Canadian family physician Médecin de famille canadien
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To test the validity of a set of defined and tested rules for decisions on use of radiography for acute ankle injuries. ⋯ This study validates the Ottawa ankle rules and supports their use. Further research on how the rules apply to children is required.
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To identify barriers and facilitators to independence as perceived by seniors with chronic health problems and their caregivers. In particular, researchers sought insights into seniors' experience of medical, home-based, and public health services. ⋯ Knowledge of barriers and facilitators to seniors' independence in the context of the health care system provides insight into how seniors can be empowered to remain independent. Health care providers need to communicate better, to foster more positive attitudes toward aging, and to participate in refining service access, coordination of services, and continuity of care.
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To review the evidence on the effectiveness of medical management of bowel obstruction for patients with advanced cancer and to summarize treatment options for home and hospital care. ⋯ Pharmacologic management and percutaneous gastrostomy for intractable vomiting and hypodermoclysis or oral fluids for hydration can control symptoms without surgery or nasogastric tubes.