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Paediatrics Publications

COVID-19

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Mostly Worse, Occasionally Better: Impact Of Covid-19 Pandemic On The Mental Health Of Canadian Children And Adolescents, Katherine Tombeau Cost, Jennifer Crosbie, Evdokia Anagnostou, Catherine S. Birken, Alice Charach, Suneeta Monga, Elizabeth Kelley, Rob Nicolson, Jonathon L. Li, Tomonori Kaneko, Martin R. Schiller Apr 2022

Mostly Worse, Occasionally Better: Impact Of Covid-19 Pandemic On The Mental Health Of Canadian Children And Adolescents, Katherine Tombeau Cost, Jennifer Crosbie, Evdokia Anagnostou, Catherine S. Birken, Alice Charach, Suneeta Monga, Elizabeth Kelley, Rob Nicolson, Jonathon L. Li, Tomonori Kaneko, Martin R. Schiller

Paediatrics Publications

This large cross-sectional study examined the impact of COVID-19 emergency measures on child/adolescent mental health for children/adolescents with and without pre-existing psychiatric diagnoses. Using adapted measures from the CRISIS questionnaire, parents of children aged 6–18 (N = 1013; 56% male; 62% pre-existing psychiatric diagnosis) and self-reporting children/adolescents aged 10–18 (N = 385) indicated changes in mental health across six domains: depression, anxiety, irritability, attention, hyperactivity, and obsessions/compulsions. Changes in anxiety, irritability, and hyperactivity were calculated for children aged 2–5 years using the Strengths and Difficulties Questionnaire. COVID-19 exposure, compliance with emergency measures, COVID-19 economic concerns, and stress from social isolation …


Impact Of The Covid-19 Pandemic On Access To Fertility Care: A Retrospective Study At A University-Affiliated Fertility Practice, Jennifer Sau Gee Lam, Mahvash Shere, Nickan Motamedi, George A. Vilos, Basim Abu-Rafea, Angelos G. Vilos Apr 2022

Impact Of The Covid-19 Pandemic On Access To Fertility Care: A Retrospective Study At A University-Affiliated Fertility Practice, Jennifer Sau Gee Lam, Mahvash Shere, Nickan Motamedi, George A. Vilos, Basim Abu-Rafea, Angelos G. Vilos

Paediatrics Publications

Objective: To elucidate the impact of the COVID-19 pandemic on access to fertility services. Methods: A retrospective quality improvement study was conducted at a university-affiliated fertility practice in southwestern Ontario. Annual procedural volumes for intrauterine and donor inseminations (IUI/DI), in vitro fertilization and intracytoplasmic sperm injections (IVF/ICSI), and frozen embryo transfers (FET) during the COVID-19–affected year were compared with mean annual volumes from the 2 preceding years. In addition, volumes for the same procedures were compared between the first quarter of 2021 and mean first quarter volumes from 2018 to 2019. Piecewise linear regressions were conducted to evaluate whether any …


Not So Sweet Dreams: Adults' Quantity, Quality, And Disruptions Of Sleep During The Initial Stages Of The Covid-19 Pandemic, Katie J. Shillington, Leigh M. Vanderloo, Shauna M. Burke, Victor Ng, Patricia Tucker, Jennifer D. Irwin Mar 2022

Not So Sweet Dreams: Adults' Quantity, Quality, And Disruptions Of Sleep During The Initial Stages Of The Covid-19 Pandemic, Katie J. Shillington, Leigh M. Vanderloo, Shauna M. Burke, Victor Ng, Patricia Tucker, Jennifer D. Irwin

Paediatrics Publications

Objectives: The purpose of this study was to investigate Ontario adults' reported sleep quantity, quality, and disturbances during the early months of the COVID-19 pandemic (April–July 2020). Methods: As part of a larger, chronic disease-focused, and ongoing longitudinal study designed to explore Ontario adults' health and wellness-related behaviors during the pandemic, participants completed an online survey that included demographic information and the Pittsburgh Sleep Quality Index (PSQI). The PSQI consists of 19 items, one of which is open-ended, designed to assess an individual's quantity, quality, and patterns of sleep on seven domains (ie, subjective sleep quality, sleep latency, sleep duration, …


