Pub Date : 2024-01-05DOI: 10.15273/dmj.vol49no2.12009
Abigale MacLellan, Madeline Tweel
Medical students need to begin to learn how to innovate earlier in their training. Hackathons offer opportunities to foster innovation in healthcare. We launched a hackathon for medical students to generate solutions to a real-world surgical problem. We focused on generating solutions to better support more women in surgery, an area of medicine where women remain underrepresented. The goal of our event was to not only generate solutions at a systemic level but within our own medical school, break down barriers for female medical students by allowing them to network with Dalhousie surgeons and better explore potential career goals by attending the event. Attendees reported the event provided an opportunity to build problem solving skills, communication skills and the opportunity to network with like-minded peers. Our hackathon supported idea generation however further emphasis on translation of solutions from idea generation to implementation within our healthcare system is needed.
{"title":"Hackathons within medical education: Promoting cutting-edge innovation in surgery","authors":"Abigale MacLellan, Madeline Tweel","doi":"10.15273/dmj.vol49no2.12009","DOIUrl":"https://doi.org/10.15273/dmj.vol49no2.12009","url":null,"abstract":"\u0000 \u0000 \u0000Medical students need to begin to learn how to innovate earlier in their training. Hackathons offer opportunities to foster innovation in healthcare. We launched a hackathon for medical students to generate solutions to a real-world surgical problem. We focused on generating solutions to better support more women in surgery, an area of medicine where women remain underrepresented. The goal of our event was to not only generate solutions at a systemic level but within our own medical school, break down barriers for female medical students by allowing them to network with Dalhousie surgeons and better explore potential career goals by attending the event. Attendees reported the event provided an opportunity to build problem solving skills, communication skills and the opportunity to network with like-minded peers. Our hackathon supported idea generation however further emphasis on translation of solutions from idea generation to implementation within our healthcare system is needed. \u0000 \u0000 \u0000","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"5 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139450160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-05DOI: 10.15273/dmj.vol49no2.12004
Sareen Singh
{"title":"Carving a new path: empowering women in surgery","authors":"Sareen Singh","doi":"10.15273/dmj.vol49no2.12004","DOIUrl":"https://doi.org/10.15273/dmj.vol49no2.12004","url":null,"abstract":"","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"50 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139630098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-05DOI: 10.15273/dmj.vol49no2.12008
Sarah Brothers, Victoria Allen, Christy Woolcott
Objectives: Some evidence suggests that infants born at later gestational age (GA) are at higher risk of developing neonatal abstinence syndrome (NAS). This systematic review estimated the association between GA at delivery and development of NAS in infants born to women on opioid agonist therapy (OAT). Methods: MEDLINE/PubMed, Scopus, Embase, CINAHL, and the Cochrane Central Register of Controlled Trials were searched from January 2000 to April 2023. Studies reporting data on the association between GA and NAS among pregnant women being treated with OAT were eligible for inclusion. Random effects meta-analysis was used to estimate the mean difference in GA between infants affected by NAS and unaffected infants; odds ratio (OR) for the association between preterm birth and NAS; and OR for the association between gestational week and NAS. Results: Of 966 records identified, 38 studies were eligible for this review. The pooled mean difference in GA between infants affected by NAS and unaffected infants was 0.62 weeks (95% CI: 0.08–1.16, I2=90.7%). The odds of developing NAS were estimated to increase by 3% per gestational week (OR 1.03, 95% CI: 0.997-1.06, I2=84.2%). The OR for the association between preterm birth and developing NAS was estimated to be 0.87 (95% CI: 0.63-1.21, I2=85.7%). Conclusions: The data included in this review demonstrate that higher GA is unlikely to be associated with an increased risk of NAS, although poor study quality and significant study heterogeneity were observed.
