A5042941006- Pelvic floor disorders treatments
- Anorectal Disease Treatments and Outcomes
- Maternal and Perinatal Health Interventions
- Pelvic and Acetabular Injuries
- Menopause: Health Impacts and Treatments
- Maternal and fetal healthcare
- Asthma and respiratory diseases
- Assisted Reproductive Technology and Twin Pregnancy
- Urinary Tract Infections Management
- Health Systems, Economic Evaluations, Quality of Life
- Urinary Bladder and Prostate Research
- Pregnancy-related medical research
- Healthcare cost, quality, practices
- Hernia repair and management
- Birth, Development, and Health
- Pregnancy and preeclampsia studies
- Pharmaceutical industry and healthcare
- Phytoestrogen effects and research
- Neonatal Respiratory Health Research
- Appendicitis Diagnosis and Management
- Diverticular Disease and Complications
- Global Cancer Incidence and Screening
- Noise Effects and Management
- Colorectal Cancer Surgical Treatments
- Patient-Provider Communication in Healthcare
University of Alberta
2015-2024
Royal Alexandra Hospital
2015-2023
Women and Children’s Health Research Institute
2017-2023
University of Calgary
2008-2020
University of Alberta Hospital
2018-2019
Alberta Bible College
2006-2018
Women's & Children's Health Research Institute
2017
Royal Australasian College of Surgeons
2017
The University of Adelaide
2017
New York University Press
2017
Objective To examine the prevalence of psychological morbidity, sources stress and coping mechanisms in first year students a problem-based learning undergraduate medical curriculum. Design Longitudinal cohort questionnaire survey. Setting Glasgow University Medical School. Participants All (n = 275) 1997–98 intake. Main outcome measures Scores on 12-item General Health Questionnaire (GHQ-12), strategies. Results The morbidity mean GHQ-12 scores increased significantly between term 1 3, with...
PURPOSE: This study attempts to determine whether stapled side-to-side anastomosis, compared with handsewn end-to-end results in decreased recurrence of Crohn's disease following ileocolic resection. METHODS: Patients who underwent an resection were randomized anastomosis or anastomosis. Colonoscopy was performed at 12 months. The primary outcome endoscopic recurrence, while the secondary symptomatic (defined as symptoms attributable and severe enough warrant treatment, plus recurrence)....
In Brief OBJECTIVE: To estimate the rate of peripartum hysterectomy over last 8 years in Calgary, primary indication for (defined as any performed within 24 hours a delivery), and whether there was an increase during that time. METHOD: Detailed chart review all cases hysterectomy, 1999–2006, including previous obstetric history, details index pregnancy, indications outcome infant morbidity. RESULTS: The overall 87 108,154 or 0.8 per 1,000 deliveries. were uterine atony (32 87, 37%) suspected...
To evaluate a personalised computer supported education programme for asthma patients.Pragmatic randomised trial comparing outcomes over 12 months between patients taking part in an enhanced (four booklets, sent by post) and receiving conventional oral at outpatient or surgery visits.Hospital clinics general practices north east Scotland.801 adults attending hospital clinics, with diagnosis of confirmed chest physician pulmonary function reversibility least 20%.Numbers admissions,...
<b>Objective</b> To evaluate the effectiveness of an active strategy to implement validated Canadian C-Spine Rule into multiple emergency departments. <b>Design</b> Matched pair cluster randomised trial. <b>Setting</b> University and community departments in Canada. <b>Participants </b>11 824 alert stable adults presenting with blunt trauma head or neck at one 12 hospitals. <b>Interventions</b> Six hospitals were randomly allocated intervention six control. At sites, strategies used Rule,...
<b>Background:</b> The Canadian CT Head Rule was developed to allow physicians be more selective when ordering computed tomography (CT) imaging for patients with minor head injury. We sought evaluate the effectiveness of implementing this validated decision rule at multiple emergency departments. <b>Methods:</b> conducted a matched-pair cluster-randomized trial that compared outcomes 4531 injury during two 12-month periods (before and after) hospital departments in Canada, six which were...
