Diabetes in British Columbia: Starvation in the Midst of Plenty

Total Page:16

File Type:pdf, Size:1020Kb

Diabetes in British Columbia: Starvation in the Midst of Plenty November 2018; 60:9 Pages 421–472 Diabetes in British Columbia: Starvation in the midst of plenty Challenges to managing type 2 diabetes in BC: Discordant guidelines and limited treatment options Diabetes care in First Nations populations in BC From beta cells to bedsides: A 2018 update on diabetes research in BC www.bcmj.org 422 BC MEDICAL JOURNAL VOL. 60 NO. 9, NOVEMBER 2018 bcmj.org November 2018 Volume 60 • Number 9 Pages 421–472 contents 425 Editorials Rhinos, take 2, David R. Richardson, MD (425) Knock, knock, it’s the doc, Jeevyn Chahal, MD (426) 427 President’s Comment Come together, right now: Why diversity matters, Eric Cadesky, MD 428 Letters to the Editor Photo radar, and stories from those close to people killed by a fast-moving vehicle, Robert Shepherd, MD ON THE COVER 430 WorkSafeBC British Columbia has Canada’s Engaging with research at WorkSafeBC, Susan Dixon most restrictive formulary when it comes to diabetes treatment. Our theme issue highlights both 432 General Practice Services Committee the highs and the lows of caring for people with diabetes in BC. New GPSC incentive supports family doctors to implement panel Articles begin on page 436. management, Brenda Hefford, MD, Alana Godin 434 News Eric Zhau receives Canadian Medical Hall of Fame award (434) Screening tool to identify deceptive online ads (434) New device for post-prostatectomy urinary incontinence (435) The ultrasound scanner of the future? (435) Revamped mental health and substance use website for young people The BCMJ is published by (464) Doctors of BC. The journal provides peer-reviewed clinical and review articles written primarily by BC physicians, Clinical Articles for BC physicians, along with debate on medicine and medical politics in editorials, letters, and THEME ISSUE: DIABETES CARE essays; BC medical news; career and CME listings; physician AND MANAGEMENT profiles; and regular columns. Print: The BCMJ is distributed monthly, other than in January 436 Guest editorial: Diabetes in British Columbia: and August. Starvation in the midst of plenty Web: Each issue is available at Ehud Ur, MBBS www.bcmj.org. Subscribe to print: Email [email protected]. 439 Challenges to managing type 2 diabetes Single issue: $8.00 Canada per year: $60.00 in British Columbia: Discordant guidelines Foreign (surface mail): $75.00 and limited treatment options Subscribe to the TOC: Maureen Clement, MD, Breay Paty, MD, G.B. John Mancini, MD, David Miller, MD, To receive the table of contents Adi Mudaliar, MD, Dave Shu, MD, David Thompson, MD, Adam White, MD, by email, visit www.bcmj.org and click on free e-subscription. Ehud Ur, MBBS Prospective authors: Consult the “Guidelines for Authors” at www.bcmj.org for submission requirements. BC MEDICAL JOURNAL VOL. 60 NO. 9, NOVEMBER 2018 bcmj.org 423 contents BC Medical Journal Vancouver, Canada 604 638-2815 451 Diabetes care in First Nations [email protected] populations in British Columbia www.bcmj.org Keith G. Dawson, MD 455 From beta cells to bedsides: A 2018 update Editor David R. Richardson, MD on diabetes research in British Columbia C. Bruce Verchere, PhD Editorial Board Jeevyn Chahal, MD David B. Chapman, MBChB Brian Day, MB David Esler, MD 460 Obituaries Timothy C. Rowe, MB Dr Richard Wadge, Alex Wadge (460) Yvonne Sin, MD Benedict M. Garry, MD (460) Cynthia Verchere, MD Dr John Daniel Garry, Dr Fred Ceresney, Alister F. Frayne, MD (461) Managing Editor Jay Draper Senior Editorial and 462 BC Centre for Disease Control Production Coordinator Kashmira Suraliwalla Raccoon latrines and risk of Baylisascaris transmission Associate Editor Erin Fraser, DVM, Eleni Galanis, MD, Muhammad Morshed, PhD, Joanne Jablkowski Copy Editor 463 Barbara Tomlin Council on Health Promotion Proofreader Climate change and infectious disease in Canada and BC Ruth Wilson David McVea, MD, Ray Copes, MD, Eleni Galanis, MD Design and Production Scout Creative 465 CME Calendar Cover Concept & Art Direction Jerry Wong Peaceful Warrior Arts 466 College Library Printing DynaMed