- MHIKNET-L - University of Manitoba Mailing Lists

New report on ICU use in Manitoba
by Orvie Dingwall 23 Apr '12

23 Apr '12

Forwarded from the Manitoba Centre for Health Policy: New Report: The Epidemiology and Outcomes of Critical Illness in Manitoba Manitoba’s intensive care units (ICUs) operate efficiently, even though the supply of ICU beds in Manitoba is lower than the national average, says a new report the Manitoba Centre for Health Policy. What makes this study so valuable is that it includes the entire population of Manitoba and every intensive care unit in the province. In 2007/08, Manitoba had 118 ICU beds. There were 82 in Winnipeg hospitals, nine in Brandon, and 27 more spread among nine rural hospitals. In the most comprehensive study of its kind, researchers MCHP examined the use of intensive care units in the province from 1999 to 2008. They found: * About 8% of those in hospitals need ICU care each year (or about 0.6% of the adult population of Manitoba. * Admission rates were lowest among young adults and rose with age, especially above 55 years. Admission rates peaked at about 80 years old, and then declined among older residents. * over a nine-year period, ICU beds in Winnipeg were completely full less than 5% of the time. Outside Winnipeg, ICU beds were full less than 1% of the time. * Over half of all patients were admitted to an ICU because of cardiovascular conditions but the number of people admitted to ICUs for these problems fell over time, which parallels the decreases in heart attack and stroke rates in Manitoba. * Other illnesses commonly bringing patients to the ICU were severe infections, lung disorders, accidents or trauma, and poisonings. * Men accounted for about 60% of patients in ICUs. When adjusting for disparities, researchers found a higher underlying rate of critical illness among men, which explains their higher rate of ICU use. * When socioeconomic disparities in ICU care were adjusted, the report showed residents of higher income areas were slightly more likely to be admitted to an ICU. * One sixth of ICU care was for people who had previously been in a Manitoba ICU during the nine-year study period. * ICU patients’ use of the healthcare system (including hospital care, physician visits, prescription drugs, home care, and placement in personal care homes) turned out to be remarkably similar to that of people admitted to hospital but who did not use an ICU. * ICU patients were almost four times more likely to be re-admitted to an ICU in the year after discharge. Download the complete report and summary here: http://mchp-appserv.cpe.umanitoba.ca/deliverablesList.html<http://click.icptrack.com/icp/relay.php?r=30172807&msgid=1657136&act=YCC9&c…> Orvie Dingwall, BA, MLIS, AHIP Outreach Services Librarian MHIKNET Library Services Neil John Maclean Health Sciences Library University of Manitoba email: orvie_dingwall(a)umanitoba.ca<mailto:orvie_dingwall@umanitoba.ca> phone: 204.977.5660 website: http://mhiknet.lib.umanitoba.ca/

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Two Changes to MHIKNET Document Delivery
by Orvie Dingwall 29 Mar '12

29 Mar '12

There are two changes in how we are able to deliver journal articles to you. These result from the University of Manitoba adopting the Fair Dealing Guidelines (Association of Universities and Colleges of Canada, 2011, available at http://umanitoba.ca/admin/vp_admin/ofp/copyright/fair_dealing_guidelines.ht…). Please note that these changes should NOT affect your access to library resources. If you do notice a difference, or have any feedback resulting from these changes, please let us know. 1. Email agreement after requesting an article Each time you request articles by email, we will respond with the statement below, and will require you to respond stating you agree. We do recognize that this adds another level to the process to request articles, but unfortunately is a necessary step to comply with licensing agreements and copyright legislation. "Thank you for your request. In order for the UML to obtain the items you requested we need an acknowledgement from you that you have read and understood the following statement; The University of Manitoba has adopted the Fair Dealing Guidelines (Association of Universities and Colleges of Canada, 2011) available at http://umanitoba.ca/admin/vp_admin/ofp/copyright/fair_dealing_guidelines.ht…, which pertain to making copies of original materials. This (these) copies will be used solely for research, private study, review, criticism or news reporting. By responding to this email with the statement "I agree" you confirm acceptance of the conditions as outlined above. Once we have received your response we will complete your request. Any questions may be directed to the Document Delivery Department at the Neil John Maclean Health Sciences Library 204-789-3345." 2. No photocopying from the print collection Previously if you requested a journal article that we only had in our print collection, we could scan a copy of the article and email it to you. Or we could photocopy and mail or fax the article. We are no longer able to make copies of these articles/chapters for you, though we do have several options of providing this content to you: * We will purchase the article through a company that charges us for the cost of the article, and also for the cost of the copyright to loan the article (this is similar to loaning from other libraries and is within our budget). * Mail the print copy to you, complete with return postage. * Locate a similar resource that we can loan you. To determine the best option, our Library Assistant Connie will contact you to see which option best meets your needs. Please let me know if you have any questions, Orvie Mrs. Orvie Dingwall, BA, MLIS, AHIP Outreach Services Librarian MHIKNET Library Services Neil John Maclean Health Sciences Library University of Manitoba email: orvie_dingwall(a)umanitoba.ca<mailto:orvie_dingwall@umanitoba.ca> phone: 204.977.5660 website: http://mhiknet.lib.umanitoba.ca/

