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Publisher: Cambridge University Press   (Total: 372 journals)

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Showing 1 - 200 of 372 Journals sorted alphabetically
Acta Neuropsychiatrica     Hybrid Journal   (Followers: 4, SJR: 0.733, CiteScore: 2)
Acta Numerica     Hybrid Journal   (Followers: 3, SJR: 6.709, CiteScore: 10)
Advances in Animal Biosciences     Full-text available via subscription   (Followers: 9)
Advances in Applied Mathematics and Mechanics     Full-text available via subscription   (SJR: 0.441, CiteScore: 1)
Aeronautical J., The     Hybrid Journal   (Followers: 3)
Africa     Hybrid Journal   (Followers: 19, SJR: 0.582, CiteScore: 1)
African Studies Review     Full-text available via subscription   (Followers: 18, SJR: 0.437, CiteScore: 1)
Ageing & Society     Hybrid Journal   (Followers: 40, SJR: 0.756, CiteScore: 2)
Agricultural and Resource Economics Review     Open Access   (Followers: 5, SJR: 0.414, CiteScore: 1)
AI EDAM     Hybrid Journal   (SJR: 0.375, CiteScore: 1)
AJS Review     Full-text available via subscription   (Followers: 2, SJR: 0.128, CiteScore: 0)
American Political Science Review     Hybrid Journal   (Followers: 264, SJR: 5.587, CiteScore: 4)
Anatolian Studies     Full-text available via subscription   (Followers: 4, SJR: 0.528, CiteScore: 1)
Ancient Mesoamerica     Hybrid Journal   (Followers: 10, SJR: 0.478, CiteScore: 1)
Anglo-Saxon England     Hybrid Journal   (Followers: 34, SJR: 0.1, CiteScore: 0)
animal     Hybrid Journal   (Followers: 3, SJR: 0.842, CiteScore: 2)
Animal Health Research Reviews     Hybrid Journal   (Followers: 3, SJR: 0.69, CiteScore: 2)
Animal Science     Full-text available via subscription   (Followers: 9)
Annals of Actuarial Science     Full-text available via subscription   (Followers: 1)
Annual of the British School at Athens     Full-text available via subscription   (Followers: 15, SJR: 0.177, CiteScore: 0)
Annual Review of Applied Linguistics     Hybrid Journal   (Followers: 36, SJR: 3.223, CiteScore: 4)
Antarctic Science     Hybrid Journal   (Followers: 1, SJR: 0.643, CiteScore: 1)
Antichthon     Full-text available via subscription   (Followers: 1, SJR: 0.101, CiteScore: 0)
Antiquaries J., The     Full-text available via subscription   (Followers: 8, SJR: 0.106, CiteScore: 0)
Antiquity     Hybrid Journal   (Followers: 27)
ANZIAM J.     Open Access   (Followers: 1, SJR: 0.216, CiteScore: 0)
Applied Psycholinguistics     Hybrid Journal   (Followers: 22, SJR: 0.945, CiteScore: 2)
APSIPA Transactions on Signal and Information Processing     Open Access   (Followers: 8, SJR: 0.404, CiteScore: 2)
Arabic Sciences and Philosophy     Hybrid Journal   (Followers: 9, SJR: 0.101, CiteScore: 0)
Arbor Clinical Nutrition Updates     Full-text available via subscription   (Followers: 3)
Archaeological Dialogues     Hybrid Journal   (Followers: 36, SJR: 0.898, CiteScore: 1)
Archaeological Reports     Full-text available via subscription   (Followers: 5, SJR: 0.128, CiteScore: 0)
arq: Architectural Research Quarterly     Hybrid Journal   (Followers: 8, SJR: 0.123, CiteScore: 0)
Asian J. of Comparative Law     Hybrid Journal   (Followers: 9, SJR: 0.129, CiteScore: 0)
Asian J. of Intl. Law     Hybrid Journal   (Followers: 14, SJR: 0.135, CiteScore: 0)
Asian J. of Law and Society     Hybrid Journal   (Followers: 7, SJR: 0.195, CiteScore: 0)
Astin Bulletin     Full-text available via subscription   (Followers: 1, SJR: 0.878, CiteScore: 1)
Australasian J. of Organisational Psychology     Hybrid Journal   (Followers: 9, SJR: 0.154, CiteScore: 1)
Australasian J. of Special Education     Full-text available via subscription   (Followers: 8, SJR: 0.187, CiteScore: 0)
Australian J. of Environmental Education     Full-text available via subscription   (Followers: 7, SJR: 0.403, CiteScore: 1)
Australian J. of Indigenous Education, The     Full-text available via subscription   (Followers: 10, SJR: 0.26, CiteScore: 1)
Australian J. of Rehabilitation Counseling     Full-text available via subscription   (Followers: 4, SJR: 0.144, CiteScore: 0)
Austrian History Yearbook     Full-text available via subscription   (Followers: 9, SJR: 0.161, CiteScore: 0)
Behavioral and Brain Sciences     Hybrid Journal   (Followers: 35, SJR: 0.595, CiteScore: 1)
Behaviour Change     Full-text available via subscription   (Followers: 13, SJR: 0.508, CiteScore: 1)
Behavioural and Cognitive Psychotherapy     Hybrid Journal   (Followers: 140, SJR: 0.976, CiteScore: 2)
Bilingualism: Language and Cognition     Hybrid Journal   (Followers: 38, SJR: 1.446, CiteScore: 2)
Biofilms     Full-text available via subscription   (Followers: 1)
Bird Conservation Intl.     Hybrid Journal   (Followers: 24, SJR: 0.581, CiteScore: 1)
BJPsych Advances     Full-text available via subscription   (Followers: 54, SJR: 0.275, CiteScore: 0)
BJPsych Intl.     Open Access   (Followers: 2)
BJPsych Open     Open Access  
Brain Impairment     Full-text available via subscription   (Followers: 2, SJR: 0.321, CiteScore: 1)
Breast Cancer Online     Full-text available via subscription   (Followers: 4)
Britannia     Full-text available via subscription   (Followers: 7, SJR: 0.111, CiteScore: 0)
British Actuarial J.     Full-text available via subscription  
British Catholic History     Hybrid Journal   (Followers: 1, SJR: 0.133, CiteScore: 1)
British J. for the History of Science     Hybrid Journal   (Followers: 23, SJR: 0.235, CiteScore: 0)
British J. of Anaesthetic and Recovery Nursing     Full-text available via subscription   (Followers: 8)
British J. of Music Education     Hybrid Journal   (Followers: 24, SJR: 0.564, CiteScore: 1)
British J. Of Nutrition     Hybrid Journal   (Followers: 75, SJR: 1.612, CiteScore: 4)
British J. of Political Science     Hybrid Journal   (Followers: 169, SJR: 4.661, CiteScore: 4)
British J. of Psychiatry     Hybrid Journal   (Followers: 192, SJR: 2.844, CiteScore: 3)
Bulletin of Entomological Research     Hybrid Journal   (Followers: 11, SJR: 0.805, CiteScore: 2)
Bulletin of Symbolic Logic     Full-text available via subscription   (Followers: 2, SJR: 0.555, CiteScore: 1)
Bulletin of the Australian Mathematical Society     Full-text available via subscription   (Followers: 1, SJR: 0.44, CiteScore: 0)
