- Health Systems, Economic Evaluations, Quality of Life
- Global Health and Surgery
- Health disparities and outcomes
- Global Health Workforce Issues
- Mobile Health and mHealth Applications
- Digital Mental Health Interventions
- Social Media in Health Education
- Global Public Health Policies and Epidemiology
- Urban Transport and Accessibility
- Traffic and Road Safety
- Parkinson's Disease Mechanisms and Treatments
- Human Rights and Development
- Sleep and Wakefulness Research
- Migration, Health and Trauma
- Sleep and related disorders
- Infection Control in Healthcare
- Primary Care and Health Outcomes
- Epilepsy research and treatment
- Global Maternal and Child Health
- Public Health Policies and Education
- Climate Change Communication and Perception
- Burn Injury Management and Outcomes
- Interpreting and Communication in Healthcare
- Dementia and Cognitive Impairment Research
- Dermatological diseases and infestations
Bruyère
2015-2024
University of Ottawa
1984-2024
Johns Hopkins Medicine
1993-2022
Johns Hopkins University
1993-2022
Impact
2022
Memorial University of Newfoundland
2013
Canadian Society for International Health
2005-2011
Ministry of Health
2010
University College London
1982
National Hospital for Neurology and Neurosurgery
1982
The main disabling symptom of narcolepsy-cataplexy is shown to be the unrelenting excessive daytime sleepiness (EDS) based upon controlled studies socioeconomic effects and poor response treatment. Objective performance deficits mainly involve tests ability sustain on repetitive boring tasks are reversible by improved alertness. Physiologically, EDS seen represent relatively slow waxing waning alertness rather than punctate microsleeps. Evidence provided for complex cerebral evoked...
BACKGROUND: Global health research is essential for development. A major issue the inequitable distribution of efforts and funds directed towards populations suffering world's greatest problems. This imbalance fostering attempts at redirecting to problems low middle income countries. Following creation Coalition Health Research - Canada (CGHRC) in 2001, Canadian Society International (CSIH) decided review role non-governmental organizations (NGOs) global research. paper highlights some...
Summary: A questionnaire survey compared the psychosocial effects of epilepsy in 60 patients without major organic pathology (selected cases with temporal lobe or primary generalized epilepsy) those matched (duration illness, sex) narcolepsy/cataplexy and age‐ sex‐matched controls. Comparing epileptic controls, we confirmed well‐documented marked deleterious upon work, education, occupational household accidents, recreation, personality, interpersonal relations, other parameters. Comparisons...
Six patients with hypergraphia and epilepsy are presented their clinical features compared other reported in the literature. It is suggested that occurs more frequently right-sided non-dominant temporal lobe lesions, contrast for example to schizophreniform presentation of left-sided lesions. Other psychopathology possibly associated including elation, hypereligiosity déjà vu experiences, also discussed.
To test a new approach to characterise accessibility tertiary care emergency health services in urban Cali and assess the links between sociodemographic factors relevant equity.The impact of traffic congestion on departments was studied with an equity perspective, using web-based digital platform that integrated publicly available data, including characteristics population places residence travel times.Cali, Colombia (population 2.258 million 2020) geographic data. The study used predicted...
Abstract In this study, we evaluated and forecasted the cumulative opportunities for residents to access radiotherapy services in Cali, Colombia, while accounting traffic congestion, using a new people-centred methodology with an equity focus. Furthermore, identified 1–2 optimal locations where would maximise accessibility. We utilised open data publicly available big data. Cali is one of South America's cities most impacted by congestion. Methodology: Using approach, tested web-based...
We live in a so-called risk society. The renowned sociologist and social thinker Ulrich Beck defines society as an inescapable structural condition of advanced industrialisation.1Beck U Risk society: towards new modernity. Sage, London1992Google Scholar No doubt, industrialisation has transformed economies across the world, but it also altered balance ecosystem.2Landrigan PJ Fuller R Acosta NJR et al.The Lancet Commission on pollution health.Lancet. 2018; 391: 462-512Summary Full Text PDF...
Human resources for health are in crisis worldwide, especially economically disadvantaged areas and with high rates of HIV/AIDS both workers patients. International organizations such as the Global Health Workforce Alliance have been established to address this crisis. A technical working group within developed recommendations scaling up education training workers. The paper will illustrate how decision-makers can use evidence tools from an equity-oriented toolkit scale workers, following...
In 2010, there were 214 million international migrants worldwide, a number that is projected to double by 2050. (1) Migrants' motives for leaving their countries of origin include employment and education opportunities, escape from conflict discrimination the desire raise families in economically politically stable environments. New are often healthier than general population on arrival, but health may deteriorate after settlement, (2) due unfamiliar social conditions, infectious diseases,...
Abstract Background People with Parkinson's disease (PD) have an increased risk of dementia, yet patients and clinicians frequently avoid talking about it due to associated stigma, the perception that “nothing can be done it”. However, open conversations PD dementia may allow people condition access treatment support, increase participation in research aimed at understanding dementia. Objectives To co‐produce information resources for healthcare professionals improve Methods We worked PD,...
<ns4:p><ns4:bold>Background: </ns4:bold>The mitigation of unfair and avoidable differences in health is an increasing global priority. Observational studies including cohort, cross-sectional case-control tend to report social determinants which could inform evidence syntheses on equity justice. However, the extent reporting analysis equity-relevant observational unknown.</ns4:p><ns4:p> <ns4:bold>Methods: </ns4:bold>We define outcomes for populations at risk experiencing inequities as...
Health determinants and how they are distributed have an important impact on health systems around the world. Nurses can play a significant role in mediating effects of many these both inside care system outside. Yet areas that greatest inequities heaviest disease burdens fewest workers. A number efforts underway to understand manage worker migration. Intersectoral collaboration is key, as other factors necessary build strong systems, including research for development, capacity-building,...
Cameroon still has relatively high maternal mortality rate (MMR) of 596/100,000 live births. Approximately 40% births are unattended by skilled healthcare personnel with out-of-pocket expenditures. Poor resource allocation, poorly functioning referral systems, long trekking distances to health facilities, all which lead low rates use services.The aim this pilot study is explore perception and acceptability mobile (mhealth) e-voucher determine the feasibility conducting a large cluster...
BACKGROUND/AIMS/OBJECTIVES: The media are an important source of health information, especially for those with less access to regular care. Black news outlets such as newspapers a information African Americans. This study characterized coverage genetics-related in weekly and general audience from the same communities.All stories sample 24 12 January 2004 December 2007 were reviewed stories. These further coded both journalistic public variables.Of all health-related identified, only 2% (n =...
The process of technology assessment is evolving. policy development for the least understood in cycle assessment. development, which should involve extensive consultation and a broad-based research evaluation program, often fraught with difficulties can cause further analysis or to come grinding halt. This article reviews some social, political, ethical issues role civil society influencing new reproductive technologies Canada. It written from perspective one Deputy Directors Research...