Search Results (134)

We estimate measures of economies of scale and scope for a sample of 48 Canadian universities that produce multiple outputs. Estimates have not been previously attempted for Canadian universities to our knowledge. Declining financial support from provincial governments makes finding cost efficiencies a priority for policy makers. Our approach features two useful innovations: by using panel data for 2011–2019, instead of a cross-section for a single year, there is more variation in the variables to estimate a multi-product trans-log cost function; and we consider the appropriateness of using research funding as a measure of research output by alternatively using publication counts. We did not find economies of scale at any university size but did find ray economies of scale up to 60% of the median university size. Economies of scope were evident up to roughly 1.2 times the median university size. No significant differences in results were found between using publication counts or research funding. Small institutions that cater to different outputs could be merged into comprehensive institutions. The lack of economies of scope for Canada’s larger universities suggests that they could be broken up into smaller specialized institutions if cost efficiencies are a priority. Full article

Background: This study examines current trends in Canada using data from the Canadian Joint Replacement Registry (CJRR) and includes a national survey to understand the varied uptake of cement for femoral stem fixation. Methods: The survey was available online and the website link was distributed to all orthopaedic surgeons through the Canadian Orthopaedic Association between September and December 2022. The CJRR obtained data from the Canadian Institute for Health Information (CIHI), and information pertaining to patients 55 years of age and older who underwent hemiarthroplasty for hip fracture in Canada between April 2017 and March 2022 was used. Results: Most respondents practiced in an academic community setting (52%). Only 53% of respondents reported using cement, and 71% indicated that cemented fixation was the best practice. The main reasons for using uncemented stems were less operative time (23%), cement disease concerns (11%), and surgeons’ comfort (10%). Similarly, CJRR data showed only 51% cemented fixation among 42,386 hemiarthroplasties performed between 2017 and 2022. The proportion of cemented implants varied by province, but overall, the increase in the use of cement from 2017 to 2022 was from 42.9% to 57.7%. Conclusions: This study demonstrates variability in the use of cement for femoral fixation despite solid evidence showing improved outcomes using cement. Some of the main reasons in favour of uncemented stems include operative time, surgical training, and concerns about cement disease. Establishing clear position statements and guidelines supporting cemented fixation may be prudent to build universal consensus on this practice. Full article

Background: In Canada, despite universal healthcare coverage, dental care remains predominantly privately financed, creating financial barriers that prevent many from accessing essential services. This case study is part of a larger initiative, the One Smile Research program, which evaluates the impact of cost-free dental care on the oral health and overall well-being of individuals who have been unable to access dental services in the past two years due to financial constraints. Participants in the program receive necessary dental care and attend follow-up appointments to assess the long-term effects of continuous cost-free care. Clinical Case: This mixed-methods case report focuses on a 26-year-old male participant and integrates a qualitative semi-structured interview with clinical and self-reported data, providing an in-depth understanding of his experiences. Results: Clinical outcomes demonstrated the effectiveness of the provided dental treatments, while self-reported measures indicated improved oral health, satisfaction with dental appearance, enhanced psychosocial well-being, increased self-esteem, reduced dental anxiety, and better oral hygiene habits. The qualitative interview identified three key themes reflecting positive experiences with the program: ease of admission, staff kindness, and overall well-being improvement. The integration of both quantitative and qualitative analyses revealed significant advancements in both objective and subjective measures, particularly regarding overall well-being. Conclusions: The continuity of cost-free dental care effectively addressed the participant’s oral health and overall well-being, with most benefits sustained even at the two-year follow-up. These individual-level outcomes offer preliminary insight into the potential advantages of universal dental coverage within the Canadian healthcare system. Full article

The global youth mental health crisis is increasingly intertwined with climate change, as young people experience heightened climate anxiety and ecological grief. This study examines the relationship between nature connectedness, climate worry, coping strategies, and mental health outcomes among Canadian university students. Drawing on Pihkala’s process model of eco-anxiety, we propose the Developing Ecological Consciousness Model, a three-act framework that traces young people’s journey from climate awareness to meaningful engagement. Using path analysis on two independent samples (N = 1825), we found that nature connectedness predicts increased climate worry, which in turn correlates with higher levels of depression and anxiety. However, meaning-focused coping emerged as a protective factor, mitigating these negative mental health impacts. Problem-focused coping alone was insufficient, highlighting the need for balanced strategies. The study underscores the dual role of nature connectedness—both as a source of climate distress and a foundation for resilience. These findings highlight the need for interventions that foster ecological consciousness while addressing the emotional toll of climate change, offering insights for policymakers, educators, and mental health practitioners working with youth in a warming world. Full article

