首页 > 最新文献

Canadian Medical Association journal最新文献

英文 中文
Cholestéatome acquis. Cholestéatome理所当然。
IF 9.4 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-15 DOI: 10.1503/cmaj.240072-f
Daniel Newsted, Munir Demir Bajin, Peng You
{"title":"Cholestéatome acquis.","authors":"Daniel Newsted, Munir Demir Bajin, Peng You","doi":"10.1503/cmaj.240072-f","DOIUrl":"10.1503/cmaj.240072-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"196 43","pages":"E1425-E1426"},"PeriodicalIF":9.4,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142833938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Omelette and chocolate milk. 煎蛋卷和巧克力牛奶。
IF 9.4 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-15 DOI: 10.1503/cmaj.240022
Carol Lobo
{"title":"Omelette and chocolate milk.","authors":"Carol Lobo","doi":"10.1503/cmaj.240022","DOIUrl":"10.1503/cmaj.240022","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"196 43","pages":"E1417-E1418"},"PeriodicalIF":9.4,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142833942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cost-benefit analysis of Canada's Prison Needle Exchange Program for the prevention of hepatitis C and injection-related infections. 加拿大监狱针头交换计划预防丙型肝炎和注射相关感染的成本效益分析。
IF 9.4 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-15 DOI: 10.1503/cmaj.240648
Farah Houdroge, Nadine Kronfli, Mark Stoové, Nick Scott

Background: Needle exchange programs are effective public health interventions that reduce blood-borne infections, including hepatitis C, and injection-related infections. We sought to assess the return on investment of existing Prison Needle Exchange Programs (PNEPs) in Canadian federal prisons and their expansion to all 43 institutions.

Methods: We developed a stochastic compartmental model that estimated hepatitis C and injection-related infections under different PNEP scenarios in Canadian federal prisons. Scenarios projected for 2018-2030 were no PNEP, status quo (actual PNEP implementation 2018-2022, with coverage maintained to 2030), and PNEP scale-up (coverage among people who inject drugs in prison increasing over 2025-2030 to reach 50% by 2030). We calculated the benefit-cost ratio as benefits from health care savings, divided by PNEP costs.

Results: By 2019, PNEPs were implemented in 9 of 43 federal prisons, with uptake reaching 10% of people who injected drugs in prison in 2022. Compared with no PNEP, this was estimated to cost Can$0.45 (uncertainty interval [UI] $0.32 to $0.98) million and avert 37 (UI 25 to 52) hepatitis C and 8 (UI -1 to 16) injection-related infections over 2018-2030, with a benefit-cost ratio of 1.9 (UI 0.56-3.0). Compared with the status quo, the PNEP scale-up scenario cost an additional $2.7 (UI $1.8 to $7.0) million and prevented 224 (UI 218 to 231) hepatitis C and 77 (UI 74 to 80) injection-related infections, with a benefit-cost ratio of 2.0 (UI 0.57 to 3.3).

Interpretation: Every dollar invested in the current PNEP or its expansion is estimated to save $2 in hepatitis C and injection-related infection treatment costs. This return on investment strongly supports ongoing maintenance and scale-up of the PNEP in Canada from an economic perspective.

