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Canadian forces

Y Nichole Faller, Melissa Anne Wuerch, Mary Rucklos Hampton, Sylvia Barton, Cheryl Fraehlich, Darlene Juschka, Krista Milford, Pertice Moffitt, Jane Ursel, Alexis Zederayko
Intimate partner violence (IPV) has become a worldwide epidemic, yet little is known about the experiences of women survivors living in rural and Northern Canadian communities. Existing statistics suggest that women living in rural areas of the Canadian Prairie Provinces and Northwest Territories (NWT) are at a significantly higher risk of experiencing IPV. To better understand the experiences of IPV in these regions, qualitative interviews were conducted with service providers, including the Royal Canadian Mounted Police (RCMP), Victims Services, Shelter Services, counselors, and others (e...
July 1, 2018: Journal of Interpersonal Violence
François L Thériault, Bryan G Garber, Franco Momoli, William Gardner, Mark A Zamorski, Ian Colman
BACKGROUND: Major depression is prevalent, impactful, and treatable in military populations, but not all depressed personnel seek professional care in a given year. Care-seeking patterns (including the use of primary vs. specialty care) and factors associated with the likelihood of mental health service utilization in depressed military personnel are poorly understood. METHODS: Our sample included 520 Regular Force respondents to the 2013 Canadian Forces Mental Health Survey...
January 1, 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
Abigail A Armstrong, Lindsay Kroener, Meredith Brower, Zain A Al-Safi
STUDY OBJECTIVE: The Manufacturer and User Facility Device Experience (MAUDE) database may be useful for clinicians using a Food and Drug Administration-approved medical device to identify the occurrence of adverse events and complications. We sought to analyze and investigate reports associated with uterine artery embolization used for treatment of fibroids using this database. DESIGN: Retrospective review of the MAUDE database for events related to uterine artery embolization (Canadian Task Force Classification III)...
July 14, 2018: Journal of Minimally Invasive Gynecology
Christine Frank, Mark A Zamorski, Jennifer E C Lee, Ian Colman
Objective: Military research has attempted to identify whether women have an increased vulnerability to mental health issues following deployment-related trauma, but findings have been mixed. Most studies have controlled for childhood abuse, but not other non-deployment trauma (e.g. life-threatening illness), which may partly explain previous mixed results. This study assessed gender differences in the association between deployment-related trauma and post-traumatic stress disorder (PTSD) while controlling for non-deployment trauma...
2018: European Journal of Psychotraumatology
Chyi-Long Lee, Jiah-Min Lee, Chih-Hui Lin, Yi-Pin Chen, Chen-Yin Huang, Pei-Shan Lee, Kai-Yun Wu, Chih-Feng Yen
STUDY OBJECTIVE: To study the outcome of a novel method of laparoscopic neovaginal reconstruction using rudimentary uterine horn serosa and pelvic peritoneum as a graft. DESIGN CLASSIFICATION: Canadian Task Force classification II-1 SETTING: University hospital PATIENTS: Retrospective study of 14 patients from 2000 to 2014 of patients with vaginal agenesis who underwent laparoscopic neovagina reconstruction using rudimentary uterine horn serosa and pelvic peritoneum as a graft...
July 14, 2018: Journal of Minimally Invasive Gynecology
Haider Jan, Vishalli Ghai, Ranee Thakar
STUDY OBJECTIVE: Laparoscopic colposuspension for recurrent stress incontinence following failed tension-free vaginal tape (TVT) DESIGN: Technical video demonstrating laparoscopic colposuspension for previously surgically treated stress incontinence (Canadian Task force classification level III). SETTING: University Hospital. INTERVENTION: 58-year old woman with a previous TVT presents with recurrent stress urinary incontinence. DISCUSSION: Mid-urethral slings (MUS) have equivalent cure rates to the more invasive colposuspension...
