A5008405186- Climate Change and Health Impacts
- Intraperitoneal and Appendiceal Malignancies
- Sarcoma Diagnosis and Treatment
- Appendicitis Diagnosis and Management
- Healthcare cost, quality, practices
- Cardiac tumors and thrombi
- Vascular Tumors and Angiosarcomas
- Global Health Care Issues
- Colorectal Cancer Surgical Treatments
- Air Quality and Health Impacts
- COVID-19 and healthcare impacts
- Healthcare and Environmental Waste Management
- Health Systems, Economic Evaluations, Quality of Life
- Gastric Cancer Management and Outcomes
- Ovarian cancer diagnosis and treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Hernia repair and management
- Neurofibromatosis and Schwannoma Cases
- Health disparities and outcomes
- Colorectal Cancer Screening and Detection
- Hepatocellular Carcinoma Treatment and Prognosis
- Occupational and environmental lung diseases
- Soft tissue tumor case studies
- Colorectal and Anal Carcinomas
- Conferences and Exhibitions Management
University of British Columbia
2010-2024
Vancouver General Hospital
2018-2024
Vancouver Coastal Health
2024
Media Working Group
2024
Ottawa Hospital
2021
Ottawa Hospital Research Institute
2021
University of Ottawa
2021
Spinal Cord Injury BC
2020
BC Cancer Agency
2017-2020
Health Sciences Centre
2018
BackgroundClimate change is a major global public health priority. The delivery of health-care services generates considerable greenhouse gas emissions. Operating theatres are resource-intensive subsector care, with high energy demands, consumable throughput, and waste volumes. environmental impacts these activities generally accepted as necessary for the provision quality but have not been examined in detail. In this study, we estimate carbon footprint operating hospitals three...
Human health is dependent upon environmental health. Air pollution a leading cause of morbidity and mortality globally, climate change has been identified as the single greatest public threat 21st century. As large, resource-intensive sector Canadian economy, healthcare itself contributes to pollutant emissions, both directly from facility vehicle emissions indirectly through purchase emissions-intensive goods services. Together these are termed life cycle emissions. Here, we estimate extent...
To investigate the safety of radical resection for retroperitoneal sarcoma (RPS).The surgical management RPS frequently involves complex multivisceral resection. Improved oncologic outcomes have been demonstrated with this approach compared to marginal excision, but has not shown in a large study population.The Transatlantic Retroperitoneal Sarcoma Working Group (TARPSWG) is an international collaborative centers. A combined experience 1007 consecutive resections primary from January 2002...
A circular economy involves maintaining manufactured products in circulation, distributing resource and environmental costs over time with repeated use. In a linear supply chain, are used once discarded. high-income nations, health care systems increasingly rely on chains composed of single-use disposable medical devices. This has resulted increased expenditures care–generated waste pollution, associated public damage. It also caused the chain to be vulnerable disruption demand fluctuations....
Despite a radical surgical approach to primary retroperitoneal sarcoma (RPS), many patients experience locoregional and/or distant recurrence. The objective of this study was analyze post-relapse outcomes for with RPS who had initially undergone resection their tumor at specialist center.All consecutive underwent macroscopically complete 8 high volume centers from January 2002 December 2011 were identified, and those developed local recurrence (LR) only, metastasis (DM) or synchronous...
Our website uses cookies to enhance your experience. By continuing use our site, or clicking "Continue," you are agreeing Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More Publications Network Open Cardiology Dermatology Health Forum Internal Medicine Neurology Oncology Ophthalmology Otolaryngology–Head & Neck Surgery Pediatrics Psychiatry Archives of (1919-1959) JN Learning /...
Health professionals are well positioned to effect change by reshaping individual practice, influencing healthcare organisations, and setting clinical standards, argue <b>Jodi Sherman colleagues</b>
Objective To characterise the extent of unnecessary care in general surgery inpatients using a triple bottom line approach. Design Patients with uncomplicated acute surgical conditions were retrospectively evaluated for bloodwork according to line, quantifying impacts on patients, healthcare costs and greenhouse gas emissions. The carbon footprint common laboratory investigations was estimated PAS2050 methodology, including emissions generated from production, transport, processing disposal...
We have previously hypothesized that well-differentiated papillary mesothelial tumor (WDPMT) consists of 2 morphologically identical lesions, one which is true WDPMT, while the other a form mesothelioma in situ. Here, we report 8 examples latter phenomenon, 3 with pleural disease (2 men/1 woman, ages 66 to 78 y); and 5 peritoneal (all women, 31 81 y). At presentation cases all had effusions but no evidence on imaging. Four ascites as initial finding 4 nodular lesions by imaging and/or direct...
In light of the global climate emergency, it is worth reconsidering current practice medical students traveling to interview for residency positions. We sought estimate carbon dioxide (CO
Abstract Introduction Peritoneal mesothelioma (PM) is a rare malignancy originating from the peritoneal lining. Cytoreductive surgery (CRS) and heated intraperitoneal chemotherapy (HIPEC) standard‐of‐care for patients with isolated PM. Due to paucity of prospective data there are several different HIPEC protocols. The aims this study describe CRS protocols PM patient outcomes across Canada. Methods A multicenter retrospective was performed on diagnosed treated in four major disease centers...
Abstract Objective To determine the carbon savings potential of incorporating virtual care into surgical pathways for pediatric patients with obstructive sleep apnea or otitis media effusion. Methods Pediatric effusion were not enrolled, instead, a modeling cohort study design was used. This utilized British Columbia healthcare system and geography to model emissions. Care developed requiring at tertiary center. Home addresses located geographical center two most populated municipalities...
Healthcare worker wellness is foundational to delivering quality care. Yet, healthcare facilities often lack access healthy and sustainable food overnight on weekends. Healthy, low-carbon meals were provided free of charge after hours on-call General Surgery residents at the University British Columbia impact resident well-being assessed using pre- post-intervention surveys. Financial time stress reduced significantly with provision ( P’s < .01), while emotional physical levels did not...
Objective. To evaluate the survival benefit of multimodal therapy for treatment HCC. Background. Orthotopic liver transplantation (OLT) is considered choice selected patients with hepatocellular carcinoma (HCC). However, donor organ shortages and whose HCCs exceed OLT criteria require consideration alternate therapeutic options such as hepatic resection, radiofrequency ablation (RFA), ethanol injection (EI), transarterial chemoembolization (TACE), chemotherapy (CTX). This study was performed...