International Journal of Circumpolar Health最新文献_第6页

Orientation affects the integrity of glass ampoules of 1 in 1000 adrenaline on exposure to very low temperatures. 在极低的温度下，方向会影响 1:1000 肾上腺素玻璃安瓿的完整性。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-01-30 DOI: 10.1080/22423982.2024.2309756

Felix N R Wood, Jason Hicks, Rhiannon Wilkinson, Rosemary Hartley, Jonathon Lowe

引用次数: 0

Hysteroscopy needs of indigenous communities in Northern Quebec: a retrospective cohort study. 魁北克北部原住民社区对宫腔镜检查的需求：一项回顾性队列研究。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-05-27 DOI: 10.1080/22423982.2024.2359162

Andrew Zakhari, Dong Bach Nguyen, Jessica Papillon Smith, Fady W Mansour, Srinivasan Krishnamurthy

{"title":"Hysteroscopy needs of indigenous communities in Northern Quebec: a retrospective cohort study.","authors":"Andrew Zakhari, Dong Bach Nguyen, Jessica Papillon Smith, Fady W Mansour, Srinivasan Krishnamurthy","doi":"10.1080/22423982.2024.2359162","DOIUrl":"10.1080/22423982.2024.2359162","url":null,"abstract":"We aimed to determine the surgical output for patients from Nunavik undergoing transfer to an urban centre for hysteroscopy, and associated costs. We performed a retrospective chart review of all patients from the 14 villages of Nunavik transferred for hysteroscopic surgery from 2016 to 2021. Diagnoses, surgical intervention, and nature of the procedure were all extracted from the patient charts, and costs/length of stay obtained from logisticians and administrators servicing the Nunavik region. Over a 5-year period, 22 patients were transferred from Nunavik for hysteroscopy, of which all were elective save one. The most common diagnosis was endometrial or cervical polyp and the most common procedure was diagnostic hysteroscopy. The average cost for patient transfer and lodging to undergo hysteroscopy in Montreal ranged from $6,000 to $15,000 CDN. On average, 4-5 patient transfers occur annually for hysteroscopy, most commonly for management of endometrial polyps, at a cost of $6,000 to $15,000 CDN, suggesting the need to investigate local capacity building in Nunavik and assess cost-effectiveness.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2359162"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141154908","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

Funding the pandemic response for Indigenous Peoples: an equity-based analysis of COVID-19 using a Health Equity Impact Assessment (HEIA) Indigenous lens tool. 为土著人民的大流行病应对措施提供资金：利用健康公平影响评估（HEIA）土著透镜工具对 COVID-19 进行基于公平的分析。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-06-12 DOI: 10.1080/22423982.2024.2361987

Sean A Hillier, Elias Chaccour, Hamza Al-Shammaa, Bernice Downey, Laura C Senese, Jill Tinmouth, Naana Afua Jumah

{"title":"Funding the pandemic response for Indigenous Peoples: an equity-based analysis of COVID-19 using a Health Equity Impact Assessment (HEIA) Indigenous lens tool.","authors":"Sean A Hillier, Elias Chaccour, Hamza Al-Shammaa, Bernice Downey, Laura C Senese, Jill Tinmouth, Naana Afua Jumah","doi":"10.1080/22423982.2024.2361987","DOIUrl":"10.1080/22423982.2024.2361987","url":null,"abstract":"This study examines the allocation of COVID-19 funding for Indigenous Peoples in Canada, Australia, New Zealand, and the United States during the pandemic's first wave. Indigenous communities, already facing health disparities, systemic discrimination, and historical forces of colonisation, found themselves further vulnerable to the virus. Analysing the funding policies of these countries, we employed a Health Equity Impact Assessment (HEIA) tool and an Indigenous Lens Tool supplement to evaluate potential impacts. Our results identify three major funding equity issues: unique health and service needs, socioeconomic disparities, and limited access to community and culturally safe health services. Despite efforts for equitable funding, a lack of meaningful consultation led to shortcomings, as seen in Canada's state of emergency declaration and legal disputes in the United States. New Zealand stood out for integrating Māori perspectives, showcasing the importance of consultation. The study calls for a reconciliation-minded path, aligning with Truth and Reconciliation principles, the UN Declaration on the Rights of Indigenous Peoples, and evolving government support. The paper concludes that co-creating equitable funding policies grounded in Indigenous knowledge requires partnership, meaningful consultation, and organisational cultural humility. Even in emergencies, these measures ensure responsiveness and respect for Indigenous self-determination.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2361987"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11172235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141310712","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

