CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne最新文献

{"title":"Démarche diagnostique de l’hyperprolactinémie.","authors":"Jennifer A Mann, Catherine Bereznicki, Kirstie Lithgow","doi":"10.1503/cmaj.241710-f","DOIUrl":"https://doi.org/10.1503/cmaj.241710-f","url":null,"abstract":"","PeriodicalId":520595,"journal":{"name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","volume":"197 23","pages":"E674-E675"},"PeriodicalIF":0.0,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144311191","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}

{"title":"Post-transfusion purpura in a 36-year-old woman.","authors":"Panumase Hirunwidchayarat, Ismail A Raslan, Aditi Khandelwal, Warren L Lee","doi":"10.1503/cmaj.250206","DOIUrl":"https://doi.org/10.1503/cmaj.250206","url":null,"abstract":"","PeriodicalId":520595,"journal":{"name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","volume":"197 23","pages":"E640-E644"},"PeriodicalIF":0.0,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144311194","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}

{"title":"Sleeping posture in pregnancy.","authors":"Allan J Kember, Noa Gilad, Sebastian R Hobson","doi":"10.1503/cmaj.241858","DOIUrl":"https://doi.org/10.1503/cmaj.241858","url":null,"abstract":"","PeriodicalId":520595,"journal":{"name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","volume":"197 23","pages":"E645"},"PeriodicalIF":0.0,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144311195","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}

{"title":"Blastomycose chez un homme de 49 ans du sud-ouest de l’Ontario.","authors":"Hannah Stirton, David Croitoru","doi":"10.1503/cmaj.241680-f","DOIUrl":"https://doi.org/10.1503/cmaj.241680-f","url":null,"abstract":"","PeriodicalId":520595,"journal":{"name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","volume":"197 23","pages":"E676-E677"},"PeriodicalIF":0.0,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144311189","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}

{"title":"Building diabetes prevention and remission programs across Canada: learning from England.","authors":"Samantha Jacobson, Nisha Gupta, Kimberley Hanson, Remi Rabasa-Lhoret, Yann Joly, Anne-Sophie Brazeau, Kamlesh Khunti, Jonathan Valabhji, Kaberi Dasgupta","doi":"10.1503/cmaj.250057","DOIUrl":"https://doi.org/10.1503/cmaj.250057","url":null,"abstract":"","PeriodicalId":520595,"journal":{"name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","volume":"197 23","pages":"E646-E652"},"PeriodicalIF":0.0,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144311190","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}

{"title":"Améliorer la prise en charge de l’hypertension artérielle au Canada.","authors":"Rhian M Touyz","doi":"10.1503/cmaj.250794-f","DOIUrl":"https://doi.org/10.1503/cmaj.250794-f","url":null,"abstract":"","PeriodicalId":520595,"journal":{"name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","volume":"197 23","pages":"E678-E679"},"PeriodicalIF":0.0,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144311188","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}

{"title":"Tackling the crisis of homelessness among pregnant and parenting people in Canada.","authors":"Stéphanie Manoni-Millar, Nicole Racine","doi":"10.1503/cmaj.241623","DOIUrl":"https://doi.org/10.1503/cmaj.241623","url":null,"abstract":"","PeriodicalId":520595,"journal":{"name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","volume":"197 23","pages":"E653-E654"},"PeriodicalIF":0.0,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144311196","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}

{"title":"Guide de pratique clinique en soins de première ligne d’Hypertension Canada pour le diagnostic et le traitement de l’hypertension artérielle chez les adultes.","authors":"Rémi Goupil, Ross T Tsuyuki, Nancy Santesso, Kristin A Terenzi, Jeffrey Habert, Gemma Cheng, Stephanie C Gysel, Jill Bruneau, Alexander A Leung, Norman R C Campbell, Ernesto L Schiffrin, Gregory L Hundemer","doi":"10.1503/cmaj.241770-f","DOIUrl":"https://doi.org/10.1503/cmaj.241770-f","url":null,"abstract":"","PeriodicalId":520595,"journal":{"name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","volume":"197 23","pages":"E656-E673"},"PeriodicalIF":0.0,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144311192","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}

{"title":"June 2025 obituaries.","authors":"","doi":"10.1503/cmaj.250860","DOIUrl":"https://doi.org/10.1503/cmaj.250860","url":null,"abstract":"","PeriodicalId":520595,"journal":{"name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","volume":"197 23","pages":"E655"},"PeriodicalIF":0.0,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144311193","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}

{"title":"Antipsychotic treatment adherence and motor vehicle crash among drivers with schizophrenia: a case-crossover study.","authors":"John A Staples, Daniel Daly-Grafstein, Mayesha Khan, Lulu X Pei, Shannon Erdelyi, Stefanie N Rezansoff, Herbert Chan, William G Honer, Jeffrey R Brubacher","doi":"10.1503/cmaj.250020","DOIUrl":"10.1503/cmaj.250020","url":null,"abstract":"<p><strong>Background: </strong>Among individuals with schizophrenia, antipsychotic medications improve performance across several cognitive and functional domains. We sought to assess whether antipsychotic adherence reduces the risk of a motor vehicle crash.</p><p><strong>Methods: </strong>We performed a case-crossover study using population-based administrative health and driving data from British Columbia, Canada. We included individuals with schizophrenia who were involved as a driver in a police-attended motor vehicle crash during a 15-year interval (2001-2016) and who filled prescriptions for antipsychotic medication as an outpatient in the 2 years before the crash. We measured adherence to antipsychotic treatment by using prescription fill data to calculate the medication possession ratio (MPR) in the 30 days before the crash (the pre-crash interval) and in a 30-day control interval ending 1 year before the crash. We used conditional logistic regression to evaluate the association between MPR and motor vehicle crash after adjusting for potential confounders.</p><p><strong>Results: </strong>Among 1130 eligible motor vehicle crashes involving drivers with schizophrenia, the mean antipsychotic MPR was 0.69 in the pre-crash intervals and 0.76 in the control intervals. We found that perfect adherence to antipsychotic medication was associated with half the odds of a crash relative to complete nonadherence (adjusted odds ratio 0.50, 95% confidence interval 0.38-0.66). The findings were consistent among subgroups defined by sex, age, and history of alcohol or drug misuse.</p><p><strong>Interpretation: </strong>Better adherence to antipsychotic medications was associated with lower crash risk. Physicians and fitness-to-drive policy-makers might consider antipsychotic treatment adherence as a condition for maintaining an active driver's licence among individuals with schizophrenia.</p>","PeriodicalId":520595,"journal":{"name":"CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne","volume":"197 22","pages":"E612-E619"},"PeriodicalIF":0.0,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12154407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}