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JOURNAL ARTICLE
Christine F Provvidenza, Revi Bonder, Amy C McPherson
BACKGROUND: Due to reported challenges experienced by healthcare providers (HCPs) when having weight-related conversations with children with disabilities and their families, a knowledge translation (KT) casebook was developed, providing key communication principles with supportive resources. Our aim was to explore how the KT casebook could be implemented into a disability context. Study objectives were to develop and integrate needs-based implementation supports to help foster the uptake of the KT casebook communication principles...
May 2024: Child: Care, Health and Development
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JOURNAL ARTICLE
Maria Mathews, Lindsay Hedden, Julia Lukewich, Emily Gard Marshall, Leslie Meredith, Lauren Moritz, Dana Ryan, Sarah Spencer, Judith B Brown, Paul S Gill, Eric K W Wong
BACKGROUND: Over the past two decades, Canadian provinces and territories have introduced a series of primary care reforms in an attempt to improve access to and quality of primary care services, resulting in diverse organizational structures and practice models. We examine the impact of these reforms on family physicians' (FPs) ability to adapt their roles during the COVID-19 pandemic, including the provision of routine primary care. METHODS: As part of a larger case study, we conducted semi-structured qualitative interviews with FPs in four Canadian regions: British Columbia, Newfoundland and Labrador, Nova Scotia, and Ontario...
April 6, 2024: BMC Prim Care
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Synchronous Papillary Thyroid Cancer and Colorectal Cancer in a Young Patient with a CHEK2 Mutation.
Sydney Brooke Hoskins, Leslie Torgerson
INTRODUCTION: Mutations of CHEK2 are usually inherited and have been implicated in breast cancers, colorectal cancers, thyroid cancers, kidney cancers, and prostate cancers. The CHEK2 gene codes for checkpoint kinase 2 protein which is an effector in the ATM-CHEK2-p53 pathway and responds to DNA double-strand breaks. CASE PRESENTATION: We describe a unique case of a 29-year-old Canadian female who presented with synchronous papillary thyroid carcinoma and rectal adenocarcinoma who was subsequently found to have a sporadic CHEK2 (checkpoint kinase 2) mutation...
2024: Case Reports in Oncology
#24
JOURNAL ARTICLE
Justine Labourot, Émilie Pinette, Nadia Giguère, Matthew Menear, Cynthia Cameron, Elyse Marois, Brigitte Vachon
CONTEXT: Best practice guidelines for the recovery and return to work (RTW) of people with mental disorders recommend access to the services of an interdisciplinary team combining pharmacological, psychological and work rehabilitation interventions. In the Canadian context, primary healthcare services are responsible for providing these services for people with common mental disorders, such as depressive or anxiety disorders. However, not everyone has easy access to these recommended primary healthcare services, and previous studies suggest that multiple personal, practice-related and organizational factors can influence the patient's journey...
April 2024: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
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JOURNAL ARTICLE
Julie Kosteniuk, Beliz Acan Osman, Meric Osman, Jacqueline Quail, Naorin Islam, Megan E O'Connell, Andrew Kirk, Norma Stewart, Chandima Karunanayake, Debra Morgan
BACKGROUND: Rural-urban differences in health service use among persons with prevalent dementia are known. However, the extent of geographic differences in health service use over a long observation period, and prior to diagnosis, have not been sufficiently examined. The purpose of this study was to examine yearly rural-urban differences in the proportion of patients using health services, and the mean number of services, in the 5-year period before and 5-year period after a first diagnosis of dementia...
March 29, 2024: BMC Health Services Research
#26
Karen Fung-Kee-Fung, Karen Wong, Jennifer Walsh, Candyce Hamel, Gwen Clarke
OBJECTIVE: This guideline provides recommendations for the prevention of Rh D alloimmunization (isoimmunization) in pregnancy, including parental testing, routine postpartum and antepartum prophylaxis, and other clinical indications for prophylaxis. Prevention of red cell alloimmunization in pregnancy with atypical antigens (other than the D antigen), for which immunoprophylaxis is not currently available, is not addressed in this guideline. TARGET POPULATION: All Rh D-negative pregnant individuals at risk for Rh D alloimmunization due to potential exposure to a paternally derived fetal Rh D antigen...
