Digital Commons Network^™

Likely Community Transmission Of Covid-19 Infections Between Neighboring, Persistent Hotspots In Ontario, Canada, Ben C. Shirley, Eliseos J. Mucaki, Peter Rogan

Biochemistry Publications

Introduction: This study aimed to produce community-level geo-spatial mapping of confirmed COVID-19 cases in Ontario Canada in near real-time to support decision-making. This was accomplished by area-to-area geostatistical analysis, space-time integration, and spatial interpolation of COVID-19 positive individuals.
Methods: COVID-19 cases and locations were curated for geostatistical analyses from March 2020 through June 2021, corresponding to the first, second, and third waves of infections. Daily cases were aggregated according to designated forward sortation area (FSA), and postal codes (PC) in municipal regions Hamilton, Kitchener/Waterloo, London, Ottawa, Toronto, and Windsor/Essex county. Hotspots were identified with area-to-area tests including Getis-Ord Gi*, Global …

Likely Community Transmission Of Covid-19 Infections Between Neighboring, Persistent Hotspots In Ontario, Canada [Version 1; Peer Review: Awaiting Peer Review], Elisios J. Mucaki, Ben C. Shirley, Peter K. Rogan

Research Articles

This study aimed to produce community-level geo-spatial mapping of confirmed COVID-19 cases in Ontario Canada in near real-time to support decision-making. This was accomplished by area-to-area geostatistical analysis, space-time integration, and spatial interpolation of COVID-19 positive individuals.

Improving Networking Supports For Women In The Workplace, Karen E. Pennesi, Javier Alvarez Vandeputte, Zsofia Agoston, Rawand Amsdr

Anthropology Publications

This report describes findings from research on networking activities and strategies among women in executive and leadership positions in Canadian organizations. The project was carried out by graduate student researchers in collaboration with the Women's Executive Network. Networking is defined as the creation and maintenance of a community of diverse interests, through in-person and online engagements, that can be mobilized for the benefit of oneself or other members of one’s network. We found that the shift to primarily online networking activities due to COVID-19 removed some existing barriers related to age, gender and location, while introducing others related to family …

Identity Salience Moderates The Effect Of Social Dominance Orientation On Covid-19 ‘Rule Bending’, Rhiannon Macdonnell, Bonnie Simpson, Jennifer Chernishenko, Shreya Jain

Management and Organizational Studies Publications

Amidst the economic, political, and social turmoil caused by the COVID-19 pandemic, contrasting responses to government mandated and recommended mitigation strategies have posed many challenges for governments as they seek to persuade individuals to adhere to prevention guidelines. Much research has subsequently examined the tendency of individuals to either follow (or not) such guidelines, and yet a ‘grey area’ also exists wherein many rules are subject to individual interpretation. In a large study of Canadians (N =1032, Mage =34.39, 52% female; collected April 6, 2020), we examine how social dominance orientation (SDO) as an individual difference predicts individual propensity to …

Health Service Experiences And Preferences Of Frail Home Care Clients And Their Family And Friend Caregivers During The Covid-19 Pandemic, Lori E. Weeks, Sue Nesto, Bradley Hiebert, Grace Warner, Wendy Luciano, Kathleen Ledoux, Lorie Donelle

Nursing Publications

Objective: The COVID-19 pandemic has brought about a major upheaval in the lives of older adults and their family/friend caregivers, including those utilizing home care services. In this article, we focus on results from a qualitative component added to a pragmatic randomized controlled trial that focuses on the experiences of our study participants during COVID-19. A total of 29 participants responded to the COVID-19 related questions focused on their health services experiences and preferences from March-June 2020 including 10 home care clients and 19 family/friend caregivers in the provinces of Ontario and Nova Scotia, Canada. Results: Many participants were affected …

Placental Infarction And Intrauterine Growth Restriction Following Sars-Cov-2 Infection, Stephanie Moltner, Barbra De Vrijer, Harrison Banner

Paediatrics Publications

No abstract provided.

