bluuebunny/crossref_metadata_2025_split huggingface dataset:
Envisioning a McGill University lifelong learning and living (L4) community
Authors: Rigby Ruth Allan , Chan Marlene , Colosimo April L. 
Published: January 2018

Lifelong learning and cognitive resilience are integral to a changing 21st century education paradigm for learners of all ages, as they are for health and well being of the individual student and wider community. Neuroscience in particular is continually making inroads on the impact that learning has on the brain and the interrelationships between body and mind that help to maintain physical and intellectual capacity over a lifetime. There is a long-standing community dedicated to sustainable lifelong learning on campus, the McGill Community for Lifelong Learning (MCLL). There are also worldwide efforts underway to promote lifelong learning in the context of age friendly cities under the auspices of UNESCO and the World Health Organization. Moreover, the international network of Age Friendly Universities, Lifelong Learning Institutes and over 200 University Based Retirement Communities (UBRCs) in the USA offer resources, guidelines, operating principles and research for building unique and innovative local responses to the changing demographics, increased cultural diversity and technological changes in education futures for learners in a given community. The poster will highlight national and international research initiatives and networks to enhance well-being and mental health through lifelong learning.Different L4 community options will be explored, building on MCLL’s peer learning experience over the past 27 years. It will reflect opportunities for interdisciplinary collaboration with university and wider Montreal community stakeholders, including health care professionals, caregivers, and educators.The poster will demonstrate that a lifelong learning approach to whole person care has the potential to be transformative.
The self-care education for healthcare professional students using mindfulness
Authors: Takamiya Yusuke , Tsuchiya Shizuma 
Published: January 2018

Background Recent studies has consistently shown medical students experience high rate psychological symptoms. Under this circumstance teaching mindfulness is a possible option. However, there are few consistent educational courses in medical schools in Japan.Method Showa University (Tokyo, Japan) launched an intensive self-care program based on mindfulness for 600 first-year healthcare professional students in 2015 (120 medicine, 110 dentistry, 210 pharmacist, 100 nursing, 60 PT and OT). The target achievements of this program were as follows:Understand the needs of self-care, Enhance self-awareness, Evaluate evidence of mindfulness for mental diseases, Practice formal/informal mindfulness-based activities. This program consisted of a 90-minutes lecture, and consecutive reflective activities completing personal journals and portfolio follow the lectures. The students are required to plan how to make use of what they learned in this course. The students were asked to complete a questionnaire after the course.Results The questionnaire indicated that 98% of the students were satisfied with the course materials. In particular, some participants stated that regular mindfulness-based practices such as meditation, breathing method, and even informal mindfulness activities in daily life reduced test anxiety, mood- dependent behavior, and absence of flexibility. Descriptions from the e-portfolio showed that the participants understood the importance of body-mind relationship and evitable stressors around them.ConclusionTeaching mindfulness could encourage healthcare students to understand the necessity of self-care at early stages of their professional training. The results would help to develop our next stage of this self-care program based on mindfulness, 12 weekly 1.5-hours session.
Person-Centered Care: Perspectives of free dental clinic users in Montréal, Canada
Authors: Noushi Nioushah , Bedos Christophe , Apelian Nareg , Vergnes Jean-Noel , Rodriguez Charo 
Published: January 2018

There has been a relatively slow incorporation of person-centered care into dental care. Despite the efforts to sustain this approach in dental health care delivery, the perspectives of patients have yet to be considered, especially those using free dental clinics. Our objectives were: (1) to describe the perspectives of adults unable to access private dental clinics when using free dental clinics, (2) to document their suggestions for improvements to dental care. This qualitative descriptive study included 13 adults using a free dental clinic. To select participants, we adopted a maximum variation sampling strategy regarding age, sex, marital status, education level and employment status. We used in-depth, semi-structured interviews to collect data and thematic content analysis to analyze the verbatim transcripts. Participants were generally satisfied with the dental care they received in private and free dental clinics. However, they did not appreciate the long wait times at free clinics, and were bothered by the cost at private clinics. They emphasized a desire for quality time with the dentist allowing for more informed and shared decisions about their care, regardless of the clinic they visited. Participants want to feel cared for through a trustworthy relationship with the clinician, and suggested incorporating a walk-in concept into free clinics to address access to care. Adults using free dental clinics have various experiences with private and public dentistry, but they all need clinicians who adopt a comprehensive approach when providing information. This could improve patients’experiences through a more person-centered approach to dental care.
Conversations that count: Advance Care Planning as preventative medicine
Authors: Grundy Kate , Goodwin Jane , McLardy Elaine 
Published: January 2018