Bulletin of the School of Oriental and African Studies     Hybrid Journal   (Followers: 19, SJR: 0.146, CiteScore: 0)
Business and Human Rights J.     Full-text available via subscription   (Followers: 3, SJR: 0.536, CiteScore: 1)
Business Ethics Quarterly     Full-text available via subscription   (Followers: 13, SJR: 1.098, CiteScore: 2)
Business History Review     Full-text available via subscription   (Followers: 15, SJR: 0.347, CiteScore: 1)
Cambridge Archaeological J.     Hybrid Journal   (Followers: 128, SJR: 1.121, CiteScore: 1)
Cambridge Classical J.     Full-text available via subscription   (Followers: 18, SJR: 0.101, CiteScore: 0)
Cambridge J. of Postcolonial Literary Inquiry     Hybrid Journal   (Followers: 7)
Cambridge Law J.     Hybrid Journal   (Followers: 167, SJR: 0.213, CiteScore: 0)
Cambridge Opera J.     Hybrid Journal   (Followers: 5, SJR: 0.14, CiteScore: 0)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 11, SJR: 0.299, CiteScore: 1)
Camden Fifth Series     Full-text available via subscription   (Followers: 3)
Canadian Entomologist     Hybrid Journal   (Followers: 5, SJR: 0.482, CiteScore: 1)
Canadian J. of Emergency Medicine     Hybrid Journal   (Followers: 13, SJR: 0.624, CiteScore: 1)
Canadian J. of Law & Jurisprudence     Full-text available via subscription   (Followers: 10, SJR: 0.237, CiteScore: 0)
Canadian J. of Law and Society     Hybrid Journal   (Followers: 20, SJR: 0.259, CiteScore: 1)
Canadian J. of Neurological Sciences     Full-text available via subscription   (SJR: 0.549, CiteScore: 1)
Canadian J. of Political Science/Revue canadienne de science politique     Full-text available via subscription   (Followers: 23, SJR: 0.385, CiteScore: 1)
Canadian J. on Aging     Hybrid Journal   (Followers: 11, SJR: 0.426, CiteScore: 1)
Canadian Yearbook of Intl. Law / Annuaire canadien de droit international     Full-text available via subscription   (Followers: 2)
Cardiology in the Young     Hybrid Journal   (Followers: 32, SJR: 0.372, CiteScore: 1)
Central European History     Full-text available via subscription   (Followers: 30, SJR: 0.159, CiteScore: 0)
Children Australia     Partially Free   (Followers: 2, SJR: 0.255, CiteScore: 0)
China Quarterly     Hybrid Journal   (Followers: 51, SJR: 2.289, CiteScore: 3)
Chinese J. of Agricultural Biotechnology     Full-text available via subscription   (Followers: 4)
Church History: Studies in Christianity and Culture     Full-text available via subscription   (Followers: 71, SJR: 0.106, CiteScore: 0)
Classical Quarterly     Full-text available via subscription   (Followers: 30, SJR: 0.204, CiteScore: 0)
Classical Review     Full-text available via subscription   (Followers: 26)
CNS Spectrums     Hybrid Journal   (Followers: 3, SJR: 1.391, CiteScore: 3)
Cognitive Behaviour Therapist     Hybrid Journal   (Followers: 13)
Combinatorics, Probability and Computing     Hybrid Journal   (Followers: 4, SJR: 0.839, CiteScore: 1)
Communications in Computational Physics     Full-text available via subscription   (Followers: 2, SJR: 1.048, CiteScore: 2)
Comparative Studies in Society and History     Full-text available via subscription   (Followers: 47, SJR: 0.585, CiteScore: 1)
Compositio Mathematica     Full-text available via subscription   (Followers: 1, SJR: 3.139, CiteScore: 1)
Contemporary European History     Hybrid Journal   (Followers: 26, SJR: 0.263, CiteScore: 1)
Continuity and Change     Hybrid Journal   (Followers: 12, SJR: 0.107, CiteScore: 0)
Dance Research J.     Full-text available via subscription   (Followers: 9, SJR: 0.211, CiteScore: 0)
Development and Psychopathology     Hybrid Journal   (Followers: 9, SJR: 2.068, CiteScore: 4)
Dialogue Canadian Philosophical Review/Revue canadienne de philosophie     Full-text available via subscription   (Followers: 3, SJR: 0.156, CiteScore: 0)
Diamond Light Source Proceedings     Full-text available via subscription  
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 13, SJR: 0.471, CiteScore: 1)
Du Bois Review: Social Science Research on Race     Full-text available via subscription   (Followers: 9, SJR: 0.561, CiteScore: 1)
Early China     Hybrid Journal   (Followers: 3)
Early Music History     Hybrid Journal   (Followers: 8, SJR: 0.101, CiteScore: 0)
Earth and Environmental Science Transactions of the Royal Society of Edinburgh     Hybrid Journal   (Followers: 5)
East Asian J. on Applied Mathematics     Full-text available via subscription   (SJR: 0.418, CiteScore: 1)
Ecclesiastical Law J.     Full-text available via subscription   (Followers: 6, SJR: 0.114, CiteScore: 0)
Econometric Theory     Hybrid Journal   (Followers: 16, SJR: 2.915, CiteScore: 1)
Economics and Philosophy     Hybrid Journal   (Followers: 14, SJR: 0.622, CiteScore: 1)
Edinburgh J. of Botany     Hybrid Journal   (SJR: 0.283, CiteScore: 1)
Eighteenth-Century Music     Hybrid Journal   (Followers: 11, SJR: 0.113, CiteScore: 0)
English Language and Linguistics     Hybrid Journal   (Followers: 24, SJR: 0.52, CiteScore: 1)
English Profile J.     Hybrid Journal   (Followers: 2)
English Today     Hybrid Journal   (Followers: 9, SJR: 0.279, CiteScore: 0)
Enterprise & Society : The Intl. J. of Business History     Hybrid Journal   (Followers: 17, SJR: 0.245, CiteScore: 1)
Environment and Development Economics     Hybrid Journal   (Followers: 33, SJR: 0.617, CiteScore: 1)
Environmental Conservation     Hybrid Journal   (Followers: 60, SJR: 1.028, CiteScore: 2)
Environmental Practice     Full-text available via subscription   (Followers: 3, SJR: 0.145, CiteScore: 0)
Epidemiology & Infection     Hybrid Journal   (Followers: 16, SJR: 1.128, CiteScore: 2)
Epidemiology and Psychiatric Sciences     Hybrid Journal   (Followers: 3, SJR: 1.494, CiteScore: 2)
Episteme     Hybrid Journal   (Followers: 12, SJR: 0.756, CiteScore: 1)
Equine and Comparative Exercise Physiology     Full-text available via subscription   (Followers: 7)
Ergodic Theory and Dynamical Systems     Hybrid Journal   (Followers: 2, SJR: 1.193, CiteScore: 1)
Ethics & Intl. Affairs     Full-text available via subscription   (Followers: 13, SJR: 0.557, CiteScore: 1)
European Constitutional Law Review (EuConst)     Full-text available via subscription   (Followers: 33, SJR: 1.009, CiteScore: 1)
European J. of Applied Mathematics     Hybrid Journal   (SJR: 0.52, CiteScore: 1)
