CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
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Some Canadians who served in the military in the Persian Gulf 4 years ago complain of a range of symptoms commonly described as Gulf War syndrome. Although the syndrome is not recognized as a clinical entity, symptoms include fatigue, lack of sleep, depression, cognitive problems, rashes, bone aches, lassitude, lack of motivation, forgetfulness, mood changes irritability and diarrhea. The medical branch of the Department of National Defence has established programs to inform, guide diagnosis and reach out to symptomatic veterans of the Persian Gulf conflict. Civilian physicians who provide similar care to military personnel who participated in the conflict are invited to call the medical branch (613 996-3752) for further information.
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This month the Senate Committee on Euthanasia and Assisted Suicide will issue its long-awaited report. Within a year, MPs are likely to decide in a free vote whether euthanasia should be legalized in Canada. Indications are that while there is public sentiment supporting euthanasia, there is also vehement opposition, even from some who once supported the right of choice. The Senate committee is wrestling with the issue of whether public opinion and the surreptitious practice of euthanasia are enough to justify changes to the Criminal Code.
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Australia's fabled Royal Flying Doctor Service recently undertook a soul-searching evaluation of its structure, operations and goals. Although there are no plans to stop providing emergency medical services to the residents of the outback, the service may refocus efforts on health promotion and prevention, since 75% of its work involves nonemergency care. Cost efficiency, the key phrase for health care around the globe, will be another goal.