Doctors increasingly caught in crosshairs of counter-terrorism efforts.
PMID: 30061331 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 30, 2018 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Doctors need retraining to keep up with technological change.
PMID: 30061332 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 30, 2018 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

A call to mandate patient access to personal primary care medical records across Canada.
PMID: 30037887 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 23, 2018 Category: General Medicine Authors: Gorfinkel I, Lexchin J Tags: CMAJ Source Type: research

Development and validation of a cardiovascular disease risk-prediction model using population health surveys: the Cardiovascular Disease Population Risk Tool (CVDPoRT).
Abstract BACKGROUND: Routinely collected data from large population health surveys linked to chronic disease outcomes create an opportunity to develop more complex risk-prediction algorithms. We developed a predictive algorithm to estimate 5-year risk of incident cardiovascular disease in the community setting. METHODS: We derived the Cardiovascular Disease Population Risk Tool (CVDPoRT) using prospectively collected data from Ontario respondents of the Canadian Community Health Surveys, representing 98% of the Ontario population (survey years 2001 to 2007; follow-up from 2001 to 2012) linked to hospital admi...
Source: cmaj - July 23, 2018 Category: General Medicine Authors: Manuel DG, Tuna M, Bennett C, Hennessy D, Rosella L, Sanmartin C, Tu JV, Perez R, Fisher S, Taljaard M Tags: CMAJ Source Type: research

Metabolic cardiomyopathy from propionic acidemia precipitating cardiac arrest in a 25-year-old man.
PMID: 30037889 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 23, 2018 Category: General Medicine Authors: Tan NS, Bajaj RR, Morel C, Singh SM Tags: CMAJ Source Type: research

Vesiculobullous cutaneous larva migrans in a 29-year-old man, diagnosed using teledermatology.
PMID: 30037890 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 23, 2018 Category: General Medicine Authors: Bachmeyer C, Moreno-Sabater A Tags: CMAJ Source Type: research

Response to "Doctors share responsibility for damaging discourse".
Response to "Doctors share responsibility for damaging discourse". CMAJ. 2018 Jul 23;190(29):E890 Authors: Corser N PMID: 30037891 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 23, 2018 Category: General Medicine Authors: Corser N Tags: CMAJ Source Type: research

The authors respond to "Fueling the culture of distrust in doctors".
The authors respond to "Fueling the culture of distrust in doctors". CMAJ. 2018 Jul 23;190(29):E891 Authors: Dutton DJ, Forest PG, Kneebone RD, Zwicker JD PMID: 30037892 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 23, 2018 Category: General Medicine Authors: Dutton DJ, Forest PG, Kneebone RD, Zwicker JD Tags: CMAJ Source Type: research

Use physician-rating websites with caution.
PMID: 30037893 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 23, 2018 Category: General Medicine Authors: Hofmeister M Tags: CMAJ Source Type: research

Self-determination and data control vital to Indigenous health research.
PMID: 30037894 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 23, 2018 Category: General Medicine Authors: Brown C Tags: CMAJ Source Type: research

How medical school debt shapes the health workforce.
PMID: 30037895 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 23, 2018 Category: General Medicine Authors: Glauser W Tags: CMAJ Source Type: research

Doctors top list of worst drivers for fifth straight year.
PMID: 30037896 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 23, 2018 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

Minimizing length of hospital stay for women's reproductive care.
PMID: 30012799 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 16, 2018 Category: General Medicine Authors: Chen I, Choudhry AJ, Wen SW Tags: CMAJ Source Type: research

Sex differences in outcomes of heart failure in an ambulatory, population-based cohort from 2009 to 2013.
We examined the sex differences in heart failure incidence, mortality and hospital admission in a population-based cohort. METHODS: All Ontario residents who were diagnosed with heart failure in an ambulatory setting between Apr. 1, 2009, and Mar. 31, 2014, were included in this study. Incident cases of heart failure were captured through physician billing using a validated algorithm. Outcomes were mortality and hospital admission for heart failure within 1 year of the diagnosis. Probability of death and hospital admission were calculated using the Kaplan-Meier method. The hazard of death was assessed using a multivar...
Source: cmaj - July 16, 2018 Category: General Medicine Authors: Sun LY, Tu JV, Coutinho T, Turek M, Rubens FD, McDonnell L, Tulloch H, Eddeen AB, Mielniczuk LM Tags: CMAJ Source Type: research

The mobile stroke unit and management of acute stroke in rural settings.
PMID: 30012801 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 16, 2018 Category: General Medicine Authors: Shuaib A, Jeerakathil T, Alberta Mobile Stroke Unit Investigators Tags: CMAJ Source Type: research

Physicians who object to medical assistance in dying.
PMID: 30012802 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 16, 2018 Category: General Medicine Authors: Askin WJ, Bouchard T Tags: CMAJ Source Type: research

Extended-release naltrexone overlooked in opioid use disorders guideline.
PMID: 30012803 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 16, 2018 Category: General Medicine Authors: Rieb LM Tags: CMAJ Source Type: research

Association versus causation.
PMID: 30012804 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 16, 2018 Category: General Medicine Authors: Glazier RH Tags: CMAJ Source Type: research

Call for family doctors to have more emergency medicine training sparks debate.
PMID: 30012805 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 16, 2018 Category: General Medicine Authors: Motluk A Tags: CMAJ Source Type: research

Should medical students volunteer to help during emergencies in public settings?
PMID: 30012806 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 16, 2018 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

