University of Toronto: Journal Publishing Services
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Implementation Barriers and Outcomes of a Provincial Prescribed Safer Supply Initiative among Indigenous People who use Substances amid COVID-19 and a Toxic Drug Crisis in British Columbia, Canada
No full textIn 2020, British Columbia (BC) introduced Risk Mitigation Guidance to support the provision of prescribed safer supply (PSS) to people at risk of toxic drug harms and death amid the COVID-19 pandemic. We sought to assess the self-reported barriers to and outcomes of PSS among Indigenous people who sought or accessed a prescription. Cross-sectional and longitudinal surveys with up to five time points per participant over three months were used to collect data on health and health care. Outcome measures included health-related quality of life, anxiety, depression, behaviours related to unregulated substance use, COVID-19 protection, and criminalized income generation. Generalized estimating equations were used to assess the effects of time-varying PSS exposure on outcomes over the follow-up period. Among the total sample (n = 131), past negative experiences (64%), substance use stigma (51%), mistrust (49%), negative reactions from health care providers (48%), and lack of privacy (46%) were reported in health care settings. Among the longitudinal cohort (n = 67), prescription receipt was associated with statistically significantly higher health-related quality of life (adjusted b = 0.0739, 95% CI = 0.0086, 0.1393) and lower depressive symptoms (adjusted b = –0.4068, 95% CI = –0.8093, –0.0042), although effect sizes were small. Small reductions in all other outcome measures were not statistically significantly different from zero. Limitations of the early implementation of PSS in BC included its medicalized delivery and lack of wraparound supports. Further work must be done to ensure the effectiveness, relevancy, and safety of prescribed safer supply for Indigenous people
Investigating Canadian Immigrants’ Time Resided and Sense of Identity and Acculturation: A Research Proposal
No full textUnderstanding acculturation through the lens of cultural identity has been an area of focus for research and the utility of a diverse theoretical model is useful to reflect the complex factors associated with identity and acculturation. As immigrants settle into their host country, their sense of identity and acculturation is rapidly developing. The recently devised theoretical model of cultural identity negotiation (MCIN) for emerging adult immigrants (EAI) highlights the four approaches to cultural identity negotiation which EAI can use when exploring and forming their sense of identity in Canada. I propose to analyze the concurrent validity of the MCIN for EAI in Canadian immigrant youth to determine whether the test is an accurate measure of cultural identity in adolescent immigrants. With the MCIN for EAI being an all-encompassing and diverse theoretical model, an adapted version of the interview protocol will be used to test the reliability and validity of this model. I hypothesize that through the MCIN for EAI, there will be a positive correlation between time resided in Canada and sense of identity as well as acculturation. A total of 25 participants ages 10-19 who are immigrants to Canada or in the process of immigrating to Canada will be recruited. Qualitative interviews will be analyzed using content analysis. Multivariate regression analyses will be conducted to determine the relationships between time resided, sense of identity, and acculturation. Lastly, these results will be compared to the MCIN for EAI model. The results of this study will guide clinicians\u27 decisions to incorporate this novel theoretical model in academic and clinical settings. The expected findings suggest that as adolescent immigrants spend more time in Canada, they better assimilate with the host culture and develop their sense of identity
The Efficacy of miRNAs to Diagnose and Monitor Persistent Post- Concussive Syndrome: A Scoping Review
No full textPersistent post-concussive symptoms (PPCS) refer to concussion symptoms that persist beyond 14 days (Johnson et al., 2018). Diagnosing PPCS relies heavily on subjective patient reporting and clinical examination, due to a lack of diagnostic tools. Biomarkers offer a solution to the current problem; specifically, micro ribonucleic acids (miRNAs) are a potential family of biomarkers that can be used as an objective standard for diagnosing and managing PPCS. Moreover, this type of biomarker can be collected through saliva samples thus offering a minimally invasive collection method. The purpose of this scoping review is to determine the efficacy of miRNAs as an objective biomarker that can confirm PPCS and track recovery. This review used the Arksey and O’Malley framework, which include PubMed, Physical Education Index, SPORTDiscus, and Web of Science databases. The peer-reviewed primary articles were published in English between 2018 and June 2024. The initial search yielded 913 articles, and only 4 articles reached the final review stage. Together, 27 unique miRNAs were identified throughout the four papers, many of which propose a strong link with particular PPCS symptoms. The findings of this scoping review were consistent with previous primary and secondary research, which support the clinical use of miRNAs for PPCS diagnosis and monitoring. Further longitudinal research with a more diverse patient population, and investigations on the link between symptoms and miRNA expression will help to better define the utility of miRNA in the context of PPCS
Menia Park: A Model for Urban Renewal
No full textAs I passed through its gates, leaving the old city, I could still hear the laughter of children as they played in the streets of Fez. After organizing a workshop for local children to discuss their ideas for what an ideal public space could be, I had completed my research and now planned to begin my work on a proposal for the site. As a student attending a summer studio course abroad in Morocco, my proposal would focus on how the urban gaps which are commonly found throughout the Medina can be restored as public spaces (Figure 3). I returned from the Medina to the basement study rooms of the Euro-Mediterranean University of Fez, where I began my work on the proposal
The Adaptive Reuse of the Maillou House National Historic Site of Canada
No full textThis project proposes an adaptive reuse design for the Maillou House National Historic Site of Canada. Iterative methodologies, such as sketching, collaging, and cataloguing, were used throughout the process of design to better understand the history and condition of the house. The findings that emerged from these methods ensure the preservation of the Maillou House’s authenticity and integrity, while giving a new life to this underutilized heritage site—an integral site within the UNESCO World Heritage Designated Historic District of Old Québec
A Conversation with SHEEEPschool
No full textSHEEEPschool (www.sheeep.school) is a grassroots project focused on expanding critical spatial practice and pedagogy, done together with a wide constellation of collaborators. We run workshops, gatherings, and host clubs that promote intentional collective creation through art, architecture, and many other fields. Our activations consider the personal, collective, social, political and ecological potentials of thinking through the spaces we imagine and inhabit.
SHEEEPschool is run by a core team:
Nam Hoang (he/him) seeks to create more meaningful community participation and advocacy in issues of architecture and urban futures. He is the co-founder of Makeshift Collective, as well as a systemic designer and foresight practitioner.
Lily Jeon (she/they) is a creative facilitator that takes playful approaches to building empowerment and engaging in critical spatial practice, through hands-on learning and co-creation. They apply multi-disciplinary methods and intersectional lenses to design, education, and community organizing.
Reza Nik (he/they) seeks to disrupt traditional architectural processes and institutions through his pedagogy, practice & community building. His research examines a deeper dialogue between the socio-political nuances of the urban context and playful experimentation. He is the founding director of SHEEEPstudio, a licensed architect, artist, and an assistant professor in the teaching stream at the Daniels faculty.
Dana Prieto (she/her) is an artist, researcher and educator based in Tkaronto. Dana’s site-responsive practice is guided by a careful attention to the ground, studying our deep relations with colonial infrastructures. Dana brings an extensive experience in art education within formal and informal settings, with a focus in feminist and critical pedagogies.
Dana Salama (she/her) is an architectural designer/ researcher/ educator whose transdisciplinary practice interrogates relationships between heritage and power through writing, talking, designing, and organizing. She directs *countermap, a non-profit contemplating land, memory, capacity-building, and co-design