Publications by authors named "C Tourigny"
Diabetes care in Canada is compromised by the lack of resources to adequately address the mental health challenges associated with both type 1 and type 2 diabetes. To address this gap Breakthrough T1D (formerly JDRF) Canada and Diabetes Canada developed a bilingual training program, and associated directory listing successful graduates, to educate and empower existing mental health providers to better provide services to those living with diabetes. This paper reports on the development and initial outcomes of this virtual training program.
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- Preeclampsia, a pregnancy-related hypertensive disorder, is linked to excessive protein in urine, typically measured through 24-hour collections or protein/creatinine ratios.
- A study involving 99 pregnant women used morning urine samples to determine the albumin/creatinine ratio (ACR) threshold for detecting significant proteinuria, finding an optimal ACR of 9 mg/mmol.
- This ACR threshold demonstrated strong sensitivity (84%) and specificity (88%), indicating it could effectively identify significant proteinuria in women being evaluated for preeclampsia.
Whereas the roles of the canonical wingless-type MMTV (mouse mammary tumor virus) integration site family (WNT) signaling pathway in the regulation of ovarian follicle growth and steroidogenesis are now established, noncanonical WNT signaling in the ovary has been largely overlooked. Noncanonical WNTs, including WNT5a and WNT11, are expressed in granulosa cells (GCs) and are differentially regulated throughout follicle development, but their physiologic roles remain unknown. Using conditional gene targeting, we found that GC-specific inactivation ofWnt5a(but notWnt11) results in the female subfertility associated with increased follicular atresia and decreased rates of ovulation.
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- The fee exemption policy for EmONC in Mali is intended to make maternal care more affordable by reducing financial barriers to accessing caesarean sections.
- A study involving 190 women evaluated the direct and indirect costs linked to these caesarean interventions, revealing that most women still incurred significant expenses despite the fee exemption.
- Key findings included that 91% of women ended up paying for treatment, with major expenses arising from medications and that those in rural areas or with complications faced even higher costs, highlighting ongoing disparities in access to care for lower-income women.
Introduction: Several countries have instituted fee exemptions for caesareans to reduce maternal and newborn mortality.
Objectives: To evaluate the effect of fee exemptions for caesareans on population caesarean rates taking into account different levels of accessibility.
Methods: The observation period was from January 2003 to May 2012 in one Region and covered 11.