Methodologies and challenges in Arctic human health risk assessment: case studies and evaluation of current practices. 北极人类健康风险评估的方法和挑战：案例研究和现行做法评估。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-11-19 DOI: 10.1080/22423982.2024.2428471

Khaled Abass, Alexey A Dudarev, Bryan Adlard, Zoe Gillespie, Arja Rautio, Luke Nych, Cheryl Khoury

引用次数: 0

Skin diseases among adults in Tasiilaq, East Greenland. 东格陵兰 Tasiilaq 地区成年人的皮肤病。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-10-03 DOI: 10.1080/22423982.2024.2412378

Morten B Haulrig, Anna M Andersson, Julia-Tatjana Maul, Jingyuan Xu, Su M Lwin, Carsten Flohr, Lone S Hove, Tove Agner, Anders Koch, Christopher E M Griffiths, Claus Zachariae, Jacob P Thyssen

{"title":"Skin diseases among adults in Tasiilaq, East Greenland.","authors":"Morten B Haulrig, Anna M Andersson, Julia-Tatjana Maul, Jingyuan Xu, Su M Lwin, Carsten Flohr, Lone S Hove, Tove Agner, Anders Koch, Christopher E M Griffiths, Claus Zachariae, Jacob P Thyssen","doi":"10.1080/22423982.2024.2412378","DOIUrl":"10.1080/22423982.2024.2412378","url":null,"abstract":"Cold climate and unique genetic and environmental factors may influence the prevalence of skin diseases in Greenland. However, there is a lack of epidemiological studies on skin diseases in the adult Greenlandic population. To address this unmet need a cross-sectional study, run by dermatologists from Denmark, the UK, and Switzerland estimated the prevalence and clinical manifestations of skin diseases among adults in East Greenland in May 2022. All adults ≥18 years in the town of Tasiilaq were invited, and 295 individuals aged 18-78 years participated (22.5% of the overall adult population in Tasiilaq). Two-hundred and three participants (69%) had visible signs of current skin disease, and among these, 242 cases of dermatoses were identified. The most common skin diseases were hand eczema (22.4%), lichen simplex (9.5%), discoid eczema (7.1%), psoriasis, atopic dermatitis and acne vulgaris (5.8% each). Scabies was the most frequent infectious skin disease (4.4%). No cases of skin cancer were identified. Atopic dermatitis and psoriasis presented with disease that was of limited extent and different from the classical presentations. Skin diseases showed a high prevalence among adults in East Greenland, and some of them were severe. This indicates a noteworthy public health problem that warrants better access to dermatologist support.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2412378"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11451277/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371786","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

Feasibility of a 12 weeks supervised exercise training intervention among people with Maturity Onset Diabetes of the Young (MODY) or type 2 diabetes in Greenland. 在格陵兰岛的青年期成熟型糖尿病（MODY）或 2 型糖尿病患者中开展为期 12 周的监督运动训练干预的可行性。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-09-20 DOI: 10.1080/22423982.2024.2403794

Laila Motzfeldt, Mathias Ried-Larsen, Freya Jørgensen Hovden, Marit Eika-Jørgensen, Michael Lynge Pedersen, Maja Hykkelbjerg Nielsen

