University of Western Ontario medical journal最新文献_第4页

University of Western Ontario medical journal Pub Date : 2022-03-24 DOI: 10.5206/uwomj.v90i1.13516

M. Wunder, Piali Bhati

{"title":"Case of Methylmercury Poisoning","authors":"M. Wunder, Piali Bhati","doi":"10.5206/uwomj.v90i1.13516","DOIUrl":"https://doi.org/10.5206/uwomj.v90i1.13516","url":null,"abstract":"Since the early 1960’s the Asubpeeschoseewagong Netum Anishinabek in Northern Ontario have been living with the consequences of chronic methylmercury poisoning. From 1962 to 1970, mercury waste was dumped into the English-Wabigoon river upstream from Grassy Narrows First Nation, contaminating the water and the fish within. In 1970, inappropriate mercury disposal was ceased, commercial fishing was prohibited, and individuals were advised not to consume fish from the river. These restrictions and their consequences profoundly affected the economic, cultural and medical wellbeing of the Asubpeechoseewagong people. Methylmercury poisoning, coined Minamata disease in Japan, has been one medical consequence of this pollution. Minamata disease describes irreversible damage to the central nervous system as a result of methylmercury poisoning, including lesions in the cerebellum, anterior calcarine cortex, and surrounding the central sulcus. Individuals commonly experience somatosensory disturbances and distal paresthesia, cerebellar ataxia and dysarthria, and visual field constriction. This case report will describe a young Asubpeechoseewagong person suffering the early consequences of methylmercury poisoning. Subsequently, the history of Minamata disease in Ontario, the pathophysiology of methylmercury poisoning, and investigations and management will be discussed. It is important to note that the story of this case is not a historical perspective. The Grassy Narrows First Nation continue to live with the results of this profound environmental injustice. In the words of Chief Simon Fobister, “we must not deny another generation of our children a bright future by refusing to clean our river.”","PeriodicalId":87852,"journal":{"name":"University of Western Ontario medical journal","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76922978","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

Measles Masked By Covid-19: A Literature Review 被Covid-19掩盖的麻疹:文献综述

University of Western Ontario medical journal Pub Date : 2022-03-24 DOI: 10.5206/uwomj.v90i1.14007

Dirusha Moodley, Katherine Goren

引用次数: 0

Preventative Medicine in the Era of Covid-19 新冠肺炎时代的预防医学

University of Western Ontario medical journal Pub Date : 2022-03-21 DOI: 10.5206/uwomj.v89is1.13998

T. D. De Silva, A. Kassay

引用次数: 0

Variant Mixed-Type Inguinal Hernia: A Cadaveric Case Report 变异混合型腹股沟疝1例尸体报告

University of Western Ontario medical journal Pub Date : 2022-03-21 DOI: 10.5206/uwomj.v90i1.13932

Danit Freedman, Alexander Friesen, Hecham M. Omar, Dalton Ruel, Ziad Sabaa-Ayoun, Z. Weiss, Charys M. Martin

引用次数: 0

An Overview of Vaccine Hesitancy 疫苗犹豫的概述

University of Western Ontario medical journal Pub Date : 2022-03-21 DOI: 10.5206/uwomj.v89is1.13700

Brandon Chan, Paul Istasy

引用次数: 0

We Can Vaccinate Against COVID-19, but What About Misinformation? 我们可以接种COVID-19疫苗，但错误信息怎么办?

University of Western Ontario medical journal Pub Date : 2022-03-21 DOI: 10.5206/uwomj.v89is1.13653

Nancy Shi, Kathy Zhang

引用次数: 0

Media Discourse of Community Support for Frontline Healthcare Workers During the First Month of the COVID-19 Pandemic COVID-19大流行第一个月社区对一线医护人员支持的媒体话语

University of Western Ontario medical journal Pub Date : 2022-01-27 DOI: 10.5206/uwomj.v89is1.10667

C. McLeod

{"title":"Media Discourse of Community Support for Frontline Healthcare Workers During the First Month of the COVID-19 Pandemic","authors":"C. McLeod","doi":"10.5206/uwomj.v89is1.10667","DOIUrl":"https://doi.org/10.5206/uwomj.v89is1.10667","url":null,"abstract":"Introduction: The mental health of frontline healthcare workers (HCWs) can be challenged and strained during an infectious disease outbreak. Community support, as experienced in past outbreaks, may be helpful in mitigating these psychosocial effects. Examining the current unfolding of the coronavirus disease (COVID-19) pandemic for new insights, this study sought to understand how community support is represented and perceived as valuable to HCWs in written press media.\u0000Methods: Utilizing a media discourse methodology, written news media from the first month of the COVID-19 pandemic was sought for analysis. Included news media consisted of articles discussing community support for HCWs in London, Ontario. \u0000Results: A total of forty news articles pertaining to community support for HCWs was collected and analyzed. Forms of community support depicted by press media fell into the categories of acts of solidarity, discounted goods, donations of personal protective equipment, and personal services. The underpinning perceptions of news articles was community support for HCWs had a positive influence on HCWs well-being. Direct discussions with HCWs or representatives of HCW’s in press media only further reinforced this discourse of benefice.\u0000Conclusion: This analysis shows that community support for HCWs has been present since the beginning of the COVID-19 pandemic. As this crisis progresses, additional research should be conducted to monitor this discourse media for change in representation of and reception by HCWs.","PeriodicalId":87852,"journal":{"name":"University of Western Ontario medical journal","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80983385","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

