If you are visually impaired or blind, you can visit the PDF version by Pressing CONTROL + ALT + 4
<br /> The of cial journal of the Society of Rural Physicians of Canada Le journal of ciel de la Société de la médecine rurale du Canada<br /> VOLUME 17, NO. 4, FALL 2012 VOLUME 17, Nº 4, AUTOMNE 2012<br /> IN THIS ISSUE DANS CE NUMÉRO<br /> Joint Position Paper on Rural Maternity Care<br /> The Occasional Caudal Epidural Injection<br /> The Occasional Epidural Steroid Injection<br /> CMA<br /> Membership<br /> CLINICAL<br /> RESOURCES—<br /> WHEN AND<br /> WHERE YOU<br /> NEED THEM<br /> CMA members have access to a suite of clinical<br /> resources through cma.ca<br /> Now available: BMJ Best Practice Q Covers more than 10,000 diagnoses,<br /> 3,000 diagnostic tests and 4,000 diagnostic<br /> Q Point-of-care tool and treatment guidelines<br /> Q Provides high-qual<a title="CJRM Volume 17, No.4, Fall 2012 page 1" href="http://viewer.zmags.com/publication/00b229e2?page=1"> The of cial journal of the Society of Rural Physi</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 2" href="http://viewer.zmags.com/publication/00b229e2?page=2"> CMA Membership CLINICAL RESOURCES— WHEN AND </a> <a title="CJRM Volume 17, No.4, Fall 2012 page 3" href="http://viewer.zmags.com/publication/00b229e2?page=3"> cma.ca/cjrm Scientific Editor Rédacteur scienti</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 4" href="http://viewer.zmags.com/publication/00b229e2?page=4"> Houses on Hills Gouache on paper, 29" × 21", by M</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 5" href="http://viewer.zmags.com/publication/00b229e2?page=5"> Editorial / Éditorial Occasional musings Pe</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 6" href="http://viewer.zmags.com/publication/00b229e2?page=6"> Peter Hutten-Czapski, MD Rédacteur scienti que, </a> <a title="CJRM Volume 17, No.4, Fall 2012 page 7" href="http://viewer.zmags.com/publication/00b229e2?page=7"> mêmes résultats d'échographie que je recherche ch</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 8" href="http://viewer.zmags.com/publication/00b229e2?page=8"> PrADVAlR® 250 DISKUS® and PrADVAIR® 500 DISKUS® a</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 9" href="http://viewer.zmags.com/publication/00b229e2?page=9"> For your COPD patients. </a> <a title="CJRM Volume 17, No.4, Fall 2012 page 10" href="http://viewer.zmags.com/publication/00b229e2?page=10"> Braam de Klerk, CM, MB ChB Inuvik, NT Correspond</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 11" href="http://viewer.zmags.com/publication/00b229e2?page=11"> Braam de Klerk, CM, MB ChB Inuvik (Nunavut) Corr</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 12" href="http://viewer.zmags.com/publication/00b229e2?page=12"> joyaux méconnus de la formation médicale) conti- </a> <a title="CJRM Volume 17, No.4, Fall 2012 page 13" href="http://viewer.zmags.com/publication/00b229e2?page=13"> Azad Mashari, MD Department of Anesthesia, Univer</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 14" href="http://viewer.zmags.com/publication/00b229e2?page=14"> Conclusion : Certains patients qui éprouvent des </a> <a title="CJRM Volume 17, No.4, Fall 2012 page 15" href="http://viewer.zmags.com/publication/00b229e2?page=15"> In general, the effectiveness of surgery f</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 16" href="http://viewer.zmags.com/publication/00b229e2?page=16"> the rural setting. Their effectiveness, however, </a> <a title="CJRM Volume 17, No.4, Fall 2012 page 17" href="http://viewer.zmags.com/publication/00b229e2?page=17"> patients are provided in Table 1. Given the small</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 18" href="http://viewer.zmags.com/publication/00b229e2?page=18"> pain (all), leg pain (83%), limited exercise tole</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 19" href="http://viewer.zmags.com/publication/00b229e2?page=19"> association with a negative outcome: leg weakness</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 20" href="http://viewer.zmags.com/publication/00b229e2?page=20"> 12. Jensen MC, Brant-Zawadzki MN, Obuchowski N, e</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 21" href="http://viewer.zmags.com/publication/00b229e2?page=21"> Joint Position Paper Déclaration de principe comm</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 22" href="http://viewer.zmags.com/publication/00b229e2?page=22"> regionalization of care and cost-cutting.3 In add</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 23" href="http://viewer.zmags.com/publication/00b229e2?page=23"> them in the referral community, and worries about</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 