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OBJECTIVE To determine if the use of metformin in people with prediabetes (impaired glucose tolerance or impaired fasting glucose) would prevent or delay the onset of frank type 2 diabetes mellitus. DATA SOURCES MEDLINE was searched from January 1966 to the present, and articles meeting the selection criteria were hand searched. STUDY SELECTION(More)
OBJECTIVE To compare e-mail with regular mail for conducting surveys of physicians. DESIGN Randomized controlled trial. SETTING Ontario, Canada. PARTICIPANTS A random sample of physicians listed in the College of Family Physicians of Canada's membership database. INTERVENTIONS Survey delivered by e-mail and by post. MAIN OUTCOME MEASURES Response(More)
AIM To determine the prevalence of mental and social disorders in adults who attend primary care health centers in Bosnia and Herzegovina. METHODS Sixty-nine family physicians from the Primary Care Research Network in Bosnia and Herzegovina each invited 20 randomly selected patients from their practices to complete the Patient Health Questionnaire (PHQ),(More)
OBJECTIVE To examine the degree to which targets for diabetes (blood pressure [BP], glycated hemoglobin [HbA1c], and low-density lipoprotein cholesterol [LDL-C]) are achieved in family practices and how these results compare with family physicians' perceptions of how well targets are being achieved. DESIGN Chart audit and physician survey. SETTING(More)
BACKGROUND Although high rates of gestational diabetes mellitus have been documented in native populations, few studies have examined rates of the disease among native Indians in Canada. The authors conducted a study to estimate the prevalence of gestational diabetes among Swampy Cree women, to identify factors predictive of the occurrence of gestational(More)
BACKGROUND Primary care reform initiatives in Ontario are proceeding with little information about the views of practicing family physicians. METHODS A postal questionnaire was sent to 1200 randomly selected family physicians in Ontario five months after the initial invitation to join the Ontario Family Health Network. It sought information about their(More)
OBJECTIVE To describe the scope and breadth of knowledge currently available regarding the integration of rehabilitation and primary care services. DATA SOURCES Peer-reviewed journals were searched using CINAHL, MEDLINE, and EBM Reviews for the years 1995 through 2007. This process identified 172 items. STUDY SELECTION To be considered for the(More)
PURPOSE This qualitative study sought to explore older people's experience of ageing with multiple sclerosis (MS) and to describe the natural history of self-management from their points of view. METHODS Eighteen people over age 55 and living with MS for at least 20 years were recruited from an MS clinic and rehabilitation outpatient records. Interviews(More)
  • M Godwin
  • 2001
practice management ❖ gestion de la pratique C linical practice audit is potentially useful for self-assessment and quality improvement in medicine. The audit process has been shown to help decrease cesarean section rates, 1 improve seizure management, 2 and improve physician prescribing of antibiotics for upper respiratory infections, 3 to name just a few(More)
For the 2014 i2b2/UTHealth de-identification challenge, we introduced a new non-parametric Bayesian hidden Markov model using a Dirichlet process (HMM-DP). The model intends to reduce task-specific feature engineering and to generalize well to new data. In the challenge we developed a variational method to learn the model and an efficient approximation(More)