University of Western Ontario medical journal最新文献_第6页

Mitochondrial disease: Replacing the powerhouse of the cell 线粒体疾病:替换细胞的能量源

University of Western Ontario medical journal Pub Date : 2020-05-26 DOI: 10.5206/uwomj.v88i2.8067

Mallory I. Frederick

引用次数: 0

Do no harm 不要伤害

University of Western Ontario medical journal Pub Date : 2020-04-09 DOI: 10.5206/uwomj.v88i2.7302

Hasan Hawilo, E. Quint

引用次数: 0

Funding options for the management of major depressive disorder in Canada 加拿大重度抑郁症管理的资金选择

University of Western Ontario medical journal Pub Date : 2020-03-29 DOI: 10.5206/uwomj.v88i2.7918

C. Piccininni, J. Fletcher

引用次数: 0

Virtual reality exposure-based therapy as an emerging treatment modality for anxiety disorders 虚拟现实暴露疗法作为焦虑障碍的一种新兴治疗方式

University of Western Ontario medical journal Pub Date : 2020-03-29 DOI: 10.5206/uwomj.v88i2.7920

Wenxuan Wang, Sean Wong

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An exploration of sociological factors that contribute to physician burnout 对导致医生职业倦怠的社会因素的探讨

University of Western Ontario medical journal Pub Date : 2020-03-26 DOI: 10.5206/uwomj.v88i2.7301

Jennifer R. Gray

{"title":"An exploration of sociological factors that contribute to physician burnout","authors":"Jennifer R. Gray","doi":"10.5206/uwomj.v88i2.7301","DOIUrl":"https://doi.org/10.5206/uwomj.v88i2.7301","url":null,"abstract":"A discussion about mental health and how it relates to the medical profession is incomplete without exploring the concept of burnout. The implications of physician burnout are profound, and it is plaguing the medical community at epidemic rates. Current research focuses on which occupational factors may be contributing to this problem. Other approaches involve investigating the efficacy of building resilience at the individual level as a means of combatting burnout. Examining this issue through a broader lens and considering sociocultural factors that may be influencing how medicine is experienced by those in the field is remarkably untouched in the literature. This article will discuss how several changes in contemporary Canadian society may be underlying factors in physician burnout. The increasing penetrance of the internet into patient-physician interactions, the rise of online review platforms and widespread secularization in a domain that continues to face issues that evidence-based medicine fails to explain will all be addressed. This is merely a preliminary discussion to fortify current initiatives aimed at promoting awareness of and preventing physician burnout. ","PeriodicalId":87852,"journal":{"name":"University of Western Ontario medical journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80046265","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

Interventions to improve recruitment and retention of physicians in rural and remote Canada: a systematic review 改善加拿大农村和偏远地区医生招募和保留的干预措施:一项系统综述

University of Western Ontario medical journal Pub Date : 2019-10-27 DOI: 10.5206/uwomj.v88i1.6184

C. Lafortune, J. Gustafson

{"title":"Interventions to improve recruitment and retention of physicians in rural and remote Canada: a systematic review","authors":"C. Lafortune, J. Gustafson","doi":"10.5206/uwomj.v88i1.6184","DOIUrl":"https://doi.org/10.5206/uwomj.v88i1.6184","url":null,"abstract":"Purpose: Rural and remote regions of Canada struggle to attract and retain an adequate healthcare workforce to provide the healthcare needed by their local residents. The purpose of this systematic review is to explore current literature that has analyzed strategies for recruitment and retention of physicians to rural and remote regions in Canada. \u0000Methods: Scopus and PubMed were searched for articles. To be included in the review, the titles yielded from the initial search had to be in English and meet one of the inclusion criteria: (1) address rural and/or remote healthcare, (2) focus on medical students or physicians, and (3) discuss recruitment or retention strategies. Titles were excluded that discussed non-OECD countries, or that were not original journal articles. The final sample of articles were analyzed by both reviewers for content and emerging themes. \u0000Summary of Results and Conclusion: The initial search yielded a total of 3397 titles for review. After applying criteria described above, 35 articles remained for review. A variety of recruitment and retention themes were identified targeting physicians before, during, and after their medical education. The most effective strategies consistently appear to be those aimed before medical education, specifically admitting medical students who have a rural background. This review aims to provide a summary of the currently available research to assist with evidence-based decision making to increase supply and retention of rural physicians. \u0000","PeriodicalId":87852,"journal":{"name":"University of Western Ontario medical journal","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82601568","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: 2

Inborn errors of metabolism in newcomer and refugee populations in Ontario, CA 安大略省新移民和难民人口的先天性代谢错误

University of Western Ontario medical journal Pub Date : 2019-10-10 DOI: 10.5206/uwomj.v88i1.6187

