A5013614833- Climate Change and Health Impacts
- Global Health Care Issues
- Dialysis and Renal Disease Management
- Climate Change and Geoengineering
- Healthcare cost, quality, practices
- Muscle and Compartmental Disorders
- Eating Disorders and Behaviors
- Healthcare and Environmental Waste Management
- Disaster Response and Management
- Immunodeficiency and Autoimmune Disorders
- Potassium and Related Disorders
- Neutrophil, Myeloperoxidase and Oxidative Mechanisms
- Erythropoietin and Anemia Treatment
- Amyloidosis: Diagnosis, Treatment, Outcomes
- Cardiovascular Syncope and Autonomic Disorders
- Travel-related health issues
- Birth, Development, and Health
- Renal Diseases and Glomerulopathies
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Air Quality and Health Impacts
- Organ Donation and Transplantation
- Health Systems, Economic Evaluations, Quality of Life
- Blood disorders and treatments
- Platelet Disorders and Treatments
- Global Healthcare and Medical Tourism
University of British Columbia
1999-2025
Royal Jubilee Hospital
2014-2024
Island Health
2014-2023
RELX Group (United States)
2023
St. Paul's Hospital
2005
Kidney Foundation of Canada
2003
University of Toronto
2000-2002
Toronto General Hospital
2002
St. Michael's Hospital
2000
Climate change is one of the greatest threats to human health in 21st century. The impacts climate contribute approximately 1 4 deaths worldwide. Health care itself responsible for 5% annual global greenhouse gas (GHG) emissions. Canada a recent signatory 26th United Nations Change Conference (COP26) agreement that committed developing low carbon and resilient systems. Kidney services have substantial environmental impact there opportunity kidney community align clinical care. We introduce...
Background: Natural, technological and other disasters cause significant human suffering, kidney patients are uniquely vulnerable. The safe provision of replacement therapies necessitates the consistent resources. Robust disaster risk reduction management (DRRM) can mitigate risks associated with resource disruption. Individual care programs may benefit from an organized approach to developing context-specific protocols. We aimed synthesize contemporary literature in create a roadmap DRRM....
Climate change impacts health and threatens the stability of care delivery systems, while healthcare is mobilizing to reduce its significant environmental impact.
Objective To determine the incidence and characteristics of chest pain in patients with anorexia nervosa. Method A cross-sectional survey 54 patients. history according to a diagnostic algorithm that was constructed from Medline search (1966–1996) used. Results Eighty-seven percent had experienced pain. The most common diagnosis idiopathic, occurring 38% participants. typical atypical angina 11% 9%, respectively. Increasing age, smoking history, family were more those or angina. Conclusions...
To alert clinicians to a serious complication from commonly prescribed medication, moxifloxacin.A 65-year-old male, septic, hemodialysis patient developed thrombocytopenia following exposure vancomycin, ceftazidime, and moxifloxacin. Drug-specific immunoglobulin testing showed positive autoantibodies against only moxifloxacin, the probability stratification proposed by Naranjo et al would give this case score of 7-a probable association between moxifloxacin adverse event.Idiopathic...
Type I membranoproliferative glomerulonephritis (MPGN) is an uncommon manifestation of human immunodeficiency virus (HIV)-associated renal disease in patients co-infected with hepatitis C (HCV). We describe a case MPGN HIV-positive diabetic man nephrotic-range proteinuria and insufficiency who was not HCV. Tubuloreticular inclusions were present but there no evidence for either cryoglobulinemia or cryoglobulin deposits the kidney. This finding suggests that may represent reaction kidney to...
This article reports the case of a 33-year-old woman with common variable immunodeficiency (CVI) who developed renal failure 17 years after diagnosis and initiation treatment monthly IVIG. A biopsy revealed mesangial paramesangial immune complex deposition interstitial granulomatous infiltration. Renal function improved oral corticosteroids, but did not return to normal. Decreasing dose IVIG had no effect on function. Immune dysfunction can be associated both disease glomerulonephritis, or...
Abstract Background and Aims Despite being energy resource-intensive, hemodialysis (HD) is the most common therapy for end stage kidney disease. Considering extensive amount of energy, water, consumables involved, this modality expected to have a significant environmental impact. Through comparative lifecycle assessment (LCA), study aims analyze impacts in British Columbia, Canada. Method A process-based life cycle was performed three modalities: i) in-centre HD (ICHD), ii) home with NxStage...
Hemodialysis (HD) is an environmentally intensive kidney replacement therapy, with 3960kg CO2 yearly greenhouse gas emissions per patient in British Columbia (BC). Patient transportation to in-centre (IC) and satellite units significant; Australian American programs describe 5.8% 28.3% respectively of total dialysis from travel alone. Our project aims: i)To quantify provincial driving distances associated for therapies treatment year ii)To compare IC vs.
Automated peritoneal dialysis (APD) has considerably lower environmental impact than hemodialysis. Continuous ambulatory (CAPD) is less costly APD, and more resilient to energy disruptions that may occur in low resource settings or climate vulnerable regions. Incremental PD prescriptions are increasing prevalence. Comparative therapies prescriptions' performance not previously described. Lifecycle assessment (LCA) methodology quantifies a broad range of impacts products, processes, services...