Background: Fundamental to the concept of Advance Care Planning (ACP) is empowering individuals and communities to recognise death as an inevitable part of life.Methods: ACP facilitators and clinical champions in the Canterbury region of New Zealand have been very active in engaging the community. This has occurred through consumer presentations, the creation of specific pages on the Canterbury District Health Board (CDHB) consumer information website (HealthInfo) and support of the National ACP awareness campaign ‘Conversations that Count’.Results: ‘Consumer power’ has been invaluable in driving the uptake of ACP in the CDHB. A survey of 49 GPs in 2015 found many were reluctant to start ACP conversations or felt they ‘did not have time’. The turning point was the realisation that patients are not only wanting but are actively asking to have these important conversations and to create Advance Care Plans (ACPlans). 1200 electronic ACPlans have now now been created in Canterbury, with 80% generated in primary care.The ACP pages on HealthInfo are consistently in the top 20 pages viewed each month which indicates that the community is seeking information and wanting to take control. Uptake and demand for consumer presentations and ‘Conversations that Count’ resources also continues to grow year on year.Discussion: Increased awareness and understanding of ACP gives people the opportunity to think and frame their reasoning, so they are better prepared to have well informed discussions with health care professionals. It helps them be clearer in their mind about their own limits and concerns. It is important for people to consider the question - “what is O.K for me and what isn’t?”. In this context, ACP conversations can be seen as preventative medicine.Patients need to be as well equipped as possible to be active participants in healthcare decisions, especially regarding end of life. Through the ACP process, unnecessary suffering, confusion and conflict can be reduced or prevented and unwanted or burdensome treatment that is not in line with their goals and priorities can be averted.Conclusion: Valuing and honouring a person’s participation in their health care decision-making is important for all healthcare organisations. Prioritising ACP is an effective way of making this happen.
A patient expectation and satisfaction survey with regards to exercise prescription from their osteopathic manual practitioner
Authors: Miller Angela 
Published: January 2018

Background: Patient satisfaction is virtually synonymous with health status. There exists little empirical data which examine osteopathic patient expectation and satisfaction with respects to self-care and home exercise interventions. Objective: To examine patient expectation and satisfaction in Ontario with regards to receiving exercise prescription from their Osteopathic Manual Practitioner (OMP) for management and prevention of their chief complaint. Design: A cross-sectional patient expectation and satisfaction survey. Methods: 75 surveys were delivered to 10 osteopathic clinics in the Greater Toronto Area. 45 of those surveys were completed and returned. Microsoft Excel 2010 was used to analyze the descriptive data and GraphPad Prism 6 was used for inferential analysis. Content analysis was used for all free text responses. Results: A high majority of osteopathic patients are satisfied with their treatments (97.8%). The Fisher’s Exact test revealed no significant difference in satisfaction between patients who expected exercise and received it and those who expected exercise but did not receive it (p= 0.14). A significant minority (43.2%) would like to be provided with more home care exercise advice. Other areas of improvement are: follow-up, referral base,take- home tools, and in-office exercise equipment. Conclusions: This study examined patient expectation and satisfaction in Ontario with regards to receiving exercise prescription from their OMP. The results showed that, overall, patients are satisfied with their osteopathic treatments. Patients expected exercise advice from their OMP, and generally, received it. As satisfaction and health outcome are synergistic however, there are several areas in need of improvement.
Analisis Gerakan Lompat Jauh Pada Mahasiswa UPGRIS
Authors: Hidayat Rahmat 
Published: January 2018

