The Canadian journal of clinical pharmacology = Journal canadien de pharmacologie clinique
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Can J Clin Pharmacol · Jan 2008
Comparative StudyFetal alcohol spectrum disorder: New Zealand birth mothers' experiences.
The aim of this study was to describe the 'lived' experiences of New Zealand birth mothers, from pregnancy onwards, of a child/ren diagnosed with Fetal Alcohol Spectrum Disorder (FASD). ⋯ Health, social, educational, judicial professionals, policy-makers and agencies, need to understand and be educated in the daily realities and complex problems that children with FASD and their families face. Only then will the correct diagnosis be made so that these individuals can receive the nurturing, needs, education, funding and support they require in order to live full and meaningful lives and have the quality of life they deserve.
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Can J Clin Pharmacol · Jan 2008
Medical residents' and students' attitudes towards herbal medicines: a pilot study.
There is a growing public interest in complementary and alternative treatments. The attitudes and perceptions regarding herbal therapies have not been evaluated amongst physicians-in-training. ⋯ Although residents and medical student clinical clerks encounter many patients who use herbal medicines, their own lack of knowledge and personal experience limit their ability to assist these patients in this area. Increased training on the benefits and risks of herbal medicines may help physicians-in-training care for patients using herbal medicines. Key words: Primary care education, postgraduate/intern training, herbal medicines.
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Can J Clin Pharmacol · Jan 2007
Comparative StudyA probabilistic cost-effectiveness analysis of enoxaparin versus unfractionated heparin for the prophylaxis of deep-vein thrombosis following major trauma.
In the absence of major contraindications, treatment guidelines recommend that, following a major traumatic event, all patients receive low molecular weight heparin (e.g. enoxaparin) as thromboprophylaxis for the prevention of deep vein thrombosis (DVT). ⋯ Although enoxaparin appears to be a cost-effective alternative when considering the intermediate endpoint of DVTs averted, it may be dominated by UH in terms of LYG due to the higher incidence of major bleeds in patients receiving enoxaparin versus UH.
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Can J Clin Pharmacol · Jan 2007
Comparative StudyA probabilistic cost-effectiveness analysis of enoxaparin versus unfractionated heparin for the prophylaxis of deep-vein thrombosis following major trauma.
In the absence of major contraindications, treatment guidelines recommend that, following a major traumatic event, all patients receive low molecular weight heparin (e.g. enoxaparin) as thromboprophylaxis for the prevention of deep vein thrombosis (DVT). ⋯ Although enoxaparin appears to be a cost-effective alternative when considering the intermediate endpoint of DVTs averted, it may be dominated by UH in terms of LYG due to the higher incidence of major bleeds in patients receiving enoxaparin versus UH.
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Can J Clin Pharmacol · Jan 2006
ReviewSafety and efficacy of black cohosh (Cimicifuga racemosa) during pregnancy and lactation.
There is a lack of basic knowledge on the part of both clinicians and patients as to the indications for use and safety of herbal medicines in pregnancy and lactation. This is one article in a series that systematically reviews the evidence for commonly used herbs during pregnancy and lactation. ⋯ Black cohosh should be used with caution during pregnancy, particularly during the first trimester where its purported labour-inducing effects could be of concern, and during lactation. Black cohosh should undergo rigorous high quality human studies to determine its safety in pregnancy and lactation.