Saturday, January 20, 2018

Respiratory Virus Detections in Canada Report


Figure 2 – Number of positive influenza tests and percentage of tests positive, by type, subtype and report week, Canada, weeks 2017-35 to 2018-02 The shaded area indicates weeks where the positivity rate was at least 5% and a minimum of 15 positive tests were observed, signalling the period of seasonal influenza activity. To date this season, 20,349 laboratory-confirmed influenza detections have been reported, of which 69% have been influenza A. Influenza A(H3N2) has been the most common subtype detected this season, representing 95% of subtyped influenza A detections. For more detailed weekly and cumulative influenza data, see the text descriptions for Figures 2 and 3 or the Respiratory Virus Detections in Canada Report.


This FluWatch report is also available on the PHAC website.

Friday, January 19, 2018

Older Hospitalized Adults Are Infrequently Tested for Influenza

 
This year’s flu season is shaping up to be an especially serious one, and it’s important for clinicians to promptly recognize, diagnosis, and treat influenza in hospitalized patients, especially in vulnerable populations such as older individuals. A new study published in the Journal of the American Geriatrics Society, however, indicates that adults aged 65 years and older who are hospitalized with fever or respiratory symptoms during influenza seasons are less likely to have a provider-ordered influenza test than younger patients.

Monday, January 15, 2018

Rare disease and disability

On my way to a new doctor this morning; had insomnia last night like I always do because of in anticipation of not being believed - & . Just in time for a little .

Wednesday, January 10, 2018

The Impact of Illness Trajectory - Pamphlets

The importance of understanding disease trajectory assists patients and caregivers.

Strengthening a Palliative Approach in Long-Term Care 

Funded by the Canadian Frailty Network 2014-2016 (Formerly TVN)

  • Advanced Dementia in LTC 
  •  Advanced Frailty in LTC 
  •  Advanced Lung Disease 
  •  Advance Heart Failure 
  •  Advanced Kidney Disease

Click on the images below to download the pamphlets in PDF file formats
  1. Broadening the Purview of Comfort to Improve Palliatve Care Practices in Long-Term-Care (LTC)

Monday, January 8, 2018

Study Uncovers Healthcare Disparities among Octogenarians and Nonagenarians with Advanced Lung Cancer

CANCER News Alert

A new study reveals that, among patients of advanced age with stage III lung cancer, African Americans and individuals who live in lower income areas are more likely to not receive any treatment. Published early online in CANCER, a peer-reviewed journal of the American Cancer Society, the study also found that patients who receive the standard of care treatment for their cancer live longer.

Individuals in their 80s and 90s may not receive standard of care therapy for lung cancer due to their age and concerns about fragility. To gain insights on how octogenarian and nonagenarian patients are treated and how they fare, Richard Cassidy, MD, of the Winship Cancer Institute of Emory University, and his colleagues examined information on U.S. patients aged 80 years and older with stage III non-small cell lung cancer from 2004–2013 who had complete treatment records available in the National Cancer Data Base.

Among 12,641 patients, 7921 (62.7 percent) received no therapy. Black race and living in a lower-educated census-tract were linked with a 23 percent and 20 percent increased likelihood of not receiving care, respectively, while treatment at an academic center was associated with a 20 percent increased likelihood of receiving cancer-directed therapy. Patients who received no treatment or only radiation were more likely to die during the years analyzed than those receiving concurrent chemotherapy and radiation, the standard of care for stage III non-small cell lung cancer.

Additional Information
NOTE: The information contained in this release is protected by copyright. Please include journal attribution in all coverage. A free abstract of this article will be available via the Cancer News Roomupon online publication. For more information or to obtain a PDF of any study, please contact:
Dawn Peters (US) +1 781-388-8408
sciencenewsroom@wiley.com
Follow us on Twitter @WileyNews
Full Citation: “Healthcare disparities among octogenarians and nonagenarians with stage III lung cancer.” Richard J. Cassidy, Xinyan Zhang, Jeffrey M. Switchenko, Pretesh R. Patel, Joseph W. Shelton, Sibo Tian, Ronica H. Nanda, Conor E. Steuer, Rathi N. Pillai, Taofeek K. Owonikoko, Suresh S. Ramalingam, Felix G. Fernandez, Seth D. Force, Theresa W. Gillespie, Walter J. Curran, and Kristin A. Higgins. CANCER; Published Online: January 8, 2018 (DOI:  10.1002/cncr.31077).
Author Contact: Judy Fortin-Lalone, of the Winship Cancer Institute’s communications office, at judy.fortin@emory.edu.
About the Journal
CANCER is a peer-reviewed publication of the American Cancer Society integrating scientific information from worldwide sources for all oncologic specialties. The objective of CANCER is to provide an interdisciplinary forum for the exchange of information among oncologic disciplines concerned with the etiology, course, and treatment of human cancer. CANCER is published on behalf of the American Cancer Society by Wiley and can be accessed online at http://wileyonlinelibrary.com/journal/cancer.

Sunday, December 31, 2017

Let's not fix healthcare by breaking it

Health care in Quebec and elsewhere is not failing but succeeding: We live longer thanks to better treatments. It’s just that many of these treatments are expensive and we don’t want to pay for them.

Saturday, December 23, 2017

Respiratory Virus Detections in Canada

.Week 50 - Ending December 16, 2017
To date this season, 5,829 laboratory-confirmed influenza detections have been reported, of which 79% have been influenza A. Influenza A(H3N2) has been the most common subtype detected this season, representing 95% of subtyped influenza A detections. For more detailed weekly and cumulative influenza data, see the text descriptions for Figures 2 and 3 or the Respiratory Virus Detections in Canada Report.

Friday, December 22, 2017

Flu, a cold, or ?

Wednesday, December 20, 2017

Virtual Hospice Advice for the Holidays

OUR FIRST CHRISTMAS WITHOUT ERICA
"The idea of putting up a tree and all this merriment... I just couldn’t see it." In this short video, David talks about how he and his young sons navigated Christmas after David’s wife and the boy’s mother, Erica, was killed by a careless driver while walking their dog. 

#OPTIONBTHERE FOR THE HOLIDAYS
Sheryl Sandberg, Facebook COO and the co-author of Option B: Facing Adversity, Building Resilience and Finding Joy wrote a instagram post about how difficult the holidays are for her and her family without her husband Dave Goldberg who died in 2015. She’s launched a new campaign called #OptionBThere. At optionb.org/holidays, you’ll find actions you can take to help friends and families who are struggling with illness or coping with loss this holiday season.

LIVING THROUGH THE HOLIDAYS
When someone you care about has died, you may be thinking about “getting through” or “surviving” the holidays. It is often during the holidays that you are more aware of the empty spot left by the one who has died. While, there is no one right way of facing the holidays when you and your family are grieving, exploring ways of honouring old family traditions while creating new ones may help. Spiritual care advisor Glen Horst’s article Grief in Times of Celebration: The Empty Spotprovides suggestions for finding new ways to live through the holidays.

WHAT I’VE LEARNED OVER THE 19 CHRISTMASES SINCE MY HUSBAND DIED
“Celebrating the holidays takes on a new poignancy when someone is dying. As hard as you try, it’s impossible to push away the persistent voices in your head murmuring, ‘This will probably be your last [insert holiday here] together as a family.’” Award winning journalist Katie Couric shares memories from the last Thanksgiving and Christmas spent with her husband Jay.

HOLIDAY SORROWS AND PRECIOUS GIFTS
In the article Holiday Sorrows and Precious Gifts, leading grief expert Thomas Attig reflects on grief during the holidays and the gifts that lost loved ones leave in our hearts.