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Lessons from long-term care 长期护理的经验教训
Dalhousie Medical Journal Pub Date : 2021-01-11 DOI: 10.15273/DMJ.VOL47NO1.10716
Hayden P. Nix, Ellen E. Parker
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引用次数: 0
Will it ever grow back? The psychosocial impacts of alopecia 它还会长回来吗?脱发的社会心理影响
Dalhousie Medical Journal Pub Date : 2021-01-11 DOI: 10.15273/DMJ.VOL47NO1.10729
A. Riahi
{"title":"Will it ever grow back? The psychosocial impacts of alopecia","authors":"A. Riahi","doi":"10.15273/DMJ.VOL47NO1.10729","DOIUrl":"https://doi.org/10.15273/DMJ.VOL47NO1.10729","url":null,"abstract":"Alopecia is a common clinical complaint in the offices of family physicians and dermatologists. Here, we discuss common subtypes of alopecia, including androgenic alopecia and alopecia areata. Unfortunately, few resources have been invested in researching the effectiveness of psychological treatment for alopecia Pharmacological treatments alone are not enough. Medications can be a frustrating experience for both patients and their physicians due to their limited effectiveness. A case is made for health professionals taking an all-encompassing approach with patients is critical for skin conditions including alopecia.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121653999","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
Mould juice: A brief history of penicillin 霉菌汁:青霉素的简史
Dalhousie Medical Journal Pub Date : 2021-01-11 DOI: 10.15273/DMJ.VOL47NO1.10721
B. Chan
{"title":"Mould juice: A brief history of penicillin","authors":"B. Chan","doi":"10.15273/DMJ.VOL47NO1.10721","DOIUrl":"https://doi.org/10.15273/DMJ.VOL47NO1.10721","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128919802","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
Editor's Message, Covid-19: A look back, one year into the 2020 pandemic 编者寄语:2019冠状病毒病:回顾2020年大流行一年
Dalhousie Medical Journal Pub Date : 2021-01-11 DOI: 10.15273/DMJ.VOL47NO1.10728
Danica Vidovic
{"title":"Editor's Message, Covid-19: A look back, one year into the 2020 pandemic","authors":"Danica Vidovic","doi":"10.15273/DMJ.VOL47NO1.10728","DOIUrl":"https://doi.org/10.15273/DMJ.VOL47NO1.10728","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"251 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117031026","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
Acne: Advocating for holistic support 痤疮:提倡全面的支持
Dalhousie Medical Journal Pub Date : 2021-01-11 DOI: 10.15273/DMJ.VOL47NO1.10726
A. Riahi, David Jung
{"title":"Acne: Advocating for holistic support","authors":"A. Riahi, David Jung","doi":"10.15273/DMJ.VOL47NO1.10726","DOIUrl":"https://doi.org/10.15273/DMJ.VOL47NO1.10726","url":null,"abstract":"As health practitioners, having a holistic approach to patients is critical. Patients are a complex interplay of physical, emotional, and social well-being. Limiting treatments to only some of these domains will inevitably yield suboptimal health and reduced quality of life. Thus, it is imperative that we advocate for acne-prone individuals so that they can receive the well-rounded care they deserve.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123928522","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
Application of the Canadian Cardiovascular Society's heart failure guidelines in a heart function clinic 加拿大心血管学会心力衰竭指南在心功能临床的应用
Dalhousie Medical Journal Pub Date : 2021-01-11 DOI: 10.15273/DMJ.VOL47NO1.10720
Brynn Victoria Margaret Aucoin, R. S. Stevenson
{"title":"Application of the Canadian Cardiovascular Society's heart failure guidelines in a heart function clinic","authors":"Brynn Victoria Margaret Aucoin, R. S. Stevenson","doi":"10.15273/DMJ.VOL47NO1.10720","DOIUrl":"https://doi.org/10.15273/DMJ.VOL47NO1.10720","url":null,"abstract":"Keywords: Heart Failure, Guideline Adherence, Evidence Based-PracticePurpose: Heart failure is a significant diagnosis that poses serious mortality and morbidity risks. Many studies have assessed the efficacy of evidence-based guidelines in improving patient outcomes in the management of heart failure; however, there is limited data on how these guidelines are applied in clinical practice.Methods: A retrospective, cross-sectional approach was used to examine a physician’s adherence to the Canadian Cardiovascular Society’s (CCS) most recent practice guidelines on managing heart failure. Data was collected from electronic hospital health records and patient charts of patients enrolled in a heart function clinic. Qualitative and quantitative analyses were done to compare current clinical practices related to investigations, treatment, and follow-up to the guidelines.Results: A total of 37 patients met inclusion criteria for this study (n=37). The majority of patients were males, 81%, with an average age of 71 years, 10 medications with 5.5 comorbidities. Recommendations regarding wait times, frequency of follow-up, and blood work were met 97%, 78%, and 64% of participants, respectively with most patients being reassessed more frequently than the guideline recommendation. Medical therapy recommendations were met in over 70% of participants. All participants had EF assessments as frequently or more frequently than guideline requirements.Conclusion: Overall, the Heart Function Clinic practices assessed in this study align well with the current guidelines recommended by the CCS. Although this study is by no means comprehensive, it provides an initial glimpse into how practice guidelines may be applied in clinical practice and identifies areas where further work needs to be done.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122385434","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
