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Article ; Online: Plantation pasts, plantation futures: resisting zombie water infrastructures in Maui, Hawai’i

Kay, Kelly / Knudson, Chris / Cantor, Alida

The Journal of Peasant Studies. 2024 Jan. 02, v. 51, no. 1 p.111-134

2024

Abstract: Sugar plantations have fundamentally shaped water use in Maui, Hawai’i for over 100 years, with tremendous resulting impacts on ecosystems and Native Hawaiian communities. In this paper, we build on literature on the plantationocene and the political ... ...

Abstract	Sugar plantations have fundamentally shaped water use in Maui, Hawai’i for over 100 years, with tremendous resulting impacts on ecosystems and Native Hawaiian communities. In this paper, we build on literature on the plantationocene and the political lives of infrastructure to examine plantation irrigation infrastructure. We center Maui’s vast water conveyance ditch system as a means of understanding how infrastructure continues plantation logics into the present, considering both the physical ditches themselves as well as the laws and politics which support continued water extraction. We also consider infrastructural futures, highlighting ongoing efforts of communities seeking water justice via infrastructural control.
Keywords	Maui ; infrastructure ; irrigation ; peasantry ; politics ; sugars ; Plantation ; Native Hawaiian ; water rights ; sugar ; wai
Language	English
Dates of publication	2024-0102
Size	p. 111-134.
Publishing place	Routledge
Document type	Article ; Online
ISSN	1743-9361
DOI	10.1080/03066150.2023.2185140
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Interprofessional primary care: indispensable for family physicians yet invisible to older patients.

Sourial, Nadia / Hacker Teper, Matthew / Arsenault-Lapierre, Geneviève / Mehta, Kavita / Kay, Kelly / Vedel, Isabelle

Journal of interprofessional care

2022 Volume 36, Issue 6, Page(s) 786–792

Abstract: There is growing consensus that interprofessional primary care is key to delivering timely, coordinated, and comprehensive care, especially in the older patient population who often live with complex and chronic needs. Despite significant investments in ... ...

Abstract	There is growing consensus that interprofessional primary care is key to delivering timely, coordinated, and comprehensive care, especially in the older patient population who often live with complex and chronic needs. Despite significant investments in reforming health systems toward interprofessional primary care, there is a paucity of evidence describing the importance of interprofessional primary care for older patients and physicians. This qualitative descriptive study aimed to understand the use and utility of interprofessional primary care for older patients and family physicians from the perspective of different stakeholders within primary care in Ontario, Canada. Twenty-five semi-structured interviews (including 16 older patients, six family physicians, three primary care managers) and a focus group with 13 patient representatives were conducted. Our study found that while the benefits of interprofessional primary care teams for family physicians were clearly emphasized, stakeholders consistently reported that older patients often appeared to be unaware of the presence of, or roles played by, non-physician healthcare professionals in their clinic. Better transparency and education regarding available services and roles of different care providers may allow for more optimal use of interprofessional family medicine clinics by patients.
MeSH term(s)	Humans ; Physicians, Family ; Patient Care Team ; Interprofessional Relations ; Primary Health Care ; Ontario
Language	English
Publishing date	2022-02-22
Publishing country	England
Document type	Journal Article
ZDB-ID	1099758-1
ISSN	1469-9567 ; 0884-3988 ; 1356-1820
ISSN (online)	1469-9567
ISSN	0884-3988 ; 1356-1820
DOI	10.1080/13561820.2022.2037529
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Article ; Online: A scoping review to inform the development of dementia care competencies.

Kay, Kelly / Metersky, Kateryna / Smye, Victoria / McGrath, Colleen / Johnson, Karen / Astell, Arlene / Sun, Winnie / Bartfay, Emma

Dementia (London, England)

2023 Volume 22, Issue 5, Page(s) 1138–1163

Abstract: Health professionals and care partners of persons living with dementia have expressed that learning needs related to dementia care are a priority. There are currently a variety of training programs available in Ontario (Canada) to address aspects of ... ...

