Canada Website Research Articles

An Investigation of Veterinary College Websites in the US and Canada: Representations and Content of Equity, Diversity, and Inclusion.

University websites are often a first point of contact for prospective students. Portrayals of diversity on the website can influence current and future students' perceptions. Using content and statistical analysis, all 38 veterinary college websites in Canada and the US were systematically coded for representations of people in photos and content related to equity, diversity, and inclusion (EDI). In both Canada and the United States, people perceived as male or Black, Indigenous, and/or People of Color (BIPOC) were more likely to be portrayed without animals, and fewer photos with males depicted engagement in an activity compared with those depicting females. Compared with the self-identified data reported by US colleges to the American Association of Veterinary Medical Colleges, BIPOC students were under-depicted by approximately 16.3% (95% confidence interval [CI] = 11.1%-21.7%) on some college websites and over-depicted on others by approximately 23.4% (95% CI = 15.4%-31.2%). A land acknowledgment or a link for a land acknowledgment was found on only six websites (16%). These results provide evidence and support that veterinary colleges should monitor their websites for depictions of people and content related to EDI, providing the opportunity to attract a diverse student audience.

Canadian status of "not acceptable" drugs as evaluated by Prescrire: A cohort study.

The independent French drug bulletin Prescrire International rates the therapeutic innovation of new drug-indications approved for marketing in France using an ordinal scale with the lowest rating being "not acceptable". This study investigates whether these drugs were approved by Health Canada. A list of "not acceptable" drug-indications was generated by handsearching all issues of Prescrire International between January 2013 and December 2022. The generic names, indications and reasons why Prescrire labeled them not acceptable were recorded. The approval date was determined by consulting the website of the European Medicines Agency (EMA). The status of these drug-indications in Canada was determined by searching multiple Health Canada websites. Therapeutic Evaluations for new drug-indications done by the Patented Medicine Prices Review Board (PMPRB) were recorded. Prescrire rated 57 new drug-indications and 42 new indications for existing drugs as not acceptable. Seventy of these drug-indications were available in Canada- 42 new drug-indications and 28 new indications for existing drugs. Twenty (90.9%) of the 22 new drugs evaluated by the PMPRB were rated as slight/no therapeutic improvement and 2 as moderate therapeutic improvement. The median difference, in days, between approval times by the EMA/ANSM and Health Canada was 129 (interquartile range -102, 341) in favour of the former. The majority of the not acceptable drug-indications were approved by Health Canada. The difference between when Prescrire and Health Canada examined the evidence for these drug-indications is unlikely to explain the difference in their evaluations. A change in regulatory standards at Health Canada may be one factor behind the presence of these drugs. To what degree those drugs led to more harms than benefits for patients who are taking them needs to be urgently investigated. Finally, the reasoning behind Health Canada's approval of these drugs should be interrogated.

Reference Chatbots in Canadian Academic Libraries

Chatbots are “computer agents that can interact with the user” in a way that feels like human-to-human conversation. While the use of chatbots for reference service in academic libraries is a topic of interest for both library professionals and researchers, little is known about how they are used in library reference service, especially in academic libraries in Canada. This article aims to fill this gap by conducting a web-based survey of 106 academic library websites in Canada and analyzing the prevalence and characteristics of chatbot and live chat services offered by these libraries. The authors found that only two libraries were using chatbots for reference service. For live chat services, the authors found that 78 libraries provided this service. The article discusses possible reasons for the low adoption of chatbots in academic libraries, such as accessibility, privacy, cost, and professional identity issues. The article also provides a case study of the authors’ institution, the University of Calgary, which integrated a chatbot service in 2021. The article concludes with suggestions for future research on chatbot use in libraries.

