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  Subjects -> HEALTH AND SAFETY (Total: 1296 journals)
    - CIVIL DEFENSE (18 journals)
    - DRUG ABUSE AND ALCOHOLISM (87 journals)
    - HEALTH AND SAFETY (526 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (377 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (105 journals)
    - PHYSICAL FITNESS AND HYGIENE (101 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (526 journals)                  1 2 3 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
A Life in the Day     Hybrid Journal   (Followers: 9)
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access  
Adultspan Journal     Hybrid Journal  
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 23)
African Health Sciences     Open Access   (Followers: 2)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 6)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 2)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 4)
AJOB Primary Research     Partially Free   (Followers: 3)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Health Economics     Full-text available via subscription   (Followers: 13)
American Journal of Health Education     Hybrid Journal   (Followers: 30)
American Journal of Health Promotion     Hybrid Journal   (Followers: 24)
American Journal of Health Sciences     Open Access   (Followers: 6)
American Journal of Health Studies     Full-text available via subscription   (Followers: 10)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 25)
American Journal of Public Health     Full-text available via subscription   (Followers: 202)
American Journal of Public Health Research     Open Access   (Followers: 29)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 2)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 4)
Annals of Global Health     Open Access   (Followers: 9)
Annals of Health Law     Open Access   (Followers: 3)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences : Interface And Interaction     Open Access   (Followers: 2)
Archive of Community Health     Open Access  
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 8)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 3)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 8)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 3)
Association of Schools of Allied Health Professions     Full-text available via subscription   (Followers: 6)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 2)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 6)
Autism & Developmental Language Impairments     Open Access   (Followers: 5)
Behavioral Healthcare     Full-text available via subscription   (Followers: 6)
Best Practices in Mental Health     Full-text available via subscription   (Followers: 8)
Bijzijn     Hybrid Journal   (Followers: 2)
Bijzijn XL     Hybrid Journal   (Followers: 1)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 5)
BMC Pregnancy and Childbirth     Open Access   (Followers: 20)
BMJ Simulation & Technology Enhanced Learning     Full-text available via subscription   (Followers: 7)
Brazilian Journal of Medicine and Human Health     Open Access  
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 17)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Canadian Family Physician     Partially Free   (Followers: 12)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 12)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 1)
Canadian Journal of Public Health     Full-text available via subscription   (Followers: 20)
Case Reports in Women's Health     Open Access   (Followers: 3)
Case Studies in Fire Safety     Open Access   (Followers: 12)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
Central European Journal of Public Health     Full-text available via subscription   (Followers: 4)
CES Medicina     Open Access  
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 10)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access  
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia y Cuidado     Open Access  
Ciencia, Tecnología y Salud     Open Access  
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 1)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 2)
Conflict and Health     Open Access   (Followers: 8)
Contraception and Reproductive Medicine     Open Access  
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 3)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access   (Followers: 1)
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Full-text available via subscription  
Duazary     Open Access   (Followers: 1)
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 15)
East African Journal of Public Health     Full-text available via subscription   (Followers: 3)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 16)
EcoHealth     Hybrid Journal   (Followers: 4)
Education for Health     Open Access   (Followers: 5)
electronic Journal of Health Informatics     Open Access   (Followers: 6)
ElectronicHealthcare     Full-text available via subscription   (Followers: 4)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência: Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 2)
Environmental Sciences Europe     Open Access   (Followers: 2)
Epidemics     Open Access   (Followers: 4)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 5)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 20)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 2)
Ethiopian Journal of Health Development     Open Access   (Followers: 8)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 7)
Ethnicity & Health     Hybrid Journal   (Followers: 13)
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 2)
European Medical, Health and Pharmaceutical Journal     Open Access  
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 6)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 8)
Family & Community Health     Partially Free   (Followers: 12)
Family Medicine and Community Health     Open Access   (Followers: 6)
