Institute For Clinical Evaluative Sciences
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Institute For Clinical Evaluative Sciences
ICES (formerly known as the Institute for Clinical Evaluative Sciences) is an independent, non-profit corporation that applies the study of health informatics for health services research and population-wide health outcomes research in Ontario, Canada, using data collected through the routine administration of Ontario's system of publicly funded health care.   ICES scientists have secure access to Ontario's health administrative data. ICES research teams produce peer-reviewed scientific journal articles, as well as reports and atlases to assist health care providers, government planners and policy makers in improving population health through the advancement of evidence-based practice and health policy. ICES was established in 1992 and is governed by a Board of Directors. ICES receives core funding from the Ontario Ministry of Health and Long-Term Care (MOHLTC). In addition, ICES faculty and staff receive peer-reviewed grants from federal funding agencies such as the ...
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David Naylor
Christopher David Naylor, (born October 26, 1954) is a Canadian physician, medical researcher and former president of the University of Toronto. He is ICES scientist emeritus and founding CEO. In 2016, he was inducted into the Canadian Medical Hall of Fame. Life and career Naylor was born in Woodstock, Ontario. A Rhodes Scholar, Naylor received an MD from the University of Toronto in 1978, proceeding to Hertford College, Oxford, where he earned a D.Phil in 1983 in the Department of Social and Administrative Studies. His doctoral thesis was titled "The Canadian medical profession and state medical care insurance: Key developments, 1911-1966". He completed work in internal medicine and clinical epidemiology at the University of Western Ontario and Toronto and joined the academic staff of the Faculty of Medicine at the University of Toronto in 1987 where his clinical base was at Sunnybrook Health Sciences Centre. Naylor developed the proposal for the Institute for Clinical Eva ...
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Sunnybrook Health Sciences Centre
Sunnybrook Health Sciences Centre (SHSC), commonly known as Sunnybrook Hospital or simply Sunnybrook, is an academic health science centre An academic medical centre (AMC), variously also known as academic health science centre, academic health science system, or academic health science partnership, is an educational and healthcare institute formed by the grouping of a health profess ... located in Toronto, Ontario, Canada. It is the largest trauma centre in Canada and one of two trauma centres in Toronto, the other being St. Michael's Hospital (Toronto), St. Michael's Hospital. Sunnybrook is a teaching hospital fully affiliated with the University of Toronto. The hospital is home to Canada's largest veterans centre, in the Kilgour Wing and the George Hees, which cares for World War II and Korean War veterans. Sunnybrook has made surgical breakthroughs in its history, including the world's first non-invasive opening of the blood–brain barrier being performed in 2015. History ...
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Rofecoxib
Rofecoxib is a COX-2 inhibitor, COX-2 selective nonsteroidal anti-inflammatory drug (NSAID). It was marketed by Merck & Co. to treat osteoarthritis, rheumatoid arthritis, juvenile rheumatoid arthritis, acute pain conditions, migraine, and dysmenorrhea. Rofecoxib was approved in the US by the US Food and Drug Administration (FDA) in May 1999, and was marketed under the brand names Vioxx, Ceoxx, and Ceeoxx. Rofecoxib was available by Medical prescription, prescription in both tablet-form and as an oral suspension. Rofecoxib gained widespread use among physicians treating patients with arthritis and other conditions causing chronic or acute pain. Worldwide, over 80 million people were prescribed rofecoxib at some time. In September 2004, Merck voluntarily withdrew rofecoxib from the market because of concerns about increased risk of Myocardial infarction, heart attack and stroke associated with long-term, high-dosage use. Merck withdrew the drug after disclosures that it withheld inf ...
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The Lancet
''The Lancet'' is a weekly peer-reviewed general medical journal and one of the oldest of its kind. It is also the world's highest-impact academic journal. It was founded in England in 1823. The journal publishes original research articles, review articles ("seminars" and "reviews"), editorials, book reviews, correspondence, as well as news features and case reports. ''The Lancet'' has been owned by Elsevier since 1991, and its editor-in-chief since 1995 has been Richard Horton. The journal has editorial offices in London, New York City, and Beijing. History ''The Lancet'' was founded in 1823 by Thomas Wakley, an English surgeon who named it after the surgical instrument called a lancet (scalpel). Members of the Wakley family retained editorship of the journal until 1908. In 1921, ''The Lancet'' was acquired by Hodder & Stoughton. Elsevier acquired ''The Lancet'' from Hodder & Stoughton in 1991. Impact According to the ''Journal Citation Reports'', the journal has a 202 ...
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Mobile Phones And Driving Safety
Mobile phone use while driving is common but it is considered dangerous due to its potential for causing distracted driving and subsequent crashes. Due to the number of crashes that are related to conducting calls on a phone and texting while driving, some jurisdictions have made the use of calling on a phone while driving illegal in an attempt to curb the practice, with varying levels of efficacy. Many jurisdictions have enacted laws making handheld mobile phone use illegal. Many jurisdictions allow use of a hands-free device. Driving while using a hands-free device has been found by some studies to provide little to no benefit versus holding the device itself and carrying on a conversation. In some cases restrictions are directed only at minors, those who are newly qualified license holders (particularly those of a younger age), or to drivers in school zones. In addition to voice calling, activities such as texting while driving, web browsing, playing video games, or phone us ...
