In defense of Canada's drug plan managers.
PMID: 29941435 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 25, 2018 Category: General Medicine Authors: Hollis A Tags: CMAJ Source Type: research

Suggestions for managing in-flight emergencies.
PMID: 29941436 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 25, 2018 Category: General Medicine Authors: Adisesh A Tags: CMAJ Source Type: research

Add naloxone to in-flight medical supplies.
PMID: 29941437 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 25, 2018 Category: General Medicine Authors: Rieb LM Tags: CMAJ Source Type: research

Naloxone is becoming more available in airline medical kits.
PMID: 29941438 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 25, 2018 Category: General Medicine Authors: Carvalho AM, Poirier V Tags: CMAJ Source Type: research

Many doctors feel "betrayed" by sale of MD Financial Management.
Many doctors feel "betrayed" by sale of MD Financial Management. CMAJ. 2018 Jun 25;190(25):E776-E777 Authors: Owens B PMID: 29941439 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 25, 2018 Category: General Medicine Authors: Owens B Tags: CMAJ Source Type: research

Residency programs grapple with new Indigenous cultural safety training requirement.
PMID: 29941440 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 25, 2018 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Dr. Jack Tu, a research superstar ahead of his time (1965-2018).
PMID: 29941441 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 25, 2018 Category: General Medicine Authors: Glauser W Tags: CMAJ Source Type: research

Canadian guideline on HIV pre-exposure prophylaxis and nonoccupational postexposure prophylaxis.
Authors: PMID: 29941442 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 25, 2018 Category: General Medicine Tags: CMAJ Source Type: research

No use for this foot.
PMID: 29941443 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 25, 2018 Category: General Medicine Authors: Blum A Tags: CMAJ Source Type: research

Taking a stand for operative vaginal delivery.
PMID: 29914909 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 18, 2018 Category: General Medicine Authors: Ng C Tags: CMAJ Source Type: research

Ecological association between operative vaginal delivery and obstetric and birth trauma.
Abstract BACKGROUND: Increased use of operative vaginal delivery (use of forceps, vacuum or other device) has been recommended to address high rates of cesarean delivery. We sought to determine the association between rates of operative vaginal delivery and obstetric trauma and severe birth trauma. METHODS: We carried out an ecological analysis of term, singleton deliveries in 4 Canadian provinces (2004-2014) using data from the Canadian Institute for Health Information. The primary exposure was mode of delivery. The primary outcomes were obstetric trauma and severe birth trauma. RESULTS: Data on 1 938 9...
Source: cmaj - June 18, 2018 Category: General Medicine Authors: Muraca GM, Lisonkova S, Skoll A, Brant R, Cundiff GW, Sabr Y, Joseph KS Tags: CMAJ Source Type: research

Optimizing reproductive health in women with obesity and infertility.
on JP PMID: 29914911 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 18, 2018 Category: General Medicine Authors: Belan M, Harnois-Leblanc S, Laferrère B, Baillargeon JP Tags: CMAJ Source Type: research

Fecal microbiota transplantation for recurrent Clostridium difficile infection.
PMID: 29914912 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 18, 2018 Category: General Medicine Authors: Hota SS, Poutanen SM Tags: CMAJ Source Type: research

Psoriasis localized to the glans penis in a 37-year-old man.
PMID: 29914913 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 18, 2018 Category: General Medicine Authors: Yao XJ, Zhang TD Tags: CMAJ Source Type: research

Anesthesiologists provide excellent value in colonoscopy.
PMID: 29914914 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 18, 2018 Category: General Medicine Authors: DuVal DB Tags: CMAJ Source Type: research

Propofol sedation improves efficiency and optimizes patient satisfaction during colonoscopy.
PMID: 29914915 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 18, 2018 Category: General Medicine Authors: Grocott HP Tags: CMAJ Source Type: research

Has suicide become an occupational hazard of practising medicine?
PMID: 29914916 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 18, 2018 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Language barriers restricting access to health care for Indigenous populations.
PMID: 29914917 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 18, 2018 Category: General Medicine Authors: Webster P Tags: CMAJ Source Type: research

