Saskatchewan Health

About: Saskatchewan Health is a government organization based out in Regina, Saskatchewan, Canada. It is known for research contribution in the topics: Population & Health care. The organization has 442 authors who have published 489 publications receiving 7728 citations.

A Qualitative Evaluation of Patient Experiences With Group Medical and Individual Education Appointments for Type 2 Diabetes Management in Saskatchewan, Canada.

Abstract: PurposeThe purpose of this study was to capture information on patient experiences and perspectives of group medical appointments (GMAs) and compare them to those attending individual appointments ...

Symptom of cultural narcissism

Abstract: Thank you for this reminder[1][1] that health is so much more than health care, and is inevitably bound up in relationships. Perhaps the current unmet needs among Canada’s Indigenous people are a symptom of a particular kind of cultural narcissism, one that deems the well-being of certain kinds of

Putting LEADS to Work in Provincial Health Regions

Abstract: Meeting the challenges of twenty-first century health care requires strengthening leadership skills. Integrating LEADS into organizational processes and daily work is crucial to moving the system forward. This chapter focuses on how the LEADS in Caring Environment Capabilities Framework (LEADS) has been put to work in leadership and leadership development in Canadian and Australian health regions. Regionalization is an established feature of health care in both countries. We view leadership as a strategic enabler of organizational and system performance, therefore our focus in this chapter is to offer a pragmatic approach for adopting and leveraging LEADS. We believe the approach we are recommending can be adapted to different governance structures in both small and large organizations.

Reply to: Parkinsonism in essential tremor cases: A clinicopathological study-were they really essential tremor?

Abstract: We appreciate the interest of Mulroy et al in our article. They claim that more than half of our patients did not meet the essential tremor (ET) diagnostic criteria recommended by Bhatia et al. When our article is read in conjunction with that statement, their major questions have already been addressed. Their criticism: “Onset was monomelic in 8 patients. Additionally, 3 patients were diagnosed with ET on the basis of an isolated head tremor—an exclusion criterion for diagnosing ET.” Both those are incorrect. They are confusing the ET onset site(s) with the findings used for ET diagnosis. The consensus notes, “It was discussed to include onset of tremor in the upper limbs as a further criterion, but there are no convincing data that support this criterion.” That report notes, “Isolated segmental postural or kinetic tremor syndromes commonly involve... but may also involve the head...,” and further notes, “Many patients with the syndrome ultimately fulfill criteria for ET.” Head tremor is part of the ET spectrum. It was present in 36% of cross-sectional and 73% of longitudinally followed autopsied ET cases. If tremor onset in ET is not always in the upper limbs, could it not start as head tremor? They incorrectly state that we made a diagnosis of ET based on “isolated” head tremor. Head tremor was followed by bilateral upper limb tremor when the diagnosis of ET was made (see Methods and Table 1). Mulroy et al argue against ET diagnosis when a patient has 1 upper limb tremor onset. The consensus statement does not address unilateral versus bilateral onset. ET onset is insidious, and diagnosis is made subsequently when the findings are consistent with the clinical diagnosis. The information on time and site of onset is part of standard neurological history. Most ET patients first notice tremor in the dominant or both upper limbs, and tremor asymmetry may persist through the course. All our patients met the ET diagnostic criteria. They claim that Video Segment 1 shows “dystonic” finger posturing on the left side. Such posture is well known in parkinsonism. The Video Segment 3 man is in a wheelchair because of injuries to lower limbs. Video Segment 2 must not be interpreted retrospectively after the pathology report. Clinical diagnosis made after autopsy information artificially inflates diagnostic accuracy, compared with premortem diagnosis by the same criteria. Table 1 in our article shows findings at baseline, final clinical diagnosis in our clinic, and the clinicopathological diagnosis considering all the information. We cannot comment on the role of beta-blockers in parkinsonism as most of our patients received those drugs.