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WorkSafeBC /
BY: Derek Smith, MD, FRCSC
March 2017
... 96% involve the long head, 3% the distal, and 1% the short head of the biceps.[ 1,2 ] Anabolic steroid use, tendinopathy, or a rotator cuff ...
Clinical Articles /
BY: Marisa Wan, MD, FRCPC
April 2017
... some studies reporting incidence rates of 29% to 64%.[ 1 ] The consequences of delirium are significant and include ... decline, falls, and admission to long-term care.[ 1 ] When delirium does occur, the medical team and ... hypoactive form is associated with a poorer prognosis.[ 1 ] The diagnosis of delirium requires a patient interview, ...
Clinical Articles /
BY: Paul Blackburn, MD, FRCPC
April 2017
... although the onset and definition of cutoff may vary.[ 1 ] The impact of clinical depression in older adults can be ... at half the normal adult dose and then increased within 1 week if tolerated. Subsequently, doses should be titrated ... on a full therapeutic dose of medication for at least 1 year. If pharmacotherapy is discontinued, it should be done ...
Clinical Articles /
BY: Leo Lai, MD, FRCPC
April 2017
... this number is expected to rise to more than 27% by 2050.[ 1 ] Clinicians caring for older adults must be comfortable ... reduction in emergency department visits from 30 days to 1 year following discharge.[ 13 ] A nonrandomized controlled ... showed that patients with life expectancy of less than 1 year could safely discontinue statins, and that ...
Clinical Articles /
BY: Katalin Balogh, MD, PhD, FRCPC
April 2017
... management suggestions must be tailored to each patient. 1. Cognitive testing should be routine when assessing ... underlying and perhaps undiagnosed cognitive impairment.[ 1 ] Multiple factors can contribute to delirium, including ... or 1 800 936-6033). Offering the care provider some relief ...
BC Centre for Disease Control /
BY: Melissa McLaws, DVM, PhD
April 2017
... is primarily transmitted by bats, skunks, and foxes;[ 1 ] however, these species are not reservoirs in all ... for rabies between 1969 and 2016 include 5 cats, 4 skunks, 1 beaver, and 1 horse. All had bat-variant rabies except for two cases, ...
Council on Health Promotion /
BY: Ian Gillespie, MD
April 2017
... of a medical event happening on a flight is approximately 1 in 604, while the chance that a physician will be onboard a ... stroke and cardiac arrest were relatively infrequent.[ 1 ] When assuming care, it is important for the most ...
Editorials /
BY: Roger Y. Wong, MD, FRCPC, FACP, FCAHS
April 2017
In Part 1 of this two-part theme issue we discussed the value of ... as a stand-alone condition or can occur in combination.[ 1,2 ] The syndromes can present in the acute care or the community setting.[ 1,3-5 ] They can be associated with adverse outcomes in the ...
Family Practice Services Committee /
BY: Shelley Ross, MD
April 2017
... of Drugs with Potential for Misuse/Diversion )[ 1 ] make BC doctors the first in Canada to be legally bound ... medications on a continuous (not as-required) schedule.[ 1 ] Among other requirements, the standards state that ... opioid treatment is modest and risk significant.”[ 1 ] This requirement creates a need for physicians to have ...