From 3cbd111e72e7e870fd31074180e7659d415aac5d Mon Sep 17 00:00:00 2001 From: Harshank Date: Mon, 9 Oct 2023 15:48:16 -0400 Subject: [PATCH 1/6] Removing unwanted comments --- src/App.jsx | 2 -- 1 file changed, 2 deletions(-) diff --git a/src/App.jsx b/src/App.jsx index ca1b735b..e596d71b 100644 --- a/src/App.jsx +++ b/src/App.jsx @@ -1951,8 +1951,6 @@ class App extends Component { test-id="postConfigUpdateModalOpenButton" > {" "} - {/* {this.state.lang[this.state.user]} */} - {/*this.state.lang.display_gender*/}{" "} {[ this.state.gender == "male" && this.state.Tgender == "tf" ? this.state.lang[this.state.gender] From 0ef9765570b9d34cfdbacb9662b83a9795fd94eb Mon Sep 17 00:00:00 2001 From: Harshank Date: Mon, 9 Oct 2023 20:08:42 -0400 Subject: [PATCH 2/6] Choose Page Layout Redesign #718 --- src/App.jsx | 360 +++++++++++++++++++++++---------------------- src/Lang/Lang.json | 6 +- 2 files changed, 185 insertions(+), 181 deletions(-) diff --git a/src/App.jsx b/src/App.jsx index e596d71b..8b1c1ab3 100644 --- a/src/App.jsx +++ b/src/App.jsx @@ -956,61 +956,67 @@ class App extends Component { // style={myModalStyle} test-id="instructionModalRoot" > - + {/* harshank */}
-
{/* Adjust the column width as needed */} +
-
- {this.state.lang.instruction_modal_header} +
+ {this.state.lang.instruction_modal_header} +
-
-
-
-
- {this.state.lang.header_description} -
- - {/*select age*/} -
-
-
- {this.state.lang.age_selector} - - {/* +
+ {this.state.lang.header_description} +
+ + {/*select age*/} +
+ +
+ {this.state.lang.age_selector} + + {/* ))} */} - -
- -
- {/*select gender*/} -
-
-
- {this.state.lang.gender_selector} - {/* this is the original button, works fine + +
+ +
+ {/*select gender*/} +
+
+
+ {this.state.lang.gender_selector} + {/* this is the original button, works fine but i have applied css zindex and positioned it over other div which is trick that doesnt aligns with screen size */} - {/* this button is crack takes me to the landing page */} - -
-
- - - - - -
+ {/* this button is crack takes me to the landing page */} + +
+
+ + + + + +
- {/*
- {/* {Are you a Transgender} */} - {/* {Are you a Transgender} */} -
-
- {this.state.lang.Tgender_selector} -
-
- + {/* {Are you a Transgender} */} + {/* {Are you a Transgender} */} +
+
+ {this.state.lang.Tgender_selector} + +
+
+ + + +
-
- -
- - - {/*Field selection based on gender*/} - {/*select user*/} + + + {/*Field selection based on gender*/} + {/*select user*/}

{this.state.lang.user_selector}

@@ -1206,21 +1212,21 @@ class App extends Component {
-
- -
+
+ +
+
-
, ]; diff --git a/src/Lang/Lang.json b/src/Lang/Lang.json index c7c00213..e314c6e3 100644 --- a/src/Lang/Lang.json +++ b/src/Lang/Lang.json @@ -1,7 +1,6 @@ { "english":{ - "instruction_modal_header": "Patient Details:", - "header_description": "Please input the details required below to receive customized preventive health information", + "instruction_modal_header": "Please input details below to receive customized preventive health information:", "config_modal_Gender_help_header": "More Information", "config_modal_SexAtBirth_help_header": "More Information", "config_modal_Gender_help_body": "Gender identity is a person's internal sense of whether they are female, male, both or neither. Transgender (“trans”) people are people whose gender identity differs from the gender they were assigned at birth. For example, a trans woman may have been assigned male at birth but identifies as, and is, a woman. Non-binary people are people whose gender identity is not solely male or female; they may identify as having multiple genders, having a gender that blends elements of both male and female, not having a gender at all, or shifting between genders. People who are not trans are cisgender (cis).", @@ -137,8 +136,7 @@ "clickOn_Text": "Click on blue button below" }, "french":{ - "instruction_modal_header": "Détails du patient:", - "header_description": "Veuillez saisir les détails requis ci-dessous pour recevoir des informations personnalisées sur la santé préventive", + "instruction_modal_header": "Please input details below to receive customized preventive health information:", "config_modal_Gender_help_header": "Plus d'information", "config_modal_SexAtBirth_help_header": "Plus d'information", "config_modal_Gender_help_body": "L'identité de genre est le sentiment interne d'une personne d'être femme, homme, les deux ou aucun des deux. Les personnes transgenres (« trans ») sont des personnes dont l'identité de genre diffère du genre qui leur a été assigné à la naissance. Par exemple, une femme trans peut avoir été assignée « garçon » à la naissance mais s'identifie comme, et est réellement, une femme. Les personnes non binaires sont des personnes dont l'identité de genre n'est pas uniquement masculine ou féminine; elles peuvent s'identifier comme ayant plusieurs genres, ayant un genre qui mélange des éléments masculins et féminins, n'ayant pas de genre du tout, ou passant d'un genre à l'autre à travers le temps. Les personnes qui ne sont pas trans sont dites cisgenres (« cis »).", From 8fdabd6e6b9e76b720eacf49f77631a266034cdc Mon Sep 17 00:00:00 2001 From: Harshank Date: Mon, 9 Oct 2023 20:30:04 -0400 Subject: [PATCH 3/6] Removeing "Patient" from all Choose form --- src/Lang/Lang.json | 8 ++++---- 1 file changed, 4 insertions(+), 4 deletions(-) diff --git a/src/Lang/Lang.json b/src/Lang/Lang.json index e314c6e3..b9f2fa4f 100644 --- a/src/Lang/Lang.json +++ b/src/Lang/Lang.json @@ -14,7 +14,7 @@ "user_selector": "I am a", "patient": "Member of the Public", "provider": "Health Professional", - "gender_selector": "Patient Gender: ", + "gender_selector": "Gender: ", "Tgender_selector": "Sex assigned at birth: ", "male": "Male", "female": "Female", @@ -28,7 +28,7 @@ "Hormone_Therapy": "Hormone Therapy", "Surgery":"Surgery", "all_ages": "All ages", - "age_selector": "Patient Age: ", + "age_selector": "Age: ", "ageandgender_help": "Please select a value for each of age, gender and sex assigned at birth", "age_help": "Please select a gender and age between 18 and 150", "age_void": "Please enter details and click Accept", @@ -152,7 +152,7 @@ "user_selector": "Je suis un", "patient": "Membre du public", "provider": "Professionnel de la santé", - "gender_selector": "Genre du patient: ", + "gender_selector": "Genre: ", "Tgender_selector": "Sexe attribué à la naissance: ", "male": "Homme", "female": "Femme", @@ -165,7 +165,7 @@ "Hormone_Therapy": "Hormone Therapy", "all_genders": "Tous les genres", "all_ages": "Tous ages", - "age_selector": "Âge du patient: ", + "age_selector": "Âge: ", "ageandgender_help": "Veuillez sélectionner une valeur pour chacun des éléments suivants : âge, sexe et sexe attribué à la naissance", "age_help": "Veuillez choisir un genre et un âge entre 18 et 150 ans", "age_void": "Please enter details and click Accept", From b2f6fe607a93493e049a799db8c7c4d7e505161f Mon Sep 17 00:00:00 2001 From: Harshank Date: Mon, 9 Oct 2023 20:35:44 -0400 Subject: [PATCH 4/6] Changing fonts in Choose form --- src/App.jsx | 11 +++++------ 1 file changed, 5 insertions(+), 6 deletions(-) diff --git a/src/App.jsx b/src/App.jsx index 8b1c1ab3..17c9148f 100644 --- a/src/App.jsx +++ b/src/App.jsx @@ -969,7 +969,7 @@ class App extends Component {
-
+
-
{this.state.lang.instruction_modal_header}
-
Date: Mon, 9 Oct 2023 21:57:50 -0400 Subject: [PATCH 5/6] Loading new json files --- src/JSONFolder/HtmlTest-EN.json | 27892 ++++++++++++++++++++++++++++- src/JSONFolder/HtmlTopic-EN.json | 393 +- src/JSONFolder/HtmlTopic-FR.json | 4 +- 3 files changed, 28140 insertions(+), 149 deletions(-) diff --git a/src/JSONFolder/HtmlTest-EN.json b/src/JSONFolder/HtmlTest-EN.json index fcd3fbbb..69021a0b 100644 --- a/src/JSONFolder/HtmlTest-EN.json +++ b/src/JSONFolder/HtmlTest-EN.json @@ -4,111 +4,27971 @@ "Patient/Provider Text": "More tests are not always good for your health,\nsee these links: [[more info 1; https://www.youtube.com/watch?v=8c7qTsVVxXw]]\n[[more info 2; https://choosingwiselycanada.org/health-check-ups//]]\n[[more info 3; https://choosingwiselycanada.org/family-medicine/]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "", + "__1": "", + "__2": "", + "__3": "", + "__4": "", + "__5": "", + "__6": "", + "__7": "", + "__8": "", + "__9": "", + "__10": "", + "__11": "", + "__12": "", + "__13": "", + "__14": "", + "__15": "", + "__16": "", + "__17": "", + "__18": "", + "__19": "", + "__20": "" }, { "Test": "Bone mineral density", "Patient/Provider Text": "If you have risk factors below age 65 this may be done.\nAn x-ray detector scans your spine and hip.\n You receive a very small amount of radiation,\napproximately the same amount you are exposed to if you fly from Toronto to Vancouver.\n[[What is your risk; https://osteoporosis.ca/risk/#page-1]]\n[[More;https://choosingwiselycanada.org/pamphlet/bone-density-tests/]]", "Gender": "all", "Minimum age": 50, - "Maximum age": 64 + "Maximum age": 64, + "": "", + "__1": "", + "__2": "", + "__3": "", + "__4": "", + "__5": "", + "__6": "", + "__7": "", + "__8": "", + "__9": "", + "__10": "", + "__11": "", + "__12": "", + "__13": "", + "__14": "", + "__15": "", + "__16": "", + "__17": "", + "__18": "", + "__19": "", + "__20": "" }, { "Test": "Bone mineral density", "Patient/Provider Text": "For patients age 65 and over.\nAn x-ray detector scans your spine and hip.\nYou receive a very small amount of radiation,\napproximately the same amount you are exposed to if you fly from Toronto to Vancouver.\n[[More info; https://osteoporosis.ca/bone-mineral-density-testing/]]", "Gender": "all", "Minimum age": 65, - "Maximum age": 150 + "Maximum age": 150, + "": "", + "__1": "", + "__2": "", + "__3": "", + "__4": "", + "__5": "", + "__6": "", + "__7": "", + "__8": "", + "__9": "", + "__10": "", + "__11": "", + "__12": "", + "__13": "", + "__14": "", + "__15": "", + "__16": "", + "__17": "", + "__18": "", + "__19": "", + "__20": "" }, { "Test": "Cholesterol blood test", "Patient/Provider Text": "This measures different types of fat in your blood( good and bad cholesterol and triglycerides).", "Gender": "m", "Minimum age": 40, - "Maximum age": 150 + "Maximum age": 150, + "": "", + "__1": "", + "__2": "", + "__3": "", + "__4": "", + "__5": "", + "__6": "", + "__7": "", + "__8": "", + "__9": "", + "__10": "", + "__11": "", + "__12": "", + "__13": "", + "__14": "", + "__15": "", + "__16": "", + "__17": "", + "__18": "", + "__19": "", + "__20": "" }, { "Test": "Cholesterol blood test", "Patient/Provider Text": "This measures different types of fat in your blood( good and bad cholesterol and triglycerides).", "Gender": "f", "Minimum age": 50, - "Maximum age": 150 + "Maximum age": 150, + "": "", + "__1": "", + "__2": "", + "__3": "", + "__4": "", + "__5": "", + "__6": "", + "__7": "", + "__8": "", + "__9": "", + "__10": "", + "__11": "", + "__12": "", + "__13": "", + "__14": "", + "__15": "", + "__16": "", + "__17": "", + "__18": "", + "__19": "", + "__20": "" }, { "Test": "Colorectal cancer screening", "Patient/Provider Text": "Sometimes called the \"poop test\". \nYou collect a small sample of stool(feces) at home which is processed in a lab.