available through College Library, Robert Melrose Mitchell Press Advertising Kashmira Suraliwalla 467 Guidelines for Authors 604 638-2815 [email protected] 468 ISSN: 0007-0556 Classifieds Established 1959 470 Back Page Opting out (Nanaimo 1992), Paul Mitenko, MD 471 Club MD Postage paid at Vancouver, BC. Advertisements and enclosures carry no endorsement of Doctors of BC or BCMJ. Canadian Publications Mail, Product Sales Agreement #40841036. © British Columbia Medical Journal, 2018. All rights reserved. No part of this journal may be reproduced, stored in a retrieval Return undeliverable copies to BC Medical Journal, system, or transmitted in any form or by any other means—electronic, mechanical, photocopying, recording, or otherwise—without 115–1665 West Broadway, Vancouver, BC V6J 5A4; prior permission in writing from the British Columbia Medical Journal. To seek permission to use BCMJ material in any form for tel: 604 638-2815; email: [email protected]. any purpose, send an email to [email protected] or call 604 638-2815. Statements and opinions expressed in the BCMJ reflect the opinions of the authors and not necessarily those of Doctors of BC or the institutions they may be associated with. Doctors of BC does not assume responsibility or liability for damages arising from errors or omissions, or from the use of information or advice contained in the BCMJ. The BCMJ reserves the right to refuse advertising. 424 BC MEDICAL JOURNAL VOL. 60 NO. 9, NOVEMBER 2018 bcmj.org editorials Rhinos, take 2 “ his year, as another flu sea- “Sure, but they are rare. Where’s “But you’re a physician.” son begins, I’m going to try your sense of adventure?” “Yeah, but not a very good one— T a different approach with my “I’m feeling a little uncom- just ask my wife. She tells everyone. patients to conserve all the energy I fortable.” I’m just in it for the fame and fortune.” expend trying to educate them (see “But you don’t have a car and you my editorial in the Jan/Feb 2017 is- I’m sure that, aren’t famous.” sue, “Of rhinos and flu”). “Regardless, that flu shot causes like all of you, I will “Hey Doc, do you think I should all sorts of problems. Lots of my pa- get the flu shot?” soldier on instead and tients get colds after receiving the “Nope.” present logical vaccine and last year one of my pa- “Why not?” scientific arguments tients got into a car accident after re- “Haven’t you heard? That shot until I am once again ceiving the shot.” gives you the flu!” blue in the face. “Isn’t that a coincidence?” “What?” “That’s what they would like you “Well, it contains parts of the flu to think.” virus, which are injected into you.” “But wait, that’s not all.” “Who are they?” “That doesn’t sound good.” “There’s more?” “Everybody knows who they are, “I know. It’s horrible. Your “The flu shot takes time to pro- but I can’t talk about it here in case body’s immune system responds and duce so scientists have to decide they have my office bugged again.” you might even feel unwell for a few months ahead of time which strains “Are you sure you’re not one of hours. Can you imagine? Way better to include, and the last few years those impaired physicians?” to fight it off bedridden for a week they haven’t been very accurate. Of “Define impaired.” or 2.” course, there is some cross-protection So, okay, maybe not, but it’s still “Really?” to other strains, but whatever.” fun to think about going to the dark “Oh yeah, always better to get the “Isn’t protection a good thing?” side. However, I’m sure that, like all disease. What would I do if no one got “My advice is to hang out with of you, I will soldier on instead and sick?” people who get the flu shot and stay present logical scientific arguments “Aren’t there serious complica- away from the sickies. That’s what I until I am once again blue in the face. tions from getting the flu?” do.” —DRR BC MEDICAL JOURNAL VOL. 60 NO. 9, NOVEMBER 2018 bcmj.org 425 editorials Knock knock, it’s the doc “ nock knock.” tucked in with lots of blankets and ing a patient’s health over the phone. “Who’s there?” facing an amazing view. He is pale Telehealth and virtual house calls K “Your doc.” and unresponsive and remains that are