Public Health Ontario

Identification, validation, and prediction of longitudinal recovery phenotypes in degenerative cervical myelopathy: analysis of prospective cohorts and a randomised controlled trial

Background Symptom evolution in degenerative cervical myelopathy (DCM) is traditionally characterized by severity of neurological deficit. A recent expert consensus challenged this view, proposing that DCM fluctuates across neurological, functional and health-related quality of l...

Assessing Challenges and Barriers to Effective Wound Care in Rural Indigenous Communities

OBJECTIVE: To explore the lived experiences of patients with chronic wounds from a remote Indigenous community in Northern Manitoba, Canada, focusing on challenges in wound management, the impact on quality of life, barriers to wound care access, and the role of traditional heali...

Examining the relationship between D3Cr muscle mass, physical performance, and functional limitation in postmenopausal women

BACKGROUND: The D3-creatine (D3Cr) dilution method provides a non-invasive and accurate assessment of muscle mass. Our objective was to examine the relationship between D3Cr muscle mass, objective measures of physical performance, and self-report physical function postmenopausal...

Time-dependent analysis of HUS change in older patients aged > 75 years with head and neck cancer

Previous longitudinal evidence has suggested that patients aged > 75 years may be associated with a poorer Health Utility Index Mark 3 (HUI-3) trajectory. We compared the longitudinal health utility scores (HUS) of older (>75 years) versus younger patients with head and neck canc...

Interrogating the Effects of Technologies of Pregnancy Surveillance on Queer, Trans and Nonbinary Midwifery Service‐Users

Queer, transgender and nonbinary (QTNB) people access midwifery services, yet little is known about their experiences of midwifery care. Our qualitative study used critical narrative inquiry to examine how QTNB midwifery service-users in Ontario, Canada, experience cisheteronorma...

Entrustment–supervision progression across core entrustable professional activities in undergraduate nursing clinical rotations: a prospective longitudinal study

Entrustable professional activities (EPAs) operationalize competency-based education by linking assessment to observable clinical tasks and supervision decisions. Although EPAs are widely implemented in postgraduate and advanced nursing education, quantitative evidence describing...

A process evaluation of a randomized clinical trial of selective decontamination of the digestive tract in ventilated adults admitted to intensive care: the SuDDICU PE study

The SuDDICU trial evaluated the effectiveness of selective digestive decontamination (SDD), a prophylactic antibiotic regimen comprising oral, gastric and intravenous (IV) components in ventilated adults admitted to intensive care. The trial recruited 9289 participants in 26 clus...

The Association Between Intranasal Steroids and Length of Stay in Children With Orbital Infections

OBJECTIVE: Little is known about the use of intranasal agents in the management of orbital infections in children. This study aims to describe intranasal corticosteroid use in children hospitalized with orbital infections and to determine whether an association exists between int...

A decision-tree for trend analyses following major survey redesigns: an analysis using the Canadian Community Health Survey (CCHS)

Abstract Background Monitoring health inequality trends is essential for assessing progress, stagnation, or regression on the reduction of health inequalities; assessing the impact of certain policies on health inequalities; and identifying emerging areas of concern. Because ineq...

Risk Factors for Estrogen Receptor Subtype‐Specific Contralateral Breast Cancer in Women Under Age 55 Years

Women with estrogen receptor negative (ER-) contralateral breast cancer (CBC) are 50% more likely to die of CBC compared to women with estrogen receptor positive (ER+) CBC. We comprehensively investigated risk factors for ER subtype-specific CBC using the Women's Environmental Ca...

Sowing the Seeds of Sovereignty: A One Health Case Study of Food, Relationships, and Resilience in Somalia

Abstract In Somalia, food insecurity has been shaped by recurrent droughts and climate change, violent conflict, and political instability. For over 35 years, these drivers have undermined local food system autonomy, disrupted economic sovereignty, and entrenched dependence on in...

The symbolic power of decriminalization and recriminalization in shaping stigma toward people who use drugs in British Columbia

In January 2023, British Columbia (BC) implemented a three-year decriminalization pilot to reduce harms of drug criminalization and address stigma toward people who use drugs. In May 2024, the policy was amended to “recriminalize” drug possession, a reform that excluded most publ...

Acceptability of oral health care: a scoping review of reviews to inform framework development

Abstract Background Canada launched the Canadian Dental Care Plan (CDCP) in 2023 to improve access by reducing cost barriers. Data from September 2025 indicate that only about half of enrollees had accessed services, highlighting that addressing affordability alone may not be suf...