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Articles 721 - 750 of 2904

Full-Text Articles in Medicine and Health Sciences

Rwandan Nursing And Midwifery Faculty's Experiences Of Applying Knowledge About Teaching Methodology To Practice In Academic And Clinical Settings With Students, Jean Pierre Ndayisenga, Yolanda Babenko-Mould, Marilyn K. Evans, Madeleine Mukeshimana Jan 2020

Rwandan Nursing And Midwifery Faculty's Experiences Of Applying Knowledge About Teaching Methodology To Practice In Academic And Clinical Settings With Students, Jean Pierre Ndayisenga, Yolanda Babenko-Mould, Marilyn K. Evans, Madeleine Mukeshimana

Africa Western Collaborations Day 2020 Abstracts

No abstract provided.


What Are We Doing? Is Exporting Anti-Depressants Answer The Mental Health Needs Of The Global South?, Gojjam Limenih Jan 2020

What Are We Doing? Is Exporting Anti-Depressants Answer The Mental Health Needs Of The Global South?, Gojjam Limenih

Africa Western Collaborations Day 2020 Abstracts

No abstract provided.


Antenatal Care Utilization In The Fragile And Conflict-Affected Context Of The Democratic Republic Of The Congo, Bianca R. Ziegler, Moses Mosonsieyiri Kansanga, Yuji Sano, Joseph Kangmennaang, Daniel Kpienbaareh, Isaac Luginaah Jan 2020

Antenatal Care Utilization In The Fragile And Conflict-Affected Context Of The Democratic Republic Of The Congo, Bianca R. Ziegler, Moses Mosonsieyiri Kansanga, Yuji Sano, Joseph Kangmennaang, Daniel Kpienbaareh, Isaac Luginaah

Africa Western Collaborations Day 2020 Abstracts

No abstract provided.


Evaluation Of Cytokine Profiles Within The Endocervical Tract Of Hiv-1 Infected Females, Steven M. Trothen, Rajesh A. Jacob, Genevieve Gosselin, Michael Fraser, Eric J. Arts, Jimmy D. Dikeakos Jan 2020

Evaluation Of Cytokine Profiles Within The Endocervical Tract Of Hiv-1 Infected Females, Steven M. Trothen, Rajesh A. Jacob, Genevieve Gosselin, Michael Fraser, Eric J. Arts, Jimmy D. Dikeakos

Africa Western Collaborations Day 2020 Abstracts

No abstract provided.


The Epidemiology Of Overweight And Obesity In Ghana: Examination Of Predictors And Risk Groups Among Women Of Childbearing Age, Jason Mulimba Were, Emmanuel Kojo Kyeremeh, Bridget Annor, Saverio Stranges Jan 2020

The Epidemiology Of Overweight And Obesity In Ghana: Examination Of Predictors And Risk Groups Among Women Of Childbearing Age, Jason Mulimba Were, Emmanuel Kojo Kyeremeh, Bridget Annor, Saverio Stranges

Africa Western Collaborations Day 2020 Abstracts

No abstract provided.


Effect Of Physical Maturation And Sexual Debut On Hiv Susceptibility In Adolescent Males In Rakai, Uganda, Zhongtian (Eric) Shao, Godfrey Kigozi, Ronald M. Galiwango, Cindy Liu, Rupert Kaul, Aaron Ar Tobian, Jessica Prodger Jan 2020

Effect Of Physical Maturation And Sexual Debut On Hiv Susceptibility In Adolescent Males In Rakai, Uganda, Zhongtian (Eric) Shao, Godfrey Kigozi, Ronald M. Galiwango, Cindy Liu, Rupert Kaul, Aaron Ar Tobian, Jessica Prodger

Africa Western Collaborations Day 2020 Abstracts

No abstract provided.


Malaria Elimination, Gurleen Saini, Anusheh Khan, Priscilla Matthews Jan 2020

Malaria Elimination, Gurleen Saini, Anusheh Khan, Priscilla Matthews

Africa Western Collaborations Day 2020 Abstracts

No abstract provided.


Using A One Health Approach To Address The Challenges Posed By Rabies To Animals And People In Rural Areas In Victoria Falls, Zimbabwe, Ryan Lapenna, Isaac Moyo, Jessica Dawson, Chris Foggin, Francisco Olea-Popelka Jan 2020

Using A One Health Approach To Address The Challenges Posed By Rabies To Animals And People In Rural Areas In Victoria Falls, Zimbabwe, Ryan Lapenna, Isaac Moyo, Jessica Dawson, Chris Foggin, Francisco Olea-Popelka

Africa Western Collaborations Day 2020 Abstracts

No abstract provided.