becoming the new fad. Telemedi- “Your doc who?” way throughout the visit. cine limits the doctor’s ability to actu- “Your family doctor.” Mrs and Mr S. are both my pa- ally see the patient and to assess the “What?! No way!” tients. His health declined rapidly patient’s real environment. We also The door swings open and there over the past few years to a point forget that many patients do not have she stands, Mrs S., with a genuine where his Parkinson disease and de- the technological savvy or the appro- smile on her beautifully wrinkled mentia made it difficult for Mrs S. to priate device required to conduct a face. Her smile widens even more virtual house call. when she sees that I have my 3-year- A house call is an There have been a few survey old daughter in tow. She opens her eye-opener. It usually takes studies done to assess physicians’ arms for a hug and welcomes us into thoughts about house calls. A study about 30 minutes and it her home. It is a very tidy and orga- cited in the Canadian Family Phy- nized space full of knickknacks and is not structured.
Recommended publications
  • Manitoba School Counsellor Magazine
    manitobaSchool Counsellor FALL 2020 Manitoba schools hold parades to boost student morale during the height of COVID-19 The transition to post-secondary education during a pandemic COVID-19, smoking, and vaping: A real-life exercise in critical thinking for your students PUBLICATIONS MAIL AGREEMENT #40934510 AGREEMENT MAIL PUBLICATIONS “I don’t think I would be where I am today without the supports of the Access Program. Access is really good because it establishes a community within a larger whole.” Brandon Wosniak, U of M student, Métis living in Winnipeg ACCESS Program Discover the path between you and your dreams The Access Program includes two paths: The University of Manitoba Access Program (UMAP) supports students in degree and diploma programs at the U of M. It is available to all Manitoba residents, with preference given to Indigenous people, residents of Northern Manitoba, low income earners, and newcomers. The Health Careers Access Program (HCAP supports Indigenous (Status, Non-Status, Métis, Inuit students for entry to health-related professions such as Medicine, Dentistry, Dental Hygiene, Pharmacy, Rehabilitation Sciences, and Nursing. Students must be residents of Manitoba. Access students receive: • Academic Advising • Smaller Classes • Personal Counselling • Learning Labs • Full-time Indigenous • Tutoring Hours Included Unkan (Grandfather) • Connection to the • Financial Advisor Indigenous Community To learn more visit www.umextended.ca access or call 204-474-8000 #AccessUM manitoba School Counsellor IN THIS ISSUE is published
    [Show full text]
  • 115108266.23.Pdf
    f da % KILDONAN CHURCH. Built in 185S, the ministry of Rev. John Black. THE SELKIRK SETTLERS IN REAL LIFE. BY REV. R. G. MacBETH, M.A., Pastor of Augustine Church, Winnipeg. WITH INTRODUCTION BY HON. SIR DONALD A. SMITH, K.O.M.G. TORONTO: WILLIAM BRIGGS. Montreal : C. W. COATES. Halifax: S. F. HUESTIS. Enterbd according to Act of the Parliament of Canada, in the year one thousand eight hundred and ninety-seven, by William Briggs, at the Department of Agriculture. v G N ys j 7CM*'64 PREFACE. In common with others who have been interested in, and connected with, the development of the territories formerly under the administration of the Hudson Bay Company, I heard with much pleasure of the intention of my friend, the Rev. R. G. MacBeth, M.A., to place on record an account of the genesis and development of the Selkirk Settlement in the Red River Valley. The longer such a work is postponed the more difficult must it be to carry out, and it would be a thousand pities if a descrip- tion of the pioneer attempts at colonization in the great North-West were not given to the world. This is neither the time nor the place to enter upon a discussion of the motives which influenced Lord Selkirk in his enterprise. He may have been somewhat in advance of the times in which he lived, but he had the courage of his convictions, and his efforts deserve the fullest recognition from those who believe in the great future in store for Western Canada.