July 10, 2018: Journal of Minimally Invasive Gynecology
Ivy F Oandasan, Douglas Archibald, Louise Authier, Kathrine Lawrence, Laura April McEwen, Maria Palacios Mackay, Marie Parkkari, Shelley Ross, Steve Slade
OBJECTIVE: To describe exiting family medicine (FM) residents' reported practice intentions after completing a Triple C Competency-based Curriculum. DESIGN: The surveys were intended to capture residents' perceptions of FM, their perceptions of their competency-based training, and their intentions to practise FM. Entry (T1) and exit (T2) self-reported survey results were compared considering the influence of the curriculum change. Unmatched aggregate-level data were reviewed...
July 2018: Canadian Family Physician Médecin de Famille Canadien
Ainsley Moore, Marion Doull, Roland Grad, Stéphane Groulx, Kevin Pottie, Marcello Tonelli, Susan Courage, Alejandra Jaramillo Garcia, Brett D Thombs
No abstract text is available yet for this article.
July 9, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
Shilpa Dogra, Joshua Good, Matthew P Buman, Paul A Gardiner, Michael K Stickland, Jennifer L Copeland
BACKGROUND: Physical activity has been shown to attenuate the age-associated decline in lung function; however, there is little research evaluating different movement behaviours as potential correlates of lung function. Modifiable determinants need to be identified, as the prevalence of chronic respiratory disease is on the rise. The purpose of this study was to investigate associations of self-reported movement behaviours (i.e., sitting time, walking, different intensities of physical activity, and strengthening activities), with lung function in middle-aged and older adults without a respiratory disease, according to their smoking history...
July 3, 2018: BMC Public Health
Jeong Namkung, So Yeun Kang, Youn Jee Chung, Hyun Hee Cho, Jang Heub Kim, Mee-Ran Kim
STUDY OBJECTIVE: To evaluate the safety and effectiveness of hysteroscopic myomectomy after uterine artery embolization (UAE) for treatment of large sized submucosal myoma with deep intramural invasion that are difficult to treat with one-step hysteroscopy. DESIGN: Retrospective cohort study (Canadian Task Force classification II-2) SETTING: Academic university hospital PATIENTS: Eight premenopausal patients with symptomatic submucosal myomas with intramural invasion...
June 30, 2018: Journal of Minimally Invasive Gynecology
Yuval Fouks, Aviad Cohen, Udi Shapira, Neta Solomon, Benny Almog, Ishai Levin
OBJECTIVE: To identify the clinical characteristics associated with surgical intervention in patients with tubo-ovarian abscess (TOA). DESIGN: A retrospective cohort study was performed over 10 consecutive years. DESIGN CLASSIFICATION: Canadian Task Force classification II-2. SETTING: Tertiary university-affiliated hospital. PATIENTS: Three hundred thirty five patients were diagnosed with TOA based on sonographic and clinical criteria...
June 29, 2018: Journal of Minimally Invasive Gynecology
Femke van Zanten, Jan J van Iersel, Francis E Hartog, Karin C I M Aalders, E Lenters, Ivo A M J Broeders, Steven E Schraffordt Koops
STUDY OBJECTIVE: The safety of mesh usage in pelvic floor surgery is being debated due to the occurrence of mesh-related complications. Based on the current literature available, mesh-related complications seem to be lower in transabdominal mesh surgery than in transvaginal mesh surgery. Large prospective trials investigating mesh-related complications after transabdominal placed mesh are, however, lacking. The aim of this study was to prospectively evaluate the mesh exposure rate after robot-assisted laparoscopic pelvic floor surgery for the treatment of female pelvic organ prolapse (POP) in a large cohort...
June 28, 2018: Journal of Minimally Invasive Gynecology
Yang Yu, Hao Yanli, Zhang Jing, Han Zhiyu, M A Xia, X U Ruifang
STUDY OBJECTIVE: To prospectively evaluate the clinical effectiveness and safety of ultrasound-guided percutaneous microwave ablation for symptomatic subserosal uterine fibroids. DESIGN: Prospective observational study (Canadian Task Force II-1). SETTING: A teaching hospital (Department of Interventional Ultrasound, General Hospital of Chinese PLA, Beijing, China). PATIENTS: Sixty-nine patients with symptomatic subserosal uterine fibroid...
