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Background: Whether Inuit in Canada experience disparities in lung cancer survival remains unknown. When requiring investigation and treatment for lung cancer, all residents of Nunavik, the Inuit homeland in Quebec, are sent to the McGill University Health Centre (MUHC), in Montréal. We sought to compare survival among patients with lung cancer at the MUHC, who were residents of Nunavik and Montréal, Quebec, respectively. Methods: We conducted a retrospective cohort study. Using lung cancer registry data, we identified Nunavik residents with histologically confirmed lung cancer diagnosed between 2005 and 2017. We aimed to match 2 Montréal residents to each Nunavik resident on sex, age, calendar year of diagnosis, and histology (non–small cell lung cancer v. small cell lung cancer). We reviewed medical records for data on additional patient characteristics and treatment, and obtained vital status from a provincial registry. We compared survival using Kaplan–Meier analysis and Cox proportional hazards regression. Results: We included 95 residents of Nunavik and 185 residents of Montréal. For non–small cell lung cancer, median survival times were 321 (95% confidence interval [CI] 184–626) days for Nunavik (n = 71) and 720 (95% CI 536–1208) days for Montréal residents (n = 141). For small cell lung cancer, median survival times were 190 (95% CI 159–308) days for Nunavik (n = 24) and 270 (95% CI 194–766) days for Montréal residents (n = 44). Adjusting for matching variables, stage, performance status, and comorbidity, Nunavik residents had a higher hazard of death (hazard ratio 1.68, 95% CI 1.17–2.41). Interpretation: Nunavik residents experience disparities in survival after lung cancer diagnosis. Although studies in other Inuit Nunangat regions are needed, our findings point to an urgent need to ensure that interventions aimed at improving lung cancer survival, including lung cancer screening, are accessible to Inuit Nunangat residents. [ABSTRACT FROM AUTHOR]

The article reports on a declaration signed by Canadian premiers and municipal leaders from the U.S., Europe, and Australia during the UN Climate Change Conference in Montréal, Quebec on December 6, 2005. The declaration aims to combat global warming. It also aims to exceed the original Kyoto Protocol targets in reducing greenhouse gas emissions. The target percentage of reduction is given.

Information about several papers discussed at the fourth annual CEO Forum on February 17, 2010 in Montréal, Quebec on patient charter which aims to improve the health care services is presented. Robert Ouellet, former president of Canadian Medical Association, cites that the panel must plan on how to form and finance the charter. Adalsteinn Brown of Ontario's Ministry of Health and Long-Term Care says that Canada will not be the first country to adopt patient charter.

Abstract Background Congestive heart failure (CHF) is a common disease requiring admission to hospital among elderly people and is associated with a high mortality rate. The objective of this study was to examine trends in CHF mortality and admissions to hospital in Montreal between 1990 and 1997 for individuals aged 65 years or more. Methods We obtained information about deaths from the Quebec Death Certificate Registry database and information about admissions to hospital from the Québec Med-Écho database. Patients with a primary diagnosis that was classified as ICD-9 code 428 were considered cases of CHF. Results Although age-adjusted rates of mortality from CHF did not change significantly between 1990 and 1997, the annual rate of admission to hospital for CHF increased from 92 per 10 000 population in 1990/91 to 124 per 10 000 population in 1997/98 (p < 0.01). Deaths due to CHF, expressed as a proportion of all cardiovascular deaths, increased among women from 5.6% in 1990 to 6.2% in 1997 (p = 0.01). The rate of readmission for all causes following a first admission for CHF during that year rose over the study period from 16.6% to 22.0% within one month (p < 0.001) and from 46.7% to 49.4% within 6 months (p = 0.03). Conversely, mean annual length of stay per admission decreased from 16.4 days in 1990/91 to 12.2 days in 1997/98. Interpretation The increase in rates of admission to hospital for CHF and the stable rates of CHF mortality suggest that the management of CHF and its antecedents has improved in recent years. [ABSTRACT FROM AUTHOR]

Presents information about Physicians Taking Action Against Smoking, an intervention program to optimize smoking cessation counselling by Montreal general practitioners (GP). Program description; Results of monitoring the smoking cessation counselling practices of GPs; Interpretation; Conclusion that an integrated, theory-based program to prove physicians' counselling practices could be a key component in a comprehensive strategy to reduce tobacco consumption.

Interpretation: These results support the hypothesis that risk factors for HIV seropositivity differ between men and women. These sex-related differences should be taken into account in the development of preventive and clinical interventions. [ABSTRACT FROM AUTHOR]

Discusses how street youths are at high risk for many health problems, including sexually transmitted diseases and bloodborne infections. Study to determine the prevalence of risk behaviors for Hepatitis B virus infection among street youths in Montreal, Quebec; Background; Methods; Results.

This article provides information on the self-service ATM-style kiosks implemented at the Tiny Tots Medical Centre in Montreal, Quebec. With the system, patients can manage their own registration files and appointments through a secure Web site. Scheduling errors are reduced and billing and collection errors are eliminated, which resulted to patient satisfaction and office efficiency.

Reports that the Osler Library of the History of Medicine at McGill University has been opened. Need of the library building for renovation due to weather damage, including from humidity; Inclusion of incunabula in the collection, which was being damaged by the humidity; Installation of climate-control systems to protect and preserve the books; Donation of the books by Sir William Osler; Funding of the renovations by Dr. John McGovern, who also founded the American Osler Society.

Profiles Dr. Syndey Segall, a cardiologist from Montreal, Quebec. Practice of medicine by Segall after D-Day in Normandy, France; Treatment of patients with post-traumatic stress disorder by Segall; Changes which have been witnessed by Segall in medicine.

Relates the author's experience providing medical care for a pregnant teen at Head and Hands, a clinic and community organization in Montreal, Quebec. Difficulties that the girl had with her mother, school, and her boyfriend; How life worked out for them during a period of ten years.

Editorial. Reports on the celebrations being held in Canada in July 1999 to mark the 150th anniversary of the birth of William Osler, the countries most revered physician. His influential textbook `The Principles and Practices of Medicine'; Plans being made by the Montreal American Osler Association and McGill University.