Improving primary health care through partnerships: Key insights from a cross-case analysis of multi-stakeholder partnerships in two Canadian provinces.

Background And Aims: Multi-stakeholder partnerships offer strategic advantages in addressing multi-faceted issues in complex, fast-paced, and rapidly-evolving community health contexts. Synergistic partnerships mobilize partners' complementary financial and nonfinancial resources, resulting in improved outcomes beyond that achievable through individual efforts. Our objectives were to explore the manifestations of synergy in partnerships involving stakeholders from different organizations with an interest in implementing organizational solutions that enhance access to primary health care (PHC) for vulnerable populations, and to describe structures and processes that facilitated the work of these partnerships.

Long-term Outcomes of Pediatric Living Versus Deceased Donor Liver Transplantation Recipients: A Systematic Review and Meta-analysis.

Living donor liver transplantation (LDLT) emerged in the 1980s as a viable alternative to scarce cadaveric organs for pediatric patients. However, pediatric waitlist mortality remains high. Long-term outcomes of living and deceased donor liver transplantation (DDLT) are inconsistently described in the literature.

Artificial intelligence in emergency medicine: A scoping review.

Introduction: Despite the growing investment in and adoption of artificial intelligence (AI) in medicine, the applications of AI in an emergency setting remain unclear. This scoping review seeks to identify available literature regarding the applications of AI in emergency medicine.

Methods: The scoping review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for scoping reviews using Medline-OVID, EMBASE, CINAHL, and IEEE, with a double screening and extraction process.

Brief action planning targeting prognostic factors for an adult with persistent low back pain without radiculopathy: A case report.

We describe the implementation of brief action planning in conjunction with evidence-based clinical practice guideline recommendations to improve self-efficacy in a patient with psychosocial barriers and persistent nonspecific low back pain.

Real-World Effectiveness of Obeticholic Acid in Patients with Primary Biliary Cholangitis.

Patients with primary biliary cholangitis (PBC) with incomplete response to ursodeoxycholic acid are at risk of disease progression and need additional therapy. Obeticholic acid (OCA) was approved in Canada in May 2017, but its effectiveness in a real-world setting has not been described. We sought to describe our experience with OCA in a Canadian cohort.

Desmopressin responsiveness by age in type 1 von Willebrand disease.

Background: Patients with type 1 von Willebrand disease (VWD) undergo a desmopressin (DDAVP) responsiveness challenge at diagnosis to assess whether DDAVP reverses their coagulation deficits. Current practice assumes DDAVP responsiveness remains constant over the lifetime. In patients with type 1 VWD, VWF-related parameters increase with age.

Choosing Wisely campaigns globally: A shared approach to tackling the problem of overuse in healthcare.

Choosing Wisely, a campaign which launched in the United States in 2012, has now spread to over 20 countries around the world. Choosing Wisely campaigns share a core set of principles, which inform how campaigns operate and engage with physicians, clinicians, patients, and other stakeholders. This article will address the origins and motivation of Choosing Wisely campaigns, and what factors have supported their spread.

Young Stroke Survivors With No Early Recurrence at High Long-Term Risk of Adverse Outcomes.

Background Approximately 8% to 21% of strokes affect adults aged <45 years. Although early stroke recurrence conveys the largest risk, long-term risks for young survivors with no early complications are unclear. Methods and Results Longitudinal matched case-control study (2003-2013).

Acute care nurses' perceptions of electronic health record use: A mixed method study.

Aim: The overall aim of this study is to examine nurses' perceptions of electronic health record use in an acute care hospital setting.

Design: This study uses a sequential mixed methods design in two phases.

Methods: Phase one consists of a survey of Registered Nurses to understand nurses' perceptions of electronic health record use.

Assessment of limb edema in pediatric post-thrombotic syndrome.

Background: Pediatric tools for diagnosis of post-thrombotic syndrome (PTS) include the assessment of limb edema as a symptom (patient/proxy-reported) and as a sign. However, it is unclear whether these two approaches refer to the same clinical aspect of PTS. This could result in overestimation of disease severity.

Characteristics of pain, other symptoms and function in pediatric post-thrombotic syndrome.

Background: Symptoms and function in pediatric post-thrombotic syndrome (PTS) remain poorly characterized.

Methods: The present cross-sectional study describes the characteristics of pain, other symptoms, and impaired function in pediatric PTS in a cohort of children with history of upper or lower limb deep vein thrombosis and PTS diagnosis. The frequency of clinical findings was compared between patients with and without pain, and between patients with upper and lower extremity PTS.