March 28, 2024: Journal of Obstetrics and Gynaecology Canada: JOGC
#27
JOURNAL ARTICLE
Ayse Bahar Ercan, Melyssa Aronson, Nicholas R Fernandez, Yuan Chang, Adrian Levine, Zhihui Amy Liu, Logine Negm, Melissa Edwards, Vanessa Bianchi, Lucie Stengs, Jiil Chung, Abeer Al-Battashi, Agnes Reschke, Alex Lion, Alia Ahmad, Alvaro Lassaletta, Alyssa T Reddy, Amir F Al-Darraji, Amish C Shah, An Van Damme, Anne Bendel, Aqeela Rashid, Ashley S Margol, Bethany L Kelly, Bojana Pencheva, Brandie Heald, Brianna Lemieux-Anglin, Bruce Crooks, Carl Koschmann, Catherine Gilpin, Christopher C Porter, David Gass, David Samuel, David S Ziegler, Deborah T Blumenthal, Dennis John Kuo, Dima Hamideh, Donald Basel, Dong-Anh Khuong-Quang, Duncan Stearns, Enrico Opocher, Fernando Carceller, Hagit Baris Feldman, Helen Toledano, Ira Winer, Isabelle Scheers, Ivana Fedorakova, Jack M Su, Jaime Vengoechea, Jaroslav Sterba, Jeffrey Knipstein, Jordan R Hansford, Julieta Rita Gonzales-Santos, Kanika Bhatia, Kevin J Bielamowicz, Khurram Minhas, Kim E Nichols, Kristina A Cole, Lynette Penney, Magnus Aasved Hjort, Magnus Sabel, Maria Joao Gil-da-Costa, Matthew J Murray, Matthew Miller, Maude L Blundell, Maura Massimino, Maysa Al-Hussaini, Mazin F Al-Jadiry, Melanie A Comito, Michael Osborn, Michael P Link, Michal Zapotocky, Mithra Ghalibafian, Najma Shaheen, Naureen Mushtaq, Nicolas Waespe, Nobuko Hijiya, Noemi Fuentes-Bolanos, Olfat Ahmad, Omar Chamdine, Paromita Roy, Pavel N Pichurin, Per Nyman, Rachel Pearlman, Rebecca C Auer, Reghu K Sukumaran, Rejin Kebudi, Rina Dvir, Robert Raphael, Ronit Elhasid, Rose B McGee, Rose Chami, Ryan Noss, Ryuma Tanaka, Salmo Raskin, Santanu Sen, Scott Lindhorst, Sebastien Perreault, Shani Caspi, Shazia Riaz, Shlomi Constantini, Sophie Albert, Stanley Chaleff, Stefan Bielack, Stefano Chiaravalli, Stuart Louis Cramer, Sumita Roy, Suzanne Cahn, Suzanne Penna, Syed Ahmer Hamid, Tariq Ghafoor, Uzma Imam, Valerie Larouche, Vanan Magimairajan Issai, William D Foulkes, Yi Yen Lee, Paul C Nathan, Yosef E Maruvka, Mary-Louise C Greer, Carol Durno, Adam Shlien, Birgit Ertl-Wagner, Anita Villani, David Malkin, Cynthia Hawkins, Eric Bouffet, Anirban Das, Uri Tabori
BACKGROUND: Constitutional mismatch repair deficiency (CMMRD) syndrome is a rare and aggressive cancer predisposition syndrome. Because a scarcity of data on this condition contributes to management challenges and poor outcomes, we aimed to describe the clinical spectrum, cancer biology, and impact of genetics on patient survival in CMMRD. METHODS: In this cohort study, we collected cross-sectional and longitudinal data on all patients with CMMRD, with no age limits, registered with the International Replication Repair Deficiency Consortium (IRRDC) across more than 50 countries...
March 26, 2024: Lancet Oncology
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JOURNAL ARTICLE
Gabriele Jagelaviciute, Melissa Bouwsema, Melanie Walker, Molly Steer, Damon Dagnone, Erin Brennan
OBJECTIVES: While women comprise about half of current Canadian medical students and physicians, only 31% of emergency medicine physicians identify as women and women trainees are less likely to express interest in emergency medicine compared to men. Gender-based bias continues to negatively impact the career choice, progress, and well-being of women physicians/trainees. Although instances of gender-based bias are well documented within other medical specialties, there remains a gap in the literature addressing the role of gender specific to the Canadian emergency medicine clinical environment...
