University of Ottawa Journal of Medicine最新文献_第10页

Ageism in the context of healthcare in Canada 加拿大保健领域的年龄歧视

University of Ottawa Journal of Medicine Pub Date : 2021-04-17 DOI: 10.18192/UOJM.V10I2.4722

Neelam Mistry

引用次数: 2

An Interview with the Ottawa Hospital’s Chief of Staff Dr. Virginia Roth 采访渥太华医院的总参谋长维吉尼亚·罗斯博士

University of Ottawa Journal of Medicine Pub Date : 2021-04-17 DOI: 10.18192/UOJM.V10I2.4869

M. Phuong, Hao Wang

引用次数: 0

An Advance Request: The Accessibility of Medical Assistance in Dying (MAID) for Patients Who Loose Decision-Making Capacity 一项预先请求:丧失决策能力病人临终医疗援助的可及性

University of Ottawa Journal of Medicine Pub Date : 2021-04-17 DOI: 10.18192/UOJM.V10I2.4856

Natasha Harris

引用次数: 0

COVID-19: What is the new "normal" for medical education? 2019冠状病毒病:医学教育的新“常态”是什么?

University of Ottawa Journal of Medicine Pub Date : 2021-02-10 DOI: 10.18192/UOJM.V11I100.4847

Paul Rooprai, Neelam Mistry

引用次数: 0

E-cigarette use among Canadian Youth: A review of the literature using an interdisciplinary lens 电子烟在加拿大青年中的使用:用跨学科的视角回顾文献

University of Ottawa Journal of Medicine Pub Date : 2020-09-04 DOI: 10.18192/uojm.v10i1.4626

Samantha A. Oostlander, J. Hajjar, Elise Pausé

{"title":"E-cigarette use among Canadian Youth: A review of the literature using an interdisciplinary lens","authors":"Samantha A. Oostlander, J. Hajjar, Elise Pausé","doi":"10.18192/uojm.v10i1.4626","DOIUrl":"https://doi.org/10.18192/uojm.v10i1.4626","url":null,"abstract":"Objective: The increasing use of e-cigarettes among Canadian youth is a concerning population health issue. Vaping, the act of using an e-cigarette, was initially marketed as a healthier alternative to smoking traditional cigarettes, however its use is having unintended negative consequences on those who use them. One of the most concerning consequences is the presence of “e-cigarette, or vaping, product use associated lung injury” (EVALI) which had led to hospitalization. Youth in particular are an overrepresented demographic affected by these negative consequences, likely as a result of both exposure to marketing, which is a well-established determinant of youth behavior as well as inadequate public policy. The purpose of this paper is to present a review of the literature surrounding the issue of e-cigarette use among youth from an interdisciplinary perspective. Method: A narrative review was conducted to summarize the state of e-cigarette use among young Canadians and conceptualize this problem from the perspective of public policy, followed by biomedicine, health economics and education. Results: The results of this review are a summary of the current state of the literature framed with an interdisciplinary perspective. Recommendations for how these interdisciplinary perspectives can be brought together to provide effective solutions for this population health issue are provided. Conclusion: Identifying and understanding this problem through an interdisciplinary approach has the potential to create effective and sustainable solutions. Partnerships between school boards and governmental bodies can enhance educational resource allocation and align messaging to youth through several platforms.","PeriodicalId":30662,"journal":{"name":"University of Ottawa Journal of Medicine","volume":"10 1","pages":"14-22"},"PeriodicalIF":0.0,"publicationDate":"2020-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45148799","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

Transdermal estradiol as a novel treatment for Peyronie's disease: A case report 经皮雌二醇治疗Peyronie病一例

University of Ottawa Journal of Medicine Pub Date : 2020-09-04 DOI: 10.18192/uojm.v10i1.4640

J. Thuswaldner

{"title":"Transdermal estradiol as a novel treatment for Peyronie's disease: A case report","authors":"J. Thuswaldner","doi":"10.18192/uojm.v10i1.4640","DOIUrl":"https://doi.org/10.18192/uojm.v10i1.4640","url":null,"abstract":"Introduction: This is a single‐patient case report of a (now) 75-year old married male with long-standing Peyronie’s disease (PD). The patient’s main symptoms were painful erections as well as secondary anxiety and depression. Resolution of these symptoms was achieved with transdermal estradiol treatment. \u0000Objectives: To describe a patient with PD, whose persistently painful erections and psychologic distress were eliminated by a novel treatment involving transdermal estradiol. This report also aims to present a novel treatment for patients with paraphilias. \u0000Methods: An interview with the patient, chart review, and a literature search were conducted. Informed consent was obtained from the patient and this report was approved by the Research Ethics Committee at the Royal Hospital in Ottawa. \u0000Results: Treatment with transdermal estradiol decreased the patient’s sex drive and virtually eliminated his erections with no undesirable side effects. The patient and his wife still enjoy sexual relations without the need for penile erection. \u0000Conclusions: This case report presents a novel treatment for PD. It also introduces a novel method to treat men who wish to decrease their sex drive (e.g. men with paraphilic disorders). Replication of this treatment intervention in men with PD and new studies of its use in men with paraphilic disorders are warranted.","PeriodicalId":30662,"journal":{"name":"University of Ottawa Journal of Medicine","volume":"10 1","pages":"37-39"},"PeriodicalIF":0.0,"publicationDate":"2020-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41604098","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

