Medical cannabis: strengthening evidence in the face of hype and public pressure.
r W PMID: 31427354 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 19, 2019 Category: General Medicine Authors: Fitzcharles MA, Shir Y, Häuser W Tags: CMAJ Source Type: research

Associations among gastroesophageal reflux disease, mental disorders, sleep and chronic temporomandibular disorder: a case-control study.
Abstract BACKGROUND: Temporomandibular disorders (TMDs) are a family of pain-related disorders associated with impaired function in the jaw, temporomandibular joint and muscles of mastication. Our objectives were to evaluate the association between chronic TMD and gastresophageal reflux disease (GERD) and to determine whether mental disorders or undermined sleep mediates this association. METHODS: We conducted a case-control study involving 1522 consecutive adult patients with chronic TMD and 1522 matched controls from 2 hospitals in China. All participants were aged between 18 and 70 years and were recruited...
Source: cmaj - August 19, 2019 Category: General Medicine Authors: Li Y, Fang M, Niu L, Fan Y, Liu Y, Long Y, Liu X, Tay FR, Chen J Tags: CMAJ Source Type: research

Group B streptococcal endocarditis following elective surgical abortion.
PMID: 31427356 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 19, 2019 Category: General Medicine Authors: Billick M, Gold WL Tags: CMAJ Source Type: research

Eosinophilic granulomatosis with polyangiitis in a 10-year-old girl.
PMID: 31427357 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 19, 2019 Category: General Medicine Authors: Linxue H, Yujie M Tags: CMAJ Source Type: research

Seeing medicine's hidden curriculum.
PMID: 31427358 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 19, 2019 Category: General Medicine Authors: Leong R, Ayoo K Tags: CMAJ Source Type: research

Delivery options and risk of severe acute maternal morbidity.
PMID: 31427359 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 19, 2019 Category: General Medicine Authors: Joseph KS, Boutin A, Lisonkova S Tags: CMAJ Source Type: research

Key considerations when comparing outcomes by mode of delivery raise questions about study validity and clinical relevance.
PMID: 31427360 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 19, 2019 Category: General Medicine Authors: Muraca GM, Razaz N Tags: CMAJ Source Type: research

Do the politics or business background of health care philanthrophists matter?
PMID: 31427361 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 19, 2019 Category: General Medicine Authors: Mercer C Tags: CMAJ Source Type: research

Self-regulation in health care professions comes under scrutiny.
PMID: 31427362 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 19, 2019 Category: General Medicine Authors: Motluk A Tags: CMAJ Source Type: research

The doctor as patient: better informed but similar in behaviour.
PMID: 31427363 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 19, 2019 Category: General Medicine Authors: Basky G Tags: CMAJ Source Type: research

The impact of hospital harm on length of stay, costs of care and length of person-centred episodes of care: a retrospective cohort study.
Abstract BACKGROUND: There is a lack of data in Canada on the longitudinal effects of adverse events that occur in hospital, specifically in the period after discharge. Our objective was to quantify the impact of adverse events on hospital length of stay, length of person-centred episodes of care (PCEs) and costs of PCEs, as well as their impact on the total health system. METHODS: We conducted a population-based, retrospective cohort study using linked health administrative databases. We included adults in Ontario who had an acute hospital admission between Apr. 1, 2015, and Mar. 31, 2016. We grouped hospita...
Source: cmaj - August 12, 2019 Category: General Medicine Authors: Tessier L, Guilcher SJT, Bai YQ, Ng R, Wodchis WP Tags: CMAJ Source Type: research

Management of ovarian cancer risk in women with BRCA1/2 pathogenic variants.
PMID: 31405835 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 12, 2019 Category: General Medicine Authors: Walker M, Jacobson M, Sobel M Tags: CMAJ Source Type: research

Proprotein convertase subtilisin-kexin type 9 (PCSK9) inhibitors.
PMID: 31405836 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 12, 2019 Category: General Medicine Authors: Leong D, Wu PE Tags: CMAJ Source Type: research

Actinic granuloma.
PMID: 31405837 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 12, 2019 Category: General Medicine Authors: Liu W, Ma DL Tags: CMAJ Source Type: research

The truth about going home.
PMID: 31405838 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 12, 2019 Category: General Medicine Authors: Moorehead P Tags: CMAJ Source Type: research