Changes To The Practice Of Pediatric Otolaryngology As A Consequence Of The Covid-19 Pandemic, Ashaka Patel, Agnieszka Dzioba, Paul Hong, Murad Husein, Julie Strychowsky, Peng You, Josee Paradis, M. Elise Graham Feb 2022

Changes To The Practice Of Pediatric Otolaryngology As A Consequence Of The Covid-19 Pandemic, Ashaka Patel, Agnieszka Dzioba, Paul Hong, Murad Husein, Julie Strychowsky, Peng You, Josee Paradis, M. Elise Graham

Paediatrics Publications

Background: The COVID-19 pandemic has shifted medical practice globally. The objective of this study was to examine the changes to the practice of pediatric otolaryngology internationally due to the COVID-19 pandemic and examine potential contributors. Method: An online survey was designed to assess practice demographics, patterns of COVID-19 related restrictions in communities, and changes to practice and referrals. This was disseminated via an international Covid-19 WhatsApp™ group of pediatric otolaryngologists. Results: There were 45 respondents of 177 group members (25.4%) from 15 countries. The mean estimated time spent under strictest lockdown measures was 16.2 (±10.7) weeks (range: 1–45 weeks). Operating …


Navigating Multiple Pandemics: A Critical Analysis Of The Impact Of Covid-19 Policy Responses On Gender-Based Violence Services, Tara Mantler, C. Nadine Wathen, Caitlin Burd, Jennifer C.D. Macgregor, Isobel Mclean, Jill Veenendaal Jan 2022

Navigating Multiple Pandemics: A Critical Analysis Of The Impact Of Covid-19 Policy Responses On Gender-Based Violence Services, Tara Mantler, C. Nadine Wathen, Caitlin Burd, Jennifer C.D. Macgregor, Isobel Mclean, Jill Veenendaal

Paediatrics Publications

COVID-19 illustrated what governments can do to mobilise against a global threat. Despite the strong governmental response to COVID-19 in Canada, another ‘pandemic’, gender-based violence (GBV), has been causing grave harm with generally insufficient policy responses. Using interpretive description methodology, 26 interviews were conducted with shelter staff and 5 focus groups with 24 executive directors (EDs) from GBV service organizations in Ontario, Canada. Five main themes were identified and explored, namely that: (1) there are in fact four pandemics at play; (2) the interplay of pandemics amplified existing systemic weaknesses; (3) the key role of informal partnerships and community support, …


Impacts Of Covid-19 On The Coping Behaviours Of Canadian Women Experiencing Intimate Partner Violence, Tara Mantler, Katie J. Shillington, Cara A. Davidson, Julia Yates, Jennifer D. Irwin, Brenna Kaschor, Kimberley T. Jackson Jan 2022

Impacts Of Covid-19 On The Coping Behaviours Of Canadian Women Experiencing Intimate Partner Violence, Tara Mantler, Katie J. Shillington, Cara A. Davidson, Julia Yates, Jennifer D. Irwin, Brenna Kaschor, Kimberley T. Jackson

Paediatrics Publications

Background: Strict public health measures central to slowing the spread of COVID-19 have, unintentionally, exacerbated risks for women experiencing intimate partner violence (IPV) while impeding their usual coping strategies. The goal of this study was to understand how coping was influenced by COVID-19 for women who have experienced IPV and identify changes in coping strategies and gaps that need to be addressed to support coping. Methods: A qualitatively driven, sequential, cross-sectional design, where quantitative data informed and was embedded within qualitative data collection, was used to explore the experiences of IPV (CAS-R-SF scale) and coping (Brief-COPE scale) specific to IPV …


Experiences Of At-Risk Women In Accessing Breastfeeding Social Support During The Covid-19 Pandemic, Emila Siwik, Samantha Larose, Dalia Peres, Kimberley T. Jackson, Shauna M. Burke, Tara Mantler Jan 2022