Children And Parents’ Perspectives Of The Impact Of The Covid-19 Pandemic On Ontario Children’S Physical Activity, Play, And Sport Behaviours, Monika Szpunar, Leigh M. Vanderloo, Brianne A. Bruijns, Stephanie Truelove, Shauna M. Burke, Jason Gilliland, Jennifer D. Irwin, Patricia Tucker

Paediatrics Publications

Background: The COVID-19 pandemic and associated public health measures have resulted in the closure of many physical activity-supporting facilities. This study examined Ontario parents’ and children’s perspectives of COVID-19’s impact on children’s physical activity behaviours, return to play/sport during COVID-19, as well as barriers/facilitators to getting active amid extended closures of physical activity venues. Methods: Parents/guardians of children aged 12 years and under living in Ontario, Canada were invited to participate in an interview. 12 parent/guardian and 9 child interviews were conducted via Zoom between December 2020 – January 2021, were audio-recorded, and transcribed verbatim. Thematic content analysis was undertaken …

Ontario Adults’ Health Behaviors, Mental Health, And Overall Well-Being During The Covid-19 Pandemic, Katie J. Shillington, Leigh M. Vanderloo, Shauna M. Burke, Victor Ng, Patricia Tucker, Jennifer D. Irwin

Paediatrics Publications

Background: Public health measures such as physical distancing and work-from-home initiatives have been implemented to slow the spread of COVID-19. These measures may also be associated with unhealthy lifestyle behaviors, which could be particularly problematic for those already at highest risk for losing years of healthy life due to chronic disease (i.e., 30–59-year-olds). The purpose of this paper is two-fold: (1) to provide an overview of Ontario adults’ health behaviors (i.e., physical activity, sedentary behaviors, and dietary intake), mental health, and well-being during the first few months of the COVID-19 pandemic (April–July 2020); and (2) to explore the difference between …

New Graduate Nurses’ Experiences Of Engaging In A Leadership Role In Hospital Settings During The Covid-19 Pandemic, Justine Jeanelle Ting

Electronic Thesis and Dissertation Repository

New graduate registered nurses are often expected to assume leadership roles and responsibilities quickly upon entering practice. Since the emergence of the COVID-19 pandemic, new nurses may find their leadership capabilities tested even further as the demands of leadership have been made increasingly complex in the context of an infectious disease outbreak. The purpose of this interpretive descriptive study was to explore new graduate registered nurses’ experiences of engaging in frontline leadership roles in hospital settings during the COVID-19 pandemic. In-depth interviews were conducted with 14 participants across Ontario. Content analysis revealed four main themes: nominated and necessitated into leadership …

Virtual Team-Based Care Planning With Older Persons In Formal Care Settings: A Scoping Review Protocol, Harrison Gao, Marie Lee Yous, Denise Connelly, Lillian Hung, Anna Garnett, Melissa Erin Hay, Nancy Snobelen, Samantha Salatino

Physical Therapy Publications

Introduction COVID-19 has necessitated greater adoption of virtual care (eg, telephone (audio), videoconference) delivery models. Virtual care provides opportunities for innovative practice in care planning with older persons and meaningful family engagement by synchronously involving multiple care providers. Nevertheless, there remains a paucity of summarising evidence regarding virtual team-based care planning for older persons. The purpose of this scoping review is to summarise evidence on the utilisation of virtual team-based care planning for older persons in formal care settings. Specifically, (1) what has been reported in the literature on the impact or outcomes of virtual team-based care planning? (2) What …

Examining Public Health Risk Communication Via Social Media By Provincial And Local Health Authorities In Ontario During The Covid-19 Pandemic, Marc Resendes

Electronic Thesis and Dissertation Repository

Risk communication campaigns are essential during public health crises to inform the public about ways to mitigate, alleviate and manage potential risks. The purpose of this study was to describe risk communication on social media by Ontarian health authorities amid COVID-19, in addition to examining the strategies that guided their social media use. This was completed through (a) a narrative review of risk communication literature; (b) a qualitative content analysis of select health authority Twitter messaging following three major COVID-19 milestones; and (c) key informant interviews with those coordinating social media responses to COVID-19. Information giving and news updates were …

