions. Copyright © 2013 Elsevier Ltd. All rights reserved.


    Directory of Open Access Journals (Sweden)

    Jana Lukáčová


    Full Text Available Nonylphenol (NP is a toxic xenobiotic compound classified as an endocrine disruptor that bioaccumulates in the body and causes endocrine disruption. NP can result in male reproductive dysfunction, altered testicular development and decreased male fertility. The target of this in vitro study was to determine the effect of NP as an endocrine disruptor on the viability of spermatozoa. We examined the dose- and time-dependent effect of nonylphenol (1, 10, 100 and 200 µg/mL dissolved either in 0.1% dimethyl sulfoxide (DMSO and 0.1% ethanol on the viability of bovine spermatozoa after 6 h of in vitro cultivation. The viability of bovine spermatozoa was detected by the MTT cytotoxicity assay. The viability in groups with NP dissolved in 0.1% DMSO was significantly (P 10 µg/mL of NP and was decreased significantly (P<0.001 in all experimental groups with NP dissolved in 0.1% ethanol. After 6 h of culture the MTT assay proved a negative effect of all NP doses on the cell viability. The lowest survival of spermatozoa was determined after the addition of 200 µg/mL of NP. The obtained data indicate that the negative effect of NP on the viability must be seriously considered in the case of exposure to NP in animals and humans.

  18. Viability of commercial wine yeasts during freezer storage in glycerol-based media. (United States)

    Sidari, R; Caridi, A


    Glycerol-based medium (BM) with and without the addition of 1 g/L ascorbic acid (Asc) and/or 100 mg/L (+/-)-catechin (Cat) was tested for the storage of three commercial wine yeasts at -20 degrees C. The medium supplemented with Asc was also used to store 706 strains to verify the maintenance of the liquid state. A decline in survival throughout the storage period was observed. The media containing Asc maintained viability better than the other three. The BM caused a loss of viability of 7 orders for one strain and of 6 orders for the other two. All three strains exhibited a loss of viability of 4 orders when stored in BM+Asc. Two strains decreased viability by 5 orders while one strain by 4 orders, when stored in BM+Cat. Two strains decreased viability by 6 orders while one strain by 5 orders, when stored in BM+Asc+Cat. Regarding the physical state of the medium tested on 706 yeast strains, three cases were observed: completely liquid (56.5 %), liquid with only the upper part frozen (40.4 %) without involving the yeast biomass settled at the bottom, and completely frozen (3.12 %). It is practicable to prepare a BM that remains liquid at -20 degrees C enhancing yeast viability when Asc is added as cryoprotectant.

  19. A population on the rise: The origin of deepwater sculpin in Lake Ontario (United States)

    Welsh, Amy B.; Scribner, Kim T.; Stott, Wendylee; Walsh, Maureen


    Deepwater sculpin, Myoxocephalus thompsonii, were thought to have been extirpated from Lake Ontario. However, in recent years, abundance has increased and recruitment has been documented. There are two hypotheses concerning the origin of the current Lake Ontario deepwater sculpin population. First, individuals from the upper Great Lakes may have recolonized Lake Ontario. Alternatively, the Lake Ontario population may have not been extirpated, and the remnant population has recovered naturally. To test these hypotheses, eight microsatellite loci were used to analyze samples from the current Lake Ontario population, museum specimens from the historic Lake Ontario population, and current upper Great Lakes populations. The genetic data suggest that historically throughout the Great Lakes, deepwater sculpin exhibited low levels of spatial genetic structure. Approximate Bayesian Computation analyses support the hypothesis that the current Lake Ontario population is more closely related to populations in the upper Great Lakes than to the historic Lake Ontario samples, indicating that the current Lake Ontario population likely resulted from recolonization from the Upper Great Lakes. The current Lake Ontario population has reduced allelic diversity relative to upper Great Lakes populations, indicating a possible founder effect. This study demonstrates the role life history variation can play in recolonization success. The pelagic larval phase of the deepwater sculpin allowed recolonization of Lake Ontario via passive larval drift.

  20. An ecological study of cancer incidence in Port Hope, Ontario from 1992 to 2007. (United States)

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


    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.

  1. Lifestyle, dietary, and medical history factors associated with pancreatic cancer risk in Ontario, Canada. (United States)

    Anderson, Laura N; Cotterchio, Michelle; Gallinger, Steven


    Pancreatic adenocarcinoma has one of the worst survival rates of all the cancers. Established risk factors for this malignancy are smoking, body mass index (BMI) and family history of pancreatic cancer. Findings are inconsistent regarding pancreatitis, diabetes, allergies, intake of fruit, vegetables, red meat, alcohol, caffeine, vitamin C, calcium, and folate supplements. Possible pancreatic cancer risk factors were evaluated within the population-based Ontario Pancreas Cancer Study. Pathologically confirmed pancreatic cancer cases (n = 422) were identified from the Ontario Cancer Registry between 2003 and 2007. Controls (n = 312) were recruited through random digit dialing. Data were collected using self-administered questionnaires. Multivariate logistic regression was used to obtain odds ratios. Smoking, BMI, family history of pancreatic cancer, and caffeine were significantly associated with increased pancreatic cancer risk, while fruit intake and allergies significantly decreased risk. No other significant associations were observed in the multivariate model. Effect modification by smoking status was suggested for caffeine, family history of pancreatic cancer, BMI, and fruit. This study further clarifies the association between several lifestyle, dietary and medical history factors, and pancreatic cancer risk, many of which are potentially modifiable. Possible effect modification by smoking status should be further explored in future etiologic studies.

  2. Access to oncology consultation in a cancer cohort in northeastern Ontario. (United States)

    Conlon, M; Hartman, M; Ballantyne, B; Aubin, N; Meigs, M; Knight, A


    To enhance cancer symptom management for residents of Sudbury-Manitoulin District, an ambulatory palliative clinic (pac) was established at the Northeast Cancer Centre of Health Sciences North. The pac is accessed from a medical or radiation oncology consultation. The primary purpose of the present population-based retrospective study was to estimate the percentage of cancer patients who died without ever having a medical or radiation oncology consultation. A secondary purpose was to determine factors associated with never having received one of those specialized consultations. Administrative data was obtained through the Ontario Cancer Data Linkage Project. For each index case, we constructed a timeline, in days, of all Ontario Health Insurance Plan billing codes and associated service dates starting with the primary cancer diagnosis and ending with death. Within the 5-year study period (2004-2008), 6683 people in the area of interest with a valid record of primary cancer diagnosis died from any cause. Most (n = 5988, 89.6%) had 1 primary cancer diagnosis. For that subgroup, excluding those with a disease duration of 0 days (n = 67), about 18.4% (n = 1088) never had a consultation with a medical or radiation oncologist throughout their disease trajectory. Patients who were older or who resided in a rural area were significantly less likely to have had a consultation. Specific strategies directed toward older and rural patients might help to address this important access-to-care issue.

  3. Age of smoking initiation and risk of breast cancer in a sample of Ontario women

    Directory of Open Access Journals (Sweden)

    Sloan Margaret


    Full Text Available Abstract Objectives To examine the association between time of smoking initiation and both the independent and joint effects of active and passive tobacco smoke exposure and the risk of breast cancer in a sample of Ontario women. Methods Data from two large population-based case-control studies conducted among Ontario women aged 25–75 years were combined for analysis (n = 12,768. Results Women who had ever smoked and were exposed to passive smoke had a significant increased risk of breast cancer (OR 1.13, 95%CI 1.01–1.25. A significant increased risk was also observed among women who initiated smoking: at age 26 or older (OR 1.26, 95%CI 1.03–1.55; more than five years from menarche (OR 1.26, 95%CI 1.12–1.42; and, after their first live birth (OR 1.25, 95%CI 1.02–1.52. Conclusion The results suggest that women who initiate smoking at an older age are at an increased risk of breast cancer.

  4. Estimated antimicrobial dispensing frequency and preferences for lactating cow therapy by Ontario dairy veterinarians. (United States)

    Léger, David F; Newby, Nathalie C; Reid-Smith, Richard; Anderson, Neil; Pearl, David L; Lissemore, Kerry D; Kelton, David F


    In this cross-sectional study, data were collected from responses to a questionnaire on dispensing frequencies of antimicrobials used by dairy practitioners in Ontario in dairy cattle in 2001. Data were validated through clinical case scenarios. Respondents reported using antimicrobials across all categories of importance to human medicine (medically important, Categories I to III) with a diversity of treatment combinations and routes of administration. Respondents anticipated that a request for direct veterinary supervision by producers was dependent on case severity, highlighting the importance of on-farm diagnostic and treatment protocols. Knowledge of the antimicrobials used in lactating cow therapy, and their frequency and reasons for use, will provide baseline information and contribute to antimicrobial stewardship in this food-animal production sector.

  5. Towards an understanding of the influence of national culture on organisational viability: An exploratory study

    Directory of Open Access Journals (Sweden)

    Awuzie Bankole O.


    Full Text Available ABSTRACT Viability connotes a system’s ability to become ultra-stable through effective self-regulation of its internal processes and information processing among its subsystems. Applying this to an infrastructure delivery system (IDS context, this study proposes that an IDS can successfully deliver on client requirements only if they attain and maintain viability. Research into the influence of National Culture (NC on an IDS’s viability appears to be lacking; hence this study. Adopting a multi-case study, qualitative research design, this study explores three IDSs involved in the delivery of infrastructure projects in two different NC contexts; Nigeria and the United Kingdom. 25 semi-structured interviews were conducted across the cases to provide for an in-depth understanding of existing interactions between participants in these delivery systems: client/project sponsor; main contractor and sub-contractors and to understand the influence of the prevailing national culture on such interactions, if any. Findings indicate that NC in project delivery environments influence the ability of IDSs to attain viability, especially as it pertains to the sustenance of Team Quality Attributes (TWQ within the system. Based on these findings, it is expected that in modelling IDSs for viability, adequate consideration should be given to the prevailing NC by project managers and planners.

  6. Rapid onsite assessment of spore viability.

    Energy Technology Data Exchange (ETDEWEB)

    Branda, Steven; Lane, Todd W.; VanderNoot, Victoria A.; Gaucher, Sara P.; Jokerst, Amanda S.


    This one year LDRD addresses problems of threat assessment and restoration of facilities following a bioterror incident like the incident that closed down mail facilities in late 2001. Facilities that are contaminated with pathogenic spores such as B. anthracis spores must be shut down while they are treated with a sporicidal agent and the effectiveness of the treatment is ascertained. This process involves measuring the viability of spore test strips, laid out in a grid throughout the facility; the CDC accepted methodologies require transporting the samples to a laboratory and carrying out a 48 hr outgrowth experiment. We proposed developing a technique that will ultimately lead to a fieldable microfluidic device that can rapidly assess (ideally less than 30 min) spore viability and effectiveness of sporicidal treatment, returning facilities to use in hours not days. The proposed method will determine viability of spores by detecting early protein synthesis after chemical germination. During this year, we established the feasibility of this approach and gathered preliminary results that should fuel a future more comprehensive effort. Such a proposal is currently under review with the NIH. Proteomic signatures of Bacillus spores and vegetative cells were assessed by both slab gel electrophoresis as well as microchip based gel electrophoresis employing sensitive laser-induced fluorescence detection. The conditions for germination using a number of chemical germinants were evaluated and optimized and the time course of protein synthesis was ascertained. Microseparations were carried out using both viable spores and spores inactivated by two different methods. A select number of the early synthesis proteins were digested into peptides for analysis by mass spectrometry.

  7. Viability of pollen grains of tetraploid banana

    Directory of Open Access Journals (Sweden)

    Taliane Leila Soares


    Full Text Available ABSTRACT Obtaining banana tetraploid cultivars from triploid strains results in total or partial reestablishment of fertility, allowing the occurrence of some fruits with seeds, a feature that is undesirable from a marketing perspective. The objective of this study was to assess the viability of pollen of 12 banana tetraploid hybrids (AAAB by means of in vitro germination and two histochemical tests (acetocarmine and 2,3,5-triphenyltetrazolium chloride. The pollen tube growth was evaluated by germinating grains in three culture media — M1: 0.03% Ca(NO3∙4H2O, 0.02% Mg(SO4∙7H2O, 0.01% KNO3, 0.01% H3BO3 and 15% sucrose; M2: 0.03% Ca(NO3∙4H2O, 0.01% KNO3, 0.01% H3BO3 and 10% sucrose; and M3: 0.015% H3BO3, 0.045% Ca3(PO42 and 25% sucrose. The acetocarmine staining indicated high viability (above 80%, except for the genotypes YB42-17 and Caprichosa, which were 76 and 70%, respectively. However, the in vitro germination rate was lower than 50% for all the genotypes, except for the hybrids YB42-17 (M1 and YB42-47 (M1. The medium M1 provided the greatest germination percentage and pollen tube growth. Among the genotypes assessed, YB42-47 presented the highest germination rate (61.5% and tube length (5.0 mm. On the other hand, the Vitória cultivar had the lowest germination percentage (8.2% in medium M1. Studies of meiosis can shed more light on the differences observed in the evaluated tetraploids, since meiotic irregularities can affect pollen viability.

  8. Clinical mastitis in dairy cattle in Ontario: frequency of occurrence and bacteriological isolates. (United States)

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


    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 mastitis were calculated for 2840 cows and heifers. Overall, 19.8% of cows experienced one or more cases of clinical mastitis during location. Teat injuries occurred in 2.1% of lactations. Standard bacteriology was performed on pretreatment milk samples from 834 cows with clinical mastitis. The bacteria isolated were Staphylococcus aureus (6.7%), Streptococcus agalactiae (0.7%), other Streptococcus spp. (14.1%), coliforms (17.2%), gram-positive bacilli (5.5%), Corynebacterium bovis (1.7%), and other Staphylococcus spp. (28.7%). There was no growth in 17.7% of samples, and 8.3% of samples were contaminated. Clinical mastitis is a common disease in dairy cows in Ontario; approximately 1 in 5 cow lactations have at lease one episode of clinical mastitis. There is, however, considerable variation in the incidence of clinical mastitis among farms. The majority of 1st cases of clinical mastitis occur early in lactation, and the risk of clinical mastitis increases with increasing parity. Environmental, contagious, and minor pathogens were all associated with cases of clinical mastitis. Images Figure 1. Figure 3. PMID:9442950

  9. Validation of diagnostic codes for intussusception and quantification of childhood intussusception incidence in Ontario, Canada: a population-based study. (United States)

    Ducharme, Robin; Benchimol, Eric I; Deeks, Shelley L; Hawken, Steven; Fergusson, Dean A; Wilson, Kumanan


    To validate an algorithm to identify cases of intussusception using the health administrative data of Ontario, Canada, and to apply the algorithm to estimate provincial incidence of intussusception, preceding the introduction of the universal rotavirus vaccination program. We determined the accuracy of various combinations of diagnostic, procedural, and billing codes using the chart-abstracted diagnoses of patients of the Children's Hospital of Eastern Ontario as the reference standard. We selected an algorithm that maximized positive predictive value while maintaining a high sensitivity and used it to ascertain annual incidence of intussusception for fiscal years 1995-2010. We explored temporal trends in incidence using Poisson regression. The selected algorithm included only the International Classification of Diseases (ICD)-9 or ICD-10 code for intussusception in the hospitalization database and was sensitive (89.3%) and highly specific (>99.9%). The positive predictive value of the ICD code was 72.4%, and the negative predictive value was >99.9%. We observed the highest mean incidence (34 per 100000) in male children health administrative data using validated algorithms. We have described changes in temporal trends in intussusception incidence in Ontario and established a baseline to allow ongoing monitoring as part of vaccine safety surveillance. Copyright © 2013 Mosby, Inc. All rights reserved.

  10. Emergence of Non-Serotype b Encapsulated Haemophilus influenzae as a Cause of Pediatric Meningitis in Northwestern Ontario

    Directory of Open Access Journals (Sweden)

    Pouya Sadeghi-Aval


    Full Text Available Before the introduction of the conjugate vaccine, Haemophilus influenzae serotype b (Hib was the leading cause of bacterial meningitis in children. Although successful in reducing Hib cases, the vaccine confers no protection against other serotypes of H influenzae, such as a (Hia, or f (Hif. The emergence of invasive disease caused by non-Hib in northwestern Ontario (38 cases between 2002 and 2008 with predominance of Hia was previously reported by the authors. At that time, no cases of pediatric meningitis caused by H influenzae were recorded in the region. Continued surveillance identified 12 new cases of invasive non-Hib between January 2009 and July 2011. Among these cases, three young children developed meningitis with severe complications caused by Hia or Hif. The present article describes these cases along with the characteristics of recent H influenzae isolates from the region, (ie, their genetic background and antibiotic sensitivity. The findings point to the clonal nature of circulating Hia strains as well as to an increase in frequency and severity of pediatric invasive H influenzae infections in northwestern Ontario.

  11. Community-based facilities may be replacing hospitals for the treatment of alcoholism: the evidence from Ontario. (United States)

    Adrian, M; Ogborne, A C; Rankin, J G; Ferguson, B S; Jull, P


    We examined hospital utilization and use of community facilities for the treatment of alcohol problems in Ontario using Statistics Canada, Hospital Medical Records Institute records, and other administrative records. Between 1974 and 1986 there was a large drop in utilization of hospital services for treatment of alcohol problems. Rates of alcohol inpatient cases in general hospitals dropped by 47% and in mental hospitals by 33%. At the same time, there was an increase in overall availability of hospital beds and bed-days of care for all medical conditions, and no change in the total number of hospital discharges (1.3 million) and occupancy rates (80-85%). Also at the same time, the number of community-based programs for the treatment of alcohol problems increased, as did the number of persons or cases treated by them. This was associated with a drop of inpatient cases treated for alcohol problems in 38 out of 48 counties in Ontario (P take into account the effect of the slight decline in overall alcohol consumption in this period. We found that after controlling for changes in alcohol consumption, the addition of one community-based alcohol treatment program was associated with a reduction in the number of cases treated on a hospital inpatient basis for alcohol-related problems, with a short-run drop of 27.1 hospital cases within 1 year of a community facility's availability and a long-run reduction of 52.2 cases. (P < .005).

  12. Ontario Ministry of Colleges and Universities. Statistical Summary, 1981-82 = Ontario Ministere des Colleges et Universites. Releve recapitulatif des statistiques de 1981-82. (United States)

    Ontario Ministry of Colleges and Universities, Toronto.

    Data for 1981-1982 on students, staff, and finances for provincially-assisted postsecondary educational institutions in Ontario, Canada, are presented. Among others, the statistics cover the following topics: full-time undergraduate and graduate enrollment, by institution and program, at the universities, Ryerson, and the Ontario College of Art,…

  13. Ontario Ministry of Colleges and Universities. Statistical Summary, 1980-81 = Ontario Ministere des Colleges et Universites. Releve recapitulatif des statistiques de 1980-81. (United States)

    Ontario Ministry of Colleges and Universities, Toronto.

    Data for 1980-1981 on students, staff, and finances for provincially-assisted postsecondary educational institutions in Ontario, Canada, are presented. Among others, the statistics cover the following topics: full-time undergraduate and graduate enrollment, by institution and program, at the universities, Ryerson, and the Ontario College of Art,…

  14. Population Viability Analysis of Riverine Fishes

    Energy Technology Data Exchange (ETDEWEB)

    Bates, P.; Chandler, J.; Jager, H.I.; Lepla, K.; Van Winkle, W.


    Many utilities face conflkts between two goals: cost-efficient hydropower generation and protecting riverine fishes. Research to develop ecological simulation tools that can evaluate alternative mitigation strategies in terms of their benefits to fish populations is vital to informed decision-making. In this paper, we describe our approach to population viability analysis of riverine fishes in general and Snake River white sturgeon in particular. We are finding that the individual-based modeling approach used in previous in-stream flow applications is well suited to addressing questions about the viability of species of concern for several reasons. Chief among these are: (1) the abiIity to represent the effects of individual variation in life history characteristics on predicted population viabili~, (2) the flexibili~ needed to quanti~ the ecological benefits of alternative flow management options by representing spatial and temporal variation in flow and temperaturty and (3) the flexibility needed to quantifi the ecological benefits of non-flow related manipulations (i.e., passage, screening and hatchery supplementation).

  15. Development strategy, viability, and economic institutions: The case of China


    Lin, Justin Yifu; Liu, Mingxing; Pan, Shiyuan; Zhang, Pengfei


    This paper explores the politically determined development objectives and the intrinsic logic of government intervention policies in east developed countries. It is argued that the distorted institutional structure in China and in many least developed countries, after the Second World War, can be largely explained by government adoption of inappropriate development strategies. Motivated by nation building, most least-developed countries, including the socialist countries, adopted a comparativ...

  16. Ontario's Poverty Reduction Strategy: A Critical Discourse Analysis. (United States)

    Benbow, Sarah; Gorlick, Carolyne; Forchuk, Cheryl; Ward-Griffin, Catherine; Berman, Helene


    This article overviews the second phase of a two-phase study which examined experiences of health and social exclusion among mothers experiencing homelessness in Ontario, Canada. A critical discourse analysis was employed to analyze the policy document, Realizing Our Potential: Ontario's Poverty Reduction Strategy, 2014-2019. In nursing, analysis of policy is an emerging form of scholarship, one that draws attention to the macro levels influencing health and health promotion, such as the social determinants of health, and the policies that impact them. The clear neo-liberal underpinnings, within the strategy, with a focus on productivity and labor market participation leave little room for an understanding of poverty reduction from a human rights perspective. Further, gender-neutrality rendered the poverty experienced by women, and mothers, invisible. Notably, there were a lack of deadlines, target dates, and thorough action and evaluation plans. Such absence troubles whether poverty reduction is truly a priority for the government, and society as a whole.

  17. 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)


    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.

  18. Helicobacter pylori Infection in Ontario: Prevalence and Risk Factors

    Directory of Open Access Journals (Sweden)

    Farah Naja


    Full Text Available BACKGROUND: Helicobacter pylori has been classified by the World Health Organization as a type I carcinogen. Nearly 50% of the world’s population is estimated to be infected with H pylori. Prevalence patterns of the infection are different between developing and developed countries. The present study had two objectives – to estimate the prevalence of H pylori infection in Ontario, and to evaluate the relationship between the infection and various demographic characteristics and selected lifestyle factors.

  19. Adaptation to climate change in the Ontario public health sector. (United States)

    Paterson, Jaclyn A; Ford, James D; Ford, Lea Berrang; Lesnikowski, Alexandra; Berry, Peter; Henderson, Jim; Heymann, Jody


    Climate change is among the major challenges for health this century, and adaptation to manage adverse health outcomes will be unavoidable. The risks in Ontario - Canada's most populous province - include increasing temperatures, more frequent and intense extreme weather events, and alterations to precipitation regimes. Socio-economic-demographic patterns could magnify the implications climate change has for Ontario, including the presence of rapidly growing vulnerable populations, exacerbation of warming trends by heat-islands in large urban areas, and connectedness to global transportation networks. This study examines climate change adaptation in the public health sector in Ontario using information from interviews with government officials. Fifty-three semi-structured interviews were conducted, four with provincial and federal health officials and 49 with actors in public health and health relevant sectors at the municipal level. We identify adaptation efforts, barriers and opportunities for current and future intervention. Results indicate recognition that climate change will affect the health of Ontarians. Health officials are concerned about how a changing climate could exacerbate existing health issues or create new health burdens, specifically extreme heat (71%), severe weather (68%) and poor air-quality (57%). Adaptation is currently taking the form of mainstreaming climate change into existing public health programs. While adaptive progress has relied on local leadership, federal support, political will, and inter-agency efforts, a lack of resources constrains the sustainability of long-term adaptation programs and the acquisition of data necessary to support effective policies. This study provides a snapshot of climate change adaptation and needs in the public health sector in Ontario. Public health departments will need to capitalize on opportunities to integrate climate change into policies and programs, while higher levels of government must improve

  20. Adaptation to climate change in the Ontario public health sector

    Directory of Open Access Journals (Sweden)

    Paterson Jaclyn A


    Full Text Available Abstract Background Climate change is among the major challenges for health this century, and adaptation to manage adverse health outcomes will be unavoidable. The risks in Ontario – Canada’s most populous province – include increasing temperatures, more frequent and intense extreme weather events, and alterations to precipitation regimes. Socio-economic-demographic patterns could magnify the implications climate change has for Ontario, including the presence of rapidly growing vulnerable populations, exacerbation of warming trends by heat-islands in large urban areas, and connectedness to global transportation networks. This study examines climate change adaptation in the public health sector in Ontario using information from interviews with government officials. Methods Fifty-three semi-structured interviews were conducted, four with provincial and federal health officials and 49 with actors in public health and health relevant sectors at the municipal level. We identify adaptation efforts, barriers and opportunities for current and future intervention. Results Results indicate recognition that climate change will affect the health of Ontarians. Health officials are concerned about how a changing climate could exacerbate existing health issues or create new health burdens, specifically extreme heat (71%, severe weather (68% and poor air-quality (57%. Adaptation is currently taking the form of mainstreaming climate change into existing public health programs. While adaptive progress has relied on local leadership, federal support, political will, and inter-agency efforts, a lack of resources constrains the sustainability of long-term adaptation programs and the acquisition of data necessary to support effective policies. Conclusions This study provides a snapshot of climate change adaptation and needs in the public health sector in Ontario. Public health departments will need to capitalize on opportunities to integrate climate change into

  1. /sup 137/Cs radioactive dating of Lake Ontario sediment cores

    Energy Technology Data Exchange (ETDEWEB)

    Ward, T.E.; Breeden, J.; Komisarcik, K.; Porter, R.; Czuczwa, J.; Kaminski, R.; McVeety, B.D.


    The distribution of /sup 137/Cs in sediment cores from Lake Ontario provides estimates of the sediment accumulation rates. Geochronology with /sup 210/Pb dating and distribution of Ambrosia (ragweed) pollen compare well with /sup 137/Cs dating. These methods can determine with precision, changes in sedimentation occurring over the past 100 years or so. Typical sedimentation rates of 0.18-0.36 cm/yr were measured. 16 refs., 3 figs., 2 tabs.

  2. Patterns of surgical care for uterine cancers in Ontario. (United States)

    Elit, L; Schultz, S; Prysbysz, R; Kwon, J; Saskin, R; Gunraj, N; Wilton, A S; Simunovic, M; Urbach, D


    To facilitate the planning of future resources for cancer services in Ontario, Cancer Care Ontario commissioned an evaluation of operative services delivered for uterine cancer. Women with an incident diagnosis of a uterine malignancy were identified from 1 April 2003 to 31 March 2004 using the Ontario Cancer Registry. Record linkages were created to other provincial health databases such as the Ontario Health Insurance Plan. Uterine cancer affected 1,436 women. Disease specific rates of cancer were higher in rural areas and those from the highest income quintiles. Surgery occurred in 94.7% of women. Use of surgery did not appear to vary by SEC, urban/rural residence or LHIN. Gynecologists conducted 76.1% of the operations. Lymphadenectomy took place in 18.7% of women. Lymphadenectomy rates were highest in gynecologic oncologists (43.3%). All women were assessed by CXR. Radiation therapy consults were preformed in half of the women with uterine cancer but treatment was only delivered in half of those seen. Medical oncologists saw about 6.3% of women with uterine cancers. There appear to be variations in incidence rates of uterine cancer with disease being more frequent in those of the highest SES. In two-thirds of the population, surgery is delivered in the region where the patient lives. Subspecialty care from gynecologic oncologists was provided to one-third of women. Rates of lymphadenectomy as part of a surgical attempt to assess disease spread appear low. These pilot data would be enhanced with further information such as comorbidity, treatment intent (palliative/curative), histology, grade and stage.

  3. Rates of Anomalous Bupropion Prescriptions in Ontario, Canada. (United States)

    Steele, Leah S; Macdonald, Erin M; Gomes, Tara; Hollands, Simon; Paterson, J Michael; Mamdani, Muhammad M; Juurlink, David N


    Reports of bupropion misuse have increased since it was first reported in 2002. The purpose of this study was to explore trends in bupropion prescribing suggestive of misuse or diversion in Ontario, Canada. A serial cross-sectional study was conducted of Ontarians aged younger than 65 years who received prescriptions under Ontario's public drug program from April 1, 2000, to March 31, 2013. We determined the number of potentially inappropriate prescriptions in each quarter, defined as early refills dispensed within 50% of the duration of the preceding prescription, as well as potentially duplicitous prescriptions, defined as similarly early refills originating from a different prescriber and different pharmacy. We replicated these analyses for citalopram and sertraline, antidepressants not known to be prone to abuse. We identified 1,780,802 prescriptions for bupropion, 3,402,462 for citalopram, and 1,775,285 for sertraline. Rates of early refills for bupropion declined during the study from 4.8% to 3.1%. In the final quarter, rates of early refills for bupropion were more common than for citalopram (3.1% vs 2.2%) (P bupropion increased dramatically, from bupropion relative to its comparators, potentially duplicitous prescriptions have increased dramatically in Ontario, suggesting growing misuse of the drug. © 2015 Annals of Family Medicine, Inc.

  4. Recent findings from the Ontario Student Drug Use Survey. (United States)

    Adlaf, E M; Ivis, F J


    Every 2 years, the Addiction Research Foundation of Ontario, a division of the Centre for Addiction and Mental Health, sponsors the Ontario Student Drug Use Survey. The results of the surveys conducted in 1995 and 1997 are presented here and compared with results from the early 1990s. Questionnaires were completed by 3870 and 3990 Ontario public school students enrolled in grades 7, 9, 11 and 13 in 1995 and 1997 respectively. The outcome measures were prevalence of use of 20 types of drugs and other substances, including alcohol, tobacco and prescription drugs, over the previous 12 months. For several drugs the prevalence of use in the previous 12 months had increased from 1993 to 1995, but from 1995 to 1997 there was a significant increase for only one type (hallucinogens such as mescaline and psilocybin). The inhalation of glue declined, and the use of the other 18 types of drugs remained stable. Recent data suggest that increases in adolescent student drug use reported earlier this decade have not continued. However, the stability in rates of drug use is not a justification for complacency in this important area of public health.

  5. Salmonella in raccoons (Procyon lotor) in southern Ontario, Canada. (United States)

    Jardine, Claire; Reid-Smith, Richard J; Janecko, Nicol; Allan, Mike; McEwen, Scott A


    Numerous serotypes of Salmonella have been detected in a variety of wild animals, including raccoons (Procyon lotor). Raccoons are common, mid-size omnivores that live in close association with people in urban and rural areas in Ontario. Although raccoons are known to shed Salmonella, little is known about their potential long-term role in maintaining Salmonella infections. We sampled feces from raccoons in three areas of Ontario: one primarily urban site around Niagara, one primarily rural site north of Guelph, and the grounds of the Toronto Zoo, in 2007 to identify which serotypes of Salmonella were commonly shed by raccoons in southern Ontario. In addition, we conducted a longitudinal study at the Toronto Zoo site to determine if raccoons remain persistently infected with Salmonella. Salmonella was found in 45% of samples. The prevalence of Salmonella in raccoon feces ranged from 27% at the rural site to 65% at the urban site. We detected 16 serotypes of Salmonella in 83 positive samples. The most common serotype detected in raccoons from the rural and zoo sites was Salmonella enterica serotype Typhimurium, whereas Salmonella Newport was detected most commonly in the urban site. Only one raccoon of 11 that were captured in four or more consecutive trapping sessions shed the same Salmonella serotype for two consecutive months, suggesting that raccoons regularly acquire new Salmonella serotypes from the environment.

  6. The psychosocial work environment and incident diabetes in Ontario, Canada. (United States)

    Smith, P M; Glazier, R H; Lu, H; Mustard, C A


    Relatively few longitudinal studies have explored the relationship between psychosocial work conditions and diabetes incidence. Given the increasing global burden of diabetes this is an important area for public health research. To examine the relationships between dimensions of the psychosocial work environment on the subsequent incidence of diabetes among men and women in Ontario, Canada over a 9 year period. We used data from Ontario respondents (35 to 60 years of age) to the 2000-01 Canadian Community Health Survey linked to the Ontario Health Insurance Plan database for physician services and the Canadian Institute for Health Information Discharge Abstract Database for hospital admissions. Our sample of actively employed labour market participants with no previous diagnoses for diabetes was followed for a 9 year period to ascertain incident diabetes. There were 7443 participants. Low levels of job control were associated with an increased risk of diabetes among women, but not among men. Counter to our hypotheses high levels of social support were also associated with increased diabetes risk among women, but not among men. No relationship was found between any psychosocial work measure and risk of diabetes among men. Given the increasing prevalence of diabetes worldwide, job control could potentially be an import ant modifiable risk factor to reduce the incidence of diabetes among female, but not among male, workers. More research is needed to understand the pathways through which low social support may protect against the development of diabetes.

  7. Exercise regulates breast cancer cell viability

    DEFF Research Database (Denmark)

    Dethlefsen, Christine; Lillelund, Christian; Midtgaard, Julie


    Purpose: Exercise decreases breast cancer risk and disease recurrence, but the underlying mechanisms are unknown. Training adaptations in systemic factors have been suggested as mediating causes. We aimed to examine if systemic adaptations to training over time, or acute exercise responses......, in breast cancer survivors could regulate breast cancer cell viability in vitro. Methods: Blood samples were collected from breast cancer survivors, partaking in either a 6-month training intervention or across a 2 h acute exercise session. Changes in training parameters and systemic factors were evaluated...... and pre/post exercise-conditioned sera from both studies were used to stimulate breast cancer cell lines (MCF-7, MDA-MB-231) in vitro. Results: Six months of training increased VO2peak (16.4 %, p

  8. Artificial evolution by viability rather than competition.

    Directory of Open Access Journals (Sweden)

    Andrea Maesani

    Full Text Available Evolutionary algorithms are widespread heuristic methods inspired by natural evolution to solve difficult problems for which analytical approaches are not suitable. In many domains experimenters are not only interested in discovering optimal solutions, but also in finding the largest number of different solutions satisfying minimal requirements. However, the formulation of an effective performance measure describing these requirements, also known as fitness function, represents a major challenge. The difficulty of combining and weighting multiple problem objectives and constraints of possibly varying nature and scale into a single fitness function often leads to unsatisfactory solutions. Furthermore, selective reproduction of the fittest solutions, which is inspired by competition-based selection in nature, leads to loss of diversity within the evolving population and premature convergence of the algorithm, hindering the discovery of many different solutions. Here we present an alternative abstraction of artificial evolution, which does not require the formulation of a composite fitness function. Inspired from viability theory in dynamical systems, natural evolution and ethology, the proposed method puts emphasis on the elimination of individuals that do not meet a set of changing criteria, which are defined on the problem objectives and constraints. Experimental results show that the proposed method maintains higher diversity in the evolving population and generates more unique solutions when compared to classical competition-based evolutionary algorithms. Our findings suggest that incorporating viability principles into evolutionary algorithms can significantly improve the applicability and effectiveness of evolutionary methods to numerous complex problems of science and engineering, ranging from protein structure prediction to aircraft wing design.

