Changing healthcare: stakeholder perceptions of the burden of chronic disease and the value of teams, measurements and communication.

Canadian healthcare is changing. Over the course of the past decade, the Health Care in Canada Survey (HCIC) has annually measured the reactions of the public and professional stakeholders to many of these change forces. In HCIC 2008, for the first time, the public's perception of their health status and all stakeholders' views of the burden and effective management of chronic diseases were sought. Overall, Canadians perceive themselves as healthy, with 84% of adults reporting good-to-excellent health. However, good health decreased with age as the occurrence of chronic illness rose, from 12% in the age group 18-24 to 65% for the population =65 years. More than 70% of all stakeholders were strongly or somewhat supportive of the implementation of coordinated care, or disease management programs, to improve the care of patients with chronic illnesses. Concordant support was also expressed for key disease management components, including coordinated interventions to improve home, community and self-care; increased wellness promotion; and increased use of clinical measurements and feedback to all stakeholders. However, there were also important areas of non-concordance. For example, the public and doctors consistently expressed less support than other stakeholders for the value of team care, including the use of non-physician professionals to provide patient care; increased patient involvement in decision-making; and the use of electronic health records to facilitate communication. The actual participation in disease management programs averaged 34% for professionals and 25% for the public. We conclude that chronic diseases are common, age-related and burdensome in Canada. Disease management or coordinated intervention often delivered by teams is also relatively common, despite its less-than-universal acceptance by all stakeholders. Further insights are needed, particularly into the variable perceptions of the value and efficacy of team-delivered healthcare and its important components.

[Médaille à l'effigie du Roi Georges IV d'Angleterre]

Donateur : Schwatka, Frederick (1849-1892)

J. Irving

Donateur : Schwatka, Frederick (1849-1892)

Helena Valentí, fúria i traducció

La filòloga i novel·lista Helena Valentí i Petit (Barcelona, 1940-1990) s’exilià de ben jove a Anglaterra, on buscà en la traducció el mitjà de vida. Entre altres autors i autores, traslladà al castellà William Blake, Marilyn French, Nicholas Guild, Najib Mahfuz, Harold Robbins, Bernice Rubens, Roger T. Taylor i Doris Lessing, de la qual traduí El quadern daurat. De retorn a Catalunya, el 1974, decidí compaginar la traducció amb la narrativa pròpia. Girà a la llengua catalana Al far i Una cambra pròpia de l’anglesa Virginia Woolf i La garden party i altres contes i Un home casat i altres crueltats de la neozelandesa Katherine Mansfield. En els anys vuitanta traslladà El factor humà de Graham Greene i Jo, Claudi de Robert Graves, i féu una breu incursió en la narrativa per a joves. Viatges indiscrets de Lisa St. Aubin, un recull de contes d’autores del segle XX, fou l’última traducció.

[Isabellan resitatiivi ja aaria Pensa alla patria]

Äänitetty radiosta.

Caracterización fisicoquímica de almidones de tubérculos cultivados en Yucatán, México

Se realizó la evaluación de las propiedades fisicoquímicas y funcionales de almidones de tubérculos: makal (Xanthosoma yucatanensis), camote (Ipomea batata), yuca (Manihot esculenta Crantz) y sagú (Marantha arundinacea). El tamaño promedio de los gránulos de almidón varió de 10,6 a 16,5 µm. La amilosa fue de 23,6, 19,6, 17,0 y 22,7%, para el makal, camote, yuca y sagú. Las temperaturas de gelatinización fueron de 78,4, 61,3, 65,2 y 74,9 °C, respectivamente. El almidón de yuca fue el que presentó mayor poder de hinchamiento y solubilidad. La viscosidad máxima fue para el almidón de yuca. El almidón de camote presentó la mayor claridad de gel (51,8%) y el de makal, la menor (10,9%). El almidón de yuca fue el más elástico (36,2%). Los almidones de makal y de sagú pueden ser utilizados en productos que requieren altas temperaturas de procesamiento. Los almidones de camote y de yuca pueden ser incluidos en sistemas alimenticios como espesantes, estabilizantes y gelificantes en alimentos refrigerados y congelados.