An Upstream Approach To Diarrheal Disease, Ayah Karra Aly, Adaku Ohuruogu, Georgia Leigh Raithby, Jasandeep Sehra Jan 2020

An Upstream Approach To Diarrheal Disease, Ayah Karra Aly, Adaku Ohuruogu, Georgia Leigh Raithby, Jasandeep Sehra

Africa Western Collaborations Day 2020 Abstracts

No abstract provided.


Through The Lens Of Egocentric Design: Do Aya Males' Social Networks Influence Or Shape Their Srh Literacy And Information Behaviour?, Ebenezer Martin-Yeboah Jan 2020

Through The Lens Of Egocentric Design: Do Aya Males' Social Networks Influence Or Shape Their Srh Literacy And Information Behaviour?, Ebenezer Martin-Yeboah

Africa Western Collaborations Day 2020 Abstracts

No abstract provided.


Promoting The Growth Of The Fiti Probiotic Initiative In Tanzania, Jasmine Wen, Gurleen Saini, Dora Parkinson Jan 2020

Promoting The Growth Of The Fiti Probiotic Initiative In Tanzania, Jasmine Wen, Gurleen Saini, Dora Parkinson

Africa Western Collaborations Day 2020 Abstracts

No abstract provided.


Monitoring Preeclampsia In Rural Uganda Through Community Health Workers Using The Minipiers Model, Amina Abib Osman, Josephine Mariz De Leon, Ayah Karra Aly Jan 2020

Monitoring Preeclampsia In Rural Uganda Through Community Health Workers Using The Minipiers Model, Amina Abib Osman, Josephine Mariz De Leon, Ayah Karra Aly

Africa Western Collaborations Day 2020 Abstracts

No abstract provided.


The Training Support And Access Model Practice-Based Clinical Mentorship Program In Rwanda: Mentors' Perceptions Of Their Role, Marie Chantal Murekatete, Yolanda Babenko-Mould Jan 2020

The Training Support And Access Model Practice-Based Clinical Mentorship Program In Rwanda: Mentors' Perceptions Of Their Role, Marie Chantal Murekatete, Yolanda Babenko-Mould

Africa Western Collaborations Day 2020 Abstracts

No abstract provided.


Diversification Of Research Methodological Approach During Model Enhancements In Health Information System Research, Uche Ikenyei Jan 2020

Diversification Of Research Methodological Approach During Model Enhancements In Health Information System Research, Uche Ikenyei

Africa Western Collaborations Day 2020 Abstracts

No abstract provided.


Direct Visualization And Characterization Of The Human Zona Incerta And Surrounding Structures, Jonathan C. Lau, Yiming Xiao, Roy A.M. Haast, Greydon Gilmore, Kâmil Uludağ, Keith W. Macdougall, Ravi S. Menon, Andrew G. Parrent, Terry M. Peters, Ali R. Khan Jan 2020

Direct Visualization And Characterization Of The Human Zona Incerta And Surrounding Structures, Jonathan C. Lau, Yiming Xiao, Roy A.M. Haast, Greydon Gilmore, Kâmil Uludağ, Keith W. Macdougall, Ravi S. Menon, Andrew G. Parrent, Terry M. Peters, Ali R. Khan

Medical Biophysics Publications

© 2020 The Authors. Human Brain Mapping published by Wiley Periodicals LLC. The zona incerta (ZI) is a small gray matter region of the deep brain first identified in the 19th century, yet direct in vivo visualization and characterization has remained elusive. Noninvasive detection of the ZI and surrounding region could be critical to further our understanding of this widely connected but poorly understood deep brain region and could contribute to the development and optimization of neuromodulatory therapies. We demonstrate that high resolution (submillimetric) longitudinal (T1) relaxometry measurements at high magnetic field strength (7 T) can be used to delineate …


Striatal Acetylcholine Helps To Preserve Functional Outcomes In A Mouse Model Of Stroke, Daniela F. Goncalves, Monica S. Guzman, Robert Gros, André R. Massensini, Robert Bartha, Vania F. Prado, Marco A.M. Prado Jan 2020

Striatal Acetylcholine Helps To Preserve Functional Outcomes In A Mouse Model Of Stroke, Daniela F. Goncalves, Monica S. Guzman, Robert Gros, André R. Massensini, Robert Bartha, Vania F. Prado, Marco A.M. Prado

