Traditional activities and general and mental health of adult Indigenous peoples living off-reserve in Canada

IntroductionWe examined associations between traditional Indigenous activities and self-perceived general and mental health in adult Indigenous persons living off-reserve in Canada using the 2012 and 2017 Aboriginal Peoples Surveys (APS), the two most recent datasets. We utilized four traditional Indigenous activities including hunting, making clothes or footwear, making arts or crafts, and gathering wild plants to investigate these self-reported data.MethodsData from 9,430 and 12,598 respondents from the 2012 and 2017 APS, respectively, who responded to 15 questions concerning traditional activities were assessed using multivariable logistic regression to produce odds ratios (OR) and 95% confidence intervals (CI). Covariates included age, sex, education-level, income-level, Indigenous identity, residential school connection, ability to speak an Indigenous language, smoking status, and alcohol consumption frequency.ResultsUsing the 2012 APS, clothes-making was associated with poor self-reported general (OR = 1.50, 95%CI: 1.12–1.99) and mental (OR = 1.59, 95%CI: 1.14–2.21) health. Hunting was associated with good mental health (OR = 0.71 95%CI: 0.56–0.93). Similarly, 2017 analyses found clothes-making associated with poor general health (OR = 1.25, 95%CI: 1.01–1.54), and hunting associated with good general (OR = 0.76, 95%CI: 0.64–0.89) and mental (OR = 0.69, 95%CI: 0.58–0.81) health. Artmaking was associated with poor general (OR = 1.37, 95%CI: 1.17–1.60) and mental (OR = 1.85, 95%CI: 1.58–2.17) health.ConclusionHunting had protective relationships with mental and general health, which may reflect benefits of participation or engagement of healthier individuals in this activity. Clothes-making and artmaking were associated with poor general and poor mental health, possibly representing reverse causation as these activities are often undertaken therapeutically. These findings have implications for future research, programs and policies concerning Indigenous health

Policy Entrepreneurship and Multilevel Governance: A Comparative Study of European Cross-Border Regions

This article was publsihed in the journal, Environment and Planning C [© Pion]. The definitive version is available at: http://www.envplan.com/C.htmlThis article addresses the recent proliferation of Cross-Border Regions, or Euroregions, in Europe. It argues that EU multi-level governance patterns generate opportunities for entrepreneurial policy organisations to attract policy tasks and resources. This is conceptualised as policy entrepreneurship and applied to a comparative case study analysis of three Euroregions: EUREGIO (Germany – Netherlands), Viadrina (Poland – Germany) and Tyrol (Austria – Italy). The analysis focuses on the ability of these initiatives to establish themselves as autonomous organisations. It finds considerable variation across the cases in this respect. Following on from this, the paper shows how different administrative and institutional environments in different EU member states affect the ability of Euroregions to engage in policy entrepreneurship. It concludes that is it premature to perceive Euroregions as new types of regional territorial entities; rather, they are part of the policy innovation scenario enabled by EU multi-level governance

Euroregions: Institutional Entrepreneurship in the European Union

This is chapter from the book, Globalization, regionalization, and cross-border regions

