International Journal of Circumpolar Health最新文献_第4页

Preparing for home death in rural areas - the experience of family caregivers providing palliative cancer care. 为农村地区的家庭死亡做准备——家庭照顾者提供姑息性癌症护理的经验。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-05-19 DOI: 10.1080/22423982.2025.2507443

Elisabet Breivik, Bente Ervik, Gabriele Kitzmüller

{"title":"Preparing for home death in rural areas - the experience of family caregivers providing palliative cancer care.","authors":"Elisabet Breivik, Bente Ervik, Gabriele Kitzmüller","doi":"10.1080/22423982.2025.2507443","DOIUrl":"10.1080/22423982.2025.2507443","url":null,"abstract":"Palliative care policies worldwide support people's wishes to spend their final days at home with family caregivers playing a vital role. In Norway, 16% of the population lives in rural areas where palliative end-of-life care is especially challenging due to geographical barriers and limited access to healthcare resources. Research on rural family end-of-life care for people with cancer is sparse. Therefore, the purpose of this study was to investigate what resources are needed for rural family caregivers when providing end-of-life care and preparing for home death for a person with cancer. Thirteen semi-structured in-depth interviews with family caregivers in seven rural municipalities in Northern Norway were conducted from February to April 2023. The thematic analysis revealed three key themes supporting caregivers' resilience: end-of-life care and home death require available resources in family caregivers; the availability of reliable professional follow-up services for end-of-life care; support from family and social networks compensate for lacking healthcare resources. Holistic healthcare for rural populations should consider aspects like distance and cost while involving the entire family and their social network. Local palliative care beds and telehealth services should be available to support rural family caregivers.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2507443"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Building capacity: paediatric vision screening in elementary schools. 能力建设：在小学进行儿童视力筛查。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-07-04 DOI: 10.1080/22423982.2025.2525621

Madeline L Lischynski, Marcella Ogenchuk

引用次数: 0

Effect of habitual cold exposure on brown adipose tissue activity in Arctic adults: a systematic review. 习惯性冷暴露对北极成人棕色脂肪组织活动的影响：一项系统综述。

IF 1.9 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-08-13 DOI: 10.1080/22423982.2025.2545059

Mette Motzfeldt Jensen, Martin Grønbech Jørgensen, Charlotte Elberling Almasi, Stig Andersen

{"title":"Effect of habitual cold exposure on brown adipose tissue activity in Arctic adults: a systematic review.","authors":"Mette Motzfeldt Jensen, Martin Grønbech Jørgensen, Charlotte Elberling Almasi, Stig Andersen","doi":"10.1080/22423982.2025.2545059","DOIUrl":"10.1080/22423982.2025.2545059","url":null,"abstract":"Brown adipose tissue (BAT) is crucial for non-shivering thermogenesis, a key adaptation for humans in Arctic environments. The discovery of BAT presence in human adults has ignited curiosity due to its potential role in combating obesity, type II diabetes and cardiovascular diseases. Following PRISMA guidelines and preregistration (PROSPERO CRD42023444511) this systematic review aims to describe the evidence of BAT activity among adults living in the Arctic with habitual cold exposure. Systematic searches were conducted in PubMed, Embase, and Scopus as of November 2024. In addition, trial registration searches, manual screening of reference lists, and requests to experts were performed. No restrictions were made regarding study selection. Each study was assessed using the NIH Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Of 429 studies screened, 21 full texts were included for eligibility assessment, and eight studies qualified for inclusion. Due to the heterogeneity of the included studies, a meta-analysis was not pursued. Results indicate high BAT activity in Arctic populations, as supported by increased supraclavicular skin temperatures after cold exposure, thyroid hormone dynamics, and genetic markers linked to BAT. Findings highlight BAT's role in cold adaptation among adults residing in Arctic regions, though methodological limitations remain, necessitating further research.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2545059"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12355669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144845897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perspectives of Yukon's frontline health care workers during the COVID-19 pandemic. 2019冠状病毒病大流行期间育空地区一线医护人员的观点

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-01-07 DOI: 10.1080/22423982.2024.2444118

