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Research Compilation 2016 – 2017

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Research Compilation 2016 – 2017 #1 Anishinaabe Bimaadizwin Research Compilation Research Bimaadizwin Anishinaabe A NISHINAABE BIMAADIZIWIN R ESEARCH P ROGRAM A joint initiative of Sioux Lookout Meno Ya Win Health Centre and Sioux Lookout First Nations Health Authority 2016 - 17 Research Compilation Volume 4 2016-2017 Table of Contents Introduction ................................................................................................................................................................1 Rural Medicine.......................................................................................................................................................... 5 A 5 Year Retrospective Study of Emergency Department use in Northwestern Ontario .............................6 Defining “High-Frequency” Emergency Department Use .................................................................................... 11 Rates of Diabetes-Related Lower-Limb Amputation in Northwestern Ontario ............................................. 15 Honey of a Wound .......................................................................................................................................................... 23 Food-Dependent Exercise-Induced Anaphylaxis ...................................................................................................27 Interlaminar Epidural Steroid Injections for Low Back Pain in Rural Ontario ............................................... 29 Clicking Hip in a Postmenopausal Woman ..............................................................................................................34 The Occasional Digital Nerve Block .......................................................................................................................... 36 The Occasional Regional Nerve Block of the Hand .............................................................................................. 38 Addiction Medicine ................................................................................................................................................42 Evaluation of 6 Remote First Nations Community-Based Buprenorphine Program ....................................43 Systematic Literature Review on Buprenorphine/Naloxone use in Outpatient Opioid Dependence Treatment ............................................................................................................. 51 Buprenorphine-Naloxone use in Pregnancy for Treatment of Opioid Dependence .................................. 58 Observational Study of the Safety of Buprenorphine+Naloxone in Pregnancy in a Rural and Remote Population ............................................................................................................................. 64 Maternal-Fetal Monitoring of Opioid-Exposed Pregnancies ...............................................................................71 Opioid use Disorder and Type 2 Diabetes Mellitus ............................................................................................... 81 Prescription Opioid Prescribing, Use/Misuse, Harms and Treatment Among Aboriginal People in Canada ........................................................................................................................ 85 The Occasional Treatment of Opioid use Disorder ............................................................................................... 94 Infectious Diseases ................................................................................................................................................................................. 101 First Nations Hepatitis C Virus Infections ...............................................................................................................102 Management of Infectious Diseases in Remote Northwestern Ontario with Telemedicine Videoconference Consultations ............................................................................................108 Potential Role for Interferon Release Assays in Tuberculosis Screening in a Remote Canadian Community ............................................................................................................................113 High Incidence of Invasive Group A Streptococcus Infection in Remote Indigenous Communities in Northwestern Ontario, Canada ............................................................116 Epidemiologic Features of Invasive Group A Streptococcus Infection in a Rural Hospital .....................122 Acute Post-Streptococcal Glomerulonephritis in Northwestern Ontario ......................................................130 Northern Topics? Seven Cases of Pyomyositis in Northwestern Ontario .....................................................135 Community-Associated Methicillin - Resistant Staphylococcus Aureus Infection ......................................140 Cross Cultural Medicine ..................................................................................................................................... 