Lions Gate Research Articles

Passionate Runner and Champion of Running in Vancouver

The sport of running in Vancouver has a long and storied history. Thanks to the passion and vision of six running enthusiasts, including Jack Taunton, amateur distance runners had new opportunities to compete in their sport with the formation of Lions Gate Road Runners. Club members established numerous road races of varying distances in the 1970’s and 1980’s, contributing to Vancouver’s reputation as a world-renowned destination for runners of all talents.

Cinema as Prosthesis: Errol Morris’s Use of the Interrotron in <em>Mr. Death: The Rise and Fall of Fred A. Leuchter, Jr.</em>

Cinema as Prosthesis: Errol Morris’s Use of the Interrotron in <em>Mr. Death: The Rise and Fall of Fred A. Leuchter, Jr.</em>

A Tale of Two Bridges: Extending the Lifetimes of the Lions Gate and Angus L. Macdonald Suspension Bridges

This paper examines similarities and differences between how the Lions Gate Bridge (LGB, opened in 1938 in Vancouver, British Columbia, Canada) and the Angus L. Macdonald Bridge (ALM, opened in 1955 in Halifax, Nova Scotia, Canada) were renovated and upgraded to address structural safety concerns and rapidly increasing maintenance costs. In both cases, parallel replacement bridges were not an option due to urbanization and/or property issues both ends of the bridges. In addition, neither bridge could be closed for long durations due to a lack of excess capacity in the local transportation network. As such, both bridges had to remain on their existing alignments while undergoing extensive rehabilitation and maintaining weekday daytime traffic. In both cases, superstructure replacement schemes were developed that allowed the superstructure to be sequentially replaced in segments during short night-time or weekend closures. This paper briefly describes the design features of both bridges, the scopes of work, similarities and differences between the erection works on both bridges, and the significant environmental differences between the two bridge sites. Importantly, lessons learned on LGB are noted, and how they were applied to ALM. Finally, the paper discusses the lessons learned on ALM and their applicability to future projects.

MP03: Strategies to minimize impact of electronic health record implementation on emergency department flow

Introduction: Electronic health record (EHR) implementation can be associated with a slowdown in performance and delayed return to pre go-live productivity. The objective of this study is to describe the impact of a go-live strategy including diversion, public advertising of the go-live, and extra physician staffing to mitigate productivity loss. Methods: Lions Gate Hospital (LGH), an urban community hospital and rural referral centre with 250 beds and 65,000 annual ED visits went live with Cerner HER (Cerner Corporation, Kansas, MO) on April 28, 2018. The implementation included complete electronic ordering and electronic physician documentation. We compared patients seen per hour, time to physician (TTMD), ED length of stay (EDLOS), patients per hour left without being seen (LWBS), and admission rate (AR) for the 6 weeks prior to implementation (Pre), 2 weeks during (Imp), and 6 weeks after (Post) for LGH and a control hospital (Richmond Hospital – comparable in size/acuity) for the same periods. Medians were compared using the Mann-Whitney test for patients/hour, EDLOS and TTMD, and chi-square for AR and LWBS. Results: Patients/hour seen went from 2.1/hour in the pre phase, but dropped to 1.7/hr in the 2 week period following implementation (P < 0.05). During weeks 2-8 post implementation, 2,3 patients per hour were seen (P = 0.38 compared to Pre phase). At the control hospital, patients per hour were comparable across all time periods (Ps > 0.3). Median time to physician was 54, 56, and 54 minutes at LGH for the Pre, Imp, and Post time periods (Ps > 0.3). Median EDLOS was 184, 196, and 184 minutes in the pre, Imp, and post phases (P Imp versus pre = 0.11; Pre versus post = 0.54). LWBS rate was 1.3%, 2.9, and 2.4% (Ps for Imp and Post versus pre <0.05) at LGH, but the pattern was similar for the control hospital (2.9%, 4.1% and 4.0%’ Ps <0.05). There was no significant change in ambulance arrivals or admission rate at either hospital (Ps > 0.2). Conclusion: A deliberate implementation strategy that focuses on ED physician upstaffing and visit diversion can smooth the impact of the implementation of an EHR so that patient care is not impacted significantly. Return to normal productivity occurred by 8 weeks post go-live. We demonstrate a strategy that may support easier implementation at other sites.

Improving patient access and streamlining processes through enterprise intelligence systems

This article demonstrates how enterprise intelligence systems can be used to improve operational efficiency in hospitals. Enterprise intelligence systems mine raw data from disparate systems and transform the data into actionable information, which when used appropriately, support streamlined processes, optimize resources, and positively affect staff efficiency and the quality of patient care. Case studies on the implementation of McKesson Performance Visibility and Capacity Planner enterprise intelligence solutions at the Southlake Regional Health Centre and Lions Gate and Richmond Hospitals are provided.

