Provincial Review of Adherence to Age-specific Guidelines for Umbilical Hernia Repair and Trends in Management.

Background: Umbilical hernia (UH) is a common pediatric condition, for which delaying surgical repair for asymptomatic UH until after age 3 is recommended due to a high incidence of spontaneous closure. We aimed to determine the adherence to guidelines, rate of urgent surgical repair, outcomes, cost, and interinstitutional referral patterns of UH repair in the province of Quebec (Canada).

Methods: This was a population-based retrospective cohort study of children 28 days to 17 years old who underwent UH repair between 2010 and 2020 using health administrative databases.

Validation of a Costing Algorithm and Cost Drivers for Neonates Admitted to the Neonatal Intensive Care Unit.

Objective:  Neonatal intensive care units (NICUs) account for over 35% of pediatric in-hospital costs. A better understanding of NICU expenditures may help identify areas of improvements. This study aimed to validate the Canadian Neonatal Network (CNN) costing algorithm for seven case-mix groups with actual costs incurred in a tertiary NICU and explore drivers of cost.

The impact of tobacco tax reforms on poverty in Mexico.

Unlabelled: This paper investigates the impact of increasing the tobacco taxes on the poverty rate in Mexico. Unlike most LMIC countries, the prevalence of smoking in Mexico is higher among the well-off than among the poor. Yet, tobacco tax rates in Mexico are lower than those in most LMIC countries.

Infections, accidents and nursing overtime in a neonatal intensive care unit.

The paper investigates the effects of nursing overtime on nosocomial infections and medical accidents in a neonatal intensive care unit (NICU). The literature lacks clear evidence on this issue and we conjecture that this may be due to empirical and methodological factors. We model the occurrences of both events using a sample of 3979 neonates who represents over 84,846 observations (infant/days).

The impact of cognitive load on prospective and retrospective time estimates at long durations: An investigation using a visual and memory search paradigm.

As human beings, we are bound by time. It is essential for daily functioning, and yet our ability to keep track of time is influenced by a myriad of factors (Block & Zakay, 1997, Psychonomic Bulletin & Review, 4[2], 184-197). First and foremost, time estimation has been found to depend on whether participants estimate the time prospectively or retrospectively (Hicks et al.

Efficacy of a stepped care approach to deliver cognitive-behavioral therapy for insomnia in cancer patients: a noninferiority randomized controlled trial.

Study Objectives: Cognitive-behavioral therapy for insomnia (CBT-I) is the recommended first-line treatment for cancer-related insomnia, but its accessibility is very limited in routine care. A stepped care approach has been recommended as a cost-effective way to make CBT-I more widely accessible. However, no controlled study has yet been published about the efficacy of this approach.

Video cognitive-behavioral therapy for insomnia in cancer patients: A cost-effective alternative.

Objective: Despite its high prevalence, cancer-related insomnia typically remains untreated because of a lack of access to cognitive-behavioral therapy for insomnia (CBT-I), the treatment of choice for this condition. While face-to-face CBT-I appears to be optimal in terms of efficacy, self-administered formats may be more cost-effective. The goal of this secondary analysis of a randomized clinical trial was to compare the cost-effectiveness of a professionally-based CBT-I (PCBT-I) to that of a video-based CBT-I (VCBT-I).

Performance monitoring during categorization with and without prior knowledge: A comparison of confidence calibration indices with the certainty criterion.

Subjective confidence reports are used in numerous research paradigms to examine the extent to which participants are aware of their performance in a task. By examining the discrepancy between objective performance and subjective confidence ratings, inferences can be made about the conditions in which participants have greater explicit knowledge of the representations and processes used to complete a task. In the current study, we examined the effects of prior knowledge on subjective assessments of performance using a categorisation task wherein lists of features that defined exemplars shared latent feature associations on the basis of prior knowledge or had no prior associations.

The effect of college education on health and mortality: Evidence from Canada.