Demystifying Artificial Intelligence in Medicine 揭开医学中人工智能的神秘面纱

University of Ottawa Journal of Medicine Pub Date : 2020-09-04 DOI: 10.18192/uojm.v10i1.4461

Sofia Solar Cafaggi

引用次数: 0

Préparation à l'externat : études médicales de premier cycle à l’Université d’Ottawa 外派准备:渥太华大学本科医学研究

University of Ottawa Journal of Medicine Pub Date : 2020-09-04 DOI: 10.18192/uojm.v10i1.4609

Gladys Bruyninx, Victoria Marie Cusson, Stefan De Laplante

{"title":"Préparation à l'externat : études médicales de premier cycle à l’Université d’Ottawa","authors":"Gladys Bruyninx, Victoria Marie Cusson, Stefan De Laplante","doi":"10.18192/uojm.v10i1.4609","DOIUrl":"https://doi.org/10.18192/uojm.v10i1.4609","url":null,"abstract":"Pour les étudiants en médecine, la transition entre le pré-externat et l’externat est une période clé du programme médical de quatre ans. À l’Université d’Ottawa, il a été démontré qu’il y a un manque de satisfaction au sein des étudiants en ce qui a trait à leur préparation à l’externat. \u0000 Cette étude d’amélioration de la qualité vise à apporter des recommandations afin d’améliorer le curriculum médical actuel de manière à améliorer la préparation à l’externat en s’attardant particulièrement à l’unité d’intégration et au stage préparatoire. Une revue de la littérature a été complétée afin de faire ressortir les concepts théoriques sur lesquels se fondent les modifications au curriculum qui ont pour but d’améliorer l’intégration de connaissances lors du pré-externat. Le mapping du curriculum de l’unité d’intégration et du stage préparatoire a également été effectué afin de conceptualiser et concrétiser l’incorporation des modifications au curriculum. \u0000 Lors de l’unité d’intégration, le curriculum est divisé en 54% de cours didactiques, 19% d’activités pratiques et 21% d’ateliers. Pour le stage préparatoire, 22,3% était alloué aux cours didactiques, 28,6% aux ateliers et 48% à la pratique en milieu hospitalier. La préparation à l’externat peut être améliorée en optimisant l’intégration au cours du pré-externat, particulièrement durant la dernière unité de la deuxième année (unité d’intégration). Des modifications potentiellement bénéfiques comprennent : prioriser l’apprentissage actif à l’apprentissage passif ; mettre l’intégration cognitive en premier plan en salles de classe ; bâtir progressivement en complexité en visant à avoir les sujets les plus complexes à la fin du pré-externat en utilisant une approche de cycle de vie; et associer une séance de développement des compétences des cliniques à chaque séance d’apprentissage par cas.","PeriodicalId":30662,"journal":{"name":"University of Ottawa Journal of Medicine","volume":"10 1","pages":"23-30"},"PeriodicalIF":0.0,"publicationDate":"2020-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48078255","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

Perspectives from an Endocrinologist at the Ottawa Hospital - An Interview with Dr. Christopher Tran 渥太华医院内分泌学家的观点——Christopher Tran博士访谈录

University of Ottawa Journal of Medicine Pub Date : 2020-09-04 DOI: 10.18192/uojm.v10i1.4631

Hao Wang, M. Phuong

引用次数: 0

Improving surgical safety checklist completion using distributed responsibility of checklist item completion among operating room team members: A quality improvement project 在手术室团队成员中使用检查表项目完成的分布式责任来改进手术安全检查表的完成:一个质量改进项目

University of Ottawa Journal of Medicine Pub Date : 2020-09-04 DOI: 10.18192/uojm.v10i1.4630

Mehr Jain

{"title":"Improving surgical safety checklist completion using distributed responsibility of checklist item completion among operating room team members: A quality improvement project","authors":"Mehr Jain","doi":"10.18192/uojm.v10i1.4630","DOIUrl":"https://doi.org/10.18192/uojm.v10i1.4630","url":null,"abstract":"Background. Surgical safety checklists are a standard of care for safe operating room practice, but their use has not been associated with reductions in adverse perioperative outcomes in some settings. Non-adherence and partial checklist completion may contribute to this lack of effect. \u0000Objective. To examine whether a surgical safety checklist using distributed responsibility of checklist item completion, by allocation of questions and responses among operating room staff, increases surgical safety checklist compliance. \u0000Methods. With Quality and Risk Management approval, a multicomponent strategy consisting of novel surgical safety checklist focused on distributed responsibility of checklist item completion was evaluated in orthopaedic operating rooms at The Hospital for Sick Children, Toronto, from July to August 2016 using a before-and-after study design. The intervention consisted of a wall-mounted reusable checklist with questions and responses designated to specific operating room team members. Team training was provided beforehand, operating room team leaders were identified to promote the intervention, and revisions to the checklist content and process were implemented based on feedback on feasibility and clinical sensibility. \u0000Results. A total of 45 and 59 children were included in pre-intervention and intervention groups, respectively. Overall, 87% (1,354/1,560) of checklist items were observed. Checklist item completion was significantly increased in the post-intervention group (77% [615/802]) compared with the pre-intervention group (27% [150/522]) (P<0.001). \u0000Conclusions. These findings suggest that a multicomponent strategy of designating responsibility for item completion among operating room team members and using a memory aid can improve compliance with surgical safety checklist item completion.","PeriodicalId":30662,"journal":{"name":"University of Ottawa Journal of Medicine","volume":"10 1","pages":"40-46"},"PeriodicalIF":0.0,"publicationDate":"2020-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45304620","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