DOCSLIB.ORG

Confidentialknowledge Institute of St

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Confidentialknowledge Institute of St Page 2 of 31 1 1 2 3 1 Trends in Elective and Ruptured Abdominal Aortic Aneurysm Repair by Practice Setting 4 2 in Ontario, Canada from 2003 to 2016: a population-based cross-sectional study 5 3 6 1 1 1 7 4 Konrad Salata , MD; Mohamad A. Hussain , MD, PhD; Charles de Mestral , MD, PhD; Elisa 1 1,2 1 3,4 8 5 Greco , MD, MEd; Badr A. Aljabri, MD ; Sandra Sabongui ; Muhammad Mamdani , 9 6 PharmD, MPH, MA; Thomas L. Forbes5, MD; Deepak L. Bhatt, MD, MPH6,7; Subodh Verma8, 10 7 MD, PhD; Mohammed Al-Omran1,2, MD, MSc. 11 8 12 9 1Division of Vascular Surgery, Li Ka Shing Knowledge Institute of St. Michael’s Hospital, and 13 10 University of Toronto, Toronto, ON, Canada; 2Department of Surgery, King Saud University, 14 3 15 11 Riyadh, Kingdom of Saudi Arabia; Li Ka Shing Centre for Healthcare Analytics Research and 16 12 Training (CHART), Li Ka Shing Knowledge Institute, St. Michael’s Hospital Toronto, ON, 17 13 Canada; 4Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada; 18 14 5Division of Vascular Surgery, Peter Munk Cardiac Centre & University Health Network, and 19 15 University of Toronto, Toronto, ON, Canada; 6Brigham and Women's Hospital Heart and 20 7 8 21 16 Vascular Center, Boston, MA, USA; Harvard Medical School, Boston, MA, USA; Division of 22 17 Cardiac Surgery, Li Ka Shing ConfidentialKnowledge Institute of St. Michael’s Hospital, and University of 23 18 Toronto, Toronto, ON, Canada. 24 19 25 20 Address for Correspondence: Dr. Mohammed Al-Omran, Division of Vascular Surgery, St. 26 21 Michael’s Hospital, 30 Bond Street, Suite 7-074, Bond Wing, Toronto, Ontario, M5B 1W8, 27 22 Canada. Tel: 001-416-864-6047, E-mail: [email protected]. 28 29 23 30 24 Funding: This work was jointly funded by the Physicians’ Service Incorporated Resident 31 25 Research Grant, the Division of Vascular Surgery at St. Michael’s Hospital, Toronto, Ontario, 32 26 and funds from the Department of Surgery, King Saud University, Riyadh, Kingdom of Saudi 33 27 Arabia. Dr. Salata is supported in part by the Canadian Institutes of Health Research Canada 34 28 Graduate Scholarship Master’s salary support award, and the Goerc and Toronto Academic 35 29 Vascular Specialists Surgeon Scientist Training Program Scholarship. 36 37 30 38 31 Disclosures: Dr. Deepak L. Bhatt discloses the following relationships - Advisory Board: 39 32 Cardax, Elsevier Practice Update Cardiology, Medscape Cardiology, Regado Biosciences; Board 40 33 of Directors: Boston VA Research Institute, Society of Cardiovascular Patient Care; Chair: 41 34 American Heart Association Quality Oversight Committee; Data Monitoring Committees: 42 35 Cleveland Clinic, Duke Clinical Research Institute, Harvard Clinical Research Institute, Mayo 43 44 36 Clinic, Mount Sinai School of Medicine, Population Health Research Institute; Honoraria: 45 37 American College of Cardiology (Senior Associate Editor, Clinical Trials and News, ACC.org; 46 38 Vice-Chair, ACC Accreditation Committee), Belvoir Publications (Editor in Chief, Harvard 47 39 Heart Letter), Duke Clinical Research Institute (clinical trial steering committees), Harvard 48 40 Clinical Research Institute (clinical trial steering committee), HMP Communications (Editor in 49 41 Chief, Journal of Invasive Cardiology), Journal of the American College of Cardiology (Guest 50 42 Editor; Associate Editor), Population Health Research Institute (clinical trial steering 51 52 43 committee), Slack Publications (Chief Medical Editor, Cardiology Today’s