Cannabis in Wisikk: a tempting venture

Research methodology This case was developed using a mixture of publicly available documents created by the partner community, general information from public sources like the First Nations Finance Authority (FNFA) website and Government of Canada websites, and personal and first-hand experience of the indigenous coauthor, Storm Gould. Case overview/synopsis Wisikk is a Mi’kmaq sovereign reserve territory located in Mi’kmaq’ki in the place that settler governments call Nova Scotia. The community has existed in its location since time immemorial and has been recognized by the settler government since the early 19th century. An opportunity for community-run business has arisen for Wisikk based on the legalization of cannabis throughout Canada in 2018. This case’s protagonist is the community’s Vice-President for Business Development, Andrew Googoo, as he considers bringing a proposal for a cannabis retailing venture to the Chief and Council. Cannabis legalization in Canada left sales policies to the provinces and was silent as to the rules governing cannabis sales by indigenous communities on their sovereign territory. Considering both potential negative impacts to the community, as well as the potential financial benefits from a successful reserve-based cannabis dispensary, Andrew must soon present his initial findings to the Chief and Council for their deliberation and decision. Any venture undertaken by the reserve would require a loan from the FNFA, so Andrew must also consider the projections and reports that the FNFA would require to support their lending decision. Complexity academic level The case is appropriate for mid-level or capstone undergraduate and graduate business courses, especially those focused on entrepreneurship, business ownership or indigenous ownership. The case was originally developed for the accounting division of an international undergraduate case competition. In addition to accounting concepts like pro forma/budgeted income statements and decision analysis, it is intended to showcase some legal and cultural features of community-led indigenous business ventures. The idea is for students to explore concepts of sovereignty, community involvement and broader stakeholder impact, as well as more technical accounting and financial concepts.

E-commerce localisation to African markets : Canadian multinational enterprise perspectives

The main objective of this study is to examine and analyse the extent to which African cultural values are depicted on local business-to-consumer (B2C) websites in Africa compared with local websites in Canada during and after the COVID-19 era. By exploring the cross-cultural variations between African B2C websites and Canadian B2C websites, we attempt to provide recommendations to global marketers and diverse stakeholders on how best to localise their websites when catering to e-commerce internet users in African and Canadian regional economies. Therefore, this research extends the boundary of e-commerce marketing strategy and international marketing research to encompass the perspectives of Canadian multinational enterprises seeking to market to African regions.

PATTERNS OF INFORMATION-SEEKING OF PATIENTS NEWLY DIAGNOSED WITH INFLAMMATORY BOWEL DISEASE: A DESCRIPTIVE STUDY

ABSTRACT The purpose of this study is to describe the patterns for seeking and using four main sources of information by patients with inflammatory bowel disease (IBD) who meet their gastroenterologist for the first time, and to assess their level of satisfaction and reassurance with the information sources used. An online survey developed from the literature review and in collaboration with physicians and a representative of a Canadian IBD patient association was posted on the Crohn's and Colitis Foundation of Canada website. It was completed by 210 IBD patients. A descriptive analysis of the results was performed. Eighteen patterns of information seeking were identified. Nearly half of the patients used at least two sources of information, in addition to their gastroenterologist. The Internet was widely used by patients before the first appointment with the gastroenterologist (61%), and even more so after this visit (92%). Patients experienced the greatest satisfaction with print documents and other healthcare professionals (HPs, i.e., nurses and dieticians). More than half of the patients were not reassured (57.5%) and had more concerns over their illness from the answers provided by their gastroenterologist (64.6%). This study shows IBD patients naturally turn toward various sources of information, thereby reinforcing the relevance of a multidisciplinary or multimodal approach. A combination of written information, the Internet, face-to-face education and reassurance appears essential to meet their information needs and deal with their concerns Keywords patient; information needs; source of information; satisfaction; multidisciplinary approach; inflammatory bowel disease

Comparison of the drinking water standard for pesticides of the Brazil with other countries

The objective was to compare the types and concentrations of pesticides allowed in the water potability standard for human supply in Brazil with other countries considered to be the largest consumers of pesticides in dollars invested in purchase/trade. This is a descriptive and documentary study, with data collection in regulations available in official government websites in Brazil, USA, China, Japan, France, Germany, Canada, Argentina, India, Italy, and World Health Organization (WHO). Since Germany, France and Italy are part of the European Union (EU), the legislative resolution of the European Parliament was adopted. Pesticides number and maximum permitted values (MPV) differ between the countries and WHO. In the Brazilian ordinance there are forty pesticides, a number like the USA, Canada, China, and WHO, but that represents only 8% of the total pesticides registered for agricultural use in Brazil. When comparing the ordinance of Brazil with EU the values are only the same for Aldrin + Dieldrin. For other, amounts between 2 and 5000 times more are allowed in Brazil. Brazilian regulations do not establish a total value for the mixture of pesticides in water, only individual limits, which together can reach 1677.13 μg/L, while in EU standards it is only 0.5 μg/L. The study showed discrepancies of the pesticides allowed in water potability standard of the Brazil with other countries, but features 12 pesticides with the same concentrations as WHO guidelines, thus, a worldwide standardization in water potability regulations is necessary to promote health and reducing risk of exposure.

