- Pediatric Pain Management Techniques
- Musculoskeletal pain and rehabilitation
- Adolescent and Pediatric Healthcare
- Childhood Cancer Survivors' Quality of Life
- Infant Development and Preterm Care
- Autoimmune and Inflammatory Disorders Research
- Human-Animal Interaction Studies
- Cardiac Arrest and Resuscitation
- Family and Disability Support Research
- Rabies epidemiology and control
- Geographies of human-animal interactions
- Brucella: diagnosis, epidemiology, treatment
- Health Literacy and Information Accessibility
- School Health and Nursing Education
- Muscle and Compartmental Disorders
- Zoonotic diseases and public health
- Empathy and Medical Education
- Employment and Welfare Studies
- Galectins and Cancer Biology
- Nerve Injury and Rehabilitation
- Digital Mental Health Interventions
- Mobile Health and mHealth Applications
- Psychology of Moral and Emotional Judgment
- Technology Use by Older Adults
- Immunodeficiency and Autoimmune Disorders
Waitemata District Health Board
2025
University of Auckland
2020-2025
University of Colorado Denver
2024
Hospital for Sick Children
2015-2023
SickKids Foundation
2015-2023
Institute for Clinical Evaluative Sciences
2015-2023
Dogs Trust
2019-2022
Stony Brook School
2021
Stony Brook University
2021
University of Toronto
2016
BACKGROUND: While there are emerging web‐based self‐management programs for children and adolescents with chronic pain, is currently not an integrated web‐ smartphone‐based app that specifically addresses the needs of pain. OBJECTIVES: To conduct a assessment to inform development online pain program adolescents, called iCanCope Pain ™. METHODS: A purposive sample (n=23; 14 18 years age) was recruited from two pediatric clinics in Ontario. Interdisciplinary health care providers were also...
Adolescents with Juvenile Idiopathic Arthritis (JIA) are at risk for physical, emotional, social and role challenges that negatively impact quality of life. Peer mentoring has been shown to improve positive health behaviours in adolescents chronic disease while simultaneously providing support. The objectives this paper examine the feasibility acceptability an online peer program (iPeer2Peer Program) JIA. iPeer2Peer was examined using a waitlist pilot randomized control trial (RCT)....
Initial COVID-19 lockdown restrictions in the United Kingdom (23 March–12 May 2020) prompted lifestyle changes for many people. We explored impact of this phase on pet dogs using an online survey completed by 6004 dog owners, who provided information including management data 7 days prior to completion (4–12 2020), and February 2020 (pre-lockdown). associations between potential predictors four outcomes relating pre-/during (reduction number duration walks; increased frequency play/training,...
On 23 March 2020, the UK Government imposed a nationwide lockdown as part of efforts to mitigate impact COVID-19. This study aimed explore how experience dog ownership in was impacted during this lockdown. Data for research came from open-ended survey questions and an electronic diary completed by members general public participants involved “Generation Pup”, ongoing longitudinal cohort dogs. A total 10,510 free-text entries were analysed. Three major themes emerged: spending time at home...
In Brief Adolescents with chronic pain are often socially isolated, having never met others pain, and feel misunderstood by healthy peers. Adolescence is a sensitive period for developing one's sense of self autonomy, which occurs in the context peer relationships. This developmental process disrupted adolescents when their interferes social interactions. Peer mentoring proposed as developmentally timely intervention. The aim this study to develop test feasibility, acceptability, impact...
Abstract Bovine brucellosis has been nearly eliminated from livestock in the United States. Bison and elk Greater Yellowstone Area remain reservoirs for disease. During 1990–2002, no known cases occurred livestock. Since then, 17 transmission events wildlife to have investigated.
The purpose of this study was to investigate whether a self-compassion expressive writing activity could improve psychological well-being in people with an ostomy, as assessed by changes body image distress, ostomy-specific quality life (QOL), self-compassion, and dispositional disgust. Randomized controlled trial design used. sample comprised 175 English-speaking patients over 18 years age fecal or urinary ostomy; all participants resided Australia New Zealand. All were recruited online...
This article endeavored to determine the topics of discussion during open-ended peer mentoring between adolescents and young adults living with chronic illness. study occurred alongside a iPeer2Peer Program. Fifty-two calls (7 mentor-mentee pairings) were audio recorded, transcribed verbatim, analyzed using inductive coding an additional 30 (21 coded ensure representativeness data. Three categories emerged: (1) illness impact (e.g., relationships, school/work, self-identity, personal...
Background: Chronic pain is a common problem in adolescents that can negatively impact all aspects of their health-related quality life. The developmental period adolescence represents critical window opportunity to optimize and solidify positive health behaviors minimize future pain-related disability impaired work productivity. This research focuses on the development evaluation smartphone-based self-management app for with chronic pain. Objective: objectives this study were characterize...
