A5101981497- Artificial Intelligence in Healthcare and Education
- Trauma Management and Diagnosis
- Shoulder Injury and Treatment
- Patient-Provider Communication in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Nerve Injury and Rehabilitation
- Reconstructive Surgery and Microvascular Techniques
- Shoulder and Clavicle Injuries
- Autoimmune Neurological Disorders and Treatments
- Inhalation and Respiratory Drug Delivery
- BRCA gene mutations in cancer
- Advances in Oncology and Radiotherapy
- Opioid Use Disorder Treatment
- Respiratory Support and Mechanisms
- Innovations in Medical Education
- Vascular Procedures and Complications
- Reconstructive Facial Surgery Techniques
- Thyroid Cancer Diagnosis and Treatment
- Clinical Reasoning and Diagnostic Skills
- Pharmacological Effects and Toxicity Studies
- Patient Satisfaction in Healthcare
- Thyroid and Parathyroid Surgery
- Aortic aneurysm repair treatments
- Chronic Disease Management Strategies
- Interprofessional Education and Collaboration
Dalhousie University
2015-2024
Government Medical College
2024
Pacific Dental College and Hospital
2023
Houston Methodist
2020
Health Sciences Centre
2020
Royal Hospital for Sick Children
2018
AGE Platform Europe
2018
European Health Management Association
2018
McGill University
2014
Integrated care programmes are increasingly being put in place to provide older people who live at home. Knowledge of how further develop integrated and transfer successful initiatives other contexts is still limited. Therefore, a cross-European research project, called Sustainable Tailored Care for Older People Europe (SUSTAIN), has been initiated with twofold objective: 1. collaborate local stakeholders support monitor improvements established multiple health social needs. Improvements...
Background Distant metastasis in thyroid cancer significantly reduces survival patients with well-differentiated carcinoma (WDTC). There is limited information available to clinicians regarding pathological features that confer a higher risk of distant (DM). This study aimed identify patient and tumor factors were associated the development DM over time WDTC. Methods A retrospective cohort analysis WDTC ( n = 584) at our institution was performed between 2007 2017. total 39 529 no (NDM)...
The mechanism by which drugs inhibit organic anion transporter 1 (OAT1) was examined. OAT1 stably expressed in Chinese hamster ovary (CHO) cells, and <i>para</i>-aminohippurate (PAH) 6-carboxyfluorescein were the substrates. Most compounds (10 of 14) inhibited competitively, increasing Michaelis constant (<i>K</i><sub>m</sub>) without affecting maximal transport rate (<i>J</i><sub>max</sub>). Others mixed-type (lowering <i>J</i><sub>max</sub> <i>K</i><sub>m</sub>) or noncompetitive only)...
This work explores the relationships between a user's choice of given contraceptive option and load steroidal estrogens that can be associated with choice. Family planning data for USA served as basis analysis. The results showed collectively use contraception in conservatively averts release approximately 4.8 tonnes estradiol equivalents to environment. 35% estrogenic released over course all experienced pregnancies events 34% represented by resultant legacies are result failure non-use...
Abstract Objective To identify barriers and facilitators to implementing shared decision making (SDM) in pediatric otolaryngology. Study Design A qualitative study. Setting Semistructured interviews of otolaryngologists. Methods The Theoretical Domains Framework (TDF) was used as a guide for data collection analysis consider capability, opportunity, motivation (COM‐B) factors. focal surgical procedures were tonsillectomy, adenoidectomy, tympanostomy tube placement. Deductive inductive coding...
Pancreatic adenocarcinoma is an aggressive malignancy with a high propensity to metastasize. Esophageal metastasis manifesting as dysphagia rarely reported in the literature and has not our knowledge been prior appearance of primary disease.A patient presented progressive solids persistent earache. Computed tomography neck chest revealed 3.0 cm × 1.8 heterogeneous mass originating from upper third esophagus, necrotic cervical supraclavicular lymphadenopathy, bilateral pulmonary nodules. She...
Background The submental island flap (SIF) is a reliable option for reconstructing defects in the facial region and offers several advantages when compared to free-flap alternatives. While reconstructive applications of SIF have been demonstrated lower face, there are limited reports on its utility as composite upper skeleton. To our knowledge, we report first cases (osteocutaneous) SIFs used reconstruction complex involving zygoma lateral orbit respectively. Case presentations Three...