European J. of Sociology     Hybrid Journal   (Followers: 30, SJR: 0.643, CiteScore: 1)
European Political Science Review     Hybrid Journal   (Followers: 20, SJR: 1.816, CiteScore: 2)
European Review     Hybrid Journal   (Followers: 17, SJR: 0.131, CiteScore: 0)
Experimental Agriculture     Hybrid Journal   (Followers: 13, SJR: 0.542, CiteScore: 1)
Expert Reviews in Molecular Medicine     Hybrid Journal   (Followers: 1, SJR: 1.647, CiteScore: 4)
Fetal and Maternal Medicine Review     Hybrid Journal   (Followers: 4)
Financial History Review     Full-text available via subscription   (Followers: 14, SJR: 0.238, CiteScore: 1)
Foreign Policy Bulletin     Hybrid Journal   (Followers: 6)
Forum of Mathematics, Pi     Open Access   (Followers: 1)
Forum of Mathematics, Sigma     Open Access   (Followers: 1)
Genetics Research     Hybrid Journal   (Followers: 4, SJR: 0.483, CiteScore: 1)
Geological Magazine     Hybrid Journal   (Followers: 16, SJR: 0.966, CiteScore: 2)
Glasgow Mathematical J.     Full-text available via subscription   (Followers: 1, SJR: 0.604, CiteScore: 0)
Global Constitutionalism     Hybrid Journal   (Followers: 17)
Global Mental Health     Open Access   (Followers: 7)
Government and Opposition     Full-text available via subscription   (Followers: 20, SJR: 0.965, CiteScore: 2)
Greece & Rome     Partially Free   (Followers: 22, SJR: 0.113, CiteScore: 0)
Hague J. on the Rule of Law     Full-text available via subscription   (Followers: 12, SJR: 0.271, CiteScore: 1)
Harvard Theological Review     Full-text available via subscription   (Followers: 67, SJR: 0.165, CiteScore: 0)
Health Economics, Policy and Law     Hybrid Journal   (Followers: 25, SJR: 0.745, CiteScore: 1)
Hegel Bulletin     Full-text available via subscription   (Followers: 1)
High Power Laser Science and Engineering     Open Access   (Followers: 3, SJR: 0.901, CiteScore: 3)
Historical J.     Hybrid Journal   (Followers: 34, SJR: 0.247, CiteScore: 1)
History in Africa     Full-text available via subscription   (Followers: 8)
Horizons     Partially Free   (Followers: 1, SJR: 0.129, CiteScore: 0)
Industrial and Organizational Psychology     Hybrid Journal   (Followers: 20, SJR: 0.916, CiteScore: 1)
Infection Control and Hospital Epidemiology     Full-text available via subscription   (Followers: 36, SJR: 1.97, CiteScore: 3)
Intl. & Comparative Law Quarterly     Full-text available via subscription   (Followers: 211, SJR: 0.369, CiteScore: 1)
Intl. J. of Asian Studies     Hybrid Journal   (Followers: 12, SJR: 0.143, CiteScore: 0)
Intl. J. of Astrobiology     Hybrid Journal   (Followers: 2, SJR: 0.548, CiteScore: 1)
Intl. J. of Cultural Property     Full-text available via subscription   (Followers: 13, SJR: 0.253, CiteScore: 1)
Intl. J. of Disability Management Research     Full-text available via subscription   (Followers: 8, SJR: 0.105, CiteScore: 0)
Intl. J. of Law in Context     Hybrid Journal   (Followers: 16, SJR: 0.275, CiteScore: 1)
Intl. J. of Legal Information     Open Access   (Followers: 272)
Intl. J. of Microwave and Wireless Technologies     Hybrid Journal   (Followers: 8, SJR: 0.184, CiteScore: 1)
Intl. J. of Middle East Studies     Hybrid Journal   (Followers: 66, SJR: 0.434, CiteScore: 0)
Intl. J. of Technology Assessment in Health Care     Hybrid Journal   (Followers: 13, SJR: 0.714, CiteScore: 1)
Intl. J. of Tropical Insect Science     Hybrid Journal   (Followers: 1, SJR: 0.334, CiteScore: 1)
Intl. Labor and Working-Class History     Full-text available via subscription   (Followers: 11, SJR: 0.182, CiteScore: 0)
Intl. Organization     Full-text available via subscription   (Followers: 92, SJR: 8.527, CiteScore: 5)
Intl. Psychogeriatrics     Hybrid Journal   (Followers: 12, SJR: 1.048, CiteScore: 2)
Intl. Review of Social History     Full-text available via subscription   (Followers: 25, SJR: 0.315, CiteScore: 1)
Intl. Review of the Red Cross     Full-text available via subscription   (Followers: 10, SJR: 0.214, CiteScore: 0)
Intl. Theory: A J. of Intl. Politics, Law and Philosophy     Hybrid Journal   (Followers: 18, SJR: 2.293, CiteScore: 2)
Iraq     Full-text available via subscription   (Followers: 2)
Irish Historical Studies     Hybrid Journal   (Followers: 5, SJR: 0.103, CiteScore: 0)
Irish J. of Psychological Medicine     Hybrid Journal   (Followers: 2, SJR: 0.221, CiteScore: 0)
Israel Law Review     Hybrid Journal   (Followers: 2, SJR: 0.165, CiteScore: 0)
Itinerario     Full-text available via subscription   (Followers: 9, SJR: 0.158, CiteScore: 0)
J. of African History     Hybrid Journal   (Followers: 21, SJR: 0.348, CiteScore: 1)
J. of African Law     Full-text available via subscription   (Followers: 3, SJR: 0.113, CiteScore: 0)
J. of Agricultural and Applied Economics     Open Access   (Followers: 1, SJR: 0.263, CiteScore: 1)
J. of Agricultural Science     Full-text available via subscription   (Followers: 8, SJR: 0.563, CiteScore: 1)
J. of American Studies     Hybrid Journal   (Followers: 20, SJR: 0.164, CiteScore: 0)
J. of Anglican Studies     Hybrid Journal   (Followers: 6, SJR: 0.101, CiteScore: 0)
J. of Applied Animal Nutrition     Hybrid Journal   (Followers: 3)
J. of Asian Studies     Full-text available via subscription   (Followers: 37, SJR: 0.591, CiteScore: 1)
J. of Benefit-Cost Analysis     Hybrid Journal   (Followers: 2)
J. of Biosocial Science     Hybrid Journal   (Followers: 3, SJR: 0.48, CiteScore: 1)
J. of British Studies     Full-text available via subscription   (Followers: 32, SJR: 0.246, CiteScore: 0)
J. of Child Language     Hybrid Journal   (Followers: 20, SJR: 1.035, CiteScore: 2)
J. of Classics Teaching     Open Access  
J. of Dairy Research     Full-text available via subscription   (Followers: 8, SJR: 0.573, CiteScore: 1)
J. of Demographic Economics     Hybrid Journal   (Followers: 3, SJR: 1.227, CiteScore: 1)
J. of Developmental Origins of Health and Disease     Hybrid Journal   (Followers: 2, SJR: 0.843, CiteScore: 2)
J. of Diagnostic Radiography and Imaging     Hybrid Journal   (Followers: 4)
J. of East Asian Studies     Full-text available via subscription   (Followers: 13, SJR: 0.59, CiteScore: 1)
J. of Ecclesiastical History     Hybrid Journal   (Followers: 19, SJR: 0.138, CiteScore: 0)
J. of Economic History     Full-text available via subscription   (Followers: 44, SJR: 1.82, CiteScore: 2)

