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https://www.readbyqxmd.com/read/28723744/association-between-bowel-habits-and-quality-of-bowel-preparation-for-colonoscopy
#1
Dong-Won Lee, Ja Seol Koo, Seonghee Kang, Seung Young Kim, Jong Jin Hyun, Sung Woo Jung, Hyung Joon Yim, Sang Woo Lee
The effectiveness of colonoscopy is highly dependent on the quality of bowel preparation. Although many studies have previously evaluated the role of cleansing methods and dosing regimens, few have examined the association between bowel habits and subsequent bowel preparation. Here, we aimed to evaluate the impact of bowel habits on the quality of bowel preparation.A total of 404 patients who underwent a total colonoscopy and completed a personal bowel habit questionnaire at Korea University Hospital between December 2012 and December 2013 were enrolled...
July 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28706948/what-kind-of-doctor-do-you-want-to-be-geriatric-medicine-podcast-as-a-career-planning-resource
#2
Anna Byszewski, Kathryn Bezzina, Meriem Latrous
INTRODUCTION: For optimal direction in career paths and postgraduate training, students can benefit from information to guide them through options. Using geriatric medicine as a template, the goal was to develop a multimedia podcast resource that can give a clearer picture of what a specialty entails. METHODS: The project included a survey of existing resources and needs assessment of medical students at the University of Ottawa, Canada. This survey assessed students' knowledge of geriatrics and interest in the field and explored what they foresee as being important to be informed on when considering application to programs...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28667212/seroprevalence-of-hepatitis-b-virus-infection-in-cameroon-a-systematic-review-and-meta-analysis
#3
Jean Joel Bigna, Marie A Amougou, Serra Lem Asangbeh, Angeladine Malaha Kenne, Steve Raoul N Noumegni, Elodie T Ngo-Malabo, Jean Jacques Noubiap
OBJECTIVE: Better knowledge of hepatitis B virus (HBV) infection prevalence at the national level can help to implement pertinent strategies to address HBV related burden. The aim was to estimate the seroprevalence of HBV infection in Cameroon. DESIGN: Systematic review and meta-analysis. PARTICIPANTS: People residing in Cameroon. DATA SOURCES: Electronic databases including PubMed/MEDLINE, African Journals Online (AJOL), ScienceDirect, WHO-Afro Library, WHO-IRIS, African Index Medicus, National Institute of Statistics and National AIDS Control Committee, Cameroon; regardless of language and from 1 January 2000 to 30 September 2016...
June 30, 2017: BMJ Open
https://www.readbyqxmd.com/read/28624294/decision-aids-for-patients-considering-total-joint-replacement-a-cost-effectiveness-analysis-alongside-a-randomised-controlled-trial
#4
L Trenaman, D Stacey, S Bryan, M Taljaard, G Hawker, G Dervin, P Tugwell, N Bansback
BACKGROUND: Shared decision-making (SDM) is a key priority to improve patient-centred care, and can play an important role in helping patients decide whether to undergo total joint arthroplasty (TJA). Patient decision aids can support SDM; however, they may incur an upfront cost. We aimed to estimate the health and economic effects of patient decision aids for TJA. METHODS: A cost-effectiveness analysis of a randomised controlled trial (RCT) with 2-year follow-up...
June 15, 2017: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/28463519/recommended-reading-from-the-university-of-ottawa-nephrology-fellows
#5
David Massicotte-Azarniouch, Syed Obaid Amin, Caitlin Hesketh, Edward G Clark
No abstract text is available yet for this article.
May 2, 2017: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/28404708/practice-simulated-office-orals-as-a-predictor-of-certification-examination-performance-in-family-medicine
#6
Kendall Noel, Douglas Archibald, Carlos Brailovsky
OBJECTIVE: To determine if performance on practice simulated office orals (SOOs) conducted during residency training could predict residents' performance on the SOO component of the College of Family Physicians of Canada's (CFPC's) final Certification examination. DESIGN: Prospective cohort study. SETTING: University of Ottawa in Ontario. PARTICIPANTS: Family medicine residents enrolled in the University of Ottawa's Family Medicine Residency program between July 1, 2012, and June 30, 2014, who were eligible to write the CFPC Certification examination in the spring of 2014 and who had participated in all 4 practice SOO examination sessions; 23 residents met these criteria...
