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https://www.readbyqxmd.com/read/29471318/family-physician-awareness-of-charles-bonnet-syndrome
#1
Keith D Gordon, Tina Felfeli
Background: Charles Bonnet syndrome is characterized by formed visual hallucinations in individuals with vision loss. It is reported that one in five older adults with vision loss suffer from Charles Bonnet syndrome and the suspected lack of awareness amongst family physicians may lead to misdiagnosis and inappropriate treatment. Objective: To assess Canadian family physicians' awareness of Charles Bonnet syndrome. Methods: We conducted a national perception and practices survey of family physicians across Canada to assess (i) the level of awareness of Charles Bonnet syndrome amongst family physicians; (ii) the frequency of family physicians' encounters with patients with visual hallucinations and (iii) management strategies and referral patterns for patients with Charles Bonnet syndrome presenting to family physicians...
February 17, 2018: Family Practice
https://www.readbyqxmd.com/read/29449245/selection-for-family-medicine-residency-training-in-canada-how-consistently-are-the-same-students-ranked-by-different-programs
#2
Keith Wycliffe-Jones, Kent G Hecker, Shirley Schipper, Maureen Topps, Jeanine Robinson, Tasnima Abedin
OBJECTIVE: To examine the consistency of the ranking of Canadian and US medical graduates who applied to Canadian family medicine (FM) residency programs between 2007 and 2013. DESIGN: Descriptive cross-sectional study. SETTING: Family medicine residency programs in Canada. PARTICIPANTS: All 17 Canadian medical schools allowed access to their anonymized program rank-order lists of students applying to FM residency programs submitted to the first iteration of the Canadian Resident Matching Service match from 2007 to 2013...
February 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29444626/experiences-of-intimate-partner-violence-victims-with-police-and-the-justice-system-in-canada
#3
Michael D Saxton, Laura Olszowy, Jennifer C D MacGregor, Barbara J MacQuarrie, C Nadine Wathen
Legal responses to intimate partner violence (IPV) can determine whether and how those exposed to IPV seek help. Understanding the victim's perspective is essential to developing policy and practice standards, as well as informing professionals working in policing and the justice system. In this survey study, we utilized a subset of 2,831 people who reported experiencing IPV to examine (a) rates of reporting to the police; (b) experiences with, and perceived helpfulness of, police; (c) rates of involvement with the criminal and family law systems, including protection orders; and (d) experiences with, and perceived helpfulness of, the justice system...
February 1, 2018: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29444167/rotavirus-vaccine-coverage-and-factors-associated-with-uptake-using-linked-data-ontario-canada
#4
Sarah E Wilson, Hannah Chung, Kevin L Schwartz, Astrid Guttmann, Shelley L Deeks, Jeffrey C Kwong, Natasha S Crowcroft, Laura Wing, Karen Tu
BACKGROUND: In August 2011, Ontario, Canada introduced a rotavirus immunization program using Rotarix™ vaccine. No assessments of rotavirus vaccine coverage have been previously conducted in Ontario. METHODS: We assessed vaccine coverage (series initiation and completion) and factors associated with uptake using the Electronic Medical Record Administrative data Linked Database (EMRALD), a collection of family physician electronic medical records (EMR) linked to health administrative data...
2018: PloS One
https://www.readbyqxmd.com/read/29440215/does-exposure-to-simulated-patient-cases-improve-accuracy-of-clinicians-predictive-value-estimates-of-diagnostic-test-results-a-within-subjects-experiment-at-st-michael-s-hospital-toronto-canada
#5
Bonnie Armstrong, Julia Spaniol, Nav Persaud
OBJECTIVE: Clinicians often overestimate the probability of a disease given a positive test result (positive predictive value; PPV) and the probability of no disease given a negative test result (negative predictive value; NPV). The purpose of this study was to investigate whether experiencing simulated patient cases (ie, an 'experience format') would promote more accurate PPV and NPV estimates compared with a numerical format. DESIGN: Participants were presented with information about three diagnostic tests for the same fictitious disease and were asked to estimate the PPV and NPV of each test...
February 13, 2018: BMJ Open
https://www.readbyqxmd.com/read/29437270/clinicians-attitudes-and-approaches-to-evaluating-the-potential-living-kidney-donor-recipient-relationship-an-interview-study
#6
Angelique F Ralph, Phyllis Butow, Jonathan C Craig, Jeremy R Chapman, John S Gill, John Kanellis, Allison Tong
AIM: Careful assessment of the potential donor-recipient relationship is recommended by guidelines to prevent undue coercion, and ensure realistic expectations and genuine motivations. However, relationships are complex, nuanced and value-laden, and can be challenging to evaluate in living kidney donation. We aimed to describe the attitudes and approaches of transplant clinicians towards assessing the relationship between potential living kidney donors and their recipients. METHODS: Semi-structured interviews were conducted with 54 transplant clinicians (nephrologists, surgeons, coordinators, social workers, psychiatrists and psychologists) from 32 transplant centres across nine countries including Australia, United States, Canada and New Zealand...
