Rising psychosis and youth mental health: what’s driving the trend? This week on #CMAJPodcasts, we're joined by Drs. Daniel Myran and Dafna Kahana to discuss the substantial rise in rates of psychosis among people born in the 1980s, 1990s, and early 2000s. ➡️ www.cmaj.ca/transcript-250926

Borrowed prayers: A surgeon reflects on being included in a patient’s family circle for a preoperative spiritual ritual. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251517

Direct-to-consumer diagnostic testing: Privately funded, direct-to-consumer testing lacks an accountability framework or an action plan for patients when abnormal results are identified. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.260109

Companies that sell fossil fuels have used advertising, public relations, and misinformation campaigns to entrench product use and delay health-protective climate policies, employing tactics similar to those used by tobacco companies. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250022

Isopropanol toxicity: Isopropanol exposure is the second most common alcohol-related call to poison centres. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251228

Thymoma-associated immunodeficiency: Good syndrome is a rare adult-onset immunodeficiency characterized by the presence of thymoma and concurrent hypogammaglobulinemia. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251022

Are Canada's ERs, and the health system more generally, ready for the big FIFA crowds? Mass gathering events underscore serious vulnerabilities in health care capacity in Canada, by Catherine Varner www.cmaj.ca/content/198/... via @cmaj.ca

Environmental sustainability and operating rooms: Operating rooms greatly contribute to the environmental burden of the Canadian health care system and these recommendations can help to reduce this impact. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251192

Increasing environmental sustainability of operating rooms: what is the latest guidance? New articles on environmental sustainability and operating rooms; direct-to-consumer diagnostic testing; fossil fuel advertising ban, and more. ➡️ www.cmaj.ca/content/197/5

Only we can write the story: "No algorithm could have helped me understand how grief can inhabit the body as profoundly as any disease." ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251232

Discussing Ontario’s Ministry of Health international medical graduate policy change ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251772

Chronic thyrotoxic myopathy: Chronic thyrotoxic myopathy can occur in up to 80% of patients with hyperthyroidism and typically presents as symmetric proximal weakness and atrophy without sensory loss. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251214

Calcium pyrophosphate deposition disease: Symptomatic CPPD disease (formerly known as “pseudogout”) is more common in older adults and typically affects joints with previous damage. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250933

Chronic kidney disease: In patients with chronic kidney disease, a rise in serum creatinine may indicate either disease progression or acute kidney injury. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250948

Increasing psychotic disorders: From 1960 to 2009, the incidence of psychotic disorders has increased in more recent birth cohorts. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250926

Psychotic disorders by generation: what are the trends? New articles on increasing psychotic disorders; international medical graduate policy change; chronic kidney disease, and more. ➡️ www.cmaj.ca/content/197/4

This week on #CMAJPodcasts, Drs. Catherine Varner and Rob Fowler discuss how mass gathering events (the World Cup for example) and global defence escalations expose vulnerabilities in Canada’s health care system. ➡️ www.cmaj.ca/transcript-252094

In the chest, a house: A physician auscultating the chest contemplates the man's life. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251653

Stillbirth definition : The current definition of fetal death and stillbirth in Canada substantially inflates Canadian stillbirth rates compared with those from other countries. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251231

Anaplastic large-cell lymphoma: When a patient has atypical cellulitis or presumed cellulitis, but there is no response to antibiotics, clinicians should pursue biopsy and additional testing to exclude malignancy. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250919

Glucocorticoid injections for knee osteoarthritis: Intra-articular glucocorticoid injections can be considered for short-term (2- to 6-week) management of pain in patients with knee osteoarthritis. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250719

Thrombocytopenia in pregnancy: Thrombocytopenia is common, affecting about 10% of pregnancies. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250649

Planetary heath diet and chronic kidney disease: Adherence to the EAT–Lancet planetary health diet was associated with lower risk of incident chronic kidney disease. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250457

Glucocorticoid injections for knee osteoarthritis: what are the indications and risks? CMAJ Volume 198, Issue 3, features new articles on glucocorticoid injections for knee osteoarthritis; stillbirth definition; planetary heath diet and chronic kidney disease, and more. ➡️ www.cmaj.ca/content/198/3

This week on #CMAJPodcasts, we discuss moral distress and the ethics of involuntary treatment with Drs. Bonnie Larson and Keren Ladin. ➡️ www.cmaj.ca/transcript-2...