April 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28394433/outcomes-associated-with-reducing-the-urine-alkalinization-threshold-in-patients-receiving-high-dose-methotrexate
#7
Sarah A Drost, Jason R Wentzell, Pierre Giguère, Darcy L McLurg, Mitchell Sabloff, Salmaan Kanji, Tiffany T Nguyen
STUDY OBJECTIVES: Urine alkalinization increases methotrexate (MTX) solubility and reduces the risk of nephrotoxicity. The objectives of this study were to determine whether a reduction in the urine pH threshold from 8 to 7 in patients receiving high-dose methotrexate (HDMTX) results in a shorter length of hospital stay, delayed MTX clearance, or higher rates of nephrotoxicity; and to determine whether specific factors were associated with prolonged MTX clearance. DESIGN: Retrospective cohort study...
April 10, 2017: Pharmacotherapy
https://www.readbyqxmd.com/read/28344692/a-landscape-analysis-of-leadership-training-in-postgraduate-medical-education-training-programs-at-the-university-of-ottawa
#8
Marlon Danilewitz, Laurie McLean
BACKGROUND: There is growing recognition of the importance of physician leadership in healthcare. At the same time, becoming an effective leader requires significant training. While educational opportunities for practicing physicians exist to develop their leadership skills, there is a paucity of leadership opportunities for post graduate trainees. In response to this gap, both the Royal College of Physicians and Surgeons of Canada and the Association of Faculties of Medicine of Canada have recommended that leadership training be considered a focus in Post Graduate Medical Education (PGME)...
October 2016: Canadian Medical Education Journal
https://www.readbyqxmd.com/read/28109998/impact-of-mean-arterial-pressure-on-clinical-outcomes-in-comatose-survivors-of-out-of-hospital-cardiac-arrest-insights-from-the-university-of-ottawa-heart-institute-regional-cardiac-arrest-registry-capital-care
#9
Juan J Russo, Tyler E James, Benjamin Hibbert, Altayyeb Yousef, Christina Osborne, George A Wells, Michael P V Froeschl, Derek Y So, Aun Yeong Chong, Marino Labinaz, Chris A Glover, Jean-François Marquis, Alexander Dick, Jordan Bernick, Michel R Le May
AIM OF THE STUDY: We sought to assess the relationship between mean arterial pressure (MAP) and clinical outcomes in comatose survivors of out-of-hospital cardiac arrest (OHCA). METHODS: We identified consecutive comatose survivors of OHCA with an initial shockable rhythm treated with targeted temperature management. We examined clinical outcomes in relation to mean MAP (measured hourly) during the first 96h of hospitalization. Co-primary outcomes were the rates of death and severe neurological dysfunction at discharge...
January 18, 2017: Resuscitation
https://www.readbyqxmd.com/read/28046695/mo-de-bra-03-the-ottawa-medical-physics-institute-ompi-a-practical-model-for-academic-program-collaboration-in-a-multi-centre-city
#10
M McEwen, D Rogers, P Johns/Sup
PURPOSE: To build a world-class medical physics educational program that capitalizes on expertise distributed over several clinical, government, and academic centres. Few if any of these centres would have the critical mass to solely resource a program. METHODS: In order to enable an academic program, stakeholders from five institutions made a proposal to Carleton University for a) a research network with defined membership requirements and a process for accepting new members, and b) a graduate specialization (MSc and PhD) in medical physics...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28000338/opt-out-screening-strategy-for-hiv-infection-among-patients-attending-emergency-departments-systematic-review-and-meta-analysis
#11
C Henriquez-Camacho, P Villafuerte-Gutierrez, J A Pérez-Molina, J Losa, E Gotuzzo, N Cheyne
OBJECTIVES: International health agencies have promoted nontargeted universal (opt-out) HIV screening tests in different settings, including emergency departments (EDs). We performed a systematic review and meta-analysis to assess the testing uptake of strategies (opt-in targeted, opt-in nontargeted and opt-out) to detect new cases of HIV infection in EDs. METHODS: We searched the Pubmed and Embase databases, from 1984 to April 2015, for opt-in and opt-out HIV diagnostic strategies used in EDs...