Uber enters medicine but disrupting health care may prove difficult.
PMID: 29914918 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 18, 2018 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

Better data to drive more effective care for people with latent tuberculosis infection in Canada.
PMID: 29891473 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 11, 2018 Category: General Medicine Authors: Essue BM, Milinkovic D, Birch S Tags: CMAJ Source Type: research

Reporting and evaluating wait times for urgent hip fracture surgery in Ontario, Canada.
We describe novel methods for measuring exact urgent and emergent surgical wait times (in hours) and the factors that influence them. METHODS: Adults aged 45 years and older who underwent surgery for hip fracture (the most common urgently performed procedure) in Ontario, Canada, between 2009 and 2014 were eligible. Validated data from linked health administrative databases were used. The primary outcome was the time elapsed from hospital arrival recorded in the National Ambulatory Care Reporting System until the time of surgery recorded in the Discharge Abstract Database (in hours). The influence of patient, physician...
Source: cmaj - June 11, 2018 Category: General Medicine Authors: Pincus D, Wasserstein D, Ravi B, Byrne JP, Huang A, Paterson JM, Nathens AB, Kreder HJ, Jenkinson RJ, Wodchis WP Tags: CMAJ Source Type: research

The Canadian Partnership for Tomorrow Project: a pan-Canadian platform for research on chronic disease prevention.
Regional Cohort Consortium Abstract BACKGROUND: Understanding the complex interaction of risk factors that increase the likelihood of developing common diseases is challenging. The Canadian Partnership for Tomorrow Project (CPTP) is a prospective cohort study created as a population-health research platform for assessing the effect of genetics, behaviour, family health history and environment (among other factors) on chronic diseases. METHODS: Volunteer participants were recruited from the general Canadian population for a confederation of 5 regional cohorts. Participants were enrolled in the study and core i...
Source: cmaj - June 11, 2018 Category: General Medicine Authors: Dummer TJB, Awadalla P, Boileau C, Craig C, Fortier I, Goel V, Hicks JMT, Jacquemont S, Knoppers BM, Le N, McDonald T, McLaughlin J, Mes-Masson AM, Nuyt AM, Palmer LJ, Parker L, Purdue M, Robson PJ, Spinelli JJ, Thompson D, Vena J, Zawati M, with the CPTP Tags: CMAJ Source Type: research

Use of extracorporeal life support for active rewarming in a hypothermic, nonarrested patient with multiple trauma.
PMID: 29891476 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 11, 2018 Category: General Medicine Authors: Ting DK, Brown DJA Tags: CMAJ Source Type: research

The College of Physicians and Surgeons of Ontario on MAiD referrals.
PMID: 29891477 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 11, 2018 Category: General Medicine Authors: Bodley SC Tags: CMAJ Source Type: research

Response to: "The College of Physicians and Surgeons of Ontario on MAiD referrals".
Response to: "The College of Physicians and Surgeons of Ontario on MAiD referrals". CMAJ. 2018 Jun 11;190(23):E725 Authors: Jayawardena S, Majerski AA PMID: 29891478 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 11, 2018 Category: General Medicine Authors: Jayawardena S, Majerski AA Tags: CMAJ Source Type: research

The buck must stop somewhere.
PMID: 29891479 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 11, 2018 Category: General Medicine Authors: Weiss ES Tags: CMAJ Source Type: research

Semantics and medical assistance in dying.
PMID: 29891480 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 11, 2018 Category: General Medicine Authors: Lafrance JR Tags: CMAJ Source Type: research

Elective choices may not matter for residency as much as medical students think.
PMID: 29891481 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 11, 2018 Category: General Medicine Authors: Mercer C Tags: CMAJ Source Type: research

Pilot project delivers dementia care that feels like home.
PMID: 29891482 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 11, 2018 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Oversight of opioid advertising in Canada remains lax despite new federal guidance.
PMID: 29891483 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 11, 2018 Category: General Medicine Authors: Webster P Tags: CMAJ Source Type: research

