发布求助
文献互助 智能选刊 最新文献

Dalhousie Medical Journal最新文献

筛选
英文 中文
Uptake in the practice of medical assistance in dying (MAiD) and involvement by physician speciality over time in Nova Scotia, Canada 在加拿大新斯科舍省，随着时间的推移，接受临终医疗援助(MAiD)的做法和医生专业的参与
Dalhousie Medical Journal Pub Date : 2022-01-20 DOI: 10.15273/dmj.vol48no1.11262
Elizabeth Munn, E. Marshall
{"title":"Uptake in the practice of medical assistance in dying (MAiD) and involvement by physician speciality over time in Nova Scotia, Canada","authors":"Elizabeth Munn, E. Marshall","doi":"10.15273/dmj.vol48no1.11262","DOIUrl":"https://doi.org/10.15273/dmj.vol48no1.11262","url":null,"abstract":"Legislation on medical assistance in dying (MAiD) was enacted in Canada in 2016. There is limited research on the topic available from Atlantic Canada. This study provides early data on the uptake of MAiD in Nova Scotia based on analysis of administrative billing data. It presents the number of MAiD cases by year from 2017 through early 2020. It also provides data on physician involvement in the MAiD process by specialty, broken down by assessors and providers of MAiD. Our data agrees with provincial- and national-level data that family physicians are highly involved in the MAiD process. Our study also documents physician involvement in conducting MAiD assessments by specialty, a metric which is not widely available in the literature. This study emphasizes the need for robust, provincial-level data on the demographics of providers involved in MAiD.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129596260","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
Amphetamines in the treatment of adult attention-deficit/ hyperactivity disorder (ADHD) and cocaine use disorder (CUD): The role of pharmacists 安非他明治疗成人注意缺陷/多动障碍(ADHD)和可卡因使用障碍(CUD):药剂师的作用
Dalhousie Medical Journal Pub Date : 2022-01-20 DOI: 10.15273/dmj.vol48no1.11259
Athena Milios
{"title":"Amphetamines in the treatment of adult attention-deficit/ hyperactivity disorder (ADHD) and cocaine use disorder (CUD): The role of pharmacists","authors":"Athena Milios","doi":"10.15273/dmj.vol48no1.11259","DOIUrl":"https://doi.org/10.15273/dmj.vol48no1.11259","url":null,"abstract":"Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by inattentiveness, hyperactivity, and impulsivity. This review paper outlines the role that pharmacists can play in monitoring amphetamine use, to reduce the possibility of medication abuse by those with ADHD and/or Cocaine Use Disorder (CUD). Because individuals with ADHD also struggle with impulsivity, they are more likely to abuse substances, particularly illegal stimulants (such as cocaine), in an effort to self-medicate. This article also reviews the pharmacokinetics of amphetamine derivatives as well as the evidence for their use to manage ADHD and CUD. Neuropharmacologically, the proposed mechanism of action of amphetamines in the treatment of CUD is also detailed. Finally, theimplications of these findings for pharmacy practice are discussed. The primary findings and principal conclusions are that amphetamines have been found to improve both ADHD and CUD symptomatology, primarily through increasing DA release from nerve terminals in the central nervous system, as well as increasing the release of NE and serotonin. Pharmacists can play an important role in monitoring use of these medications by working in collaboration with family physicians and psychiatrists to ensure that ADHD/CUD patients are taking their amphetamines as prescribed.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"149 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131201908","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
Risk factors for prolonged opioid use and adverse events following orthopedic surgery 骨科手术后阿片类药物长期使用和不良事件的危险因素
Dalhousie Medical Journal Pub Date : 2022-01-20 DOI: 10.15273/dmj.vol48no1.11264
Carter VanIderstine, E. Johnston
{"title":"Risk factors for prolonged opioid use and adverse events following orthopedic surgery","authors":"Carter VanIderstine, E. Johnston","doi":"10.15273/dmj.vol48no1.11264","DOIUrl":"https://doi.org/10.15273/dmj.vol48no1.11264","url":null,"abstract":"Over the past few years, the field of opioid research has been aimed at targeting the opioid crisis affecting communities across Canada. One way that health care workers have been contributing to this field is by identifying risk factors that predispose patients to prolonged opioid use. Given opioids have long been used for post operative pain control in orthopaedics, this article aims to address some of the more common and severe risk factors seen in orthopedic surgery patients. Included with each of the risk factors are potential mitigation strategies to reduce the risk of opioid dependence or adverse effects, including medication interactions.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129521142","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
Pneumorrhachis complicating acute pain management using a thoracic epidural catheter 胸椎硬膜外导管治疗并发急性疼痛
Dalhousie Medical Journal Pub Date : 2022-01-20 DOI: 10.15273/dmj.vol48no1.11263
Sonja MacDonald, K. Mukhida