Immersive Extended Reality use in Medical Education with Implications for Remote and Space Medicine Training 沉浸式扩展现实在医学教育中的应用及其对远程和空间医学培训的影响

University of Western Ontario medical journal Pub Date : 2022-01-27 DOI: 10.5206/uwomj.v90i1.13988

Minnie Malik, A. Sirek

{"title":"Immersive Extended Reality use in Medical Education with Implications for Remote and Space Medicine Training","authors":"Minnie Malik, A. Sirek","doi":"10.5206/uwomj.v90i1.13988","DOIUrl":"https://doi.org/10.5206/uwomj.v90i1.13988","url":null,"abstract":"Objective: Medical education continually adapts and evolves as evidence-based practice expands our knowledge. Ease of access and reduced cost of novel technology has revolutionized delivery of medical education. Immersive extended reality (iXR) technology may play an invaluable role in improving delivery and quality of medical education in rural and extra-planetary settings. \u0000Methods: An extensive literature review was conducted for using MeSH terms specific to iXR technology related to medical education. Relevant manuscripts were accessed from database searches and filtered based on pre-specified inclusion and exclusion criteria. Extraction of data and thematic qualitative analysis was conducted in relation to relevance to remote medical training with an emphasis on potential for deep-space exploration class missions. \u0000Results: From a total of 4005 search results, 35 final papers met inclusion criteria for this study. Current applications of virtual, augmented and mixed reality technology in medical education were explored, and themes from each modality of iXR technology were defined. \u0000Conclusions: Themes determined from the results were applied to a discussion regarding the application of iXR technology in two distinct areas: remote and rural medical training and space medicine. Relative strengths and weaknesses of each modality of iXR were explored and applied to the unique factors impacting medical education delivery in these two domains.","PeriodicalId":87852,"journal":{"name":"University of Western Ontario medical journal","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84025034","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

Healer or Hag? Female Medical Practitioners and Witch Accusations in 17th-Century New England 治疗师还是女巫?17世纪新英格兰的女医生和女巫指控

University of Western Ontario medical journal Pub Date : 2022-01-27 DOI: 10.5206/uwomj.v90i1.10612

Nicole Lam

{"title":"Healer or Hag? Female Medical Practitioners and Witch Accusations in 17th-Century New England","authors":"Nicole Lam","doi":"10.5206/uwomj.v90i1.10612","DOIUrl":"https://doi.org/10.5206/uwomj.v90i1.10612","url":null,"abstract":"In 17th-century New England, many women provided valuable medical services to their communities without formal training as midwives and healers. They were generally well-respected by their patients and trusted to testify as medical experts in cases of paternity, rape, and witchcraft at community forums. Yet this trust was capricious; female medical practitioners could easily be accused of being witches, usually for failing to heal a patient or causing illness through supernatural means. This paper examines two women who practiced medicine and were accused of witchcraft in 17th-century New England. The details and circumstances surrounding the witchcraft accusations against Jane Hawkins of Boston, Massachusetts in 1637 and Ann Burt of Lynn, Massachusetts in 1669 are gathered from court documents, journal articles, and secondary source materials. In analysing the cases of Jane Hawkins and Ann Burt, several themes are explored to explain why early female medical practitioners tread a thin line between trusted healers and witches. In Hawkins’ case, inexplicable medical maladies were often attributed to witchcraft when a woman was involved and she did not fit Puritan ideals of how a woman should behave. In Burt’s case, an accusation of witchcraft was used by male physicians to eliminate competing female healers in a crowded medical marketplace. Both Hawkins and Burt practiced medicine in a manner that threatened the inherent power differential favouring men, leading to witchcraft accusations intending to destroy their credibility as medical practitioners.","PeriodicalId":87852,"journal":{"name":"University of Western Ontario medical journal","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82576435","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

Tales of the O.R.: A Reflective Essay on Story-Telling in Anesthesia 手术室的故事:一篇关于麻醉中讲故事的反思文章

University of Western Ontario medical journal Pub Date : 2022-01-27 DOI: 10.5206/uwomj.v89i2.14107

Rohin Tangri

引用次数: 0