CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
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This article describes the Manitoba Cataract Waiting List Program. This program uses a centralized database to track and prioritize all patients waiting for cataract surgery. ⋯ It will also allow for long-term monitoring of thresholds for surgery. It has brought to light previously undocumented issues, such as the simultaneous booking of both eyes for cataract surgery and variations in waiting time between surgeons.
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Organized screening has contributed to a decline in cervical cancer incidence and mortality over the past 50 years. However, women in developing countries are yet to profit extensively from the benefits of screening programs, and recent trends show a resurgence of the disease in developed countries. ⋯ Current research has focused on the determinants of infection with oncogenic HPV types, the assessment of prophylactic and therapeutic vaccines and the development of screening strategies incorporating HPV testing and other methods as adjunct to cytology. These are fundamental stepping stones for the implementation of effective public health programs aimed at the control of cervical cancer.
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Randomized Controlled Trial Comparative Study Clinical Trial
A randomized clinical trial of care for women with preterm labour: home management versus hospital management.
Preterm labour occurs in about 10% of all pregnancies and is the most important cause of premature birth. Women with preterm labour are admitted to hospital to have the contractions stopped. Thereafter, many women remain in hospital until delivery. We conducted a randomized clinical trial to compare hospital care with home care of women who had been admitted to hospital for preterm labour. ⋯ Home care management is an efficient and acceptable alternative to hospital care for women experiencing preterm labour.