Intervention), 53 44 Society of Cardiovascular Patient Care (Secretary/Treasurer), WebMD (CME steering 54 45 committees); Other: Clinical Cardiology (Deputy Editor), NCDR-ACTION Registry Steering 55 46 Committee (Chair), VA CART Research and Publications Committee (Chair); Research 56 57 58 59 60 For Peer Review Only Page 3 of 31 2 1 2 3 1 Funding: Abbott, Amarin, Amgen, AstraZeneca, Bristol-Myers Squibb, Chiesi, Eisai, Ethicon, 4 2 Forest Laboratories, Ironwood, Ischemix, Lilly, Medtronic, Pfizer, Regeneron, Roche, Sanofi 5 6 3 Aventis, The Medicines Company; Royalties: Elsevier (Editor, Cardiovascular Intervention: A 7 4 Companion to Braunwald’s Heart Disease); Site Co-Investigator: Biotronik, Boston Scientific, 8 5 St. Jude Medical (now Abbott); Trustee: American College of Cardiology; Unfunded Research: 9 6 FlowCo, Merck, PLx Pharma, Takeda. The remaining authors of this manuscript declare no 10 7 competing interests. 11 8 12 9 13 14 10 15 11 16 12 17 13 18 14 19 15 20 21 16 22 17 Confidential 23 18 24 19 25 20 26 21 27 22 28 29 23 30 24 31 25 32 26 33 27 34 28 35 29 36 37 30 38 31 39 32 40 33 41 34 42 35 43 44 36 45 37 46 38 47 39 48 40 49 41 50 42 51 52 43 53 44 54 45 55 46 56 57 58 59 60 For Peer Review Only Page 4 of 31 3 1 2 3 1 ABSTRACT 4 5 6 2 Background: Recent years have seen centralization of vascular surgery services in Ontario. We 7 8 3 sought to examine the trends in overall and approach specific elective (eAAA) and ruptured 9 10 4 abdominal aortic aneurysm (rAAA) repair by hospital type (teaching vs. community). 11 12 5 Methods: We conducted a population-based time-series analysis of eAAA and rAAA repairs in 13 14 15 6 Ontario, Canada from 2003 to 2016. Quarterly rates of repairs per 100,000 Ontarians > 40 years 16 17 7 old were calculated. We fit exponential smoothing models to the approach and hospital type 18 19 8 stratified data to examine repair trends. 20 21 22 9 Results: We identified 19,219Confidential eAAA and 2,722 rAAA repairs from 2003 to 2016. The rates of 23 24 10 eAAA repair and elective open surgical repair (OSR) in teaching and community hospitals 25 26 11 decreased by 1.15% (p=0.0077), 67% (p<0.0001), 23% (p<0.0001), and 60% (p=0.0002), 27 28 29 12 respectively. The rate of elective endovascular repair (EVAR) increased 667% in teaching 30 31 13 hospitals, (p<0.0001). Elective EVAR began in community centres after 2010 and increased to 32 33 14 0.98/100,000 (p<0.0001), resulting in a rebound in overall eAAA repair rates in the community. 34 35 15 Overall rAAA repairs and ruptured OSR decreased by 84% (p=0.0007) and 88% (p=0.0017) at 36 37 38 16 community centres. Ruptured EVAR at community centres increased from no procedures prior 39 40 17 to 2006, to 0.03/100,000 in 2016 (p=0.0048). 41 42 18 Interpretation: Endovascular aortic repair has seen substantial uptake in teaching and 43 44 45 19 community hospitals in Ontario. Furthermore, community hospital uptake of EVAR has begun 46 47 20 decentralization of AAA repair. Increased experience and training in EVAR, and reduced 48 49 21 specialized care requirements will likely lead to continued decentralization. 50 51 52 22 53 54 23 55 56 57 58 59 60 For Peer Review Only Page 5 of 31 4 1 2 3 1 INTRODUCTION 4 5 6 2 It is well known that open surgical repair (OSR) of abdominal aortic aneurysm (AAA) is 7 8 3 associated with 30-day mortality as high as 7%(1). However, studies have shown that outcomes 9 10 4 can be improved when OSR is conducted at experienced centres. Landon et al. demonstrated a 11 12 5 greater than 3% peri-operative mortality reduction at centres conducting more than 50 OSRs per 13 14 15 6 annum when compared to those that conducted fewer than 10 OSRs(1). Elsewhere, larger 16 17 7 hospital size, academic hospital type and greater annual surgeon volume have been associated 18 19 8 with significantly lower 30-day complication and re-operation rates (2, 3). Consequently, many 20 21 22 9 jurisdictions have moved towardConfidential centralization of AAA care to improve patient outcomes. 