  9. The relationship between sperm viability and DNA fragmentation rates. (United States)

    Samplaski, Mary K; Dimitromanolakis, Apostolos; Lo, Kirk C; Grober, Ethan D; Mullen, Brendan; Garbens, Alaina; Jarvi, Keith A


    In humans, sperm DNA fragmentation rates have been correlated with sperm viability rates. Reduced sperm viability is associated with high sperm DNA fragmentation, while conversely high sperm viability is associated with low rates of sperm DNA fragmentation. Both elevated DNA fragmentation rates and poor viability are correlated with impaired male fertility, with a DNA fragmentation rate of >30% indicating subfertility. We postulated that in some men, the sperm viability assay could predict the sperm DNA fragmentation rates. This in turn could reduce the need for sperm DNA fragmentation assay testing, simplifying the infertility investigation and saving money for infertile couples. All men having semen analyses with both viability and DNA fragmentation testing were identified via a prospectively collected database. Viability was measured by eosin-nigrosin assay. DNA fragmentation was measured using the sperm chromosome structure assay. The relationship between DNA fragmentation and viability was assessed using Pearson's correlation coefficient. From 2008-2013, 3049 semen analyses had both viability and DNA fragmentation testing. A strong inverse relationship was seen between sperm viability and DNA fragmentation rates, with r=-0.83. If viability was ≤50% (n=301) then DNA fragmentation was ≥ 30% for 95% of the samples. If viability was ≥75% (n=1736), then the DNA fragmentation was ≤30% for 95% of the patients. Sperm viability correlates strongly with DNA fragmentation rates. In men with high levels of sperm viability≥75%, or low levels of sperm viability≤ 30%, DFI testing may be not be routinely necessary. Given that DNA fragmentation testing is substantially more expensive than vitality testing, this may represent a valuable cost-saving measure for couples undergoing a fertility evaluation.

  10. Small-area variations in utilization of abortion services in Ontario from 1985 to 1992.


    Ferris, L E; McMain-Klein, M


    OBJECTIVE: To assess interregional differences in the utilization of abortion services in Ontario from 1985 to 1992. DESIGN: Retrospective analysis of provincial therapeutic abortion database. SETTING: All hospitals conducting abortions between 1985 and 1992 and all free-standing abortion clinics conducting abortions between 1990 and 1992. POPULATION: All women in Ontario aged 15 to 44 years who underwent a therapeutic abortion in Ontario during the study period. OUTCOME MEASURES: Utilization...

  11. A critical review of financial measures as reported in the Ontario hospital balanced scorecard. (United States)

    Parkinson, John; Tsasis, Peter; Porporato, Marcela


    For Ontario hospitals in Canada, the Financial Performance and Condition measures in the Ontario hospital balanced scorecard are especially of interest since in the foreseeable future, they may be linked to provincial government funding decisions. However, we find that these measures lack valuable information on key attributes that affect organizational performance. We suggest changes that focus on key drivers of performance and reflect the operational realities of Ontario hospitals.

  12. Rasch analysis of the Western Ontario Osteoarthritis of the Shoulder index – the Danish version

    DEFF Research Database (Denmark)

    Moeini, Sahar; Rasmussen, Jeppe Vejlgaard; Klausen, Tobias Wirenfeldt


    PURPOSE: The Western Ontario Osteoarthritis of the Shoulder (WOOS) index is a disease-specific, patient-reported, 19-question survey that measures the quality of life among patients with osteoarthritis (OA). The purpose of this study was to validate the Danish version of WOOS for OA and fractures...... (FRs) using modern test theory. PATIENTS AND METHODS: The study included 1,987 arthroplasties in 1,943 patients that were reported to the Danish Shoulder Arthroplasty Register between 2006 and 2011. These included 847 OA and 1,140 FR cases. RESULTS: Principal component analysis indicated...... the unidimensionality of WOOS. The person reliabilities showed a floor-ceiling effect, indicating that a dichotomy was the best fit for the WOOS scale. For OA, WOOS showed good reliability (item and person reliability of 0.98 and 0.76) and good targeting, with a person mean of -0.56 logits. FR also showed good...

  13. Occurrence of Glugea pimephales in planktonic larvae of fathead minnow in Algonquin Park, Ontario. (United States)

    Forest, Jonathon J H; King, Stanley D; Cone, David K


    The microsporidian Glugea pimephales was found parasitizing larval fathead minnow Pimephales promelas in Scott Lake, Algonquin Park, Ontario. These fish were estimated to be 2-3 weeks posthatch and, given the development time of the parasite, must have acquired infection soon after commencement of exogenous feeding. Histological sections revealed that the parasite typically developed in loose connective tissue between the peritoneum and the dermis of the abdominal cavity, with protruding xenomas of up to 2.6 mm in diameter forming near the vent. Prevalence was estimated at 1% by divers performing snorkel surveys along the lake shoreline. Divers following schools of fathead minnow consistently reported that larvae with the obvious cysts wobbled during swimming and that infected fish were typically located at the back of the dispersing school. This case history joins a growing list of studies suggesting that fish can become infected with parasites soon after hatch, the potential importance of which has not been critically studied.

  14. Alcohol and drugs in suspected impaired drivers in Ontario from 2001 to 2005. (United States)

    Palmentier, J-P F P; Warren, R; Gorczynski, L Y


    Blood samples from 733 drivers suspected of driving under the influence of alcohol in the province of Ontario from 2001 to 2005 were retrospectively examined. Samples were analyzed for alcohol content by headspace gas chromatography with flame ionization detection. Drivers ranged in age from 15 to 83 years old with the majority of blood samples obtained from males (n=623, 85%). Of the 704 cases where quantifiable numerical values were obtained, blood alcohol concentrations ranged from 13 to 414 mg/100 mL (mean 172 mg/100 mL) for males and 10 to 425 mg/100 mL (mean 173 mg/100 mL) for females. The majority of these drivers (n=640/704, 90.9%) had blood alcohol concentrations of 80 mg/100 mL and greater at the time of sampling. Analysis for alcohol was undertaken in all cases. However, additional toxicological examinations for drugs was conducted on a case-by-case basis based on the submitted case history and/or where there were requests for additional drug analysis, or where such analysis would be probative in the absence of the detection of alcohol at a concentration that could cause impairment. Therefore, analyses for drugs were only performed in a small subset of 42 cases (6%). Thirty-four of these cases had positive drug findings, with Delta(9)-tetrahydrocannabinol being the most frequently encountered drug (n=18), followed by benzoylecgonine/cocaine (n=8), morphine (n=6), lorazepam (n=5) and diphenhydramine (n=4). The majority of individuals were involved in some type of motor vehicle accident (n=658, 89.8%), with single motor vehicle accidents (n=412, 56.2%) being the most common, followed by multiple motor vehicle accidents (n=169, 23%). Injuries (n=309, 42.1%) were the main cause of individuals not being able to provide breath samples with specific, non-life threatening injuries (n=178, 24.3%) representing the highest percentage of cases. The majority of incidents (n=449, 61.3%) occurred between Friday and Sunday reaching a peak on Saturday (n=174, 23

  15. Ontario Securities Commission has authority to investigate viatical settlement purchase program. (United States)

    Cruess, Gord


    On 27 October 2003, the Ontario Superior Court of Justice held that the Ontario Securities Commission (the Commission) has the authority to compel testimony and the production of written documents from parties that are not registered under the Ontario Securities Act (OSA). The finding in Universal Settlements International, Inc v Ontario (Securities Commission) is important because it affirms the authority of the Commission to investigate businesses that might be engaging in the sale of illegal viatical settlements, an unregulated industry with potential negative impacts for people living with HIV/AIDS.

  16. Cytotoxicity and Effects on Cell Viability of Nickel Nanowires

    KAUST Repository

    Rodriguez, Jose E.


    Recently, magnetic nanoparticles are finding an increased use in biomedical applications and research. Nanobeads are widely used for cell separation, biosensing and cancer therapy, among others. Due to their properties, nanowires (NWs) are gaining ground for similar applications and, as with all biomaterials, their cytotoxicity is an important factor to be considered before conducting biological studies with them. In this work, the cytotoxic effects of nickel NWs (Ni NWs) were investigated in terms of cell viability and damage to the cellular membrane. Ni NWs with an average diameter of 30-34 nm were prepared by electrodeposition in nanoporous alumina templates. The templates were obtained by a two-step anodization process with oxalic acid on an aluminum substrate. Characterization of NWs was done using X-Ray diffraction (XRD) and energy dispersive X-Ray analysis (EDAX), whereas their morphology was observed with scanning electron microscopy (SEM) and transmission electron microscopy (TEM). Cell viability studies were carried out on human colorectal carcinoma cells HCT 116 by the MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide) cell proliferation colorimetric assay, whereas the lactate dehydrogenase (LDH) homogenous membrane fluorimetric assay was used to measure the degree of cell membrane rupture. The density of cell seeding was calculated to obtain a specific cell number and confluency before treatment with NWs. Optical readings of the cell-reduced MTT products were measured at 570 nm, whereas fluorescent LDH membrane leakage was recorded with an excitation wavelength of 525 nm and an emission wavelength of 580 - 640 nm. The effects of NW length, cell exposure time, as well as NW:cell ratio, were evaluated through both cytotoxic assays. The results show that cell viability due to Ni NWs is affected depending on both exposure time and NW number. On the other hand, membrane rupture and leakage was only significant at later exposure times. Both

  17. Compensatory selection for roads over natural linear features by wolves in northern Ontario: Implications for caribou conservation.

    Directory of Open Access Journals (Sweden)

    Erica J Newton

    Full Text Available Woodland caribou (Rangifer tarandus caribou in Ontario are a threatened species that have experienced a substantial retraction of their historic range. Part of their decline has been attributed to increasing densities of anthropogenic linear features such as trails, roads, railways, and hydro lines. These features have been shown to increase the search efficiency and kill rate of wolves. However, it is unclear whether selection for anthropogenic linear features is additive or compensatory to selection for natural (water linear features which may also be used for travel. We studied the selection of water and anthropogenic linear features by 52 resident wolves (Canis lupus x lycaon over four years across three study areas in northern Ontario that varied in degrees of forestry activity and human disturbance. We used Euclidean distance-based resource selection functions (mixed-effects logistic regression at the seasonal range scale with random coefficients for distance to water linear features, primary/secondary roads/railways, and hydro lines, and tertiary roads to estimate the strength of selection for each linear feature and for several habitat types, while accounting for availability of each feature. Next, we investigated the trade-off between selection for anthropogenic and water linear features. Wolves selected both anthropogenic and water linear features; selection for anthropogenic features was stronger than for water during the rendezvous season. Selection for anthropogenic linear features increased with increasing density of these features on the landscape, while selection for natural linear features declined, indicating compensatory selection of anthropogenic linear features. These results have implications for woodland caribou conservation. Prey encounter rates between wolves and caribou seem to be strongly influenced by increasing linear feature densities. This behavioral mechanism-a compensatory functional response to anthropogenic

  18. Compensatory selection for roads over natural linear features by wolves in northern Ontario: Implications for caribou conservation. (United States)

    Newton, Erica J; Patterson, Brent R; Anderson, Morgan L; Rodgers, Arthur R; Vander Vennen, Lucas M; Fryxell, John M


    Woodland caribou (Rangifer tarandus caribou) in Ontario are a threatened species that have experienced a substantial retraction of their historic range. Part of their decline has been attributed to increasing densities of anthropogenic linear features such as trails, roads, railways, and hydro lines. These features have been shown to increase the search efficiency and kill rate of wolves. However, it is unclear whether selection for anthropogenic linear features is additive or compensatory to selection for natural (water) linear features which may also be used for travel. We studied the selection of water and anthropogenic linear features by 52 resident wolves (Canis lupus x lycaon) over four years across three study areas in northern Ontario that varied in degrees of forestry activity and human disturbance. We used Euclidean distance-based resource selection functions (mixed-effects logistic regression) at the seasonal range scale with random coefficients for distance to water linear features, primary/secondary roads/railways, and hydro lines, and tertiary roads to estimate the strength of selection for each linear feature and for several habitat types, while accounting for availability of each feature. Next, we investigated the trade-off between selection for anthropogenic and water linear features. Wolves selected both anthropogenic and water linear features; selection for anthropogenic features was stronger than for water during the rendezvous season. Selection for anthropogenic linear features increased with increasing density of these features on the landscape, while selection for natural linear features declined, indicating compensatory selection of anthropogenic linear features. These results have implications for woodland caribou conservation. Prey encounter rates between wolves and caribou seem to be strongly influenced by increasing linear feature densities. This behavioral mechanism-a compensatory functional response to anthropogenic linear feature

  19. Thyroid cancer incidence among Asian immigrants to Ontario, Canada: A population-based cohort study. (United States)

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


    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

  20. Sperm viability staining in ecology and evolution: potential pitfalls

    DEFF Research Database (Denmark)

    Holman, Luke


    a number of interesting results, it has some potential pitfalls that have rarely been discussed. In the present paper, I review the major findings of ecology and evolution studies employing sperm viability staining and outline the method's principle limitations. The key problem is that the viability assay......The causes and consequences of variation in sperm quality, survival and ageing are active areas of research in ecology and evolution. In order to address these topics, many recent studies have measured sperm viability using fluorescent staining. Although sperm viability staining has produced...

  1. Assessing the Viability of Tiger Subpopulations in a Fragmented Landscape

    National Research Council Canada - National Science Library

    Matthew Linkie; Guillaume Chapron; Deborah J. Martyr; Jeremy Holden; Nigel Leader-Williams


    .... This study aimed to provide such information for tigers in the Kerinci Seblat (KS) region, Sumatra, by identifying and assessing subpopulation viability under different management strategies. 2...

  2. Fault Detection and Isolation using Viability Theory and Interval Observers (United States)

    Ghaniee Zarch, Majid; Puig, Vicenç; Poshtan, Javad


    This paper proposes the use of interval observers and viability theory in fault detection and isolation (FDI). Viability theory develops mathematical and algorithmic methods for investigating the adaptation to viability constraints of evolutions governed by complex systems under uncertainty. These methods can be used for checking the consistency between observed and predicted behavior by using simple sets that approximate the exact set of possible behavior (in the parameter or state space). In this paper, fault detection is based on checking for an inconsistency between the measured and predicted behaviors using viability theory concepts and sets. Finally, an example is provided in order to show the usefulness of the proposed approach.

  3. Storage Viability and Optimization Web Service

    Energy Technology Data Exchange (ETDEWEB)

    Stadler, Michael; Marnay, Christ; Lai, Judy; Siddiqui, Afzal; Limpaitoon, Tanachai; Phan, Trucy; Megel, Olivier; Chang, Jessica; DeForest, Nicholas


    Non-residential sectors offer many promising applications for electrical storage (batteries) and photovoltaics (PVs). However, choosing and operating storage under complex tariff structures poses a daunting technical and economic problem that may discourage potential customers and result in lost carbon and economic savings. Equipment vendors are unlikely to provide adequate environmental analysis or unbiased economic results to potential clients, and are even less likely to completely describe the robustness of choices in the face of changing fuel prices and tariffs. Given these considerations, researchers at Lawrence Berkeley National Laboratory (LBNL) have designed the Storage Viability and Optimization Web Service (SVOW): a tool that helps building owners, operators and managers to decide if storage technologies and PVs merit deeper analysis. SVOW is an open access, web-based energy storage and PV analysis calculator, accessible by secure remote login. Upon first login, the user sees an overview of the parameters: load profile, tariff, technologies, and solar radiation location. Each parameter has a pull-down list of possible predefined inputs and users may upload their own as necessary. Since the non-residential sectors encompass a broad range of facilities with fundamentally different characteristics, the tool starts by asking the users to select a load profile from a limited cohort group of example facilities. The example facilities are categorized according to their North American Industry Classification System (NAICS) code. After the load profile selection, users select a predefined tariff or use the widget to create their own. The technologies and solar radiation menus operate in a similar fashion. After these four parameters have been inputted, the users have to select an optimization setting as well as an optimization objective. The analytic engine of SVOW is LBNL?s Distributed Energy Resources Customer Adoption Model (DER-CAM), which is a mixed

  4. LiDAR Sampling Density for Forest Resource Inventories in Ontario, Canada

    Directory of Open Access Journals (Sweden)

    Dave Etheridge


    Full Text Available Over the past two decades there has been an abundance of research demonstrating the utility of airborne light detection and ranging (LiDAR for predicting forest biophysical/inventory variables at the plot and stand levels. However, to date there has been little effort to develop a set of protocols for data acquisition and processing that would move governments or the forest industry towards cost-effective implementation of this technology for strategic and tactical (i.e., operational forest resource inventories. The goal of this paper is to initiate this process by examining the significance of LiDAR data acquisition (i.e., point density for modeling forest inventory variables for the range of species and stand conditions representing much of Ontario, Canada. Field data for approximately 200 plots, sampling a broad range of forest types and conditions across Ontario, were collected for three study sites. Airborne LiDAR data, characterized by a mean density of 3.2 pulses m−2 were systematically decimated to produce additional datasets with densities of approximately 1.6 and 0.5 pulses m−2. Stepwise regression models, incorporating LiDAR height and density metrics, were developed for each of the three LiDAR datasets across a range of forest types to estimate the following forest inventory variables: (1 average height (R2(adj = 0.75–0.95; (2 top height (R2(adj = 0.74–0.98; (3 quadratic mean diameter (R2(adj = 0.55–0.85; (4 basal area (R2(adj = 0.22–0.93; (5 gross total volume (R2(adj = 0.42–0.94; (6 gross merchantable volume (R2(adj = 0.35–0.93; (7 total aboveground biomass (R2(adj = 0.23–0.93; and (8 stem density (R2(adj = 0.17–0.86. Aside from a few cases (i.e., average height and density for some stand types, no decimation effect was observed with respect to the precision of the prediction of the majority of forest variables, which suggests that a mean density of 0.5 pulses m−2 is sufficient for plot and stand level

  5. Incorporating evolutionary processes into population viability models. (United States)

    Pierson, Jennifer C; Beissinger, Steven R; Bragg, Jason G; Coates, David J; Oostermeijer, J Gerard B; Sunnucks, Paul; Schumaker, Nathan H; Trotter, Meredith V; Young, Andrew G


    We examined how ecological and evolutionary (eco-evo) processes in population dynamics could be better integrated into population viability analysis (PVA). Complementary advances in computation and population genomics can be combined into an eco-evo PVA to offer powerful new approaches to understand the influence of evolutionary processes on population persistence. We developed the mechanistic basis of an eco-evo PVA using individual-based models with individual-level genotype tracking and dynamic genotype-phenotype mapping to model emergent population-level effects, such as local adaptation and genetic rescue. We then outline how genomics can allow or improve parameter estimation for PVA models by providing genotypic information at large numbers of loci for neutral and functional genome regions. As climate change and other threatening processes increase in rate and scale, eco-evo PVAs will become essential research tools to evaluate the effects of adaptive potential, evolutionary rescue, and locally adapted traits on persistence. © 2014 Society for Conservation Biology.

  6. Assessment of cryopreserved donor skin viability: the experience of the regional tissue bank of Siena. (United States)

    Pianigiani, E; Tognetti, L; Ierardi, F; Mariotti, G; Rubegni, P; Cevenini, G; Perotti, R; Fimiani, M


    Skin allografts from cadaver donors are an important resource for treating extensive burns, slow-healing wounds and chronic ulcers. A high level of cell viability of cryopreserved allografts is often required, especially in burn surgery, in Italy. Thus, we aimed to determine which conditions enable procurement of highly viable skin in our Regional Skin Bank of Siena. For this purpose, we assessed cell viability of cryopreserved skin allografts procured between 2011 and 2013 from 127 consecutive skin donors, before and after freezing (at day 15, 180, and 365). For each skin donor, we collected data concerning clinical history (age, sex, smoking, phototype, dyslipidemia, diabetes, cause of death), donation process (multi-tissue or multi-organ) and timing of skin procurement (assessment of intervals such as death-harvesting, harvesting-banking, death-banking). All these variables were analysed in the whole case study (127 donors) and in different groups (e.g. multi-organ donors, non refrigerated multi-tissue donors, refrigerated multi-tissue donors) for correlations with cell viability. Our results indicated that cryopreserved skin allografts with higher cell viability were obtained from female, non smoker, heartbeating donors died of cerebral haemorrhage, and were harvested within 2 h of aortic clamping and banked within 12 h of harvesting (13-14 h from clamping). Age, cause of death and dyslipidaemia or diabetes did not appear to influence cell viability. To maintain acceptable cell viability, our skin bank needs to reduce the time interval between harvesting and banking, especially for refrigerated donors.

  7. Comparison of image quality indicators among mammography facilities in Ontario. (United States)

    Ford, N L; Yaffe, M J


    To compare the technical aspects of image quality of mammography machines in facilities across Ontario. Eight mammographic physics consultants took measurements and calculated accreditation phantom scores, mean glandular dose, entrance exposure, average optical density, half value layer and the limiting resolution of the imaging chain for 100 mammography machines across Ontario. Of the 100 machines, 39 were affiliated with the Ontario Breast Screening Program (OBSP), and the remaining 61 were applying to become OBSP affiliates. All of the OBSP facilities and 32 of the applicants were accredited with the Mammography Accreditation Program (MAP) of the Canadian Association of Radiologists (CAR). All OBSP facilities had passing phantom scores, and 84% of the applicants with CAR accreditation and 79% of those without had passing phantom scores. The mean glandular dose was 1.5 (range 1.0-1.9, standard deviation [SD] 0.22) mGy for OBSP facilities, 1.3 (0.8-1.8, SD 0.29) mGy for CAR accredited and 1.4 (0.9-1.9, SD 0.24) mGy for nonaccredited applicants. Mean entrance exposures were 798 (540-1280, SD 135) mR, 717 (430-980, SD 153) mR and 770 (520-930, SD 116) mR for the OBSP, accredited and nonaccredited facilities respectively. There were no appreciable differences in the mean optical densities (approx. 1.62 OD), mean half-value layers (approx. 0.34 mm Al) or mean resolutions measured with the large focal spot (nominal size of 0.3 mm) either parallel (approx. 16 line pairs/mm) or perpendicular (approx. 14 line pairs/mm) to the cathode-anode axis of the x-ray tube, among the 3 types of facilities. Image quality is increased and variability is decreased in facilities participating in a province-wide screening program.

  8. Competency assessment of microbiology medical laboratory technologists in Ontario, Canada. (United States)

    Desjardins, Marc; Fleming, Christine Ann


    Accreditation in Ontario, Canada, requires that licensed clinical laboratories participate in external quality assessment (also known as proficiency testing) and perform competency evaluation of their staff. To assess the extent of ongoing competency assessment practices, the Quality Management Program--Laboratory Services (QMP-LS) Microbiology Committee surveyed all 112 licensed Ontario microbiology laboratories. The questionnaire consisted of a total of 21 questions that included yes/no, multiple-choice, and short-answer formats. Participants were asked to provide information about existing programs, the frequency of testing, what areas are evaluated, and how results are communicated to the staff. Of the 111 responding laboratories, 6 indicated they did not have a formal evaluation program since they perform only limited bacteriology testing. Of the remaining 105 respondents, 87% perform evaluations at least annually or every 2 years, and 61% include any test or task performed, whereas 16% and 10% focus only on problem areas and high-volume complex tasks, respectively. The most common methods of evaluation were review of external quality assessment (EQA) challenges, direct observation, and worksheet review. With the exception of one participant, all communicate results to staff, and most take remedial action to correct the deficiencies. Although most accredited laboratories have a program to assess the ongoing competency of their staff, the methods used are not standardized or consistently applied, indicating that there is room for improvement. The survey successfully highlighted potential areas for improvement and allowed the QMP-LS Microbiology Committee to provide guidance to Ontario laboratories for establishing or improving existing microbiology-specific competency assessment programs. Copyright © 2014, American Society for Microbiology. All Rights Reserved.

  9. Deepwater sculpin status and recovery in Lake Ontario (United States)

    Weidel, Brian C.; Walsh, Maureen; Connerton, Michael J.; Lantry, Brian F.; Lantry, Jana R.; Holden, Jeremy P.; Yuille, Michael J.; Hoyle, James A.


    Deepwater sculpin are important in oligotrophic lakes as one of the few fishes that use deep profundal habitats and link invertebrates in those habitats to piscivores. In Lake Ontario the species was once abundant, however drastic declines in the mid-1900s led some to suggest the species had been extirpated and ultimately led Canadian and U.S. agencies to elevate the species' conservation status. Following two decades of surveys with no captures, deepwater sculpin were first caught in low numbers in 1996 and by the early 2000s there were indications of population recovery. We updated the status of Lake Ontario deepwater sculpin through 2016 to inform resource management and conservation. Our data set was comprised of 8431 bottom trawls sampled from 1996 to 2016, in U.S. and Canadian waters spanning depths from 5 to 225 m. Annual density estimates generally increased from 1996 through 2016, and an exponential model estimated the rate of population increase was ~ 59% per year. The mean total length and the proportion of fish greater than the estimated length at maturation (~ 116 mm) generally increased until a peak in 2013. In addition, the mean length of all deepwater sculpin captured in a trawl significantly increased with depth. Across all years examined, deepwater sculpin densities generally increased with depth, increasing sharply at depths > 150 m. Bottom trawl observations suggest the Lake Ontario deepwater sculpin population has recovered and current densities and biomass densities may now be similar to the other Great Lakes.

  10. Costs of health care across primary care models in Ontario. (United States)

    Laberge, Maude; Wodchis, Walter P; Barnsley, Jan; Laporte, Audrey


    The purpose of this study is to analyze the relationship between newly introduced primary care models in Ontario, Canada, and patients' primary care and total health care costs. A specific focus is on the payment mechanisms for primary care physicians, i.e. fee-for-service (FFS), enhanced-FFS, and blended capitation, and whether providers practiced as part of a multidisciplinary team. Utilization data for a one year period was measured using administrative databases for a 10% sample selected at random from the Ontario adult population. Primary care and total health care costs were calculated at the individual level and included costs from physician services, hospital visits and admissions, long term care, drugs, home care, lab tests, and visits to non-medical health care providers. Generalized linear model regressions were conducted to assess the differences in costs between primary care models. Patients not enrolled with a primary care physicians were younger, more likely to be males and of lower socio-economic status. Patients in blended capitation models were healthier and wealthier than FFS and enhanced-FFS patients. Primary care and total health care costs were significantly different across Ontario primary care models. Using the traditional FFS as the reference, we found that patients in the enhanced-FFS models had the lowest total health care costs, and also the lowest primary care costs. Patients in the blended capitation models had higher primary care costs but lower total health care costs. Patients that were in multidisciplinary teams (FHT), where physicians are also paid on a blended capitation basis, had higher total health care costs than non-FHT patients but still lower than the FFS reference group. Primary care and total health care costs increased with patients' age, morbidity, and lower income quintile across all primary care payment types. The new primary care models were associated with lower total health care costs for patients compared to the

  11. Physics education: Understanding the barriers for young women in Ontario (United States)

    Mainhood, Lindsay Ann

    In nearly all countries of the world, at every level of education, physics as a field of science is failing to recruit and retain women. This phenomenon is believed to relate to girls' educational experiences from K-12, but the reasons for the gender gap in physics are not fully understood. The purpose of this phenomenological research is to explore and understand the barriers encountered by Ontario female high school students during their physics education and the meanings attributed to those barriers by these young women. This research is guided by social cognitive career theory (SCCT) and uses the concept of physics identity as a lens through which the influence of contextual barriers can be understood. Nine participants, selected via snowball sampling from an Eastern Ontario university, together participated in four semi-structured focus group meetings and individually participated in a single in-depth, one-on-one interview. Audio data was transcribed verbatim and analyzed using a general inductive approach. Emergent themes are descriptively presented as the findings of the research study: perceiving the high school physics experience, experiencing high school physics education, and identity and gender in the high school physics experience. Sub-themes presented include limited prior experiences, negative perceptions of physics, images of physics learners, decision-making, reactions to pedagogy, learning needs, physics identity, gender-dependent influences, and making meaning of the experiences in high school physics. The shared experience of high school physics education for young women is understood as both a richly challenging and rewarding experience. Based on the findings of this research, recommendations are made for practical and research settings, and for future work in this area. Drawing on literature on underrepresentation of women in physics, this research contributes to the physics education research community and beyond; it offers voices of Ontario

  12. Competency Assessment of Microbiology Medical Laboratory Technologists in Ontario, Canada (United States)

    Fleming, Christine Ann


    Accreditation in Ontario, Canada, requires that licensed clinical laboratories participate in external quality assessment (also known as proficiency testing) and perform competency evaluation of their staff. To assess the extent of ongoing competency assessment practices, the Quality Management Program—Laboratory Services (QMP-LS) Microbiology Committee surveyed all 112 licensed Ontario microbiology laboratories. The questionnaire consisted of a total of 21 questions that included yes/no, multiple-choice, and short-answer formats. Participants were asked to provide information about existing programs, the frequency of testing, what areas are evaluated, and how results are communicated to the staff. Of the 111 responding laboratories, 6 indicated they did not have a formal evaluation program since they perform only limited bacteriology testing. Of the remaining 105 respondents, 87% perform evaluations at least annually or every 2 years, and 61% include any test or task performed, whereas 16% and 10% focus only on problem areas and high-volume complex tasks, respectively. The most common methods of evaluation were review of external quality assessment (EQA) challenges, direct observation, and worksheet review. With the exception of one participant, all communicate results to staff, and most take remedial action to correct the deficiencies. Although most accredited laboratories have a program to assess the ongoing competency of their staff, the methods used are not standardized or consistently applied, indicating that there is room for improvement. The survey successfully highlighted potential areas for improvement and allowed the QMP-LS Microbiology Committee to provide guidance to Ontario laboratories for establishing or improving existing microbiology-specific competency assessment programs. PMID:24899030

  13. Inpatient stroke rehabilitation in Ontario: are dedicated units better? (United States)

    Foley, Norine; Meyer, Matthew; Salter, Katherine; Bayley, Mark; Hall, Ruth; Liu, Ying; Willems, Deborah; McClure, J Andrew; Teasell, Robert


    The superiority of dedicated stroke rehabilitation over generalized rehabilitation services has been suggested by the literature; however, these models of service delivery have not been evaluated in terms of their relative effectiveness in situ. A comparison of the process indicators associated with these two models of service provision was undertaken within the Ontario healthcare system. All adults admitted with a diagnosis of stroke for inpatient rehabilitation in Ontario, Canada during the years 2006-2008 were identified from the National Rehabilitation Reporting System database. Each of the admitting institutions was classified as providing rehabilitation services on either a stroke dedicated or nondedicated unit. A dedicated unit was identified by the presence of a collection of geographically distinct, stroke-dedicated beds and dedicated therapists. Selected process indicators from the National Rehabilitation Reporting System database were compared between the two facility types. Sixty-seven facilities provided stroke rehabilitation services to 6709 adult stroke patients during the years 2006-2008. Of the total number of patients who entered inpatient rehabilitation, 1725 (25·7%) received care in eight facilities that met basic criteria for a dedicated stroke rehabilitation unit. On average, these patients took significantly longer to arrive for inpatient rehabilitation (37·2 ± 155·5 vs. 22·8 ± 95·0 days, P  0·001) compared with patients who were admitted to nondedicated units. The proportion of patients admitted to a dedicated unit and subsequently discharged home was similar to that of patients discharged from nondedicated units (70·5% vs. 68·8%, P = 0·206). In Ontario, patients admitted to dedicated stroke rehabilitation units fared no better on commonly-used process metrics compared with patients admitted to nondedicated rehabilitation units. © 2012 The Authors. International Journal of Stroke © 2012 World Stroke


    Directory of Open Access Journals (Sweden)

    Ayrana Soares Aires

    Full Text Available ABSTRACT Objective: This study describes the use of materials for modern cervical instrumentation, evaluating its viability in children and adolescents, and the techniques used in different cases. The efficacy of the techniques was analyzed through improvement of pain, maintenance of cervical range of motion, recovery of craniocervical stability, bone consolidation, and spinal stenosis in the postoperative follow-up. Method: Retrospective study of the clinical and radiological parameters of 27 patients aged two to 16 years with cervical spine diseases. Results: Two patients had chronic dislocation in C1-C2, one had congenital axis spondylolisthesis, two had congenital dislocation in C1-C2, three had tumors, one had kyphosis after laminectomy, one had post-infection kyphosis, one had fracture, 11 were syndromic with instabilities, and five had congenital cervical scoliosis. As to surgical approaches, two patients were transorally operated, three by anterior approach, 15 by posterior approach, two by anterior and posterior approaches, and five were treated in three stages (anterior, posterior and anterior approaches. Regarding the technique of cervical stabilization, seven patients were treated by Goel-Harms technique, two received Goel’s facet distraction, and three, Wright translaminar screws. There were complications in four cases. Two patients in the instrumentation of C1 lateral mass due to poor positioning, one with cerebrospinal fluid fistula and one with surgical wound infection. Conclusion: Modern cervical instrumentation in pediatric patients is a safe and effective technique for the treatment of cervical instability.