Experiences Of At-Risk Women In Accessing Breastfeeding Social Support During The Covid-19 Pandemic, Emila Siwik, Samantha Larose, Dalia Peres, Kimberley T. Jackson, Shauna M. Burke, Tara Mantler

Paediatrics Publications

Background: With strict public health measures implemented in March 2020 due to the COVID-19 pandemic, many breastfeeding parents, who are within an at-risk population, have experienced limited formal and/or informal breastfeeding social support. In the Canadian context, the experiences of these women is unknown. Research Aim: To explore the experiences of at-risk postpartum breastfeeding women in accessing formal and informal breastfeeding social support during the COVID-19 pandemic. Methods: This was a prospective, longitudinal interpretive description study using mixed methods. Data were gathered using an online survey and one 52–112-min semi-structured interview at 12-weeks postpartum. At-risk breastfeeding participants were those who …


Patients With Severe Covid-19 Do Not Have Elevated Autoantibodies Against Common Diagnostic Autoantigens, Antigona Ulndreaj, Mingyue Wang, Salvia Misaghian, Louis Paone, George B. Sigal, Martin Stengelin, Christopher Campbell, Logan R. Van Nynatten, Antoninus Soosaipillai, Atefeh Ghorbani, Anu Mathew, Douglas D. Fraser, Eleftherios P. Diamandis, Ioannis Prassas Jan 2022

Patients With Severe Covid-19 Do Not Have Elevated Autoantibodies Against Common Diagnostic Autoantigens, Antigona Ulndreaj, Mingyue Wang, Salvia Misaghian, Louis Paone, George B. Sigal, Martin Stengelin, Christopher Campbell, Logan R. Van Nynatten, Antoninus Soosaipillai, Atefeh Ghorbani, Anu Mathew, Douglas D. Fraser, Eleftherios P. Diamandis, Ioannis Prassas

Paediatrics Publications

Infection by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), the causative pathogen of coronavirus disease 2019 (COVID-19) presents occasionally with an aberrant autoinflammatory response, including the presence of elevated circulating autoantibodies in some individuals. Whether the development of autoantibodies against self-antigens affects COVID-19 outcomes remains unclear. To better understand the prognostic role of autoantibodies in COVID-19, we quantified autoantibodies against 23 markers that are used for diagnosis of autoimmune disease. To this end, we used serum samples from patients with severe [intensive care unit (ICU)] and moderate (ward) COVID-19, across two to six consecutive time points, and compared autoantibody levels to …


Numeracy And Covid-19: Examining Interrelationships Between Numeracy, Health Numeracy And Behaviour, Nathan T.T. Lau, Eric D. Wilkey, Mojtaba Soltanlou, Rebekka Lagacé Cusiac, Lien Peters, Paul Tremblay, Celia Goffin, Isabella Starling Alves, Andrew David Ribner, Clarissa Thompson, Jo Van Hoof, Julia Bahnmueller, Aymee Alvarez, Elien Bellon, Ilse Coolen, Fanny Ollivier, Daniel Ansari Jan 2022

Numeracy And Covid-19: Examining Interrelationships Between Numeracy, Health Numeracy And Behaviour, Nathan T.T. Lau, Eric D. Wilkey, Mojtaba Soltanlou, Rebekka Lagacé Cusiac, Lien Peters, Paul Tremblay, Celia Goffin, Isabella Starling Alves, Andrew David Ribner, Clarissa Thompson, Jo Van Hoof, Julia Bahnmueller, Aymee Alvarez, Elien Bellon, Ilse Coolen, Fanny Ollivier, Daniel Ansari

Paediatrics Publications

During the COVID-19 pandemic, people across the globe have been exposed to large amounts of statistical data. Previous studies have shown that individuals mathematical understanding of health-related information affects their attitudes and behaviours. Here, we investigate the relation between (i) basic numeracy, (ii) COVID-19 health numeracy, and (iii) COVID-19 health-related attitudes and behaviours. An online survey measuring these three variables was distributed in Canada, the United States (US) and the United Kingdom (UK) (n = 2032). In line with predictions, basic numeracy was positively related to COVID-19 health numeracy. However, predictions, neither basic numeracy nor COVID-19 health numeracy was related …


