Pub Date : 2019-12-16DOI: 10.15273/dmj.vol46no1.9828
Connor McGuire, Todd Dow, Emma Crawley, Kit Moran, D. Davies
Background: The number of students applying to surgical residency programs is declining. The reasons are multi- factorial, however early exposure has been shown to increase application rates and decrease residency attrition rates. The objective of this study is to evaluate the Surgical Exploration and Discovery (SEAD) program, an early surgical exposure program, on its efficacy and influence on medical school electives. Methods: Two online surveys were distributed to participants of the SEAD program from 2016-2017.The surveys addressed demographics and prior surgical exposure, efficacy of the program, and the role of SEAD on influencing choice of electives.The Likert scale was used to measure responses along with multiple-choice questions. Univariate descriptive statistics were completed on all variables. Results: All participants (n = 36, 100% response rate) reported that SEAD made them more likely to enter a surgical career (Mean: 4.1 out of 5, SD: 0.8), helped narrow down career options (Mean: 4.0, SD: 0.9), and improved comfort in the OR environment (Mean: 4.7, SD; 0.5).The majority of students were planning to, or had completed at least one surgical elective in second year (72.2%) and felt that the program will influence their choice of electives in fourth year (Mean: 4.0, SD: 0.6). Conclusion:The SEAD program is an effective method to help students make career decisions, offer early surgical exposure, and help with choice of medical electives.With a lack of early surgical exposure, and declining interest in surgical programs the SEAD program is a valuable addition to medical school education.
{"title":"Early surgical exposure for medical students: Efficacy and effect on choice of electives","authors":"Connor McGuire, Todd Dow, Emma Crawley, Kit Moran, D. Davies","doi":"10.15273/dmj.vol46no1.9828","DOIUrl":"https://doi.org/10.15273/dmj.vol46no1.9828","url":null,"abstract":"Background: The number of students applying to surgical residency programs is declining. The reasons are multi- factorial, however early exposure has been shown to increase application rates and decrease residency attrition rates. The objective of this study is to evaluate the Surgical Exploration and Discovery (SEAD) program, an early surgical exposure program, on its efficacy and influence on medical school electives. Methods: Two online surveys were distributed to participants of the SEAD program from 2016-2017.The surveys addressed demographics and prior surgical exposure, efficacy of the program, and the role of SEAD on influencing choice of electives.The Likert scale was used to measure responses along with multiple-choice questions. Univariate descriptive statistics were completed on all variables. Results: All participants (n = 36, 100% response rate) reported that SEAD made them more likely to enter a surgical career (Mean: 4.1 out of 5, SD: 0.8), helped narrow down career options (Mean: 4.0, SD: 0.9), and improved comfort in the OR environment (Mean: 4.7, SD; 0.5).The majority of students were planning to, or had completed at least one surgical elective in second year (72.2%) and felt that the program will influence their choice of electives in fourth year (Mean: 4.0, SD: 0.6). Conclusion:The SEAD program is an effective method to help students make career decisions, offer early surgical exposure, and help with choice of medical electives.With a lack of early surgical exposure, and declining interest in surgical programs the SEAD program is a valuable addition to medical school education.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127514773","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 : 2019-05-27DOI: 10.15273/DMJ.VOL45NO2.8995
Ricarda M. Konder
This paper discusses the relationship between various types of neurological disease and stylistic changes in painters. By first outlining the hypothesized neuroanatomical bases of creativity, the discussion then relates localized brain damage to various stylistic changes in painters and previously non-artists. It also explores artistic style in the context of more global neurological damage, such as dementias and neurotransmitter imbalances.The literature suggests that focal neurological insults (such as strokes or head injuries) may more often lead to focal deficits in painters, such as the loss of visuospatial ability or partial hemineglect. More widespread neurological damage may be associated with more global stylistic changes; for example, dopamine replacement therapy for Parkinson’s disease has been shown to produce a more impressionist painting style in numerous recorded artists. In several case studies, brain damage actually led to the emergence of de novo artistic ability.While these changes in artistic style may not be rigidly predictable based on the limited literature available, this paper demonstrates that both artists and non-artists may experience significant changes in artistic style after neurological disease. Patient narratives also suggest that painting may serve as an empowering personal coping and communication strategy, aiding patients in navigating their complex illnesses.