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unsubscribe
by Lorrain Bueckert 25 Feb '12

25 Feb '12

Hi there - some how I got on your list for emails - I am not part of your organization. Please take me off your list. Thanks! Lorrain Bueckert

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Welcome MHIKNET Library Assistant Connie Flook!
by Orvie Dingwall 24 Feb '12

24 Feb '12

I am very pleased to announce that Connie Flook has joined our MHIKNET Library Services team as Library Assistant. Connie is a recent graduate of the Library Technician program at Red River College. Her contact information is: Email. mhiknet(a)umanitoba.ca <mailto:mhiknet@umanitoba.ca?subject=MHIKNET> Phone. 204-789-3804 Toll-Free. 1-877-789-3804 Welcome Connie! Orvie Dingwall, BA, MLIS, AHIP Outreach Services Librarian MHIKNET Library Services Neil John Maclean Health Sciences Library University of Manitoba email: <mailto:orvie_dingwall@umanitoba.ca> orvie_dingwall(a)umanitoba.ca phone: 204.977.5660 website: <http://mhiknet.lib.umanitoba.ca/> http://mhiknet.lib.umanitoba.ca/

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New Reports on: Fiscal Sustainability, Guidelines for ADHD, Alcohol Use in Towns, and Breast Cancer Screening
by Orvie Dingwall 08 Feb '12

08 Feb '12

You may be interested in the following reports: Falk W, Mendelsohn M, Jhartarson J. Fiscal sustainability and the transformation of Canada's healthcare system: a shifting gears report. Mowat Centre for Policy Innovation, University of Toronto. 2011 Oct. http://www.mowatcentre.ca/research-topic-mowat.php?mowatResearchID=41 This report is intended to help facilitate informed, strategic, long-term decision making in healthcare in Canada, and is part of the Shifting Gears series. Canadian Agency for Drugs and Technologies in Health (CADTH). Guidelines and recommendations for ADHD in children and adolescents. CADTH. 2011 Oct. http://cadth.ca/media/pdf/RC0290_ADHD_Children_Adolescents_overview.pdf This report summarizes the current clinical evidence and findings of guidelines and recommendations. It was designed to explore the current utilization patterns and costs associated with the use of long- and short-acting ADHD medications. Beaton E, Barthos S, Alexander A. In our words: what alcohol looks like in our towns. Municipal Alcohol Project (Nova Scotia). 2011 Nov. http://www.wolfville.ca/what-alcohol-looks-like-in-our-towns.html This innovative project was designed to understand and illuminate alcohol-related harms in three Nova Scotia municipalities. Using key informants, the goal was to engage community members to paint an honest, unflinching picture of the alcohol-related harms in their communities. This report reveals their findings. Fitzpatrick-Lewis D, Hodgson N, Ciliska D. Breast cancer screening. Canadian Task Force on Preventive Health Care. 2011 Oct. http://www.canadiantaskforce.ca/recommendations/2011_01_eng.html Presents recommendations for routine mammography, MRI, clinical breast exam, and breast self exams. Documentation includes a clinician 1-page recommendation, 5-page recommendation published in CMAJ, and a systematic review. Orvie Dingwall, BA, MLIS, AHIP Outreach Services Librarian MHIKNET Library Services Neil John Maclean Health Sciences Library University of Manitoba email: <mailto:orvie_dingwall@umanitoba.ca> orvie_dingwall(a)umanitoba.ca phone: 204.977.5660 website: <http://mhiknet.lib.umanitoba.ca/> http://mhiknet.lib.umanitoba.ca/

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Next Week is National Non-Smoking Week!
by Orvie Dingwall 11 Jan '12

11 Jan '12

Next week is National Non-Smoking Week, January 15-21. Produced by the Canadian Cancer Society, there is a toll-free Smokers' Helpline (1-877-513-5333) and a website: www.smokershelpline.ca, including an interactive web-based service, that can be promoted as part of this week. Orvie Dingwall, BA, MLIS, AHIP Outreach Services Librarian Neil John Maclean Health Sciences Library University of Manitoba email: <mailto:orvie_dingwall@umanitoba.ca> orvie_dingwall(a)umanitoba.ca phone: 204.977.5660 website: <http://mhiknet.lib.umanitoba.ca/> http://mhiknet.lib.umanitoba.ca/

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Holiday Closure
by mhiknet＠cc.umanitoba.ca 22 Dec '11

22 Dec '11

MHIKNET Library Services and the University of Manitoba Libraries are closed for the Winter Holiday period (Dec. 23-Jan.2). We wish you happy holidays, and best wishes for the new year! -- MHIKNET Library Services Neil John Maclean Health Sciences Library University of Manitoba 770 Bannatyne Ave. Winnipeg, MB R3E 0W3 tel.: 1-877-789-3804 fax: 1-204-789-3923 email: mhiknet(a)umanitoba.ca http://mhiknet.lib.umanitoba.ca/

