A5075381940- Disaster Response and Management
- Viral Infections and Outbreaks Research
- Migration, Health and Trauma
- Palliative Care and End-of-Life Issues
- Global Maternal and Child Health
- Health Systems, Economic Evaluations, Quality of Life
- Health and Conflict Studies
- Vaccine Coverage and Hesitancy
- Ethics in medical practice
- Global Public Health Policies and Epidemiology
- Global Health and Surgery
- Disaster Management and Resilience
- Ethics in Clinical Research
- Healthcare Systems and Reforms
- Patient Dignity and Privacy
- Global Security and Public Health
- COVID-19 and Mental Health
- Community Health and Development
- Middle East and Rwanda Conflicts
- Family and Patient Care in Intensive Care Units
- Healthcare cost, quality, practices
- Mental Health Treatment and Access
- Childhood Cancer Survivors' Quality of Life
- Education and experiences of immigrants and refugees
- Grief, Bereavement, and Mental Health
Western University
2017-2025
McMaster University
2013-2017
York University
2008
Centre d’Élaboration de Matériaux et d’Études Structurales
2004
Seriously ill hospitalized patients have identified communication and decision making about goals of care as high priorities for quality improvement in end-of-life care. Interventions to improve are more likely succeed if tailored existing barriers.To determine, from the perspective hospital-based clinicians, (1) barriers impeding with seriously their families (2) own willingness acceptability other clinicians engage this process.Multicenter survey medical teaching units nurses, internal...
What is the significance of feeling unbearably weighed-down by everyday life on social and economic margins a Central American city? are politics mother there no longer any point in showing up for work given limited impact it makes needs her family? Relatedly, what another woman carrying with business survival as member Nicaragua’s urban poor majority? In this article, I question differences connections between two women’s engagements poverty shanty outskirts León, second biggest city....
Stakeholder participation is a key component of fair and equitable priority-setting in health. The COVID-19 pandemic highlighted the need for priority setting, hence, stakeholder participation. To date, there limited literature on development plans (including setting plans) that were rapidly developed during pandemic. Drawing global study national preparedness response plans, we present secondary analysis from 70 countries six WHO regions, focusing We found most prepared by Ministry Health...
Depression, the world's leading cause of disability, disproportionately affects women. Women in India, one most gender unequal countries worldwide, face systemic disadvantage that significantly increases risk common mental disorders. This study's objective was to examine factors influencing women's participation psychosocial support groups, within an approach where community members work together collectively strengthen their community's health.This community-based qualitative study...
Unmanned aerial vehicles (UAVs), also known as drones, have significant potential in the healthcare field. Ethical and practical concerns, challenges, complexities of using drones for specific diverse purposes been minimally explored to date. This paper aims document advance awareness context-specific encountered by individuals working on front lines health. It draws original qualitative research data from semi-structured interviews (N = 16) with health program managers field staff nine...
Latin America and the Caribbean (LAC) are among those regions most affected by COVID-19 pandemic worldwide. The has strained health systems in region. In this context of severe healthcare resource constraints, there is a need for systematic priority-setting to support decision-making which ensures best use resources while considering needs vulnerable groups. aim paper was provide critical description analysis how considered response preparedness plans sample 14 LAC countries; identify...
Over the past two decades, depression has become a prominent global public health concern, especially in low- and middle-income countries (LMICs). The World Health Organization (WHO) Movement for Global Mental have developed international guidelines to improve mental services globally, prioritizing LMICs. These efforts hold promise advancing care treatment other mental, neurological, substance abuse disorders intervention guides, such as WHO's mhGAP-Intervention Guides, are evidence-based...
During the 2014-2016 Ebola epidemic in West Africa and outbreaks between 2018 2020 Democratic Republic of Congo, vaccines other tools for prevention treatment had to be taken through trials exceptional circumstances using accelerated processes. We interviewed members ethics committees, health authorities, professionals, political authorities Congo 2021 held a workshop with committee regulatory from Sierra Leone Guinea 2022 order document their experiences reviewing, approving, regulating...
The COVID-19 pandemic has forced governments across the world to consider how prioritise allocation of scarce resources. There are many tools and frameworks that have been designed assist with challenges priority setting in health care. purpose this study was examine extent which formal evident plans produced by countries World Health Organisation's EURO region, during first wave pandemic. This compliments analysis similar other regions world. Twenty four preparedness were obtained had...
Despite the swift governments' response to COVID-19 pandemic, there remains a paucity of literature assessing degree which; priority setting (PS) was included in pandemic plans and were publicly accessible. This paper reflects on methods employed global comparative analysis which countries integrated PS into their based Kapiriri & Martin's framework. We also assessed if accessibility related country's transparency index. Through three stage search strategy, we accessed reviewed 86 national...
Objectives We aimed to identify factors influencing communication and decision-making, learn how physicians nurses view their roles in deciding about the use of life-sustaining technology for seriously ill hospitalised patients families. Design The qualitative study used Flanagan's critical incident technique guide interpretive description open-ended in-depth individual interviews. Setting Participants were recruited from medical wards at 3 Canadian hospitals. Interviews completed with 30...
This commentary draws on sub-Saharan African health researchers' accounts of their countries' responses to control the spread COVID-19, including social and impacts, home-grown solutions, gaps in knowledge. Limited human material resources for infection lack understanding or appreciation by government realities vulnerable populations have contributed failed interventions curb transmission, further deepened inequalities. Some governments adapted limited lockdowns due negative impacts...
<h3>Abstract</h3> In multicellular organisms, cell-adhesion molecules connect cells into tissues and mediate intercellular signaling between these cells. vertebrate brains, synaptic (SAMs) guide the formation, specification, plasticity of synapses. Some SAMs, when overexpressed in cultured neurons or heterologous co-cultured with neurons, drive formation specializations onto overexpressing However, genetic deletion same SAMs from often has no effect on synapse numbers, but frequently...
Priority setting represents an even bigger challenge during public health emergencies than routine times. This is because such compete with programmes for the available resources, strain systems and shift health-care attention resources towards containing spread of epidemic treating those that fall seriously ill. paper part a larger global study, aim which to evaluate degree national COVID-19 preparedness response plans incorporated priority concepts. It provides important insights into what...
Access to palliative care, and more specifically the alleviation of avoidable physical psychosocial suffering is increasingly recognized as a necessary component humanitarian response. Palliative approaches care can meet needs patients for whom curative treatment may not be aim, just at very end life but broadly. In past several years many organizations sectoral initiatives have taken steps develop guidance policies support integration care. However, it still regarded by unfeasible or...
In this paper, we present findings from a qualitative study that gathered Nicaraguans' perceptions of short-term foreign medical missions, towards deepening the understanding what Nicaraguans value or find limited in work such missions operating their country. Fifty-two interviews were conducted with patients, relatives Nicaraguan physicians and nurses who partnered observed at work, 'beneficiary' community leaders, individuals unable unwilling to access mission-provided healthcare. Factors...
Wars, disasters, and epidemics affect millions of individuals every year. International non-governmental organizations respond to many these crises provide healthcare in settings ranging from a field hospital deployed after an earthquake, health clinic longstanding refugee camp, treatment center during infectious disease outbreak. The primary focus activities is save lives. However, inevitably, patients cannot be saved. We undertook interpretive description study investigate humanitarian...