Lompat jauh adalah salah satu nomor perlombaan di cabang olahraga atletik. Kemampuan lompatan dipengaruhi oleh beberapa faktor salah satunya yaitu langkah kaki ketika melakukan take off. Oleh karena itu perlu adanya analisis gerakan lompat jauh untuk mengetahui kelemahan dan kekurangan ketika melakukan lompatan. Analisis ini kiranya dapat memberikan pengetahuan ketika melakukan langkah kaki pada saat take off. Tujuan penelitian ini adalah untuk mengetahui jarak pemendekkan langkah ketika sebelum melakukan take off. Jenis penelitian ini adalah kualitatif. Subjek dalam penelitian ini berjumlah 10 orang mahasiswa UPGRIS. Proses pengambilan data dilakukan sebanyak satu kali dengan dua kali kesempatan. Data hasil penelitian yang dianalisis dengan menggunakan program software Dartfish. Dari data yang didapat menunjukkan bahwa pemendekan langkah sebelum melakukan take off merupakan salah satu faktor penyebab kurang maksimalnya hasil lompatan mahasiswa UPGRIS. Selain itu faktor kecepatan sangat mempengaruhi hasil akhir. Dari hasil analisis ini menunjukkan bahwa pemendekkan langkah sebelum take off dapat menyebabkan deselerasi kecepatan sehingga mengurangi daya dorong tubuh kedepan. Kata Kunci : Lompat Jauh
The financial burden and distress of patients with cancer: Understanding and stepping‐up action on the financial toxicity of cancer treatment
Authors: Carrera Pricivel M. , Kantarjian Hagop M. , Blinder Victoria S. 
Published: January 2018

Abstract“Financial toxicity” has now become a familiar term used in the discussion of cancer drugs, and it is gaining traction in the literature given the high price of newer classes of therapies. However, as a phenomenon in the contemporary treatment and care of people with cancer, financial toxicity is not fully understood, with the discussion on mitigation mainly geared toward interventions at the health system level. Although important, health policy prescriptions take time before their intended results manifest, if they are implemented at all. They require corresponding strategies at the individual patient level. In this review, the authors discuss the nature of financial toxicity, defined as the objective financial burden and subjective financial distress of patients with cancer, as a result of treatments using innovative drugs and concomitant health services. They discuss coping with financial toxicity by patients and how maladaptive coping leads to poor health and nonhealth outcomes. They cover management strategies for oncologists, including having the difficult and urgent conversation about the cost and value of cancer treatment, availability of and access to resources, and assessment of financial toxicity as part of supportive care in the provision of comprehensive cancer care. CA Cancer J Clin 2018;68:153‐165. © 2018 American Cancer Society.
Population and patient factors affecting emergency department attendance in London: retrospective cohort analysis of linked primary and secondary care records
Authors: Hull Sally A , Homer Kate , Boomla Kambiz , Robson John , Ashworth Mark 
Published: January 2018

BackgroundPopulation factors, including social deprivation and morbidity, predict the use of emergency departments (EDs).AimTo link patient-level primary and secondary care data to determine whether the association between deprivation and ED attendance is explained by multimorbidity and other clinical factors in the GP record.Design and settingRetrospective cohort study based in East London.MethodPrimary care demographic, consultation, diagnostic, and clinical data were linked with ED attendance data. GP Patient Survey (GPPS) access questions were linked to practices.ResultsAdjusted multilevel analysis for adults showed a progressive rise in ED attendance with increasing numbers of long-term conditions (LTCs). Comparing two LTCs with no conditions, the odds ratio (OR) is 1.28 (95% confidence interval [CI] = 1.25 to 1.31); comparing four or more conditions with no conditions, the OR is 2.55 (95% CI = 2.44 to 2.66). Increasing annual GP consultations predicted ED attendance: comparing zero with more than two consultations, the OR is 2.44 (95% CI = 2.40 to 2.48). Smoking (OR 1.30, 95% CI = 1.28 to 1.32), being housebound (OR 2.01, 95% CI = 1.86 to 2.18), and age also predicted attendance. Patient-reported access scores from the GPPS were not a significant predictor. For children, younger age, male sex, white ethnicity, and higher GP consultation rates predicted attendance.ConclusionUsing patient-level data rather than practice-level data, the authors demonstrate that the burden of multimorbidity is the strongest clinical predictor of ED attendance, which is independently associated with social deprivation. Low use of the GP surgery is associated with low attendance at ED. Unlike other studies, the authors found that adult patient experience of GP access, reported at practice level, did not predict use.
Prevalence of primary aldosteronism in primary care: a cross-sectional study
Authors: Käyser Sabine C , Deinum Jaap , de Grauw Wim JC , Schalk Bianca WM , Bor Hans JHJ , Lenders Jacques WM , Schermer Tjard R , Biermans Marion CJ 
Published: January 2018