Potential toxicity of topical ocular solutions.
PMID: 31405839 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 12, 2019 Category: General Medicine Authors: Cimolai N Tags: CMAJ Source Type: research

Public trust in the information age.
PMID: 31405840 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 12, 2019 Category: General Medicine Authors: Bryan JM Tags: CMAJ Source Type: research

Taking personal leave remains a challenge for medical trainees.
re MC PMID: 31405841 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 12, 2019 Category: General Medicine Authors: Grégoire MC Tags: CMAJ Source Type: research

Long-awaited regulations bring clarity to assisted reproduction act.
PMID: 31405842 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 12, 2019 Category: General Medicine Authors: Motluk A Tags: CMAJ Source Type: research

Doctors question annual TB testing of health workers.
PMID: 31405843 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 12, 2019 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

On burnout and physician well-being: Med Life with Dr. Horton.
PMID: 31405844 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 12, 2019 Category: General Medicine Authors: Horton J Tags: CMAJ Source Type: research

Ensuring Canada's first dementia strategy is not shelved and forgotten.
PMID: 31387954 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 6, 2019 Category: General Medicine Authors: Stall NM, Tardif P, Sinha SK Tags: CMAJ Source Type: research

Value of routine echocardiography in the management of stroke.
Abstract BACKGROUND: Transthoracic echocardiography is routinely performed in patients with stroke or transient ischemic attack (TIA) to help plan secondary stroke management, but recent data evaluating its usefulness in this context are lacking. We sought to evaluate the value of echocardiography for identifying clinically actionable findings for secondary stroke prevention. METHODS: We conducted a multicentre cohort study of patients admitted to hospital with stroke or TIA between 2010 and 2015 at 2 academic hospitals in Toronto, Ontario, Canada. Clinically actionable echocardiographic findings for secondar...
Source: cmaj - August 6, 2019 Category: General Medicine Authors: Fralick M, Goldberg N, Rohailla S, Guo Y, Burke MJ, Lapointe-Shaw L, Kwan JL, Weinerman AS, Rawal S, Tang T, Razak F, Verma AA Tags: CMAJ Source Type: research

The importance of measuring the impact of patient-oriented research.
PMID: 31387956 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 6, 2019 Category: General Medicine Authors: Aubin D, Hebert M, Eurich D Tags: CMAJ Source Type: research

Candida auris.
PMID: 31387957 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 6, 2019 Category: General Medicine Authors: Schwartz IS, Dingle TC Tags: CMAJ Source Type: research

Copper deficiency myeloneuropathy in a patient with previous bariatric surgery.
PMID: 31387958 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 6, 2019 Category: General Medicine Authors: Arnold AJ, Tkach A, Wile DJ Tags: CMAJ Source Type: research

Delusional possibilities.
PMID: 31387959 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 6, 2019 Category: General Medicine Authors: Parrott M Tags: CMAJ Source Type: research

Is having broad experience a red flag in the CaRMS match?
PMID: 31387960 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 6, 2019 Category: General Medicine Authors: Yeung EYH Tags: CMAJ Source Type: research

New CMAJ policy on competing interests in guidelines needs strengthening.
PMID: 31387961 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 6, 2019 Category: General Medicine Authors: Lexchin J Tags: CMAJ Source Type: research

Guidelines should be assessed based on the underlying evidence.
PMID: 31387962 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 6, 2019 Category: General Medicine Authors: Carroll PR, Parsons JK Tags: CMAJ Source Type: research

How exclusion from the WHO is affecting health care in Taiwan.
PMID: 31387963 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 6, 2019 Category: General Medicine Authors: Shuchman M Tags: CMAJ Source Type: research

CMA can't use proceeds of MD sale to fund physician pension plan.
PMID: 31387964 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 6, 2019 Category: General Medicine Authors: Owens B Tags: CMAJ Source Type: research