{"title":"From expressionless to impressionist: Exploring the link between neurological disease and artistic style in painters","authors":"Ricarda M. Konder","doi":"10.15273/DMJ.VOL45NO2.8995","DOIUrl":"https://doi.org/10.15273/DMJ.VOL45NO2.8995","url":null,"abstract":"This paper discusses the relationship between various types of neurological disease and stylistic changes in painters. By first outlining the hypothesized neuroanatomical bases of creativity, the discussion then relates localized brain damage to various stylistic changes in painters and previously non-artists. It also explores artistic style in the context of more global neurological damage, such as dementias and neurotransmitter imbalances.The literature suggests that focal neurological insults (such as strokes or head injuries) may more often lead to focal deficits in painters, such as the loss of visuospatial ability or partial hemineglect. More widespread neurological damage may be associated with more global stylistic changes; for example, dopamine replacement therapy for Parkinson’s disease has been shown to produce a more impressionist painting style in numerous recorded artists. In several case studies, brain damage actually led to the emergence of de novo artistic ability.While these changes in artistic style may not be rigidly predictable based on the limited literature available, this paper demonstrates that both artists and non-artists may experience significant changes in artistic style after neurological disease. Patient narratives also suggest that painting may serve as an empowering personal coping and communication strategy, aiding patients in navigating their complex illnesses.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126220610","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 : 2019-05-27DOI: 10.15273/DMJ.VOL45NO2.8990
Danica Vidovic
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{"title":"Physician burnout: Current perspectives","authors":"Danica Vidovic","doi":"10.15273/DMJ.VOL45NO2.8990","DOIUrl":"https://doi.org/10.15273/DMJ.VOL45NO2.8990","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116240338","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 : 2019-05-27DOI: 10.15273/DMJ.VOL45NO2.8998
C. Gillis, David Harvey, Nicole Bishop, G. Walsh, A. Dubrowski
Urinary catheter insertion is one of the most widely performed procedures in a clinical setting. Inexperienced cath- eterizations constitute a high percentage of urethral trauma in hospital settings, with as high as 75% of comorbidities related to inaccurate insertion. Simulation training can help learners feel more confident, shorten the learning curve, and provide a safe learning environment for novices to make, and learn from, mistakes. Three dimensional (3D)- printed simulation models are as effective as commercially available models for novice learners, and have the benefits of being inexpensive, anatomically correct, portable and can be easily modified and rapidly produced as needed. A 3D-printed male urinary catheter insertion simulation model, designed by MUNMed 3D, was offered to Memorial University medical students as part of pre-clerkship procedural training. Fourteen students were provided with a checklist for the procedure and the 3D-printed urinary catheter insertion simulator, and following the simulation, were asked to complete a 5-point Likert survey on their experience.The average self-reported skill before using the model was 1.29 (out of 5), which increased to 3.21 (out of 5). All 14 respondents selected either “agree” or “strongly agree” for the following four survey items: the simulation was an accurate anatomical representation, they would prefer learning on this simulation model before performing this procedure, they would recommend the model to other learners, and they found this model beneficial overall. Simulation training with a 3D-printed urinary catheter insertion simulator allows trainees the opportunity to become confident and familiarize themselves with the procedure before performing it on a real patient.
{"title":"Male catheter insertion simulation using a low-fidelity 3D-printed model in undergraduate medical learners","authors":"C. Gillis, David Harvey, Nicole Bishop, G. Walsh, A. Dubrowski","doi":"10.15273/DMJ.VOL45NO2.8998","DOIUrl":"https://doi.org/10.15273/DMJ.VOL45NO2.8998","url":null,"abstract":"Urinary catheter insertion is one of the most widely performed procedures in a clinical setting. Inexperienced cath- eterizations constitute a high percentage of urethral trauma in hospital settings, with as high as 75% of comorbidities related to inaccurate insertion. Simulation training can help learners feel more confident, shorten the learning curve, and provide a safe learning environment for novices to make, and learn from, mistakes. Three dimensional (3D)- printed simulation models are as effective as commercially available models for novice learners, and have the benefits of being inexpensive, anatomically correct, portable and can be easily modified and rapidly produced as needed. A 3D-printed male urinary catheter insertion simulation model, designed by MUNMed 3D, was offered to Memorial University medical students as part of pre-clerkship procedural training. Fourteen students were provided with a checklist for the procedure and the 3D-printed urinary catheter insertion simulator, and following the simulation, were asked to complete a 5-point Likert survey on their experience.The average self-reported skill before using the model was 1.29 (out of 5), which increased to 3.21 (out of 5). All 14 respondents selected either “agree” or “strongly agree” for the following four survey items: the simulation was an accurate anatomical representation, they would prefer learning on this simulation model before performing this procedure, they would recommend the model to other learners, and they found this model beneficial overall. Simulation training with a 3D-printed urinary catheter insertion simulator allows trainees the opportunity to become confident and familiarize themselves with the procedure before performing it on a real patient.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122308590","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 : 2019-05-27DOI: 10.15273/DMJ.VOL45NO2.8993
Tamara Selman
It is crucial to obtain a competent individual’s informed consent in any medical process, including cancer treatments. However, when it comes to incompetent children, it seems to be favourable, but not necessary, to obtain their assent in medical practice.1 This paper considers Christine Harrison’s example of Samantha, an eleven-year-old girl that was treated for osteosarcoma in her left arm. Samantha had previously been treated by amputation and a course of chemotherapy. This cancer later metastasized to her lungs, decreasing her chances of remission with aggressive treatment to 20%. Although she wanted to refuse treatment, she was deemed incompetent to make decisions about her cancer care, and her parents adamantly wanted her to continue treatment.7 This paper considers physicians’ moral obligations in pediatric cancer cases such as Samantha’s. I will define assent, the principles of autonomy, beneficence, and competence as it pertains to children. I consider arguments of two opposing views–a child’s rights view that argues in favour of Samantha’s decision, and a paternalistic view that opposes her. After reviewing the bioethical literature on the risks and benefits of children’s decision making in health care, I argue that Samantha’s wishes to stop treatment ought to be respected.Throughout the paper, I will use the bioethical principles of respect for autonomy and beneficence to defend my position. Finally, I address potential objections my position may face and conclude.
