McGill Journal of Medicine最新文献_第9页

Approach to Pneumonia in Immunocompetent Patients 免疫功能正常患者肺炎的治疗方法

McGill Journal of Medicine Pub Date : 2021-06-25 DOI: 10.26443/mjm.v19i1.511

Spandana Veeravalli, Safiya Soullane

引用次数: 0

Effectiveness of Home-Based Cardiac Rehabilitation and Its Importance During COVID-19 新型冠状病毒肺炎期间家庭心脏康复的有效性及其重要性

McGill Journal of Medicine Pub Date : 2021-06-25 DOI: 10.26443/mjm.v19i1.857

Hannah Pollock, Anna Garnett

{"title":"Effectiveness of Home-Based Cardiac Rehabilitation and Its Importance During COVID-19","authors":"Hannah Pollock, Anna Garnett","doi":"10.26443/mjm.v19i1.857","DOIUrl":"https://doi.org/10.26443/mjm.v19i1.857","url":null,"abstract":"Cardiac rehabilitation is a secondary prevention and disease-management opportunity for individuals living with cardiovascular disease. The COVID-19 pandemic has caused postponements and cancellations for many health services, including 41% of cardiac rehabilitation programs in Canada. Cardiac rehabilitation effectively reduces the risk of mortality, morbidity, and hospitalizations in cardiac clients. Without access, individuals face challenges to improve their health, which places them at risk of adverse outcomes. This paper argues that transitioning to home-based cardiac rehabilitation programs during the pandemic is a reasonable strategy to meet the ongoing rehabilitation needs of cardiac patients. Home-based cardiac rehabilitation programs utilize limited hospital or clinic visits because the majority of exercise is performed at home through regular communication with a case manager. Programs utilize a variety of resources, including technology, to regularly monitor, educate, and counsel clients. The programs’ flexibility and convenience overcome many multi-level barriers which normally impede participants from accessing services. These programs have proven to be equally effective, if not more effective than centre-based programs, at improving mortality, cardiac events, exercise capacity and modifiable risk factors. Home-based programs are a valid alternative to support and protect a vulnerable population, especially those at high risk if diagnosed with COVID-19. Transitioning to a home-based platform may be a challenge, but the Canadian Cardiovascular Society has provided practical approaches to support programs. Adapting current plans and developing new ones, utilizing appropriate resources, having a conservative exercise program, monitoring clients, emphasizing education, being flexible, and enhancing safety are key steps for a successful transition.","PeriodicalId":18292,"journal":{"name":"McGill Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45975081","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: 1

Approach to: Fall in the elderly population 方法：老年人口下降

McGill Journal of Medicine Pub Date : 2021-06-12 DOI: 10.26443/mjm.v19i1.313

Melanie Leung

引用次数: 0

A Medical Student's Perspective on "Fighting for a Hand to Hold" 医学生对“为握住一只手而战”的看法

McGill Journal of Medicine Pub Date : 2021-06-08 DOI: 10.26443/MJM.V19I1.830

S. J. Wang

{"title":"A Medical Student's Perspective on \"Fighting for a Hand to Hold\"","authors":"S. J. Wang","doi":"10.26443/MJM.V19I1.830","DOIUrl":"https://doi.org/10.26443/MJM.V19I1.830","url":null,"abstract":"This work is licensed under a Creative Commons BY-NC-SA 4.0 International License. AB S T R AC T Fighting for a Hand to Hold by Dr. Samir Shaheen-Hussain is a heartbreaking and compelling read depicting the history of injustices, terror and trauma inflicted upon Indigenous children by the Canadian medical system. As an emergency pediatrician at the McGill University Health Centre and associate professor at McGill University, Dr. ShaheenHussain weaves his clinical experiences and long-standing advocacy efforts alongside archival research to shed insight on medical colonialism. This piece is structured in two parts: a book review followed by a personal reflection. It is accompanied by a podcast interview with Dr. ShaheenHussain in which he discusses his social justice work, his book, and advocacy advice for students in healthcare. This book review highlights the importance of Fighting for a Hand to Hold as a seminal piece of literature for all healthcare professionals and trainees across Canada. In the personal reflection, the author considers their own experiences with race and racism as a person of colour, settler Canadian, and medical student. This reflection concludes by advocating formore emphasis on Indigenous health in Canadian medical education and practice.","PeriodicalId":18292,"journal":{"name":"McGill Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43592517","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

Deconstructing Canada’s efforts to integrate artificial intelligence in medicine and medical education 解构加拿大将人工智能融入医学和医学教育的努力

