Pub Date : 2013-03-31DOI: 10.1146/annurev.pm.2.010907.100001
I. Mukovozov, K. Zaslavsky
{"title":"Preface from the Editors","authors":"I. Mukovozov, K. Zaslavsky","doi":"10.1146/annurev.pm.2.010907.100001","DOIUrl":"https://doi.org/10.1146/annurev.pm.2.010907.100001","url":null,"abstract":"","PeriodicalId":41298,"journal":{"name":"University of Toronto Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2013-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73861226","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}
{"title":"Osteoporosis – Breaking the ‘Silence’","authors":"E. Brecher","doi":"10.5015/UTMJ.V88I1.1285","DOIUrl":"https://doi.org/10.5015/UTMJ.V88I1.1285","url":null,"abstract":"","PeriodicalId":41298,"journal":{"name":"University of Toronto Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2010-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73675846","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}
{"title":"Defining the Scope of the Manager Role in Medicine","authors":"N. Tan","doi":"10.5015/UTMJ.V88I1.1241","DOIUrl":"https://doi.org/10.5015/UTMJ.V88I1.1241","url":null,"abstract":"","PeriodicalId":41298,"journal":{"name":"University of Toronto Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2010-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86185774","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}
{"title":"A Talk to Senior Medical Students","authors":"A. Fisher","doi":"10.5015/UTMJ.V88I1.1314","DOIUrl":"https://doi.org/10.5015/UTMJ.V88I1.1314","url":null,"abstract":"","PeriodicalId":41298,"journal":{"name":"University of Toronto Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2010-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86104349","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}
{"title":"Television and the World of Medical Dramas: What Really matters?","authors":"W. Kwong, Mitchell Chow","doi":"10.5015/UTMJ.V88I1.1278","DOIUrl":"https://doi.org/10.5015/UTMJ.V88I1.1278","url":null,"abstract":"","PeriodicalId":41298,"journal":{"name":"University of Toronto Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2010-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72681911","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}
Introduction In the present “globalized society†there is an urgent need to prepare future physicians for dealing with pressing global health issues. This need has already been broadly identified in the national Canadian context. Improved global health education in the undergraduate medical curriculum is warranted and necessary. To this end, an elective course in global health for preclerkship students may serve as a first step towards building a national standard in global health education. Methods In establishing the demands and expectations for such a course, the authors conducted a survey at the University of Toronto. Results The survey revealed broad support and interest in a global health elective course. While some students exhibited a high level of awareness of global health issues, most did not receive any formal education in the field. Alarmingly, some of these students without formalized training even indicated that they had previously worked abroad with an organization. Discussion Clearly, the need for improved global health education at all levels is present, and developing an elective course may be the most practical and feasible method of doing so at the undergraduate level.
{"title":"Examining the Demand for Pre-clerkship Global Health Education in Canadian Medical Schools: The Case of the University of Toronto","authors":"Amitha Kalaichandran, Calvin Ke","doi":"10.5015/UTMJ.V88I1.1293","DOIUrl":"https://doi.org/10.5015/UTMJ.V88I1.1293","url":null,"abstract":"Introduction \u0000In the present “globalized society†there is an urgent need to prepare future physicians for dealing with pressing global health issues. This need has already been broadly identified in the national Canadian context. Improved global health education in the undergraduate medical curriculum is warranted and necessary. To this end, an elective course in global health for preclerkship students may serve as a first step towards building a national standard in global health education. \u0000Methods \u0000In establishing the demands and expectations for such a course, the authors conducted a survey at the University of Toronto. \u0000Results \u0000The survey revealed broad support and interest in a global health elective course. While some students exhibited a high level of awareness of global health issues, most did not receive any formal education in the field. Alarmingly, some of these students without formalized training even indicated that they had previously worked abroad with an organization. \u0000Discussion \u0000Clearly, the need for improved global health education at all levels is present, and developing an elective course may be the most practical and feasible method of doing so at the undergraduate level.","PeriodicalId":41298,"journal":{"name":"University of Toronto Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2010-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84755993","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}
The second part of the UTMJ's first ever imaging case report! The answer to the first part is presented and explained.
