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Canadian forces

Alexander Morzycki, Helene Retrouvey, Becher Alhalabi, Johnny Ionut Efanov, Sarah Al-Youha, Jamil Ahmad, David T Tang
Background: Projecting the demand for plastic surgeons has become increasingly important in a climate of scarce public resource within a single payer health-care system. The goal of this study is to provide a comprehensive workforce update and describe the perceptions of the workforce among Canadian Plastic Surgery residents and surgeons. Methods: Two questionnaires were developed by a national task force under the Canadian Plastic Surgery Research Collaborative...
November 2018: Plastic Surgery
Adriano Petrangelo, Nicholas Czuzoj-Shulman, Jacques Balayla, Haim A Abenhaim
OBJECTIVE: Cannabis is the most commonly used recreational drug during pregnancy in the United States. This study aimed to describe the rate of cannabis dependence or abuse use during pregnancy and its effect on obstetrical and neonatal outcomes. METHODS: A retrospective population-based cohort of births in the United States between 1999 and 2013 was created using data from the National Inpatient Sample. Births to mothers who reported cannabis dependence or abuse were identified using ICD-9 codes, and the effect on various obstetrical and neonatal outcomes was assessed using logistic regression, adjusting for relevant confounders (Canadian Task Force Classification II-2)...
November 14, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Jing Zuo, Ling Ying Wu, Min Cheng, Ping Bai, Cheng Zhi Lei, Ning Li, Gong Yi Zhang, Dan Zhao, Bin Li
STUDY OBJECTIVE: To evaluate the detection rate and accuracy of sentinel lymph node (SLN) mapping using cervical and fundal injection of carbon nanoparticles (CNPs) in laparoscopic surgery of endometrioid endometrial cancer (EC), and to identify uterine lymphatic drainage pathways validated by mapping. DESIGN: A prospective consecutive study (Canadian Task Force classification II-2) SETTING: A academic research center. PATIENTS: Consecutive patients with a pathological diagnosis of early-stage EC scheduled for primary laparoscopic-assisted staging surgery (laparoscopic hysterectomy, bilateral salpingo-oophorectomy, comprehensive lymphadenectomy)...
November 13, 2018: Journal of Minimally Invasive Gynecology
Sinisa Colic, D J Richardson, P James Reilly, M Gary Hasey
Combat veterans; especially those with mental health conditions are an at risk group for suicidal ideation and behaviour. This study attempts to use machine learning algorithm to predict suicidal ideation (SI) in a treatment seeking veteran population. Questionnaire data from 738 patients consisting of veterans, still serving members of the Canadian Forces (CF) and Royal Canadian Mountain Police (RCMP) were examined to determine the likelihood of suicide ideation and to identify key variables for tracking the risk of suicide...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Marian Leung, Ally Murji, Catherine Allaire, Sukhbir S Singh, John Thiel, Togas Tulandi, Eliane M Shore
Objective To obtain expert consensus on the patient and fibroid characteristics that affect the complexity of laparoscopic myomectomy (LM) and to use these factors to create a grading tool for objective evaluation of LM procedures. Study design Modified Delphi Methodology Study (Canadian Task Force III). Setting included a series of online surveys via SurveyMonkey (SurveyMonkey Inc., San Mateo, California, USA). Participants were Canadian minimally invasive gynecologic surgeons (MIGS) who perform LM. A list consisting of patient, uterine and procedural characteristics was disseminated to Canadian MIGS...
October 26, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Marine Godfroy, Patrice Lopes, Claudine Le Vaillant
STUDY OBJECTIVE: To demonstrate the feasibility of 2-dimensional ultrasound (2DUS) imaging compared to 3-dimensionnal ultrasound (3DUS) to identify the location of implants and assess if the classification developed by Simorre et al described in 2016 was applicable to the 2 types of ultrasound imaging (2D and 3D). DESIGN: A prospective study (Canadian Task Force classification II-2). SETTING: Department of obstetrics and gynecology in a teaching hospital...
November 11, 2018: Journal of Minimally Invasive Gynecology
Amanda L Ager, Jean-Sébastien Roy, France Gamache, Luc J Hébert
Introduction: Shoulder pain, a leading reason to consult a physician or physiotherapist, continues to be a challenge to rehabilitate, particularly with a military population. A rotator cuff (RC) tendinopathy, the most important source of shoulder pain, is one of the leading reasons for sick leave or a discharge from active military service. Research encourages the use of exercise prescription for the management of a RC tendinopathy, however the ideal method of delivery (group setting versus one-on-one) remains uncertain...
