This week on #CMAJPodcasts, we discuss access to mental health care for Black youth with Mercedes Sobers and Dr. Amy Gajaria. They unpack study findings and describe a program offering culturally adapted care and trust-building. ➡️ www.cmaj.ca/transcript-241733

Government partnerships and virtual care: Independent evaluation of corporate virtual care partnerships can confirm that equity, safety, privacy, and transparency criteria are met and maintained. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250639

Halo nevi: Adult-onset halo nevi are associated with a 1% risk of developing primary cutaneous melanoma 1 year after halo nevus diagnosis. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250684

Eustachian tube dysfunction: Allergic rhinitis, chronic rhinosinusitis, gastroesophageal reflux disease, and smoking increase risk and severity of eustachian tube dysfunction. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250163

Pediatric abdominal trauma poses a diagnostic challenge, balancing the need to rule out clinically important intra-abdominal injury against the risks of radiation exposure, given children’s increased sensitivity to radiation-induced malignancies. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250736

Distance to primary care: More than 1 in 10 patients in urban or suburban regions who were rostered to a family physician in a patient enrolment model in Ontario lived farther than 30 km from their family doctor. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250265

Corporate virtual primary care: what are the impacts on access and equity? CMAJ Volume 197, Issue 37, features new articles on government partnerships and virtual care; distance to primary care; pediatric blunt abdominal trauma, and more. ➡️ www.cmaj.ca/content/197/37

"The escalation of opioid use among youth is being overlooked. Existing addiction services are also inadequate to meet the needs of young people with opioid use disorder (OUD)." — The Globe and Mail ➡️ www.theglobeandmail.com/canada/artic... Learn more in the CMAJ ➡️ doi.org/10.1503/cmaj...

Yes, and….: "'Yes, and …' is a philosophy of resilience, a way of not dwelling, of keeping the pedals turning when the road disappears." ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251072

Rational opioid prescribing: Rational opioid prescribing not only respects the pharmacology of opioids, but also funnels fewer patients into chronic use and addiction. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251666

Youth and the opioid crisis: "There is no excuse for health systems’ inaction and lack of investment to provide evidence-based addictions services for youth." ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251682

Bed-based care for substance use disorders: The RE-AIM framework can be used to both guide implementation of complex interventions and evaluate the extent to which models of bed-based care for substance use disorders are effective and should be maintained ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.240955

Ulcerated tophaceous gout: Although tophaceous gout is common, ulcerative presentations are uncommon, and no treatment guidelines exist. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250758

Cutaneous nodular amyloidosis: Subcutaneous insulin injections have been reported to cause insulin-derived amyloidosis at injection sites, typically in the abdomen. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.241719

Trends in prescription opioid use: Declines in prescription opioids for pain between 2018 and 2022 aligned with national efforts to promote appropriate opioid prescribing for acute and chronic noncancer pain in Canada. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250670

The opioid crisis: what are the effects on Canada’s youth? CMAJ Volume 197, Issue 36, features new articles on youth and the opioid crisis; cutaneous nodular amyloidosis; ulcerative tophaceous gout, and more. ➡️ www.cmaj.ca/content/197/36

#CMAJPodcasts co-host Dr. Mojola Omole teams up with the Ontario Medical Association to share her story about how she continues to advocate for patients ➡️ www.youtube.com/watch?v=vljn...

Stillbirth and grief: A physician and father reflects on his grief through a long, arduous journey after the stillbirth of his son. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250827

Marjolin ulcer is a rare but aggressive transformation of chronic inflammatory or scarred skin, seen in approximately 4.6% of people with long-standing hidradenitis suppurativa. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250874

Survivors of torture: Many refugees have experienced torture due to cultural, religious, or ethnic conflicts, and increasingly due to domestic violence and 2SLGBTQI+ discrimination. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250389

Atrial fibrillation and tachy-brady syndrome: Given the efficacy of catheter ablation for atrial fibrillation, particularly when performed early in the disease course, delays in accessing this treatment in Canada remain a concern. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250196

The Canadian Task Force on Preventive Health Care recommends against screening adults for depression using questionnaires based on evidence suggesting that depression screening using a screening tool has little to no effect on health. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250237

This week on #CMAJPodcasts, we're joined by Drs. Eddy Lang and Jennifer Young to discuss why universal screening for depression using a screening tool is not recommended. ➡️ www.cmaj.ca/transcript-2...

