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CMAJ Podcasts

397 episodes - English - Latest episode: 6 days ago -

CMAJ Podcasts: Exploring the latest in Canadian medicine from coast to coast to coast with your hosts, Drs. Mojola Omole and Blair Bigham. CMAJ Podcasts delves into the scientific and social health advances on the cutting edge of Canadian health care. Episodes include real stories of patients, clinicians, and others who are impacted by our health care system.

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Episodes

Canadians need a federal plan for health care

August 17, 2015 15:20 - 11 minutes - 8.18 MB

CMAJ deputy editors Dr. Matthew Stanbrook and Dr. Kirsten Patrick discuss an editorial written by Dr. Stanbrook. Too often, at election time, Canadians ignore pressing health care concerns and let economic fears dominate how we vote. This needs to change. A plan for strong federal leadership in health should be front and centre in this year’s election. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150896To request a transcript of this podcast, contact [email protected] Join us as ...

UTIs in spinal cord injury, ingestion of wild mushrooms in park, frailty, preop testing & more

August 10, 2015 14:43 - 8 minutes - 5.86 MB

Highlights of the August 11th issue of CMAJ, presented by Dr. Diane Kelsall, deputy editor. In this issue: association between frailty and risk of early readmission or death, too much preoperative testing before low-risk surgical procedures, prevention of urinary tract infections in patients with spinal cord injury, noninsured services provided with insured cataract surgery, improving the reporting of adverse drug reactions, fulminant hepatic failure following ingestion of wild mushrooms, and...

Household food insecurity is associated with higher health care costs

August 10, 2015 14:43 - 18 minutes - 13 MB

Interview with Valerie Tarasuk, Professor in the Department of Nutritional Sciences and cross-appointed to the Dalla Lana School of Public Health at the University of Toronto. In a research article published in CMAJ, Tarasuk and colleagues found that income-related problems with access to food were associated with increased use of health care services and health care costs. Policy interventions that successfully address food insecurity would likely also reduce health care costs, say the autho...

Acute ischemic stroke: speedy care is critical, time is brain, act FAST

August 04, 2015 15:31 - 15 minutes - 11 MB

Interview with Dr. Michael Hill, neurologist and Director of the Stroke Unit at the Foothills Hospital in Calgary, and Associate Professor of Clinical Neurosciences at the University of Calgary. In a review article published in CMAJ, Dr. Hill and colleagues compare ischemic stroke with acute coronary syndrome. Both are caused by sudden arterial occlusion and time to treatment is a critical factor affecting outcome. Stroke care should be designed around efficient, coordinated systems and dedic...

Hepatitis C: must address drivers of the disease, not just treatment

August 04, 2015 15:29 - 12 minutes - 8.46 MB

Interview with Dr. Mark Tyndall, infection disease specialist, Professor of Population and Public Health at the University of British Columbia, and Executive Director of the BC CDC. In a commentary published in CMAJ, Dr. Tyndall draws attention to the fact that although new treatments for hepatitis C virus are much more effective, we must not forget to address the social drivers of the disease, especially amongst people who inject drugs. IV drug users, both current and past, make up the major...

Nasal balloon autoinflation safe and effective for middle ear infections in children

July 27, 2015 14:23 - 11 minutes - 7.76 MB

Interview with Dr. Ian Williamson, Associate Professor of Primary Care with the Faculty of Medicine at the University of Southampton in the UK. In a pragmatic randomized control trial published in CMAJ, Dr. Williamson and colleagues found that nasal balloon autoinflation is a feasible, safe and effective treatment that should be used more often. Having children with chronic otitis media with effusion inflate a balloon device through their nose 3 times a day was more likely than usual care to ...

