Managing work-related mental health conditions in family medicine.
PMID: 30910879 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 24, 2019 Category: General Medicine Authors: Kidd M Tags: CMAJ Source Type: research

Socioeconomic inequalities in psychological distress and suicidal behaviours among Indigenous peoples living off-reserve in Canada.
Abstract BACKGROUND: Indigenous peoples in Canada have high rates of psychological distress and suicide. We sought to assess the socioeconomic inequalities in psychological distress and suicidal behaviours, and the factors that explain them within Indigenous peoples living off-reserve. METHODS: Using the nationally representative 2012 Aboriginal Peoples Survey collected from Indigenous adults living off-reserve in Canada, we measured income-related inequalities in psychological distress (measured on the 10-item Kessler Psychological Distress Scale) and suicidal behaviours (suicidal ideation and suicide attemp...
Source: cmaj - March 24, 2019 Category: General Medicine Authors: Hajizadeh M, Bombay A, Asada Y Tags: CMAJ Source Type: research

Opioid-associated amnestic syndrome observed with fentanyl patch use.
PMID: 30910881 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 24, 2019 Category: General Medicine Authors: Taylor RG, Budhram A, Lee DH, Mirsattari SM Tags: CMAJ Source Type: research

Dermatomyositis.
PMID: 30910882 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 24, 2019 Category: General Medicine Authors: Chu LL, Rohekar G Tags: CMAJ Source Type: research

Bringing family medicine into the modern age.
PMID: 30910883 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 24, 2019 Category: General Medicine Authors: Bouchard B Tags: CMAJ Source Type: research

A teaching counterpoint in response to "Whom should we really call a 'doctor'?"
A teaching counterpoint in response to "Whom should we really call a 'doctor'?" CMAJ. 2019 Mar 25;191(12):E344 Authors: Sparshu SB PMID: 30910884 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 24, 2019 Category: General Medicine Authors: Sparshu SB Tags: CMAJ Source Type: research

A 71-year-old woman with an asymptomatic postoperative troponin elevation.
Authors: PMID: 30910885 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 24, 2019 Category: General Medicine Tags: CMAJ Source Type: research

Global physician groups call on profession to address environmental health threats.
PMID: 30910886 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 24, 2019 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Life expectancy grows with supply of primary care doctors.
PMID: 30910887 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 24, 2019 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Teens, vaccines and the age of consent.
PMID: 30910888 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 24, 2019 Category: General Medicine Authors: Glauser W Tags: CMAJ Source Type: research

Clinical practice guidelines and the overuse of health care services: need for reform.
PMID: 30885967 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 17, 2019 Category: General Medicine Authors: Jatoi I, Sah S Tags: CMAJ Source Type: research

A disease-specific comorbidity index for predicting mortality in patients admitted to hospital with a cardiac condition.
Abstract BACKGROUND: Comorbidity indexes derived from administrative databases are essential tools of research in global health. We sought to develop and validate a novel cardiac-specific comorbidity index, and to compare its accuracy with the generic Charlson-Deyo and Elixhauser comorbidity indexes. METHODS: We derived the cardiac-specific comorbidity index from consecutive patients who were admitted to hospital at a tertiary-care cardiology hospital in Quebec. We used logistic regression analysis and incorporated age, sex and 22 clinically relevant comorbidities to build the index. We compared the cardiac-s...
Source: cmaj - March 17, 2019 Category: General Medicine Authors: Azzalini L, Chabot-Blanchet M, Southern DA, Nozza A, Wilton SB, Graham MM, Gravel GM, Bluteau JP, Rouleau JL, Guertin MC, Jolicoeur EM Tags: CMAJ Source Type: research

The impact of pharmaceutical rebates on patients' drug expenditures.
PMID: 30885969 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 17, 2019 Category: General Medicine Authors: Memedovich KA, Manns B, Beall R, Hollis A, Clement F Tags: CMAJ Source Type: research

High-dose influenza vaccination.
PMID: 30885970 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 17, 2019 Category: General Medicine Authors: Dalcin D, Kwong JC Tags: CMAJ Source Type: research

Hydrofluoric acid burn.
PMID: 30885971 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 17, 2019 Category: General Medicine Authors: Wang S, Dai G Tags: CMAJ Source Type: research

Consider the economic burden for patients.
PMID: 30885972 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 17, 2019 Category: General Medicine Authors: Lofsky S Tags: CMAJ Source Type: research

Flawed arguments in this commentary.
PMID: 30885973 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 17, 2019 Category: General Medicine Authors: Ross M Tags: CMAJ Source Type: research