{"title":"Decision-making through the lens of a pediatric cancer case","authors":"Tamara Selman","doi":"10.15273/DMJ.VOL45NO2.8993","DOIUrl":"https://doi.org/10.15273/DMJ.VOL45NO2.8993","url":null,"abstract":"It is crucial to obtain a competent individual’s informed consent in any medical process, including cancer treatments. However, when it comes to incompetent children, it seems to be favourable, but not necessary, to obtain their assent in medical practice.1 This paper considers Christine Harrison’s example of Samantha, an eleven-year-old girl that was treated for osteosarcoma in her left arm. Samantha had previously been treated by amputation and a course of chemotherapy. This cancer later metastasized to her lungs, decreasing her chances of remission with aggressive treatment to 20%. Although she wanted to refuse treatment, she was deemed incompetent to make decisions about her cancer care, and her parents adamantly wanted her to continue treatment.7 This paper considers physicians’ moral obligations in pediatric cancer cases such as Samantha’s. I will define assent, the principles of autonomy, beneficence, and competence as it pertains to children. I consider arguments of two opposing views–a child’s rights view that argues in favour of Samantha’s decision, and a paternalistic view that opposes her. After reviewing the bioethical literature on the risks and benefits of children’s decision making in health care, I argue that Samantha’s wishes to stop treatment ought to be respected.Throughout the paper, I will use the bioethical principles of respect for autonomy and beneficence to defend my position. Finally, I address potential objections my position may face and conclude.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133202623","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 : 2019-05-27DOI: 10.15273/DMJ.VOL45NO2.8996
Mike Wong
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{"title":"Little hospital on the South Common: A history of the Victoria General Hospital","authors":"Mike Wong","doi":"10.15273/DMJ.VOL45NO2.8996","DOIUrl":"https://doi.org/10.15273/DMJ.VOL45NO2.8996","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114629069","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 : 2019-05-27DOI: 10.15273/DMJ.VOL45NO2.8992
B. Huo, M. Surette, A. Kelly
Heparin-induced thrombocytopenia (HIT) poses a risk of death secondary to thrombotic complications.Treatment options are limited for patients with poor IV access, as contemporary options are restricted to parenteral agents before switching to oral vitamin k antagonists. A literature review was conducted to examine the effectiveness of direct oral anticoagulants (DOACs) in the primary treatment of HIT. High quality evidence is scarce surrounding the use of DOACs for this indication, while past reviews have not critically appraised the evidence. Additionally, the most recent study from 2017 investigating the use of DOACs for this indication has not been reported in past literature reviews.The Cochrane Library, Embase, PubMed, Google Scholar and ClinicalTrials.gov were searched to identify and critically appraise the best available evidence. Salient literature demonstrates that DOACs are effective at raising platelet count to baseline after seven days, on average.Thrombosis and major bleeding are rarely observed when DOACs are used as primary therapy. While large scale studies are needed, patients with HIT that have poor IV access may benefit from the ease of administration, rapid onset of action and lack of routine monitoring associated with DOAC therapy.
