Calgary home to country's first comprehensive vascular birthmark clinic.
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Biomedical subjects
Publications and source records attributed to B Sibbald.
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The Canadian Forces Disaster Assistance Response Team did not take long to adapt to the medical needs of 90,000 survivors of Hurricane Mitch last November.
BACKGROUND: Little is known about the prevalence of atopic eczema outside Northern Europe. OBJECTIVES: We sought to describe the magnitude and variation in the prevalence of atopic eczema symptoms throughout the world. METHODS: A cross-sectional questionnaire survey was conducted on random samples of schoolchildren aged 6 to 7 years and 13 to 14 years from centers in 56 countries throughout the world. Those children with a positive response to being questioned about the presence of an itchy relapsing skin rash in the last 12 months that had affected their skin creases were considered to have atopic eczema. Children whose atopic eczema symptoms resulted in sleep disturbance for 1 or more nights per week were considered to have severe atopic eczema. RESULTS: Complete data was available for 256,410 children aged 6 to 7 years in 90 centers and 458,623 children aged 13 to 14 years in 153 centers. The prevalence range for symptoms of atopic eczema was from less than 2% in Iran to over 16% in Japan and Sweden in the 6 to 7 year age range and less than 1% in Albania to over 17% in Nigeria for the 13 to 14 year age range. Higher prevalences of atopic eczema symptoms were reported in Australasia and Northern Europe, and lower prevalences were reported in Eastern and Central Europe and Asia. Similar patterns were seen for symptoms of severe atopic eczema. CONCLUSIONS: Atopic eczema is a common health problem for children and adolescents throughout the world. Symptoms of atopic eczema exhibit wide variations in prevalence both within and between countries inhabited by similar ethnic groups, suggesting that environmental factors may be critical in determining disease expression. Studies that include objective skin examinations are required to confirm these findings.
This paper highlights a key area of analysis emerging from research undertaken in order to explore cultural differences between medicine and nursing, and implications for primary care. Concerns about the role of nursing in primary health care within the UK are of particular interest to the authors. A specific concern centres on the movement of health care work from one group of health workers to another, in particular from doctors to nurses. A number of studies show that work is moving from doctors to nurses and explore the policy drivers, notably the pressure to improve the cost-effectiveness of care. However, few studies reflect on how ideas, values and beliefs are being challenged, confirmed and used to justify new roles and identities. We are interested in exploring this latter aspect of the movement of health care work, and argue that changing roles and identities create a culture of uncertainty which has important implications for the future of primary health care nursing.
New technology often gives rise to new health and safety concerns. The Model-T didn't come equipped with a seatbelt; now it is standard equipment. For years, bike helmets were purely optional; now many jurisdictions legislate their use. We wear seatbelts and helmets to prevent injuries, yet we spend hours each day at a potentially hazardous activity--keyboarding--with absolutely no thought to our own health and safety. This is starting to take a toll.
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Unemployed, newly wed and newly graduated, Patricia O'Connor was desperate for a job and, to everyone's astonishment, became an ambulance attendant. Twenty-two years later she's still in the field--a true pioneer. She's gone from being the only RN on Ontario's first team of flight paramedics, to starting an air medivac service in the Northwest Territories, to owning Medflight and providing trained flight nurses and paramedics for the N.W.T.
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The Winnipeg inquest into the deaths of 12 young heart patients has ended after nearly 3 years of testimony, much of which centred on a surgeon's competence. The recommendations emerging from it are expected early next year.
Included in China's health care reforms are plans to forge ties with businesses and physicians in Canada. The current challenges centre around the standardization of medical education in China, issues that a Chinese delegation raised during a recent visit to Canada.
Increasingly, health care workers are being threatened and physically attacked by the people they are trying to help. What can physicians do to protect themselves and their coworkers?
Should Recipients who have received Blood from a person who developed Creutzfeldt-Jakob disease be notified, even though there is no proof the disease will be transmitted? Does notification simply cause unnecessary anxiety? Two recipients explained their polar-opposite positions during a recent Health Canada conference.
An Alberta court ruling and new guidelines for physicians issued by the Quebec medical college are giving chronic fatigue syndrome a legitimacy it never before enjoyed. What will this mean for physicians?
National and international agencies are looking at regulating certain chemicals that may have a detrimental effect on the endocrine system. But is there enough research to support such a move?