Publications by authors named "M Gowans"

Article Synopsis
  • This study investigates the oral microbiome of patients with Crohn's disease (CD), aiming to better understand its characteristics and differences compared to healthy individuals.
  • A total of 41 CD patients and 24 healthy controls were analyzed, revealing distinct oral microbiome profiles where 39% of CD patients exhibited oral manifestations like cobblestoning and ulcers.
  • The findings suggest that the oral microbiome composition is not only capable of distinguishing CD patients from healthy individuals but is also linked to specific oral symptoms, potentially aiding in CD diagnosis.
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Background: This study aims to characterize, the gut and oral microbiome in Asian subjects with Crohn's disease (CD) using whole genome shotgun sequencing, thereby allowing for strain-level comparison.

Methods: A case-control study with age, sex and ethnicity matched healthy controls was conducted. CD subjects were limited to well-controlled patients without oral manifestations.

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The presence of gastroesophageal varices is a major complication of portal hypertension associated with significant morbidity and mortality. The Baveno VI criteria state that patients with liver stiffness measurement (LSM) <20 kPa by transient elastography (TE) and platelet count >150,000/μL can avoid screening endoscopy for high-risk varix (HRV). However, because TE is not widely available, the Baveno VI criteria could not be applied in many clinical settings.

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Objective: To examine the attributes of Canadian medical students at matriculation that predicted later practice in a rural location, with the goal of enhancing evidence-based approaches to increasing the numbers of rural family physicians.

Design: Demographic, attitudinal, and career choice data were collected from medical students at matriculation. Students were followed prospectively, and these data were linked to postresidency practice location.

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Article Synopsis
  • Canada has two routes for emergency medicine (EM) training, which may lead medical students aspiring for EM to choose family medicine (FM) residencies to get certified in EM later.
  • A study of over 1,000 medical students found that those who indicated EM as their top choice were significantly more likely to pursue further EM training after completing an FM residency compared to those who did not choose EM initially.
  • The research highlights distinct differences in attitudes between students interested in EM and those who weren't, suggesting that early interest in EM can influence training pathways and career outcomes.
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