November 18, 2008 : Volume 179, Issue 11


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1. Diagnosis and treatment of dementia: 5. Nonpharmacologic and pharmacologic therapy for mild to moderate dementia

2. Information exchange among physicians caring for the same patient in the community

3. Revalidation of physicians in Canada: Are we passing the test?

4. Access to health care among status Aboriginal people with chronic kidney disease

5. Wrongful birth litigation and prenatal screening


CMAJ is looking for an Editorial Fellow
  CMAJ : November 18, 2008 * JAMC :  le 18 novembre 2008

 

Overdiagnosis of asthma in obese and nonobese adults

Research * Recherche

Overdiagnosis of asthma in obese and nonobese adults
S.D. Aaron MD, K.L. Vandemheen BScN, L.-P. Boulet MD, and colleagues

A third of Canadians whose asthma had been diagnosed by a physician do not have asthma. Aaron and colleagues came to this conclusion from their longitudinal study involving 496 people said to have asthma by their physicians.

Prevalence of asthma among Chinese adolescents living in Canada and in China
H.-Y. Wang, G.W.K. Wong, Y.-Z. Chen, and colleagues

Symptoms of asthma in Chinese adolescents were lowest among those living in mainland China, were greater for those in Hong Kong and were highest among those born in Canada. These findings suggest that asthma is influenced by environmental factors as well as genetic ones.

Editorial * Éditorial

The error of not measuring asthma
M.B. Stanbrook MD PhD, A. Kaplan MD

All patients suspected of having asthma should have the diagnosis confirmed by spirometry. Primary care physicians should not rely on laboratories in tertiary care centres to provide spirometry. Instead, physicians need to make testing available in their own offices.

Similar Articles | More Research | More Editorials

 

The cost-effectiveness of Vancouver's supervised injection facility

Research * Recherche

The cost-effectiveness of Vancouver's supervised injection facility
A.M. Bayoumi MD MSc, G.S. Zaric PhD

Vancouver's supervised injection facility can improve health largely by averting HIV infections and can save money, say Bayoumi and Zaric, who carried out a modelling study.

Commentary * Commentaire

Evaluating Vancouver’s supervised injection facility: data and dollars, symbols and ethics
D.C. Des Jarlais PhD, K. Arasteh PhD, H. Hagan PhD

Some of the assumptions in the model used by Bayoumi and Zaric are questionable, say Des Jarlais and colleagues. Despite this reservation, they believe that the supervised injection facility is likely to save money.

Similar Articles | More Research | More Commentaries

 

Clinical guidelines: Guidelines for the management of chronic kidney disease

Review * Revue

Clinical guidelines: Guidelines for the management of chronic kidney disease
A. Levin MD, B. Hemmelgarn MD PhD, B. Culleton MD MSc, and colleagues

The Canadian Society of Nephrology has issued guidelines for the management of chronic kidney disease that aim to facilitate shared care for these patients by general practitioners and specialists.

Commentary * Commentaire

Progress and promise in the management of chronic kidney disease
G. Eknoyan MD

Chronic kidney disease is recognized as a heterogeneous condition whose clinical course varies according to the underlying cause, comorbid conditions and the rate of loss of renal function.

More Review | More Commentaries

Analysis * Analyses

Cancer in Canada in 2008
L.D. Marrett PhD, P. De MHSc PhD, P. Airia MD MSc, and colleagues

Marrett and colleagues discuss the changing size and nature of the burden of cancer in Canada, as reported in Canadian Cancer Statistics 2008.

More Analysis

 

What is your call? Painless pink papules with central porcelain-white scars

Practice * Pratique

What is your call? Painless pink papules with central porcelain-white scars
P.R Mydlarski MD, D.F. Barber MD, L.H. Robertson MD

What is the cause of pink papules with central porcelain-white atrophic scars that developed over 2 years on the abdomen, back and thighs of a 61-year-old woman?

More Practice

 

Pain in both knees

Clinical images * Images cliniques

Pain in both knees
W.-J. Lee MD, A. Leo MD, Y.-Z. Cheng MD

A smooth, regular, semilunar radiolucent defect at the upper pole of each patella shown in the radiograph of a 40-year-old woman's knees is due to a developmental variation.

More Clinical images

Letters * Correspondance

Number needed to treat and baseline risks
J.P. McCormack BSc(Pharm)

Fostering public engagement
G. Sher MD PhD

Testimonials for vaccine-preventable illnesses
C. Woelk MD

Not the view of Canadian Medical Association
R. Ouellet MD

More Letters

News * Nouvelles

British Columbia experiments with checkups by the dozen

British Columbia experiments with checkups by the dozen

Canada Health Act breaches are being ignored, pro-medicare groups charge

American entrepreneur files free trade challenge on medicar

Federal election wrap: medical profession to be sparsely represented in House of Commons

National health human resources plan "a hard sell"

Private facilities must make educational contribution

Private facilities must make educational contribution

Pharma giants to create databases on gifts to physicians

Ugandan effort to constrain HIV spread hampered by systemic and cultural obstacles to male circumcision

Ugandan effort to constrain HIV spread hampered by systemic and cultural obstacles to male circumcision

Dispatch from the medical front: Somali symbiosis, part 1: what I saw

Dispatch from the medical front: Somali symbiosis, part 1: what I saw

For the record

Briefly

More News


Left Atrium * Côté Coeur

Room for a view: On becoming

Room for a view: On becoming

Book review: The impetus to cure

Book review: Rethinking randomized controlled trials

Book review: Chronicles of a cardiologist in Canada's North

More Left Atrium


Salon * Salon

The high cost of being an (aspiring) medical student

The high cost of being an (aspiring) medical student

More Salon