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Path dependency relies upon historicity and context to understand how institutions sustain themselves through time and are compelled to change at critical junctures. Some consider this approach as being deterministic, focused on external shocks to institutions and better at explaining stability rather than change. Others consider that there is also agency in institutional change, that actors may seize upon opportunities within institutions to find novel solutions to new challenges, or that a succession of incremental changes may fundamentally alter institutions without any external shock. We understand language regimes as being path dependent, while accepting that various actors may work within the regime to bring forth incremental changes in language policies. These changes may occur through various policy processes rather than through major disruptions. The impetus for this process may come from within the institutions, where state actors may try to adjust policies to a new context, or from language groups who express dissatisfaction towards the regime and mobilize to demand change. The chapter first discusses the possibility that language regime can change; second, it draws upon the institutional literature to describe how a language regime may change; third, it uses the case of French in Ontario to illustrate this process.
To understand how the implementation of primary care services for transgender individuals is undertaken and delivered by practitioners in Northern Ontario.
Background:
Northern Ontario, Canada, has a shortage of primary care health practitioners, and of these, there are a limited number providing transgender primary care. Transgender people in Northern Ontario must also negotiate a lack of allied and specialty services related to transgender health and travel over long distances to access those services that do exist.
Methods:
A convergent mixed methods design was guided by normalization process theory (NPT) to explore transgender primary care delivery and implementation by nurses, nurse practitioners, physicians, social workers, and psychotherapists. A survey measuring implementation processes was elaborated through qualitative interviews with participants. Analysis of key themes emerging using the NPT framework informed understanding of primary care successes, barriers, and gaps in Northern Ontario.
Findings:
Key themes included the need for more education on transgender primary care practice, increased need for training and awareness on transgender resources, identification of unique gaps and barriers to access in Northern Ontario transgender care, and the benefits of embedding and normalizing transgender care in clinical practice to practitioners and transgender patients. These findings are key to understanding and improving access and eliminating healthcare barriers for transgender people in Northern Ontario.
This study develops a generalized evaluation framework that can be used to quantify the financial, economic, stakeholder, and environmental impacts of renewable energy support programs. The application of this framework is demonstrated by evaluating the feed-in tariff (FIT) program for solar distributed energy resources (DER) in Ontario, Canada. Our analysis reveals that Ontario’s FIT program has successfully promoted the adoption of solar DER across communities. However, the program has caused inequitable societal outcomes through a cross-subsidization with a present value of 9 CAD billion, paid for by the electricity consumer base for the benefit of only the 0.06 percent of electricity consumers who could install solar systems. The cost imposed on the Canadian economy ranges from 2.86 to 5.37 CAD billion, depending on the discount rate applied. The sensitivity analysis results indicate that the burden of this program on the Canadian economy would have been reduced by 50 percent if the program had been delayed and implemented in 2016 instead of 2010 due to the declining trend in solar system investment costs. The lessons from this analysis provide insights for designing future environmental and emission reduction policies.
This research note reports on a new dataset about legislators in four Canadian provinces since the establishment of their colonial assemblies in the eighteenth century. Over 7,000 legislators from Ontario, Quebec, New Brunswick, and Nova Scotia are included, with consolidated information drawn from multiple sources about parliamentarians’ years of birth and death, religion, electoral performance, kinship, and several other biographical indicators. We also illustrate the utility of such data with the help of a few descriptive examples drawn from the four provinces. We believe this consolidated dataset offers several opportunities for future research on representation, legislative activities and party politics.
Chlorite and illite are commonly associated with ubiquitous secondary K-rich feldspar in the rocks located immediately above and below the Precambrian-Paleozoic unconformity in southwestern Ontario, and elsewhere in the mid-continent of North America. This alteration assemblage is attributed to long-distance migration of hot brines driven westward by orogenic processes originating along the eastern seaboard of North America. The δD and δ18O values of chlorite and illite, plus K-Ar dates for secondary K-rich feldspar and illite, were used to determine the nature, origin, and timing of the fluids that altered Precambrian granites and their overlying rocks in southwestern Ontario. The δ18O values of the chlorite-forming fluids are best explained by initial hot brines (≥50°C) evolved mostly from seawater. Secondary K-rich feldspar formation followed shortly thereafter, as the fluids cooled and perhaps mixed with meteoric water. Regional migration of the brines was induced by Taconic orogenic events to the east. The hydrogen and oxygen isotopic compositions for the secondary illite of the early to mid-Carboniferous indicate its crystallization from local meteoric water at low temperatures (40–55°C). Infiltration of local meteoric water into the Paleozoic and uppermost altered Precambrian rocks occurred during uplift, erosion, and subaerial exposure of local arches in southern Ontario. The local basement reactivation and associated secondary illite formation in this portion of the North American hinterland was likely a distal expression of east-coast Acadian and Alleghanian orogenic activity.