Family Relations     Partially Free   (Followers: 11)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 1)
Food and Public Health     Open Access   (Followers: 11)
Frontiers in Public Health     Open Access   (Followers: 7)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Health : Science and Practice     Open Access   (Followers: 5)
Global Health Promotion     Hybrid Journal   (Followers: 16)
Global Journal of Health Science     Open Access   (Followers: 9)
Global Journal of Public Health     Open Access   (Followers: 12)
Global Medical & Health Communication     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 5)
Hacia la Promoción de la Salud     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 3)
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 15)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 7)
Health and Human Rights     Free   (Followers: 8)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 7)
Health and Social Work     Hybrid Journal   (Followers: 51)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 1)
Health Care Analysis     Hybrid Journal   (Followers: 14)
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 15)
Health Issues     Full-text available via subscription   (Followers: 2)
Health Notions     Open Access  
Health Policy     Hybrid Journal   (Followers: 36)
Health Policy and Technology     Hybrid Journal   (Followers: 1)
Health Professional Student Journal     Open Access   (Followers: 1)
Health Promotion International     Hybrid Journal   (Followers: 21)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 10)
Health Promotion Practice     Hybrid Journal   (Followers: 15)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 48)
Health Psychology Research     Open Access   (Followers: 18)
Health Psychology Review     Hybrid Journal   (Followers: 40)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 12)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access  
Health Sciences and Disease     Open Access   (Followers: 2)
Health Services Insights     Open Access   (Followers: 2)
Health Systems     Hybrid Journal   (Followers: 3)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 13)
Health, Risk & Society     Hybrid Journal   (Followers: 12)
Healthcare     Open Access   (Followers: 1)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 8)
Healthy-Mu Journal     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription  
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
HIV & AIDS Review     Full-text available via subscription   (Followers: 11)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 6)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 2)
Hospitals & Health Networks     Free   (Followers: 4)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 3)
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Health Sciences     Open Access   (Followers: 2)
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)
Inmanencia. Revista del Hospital Interzonal General de Agudos (HIGA) Eva Perón     Open Access  
Innovative Journal of Medical and Health Sciences     Open Access  
Institute for Security Studies Papers     Full-text available via subscription   (Followers: 5)
interactive Journal of Medical Research     Open Access  
International Health     Hybrid Journal   (Followers: 5)
International Journal for Equity in Health     Open Access   (Followers: 7)
International Journal for Quality in Health Care     Hybrid Journal   (Followers: 34)
International Journal of Applied Behavioral Sciences     Open Access   (Followers: 2)
International Journal of Behavioural and Healthcare Research     Hybrid Journal   (Followers: 8)
International Journal of Circumpolar Health     Open Access   (Followers: 1)
International Journal of Community Medicine and Public Health     Open Access   (Followers: 5)
International Journal of E-Health and Medical Communications     Full-text available via subscription   (Followers: 2)
International Journal of Environmental Research and Public Health     Open Access   (Followers: 20)
International Journal of Evidence-Based Healthcare     Hybrid Journal   (Followers: 8)
International Journal of Food Safety, Nutrition and Public Health     Hybrid Journal   (Followers: 16)
International Journal of Health & Allied Sciences     Open Access   (Followers: 3)
International Journal of Health Care Quality Assurance     Hybrid Journal   (Followers: 10)

        1 2 3 | Last

Journal Cover Canadian Family Physician
  [SJR: 0.406]   [H-I: 46]   [12 followers]  Follow
    
   Partially Free Journal Partially Free Journal
   ISSN (Print) 0008-350X - ISSN (Online) 1715-5258
   Published by College of Family Physicians of Canada Homepage  [1 journal]
  • Visites medicales preventives periodiques : une meilleure prestation des
           services de prevention: Par le Groupe detude canadien sur les soins de
           sante preventifs
    • Authors: Birtwhistle, R; Bell, N. R, Thombs, B. D, Grad, R, Dickinson, J. A.
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Deprescription des antihyperglycemiants chez les personnes agees: Guide de
           pratique clinique fonde sur les donnees probantes
    • Authors: Farrell, B; Black, C, Thompson, W, McCarthy, L, Rojas-Fernandez, C, Lochnan, H, Shamji, S, Upshur, R, Bouchard, M, Welch, V.
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Outils dapplication des connaissances en soins de sante preventifs
    • Authors: Moore, A. E; Straus, S. E, Kasperavicius, D, Bell, N. R, Dickinson, J. A, Grad, R, Singh, H, Theriault, G, Thombs, B. D, Colquhoun, H.
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Choosing Wisely Canada recommendations
    • Authors: Klein, S; Mayer, D.
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Outil sur les soins de sante avant la conception: Guichet unique pour les
           soins preconception
    • Authors: Telner, D; Barrett, R, Shirodkar, A, van Hal, A, Salach, L.