June 28, 2018: Journal of Minimally Invasive Gynecology
A Fundytus, W M Hopman, N Hammad, J J Biagi, R Sullivan, V Vanderpuye, B Seruga, G Lopes, M Sengar, M D Brundage, C M Booth
Background: In 2000, a Canadian task force recommended that medical oncologists (mos) meet a target of 160-175 new patient consultations per year. Here, we report the Canadian results of a global survey of mo workload compared with mo workload in other high-income countries (hics). Methods: Using a snowball method, an online survey was distributed by national oncology societies to chemotherapy-prescribing physicians in 22 hics (World Bank criteria). The survey was distributed within Canada to all members of the Canadian Association of Medical Oncologists...
June 2018: Current Oncology
Margit Dueholm, Ina Marie Dueholm Hjorth, Katja Dahl, Estrid Stær Hansen, Gitte Ørtoft
STUDY OBJECTIVE: To evaluate the Risk of Endometrial Cancer (REC) scoring system for the prediction of high and low probability of endometrial cancer (EC) in women with postmenopausal bleeding (PMB). DESIGN: Prospective study (Canadian Task Force classification II-1). SETTING: Academic hospital. PATIENTS: Nine hundred and fifty consecutive patients with PMB underwent transvaginal ultrasonography (TVS) and REC scoring between November 2013 and December 2015...
June 23, 2018: Journal of Minimally Invasive Gynecology
Huihui Chen, Husheng Wang, Jieru Zhou, Ying Xiong, Xipeng Wang
STUDY OBJECTIVE: Cesarean section scar diverticulum (CSD) lead to many long-term complications. CSD is more prevalent in patients with a retroflexed uterus than in those with an anteflexed uterus. To estimate the association between flexion of the uterus and the outcome of treatment for a cesarean section scar diverticulum (CSD) treated by vaginal repair. DESIGN: Retrospective cohort study (Canadian Task Force classification II-2). SETTING: University hospital...
June 23, 2018: Journal of Minimally Invasive Gynecology
Christina Williams, Alicia J Long, Heather Noga, Catherine Allaire, Mohamed A Bedaiwy, Sarka Lisonkova, Paul J Yong
STUDY OBJECTIVE: To investigate ethnic differences for moderate-to-severe endometriosis DESIGN: Analysis of a prospective registry, December 2013 - December 2016 ( # NCT02911090). INCLUSION CRITERIA: Women presenting to tertiary referral center for pelvic pain and/or endometriosis. EXCLUSION CRITERIA: Age greater than 50, menopausal, or mixed ethnicity. Logistic regression analysis was used to obtain adjusted odds ratios (aOR) and 95% confidence intervals (CI) adjusting for potential confounders (e...
June 20, 2018: Journal of Minimally Invasive Gynecology
Sari Kives, Guylaine Lefebvre
OBJECTIVE: This guideline reviews the evidence relating to the potential benefits of the vaginal hysterectomy (VH) and supracervical hysterectomy (SCH) versus total abdominal hysterectomy (TAH) with respect to postoperative sexual function, urinary function, and peri- and postoperative complications. Laparoscopic options are not included in this guideline. OPTIONS: Women considering hysterectomy for benign disease can be given the option of retaining the cervix or proceeding with a total hysterectomy...
July 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Guylaine Lefebvre, Catherine Allaire, John Jeffrey, George Vilos
OBJECTIVE: To identify the indications for hysterectomy, preoperative assessment, and available alternatives required prior to hysterectomy. Patient self-reported outcomes of hysterectomy have revealed high levels of patient satisfaction. These may be maximized by careful preoperative assessment and discussion of other treatment choices. In most cases hysterectomy is performed to relieve symptoms and improve quality of life. The patient's preference regarding treatment alternatives must be considered carefully...
July 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
David S Smithson, Tannys D R Vause, Anthony P Cheung
OBJECTIVE: To review current non-pharmacologic and pharmacologic options for ovulation induction in women with polycystic ovary syndrome (PCOS). OPTIONS: This guideline reviews the evidence for the various options for ovulation induction in PCOS. OUTCOMES: Ovulation, pregnancy and live birth rates, risks, and side effects are the outcomes of interest. EVIDENCE: Published literature was retrieved through searches of Medline using appropriate controlled vocabulary and key words spanning from 2000 to 2016...
July 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
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