A new software tool for analyzing BOLD fMRI during movie watching

Event Abstract Back to Event A new software tool for analyzing BOLD fMRI during movie watching Jukka-Pekka Kauppi1*, Iiro Jaaskelainen2, Mikko Sams2 and Jussi Tohka1 1 Tampere University of Technology, Finland 2 Helsinki University of Technology, Finland We present a novel model-free method called Localized Similarity Analysis (LSA) for examining similarities between subjects in brain blood-oxygenation level dependent (BOLD) responses. The primary purpose is to facilitate analysis of group-fMRI data using natural stimulation, for example when subjects are watching movies or playing computer games while fMRI is recorded (for a review, see Spiers and Maguire, 2007). Localization in space, time and frequency was obtained by calculating voxel-wise average correlation across subjects in several frequency sub-bands and time-frames. Statistical tools for making inferences about the localized intersubject similarities are also presented. Furthermore, we present a new, graphical user interface guided MATLAB (http://www.mathworks.com) software package that has been designed for easy exploration and visualization of the results. It is important to have flexible tools for data visualization because LSA results in five-dimensional datasets (time, frequency, and three spatial dimensions). The visualization software and all necessary tools for performing LSA are freely available (http://www.cs.tut.fi/~kauppij/). Applying our novel analysis algorithms to a dataset collected from 12 subjects during watching the movie “Crash” (Lions Gate Films, 2005; see Jaaskelainen et. al, 2008 for more details of the experiment) revealed high intersubject synchronization in auditory and visual cortices across all 12 subjects. Interestingly, we also found frontal cortical intersubject synchronization which was exclusively located in very low frequencies (less than 0.02 Hz). Further analysis revealed that low frequency band frontal polar intersubject synchronization predicted the level of self-rated arousal. A detailed inspection of the movie revealed that high intersubject synchronization in frontal pole was associated with those movie scenes where characters were involved in threatening or violent situations and/or their behavior reflected high risk taking. These preliminary findings show that LSA is a useful tool for examining highly complex stimulus settings and can be used to gain knowledge, e.g., about higher cognitive functions such as social cognition. Conference: Neuroinformatics 2009, Pilsen, Czechia, 6 Sep - 8 Sep, 2009. Presentation Type: Oral Presentation Topic: Neuroimaging Citation: Kauppi J, Jaaskelainen I, Sams M and Tohka J (2019). A new software tool for analyzing BOLD fMRI during movie watching. Front. Neuroinform. Conference Abstract: Neuroinformatics 2009. doi: 10.3389/conf.neuro.11.2009.08.032 Copyright: The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers. They are made available through the Frontiers publishing platform as a service to conference organizers and presenters. The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated. Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed. For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions. Received: 21 May 2009; Published Online: 09 May 2019. * Correspondence: Jukka-Pekka Kauppi, Tampere University of Technology, Tampere, Finland, jukka-pekka.kauppi@helsinki.fi Login Required This action requires you to be registered with Frontiers and logged in. To register or login click here. Abstract Info Abstract The Authors in Frontiers Jukka-Pekka Kauppi Iiro Jaaskelainen Mikko Sams Jussi Tohka Google Jukka-Pekka Kauppi Iiro Jaaskelainen Mikko Sams Jussi Tohka Google Scholar Jukka-Pekka Kauppi Iiro Jaaskelainen Mikko Sams Jussi Tohka PubMed Jukka-Pekka Kauppi Iiro Jaaskelainen Mikko Sams Jussi Tohka Related Article in Frontiers Google Scholar PubMed Abstract Close Back to top Javascript is disabled. Please enable Javascript in your browser settings in order to see all the content on this page.

Inter-Subject Synchronization of Prefrontal Cortex Hemodynamic Activity During Natural Viewing

Hemodynamic activity in occipital, temporal, and parietal cortical areas were recently shown to correlate across subjects during viewing of a 30-minute movie clip. However, most of the frontal cortex lacked between-subject correlations. Here we presented 12 healthy naïve volunteers with the first 72 minutes of a movie (“Crash”, 2005, Lions Gate Films) outside of the fMRI scanner to involve the subjects in the plot of the movie, followed by presentation of the last 36 minutes during fMRI scanning. We observed significant between-subjects correlation of fMRI activity in especially right hemisphere frontal cortical areas, in addition to the correlation of activity in temporal, occipital, and parietal areas. It is possible that this resulted from the subjects following the plot of the movie and being emotionally engaged in the movie during fMRI scanning. We further show that probabilistic independent component analysis (ICA) reveals meaningful activations in individual subjects during natural viewing.