24" href="http://viewer.zmags.com/publication/00b229e2?page=24"> Training for rural maternity care A decision to </a> <a title="CJRM Volume 17, No.4, Fall 2012 page 25" href="http://viewer.zmags.com/publication/00b229e2?page=25"> professional development opportunit</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 26" href="http://viewer.zmags.com/publication/00b229e2?page=26"> all caregivers. It promotes quality obstetric car</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 27" href="http://viewer.zmags.com/publication/00b229e2?page=27"> 15. Kornelsen J, Moola S, Grzybowski S. Geographi</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 28" href="http://viewer.zmags.com/publication/00b229e2?page=28"> Joint Position Paper Déclaration de principe comm</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 29" href="http://viewer.zmags.com/publication/00b229e2?page=29"> professionnelle accrue qui sont le lot des fo</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 30" href="http://viewer.zmags.com/publication/00b229e2?page=30"> Brent M. McGrath, MD, MSc, PhD Department of Medi</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 31" href="http://viewer.zmags.com/publication/00b229e2?page=31"> The Practitioner Le praticien Caudal epidural in</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 32" href="http://viewer.zmags.com/publication/00b229e2?page=32"> · Temporary paralysis of the anal sphincter in </a> <a title="CJRM Volume 17, No.4, Fall 2012 page 33" href="http://viewer.zmags.com/publication/00b229e2?page=33"> 8. As you continue the injection the patient may </a> <a title="CJRM Volume 17, No.4, Fall 2012 page 34" href="http://viewer.zmags.com/publication/00b229e2?page=34"> The Practitioner Le praticien The occasional epi</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 35" href="http://viewer.zmags.com/publication/00b229e2?page=35"> Fig. 2. We have the patient seated with lumbar sp</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 36" href="http://viewer.zmags.com/publication/00b229e2?page=36"> fainting after procedures involving needles. </a> <a title="CJRM Volume 17, No.4, Fall 2012 page 37" href="http://viewer.zmags.com/publication/00b229e2?page=37"> Out Behind the Barn Dans le feu de l'action Medi</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 38" href="http://viewer.zmags.com/publication/00b229e2?page=38"> can also sort it by name, price or release date. </a> <a title="CJRM Volume 17, No.4, Fall 2012 page 39" href="http://viewer.zmags.com/publication/00b229e2?page=39"> Reviews / Recensions Book review Co</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 40" href="http://viewer.zmags.com/publication/00b229e2?page=40"> Brent M. McGrath, MD, MSc, PhD; Department of Med</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 41" href="http://viewer.zmags.com/publication/00b229e2?page=41"> presentations suggestive of stress-induced cardio</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 42" href="http://viewer.zmags.com/publication/00b229e2?page=42"> PrADVAIR® DISK</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 43" href="http://viewer.zmags.com/publication/00b229e2?page=43"> growth retardation in children and adolescents, d</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 44" href="http://viewer.zmags.com/publication/00b229e2?page=44"> this class of drug. Based on available data, no a</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 45" href="http://viewer.zmags.com/publication/00b229e2?page=45"> 50/500 mcg, 6%; fluticasone propionate 500 mcg, 6</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 46" href="http://viewer.zmags.com/publication/00b229e2?page=46"> Table 2: Number (and percentage) of patients with</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 47" href="http://viewer.zmags.com/publication/00b229e2?page=47"> Career/Classified Advertising Carrières et annonc</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 48" href="http://viewer.zmags.com/publication/00b229e2?page=48"> Family Practice Opportunities Vancouver Island, </a> <a title="CJRM Volume 17, No.4, Fall 2012 page 49" href="http://viewer.zmags.com/publication/00b229e2?page=49"> Lifestyle checklist short commute </a> <a title="CJRM Volume 17, No.4, Fall 2012 page 50" href="http://viewer.zmags.com/publication/00b229e2?page=50"> Healthcare opportunities in the Northwest Territo</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 51" href="http://viewer.zmags.com/publication/00b229e2?page=51"> Rural BC, the place to be. Pr nce George The Nor</a> <a title="CJRM Volume 17, No.4, Fall 2012 page 52" href="http://viewer.zmags.com/publication/00b229e2?page=52"> </a>