A comparison of cognitive processes and components of neurological maturation in 3-and-11 year-old children

The relationship between the child's cogni tive development and neurological maturation has been of theoretical interest for many year s. Due to diff iculties such as the lack of sophisticated techniques for measur ing neurolog ical changes and a paucity of normative data, few studies exist that have attempted to correlate the two factors. Recent theory on intellectual development has proposed that neurological maturation may be a factor in the increase of short-term memory storage space. Improved technology has allowed reliable recordings of neurolog ical maturation.. In an attempt to correlate cogni tive development and neurological maturation, this study tested 3-and II-year old children. Fine motor and gross motor short-term memory tests were used to index cogni tive development. Somatosensory evoked potentials elici ted by median nerve stimulation were used to measure the time required for the sensation to pass along the nerve to specific points on the somatosensory pathway. Times were recorded for N14, N20, and P22 interpeak latencies. Maturation of the central nervous system (brain and spinal cord) and the peripheral nervous system (outside the brain and spinal cord) was indi~ated by the recorded times. Signif icant developmental di fferences occurred between 3-and ll-year-olds in memory levels, per ipheral conduction velocity and central conduction times. Linear regression analyses showed that as age increased, memory levels increased and central conduction times decreased. Between the ll-year-old groups, there were no significant differences in central or peripheral nervous system maturation between subjects who achieved a 12 plus score on the digit span test of the WISC-R and those who scored 7 or lower on the same test. Levels achieved on the experimental gross and fine motor short-term memory tests differed significantly within the ll-year-old group.

The quality of life in the Master of Education program, Brock University

This study addressed the problem of the quality of life in the Brock Master of Education program. Survey and interview data were used to gain an understanding of satisfaction with the learning achieved and student life experienced. Eighty-seven percent of the study sample reported satisfaction with the program overall. Results suggested the higher the overall satisfaction with a program, the greater the likelihood learning and student life satisfaction were also more positive. Student reflections suggested satisfaction with the quality of life in the program was associated with the program's focus on the student, the use of self-directed learning, and the support of professors to meet student needs. Comparison of the Brock Master of Education survey with the Brock Pre-Service Teacher Education program showed both student groups shared a similar satisfaction with student life in the Faculty. Comparison of Master of Education programs suggested the difference between two programs, a difference which may be influenced by time in the program. The results from the three programs suggested that students beyond the first undergraduate degree favored the school domains of learning acquisition. Supplementary data on the relationship between cognitive and affective opinions suggested the more positive the affective dimension of learning, the greater the likelihood the cognitive dimensions of student life were also more positive. It was concluded that time was a chief factor influencing part-time student satisfaction with both learning and student life in the program. Part-time students, as. the majority in the survey, expressed comments about the need for clarity of communication between the organization and student to promote the effective use of limited time.

Women over thirty choosing education as a solution to a problem

This study explored motivations of mid-life women over 30 years old who had returned to school. It sought to fmd whether these women returned to solve a problem arising from life events, whether viewing a problem was related to internal or external motivation, whether this perception was related to having greater coping skills, and whether having greater coping was related to seeking support from internal or external sources. This study examined which emotions were most related to viewing a life event as a problem. Finally, it explored the results of previous research of mid-life women in their role as a student. Women (N==83) from three types of institutions volunteered for this study: a university (N==34), a college (N==28), and an adult education centre (N==21). Participants took home a questionnaire package - a I3-page questionnaire and consent form - that were completed and mailed back to the researcher in pre-paid envelopes. Results showed that women over 30 seek education as a solution to a life event problem. External motivation was related to a life event being a problem (p<.005). There was a significant difference in coping scores between institutions. Moods that were related to viewing a life event as problematic were: anger and depressive moods (p<. 001), fatigue and vigor (p<.O 1), and tension/anxiety (p<.05). Mid-life women students' satisfaction in this role was related to being externally motivated. These women sought support from both internal and external sources, rarely had social interactions with peers, and viewed this role as important, yet, temporary in that it will help them change their lives. Implications ofthe results suggest further exploration ofthe roles of anger and depression in motivating women over 30 to learn and finding ways of directing women to use their emotional intelligence to seek out learning.

