Neil Chanchlani is a CMAJ Associate Editor and clinical research fellow at the University of Exeter, UK. He recently attended the 8thEBMLive conference in Oxford, England.
All healthcare practitioners are encouraged to make decisions that are based on strong evidence. But often we don’t – sometimes because the evidence is poor and conflicting, other times because we are ignorant and unaware and, rarely, because we aren’t comfortable with updating our practice. So we need to keep Evidence-Based Medicine (EBM) on the frontline and not on the (academic) shelves - we need to remind clinicians, researchers, and patients that decisions should be based on the best possible data. ...continue reading →
Iris Gorfinkel is a General Practitioner, and Founder and Principal Investigator at PrimeHealth Clinical Research in Toronto, Ontario.
On July 10, 2018 Health Canada issued a recall of several products containing the blood pressure lowering drug, valsartan. This came in response to a disclosure from its Chinese manufacturer that the drug had been contaminated with a known carcinogen. A massive effort to contact patients to stop the affected drug lots, and to replace it with an alternative, ensued. Few clinicians had been even remotely aware that ...continue reading →
Dr Genevieve Gabb is a Senior Staff Specialist in General Medicine at the Royal Adelaide Hospital in Australia; she also works at the Veterans Heart Clinic, Repatriation General Hospital, Daw Park, in ambulatory cardiovascular medicine. Genevieve has an interest in drug safety, particularly in relation to medicines commonly used in the prevention and treatment of cardiovascular disease
We have scientific consensus that global temperatures are rising. Despite this, debate and argument continues about whether global warming is occurring, the extent, possible causes and potential solutions to the problem.
In early January 2013, as this debate continued to rage, the Australian Bureau of Meteorology was confronted with a dilemma. Forecast temperatures were so extreme that they exceeded the colour range available for its isotherm charts. Isotherm charts are used to indicate temperature across the continent, and have lines that join points of equal temperature. Different colours, starting with cool blues; increasing to yellows and a deep burnt orange are used to show areas of similar temperature. An ominous, solid black topped the scale, indicating a temperature of 50 degrees Celsius. ...continue reading →