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Nurse Practitioner Opioid Prescribing and Safety Measure Utilization Patterns in Ontario
No full textBackground: In 2012, the Canadian federal government amended the Controlled Drugs and Substances Act authorizing nurse practitioners (NPs) to prescribe controlled substances. Ontario was the last province to adopt this legislation in 2017. Despite this change, a significant gap exists in research seeing as there are currently no published studies regarding NP opioid prescribing patterns (Pittman et al., 2020). Purpose: The qualitative aspect of this mixed-methods study aims to further explain the quantitative findings. Qualitative interview data provided insight into the impact of NP practice setting and patient population on survey responses. Content analysis will illustrate the key factors influencing NP opioid prescribing and safety measure utilization patterns. Methods: 262 participants completed the survey and 153 agreed to qualitative follow-up. NPs across Ontario (n=14) selected from various geographical locations agreed to be interviewed for the qualitative component. Results: Areas explored included prescribing preference for specific opioids, the impact of practice setting on utilization of safety measures, and the perceived effectiveness of suggested safety measures. Three key findings emerged: (a) hydromorphone is the preferred opioid due to a better reported side effects profile when used in small dosages, especially in the elderly (b) NPs practicing in hospital settings use safety measures less often than community counterparts as a result of organizational structures (c) limiting supply is considered the most effective safety measure. Implications for Future Research: A follow-up study focusing on a cohort of NPs practicing in emergency departments could illustrate how this unique practice setting impacts NP opioid prescribing. References Pittman, G., Morrell, S., & Ralph, J. (2020). Opioid prescribing safety measures utilized by primary healthcare providers in Canada: A scoping review. Journal of Nursing Regulation, 10(4), 13-21. https://doi.org/10.1016/S2155-8256(20)30009-
Combining Carbohydrate with Semiconducting Polymers: A New Sustainable Approach in Organic Electronics
No full textThe field of technology is innovating and growing, resulting in increased production of electronics. This has a large impact on our environment, and chemists are exploring a solution to reduce these effects2,4. Researchers in our group are utilizing a new, exciting approach to conventional electronic device fabrication with organic polymers. Organic Field Effect Transistors are a type of organic electronic device that uses semiconducting materials such as polymers as an active layer1,3. OFETS have excellent mechanical and optoelectronic properties and demonstrate high performance with air stability. OFETS are lightweight, stretchable, flexible, and applicable to innovation and design in technology1, such as bioelectronics, where they can be used as sensors. Our research uses isoindigo-based semiconducting polymers with carbohydrate side chains, making them biocompatible and more environmentally friendly2,3. Previously, our group developed polymers with enhanced solubility in more environmentally friendly solvents5. Building on previous works, our current research focuses on optimizing the synthesis and electronic performance of carbohydrate-containing semiconducting polymers. Our facile new synthetic approach involves less steps, higher yields, and better performance in OFETs. This presentation will discuss various aspects of the organic device fabrication process, with an emphasis on the new synthetic approach, and ways to optimize the resulting OFETs
Assumption College Review: Vol. 2: no. 1 (1908: Oct.)