Charles C. Chapman's birthday celebration, Fullerton, California,1932

Family portrait taken at Charles C. Chapman's birthday celebration, Fullerton, California,July 2, 1932. The group poses outside his residence on the lawn. Top row [left to right]: Arthur Irvin, Charles Wickett, Irvin Chapman, Sam Collins, Paul Williams, Grant Chapman,, Sidney Chapman, Clay McCarn, Earl Chapman's son David McDougal, Earl Chapman's son William McDougal, Earl Chapman, Harry Chapman, William Wickett Sr. Second row [left to right]: Mr. VanMeter, Mrs. Sinclair, C. C. Sinclair, John Franklin, Way Bagley, Marjorie Collins, Emma Williams, Ruth Chapman, Vesta Chapman, Inez Bagley, Grace Chapman, Bertha Chapman, Clough Chapman, Frank and Bertha Chapman's daughter Agnes McDougal [Streech], Georgiana Chapman, Thela Clough, Mrs. Earl [Ann] Chapman, Bessie Reynolds, Fred Chapman, E. B. [Bert] Reynolds. Seated [left to right]: Mrs. VanMeter, Hattie Clark, Louie Messlar, Charlie Thamer, Louella Thamer, Dolla Harris, Stanley Chapman Sr. holding Mary Anne, Ethel Wickett, Charles C. Chapman, Clara Chapman, Colum C. Chapman, Aunt Annie Colum, Deryth Chapman, Anna Marie Chapman, Floy Chapman, Edith Chapman. Front row [left to right]: Sam E. Collins, Bill Wickett Jr., Joyce Chapman, Marilyn Chapman, Elizabeth Chapman, Mary McCarn, Nina Chapman Lescher, Jodeane Collins, Bob Gibb, Jean Chapman. In front is a floral arrangement with drawing of a Western Union telegram "To Chas. C. Chapman, July 2, 1932, N. Fullerton, Cal., 'Wishing you a happy birthday, Nina."

Great Lakes Waterways Development Association

This archive contains materials relating to the Great Lakes Waterways Development Association. The collection contains correspondence, financial information, clippings, biographical materials, media releases, presentations and publications. The bulk of the materials are correspondence.

Indenture (vellum) of bargain and sale between William Dickson, Thomas Dickson and Thomas Clark

Indenture (vellum) of bargain and sale between William Dickson, Thomas Dickson and Thomas Clark, executors of the late Robert Hamilton of Queenston to George Moffat for land in Burford, Beverly and Grimsby, Ontario, Feb. 27, 1827.

The Abuser and the Abused : impropriety in Selected Texts by Jane Austen

Le thème de cette thèse est le droit des femmes à la fin du dix-huitième siècle dans les romans de l’auteure britannique Jane Austen. L’abus psychologique (et parfois physique) entre femmes est omniprésent au moment où le sujet de l’égalité entre hommes et femmes est à son apogée. Depuis la publication du volume Jane Austen and the War of Ideas de Marilyn Butler, on ne limite plus nos interprétations aux significations littéraires des romans, au contraire, elles se multiplient dans les champs culturels, sociaux, économiques... Ceci permet de mieux comprendre l’époque reflétée dans ses oeuvres. Les interactions humaines se compliquent: les mères essayent à tout prix de « vendre » leurs filles à l’homme le plus riche. Pour ce faire, ces mères résistent aux normes patriarcales. De plus, les femmes veuves sont problématiques car leur statut social ne peut pas être défini. Austen peint et critique les veuves autonomes qui essayent vigoureusement d’exercer leurs pouvoirs à travers leur sexualité et en manipulant leur vocabulaire dans le but de monter dans l’échelon social. En fait, les femmes de tous âges et toutes classes essayent de manipuler les autres pour leurs gains personnels. L’obtention de pouvoir fait en sorte que ces femmes compétitives ne créent pas une société inclusive: elles se marginalisent encore plus. Ce combat interne permet d’autant plus aux hommes d’injurier les femmes. Finalement, avec la montée du cinéma de nos jours, les oeuvres d’Austen sont traduites pour atteindre un grand nombre de spectateurs. Parmi la panoplie de films, l’abus est traduit et interprété à différents degrés.