    [Show full text]
  • Making Ends Meet Toronto’S 2015 Living Wage
    Canadian Centre for Policy Alternatives | Ontario April 2015 Making Ends Meet Toronto’s 2015 Living Wage Kaylie Tiessen www.policyalternatives.ca RESEARCH ANALYSIS SOLUTIONS Kaylie Tiessen is an economist with the Canadian Centre for Policy Alternatives’ Ontario office. She holds a Master’s degree in Development Economics from Dal- housie University. She researches labour markets, provincial budgets and the val- ---- ue of public services. This report is available free of charge at www.policyalternatives.ca. Printed copies may Toronto’s living wage calculation is based on the National Living Wage Framework – be ordered through the CCPA national office for a document outlining a national methodology to ensure consistency across the coun- a $10 fee. try. The methodology was developed based on the work of researchers in Ontario and British Columbia who refined their method based on feedback from focus groups of ... persons living on low-income and other representatives. Further discussion, devel- Help us to continue to offer our opment, and refinement of the calculation was conducted by the Toronto living wage working group – a committed group of individuals representing labour, business, the publications free online. public sector, social justice organizations, and civil society. Click / scan the QR code below to make a tax-deductible donation This group met several times to discuss the family expenditures that inform the calcu- lation. Thank you to the group for providing leadership, context, support, and valida- to the CCPA
    [Show full text]
  • Nova Scotia's Early Learning Curriculum Framework
    Capable, Confident, and Curious: NOVA SCOTIA’S EARLY LEARNING CURRICULUM FRAMEWORK IMPLEMENTATION DRAFT 2018–2019 Website references contained within this document are provided solely as a convenience and do not constitute an endorsement by the Department of Education and Early Childhood Development of the content, policies, or products of the referenced website. The department does not control the referenced websites and is not responsible for the accuracy, legality, or content of the referenced websites, or for that of subsequent links. Referenced website content may change without notice. If an outdated or inappropriate site is found, please report it to [email protected]. Please note that all attempts have been made to identify and acknowledge information from external sources. In the event that a source was overlooked, please contact [email protected]. Capable, Confident, and Curious: Nova Scotia’s Early Learning Curriculum Framework ISBN: 978-1-55457-717-0 © Crown copyright, Province of Nova Scotia, 2018 Prepared by the Department of Education and Early Childhood Development CAPABLE, CONFIDENT, AND CURIOUS: NOVA SCOTIA’S EARLY LEARNING CURRICULUM FRAMEWORK Acknowledgements The Nova Scotia Department of Education and Early Childhood Development acknowledges the work of other provincial early learning frameworks across Canada, all of which were reviewed in the preparation of this document. See Appendix A for a complete listing of provincial early learning curriculum frameworks. In particular, the Nova Scotia early learning curriculum framework acknowledges Australia’s Belonging, Being, and Becoming—The Early Years Learning Framework for Australia. With permission, content in the sections Early Learning Practices and Learning Strategies draw heavily on the Australian framework.
