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Source: cmaj

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Total 5409 results found since Jan 2013.

Physician and administrator experience of preparing to implement Ontario's intensive care unit Triage Emergency Standard of Care during the COVID-19 pandemic: a qualitative study
CMAJ Open. 2023 Sep 19;11(5):E838-E846. doi: 10.9778/cmajo.20220168. Print 2023 Sep-Oct.ABSTRACTBACKGROUND: As the COVID-19 pandemic created a surge in demand for critical care resources, the province of Ontario, Canada, released the Adult Critical Care Clinical Emergency Standard of Care for Major Surge (Emergency Standard of Care [ESoC]), a triage framework to guide the allocation of critical care resources in the expectation that intensive care units would be overwhelmed. Our aim was to understand physicians' and administrators' experiences and perceptions of planning to implement the ESoC, and to identify ways to impro...
Source: cmaj - September 19, 2023 Category: General Medicine Authors: Brandon A Heidinger Ariane Downar Andrea Frolic James Downar Sarina R Isenberg Source Type: research

Patient and public involvement in pragmatic trials: online survey of corresponding authors of published trials
CMAJ Open. 2023 Sep 19;11(5):E826-E837. doi: 10.9778/cmajo.20220198. Print 2023 Sep-Oct.ABSTRACTBACKGROUND: There are few data on patient and public involvement (PPI) in pragmatic trials. We aimed to describe the prevalence and nature of PPI within pragmatic trials, describe variation in prevalence of PPI by trial characteristics and compare prevalence of PPI reported by trial authors to that reported in trial publications.METHODS: We applied a search filter to identify pragmatic trials published from 2014 to 2019 in MEDLINE. We invited the corresponding authors of pragmatic trials to participate in an online survey about ...
Source: cmaj - September 19, 2023 Category: General Medicine Authors: Shelley Vanderhout Pascale Nevins Stuart G Nicholls Colin Macarthur Jamie C Brehaut Beth K Potter Kate Gillies Beatriz Goulao Maureen Smith Alicia Hilderley Kelly Carroll Anne Spinewine Charles Weijer Dean A Fergusson Monica Taljaard Source Type: research

Evaluating the prevalence of lipid assessments in children in Alberta, Canada
CMAJ Open. 2023 Sep 19;11(5):E820-E825. doi: 10.9778/cmajo.20220163. Print 2023 Sep-Oct.ABSTRACTBACKGROUND: Familial hypercholesterolemia is a common, inherited, life-threatening and treatable condition that is characterized by marked elevations of low-density lipoprotein cholesterol (LDL-C), resulting in a high risk of cardiovascular disease, but treatment starting in childhood dramatically reduces this risk. We sought to evaluate the prevalence of pediatric lipid assessments among children in Alberta.METHODS: We reviewed laboratory and administrative data from Alberta Health between Apr. 1, 2012, and Dec. 31, 2021. We ev...
Source: cmaj - September 19, 2023 Category: General Medicine Authors: Susan Christian Ross Ridsdale Mu Lin Michael Khoury Source Type: research

Physician and administrator experience of preparing to implement Ontario's intensive care unit Triage Emergency Standard of Care during the COVID-19 pandemic: a qualitative study
CMAJ Open. 2023 Sep 19;11(5):E838-E846. doi: 10.9778/cmajo.20220168. Print 2023 Sep-Oct.ABSTRACTBACKGROUND: As the COVID-19 pandemic created a surge in demand for critical care resources, the province of Ontario, Canada, released the Adult Critical Care Clinical Emergency Standard of Care for Major Surge (Emergency Standard of Care [ESoC]), a triage framework to guide the allocation of critical care resources in the expectation that intensive care units would be overwhelmed. Our aim was to understand physicians' and administrators' experiences and perceptions of planning to implement the ESoC, and to identify ways to impro...
Source: cmaj - September 19, 2023 Category: General Medicine Authors: Brandon A Heidinger Ariane Downar Andrea Frolic James Downar Sarina R Isenberg Source Type: research

Patient and public involvement in pragmatic trials: online survey of corresponding authors of published trials
CMAJ Open. 2023 Sep 19;11(5):E826-E837. doi: 10.9778/cmajo.20220198. Print 2023 Sep-Oct.ABSTRACTBACKGROUND: There are few data on patient and public involvement (PPI) in pragmatic trials. We aimed to describe the prevalence and nature of PPI within pragmatic trials, describe variation in prevalence of PPI by trial characteristics and compare prevalence of PPI reported by trial authors to that reported in trial publications.METHODS: We applied a search filter to identify pragmatic trials published from 2014 to 2019 in MEDLINE. We invited the corresponding authors of pragmatic trials to participate in an online survey about ...
Source: cmaj - September 19, 2023 Category: General Medicine Authors: Shelley Vanderhout Pascale Nevins Stuart G Nicholls Colin Macarthur Jamie C Brehaut Beth K Potter Kate Gillies Beatriz Goulao Maureen Smith Alicia Hilderley Kelly Carroll Anne Spinewine Charles Weijer Dean A Fergusson Monica Taljaard Source Type: research

Evaluating the prevalence of lipid assessments in children in Alberta, Canada
CMAJ Open. 2023 Sep 19;11(5):E820-E825. doi: 10.9778/cmajo.20220163. Print 2023 Sep-Oct.ABSTRACTBACKGROUND: Familial hypercholesterolemia is a common, inherited, life-threatening and treatable condition that is characterized by marked elevations of low-density lipoprotein cholesterol (LDL-C), resulting in a high risk of cardiovascular disease, but treatment starting in childhood dramatically reduces this risk. We sought to evaluate the prevalence of pediatric lipid assessments among children in Alberta.METHODS: We reviewed laboratory and administrative data from Alberta Health between Apr. 1, 2012, and Dec. 31, 2021. We ev...
Source: cmaj - September 19, 2023 Category: General Medicine Authors: Susan Christian Ross Ridsdale Mu Lin Michael Khoury Source Type: research