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Framework for building primary care capacity to address the social
           determinants of health
    • Authors: Pinto, A. D; Bloch, G.
      Abstract: Problem addressedFamily physicians have long understood that social factors influence the health of individuals and communities; however, most primary care organizations have yet to develop the capacity to specifically address these social determinants of health (SDOH).Objective of programTo support SDOH interventions and foster an organizational culture in which addressing SDOH is considered part of high-quality primary care.Program descriptionAn academic family health team in Toronto, Ont, established a committee comprising a diverse group of health professionals focused on the SDOH. The committee analyzes how social factors affect patients and supports the development and implementation of interventions. The committee’s current interventions include the following: collecting and analyzing detailed sociodemographic data to identify health inequities; launching an income security health promotion service; establishing a medical-legal partnership; implementing a child literacy program in its clinics; and developing an advocacy and service program to improve access to decent work. Each intervention includes a rigorous evaluation plan to assess implementation and effect. Next steps include developing tools to enable organizations to "move upstream" and adopt a health equity approach to all work, including joining in advocacy.ConclusionPrimary care providers are well situated to address SDOH. This article provides a framework that can assist every large primary care organization in establishing a similar committee dedicated to SDOH, which could help build a network across Canada to share lessons learned and support joint advocacy.
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Cardiovascular preventive care for patients with serious mental illness
    • Authors: Ritchie, S; Muldoon, L.
      Abstract: ObjectiveTo determine whether patients with serious mental illness (SMI) are receiving preventive care for cardiovascular disease at the same rate as those without SMI in an interprofessional practice with a mandate to care for persons with barriers to access to the health care system.DesignQuality improvement exercise using a case-matched retrospective chart review.SettingSomerset West Community Health Centre in downtown Ottawa, Ont.ParticipantsAll patients with SMI were adult, current primary care patients from the Somerset West Community Health Centre with a recorded diagnosis of SMI (bipolar affective disorder, schizophrenia, or other psychosis) during the 2-year period from June 1, 2013, to May 31, 2015. Two control patients (current primary care patients without SMI and matched for age and sex) were randomly chosen for each patient with SMI.Main outcome measuresThey had at least 1 record in their electronic chart during the 2-year study period of measurement of blood pressure, weight, body mass index, smoking status, lipid screening results, or diabetes screening results. Prevention score was calculated as the number of preventive tests documented out of the possible 6. Secondary measures included age, sex, comorbidities (diabetes, hypertension, or hyperlipidemia), mental illness diagnosis, involvement of a psychiatrist, and involvement of a mental health case worker.ResultsPatients with SMI had higher rates of diabetes, hypertension, and dyslipidemia. Screening rates for the 6 outcome measures were very similar between patients with and without SMI. Patients with SMI who were under the care of a psychiatrist or who had a case worker had more complete screening results than those who had neither provider.ConclusionAs expected, patients with SMI had higher rates of metabolic comorbidities than control patients had. Screening rates for cardiovascular risk factors were similar in the 2 groups. Involvement of mental health case workers and psychiatrists in the patients’ care might be linked to more complete preventive screening.
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • First Nations hepatitis C virus infections: Six-year retrospective study
           of on-reserve rates of newly reported infections in northwestern Ontario
    • Authors: Gordon, J; Bocking, N, Pouteau, K, Farrell, T, Ryan, G, Kelly, L.
      Abstract: ObjectiveTo document rates of newly reported hepatitis C virus (HCV) cases from 2010 to 2015 in remote First Nations communities.DesignRetrospective analysis of aggregate data of newly reported HCV antibody-positive (Ab+) cases.SettingNorthwestern Ontario.ParticipantsA total of 31 First Nations communities (an on-reserve population of 20 901) supported in health care by the Sioux Lookout First Nations Health Authority.Main outcome measuresThe aggregate characteristic data included year of notification, age range, and sex for a 6-year period (2010 to 2015).ResultsThere were 267 HCV Ab+ cases in the 6-year study period. The incidence in 2015 was 324.2 per 100 000 population. This is 11 times the rate for all of Ontario. The most common associated risk factor was sharing of intravenous drug use equipment. Women made up 52% of patients with newly reported HCV Ab+ cases. More than 45% of cases were in patients between 20 and 29 years of age.ConclusionThis high burden of newly reported HCV Ab+ cases in geographically remote First Nations communities is concerning, and prevention and treatment resources are needed. This burden of disease might pose more urgent health and social challenges than can be generalized from the experience of the rest of Canada.
