James M. Kitchens

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In recent years the Ontario government has been concerned that the proportion of public expenditures devoted to health care is at an all-time high. In addition, the media have devoted considerable attention to specific incidents that may represent inadequate funding of hospital services. To shed light on the debate on health care expenditures we analysed(More)
OBJECTIVE To compare critically by meta-analysis the postoperative outcomes after truncal vagotomy and pyloroplasty (TVP) and after highly selective vagotomy (HSV). DATA SOURCES A search was conducted on MEDLINE with the keywords "peptic ulcer" and "vagotomy". Bibliographics of the articles retrieved and review articles pertaining to the subject were(More)
OBJECTIVE To teach internal medicine residents key principles of clinical epidemiology that are necessary to read critically the medical literature. DESIGN Two-phase, non-randomized, controlled educational trial. SETTING University-based training program for residents (PGY-l-PGY-3) in internal medicine. PARTICIPANTS All 83 residents participated in(More)
To the Editors: ~ The review by Kitchens and Flegel ] is an important and wel l researched overview of the vexing clinical problem of atrial fibrillation, stroke and ant icoagulat ion. However, the degree of uncertainty noted in the discussion might have been reduced by consider ing the work done by Beck and Pauker on an ana logous clinical problem, stroke(More)
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