REVIEW

Immigration series

Tuberculosis: evidence review for newly arriving immigrants and refugees
July 15, 2010

Tuberculosis: evidence review for newly arriving immigrants and refugeesThe Canadian Collaboration for Immigrant and Refugee Health recommends screening certain immigrant and refugee groups as soon as possible on arrival in Canada with a tuberculin skin test. Those with a positive test result should be treated for latent tuberculosis infection, after active tuberculosis is ruled out. Greenaway and colleagues stress that, although isoniazid is very effective in decreasing the development of active tuberculosis in those with latent tuberculosis infection, monitoring for hepatotoxicity is required for all ages. Full article

Common mental health problems in immigrants and refugees: general approach to patients in primary care
July 5, 2010

Most immigrants do well throughout the stresses of resettlement, but differences in language, culture, patterns of seeking help and ways of coping make prevention, recognition and treatment of common mental health problems more difficult. Kirmayer and colleagues emphasize that immigrants who have had severe exposure to violence may have higher rates of trauma-associated mental disorders, such as post-traumatic stress disorder. Full article

Migration and health in Canada: health in the global village
June 28, 2010

International migration is estimated at 200 million people. Health conditions of and access to health services for some of these migrant populations differ from those for Canadian-born people, according to Gushulak and colleagues. These disparities have implications for preventive care and provision of health services. Full article

Evaluation of evidence-based literature and formation of recommendations for the Clinical Preventive Guidelines for Immigrants and Refugees in Canada
June 23, 2010

A systematic approach was undertaken to produce evidence reviews for each of the priority health conditions in the Canadian guidelines for immigrant health, says Tugwell and colleagues. This approach included building on evidence from previous systematic reviews and comparing evidence between general and specific immigrant populations. Full article

Development of guidelines for recently arrived immigrants and refugees to Canada: Delphi consensus on selecting preventable and treatable conditions
June 14, 2010

Mental health and chronic diseases are becoming increasingly important in the care of recently arriving immigrants and refugees. Swinkel and colleagues review the process used to set priorities for the Canadian guidelines for immigrant health. Full article

Summary of clinical preventive care recommendations for newly arriving immigrants and refugees to Canada
June 7, 2010

With this article, the new Canadian preventive care guidelines for newly arriving refugees and immigrants are launched. After a rigorous development process, including involvement by practising physicians and immigrant groups, the guidelines encompass topics from infectious diseases to women’s health and chronic diseases. Although there are more than 200 million migrants worldwide, immigrant-specific and evidence-based guidelines have been scarce. These new guidelines fill that gap. Full article

COMMENTARY: Practising medicine in the global village: use of guidelines and virtual networks

 

Tests used to evaluate dizziness in primary care
July 19, 2010

Tests used to evaluate dizziness in primary careAlthough dizziness is a common symptom in primary care, most studies on diagnosing dizziness have been conducted in highly selected groups of patients. There are many diagnostic tests available for assessing dizziness, but Dros and colleagues caution that physicians should be careful not to treat patients on the basis of test results that are inconsistent with the patient’s symptoms. Full article


Vitamin D in adult health and disease: a review and guideline statement from Osteoporosis Canada (summary)
July 12, 2010

Vitamin D in adult health and disease: a review and guideline statement from Osteoporosis Canada (summary)Osteoporosis Canada emphasizes that, for most Canadians, vitamin D supplementation is necessary to achieve an optimal serum level of vitamin D and thus to reduce the risk of osteoporosis. The recommended daily intake of vitamin D is 400–1000 IU for those at low risk for osteoporosis, but doses up to 2000 IU are safe and do not require monitoring. Full article

REVIEW: Vitamin D in adult health and disease: a review and guideline statement from Osteoporosis Canada


Opioids for chronic noncancer pain: a new Canadian practice guideline
May 3, 2010

Opioids for chronic noncancer pain: a new Canadian practice guidelineUndertreated chronic noncancer pain and growing misuse of opioids are two challenges presented by opioid therapy. A new Canadian guideline addresses these challenges with recommendations and tools for safe and responsible selection, prescription, titration and monitoring of opioids. Full article

COMMENTARY: What we still don’t know about opioids

MORE REVIEWS

CMAJ in the News

“Smoking cannabis relieves chronic pain” (The Independent (UK), September 1, 2010)

“Chronic pain suffers helped by marijuana” (UPI, September 1, 2010)

“Huff and puff” (Winnipeg Free Press, editorial, September 1, 2010)

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