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BACKGROUND Previous studies have shown that asthma education and case management may reduce asthma emergency care, hospitalizations, and expenditures. OBJECTIVE We sought to study the effect of an asthma outreach program (AOP), a team-based, case-management intervention, on emergency ward (EW) and hospital use. METHODS Fifty-seven patients aged 1 to 15(More)
Emergency Department overcrowding (EDOC) is defined as a situation where the demand for emergency services exceeds the ability of an emergency department (ED) to provide quality care within appropriate time frames. ED overcrowding has been a key issue in Emergency Medicine in Canada for more than 20 years. Despite increased political, administrative, and(More)
In contrast to other viral infections such as CMV, circulating frequencies of HIV-1-specific CD4+ T cells in peripheral blood are quantitatively diminished in the majority of HIV-1-infected individuals. One mechanism for this quantitative defect is preferential infection of HIV-1-specific CD4+ T cells, although <10% of HIV-1-specific CD4+ T cells are(More)
AN important question about FK 506 concerns the nature and extent of any side effects associated with its clinical use. Because the issues of renal and metabolic effects are addressed in other papers, the discussion here will focus on patient symptoms associated with intravenous and oral FK 506. Since the experience in primarily treated and rescue patients(More)
OBJECTIVE To evaluate the implementation of an all-inclusive philosophy of trauma care in a large Canadian province. BACKGROUND Challenges to regionalized trauma care may occur where transport distances to level I trauma centers are substantial and few level I centers exist. In 2008, we modified our predominantly regionalized model to an all-inclusive one(More)
OBJECTIVE To study the effect of an asthma outreach program on emergency ward and hospital utilization. DESIGN Before and after trial. SETTING Ambulatory patients in a staff-model health maintenance organization with a 70% black inner-city population. PATIENTS Fifty-three patients aged 1 to 17 years with the diagnosis of asthma based on usual clinical(More)
HIV-1-specific CD4(+) T cells are qualitatively dysfunctional in the majority of HIV-1-infected individuals and are thus unable to effectively control viral replication. The current study extensively details the maturational phenotype of memory CD4(+) T cells directed against HIV-1 and CMV. We find that HIV-1-specific CD4(+) T cells are skewed to an early(More)
Systemic anaphylactic reactions occur in a small percentage of patients receiving allergen immunotherapy. A 1 year study was performed in a large health maintenance organization to determine the incidence of systemic reactions (SR) to allergen immunotherapy. We measured the number of SR that occurred during a 12 months period. A SR data sheet was completed(More)
A study was designed to determine whether identification of high risk for exacerbations of asthma based on pediatrician concern, emergency department visits, or hospital stays results in a decrease of resource utilization because of referral to an asthma outreach program even if the intervention does not take place. The findings for such a group were(More)
Canada has no formal training program in disaster medicine for health care professionals. The University of Alberta's Division of Emergency Medicine has developed a means to fill the gap. Disaster Medicine Online (DMO) is an Internet-based, interactive, facilitator-guided distance-learning course on the fundamentals of disaster medicine. The 3-week pilot of(More)