A5059162136- Palliative Care and End-of-Life Issues
- Child and Adolescent Psychosocial and Emotional Development
- Organ Donation and Transplantation
- Infant Development and Preterm Care
- Mobile Health and mHealth Applications
- Chronic Disease Management Strategies
- Grief, Bereavement, and Mental Health
- Patient Safety and Medication Errors
- Head and Neck Anomalies
- Cancer survivorship and care
- Pediatric Pain Management Techniques
- Simulation-Based Education in Healthcare
- Childhood Cancer Survivors' Quality of Life
- Asthma and respiratory diseases
- Infection Control and Ventilation
- Infection Control in Healthcare
- Primary Care and Health Outcomes
- Respiratory and Cough-Related Research
- Diabetes Management and Education
- Cancer Genomics and Diagnostics
- Web and Library Services
- Attention Deficit Hyperactivity Disorder
- Lung Cancer Treatments and Mutations
- Pediatric health and respiratory diseases
- Digital Mental Health Interventions
Kings Health Partners
2020-2024
McMaster University
2020-2023
Impact
2020-2023
Department of Health Research
2023
Health Sciences Centre
2017-2022
Manitoba Health
2022
HealthPartners
2019-2020
Vidant Health
2020
University of Mississippi Medical Center
2018
Jackson Memorial Hospital
2018
Objective. The prevalence of psychiatric disorder in children and adolescents with functional recurrent abdominal pain (RAP) is unknown. Our aim was to determine whether RAP associated symptoms disorders, anxious temperament, impairment pediatric primary care. Methods. Children who were 8 15 years age, inclusive, presented (N = 42) or for routine care the absence 38) identified by a screening procedure office waiting rooms recruited participate case-control study. Outcome measures diagnoses...
<h3>Objective</h3> To determine if mothers of youth with functional abdominal pain (FAP) experience more anxiety, depressive, and somatic symptoms disorders than unaffected children. <h3>Design</h3> Case-control study. <h3>Setting</h3> Four primary care pediatric practices in western Pennsylvania. <h3>Participants</h3> Mothers 8- to 15-year-old children adolescents presenting FAP (59 cases) or for routine the absence recurrent (76 controls). <h3>Outcome Measures</h3> Questionnaires blinded...
An accurate blood‐based RAS mutation assay to determine eligibility of metastatic colorectal cancer ( mCRC ) patients for anti‐ EGFR therapy would benefit clinical practice by better informing decisions administer treatment independent tissue availability. The objective this study was the level concordance between plasma and status in with gauge whether testing is a viable alternative standard‐of‐care tumor testing. performed on samples from newly diagnosed patients, or recurrent using...
Abstract Background In the UK, several initiatives have resulted in creation of local data warehouses electronic patient records. Originally developed for commissioning and direct care, they are potentially useful research, but little is known about them outside their home area. We describe one such warehouse, Whole Systems Integrated Care (WSIC) database NW London, its potential research as “Discover” platform. compare Discover with Clinical Practice Research Datalink (CPRD), a popular UK...
Chronic cough (CC) is a debilitating respiratory symptom, now increasingly recognised as discrete disease entity. This study evaluated the burden of CC in primary care setting.Cross-sectional, retrospective cohort study.Discover dataset from North West London, which links coded data and secondary care. The index date depicted persisting for ≥8 weeks was taken surrogate diagnosis.Data were extracted individuals aged ≥18 years with or remedy prescription, between Jan 2015 Sep 2019.Demographic...
Mycobacterium genavense infection was diagnosed in two adult ferrets. Disseminated mycobacteriosis a castrated 5-year-old sable ferret with generalised peripheral lymph node enlargement and proliferative lesion of the conjunctiva nictitating membrane. The diagnosis based on characteristic cytology sequence analysis 16S rRNA gene amplified using polymerase chain reaction from fresh biopsy material. Therapy rifampicin, clofazimine clarithromycin probably cured infection. An entire 4-year-old...
Melanoma patients with BRAF mutations respond to treatment vemurafenib, thus creating a need for accurate testing of mutation status. We carried out blinded study evaluate various methodologies in the clinical setting. Formalin-fixed, paraffin-embedded melanoma samples were macrodissected before screening using Sanger sequencing, single-strand conformation analysis (SSCA), high resolution melting (HRM) and competitive allele-specific TaqMan® PCR (CAST-PCR). Concordance 100% was observed...
Pediatric primary care offers an opportunity to not only identify children and adolescents with psychosocial problems but also assess treat their mental health issues. In this article, a program in which clinicians professionals partner provide services within the context of environment is discussed. The model as well roles providers involved collaborative service are described.
In many health care settings, nurses are challenged with higher acuity patients in technical and evolving environments. Practicing expected to adapt by independently acquiring new clinical knowledge through experience independent study. However, institutions have struggled providing quality patient supporting nurses' learning at the same time. High-fidelity simulation-based addresses this need no-risk experiential that expands skills without jeopardizing safety. There is limited literature...
Hospital admissions among people dying with dementia are common. It is not known whether identification of palliative care needs could help prevent unnecessary admissions.To examine the proportion identified as having in their last year life, and association between primary, community hospital services 90 days.Retrospective cohort study using Discover, an administrative clinical dataset from 365 primary practices London deterministic individual-level data linkage to records.People diagnosed...
There are a growing number of mHealth tools for breast cancer patients but lack scientific evidence their effects. Recent studies have shown mix positive and negative impacts on users. Here we will assess the impact OWise Breast Cancer, mobile application self-monitoring symptoms managing care, process self-management.
This is the first time deemed consent, where entire population of a jurisdiction considered to have consented for donation unless they registered otherwise, will be implemented in North America. While relatively common other regions world-notably Western Europe-it uncertain how this practice influence deceased practices and attitudes Canada.We describe Health Canada funded program research that evaluate implementation process full impact organ legislation health system transformation Nova...
Objective To examine the association between primary and community care use measures of acute hospital in people with cancer at end life. Design Retrospective cohort study. Setting We used Discover, a linked administrative clinical data set from general practices, records North West London (UK). Participants People registered diagnosis who died 2016 2019. Primary secondary outcome ≥3 admissions during last 90 days, ≥1 30 days emergency department (ED) visit 2 weeks Results Of 3581 people,...
This article demonstrates processes used by managers to identify learning needs including the attainment of competencies, self assessment and appraisal. Key methods are reviewed as author reflects on importance continuous professional development within her organisation.
The prevalence of type 2 diabetes in North West London (NWL) is relatively high compared to other parts the United Kingdom with outcomes suboptimal. This presents a need for more effective strategies identify people living who additional support. An emerging subset web-based interventions self-management and population management has used artificial intelligence machine learning models stratify risk complications from patients immediate In this study, two prototype prediction tools on MyWay...