  15. Adverse respiratory outcome after premature rupture of membranes before viability. (United States)

    Verspyck, Eric; Bisson, Violene; Roman, Horace; Marret, Stéphane


    To determine whether preterm premature rupture of membranes (PPROM) before 24 weeks is an independent risk factor for poor outcome in preterm neonates. A retrospective comparative cohort study was conducted, including viable premature infants born between 25 and 34-weeks gestation. Each preterm case with early PPROM was matched with two preterm controls of the same gestational age at birth, sex and birth date and who were born spontaneously with intact membranes. Logistic regression was performed to identify independent risk factors associated with composite respiratory and perinatal adverse outcomes for the overall population of preterm infants. Thirty-five PPROM cases were matched with 70 controls. Extreme prematurity (26-28 weeks) was an independent risk factor for composite perinatal adverse outcomes [odds ratio (OR) 43.9; p = 0.001]. Extreme prematurity (OR 42.9; p = 0.001), PPROM (OR 7.1; p = 0.01), male infant (OR 5.2; p = 0.02) and intrauterine growth restriction (IUGR, OR 4.8; p = 0.04) were factors for composite respiratory adverse outcomes. Preterm premature rupture of membranes before viability represents an independent risk factor for composite respiratory adverse outcomes in preterm neonates. Extreme prematurity may represent the main risk factor for both composite respiratory and perinatal adverse outcomes. ©2013 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  16. Viability of Variable Generalised Chaplygin gas - a thermodynamical approach

    CERN Document Server

    Panigrahi, D


    The viability of the variable generalised Chaplygin gas (VGCG) model is analysed from the standpoint of its thermodynamical stability criteria with the help of an equation of state, $P = - \\frac{B}{\\rho^{\\alpha}}$, where $B = B_{0}V^{-\\frac{n}{3}}$. Here $B_{0}$ is assumed to be a positive universal constant, $n$ is a constant parameter and $V$ is the volume of the cosmic fluid. We get the interesting result that if the well-known stability conditions of a fluid is adhered to, the values of $n$ are constrained to be negative definite to make $ \\left(\\frac{\\partial P}{\\partial V}\\right)_{S} <0$ \\& $ \\left(\\frac{\\partial P}{\\partial V}\\right)_{T} <0$ throughout the evolution. Moreover the positivity of thermal capacity at constant volume $c_{V}$ as also the validity of the third law of thermodynamics are ensured in this case. For the particular case $n = 0$ the effective equation of state reduces to $\\Lambda$CDM model in the late stage of the universe while for $n <0$ it mimics a phantom-like cosmo...

  17. Mount Sinai Hospital's approach to Ontario's Health System Funding Reform. (United States)

    Chalk, Tyler; Lau, Davina; Morgan, Matthew; Dietrich, Sandra; Beduz, Mary Agnes; Bell, Chaim M


    In April 2012, the Ontario government introduced Health System Funding Reform (HSFR), a transformational shift in how hospitals are funded. Mount Sinai Hospital recognized that moving from global funding to a "patient-based" model would have substantial operational and clinical implications. Adjusting to the new funding environment was set as a top corporate priority, serving as the strategic basis for re-examining and redesigning operations to further improve both quality and efficiency. Two years into HSFR, this article outlines Mount Sinai Hospital's approach and highlights key lessons learned. Copyright © 2014 Longwoods Publishing.

  18. The impact of infection on population health: results of the Ontario burden of infectious diseases study.

    Directory of Open Access Journals (Sweden)

    Jeffrey C Kwong

    Full Text Available BACKGROUND: Evidence-based priority setting is increasingly important for rationally distributing scarce health resources and for guiding future health research. We sought to quantify the contribution of a wide range of infectious diseases to the overall infectious disease burden in a high-income setting. METHODOLOGY/PRINCIPAL FINDINGS: We used health-adjusted life years (HALYs, a composite measure comprising premature mortality and reduced functioning due to disease, to estimate the burden of 51 infectious diseases and associated syndromes in Ontario using 2005-2007 data. Deaths were estimated from vital statistics data and disease incidence was estimated from reportable disease, healthcare utilization, and cancer registry data, supplemented by local modeling studies and national and international epidemiologic studies. The 51 infectious agents and associated syndromes accounted for 729 lost HALYs, 44.2 deaths, and 58,987 incident cases per 100,000 population annually. The most burdensome infectious agents were: hepatitis C virus, Streptococcus pneumoniae, Escherichia coli, human papillomavirus, hepatitis B virus, human immunodeficiency virus, Staphylococcus aureus, influenza virus, Clostridium difficile, and rhinovirus. The top five, ten, and 20 pathogens accounted for 46%, 67%, and 75% of the total infectious disease burden, respectively. Marked sex-specific differences in disease burden were observed for some pathogens. The main limitations of this study were the exclusion of certain infectious diseases due to data availability issues, not considering the impact of co-infections and co-morbidity, and the inability to assess the burden of milder infections that do not result in healthcare utilization. CONCLUSIONS/SIGNIFICANCE: Infectious diseases continue to cause a substantial health burden in high-income settings such as Ontario. Most of this burden is attributable to a relatively small number of infectious agents, for which many effective

  19. Zika Virus in Ontario: Evaluating a Rapid Risk Assessment Tool for Emerging Infectious Disease Threats. (United States)

    Van Meer, Ryan; Hohenadel, Karin; Fitzgerald-Husek, Alanna; Warshawsky, Bryna; Sider, Doug; Schwartz, Brian; Nelder, Mark P

    To determine the Ontario-specific risk of local and travel-related Zika virus transmission in the context of a public health emergency of international concern, Public Health Ontario (PHO) completed a rapid risk assessment (RRA) on January 29, 2016, using a newly developed RRA guidance tool. The RRA concluded that risk of local mosquito-borne transmission was low, with a high risk of imported cases through travel. The RRA was updated 3 times based on predetermined triggers. An independent evaluation assessed both the application of the RRA guidance tool (process evaluation) and the usefulness of the RRA (outcome evaluation). We conducted face-to-face, semi-structured interviews with 7 individuals who participated in the creation or review of the Zika virus RRA and 4 end-users at PHO and the Ministry of Health and Long-Term Care. An inductive thematic analysis of responses was undertaken, whereby themes were directly informed by the data. The process evaluation determined that most steps outlined in the RRA guidance tool were adhered to, including forming a cross-functional writing team, clarifying the scope and describing context, completing the RRA summary report, and updating the RRA based on predefined triggers. The outcome evaluation found that end-users judged the Zika virus RRA as evidence-informed, useful, consistent, and timely. The evaluation established that the locally tailored guidance tool, adapted from national and international approaches to RRAs, facilitated a systematic, evidence-informed, and timely formal RRA process at PHO for the Zika virus RRA, which met the needs of end-users. Based on the evaluation, PHO will modify future RRAs by incorporating some flexibility into the literature review process to support timeliness of the RRA, explicitly describing the limitations of studies used to inform the RRA, and refining risk algorithms to better suit emerging infectious disease threats. It is anticipated that these refinements will improve upon the

  20. The Quality Assurance System for Ontario Postsecondary Education: 2010-2014 (United States)

    Liu, Qin


    The period of 2010 to 2014 marked a relatively stable stage in the evolving quality assurance system for Ontario postsecondary education, particularly following massive changes after 2000. The current system consists of three frameworks overseen respectively by three quality assurance agencies--the Ontario Universities Council on Quality…

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

    Directory of Open Access Journals (Sweden)

    Lawrence Paszat


    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.

  2. Ontario Universities Statistical Compendium, 1970-71 to 1978-79. Part B, Supporting Data. (United States)

    Council of Ontario Universities, Toronto.

    Data on the 1970-79 conditions of Ontario universities that were used in the derivation of macro-indicators are presented. The supporting data cover the following areas: operating revenue in Ontario universities; operating expenditures; distribution of academic salaries, nonacademic salaries, employee benefits; and nonsalary operating…

  3. Did Ontario's Zero Tolerance & Graduated Licensing Law Reduce Youth Drunk Driving? (United States)

    Carpenter, Christopher


    On April 1, 1994, Ontario, Canada, instituted a new graduated driver license (GDL) system that effectively set the legal blood alcohol content (BAC) threshold at zero for the first few years of a youth's driving eligibility. I use data from the 1983-2001 Ontario Student Drug Use Surveys (OSDUS) to examine whether the Zero Tolerance (ZT) policy…

  4. The Status of School Psychology in Ontario School Boards: 2016 Perspective (United States)

    Lean, Debra


    This article reports on the status of school psychology in Ontario. School psychology practice in Ontario has continued to evolve since the previous report was published in 2001. School psychologists have varied roles, and although the most prominent one remains as assessing students for entry into certain special education services, school-based…

  5. Ontario Universities Benefits Survey, 1987-88. Part I: Benefits Excluding Pensions. (United States)

    University of Western Ontario, London.

    Results of the 1987-1988 survey of benefits, excluding pensions, for 17 Ontario, Canada, universities are presented. Information is provided on the following areas: administration and insurance plans, communication of benefits, proposed changes in benefits, provision of life and dismemberment insurance, maternity leave policy, Ontario health…

  6. Development of FVSOntario: A Forest Vegetation Simulator Variant and application software for Ontario (United States)

    Murray E. Woods; Donald C. E. Robinson


    The Ontario Ministry of Natural Resources is leading a government-industry partnership to develop an Ontario variant of the Forest Vegetation Simulator (FVS). Based on the Lake States variant and the PrognosisBC user-interface, the FVSOntarioproject is motivated by a need to model the impacts of intensive forest management...

  7. Establishing guidelines to retain viability of probiotics during spray drying

    NARCIS (Netherlands)

    Perdana, J.A.; Fox, M.B.; Boom, R.M.; Schutyser, M.A.I.


    We present a model-based approach to map processing conditions suitable to spray dry probiotics with minimal viability loss. The approach combines the drying history and bacterial inactivation kinetics to predict the retention of viability after drying. The approach was used to systematically assess

  8. Evaluation of pollen viability, stigma receptivity and fertilization ...

    African Journals Online (AJOL)

    To provide theoretical basis for artificial pollination in Lagerstroemia indica L., pollen viability and stigma receptivity were tested and the morphological change of stigma was observed. Pollen viability tested by in vitro culture, stigma receptivity examined by benzidine-H2O2 testing and fruit set estimated by field artificial ...

  9. Viability of dielectrophoretically trapped neuronal cortical cells in culture

    NARCIS (Netherlands)

    Heida, Tjitske; Vulto, P; Rutten, Wim; Marani, Enrico


    Negative dielectrophoretic trapping of neural cells is an efficient way to position neural cells on the electrode sites of planar micro-electrode arrays. The preservation of viability of the neural cells is essential for this approach. This study investigates the viability of postnatal cortical rat

  10. Evaluation of pollen viability, stigma receptivity and fertilization ...

    African Journals Online (AJOL)



    Nov 13, 2013 ... To provide theoretical basis for artificial pollination in Lagerstroemia indica L., pollen viability and stigma receptivity were tested and the morphological change of stigma was observed. Pollen viability tested by in vitro culture, stigma receptivity examined by benzidine-H2O2 testing and fruit set estimated.

  11. Studies On Fermentation, Alcohol Production And Viability In ...

    African Journals Online (AJOL)

    The reverse was true in the sugarcane bagasse medium. Yeasts with high viability tended to have high alcohol production ability in the sucrose medium and vice-versa. KEY WORDS: Alcohol production; fermentation; induced mutants; Saccharomyces cerevisiae; viability. Global Journal of Pure and Applied Sciences ...

  12. The Economy and Democracy: Viability and Challenges for ...

    African Journals Online (AJOL)

    The Economy and Democracy: Viability and Challenges for Sustainable Democratisation in Nigeria. ... Economic and Policy Review ... the viability for developing sustainable democracy in Nigeria against the background of the country's enormous economic potentials and the economic reforms introduced following the ...

  13. Pollen viability and germination in Jatropha ribifolia and Jatropha ...

    African Journals Online (AJOL)

    The aim of this work is to assess pollen viability using the staining technique and in vitro germination with different concentrations of sucrose in Jatropha ribifolia and Jatropha mollissima, contributing to the knowledge of the reproductive biology and subsidizing their conservation, management and utilization. Pollen viability ...

  14. Viability, Advantages and Design Methodologies of M-Learning Delivery (United States)

    Zabel, Todd W.


    The purpose of this study was to examine the viability and principle design methodologies of Mobile Learning models in developing regions. Demographic and market studies were utilized to determine the viability of M-Learning delivery as well as best uses for such technologies and methods given socioeconomic and political conditions within the…

  15. Case Studies of School Community and Climate: Success Narratives of Schools in Challenging Circumstances (United States)

    Parker, Darlene Ciuffetelli; Grenville, Heather; Flessa, Joseph


    This paper reports on a Canadian qualitative case study project funded by the Elementary Teachers' Federation of Ontario. The paper describes success stories of students and communities affected by poverty from a diverse sample of eleven elementary schools throughout the province of Ontario. Over the period of one school year (2007-2008) and…

  16. Spatiotemporal dynamics and demographic profiles of imported Plasmodium falciparum and Plasmodium vivax infections in Ontario, Canada (1990-2009.

    Directory of Open Access Journals (Sweden)

    Mark P Nelder

    Full Text Available We examined malaria cases reported to Ontario's public health surveillance systems from 1990 through 2009 to determine how temporal scale (longitudinal, seasonal, spatial scale (provincial, health unit, and demography (gender, age contribute to Plasmodium infection in Ontario travellers. Our retrospective study included 4,551 confirmed cases of imported malaria reported throughout Ontario, with additional analysis at the local health unit level (i.e., Ottawa, Peel, and Toronto. During the 20-year period, Plasmodium vivax accounted for 50.6% of all cases, P. falciparum (38.6%, Plasmodium sp. (6.0%, P. ovale (3.1%, and P. malariae (1.8%. During the first ten years of the study (1990-1999, P. vivax (64% of all cases was the dominant agent, followed by P. falciparum (28%; however, during the second ten years (2000-2009 the situation reversed and P. falciparum (55% dominated, followed by P. vivax (30%. The prevalence of P. falciparum and P. vivax cases varied spatially (e.g., P. falciparum more prevalent in Toronto, P. vivax more prevalent in Peel, temporally (e.g. P. falciparum incidence increased during the 20-year study, and demographically (e.g. preponderance of male cases. Infection rates per 100,000 international travellers were estimated: rates of infection were 2× higher in males compared to females; rates associated with travel to Africa were 37× higher compared to travel to Asia and 126× higher compared to travel to the Americas; rates of infection were 2.3-3.5× higher in June and July compared to October through March; and rates of infection were highest in those 65-69 years old. Where exposure country was reported, 71% of P. falciparum cases reported exposure in Ghana or Nigeria and 63% of P. vivax cases reported exposure in India. Our study provides insights toward improving pre-travel programs for Ontarians visiting malaria-endemic regions and underscores the changing epidemiology of imported malaria in the province.

  17. Spatiotemporal dynamics and demographic profiles of imported Plasmodium falciparum and Plasmodium vivax infections in Ontario, Canada (1990-2009). (United States)

    Nelder, Mark P; Russell, Curtis; Williams, Dawn; Johnson, Karen; Li, Lennon; Baker, Stacey L; Marshall, Sean; Bhanich-Supapol, Wendy; Pillai, Dylan R; Ralevski, Filip


    We examined malaria cases reported to Ontario's public health surveillance systems from 1990 through 2009 to determine how temporal scale (longitudinal, seasonal), spatial scale (provincial, health unit), and demography (gender, age) contribute to Plasmodium infection in Ontario travellers. Our retrospective study included 4,551 confirmed cases of imported malaria reported throughout Ontario, with additional analysis at the local health unit level (i.e., Ottawa, Peel, and Toronto). During the 20-year period, Plasmodium vivax accounted for 50.6% of all cases, P. falciparum (38.6%), Plasmodium sp. (6.0%), P. ovale (3.1%), and P. malariae (1.8%). During the first ten years of the study (1990-1999), P. vivax (64% of all cases) was the dominant agent, followed by P. falciparum (28%); however, during the second ten years (2000-2009) the situation reversed and P. falciparum (55%) dominated, followed by P. vivax (30%). The prevalence of P. falciparum and P. vivax cases varied spatially (e.g., P. falciparum more prevalent in Toronto, P. vivax more prevalent in Peel), temporally (e.g. P. falciparum incidence increased during the 20-year study), and demographically (e.g. preponderance of male cases). Infection rates per 100,000 international travellers were estimated: rates of infection were 2× higher in males compared to females; rates associated with travel to Africa were 37× higher compared to travel to Asia and 126× higher compared to travel to the Americas; rates of infection were 2.3-3.5× higher in June and July compared to October through March; and rates of infection were highest in those 65-69 years old. Where exposure country was reported, 71% of P. falciparum cases reported exposure in Ghana or Nigeria and 63% of P. vivax cases reported exposure in India. Our study provides insights toward improving pre-travel programs for Ontarians visiting malaria-endemic regions and underscores the changing epidemiology of imported malaria in the province.

  18. Using Human Rights Cases to Teach about Prejudice and Discrimination. (United States)

    Power, Donald


    High school students analyze real-life case studies, taken from the files of the Ontario Human Rights Commission, to learn about the effects of prejudice, stereotyping, and discrimination with regard to native people in Canada. (RM)

  19. [Hemodialysis improves the subendocardial viability ratio]. (United States)

    De Blasio, Antonella; Sirico, Maria; Di Micco, Lucia; Di Iorio, Biagio


    The subendocardial viability ratio (SEVR), a parameter introduced by Buckberg, represents a non-invasive measure of myocardial perfusion related to left ventricular work. AIM. The aim of this study was to verify if dialysis may determine modifications of SEVR and how these modifications are modulated in the 2-day interdialytic period. METHODS.We studied 54 subjects of mean age 6314 years and receiving dialysis for 3215 months. Exclusion criteria were diabetes, resistant hypertension and peripheral vascular diseases and intradialytic hypotension evidenced during the study dialysis session. Pulse wave velocity and SEVR assessments were performed during the third dialysis session of the week, before (pre-HD) and after (post-HD) dialysis, in 2-day interdialytic period after and at the beginning of the following dialysis session. RESULTS.Dialysis reduces PWV, in particular the tertile with the lowest PWV presents the highest percentage reduction (-26%) compared with the second and the third tertiles. In the same way, dialysis leads to an increase of SEVR and patients in the tertile with the highest SEVR values maintain high SEVR values during dialysis and in the interdialytic period. Patients with severe vascular calcifications present higher PWV value and lower SEVR value. CONCLUSIONS.The results of present study demonstrate that ultrafiltration improves PWV (with a mean reduction of 16%) and SEVR (increase of 13%) and that the severity of vascular calcifications influences the effect of ultrafiltration on these two parameters. More studies are certainly necessary to verify our findings. Considered the higher mortality of patients with higher SEVR, it would be important to understand if new dialytic strategies are needed in patients with higher PVW and lower SEVR values.

  20. Viability and functional integrity of washed platelets

    Energy Technology Data Exchange (ETDEWEB)

    Pineda, A.A.; Zylstra, V.W.; Clare, D.E.; Dewanjee, M.K.; Forstrom, L.A.


    The viability and functional integrity of saline- and ACD-saline-washed platelets were compared with those of unwashed platelets. After template bleeding time (TBT) was measured, 15 healthy volunteers underwent plateletpheresis and ingested 600 mg of aspirin. Autologous /sup 111/In-labeled platelets were transfused: unwashed (n = 5), washed with 0.9 percent saline solution (SS) (n = 5), and washed with a buffered 12.6 percent solution of ACD-A in 0.9 percent saline solution (n = 5). After transfusion, we measured TBT at 1, 4, and 24 hours; platelet survival at 10 minutes and 1, 4, and 24 hours and daily for 6 days; and the percentage of uptake in liver and spleen by quantitative whole-body radionuclide scintigraphy at 24 and 190 hours. We found that saline washing affected platelet recovery, 23.47 +/- 12 percent (p less than 0.001) as compared to 52.43 +/- 17 percent (p less than 0.002) for ACD-saline and 73.17 +/- 8 percent for control; that saline washing resulted in a greater liver uptake than control and ACD-saline-washed platelets (31.9 +/- 8% (p less than 0.001) vs 17.7 +/- 4.1 and 19.3 +/- 2.1% (p greater than 0.1), respectively); that, unlike control and ACD-saline-washed platelets, saline-washed platelets did not shorten bleeding time; and that neither type of washing affected survival. Although ACD-saline washing affects recovery, it also results in intact function, normal survival, higher recovery than SS platelets, and no significant liver uptake.

  1. A descriptive study of the frequency and characteristics of proliferative enteropathy in swine in Ontario by analyzing routine animal health surveillance data. (United States)

    Wilson, J B; Pauling, G E; McEwen, B J; Smart, N; Carman, P S; Dick, C P


    Routine surveillance data, collected on pathology submissions at the Animal Health Laboratory in Guelph between 1992 and 1997, were analyzed to determine demographic, clinical, and pathologic characteristics of cases of proliferative enteropathy and the frequency of this condition relative to other infectious enteric diseases in swine in Ontario. The most commonly reported disease was Escherichia coli enteritis (average cases/year = 70.0). Among infectious enteropathies that occur typically in neonatal pigs, coccidiosis (28.4 cases/year) and rotaviral enteritis (5.6 cases/year) were reported. Among infectious enteropathies generally associated with diarrhea in weaner and grower/finisher pigs, the most frequently reported was proliferative enteropathy (27.6 cases/year), followed by swine dysentery (23.3 cases/year), transmissible gastroenteritis (19.6 cases/year), and salmonellosis (8.4 cases/year). Diarrhea and bloody diarrhea were reported in 29% and 31%, respectively, of herds diagnosed with proliferative enteropathy. Important gross intestinal lesions included mucosal hypertrophy (62% of cases), hemorrhage (47%), and mucosal necrosis (34%). Histologic intestinal lesions included epithelial hyperplasia (90% of cases), mucosal necrosis (59%), and inflammation (49%). Our results suggest that proliferative enteropathy is a major infectious enteric disease in grower/finisher pigs in Ontario.

  2. Tobacco Retail Outlets and Vulnerable Populations in Ontario, Canada

    Directory of Open Access Journals (Sweden)

    Michael O. Chaiton


    Full Text Available Interest has been increasing in regulating the location and number of tobacco vendors as part of a comprehensive tobacco control program. The objective of this paper is to examine the distribution of tobacco outlets in a large jurisdiction, to assess: (1 whether tobacco outlets are more likely to be located in vulnerable areas; and (2 what proportion of tobacco outlets are located close to schools. Retail locations across the Province of Ontario from Ministry of Health Promotion data were linked to 2006 Census data at the neighbourhood level. There was one tobacco retail outlet for every 1,000 people over age 15 in Ontario. Density of outlets varied by public health unit, and was associated with the number of smokers. Tobacco outlets were more likely to be located in areas that had high neighbourhood deprivation, in both rural and urban areas. Outlets were less likely to be located in areas with high immigrant populations in urban areas, with the reverse being true for rural areas. Overall, 65% of tobacco retailers were located within 500 m of a school. The sale of tobacco products is ubiquitous, however, neighbourhoods with lower socio-economic status are more likely to have easier availability of tobacco products and most retailers are located within walking distance of a school. The results suggest the importance of policies to regulate the location of tobacco retail outlets.

  3. Understanding physiotherapists' roles in ontario primary health care teams. (United States)

    Dufour, Sinéad Patricia; Lucy, S Deborah; Brown, Judith Belle


    To understand physiotherapists' roles and how they are enacted within Ontario primary health care (PHC) teams. Following a pragmatic grounded theory approach, 12 physiotherapists practising within Ontario PHC teams participated in 18 semi-structured in-depth in-person interviews. All interviews were audiotaped and transcribed verbatim, then entered into NVIVO-8. Coding followed three progressive analytic stages and was iterative in nature, guided by grounded theory. An explanatory scheme was developed. Physiotherapists negotiate their place within the PHC teams through five interrelated roles: (1) manager; (2) evaluator; (3) collaborator; (4) educator; and (5) advocate. These five roles are influenced by three contextual layers: (1) inter-professional team; (2) community and population served; and (3) organizational structure and funding. Canada's PHC mandate (access, teams, information, and healthy living) frame the contexts that influence role enactment. To fulfill the PHC mandate, physiotherapists carry out multiple roles that are based on a broad holistic perspective of health, within the context of a collaborative inter-professional team and the community, through an evidenced-informed approach to care. There appear to be multiple ways of successfully integrating physiotherapists within PHC teams, provided that role enactment is context sensitive and congruent with the mandate of PHC.

  4. Concentration and biochemical gradients of seston in Lake Ontario (United States)

    Kelly, Patrick T.; Weidel, Brian C.; Paufve, Matthew R.; O'Malley, Brian P.; Watkins, James M.; Rudstam, Lars G.; Jones, Stuart E.


    Spatial variability in resource quantity and quality may have important implications for the distribution and productivity of primary consumers. In Lake Ontario, ecosystem characteristics suggest the potential for significant spatial heterogeneity in seston quantity and quality, particularly due to the potential for nearshore-offshore gradients in allochthonous nutrient supply, and the formation of a deep chlorophyll layer (DCL) in July. We assessed total and zooplankton food particle size-fractionated chlorophyll a concentrations, as well as carbon-to-phosphorus stoichiometry and essential fatty acid composition of seston across a distance-from-shore and depth transect. We observed time, sampling depth, and distance from shore to be the best predictors of chlorophyll a concentration. Resource quality was much more homogenous in space, but there were strong patterns through time, as both stoichiometric and fatty acid qualities in general were greatest in May, and lowest in July/August. We did observe a peak in essential fatty acid concentration near the DCL in during time of formation, possibly due to differences in phytoplankton community composition between the DCL and epilimnion. These results suggest the potential for a spatially and temporally dynamic resource base for consumers in Lake Ontario, which may be important in developing a broader understanding of variable consumer productivity.

  5. An Assessment of the Expected Cost-Effectiveness of Quadrivalent Influenza Vaccines in Ontario, Canada Using a Static Model.

    Directory of Open Access Journals (Sweden)

    Ayman Chit

    Full Text Available Ontario, Canada, immunizes against influenza using a trivalent inactivated influenza vaccine (IIV3 under a Universal Influenza Immunization Program (UIIP. The UIIP offers IIV3 free-of-charge to all Ontarians over 6 months of age. A newly approved quadrivalent inactivated influenza vaccine (IIV4 offers wider protection against influenza B disease. We explored the expected cost-utility and budget impact of replacing IIV3 with IIV4, within the context of Ontario's UIIP, using a probabilistic and static cost-utility model. Wherever possible, epidemiological and cost data were obtained from Ontario sources. Canadian or U.S. sources were used when Ontario data were not available. Vaccine efficacy for IIV3 was obtained from the literature. IIV4 efficacy was derived from meta-analysis of strain-specific vaccine efficacy. Conservatively, herd protection was not considered. In the base case, we used IIV3 and IIV4 prices of $5.5/dose and $7/dose, respectively. We conducted a sensitivity analysis on the price of IIV4, as well as standard univariate and multivariate statistical uncertainty analyses. Over a typical influenza season, relative to IIV3, IIV4 is expected to avert an additional 2,516 influenza cases, 1,683 influenza-associated medical visits, 27 influenza-associated hospitalizations, and 5 influenza-associated deaths. From a societal perspective, IIV4 would generate 76 more Quality Adjusted Life Years (QALYs and a net societal budget impact of $4,784,112. The incremental cost effectiveness ratio for this comparison was $63,773/QALY. IIV4 remains cost-effective up to a 53% price premium over IIV3. A probabilistic sensitivity analysis showed that IIV4 was cost-effective with a probability of 65% for a threshold of $100,000/QALY gained. IIV4 is expected to achieve reductions in influenza-related morbidity and mortality compared to IIV3. Despite not accounting for herd protection, IIV4 is still expected to be a cost-effective alternative to IIV3 up to

  6. The utility of measles and rubella IgM serology in an elimination setting, Ontario, Canada, 2009-2014. (United States)

    Bolotin, Shelly; Lim, Gillian; Dang, Vica; Crowcroft, Natasha; Gubbay, Jonathan; Mazzulli, Tony; Schabas, Richard


    In Canada, measles was eliminated in 1998 and rubella in 2000. Effective measles and rubella surveillance is vital in elimination settings, hinging on reliable laboratory methods. However, low-prevalence settings affect the predictive value of laboratory tests. We conducted an analysis to determine the performance of measles and rubella IgM testing in a jurisdiction where both infections are eliminated. 21,299 test results were extracted from the Public Health Ontario Laboratories database and 1,239 reports were extracted from the Ontario Integrated Public Health Information System (iPHIS) from 2008 and 2010 for measles and rubella, respectively, to 2014. Deterministic linkage resulted in 658 linked measles records (2009-2014) and 189 linked rubella records (2010-2014). Sixty-six iPHIS measles entries were classified as confirmed cases, of which 53 linked to laboratory data. Five iPHIS rubella entries were classified as confirmed, all linked to IgM results. The positive predictive value was 17.4% for measles and 3.6% for rubella. Sensitivity was 79.2% for measles and 100.0% for rubella. Specificity was 65.7% for measles and 25.8% for rubella. Our study confirms that a positive IgM alone does not confirm a measles case in elimination settings. This has important implications for countries that are working towards measles and rubella elimination.

  7. Deviations from Hardy-Weinberg proportions for multiple alleles under viability selection. (United States)

    Alvarez, Gonzalo


    Departures of genotype frequencies from Hardy-Weinberg proportions (HWP) for a single autosomal locus due to viability selection in a random mating population have been studied only for the two-allele case. In this article, the analysis of deviations from HWP due to constant viability selection is extended to multiple alleles. The deviations for an autosomal locus with k alleles are measured by means of k fii fixation indices for homozygotes and k(k-1)/2 fij fixation indices for heterozygotes, and expressions are obtained for these indices (FIS statistics) under the multiallele viability model. Furthermore, expressions for fii and fij when the multiallele polymorphism is at stable equilibrium are also derived and it is demonstrated that the pattern of multiallele Hardy-Weinberg deviations at equilibrium is characterized by a global heterozygote excess and a deficiency of each of the homozygotes. This pattern may be useful for detecting whether a given multiallelic polymorphism is at stable equilibrium in the population due to viability selection. An analysis of Hardy-Weinberg deviations from published data for the three-allele polymorphism at the beta-globin locus in human populations from West Africa is presented for illustration.

  8. Growth, phenology, and seed viability between glyphosate-resistant and glyphosate-susceptible hary fleabane


    Kaspary,Tiago Edu; Lamego,Fabiane Pinto; Cutti,Luan; Aguiar,Adalin Cezar de Morais; Rigon,Carlos Alberto Gonsiorkiewicz; Basso,Claudir José


    ABSTRACT Glyphosate is the herbicide most used worldwide. In cropping systems that rely on repeated applications of glyphosate or cultivate genetically modified soyabean crop, there are numerous cases of glyphosate resistant weeds, including Conyza bonariensis. Differences among competitive ability of Conyza spp. have been found. However, little information is available on the fitness costs related to glyphosate resistance in Conyza bonariensis. We evaluated growth, phenology, and seed viabil...

  9. Impact of graphene oxide on viability of Chinese hamster ovary and mouse hepatoma MH-22A cells. (United States)

    Batiuskaite, Danute; Grinceviciute, Nora; Snitka, Valentinas


    The evaluation of the cyto- and bio-compatibility is a critical step in the development of graphene oxide (GO) as a new promising material for in vivo biomedical applications. In this study, we report the impact of GO, with and without the addition of bovine serum albumin, on healthy (Chinese hamster ovary) and a cancer (mouse hepatoma MH-22A) cells viability and the estimation of the intracellular distribution of GO inside the cells in vitro. The viability tests were performed using a colony formation assay. The intracellular distribution of GO was estimated using Raman spectroscopy and imaging. The viability of both cell lines decreased with increasing concentration of graphene oxide (12.5-50.0 μg/ml): in the case of Chinese hamster ovary cells viability decreased from 44% to 11%, in the case of mouse hepatoma MH-22A cells--from 22% to 3%. These cell lines significantly differed in their response to GO and GO-BSA formulations. The results of viability tests correlate with results of atomic force microscopy and Raman spectroscopy and imaging findings. The GO influence on cell morphology changes, cell structure, cells colony growth dynamics and GO accumulation inside the cells was higher in the case of mouse hepatoma MH-22A cells. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. Attitudes and practice of Children's Hospital of Eastern Ontario (Ottawa, Ontario) paediatricians and residents toward literacy promotion in Canada. (United States)

    Baldwin, Katherine; Barrowman, Nicholas J; Farion, Ken J; Shaw, Alyson


    Literacy is a critical health issue in Canada. Paediatricians play an important role in improving literacy skills; however, formal training in literacy education and promotion is not currently part of most Canadian paediatric residency programs. To examine the attitudes and practice of paediatricians and residents at the Children's Hospital of Eastern Ontario (CHEO [Ottawa, Ontario]) toward literacy promotion. A descriptive, cross-sectional survey of CHEO-affiliated paediatricians, residents and fellows was performed. Survey items addressed demographics, attitudes toward literacy, current practice and previous education/training in literacy education through self-reporting. One hundred ninety-seven surveys were distributed, with a response rate of 82%. Ninety-one per cent of respondents reported never having formal training in literacy development and promotion. Seventy-four per cent of respondents believed that low literacy is a significant health issue in Canada; however, only 16% of respondents reported regularly discussing literacy with patients and their families. Thirty-nine per cent of general paediatricians reported discussing literacy with patients and families regularly, compared with 10% of paediatric subspecialists (Pliteracy education should be a standard part of residency education. While most respondents identified literacy as an important paediatric issue, most paediatricians did not regularly discuss the importance of literacy with their patients. General paediatricians are most likely to discuss literacy. There is a lack of formal education among paediatricians in literacy development and promotion, and the majority of respondents believe that this should be a standard part of paediatric residency training.

  11. [Methods and applications of population viability analysis (PVA): a review]. (United States)

    Tian, Yu; Wu, Jian-Guo; Kou, Xiao-Jun; Wang, Tian-Ming; Smith, Andrew T; Ge, Jian-Ping


    With the accelerating human consumption of natural resources, the problems associated with endangered species caused by habitat loss and fragmentation have become greater and more urgent than ever. Conceptually associated with the theories of island biogeography, population viability analysis (PVA) has been one of the most important approaches in studying and protecting endangered species, and this methodology has occupied a central place in conservation biology and ecology in the past several decades. PVA has been widely used and proven effective in many cases, but its predictive ability and accuracy are still in question. Also, its application needs expand. To overcome some of the problems, we believe that PVA needs to incorporate some principles and methods from other fields, particularly landscape ecology and sustainability science. Integrating landscape pattern and socioeconomic factors into PVA will make the approach theoretically more comprehensive and practically more useful. Here, we reviewed the history, basic conception, research methods, and modeling applications and their accuracies of PVA, and proposed the perspective in this field.

