Publications by authors named "Ruhland L"

A recent scoping review found that stressors involved in the military lifestyle (i.e., frequent relocation, parental absence, and risk of parental injury) may be associated with mental health issues among military-children.

View Article and Find Full Text PDF

Objective: To assess trabecular bone structure as calculated with fractal analysis by 2 binarization processes: White and Rudolph's original method (WR.o) and a revised version (WR.r).

View Article and Find Full Text PDF

Background: Most military families experience mandatory relocation, or posting, several times during the military career. For Canadian military families who must access provincial or territorial health care systems, maintaining reasonable continuity of care is a persistent issue. Such challenges may be amplified when a child in a military family has special needs within the health and educational systems.

View Article and Find Full Text PDF

Background: The rapid expansion of genetic knowledge, and the implications for healthcare has resulted in an increased role for Primary Care Providers (PCPs) to incorporate genetics into their daily practice. The objective of this study was to explore the self-identified needs, including educational needs, of both urban and rural Primary Care Providers (PCPs) in order to provide genetic care to their patients.

Methods: Using a qualitative grounded theory approach, ten key informant interviews, and one urban and two rural PCP focus groups (FGs) (n = 19) were conducted.

View Article and Find Full Text PDF

Background: At any one time, one in every five Canadians has low back pain (LBP), and LBP is one of the most common health problems in primary care. Guidelines recommend that imaging not be routinely performed in patients presenting with LBP without signs or symptoms indicating a potential pathological cause. Yet imaging rates remain high for many patients who present without such indications.

View Article and Find Full Text PDF

If an actor takes the perspective of an avatar, spatial dissociations could arise between the perspective of the actor and the perspective of the avatar. These become particularly interesting when solving spatial compatibility tasks. Effects of spatial compatibility are usually explained by a match or mismatch of automatic behavioural tendencies and intentional mapping processes.

View Article and Find Full Text PDF

To effectively translate genetic advances into practice, engagement of primary care providers (PCPs) is essential. Using a qualitative, phenomenological methodology, we analyzed key informant interviews and focus groups designed to explore perspectives of urban and rural PCPs. PCPs endorsed a responsibility to integrate genetics into their practices and expected advances in genetic medicine to expand.

View Article and Find Full Text PDF

Purpose: Zoledronic acid (ZOL) and denosumab (Dmab) are commonly used to treat bone pathologies. Because these drugs suppress bone metabolism, this study sought to compare their effect on bone repair after tooth extraction.

Materials And Methods: Four-week-old male Wistar rats were randomly assigned to 1 of 3 groups: ZOL 0.

View Article and Find Full Text PDF

Objective: To examine the views of parents and health-care providers regarding parental presence during neonatal intensive care rounds.

Study Design: Cross-sectional survey of parents whose children were admitted to a tertiary-care neonatal intensive care unit (n=81). Medical trainees (n=67) and nurses (n=28) were also surveyed.

View Article and Find Full Text PDF

Unlabelled: In a cluster randomized trial, we evaluated the effect of a multifaceted intervention (directed at both patient and primary care physician) on the rates of testing and treatment of osteoporosis in postmenopausal women within six months of their wrist fracture. Compared to usual care, women in the intervention practices were three times more likely to receive bone mineral density testing and prescribed osteoporosis treatments.

Introduction: Postmenopausal women with wrist fractures are at increased risk of future fragility fractures, yet they frequently do not receive evaluation and treatment for osteoporosis.

View Article and Find Full Text PDF

Objective: To assess driving problems experienced by patients with rheumatoid arthritis (RA) and to examine the relationship between functional status and driving difficulty.

Methods: Using the South Eastern Ontario Medical Organization (SEAMO) database, we identified 721 patients with RA from both urban and rural backgrounds. They completed a cross-sectional, self-administered mail survey that included the Health Assessment Questionnaire (HAQ-DI) and a co-morbidity questionnaire.

View Article and Find Full Text PDF
Article Synopsis
  • The study compared blood pressure control, satisfaction, and adherence to treatment in patients with hypertension followed by family physicians every three months versus every six months over three years.
  • Patients (609 total) were randomly assigned to either follow-up schedule, and, while the six-month group had fewer visits, both groups had similar blood pressure levels and patient satisfaction.
  • Results indicated that six-month follow-ups are as effective as three-month follow-ups, suggesting that the frequency of visits may not significantly impact hypertension control.
View Article and Find Full Text PDF

Background: Controlled clinical trials of health care interventions are either explanatory or pragmatic. Explanatory trials test whether an intervention is efficacious; that is, whether it can have a beneficial effect in an ideal situation. Pragmatic trials measure effectiveness; they measure the degree of beneficial effect in real clinical practice.

View Article and Find Full Text PDF