目的：一些证据表明，胎龄（GA）较晚的婴儿患新生儿禁欲综合征（NAS）的风险较高。本系统综述估计了接受阿片类激动剂治疗（OAT）的妇女所生婴儿的胎龄与新生儿禁欲综合征之间的关系。方法：MEDLINE/PubMed检索了 2000 年 1 月至 2023 年 4 月期间的 MEDLINE/PubMed、Scopus、Embase、CINAHL 和 Cochrane 对照试验中央登记册。报告了接受 OAT 治疗的孕妇中 GA 与 NAS 之间关系的研究数据符合纳入条件。采用随机效应荟萃分析估计受NAS影响的婴儿与未受NAS影响的婴儿之间的GA平均差异、早产与NAS之间的相关性的几率比（OR）以及孕周与NAS之间的相关性的几率比（OR）。结果：在已确定的 966 份记录中，有 38 项研究符合本综述的要求。受NAS影响的婴儿与未受NAS影响的婴儿在孕周方面的合计平均差异为0.62周（95% CI：0.08-1.16，I2=90.7%）。NAS发生几率估计每孕周增加3%（OR 1.03，95% CI：0.997-1.06，I2=84.2%）。早产与罹患 NAS 之间的相关性的 OR 值估计为 0.87（95% CI：0.63-1.21，I2=85.7%）。结论：本综述所包含的数据表明，尽管研究质量较差且存在显著的研究异质性，但较高的GA不太可能与NAS风险的增加有关。
{"title":"The association between gestational age at delivery and neonatal abstinence syndrome: A systematic review and meta-analysis","authors":"Sarah Brothers, Victoria Allen, Christy Woolcott","doi":"10.15273/dmj.vol49no2.12008","DOIUrl":"https://doi.org/10.15273/dmj.vol49no2.12008","url":null,"abstract":"Objectives: Some evidence suggests that infants born at later gestational age (GA) are at higher risk of developing neonatal abstinence syndrome (NAS). This systematic review estimated the association between GA at delivery and development of NAS in infants born to women on opioid agonist therapy (OAT). \u0000Methods: MEDLINE/PubMed, Scopus, Embase, CINAHL, and the Cochrane Central Register of Controlled Trials were searched from January 2000 to April 2023. Studies reporting data on the association between GA and NAS among pregnant women being treated with OAT were eligible for inclusion. Random effects meta-analysis was used to estimate the mean difference in GA between infants affected by NAS and unaffected infants; odds ratio (OR) for the association between preterm birth and NAS; and OR for the association between gestational week and NAS. \u0000Results: Of 966 records identified, 38 studies were eligible for this review. The pooled mean difference in GA between infants affected by NAS and unaffected infants was 0.62 weeks (95% CI: 0.08–1.16, I2=90.7%). The odds of developing NAS were estimated to increase by 3% per gestational week (OR 1.03, 95% CI: 0.997-1.06, I2=84.2%). The OR for the association between preterm birth and developing NAS was estimated to be 0.87 (95% CI: 0.63-1.21, I2=85.7%). \u0000Conclusions: The data included in this review demonstrate that higher GA is unlikely to be associated with an increased risk of NAS, although poor study quality and significant study heterogeneity were observed.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"96 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139450260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-05DOI: 10.15273/dmj.vol49no2.12011
Mary Kathryn McIntosh, Megan Smith, Maggie Flemming, Taylor Jordan
{"title":"Cutting edge hackathon competition winners strive to better support more surgeons with primary childcare responsibilities","authors":"Mary Kathryn McIntosh, Megan Smith, Maggie Flemming, Taylor Jordan","doi":"10.15273/dmj.vol49no2.12011","DOIUrl":"https://doi.org/10.15273/dmj.vol49no2.12011","url":null,"abstract":"","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"106 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139629818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-05DOI: 10.15273/dmj.vol49no2.12010
Gizelle Francis, Emma MacLean, Emma McDermott
Background: Women represent over 50% of medical school classes in Canada, yet only 36.8% of surgical residency applicants identified as female from 1995-2019. One potential explanation for this discrepancy is the lack of work-life balance. Job sharing is an alternative work schedule in which two employees share the responsibilities of one full-time job. Although job sharing is not common in medicine, it may provide a solution to this issue. This paper proposes the implementation of job sharing to increase women representation in surgical specialties and discusses the benefits it would provide to patients, physicians, and the healthcare system. Methods: The authors developed a pitch for job sharing in medicine after conducting a review of the literature as part of their participation in the Cutting Edge Womxn in Surgery Hackathon at Dalhousie University. Results: Job sharing has been successfully implemented in other industries and could have numerous benefits in medicine, such as preventing burnout and increasing women representation in surgical specialties. Physicians who practice job sharing report feeling supported while having improved work-life balance. Conclusion: Job sharing is a promising solution to increase women representation in surgical specialties and prevent burnout among physicians. The implementation of job sharing would benefit patients, physicians, and administration. By targeting excessive workload and promoting work-life balance, physicians can feel more satisfied in their roles and provide higher quality care to their patients. Job sharing warrants further exploration as a potential solution to the underrepresentation of women in surgical specialties and the burnout epidemic in the medical profession.