{"title":"Pneumorrhachis complicating acute pain management using a thoracic epidural catheter","authors":"Sonja MacDonald, K. Mukhida","doi":"10.15273/dmj.vol48no1.11263","DOIUrl":"https://doi.org/10.15273/dmj.vol48no1.11263","url":null,"abstract":"The use of thoracic epidural catheters to infuse local anaesthetics and opioids is a common practice in acute pain management to attenuate the pain associated with thoracic and abdominal surgical procedures. The placement and maintenance of epidural analgesia is known to be associated with a variety of potential complications. A rare complication is the development of air of within the spinal canal (pneumorrhachis). Although pneumorrhachis is typically asymptomatic and resolves spontaneously, it rarely can be associated with neurological dysfunction. Here we describea case of pneumorrhachis that led to symptomatic acute spinal cord compression in a 27 year old man who had a thoracic epidural placed to help with pain management following laparotomy for the management of Crohn’sdisease. Postoperatively, the patient developed unilateral weakness in his upper and lower extremities and sensory dysfunction in the upper extremity. Urgent neuroimaging demonstrated epidural air causing mass effect on the cervical spinal cord. His symptoms resolved completely following conservative management. This rare presentation of pneumorrhachis highlights the need for close vigilance regarding neurological function in patients with epidural catheters for acute pain management. This presentation also promotes mitigation of factors that may be associated withthe administration of air into the epidural space, such as changing epidural infusion solution bags and malfunction of epidural infusion pumps.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114301978","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 revolution of reconstructive microsurgery: Dr. Fu Chan Wei and the Chang Gung Memorial Hospital 重建显微外科的革命:傅灿伟医生与长庚纪念医院
Dalhousie Medical Journal Pub Date : 2021-06-20 DOI: 10.15273/dmj.vol47no2.11023
M. Sun, Jason G. Williams
{"title":"The revolution of reconstructive microsurgery: Dr. Fu Chan Wei and the Chang Gung Memorial Hospital","authors":"M. Sun, Jason G. Williams","doi":"10.15273/dmj.vol47no2.11023","DOIUrl":"https://doi.org/10.15273/dmj.vol47no2.11023","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128850357","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
Deferred consent model for an observational study in a pediatric emergency department 儿童急诊科观察性研究的延迟同意模型
Dalhousie Medical Journal Pub Date : 2021-06-20 DOI: 10.15273/dmj.vol47no2.11025
Sam Armstrong, P. Holland, N. Yanchar, D. Davies, K. Wallace
{"title":"Deferred consent model for an observational study in a pediatric emergency department","authors":"Sam Armstrong, P. Holland, N. Yanchar, D. Davies, K. Wallace","doi":"10.15273/dmj.vol47no2.11025","DOIUrl":"https://doi.org/10.15273/dmj.vol47no2.11025","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121542148","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 heavy menstrual bleeding in an adolescent due to undiagnosed severe hypothyroidism 一例大量月经出血在青少年由于未确诊的严重甲状腺功能减退
Dalhousie Medical Journal Pub Date : 2021-06-20 DOI: 10.15273/dmj.vol47no2.11027
Emma Crawley, Kaitlyn E. Adare, K. Weerdenburg
{"title":"A case of heavy menstrual bleeding in an adolescent due to undiagnosed severe hypothyroidism","authors":"Emma Crawley, Kaitlyn E. Adare, K. Weerdenburg","doi":"10.15273/dmj.vol47no2.11027","DOIUrl":"https://doi.org/10.15273/dmj.vol47no2.11027","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"194 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132124331","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
Reducing Medical Student Performance Anxiety through the Pre-clerkship Residency Exploration Program (PREP) 通过实习前住院医师探索项目(PREP)减少医学生的表现焦虑
Dalhousie Medical Journal Pub Date : 2021-06-20 DOI: 10.15273/dmj.vol47no2.11026
Alysha Roberts, T. Haupt, K. Raju, J. Toguri, Robert Smyth, D. Bowes
{"title":"Reducing Medical Student Performance Anxiety through the Pre-clerkship Residency Exploration Program (PREP)","authors":"Alysha Roberts, T. Haupt, K. Raju, J. Toguri, Robert Smyth, D. Bowes","doi":"10.15273/dmj.vol47no2.11026","DOIUrl":"https://doi.org/10.15273/dmj.vol47no2.11026","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129928348","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
Covid-19: A year into the pandemic, what has changed from the first, to the second, and third waves? 2019冠状病毒病:大流行一年了，从第一波到第二波和第三波有什么变化?
Dalhousie Medical Journal Pub Date : 2021-06-20 DOI: 10.15273/dmj.vol47no2.11028
M. Sultan
{"title":"Covid-19: A year into the pandemic, what has changed from the first, to the second, and third waves?","authors":"M. Sultan","doi":"10.15273/dmj.vol47no2.11028","DOIUrl":"https://doi.org/10.15273/dmj.vol47no2.11028","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133282934","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
Insulin desensitization in a patient with gestational diabetes mellitus and the role of continuous positive airway pressure (CPAP) in the management of morning blood glucose 妊娠期糖尿病患者胰岛素脱敏及持续气道正压通气(CPAP)在晨间血糖管理中的作用
Dalhousie Medical Journal Pub Date : 2021-06-20 DOI: 10.15273/dmj.vol47no2.11024
Islam Eissa
{"title":"Insulin desensitization in a patient with gestational diabetes mellitus and the role of continuous positive airway pressure (CPAP) in the management of morning blood glucose","authors":"Islam Eissa","doi":"10.15273/dmj.vol47no2.11024","DOIUrl":"https://doi.org/10.15273/dmj.vol47no2.11024","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124852655","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
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：481959085
Book学术官方微信