McGill Journal of Medicine Pub Date : 2021-06-02 DOI: 10.26443/MJM.V19I1.871

Semsi Kocabas, E. Bilgic, A. Gorgy, Jason M. Harley

{"title":"Deconstructing Canada’s efforts to integrate artificial intelligence in medicine and medical education","authors":"Semsi Kocabas, E. Bilgic, A. Gorgy, Jason M. Harley","doi":"10.26443/MJM.V19I1.871","DOIUrl":"https://doi.org/10.26443/MJM.V19I1.871","url":null,"abstract":"Artificial intelligence (AI) has gained momentum in the last decade in various professional domains, but its usage remains scarce in the field of medicine. Available AI-enhanced devices are not integrated in a consistent fashion throughout Canadian health facilities, and current medical practitioners and students are not well prepared for AI’s impact on their careers. Undergraduate medical students lack fundamental knowledge of AI in medicine, from its impact on patient care and its potential as an adjunct decision-making tool, to the general fundamentals of how AI-enhanced devices work. Currently, postgraduates don’t have access to AI-enhanced devices; this could potentially limit their understanding of how these devices might affect their future clinical practice. Canadian medical universities can play a critical role in familiarizing students with these new devices. Incorporating new topics into the already heavily charged medical curricula may be challenging, but students could make use of extracurricular activities to learn the concept of AI and strengthen interdisciplinary collaboration. Educational institutions would also need to propose policies for the safe and ethical use of devices in classrooms or internships. However, they might require guidance to draft new policies targeting AI in medical education. Canadian medical associations could take the lead to draft AI policies in healthcare to guide the equal and safe implementation of AI-enhanced devices across the Canadian medical community. Our paper will explore the work that has been done related to AI-specific policies in healthcare, focusing on Canada, and provide key points that could be used to organize future policies.","PeriodicalId":18292,"journal":{"name":"McGill Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46155263","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: 3

Approach to Hyponatremia 低钠血症的治疗方法

McGill Journal of Medicine Pub Date : 2021-05-31 DOI: 10.26443/MJM.V19I1.833

Kaylie Schachter

引用次数: 0

8e Symposium étudiant de neurologie, 22 au 29 mai 2021 | 8th edition Student Neurosymposium, May 22 to 29, 2021 神经科8e学生座谈会,2021年5月22日至29日第八次| Student Neurosymposium May 22至29度,2021年版

McGill Journal of Medicine Pub Date : 2021-05-28 DOI: 10.26443/mjm.v19i1.902

引用次数: 0

Approach to: Lower back pain 治疗方法:腰痛

McGill Journal of Medicine Pub Date : 2021-05-22 DOI: 10.26443/MJM.V19I1.827

Philippe Moisan

引用次数: 0

Rosalind and Morris Goodman Cancer Research Centre Annual Symposium | May 6-7, 2021 罗莎琳德和莫里斯·古德曼癌症研究中心年度研讨会将于2021年5月6日至7日举行

McGill Journal of Medicine Pub Date : 2021-05-19 DOI: 10.26443/mjm.v19i1.896

引用次数: 0

Quality of the reporting of exercise interventions in solid organ transplant recipients: a systematic review 实体器官移植受者运动干预报告的质量:系统回顾

McGill Journal of Medicine Pub Date : 2021-05-19 DOI: 10.26443/MJM.V19I1.219

Uma Anand Raje, Tyler M. Saumur, Fernanda Pesce de Souza, S. Mathur, T. Janaudis-Ferreira

{"title":"Quality of the reporting of exercise interventions in solid organ transplant recipients: a systematic review","authors":"Uma Anand Raje, Tyler M. Saumur, Fernanda Pesce de Souza, S. Mathur, T. Janaudis-Ferreira","doi":"10.26443/MJM.V19I1.219","DOIUrl":"https://doi.org/10.26443/MJM.V19I1.219","url":null,"abstract":"Background:Exercise training programs must be described in detail to facilitate replication and implementation. This study aimed to evaluate the quality of exercise training program description in randomized controlled trials (RCTs) involving solid organ transplant (SOT) recipients. \u0000Methods: We evaluated 21 RCTs reporting on exercise interventions in SOT recipients that were included in a recent systematic review/meta-analysis conducted by the research team. This previous review investigated the effects of exercise training (versus no training) in adult SOT recipients. Several databases (MEDLINE, EMBASE, CINAHL, and Cochrane Central Register of Controlled Trials) were searched from inception to May 2019. Three reviewers independently rated the exercise programs for SOT using the Consensus on Exercise Reporting Template (CERT). \u0000Results: Mean score of the CERT was 6/19. None of the RCTs described all items of the CERT. Items of crucial importance, such as adherence, whether the exercise was done individually or in a group, whether there were home program or non-exercise components, and the type and number of adverse events, were either not mentioned or not described in detail.\u0000Conclusion: RCTs in exercise in SOT recipients did not satisfactorily report their exercise protocols, which can lead to difficulties in replication by researchers and implementation by clinicians.","PeriodicalId":18292,"journal":{"name":"McGill Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47414958","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: 2