Letters /
BY: Jeff Purkis, MD
March 2001
See responses to this letter: 1 , 2 , 3 I just returned home from my 4-hour shift in ... that had opened locally. Today I worked from 9 a.m. until 1 p.m. I was home by 1:35 p.m. I saw 55 patients. At least 10 were 70 years or ...
Clinical Articles /
BY: Darlene M.S. Hammell, MD
October 2001
... disease (CHD) is the leading cause of death in women. [ 1] It also contributes a significant burden of morbidity. ... such negative outcomes as breast cancer appeared small (RR 1.32 for estrogen alone; RR 1.41 for estrogen plus progestin) when applied to the ...
Clinical Articles /
BY: Christopher Bozek MD, FRCPC
May 2001
... immobility or other conditions. Gorell and colleagues [1] reviewed the death certificates issued in Michigan ... incidence in PD patients than in age-matched controls. [1] In this 10-year, population-based study, 27% of PD ...
Clinical Articles /
BY: Michael R. McKenzie, MD, FRCPC
December 2001
... to targets precisely localized in three dimensions. [1] Stereotactic irradiation differs from external beam ... the lesion to be treated must be localized to within 1 mm with a suitable imaging procedure, specifically CT ... target intracranial lesions with an accuracy of ± 1 mm. This is achieved with the application of a fixed ...
Clinical Articles /
BY: David Baxter
June 2000
... population to its record of 12% today (see Table 1 ). This aging of our population is largely the result of a ... in both fewer and older parents. The current average of 1.6 children born per woman during her lifetime (less than ... gets older since, effectively, 2 older people contribute 1.6 younger people to the population. Below the replacement ...
Clinical Articles /
BY: Jacqueline Saw, MD, FRCPC
October 2000
... autoimmune, and infectious forms have been recognized,[ 1 ] with Coxsackievirus B3 infection being the most commonly ... Society and Federation of Cardiology Task Force.[ 1 ] Cardiomyopathies are defined as heart muscle diseases of ... Types of specific cardiomyopathies are listed in Table 1 . Acute dilated cardiomyopathy is defined as the onset of ...
Clinical Articles /
BY: Alex Agranovich, MD, FRCPC
April 2000
... survival were achieved at Princess Margaret Hospital.[ 1 ] One important observation was the slow pace of response ... is more convenient for patients and more cost effective (1 week of treatment). A number of randomized studies have ... Preoperative radiotherapy (five treatments over 1 week) followed by radical surgery 2 weeks later was ...
Clinical Articles /
BY: Leo Wong, MD
June 2000
... British Columbia lost 316 physicians due to attrition,[ 1 ] yet in 1998 there were only 133 BC-trained physicians entering practice in all of Canada.[ 1,2 ] As a result, for years the province has relied on an ...
Clinical Articles /
BY: H. Grant Stiver MD, FRCPC
January/February 2000
... cause of death from any event in the United States.[ 1 ] Annual immunization with inactivated influenza vaccine ... antiviral agents for influenza are listed on Table 1 . There are two classes of agents. Most physicians will be ... in Canada. Strategies for its use in prevention include: 1. Institute the agent for those who cannot or will not ...
Clinical Articles /
BY: Danuta M. Skowronski, MD, FRCPC
June 2000
... at the site of injury or invades nerve endings directly.[ 1 ] It is highly neurotropic. Progression is determined by ... or nose, rabies virus may migrate directly to the brain.[ 1 ] The reported incubation period for rabies varies from a ... million people require rabies post-exposure prophylaxis.[ 1,2 ] The unwitting role played by bats Since 1925, 21 ...