Canadian Journal of Rural Medicine articles from March 2009

Canadian Journal of Rural Medicine archives from March 2009

Rural health under attack/La sante rurale attaquee.(Editorial)
March 22, 2009... I've handled highway trauma, difficult deliveries and heart attacks by the score, but, as a rural doctor, nothing drives fear into my heart more than a threat to my tools of the trade--the nurses, equipment and support that a hospital...

President's message. Reflections from Laos/Message du president. Reflexions au sujet du Laos.(Editorial)
March 22, 2009... [ILLUSTRATION OMITTED] Laos has a population that is 70% rural, water that must be boiled before drinking, a population with a short life expectancy, and high rates of infant and maternal mortality. I have been working with the country's...

RuralMed: the SRPC listserv/MedRurale : la liste de diffusion de la SMRC.
March 22, 2009... RuralMed Subscription to RuralMed is by request. Send an email message to: admin@srpc.ca. Include your full name and email address. If you include a short biography it will be posted to the list as your introduction. You can also...

Brief smoking cessation interventions by family physicians in northwestern Ontario rural hospitals.(ORIGINAL ARTICLE/ARTICLE ORIGINAL)(Survey)
March 22, 2009... INTRODUCTION We report on physicians' beliefs, confidence and clinical practice relative to the provision of smoking cessation interventions to in-patients in northwestern (NW) Ontario rural hospitals. Tobacco use is the leading...

How important are out-of-pocket costs to rural patients' cancer care decisions?(ORIGINAL ARTICLE/ARTICLE ORIGINAL)(Report)
March 22, 2009... INTRODUCTION The treatment of complex diseases such as cancer requires highly specialized professionals, equipment and services. For example, in Newfoundland and Labrador, the bulk of cancer services is centralized in St. John's, the...

Prevalence of impaired glucose tolerance and the components of metabolic syndrome in Canadian Tsimshian Nation youth.(ORIGINAL ARTICLE/ARTICLE ORIGINAL)(Report)
March 22, 2009... INTRODUCTION The rising prevalence of childhood obesity within the last decade has been associated with a corresponding increase in the incidence of type 2 diabetes (T2D) and the cluster of cardiovascular disease (CVD) risk factors...

The occasional acute application of continuous positive airway pressure.(The Practitioner/Le practicien)(Report)
March 22, 2009... INTRODUCTION Noninvasive positive pressure ventilation evolved over several decades because of the need to avoid the complications of intubation when respiratory support became necessary. The most useful modalities have been continuous...

Country cardiograms case 33.(The Practitioner/Le practicien)(Report)(Brief article)
March 22, 2009... A 75-year-old man presents to a rural emergency department with a 1-hour history of severe central chest pain. He has no preceding history of pain and no cardiac risk factors. The patient's initial electrocardiogram (ECG) is shown in Figure 1....

Rural and remote obstetric care close to home: program description, evaluation and discussion of Sioux Lookout Meno Ya Win Health Centre obstetrics.(Descriptive Article/Article descriptif)
March 22, 2009... [ILLUSTRATION OMITTED] INTRODUCTION Delivery of obstetric services to remote communities in Canada will always be challenging. Despite decades of experience there are limited descriptions of successful models of care. In 1997, the...

Country cardiograms case 33: Answer.(THE PRACTITIONER LE PRATICIEN)(Report)(Brief article)
March 22, 2009... [ILLUSTRATION OMITTED] Figure 1 exhibits features of anterior ST elevation myocardial infarction. There is significant ST segment elevation in leads V1-V4. To a lesser degree there is ST segment elevation in the inferior leads, with...