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Testing for Optokinetic nystagmus using an OKN strip-horizonatal
No full textTesting for Optokinetic nystagmus using an OKN strip-examiner moves the strip horizonally in front of the patient (normal response OKN present)https://ir.lib.uwo.ca/clinicalskills_neuroexam/1572/thumbnail.jp
Neurology: Screening Motor Exam Upper Extremity (Jill)
No full textA neurologist performs a screening motor exam of the upper extremity on a large-bodied female patient. The clip shows testing tone and power in the arms. There is a medical student trainee present.
Clinician: Anita Florendo-Cumbermack MBBS, MHPE, FRCPC, CSCN (EMG)https://ir.lib.uwo.ca/neuro_motor/1000/thumbnail.jp
CASE 3: Melcom and the COVID-19 Pandemic: Working Toward a Resilient Food Business Industry
Get PDFThe COVID-19 pandemic has had devastating effects on all aspects of life, with everything from the business sector to schools having been affected by it. It has given the world a chance to realize new and emerging diseases that can cause pandemics are a constant threat. Additionally, the pandemic has shown with greater clarity how much people rely on food as a daily necessity, and how easily food access can be threatened. The pandemic has left many grocery stores, supermarkets, restaurants, bars, bakeries, cafés, and coffee shops in the food retail and food service industry struggling to survive even though food is so essential. With many people staying home because they are fearful of contracting the virus and they are heeding public health advice, food service businesses have fewer customers. Although many people are still getting food delivered and ordering takeout, the pandemic has simply resulted in fewer customers overall. This drop in orders, coupled with periodic government restrictions on dine-in options, has led to reduced overall food retail business profitability. Although the government has helped by introducing some financial COVID-19 benefits and services, these programs have restricted eligibility requirements that have not worked for every business. As a major grocery chain, Melcom has taken this opportunity to make an impact on the communities it serves by enhancing its corporate social responsibility (CSR) efforts. Melcom has always engaged in socially responsible community projects such as back-to-school food drives and university scholarships for children from low-income neighbourhoods. Due to the impact of the COVID-19 pandemic on the food industry, Melcom decided to partner with HEALab to expand their corporate social responsibility to affected businesses. This new project would entail conducting research into the food business industry and researching what measures could be taken to help Melcom’s partners and possible research into communities facing food insecurity during the pandemic. This case uses Melcom as an example of a grocery store chain that has engaged in new corporate social responsibility initiatives because of the pandemic. By examining this case, information can be drawn about how local, provincial, federal governments, local partners/stakeholders and corporate partners can support food business industry during a public health emergency
CASE 13: From Bench to Classroom: Knowledge Translation in School Mental Health Initiatives
Get PDFThe case outlines the journey of Avery McCann, a researcher at Georgian Bay Health Unit. Avery has been asked to create a knowledge product for the local school board, Georgian Bay District School Board (GBDSB), to teach about adolescent self-harm and how social media may influence this behaviour. Formatted as a decision-making case, four potential options are proposed: a formal literature review report for the Director of Education, PowerPoint presentations, infographics and posters, or educational booklets. The head of the committee in the case details the relative benefits and drawbacks to each possible option because they offer different solutions to the same problem. Limited by time and budget constraints, the researcher, along with her team, must choose a single knowledge product to use, hopefully selecting the option that creates the most positive change.
Along with her team, Avery must determine which option is best for conveying their findings to the students, parents, and teachers of Georgian Bay so that tangible change is created. Unfortunately, the Director of Student Wellness at GBDSB, Patric Andersson, does not have extensive knowledge about mental health, making the selection of a knowledge translation method even more critical. It is vital that the students receive the appropriate messaging regardless of the medium (online or written communication) or person presenting it to them (i.e., teachers, counsellors, etc.). The issue at hand is very pressing. Although self-harm is not usually fatal, it can create lasting damage to the physical, emotional, and mental well-being of those who engage in it, as well as to their loved ones. Further, self-injurious behaviour can be fatal, meaning that a delay in acting could be incredibly costly to the lives and well-being of the students at GBDSB. Ultimately, the case presents students with a complex and important decision that requires detailed consideration, planning, and evaluation in order for a successful outcome to be reached
CASE 14: Hiring a Competent Health Promoter: Can Competency Statements Help?
Get PDFSaraz Frasier has been the manager of Special Programs and Healthy Communities at her health unit for the past five years. She is a true trailblazer within her organization. Saraz has helped transform her team into an innovative, progressive, and health equity-driven team. This team is responsible for promoting health, planning, conducting, and implementing health initiatives and health programs, working with community partners, developing policy, and reducing disparities within the community.
Saraz has recently been tasked with hiring a new health promoter for her Healthy Communities team. This new hire will help lead Saraz’s team in health promotion and help plan special health programs. She is determined to find a candidate who will understand and contribute to her team’s current dynamic, work ethic, and equity-related priorities, and to the organization’s vision and desired culture change.
The top three candidates were already interviewed this past week. Saraz now needs to decide who the best person is for this position. As she is thinking about finding a reliable way to evaluate and compare the three excellent candidates, Saraz opens her email only to find a webinar on the Pan-Canadian Health Promoter Competencies. It’s a sign! She will use the Competencies to evaluate and compare her three candidates in order to hire the best person for the job.
The Pan-Canadian Health Promoter Competencies outline the skills, knowledge, and abilities that health promoters should possess to fulfill their mandate efficiently and adequately (Health Promotion Canada, 2015). These Competencies serve as a framework upon which health promoters, and others who work within health promotion, can base their work and practice their skills in targeting health, health equity, and the social determinants of health (Health Promotion Canada, 2015). Saraz can strategically use these competency statements to create a profile of the perfect candidate for the position, based on the skills, abilities, and knowledge that she requires, and then compare the three qualified candidates to this profile. The candidate who best reflects the Health Promoter Competencies and Saraz’s ideal candidate profile must be chosen soon, as these skills are required to undertake the type of work conducted by the exemplar Healthy Communities team at Saraz’s health unit.
All three of Saraz’s candidates are competent, skilled, and knowledgeable. Saraz is looking for an innovative leader who possesses the required education and experience, and understands and values the complexities involved in public health. Saraz has to take one last look at her candidates, using the ideal candidate profile she has developed based on the Competencies, to determine who is most likely to best fulfill her expectations of a competent health promoter
