Dalhousie Medical Journal最新文献

Hackathons within medical education: Promoting cutting-edge innovation in surgery 医学教育中的黑客马拉松：促进外科手术的前沿创新

Dalhousie Medical Journal Pub Date : 2024-01-05 DOI: 10.15273/dmj.vol49no2.12009

Abigale MacLellan, Madeline Tweel

引用次数: 0

Carving a new path: empowering women in surgery 开辟新道路：增强妇女在外科领域的权能

Dalhousie Medical Journal Pub Date : 2024-01-05 DOI: 10.15273/dmj.vol49no2.12004

Sareen Singh

引用次数: 0

The association between gestational age at delivery and neonatal abstinence syndrome: A systematic review and meta-analysis 分娩胎龄与新生儿禁欲综合征之间的关系：系统回顾和荟萃分析

Dalhousie Medical Journal Pub Date : 2024-01-05 DOI: 10.15273/dmj.vol49no2.12008

Sarah Brothers, Victoria Allen, Christy Woolcott

{"title":"The association between gestational age at delivery and neonatal abstinence syndrome: A systematic review and meta-analysis","authors":"Sarah Brothers, Victoria Allen, Christy Woolcott","doi":"10.15273/dmj.vol49no2.12008","DOIUrl":"https://doi.org/10.15273/dmj.vol49no2.12008","url":null,"abstract":"Objectives: Some evidence suggests that infants born at later gestational age (GA) are at higher risk of developing neonatal abstinence syndrome (NAS). This systematic review estimated the association between GA at delivery and development of NAS in infants born to women on opioid agonist therapy (OAT). \u0000Methods: MEDLINE/PubMed, Scopus, Embase, CINAHL, and the Cochrane Central Register of Controlled Trials were searched from January 2000 to April 2023. Studies reporting data on the association between GA and NAS among pregnant women being treated with OAT were eligible for inclusion. Random effects meta-analysis was used to estimate the mean difference in GA between infants affected by NAS and unaffected infants; odds ratio (OR) for the association between preterm birth and NAS; and OR for the association between gestational week and NAS. \u0000Results: Of 966 records identified, 38 studies were eligible for this review. The pooled mean difference in GA between infants affected by NAS and unaffected infants was 0.62 weeks (95% CI: 0.08–1.16, I2=90.7%). The odds of developing NAS were estimated to increase by 3% per gestational week (OR 1.03, 95% CI: 0.997-1.06, I2=84.2%). The OR for the association between preterm birth and developing NAS was estimated to be 0.87 (95% CI: 0.63-1.21, I2=85.7%). \u0000Conclusions: The data included in this review demonstrate that higher GA is unlikely to be associated with an increased risk of NAS, although poor study quality and significant study heterogeneity were observed.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"96 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139450260","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

Cutting edge hackathon competition winners strive to better support more surgeons with primary childcare responsibilities 尖端黑客马拉松竞赛获奖者努力为更多承担主要育儿责任的外科医生提供更好的支持

Dalhousie Medical Journal Pub Date : 2024-01-05 DOI: 10.15273/dmj.vol49no2.12011

Mary Kathryn McIntosh, Megan Smith, Maggie Flemming, Taylor Jordan

引用次数: 0

Two for the price of one: The benefits of job sharing to increase women representation in surgical specialties 一举两得：工作共享对增加外科专业中女性比例的益处

Dalhousie Medical Journal Pub Date : 2024-01-05 DOI: 10.15273/dmj.vol49no2.12010

Gizelle Francis, Emma MacLean, Emma McDermott

{"title":"Two for the price of one: The benefits of job sharing to increase women representation in surgical specialties","authors":"Gizelle Francis, Emma MacLean, Emma McDermott","doi":"10.15273/dmj.vol49no2.12010","DOIUrl":"https://doi.org/10.15273/dmj.vol49no2.12010","url":null,"abstract":"Background: Women represent over 50% of medical school classes in Canada, yet only 36.8% of surgical residency applicants identified as female from 1995-2019. One potential explanation for this discrepancy is the lack of work-life balance. Job sharing is an alternative work schedule in which two employees share the responsibilities of one full-time job. Although job sharing is not common in medicine, it may provide a solution to this issue. This paper proposes the implementation of job sharing to increase women representation in surgical specialties and discusses the benefits it would provide to patients, physicians, and the healthcare system. \u0000Methods: The authors developed a pitch for job sharing in medicine after conducting a review of the literature as part of their participation in the Cutting Edge Womxn in Surgery Hackathon at Dalhousie University. \u0000Results: Job sharing has been successfully implemented in other industries and could have numerous benefits in medicine, such as preventing burnout and increasing women representation in surgical specialties. Physicians who practice job sharing report feeling supported while having improved work-life balance. \u0000Conclusion: Job sharing is a promising solution to increase women representation in surgical specialties and prevent burnout among physicians. The implementation of job sharing would benefit patients, physicians, and administration. By targeting excessive workload and promoting work-life balance, physicians can feel more satisfied in their roles and provide higher quality care to their patients. Job sharing warrants further exploration as a potential solution to the underrepresentation of women in surgical specialties and the burnout epidemic in the medical profession.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"19 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139536056","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

