A5020725556- Opioid Use Disorder Treatment
- HIV, Drug Use, Sexual Risk
- Prenatal Substance Exposure Effects
- Sex work and related issues
- HIV/AIDS Research and Interventions
- Homelessness and Social Issues
- COVID-19 and Mental Health
- Pain Management and Opioid Use
- Health Systems, Economic Evaluations, Quality of Life
- Interprofessional Education and Collaboration
- Substance Abuse Treatment and Outcomes
- Maternal Mental Health During Pregnancy and Postpartum
- Evaluation and Performance Assessment
- Radiomics and Machine Learning in Medical Imaging
- COVID-19 diagnosis using AI
- Interdisciplinary Research and Collaboration
- Poisoning and overdose treatments
- Food Security and Health in Diverse Populations
- Telemedicine and Telehealth Implementation
- Delphi Technique in Research
- Breastfeeding Practices and Influences
- Geriatric Care and Nursing Homes
- Language Development and Disorders
- Patient-Provider Communication in Healthcare
- Artificial Intelligence in Healthcare and Education
Boston University
2019-2025
Boston Medical Center
2019-2025
McGill University Health Centre
2019-2021
Massachusetts General Hospital
2020
McGill University
2018-2019
University of British Columbia
2015-2016
Oxford Research Group
1977
Background: To reduce the spread of coronavirus disease 2019 (COVID-19), many substance use disorder treatment programs have transitioned to telemedicine. Emergency regulatory changes allow buprenorphine initiation without an in-person visit. We describe videoconferencing for combined with street outreach engage 2 patients experiencing homelessness severe opioid (OUD). Case Presentation: Patient 1 was a 30-year-old man OUD who had relapsed injection heroin/fentanyl after incarceration. A...
Background: The Academy of Breastfeeding Medicine (ABM) revised the 2015 version substance use disorder (SUD) clinical protocol to review evidence and provide updated literature-based recommendations related breastfeeding in setting SUD treatments. Key Information: Decisions around are an important aspect care during peripartum period, there specific benefits risks for substance-exposed mother–infant dyads. Recommendations: This provides nonprescribed opioid, stimulant, sedative-hypnotic,...
Background Multidisciplinary team (MDT) meetings have been endorsed by the Department of Health as core model for managing chronic diseases. However, evidence their effectiveness is mixed and degree to which they absorbed into clinical practice varies widely across conditions settings. We aimed identify key characteristics disease MDT that are associated with decision implementation, a measure effectiveness, derive set feasible modifications improve decision-making. Methods undertook...
Multidisciplinary team (MDT) meetings are assumed to produce better decisions and extensively used manage chronic disease in the National Health Service (NHS). However, evidence for their effectiveness is mixed. Our objective was investigate determinants of MDT by examining factors influencing implementation treatment plans. This a proxy measure effectiveness, because it lies on pathway improvements health, reflects decision making which has taken account clinical non-clinical information....
Due to social-structural marginalization, sex workers experience health inequities including a high prevalence of sexually transmitted and blood-borne infections, mental disorders, trauma, substance use, alongside multitude barriers HIV use services. Given limited evidence on workers' broader primary healthcare access, we aimed examine factors associated with care among over 7 years. Data were derived from An Evaluation Sex Workers Health Access (AESHA), community-based open prospective...
Infectious disease (ID) consultations have been shown to increase adherence guidelines and decrease mortality for patients with Staphylococcus aureus bacteremia (SAB). Here, we assessed the impact of a mandatory ID consultation policy SAB.We retrospectively reviewed all consecutive adult SAB at two tertiary care teaching hospitals in Hamilton, ON, Canada. Mandatory consults were implemented on January 1(st) 2012. We compared cases 2011 (control group) those 2012 (intervention group)....
Abstract Aims To explore how people who use fentanyl and health‐care providers engaged in responded to overdose risk communication interactions, these engagements responses might vary by age. Design A single‐site qualitative in‐depth interview study. Setting Boston, MA, United States. Participants The sample included 21 (10 women, 11 men) were either 18–25 or 35+, English‐speaking, reported illicit the last year 10 worked directly with (PWUF) clinical community settings. Measurements...
Multidisciplinary team (MDT) meetings are the core mechanism for delivering mental health care but it is unclear which models improve quality. The aim of study was to agree recommendations improving effectiveness adult MDT meetings, based on national guidance, research evidence and experiential insights from other medical specialties.We established an expert panel 16 professionals, policy-makers patient representatives. Five panellists had experience in a range services, five heart failure...
Women who engage in sex work and use drugs (WSWUD) experience disproportionate HIV risks. Substance treatment bridge clinics offer an opportunity to increase pre-exposure prophylaxis (PrEP) delivery WSWUD, but research on best practices is lacking. Therefore, we explored facilitators barriers PrEP across the care continuum these settings. Bridge clinic affiliated harm reduction health service providers WSWUD from Boston were recruited using passive active outreach between December 2021...
<title>Abstract</title> <bold>Background</bold>: Due to structural marginalization, sex workers experience health inequities including a high prevalence of sexually transmitted and blood-borne infections, mental disorders, trauma, substance use, alongside multitude barriers HIV use services. Given limited evidence on workers’ broader primary healthcare access, we aimed examine factors associated with care access among over 7-year period. <bold>Methods</bold> Data were derived from An...