A5046882349- Trauma and Emergency Care Studies
- Injury Epidemiology and Prevention
- Intestinal Malrotation and Obstruction Disorders
- Emergency and Acute Care Studies
- Abdominal Trauma and Injuries
- Trauma Management and Diagnosis
- Hernia repair and management
- Traffic and Road Safety
- Gastrointestinal disorders and treatments
- Cardiac Arrest and Resuscitation
- Appendicitis Diagnosis and Management
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Pleural and Pulmonary Diseases
- Family and Patient Care in Intensive Care Units
- Congenital Anomalies and Fetal Surgery
- Pediatric Hepatobiliary Diseases and Treatments
- Automotive and Human Injury Biomechanics
- Gallbladder and Bile Duct Disorders
- Clinical Nutrition and Gastroenterology
- Pancreatitis Pathology and Treatment
- Smoking Behavior and Cessation
- Genetic and Kidney Cyst Diseases
- Adolescent and Pediatric Healthcare
- Gastrointestinal motility and disorders
- Pneumothorax, Barotrauma, Emphysema
Western University
2013-2025
London Health Sciences Centre
2013-2023
Merritt College
2018
Atrium Health Wake Forest Baptist
2018
Children’s Health Research Institute
2015-2017
Western University of Health Sciences
2014-2016
Seabrook
2015
Brescia University
2015
Food & Nutrition
2015
Bridge University
2015
Abstract Background and Objectives Malignant mesothelioma is a lethal disease. Aggressive multimodality treatment protocols are reportedly associated with improved survival, but the apparent survival benefits may simply reflect patient selection variable natural history of this malignancy. Before embarking on our own protocol experimental for mesothelioma, we sought to identify important prognostic factors document patients treated conservatively (with palliative intent only) in region....
Pediatric trauma remains a leading cause of morbidity and mortality, with the transition from hospital to home posing significant challenges for families. SafeJourney, digital companion, addresses these gaps by empowering families coordinating care during critical post-discharge period. Developed input diverse stakeholders, SafeJourney integrates tools such as virtual dashboards, symptom tracking, educational resources, telehealth integration. This innovative tool demonstrates potential...
Importance Despite the unique physiological characteristics and health care needs of pediatric trauma patients, there is a lack quality indicators (QIs) based on pediatric-specific evidence to support improvement in this population. Objective To develop consensus-based set QIs for acute that considers effectiveness, safety, cost-effectiveness, equity, caregiver perspectives applicable nonpediatric centers. Design, Setting, Participants A modified Research Development (RAND)/University...
Pilonidal disease is a chronic, acquired inflammatory process of the skin due to entrapped hair at natal cleft. Reported recurrence rates are as high 30%, and has been attributed persistent near surgical site. Although conservative measures, such meticulous control improved perineal hygiene, have shown be effective, these techniques typically require much effort on behalf patient. Laser epilation (LE) might solve this issue poor patient compliance while helping patients avoid excision. In...
ABSTRACT Beckwith-Wiedemann syndrome (BWS) is an imprinting disorder characterized by overgrowth, congenital malformation, and tumor predisposition. Children with BWS have a higher incidence of tumors, commonly intra-abdominal tumors such as Wilms tumor, hepatoblastoma, adrenal cortical carcinoma. Here, we describe the first case rare hepatic malignancy nested stromal epithelial (NSET) liver in child BWS. A 22-month old girl had new incidental mass. Her alpha-fetoprotein levels were normal....
<h3>Background:</h3> This study describes our experience with the placement of a skin-level gastrostomy device (MIC-KEY) in single procedure. <h3>Methods:</h3> We identified infants, children and young adults who underwent laparoscopic-assisted percutaneous endoscopic (LAPEG) tube insertion between October 2009 June 2013. The steps this procedure include upper endoscopy, single-port laparoscopy, gastropexy via T-fasteners using "push" technique tear-away sheath. <h3>Results:</h3> included 92...
There is ongoing variation in the use of video-assisted thoracoscopic surgery (VATS) and chest tube with fibrinolytics (CTWF) for empyema children. Our objective was to report outcomes from a centre that recently made transition VATS CTWF as primary treatment modality. We conducted historical cohort study children treated either (between 2005 2009) or 2009 2013). Sixty-seven underwent pleural drainage during period: 28 (42%) were VATS, 39 (58%) CTWF. no significant differences between groups...
The London Health Sciences Centre Home Safety Program (HSP) provides safety devices, education, a video, and home checklist to all first-time parents for the reduction of childhood injuries. objective this study was evaluate HSP prevention injuries in children up 2 years age.A program evaluation performed with follow-up survey, along an interrupted time series analysis emergency department (ED) visits 5 before (2007-2013) after (2013-2015) implementation. Spatial ED undertaken assess...
Trichobezoar is a mass of hair retained in the stomach, usually associated with trichotillomania. Large trichobezoars may extend into small bowel and cause obstruction, condition known as Rapunzel syndrome. Here we report, to our knowledge, youngest North American case syndrome causing intussusception male patient.
<h3>Background:</h3> Given that the management of severely injured children requires coordinated care provided by multiple pediatric surgical subspecialties, we sought to describe frequency and associated costs intervention among trauma patients admitted a level 1 centre in southwestern Ontario. <h3>Methods:</h3> All (age < 18 yr) treated at Children's Hospital — London Health Sciences Centre (CH-LHSC) between 2002 2013 were included this study. We compared undergoing with nonsurgical...
Ectopic ACTH syndrome is a rare but important cause of pediatric Cushing syndrome, for which management by multidisciplinary team required. Although diagnostic evaluation similar to that in adults, the variation epidemiology may sway investigations, leading inappropriate and/or incomplete interventions. We present case 15-year-old girl with symptoms severe ACTH-dependent and two pituitary adenomas. The ectopic source production was confirmed after petrosal venous sampling performed....
Cell phone use while driving (CPWD) increases the risk of crashing and is a major contributor to injuries deaths. The objective this study was describe evaluation multifaceted, evidence-based population health strategy for reduction distracted driving.A multipronged campaign undertaken from 2014 2016 16- 44-year-olds, based on epidemiology, focused personal stories consequences, using "Es" injury prevention (epidemiology, education, environment, enforcement, evaluation). Education consisted...
We report a case of child with right ventricular inflammatory myofibroblastic tumor (IMT) who presented fever, viral symptoms, and abdominal discomfort. Including this case, 49 intracardiac tumors have been previously reported in all age groups. The majority IMTs occur pediatric patients, approximately half presenting children aged &lt;12 months. Intracardiac are generally described as benign tumors; however, depending on their location, the initial presentation may involve heart failure...