23 24 10 The advent of endovascular aortic repair (EVAR), a minimally invasive alternative to 25 26 11 OSR for AAA repair, may have removed the need for centralization. Studies comparing EVAR 27 28 29 12 to OSR for AAA repair have demonstrated superior short term mortality and morbidity for 30 31 13 EVAR, as well as shorter procedure times, transfusion requirements, ventilation times, and 32 33 14 intensive care unit (ICU) and hospital lengths of stay(4-7). In contrast, early work has also 34 35 15 shown the importance of individual volume requirements for EVAR competence and significant 36 37 38 16 shortening of the EVAR learning curve for surgeons learning at experienced centres(8, 9). These 39 40 17 factors would suggest that despite better outcomes and fewer requirements for specialized care, 41 42 18 AAA repair should remain centralized at large academic hospitals. The approach specific trends 43 44 45 19 in elective (eAAA) and ruptured abdominal aortic aneurysm (rAAA) repair by practice setting 46 47 20 are not well-studied, and the results of efforts to centralize AAA care in the endovascular era are 48 49 21 not known. The purpose of the present study is to determine the trends in OSR and EVAR of 50 51 52 22 eAAA and rAAA stratified by practice setting in Ontario, Canada from 2003 to 2016. 53 54 23 55 56 57 58 59 60 For Peer Review Only Page 6 of 31 5 1 2 3 1 METHODS 4 5 6 2 Study Design and Setting 7 8 3 We conducted a population-based, cross-sectional, time-series analysis of open surgical 9 10 4 (OSR) and endovascular repair (EVAR) of elective (eAAA) and ruptured (rAAA) abdominal 11 12 5 aortic aneurysms in Ontario.
Load more

Recommended publications
  • Index to the 1925-1927 Legislative Assembly of the Province
    GENERAL INDEX TO THE Journals and Sessional Papers OF THE Legislative Assembly, Ontario 1925-1926-1927 15 GEORGE V to 17 GEORGE V. Together with an Index to Debates and Speeches and List of Appendixes to the Journals for the same period. COMPILED AND EDITED BY ALEX. C. LEWIS, Clerk of the House ONTARIO TORONTO Printed and Published by the Printer to the King's Most Excellent Majesty 1927 NOTE. This index is prepared for the purpose of facilitating reference to the record, in the journals of the Legislative Assembly, of any proceedings of the House at any one or more of the sessions from 1925 to 1927, inclusive. Similar indexes have been published from time to time dealing with the sessions from 1867 to 1888, from 1889 to 1900, from 1901 to 1912, from 1913 to 1920, and from 1921 to 1924, so that the publication of the present volume completes a set of indexes of the journals of the Legislature from Confederation to date. The page numbers given refer to the pages in the volume of the journals for the year indicated in the preceding bracket. An index to sessional papers, and an index to the debates and speeches for the sessions 1925 to 1927 are also in- cluded. ALEX. C. LEWIS, INDEX PAGE Index to Journals 5 Index to Sessional Papers 141 Index to Debates and Speeches 151 [4] GENERAL INDEX TO THE Journals and Sessional Papers OF THE LEGISLATIVE ASSEMBLY OF THE Province of Ontario FOR THE SESSIONS OF 1925, 1926 AND 1927. 15 GEORGE V TO 17 GEORGE V.
