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https://www.readbyqxmd.com/read/29684166/development-and-evaluation-of-the-boston-university-osteoarthritis-functional-pain-short-form-bu-oa-fps
#1
Adam P Goode, Pengshend Ni, Alan Jette, G Kelley Fitzgerald
Background: Pragmatic studies have gained popularity, thus emphasizing the need for patient-reported outcomes (PRO) to be integrated into electronic health records. Objective: This study describes the development of a customized short form from the Boston University Osteoarthritis Functional Assessment PRO (BU-OA-PRO) for a specific pragmatic clinical trial. Methods: A Functional Pain Short Form was created from an existing item bank of deidentified data in the BU-OA-PRO...
April 19, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29681500/moving-toward-uniform-and-evidence-based-practice-of-radiotherapy-for-management-of-cervical-cancer-in-ontario-canada
#2
Negin Shahid, Timothy Craig, Mary Westerland, Allison Ashworth, Michelle Ang, David D'Souza, Raxa Sankreacha, Anthony Fyles, Michael Milosevic, Iwa Kong
PURPOSE: To recognize the practice of radiotherapy for management of cervical cancer in Ontario, Canada, and to use the results of the survey to harmonize and standardize practice across the province. METHODS AND MATERIALS: An electronic survey (SurveyMonkey) was sent to all 14 provincial cancer centers by Cancer Care Ontario Gynecology Community of Practice (CoP) in 2013. The survey included 72 questions in four different categories: general/demographic, pretreatment assessment, external beam radiotherapy (EBRT), and brachytherapy (BT)...
April 19, 2018: Brachytherapy
https://www.readbyqxmd.com/read/29679772/efficacy-of-cidofovir-in-treatment-of-bk-virus-induced-hemorrhagic-cystitis-in-post-allogeneic-hematopoietic-cell-transplant-recipients
#3
Eric A Coomes, Amanda Jacques Wolfe, Fotios V Michelis, Dennis Dong-Hwong Kim, Santhosh Thyagu, Auro Viswabandya, Jeffrey H Lipton, Hans A Messner, Uday Deotare
BACKGROUND: BK virus associated hemorrhagic cystitis (BK-HC) is a common complication after allogeneic hematopoietic stem cell transplantation (allo-HCT), with incidence up to 70%. Cidofovir is an antiviral agent with growing evidence as a therapeutic intervention. OBJECTIVE: To assess the safety profile and efficacy of intravenous and intravesical cidofovir in allo-HCT patients with BK-HC. METHODS: Retrospective study of the allo-HCT cohort who received cidofovir for symptomatic BK-HC (hematuria with BK viruria or viremia) from January 2010 until March 2017 in a single transplant center in Ontario, Canada...
April 18, 2018: Biology of Blood and Marrow Transplantation
https://www.readbyqxmd.com/read/29679173/potential-carbon-loss-associated-with-post-settlement-wetland-conversion-in-southern-ontario-canada
#4
Eunji Byun, Sarah A Finkelstein, Sharon A Cowling, Pascal Badiou
BACKGROUND: Natural wetlands can mitigate ongoing increases in atmospheric carbon by storing any net balance of organic carbon (peat) between plant production (carbon uptake) and microbial decomposition (carbon release). Efforts are ongoing to quantify peat carbon stored in global wetlands, with considerable focus given to boreal/subarctic peatlands and tropical peat swamps. Many wetlands in temperate latitudes have been transformed to anthropogenic landscapes, making it difficult to investigate their natural/historic carbon balance...
April 20, 2018: Carbon Balance and Management
https://www.readbyqxmd.com/read/29678993/qualitative-longitudinal-study-of-episodic-disability-experiences-of-older-women-living-with-hiv-in-ontario-canada
#5
Patricia Solomon, Kelly K O'Brien, Stephanie Nixon, Lori Letts, Larry Baxter, Nicole Gervais
OBJECTIVES: To examine the episodic disability experiences of older women living with HIV over time. DESIGN: Qualitative longitudinal study, conducting semistructured in-depth interviews on four occasions over a 20-month time frame. Inductive thematic analyses were conducted cross-sectionally and longitudinally. SETTING: Participants were recruited from HIV community organisations in Canada. PARTICIPANTS: 10 women aged 50 years or older living with HIV for more than 6 years...