背景:针头交换计划是有效的公共卫生干预措施,可减少血液传播感染,包括丙型肝炎和注射相关感染。我们试图评估加拿大联邦监狱现有的监狱针头交换计划(PNEPs)的投资回报,并将其扩展到所有43个机构。方法:我们开发了一个随机区室模型来估计加拿大联邦监狱中不同PNEP情景下丙型肝炎和注射相关感染。2018-2030年的预测情景为无PNEP、现状(2018-2022年实际实施PNEP,覆盖范围维持到2030年)和PNEP扩大(2025-2030年期间监狱注射吸毒者的覆盖范围增加,到2030年达到50%)。我们将收益成本比计算为医疗保健节省的收益除以PNEP成本。结果:到2019年,43所联邦监狱中有9所实施了PNEPs,到2022年,PNEPs的使用率达到了监狱注射吸毒者的10%。与没有PNEP相比,估计这将花费0.45加元(不确定区间[UI] 0.32至0.98美元),并在2018-2030年期间避免37例(UI 25至52)丙型肝炎和8例(UI -1至16)注射相关感染,收益成本比为1.9 (UI 0.56-3.0)。与现状相比,PNEP扩大方案额外花费了270万美元(180至700万美元),预防了224例(218至231例)丙型肝炎和77例(74至80例)注射相关感染,效益成本比为2.0(0.57至3.3)。解释:在目前的PNEP或其扩展中每投资1美元,估计可节省2美元的丙型肝炎和注射相关感染治疗费用。从经济角度来看,这种投资回报有力地支持了加拿大PNEP的持续维护和扩大。
{"title":"Cost-benefit analysis of Canada's Prison Needle Exchange Program for the prevention of hepatitis C and injection-related infections.","authors":"Farah Houdroge, Nadine Kronfli, Mark Stoové, Nick Scott","doi":"10.1503/cmaj.240648","DOIUrl":"10.1503/cmaj.240648","url":null,"abstract":"<p><strong>Background: </strong>Needle exchange programs are effective public health interventions that reduce blood-borne infections, including hepatitis C, and injection-related infections. We sought to assess the return on investment of existing Prison Needle Exchange Programs (PNEPs) in Canadian federal prisons and their expansion to all 43 institutions.</p><p><strong>Methods: </strong>We developed a stochastic compartmental model that estimated hepatitis C and injection-related infections under different PNEP scenarios in Canadian federal prisons. Scenarios projected for 2018-2030 were no PNEP, status quo (actual PNEP implementation 2018-2022, with coverage maintained to 2030), and PNEP scale-up (coverage among people who inject drugs in prison increasing over 2025-2030 to reach 50% by 2030). We calculated the benefit-cost ratio as benefits from health care savings, divided by PNEP costs.</p><p><strong>Results: </strong>By 2019, PNEPs were implemented in 9 of 43 federal prisons, with uptake reaching 10% of people who injected drugs in prison in 2022. Compared with no PNEP, this was estimated to cost Can$0.45 (uncertainty interval [UI] $0.32 to $0.98) million and avert 37 (UI 25 to 52) hepatitis C and 8 (UI -1 to 16) injection-related infections over 2018-2030, with a benefit-cost ratio of 1.9 (UI 0.56-3.0). Compared with the status quo, the PNEP scale-up scenario cost an additional $2.7 (UI $1.8 to $7.0) million and prevented 224 (UI 218 to 231) hepatitis C and 77 (UI 74 to 80) injection-related infections, with a benefit-cost ratio of 2.0 (UI 0.57 to 3.3).</p><p><strong>Interpretation: </strong>Every dollar invested in the current PNEP or its expansion is estimated to save $2 in hepatitis C and injection-related infection treatment costs. This return on investment strongly supports ongoing maintenance and scale-up of the PNEP in Canada from an economic perspective.</p>","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"196 43","pages":"E1401-E1412"},"PeriodicalIF":9.4,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142833939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cardiomyopathie de stress. 心肌紧张症。
IF 9.4 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-15 DOI: 10.1503/cmaj.240269-f
Mehras Motamed, Jairo Tavares Nunes, Jacob Allen Udell
{"title":"Cardiomyopathie de stress.","authors":"Mehras Motamed, Jairo Tavares Nunes, Jacob Allen Udell","doi":"10.1503/cmaj.240269-f","DOIUrl":"10.1503/cmaj.240269-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"196 43","pages":"E1423-E1424"},"PeriodicalIF":9.4,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142833937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Maladie de Cushing et hypertension liées à un adénome surrénal unilatéral non fonctionnel. 与无功能的单侧肾上腺瘤相关的库欣病和高血压。
IF 9.4 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-15 DOI: 10.1503/cmaj.240341-f
Xiao Ying Khor, Waseem Majeed, Akheel A Syed
{"title":"Maladie de Cushing et hypertension liées à un adénome surrénal unilatéral non fonctionnel.","authors":"Xiao Ying Khor, Waseem Majeed, Akheel A Syed","doi":"10.1503/cmaj.240341-f","DOIUrl":"10.1503/cmaj.240341-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"196 43","pages":"E1419-E1422"},"PeriodicalIF":9.4,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142833941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trichobactériose axillaire. Trichobactériose腋窝。
IF 9.4 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-15 DOI: 10.1503/cmaj.240723-f
Ke Bian, Yangyang Ma, Wenting Hu
{"title":"Trichobactériose axillaire.","authors":"Ke Bian, Yangyang Ma, Wenting Hu","doi":"10.1503/cmaj.240723-f","DOIUrl":"10.1503/cmaj.240723-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"196 43","pages":"E1427-E1428"},"PeriodicalIF":9.4,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142833945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Place à un meilleur traitement de l’insuffisance cardiaque. 为心力衰竭提供更好的治疗。
IF 9.4 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-15 DOI: 10.1503/cmaj.241426-f
Jonathan Howlett
{"title":"Place à un meilleur traitement de l’insuffisance cardiaque.","authors":"Jonathan Howlett","doi":"10.1503/cmaj.241426-f","DOIUrl":"10.1503/cmaj.241426-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"196 43","pages":"E1429-E1431"},"PeriodicalIF":9.4,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142833943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The burden of drug overdose deaths among correctional populations: implications for interventions. 矫正人群中药物过量死亡的负担:干预措施的含义。
IF 9.4 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-15 DOI: 10.1503/cmaj.241661
Benedikt Fischer, Elnaz Moghimi, John Weekes
{"title":"The burden of drug overdose deaths among correctional populations: implications for interventions.","authors":"Benedikt Fischer, Elnaz Moghimi, John Weekes","doi":"10.1503/cmaj.241661","DOIUrl":"10.1503/cmaj.241661","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"196 43","pages":"E1414-E1416"},"PeriodicalIF":9.4,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142833944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Connected Care for Canadians Act: an important step toward interoperability of health data. 《加拿大人互联医疗法案》:迈向健康数据互操作性的重要一步。
IF 9.4 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-08 DOI: 10.1503/cmaj.241123
David El Sabawy, Joshua Feldman, Andrew D Pinto
{"title":"The <i>Connected Care for Canadians Act</i>: an important step toward interoperability of health data.","authors":"David El Sabawy, Joshua Feldman, Andrew D Pinto","doi":"10.1503/cmaj.241123","DOIUrl":"10.1503/cmaj.241123","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"196 42","pages":"E1385-E1388"},"PeriodicalIF":9.4,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11627560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stigmatisation en contexte professionnel. 职业上的歧视。
IF 9.4 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-08 DOI: 10.1503/cmaj.241029-f
Shane Neilson
{"title":"Stigmatisation en contexte professionnel.","authors":"Shane Neilson","doi":"10.1503/cmaj.241029-f","DOIUrl":"10.1503/cmaj.241029-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"196 42","pages":"E1398-E1400"},"PeriodicalIF":9.4,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11627561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Canadian Medical Association journal
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1