CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
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Review
Effectiveness of interventions to prevent delirium in hospitalized patients: a systematic review.
To determine the effectiveness of interventions to prevent delirium in hospitalized patients. ⋯ Interventions to prevent delirium among surgical patients may be modestly effective, but further trials are necessary.
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Firearms cause more than three deaths daily in Canada. The rate of mortality from gunshot wounds varies among provinces and territories, ranging from 5.7 to 21.2 per 100,000 people. Most deaths from gunshot wounds occur in the home, with more occurring in rural areas than in cities, and are inflicted with legally acquired hunting guns. ⋯ In this spirit, the Quebec Public Health Network has taken a position supporting better controls on access to firearms, including the licensing and registration of all firearms and their ownership, to prevent deaths and injuries. The network believes that licensing and registration will reduce the problems related to firearms by making owners accountable for the use of their firearms, improving public safety, helping to control the import and circulation of firearms, reinforcing research and education, and reducing access to firearms in homes. Licensing and registration do not interfere with legitimate firearm use, their cost is acceptable in light of the advantages they provide, and they are desired by most Canadians.
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Biography Historical Article
Seventy-five years later, insulin remains Canada's major medical-research coup.
The world observes the 75th anniversary of the landmark discovery of insulin this year, a medical miracle that bears a large "made-in-Canada" stamp. CMAJ played a part in this story by publishing preliminary results of the first clinical trial on a human in March 1922. November is Diabetes Month, and to mark World Diabetes Day on Nov. 14 CMAJ once again heralds the accomplishment of the four discoverers of insulin.
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A mandatory cardiopulmonary resuscitation (CPR) program that started as a pilot project in Ottawa-area high schools is expanding to other Canadian schools. Besides CPR techniques, Grade 9 students are being taught about healthy lifestyles and how to recognize cardiac arrest. Emergency physician Justin Maloney, the program's principal architect, believes that in a decade this mandatory training will translate into increased bystander-initiated CPR and improved chances of survival for victims of cardiac arrest.