To evaluate the feasibility and preliminary effectiveness of iCanCope with Pain (iCanCope), a smartphone-based pain self-management program, in adolescents JIA. featured symptom tracking, goal-setting, coping skills social support.A two-arm pilot randomized controlled trial was used to app compared version tracking only. Primary (feasibility) outcomes were: participant accrual/attrition rates, success deployment, acceptability adherence. Secondary (preliminary effectiveness) intensity,...
To explore the perceived benefits and challenges of acting as a young adult peer mentor to adolescents with chronic illness.A qualitative descriptive study, using interviews focus group, explored perceptions mentors following participation in iPeer2Peer program, Skype-based peer-mentorship program for illness. Interviews group data were transcribed analyzed inductive content analysis.Ten (20.00 ± 1.49 years old, range 17-22 years; diagnosed pain [n = 4] or juvenile idiopathic arthritis 6])...
Paediatric chronic pain was a public health emergency before the novel coronavirus (COVID-19) pandemic, and this problem is predicted to escalate. Pain tends occur intergenerationally in families, youth with their parents have high rates of mental issues, which can further exacerbate pain. Siblings been largely overlooked research, as well impact pandemic on posttraumatic stress disorder (PTSD) symptoms healthcare utilization.This cross-sectional study examined pain, utilization three...
Adolescence is a vulnerable time for teens with sickle cell disease (SCD). Although there evidence to support the use of web-based education promote self-management skills in patients chronic illnesses, quality SCD-related information on Internet has not been assessed.A website review was conducted appraise quality, content, accuracy, readability, and desirability online adolescents SCD. Relevant keywords were searched most popular search engines. Websites meeting predetermined criteria...
This study explored dog owners' concerns and experiences related to accessing veterinary healthcare during the COVID-19 pandemic.Data were obtained through two cross-sectional owner-completed surveys conducted in May (first nationwide lockdown) October 2020 diaries (April-November 2020). Diaries relevant open-ended survey questions analysed qualitatively identify themes. Survey responses concerning access summarised compared using chi-square tests.During initial months of pandemic,...
Chronic pain can lead to significant negative outcomes across many areas of life. Recently, mindfulness-based interventions (MBIs) have been identified as potentially effective tools for improved management among adolescents living with pain. This study aimed explore the experience who participated in an eight-week mindfulness group adapted chronic (MBI-A), and obtain their feedback suggestions on structure content. A mixed method design was used employing qualitative data from focus groups...
Background: The COVID-19 pandemic presents one of the greatest threats to pediatric pain care seen in generations. Due public health restrictions, many clinics halted in-person appointments, delaying and disrupting access care. There is no existing research on impacts chronic Canada or challenges experienced by professionals clinics.
A captive adult female bottlenose dolphin presented with stillbirth. The placenta appeared oedematous. No other gross lesions were evident in the or stillborn calf. Histopathology revealed mild multifocal placentitis and foetal encephalitis. Brucella sp. was isolated from lung, liver, spleen kidney. Sequence phylogenetic analysis demonstrated this organism to be most similar ceti sequence type (ST) 27. DNA detected formalin‐fixed paraffin‐embedded brain by real‐time PCR using primers...
Neuropathic pain (NP) and complex regional syndrome (CRPS) in children can result significant disability emotional distress. Early assessment treatment could potentially improve pain, function, quality of life, reduce costs to the health care system. Currently, there are no screening tools for pediatric NP CRPS. This research aimed develop establish content validity a tool CRPS using phased approach.Phase I surveyed clinical experts modified Delphi procedure elicit disease concepts...
Behaviour problems are amongst the most common reasons given for relinquishing dogs to rehoming centres. Some behaviour may be amenable being tackled pre-emptively with classes educating owners on basic dog training and understanding behaviour; however, it is recognised that people low socio-economic status (SES) face barriers attending such as affordability, variable working hours, limited access transport childcare. The current study piloted free-to-use owner education in areas high levels...
Introduction: Transient periosteal hyperostosis with dysproteinemia, also named Goldbloom syndrome (GS), is a rare pediatric disease characterized by recurrent crisis of bone pain, fever, increased inflammatory markers and dysproteinemia.From 1966 only few cases have been reported in the English literature.Objectives: To better define clinical epidemiological features GS.Methods: We report clinical, laboratory radiological our patients Table 1, comparing literature.Results: Case 1 was...
Background: The prevalence of chronic pain in children and adolescents is well established. What not understood how over-the-counter (OTC) oral topical treatments are being used by with pain, their decision making around use these products, they communicate health care providers about use. Aims: aim this study was to explore the use, decision-making process, communication OTC medications professionals among living primary caregiver. Methods: A qualitative descriptive design semistructured,...