A5001635070- Child and Adolescent Health
- Food Security and Health in Diverse Populations
- Opioid Use Disorder Treatment
- Pleural and Pulmonary Diseases
- Urinary Tract Infections Management
- Pediatric Urology and Nephrology Studies
- Childhood Cancer Survivors' Quality of Life
- Pneumonia and Respiratory Infections
- Ethics and Legal Issues in Pediatric Healthcare
- Homelessness and Social Issues
- Pediatric Pain Management Techniques
- COVID-19 and Mental Health
- Child Abuse and Trauma
- Preterm Birth and Chorioamnionitis
- Interpreting and Communication in Healthcare
- Emergency and Acute Care Studies
- Reproductive System and Pregnancy
- Global Health Workforce Issues
- Ectopic Pregnancy Diagnosis and Management
- Viral gastroenteritis research and epidemiology
- Child Welfare and Adoption
- Respiratory viral infections research
- Global Maternal and Child Health
- Treatment of Major Depression
- Amoebic Infections and Treatments
University of British Columbia
2020-2025
British Columbia Children's Hospital
2016-2025
Learning Partnership
2024-2025
McMaster University
2013
Importance The COVID-19 pandemic resulted in multiple socially restrictive public health measures and reported negative mental impacts youths. Few studies have evaluated incidence rates by sex, region, social determinants across an entire population. Objective To estimate the of hospitalizations for conditions, stratified determinants, children adolescents (hereinafter referred to as youths ) young adults comparing prepandemic pandemic-prevalent periods. Design, Setting, Participants This...
Abstract Background Illicit drug toxicity is an escalating public health emergency. Usually framed as adult issue, adolescents are significantly impacted. Little currently known about the interface between Canadian paediatric physicians and experiencing severe events from illicit toxicity. Objectives (1) To determine proportion of paediatricians in Canada who care for young people 12 18 years have managed cases toxicity; (2) to identify characteristics that provide this care; (3) describe...
Hospitalizations for eating disorders rose dramatically during the COVID-19 pandemic. Public health restrictions, or stringency, are believed to have played a role in exacerbating disorders. Few studies of pandemic extended period when public stringency restrictions were lifted.
Abstract Background Lack of communication in a family’s preferred language is inequitable and results inferior care. Pediatric residents provide care to many families with non-English or French preferences (NEFLP). There no data available about how Canadian pediatric use interpreters, making it difficult develop targeted interventions improve patient experience. Objectives Our purpose was assess translation services training centers evaluate resident perception their clinical skills when...
Background. In the fall of 2014, a North American outbreak enterovirus D68 resulted in significant number pediatric hospital admissions for respiratory illness throughout America. This study characterized clinical presentation and risk factors severe course children admitted to British Columbia Children's Hospital during 2014 outbreak. Methods. Retrospective chart review patients with confirmed EV-D68 infection BCCH symptoms 2014. Past medical history, presentation, management, was collected...
Current guidelines by the Canadian Paediatric Society on treating urinary tract infections (UTIs) exclude infants ≤ 60 days old. There is considerable practice variability in this age group, especially around optimal duration of parenteral antibiotics. The study aimed to assess local patterns, and safety a short course (≤3 days) antibiotics young infants.
Background Social determinants of health (SDoH) influence overall health, although little is known about the SDoH for pediatric patients requiring surgical services. This study aims to describe attending out-patient and community outreach clinics, as well demonstrate feasibility identifying addressing Adverse Childhood Experiences (ACEs) when appropriate. Methods A cross-sectional using surveys evaluating that were distributed families clinics over a two-year period. The pilot survey used...
Exposure to adverse social determinants of health (SDoH) in childhood is associated with poorer long-term outcomes. Within structurally marginalized populations, there are disproportionately high rates developmentally vulnerable children. The RICHER (Responsive, Intersectoral, Child and Community Health, Education Research) pediatric model was designed increase access care neighborhoods. purpose this study describe the children youth engaged service characterize needs population.
Abstract Background Canada’s expansive geography has implications for children and their families seeking tertiary paediatric care. There is minimal literature describing experiences, particularly challenges associated with receiving inpatient This qualitative study builds on previous work that captured out-of-pocket costs stress levels facing while admitted to our hospital. Objectives Gather an in-depth understanding of family experiences through exploring gaps in current approaches...
Introduction Parapneumonic effusion and empyema are common complications of paediatric pneumonia. Acceptable treatment modalities for large parapneumonic effusions include antibiotics alone or in conjunction with surgical interventions. Clear guidelines on the best approach lacking mostly based evidence prior to widespread pneumococcal conjugate 13-valent vaccination (PCV-13). Methods analysis A living systematic review network meta-analysis will be performed comparing five modalities: (1)...
Abstract BACKGROUND The Canadian Social Pediatric Interest Group has developed emerging research partnerships over the past decade. In this multi-centre partnership, we characterize social paediatrics programs (SPPs) in three dimensions: 1) fostering health equity; 2) inter-professional integration, and 3) community embeddedness, all of which involve independently complex sets interventions. aim RICHER (responsive, interdisciplinary, health, education research) SPP is to provide timely...
Abstract Background Social determinants of health (SDoH)—which are factors such as socioeconomic status (SES), access to transportation, food and housing security, disability social supports—have been shown influence up 50% in patients. The project team developed a SDoH Questionnaire which evolved into what is now referred BEARS (Barriers Care, Economic Factors, Adversity, Resiliency, Capital). Part the includes an optional section for inquiring about Adverse Childhood Experiences (ACEs)....
Abstract Background The UNCRC outlines the rights of children and youth to develop their greatest potential. These provide a framework for child-centred approach in paediatric clinical practice are associated with improved patient outcomes experiences. While these increasingly acknowledged globally, more work is needed within settings adopt this rights-based approach. A pilot survey was developed partnership an equity-deserving urban recreation centre chronic health conditions from...
Abstract Background Canadian paediatric residents provide care to many families with non-English or French language preferences (NEFLP). Lack of communication in a family’s preferred is inequitable and results inferior care. Professional medical interpreters offer route enhanced understanding safety. There no data available about residents’ use interpreters, making it difficult identify gaps practice develop targeted interventions improve patient experience. Objectives An anonymous, 19-item...
Abstract Background Toxic drug supply is a public health emergency in Canada. The syndemic impact of Covid-19 has exacerbated the adverse outcomes overdose, driving up mortality rates. Despite fact that opioid use disorder predominantly viewed as an adult issue, increasing number youth Canada experience severe-life threatening overdose; it leading cause death ages 10-18 Western Epidemiologic data related to this population remains limited. 1.Objectives: To determine minimum incidence...
Abstract Background Many individuals living in rural and remote communities are required to travel urban centres receive essential health care. These experiences may be especially complex for children their families. Despite this, there is a lack of available literature on the families travelling care at tertiary paediatric hospitals Canada, specifically regarding associated costs psychosocial impacts. 1.Objectives: Analyze hospital-based administrative data quantify number admissions...
<b>Background:</b> The most effective treatment for community-acquired childhood pneumonia complicated by empyema remains uncertain. <b>Aim and objectives:</b> This review aims to systematically compare options reported in pediatric literature, examining whether hospital length of stay (LOS), complication rates, cost differ based on the modality employed. <b>Study Design Methods:</b> We conducted a living systematic randomized controlled trials. Studies were included if they targeted...