Pets & pathogens, new CMAJ Humanities section, one-year mortality prediction & more

July 13, 2015 15:45 - 6 minutes - 4.68 MB

Highlights of the July 14th issue of CMAJ, presented by Dr. John Fletcher, editor-in-chief. In this issue: benefits and risks of owning a pet, model for predicting death one year after hospital admission, variations in treatment strategies for stable ischemic heart disease, CMAJ Humanities launches a redesigned section, phototoxic reaction after making sangria, resurgence of pertussis, and more. Full issue table of contents: www.cmaj.ca/content/187/10.toc Join us as we explore medical solutio...

Researching hard-to-reach people using social connections

June 29, 2015 15:24 - 9 minutes - 6.38 MB

Health research involving people in marginalized populations can be challenging, and recruitment is often difficult. One approach, respondent-driven sampling, takes advantage of connections between people in these groups, who recruit each other in a chain-referral (friend of a friend) manner. In this interview, Dr. Ann Jolly, Associate Professor in the School of Epidemiology, Public Health and Preventive Medicine at the University of Ottawa, discusses the importance of reaching these marginal...

Early-stage breast cancer imaging: are doctors choosing wisely?

June 22, 2015 15:09 - 5 minutes - 3.57 MB

Practice guidelines recommend that imaging to detect metastases not be performed in the majority of patients with early-stage breast cancer who are asymptomatic. In a research article published in CMAJ, Dr. Demetrios Simos and colleagues found that, despite these recommendations, most Ontario women with early-stage breast cancer underwent imaging to detect distant metastases. Dr. Matthew Stanbrook, deputy editor for CMAJ, provides an audio summary. Full article: https://www.cmaj.ca/lookup/doi...

10 Questions with Dr. Peter Piot, discoverer of Ebola

June 18, 2015 14:16 - 10 minutes - 7.43 MB

Dr. Peter Piot, director of the London School of Hygiene & Tropical Medicine, joins CMAJ News to reflect on his career fighting two of the most feared viruses of our time. In 1976, he codiscovered Ebola. And as founding director of UNAIDS, Dr. Piot has been a champion in the global response to HIV. For these efforts, he recently received the Canada Gairdner Global Health Award. In this podcast, Dr. Piot shares insights into the West Africa Ebola outbreak, changing perceptions of the AIDS pand...

Radon policies, coordination disorder, nitrofurantoin for UTIs, social egg freezing & more

June 15, 2015 18:25 - 6 minutes - 4.84 MB

Highlights of the June 16th issue of CMAJ, presented by Dr. Diane Kelsall, deputy editor. In this issue: Canadian policies on radon, developmental coordination disorder in school-age children, social egg freezing, nitrofurantoin for UTIs in older women, psychotic disorders among immigrant populations, and more. Full issue table of contents: http://www.cmaj.ca/content/187/9.toc Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this...

Preoperative testing before low-risk surgery: how much unnecessary test-ordering occurs?

June 01, 2015 15:16 - 19 minutes - 13.1 MB

Interview with Dr. Sacha Bhatia, cardiologist at Women’s College Hospital and UHN in Toronto and Director of the Women’s College Hospital Institute for Health System Solutions and Virtual Care. In a CMAJ research article, Dr. Bhatia and colleagues found that preoperative ECG and chest radiography were performed more frequently than suggested in guidelines. Using routine health records for 1.5 million people, the authors found considerable variation in rates across institutions, which was not ...

Cataract surgery add-ons: must be offered in transparent and ethical way

June 01, 2015 15:16 - 9 minutes - 6.83 MB

Interview with Dr. Chryssa McAlister, eye physician and surgeon in Toronto and Kitchener, Ontario, with academic appointments at McMaster University and the University of Toronto. In an analysis article published in CMAJ, Dr. McAlister and colleagues say it is important to discuss with patients any noninsured services (such as specialized diagnostics, procedures and special-feature intraocular lenses) in an ethical and open way, declaring all conflicts of interest. Cataract surgery is insured...