December 21, 2016: HIV Medicine
https://www.readbyqxmd.com/read/27930844/development-and-external-validation-of-a-biopsy-derived-nomogram-to-predict-risk-of-ipsilateral-extraprostatic-extension
#12
Rashid Sayyid, Nathan Perlis, Ardalanejaz Ahmad, Andrew Evans, Ants Toi, Michael Horrigan, Antonio Finelli, Alexandre Zlotta, Girish Kulkarni, Robert Hamilton, Christopher Morash, Neil Fleshner
OBJECTIVES: To develop and externally validate a nomogram that predicts risk of side-specific extraprostatic extension (EPE) at time of surgery, using commonly available preoperative markers. MATERIALS AND METHODS: A consecutive sample of 753 men treated by radical prostatectomy (RP) at the University Health Network, Toronto, between 2009 and 2015, was used to develop the nomogram. The validation cohort consisted of 311 men treated by RP at Ottawa Hospital Research Institute, between 1992 and 2014...
December 8, 2016: BJU International
https://www.readbyqxmd.com/read/27918850/implementation-and-evaluation-of-a-community-based-interprofessional-learning-activity
#13
Ellen L Luebbers, Mary A Dolansky, Anton Vehovec, Gayle Petty
Implementation of large-scale, meaningful interprofessional learning activities for pre-licensure students has significant barriers and requires novel approaches to ensure success. To accomplish this goal, faculty at Case Western Reserve University, Ohio, USA, used the Ottawa Model of Research Use (OMRU) framework to create, improve, and sustain a community-based interprofessional learning activity for large numbers of medical students (N = 177) and nursing students (N = 154). The model guided the process and included identification of context-specific barriers and facilitators, continual monitoring and improvement using data, and evaluation of student learning outcomes as well as programme outcomes...
January 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/27779904/food-and-culinary-knowledge-and-skills-perceptions-of-undergraduate-dietetic-students
#14
Marcia J Cooper, Leanne Mezzabotta, Joseph Murphy
PURPOSE: The objective of the current study was to examine food and culinary skills and knowledge of dietetic students. METHODS: An online bilingual survey was created using Survey Monkey(TM) to explore the skills, knowledge, and perceptions of undergraduate dietetic students regarding food and cooking. Chi-square and logistic regression analyses were used to compare skills and knowledge of food and culinary concepts. RESULTS: The final sample included second- (n = 22) and third-year (n = 22) students within the Baccalauréat specialisé en sciences de la nutrition program at the University of Ottawa...
March 2017: Canadian Journal of Dietetic Practice and Research
https://www.readbyqxmd.com/read/27744276/rethinking-the-financing-of-healthcare-in-canada
#15
REVIEW
D Wayne Taylor
Canadians need to talk about their healthcare, about who pays for what, when. Lack of money is not the issue; how that money is spent is the issue-what public healthcare is covering and not covering. The same dollar amount can be spent quite differently and more effectively. The 1950s first-dollar, single-payor decision shifted the burden from the individual to government, but a lot has changed since the 1950s. Today Medicare is not universal, comprehensive, reasonably accessible, or portable. With residual constitutional power residing in Ottawa, there is no reason for the fragmentation and inequalities facing Canadians...
