- Spinal Fractures and Fixation Techniques
- Musculoskeletal pain and rehabilitation
- Scoliosis diagnosis and treatment
- Spine and Intervertebral Disc Pathology
- Trauma and Emergency Care Studies
- Electronic Health Records Systems
- Injury Epidemiology and Prevention
- Parathyroid Disorders and Treatments
- Emergency and Acute Care Studies
- Spinal Cord Injury Research
- Mobile Health and mHealth Applications
- Central Venous Catheters and Hemodialysis
- Ectopic Pregnancy Diagnosis and Management
- Medical Coding and Health Information
- Effects of Vibration on Health
- Maternal and fetal healthcare
- Pregnancy-related medical research
- Renal function and acid-base balance
- Ergonomics and Musculoskeletal Disorders
- Data Quality and Management
- Nerve Injury and Rehabilitation
- Pelvic and Acetabular Injuries
- Nursing Diagnosis and Documentation
- Cardiovascular Syncope and Autonomic Disorders
- Diabetes Management and Research
University of Winnipeg
2015-2024
University of Manitoba
2012-2020
Royal Gwent Hospital
2016-2019
Princess of Wales Hospital
2009
In Brief Study Design. A cross-sectional study. Objective. To identify the relationship between performance measures derived from accelerometry and subjective reports of pain, disability, health in patients with lumbar spinal stenosis (LSS). Summary Background Data. Accelerometers have emerged as a measure performance, providing ability to characterize pattern magnitude real-life activity, sedentarism. Pain loss function, particularly ambulation, are common LSS. The extent which perceived...
Standards for immobilizing potentially spine-injured patients in the prehospital environment are evolving. Current guidelines call more research into treatment practices. Available spinal immobilization (SI) reveals a number of limitations.There currently few techniques measuring head and neck motion that address identified limitations can be adapted to clinically relevant scenarios. This study investigates one possible method.Study participants were fitted with miniaturized accelerometers...
Acute management of trauma patients with potential spine injuries has evolved from uniform spinal immobilization (SI) to motion restriction (SMR). Little research exists describing how these changes have been implemented. This study aims describe and analyze the practice SMR in one emergency medical services (EMS) agency over time frame adoption.This was a retrospective database review electronic patient care reports 2009 2020. The effects key (revised documentation collar-only treatment...
Background Spinal precautions are intended to limit motion of potentially unstable spinal segments. The efficacy various treatment approaches for restriction in the cervical spine has been rigorously investigated using healthy volunteers and, a lesser extent, cadaver samples. No previous studies have objectively measured this trauma patients with potential injuries during prehospital care. Objective: purpose study was characterize head-neck (H-N) kinematics sample receiving field. Methods:...
Abstract Background The optimal application of spinal motion restriction (SMR) in the prehospital setting continues to be debated. Few studies have examined how changing guidelines been received and interpreted by emergency medical services (EMS) personnel. This study surveys paramedics’ attitudes, observations, self-reported practices around treatment potential spine injuries setting. Methods was a cross-sectional survey North American EMS agency. After development piloting, final version...
Objective: To determine the influence of ambulance motion on head-neck (H-N) kinematics and to compare effectiveness two spinal precaution (SP) protocols: immobilization (SI) reduction (SMR). Methods: Eighteen healthy volunteers (7 females) underwent a series standardized transport tasks, across various speeds, under SP protocols in balanced order (n = 12 drivers, n 7 ambulances). Inertial measurement units were placed participants' heads sternums, with another affixed stretcher mattress...
Abstract Background To examine occupational injury rates in a dual‐response emergency medical services (EMS) system before and after implementation of power‐lift stretcher system. Methods The seasonally‐adjusted rate was estimated relative to call volume (per 1000 calls) workers 100 FTEs) from 2009 2019, stratified by severity (lost‐time, healthcare only), role (EMS, FIRE) type (patient‐handling). Power‐lift stretchers were adopted between 2013 2015. Preinjury versus postinjury compared...
<h3>Aim</h3> To present an unusual case of prepubertal bleeding and raise awareness a possible differential diagnosis. Up until menarche vaginal after the first month life is always abnormal therefore it justified to investigate in order determine cause. <h3>Methods</h3> <h3>Case Presentation</h3> A five year old girl presented CAU unit with 7th presentation since age two. She had been previously investigated numerous blood tests including hormonal profiles, several pelvic ultrasound scans,...
<h3>Background</h3> Gwent Children’s Diabetes website was established in 2011. The has information about team members with their contact details, resources (sick day rules, management of hypoglycaemia, insulin to carbohydrate ratio, correction doses and HbA1c information), local school menus, upcoming events like diabetes holidays useful links. <h3>Aims</h3> To measure the awareness children young people (CYP) families website, its usage satisfaction. <h3>Methods</h3> An audit questionnaire...
<h3>Objectives</h3> Hypophosphataemic rickets (HR) is usually secondary to renal phosphate wasting but may occur reduced intake or absorption of phosphate. We describe a series cases HR associated with the use Neocate®, an amino-acid based formula (AAF). <h3>Methods</h3> A retrospective review AAF presenting centres across United Kingdom. <h3>Results</h3> 10 were identified, over 9 month period, all Neocate<sup>®</sup>use. The age at presentation was 5 months 3 years. majority (8/10) born...