<h3>Abstract</h3> <b>Objective</b> : To evaluate the effectiveness of routine self monitoring peak flow for asthma outpatients. <b>Design</b> Pragmatic randomised trial. <b>Setting</b> Hospital outpatient clinics and general practices in north east Scotland. <b>Main outcome measures</b> Use bronchodilators inhaled oral steroids; number practice consultations hospital admissions asthma; sleep disturbance other restrictions on normal activity; psychological aspects health including perceived...
The outcome after 25 yr was studied for three groups of children classified in a random community survey 1964 as having asthma (121 subjects), wheeze the presence infection (167 or no respiratory symptoms comparison subjects). Approximately 80% subjects each group, now aged 34 to 40 yr, were successfully traced. Current and smoking habit recorded by questionnaire, ventilatory function, peak flow variability, bronchial reactivity inhaled methacholine measured. Subjects who had childhood more...
An increase in prevalence of wheezing illness the UK has coincided with a reduction consumption natural antioxidants, which may modulate lung's response to oxidant stress, limiting expression airway inflammation and respiratory symptoms. The hypothesis that intakes plasma levels antioxidants would be determinants adult-onset was tested. A nested case-control study conducted 94 cases wheeze 203 controls aged 39-45 yrs identified 30-yr follow-up survey. Antioxidant intake measured by food...
OBJECTIVE—To evaluate glycemic control, hypoglycemic events, and quality of life in patients treated with continuous subcutaneous insulin infusion (CSII) multiple daily injection (MDI), lispro as the principal insulin. RESEARCH DESIGN AND METHODS—This clinical trial enrolled 27 type 1 diabetes. They were randomly assigned to CSII (n = 13) or MDI 14) treatment regimens. Glycemic control (HbA1c level) was primary outcome measured monthly for 9 months. Secondary outcomes patient reports events...
In Brief OBJECTIVE: To compare the effectiveness of transobturator tape with tension-free vaginal (TVT) in terms objective cure stress urinary incontinence (SUI) at 12 months postoperatively. METHOD: Women SUI were randomly allocated to either or TVT procedures and reviewed after surgery. The primary outcome was evidence “cure,” evaluated by standardized pad test (cure defined as less than 1 g urine leaked). Other outcomes included complications, subjective cure, incontinence-related quality...
To compare pregnancy outcomes, accounting for allocated group, between methyldopa-treated and labetalol-treated women in the CHIPS Trial (ISRCTN 71416914) of 'less tight' versus 'tight' control hypertension.Secondary analysis cohort.International randomised controlled trial (94 sites, 15 countries).Of 987 recruits, 481/566 (85.0%) treated with antihypertensive therapy at randomisation. Of 981 (99.4%) followed to delivery, 656/745 (88.1%) postrandomisation.Logistic regression outcomes among...
An increase in prevalence of wheezing illness the UK has coincided with a reduction consumption natural antioxidants, which may modulate lung's response to oxidant stress, limiting expression airway inflammation and respiratory symptoms. The hypothesis that intakes plasma levels anti- oxidants would be determinants adult-onset was tested. A nested case-control study conducted 94 cases wheeze 203 controls aged 39-45 yrs identified 30-yr follow-up survey. Antioxidant intake measured by food...
<h3>Abstract</h3> <b>Objective</b> : To evaluate integrated care for asthma in clinical, social, and economic terms. <b>Design</b> Pragmatic randomised trial. <b>Setting</b> Hospital outpatient clinics general practices throughout the north east of Scotland. <b>Patients</b> 712 adults attending hospital with a diagnosis confirmed by chest physician pulmonary function reversibility at least 20%. <b>Main outcome measures</b> Use bronchodilators inhaled oral steroids; number practice...
Objective To determine whether ‘less tight’ (versus ‘tight’) control of nonsevere hypertension results in a difference diastolic blood pressure (dBP) between groups. Design Randomised controlled trial (ISRCTN#57277508). Setting Seventeen obstetric centres Canada, Australia, New Zealand, and UK. Population Inclusion: pregnant women, dBP 90–109 mmHg, pre‐existing/gestational hypertension; live fetus(es); 20–33 +6 weeks. Exclusion: systolic ≥ 170 mmHg proteinuria, contraindication, or major...