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Using behavioural science to improve antibiotic stewardship in Canadian long-term care homes: Protocol for a multi-center cluster randomized quality improvement study.
Can Commun Dis Rep
January 2025
Data, Surveillance and Foresight Branch, Public Health Agency of Canada, Ottawa, ON.
Background: Antimicrobial resistance (AMR) is associated with significant human and financial costs, particularly among vulnerable populations like older adults living in long-term care homes (LTCHs). Urinary tract infection (UTI) is the leading indication for antibiotic use in this population, with some estimates suggesting that up to 70% of these prescriptions may be avoidable.
Objective: The purpose of this study is to develop and test novel behavioural science-informed antimicrobial stewardship (AMS) quality improvement strategies in Canadian LTCHs, which aim to decrease unnecessary testing and treatment for residents who lack the minimum clinical signs and symptoms of UTI.
"Choosing wisely": Intravitreal gas injection as first-line treatment for macular hole-a clinical case perspective.
Retin Cases Brief Rep
January 2025
Chair of Ophthalmology division; Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv, Israel.
Purpose: To evaluate the potency and security of Pneumatic Vitreolysis (PVL) as the primary treatment for Full-Thickness Macular Holes (FTMHs) and provide insights into patient selection criteria and procedural outcomes.
Patients And Methods: A retrospective analysis of three clinical cases presenting with FTMHs treated initially with PVL was conducted. Cases were evaluated for anatomical and functional outcomes through comprehensive ophthalmic examination and optical coherence tomography (OCT) imaging.
Prevalence, Incidence and Risk Factors of White Spot Lesions Associated With Orthodontic Treatment - A Systematic Review and Meta-Analysis.
Orthod Craniofac Res
December 2024
Department of Orthodontics and Dentofacial Orthopedics, Dental School/Medical Faculty, University of Bern, Bern, Switzerland.
The primary objective was to systematically assess the prevalence, incidence and risk factors of WSLs with orthodontic treatment. The secondary objective was to compare the prevalence of WSLs between conventional fixed appliances (CFA) and other appliances, as well as with no treatment. PubMed, Scopus, Web of Science, LILACs, Virtual Health Library and Cochrane CENTRAL were searched.
View Article and Find Full Text PDFEngaging clinicians to reduce carbon-intensive, unnecessary tests and procedures.
Lancet Planet Health
December 2024
Department of Medicine, University of Toronto, Toronto, ON M5S 3H2, Canada; Division of General Internal Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Cultural safety and the medical profession in Aotearoa New Zealand: a training framework and the pursuit of Māori health equity.
N Z Med J
December 2024
Senior Lecturer, Centre for Medical and Health Sciences Education, The University of Auckland, Auckland.
The concept of cultural safety, developed in the training of nurses over 30 years ago, was adopted by the Medical Council of New Zealand in 2019. We report on the journey of the Medical Council of New Zealand, Te ORA (the Māori Medical Practitioners Association) and the Council of Medical Colleges, and our increasing understanding of cultural competence and cultural safety in promoting best outcomes for Māori patients over the years. We describe in detail the key components of a cultural safety training framework as a tool for medical colleges' training of registrars and the Continuing Professional Development (CPD) of specialist medical practitioners.
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