Placental Infarction And Intrauterine Growth Restriction Following Sars-Cov-2 Infection, Stephanie Moltner, Barbra De Vrijer, Harrison Banner Dec 2021

Placental Infarction And Intrauterine Growth Restriction Following Sars-Cov-2 Infection, Stephanie Moltner, Barbra De Vrijer, Harrison Banner

Paediatrics Publications

No abstract provided.


Children And Parents’ Perspectives Of The Impact Of The Covid-19 Pandemic On Ontario Children’S Physical Activity, Play, And Sport Behaviours, Monika Szpunar, Leigh M. Vanderloo, Brianne A. Bruijns, Stephanie Truelove, Shauna M. Burke, Jason Gilliland, Jennifer D. Irwin, Patricia Tucker Dec 2021

Children And Parents’ Perspectives Of The Impact Of The Covid-19 Pandemic On Ontario Children’S Physical Activity, Play, And Sport Behaviours, Monika Szpunar, Leigh M. Vanderloo, Brianne A. Bruijns, Stephanie Truelove, Shauna M. Burke, Jason Gilliland, Jennifer D. Irwin, Patricia Tucker

Paediatrics Publications

Background: The COVID-19 pandemic and associated public health measures have resulted in the closure of many physical activity-supporting facilities. This study examined Ontario parents’ and children’s perspectives of COVID-19’s impact on children’s physical activity behaviours, return to play/sport during COVID-19, as well as barriers/facilitators to getting active amid extended closures of physical activity venues. Methods: Parents/guardians of children aged 12 years and under living in Ontario, Canada were invited to participate in an interview. 12 parent/guardian and 9 child interviews were conducted via Zoom between December 2020 – January 2021, were audio-recorded, and transcribed verbatim. Thematic content analysis was undertaken …


Ontario Adults’ Health Behaviors, Mental Health, And Overall Well-Being During The Covid-19 Pandemic, Katie J. Shillington, Leigh M. Vanderloo, Shauna M. Burke, Victor Ng, Patricia Tucker, Jennifer D. Irwin Dec 2021

Ontario Adults’ Health Behaviors, Mental Health, And Overall Well-Being During The Covid-19 Pandemic, Katie J. Shillington, Leigh M. Vanderloo, Shauna M. Burke, Victor Ng, Patricia Tucker, Jennifer D. Irwin

Paediatrics Publications

Background: Public health measures such as physical distancing and work-from-home initiatives have been implemented to slow the spread of COVID-19. These measures may also be associated with unhealthy lifestyle behaviors, which could be particularly problematic for those already at highest risk for losing years of healthy life due to chronic disease (i.e., 30–59-year-olds). The purpose of this paper is two-fold: (1) to provide an overview of Ontario adults’ health behaviors (i.e., physical activity, sedentary behaviors, and dietary intake), mental health, and well-being during the first few months of the COVID-19 pandemic (April–July 2020); and (2) to explore the difference between …


Digital Technology And Disease Surveillance In The Covid-19 Pandemic: A Scoping Review Protocol, Lorie Donelle, Jodi Hall, Brad Hiebert, Jacob J. Shelley, Maxwell J. Smith, Jason Gilliland, Saverio Stranges, Anita Kothari, Jacquelyn Burkell, Tommy Cooke, Jed Long, James M. Shelley, Deanna Befus, Leigha Comer, Marionette Ngole, Meagan Stanley Oct 2021

Digital Technology And Disease Surveillance In The Covid-19 Pandemic: A Scoping Review Protocol, Lorie Donelle, Jodi Hall, Brad Hiebert, Jacob J. Shelley, Maxwell J. Smith, Jason Gilliland, Saverio Stranges, Anita Kothari, Jacquelyn Burkell, Tommy Cooke, Jed Long, James M. Shelley, Deanna Befus, Leigha Comer, Marionette Ngole, Meagan Stanley