Frailty and hospital readmission or death

May 25, 2015 15:28 - 10 minutes - 7.44 MB

Dr. Ken Flegel, senior editor for CMAJ, interviews Dr. Finlay McAlister, Professor of Internal Medicine at the University of Alberta and Assistant Director of the Epicore Centre. In a CMAJ research article, Dr. McAlister and colleagues followed 495 patients and found that frail patients are twice as likely to be readmitted or die within 30 days after discharge. The authors suggest that the Clinical Frailty Scale could be useful in identifying high-risk patients being discharged from medical w...

New interest in circumcision

May 25, 2015 14:05 - 8 minutes - 5.68 MB

Vancouver surgeon Dr. Neil Pollock reflects on changing demand for male circumcision both in Canada and the developing world. CMAJ Article: https://www.cmaj.ca/content/187/10/E295To request a transcript of this podcast, contact [email protected] Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast. You can find Blair a...

Ultrasound to guide IV cath in children, acute MI, social media in med ed, elder abuse & more

May 19, 2015 17:14 - 9 minutes - 6.51 MB

Highlights from the May 19th issue of CMAJ, presented by Dr. John Fletcher, editor-in-chief. In this issue: ultrasound or near-infrared to guide peripheral IV catheterization in children, validation of a 1-hour rule-out rule-in algorithm for myocardial infarction, social media in medical education, global tobacco control, elder abuse, and more. Full issue table of contents: http://www.cmaj.ca/content/187/8.toc Join us as we explore medical solutions that address the urgent need to change heal...

Stable ischemic heart disease: variations in initial strategy to treat

May 19, 2015 15:27 - 17 minutes - 12.2 MB

Dr. Matthew Stanbrook, deputy editor for CMAJ, interviews Maria Bennell, epidemiologist in Evaluative Clinical Sciences at Sunnybrook Health Sciences Centre in Toronto. Mrs. Bennell and colleagues have published a study involving more than 39 000 patients receiving angiography in 18 cardiac centres between 2008 and 2011. They found that there is a twofold variation in the ratio of revascularization to medical therapy for the initial treatment of stable ischemic heart disease across hospitals ...

Security of health care in conflict settings: an urgent global health concern

May 19, 2015 15:27 - 14 minutes - 9.86 MB

Dr. Moneeza Walji, editorial fellow, interviews Dr. Jason Nickerson, Clinical Investigator at the Bruyère Research Institute in Ottawa. Hospitals, medical personnel and patients are increasingly being attacked in conflict zones. International bodies have resolved to foster better reporting of such incidents. However, more must be done on a global level to bring perpetrators to account, argues Dr. Nickerson in his commentary. Published May 19, 2015, doi: 10.1503/cmaj.140410. Article: https://w...

Electronic nicotine delivery systems: Federal regulation in Canada

May 11, 2015 15:26 - 15 minutes - 10.8 MB

Dr. Kirsten Patrick, deputy editor, interviews both Dr. Ronald Labonté, Canada Research Chair in Globalization and Health Equity at the Institute of Population Health and Professor at the University of Ottawa, and Dr. Raphael Lencucha, Assistant Professor in the School of Physical and Occupational Therapy at McGill University. In their commentary, published in CMAJ, Labonté and Lencucha propose a pragmatic approach to regulating electronic nicotine delivery systems in Canada: cautious measure...

Immigrants and risk of psychotic disorders: some groups have increased risk

May 11, 2015 15:25 - 9 minutes - 6.23 MB

Dr. Kirsten Patrick, deputy editor for CMAJ, interviews Dr. Kelly Anderson, epidemiologist and Assistant Professor of Epidemiology and Biostatistics at Western University, co-author of a research article published in CMAJ. The authors of this cohort study that examines linked health and registry data from Ontario find that, among first-generation immigrants, some groups may be more at risk whereas other groups of migrants appear to be protected. Full article: https://www.cmaj.ca/lookup/doi/10...