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Journal Cover
Canadian Journal of Emergency Medicine
Journal Prestige (SJR): 0.624
Citation Impact (citeScore): 1
Number of Followers: 13  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Online) 1481-8035
Published by Cambridge University Press Homepage  [372 journals]
  • CEM volume 20 issue 5 Cover and Front matter
    • PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.430
      Issue No: Vol. 20, No. 5 (2018)
       
  • CEM volume 20 issue 5 Cover and Back matter
    • PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.431
      Issue No: Vol. 20, No. 5 (2018)
       
  • CJEM+20(5)&rft.title=Canadian+Journal+of+Emergency+Medicine&rft.issn=1481-8035&rft.date=2018&rft.volume=20&rft.spage=653&rft.epage=654&rft_id=info:doi/10.1017/cem.2018.429">Clinician’s Capsules for CJEM 20(5)
    • Pages: 653 - 654
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.429
      Issue No: Vol. 20, No. 5 (2018)
       
  • Back in Print
    • Authors: Ian G. Stiell
      Pages: 655 - 655
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.428
      Issue No: Vol. 20, No. 5 (2018)
       
  • A new era in stroke care
    • Authors: Devin R. Harris
      Pages: 656 - 657
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.448
      Issue No: Vol. 20, No. 5 (2018)
       
  • A tale of two cities: Divergent management of patients with ureteral colic
    • Authors: Philipp Dahm; John M. Hollingsworth
      Pages: 658 - 659
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.441
      Issue No: Vol. 20, No. 5 (2018)
       
  • Should you adjust your D-dimer'
    • Authors: Kerstin de Wit
      Pages: 660 - 661
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.442
      Issue No: Vol. 20, No. 5 (2018)
       
  • From abstraction to action: Making wellness practical during residency
           training
    • Authors: Daniel K. Ting; Jared Baylis
      Pages: 662 - 664
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.445
      Issue No: Vol. 20, No. 5 (2018)
       
