A5101413762- Stroke Rehabilitation and Recovery
- Acute Ischemic Stroke Management
- Emergency and Acute Care Studies
- Intensive Care Unit Cognitive Disorders
- Corneal surgery and disorders
- Botulinum Toxin and Related Neurological Disorders
- Ophthalmology and Visual Impairment Studies
- Multiple Sclerosis Research Studies
- Corneal Surgery and Treatments
- Healthcare Decision-Making and Restraints
- Palliative Care and End-of-Life Issues
- Gastroesophageal reflux and treatments
- Family and Patient Care in Intensive Care Units
- Infant Development and Preterm Care
- Shoulder Injury and Treatment
- Bariatric Surgery and Outcomes
- Poisoning and overdose treatments
- Elbow and Forearm Trauma Treatment
- Cardiac and Coronary Surgery Techniques
- Healthcare Systems and Practices
- Cardiovascular Function and Risk Factors
- Acute Kidney Injury Research
- Frailty in Older Adults
- Heart Failure Treatment and Management
- Ophthalmology and Visual Health Research
Resurrection Medical Center
2021
Holy Cross Hospital
2021
A. Alfred Taubman Health Care Center
2021
University of Michigan–Ann Arbor
2021
Michigan Medicine
2021
St. Michael's Hospital
2015-2020
Unity Health Toronto
2020
Ministry of Health and Long Term Care
2020
Kensington Health
2020
Hatch (Canada)
2020
The effect of a restrictive versus liberal red-cell transfusion strategy on clinical outcomes in patients undergoing cardiac surgery remains unclear.In this multicenter, open-label, noninferiority trial, we randomly assigned 5243 adults who had European System for Cardiac Operative Risk Evaluation (EuroSCORE) I 6 or more (on scale from 0 to 47, with higher scores indicating risk death after surgery) threshold (transfuse if hemoglobin level was <7.5 g per deciliter, starting induction...
To compare accelerated corneal crosslinking (CXL) alone, CXL with simultaneous intrastromal ring segments (CXL-ICRS), and topography-guided photorefractive keratectomy (CXL-TG-PRK) in progressive keratoconus, pellucid marginal degeneration (PMD), or laser situ keratomileusis (LASIK)-induced ectasia.The Kensington Eye Institute Bochner Institute, Toronto, Canada.Prospective nonrandomized interventional study.Visual topographical outcomes using a comparative analysis adjusting for preoperative...
Frequent users of hospital emergency departments (EDs) are a medically and socially vulnerable population. The Coordinated Access to Care from Hospital EDs (CATCH-ED) study examined the effectiveness brief case management intervention in reducing ED use improving health outcomes among frequent with mental or addiction challenges large urban centre. Adults (≥18 years age) who had five more visits past 12-months, at least one visit for addictions problems were randomized either (N = 83) usual...
Background Post-stroke Depression, Obstructive sleep apnea (OSA) and Cognitive impairment ("DOC") are associated with greater mortality, worse recovery poorer quality of life. Best practice recommendations endorse routine screening for each condition; yet, all under-assessed, diagnosed treated. We seek to determine the feasibility validity an integrated tool ("DOC" screen) identify stroke clinic patients at high-risk depression, OSA, cognitive impairment. Methods All consecutive new...
The Montreal Cognitive Assessment (MoCA) is used commonly to identify cognitive impairment (CI), but there are multiple published cut points for normal and abnormal. We seek validate a pragmatic approach screening moderate-severe CI, by classifying patients into high-, intermediate-, low-risk categories.A total of 390 participants attending an academic Stroke Prevention Clinic completed the MoCA more detailed neuropsychological testing. Between April 23, 2012 30, 2014, all consecutive new...
To assess the diagnostic accuracy of five vision screening tools used in a school setting using sensitivity, specificity, positive predictive value (PPV) and negative (NPV). We compared results best evidence-based available 2014 to comprehensive eye exam with cycloplegic refraction by licenced optometrist. Screening included Cambridge Crowded Acuity Cards, Plusoptix S12 Spot photoscreeners, Preschool Randot Stereoacuity Test Pediatric Vision Scanner (PVS). Referral criteria followed AAPOS...
It is unknown whether more frequent screening of invasively ventilated patients, identifies patients earlier for a spontaneous breathing trial, and shortens the duration ventilation. We assessed feasibility conducting large trial to evaluate frequency in critically ill adults North American context.We conducted two contemporaneous, multicenter, pilot, randomized controlled trials (the LibeRation from MEchanicaL VEntilAtion ScrEening Frequency [RELEASE] Screening Elderly PatieNts For...
Aim To investigate the efficacy of waiting room media for reducing anxiety and increasing satisfaction at a paediatric rehabilitation hospital. Method In this clustered, parallel, randomized controlled trial, 310 young people with disabilities (age range 5–19y) their parents attending outpatient clinics were assigned to interactive ( n =113), silent nature video =97), or media‐free comparison =100) groups. Young person parent was reported using State‐Trait Anxiety Inventory STAI ) on arrival...
OBJECTIVE: To determine whether body mass index (BMI) at diagnosis of pediatric-onset multiple sclerosis (MS) predicts disease activity, including annualized relapse rate (ARR) and new MRI lesions. BACKGROUND: Obesity in childhood adolescence has been shown to be a risk factor for developing MS, particularly amongst females. It is not known obesity modifies course established MS. Animal studies suggest an association between inflammation, with leptin promoting pro-inflammatory T cells...
Objective: To collect data on facilities and patient throughput in general ICUs throughout Yorkshire. Design: Prospective collection all admissions to 19 units over six months 1992. A questionnaire establish individual units. Participants: Eighteen of a possible Results: Nineteen Yorkshire had 90 staffed beds. In 18 admitted 3,185 patients. Many were potentially suitable for high-dependency unit (HDU) care as 36% categorised low nurse dependency 27% no significant therapeutic interventions....
<h3>Background</h3> While the concept of medication reconciliation seems relatively straightforward, implementing has proved to be complex and challenging. In our setting, a teaching hospital with 700 beds, it very hard perform extensive complete for every patient. <h3>Purpose</h3> The objectives this study were describe frequency type discrepancies (MD) during admission in cardiology, identify patients high risk unintended (UMD). <h3>Material methods</h3> Medication was conducted at...
Introduction: Despite the modest benefits of non-immersive virtual reality (VR) in small, single center studies, our largest trial (EVREST Muticentre) showed no significant difference motor recovery when VR was compared to an active control. More crucial is determine presence a treatment effect by evaluating respondents. Methods: Adults <3 months stroke with Chedoke-McMaster >3 were randomized receive using Nintendo Wii™ gaming system (VRWii) vs. recreational activities (playing cards,...
To describe features of NMOSD subjects in a multi-ethnic cohort with prolonged follow-up, including comparison 2006 vs. 2015 diagnostic criteria and predictors meeting both only criteria.
Fractures of the proximal ulnar shaft accompanied by dislocation radial head have been described as "Monteggia fracture-dislocations," since early nineteenth century. In 1967 Bado further classified these Monteggia fractures into four subtypes, based largely on direction (Bado, 1967). Despite being frequently discussed in literature, fracture dislocations are rare and represent only 0.7% elbow fracture-dislocations adults (Papaioannou et al., 2018). adults, type I lesions, where is displaced...