Srinitya Gannavarapu, M. Prasad, C. Prasad

{"title":"Inborn errors of metabolism in newcomer and refugee populations in Ontario, CA","authors":"Srinitya Gannavarapu, M. Prasad, C. Prasad","doi":"10.5206/uwomj.v88i1.6187","DOIUrl":"https://doi.org/10.5206/uwomj.v88i1.6187","url":null,"abstract":"Inborn errors of metabolism (IEM) are a heterogenous group of rare, inherited disorders that impair the biochemical processes involved in metabolism. Many are treated with various restrictive diets in early infancy, prior to the appearance of symptoms to improve the overall outcomes of the affected individuals. Identification of individuals at a risk of developing metabolic disorders through newborn screening (NBS) programs and the subsequent early diagnosis and treatment are an invaluable aspect of healthcare in Canada. Incorporation of Canada’s expanding population of refugees and new immigrants presents with potential challenges and changes. Without the availability of NBS programs in many countries contributing to the refugee influx in Canada, it may be difficult to identify patients who are affected with these rare conditions. This article discusses: 1) the utility of newborn screening and diagnosis of metabolic diseases in immigrant and refugee populations, with complex medical presentations, and 2) a recent diagnosis of succinic semialdehyde dehydrogenase deficiency (an IEM) in a refugee child past the age limit of NBS. An increasingly complicated and diverse refugee population requires a need for revision of existing healthcare practices pertaining to the diagnosis of rare diseases.","PeriodicalId":87852,"journal":{"name":"University of Western Ontario medical journal","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84031438","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

Primary health care of marginalized and refugee populations 边缘化和难民人口的初级保健

University of Western Ontario medical journal Pub Date : 2019-10-10 DOI: 10.5206/uwomj.v88i1.6236

Jovana Momic, Ruchi Sharan

引用次数: 0

“Our people are feeling there’s no hope for the future”: Indigenous teenagers and youth culture as a coping strategy in the archive of the Sioux Lookout Zone Hospital, 1969-1996 “我们的人民感到对未来没有希望”:1969-1996年苏族瞭望区医院档案中的土著青少年和青年文化作为应对策略

University of Western Ontario medical journal Pub Date : 2019-10-09 DOI: 10.5206/uwomj.v88i1.6109

North de Pencier, Drishti Dhawan, G. McKinley

{"title":"“Our people are feeling there’s no hope for the future”: Indigenous teenagers and youth culture as a coping strategy in the archive of the Sioux Lookout Zone Hospital, 1969-1996","authors":"North de Pencier, Drishti Dhawan, G. McKinley","doi":"10.5206/uwomj.v88i1.6109","DOIUrl":"https://doi.org/10.5206/uwomj.v88i1.6109","url":null,"abstract":"Introduction: To analyze the use of youth culture as a coping mechanism by youth in the Sioux Lookout Zone from 1969 to 1996. \u0000Method: This project employs an archival research method to study the records of the Sioux Lookout Zone Hospital, located at the University of Toronto. The hospital was operated by the federal government for Status Indians. From 1969 to 1996, the hospital’s medical service was provided by the University of Toronto. \u0000Discussion: The period of 1969 to 1996 was a challenging time for teenagers in the Sioux Lookout Zone. They had poor job prospects and often struggled with the loneliness of attending high school in southern communities. They turned to youth culture as a coping mechanism, sometimes in healthier ways such as rock music and fashion, but also in less healthy ways such as substance use and gang membership. \u0000Conclusion: This project serves as a case study of the challenges that faced youth in the Sioux Lookout Zone in order to contribute to our understanding of the historical antecedents of the poor health outcomes of youth in the Sioux Lookout Zone today.","PeriodicalId":87852,"journal":{"name":"University of Western Ontario medical journal","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82070033","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

Taking Down Statues 拆除雕像

University of Western Ontario medical journal Pub Date : 2019-10-09 DOI: 10.5206/uwomj.v88i1.6178

M. Lund

{"title":"Taking Down Statues","authors":"M. Lund","doi":"10.5206/uwomj.v88i1.6178","DOIUrl":"https://doi.org/10.5206/uwomj.v88i1.6178","url":null,"abstract":"In 2018, demands to remove a statue of James Marion Sims – the inventor of the vaginal speculum and a number of revolutionary surgical techniques – continue a recent trend that has seen a re-evaluation of the legacy of the man known as the “father of gynecology” as well as other historical figures. His innovations, which revolutionized women’s surgical care, came as the result of horrific experimentation on slave women. Despite the availability of anaesthetic agents, he used none during his experiments. One of his subjects was operated on thirty times. Beginning in the late 20th century, revisionist historians started to draw attention to his unethical and inhumane experiments and have begun to view him not as a medical pioneer but as an oppressor. However, in textbooks as well as in the academic literature, the medical community continues to hold a predominantly positive and uncritical view of Sims and his experiments. In this paper, a brief history of Sims’ surgical experiments and contributions to gynecology is described. His surgical legacy is discussed, and contemporaneous and modern reactions to his experiments are compared. Finally, a brief discussion of the relevance of historical mistreatment on the healthcare of vulnerable populations is provided.","PeriodicalId":87852,"journal":{"name":"University of Western Ontario medical journal","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78785722","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