- Obesity, Physical Activity, Diet
- Food Security and Health in Diverse Populations
- Nutritional Studies and Diet
- Family and Patient Care in Intensive Care Units
- Infant Development and Preterm Care
- Consumer Attitudes and Food Labeling
- Health disparities and outcomes
- Urban Transport and Accessibility
- Food Waste Reduction and Sustainability
- Nutrition, Genetics, and Disease
- Cannabis and Cannabinoid Research
- Gestational Diabetes Research and Management
- Pediatric Pain Management Techniques
- Breastfeeding Practices and Influences
- Birth, Development, and Health
- Maternal Mental Health During Pregnancy and Postpartum
- Municipal Solid Waste Management
- Emergency and Acute Care Studies
- Child and Adolescent Health
- Urban Agriculture and Sustainability
- Smoking Behavior and Cessation
- Obesity and Health Practices
- Prenatal Substance Exposure Effects
- Dietetics, Nutrition, and Education
- Eating Disorders and Behaviors
London Health Sciences Centre
2011-2025
Western University
2016-2025
Children’s Health Research Institute
2016-2025
Lawson Health Research Institute
2016-2025
UCL Australia
2018-2025
Food & Nutrition
2015-2025
University College London
2018-2025
Brescia University
2016-2025
Western University of Health Sciences
2015-2025
Environment and Climate Change Canada
2017-2022
Étant donné la complexité qui entoure les différentes interactions entre déterminants de santé et le défi que présente description adéquate des processus dynamiques par lesquels ont leurs effets, l'objectif cet article est fournir un aperçu conceptuel démontrera effets condition socio‐économique du désavantage cumulatif pour produire disparités à travers parcours vie. L'idée sous‐jacente notion inégalités d'origine augmenteront vie principalement en raison d'une exposition différentielle aux...
Objectives: To evaluate functional outcomes and predictors of an unfavorable outcome in children following a critical illness. Design: Prospective observational longitudinal cohort study. Setting: Two tertiary care, Canadian PICUs: McMaster Children’s Hospital London Health Sciences. Patients: Children 12 months to 17 years old, admitted PICU for at least 48 hours with one or more organ dysfunction, were eligible. Patients not expected survive, direct transfers from neonatal ICU patients...
An intervention, which used elements of the theory planned behavior, was developed and tested in a randomized control trial (RCT) involving households city London, Ontario, Canada. A bespoke methodology direct collection measurement food waste within curbside garbage samples ( n = 58) treatment 54) to evaluate effectiveness intervention. comparison before after intervention revealed that total decreased by 31% decrease significantly greater p .02) than for households. Similarly, avoidable...
Abstract To better understand food wasting behaviour, the theory of planned behaviour was used to inform development a survey which administered households in London, Ontario, Canada. Respondent (n = 1,263) threw out avoidable waste 4.77 times/week (SD 4.81, Mdn 4.0) and 5.89 portions/week 5.66, 4.0). When asked choose one three possible motivators reduce 58.9% selected reducing monetary loss as their first choice this significantly (p < 0.001) higher than both environmental impact...
This study assessed the strength of association between socioeconomic status (SES) and low birth weight (LBW) preterm (PTB) in Southwestern Ontario. Utilizing perinatal neonatal databases at London Health Science Centre, maternal postal codes were entered into a Geographic Information System to determine home neighbourhoods. Neighbourhoods defined by dissemination areas (DAs). Median household income for each DA was extracted from latest Canadian Census linked mother. All singleton infants...
Adverse birth outcomes are associated with infant morbidity and mortality an increased likelihood of type 2 diabetes, hypertension, cardiovascular disease in adulthood. Socio- economic status (SES) is one the most reliable predictors health disparities, although association between SES has been studied previously, this is, to our knowledge, first review that encompasses several dimensions their influence on a single article. Our indicates education, income, neighbourhood SES, occupation all...
Introduction Parental presence at the bedside during a stressful pediatric intensive care unit (PICU) admission may improve child comfort, reduce parental anxiety, and enable family engagement. We performed this study to identify factors that parents perceive impact their capability, opportunity, motivation be in PICU. Methods conducted qualitative descriptive using semi-structured interviews based on Theoretical Domains Framework (TDF). included of children admitted PICU for least 24 h IWK...
Time to symptom resolution, return school, and play after a sport-related concussion in children adolescents (8-17 years of age) was examined using retrospective cohort design. A total 198 patients aged 8 17 were included, with mean age 13.5 (SD = 2.2). Patients 12 symptom-free median 12.0 (range 1-60) days whereas 13- 17-year olds 14.0 1-300) ( P .04). returned learn 4.0 0-30) compared 2.5 0-55.0) 17-year-olds .86). 4-75) 19.5 5-75) .06). These results indicate that generally take 2 4 weeks...
This research examines geographical accessibility to primary care providers (PCPs) across urban and rural areas of Southwestern Ontario variations in the distribution PCPs relation senior population (aged 65 years older). Information about PCP practices was provided by HealthForceOntario Marketing Recruitment Agency. Population data were obtained from 2016 Census Canada. To calculate scores for (i.e., PCPs/10,000 population), we applied enhanced 2‐step floating catchment area method with...
To describe the changes that have occurred in mechanical ventilation children with acute lung injury our institution over last 10-15 yrs and to examine impact of these changes, particular delivered tidal volume on mortality.Retrospective study.University-affiliated children's hospital.The management between 1988 1992 (past group, n = 79) was compared 2000 2004 (recent 85).None.The past group patients were ventilated a significantly higher mean (10.2 +/- 1.7 vs. 8.1 1.4 mL.kg actual body...
Objective: To determine the indications and complications of external ventricular drain (EVD) placement in pediatric patients. Design: Retrospective chart review. Setting: University associated, tertiary–level Children's Hospital. Patients: Sixty-six [median age, 10.1 years (interquartile range, 5.9)] patients between 1994 2006 with 96 EVDs. Measurements Results: Clinical for EVD insertion include traumatic brain injury (TBI; 36%), acute hydrocephalus (35%), ventriculoperitoneal shunt...
There is little consensus on the amount of worldwide food waste generation because many current estimates are indirect and link back to same limited primary datasets, with much data originating from fieldwork undertaken in 1970s 1980s. Direct measurement streams, through composition studies, can be used develop accurate disposal. In Ontario, Canada, municipalities that undertake household studies all use a common direct methodology includes broad range categories, including waste. The...
Many Canadians experience unequal access to primary care services, despite living in a country with universal health system. Health inequalities affect all but have much stronger impact on the of vulnerable populations. are preventable differences status or distribution resources as experienced by A geospatial approach was applied examine how closely providers (PCPs) London, Ontario meet needs populations, including people low income status, seniors, lone parents, and linguistic minorities....
Adherence to nutritional guidelines for chronic disease prevention and management remains a challenge in clinical practice. Innovative strategies are needed help optimise dietary behaviour change.The objective of this study was determine if nutrigenomics-guided lifestyle intervention programme could be used motivate greater adherence change intake short-term, moderate-term long-term compared the gold-standard population-based weight (Group Lifestyle Balance (GLB)/Diabetes Prevention...