Medical Biophysics Publications

Acetylcholine (ACh) has been suggested to facilitate plasticity and improve functional recovery after different types of brain lesions. Interestingly, numerous studies have shown that striatal cholinergic interneurons are relatively resistant to acute ischemic insults, but whether ACh released by these neurons enhances functional recovery after stroke is unknown. We investigated the role of endogenous striatal ACh in stroke lesion volume and functional outcomes following middle cerebral artery occlusion to induce focal ischemia in striatum-selective vesicular acetylcholine transporter-deficient mice (stVAChT-KO). As transporter expression is almost completely eliminated in the striatum of stVAChT-KO mice, ACh release is nearly abolished in this area. …


Structural Brain Magnetic Resonance Imaging To Rule Out Comorbid Pathology In The Assessment Of Alzheimer's Disease Dementia: Findings From The Ontario Neurodegenerative Disease Research Initiative (Ondri) Study And Clinical Trials Over The Past 10 Years, Arunima Kapoor, Robert Bartha, Sandra E. Black, Michael Borrie, Morris Freedman, Fuqiang Gao, Nathan Herrmann, Jennifer Mandzia, Miracle Ozzoude, Joel Ramirez, Christopher J.M. Scott, Sean Symons, Corinne E. Fischer, Andrew Frank, Dallas Seitz, Michael Uri Wolf, Nicolaas Paul L.G. Verhoeff, Gary Naglie, William Reichman, Mario Masellis, Sara B. Mitchell, David F. Tang-Wai, Maria Carmela Tartaglia, Sanjeev Kumar, Bruce G. Pollock, Tarek K. Rajji, Elizabeth Finger, Stephen H. Pasternak, Richard H. Swartz Jan 2020

Structural Brain Magnetic Resonance Imaging To Rule Out Comorbid Pathology In The Assessment Of Alzheimer's Disease Dementia: Findings From The Ontario Neurodegenerative Disease Research Initiative (Ondri) Study And Clinical Trials Over The Past 10 Years, Arunima Kapoor, Robert Bartha, Sandra E. Black, Michael Borrie, Morris Freedman, Fuqiang Gao, Nathan Herrmann, Jennifer Mandzia, Miracle Ozzoude, Joel Ramirez, Christopher J.M. Scott, Sean Symons, Corinne E. Fischer, Andrew Frank, Dallas Seitz, Michael Uri Wolf, Nicolaas Paul L.G. Verhoeff, Gary Naglie, William Reichman, Mario Masellis, Sara B. Mitchell, David F. Tang-Wai, Maria Carmela Tartaglia, Sanjeev Kumar, Bruce G. Pollock, Tarek K. Rajji, Elizabeth Finger, Stephen H. Pasternak, Richard H. Swartz

Medical Biophysics Publications

Background/Objective: Structural brain magnetic resonance imaging (MRI) is not mandatory in Alzheimer's disease (AD) research or clinical guidelines. We aimed to explore the use of structural brain MRI in AD/mild cognitive impairment (MCI) trials over the past 10 years and determine the frequency with which inclusion of standardized structural MRI acquisitions detects comorbid vascular and non-vascular pathologies. Methods: We systematically searched ClinicalTrials.gov for AD clinical trials to determine their neuroimaging criteria and then used data from an AD/MCI cohort who underwent standardized MRI protocols, to determine type and incidence of clinically relevant comorbid pathologies. Results: Of 210 AD clinical trials, …


The Effect Of Sex On Immune Responses To A Homocitrullinated Peptide In The Dr4-Transgenic Mouse Model Of Rheumatoid Arthritis, Ewa Cairns, Sheri Saunders, David A. Bell, Garth Blackler, Patrick Lac, Lillian Barra Jan 2020

The Effect Of Sex On Immune Responses To A Homocitrullinated Peptide In The Dr4-Transgenic Mouse Model Of Rheumatoid Arthritis, Ewa Cairns, Sheri Saunders, David A. Bell, Garth Blackler, Patrick Lac, Lillian Barra

Bone and Joint Institute

© 2020 The Author(s) Rheumatoid Arthritis (RA) is more common and severe in women compared to men. Both women and men with RA express autoantibodies to post-translationally modified antigens, including citrullinated and homocitrullinated proteins or peptides. These autoantibodies are strongly linked with the HLA-DR4 gene. The objective of this study was to determine sex differences in immune responses to homocitrullinated antigens. We used a humanized animal model of RA, DR4-transgenic mice and immunized them with a homocitrullinated peptide called HomoCitJED. Immune responses in these mice were measured for splenocyte proliferation by tritiated thymidine incorporation, serum autoantibody production by ELISA and …