November 13, 2018: Military Medicine
Mark P. DaCambra, Raymond L. Kao, Christopher Berger, Vivian C. McAlister
Background: The Canadian Armed Forces deployed a Role 2 Medical Treatment Facility (R2MTF) to Iraq in November 2016 as part of Operation IMPACT. We compared the multinational interoperability required of this R2MTF with that of similar facilities previously deployed by Canada or other nations. Methods: We reviewed data (Nov. 4, 2016, to Oct. 3, 2017) from the electronic Disease and Injury Surveillance Report and the Daily Medical Situation Report. Clinical activity was stratified by Global Burden of Diseases category, ICD-10 code, mechanism of injury, services used, encounter type, nationality and blood product usage...
December 1, 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
Carol A Ott
Anxiety disorders are the most prevalent comorbid diagnoses in patients with bipolar disorder (BD). A comorbid anxiety diagnosis can significantly impact the severity of bipolar symptoms, increase the risk of suicidality, and decrease psychosocial functioning and quality of life. The Canadian Network for Mood and Anxiety Treatments (CANMAT) task force published recommendations for treatment in 2012 suggesting that specific anticonvulsant mood stabilizers and second-generation antipsychotics are the medications of choice to treat these comorbidities...
November 2018: The mental health clinician
L Joya Jansen, Nisse V Clark, Monalisa Dmello, Xiangmei Gu, Jon I Einarsson, Sarah L Cohen
OBJECTIVE: To describe the perioperative outcomes of various modes of myomectomy (abdominal (AM), laparoscopic (LM) or robotic (RM)) in cases of extreme myoma burden. DESIGN: Retrospective cohort study (Canadian Task Force classification II-2). SETTING: A tertiary academic center in Boston, Massachusetts. PATIENTS: All women who underwent an AM, LM or RM for extreme myoma burden, defined as representing the upper quartile for specimen weight (greater than or equal to 434...
November 1, 2018: Journal of Minimally Invasive Gynecology
Nancy Van Eyk, Julie van Schalkwyk
OBJECTIVE: To review the evidence and provide recommendations on antibiotic prophylaxis for gynaecologic procedures. OUTCOMES: Outcomes evaluated include need and effectiveness of antibiotics to prevent infections in gynaecologic procedures. EVIDENCE: Medline and The Cochrane Library were searched for articles published between January 1978 and January 2011 on the topic of antibiotic prophylaxis in gynaecologic procedures. Results were restricted to systematic reviews, randomized control trials/ controlled clinical trials, and observational studies...
October 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Catherine Fallet-Bianco, Isabelle De Bie, Valérie Désilets, Luc Laurier Oligny
OBJECTIVE: To review the information on fetal and perinatal autopsies, the process of obtaining consent, and the alternative information-gathering options following a prenatal diagnosis of non-chromosomal anomalies in order to assist health care providers in providing postnatal counselling regarding diagnosis and potential recurrence risks. OUTCOMES: To provide better counselling about fetal and perinatal autopsies for women and families who are dealing with a prenatally diagnosed non-chromosomal fetal anomaly...
October 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Everett Vun, Sarah Turner, Jitender Sareen, Natalie Mota, Tracie O Afifi, Renée El-Gabalawy
BACKGROUND: Chronic pain conditions and mental disorders have high prevalence rates in military populations. However, few investigations have examined the comorbidity between chronic pain conditions and specific mental disorders among Canadian active military personnel. METHODS: We conducted a secondary analysis of data from the 2013 Canadian Forces Mental Health Survey (CFMHS) concerning the population of regular members. Diagnostic interviews assessed the presence of mental disorders, and participants self-reported chronic pain conditions (i...
October 2018: CMAJ Open
Devora Aharon, Lucky Sekhon, Joseph A Lee, Charles Ascher-Walsh, Alan B Copperman
STUDY OBJECTIVE: There is limited data regarding optimal timing between operative hysteroscopy and embryo transfer (ET). This study aimed to assess whether interval of time from operative hysteroscopy to ET affects implantation and clinical pregnancy rates. DESIGN: Retrospective cohort study (Canadian Task Force Classification II-2). SETTING: Private academic center. PATIENTS: The study included all patients who had operative hysteroscopy followed by a day 5 ET from 2012 to 2017...