November 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27712737/safety-and-efficacy-of-a-pharmacoinvasive-strategy-in-st-segment-elevation-myocardial-infarction-a%C3%A2-patient-population-study-comparing-a-pharmacoinvasive-strategy-with-a-primary-percutaneous-coronary-intervention-strategy-within-a-regional%C3%A2-system
#16
Mohammed K Rashid, Nita Guron, Jordan Bernick, George A Wells, Melissa Blondeau, Aun-Yeong Chong, Alexander Dick, Michael P V Froeschl, Chris A Glover, Benjamin Hibbert, Marino Labinaz, Jean-François Marquis, Christina Osborne, Derek Y So, Michel R Le May
OBJECTIVES: This study investigated the safety and efficacy of a pharmacoinvasive strategy compared with a primary percutaneous coronary intervention (PCI) strategy for ST-segment elevation myocardial infarction (STEMI) in the context of a real-world system. BACKGROUND: Primary PCI continues to be the optimal reperfusion therapy; however, in areas where PCI centers are not readily available, a pharmacoinvasive strategy has been proposed. METHODS: The University of Ottawa Heart Institute regional STEMI system provides a primary PCI strategy for patients presenting within a 90-km radius from the PCI center, and a pharmacoinvasive strategy for patients outside this limit...
October 10, 2016: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/27646528/preparing-anesthesiology-faculty-for-competency-based-medical-education
#17
Amy B Fraser, Emma J Stodel, Robert Jee, Daniel A Dubois, Alan J Chaput
PURPOSE: Competency-based medical education (CBME) is quickly becoming the dominant organizing principle for medical residency programs. As CBME requires changes in the way medical education is delivered, faculty will need to acquire new skills in teaching and assessment in order to navigate the transition. In this paper, we examine the evidence supporting best practices in faculty development, propose strategies for faculty development for CBME-based residency programs, and discuss the results of faculty development initiatives at the pioneering anesthesia CBME residency program at the University of Ottawa...
December 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/27636354/how-different-marker-sets-affect-joint-angles-in-inverse-kinematics-framework
#18
Giulia Mantovani, Mario Lamontagne
The choice of marker set is a source of variability in motion analysis. Studies exist which assess the performance of marker sets when direct kinematics is used, but these results cannot be extrapolated to the inverse kinematic framework. Therefore, the purpose of this study was to examine the sensitivity of kinematic outcomes to inter-marker set variability in an inverse kinematic framework. The compared marker sets were plug-in-gait, University of Ottawa motion analysis model and a three-marker-cluster marker set...
April 1, 2017: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/27462905/cost-analysis-of-universal-screening-vs-risk-factor-based-screening-for-methicillin-resistant-staphylococcus-aureus-mrsa
#19
Virginia R Roth, Tara Longpre, Doug Coyle, Kathryn N Suh, Monica Taljaard, Katherine A Muldoon, Karamchand Ramotar, Alan Forster
BACKGROUND: The literature remains conflicted regarding the most effective way to screen for MRSA. This study was designed to assess costs associated with universal versus risk factor-based screening for the reduction of nosocomial MRSA transmission. METHODS: The study was conducted at The Ottawa Hospital, a large multi-centre tertiary care facility with approximately 47,000 admissions annually. From January 2006-December 2007, patients underwent risk factor-based screening for MRSA on admission...
2016: PloS One
https://www.readbyqxmd.com/read/27446836/split-dose-polyethylene-glycol-is-superior-to-single-dose-for-colonoscopy-preparation-results-of-a-randomized-controlled-trial
#20
RANDOMIZED CONTROLLED TRIAL
Rachid Mohamed, Robert J Hilsden, Catherine Dube, Alaa Rostom
Background. The efficacy of colonoscopy in detecting abnormalities within the colon is highly dependent on the adequacy of the bowel preparation. The objective of this study was to compare the efficacy, safety, and tolerability of PEG lavage and split-dose PEG lavage with specific emphasis on the cleanliness of the right colon. Methods. The study was a prospective, randomized, two-arm, controlled trial of 237 patients. Patients between the age of 50 and 75 years were referred to an outpatient university screening clinic for colonoscopy...
2016: Canadian Journal of Gastroenterology & Hepatology
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