February 13, 2018: Nephrology
https://www.readbyqxmd.com/read/29424661/preventive-care-among-primary-care-patients-living-with-spinal-cord-injury
#7
Aisha Lofters, Maha Chaudhry, Morgan Slater, Andree Schuler, James Milligan, Joseph Lee, Sara J T Guilcher
OBJECTIVE: Context/Objective: Family physicians may lack the knowledge or resources to adequately support patients with spinal cord injury (SCI). Our objectives were to determine patterns of preventive care for patients with SCI in a primary care setting (i.e. cancer screening, influenza vaccinations, general physicals, bone mineral density tests), and determine physicians' level of comfort with providing primary care to patients with SCI. DESIGN: i) Retrospective chart review, ii) Survey of physicians in the family practice...
February 9, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29421471/gender-matters-in-cardiac-rehabilitation-and-diabetes-using-bourdieu-s-concepts
#8
Jan E Angus, Craig M Dale, Lisa Seto Nielsen, Marnie Kramer-Kile, Jennifer Lapum, Cheryl Pritlove, Beth Abramson, Jennifer A Price, Susan Marzolini, Paul Oh, Alex Clark
BACKGROUND: Habitual practices are challenged by chronic illness. Cardiac rehabilitation (CR) involves changes to habits of diet, activity and tobacco use, and although it is effective for people with diabetes and cardiovascular disease (CVD), some participants are reportedly less likely to complete programs and adopt new health related practices. Within the first three months of enrolling in CR, attrition rates are highest for women and for people with diabetes. Previous studies and reviews indicate that altering habits is very difficult, and the social significance of such change requires further study...
January 6, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29402110/addressing-the-cultural-spiritual-and-religious-perspectives-of-palliative-care
#9
Hodan Nalayeh
Healthcare services are often out of sync with cultural, spiritual and religious perspectives on health, death, and grieving. This dissonance affects attitudes and behaviours in seeking and utilizing end-of-life health services and can lead to poor clinical communication, misunderstanding, and anxiety as patients, families and health providers interact during a serious illness. To address a gap in cultural-specific information Canadian Virtual Hospice launched LivingMyCulture.ca-an evidence-informed collection of videos of immigrants, refugees, and Indigenous people sharing their stories about the intersection of culture, spirituality, and religion with their experiences of advanced illness, palliative care, and grief...
January 2018: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/29402099/celebrating-indigenous-communities-compassionate-traditions
#10
Holly Prince
Living in a compassionate community is not a new practice in First Nations communities; they have always recognized dying as a social experience. First Nations hold extensive traditional knowledge and have community-based practices to support the personal, familial, and community experiences surrounding end-of-life. However, western health systems were imposed and typically did not support these social and cultural practices at end of life. In fact, the different expectations of western medicine and the community related to end of life care has created stress and misunderstanding for both...
January 2018: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/29393924/outbreak-of-seoul-virus-among-rats-and-rat-owners-united-states-and-canada-2017
#11
Janna L Kerins, Sarah E Koske, James Kazmierczak, Connie Austin, Karen Gowdy, Antonia Dibernardo
In December 2016, the Wisconsin Department of Health Services (WDHS) notified CDC of a patient hospitalized with fever, leukopenia, elevated transaminases, and proteinuria. The patient owned and operated an in-home rattery, or rat-breeding facility, with approximately 100 Norway rats, primarily bred as pets. A family member developed similar symptoms 4 weeks later, but was not hospitalized. Because both patients were known to have rodent contact, they were tested for hantavirus infections. In January 2017, CDC confirmed recent, acute Seoul virus infection in both patients...
February 2, 2018: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/29385988/a-patient-and-family-data-domain-collection-framework-for-identifying-disparities-in-pediatrics-results-from-the-pediatric-health-equity-collaborative
#12
Aswita Tan-McGrory, Caroline Bennett-AbuAyyash, Stephanie Gee, Kirk Dabney, John D Cowden, Laura Williams, Sarah Rafton, Arie Nettles, Sonia Pagura, Laurens Holmes, Jane Goleman, LaVone Caldwell, James Page, Patricia Oceanic, Erika J McMullen, Adriana Lopera, Sarah Beiter, Lenny López
BACKGROUND: By 2020, the child population is projected to have more racial and ethnic minorities make up the majority of the populations and health care organizations will need to have a system in place that collects accurate and reliable demographic data in order to monitor disparities. The goals of this group were to establish sample practices, approaches and lessons learned with regard to race, ethnicity, language, and other demographic data collection in pediatric care setting. METHODS: A panel of 16 research and clinical professional experts working in 10 pediatric care delivery systems in the US and Canada convened twice in person for 3-day consensus development meetings and met multiple times via conference calls over a two year period...
January 31, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29381506/building-connections-with-patients-and-families-in-the-intensive-care-unit-a-canadian-top-performer-success-story
#13
Debbie Matchett, Michel Haddad, Jennifer Volland
Consumers are increasingly becoming the voice and impetus for hospital organizational change in the United States. This is in part due to their increased stake in cost sharing with hospitals, health systems, and the ambulatory setting and revisions to health plans with higher deductibles and copays. With customers wanting services better, faster, and more economical than in the past, organizations need to break the ceiling on improvement levels for exceeding expectations of patient experience. Of interest is the hospital critical care area, because of the heightened patient needs, support, and resources that are required in this acute setting...