\nIf blood is detected a colonoscopy is recommended to detect if there is cancer.\n[[more info; http://www.cancer.ca/en/cancer-information/cancer-type/colorectal/screening/?region=on#ixzz4vIhpstWx/]]\nFlexible sigmoidoscopy is another test available in some areas for cancer screening. It carries less risks than a colonoscopy.", "Gender": "all", "Minimum age": 50, - "Maximum age": 74 + "Maximum age": 74, + "": "", + "__1": "", + "__2": "", + "__3": "", + "__4": "", + "__5": "", + "__6": "", + "__7": "", + "__8": "", + "__9": "", + "__10": "", + "__11": "", + "__12": "", + "__13": "", + "__14": "", + "__15": "", + "__16": "", + "__17": "", + "__18": "", + "__19": "", + "__20": "" }, { "Test": "Heart risk score", "Patient/Provider Text": "Your provider uses your [[age, sex, other risk factors; https://myhealth.alberta.ca/Alberta/Pages/Heart-Disease-Risk-Calculator.aspx]]: to measure your risk of having a heart attack.\n\n[[Other calculator; http://chd.bestsciencemedicine.com/calc2.html]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "", + "__1": "", + "__2": "", + "__3": "", + "__4": "", + "__5": "", + "__6": "", + "__7": "", + "__8": "", + "__9": "", + "__10": "", + "__11": "", + "__12": "", + "__13": "", + "__14": "", + "__15": "", + "__16": "", + "__17": "", + "__18": "", + "__19": "", + "__20": "" }, { "Test": "Low dose CT scan", "Patient/Provider Text": "To detect lung cancer in certain patients only.\nThis is not available in most locations in Canada yet, speak to your provider.\nAn x-ray machine scans the lungs\nIt uses low doses of radiation to make a series of pictures of the lungs.", "Gender": "all", "Minimum age": 55, - "Maximum age": 74 + "Maximum age": 74, + "": "", + "__1": "", + "__2": "", + "__3": "", + "__4": "", + "__5": "", + "__6": "", + "__7": "", + "__8": "", + "__9": "", + "__10": "", + "__11": "", + "__12": "", + "__13": "", + "__14": "", + "__15": "", + "__16": "", + "__17": "", + "__18": "", + "__19": "", + "__20": "" }, { "Test": "Mammograms", "Patient/Provider Text": "A mammogram is an xray of the breasts.\nRadiation has been cut back to a very [[small dose; https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/mammograms/mammogram-basics.html/]].\nYou receive radiation from your environment every day. A screening mammogram contains the amount of radiation you would get from your natural environment in 7 weeks. \nThis is done for prevention every 2 years age 50 to 74 for patients with no symptoms or risks.", "Gender": "f", "Minimum age": 50, - "Maximum age": 74 + "Maximum age": 74, + "": "", + "__1": "", + "__2": "", + "__3": "", + "__4": "", + "__5": "", + "__6": "", + "__7": "", + "__8": "", + "__9": "", + "__10": "", + "__11": "", + "__12": "", + "__13": "", + "__14": "", + "__15": "", + "__16": "", + "__17": "", + "__18": "", + "__19": "", + "__20": "" }, { "Test": "Memory test", "Patient/Provider Text": "The MOCA (Montreal Cognitive Assesement) or MMSE (Mini-Mental State Examination)\n are tests given to patients who may have memory problems. \nEach is a series of questions and takes around 10-15 minutes.", "Gender": "all", "Minimum age": 65, - "Maximum age": 150 + "Maximum age": 150, + "": "", + "__1": "", + "__2": "", + "__3": "", + "__4": "", + "__5": "", + "__6": "", + "__7": "", + "__8": "", + "__9": "", + "__10": "", + "__11": "", + "__12": "", + "__13": "", + "__14": "", + "__15": "", + "__16": "", + "__17": "", + "__18": "", + "__19": "", + "__20": "" }, { "Test": "Pap test", "Patient/Provider Text": "For women age 21 or 25 to age 69.\nStarting age depends on your province or territory (21 or 25).\nThis requires a pelvic exam by your health provider.\n A brush is used to collect cells from the cervix.", "Gender": "f", "Minimum age": 21, - "Maximum age": 69 + "Maximum age": 69, + "": "", + "__1": "", + "__2": "", + "__3": "", + "__4": "", + "__5": "", + "__6": "", + "__7": "", + "__8": "", + "__9": "", + "__10": "", + "__11": "", + "__12": "", + "__13": "", + "__14": "", + "__15": "", + "__16": "", + "__17": "", + "__18": "", + "__19": "", + "__20": "" }, { "Test": "Rubella and Varicella immunity", "Patient/Provider Text": "This is a blood test to see if you are immune (protected) against rubella(german measles) or varicella (chicken pox). \nif you are non immune you may become infected with rubella during a pregnancy\nwhich could cause birth defects or serious health problems for you.", "Gender": "f", "Minimum age": 18, - "Maximum age": 50 + "Maximum age": 50, + "": "", + "__1": "", + "__2": "", + "__3": "", + "__4": "", + "__5": "", + "__6": "", + "__7": "", + "__8": "", + "__9": "", + "__10": "", + "__11": "", + "__12": "", + "__13": "", + "__14": "", + "__15": "", + "__16": "", + "__17": "", + "__18": "", + "__19": "", + "__20": "" }, { "Test": "STI tests", "Patient/Provider Text": "If sexually active testing for stis includes: \n•Women: a pelvic exam or a urine test; and blood tests. \n•Men: a urine test and blood tests\nUrine test tests are for Chlamydia and Gonorrhea. \nThe test done by pelvic exam in women is for Chlamydia and Gonorrhea\nBlood tests: it is recommended to include tests for HIV, Syphilis, Hepatitis B, and some include Hepatitis C.", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "", + "__1": "", + "__2": "", + "__3": "", + "__4": "", + "__5": "", + "__6": "", + "__7": "", + "__8": "", + "__9": "", + "__10": "", + "__11": "", + "__12": "", + "__13": "", + "__14": "", + "__15": "", + "__16": "", + "__17": "", + "__18": "", + "__19": "", + "__20": "" }, { "Test": "Blood sugar test", "Patient/Provider Text": "This measures your blood sugar level if you are at risk for diabetes.\nThis shows if you are diabetic, pre-diabetic or normal.", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "", + "__1": "", + "__2": "", + "__3": "", + "__4": "", + "__5": "", + "__6": "", + "__7": "", + "__8": "", + "__9": "", + "__10": "", + "__11": "", + "__12": "", + "__13": "", + "__14": "", + "__15": "", + "__16": "", + "__17": "", + "__18": "", + "__19": "", + "__20": "" }, { "Test": "Ultrasound for AAA", "Patient/Provider Text": "AAA means Abdominal Aortic Aneurysm.\n Men age 65-80 may benefit from an ultrasound to detect AAA.\nAn abdomina ultrasound to detect AAA is a simple test, that does not hurt, where the technician puts gel on the skin of the abdomen and passess a camera over the skin to see the blood vessel called the aorta.\n\nClick on the word [[video; https://www.youtube.com/watch?v=5yliqM7GpvU]] to see what an abdominal aortic aneurysm screening ultrasound is like in the UK which uses a similar process to Canada.\n Note differences between UK and Canada:\n•You should see your health care provider to discuss if this test is right for you.\n•The results may not be available the same day\n•We stop at age 80\nSee the official Canadian Task Force guideline [[here; https://canadiantaskforce.ca/guidelines/published-guidelines/abdominal-aortic-aneurysm/]]", "Gender": "m", "Minimum age": 65, - "Maximum age": 80 + "Maximum age": 80, + "": "", + "__1": "", + "__2": "", + "__3": "", + "__4": "", + "__5": "", + "__6": "", + "__7": "", + "__8": "", + "__9": "", + "__10": "", + "__11": "", + "__12": "", + 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"__9": "", + "__10": "", + "__11": "", + "__12": "", + "__13": "", + "__14": "", + "__15": "", + "__16": "", + "__17": "", + "__18": "", + "__19": "", + "__20": "" } ] \ No newline at end of file diff --git a/src/JSONFolder/HtmlTopic-EN.json b/src/JSONFolder/HtmlTopic-EN.json index 30e54888..28e5941f 100644 --- a/src/JSONFolder/HtmlTopic-EN.json +++ b/src/JSONFolder/HtmlTopic-EN.json @@ -7,7 +7,8 @@ "Health Provider Text": "[[CTFPHC 2017; https://canadiantaskforce.ca/guidelines/published-guidelines/abdominal-aortic-aneurysm/]]", "Gender": "m", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Aorta", @@ -17,7 +18,8 @@ "Health Provider Text": "n/a", "Gender": "m", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Aorta", @@ -27,7 +29,8 @@ "Health Provider Text": "[[Weak recommendation by CTFPHC 2017; https://canadiantaskforce.ca/guidelines/published-guidelines/abdominal-aortic-aneurysm/]]", "Gender": "m", "Minimum age": 81, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Aorta", @@ -37,7 +40,8 @@ "Health Provider Text": "[[Strong recommendation, very low quality of evidence CTFPHC 2017; https://canadiantaskforce.ca/guidelines/published-guidelines/abdominal-aortic-aneurysm/]]", "Gender": "f", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Aorta", @@ -47,7 +51,8 @@ "Health Provider Text": "At this time we could not find a Canadian reference on this topic. In the UK trans females and non binary patients who were assigned male sex at birth are advised to have an abdominal ultrasound to detect AAA between ages 65 and 80. Trans males can have a screening ultrasound if they wish but the risk of an aneurysm is mentioned as being less.\n[[Reference; https://www.gov.uk/government/publications/nhs-population-screening-information-for-transgender-people]]", "Gender": "tm,tf", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Aorta", @@ -57,7 +62,8 @@ "Health Provider Text": "n/a", "Gender": "tm,tf", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Figure outside body walking", @@ -67,7 +73,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Figure outside body walking", @@ -77,7 +84,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Figure outside body walking", @@ -87,7 +95,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Bone", @@ -97,7 +106,8 @@ "Health Provider Text": "•\tAll trans women and people on the transfeminine spectrum should undergo bone density screening as per the current guidelines for the general population.\n\n•\tFor a low risk patient without additional risk factors in Canada, screening usually begins at age 65.\n\n•\tAs per the current guidelines for the general population, screening with BMD should be considered for younger patients who have [[risk factors for osteoporosis; https://www.canada.ca/en/public-health/services/chronic-diseases/osteoporosis.html]]\n\n•\tFor trans women and people on the transfeminine spectrum, this also includes anyone who, regardless of age:\n1) Has a history of hypogonadism/gonadectomy, and a history of insufficient (no/low-dose/intermittent) hormone replacement (UCSF recommends > 5 years without hormones to qualify; RHO recommends > 2 years; Endrocine Society, ISCD and TransCare BC do not specify a minimum amount of time).\n2) A history of taking an anti-androgen/GnRH analogue without exogenous hormones (RHO, ISCD).