When a diagnosis is rare, recognizing the pattern can be lifesaving. A CBC story shows how medical resident Dr. Steven Rowe identified TAFRO syndrome in a critically ill patient—and turned that insight into a CMAJ case report so others can recognize it sooner. 📰 www.cbc.ca/news/canada/...

The voice we both knew: A medical student reflects on the power of listening. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251164

Insulin resistance and dual antiplatelet therapy: In CYP2C19 loss-of-function carriers with minor stroke or TIA, ticagrelor–ASA use was associated with reduced future stroke risk compared with clopidogrel–ASA among patients with low insulin resistance. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.241581

Hyperammonemic encephalopathy is a rare but potentially life threatening complication of 5-fluorouracil chemotherapy, most often associated with continuous-infusion regimens. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251206

Incidental adrenal masses: The prevalence of adrenal masses found incidentally on imaging rises with age, reaching 5% to 7% among patients older than 70 years. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250728

Piloleiomyoma and renal cell carcinoma: Hereditary leiomyomatosis and renal cell cancer is an autosomaldominant cancer predisposition syndrome. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251507

Mass gatherings and health care capacity: Canada is increasingly vulnerable to events that may result in a surge in health care utilization, including climate emergencies, mass gathering events, infectious disease outbreaks & global defence escalations. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.252094

Mass gatherings: what are the effects on health care system capacity? CMAJ Volume 198, Issue 2, features new articles on mass gatherings and health care capacity; insulin resistance and dual antiplatelet therapy; incidental adrenal masses, and more. ➡️ www.cmaj.ca/content/198/2

☃️ Your yearly reminder about the safety of snow shovelling Association between quantity and duration of snowfall and risk of myocardial infarction ➡️ www.cmaj.ca/content/189/... www.theglobeandmail.com/life/advice/...

📢 We’re hiring! Join CMAJ as a Summer Student in Editorial and gain hands-on experience with Canada’s leading medical journal. Apply by Jan 16, 2026: recruiting.ultipro.ca/CAN5006CAMD/...

A health system wrecking ball: CMAJ editors stand unequivocally in support of our colleagues in Quebec in challenging this Bill 2. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.252070

Curbing HIV/AIDS: "Now is the time to deliver on the promise of a made-in-Canada strategy to end HIV/AIDS." ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251245

Tuberculosis in Canada: "Canada has the resources required to reverse current trends and move toward TB elimination, but political prioritization and collective action are needed to use resources effectively." ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250722

Global funding for infectious disease control: "Canada’s reduced pledge to the Global Fund reflects short-sighted political thinking that fails to appreciate the complexity of global health threats and long-term health consequences." ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.252036

Phenobarbital for severe alcohol withdrawal: Phenobarbital is an effective adjunctive medication for alcohol withdrawal. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250637

The Streptococcus pneumoniae serotype 9V is associated with increased antimicrobial resistance, is more prevalent in western Canada, and has increasing prevalence in elderly populations nationally than other pneumococcal serotypes. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251139

Access to pediatric trauma centers: Across 9 Canadian provinces, 1 in 4 children with major trauma did not receive care in a pediatric trauma centre. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250625

Reduced global funding for infectious diseases: what are the anticipated health impacts? CMAJ Volume 197, Issue 43, features new articles on global funding for infectious disease control; invasive pneumococcal disease; curbing HIV/AIDS, and more. ➡️ www.cmaj.ca/content/197/43

A family like this: A neonatologist reflects on the resilience and strength of a family supporting their newborn son with encephalopathy. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251156

Surgeons can achieve the goal of consistent quality and accountability by structuring single-entry referral networks so that the receiver of referrals is a group — within a hospital or a geographic area — and not an individual surgeon’s office. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251492

Bullous fixed drug eruption: Fixed drug eruption accounts for 14% to 22% of cutaneous adverse drug reactions, with ibuprofen among the most common causes. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251212

Chagas disease: Although people infected with Chagas disease can develop a febrile acute illness lasting 4 to 8 weeks, most remain asymptomatic until cardiac or gastrointestinal manifestations occur 1 to 3 decades after infection. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250963

Toxocariasis and eosinophilia: Parasitic infections — such as with Toxocara — are a common cause of eosinophilia in tropical regions but are less common in Canada. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250714

Surgical versus percutaneous revascularization: The risk of adverse events was significantly elevated for 1 year among patients who underwent coronary artery bypass grafting versus percutaneous coronary intervention. ➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250312

Chagas disease: who is at risk? CMAJ Volume 197, Issue 42, features new articles on chagas disease; surgical versus percutaneous revascularization, and more. ➡️ www.cmaj.ca/content/197/42