Malnutrition in Canadian hospitals.
PMID: 30301744 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 9, 2018 Category: General Medicine Authors: Eckert KF, Cahill LE Tags: CMAJ Source Type: research

Anterior and posterior segment vasculopathy associated with long-term use of tetrahydrozoline.
PMID: 30301745 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 9, 2018 Category: General Medicine Authors: Kisilevsky E, DeAngelis DD Tags: CMAJ Source Type: research

Addressing bias and lack of objectivity in the Canadian resident matching process.
PMID: 30301746 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 9, 2018 Category: General Medicine Authors: Ryan T Tags: CMAJ Source Type: research

Unintended consequences of focusing on accommodations and supports as barriers for medical trainees with disabilities.
PMID: 30301747 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 9, 2018 Category: General Medicine Authors: Lawson ND Tags: CMAJ Source Type: research

Are physicians too busy to ask about patients' concerns?
PMID: 30301748 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 9, 2018 Category: General Medicine Authors: Glauser W Tags: CMAJ Source Type: research

Growing concern over medical students' excessive drinking.
PMID: 30301749 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 9, 2018 Category: General Medicine Authors: Owens B Tags: CMAJ Source Type: research

Do doctors experiencing burnout make more errors?
PMID: 30301750 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 9, 2018 Category: General Medicine Authors: Motluk A Tags: CMAJ Source Type: research

Trends in the use of prenatal testing services for fetal aneuploidy in Ontario: a descriptive study.
Abstract BACKGROUND: In 2014, Ontario augmented its publicly funded multiple-marker screening program for prenatal aneuploidy by incorporating cell-free fetal DNA (cffDNA) analysis for high-risk pregnancies. We assessed trends in the use of multiple-marker screening, cffDNA screening and prenatal diagnostic testing before and after implementation of public funding. METHODS: We conducted a descriptive study based on data from the Better Outcomes Registry & Network (BORN) Ontario. The study population included all pregnant women in Ontario with a singleton pregnancy and an expected date of delivery between ...
Source: cmaj - October 1, 2018 Category: General Medicine Authors: Huang T, Dougan S, Walker M, Armour CM, Okun N Tags: CMAJ Open Source Type: research

A perioperative approach to the opioid crisis.
PMID: 30274991 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 1, 2018 Category: General Medicine Authors: Bai JW, Bao J, Bhatia A, Chan VWS Tags: CMAJ Source Type: research

Influence of socioeconomic events on cause-specific mortality in urban Shanghai, China, from 1974 to 2015: a population-based longitudinal study.
We examined temporal trends in mortality and assessed the effects of age, period and birth cohort. RESULTS: Over 41 879 864 person-years of follow-up, we analyzed 290 332 deaths: 3.80% from communicable conditions (group 1), 86.50% from noncommunicable diseases (group 2), and 5.56% from injuries (group 3). Age-standardized mortality decreased after 1988 for group 1 (average annual percentage change [AAPC] -6.7, 95% confidence interval [CI] -9.3 to -4.1), after 1995 for group 2 (AAPC -2.9, 95% CI -3.5 to -2.3), and after 1994 for group 3 (AAPC -5.4, 95% CI -6.3 to -4.5), after improvements in public health and clinical...
Source: cmaj - October 1, 2018 Category: General Medicine Authors: Wang S, Du X, Han X, Yang F, Zhao J, Li H, Li M, Zhang H, Liu W, Song J, Cao G Tags: CMAJ Source Type: research

Improving the quality of health care in Canada.
PMID: 30274993 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 1, 2018 Category: General Medicine Authors: Dhalla IA, Tepper J Tags: CMAJ Source Type: research

Progressive renal failure complicated by transient and recurrent ureteral obstruction.
PMID: 30274994 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 1, 2018 Category: General Medicine Authors: Garneau AP, de Cotret PR, Tesolin M, Isenring P Tags: CMAJ Source Type: research

Chronic pulmonary aspergillosis after pulmonary tuberculosis.
e;n A PMID: 30274995 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 1, 2018 Category: General Medicine Authors: Ortiz-Brizuela E, Ponce-de-León A Tags: CMAJ Source Type: research

To what end, evolutionary medicine?
PMID: 30274996 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 1, 2018 Category: General Medicine Authors: Corser N Tags: CMAJ Source Type: research

Focus on saving money lets patients and surgeons down.
PMID: 30274997 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 1, 2018 Category: General Medicine Authors: Azoubel G Tags: CMAJ Source Type: research

How many doctors do we actually need?
PMID: 30274998 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 1, 2018 Category: General Medicine Authors: Owens B Tags: CMAJ Source Type: research

Medical students protest steadily rising tuition fees.
PMID: 30274999 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 1, 2018 Category: General Medicine Authors: Mercer C Tags: CMAJ Source Type: research

