Publications by authors named "N F Lightfoot"

Article Synopsis
  • Rheumatoid arthritis (RA) significantly impacts older adults, particularly women and those in northern Ontario, highlighting the need for better patient experiences and healthcare access.
  • The study involved interviews with various healthcare providers and patients, revealing a consensus on improving early symptom recognition, self-advocacy, and the importance of public education about RA.
  • Recommendations include enhancing medical education focused on rheumatology, fostering collaboration among healthcare professionals, and increasing the availability of rheumatologists in northern Ontario.
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Article Synopsis
  • The study focuses on hip microinstability, a condition that's tough to diagnose due to a lack of clear criteria, and aims to evaluate the prevalence and accuracy of various imaging findings using X-rays and MRIs.
  • Researchers compared imaging results from 224 hips (112 with microinstability and 112 without) that had undergone arthroscopic surgery, assessing different morphological features that might indicate microinstability.
  • Four significant predictors for microinstability were identified: labral hyperplasia and a decreased lateral center edge angle on MRI, along with the absence of specific signs on X-rays; however, many other imaging parameters previously thought to be related were not actually associated with the condition.
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Introduction: Timely recognition of dysplastic hip morphology is critical to facilitate appropriate management before significant joint damage has developed. It is likely that radiologist under reporting contributes to delays in diagnosis. This study aimed to assess how often adult hip dysplasia goes undetected in radiological reports and to identify clinical and radiological variables that impact the likelihood of detection of dysplasia by radiologists.

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Case Presentation: A 70-year-old women presented to a regional hospital after a fall, resulting in a periprosthetic femoral fracture. Preoperative echocardiogram was ordered to investigate a cardiac murmur, and unexpectedly, a significant regional wall abnormality was found. Further repeat electrocardiograph and troponin blood biomarker analysis demonstrated the patient had suffered an acute type 1 myocardial infarction after admission to the ward, without exhibiting classical ischemic cardiac symptoms.

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Aim: Re-manipulation of paediatric forearm fractures under general anaesthetic may be required following inadequate closed reduction under conscious sedation. Manipulation under general anaesthetic carries significant inherent risks and is preferably avoided. We assessed one institution's experience with paediatric forearm fracture reduction and investigate the incidence of re-manipulation under general anaesthetic of fractures initially managed under conscious sedation without fluoroscopy.

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