    [Show full text]
  • Final Repport
    Final Reportp Project code: B.PAS.0297 Prepared by: Graham Donald Date published: March 2012 PUBLISHED BY Meat & Livestock Australia Limited Locked Bag 991 NORTH SYDNEY NSW 2059 Analysis of Feed-base Audit Meat & Livestock Australia acknowledges the matching funds provided by the Australian Government to support the research and development detailed in this publication. This publication is published by Meat & Livestock Australia Limited ABN 39 081 678 364 (MLA). Care is taken to ensure the accuracy of the information contained in this publication. However MLA cannot accept responsibility for the accuracy or completeness of the information or opinions contained in the publication. You should make your own enquiries before making decisions concerning your interests. Reproduction in whole or in part of this publication is prohibited without prior written consent of MLA. Analysis of Feed-base Audit Contents 1 Abstract............................................................................ 8 2 Executive Summary ........................................................ 9 3 Project Objectives ......................................................... 10 4 Method ........................................................................... 11 5 Results ........................................................................... 16 6 Discussion ..................................................................... 17 7 Further Investigations .................................................. 18 8 Acknowledgements .....................................................
    [Show full text]
  • The Canadian Parliamentary Guide
    NUNC COGNOSCO EX PARTE THOMAS J. BATA LI BRARY TRENT UNIVERSITY us*<•-« m*.•• ■Jt ,.v<4■■ L V ?' V t - ji: '^gj r ", •W* ~ %- A V- v v; _ •S I- - j*. v \jrfK'V' V ■' * ' ’ ' • ’ ,;i- % »v • > ». --■ : * *S~ ' iJM ' ' ~ : .*H V V* ,-l *» %■? BE ! Ji®». ' »- ■ •:?■, M •* ^ a* r • * «'•# ^ fc -: fs , I v ., V', ■ s> f ** - l' %% .- . **» f-•" . ^ t « , -v ' *$W ...*>v■; « '.3* , c - ■ : \, , ?>?>*)■#! ^ - ••• . ". y(.J, ■- : V.r 4i .» ^ -A*.5- m “ * a vv> w* W,3^. | -**■ , • * * v v'*- ■ ■ !\ . •* 4fr > ,S<P As 5 - _A 4M ,' € - ! „■:' V, ' ' ?**■- i.." ft 1 • X- \ A M .-V O' A ■v ; ■ P \k trf* > i iwr ^.. i - "M - . v •?*»-• -£-. , v 4’ >j- . *•. , V j,r i 'V - • v *? ■ •.,, ;<0 / ^ . ■'■ ■ ,;• v ,< */ ■" /1 ■* * *-+ ijf . ^--v- % 'v-a <&, A * , % -*£, - ^-S*.' J >* •> *' m' . -S' ?v * ... ‘ *•*. * V .■1 *-.«,»'• ■ 1**4. * r- * r J-' ; • * “ »- *' ;> • * arr ■ v * v- > A '* f ' & w, HSi.-V‘ - .'">4-., '4 -' */ ' -',4 - %;. '* JS- •-*. - -4, r ; •'ii - ■.> ¥?<* K V' V ;' v ••: # * r * \'. V-*, >. • s s •*•’ . “ i"*■% * % «. V-- v '*7. : '""•' V v *rs -*• * * 3«f ' <1k% ’fc. s' ^ * ' .W? ,>• ■ V- £ •- .' . $r. « • ,/ ••<*' . ; > -., r;- •■ •',S B. ' F *. ^ , »» v> ' ' •' ' a *' >, f'- \ r ■* * is #* ■ .. n 'K ^ XV 3TVX’ ■■i ■% t'' ■ T-. / .a- ■ '£■ a« .v * tB• f ; a' a :-w;' 1 M! : J • V ^ ’ •' ■ S ii 4 » 4^4•M v vnU :^3£'" ^ v .’'A It/-''-- V. - ;ii. : . - 4 '. ■ ti *%?'% fc ' i * ■ , fc ' THE CANADIAN PARLIAMENTARY GUIDE AND WORK OF GENERAL REFERENCE I9OI FOR CANADA, THE PROVINCES, AND NORTHWEST TERRITORIES (Published with the Patronage of The Parliament of Canada) Containing Election Returns, Eists and Sketches of Members, Cabinets of the U.K., U.S., and Canada, Governments and Eegisla- TURES OF ALL THE PROVINCES, Census Returns, Etc.