Dramatic rise in VRE infections linked to abandoned control measures.
PMID: 31387965 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 6, 2019 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Association between complications and death within 30 days after noncardiac surgery.
Abstract BACKGROUND: Among adults undergoing contemporary noncardiac surgery, little is known about the frequency and timing of death and the associations between perioperative complications and mortality. We aimed to establish the frequency and timing of death and its association with perioperative complications. METHODS: We conducted a prospective cohort study of patients aged 45 years and older who underwent inpatient noncardiac surgery at 28 centres in 14 countries. We monitored patients for complications until 30 days after surgery and determined the relation between these complications and 30-day mortal...
Source: cmaj - July 29, 2019 Category: General Medicine Authors: Vascular Events in Noncardiac Surgery Patients Cohort Evaluation (VISION) Study Investigators Tags: CMAJ Source Type: research

Request for medical assistance in dying after a suicide attempt in a 75-year-old man with pancreatic adenocarcinoma.
PMID: 31358598 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 29, 2019 Category: General Medicine Authors: Nayyar D, Kawaguchi S, Mah B Tags: CMAJ Source Type: research

Blue rubber bleb nevus syndrome.
PMID: 31358599 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 29, 2019 Category: General Medicine Authors: Mayba JN, Cullingham K Tags: CMAJ Source Type: research

Le fou Bonnet.
PMID: 31358600 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 29, 2019 Category: General Medicine Authors: Gjerde H Tags: CMAJ Source Type: research

Challenges presented by a custodian-based medical record access system.
PMID: 31358601 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 29, 2019 Category: General Medicine Authors: Mehta SD Tags: CMAJ Source Type: research

One EHR should not rule them all.
PMID: 31358602 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 29, 2019 Category: General Medicine Authors: Wong SC, Osborne C Tags: CMAJ Source Type: research

Tailoring cultural safety training in health care to local context of Indigenous communities.
PMID: 31358603 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 29, 2019 Category: General Medicine Authors: Owens B Tags: CMAJ Source Type: research

Recruiting clincians to combat pseudoscience on social media.
PMID: 31358604 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 29, 2019 Category: General Medicine Authors: Brown S Tags: CMAJ Source Type: research

New resources to aid doctors in lowering opioid doses.
PMID: 31358605 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 29, 2019 Category: General Medicine Authors: Glauser W Tags: CMAJ Source Type: research

Combined impacts of multimorbidity and mental disorders on frequent emergency department visits: a retrospective cohort study in Quebec, Canada.
Abstract BACKGROUND: Multimorbidity and mental disorders are independently associated with frequent visits to the emergency department (≥ 3 visits/yr), but their interaction has been little studied. We aimed to measure the interaction between mental disorders and physical multimorbidity with respect to frequent visits to the emergency department. METHODS: We conducted a population-based cohort study of adults in Quebec from 2012 to 2016, using the Quebec Integrated Chronic Disease Surveillance System. We assessed multimorbidity as the number of physical illnesses and mental disorders as serious (psychotic ...
Source: cmaj - July 2, 2019 Category: General Medicine Authors: Gaulin M, Simard M, Candas B, Lesage A, Sirois C Tags: CMAJ Source Type: research

Embracing the science of value in health.
PMID: 31266787 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 2, 2019 Category: General Medicine Authors: Krahn M, Bryan S, Lee K, Neumann PJ Tags: CMAJ Source Type: research

Anal fissures.
PMID: 31266788 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 2, 2019 Category: General Medicine Authors: Dykstra MA, Buie WD Tags: CMAJ Source Type: research

Acute myocardial ischemia associated with hiccups.
PMID: 31266789 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 2, 2019 Category: General Medicine Authors: Broughton J, Sharma A Tags: CMAJ Source Type: research

Protecting children: the American turn from polio to cancer vaccines.
PMID: 31266790 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 2, 2019 Category: General Medicine Authors: Scheffler RW Tags: CMAJ Source Type: research

How likely is "likely"?
How likely is "likely"? CMAJ. 2019 Jul 02;191(26):E742 Authors: Steinhart BD PMID: 31266791 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 2, 2019 Category: General Medicine Authors: Steinhart BD Tags: CMAJ Source Type: research

Strengthening tuberculosis surveillance in Canada.
PMID: 31266792 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 2, 2019 Category: General Medicine Authors: Haworth-Brockman MJ, Keynan Y Tags: CMAJ Source Type: research

Deceased organ and tissue donation after medical assistance in dying and other conscious and competent donors: guidance for policy.
Authors: PMID: 31266793 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 2, 2019 Category: General Medicine Tags: CMAJ Source Type: research