Ian P Sempowski

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OBJECTIVE To evaluate the effectiveness of programs that provide financial incentives to physicians in exchange for a rural or underserviced area return-of-service (ROS) commitment. METHODS Medline and Ovid HealthSTAR databases were searched from 1966 to 2002. STUDY SELECTION The initial search yielded 516 results. Bibliography review yielded additional(More)
OBJECTIVE To determine whether viscosupplementation with intra-articular hyaluronic acid (HA) injections improves pain and function in patients with osteoarthritis (OA) in their knees. DATA SOURCES We searched MEDLINE, Pre-MEDLINE, and Cochrane databases using the MeSH headings and key words osteoarthritis (knee) and hyaluronic acid. STUDY SELECTION(More)
OBJECTIVE To develop a simple stepwise approach to initial management of emergencies in family physicians' offices; to review how to prepare health care teams and equipment; and to illustrate a general approach to three of the most common office emergencies. QUALITY OF EVIDENCE MEDLINE was searched from January 1980 to December 2001. Articles were(More)
BACKGROUND A discordance exists between the proportion of Canadian family physicians that we expect should be able to perform minor office procedures and the actual provision of care. This pattern has not been extensively studied. The objective of this study was to determine the current patterns and obstacles relating to the provision of four minor office(More)
OBJECTIVE To provide a guide family physicians can use to interpret current evidence on treating women with pregestational and gestational diabetes mellitus (GDM) and to develop a model for managing these patients. QUALITY OF EVIDENCE A MEDLINE search from January 1980 to December 2002 found randomized controlled trials (RCTs) and descriptive studies that(More)
Patients will frequently see their family physician with an “occasional trigger finger,” or a finger or thumb that gets intermittently stuck in a flexed position. By attempting to extend the digit, it will often suddenly pop out to length. In some cases, the trigger finger is painful. Trigger finger usually occurs in the third or fourth digits, but it can(More)
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