  • #Triage – Formal emergency department triage tools are inefficient,
           unfair, and they waste time and resources
    • Authors: Dug Andrusiek; Michael Bullard, Paul Atkinson
      Pages: 665 - 670
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.434
      Issue No: Vol. 20, No. 5 (2018)
       
  • Position Statement on Resident Wellness
    • Authors: Ahmed Taher; Skye Crawford, Josh Koczerginski, Niran Argintaru, Roxane Beaumont-Boileau, Alexander Hart, Blair Bigham
      Pages: 671 - 684
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.8
      Issue No: Vol. 20, No. 5 (2018)
       
  • Canadian+Stroke+Best+Practice+Recommendations,+Sixth+Edition+(2018):+Updates+relevant+to+prehospital+and+emergency+medicine+providers&rft.title=Canadian+Journal+of+Emergency+Medicine&rft.issn=1481-8035&rft.date=2018&rft.volume=20&rft.spage=685&rft.epage=692&rft.aulast=Lin&rft.aufirst=Katie&rft.au=Katie+Lin&rft.au=Patrice+Lindsay,+Tahireh+Shams,+Eric+Smith,+Jean-Martin+Boulanger,+Kenneth+Butcher,+Gordon+Gubitz,+Eddy+Lang&rft_id=info:doi/10.1017/cem.2018.438">A summary of the Canadian Stroke Best Practice Recommendations, Sixth
           Edition (2018): Updates relevant to prehospital and emergency medicine
           providers
    • Authors: Katie Lin; Patrice Lindsay, Tahireh Shams, Eric Smith, Jean-Martin Boulanger, Kenneth Butcher, Gordon Gubitz, Eddy Lang
      Pages: 685 - 692
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.438
      Issue No: Vol. 20, No. 5 (2018)
       
  • An environmental scan of academic pediatric emergency medicine at Canadian
           medical schools: Identifying variability across Canada
    • Authors: Jennifer D. Artz; Garth Meckler, Niran Argintaru, Roderick Lim, Ian G. Stiell
      Pages: 693 - 701
      Abstract: ObjectiveTo complement our environmental scan of academic emergency medicine departments, we conducted a similar environmental scan of the academic pediatric emergency medicine programs offered by the Canadian medical schools.MethodsWe developed an 88-question form, which was distributed to pediatric academic leaders at each medical school. The responses were validated via email to ensure that the questions were answered completely and consistently.ResultsFourteen of the 17 Canadian medical schools have some type of pediatric emergency medicine academic program. None of the pediatric emergency medicine units have full departmental status, while nine are divisions, two are sections, and three have no status. Canadian academic pediatric emergency medicine is practised at 13 major teaching hospitals and one specialized pediatric emergency department. There are 394 pediatric emergency medicine faculty members, including 13 full professors and 64 associate professors. Eight sites regularly take pediatric undergraduate clinical clerks, and all 14 provide resident education. Fellowship training is offered at 10 sites, with five offering advanced pediatric emergency medicine fellowship training. Half of the sites have at least one physician with a Master’s degree in education, totalling 18 faculty members across Canada. There are 31 clinical researchers with salary support at nine universities. Eleven sites have published peer-reviewed papers (n=423) in the past five years, ranging from two to 102 per site. Annual academic budgets range from $10,000 to $2,607,515.ConclusionsThis comprehensive review of academic activities in pediatric emergency medicine across Canada identifies the variability across the country, including the recognition of sites above and below the national average, which may prompt change at individual sites. Sharing these academic practices may inspire sites to provide more support to teachers, educators, and researchers.
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2017.437
      Issue No: Vol. 20, No. 5 (2018)
       
  • Variability of renal colic management and outcomes in two Canadian cities
    • Authors: Grant Innes; Andrew McRae, Eric Grafstein, Michael Law, Joel M. H. Teichman, Bryce Weber, Kevin Carlson, Heidi Boyda, James Andruchow
      Pages: 702 - 712
      Abstract: CLINICIAN’S CAPSULEWhat is known about the topic'Most ureteral stones pass spontaneously, but intervention is an option. No trials have compared conservative vs. interventional treatment.What did this study ask'We compared 60-day outcomes for ED patients with ureteral colic in Calgary and Vancouver.What did this study find'Index intervention rate was seven-fold higher in Calgary. Calgary patients had more subsequent ED revisits and hospitalizations. Adverse outcomes were associated with intervention for small stones and with non-intervention for large stones.Why does this study matter to clinicians'Conservative management of small stones and early intervention for large stones may improve system utilization and patient outcomes.
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.31
      Issue No: Vol. 20, No. 5 (2018)
       
  • A comparison of work stressors in higher and lower resourced emergency
           medicine health settings
    • Authors: Sebastian de Haan; Hein Lamprecht, Michael K. Howlett, Jacqueline Fraser, Dylan Sohi, Anil Adisesh, Paul R. Atkinson
      Pages: 713 - 720
      Abstract: What is known about the topic'Emergency physicians and trainees have high rates of stress and burnout.What did this study ask'How do reported stressors for emergency physicians and trainees differ between high and low resource settings'What did this study find'Trainees in the low resource setting reported higher stressors. Trainees reported higher levels of stressors than specialists in general.Why does this study matter to clinicians'High levels of reported stressors among trainees, and in low resource settings should be acknowledged and mitigated where possible.
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.14
      Issue No: Vol. 20, No. 5 (2018)
       
  • Emergency medicine resident wellness: Lessons learned from a national
           survey
    • Authors: Ahmed Taher; Alexander Hart, Neil Dinesh Dattani, Zafrina Poonja, Christina Bova, Glen Bandiera, Kaif Pardhan
      Pages: 721 - 724
      Abstract: CLINICIAN’S CAPSULEWhat is known about the topic'Emergency medicine (EM) residents face many wellness challenges during residency.What did this study ask'What was the current landscape of Canadian EM resident wellness'What did this study find'Canadian EM residents face a multitude of psychosocial and physical wellness challenges, while supports may not be adequate.Why does this study matter to clinicians'Opportunities exist to further investigate resident wellness with validated tools, engage stakeholders, and advance the EM resident wellness agenda.
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.416
      Issue No: Vol. 20, No. 5 (2018)
       
