Use of nitrous oxide and oxygen for conscious sedation to manage pain and anxiety.
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A 13-item survey of dentist's views about approaches to pain and anxiety management was distributed in Atlantic Canada. Respondents indicated that about 50% had training in conscious-sedation techniques and 20% had learned to administer intravenous (IV) sedation. Sixty-nine percent of those responding had used oral sedatives to help manage fearful patients. Forty-six percent had referred anxious adult patients to specialists or other dentists, and 78% had made similar referrals for anxious children. Seventeen percent reported using conscious sedation, but they typically treated more than 20 anxious patients per year. Most (80%) believed that nitrous oxide and oxygen (N2O/O2) conscious sedation should be included in the treatments that a licensed practitioner can provide, and they were evenly divided in their opinion about the need for a separate licence for its use. However, only half of respondents believed that IV sedation should be included among a general practitioner"s treatment options, and over 70% said that this treatment should be subject to a separate licence. The implications of these findings for curriculum are discussed. (+info)
A multilevel analysis examining the association between school-based smoking policies, prevention programs and youth smoking behavior: evaluating a provincial tobacco control strategy.
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A new type of lesion associated with severe fur damage in Canadian ranch foxes and an investigation of possible causes.
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In the silver fox, as in its wild ancestor, the red fox (Vulpes vulpes L.), the annual growing phase (anagen) of guard hair follicles occupies at least four months. Severe damage to the hair coat near the end of this growing period was reported in 1985 on many ranches in New Brunswick and Nova Scotia. A histological analysis of serial sections of skin biopsies showed a marked increase in nuclear aberrations in the hair matrix of anagen guard hair follicles. These nuclear aberrations indicated that cells were undergoing apoptosis, a controlled form of cell death. Tissues from affected and unaffected foxes for histological and toxicological analysis, as well as other data, were obtained during visits to 26 ranches in 1986 and 34 ranches in 1987. Histological sections of the 1987 skin samples showed the mean percentage of nuclear aberrations in 43 unaffected foxes to be 0.08 +/- 0.01 (SEM), while that for 49 affected foxes was 0.51 +/- 0.23. The four foxes with the most severe coat damage also had the highest incidences of guard hair matrix cells with nuclear aberrations, ranging from 20 to 100 times greater than the mean for unaffected foxes. The mitotic index of the hair matrix, which normally remains fairly constant during the hair growth phase, was similar for unaffected and affected foxes (1.83 +/- 0.06 and 1.97 +/- 0.07 respectively). Although our analyses of field data have not established a specific environmental factor associated with increased nuclear aberrations, the possible involvement of toxic agents in follicle damage may warrant further investigation. (+info)
A survey of biological productivity of Prince Edward Island swine herds.
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Sow and feeder pig productivity were measured on a random sample of 32 Prince Edward Island swine farms (each producing over 1000 market hogs per year). Productivity parameters could be arranged in a hierarchy, with the highest level on farrow-finish operations represented by pigs weaned per sow per year. The 17 farrow-finish farms in this study averaged 19.6 (+/- 2.2 SD) pigs weaned per sow per year. Large variation between farms was observed with a range from 16.2 to 24.9 pigs weaned per sow per year. The major opportunities for improving productivity, as compared to reviewed targets, lie in reducing the average weaning age, reducing preweaning mortality, and reducing non-productive sow days per parity. The 14 feeder operations were characterized by 0.58 +/- 0.07 kg average daily gain. Average daily gain was negatively correlated with mortality (r = -0.662, p = 0.010), suggesting that herds that achieved a high rate of gain also had lower mortality. (+info)
Epidemiological approach to the association between economic efficiency and productivity on swine farms in Prince Edward Island.
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Regression analysis was used to determine the ability of a number of biological parameters to predict economic efficiency. Detailed feed, financial, and production records were maintained by a random sample of eighteen Prince Edward Island (PEI) swine producers (each producing over 1000 market hogs per year). Relative economic efficiency of the operations was measured using return to management and labor (RML). Of the routinely monitored biological parameters, RML on PEI farrow-finish operations was best predicted (R2 = 64.8%) by: marketed per square meter per year (p = 0.008) and marketed per sow per year (p = 0.096). Regression of fixed costs revealed that biological parameters had limited ability to predict fixed costs per hog on farrow-finish operations (R2 = 30.7%). The only parameter contributing to the prediction of the fixed cost component of RML was feeder hog density (p = 0.077). The variable cost component of RML on farrow-finish operations was predicted (R2 = 94.3%) by feed cost per kg gain (p = 0.000), and marketed per sow per year (p = 0.044). The routinely recorded biological parameters on feeder farms had only limited ability to predict RML in this study (R2 = 43.7%). The only parameter of any importance was marketed per square meter per year (p = 0.106). Prediction of the fixed cost component of RML on feeder farms (R2 = 67.4%) was best realized by measuring feeder hog density (p = 0.045). The variable cost component of RML on feeder farms was reasonably well predicted (R2 = 74.7%) by feed cost per kg gain (p = 0.012). Although this parameter is difficult to monitor from records currently maintained on most farms, it points out the need to monitor feed consumption on swine farms. (+info)
An outbreak of toxic encephalopathy caused by eating mussels contaminated with domoic acid.
