- COVID-19 epidemiological studies
- Respiratory viral infections research
- Healthcare cost, quality, practices
- Diversity and Career in Medicine
- COVID-19 and healthcare impacts
- Health Systems, Economic Evaluations, Quality of Life
- Pneumonia and Respiratory Infections
- French Urban and Social Studies
- Agriculture and Rural Development Research
- Supply Chain Resilience and Risk Management
- Pharmaceutical Economics and Policy
- COVID-19 and Mental Health
- Social Sciences and Governance
- Advanced biosensing and bioanalysis techniques
- Data-Driven Disease Surveillance
- Gastrointestinal Bleeding Diagnosis and Treatment
- Healthcare Systems and Challenges
- Venomous Animal Envenomation and Studies
- Health disparities and outcomes
- Frailty in Older Adults
- Sex and Gender in Healthcare
- Public Procurement and Policy
- Cannabis and Cannabinoid Research
- Clinical Laboratory Practices and Quality Control
- Advanced Biosensing Techniques and Applications
University Health Network
2021-2024
Bangladesh University of Engineering and Technology
2024
St. Michael's Hospital
2020-2023
Health Sciences Centre
2021-2023
St Michaels Hospital
2021-2023
University of Toronto
2020-2022
Trillium Health Centre
2021-2022
Sinai Health System
2021-2022
Sunnybrook Health Science Centre
2021-2022
McMaster University
2021-2022
### Summary box Bangladesh, a country of 166 million people, continues to be severely impacted by the COVID-19 pandemic. The first three cases in Bangladesh were detected on 8 March 2020 among group travellers. Since then, has experienced two waves—in June and April 2021. In July 2021, less than 3 months after second wave, is currently fighting its third far deadliest wave. Like most other countries South Asia, experience waves infections caused different variants concern, precipitated...
<h3>Background:</h3> Disability-related considerations have largely been absent from the COVID-19 response, despite evidence that people with disabilities are at elevated risk for acquiring COVID-19. We evaluated clinical outcomes in patients who were admitted to hospital a disability compared without disability. <h3>Methods:</h3> conducted retrospective cohort study included adults and discharged between Jan. 1, 2020, Nov. 30, 7 hospitals Ontario, Canada. in-hospital death, admission...
Diverse health care leadership teams may improve experiences and outcomes for patients. We sought to explore the race gender of hospital ministry executives in Canada compare their diversity with that populations they serve. This cross-sectional study included leaders Canada's largest hospitals all provincial territorial ministries. individuals listed on institutional websites as part team if a name photo were available. Six reviewers coded analyzed perceived leaders, duplicate. compared...
KEY POINTS The COVID-19 pandemic has revealed weaknesses in global manufacturing and distribution of medications, exacerbating many pre-existing limitations inequities drug supply creating new shortages.[1][1]–[3][2] Supply chains have been disrupted[4][3] as were designed for "
Background Cardiopulmonary failure refractory to medical management after moderate-to-high-risk congenital cardiac surgery may necessitate mechanical support with veno-arterial extracorporeal membrane oxygenation (ECMO). On the extreme, ECMO can also be initiated in setting of arrest (extracorporeal cardiopulmonary resuscitation, ECPR) unresponsive conventional resuscitative measures. Methods This was a single-center retrospective cohort study patients ( n = 510) aged &lt;3 years old who...
Serotyping of
Detection of pneumococcal carriage by multiple co-colonizing serotypes is important in assessing the benefits conjugate vaccine (PCV). Various methods differing sensitivity, cost and technical complexity have been employed to detect pneumococcus respiratory specimens. We developed an algorithmic method all known that preserves relative abundance specific using Quellung-guided molecular techniques. The involves culturing swabs followed serotyping 100 colonies either capsular (10 colonies) or...
Hospitalized medical patients cared for by female physicians may have decreased mortality rates compared with of male physicians. However, this association has yet to be assessed outside the US, and little is known about factors that explain difference.To determine whether mortality, other hospital outcomes, processes care differed between physicians.This retrospective cross-sectional study included admitted general wards at 7 hospitals in Ontario, Canada, April 1, 2010, October 31, 2017....
Homicides are a major problem in Brazil. Drugs and arms trafficking, land conflicts three of the many factors driving homicide rates Understanding long-term spatiotemporal trends social structural associated with homicides Brazil would be useful for designing policies aimed at reducing rates.We obtained data from 2000 to 2014 Ministry Health (MOH) Mortality Information System sociodemographic Institute Geography Statistics (IBGE). First, we quantified rate change municipality state levels....