No full text47 numbered pagesTo view online at the Internet Archive: https://archive.org/details/assumptioncollegereview19081
Marley's Journey
No full textMarley's Journey is a short documentary about a 3 year-old girl named Marley Bechard who has Angelman Syndrome. Angelman syndrome is a genetic disorder which causes developmental disabilities, neurological problems and sometimes, seizures. 1 in 15,000 children in Canada are diagnosed with Angelman Syndrome. It a very rare syndrome that not many people are aware of. Although extensive research is being done, there is still no cure for Angelman. Therefore, this documentary was made to bring awareness to Angelman Syndrome and share the struggles and triumphs that Marley and her family face. Qualitative research was done in the making of this documentary. Organizations such as Canadian Angelman Syndrome Society and interviews from Marley's parents, neurologist, and speech-therapist helped in providing valuable information on the syndrome. The method used in creating the documentary was detailed storytelling and using the right music to make scenes more impactful. Marley's Journey was filmed in a month using film equipment. A documentary works in raising awareness about Angelman Syndrome because it allows us to teach the audience what Angelman Syndrome is through Marley and her family. Furthermore, a documentary can be shared easily though social media such as Facebook and Youtube, which makes it easy to reach a large audience. Observations from posting the documentary online and showcasing it to audiences were many individuals were now informed of what Angelman Syndrome is and aware that donations are needed to find a cure. It is hoped that this film will bring awareness to Angelman Syndrome and encourage all who watch it to donate to foundations raising money to find a cure for individuals with Angelman Syndrome, also known as Angels. A question for further research would be to ask doctors and researchers how close they are to finding a cure for Angelman Syndrome
Focus on Great Lakes Water Quality (ISSN 0711-0855): vol.8 iss.3
No full textThe lnternational Joint Commission held its 1982 Meeting on the Great Lakes Water Quality Agreement, November 16 in Windsor, Ontario at Cleary Auditorium. Representatives of Great Lakes Basin citizen organizations, industry, government, the media and interested individuals from the immediate area listened as Great Lakes Water Quality Board and Science Advisory Board members summarized the work of the past year. In addition, many who could not spend the day in reporting sessions visited the environmental exhibition held in conjunction with the meeting. Thirty four organizations participated in the 1982 exhibition. (See page 15)
Session B: Strengthening Animal-Human Relationships as a Doorway to Indigenous Wellness
No full textResearch and TheoryIndigenous wellness, animal-human relationships, holistic health, spiritualit
The Sacrament of Being: An Attempt to Reconcile Cartesian Metaphysics with the Doctrine of Eucharistic Transubstantiation
No full textThe Sacrament of Being: An Attempt to Reconcile Cartesian Metaphysics with the Doctrine of Eucharistic Transubstantiation. ABSTRACT In 1988, Steven Nadler claimed that “the question of the real presence proved to be the most serious difficulty for seventeenth-century Cartesianism.”[1] With this doctrinal difficulty in mind, it is often hard to gauge whether Descartes himself or other early modern Cartesians were genuinely committed to defending the dogmatic elements of the Catholic faith. Many of them simply adopted an attitude of appeasement toward the Holy Office. Initially, this creates a skeptical reading of Descartes’ Eucharistic texts. If he did not genuinely believe, perhaps his arguments are, at best, attempts at appeasement and, at worst, fraudulent. This paper, however, will attempt to give a Cartesian account of transubstantiation, not in order to challenge the Thomistic account, but to enlarge the possibilities for understanding the sacred mysteries. The traditional metaphysical language that surrounds the Eucharist easily creates a barrier for those seeking to understand the doctrine. Perhaps a Cartesian account of the sacrament will lessen that barrier by employing a language that is more accessible in everyday speech, or at the very least create a new forum for discussion. The ultimate hope is that more of the faithful may take part in the critical exploration of the doctrines of the faith. This investigation will examine first the metaphysical implications of the Council of Trent’s definition of Eucharist transubstantiation in the Decree Concerning the Most Holy Sacrament of the Eucharist (1551) and then seek to give a Cartesian account of the dogma. This account will engage what Descartes himself said about the Eucharist in a series of letters to Mesland (2 May 1644, 9 Feb 1645, 1645/1646, May 1645), a letter to Clerselier (2 March 1646), an unaddressed letter (circa March 1646), and in his Reply to the Fourth Set of Objections (1641). Finally, this paper will attempt to engage some of Descartes’ other correspondence, and the main body of his philosophical works (Discourse on Method (1637), Meditations (1641), Principles of Philosophy (1644), etc.) in order to arrive at a Cartesian account of transubstantiation that does not merely seek to appease the Church, but one that is solid and sincere. [Word Count: 375] [1] Steven M. Nadler, “Arnauld, Descartes, and Transubstantiation: Reconciling Cartesian Metaphysics and Real Presence,” Journal of the History of Ideas, Vol. 49, No. 2 (Apr. – Jun., 1988): 246