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The New England Journal Of Medicine
''The New England Journal of Medicine'' (''NEJM'') is a weekly medical journal published by the Massachusetts Medical Society. It is among the most prestigious peer-reviewed medical journals as well as the oldest continuously published one. History In September 1811, John Collins Warren, a Boston physician, along with James Jackson, submitted a formal prospectus to establish the ''New England Journal of Medicine and Surgery and Collateral Branches of Science'' as a medical and philosophical journal. Subsequently, the first issue of the ''New England Journal of Medicine and Surgery and the Collateral Branches of Medical Science'' was published in January 1812. The journal was published quarterly. In 1823, another publication, the ''Boston Medical Intelligencer'', appeared under the editorship of Jerome V. C. Smith. The editors of the ''New England Journal of Medicine and Surgery and the Collateral Branches of Medical Science'' purchased the weekly ''Intelligencer'' for $600 in ...
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Unique Identifier
A unique identifier (UID) is an identifier that is guaranteed to be unique among all identifiers used for those objects and for a specific purpose. The concept was formalized early in the development of computer science and information systems. In general, it was associated with an atomic data type. In relational databases, certain attributes of an entity that serve as unique identifiers are called primary keys. In mathematics, set theory uses the concept of '' element indices'' as unique identifiers. Classification There are some main types of unique identifiers, each corresponding to a different generation strategy: # serial numbers, assigned incrementally or sequentially, by a central authority or accepted reference. # random numbers, selected from a number space much larger than the maximum (or expected) number of objects to be identified. Although not really unique, some identifiers of this type may be appropriate for identifying objects in many practical applications ...
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Record Linkage
Record linkage (also known as data matching, data linkage, entity resolution, and many other terms) is the task of finding records in a data set that refer to the same entity across different data sources (e.g., data files, books, websites, and databases). Record linkage is necessary when joining different data sets based on entities that may or may not share a common identifier (e.g., database key, URI, National identification number), which may be due to differences in record shape, storage location, or curator style or preference. A data set that has undergone RL-oriented reconciliation may be referred to as being ''cross-linked''. Naming conventions "Record linkage" is the term used by statisticians, epidemiologists, and historians, among others, to describe the process of joining records from one data source with another that describe the same entity. However, many other terms are used for this process. Unfortunately, this profusion of terminology has led to few cross-refe ...
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Information And Privacy Commissioner Of Ontario
The Information and Privacy Commissioner of Ontario (IPC; french: Commissaire à l’information et à la protection de la vie privée de l'Ontario) was established as an officer of the Legislature by Ontario's ''Freedom of Information and Protection of Privacy Act'' (FIPPA, 1987), which came into effect on January 1, 1988. The current commissioner is Patricia Kosseim. Mandate The commissioner is appointed by and reports to the Legislative Assembly of Ontario, and is independent of the government of the day. The function of the office is to uphold and promote open government and the protection of personal privacy in Ontario. The IPC also has responsibility for the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA, 1991) and the Personal Health Information Protection Act (PHIPA, 2004). Together, these three Acts establish rules about how the institutions covered may collect, use, and disclose personal data. They also establish a right of access that enables ind ...
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Personal Health Information Protection Act
The ''Personal Health Information Protection Act'', (the Act) also known as PHIPA ('pee-hip-ah'), is Ontario legislation established in November 2004. PHIPA is one of two components of the Health Information Protection Act 2004. The ''Health Information Protection Act'', also established in 2004, comprises two schedules: PHIPA (Schedule A) and the ''Quality of Care Information Protection Act'' (Schedule B). The PHIPA replaced the ''Health Cards and Numbers Control Act'' (SO 1991, c 1). PHIPA provides a set of rules for the collection, use and disclosure of personal health information by a "Health Information Custodian" (HIC), and includes the following provisions: * Consent is required for the collection, use and disclosure of personal health information, with few exceptions * HICs are required to treat all personal health information as confidential and maintain its security * Individuals have a right to access their personal health information, as well as the right to correct er ...
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Ontario Health Insurance Plan
The Ontario Health Insurance Plan (French: ''Assurance-Santé de l'Ontario''), commonly known in both official languages by the acronym OHIP (pronounced ), is the government-run health insurance plan for the Canadian province of Ontario. OHIP is funded by a payroll deduction tax by residents who are gainfully employed, by businesses in the province of Ontario, and by transfer payments from the Government of Canada. Summary of Covered Services Every Ontario resident with his or her primary and permanent home in Ontario is entitled to access emergency and preventive care under OHIP free of charge. Ontario residents may go to a participating doctor—essentially every doctor practising in the province—any time they wish (subject to the consent of the doctor) and the services are billed through OHIP to the government. In 2018, the Ontario Health Insurance Plan announced a new program designed to assist individuals struggling with food addiction. Prescription d ...
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Health System
Health, according to the World Health Organization, is "a state of complete physical, mental and social well-being and not merely the absence of disease and infirmity".World Health Organization. (2006)''Constitution of the World Health Organization''– ''Basic Documents'', Forty-fifth edition, Supplement, October 2006. A variety of definitions have been used for different purposes over time. Health can be promoted by encouraging healthful activities, such as regular physical exercise and adequate sleep, and by reducing or avoiding unhealthful activities or situations, such as smoking or excessive stress. Some factors affecting health are due to individual choices, such as whether to engage in a high-risk behavior, while others are due to structural causes, such as whether the society is arranged in a way that makes it easier or harder for people to get necessary healthcare services. Still, other factors are beyond both individual and group choices, such as genetic disorders. ...
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