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Clinical Articles / BY: Jean Hlady, MD, FRCPC March 2004
... Describe all injuries in detail. Prepare to testify. [1]  Some problems can be avoided with adequate preparation. ...
BC Centre for Disease Control / BY: G. Butt, MHSc March 2004
... local agencies or groups. Remarkably, one site provided a 1-day workshop attracting 16 physicians and 105 nurses and ... physician wait times being reduced from 12 to 14 months to 1 month. Approximately 25 patients per site undergo treatment ...
Editorials / BY: Jean Hlady, MD, FRCPC March 2004
... the stakes are high and there is little margin for error. [1]  For medical professionals who do not see seriously ... Children’s Hospital Editorials Child maltreatment, Part 1: Physical abuse and neglect ...
Clinical Articles / BY: Marie D. Hay, MD, DCH, DRCOG, FRCPC, MRCP(UK) April 2004
... to forced labour and a contemporary form of slavery.” [1]  The term “child” is defined by the United Nations ... Other forms include child sex tourism and early marriage. [1]  Nobody really knows how many children are victims of ... the club’s computer library, which contained more than 1 million child porn images. [4] Chat rooms for children have ...
Clinical Articles / BY: Margaret Colbourne, MD, FRCPC April 2004
... bleeding, or there are other concerns for occult trauma. [1,2] History One of the most important steps in initiating an ... assault (<24 hours) and the presence of blood afterward. [1,2] It is important that the parent or guardian understand ... victims of sexual abuse have normal examinations. [1-3]  This fact should be emphasized with parents as well as ...
Clinical Articles / BY: Joan Fujiwara, MD April 2004
... required for documentation and collection of evidence. [1]  A team can ensure that comprehensive, consistent medical ... retribution, guilt, or lack of knowledge of their rights. [1,3]  Some delay seeking medical care. Male victims are less likely to report than females. [1,4]  The youth may feel that he or she contributed in some ...
Clinical Articles / BY: Nita Jain, MD, FRCPC April 2004
... to consider screening for STDs in prepubertal children. [1]  They recommended identifying and testing in situations ... in sexual abuse victims, with a prevalence of 2% to 5% [1]  and concurrent chlamydia infection is common. [4]  The ... in this population, since false-positives can occur. [1,4-6] Because of the high prevalence of ...
Clinical Articles / BY: Harvey Thommasen, MD, MSc, FCFP May 2004
... Approximately 46% of these are of aboriginal descent, [1-3]  compared with an estimated provincial aboriginal ... lowest life expectancy in all of British Columbia ( Table 1 ). [6] Unfortunately, health data are not routinely ... standard population, standardized mortality ratio (SMR) of 1.4, the potential years-of-life-lost standardized rate ...
Letters / BY: Lloyd Oppel, MD, MHSc, FCFP(Em) May 2004
... in January/February’s issue of the  BCMJ  ( 2004;46[1]:21-23 ) does not appear to be a valid test of the ... render this trial useless from a scientific perspective: 1. While the article is very readable, it gives the gloss of ...
Clinical Articles / BY: D.B. Clement, MD May 2004
... usually aggravated by walking and running ( Figure 1 ). This syndrome of unknown cause may produce significant ... years, even though it is generally self-resolving. [1-3] Diagnosis is based on clinical presentation and ... total of 748 cases met these criteria (see the  Table ). [1,2,6,9-12]  Aspects of the studies analyzed include the ...