Abdessamad H.M.,Fraser Health |
Fattal O.,Bellevue Hospital
LGBT Health | Year: 2014
Lebanon is considered relatively liberal, but Lebanese lesbian, gay, bisexual, and transgender (LGBT) individuals continue to face social and legal challenges. Homophobia is common among health-care providers. Only 50% of physicians in a study were willing to "tend the medical needs" of homosexuals. Homosexuality is still perceived as a disease and the practice of reparative therapy is common. Programs focusing on sexual health are scarce, with only a few being LGBT-friendly. For Lebanese LGBT individuals, there remains a significant gap in access to health care. The Lebanese Medical Association for Sexual Health (LebMASH) was established to address this gap. © Mary Ann Liebert, Inc.
Alamgir H.,University of Texas |
Ngan K.,Occupational Health and Safety Agency for Healthcare |
Drebit S.,Occupational Health and Safety Agency for Healthcare |
Li H.G.,Occupational Health and Safety Agency for Healthcare |
Keen D.,Fraser Health
Occupational Medicine | Year: 2011
Aims: To examine the demographic and workplace risk factors of serious falls and associated economic burden in Canadian health care workers. Methods: Fall Injury data during 2005-2008 from a workplace health and safety surveillance system were linked with workers' compensation claims and payroll records. The costs for treatment and wage loss and days lost for accepted time-loss claims were calculated. Demographic and work-related factors were identified to distinguish the risk for more serious falls from less serious falls. Results: Nine hundred and thirty -eight fall injury claims were captured among 48 519 full-time equivalent workers. Workers >60 years, part time or employed in the long-term care sector sustained a higher proportion of serious falls (>70%). Over 75% of falls were serious for care aides, facility support service workers and community health workers. In the multivariate analysis, the risk of serious falls remained higher for workers in the long-term care sector [odds ratio (OR) 1.71; P < 0.05] compared with those in acute care and for care aides (OR 1.72; P < 0.05), facility support service workers (OR 2.58; P < 0.01) and community health workers (OR 3.61; P < 0.001) compared with registered nurses (RNs). The median number of days lost was higher for females, long-term care workers, licensed practical nurses and care aides. Females, long-term care workers, RNs, licensed practical nurses, care aides and maintenance workers had the most costly falls. Conclusions: Reducing work-related serious fall injuries would be expected to bring about significant benefits in terms of reduced pain and suffering, improved workplace productivity, reduced absenteeism and reduced compensation costs. © The Author 2011. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved.
Krstic G.,Fraser Health
Journal of the Air and Waste Management Association | Year: 2013
A reduction in population exposure to fine particulate matter air pollution (PM2.5) has been associated with improvements in life expectancy. This article presents a reanalysis of this relationship and comments on the results from a study on the reduction of ambient air PM2.5 concentrations versus life expectancy in metropolitan areas of the United States. The results of the reanalysis show that the statistical significance of the correlation is lost after removing one of the metropolitan areas from the regression analysis, suggesting that the results may not be suitable for a meaningful and reliable inference.The observed loss of statistical significance in the correlation between the reduction of ambient air PM2.5 concentrations and life expectancy in metropolitan areas of the United States, after removing one of the metropolitan areas from the regression analysis, may raise concern for the policymakers in decisions regarding further reductions in permitted levels of air pollution emissions. © 2013 Copyright 2013 A&WMA.
Krstic G.,Fraser Health
PLoS ONE | Year: 2011
Background: Meteorological conditions and air pollution in urban environments have been associated with general population and elderly mortality, showing seasonal variation. Objectives: This study is designed to evaluate the relationship between apparent temperature (AT) and air pollution (PM 2.5) vs. mortality in elderly population of Metro Vancouver. Methods: Statistical analyses are performed on moving sum daily mortality rates vs. moving average AT and PM 2.5 in 1-, 2-, 3-, 5-, and 7-day models for all seasons, warm temperatures above 15°C, and cold temperatures below 10°C. Results: Approximately 37% of the variation in all-season mortality from circulatory and respiratory causes can be explained by the variation in 7-day moving average apparent temperature (r 2 = 0.37, p<0.001). Although the analytical results from air pollution models show increasingly better prediction ability of longer time-intervals (r 2 = 0.012, p<0.001 in a 7-day model), a very weak negative association between elderly mortality and air pollution is observed. Conclusions: Apparent temperature is associated with mortality from respiratory and circulatory causes in elderly population of Metro Vancouver. In a changing climate, one may anticipate to observe potential health impacts from the projected high- and particularly from the low-temperature extremes. © 2011 Goran Krstić.
Singh S.,Fraser Health |
Foster R.,Amgen |
Khan K.M.,University of British Columbia
Canadian Family Physician | Year: 2011
Objective: To describe the postfracture osteoporosis management of at-risk patients presenting with low-trauma fracture in a suburban community hospital setting. Design: Telephone survey. Setting: Hospital emergency department serving a retirement community in White Rock and South Surrey, BC. Participants Men and women older than 40 years of age who presented with low-trauma fracture between October 1, 2004, and April 30, 2005. Main outcome measures: The prevalence of bone mineral density testing, osteoporosis medication prescriptions, referrals to fall prevention programs, and calcium and vitamin D supplementation within 6 months of the index fracture, as well as patient perceptions of future risk of fracture and sources of osteoporosis information. Results: A total of 181 people met the eligibility criteria and 161 were contacted; 84 (52%) people responded, of whom 53 were interviewed. At the time of their index fractures, 79% (42 of 53) of patients surveyed were not taking osteoporosis medication. After the index fracture, 30% (16 of 53) received new bone mineral density testing, and 8% (4 of 53) were starting courses of new osteoporosis medication. Sixty-eight percent (36 of 53) of all patients were taking calcium supplements and 50% (26 of 53) were taking vitamin D supplements. Eight percent (4 of 53) of patients were referred to a fall prevention program and 9% (5 of 53) were prescribed hip protectors; 19% (10 of 53) of patients thought they were at risk of having another fracture. Conclusion: Osteoporosis management of patients after low-trauma fracture in this community was suboptimal; the role of the media, family and friends, and allied health professionals to prevent fractures in at-risk individuals needs to be further explored.