Skip to main content

Main menu

  • Home
  • Content
    • Current issue
    • Past issues
    • Early releases
    • Collections
    • Sections
    • Blog
    • Infographics & illustrations
    • Podcasts
    • COVID-19 Articles
  • Authors
    • Overview for authors
    • Submission guidelines
    • Submit a manuscript
    • Forms
    • Editorial process
    • Editorial policies
    • Peer review process
    • Publication fees
    • Reprint requests
    • Open access
  • CMA Members
    • Overview for members
    • Earn CPD Credits
    • Print copies of CMAJ
  • Subscribers
    • General information
    • View prices
  • Alerts
    • Email alerts
    • RSS
  • JAMC
    • À propos
    • Numéro en cours
    • Archives
    • Sections
    • Abonnement
    • Alertes
    • Trousse média 2022
  • CMAJ JOURNALS
    • CMAJ Open
    • CJS
    • JAMC
    • JPN

User menu

Search

  • Advanced search
CMAJ
  • CMAJ JOURNALS
    • CMAJ Open
    • CJS
    • JAMC
    • JPN
CMAJ

Advanced Search

  • Home
  • Content
    • Current issue
    • Past issues
    • Early releases
    • Collections
    • Sections
    • Blog
    • Infographics & illustrations
    • Podcasts
    • COVID-19 Articles
  • Authors
    • Overview for authors
    • Submission guidelines
    • Submit a manuscript
    • Forms
    • Editorial process
    • Editorial policies
    • Peer review process
    • Publication fees
    • Reprint requests
    • Open access
  • CMA Members
    • Overview for members
    • Earn CPD Credits
    • Print copies of CMAJ
  • Subscribers
    • General information
    • View prices
  • Alerts
    • Email alerts
    • RSS
  • JAMC
    • À propos
    • Numéro en cours
    • Archives
    • Sections
    • Abonnement
    • Alertes
    • Trousse média 2022
  • Visit CMAJ on Facebook
  • Follow CMAJ on Twitter
  • Follow CMAJ on Pinterest
  • Follow CMAJ on Youtube
  • Follow CMAJ on Instagram
Highlights

Highlights

CMAJ April 07, 2015 187 (6) 383;
  • Article
  • Figures & Tables
  • Related Content
  • Responses
  • Metrics
  • PDF
Loading

Visit soundcloud.com/cmajpodcasts for an audio summary of this issue.

Reducing imaging for low-back pain

Figure

Inappropriate routine imaging for patients with low-back pain can be reduced by 20%–35% with the use of clinical decision support or targeted reminders. This systematic review did not show an effect for more general education approaches. Better-quality studies are needed to study potentially effective interventions. See Research, page 401

Return of incidental genomic findings

Figure

Canadians can now learn, through clinical genomic sequencing, whether they have certain genetic mutations. Do they want to know about any and all abnormal genes, including those found incidentally? This discrete-choice experiment estimated that 66% of the Canadian public would want to know, if the risk of getting the disease were high and effective medical management were available. See Research, page E190

Guidelines for childhood obesity

Figure

The Canadian Task Force on Preventive Health Care recommends structured behavioural interventions for obese and overweight children, but not medications or surgery. There is little evidence showing long-term effectiveness of interventions for obesity prevention. See Guidelines, page 411

Primary care physicians can play a critical role in tackling childhood obesity if they can become an integral part of a “whole-system” approach to managing the problem. For this to occur, they must be able to work in a wider health system in which effective behavioural interventions are made readily available, say Summerbell and Brown in their commentary. See Commentary, page 389

Fair pricing for old orphan drugs

Current Canadian regulations for orphan drugs fail to distinguish between new drugs for rare diseases and older established orphan drugs, whose indications, safety and efficacy are well-researched. Roberts and colleagues discuss an example of price inflation of an old drug that reduced its effective availability and put patients’ health at risk. See Analysis, page 422

A returned traveller with possible Ebola

Figure

A 40-year-old man returns from a trip to Guinea with fever and myalgia. He is worried that he may have Ebola virus disease. Saltzman and colleagues discuss common causes of these symptoms in returned travellers and provide an approach to early management of a patient who may have come into contact with the Ebola virus. See Decisions, page 429