  12. The viability of native microbial communities in martian environment (model) (United States)

    Vorobyova, Elena; Cheptcov, Vladimir; Pavlov, Anatolyi; Vdovina, Mariya; Lomasov, Vladimir

    For today the important direction in astrobiology is the experimental simulation of extraterrestrial habitats with the assessment of survivability of microorganisms in such conditions. A new task is to investigate the resistance of native microbial ecosystems which are well adapted to the environment and develop unique protection mechanisms that enable to ensure biosphere formation. The purpose of this research was to study the viability of microorganisms as well as viability of native microbial communities of arid soils and permafrost under stress conditions simulating space environment and martian regolith environment, estimation of duration of Earth like life in the Martian soil. The experimental data obtained give the proof of the preservation of high population density, biodiversity, and reproduction activity under favorable conditions in the Earth analogues of Martian soil - arid soils (Deserts of Israel and Morocco) and permafrost (East Siberia, Antarctica), after the treatment of samples by ionizing radiation dose up to 100 kGy at the pressure of 1 torr, temperature (- 50oC) and in the presence of perchlorate (5%). It was shown that in simulated conditions close to the parameters of the Martian regolith, the diversity of natural bacterial communities was not decreased, and in some cases the activation of some bacterial populations occurred in situ. Our results allow suggesting that microbial communities like those that inhabit arid and permafrost ecosystems on the Earth, can survive at least 500 thousand years under conditions of near surface layer of the Martian regolith. Extrapolation of the data according to the intensity of ionizing radiation to the open space conditions allows evaluating the potential lifespan of cells inside meteorites as 20-50 thousand years at least. In this work new experimental data have been obtained confirming the occurrence of liquid water and the formation of wet soil layer due to sublimation of ice when the temperature of the

  13. Human Rabies Post-Exposure Prophylaxis and Animal Rabies in Ontario, Canada, 2001-2012. (United States)

    Middleton, D; Johnson, K O; Rosatte, R C; Hobbs, J L; Moore, S R; Rosella, L; Crowcroft, N S


    In Ontario, Canada, the implementation of an annual rabies control programme in wildlife that began in 1989 resulted in a marked, steady decrease in the number of animal rabies cases. The number of animal rabies cases decreased from 1870 in 1989 to 183 in 2000 (Nunan et al., 2002 Emerg Infect Dis 8, 214). In our study period, the number of animal rabies cases continued to decrease from 210 in 2001 to 28 in 2012. The marked decrease in animal rabies cases since 1989 has resulted in a decrease in the risk of human infection. A concomitant decrease in the number of rabies post-exposure prophylaxis (RPEP) administered was anticipated but failed to occur. The mean rate of RPEP, 13.9 RPEP administered per 100,000 persons, from 2001-2012 was approximately the same as the rate in the 1990 s. Two possible reasons that the rate of RPEP administration has not decreased include strict adherence to RPEP recommendations and administration of RPEP when it is not recommended. A reduction in the number of RPEP administered, consistent with the decrease in the animal rabies cases, would provide some financial savings for the government. Ideally, an increased use of the risk assessment approach in keeping with recent guidelines, rather than adhering to previous prescriptive recommendations for RPEP administration, coupled with a continuing low incidence of animal rabies cases will result in decreased, and yet appropriate, use of RPEP. Consideration should be given to identify how guidelines could be revised to more effectively target high-risk exposures and reduce the administration of RPEP for instances in which the risk of rabies virus exposure is exceedingly low. © 2014 The Authors. Zoonoses and Public Health published by Blackwell Verlag GmbH.

  14. Critical Factors Influencing Viability of Wave Energy Converters in Off-Grid Luxury Resorts and Small Utilities

    Directory of Open Access Journals (Sweden)

    Aksel Botne Sandberg


    Full Text Available This paper examines technical and non-technical factors that are critical to the viability of commercialization of wave energy converters in off-grid luxury resorts and small utilities. Critical factors are found by investigating Levelized Cost of Energy, and using the tools PESTEL and Porter’s five competitive forces. Identified factors are then applied on three business cases to investigate their impact on viability. The results show that one of the main challenges facing off-grid commercialization is the few wave energy converter units installed per location, negating the economy of scale that large wave energy farms count on to achieve competitive cost levels. In addition, factors like current cost of energy, available wave resources, distance from shore, infrastructure, supply chain logistics, and electricity demand are found to be deciding factors for viability. Despite these challenges, it is found that there are potentially viable off-grid business cases for commercialization of wave energy converters.

  15. Validation of algorithms to determine incidence of Hirschsprung disease in Ontario, Canada: a population-based study using health administrative data

    Directory of Open Access Journals (Sweden)

    Nasr A


    Full Text Available Ahmed Nasr,1,2 Katrina J Sullivan,1 Emily W Chan,1 Coralie A Wong,3 Eric I Benchimol2–5 1Department of Pediatric Surgery, Children’s Hospital of Eastern Ontario, 2Faculty of Medicine, University of Ottawa, 3Institute for Clinical Evaluative Science (ICES University of Ottawa, 4CHEO Inflammatory Bowel Disease Centre, Division of Gastroenterology, Hepatology and Nutrition, Children’s Hospital of Eastern Ontario, 5School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada Objective: Incidence rates of Hirschsprung disease (HD vary by geographical region, yet no recent population-based estimate exists for Canada. The objective of our study was to validate and use health administrative data from Ontario, Canada to describe trends in incidence of HD between 1991 and 2013.Study design: To identify children with HD we tested algorithms consisting of a combination of diagnostic, procedural, and intervention codes against the reference standard of abstracted clinical charts from a tertiary pediatric hospital. The algorithm with the highest positive predictive value (PPV that could maintain high sensitivity was applied to health administrative data from April 31, 1991 to March 31, 2014 (fiscal years 1991–2013 to determine annual incidence. Temporal trends were evaluated using Poisson regression, controlling for sex as a covariate.Results: The selected algorithm was highly sensitive (93.5% and specific (>99.9% with excellent predictive abilities (PPV 89.6% and negative predictive value >99.9%. Using the algorithm, a total of 679 patients diagnosed with HD were identified in Ontario between 1991 and 2013. The overall incidence during this time was 2.05 per 10,000 live births (or 1 in 4,868 live births. The incidence did not change significantly over time (odds ratio 0.998, 95% confidence interval 0.983–1.013, p = 0.80.Conclusion: Ontario health administrative data can be used to accurately identify cases of HD and describe

  16. Epidemiological investigation of euthanasia in an Ontario animal shelter. (United States)

    Mozes, Rachael; Pearl, David L; Niel, Lee; Weese, J Scott


    Objectives The objective was to evaluate factors associated with euthanasia in an animal shelter in Kitchener-Waterloo, Ontario, Canada. Methods Shelter data from 3737 cats admitted to the shelter between January and December 2011 were evaluated. Results Overall, 1989/3737 (53%) of admitted cats were euthanized. Male cats had greater odds of being euthanized than females (odds ratio [OR] 1.63, 95% confidence interval [CI] 1.29-2.05; P 5 days in the shelter were more likely to be euthanized than those that spent 20 days in the shelter were less likely to be euthanized than those that spent 50% of the cats admitted to the shelter in 2011 euthanized, it is important to understand the contributing risk factors that predispose shelter cats to euthanasia and what changes can be made to the shelter system and in owner education to lower the incidence of euthanasia.

  17. Survey of Neisseria gonorrhoeae Antimicrobial Susceptibility in Ontario

    Directory of Open Access Journals (Sweden)

    Vivian G Loo


    Full Text Available The minimal inhibitory concentrations (MICs of penicillin, tetracycline, erythromycin, cefoxitin, ceftriaxone and spectinomycin were determined for 300 consecutive strains of Neisseria gonorrhoeae collected from physicians’ offices in Ontario. Only four isolates were found to produce beta-lactamase. Of the remaining 296 isolates, five (1.7% had penicillin MICs greater than or equal to 1 mg/L, 78 (26.3% had tetracycline MICs greater than or equal to 1 mg/L, 13 (4.4% had cefoxitin MICs greater than or equal to 1 mg/L and 43 (14.5% had erythromycin MICs greater than or equal to 1 mg/L. Two isolates (0.7% had high level tetracycline resistance with MICs greater than or equal to 16 mg/L. All N gonorrhoeae isolates were susceptible to ceftriaxone and to spectinomycin.

  18. Puget Sound steelhead life cycle model analyses - Population Viability Analysis (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This research was initiated by the Puget Sound Steelhead Technical Recovery Team to develop viability criteria for threatened Puget Sound steelhead and to support...

  19. Cadmium affects the mitochondrial viability and the acid soluble ...

    African Journals Online (AJOL)

    Cadmium affects the mitochondrial viability and the acid soluble thiols concentration in liver, kidney, heart and gills of Ancistrus brevifilis (Eigenmann, 1920). P Velasquez-Vottelerd, Y Anton, R Salazar-Lugo ...


    Directory of Open Access Journals (Sweden)

    Florentina ŞTEFLEA


    Full Text Available The aim of this research is to estimate the relationship between pollen viability and atmospheric pollution (in polluted and non-polluted conditions. The study was carried out in the city of Timisoara. Two areas, with different intensity of road traffic (very high and absent but all characterized by the presence of the same plant species, were selected. The pollen of herbaceous spontaneous species, arboreal species and a shrub species was used (Robinia pseudacacia, Aesculus x carnea, Catalpa bignonioides, Albizzia julibrissin, Rosa canina, Sambucus nigra, Malva neglecta, Ranunculus acer, Trifolium repens, Cichorium intybus. The pollen of these species was treated with TTC (2, 3, 5 Tryphenil-Tetrazolium-Chloride staining solution and viability was then estimated by light microscopy. The results of the mean pollen viability percentage of the examined species are reported. Pollen viability of herbaceous plants is significantly different between the two environments.

  1. Maintaining yeast viability in continuous primary beer fermentation

    National Research Council Canada - National Science Library

    Pires, Eduardo J; Teixeira, José A; Brányik, Tomás; Côrte‐Real, Manuela; Vicente, António A


    .... This work was aimed at solving one of the most relevant obstacles to implementing ICT on a large scale in beer fermentations, namely the control of biomass and the maintenance of cell viability in a gas‐lift bioreactor...

  2. Desiccation-induced changes in viability, lipid peroxidation and ...

    African Journals Online (AJOL)



    Hendry et al., 1992) and A. saccharinum (Pukacka and Ratajczak, 2006) and intermediate seeds like Azadirachta indica (Varghese and. Naithani, 2002), Coffea Arabica (Dussert et al., 2006), indicating that loss of seed viability ...

  3. Femtosecond optical transfection of cells:viability and efficiency

    National Research Council Canada - National Science Library

    D. Stevenson; B. Agate; X. Tsampoula; P. Fischer; C. T. A. Brown; W. Sibbett; A. Riches; F. Gunn-Moore; K. Dholakia


    .... However, there remains no study into the true efficiency of this procedure. Here, we present a detailed analysis of transfection efficiency and cell viability for femtosecond optical transfection using a titanium sapphire laser at 800 nm...

  4. Equine ovarian tissue viability after cryopreservation and in vitro culture (United States)

    The efficiency of several cryoprotective agents were compared using both slow-freezing and vitrification methods. Results indicate that the viability of ovarian tissue cells increases when DMSO (slow-freezing) and ethylene glycol (vitrification) are used....

  5. Approximate viability for nonlinear evolution inclusions with application to controllability

    Directory of Open Access Journals (Sweden)

    Omar Benniche


    Full Text Available We investigate approximate viability for a graph with respect to fully nonlinear quasi-autonomous evolution inclusions. As application, an approximate null controllability result is given.

  6. 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.

    Directory of Open Access Journals (Sweden)

    Stephanie K Y Choi

    Full Text Available 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

  7. Simulation of rapid ecological change in Lake Ontario (United States)

    McKenna, James E.; Chalupnicki, Marc; Dittman, Dawn E.; Watkins, James M.


    Lower trophic level processes are integral to proper functioning of large aquatic ecosystems and have been disturbed in Lake Ontario by various stressors including exotic species. The invasion of benthic habitats by dreissenid mussels has led to systemic changes and native faunal declines. Size-dependent physiological rates, spatial differences and connectivity, competition, and differential population dynamics among invertebrate groups contributed to the change and system complexity. We developed a spatially explicit, individual-based mechanistic model of the benthic ecosystem in Lake Ontario, with coupling to the pelagic system, to examine ecosystem dynamics and effects of dreissenid mussel invasion and native fauna losses. Benthic organisms were represented by functional groups; filter-feeders (i.e., dreissenid mussels), surface deposit-feeders (e.g., native amphipod Diporeia spp.), and deposit-feeders (e.g., oligochaetes and other burrowers). The model was stable, represented ecological structure and function effectively, and reproduced observed effects of the mussel invasion. Two hypotheses for causes of Diporeia loss, competition or disease-like mortality, were tested. Simple competition for food did not explain observed declines in native surface deposit-feeders during the filter-feeder invasion. However, the elevated mortality scenario supports a disease-like cause for loss of the native amphipod, with population changes in various lake areas and altered benthic biomass transfers. Stabilization of mussel populations and possible recovery of the native, surface-deposit feeding amphipod were predicted. Although further research is required on forcing functions, model parameters, and natural conditions, the model provides a valuable tool to help managers understand the benthic system and plan for response to future disruptions.

  8. Variability in antibiotic use across Ontario acute care hospitals. (United States)

    Tan, Charlie; Vermeulen, Marian; Wang, Xuesong; Zvonar, Rosemary; Garber, Gary; Daneman, Nick


    Antibiotic stewardship is a required organizational practice for Canadian acute care hospitals, yet data are scarce regarding the quantity and composition of antibiotic use across facilities. We sought to examine the variability, and risk-adjusted variability, in antibiotic use across acute care hospitals in Ontario, Canada's most populous province. Antibiotic purchasing data from IMS Health, previously demonstrated to correlate strongly with internal antibiotic dispensing data, were acquired for 129 Ontario hospitals from January to December 2014 and linked to patient day (PD) denominator data from administrative datasets. Hospital variation in DDDs/1000 PDs was determined for overall antibiotic use, class-specific use and six practices of clinical or ecological significance. Multivariable risk adjustment for hospital and patient characteristics was used to compare observed versus expected utilization. There was 7.4-fold variability in the quantity of antibiotic use across the 129 acute care hospitals, from 253 to 1873 DDDs/1000 PDs. Variation was evident within hospital subtypes, exceeded that explained by hospital and patient characteristics, and included wide variability in proportion of broad-spectrum antibiotics (IQR 36%-48%), proportion of fluoroquinolones among respiratory antibiotics (IQR 40%-62%), proportion of ciprofloxacin among urinary anti-infectives (IQR 44%-60%), proportion of antibiotics with highest risk for Clostridium difficile (IQR 29%-40%), proportion of 'reserved-use' antibiotics (IQR 0.8%-3.5%) and proportion of anti-pseudomonal antibiotics among antibiotics with Gram-negative coverage (IQR 26%-40%). There is extensive variability in antibiotic use, and risk-adjusted use, across acute care hospitals. This could motivate, focus and benchmark antibiotic stewardship efforts. © The Author 2016. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please email

  9. Survey of Ontario primary care physicians’ experiences with opioid prescribing (United States)

    Wenghofer, Elizabeth Francis; Wilson, Lynn; Kahan, Meldon; Sheehan, Carolynn; Srivastava, Anita; Rubin, Ava; Brathwaite, Joanne


    Abstract Objective To measure physicians’ experiences with opioid-related adverse events and their perceived level of confidence in their opioid prescribing skills and practices. Design Mailed survey. Setting The province of Ontario. Participants A total of 1000 primary care physicians randomly selected from the College of Physicians and Surgeons of Ontario registration database. Main outcome measures Opioid-related adverse events and concerns (eg, number of patients, type of opioid, cause of the event or concern); physicians’ confidence, comfort, and satisfaction with opioid prescribing; physicians’ opinions on strategies to optimize their prescribing; and physicians’ perspectives of their interactions with pharmacists and nurses. Results The response rate was close to 66%, for a total of 658 participants. Almost all respondents reported prescribing opioids for chronic pain in the past 3 months. Eighty-six percent of respondents reported being confident in their prescribing of opioids, but 42% of respondents indicated that at least 1 patient had experienced an adverse event related to opioids in the past year, usually involving oxycodone, and 16.3% of respondents did not know if their patients had experienced any opioid-related adverse events. The most commonly cited factors leading to adverse events were that the patient took more than prescribed, the prescribed dose was too high, or the patient took alcohol or sedating drugs with the opioids. Most physicians had concerns about the opioid use of 1 or more of their patients; concerns included running out of opioids early, minimal access to pain and addiction treatment, and addiction and overdose. The reported number of physicians’ patients taking opioids was positively associated with their confidence and comfort levels in opioid prescribing and negatively associated with their belief that many patients become addicted to opioids. Conclusion Most physicians have encountered opioid-related adverse events

  10. Survey of Ontario primary care physicians' experiences with opioid prescribing. (United States)

    Wenghofer, Elizabeth Francis; Wilson, Lynn; Kahan, Meldon; Sheehan, Carolynn; Srivastava, Anita; Rubin, Ava; Brathwaite, Joanne


    To measure physicians' experiences with opioid-related adverse events and their perceived level of confidence in their opioid prescribing skills and practices. Mailed survey. Setting The province of Ontario. A total of 1000 primary care physicians randomly selected from the College of Physicians and Surgeons of Ontario registration database. Opioid-related adverse events and concerns (eg, number of patients, type of opioid, cause of the event or concern); physicians' confidence, comfort, and satisfaction with opioid prescribing; physicians' opinions on strategies to optimize their prescribing; and physicians' perspectives of their interactions with pharmacists and nurses. The response rate was close to 66%, for a total of 658 participants. Almost all respondents reported prescribing opioids for chronic pain in the past 3 months. Eighty-six percent of respondents reported being confident in their prescribing of opioids, but 42% of respondents indicated that at least 1 patient had experienced an adverse event related to opioids in the past year, usually involving oxycodone, and 16.3% of respondents did not know if their patients had experienced any opioid-related adverse events. The most commonly cited factors leading to adverse events were that the patient took more than prescribed, the prescribed dose was too high, or the patient took alcohol or sedating drugs with the opioids. Most physicians had concerns about the opioid use of 1 or more of their patients; concerns included running out of opioids early, minimal access to pain and addiction treatment, and addiction and overdose. The reported number of physicians' patients taking opioids was positively associated with their confidence and comfort levels in opioid prescribing and negatively associated with their belief that many patients become addicted to opioids. Most physicians have encountered opioid-related adverse events. Comprehensive strategies are required to promote safe prescribing of opioids, including

  11. Trends in glaucoma surgical procedures in Ontario: 1992-2012. (United States)

    Szigiato, Andrei-Alexandru; Trope, Graham E; Jin, Yaping; Buys, Yvonne M


    To analyze trends in the surgical management of glaucoma in Ontario over the past 2 decades. Retrospective analysis of health records. Ontario Health Insurance Plan billing service claims between 1992 and 2012 were analyzed for the yearly number of glaucoma laser and incisional surgical procedures. The yearly number of Ontarians with primary open-angle glaucoma (POAG) was estimated by applying composite prevalence curves to published population data and the yearly number of procedures per 1000 Ontarians with POAG was calculated. Per 1000 people with POAG, laser trabeculoplasty (LT) rates increased nearly 2-fold (185%) from 1992 to 2012, with the rates stabilizing between 2008 and 2012, and total glaucoma filtration procedure (GFP) rates (trabeculectomy, aqueous shunts, and combined GFP and cataract extraction) in 2012 were similar to those in 1992, with a peak rate noted in 1996. Shunts represented 0.9% of GFP in 1992 and 33% in 2012. Data for combination codes billed on the same day for the same patient were available from 2000. From 2000 to 2012 the rates of trabeculectomy alone remained unchanged, the number of aqueous shunts alone increased more than 5-fold, combined trabeculectomy and cataract extraction decreased 81%, whereas combined shunts and cataract extraction increased from 6 in 2000 to 420 in 2012. Combined aqueous shunts and cataract extraction represented 0.4% of combined cataract extractions in 2000 and 26.3% in 2012. Over the past 2 decades there was an overall increase in the rate of LT, no change in the rate of trabeculectomies, and a significant increase in aqueous shunt surgery. Copyright © 2015 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.

  12. Green tide: indoor marihuana cultivation and its impact on Ontario

    Energy Technology Data Exchange (ETDEWEB)



    This paper discusses the apparent proliferation of marihuana grow-ops in Ontario over the last five years. Estimated revenues from indoor marihuana were detailed, as well as estimates of quantities of marihuana produced, forecasted trends and annual and weekly historical trends. The potential economic impact of this criminal activity was examined, with particular reference to increased police activities. The potential for fire and other human health risks included: exposure to mould associated with hydroponic cultivation and growth chemicals and higher concentrations of carbon dioxide and carbon monoxide. The socio-economic impact of grow ops were examined, with detailed estimates of law enforcement costs, insurance costs and costs to the justice system. Societal costs, such as environmental hazards, violence associated with organized crime, and the perceived threat to Ontario's children and communities were also outlined. Costs stemming from hydro theft were cited, including hydro repair and administration. Details of the bypass systems installed for hydro theft were also provided. It was concluded that it was unlikely that grow ops will be entirely eradicated. Measures that may limit the scope of grow ops included: developing avenues to increase effectiveness and efficiency of law enforcement approaches to grow ops, enhancing lines of communication and sharing of intelligence between police and other key stakeholders such as insurance companies, real estate agencies and banks and educating persons in the justice system on the issue of grow ops so that sentencing more accurately reflects the crime. It was recommended that lenient sentencing for marihuana possession and cultivation be re-examined. 70 refs., 12 tabs, 38 figs.

  13. Toxicological findings in fatal motor vehicle collisions in ontario, Canada: a one-year study. (United States)

    Woodall, Karen L; Chow, Betty L C; Lauwers, Albert; Cass, Dan


    Drug-impaired driving is a complex area of forensic toxicology due in part to limited data concerning the type of drugs involved and the concentrations detected. This study analyzed toxicological findings in drivers from fatal motor vehicle collisions (FMVCs) in Ontario, Canada, over a one-year period using a standardized protocol. Of the 229 cases included in the study, 56% were positive for alcohol and/or drugs. After alcohol, cannabis was the most frequently encountered substance (27%), followed by benzodiazepines (17%) and antidepressants (17%). There were differences in drugs detected by age but no marked difference in drugs detected between single and multiple FMVC's. Not all drugs detected were considered impairing either due to drug type, concentration or case history. The findings indicate the importance of comprehensive drug testing in FMVCs and highlight the need to consider a variety of factors, in addition to drug type and concentration, when assessing the role of drugs in driving impairment. © 2015 American Academy of Forensic Sciences.

  14. Medical physics staffing for radiation oncology: a decade of experience in Ontario, Canada. (United States)

    Battista, Jerry J; Clark, Brenda G; Patterson, Michael S; Beaulieu, Luc; Sharpe, Michael B; Schreiner, L John; MacPherson, Miller S; Van Dyk, Jacob


    The January 2010 articles in The New York Times generated intense focus on patient safety in radiation treatment, with physics staffing identified frequently as a critical factor for consistent quality assurance. The purpose of this work is to review our experience with medical physics staffing, and to propose a transparent and flexible staffing algorithm for general use. Guided by documented times required per routine procedure, we have developed a robust algorithm to estimate physics staffing needs according to center-specific workload for medical physicists and associated support staff, in a manner we believe is adaptable to an evolving radiotherapy practice. We calculate requirements for each staffing type based on caseload, equipment inventory, quality assurance, educational programs, and administration. Average per-case staffing ratios were also determined for larger-scale human resource planning and used to model staffing needs for Ontario, Canada over the next 10 years. The workload specific algorithm was tested through a survey of Canadian cancer centers. For center-specific human resource planning, we propose a grid of coefficients addressing specific workload factors for each staff group. For larger scale forecasting of human resource requirements, values of 260, 700, 300, 600, 1200, and 2000 treated cases per full-time equivalent (FTE) were determined for medical physicists, physics assistants, dosimetrists, electronics technologists, mechanical technologists, and information technology specialists, respectively.

  15. Best interests at end of life: an updated review of decisions made by the Consent and Capacity Board of Ontario. (United States)

    Chidwick, Paula; Sibbald, Robert; Hawryluck, Laura


    To increase our understanding of the notion of "best interests" in end of life disagreements through an updated review of decisions made by the Consent and Capacity Board of Ontario. There was a significant increase (235%) in decisions from this tribunal between 2009 and 2011. "Best interests" test is used when no prior expressed wishes are known to the surrogate decision-makers. Purposively sampled written decisions of the Consent and Capacity Board of Ontario between 2003 and 2011 that focused on the "best interests" of patients at the end of life. Interpretive content analysis was performed independently by 3 reviewers, and themes were identified by consensus. We found substitute decision makers (SDMs) rely on an appeal to their own values or religion in their interpretation of best interests; physicians rely on clinical conditions; board emphasizes alignment with Health Care Consent Act. In the more recent cases, we found that SDMs report that patients value suffering; that SDMs have unrealistic hope for recovery and can communicate and get direction from the incapable patient; that SDMs need education on their role and responsibility as SDM; and that SDMs need time to provide consent, and that most proposed treatment plans that were sources of conflict included "palliative care." Several lessons are drawn for the benefit of health care teams engaged in disagreements at end of life with SDMs over the best interests of patients. Copyright © 2013 Elsevier Inc. All rights reserved.

  16. Postmortem morphology and viability of human Peyer's patches in distal ileum: a technical note. (United States)

    Solarino, Biagio; Di Vella, Giancarlo; Magrone, Thea; Jirillo, Felicita; Tafaro, Angela; Piscitelli, Domenico; Casiello, Michela; Amati, Luigi; Jirillo, Emilio; Tattoli, Lucia


    The intestinal mucosa contains a highly specialized immune system which plays a central role in the induction of immune reactions. In the small bowel, Gut-Associated Lymphoid Tissue (GALT) is organized in lymphoid aggregates which are known as Peyer's Patches (PP). Even though human PP involvement in systemic immunity has been described, little is known about their anatomy and morphology and viability. The aim of this study was to examine PP according to their macroscopic anatomy, distribution and cell viability after death. Specimens from the distal ileum were obtained from 72 serial autopsy cases: PP were identified and, parts of them were analyzed for histological examination. Moreover, viability of recovered PP cells was assessed by the trypan blue exclusion test. Most of the PP (90%) were situated on the antimesenteric border of ileum, and the greatest density of PP occurred in the most distal segment. The number of PP varied with age, with the maximum number observed in 21- to 30-years old cadavers. Histological examination showed their remarkable architectural preservation at different post-mortem intervals (PMI), while the mucosal surface underwent autolysis. In 56% of cases PP cells were still viable, especially at PMI < 24 hours after death. These data confirm that human PP are still well preserved in a remarkable percentage of cadavers also several hours after death, and their availability may be helpful in various fields of research.

  17. 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). (United States)

    Lefebvre, Rachael; Fallon, Barbara; Van Wert, Melissa; Filippelli, Joanne


    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.

  18. 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


    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.

  19. Economic viability study of an on-road wireless charging system with a generic driving range estimation method

    NARCIS (Netherlands)

    Shekhar, A.; Prasanth, V.; Bauer, P.; Bolech, M.


    The economic viability of on-road wireless charging of electric vehicles (EVs) strongly depends on the choice of the inductive power transfer (IPT) system configuration (static or dynamic charging), charging power level and the percentage of road coverage of dynamic charging. In this paper, a case

  20. Economic Viability Study of an On-Road Wireless Charging System with a Generic Driving Range Estimation Method

    NARCIS (Netherlands)

    Shekhar, A.; Prasanth, V.; Bauer, P.; Bolech, M.


    The economic viability of on-road wireless charging of electric vehicles (EVs) strongly depends on the choice of the inductive power transfer (IPT) system configuration (static or dynamic charging), charging power level and the percentage of road coverage of dynamic charging. In this paper, a case

  1. Consumption of Lake Ontario sport fish and the incidence of colorectal cancer in the New York State Angler Cohort Study (NYSACS). (United States)

    Callahan, Catherine L; Vena, John E; Green, Joseph; Swanson, Mya; Mu, Lina; Bonner, Matthew R


    Fish consumption is hypothesized to reduce the risk of colorectal cancer. Nonetheless, consuming sport fish from the Great Lakes increases exposure to certain persistent organic pollutants, namely polychlorinated biphenyls (PCBs) and organochlorine insecticides, which may increase the risk of cancer. Evidence that exposure to persistent organic pollutants is associated with colorectal cancer is sparse. We examined colorectal cancer incidence in the New York State Angler Cohort Study (NYSACS), a prospective cohort of 17,110 anglers and spouses age 18-40 years at enrollment. In 1991, participants completed a mailed self-administered questionnaire that ascertained the number of years that fish from Lake Ontario were consumed, as well as potential confounders. Forty-one histologically confirmed first primary incident colorectal cancers diagnosed as of December 31, 2008 were identified via the New York State Cancer Registry. Vital status was ascertained by linkage with the Social Security Administration Death File. Rate ratios (RR) and 95% confidence intervals (CI) were calculated with Poisson regression, adjusting for age, pack-years of smoking, and sex. Compared with never consumers, colorectal cancer incidence was statistically non-significantly lower among consumers of Lake Ontario sport fish (RR=0.66; 95% CI: 0.35; 1.24). Incidence of colon cancer was lower among Lake Ontario sport fish consumers (RR=0.45, 95%CI: 0.20; 1.00). We did not observe any evidence of effect measure modification by sex or age. Although consumption of Lake Ontario sport fish may have an inverse association with colorectal cancer risk, inferences are complicated by a small number of cases and a lack of information regarding potential confounders including other dietary factors. However, our results do not provide support for the hypothesis that consumption of contaminated sport fish increases the risk of colorectal cancer. Published by Elsevier Inc.

  2. Acidic lakes in Ontario: characterization, extent, and responses to base and nutrient additions

    National Research Council Canada - National Science Library

    Dillon, P.J; Yan, N.D; Scheider, W.A; Conroy, N


    The Sudbury Environmental Study was initiated in 1973 in part to determine the geographical extent of acidic lakes in the area of Sudbury, Ontario, to characterize the chemical and biological nature...

  3. Prevalence of HIV and hepatitis C virus infections among inmates of Ontario remand facilities

    National Research Council Canada - National Science Library

    Calzavara, Liviana; Ramuscak, Nancy; Burchell, Ann N; Swantee, Carol; Myers, Ted; Ford, Peter; Fearon, Margaret; Raymond, Sue


    ... (jails, detention centres and youth centres). The prevalence of HIV infection in Ontario remand facilities was last measured over a decade ago, and no research on the prevalence of hepatitis C virus (HCV...

  4. Contraband tobacco on post-secondary campuses in Ontario, Canada: analysis of discarded cigarette butts

    National Research Council Canada - National Science Library

    Barkans, Meagan; Lawrance, Kelli-an


    .... This study examined the proportion of First Nations/Native cigarette butts discarded on post-secondary campuses in the province of Ontario, and potential differences between colleges and universities...

  5. Male Occupational Therapists in Ontario: A Survey of Work-Related Issues. (United States)

    Turgeon, Jean; Hay, John A.


    Responses from 55 of 82 male occupational therapists in Ontario were differentiated by length of work experience (median = 7 years). Less experienced therapists were less satisfied and more inclined to consider leaving, but they did not feel more isolated. (SK)

  6. An Assessment of the Utilization of Diagnostic Parasitology Laboratory Services in Ontario

    Directory of Open Access Journals (Sweden)

    Harold Richardson


    Full Text Available OBJECTIVE: Diagnostic parasitology services in Ontario were assessed to determine whether the reduction in the number of provider laboratories from 209 to 70 over the period 1977 to 1994 has affected the availability and quality of service.

  7. Overview of major salivary gland cancer surgery in Ontario (2003-2010)

    National Research Council Canada - National Science Library

    Eskander, Antoine; Irish, Jonathan; Freeman, Jeremy; Gullane, Patrick; Gilbert, Ralph; Groome, Patti A; Hall, Stephen F; Urbach, David R; Goldstein, David P


    The primary objective of this study is to describe variations in incidence rates, resection rates, and types of surgical ablations performed on patients diagnosed with major salivary gland cancers in Ontario...

  8. Comparison of reintroduction and enhancement effects on metapopulation viability (United States)

    Halsey, Samniqueka J; Bell, Timothy J.; McEachern, Kathryn; Pavlovic, Noel B.


    Metapopulation viability depends upon a balance of extinction and colonization of local habitats by a species. Mechanisms that can affect this balance include physical characteristics related to natural processes (e.g. succession) as well as anthropogenic actions. Plant restorations can help to produce favorable metapopulation dynamics and consequently increase viability; however, to date no studies confirm this is true. Population viability analysis (PVA) allows for the use of empirical data to generate theoretical future projections in the form of median time to extinction and probability of extinction. In turn, PVAs can inform and aid the development of conservation, recovery, and management plans. Pitcher's thistle (Cirsium pitcheri) is a dune endemic that exhibited metapopulation dynamics. We projected viability of three natural and two restored populations with demographic data spanning 15–23 years to determine the degree the addition of reintroduced population affects metapopulation viability. The models were validated by comparing observed and projected abundances and adjusting parameters associated with demographic and environmental stochasticity to improve model performance. Our chosen model correctly predicted yearly population abundance for 60% of the population-years. Using that model, 50-year projections showed that the addition of reintroductions increases metapopulation viability. The reintroduction that simulated population performance in early-successional habitats had the maximum benefit. In situ enhancements of existing populations proved to be equally effective. This study shows that restorations can facilitate and improve metapopulation viability of species dependent on metapopulation dynamics for survival with long-term persistence of C. pitcheri in Indiana likely to depend on continued active management.

  9. Differences in access to services in rural emergency departments of Quebec and Ontario.

    Directory of Open Access Journals (Sweden)

    Richard Fleet

    Full Text Available Rural emergency departments (EDs are important safety nets for the 20% of Canadians who live there. A serious problem in access to health care services in these regions has emerged. However, there are considerable geographic disparities in access to trauma center in Canada. The main objective of this project was to compare access to local 24/7 support services in rural EDs in Quebec and Ontario as well as distances to Levels 1 and 2 trauma centers.Rural EDs were identified through the Canadian Healthcare Association's Guide to Canadian Healthcare Facilities. We selected hospitals with 24/7 ED physician coverage and hospitalization beds that were located in rural communities. There were 26 rural EDs in Quebec and 62 in Ontario meeting these criteria. Data were collected from ministries of health, local health authorities, and ED statistics. Fisher's exact test, the t-test or Wilcoxon-Mann-Whitney test, were performed to compare rural EDs of Quebec and Ontario.All selected EDs of Quebec and Ontario agreed to participate in the study. The number of EDs visits was higher in Quebec than in Ontario (19 322 ± 6 275 vs 13 446 ± 8 056, p = 0.0013. There were no significant differences between Quebec and Ontario's local population and small town population density. Quebec's EDs have better access to advance imaging services such as CT scanner (77% vs 15%, p < .0001 and most the consultant support and ICU (92% vs 31%, p < .0001. Finally, more than 40% of rural EDs in Quebec and Ontario are more than 300 km away from Levels 1 and 2 trauma centers.Considering that Canada has a Universal health care system, the discrepancies between Quebec and Ontario in access to support services are intriguing. A nationwide study is justified to address this issue.

