A5002169087- Dialysis and Renal Disease Management
- Palliative Care and End-of-Life Issues
- Ultrasound in Clinical Applications
- Organ Donation and Transplantation
- Health Systems, Economic Evaluations, Quality of Life
- Radiology practices and education
- Innovations in Medical Education
- Cardiac pacing and defibrillation studies
- Healthcare Decision-Making and Restraints
- Pericarditis and Cardiac Tamponade
- Acute Kidney Injury Research
- Chronic Kidney Disease and Diabetes
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare cost, quality, practices
- Clinical Reasoning and Diagnostic Skills
- Patient Dignity and Privacy
- Arctic and Russian Policy Studies
- Frailty in Older Adults
- Chronic Disease Management Strategies
- Cardiomyopathy and Myosin Studies
- Intensive Care Unit Cognitive Disorders
- Phonocardiography and Auscultation Techniques
- Social Media in Health Education
- Cardiac Imaging and Diagnostics
- Simulation-Based Education in Healthcare
Dalhousie University
2021-2024
Queen Elizabeth II Health Sciences Centre
2019-2024
James J. Peters VA Medical Center
2021-2023
Weill Cornell Medicine
2020-2021
Cornell University
2020-2021
Icahn School of Medicine at Mount Sinai
2018-2021
Rutgers New Jersey Medical School
2014
Haifa Medical Center
2014
Rutgers, The State University of New Jersey
2014
University of Pittsburgh
2011-2012
<i>Background:</i> Fatigue is a common debilitating symptom in chronic kidney disease patients on maintenance hemodialysis. However, little known about its pathogenesis and association with survival. <i>Methods:</i> This study examines the correlates outcomes of fatigue among 1,798 hemodialysis enrolled HEMO study. was assessed using SF-36 vitality scale. Multivariable analysis used to assess independent associations demographic clinical characteristics baseline...
Background Older adults with advanced CKD have significant pain, other symptoms, and disability. To help ensure that care is consistent patients’ values, nephrology providers should understand their priorities when they make clinical recommendations. Methods Patients aged ≥60 years (stage 4 or 5) non–dialysis-dependent receiving at a clinic completed validated health outcome prioritization tool to ascertain priorities. For each patient, the provider same tool. also answered questions...
Non-dialysis-dependent chronic kidney disease (CKD) and dialysis-dependent Stage 5 CKD (CKD5) are associated with a significant physical psychosocial burden. Little is known, however, about the impact of stressful life events on CKD5 patients. This study aimed to determine prevalence in patients identify factors correlated high levels event-related distress.This cross-sectional study's sample consisted 181 (91 non-dialysis-dependent Stages 4 5, 90 CKD5) who filled out Impact Event Scale...
Poor mental health over time is significantly associated with cardiovascular morbidity and mortality in the general population, which leading cause of death dialysis patients. Most studies patients, however, have investigated relationship between baseline measurements all-cause not measured longitudinally throughout a study cause-specific mortality.This examined association changes deaths cardiac hospitalizations Hemodialysis Mental was assessed at annually during short form 36 index scores....
<b><i>Background:</i></b> Older adults with advanced non-dialysis-dependent chronic kidney disease (NDD-CKD) face a high risk of hospitalization and related adverse events. <b><i>Methods:</i></b> This prospective cohort study followed nephrology clinic patients ≥60 years old NDD-CKD stages 4-5. After an eligible patient’s office visit, staff asked the provider to rate death within next year using surprise question (“Would you be surprised if...
We know little about the end-of-life suffering and symptoms of intensive care unit (ICU) decedents in general those who undergo renal replacement therapy (RRT) particular.To examine differences various symptoms' contribution to between ICU did not RRT, underwent RRT for end-stage kidney disease (ESKD), acute injury (AKI).This is a cross-sectional study conducted at quaternary-level referral hospital September 2015-March 2017. Nurses completed interviews patients' their final week....
Background Little is known about acute hemodialysis in the US. Here we describe predictors of receipt one state and estimate marginal impact on survival after accounting for confounding due to illness severity. Materials Methods This a retrospective cohort study acute-care hospitalizations Pennsylvania from October 2005 December 2007 using data Health Care Cost Containment Council. Exposure variable hemodialysis; dependent following hemodialysis. We used multivariable logistic regression...
BackgroundPoint-of-care ultrasound (POCUS) has become a useful diagnostic tool across multiple specialties. However, no standardized curriculum is currently in place for Canadian Internal Medicine (IM) residency programs. This report aims to describe the development of longitudinal POCUS at Dalhousie University and reports on resident knowledge, confidence, perceived clinical utility also.MethodsResidents core IM program were invited complete survey knowledge test December 2019. The...
Echocardiography is an imaging modality essential to the provision of contemporary cardiovascular care. Since publication 2010 CCS/CSE Guidelines, 1 Burwash IG, Basmadjian A, Bewick D, Choy JB, Cujec B, Jassal DS, MacKenzie S, Nair P, Rudski L, Yu E, Tam JW. Canadian Cardiovascular Society/Canadian Society Guidelines for Training and Maintenance Competency in Adult Echocardiography. Can J Cardiol 2010;27:862-864. Google Scholar clinical echocardiography has expanded with respect both...