A discussion of contemporary platforms for women in surgery 关于当代女性外科平台的讨论

Dalhousie Medical Journal Pub Date : 2024-01-05 DOI: 10.15273/dmj.vol49no2.12002

Olivia MacIntyre, Sophie Gaube, Hannah Price

引用次数: 0

The efficacy and toxicity of dexrazoxane use in children with cancer: A pupulation-based study from Maritimes, Canada dexrazoxane在儿童癌症患者中的疗效和毒性:一项来自加拿大Maritimes的基于人群的研究

Dalhousie Medical Journal Pub Date : 2023-02-14 DOI: 10.15273/dmj.vol49no1.11644

B. Cruickshank

{"title":"The efficacy and toxicity of dexrazoxane use in children with cancer: A pupulation-based study from Maritimes, Canada","authors":"B. Cruickshank","doi":"10.15273/dmj.vol49no1.11644","DOIUrl":"https://doi.org/10.15273/dmj.vol49no1.11644","url":null,"abstract":"Anthracycline induced cardiotoxicity is a well-recognized complication in pediatric oncology. The use of the cardio-protective drug dexrazoxane has gained traction despite its unclear efficacy and toxicity. A retrospective, population-based study was completed using chart and database information on children treated with anthracycline at the IWK Health Centre from 2009-2015 (n=178). The efficacy of dexrazoxane was defined as a lack of undesirable deviations in identified cardiac parameters on echocardiogram. Toxicity of dexrazoxane was defined as chemotherapy delays from any of decreased absolute neutrophil count (ANC), decreased platelets, increase in viral/bacterial episodes and febrile neutropenia (FN) episodes. Patients were stratified into groups based on the total amount of anthracycline received and whether they received dexrazoxane. Regardless of anthracycline dose, we found no significant relationships regarding cardiac function in the untreated and dexrazoxane treated groups. However, we found that patients who were treated with >250mg/m2 of anthracycline and received dexrazoxane experienced significantly more platelet delays but no cardiac benefit (p=0.007). When classified by diagnosis, we also found that dexrazoxane treated patients diagnosed with low-risk acute lymphocytic leukemia (LR-ALL) were likely to experience a delay in treatment due to both low ANC (p=0.0001) and the development of FN (p=0.02) whereas high-risk acute lymphocytic leukemia (HR-ALL) patients were likely to experience treatment delays due to thrombocytopenia (p=0.03), low ANC (p=0.0001) and FN (p=0.0001). Despite finding no significant differences regarding the efficacy of dexrazoxane as a cardio-protectant, we have shown that its use induces non-cardiac toxicities in children with cancer that contribute to treatment delays.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115407424","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

The Child and Family Traumatic Stress Intervention in Canadian child and youth advocacy centres 加拿大儿童和青年宣传中心的儿童和家庭创伤压力干预

Dalhousie Medical Journal Pub Date : 2023-02-14 DOI: 10.15273/dmj.vol49no1.11642

L. Davidson

{"title":"The Child and Family Traumatic Stress Intervention in Canadian child and youth advocacy centres","authors":"L. Davidson","doi":"10.15273/dmj.vol49no1.11642","DOIUrl":"https://doi.org/10.15273/dmj.vol49no1.11642","url":null,"abstract":" Background: The Child and Family Traumatic Stress Intervention (CFTSI) is an evidence-based early intervention shown to reduce post-traumatic stress in children and adolescents. This intervention has not been explored in the context of the Canadian healthcare landscape, and more specifically at Child and Youth Advocacy Centres (CYACs); multi-disciplinary service hubs who serve those exposed to trauma. Objective: Examine the feasibility and usefulness of the CFTSI in the context of Canadian CYACs. Methods: A mixed-methods design was utilized, consisting of a validated, nationally distributed online survey which served as an environmental scan, and key informant interviews, which were thematically analyzed. Results: 15 of 29 invited centres participated. Prior to this study, six of 15 respondents had been aware of the CFTSI. Furthermore, two participants reported current use of the CFTSI. Of the 13 centres not using it, 10 expressed that the CFTSI would be an acceptable and relevant intervention at their centre, and there was significant interest in possible future implementation. Interviews with experienced clinicians revealed benefits and challenges of the CFTSI’s format, and the influence of family structure, culture and trauma history on outcomes. Finally, some considerations specific to Canadian centres were uncovered and direction for future research suggested. Conclusion: Our findings collectively underscore the potential of the CFTSI to bolster mental health services, which are a priority area requiring improvement at Canadian CYACs. Additionally, this study highlights benefits and challenges relevant to Canadian practice and wide-spread implementation of the CFTSI in this country.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126203645","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

A case of transient constrictive pericarditis in rural Nova Scotia 新斯科舍省农村一过性缩窄性心包炎1例

Dalhousie Medical Journal Pub Date : 2023-02-14 DOI: 10.15273/dmj.vol49no1.11646

H. Stubeda

引用次数: 0

A 10-month-old infant with respiratory distress and hypoxemia 一个10个月大的婴儿出现呼吸窘迫和低氧血症

Dalhousie Medical Journal Pub Date : 2023-02-14 DOI: 10.15273/dmj.vol49no1.11640

D. Hughes

引用次数: 0