Publications by authors named "Michelle Goonasekera"

Article Synopsis
  • Aging in place (AIP) is a key focus for policies aimed at helping older adults live independently in their homes and communities.
  • Effective support for AIP requires a comprehensive strategy that respects older adults' preferences and experiences, recognizing that their needs can change over time.
  • The commentary highlights challenges in AIP, suggests improvements in technology and policy, and calls on Canadian policymakers to create more inclusive AIP definitions while involving older adults in the decision-making process.
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Background: Ascertainment of heart failure (HF) hospitalizations in cardiovascular trials is costly and complex, involving processes that could be streamlined by using routinely collected healthcare data (RCD). The utility of coded RCD for HF outcome ascertainment in randomized trials requires assessment. We systematically reviewed studies assessing RCD-based HF outcome ascertainment against "gold standard" (GS) methods to study the feasibility of using such methods in clinical trials.

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The conventional approach to cardiac magnetic resonance (CMR) involving breath holds, electrocardiography-gating, and acquisition of a short-axis (SAX) image stack, introduces technical and logistical challenges for assessing exercise left ventricular (LV) function. Real-time, free-breathing CMR acquisition of long-axis (LAX) images overcomes these issues and also enables assessment of global longitudinal strain (GLS). We evaluated the reliability of a free-breathing LAX approach compared to the standard SAX approach and the reproducibility of free-breathing LAX.

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Purpose Of Review: Individuals with chronic kidney disease (CKD) are at increased risk of atherosclerotic cardiovascular disease (ASCVD) events. LDL cholesterol (LDL-C) is a key modifiable cause of ASCVD and lowering LDL-C with statins reduces the risk of ASCVD events in a wide range of populations, including those with CKD. This review considers the utility of recently developed nonstatin LDL-C-lowering therapies in CKD.

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There has been growing interest in understanding the psychological and social-environmental factors that facilitate adaptive functioning in populations affected by ethnopolitical warfare. In the current study, we tested the hypothesis that a brief measure incorporating local idioms of positive need fulfilment would predict functioning in a war-affected Sri Lankan population above and beyond psychopathology when controlling for demographic variables and current life stressors. A brief measure of positive need fulfillment was derived from qualitative data and administered to a sample of 163 Sri Lankans affected by the civil war.

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The hypothesis that psychometric instruments incorporating local idioms of distress predict functional impairment in a non-Western, war-affected population above and beyond translations of already established instruments was tested. Exploratory factor analysis was conducted on the War-Related Psychological and Behavioral Problems section of the Penn/RESIST/Peradeniya War Problems Questionnaire (PRPWPQ; N. Jayawickreme, Jayawickreme, Goonasekera, & Foa, 2009), a measure that incorporates local idioms of distress, using data from 197 individuals living in Northern and Eastern Sri Lanka.

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