Community-engaged learning (CEL) is a popular educational approach for sociology teaching across Canada and globally. Students in sociology courses with this experiential component can opt in to enhance their learning by working with community members and organizations in structured, low-stakes ways that forward community priorities. Evidence shows that CEL in sociology courses supports students in developing a wide variety of skills. However, little is known about how international students in sociology courses engage with this pedagogy. Drawing on 20 semi-structured interviews with international students from Asia, South America, and Eastern Europe who completed CEL programming as part of their sociology course curriculum at a large Canadian university, I show how these students engaged in unique learning practices. The findings indicate that international students draw upon their life experiences from diverse national contexts to navigate and reflect upon their CEL placement in sociological ways. These students’ voices offer rich insights for sociology educators designing course-based CEL opportunities with a multinational student body. Full article

Background: Perinatal depression refers to a major depressive episode that begins during pregnancy or within four weeks after childbirth and persists through the first year postpartum. Perinatal depression is one of the most common complications of pregnancy, with significant adverse maternal and infant outcomes. Numerous reviews and policy guidelines have emerged from Canada; however, a bibliometric analysis that focuses not only on the international sources for perinatal depression research, but also on Canadian sources, has not been undertaken. Purpose: To provide insight on perinatal depression publications conducted by researchers affiliated with Canadian institutions, within an international context. Methods: A bibliometric analysis was performed using performance analysis and science mapping techniques, with data retrieved from Scopus until 31 December 2022. The analysis focused on original peer-reviewed publications, applying no language restrictions and ensuring at least one author was affiliated with a Canadian institution. VOSviewer version 1.6.20 was used to generate visual networks for analysis. Results: In total, there were 763 publications identified in 160 different journals. Among these publications, there were 123 institutions represented. At least one author was associated with a Canadian institution per publication. The University of Toronto had the highest frequency of affiliations (n = 313). Most publications (79.55%) occurred between 2011 and 2022, with 2021 as the year with the most publications (n = 80). The journal with the most publications was Archives of Women’s Mental Health (n = 57, 35.65%). Canadian institution-affiliated authors with the largest number of publications were Dennis (n = 57), Oberlander (n = 39), Meaney (n = 38), and Letourneau (n = 37). Conclusion: This is the first study mapping publications on perinatal depression research within a Canadian context. This bibliometric analysis provides a valuable reference for future research by identifying key authors, institutions, journals, and research areas that prioritize perinatal mental health. Full article

Background: Children, including the estimated 7% with food allergy, spend most of their waking hours in school. Variations in school-based food allergy (FA) practices exist. We aimed to examine differences in FA management practices across schools in Canada and the United States (US). Methods: Parents of children with Immunoglobulin E (IgE)-mediated FA were recruited through social media to complete a survey evaluating the schools’ stock epinephrine, epinephrine storage locations, school type, and location. Data were described, analyzed using logistic and linear regressions, and then reported as odds ratios (ORs) and standardized coefficients (b), respectively, with corresponding 95% confidence intervals (95%CIs) and p < 0.05. This study was approved by the University of Manitoba Health Research Ethics Board. Results: Overall, 177 participants (14% [26/177] Canada, 86% [151/177] US) were included. Children were, on average, 4.92 ± 3.12 years and were commonly but not mutually exclusively allergic to tree nuts (50% Canada; 40% US) and peanuts (33% Canada; 29% US). Compared to US parents, Canadian parents were more likely to report epinephrine self-carriage by their children (OR = 4.58; 95%CI = 1.67–12.59). Parents with children age > 5 years were more likely to report epinephrine self-carriage by their children (OR = 3.70; 95%CI = 1.38–9.93) but less likely to report that their children’s school had an allergen-friendly zone (OR = 0.25; 95%CI = 0.06–0.99). Compared to US parents, Canadian parents were more likely to report their child’s school had anaphylaxis management policies (OR = 8.98; 95%CI = 1.11–72.42). Conclusions: Significant in-school FA management differences exist between countries. These findings stress the need for consistent policies and practices to ensure effective care. Full article

In Canada, 67% of unpaid caregivers are simultaneously balancing paid employment with unpaid care, equating to over 5.2 million Canadian Carer-Employees (CEs). This balancing act often incurs negative impacts on CEs’ health and well-being, including burnout, resulting in adverse effects on their labour force participation. To mitigate these social and economic impacts, McMaster University partnered with the Canadian Standards Association (CSA) to develop the CSA B701:17 (R2021) Carer-inclusive and accommodating organizations standard and accompanying handbook B701-18HB Helping worker-carers in your organization. Since publication in 2017, there has been minimal uptake of the Standard across Canadian workplaces, with just 1062 complimentary downloads total. To determine the level of uptake across workplaces in Canada, the present mixed-methods study used purposive sampling to collect survey (n = 71) and semi-structured interview data (n = 11). The survey data was analyzed for descriptive statistics and logistic regression modelling. The interview data were thematically analyzed for common CFWPs and barriers to Standard uptake. It was found that only 24% of workplaces have implemented the Standard into their workplace practices, with full implementation and current supports as strong predictors of formal uptake. Prominent themes around barriers to uptake and existing organizational policies highlight the critical importance of workplace culture in facilitating CFWPs. Full article