Paediatrics Publications

Introduction Infectious diseases pose a risk to public health, requiring efficient strategies for disease prevention. Digital health surveillance technologies provide new opportunities to enhance disease prevention, detection, tracking, reporting and analysis. However, in addition to concerns regarding the effectiveness of these technologies in meeting public health goals, there are also concerns regarding the ethics, legality, safety and sustainability of digital surveillance technologies. This scoping review examines the literature on digital surveillance for public health purposes during the COVID-19 pandemic to identify health-related applications of digital surveillance technologies, and to highlight discussions of the implications of these technologies. Methods and analysis …


Abuse, Mental State, And Health Factors Pre And During The Covid-19 Pandemic: A Comparison Among Clinically Referred Adolescents In Ontario, Canada, Shannon L. Stewart, Ashley Toohey, Angela Celebre, Jeff W. Poss Oct 2021

Abuse, Mental State, And Health Factors Pre And During The Covid-19 Pandemic: A Comparison Among Clinically Referred Adolescents In Ontario, Canada, Shannon L. Stewart, Ashley Toohey, Angela Celebre, Jeff W. Poss

Paediatrics Publications

Throughout the COVID-19 pandemic, population surveys revealed increased levels of anxiety and depression, while findings from large-scale population data analyses have revealed mixed findings with respect to the mental health consequences for children and youth. The purpose of this study was to examine the impact of the COVID-19 pandemic on the well-being and health-compromising behaviors of adolescents (12–18 years) previously referred for mental health services. Data were collected (pre-pandemic n = 3712; pandemic n = 3197) from mental health agencies across Ontario, Canada using the interRAI Child and Youth Mental Health assessment. Our findings revealed no increased incidence of witnessing …


Children's Sleep During Covid-19: How Sleep Influences Surviving And Thriving In Families, Nicole E. Mackenzie, Elizabeth Keys, Wendy A. Hall, Reut Gruber, Isabel M. Smith, Evelyn Constantin, Roger Godbout, Robyn Stremler, Graham J. Reid, Ana Hanlon-Dearman, Cary A. Brown, Sarah Shea, Shelly K. Weiss, Osman Ipsiroglu, Manisha Witmans, Christine T. Chambers, Pantelis Andreou, Esmot Begum, Penny Corkum Oct 2021

Children's Sleep During Covid-19: How Sleep Influences Surviving And Thriving In Families, Nicole E. Mackenzie, Elizabeth Keys, Wendy A. Hall, Reut Gruber, Isabel M. Smith, Evelyn Constantin, Roger Godbout, Robyn Stremler, Graham J. Reid, Ana Hanlon-Dearman, Cary A. Brown, Sarah Shea, Shelly K. Weiss, Osman Ipsiroglu, Manisha Witmans, Christine T. Chambers, Pantelis Andreou, Esmot Begum, Penny Corkum

Paediatrics Publications

Objective The COVID-19 pandemic has the potential to disrupt the lives of families and may have implications for children with existing sleep problems. As such, we aimed to: (1) characterize sleep changes during the COVID-19 pandemic in children who had previously been identified as having sleep problems, (2) identify factors contributing to sleep changes due to COVID-19 safety measures, and (3) understand parents and children s needs to support sleep during the pandemic. Methods Eighty-five Canadian parents with children aged 4 14 years participated in this explanatory sequential, mixed-methods study using an online survey of children s and parents sleep, …


Therapeutic Potential Of Annexins In Sepsis And Covid-19, Louise Mui, Claudio M. Martin, Brent J. Tschirhart, Qingping Feng Sep 2021

Therapeutic Potential Of Annexins In Sepsis And Covid-19, Louise Mui, Claudio M. Martin, Brent J. Tschirhart, Qingping Feng