  10. Surveillance of antimicrobial resistance in clinical isolates of Pasteurella multocida and Streptococcus suis from Ontario swine


    Shiona K Glass-Kaastra; Pearl, David L; Reid-Smith, Richard J.; McEwen, Beverly; Slavic, Durda; Fairles, Jim; McEwen, Scott A.


    Susceptibility results for Pasteurella multocida and Streptococcus suis isolated from swine clinical samples were obtained from January 1998 to October 2010 from the Animal Health Laboratory at the University of Guelph, Guelph, Ontario, and used to describe variation in antimicrobial resistance (AMR) to 4 drugs of importance in the Ontario swine industry: ampicillin, tetracycline, tiamulin, and trimethoprim–sulfamethoxazole. Four temporal data-analysis options were used: visualization of tren...

  11. Exploring elements that influence stewardship in the eastern Lake Ontario dune and wetland area (United States)

    Diane Kuehn; James. Smahol


    Th e Eastern Lake Ontario Dune and Wetland Area (ELODWA) is a 17-mile stretch of sand dunes, wetlands, and woodlands along the eastern shore of Lake Ontario in New York State. Reductions in negative, visitor-caused impacts on the dunes (e.g., trampling of dune vegetation and sand erosion) are thought to be due in part to the extensive visitor education efforts of...

  12. Feline onychectomy: Current practices and perceptions of veterinarians in Ontario, Canada


    Kogan, Lori R.; Little, Susan E.; Hellyer, Peter W.; Schoenfeld-Tacher, Regina; Ruch-Gallie, Rebecca


    The objective of the study was to determine the proportion of practitioners from Ontario, Canada who perform onychectomy, identify the techniques utilized, and obtain practitioners views on the procedure. An anonymous survey was distributed to Ontario Veterinary Medical Association members. Mann-Whitney U-tests were used to compare responses of opinion questions related to declawing between respondents who indicated they perform declawing procedures and those who do not. Of 500 respondents, 7...

  13. Ontario's accelerated war against Medicare misuse another sign of leaner health care times.


    Korcok, M.


    A special-investigations unit is helping the Ontario Health Insurance Plan (OHIP) curb the fraud and abuse that has been draining millions of health care dollars from the province. The government is taking a tougher line on foreigners who use friends' or relatives' OHIP cards, people who use misplaced, stolen or counterfeit cards, and on snowbirds who deliberately bend residency requirements as they try to hang on to medicare benefits. In 1994-95, Ontario spent $74 million on health care for ...

  14. Multispectral imaging of organ viability during uterine transplantation surgery (United States)

    Clancy, Neil T.; Saso, Srdjan; Stoyanov, Danail; Sauvage, Vincent; Corless, David J.; Boyd, Michael; Noakes, David E.; Thum, Meen-Yau; Ghaem-Maghami, Sadaf; Smith, J. R.; Elson, Daniel S.


    Uterine transplantation surgery has been proposed as a treatment for permanent absolute uterine factor infertility (AUFI) in the case of loss of the uterus. Due to the complexity of the vasculature correct reanastomosis of the blood supply during transplantation surgery is a crucial step to ensure reperfusion and viability of the organ. While techniques such as fluorescent dye imaging have been proposed to visualise perfusion there is no gold standard for intraoperative visualisation of tissue oxygenation. In this paper results from a liquid crystal tuneable filter (LCTF)-based multispectral imaging (MSI) laparoscope are described. The system was used to monitor uterine oxygen saturation (SaO2) before and after transplantation. Results from surgeries on two animal models (rabbits and sheep) are presented. A feature-based registration algorithm was used to correct for misalignment induced by breathing or peristalsis in the tissues of interest prior to analysis. An absorption spectrum was calculated at each spatial pixel location using reflectance data from a reference standard, and the relative contributions from oxy- and deoxyhaemoglobin were calculated using a least squares regression algorithm with non-negativity constraints. Results acquired during animal surgeries show that cornual oxygenation changes are consistent with those observed in point measurements taken using a pulse oximeter, showing reduced SaO2 following reanastomosis. Values obtained using the MSI laparoscope were lower than those taken with the pulse oximeter, which may be due to the latter's use of the pulsatile arterial blood signal. Future work incorporating immunological test results will help to correlate SaO2 levels with surgical outcomes.

  15. Ontario protocol assessment level: clinical trial complexity rating tool for workload planning in oncology clinical trials. (United States)

    Smuck, Bobbi; Bettello, Phyllis; Berghout, Koralee; Hanna, Tracie; Kowaleski, Brenda; Phippard, Lynda; Au, Diana; Friel, Kay


    The Ontario Institute for Cancer Research supported the creation of a working group with the objective of developing a standard rating scale to evaluate clinical trial complexity and applying the scale to facilitate workload measurement for Ontario cancer research sites. The lack of a mechanism to measure the workload involved in a clinical trials protocol was identified and confirmed by a literature review. To collect information on how Ontario sites were assessing workload, a survey was distributed and evaluated. As a result, the working group developed the Ontario Protocol Assessment Level (OPAL), a protocol complexity rating scale designed to capture the workload involved in a clinical trial. After a training workshop on the application, OPAL was evaluated by 17 Ontario cancer centers to demonstrate its reliability and consistency during a 3-month pilot study. Twenty-seven protocols were reviewed by multiple sites, and the majority of the sites reported OPAL score differences between 0 and 1.5. OPAL provides clinical trials departments with an objective method of quantifying clinical trials activity on the basis of study protocol complexity. With consistent application of OPAL, sites can manage staffing objectively. The working group is continuing to monitor the application of OPAL in Ontario.

  16. Clinical Utility of Serologic Testing for Celiac Disease in Ontario (United States)


    Executive Summary Objective of Analysis The objective of this evidence-based evaluation is to assess the accuracy of serologic tests in the diagnosis of celiac disease in subjects with symptoms consistent with this disease. Furthermore the impact of these tests in the diagnostic pathway of the disease and decision making was also evaluated. Celiac Disease Celiac disease is an autoimmune disease that develops in genetically predisposed individuals. The immunological response is triggered by ingestion of gluten, a protein that is present in wheat, rye, and barley. The treatment consists of strict lifelong adherence to a gluten-free diet (GFD). Patients with celiac disease may present with a myriad of symptoms such as diarrhea, abdominal pain, weight loss, iron deficiency anemia, dermatitis herpetiformis, among others. Serologic Testing in the Diagnosis Celiac Disease There are a number of serologic tests used in the diagnosis of celiac disease. Anti-gliadin antibody (AGA) Anti-endomysial antibody (EMA) Anti-tissue transglutaminase antibody (tTG) Anti-deamidated gliadin peptides antibodies (DGP) Serologic tests are automated with the exception of the EMA test, which is more time-consuming and operator-dependent than the other tests. For each serologic test, both immunoglobulin A (IgA) or G (IgG) can be measured, however, IgA measurement is the standard antibody measured in celiac disease. Diagnosis of Celiac Disease According to celiac disease guidelines, the diagnosis of celiac disease is established by small bowel biopsy. Serologic tests are used to initially detect and to support the diagnosis of celiac disease. A small bowel biopsy is indicated in individuals with a positive serologic test. In some cases an endoscopy and small bowel biopsy may be required even with a negative serologic test. The diagnosis of celiac disease must be performed on a gluten-containing diet since the small intestine abnormalities and the serologic antibody levels may resolve or improve

  17. Importance of Donor Chondrocyte Viability for Osteochondral Allografts. (United States)

    Cook, James L; Stannard, James P; Stoker, Aaron M; Bozynski, Chantelle C; Kuroki, Keiichi; Cook, Cristi R; Pfeiffer, Ferris M


    Osteochondral allograft (OCA) transplantation provides a biological treatment option for functional restoration of large articular cartilage defects in multiple joints. While successful outcomes after OCA transplantation have been linked to viable donor chondrocytes, the importance of donor cell viability has not been comprehensively validated. To use a canine model to determine the importance of donor chondrocyte viability at the time of implantation with respect to functional success of femoral condylar OCAs based on radiographic, gross, cell viability, histologic, biochemical, and biomechanical outcome measures. Controlled laboratory study. After approval was obtained from the institutional animal care and use committee, adult female dogs (N = 16) were implanted with 8-mm cylindrical OCAs from male dogs in the lateral and medial femoral condyles of 1 knee. OCAs were preserved for 28 or 60 days after procurement, and chondrocyte viability was quantified before implantation. Two different storage media, temperatures, and time points were used to obtain a spectrum of percentage chondrocyte viability at the time of implantation. A successful outcome was defined as an OCA that was associated with graft integration, maintenance of hyaline cartilage, lack of associated cartilage disorder, and lack of fibrillation, fissuring, or fibrous tissue infiltration of the allograft based on subjective radiographic, gross, and histologic assessments at 6 months after implantation. Chondrocyte viability ranged from 23% to 99% at the time of implantation. All successful grafts had >70% chondrocyte viability at the time of implantation, and no graft with chondrocyte viability <70% was associated with a successful outcome. Live-dead stained sections and histologic findings with respect to cell morphological features suggested that successful grafts were consistently composed of viable chondrocytes in lacunae, while grafts that were not successful were composed of nonviable

  18. A Classification Method for Seed Viability Assessment with Infrared Thermography

    Directory of Open Access Journals (Sweden)

    Sen Men


    Full Text Available This paper presents a viability assessment method for Pisum sativum L. seeds based on the infrared thermography technique. In this work, different artificial treatments were conducted to prepare seeds samples with different viability. Thermal images and visible images were recorded every five minutes during the standard five day germination test. After the test, the root length of each sample was measured, which can be used as the viability index of that seed. Each individual seed area in the visible images was segmented with an edge detection method, and the average temperature of the corresponding area in the infrared images was calculated as the representative temperature for this seed at that time. The temperature curve of each seed during germination was plotted. Thirteen characteristic parameters extracted from the temperature curve were analyzed to show the difference of the temperature fluctuations between the seeds samples with different viability. With above parameters, support vector machine (SVM was used to classify the seed samples into three categories: viable, aged and dead according to the root length, the classification accuracy rate was 95%. On this basis, with the temperature data of only the first three hours during the germination, another SVM model was proposed to classify the seed samples, and the accuracy rate was about 91.67%. From these experimental results, it can be seen that infrared thermography can be applied for the prediction of seed viability, based on the SVM algorithm.

  19. An Evaluation of Provincial Infectious Disease Surveillance Reports in Ontario. (United States)

    Chan, Ellen; Barnes, Morgan E; Sharif, Omar


    Public Health Ontario (PHO) publishes various infectious disease surveillance reports, but none have yet been formally evaluated. PHO evaluated its monthly and annual infectious disease surveillance reports to assess public health stakeholders' current perception of the products and to develop recommendations for improving future products. An evaluation consisting of an online survey and a review of public Web sites of other jurisdictions with similar annual reports. For the online survey, stakeholder organizations targeted were the 36 local public health units and the Health health ministry in Ontario, Canada. Survey participants included epidemiologists, managers, directors, and other public health practitioners from participating organizations. Online survey respondents' awareness and access to the reports, their rated usefulness of reports and subsections, and suggestions for improving usefulness; timeliness of select annual reports from other jurisdictions based on the period from data described to report publication. Among 57 survey respondents, between 74% and 97% rated each report as useful; the most common use was for situational awareness. Respondents ranked timeliness as the most important attribute of surveillance reports, followed by data completeness. Among 6 annual reports reviewed, the median time to publication was 11.5 months compared with 23.2 months for PHO. Recommendations based on this evaluation have already been applied to the monthly report (eg, focusing on the most useful sections) and have become key considerations when developing future annual reports and other surveillance reporting tools (eg, need to provide more timely reports). Other public health organizations may also use this evaluation to inform aspects of their surveillance report development and evaluation. The evaluation results have provided PHO with direction on how to improve its provincial infectious disease surveillance reporting moving forward, and formed a basis for

  20. Cancer risk factors and screening in First Nations in Ontario

    Directory of Open Access Journals (Sweden)

    Maegan V. Mazereeuw


    Full Text Available Introduction: A lack of identifiers in health administrative databases limits our understanding of the cancer burden in First Nations. This study compares cancer risk factors and screening between First Nations in Ontario (on and off reserve and non-Aboriginal Ontarians using two unique health surveys. Methods: We measured age-standardized prevalence estimates using the First Nations Regional Health Survey (RHS Phase 2, 2008/10 (for First Nations on reserve and the Canadian Community Health Survey (CCHS, 2007–2013 (for First Nations off reserve and non-Aboriginal Ontarians. We used prevalence rate ratios (RR and Pearson’s chisquare tests for differences in proportions to compare estimates between First Nations (on and off reserve and non-Aboriginal Ontarians. Results: A higher proportion of First Nation men, women and adolescents on reserve smoked (RR = 1.97, 2.78 and 7.21 respectively and were obese (RR = 1.73, 2.33 and 3.29 respectively compared to their non-Aboriginal counterparts. Similar patterns were observed for First Nations off reserve. Frequent binge drinking was also more prevalent among First Nation men and women living on reserve (RR = 1.28 and 2.22, respectively and off reserve (RR = 1.70 and 1.45, respectively than non-Aboriginal Ontarians. First Nation men and women on reserve were about half as likely to consume fruit at least twice per day and vegetables at least twice per day compared to non-Aboriginal men and women (RR = 0.53 and 0.54, respectively. Pap test uptake was similar across all groups, while First Nation women on reserve were less likely to have had a mammogram in the last five years than non-Aboriginal women (RR = 0.85. Conclusion: First Nations, especially those living on reserve, have an increased risk for cancer and other chronic diseases compared to non-Aboriginal Ontarians. These results provide evidence to support policies and programs to reduce the future burden of cancer and other chronic diseases in

  1. Development and application of an operational Probabilistic Risk Assessment (PRA) at Ontario Power Generation

    Energy Technology Data Exchange (ETDEWEB)

    Kaasalainen, S.; Mok, J.; Donnelly, K.; Dinnie, K. [Nuclear Safety Solutions Ltd., Toronto, Ontario (Canada); Ganguli, S.; Moisin, M. [Ontario Power Generation, Pickering, Ontario (Canada)


    Ontario Power Generation Inc. has embraced the use of Probabilistic Risk Assessment (PRA) in operational decision-making. Common examples include decisions related to continued operation while in an abnormal plant configuration based on incremental risk increase, and the use of risk monitors (i.e., Equipment Out-of-Service (EOOS)) for outage planning and managing risk during on-line maintenance. Unlike the baseline PRA where average risk is calculated, these operational decisions/tools are best made using a real-time, or instantaneous analysis reflecting actual plant configuration. The process of taking the baseline, time-averaged PRA, to an instantaneous model is part of broader process of 'operationalizing' the plant PRA. Additional items in the process include activities related to the development of the risk monitors themselves, and the development and establishment of procedures and governance related to the use of the PRA and risk monitors in applications. This paper looks into the processes and factors requiring consideration when 'operationalizing' a nuclear power plant PRA. As well, the paper includes a case study describing the use of an operational PRA to support the decision-making process at Pickering NGS B. (author)

  2. Perceptions and experiences of environmental health risks among new mothers: a qualitative study in Ontario, Canada (United States)

    Crighton, E. J.; Brown, C.; Baxter, J.; Lemyre, L.; Masuda, J.R.; Ursitti, F.


    There is a growing awareness and concern in contemporary societies about potential health impacts of environmental contaminants on children. Mothers are traditionally more involved than other family members in managing family health and household decisions and thus targeted by public health campaigns to minimise risks. However little is known about how new mothers perceive and experience environmental health risks to their children. In 2010, we undertook a parallel case study using qualitative, in-depth interviews with new mothers and focus groups with public health key informants in two Public Health Units in Ontario Province, Canada. We found that the concern about environmental hazards among participants ranged from having no concerns to actively incorporating prevention into daily life. Overall, there was a common perception among participants that many risks, particularly in the indoor environment, were controllable and therefore of little concern. But environmental risks that originate outside the home were viewed as less controllable and more threatening. In response to such threats, mothers invoked coping strategies such as relying on the capacity of children's bodies to adapt. Regardless of the strategies adopted, actions (or inactions) were contingent upon active information seeking. We also found an optimistic bias in which new mothers reported that other children were at greater risk despite similar environmental circumstances. The findings suggest that risk communication experts must attend to the social and environmental contexts of risk and coping when designing strategies around risk reducing behaviours. PMID:23805055

  3. Adding insult to injury: The development of psychosocial stress in Ontario wind turbine communities. (United States)

    Walker, Chad; Baxter, Jamie; Ouellette, Danielle


    Though historically dismissed as not-in-my-backyard (NIMBY) attitudes, reports of psychosocial stress linked to wind energy developments have emerged in Ontario, Canada. While the debate and rhetoric intensify concerning whether wind turbines 'actually' cause 'health' effects, less sincere attention has been given to the lived experience and mental well-being of those near turbines. Drawing on theories of environmental stress, this grounded theory, mixed-method (n = 26 interviews; n = 152 questionnaires) study of two communities in 2011 and 2012 traces how and why some wind turbine community residents suffer substantial changes to quality of life, develop negative perceptions of 'the other' and in some cases, experience intra-community conflict. Policy-related forces, along with existing community relationships may help explain much of these differences between communities. We suggest a move beyond debating simply whether or not 'annoyance' represents a 'health impact' and instead focus on ways to minimize and attenuate these feelings of threat (risk) and stress at the community level. Copyright © 2014 Elsevier Ltd. All rights reserved.

  4. Serial hCG and progesterone levels to predict early pregnancy outcomes in pregnancies of uncertain viability: A prospective study. (United States)

    Puget, Claire; Joueidi, Yolaine; Bauville, Estelle; Laviolle, Bruno; Bendavid, Claude; Lavoué, Vincent; Le Lous, Maela


    To assess the value of serial hCG and progesterone serum level in the diagnosis of early pregnancy viability. It was a prospective cohort study. Women with a pregnancy of uncertain viability (PUV), defined as the presence of an intra-uterine embryo with a crown-rump length hCG levels on the first day and 48h after as well as the initial progesterone level were evaluated to diagnose pregnancy viability. Pregnancy viability was assessed by TVS 7 to 14days after inclusion. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of an hCG H48/H0 ratio increase hCG H48/H0 ratio increase >75% to diagnose a viable pregnancy were 100%, 31%, 45.9% and 100%, respectively. hCG H48/H0 ratio increase hCG H48/H0 ratio increase >75% was associated with 100% of viable pregnancies in 100% of the cases. Serial hCG levels alone permitted an early viability diagnosis within 48h for 41.1% of patients with PUV instead of 7 to 14days with TVS. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Viability assessment of Ascaris suum eggs stained with fluorescent dyes using digital colorimetric analysis. (United States)

    Włodarczyk, Magdalena; Zdybel, Jolanta; Próchniak, Marek; Osiński, Zbigniew; Karamon, Jacek; Kłapeć, Teresa; Cencek, Tomasz


    The aim of the study was to develop a method for the colorimetric evaluation of nematode eggs using appropriate instruments. The materials for the study were live and dead (inactivated) eggs of the Ascaris suum. Viability of the eggs was assessed using four different kits for fluorescent staining (for each technique, a series of photos were taken). Images of stained eggs were analysed using graphic software with RGB (red-green-blue) function. The viability of the eggs was assessed according to the relative positions of the distributions of colour intensities of live or dead eggs - distributions area's overlap index (DAOI), and distributions area's separation index (DASI) were calculated. Computer analysis of the intensity of green colour was not satisfactory. However, analysis of images in the spectrum of red colour proved useful for the effective differentiation between live or dead eggs. The best parameters were observed using the Annexin V FITC Apoptosis Detection Kit (DASI = 41 and 67). The investigation confirmed the usefulness of fluorescent dyes used in conjunction with digital analysis for the assessment of the viability of A. suum eggs. The use of computer software allowed a better objectivity of the assessment, especially in the case of doubtful staining. Copyright © 2017 Elsevier Inc. All rights reserved.

  6. Tissue viability 2010 -2015:from good to great. (United States)

    Milne, Jeanette; Ousey, Karen


    This paper explores the challenges of the changing face of the NHS with specific relation to the challenges for community-based tissue viability services following the publication of government documents that identify the need to provide a quality service for all patients in health-care settings. Patients receiving care in the community is paramount to the success of the NHS going forward; service redesign, improvements in quality, outcome tracking, seamless discharge and patient satisfaction/responsibilities has been heralded as the core prerequisites of successful services. Tissue viability is a relatively young specialism, with most services being nurse led and established less than 15 years. It is argued that in order to continue to be successful as a specialism, tissue viability has to challenge traditional patient and nursing beliefs and values.

  7. Multimodality imaging in the assessment of myocardial viability (United States)

    Partington, Sara L.; Kwong, Raymond Y.


    The prevalence of heart failure due to coronary artery disease continues to increase, and it portends a worse prognosis than non-ischemic cardiomyopathy. Revascularization improves prognosis in these high-risk patients who have evidence of viability; therefore, optimal assessment of myocardial viability remains essential. Multiple imaging modalities exist for differentiating viable myocardium from scar in territories with contractile dysfunction. Given the multiple modalities available, choosing the best modality for a specific patient can be a daunting task. In this review, the physiology of myocardial hibernation and stunning will be reviewed. All the current methods available for assessing viability including echocardiography, cardiac magnetic resonance imaging, nuclear imaging with single photon emission tomography and positron emission tomography imaging and cardiac computed tomography will be reviewed. The effectiveness of the various techniques will be compared, and the limitations of the current literature will be discussed. PMID:21069458

  8. Viability of Lucilia sericata maggots after exposure to wound antiseptics. (United States)

    Daeschlein, Georg; Napp, Matthias; Assadian, Ojan; von Podewils, Sebastian; Reese, Kevin; Hinz, Peter; Matiasek, Johannes; Spitzmueller, Romy; Humphreys, Paul; Jünger, Michael; Kramer, Axel


    After debridement and before dressing a wound with maggots of calliphorid flies, one frequently performed step is the application of antiseptics to the prepared wound bed. However, the concomitant application of antiseptic agents during maggot therapy is regarded controversial as antiseptics may interfere with maggots' viability. In this experimental in vitro study, the viability of fly maggots was investigated after exposure to various antiseptics frequently used in wound care. Here, we show that Lucilia sericata fly maggots can survive up to an hour's exposure to wound antiseptics such as octenidine, povidone-iodine or polihexanide. Concomitant short-term application of wound antiseptics together with maggots on wound beds is tolerated by larvae and does not impair their viability. © 2016 Inc and John Wiley & Sons Ltd.

  9. Metropolitan transportation management center : a case study : COMPASS : effectively managing traffic and incidents (United States)


    The following case study provides a snapshot of the Downsview, Ontario transportation management center. It follows the outline provided in the companion document, Metropolitan Transportation Management Center Concepts of Operation - A Cross Cutting ...

  10. Caribou nursery site habitat characteristics in two northern Ontario parks

    Directory of Open Access Journals (Sweden)

    Natasha L. Carr


    Full Text Available To prevent further range recession, habitat features essential to the life-history requisites of woodland caribou (Rangifer tarandus caribou such as calving and nursery sites need to be protected for the persistence of the species. Woodland caribou may minimize predation risk during calving by either spacing out or spacing away from predators in the forest to calve on islands, wetlands, or shorelines. Our objective was to determine the characteristics of shoreline habitats used as calving and nursery sites by female woodland caribou in northern Ontario. Detailed vegetation and other site characteristics were measured at nursery sites used by cow-calf pairs in Wabakimi and Woodland Caribou Provincial Parks for comparison with shoreline sites that were not used by caribou within each park. Differences in habitat variables selected by female caribou in the two study areas reflect broad ecoregional differences in vegetation and topography. In Wabakimi Provincial Park, understorey tree density and ground detection distance played key roles in distinguishing nursery sites from sites that were not used. In Woodland Caribou Provincial Park, groundcover vegetation and shrub density were important in the selection of nursery sites by female caribou. Generally, female caribou in both parks selected nursery sites with greater slope, lower shrub density but thicker groundcover vegetation, including greater lichen abundance, and higher densities of mature trees than shoreline sites that were not used. The identification of these important features for caribou nursery sites provides a basis for improving their protection in future management policies and legislation.

  11. Traditional Knowledge: Considerations for Protecting Water in Ontario

    Directory of Open Access Journals (Sweden)

    Deborah McGregor


    Full Text Available In Canada, the water crisis increasingly felt around the world is being experienced primarily in small, usually Indigenous, communities. At the heart of this issue lies an ongoing struggle to have Indigenous voices heard in the decision-making processes that affect their lives, lands, and waters. As part of ancient systems of Traditional Knowledge (TK, Indigenous people bear the knowledge and the responsibility to care for the waters upon which they depend for survival. A series of internationally developed documents has supported Indigenous peoples’ calls for increased recognition of the importance of TK in resolving environmental crises, including those involving water. Ontario provincial and Canadian federal governments have been developing legislative and regulatory documents to help fend off further water-related catastrophes within their jurisdictions. Despite such efforts, a number of barriers to the successful and appropriate involvement of TK in water management remain. Based on years of community-based and policy-related research with First Nations people involved in water-related undertakings, this article highlights progress made to date, and provides Indigenous viewpoints on what further steps need to be taken. Key among these steps are the need to restore and maintain Indigenous access to traditional territories and ways of life, and the requirement for mutually respectful collaboration between TK and Western science.

  12. Steam generator management at Ontario Hydro Nuclear Stations

    Energy Technology Data Exchange (ETDEWEB)

    Nickerson, J. [Atomic Energy of Canada Limited, Mississauga, Ontario (Canada); Maruska, C.C. [Ontario Hydro, Toronto, Ontario (Canada)


    Managing ageing steam generators involves costly decisions for the utility, both in terms of the cost of the maintenance activities andin terms of having the unit shutdown and consequent power loss while performing these activities. The benefits of these activities are seldom guaranteed and are sometimes very intangible. For nuclear utilities the most pertinent questions that arise are have we identified all the problem(s), can we predict the risk due to these problems? Can we implement corrective and preventive activities to manage the problem and what is the optimum timing of implementation? Is the money spent worthwhile, i.e. has it given us a return in production and safety? Can we avoid surprises? How can we tangibly measure success? This paper touches briefly on all the questions mentioned above but it mainly addresses the last question: 'how can we tangibly measure success?' by using several success indicators proposed by EPRI and by applying them to actual Ontario Hydro experience. The appropriateness of these success indicators as the means to assess the success of these programs, to feed back the results, and to enhance or revise the programs will be discussed. (author)

  13. Mallard Use of Hen HousesTM in Eastern Ontario

    Directory of Open Access Journals (Sweden)

    J. Ryan Zimmerling


    Full Text Available Nesting structures for ground-nesting waterfowl may be an effective technique for increasing nesting success in regions in which nest success is below the 15% threshold needed to maintain a stable population. We studied the occupancy rate of artificial nesting structures called hen housesTM by Mallards (Anas platyrhynchos nesting in two different wetland habitats, beaver ponds and sewage lagoons, in eastern Ontario during 1999-2001. We hypothesized that, because natural cover was sparse on sewage lagoons, Mallards would occupy hen houses at a higher rate on sewage lagoons than on beaver ponds. However, of the 248 hen houses distributed between beaver ponds and sewage lagoons, none was occupied by waterfowl. Common Grackles (Quiscalus quiscula were the only avian species that nested in hen houses. However, Mallards successfully nested directly under several structures (n = 6 when water levels were low enough to expose the ground beneath them. Mayfield daily nest survival estimates for Mallards nesting in natural cover were similar on sewage lagoons and beaver ponds for all years (mean = 0.99 and were higher than most published estimates. Factors such as nesting cover, predation pressures, and structure design and material may influence the use of artificial hen houses and should be considered when planning a hen house program outside of the Prairie Pothole Region.

  14. Water consumption habits of a south-western Ontario community. (United States)

    Pintar, K D M; Waltner-Toews, D; Charron, D; Pollari, F; Fazil, A; McEwen, S A; Nesbitt, A; Majowicz, S


    A cross-sectional telephone survey (n = 2,332) was performed to better understand the drinking water consumption patterns among residents in Waterloo Region, Ontario, Canada. We investigated the daily volume of water consumed (including tap and bottled) and factors related to that consumption. In addition, we investigated the daily volume of cold tap water consumed by those respondents who consumed no bottled water and the factors that influence this consumption. Among study respondents, 51% exclusively drank tap water, 34% exclusively drank bottled water and 14.5% drank both, with 10 to 75% of all cold water consumed in the previous day being bottled. The mean volume of water consumed in a day (including bottled and tap water) was 1.39 l. Among those who reported to exclusively consume tap water, the mean daily volume of tap water consumed was 1.45 l. The daily amount of cold water consumed in a day was lower for older respondents, more markedly for men than women. More educated respondents consumed more water during the day. Roughly 45% of households reported that they used a carbon filter to treat their water. Roughly 5% of respondents used advanced home treatment devices, including ultraviolet light, reverse osmosis, ozonation or distillation.

  15. Vendor compliance with Ontario's tobacco point of sale legislation. (United States)

    Dubray, Jolene M; Schwartz, Robert M; Garcia, John M; Bondy, Susan J; Victor, J Charles


    On May 31, 2006, Ontario joined a small group of international jurisdictions to implement legislative restrictions on tobacco point of sale promotions. This study compares the presence of point of sale promotions in the retail tobacco environment from three surveys: one prior to and two following implementation of the legislation. Approximately 1,575 tobacco vendors were randomly selected for each survey. Each regionally-stratified sample included equal numbers of tobacco vendors categorized into four trade classes: chain convenience, independent convenience and discount, gas stations, and grocery. Data regarding the six restricted point of sale promotions were collected using standardized protocols and inspection forms. Weighted estimates and 95% confidence intervals were produced at the provincial, regional and vendor trade class level using the bootstrap method for estimating variance. At baseline, the proportion of tobacco vendors who did not engage in each of the six restricted point of sale promotions ranged from 41% to 88%. Within four months following implementation of the legislation, compliance with each of the six restricted point of sale promotions exceeded 95%. Similar levels of compliance were observed one year later. Grocery stores had the fewest point of sale promotions displayed at baseline. Compliance rates did not differ across vendor trade classes at either follow-up survey. Point of sale promotions did not differ across regions in any of the three surveys. Within a short period of time, a high level of compliance with six restricted point of sale promotions was achieved.

  16. The factor validity of the Western Ontario Rotator Cuff Index

    Directory of Open Access Journals (Sweden)

    Mewa Yasmin


    Full Text Available Abstract Background The Western Ontario Rotator Cuff Index (WORC is a self-report questionnaire developed specifically to evaluate disability in persons with pathology of the rotator cuff of the shoulder. The authors created items in 5 categories based on a model of quality of life, but never validated this structure. The purpose of this study was to examine the validity of the original 5-domain model of the WORC by performing factor analysis. Methods Three hundred twenty nine subjects (age, mean: 52, SD: 12 were tested prior to undergoing surgery for rotator cuff pathologies. They completed the WORC, a self-report questionnaire, which has 21 items on the effect of the rotator cuff problem on symptoms, activities and emotions. Statistical calculations included correlations between items, Cronbach's alpha of the total scale and subscales, and principal component factor analysis with oblique rotation. Results Correlations ranged from .09 to .70 between all the items, from .29 to .70 between items within a subscale, and from .53 to .72 between subscale scores. Cronbach's alpha was .93 for the total scale, and .72 to .82 for the subscales. The factor analysis produced 3 factors that explained 57% of the variance. The first factor included symptoms and emotional items, the second included strength items and the third included daily activities. Conclusion The results of this study did not support the 5-domain model of the WORC.

  17. Woodland caribou range occupancy in northwestern Ontario: past and present

    Directory of Open Access Journals (Sweden)

    G.D. Racey


    Full Text Available A zone of continuous woodland caribou (Rangifer tarandus caribou distribution is defined for northwestern Ontario. This zone establishes a benchmark for measuring the success of future management of habitat and conservation of populations. Inventory of key winter, summer and calving habitats reaffirms the concept of a dynamic mosaic of habitat tracts that supports caribou across the landscape. The historical range recession leading to this current distribution has been associated with resource development, fire and hunting activities over the past 150 years, and numerous attempts at conservation over the last 70 years. The decline was apparently phased according to several periods of development activity: i early exploitation in the early to mid-1800s; ii isolation and extirpation of southern populations due to rapid changes in forest use and access between 1890 and 1930; and iii further loss of the southernmost herds due to forest harvesting of previously inaccessible areas since the 1950s. Lessons learned from history support current conservation measures to manage caribou across broad landscapes, protect southern herds, maintain caribou habitat as part of continuous range, maintain large contiguous tracts of older forest and ensure connectivity between habitat components.

  18. The effect of Aloe vera gel on viability of dental pulp stem cells. (United States)

    Sholehvar, Fatemeh; Mehrabani, Davood; Yaghmaei, Parichehr; Vahdati, Akbar


    Dental pulp stem cells (DPSCs) can play a prominent role in tissue regeneration. Aloe vera L. (Liliaceae) contains the polysaccharide of acemannan that was shown to be a trigger factor for cell proliferation, differentiation, mineralization, and dentin formation. This study sought to determine the viability of DPSCs in Aloe vera in comparison with Hank's balanced salt solution (HBSS). Twelve rabbits underwent anesthesia, and their incisor teeth were extracted; the pulp tissue was removed, chopped, treated with collagenase and plated in culture flasks. DPSCs from passage 3 were cultured in 24-well plates, and after 3 days, the culture media changed to 10, 25, 50, and 100% concentrations of Aloe vera at intervals of 45 and 90 min and 3 and 6 h. Distilled water was used as negative and HBSS as positive control for comparison. The cell morphology, viability, population doubling time (PDT), and growth kinetics were evaluated. RT-PCR was carried out for characterization and karyotyping for chromosomal stability. Aloe vera showed a significant higher viability than HBSS (74.74%). The 50% Aloe vera showed higher viability (97.73%) than other concentrations. PDT in 50% concentration was 35.1 h and for HBSS was 49.5 h. DPSCs were spindle shaped and were positive for CD73 and negative for CD34 and CD45. Karyotyping was normal. Aloe vera as an inexpensive and available herb can improve survival of avulsed or broken teeth in emergency cases as a transfer media. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  19. [Genotypic basis of low viability in vestigial mutants of Drosophila melanogaster]. (United States)

    Totskiĭ, V N; Khaustova, N D; Levchuk, L V; Morgun, S V


    The role of a marker mutation and other genes in a decrease in viability was studied in the Drosophila melanogaster vg line. In flies of the C-S line, chromosome 2 was substituted by the homologous chromosome of the vg flies. In addition, the flies of the mutant phenotype with mutant genes partially or completely substituted by the wild-type C-S genes were obtained in saturating crosses C-S x vg. In the reciprocal variant of chromosome 2 substitution, the flies of the C-S phenotype with chromosomes 1, 3, and 4 from the vg line were obtained. Chromosome 2 of the vg line, introduced into C-S fly karyotype, proved to substantially reduce the heat resistance and life span of flies. In the case of reciprocal replacement (C-S line chromosome 2 substituted for the homologous chromosome of vg flies), a significant increase in viability was observed, which, however, never reached the level characteristic of the C-S line. As the vg genotype became saturated with C-S genes, the heat resistance and life span of flies increased substantially. However, even the complete saturation of mutant chromosomes with wild-type genes never resulted in the equal viability of vg and C-S flies. These data suggest that the low viability of the vg mutant is largely accounted for by the gene composition of the second chromosome and, primarily, by the presence of the vg gene. Nevertheless, there is evidence that, along with the pleiotropic effect of the marker mutation, other genes not linked to chromosome 2 are responsible for the studied physiological properties of the vg flies.