We are confronted with an urgent imperative to transition from merely minimizing harm to developing sustainable, regenerative, and net-positive solutions that systematically restore ecosystems, achieve decarbonization, and enhance health outcomes. This study presents a phased Digital Sustainable Regenerative Design Studio framework, which was implemented in a third-year architecture studio at the Canadian University of Dubai. This methodology incorporates bespoke environmental simulation tools alongside quantitative metrics for climate adaptation, biodiversity, carbon sequestration, and health outcomes to inform creative design solutions. The students devised interventions across 20 urban plots in Dubai. A comprehensive analysis, encompassing real-time engagement with computational tools, reflective journals, feedback sessions, project analysis, and surveys, was conducted to assess the framework’s effectiveness in enhancing students’ comprehension of regenerative design and to examine their responses to complex, interdisciplinary challenges. Key findings reveal improved student performance in applying regenerative design principles and the formulation of strategies for climate-adaptive urbanism. The results suggest that this educational framework has the potential to influence and enhance pedagogical approaches, fostering architects committed to advancing sustainable, regenerative, and climate-adaptive urbanism. Full article

Background/Objectives: Despite evidence on the association between marketing unhealthy foods to children (M2K) and negative health outcomes, M2K remains widespread in Canada. To support mandatory restrictions, Health Canada has prioritized a monitoring strategy to assess the current state of M2K, identify gaps, and establish a baseline for future policy evaluation. This study aimed to support this initiative by updating the University of Toronto (UofT) Food Classification List and evaluating the proportion of foods and beverages in the Canadian grocery and restaurant food supply that would be permitted or restricted from M2K under Health Canada’s proposed nutrient profile model. Methods: Grocery items from the UofT Food Label Information Price 2020 (n = 24,949) and restaurant menu items from Menu-Food Label Information Price 2020 (n = 14,286) databases were evaluated using Health Canada’s M2K nutrient profile model, which assesses foods solely based on thresholds for added sodium, sugars, and saturated fat. The proportion of items permitted for or restricted from M2K was determined overall and by food and menu categories for grocery and restaurant items, respectively. Results: The updated UofT List contained n = 24,494 grocery items and n = 14,286 menu items. Overall, 83% (n = 32,664/39,235) of foods and beverages in the 2020 Canadian food supply would be restricted from M2K. Among grocery items, 23% (n = 5630) would be permitted and 77% (n = 19,202) would be restricted from M2K. Among restaurant items, only 6% (n = 837) would be permitted and 94% (n = 13,442) restricted. Conclusions: The updated UofT List supports Health Canada’s monitoring strategy and highlights the large proportion of unhealthy products in the Canadian food supply that are currently still permitted for M2K. While Health Canada’s M2K nutrient profile model is stringent, gaps remain that could allow continued M2K exposure under the current proposed policy. Ongoing monitoring and policy refinement are essential to effectively protect children from M2K and its harmful effects. Full article

This study investigates the application of the Consolidated Framework for Implementation (CFIR) in an educational setting. Although education implements numerous interventions and programs at all levels, standardized testing has primarily measured their success, leaving a paucity of direct measures for non-academic program implementation. Borrowing from an established practice in medicine, the CFIR, which provides a framework to identify potential barriers and facilitators to program implementation, is reviewed and investigated as a possible tool for use in education. Researchers applied the CFIR to a program intervention implemented at two Canadian university faculties of education. Through the complex coding and analysis inherent to the CFIR, barriers and facilitators were identified for program implementation. Reviewing and applying the CFIR provided results about the educational intervention and the use of the CFIR in education. While complex and time-consuming, the results suggest that the CFIR is a credible tool for measuring the effectiveness of implementing myriad educational initiatives at all system levels. Full article