    [Show full text]
  • The Coastal Talitridae (Amphipoda: Talitroidea) of Southern and Western Australia, with Comments on Platorchestia Platensis (Krøyer, 1845)
    © The Authors, 2008. Journal compilation © Australian Museum, Sydney, 2008 Records of the Australian Museum (2008) Vol. 60: 161–206. ISSN 0067-1975 doi:10.3853/j.0067-1975.60.2008.1491 The Coastal Talitridae (Amphipoda: Talitroidea) of Southern and Western Australia, with Comments on Platorchestia platensis (Krøyer, 1845) C.S. SEREJO 1 AND J.K. LOWRY *2 1 Museu Nacional, Universidade Federal do Rio de Janeiro, Quinta da Boa Vista s/n, Rio de Janeiro, RJ 20940–040, Brazil [email protected] 2 Crustacea Section, Australian Museum, 6 College Street, Sydney NSW 2010, Australia [email protected] AB S TRA C T . A total of eight coastal talitrid amphipods from Victoria, South Australia and Western Australia are documented. Three new genera (Australorchestia n.gen.; Bellorchestia n.gen. and Notorchestia n.gen.) and seven new species (Australorchestia occidentalis n.sp.; Bellorchestia richardsoni n.sp.; Notorchestia lobata n.sp.; N. naturaliste n.sp.; Platorchestia paraplatensis n.sp. Protorchestia ceduna n.sp. and Transorchestia marlo n.sp.) are described. Notorchestia australis (Fearn-Wannan, 1968) is reported from Twofold Bay, New South Wales, to the Eyre Peninsula, South Australia. Seven Australian and New Zealand “Talorchestia” species are transferred to Bellorchestia: B. chathamensis (Hurley, 1956); B. kirki (Hurley, 1956); B. marmorata (Haswell, 1880); B. pravidactyla (Haswell, 1880); B. quoyana (Milne Edwards, 1840); B. spadix (Hurley, 1956) and B. tumida (Thomson, 1885). Two Australian “Talorchestia” species are transferred to Notorchestia: N. australis (Fearn-Wannan, 1968) and N. novaehollandiae (Stebbing, 1899). Type material of Platorchestia platensis and Protorchestia lakei were re-examined for comparison with Australian species herein described.
    [Show full text]
  • ION Construction Notice
    Construction Notice D St u D k L u e St St e m a n S el is g Construction Ahead: Charles, from Victoria lh u e F h t i o L r L i a W l W o b m St C c e A h u r e t v t St s e p s t S N au t t y St t ith St n S le S re lla u t n n B e t South to Borden South ha o l Lu t S S g P lin e t el i m W r e Pe H ne t N q La S El u ki ia l e s r en g ow to n W z ic St G G V W St a St o t a ki n r A E Construction of Stage 1 ION, the Region of Waterloo’s light s M o d v t w e W zo ar i o e a G e g s n s r v ar n l e A e A t o rd t A a v b na v M e A o ay e e M M M v El i e rail transit (LRT) service, is underway in select areas across S r N l e e St h e r t S n m t e t St Pl t n g St S e W e E S L r l g t l n n k S y A e c d n o u e i n v a r a i e t L C o e e em a Kitchener and Waterloo.
