Albin Stjernbrandt, Hans Pettersson, Per Vihlborg, Anje Christina Höper, Anna Aminoff, Jens Wahlström, Tohr Nilsson
{"title":"Raynaud’s phenomenon in the feet of Arctic open-pit miners","authors":"Albin Stjernbrandt, Hans Pettersson, Per Vihlborg, Anje Christina Höper, Anna Aminoff, Jens Wahlström, Tohr Nilsson","doi":"10.1080/22423982.2023.2295576","DOIUrl":"https://doi.org/10.1080/22423982.2023.2295576","url":null,"abstract":"The literature on Raynaud’s phenomenon (RP) in the feet is scarce, especially in the occupational setting. The primary aim of our study was to investigate the occurrence of RP in the feet of miners...","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138714509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eve Dubé, Marie-Pierre Renaud, Marie-Claude Lyonnais, Catherine Pelletier, Christopher Fletcher
{"title":"“The needle is already ready to go”: communities’ and health care professionals’ perceptions of routine vaccination in Nunavik, Canada","authors":"Eve Dubé, Marie-Pierre Renaud, Marie-Claude Lyonnais, Catherine Pelletier, Christopher Fletcher","doi":"10.1080/22423982.2023.2295042","DOIUrl":"https://doi.org/10.1080/22423982.2023.2295042","url":null,"abstract":"Inuit living in the northern region of Nunavik continue to experience significant health inequalities, which are rooted in colonialism that still have repercussions on their health-related percepti...","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138714371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohmmad Saad Khawer, Trish Goulet, Doug Brothwell, Keith Da Silva
{"title":"Practice Trends and Job Satisfaction of Dental Therapists in Canada: Results from a National Survey","authors":"Mohmmad Saad Khawer, Trish Goulet, Doug Brothwell, Keith Da Silva","doi":"10.1080/22423982.2023.2294568","DOIUrl":"https://doi.org/10.1080/22423982.2023.2294568","url":null,"abstract":"The objective of this research was to evaluate the practice trends, clinical services and job satisfaction of dental therapists in Canada. Licenced Canadian dental therapists were recruited to part...","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138687074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christina Schnohr, Trine Fuhr-Nielsen, Sarah O. Sørensen, Birgit Niclasen, Christina Viskum Lytken Larsen
{"title":"Probably the most active population in the world: accelerometer measurements of 72 school-children in Greenland","authors":"Christina Schnohr, Trine Fuhr-Nielsen, Sarah O. Sørensen, Birgit Niclasen, Christina Viskum Lytken Larsen","doi":"10.1080/22423982.2023.2289283","DOIUrl":"https://doi.org/10.1080/22423982.2023.2289283","url":null,"abstract":"Physical activity is the most important lifestyle factor to contribute to a healthy early life. International recommendations are that children should be vigorously physically active for at least 1...","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138556942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"In need of percutaneous coronary intervention in an arctic setting- patients' experience of safety and quality of care: a qualitative study.","authors":"Anette Krane, Gunn Pettersen, Knut Tore Lappegård, Tove Aminda Hanssen","doi":"10.1080/22423982.2023.2273016","DOIUrl":"10.1080/22423982.2023.2273016","url":null,"abstract":"<p><p>Patients with coronary heart disease need timely treatment for survival and optimum prognosis. There is limited research exploring patients' experience regarding distance to percutaneous coronary intervention. The aim was to explore patients' experiences of aspects contributing to safety and quality of care regarding health services following percutaneous coronary intervention in Northern Norway. A qualitative explorative design was used, and 15 patients participated in individual semi-structured interviews 9-16 months after treatment. The reflexive thematic analysis revealed two main themes: (1) being part of a safe system and (2) adapting to new everyday life. Feeling safe and experiencing quality care depended on whether the participants were heard within the system upon first contact, whether help was available when needed, the travel time for treatment, sufficient information, the competency of care provided by healthcare professionals, and how follow-up services were organised when adapting to everyday life. To conclude, patients undergoing percutaneous coronary intervention in an arctic context perceived healthcare services as safe when the system delivered continuous care throughout all levels. Consistent optimisation of transport time and distance to treatment, especially for rural patients, and extensively focusing on follow-up services, can contribute to improving safety and quality of care.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10997295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71412105","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}
Kerstin Almdal, Jan Storkholm, Simon Bernth-Andersen, Carsten Palnaes Hansen
{"title":"The results of pancreatic surgery in Inuit patients from Greenland 1999-2022.","authors":"Kerstin Almdal, Jan Storkholm, Simon Bernth-Andersen, Carsten Palnaes Hansen","doi":"10.1080/22423982.2023.2208392","DOIUrl":"10.1080/22423982.2023.2208392","url":null,"abstract":"<p><p>The study evaluates the outcome after surgery for pancreatic and periampullary tumors in Greenlandic Inuit with overall survival (OS) of pancreatic ductal adenocarcinoma (PDAC) as secondary outcome. Results were compared with Danish patients with an identical tumor stage and age operated at the same hospital during the same period from 31. January 1999 to 31. January 2021. Follow up was minimum one year. Preoperative health data shoved a higher rate of smoking among Greenlandic patients, but a lower preoperative comorbidity than in Danish patients. Patients from Greenland had a lower resection rate and a higher rate of palliative operations. Postoperative complications and in-hospital mortality were not significantly different. Adjuvant oncologic treatment was well accepted by Greenlandic patients but less common in a palliative setting than in Danish patients. The one, two, and five-year survival in Greenlandic and Danish patients after radical operation for PDAC was 54.4% vs. 74.6%, 23.4% vs. 48.6%, and 0.0% vs. 23.4%, respectively. The overall survival with non-resectable PDAC was 5.9 and 8.8 months, respectively. It is concluded that although patients from Greenland have the same access to specialized treatment, the outcome after treatment for pancreatic and periampullary cancer is less favorable than in Danish patients.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c4/16/ZICH_82_2208392.PMC10171119.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9452033","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}