  20. Long-term viability and differentiation of bovine oviductal monolayers: bidimensional versus three-dimensional culture. (United States)

    Gualtieri, R; Mollo, V; Braun, S; Barbato, V; Fiorentino, I; Talevi, R


    Different in vitro models have been developed to study the interaction of gametes and embryos with the maternal tract. In cattle, the interaction of the oviduct with gametes and embryos have been classically studied using oviductal explants or monolayers (OMs). Explants are well differentiated but have to be used within 24 h after collection, whereas OMs can be used for a longer time after cell confluence but dedifferentiate during culture, losing cell polarity and ciliation. Herein, OMs were cultured either in M199 plus 10% fetal calf serum or in a semidefined culture medium (Gray's medium), in an immersed condition on collagen-coated coated microporous polyester or polycarbonate inserts under air-liquid interface conditions. The influence of culture conditions on long-term viability and differentiation of OMs was evaluated through scanning electron microscopy, localization of centrin and tubulin at the confocal laser scanning microscope, and assessment of maintenance of viability of sperm bound to OMs. Findings demonstrated that OMs cultured in an immersed condition with Gray's medium retain a better morphology, do not exhibit signs of crisis at least until 3 wks postconfluence, and maintain the viability of bound sperm significantly better than parallel OMs cultured in M199 plus 10% fetal calf serum. OM culture with Gray's medium in air-liquid interface conditions on porous inserts promotes cell polarity, ciliation, and maintenance of bound sperm viability at least until 3 wks postconfluence. In conclusion, oviduct culture in Gray's medium in an immersed or air-liquid condition allows long-term culture and, in the latter case, also ciliation of bovine OMs, and may represent in vitro systems that mimick more closely the biological processes modulated by the oviduct in vivo. Copyright © 2012 Elsevier Inc. All rights reserved.

  1. Economic Viability of Brewery Spent Grain as a Biofuel

    Energy Technology Data Exchange (ETDEWEB)

    Morrow, Charles [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)


    This report summarizes an investigation into the technical feasibility and economic viability of use grain wastes from the beer brewing process as fuel to generate the heat needed in subsequent brewing process. The study finds that while use of spent grain as a biofuel is technically feasible, the economics are not attractive. Economic viability is limited by the underuse of capital equipment. The investment in heating equipment requires a higher utilization that the client brewer currently anticipates. It may be possible in the future that changing factors may swing the decision to a more positive one.

  2. Economic viability of new launched school lunch programmes

    DEFF Research Database (Denmark)

    Jensen, Jørgen Dejgård; Smed, Sinne; Mørkbak, Morten Raun


    The objective of this paper is to investigate determinants for the viability of school lunch programmes with a zero-price start-up period. The study is based on a Danish pilot experiment, in which 38 schools were subsidized to provide free school lunch for all pupils during a two-month start...... activities related to the schools’ support and the users’ feeling of ownership, as well as internal professionalism and leadership in the implementation of the school lunch programme are important for the viability of the programme. Strong performance on the latter factors might to some extent compensate...... for the gap between cost and users’ willingness to pay for school lunches....

  3. Challenge testing of gametes to enhance their viability

    DEFF Research Database (Denmark)

    Callesen, Henrik


    of survival mechanism that enables them to come through the process. The details of the mechanism remain unknown but, if identified, it could have immense potential as a new way to improve the viability of embryos produced by ART. However, few publications describe systematic ways to challenge test gametes...... and then to use the results as a basis for improving gamete viability. Furthermore, new methods to monitor the reactions of gametes to such challenge tests are needed. In the present review, these two issues are discussed, as are some of the conditions necessary before a challenge test protocol can be part...

  4. Population-specific life histories contribute to metapopulation viability (United States)

    Halsey, Samniqueka J.; Bell, Timothy J.; McEachern, A. Kathryn; Pavlovic, Noel B.


    Restoration efforts can be improved by understanding how variations in life-history traits occur within populations of the same species living in different environments. This can be done by first understanding the demographic responses of natural occurring populations. Population viability analysis continues to be useful to species management and conservation with sensitivity analysis aiding in the understanding of population dynamics. In this study, using life-table response experiments and elasticity analyses, we investigated how population-specific life-history demographic responses contributed to the metapopulation viability of the Federally threatened Pitcher's thistle (Cirsium pitcheri). Specifically, we tested the following hypotheses: (1) Subpopulations occupying different environments within a metapopulation have independent demographic responses and (2) advancing succession results in a shift from a demographic response focused on growth and fecundity to one dominated by stasis. Our results showed that reintroductions had a positive contribution to the metapopulation growth rate as compared to native populations which had a negative contribution. We found no difference in succession on the contribution to metapopulation viability. In addition, we identified distinct population-specific contributions to metapopulation viability and were able to associate specific life-history demographic responses. For example, the positive impact of Miller High Dunes population on the metapopulation growth rate resulted from high growth contributions, whereas increased time of plant in stasis for the State Park Big Blowout population resulted in negative contributions. A greater understanding of how separate populations respond in their corresponding environment may ultimately lead to more effective management strategies aimed at reducing extinction risk. We propose the continued use of sensitivity analyses to evaluate population-specific demographic influences on

  5. Strategies pedagogiques dans les classes a niveaux multiples du nord de l'Ontario--Un compte rendu (Teaching Strategies for Multigraded Classes in Northern Ontario: An Account). (United States)

    Lataille-Demore, Diane


    A training and teaching tools development project aims to help multigrade classroom teachers in remote areas of Ontario. The project presents multiple instructional strategies, such as collaborative learning, differentiated teaching, and subject integration. Sixty teaching activities, created and tested by teachers, are contained on a CD that will…

  6. The urology work force in Ontario for the 21st century: feast or famine? (United States)

    Pace, K T; Provan, J L; Jewett, M A


    To address the issues of work-force planning and modelling in the 21st century for the specialty of urology in the Province of Ontario. Data (from 1991 to 1995) regarding urology physician resources were gathered from Health Canada, the Royal College of Physicians and Surgeons of Canada, the Ontario Physician Human Resources Data Centre, the Canadian Post-M.D. Education Registry, the System for Health Area Resource Planning (SHARP) database, the Canadian Institute for Health Information and the National Physician Database. Specifically, the age and gender breakdown of currently active Ontario urologists, measures of urologist clinical activity (from Ontario Hospital Insurance Plan billings and questionnaires), inputs into and exits from the active urologist population were gathered, and estimates of future needs for urologist services, based on current population and demographic models, were made. A model to predict the balance between future needs for urology services and future supply of urologists was then created and validated against data drawn from the SHARP database. The model revealed that there will be a significant shortage of urologists in Ontario in the immediate and long-term future; by the year 2010 there will be a shortfall of 101 urologists in Ontario, or 51% of the total needed. Enlarging the urology training programs in Ontario would help to minimize the estimated shortfall. Systematic modelling of physician work-force needs for the future is necessary for the optimal allocation of health care resources. The methodology of the urology work-force model is generalizable to physician work-force planning for other specialty groups on a provincial or national basis.

  7. Psychiatric disorder onset and first treatment contact in the United States and Ontario. (United States)

    Olfson, M; Kessler, R C; Berglund, P A; Lin, E


    The authors describe the timing of the first treatment contact following new-onset DSM-III-R mood, anxiety, and addictive disorders in community samples from the United States and Ontario, Canada, before and after passage of the Ontario Health Insurance Plan. The authors drew data from the National Comorbidity Survey (NCS) (N=8,098) and the mental health supplement to the Ontario Health Survey (OHS) (N= 9,953). They assessed psychiatric disorders with a modified version of the Composite International Diagnostic Interview; they also assessed retrospectively age at disorder onset and first treatment contact. They used the Kaplan-Meier method to generate time-to-treatment curves and survival analysis to compare time-to-treatment intervals across the two surveys. The overall time-to-treatment curves revealed substantial differences between disorders that were consistent across the two surveys. In both surveys, panic disorder had the highest probability of first-year treatment (NCS, 65.6%; OHS supplement, 52.6%), while phobia (NCS, 12.0%; OHS supplement: 6.5%) and addictive disorders (NCS, 6.4%; OHS supplement, 4.2%) had the lowest in both surveys. Retrospective subgroup analysis suggests that before the passage of the Ontario public insurance plan, the likelihood of receiving treatment in the year of disorder onset was greater in Ontario than in the United States but that this relationship reversed following passage of the Ontario plan. During this period, the authors observed no significant between-country differences in the probability of prompt treatment of adults with 12 or fewer years of education. These results challenge the assumption that the universal health insurance plan in Ontario promotes greater access to mental health services than is available in the United States for vulnerable groups. Marked differences between disorders in the speed to first treatment suggest that in both countries, clinical factors play an important role in the timing of the initial

  8. Ethics of birth at the limits of viability: the risky business of prediction. (United States)

    Shinwell, Eric S


    Infants born at the limits of viability present neonatologists in particular and society in general with difficult challenges. Ethical and legal considerations establish a framework for action, although this varies between countries, departments and individuals and shows dynamic changes over time. This brief review includes a vignette telling a familiar story. In this case, the parents ask searching questions and the caring, knowledgeable neonatologist uses up-to-date information to offer empathic and thoughtful guidance - a challenge for all. © 2015 S. Karger AG, Basel.

  9. The practice of investment viability appraisal in Akure, Nigeria ...

    African Journals Online (AJOL)

    This paper examines the role played by valuers in choosing the right viability appraisal technique for an investment appraisal. Structured questionnaire was administered on Twenty one (21) registered and practicing Estate Surveying and Valuation firms in Akure out of which fourteen (14) were retrieved and found good for ...

  10. Evaluating the Viability of Mobile Learning to Enhance Management Training (United States)

    Macdonald, Iain; Chiu, Jason


    A qualitative research project was conducted to test the viability of augmenting an e-learning program for workplace learners using mobile content delivered through smart phones. Ten learners taking a six week web-based e-learning course were given smart phones which enabled them to access approximately 70% of the course content, in addition to…

  11. Assessment of viability of microorganisms employing fluorescence techniques

    NARCIS (Netherlands)

    Breeuwer, P.


    Viability assessment of microorganisms is relevant for a wide variety of applications in industry, including evaluation of inactivation treatments and quality assessment of starter cultures for beer, wine, and yoghurt production.

    Usually, the ability of microbial cells to

  12. Desiccation-induced changes in viability, lipid peroxidation and ...

    African Journals Online (AJOL)

    Intermediate seeds of Mimusopsis elengi showed obvious membrane lipid peroxidation during desiccation. When the moisture content (MC) decreased from initial 41.8 to 6.1%, seed viability significantly decreased from 100 to 23%, consorted with activity changes of a few anti-oxidative enzymes. The activities of superoxide ...

  13. Banana nectar as a medium for testing pollen viability and ...

    African Journals Online (AJOL)



    May 16, 2007 ... A quick and reliable method for evaluating pollen quality is essential in a breeding program, especially in a crop such as banana that is characterized by high male and female sterility. In this study the germination and viability of banana pollen was evaluated in a sucrose solution and diluted banana nectar.

  14. Banana nectar as a medium for testing pollen viability and ...

    African Journals Online (AJOL)

    A quick and reliable method for evaluating pollen quality is essential in a breeding program, especially in a crop such as banana that is characterized by high male and female sterility. In this study the germination and viability of banana pollen was evaluated in a sucrose solution and diluted banana nectar. Twenty banana ...

  15. Morphology and viability of castor bean genotypes pollen grains

    Directory of Open Access Journals (Sweden)

    Maria Selma Alves Silva Diamantino


    Full Text Available The objective of this work was to characterize the morphology and viability of the pollen of 15 genotypes of castor bean (Ricinus communis L. and to generate information that can assist in the selection of highly promising male parents for future use in genetic improvement programs aimed at producing seeds for oil extraction. Acetolysis and scanning electron microscopy was used to characterize the morphology of the pollen. The viability of the pollen grains was estimated by in vitro germination and colorimetric analysis (acetocarmine 2% and 2, 3, 5-triphenyltetrazolium chloride 1%. For the in vitro germination, pollen grains were grown in 10 types of solidified culture medium consisting of different concentrations of sucrose, boric acid, calcium nitrate, magnesium sulfate and potassium nitrate. The pollen grains had the following characteristics: medium size, isopolar and subspheroidal shape, radial symmetry, circular ambit, 3-colporate, elongated endoapertures, tectate exine and granulated sexine. The acetocarmine dye overestimated pollen viability. The media M5 and M8 were the most efficient at promoting the germination of pollen grains. The studied genotypes had high levels of viability and can therefore be used as male parents in genetic improvement programs.

  16. Low-dose adenosine stress echocardiography: Detection of myocardial viability

    Directory of Open Access Journals (Sweden)

    Nedeljkovic Milan


    Full Text Available Abstract Objective The aim of this study was to evaluate the diagnostic potential of low-dose adenosine stress echocardiography in detection of myocardial viability. Background Vasodilation through low dose dipyridamole infusion may recruit contractile reserve by increasing coronary flow or by increasing levels of endogenous adenosine. Methods Forty-three patients with resting dyssynergy, due to previous myocardial infarction, underwent low-dose adenosine (80, 100, 110 mcg/kg/min in 3 minutes intervals echocardiography test. Gold standard for myocardial viability was improvement in systolic thickening of dyssinergic segments of ≥ 1 grade at follow-up. Coronary angiography was done in 41 pts. Twenty-seven patients were revascularized and 16 were medically treated. Echocardiographic follow up data (12 ± 2 months were available in 24 revascularized patients. Results Wall motion score index improved from rest 1.55 ± 0.30 to 1.33 ± 0.26 at low-dose adenosine (p Conclusion Low-dose adenosine stress echocardiography test has high diagnostic potential for detection of myocardial viability in the group of patients with left ventricle dysfunction due to previous myocardial infarction. Low dose adenosine stress echocardiography may be adequate alternative to low-dose dobutamine test for evaluation of myocardial viability.

  17. The effects of storage conditions on the viability of ...

    African Journals Online (AJOL)

    Long-terms recoverability of enteropathogens is necessary for future epidemiological studies to screen stool samples when conditions do not permit immediate processing. The aim of this study was to determine the viability and the recoverability of three enteropathogens bacteria (Yersinia enterocolitica, Vibrio cholerae O: 1 ...

  18. The viability of business data mining in the sports environment ...

    African Journals Online (AJOL)

    Data mining can be viewed as the process of extracting previously unknown information from large databases and utilising this information to make crucial business decisions (Simoudis, 1996: 26). This paper considers the viability of using data mining tools and techniques in sports, particularly with regard to mining the ...

  19. Influence of gamma irradiation on pollen viability, germination ability ...

    African Journals Online (AJOL)



    Dec 15, 2009 ... Effects of gamma radiation on vitality and competitive ability of Cucumis pollen. Euphytica, 32: 677-684. Yanmaz R, Ellialtıoglu S, Taner KY (1999). The effects of gamma irradiation on pollen viability and haploid plant formation in snake cucumber (Cucumis melo L. var. flexuosus Naud.). Acta Hort. 492:.

  20. Low-level waste vitrification contact maintenance viability study

    Energy Technology Data Exchange (ETDEWEB)

    Leach, C.E., Westinghouse Hanford


    This study investigates the economic viability of contact maintenance in the Low-Level Waste Vitrification Facility, which is part of the Hanford Site Tank Waste Remediation System. This document was prepared by Flour Daniel, Inc., and transmitted to Westinghouse Hanford Company in September 1995.

  1. Pollen diversity, viability and floral structure of some Musa genotypes

    African Journals Online (AJOL)

    This experiment was designed to study the floral structure, pollen morphology and the potential pollen viability of five Musa genotypes obtained from the Musa field ... Three different types of pollen were encountered viz, big, moderate and small pollens with corresponding big, moderate and small apertures and pores.

  2. Viability of bull semen extended with commercial semen extender ...

    African Journals Online (AJOL)

    Andrea Raseona

    Abstract. The aim of this study was to evaluate the viability of bull spermatozoa diluted with commercial semen extender and two culture media stored at controlled room temperature (24 °C) for 72 hours. Two Nguni bulls were used for semen collection with the aid of an electro-ejaculator. After macroscopic evaluation ...

  3. The economic and social viability of Tanzanian Wildlife Management Areas

    DEFF Research Database (Denmark)

    Homewood, Katherine; Bluwstein, Jevgeniy; Lund, Jens Friis

    This policy brief contributes to assessing the economic and social viability of Tanzania’s Wildlife Management Areas (WMAs) through preliminary findings by the ‘Poverty and ecosystem Impacts of Tanzania’s Wildlife Management Areas’ (PIMA) project, focusing on benefits, costs, and their distribution...

  4. Effect of pretreatments on seed viability during fruit development of ...

    African Journals Online (AJOL)

    Studies to identify the stage at which developing fruits of Irvingia gabonensis (var. excelsa and var. gabonensis), picked from standing trees and/or forest floors, attain maximum viability and germinability were conducted in two harvesting seasons in 2000 and 2001. Some pretreatment methods were used as a means of ...

  5. Viability of bull semen extended with commercial semen extender ...

    African Journals Online (AJOL)

    After macroscopic evaluation, semen was pooled and aliquoted randomly into Triladyl, modified Ham's F10, and TCM-199 culture media, and then stored at 24 °C. Sperm motility parameters, morphology, and viability were analysed with computer aided sperm analysis (CASA) after 0, 24, 48 and 72 hours. The study was ...

  6. A comparison of assays measuring the viability of Legionella ... (United States)

    Background: The relatively high prevalence of Legionella pneumophila in premise plumbing systems has been widely reported. Published reports indicate Legionella has a comparatively high resistance to chlorine and moreover has the ability to grow in phagocytic amoeba which could provide additional protection in chlorinated drinking water distribution systems. Copper-Silver (Cu-Ag) ionization treatment systems are commercially available for use in large building water systems to help control the risks from Legionella bacteria. The objectives of this study were to develop and optimize Legionella viability assays and use them to investigate the viability of Legionella bacteria after exposure to water treated with coppper and silver ions. Methods: Log phase L. pneumophila cells were used in all experiments and were generated by incubation at 35C for 48 hours in buffered yeast extract broth. Viability assays used included plating on buffered charcoal yeast extract agar to determine the number of culturable cells and treating cells with propidium monoazide (PMA) or ethidium monoazide (EMA) followed by quantitative PCR targeting mip gene of L. pneumophila. The qPCR viability assays were optimized using L. pneumophila inactivated by heat treatment at 65C for 60 min. The effectiveness of Cu-Ag ionization treatment was studied by inoculating L. pneumonia at 105 CFU/mL in water collected directly from a building water system that employed this technology and incubat

  7. Effect of salt hyperosmotic stress on yeast cell viability

    Directory of Open Access Journals (Sweden)

    Logothetis Stelios


    Full Text Available During fermentation for ethanol production, yeasts are subjected to different kinds of physico-chemical stresses such as: initially high sugar concentration and low temperature; and later, increased ethanol concentrations. Such conditions trigger a series of biological responses in an effort to maintain cell cycle progress and yeast cell viability. Regarding osmostress, many studies have been focused on transcriptional activation and gene expression in laboratory strains of Saccharomyces cerevisiae. The overall aim of this present work was to further our understanding of wine yeast performance during fermentations under osmotic stress conditions. Specifically, the research work focused on the evaluation of NaCl-induced stress responses of an industrial wine yeast strain S. cerevisiae (VIN 13, particularly with regard to yeast cell growth and viability. The hypothesis was that osmostress conditions energized specific genes to enable yeast cells to survive under stressful conditions. Experiments were designed by pretreating cells with different sodium chloride concentrations (NaCl: 4%, 6% and 10% w/v growing in defined media containing D-glucose and evaluating the impact of this on yeast growth and viability. Subsequent fermentation cycles took place with increasing concentrations of D-glucose (20%, 30%, 40% w/v using salt-adapted cells as inocula. We present evidence that osmostress induced by mild salt pre-treatments resulted in beneficial influences on both cell viability and fermentation performance of an industrial wine yeast strain.

  8. Research Note on viability of herbicide and Hormone - treated ...

    African Journals Online (AJOL)

    The responses and viability of acid scarified seeds of four tropical weeds to gibberellic acid and seven herbicides including Galex, Gramoxone, 2 - 4 D, Atrazine, Simazine, Roundup and Primextra in the Laboratory were investigated. The weeds used are Cassia occidentalis, Cassia obtusifolia Cassia hirtusa and ...

  9. Economic Viability of Deficit Irrigation in the Western US (United States)

    In many arid regions of the world, population growth, groundwater depletion, and uncertain supplies have caused agricultural water to become increasingly scarce. Deficit irrigation (DI) provides a potential response to water scarcity, but no consensus exists on its economic viability. In this pape...

  10. Port viability for choice making among shipping companies in West ...

    African Journals Online (AJOL)

    In this paper, the study of port viability for choice making among shipping companies in West Africa sub-region trade route was conducted. Discriminant analysis was used to ascertain the consistency of the attributes of ports that establish their overall attractiveness to the carriers. The critical valued port attributes deduced ...

  11. The effects of storage conditions on the viability of ...

    African Journals Online (AJOL)



    Jan 7, 2015 ... Long-terms recoverability of enteropathogens is necessary for future epidemiological studies to screen stool samples when conditions do not permit immediate processing. The aim of this study was to determine the viability and the recoverability of three enteropathogens bacteria (Yersinia enterocolitica,.

  12. Relationships between cock semen viability and the fertility of ...

    African Journals Online (AJOL)

    CUT User

    Semen was collected from each cock following 5ASM, evaluated for semen viability and 0.05 mL diluted semen used to inseminate five hens per breed, in each experimental group. Significant differences in ejaculation rates and semen quality and quantity were recorded in the four breeds of cocks - with the HP cocks of the ...

  13. Optimizing cell viability in droplet-based cell deposition

    NARCIS (Netherlands)

    Hendriks, Jan; Willem Visser, Claas; Henke, Sieger; Leijten, Jeroen; Saris, Daniël B F|info:eu-repo/dai/nl/241604443; Sun, Chao; Lohse, Detlef; Karperien, Marcel


    Biofabrication commonly involves the use of liquid droplets to transport cells to the printed structure. However, the viability of the cells after impact is poorly controlled and understood, hampering applications including cell spraying, inkjet bioprinting, and laser-assisted cell transfer. Here,

  14. Interactions between Plant Extracts and Cell Viability Indicators ...

    African Journals Online (AJOL)

    Interactions between Plant Extracts and Cell Viability. Indicators during Cytotoxicity Testing: Implications for. Ethnopharmacological Studies. Sze Mun Chan1, Kong Soo Khoo2 and Nam Weng Sit1*. 1Department of Biomedical Science, 2Department of Chemical Science, Faculty of Science, Universiti Tunku Abdul Rahman,.

  15. Dormancy, activation and viability of Rhizopus oligosporus sporangiospores

    NARCIS (Netherlands)

    Thanh, N.V.; Nout, M.J.R.


    Interruption of dormancy to improve viability of Rhizopus oligosporus sporangiospores is crucial for the application of stored starter cultures for fungal (tempe) production. We aimed to assess the extent of dormancy and factors that could result in activation. Whereas heat treatments were

  16. Influence of gamma irradiation on pollen viability, germination ability ...

    African Journals Online (AJOL)

    July 9th, 11th, 15th, 21st and 28th) and pollen age (0th and 1st days) on the pollen viability, germination ability and fruit and seed-set were investigated in pumpkin (Cucurbita moschata Duchesne ex Poir.) and winter squash (Cucurbita maxima ...

  17. Heredity As Ideology: Ideas of the Woman's Christian Temperance Union of The United States and Ontario on Heredity and Social Reform, 1880-1910. (United States)

    Bedford, Riiko


    The Woman's Christian Temperance Union (WCTU) of the United States and Ontario created in the 1880s departments of work dedicated to the study and care of heredity. This article examines the history of these departments and explores how the two organizations made differing use of the concept of heredity to support their particular agendas and methods for social reform. By exploring how heredity functioned as a malleable resource for the WCTU, this comparative case study also serves as an example of the cultural lives of scientific concepts.

  18. MRI of ovarian torsion: Correlation of imaging features with the presence of perifollicular hemorrhage and ovarian viability

    Energy Technology Data Exchange (ETDEWEB)

    Petkovska, Iva, E-mail: [Department of Medical Imaging, University of Arizona College of Medicine, Tucson, AZ (United States); Duke, Eugene; Martin, Diego R.; Irani, Zeenia [Department of Medical Imaging, University of Arizona College of Medicine, Tucson, AZ (United States); Geffre, Christopher P. [Department of Pathology, University of Arizona College of Public Health, Tucson, AZ (United States); Cragun, Janiel M. [Department of Obstetrics & Gynecology, University of Arizona College of Medicine, Tucson, AZ (United States); Costello, James R.; Arif-Tiwari, Hina; Czeyda-Pommersheim, Ferenc; Udayasankar, Unni [Department of Medical Imaging, University of Arizona College of Medicine, Tucson, AZ (United States); Kalb, Bobby, E-mail: [Department of Medical Imaging, University of Arizona College of Medicine, Tucson, AZ (United States)


    Purpose: The purpose of our study is to test for: (a) correlation between the presence of a perifollicular T2-hypointense rim on MRI with the presence of perifollicular hemorrhage on histology; and (b) correlation between this finding and diminished ovarian viability after intra-operative detorsion. Methods and materials: Our IRB-approved, retrospective study evaluated 780 patients between August 2012 and February 2016 with ovarian torsion as a diagnostic consideration on the emergency department note. Patients were included if they had preoperative MRI and intraoperatively confirmed case of ovarian torsion. MRIs were retrospectively reviewed for presence of perifollicular T2 hypointense rim in the torsed ovary. Two arms of analysis were performed: (a) assessment of perifollicular hemorrhage on histological exam; and (b) assessment of ovarian viability after intra-operative detorsion. Sensitivity, specificity, positive predictive value, and negative predictive value of MRI for predicting ovarian viability in the setting of torsion was performed. κ test assessed level of agreement between readers. Results: 24 patients included in one of the two arms; 20 in viability analysis and 12 in perifollicular hemorrhage analysis (8 in both). The presence of T2-hypointense rim on MRI demonstrated 88.9% sensitivity and 66.7% specificity for the diagnosis of perifollicular hemorrhage on histology, and 91.7% sensitivity and 100% specificity for predicting intraoperative viability. Conclusion: The presence of a perifollicular T2 hypointense rim on MRI in the setting of ovarian torsion correlates with perifollicular hemorrhage on histopathologic exam, and may also be a useful predictor of ovarian viability in patients presenting with ovarian torsion.

  19. Cord stem-cell transplantation in Ontario: do we need a public bank? (United States)

    Gassas, A


    It has been 21 years since the first successful use of umbilical cord blood as a source of donor cells for hematopoietic stem cell transplantation (HSCT). Over those years, cord blood transplantation (CBT) has shown marked success as an effective modality in the treatment of children and adults with hematologic malignancies, marrow failure, immunodeficiency, hemoglobinopathy, and inherited metabolic diseases. Furthermore, transplantation without full human leukocyte antigen (HLA) matching is possible and, despite a lower incidence of graft-versus-host disease, graft-versus-leukemia effect is preserved. More than 20,000 cbts have been performed worldwide. Ontario is the most populated province in Canada, and its cbt numbers have increased dramatically in recent years, but most of the umbilical cord blood units are purchased from unrelated international registries. There is no public cord bank in Ontario, but there is a private cord banking option, and notably, Ontario has the largest number of live births in Canada [approximately 40% of all Canadian live births per year occur in Ontario (Statistics Canada, 2007)]. In this brief review, the pros and cons of private and public cord banking and the feasibility of starting an Ontario public cord bank are discussed.

  20. Sensitivity of GRACE-derived estimates of groundwater-level changes in southern Ontario, Canada (United States)

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


    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.

  1. Blueback herring (Alosa aestivalis) in Lake Ontario: First record, entry route, and colonization potential (United States)

    Owens, Randall W.; O'Gorman, Robert; Mills, Edward L.; Rudstam, Lars G.; Hasse, John J.; Kulik, Brandon H.; MacNeill, David B.


    Two juvenile blueback herring (Alosa aestivalis) were caught in Lake Ontario in October 1995, the first record of this anadromous marine clupeid in the Great Lakes. Blueback herring most likely gained entry to Lake Ontario via the Erie Barge Canal, a navigation canal that links the Mohawk-Hudson rivers, which drain to the Atlantic Ocean, to Oneida Lake, which drains to Lake Ontario through the Oneida-Oswego rivers. Blueback herring ascend the Hudson River to spawn and were first reported from the upper Mohawk River in 1978. They currently spawn in several of the upper Mohawk's tributaries, including one about 430 km from the ocean but only 25 km from Oneida Lake. They were first found in Oneida Lake in 1982 and, in fall 1994, large numbers of juvenile blueback herring were found moving down the Oswego River. In the southern United States, blueback herring established self-reproducing populations in several reservoirs, and thus they have the potential to colonize Lake Ontario. If blueback herring became established in Lake Ontario, they could spread to other Great Lakes and impede recovery of depressed populations of indigenous fishes, like lake herring (Coregonus artedi) and lake trout (Salvelinus namaycush), through competition with, or predation on, their larvae.

  2. Structure and characteristics of community-based multidisciplinary wound care teams in Ontario: an environmental scan. (United States)

    Abrahamyan, Lusine; Wong, Josephine; Pham, Ba'; Trubiani, Gina; Carcone, Steven; Mitsakakis, Nicholas; Rosen, Laura; Rac, Valeria E; Krahn, Murray


    Multidisciplinary team approach is an essential component of evidence-based wound management in the community. The objective of this study was to identify and describe community-based multidisciplinary wound care teams in Ontario. For the study, a working definition of a multidisciplinary wound care team was developed, and a two-phase field evaluation was conducted. In phase I, a systematic survey with three search strategies (environmental scan) was conducted to identify all multidisciplinary wound care teams in Ontario. In phase II, the team leads were surveyed about the service models of the teams. We identified 49 wound care teams in Ontario. The highest ratio of Ontario seniors to wound team within each Ontario health planning region was 82,358:1; the lowest ratio was 14,151:1. Forty-four teams (90%) participated in the survey. The majority of teams existed for at least 5 years, were established as hospital outpatient clinics, and served patients with chronic wounds. Teams were heterogeneous in on-site capacity of specialized diagnostic testing and wound treatment, team size, and patient volume. Seventy-seven percent of teams had members from three or more disciplines. Several teams lacked essential disciplines. More research is needed to identify optimal service models leading to improved patient outcomes. © 2014 by the Wound Healing Society.

  3. Evaluation of CT and MRI scanning among cancer patients in Ontario. (United States)

    Coburn, Natalie; Przybysz, Raymond; Barbera, Lisa; Hodgson, David C; Laupacis, Andreas; Law, Calvin


    Computed tomography (CT) and magnetic resonance imaging (MRI) utilization in Ontario increased drastically since the early 1990s. The effect of an increased number of cancer diagnoses, and an increase in indications for scans has not been assessed. This study was conducted to determine trends in utilization of CT and MRI in cancer patients in Ontario over a period of 9 years. Using Ontario Health Insurance Plan billing data linked to the Ontario Cancer Registry, rates of CT and MRI were analyzed by region, year, scan type and socioeconomic status. CT in cancer patients increased 2.3-fold and accounted for approximately 24% of these scans. MRI in cancer patients increased by 4.2-fold and accounted for approximately 10% of these scans. Imaging rates for cancer patients increased more gradually than that of the general population. Substantial variation in the rate of both scans by region of patient residence existed. Even greater variation by the location of the scanner was demonstrated, indicating that many cancer patients traveled outside their region for imaging. There was little evidence of variation in scanning rates by socioeconomic status. A minority of CT and MRI performed in Ontario are for cancer care. Regional variation in imaging rates suggest that utilization guidelines be developed or knowledge transfer initiatives improve compliance to existing guidelines are needed. A significant number of cancer patients travel outside their region for diagnostic imaging; this should influence decisions about the location of new scanners. Copyright © 2011 Elsevier Inc. All rights reserved.

  4. Separating Crop Species in Northeastern Ontario Using Hyperspectral Data

    Directory of Open Access Journals (Sweden)

    Jeffrey H. Wilson


    Full Text Available The purpose of this study was to examine the capability of hyperspectral narrow wavebands within the 400–900 nm range for distinguishing five cash crops commonly grown in Northeastern Ontario, Canada. Data were collected from ten different fields in the West Nipissing agricultural zone (46°24'N lat., 80°07'W long. and included two of each of the following crop types; soybean (Glycine max, canola (Brassica napus L., wheat (Triticum spp., oat (Avena sativa, and barley (Hordeum vulgare. Stepwise discriminant analysis was used to assess the spectral separability of the various crop types under two scenarios; Scenario 1 involved testing separability of crops based on number of days after planting and Scenario 2 involved testing crop separability at specific dates across the growing season. The results indicate that select hyperspectral bands in the visual and near infrared (NIR regions (400–900 nm can be used to effectively distinguish the five crop species under investigation. These bands, which were used in a variety of combinations include B465, B485, B495, B515, B525, B535, B545, B625, B645, B665, B675, B695, B705, B715, B725, B735, B745, B755, B765, B815, B825, B885, and B895. In addition, although species classification could be achieved at any point during the growing season, the optimal time for satellite image acquisition was determined to be in late July or approximately 75–79 days after planting with the optimal wavebands located in the red-edge, green, and NIR regions of the spectrum.