AIUM Official Statement: Guidelines for Cleaning and Preparing External- and Internal-Use Ultrasound Transducers and Equipment Between Patients as Well as Safe Handling and Use of Ultrasound Coupling Gel.

AIUM Official Statement: Guidelines for Cleaning and Preparing External- and Internal-Use Ultrasound Transducers and Equipment Between Patients as Well as Safe Handling and Use of Ultrasound Coupling Gel.

Education and training for infection prevention and control provided by long-term care homes to family caregivers: a scoping review protocol.

The objective of this review is to map the infection prevention and control education and training that long-term care homes use with families during a pandemic or infectious outbreak. During the COVID-19 pandemic, restrictions were imposed on visits to long-term care homes to decrease the risk of virus transmission. These restrictions had negative consequences for both residents and families. A scoping review of infection prevention and control education and training used with families will inform family visitation practices and policies during future infectious outbreaks. This review will examine literature describing infection prevention and control education and training provided to families in long-term care homes. Research and narrative papers, including experimental, quasi-experimental, descriptive observational quantitative and qualitative studies, reviews, text, policy, and opinion papers, will be considered for inclusion. A 3-step approach will be followed, in line with the JBI methodology for scoping reviews. Published literature will be searched for in databases including CINAHL, Embase, ERIC, MEDLINE, and AgeLine. Published and unpublished papers will be considered from 1990 to the present, in English or in French. The World Health Organization, Centers for Disease Control, and the Public Health Agency of Canada websites will be searched for unpublished and gray literature. Two authors will independently review and assess studies for inclusion and extract the data. The findings will be charted in a narrative summary and tables.

International Briefs

International Briefs

The Financial Considerations of Employing a Dedicated Chaperone in Clinical Practice.

Introduction: Medical associations and medicolegal bodies are urging for increased chaperone use by physicians during intimate physical examinations in clinical practice (such as breast or pelvic examinations). However, widespread chaperone use is limited by factors such as staff availability and financial considerations. Presently, there is a scarcity of information available regarding the cost of hiring a dedicated chaperone. This study investigates the cost of hiring a chaperone and its financial implications for a physician's clinical practice. Materials and Methods: Using data from the Government of Canada website, the range of salary rates for clinic staff who can act as a chaperone in Canada was analyzed. The cost of hiring a chaperone was estimated to be in the range between the cost of hiring a minimum-wage worker and a nurse (the highest-paid hired medical office staff). Obstetrics and Gynecology as well as Plastic Surgery urban community practices were consulted regarding the costs of operating a clinic. Results: The approximate annual income for a minimum-wage worker in Canada is $29,250 CAD. Registered nurses earn on average $72,783.75 CAD per year. The cost of operating a private clinic practice with one staff member in Canada is on average $102,500 CAD per year. Thus, hiring an additional full-time chaperone could increase clinic expenses by approximately 49% per year, bringing the clinic cost to approximately $153,517 CAD per year. For part-time employment, the annual cost of hiring a chaperone is approximately $10,203 CAD for each day/week of employment. Conclusion: In terms of financial considerations, hiring a chaperone can increase clinic expenses by approximately one-and-a-half times. The findings of this study provide an important reference for physicians and may assist with the decision to employ chaperones in clinical practice.

Is Your Library Website Missing Essential Information?: A Comparison and Evaluation of Public Library Websites in Australia, Canada, and United States

This paper describes the findings of a quantitative study of 1,698 public library websites in Australia, Canada, and the United States over a period of three years using a spreadsheet protocol. The purpose of the research was to evaluate public library websites, available online sources, and whether library staff were available to respond to users’ questions and concerns regarding the website. Descriptive statistics are used to report the results. The study provides public library website information regarding which protocol criteria each country’s libraries attained.

Gender-Inclusive Fellowship Naming and Equity, Diversity, and Inclusion in Radiology: An Analysis of Radiology Department Websites in Canada and the United States.

