- Fibromyalgia and Chronic Fatigue Syndrome Research
- Musculoskeletal pain and rehabilitation
- Cardiac, Anesthesia and Surgical Outcomes
- Spinal Fractures and Fixation Techniques
- Bariatric Surgery and Outcomes
- Spine and Intervertebral Disc Pathology
- Medical Malpractice and Liability Issues
- Occupational Health and Performance
- Colorectal Cancer Surgical Treatments
- Gallbladder and Bile Duct Disorders
- Pelvic and Acetabular Injuries
- Patient Safety and Medication Errors
- Myofascial pain diagnosis and treatment
- Surgical Simulation and Training
- Abdominal Surgery and Complications
- Obesity and Health Practices
- Primary Care and Health Outcomes
- Thyroid and Parathyroid Surgery
- Hernia repair and management
- Enhanced Recovery After Surgery
- Pain Management and Placebo Effect
- Delphi Technique in Research
- Intraoperative Neuromonitoring and Anesthetic Effects
- Pancreatic and Hepatic Oncology Research
- Cholangiocarcinoma and Gallbladder Cancer Studies
University of California, San Diego
2020
Oregon Dermatology & Research Center
2019
Oregon Health & Science University
2019
Nexus Clinical Research (Canada)
2014
Western University
1993-2012
University Health Network
2010
Toronto Western Hospital
2010
University of Toronto
2004-2010
St Joseph's Health Care
2001-2003
St Joseph's Health Centre
2002
Incisionless near-infrared fluorescent cholangiography (NIFC) is emerging as a promising tool to enhance the visualization of extrahepatic biliary structures during laparoscopic cholecystectomies.We conducted single-blind, randomized, 2-arm trial comparing efficacy NIFC (n = 321) versus white light (WL) alone 318) cholecystectomy. Using KARL STORZ Image1 S imaging system with OPAL1 technology for NIR/ICG imaging, we evaluated detection rate 7 structures-cystic duct (CD), right hepatic (RHD),...
This survey of international experts in obesity management was conducted to achieve consensus on standardized definitions and identify areas non-consensus metabolic bariatric surgery (MBS) assist an algorithm clinical practice guidelines for the obesity. A three-round Delphi with 136 statements by 43 comprising 26 surgeons, 4 endoscopists, 8 endocrinologists, 2 nutritionists, counsellors, internist, a pediatrician spanning six continents over 2-day meeting Hamburg, Germany. To reduce bias,...
Objective To compare function and disability in fibromyalgia syndrome (FMS) cases the community versus controls, to identify variables predicting poor disability. Methods We identified 100 FMS cases, 76 pain 135 general controls a random survey of 3,395 noninstitutionalized adults. Results reported worse (P < 0.00001), more days bed 0.001), healthy years life lost 0.0001). More were disabled 0.00001) receiving pensions 0.00001). Risk factors for included middle age previous heavy manual...
In Brief Study Design. Prospective observational study. Objective. To assess the incidence and clinical consequence of intraoperative adverse events from a wide variety spinal surgical procedures. Summary Background Data. this study, were defined as any unexpected or undesirable event(s) occurring result surgery. A complication was disease disorder, which, procedure, will negatively affect outcome patient. We hypothesized that most would not in complications be normally flagged through...
In recent decades, the use of near-infrared light and fluorescence-guidance during open laparoscopic surgery has exponentially expanded across various clinical settings. However, tremendous variability exists in how it is performed.In this first published survey international experts on fluorescence-guided surgery, we sought to identify areas consensus nonconsensus 4 practice: fundamentals; patient selection/preparation; technical aspects; effectiveness safety.A Delphi was conducted among 19...
Abstract Objective To determine if assigning the label of fibromyalgia (FM) to individuals with chronic widespread pain has a significant effect on long‐term health status, function, and service utilization. Methods In London Fibromyalgia Epidemiology Study, 100 FM were identified by screening 3,395 non‐institutionalized adults. Only 28 had been previously diagnosed FM; for 72, diagnostic was new. All prediagnosed female compared 58 72 newly cases. prospective, within‐group comparison, we...
Obesity is a chronic disease, characterized by both abnormal and/or excess body fat accumulation, that multifactorial in origin and influenced various genetic, behavioral, environmental factors1 This state of hyperlipidosis adversely affects someone's health, increasing their risk for range comorbid conditions premature mortality, reducing overall quality life.2 Life-altering oftentimes life-threatening have been empirically linked to obesity include type 2 diabetes mellitus (T2DM),3–5...
Objective To determine the test–retest reliability of 6-minute walk test in people with fibromyalgia. Methods Twenty-six subjects (27–59 years age) performed 3 tests over consecutive days before and after a 4-week treatment program. Reliability was determined using one-way repeated measures analysis variance intraclass correlation coefficient (ICC2,1). Results excellent both at program intake (ICC2,1 = 0.91) completion 0.98). On intake, significant differences (P < 0.01) were found between 1...
In Brief Study Design. A prospective validation study, preliminary single-center report. Objective. The purpose of this study was to assess the content validity and interobserver reliability a simple severity classification system for adverse events (AEs) associated with spinal surgery. Summary Background Data. surgical literature what is defined as an AE, reporting AEs are variable. Consequently, valid comparison within or among specialties centers same different procedures often...
Indocyanine green (ICG) is one of the only clinically approved near-infrared (NIR) fluorophores used during fluorescence-guided surgery (FGS), but it lacks tumor specificity for pancreatic ductal adenocarcinoma (PDAC). Several tumor-targeted fluorescent probes have been evaluated in PDAC patients, yet no uniformity or consensus exists among surgical community on current and future needs FGS surgery. In this first-published report PDAC, expert opinions were gathered use recommendations from...