"Less is better" is the best message when talking to patients about alcohol
CMAJ. 2023 Sep 18;195(36):E1232-E1233. doi: 10.1503/cmaj.231238.NO ABSTRACTPMID:37722747 | DOI:10.1503/cmaj.231238
Source: cmaj - September 18, 2023 Category: General Medicine Authors: Savita Rani Andreas Laupacis Source Type: research

Emergency department visits and hospital admissions for suicidal ideation, self-poisoning and self-harm among adolescents in Canada during the COVID-19 pandemic
CMAJ. 2023 Sep 18;195(36):E1221-E1230. doi: 10.1503/cmaj.220507.ABSTRACTBACKGROUND: The COVID-19 pandemic had profound effects on the mental wellbeing of adolescents. We sought to evaluate pandemic-related changes in health care use for suicidal ideation, self-poisoning and self-harm.METHODS: We obtained data from the Canadian Institute for Health Information on emergency department visits and hospital admissions from April 2015 to March 2022 among adolescents aged 10-18 years in Canada. We calculated the quarterly percentage of emergency department visits and hospital admissions for a composite outcome comprising suicidal...
Source: cmaj - September 18, 2023 Category: General Medicine Authors: Naveen Poonai Stephen B Freedman Amanda S Newton Scott Sawyer Nathalie Gaucher Samina Ali Bruce Wright Michael R Miller Ahmed Mater Eleanor Fitzpatrick Mona Jabbour Roger Zemek Mohamed Eltorki Quynh Doan Pediatric Emergency Research Canada (PERC) Network Source Type: research

Self-harm among youth during the first 28 months of the COVID-19 pandemic in Ontario, Canada: a population-based study
We reported relative differences between observed and expected monthly rates overall and by age group (10-13 yr and 14-17 yr), sex and mental health service use (new and continuing).RESULTS: In this population of about 1.3 million children and adolescents, rates of acute care visits for self-harm during the pandemic were higher than expected for emergency department visits (0.27/1000 population v. 0.21/1000 population; adjusted rate ratio [RR] 1.29, 95% confidence interval [CI] 1.19-1.39) and hospital admissions (0.74/10 000 population v. 0.43/10 000 population, adjusted RR 1.72, 95% CI 1.46-2.03). This increase was primar...
Source: cmaj - September 18, 2023 Category: General Medicine Authors: Rachel H B Mitchell Alene Toulany Hannah Chung Eyal Cohen Longdi Fu Rachel Strauss Simone N Vigod Therese A Stukel Kimberly Moran Astrid Guttmann Paul Kurdyak Azmina Artani Monica Kopec Natasha R Saunders Source Type: research

Administration d ’adrénaline en cas d’anaphylaxie
CMAJ. 2023 Sep 18;195(36):E1244. doi: 10.1503/cmaj.221319-f.NO ABSTRACTPMID:37722744 | DOI:10.1503/cmaj.221319-f
Source: cmaj - September 18, 2023 Category: General Medicine Authors: Florence Morriello Martin Chapman Source Type: research

Dons d ’organes et de tissus après décès dans le cadre de l’aide médicale à mourir : mise à jour 2023 du document d’orientation pour l’élaboration de politiques
CMAJ. 2023 Sep 18;195(36):E1234-E1243. doi: 10.1503/cmaj.230108-f.ABSTRACTCONTEXTE: Depuis la parution du document d’orientation de 2019 de la Société canadienne du sang (SCS) pour les dons d’organes et de tissus après décès dans le cadre de l’aide médicale à mourir (AMM), le gouvernement fédéral a apporté des amendements à sa loi sur l’AMM. La présente mise à jour s’adresse aux médecins, aux organismes de don d’organes, aux spécialistes des soins de fin de vie et de l’AMM et aux responsables des orientations politiques; on y explique les répercussions de ces amendements. MÉTHODES: La Sociét...
Source: cmaj - September 18, 2023 Category: General Medicine Authors: Kim Wiebe Lindsay C Wilson Ken Lotherington Caitlin Mills Sam D Shemie James Downar Forum d ’orientation sur le don d’organes et de tissus après décès dans le cadre de l’aide médicale à mourir Source Type: research

Un r ésultat si important
CMAJ. 2023 Sep 18;195(36):E1248-E1249. doi: 10.1503/cmaj.221721-f.NO ABSTRACTPMID:37722742 | DOI:10.1503/cmaj.221721-f
Source: cmaj - September 18, 2023 Category: General Medicine Authors: Elizabeth Clement Source Type: research

Topical nonsteroidal anti-inflammatory drugs
CMAJ. 2023 Sep 18;195(36):E1231. doi: 10.1503/cmaj.230578.NO ABSTRACTPMID:37722741 | DOI:10.1503/cmaj.230578
Source: cmaj - September 18, 2023 Category: General Medicine Authors: Chirag Bhat Hans Rosenberg Daniel James Source Type: research

Il est temps que le Canada adopte les innovations mondiales en mati ère de traitement antituberculeux
CMAJ. 2023 Sep 18;195(36):E1245-E1247. doi: 10.1503/cmaj.230246-f.NO ABSTRACTPMID:37722740 | DOI:10.1503/cmaj.230246-f
Source: cmaj - September 18, 2023 Category: General Medicine Authors: Adam R Houston Elizabeth Rea Source Type: research