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PubMed1990

[10 years of feminist intervention in Quebec: statement and perspectives].

The authors start off by reviewing the origins and principal characteristics of feminist therapy as it appeared in the United States at the end of the 1960s. Following this step are analyzed the conditions for the emergence of feminist intervention in Québec and its specificity, terms commonly used by Québec practicians when describing their work among women. Emphasis is placed on the analysis of feminist intervention in institutional environments due to its remarkable development over the last few years. The article concisely presents the two main theoretical approaches that inspire the intervention, namely the socio-behavioral approach and the awareness approach. Following a brief overview of feminist intervention in Québec, the authors raise questions about its future.

Female↗
PubMed1990

[Suicide and social policy in Quebec].

Starting from three documents published by organizations set up by the Québec government, the author examines how the government intends to give direction to and build a framework for social intervention in the area of suicide. The article looks at the fate that social policies could and, according to the author, should reserve for suicide. The author argues for an approach that fully recognizes the social dimension of suicide and that emphasizes primary prevention as well as government support for an autonomous community network that would have equal footing with the public network.

Health Policy↗
PubMed1990

Porcine group C rotavirus as a cause of neonatal diarrhea in a Quebec swine herd.

A porcine group C rotavirus was found to be the unique cause of a problem of enzootic neonatal diarrhea in a minimal disease herd composed of 190 sows on a continuous farrowing program. During the outbreaks of diarrhea, 10 to 80% of the litters were affected with a morbidity rate of 100% and case fatality rates of 5 to 10%. Clinical signs began 24 to 48 h after birth and were characterized by a profuse yellow diarrhea lasting a few days. Piglets from different outbreaks of diarrhea were necropsied. They had multifocal villous atrophy in the small intestine, especially in the ileum. Group C rotavirus was demonstrated by direct immunofluorescent staining of frozen intestinal sections and by polyacrylamide gel electrophoresis of viral RNA extracted from the intestinal contents of diarrheic piglets. The infection with clinical illness and lesions was reproduced experimentally in newborn piglets by oral inoculation of a suspension prepared from a pool of intestinal contents from diarrheic piglets.

Animals↗
PubMed1990

The influence of governmental decision-making on academic medicine: the Quebec experience.

Canadian medicine has achieved an appropriate balance between excellence in clinical practice and clinical investigation, making our academic system the best in the world. Adequately funded, universal medicine is the best and most equitable health care system ever devised. In Québec both systems are failing because we are not a participatory democracy in which providers are consulted on decisions involving health care and education. Governmental decisions are made undemocratically, are based on dubious assumptions, and do not ensure patient flow from primary to tertiary institutions. The reduction in quotas for subspecialty residency posts and the two-year family medicine training requirement to obtain a GP's licence threatens to destroy academic medicine because we will be unable to produce sufficient numbers of specialists to populate our medical faculties, let alone conduct research. Concerted action by the Canadian Institute of Academic Medicine is essential if this catastrophe is to be avoided.

Academic Medical Centers↗
PubMedDate not supplied

The prevalence, awareness and control of hypertension in Laval, Quebec, 1986.

The prevalence, awareness and control of hypertension were assessed in a representative sample (n = 1,374) of the Laval population (aged 30-69 years). The study was designed to identify people at increased risk for cardiovascular disease because of elevated blood pressure levels rather than to establish a strict clinical prevalence. Defining hypertension as systolic pressure greater than or equal to 140 mm Hg and/or diastolic pressure greater than or equal to 90 mm Hg and/or on anti-hypertensive medication, the study found a prevalence of 25% (32% in men, 19% in women). Two thirds (67%) of the male hypertensives and 41% of the female hypertensives were previously unaware of their condition. One in three hypertensives were on medication, and less than half of these were under control. As observed in other studies, control was better in women. The study suggests the continuing need for high blood pressure education and detection in the Laval population, particularly among men.

Age Factors↗
PubMedDate not supplied

Health profile of applicants for refugee status (admitted into Quebec between August 1985 and April 1986).

Refugees requesting asylum when in Canada are termed "Applicants for Refugee Status". The present epidemiological study of a large series of these refugees by the Community Health Department of St-Luke's Hospital in Montreal provides a picture of their social and health profiles. The refugees came from developing countries with serious internal conflicts. On the whole, their state of health was satisfactory. However, in some cases specific diseases were detected which were often connected with their geographical origin. These diseases, which included treponematosis, intestinal parasitosis and nutritional deficiency should in future give rise to health care programs specially adapted to the sub-populations concerned. As regards the problem of torture, both its underestimation and inadequate psychological follow-up among refugees are of great concern and call for special training in treating the effects of torture on its victims.

Adolescent↗
PubMed1990

Liver transplantation for hereditary tyrosinemia: the Quebec experience.

Sixteen tyrosinemic patients were evaluated in our institution for a possible liver transplantation. All patients showed biochemical and/or radiological evidence of liver dysfunction. Renal involvement was found to be more abnormal than expected. Seven patients have been transplanted, with two patients receiving a combined liver-kidney transplant. Hepatocarcinoma was detected in two of eight patients in whom the whole liver was examined. Six (37.5%) of the initial 16 patients have died since evaluation, one of the six dying after combined liver-kidney transplantation. Posttransplantation survival was 86%, with normal liver function, normal growth, and no recurrence of neurological crises on a normal diet.

Adolescent↗