    [Show full text]
  • Dickson Motors Ltd
    ., , , , , ., .j , , , , , , " • " , " " . .~ - . • " . : . .' ,.' ;1-. '-----,-T- --- • Page Sixty-six PageSixty-seyeJ,l' TBB JEWISH P,OST Thursday, December 20, 1962 December 20, l.II6I! THE JEWI,SH POST Kobe community, without a rabbi, Best Wishes for a Happy to you all 1~~~~==:C~o=r=di;=:'a=l;""';:C;;:h=a=n=u=;k"'a=;h~G~r"'e"'e~ti;:ng=s~to~a:'illi=:o=u=r====~ a teacher, or school for the younger Friends and Customers I JOYOUS CHANUKAH GREETINGS TP ALL OUR I FRIENDS AND CUSTOIMERS generation? * * The Tenth an GOLD CROWN I went on to Hong Kong, many of \ By IDA, G. COWEN whose 50 Jewish families work in To reach the synagogue in Kobe, Pollock's Hardware one ·or another of the Kadoorie OLD DUTGH FOODS LTD. ., .' \ Japan, one climbs the hillside from BILLIARD LOUNGE family's far-flung ventures. But \ I ' , ! the port to reach Kitano-Cho, an ED HARRIS, Proprietor there is no feeling there of a 'com­ Phone SPruce 4-2561 OME time ago the play "The Tenth Man" was 'presented on Broadway area of attractive concrete homes Phone JUstice 2·5007' , Featuring. ·munity taking root alld planning S with great acclaim. The setting was a synagogue aruf the title derived with club house and swimming pool. 1407 MAIN ST. WINNIPEG 12 New Brunswick Gold CrowD Tables and Equipment for the younger generation. 1700 SARGENT AVE. WINNIPEG from the fact that the sexton had to go into the street Minyan hlinting. The synagogue itself is a large, ill Beautiful Modern Sunoundings r As hi Kobe, one winds up the I found this search for "the'Tenth Man" enacted in real life in communi- rather bare building contributed by "THE NEW TREND IN BILLIARDS" steep ,hillside from the waterfront ties such as, Kobe, Hong Kong, Bangkok, Rangoon ,and, Calcutta.
    [Show full text]
  • BRIDGES: from the Ivory Tower to Real Life 16 29
    E U ISS GLOBAL PERSPECTIVES ON DIABETES Volume 59 – June 2014 SPECIAL BRIDGES: from the ivory tower to real life 16 29 47 32 International Diabetes Federation All correspondence and advertising enquiries link to third-party websites, which are not under Promoting diabetes care, prevention and should be addressed to the Managing Editor: IDF’s control. The inclusion of such links does not imply a recommendation or an endorsement by a cure worldwide International Diabetes Federation, Chaussée de IDF of any material, information, products and La Hulpe 166, 1170 Brussels, Belgium services advertised on third-party websites, and IDF Diabetes Voice is published quarterly and is Phone: +32-2-538 55 11 – Fax: +32-2-538 51 14 disclaims any liability with regard to your access of such linked websites and use of any products or freely available online at www.diabetesvoice.org. services advertised there. While some information This publication is also available in French and © International Diabetes Federation, 2014 – All in Diabetes Voice is about medical issues, it is not rights reserved. No part of this publication may Spanish. medical advice and should not be construed as such. be reproduced or transmitted in any form or by any means without the written prior permis- ISSN: 1437-4064 Editor-in-Chief: Rhys Williams sion of the International Diabetes Federation Guest Editor: Linda Siminerio (IDF). Requests to reproduce or translate IDF Cover photo : © William Vazquez Managing Editor: Olivier Jacqmain, publications should be addressed to the IDF [email protected] Communications Unit, Chaussée de La Hulpe The production of this Special Issue has been 166, B-1170 Brussels, by fax +32-2-5385114, or made possible thanks to the support of BRIDGES.
    [Show full text]
  • Neph Program 8.5 Final.Qxd
    Program October 5–6, 2006 Vancouver Convention and Exhibition Centre Aleadingttend edge learning sessions Pain interactiverticipate panel discussions Connectwith colleagues Acquireinformation and tools you can use Conference Objectives and Accreditation After attending this conference, participants will be able to: 1. Use evidence-based criteria to achieve timely referral 10. Apply best practice standards in support of end-of- of CKD patients for transplant evaluation. life decision making and care delivery in the setting of pending or actual end stage renal disease. 2. Identify patients who will benefit from pre-emptive transplantation. 11. Provide ethically sound support to patients, families 3. Recognize and support opportunities for paired donation. and guardians in reaching life-support decisions for patients with or approaching end-stage renal disease. 4. Apply updated K/DOQI guidelines to establish evidence- based hemoglobin target ranges, and guide usage of 12. Identify barriers to the development of an effective erythropoietic salvage and iron agents for management and sustainable shared care agreement between of anemia in their CKD and dialysis patients. nephrologists and family physicians in caring for patients with chronic kidney disease. 5. Evaluate and apply a tested and proven BC protocol to delegate maintenance anemia therapy to certified 13. Apply existing models to develop context-specific nursing or pharmacy professionals. service agreements between family physicians and nephrologists to share the delivery of care for 6. Apply the BCPRA anemia management database as a patients with chronic kidney disease according to basis for tracking and guiding anemia management in provincial practice guidelines. CKD and dialysis patients. 14. Develop performance indicators and measures to 7.