\n3) Is not adherent to hormone therapy or has taken it intermittently (Endocrine Society, TransCare BC).\n\n•\tOn the other hand, the Endocrine Society suggests considering BMD testing at baseline in all trans feminine patients.\n•\tThe RHO recommends that all patients on hormone therapy ensure a daily intake of 1200 mg of calcium and 1000 IU of vitamin D.", "Gender": "tf", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Bone", @@ -107,7 +117,8 @@ "Health Provider Text": "n/a", "Gender": "tf", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Bone", @@ -117,7 +128,8 @@ "Health Provider Text": "•\tWhen assessing for osteoporosis, consider assessing risk using an average of the results obtained using both a female and male calculator [[risk calculator; https://www.sheffield.ac.uk/FRAX/]] (UCSF).\n•\tThe ISCD suggests that the Z-score should generally be derived from comparison to the reference data of the patient’s affirmed gender for binary transgender patients (i.e. who identify as solely male or female), and to the gender assigned at birth in non-binary patients (ISCD).\n•\t [[RHO guidelines; https://www.rainbowhealthontario.ca/product/4th-edition-sherbournes-guidelines-for-gender-affirming-primary-care-with-trans-and-non-binary-patients/]]\n•\t [[UCSF Transcare guidelines; https://transcare.ucsf.edu/sites/transcare.ucsf.edu/files/Transgender-PGACG-6-17-16.pdf]]\n•\t [[Endocrine Society guidelines; https://academic.oup.com/jcem/article/102/11/3869/4157558]]", "Gender": "tf", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Bone", @@ -127,7 +139,8 @@ "Health Provider Text": "•\tAll trans men and people on the transmasculine spectrum should undergo bone density screening as per the current guidelines for the general population.\n•\tFor a low risk patient without additional risk factors in Canada, screening usually begins at age 65.\n•\tAs per the current guidelines for the general population, screening with BMD should be considered for younger patients who have risk factors for osteoporosis. For trans men and people on the transmasculine spectrum, this also includes anyone who, regardless of age:\n1) Has a history of hypogonadism/gonadectomy, and a history of insufficient (no/low-dose/intermittent) hormone replacement (UCSF recommends > 5 years without hormones to qualify; RHO recommends > 2 years; Endocrine Society, ISCD and TransCare BC do not specify a minimum amount of time).\n2) A history of taking a GnRH analogue without exogenous hormones (RHO, ISCD).\n3) Is not adherent to hormone therapy or has taken it intermittently (Endocrine Society, TransCare BC).\n•\tThe RHO recommends that all patients on hormone therapy ensure a daily intake of 1200 mg of calcium and 1000 IU of vitamin D.", "Gender": "tm", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Bone", @@ -137,7 +150,8 @@ "Health Provider Text": "n/a", "Gender": "tm", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Bone", @@ -147,7 +161,8 @@ "Health Provider Text": "•\tWhen assessing for osteoporosis, consider assessing risk using an average of the results obtained using both a female and male calculator [[risk calculator; https://www.sheffield.ac.uk/FRAX/]] (TransCare BC).\n•\tThe ISCD suggests that the Z-score should generally be derived from comparison to the reference data of the patient’s affirmed gender for binary transgender patients (i.e. who identify as solely male or female), and to the gender assigned at birth in non-binary patients (ISCD).\n•\t[[RHO guidelines; https://www.rainbowhealthontario.ca/wp-content/uploads/woocommerce_uploads/2019/12/Guidelines-FINAL-Dec-2019-iw2oti.pdf]]\n•\t[[UCSF Transcare guidelines; https://transcare.ucsf.edu/sites/transcare.ucsf.edu/files/Transgender-PGACG-6-17-16.pdf]]\n•\t[[Endocrine Society guidelines; https://academic.oup.com/jcem/article/102/11/3869/4157558]]", "Gender": "tm", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Bone", @@ -157,7 +172,8 @@ "Health Provider Text": "[[Recommendations; https://osteoporosis.ca/exercise/]] or use [[Videos; https://osteoporosis.ca/video-series-on-exercise-and-osteoporosis/]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Bone", @@ -167,7 +183,8 @@ "Health Provider Text": "•\tA healthy diet prevents osteoporosis\n[[Osteoporosis.ca; https://osteoporosis.ca/nutrition/]]\n•[[Calcium calculator; https://osteoporosis.ca/calcium-calculator/]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Bone", @@ -177,7 +194,8 @@ "Health Provider Text": "•Calcium: 1000mg/day; Vitamin D: 400-1000 IU/day\n•Exception: if age 18 or pregnant or breastfeeding :\nCalcium: 1300 mg/day; Vitamin D: 600 IU/ day\n\n•[[Calcium; https://osteoporosis.ca/calcium/]]\n•[[Vitamin D; https://osteoporosis.ca/vitamin-d/]]\n•[[Calcium calculator; https://osteoporosis.ca/calcium-calculator/]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 49 + "Maximum age": 49, + "": "" }, { "Button": "Bone", @@ -187,7 +205,8 @@ "Health Provider Text": "•Calcium: 1200mg/day\n•Vitamin D: 800-2000 IU/day\n\n•\t[[Calcium; https://osteoporosis.ca/calcium/]]\n•\t[[Vitamin D; https://osteoporosis.ca/vitamin-d/]]\n•[[Calcium calculator; https://osteoporosis.ca/calcium-calculator/]]", "Gender": "all", "Minimum age": 50, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Bone", @@ -197,7 +216,8 @@ "Health Provider Text": "•<65 yo BDM only if the patient has [[risk factors; https://frax.canadiantaskforce.ca/index.php?r=site%2Frisks]]\n•[[Canadian Task Force 2023 Decision aid; https://frax.canadiantaskforce.ca/]]\n•[[Canadiant Task Force 2023 guideline; https://www.cmaj.ca/content/cmaj/195/18/E639.full.pdf]]\n•[[BDM Choosing Wisely; https://choosingwiselycanada.org/pamphlet/bone-density-tests/]]", "Gender": "m,f", "Minimum age": 18, - "Maximum age": 64 + "Maximum age": 64, + "": "" }, { "Button": "Bone", @@ -207,7 +227,8 @@ "Health Provider Text": "There are 2 different guidelines :\n()\n• Women 65 and over: use this [[calculator; https://frax.canadiantaskforce.ca/]] and see their primary care provider to discuss if a bone density is necessary\n• Men of all ages and women below 65 are not advised to have a bone density unless they have [[risk factors; https://frax.canadiantaskforce.ca/index.php?r=site%2Frisks]]\n•[[Guideline; https://www.cmaj.ca/content/cmaj/195/18/E639.full.pdf]]\n\n()\nRecommended for everyone 65 or older:\n•[[Summary; https://www.cmaj.ca/content/cmaj/182/17/1864/F3.large.jpg]]\n• [[Osteoporosis.ca 2010 guideline; https://www.cmaj.ca/content/cmaj/early/2010/10/12/cmaj.100771.full.pdf]]", "Gender": "m,f", "Minimum age": 65, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Breast", @@ -217,7 +238,8 @@ "Health Provider Text": "n/a", "Gender": "f", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Breast", @@ -227,7 +249,8 @@ "Health Provider Text": "n/a", "Gender": "f", "Minimum age": 50, - "Maximum age": 74 + "Maximum age": 74, + "": "" }, { "Button": "Breast", @@ -237,7 +260,8 @@ "Health Provider Text": "n/a", "Gender": "f", "Minimum age": 75, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Breast", @@ -247,7 +271,8 @@ "Health Provider Text": "Counsel patients to:\n•\tLimit alcohol (see our substance use info)\n•\tNot smoke\n•\tControl their weight\n•\tBe physically active (see our app info for this)\n•\tBreastfeed if able\n•\tLimit time on hormone therapy\n[[a risk calculator for patients; https://www.mycanceriq.ca/Cancers/Risk]]\n\nScreening Mammogram:\n•\tBelow age 50: Not recommended\n[[2018 CTFPHC; https://canadiantaskforce.ca/guidelines/published-guidelines/breast-cancer-update/]]\n[[tool to explain harms to patient; https://www.youtube.com/watch?v=UZlY6Q4m-MM]]\n[[tool to explain harms to patient; https://canadiantaskforce.ca/tools-resources/breast-cancer-2/breast-cancer-risks-benefits-age-40-49/]]\n•\t50-74: Every 2-3 years\n[[2018 CTFPHC weak recommendation; https://canadiantaskforce.ca/guidelines/published-guidelines/breast-cancer-update/]]\n•\t75+: Not recommended by canadiantaskforce.ca, but:\n[[CFP article 2019 on when to stop screening; https://www.cfp.ca/content/cfp/65/8/543.full.pdf]]\n\nHigh risk patients:\n•\tKnown to have a gene mutation that increases their risk for breast cancer (e.g., BRCA1, BRCA2, TP53, PTEN, CDH1)\n•\tFirst-degree relatives of someone who has a gene mutation that increases their risk for breast cancer (e.g., BRCA1, BRCA2, TP53, PTEN, CDH1), have already had genetic counselling and have chosen not to have genetic testing\n•\tHave been assessed by a genetics clinic (using the IBIS or BOADICEA tools) as having a 25% or greater lifetime risk of breast cancer based on personal and family history\n•\tHave had radiation therapy to the chest to treat another cancer or condition (e.g., Hodgkin lymphoma) before age 30 and at least 8 years ago\n•\tFirst-degree relative (parent, brother, sister or child) of a carrier of a gene mutation (e.g. BRCA1, BRCA2, TP53, PTEN, CDH1) and has not had genetic counselling or genetic testing\n•\tPersonal or family history of breast or ovarian cancer suggestive of a hereditary breast cancer syndrome", "Gender": "f", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Breast/Chest", @@ -257,7 +282,8 @@ "Health Provider Text": "•\tTrans women and people on the transfeminine spectrum who are on feminizing hormone therapy should undergo breast cancer screening as per current guidelines for cis women.\n•\tThe current recommendation is a mammogram every 2 years from age 50-74.\n•\tSome guidelines (such as those by RHO and UCSF) specify to only start once the patient has been on feminizing hormone therapy for > 5 years total (up to 10 years according to UCSF), whereas others do not specify a minimum hormone duration use.\n• Note that the presence of breast implants generally necessitates diagnostic mammography rather than routine screening mammography (RHO)", "Gender": "tf", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Breast/Chest", @@ -267,7 +293,8 @@ "Health Provider Text": "n/a", "Gender": "tf", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Breast/Chest", @@ -277,7 +304,8 @@ "Health Provider Text": "•\t[[Overview of breast cancer screening for trans women in Canada; https://www.cancer.ca/en/prevention-and-screening/reduce-cancer-risk/find-cancer-early/screening-in-lgbtq-communities/trans-women-and-breast-cancer-screening/?region=bc]]\n•\t[[RHO guidelines; https://www.rainbowhealthontario.ca/wp-content/uploads/woocommerce_uploads/2019/12/Guidelines-FINAL-Dec-2019-iw2oti.pdf]]\n•\t[[UCSF Transcare guidelines; https://transcare.ucsf.edu/sites/transcare.ucsf.edu/files/Transgender-PGACG-6-17-16.pdf]]\n•\t[[Endocrine Society guidelines; https://academic.oup.com/jcem/article/102/11/3869/4157558]]", "Gender": "tf", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Breast/Chest", @@ -287,7 +315,8 @@ "Health Provider Text": "•\tTrans men and people on the transmasculine spectrum who have not had a bilateral mastectomy should undergo breast cancer screening, as per the current guidelines for cis women.