Vanessa's Law: need better system in place for MDs to document adverse drug reactions

May 04, 2015 15:39 - 11 minutes - 8.18 MB

Dr. Kirsten Patrick, deputy editor for CMAJ, interviews Dr. Corinne Hohl, Associate Professor of Emergency Medicine at the University of British Columbia and scientist at the Centre for Clinical Epidemiology and Evaluation in Vancouver. Currently, Bill C-17 (Vanessa's Law) does not require health care providers to document serious adverse drug reactions, but mandates that health care institutions report all documented serious reactions. Documentation rates are currently very low and, unless d...

Nitrofurantoin: less effective for UTIs regardless of kidney function

April 25, 2015 00:00 - 8 minutes - 5.63 MB

Dr. Moneeza Walji, editorial fellow, interviews Dr. Amit Garg, nephrologist at London Health Sciences Centre and Professor of Epidemiology and Biostatistics at Western University. Dr. Garg and colleagues found that nitrofurantoin was less effective than other antibiotics for treatment of UTI in a large cohort of older women, regardless of the women’s estimated kidney function. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150067To request a transcript of this podcast, contact cmaj...

Recovery from severe mental illness: more than just symptom management

April 25, 2015 00:00 - 12 minutes - 8.84 MB

Dr. Diane Kelsall, deputy editor, interviews Dr. Rob Whitley, Principal Investigator with the Douglas Institute in Montreal and Assistant Professor of psychiatry at McGill. In a commentary published in CMAJ, Whitley and colleagues discuss the steps needed to foster mental health “recovery”, which refers to the process whereby people with severe mental illness progress to live an autonomous, contributing and satisfying life in the community, even with persisting symptoms.  Full article: https...

Pets can be risky: why physicians should discuss zoonotic infections with patients

April 19, 2015 00:00 - 19 minutes - 13.2 MB

Dr. Diane Kelsall, deputy editor, interviews Dr. Jason Stull, veterinarian and Assistant Professor at Ohio State University. Dr. Stull has co-authored a review article published in CMAJ. The authors say that health care providers should counsel patients regarding safe pet ownership, particularly those who are pregnant or who have altered immunity, and families with exotic pets and very young children. Stull and colleagues’ review of pet-associated infections provides practitioners with the to...

Effective global tobacco control in the next decade

April 18, 2015 00:00 - 14 minutes - 10.1 MB

Dr. Moneeza Walji, editorial fellow, interviews Dr. Prabhat Jha, founding and current director of the Centre for Global Health Research in Toronto. In their commentary published in CMAJ, Dr. Jha and colleagues say that slowing tobacco sales in the next decade will depend on strengthening its implementation by increasing excise tax and improving anti-tobacco legislation. Published April 20, 2015, doi: 10.1503/cmaj.150261. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150261To reque...

Meningoccocal immunity, heart failure & ejection fraction, pharmacare, alcohol misuse & more

April 14, 2015 18:15 - 7 minutes - 4.87 MB

Highlights from the April 21st issue of CMAJ, presented by Dr. Diane Kelsall, deputy editor. In this issue: Canada can afford universal pharmacare, failure to address at-risk drinking, drinking water advisories, persistence of meningococcal immunity, heart failure and ejection fraction, pitted keratolysis. Full issue table of contents: http://www.cmaj.ca/content/187/7.tocTo request a transcript of this podcast, contact [email protected] Join us as we explore medical solutions that address the...

Freezing fertility: risks and benefits of social egg freezing

April 09, 2015 00:00 - 15 minutes - 10.5 MB

Dr. Moneeza Walji, editorial fellow, interviews Dr. Angel Petropanagos, postdoctoral fellow at Dalhousie University in Halifax. Some women who anticipate fertility decline due to the natural aging process may now choose to freeze their eggs to preserve their future fertility. Dr. Petropanagos discusses the benefits, risks, ethical concerns and societal implications of this practice to provide family physicians with the tools to offer balanced information to clients who seek it. Dr. Petropanag...