UTMJ首次影像病例报告的第二部分!给出并解释了第一部分的答案。
{"title":"Imaging Case Report 1","authors":"Kun Huang","doi":"10.5015/UTMJ.V88I1.1313","DOIUrl":"https://doi.org/10.5015/UTMJ.V88I1.1313","url":null,"abstract":"The second part of the UTMJ's first ever imaging case report! The answer to the first part is presented and explained.","PeriodicalId":41298,"journal":{"name":"University of Toronto Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2010-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86498451","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}
Osteoporotic fragility fractures are a major health concern causing increased morbidity and mortality in the elderly population. Major risk factors for fragility fractures include, but are not limited to, advanced age, low Bone Mineral Density (BMD), and a personal or familial history of a prior adult fragility fracture. Additional factors, such as chronic oral corticosteroid use and a history of recurrent falls, have also been identified to be important risk factors in the development of fragility fractures in the elderly. Current Canadian screening and treatment guidelines are based on regular BMD testing to identify individuals at risk; however, emerging evidence continues to emphasize the importance of analysis of the many risk factors for fragility fractures in combination with BMD measurements. Risk factor assessment tools, such as the FRAXâ„¢ tool developed by the World Health Organization, are promising new methods for screening and preventative care of the elderly. In addition, changes in screening methodology within the family practice setting, such as the utilization of specific electronic medical record templates for the elderly, are potential directions for improving screening of fragility fractures in the elderly patient population.
{"title":"Screening for Osteoporotic Fractures in the Elderly: Current Guidelines and Future Directions.","authors":"A. Njarlangattil, S. McNair","doi":"10.5015/UTMJ.V88I1.1294","DOIUrl":"https://doi.org/10.5015/UTMJ.V88I1.1294","url":null,"abstract":"Osteoporotic fragility fractures are a major health concern causing increased morbidity and mortality in the elderly population. Major risk factors for fragility fractures include, but are not limited to, advanced age, low Bone Mineral Density (BMD), and a personal or familial history of a prior adult fragility fracture. Additional factors, such as chronic oral corticosteroid use and a history of recurrent falls, have also been identified to be important risk factors in the development of fragility fractures in the elderly. Current Canadian screening and treatment guidelines are based on regular BMD testing to identify individuals at risk; however, emerging evidence continues to emphasize the importance of analysis of the many risk factors for fragility fractures in combination with BMD measurements. Risk factor assessment tools, such as the FRAXâ„¢ tool developed by the World Health Organization, are promising new methods for screening and preventative care of the elderly. In addition, changes in screening methodology within the family practice setting, such as the utilization of specific electronic medical record templates for the elderly, are potential directions for improving screening of fragility fractures in the elderly patient population.","PeriodicalId":41298,"journal":{"name":"University of Toronto Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2010-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78871151","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}
Oral submucous fibrosis is a chronic, debilitating and pre-malignant disease; it is also one that is not taught in any significant detail in most medical curricula. The clearest association is with the practice of chewing betel quid containing areca nut, a habit very common amongst South Asian populations. With current migration trends and the establishment of large South Asian communities in the Western world, the disease is being seen with increasing frequency where it was previously seldom encountered. With this background in mind, we aim to present a concise overview of the disease and its prognosis so as to create awareness about an issue of emerging public health relevance. Furthermore, since the etiology is mostly linked to a habit, healthcare professionals have a very important role to play in terms of lifestyle modification advice, which may significantly decrease disease incidence, progression and morbidity, if not mortality.