Atrial fibrillation and tachy-brady syndrome: what is the latest management? CMAJ Volume 197, Issue 35, features new articles on atrial fibrillation and tachy-brady syndrome; screening for depression; survivors of torture, and more. ➡️ www.cmaj.ca/content/197/35

Measles seroprevalence: The observed measles seroprevalence in British Columbia indicates that current levels of population immunity are sufficient to suppress sustained or generalized measles transmission. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250788

Sexual harassment in clinical environments: Sexual harassment is a manifestation of a culture deeper than misogyny alone. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.241614

Galeazzi fracture: Galeazzi fractures typically result from forceful axial loading of the forearm, with the wrist in extension and maximum pronation. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250385

Allergy to acetylsalicylic acid: Among patients with acute coronary syndrome, for whom ASA may decrease morbidity and mortality, a short but detailed history of reported adverse effects may allow clinicians to safely administer ASA. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250486

Reidel thyroiditis: Riedel thyroiditis is a rare, chronic inflammatory disease involving the thyroid gland and the surrounding cervical structures that can be mistaken for malignancy. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250480

CMAJ Volume 197, Issue 34, features new articles on measles seroprevalence; allergy to acetylsalicylic acid; sexual harassment in clinical environments, and more. ➡️ www.cmaj.ca/content/197/34

"Trauma-informed health care involves understanding the prevalence of trauma and its effects, and integrating this knowledge into all aspects of health care practice to promote healing and minimize the risk of re-traumatization." ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250368

Rowing to the moon: A physician grapples with living with Parkinson disease. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250371

Metastatic umbilical nodule: Metastatic umbilical nodules, also known as Sister Mary Joseph nodules, are found in about 1% to 3% of advanced abdominal–pelvic adenocarcinomas. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250584

Statin use and HIV: Many HIV guidelines have incorporated statin use recommendations. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250627

Pumpkin seed bezoar: A large rectal pumpkin seed bezoar caused severe rectal pain and fecal impaction requiring repeat manual disimpaction, endoscopies, and, ultimately, surgical exploration for symptom resolution. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250221

Late-life traumatic brain injury in older adults is associated with higher rates of incident dementia, use of publicly funded home care, and admission to a long-term care home; older females and residents of smaller communities experienced worse outcomes. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250361

This week on #CMAJPodcasts, we discuss cannabis-induced psychosis, how to distinguish it from schizophrenia and treatment strategies with medical student Sophie Li and Dr. Marco Solmi. Bailey Peterson also shares her experience with cannabis-induced psychosis. ➡️ www.cmaj.ca/transcript-250659

CMAJ Volume 197, Issue 33, features new articles on pumpkin seed bezoar; late-life traumatic brain injury; statin use and HIV, and more. ➡️ www.cmaj.ca/content/197/33

A samurai's Saint Helena: "Sometimes, a smear or a slide draws us beyond biology, into story, into memory. And, at rare moments, even into history." ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250531

The anticipated global resurgence of HIV will increase the number of people with HIV migrating to Canada across all socioeconomic statuses, who will come to Canada for many reasons, including economic, social, environmental, and political. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250807

Hereditary hemorrhagic telangiectasia is characterized by systemic angiodysplasia and multiorgan involvement, and manifests with mucocutaneous or visceral bleeding and anemia. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250693

Multiple sclerosis and invisible symptoms: Multiple sclerosis often begins in early adulthood, and symptoms may include fatigue, pain, and mood changes. These may not be outwardly visible but can be deeply disabling. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250988

Cerebral palsy: The needs of adults with cerebral palsy are heterogeneous and evolve across the lifespan. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.241683

Cardiovascular risk thresholds for intensifying primary care encounter frequency for patients with type 2 diabetes mellitus: a target trial emulation ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.241703

CMAJ Volume 197, Issue 32, features new articles on the global impact of changing HIV policies; encounter frequency and diabetes; cerebral palsy, and more. ➡️ www.cmaj.ca/content/197/32

This week on #CMAJPodcasts, we discuss spinal bulbar muscular atrophy. Dr. Kerri Schellenberg describes clinical hallmarks and non-motor symptoms, and and Richard Paul shares his lived experience with this rare condition. ➡️ www.cmaj.ca/transcript-2...

Of course he mattered: "In hospitals, the work of dying is often borne by those in roles that are overlooked — support workers, aides, custodians; positions quietly essential, yet rarely celebrated." ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250415

Genetic testing and amyotrophic lateral sclerosis: New treatment options have recently emerged for ALS, the most important being tofersen for the treatment of hereditary SOD1 ALS. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250257

Disseminated herpes zoster infection: Regardless of the patient’s serostatus, disseminated varicella zoster infection should be suspected if the recipient develops a rash not limited to a dermatomal distribution. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250498

Osteoradionecrosis following chest wall irradiation may present with pain, infection, or pathological rib fractures. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250402