Burgeoning career opportunities in radiation oncology.
PubMedPublished 2 October 2001Open access
R. Pearcey, Donald B. Carlow
Citations9
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Abstract
The Canadian Stroke Systems Coalition is to be congratulated on developing recommendations for creating a systems approach to stroke care in Canada.[1][1] Implementation of the recommendations should considerably reduce Canada's stroke burden. To better understand the national stroke demographics
Keywords
Medicine
Archives of OphthalmologyThe VF-14
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The VF-14 is a reliable and valid measure of functional impairment caused by cataract and provides information not conveyed by visual acuity or a general measure of health status.
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The etiologic aspects and their therapeutic implications justify an active investigative attitude in young adults with recent ischemic stroke and in Occidental countries the causes of stroke in the young adult do not really differ from those in the older individual.
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A population-based nested case-control study to test the association between vertebrobasilar accidents and neck manipulation in young adults and results are consistent with a positive association.
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Estimates of the proportion of patients benefiting from cataract surgery vary with the outcome measure used to measure benefit, suggesting change in VF-14 score, a measure of functional impairment related to vision, may be a better measure of the benefit of cataracts surgery than change in visual acuity.
OphthalmologyInternational Applicability of the VF-14
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The non-U.S. versions of the visual function index (VF-14) analyzed are as reliable, valid, and responsive to clinical change as the original U.s. version, appropriate for international studies of cataract patients outcomes and possibly in routine clinical practice.
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The VF-14 was reproducible in stable patients during an 8-month period, and it was more responsive to clinically significant changes in vision than was a generic health status measure (ie, the Sickness Impact Profile).
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Having blurred vision more than once or twice a month has a detectable and significant impact on functional status and well-being, especially in role limitations due to physical health problems, as measured by the SF-36.
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66 Citations2000Michael T.Y. Chan, Zurab Nadareishvili +1 more
About one in five young patients was inadequately investigated by a stroke-oriented group of neurologists, and the major problem appears to be restriction of investigations to neuroimaging alone (usually computerized cerebral tomography), without further tests such as cerebral angiography and cardiac imaging.
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In Ontario, between 1984 and 1995, there was a large shift in workload from palliatives radiotherapy to curative radiotherapy, and this phenomenon was mainly due to an increase in the incidence of prostate cancer.
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This program uses a centralized database to track and prioritize all patients waiting for cataract surgery, and provides an objective and reliable measure of the length of the wait, and patients on the waiting list are treated in a more equitable fashion through application of a uniform method of prioritization.
Journal of Cataract & Refractive SurgeryOutcomes of small incision cataract surgery
39 Citations1998Risto Uusitalo, Ahti Tarkkanen
Estimates of the proportion of patients benefiting from cataract surgery varied with the outcome measure used to determine benefit, and the change in the VF‐14 score was a better measure than Snellen acuity of the benefit of cataracts surgery.
International Journal of Technology Assessment in Health CareAssessment of the Maximum Waiting Time Guarantee for Cataract Surgery: <i>The Case of a Swedish Policy</i>
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It is shown that ophthalmic surgery units vary in their adoption of the maximum waiting time guarantee, leading to different levels of goal achievement in waiting times for their patients, and less successful units could be divided into two groups.
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37 Citations1997Jacques Gresset, Hélène Boisjoly +3 more
The results show that French-language versions of the VF-14, CSS and global measures of trouble and satisfaction with vision are reliable and valid.
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The overall mortality rate in Canada is 47.8 per 100 000 population, and in people aged 65–69 years, the rate is 73.4 per 100000 population, which gradually increases to 2003 per 100 thousands population for those aged 90 years and over.
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There is concern that about 50 residents currently in training will be left without staff positions, and a lack of national coordination in meeting human-resources needs is cited.
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The audit identified key areas of variation in practice, and analysis of reasons for differences in outcome has led to some changes in the management of patients with cataracts in the four units.
