McGill Journal of Medicine最新文献

Healthy Brains Healthy Lives 2024 Symposium 健康大脑健康生活 2024 研讨会

McGill Journal of Medicine Pub Date : 2024-06-03 DOI: 10.26443/mjm.v21i1.1140

Healthy Brains Healthy Lives (HBHL)

引用次数: 0

Ontario Student Medical Education Research Conference (OSMERC) 2024 2024 年安大略省学生医学教育研究会议（OSMERC）

McGill Journal of Medicine Pub Date : 2024-04-10 DOI: 10.26443/mjm.v21i1.1128

Ontario Medical Students Association (OMSA)

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Non-invasive prenatal testing (NIPT): a call for change in reporting practices 无创产前检测（NIPT）：呼吁改变报告做法

McGill Journal of Medicine Pub Date : 2024-01-30 DOI: 10.26443/mjm.v21i1.1067

Samuel Wilson, Jacques Balayla

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Advance Care Directives: A Herzl Clinic Quality Improvement Project on Patients' perspectives 预先护理指示：赫兹尔诊所关于患者观点的质量改进项目

McGill Journal of Medicine Pub Date : 2023-11-28 DOI: 10.26443/mjm.v21i1.1036

Fanny Hersson-Edery

{"title":"Advance Care Directives: A Herzl Clinic Quality Improvement Project on Patients' perspectives","authors":"Fanny Hersson-Edery","doi":"10.26443/mjm.v21i1.1036","DOIUrl":"https://doi.org/10.26443/mjm.v21i1.1036","url":null,"abstract":"Background: Advance Care Planning (ACP) has benefits for patients and is often optimal when done in the primary care setting. Despite the development of multiple resources and tools to support ACP discussions at our Family Medicine Teaching Clinic, the initiation and documentation of Advance Care Directives (ACD) in patients’ medical files were low and resident physicians had perceived that patients were unwilling or unprepared for ACP discussions. The goal of this project was to understand the challenges and barriers that patients and their caregivers face in initiating and discussing ACD with their primary care team. Methods: An online survey was conducted among 78 patients who are part of the Home Care program at the Herzl clinic. Participants were asked about the value placed on ACP and their preferences on various aspects surrounding the initiation of ACD discussions. Results: 25 of 78 possible responses were received. This included survey responses from 6 patients, 13 caregivers, 4 family members and 2 physicians. Our results show that patients and their caregivers value Advance Care Planning discussions (>80%). Additionally, they endorse multiple benefits of ACP for themselves, their care teams and families. Patients and caregivers prefer that medical professionals initiate and facilitate the discussions (70-80%) and are open to receive educational material to prepare for these discussions (68%). Conclusion: Patients in a frail population are willing and open to discuss advance care planning with their primary care team. Family Medicine teaching clinics can support patients’ desire to engage in ACP by providing access to education material and initiating these discussions.","PeriodicalId":18292,"journal":{"name":"McGill Journal of Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139225462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Children’s health-related experiences in India: A scoping review 印度儿童与健康有关的经历：范围审查

McGill Journal of Medicine Pub Date : 2023-11-25 DOI: 10.26443/mjm.v21i1.1004

Yi Wen Wang, Justine M. Behan, Sunny Jeong, Ramandeep Singh Arora, Franco Carnevale, A. Tsimicalis

{"title":"Children’s health-related experiences in India: A scoping review","authors":"Yi Wen Wang, Justine M. Behan, Sunny Jeong, Ramandeep Singh Arora, Franco Carnevale, A. Tsimicalis","doi":"10.26443/mjm.v21i1.1004","DOIUrl":"https://doi.org/10.26443/mjm.v21i1.1004","url":null,"abstract":"Background & Objectives: The perspectives of children have becoming increasingly emphasized in healthcare research and practice in order to facilitate children’s inclusion, participation, and decision-making in matters related to their health. In India, however, little is known about children’s views regarding their health despite the various health challenges and ethical concerns they may face, such as poverty, malnutrition, and gender inequalities. The aim of this scoping review is to explore children’s health-related experiences from their own perspectives in India from 2000 to 2020. Methods: Five online databases were searched. Three independent reviewers screened articles for inclusion. Included texts were analyzed using thematic synthesis, which involved extracting and descriptively coding data, categorizing/grouping codes by similar topics, and comparing and contrasting topics to generate descriptive themes. The scoping review was reported using the PRISMA-ScR checklist. Results: Fifty-two articles were included, and five descriptive themes were identified. The articles typically overlapped in themes, which related to children’s health-related experiences (n=38), emotions (n=19), and knowledge (n=15); the impact of illness on children’s lives (n=41); and children’s ability to communicate their needs (n=12). Interpretation & Conclusions: We identified the need to tailor research designs to better elicit children’s perspectives and provide comprehensive health education for children and families in India. This scoping review helped to highlight gaps in healthcare policy, practice, and research, providing a starting point for more focused investigation into children’s health-related experiences in India.","PeriodicalId":18292,"journal":{"name":"McGill Journal of Medicine","volume":"19 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139236417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Let’s Talk LMCC (S01E04): Legal, Ethical and Organizational Aspects of Medicine - Confidentiality and Legal Systems 我们来谈谈LMCC (S01E04):医学的法律、伦理和组织方面——保密和法律制度

