- Dialysis and Renal Disease Management
- Central Venous Catheters and Hemodialysis
- Geriatric Care and Nursing Homes
- Health Systems, Economic Evaluations, Quality of Life
- Vascular Procedures and Complications
- Social Media in Health Education
- Health Literacy and Information Accessibility
- Renal and Vascular Pathologies
- FinTech, Crowdfunding, Digital Finance
- Chronic Kidney Disease and Diabetes
- COVID-19 Clinical Research Studies
- Parathyroid Disorders and Treatments
- Renal Diseases and Glomerulopathies
- Renal Transplantation Outcomes and Treatments
- Intestinal and Peritoneal Adhesions
- Infant Development and Preterm Care
- Magnesium in Health and Disease
- Long-Term Effects of COVID-19
- Neonatal Respiratory Health Research
- Health Sciences Research and Education
- Acute Kidney Injury Research
- Pharmacological Effects and Toxicity Studies
- Patient-Provider Communication in Healthcare
- Medication Adherence and Compliance
- Chronic Disease Management Strategies
University of Alberta Hospital
2015-2025
University of Alberta
2015-2024
St. George's University
2021
Alberta Health Services
2017
Nickel Institute
2017
Pramukhswami Medical College
2015-2016
Fundación Santa Fe de Bogotá
2015
Universidad de Los Andes
2015
Universidad Nacional de Colombia
2015
Brigham and Women's Hospital
2015
Significance Statement Differential diagnosis of transplant glomerulopathy, a common lesion observed after kidney that is associated with poor prognosis, remains challenging because its morphologic pattern (double contour the glomerular basement membrane ) found in several disease processes. The authors used archetype analysis, probabilistic data-driven unsupervised statistical approach, to identify distinct groups patients (archetypes) this condition. By applying approach large,...
This study investigated the association of intra-abdominal adhesions with risk peritoneal dialysis (PD) catheter complications. Individuals undergoing laparoscopic PD insertion were prospectively enrolled from eight centers in Canada and United States. Patients grouped based on presence observed during insertion. The primary outcome was composite never starting, termination PD, or need for an invasive procedure caused by flow restriction abdominal pain. Seven hundred fifty-eight individuals...
Canada's growing prevalence of people with kidney failure receiving replacement therapy has necessitated the expansion dialysis programs. Although facility-based hemodialysis is predominant modality in Canada, it substantially costlier than home (peritoneal or hemodialysis). Initiatives to increase uptake typically consist didactic and experiential education. We describe a novel local initiative, Home Sweet (HSH), where individuals lived experience health professionals share their knowledge...
Abstract Aim This study determined the effect of physician champions on two main components Kangaroo Mother Care ( KMC ): skin‐to‐skin care and breastfeeding. Methods practices among a retrospective cohort 648 infants admitted to rural Indian neonatal intensive unit NICU ) between January 5, 2011 October 7, 2014 were studied. identified based their performance evaluation. We examined withdrawing overall use, time initiation intensity breastfeeding, using separate models. Results In...
IntroductionDespite growing number of patients requiring kidney replacement therapy peritoneal dialysis (PD) is underutilized globally. A contributory factor may be clinician myths around its use. The aim this study was to explore perceptions PD initiation by clinicians according various physical, social and clinical characteristics patients.MethodsAn online global survey (English, Thai) administered ascertain nephrologists' nephrology trainees' decisions on recommending as a treatment...
Little is known about patients exiting home hemodialysis. We sought to characterize the reasons, clinical characteristics, and pre-exit health care team interactions of on hemodialysis who died or underwent modality conversion (negative disposition) compared with prevalent those were transplanted (positive disposition).We conducted an audit all consecutive incident from January 2010 December 2014 as part ongoing quality assurance. Records reviewed for 6 months before exit, vital statistics...
The introduction of eGFR reporting and publication national CKD guidelines has led to major challenges in primary secondary care, leading an increase the number referrals nephrology clinics. We have shown that a renal patient care pathway reduces enables managed discharges patients care. aim this article is examine outcome discharged find out if there associated risk with increased discharge supported by pathway.The study was carried within single NHS Trust covering population 560,000. All...
Home hemodialysis is associated with lower costs to the health care system compared conventional facility-based because of staffing and overhead costs, by transferring treatment cost utilities (water power) patient. The purpose this study was determine utility home create a formula such that patients renal programs can estimate annual patient-borne involved type treatment.Seven common combinations duration dialysate flows were replicated 5 times using various reverse osmosis machines....
<b><i>Background:</i></b> Home dialysis patients may be at an increased risk of adverse events after transitional states. The home virtual ward (HDVW) trial was conducted in Canadian centers and aimed to evaluate potential care gaps patient satisfaction during the HDVW. <b><i>Methods:</i></b> HDVW a multicenter single-arm including peritoneal hemodialysis 4 different (hospital discharge, medical procedure, antibiotics, completion training)....
Vascular and peritoneal access are essential elements for sustainability of chronic dialysis programs. Data on availability, patterns use, funding models, workforce vascular accesses at a global scale is limited.
Abstract Introduction: Increasing renal care providers offer home hemodialysis (HD) as a modality choice. There is considerable variation in the provision of after‐hours on‐call support for self‐dialyzing patients and no literature describing utility this service. In prospective, observational study we sought to monitor classify number nature interactions between our nurses technologists, enumerate adverse events averted by availability staff. Methods: Our HD unit provided 24‐hour patient...
Abiotrophia defectiva is a fastidious aerobic gram-positive bacterium which part of the normal flora human oral cavity. It an unusual cause peritoneal dialysis-related peritonitis.We present case man in his fifties with end-stage renal failure secondary to polycystic kidney disease who presented cloudy fluid effluent and cell count 35 620 × 106 cells/L 90% polymorphonuclear cells. The was cultured per unit protocol, organism identified as defectiva. Post-peritonitis dialysis technique review...
Abstract Background There is a lack of contemporary data describing global variations in vascular access for hemodialysis (HD). We used the third iteration International Society Nephrology Global Kidney Health Atlas (ISN-GKHA) to highlight differences funding and availability accesses initiating HD across world regions. Methods Survey questions were directed at understanding modules obtaining types initiate dialysis. An electronic survey was sent national regional key stakeholders affiliated...