Abstract	Health professionals and care partners of persons living with dementia have expressed that learning needs related to dementia care are a priority. There are currently a variety of training programs available in Ontario (Canada) to address aspects of dementia care, but no commonly accepted description of the core knowledge, skills, and abilities, (i.e., competencies) that should underpin dementia-related training and education in the province. The aim of this study was to review current evidence to inform the later development of competency statements describing the knowledge, skills and actions required for dementia care among care providers ranging from laypersons to health professionals. We also sought to validate existing dementia care principles and align new concepts to provide a useful organizing framework for future competency development. We distinguished between micro-, meso- and macro-level concepts to clarify the competencies required by individuals situated in different locations across the healthcare system, linking competency development in dementia care to broader system transformation. This review precedes the co-development of a holistic competency framework to guide approaches to dementia care training in Ontario.
MeSH term(s)	Humans ; Clinical Competence ; Dementia/therapy ; Health Personnel/education ; Curriculum ; Ontario
Language	English
Publishing date	2023-03-28
Publishing country	England
Document type	Review ; Journal Article
ZDB-ID	2084045-7
ISSN	1741-2684 ; 1471-3012
ISSN (online)	1741-2684
ISSN	1471-3012
DOI	10.1177/14713012231165568
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Article ; Online: Applicant and Match Trends to Geriatric-Focused Postgraduate Medical Training in Canada: A Descriptive Analysis.

Correia, Rebecca H / Dash, Darly / Hogeveen, Sophie / Woo, Tricia / Kay, Kelly / Costa, Andrew P / Siu, Henry Yu-Hin

Canadian journal on aging = La revue canadienne du vieillissement

2023 Volume 42, Issue 3, Page(s) 396–403

Abstract: Physicians with postgraduate training in caring for older adults-geriatricians, geriatric psychiatrists, and Care of the Elderly family physicians (FM-COE)-have expertise in managing complex care needs. Deficits in the geriatric-focused physician ... ...

Abstract	Physicians with postgraduate training in caring for older adults-geriatricians, geriatric psychiatrists, and Care of the Elderly family physicians (FM-COE)-have expertise in managing complex care needs. Deficits in the geriatric-focused physician workforce coupled with the aging demographic necessitate an increase in training and clinical positions. Descriptive analyses of data from established matching systems have not occurred to understand the preferences and outcomes of applicants to geriatric-focused postgraduate training. This study describes applicant and match trends for geriatric-focused postgraduate training in Canada. In this retrospective cohort study, data from the Canadian Resident Matching Service and FM-COE program directors were analysed to examine program quotas, applicants' preferences, and match outcomes by medical school and over time. Based on their first-choice specialty ranking, applicants to geriatric medicine and FM-COE signalled a preference to pursue these programs and tended to match successfully. The proportion of unfilled training positions has increased in recent years, and the number of applicants has not increased consistently over time. There is a disparity between applicants to geriatric-focused training and the health human resources to meet population-level needs. Garnering interest among medical trainees is essential to address access and equity gaps.
MeSH term(s)	Humans ; Aged ; Canada ; Retrospective Studies ; Physicians, Family ; Geriatrics/education ; Internship and Residency
Language	English
Publishing date	2023-04-17
Publishing country	Canada
Document type	Journal Article
ZDB-ID	632851-9
ISSN	1710-1107 ; 0714-9808
ISSN (online)	1710-1107
ISSN	0714-9808
DOI	10.1017/S071498082200054X
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Article ; Online: Policy at play: The implementation of Healthy Eating and Active Living Guidelines in municipal child care settings.

McKay, Kelly / Nigro, Sherry

Canadian journal of public health = Revue canadienne de sante publique

2017 Volume 107, Issue 6, Page(s) e556–e561

Abstract: Background: In 2012, Ottawa Public Health (OPH) partnered with the City of Ottawa Municipal Child Care (MCC) Services to develop Healthy Eating and Active Living (HEAL) Guidelines.: Setting: The Guidelines aim to promote consistent standards of ... ...

Abstract	Background: In 2012, Ottawa Public Health (OPH) partnered with the City of Ottawa Municipal Child Care (MCC) Services to develop Healthy Eating and Active Living (HEAL) Guidelines. Setting: The Guidelines aim to promote consistent standards of practice in child care settings related to healthy environments and food, physical activity, physical literacy, decreased sedentary behaviours, and positive role modeling by staff. The Guidelines targeted 498 children aged 18 months to 5 years, attending MCC centres. Resources and training were provided to 10 supervisors, 63 child care educators and 9 cooks. Intervention: Components of the Guidelines were piloted in 5 MCC sites prior to being launched in 10 MCC sites across Ottawa, Ontario. Two project Advisory Groups supported the development of the Guidelines. Staff training, resources, recipes and menus were provided. An evaluation was conducted and has informed the Guidelines' subsequent community implementation. In 2015, accompanying web-based resources and e-modules were developed. Outcomes: The evaluation demonstrated environmental and programming changes. Parent satisfaction was high and preliminary findings showed no real changes in food costs. Following implementation, the cooks reported high compliance to the 6-week menu plans provided, and the number of sites offering 120 minutes or more of daily physical activity increased. Implications: Through novel intersectoral partnerships, OPH was able to implement and evaluate HEAL Guidelines in tandem. The interdisciplinary project Advisory Groups, training of cooks, and engagement of the Ontario Coaches Association were all innovative elements of this project and may influence future public health activity in this area.
MeSH term(s)	Child Day Care Centers ; Child, Preschool ; Diet, Healthy ; Exercise ; Guidelines as Topic ; Humans ; Infant ; Nutrition Policy ; Ontario ; Program Evaluation
Language	English
Publishing date	2017-03-01
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	417262-0
ISSN	1920-7476 ; 0008-4263
ISSN (online)	1920-7476
ISSN	0008-4263
DOI	10.17269/cjph.107.5561
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Article ; Online: Better Strength, Better Balance! Partnering to deliver a fall prevention program for older adults.