Characterization of anionic surfactant-induced toxicity in a primary effluent

A simple and rapid analytical approach was developed that can be used to investigate the anionic surfactant-induced toxicity associated with the primary effluent from the Lions Gate wastewater treatment plant (North Vancouver, BC). Using this approach, the effluent was characterized on two occasions in terms of anionic surfactant concentration and anionic surfactant-induced toxicity. The results suggest that the concentration of anionic surfactants, measured as methylene blue active substances (MBAS), in the primary effluent increased throughout each day and was highest at night (11:30 p.m.). The toxicity, measured using Vibrio fischeri bioassays (i.e., MicroTox™), also increased throughout each day and was the highest at night. The high molecular weight fraction of anionic surfactants was identified as the most toxic fraction although it was present at the lowest concentration. The results of the present study suggest that the concentration of the high molecular weight fraction of anionic surfactants could be used as a good surrogate to easily and rapidly quanitfy the anionic surfactant-induced toxicity of the primary effluent.

The Real Filth in American Psycho

The Real Filth in American Psycho

Drug Utilization Review in an Extended Care Facility

Clinical pharmacy has expanded the scope of pharmaceutical services and one of the newer areas of involvement is the extended care facility. The author discusses the need, because of a limited budget, for better financial control of drug usage in Lions Gate Hospital's new 170 bed extended care unit. A need for pharmacy involvement in geriatrics because of the rising population of elderly people in extended care facilities and nursing homes and the complexities of using drugs in the elderly is discussed. The new extended care unit was provided with traditional pharmacy services and a pharmacist to participate in a patient review committee. This pharmacist monitored the patients' drug usage and made recommendations to the committee where applicable. The lowered costs of drug therapy in the extended care unit and the more efficacious use of certain medications are discussed in terms of pharmacy involvement. The author concludes that the pharmacist can make a significant contribution to the more economical use of drugs in extended care facilities and has a potential valuable role in improving patient care in this area.

Left Atrial Wall Hematoma After Radiofrequency Ablation for Atrial Fibrillation

3Department of Cardiology, Lions Gate Hospital, Vancouver, BC, Canada. trial fibrillation, the most common cardiac arrhythmia and an important cause of stroke, is increasingly being managed with radiofrequency ablation of the pulmonary vein ostia because many ectopic beats originate at this site. Radiologists viewing images after ablation may identify complications such as pulmonary vein stenosis. We report a case of left atrial intramural hematoma after radiofrequency ablation.

Agit-doc

The Fog of War Directed by Errol Morris Columbia TriStar, 2003, 106 min The Corporation Directed by Mark Achbar and Jennifer Abbott Big Picture Media Corporation, 2004, 145 min Fahrenheit 9/11 Written, produced and directed by Michael Moore Dog Eat Dog Films / Lions Gate Films, 2004, 116 min ![

A dynamically coupled outfall plume-circulation model for effluent dispersion in Burrard Inlet, British Columbia

A circulation-water quality model, coupled with an outfall plume model, has been developed, to predict three-dimensional circulation and effluent dispersion as functions of circulation forcing, ocean turbulent mixing, discharge rate and diffuser parameters. The coupled model was applied to the Lions Gate outfall discharging sewage into Burrard Inlet, British Columbia; in this case, the circulation was driven by the tides and density variations. The model results have good agreement with dye survey data and acoustic Doppler current profiler (ADCP) measurements from the inlet. Under typical oceanographic conditions for the area, the model predicts submerged plumes below 8 m depth at most times. Short-lived surfacing occurs for a few minutes at slack tide. The near-field trapping level and initial dilution are controlled by tidal flows through First Narrows and the effluent discharge rate. Key words: outfall, diffuser, numerical model, dispersion, circulation, dilution, plume, Burrard Inlet.

<sc>The Grey Zone</sc>. Written and directed by Tim Blake Nelson; produced by Pamela Koffler, Christine Vachon, and Tim Blake Nelson. USA. 2002; color; 108 minutes. Distributed by Lions Gate Entertainment

<sc>The Grey Zone</sc>. Written and directed by Tim Blake Nelson; produced by Pamela Koffler, Christine Vachon, and Tim Blake Nelson. USA. 2002; color; 108 minutes. Distributed by Lions Gate Entertainment

Characterizing and developing strategies for the treatment of community-acquired pneumonia at a community hospital.

