Breast ultrasound is one of several tools proposed for supplemental screening of women with dense breasts but is not widely available in Canada. An IRB-approved, evaluation of ultrasound-guided breast biopsies prompted by screening breast ultrasound performed from August 1, 2021, to December 31, 2022, offered to asymptomatic women with category C and D breast tissue density after normal screening mammography (2D) in the provincial organized screening program, or surveillance diagnostic mammography after breast cancer. Risk factors, stage (AJCC 8th ed), incremental cancer detection rate (ICDR), biopsy rates, and positive predictive values for biopsy (PPV3) were evaluated.
View Article and Find Full Text PDFPlume from surgical diathermy systems is recognised as a hazard to healthcare providers but is often ignored during ambulatory care procedures. The development of a squamous cell carcinoma of the larynx in a dermatologist, despite the absence of recognised risk factors, prompted this review and recommendations for change in procedural practices.
View Article and Find Full Text PDFIntroduction: Reference ranges for determining pathological versus normal postoperative return of bowel function are not well characterised for general surgery patients. This study aimed to characterise time to first postoperative passage of stool after general surgery; determine associations between clinical factors and delayed time to first postoperative stool; and evaluate the association between delay to first postoperative stool and prolonged length of hospital stay.
Methods: This study included consecutive admissions at two tertiary hospitals across a two-year period whom underwent a range of general surgery operations.
Sulfur-oxidizing bacteria (SOB) play a vital role in the occurrence of sulfur oxidation intermediate (SOI) compounds often recalcitrant to currently available, abiotic treatment within metal mine tailings impoundments (TI). As inadvertent SOI discharge post-treatment can lead to the uncontrolled acidification of receiving environments, it becomes increasingly important to elucidate the environmental controls on SOB identities and sulfur cycling within these relatively unstudied systems. Here, results identified controlling factors on SOB community differentiation and associated metabolic pathway occurrence through integrated physicochemical, geochemical, and microbial field and experimental investigation across three summers (2016, 2017, 2021) in a stratified Northern Ontario base metal TI.
View Article and Find Full Text PDF