Taing, Darcie / McKay, Kelly

Canadian journal of public health = Revue canadienne de sante publique

2017 Volume 108, Issue 3, Page(s) e314–e319

Abstract: Setting: Falls incur significant health and economic costs, particularly among older adults. Physical activity has been found to be the single most important fall prevention behaviour an older adult can do. This manuscript describes Ottawa Public Health' ...

Abstract	Setting: Falls incur significant health and economic costs, particularly among older adults. Physical activity has been found to be the single most important fall prevention behaviour an older adult can do. This manuscript describes Ottawa Public Health's (OPH) experience implementing the Better Strength, Better Balance! (BSBB) program, a fall prevention exercise program for older adults, through an innovative partnership with the local Recreation, Cultural & Facility Services (RCFS) Department. BSBB aims to reach 1300 community-dwelling adults (aged 65 years and older) per year through approximately 86-130 exercise programs. Designed as a universal program, BSBB addresses participation barriers such as transportation, cost and location. BSBB was enabled with funding from the Champlain Local Health Integration Network, and coincided with the implementation of an Older Adult Plan for the City of Ottawa. Intervention: BSBB is a beginner-level, fall prevention exercise and education program that takes place twice a week, over 12 weeks. Certified RCFS instructors delivered the exercise components of the program and OPH staff incorporated fall prevention messaging and conducted the evaluation. Outcomes: The formative evaluation indicated that participants experienced improved strength and balance, decreased fear of falling and the intent to adopt new fall prevention behaviours following the program. The partnership between OPH and RCFS allowed both partners to leverage their unique and mutual strengths to continually improve the program. Implications: Improving access to strength and balance programming is an important public health strategy to reduce falls. The recreation sector is an ideal partner to help public health in this pursuit.
MeSH term(s)	Accidental Falls/prevention & control ; Aged ; Canada ; Exercise/physiology ; Exercise/psychology ; Health Promotion/organization & administration ; Humans ; Interinstitutional Relations ; Muscle Strength/physiology ; Postural Balance/physiology ; Program Evaluation
Language	English
Publishing date	2017-09-14
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	417262-0
ISSN	1920-7476 ; 0008-4263
ISSN (online)	1920-7476
ISSN	0008-4263
DOI	10.17269/CJPH.108.5901
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Article: Ontario Geriatric Specialist Physician Resources 2018.

Borrie, Michael / Cooper, Tracy / Basu, Monisha / Kay, Kelly / Prorok, Jeanette C / Seitz, Dallas

Canadian geriatrics journal : CGJ

2020 Volume 23, Issue 3, Page(s) 219–227

Abstract: Background: The number of older adults with complex health needs in Ontario is growing. The Ministry of Health and Long-Term Care requested a resource mapping project to assess the current 2018 and projected 2025 number of specialist physician resources. ...

Abstract	Background: The number of older adults with complex health needs in Ontario is growing. The Ministry of Health and Long-Term Care requested a resource mapping project to assess the current 2018 and projected 2025 number of specialist physician resources. Methods: Geriatric specialist physicians were defined as geriatricians, geriatric psychiatrists, and Care of the Elderly (COE) physicians. We determined the current number of geriatricians, geriatric psychiatrists, and COEs and clinical full-time-equivalent complement (CFTE) for geriatric medicine and geriatric psychiatry specialists. We projected the number of new trainees expected to enter practice and the number of physicians expected to retire by 2025. We compared these numbers and projections against established specialist/population ratios for geriatricians and geriatric psychiatrists. Results: There was a deficit of geriatricians and geriatric psychiatrists (geriatricians: CFTE deficit of 150.5; geriatric psychiatrists: CFTE deficit of 116.3). In 2025, the projected CFTE deficit of geriatricians will increase to at least 210.35 and geriatric psychiatrists to 194.6. Only about 30% of COE physicians work in direct support of specialized services for the elderly. Conclusions: There is significant current and anticipated undersupply in the required number of geriatricians, geriatric psychiatrists, and COE physicians to meet anticipated population demand.
Language	English
Publishing date	2020-09-01
Publishing country	Canada
Document type	Journal Article ; Review
ISSN	1925-8348
ISSN	1925-8348
DOI	10.5770/cgj.23.448
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Article: Updated Inventory and Projected Requirements for Specialist Physicians in Geriatrics.