Measles resurgence comes to Canada.
PMID: 30885974 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 17, 2019 Category: General Medicine Authors: Brown C Tags: CMAJ Source Type: research

Time to embrace the promise of virtual health care.
PMID: 30885975 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 17, 2019 Category: General Medicine Authors: Lougheed T Tags: CMAJ Source Type: research

Family medicine again dominates unfilled positions in residency match.
PMID: 30885976 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 17, 2019 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

Testing for blinding in sham-controlled studies for procedural interventions: the third-party video method.
PMID: 30858182 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 10, 2019 Category: General Medicine Authors: Gill J, Prasad V Tags: CMAJ Source Type: research

Nephrology consultation and mortality in people with stage 4 chronic kidney disease: a population-based study.
Abstract BACKGROUND: Guidelines recommend nephrology referral for people with advanced non-dialysis-dependent chronic kidney disease, based mostly on survival benefits seen in retrospective studies of dialysis patients, which may not be generalizable to the broader population with chronic kidney disease. We aimed to examine the association between outpatient nephrology consultation and survival in adults with stage 4 chronic kidney disease. METHODS: We linked population-based laboratory and administrative data from 2002 to 2014 in Alberta, Canada, on adults with stage 4 chronic kidney disease (sustained estim...
Source: cmaj - March 10, 2019 Category: General Medicine Authors: Liu P, Quinn RR, Karim ME, Bello A, Tam-Tham H, Weaver R, Ronksley PE, Quan H, Strippoli GFM, Manns B, Hemmelgarn BR, Tonelli M, Ravani P Tags: CMAJ Source Type: research

Sepsis-induced heparin resistance during extracorporeal membrane oxygenation.
PMID: 30858184 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 10, 2019 Category: General Medicine Authors: Hage A, Louzada M, Kiaii B Tags: CMAJ Source Type: research

Necrolytic migratory erythema.
PMID: 30858185 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 10, 2019 Category: General Medicine Authors: Lee HJ, Jang YH Tags: CMAJ Source Type: research

Rigorous policies ensure integrity of NLM literature databases.
PMID: 30858186 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 10, 2019 Category: General Medicine Authors: Topper L, Marill J, Kelly C, Funk K Tags: CMAJ Source Type: research

The authors respond to "Rigorous policies ensure integrity of NLM literature databases".
The authors respond to "Rigorous policies ensure integrity of NLM literature databases". CMAJ. 2019 Mar 11;191(10):E290 Authors: Manca A, Moher D, Cugusi L, Dvir Z, Deriu F PMID: 30858187 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 10, 2019 Category: General Medicine Authors: Manca A, Moher D, Cugusi L, Dvir Z, Deriu F Tags: CMAJ Source Type: research

Medical students call for more education on climate change.
PMID: 30858188 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 10, 2019 Category: General Medicine Authors: Mercer C Tags: CMAJ Source Type: research

Development of vaccine that could save lives of children in the North at a standstill.
PMID: 30858189 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 10, 2019 Category: General Medicine Authors: Shuchman M Tags: CMAJ Source Type: research

When people hear "doctor," most still picture a man.
When people hear "doctor," most still picture a man. CMAJ. 2019 Mar 11;191(10):E295-E296 Authors: Vogel L PMID: 30858190 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 10, 2019 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

We should care more about caregivers.
PMID: 30833490 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 3, 2019 Category: General Medicine Authors: Stall N Tags: CMAJ Source Type: research

Effect of methylprednisolone on acute kidney injury in patients undergoing cardiac surgery with a cardiopulmonary bypass pump: a randomized controlled trial.
ck RP, SIRS Investigators Abstract BACKGROUND: Perioperative corticosteroid use may reduce acute kidney injury. We sought to test whether methylprednisolone reduces the risk of acute kidney injury after cardiac surgery. METHODS: We conducted a prespecified substudy of a randomized controlled trial involving patients undergoing cardiac surgery with cardiopulmonary bypass (2007-2014); patients were recruited from 79 centres in 18 countries. Eligibility criteria included a moderate-to-high risk of perioperative death based on a preoperative score of 6 or greater on the European System for Cardiac Operative Risk ...
Source: cmaj - March 3, 2019 Category: General Medicine Authors: Garg AX, Chan MTV, Cuerden MS, Devereaux PJ, Abbasi SH, Hildebrand A, Lamontagne F, Lamy A, Noiseux N, Parikh CR, Perkovic V, Quantz M, Rochon A, Royse A, Sessler DI, Shah PJ, Sontrop JM, Tagarakis GI, Teoh KH, Vincent J, Walsh M, Yared JP, Yusuf S, Whitl Tags: CMAJ Source Type: research