April 20, 2018: BMJ Open
https://www.readbyqxmd.com/read/29678617/uncertain-times-a-survey-of-canadian-women-s-perspectives-toward-mammography-screening
#6
Julia Abelson, Laura Tripp, Melissa C Brouwers, Gregory Pond, Jonathan Sussman
Evolving scientific evidence about mammography has raised new questions about the net benefits of organized screening, yet gaps remain about women's current screening practices, knowledge, attitudes and values toward screening to support informed decision making in this area. We addressed this gap through an online survey of 2000 screen-eligible women from Ontario, Canada in January 2016. Likert-scaled and categorical questions were used to collect information about screening practices, knowledge of benefits and risks of screening and underlying attitudes and values toward screening...
April 17, 2018: Preventive Medicine
https://www.readbyqxmd.com/read/29677068/health-care-costs-for-the-evaluation-surgery-and-follow-up-care-of-living-kidney-donors
#7
Steven Habbous, Sisira Sarma, Lianne Barnieh, Eric McArthur, Scott Klarenbach, Braden Manns, Mehmet A Begen, Krista L Lentine, Amit X Garg
BACKGROUND: The health care costs to evaluate, perform surgery, and follow a living kidney donor for the year after donation are poorly described. METHODS: We obtained information on the health care costs of 1099 living kidney donors between April 1, 2004 and March 31, 2014 from Ontario, Canada using comprehensive health care administrative databases. We estimated the cost of 3 periods of the living donation process: the predonation evaluation period (start of evaluation until the day before donation), perioperative period (day of donation until 30-days postdonation), and 1 year of follow-up period (after perioperative period until 1-year postdonation)...
April 19, 2018: Transplantation
https://www.readbyqxmd.com/read/29676948/perceptions-of-continued-smoking-and-smoking-cessation-among-patients-with-cancer
#8
Devon Alton, Lawson Eng, Lin Lu, Yuyao Song, Jie Su, Delaram Farzanfar, Rahul Mohan, Olivia Krys, Katie Mattina, Christopher Harper, Sophia Liu, Tom Yoannidis, Robin Milne, M Catherine Brown, Ashlee Vennettilli, Andrew J Hope, Doris Howell, Jennifer M Jones, Peter Selby, Wei Xu, David P Goldstein, Geoffrey Liu, Meredith E Giuliani
PURPOSE: Continued smoking after a cancer diagnosis leads to poorer treatment outcomes, survival, and quality of life. We evaluated the perceptions of the effects of continued smoking on quality of life, survival, and fatigue among patients with cancer after a cancer diagnosis and the effects of these perceptions on smoking cessation. PATIENTS AND METHODS: Patients with cancer from all disease subsites from Princess Margaret Cancer Centre (Toronto, Ontario) were surveyed between April 2014 and May 2016 for sociodemographic variables, smoking history, and perceptions of continued smoking on quality of life, survival, and fatigue...
April 20, 2018: Journal of Oncology Practice
https://www.readbyqxmd.com/read/29676787/turning-high-risk-individuals-an-economic-evaluation-of-repositioning-frequency-in-long-term-care
#9
Petros Pechlivanoglou, Mike Paulden, Ba' Pham, Josephine Wong, Susan D Horn, Murray Krahn
Recent evidence suggests that less frequent repositioning of long-term care residents at moderate to high risk of developing pressure ulcers (PrUs) is noninferior to current repositioning standards in preventing PrUs, but the long-term health and economic consequences of less frequent repositioning have not been adequately estimated. Our objective was to estimate the cost-effectiveness of different repositioning strategies (2-, 3-, 4-hour intervals). We conducted a cost-utility analysis using a lifetime horizon based on data from a randomized clinical trial and the literature...
April 20, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29676665/an-ecological-exploration-of-facilitators-to-participation-in-a-mosque-based-physical-activity-program-for-south-asian-muslim-women
#10
Munira Abdulwasi, Meena Bhardwaj, Yuka Nakamura, Maha Zawi, Jennifer Price, Paula Harvey, Ananya Tina Banerjee
BACKGROUND: This descriptive qualitative study informed by an ecological framework explored factors influencing South Asian Muslim women's decisions to participate in a mosque-based physical activity intervention. METHODS: Individual, face-to-face, semistructured interviews were conducted in English, Hindi, or Urdu with 12 South Asian Muslim women at their home or mosque in Ontario, Canada. All interviews were audio-recorded, transcribed verbatim and managed, sorted, and analyzed for themes through a process of descriptive analysis...