Reflections On The Evolution Of Smart Polymers, Elizabeth R. Gillies Jan 2020

Reflections On The Evolution Of Smart Polymers, Elizabeth R. Gillies

Bone and Joint Institute

© 2019 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim Since Staudinger's recognition that polymers were long chain molecules with covalent bonds between repeating units, the field has evolved tremendously. In addition to their many structural roles, polymers have been developed to exhibit “smart” stimuli-responsive behavior. This article will describe the evolution of selected classes of smart polymers including those responsive to changes in pH, temperature, light, and mechanical stimuli, as well as self-immolative polymers and their application in drug delivery, sensors, and actuators. It will also highlight key advancements in polymer chemistry that enabled rapid progress over the past ∼20 …


Comparison Of Contact Kinematics In Posterior-Stabilized And Cruciate-Retaining Total Knee Arthroplasty At Long-Term Follow-Up, Jordan S. Broberg, Silvio Ndoja, Steven J. Macdonald, Brent A. Lanting, Matthew G. Teeter Jan 2020

Comparison Of Contact Kinematics In Posterior-Stabilized And Cruciate-Retaining Total Knee Arthroplasty At Long-Term Follow-Up, Jordan S. Broberg, Silvio Ndoja, Steven J. Macdonald, Brent A. Lanting, Matthew G. Teeter

Bone and Joint Institute

© 2019 Elsevier Inc. Background: There is controversy regarding the superiority of posterior-stabilizing (PS) total knee arthroplasty (TKA) and cruciate-retaining (CR) TKA. Substantial work has made comparisons between PS and CR TKA at follow-ups of less than 5 years. It was the goal of the present study to compare the kinematics at greater than 5 years postoperatively between CR and PS TKA, with a secondary goal of comparing patient function. Methods: A total of 42 knees were investigated, with equal representation in the PS and CR TKA groups. Patients underwent radiostereometric analysis imaging at 0°, 20°, 40°, 60° 80°, and …


Effect Of The Extent Of Release For Knee Balancing On Post-Operative Limb Coronal Alignment After Primary Total Knee Arthroplasty, Mohammad M. Alzahrani, Thomas J. Wood, Lyndsay E. Somerville, Steven J. Macdonald, James L. Howard, Edward M. Vasarhelyi, Brent A. Lanting Jan 2020

Effect Of The Extent Of Release For Knee Balancing On Post-Operative Limb Coronal Alignment After Primary Total Knee Arthroplasty, Mohammad M. Alzahrani, Thomas J. Wood, Lyndsay E. Somerville, Steven J. Macdonald, James L. Howard, Edward M. Vasarhelyi, Brent A. Lanting

Bone and Joint Institute

© 2020 Alzahrani et al. Introduction: Outcomes and longevity of total knee arthroplasty (TKA) depend mainly on restoring knee function, through precise bony resection and appropriate soft tissue balancing. The current literature lacks evidence regarding the degree of radiographic change after intra-operative knee balancing. The purpose of our study was to assess the degree of change in coronal lower extremity alignment by comparing pre-operative to post-operative full-length radiographs (FLR) after quantifying the degree of intra-operative knee balancing and corre-late patient-reported outcomes to the extent of balancing required. Patients and Methods: One hundred and fifty-four patients undergoing primary TKA for varus …


The Economic Impact Of Periprosthetic Infection In Total Hip Arthroplasty, Jason Akindolire, Mina W. Morcos, Jacquelyn D. Marsh, James L. Howard, Brent A. Lanting, Edward M. Vasarhelyi Jan 2020

The Economic Impact Of Periprosthetic Infection In Total Hip Arthroplasty, Jason Akindolire, Mina W. Morcos, Jacquelyn D. Marsh, James L. Howard, Brent A. Lanting, Edward M. Vasarhelyi

Bone and Joint Institute

© 2020 Canadian Medical Association. All rights reserved. Background: Periprosthetic joint infection (PJI) is the third leading cause of total hip arthroplasty (THA) failure. Although controversial, 2-stage revision remains the gold standard treatment for PJI in most situations. To date, there have been few studies describing the economic impact of PJI in today's health care environment. The purpose of the current study was to obtain an accurate estimate of the institutional cost associated with the management of PJI in THA and to assess the economic burden of PJI compared with primary uncomplicated THA. Methods: We conducted a review of primary …


