{"title":"Residents' assessment of a community-based alcohol initiative in the Canadian Arctic.","authors":"M Callaway, P Suedfeld","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper evaluated a community-based initiative to control alcohol abuse in the Canadian Arctic by identifying, from an Inuit perspective, what components have been successful in the reduction of alcohol abuse and what components require improvement. Data were collected through interviews with community leaders, supplemented by a broadly-based survey. The most successful strategy in the reduction of alcohol abuse was the imposition of restrictions on the availability of alcohol. Counselling services did to some extent heighten community awareness about the deleterious effects of alcohol misuse, but have had marginal impact on the reduction of abuse. Residents and community leaders involved in running the alcohol program believe that a combination of the establishment of self-help groups, further counsellor training, increased community support, and improved outreach strategies would provide a greater impetus for change leading to the reduction of alcohol abuse within the community.</p>","PeriodicalId":77012,"journal":{"name":"Arctic medical research","volume":"54 4","pages":"184-91"},"PeriodicalIF":0.0,"publicationDate":"1995-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19560256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ethical issues in health research among circumpolar indigenous populations.","authors":"T K Young","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77012,"journal":{"name":"Arctic medical research","volume":"54 3","pages":"114-5"},"PeriodicalIF":0.0,"publicationDate":"1995-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18672628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S Biali, P J Jones, R A Pederson, I Iqbal, P Suedfeld
{"title":"Influence of a perpetual-daylight Arctic environment on periodicity in human cholesterol synthesis.","authors":"S Biali, P J Jones, R A Pederson, I Iqbal, P Suedfeld","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To identify factors associated with control of human cholesterol synthesis, periodicity in cholesterogenesis, hormonal levels and food consumption behavior were examined in 5 healthy individuals at the beginning and end of 18 d in a perpetual daylight Arctic environment devoid of time cues. At d 2 (phase I) and d 16 (phase II), cholesterol fractional synthesis rate was determined at 6 h intervals over 30 h as deuterium incorporation into plasma free cholesterol. Total plasma cholesterol, insulin and glucose-dependent insulinotropic polypeptide were also measured at each timepoint. Food intake and sleeping patterns were recorded prior to and during each phase. Cholesterol fractional synthesis rate (FSR) exhibited periodicity in all subjects on each phase, but did not differ between phase I (FSR rate = 0.038 +/- 0.038 pools.d-1) and phase II (FSR rate = 0.037 +/- 0.072 pools.d-1) phases. Phase II FSR period length was associated with both the duration between first and last meals (r2 = 0.81, p = 0.037) and total hours spent awake (r2 = 0.99, p = 0.001). Insulin and glucose-dependent insulinotropic polypeptide levels were not associated with FSR periodicity. These results suggest that meal timing and sleep/wake cycles are more important factors than insulin and glucose-dependent insulinotropic polypeptide in controlling the rhythms of whole body cholesterol synthesis.</p>","PeriodicalId":77012,"journal":{"name":"Arctic medical research","volume":"54 3","pages":"134-44"},"PeriodicalIF":0.0,"publicationDate":"1995-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18673180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Arthrosis of the hip and knee: environmental causes in the first year of life? A study of 1405 cases of arthrosis in north Norway 1984-1989.","authors":"V Fønnebø","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The association between month of birth and radiographically diagnosed bilateral arthrosis of the hip and/or knee was studied in 1405 cases at the University Hospital, University of Tromsø. In the total group no association was found in either sex for all arthrosis combined. In women with arthrosis of both hip and knee joints, however, the ratio between observed and expected showed a seasonal trend with a peak in the spring (1.48 for April births) and a low in the autumn and winter (0.39 for November births) (Test for seasonality: X2 = 9.48, d.f. = 2, p < 0.01). Low sunlight exposure prior to a crucial period in skeletal development is suggested as a possible cause.</p>","PeriodicalId":77012,"journal":{"name":"Arctic medical research","volume":"54 3","pages":"151-4"},"PeriodicalIF":0.0,"publicationDate":"1995-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18673182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors associated with glycemia and microvascular complications among James Bay Cree Indian diabetics of Quebec.","authors":"P Brassard, E Robinson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We conducted a chart review of physician diagnosed diabetics to obtain plasma glucose levels (fasting plasma glucose and glycosylated hemoglobin) over a retrospective 30 month time span and data on the presence or absence of current renal or ophthalmic microvascular complications. Multiple logistic regression was used to determine factors associated with the presence of microvascular complications. Poor glycemic control reflected by a need of insulin therapy (odds ratio (OR) = 2.7, confidence internal (CI): 1.1, 6.7), increased serum triglyceride levels (OR = 4.5, CI: 2.0, 9.9) and duration of illness of more than five years (OR = 3.0, CI: 1.2, 7.8) were found to be associated with the presence of microangiopathies. Process of care and temporary reversion to traditional lifestyle and diet did not influence glycemic control. Our results points towards a need for an increased awareness of lipid disorders in diabetic patients and a better understanding of how social and psychological factors are related to metabolic outcomes.