March 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29381468/prostate-cancer-screening-among-family-physicians-in-ontario-an-update-on-attitudes-and-current-practice
#14
Jason Paul Akerman, Christopher B Allard, Camilla Tajzler, Anil Kapoor
INTRODUCTION: This study serves as an update of prostate cancer screening practices among family physicians in Ontario, Canada. Since this population was first surveyed in 2010, the Canadian Task Force on Preventive Health Care (CTFPHC) and the United States Preventive Services Task Force (USPSTF) released recommendations against prostate cancer screening. METHODS: An online survey was developed through input from urologists and family practitioners. It was distributed via email to all members of the Ontario Medical Association's Section on General and Family practice (11 657 family physicians)...
December 1, 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/29381460/personal-prostate-specific-antigen-screening-and-treatment-choices-for-localized-prostate-cancer-among-expert-physicians
#15
Christopher Wallis, Douglas Cheung, Laurence Klotz, Venu Chalasani, Ricardo Leao, Juan Garisto, Gerard Morton, Robert Nam, Ian Tannock, Raj Satkunasivam
INTRODUCTION: We aimed to determine the personal practices of urologists, radiation oncologists, and medical oncologists regarding prostate cancer screening and treatment using the physician surrogate method, which seeks to identify acceptable healthcare interventions by ascertaining interventions physicians select for themselves. METHODS: A hierarchical, contingent survey was developed through a consensus involving urologists, medical oncologists, and radiation oncologists...
December 1, 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/29359439/reclaiming-food-security-in-the-mohawk-community-of-kahnaw%C3%A3-ke-through-haudenosaunee-responsibilities
#16
Treena Delormier, Kahente Horn-Miller, Alex M McComber, Kaylia Marquis
Indigenous Peoples are reclaiming their food security, nutrition, and well-being by revitalizing food systems, livelihoods, knowledge-systems, and governance. Our food security research is guided by sustainable self-determination that focuses on restoring Indigenous cultural responsibilities and relationships to land, each other, and the natural world (Corntassel, 2008). Our Kanien'kehá:ka (Mohawk) research team from Kahnawà:ke, in Quebec, Canada, examines food insecurity experiences in our community to explore ways of upholding our Haudenosaunee responsibilities and enhancing local food security...
November 2017: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/29359432/gender-roles-food-system-biodiversity-and-food-security-in-indigenous-peoples-communities
#17
Harriet V Kuhnlein
Traditional knowledge and practice of Indigenous Peoples related to their food use and well-being is a wealth of information for academic study and for public health nutrition. Despite unique long-evolved heritages of knowledge of ecosystem resources, Indigenous Peoples comprise 15% of the global poor, but only 5% of the world's population, and they experience poverty, discrimination, and poor nutritional health at far greater rates than mainstream populations in their nations of residence. These disparities are unacceptable in all human rights frameworks, and the call to alleviate them resonates through all human development programmes and the United Nations organizations...
November 2017: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/29358267/does-clinical-exposure-matter-pilot-assessment-of-patient-visits-in-an-urban-family-medicine-residency-program
#18
Karl Iglar, Stuart Murdoch, Christopher Meaney, Paul Krueger
OBJECTIVE: To determine the number of patient visits, patient demographic information, and diagnoses in an urban ambulatory care setting in a family medicine residency program, and assess the correlation between the number of patient visits and residents' in-training examination (ITE) scores. DESIGN: Retrospective analysis of data from resident practice profiles, electronic medical records, and residents' final ITE scores. SETTING: Family medicine teaching unit in a community hospital in Barrie, Ont...
January 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29358254/screening-with-papanicolaou-tests-in-alberta-are-we-choosing-wisely
#19
Christopher J Symonds, Wenxin Chen, Marianne Sarah Rose, Lara J Cooke
OBJECTIVE: To describe the prevalence and geographic distribution of cervical cancer screening, as well as the age groups of those undergoing screening, in Alberta, and to determine if screening practices conform to current guidelines and follow Choosing Wisely Canada recommendations. DESIGN: Descriptive study using data from the Alberta Ministry of Health Analytics and Performance Reporting Branch. SETTING: Alberta. PARTICIPANTS: Women who had 1 or more Papanicolaou tests between 2011 and 2013...
January 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29354194/canadian-residents-perceptions-of-cross-cultural-care-training-in-graduate-medical-school
#20
Barinder Singh, Emma Banwell, Dianne Groll
Background: The Royal College of Physicians and Surgeons of Canada specifies both respect for diversity as a requirement of professionalism and culturally sensitive provision of medical care. The purpose of the present study was to evaluate the perception of preparedness and attitudes of medical residents to deliver cross-cultural care. Methods: The Cross Cultural Care Survey was sent via e-mail to all Faculty of Medicine residents (approx. 450) in an academic health sciences centre...
December 2017: Canadian Medical Education Journal
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