Changes to endoscopy service availability during the COVID-19 pandemic may have affected management of upper gastrointestinal bleeding (UGIB). The aim this study was describe impact on UGIB outcomes in Toronto area Canada.We described all adults admitted general medicine wards or intensive care units at six hospitals and Mississauga, Canada, with first wave (March 1 June 30, 2020) compared them a historical cohort 2018 2019). We clinical (in-hospital mortality, length stay, 30-day...
Background: The impact of SARS-CoV-2 on neonates remains largely unknown in low- and middle-income countries (LMICs). We provide an epidemiologic clinical report infections hospitalized Bangladesh. Methods: Outborn admitted to Dhaka Shishu Hospital, a tertiary-care referral hospital, between 29 March 1 July were screened for SARS-CoV-2. reviewed data, including chest radiograph laboratory reports, conducted genome sequencing. Patients followed-up 27–75 days. A subset caregivers was also...
Multiple survey reports suggest that alcohol use has increased in Canada during the COVID-19 pandemic. However, less is known about how per capita sales, which predict population-level use, have changed and whether changes sales differ from of other products due to pandemic factors.We obtained monthly retail data by industry Statistics Canada, for six largest provinces (containing 93% national population), between January 2010 November 2020, representing time before 9 months after start...
Despite supply chain revolution of the past decades, garments industries in Bangladesh struggle with production and shipment delays. Modelling ready‐made is a challenge our socio‐economic conditions because constrained by availability raw material, cotton, yarn, fabrics, transportation facility. This research presents system dynamics model that structured inventory adjustment demand driven to provide right quantity at time place. Verbal description, causal loop diagram, stock flow diagram...
Research laboratories in low- and middle-income countries, where the global burden of disease is highest, face systemic challenges conducting research public health surveillance. An international effort needed to overcome paywalls, customs regulations lack local suppliers that hinder scientific community these countries.
<h3>Background:</h3> Variability in antimicrobial prescribing may indicate an opportunity for improvement use. We sought to measure physician-level adult general medical wards, assess the contribution of patient-level factors and evaluate association between clinical outcomes. <h3>Methods:</h3> Using General Medicine Inpatient Initiative (GEMINI) database, we conducted a retrospective cohort study volume spectrum wards 4 academic teaching hospitals Toronto, Ontario, April 2010 December 2019....
All the VOCs were chemisorbed on both GaAs and AlAs monolayers, however in case of BAs, they physisorbed. In terms selectivity sensitivity, has best performance among all three III-As monolayers.
Background: Changes in the use of alcohol and other substances during COVID-19 is considerable public health interest. This study examined changes per capita alcohol, cannabis essential retail sales across Canada early phase COVID-19, associations between these different jurisdictional approaches to drug control.Methods: A time series analysis was used examine trends monthly cannabis, non-essential before first three months for 12 jurisdictions Canada. We compared observed predicted based on...
ABSTRACT The COVID-19 pandemic exhibits stark social inequities in infection and mortality outcomes. We investigated neighborhood-level across cities the US Canada for cumulative case rates (46 cities), death (12 testing test positivity using measures that characterize gradients by race/ethnicity, socioeconomic composition, or both jointly. found consistent evidence of case, rates, with most privileged neighborhoods having lowest but no meaningful variation magnitude between cities....
ABSTRACT Serotyping of Streptococcus pneumoniae is a critical tool in the surveillance pathogen and development evaluation vaccines. Whole-genome DNA sequencing analysis becoming increasingly common an effective method for pneumococcal serotype identification pure isolates. However, because complexities capsular loci, current software requires samples to be (or nearly pure) only contain single serotype. We introduce new called SeroCall, which can identify quantitate serotypes present...
Reducing laboratory test overuse is important for high quality, patient-centred care. Identifying priorities to reduce low value testing remains a challenge.To develop simple, data-driven approach identify potential sources of by combining the total cost, proportion abnormal results and physician-level variation in use tests.A multicentre, retrospective study at three academic hospitals Toronto, Canada. All general internal medicine (GIM) hospitalisations between 1 April 2010 31 October...
Abstract Background Current scores for predicting sepsis outcomes are limited by generalizability, complexity, and electronic medical record (EMR) integration. Here, we validate a simple EMR-based score in large multi-centre cohort. Methods A record-based predictor of illness severity (SEPSIS) was developed (4 additive lab-based predictors: Creatinine, Bilirubin, Platelet Count, Lactate) using retrospective cohort study patients admitted to internal medicine services from April 2010 - March...