  • Age-adjusted D-dimer thresholds in the investigation of suspected
           pulmonary embolism: A retrospective evaluation in patients ages 50 and
           older using administrative data
    • Authors: Kevin Senior; Kristin Burles, Dongmei Wang, Daniel Grigat, Grant D. Innes, James E. Andruchow, Eddy S. Lang, Andrew D. McRae
      Pages: 725 - 731
      Abstract: CLINICIAN’S CAPSULEWhat is known about the topic'Age-adjusted D-dimer thresholds have been proposed to improve specificity of diagnostic testing for thromboembolism in patients ages 50 and over.What did this study ask'What is the diagnostic accuracy of an age-adjusted D-dimer threshold in a population of patients undergoing investigations for suspected pulmonary embolism (PE)'What did this study find'Age-adjusted D-dimer cut-offs improved specificity but at the expense of a slightly higher risk of missed PE.Why does this study matter to clinicians'Use of age adjusted D-dimer thresholds, in combination with validated risk scores, may reduce CT utilization in older patients.
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.389
      Issue No: Vol. 20, No. 5 (2018)
       
  • Point-of-care ultrasound to diagnose appendicitis in a Canadian emergency
           department
    • Authors: Sameer Sharif; Steven Skitch, Dean Vlahaki, Andrew Healey
      Pages: 732 - 735
      Abstract: ObjectivesAppendicitis is a common surgical condition that frequently requires diagnostic imaging. Abdominal computed tomography (CT) is the gold standard for diagnosing appendicitis. Ultrasound offers a radiation-free modality; however, its availability outside business hours is limited in many emergency departments (EDs). The purpose of this study is to evaluate the test characteristics of emergency physician-performed point-of-care ultrasound (POCUS) to diagnose appendicitis in a Canadian ED.MethodsA health records review was performed on all ED patients who underwent POCUS to diagnose appendicitis from December 1, 2010 to December 4, 2015. The sensitivity, specificity, and likelihood ratios were calculated. The gold standard used for diagnosis was pathology, laparoscopy, CT scans, and a radiologist-performed ultrasound.ResultsNinety patients were included in the study, and 24 were diagnosed with appendicitis on POCUS. Ultimately, 18 were confirmed to have appendicitis through radiologist-performed imaging, laparoscopy, and pathology. The sensitivity and specificity of POCUS to diagnose appendicitis were 69.2% (95% CI, 48.1%-84.9%) and 90.6% (95% CI, 80.0%-96.1%), respectively.ConclusionPOCUS has a high specificity for diagnosing acute appendicitis and has very similar characteristics to those of a radiologist-performed ultrasound. These findings are consistent with the current literature and have the potential to decrease patient morbidity, diagnostic delays, ED length of stay, and need for additional imaging.
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.373
      Issue No: Vol. 20, No. 5 (2018)
       
  • The CAEP Emergency Ultrasound Curriculum – Objectives and
           Recommendations for Implementation in Postgraduate Training: Executive
           Summary
    • Authors: Paul Olszynski; Daniel J. Kim, Jordan Chenkin, Louise Rang
      Pages: 736 - 738
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.35
      Issue No: Vol. 20, No. 5 (2018)
       
  • Nationwide survey on current management strategies of toddler’s
           fractures
    • Authors: Jade Seguin; Daniel Brody, Patricia Li
      Pages: 739 - 745
      Abstract: BackgroundTibial fractures are common in children less than 3 years old. The traditional management involves immobilization in an above knee cast for both confirmed (positive x-ray) and presumed (normal x-ray) toddler’s fractures. This carries health care implications and causes unnecessary burden for patients and their families. There is a paucity of literature describing the ideal immobilization strategy for this injury.ObjectivesTo determine: 1) the variation between Canadian emergency departments in management of toddler’s fractures; 2) the variation in management between confirmed and presumed toddler’s fractures; 3) the association between demographic variables and immobilization strategies.MethodsThis was an email survey of all members of the Pediatric Emergency Research Canada network. The survey consisted of 2 clinical vignettes followed by multiple-choice questions.ResultsSurvey response rate was 73% (153/211). For confirmed toddler’s fractures, 39% of physicians chose to immobilize with above knee circumferential cast, 27% with below knee circumferential cast and 20% with below knee splint. For presumed toddler’s fractures, 44% of respondents chose to manage without casting, 22% with below knee splint and 14% with above knee circumferential cast. There was significant practice variation between Canadian pediatric emergency departments for both types of fractures and between the management of confirmed and presumed toddler’s fractures.ConclusionsOur study is the first to identify nationwide variation in the management of toddler’s fractures. This variation highlights the need for future research to compare the different management strategies to determine families’ preferences and functional outcomes in children with these injuries.
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2017.355
      Issue No: Vol. 20, No. 5 (2018)
       
  • Accuracy of the Ottawa Ankle Rules applied by non-physician providers in a
           pediatric emergency department
    • Authors: Joe MacLellan; Teya Smith, Jason Baserman, Shawn Dowling
      Pages: 746 - 752
      Abstract: ObjectiveThe Ottawa Ankle Rules (OAR) are a clinical decision tool used to minimize unnecessary radiographs in ankle and foot injuries. The OAR are a reliable tool to exclude fractures in children over 5 years of age when applied by physicians. Limited data support its use by other health care workers in children. Our objective was to determine the accuracy of the OAR when applied by non-physician providers (NPP).MethodsChildren aged 5 to 17 years presenting with an acute ankle or foot injury were enrolled. Phase 1 captured baseline data on x-ray use in 106 patients. NPPs were then educated on the usage of the OAR and completed an OAR learning module. In phase 2, NPPs applied the OAR to 184 included patients.ResultsThe sensitivity of the foot rule, as applied by NPP’s, was 100% (56-100% CI) and the specificity was 17% (9-29% CI) for clinically significant fractures. The sensitivity of the ankle portion of the rule, as applied by NPP’s, was 88% (47-99 CI) and the specificity was 31% (23-40% CI) for clinically significant fractures. The only clinically significant fracture missed by NPP’s was detected on physician assessment. Inter-observer agreement was κ=0.24 for the ankle rule and κ=0.49 for the foot rule.ConclusionThe sensitivity of the OAR when applied by NPP’s was very good. More training and practice using the OAR would likely improve NPP’s inter-observer reliability. Our data suggest the OAR may be a useful tool for NPP’s to apply prior to physician assessment.
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2017.399
      Issue No: Vol. 20, No. 5 (2018)
       