{"title":"Oral Submucous Fibrosis: An Eastern Disease In The Western World","authors":"Salim Hosein, A. Juma","doi":"10.5015/UTMJ.V88I1.1286","DOIUrl":"https://doi.org/10.5015/UTMJ.V88I1.1286","url":null,"abstract":"Oral submucous fibrosis is a chronic, debilitating and pre-malignant disease; it is also one that is not taught in any significant detail in most medical curricula. The clearest association is with the practice of chewing betel quid containing areca nut, a habit very common amongst South Asian populations. With current migration trends and the establishment of large South Asian communities in the Western world, the disease is being seen with increasing frequency where it was previously seldom encountered. With this background in mind, we aim to present a concise overview of the disease and its prognosis so as to create awareness about an issue of emerging public health relevance. Furthermore, since the etiology is mostly linked to a habit, healthcare professionals have a very important role to play in terms of lifestyle modification advice, which may significantly decrease disease incidence, progression and morbidity, if not mortality.","PeriodicalId":41298,"journal":{"name":"University of Toronto Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2010-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77381367","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}
Aditya Kumar, Santosh R. Sharma, S. Timalsina, S. Giri, V. Yadav
ABSTRACT Introduction: Depression and Anxiety symptoms are widely prevalent in the geriatric population and the prevalence is higher in those suffering from any kind of medical illness. Although the prevalence of anxiety and depression among elderly medical patients have been evaluated in a few studies from developed countries in Europe and the Americas, data from a developing country like Nepal is lacking. The main aim of our study was to estimate the burden of these psychiatric morbidities in our setting. Materials and methods: A cross sectional analytical study where 42 geriatric inpatients admitted to the Department of Internal Medicine of Tribhuvan University Teaching Hospital during the period from April 1st to May 20th 2009 were studied for the prevalence of depressive and anxiety symptoms using the Beck Depression Inventory and Beck Anxiety Inventory respectively. 23 healthy geriatric community dwellers from a senior citizen centre in Kathmandu were taken as the control group. Data was analyzed using SPSS 14.0. Results: Significant anxiety symptoms were present in 76.1% (N=32) of the hospitalized geriatric patients and significant depressive symptoms in 57.1% (n=24) as compared to 21.7% (n=5) and 17.3% (n=4) of healthy community dwellers respectively. Between the hospitalized geriatric medical inpatients and elderly healthy community dwellers, there was statistically significant differences in anxiety scores (F=26.06, p<0.01) and depression scores (F=22.97, p<0.01) as measured by one way analysis of variance (ANOVA). Conclusion: There is a very high prevalence of depressive and anxiety symptoms among hospitalized geriatric medical inpatients as compared to healthy community dwellers in Nepal. Presence of these psychiatric morbidities can further exacerbate the physical illness slowing down recovery and adversely affecting a wide range of outcomes. Such a high amount of psychiatric morbidity in this population needs to be addressed by appropriate mental health interventions.
{"title":"High Prevalence of Depression and Anxiety Symptoms among Hospitalized Geriatric Medical Inpatients: A study from a Tertiary Level Hospital in Nepal","authors":"Aditya Kumar, Santosh R. Sharma, S. Timalsina, S. Giri, V. Yadav","doi":"10.5015/UTMJ.V88I1.1283","DOIUrl":"https://doi.org/10.5015/UTMJ.V88I1.1283","url":null,"abstract":"ABSTRACT \u0000 \u0000Introduction: \u0000Depression and Anxiety symptoms are widely prevalent in the geriatric population and the prevalence is higher in those suffering from any kind of medical illness. Although the prevalence of anxiety and depression among elderly medical patients have been evaluated in a few studies from developed countries in Europe and the Americas, data from a developing country like Nepal is lacking. The main aim of our study was to estimate the burden of these psychiatric morbidities in our setting. \u0000 \u0000Materials and methods: \u0000A cross sectional analytical study where 42 geriatric inpatients admitted to the Department of Internal Medicine of Tribhuvan University Teaching Hospital during the period from April 1st to May 20th 2009 were studied for the prevalence of depressive and anxiety symptoms using the Beck Depression Inventory and Beck Anxiety Inventory respectively. 23 healthy geriatric community dwellers from a senior citizen centre in Kathmandu were taken as the control group. Data was analyzed using SPSS 14.0. \u0000 \u0000Results: \u0000Significant anxiety symptoms were present in 76.1% (N=32) of the hospitalized geriatric patients and significant depressive symptoms in 57.1% (n=24) as compared to 21.7% (n=5) and 17.3% (n=4) of healthy community dwellers respectively. Between the hospitalized geriatric medical inpatients and elderly healthy community dwellers, there was statistically significant differences in anxiety scores (F=26.06, p<0.01) and depression scores (F=22.97, p<0.01) as measured by one way analysis of variance (ANOVA). \u0000 \u0000Conclusion: \u0000There is a very high prevalence of depressive and anxiety symptoms among hospitalized geriatric medical inpatients as compared to healthy community dwellers in Nepal. Presence of these psychiatric morbidities can further exacerbate the physical illness slowing down recovery and adversely affecting a wide range of outcomes. Such a high amount of psychiatric morbidity in this population needs to be addressed by appropriate mental health interventions.","PeriodicalId":41298,"journal":{"name":"University of Toronto Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2010-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77921199","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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