Change in health care use after coordinated care planning: a quasi-experimental study.
Abstract BACKGROUND: We sought to determine whether patients with a coordinated care plan developed using the Health Links model of care in the Hamilton Niagara Haldimand Brant Local Health Integration Network differed in their use of health care (no. of emergency department visits, inpatient admissions, length of inpatient stay) when compared with a matched control group of patients with no care plans. METHODS: We performed a propensity score-matched study of 12 months pre- and 12 months post-health care use. Patients who had a coordinated care plan that started between 2013 and 2015 were propensity score ma...
Source: cmaj - May 31, 2018 Category: General Medicine Authors: Bielska IA, Cimek K, Guenter D, O'Halloran K, Nyitray C, Hunter L, Wodchis WP Tags: CMAJ Open Source Type: research

Coming soon: CMAJ policy on data sharing.
PMID: 29807934 [PubMed - in process] (Source: cmaj)
Source: cmaj - May 28, 2018 Category: General Medicine Authors: Kelsall D Tags: CMAJ Source Type: research

Community paramedicine is growing in impact and potential.
PMID: 29807935 [PubMed - in process] (Source: cmaj)
Source: cmaj - May 28, 2018 Category: General Medicine Authors: Nolan MJ, Nolan KE, Sinha SK Tags: CMAJ Source Type: research

Evaluation of a community paramedicine health promotion and lifestyle risk assessment program for older adults who live in social housing: a cluster randomized trial.
Abstract BACKGROUND: Low-income older adults who live in subsidized housing have higher mortality and morbidity. We aimed to determine if a community paramedicine program - in which paramedics provide health care services outside of the traditional emergency response - reduced the number of ambulance calls to subsidized housing for older adults. METHODS: We conducted an open-label pragmatic cluster-randomized controlled trial (RCT) with parallel intervention and control groups in subsidized apartment buildings for older adults. We selected 6 buildings using predefined criteria, which we then randomly assigned...
Source: cmaj - May 28, 2018 Category: General Medicine Authors: Agarwal G, Angeles R, Pirrie M, McLeod B, Marzanek F, Parascandalo J, Thabane L Tags: CMAJ Source Type: research

Quadrivalent human papillomavirus vaccination in girls and the risk of autoimmune disorders: the Ontario Grade 8 HPV Vaccine Cohort Study.
ue LE Abstract BACKGROUND: Despite demonstrated effectiveness in real-world settings, concerns persist regarding the safety of the quadrivalent human papillomavirus (HPV4) vaccine. We sought to assess the risk of autoimmune disorders following HPV4 vaccination among grade 8 girls eligible for Ontario's school-based HPV vaccination program. METHODS: We undertook a population-based retrospective cohort study using Ontario's administrative health and vaccination databases from 2007 to 2013. The self-controlled case series method was used to compare the rate of a composite end point of autoimmune disorders diagno...
Source: cmaj - May 28, 2018 Category: General Medicine Authors: Liu EY, Smith LM, Ellis AK, Whitaker H, Law B, Kwong JC, Farrington P, Lévesque LE Tags: CMAJ Source Type: research

Herpes zoster ophthalmicus.
PMID: 29807938 [PubMed - in process] (Source: cmaj)
Source: cmaj - May 28, 2018 Category: General Medicine Authors: Freund PR, Chen SH Tags: CMAJ Source Type: research

Japanese encephalitis.
PMID: 29807939 [PubMed - in process] (Source: cmaj)
Source: cmaj - May 28, 2018 Category: General Medicine Authors: Keng LT, Chang LY Tags: CMAJ Source Type: research

Whom should we really call a "doctor"?
Whom should we really call a "doctor"? CMAJ. 2018 May 28;190(21):E660 Authors: Asfour AA, Winter JP PMID: 29807940 [PubMed - in process] (Source: cmaj)
Source: cmaj - May 28, 2018 Category: General Medicine Authors: Asfour AA, Winter JP Tags: CMAJ Source Type: research

