Richard Ian Casson

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OBJECTIVE To compare blood pressure control, satisfaction, and adherence to drug treatment in patients with treated hypertension followed up by their family physicians either every three months or every six months for three years. DESIGN Randomised equivalence clinical trial. Settings 50 family practices in south eastern Ontario, Canada. PARTICIPANTS(More)
One-carbon metabolism is a network of metabolic pathways, disruption of which has been associated with cancer and other pathological conditions. Biomarkers of these pathways include homocysteine (HCY), S-adenosylmethionine (SAM), and S-adenosylhomocysteine (SAH). A better understanding of the relationships between these biomarkers is needed for their(More)
BACKGROUND Many treated hypertensive patients have inadequate control of their blood pressure. Physical activity and cardiorespiratory fitness are important in the development and treatment of hypertension. Less is known about their relationships with hypertension control in the context of long-term management. OBJECTIVES To identify whether patients with(More)
OBJECTIVE To identify markers for loss of control of hypertension. DESIGN Questionnaire administered to patients who had been monitored for 18 months and had had their blood pressure (BP) measured many times. SETTING Fifty family practices in southeastern Ontario. PARTICIPANTS Three hundred eighty-five adults with essential hypertension that was(More)
An assessment was made of the potential usefulness in a small rural hospital of the guidelines for prenatal risk assessment and management of the Newfoundland and Labrador Prenatal Record, a form similar to that in use in other provinces. A retrospective chart review was done for 266 pregnancies followed at the Baie Verte Peninsula Health Centre prior to(More)
  • R I Casson
  • 1984
A case series analysis was performed at a 40-bed hospital in Newfoundland to assess the antepartum use of an electronic fetal heart rate monitor; 339 nonstress tests were performed on 98 patients. One stillbirth occurred 12 days after a reactive nonstress test. One patient had persistently nonreactive tests and underwent cesarean section; the infant was(More)
Many family physicians in North America have been trained to use forceps when instrumental deliveries are needed; few have been trained to use the vacuum extractor. Vacuum extraction was introduced to family physicians in a geographically isolated hospital. A retrospective chart audit of all instrumental deliveries was done, comparing the four years before(More)
A considerable proportion of anesthetic services in Canada is provided by family-physician anesthetists, particularly in community hospitals and rural areas not served or not fully served by specialist anesthetists. In the 1970s, the Departments of Anesthesia of the Universities of Toronto and Western Ontario established short training programs to meet the(More)
  • R I Casson
  • 1984
A case series analysis assessed the intrapartum use of an electronic fetal heart rate monitor at a 40-bed hospital in Newfoundland. Seventy-five patients at risk and 52 patients at no predictable risk were monitored during labor. Fetal distress was the sole reason for cesarean section or instrumental delivery in nine of the group at risk and six of the(More)