\n•\tThe current recommendation for cis women is a mammogram every 2 years from age 50-74.\n•\tThere is currently no reliable evidence on screening for trans men and people on the transmasculine spectrum patients who have had a mastectomy; consider discussing the unknown risks associated with residual breast tissue, as well as the possible technical limitations of mammography (UCSF).\n•\tConsider continuing regular monitoring for breast cancer even after mastectomy, as mastectomies usually do not remove breast tissue in its entirety; the Endocrine Society suggests conducting sub- and periareolar annual breast examinations if the patient has undergone a mastectomy, whereas UCSF cautions against it (not evidence-based).", "Gender": "tm", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Breast/Chest", @@ -297,7 +326,8 @@ "Health Provider Text": "n/a", "Gender": "tm", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Breast/Chest", @@ -307,7 +337,8 @@ "Health Provider Text": "•\tBe mindful of the language you use when referring to traditionally gendered body parts, as certain words may make patients feel uncomfortable — consider following the patients lead with regards to terminology (e.g. some trans men may prefer to refer to their breasts as their “chest”).\n•\tNote that mastectomy typically does not involve the removal of all breast tissue, and that some may still remain in place, meaning that patients could still be at risk of breast cancer (TransCare BC).\n•\tIf an abnormality is noted on the exam of a trans man who had a mastectomy, ultrasound +/- MRI is indicated as mammography is technically difficult or may be impossible (RHO).\n•\t[[Overview of breast cancer screening for trans men in Canada; https://www.cancer.ca/en/prevention-and-screening/reduce-cancer-risk/find-cancer-early/screening-in-lgbtq-communities/trans-men-and-chest-cancer-screening/?region=on]]\n•\t[[RHO guidelines; https://www.rainbowhealthontario.ca/wp-content/uploads/woocommerce_uploads/2019/12/Guidelines-FINAL-Dec-2019-iw2oti.pdf]]\n•\t[[UCSF Transcare guidelines; https://transcare.ucsf.edu/sites/transcare.ucsf.edu/files/Transgender-PGACG-6-17-16.pdf]]\n•\t[[Endocrine Society guidelines; https://academic.oup.com/jcem/article/102/11/3869/4157558]]", "Gender": "tm", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Colon", @@ -317,7 +348,8 @@ "Health Provider Text": "Age 50-74:\n•\tFOBT or FIT (depending on province) every 2y or\n•\tFlexible sigmoidoscopy every 10 years\n•\tColonoscopy not recommended in Canada for low risk: 1/2000 risk of perforation, no evidence yet,ongoing RCTs\n[[Canadian task force 2016; https://canadiantaskforce.ca/guidelines/published-guidelines/colorectal-cancer/]]\n[[CFP article on when to stop screening; https://www.cfp.ca/content/cfp/65/8/543.full.pdf]]\nFOBT=Fecal occult blood test\nFIT= Fecal immunochemical test\n•\tColonoscopy recommended for high risk patients\nClick to see [[Canadian association of gastroenterology guideline 2018; https://www.cag-acg.org/images/publications/CAG_CPG_CRC_Screening_Aug2018.pdf]]", "Gender": "all", "Minimum age": 50, - "Maximum age": 74 + "Maximum age": 74, + "": "" }, { "Button": "Colon", @@ -327,7 +359,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 50, - "Maximum age": 74 + "Maximum age": 74, + "": "" }, { "Button": "Colon", @@ -337,7 +370,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 75, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Colon", @@ -347,7 +381,8 @@ "Health Provider Text": "Recommend patients:\n•\tBe physically active\n•\tMaintain a healthy body weight, [[bmi; https://cancer.ca/en/cancer-information/reduce-your-risk/have-a-healthy-body-weight/reduce-your-risk-of-cancer-with-a-healthy-body-weight]]\n•\tLimit the amount of alcohol they drink (see healthy drinking guidelines)\n•\tBe a non-smoker and avoid second hand smoke\n•\tLimit the amount of red and processed meats eaten\n•\tEat foods high in fiber \n•\tLimit sitting time\n[[Source; http://www.cancer.ca/en/cancer-information/cancer-type/colorectal/risks/reducing-your-risk/?region=on]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 49 + "Maximum age": 49, + "": "" }, { "Button": "Covid", @@ -357,7 +392,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Covid", @@ -367,7 +403,8 @@ "Health Provider Text": "•[[NACI; https://www.canada.ca/en/public-health/services/publications/healthy-living/canadian-immunization-guide-part-4-active-vaccines/page-26-covid-19-vaccine.html]]\n\n•[[New England Journal of Medicine; https://www.nejm.org/covid-vaccine]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Covid", @@ -377,7 +414,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Covid", @@ -387,7 +425,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Covid", @@ -397,7 +436,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Covid", @@ -407,7 +447,8 @@ "Health Provider Text": "Appraised evidence\n•\t[[MCMASTER EBM; https://plus.mcmaster.ca/COVID-19]]\n\nJournals\n•\t[[CMAJ; https://www.cmaj.ca/covid-19]]\n•\t[[BMJ; https://www.bmj.com/coronavirus]]\n•\t[[JAMA;https://jamanetwork.com/collections/46099/coronavirus-covid19]]\n•\t[[NEJM; https://www.nejm.org/coronavirus]]\n•\t[[The Lancet; https://www.thelancet.com/coronavirus/archive?]]\n\nPublic Health Agency of Canada\n•\t[[For health professionals; https://www.canada.ca/en/public-health/services/diseases/2019-novel-coronavirus-infection/health-professionals.html]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Pancreas", @@ -417,7 +458,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Pancreas", @@ -427,7 +469,8 @@ "Health Provider Text": "Recommend:\n•\tHealthy diet\n•\tPhysical activity\n•\tHealthy BMI: 18.5-24\n[[bmi; https://www.diabetes.ca/static/bmi-calculator.html ]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Pancreas", @@ -437,7 +480,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Pancreas", @@ -447,7 +491,8 @@ "Health Provider Text": "Using a calculator is evidence-based (2016 CTFPHC).\nYour patient can be emailed this questionnaire or it can be filled in the waiting room.\n• [[FINDRISC online calculator; https://qxmd.com/calculate/calculator_236/findrisc-diabetes-risk-calculator]]\n•\t[[FINDRISC pdf; https://canadiantaskforce.ca/tools-resources/type-2-diabetes-2/type-2-diabetes-patient-findrisc/]]\n\nor \n•\t[[CANRISK online calculator; https://diabetes.ca/about-diabetes/take-the-test]]\n•\t[[CANRISK pdf available in different languages; https://canadiantaskforce.ca/tools-resources/type-2-diabetes-2/type-2-diabetes-canrisk/]] • [[Canadian Diabetes Assoc 2018 screening guideline; https://guidelines.diabetes.ca/cpg/chapter4]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Hip", @@ -457,7 +502,8 @@ "Health Provider Text": "The American Geriatrics Society and British Geriatrics Society recommend asking about falls every year \n•\t[[ref CFP article; http://www.cfp.ca/content/62/9/717]]\n•\t[[more info; https://www.ajpmonline.org/article/S0749-3797(18)31759-8/fulltext]]\n•\t[[Ressources for health care professionnal; https://parachute.ca/en/professional-resource/seniors-falls-collection/]]\nFor advice to patients, see in our app patient section on Falls.", "Gender": "all", "Minimum age": 65, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Heart", @@ -467,7 +513,8 @@ "Health Provider Text": "•\tThe current guidelines for general population should be followed when evaluating for cardiovascular risk factors in trans patients, such as diabetes and dyslipidemia screening.\n•\tEncourage physical activity,smoking cessation, weight loss, management of diabetes and hypertension.\n•\tWhen using a [[risk calculator; https://cvdcalculator.com/]] depending on when and how long the patient has been on hormones, consider using either a calculator based on the patient’s sex assigned at birth, their affirmed gender or an average of the two [[UCSF; https://transcare.ucsf.edu/guidelines/cardiovascular]]", "Gender": "tf", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Heart", @@ -477,7 +524,8 @@ "Health Provider Text": "•\tThe current guidelines for general population should be followed when evaluating for cardiovascular risk factors in trans patients, such as diabetes and dyslipidemia screening.\n•\tEncourage physical activity,smoking cessation, weight loss, management of diabetes and hypertension.\n•\tWhen using a [[risk calculator; https://cvdcalculator.com/]], depending on when and how long the patient has been on hormones, consider using either a calculator based on the patient’s sex assigned at birth, their affirmed gender or an average of the two [[UCSF; https://transcare.ucsf.edu/guidelines/cardiovascular]]\n•\t[[more risk calculators; https://ccs.ca/calculators-and-forms/]]", "Gender": "tm", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Heart", @@ -487,7 +535,8 @@ "Health Provider Text": "n/a", "Gender": "tf,tm", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Heart", @@ -497,7 +546,8 @@ "Health Provider Text": "•\t[[Guideline and handout for age 18-64; https://csepguidelines.ca/guidelines/adults-18-64/]]\n•\t[[Guideline and handout for age 65+; https://csepguidelines.ca/guidelines/adults-65/]]", "Gender": "tf,tm", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Heart", @@ -507,7 +557,8 @@ "Health Provider Text": "Recommend to quit or reduce.\nResources:\n•\t[[By province; https://www.canada.ca/en/health-canada/services/smoking-tobacco/quit-smoking/provincial-territorial-services.html]]\n•\t[[More; http://www.smokershelpline.ca/]]", "Gender": "tf,tm", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Heart", @@ -517,7 +568,8 @@ "Health Provider Text": "CTFPHC recommends blood pressure measurement at all appropriate primary care visits.[[2012 Guideline; https://canadiantaskforce.ca/guidelines/published-guidelines/hypertension/]]\n(Strong recommendation; moderate quality evidence)\n\n[[Hypertension Canada guideline summary 2022; https://hypertension.ca/wp-content/uploads/2020/10/2020-22-HT-Guidelines-E-WEB_v3b.pdf]]\n\nIf the mean blood pressure measured in office [[As per recommended technique; https://guidelines.hypertension.ca/diagnosis-assessment/measuring-blood-pressure/]] is high during one visit, a history and physical examination should be performed and, if clinically indicated, diagnostic tests to search for target organ damage should be arranged within 2 visits. \n\nRoutine Lab Testing Recommended: urinalysis, blood chemistry (potassium, sodium and creatinine), fasting blood glucose and/or glycated hemoglobin (A1C), serum total cholesterol, LDL, HDL, non-HDL, triglycerides (fasting or non-fasting) and a standard 12-lead ECG. \n\nGlobal cardiovascular risk assessment should be done using risks calculators: \nFramingham only validated between age 30 and 74\n•[[risk calculator with happy faces; https://cvdcalculator.com/]]\n•[[more risk calculators; https://ccs.ca/calculators-and-forms/]]", "Gender": "tf,tm", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Heart", @@ -527,7 +579,8 @@ "Health Provider Text": "n/a", "Gender": "tf,tm", "Minimum age": 18, - "Maximum age": 74 + "Maximum age": 74, + "": "" }, { "Button": "Heart", @@ -537,7 +590,8 @@ "Health Provider Text": "n/a", "Gender": "tf,tm", "Minimum age": 75, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Heart", @@ -547,7 +601,8 @@ "Health Provider Text": "Lipid screening: \nWe have simplified by using 40 as the age to start testing if no additional risks.