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Cross-border fertility services in North America: a survey of Canadian and American providers.

https://arctichealth.org/en/permalink/ahliterature145464
Source
Fertil Steril. 2010 Jun;94(1):e16-9
Publication Type
Article
Date
Jun-2010
Author
Edward G Hughes
Deirdre Dejean
Author Affiliation
Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ontario, Canada. hughese@mcmaster.ca
Source
Fertil Steril. 2010 Jun;94(1):e16-9
Date
Jun-2010
Language
English
Publication Type
Article
Keywords
Canada
Female
Health Care Surveys - methods
Health Personnel - standards
Humans
Infertility - epidemiology - therapy
Male
North America
Reproductive Techniques, Assisted - standards
United States
Abstract
To identify the scope and volume of cross-border fertility services in Canada and the U.S. and to evaluate the three-way communication between patients and their service providers in 2008.
Mail and on-line surveys of cross-border fertility care activity were sent to 34 Canadian and 392 American fertility clinics and clinicians.
Clinician and patient experience with assisted reproductive technologies.
The most commonly reported cross-border treatment sought by Canadians was anonymous donor-oocyte in vitro fertilization (IVF; 363 out of 452, 80%). For patients entering Canada to receive fertility treatment, the largest demand was for IVF (106 out of 146, 73%). The majority of out-of-country patients received by U.S. clinics sought standard IVF (927 out of 1,809, 51%), most of these coming from Europe (25%) and Latin America (39%). The largest proportion of patients leaving the U.S. to receive IVF (41%) or donor-egg IVF (52%) traveled to India/Asia. Concurrence was seen between Canadian and U.S. clinics' ratings of key data that should be provided along with returning patients. Experience of earlier patients with individual centers and perceived safety and effectiveness of care are the key factors in choice of destination.
Anonymous donor-oocyte IVF is the main assisted reproductive technology sought by Canadians traveling to the U.S. India and Asia are the main destinations for U.S. women leaving the country for their fertility care. Three-way communication between patients and sending and receiving clinics is an important element of safe and effective care.
PubMed ID
20149916 View in PubMed
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Endocervical Chlamydia trachomatis infection in Canadian adolescents.

https://arctichealth.org/en/permalink/ahliterature231308
Source
CMAJ. 1989 Feb 1;140(3):297-301
Publication Type
Article
Date
Feb-1-1989
Author
E G Hughes
J. Mowatt
J E Spence
Author Affiliation
Division of Gynecology, Children's Hospital, Eastern Ontario, Ottawa.
Source
CMAJ. 1989 Feb 1;140(3):297-301
Date
Feb-1-1989
Language
English
Publication Type
Article
Keywords
Adolescent
Canada
Child Abuse, Sexual - epidemiology
Chlamydia Infections - drug therapy - epidemiology
Chlamydia trachomatis - isolation & purification
Doxycycline - therapeutic use
Female
Humans
Patient compliance
Risk factors
Sexually Transmitted Diseases - drug therapy - epidemiology
Uterine Cervicitis - drug therapy - epidemiology - etiology
Abstract
The highest prevalence rate of sexually transmitted chlamydial infection is among adolescent girls. To determine the rate among predominantly asymptomatic girls who were seen at a pediatric gynecology unit and to identify those at high risk we screened 541 such patients from Jan. 1 to Dec. 31, 1986, by means of direct fluorescent antibody testing; 422 (78.0%) were asymptomatic. The most common reason for presentation was a request for contraceptive advice (the reason for 59.2% of the patients). Of the 446 patients (82.4%) who were sexually active 66 (14.7%) had evidence of chlamydial infection; none of the 93 sexually inactive patients were infected. Neisseria gonorrhoeae was isolated from eight (1.5%) of the patients. The risk factors that correlated with chlamydial infection were abnormal vaginal discharge, abdominopelvic pain and an abnormal Papanicolaou test result. Because of the high morbidity rate associated with genital chlamydial infection and the high prevalence rate among adolescent girls, most of whom are asymptomatic, all sexually active teenagers should be screened.
Notes
Cites: Rev Infect Dis. 1983 Jul-Aug;5(4):713-96622887
Cites: Pediatrics. 1983 Mar;71(3):333-66402755
Cites: Am J Dis Child. 1984 Jun;138(6):562-46720642
Cites: Pediatr Infect Dis. 1984 Mar-Apr;3(2):97-96547232
Cites: Ann Intern Med. 1984 Nov;101(5):638-416091511
Cites: Br J Obstet Gynaecol. 1984 Dec;91(12):1181-76518153
Cites: Acta Obstet Gynecol Scand. 1985;64(2):145-93885669
Cites: Can Med Assoc J. 1985 Jul 1;133(1):34-54039970
Cites: Obstet Gynecol. 1986 May;67(5):722-63960443
Cites: Am J Obstet Gynecol. 1983 May 15;146(2):153-96846431
Cites: JAMA. 1986 Apr 4;255(13):1730-43081742
Cites: Fertil Steril. 1985 Sep;44(3):313-74029419
Cites: Am J Obstet Gynecol. 1986 Apr;154(4):865-733515947
Cites: J Pediatr. 1986 May;108(5 Pt 1):779-833517270
Cites: Am J Obstet Gynecol. 1986 Jul;155(1):35-93755292
Cites: Am J Obstet Gynecol. 1986 Sep;155(3):602-72944385
Cites: Med J Aust. 1986 Nov 17;145(10):497-93773805
Cites: Obstet Gynecol. 1987 Mar;69(3 Pt 1):347-93547210
Cites: Am J Obstet Gynecol. 1987 Feb;156(2):291-63826162
Cites: CMAJ. 1987 Jul 1;137(1):33-73594332
Cites: Obstet Gynecol. 1987 Jul;70(1):47-523299179
Cites: Am J Obstet Gynecol. 1987 Jul;157(1):65-712440306
Cites: Am J Obstet Gynecol. 1987 Aug;157(2):394-93303938
Cites: Fertil Steril. 1987 Nov;48(5):787-903666181
Cites: Public Health Rep. 1964 Jan;79:49-5714105729
Cites: Am J Obstet Gynecol. 1975 Mar 1;121(5):707-13123123
Cites: Ann Intern Med. 1981 Dec;95(6):685-87305145
Cites: JAMA. 1982 Mar 19;247(11):1585-87062461
Cites: Obstet Gynecol. 1982 May;59(5):550-56803199
Cites: Obstet Gynecol. 1982 Feb;59(2):210-37078867
Cites: J Pediatr. 1984 Jan;104(1):141-66546309
PubMed ID
2914240 View in PubMed
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User satisfaction with rehabilitation services delivered using Internet video.