We investigate the returns to college attendance in Canada in terms of health and mortality reduction. To do so, we first use a dynamic health microsimulation model to document how interventions that incentivize college attendance among high school graduates may impact their health trajectory, health care consumption, and life expectancy. We find large returns both in terms of evity (4.

Association of Resident Duty Hour Restrictions, Level of Trainee, and Number of Available Residents with Mortality in the Neonatal Intensive Care Unit.

Objective: This article assesses the effect of reducing consecutive hours worked by residents from 24 to 16 hours on yearly total hours worked per resident in the neonatal intensive care unit (NICU) and evaluates the association of resident duty hour reform, level of trainee, and the number of residents present at admission with mortality in the NICU.

Study Design: This is a 6-year retrospective cohort study including all pediatric residents working in a Level 3 NICU ( = 185) and infants admitted to the NICU ( = 8,159). Adjusted odds ratios (aOR) were estimated for mortality with respect to Epoch (2008-2011 [24-hour shifts] versus 2011-2014 [16-hour shifts]), level of trainee, and the number of residents present at admission.

Association of Nursing Overtime, Nurse Staffing, and Unit Occupancy with Health Care-Associated Infections in the NICU.

 This study aims to assess the association of nursing overtime, nurse staffing, and unit occupancy with health care-associated infections (HCAIs) in the neonatal intensive care unit (NICU).  A 2-year retrospective cohort study was conducted for 2,236 infants admitted in a Canadian tertiary care, 51-bed NICU. Daily administrative data were obtained from the database "Logibec" and combined to the patient outcomes database.

Underestimation in linear function learning: Anchoring to zero or x-y similarity?

Function learning research has shown that people tend to underestimate positive linear functions when extrapolating Y for X-values below the training range. Kwantes and Neal (2006) proposed that this underestimation occurs because people anchor their Y-estimates at zero. It is equally plausible, however, that people are biased to make Y-estimates similar to the presented X-value.

The economic consequences of obesity and overweight among adults in Quebec.

Objectives: This article presents the first study of the economic consequences of obesity and overweight in the Canadian province of Quebec. The article examines three types of direct costs: hospitalizations, medical visits and drug consumption; and one type of indirect cost: productivity loss due to disability.

Methods: The National Population Health Survey, conducted in all Canadian provinces by Statistics Canada between 1994 and 2011, provides self-reported longitudinal data for body mass index and the frequency of health care utilization and disability.

Implementing shared decision-making in interprofessional home care teams (the IPSDM-SW study): protocol for a stepped wedge cluster randomised trial.

Introduction: The frail elderly in Canada face a tough decision when they start to lose autonomy: whether to stay at home or move to another location. This study seeks to scale up and evaluate the implementation of shared decision-making (SDM) in interprofessional (IP) home care teams caring for elderly clients or their caregivers facing a decision about staying at home or moving elsewhere.

Methods: A stepped wedge cluster randomised trial involving 8 Health and Social Service Centers (HSSCs) will be conducted with IP home care teams.

Attentional blink differences between adolescent dyslexic and normal readers.

The goal of this study was to evaluate the possibility that dyslexic individuals require more working memory resources than normal readers to shift attention from stimulus to stimulus. To test this hypothesis, normal and dyslexic adolescents participated in a Rapid Serial Visual Presentation experiment (Raymond, Shapiro, & Arnell, 1992). Surprisingly, the result showed that the participants with dyslexia produced a shallower attentional blink than normal controls.

A pharmacy-based health promotion programme in hypertension: cost-benefit analysis.

Objective: To weigh the costs and benefits of a pharmacy-based health promotion programme implemented in four pharmacies of the Quebec City area, Canada. This programme was developed to improve blood pressure control through activities aimed at improving the quality of prescribing and the adherence to treatment.

Design: Nine pharmacies in Quebec City were included, of which four pharmacies were assigned to the implementation of the health promotion programme.