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New Free Online Resource and Reminder of Holiday Closure
by Orvie Dingwall 12 Dec '11

12 Dec '11

The Community Guide (www.thecommunityguide.org <http://mhiknet.lib.umanitoba.ca/node/www.thecommunityguide.org> ) is a free resource from the epidemiology branch of the Centers for Disease Control and Prevention in the US. It provides summaries and recommendations from systematic reviews that they conduct on broad public health topics. The Community Guide is a great place to look for answers to questions on: * Which program and policy intervention has been proven effective? * Are there effective interventions that are right for my community? * What might effective interventions cost; what is the likely return on investment? Also, a friendly reminder that MHIKNET Library Services will be closed from Friday December 23, 2011, re-opening Tuesday January 3, 2012. Orvie Dingwall, BA, MLIS, AHIP Outreach Services Librarian Neil John Maclean Health Sciences Library University of Manitoba email: <mailto:orvie_dingwall@umanitoba.ca> orvie_dingwall(a)umanitoba.ca phone: 204.977.5660 website: <http://mhiknet.lib.umanitoba.ca/> http://mhiknet.lib.umanitoba.ca/

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Holiday Closure and Farewell to Elizabeth Stregger
by Orvie Dingwall 02 Dec '11

02 Dec '11

MHIKNET Library Services and the University of Manitoba will be closed for the holidays from Friday December 23, 2011, re-opening Tuesday January 3, 2012. If you require literature searches or document delivery during that, please let us know in advance of this closure so we can accommodate your requests. Our Library Assistant, Elizabeth Stregger, has accepted a new position within the University of Manitoba Libraries and her last day with MHIKNET will be Friday December 9, 2011. Elizabeth has been an essential asset to our MHIKNET team and we are very sad to see her go. We wish Elizabeth the best of luck in her new position and in her pursuit of her Masters of Library and Information Science degree. Please continue to email mhiknet(a)umanitoba.ca for all of your requests. Staff at the Neil John Maclean Health Sciences Library will continue to provide regular services until we have completed the process of hiring a new Library Assistant. Kind regards, Orvie Mrs. Orvie Dingwall, BA, MLIS, AHIP Outreach Services Librarian Neil John Maclean Health Sciences Library University of Manitoba email: <mailto:orvie_dingwall@umanitoba.ca> orvie_dingwall(a)umanitoba.ca phone: 204.977.5660 website: <http://mhiknet.lib.umanitoba.ca/> http://mhiknet.lib.umanitoba.ca/

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New Canadian Breast Cancer Guidelines Released
by Orvie Dingwall 22 Nov '11

22 Nov '11

New guidelines for breast cancer screening have been released by the Canadian Task Force on Preventive Health Care and published in the CMAJ. Canadian Task Force on Preventive Health Care. Recommendations on screening for breast cancer in average-risk women aged 40-74 years. CMAJ. 2011; 183 (17): 1991- 2001. Available from: http://www.cmaj.ca/content/183/17/1991 A summary of the new recommendations included in these guidelines are available on page 1995. "Recommendations are presented for the use of mammography, magnetic resonance imaging (MRI), breast self-examination and clinical breast examination to screen for breast cancer (see Box 1). These recommendations apply only to women at average risk of breast cancer aged 40 -74 years. They do not apply to women at higher risk because of personal history of breast cancer, history of breast cancer in first-degree relatives, known mutations of the BRCA1/BRCA2 genes or previous exposure of the chest wall to radiation. No recommendations are made for women aged 75 years and older, given the lack of data available for this group. Mammography . For women aged 40-49 years, we recommend not routinely screening with mammography. (Weak recommendation; moderate-quality evidence) . For women aged 50-69 years, we recommend routinely screening with mammography every two to three years. (Weak recommendation; moderate-quality evidence) . For women aged 70-74 years, we recommend routinely screening with mammography every two to three years. (Weak recommendation; lowquality evidence) Magnetic resonance imaging . We recommend not routinely screening with MRI scans. (Weak recommendation; no evidence) Clinical breast examination . We recommend not routinely performing clinical breast examinations alone or in conjunction with mammography to screen for breast cancer. (Weak recommendation; low-quality evidence) Breast self-examination . We recommend not advising women to routinely practice breast self-examination. (Weak recommendation; moderate-quality evidence)" The Canadian Association of Radiologists responded (unfavorably) to these guidelines. Vogel, L. Breast-screening guidelines fuel firestorm. CMAJ. (News). 2011. Available from: http://www.cmaj.ca/site/earlyreleases/22nov11_breast-screening-guidelines-fu el-firestorm.xhtml Orvie Dingwall, BA, MLIS, AHIP Outreach Services Librarian Neil John Maclean Health Sciences Library University of Manitoba email: <mailto:orvie_dingwall@umanitoba.ca> orvie_dingwall(a)umanitoba.ca phone: 204.977.5660 website: <http://mhiknet.lib.umanitoba.ca/> http://mhiknet.lib.umanitoba.ca/

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