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1.  Death and all its friends 
PMCID: PMC4301751  PMID: 25609510
2.  La mort et tous ses amis 
PMCID: PMC4301752  PMID: 25609511
6.  Applause for case reports 
Canadian Family Physician  2015;61(1):21.
PMCID: PMC4301756  PMID: 25609515
7.  Well-managed warfarin is superior to NOACs 
Canadian Family Physician  2015;61(1):23-24.
PMCID: PMC4301757  PMID: 25609516
8.  Response 
Canadian Family Physician  2015;61(1):24-25.
PMCID: PMC4301758  PMID: 25609517
10.  Approach to caring for developmentally disabled adults in the community 
Canadian Family Physician  2015;61(1):27-31.
Objective
To review the medical, ethical, and legal obligations in caring for adults with developmental disabilities (DDs) living in the community.
Sources of information
Google and MEDLINE searches were conducted using the terms disabled, disability, vulnerable, and community. The pertinent legislation was reviewed.
Main message
The treatment of a patient with DDs varies with factors such as the pathogenesis of the patient’s current problem, comorbid conditions, the severity of his or her disabilities, and his or her current social supports. While the shift from institutional to community care for patients with DDs is widely accepted as being beneficial, providing high-quality community care has proven to be challenging. However, there is little research on how to effectively provide community support to adults with DDs. As primary care providers, family physicians are often the first point of contact for patients, and are responsible for both the coordination and the continuity of care. With the movement toward preventive care and early disease detection, the patient’s active participation is also vital. The patient’s values and goals are an essential consideration, even when they are contrary to the patient’s good health or the clinician’s own values. The legislation for vulnerable persons varies among the provinces. Thus, the obligation to report suspected abuse might depend on whether the vulnerable person is living in a care facility or the community; whether the person with the suspicion is a service provider or health care professional; and whether the specific circumstances fall within the legislative definition of abuse or neglect.
Conclusion
Primary care providers must give adults with DDs compassionate care that respects the patients’ wishes.
PMCID: PMC4301760  PMID: 25609519
11.  Guideline for referral of patients with suspected prostate cancer by family physicians and other primary care providers 
Canadian Family Physician  2015;61(1):33-39.
Abstract
Objective
The aim of this guideline is to assist FPs and other primary care providers with recognizing features that should raise their suspicion about the presence of prostate cancer in their patients.
Composition of the committee
Committee members were selected from among the regional primary care leads from the Cancer Care Ontario Provincial Primary Care and Cancer Network and from among the members of the Cancer Care Ontario Genitourinary Cancer Disease Site Group.
Methods
This guideline was developed through systematic review of the evidence base, synthesis of the evidence, and formal external review involving Canadian stakeholders to validate the relevance of recommendations.
Report
Evidence-based guidelines were developed to improve the management of patients presenting with clinical features of prostate cancer within the Canadian context.
Conclusion
These guidelines might lead to more timely and appropriate referrals and might also be of value for informing the development of prostate cancer diagnostic programs and for helping policy makers to ensure appropriate resources are in place.
PMCID: PMC4301761
12.  Polyunsaturated fatty acids and fetal brain development 
Canadian Family Physician  2015;61(1):41-42.
Abstract
Question
I have learned that one of the manufacturers of prenatal vitamins has added omega-3 fatty acids and claims that they help support fetal cognitive health and brain function. Is this based on evidence?
Answer
The claim that polyunsaturated fatty acids help improve fetal brain and eye development has been made for more than a decade. Unfortunately it is not supported by evidence-based science. Long-term studies have failed to show such effects. Implying to women that using these products will improve the brain development of their children is unwarranted and misleading. Health Canada should clarify the contradictions in its statements about omega-3 fatty acids.
PMCID: PMC4301762
13.  Human papillomavirus vaccination for boys 
Canadian Family Physician  2015;61(1):43-46.
