• Users Online: 219
  • Print this page
  • Email this page
Export selected to
Endnote
Reference Manager
Procite
Medlars Format
RefWorks Format
BibTex Format
   Table of Contents - Current issue
Coverpage
July-September 2020
Volume 25 | Issue 3
Page Nos. 95-129

Online since Wednesday, June 24, 2020

Accessed 1,788 times.
View as eBookView issue as eBook
Access StatisticsIssue statistics
RSS FeedRSS
Hide all abstracts  Show selected abstracts  Export selected to  Add to my list
EDITORIALS / ÉDITORIAUX  

Rural and Remote 2020 p. 95
Peter Hutten-Czapski
DOI:10.4103/CJRM.CJRM_33_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta

Conférence 2020 en région p. 96
Peter Hutten-Czapski
DOI:10.4103/1203-7796.287623  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta

President's Message. Summer 2020 – Traversing uncertainty p. 97
Gabe Woollam
DOI:10.4103/CJRM.CJRM_32_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta

Message du Président. Des temps insensés p. 98
Gabe Woollam
DOI:10.4103/1203-7796.287624  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
ORIGINAL ARTICLES / ARTICLES ORIGINAUX Top

Demographics, prevalence and outcomes of diabetes in pregnancy in NW Ontario p. 99
Ruben Hummelen, Ribal Kattini, Jenna Poirier, Sharen Madden, Holly Ockenden, Joseph Dooley, Len Kelly
DOI:10.4103/CJRM.CJRM_71_19  
Introduction: Diabetes in pregnancy confers increased risk. This study examines the prevalence and birth outcomes of diabetes in pregnancy at the Sioux Lookout Meno Ya Win Health Centre (SLMHC) and other small Ontario hospitals. Methods: This was a retrospective study of maternal profile: age, parity, comorbidities, mode of delivery, neonatal birth weight, APGARS and complications. Data were compared to other Ontario hospitals offering an equivalent level of obstetrical services. Results: Type 2 diabetes mellitus in pregnancy is far more prevalent in mothers who deliver at SLMHC (relative risk [RR]: 20.9, 95% confidence interval [CI]: 16.0–27.2); the rates of gestational diabetes (GDM) are double (RR: 2.0, 95% CI: 1.7–2.3). SLMHC mothers with diabetes were on average 5 years younger and of greater parity with increased substance use. Neonates largely had equivalent outcomes except for increased macrosomia, neonatal hypoglycaemia and hyperbilirubinaemia in GDM pregnancies. Conclusion: Patients with diabetes in pregnancy at SLMHC differ substantially from mothers delivering at Ontario hospitals with a comparable level of service. Programming and resources must meet the service needs of these patients.
[ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta

The impact of the HEART score on the prevalence of cardiac testing and patient outcomes in a rural emergency department p. 105
Zachary C. D. Kuehner, Meghan D Dmitriew, Luke K Wu, Anthony D Shearing
DOI:10.4103/CJRM.CJRM_77_19  
Introduction: This study was conducted to examine the use of the HEART score for risk stratification of chest pain patients presenting to rural Ontario emergency departments (EDs), assessing both its validity in a rural context and its utility in health-care resource management. Methods: This study was a retrospective chart review of adult patients presenting to the ED with chest pain. The HEART score was assessed for its ability to risk-stratify patients (high, moderate and low) in terms of the likelihood of a major adverse cardiac event (MACE) within 6 weeks. The prevalence of follow-up testing for each risk category of patients was then determined such that the potential impact on health resource management was estimated based on the number of tests ordered in low-risk patients. Results: Of the 215 charts included, 24 (11.2%) patients experienced a MACE within 6 weeks. None of the patients with a low HEART score experienced a MACE. In comparison, the incidence of MACE in moderate- and high-risk groups was calculated to be 13.9% (95% confidence interval [CI] [5.91% and 21.89%, respectively]) and 66.7% (95% CI [46.54% and 86.86%, respectively]). Eighteen percent of the low-risk patients received follow-up testing with no positive results suggestive of acute coronary syndrome. Conclusion: Our results provide external validation of the predictive value of the HEART score in determining the risk of MACE in patients presenting to a rural ED with chest pain. Our results also suggest that rates of follow-up testing in low-risk patients may be reduced in communities with limited access to resources.
[ABSTRACT]  [HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
CASE REPORT Top

Two cases: Situations for artificial surfactant, beyond prematurity p. 112
Timothy M Wehner, Laura Noack, J Kerry MacDonald
DOI:10.4103/CJRM.CJRM_73_19  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
THE PRACTITIONER / LE PRACTICIEN Top

Country cardiograms case #67 p. 115
Charles William Helm
DOI:10.4103/CJRM.CJRM_39_19  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta

Country cardiograms case #67: Answer p. 116
Charles William Helm
DOI:10.4103/1203-7796.287692  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta

The occasional temporomandibular joint reduction Highly accessed article p. 118
Mitchell Crozier, Sarah M Giles
DOI:10.4103/CJRM.CJRM_98_19  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
RESIDENT’S PAGE Top

Steady on, Doc* p. 124
Laura B N Downing
DOI:10.4103/CJRM.CJRM_30_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta
LETTERS TO EDITOR Top

Could it be COVID-19? Atypical presentations in a pandemic p. 126
Claire Schiller, Elaine M Blau
DOI:10.4103/CJRM.CJRM_34_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta

Need for organised human involvement to produce rural physicians p. 128
Kazuhiko Kotani
DOI:10.4103/CJRM.CJRM_11_20  
[HTML Full text]  [PDF]  [Mobile Full text]  [EPub]  [Sword Plugin for Repository]Beta