Low-back pain, incidental findings of genetic mutations, old orphan drugs, child obesity & more

April 07, 2015 15:31 - 7 minutes - 5.24 MB

Highlights from the April 7th issue of CMAJ, presented by Dr. John Fletcher, editor-in-chief. In this issue: reducing imaging for low-back pain, incidental findings of genetic mutations and whether or not Canadians want to know about them, fair pricing for old orphan drugs, childhood obesity guidelines, and more. Full issue table of contents: http://www.cmaj.ca/content/187/6.toc Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about th...

Elder abuse: how physicians can advocate and help

April 06, 2015 00:00 - 20 minutes - 14.1 MB

Dr. Diane Kelsall, deputy editor, interviews Dr. Xuyi Mimi Wang, fellow in geriatrics at McMaster University. In a review published in CMAJ, Dr. Wang and colleagues discuss the complex and common issue of elder abuse. Although evidence to support screening and any particular intervention is weak, physicians must be skilled in handling this important problem. Wang and colleagues discuss an advocacy approach that physicians can adopt to handle suspected cases of elder abuse. Published April 7, ...

Universal pharmacare in Canada would cost government little or nothing extra

March 14, 2015 00:00 - 16 minutes - 11.4 MB

Dr. Matthew Stanbrook, deputy editor for CMAJ, interviews Dr. Danielle Martin, family physician and VP of Medical Affairs and Health System Solutions at Women's College Hospital in Toronto. Dr. Martin and colleagues say that implementing universal public coverage of prescription drugs in Canada would be estimated to reduce total spending by $7.2 billion while increasing government costs by only $1.0 billion. This economic modeling study shows that universal public drug coverage could be imple...

Child obesity guideline from the Canadian Task Force

March 13, 2015 01:27 - 13 minutes - 9.44 MB

Dr. Diane Kelsall, deputy editor, interviews Dr. Patricia Parkin, pediatrician at the Hospital for Sick Children, professor with the University of Toronto Faculty of Medicine. CMAJ recently published new recommendations from the Canadian Task Force on Preventive Health Care, where Dr. Parkin is chair of the child obesity working group. The Task Force recommends structured behavioural interventions for obese and overweight children, but not medications or surgery. There is little evidence show...

Resident hours, RUDAS tool, follow-up for chest pain, jaundice, nocturia, tattoos, cannabis & more

March 11, 2015 13:43 - 18 minutes - 12.7 MB

Highlights from the March 17th issue of CMAJ, presented by Dr. John Fletcher, editor-in-chief, and Dr. Domhnall MacAuley, associate editor. In this issue: how different duty schedules affect day-time sleepiness of residents, using the Rowland Universal Dementia Assessment Scale (RUDAS) cognitive assessment tool for multicultural populations, who gets appropriate follow-up after visiting an emergency department for chest pain, how to manage neonatal jaundice, frequent night-time urination, can...

Adult obesity guideline from Canadian Task Force

February 27, 2015 16:46 - 8 minutes - 5.95 MB

Interview with Paula Brauer, head of the adult obesity working group at the Canadian Task Force on Preventive Health Care. This latest guideline from the Task Force, published in CMAJ, focuses on the growing epidemic of obesity in adults, recommendations for prevention of weight gain and use of behavioural and pharmacologic interventions to manage overweight and obesity in adults in primary care. Full guideline: http://www.cmaj.ca/content/187/3/184 To request a transcript of this podcast, con...

Nocturnal leg cramps, safety of quinine, EMR data, myiasis, turkey wattle, #JeSuisCharlie & more

February 20, 2015 19:21 - 17 minutes - 11.8 MB

Highlights from the March 3rd issue of CMAJ, presented by Dr. Kirsten Patrick, deputy editor, and Dr. Domhnall MacAuley, associate editor. In this issue: seasonal variation of nocturnal leg cramps, concerns over the use of quinine to treat leg cramps, quality indicators of pharmacotherapy, dangers of trimethoprim-sulfamethoxazole co-prescribed with spironolactone, IV immunoglobulin as therapy, human myiasis in Canada, use of primary care EMR data for research, and more. Full issue table of co...