Using two composite case studies the following chapter outlines the intersection of legal and forensic pathways to justice for persons with developmental disabilities in Ontario, Canada. Their pathways include a number of junctures where decision making by different stakeholders across sectors is required pertaining to legal determinations of either criminal fitness to stand trial and culpability as well as the health care presence of a contributory mental illness or disorder. Despite having similar profiles, people with developmental disabilities can have vastly different access, processes, and outcomes depending upon a number of variables including legal factors such as the severity of the offence and offence history; and extralegal factors including support network, discretion of multiple decision makers, legal resources and jurisdiction. The pathways recognise the importance and need for ensuring equitable and therapeutic justice for such individuals.
It is widely agreed that there is a crisis in labour/employment standards enforcement. A key issue is the role of deterrence measures that penalise violations. Employment standards enforcement in Ontario, like in most jurisdictions, is based mainly on a compliance framework promoting voluntary resolution of complaints and, if that fails, ordering restitution. Deterrence measures that penalise violations are rarely invoked. However, the Ontario government has recently increased the role of proactive inspections and tickets, a low-level deterrence measure which imposes fines of CAD295 plus victim surcharges. In examining the effectiveness of the use of tickets in inspections, we begin by looking at this development in the broader context of employment standards enforcement and its historical trajectory. Then, using administrative data from the Ministry of Labour, we examine when and why tickets are issued in the course of workplace inspections. After demonstrating that even when ticketable violations are detected, tickets are issued only rarely, we explore factors associated with an increased likelihood of an inspector issuing a ticket. Finally, we consider how the overall deterrent effect of workplace inspections is influenced by the use or non-use of deterrence tools.
In October 2010, the provincial government of Ontario, Canada enacted the Open for Business Act (OBA). A central component of the OBA is its provisions aiming to streamline the enforcement of Ontario’s Employment Standards Act (ESA). The OBA’s changes to the ESA are an attempt to manage a crisis of employment standards (ES) enforcement, arising from decades of ineffective regulation, by entrenching an individualised enforcement model. The Act aims to streamline enforcement by screening people assumed to be lacking definitive proof of violations out of the complaints process. The OBA therefore produces a new category of ‘illegitimate claimants’ and attributes administrative backlogs to these people. Instead of improving the protection of workers, the OBA embeds new racialised and gendered modes of exclusion in the ES enforcement process.
Using an administrative dataset from the Ontario Ministry of Labour, we investigate three hypotheses about employment standards violations among franchised businesses: (1) franchisees have a higher probability of violating employment standards than other businesses, (2) franchisees have a higher probability of monetary/wage-related ES violations than other businesses, and (3) franchisees have a lower probability of repaying monetary/wage-related violations than other businesses. The results of our statistical models suggest that overall, franchisees are indeed more likely to violate ES, have a higher probability of monetary/wage-related violations, and are less likely to repay such violations. However, the results vary substantially by industry. While franchisees had only marginally higher probabilities of an ES violation in two of the seven industry-groups examined, five of the seven industries showed substantially higher probabilities of a monetary violation. The results also show that franchisees in three industry groups (retail, accommodation and food services, and education, public administration, healthcare and social services) are particularly prone to monetary violations.
To determine factors associated with increased response readiness to CBRN threats of paramedics in Ontario, Canada.
Methods:
An internet-based survey was distributed via email and delivered at the start of each shift presentation during October, 2019. The target population was active-duty paramedics in the Ontario region of Canada. The survey was comprised of 6 sections pertaining to demographics, attitudinal components of risk perception, self-efficacy, deployment concerns, and resilience. Survey mean, univariate, and multivariate regression analyses were used to find the individual effect of each variable.
