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 March 15, 2016 188 (5) 311;
  • Article
  • Figures & Tables
  • Responses
  • Metrics
  • PDF
Loading

Inequalities in access to bariatric surgery

Fewer than 6 out of 1000 Canadians living with class II or class III obesity receive a bariatric surgery procedure each year, with an estimated yearly shortfall of 5129 surgeries. Substantial disparities in access exist across the country. However, bariatric surgery should be integrated into a comprehensive national obesity management strategy. See Commentary, page 317

Remote ischemic preconditioning

Figure1

More than 25% of patients undergoing cardiac surgery experience acute myocardial infarction. This randomized controlled trial and update of a meta-analysis of remote ischemic preconditioning on one leg just before surgery show that this procedure does very little to mitigate common types of ischemia–reperfusion damage in cardiac surgery patients. See Research, page 329

Planned home birth for low-risk pregnancies

Planned home birth attended by midwives in a jurisdiction where home birth is well-integrated into the health care system was not associated with a difference in serious and common adverse neonatal outcomes compared with planned hospital birth. It was associated with fewer intrapartum interventions. See Research, page E80

Colorectal cancer screening guideline

Who should be screened for colorectal cancer? How often? What screening method should be used? The Canadian Task Force on Preventive Health Care tackles these questions in its updated guideline on screening for colorectal cancer in primary care. See Guidelines, page 340

Does bronchiolitis really exist?

Figure2

Recently published guidelines for the diagnosis and management of viral bronchiolitis in infants agree that bronchiolitis is a very common illness with no treatment options other than supportive care and, perhaps, inhaled hypertonic saline for inpatients only. Have we understood its pathologic mechanisms incorrectly? Perhaps bronchiolitis is part of the spectrum of early-onset asthma, ventures Kuzik. See Analysis, page 351

Bridging anticoagulation during surgery

Figure3

A 78-year-old man taking warfarin for chronic nonvalvular atrial fibrillation is scheduled for prostate surgery. Should his warfarin be stopped? If so, should bridging anticoagulation be used? This Choosing Wisely Canada article looks at the management of anticoagulation in the perioperative period. See Decisions, page 361

Rubella in a returned traveller

Both vaccine- and non–vaccine-preventable illnesses can cause fever and rash in returned travellers. The case of a 42-year-old man with fever and rash upon returning from a trip to the Philippines reinforces the importance of ensuring that the immunization status of all new immigrants to Canada is assessed and that vaccination is offered accordingly, say Chan and colleagues. See Cases, page 363

Zika virus infection

Figure4

Since its identification in Brazil in May 2015, the Zika virus has spread rapidly throughout South and Central America, the Caribbean and Mexico via bites from infected Aedes aegypti mosquitoes. Although the infection appears to be self-limited and mild or asymptomatic in most people, it has been linked with neurologic illnesses and congenital microcephaly. Pregnant women and those planning pregnancy should consider postponing travel to affected areas. See Five things to know about …, page 367

Alcohol, tacrolimus and periorbital erythema

A 32-year-old man ingested alcohol during treatment with topical tacrolimus and developed transient periorbital erythema. Although extensively reported in the literature, this reaction may not be widely recognized in clinical practice, say Woolner and Sauder. See Clinical images, page 368

PreviousNext
Back to top

In this issue

Canadian Medical Association Journal: 188 (5)
CMAJ
Vol. 188, Issue 5
15 Mar 2016
  • Table of Contents
  • Index by author

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 Mar 2016, 188 (5) 311;

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 Mar 2016, 188 (5) 311;
Digg logo Reddit logo Twitter logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Inequalities in access to bariatric surgery
    • Remote ischemic preconditioning
    • Planned home birth for low-risk pregnancies
    • Colorectal cancer screening guideline
    • Does bronchiolitis really exist?
    • Bridging anticoagulation during surgery
    • Rubella in a returned traveller
    • Zika virus infection
    • Alcohol, tacrolimus and periorbital erythema
  • Figures & Tables
  • Responses
  • Metrics
  • PDF

Related Articles

  • Rubella in a returned traveller
  • Effects of remote ischemic preconditioning in high-risk patients undergoing cardiac surgery (Remote IMPACT): a randomized controlled trial
  • Recommendations on screening for colorectal cancer in primary care
  • Zika virus infection
  • Maybe there is no such thing as bronchiolitis
  • Inequalities in access to bariatric surgery in Canada
  • Periorbital erythema following alcohol ingestion during treatment with topical tacrolimus
  • Outcomes associated with planned place of birth among women with low-risk pregnancies
  • Bridging anticoagulation for interruption of warfarin in a patient with atrial fibrillation
  • 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