A5039659238- Diabetes Management and Research
- Diabetes Management and Education
- Primary Care and Health Outcomes
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Diabetes Treatment and Management
- Health Systems, Economic Evaluations, Quality of Life
- Clinical practice guidelines implementation
- Total Knee Arthroplasty Outcomes
- Knee injuries and reconstruction techniques
- Healthcare Policy and Management
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Chronic Disease Management Strategies
- Diabetes and associated disorders
- Health Policy Implementation Science
- Healthcare cost, quality, practices
- Healthcare Systems and Technology
- Shoulder Injury and Treatment
- Pharmacology and Obesity Treatment
- Foot and Ankle Surgery
- Indigenous Health, Education, and Rights
- Interprofessional Education and Collaboration
- Obesity, Physical Activity, Diet
- Lower Extremity Biomechanics and Pathologies
- Schizophrenia research and treatment
- Nerve Injury and Rehabilitation
Western University
2008-2024
Centre for Family Medicine
2014-2021
Office of Naval Research
2013-2020
Queens University
2017
Queen's University
2017
St Michaels Hospital
2017
St. Michael's Hospital
2017
University of Toronto
2017
Institute for Clinical Evaluative Sciences
2017
The Centre for Health (New Zealand)
2017
Background: The purpose of this study was to compare a custom-made valgus-producing functional knee (unloader) brace, neoprene sleeve, and medical treatment only (control group) with regard their ability improve the disease-specific quality life status patients who had osteoarthritis in association varus deformity (varus gonarthrosis).Methods: design prospective, parallel-group, randomized clinical trial. Patients gonarthrosis were screened for eligibility. criteria exclusion included...
Limitation of motion following ACL reconstruction is a well-recognized and disturbing complication. The purposes this study were to identify characterize those patients who developed complication from series 527 reconstructions, determine etiologic factors, make recommendations regarding prevention management. case group included 37 required manipulation under anesthesia because failure gain satisfactory range after an reconstruction. Unsatisfactory was defined as flexion deformity 10...
Rigorous comprehensive evaluations of primary healthcare (PHC) quality improvement (QI) initiatives are lacking. This article describes the evaluation Quality Improvement and Innovation Partnership Learning Collaborative (QIIP-LC), an Ontario-wide PHC QI program targeting type 2 diabetes management, colorectal cancer (CRC) screening, access to care, team functioning.This highlights outcome results external retrospective, multi-measure, mixed-method QIIP-LC, including: (1) matched-control...
The purposes of this study were to compare operated and nonoperated knees after anterior cruciate ligament reconstruction using the semitendinosus tendon a polypropylene augmentation device, determine interrelationships among strength, knee stability, current activity levels. Isokinetic tests for flexion (prone position) extension (sitting strength during concentric-eccentric muscle action cycles completed at 60 180 deg/sec angular velocities, passive displacement determined 15 male female...
Literature on anterior shoulder instability deals most often with elimination of recurrence following recon struction. We analyzed the subjective function, loss motion and strength three operative pro cedures : Magnuson-Stack, Bristow, Putti-Platt. A retrospective review 27 patients, 9 in each surgical group, no postoperative dislocations or on-going pain was performed. All patients were male, right hand dominant affected. Average time followup 6.75 years (range, 4.2 to 10.3 years)....
Quality improvement (QI) programs are frequently implemented to support primary healthcare (PHC) team development and improve care outcomes. In Ontario, Canada, the Improvement Innovation Partnership (QIIP) offered a learning collaborative (LC) program of interdisciplinary function chronic disease management, prevention, access care. A qualitative study using phenomenological approach was conducted as part mixed-method evaluation explore influence on functioning in participating PHC teams....
Hypoglycemia is one of the most common adverse events for people living with type 1 or 2 diabetes. To gain a deeper understanding patients' emotions regarding hypoglycemia, we conducted descriptive qualitative study. Purposive sampling was used to recruit participants 30- 45-minute semi-structured interview. The 16 included both women and men either diabetes, mean age 53 years time since diagnosis 21 years. All had experienced more than hypoglycemia event in past year, ranging from nonsevere...