{"title":"Feasibility of a 12 weeks supervised exercise training intervention among people with Maturity Onset Diabetes of the Young (MODY) or type 2 diabetes in Greenland.","authors":"Laila Motzfeldt, Mathias Ried-Larsen, Freya Jørgensen Hovden, Marit Eika-Jørgensen, Michael Lynge Pedersen, Maja Hykkelbjerg Nielsen","doi":"10.1080/22423982.2024.2403794","DOIUrl":"10.1080/22423982.2024.2403794","url":null,"abstract":"Preventing and managing Type 2 diabetes (T2D) involves adopting healthy lifestyle habits such as balanced nutrition and regular exercise. Maturity Onset Diabetes of The Young (MODY) shares diagnostic characteristics with T2D, but exercise responses in MODY remain unclear. In Greenland, MODY is 4-5 times more common than in other countries. No established exercise regimen exists for either T2D or MODY in Greenland. This study assessed the feasibility of a 12-week supervised exercise programme for MODY and T2D in Greenland, focusing on attendance, satisfaction, and effects on cardiovascular disease (CVD) risk factors and quality of life (QoL). Conducted as an experimental, two-armed, controlled trial, nine participants (4 with MODY) engaged in prescribed training sessions twice weekly for 45-60 minutes, while another nine (4 with MODY) formed the control group. Key outcomes included adherence rates, satisfaction levels, changes in HbA1c, body composition, aerobic fitness, blood pressure, CVD risk factors, and SF-12 scores. Although training adherence was modest at 56%, participant satisfaction remained high. Notable findings included a slight decrease of -0.3 mmol/l in HDL-cholesterol and a 5.7-point increase in the mental component (MCS) of SF-12 within the intervention group. However, the study underscores the need to refine the study design before supervised exercise programmes can be widely implemented in clinical settings in Greenland.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2403794"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142286389","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

Lung cancer in First Nations, Inuit, and Métis peoples in Canada - a scoping review. 加拿大原住民、因纽特人和梅蒂斯人的肺癌--范围界定审查。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-07-29 DOI: 10.1080/22423982.2024.2381879

James Russell O'Grady, Jannatul Ferdus, Sayna Leylachian, Yinka Bolarinwa, Joshua Wagamese, Lisa K Ellison, Connie Siedule, Ricardo Batista, Amanda J Sheppard

{"title":"Lung cancer in First Nations, Inuit, and Métis peoples in Canada - a scoping review.","authors":"James Russell O'Grady, Jannatul Ferdus, Sayna Leylachian, Yinka Bolarinwa, Joshua Wagamese, Lisa K Ellison, Connie Siedule, Ricardo Batista, Amanda J Sheppard","doi":"10.1080/22423982.2024.2381879","DOIUrl":"10.1080/22423982.2024.2381879","url":null,"abstract":"Lung cancer is one of the most commonly diagnosed cancers in Canada and a leading cause of cancer mortality. Lung cancer also affects First Nations, Inuit and Métis peoples significantly in Canada, which deserves further investigation as there is a literature gap on this topic. We sought to develop a deeper understanding of lung cancer diagnosis, incidence, mortality, and survival in First Nations, Inuit, and Métis peoples in Canada. A systematic search was conducted in bibliographic databases to identify relevant studies published between January 2000 and March 2023. Articles were screened and assessed for relevance using the Population/ Concept/ Context (PCC) framework. A total of 22 articles were included in the final analysis, of which 13 were Inuit-specific, 7 were First Nations-specific, and 2 were Métis-specific. The literature suggests that comparative incidence, mortality, and relative risk of lung cancer is higher and survival is poorer in First Nations, Inuit and Métis peoples. Lung cancer also has varying impact on these population depending on sex, age, location and other factors. This review illustrates that more comprehensive quantitative and qualitative lung cancer research is essential to further identify the structural causes for the high incidence of the disease.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2381879"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141792428","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

Important intergenerational transmission of knowledge in promotion of well-being and cultural identity in Greenland. 格陵兰在促进福祉和文化认同方面的重要代际知识传承。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-10-26 DOI: 10.1080/22423982.2024.2420479