For Better or Worse: Theorizing Adolescent Media Consumption
Get PDFViable, Healthy and Safe CommunitiesFew scholars have gone to the lengths of Turkle and boyd to examine the current digital moment under the lens of socialization. Even more crucial is their consideration of youth within the technological context. While adults are more readily adaptive and have autonomy over their media use as they are able to select technological use and frequency, the same cannot be said of younger generations. When considering youth who are primarily between the ages of 9 and 18, it is evident that they have grown alongside digital developments which defines their childhood by its forceful presence through the adults around them. As they grow, youth come to understand the world from different perspectives based by their participation in society, and seek communities similar to their interests. The way that adolescents define community in culture has a radically different face from what previous social media-less generations, but what is at the core of socialization? Is youth's understanding and ability to create a community overtly changed through digitalization, or is it simply altered? This paper examines how young people grow to respond to technology through a comparative analysis of the works of Sherry Turkle and danah boyd who contrast in analytical perspectives but maintain the same argument that technology is impacting our lives, especially when considering those who are growing up alongside it. Under these circumstances, it is pivotal to recognize the importance of research to understand exactly how such groups are altered through technological dependence in development. The scope will examine how technology is presented to children, how they proceed to utilize it within their youth, and considering the perspective that thinkers such as Turkle and boyd would take in regards to the topic
From Clinical Practice to System Change: A Critical Realist Qualitative Study of Social Workers' Perspectives on Borderline Personality Disorder Care Delivery in Ontario
No full textThis manuscript-based dissertation examines how social workers in Ontario experience and understand providing care to people living with Borderline Personality Disorder (PLBPD), with particular attention to structural barriers and systemic challenges in care delivery. Through 41 in-depth interviews with social workers across diverse practice settings, this research illuminates the complex intersections between individual care experiences, professional practice, and broader systemic factors that shape BPD care provision. The dissertation consists of four manuscripts that progressively build upon each other: The first manuscript details innovative methodological approaches to conducting qualitative research during the COVID-19 pandemic, highlighting the opportunities and challenges of remote data collection. The second manuscript demonstrates the application of Critical Realism (CR) methodology in social work research, providing a detailed framework for examining complex social phenomena. The third manuscript analyzes how provider-based stigma and interprofessional dynamics impact care delivery for PLBPD, revealing both individual and structural barriers to effective care. The fourth manuscript examines structural barriers within Ontario's healthcare system, identifying how system fragmentation, resource constraints, and social determinants of health create compounding challenges in BPD care delivery. Key findings reveal that while social workers recognize BPD as a complex diagnosis requiring comprehensive support, they face significant challenges in providing effective care due to limited resources, inadequate training, and systemic barriers. The research identifies four interconnected themes across the manuscripts: (1) the impact of healthcare system fragmentation on care coordination; (2) the persistence of provider-based stigma despite increasing awareness; (3) the intersection of social determinants of health with care access; and (4) the need for collaborative, integrated approaches to care delivery. This dissertation makes several significant contributions to the field. Methodologically, it provides a detailed example of applying critical realist analysis to complex healthcare phenomena. Empirically, it offers new insights into how structural mechanisms shape both individual care experiences and systemic outcomes in BPD care delivery. Practically, it identifies specific opportunities for healthcare system reform while highlighting the crucial role of social workers in addressing both immediate care needs and broader systemic barriers. Findings indicate that addressing BPD care requires moving beyond individual clinical interventions toward coordinated system-level responses, including integrated care pathways, anti-stigma initiatives at institutional levels, and enhanced workforce development. Keywords: Borderline Personality Disorder, healthcare systems, structural stigma, social work, critical realism, qualitative researc