Digital Technology And Disease Surveillance In The Covid-19 Pandemic: A Scoping Review Protocol, Lorie Donelle, Jodi Hall, Brad Hiebert, Jacob J. Shelley, Maxwell J. Smith, Jason Gilliland, Saverio Stranges, Anita Kothari, Jacquelyn Burkell, Tommy Cooke, Jed Long, James M. Shelley, Deanna Befus, Leigha Comer, Marionette Ngole, Meagan Stanley

Paediatrics Publications

Introduction Infectious diseases pose a risk to public health, requiring efficient strategies for disease prevention. Digital health surveillance technologies provide new opportunities to enhance disease prevention, detection, tracking, reporting and analysis. However, in addition to concerns regarding the effectiveness of these technologies in meeting public health goals, there are also concerns regarding the ethics, legality, safety and sustainability of digital surveillance technologies. This scoping review examines the literature on digital surveillance for public health purposes during the COVID-19 pandemic to identify health-related applications of digital surveillance technologies, and to highlight discussions of the implications of these technologies. Methods and analysis …

The Impact Of Interruptions In Gender-Affirming Medical Care During Covid-19 On Anxiety And Depression Among Trans And Non-Binary People In Canada: A Longitudinal Study, Sara Todorovic

Electronic Thesis and Dissertation Repository

Background. Transgender and non-binary (TGNB) populations experience disproportionally high levels of anxiety and depression; it is imperative we investigate how the COVID-19 pandemic may have impacted the mental health of TGNB communities. Methods. Among a Canadian sample of TGNB persons aged >=15 years, we used multiple linear regression to examine whether interruptions in gender-affirming care were associated with anxiety and depression, and whether that effect was modified by pre-pandemic mental health. Results. Anxiety and depression levels were high both pre-pandemic and during the pandemic. Approximately a quarter of TGNB persons experienced interruptions in hormonal care. After adjusting for confounders, there …

Development Of Control System For Open-Source Low-Cost Ventilators, Heena Shrestha

Electronic Thesis and Dissertation Repository

Respiratory illness and diseases are ranked five out of the thirty most common causes of death worldwide. Thus, the use of a ventilator becomes a must for assisting patients suffering from respiratory disorders. The COVID-19 outbreak has aggravated the situation. Difficulty breathing is one of the most common symptoms of COVID. Out of 20% symptomatic COVID patients that require hospitalization, about 5% ended up in the ICU (Intensive Care Unit), most of them requiring ventilation. The world saw a scarcity of ventilators when COVID was at its first peak, with manually ventilating patients using an ambu bag being the only …

Abuse, Mental State, And Health Factors Pre And During The Covid-19 Pandemic: A Comparison Among Clinically Referred Adolescents In Ontario, Canada, Shannon L. Stewart, Ashley Toohey, Angela Celebre, Jeff W. Poss

Paediatrics Publications

Throughout the COVID-19 pandemic, population surveys revealed increased levels of anxiety and depression, while findings from large-scale population data analyses have revealed mixed findings with respect to the mental health consequences for children and youth. The purpose of this study was to examine the impact of the COVID-19 pandemic on the well-being and health-compromising behaviors of adolescents (12–18 years) previously referred for mental health services. Data were collected (pre-pandemic n = 3712; pandemic n = 3197) from mental health agencies across Ontario, Canada using the interRAI Child and Youth Mental Health assessment. Our findings revealed no increased incidence of witnessing …

Children's Sleep During Covid-19: How Sleep Influences Surviving And Thriving In Families, Nicole E. Mackenzie, Elizabeth Keys, Wendy A. Hall, Reut Gruber, Isabel M. Smith, Evelyn Constantin, Roger Godbout, Robyn Stremler, Graham J. Reid, Ana Hanlon-Dearman, Cary A. Brown, Sarah Shea, Shelly K. Weiss, Osman Ipsiroglu, Manisha Witmans, Christine T. Chambers, Pantelis Andreou, Esmot Begum, Penny Corkum