BackgroundPrimary aldosteronism (PA) is the most frequent cause of secondary hypertension. Reported prevalences of PA vary considerably because of a large heterogeneity in study methodology.AimTo examine the proportion of patients with PA among patients with newly diagnosed, never treated hypertension.Design and settingA cross-sectional study set in primary care.MethodGPs measured aldosterone and renin in adult patients with newly diagnosed, never treated hypertension. Patients with elevated aldosterone-to-renin ratio and increased plasma aldosterone concentration underwent a saline infusion test to confirm or exclude PA. The source population was meticulously assessed to detect possible selection bias.ResultsOf 3748 patients with newly diagnosed hypertension, 343 patients were screened for PA. In nine out of 74 patients with an elevated aldosterone-to-renin ratio and increased plasma aldosterone concentration the diagnosis of PA was confirmed by a saline infusion test, resulting in a prevalence of 2.6% (95% confidence interval = 1.4 to 4.9). All patients with PA were normokalaemic and 8 out of 9 patients had sustained blood pressure >150/100 mmHg. Screened patients were younger (P<0.001) or showed higher blood pressure (P<0.001) than non-screened patients.ConclusionIn this study a prevalence of PA of 2.6% in a primary care setting was established, which is lower than estimates reported from other primary care studies so far. This study supports the screening strategy as recommended by the Endocrine Society Clinical Practice Guideline. The low proportion of screened patients (9.2%), of the large cohort of eligible patients, reflects the difficulty of conducting prevalence studies in primary care clinical practice.
Langue, langage, parole
Authors: La Robertie Janine de 
Published: January 2018

Au printemps dernier, le Groupe de Recherche et d'Action pour l'Enfance -le GRAPE -avait organisé des journées d'étude sur le thème Petite enfance et immigration en lien avec la notion d' inter culturel.
A ces journées qui ont connu un réel succès ont participé des chercheurs, des sociologues, des médecins, des éducateurs . Parmi les conférences les plus originales, nous avons retenu celle de Mme Janine de la Robertie, psychanalyste, intitulée Langue, langage, parole mais qu'on aurait tout aussi bien pu titrer Comme si un petit enfant n'était pas toujours un étranger...
Nous remercions le GRAPE et Françoise Groud-Dahmane, sans oublier la conférencière, de nous avoir autorisés à reproduire ce texte. Il est extrait des Actes des journées d'étude que l'on peut se procurer au GRAPE, 23, rue Notre-Dame de Lorette 75009 PARIS, au prix de 90 F.
Vieillir en maison de retraite
Authors: van Deth Roselyne 
Published: January 2018

Les Maghrébins âgés , placés en institution après soixante-cinq ans , cumulent plusieurs déracinements et un triple isolement.
Expatriés en France , puis exilés en maison de retraite, ils sont privés du rôle primordial traditionnellement dévolu aux personnes âgées dans leur culture d'origine. Enfin , ils sont marginalisés au sein de l'institution , où on ne comprend pas leurs problèmes spécifiques et même parfois leur langue.
Roselyne van Deth, assistante sociale à la Maison de retraite de Nanterre, analyse pour nous la situation sociale des Maghrébins à leur arrivée et compare les conditions de séjour à Nanterre des retraités français et maghrébins.
Reste que vieillir en France, lorsqu'on est d'origine étrangère, recouvre bien des réalités et le placement en institution n'est qu'un des aspects de ce phénomène nouveau, que les pouvoirs publics vont devoir prendre à bras le corps dans les années qui viennent. Seuls 2,5 % des immigrés finissent leurs jours en maison de retraite ; le témoignage de Roselyne van Deth est donc à replacer dans le contexte général du vieillissement des populations étrangères.
Montfermeil, la ville dont le prince n'est pas un enfant. Un entretien avec Michelle Gazal
Authors: Seksig Alain , Mahfoudi Hafid , Gazal Michelle 
Published: January 2018