Jill M G Bally, Carol Bullin, Jyoti Oswal, Bente Norbye, Emmy Stavøstrand Neuls
{"title":"\"Balancing two worlds\": a constructivist grounded theory exploring distributed/decentralised nursing education in rural and remote areas in Canada and Norway.","authors":"Jill M G Bally, Carol Bullin, Jyoti Oswal, Bente Norbye, Emmy Stavøstrand Neuls","doi":"10.1080/22423982.2023.2281100","DOIUrl":"10.1080/22423982.2023.2281100","url":null,"abstract":"<p><p>A challenge confronting northern nursing is delivery of equitable and culturally competent nursing education. Advances in technology support distributed approaches for decentralised learning and enhance the feasibility of nursing education in rural and remote regions. However, there is limited scholarship on distributed/decentralised technologies in nursing education, particularly in northern and circumpolar regions. The purpose of this constructivist grounded theory research was to develop an enhanced understanding of the unique experiences of students, faculty and administrators who use distributed/decentralised methods and technology. Open-ended interviews were completed in 2015-17 with nursing students (<i>n</i> = 8), faculty and administrators (<i>n</i> = 6) at two universities using distributed/decentralised educational strategies in northern and circumpolar regions. Interviews, journal entries, field notes and memos, were analysed using grounded theory procedures. Findings indicated that distributed/decentralised programs offered rural and remote students educational possibilities that \"fit\" which would not have otherwise existed. However, Balancing Two Worlds created a collision of roles resulting in the potential loss of balance. Students rectified the Fear of \"Falling Off\" of their program through four subprocesses: Being Disciplined, Having Realistic Expectations, Planning Ahead and Staying Motivated which provided structure and predictability. Findings support the development of empirical knowledge regarding distributed/decentralised technologies in nursing education and a foundation for future research.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10997294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138290920","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}
Teresa Hicks, Barb Stillwater, Kathryn Koller, Lea Palmer, Timothy Thomas
{"title":"Developing a culturally relevant physical activity guide for Alaska Native Head Start students in rural Alaska: the <i>Got Neqpiaq?</i> Study.","authors":"Teresa Hicks, Barb Stillwater, Kathryn Koller, Lea Palmer, Timothy Thomas","doi":"10.1080/22423982.2023.2287791","DOIUrl":"10.1080/22423982.2023.2287791","url":null,"abstract":"<p><p><b>Background:</b> Concern was voiced by Elders, teachers, and parents that and playtime activities of the Head Start preschool programme were not aligned with the local Alaska Native culture in their communities.<b>Methods:</b> The Alaska Native Tribal Health Consortium partnered with 12 Head Start preschool programmes, administered by Rural Alaska Community Action Program in rural Alaska, to explore with community members Alaska Native value-based solutions to the concerns they raised. Local input was gathered via focus groups, interviews, and surveys.<b>Results:</b> We worked together with communities to create a physical activity guide specific to preschool-age children in the region. The guide includes activity descriptions, lesson plans, flash cards, and photos of traditional Alaska Native physical activities and games specific to the region. This manuscript details the community engagement process foundational to the physical activity guide's adoption and implementation.<b>Conclusions:</b> The processes by which the guide was developed were strength-based and participatory. Widespread community engagement and participation led to a guide that was readily adopted because the community had taken ownership of the content. The lessons learned have been invaluable in developing long-term community-based partnerships and in setting the precedent to further incorporate local/regional culture into rural Alaska Head Start programmes.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10997299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138444594","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}
Raimund Lechner, Yannick Beres, Amelie Oberst, Kristina Bank, Markus Tannheimer, Martin Kulla, Bjoern Hossfeld
{"title":"Analysis of tourniquet pressure over military winter clothing and a short review of combat casualty care in cold weather warfare.","authors":"Raimund Lechner, Yannick Beres, Amelie Oberst, Kristina Bank, Markus Tannheimer, Martin Kulla, Bjoern Hossfeld","doi":"10.1080/22423982.2023.2194141","DOIUrl":"10.1080/22423982.2023.2194141","url":null,"abstract":"<p><p>Cold weather warfare is of increasing importance. Haemorrhage is the most common preventable cause of death in military conflicts. We analysed the pressure of the Combat Application Tourniquet® Generation 7 (CAT), the SAM® Extremity Tourniquet (SAMXT) and the SOF® Tactical Tourniquet Wide Generation 4 (SOFTT) over different military cold weather clothing setups with a leg tourniquet trainer. We conducted a selective PubMed search and supplemented this with own experiences in cold weather medicine. The CAT and the SAMXT both reached the cut off value of 180mmHg in almost all applications. The SOFTT was unable to reach the 180mmHg limit in less than 50% of all applications in some clothing setups. We outline the influence of cold during military operations by presenting differences between military and civilian cold exposure. We propose a classification of winter warfare and identify caveats and alterations of Tactical Combat Casualty Care in cold weather warfare, with a special focus on control of bleeding. The application of tourniquets over military winter clothing is successful in principle, but effectiveness may vary for different tourniquet models. Soldiers are more affected and impaired by cold than civilians. Military commanders must be made aware of medical alterations in cold weather warfare.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fc/a1/ZICH_82_2194141.PMC10062217.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9433506","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}
{"title":"New opportunities ahead amidst rising global tension and concern.","authors":"Rhonda M Johnson","doi":"10.1080/22423982.2023.2292460","DOIUrl":"10.1080/22423982.2023.2292460","url":null,"abstract":"","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10732174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138796285","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}