Canadian Medical Association Journal
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Some specialists and family doctors in Ontario are locked in a standoff over who should take responsibility for contacting patients about appointments. Last fall, the College of Physicians and Surgeons of Ontario (CPSO) released a suite of policies on continuity of care that set new expectations
KEY POINTS Canadians benefit from a well-established set of social rights to education, social services, old-age security and health care — among others. Although provinces and territories may decide how a particular benefit is distributed or a service is provided, all Canadians can expect to be
A 3-year-old boy presented to the pediatric emergency department with a 4-day history of a progressive papulovesicular rash that started on his buttock and involved his legs, hands, feet, axilla and oropharynx ([Figure 1][1]). Ten days earlier, he had been diagnosed with pharyngitis and prescribed
BACKGROUND: Food insecurity affects 1 in 8 households in Canada, with serious health consequences. We investigated the association between household food insecurity and all-cause and cause-specific mortality. METHODS: We assessed the food insecurity status of Canadian adults using the Canadian Community Health Survey 2005–2017 and identified premature deaths among the survey respondents using the Canadian Vital Statistics Database 2005–2017. Applying Cox survival analyses to the linked data sets...
![Figure][1] Image courtesy of [][2] > We can afford corn, though, > > starch, binding the precarious diet, > > mordant, slipknot of the belly crochet. > > I run my hands over new folds in the shower, > > the orange weave hardening, > > becoming Kevlar under my
BACKGROUND: It is unknown if incidental lymphopenia detected in the general population is associated with higher all-cause and cause-specific mortality. We aimed to identify the associations between lymphopenia and all-cause and cause specific mortality. METHODS: In a prospective cohort study, we examined and followed participants enrolled in the Copenhagen General Population Study between November 2003 and April 2015. In our analysis, we modelled risks using Cox proportional hazards regression ...
An 87-year-old man presented with a 3-month history of localized asymptomatic erythema on the flexor aspect of the lower right leg ([Figure 1][1]). The lesion was surrounded by a red ridge with a clear border and smooth surface. The patient did not have a history of diabetes mellitus or another
Large observational studies have shown that a sedentary lifestyle increases the risk of atrial fibrillation fivefold.[1][1],[2][2] However, high-intensity aerobic exercise, especially for men, also increases the risk of atrial fibrillation at a threshold of more than 1500–2000 lifetime hours.[3][3
KEY POINTS Clinicians and patients often face situations in which the evidence to support a proposed intervention is sparse or doubtful — sometimes called “insufficient evidence.” Some guideline developers are reluctant to make concrete recommendations when evidence is deemed insufficient. For
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