    [Show full text]
  • The Distinctive Foundations of Australian Democracy
    Papers on Parliament No. 42 December 2004 The Distinctive Foundations of Australian Democracy Lectures in the Senate Occasional Lecture Series 2003–2004 Published and printed by the Department of the Senate, Parliament House, Canberra ISSN 1031-976X Published by the Department of the Senate, 2004 Papers on Parliament is edited and managed by the Research Section, Department of the Senate. Edited by Kay Walsh All inquiries should be made to: Assistant Director of Research Procedure Office Department of the Senate Parliament House CANBERRA ACT 2600 Telephone: (02) 6277 3164 ISSN 1031–976X ii Contents Alfred Deakin. A Centenary Tribute Stuart Macintyre 1 The High Court and the Parliament: Partners in Law-making, or Hostile Combatants? Michael Coper 13 Constitutional Schizophrenia Then and Now A.J. Brown 33 Eureka and the Prerogative of the People John Molony 59 John Quick: a True Founding Father of Federation Sir Ninian Stephen 71 Rules, Regulations and Red Tape: Parliamentary Scrutiny and Delegated Legislation Dennis Pearce 81 ‘The Australias are One’: John West Guiding Colonial Australia to Nationhood Patricia Fitzgerald Ratcliff 97 The Distinctiveness of Australian Democracy John Hirst 113 The Usual Suspects? ‘Civil Society’ and Senate Committees Anthony Marinac 129 Contents of previous issues of Papers on Parliament 141 List of Senate Briefs 149 To order copies of Papers on Parliament 150 iii Contributors Stuart Macintyre is Ernest Scott Professor of History and Dean of the Faculty of Arts at the University of Melbourne Michael Coper is Dean of Law and Robert Garran Professor of Law at the Australian National University. Dr A.J.
    [Show full text]
  • Thetimesnewtecumseth
    Alliston Tel: 705 481 1584 27 Victoria St W NOW OPEN CELLPHONE, COMPUTER & Telecom Tel: 1 877 891 7851 SECURITY CAMERA Email: [email protected] Buy, Sell, Install & REPAIR Alliston • Beeton • Tottenham Friday: Saturday: Sunday: Monday: Mix of Sun A Few Chance of A Few NewTecumseth and Clouds Showers Shower Showers Visit us online at: www.newtectimes.com Local 5-day Forecast LocalBuying 5-day Forecast Local 5-day Forecast Simcoe-York Printing Local 5-day Forecast Fax: 905-729-2541 or Proofed and Weekly Circulation: 2,000 l 905-857-6626 l 1-888-557-6626 l www.newtectimes.com today Thursdaytoday Friday Thursdaytoday Saturday Friday Thursday Sunday Saturday Friday Sunday Saturday Sunday approved by . Selling $1.50 per copy ($1.43TheTimes + 7¢ G.S.T.) Thursday, September 26, 2019 today Volume Thursday 45, Issue Friday 39 Saturday Sunday Date: December 12/13 PUBLICATIONS MAIL AGREEMENT NO.0040036642 RETURN UNDELIVERABLE CANADIAN ADDRESSES TO 30 MARTHA ST., #205, BOLTON ON L7E 5V1 2019 We acknowledge the fi nancial support of the Government of Canada through the Canada Periodical Fund of the Department of Canadian Heritage. in 2014 Date of insertion: December 12/13 CALL TT q KTS q IS q • locally MARC RONAN TODAY! ORDER YOUR sourced Sales Representative/Owner CC q OC q SFP q GVS q • air chilled www.marcronan.com FRESH THANKSGIVING • grain fed Sales Rep.: AD TURKEY www.vincesmarket.ca/reserve-your-turkey 905-936-4216 Set by: JS Ronan Realty, Brokerage Each Office Is Independently Owned And Operated Not intended to solicit clients under contract or contravene the privacy act.