Pott puffy tumour

A five-year-old girl presented with headache, fever and swelling of her forehead several weeks after an episode of acute sinusitis. The eventual diagnosis was Pott puffy tumour, which required neurosurgical intervention. Heale and colleagues tell us why this condition is too important to miss. See Cases, page 433

Spasticity

Spasticity develops in many patients with upper motor neuron disorders, such as spinal cord injury, multiple sclerosis, cerebral palsy or stroke. Focal and generalized therapies are available. In patients with worsening spasticity, a cause for the change should be sought. See Five things to know about …, page 436

Loiasis in a returned traveller

After a stay in rural Cameroon, a 24-year-old woman had migratory swelling of her wrists, eosinophilia and a foreign-body sensation in her left eye. Infection with a migratory filarial nematode, loiasis, ties these three findings together. See Clinical images, page 437

PreviousNext
Back to top

In this issue

Canadian Medical Association Journal: 187 (6)
CMAJ
Vol. 187, Issue 6
7 Apr 2015
  • Table of Contents
  • Index by author

Podcast

Subscribe to podcast
Download MP3

Article tools

Respond to this article
Print
Download PDF
Article Alerts
To sign up for email alerts or to access your current email alerts, enter your email address below:
Email Article

Thank you for your interest in spreading the word on CMAJ.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Highlights
(Your Name) has sent you a message from CMAJ
(Your Name) thought you would like to see the CMAJ web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Highlights
CMAJ Apr 2015, 187 (6) 383;

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
‍ Request Permissions
Share
Highlights
CMAJ Apr 2015, 187 (6) 383;
Digg logo Reddit logo Twitter logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like

Jump to section

  • Article
    • Reducing imaging for low-back pain
    • Return of incidental genomic findings
    • Guidelines for childhood obesity
    • Fair pricing for old orphan drugs
    • A returned traveller with possible Ebola
    • Pott puffy tumour
    • Spasticity
    • Loiasis in a returned traveller
  • Figures & Tables
  • Related Content
  • Responses
  • Metrics
  • PDF

Related Articles

  • Pott puffy tumour in a five-year-old girl
  • Chronic symptomatic and microfilaremic loiasis in a returned traveller
  • Fair pricing of “old” orphan drugs: considerations for Canada’s orphan drug policy
  • Recommendations for growth monitoring, and prevention and management of overweight and obesity in children and youth in primary care
  • Effectiveness of interventions designed to reduce the use of imaging for low-back pain: a systematic review
  • Fever in a returned traveller from West Africa
  • Childhood obesity: the guideline for primary care should form part of a whole-system approach
  • Spasticity
  • Societal preferences for the return of incidental findings from clinical genomic sequencing: a discrete-choice experiment
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Highlights
  • Highlights
  • Highlights
Show more Highlights

Similar Articles

 

View Latest Classified Ads

Content

  • Current issue
  • Past issues
  • Collections
  • Sections
  • Blog
  • Podcasts
  • Alerts
  • RSS
  • Early releases

Information for

  • Advertisers
  • Authors
  • Reviewers
  • CMA Members
  • Media
  • Reprint requests
  • Subscribers

About

  • General Information
  • Journal staff
  • Editorial Board
  • Advisory Panels
  • Governance Council
  • Journal Oversight
  • Careers
  • Contact
  • Copyright and Permissions
  • Accessibiity
  • CMA Civility Standards
CMAJ Group

Copyright 2022, CMA Impact Inc. or its licensors. All rights reserved. ISSN 1488-2329 (e) 0820-3946 (p)

All editorial matter in CMAJ represents the opinions of the authors and not necessarily those of the Canadian Medical Association or its subsidiaries.

To receive any of these resources in an accessible format, please contact us at CMAJ Group, 500-1410 Blair Towers Place, Ottawa ON, K1J 9B9; p: 1-888-855-2555; e: cmajgroup@cmaj.ca

Powered by HighWire