https://arctichealth.org/en/permalink/ahliterature184356
Source
J Telemed Telecare. 2003;9(3):180-3
Publication Type
Article
Date
2003
Author
G. Hughes
B. Hudgins
J E Hooper
B. Wallace
Author Affiliation
Institute of Biomedical Engineering, University of New Brunswick, Fredericton, New Brunswick, Canada. ghughes@unb.ca
Source
J Telemed Telecare. 2003;9(3):180-3
Date
2003
Language
English
Publication Type
Article
Keywords
Humans
Internet
New Brunswick
Patient satisfaction
Rehabilitation - methods
Remote Consultation - instrumentation - methods - standards
Video Recording
Abstract
Rehabilitation services to four remote sites in New Brunswick were delivered via PC-based videoconferencing equipment, using ADSL connections to the Internet. Approximately 40 people used the equipment over 18 months. There were 32 videoconference sessions. A total of 60 questionnaires were returned (a 94% response rate). In 31 of the 32 videoconferences, a connection was successfully established between the computers. The videoconferences lasted on average 20 min. The most frequent applications were viewing of rehabilitative equipment and video communication. The technology was found to be useful and provided an enhanced form of communication from the video component. There were some problems with the stability and reliability of the equipment.
PubMed ID
12877782 View in PubMed
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[Wegener's granulomatosis. New aspects of diagnosis, treatment and prognosis].

https://arctichealth.org/en/permalink/ahliterature228361
Source
Tidsskr Nor Laegeforen. 1990 Sep 20;110(22):2881-4
Publication Type
Article
Date
Sep-20-1990
Author
H J Haga
D. D'Cruz
G. Hughes
Author Affiliation
Rayne Institute, St. Thomas Hospital, London.
Source
Tidsskr Nor Laegeforen. 1990 Sep 20;110(22):2881-4
Date
Sep-20-1990
Language
Norwegian
Publication Type
Article
Keywords
Adult
Aged
Female
Humans
Male
Norway
Prognosis
Wegener Granulomatosis - diagnosis - drug therapy - mortality
Abstract
In its classical form, Wegener's granulomatosis (WG) is characterized by acute granulomatous vasculitis of the upper and lower respiratory tract together with glomerulonephritis, and when untreated, mortality is high. The use of cyclophosphamide and prednisolon has improved the prognosis dramatically, while azathioprine and trimetoprim-sulfamethoxazole are of limited therapeutic value in these patients. Only 1/3 of subacute and chronic cases show renal impairment, and the prognosis is better in limited Wegener's granulomatosis without renal disease than in the classical form. This case-report and review takes up various new aspects of diagnosis, treatment and prognosis.
PubMed ID
2219066 View in PubMed
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You're the flight surgeon. Osteochondritis dissecans.

https://arctichealth.org/en/permalink/ahliterature142937
Source
Aviat Space Environ Med. 2010 Jun;81(6):610-1
Publication Type
Article
Date
Jun-2010