CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
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Biography Historical Article
An appreciation of A.E. Malloch, MB, MD (1844-1919): a forgotten surgical pioneer.
Dr. Archibald Edward Malloch was a surgeon whose life and work were greatly influenced by Joseph Lister and his revolutionary system of antiseptic surgery. This paper describes how a young Canadian medical man came to introduce Lister's system to North America in 1869 and studies his career in the light of Lister's surgical epoch.
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Physicians who practise alternative medicine are paying close attention to the case of an Ontario physician who was found guilty of professional misconduct. The College of Physicians and Surgeons of Ontario says it is simply doing its job.
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Alcohol abuse produces a considerable burden of illness in the Canadian population. The diagnosis of alcohol dependence and withdrawal can be difficult, particularly in the setting of covert intake or comorbidity. Two validated scales, the CAGE questionnaire to screen for alcohol abuse and dependence and the Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale to assess the severity of withdrawal, are valuable tools for clinicians to use on a regular basis. ⋯ Neuroleptics are not recommended for routine use. Sedation with benzodiazepines guided by the CIWA-Ar results is recommended. There is good evidence that the management of alcohol withdrawal can be improved with the routine use of the CIWA-Ar scale to assess severity, treatment with adequate doses of benzodiazepines and follow-up monitoring of patients in alcohol withdrawal.