  5. Aphid Transmission of the Ontario Isolate of Plum Pox Virus. (United States)

    Lowery, D Thomas; Vickers, Patricia M; Bittner, Lori A; Stobbs, Lorne W; Foottit, Robert G


    Utilization of timed virus acquisition access probes in studies of plum pox virus (PPV) transmission by aphids demonstrated that endemic species transmitted the virus readily from plum, Prunus domestica (L.) Batsch; peach, P. persica (L.); or dwarf flowering almond, P. glandulosa Thunberg., to peach seedlings. The green peach aphid, Myzus persicae (Sulzer), was shown to be the most efficient vector. Acquisition of virus by green peach aphids from infected peach leaves resulted in 18-28% infected peach seedlings, while aphids previously fed on infected leaves of plum transferred virus to 36% of peach seedlings. Although the spirea aphid, Aphis spiraecola (Patch), was a less efficient vector than M. persicae it is perhaps more important for the spread of PPV due to its greater abundance and occurrence earlier in the season when peach trees are thought to be more susceptible to infection. Virus transmission rates varied depending on the virus source and healthy test plant species. In contrast to many previous studies, aphid inoculation of the experimental host Nicotiana benthamiana Domin occurred at a low rate, never exceeding 4%. Acquisition of PPV by M. persicae from infected peach fruit was greatly reduced compared with acquisition from leaves. The results of this research indicate that the Ontario isolate of PPV-D is readily transmissible by aphids to peach and natural spread of the virus needs to be considered in future management or eradication programs. © Her Majesty in Right of Canada, as represented by the Minister of Agriculture and Agri-Food Canada. Published by Oxford University Press on behalf of Entomological Society of America.

  6. Staff perceptions of community health centre team function in Ontario. (United States)

    Rayner, Jennifer; Muldoon, Laura


    To examine perceptions of different staff groups about team functioning in mature, community-governed, interprofessional primary health care practices. Cross-sectional online survey. The 75 community health centres (CHCs) in Ontario at the time of the study, which have cared for people with barriers to access to traditional health services in community-governed, interprofessional settings, providing medical, social, and community services since the 1970s. Managers and staff of primary care teams in the CHCs. Scores on the short version of the Team Climate Inventory (with subscales addressing vision, task orientation, support for innovation, and participative safety), the Organizational Justice Scale (with subscales addressing procedural justice and interactional justice), and the Organizational Citizenship Behavior Scale, stratified by staff group (clinical manager, FP, nurse practitioner [NP], registered nurse, medical secretary, social worker, allied health provider, counselor, outreach worker, and administrative assistant). A total of 674 staff members in 58 of 75 (77%) CHCs completed surveys. All staff groups generally reported positive perceptions of team function. The procedural justice subscale showed the greatest variation between groups. Family physicians and NPs rated procedural justice much lower than nurses and administrators did. This study provides a unique view of the perceptions of different groups of staff in a long-standing interprofessional practice model. Future research is needed to understand why FPs and NPs perceive procedural justice more negatively than other team members do, and whether such perceptions affect outcomes such as staff turnover and health outcomes for patients. Copyright© the College of Family Physicians of Canada.

  7. Rates of inappropriate laboratory test utilization in Ontario. (United States)

    Chami, Nadine; Simons, Janet E; Sweetman, Arthur; Don-Wauchope, Andrew C


    Medical laboratory tests ordered redundantly represent one of the targets for reducing diagnostic testing without negatively, and possibly positively, affecting patient care. We study a clearly defined category of excessive laboratory utilization for nine analytes where inappropriate diagnostic testing is defined in terms of the time interval between tests; that is, ordering a test too soon following the previous order of the same test. Population data from the near universal public Ontario Health Insurance Plan for the years 2006-2010 are employed where the tests are fulfilled by community medical laboratories. The analytes selected for consideration are thyroid stimulating hormone, hemoglobin A1c, lipid profile, serum protein electrophoresis, immunofixation, quantitative immunoglobulins, Vitamin D, Vitamin B12, and folate. For the nine analytes studied, the percentage of inappropriate tests ranged from 6% to 20%. Large proportions of these inappropriate tests were completed >2weeks prior to the minimum threshold to reorder defined by practice guidelines and/or were repeated excessively within a year. Between 60% and 85% of the time, the ordering physician of an inappropriate test was the same physician who ordered the previous test. Specialists were more likely than primary care physicians to order repeat tests too soon. A sizeable proportion of testing for these analytes was inappropriate according to practice guidelines. It is recommended that systems for preventing unnecessary repeat testing are investigated by the funding agencies and that reducing inappropriate testing be considered as a design element for electronic medical records and related information technology systems. Copyright © 2017 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.

  8. Phenoxyacetic acid herbicide exposure for women on Ontario farms. (United States)

    Arbuckle, Tye E; Ritter, Len


    Women living and working on farms would be expected to have higher exposure to pesticides than the general nonoccupationally exposed population. Urinary concentrations of the herbicides 2,4-dichlorophenoxyacetic acid (2,4-D) and (4-chloro-2-methyl) phenoxyacetic acid (MCPA) were measured in 125 women living on farms in Ontario where these herbicides had recently been used for the first time that growing season. The women collected a spot urine void prior to the start of herbicide handling by spouses, followed by 2 consecutive 24-h urine samples. The pesticide applicator provided questionnaire data on pesticides that were used on the farm. Approximately 80% of the women had no detectable level of either herbicide in their urine. Geometric mean urinary concentrations of 2,4-D and MCPA in the d-2 samples were 0.7 microg/L. The responses to the questions on herbicide use on the farm were compared with urinary levels of the herbicide and the sensitivity for MCPA was determined to be 95-100%; however, the false positive rate for exposure was 70%. For 2,4-D, the sensitivity and specificity were approximately 70%, with a false positive rate of 30%. A simple question on whether the herbicide was used recently can accurately identify people who are likely not exposed; however, further research is required to be able to more validly predict those individuals who are exposed. Based on our study, it was concluded that exposure estimates based on questionnaire data alone may be fraught with uncertainties, which may differ depending on the particular pesticide of interest.

  9. Preschool Early Literacy Programs in Ontario Public Libraries

    Directory of Open Access Journals (Sweden)

    Shelley Stagg Peterson


    Full Text Available This paper reports on research examining how library staff in 10 Ontario libraries’ preschool literacy programs support three- and four-year-old children’s early literacy and school readiness as well as their parents’ and caregivers’ literacy interactions with their children. Multiple data sources included surveys of 82 parents/caregivers, observations of a sample of 65 of the 198 children at the sessions we visited, and interviews with10 library staff. Observations were analyzed for evidence of children’s development of print motivation, phonological awareness, vocabulary, narrative skills, and print awareness: early literacy skills and knowledge that have been shown to be reliably and significantly correlated with future reading success. Analysis of the observational and interview data showed that the programs have been very successful in fostering children’s readiness to participate in school activities and their motivation to read. Participating children learned new vocabulary, demonstrated an awareness of rhymes and sounds of language, and showed an understanding of books that were read by library staff: all early literacy behaviours that are foundational to later literacy development. The programs have also provided parents/caregivers with new ways to interact with children to engage them with books and with print at home. The development of children’s school readiness skills and parents’ awareness of how to support their children’s literacy are outcomes extending beyond library staff goals for their library programs and should be included in literature advertising the programs. Print awareness is an area of literacy development that library staff could encourage to a greater extent, however. Very few instances of such behaviour were observed, with most of the observations taking place in two of the preschool early literacy programs. Concomitantly, developing children’s print awareness is a recommended topic for

  10. Spread of porcine circovirus associated disease (PCVAD in Ontario (Canada swine herds: Part I. Exploratory spatial analysis

    Directory of Open Access Journals (Sweden)

    Young Beth


    -positive cases above expectations and, together with the existence of spatio-temporal and spatial clusters, as suggestive of apparent local spread of PCVAD. Clustering was detected at small spatial and temporal scales. Other patterns of spread could not be detected; however, survival rates in discrete Ontario zones, as well as a lack of a clear spatial pattern in the most likely spatio-temporal clusters, suggest other between-herd transmission mechanisms.

  11. Modeling factors influencing the demand for emergency department services in ontario: a comparison of methods

    Directory of Open Access Journals (Sweden)

    Meaney Christopher


    investigating predictors of increased emergency department utilization. Six different multiple regression models for count data were fitted to assess the influence of predictors on demand for emergency department services, including: Poisson, Negative Binomial, Zero-Inflated Poisson, Zero-Inflated Negative Binomial, Hurdle Poisson, and Hurdle Negative Binomial. Comparison of competing models was assessed by the Vuong test statistic. Results The CCHS cycle 2.1 respondents were a roughly equal mix of males (50.4% and females (49.6%. The majority (86.2% were young-middle aged adults between the ages of 20-64, living in predominantly urban environments (85.9%, with mid-high household incomes (92.2% and well-educated, receiving at least a high-school diploma (84.1%. Many participants reported no chronic disease (51.9%, fell into a small number (0-5 of ambulatory diagnostic groups (62.3%, and perceived their health status as good/excellent (88.1%; however, were projected to have high Resource Utilization Band levels of health resource utilization (68.2%. These factors were largely stable for CCHS cycle 3.1 respondents. Factors influencing demand for emergency department services varied according to the severity of triage scores at initial presentation. For example, although a non-significant predictor of the odds of emergency department utilization in high severity cases, access to a primary care physician was a statistically significant predictor of the likelihood of emergency department utilization (OR: 0.69; 95% CI OR: 0.63-0.75 and the rate of emergency department utilization (RR: 0.57; 95% CI RR: 0.50-0.66 in low severity cases. Conclusion Using a theoretically appropriate hurdle negative binomial regression model this unique study illustrates that access to a primary care physician is an important predictor of both the odds and rate of emergency department utilization in Ontario. Restructuring primary care services, with aims of increasing access to undersupplied populations

  12. Contact des Langues et Changement Linguistique: Etude Sociolinguistique du Francais Parle a Welland (Ontario) (Language Contact and Language Change: A Sociolinguistic Study of the French Spoken in Welland (Ontario)). (United States)

    Beniak, Edouard; And Others

    A descriptive study to be undertaken on the effects of contact between English and Quebec French in the French-speaking community of Welland in Ontario is also presented as a study of the "Ontarianization" of Canadian French. The first chapter summarizes previous studies of Ontario French and poses some of the salient research questions…

  13. Higher risk of gastric cancer among immigrants to Ontario: a population-based matched cohort study with over 2 million individuals. (United States)

    Sutradhar, Rinku; Asidianya, Nnenna; Lee, Faith; Coburn, Natalie; Rabeneck, Linda; Paszat, Lawrence


    The risk of gastric carcinoma (GC) varies around the world and between females and males. We aimed to compare the risk of GC among immigrants to Ontario, Canada, to the risk of GC in its general population. This was a retrospective population-based matched cohort study from 1991 to 2014. We identified immigrants who were first eligible for the Ontario Health Insurance Plan at age 40 years or older, and matched 5 controls by year of birth and sex. We calculated crude rates and relative rates of GC stratified by sex. We modeled GC hazard using multivariable Cox proportional hazards regression, where a time-varying coefficient was incorporated to examine changes in the association of immigrant status with GC hazard over time. Among females, 415 GC cases were identified among 209,843 immigrants and 1872 among 1,049,215 controls. Among males, 596 GC cases were identified among 191,792 immigrants and 2998 among 958,960 controls. Comparing immigrants from East Asia and Pacific with the controls, the crude relative rate of GC was 1.54 for females and 1.32 for males. The adjusted hazard ratio (HR) for GC among female immigrants was 1.29 [95% confidence interval (CI) 1.12, 1.48] within 10 years and 1.19 (1.01, 1.40) beyond 10 years; for males, the HR was 1.17 (1.04, 1.31) within 10 years and 1.00 (0.87, 1.15) beyond 10 years. The risk of GC among immigrants is elevated. Although high-risk immigrant populations in Ontario have been identified, further knowledge is required before a program of GC prevention that is targeted to them can be planned.

  14. Growth Oriented Sales Tax Reform for Ontario: Replacing the Retail Sales Tax with a 7.5 Percent Value-Added Tax


    Peter Dungan; Jack Mintz; Finn Poschmann; Thomas Wilson


    Ontario should scrap its antiquated retail sales tax, and opt for a made-in-Ontario valued-added tax (VAT) that would improve fairness, encourage investment and wage growth, and reduce administrative costs for government and for business.

  15. The demonstration projects: creating the capacity for nursing health human resource planning in Ontario's healthcare organizations. (United States)

    Burkoski, Vanessa; Tepper, Joshua


    Timely access to healthcare services requires the right number, mix and distribution of appropriately educated nurses, physicians and other healthcare professionals. In Ontario, as in several other jurisdictions, changing demographics, patterns of health service utilization and an aging workforce have created challenges related to the supply of nurses available now and in the future to deliver quality patient care. From 2006 to 2009, the Nursing Secretariat (NS) of Ontario's Ministry of Health and Long-Term Care (the ministry) undertook a progressive and comprehensive approach to address the issue of nursing supply across the province through the introduction of 17 Nursing Health Human Resources Demonstration Projects (demonstration projects). The demonstration projects initiative has led to the creation of a unique collection of best practices, tools and resources aimed at improving organizational planning capacity. Evaluation of the initiative generated recommendations that may guide the ministry toward policy and program development to foster improved nursing health human resource planning capacity in Ontario healthcare organizations.

  16. Implementing Indigenous Education Policy Directives in Ontario Public Schools: Experiences, Challenges and Successful Practices

    Directory of Open Access Journals (Sweden)

    Emily Milne


    Full Text Available The Ontario Ministry of Education has declared a commitment to Indigenous student success and has advanced a policy framework that articulates inclusion of Indigenous content in schooling curriculum (Ontario Ministry of Education, 2007. What are the perceptions among educators and parents regarding the implementation of policy directives, and what is seen to encourage or limit meaningful implementation? To answer these questions, this article draws on interviews with 100 Indigenous (mainly Haudenosaunee, Anishinaabe, and Métis and non-Indigenous parents and educators from Ontario Canada. Policy directives are seen to benefit Indigenous and non-Indigenous students. Interviews also reveal challenges to implementing Indigenous curricular policy, such as unawareness and intimidation among non-Indigenous educators regarding how to teach material. Policy implications are considered.

  17. Cost-effectiveness analysis of a system-based approach for managing neonatal jaundice and preventing kernicterus in Ontario. (United States)

    Xie, Bin; da Silva, Orlando; Zaric, Greg


    To evaluate the incremental cost-effectiveness of a system-based approach for the management of neonatal jaundice and the prevention of kernicterus in term and late-preterm (≥35 weeks) infants, compared with the traditional practice based on visual inspection and selected bilirubin testing. Two hypothetical cohorts of 150,000 term and late-preterm neonates were used to compare the costs and outcomes associated with the use of a system-based or traditional practice approach. Data for the evaluation were obtained from the case costing centre at a large teaching hospital in Ontario, supplemented by data from the literature. The per child cost for the system-based approach cohort was $176, compared with $173 in the traditional practice cohort. The higher cost associated with the system-based cohort reflects increased costs for predischarge screening and treatment and increased postdischarge follow-up visits. These costs are partially offset by reduced costs from fewer emergency room visits, hospital readmissions and kernicterus cases. Compared with the traditional approach, the cost to prevent one kernicterus case using the system-based approach was $570,496, the cost per life year gained was $26,279, and the cost per quality-adjusted life year gained was $65,698. The cost to prevent one kernicterus case using the system-based approach is much lower than previously reported in the literature.

  18. Race and Culture in the Secondary School Health and Physical Education Curriculum in Ontario, Canada: A Critical Reading (United States)

    Petherick, LeAnne


    Purpose: The purpose of this paper is to explore issues of race and culture in health education in the secondary school health and physical education (HPE) curriculum in Ontario, Canada. Design/methodology/approach: Using Ontario's secondary school curriculum as a point of analysis, this paper draws from critical race theory and a whiteness lens…

  19. The New Articulation of Equity Education in Neoliberal Times: The Changing Conception of Social Justice in Ontario (United States)

    Rezai-Rashti, G.; Segeren, A.; Martino, W.


    In this paper, we draw attention to the impact of neoliberal globalisation in rearticulating conceptions of equity within the Ontario context. The Ontario education system has been hailed for its top performance on Programme for International Student Assessment (PISA) as a high-equity/high-quality education system and created "PISA envy"…

  20. Statistical Summary, 1983-84 = Releve recapitulatif des statistiques de 1983-1984. [Ontario Ministry of Colleges and Universities]. (United States)

    Ontario Ministry of Colleges and Universities, Toronto.

    Data for 1983-1984 on students, staff, and finances for provincially-assisted postsecondary education institutions in Ontario, Canada, are presented. The statistics cover: full-time undergraduate and graduate enrollment, by institution and program, at the universities, Ryerson, and the Ontario College of Art, 1983; educational background of new…

  1. Comparing health system performance assessment and management approaches in the Netherlands and Ontario, Canada

    Directory of Open Access Journals (Sweden)

    Klazinga Niek S


    Full Text Available Abstract Background Given the proliferation and the growing complexity of performance measurement initiatives in many health systems, the Netherlands and Ontario, Canada expressed interests in cross-national comparisons in an effort to promote knowledge transfer and best practise. To support this cross-national learning, a study was undertaken to compare health system performance approaches in The Netherlands with Ontario, Canada. Methods We explored the performance assessment framework and system of each constituency, the embeddedness of performance data in management and policy processes, and the interrelationships between the frameworks. Methods used included analysing governmental strategic planning and policy documents, literature and internet searches, comparative descriptive tables, and schematics. Data collection and analysis took place in Ontario and The Netherlands. A workshop to validate and discuss the findings was conducted in Toronto, adding important insights to the study. Results Both Ontario and The Netherlands conceive health system performance within supportive frameworks. However they differ in their assessment approaches. Ontario's Scorecard links performance measurement with strategy, aimed at health system integration. The Dutch Health Care Performance Report (Zorgbalans does not explicitly link performance with strategy, and focuses on the technical quality of healthcare by measuring dimensions of quality, access, and cost against healthcare needs. A backbone 'five diamond' framework maps both frameworks and articulates the interrelations and overlap between their goals, themes, dimensions and indicators. The workshop yielded more contextual insights and further validated the comparative values of each constituency's performance assessment system. Conclusion To compare the health system performance approaches between The Netherlands and Ontario, Canada, several important conceptual and contextual issues must be addressed

  2. Who are the under- and never-screened for cancer in Ontario: a qualitative investigation. (United States)

    Gesink, Dionne; Mihic, Alanna; Antal, Joan; Filsinger, Brooke; Racey, C Sarai; Perez, Daniel Felipe; Norwood, Todd; Ahmad, Farah; Kreiger, Nancy; Ritvo, Paul


    Observed breast, cervical and colon cancer screening rates are below provincial targets for the province of Ontario, Canada. The populations who are under- or never-screened for these cancers have not been described at the Ontario provincial level. Our objective was to use qualitative methods of inquiry to explore who are the never- or under-screened populations of Ontario. Qualitative data were collected from two rounds of focus group discussions conducted in four communities selected using maps of screening rates by dissemination area. The communities selected were archetypical of the Ontario context: urban, suburban, small city and rural. The first phase of focus groups was with health service providers. The second phase of focus groups was with community members from the under- and never-screened population. Guided by a grounded theory methodology, data were collected and analyzed simultaneously to enable the core and related concepts about the under- and never-screened to emerge. The core concept that emerged from the data is that the under- and never-screened populations of Ontario are characterized by diversity. Group level characteristics of the under- and never-screened included: 1) the uninsured (e.g., Old Order Mennonites and illegal immigrants); 2) sexual abuse survivors; 3) people in crisis; 4) immigrants; 5) men; and 6) individuals accessing traditional, alternative and complementary medicine for health and wellness. Under- and never-screened could have one or multiple group characteristics. The under- and never-screened in Ontario comprise a diversity of groups. Heterogeneity within and intersectionality among under- and never-screened groups adds complexity to cancer screening participation and program planning.

  3. Managing Chronic Disease in Ontario Primary Care: The Impact of Organizational Factors (United States)

    Russell, Grant M.; Dahrouge, Simone; Hogg, William; Geneau, Robert; Muldoon, Laura; Tuna, Meltem


    PURPOSE New approaches to chronic disease management emphasize the need to improve the delivery of primary care services to meet the needs of chronically ill patients. This study (1) assessed whether chronic disease management differed among 4 models of primary health care delivery and (2) identified which practice organizational factors were independently associated with high-quality care. METHODS We undertook a cross-sectional survey with nested qualitative case studies (2 practices per model) in 137 randomly selected primary care practices from 4 delivery models in Ontario Canada: fee for service, capitation, blended payment, and community health centers (CHCs). Practice and clinician surveys were based on the Primary Care Assessment Tool. A chart audit assessed evidence-based care delivery for patients with diabetes, congestive heart failure, and coronary artery disease. Intermediate outcomes were calculated for patients with diabetes and hypertension. Multiple linear regression identified those organizational factors independently associated with chronic disease management. RESULTS Chronic disease management was superior in CHCs. Clinicians in CHCs found it easier than those in the other models to promote high-quality care through longer consultations and interprofessional collaboration. Across the whole sample and independent of model, high-quality chronic disease management was associated with the presence of a nurse-practitioner. It was also associated with lower patient-family physician ratios and when practices had 4 or fewer full-time-equivalent family physicians. CONCLUSIONS The study adds to the literature supporting the value of nurse-practitioners within primary care teams and validates the contributions of Ontario’s CHCs. Our observation that quality of care decreased in larger, busier practices suggests that moves toward larger practices and greater patient-physician ratios may have unanticipated negative effects on processes of care quality

  4. Rotating shift work associated with obesity in men from northeastern Ontario. (United States)

    Grundy, Anne; Cotterchio, Michelle; Kirsh, Victoria A; Nadalin, Victoria; Lightfoot, Nancy; Kreiger, Nancy


    While some studies have suggested associations between shift work and obesity, few have been population-based or considered multiple shift schedules. Since obesity is linked with several chronic health conditions, understanding which types of shift work influence obesity is important and additional work with more detailed exposure assessment of shift work is warranted. Using multivariate polytomous logistic regression, we investigated the associations between shift work (evening/night, rotating and other shift schedules) and overweight and obesity as measured by body mass index cross-sectionally among 1561 men. These men had previously participated as population controls in a prostate cancer case-control study conducted in northeastern Ontario from 1995 to 1999. We obtained information on work history (including shift work), height and weight from the existing self-reported questionnaire data. We observed an association for ever (vs. never) having been employed in rotating shift work for both the overweight (OR [odds ratio] = 1.34; 95% CI [confidence interval]: 1.05-1.73) and obese (OR = 1.57; 95% CI: 1.12-2.21) groups. We also observed nonsignificant associations for ever (vs. never) having been employed in permanent evening/night shifts. In addition, we found a significant trend of increased risk for both overweight and obesity with increasing duration of rotating shift work. Both the positive association between rotating shift work and obesity and the suggested positive association for permanent evening/night shift work in this study are consistent with previous findings. Future population-based research that is able to build on our results while examining additional shift work characteristics will further clarify whether some shift patterns have a greater impact on obesity than others.

  5. Rotating shift work associated with obesity in men from northeastern Ontario

    Directory of Open Access Journals (Sweden)

    Anne Grundy


    Full Text Available Introduction: While some studies have suggested associations between shift work and obesity, few have been population-based or considered multiple shift schedules. Since obesity is linked with several chronic health conditions, understanding which types of shift work influence obesity is important and additional work with more detailed exposure assessment of shift work is warranted. Methods: Using multivariate polytomous logistic regression, we investigated the associations between shift work (evening/night, rotating and other shift schedules and overweight and obesity as measured by body mass index cross-sectionally among 1561 men. These men had previously participated as population controls in a prostate cancer case-control study conducted in northeastern Ontario from 1995 to 1999. We obtained information on work history (including shift work, height and weight from the existing self-reported questionnaire data. Results: We observed an association for ever (vs. never having been employed in rotating shift work for both the overweight (OR [odds ratio] = 1.34; 95% CI [confidence interval]: 1.05–1.73 and obese (OR = 1.57; 95% CI: 1.12–2.21 groups. We also observed nonsignificant associations for ever (vs. never having been employed in permanent evening/night shifts. In addition, we found a significant trend of increased risk for both overweight and obesity with increasing duration of rotating shift work. Conclusion: Both the positive association between rotating shift work and obesity and the suggested positive association for permanent evening/night shift work in this study are consistent with previous findings. Future population-based research that is able to build on our results while examining additional shift work characteristics will further clarify whether some shift patterns have a greater impact on obesity than others.


    Directory of Open Access Journals (Sweden)

    Janka Koreňová


    Full Text Available A number of health benefits have been claimed for probiotic bacteria such as Lactobacillus acidophilus. Because of the potential health benefits, these organisms are increasingly incorporated into dairy foods. Viability of probiotic bacteria is important in order to provide health benefits. However, many studies have shown low viability of probiotics in market preparations. This study cover selective enumeration and survival of probiotic bacteria L. acidophilus in some dairy drinks. L. acidophilus was found in the range from 106 to 107 CFU.g-1 in five types of fermented milk products containing probiotic cultures. Two investigated products were up to standard according to Regulation of Ministry of Agriculture and Ministry of Health of Slovak Republic.doi: 10.5219/147

  7. Nuclear Power Options Viability Study. Volume 4. Bibliography

    Energy Technology Data Exchange (ETDEWEB)

    Trauger, D B; White, J D; Sims, J W [eds.


    Documents in the Nuclear Power Options Viability Study (NPOVS) bibliography are classified under one of four headings or categories as follows: nuclear options; light water reactors; liquid metal reactors; and high temperature reactors. The collection and selection of these documents, beginning early in 1984 and continuing through March of 1986, was carried out in support of the study's objective: to explore the viabilities of several nuclear electric power generation options for commercial deployment in the United States between 2000 and 2010. There are approximately 550 articles, papers, reports, and books in the bibliography that have been selected from some 2000 surveyed. The citations have been made computer accessible to facilitate rapid on-line retrieval by keyword, author, corporate author, title, journal name, or document number.

  8. Myocardial Viability: From Proof of Concept to Clinical Practice

    Directory of Open Access Journals (Sweden)

    Aditya Bhat


    Full Text Available Ischaemic left ventricular (LV dysfunction can arise from myocardial stunning, hibernation, or necrosis. Imaging modalities have become front-line methods in the assessment of viable myocardial tissue, with the aim to stratify patients into optimal treatment pathways. Initial studies, although favorable, lacked sufficient power and sample size to provide conclusive outcomes of viability assessment. Recent trials, including the STICH and HEART studies, have failed to confer prognostic benefits of revascularisation therapy over standard medical management in ischaemic cardiomyopathy. In lieu of these recent findings, assessment of myocardial viability therefore should not be the sole factor for therapy choice. Optimization of medical therapy is paramount, and physicians should feel comfortable in deferring coronary revascularisation in patients with coronary artery disease with reduced LV systolic function. Newer trials are currently underway and will hopefully provide a more complete understanding of the pathos and management of ischaemic cardiomyopathy.

  9. Traffic networks as information systems a viability approach

    CERN Document Server

    Aubin, Jean-Pierre


    This authored monograph covers a viability to approach to traffic management by advising to vehicles circulated on the network the velocity they should follow for satisfying global traffic conditions;. It presents an investigation of three structural innovations: The objective is to broadcast at each instant and at each position the advised celerity to vehicles, which could be read by auxiliary speedometers or used by cruise control devices. Namely, 1. Construct regulation feedback providing at each time and position advised velocities (celerities) for minimizing congestion or other requirements. 2. Taking into account traffic constraints of different type, the first one being to remain on the roads, to stop at junctions, etc. 3. Use information provided by the probe vehicles equipped with GPS to the traffic regulator; 4. Use other global traffic measures of vehicles provided by different types of sensors; These results are based on convex analysis, intertemporal optimization and viability theory as mathemati...

  10. Care at the edge of viability: medical and ethical issues. (United States)

    Haward, Marlyse F; Kirshenbaum, Nancy W; Campbell, Deborah E


    Decision-making for extremely immature preterm infants at the margins of viability is ethically, professionally, and emotionally complicated. A standard for prenatal consultation should be developed incorporating assessment of parental decision-making preferences and styles, a communication process involving a reciprocal exchange of information, and effective strategies for decisional deliberation, guided by and consistent with parental moral framework. Professional caregivers providing perinatal consultations or end-of-life counseling for extremely preterm infants should be sensitive to these issues and be taught flexibility in counseling techniques adhering to consistent guidelines. Emphasis must shift away from physician beliefs and behaviors about the boundaries of viability. Copyright © 2011 Elsevier Inc. All rights reserved.

  11. GPS coordinate time series measurements in Ontario and Quebec, Canada (United States)

    Samadi Alinia, Hadis; Tiampo, Kristy F.; James, Thomas S.


    New precise network solutions for continuous GPS (cGPS) stations distributed in eastern Ontario and western Québec provide constraints on the regional three-dimensional crustal velocity field. Five years of continuous observations at fourteen cGPS sites were analyzed using Bernese GPS processing software. Several different sub-networks were chosen from these stations, and the data were processed and compared to in order to select the optimal configuration to accurately estimate the vertical and horizontal station velocities and minimize the associated errors. The coordinate time series were then compared to the crustal motions from global solutions and the optimized solution is presented here. A noise analysis model with power-law and white noise, which best describes the noise characteristics of all three components, was employed for the GPS time series analysis. The linear trend, associated uncertainties, and the spectral index of the power-law noise were calculated using a maximum likelihood estimation approach. The residual horizontal velocities, after removal of rigid plate motion, have a magnitude consistent with expected glacial isostatic adjustment (GIA). The vertical velocities increase from subsidence of almost 1.9 mm/year south of the Great Lakes to uplift near Hudson Bay, where the highest rate is approximately 10.9 mm/year. The residual horizontal velocities range from approximately 0.5 mm/year, oriented south-southeastward, at the Great Lakes to nearly 1.5 mm/year directed toward the interior of Hudson Bay at stations adjacent to its shoreline. Here, the velocity uncertainties are estimated at less than 0.6 mm/year for the horizontal component and 1.1 mm/year for the vertical component. A comparison between the observed velocities and GIA model predictions, for a limited range of Earth models, shows a better fit to the observations for the Earth model with the smallest upper mantle viscosity and the largest lower mantle viscosity. However, the

  12. Characteristics associated with regional health information organization viability. (United States)

    Adler-Milstein, Julia; Landefeld, John; Jha, Ashish K


    Regional Health Information Organizations (RHIOs) will likely play a key role in our nation's effort to catalyze health information exchange. Yet we know little about why some efforts succeed while others fail. We sought to identify factors associated with RHIO viability. Using data from a national survey of RHIOs that we conducted in mid-2008, we examined factors associated with becoming operational and factors associated with financial viability. We used multivariate logistic regression models to identify unique predictors. We classified RHIOs actively facilitating data exchange as operational and measured financial viability as the percent of operating costs covered by revenue from participants in data exchange (0-24%, 25-74%, 75-100%). Predictors included breadth of participants, breadth of data exchanged, whether the RHIO focused on a specific population, whether RHIO participants had a history of collaborating, and sources of revenue during the planning phase. Exchanging a narrow set of data and involving a broad group of stakeholders were independently associated with a higher likelihood of being operational. Involving hospitals and ambulatory physicians, and securing early funding from participants were associated with a higher likelihood of financial viability, while early grant funding seemed to diminish the likelihood. Finding ways to help RHIOs become operational and self-sustaining will bolster the current approach to nationwide health information exchange. Our work suggests that convening a broad coalition of stakeholders to focus on a narrow set of data is an important step in helping RHIOs become operational. Convincing stakeholders to financially commit early in the process may help RHIOs become self-sustaining.

  13. Effect of Allium sativum (garlic) methanol extract on viability and ...

    African Journals Online (AJOL)

    Effect of Allium sativum (garlic) methanol extract on viability and apoptosis of human leukemic cell lines. ... bromide (MTT) assay at concentrations of 3.125, 6.25, 12.5, 25, 50, 100, 200, 400 and 800 ug/mL of Allium sativum extract following 48-h treatment on U-937, Jurkat Clone E6-1 and K-562 cell lines. The mode of cell ...

  14. Viability and Indication of Pathogenic Microbes in the Environment, (United States)

    viability of parasitic microbes can be clarified corrently only with consideration of the interaction of the organism with the environment and...adaptation to it. According to this school of thought, the stability of a causative agent in the environment is determined by the specific mechanism through...mechanism of transfer of the contaminating principle, the shorter the period during which the parasitic microbe is in the environment - i.e., the

  15. Effect of Isolation Techniques on Viability of Bovine Blood Neutrophils

    Directory of Open Access Journals (Sweden)

    P. Sláma


    Full Text Available The effect of selected isolation methods on the viability of neutrophil granulocytes (neutrophils from the blood of healthy Holstein x Bohemian Red Pied crossbred heifers was evaluated. Two methods of neutrophil isolation were used: a neutrophil isolation on the basis of hypotonic erythrocyte lysis (in two variants: after the erythrocyte lysis proper, the cells were centrifuged at either 200 g or 1000 g, and b neutrophil isolation with FACS Lysing Solution as the lysing agent. The viability of the isolated neutrophils was evaluated on the basis of apoptosis and necrosis. The results obtained with flow cytometry (FCM suggest that, from the isolation techniques used, the method based on FACS Lysing Solution impaired the neutrophil viability least. After the application of this method, 5.36 ± 2.15% of neutrophils were apoptotic and 0.51 ± 0.12% were necrotic. In contrast, when the hypotonic erythrocyte lysis was used, the proportion of apoptotic neutrophils amounted to 42.14 ± 7.12% and 49.00 ± 14.70%, respectively, and 41.12 ± 5.55% and 36.91 ± 24.38% respectively of necrotic neutrophils (P < 0.01. This was also confirmed by the light microscopy. After the isolation with FASC Lysing Solution, 1.92 ± 1.74% of neutrophils were apoptotic and 1.05 ± 0.76% were necrotic, as distinct from after the hypotonic erythrocyte lysis where 9.43 ± 3.69% of neutrophils were apoptotic and 12.67 ± 4.74% of necrotic after centrifugation at 200 g, while 12.60 ± 4.35 were apoptotic and 14.96 ± 12.64% were necrotic after centrifugation at 1000 g. It follows from the above-mentioned data that hypotonic lysis is not a suitable method for the isolation of neutrophils, as the method itself markedly affects cell viability.