Results:
The univariate analysis indicated that higher response readiness was associated with additional training, education, CBRN, and family concerns, and incident experience. However, some variables were non-significant in the multivariate analysis. Increased response readiness was associated with CBRN concerns and training.
Conclusion:
CBRN concerns and focused training regarding terrorism were both associated with increased response readiness. The information from the study can be used to build upon existing knowledge and support paramedics though training and preparation for CBRN specific disasters. The findings may also be used to improve current competency-based frameworks focused on response readiness.
West Nile neuroinvasive disease (WNND) is a severe neurological illness that can result from West Nile virus (WNV) infection, with long-term disability and death being common outcomes. Although WNV arrived in North America over two decades ago, risk factors for WNND are still being explored. The objective of this study was to identify WNND comorbid risk factors in the Ontario population using a retrospective, population-based cohort design. Incident WNV infections from laboratory records between 1 January 2002 – 31 December 2012 were individually-linked to health administrative databases to ascertain WNND outcomes and comorbid risk factors. WNND incidence was compared among individuals with and without comorbidities using risk ratios (RR) calculated with log binomial regression.
Three hundred and forty-five individuals developed WNND (18.3%) out of 1884 WNV infections. West Nile encephalitis was driving most associations with comorbidities. Immunocompromised (aRR 2.61 [95% CI 1.23–4.53]) and male sex (aRR 1.32 [95% CI 1.00–1.76]) were risk factors for encephalitis, in addition to age, for which each 1-year increase was associated with a 2% (aRR 1.02 [95% CI 1.02–1.03]) relative increase in risk. Our results suggest that individuals living with comorbidities are at higher risk for WNND, in particular encephalitis, following WNV infection.
This chapter explores ethical issues involved in language revitalization. Revitalization projects have different implications for different groups (including outside researchers, local activists, community members and sub-groups within the community) and should be planned in a way that is sensitive to the community’s needs, perspectives and knowledge systems. In cases where there is past or present oppression, discrimination or related traumas, only the community can decide whether and how they wish difficult topics to be brought up. Other issues discussed include the political positioning of researchers working with minority groups, legal issues, ownership, consent and the appropriate sharing of documentation resources. The capsule recounts ethical lessons learned through a collaboration with indigenous researchers in Friendship Centres in Ontario, Canada. The emphasis is on practical involvement in everyday activities so that research is grounded in long-term, reciprocal relationships with the knowledge keepers.
Who runs and is elected is one of the most fundamental questions in political science as it pertains to the issue of descriptive representation. Despite the importance of this issue, until recently there were no longitudinal datasets on candidates in Canadian elections. This article presents two novel datasets including information on all candidates who ran in Canadian federal and Ontario provincial elections from 1867 to 2019. I present how these data were collected and how they can be used to gain new insights. I expect these data will be a valuable resource to Canadian political scientists for both research and teaching purposes.
Cet article vise à expliquer les motifs pour lesquels le Québec finance les écoles privées alors que la province voisine, l'Ontario, ne leur apporte aucune aide directe. L'auteure avance que ces politiques sont liées à la configuration religieuse des provinces au moment de l’établissement de leur système d’éducation. Au Québec, où la religion catholique était dominante, l'autorité de l'État sur l'éducation a été contestée jusqu'au milieu du 20e siècle par l’Église catholique. En revanche, en Ontario, les églises protestantes, qui étaient majoritaires, ne sont pas opposées au développement des écoles publiques. L'État s'est alors rapidement imposé comme l'autorité suprême en matière d'éducation. Au 20e siècle, les politiques des gouvernements des deux provinces ont été influencées par l'héritage des décisions prises un siècle plus tôt.
Resource depression and garden hunting are major topics of archaeological interest, with important implications for understanding cultural and environmental change. Garden hunting is difficult to study using traditional zooarchaeological approaches, but isotopic analyses of animals may provide a marker for where and when people exploited nondomesticated animals that fed on agricultural resources. To realize the full potential of isotopic approaches for reconstructing garden hunting practices—and the impacts of agriculture on past nondomesticated animal populations more broadly—a wider range of species, encompassing many “ecological perspectives,” is needed. We use bone-collagen isotopic compositions of animals (n = 643, 23 taxa, 39 sites) associated with the Late Woodland (~AD 900−1650) in what is now southern Ontario to test hypotheses about the extent to which animals used maize, an isotopically distinctive plant central to subsistence practices of Iroquoian-speaking peoples across the region. Results show that although some taxa—particularly those that may have been hard to control—had substantial access to maize, most did not, regardless of the animal resource requirements of local populations. Our findings suggest that this isotopic approach to detecting garden hunting will be more successful when applied to smaller-scale societies.
