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Nova Scotians to determine questions and guide research into mass shooting – Halifax Examiner

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Dr. Rob Green Photo: Dalhousie Medical Research Foundation

Researchers behind a new program intended to help Nova Scotians “find answers and healing” in the wake of April’s mass shooting incident want residents to determine what topics are most important to investigate.

The Heal-NS Trauma Research Program was launched yesterday. The program brings together a multidisciplinary group of researchers devoted to investigating issues related to gun violence. 

The initiative’s intended goal is to help Nova Scotians find answers and healing in the aftermath of the mass shooting. While areas of research may include gunshot trauma, domestic violence, mental health issues related to shootings, or post-traumatic stress disorder, researchers want Nova Scotians to lead the direction of their work by sharing the key topics they want investigated.

“In the wake of the shooting, many unanswered questions remain, both specific to this incident and concerning gun violence in general,” notes the Heal-NS Trauma Research Program website. “Finding answers to these questions may aid in coping, understanding and healing for those affected by this tragedy in Nova Scotia and beyond.”

Memorial in Portapique, NS, for the 22 victims of the April 2020 mass shooting.

Memorial in Portapique, NS, for the 22 victims of the April 2020 mass shooting. Photo: Joan Baxter

Emergency and critical care physician Dr. Rob Green was working the weekend shift at the QEII Health Sciences Centre in Halifax when the mass shooting event was unfolding April 18 into April 19.

As the senior medical director for the Nova Scotia Trauma Program, Green was experiencing the tragedy from a unique perspective. 

“We were well-prepared to receive these patients from Portapique should they have come in to us,” Green said in an interview Tuesday. “I was getting updates on the potential requirement for our trauma program to be involved, and so I was kind of living it in real time and thinking about ‘Wow this is just such a terrible phenomenon.’”

Green recalls discussing the aftermath of the tragedy with physicians, nursing staff and other healthcare providers in both Colchester and in Halifax. As he followed the deluge of media coverage, he saw that Nova Scotians were being deeply impacted and they had many unanswered questions. 

“It just struck me that it’s going to take a lot of work to get past this,” he said. “There are so many answers that people need to have addressed, and the way to do that is to actually figure out what the questions are, and then dedicate time and resources and expertise into finding meaningful answers for people.”

The incident and its aftermath led Green to kickstart Heal-NS in partnership with the Nova Scotia Health Authority, the IWK, the Department of Health and Wellness, Dalhousie University, and other universities across the province.

“I’d like to expose the need to really document and publish, or have in the media, the results of what are the important things for Nova Scotians. It’s premature to say what’s going to come out of this beyond that because I don’t 100% know,” Green said. 

“Traditionally as researchers we want to publish our research. But I am not terribly concerned with our traditional publication routes of putting it in journals. I just want to get something out to Nova Scotians that’s going to kind of relieve the anxiety, help with the coping, get the answers out to them. That’s my goal here.”

Green said once they’ve determined the questions Nova Scotians believe are most important to investigate, researchers will come up with overall themes and issue a funding call. He expects a great deal of interest in addition to funding support for this particular research project. 

“The first part of this research is stuff that I’m going to do myself with the resources I have in my trauma program with the medical students that are working for me this summer, and that’s specifically looking at the last 20 years of gunshot wounds in Nova Scotia,” Green said. 

“I have all that. Surprisingly enough, there’s 600 to 700 in the last 20 years. So there’s more than you’d think. We need to validate that, but that’s our initial look.”

For his own research piece, Green hopes to also examine the mandatory reporting of gunshot wounds by physicians as legislated in 2008 to determine if that requirement has resulted in any changes.

“We’re going to look at our data in Nova Scotia, and then we’re going to broaden it to look at the rest of Canada, because provinces and territories in Canada have this very similar legislation,” he explained. 

While Green intends to “kick things off” with some of his own work focused on gunshot wounds, he believes one of the more relevant and likely more important issues that will arise from the program are the mental health repercussions the mass shooting left in its wake. 

“Post traumatic stress, exacerbation of other mental illnesses, and in the specific populations that it’s affected like children, firefighters, police, health care workers, EHS. I’ve heard from (health care providers) in Colchester that they went through a very difficult situation and have kind of gotten through it,” Green said. 

“But then they relive it when they have patients who have mental illness or something related to the Portapique tragedy present again to emerge (the emergency department), so it’s this adding-on effect that that we’re seeing.”

Green said he also believes domestic violence will — and should – be high up on the agenda.

“I don’t know what the most important topics will be, and that’s why we want to hear from people,” he said. “But I do think those are the things which quite frankly aren’t my expertise but they’re very, very important.” 

Green wants Nova Scotians to flood the Heal-NS website and share via email their opinions on the topics they want researchers to investigate. By mid-September Green hopes to have enough information to start pulling the pieces together.

“I want to get this right. It would really be very satisfying for all of us to get this right,” he said. “I think where we don’t necessarily do well in medicine is engaging the public…I think there’s work to be done on just making sure that the public has a really big say in this.”

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What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

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Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

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Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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