Canadian journal of gastroenterology = Journal canadien de gastroenterologie
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Can. J. Gastroenterol. · Dec 2013
Use of fecal occult blood test in hospitalized patients: survey of physicians practicing in a large central Canadian health region and Canadian gastroenterologists.
Although the fecal occult blood test (FOBT) was developed for colorectal cancer screening in the outpatient setting, it continues to be used among hospitalized patients. No previous study has evaluated the knowledge, beliefs and attitudes of practicing physicians on the use of FOBT among hospitalized patients and compared practices among physicians with different medical specialty training. ⋯ The present survey suggests that FOBTs are commonly used in hospitals by EM and FM physicians for indications such as anemia and black stools.
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Can. J. Gastroenterol. · Dec 2013
Evaluation of funding gastroenterology research in Canada illustrates the beneficial role of partnerships.
Funders of health research in Canada seek to determine how their funding programs impact research capacity and knowledge creation. ⋯ Continuity in support of a long-term health research funding partnership strengthened the career development of gastroenterology researchers in Canada, and enhanced the creation and dissemination of new knowledge in the discipline.
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Can. J. Gastroenterol. · Nov 2013
Improving access in gastroenterology: the single point of entry model for referrals.
In 2005, a group of academic gastroenterologists in Calgary (Alberta) adopted a centralized referral intake system known as central triage. This system provided a single point of entry model (SEM) for referrals rather than the traditional system of individual practitioners managing their own referrals and queues. The goal of central triage was to improve wait times and referral management. ⋯ Understanding and measuring complex patient flow systems is key to improving access, and centralized intake systems provide an opportunity to better understand total demand and system bottlenecks. This knowledge is particularly important for specialties such as gastroenterology (GI), in which demand exceeds supply. While it is anticipated that SEMs will reduce wait times for GI care in Canada, the lack of sufficient resources to meet the demand for GI care necessitates additional strategies.
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Can. J. Gastroenterol. · Oct 2013
Clinical TrialCapnography improves detection of apnea during procedural sedation for percutaneous transhepatic cholangiodrainage.
Capnography provides noninvasive monitoring of ventilation and can enable early recognition of altered respiration patterns and apnea. ⋯ Capnographic monitoring was superior to clinical surveillance in the detection of apnea and in the prediction of oxygen desaturation during procedural sedation for PTCD.