Paediatrics Publications

Sepsis is a continuing problem in modern healthcare, with a relatively high prevalence, and a significant mortality rate worldwide. Currently, no specific anti-sepsis treatment exists despite decades of research on developing potential therapies. Annexins are molecules that show efficacy in preclinical models of sepsis but have not been investigated as a potential therapy in patients with sepsis. Human annexins play important roles in cell membrane dynamics, as well as mediation of systemic effects. Most notably, annexins are highly involved in anti-inflammatory processes, adaptive immunity, modulation of coagulation and fibrinolysis, as well as protective shielding of cells from phagocytosis. These discoveries …


Structural Distress: Experiences Of Moral Distress Related To Structural Stigma During The Covid-19 Pandemic, Javeed Sukhera, Chetana Kulkarni, Taryn Taylor Aug 2021

Structural Distress: Experiences Of Moral Distress Related To Structural Stigma During The Covid-19 Pandemic, Javeed Sukhera, Chetana Kulkarni, Taryn Taylor

Paediatrics Publications

Introduction: The COVID-19 pandemic has taken a significant toll on the health of structurally vulnerable patient populations as well as healthcare workers. The concepts of structural stigma and moral distress are important and interrelated, yet rarely explored or researched in medical education. Structural stigma refers to how discrimination towards certain groups is enacted through policy and practice. Moral distress describes the tension and conflict that health workers experience when they are unable to fulfil their duties due to circumstances outside of their control. In this study, the authors explored how resident physicians perceive moral distress in relation to structural stigma. …


A Multicenter Study Of Acute Testicular Torsion In The Time Of Covid-19, Sarah A. Holzman, Jennifer J. Ahn, Zoe Baker, Kai Wen Chuang, Hillary L. Copp, Jacob Davidson, Carol A. Davis-Dao, Emily Ewing, Joan Ko, Victoria Lee, Amanda Macaraeg, Lauren Nicassio, Michael Sadighian, Heidi A. Stephany, Renea Sturm, Kelly Swords, Peter Wang, Elias J. Wehbi, Antoine E. Khoury Aug 2021

A Multicenter Study Of Acute Testicular Torsion In The Time Of Covid-19, Sarah A. Holzman, Jennifer J. Ahn, Zoe Baker, Kai Wen Chuang, Hillary L. Copp, Jacob Davidson, Carol A. Davis-Dao, Emily Ewing, Joan Ko, Victoria Lee, Amanda Macaraeg, Lauren Nicassio, Michael Sadighian, Heidi A. Stephany, Renea Sturm, Kelly Swords, Peter Wang, Elias J. Wehbi, Antoine E. Khoury

Paediatrics Publications

Background: Testicular torsion is a surgical emergency, and time to detorsion is imperative for testicular salvage. During the COVID-19 pandemic, patients may delay emergency care due to stay-at-home orders and concern of COVID-19 exposure. Objective: To assess whether emergency presentation for testicular torsion was delayed during the COVID-19 pandemic, and whether the rate of orchiectomy increased compared to a retrospective period. Study design: Patients were prospectively enrolled in a multicenter study from seven institutions in the United States and Canada. Inclusion criteria were patients two months to 18 years of age with acute testicular torsion from March through July 2020. …


Effect Of The Covid-19 Pandemic On Patient Volumes, Acuity, And Outcomes In Pediatric Emergency Departments: A Nationwide Study, Yaron Finkelstein, Bryan Maguire, Roger Zemek, Esli Osmanlliu, April J. Kam, Andrew Dixon, Neil Desai, Scott Sawyer, Jason Jardine, Vicky R. Breakey, Josee Brossard, Roona Sinha, Mariana Silva, Lisa Goodyear, Jeffrey H. Lipton, Bruno Michon, Catherine Corriveau-Bourque, Lillian Sung, Iren Shabanova, Hongbing Li, Bozana Zlateska, Santhosh Dhanraj, Michaela Cada, Stephen W. Scherer, Yigal Dror Aug 2021