Abstract Background: Tapentadol is a powerful opioid receptor agonist and norepinephrine reuptake inhibitor, making it centrally acting analgesic. In India, where the government trying to combat an ongoing crisis, lack of scheduling tapentadol creates easy opportunity for its misuse. We aim analyze demographic clinical characteristics heroin users who also abuse concurrently through our cross-sectional study done at drug-deaddiction center situated community SMHS Hospital, Srinagar, Kashmir....
This paper aims to investigate the healthcare utilization patterns and costs associated with low back pain (LBP) in United States. Using population-based data, study examines frequency of visits, diagnostic procedures, medication use, expenditures related LBP. The findings shed light on burden LBP provide insights into potential strategies for optimizing resource allocation cost-effective management LBP.Low is a prevalent condition States (US) has significant impact costs. examine...
Objective: Adhesive capsulitis, or frozen shoulder, is a condition characterized by shoulder pain and limited range of motion. Its cause pathophysiology are not well understood. The prevalence estimated to from 2% 5% in the general population, with higher incidence women individuals their fifth sixth decades life. optimal treatment approach for adhesive capsulitis currently unclear, although ROM exercises commonly prescribed. Scapular mobilization may enhance outcomes addressing scapular...
Abstract Objectives The current literature provides limited guidance on the management of positive margins (PMs) following transoral laser microsurgery (TLM) for glottic squamous cell carcinoma (SCC). Long‐term data exploring treatment PMs with both initial observation and re‐resection are limited. Our objective was to determine optimal PM patients TLM SCC. Methods Clinical information SCC prospectively collected at our institution from 2007 2018. We use a laryngeal template during where...
Aims & Objectives: Poor prescribing habits negatively impact on practice and often cause medication related adverse events. We demonstrated targeted intensive training for 'golden rules' enhance medical trainees' knowledge. This study aims to determine if enhancing knowledge also improve their practice. Methods A prospective was conducted over a 6 months period. 20 prescriptions are selected randomly investigations at the 3 periods (the baseline before delivering rules', 1 after training),...
Aims & Objectives: We aim to describe our paediatric critical care improvement research programme's ethos and its impact on clinical care. Methods An programme was setup in Edinburgh with an ultimate improve patient care, outcome, safety while appreciating excellence. A dynamic multi-disciplinary infrastructure established including frontline staff who are passionate improving formal academic support through local, national, international collaborations leading scientists data team better...
Aims & Objectives: Effective communication during multidisciplinary ward rounds in PICU is crucial but can be difficult. Checklists have been used clinical settings, including intensive care, to improve and mitigate risk. We sought introduce a round checklist our enhance nurse participation, ensure holistic discussion aid overall communication. Methods The mnemonic VALUED was developed: V-ventilation/endotracheal tube, A-analgesia/sedation, L-lines/fluids/feeds, U-ulcer prophylaxis,...
Aims & Objectives: Enhancing nursing staff's knowledge on medication they administer may help reduce drug errors. In a prior study, we demonstrated our nurses had limited low-molecular weight (LMW) heparin despite administering it in clinical practice. this aim to determine the impact of tailor-made targeted intensive training nurses' heparin. Methods A prospective interventional improvement research study was performed. baseline conducted over randomly selected 1-month period establish LMW...
Aims & Objectives: Medication prescribing related adverse events for both electronic and paper occurs more frequently when new medical trainees rotate into paediatric intensive care unit are often to poor habits,. We aim determine if targeted teaching can improve knowledge thereby reducing events. Methods A prospective study was conducted. pre-deigned questionnaire used evaluate participants' of 'golden rules practices' at the start a 6-month rotation as baseline. custom-made programme is...
e18089 Background: Paraneoplastic cerebellar syndrome is a rare immunological reaction caused most commonly by Anti-Yo or Purkinje cell cytoplasmic antibody type 1(PCA1) to degeneration protein 2(CDR2), found in the cerebellum and ectopically produced tumor. Most cases are reported women with HER2+ breast ovarian cancers underlying cancer patients having relatively better prognosis. Treatment initiation within one month of symptom onset has shown outcomes. Methods: A retrospective analysis...