At-risk drinking and alcohol use disorders: systemic failure to address

February 20, 2015 15:05 - 12 minutes - 8.47 MB

Interview with Dr. Sheryl Spithoff, addiction medicine specialist and family physician at Women's College Hospital in Toronto who co-authored a commentary published in CMAJ. Spithoff and Dr. Suzanne Turner say the Canadian health care system provides inadequate access to effective treatment for at-risk drinking and alcohol use disorders. However, improved physician training, combined with strategies to ensure better access to appropriate treatment, would improve health outcomes and generate c...

Higher-risk patients less likely to get timely follow-up after ED visit for chest pain

February 18, 2015 13:24 - 16 minutes - 11.5 MB

Interview with Dr. Dennis Ko, interventional cardiologist at Sunnybrook Health Sciences Centre in Toronto and senior scientist with the Institute of Clinical Evaluative Sciences. Dr. Ko and colleagues found that patients discharged after an emergency department visit for chest pain were less likely to be seen within 30 days by a primary care physician or cardiologist if they had known cardiac or cerebrovascular conditions, as well as other comorbidities. The paradoxical finding that patients ...

Clarithromycin and statins, Aboriginal patients, hep C screening, ebola & travel restrictions & more

February 09, 2015 15:08 - 24 minutes - 16.7 MB

Highlights from the February 17th issue of CMAJ, presented by Dr. Kirsten Patrick, deputy editor, and Dr. Matthew Stanbrook, deputy editor. In this issue: adverse outcomes among patients co-prescribed clarithromycin and statins, cost-effectiveness of screening for hepatitis C, sofosbuvir to treat hepatitis C, unsanctioned travel restrictions related to Ebola, caring for Aboriginal patients, lung-protective ventilation, living with ALS, and more. Full issue table of contents: http://www.cmaj.c...

Cognitive assessment of multicultural patients using the RUDAS tool

February 08, 2015 02:40 - 13 minutes - 9.46 MB

Interview with Dr. Raza Naqvi, assistant professor of geriatrics at Western University. In their systematic review and meta-analysis published in CMAJ, Dr. Naqvi and colleagues found that the RUDAS, a brief and freely available tool, compares well with standard tools assessing cognitive deficits. It was developed for particular use among patients whose first language is not English, which makes it useful in settings where patient groups are diverse. Full article: http://www.cmaj.ca/content/ea...

Shortening resident duty schedules: impacts on safety and burnout

February 04, 2015 15:47 - 13 minutes - 9.02 MB

Interview with Dr. Christopher Parshuram, critical care specialist with the Hospital for Sick Children in Toronto. He is the lead author of a randomized trial published in CMAJ looking at patient safety, resident well-being and continuity of care for three resident duty schedules in the ICU. Work schedules incorporating shorter periods of continuous duty affected neither doctors' daytime sleepiness nor adverse outcomes in patients. Full article: http://www.cmaj.ca/content/early/2015/02/09/cma...

More evidence required for doctor duty schedule reform

February 03, 2015 14:55 - 5 minutes - 3.66 MB

Interview with Dr. Thomas Maniatis, internal medicine training program director and clinical ethicist at McGill. Dr. Maniatis is the author of a commentary published in CMAJ. He argues that resident duty-hour reform must be further evaluated in order to design systems that provide maximal benefit and minimal harms for all involved. Full article: http://www.cmaj.ca/content/early/2015/02/09/cmaj.150010. First published February 9, 2015, doi: 10.1503/cmaj.150010.To request a transcript of this p...

Sexual activity after HPV vaccine, founder mutations in Inuit, anal cancer, sodium sagas, and more

January 27, 2015 14:57 - 16 minutes - 11.3 MB

Highlights from the February 3rd issue of CMAJ, presented by Dr. John Fletcher, editor-in-chief, and Dr. Ken Flegel, senior editor. In this issue: HPV vaccination and its effects on sexual behaviour in adolescent girls, and discovery of a founder mutation for congenital sucrase-isolmaltase deficiency in an Inuit community, CHEP recommendations on sodium intake, cancer and pre-cancer of the anus, the dangers of floppy eyelid syndrome, grief's extraordinary power, ethical approval for studies i...