April 20, 2018: Journal of Physical Activity & Health
https://www.readbyqxmd.com/read/29674329/regional-variability-in-fecal-microbiota-transplantation-practices-a-survey-of-the-southern-ontario-fecal-microbiota-transplantation-movement
#11
Susy S Hota, Salman Surangiwala, Aimee S Paterson, Bryan Coburn, Susan M Poutanen
BACKGROUND: There is growing evidence that fecal microbiota transplantation (FMT) is an effective treatment for recurrent Clostridium difficile infection, but little guidance exists for implementation of FMT programs. The objective of this study is to describe the program characteristics and protocols of 9 planned or operating FMT programs in the Southern Ontario Fecal Microbiota Transplantation (SOFT) Movement, to help guide future FMT program implementation. METHODS: A 59-item survey was administered electronically to clinical leads of the SOFT Movement on June 2, 2016...
April 18, 2018: CMAJ Open
https://www.readbyqxmd.com/read/29673271/beyond-silence-a-randomized-parallel-group-trial-exploring-the-impact-of-workplace-mental-health-literacy-training-with-healthcare-employees
#12
Sandra E Moll, Scott Patten, Heather Stuart, Joy C MacDermid, Bonnie Kirsh
OBJECTIVE: This study sought to evaluate whether a contact-based workplace education program was more effective than standard mental health literacy training in promoting early intervention and support for healthcare employees with mental health issues. METHOD: A parallel-group, randomised trial was conducted with employees in 2 multi-site Ontario hospitals with the evaluators blinded to the groups. Participants were randomly assigned to 1 of 2 group-based education programs: Beyond Silence (comprising 6 in-person, 2-h sessions plus 5 online sessions co-led by employees who personally experienced mental health issues) or Mental Health First Aid (a standardised 2-day training program led by a trained facilitator)...
January 1, 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29672910/ontario-racehorse-death-registry-2003-2015-descriptive-analysis-and-rates-of-mortality
#13
P W Physick-Sheard, A Avison, E Chappell, M MacIver
BACKGROUND: The Province of Ontario maintains a registry of racehorse deaths occurring within 60 days of a race or trial entry that provides insight into mortality rates and costs of competition. OBJECTIVES: To characterise and quantify mortality and identify breed differences. STUDY DESIGN: Retrospective annualised cohort study. METHODS: The Ontario Death Registry for 2003-2015, containing 1713 cases, was audited and information on the relationship between death and official work added...
April 19, 2018: Equine Veterinary Journal
https://www.readbyqxmd.com/read/29672682/heia-tools-inclusion-of-migrants-in-health-policy-in-canada
#14
Kevin Pottie, Branka Agic, Douglas Archibald, Ayesha Ratnayake, Marcela Tapia, Joanne Thanos
This paper introduces the Migrant Populations Equity Extension for Ontario's Health Equity Impact Assessment (HEIA) initiatives. It provides a mechanism to address the needs of migrant populations, within a program and policy framework. Validation of an equity extension framework using community leaders and health practitioners engaged in HEIA workshops across Ontario. Participants assessed migrants' health needs and discussed how to integrate these needs into health policy. The Migrant Populations Equity Extension's framework assists decision makers assess relevant populations, collaborate with immigrant communities, improve policy development and mitigate unintended negative impacts of policy initiatives...
April 17, 2018: Health Promotion International
https://www.readbyqxmd.com/read/29672409/association-of-preoperative-anticholinergic-medication-exposure-with-postoperative-healthcare-resource-use-and-outcomes-a-population-based-cohort-study
#15
Daniel I McIsaac, Coralie A Wong, Deric Diep, Carl van Walraven
OBJECTIVE: The aim of this study was to measure the association of preoperative anticholinergic exposure with length of stay (LOS) and other outcomes in older people having elective noncardiac surgery. SUMMARY BACKGROUND DATA: Anticholinergic medications are associated with adverse events in nonsurgical populations; the association of anticholinergic medications with outcomes in elective surgery patients is poorly described. METHODS: We conducted a retrospective, population-based cohort study using linked administrative data in Ontario, Canada...