Liris Smith, Mark Christopher, Cody MacInnis, Janelle Yasay, Kat Secord, Paul Banks, Cindy Breitkreutz, Adam Mackie, Michelle Leach

{"title":"Perspectives of Yukon's frontline health care workers during the COVID-19 pandemic.","authors":"Liris Smith, Mark Christopher, Cody MacInnis, Janelle Yasay, Kat Secord, Paul Banks, Cindy Breitkreutz, Adam Mackie, Michelle Leach","doi":"10.1080/22423982.2024.2444118","DOIUrl":"10.1080/22423982.2024.2444118","url":null,"abstract":"The perspectives of Yukon's nurses and physicians can determine what might mitigate burnout and strengthen the response to the COVID-19 pandemic and/or future health emergencies. The study was conducted in the Yukon Territory, Canada in two phases: completion of the Copenhagen Burnout Inventory (CBI), and in-depth oral interviews. This paper will discuss the results of the interviews. A hybrid thematic analysis of 38 interviews revealed five primary themes: personal impacts; work-related effects; client effects/patient care; perceptions of the territorial response to COVID-19; and recommendations for future pandemics. The loss of social connection and burden of childcare contributed to personal burnout. Stressful work environments, increased workload, limited resources and feeling undervalued contributed to job stress and work-related burnout. Healthcare workers ascribed meaning to their roles in improving community health , which may have mitigated client-related burnout. Systemic change is needed to ensure the healthcare workforce can maintain service delivery and respond to future pandemics. The response to COVID-19 was mounted on the backs of frontline healthcare workers who made personal sacrifices and worked to exhaustion to serve their patients. As the healthcare system and its workforce recover from the pandemic, the calls to support healthcare workers must be answered.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2444118"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11721751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142948344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring Indigenous-informed contributions to decision-making to support improved food security in Canada: a scoping review. 探索土著知情对决策的贡献，以支持改善加拿大的粮食安全：范围审查。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-05-30 DOI: 10.1080/22423982.2025.2497594

Camille Slack, Tamara Donnelly, Sonia D Wesche, Tiff-Annie Kenny

{"title":"Exploring Indigenous-informed contributions to decision-making to support improved food security in Canada: a scoping review.","authors":"Camille Slack, Tamara Donnelly, Sonia D Wesche, Tiff-Annie Kenny","doi":"10.1080/22423982.2025.2497594","DOIUrl":"10.1080/22423982.2025.2497594","url":null,"abstract":"Indigenous-informed food security initiatives are gaining global recognition for their potential to foster sustainable, community-minded solutions, while centering environmental stewardship, and the preservation of culturally significant foodways. Despite this growing aknowledgement, Indigenous involvement in decision-making related to improved food security in Canada remains underexplored. This review aims to contribute to deepened understandings of how Indigenous inputs are guiding current food security decision-making processes, and how these approaches are being applied in the context of mixed food systems throughout Canada. A systematic search of five online databases was conducted to examine the existing literature on Indigenous-informed food security efforts in Canada, exploring key themes, gaps and recommendations. Yielding a total of 1916 results, 39 of which were retained for further analysis, this search highlighted a broad swath of initiatives, programs, policies and strategies, developed by, in partnership with, or centering the perspectives of Indigenous communities. These existing initiatives frame how Indigenous groups are already guiding food security action in Canada, and what factors need to be considered to ensure on-going effectiveness. Findings highlight the need for more collaborative, cross-sectoral, community-minded food security initiatives, which integrate both support for Indigenous self-determination and recognize the validity of traditional knowledges within decision-making processes at all levels.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2497594"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12128124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nutrition biomarker assessment and exploration of the role of country foods to improve food security in the Sahtú Region, Canada. 营养生物标志物评估和探索国家食品对改善加拿大Sahtú地区粮食安全的作用。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2024-12-19 DOI: 10.1080/22423982.2024.2438434

Mylene Ratelle, Breanna Phillipps, Kelly Skinner, Yvonne Lamers, Larisse Melo, Brian Laird, Leon Andrew, Jessie Yakeleya, Alyssa Bougie, Kirsten Jensen, Deborah Simmons

