"If We Can Make a Cure of Him": Lyrical Grenfell in the St. Anthony Casebooks, 1906.

Narrative-based physician records contain much more than observerless data and diagnoses. Indeed, a "case," the basic currency of medical communication, can be seen as a literary genre, much like a novel or a poem, and given close readings for author voice, tradition, and influences. In this article, I describe my initial encounter with Dr.

Association between C-reactive protein response to influenza vaccine during pregnancy and birth outcomes.

Objective: A growing body of evidence suggests inflammatory markers can help predict poor outcomes in pregnancy. We evaluated C-reactive protein (CRP)-a key biomarker of inflammation-before and after a safe immune provocation (the seasonal influenza vaccine) during pregnancy. We evaluated predictors of the magnitude of response, as well as the association between CRP response and birth outcomes.

"Something is wrong with your milk": Qualitative study of maternal dietary restriction and beliefs about infant colic.

Objective: To investigate new mothers' perceptions about the role of maternal diet in infant fuss-cry behaviour, and to explore patterns of food restriction in breastfeeding women.

Design: Qualitative study.

Setting: Calgary, Alta.

Enhanced skills in global health and health equity: Guidelines for curriculum development.

Introduction: Global health addresses health inequities in the care of underserved populations, both domestic and international. Given that health systems with a strong primary care foundation are the most equitable, effective and efficient, family medicine is uniquely positioned to engage in global health. However, there are no nationally recognized standards in Canada for postgraduate family medicine training in global health.

Life in unexpected places: Employing visual thinking strategies in global health training.

Background: The desire to make meaning out of images, metaphor, and other representations indicates higher-order cognitive skills that can be difficult to teach, especially in the complex and unfamiliar environments like those encountered in many global health experiences. Because reflecting on art can help develop medical students' imaginative and interpretive skills, we used visual thinking strategies (VTS) during an immersive 4-week global health elective for medical students to help them construct new understanding of the social determinants of health in a low-resource setting. We were aware of no previous formal efforts to use art in global health training.

Using visual art and collaborative reflection to explore medical attitudes toward vulnerable persons.

Background: Vulnerable persons often face stigma-related barriers while seeking health care. Innovative education and professional development methods are needed to help change this.

Method: We describe an interdisciplinary group workshop designed around a discomfiting oil portrait, intended to trigger provocative conversations among health care students and practitioners, and we present our mixed methods analysis of participant reflections.

An unusual presentation of a swollen arm: a case report.

Introduction: Subclavian vein thrombosis is a rare but potentially fatal condition that most often occurs iatrogenically or in the context of malignancy. Here we report the case of an active, healthy 32-year-old woman who presented with subtle findings of arm pain, paresthesias and skin changes of acute onset and was subsequently diagnosed with upper extremity deep vein thrombosis and subclavian stenosis, and was started on a course of oral antithrombotics.

Case Presentation: A 32-year-old right-handed Caucasian woman presented to her family medicine clinic with left shoulder pain and numbness along her ipsilateral forearm and hand, as well as subtle swelling of the affected limb.

Family practice versus specialist care for low-risk obstetrics: examining patient satisfaction in Newfoundland and Labrador.

Objective: To investigate patient satisfaction with 3 models of low-risk obstetrics care: solo care by a GP, group care by GPs, and specialist care.

Design: Three-arm study comparing results of a self-administered, anonymous questionnaire.

Setting: Two academic family practices and the labour and delivery ward in St John's, Nfld.