McGill Journal of Medicine Pub Date : 2023-11-01 DOI: 10.26443/mjm.v21i1.1088

Sarah Grech, Lara Khoury, Carolyn Ells, Esther SH Kang, Katherine Lan, Susan Joanne Wang

引用次数: 0

Let’s Talk LMCC (S01E03): Legal, Ethical and Organizational Aspects of Medicine - Consent, Truth Telling and Negligence 让我们谈谈LMCC (S01E03):医学的法律，道德和组织方面-同意，说实话和疏忽

McGill Journal of Medicine Pub Date : 2023-11-01 DOI: 10.26443/mjm.v21i1.1087

Amanda Sears, Carolyn Ells, Lara Khoury, Sarah Grech, Esther SH Kang, Katherine Lan, Susan Joanne Wang

引用次数: 0

Access to Immunoglobulin Treatment for CIDP Patients During the COVID-19 Pandemic COVID-19大流行期间CIDP患者免疫球蛋白治疗的可及性

McGill Journal of Medicine Pub Date : 2023-08-25 DOI: 10.26443/mjm.v21i1.964

Vincent Brissette, Laurence Poirier, Rami Massie, Colin Chalk, Fraser Moore

{"title":"Access to Immunoglobulin Treatment for CIDP Patients During the COVID-19 Pandemic","authors":"Vincent Brissette, Laurence Poirier, Rami Massie, Colin Chalk, Fraser Moore","doi":"10.26443/mjm.v21i1.964","DOIUrl":"https://doi.org/10.26443/mjm.v21i1.964","url":null,"abstract":"Background: Immunoglobulin supplies are limited; their access for patients diagnosed with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) may have been difficult during the COVID-19 pandemic. Methods: A retrospective cross-sectional study was conducted with CIDP patients (n=16, 68.8% female, mean age 60.4±11.3) recruited from three Montreal tertiary care institutions. Inclusion criteria were patients over 18 years old who were receiving immunoglobulin treatment as of March 1st, 2020. Patients were asked to complete a questionnaire inquiring about changes in their immunoglobulin treatment during the pandemic and about their quality of life. Their charts were reviewed by an independent investigator. We used weighted chi-squared statistical tests and Cramer’s V correlation ratios to measure associations with treatment change. Results: Eighteen months after the pandemic started, 50% of patients were receiving the same treatment, 25% were receiving immunoglobulin treatment at a different frequency, 6.3% were receiving a different dose, 12.5% were receiving a different dose and frequency, and 6.3% were receiving a different treatment. Reasons associated with treatment change were worsening of neurological condition (18.8%; Cramer’s V=0.480; p-value=0.055), improvement of neurological condition (25%; Cramer’s V=0.577; p-value=0.021) and reduced availability of treatment (6.3%; Cramer’s V=0.258; p-value=0.302). There were no significant correlations between lower quality of life (p-value=0.323) or lower Rasch-built Overall Disability Scale score (p-value=0.574) and treatment change. Conclusion: Difficulty accessing immunoglobulin treatment was infrequent and not significantly associated with treatment change for CIDP patients during the COVID-19 pandemic. A larger multicentre study across multiple sites might identify other treatment access problems resulting from the pandemic.","PeriodicalId":18292,"journal":{"name":"McGill Journal of Medicine","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134930966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Approach to: Elevated Intraocular Pressure 治疗方法:眼压升高

McGill Journal of Medicine Pub Date : 2023-08-13 DOI: 10.26443/mjm.v21i1.1023

Nikhil Patil, David V. Dudok

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Infographics derived from the Nursing master's thesis work 护理硕士论文中的信息图表

McGill Journal of Medicine Pub Date : 2023-07-27 DOI: 10.26443/mjm.v21i1.1074

Ingram School of Nursing

引用次数: 0