Sofie Emma Rubin, Inunnguaq Mørch, Nuka Olsen, Kamilla Nørtoft

{"title":"Important intergenerational transmission of knowledge in promotion of well-being and cultural identity in Greenland.","authors":"Sofie Emma Rubin, Inunnguaq Mørch, Nuka Olsen, Kamilla Nørtoft","doi":"10.1080/22423982.2024.2420479","DOIUrl":"10.1080/22423982.2024.2420479","url":null,"abstract":"The \"Kinguaariit Inuunerissut\" (KI) camps, meaning \"generations in well-being\" in Greenlandic, was a pilot initiative designed to enhance cultural identity and intergenerational connections through culturally relevant activities. The outcomes of the KI-camps have informed the development of a broader KI-concept aiming at tailoring and implementing elements from KI-camps into early childhood education services, after-school programmes, and schools. In this paper we present the results from three workshop held in January 2024 in Sisimiut, Greenland where 28 older participants and 28 professionals were asked about essential knowledge and skills to be passed down to younger generations. The focus was on songs, storytelling/myths, the spiritual world, animals, plants, skills in nature/home, and handicrafts. Results shows that older people and professionals agree on the importance of passing down cultural knowledge through all the different categories and support the need to integrate these elements into educational programmes to preserve cultural heritage and strengthen community cohesion. The findings will guide the integration of intergenerational activities into municipal institutions and contribute to culturally relevant health promotion strategies in Greenland.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2420479"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499871","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

COVID-19 and local community resilience in the Westfjords of Iceland. COVID-19 和冰岛西峡湾当地社区的恢复能力。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-02-07 DOI: 10.1080/22423982.2024.2311966

Lara Johannsdottir, David Cook

{"title":"COVID-19 and local community resilience in the Westfjords of Iceland.","authors":"Lara Johannsdottir, David Cook","doi":"10.1080/22423982.2024.2311966","DOIUrl":"10.1080/22423982.2024.2311966","url":null,"abstract":"Remote Arctic communities have often been depicted as being particularly vulnerable to the challenges of disasters, with their location and lack of infrastructure exacerbating risk. This study explores the characteristics of local resilience in the Arctic using the case study of the communities of the north-western Westfjords. A total of 42 semi-structured interviews were carried out with various community members, seeking to uncover the features of inbuilt resilience that contribute to successes and vulnerabilities. These were transcribed, coded, and categorised in relation to an integrated framework for assessing community resilience in disaster management, which groups topics via the themes of environmental, social, governance, economic, and infrastructure. All themes played a role in the success of local coping strategies, with easy access to the natural environment central to physical and mental well-being. Despite this, vulnerabilities of the community were evident, including insufficient local healthcare workers during a severe COVID-19 outbreak in a care home, the absence of a local quarantine hotel, and insufficient information in foreign languages for non-natives of Iceland. The general trend of following rules and expert advice was demonstrative of strong social capital, with locals trusting those in charge, nationally and locally, to manage the pandemic.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2311966"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139702477","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

Rabies management structures and challenges in the North in a One Health framework. 在 "一个健康 "框架下，北方的狂犬病管理结构和挑战。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-02-18 DOI: 10.1080/22423982.2024.2318059

Karsten Hueffer

{"title":"Rabies management structures and challenges in the North in a One Health framework.","authors":"Karsten Hueffer","doi":"10.1080/22423982.2024.2318059","DOIUrl":"10.1080/22423982.2024.2318059","url":null,"abstract":"Rabies is often described as the quintessential One Health problem, linking especially animal health to human health. I examined how rabies is managed in the circumpolar North through semi-structured interviews of key informants in three cases: Alaska, Northwest Territories, and Svalbard. While rabies is controlled at the territorial or state level in the Northwest Territories and Alaska, respectively, the perception of where authority lies in rabies management is less evident in Norway concerning Svalbard than in the other two cases. Respondents generally characterised the working relationship between sectors and scales of governments as positive. However, coordination remains one of the main challenges to rabies management, with harsh environmental conditions and small remote communities adding additional challenges in all three cases. Rabies managers in Svalbard also face unique conditions, such as risks associated with hunting and the particular administrative structure of Svalbard. Due to limited veterinary services in dispersed small and remote communities, dogs present challenges to rabies management in Alaska and the Northwest Territories. Personal relationships are important in disease management across agencies, and the unique challenges in the far North will likely pose challenges in adopting approaches to disease management from temperate climates.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2318059"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10878328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139899816","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