</p>","PeriodicalId":77012,"journal":{"name":"Arctic medical research","volume":"54 3","pages":"116-24"},"PeriodicalIF":0.0,"publicationDate":"1995-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18672629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hearing in elementary school children in Nuuk and Sisimiut, Greenland.","authors":"P Homøe, R B Christensen, P Breatlau","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The study is a retrospective evaluation of audiometric screening tests and registration charts of 167 school children in the towns Sisimiut and Nuuk, Greenland. The children were from 5 to 14 years old. The test performed was pure tone air conduction audiometry at frequencies from 250 to 8000 Hz. In total 43% of the children had hearing thresholds exceeding hearing loss (HL) of 20 dB at one or more frequencies in either one or both ears. The threshold elevations were most common and more severe at the high frequencies (6000-8000 Hz). At the mid frequencies (500-2000 Hz) a HL greater than 20 dB was found in 32/166 (19%) of the children, seven (4%) of whom were bilaterally affected. Seventeen children (10%) had HL at two or all frequencies in the mid frequency range. HL was significantly more frequent in Sisimiut in total 95% CI = 11-40%; (p < 0.002). In Sisimiut 7/78 (9%) of the children had chronic otitis media (COM) and one had grommets. In Nuuk 5/89 (5.5%) had COM and one had congenital unilateral HL. All children with COM had HL. Audiometric screening in Greenland is indispensable for identification of children with hearing impairment and to ensure their rehabilitation.</p>","PeriodicalId":77012,"journal":{"name":"Arctic medical research","volume":"54 3","pages":"145-50"},"PeriodicalIF":0.0,"publicationDate":"1995-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18673181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Body fat distribution and other cardiac risk factors among circumpolar Inuit and nGanasan.","authors":"A Rode, R J Shephard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Secular trends in skinfold thicknesses and body fat distribution were examined in the adult Inuit of Igloolik, N.W.T. through surveys conducted in 1969/70, 1979/80 and 1989/93. Findings were compared with the nGanasan population of Volochanka (Taimir peninsula, Siberia), who were examined in 1992/3. The skinfold readings of the Inuit have increased over the two decades of observation. Currently, the young male Inuit and nGanasan remain relatively thin, but older Inuit men and the women of both populations are now quite obese relative to subjects from Southern Canada. The male Inuit have also developed a centripetal, coronary-prone pattern of fat distribution, with subscapular/triceps skinfold ratios that now exceed averages for southern Canada. The majority of both Inuit and nGanasan are current smokers and many fail to meet minimal standards of aerobic performance. Plasma cholesterol levels are still not very high, but a substantial proportion of the nGanasan are affected by hypertension; their source of animal protein is reindeer meat rather than the marine mammals eaten in Igloolik. Alcohol consumption is also higher in Volochanka than in Igloolik. Action is needed to control smoking, reduce body fat content and increase physical activity if circumpolar populations are not to experience an epidemic of cardiovascular disease.</p>","PeriodicalId":77012,"journal":{"name":"Arctic medical research","volume":"54 3","pages":"125-33"},"PeriodicalIF":0.0,"publicationDate":"1995-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18672630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mercury, dental amalgam fillings and intellectual abilities in Inuit school children in Greenland.","authors":"A V Tulinius","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The hair mercury concentration of 125 Greenland pupils aged 12 to 17 was recorded and compared with the pupils' marks in selected school subjects. Mercury values ranged from 0.2 to 15.9 microgram per gram (micrograms/g) and 20% of the pupils had more than 6 micrograms/g. There was no correlation between a high mercury concentration score and poor results in school. Correlation of the number of dental amalgam fillings with mercury concentration showed a weak trend but no significant relation. Eating habits were significantly correlated with mercury concentration. Girls had a significantly higher number of amalgam fillings than boys, and had a significantly higher mercury concentration. Modern Inuit and the mummified Qilaqitsoq Inuit from the 15th century had largely identical levels of mercury in the hair irrespective of today's higher exposure to global environmental contamination. This is believed to result from a change in eating habits away from the traditional Greenland food towards a more continental diet.</p>","PeriodicalId":77012,"journal":{"name":"Arctic medical research","volume":"54 2","pages":"78-81"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18646132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Thyroid hormone responses to military winter exercises in the Arctic region.","authors":"A C Hackney, J A Hodgdon, R Hesslink, K Trygg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The effects of military field exercises in the arctic on thyroid hormone concentrations were examined in Norwegian soldiers (n = 35). Originally the soldiers were divided into 4 groups having low (2 h) or high (6 h) levels of daily sleep, and low or high physical work requirements during the field exercises. The operations were three days of stimulated combat scenarios during winter. Day 1 consisted of 30 h without sleep. Sleep was then provided at approximately 18-22 h intervals thereafter. Blood samples were taken immediately prior to the exercises (BASELINE), during the exercises at 24 h, 48 h, and 72 h, and at 24 h and 48 h of recovery from the exercises (REC1, and REC2). Hormonal analysis consisted of total (T) thyroxine (TT4), free (f) T4, total triidothyronine (TT3), fT3, and thyroid stimulating hormone (TSH). No significant group interactions were observed therefore groups were pooled. However, main effects over time (i.e., days) were observed for all hormones (p < 0.001). TSH declined throughout the exercises, as did fT3. TT4, fT4, and TT3 increased in the first 24 to 48 h of the exercises, then progressively declined thought REC1. By REC2, TT4, fT4, and TSH showed trends towards returning to BASELINE levels, although recovery was not complete. The findings from this study demonstrates that thyroid hormone concentrations become reduced with as little as 72 h of military field operations in an arctic winter environment. However, short-term sleep deprivation and differing levels of physical work seem to have no major impact on the magnitude of the hormonal changes.</p>","PeriodicalId":77012,"journal":{"name":"Arctic medical research","volume":"54 2","pages":"82-90"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18646133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The future of the Nordic Council for Arctic Medical Research.","authors":"H K Akerblom, M Knip","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77012,"journal":{"name":"Arctic medical research","volume":"54 2","pages":"58-9"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18643561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}