{"title":"Two for the price of one: The benefits of job sharing to increase women representation in surgical specialties","authors":"Gizelle Francis, Emma MacLean, Emma McDermott","doi":"10.15273/dmj.vol49no2.12010","DOIUrl":"https://doi.org/10.15273/dmj.vol49no2.12010","url":null,"abstract":"Background: Women represent over 50% of medical school classes in Canada, yet only 36.8% of surgical residency applicants identified as female from 1995-2019. One potential explanation for this discrepancy is the lack of work-life balance. Job sharing is an alternative work schedule in which two employees share the responsibilities of one full-time job. Although job sharing is not common in medicine, it may provide a solution to this issue. This paper proposes the implementation of job sharing to increase women representation in surgical specialties and discusses the benefits it would provide to patients, physicians, and the healthcare system. \u0000Methods: The authors developed a pitch for job sharing in medicine after conducting a review of the literature as part of their participation in the Cutting Edge Womxn in Surgery Hackathon at Dalhousie University. \u0000Results: Job sharing has been successfully implemented in other industries and could have numerous benefits in medicine, such as preventing burnout and increasing women representation in surgical specialties. Physicians who practice job sharing report feeling supported while having improved work-life balance. \u0000Conclusion: Job sharing is a promising solution to increase women representation in surgical specialties and prevent burnout among physicians. The implementation of job sharing would benefit patients, physicians, and administration. By targeting excessive workload and promoting work-life balance, physicians can feel more satisfied in their roles and provide higher quality care to their patients. Job sharing warrants further exploration as a potential solution to the underrepresentation of women in surgical specialties and the burnout epidemic in the medical profession.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"19 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139536056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-05DOI: 10.15273/dmj.vol49no2.12002
Olivia MacIntyre, Sophie Gaube, Hannah Price
While the number of females entering medical training has been increasing in recent years, only 30% of surgeons in Canada are women. This discrepancy can be attributed to many aspects, and the lack of representation is a notable barrier that aspiring female surgeons face early in their medical careers. With the growing popularity of virtual platforms, many thread-based discussion websites have placed connecting with like-minded individuals at our fingertips. An accessible platform for women interested in surgery is a natural progression to help bridge the gender gap within the field, and yet it has not been created. While there are many pre-existing women in surgery organizations that promote a mentorship ideology, accessibility is limited by membership fees. A completely free, thread-based platform that connects both prospective and current women in surgery may serve to advance the field through the lens of diversity and collaboration.
{"title":"A discussion of contemporary platforms for women in surgery","authors":"Olivia MacIntyre, Sophie Gaube, Hannah Price","doi":"10.15273/dmj.vol49no2.12002","DOIUrl":"https://doi.org/10.15273/dmj.vol49no2.12002","url":null,"abstract":"While the number of females entering medical training has been increasing in recent years, only 30% of surgeons in Canada are women. This discrepancy can be attributed to many aspects, and the lack of representation is a notable barrier that aspiring female surgeons face early in their medical careers. With the growing popularity of virtual platforms, many thread-based discussion websites have placed connecting with like-minded individuals at our fingertips. An accessible platform for women interested in surgery is a natural progression to help bridge the gender gap within the field, and yet it has not been created. While there are many pre-existing women in surgery organizations that promote a mentorship ideology, accessibility is limited by membership fees. A completely free, thread-based platform that connects both prospective and current women in surgery may serve to advance the field through the lens of diversity and collaboration.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"71 S319","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139630009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-14DOI: 10.15273/dmj.vol49no1.11644
B. Cruickshank
Anthracycline induced cardiotoxicity is a well-recognized complication in pediatric oncology. The use of the cardio-protective drug dexrazoxane has gained traction despite its unclear efficacy and toxicity. A retrospective, population-based study was completed using chart and database information on children treated with anthracycline at the IWK Health Centre from 2009-2015 (n=178). The efficacy of dexrazoxane was defined as a lack of undesirable deviations in identified cardiac parameters on echocardiogram. Toxicity of dexrazoxane was defined as chemotherapy delays from any of decreased absolute neutrophil count (ANC), decreased platelets, increase in viral/bacterial episodes and febrile neutropenia (FN) episodes. Patients were stratified into groups based on the total amount of anthracycline received and whether they received dexrazoxane. Regardless of anthracycline dose, we found no significant relationships regarding cardiac function in the untreated and dexrazoxane treated groups. However, we found that patients who were treated with >250mg/m2 of anthracycline and received dexrazoxane experienced significantly more platelet delays but no cardiac benefit (p=0.007). When classified by diagnosis, we also found that dexrazoxane treated patients diagnosed with low-risk acute lymphocytic leukemia (LR-ALL) were likely to experience a delay in treatment due to both low ANC (p=0.0001) and the development of FN (p=0.02) whereas high-risk acute lymphocytic leukemia (HR-ALL) patients were likely to experience treatment delays due to thrombocytopenia (p=0.03), low ANC (p=0.0001) and FN (p=0.0001). Despite finding no significant differences regarding the efficacy of dexrazoxane as a cardio-protectant, we have shown that its use induces non-cardiac toxicities in children with cancer that contribute to treatment delays.