March 22, 2024: CJEM
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JOURNAL ARTICLE
Mark A Ferro, Christy K Y Chan, Ellen L Lipman, Ryan J Van Lieshout, Lilly Shanahan, Jan Willem Gorter
Data on the chronicity of mental disorder in children with chronic physical illness (CPI) are limited. We examined the prevalence and predictors of homotypic and heterotypic continuity of mental disorder in children with CPI. A sample of 263 children aged 2-16 years with physician-diagnosed CPI were recruited from outpatient clinics (e.g., dermatology, respiratory) at a Canadian pediatric academic hospital and followed for 24 months. Parent and child-reported mental disorders (mood, anxiety, behavioral, attention-deficit hyperactivity disorder [ADHD]) were assessed using the Mini International Neuropsychiatric Interview for Children and Adolescents at baseline, 6, 12, and 24 months...
March 23, 2024: European Child & Adolescent Psychiatry
#30
JOURNAL ARTICLE
Teresa To, Cornelia M Borkhoff, Laura N Anderson, Catherine S Birken, Sharon D Dell, Magdalena Janus, Jonathon L Maguire, Theo J Moraes, Patricia C Parkin, Padmaja Subbarao, Anne Van Dam, Beverly Guttman, Emilie Terebessy, Kimball Zhang, Jingqin Zhu
We hypothesize that children characterized by deprived factors have poorer health outcomes. We aim to identify clustering of determinants and estimate risk of early childhood diseases. This 1993-2019 longitudinal cohort study combines three Canadian pediatric cohorts and their families. Mothers and children are clustered using latent class analysis (LCA) by 16 indicators in three domains (maternal and newborn; socioeconomic status [SES] and neighbourhood; environmental exposures). Hazard ratios (HR) of childhood asthma, allergic rhinitis (AR), and eczema are quantified with Cox proportional hazard (PH) regression...
March 22, 2024: Scientific Reports
#31
JOURNAL ARTICLE
Molly J Ryan, Laurie Lee, Sara Drisdelle, Daniel Garros, Jamie A Seabrook, Janet Curran, Jacqueline Bretzler, Corey Slumkoski, Martha Walls, Laura Betts, Stacy Burgess, Jennifer R Foster
PURPOSE: Pediatric intensive care units (PICUs) worldwide restricted family presence in response to the COVID-19 pandemic. We aimed to explore the experiences and impact of restricted family presence policies on Canadian PICU clinicians. METHODS: We conducted a qualitative study that followed an interpretive phenomenological design. Participants were PICU clinicians providing direct patient care in Canada during periods of COVID-19-related restricted family presence...
March 20, 2024: Canadian Journal of Anaesthesia
#32
JOURNAL ARTICLE
David Ponka
No abstract text is available yet for this article.
March 2024: Canadian Family Physician Médecin de Famille Canadien
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JOURNAL ARTICLE
Karen Clarke, Nicola Orlov, Christine Soong
No abstract text is available yet for this article.
March 2024: Canadian Family Physician Médecin de Famille Canadien
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EDITORIAL
Nicholas Pimlott
No abstract text is available yet for this article.
March 2024: Canadian Family Physician Médecin de Famille Canadien
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JOURNAL ARTICLE
Alan Katz, Alexander G Singer
No abstract text is available yet for this article.
March 2024: Canadian Family Physician Médecin de Famille Canadien
#36
JOURNAL ARTICLE
Jennifer Young, Erin Lee, Adrienne J Lindblad, Jamie Falk
No abstract text is available yet for this article.
March 2024: Canadian Family Physician Médecin de Famille Canadien
#37
JOURNAL ARTICLE
David Ponka
No abstract text is available yet for this article.
March 2024: Canadian Family Physician Médecin de Famille Canadien
#38
JOURNAL ARTICLE
Jennifer Young, Erin Lee, Adrienne J Lindblad, Jamie Falk
No abstract text is available yet for this article.
March 2024: Canadian Family Physician Médecin de Famille Canadien
#39
EDITORIAL
Nicholas Pimlott
No abstract text is available yet for this article.
March 2024: Canadian Family Physician Médecin de Famille Canadien
#40
JOURNAL ARTICLE
Mike Green
No abstract text is available yet for this article.
March 2024: Canadian Family Physician Médecin de Famille Canadien
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