October 30, 2018: Journal of Minimally Invasive Gynecology
Emily K Hill, Ashley Stuckey, Stephen Fiascone, Christina Raker, Melissa A Clark, Amy Brown, Mary Gordinier, Katina Robison
STUDY OBJECTIVE: To compare the parenting and career patterns of female and male gynecology subspecialists. DESIGN: Cross-sectional survey study (Canadian Task Force Classification II-3) SETTING: Survey administered electronically (DataStat Illume) in February 2015 to physician members of the Society of Gynecologic Oncology (SGO), the American Society for Reproductive Medicine (ASRM), and the American Urogynecologic Society (AUGS). PATIENTS AND INTERVENTIONS: All physician members of the three national gynecology subspecialty organizations listed above...
October 30, 2018: Journal of Minimally Invasive Gynecology
Joelle Monaghan, Audrey Steenbeek, Erna Snelgrove-Clarke, Donald Langille
OBJECTIVE: To identify predicting factors for self-rated health and use of health services among undergraduate bisexual women in the Maritime Provinces, and improve knowledge on the health needs of this population. PARTICIPANTS: A sample of 357 undergraduate bisexual women who participated in the Maritime Undergraduate Student Sexual Health Services Survey (N = 10, 232) between September and November 2012. METHODS: Guided by the Prince Edward Island Conceptual Model for Nursing, a secondary analysis of cross-sectional data was conducted using descriptive statistics and simple/multiple logistic regression models...
November 2, 2018: Journal of American College Health: J of ACH
David Sheyn, C Emi Bretschnieder, Sangeeta T Mahajan, Sherif El-Nashar, Megan Billow, Cara S Ninivaggio
STUDY OBJECTIVE: To evaluate whether there are differences in complication rates between laparoscopic myomectomy (LM) and total laparoscopic hysterectomy (TLH) for the treatment of uterine leiomyoma in perimenopausal women. DESIGN: A retrospective cohort study using 1:2 propensity score matching (Canadian Task Force classification II-2) SETTING: American College of Surgeons National Surgical Quality Improvement Program Database PATIENTS: Women aged between 40 and 60 years undergoing surgical laparoscopic surgery for uterine leiomyoma between the years 2010-2016...
October 29, 2018: Journal of Minimally Invasive Gynecology
Chithira Pulimoottil Vignarajan, Neena Malhotra, Neeta Singh
STUDY OBJECTIVE: To evaluate the Assisted Reproductive Technique (ART) outcomes after proximal tubal occlusion or salpingectomy in hydrosalpinx patients undergoing In Vitro Fertilization-Embryo Transfer (IVF-ET) DESIGN: Randomized controlled trial (Canadian Task Force classification I). SETTING: All India Institute of Medical Sciences, New Delhi, India PATIENTS: A total of one hundred and sixty five patients were randomized and subsequently allocated to proximal tubal occlusion group or to salpingectomy group...
October 23, 2018: Journal of Minimally Invasive Gynecology
Giuseppe Vizzielli, Emanuele Perrone, Sara Pizzacalla, Giovanni Scambia, Alfredo Ercoli
STUDY OBJECTIVE: The video article describes a laparoscopic anterior pelvic exenteration with radical vaginectomy using the 3-dimensional (3D) vision and multifunction instruments. METHODS: This is a step-by-step video presentation of the laparoscopic anterior pelvic exenteration (Canadian Task Force classification III). Although the therapeutic benefit of the PE remains controversial, it is often performed in women with centrally recurrent pelvic tumors that previously received radiation therapy or in the locally advanced cases (ie, stage IIb-IVa) resistant to radiochemotherapy...
November 2018: International Journal of Gynecological Cancer
Rachel L Barr Grzesh, Alejandro D Treszezamsky, Suzanne S Fenske, Lauren G Rascoff, Erin L Moshier, Charles Ascher-Walsh
Background and Objective: Some patients who undergo laparoscopic hysterectomy request overnight admission for pain management, thus increasing costs for a surgery that is safe for same-day discharge. We wanted to evaluate whether a paracervical block of bupivacaine with epinephrine before laparoscopic supracervical hysterectomy would decrease overnight admission rates, postoperative pain, and pain medication requirement. Methods: This was a randomized, double-blind, placebo-controlled, parallel-group trial (Canadian Task Force classification I) at an academic medical center...
July 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
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