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Clinical Articles / BY: Daniel Shearer, BSc June 2018
It is well known that women with type 1 or type 2 pregestational diabetes have an increased risk of adverse ... are strongly correlated with adverse pregnancy outcomes,[ 2 , 3 ] and patients are therefore encouraged to reach an ... hypoglycemic agents Most patients presenting with type 2 diabetes before pregnancy will be managed on oral ...
Clinical Articles / BY: Elizabeth Taylor, MD, FRCSC June 2018
... been reported to occur in 17% to 31% of pregnancies,[ 1 , 2 ] and is defined as a nonviable intrauterine pregnancy with ... saline infusion sonohysterography, hysteroscopy, 2-D and 3-D ultrasonography, and magnetic resonance imaging. ... autoantibodies: OR 3.90 for cohort studies (95% CI, 2.48-6.12); OR 1.80 for case-control studies (95% CI, ...
Clinical Articles / BY: Constantin Shuster, MD June 2018
... was made to improve hospital and community care.[ 1 , 2 ] A number of organizations in Canada, the United Kingdom, ... readmission rates in Saskatchewan (9.7%) and Ontario (9.2%) were also higher than the national average. Manitoba ... exceeded both national and provincial averages ( Figure 2 ). These comparisons highlight an opportunity to improve ...
BC Centre for Disease Control / BY: Sergei Likhodii, PhD, DCC, FCACB June 2018
... and identification of compounds with unknown structures.[ 2 ] This powerful system will be available in our laboratory, ...
Clinical Articles / BY: Jeffrey Roberts, MD, FRCSC May 2018
... and reproductive potential both decline as women age.[ 2 ] The reduction in natural fertility with age is mirrored ... In the case of breast cancer, plans must account for the 2-year period of recurrence observation following completion ... fetal malformation rates are elevated for up to 2 years following chemotherapy, so sperm should be banked ...
Clinical Articles / BY: Caitlin Dunne, MD, FRCSC May 2018
... an additional 5% to 8% of couples will become pregnant.[ 2 ] Peak fecundability occurs during the fertile window, ... highest chances of conception were seen with intercourse 2 days before ovulation and on the day of ovulation itself.[ ... than 7 IU/L at all ages, and the live birth rate was below 2% when the FSH level was above 18 IU/L.[ 23 ] Measuring FSH ...
Clinical Articles / BY: Jason Wong, MD, MPH, CCFP, FRCPC May 2018
... confirmed) reported in BC ( Figure ). From 2004 to 2010, 2.7 LGV cases, on average, were reported each year. During ... proportion z test. Data were analyzed using R-Studio 3.2.1 (RStudio Inc, Boston MA). A P value of < .05 was ... possible. The positivity rate for LGV was highest at 51.2% in 2011, the same year routine LGV testing of positive ...
Clinical Articles / BY: Jon Havelock, MD, FRCSC May 2018
... detailed by Irving Stein and Michael Leventhal in 1935.[ 2 ] In a seminal paper, the two prominent gynecologists ... The high prevalence of impaired glucose tolerance and type 2 diabetes in women with PCOS has led researchers to consider ... This was defined as 12 or more follicles measuring 2 to 9 mm in at least one ovary, or an ovarian volume greater ...
BC Centre for Disease Control / BY: Monika Naus, MD, MHSc, FRCPC, FACPM May 2018
... of immunization: for RotaTeq, is three  doses, at 2, 4, and 6 months of age, whereas for ROTARIX, it was two  doses at 2 and 4 months of age. The series can be started as early as ... authorities (all but Vancouver Coastal), rotavirus vaccine 2-dose series completion rates have increased by 12% since ...
Council on Health Promotion / BY: Charuka Maheswaran, MBBS, DTM&H, DRCOG, DFFP, PMETB, CELTA, LMCC, CCFP, MPH May 2018
... safety and assuring availability of trained personnel.[ 2 ] It is estimated that people living on reserve are 90 ... and the evaluation of the effects of water insecurity.[ 2 ] Indigenous peoples remain marginalized and suffer ...