CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
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To develop guidelines for the diagnosis and management of community-acquired pediatric pneumonia. ⋯ The development of these guidelines and the technical support and assistance of Core Health Inc. in preparing this manuscript were funded through an unrestricted educational grant from Abbott Laboratories Canada. The sponsoring company was not involved in determining the membership of the consensus group or the content of the guidelines.
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Although the majority of physicians entering residency training in Canada will enjoy fulfilling careers in their chosen specialty, today's postgraduate training system has its critics. Among them are the new graduates who are not satisfied with the residency positions offered to them and practising physicians who would like to re-enter the system to train in a new specialty but find themselves locked out.
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From the time the medical school's acceptance letter is opened, students eagerly set off on the yellow brick road in pursuit of the attributes of the good physician: intelligence, compassion and courage. The students already possess these traits, just as the Scarecrow, Tin Man and Lion did before they set out for Oz, but they may dissolve in education systems that still decree that the initiation to medicine involve tonnes of tutored words and consuming call schedules.
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Biography Historical Article
Pioneering Alberta cardiac surgeons walked into uncharted territory 40 years ago.
When Dr. John Callaghan performed Canada's first successful open-heart surgery in Edmonton in 1956, the operation took 10 hours and the heart-lung pump he used looked like it had come from the shelves at Canadian Tire. Today the operation takes a couple of hours and the heart-lung pumps used cost $150,000. This article discusses Calaghan's pioneering work, which was recently honoured by University Hospital in Edmonton.
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Clinical Trial Controlled Clinical Trial
Time to treatment with thrombolytic therapy: determinants and effect on short-term nonfatal outcomes of acute myocardial infarction. Canadian GUSTO Investigators. Global Utilization of Streptokinase and + PA for Occluded Coronary Arteries.
To characterize the extent of delay in administration of thrombolytic therapy to patients with acute myocardial infarction (AMI) in Canada, to examine patient-specific predictors of such delay and to measure the effect of delay on short-term nonfatal cardiac outcomes. ⋯ After arrival at a hospital, Canadian patients enrolled in GUSTO-I received thrombolytic therapy more slowly than trial enrollees in other countries. Such delays are already known to decrease the rate of short-term survival after AMI. The findings further show that long time to treatment also increases the odds of nonfatal, serious cardiac events. Hospitals and physicians caring for patients with AMI should routinely assess whether and how they can improve door-to-needle times.