{"title":"The efficacy and toxicity of dexrazoxane use in children with cancer: A pupulation-based study from Maritimes, Canada","authors":"B. Cruickshank","doi":"10.15273/dmj.vol49no1.11644","DOIUrl":"https://doi.org/10.15273/dmj.vol49no1.11644","url":null,"abstract":"Anthracycline induced cardiotoxicity is a well-recognized complication in pediatric oncology. The use of the cardio-protective drug dexrazoxane has gained traction despite its unclear efficacy and toxicity. A retrospective, population-based study was completed using chart and database information on children treated with anthracycline at the IWK Health Centre from 2009-2015 (n=178). The efficacy of dexrazoxane was defined as a lack of undesirable deviations in identified cardiac parameters on echocardiogram. Toxicity of dexrazoxane was defined as chemotherapy delays from any of decreased absolute neutrophil count (ANC), decreased platelets, increase in viral/bacterial episodes and febrile neutropenia (FN) episodes. Patients were stratified into groups based on the total amount of anthracycline received and whether they received dexrazoxane. Regardless of anthracycline dose, we found no significant relationships regarding cardiac function in the untreated and dexrazoxane treated groups. However, we found that patients who were treated with >250mg/m2 of anthracycline and received dexrazoxane experienced significantly more platelet delays but no cardiac benefit (p=0.007). When classified by diagnosis, we also found that dexrazoxane treated patients diagnosed with low-risk acute lymphocytic leukemia (LR-ALL) were likely to experience a delay in treatment due to both low ANC (p=0.0001) and the development of FN (p=0.02) whereas high-risk acute lymphocytic leukemia (HR-ALL) patients were likely to experience treatment delays due to thrombocytopenia (p=0.03), low ANC (p=0.0001) and FN (p=0.0001). Despite finding no significant differences regarding the efficacy of dexrazoxane as a cardio-protectant, we have shown that its use induces non-cardiac toxicities in children with cancer that contribute to treatment delays.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115407424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-14DOI: 10.15273/dmj.vol49no1.11642
L. Davidson
Background: The Child and Family Traumatic Stress Intervention (CFTSI) is an evidence-based early intervention shown to reduce post-traumatic stress in children and adolescents. This intervention has not been explored in the context of the Canadian healthcare landscape, and more specifically at Child and Youth Advocacy Centres (CYACs); multi-disciplinary service hubs who serve those exposed to trauma. Objective: Examine the feasibility and usefulness of the CFTSI in the context of Canadian CYACs. Methods: A mixed-methods design was utilized, consisting of a validated, nationally distributed online survey which served as an environmental scan, and key informant interviews, which were thematically analyzed. Results: 15 of 29 invited centres participated. Prior to this study, six of 15 respondents had been aware of the CFTSI. Furthermore, two participants reported current use of the CFTSI. Of the 13 centres not using it, 10 expressed that the CFTSI would be an acceptable and relevant intervention at their centre, and there was significant interest in possible future implementation. Interviews with experienced clinicians revealed benefits and challenges of the CFTSI’s format, and the influence of family structure, culture and trauma history on outcomes. Finally, some considerations specific to Canadian centres were uncovered and direction for future research suggested. Conclusion: Our findings collectively underscore the potential of the CFTSI to bolster mental health services, which are a priority area requiring improvement at Canadian CYACs. Additionally, this study highlights benefits and challenges relevant to Canadian practice and wide-spread implementation of the CFTSI in this country.
