Medication costs driving seniors to food banks.
PMID: 29229720 [PubMed - in process] (Source: cmaj)
Source: cmaj - December 11, 2017 Category: General Medicine Authors: Webster P Tags: CMAJ Source Type: research

Opioid prescriptions still rising but for smaller quantities.
PMID: 29229721 [PubMed - in process] (Source: cmaj)
Source: cmaj - December 11, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Doctor who supported tax reforms removed from board of Doctors Nova Scotia.
PMID: 29229722 [PubMed - in process] (Source: cmaj)
Source: cmaj - December 11, 2017 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

Charting age-associated cognitive decline.
PMID: 29203615 [PubMed - in process] (Source: cmaj)
Source: cmaj - December 4, 2017 Category: General Medicine Authors: Costa A Tags: CMAJ Source Type: research

Validation and diagnostic accuracy of predictive curves for age-associated longitudinal cognitive decline in older adults.
e R Abstract BACKGROUND: The Mini-Mental State Examination continues to be used frequently to screen for cognitive impairment in older adults, but it remains unclear how to interpret changes in its score over time to distinguish age-associated cognitive decline from an early degenerative process. We aimed to generate cognitive charts for use in clinical practice for longitudinal evaluation of age-associated cognitive decline. METHODS: We used data from the Canadian Study of Health and Aging from 7569 participants aged 65 years or older who completed a Mini-Mental State Examination at baseline, and at 5 and 10...
Source: cmaj - December 4, 2017 Category: General Medicine Authors: Bernier PJ, Gourdeau C, Carmichael PH, Beauchemin JP, Verreault R, Bouchard RW, Kröger E, Laforce R Tags: CMAJ Source Type: research

Diagnosis and treatment of obstructive sleep apnea in adults.
PMID: 29203617 [PubMed - in process] (Source: cmaj)
Source: cmaj - December 4, 2017 Category: General Medicine Authors: Laratta CR, Ayas NT, Povitz M, Pendharkar SR Tags: CMAJ Source Type: research

Congenitally transmitted Chagas disease in Canada: a family cluster.
PMID: 29203618 [PubMed - in process] (Source: cmaj)
Source: cmaj - December 4, 2017 Category: General Medicine Authors: Plourde PJ, Kadkhoda K, Ndao M Tags: CMAJ Source Type: research

Majocchi granuloma in a 58-year-old man with treatment-resistant annular scaling plaque.
PMID: 29203619 [PubMed - in process] (Source: cmaj)
Source: cmaj - December 4, 2017 Category: General Medicine Authors: Roy SF, Davar S Tags: CMAJ Source Type: research

Could changes in pharmacotherapy peripregnancy contribute to the shift in means of suicide?
PMID: 29203620 [PubMed - in process] (Source: cmaj)
Source: cmaj - December 4, 2017 Category: General Medicine Authors: Leong CM Tags: CMAJ Source Type: research

Mental health care and suicide in pregnancy and postpartum.
PMID: 29203621 [PubMed - in process] (Source: cmaj)
Source: cmaj - December 4, 2017 Category: General Medicine Authors: Mintzes B Tags: CMAJ Source Type: research

Quebec medical schools slow to adopt pass/fail system.
PMID: 29203622 [PubMed - in process] (Source: cmaj)
Source: cmaj - December 4, 2017 Category: General Medicine Authors: Glauser W Tags: CMAJ Source Type: research

Postsecondary campuses responding to record anxiety and depression levels.
PMID: 29203623 [PubMed - in process] (Source: cmaj)
Source: cmaj - December 4, 2017 Category: General Medicine Authors: Glauser W Tags: CMAJ Source Type: research

Quebec grants health minister power to impose duties on doctors.
PMID: 29203624 [PubMed - in process] (Source: cmaj)
Source: cmaj - December 4, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

What to do about the Canadian Resident Matching Service.
PMID: 29180382 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 27, 2017 Category: General Medicine Authors: Wilson CR, Bordman ZN Tags: CMAJ Source Type: research