To compare long-term survival of Parkinson’s disease (PD) patients with deep brain stimulation (DBS) to matched controls, and examine whether DBS was associated with differences in injurious falls, long-term care, and home care.
Methods:
Using administrative health data (Ontario, Canada), we examined DBS outcomes within a cohort of individuals diagnosed with PD between 1997 and 2012. Patients receiving DBS were matched with non-DBS controls by age, sex, PD diagnosis date, time with PD, and a propensity score. Survival between groups was compared using the log-rank test and marginal Cox proportional hazards regression. Cumulative incidence function curves and marginal subdistribution hazard models were used to assess effects of DBS on falls, long-term care admission, and home care use, with death as a competing risk.
Results:
There were 260 DBS recipients matched with 551 controls. Patients undergoing DBS did not experience a significant survival advantage compared to controls (log-rank test p = 0.50; HR: 0.89, 95% CI: 0.65–1.22). Among patients <65 years of age, DBS recipients had a significantly reduced risk of death (HR: 0.49, 95% CI: 0.28–0.84). Patients receiving DBS were more likely than controls to receive care for falls (HR: 1.56, 95% CI: 1.19–2.05) and home care (HR: 1.59, 95% CI: 1.32–1.90), while long-term care admission was similar between groups.
Conclusions:
Receiving DBS may increase survival for younger PD patients who undergo DBS. Future studies should examine whether survival benefits may be attributed to effects on PD or the absence of comorbidities that influence mortality.
To examine whether sociodemographic characteristics and health care utilization are associated with receiving deep brain stimulation (DBS) surgery for Parkinson’s disease (PD) in Ontario, Canada.
Methods:
Using health administrative data, we identified a cohort of individuals aged 40 years or older diagnosed with incident PD between 1995 and 2009. A case-control study was used to examine whether select factors were associated with DBS for PD. Patients were classified as cases if they underwent DBS surgery at any point 1-year after cohort entry until December 31, 2016. Conditional logistic regression modeling was used to estimate the adjusted odds of DBS surgery for sociodemographic and health care utilization indicators.
Results:
A total of 46,237 individuals with PD were identified, with 543 (1.2%) receiving DBS surgery. Individuals residing in northern Ontario were more likely than southern patients to receive DBS surgery [adjusted odds ratio (AOR) = 2.23, 95% confidence interval (CI) = 1.15–4.34]; however, regional variations were not observed after accounting for medication use among older adults (AOR = 1.04, 95% CI = 0.26–4.21). Patients living in neighborhoods with the highest concentration of visible minorities were less likely to receive DBS surgery compared to patients living in predominantly white neighborhoods (AOR = 0.27, 95% CI = 0.16–0.46). Regular neurologist care and use of multiple PD medications were positively associated with DBS surgery.
Conclusions:
Variations in use of DBS may reflect differences in access to care, specialist referral pathways, health-seeking behavior, or need for DBS. Future studies are needed to understand drivers of potential disparities in DBS use.
The story of Catholic Canada is not simply a binary of French and English. Rather, there were a number of groups, including significant populations of Scottish Catholics, in the Maritime provinces and Upper Canada (modern Ontario). This chapter takes as its starting point the regional nature of Canadian history and examines the development of distinctively (and distinct) Irish Catholic communities in the Maritime provinces and Upper Canada/Ontario.
The recognition of a health care service as medically necessary under the Canada Health Act is contingent on a variety of practical and political factors. This article examines how in vitro fertilization (IVF) came to be understood as a medically necessary service in Ontario, focusing on the establishment of public funding for one cycle of treatment. The article argues that the legitimacy of medical necessity in the contemporary period is tied to three interrelated factors: the recognition of a service as sufficiently “medical,” as efficient and as urgent—that is, something to be funded now and not later. By applying this framework to the case of IVF in Ontario, the article demonstrates not only the ongoing malleability of medical necessity but also how the government of Ontario has mobilized the three aspects of medical necessity to make a case for the public funding of a highly contested health care service.