Publications by authors named "Wijayasinghe S"

Background: Individuals experiencing homelessness face unique physical and mental health challenges, increased morbidity, and premature mortality. COVID -19 creates a significant heightened risk for those living in congregate sheltering spaces. In March 2020, the COVID-19 Community Response Team formed at Women's College Hospital, to support Toronto shelters and congregate living sites to manage and prevent outbreaks of SARS-CoV-2 using a collaborative model of onsite mobile testing and infection prevention.

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The in-hospital triage is the first step to every emergency department visit, and it is considered the main tool for matching medical and nursing resources to an exploding demand for care. In the current organization of care, triage is done by a triage nurse who can in certain situations request medical advice. However, given the increase in the number of visits to the emergency room, the heterogeneity of the demand of care and the perception of patients as to their needs, the role of a medical-nursing tandem is taking shape.

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Background: Approaches to address unmet mental health care needs in supportive housing settings are needed. Collaborative approaches to delivering psychiatric care have robust evidence in multiple settings, however such approaches have not been adequately studied in housing settings. This study evaluates the implementation of a shifted outpatient collaborative care initiative in which a psychiatrist was added to existing housing, community mental health, and primary care supports in a women-centered supportive housing complex in Toronto, Canada.

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Objective: To determine common sources of concern among pregnant individuals during the coronavirus disease 2019 (COVID-19) pandemic.

Design: A cross-sectional, open, online electronic survey from May 9, 2020, to June 14, 2020.

Setting: Electronic survey open internationally and advertised through Canadian-based social media platforms.

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Background: Deep somatic leiomyomas arising in skeletal muscle are extremely rare in children, especially in the extremities. Around half of them show calcifications. We present a rare case of a calcified leiomyoma of the distal forearm in a child.

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Nausea and vomiting in early pregnancy is a common condition at risk to be minimized by women or care providers. If not treated in the early stages, it can evolve to a severe condition with a morbidity risk for the mother and/or the fetus, and expose to public health consequences. Severe forms of nausea and vomiting and hyperemesis gravidarum are a clinical diagnosis with nonspecific manifestations in addition to biologic and metabolic consequences for mother and/or child.

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A retrospective descriptive study was conducted, based on database of Sri Lanka Clubfoot Program, under theInternational Clubfoot Registry. Patients with Clubfoot deformity treated at Orthopaedic unit of Lady Ridgeway Children's Hospital (LRCH), Sri Lanka were evaluated from June 2012 to March 2015. There were a total of 354 patients with male: female ratio of 2.

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Objective: To examine the effects of the updated 2012 cervical cancer screening guidelines on the rates of sexually transmitted infection (STI) screening in primary care.

Design: Retrospective chart review.

Setting: Five academic family practice units at St Michael's Hospital in Toronto, Ont.

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Background: The Ponseti method has been established as the standard of care for the treatment of clubfoot in many developed countries for its utility, cost-effectiveness, and efficiency. However, despite its being described as the gold-standard for clubfoot treatment, there are still many areas of the world bereft in formal training in the Ponseti method. This is especially important since 80% of patients with clubfoot are born in developing countries where the need is the greater for experienced providers.

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