Effect Of The Covid-19 Pandemic On Patient Volumes, Acuity, And Outcomes In Pediatric Emergency Departments: A Nationwide Study, Yaron Finkelstein, Bryan Maguire, Roger Zemek, Esli Osmanlliu, April J. Kam, Andrew Dixon, Neil Desai, Scott Sawyer, Jason Jardine, Vicky R. Breakey, Josee Brossard, Roona Sinha, Mariana Silva, Lisa Goodyear, Jeffrey H. Lipton, Bruno Michon, Catherine Corriveau-Bourque, Lillian Sung, Iren Shabanova, Hongbing Li, Bozana Zlateska, Santhosh Dhanraj, Michaela Cada, Stephen W. Scherer, Yigal Dror

Paediatrics Publications

Objectives The aim of this study was to quantify the effect of the COVID-19 pandemic on pediatric emergency department (ED) utilization and outcomes. Methods This study is an interrupted-Time-series observational study of children presenting to 11 Canadian tertiary-care pediatric EDs. Data were grouped into weeks in 3 study periods: prepandemic (January 1, 2018-January 27, 2020), peripandemic (January 28, 2020-March 10, 2020), and early pandemic (March 11, 2020-April 30, 2020). These periods were compared with the same time intervals in the 2 preceding calendar years. Primary outcomes were number of ED visits per week. The secondary outcomes were triage acuity, hospitalization, …


A Multicenter Study Of Acute Testicular Torsion In The Time Of Covid-19, Sarah A. Holzman, Jennifer J. Ahn, Zoe Baker, Kai Wen Chuang, Hillary L. Copp, Jacob Davidson, Carol A. Davis-Dao, Emily Ewing, Joan Ko, Victoria Lee, Amanda Macaraeg, Lauren Nicassio, Michael Sadighian, Heidi A. Stephany, Renea Sturm, Kelly Swords, Peter Wang, Elias J. Wehbi, Antoine E. Khoury Aug 2021

A Multicenter Study Of Acute Testicular Torsion In The Time Of Covid-19, Sarah A. Holzman, Jennifer J. Ahn, Zoe Baker, Kai Wen Chuang, Hillary L. Copp, Jacob Davidson, Carol A. Davis-Dao, Emily Ewing, Joan Ko, Victoria Lee, Amanda Macaraeg, Lauren Nicassio, Michael Sadighian, Heidi A. Stephany, Renea Sturm, Kelly Swords, Peter Wang, Elias J. Wehbi, Antoine E. Khoury

Paediatrics Publications

Background: Testicular torsion is a surgical emergency, and time to detorsion is imperative for testicular salvage. During the COVID-19 pandemic, patients may delay emergency care due to stay-at-home orders and concern of COVID-19 exposure. Objective: To assess whether emergency presentation for testicular torsion was delayed during the COVID-19 pandemic, and whether the rate of orchiectomy increased compared to a retrospective period. Study design: Patients were prospectively enrolled in a multicenter study from seven institutions in the United States and Canada. Inclusion criteria were patients two months to 18 years of age with acute testicular torsion from March through July 2020. …


Renal Infarcts—A Perplexing Case In The Middle Of The Covid-19 Pandemic, Brett Plouffe, Tamara Van Hooren, Michelle Barton, Nancy Nashid, Erkan Demirkaya, Kambiz Norozi, Irina Rachinsky, Johan Delport, Michael Knauer, Soumitra Tole, Guido Filler May 2021

Renal Infarcts—A Perplexing Case In The Middle Of The Covid-19 Pandemic, Brett Plouffe, Tamara Van Hooren, Michelle Barton, Nancy Nashid, Erkan Demirkaya, Kambiz Norozi, Irina Rachinsky, Johan Delport, Michael Knauer, Soumitra Tole, Guido Filler

Paediatrics Publications

Renal infarction is a rare finding in children. Associations between SARS-CoV-2 infections and thromboembolic events including renal infarcts have been described in adults. Although a similar association in children has not yet been described with this pandemic, the pediatric literature is still evolving with the recognition of new manifestations including the post-infectious Multisystem Inflammatory Syndrome in Children (MIS-C). We report the rare event of multiple renal infarcts in a 6-year-old boy manifesting several features of MIS-C 9 weeks following a self-limiting febrile illness characteristic of COVID-19. An underlying Factor V Leiden mutation was identified in this child but felt to …