Purpose: Transgender and gender non-binary (TGNB) individuals face numerous inequalities in healthcare and there is substantial work to be done in fostering TGNB culturally competent care in radiology. A radiology department's online presence and use of gender-inclusive language are essential in promoting an environment of equity, diversity, and inclusion (EDI). The naming of radiology fellowships and continuing medical education (CME) courses with terminology such as "Women's Imaging" indicates a lack of inclusivity to TGNB patients and providers, which could result in suboptimal patient care. Methods: We conducted a cross-sectional analysis of all institutions in Canada and the United States (US) offering training in Breast Imaging, Women's Imaging, or Breast and Body Imaging. Data was collected from each institution's radiology department website pertaining to fellowship names, EDI involvement, and CME courses. Results: 8 Canadian and 71 US radiology fellowships were identified. 75% of Canadian and 90% of US fellowships had gender-inclusive names. One (12.5%) Canadian and 29 (41%) US institutions had EDI Committees mentioned on their websites. Among institutions publicly displaying CME courses about breast/body or women's imaging, gender-inclusive names were used in only 1 (25%) of the Canadian CME courses, compared to 81% of the US institutions. Conclusions: Most institutions in Canada and the US have gender-inclusive names for their radiology fellowships pertaining to breast and body imaging. However, there is much opportunity to and arguably the responsibility for institutions in both countries to increase the impact and visibility of their EDI efforts through creation of department-specific committees and CME courses.

A comparison of the Food and Drug Administration\u2019s and Health Canada\u2019s regulatory decisions about failed confirmatory trials for oncology drugs: an observational study

BackgroundOncology drugs are frequently approved on the basis of surrogate outcomes that require further trials to confirm the benefits, but at times these trials fail and regulators need to decide whether to withdraw approval for the indication and/or to remove the drug from the market. This study compares decisions by the Food and Drug Administration and Health Canada about oncology drugs that were approved using either Accelerated Approval (FDA) or Notice of Compliance with conditions (NOC/c, Health Canada) and that failed confirmatory trials.MethodsDrug/indications approved by the FDA through its Accelerated Approval Pathway and that later failed confirmatory studies were identified from a published study and additional information on these drugs was collected from Drugs@FDA. Health Canada websites were searched on September 11, 2021 for the same group of drugs to determine if they were approved in Canada under the NOC/c pathway for the same indication as in the US. Information from both the FDA and Health Canada about these products was entered into an Excel spreadsheet. Decisions about whether to withdraw the drugs or remove the failed indication for the drug and requirements for confirmatory studies were compared. In addition, the dates of decisions by the two agencies were compared.ResultsTen drug/indications were available for comparison. Regulatory decisions were similar in 4 cases, different in 1 case and could not be determined in the remaining 5, in 1 case because decisions were pending in both countries and in the other 4, because the NOC/c had not been fulfilled in Canada. The requirements for the confirmatory studies were similar in both countries. Decisions were made earlier in the United States.ConclusionsThis study shows that decisions made by Health Canada and the FDA about whether to withdraw a drug or remove a failed indication when drug/indications fail a confirmatory trial are usually similar, although the sample size on which this conclusion is made is small. The clinical implications of these similarities and differences should be explored.

Illuminating the ethical tensions in the obesity Canada website: a transdisciplinary social justice perspective

ABSTRACT Even though considerable resources have been allocated to the study of obesity, there is no consensus on its definition, causes, or solutions. Amidst ongoing debates over understandings of obesity, Obesity Canada (OC) was established to enhance the quality of life of Canadians with obesity through the advancement of anti-discrimination, policy change, and obesity prevention and treatment. Drawing upon a transdisciplinary social justice framework, we use critical thematic analysis to examine the OC website, which is the organization’s primary knowledge mobilization platform. We will address the following research question: To what extent does OC serve social justice goals that promote the best interests of larger people? We argue that the social justice potential of OC ultimately falls short and conclude with some recommendations on how the site content could be enhanced with social justice principles.

The Availability and Quality of Food Labelling Components in the Canadian E-Grocery Retail Environment.

Background: Although packaged foods sold in retail stores must follow food labelling regulations, there are no e-grocery food labelling regulations to mandate and standardize the availability and presentation of product information. Therefore, the objective of the study was to evaluate the availability and quality of food labelling components in the Canadian e-grocery retail environment. Methods: A sample of fresh and pre-packaged products was identified on eight leading grocery retail websites in Canada, to assess the availability and quality of food labelling components. Results: Out of 555 product searches, all products were accompanied by product images with front-of-pack images more readily available (96.0%) than back-of-pack (12.4%) and other side panel images (3.1%). The following mandatory nutrition information was available for 61.1% of the products: nutrition facts table (68.8%), ingredient (73.9%), and allergen (53.8%) information. The majority of the nutrition information was available after scrolling down, clicking additionally on the description page, or viewing only as an image. Date markings were not available; packaging material information was available for 2.0% of the products. Conclusions: There was wide variability and inconsistencies in the presentation of food labelling components in the e-grocery retail environment, which can be barriers in enabling Canadians to make informed purchasing decisions.

