A5031958720- Acute Ischemic Stroke Management
- Mobile Health and mHealth Applications
- Stroke Rehabilitation and Recovery
- Digital Mental Health Interventions
- Health Policy Implementation Science
- Electronic Health Records Systems
- Primary Care and Health Outcomes
- Healthcare Systems and Technology
- Mental Health and Patient Involvement
- Healthcare Policy and Management
- Neural dynamics and brain function
- Clinical practice guidelines implementation
- Intracerebral and Subarachnoid Hemorrhage Research
- Healthcare Systems and Practices
- Traumatic Brain Injury and Neurovascular Disturbances
- Telemedicine and Telehealth Implementation
- Machine Learning in Healthcare
- Neuroscience and Neuropharmacology Research
- Ethics in Clinical Research
- Lipoproteins and Cardiovascular Health
- Adipokines, Inflammation, and Metabolic Diseases
- Health Literacy and Information Accessibility
- Neuroinflammation and Neurodegeneration Mechanisms
- Cerebrovascular and Carotid Artery Diseases
- Medical Research and Practices
Women's College Hospital
2016-2023
Telus (Canada)
2023
University of Toronto
2021
Providence Health & Services
2021
St. Joseph Health System
2020
Providence College
2020
Larsen & Toubro (India)
2014-2018
Providence St. Vincent Medical Center
2018
Oregon Health & Science University
2013-2015
Emory University
2015
This study sought to confirm the relationship between degree of blood-brain barrier (BBB) damage and severity intracranial hemorrhage (ICH) in a population patients who received endovascular therapy.The BBB disruption on pretreatment MRI scans was analyzed, blinded follow-up data, DEFUSE 2 cohort which had therapy within 12 hours stroke onset. compared with ICH grade previously established by core lab. A prespecified threshold for predicting parenchymal hematoma (PH) tested.Of 108 trial, 100...
Background Digital health interventions (DHIs) are a central focus of care transformation efforts, yet their uptake in practice continues to fall short potential. In order achieve desired outcomes and impact, DHIs need reach target population be used. Many factors can rapidly intersect between this dynamic users interventions. The application theories, models, frameworks (TMFs) facilitate the systematic understanding explanation complex interactions users, practices, technology, system that...
This paper describes a change management strategy, including self-assessment survey tool and electronic medical record (EMR) maturity model (EMM), developed to support the adoption implementation of EMRs among community-based physicians in province Ontario, Canada.The aim our study was present an analysis progress EMR use Ontario based on data from surveys completed by over 4000 users.The EMM report (EPR) clarify levels capability expected benefits improved use. Maturity is assessed 6-point...
Stenting has been used as a rescue therapy in patients with intracranial arterial stenosis and transient ischemic attack or stroke when on antithrombotic (AT). We determined whether the stenting versus aggressive medical for (SAMMPRIS) trial supported this approach by comparing treatments within subgroups of whose qualifying event (QE) occurred off AT.
Mental illness is a substantial and rising contributor to the global burden of disease. Access utilization mental health care, however, limited by structural barriers such as specialist availability, time, out-of-pocket costs, attitudinal including stigma. Innovative solutions like virtual care are rapidly entering domain. The advancement adoption for health, often occurs in absence rigorous evaluation adequate planning sustainability spread. A pragmatic randomized controlled trial with...
<h3>Abstract</h3> <h3>Objective</h3> To assess the proportion of academic family physicians using e-mail with patients and to explore related attitudes, barriers, facilitators. <h3>Design</h3> A 47-item questionnaire was created after a literature review, discussions study team members, pretesting, pilot testing. The disseminated electronically from June August 2017. <h3>Setting</h3> Ontario. <h3>Participants</h3> All affiliated Department Family Community Medicine at University Toronto....
Background and Issues Aggressive management of vascular risk factors reduces stroke rates. It is unknown whether structured nurse-led follow up increases adherence rates for patients after hospital discharge. Purpose The purpose this program to improve secondary factor by instituting a initiative called Stroke Therapy, Education, Prevention (STEP). Methods pilot STEP was based on protocols used other prevention trials. This includes inpatient initiation outpatient maintenance pharmacologic...
Background: Stroke nurse navigator (SNN), modeled after other proven disease specific roles, may be an effective way to positively impact patient experience and improve outcomes. There is a paucity of data on the feasibility effectiveness stroke role. We want present descriptive analysis first six months with SNN at our Comprehensive Center (CSC). Methods: The was implemented in January 2017. Population includes patients discharging home or discharged rehab skilled nursing facility complex...
Introduction: Access to specialized outpatient follow-up care after ischemic stroke can be limited by distance. We investigated the use of home telemedicine monitor secondary risk factors, as compared traditional in-person clinic follow-up. Methods: Patients seen for management or TIA at a single institution were enrolled prior discharge time 7-day call. Participants who lived within 75 mile radius assigned standard follow up, and those outside up. nurse physician 30 days, 90 1 year post...
Background: The Stroke Transitional Care Navigator (STCN), was implemented at our Comprehensive Center (CSC) in January 2017 order to bridge care from the inpatient outpatient setting. STCN nurse meets with patients prior discharge address secondary stroke risk factors and discuss follow up plan an effort improve patient outcomes. purpose of this study determine whether implementation a improved compliance neurology reduced unplanned readmissions Emergency Department (ED) visits. Methods:...