    [Show full text]
  • Spring 2019 Newsletter May 28, 2019
    SPRING 2019 NEWSLETTER MAY 28, 2019 IN THIS EDITION: UPCOMING AND RECENT EVENTS FORECAST DINNER IN REVIEW PROGRAM PROMOTION MENTORSHIP PROGRAM NATIONAL | INSTITUTE DEVELOPMENTS | INITIATIVES INFO FOR CANDIDATES CAREER DEVELOPMENT Members, candidates and partners of the CFA Society Ottawa are welcomed to share their stories, information and announcements in the next edition of the Newsletter. Please contact [email protected]. 1 TABLE OF CONTENTS UPCOMING EVENTS OTTAWA ..............................................................................................................................3-4 SOCIETIES NEARBY .............................................................................................................4 GLOBAL ...................................................................................................................................4 RECENT EVENTS FORECAST DINNER IN REVIEW .................................................................................... 5-7 MEMBER’S RESOURCES PROGRAM PROMOTION ................................................................................................. 8-9 NATIONAL | INSTITUTE DEVELOPMENTS | INITIATIVES .............................................10 CAREER DEVELOPMENT WHAT MAKES A GREAT INVESTOR? ......................................................................... 11-12 CFA SOCIETY OTTAWA LEADERSHIP & VOLUNTEERS ................................................13 CFA Society Ottawa www.CFAOttawa.ca UPCOMING EVENTS JUNE 1, 2019 OCTOBER 2, 2019 SCHWESER MOCK EXAM WANT
    [Show full text]
  • How We Work Together
    how we work together THE INTEGRATED KNOWLEDGE TRANSLATION RESEARCH NETWORK CASEBOOK NO. 2 | 2020 EDITED BY ANITA KOTHARI, CHRIS MCCUTCHEON, LAURA BOLAND & IAN D GRAHAM The Integrated Knowledge Translation Research Network (IKTRN) is a network of knowledge users and researchers committed to studying, teaching and practicing integrated knowledge translation. The network is supported by the Canadian Institutes of Health Research through a seven- year Foundation Grant (FDN 14237) and is based at the Centre for Practice- Changing Research at The Ottawa Hospital, which is affiliated with the University of Ottawa. For more information, please visit: https://iktrn.ohri.ca Please cite as: Kothari A, McCutcheon C, Boland L, Graham ID, editors. How We Work Together: The Integrated Knowledge Translation Research Network Casebook. Volume 2. Ottawa: Integrated Knowledge Translation Research Network. 2020. CONTENTS 01 Foreword Anita Kothari The experience of using an integrated knowledge translation approach to develop, implement and evaluate an audit and 02 feedback system in Ontario maternal-newborn hospitals Sandra Dunn, Jessica Reszel, Deborah Weiss, Ian D Graham, Ann E Sprague, Mark Walker, on behalf of the Maternal Newborn Dashboard team Development of a patient decision aid to accept or decline implantable cardioverter-defibrillator replacement: An example 07 of integrated knowledge translation in PhD research Krystina B Lewis, Dawn Stacey, Sandra L Carroll, David Birnie, for the ICD replacement patient decision aid study team Developing and implementing
    [Show full text]
  • VIOLENCE and TERROR in the MASS MEDIA a Consolidated Report of Existing Research
    VIOLENCE AND TERROR IN THE MASS MEDIA A Consolidated Report of Existing Research By George Gerbner with the assistance of Nancy Signorielli The University of Pennsylvania Philadelphia March 1987 The work reported here was commissioned by UNESCO in the autumn of 1984. Over 4,600 requests for research reports, papers, publications, and other information pertaining to the subject of . violence and terror in the mass media.__ ~were mailed to scholars listed in the World Directory of Mass Communication Researchers the membership list of the International Association for Mass Communications Research, and other international lists. This summary is based on material received in response to that requests and a search of major libraries and data archives in 1985-86. An effort was made to obtain and use studies from all countries where relevant research had been conducted. The vast majority of studies came from the United States. Communications research in general and media violence studies in particular had their earliest start and widest reach in the U.S. Research reports, books, hearing records, papers, and documents, both published and unpublished, were used in this summary, and listed in the bibliography, when they appeared to be systematic rather- than purely speculative, and contained some description of analytical framework or methodology. Policy statements and documents were cited when they appeared to be authentic expressions of media, government, or other authorities. Some studies were discussed more fully than others in order to illustrate certain lines of research. Studies that converged toward or diverged from these lines of research were briefly cited. All citations refer to the bibliography.