{"title":"The role of direct oral anticoagulants (DOACs) in the treatment of heparin-induced thrombocytopenia (HIT): An evidence-based literature review","authors":"B. Huo, M. Surette, A. Kelly","doi":"10.15273/DMJ.VOL45NO2.8992","DOIUrl":"https://doi.org/10.15273/DMJ.VOL45NO2.8992","url":null,"abstract":"Heparin-induced thrombocytopenia (HIT) poses a risk of death secondary to thrombotic complications.Treatment options are limited for patients with poor IV access, as contemporary options are restricted to parenteral agents before switching to oral vitamin k antagonists. A literature review was conducted to examine the effectiveness of direct oral anticoagulants (DOACs) in the primary treatment of HIT. High quality evidence is scarce surrounding the use of DOACs for this indication, while past reviews have not critically appraised the evidence. Additionally, the most recent study from 2017 investigating the use of DOACs for this indication has not been reported in past literature reviews.The Cochrane Library, Embase, PubMed, Google Scholar and ClinicalTrials.gov were searched to identify and critically appraise the best available evidence. Salient literature demonstrates that DOACs are effective at raising platelet count to baseline after seven days, on average.Thrombosis and major bleeding are rarely observed when DOACs are used as primary therapy. While large scale studies are needed, patients with HIT that have poor IV access may benefit from the ease of administration, rapid onset of action and lack of routine monitoring associated with DOAC therapy.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129208640","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 : 2019-05-27DOI: 10.15273/DMJ.VOL45NO2.8991
Michael A. Smyth, Robyn Doucet
.
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{"title":"The opioid epidemic: How did we get here and where do we stand?","authors":"Michael A. Smyth, Robyn Doucet","doi":"10.15273/DMJ.VOL45NO2.8991","DOIUrl":"https://doi.org/10.15273/DMJ.VOL45NO2.8991","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131532978","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 : 2019-05-27DOI: 10.15273/DMJ.VOL45NO2.8997
A. Formosa, D. Haase
.
．
{"title":"Severe thrombocytopenia in an adolescent caused by Epstein Barr Virus","authors":"A. Formosa, D. Haase","doi":"10.15273/DMJ.VOL45NO2.8997","DOIUrl":"https://doi.org/10.15273/DMJ.VOL45NO2.8997","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"236 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134185512","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 : 2018-11-30DOI: 10.15273/DMJ.VOL45NO1.8787
Y. Sardiwalla, K. Zimmo, Jason G. Williams, M. Bezuhly
Wound closure strips are used in the repair of superficial, low tension wounds, lacerations, and surgical incisions.They represent an inexpensive, easy, and painless way to close such wounds or as an adjunct in a multi-layered closure. There is debate over correct orientation (transverse, oblique, zig-zag or parallel) and importance of wound closure strips relative to the incision.The purpose of this research was to examine the closure techniques amongst Canadian plastic surgeons and current applications of wound closure strips using an online survey circulated to members of the Canadian Society of Plastic Surgery. Participants answered a series of multiple choice and short answer questions regarding their practice,closure techniques and use of wound closure strips.A total of 120 plastic surgeons (30.0%) completed the survey with 89.9% reporting wound closure strips usage. Of respondents who used wound closure strips, 57.2% used them in more than half of all wound closures. Parallel orientation to the wound (52.3%) and per- pendicular orientation (30.8%) were the most common techniques employed, and these were applied in a consistent fashion (90.6%) covering the whole wound (78.1%). Most plastic surgeons agreed there is a need to further study adhesive strips.This survey of Canadian plastic surgeons has demonstrated the variability that exists in wound closure strip application technique, orientation and intended function.These findings suggest further investigation of wound closure strip usage may be needed to help guide clinical practice.
{"title":"The effect of Steri-Strip orientation on wound healing: A survey of current applications and trends amongst surgeons","authors":"Y. Sardiwalla, K. Zimmo, Jason G. Williams, M. Bezuhly","doi":"10.15273/DMJ.VOL45NO1.8787","DOIUrl":"https://doi.org/10.15273/DMJ.VOL45NO1.8787","url":null,"abstract":"Wound closure strips are used in the repair of superficial, low tension wounds, lacerations, and surgical incisions.They represent an inexpensive, easy, and painless way to close such wounds or as an adjunct in a multi-layered closure. There is debate over correct orientation (transverse, oblique, zig-zag or parallel) and importance of wound closure strips relative to the incision.The purpose of this research was to examine the closure techniques amongst Canadian plastic surgeons and current applications of wound closure strips using an online survey circulated to members of the Canadian Society of Plastic Surgery. Participants answered a series of multiple choice and short answer questions regarding their practice,closure techniques and use of wound closure strips.A total of 120 plastic surgeons (30.0%) completed the survey with 89.9% reporting wound closure strips usage. Of respondents who used wound closure strips, 57.2% used them in more than half of all wound closures. Parallel orientation to the wound (52.3%) and per- pendicular orientation (30.8%) were the most common techniques employed, and these were applied in a consistent fashion (90.6%) covering the whole wound (78.1%). Most plastic surgeons agreed there is a need to further study adhesive strips.This survey of Canadian plastic surgeons has demonstrated the variability that exists in wound closure strip application technique, orientation and intended function.These findings suggest further investigation of wound closure strip usage may be needed to help guide clinical practice.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126021325","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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