  • Using the Bergman-Paris Question to screen seniors in the emergency
           department
    • Authors: Antoine Laguë; Philippe Voyer, Marie-Christine Ouellet, Valérie Boucher, Marianne Giroux, Mathieu Pelletier, Émilie Gouin, Raoul Daoust, Simon Berthelot, Michèle Morin, Thien Tuong Minh Vu, Jacques Lee, Audrey-Anne Brousseau, Marie-Josée Sirois, Marcel Émond
      Pages: 753 - 761
      Abstract: ObjectivesIn the fast pace of the Emergency Department (ED), clinicians are in need of tailored screening tools to detect seniors who are at risk of adverse outcomes. We aimed to explore the usefulness of the Bergman-Paris Question (BPQ) to expose potential undetected geriatric syndromes in community-living seniors presenting to the ED.MethodsThis is a planned sub-study of the INDEED multicentre prospective cohort study, including independent or semi-independent seniors (≥65 years old) admitted to hospital after an ED stay ≥8 hours and who were not delirious. Patients were assessed using validated screening tests for 3 geriatric syndromes: cognitive and functional impairment, and frailty. The BPQ was asked upon availability of a relative at enrolment. BPQ’s sensitivity and specificity analyses were used to ascertain outcomes.ResultsA response to the BPQ was available for 171 patients (47% of the main study’s cohort). Of this number, 75.4% were positive (suggesting impairment), and 24.6% were negative. To detect one of the three geriatric syndromes, the BPQ had a sensitivity of 85.4% (95% CI [76.3, 92.0]) and a specificity of 35.4% (95% CI [25.1, 46.7]). Similar results were obtained for each separate outcome. Odds ratio demonstrated a higher risk of presence of geriatric syndromes.ConclusionThe Bergman-Paris Question could be an ED screening tool for possible geriatric syndrome. A positive BPQ should prompt the need of further investigations and a negative BPQ possibly warrants no further action. More research is needed to validate the usefulness of the BPQ for day-to-day geriatric screening by ED professionals or geriatricians.
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2017.412
      Issue No: Vol. 20, No. 5 (2018)
       
  • Characteristics and outcomes of older emergency department patients
           assigned a low acuity triage score
    • Authors: Ariel Hendin; Debra Eagles, Victoria Myers, Ian G. Stiell
      Pages: 762 - 769
      Abstract: What is known about the topic'Little is known about the outcomes of older patients who are classified as “low acuity” at triage.What did this study ask'What are the differences in outcome of ED patients ages 65 years and older who received a CTAS score of 4 or 5, compared with patients 40 to 55 years old.What did this study find'Older patients were significantly more likely to be admitted; patients aged 85 years and older were particularly at risk.Why does this study matter to clinicians'Consideration should be given to triage modifiers for age, given the higher admission and re-presentation rates in older patients.
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.17
      Issue No: Vol. 20, No. 5 (2018)
       
  • Apneic oxygenation provides incremental benefit during intubation of
           patients in the emergency medicine and critical care settings
    • Authors: Daniel K. Ting; Eddy S. Lang
      Pages: 770 - 773
      Abstract: Clinical questionShould I use apneic oxygenation when intubating patients in the emergency department to increase peri-intubation oxygen saturation and first-pass success'Article chosenOliveira JE, Silva L, Cabrera D, Barrionuevo P, et al. Effectiveness of apneic oxygenation during intubation: a systematic review and meta-analysis. Ann Emerg Med 2017;70(4):483-94.ObjectiveThe purpose of this study was to synthesize and appraise the apneic oxygenation literature for its effect on peri-intubation outcomes.
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.29
      Issue No: Vol. 20, No. 5 (2018)
       
  • Topical tranexamic acid for the treatment of epistaxis in patients using
           antiplatelet agents
    • Authors: Mark Sanderson; James Powell, Eddy Lang
      Pages: 774 - 776
      Abstract: Clinical questionDoes the addition of topical tranexamic acid to anterior nasal packing decrease bleeding in patients with epistaxis who are taking antiplatelet medications'Article chosenZahed R, Jayazeri M, Naderi A, et al. Topical tranexamic acid compared with anterior nasal packing for treatment of epistaxis in patients taking antiplatelet drugs: randomized controlled trial. Acad Emerg Med 2018;25(3):261-6.ObjectivesThe primary outcome of this randomized controlled trial was the percentage of patients whose epistaxis had stopped at 10 minutes from the time of intervention. Secondary outcomes included the frequency of epistaxis recurrence at both 24 hours and 7 days, emergency department length of stay, and patient satisfaction.
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.422
      Issue No: Vol. 20, No. 5 (2018)
       