Three Femoral Stem Designs Without Corrosion: A Review Of 2095 Stems, Douglas D.R. Naudie, Silvio Ndoja, Thomas J. Wood, Lyndsay E. Somerville, James L. Howard, Richard W. Mccalden, Steven J. Macdonald, Brent A. Lanting Jan 2020

Three Femoral Stem Designs Without Corrosion: A Review Of 2095 Stems, Douglas D.R. Naudie, Silvio Ndoja, Thomas J. Wood, Lyndsay E. Somerville, James L. Howard, Richard W. Mccalden, Steven J. Macdonald, Brent A. Lanting

Bone and Joint Institute

© 2020 Naudie et al. Introduction: Corrosion at the head–neck interface of modular components in total hip arthroplasty (THA) has been reported as a cause of failure of modern total hip replacement implants. While this method of failure has been well described, it remains poorly understood. The purpose of this study is to review the three most commonly used uncemented femoral stems at our institution over the last fifteen years and to correlate any established risk factors with rates of revision, particularly corrosion. Methods: We reviewed 2095 patients from March 2000 to September 2015 who underwent total hip arthroplasty with …


Facilitators And Barriers To Access To Pediatric Medical Services In A Community Hospital, Qiyun Shi, Fiorella Castillo, Kusum Viswanathan, Fernanda Kupferman, Joy C. Macdermid Jan 2020

Facilitators And Barriers To Access To Pediatric Medical Services In A Community Hospital, Qiyun Shi, Fiorella Castillo, Kusum Viswanathan, Fernanda Kupferman, Joy C. Macdermid

Bone and Joint Institute

© The Author(s) 2020. Background: Missed medical appointments decrease continuity of medical care, waste resources, and may affect health outcomes. We examined the factors associated with missed children’s supervision visits in Eastern Brooklyn, NY, USA. Methods: We surveyed guardians whose children received routine medical care at four pediatric clinics. Participants filled out a questionnaire that queried: demographics, food security, recent relocation, parental support of healthy behaviors, and length of knowing provider. Preexisting disease(s) and missed visits were retrieved from medical records. Regression analyses were used to determine factors that were associated with missing medical appointments. Results: Among 213 families, 33% …


Low Income And Nonadherence To Health Supervision Visits Predispose Children To More Emergency Room Utilization, Qiyun Shi, Fiorella Castillo, Kusum Viswanathan, Fernanda Kupferman, Joy C. Macdermid Jan 2020

Low Income And Nonadherence To Health Supervision Visits Predispose Children To More Emergency Room Utilization, Qiyun Shi, Fiorella Castillo, Kusum Viswanathan, Fernanda Kupferman, Joy C. Macdermid

Bone and Joint Institute

© The Author(s) 2020. Social inequity can have broad health impacts. The purpose of this study was to examine the effects of low income and nonadherence to health supervision visits on emergency room (ER) utilization in Eastern Brooklyn, New York. This study surveyed parents/guardians of children who received routine medical care at Brookdale ambulatory clinics from June 2017 to February 2018. Participants were asked to fill out a questionnaire on social demographics, food insecurity, and relocation. Electronic medical records (EMRs) were reviewed to retrieve numbers of missing health supervision and ER visit in past 12 months. Comorbidity was identified through …


Opioid Use Trends In Patients Undergoing Elective Thoracic And Lumbar Spine Surgery, Alexandra Stratton, Eugene Wai, Stephen Kingwell, Philippe Phan, Darren Roffey, Mohamed El Koussy, Sean Christie, Peter Jarzem, Parham Rasoulinejad, Steve Casha, Jerome Paquet, Michael Johnson, Edward Abraham, Hamilton Hall, Greg Mcintosh, Kenneth Thomas, Raja Rampersaud, Neil Manson, Charles Fisher Jan 2020

Opioid Use Trends In Patients Undergoing Elective Thoracic And Lumbar Spine Surgery, Alexandra Stratton, Eugene Wai, Stephen Kingwell, Philippe Phan, Darren Roffey, Mohamed El Koussy, Sean Christie, Peter Jarzem, Parham Rasoulinejad, Steve Casha, Jerome Paquet, Michael Johnson, Edward Abraham, Hamilton Hall, Greg Mcintosh, Kenneth Thomas, Raja Rampersaud, Neil Manson, Charles Fisher