Patients admitted to Lions Gate Hospital, North Vancouver, British Columbia, with a primary diagnosis of community-acquired pneumonia (CAP) have a mean length of stay (LOS) of 9.1 days compared with 7.9 days for peer group hospitals. This difference of 1.2 days results in an annual potential savings of 406 bed days and warranted an investigation into the management of CAP. To characterize and provide recommendations for the management of CAP. A retrospective chart review of patients admitted with a primary diagnosis of CAP between May 1, 2000 and August 31, 2000. Fifty-one patients were included in the study, with a mean LOS of 9.9 days and a median LOS of five days. Based on pneumonia severity index scores calculated for each patient, eight patients (16%) were admitted inappropriately. Initial empirical antibiotic choices were consistent with the Canadian CAP guidelines in 27 patients (53%), with inconsistencies arising mainly because cephalosporin or azithromycin monotherapy regimens were prescribed. Step-down from intravenous to oral antibiotics occurred in approximately 20 patients (39%). An additional 12 patients (24%) could have undergone step-down, and step-down was not applicable in 19 patients (37%). The potential annual cost avoidance from implementing admission criteria based on a pneumonia severity index score, applying step-down criteria and promoting early discharge criteria was estimated to be $220,000. Considerable variability exists in the treatment of CAP. A CAP preprinted order sheet was developed to address the issues identified in the present study and provide consistency in the management of CAP at Lions Gate Hospital.

The ecological footprint of Lions Gate Hospital.

The first-ever Ecological Footprint of a hospital was carried out in the summer of 2001 in North Vancouver, British Columbia. Although there has been growing concern that the healthcare system in Canada might be adversely affecting the environment, there have been few analyses of its environmental impact. Lions Gate Hospital bravely agreed to participate in this study and have its footprint calculated. This displays real leadership, reflecting very positively on the hospital's commitment to becoming more environmentally responsible and its willingness to open up to scrutiny.

Orthotropic Redecking of Bridges on the North American Continent

This article reviews major American and Canadian projects where deteriorated concrete bridge decks were replaced by steel orthotropic decks. Both open-rib and closed-rib deck systems, with long-rib spans corresponding to the spacing of existing floorbeams, were used. In three cases, the new decks are fully integrated with the main longitudinal members of the bridge. Wearing surfaces, redecking costs and the future AASHTO Bridge Design specifications provisions for orthotropic decks are discussed. The bridges which were redecked are the Golden Gate bridge, San Francisco; the George Washington bridge, New York; the Lions Gate, Vancouver BC; Throgs Neck Viaducts, New York; Benjamin Franklin bridge, Philadelphia, and the Champlain bridge over the St Lawrence river in Montreal.

Le voyage des motifs. I. Le trône aux lions et la porte aux lions

A Japanese embroidery of the 8th century represents Buddha being seated on a throne with two lions at right and left sides. This buddhist theme is often seen in China and came from India and Gandhāra, where it had appeared about the beginning of our Era. But its origin seems older: a Mesopotamian statue dating from the 3rd millenary and an Anatolian little figure from the 6th millenary represent the Great Goddess on a seat flanked by two lions (or panthers). The small statue from Anatolia is probably the archetype of Cybelia, the Mother- Goddess which was adopted and worshipped by Romans. Therefore the Oriental lions throne was introduced in Europe. At least from the 9th century, it was the seat of kings and saints. In the Middle Age, we can see in Italia bishops chairs adorned with two lions. The theme of the lions gate appeared in the Near East around the 19th- 18th centuries B. C. Then it passed to Greece and Turkey. From that crossroads, this subject spread towards both East and West. In india, lions couples are guardians of stûpa; in China, they protect tombs, temples and palaces; in Japan, they swarm in shintoist shrines. In Europe, guardians- lions are seen since Roman period. Then they are frequent at the gates of Romanesque churches, in Italia, in France, in Spain and even in Scandinavia. The royal couple stands also in front of secular monuments as Italian villas or French castles. Lastly, the theme of lions gate is not rare in the streets of Paris, at the entrance of buildings dating from 19th and 20th centuries.

The Lions Gate Member: A New Late Cretaceous Sedimentary Subdivision in the Vancouver Area of British Columbia

Sediments bordering Burrard Inlet in Greater Vancouver are described as the Lions Gate Member of the Burrard Formation. This new member, comprising the lowest part of the previously defined Burrard Formation, rests nonconformably upon deeply weathered granitic rocks of the Coast Plutonic belt, and dips southwards into the Whatcom Basin. Four sedimentary units are recognizable, comprising a basal unit of conglomerate with minor sandstone lenticles; a sandstone–siltstone unit; a shale unit; and an upper coarse arkose. The upper contact with overlying sandstone and shales of Tertiary age occurs on the south shore of Burrard Inlet. Palynomorphs from both surface and borehole samples are of Late Cretaceous (Campanian) age, suggesting correlation of the Lions Gate Member with the Extension-Protection Formation of eastern Vancouver Island.