Closing male-female gaps in clinical care requires addressing entrenched ideas on gender risks.
PMID: 30275000 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 1, 2018 Category: General Medicine Authors: Shuchman M Tags: CMAJ Source Type: research

Managing frailty in primary care: evidence gaps cannot be ignored.
PMID: 30249757 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 24, 2018 Category: General Medicine Authors: Karunananthan S, Bergman H Tags: CMAJ Source Type: research

Care setting and 30-day hospital readmissions among older adults: a population-based cohort study.
Abstract BACKGROUND: Despite the fact that many older adults receive home or long-term care services, the effect of these care settings on hospital readmission is often overlooked. Efforts to reduce hospital readmissions, including capacity planning and targeting of interventions, require clear data on the frequency of and risk factors for readmission among different populations of older adults. METHODS: We identified all adults older than 65 years discharged from an unplanned medical hospital stay in Ontario between April 2008 and December 2015. We defined 2 preadmission care settings (community, long-term c...
Source: cmaj - September 24, 2018 Category: General Medicine Authors: Gruneir A, Fung K, Fischer HD, Bronskill SE, Panjwani D, Bell CM, Dhalla I, Rochon PA, Anderson G Tags: CMAJ Source Type: research

Identification and management of frailty in the primary care setting.
PMID: 30249759 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 24, 2018 Category: General Medicine Authors: Abbasi M, Rolfson D, Khera AS, Dabravolskaj J, Dent E, Xia L Tags: CMAJ Source Type: research

Myasthenia gravis.
PMID: 30249760 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 24, 2018 Category: General Medicine Authors: Bourque PR, Breiner A Tags: CMAJ Source Type: research

Extramammary Paget disease of the glans penis.
PMID: 30249761 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 24, 2018 Category: General Medicine Authors: Qian YT, Ma DL Tags: CMAJ Source Type: research

Adopt US recommendation on vision screening in older adults.
PMID: 30249762 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 24, 2018 Category: General Medicine Authors: Buys YM Tags: CMAJ Source Type: research

Not another consultation process: a critique of the implementation of Bill C-277 Framework on Palliative Care in Canada.
PMID: 30249763 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 24, 2018 Category: General Medicine Authors: Isenberg SR, Buchman S Tags: CMAJ Source Type: research

Students tidy online presence before applying to medical school and residency.
PMID: 30249764 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 24, 2018 Category: General Medicine Authors: Glauser W Tags: CMAJ Source Type: research

Ontario health providers protest pause on overdose prevention.
PMID: 30249765 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 24, 2018 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Telemedicine on the rise but lagging in Canada.
PMID: 30249766 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 24, 2018 Category: General Medicine Authors: Owens B Tags: CMAJ Source Type: research

Are household disinfectants microbially mediated obesogens?
PMID: 30224441 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 17, 2018 Category: General Medicine Authors: Differding MK, Mueller NT Tags: CMAJ Source Type: research

Postnatal exposure to household disinfectants, infant gut microbiota and subsequent risk of overweight in children.
Abstract BACKGROUND: Emerging links between household cleaning products and childhood overweight may involve the gut microbiome. We determined mediating effects of infant gut microbiota on associations between home use of cleaning products and future overweight. METHODS: From the Canadian Healthy Infant Longitudinal Development (CHILD) birth cohort, we tested associations between maternal report of cleaning product use and overweight at age 3, and whether associations were mediated by microbial profiles of fecal samples in 3- to 4-month-old infants. RESULTS: Among 757 infants, the abundance of specific g...
Source: cmaj - September 17, 2018 Category: General Medicine Authors: Tun MH, Tun HM, Mahoney JJ, Konya TB, Guttman DS, Becker AB, Mandhane PJ, Turvey SE, Subbarao P, Sears MR, Brook JR, Lou W, Takarao TK, Scott JA, Kozyrskyj AL, CHILD Study Investigators Tags: CMAJ Source Type: research

Brucella infection at cardiac pacemaker site in a patient who had consumed raw caribou meat in Northern Canada.
PMID: 30224443 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 17, 2018 Category: General Medicine Authors: Kanji JN, Saxinger L Tags: CMAJ Source Type: research

Emphysematous liver abscess in a 58-year-old woman.
PMID: 30224444 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 17, 2018 Category: General Medicine Authors: Hsu CC, Lee WJ Tags: CMAJ Source Type: research

Canadian program directors lack data to select residency candidates.
PMID: 30224445 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 17, 2018 Category: General Medicine Authors: McInnes MD Tags: CMAJ Source Type: research