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Statin-prescribing trends for primary and secondary prevention of
           cardiovascular disease
    • Authors: Brown, F; Singer, A, Katz, A, Konrad, G.
      Abstract: ObjectiveTo determine the proportion of patients receiving statins for primary or secondary prevention of cardiovascular disease (CVD), as well as to describe lipid-screening trends.DesignRetrospective chart review using the Manitoba Primary Care Research Network repository.SettingManitoba.ParticipantsA total of 149 262 patients.Main outcome measuresProportion of patients who were taking statins for primary or secondary prevention of cardiovascular disease (CVD), who did not have evidence of CVD recorded in their charts, and who underwent lipid screening; distribution of statins among age groups; and the proportion of patients eligible for lipid screening when the age cutoffs of the 2012 and 2016 Canadian Cardiovascular Society guidelines were applied.ResultsOf the 149 262 patients, 139 025 (93%) did not have CVD recorded in their electronic medical records and made up the primary prevention group; of these 139 025 patients, 5955 (4%) were taking statins. Also in the primary prevention group, 14 814 (11%) patients were 75 years of age and older; of these patients, 1374 (9%) were taking statins. A total of 10 237 of the 149 262 (7%) patients had CVD recorded in their charts (secondary prevention group); 3013 (29%) of these patients were taking statins. When the 2016 Canadian Cardiovascular Society guidelines age cutoffs were applied, 56% of patients (83 119 of 149 262) were eligible for lipid screening, and 31% (26 024 of 83 119) of them had evidence of screening in the past 5 years. Of the total population of those aged 75 and older, 28% (5597 of 20 188) had undergone lipid screening. Of the total population taking statins, 28% (2481 of 8968) had undergone lipid testing while taking statins.ConclusionIn Manitoba, less than 5% of the primary prevention population and less than 30% of the secondary prevention population had received repeat statin prescriptions from their primary care providers. This represents a possible practice gap that warrants future research, as statins offer considerable morbidity and mortality benefits in these patients.
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Les ideaux de lequilibre et de lharmonie: Comment mesurer le rendement en
           pratique familiale
    • Authors: de Leeuw S.
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Encourager les stagiaires
    • Authors: Rosenthal E. K.
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Incremental heroes
    • Authors: Pimlott N.
      Pages: 822 - 822
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Des heros incrementiels
    • Authors: Pimlott N.
      Pages: 823 - 823
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Periodic preventive health visits: a more appropriate approach to
           delivering preventive services: From the Canadian Task Force on Preventive
           Health Care
    • Authors: Birtwhistle, R; Bell, N. R, Thombs, B. D, Grad, R, Dickinson, J. A.
      Pages: 824 - 826
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Using disease-specific mortality in discussions with patients
    • Authors: Dermer M.
      Pages: 828 - 828
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Response
    • Authors: Kasperavicius, D; Bell, N. R, Grad, R, Dickinson, J. A, Moore, A. E, Singh, H, Thombs, B. D, Wilson, B. J.
      Pages: 828 - 830
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Deprescribing antihyperglycemic agents in older persons: Evidence-based
           clinical practice guideline
    • Authors: Farrell, B; Black, C, Thompson, W, McCarthy, L, Rojas-Fernandez, C, Lochnan, H, Shamji, S, Upshur, R, Bouchard, M, Welch, V.