Bone and Joint Institute

© 2020 Joule Inc. or its licensors Background: Opioid use in North America has increased rapidly in recent years. Preoperative opioid use is associated with several negative outcomes. Our objectives were to assess patterns of opioid use over time in Canadian patients who undergo spine surgery and to determine the effect of spine surgery on 1year postoperative opioid use. Methods: A retrospective analysis was performed on prospectively collected data from the Canadian Spine Outcomes and Research Network for patients undergoing elective thoracic and lumbar surgery. Selfreported opioid use at baseline, before surgery and at 1 year after surgery was compared. …


Appraisal Of Clinical Practice Guideline: Arthroscopic Surgery For Degenerative Knee Arthritis And Meniscal Tears: A Clinical Practice Guideline, Goris Nazari, Joy C. Macdermid Jan 2020

Appraisal Of Clinical Practice Guideline: Arthroscopic Surgery For Degenerative Knee Arthritis And Meniscal Tears: A Clinical Practice Guideline, Goris Nazari, Joy C. Macdermid

Bone and Joint Institute

No abstract provided.


Distribution Of Number, Location Of Pain And Comorbidities, And Determinants Of Work Limitations Among Firefighters, Goris Nazari, Temitope A. Osifeso, Joy C. Macdermid Jan 2020

Distribution Of Number, Location Of Pain And Comorbidities, And Determinants Of Work Limitations Among Firefighters, Goris Nazari, Temitope A. Osifeso, Joy C. Macdermid

Bone and Joint Institute

© 2020 Goris Nazari et al. Introduction. The unique demands of firefighting results in acute, recurrent, or chronic pain complications. We aimed to describe the percentage distribution of number and location of painful sites among FFs and determine whether work limitations differed based on the number or location of painful sites, age, and/or sex. Methods. About 325 firefighters completed a work limitation questionnaire (WLQ-26) and a checklist to indicate painful regions of the body using either a paper format or an online survey. A one-way ANOVA was employed to analyze the transformed work limitation scores; this was a two-sided test …


Disclosure, Privacy And Workplace Accommodation Of Episodic Disabilities: Organizational Perspectives On Disability Communication-Support Processes To Sustain Employment, Monique A.M. Gignac, Julie Bowring, Arif Jetha, Dorcas E. Beaton, F. Curtis Breslin, Renee Louise Franche, Emma Irvin, Joy C. Macdermid, William S. Shaw, Peter M. Smith, Aaron Thompson, Emile Tompa, Dwayne Van Eerd, Ron Saunders Jan 2020

Disclosure, Privacy And Workplace Accommodation Of Episodic Disabilities: Organizational Perspectives On Disability Communication-Support Processes To Sustain Employment, Monique A.M. Gignac, Julie Bowring, Arif Jetha, Dorcas E. Beaton, F. Curtis Breslin, Renee Louise Franche, Emma Irvin, Joy C. Macdermid, William S. Shaw, Peter M. Smith, Aaron Thompson, Emile Tompa, Dwayne Van Eerd, Ron Saunders

Bone and Joint Institute

© 2020, The Author(s). Purpose Employers increasingly are asked to accommodate workers living with physical and mental health conditions that cause episodic disability, where periods of wellness are punctuated by intermittent and often unpredictable activity limitations (e.g., depression, anxiety, arthritis, colitis). Episodic disabilities may be challenging for workplaces which must comply with legislation protecting the privacy of health information while believing they would benefit from personal health details to meet a worker’s accommodation needs. This research aimed to understand organizational perspectives on disability communication-support processes. Methods Twenty-seven participants from diverse employment sectors and who had responsibilities for supporting workers living …


Implementation Of Outpatient Total Joint Arthroplasty In Canada: Where We Are And Where We Need To Go, Bryn O. Zomar, Shannon L. Sibbald, Doug Bickford, James L. Howard, Dianne M. Bryant, Jacquelyn D. Marsh, Brent A. Lanting Jan 2020

Implementation Of Outpatient Total Joint Arthroplasty In Canada: Where We Are And Where We Need To Go, Bryn O. Zomar, Shannon L. Sibbald, Doug Bickford, James L. Howard, Dianne M. Bryant, Jacquelyn D. Marsh, Brent A. Lanting

Bone and Joint Institute

© 2020 Zomar et al. Total joint arthroplasties (TJA) are successful procedures for the treatment of end-stage hip and knee arthritis. Length of stay in hospitals after these procedures has been steadily decreasing over time, with outpatient procedures (discharge on the same day as surgery) introduced in the US within the last 20 years. Reducing length of stay after TJA can provide cost savings. Centres in Canada have started to utilize outpatient TJA procedures, but we have identified some barriers that may have limited their implementation. We have summarized the current literature for outpatient TJA and discussed potential solutions for …