Les niveaux et les facteurs déterminants de la mortalité infantile en Nouvelle-France et au début du Régime Anglais (1621-1779)

A l’époque de la Nouvelle-France, il n’était pas rare que des enfants de moins d’un an décèdent. Les parents acceptaient avec sagesse et résignation le décès de leurs enfants. Telle était la volonté du Tout-Puissant. Grâce au Registre de la Population du Québec Ancien (R.P.Q.A.) élaboré par le Programme de Recherche en Démographie Historique (P.R.D.H), l’ampleur de la mortalité infantile a pu être mesurée selon plusieurs critères, quelques facteurs déterminants examinés ainsi qu’une composante intergénérationnelle identifiée. Couvrant pour la première fois la totalité de l’existence de la colonie, nos résultats confirment l’importance de la mortalité des enfants aux XVIIe et XVIIIe siècles (entre 140 et 260‰ avant correction pour le sous-enregistrement des décès). Des disparités tangibles ont été constatées entre les sexes, selon le lieu de naissance ainsi que selon la catégorie professionnelle à laquelle appartient le père de l’enfant. L’inégalité des probabilités de survie des tout-petits reflète l’iniquité physiologique entre les genres, avec une surmortalité masculine de l’ordre de 20%, et l’influence de l’environnement dans lequel vit la famille : les petits de la ville de Québec décédaient en moyenne 1,5 à 1,2 fois plus que les petits des campagnes. Montréal, véritable hécatombe pour l’instant inexpliquée, perdait 50% de ses enfants avant l’âge d’un an, ce qui représente 1,9 fois plus de décès infantiles que ceux des enfants de la campagne, qui jouissent malgré tout des bienfaits de leur environnement. Les effets délétères de l’usage de la mise en nourrice, qui touche plus de la moitié des enfants des classes aisées citadines, ravagent leur descendance de plus en plus profondément. L’examen de la mortalité infantile sous ses composantes endogène et exogène révèle que la mortalité de causes exogènes explique au moins 70% de tous les décès infantiles. La récurrence des maladies infectieuses, l’absence d’hygiène personnelle, l’insalubrité des villes constituaient autant de dangers pour les enfants. Dans une perspective davantage familiale et intergénérationnelle où l’enfant est partie intégrante d’une fratrie, des risques significatifs ont été obtenus pour plusieurs caractéristiques déterminantes. Les mères de moins de 20 ans ou de plus de 30 ans, les enfants de rang de naissance supérieur à 8, un intervalle intergénésique inférieur à 21 mois ou avoir son aîné décédé accroissent les risques de décéder avant le premier anniversaire de l’ordre de 10 à 70%, parce que le destin d’un enfant n’est pas indépendant des caractéristiques de sa mère ou de sa fratrie. Nous avons aussi constaté une relation positive entre la mortalité infantile expérimentée par une mère et celle de ses filles. La distribution observée des filles ayant perdu au moins 40% de leurs enfants au même titre que leur mère est 1,3 à 1,9 fois plus grande que celle attendue pour les filles ayant eu 9 enfants et moins ou 10 enfants et plus. Il existerait une transmission intergénérationnelle de la mortalité infantile même lorsqu’on contrôle pour la période et la taille de la famille.