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   Table of Contents - Current issue
Coverpage
April-June 2020
Volume 25 | Issue 2
Page Nos. 55-89

Online since Saturday, March 28, 2020

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EDITORIALS / ÉDITORIAUX  

25 years of ruralmedruralmed a 25 ans p. 55
Peter Hutten-Czapski
DOI:10.4103/CJRM.CJRM_2_20  
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RuralMed a 25 ans p. 56
Peter Hutten-Czapski
DOI:10.4103/1203-7796.281522  
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President's Message. Rural residents need specialist services too p. 57
Margaret Tromp
DOI:10.4103/CJRM.CJRM_6_20  
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Message du Président. Les résidents en milieu rural ont aussi besoin des services des spécialistes p. 59
Margaret Tromp
DOI:10.4103/1203-7796.281520  
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ORIGINAL ARTICLE / ARTICLE ORIGINAUX Top

Screening for gestational diabetes in pregnancy in Northwestern Ontario p. 61
Jenna Poirier, Ribal Kattini, Len Kelly, Sharen Madden, Brenda Voth, Joe Dooley, Brent Marazan, Ruben Hummelen
DOI:10.4103/CJRM.CJRM_51_19  
Introduction: We estimate the screening and prevalence of gestational diabetes mellitus (GDM) in a primarily first nations obstetrical population in Northwestern Ontario. Methods: The study is an 8-year retrospective analysis of all gestational glucose challenge and tolerance tests performed at the Sioux Lookout Meno Ya Win Health Centre (SLMHC) laboratory from 1 January, 2010 to 31 December, 2017. Test, gestational timing and completion rate of screening were recorded, and GDM prevalence was calculated on the tested population. Screening completion rates were recorded for the subset of women who delivered at SLMHC from 2014 to 2017. Results: The average annual GDM prevalence was 12%, double the Ontario rate. Over the 8-year period, 513 patients were diagnosed with GDM among the 4298 patients screened. Patients were screened with the 2-step (90%) or the 1-step (10%) protocol. Screening occurred <20 weeks in 3%; 54% occurred in <28 weeks and 40% >28 weeks. Seventy percent of the tests were from remote nursing stations. The screening completion rate for women delivering at SLMHC in 2017 was 80.8%. Conclusion: The prevalence of GDM in Northwestern Ontario is twice the provincial rate. Most screening used the 2-step protocol; early screening was underused. Improvements in screening programming are underway and future research may match surveillance rates and results to GDM outcomes.
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REVIEW ARTICLE Top

Recruitment and retention of healthcare professionals in rural Canada: A systematic review p. 67
Savanna Heidi Koebisch, Jacqueline Rix, Michelle M Holmes
DOI:10.4103/CJRM.CJRM_43_19  
Introduction: This review explores a pertinent issue for healthcare professionals and recruiters alike: which factors are most important in the recruitment and retention of these professionals in rural practice in Canada. Existing research concentrates on specific factors or focused populations. This review was created to explore multiple factors and a wider population of healthcare professionals, including chiropractors, osteopaths, dentists and physiotherapists. Methods: A literature search was carried out on four databases. Data from included studies were extracted, and thematic analysis was conducted on relevant findings. The quality of individual studies was assessed, and then themes were evaluated for overall confidence based on four components, using the Confidence in the Evidence for Reviews of Qualitative Research. Results: One quantitative and four qualitative articles were identified, all of which targeted physicians. Five themes – Personal/family matters, Community factors, Professional practice factors, Professional education factors and Economic factors – were generated in two domains, recruitment and retention. Forty major codes were generated through axial coding of open codes. Codes included attraction to rural lifestyle, recreational activities, Scope of practice, rural training and incentives. Scope of practice was deemed very important as a factor of recruitment, as was attraction to rural lifestyle. Incentives were found to be of little importance in influencing the recruitment of healthcare professionals, and even less important for retention. Conclusion: Wide scope of practice and attraction to the rural lifestyle were considered the most important for recruitment and to a lesser extent, retention, among the five papers studied. A lack of research was determined in the realm of factors influencing the recruitment and retention in healthcare professionals other than medical doctors in Canada. Therefore, it is recommended that further such studies investigate specific healthcare professionals.
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CLINICAL PROCEDURE Top

The occasional nail bed laceration p. 79
Yue Sun, Sanjay Azad
DOI:10.4103/CJRM.CJRM_83_19  
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CASE REPORT Top

Hypoxia in the rural emergency department: Discussion and case report p. 82
Braden D Teitge, Tatiana Vukadinovic, Julia S Pritchard
DOI:10.4103/CJRM.CJRM_63_19  
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LETTER TO EDITOR Top

The plight of being a rural applicant for medical school p. 87
Shaughnelene Smith
DOI:10.4103/CJRM.CJRM_101_19  
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ERRATUM Top

Erratum: Rural Recommendations p. 89

DOI:10.4103/1203-7796.281521  
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