Strong seasonal variation of leg cramps

January 22, 2015 20:29 - 10 minutes - 7.45 MB

Interview with Dr. Scott Garrison, associate professor in the Department of Family Medicine at the University of Alberta, and lead author of the prospective cohort study. This time-series analysis used data from BC for new quinine prescriptions, as well as search data from Google Trends. The authors found that nocturnal leg cramps display striking seasonal variability, with incidence highest in summer and lowest in winter. Full article: http://www.cmaj.ca/content/early/2015/01/26/cmaj.140497....

Quinine: not a safe drug for treating nocturnal leg cramps

January 22, 2015 19:14 - 3 minutes - 2.6 MB

Audio interview with Dr. David Hogan, geriatric medicine specialist at the University of Calgary. Quinine sulfate is widely used off label to treat nocturnal leg cramps in Canada. Although modestly effective for this indication, the drug has many potential moderate and severe adverse effects. Full article: http://www.cmaj.ca/content/early/2015/01/26/cmaj.150044. First published January 26, 2015, doi: 10.1503/cmaj.150044To request a transcript of this podcast, contact [email protected] Join us...

Diversity in medical education, amoxicillin harms, group A strep, birth-weight curves, and more

December 19, 2014 19:23 - 15 minutes - 10.6 MB

Highlights from the January 6th issue of CMAJ, presented by Dr. John Fletcher, editor-in-chief, and Dr. Moneeza Walji, editorial fellow. In this issue: diversity of ethnic groups and socioeconomic barriers in medical education, testing for group A streptococcal infection in children, harms from amoxicillin, world region-specific birth-weight curves, drug interactions in HIV-infected patients, syncope, case of recurrent rheumatic fever, venous thromboembolism in IBD, and more. Full issue table...

End-of-life care goals, Rx of fracture pain in kids, deprescribing, solitary confinement, pap smears

December 05, 2014 20:30 - 20 minutes - 13.9 MB

Highlights from the December 9th issue of CMAJ, presented by Dr. John Fletcher, editor-in-chief, and Dr. Diane Kelsall, deputy editor. In this issue: what matters to patients and their families in end-of-life discussions, ibuprofen versus morphine for post-fracture pain in children, how to engage in deprescribing meds, adverse health effects of solitary confinement, head-tilt chin-lift in CPR, pap smears, diagnosis in progressive headache, Holiday Reading highlights, and more. Full issue tabl...

Mediterranean diet, taxing unhealthy food, non-cow's milks & vit D, physician-assisted dying & more

November 17, 2014 17:02 - 14 minutes - 10.2 MB

Highlights from the November 18th issue, presented by Dr. John Fletcher, editor-in-chief, and Dr. Kirsten Patrick, deputy editor for CMAJ. In this issue: vitamin D levels in non-dairy milk alternatives, research on Mediterranean diet and metabolic syndrome in the PREDIMED trial, C-CHANGE cardiovascular guidelines, nutrition in dementia, hallucinations case, physician-assisted dying viewpoints, and more. Full issue table of contents: http://www.cmaj.ca/content/186/17.tocTo request a transcript...

Fragile families, prostate guidelines, periodic health exam and more

November 03, 2014 16:26 - 16 minutes - 11.3 MB

Highlights from the November 4th issue, presented by Dr. John Fletcher, editor-in-chief, and Dr. Ken Flegel, senior editor for CMAJ. In this issue: families of children who have complex chronic medical conditions, prostate guidelines, longevity of guidelines, patients in clinical trials, periodic health exam, end-of-life care, and more. Full issue table of contents: http://www.cmaj.ca/content/186/16.tocTo request a transcript of this podcast, contact [email protected] Join us as we explore me...

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