    [Show full text]
  • Differences Between the 1991, 1986 and 1996 Data
    TRANSPORTATION TOMORROW SURVEY 2006 VERSION 1.0 DATA GUIDE TRANSPORTATION TOMORROW SURVEY 2006 A Telephone Interview Survey on Household Travel Behaviour in Greater Toronto and the Surrounding Areas Conducted in the Fall of 2005 and 2006 VERSION 1.0 DATA GUIDE Prepared for the Transportation Information Steering Committee by the Data Management Group Department of Civil Engineering University of Toronto October 2008 Participating Agencies: Ministry of Transportation, Ontario • City of Barrie • City of Brantford • City of Guelph City of Hamilton • City of Kawartha Lakes • City of Peterborough • City of Toronto County of Dufferin • County of Peterborough • County of Simcoe • County of Wellington GO Transit • Regional Municipality of Durham • Regional Municipality of Halton Regional Municipality of Niagara • Regional Municipality of Peel Regional Municipality of Waterloo • Regional Municipality of York Toronto Transit Commission • Town of Orangeville TABLE OF CONTENTS 1 Differences Between the 1986, 1991, 1996, 2001 and 2006 Data ..............................1 2 Data Expansion ............................................................................................................4 3 Planning Districts.........................................................................................................8 4 Traffic Zones ..............................................................................................................14 5 TTS Databases............................................................................................................16
    [Show full text]
  • SIMCOE (Barrie) LRO #51
    SIMCOE (Barrie) LRO #51 PLAN SERIES INVENTORY AND PREFIX CODES YEAR PLAN # PREFIX PLAN TYPE From To From To RD REFERENCE PLANS Sep 08, 1964 Sep 24, 1968 1 585 R REFERENCE PLANS Sep 24, 1968 Dec 30, 1970 586 1174 51R REFERENCE PLANS Jan 05, 1971 current 1175 current REFERENCE PLANS 40R Dec 9, 1965 Dec 2, 1974 2 2079 (Registry) Mara/Rama REFERENCE PLANS (LT) WR Dec 9, 1965 Dec 2, 1974 2 2079 Mara/Rama M LAND TITLES SUBDIVISION PLANS 51M LAND TITLES SUBDIVISION PLANS D D-PLANS (Land Titles) SCP SIMCOE CONDOMINIUM PLANS 51BA BA-PLANS CTA CTA PLANS TCP TCP PLANS (Trans Canada Pipeline) MISC MISCELLANEOUS HPL HIGHWAY PLANS - Mara/Rama 51H HIGHWAY PLANS 51C CUSTODY PLANS PL REGISTRY REGISTERED PLANS (includes Subdivision Plans, Judge’s Plans, RCP’s and Inspector’s Plans) Exceptions: Prefix Plan # Suffix Duplicate Plans PLNOT 68 PL 68 NOTTAWASAGA PLESSA 68 PL 68 ESSA PLALN 216 PL 216 INNISFIL PLMED 216 PL 216 MEDONTE PLORO 217 PL 217 ORO PLSOR 217 PL 217 SOUTH ORILLIA PLTEC 277 PL 277 TECUMSETH PLTHN 277 PL 277 ESSA PLTAY 464 PL 464 TAY Page 1 SIMCOE (Barrie) LRO #51 PLFLOS 464 PL 464 FLOS PLMAR 15 PL 15 MARA PLMAR 25 PL 25 MARA PLRAM 56 PL 56 RAMA PLMAR 107 PL 107 MARA PLMAR 114 PL 114 MARA PLMAR 127 PL 127 MARA PLMAR 132 PL 132 MARA PLMAR 143 PL 143 MARA PLMAR 152 PL 152 MARA PLMAR 169 PL 169 MARA PLMAR 171 PL 171 MARA PLMAR 181 PL 181 MARA PLMAR 182 PL 182 MARA PLRAM 191 PL 191 RAMA PLMAR 203 PL 203 MARA PLRAM 224 PL 224 RAMA PLRAM 234 PL 234 RAMA PLRAM 238 PL 238 RAMA PLMAR 242 PL 242 MARA PLMAR 254 PL 254 MARA PLMAR 255 PL 255 MARA PLRAM
    [Show full text]
  • Equal Subjects, Unequal Rights
    CHAPTER THREE Australasia: one or two ‘honorable cannibals’ in the House? The first colonies on the Australian continent and the islands of New Zealand in the decades from the late 1830s to 1870 were notable for their swift movement politically from initial Crown colonies to virtual local self-government. As in Canada, the British Government first made arrangements for representative government based on a property franchise for all of these colonies, the already existing and the new, and then conceded responsible government to the colonists. Further, by 1860 the legislatures of the eastern and south-eastern Australian colo- nies had instituted full manhood suffrage. Formally, the Indigenous peoples of the Australasian colonies, Aborigines and Maori, were included in this rush along the path to self-government and democracy. Closer examination reveals that colonists on the Australian continent could afford to show contemptuous disregard of Aborigines’ involve- ment in political processes. New Zealand settlers, by contrast, would need to surround their initially fragile dominance of the colony with safeguards against Maori potential to influence their political agendas. White Canadians explicitly and consciously enshrined in law that Indigenous political rights were dependent on ‘progress’ in ‘civilisa- tion’. In the Australasian colonies, that agenda also would never be far from the surface, interwoven with urgent settler imperatives grounded in their intensive pursuit of their own economic interests. The means by which colonists could acquire