The Quantity And Composition Of Household Food Waste During The Covid-19 Pandemic: A Direct Measurement Study In Canada, Haley Everitt, Paul Van Der Werf, Jamie A. Seabrook, Alexander Wray, Jason A. Gilliland Jan 2021

The Quantity And Composition Of Household Food Waste During The Covid-19 Pandemic: A Direct Measurement Study In Canada, Haley Everitt, Paul Van Der Werf, Jamie A. Seabrook, Alexander Wray, Jason A. Gilliland

Paediatrics Publications

The COVID-19 pandemic may have amplified the environmental, social, and economic implications of household food waste. A better understanding of household food wasting during the pandemic is needed to improve the management of waste and develop best practices for municipal waste management programs under crisis circumstances. A waste composition study was undertaken with 100 single-family households across the city of London, Ontario, Canada to determine the quantity and composition of household food waste disposed in June 2020, during the first wave of the COVID-19 pandemic. This study examines how household demographic, socioeconomic, and neighbourhood food environment characteristics influence household food …


Emergency Medicine Physician Burnout And Wellness In Canada Before Covid19: A National Survey, Rodrick Lim, Kristine Van Aarsen, Sara Gray, Louise Rang, Jada Fitzpatrick, Lisa Fischer Sep 2020

Emergency Medicine Physician Burnout And Wellness In Canada Before Covid19: A National Survey, Rodrick Lim, Kristine Van Aarsen, Sara Gray, Louise Rang, Jada Fitzpatrick, Lisa Fischer

Paediatrics Publications

Introduction Emergency medicine (EM) is a high-risk specialty for burnout. COVID-19 has had and will continue to have important consequences on wellness and burnout for EM physicians in Canada. Baseline data are crucial to monitor the health of EM physicians in Canada, and evaluate any interventions designed to help during and after COVID-19.Objectives To describe the rates of burnout, depression, and suicidality in practicing EM physicians in Canada, just before the COVID-19 pandemic.Methods A modified snowball method was used for survey distribution. Participants completed the Maslach Burnout Inventory - Health Services Tool (MBI-HSS), a screening measure for depression (PHQ-9), and …


Breath Regulation And Yogic Exercise An Online Therapy For Calm And Happiness (Breath) For Frontline Hospital And Long-Term Care Home Staff Managing The Covid-19 Pandemic: A Structured Summary Of A Study Protocol For A Feasibility Study For A Randomised Controlled Trial, Ka Sing Paris Lai, Christine Watt, Emily Ionson, Imants Baruss, Cheryl Forchuk, Javeed Sukhera, Amer M. Burhan, Akshya Vasudev Jul 2020

Breath Regulation And Yogic Exercise An Online Therapy For Calm And Happiness (Breath) For Frontline Hospital And Long-Term Care Home Staff Managing The Covid-19 Pandemic: A Structured Summary Of A Study Protocol For A Feasibility Study For A Randomised Controlled Trial, Ka Sing Paris Lai, Christine Watt, Emily Ionson, Imants Baruss, Cheryl Forchuk, Javeed Sukhera, Amer M. Burhan, Akshya Vasudev

Paediatrics Publications

OBJECTIVES: Objective 1: To determine if it is feasible to conduct an RCT of online Sudarshan Kriya Yoga (SKY) for frontline hospital and long-term care home staff under the constraints imposed by the COVID-19 pandemic and need for remote trial monitoring. Objective 2: To assess whether online versions of SKY and/or Health Enhancement Program (HEP) result in improvement in self-rated measures of insomnia, anxiety, depression, and resilience. TRIAL DESIGN: This is an open-label feasibility randomized controlled trial (RCT), comparing an online breath based yogic intervention SKY versus an online control mind-body intervention HEP in frontline hospital and long-term care home …