Abstract
Question
In Canada, generally provincial human papillomavirus (HPV) vaccination programs exist for only the female population. What should I recommend when parents and teenage boys ask about male HPV vaccination?
Answer
The quadrivalent HPV vaccine is effective and will reduce the incidence of disease in boys and girls. The quadrivalent HPV vaccination is approved and recommended for both boys and girls in Canada. Public funding for male vaccination is available in Prince Edward Island and Alberta. The remaining provinces and territories will need to consider cost-effectiveness analyses before expanding their female-only vaccination programs to include the male population.
PMCID: PMC4301763
14.  Inhalation injury 
Canadian Family Physician  2015;61(1):47-49.
PMCID: PMC4301764  PMID: 25609520
16.  Contributors to primary care guidelines 
Canadian Family Physician  2015;61(1):52-58.
Objective
To determine the professions of those who contribute to guidelines, guideline variables associated with differing contributor participation, and whether conflict of interest statements are provided in primary care guidelines.
Design
Retrospective analysis of the primary care guidelines from the Canadian Medical Association website. Two independent data extractors reviewed the guidelines and extracted relevant data.
Setting
Canada.
Main outcome measures
Sponsors of guidelines, jurisdiction (national or provincial) of guidelines, the professions of those who contribute to guidelines, and the reported conflict of interest statements within guidelines.
Results
Of the 296 guidelines in the family medicine section of the CMA Infobase, 65 were duplicates and 35 had limited relevance to family medicine. Twenty did not provide contributor information, leaving 176 guidelines for analysis. In total, there were 2495 contributors (authors and committee members): 1343 (53.8%) non–family physician specialists, 423 (17.0%) family physicians, 141 (5.7%) nurses, 75 (3.0%) pharmacists, 269 (10.8%) other clinicians, 203 (8.1%) nonclinician scientists, and 41 (1.6%) unknown professions. The proportion of contributors from the various professions differed significantly between provincial and national guidelines, as well as between industry-funded and non–industry-funded guidelines (both P < .001). For provincial guidelines, 30.8% of contributors were family physicians and 37.3% were other specialists compared with 13.9% and 57.4%, respectively, for national guidelines. Of industry-funded guidelines, 7.8% of contributors were family physicians and 68.6% were other specialists compared with 19.4% and 49.9%, respectively, for non–industry-funded guidelines. Conflicts of interest were not reported in 68.9% of guidelines. When reported, conflict of interest statements were present for 48.6% of non–family physician specialists, 30.0% of pharmacists, 27.7% of family physicians, and 10.0% or less of the remaining groups; differences were statistically significant (P < .001).
Conclusion
Non–family physician specialists outnumber all other health care providers combined and are more than 3 times more likely to contribute to primary care guidelines than family physicians are. Conflict of interest statements were provided in the minority of guidelines, and for guidelines in which conflict of interest statements were included, non–family physician specialists were most likely to report them. Guidelines targeted to primary care should have much more primary care and family medicine representation and include fewer contributors who have conflicts of interest.
PMCID: PMC4301766  PMID: 25609522
17.  Couchers de vie 
Canadian Family Physician  2015;61(1):63-65.
PMCID: PMC4301767  PMID: 25609523
18.  Only life 
Canadian Family Physician  2015;61(1):66-67.
PMCID: PMC4301768  PMID: 25609524
19.  Lessons in teaching 
Canadian Family Physician  2015;61(1):67-68.
PMCID: PMC4301769  PMID: 25609525
20.  Mission 
Canadian Family Physician  2015;61(1):69-70.
PMCID: PMC4301770  PMID: 25609526
21.  Dr Jaco Kruger MD CCFP 
Canadian Family Physician  2015;61(1):71-73.
PMCID: PMC4301771  PMID: 25609527
25.  Sitting and thinking 
Canadian Family Physician  2015;61(1):93.
PMCID: PMC4301775  PMID: 25609530

Results 1-25 (17552)