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Clinical Articles / BY: Roey M. Malleson, MBBS, DFFP, MHSC January/February 2002
... and women remain largely unaware of its availability. [ 1-3] Up to half of pregnancies in Canada are unintended. ... device (IUD) can reduce the risk of pregnancy to less than 1%. [ 4]  In Canada 30% of women will have had an abortion ... emergency contraceptive pills providing 0.1 mg of ethinyl estradiol and 0.5 mg of levonorgestrel in ...
Clinical Articles / BY: Fikre Germa, MD, CCFP(EM) January/February 2002
... and the second case involves tuberculous meningitis. Case 1 In May 1998 a 79-year-old aboriginal female presented to a ... that had become progressively worse over the course of 1 year. She related all her symptoms to a fall 1 year before presentation, and had been treated ...
Clinical Articles / BY: Mann Chandavimol, MD, FRCPC January/February 2002
... and iatrogenic causes, both surgical and medical. [1] Causes of acute pericarditis in immunologically competent patients are shown in  Table 1 . [2]  Viral infection has been postulated as the most ... with recumbence and is relieved by leaning forward. [1]  On occasion the pain may imitate the pain of acute ...
Letters / BY: Robert Grist, MD January/February 2002
... of heart attack, with a median age of occurrence of 74.[1] She is four times more likely to die of one than a male ... observational study. What I found there, in Table 1 of the study, was the non-users of (mostly) Premarin and ...
Clinical Articles / BY: Samuel H. Krikler, MB, ChB, FRCPC March 2002
... of the HFE gene on the short arm of chromosome six. [ 1]  A major consequence of this discovery has been the ... using the method described by Feder and colleagues. [ 1] Ethics This study was approved by the Clinical Research ... figures show the distributions of serum iron ( Figure 1 ) and transferrin saturation ( Figure 2 ) for the study ...
Clinical Articles / BY: Paul C. Adams, MD March 2002
... the discovery of the gene for hemochromatosis (HFE), [ 1]  a genetic blood test for the C282Y mutation of the HFE ... voluntary blood donors has demonstrated a prevalence of 1 in 327 for C282Y homozygotes. [ 2]  However, considerable ...
Clinical Articles / BY: Shubhayan Sanatani, MD, FRCPC March 2002
... of the QT interval on electrocardiogram (ECG). [1]  A few years later, Romano [2]  and Ward [3]  reported ... de pointes and ventricular fibrillation. Case studies Case 1 A previously well 8-year-old girl was swimming with several ... her late teens. The patient’s ECG is shown in  Figure 1 . A diagnosis of long QT syndrome (LQTS) was made in the ...
College Library / BY: Jim Henderson March 2002
... ; Lower Mainland: (604) 874-8452, toll free 1 800 663-1880) provides publications to support prevention ... Service (Lower Mainland: (604) 660-9382; toll free: 1 800 663-1441) is available 24 hours a day, 7 days a week. ... Gambling Information and Referral Service (toll free: 1 888 795-6111). For information on important Canadian ...
Letters / BY: H. Ewart Woolley, MD March 2002
... of vaginal delivery of babies presenting by the breech. [ 1]  His feelings are understandable, for few skills in the ...
Letters / BY: Philip M. Alderman, MD March 2002
... was used to establish failure classifications and rates. [1]   But this is largely a non-issue as, in my experience, ... failures in terms of sperm counts, time, and motility. [1] … As Dr Rich acknowledges, no-scalpel vasectomy (NSV) is ...