Complex contaminant mixtures and their associations with intima-media thickness

Abstract Background The burden of cardiovascular disease (CVD) morbidity and mortality is higher among Indigenous persons, who also experience greater health disparities when compared to non-Indigenous Canadians, particularly in remote regions of Canada. Assessment of carotid intima-media thickness (cIMT), a noninvasive screening tool and can be used as biomarker to assess increased CVD risk. Few studies have examined environmental contaminant body burden and its association with cIMT. Methods Data from the Environment-and-Health Study in the Eeyou Istchee territory of northern Québec, Canada was used to assess complex body burden mixtures of POPs, metals and metalloids among (n = 535) Indigenous people between 15 and 87 years of age with cIMT. First, Principal Component Analysis (PCA) was used to reduce the complexity of the contaminant data. Second, based on the underlying PCA profiles from the biological data, we examined each of the prominent principal component (PC) axes on cIMT using multivariable linear regression models. Lastly, based on these PC axes, cIMT was also regressed on summed (Σ) organic compound concentrations, polychlorinated biphenyl, perfluorinated compounds, respectively, ∑10 OCs, ∑13 PCBs, ∑3PFCs, and nickel. Results Most organochlorines and PFCs loaded primarily on PC-1 (53% variation). Nickel, selenium, and cadmium were found to load on PC-5. Carotid-IMT was significantly associated with PC-1 β = 0.004 (95 % CI 0.001, 0.007), and PC-5 β = 0.013 (95 % CI 0.002, 0.023). However, the association appears to be greater for PC-5, accounting for 3% of the variation, and mostly represented by nickel. Results show that that both nickel, and ∑3PFCs were similarly associated with cIMT β = 0.001 (95 % CI 0.0003, 0.003), and β = 0.001 (95 % CI 0.0004, 0.002), respectively. But ∑10OCs was significantly associated with a slightly greater β = 0.004 (95 % CI 0.001, 0.007) cIMT change, though with less precision. Lastly, ∑13PCBs also increased β = 0.002 (95 % CI 0.0004, 0.003) cIMT after fully adjusting for covariates. Conclusion Our results suggest that environmental contaminants are associated with cIMT. This is important for the Cree from the Eeyou Istchee territory who may experience higher body burdens of contaminants than non-Indigenous Canadians

Environmental contaminant body burdens and the relationship with blood pressure measures among Indigenous adolescents using Bayesian Kernel Machine Regression: Results from the Nituuchischaayihtitaau Aschii: Multi-Community Environment-and-Health Study in Eeyou Istchee, Quebec, Canada, 2005–2009

Background: Early onset hypertension among youth has important cardiovascular health implications later in life. Persistent organochlorine pollutants, polybrominated diphenyl ethers (PBDEs), and toxic metals have been associated with adverse cardiovascular outcomes. Objectives: This study examined body burdens of environmental contaminants and blood pressure measurements (BP) among adolescents. Methods: We used data collected from the Multi-Community Environment-and-Health Study. First Nation adolescents with valid contaminant and BP measures were eligible. Principal Component Analysis (PCA) produced orthogonal principal component (PC) axes that were subsequently used as independent predictors in modified Poisson regression models, with robust variance estimation. Prevalence ratios (PR) with corresponding 95% confidence intervals (95% CI) were derived for elevated blood pressure (EBP), which was defined as systolic (SBP≥120 mm Hg or diastolic DBP)≥80 mm Hg according to new clinical practice guidelines for BP screening among adolescents between 13 and 19 years of age. Bayesian Kernel Machine Regression (BKMR) further examined individual contaminant contributions on continuous BP measures. Results: In total there were (n=148; 47 % females) First Nation adolescents. Prevalence of EBP, was 29%. Four PCs were extracted from the PCA analysis. The first axis (PC-1) explained 45% of the total variance, showing positive, primarily high loadings from polychlorinated biphenyl congeners (PCB). PBDEs loaded highly on PC-2, explaining 18% of the variation. Toxic metals (i.e., lead and mercury), and cadmium highly and positively loaded on PC-3 and PC-4, accounting for 11% and 10% of the variation, respectively. EBP was significantly associated with increasing PC-2 (i.e., PBDEs) across all adjusted models, fully adjusted model (PR=1.21; 95% 1.05, 1.40). Results from BKMR bolster the findings from the PCA and regression models. Conclusion: In this cross-sectional analysis, exposure to PBDE, specifically, PBDE-47 may adversely affect BP measures among young First Nation adolescents in Canada

Real time signal detection and computer visualization of the patient respiration

The article deals with the realization of the measurement chain for monitoring patient respiratory activity during radiotherapy. The primary requirement is a real time process monitoring of patient respiration during radiotherapy. The main part of the measuring chain is sensing element which converts the patient’s breathing movements into electrical signals. Different possibilities of obtaining these data are described. An essential part of a comprehensive monitoring system is a software environment for the analysis and testing of the acquired data. The output signals which correspond to the ventilation state of the patient are graphically visualized in the user environment, which is created in LabVIEW