- Lipoproteins and Cardiovascular Health
- Health Systems, Economic Evaluations, Quality of Life
- Innovations in Medical Education
- Second Language Learning and Teaching
- EFL/ESL Teaching and Learning
- Clinical Reasoning and Diagnostic Skills
- Pharmaceutical Economics and Policy
- Cardiac Structural Anomalies and Repair
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Venous Thromboembolism Diagnosis and Management
- Coronary Interventions and Diagnostics
- Radiology practices and education
- Acute Myocardial Infarction Research
- Peripheral Artery Disease Management
- Catholicism and Religious Studies
- Atrial Fibrillation Management and Outcomes
- Clinical practice guidelines implementation
- Advanced X-ray and CT Imaging
- Patient Safety and Medication Errors
- Antimicrobial Resistance in Staphylococcus
- Health and Medical Research Impacts
- Religious Tourism and Spaces
- Infective Endocarditis Diagnosis and Management
- Cardiovascular Issues in Pregnancy
- Takotsubo Cardiomyopathy and Associated Phenomena
McMaster University
2012-2025
Hamilton Health Sciences
2015-2025
Niagara Health System
2022
University of Hong Kong
2020
University of Newcastle Australia
2019
Population Health Research Institute
2015-2018
Hamilton General Hospital
2017
University of Ontario Institute of Technology
2015
Importance A significant limitation of femoral artery access for cardiac interventions is the increased risk vascular complications and bleeding compared with radial access. Strategies to make safer are needed. Objective To determine whether routinely using ultrasonography guidance arterial coronary angiography/intervention reduces or complications. Design, Setting, Participants The Routine Ultrasound Guidance Vascular Access Cardiac Procedures (UNIVERSAL) randomized clinical trial a...
In patients with ST-segment elevation myocardial infarction (STEMI), early initiation of high-intensity statin therapy, regardless low-density lipoprotein (LDL) cholesterol levels, is the standard practice worldwide. Aims: We sought to determine effect a similar strategy, using proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitor added statin, on LDL in acute STEMI.In randomised, double-blind trial we assigned 68 STEMI undergoing primary percutaneous coronary intervention (PCI)...
Interventional cardiologists receive one of the highest levels annual occupational radiation exposure. Further measures to protect healthcare workers are needed.We evaluated efficacy a pelvic lead shield and novel surgical cap in reducing operators' Patients undergoing coronary angiography or percutaneous intervention (n=230) were randomized have their procedure with without (Ultraray Medical, Oakville, Canada) placed over patient. During all procedures, operators wore No Brainer (Worldwide...
Good Clinical Judgment (GCJ) is associated with clinical excellence and accolades whereas poor judgment often suboptimal care the need for remediation. Although commonly referenced in practice, a shared definition GCJ based on primary data lacking. We interviewed 16 clinicians surgeons across different specialties at one Canadian academic center to understand their conceptualization of GCJ. The analysis led formulation three pillars that were viewed by participants as core ingredients These...
Abstract Science writing has played a crucial part in science assessments. This paper reports study an area that received little research attention – how lessons content and language integrated learning (CLIL) can increase the knowledge development of English as foreign (EFL) students Hong Kong. The data come from school-based interventional chemistry classrooms, with written questionnaires, assessments teachers’ logs verbal interviews classroom observations. effectiveness CLIL teaching...
Background: Entrustment decisions may be retrospective (based on past experiences with a trainee) or real-time direct observation). We investigated judgments of entrustment based assessor prior knowledge candidates and systematic observation, conducted in an objective structured clinical exam (OSCE).
 Methods: Sixteen faculty examiners provided 287 ratings 16 cardiology trainees during OSCE stations 2019 2020. Reliability validity these were assessed by comparing correlations across as...
Trainees in acute care specialties often grapple with the decision to perform an invasive procedure a rapidly decompensating patient, for whom benefits and risks are inherently uncertain. The difference between trainees who know when act seek supervision those do not is linked individual trainee psychological cultural perceptions of uncertainty. But how much comfort uncertainty relates situational context rather than traits underexplored.The objective this study was explore actions around...