{"title":"Nutrition biomarker assessment and exploration of the role of country foods to improve food security in the Sahtú Region, Canada.","authors":"Mylene Ratelle, Breanna Phillipps, Kelly Skinner, Yvonne Lamers, Larisse Melo, Brian Laird, Leon Andrew, Jessie Yakeleya, Alyssa Bougie, Kirsten Jensen, Deborah Simmons","doi":"10.1080/22423982.2024.2438434","DOIUrl":"10.1080/22423982.2024.2438434","url":null,"abstract":"Country foods (i.e. wild traditional food) are associated with improved nutrition for northern populations. In response to community concerns, a project was implemented from 2019 to 2021 in the Sahtú region, Northwest Territories, Canada, to: 1) analyse nutrition biomarkers (vitamins A, B1, B2, B6, B12, D, E, folate, P, Na) in blood samples, in order to assess nutritional status and identify nutrient deficiencies, and 2) use a survey to document how access to country foods may improve food security in the community of Tulı́t'a. Findings from the nutritional biomarker assessments (n = 128) indicated that 94% of participants experienced clinical vitamin D deficiency (<20 ng/L of plasma 25-hydroxy-vitamin D3) and 9% had folate deficiency (<8.7 nmol/L total folate). In the previous 12 months, 71% of participants did not always have money to get more food when needed, but 92% of participants said they were not left hungry. Country foods were used to increase the quality or quantity of the diet. Increasing country food consumption, such as fatty fish and large game meat and organs could mitigate the vitamin D and folate deficiencies. Policies should be implemented to improve food security in the North by facilitating access to country food.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2438434"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11703025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A community-based task shifting program in 25 remote indigenous communities in Nunavut, Canada. 加拿大努纳武特地区25个偏远土著社区的社区任务转移方案。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2024-12-12 DOI: 10.1080/22423982.2024.2439119

Greg Toffner, David Alain Koff, Alexander Drossos, Uranchimeg Tsegmed, Margaret Andrea Baumann

{"title":"A community-based task shifting program in 25 remote indigenous communities in Nunavut, Canada.","authors":"Greg Toffner, David Alain Koff, Alexander Drossos, Uranchimeg Tsegmed, Margaret Andrea Baumann","doi":"10.1080/22423982.2024.2439119","DOIUrl":"10.1080/22423982.2024.2439119","url":null,"abstract":"Task shifting can improve access, availability, efficiency, and quality of health services in under resourced settings. Task shifting can occur formally or informally within health professions, between health professions, between support staff and health professions, or between lay community members and health professionals. There are currently thousands of Indigenous peoples in Canada's high Arctic, living in remote communities, north of the 60th parallel with limited access to basic medical services. In Nunavut, 25 remote fly-in communities exist in some of the most sparsely populated and harshest conditions on earth. Diminished access to or absence of basic health services such as diagnostic imaging and staff resources in remote communities can have a detrimental effect on patient care, and health outcomes. The existence of a community based diagnostic x-ray training program using a task shifting model addresses a gap in quality and access to services and subsequent treatment for community residents in this region.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2439119"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The potential of teleaudiology in remote areas as the Arctic: a scoping review of treatment and rehabilitation in remote and low-resource settings. 远程听力学在偏远地区如北极的潜力：对偏远和低资源环境中治疗和康复的范围审查。

IF 1.9 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-08-29 DOI: 10.1080/22423982.2025.2550809