Comparative risk of incident venous thromboembolism in patients with inflammatory bowel disease initiating tumour necrosis factor- α inhibitors or nonbiologic agents: a cohort study.
Comparative risk of incident venous thromboembolism in patients with inflammatory bowel disease initiating tumour necrosis factor-α inhibitors or nonbiologic agents: a cohort study. CMAJ. 2017 Nov 27;189(47):E1438-E1447 Authors: Desai RJ, Gagne JJ, Lii J, Liu J, Friedman S, Kim SC Abstract BACKGROUND: Inflammatory bowel disease (IBD) increases the risk of venous thromboembolism (VTE) by 2 to 3 times. We compared the reduction in risk of incident VTE associated with use of tumour necrosis factor-α (TNF-α) inhibitors versus nonbiologic immunomodulatory agents in patients with IBD. ...
Source: cmaj - November 27, 2017 Category: General Medicine Authors: Desai RJ, Gagne JJ, Lii J, Liu J, Friedman S, Kim SC Tags: CMAJ Source Type: research

Canadian guideline on HIV pre-exposure prophylaxis and nonoccupational postexposure prophylaxis.
cal HIV Prevention Working Group of the CIHR Canadian HIV Trials Network PMID: 29180384 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 27, 2017 Category: General Medicine Authors: Tan DHS, Hull MW, Yoong D, Tremblay C, O'Byrne P, Thomas R, Kille J, Baril JG, Cox J, Giguere P, Harris M, Hughes C, MacPherson P, O'Donnell S, Reimer J, Singh A, Barrett L, Bogoch I, Jollimore J, Lambert G, Lebouche B, Metz G, Rogers T, Shafran S, Biomed Tags: CMAJ Source Type: research

Treatment of venous thromboembolism in a 22-year-old woman taking an oral contraceptive pill.
PMID: 29180385 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 27, 2017 Category: General Medicine Authors: Shafran DM, Wu C Tags: CMAJ Source Type: research

J-waves in hypothermia.
PMID: 29180386 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 27, 2017 Category: General Medicine Authors: Hudzik B, Gasior M Tags: CMAJ Source Type: research

Pigmented Bowen disease.
PMID: 29180387 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 27, 2017 Category: General Medicine Authors: Zhou LL, Mistry N Tags: CMAJ Source Type: research

Sexual orientation not included in analysis.
PMID: 29180388 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 27, 2017 Category: General Medicine Authors: Cornelson BM Tags: CMAJ Source Type: research

Diagnostic coding of routinely collected data.
PMID: 29180389 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 27, 2017 Category: General Medicine Authors: Denny K Tags: CMAJ Source Type: research

Is it ever better not to have health insurance?
PMID: 29180390 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 27, 2017 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

Winds of growth may signal brewing health spending storm.
PMID: 29180391 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 27, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Northwest Territories leads Canada in electronic medical record coverage.
PMID: 29180392 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 27, 2017 Category: General Medicine Authors: Webster P Tags: CMAJ Source Type: research

Comparison of Canadian public medication insurance plans and the impact on out-of-pocket costs.
Abstract BACKGROUND: Research from 2006 documented substantial variation in medication coverage for residents across Canada. Since then, some provinces have implemented major medication plan reforms. We aimed to update the information on publicly funded medication insurance plans available across Canada and to compare out-of-pocket costs across the country. METHODS: We compared provincial medication insurance plans using data from public websites and other public source documents. Using 2 hypothetical clinical examples, we determined the amount and type of a patient's out-of-pocket costs for 5 different patie...
Source: cmaj - November 22, 2017 Category: General Medicine Authors: Campbell DJT, Manns BJ, Soril LJJ, Clement F Tags: CMAJ Open Source Type: research

Changes in the dispensing of opioid medications in Canada following the introduction of a tamper-deterrent formulation of long-acting oxycodone: a time series analysis.
Abstract BACKGROUND: In February 2012, a reformulated tamper-deterrent form of long-acting oxycodone, OxyNeo, was introduced in Canada. We investigated the impact of the introduction of OxyNeo on patterns of opioid prescribing. METHODS: We conducted population-based, cross-sectional analyses of opioid dispensing in Canada between 2008 and 2016. We estimated monthly community pharmacy dispensing of oral formulations of codeine, morphine, hydromorphone and oxycodone, and a transdermal formulation of fentanyl, and converted quantities to milligrams of morphine equivalents (MMEs) per 1000 population. We used time...
Source: cmaj - November 22, 2017 Category: General Medicine Authors: Gomes T, Mastorakos A, Paterson JM, Sketris I, Caetano P, Greaves S, Henry D, Canadian Network for Observational Drug Effect Studies Investigators Tags: CMAJ Open Source Type: research

