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Interview with two authors of a large population-based study from Ontario. The authors looked at risk of suicide following a concussion. They also compared weekend versus weekend concussion. Dr. Donald Redelmeier is a general internist at Sunnybrook Health Sciences Centre, professor in the department of medicine at the University of Toronto, and senior scientist at the Institute for Clinical Evaluative Sciences in Toronto. Dr. Michael Fralick is a chief resident in internal medicine at the University of Toronto as well as a trainee at the Institute for Clinical Evaluative Sciences in Toronto.Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150790To request a transcript of this podcast, contact [email protected] to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

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Interview with Dr. Derek MacFadden, infectious diseases physician practising at the University Health Network in Toronto as well as doctoral student in infectious disease epidemiology at the Harvard Chan School of Public Health in Boston.Dr. MacFadden is the co-author of a practice article published in the CMAJ. He tells us what we need to know about the Zika virus, which is spreading rapidly throughout South and Central America, the Caribbean and Mexico via bites from infected Aedes aegypti mosquitoes. The virus has been linked with neurologic illnesses and congenital microcephaly.Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.151486To request a transcript of this podcast, contact [email protected] to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

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For out-of-hospital cardiac arrest occurring in high-rise residential buildings, the survival rate is lower for patients on higher floors, according to findings of a large retrospective database study from Ontario. The logistics of delivering emergency care in high-rise buildings may contribute to lower survival. In this podcast, Dr. Matthew Stanbrook, deputy editor for CMAJ, interviews Ian Drennan, Advanced Care paramedic and instructor in Toronto and a Phd Candidate with Rescu, Li Ka Shing Knowledge Institute at St. Michael's Hospital and the Institute of Medical Science at the University of Toronto.In their research article, Ian and his colleagues compare the rate of survival after out-of-hospital cardiac arrest at different floors of high-rise buildings. They also looked at delay to reaching patients in high rises.Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150544To request a transcript of this podcast, contact [email protected] to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

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RCTs of treatment as prevention have shown significant prevention of onward HIV transmission among serodiscordant couples, but observational studies of clinical practice have not consistently replicated these findings. There are particular concerns among men who have sex with men (MSM). In this podcast, Dr. Paul MacPherson explores some of the issues. Dr. MacPherson is a specialist in the Division of Infectious Diseases at the Ottawa Hospital, an associate professor in the Department of Medicine, and the Department of Biochemistry, Microbiology and Immunology at the University of Ottawa, and a clinician scientist at the Ottawa Hospital Research Institute.In their analysis article, Dr. MacPherson and his co-author Patrick O’Byrne examine HIV treatment as prevention in MSM.Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150605To request a transcript of this podcast, contact [email protected] to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

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Diagnosis of fetal alcohol spectrum disorder is essential to improve outcomes for affected individuals and families, and to inform pre-pregnancy counselling to prevent future cases. This guideline from the Canada Fetal Alcohol Spectrum Disorder Research Network provides evidence-based recommendations for best practices in the diagnosis of this condition.In this podcast, two of the authors of the guideline explain what to look for in clinical practice. Dr. Valerie Temple is a clinical psychologist at Surrey Place Centre in Toronto, and Dr. Christine Loock is a developmental pediatrician at Children's and Women's Health Centre of British Columbia, with an academic appointment at UBC.Full guideline: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141593To request a transcript of this podcast, contact [email protected] to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

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If physician-assisted death becomes legal in Canada, physicians need to know whether and, if so, how to record it on medical certificates of death. In this podcast, Jocelyn Downie, Professor in the Faculties of Law and Medicine, and Associate Dean of Graduate Studies in the Faculty of Law, at Dalhousie University, in Halifax, Nova Scotia, discusses the best approach by examining current practice and best principles.Professor Downie and her co-author Kacie Oliver have published an analysis article in the CMAJ. Full analysis article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.151130To request a transcript of this podcast, contact [email protected] to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

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There is mounting evidence now suggesting that prematurity may lead to a variety of adult diseases, such as hypertension, obstructive lung disease, or osteopenia. However, there is little guidance for physicians on how to provide proper long-term follow-up for their patients who were born preterm. In this podcast, two of the co-authors of a review article published in CMAJ, Dr. Tuy Mai Luu, clinician-scientist at Sainte-Justine Hospital and teaching assistant in the Department of Pediatrics at the University of Montreal, and Dr. Anne-Monique Nuyt, Professor in the Department of Pediatrics at the University of Montreal and Chief of neonatology at Sainte-Justine Hospital explain the evidence linking pre-term birth and adult chronic diseases.Full review article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150450To request a transcript of this podcast, contact [email protected] to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

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The Canadian Medical Hall of Fame will soon honour Dr. Mark Wainberg for his achievements in HIV research and AIDS advocacy. From the initial identification of 3TC, one of the most widely used HIV treatments, to drawing unprecedented attention to global disparities in access to antiretrovirals as president of the International AIDS Society, Dr. Wainberg's work has helped save millions of lives worldwide. In this podcast, he joins CMAJ reporter Lauren Vogel to reflect on his legacy and new work towards a cure.To request a transcript of this podcast, contact [email protected]

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Interview with Dr. Kevin Pottie, Associate Professor of Family Medicine, and Epidemiology & Community Medicine at the University of Ottawa. Dr. Pottie is also Principal Scientist at the C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute at the University of Ottawa. As people age, changes to the structure and the function of the brain may result in cognitive decline. These changes, however, do not equally affect all cognitive domains or all people. Should we screen our asymptomatic patients for cognitive impairment? In this evidence-based guideline, the Canadian Task Force on Preventive Health Care recommends that we don’t. Dr. Pottie explains in this podcast.Full guideline: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141165To request a transcript of this podcast, contact [email protected] to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.

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Some 800,000 migrants from Africa and the Middle East have made the perilous journey across the Mediterranean Sea to Europe this year. Many suffer from untreated injuries and medical conditions, and more than 3,000 have died or gone missing at sea. In this podcast, CMAJ News reporter Lauren Vogel interviews Dr. Simon Bryant, an Alberta physician who experienced the crisis first-hand volunteering on a Médecins Sans Frontières search-and-rescue ship. To request a transcript of this podcast, contact [email protected]

Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.

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