Katrine Rosenquist Kirk, Michael Bille, Ramon Gordon Jensen

{"title":"The potential of teleaudiology in remote areas as the Arctic: a scoping review of treatment and rehabilitation in remote and low-resource settings.","authors":"Katrine Rosenquist Kirk, Michael Bille, Ramon Gordon Jensen","doi":"10.1080/22423982.2025.2550809","DOIUrl":"10.1080/22423982.2025.2550809","url":null,"abstract":"Hearing disability constitutes a major health care issue especially among indigenous populations and in low- and middle-income countries (LMIC). The authors are engaged in organising audiological services in Greenland, where the geographical challenges highlight the potential of tele-audiology. The search strategy was created in the PubMed database combining keywords and MeSH Terms with \"OR\" in each domain: \"Hearing\" and \"Telemedicine\" and then combined using \"AND\". Telerehabilitation was defined as: Rehabilitation of patients with hearing loss enabled by one or more consultations with a specialist over a remote connection. The search was reproduced in Cochrane. The final search resulted in a total of 2,273 articles. After screening, 32 articles were reviewed. The included studies cover a broad variety of study designs, age groups, and countries. All included studies were analysed and summarised according to themes of relevance to an arctic setting. The review concludes that the technological development in tele-audiology has come far. Importantly, none of the studies reviewed provided clear evidence that tele-audiology delivers an inferior service, though further high-quality research is needed to confirm this. However, the evidence level in the studies was generally low. The usability of tele-audiology in cross-cultural settings and LMICstill need further investigation.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2550809"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144953113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Aeromedical evacuations in the Canadian North: does the presence of a physician alter rates? 加拿大北部的航空医疗后送：医生的存在会改变比率吗？

IF 1.9 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-08-21 DOI: 10.1080/22423982.2025.2549172

Brendan Peddle, Philippe François Simon, Sean Waites, Cheri Bethune

{"title":"Aeromedical evacuations in the Canadian North: does the presence of a physician alter rates?","authors":"Brendan Peddle, Philippe François Simon, Sean Waites, Cheri Bethune","doi":"10.1080/22423982.2025.2549172","DOIUrl":"https://doi.org/10.1080/22423982.2025.2549172","url":null,"abstract":"Patients in Nunavut rely exclusively on airplane to access medical care beyond the nursing stations in communities. This can take the form of scheduled flights for chronic and non-urgent issues or dedicated medevacs for emergencies. Each community is routinely visited by family physicians (FP) who provide in-person primary care. The frequency and duration of FP visits depends on the community size, with larger communities having longer and more frequent visits. During their visits, FPs can be called upon to assist in emergencies. This study provides a detailed portrait of the territory's medical travels between 2012 and 2018. Contrary to our initial hypothesis, we show that the presence or absence of an FP in the community did not have a significant impact on the rates of medevacs. However, we found that the rates of non-urgent scheduled flights increased. Our findings provide in-depth information on the rates of medevacs and non-urgent travel in Nunavut. They also raise important questions for primary care in remote areas by demonstrating an increase in routine travel requirements when physicians are present in those communities. As health outcomes were not assessed, further studies are required before recommendations can be made to change the rate of FP visits.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2549172"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144953157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cold exposure among outdoor workers in the Arctic setting. 北极环境下户外工作者的低温暴露。

IF 1.9 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-09-23 DOI: 10.1080/22423982.2025.2561278

Rebecca Tapper, Hans Pettersson, Albin Stjernbrandt, Tiina Maria Ikäheimo, Jens Wahlström

{"title":"Cold exposure among outdoor workers in the Arctic setting.","authors":"Rebecca Tapper, Hans Pettersson, Albin Stjernbrandt, Tiina Maria Ikäheimo, Jens Wahlström","doi":"10.1080/22423982.2025.2561278","DOIUrl":"10.1080/22423982.2025.2561278","url":null,"abstract":"The main aim of this study was to describe the degree of cold exposure and occupational physical activity within three different outdoor occupational groups in northern Sweden using both technical measurements and self-reported survey items. The cold exposure and physical activity of workers in preschool, park and maintenance and power grid sectors (N = 133) were examined using a digital survey, temperature loggers and thigh-worn accelerometers. In the survey, 33% of workers indicated that they often or always felt cold at work, and 39% reported that they had inadequate knowledge about cold weather protection. The median (interquartile range, IQR) duration of working at ambient temperatures below 10°C was 131 (157) minutes. The physical activity while working outdoors was composed of sitting (20%), standing (54%) and walking (26%). About one-third of the participants reported that they often or always felt cold at their workplace, with an average of more than two hours spent outside at temperatures below 10°C. Possible remedies include increasing physical activity and improving thermal insulation of the clothing.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2561278"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0