149 The Cultural Erosion of Indigenous People in Health Care ...............................................................................150 Community-Based First Aid: A Program Report on the Intersection of Community-Based Participatory Research and First Aid Education in a Remote Canadian Aboriginal Community ............152 Community-Based Emergency Care: A Model for Pre Hospital Care in Remote Canadian Communities ...........................................................................................................................160 An Environmental Scan of Emergency Response Systems and Services in Remote First Nations Communities in Northern Ontario...............................................................................164 Rural Medicine A 5 year retrospective study of Emergency Department use in Northwest Ontario: a measure of mental health and addictions needs. Matsumoto C, Madden S, O’Driscoll T, Lawrance J, ANISHNAABE BIMAADIZIWIN Research Compilation 2016-2017 Jakubow A, Loewen K, Kelly L. CJEM 2016. DOI 10.1017/cem.2016.387. Defining ‘high-frequency’ emergency department use: does one size fit all? Matsumoto C, Anishnaabe Bimaadiziwin Research Program continues to advance community-based research in O’Driscoll, Lawrence J, Madden S, Kelly L. CFP 2017;63(9):e395-399. Northwest Ontario. The program is a partnership of the Sioux Lookout Meno Ya Win Health Centre and the Sioux Lookout First Nations Health Authority. Diabetes, foot ulcers, amputation rates in NW Ontario: an incidence study and the introduction of a standardized diabetic foot ulcer management protocol. Loewen K, Vigliarolo J, Lance B, This is the fourth Research Compilation of regional research based in Sioux Lookout. Each Rockley M, Schreiber Y, Kivi C, Dwyer C, Kelly L. CJRM 2017;22(3):100-107. encompasses several years of peer reviewed literature, reproduced with permission of the authors. We thank the clinicians, fellow researchers, administrators, organizations and study Honey of a Wound: The Use of Medical Honey to Heal Diabetic Foot Ulcers in a Low-resource participants for contributing to the knowledge of medical and social realities in our region. Over Environment. Kivi K, Dwyer C, Lance B. Wound Care Canada 2016;14(3):34-7. the past decade, research has become an integral part of the fabric of our healthcare provision. Food-dependent exercise-induced anaphylaxis. Minty B. CFP 2017;63:42-3 Community-based research receives its mandate from the issues affecting the population we serve. Research can facilitate health program planning, evaluation, and advocacy as well as Interlaminar epidural steroid injections for low back pain in rural Ontario. Loewen K, documenting system deficits and clinical areas needing attention. Matsumoto C, Minty R, Morgan J, McKillop C, Kelly L. Canadian Journal of Rural Medicine. 2016;21(4):95-99. James Morris, CEO, Sioux Lookout First Nations Health Authority, past Board Member, Northern Ontario School of Medicine Clicking hip in a post-menopausal woman: an acetabular labral tear. Pannu A, Gandhi R, Kelly Heather Lee, CEO, Sioux Lookout Meno Ya Win Health Center L. CMAJ 2016;188(9):667-8. Janet Gordon, Chief Operating Officer, Sioux Lookout First Nations Health Authority Andrew Ross, Anishnaabe Bimaadiziwin Research Program, Sioux Lookout. The Occasional digital nerve blocks. Kelly L. CJRM 2016;21(2):51-52. Dr Terry O’Driscoll, Chief of Staff, Sioux Lookout Meno Ya Win Health Centre, past Board Member Northern Ontario School of Medicine The Occasional regional nerve blocks of the hand, Kelly L. CJRM 2016;21(3):80-83. Dr Sharen Madden, President of the Local Education Group, Northern Ontario School of Medicine Dr Len Kelly, Research Consultant, Sioux Lookout Meno Ya Win Health Centre Dr Natalie Bocking, Public Health Physician, Consultant in Preventive Medicine, Sioux Lookout Addiction Medicine First Nations Health Authority Dr Terri Farrell, Medical Director, Sioux Lookout First Nations Health Authority Evaluation of 6 remote First Nations community-based buprenorphine programs in northwestern Dr Yoko Schreiber, Infectious Disease Consultant, Sioux Lookout Meno Ya Win Health Centre Ontario. Mamakwa S, Kahan M, Kanate D, Kirlew M, Folk D, Cirone S, Rea S, Parsons P, Dr Ruben Hummelen, Regional Physician, Sioux Lookout First Nations Health Authority Edwards C, Gordon J, Main F, Kelly L. Can Fam Phy. 2017;63(2):137-145. Jamie Hemsworth-Hummelen, Registered Dietician, Approaches to Community Well-Being, Sioux Lookout First Nations Health Authority
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