Companies' statements about drugs withdrawn from the Canadian market: A descriptive analysis.

Companies often defending their products when there are concerns about their safety and/or effectiveness. This study looks at drugs removed from the Canadian market from 1990 onward and examines how companies responded. This descriptive analysis used a previously published article and a hand search of a Government of Canada website to generate a list of drugs withdrawn from Canada from 1990 onwards. For each product the following information was extracted: brand name, generic name, company, date of withdrawal and evidence base for withdrawal. Google and Factiva searches were used to identify sources containing statements from the company about the withdrawal. Statements were independently graded by two people into the following categories: company agrees with the withdrawal; drug could be used safely with certain precautions; company may reintroduce the drug; company disagrees with the withdrawal. Searches were carried out between September 15-20, 2020. There were 22 drugs for which there were company statements. In 10 statements, the companies disagreed with the decision to withdraw the drug and in 7 they agreed with the decision. In the other 5 cases they felt that the drug could have been kept on the market with restrictions (2 cases) or they might reintroduce the drug (3 cases). The level of evidence for the withdrawal did not seem to influence the companies' position. In 15 out of 22 cases, the company either disagreed with the decision to withdraw the drug or felt that the drug should continue to be available to Canadian patients.

The main strategies adopted by the Toronto government in the COVID-19 pandemic: epidemiology study

Objetive To analyze the epidemiological data and the main government measures adopted against the COVID-19 pandemic. Methods Epidemiologic study built with data from the integrated Public Health Information System (iPHIS) and the official Government of Canada website in a time frame from January to July 2020. Results Toronto presents the first case of COVID 19 on January 23rd and until July 1st, 2020, it records a number of 14 468 cases, 12.574 recovered cases, 1.100 deaths and 171 institutional outbreaks. About 53,04% of the cases were female, aged 40-59 years (29,81%), followed by 20-39 years (28,37%). Contagion forms were analyzed: 56,40% had close contact with a case, 24,23% in the community, 10,30% in health services, 5,58% while traveling and 3,49% in institutions. Economic and financial actions, travel measures, support for Canadians abroad, public education, research and technology were developed. Conclusion The COVID-19 is a serious threat to public health around the world. Canada has a strong history of pandemic planning and has worked together with public health for its developed actions to become adaptable based on evolution, outbreak containment and prevention of further spread.

Studying the social determinants of COVID-19 in a data vacuum.

Race‐based and other demographic information on COVID‐19 patients is not being collected consistently across provinces in Canada. Therefore, whether the burden of COVID‐19 is falling disproportionately on the shoulders of particular demographic groups is relatively unknown. In this article, we first provide an overview of the available geographic and demographic data related to COVID‐19. We then make creative use of these existing data to fill the vacuum and identify key demographic risk factors for COVID‐19 across Canada's health regions. Drawing on COVID‐19 counts and tabular census data, we examine the association between communities’ demographic composition and the number of COVID‐19 infections. COVID‐19 infections are higher in communities with larger shares of Black and low‐income residents. Our approach offers a way for researchers and policymakers to use existing data to identify communities nationwide that are vulnerable to the pandemic in the absence of more detailed demographic and more granular geographic data.

Peddling promise? An analysis of private umbilical cord blood banking company websites in Canada

Private umbilical cord blood banking is growing around the world. A family’s decision to bank cord blood publicly or privately can be influenced by numerous sources including healthcare practitioners, personal networks, the popular press, social media and marketing discourse from private entities. Issues have been raised concerning how private banks market their services, particularly with regards to the likelihood of use and for what purposes cord blood can be used. The objective of this study was to analyze the marketing on the seven company websites offering private cord blood storage in Canada. We performed a mix of content and general qualitative analysis on the seven websites. Our analysis shows substantial hype around cord blood uses, amplifying the promise of speculative uses and distorting the likelihood of use. Findings show that this promotional messaging often deploys communication strategies which draw on testimonials and emotionally-charged narratives. Questions should be asked about whether the promissory aspects of these websites constitute breaches of Canadian law or regulation. Careful monitoring of the private cord blood space is important for ensuring that the Canadian public is adequately and accurately informed of the services being offered.