\n\n•\tBefore 40 if risk factors \n[[1) Risk factors according to Simplified lipid guidelines see Screening page 2; http://www.cfp.ca/content/cfp/61/10/857.full.pdf]]\n[[2) Risk factors according to CCS see Figure 1; http://www.onlinecjc.ca/article/S0828-282X(16)30732-2/pdf]]\n\n•\tFor age 40 and above: repeat lipid testing every 3-5 years if normal\n•\tAge 75 + healthy: discouraged as have not studied primary prevention in this group.", "Gender": "tf,tm", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Heart", @@ -557,7 +612,8 @@ "Health Provider Text": "Diabetes is a risk factor for heart disease.\n[[Resource; https://www.diabetes.ca/managing-my-diabetes/tools---resources/reducing-vascular-risk]] from diabetes.ca to reduce vascular risk.", "Gender": "tf,tm", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Heart", @@ -567,7 +623,8 @@ "Health Provider Text": "n/a", "Gender": "m,f", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Heart", @@ -577,7 +634,8 @@ "Health Provider Text": "Physical activity more potent than statins in preventing heart disease.\n•\t[[Guideline for age 18-64; https://csepguidelines.ca/guidelines/adults-18-64/]]\n•\t[[Guideline for age 65+; https://csepguidelines.ca/guidelines/adults-65/]]", "Gender": "m,f", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Heart", @@ -587,7 +645,8 @@ "Health Provider Text": "n/a", "Gender": "m,f", "Minimum age": 30, - "Maximum age": 74 + "Maximum age": 74, + "": "" }, { "Button": "Heart", @@ -597,7 +656,8 @@ "Health Provider Text": "Risk calculators \nFramingham only validated between age 30 and 74\n•\t[[risk calculator with happy faces; https://cvdcalculator.com/]]\n•\t[[more risk calculators; https://ccs.ca/calculators-and-forms/]]", "Gender": "m,f", "Minimum age": 30, - "Maximum age": 74 + "Maximum age": 74, + "": "" }, { "Button": "Heart", @@ -607,7 +667,8 @@ "Health Provider Text": "Ask all patients about tobacco use.\nRecommend to quit or reduce.\nResources:\n•\t[[By province; https://www.canada.ca/en/health-canada/services/smoking-tobacco/quit-smoking/provincial-territorial-services.html]].\n•\t[[More; http://www.smokershelpline.ca/]]\n\nUse behavioral interventions.\nAs needed use approved pharmacotherapy to promote cessation.\n•\t[[USPSTF A (2017); https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions]]\n•\t[[motivational interviewing video; https://www.youtube.com/watch?v=URiKA7CKtfc]]", "Gender": "m,f", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Heart", @@ -617,7 +678,8 @@ "Health Provider Text": "CTFPHC (2012) recommends blood pressure measurement at all appropriate primary care visits.[[Guideline; https://canadiantaskforce.ca/guidelines/published-guidelines/hypertension/]]\n(Strong recommendation; moderate quality evidence)\n\n[[Hypertension Canada guideline summary 2022; https://hypertension.ca/wp-content/uploads/2020/10/2020-22-HT-Guidelines-E-WEB_v3b.pdf]]\n\nIf the mean blood pressure measured in office [[As per recommended technique; https://guidelines.hypertension.ca/diagnosis-assessment/measuring-blood-pressure/]] is high during one visit, a history and physical examination should be performed and, if clinically indicated, diagnostic tests to search for target organ damage should be arranged within 2 visits. \n\nRoutine Lab Testing Recommended: urinalysis, blood chemistry (potassium, sodium and creatinine), fasting blood glucose and/or glycated hemoglobin (A1C), serum total cholesterol, LDL, HDL, non-HDL, triglycerides (fasting or non-fasting) and a standard 12-lead ECG. \n\nGlobal cardiovascular risk assessment should be done using risks calculators: \nFramingham only validated between age 30 and 74\n•[[risk calculator with happy faces; https://cvdcalculator.com/]]\n•[[more risk calculators; https://ccs.ca/calculators-and-forms/]]", "Gender": "m,f", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Heart", @@ -627,7 +689,8 @@ "Health Provider Text": "n/a", "Gender": "m,f", "Minimum age": 18, - "Maximum age": 39 + "Maximum age": 39, + "": "" }, { "Button": "Heart", @@ -637,7 +700,8 @@ "Health Provider Text": "n/a", "Gender": "m", "Minimum age": 40, - "Maximum age": 74 + "Maximum age": 74, + "": "" }, { "Button": "Heart", @@ -647,7 +711,8 @@ "Health Provider Text": "n/a", "Gender": "f", "Minimum age": 40, - "Maximum age": 74 + "Maximum age": 74, + "": "" }, { "Button": "Heart", @@ -657,7 +722,8 @@ "Health Provider Text": "n/a", "Gender": "m,f", "Minimum age": 75, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Heart", @@ -667,7 +733,8 @@ "Health Provider Text": "Lipid screening: \n•\tBefore 40 in men and 50 in women if risk factors \n[[1) Risk factors according to Simplified lipid guidelines see Screening page 2; http://www.cfp.ca/content/cfp/61/10/857.full.pdf]]\n[[2) Risk factors according to CCS see Figure 1; http://www.onlinecjc.ca/article/S0828-282X(16)30732-2/pdf]]\n\nNOTE: in women Hypertensive diseases of pregnancy (including preeclampsia, pregnancy induced hypertension are considered additional cvs risk factors [[click here; https://www.jogc.com/article/S1701-2163(18)30836-3/abstract]]\n•\tFor men age 40+:repeat every 3-5 years if N\n•\tFor women age 50+ or at menopause:repeat every 3-5 years if N\n•\tAge 75 + healthy: discouraged as have not been validated at this age\n\n•\t[[Canadian Simplified Lipid Guidelines by family physicans; http://www.cfp.ca/content/cfp/61/10/857.full.pdf ]]\n•\t[[Canadian Cardiology guideline; http://www.onlinecjc.ca/article/S0828-282X(16)30732-2/pdf]]", "Gender": "m,f", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Heart", @@ -677,7 +744,8 @@ "Health Provider Text": "Diabetes is a risk factor for heart disease.\n[[Resource; https://www.diabetes.ca/managing-my-diabetes/tools---resources/reducing-vascular-risk]] from diabetes.ca to reduce vascular risk.", "Gender": "m,f", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Needle in arm", @@ -687,7 +755,8 @@ "Health Provider Text": "• Recommend the [[app CanImmunize; https://www.canimmunize.ca/en/home]]\n\n{{AGE 18 and above (ALL ADULTS)}}\nThe following schedule assumes the patient has been vaccinated in childhood\n• () (Tetanus-diphtheria) every 10 years\n• ()(Tetanus,diphtheria, acellular pertussis or whooping cough): once in your lifetime\n• ():it is advised that most adults should have 2 doses of this vaccine\n• (): recommended for all females and males from ages 9 to 26. The vaccine is also safe over age 26. [[more; https://www.reframehealthlab.com/should-you-get-the-hpv-vaccine/]]\n• (): is recommended for all adults. For high risk groups see CanImmunize app\n• () seeCANImmunize app\n\n{{AGE 50+}}\nNACI recommends offering a Shingles vaccine starting at 50, Shingrix preferred, but in most provinces the patient will need to pay for this in this age group.\n[[NACI 2018; https://www.canada.ca/en/public-health/services/reports-publications/canada-communicable-disease-report-ccdr/monthly-issue/2018-44/issue-9-september-6-2018/article-6-2018-naci-update-herpes-zoster-vaccines.html]]\n\n{{AGE 60+}}\nShingles vaccine if not already received , see info above. Check if covered in your province.\n\n{{AGE 65+}}\n() if not already given.\n• Yukon and Ontario cover Shingrix from 65-70. \n• For other provinces Zostavax may be covered , check your provincial schedule\n()\nPNEU-P-23 advised for all immunocompetent,\nrepeat once in 5 years only if low immunity.\n\n(< Influenza>) yearly\n\nSOURCE: [[NACI; https://www.canada.ca/en/public-health/services/immunization/national-advisory-committee-on-immunization-naci.html]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Needle in arm", @@ -697,7 +766,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 49 + "Maximum age": 49, + "": "" }, { "Button": "Needle in arm", @@ -707,7 +777,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 50, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Needle in arm", @@ -717,7 +788,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 50, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Needle in arm", @@ -727,7 +799,8 @@ "Health Provider Text": "•\tInfo for professionals [[Centre for Effective Practice; https://cep.health/clinical-products/covid-19-vaccines/]] \n\n•\t[[National Advisory Committee on Immunization (NACI); https://www.canada.ca/en/public-health/services/publications/healthy-living/canadian-immunization-guide-part-4-active-vaccines/page-26-covid-19-vaccine.html]]\n\n• [[General informations about vaccine (Government of Canada); https://www.canada.ca/en/public-health/services/diseases/coronavirus-disease-covid-19/vaccines/overview.html]]\n\n• [[New England Journal of Medicine, Covid-19 Vaccine Resource Center; https://www.nejm.org/covid-vaccine]]\n\n• Videos: how vaccines are developped \n[[3 minutes; https://www.canada.ca/en/public-health/services/video/covid-19-how-vaccines-developed.html]]\n[[7 minutes; https://www.youtube.com/watch?v=2t_mQwTY4WQ&feature=emb_logo]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Liver", @@ -737,7 +810,8 @@ "Health Provider Text": "• [[Canadian low risk drinking guidelines 2023 PDF; https://ccsa.ca/sites/default/files/2023-01/CGAH-Drinking-Less-is-Better-en%20%28ID%2050809%29.pdf]]\n•[[Background; https://ccsa.ca/canadas-guidance-alcohol-and-health]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Liver", @@ -747,7 +821,8 @@ "Health Provider Text": "Help available for patients addicted to a substance/gambling:\neach province or territory has a help line: [[more; https://www.canada.ca/en/health-canada/services/substance-use/get-help/get-help-problematic-substance-use.html]]:\nScreening and counseling USPSTF I (2018) under review", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Liver", @@ -757,7 +832,8 @@ "Health Provider Text": "Screen individuals at risk \n•\t[[CTFPHC 2017; https://canadiantaskforce.ca/wp-content/uploads/2017/04/CTFPHC_Hepatitis-C_Clinician-FAQ_v10_FINAL-1.pdf]] See risks and map for endemic countries \n•\t[[Summary CFP 2019 by Public Health Agency of Canada; https://www.cfp.ca/content/cfp/65/3/195.full.pdf]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Liver", @@ -767,7 +843,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Lung", @@ -777,7 +854,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Lung", @@ -787,7 +865,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 55, - "Maximum age": 74 + "Maximum age": 74, + "": "" }, { "Button": "Lung", @@ -797,7 +876,8 @@ "Health Provider Text": "Ask all patients about tobacco use.