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Research * Recherche
Smoking cessation initiated during hospital stay for patients with coronary artery disease: a randomized controlled trial
P.M. Smith, E. Burgess
An intensive program to stop smoking works better than a minimal intervention for patients admitted to hospital for coronary artery bypass surgery or myocardial infarction. Patients in the intensive program received 45–60 minutes of bedside education and counselling, take-home materials and 7 counselling sessions with a nurse by telephone after discharge. Significantly more patients in the intensive program were abstinent at 1 year.
Commentary * Commentaire
Helping smokers with cardiac disease to abstain from tobacco after a stay in hospital
N.A. Rigotti
Smokers with cardiovascular disease who are admitted to hospital and counselled about smoking benefit from continuing counselling for more than 1 month after discharge.
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Research * Recherche
Special report: National trends in rates of death and hospital admissions related to acute myocardial infarction, heart failure and stroke, 1994–2004
J.V. Tu, L. Nardi, J. Fang and colleagues
Rates of death from cardiovascular disease declined 30%, from 360.6 to 252.5 per 100 000, between 1994 and 2004 in Canada, according to data from Statistics Canada analyzed by Tu and colleagues. The decline in mortality rates may plateau or even be reversed in the future because of an increase in such risk factors as diabetes and obesity.
Commentary * Commentaire
Trends in cardiovascular disease: Are we winning the war?
S. Capewell, M. O’Flaherty
Cardiovascular disease will remain the most common cause of death in the near future because of an aging population, unless we target its prevention.
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Research * Recherche
Initiation of insulin therapy in elderly patients taking oral antidiabetes drugs
N. Pérez, J. Moisan, C. Sirois, and colleagues
For every 1000 new users of oral antidiabetes drugs observed for 1 year, 9.7 would be expected to begin insulin therapy. This incidence rate seems low, say Pérez and colleagues, who performed this population-based cohort study.
Commentary * Commentaire
Pharmacoepidemiology of insulin initiation in diabetes care
L.M. Pogach
We would need more sophisticated studies to determine if this low rate of starting insulin therapy is because of patients’ lack of need or inertia on the part of physicians.
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Review * Synthèse
Acclimation during space flight: effects on human physiology
D. Williams, A. Kuipers, C. Mukai and colleagues
Spinoffs from space
R. Thirsk, A. Kuipers, C. Mukai and colleagues
Essay: A moment in time
D. Williams
Dispatch from the medical front: Limited onboard amenities
D. Williams, R. Thirsk, A. Kuipers, and colleagues
Although most physiologic effects resolve shortly after returning to earth, demineralization of bone may be a permanent effect of long space flights.
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Editorial * Éditorial
Ten reasons to make cord blood stem cells a public good
K. Flegel
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Practice * Pratique
Innovations: Stereotactic radiation therapy for inoperable, early-stage non-small-cell lung cancer
M. Dahele, A. Brade, S. Pearson and colleagues
In a revival of our series on innovations in care, Dahele and colleagues say that stereotactic radiation therapy should be considered for patients with early peripheral non-small-cell lung cancer who are unfit for surgery.
Clinical images: Carcinoid syndrome
H. ur Rehman
A 72-year-old man with facial flushing, cyanosis, telangiectasia, congestive heart failure, weight loss and chronic diarrhea was found to have metastatic carcinoid tumour.
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Letters * Correspondance
Interpret results with caution
R. Lyn and F. McCarty
K.C. Harris and J.E. Retallack
Clear language
G.A. Finley
S.C. Arya, N. Agarwal
Lung cancer screening
L.F. Ambrose
F.W. Grannis
Avalanche fatalities
F.W. Baumann
New powers for naturopaths
T. Champagne
Correction
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