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Chronic breathlessness in fibrotic interstitial lung diseases-patient centered assessment and management in outpatient settings.
Ann Palliat Med
July 2024
Division of Pulmonary Medicine, University of Alberta, Edmonton, AB, Canada; Alberta Health Services, Edmonton Zone, Edmonton, AB, Canada.
Chronic breathlessness (CB) or dyspnea is prevalent in fibrotic interstitial lung diseases (F-ILD). It is the main driver of a poor health-related quality of life (HRQOL). Timely and accurate assessment and management of CB are paramount in F-ILD care.
View Article and Find Full Text PDFDietary fibres and IBS: translating functional characteristics to clinical value in the era of personalised medicine.
Gut
December 2021
Department of Gastroenterology, Monash University and Alfred Health, Melbourne, Victoria, Australia.
Clinical guidelines in the use of fibre supplementation for patients with IBS provide one-size-fits-all advice, which has limited value. This narrative review addresses data and concepts around the functional characteristics of fibre and subsequent physiological responses induced in patients with IBS with a view to exploring the application of such knowledge to the precision use of fibre supplements. The key findings are that first, individual fibres elicit highly distinct physiological responses that are associated with their functional characteristics rather than solubility.
View Article and Find Full Text PDFChild concussion recognition and recovery: a community delivered, evidenced-based solution.
Ann Transl Med
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Australian Football League, Melbourne, Australia.
Pediatric concussion is a growing health concern. Concussion is generally poorly understood within the community. Many parents are unaware of the signs and varying symptoms of concussion.
View Article and Find Full Text PDFA Retrospective Chart Review of Transfusion Practices in the Palliative Care Unit Setting.
Am J Hosp Palliat Care
March 2019
Division of Palliative Care, Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
Background: There remains limited data in the literature on the frequency, clinical utility and effectiveness of transfusions in palliative care, with no randomized controlled trials or clinical practice guidelines on this topic. There are no routinely accepted practices in place for the appropriate transfusion of blood products in this setting.
Aim: The aim of this study was to retrospectively review all transfusions in the palliative care units of 2, tertiary care hospitals in Canada.
Neither guidelines nor symptom-targeted opioids are harmful when withdrawing life-sustaining measures.
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Division of Critical Care, Department of Medicine, University of Toronto, 200 Elizabeth St. 9 N-926, Toronto, ON, M5G 2C4, Canada.
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