\nAdvise stopping this.\nUse behavioral interventions.\nAs needed use approved pharmacotherapy to promote cessation.\n•\t[[USPSTF A (2013); https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions]]\n•\t[[video; https://www.youtube.com/watch?v=URiKA7CKtfc]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Lung", @@ -807,7 +887,8 @@ "Health Provider Text": "The [[CTFPHC (2016); https://canadiantaskforce.ca/guidelines/published-guidelines/lung-cancer/]] recommends a Low dose CT (LDCT) for\n•\tadults aged 55-74 years, \n•\twith at least a 30 pack-year smoking history \n•\twho currently smoke or quit less than 15 years ago. \n•\tThey recommend annual screening with LDCT up to three consecutive time. (Weak recommendation; low quality evidence)\n\nFor all other adults, regardless of age, smoking history or other risk factors, they do recommend not screening for lung cancer with LDCT. (Strong recommendation; very low quality evidence.)\n\nThere is an official screening program in some hospitals in [[Ontario; https://www.cancercareontario.ca/en/guidelines-advice/cancer-continuum/screening/lung-cancer-screening-information]].\n\nThere are pilot programs in \n•\t[[British Columbia; http://www.bccancer.bc.ca/our-research/participate/lung-health]]\n•\t[[Quebec; https://www.quebec.ca/en/health/advice-and-prevention/screening-and-carrier-testing-offer/lung-cancer-screening-demonstration-project]] \n•\t[[Alberta; https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abq1915]].", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Brain", @@ -817,7 +898,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Brain", @@ -827,7 +909,8 @@ "Health Provider Text": "Recommend your patients:\n•\tBe physically active\n•\tEat a healthy diet\n•\tMaintain a healthy weight/BMI\n•\tDon’t smoke or drink excessive alcohol\n•\tKeep their blood pressure, blood sugar and cholesterol in a healthy range\n•\tStay connected socially\n•\tChallenge their brain with games, learning\n•\tReduce stress\n•\tProtect their head with a helmet in sports \n[[more; http://alzheimer.ca/en/simcoecounty/About-dementia/Alzheimer-s-disease/Risk-factors]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Brain", @@ -837,7 +920,8 @@ "Health Provider Text": "Screen with MOCA or MMSE if friends, family or patient report memory issues.\n[[canadian task force; https://canadiantaskforce.ca/tools-resources/cognitive-impairment-2/cognitive-impairment-clinician-faq/]]", "Gender": "all", "Minimum age": 50, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Stomach", @@ -847,7 +931,8 @@ "Health Provider Text": "•\t[[Canadian Food Guide; https://food-guide.canada.ca/en/]]\n•\t[[Heart and Stroke; https://www.heartandstroke.ca/get-healthy/healthy-eating]]\n•\t[[Diabetes Canada; https://www.diabetes.ca/nutrition---fitness]]\n•\t[[Evidence; http://jandonline.org/article/S2212-2672(14)01871-1/fulltext]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Stomach", @@ -857,7 +942,8 @@ "Health Provider Text": "[[10 tips; https://www.unlockfood.ca/EatRightOntario/media/Website-images-resized/10-tips-for-planning-meals-on-a-budget_NM-handout-2023_1.pdf]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Stomach", @@ -867,7 +953,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Stomach", @@ -877,7 +964,8 @@ "Health Provider Text": "[[Dietitians of Canada handout; https://www.unlockfood.ca/EatRightOntario/media/Website-images-resized/Benefits-of-eating-more-plant-based-proteins_NM-handout-2023_1.pdf]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Stomach", @@ -887,7 +975,8 @@ "Health Provider Text": "•[[Food4guthealth; https://www.gutmicrobiotaforhealth.com/category/food-4-gut-health/]]\n[[Follow on instagram; https://www.instagram.com/food4gut_health/]]\n•[[Harvard Information; https://www.hsph.harvard.edu/nutritionsource/microbiome/]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "bone" }, { "Button": "Figure outside body walking", @@ -897,7 +986,8 @@ "Health Provider Text": "Physical activity prevents heart disease, cancer, depression and [[more; https://www.reframehealthlab.com/23-and-12-hours/]].\n\nThe recommended minimum amount of physical activity is:\n•150 minutes a week of moderate intensity exercise (CSEP 2019 ,see \"References\")\n•muscle strengthening 2x a week.\nDefinition of moderate intensity:\nwhile you are active you have enough breath to say a short sentence but not enough to sing.", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "Bone" }, { "Button": "Figure outside body walking", @@ -907,7 +997,8 @@ "Health Provider Text": "•[[Exercise prescription PDF; https://www.exerciseismedicine.org/wp-content/uploads/2021/02/EIM-Prescription-2018-e-form.pdf]]\n•[[Patient-focused tools; https://exerciseismedicine.org/canada/patient-focused-tools/]]\n•[[Tool for primary care; https://csepguidelines.ca/wp-content/uploads/2022/09/Whole-Day-Matters-Toolkit-Primary-Care_EN.pdf]]\n•[[medical reference; http://www.cmaj.ca/content/174/6/801.full.pdf+html]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "BONE" }, { "Button": "Physical Exam", @@ -917,7 +1008,8 @@ "Health Provider Text": "IN PATIENTS WITH NO RISK FACTORS, SYMPTOMS, DISEASES OR MEDICATION:\n•\tMeasure blood pressure, height, weight and BMI \n•\t[[\"at appropriate medical visits\" according to CTFPHC; https://canadiantaskforce.ca/guidelines/published-guidelines/hypertension/]]\n•\t[[CHEP guidelines for diagnosis of hypertension; https://guidelines.hypertension.ca/diagnosis-assessment/diagnosis-assessment-diagnosis/]]\n•\t[[more info on physical exams; https://choosingwiselycanada.org/family-medicine/]]\n\n•\tAge 18-39 we are recommending patients see their provider every 1-3 years based on above recommendations, this is not evidence-based, this is not for a head to toe exam.\n•\tAge 40 and above we recommend a visit every 1-2 years as there are more screening tests and more morbidity, not evidence-based.\n\nIN PATIENTS WITH RISK FACTORS, SYMPTOMS,DISEASES OR MEDICATIONS:\nSee more often.", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "Bone health" }, { "Button": "Physical Exam", @@ -927,7 +1019,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 39 + "Maximum age": 39, + "": "" }, { "Button": "Physical Exam", @@ -937,7 +1030,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 40, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Physical Exam", @@ -947,7 +1041,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Genitalia", @@ -957,7 +1052,8 @@ "Health Provider Text": "n/a", "Gender": "f", "Minimum age": 21, - "Maximum age": 74 + "Maximum age": 74, + "": "" }, { "Button": "Genitalia", @@ -967,7 +1063,8 @@ "Health Provider Text": "n/a", "Gender": "f", "Minimum age": 75, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Genitalia", @@ -977,7 +1074,8 @@ "Health Provider Text": "Women age 25 to 69 (21-69 in some provinces) if ever have been sexually active, need to get a pap test every 3 years if results are normal.\nStop after age 69 if 3 normal results in past 10 years.\n•\t[[CTFPHC 2013; https://canadiantaskforce.ca/guidelines/published-guidelines/cervical-cancer/]]", "Gender": "f", "Minimum age": 21, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Genitalia", @@ -987,7 +1085,8 @@ "Health Provider Text": "•Recommend the HPV vaccine\n(recommended between 9 and 26 \nbut can be given at any age).\n[[Canadian recommendation; https://www.canada.ca/en/public-health/services/publications/healthy-living/update-recommended-human-papillomavirus-vaccine-immunization-schedule.html#sum]]\n•Recommend no smoking, condom use,\nand limiting number of partners.", "Gender": "f", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Genitalia", @@ -997,7 +1096,8 @@ "Health Provider Text": "For women of childbearing age:\n\nAdvise folic acid 0.4-1 m/day for all women of childbearing age, as many pregnancies unplanned [[ SOGC 2015; https://www.jogc.com/article/S1701-2163(15)30230-9/pdf]]\n\nScreen for:\n•\tRubella immunity\n•\tVaricella immunity\n•\tHepatitis B and HIV disease\nin women of childbearing age,\n[[Complete preconception heare tool; http://thehub.utoronto.ca/family/wp-content/uploads/2016/12/Preconception_Health_Care_Tool.pdf]]\n\nDelayed child-bearing: discuss\n•\tDecreasing fertility for women after age 32 \n•\tAssistive reproductive technologies cannot guarantee a live birth. \n[[more at SOGC guideline 2017; https://www.jogc.com/article/S1701-2163(17)30936-2/pdf]]", "Gender": "f", "Minimum age": 18, - "Maximum age": 49 + "Maximum age": 49, + "": "" }, { "Button": "Genitalia", @@ -1007,7 +1107,8 @@ "Health Provider Text": "A fertility evaluation should be initiated after 6 months of unprotected intercourse without conception in women 35 to 37 years of age, and earlier in women?>?37 years of age \n[[SOGC guideline 2017; https://www.jogc.com/article/S1701-2163(16)39898-X/fulltext]]", "Gender": "f", "Minimum age": 35, - "Maximum age": 49 + "Maximum age": 49, + "": "" }, { "Button": "Genitalia", @@ -1017,7 +1118,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Genitalia", @@ -1027,7 +1129,8 @@ "Health Provider Text": "() for all sexually active patients.\n\n{{Screening for STIs}}\n• {{age 30: annually}} for chlamydia and gonorrhea.\nAdd full STI testing if at risk, see risks below.\n [[CTFPHC 2021; https://canadiantaskforce.ca/guidelines/published-guidelines/chlamydia-and-gonorrhea/]]\n• {{Age 30 and above: according to risk}} for chlamydia and GC and other STIs, see below:\n•Risks: new partner, multiple partners, serial monogamous relationships, unprotected sex, substance use, sex with blood exchange, sharing sex toys, see [[link; https://www.canada.ca/en/public-health/services/publications/diseases-conditions/booklet-sexually-transmitted-infections.html#_7.0]]\n\n• {{Offer HIV testing to all}}:\n[[Public Health Agency of Canada recommendation; https://www.canada.ca/en/public-health/services/hiv-aids/hiv-screening-testing-guide.html]], supported by USPSTF 2013 and CDC, \n[[CTFPHC recommends only if at risk; https://canadiantaskforce.ca/guidelines/appraised-guidelines/hiv/]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Genitalia", @@ -1037,7 +1140,8 @@ "Health Provider Text": "Advise to\n•\tEat a healthy diet.\n•\tBe active most days of the week.\n•\tKeep a healthy weight.", "Gender": "m", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Genitalia", @@ -1047,7 +1151,8 @@ "Health Provider Text": "•\tCanadian task force (2014): Do not screen.\n[[Canadian patient handout; https://canadiantaskforce.ca/wp-content/uploads/2016/12/CTFPHC_Prostate-Cancer_HarmsBenefits_FINAL.pdf]]\n\n•\tUS Task Force (2018): Discuss pros and cons with your patient 55 to 69 years old. (C recommendation)\nIncorporates more recent research.