Health of health care workers in Canadian nursing homes and pediatric hospitals: a cross-sectional study.
Abstract BACKGROUND: Poor health of health care workers affects quality of care, but research and health data for health care workers are scarce. Our aim was to compare physical/mental health among health care worker groups 1) within nursing homes and pediatric hospitals, 2) between the 2 settings and 3) with the physical/mental health of the Canadian population. METHODS: Using cross-sectional data collected as part of the Translating Research in Elder Care program and the Translating Research on Pain in Children program, we examined the health of health care workers. In nursing homes, 169 registered nurses, ...
Source: cmaj - November 21, 2017 Category: General Medicine Authors: Hoben M, Knopp-Sihota JA, Nesari M, Chamberlain SA, Squires JE, Norton PG, Cummings GG, Stevens BJ, Estabrooks CA Tags: CMAJ Open Source Type: research

A call for clarity and quality in medical writing.
PMID: 29158452 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 20, 2017 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

Healing racism in Canadian health care.
PMID: 29158453 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 20, 2017 Category: General Medicine Authors: Boyer Y Tags: CMAJ Source Type: research

Direct medical costs of motorcycle crashes in Ontario.
Abstract BACKGROUND: There is no reliable estimate of costs incurred by motorcycle crashes. Our objective was to calculate the direct costs of all publicly funded medical care provided to individuals after motorcycle crashes compared with automobile crashes. METHODS: We conducted a population-based, matched cohort study of adults in Ontario who presented to hospital because of a motorcycle or automobile crash from 2007 through 2013. For each case, we identified 1 control absent a motor vehicle crash during the study period. Direct costs for each case and control were estimated in 2013 Canadian dollars from th...
Source: cmaj - November 20, 2017 Category: General Medicine Authors: Pincus D, Wasserstein D, Nathens AB, Bai YQ, Redelmeier DA, Wodchis WP Tags: CMAJ Source Type: research

Acute strongyloidiasis in a child recently returned from vacation in Cuba.
PMID: 29158455 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 20, 2017 Category: General Medicine Authors: Alabi A, Boggild AK, Bitnun A Tags: CMAJ Source Type: research

Subarachnoid hemorrhage.
PMID: 29158456 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 20, 2017 Category: General Medicine Authors: Fernando SM, Perry JJ Tags: CMAJ Source Type: research

The importance of study design in the assessment of nonnutritive sweeteners and cardiometabolic health.
PMID: 29158457 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 20, 2017 Category: General Medicine Authors: Sievenpiper JL, Khan TA, Ha V, Viguiliouk E, Auyeung R Tags: CMAJ Source Type: research

Response to "The importance of study design in the assessment of nonnutritive sweeteners and cardiometabolic health".
Response to "The importance of study design in the assessment of nonnutritive sweeteners and cardiometabolic health". CMAJ. 2017 Nov 20;189(46):E1426 Authors: Azad MB, MacKay DS, Zarychanski R PMID: 29158458 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 20, 2017 Category: General Medicine Authors: Azad MB, MacKay DS, Zarychanski R Tags: CMAJ Source Type: research

The timing of ingestion may influence the effect of nonnutritive sweeteners on cardiometabolic health: a potentially overlooked factor.
PMID: 29158459 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 20, 2017 Category: General Medicine Authors: Nakajima K, Iwane T, Higuchi R Tags: CMAJ Source Type: research

Climate change is already making us sick.
PMID: 29158460 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 20, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Facts not enough to change minds about health myths.
PMID: 29158461 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 20, 2017 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

Renewed support for surgical safety checklist.
PMID: 29158462 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 20, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Celebrating more women leaders in global health.
PMID: 29158463 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 20, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

No quality health care without strong public health.
PMID: 29158464 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 20, 2017 Category: General Medicine Authors: Hancock T Tags: CMAJ Source Type: research