Background/Objectives: Binge eating (BE) is associated with physical and psychological consequences, such as obesity and reduced quality of life. The relationship between binge eating and childhood experiences of interpersonal trauma has been explored, yet few studies focus on the processes that may explain this association. In this regard, some personality traits and maladaptive cognitive-emotional regulation may help explain this relationship, as they have been associated, respectively, with BE and childhood interpersonal trauma. The purpose of this study is to explore the complex processes that link childhood interpersonal trauma and BE in a French-Canadian clinical adult population with obesity (BMI ≥ 30 kg/m²). Methods: This cross-sectional study included 148 participants aged 21 to 72, predominantly women of White ethnic background with a university degree, who were seeking treatment for eating or weight-related issues. They completed self-report questionnaires assessing maltreatment and bullying, BE, maladaptive cognitive-emotional regulation, and personality. Two multiple mediation models were tested to examine the indirect effects of personality and maladaptive regulation in the relationship between bullying and BE, as well as between maltreatment and BE. Results: The results revealed a significant indirect relationship between maltreatment and binge eating (BE), with personality traits and maladaptive cognitive-emotional regulation partially explaining this association. No direct effect was found for bullying, but a significant total indirect effect indicated that personality traits and maladaptive cognitive-emotional regulation play a mediating role in the relationship between bullying and BE. Finaly, self-directedness was found as a unique and significant contributor in both mediation models. Conclusions: This study draws attention to the multiple contributing factors in the relationship between interpersonal trauma and BE in adults with obesity. Further research is needed to gain a deeper understanding of the role of personality and maladaptive cognitive-emotional regulation in this relationship by focusing on individuals’ experiences. Full article

This work presents the results of research aimed at evaluating the performance of the photovoltaic system connected to the electrical grid at the University of Brasília (UnB), Brazil. Following the guidelines established by the Brazilian Standard for Performance Monitoring and Analysis of Grid-connected Photovoltaic Systems, it was possible to evaluate the system’s performance by determining the Performance Ratio (PR) indicator. The operating temperatures were estimated using measured values of the ambient temperature and solar irradiation. These data were collected by a nearby solarimetric station. Next, the theoretical energy injected into the electrical grid was determined based on calculations of the Direct Current (DC) power at the inverter input and the Alternating Current (AC) power at the inverter output. To this end, the coefficients of the inverter efficiency curve were considered as well as a loss scenario, as recommended. With these results, as well as the information about the total photovoltaics (PV) system AC production obtained from the inverter supervisory system, it was possible to determine the average annual PR achieved and compare the theoretical and practical results obtained. The main contribution of this paper is the performance evaluation of a 125 kWp grid-connected photovoltaic system at the University of Brasília (UnB), assessed using Brazilian Standards for performance monitoring and analysis. The system, installed on the rooftop of the UED building, consists of 298 Canadian Solar HiKu CS3W-420P modules with a 15-degree north pitch angle facing geographic north. It interfaces with the grid through two three-phase inverters, model CSI-75K-T400 (74.76 kWp) and a CSI-50KTL-GI (50.4 kWp). The results showed that the system with a 50kW inverter had an average PR of 78%, while the system with a 75 kW inverter showed a PR variation from 56% to 93%. The information obtained in this work will be used to develop computational tools capable of monitoring and evaluating, in real time, the performance of photovoltaic systems and ensuring that the expected financial return is achieved through the use of preventive and corrective maintenance actions in a timely manner. Full article

Industrial metabolism is a recent field of research in engineering and sustainability. Its practical objective is to provide structural solutions to organizations and regulate the productive, ecological, and economic system. Due to being a relatively new topic and without a known pattern, the present research adapts the 4R (resources) urban metabolism MFA model developed at ETH in Switzerland by Professor Peter Baccini and applies it to a Canadian food startup (Missfresh). Within the adjusted model, clean production tools, circularity plans, ecological design, inventory flow analysis, and the four general study variables (materials, infrastructure, impacts, and standards) were used for solutions within the company. This research seeks two academic results: the metabolic map (static–dynamic animation) that describes the behavior of the company during a period of time, and the industrial metabolism model adapted and validated for subsequent applications. In practical results, the impacts of the model in the 3Es of sustainability in the industry and the sector are evaluated: ecology, ergonomics, and economy. This research is conducted within the framework of an internship to obtain a master’s degree in Sustainable Development and Environment at the University of Montreal. Full article

The experiences of Black students in Canadian higher education shed light on the societal and institutional challenges that influence their social and economic aspirations. In today’s societal and economic context, obtaining a postsecondary education degree is not just preferred but essential for securing the employment opportunities that most young people desire. For Black communities in particular, a university degree is often seen as the primary pathway to upward social mobility. However, Black students’ journeys toward higher education are frequently hindered by systemic barriers and institutional challenges. While there is extensive literature detailing the systemic forces that obstruct access to higher education for Black Canadians, there is limited academic focus on how these forces continue to affect Black students once they enter higher education. This article addresses this gap by investigating the educational experiences of Black students in Canadian universities, emphasizing the challenges posed by systemic racism and institutional barriers. Utilizing data from interviews and focus groups with Black undergraduate and graduate students from a university in the Greater Toronto Area (GTA), the study explores how historical and contemporary issues of anti-Black racism shape their academic journeys. It discusses the broader implications of these experiences and highlights the need for comprehensive institutional reforms to create genuinely inclusive and equitable educational environments. By centering the voices of Black students, this research aims to contribute to the ongoing dialog on racial equity in higher education. Full article