Pixelated vision: Validation of the complaint with no objective findings 像素化视觉:在没有客观发现的情况下对投诉进行验证
Dalhousie Medical Journal Pub Date : 2021-01-11 DOI: 10.15273/DMJ.VOL47NO1.10724
E. Sheppard, K. Gordon
{"title":"Pixelated vision: Validation of the complaint with no objective findings","authors":"E. Sheppard, K. Gordon","doi":"10.15273/DMJ.VOL47NO1.10724","DOIUrl":"https://doi.org/10.15273/DMJ.VOL47NO1.10724","url":null,"abstract":"Background: We encountered a young female presenting with a complaint of “pixelated vision”. A brief literature search at the time of consultation showed no peer reviewed publications. Our objective was to use an infodemiologic approach to investigate the possible occurrence of an unidentified visual phenomenon.Methods: An Internet search with the metabrowser search engine Dogpile (www.dogpile.com) was conducted on April 24, 2018, using free text words “pixelated” and “vision.” The first 100 results were scanned for forum posts and cross-referenced to minimize duplication.Results: Of the first 100 results, 15 unique posts were identified. The majority of posts were made by the affected individual (n=14, 93%). Sex was female (n=5, 33%), male (n=2, 13%) or unknown (n=8, 53%). Onset was identified as new (n=10, 67%) or chronic (n=5, 33%).Conclusion: The availability and content of these forum postings suggest that pixelated vision is an uncommon, non-pathological visual phenomenon not yet documented in conventional medical literature.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"140 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134131283","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
Promoting skin cancer awareness 提高对皮肤癌的认识
Dalhousie Medical Journal Pub Date : 2021-01-11 DOI: 10.15273/DMJ.VOL47NO1.10725
A. Riahi
{"title":"Promoting skin cancer awareness","authors":"A. Riahi","doi":"10.15273/DMJ.VOL47NO1.10725","DOIUrl":"https://doi.org/10.15273/DMJ.VOL47NO1.10725","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129004746","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
Decision thresholds and minimal important difference estimates for evidence-based practice and policy (Part 2) 基于证据的实践和政策的决策阈值和最小重要差异估计(第2部分)
Dalhousie Medical Journal Pub Date : 2021-01-11 DOI: 10.15273/DMJ.VOL47NO1.10719
B. McDougall, Mike Reid, S. Mitra, B. Johnston
{"title":"Decision thresholds and minimal important difference estimates for evidence-based practice and policy (Part 2)","authors":"B. McDougall, Mike Reid, S. Mitra, B. Johnston","doi":"10.15273/DMJ.VOL47NO1.10719","DOIUrl":"https://doi.org/10.15273/DMJ.VOL47NO1.10719","url":null,"abstract":"Understanding core concepts in epidemiology and biostatistics is crucial for evidence-based clinical practice and policy. In this second installment of our two-part series on threshold concepts, we transition from understanding the ubiquitous p-value to tools and measures for decision making among clinicians-in-training, highlighting the growing importance of utilizing explicit and evidence-based approaches to make appropriate and efficient decisions. We review two related decision-making concepts: (1) Minimal Important Difference (MID) estimates and (2) Decision Thresholds, focusing specifically on patient-reported outcome measures (PROMs). These terms and many other related expressions are used regularly, and often interchangeably, but what are they? Why are they valuable? And how can they be used to support evidence-based decision-making in clinical contexts and develop strong clinical practice guidelines? We conclude our brief review on the utility of these measures with a spotlight on a local example of how the theory underlying MID estimates and decision thresholds is currently being embedded in electronic platforms in primary care contexts targeting depression in Nova Scotia.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123532791","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
Viral bronchiolitis and the detrimental effects of sleep 病毒性细支气管炎和睡眠的有害影响
Dalhousie Medical Journal Pub Date : 2020-07-19 DOI: 10.15273/dmj.vol46no2.10141
D. Hughes
{"title":"Viral bronchiolitis and the detrimental effects of sleep","authors":"D. Hughes","doi":"10.15273/dmj.vol46no2.10141","DOIUrl":"https://doi.org/10.15273/dmj.vol46no2.10141","url":null,"abstract":"Infants recovering from bronchiolitis and no longer requiring supplemental oxygen will have brief episodes of oxygen desaturation during sleep when monitored with pulse oximetry. These episodes can be explained by the inhibition of the tonic activity of the inspiratory muscles during rapid eye movement sleep. Pulse oximetry monitoring should be discontinued, and these infants considered for discharge.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122915875","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
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