{"title":"The Child and Family Traumatic Stress Intervention in Canadian child and youth advocacy centres","authors":"L. Davidson","doi":"10.15273/dmj.vol49no1.11642","DOIUrl":"https://doi.org/10.15273/dmj.vol49no1.11642","url":null,"abstract":" Background: The Child and Family Traumatic Stress Intervention (CFTSI) is an evidence-based early intervention shown to reduce post-traumatic stress in children and adolescents. This intervention has not been explored in the context of the Canadian healthcare landscape, and more specifically at Child and Youth Advocacy Centres (CYACs); multi-disciplinary service hubs who serve those exposed to trauma. Objective: Examine the feasibility and usefulness of the CFTSI in the context of Canadian CYACs. Methods: A mixed-methods design was utilized, consisting of a validated, nationally distributed online survey which served as an environmental scan, and key informant interviews, which were thematically analyzed. Results: 15 of 29 invited centres participated. Prior to this study, six of 15 respondents had been aware of the CFTSI. Furthermore, two participants reported current use of the CFTSI. Of the 13 centres not using it, 10 expressed that the CFTSI would be an acceptable and relevant intervention at their centre, and there was significant interest in possible future implementation. Interviews with experienced clinicians revealed benefits and challenges of the CFTSI’s format, and the influence of family structure, culture and trauma history on outcomes. Finally, some considerations specific to Canadian centres were uncovered and direction for future research suggested. Conclusion: Our findings collectively underscore the potential of the CFTSI to bolster mental health services, which are a priority area requiring improvement at Canadian CYACs. Additionally, this study highlights benefits and challenges relevant to Canadian practice and wide-spread implementation of the CFTSI in this country.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126203645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-14DOI: 10.15273/dmj.vol49no1.11646
H. Stubeda
This case report describes a 32-year-old female who presented with severe dyspnea and exertional intolerance to an emergency department in a rural area of Nova Scotia. The diagnosis was made by corroborating the value of the erythrocyte sedimentation rate, the level of N-terminal prohormone of brain natriuretic peptide, and a transthoracic echocardiogram, which respectively showed an inflammatory pattern, myocardial strain, and classic sonographic findings consistent with constrictive pericarditis. The patient was treated with oral colchicine, naproxen, and prednisone resulting in complete resolution of laboratory and sonographic abnormalities. Availability of echocardiography in a rural setting can promptly and definitively diagnose and rule out many structural and functional disorders of the heart, including rare pathologies such as constrictive pericarditis.
{"title":"A case of transient constrictive pericarditis in rural Nova Scotia","authors":"H. Stubeda","doi":"10.15273/dmj.vol49no1.11646","DOIUrl":"https://doi.org/10.15273/dmj.vol49no1.11646","url":null,"abstract":"This case report describes a 32-year-old female who presented with severe dyspnea and exertional intolerance to an emergency department in a rural area of Nova Scotia. The diagnosis was made by corroborating the value of the erythrocyte sedimentation rate, the level of N-terminal prohormone of brain natriuretic peptide, and a transthoracic echocardiogram, which respectively showed an inflammatory pattern, myocardial strain, and classic sonographic findings consistent with constrictive pericarditis. The patient was treated with oral colchicine, naproxen, and prednisone resulting in complete resolution of laboratory and sonographic abnormalities. Availability of echocardiography in a rural setting can promptly and definitively diagnose and rule out many structural and functional disorders of the heart, including rare pathologies such as constrictive pericarditis.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123608060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-14DOI: 10.15273/dmj.vol49no1.11640
D. Hughes
A 10-month-old infant with Prader-Willi Syndrome presented with a 7 month history of increased work of breathing, wheeze, inspiratory crepitations, and mild hypoxemia. Subsequent investigations including chest CT suggested the diagnosis to be neuroendocrine cell hyperplasia of infancy (NEHI). NEHI is a rare cause of children’s interstitial lung disease. Childhood interstitial lung disease should be considered in an infant with persistent tachypnea, crepitations, and hypoxemia.
{"title":"A 10-month-old infant with respiratory distress and hypoxemia","authors":"D. Hughes","doi":"10.15273/dmj.vol49no1.11640","DOIUrl":"https://doi.org/10.15273/dmj.vol49no1.11640","url":null,"abstract":" A 10-month-old infant with Prader-Willi Syndrome presented with a 7 month history of increased work of breathing, wheeze, inspiratory crepitations, and mild hypoxemia. Subsequent investigations including chest CT suggested the diagnosis to be neuroendocrine cell hyperplasia of infancy (NEHI). NEHI is a rare cause of children’s interstitial lung disease. Childhood interstitial lung disease should be considered in an infant with persistent tachypnea, crepitations, and hypoxemia.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122250179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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