Health professionals decry detention of migrant children in Canada.
PMID: 30012807 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 16, 2018 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Allthosesyllables.
PMID: 30012808 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 16, 2018 Category: General Medicine Authors: Blum A Tags: CMAJ Source Type: research

Maternal peanut consumption and risk of peanut allergy in childhood.
PMID: 29986856 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 9, 2018 Category: General Medicine Authors: Abrams EM, Sicherer SH Tags: CMAJ Source Type: research

Validation and refinement of a clinical decision rule for the use of computed tomography in children with minor head injury in the emergency department.
Abstract BACKGROUND: There is uncertainty about which children with minor head injury need to undergo computed tomography (CT). We sought to prospectively validate the accuracy and potential for refinement of a previously derived decision rule, Canadian Assessment of Tomography for Childhood Head injury (CATCH), to guide CT use in children with minor head injury. METHODS: This multicentre cohort study in 9 Canadian pediatric emergency departments prospectively enrolled children with blunt head trauma presenting with a Glasgow Coma Scale score of 13-15 and loss of consciousness, amnesia, disorientation, persis...
Source: cmaj - July 9, 2018 Category: General Medicine Authors: Osmond MH, Klassen TP, Wells GA, Davidson J, Correll R, Boutis K, Joubert G, Gouin S, Khangura S, Turner T, Belanger F, Silver N, Taylor B, Curran J, Stiell IG, Pediatric Emergency Research Canada (PERC) Head Injury Study Group Tags: CMAJ Source Type: research

Recommendations on screening for asymptomatic bacteriuria in pregnancy.
PMID: 29986858 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 9, 2018 Category: General Medicine Authors: Moore A, Doull M, Grad R, Groulx S, Pottie K, Tonelli M, Courage S, Garcia AJ, Thombs BD, Canadian Task Force on Preventive Health Care Tags: CMAJ Source Type: research

A 63-year-old returned traveller with fever, rash, hepatitis and eosinophilia.
PMID: 29986859 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 9, 2018 Category: General Medicine Authors: Jeimy S, McRae K, Pattani R Tags: CMAJ Source Type: research

Healthy-vaccinated effect.
PMID: 29986860 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 9, 2018 Category: General Medicine Authors: Donzelli A, Schivalocchi A, Giudicatti G Tags: CMAJ Source Type: research

The collaborative chronic care model for mental health should be implemented in Canada.
PMID: 29986861 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 9, 2018 Category: General Medicine Authors: Stewart AM, Sunderji N, Vasa P, Jansz G, Ion A, Ghavam-Rassoul A Tags: CMAJ Source Type: research

Access to new drugs for rare disorders in Canada.
PMID: 29986862 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 9, 2018 Category: General Medicine Authors: Rawson NS, Adams J Tags: CMAJ Source Type: research

Trump administration shutters clinical guidelines database.
PMID: 29986863 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 9, 2018 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Sexual harassment rampant in science and worst in medicine, says report.
PMID: 29986864 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 9, 2018 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Medical students risk disappointment when applying to both Canada and US for residency.
PMID: 29986865 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 9, 2018 Category: General Medicine Authors: Ali M Tags: CMAJ Source Type: research

Validation of the Kutcher Adolescent Depression Scale in a Caribbean student sample.
Abstract BACKGROUND: Research on depression among Caribbean children has been limited by a lack of valid and reliable measures. We addressed this problem by exploring the internal consistency reliability and the concurrent and discriminant validity of the Kutcher Adolescent Depression Rating Scale (KADS) among a wide cross-section of the student population attending elementary schools in Jamaica and Barbados. METHODS: Students enrolled in grade 6 in a cross-section of schools in Jamaica and Barbados were invited to participate in the study. Schools included a balance of government-funded public schools and pr...
Source: cmaj - July 1, 2018 Category: General Medicine Authors: Lowe GA, Lipps GE, Gibson RC, Jules MA, Kutcher S Tags: CMAJ Open Source Type: research

The evolving epidemiology of Clostridium difficile infection in Canadian hospitals during a postepidemic period (2009-2015).
The objective of this national, multicentre study was to describe the evolving epidemiology and molecular characteristics of health care-associated C. difficile infection in Canada during a post-NAP1-epidemic period, particularly patient outcomes associated with the NAP1 strain. METHODS: Adult inpatients with C. difficile infection were prospectively identified, using a standard definition, between 2009 and 2015 through the Canadian Nosocomial Infection Surveillance Program (CNISP), a network of 64 acute care hospitals. Patient demographic characteristics, severity of infection and outcomes were reviewed. Molecular te...
Source: cmaj - June 25, 2018 Category: General Medicine Authors: Katz KC, Golding GR, Choi KB, Pelude L, Amaratunga KR, Taljaard M, Alexandre S, Collet JC, Davis I, Du T, Evans GA, Frenette C, Gravel D, Hota S, Kibsey P, Langley JM, Lee BE, Lemieux C, Longtin Y, Mertz D, Mieusement LMD, Minion J, Moore DL, Mulvey MR, R Tags: CMAJ Source Type: research

Euglycemic diabetic ketoacidosis associated with the use of a sodium-glucose cotransporter-2 inhibitor.
PMID: 29941433 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 25, 2018 Category: General Medicine Authors: Zhang L, Tamilia M Tags: CMAJ Source Type: research

Adnexal torsion.
PMID: 29941434 [PubMed - in process] (Source: cmaj)
Source: cmaj - June 25, 2018 Category: General Medicine Authors: Papillon-Smith J, Sobel M Tags: CMAJ Source Type: research

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