Une "affaire" peut en cacher une autre... A l'automne 1989, après des années de guérilla avec le ministère de l'Education nationale et les enseignants de la cité des Bosquets, le maire de Montfermeil décide de mettre hors service public les écoles maternelles qui accueillent contre sa volonté les enfants issus de l'immigration nouvellement installés sur le territoire de sa commune. Une affaire d'exclusion, cette fois-ci au vrai sens du terme.
Michelle Gazal, institutrice à Montfermeil, décrit la situation dans laquelle se trouvent désormais les enseignants, et surtout les enfants, de Montfermeil. Elle relate également comment dans le passé elle a eu à faire face dans sa classe à des fillettes voilées.
En encadré, Gérard Chauveau, chercheur à l'Institut national de recherche pédagogique (INRP), qui a longtemps travaillé dans la Zone d'éducation prioritaire (ZEP) des Bosquets, rappelle l'obligation pour tous de respecter la règle du jeu de l'école laïque.
Différences culturelles et laïcité
Authors: Camilleri Carmel 
Published: January 2018

La prise en considération, dans l'école, de l'identité et des différences culturelles a provoqué une réaction d'inquiétude chez certains, qui y ont vu une atteinte aux valeurs universelles que l'institution est censée transmettre.
Tout en étant un partisan convaincu de l'interculturel, c'est-à-dire de formations où les relations entre individus sont méthodiquement organisées, Carmel Camilleri pense que l'irruption sauvage des différences communautaires reste lourde de menaces, tant qu'on en reste à la forme actuelle de la laïcité.
Si une nouvelle laïcité, ouverte aux différences est souhaitable, il faut cependant au préalable intégrer dans la formation des maîtres une initiation à la "pédagogie interculturelle".
Vers un Islam français
Authors: Roux Michel 
Published: January 2018

D'une part l'islam ne connaît pas la laïcité comme principe juridique de séparation entre l'Etat et la religion et d'autre part le mode d'intégration communautaire — tel qu'il existe par exemple aux USA — heurte de front la tradition assimilationniste française. Est-ce à dire qu'il n'y a pas de place pour une représentation sécularisée des musulmans de France ?
Michel Roux donne ici son point de vue ponctuel sur "l'affaire des foulards" avant de nous livrer les bonnes feuilles d'un livre à paraître, intitulé : La citoyenneté dans tous ses états.
Togolais, Breton et maire. Un entretien avec Kofi Yamgnane
Authors: Yamgnane Kofi , Dewitte Philippe 
Published: January 2018

Lors des dernières élections de mars 1989 , Saint-Coulitz, un petit village breton de 354 habitants , s'est honoré en portant à la mairie , pour la première fois en France, un «immigré de la première génération ». Kofi Yamgnane, d'origine togolaise, né il y a quarante-trois ans en pays Bassar (Nord-Togo), ancien élève des pères missionnaires, est ingénieur des mines. Marié à une Française originaire du Finistère-Sud, Kofi Yamgnane s'est installé en Bretagne à l'âge de vingt-quatre ans. Naturalisé français, il vit à Saint-Coulitz depuis seize ans.
«L'événement » a frappé l'imagination de la presse, toutes les télévisions se sont bousculées dans le village breton le soir même de l'élection. Le Télégramme de Brest, L'Express, L'Evénement du jeudi, VSD, mais aussi le quotidien algérien El Moujahid et l'hebdomadaire américain Times ont fait leurs choux gras de ce que certains ont pris pour un Ciochemerie d'un genre nouveau. Malheureusement, beaucoup n'ont pas su éviter le pittoresque, le folklorique, l'anecdotique.
Maintenant que l'actualité est retombée, après plusieurs mois passés à la mairie, nous avons demandé à Kofi Yamgnane ce qu'il pensait de la «France plurielle» ; comment lui-même analysait son élection ; quel rôle il pensait jouer à l'avenir, tant en Bretagne que dans le domaine de la coopération franco-africaine.
Vivre à deux cultures : les unions mixtes franco-maghrébines
Authors: Déjeux Jean 
Published: January 2018

Vivre à deux cultures, c'est d'abord reconnaître l'existence, au sein de sa propre famille, d'une histoire double, potentiellement porteuse de conflits.
Les sociétés devraient observer comment certains foyers mixtes ont transcendé leurs différences en les intégrant dans un langage nouveau, dans des manières d'être nouvelles à trouver et à inventer pour un monde qui se met en place.