Paediatrics Publications

Objective The COVID-19 pandemic has the potential to disrupt the lives of families and may have implications for children with existing sleep problems. As such, we aimed to: (1) characterize sleep changes during the COVID-19 pandemic in children who had previously been identified as having sleep problems, (2) identify factors contributing to sleep changes due to COVID-19 safety measures, and (3) understand parents and children s needs to support sleep during the pandemic. Methods Eighty-five Canadian parents with children aged 4 14 years participated in this explanatory sequential, mixed-methods study using an online survey of children s and parents sleep, …

Where Are We Now? Accessing The Current Ontario Family Justice System, Kaitlin A. Jagersky

Master of Laws Research Papers Repository

Is the current family justice system more accessible than ever before? This paper considers the significant changes that have been made to the Ontario family justice system in recent years, including those made as a result of the COVID-19 pandemic, to determine if the “fundamental overhaul” and “bold innovation” called upon by the national Action Committee has occurred, bringing Ontario closer to a more accessible family justice system.

Several prominent legal scholars have identified access to family justice in Canada as a crisis and have made strongly worded recommendations on how the family justice system could be more accessible. As …

Therapeutic Potential Of Annexins In Sepsis And Covid-19, Louise Mui, Claudio M. Martin, Brent J. Tschirhart, Qingping Feng

Paediatrics Publications

Sepsis is a continuing problem in modern healthcare, with a relatively high prevalence, and a significant mortality rate worldwide. Currently, no specific anti-sepsis treatment exists despite decades of research on developing potential therapies. Annexins are molecules that show efficacy in preclinical models of sepsis but have not been investigated as a potential therapy in patients with sepsis. Human annexins play important roles in cell membrane dynamics, as well as mediation of systemic effects. Most notably, annexins are highly involved in anti-inflammatory processes, adaptive immunity, modulation of coagulation and fibrinolysis, as well as protective shielding of cells from phagocytosis. These discoveries …

Bail In The Time Of Covid-19, Thomas A. Stinson

Master of Laws Research Papers Repository

The COVID-19 pandemic that began in early 2020 resulted in changes to both the form and content of bail hearings and reviews within Ontario. While the statutory framework contained within sections 515, 520, 525 and 679 of the Criminal Code remained unchanged, practical changes were necessary in order to allow bail matters to occur virtually and safely. Initially, the existence of COVID-19 may have allowed for the release of some accused persons who would not have been let out on bail prior to the pandemic. By early 2021, bail courts appear to have settled into a pattern where the COVID-19 …

Mitacs Female Ngos Use Of Twitter During The Covid-19 Pandemic, Riley M. Mclaughlin

Undergraduate Student Research Internships Conference

This study analyzes how female-run NGOs have used Twitter during the COVID-19 pandemic. It assesses the themes they discuss, as well as the functions of the tweets collected. Using a framework by Lovejoy and Saxton (2012), tweets were coded based on whether or not they had the purpose of spreading information, building community, or encouraging action. Data from five different organizations was collected for analysis. Researchers pose questions about how organizations discuss women's concerns during the pandemics, which concerns they discuss most often, and how they use the three functions outlined above. Preliminary findings are discussed, however further analysis of …

Social Media Use, Social Connectedness, And Physical Distancing Among University Students During The Covid-19 Pandemic, Olivia Holmes

Electronic Thesis and Dissertation Repository

The overall purpose of this cross-sectional, survey-based study was to examine university students’ social media use, perceptions of in-person and online social connectedness, and feelings about physical distancing during the early phases of the COVID-19 pandemic in Ontario, Canada. University students’ (N = 1,588; M_age = 22.4, SD = 5.1; 80.6% female) survey responses revealed high levels of in-person (M_item = 4.4, SD = 0.8) and online (M_item = 3.8, SD = 0.7) connectedness. Students who reported greater perceptions of connectedness were those whose social media use: (a) had “increased greatly” since the start …

Investigating The Impact Of The Covid-19 Pandemic On Maternal Perceived Stress, Postpartum Depressive Symptoms, And Pregnancy Outcomes In London, Ontario: A One Health Approach, Mei Yuan