Basu, Monisha / Cooper, Tracy / Kay, Kelly / Hogan, David B / Morais, José A / Molnar, Frank / Lam, Robert E / Borrie, Michael J

Canadian geriatrics journal : CGJ

2021 Volume 24, Issue 3, Page(s) 200–208

Abstract: Background: The predicted growth of Canadians aged 65+ and the resultant rise in the demand for specialized geriatric services (SGS) requires physician resource planning. We updated the 2011 Canadian Geriatrics Society physician resource inventory and ... ...

Abstract	Background: The predicted growth of Canadians aged 65+ and the resultant rise in the demand for specialized geriatric services (SGS) requires physician resource planning. We updated the 2011 Canadian Geriatrics Society physician resource inventory and created projections for 2025 and 2030. Methods: The number and full-time equivalents (FTEs) of geriatricians and Care of the Elderly (COE) physicians working in SGS were determined. FTE counts for 2025 and 2030 were estimated by accounting for retirements and trainees. A ratio of 1.25/10,000 population 65+ was used to predict physician resource requirements. Results: Between 2011 and 2019 the number of geriatricians and COE physicians increased from 276 (235.8 FTEs) and 128 (89.9 FTEs), respectively, to 376 (319.6 FTEs) and 354 (115.5 FTEs). This increase did not keep pace with the 65+ population growth. The current gap between supply and need is expected to increase. Discussion: The physician supply gap is projected to widen in 2025 and 2030. Increased recruitment and interdisciplinary team-based care, supported by enhanced funding models, and full integration of COE physicians in SGS could reduce this increasing gap. In contrast to pediatrician supply in Canada, the specialist physician resources available to the population 65+ reflect a disparity.
Language	English
Publishing date	2021-09-01
Publishing country	Canada
Document type	Journal Article
ISSN	1925-8348
ISSN	1925-8348
DOI	10.5770/cgj.24.538
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Article: Self-contained system for mitigation of contaminated aerosol sources of SARS-CoV-2.

Patel, Bhavesh / Forzani, Erica / Lowell, Amelia / McKay, Kelly / Karam, Karam Abi / Pandian, Adithya Shyamala / Pyznar, Gabriel / Xian, Xiaojun / Serhan, Michael

Research square

2021

Abstract: Contaminated aerosols and micro droplets are easily generated by infected hosts through sneezing, coughing, speaking and ... ...

Abstract	Contaminated aerosols and micro droplets are easily generated by infected hosts through sneezing, coughing, speaking and breathing
Language	English
Publishing date	2021-02-24
Publishing country	United States
Document type	Preprint
DOI	10.21203/rs.3.rs-237873/v1
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Article: Development of a new Aerosol Barrier Mask for mitigation of spread of SARS-CoV-2 and other infectious pathogens.

Karam, Karam Abi / Hota, Piyush / Mora, S Jimena / Lowell, Amelia / McKay, Kelly / Xian, Xiaojun / Patel, Bhavesh / Forzani, Erica

medRxiv : the preprint server for health sciences

2021

Abstract: The COVID-19 pandemic has caused huge impact on public health and significantly changed our lifestyle. This is due to the fast airborne oro-nasal transmission of SARS-CoV-2 from the infected individuals. The generation of liquid aerosolized particles ... ...

Abstract	The COVID-19 pandemic has caused huge impact on public health and significantly changed our lifestyle. This is due to the fast airborne oro-nasal transmission of SARS-CoV-2 from the infected individuals. The generation of liquid aerosolized particles occurs when the COVID-19 patients speak, sing, cough, sneeze, or simply breathe. We have developed a novel aerosol barrier mask (ABM) to mitigate the spread of SARS-CoV-2 and other infectious pathogens. This Aerosol Barrier Mask is designed for preventing SARS-CoV-2 transmission while transporting patients within hospital facilities. This mask can constrain aerosol and droplet particles and trap them in a biofilter, while the patient is normally breathing and administrated with medical oxygen. The system can be characterized as an oxygen delivery and mitigation mask which has no unfiltered exhaled air dispersion. The mask helps to prevent the spread of SARS-CoV-2, and potentially other infectious respiratory pathogens and protects everyone in general, especially healthcare professionals.
Language	English
Publishing date	2021-02-12
Publishing country	United States
Document type	Preprint
DOI	10.1101/2021.02.11.21251593
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