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Editorials / BY: Roger Y. Wong, MD, FRCPC, FACP, FCAHS April 2017
... of common clinical presentations in older adults. In Part 2 we address four challenging syndromes known as the four Ds ... as a stand-alone condition or can occur in combination.[ 1,2 ] The syndromes can present in the acute care or the ... of developing delirium during an acute medical illness,[ 2 ] and older people who develop delirium during ...
Obituaries / BY: Roberta Ongley, MD September 2017
... was instrumental in acquiring approval and funding for a 2-year program, and the UBC Division of Dermatology Residency ...
Clinical Articles / BY: Courtney Young, MBA, MD, FRCPC December 2017
... General Motors for the first time in 6 decades.[ 1,2 ] The foundation laid by Deming was soon adopted by ... to:  1. Identify gaps in the care process for patients. 2. Develop and test prototypes for improvement.    The goal ... Regional Cardiology Referral Form) (Figure: part 1 , part 2 ) replaces dozens of existing forms, and provides FPs with ...
Clinical Articles / BY: Amanda Hill, MBChB, FRCPC March 2017
... who underwent outpatient procedures were 65 and older.[ 1,2 ] The care of frail older adults is challenging because ... significant. Gait speed demonstrated an odds ratio of 2.63 for predicting postoperative mortality or major ... nursing facility. Patients not assessed as frail had a 4.2-day hospital stay, 19.5% postoperative complication rate, ...
Premise / BY: E.M. Wong, MD, CCFP, FCFP May 2017
... How We Die: Reflections on Life’s Final Chapter, [ 2 ] is one of the books mentioned in Kalanithi’s account. ... experiences to “demythologize the process of dying.”[ 2 ] After several chapters detailing the various ways in ... to meet our need as physicians or our patient’s needs?[ 2 ] Nuland also notes how sometimes physicians will provide ...
Clinical Articles / BY: E. Pharo, BSc November 2017
... in travelers to tropical and subtropical latitudes.[ 2 , 3 ] This diagnosis is not often considered in patients ... in temperate regions of North America, including Canada.[ 2 , 4-6 ] This report outlines the first documented case of ... to form a fluctuant draining mass, or furuncle, 2 cm above the left eyelid. The lesion had a central punctum, ...
Clinical Articles / BY: Maya Ignaszewski, MD January/February 2017
... disease mortality rates and stroke-related risk factors.[ 2 ] In 1979 Karvonen’s 12-year Finnish Mental Hospital ... be an increase of 5 to 10 minutes per session every 1 to 2 weeks.[ 6 ]  The benefits of aerobic activity can also be ... to high-intensity muscle strengthening activity at least 2 days a week for additional health benefits. If the goal is ...
Clinical Articles / BY: Paul Blackburn, MD, FRCPC April 2017
... on patients, their families, and their communities.[ 2 ] The proportion of the population in British Columbia ... community-based study yielded a prevalence rate of 11.2% for combined symptoms of major and minor depression.[ 5 ] ... limits rehabilitation efforts and worsens outcomes.[ 2 ] LLD is a risk factor associated with increased nonsuicide ...
Clinical Articles / BY: Jeanine C. Marshall, MD, FRCPC September 2017
... a result of self-neglect or neglect or abuse by others.[ 2 ] This Act states that every adult is presumed to be ... is apparently incapable of giving or refusing consent.[ 2 ] Under emergency assistance provisions, a designated ... accommodation, social, legal, or financial services.”[ 2 ] This plan can be prepared using guidance provided in a ...
News / BY: Riyad B. Abu-Laban, MD, MHSc December 2017
... of a unified portal for EM-related CPD registration; and 2) initiatives that create and support high-quality ...