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COVID-19

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Latest Research

Pelvic floor disorders in women who consult primary re clinics: development and validation of se definitions using primary re electronic medil records
Sue Ross PhD, Hilary Fast MSc, Stephanie Garies MSc and colleagues
May 28, 2020

Pelvic floor disorders in women who consult primary re clinics: development and validation of se definitions using primary re electronic medil records

The authors developed and validated symptom-based se definitions for urinary incontinence, fel incontinence and pelvic organ prolapse in women, for use in primary re epidemiologic or clinil research, using electronic medil record data from the Southern Alberta Primary re Research Network and the nadian Primary re Sentinel Surveillance Network in southern Alberta. Charts of 900 women were included. The sensitivity of the developed definitions was 81.9% for urinary incontinence, 61.2% for fel incontinence, and 51.8% for pelvic organ prolapse, and the specificity was 71.9%, 99.2% and 98.8%, respectively. The corresponding positive predictive values were 40.6%, 81.1%, and 81.1%, and negative predictive values, 94.4%, 97.8% and 95.3%. Given these characteristics, the urinary incontinence definition may be used in epidemiologic research, and the definitions for fel incontinence and pelvic organ prolapse may be used in quality-improvement studies or creation of disease registries, say the authors. Full article

Characteristics of health re related to mental health and substance use disorders among Community Health Centre clients in Ontario: a population-based cohort study
Richard G. Booth RN PhD, Lucie Richard MA, Lihua Li PhD and colleagues
May 23, 2020

Characteristics of health re related to mental health and substance use disorders among Community Health Centre clients in Ontario: a population-based cohort study

Community Health Centre (CHC) client populations in Ontario with a history of mental illness or substance use disorders, or both, are not described well in the literature. The authors conducted a population-based cohort study using provincial health administrative data (2014–2015) among Ontario residents aged 21–105?years with a previously established medil history of a mental illness or substance use disorder, or both. They examined 3?groups: clients of CHC sites that serve at-risk priority populations (PPCHCs), clients of CHC sites that serve nonpriority populations (NPPCHCs) and a community control group of patients with a similar history of health re use related to mental illness or substance use disorders, or both. Compared to the community control patients (n = 1 673 200), clients of PPCHCs (n = 6575) and NPPCHCs (n = 15?208) were younger, experienced more residential instability, had an increased prevalence of medil comorbidities, and had higher odds of receiving re from a psychiatrist or visiting an emergency department. Full article

Epidemiologic features of medil emergencies in remote First Nations in northern Ontario: a cross-sectional descriptive study using air ambulance transport data
David VanderBurgh MD, David W. Savage PhD, Sacha Dubois MPH and colleagues
May 23, 2020

Epidemiologic features of medil emergencies in remote First Nations in northern Ontario: a cross-sectional descriptive study using air ambulance transport data

This study describes the demographic and epidemiologic characteristics of patients transported from 26 remote Nishnawbe Aski Nation communities in northern Ontario to access hospital-based emergency medil re. From 2012?to 2016, 10?538?patients (mean 2107.6?per year) were transported by Ornge, the provincial medil air ambulance service provider. Transport incidence ranged from 9.2?to 9.5?per 100?on-reserve population per year. Women aged 65?years or more had the highest transport incidence (25.9?per 100), and girls aged 5–9 years had the lowest mean incidence (2.1?per 100). Gastrointestinal issues accounted for about 13% of transfers per year. Neurologic issues, respiratory issues and trauma each accounted for about 11% of transfers, and rdiac issues for 9.6%. Patients with obstetric issues accounted for 7.6% of transfers per year, and toxicologic emergencies for 7.5%. Full article

More Research

A virtual re program for outpatients diagnosed with COVID-19: a feasibility study
Philip W. Lam BScPhm MD, Prateek Sehgal MD, Nisha Andany MD MPH and colleagues
May 23, 2020

Risk stratifition of patients with nonalcoholic fatty liver disease using a se identifition pathway in primary re: a cross-sectional study
Abdel Aziz Shaheen MBBCh MPH, Kiarash Riazi MBBCh, Alexandra Medellin MD and colleagues
May 15, 2020

Perinatal health re providers' approaches to recommending and providing pertussis vaccination in pregnancy: a qualitative study
Hana Mijovi? MD MSc, Devon Greyson PhD MLIS, Emily Gemmell MPH and colleagues
May 15, 2020

Improving thiamine prescribing at an ademic hospital network using the computerized provider order entry system: a cohort study
Gregory S. Day MD MSc, Safiya Ladak BScPhm, C. Martin del mpo MD
May 15, 2020

Association of physician payment model and team-based re with timely access in primary re: a population-based cross-sectional study
Tara Kiran MD MSc, Michael E. Green MD MPH, Yvonne DeWit MSc and colleagues
May 7, 2020

Applint gender and matching to first-choice discipline: a cross-sectional analysis of data from the nadian Resident Matching Service (2013–2019)
Shannon M. Ruzycki MD MPH, Madalene Earp PhD, Irene W.Y. Ma MD PhD
May 7, 2020

Relative contribution of maternal adverse childhood experiences to understanding children's externalizing and internalizing behaviours at age 5: findings from the All Our Families cohort
Erin Hetherington PhD, Nicole Racine PhD, Sheri Madigan PhD and colleagues
May 7, 2020

Unnecessary antibiotic prescribing in a nadian primary re setting: a descriptive analysis using routinely collected electronic medil record data
Kevin L. Schwartz MD MSc, Bradley J. Langford PharmD, Nick Daneman MD MSc and colleagues
May 7, 2020

Use of the health re system by Ontario First Nations people with diabetes: a population-based study
Baiju R. Shah MD PhD, Morgan Slater PhD, Eliot Frymire MA and colleagues
May 5, 2020

Patient and primary re physician characteristics associated with billing incentives for chronic diseases in British Columbia: a retrospective cohort study
Kimberlyn McGrail PhD, M. Ruth Lavergne PhD, Megan Ahuja MPH and colleagues
May 5, 2020

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