A 60-year-old woman with recurrent cellulitis.
PMID: 30833492 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 3, 2019 Category: General Medicine Authors: Vijh R, Shah R, Andany N Tags: CMAJ Source Type: research

Cutaneous Lichtenberg figures from lightning strike.
PMID: 30833493 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 3, 2019 Category: General Medicine Authors: Mutter E, Langley A Tags: CMAJ Source Type: research

Opioid Wisely.
PMID: 30833494 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 3, 2019 Category: General Medicine Authors: Herx L Tags: CMAJ Source Type: research

A recall of high-strength opioids would be harmful.
PMID: 30833495 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 3, 2019 Category: General Medicine Authors: Strang RA Tags: CMAJ Source Type: research

Recalling high-strength opioid formulations would cause harm.
PMID: 30833496 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 3, 2019 Category: General Medicine Authors: Wade K Tags: CMAJ Source Type: research

Muddling Health Canada's powers and diluting accountability.
PMID: 30833497 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 3, 2019 Category: General Medicine Authors: Forward PM Tags: CMAJ Source Type: research

Medical leaders propose appointing wellness officers to address physician burnout.
PMID: 30833498 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 3, 2019 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Bringing back the doctors' lounge to help fight burnout.
PMID: 30833499 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 3, 2019 Category: General Medicine Authors: Brown S Tags: CMAJ Source Type: research

Health workers demand health coverage for migrants.
PMID: 30833500 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 3, 2019 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Worried myself to death all my life.
PMID: 30833501 [PubMed - in process] (Source: cmaj)
Source: cmaj - March 3, 2019 Category: General Medicine Authors: Blum A Tags: CMAJ Source Type: research

A scholarship to foster future leaders in evidence based medicine.
PMID: 30787011 [PubMed - in process] (Source: cmaj)
Source: cmaj - February 20, 2019 Category: General Medicine Authors: Richards GC, Macdonald H, Gill PJ Tags: BMJ Source Type: research

Addressing inappropriate antibiotic prescribing in China.
PMID: 30745398 [PubMed - in process] (Source: cmaj)
Source: cmaj - February 11, 2019 Category: General Medicine Authors: Ding G, Vinturache A, Lu M Tags: CMAJ Source Type: research

The association of female sex with application of evidence-based practice recommendations for perioperative care in hip fracture surgery.
Abstract BACKGROUND: Sex and gender inequality is prevalent in health care, and affects receipt of health care services and outcomes. Our objective was to measure the association between sex and receipt of evidence-based perioperative care for hip fracture in Ontario. METHODS: This was a population-based retrospective cross-sectional analysis. We identified all Ontario residents aged 66 years and older who had hip fracture surgery between 2014 and 2016. After protocol registration, we measured the adjusted association between female sex and perioperative geriatric care (primary outcome), anesthesia consultati...
Source: cmaj - February 11, 2019 Category: General Medicine Authors: Cho N, Boland L, McIsaac DI Tags: CMAJ Source Type: research

Identifying and managing younger women at high risk of cardiovascular disease.
PMID: 30745400 [PubMed - in process] (Source: cmaj)
Source: cmaj - February 11, 2019 Category: General Medicine Authors: Srivaratharajah K, Abramson BL Tags: CMAJ Source Type: research

Inflammatory bowel disease in children and adolescents.
PMID: 30745401 [PubMed - in process] (Source: cmaj)
Source: cmaj - February 11, 2019 Category: General Medicine Authors: Chanchlani N, Russell RK Tags: CMAJ Source Type: research

Acute sinusitis complicated with Pott puffy tumour.
PMID: 30745402 [PubMed - in process] (Source: cmaj)
Source: cmaj - February 11, 2019 Category: General Medicine Authors: Koltsidopoulos P, Papageorgiou E, Skoulakis C Tags: CMAJ Source Type: research

An old-new problem: alcohol use among medical students.
PMID: 30745403 [PubMed - in process] (Source: cmaj)
Source: cmaj - February 11, 2019 Category: General Medicine Authors: Hofmeister M Tags: CMAJ Source Type: research

Feasibility of screening for anal cancer in HIV-positive people older than 50 years in Canada.
PMID: 30745404 [PubMed - in process] (Source: cmaj)
Source: cmaj - February 11, 2019 Category: General Medicine Authors: Weiss ES Tags: CMAJ Source Type: research

New vaping products with techy allure exploding in popularity among youth.
PMID: 30745405 [PubMed - in process] (Source: cmaj)
Source: cmaj - February 11, 2019 Category: General Medicine Authors: Glauser W Tags: CMAJ Source Type: research