Principles for screening: Too few concerns for informed consent and shared decision-making?
PMID: 30224446 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 17, 2018 Category: General Medicine Authors: Braillon A, Nicot P, Bour C Tags: CMAJ Source Type: research

Incoming CMA president seeks balance for a divided medical profession.
PMID: 30224447 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 17, 2018 Category: General Medicine Authors: Glauser W Tags: CMAJ Source Type: research

Doctors on their own when dealing with racism from patients.
PMID: 30224448 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 17, 2018 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Saudi medical trainees may keep posts in Canada.
PMID: 30224449 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 17, 2018 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Chance of a Hearing Aid.
PMID: 30224450 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 17, 2018 Category: General Medicine Authors: Blum A Tags: CMAJ Source Type: research

Usefulness of the Clavien-Dindo Classification to rate complications after carotid endarterectomy and its implications in patient prognosis.
z-Blancas M Abstract OBJECTIVE: Our primary objective was to test if the C-D-C is also applicable for the assessment of carotid surgery and how well it correlates with patient prognosis in the mid-term follow-up. METHODS: From January 2011 to March 2014, a total of 248 consecutive open surgical carotid revascularization procedures were performed at one academic institution. All patients, symptomatic and asymptomatic, had a high-grade (>70%) stenosis and were operated on under general anesthesia. Physicians graded all complications that were identified in the first 30 days after surgery according to C-D-C(9...
Source: cmaj - September 11, 2018 Category: General Medicine Authors: Inaraja-Pérez GC, Júlvez-Blancas M Tags: Ann Vasc Surg Source Type: research

Clinical implications of the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3).
PMID: 30201611 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 10, 2018 Category: General Medicine Authors: Fernando SM, Rochwerg B, Seely AJE Tags: CMAJ Source Type: research

We need smarter trigger tools for diagnosing sepsis in children in Canada.
PMID: 30201612 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 10, 2018 Category: General Medicine Authors: Ansermino JM, Wiens MO, Kissoon N Tags: CMAJ Source Type: research

Susceptible period for cardiovascular complications in patients recovering from sepsis.
Abstract BACKGROUND: Patients are at increased risk of cardiovascular complications while recovering from sepsis. We aimed to study the temporal change and susceptible periods for cardiovascular complications in patients recovering from sepsis by using a national database. METHODS: In this retrospective population-based cohort study, patients with sepsis were identified from the National Health Insurance Research Database in Taiwan. We estimated the risk of myocardial infarction (MI) and stroke following sepsis by comparing a sepsis cohort to a matched population and hospital control cohort. The primary outco...
Source: cmaj - September 10, 2018 Category: General Medicine Authors: Lai CC, Lee MG, Lee WC, Chao CC, Hsu TC, Lee SH, Lee CC, National Taiwan University Hospital Health Data Science Research Group Tags: CMAJ Source Type: research

Renal complications and subsequent mortality in acute critically ill patients without pre-existing renal disease.
Abstract BACKGROUND: Most studies of long-term renal outcomes after acute critical illness have enrolled patients with pre-existing renal dysfunction. We assessed renal outcomes in patients who did not have pre-existing renal disease and who were admitted to hospital for acute critical illness. METHODS: We identified adults who did not have pre-existing renal disease and who were admitted to hospital for acute critical illness between 2000 and 2011, from the Taiwan National Health Insurance Research Database. Each patient was matched 1:2 with controls without acute critical illness, according to age, sex and ...
Source: cmaj - September 10, 2018 Category: General Medicine Authors: Huang ST, Ke TY, Chuang YW, Lin CL, Kao CH Tags: CMAJ Source Type: research

A 38-year-old man with fever and a history of malaria.
PMID: 30201615 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 10, 2018 Category: General Medicine Authors: Redditt V, Bogoch I, Rashid M Tags: CMAJ Source Type: research

Sepsis-associated encephalopathy.
OW PMID: 30201616 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 10, 2018 Category: General Medicine Authors: Helbing DL, Böhm L, Witte OW Tags: CMAJ Source Type: research

Invasive pneumococcal infection in a man with hyposplenism.
PMID: 30201617 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 10, 2018 Category: General Medicine Authors: Yoshimura S, Yoon HS Tags: CMAJ Source Type: research

Early referral for hoarseness.
PMID: 30201618 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 10, 2018 Category: General Medicine Authors: Gevorgyan CA Tags: CMAJ Source Type: research

Hoarseness of unclear origin may be a sign of cerebrovascular disease and herald impending recurrent brainstem stroke.
PMID: 30201619 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 10, 2018 Category: General Medicine Authors: Fraser JA Tags: CMAJ Source Type: research

Canadian health care lacks culture of innovation.
PMID: 30201620 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 10, 2018 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

Medical technology often a burden if designed without physician input.
PMID: 30201621 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 10, 2018 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research