Mitchell Zelman

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BACKGROUND Adult formulation tetanus and diphtheria toxoids and acellular pertussis vaccines (Tdap) have been developed to prevent pertussis in adolescents and adults. There are concerns that unacceptable rates of severe injection site reactions, including Arthus-type reactions might occur if Tdap is administered too soon after a previous tetanus and(More)
Asthma often starts before six years of age. However, there remains uncertainty as to when and how a preschool-age child with symptoms suggestive of asthma can be diagnosed with this condition. This delays treatment and contributes to both short- and long-term morbidity. Members of the Canadian Thoracic Society Asthma Clinical Assembly partnered with the(More)
BACKGROUND This study examines changes in Primary Care Visits (PCVs) and Emergency Department Visits (EDVs) among 1918 patients with asthma who attended either two visits, one visit or were no-show referrals at the Dr. Patrick Gill Asthma Education Center (AEC) in Charlottetown Prince Edward Island (PEI) between January 1, 2003 and March 31, 2008 compared(More)
Spontaneous lysis of an aspergilloma occurred in four patients out of a coaseca-tive series of 41 aspergillomata in 37 patients. The occurrence of spontaneow lysis in approximately 10 percent of aspergiUomata is significant and should be considered when evaluating claims of effective medical treatment. T he spontaneous lysis of intracavitary fungous balls(More)
Rotavirus is the most common cause of diarrhea leading to hospitalization in young children. Rotavirus vaccines are available in Canada but have not been introduced in all provinces. In a controlled trial, 2 study sites (Prince Edward Island and the Capital District Health Authority (District 9, Nova Scotia) introduced universal rotavirus vaccine programs(More)
BACKGROUND Rotavirus vaccine is recommended for all infants in Canada. To evaluate the logistics of implementing a universal rotavirus vaccination program, we compared the effectiveness of program implementation in jurisdictions with either a physician-administered or public health nurse-administered program. METHODS All infants born between October 1,(More)
Asthma is the most common chronic illness in children and has a significant impact on children and their families. Asthma management requires a multi-faceted approach, including an effective educational component. The purpose of this pilot study was to compare outcomes for parents who participated in empowering and traditional approaches to asthma(More)
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