\n[[Excellent video explaining benefits and harms; https://www.youtube.com/watch?v=tYii98gcejA]]\n[[US patient handout; pdf/prostate-cancer-infographic-5.pdf]]\n\n•[[Canadian Urological Assoc 2022; https://www.cua.org/system/files/Guideline-Files/7851_v6_1.pdf]]", "Gender": "m", "Minimum age": 50, - "Maximum age": 69 + "Maximum age": 69, + "": "" }, { "Button": "Genitalia", @@ -1057,7 +1162,8 @@ "Health Provider Text": "n/a", "Gender": "m", "Minimum age": 50, - "Maximum age": 69 + "Maximum age": 69, + "": "" }, { "Button": "Genitalia", @@ -1067,7 +1173,8 @@ "Health Provider Text": "•\tThose on testosterone who have not undergone hysterectomy need reliable birth control if pregnancy is a risk based on sexual activity, as testosterone is a teratogen (RHO).\n•\tIf pregnancy is possible based on sexual activity, follow the same folic acid recommendations as for cis women.\n•\tCondoms are recommended for anal sex.\n•\tEmphasize adequate provision of lubricants for trans women and trans men who have sex with men.\n•\tScreen all Canadians for HIV at least once as per [[PHAC guidelines; https://www.canada.ca/en/public-health/services/hiv-aids/hiv-screening-testing-guide.html]] \n•\tScreen for STIs based on behavioural history and sexual practices.\n•\tConsider anal Pap tests every 2-3 years (or yearly in those who are HIV+) for those who have a history of receptive anal sex (RHO).\n•\tIn the LGBTQ+ community, the terms “bottom” and “top” are often used to describe the receptive and penetrative partners during sexual activity, respectively. The term “versatile” is used to describe someone who may alternate between these roles.\n•\t[[WHO guidelines; https://apps.who.int/iris/bitstream/handle/10665/128048/9789241507431_e ng.pdf?sequence=1]]\n•\t[[RHO guidelines; https://www.rainbowhealthontario.ca/wp-content/uploads/woocommerce_uploads/2019/12/Guidelines-FINAL-Dec-2019-iw2oti.pdf]]\n•\t[[UCSF Transcare guidelines; https://transcare.ucsf.edu/sites/transcare.ucsf.edu/files/Transgender-PGACG-6-17-16.pdf]]", "Gender": "tm", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Genitalia", @@ -1077,7 +1184,8 @@ "Health Provider Text": "•\tThose on testosterone who have not undergone hysterectomy need reliable birth control if pregnancy is a risk based on sexual activity, as testosterone is a teratogen (RHO).\n•\tAny hormonal/methods can be used (no contraindications with testosterone)", "Gender": "tm", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Genitalia", @@ -1087,7 +1195,8 @@ "Health Provider Text": "•\tTrans men and people on the transmasculine spectrum who still have a cervix should undergo cervical cancer screening as per current guidelines.\n•\tPap tests are recommended every 3 years from age 21-69 if the person has ever been sexually active.\n•\tA trial of vaginal estrogens for 1 week prior to the exam may be helpful (RHO, UCSF).\n•\tShould speculum examination be painful or difficult due to vaginal atrophy, consider applying topical 2% lidocaine jelly vaginally 5-10 minutes prior to the procedure (RHO).\n•\tConsider administering a low-dose lorazepam pre-procedurally if the patient is particularly anxious about the exam (RHO, UCSF).\n•\tUse a paediatric speculum if possible to reduce discomfort.\n•\tIf speculum insertion remains difficult, suggest allowing the patient to insert the speculum themselves or watching the procedure using a mirror (UCSF).\n•\tNote that unsatisfactory samples of Pap tests are far more common in trans men compared to cis women and that repeats may be required; ensure to note if the patient is/was on testosterone on the cytology requisition (UCSF, RHO), as cervical atrophy can mimic dysplasia (WHO).\n•\t[[Overview of cervical cancer screening for trans men in Canada; https://www.cancer.ca/en/prevention-and-screening/reduce-cancer-risk/find-cancer-early/screening-in-lgbtq-communities/trans-men-and-cervical-cancer-screening/?region=on]]\n•\t[[Tips for physical examination of trans patients; https://transcare.ucsf.edu/guidelines/physical-examination]]\n•\t[[Tips on performing Pap tests for trans men; https://www.rainbowhealthontario.ca/wp-content/uploads/2015/07/Tips_Paps_TransMen-1.jpg]]\n•\t[[VIDEO: Do's and Dont's when performing Paps with trans men; https://www.youtube.com/watch?v=KIfSjX1ZEU4]]\n•\t[[Tips on improving trans men’s experiences with Pap tests; https://transcare.ucsf.edu/guidelines/cervical-cancer]]\n\n•\t[[RHO guidelines; https://www.rainbowhealthontario.ca/wp-content/uploads/woocommerce_uploads/2019/12/Guidelines-FINAL-Dec-2019-iw2oti.pdf]]\n•\t[[UCSF Transcare guidelines; https://transcare.ucsf.edu/guidelines/cervical-cancer]]\n•\t[[Endocrine Society guidelines; https://academic.oup.com/jcem/article/102/11/3869/4157558]]", "Gender": "tm", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Genitalia", @@ -1097,7 +1206,8 @@ "Health Provider Text": "Trans men and people on the transmasculine spectrum generally do not have prostates (unless they have an intersex condition) nor are any created during surgery such as phalloplasty or metoidioplasty.", "Gender": "tm", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Genitalia", @@ -1107,7 +1217,8 @@ "Health Provider Text": "If a person on the transmasculine spectrum could become pregnant or wants to become pregnant, preconception information is the same as for cis patients such as :folic acid supplementation , pre conception testing for diseases such as Rubella, Hep B, HIV, Varicella, counselling re increasing infertility after 32. \nSee resources in our app for cis women , under the topic : Familly planning.", "Gender": "tm", "Minimum age": 18, - "Maximum age": 55 + "Maximum age": 55, + "": "" }, { "Button": "Genitalia", @@ -1117,7 +1228,8 @@ "Health Provider Text": "•\tEmphasize adequate provision of lubricants for trans women and trans men who have sex with men.\n•\tScreen all Canadians for HIV at least once as per [[PHAC guidelines; https://www.canada.ca/en/public-health/services/hiv-aids/hiv-screening-testing-guide.html]] \n•\tScreen for STIs based on behavioural history and sexual practices.\n•\tCondoms are recommended for anal sex.\n•\tConsider anal Pap tests every 2-3 years (or yearly in those who are HIV+) for those who have a history of receptive anal sex (RHO).\n•\tDaily oral pre-exposure prophylaxis (PrEP) may be considered as a possible additional intervention for trans women who have sex with men (WHO).\n•\tVoluntary medical circumcision (VMMC) is not recommended for HIV prevention among transgender women (WHO). \n•\tIn the LGBTQ+ community, the terms “bottom” and “top” are often used to describe the receptive and penetrative partners during sexual activity, respectively. The term “versatile” is used to describe someone who may alternate between these roles.\n•\t[[WHO guidelines; https://apps.who.int/iris/bitstream/handle/10665/128048/9789241507431_eng.pdf?sequence=1]]\n•\t[[RHO guidelines; https://www.rainbowhealthontario.ca/wp-content/uploads/woocommerce_uploads/2019/12/Guidelines-FINAL-Dec-2019-iw2oti.pdf]]\n•\t[[UCSF Transcare guidelines; https://transcare.ucsf.edu/sites/transcare.ucsf.edu/files/Transgender-PGACG-6-17-16.pdf]]", "Gender": "tf", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Genitalia", @@ -1127,7 +1239,8 @@ "Health Provider Text": "Recommendation is to use a barrier method (and/or have partner use hormonal contraception) if no bottom surgery and having intercourse with partner who could get pregnant.", "Gender": "tf", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Genitalia", @@ -1137,7 +1250,8 @@ "Health Provider Text": "Same as cis men (bottom surgery does not remove the prostate)", "Gender": "tf", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Genitalia", @@ -1147,7 +1261,8 @@ "Health Provider Text": "•\tTrans women and people on the transfeminine spectrum generally do not need any cervical cancer screening as vaginoplasty does not usually entail creation of a neocervix.\n•\tNeovagina vault testing is not recommended.\n•\tIn the very rare instances where a neocervix may have been created during vaginoplasty (such as from the skin of the glans penis), consider following the current cervical cancer screening guidelines for cis women (ACOG) (Pap tests are recommended every 3 years from age 21 to 69 if the person has ever been sexually active).\n•\tConsider annual neovaginal speculum examination to visually detect any abnormalities (including malignancy) for those who have undergone vaginoplasty (RHO).\n•\tNeovaginas may have a more posterior orientation than those of cis women, and using an anoscope rather than a speculum may be more appropriate for examination (UCSF).\n•\t[[Overview of cervical cancer screening for trans women in Canada; https://www.cancer.ca/en/prevention-and-screening/reduce-cancer-risk/find-cancer-early/screening-in-lgbtq-communities/trans-women-and-cervical-cancer-screening/?region=on]]\n•\t[[Tips for physical examination of trans patients; https://transcare.ucsf.edu/guidelines/physical-examination]]\n•\t[[RHO guidelines; https://www.rainbowhealthontario.ca/wp-content/uploads/woocommerce_uploads/2019/12/Guidelines-FINAL-Dec-2019-iw2oti.pdf]]\n•\t[[UCSF Transcare guidelines; https://transcare.ucsf.edu/guidelines/cervical-cancer]]\n•\t[[Endocrine Society guidelines; https://academic.oup.com/jcem/article/102/11/3869/4157558]]", "Gender": "tf", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Sun", @@ -1157,7 +1272,8 @@ "Health Provider Text": "To prevent Melanoma:\nDecrease exposure to sun with:protective clothing, sunscreen min SPF 30\n[[CTFPHC appraised guideline 2014;https://canadiantaskforce.ca/guidelines/appraised-guidelines/melanoma/]]\nClinical assessment of future risk of melanoma take into account:\n- person’s age and sex\n- history of previous melanoma or non-melanoma skin cancer\n- family history of melanoma\n- number of naevi (common and atypical)\n- skin and hair pigmentation\n- response to sun exposure\n- evidence of actinic skin damage", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Eye", @@ -1167,7 +1283,8 @@ "Health Provider Text": "• CTFPHC does not recommend screening for impaired vision in community dwelling adults 65 and over who do not have risk factors.\n[[CTFPHC 2018; https://canadiantaskforce.ca/wp-content/uploads/2020/04/CTFPHC_Impaired-Vision_Clinican-FAQ_Final.pdf]]\n\n• Canadian Ophthalmology Society 2007 consensus only recommendation:\nIf high risk more frequent screening advised than below.\nHigh risk: African American, high myopia,diabetes or hypertension.