April 18, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29672398/evaluating-quality-metrics-and-cost-after-discharge-a-population-based-cohort-study-of-value-in-health-care-following-elective-major-vascular-surgery
#16
Charles de Mestral, Konrad Salata, Mohamad A Hussain, Ahmed Kayssi, Mohammed Al-Omran, Graham Roche-Nagle
BACKGROUND: Early readmission to hospital after surgery is an omnipresent quality metric across surgical fields. We sought to understand the relative importance of hospital readmission among all health services received after hospital discharge. OBJECTIVE: The aim of this study was to characterize 30-day postdischarge cost and risk of an emergency department (ED) visit, readmission, or death after hospitalization for elective major vascular surgery. METHODS: This is a population-based retrospective cohort study of patients who underwent elective major vascular surgery - carotid endarterectomy, EVAR, open AAA repair, bypass for lower extremity peripheral arterial disease - in Ontario, Canada, between 2004 and 2015...
April 18, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29672132/remplissage-versus-modified-latarjet-for-off-track-hill-sachs-lesions-with-subcritical-glenoid-bone-loss
#17
Justin Shu Yang, Nima Mehran, Augustus D Mazzocca, Michael L Pearl, Vincent W Chen, Robert A Arciero
BACKGROUND: Off-track Hill-Sachs lesions have been associated with high rates of recurrent shoulder instability. Both arthroscopic Bankart with remplissage and modified Latarjet have been described to treat off-track Hill-Sachs lesions. However, few comparative studies exist between the 2 techniques in heterogeneous populations. HYPOTHESIS: Remplissage would have similar recurrence rates and clinical outcomes to modified Latarjet for off-track Hill-Sachs lesions with subcritical glenoid bone loss...
April 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29669489/validity-and-responsiveness-of-the-short-version-of-western-ontario-rotator-cuff-index-short-worc-in-patients-with-rotator-cuff-repair
#18
Neha Dewan, Joy C MacDermid, Norma MacIntyre
Study Design Clinical measurement. Background Recently, the Western Ontario Rotator Cuff Index (WORC) has been shortened; but few studies report measurement properties. Objective To compare the validity and responsiveness of disease-specific measures, short version of the Western Ontario Rotator Cuff Index (Short-WORC) and WORC with comparator measures (joint-specific: Shoulder Pain and Disability Index; SPADI, Simple Shoulder Test; SST); region-specific (Disabilities of the Arm, Shoulder and Hand; DASH); general health status (12-item short form health survey; SF-12v2)) in the patients undergoing rotator cuff repair (RCR)...
April 18, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29667526/optimizing-best-management-practices-to-control-anthropogenic-sources-of-atmospheric-phosphorus-deposition-to-inland-lakes
#19
Lee Weiss, Jesse Thé, Jennifer Winter, Bahram Gharabaghi
Excessive phosphorus loading to inland freshwater lakes around the globe has resulted in nuisance plant growth along the waterfronts, degraded habitat for cold water fisheries, and impaired beaches, marinas and waterfront property. The direct atmospheric deposition of phosphorus can be a significant contributing source to inland lakes. The atmospheric deposition monitoring program for Lake Simcoe, Ontario indicates roughly 20% of the annual total phosphorus load (2010-2014 period) is due to direct atmospheric deposition (both wet and dry deposition) on the lake...
April 18, 2018: Journal of the Air & Waste Management Association
https://www.readbyqxmd.com/read/29665830/implementation-of-telemedicine-for-knee-osteoarthritis-study-protocol-for-a-randomized-controlled-trial
#20
Zhengping Huang, Xia Pan, Weiming Deng, Zhixiang Huang, Yukai Huang, Xuechan Huang, Zhaohua Zhu, Weiyu Han, Shaoling Zheng, Xin Guo, Changhai Ding, Tianwang Li
BACKGROUND: Osteoarthritis (OA) is the most prevalent chronic joint disease, characterized by joint structural deterioration, pain and loss of function among the elders. It is also associated with several extra-articular symptoms (fatigue, sleep disorders, anxiety and depression) and a reduction of life quality. Studies have revealed that patients with OA benefitted from enhanced management via telemedicine. Guangdong Online Hospital (GOH) is the first officially recognized web-based hospital that provides telemedicine service in China...
April 17, 2018: Trials
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