  16. Effects of Fluid Shear Stress on Cancer Stem Cell Viability (United States)

    Sunday, Brittney; Triantafillu, Ursula; Domier, Ria; Kim, Yonghyun


    Cancer stem cells (CSCs), which are believed to be the source of tumor formation, are exposed to fluid shear stress as a result of blood flow within the blood vessels. It was theorized that CSCs would be less susceptible to cell death than non-CSCs after both types of cell were exposed to a fluid shear stress, and that higher levels of fluid shear stress would result in lower levels of cell viability for both cell types. To test this hypothesis, U87 glioblastoma cells were cultured adherently (containing smaller populations of CSCs) and spherically (containing larger populations of CSCs). They were exposed to fluid shear stress in a simulated blood flow through a 125-micrometer diameter polyetheretherketone (PEEK) tubing using a syringe pump. After exposure, cell viability data was collected using a BioRad TC20 Automated Cell Counter. Each cell type was tested at three physiological shear stress values: 5, 20, and 60 dynes per centimeter squared. In general, it was found that the CSC-enriched U87 sphere cells had higher cell viability than the CSC-depleted U87 adherent cancer cells. Interestingly, it was also observed that the cell viability was not negatively affected by the higher fluid shear stress values in the tested range. In future follow-up studies, higher shear stresses will be tested. Furthermore, CSCs from different tumor origins (e.g. breast tumor, prostate tumor) will be tested to determine cell-specific shear sensitivity. National Science Foundation Grant #1358991 supported the first author as an REU student.

  17. Comparison of tissue viability imaging and colorimetry: skin blanching. (United States)

    Zhai, Hongbo; Chan, Heidi P; Farahmand, Sara; Nilsson, Gert E; Maibach, Howard I


    Operator-independent assessment of skin blanching is important in the development and evaluation of topically applied steroids. Spectroscopic instruments based on hand-held probes, however, include elements of operator dependence such as difference in applied pressure and probe misalignment, while laser Doppler-based methods are better suited for demonstration of skin vasodilatation than for vasoconstriction. To demonstrate the potential of the emerging technology of Tissue Viability Imaging (TiVi) in the objective and operator-independent assessment of skin blanching. The WheelsBridge TiVi600 Tissue Viability Imager was used for quantification of human skin blanching with the Minolta chromameter CR 200 as an independent colorimeter reference method. Desoximetasone gel 0.05% was applied topically on the volar side of the forearm under occlusion for 6 h in four healthy adults. In a separate study, the induction of blanching in the occlusion phase was mapped using a transparent occlusion cover. The relative uncertainty in the blanching estimate produced by the Tissue Viability Imager was about 5% and similar to that of the chromameter operated by a single user and taking the a(*) parameter as a measure of blanching. Estimation of skin blanching could also be performed in the presence of a transient paradoxical erythema, using the integrated TiVi software. The successive induction of skin blanching during the occlusion phase could readily be mapped by the Tissue Viability Imager. TiVi seems to be suitable for operator-independent and remote mapping of human skin blanching, eliminating the main disadvantages of methods based on hand-held probes.

  18. Ca-Lignosulphonate and sclerotial viability of Sclerotinia sclerotiorum

    Directory of Open Access Journals (Sweden)



    Full Text Available Lignosulphonates, low cost by-products of the pulping process, have shown suppressive effects against some diseases caused by soil-borne pathogens. In this study, the effect of 1.5% v/v calcium lignosulphonate (Ca-Ls amendment to two commercial potting mixes (peat + coconut fibres; PC; and municipal compost + peat + pumice; MCPP on the viability of Sclerotinia sclerotiorum sclerotia was investigated. Sclerotia were buried in the Ca-Ls amended substrates for 30 days. Non-amended PC and MCPP, sterile sand and sterile PC with and without Ca-Ls were used as controls. The viability of sclerotia recovered from PC and MCPP amended with Ca-Ls was reduced by 50 and 42% respectively compared to control treatments. Ca-Ls amendment decreased sclerotial viability by enhancing the activity of the indigenous mycoparasitic fungi, Fusarium oxysporum, Mucor spp. and Trichoderma spp. The biocontrol ability of Ca-Ls against sclerotia was due to the stimulation of microbial activity and is, therefore, strictly dependent on the microbial composition of the substrate.

  19. Viability studies of optically trapped T-cells (United States)

    McAlinden, Niall; Glass, David G.; Millington, Owain; Wright, Amanda J.


    We present a viability study of optically trapped live T cell hybridomas. T cells form an important part of the adaptive immune response system which is responsible for fighting particular pathogens or diseases. The cells of interest were directly trapped by a laser operating at a wavelength of 1064 nm and their viability measured as a function of time. Cell death was monitored using an inverted fluorescent microscope to observe the uptake by the cell of the fluorescent dye propidium iodide. Studies were undertaken at various laser powers and beam profiles. There is a growing interest in optically trapping immune cells and this is the first study that investigates the viability of a T cell when trapped using a conventional optical trapping system. In such experiments it is crucial that the T cell remains viable and trapping the cell directly means that any artefacts due to a cell-bead interface are removed. Our motivation behind this experiment is to use optical tweezers to gain a greater understanding of the interaction forces between T cells and antigen presenting cells. Measuring these interactions has become important due to recent theories which indicate that the strength of this interaction may underlie the activation of the T-cell and subsequent immune response.

  20. Nuclear cardiac imaging for the assessment of myocardial viability. (United States)

    Slart, R H J A; Bax, J J; van der Wall, E E; van Veldhuisen, D J; Jager, P L; Dierckx, R A


    An important aspect of the diagnostic and prognostic work-up of patients with ischaemic cardiomyopathy is the assessment of myocardial viability. Patients with left ventricular dysfunction who have viable myocardium are the patients at highest risk because of the potential for ischaemia but at the same time benefit most from revascularisation. It is important to identify viable myocardium in these patients, and radionuclide myocardial scintigraphy is an excellent tool for this. Single-photon emission computed tomography perfusion scintigraphy (SPECT), whether using 201thallium, 99mTc-sestamibi, or 99mTc- tetrofosmin, in stress and/or rest protocols, has consistently been shown to be an effective modality for identifying myocardial viability and guiding appropriate management. Metabolic and perfusion imaging with positron emission tomography radiotracers frequently adds additional information and is a powerful tool for predicting which patients will have an improved outcome from revascularisation. New techniques in the nuclear cardiology field, such as attenuation corrected SPECT, dual isotope simultaneous acquisition (DISA) SPECT and gated FDG PET are promising and will further improve the detection of myocardial viability. Also the combination of multislice computed tomography scanners with PET opens possibilities of adding coronary calcium scoring and noninvasive coronary angiography to myocardial perfusion imaging and quantification.

  1. Different effects of sonoporation on cell morphology and viability

    Directory of Open Access Journals (Sweden)

    Ji-Zhen Zhang


    Full Text Available The objective of our study was to investigate changes in cell morphology and viability after sonoporation. Sonoportion was achieved by ultrasound (21 kHz exposure on adherent human prostate cancer DU145 cells in the cell culture dishes with the presence of microbubble contrast agents and calcein (a cell impermeant dye. We investigated changes in cell morphology immediately after sonoporation under scanning electron microscope (SEM and changes in cell viability immediately and 6 h after sonoporation under fluorescence microscope. It was shown that various levels of intracellular calcein uptake and changes in cell morphology can be caused immediately after sonoporation: smooth cell surface, pores in the membrane and irregular cell surface. Immediately after sonoporation, both groups of cells with high levels of calcein uptake and low levels of calcein uptake were viable; 6 h after sonoporation, group of cells with low levels of calcein uptake still remained viable, while group of cells with high levels of calcein uptake died. Sonoporation induces different effects on cell morphology, intracellular calcein uptake and cell viability.

  2. Viability of various weed seeds in anaerobic conditions (biogas plant)

    Energy Technology Data Exchange (ETDEWEB)

    Hansen, S.; Hansen, J.


    Seeds from different weeds, Urtica urens L. (nettle), Solanum nigrum L. (nightshade), Avena fatua L. (wild oat-grass), Brassica napus L. (rape), Chenopodium album L. (goose-foot), were put into small polyester net bags, which were placed in biogas reactors containing cattle manure. These ''biogas reactors'' were placed at different temperatures . Net bags were taken out after 4.5, 10.5, 21.5, 38 and 53 days, and the seeds were tested for their viability by germination tests and the tetrazolium method. Concerning all seeds it was manifested that the viability decreased very steeply at 35degC. Most of the seeds had a T/sub 50/ at 2-5 days; Chenopodium album L seeds had a T/sub 50/ at 16 days. After 4.5 days it was not possible to find living Avena fatua L seeds. The decrease in viability was less steep at 20degC and even less steep at 2degC.

  3. Viability of lactobacillus acidophilus in various vaginal tablet formulations

    Directory of Open Access Journals (Sweden)

    Fazeli M.R.


    Full Text Available The lactobacilli which are present in vaginal fluids play an important role in prevention of vaginosis and there are considerable interests in formulation of these friendly bacteria into suitable pharmaceutical dosage forms. Formulating these microorganisms for vaginal application is a critical issue as the products should retain viability of lactobacilli during formulation and also storage. The aim of this study was to examine the viability and release of Lactobacillus acidophilus from slow-release vaginal tablets prepared by using six different retarding polymers and from two effervescent tablets prepared by using citric or adipic acid. The Carbomer–based formulations showed high initial viablility compared to those based on HPMC-LV, HPMC-HV, Polycarbophil and SCMC polymers which showed one log decrease in viable cells. All retarding polymers in slow release formulations presented a strong bacterial release at about 2 h except Carbomer polymers which showed to be poor bacterial releasers. Although effervescent formulations produced a quick bacterial release in comparison with polymer based slow-release tablets, they were less stable in cold storage. Due to the strong chelating characteristic of citric acid, the viability was quickly lost for aqueous medium of citric acid in comparison with adipic acid based effervescent tablets.

  4. PET/SPECT imaging: From carotid vulnerability to brain viability

    Energy Technology Data Exchange (ETDEWEB)

    Meerwaldt, Robbert [Department of Surgery, Isala Clinics, Zwolle (Netherlands); Slart, Riemer H.J.A. [Department of Nuclear Medicine and Molecular Imaging, University Medical Center Groningen, Groningen (Netherlands); Dam, Gooitzen M. van [Department of Surgery, University Medical Center Groningen, Groningen (Netherlands); Luijckx, Gert-Jan [Department of Neurology, University Medical Center Groningen, Groningen (Netherlands); Tio, Rene A. [Department of Cardiology, University Medical Center Groningen, Groningen (Netherlands); Zeebregts, Clark J. [Department of Surgery, University Medical Center Groningen, Groningen (Netherlands)], E-mail:


    Background: Current key issues in ischemic stroke are related to carotid plaque vulnerability, brain viability, and timing of intervention. The treatment of ischemic stroke has evolved into urgent active interventions, as 'time is brain'. Functional imaging such as positron emission tomography (PET)/single photon emission computed tomography (SPECT) could improve selection of patients with a vulnerable plaque and evaluation of brain viability in ischemic stroke. Objective: To describe the current applications of PET and SPECT as a diagnostic tool in relation to ischemic stroke. Methods: A literature search using PubMed identified articles. Manual cross-referencing was also performed. Results: Several papers, all observational studies, identified PET/SPECT to be used as a tool to monitor systemic atheroma modifying treatment and to select high-risk patients for surgery regardless of the degree of luminal stenosis in carotid lesions. Furthermore, PET/SPECT is able to quantify the penumbra region during ischemic stroke and in this way may identify those patients who may benefit from timely intervention. Discussion: Functional imaging modalities such as PET/SPECT may become important tools for risk-assessment and evaluation of treatment strategies in carotid plaque vulnerability and brain viability. Prospective clinical studies are needed to evaluate the diagnostic accuracy of PET/SPECT.

  5. Dormancy, activation and viability of Rhizopus oligosporus sporangiospores. (United States)

    Thanh, N V; Nout, M J R


    Interruption of dormancy to improve viability of Rhizopus oligosporus sporangiospores is crucial for the application of stored starter cultures for fungal (tempe) production. We aimed to assess the extent of dormancy and factors that could result in activation. Whereas heat treatments were unsuccessful, Malt Extract Broth (MEB) showed to be a good activation medium, with 80% of dormant spores being activated as measured by fluorescence microscopy using a fluorescent marker, compared with 11% with the control. Peptone and yeast extract but not glucose played an important role in activating dormant spores. Metabolically active (fluorescent) and swollen spores, followed by germ tubes were obtained after activation in MEB for 25 min., 2 and 4 h, respectively, at 37 degrees C. Simultaneously, some interesting transitions took place. Dormant spores represent 85-90% of the total spores at harvest and after drying. Their number decreased to 21-32% after activation with MEB with a concomitant increase of metabolically active spores. As a result of storage, some dormancy was lost, yielding an increase of active spores from 11.2% at harvest to 28.8% after 3 months storage. Levels of active spores were well correlated with their viability. By activation of dormant spores, their viability increased; levels of viable and active spores were maximum in 1 month old starter (61.7% and 75.9% of total spores, respectively) but gradually decreased with concomitant increase of the number of dead spores.

  6. Viability And Conidial Production Of Entomopathogenic Fungi Penicillium SP.

    Directory of Open Access Journals (Sweden)

    Nurariaty Agus


    Full Text Available Abstract Penicillium sp. order Eurotiales class Eurotiomycetes family Trichocomaceae is one of the entomopathogenic fungi that have the potential to be developed as biological control agent of pests.The study aims to determine the viability and spora production of Entomopathogenic fungi Penicillium sp. Experiments was conducted in Pests Identification and Biological Control laboratory Department of Plant Pest and Disease Faculty of Agriculture Hasanuddin University. The fungus Penicillium sp. cultured in a liquid medium and then added chitin as treatment and others without chitin. The spora viability of fungi was observed on 12th and 24th hours while spora production on 3nd 6th 9th and 12th days after application.The results showed that conidial viability of the fungus Penicillium sp. at 24 hours after application was higher if the medium given chitin than without chitin. The conidial production was higher if given chitin than without chitin. It was highest on 12th day reached 143.4 x 106 conidiaml if media given chitin and on 6th day if without chitin 0.50 x 106 conidiaml.

  7. Cell Viability in Arthroscopic Versus Open Autologous Chondrocyte Implantation. (United States)

    Biant, Leela C; Simons, Michiel; Gillespie, Trudi; McNicholas, Michael J


    Autologous chondrocyte implantation (ACI) is an effective method of repair of articular cartilage defects. It is a 2-stage operation, with the second stage most commonly performed via mini-arthrotomy. Arthroscopic ACI is gaining popularity, as it is less invasive and may accelerate early rehabilitation. However, handling and manipulation of the implant have been shown to cause chondrocyte cell death. To assess the number and viability of cells delivered via an open versus arthroscopic approach in ACI surgery. Controlled laboratory study. Sixteen ACI surgeries were performed on young cadaveric knees by 2 experienced surgeons: 8 via mini-arthrotomy and 8 arthroscopically. Live and dead cells were stained and counted on implants after surgery. The cell number and viability were assessed using confocal laser scanning microscopy. Surgery was timed from knife to skin until the end of cycling the knee 10 times after implantation of the cell-membrane construct. On receipt of cell membranes after transportation from the laboratory, ≥92% of the cells were viable. There were significantly more remaining cells (8.47E+07 arthroscopic vs 1.41E+08 open; P arthroscopic vs 37.34% open; P arthroscopic technique. Open surgery was of a significantly shorter duration (6 vs 32 minutes; P arthroscopic technique. The viability of cells delivered for ACI via an arthroscopic approach was 16 times less than via an open approach. The mini-arthrotomy approach is recommended until long-term clinical comparative data are available.

  8. Inhibition of Escherichia coli viability by external guide sequences complementary to two essential genes. (United States)

    McKinney, J; Guerrier-Takada, C; Wesolowski, D; Altman, S


    Narrow spectrum antimicrobial activity has been designed to reduce the expression of two essential genes, one coding for the protein subunit of RNase P (C5 protein) and one for gyrase (gyrase A). In both cases, external guide sequences (EGS) have been designed to complex with either mRNA. Using the EGS technology, the level of microbial viability is reduced to less than 10% of the wild-type strain. The EGSs are additive when used together and depend on the number of nucleotides paired when attacking gyrase A mRNA. In the case of gyrase A, three nucleotides unpaired out of a 15-mer EGS still favor complete inhibition by the EGS but five unpaired nucleotides do not.

  9. Improving the correlations of ambient tapered element oscillating microbalance PM2.5 data and SHARP 5030 Federal Equivalent Method in Ontario: a multiple linear regression analysis. (United States)

    Sofowote, Uwayemi; Su, Yushan; Bitzos, Melynda M; Munoz, Anthony


    Tapered element oscillating microbalances equipped with sample equilibration system (TEOM-SES) used by the province of Ontario for the ambient monitoring of PM2.5 (particulate matter with an aerodynamic diameter multiple linear regression analyses (MLRAs) of particulate matter data from both instrumental monitors, with the inclusion of operational parameters of physicochemical relevance for both cases of transformations of historical TEOM and TEOM measurements to be made in the future. For historical TEOM data, it was observed that the transformations only benefited winter and fall months. Furthermore, comparisons of the transformed historical TEOM data with PM2.5 concentrations determined from the Federal Reference Method (FRM) sampler at seven locations within the province showed marked improvements over the observed TEOM-FRM comparisons. This work provides a path to correcting the historically observed underreporting of particulate mass in winter and fall in Ontario by making the TEOM-based continuous data resemble the new FEM outputs (in this case, more SHARP-like). It is possible that the transformation of mainly winter TEOM data as detailed in this work may potentially lead to revisions in historical annual composite mean PM2.5 concentrations and total annual number of days PM2.5 exceeded the Canada-wide Standard (CWS) metric across the province.

  10. Viability of calcifying bacterial formulations in fly ash for applications in building materials. (United States)

    Dhami, Navdeep Kaur; Mukherjee, Abhijit; Reddy, M Sudhakara


    Evidence of bacterial involvement in precipitation of calcium carbonates has brought a revolution in the field of applied microbiology, geotechnical sciences, environmental and civil engineering with its marked success in restoration of various building materials. For applications of these calcite binder-producing bacterial cultures, different expensive carrier materials have been used but their high costs have come in the way of their successful commercialization. In the present study, we have explored the potential of cheap industrial by-product fly ash as a carrier material for bacterial cells and investigated the viability of calcifying bacterial isolates: Bacillus megaterium, Bacillus cereus, and Lysinibacillus fusiformis in fly ash carrier at varying temperatures and moisture conditions along with biomineralization efficacy of these formulations. We used laser scanning confocal microscopy to analyze the viability of bacteria by florescent dye 5-cyano-2,3-ditolyl tetrazolium chloride (CTC) along with the plate count method. Results revealed that fly ash successfully served as an effective carrier material and bacterial formulations stored at 4 °C provided longer shelf life than those stored at higher temperatures. Up to 10(6) cfu/g was found to sustain in all formulations at 4 °C compared to 10(4)-10(5) cfu/g in case of higher temperatures up to 1 year. For 4 °C, higher moistures (50 %) were found to provide better survivability while for higher temperatures, lower moistures (30 %) favored higher viability. The biomineralization capability of fresh and formulated bacterial cells was compared on the basis of precipitation of carbonates and it was found that carbonate precipitation efficacy of formulated bacterial cells was comparable to fresh bacterial cells.

  11. Sperm preparation after freezing improves motile sperm count, motility, and viability in frozen-thawed sperm compared with sperm preparation before freezing-thawing process. (United States)

    Palomar Rios, A; Gascón, A; Martínez, J V; Balasch, S; Molina Botella, I


    The aim of this study is to evaluate which cryopreservation protocol, freezing before or after swim-up, optimizes cryopreservation outcomes in terms of motile sperm count, motility, morphology, and viability, and also to establish whether sperm viability could be assessed based on sperm motility. Fifty-three fresh and 53 swim-up prepared samples were considered for the first experiment. In parallel, total motility evaluation by CASA system (computer-assisted sperm analyzer) and hypoosmotic swelling test (HOS-test) was performed in each sample to compare the viability results of both methods. In the second experiment, 21 normozoospermic semen samples and 20 semen samples from male factor patients were included. After fresh ejaculate evaluation, the semen sample of each patient was divided into two aliquots, one of them was frozen before swim-up and the other was frozen after swim-up. Motility, sperm count, morphology, and viability were evaluated after thawing. A linear regression model allows prediction of HOS-test viability results based on total motility: HOS = 1.38 + 0.97 · TM (R (2) = 99.10, residual mean squares = 9.51). Freezing before sperm selection leads to higher total and progressive motility, total motile sperm count, and viability rates than when sperm selection is performed before freezing (P < 0.005 in all cases). In fact, sperm selection prior to freezing reaches critical values when subfertile patients are considered. To conclude, total motility evaluation can predict HOS-test viability results, resulting in a more objective and less time-consuming method to assess viability. In addition, sperm freezing prior to swim-up selection must be considered in order to achieve better outcomes after thawing, especially in patients presenting poor sperm baseline.

  12. A Comparison of Evidence-Based Estimates and Empirical Benchmarks of the Appropriate Rate of Use of Radiation Therapy in Ontario

    Energy Technology Data Exchange (ETDEWEB)

    Mackillop, William J., E-mail: [Division of Cancer Care and Epidemiology, Queen' s Cancer Research Institute, Queen' s University, Kingston, Ontario (Canada); Kong, Weidong; Brundage, Michael; Hanna, Timothy P.; Zhang-Salomons, Jina; McLaughlin, Pierre-Yves [Division of Cancer Care and Epidemiology, Queen' s Cancer Research Institute, Queen' s University, Kingston, Ontario (Canada); Tyldesley, Scott [Vancouver Centre, British Columbia Cancer Agency, Vancouver, British Columbia (Canada)


    Purpose: Estimates of the appropriate rate of use of radiation therapy (RT) are required for planning and monitoring access to RT. Our objective was to compare estimates of the appropriate rate of use of RT derived from mathematical models, with the rate observed in a population of patients with optimal access to RT. Methods and Materials: The rate of use of RT within 1 year of diagnosis (RT{sub 1Y}) was measured in the 134,541 cases diagnosed in Ontario between November 2009 and October 2011. The lifetime rate of use of RT (RT{sub LIFETIME}) was estimated by the multicohort utilization table method. Poisson regression was used to evaluate potential barriers to access to RT and to identify a benchmark subpopulation with unimpeded access to RT. Rates of use of RT were measured in the benchmark subpopulation and compared with published evidence-based estimates of the appropriate rates. Results: The benchmark rate for RT{sub 1Y}, observed under conditions of optimal access, was 33.6% (95% confidence interval [CI], 33.0%-34.1%), and the benchmark for RT{sub LIFETIME} was 41.5% (95% CI, 41.2%-42.0%). Benchmarks for RT{sub LIFETIME} for 4 of 5 selected sites and for all cancers combined were significantly lower than the corresponding evidence-based estimates. Australian and Canadian evidence-based estimates of RT{sub LIFETIME} for 5 selected sites differed widely. RT{sub LIFETIME} in the overall population of Ontario was just 7.9% short of the benchmark but 20.9% short of the Australian evidence-based estimate of the appropriate rate. Conclusions: Evidence-based estimates of the appropriate lifetime rate of use of RT may overestimate the need for RT in Ontario.

  13. Population viability impacts of habitat additions and subtractions: A simulation experiment with endangered kangaroo rats (United States)

    Species viability is influenced by the quality, quantity and configuration of habitat. For species at risk, a principal challenge is to identify landscape configurations that, if realized, would improve a population’s viability or restoration potential. Critical habitat patche...

  14. Viability of Event Management Business in Batangas City, Philippine: Basis for Business Operation Initiatives

    National Research Council Canada - National Science Library

    Jeninah Christia D. Borbon


    The research study on Viability of Event Management Business in Batangas City: Basis for Business Operation Initiatives aimed to assess the viability of this type of business using Thompson’s (2005...

  15. DDACE cogeneration systems : 10 case studies

    Energy Technology Data Exchange (ETDEWEB)



    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

  16. Making Schools Safe and Inclusive: Gay-Straight Alliances and School Climate in Ontario (United States)

    Kitchen, Julian; Bellini, Christine


    Gay-straight alliances (GSAs) have become widespread in Ontario schools and, starting in 2012, all schools are required to permit students to form GSAs. While American research suggests that GSAs have a positive impact on school safety and inclusion, there is little research on the impact of GSAs in Canadian schools. This study, based on a survey…

  17. Responsive BScN Programming at Nipissing University: The Continuing Education of Ontario Nurses (United States)

    Fitzgerald, Scott; Beattie, Beverley; Carter, Lorraine; Caswell, Wenda


    Nipissing University in North Bay, Ontario, is currently the only post-secondary institution in that province to offer a part-time Baccalaureate of Science in Nursing (BScN) program for Registered Practical Nurses (RPNs) through a blended learning model. This program represents a "bridge" from the nurse's college diploma and offers a…

  18. Early Intervention Practice and Research in Ontario, Canada: Listening to the Field (United States)

    Underwood, Kathryn; Killoran, Isabel


    In the province of Ontario, Canada, early intervention services are in need of networking opportunities in order to further a research agenda and support early childhood educators in the field. The authors describe the political circumstances facing new graduates of early childhood education (ECE) training programs and the discrepancy between the…

  19. Youth Environmental Science Outreach in the Mushkegowuk Territory of Subarctic Ontario, Canada (United States)

    Karagatzides, Jim D.; Kozlovic, Daniel R.; De Iuliis, Gerry; Liberda, Eric N.; General, Zachariah; Liedtke, Jeff; McCarthy, Daniel D.; Gomez, Natalya; Metatawabin, Daniel; Tsuji, Leonard J. S.


    We connected youth of the Mushkegowuk Territory (specifically Fort Albany First Nation) with environmental science and technology mentors in an outreach program contextualized to subarctic Ontario that addressed some of the environmental concerns identified by members of Fort Albany First Nation. Most activities were community-based centering on…

  20. Alternative Pathways to Legitimacy: Promotional Practices in the Ontario For-Profit College Sector (United States)

    Pizarro Milian, Roger; Quirke, Linda


    This study empirically examines how for-profit career colleges in Ontario, Canada market themselves to prospective students. It uses a mixed-methods approach to review the content of 489 online promotional profiles representing 375 unique for-profit colleges. It finds that for-profit colleges adopt several distinct marketing strategies, including…

  1. The Challenges of the Ontario Secondary School Literacy Test for Second Language Students (United States)

    Cheng, Liying; Klinger, Don A.; Zheng, Ying


    Results from the Ontario Secondary School Literacy Test (OSSLT) indicate that English as a Second Language (ESL) and English Literacy Development (ELD) students have comparatively low success and high deferral rates. This study examined the 2002 and 2003 OSSLT test performances of ESL/ELD and non-ESL/ELD students in order to identify and…

  2. Student Perceptions of Literacy after the Ontario Secondary Literacy Course: A Qualitative Inquiry (United States)

    Van De Wal, Lianne; Ryan, Thomas G.


    Adolescent literacy has emerged via the high-stakes standardized test known as the Ontario Secondary School Literacy Test (OSSLT) as a critical area of debate and study. Research has indicated a direct connection between literacy and identity, and that student literacy practices differ from traditional measures of literacy located in school…

  3. Test-Takers' Background, Literacy Activities, and Views of the Ontario Secondary School Literacy Test (United States)

    Zheng, Ying; Klinger, Don A.; Cheng, Liying; Fox, Janna; Doe, Christine


    This study examined the relationships among students' background information and their in-school and after-school literacy activities, as well as the relationships between students' background and their views of the Ontario Secondary School Literacy Test (OSSLT). The results showed that students' literacy activities could be grouped into three…

  4. Positivism and Post-World War I Elementary School Reform in Ontario (United States)

    Milewski, Patrice


    Following the end of World War I, the Ontario Department of Education initiated a series of reforms aimed at both elementary and secondary schooling. This article examines the reforms that were made to elementary school curriculum and pedagogy. These were initiated within the context of a call for a general reconstruction of education and society…

  5. Becoming a Guidance Counsellor in Ontario: Formative Influences from Counsellors' Perspective (United States)

    Nadon, Daniel; Samson, André; Gazzola, Nicola; Thériault, Anne


    Contrary to guidance counsellors elsewhere in North America who hold a master's degree, career and guidance counselling services in secondary schools in Ontario are delivered by teachers who have completed additional undergraduate studies. Guidance counsellors are pivotal components of the school as they complete tasks that promote students'…

  6. Grade Inflation and University Admissions in Ontario: Separating Fact from Perception. (United States)

    Casas, Francois R.; Meaghan, Diane E.


    Ontario university admission data for 1983-93 were analyzed for evidence of high school grade inflation and grade-enhancement practices in response to increased competition for university admission. Results show only a moderate increase in entering grades, and suggest that grade inflation must be distinguished from changes reflecting demographic…

  7. The Representation and Appropriation of Indigenous Cultures at Ontario Summer Camps. (United States)

    Hamilton, Ty


    Interviews with directors at five Ontario summer camps found that three camps exposed children to stereotypes of Indigenous peoples and to cultural appropriation. This is inconsistent with goals of educating campers about and showing respect for Indigenous cultures. Given the current issues of land-claims and Aboriginal rights, non-Indigenous…

  8. Rates of Mental Illness and Associated Academic Impacts in Ontario's College Students (United States)

    Holmes, Alana; Silvestri, Robert


    Staff at campus-based counselling and disability centres in 15 of Ontario's 24 community colleges completed 3,536 surveys on 1,964 individual students querying the presence of mental illness and academic challenges as reported by students accessing these services. Survey data were analyzed to determine prevalence rates of mental disorders and…

  9. Identifying criteria and establishing parameters for forest-based ecotourism in Northern Ontario, Canada (United States)

    Stephen W. Boyd; Richard W. Butler; Wolfgang Haider


    This paper identifies the following criteria as indicators for ecotourism suitability within a Northern Ontario context: naturalness, wildlife, cultural heritage, landscape and community. A methodology is proposed which uses Geographical Information Systems (GIS) to identify ecotourism sites by linking criteria deemed important with actual landscape characteristics of...

  10. Prevalence and characteristics of opioid-related deaths involving alcohol in Ontario, Canada

    NARCIS (Netherlands)

    Gomes, Tara; Juurlink, David N.; Mamdani, Muhammad M.; Paterson, J. Michael; van den Brink, Wim


    Background: While it is well known that patients receiving opioids should refrain from alcohol consumption, little is known about the involvement of alcohol in opioid-related deaths. Methods: We conducted a population-based analysis of opioid-related deaths in Ontario with and without alcohol

  11. Exploring the Digital Divide: The Use of Digital Technologies in Ontario Public Schools (United States)

    Chen, Bodong


    Combining data from a school principal survey with student demographics and achievement data, the present study aimed to develop a much needed understanding of ICT usage in Ontario's K-12 public schools. Results indicated equitable first-order access to technology for schools, early integration of ICT from the earliest grades, frequent application…

  12. The Hidden Curriculum of a Teacher Induction Program: Ontario Teacher Educators' Perspectives (United States)

    Barrett, Sarah Elizabeth; Solomon, R. Patrick; Singer, Jordan; Portelli, John P.; Mujuwamariya, Donatille


    This article investigates the hidden curriculum of Ontario's New Teacher Induction Program (NTIP). The study involved interviews with 47 teacher educators from eight faculties of education. Responses revealed concerns about (a) who chooses the mentors, (b) the probationary status of new teachers, and (c) the evaluation of new teachers' competence.…

  13. A Reexamination of Ontario's Science Curriculum: Toward a More Inclusive Multicultural Science Education? (United States)

    Mujawamariya, Donatille; Hujaleh, Filsan; Lima-Kerckhoff, Ashley


    The rapid diversification of communities in Ontario has necessitated the provincial government to reevaluate public school curriculums and policies to make schools more inclusive and reflective of its diverse population. This article critically analyzes the content of the latest revised science curricula for Grades 1 to 10 and assesses the degree…

  14. Comparing health system performance assessment and management approaches in the Netherlands and Ontario, Canada

    NARCIS (Netherlands)

    A.R. Tawfik-Shukor (Ali); N.S. Klazinga (Niek); O.A. Arah (Onyebuchi)


    textabstractBackground: Given the proliferation and the growing complexity of performance measurement initiatives in many health systems, the Netherlands and Ontario, Canada expressed interests in cross-national comparisons in an effort to promote knowledge transfer and best practise. To support

  15. Comparing health system performance assessment and management approaches in the Netherlands and Ontario, Canada

    NARCIS (Netherlands)

    A.R. Tawfik-Shukor (Ali); N.S. Klazinga (Niek); O.A. Arah (Onyebuchi)


    textabstractBackground. Given the proliferation and the growing complexity of performance measurement initiatives in many health systems, the Netherlands and Ontario, Canada expressed interests in cross-national comparisons in an effort to promote knowledge transfer and best practise. To support




  17. Silent Escalation: Salaries of Senior University Administrators in Ontario, 1996-2006 (United States)

    Essaji, Azim; Horton, Sue


    The real compensation of senior university administrators in Ontario has increased by over 43% in the last decade. The escalation is especially pronounced for presidents and provosts: their pay has risen by 63% in real terms between 1996 and 2006. These trends have been evident in universities of all types, for both genders and for professional as…

  18. Educational Technology Decision-Making: Technology Acquisition for 746,000 Ontario Students (United States)

    Ribeiro, Jason


    The author explores the technology procurement process in Ontario's publicly funded school districts to determine if it is aligned with relevant research, is grounded in best practices, and enhances student learning. Using a qualitative approach, 10 senior leaders (i.e., chief information officers, superintendents, etc.) were interviewed to reveal…

  19. Muse, Ruse, Subterfuge: Transdisciplinary "Praxis" in Ontario's Post-Secondary Bricolage? (United States)

    Mitchell, Richard C.; Moore, Shannon A.


    In late 2013, Canada's national newspaper reported that the implementation of Ontario's "differentiation policy framework" was the province's "boldest step yet to compel universities and colleges to make hard choices about how they spend their resources...a draft policy designed to stretch limited provincial dollars by narrowing…

  20. A presettlement fire history in an oak-pine forest near Basin Lake, Algonquin Park, Ontario (United States)

    Richard P. Guyette; Daniel C. Dey


    Fire scars from natural remnants of red pine (Pinus resinosa Ait.) in an oak-pine forest near Basin Lake, Algonquin Park, Ontario, were dated using dendrochronological methods. A fire scar chronology was constructed from 28 dated fire scars on 26 pine remnants found in a 1 km2 area of this forest. From pith and outside ring...