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Correlates Of Preventable Emergency Department Visits In Canada: Evidence From The Literature And The Canadian Community Health Survey, Tammy Lau

Electronic Thesis and Dissertation Repository

Emergency department (ED) visits for primary healthcare-treatable conditions are preventable and indicate barriers to primary healthcare. The goal of this thesis was to explore the prevalence and key correlates of preventable ED visits among adults in Canada. Our systematic review found that the prevalence of these visits ranged from 4.3% to 59.1% and were associated with younger age, low education, low income, rural residence, and worse self-rated health. Our analysis of data from the 2015-2016 Canadian Community Health Survey found that 39.9% of adults with a regular healthcare provider considered their last ED visit to be preventable. In addition to …

Joint Protection Programs For People With Hand Arthritis, Pavlos Bobos

Electronic Thesis and Dissertation Repository

The fact that Joint Protection Programs (JPP) can reduce pain and improve function is based on small, but definitive Randomized Controlled Trials (RCTs), conducted in the 1980s. However, changes over time in the nature of hand use, the rapid expansion of technology, and improvements in our understanding of health literacy mean that these programs are now outdated. Further, problems with adherence to JPP are well documented. The purpose of this thesis was 1) to conduct a scoping review to map all the available evidence around joint protection programs in published and unpublished studies 2) to evaluate the effectiveness of joint …

Maternal And Neonatal Mortality Associated With Caesarean Section, Areej A. Hezam

Electronic Thesis and Dissertation Repository

Universal access to safe caesarean section is vital. The objective of this thesis was to quantify the risks of maternal and neonatal mortality, and causes of caesarean-related deaths.

Our initial systematic overview of pre-existing meta-analyses found no interventions that significantly reduced the risk of all-cause maternal or neonatal mortality. However, many interventions have been understudied.

Our systematic review and meta-analysis of 196 studies identified that the risk of perioperative maternal mortality has decreased over time and according to country development index, and the risk of perioperative neonatal mortality has fluctuated. We also found that the proportion of reported causes of …

Experiencing Rural Household Food Insecurity: A Broad Examination And Regional Example, Angela Piaskoski

Electronic Thesis and Dissertation Repository

Household food insecurity is experienced by one in every eight Canadians. Food insecurity is primarily driven by low-income and often accompanied by negative physical and mental health outcomes. Across the country, food banks attempt to provide local communities with an emergency food option and have become institutionalized. In rural areas, transportation and access to affordable food can be a challenge. The experience of household food insecurity in rural settings has predominantly been left out of the literature. The perspectives of those living in rural households, who access food banks and experience food insecurity, are explored using qualitative thematic and content …

The Association Between Intimate Partner Violence And Functional Gastrointestinal Disorders And Symptoms Among Adult Women: Systematic Review, Ohud Shawqi Banjar

Electronic Thesis and Dissertation Repository

Functional gastrointestinal disorders (FGIDs) and symptoms have been identified as possible health consequences of intimate partner violence (IPV). However, whether specific types of abuse (i.e., psychological, physical and sexual) affect the health of women in different ways, and the mechanisms that explain how these forms of abuse affect their health and quality of life are not well understood. The aims of this systematic review were to examine the association between the different types of IPV and the risk of FGIDs and symptoms among adult women, identify the factors that mediate and/or moderate these health effects, and assess the impact of …

Therapeutic Interventions For Managing Diabetic Shoulder, Sanaa A. Alsubheen

Electronic Thesis and Dissertation Repository

Shoulder pain is a common complaint of diabetic patients that causes motion limitations and functional disability. Adhesive capsulitis (AC) is the most common disabling shoulder disorder. There is no optimal non-surgical treatment for managing AC in diabetic patients. Furthermore, the impact of diabetes on shoulder recovery and factors predicting shoulder function following shoulder arthroplasty is not well investigated.

Purpose and Methods

The main purpose of this thesis was to inform clinical practice about the best intervention for managing AC in diabetic patients, and to assess the impact of diabetes on functional outcomes after shoulder arthroplasty, with the following objectives: 1) …