\n\n• 18-40 every 10 years\n• 41-55 every 5 years\n• 56-64 every 3 years\n• 65 and above every year\n\n[[Current guideline under review; https://c2-preview.prosites.com/187380/wy/docs/COSVisionScreeningCPGEng_Feb07.pdf]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "Eye", @@ -1177,7 +1294,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "braingear", @@ -1187,7 +1305,8 @@ "Health Provider Text": "N/A", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "braingear", @@ -1197,7 +1316,8 @@ "Health Provider Text": "N/A", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "braingear", @@ -1207,7 +1327,8 @@ "Health Provider Text": "N/A", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "braingear", @@ -1217,7 +1338,8 @@ "Health Provider Text": "N/A", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "braingear", @@ -1227,7 +1349,8 @@ "Health Provider Text": "As per [[CTFPH 2013 guidelines; https://canadiantaskforce.ca/guidelines/published-guidelines/depression/]] : Screening for depression is not recommended for adults at average risk of depression who present to a primary care setting, with no apparent symptoms of depression. (Weak recommendation; very-low-quality evidence). These recommendations do not apply to people with known depression, with a history of depression or who are receiving treatment for depression.\nHowever primary care providers know the importance of mental health and how it influences overall health. Below are some resources.", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "braingear", @@ -1237,7 +1360,8 @@ "Health Provider Text": "Tools to help you care for your patients: \n•\t[[eMental Health; https://primarycare.ementalhealth.ca/index.php?m=fpStart]]\n•\t[[Assessment of ADHD in adults; https://www.caddra.ca/public-information/adults/forms/]]\n\n\nMindfulness ressources; \n•\t[[Mindshift; https://www.anxietycanada.com/resources/mindshift-cbt]]; to build skills for managing anxiety and depression\n•\t[[Headspace; https://www.headspace.com/mindfulness]]\n•\t[[Insight timer; https://insighttimer.com/]]\n\n•\t[[Screening tools; https://primarycare.ementalhealth.ca/index.php?m=surveyList]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "bp", @@ -1247,7 +1371,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "bp", @@ -1257,7 +1382,8 @@ "Health Provider Text": "CTFPHC recommends blood pressure measurement at all appropriate primary care visits. [[2012 Guideline; https://canadiantaskforce.ca/guidelines/published-guidelines/hypertension/]]\n(Strong recommendation; moderate quality evidence)\n\n[[Hypertension Canada guideline summary 2022; https://hypertension.ca/wp-content/uploads/2020/10/2020-22-HT-Guidelines-E-WEB_v3b.pdf]]\n\nIf the mean blood pressure measured in office [[As per recommended technique; https://guidelines.hypertension.ca/diagnosis-assessment/measuring-blood-pressure/]] is high during one visit, a history and physical examination should be performed and, if clinically indicated, diagnostic tests to search for target organ damage should be arranged within 2 visits. \n\nRoutine Lab Testing Recommended: urinalysis, blood chemistry (potassium, sodium and creatinine), fasting blood glucose and/or glycated hemoglobin (A1C), serum total cholesterol, LDL, HDL, non-HDL, triglycerides (fasting or non-fasting) and a standard 12-lead ECG. \n\nGlobal cardiovascular risk assessment should be done using risks calculators: \nFramingham only validated between age 30 and 74\n• [[Risk calculator with happy faces; https://cvdcalculator.com/]]\n• [[More risk calculators; https://ccs.ca/calculators-and-forms/]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "money", @@ -1267,7 +1393,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "money", @@ -1277,7 +1404,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "money", @@ -1287,7 +1415,8 @@ "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "money", @@ -1297,7 +1426,8 @@ "Health Provider Text": "•Ask 1 screening question: \"Do you ever have difficulty making ends meet at the end of the month?\" \n[[Resource; https://www.cfpc.ca/CFPC/media/Resources/Poverty/Poverty_flow-Tool-Final-2016v4-Ontario.pdf]]\n\n•().\nEnter patient's postal code to find local resources eg food banks.\nPatients can phone to get help navigating or text (time restrictions may apply to texting)\n\nNot all areas covered by 211. Investigate your local resources if 211 not available and keep a list or if possible refer to a social worker or other resource.\n\n•[[Ref on Social prescribing; https://www.cmaj.ca/content/cmaj/193/44/E1696.full.pdf]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" }, { "Button": "sleep", @@ -1307,6 +1437,7 @@ "Health Provider Text": "Evidence-based information on sleep problems:\n•[[mysleepwell.ca; https://mysleepwell.ca/]]\n•[[ementalhealth.ca; https://www.ementalhealth.ca/index.php?m=headingInfoSheets&ID=189]]\n•[[A good night's sleep; https://www.camh.ca/-/media/files/covid19-booklet-good-nights-sleep-pdf.pdf]]\n•[[Sleep and electronics; https://www.ementalhealth.ca/Ottawa-Carleton/Sleep-Problems-Try-Cutting-Back-on-Your-Blue-Light/index.php?m=article&ID=62333]]\n•[[HealthlinkBC; https://www.healthlinkbc.ca/illnesses-conditions/fatigue-and-sleep/insomnia]]\n•[[MyHealth.Alberta.ca; https://myhealth.alberta.ca/health/pages/conditions.aspx?Hwid=abq4925]]", "Gender": "all", "Minimum age": 18, - "Maximum age": 150 + "Maximum age": 150, + "": "" } ] \ No newline at end of file diff --git a/src/JSONFolder/HtmlTopic-FR.json b/src/JSONFolder/HtmlTopic-FR.json index c9832621..d928298c 100644 --- a/src/JSONFolder/HtmlTopic-FR.json +++ b/src/JSONFolder/HtmlTopic-FR.json @@ -583,7 +583,7 @@ "Button": "Lung", "Topic heading": "Poumon", "Subject": "Dépistage du cancer du poumon", - "General Patient Text": "• Si vous fumez depuis de nombreuses années, vous pourriez être admissible à un dépistage du cancer du poumon par tomodensitométrie à faible dose. \n\n• L'Ontario possède un [[programme de dépistage ; https://www.cancercareontario.ca/fr/propos-action-cancer-ontario/programmes/programmes-depistage/programme-ontarien-depistage-cancer-poumon]] dans certains hôpitaux.\n\n• Cliquez [[ici; https://www.mycanceriq.ca/Cancers/Lung]] pour évaluer votre niveau de risque et obtenir plus d'informations.\n\n• Il existe des programmes pilotes en \n[[Colombie-Britannique ; http://www.bccancer.bc.ca/our-research/participate/lung-health]], au [[Québec ; https://www.quebec.ca/fr/sante/conseils-et-prevention/offre-depistage-et-depistage-des-porteurs/projet-demonstration-depistage-du-cancer-du-poumon]] \n[[Alberta; https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abq1915]].", + "General Patient Text": "• Si vous fumez depuis de nombreuses années, vous pourriez être admissible à un dépistage du cancer du poumon par tomodensitométrie à faible dose. \n\n• L'Ontario possède un [[programme de dépistage ; https://www.cancercareontario.ca/fr/propos-action-cancer-ontario/programmes/programmes-depistage/programme-ontarien-depistage-cancer-poumon]] dans certains hôpitaux.\n\n• Cliquez [[ici; https://www.mycanceriq.ca/Cancers/Lung]] pour évaluer votre niveau de risque et obtenir plus d'informations.\n\n• Il existe des programmes pilotes en \n[[Colombie-Britannique ; http://www.bccancer.bc.ca/screening/lung]], au [[Québec ; https://www.quebec.ca/sante/conseils-et-prevention/depistage-et-offre-de-tests-de-porteur/projet-demonstration-depistage-cancer-du-poumon#c100839]] \n[[Alberta; https://screeningforlife.ca/lung/?gclid=EAIaIQobChMInfvc8KPdgQMVAv7ICh2e3wEEEAAYASAAEgLV4vD_BwE]].", "Health Provider Text": "n/a", "Gender": "all", "Minimum age": 55, @@ -604,7 +604,7 @@ "Topic heading": "Poumon", "Subject": "Dépistage du cancer du poumon", "General Patient Text": "n/a", - "Health Provider Text": "Le [[GECSSP (2016); https://canadiantaskforce.ca/lignesdirectrives/lignes-directrices-publiees/cancer-du-poumon/?lang=fr ]] recommande une tomographie à faible dose pour \n• les adultes âgés de 55 à 74 ans,\n• avec un historique de tabagisme d'au moins 30 paquets-années, \n• qui fument actuellement, ou qui ont cessé de fumer il y a moins de 15 ans.\n• Ils recommandent un dépistage annuel, jusqu’à 3 fois consécutives. (Recommandation faible ; données probantes de faible qualité)\n• Pour tous les autres adultes, quel que soit leur âge, leurs antécédents de tabagisme ou autres facteurs de risque, ils recommandent de ne pas dépister le cancer du poumon avec tomographie. (Recommandation forte ; données probantes de très faible qualité)\n\n• Ontario :Il existe des [[programmes de dépistage officiel ; https://www.cancercareontario.ca/fr/directives-conseils/continuum-cancer/depistage/renseignements-depistage-du-cancer-du-poumon]] dans certains hôpitaux de l’Ontario. \n\n• Il existe des programmes pilotes dans les provinces suivantes :\n[[Colombie-Britannique ; http://www.bccancer.bc.ca/our-research/participate/lung-health]], au [[Québec ; https://www.quebec.ca/fr/sante/conseils-et-prevention/offre-depistage-et-depistage-des-porteurs/projet-demonstration-depistage-du-cancer-du-poumon]] \n[[Alberta; https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abq1915]].", + "Health Provider Text": "Le [[GECSSP (2016); https://canadiantaskforce.ca/lignesdirectrives/lignes-directrices-publiees/cancer-du-poumon/?lang=fr ]] recommande une tomographie à faible dose pour \n• les adultes âgés de 55 à 74 ans,\n• avec un historique de tabagisme d'au moins 30 paquets-années, \n• qui fument actuellement, ou qui ont cessé de fumer il y a moins de 15 ans.\n• Ils recommandent un dépistage annuel, jusqu’à 3 fois consécutives. (Recommandation faible ; données probantes de faible qualité)\n• Pour tous les autres adultes, quel que soit leur âge, leurs antécédents de tabagisme ou autres facteurs de risque, ils recommandent de ne pas dépister le cancer du poumon avec tomographie. (Recommandation forte ; données probantes de très faible qualité)\n\n• Ontario :Il existe des [[programmes de dépistage officiel ; https://www.cancercareontario.ca/fr/directives-conseils/continuum-cancer/depistage/renseignements-depistage-du-cancer-du-poumon]] dans certains hôpitaux de l’Ontario. \n\n• Il existe des programmes pilotes dans les provinces suivantes :\n[[Colombie-Britannique ; http://www.bccancer.bc.ca/screening/lung]], au [[Québec ; https://www.quebec.ca/sante/conseils-et-prevention/depistage-et-offre-de-tests-de-porteur/projet-demonstration-depistage-cancer-du-poumon#c100839]] \n[[Alberta; https://screeningforlife.ca/lung/gclid=EAIaIQobChMInfvc8KPdgQMVAv7ICh2e3wEEEAAYASAAEgLV4vD_BwE]].", "Gender": "all", "Minimum age": 18, "Maximum age": 150 From 227b0aedf5d498a12be1f1b4df66eeb765a7c44b Mon Sep 17 00:00:00 2001 From: Harshank Date: Tue, 10 Oct 2023 01:20:25 -0400 Subject: [PATCH 6/6] Removing comments --- src/App.jsx | 1 - 1 file changed, 1 deletion(-) diff --git a/src/App.jsx b/src/App.jsx index 17c9148f..ce9da8b0 100644 --- a/src/App.jsx +++ b/src/App.jsx @@ -956,7 +956,6 @@ class App extends Component { // style={myModalStyle} test-id="instructionModalRoot" > - {/* harshank */}