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In Canada in late 1987 there was an outbreak of an acute illness characterized by gastrointestinal symptoms and unusual neurologic abnormalities among persons who had eaten cultivated mussels. Health departments in Canada solicited reports of this newly recognized illness. A case was defined as the occurrence of gastrointestinal symptoms within 24 hours or of neurologic symptoms within 48 hours of the ingestion of mussels. From the more than 250 reports received, 107 patients met the case definition. The most common symptoms were vomiting (in 76 percent of the patients), abdominal cramps (50 percent), diarrhea (42 percent), headache, often described as incapacitating (43 percent), and loss of short-term memory (25 percent). Nineteen patients were hospitalized, of whom 12 required intensive care because of seizures, coma, profuse respiratory secretions, or unstable blood pressure. Male sex and increasing age were associated independently with the risks of hospitalization and memory loss. Three patients died. Mussels associated with this illness were traced to cultivation beds in three river estuaries on the eastern coast of Prince Edward Island. Domoic acid, which can act as an excitatory neurotransmitter, was identified in mussels left uneaten by the patients and in mussels sampled from these estuaries. The source of the domoic acid appears to have been a form of marine vegetation, Nitzschia pungens, also identified in these waters in late 1987. The contaminated mussels from Prince Edward Island were removed from the market, and no new cases have occurred since December 1987. We conclude that the cause of this outbreak of a novel and severe intoxication was the ingestion of mussels contaminated by domoic acid, a potent excitatory neurotransmitter. (+info)
Neurologic sequelae of domoic acid intoxication due to the ingestion of contaminated mussels.
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In late 1987 there was an outbreak in Canada of gastrointestinal and neurologic symptoms after the consumption of mussels found to be contaminated with domoic acid, which is structurally related to the excitatory neurotransmitter glutamate. We studied the neurologic manifestations in 14 of the more severely affected patients and assessed the neuropathological findings in 4 others who died within four months of ingesting the mussels. In the acute phase of mussel-induced intoxication, the patients had headache, seizures, hemiparesis, ophthalmoplegia, and abnormalities of arousal ranging from agitation to coma. On neuropsychological testing several months later, 12 of the patients had severe anterograde-memory deficits, with relative preservation of other cognitive functions. Eleven patients had clinical and electromyographic evidence of pure motor or sensorimotor neuronopathy or axonopathy. Positron-emission tomography of four patients showed decreased glucose metabolism in the medial temporal lobes. Neuropathological studies in the four patients who died after mussel-induced intoxication demonstrated neuronal necrosis and loss, predominantly in the hippocampus and amygdala, in a pattern similar to that observed experimentally in animals after the administration of kainic acid, which is also structurally similar to glutamate and domoic acid. We conclude that intoxication with domoic acid causes a novel and distinct clinicopathologic syndrome characterized initially by widespread neurologic dysfunction and then by chronic residual memory deficits and motor neuronopathy or axonopathy. (+info)
School-based tobacco-control programming and student smoking behaviour.
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The study examined the association of a school-based tobacco-control program with students' smoking behaviour over time using three cross-sectional, provincial census datasets (grade 10 students in 1999, grade 11 students in 2000, grade 12 students in 2001). Data were collected from all secondary schools in Prince Edward Island (Canada) using the Tobacco module of the School Health Action, Planning and Evaluation System (SHAPES). The proportion of regular smokers increased from grade 10 (22.3%) to grade 12 (27.8%, chi(2) = 10.35, df = 1, p < 0.001). Being exposed to different school-based tobacco programs and policies in grades 10 and 11 was not associated with the smoking behaviour of grade 12 students. The strongest predictors of smoking behaviour were having friends or close family members who smoke. This preliminary evidence suggests that programs and policies associated with banning smoking and enforcing smoking restrictions at school may be insufficient unless they also address the influence of smoking peers and family members and link to comprehensive programming within the broader context of other community and policy level interventions. (+info)