Publications by authors named "D Manuel"

Introduction: Long-term care (LTC) residents require extensive assistance with daily activities due to physical and cognitive impairments. Medical treatment for LTC residents, when not aligned with residents' wishes, can cause discomfort without providing substantial benefits. Predictive models can equip providers with tools to guide treatment recommendations that support person-centred medical decision-making.

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Objectives: To understand the current state of maternal, newborn and child health (MNCH) among internally displaced persons (IDPs), returnees and host communities in remote counties of Jonglei state.

Design: Cross-sectional, randomly sampled, mixed-methods, population-based household study.

Setting: Ayod, Nyirol, Fangak and Pigi counties of Jonglei, South Sudan.

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Objectives: To develop and validate a model to predict time-to-LTC admissions among individuals with dementia.

Design: Population-based retrospective cohort study using health administrative data.

Setting And Participants: Community-dwelling older adults (65+) in Ontario living with dementia and assessed with the Resident Assessment Instrument for Home Care (RAI-HC) between April 1, 2010 and March 31, 2017.

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Article Synopsis
  • More immigrants face vitamin D (vitD) deficiency compared to non-immigrants, and existing clinical practice guidelines (CPGs) do not adequately address this issue.
  • A study evaluated the quality of published CPGs related to vitD and immigrant health using the AGREE II tool, identifying 25 relevant guidelines with only one offering immigrant-specific recommendations.
  • The findings indicate a significant gap in healthcare guidelines for vitD among immigrants, emphasizing the need for improved recommendations and urgent action to combat this deficiency.
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Background: Nephrologists routinely provide end-of-life care for patients with kidney failure (KF) on maintenance dialysis. Involvement of primary care and palliative care physicians may enhance this experience.

Objective: The objective was to describe outpatient care patterns in the last year of life and the end-of-life acute care utilization for patients with KF on maintenance dialysis.

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