    [Show full text]
  • Electoral Law in the State of Western Australia: an Overview
    Electoral Law in the State of Western Australia: An Overview Third edition Electoral Law in the State of Western Australia: An Overview Harry C.J. Phillips This book celebrates 100 years of the Electoral Act 1907 Western Australian Electoral Commission Perth 2008 (Third edition 2013) First published in 2008 by the Western Australian Electoral Commission. Third edition 2013. © Western Australian Electoral Commission This book is copyright. Apart from any fair dealing for the purpose of private study, research, criticism or review, as permitted under the Copyright Act no part may be reproduced by any process without written permission. Enquiries should be made to the publisher. Bibliography ISBN 978 0 9804173 4 0 This book celebrates 100 years of the Electoral Act 1907. Printed by State Law Publisher HARRY C.J. PHILLIPS Contents Foreword................................................................................................... xi Acknowledgments ...................................................................................... xii Abbreviations............................................................................................. xii Chapter One: The Colonial Legacy........................................................... 1 The Colonial Franchise ..................................................................... 1 The Colonial Voting System............................................................. 5 Constituency Boundaries................................................................... 6 Administration of the
    [Show full text]
  • Operations Committee Meeting Agenda September 11, 2017 – 7:00 PM Council Chambers Whitby Municipal Building
    Operations Committee Meeting Agenda September 11, 2017 – 7:00 PM Council Chambers Whitby Municipal Building Interested in speaking at the meeting? Individuals who would like to speak to an item under Section 7, Staff Reports, must register with the Town Clerk by 10 am on the day of the meeting. Delegation Request Forms are available at www.whitby.ca/delegation and should be submitted to [email protected]. Please note that individuals are not required to register as a delegation for items under Section 6, Public Meetings. All individuals in attendance for a public meeting will have an opportunity to speak. Page 1. Appointment of Committee Chair and Vice-Chair 2. Declarations of Pecuniary Interest 3. Presentations 4. Delegations 5. Correspondence 6. Public Meetings 6.1 Corporate Services Department Report, CS 80-17 [7:00 p.m.] 7 - 64 Re: Development Charges Amended By-law Recommendation: 1. That the Town of Whitby 2017 Development Charges Amendment Background Study: Roads and Related Services – Town-Wide Infrastructure, dated July 19, 2017, completed in accordance with Section 10 of the Development Charges Act, 1997, be adopted, including the capital program and all calculations therein; 2. That approval of the capital program included in the Background Study indicates Council’s intention that an increase in the need for service will be met as required under paragraph 2 of Section 5(1) of the Development Charges Act, 1997 and Section 3 of Ontario Regulation 82/98. This approval shall be subject to further annual review during the capital budget process; 3. That in accordance with s.s.5(1)5 of the Development Charges Act, 1997 and Section 5 of the Ontario Regulation 82/98, it is Council’s clear intention that any excess capacity identified in the Page 1 of 200 Operations Committee Agenda September 11, 2017 – 7:00 PM Page Development Charges Amendment Background Study, shall be paid for by development charges contemplated in the said Development Charges Amendment Background Study, or other similar changes; 4.
    [Show full text]