    [Show full text]
  • Module 7-Measurement in Real-Life
    Module 7 Measurement in Real-Life _______________________________________ Alexis lives in Toronto. She made a long distance phone call to her sister in Winnipeg, Manitoba at 8:50p.m. EST. What time was it in Winnipeg? ____________________________________________________ Module 7: Measurement in Real-Life 1 PART 1 Time Mrs. Brady visits her grandchildren for 6 weeks during the summer. How many days does she visit her grandchildren? 60 seconds (s) = 1 minute (min) 60 minutes = 1 hour (h) 24 hours = 1 day (d) 7 days = 1 week (wk) 365 days = 1 year (y) 12 months (mo) = 1 year 52 weeks = 1 year 100 years = 1 century (c) To change from weeks to days, multiply. 6 weeks = ? days 1 week = 7 days 6 x 7 = 42 6 weeks = 42 days Mrs. Brady’s visit lasted for 42 days. Example: How many hours is 150 minutes? 150 minute = ? hours 60 minutes = 1 hour 150 ÷ 60 = 2.5 2 hours 150 minutes = 2.5 hours 30 minutes Module 7: Measurement in Real-Life 2 Analog Clocks Most devices we use are digital and tell us what the time is. Sometimes you might need to read an analog clock. Analog clocks use hands to show the time. Step 1: Look at the number on the clock face. Clocks are numbered from 1- 12. Step 2: Look at the shorter hand. This tells you the hour. In this example, the shorter hand is pointing to the 9 which means that the time is somewhere between 9:00 and 9:59. Step 3: Look at the longer hand, which tells you the minutes.
    [Show full text]
  • Errors Comedy
    SPRING 2014 NEWS Slapstick comedy and mistaken identity: come lose yourself in the Ruins THE COMEDY OFERRORS EARLY BIRD SPECIAL! TICKETS ON SALE NOW! Call 204-942-5483 Comedy of Errors Seeking POSITIVE IDENTIFICATION by Kevin Klassen “Known unto these, and to myself disguised!”The Comedy of Errors, II.2 From Jacob and Esau to Patty and Selma, the mistaken identity sus where (remarkable coincidence!) the other Antipholus has th of twins has been a source of laughter and tears since (one imag- spent the past twenty years (with his Dromio) creating his own Celebrate Will’s 450 with ines) the first bifurcation of a zygote. The confusion and chaos identity. the Bard’s Birthday Deal! that can emerge when one person is absolutely convinced that In addition to the expected hijinx, Shakespeare delivers some sly another person is someone they are not, whether due to physical commentary on just how slippery an eel the notion of identity April 23 Tickets go on sale! resemblance, disguise, or plain old presumption, is a bedrock can be. As each new Ephesean citizen comes across the man And because it’s his 450th of comedy and tragedy (both in entertainment and in real life), they presume (sometimes correctly, sometimes incorrectly) to and one of Shakespeare’s all-time favourite dramatic mecha- birthday, we are thrilled to be the Antipholus with whom they are familiar, we gain a new nisms. The Comedy of Errors, among his earliest plays (and likely perspective on his character: abusive master, neglectful hus- offer the Bard’s Birthday his first comedy) might just be the mistaken identity play to end band, misunderstood brother-in-law, generous host, respected Deal! Buy tickets for the first all mistaken identity plays! businessman, devoted soldier and war hero, etc.
    [Show full text]