Electronic Thesis and Dissertation Repository

The 2019 novel-coronavirus (COVID-19) may have increased feelings of stress and worry in pregnant women. This study investigated the impact of the pandemic on perceived stress and postpartum depressive symptoms, with potential implications for pregnancy outcomes. Women (n=44) who recently gave birth completed questionnaires at 6 weeks postpartum that assessed stress, social support, depressive symptoms, and COVID-19 impact. In summary, 31.8% of participants had high levels of perceived stress, 36.4% had possible postpartum depression, and perceived social support was significantly negatively associated with depressive symptoms. No significant associations were observed between different biological and socio-environmental factors and perceived stress or …

Structural Distress: Experiences Of Moral Distress Related To Structural Stigma During The Covid-19 Pandemic, Javeed Sukhera, Chetana Kulkarni, Taryn Taylor

Paediatrics Publications

Introduction: The COVID-19 pandemic has taken a significant toll on the health of structurally vulnerable patient populations as well as healthcare workers. The concepts of structural stigma and moral distress are important and interrelated, yet rarely explored or researched in medical education. Structural stigma refers to how discrimination towards certain groups is enacted through policy and practice. Moral distress describes the tension and conflict that health workers experience when they are unable to fulfil their duties due to circumstances outside of their control. In this study, the authors explored how resident physicians perceive moral distress in relation to structural stigma. …

A Multicenter Study Of Acute Testicular Torsion In The Time Of Covid-19, Sarah A. Holzman, Jennifer J. Ahn, Zoe Baker, Kai Wen Chuang, Hillary L. Copp, Jacob Davidson, Carol A. Davis-Dao, Emily Ewing, Joan Ko, Victoria Lee, Amanda Macaraeg, Lauren Nicassio, Michael Sadighian, Heidi A. Stephany, Renea Sturm, Kelly Swords, Peter Wang, Elias J. Wehbi, Antoine E. Khoury

Paediatrics Publications

Background: Testicular torsion is a surgical emergency, and time to detorsion is imperative for testicular salvage. During the COVID-19 pandemic, patients may delay emergency care due to stay-at-home orders and concern of COVID-19 exposure. Objective: To assess whether emergency presentation for testicular torsion was delayed during the COVID-19 pandemic, and whether the rate of orchiectomy increased compared to a retrospective period. Study design: Patients were prospectively enrolled in a multicenter study from seven institutions in the United States and Canada. Inclusion criteria were patients two months to 18 years of age with acute testicular torsion from March through July 2020. …

Effect Of The Covid-19 Pandemic On Patient Volumes, Acuity, And Outcomes In Pediatric Emergency Departments: A Nationwide Study, Yaron Finkelstein, Bryan Maguire, Roger Zemek, Esli Osmanlliu, April J. Kam, Andrew Dixon, Neil Desai, Scott Sawyer, Jason Jardine, Vicky R. Breakey, Josee Brossard, Roona Sinha, Mariana Silva, Lisa Goodyear, Jeffrey H. Lipton, Bruno Michon, Catherine Corriveau-Bourque, Lillian Sung, Iren Shabanova, Hongbing Li, Bozana Zlateska, Santhosh Dhanraj, Michaela Cada, Stephen W. Scherer, Yigal Dror

Paediatrics Publications

Objectives The aim of this study was to quantify the effect of the COVID-19 pandemic on pediatric emergency department (ED) utilization and outcomes. Methods This study is an interrupted-Time-series observational study of children presenting to 11 Canadian tertiary-care pediatric EDs. Data were grouped into weeks in 3 study periods: prepandemic (January 1, 2018-January 27, 2020), peripandemic (January 28, 2020-March 10, 2020), and early pandemic (March 11, 2020-April 30, 2020). These periods were compared with the same time intervals in the 2 preceding calendar years. Primary outcomes were number of ED visits per week. The secondary outcomes were triage acuity, hospitalization, …

A Multicenter Study Of Acute Testicular Torsion In The Time Of Covid-19, Sarah A. Holzman, Jennifer J. Ahn, Zoe Baker, Kai Wen Chuang, Hillary L. Copp, Jacob Davidson, Carol A. Davis-Dao, Emily Ewing, Joan Ko, Victoria Lee, Amanda Macaraeg, Lauren Nicassio, Michael Sadighian, Heidi A. Stephany, Renea Sturm, Kelly Swords, Peter Wang, Elias J. Wehbi, Antoine E. Khoury