What constitutes a public health response to the opioid overdose epidemic?
PMID: 29807941 [PubMed - in process] (Source: cmaj)
Source: cmaj - May 28, 2018 Category: General Medicine Authors: Loh LC Tags: CMAJ Source Type: research

"Medutainment" - Are doctors using patients to gain social media celebrity?
"Medutainment" - Are doctors using patients to gain social media celebrity? CMAJ. 2018 May 28;190(21):E662-E663 Authors: Mercer C PMID: 29807942 [PubMed - in process] (Source: cmaj)
Source: cmaj - May 28, 2018 Category: General Medicine Authors: Mercer C Tags: CMAJ Source Type: research

Why are women still earning less than men in medicine?
PMID: 29807943 [PubMed - in process] (Source: cmaj)
Source: cmaj - May 28, 2018 Category: General Medicine Authors: Glauser W Tags: CMAJ Source Type: research

Family medicine faces shortage of doctors willing to teach.
PMID: 29807944 [PubMed - in process] (Source: cmaj)
Source: cmaj - May 28, 2018 Category: General Medicine Authors: Mercer C Tags: CMAJ Source Type: research

A home for patient-oriented research.
PMID: 29789284 [PubMed - in process] (Source: cmaj)
Source: cmaj - May 22, 2018 Category: General Medicine Authors: Patrick K, Kebbe M, Aubin D Tags: CMAJ Source Type: research

"All my relations": experiences and perceptions of Indigenous patients connecting with Indigenous Elders in an inner city primary care partnership for mental health and well-being.
"All my relations": experiences and perceptions of Indigenous patients connecting with Indigenous Elders in an inner city primary care partnership for mental health and well-being. CMAJ. 2018 May 22;190(20):E608-E615 Authors: Hadjipavlou G, Varcoe C, Tu D, Dehoney J, Price R, Browne AJ Abstract BACKGROUND: Mental health services in urban settings generally have not been adapted to serve the needs of Indigenous patients. We explored how patients' encounters with Indigenous Elders affected their overall mental health and well-being to identify therapeutic mechanisms underlying improvement. ...
Source: cmaj - May 22, 2018 Category: General Medicine Authors: Hadjipavlou G, Varcoe C, Tu D, Dehoney J, Price R, Browne AJ Tags: CMAJ Source Type: research

Improving health research among Indigenous Peoples in Canada.
PMID: 29789286 [PubMed - in process] (Source: cmaj)
Source: cmaj - May 22, 2018 Category: General Medicine Authors: Hyett S, Marjerrison S, Gabel C Tags: CMAJ Source Type: research

Lyme carditis and atrioventricular block.
PMID: 29789287 [PubMed - in process] (Source: cmaj)
Source: cmaj - May 22, 2018 Category: General Medicine Authors: Wan D, Baranchuk A Tags: CMAJ Source Type: research

Porphyria cutanea tarda presenting as milia and blisters.
PMID: 29789288 [PubMed - in process] (Source: cmaj)
Source: cmaj - May 22, 2018 Category: General Medicine Authors: Nguyen LH, Khamisa K Tags: CMAJ Source Type: research

Effects of helmet use on costs of motorcycle crashes.
PMID: 29789289 [PubMed - in process] (Source: cmaj)
Source: cmaj - May 22, 2018 Category: General Medicine Authors: Desapriya E, Yassami S, Sheikhimoghadam G Tags: CMAJ Source Type: research

Response to: "Some patients with chronic pain need low-dose opioid therapy for survival and quality of life".
Response to: "Some patients with chronic pain need low-dose opioid therapy for survival and quality of life". CMAJ. 2018 May 22;190(20):E627 Authors: Bertrand H PMID: 29789290 [PubMed - in process] (Source: cmaj)
Source: cmaj - May 22, 2018 Category: General Medicine Authors: Bertrand H Tags: CMAJ Source Type: research

Is Ontario adding drug prices to EMRs?
PMID: 29789291 [PubMed - in process] (Source: cmaj)
Source: cmaj - May 22, 2018 Category: General Medicine Authors: Glauser W Tags: CMAJ Source Type: research