  • Ice cream rounds: The adaptation, implementation, and evaluation of a
           peer-support wellness rounds in an emergency medicine resident training
           program
    • Authors: Samantha Calder-Sprackman; Thara Kumar, Caroline Gerin-Lajoie, Megan Kilvert, Kari Sampsel
      Pages: 777 - 780
      Abstract: Introduction/Innovation ConceptEmergency medicine (EM) requires physicians to deal with acutely ill patients in a fast-paced and dynamic environment, which creates a barrier to debriefing after critical events. These unique challenges can negatively impact wellness. We sought to adapt and implement a peer-support wellness program called ‘Ice Cream Rounds’ in an EM residency setting.MethodsA needs assessment survey was conducted among EM residents at The University of Ottawa to gauge interest and obtain resident input regarding program design. The structure of the sessions was adapted from similar initiatives in Canadian Pediatric Residency programs.Curriculum, Tool or MaterialConfidential peer-support sessions were created and piloted. Residents preferred peer facilitators, rather than staff, so two residents obtained training the Faculty of Medicine’s Wellness Program to lead sessions. Attendance at rounds was voluntary; however, overall attendance was recorded along with feedback from pilot sessions. Discussion topics included difficult patient encounters, poor patient outcomes, challenges in residency, and ethical issues. Post implementation feedback demonstrated that Ice Cream Rounds was a helpful forum for residents to discuss important issues with colleagues.ConclusionsThis is the first Canadian EM training program to adapt, implement, and evaluate peer-support wellness rounds for debriefing, and this initiative can be easily adopted by any EM training program.
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.381
      Issue No: Vol. 20, No. 5 (2018)
       
  • Charge nurse facilitated clinical debriefing in the emergency department
    • Authors: Stuart Rose; Adam Cheng
      Pages: 781 - 785
      Abstract: This paper describes the development and implementation of the INFO (immediate, not for personal assessment, fast facilitated feedback, and opportunity to ask questions) clinical debriefing process. INFO enabled charge nurses to facilitate a group debriefing after critical events across three adult emergency departments (EDs) in Calgary, Alberta. Prior to implementation at our institutions, ED critical event debriefing was a highly variable event. Post-implementation, INFO critical event debriefings have become part of our ED culture, take place regularly in our EDs (254 documented debriefings between March 2016 and September 2017), with recommendations arising from these debriefings being introduced into clinical practice. The INFO clinical debriefing process addresses two significant barriers to regular ED clinical debriefing: a lack of trained facilitators and the focus on physician-led debriefings. Our experience shows that a nurse-facilitated debriefing is feasible, can be successfully implemented in diverse EDs, and can be performed by relatively inexperienced debriefers. A structured approach means that debriefings are more likely to take place and become a routine part of improving team management of high stakes or unexpected clinical events.
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.369
      Issue No: Vol. 20, No. 5 (2018)
       
  • Finding the humanity: Learning to listen in emergency medicine
    • Authors: Brianne Budlovsky
      Pages: 786 - 787
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.405
      Issue No: Vol. 20, No. 5 (2018)
       
  • Bilateral nail gun traumatic brain injury presents as intentional
           overdose: A case report
    • Authors: Judith Alain; Pascal Lavergne, Maude St-Onge, Myreille D’Astous, Stéphane Côté
      Pages: 788 - 791
      Abstract: This report describes a rare but life-threatening case of a suicide attempt initially considered as intentional overdose at the emergency department. Persistent altered mental status, despite normal toxicology investigations, led the attending team to order a head computed tomography scan, which revealed a bilateral penetrating nail gun injury with a right temporal hematoma for which a decompressive craniectomy was performed. Although voluntary intoxication is the most frequent form of suicide attempt, emergency physicians must be alert and maintain a broad differential diagnosis. Although rare, penetrating head injuries have increased in recent decades. As neurological symptoms can be minimal and penetration wounds small, this type of injury could potentially be overlooked.
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2017.5
      Issue No: Vol. 20, No. 5 (2018)
       
  • Make it two: A case report of dual sequential external defibrillation
    • Authors: Colin R. Bell; Adam Szulewski, Steven C. Brooks
      Pages: 792 - 797
      Abstract: Dual sequential external defibrillation (DSED) is the process of near simultaneous discharge of two defibrillators with differing pad placement to terminate refractory arrhythmias. Previously used in the electrophysiology suite, this technique has recently been used in the emergency department and prehospital setting for out-of-hospital cardiac arrest (OHCA). We present a case of successful DSED in the emergency department with neurologically intact survival to hospital discharge after refractory ventricular fibrillation (RVF) and review the putative mechanisms of action of this technique.
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2017.42
      Issue No: Vol. 20, No. 5 (2018)
       
  • Left ventricular outflow tract pseudoaneurysm diagnosed with point-of-care
           ultrasound in the emergency department
    • Authors: Puneet Kapur; Melanie Baimel, Jordan Chenkin
      Pages: 798 - 801
      Abstract: Left ventricular outflow tract pseudoaneurysms are a rare but life-threatening disorder, often caused by complications of cardiac surgery or myocardial infarction. We present a case report of a patient with no prior risk factors who presented with a six-month history of progressive exertional dyspnea, bilateral leg swelling and cough. Point-of-care ultrasound revealed an unexpected outpouching of the left ventricle. He was diagnosed with a left ventricular outflow tract pseudoaneurysm and subsequently went into cardiogenic shock secondary to extension of pseudoaneurysm causing extrinsic compression of the coronary arteries. The patient underwent successful emergency surgical repair and made a full recovery.
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.20
      Issue No: Vol. 20, No. 5 (2018)
       
  • Unexpected source of fever: Liver abscess on point-of-care ultrasound
    • Authors: Diphile Iradukunda; Jonathan Lee, Daniel J. Kim
      Pages: 802 - 803
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.408
      Issue No: Vol. 20, No. 5 (2018)
       
  • Global Research Highlights
    • Pages: 804 - 807
      Abstract: Editor’s note: CJEM has partnered with a small group of selected journals of international emergency medicine societies to share from each a highlighted research study, as selected monthly by their editors. Our goals are to increase awareness of our readership to research developments in the international emergency medicine literature, promote collaboration among the selected international emergency medicine journals, and support the improvement of emergency medicine world-wide, as described in the WAME statement at http://www.wame.org/about/policy-statements#Promoting%20Global%20Health. s are reproduced as published in the respective participating journals and are not peer reviewed or edited by CJEM.
      PubDate: 2018-09-01T00:00:00.000Z
      DOI: 10.1017/cem.2018.432
      Issue No: Vol. 20, No. 5 (2018)
       
 
 
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