Validation of the Ottawa Subarachnoid Hemorrhage Rule in patients with acute headache.
ll IG Abstract BACKGROUND: We previously derived the Ottawa Subarachnoid Hemorrhage Rule to identify subarachnoid hemorrhage (SAH) in patients with acute headache. Our objective was to validate the rule in a new cohort of consecutive patients who visited an emergency department. METHODS: We conducted a multicentre prospective cohort study at 6 university-affiliated tertiary-care hospital emergency departments in Canada from January 2010 to January 2014. We included alert, neurologically intact adult patients with a headache peaking within 1 hour of onset. Treating physicians in the emergency department explic...
Source: cmaj - November 13, 2017 Category: General Medicine Authors: Perry JJ, Sivilotti MLA, Sutherland J, Hohl CM, Émond M, Calder LA, Vaillancourt C, Thirganasambandamoorthy V, Lesiuk H, Wells GA, Stiell IG Tags: CMAJ Source Type: research

Availability of naloxone in Canadian pharmacies:a population-based survey.
We examined the availability of naloxone in community pharmacies across Canada. METHODS: We identified community pharmacies in Canada (n = 10 296) and randomly selected 506, stratified using proportionate allocation by population size. We excluded pharmacies in Alberta and Manitoba because these provinces released data indicating which pharmacies made naloxone available to the public during the data collection phase of the study. We contacted pharmacies by telephone during working hours and used a standardized survey to enquire about the availability of naloxone, the associated cost and the need for a prescription. ...
Source: cmaj - November 8, 2017 Category: General Medicine Authors: Cressman AM, Mazereeuw G, Guan Q, Jia W, Gomes T, Juurlink DN Tags: CMAJ Open Source Type: research

Need for equity in treatment of substance use among Indigenous people in Canada.
PMID: 29109207 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 6, 2017 Category: General Medicine Authors: Urbanoski KA Tags: CMAJ Source Type: research

The Cedar Project: mortality among young Indigenous people who use drugs in British Columbia.
We report mortality rates among young Indigenous people who use drugs in British Columbia and explore predictors of mortality over time. METHODS: We analyzed data collected every 6 months between 2003 and 2014 by the Cedar Project, a prospective cohort study involving young Indigenous people who use illicit drugs in Vancouver and Prince George, BC. We calculated age-standardized mortality ratios using Indigenous and Canadian reference populations. We identified predictors of mortality using time-dependent Cox proportional hazard regression. RESULTS: Among 610 participants, 40 died between 2003 and 2014, yielding ...
Source: cmaj - November 6, 2017 Category: General Medicine Authors: Jongbloed K, Pearce ME, Pooyak S, Zamar D, Thomas V, Demerais L, Christian WM, Henderson E, Sharma R, Blair AH, Yoshida EM, Schechter MT, Spittal PM, Cedar Project Partnership Tags: CMAJ Source Type: research

Making the most of the federal investment of $5 billion for mental health.
PMID: 29109209 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 6, 2017 Category: General Medicine Authors: Bartram M Tags: CMAJ Source Type: research

Essential tremor.
PMID: 29109210 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 6, 2017 Category: General Medicine Authors: Schwindt G, Rezmovitz J Tags: CMAJ Source Type: research

Mechanic's hands and hiker's feet in antisynthetase syndrome.
PMID: 29109211 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 6, 2017 Category: General Medicine Authors: Wernham M, Montague SJ Tags: CMAJ Source Type: research

Is referral necessary for abnormal bleeding?
PMID: 29109212 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 6, 2017 Category: General Medicine Authors: Giles SM Tags: CMAJ Source Type: research

The authors respond to "Is referral necessary for abnormal bleeding?"
The authors respond to "Is referral necessary for abnormal bleeding?" CMAJ. 2017 Nov 06;189(44):E1369 Authors: Sholzberg M, Teitel J, Hicks LK PMID: 29109213 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 6, 2017 Category: General Medicine Authors: Sholzberg M, Teitel J, Hicks LK Tags: CMAJ Source Type: research

Mixed news for doctors as feds pivot on tax reforms.
PMID: 29109214 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 6, 2017 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research