A5015520597- Climate Change and Health Impacts
- Inflammatory Bowel Disease
- Colorectal Cancer Screening and Detection
- Microscopic Colitis
- Healthcare cost, quality, practices
- Gastric Cancer Management and Outcomes
- Genetic factors in colorectal cancer
- Helicobacter pylori-related gastroenterology studies
- Eosinophilic Esophagitis
- Amyotrophic Lateral Sclerosis Research
- Healthcare Policy and Management
- Health and Medical Research Impacts
- Pregnancy and Medication Impact
- Esophageal and GI Pathology
- Primary Care and Health Outcomes
- Autoimmune and Inflammatory Disorders
- Health Systems, Economic Evaluations, Quality of Life
- Neurogenetic and Muscular Disorders Research
- Diagnosis and treatment of tuberculosis
- Global Health Workforce Issues
- Healthcare and Environmental Waste Management
- History of Medical Practice
- Agriculture Sustainability and Environmental Impact
- Syphilis Diagnosis and Treatment
- Abdominal vascular conditions and treatments
Dalhousie University
2014-2025
Victoria General Hospital
1992-2024
Rutgers, The State University of New Jersey
2024
Johnson University
2024
Emory University
2024
University of Limerick
2018-2023
Université Laval
2020
McMaster University
2020
Health Sciences Centre
1989-2020
Sunnybrook Health Science Centre
2020
Background & AimsInflammatory bowel diseases (IBDs) exist worldwide, with high prevalence in North America. IBD is complex and costly, its increasing places a greater stress on health care systems. We aimed to determine the past current, future prevalences of Canada.MethodsWe performed retrospective cohort study using population-based administrative data from Alberta (2002–2015), British Columbia (1997–2014), Manitoba (1990–2013), Nova Scotia (1996–2009), Ontario (1999–2014), Quebec...
The incidence of pediatric-onset inflammatory bowel disease (IBD) is increasing worldwide. We used population-based health administrative data to determine national Canadian IBD incidence, prevalence, and trends over time childhood-onset IBD.We identified children <16 years (y) diagnosed with 1999-2010 from in five provinces (Alberta, Manitoba, Nova Scotia, Ontario, Quebec), comprising 79.2% the population. Standardized prevalence were calculated per 100,000 children. Annual percentage...
To determine the association between inflammatory bowel disease (IBD) and rural/urban household at time of diagnosis, or within first 5 years (y) life.Population-based cohorts residents four Canadian provinces were created using health administrative data. Rural/urban status was derived from postal codes based on population density distance to metropolitan areas. Validated algorithms identified all incident IBD cases data (Alberta: 1999-2008, Manitoba Ontario: 1999-2010, Nova Scotia:...
KEY POINTS Amyotrophic lateral sclerosis (ALS) is a debilitating, progressive disease with degeneration of motor neurons in the brain and spinal cord causing weakness, muscle atrophy, fasciculations spasticity.[1][1] Onset limbs, extremity weakness impairment mobility,
Colorectal cancer is the third most prevalent affecting both men and women in Canada. Many of these cancers are preventable, Canadian Association Gastroenterology (CAG) Digestive Health Foundation (CDHF) strongly support establishment screening programs for colorectal cancer. These guidelines discuss a number options, listing advantages disadvantages each. Ultimately, test that used should be determined by patient preference, current evidence local resources.
The Canadian Association of Gastroenterology and the Digestive Health Foundation published guidelines on colon cancer screening in 2004. Subsequent to publication these guidelines, many advances have occurred, thereby necessitating a review existing context new technologies clinical knowledge. assembled guideline panel recognized three recent American sets identified seven issues that required comment from perspective. These included, among others, role program-based screening, flexible...
Background and aims: Canada's large geographic area low population density pose challenges in access to specialized health care for remote rural residents. We compared services use, surgical rate, specialist gastroenterologist urban inflammatory bowel disease (IBD) patients Canada. Methods: used validated algorithms that were applied population-based administrative data identify all people living with the following three Canadian provinces: Alberta, Manitoba, Ontario (ON). residents time...
Nova Scotia has one of the highest incidences inflammatory bowel disease (IBD) in world. We wished to determine trends IBD over time. All Provincial residents have government provided health insurance and all interactions with hospital, physician billing systems, are captured on an administrative database. used a validated measure define incident cases Crohn's (CD), ulcerative colitis (UC) undifferentiated (IBDU). Incidence rates these diseases for years 1996–2009 were calculated. Over study...
Climate change has been described as the biggest global health threat of 21st century1 and significant implications for gastrointestinal (GI) disease,2 which is focus this consensus commentary provided by World Gastroenterology Organisation (WGO) Change Working Group (CCWG). The CCWG members from 18 countries representing high-income, medium-income low-income populations. WGO includes gastroenterology societies 108 countries, represent more than 60 000 medical practitioner members. members,...
Periodically surveying wait times for specialist health services in Canada captures current data and enables comparisons with previous surveys to identify changes over time.During one week April 2012, Canadian gastroenterologists were asked complete a questionnaire (online or by fax) recording demographics, reason referral, dates of referral visits at least 10 consecutive new patients (five consultations five procedures) who had not been seen previously the same indication. Wait determined...
BACKGROUND: Monitoring wait times and defining targets for care have been advocated to improve health delivery related cancer, heart, diagnostic imaging, joint replacements sight restoration. There are few data on access digestive diseases, although they pose a greater economic burden than cancer or heart disease in Canada. The present study compared specialist gastroenterology with recent, evidence-based, consensus-defined benchmark range of diseases. METHODS: Total from primary referral...
Canadian wait time data are available for the treatment of cancer and heart disease, as well joint replacement, cataract surgery diagnostic imaging procedures. Wait times gastroenterology consultation procedures have not been studied, although digestive diseases pose a greater economic burden in Canada than or disease.Specialist physicians completed practice audit if they provided health care, accepted new patients recorded referral dates. For seen investigation over one-week period,...
BACKGROUND: Differences between American (United States [US]) and European guidelines for colonoscopy surveillance may create confusion the practicing clinician. Under- or overutilization of can impact patient care. METHODS: The Canadian Association Gastroenterology (CAG) convened a working group (CAG-WG) to review available provide unified guidance clinicians regarding appropriate follow-up colorectal cancer (CRC) after index colonoscopy. A literature search was conducted relevant data that...
Levels of endoscopic demand and capacity in West Africa are unclear.This paper aims to: 1. describe the current labor capacity, 2. quantify impact a mixed-methods endoscopy course on healthcare professionals Africa, 3. types diagnoses encountered.In three-day course, were surveyed resources taught through active observation live cases, case discussion, simulator experience didactics. Before after didactics, multiple-choice exams as well questionnaires administered to assess for efficacy....
The earth’s atmosphere has warmed by about 1°C compared with preindustrial temperature. This is producing changes in the climate and weather which have implications for gastrointestinal health disease. Climate change will exacerbate current challenges regard to provision of adequate nutrition access clean water. An increase high rainfall events, flooding droughts be associated an enteric infections hepatitis. Changes habitat may result altered distribution illness such as Vibrio cholera....