      Pages: 832 - 843
      Abstract: ObjectiveTo develop an evidence-based guideline to help clinicians make decisions about when and how to safely taper, stop, or switch antihyperglycemic agents in older adults.MethodsWe focused on the highest level of evidence available and sought input from primary care professionals in guideline development, review, and endorsement processes. Seven clinicians (2 family physicians, 3 pharmacists, 1 nurse practitioner, and 1 endocrinologist) and a methodologist comprised the overall team; members disclosed conflicts of interest. We used a rigorous process, including the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach, for guideline development. We conducted a systematic review to assess evidence for the benefits and harms of deprescribing antihyperglycemic agents. We performed a review of reviews of the harms of continued antihyperglycemic medication use, and narrative syntheses of patient preferences and resource implications. We used these syntheses and GRADE quality-of-evidence ratings to generate recommendations. The team refined guideline content and recommendation wording through consensus and synthesized clinical considerations to address common front-line clinician questions. The draft guideline was distributed to clinicians and stakeholders for review and revisions were made at each stage. A decision-support algorithm was developed to accompany the guideline.RecommendationsWe recommend deprescribing antihyperglycemic medications known to contribute to hypoglycemia in older adults at risk or in situations where antihyperglycemic medications might be causing other adverse effects, and individualizing targets and deprescribing accordingly for those who are frail, have dementia, or have a limited life expectancy.ConclusionThis guideline provides practical recommendations for making decisions about deprescribing antihyperglycemic agents. Recommendations are meant to assist with, not dictate, decision making in conjunction with patients.
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Pharmacologic management of chronic neuropathic pain: Review of the
           Canadian Pain Society consensus statement
    • Authors: Mu, A; Weinberg, E, Moulin, D. E, Clarke, H.
      Pages: 844 - 852
      Abstract: ObjectiveTo provide family physicians with a practical clinical summary of the Canadian Pain Society (CPS) revised consensus statement on the pharmacologic management of neuropathic pain.Quality of evidenceA multidisciplinary interest group within the CPS conducted a systematic review of the literature on the current treatments of neuropathic pain in drafting the revised consensus statement.Main messageGabapentinoids, tricyclic antidepressants, and serotonin-norepinephrine reuptake inhibitors are the first-line agents for treating neuropathic pain. Tramadol and other opioids are recommended as second-line agents, while cannabinoids are newly recommended as third-line agents. Other anticonvulsants, methadone, tapentadol, topical lidocaine, and botulinum toxin are recommended as fourth-line agents.ConclusionMany pharmacologic analgesics exist for the treatment of neuropathic pain. Through evidence-based recommendations, the CPS revised consensus statement helps guide family physicians in the management of patients with neuropathic pain.
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Knowledge translation tools in preventive health care
    • Authors: Moore, A. E; Straus, S. E, Kasperavicius, D, Bell, N. R, Dickinson, J. A, Grad, R, Singh, H, Theriault, G, Thombs, B. D, Colquhoun, H.
      Pages: 853 - 858
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Return to learn after concussion in children
    • Authors: Irvine, A; Babul, S, Goldman, R. D.
      Pages: 859 - 862
      Abstract: Question Despite recent interest in the pathophysiology and management of concussion in children, as well as the ongoing concern about return to activity, advice regarding the type and length of cognitive rest has been inconsistent. What should I recommend to the children and adolescents in my clinic regarding cognitive rest following mild concussion'Answer Strict cognitive rest is not needed in those with mild concussion. Evidence suggests a decrease in usual activity to a level that allows children to remain asymptomatic, followed by a gradual return to learning, is appropriate. It is clear that either too little or too much activity is disadvantageous to recovery and can worsen outcomes.
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Intwosusception: Case report of 2 sisters presenting simultaneously with
           intussusception
    • Authors: Strobel, S; Ben-Yakov, M, Tessaro, M. O, Boutis, K.
      Pages: 863 - 865
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Does evidence support supervised injection sites'
    • Authors: Ng, J; Sutherland, C, Kolber, M. R.
      Pages: 866 - 866
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Preconception Health Care Tool: One-stop shop for preconception care
    • Authors: Telner, D; Barrett, R, Shirodkar, A, van Hal, A, Salach, L.
      Pages: 867 - 868
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • The family physician as fifth business
    • Authors: Cameron I. A.
      Pages: 870 - 871
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • The ideals of balance and harmony: How to measure performance in family
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    • Authors: de Leeuw S.
      Pages: 872 - 875
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Encouraging trainees
    • Authors: Rosenthal E. K.
      Pages: 892 - 892
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Value of family physicians
    • Authors: White D.
      Pages: 893 - 893
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • La valeur des medecins de famille
    • Authors: White D.
      Pages: 894 - 894
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Le point sur le Plan dapprentissage personnel
    • Authors: Lemire F.
      Pages: 895 - 895
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
  • Personal learning plan: an update
    • Authors: Lemire F.
      Pages: 896 - 896
      PubDate: 2017-11-14T09:09:38-08:00
      Issue No: Vol. 63, No. 11 (2017)
       
 
 
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