Paediatrics Publications

Background: Testicular torsion is a surgical emergency, and time to detorsion is imperative for testicular salvage. During the COVID-19 pandemic, patients may delay emergency care due to stay-at-home orders and concern of COVID-19 exposure. Objective: To assess whether emergency presentation for testicular torsion was delayed during the COVID-19 pandemic, and whether the rate of orchiectomy increased compared to a retrospective period. Study design: Patients were prospectively enrolled in a multicenter study from seven institutions in the United States and Canada. Inclusion criteria were patients two months to 18 years of age with acute testicular torsion from March through July 2020. …

Structural Distress: Experiences Of Moral Distress Related To Structural Stigma During The Covid-19 Pandemic, Javeed Sukhera, Chetana Kulkarni, Taryn Taylor

Obstetrics & Gynaecology Publications

INTRODUCTION: The COVID-19 pandemic has taken a significant toll on the health of structurally vulnerable patient populations as well as healthcare workers. The concepts of structural stigma and moral distress are important and interrelated, yet rarely explored or researched in medical education. Structural stigma refers to how discrimination towards certain groups is enacted through policy and practice. Moral distress describes the tension and conflict that health workers experience when they are unable to fulfil their duties due to circumstances outside of their control. In this study, the authors explored how resident physicians perceive moral distress in relation to structural stigma. …

Indigenous Language Revitalization Efforts In Canada During Covid-19: Facilitating And Maintaining Connections Using Digital Technologies, Laura Gallant

Electronic Thesis and Dissertation Repository

This thesis explores how people involved in Indigenous language revitalization efforts in Canada have responded and adapted to the constraints of the COVID-19 pandemic from March to November 2020. Through virtual interviews, an online survey, an analysis of tweets about Indigenous language revitalization in Canada, and observations of webinars among people involved in language work, this research focuses on how people have adjusted and accelerated their Indigenous language activities during a prolonged period of social isolation. Genocidal policies and practices continue to reproduce inequities for Indigenous peoples and are affecting those involved in Indigenous language work during COVID. This thesis …

Development Of A Primary Care Pandemic Plan Informed By In-Depth Policy Analysis And Interviews With Family Physicians Across Canada During Covid-19: A Qualitative Case Study Protocol, Maria Mathews, Sarah Spencer, Lindsay Hedden, Emily Gard Marshall, Julia Lukewich, Leslie Meredith, Dana Ryan, Richard Buote, Tiffany Liu, Emily Volpe, Paul S. Gill, Bridget Ryan, Gordon Schacter, Jamie Wickett, Thomas R. Freeman, Shannon L. Sibbald, Eric Wong, Maddi Mckay, Rita Mccracken, Judith Belle Brown

Family Medicine Publications

Introduction Given the recurrent risk of respiratory illness-based pandemics, and the important roles family physicians play during public health emergencies, the development of pandemic plans for primary care is imperative. Existing pandemic plans in Canada, however, do not adequately incorporate family physicians' roles and perspectives. This policy and planning oversight has become increasingly evident with the emergence of the novel coronavirus disease, COVID-19, pandemic. This study is designed to inform the development of pandemic plans for primary care through evidence from four provinces in Canada: British Columbia, Newfoundland and Labrador, Nova Scotia, and Ontario. Methods and analysis We will employ …

Impacts Of Covid-19 Related Changes In Income On Women Experiencing Intimate Partner Violence At Home, Cara Davidson

Electronic Thesis and Dissertation Repository

Introduction: Intimate partner violence (IPV) has increased in Canada due to COVID-19 and associated public health measures. Economic status may be responsible, but this must be validated during COVID-19.

Methods: An online survey was administered to 23 Canadian women to measure their income pre and during COVID-19 and their experiences of IPV in the past 12 months. Factorial ANOVAs and MANOVAs were used to explore the relationship between income and IPV.

Results: Of women responding to both timepoints, 56.5% (n=13) indicated an increase in IPV. Analyses did not suggest that income was significantly related to IPV, apart from the effect …