The purposes of this study were to determine test-retest reliability the one-leg hop test when using distances (cm) and index (distance hopped on involved leg divided by distance noninvolved x 100) as criterion measurements compare two-data analysis strategies (the mean three hops vs. longest hop). Twenty-two men 16 women who had undergone anterior cruciate ligament (ACL) reconstruction (mean time between surgery testing 22 ± 7 years) performed two occasions within a 2 week period....
OBJECTIVE Diabetes self-management is universally regarded as a foundation of diabetes care. We determined whether comparable glycemic control could be achieved by self-titration versus physician titration once-daily bolus insulin dose in patients with type 2 who are unable to achieve optimal glycemia basal insulin. RESEARCH DESIGN AND METHODS Patients diabetes, an HbA1c level >7% (53 mmol/mol), and either nocturnal hypoglycemia episodes or insufficient glargine (with without oral agents)...
Introduction: Formal didactic continuing medical education (CME) is relatively ineffective for changing physician behaviur. Diabetes mellitus an increasingly prevalent disease, and interventions to improve adherence clinical practice guidelines (CPGs) are needed. Methods: A stratified, cluster-randomized, controlled trial design was used evaluate the effects of a teleconferenced educational detailing (TED) CME on glycemic control (hemoglobin [Hb] A1c) family national diabetes guidelines. TED...
Diabetes is a multisystem disease requiring complex management provided by variety health care professionals (HCPs). Comprehensive of patients with diabetes requires frequent testing hemoglobin A1c (A1C),and research indicates that use point-of-care (POCT) can affect patients' A1C results in the shortterm. The purpose this qualitative study was to explore ideas, opinions, and expectations HCPs about potential role POCT, including its impact on patient-provider interactions, patient care,...
<h3>Purpose:</h3> Quality improvement (QI) initiatives have been implemented to facilitate transition a chronic disease management approach in primary health care. However, the effect of QI on diabetes clinical processes and outcomes remains unclear. This article reports Partnerships for Health, program Southwestern Ontario, Canada, process outcome measures describes participants9 views elements that influenced their ability reach desired improvements. <h3>Methods:</h3> Part an external,...
Limited evidence exists on the effectiveness of external diabetes support provided by specialists and community retail pharmacists to facilitate insulin-prescribing in family practice.A stratified, parallel group, randomized control study was conducted 15 sites across Canada. Family physicians received insulin initiation/titration education, a physician-specific 'report card' characteristics their type 2 (T2DM) population, registry insulin-eligible patients at workshop. Intervention addition...
Do utility scores based on patient preferences and community agree? The purpose is to assess agreement between directly measured standard gamble (SG) from the Health Utilities Index Mark 2 (HUI2) 3 (HUI3) systems.Patients were assessed repeatedly throughout process of waiting see a surgeon, for surgery, recovery after total hip arthroplasty (THA). Group mean are compared using paired t-tests. Agreement intraclass correlation coefficient (ICC).The SG, HUI2, HUI3 (SD) at assessment 1 0.62...
<h3>Background:</h3> In Ontario, a province-wide quality-improvement program (Quality Improvement and Innovation Partnership [QIIP]) was implemented between 2008 2010 to support improved outcomes in Family Health Teams, care model that includes many features of the patient-centred medical home. We assessed impact this on diabetes management, colorectal cervical cancer screening access health care. <h3>Methods:</h3> used comprehensive linked administrative data sets conduct population-based...
Hypoglycemia prognostic models contingent on prospective, self-reported survey data offer a powerful avenue for determining real-world event susceptibility and interventional targets.This protocol describes the design implementation of 1-year iNPHORM (Investigating Novel Predictions Occurrence Using Real-world Models) study, which aims to measure severe nonsevere hypoglycemia incidence (daytime nocturnal) in American adults with type 1 or 2 diabetes mellitus prescribed insulin and/or...