A5069810348- Tracheal and airway disorders
- Emergency and Acute Care Studies
- Viral Infections and Outbreaks Research
- Vascular Anomalies and Treatments
- Vaccine Coverage and Hesitancy
- Ear Surgery and Otitis Media
- Head and Neck Surgical Oncology
- Geriatric Care and Nursing Homes
- HIV, Drug Use, Sexual Risk
- Chronic Disease Management Strategies
- Voice and Speech Disorders
- Tumors and Oncological Cases
- Otitis Media and Relapsing Polychondritis
- Hepatitis B Virus Studies
- Healthcare Systems and Technology
- Sinusitis and nasal conditions
- Primary Care and Health Outcomes
- Global Health Workforce Issues
- Dental Anxiety and Anesthesia Techniques
- Child Nutrition and Water Access
- Liver Disease Diagnosis and Treatment
- Trigeminal Neuralgia and Treatments
- Patient Satisfaction in Healthcare
- Agricultural risk and resilience
- Hospital Admissions and Outcomes
University of Calgary
2024-2025
Manitoba Health
2021-2024
University of Manitoba
2021-2024
University College London
2005-2021
Federal Ministry of Health
2021
SickKids Foundation
2021
Hospital for Sick Children
2021
University of Toronto
2021
Great Ormond Street Hospital
2005-2021
St George's Hospital
2021
There were large disruptions to health care services after the onset of COVID-19 pandemic. We sought describe extent which pandemic-related changes in service delivery and access affected use primary for children overall by equity strata 9 months pandemic Manitoba Ontario.We performed a population-based study aged 17 years or less with provincial insurance Ontario before during (Jan. 1, 2017-Nov. 28, 2020). calculated weekly rates in-person virtual well-child sick visits, age group,...
Background: Understanding the impact of wider access to treatment on chronic hepatitis C (CHC) prevalence and undiagnosed CHC proportion is important achieving World Health Organization's 2030 elimination targets. This research aimed to: (1) estimate rates in Alberta, Canada; (2) explore new direct-acting antiviral therapy these since its introduction 2014. Methods: study adopted a two-step approach rates. involved population-based retrospective analysis health administrative data for...
To investigate the previously documented inverse association between ambient temperature and presentation rates for patients with epistaxis seasonal variation of emergency epistaxis.A retrospective analysis all consecutive presenting to hospital from community over a five-year period, 1997-2002 (1830 days), including those who required admission same period. Patients in whom there was clear aetiology (traumatic, recurrent, iatrogenic, coagulopathic hypertensive) were excluded.A tertiary...
Background Differential access to healthcare has contributed a higher burden of illness and mortality among First Nations compared other people in Canada. Throughout the Coronavirus Disease 2019 (COVID-19) pandemic, organizations Manitoba partnered with public health government officials ensure had early, equitable culturally safe COVID-19 diagnostic testing vaccination. In this study, we examined whether prioritizing for vaccination was associated faster uptake vaccines versus All Other...
The suitability of performing laser inferior turbinectomy under local anaesthesia in an out-patient setting was assessed, regarding its effectiveness and patients' toleration the procedure. Prospective data collection undertaken from 129 patients undergoing over four years. Patients were pre-operatively, operatively at two weeks three months post-operatively, for pain, complications symptoms, using sino-nasal assessment questionnaire. All had hypertrophied turbinates. Ninety-eight complained...
Abstract Objective We aimed to estimate the changes delivery of routine immunizations and well-child visits through pandemic. Methods Using linked administrative health data in Ontario Manitoba, Canada (1 September 2016 30 2021), infants <12 months old (N=291,917 Ontario, N=33,994 Manitoba) children between 12 24 (N=293,523 N=33,001 exposed unexposed COVID-19 pandemic were compared on rates receipt recommended a) vaccinations b) after adjusting for sociodemographic measures. In captured...
Abstract Objective: Airway compromise due to paediatric intubation injuries is well documented; however, may also cause severe voice disorders. We report our experience and review the world literature on effects of traumatic intubation. Case series: five cases children referred Great Ormond Street Hospital for Children who suffered avulsion vocal fold at time of, or secondary to, endotracheal All had significant dysphonia underwent specialist therapy. Conclusions: The mechanisms injury, risk...
Canadian health data repositories link datasets at the provincial level, based on their residents' registrations to insurance plans. Linking national with care registries poses several challenges that may result in misclassification and impact estimation of linkage rates. A recent a federal immigration database province Manitoba illustrates these challenges.a) To describe Immigration, Refugees Citizenship Canada Permanent Resident (IRCC-PR) healthcare registry b) compare methods rates...
This study was devised to determine the proportion of patients with epistaxis seen in accident and emergency (A&E) departments discharged verbal/written advice, examine if this information affects re-attendance rates. A questionnaire given all A&E doctors probing their current practice regarding advice on discharge. The complemented a case note audit by over 2 month period, which assessed content format number re-attendances. standard used stated that from should be both verbal written...
Abstract Background The Bonebridge is an active transcutaneous bone conduction implant recommended as a surgical option for adults and children (aged 5–18 years). Successful implantation of the often restricted by insufficient amount temporal to house transducer in paediatric patient. Method results In this unique case, bilateral devices were implanted simultaneously right sinodural angle left middle cranial fossa. Conclusion simultaneous was well tolerated patient, with significant...
Chaperones are used in order to avoid misunderstandings that can lead false accusations. Consultations and examinations may be a minefield especially if the doctors accused of sexual misconduct. The allegations have irreparable effects on their reputation removal from medical register criminal charges being brought. We present results questionnaire 85 patients, exploring patient experience ENT out-patients particularly with respect examination ear under microscope. This procedure...
Abstract Background: Many outcome measures exist for rhinosinusitis. However, few are used in the clinical setting due to their long completion times. Objective: To assess validity, reliability and responsiveness of rhinogram, compared with two validated rhinosinusitis measures: Sino-Nasal Outcome Test-20 Heath-Related Quality Life questionnaire. Methods: Fifty-one patients were entered into a prospective, comparative, cohort study using all three one week pre-operatively months...
The effect of pre-clinic consultant-led interactive case note discussion on the follow-up rate an otology outpatient clinic was assessed. divided into two groups. In one group, all cases were delegated by consultant at beginning without discussion. other before start clinic, team reviewed notes and formed a management plan for each patient. Overall, lower rates observed in which discussed prior to (53.2-45.7%; p = 0.02). This found doctor grades, although statistically significant only...