- Mechanical Circulatory Support Devices
- Transplantation: Methods and Outcomes
- Cardiac Structural Anomalies and Repair
- Heart Failure Treatment and Management
- Cardiac Arrest and Resuscitation
- Renal Transplantation Outcomes and Treatments
- Cardiac pacing and defibrillation studies
- Viral Infections and Immunology Research
- Family and Patient Care in Intensive Care Units
- Medication Adherence and Compliance
- Organ Transplantation Techniques and Outcomes
- Cardiovascular Function and Risk Factors
- Pharmaceutical Practices and Patient Outcomes
- Hepatitis C virus research
- Fuel Cells and Related Materials
- Healthcare Systems and Practices
- Health Literacy and Information Accessibility
- Diabetes Management and Education
- Healthcare Systems and Technology
- Mobile Health and mHealth Applications
- Bipolar Disorder and Treatment
- Nursing Education, Practice, and Leadership
- Healthcare Policy and Management
- Social Media in Health Education
- GDF15 and Related Biomarkers
University of British Columbia
2007-2021
St. Paul's Hospital
2008-2020
Providence Health Care
2010-2017
St. Paul's Hospital
2011-2015
Calgary Laboratory Services
2012
London Health Sciences Centre
2012
St. Vincent's Birmingham
2000
: Heparinization is thought to be mandatory avoid thromboembolic complications during venoarterial extracorporeal membrane oxygenation (VA-ECMO). However, bleeding are common. We report our experience of VA-ECMO without systemic anticoagulation.: A prospectively assembled database describing all ECMO cases from 2000 2008 was analyzed. heparin coated circuit (Medtronic, Inc., Minneapolis, MN USA) and oxygenator (Quadrox D Bioline oxygenator; MAQUET, Rastatt, Germany) were used in cases. After...
: Heparinization is thought to be mandatory avoid thromboembolic complications during venoarterial extracorporeal membrane oxygenation (VA-ECMO). However, bleeding are common. We report our experience of VA-ECMO without systemic anticoagulation.: A prospectively assembled database describing all ECMO cases from 2000 2008 was analyzed. heparin coated circuit (Medtronic, Inc., Minneapolis, MN USA) and oxygenator (Quadrox D Bioline oxygenator; MAQUET, Rastatt, Germany) were used in cases. After...
Left ventricular assist device (LVAD) therapy is increasingly used in patients with advanced heart failure, and may have a significant psychological impact on both their partners. Hence, we examined the distress levels of LVAD partners.Anxiety, depression post-traumatic stress disorder (PTSD) were assessed at 3-4 weeks after implantation, 3 6 months follow-up 33 (73% men; mean age=54±10 years) partners (27% age=54±11 years).The prevalence anxiety was significantly higher compared to baseline...
Objective: To develop and validate a brief psychosocial screening tool (Screening Tool for Psychological Distress [STOP-D]) use in the outpatient cardiology setting. Background: Psychosocial factors contribute significantly to morbidity mortality associated with coronary artery disease. Yet, it is often considered overly burdensome implement full-scale psychological assessments every patient. Methods: Over 3 months, 194 cardiac patients were consecutively recruited from clinics: heart...
Little is known about the stresses experienced by caregivers of patients discharged home with a ventricular assist device.To describe lived experience who were device.The study used phenomenological framework to conduct semistructured interviews guided 2 psychologists using focus group setting.Interviews 13 9 device between March 2004 and June 2007 recorded, transcribed, analyzed.Four themes emerged during interviews: anxiety, initially exhibited as profound shock; loss loved one, their...
Little is known about the stresses experienced by caregivers of patients discharged home with a ventricular assist device.To describe lived experience who were device.The study used phenomenological framework to conduct semistructured interviews guided 2 psychologists using focus group setting.Interviews 13 9 device between March 2004 and June 2007 recorded, transcribed, analyzed.Four themes emerged during interviews: anxiety, initially exhibited as profound shock; loss loved one, their...
As medication non-adherence is a major risk factor for poor post-transplant outcomes, we explored how adherence assessed, enhanced and integrated across the transplant continuum.The aim of this study was to practice patterns regarding pre- assessment interventions in international heart centres.We used data from Building Research Initiative Group: chronic illness management transplantation (BRIGHT) study, cross-sectional conducted 36 centres 11 countries. On 27-item questionnaire, 100...
Digital health programs may have the potential to prevent hospitalizations among patients with chronic diseases by supporting patient self-management, symptom monitoring, and coordinated care.To compare effect of an internet-based self-management monitoring program targeted 2 or more (internet disease management [CDM]) usual care on over a 2-year period.This single-blinded randomized clinical trial included multiple from 71 primary clinics in small urban rural areas throughout British...
Heart failure (HF) results in high hospitalization rates and healthcare costs. Telemonitoring of HF has been shown to result improved outcomes but usually involves the use expensive equipment. A more feasible alternative may be a Web site. The purpose this study is investigate site designed for telemonitoring. Patients newly referred heart function clinic were screened eligibility. Twenty participants recruited entered their weight symptoms onto 6 months. nurse monitored changes participant...
Objective The left ventricular assist device (LVAD) is typically implanted through a full sternotomy on cardiopulmonary bypass (CPB). Minimally invasive surgery (MIS) modifications include multiple smaller incisions, using “virgin” territory, and minimized CPB time. Methods Forty-two LVAD implantations were retrospectively reviewed. Twenty-five minimally (MIS, 20 HeartMate II 5 HeartWare) compared with 17 (12 HeartWare). choice of MIS incisions was dependent: (1) three separate for the or...