In the 2003 Québécois movie Seducing Dr Lewis, 1 the island of Sainte-Marie-la-Mauderne in Quebec is in decline, with many of its residents unemployed. A company offers the island’s citizens hope for a more prosperous future when it considers building a factory on the island; however, there is one catch: the community must have a permanent family physician. The community’s recruitment attempts ...

OBJECTIVE To explore the tensions between professional and personal boundaries and how they affect the work and private lives of family physicians. DESIGN Qualitative case study using semistructured interviews. SETTING Province of New Brunswick. PARTICIPANTS Forty-eight family physicians from across the province. METHODS A collective case-study approach was developed, with 24 cases of 2...

When an emergency department (ED) physician at a rural hospital attends a patient with an acute myocardial infarction, that physician also plays the part of the technician who obtains an ECG tracing, the second nurse (who sets up the intravenous thrombolytics), the respiratory therapist who draws the gases (if the test is even available), and the internist who would have been the admitting phys...

this study focused on the income generating capacity of farm family’s own resources and examined the vulnerability to financial risk among the remote and peri-urban farming systems of imo state. primary data was collected using the farming and rural systems approach to randomly select and interview 120 households. descriptive statistics and mann whitney test were used in assessing between group...

Postural tremor occurs when the affected body part maintains position against gravity (e.g., extending arms in front of body). Isometric tremor results from muscle contraction against stationary objects (e.g., squeezing the examiner’s fingers). Kinetic tremor, which occurs with voluntary movement, is either simple kinetic tremor or intention tremor. Simple kinetic tremor is associated with move...

Cutaneous manifestations of dermatomyositis are generally grouped as pathognomonic, characteristic, compatible, less common and rare (Table 4). The primary lesion appears as a violaceous, macular erythema with a symmetric distribution. This may progress and become poikilodermatous (atrophic with telangiectasia and pigmentary changes) and indurated (as a result of mucin deposition). Pathognomoni...

H awthorn, a Crataegus species, is part of a genus of spiny shrubs and trees native to temperate regions in the Northern Hemisphere in Europe, Asia, and North America. Depending on the taxonomic interpretation, between 200 and 1,000 species of Crataegus have been recognized. Hawthorn is the oldest known medicinal plant in European medicine; its actions on the heart were first described by Diosc...