Skip to main content

Main menu

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

User menu

Search

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

Advanced Search

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

Highlights

CMAJ April 21, 2015 187 (7) 471;
  • Article
  • Figures & Tables
  • Related Content
  • Responses
  • Metrics
  • PDF
Loading

Listen to CMAJ editors and authors discuss and comment on the content of this issue. Visit soundcloud.com/cmajpodcasts

Brief interventions for alcohol misuse

Figure1

New Canadian recommendations highlight the importance of tackling risky alcohol use. Moyer and Finney review the evidence for screening and brief interventions that can help health care providers who are not addiction specialists to identify individuals who drink and initiate interventions that may play a role in lowering risky alcohol use. See Review, page 502

The Canadian health care system provides inadequate access to effective treatment for at-risk drinking and alcohol use disorders. However, improved physician training combined with strategies to ensure better access to appropriate treatment would improve health outcomes and generate cost savings for the health system, say Spithoff and Turner. See Commentary, page 479

Estimated cost of universal pharmacare

Canada is the only country with universal health care coverage, but not universal pharmacare. Stanbrook argues that the moral case for universal pharmacare has always been apparent, and now with a strong economic case for pharmacare also evident, there can be no more excuses for delay. See Editorial, page 475

Figure2

Implementing universal public coverage of prescription drugs in Canada is estimated to reduce total spending by $7.2 billion while increasing government costs by only $1.0 billion. This economic modelling study used recent nationally compiled data on drug use and spending patterns by therapeutic category and estimates of anticipated usage, price effects, product selection and patient copayments derived from experiences of Canadian provinces or international jurisdictions. See Research, page 491

Persistence of meningococcal immunity

Immunity to group B meningococcus among children who received a quadrivalent vaccine (4CMenB) was found to have declined by five years of age. This study evaluated children who were enrolled in infancy in a randomized trial of the vaccine, as well as a cohort newly vaccinated at 40 months and an additional, previously unvaccinated cohort at 60 months. The results suggest that immunization schedules involving more frequent doses in infancy may not provide greater immunity through early childhood than schedules with fewer doses, say the authors. See Research, page E215

Heart failure and ejection fraction

Figure3

Heart failure was diagnosed in a 70-year-old woman with long-standing hypertension. On echocardiography, her ejection fraction was normal. Sharma and Nagarajan explain how the ejection fraction in heart failure changes the management of this condition. See Decisions, page 510

Management of chronic heart failure with reduced ejection fraction requires careful selection and titration of medications, adherence to medical advice by the patient and timely follow-up. Some patients may require mechanical circulatory support or cardiac transplantation, say Moayedi and Kobulnik. See Five things to know about …, page 518

Tremor in children

A 14-year-old boy had tremor affecting his arms during voluntary activity since he was six years old. A four-year-old girl had progressive intention tremor on her right side for a month. Liu and colleagues describe the approach to diagnosing and managing tremor in children, and review both common and uncommon causes. See Cases, page 512

Pitted keratolysis

Figure4

A 23-year-old man presented with a one-year history of malodorous exudative lesions on the soles of both feet. He was diagnosed with pitted keratolysis, an infection of the stratum corneum by bacteria. Although topical antibiotics are first-line medical therapy, changing footwear and socks regularly is key to management, say Fernández-Crehuet and Ruiz-Villaverde. See Clinical images, page 519

PreviousNext
Back to top

In this issue

Canadian Medical Association Journal: 187 (7)
CMAJ
Vol. 187, Issue 7
21 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 (7) 471;

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 (7) 471;
Digg logo Reddit logo Twitter logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Brief interventions for alcohol misuse
    • Estimated cost of universal pharmacare
    • Persistence of meningococcal immunity
    • Heart failure and ejection fraction
    • Tremor in children
    • Pitted keratolysis
  • Figures & Tables
  • Related Content
  • Responses
  • Metrics
  • PDF

Related Articles

  • Estimated cost of universal public coverage of prescription drugs in Canada
  • Canada can afford universal pharmacare — no more excuses
  • Persistence of specific bactericidal antibodies at 5 years of age after vaccination against serogroup B meningococcus in infancy and at 40 months
  • Chronic heart failure with reduced ejection fraction
  • A 70-year-old woman with heart failure with preserved ejection fraction
  • Pitted keratolysis: an infective cause of foot odour
  • Brief interventions for alcohol misuse
  • Two children with tremor
  • A systemic failure to address at-risk drinking and alcohol use disorders: the Canadian story
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Highlights
  • Highlights
  • Highlights
Show more Highlights

Similar Articles

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
  • Governance Council
  • Journal Oversight
  • Careers
  • Contact
  • Copyright and Permissions

Copyright 2021, Joule 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.

Powered by HighWire