3,906 results match your criteria: "The University of Toronto[Affiliation]"

In this review, we provide an overview of food allergy genetics and epigenetics aimed at clinicians and researchers. This includes a brief review of the current understanding of genetic and epigenetic mechanisms, inheritance of food allergy, as well as a discussion of advantages and limitations of the different types of studies in genetic research. We specifically focus on the results of genome-wide association studies in food allergy, which have identified 16 genetic variants that reach genome-wide significance, many of which overlap with other allergic diseases, including asthma, atopic dermatitis, and allergic rhinitis.

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Objective: We evaluated the usability and acceptability of My-Hip Fracture (My-HF), a web application that assists providers in delivering individualized prognostic information to patients hospitalized for hip fracture (HF).

Methods: We observed a sample of 16 clinicians as they navigated My-HF. We then administered a structured questionnaire and conducted semi-structured interviews to explore participants' opinions about the app's content and the feasibility of incorporating the app into clinical workflows.

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There was an unprecedented surge in admissions for medical stabilization of pediatric patients with eating disorders during the COVID-19 pandemic in Ontario. Eleven hospitals established an integrated rapid response model to ensure timely in-patient access for these patients. This population was cared for in re-allocated community hospital beds as a result of engaging hospital leadership, strengthening partnerships, consulting experts, leveraging existing resources and developing regional bed access strategies.

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Co-Creating a Vision for the Future of Healthcare Leadership: An Organizational Case Study.

Healthc Q

October 2024

Marissa Bird, is a scientist in the Institute for Better Health at THP in Mississauga, ON, and an assistant professor in IHPME at the University of Toronto in Toronto, ON. Her research interests are centred around the fields of health innovation, learning health systems, co-design and evaluation. She focuses on creating sustainable innovation in healthcare by optimizing innovations for sustainability within health systems.

This qualitative case study explores the perspectives of approximately 270 leaders at all levels within Canada's largest community hospital to identify the qualities of effective leaders and their aspirations for the future of healthcare leadership. Responses to a structured visioning exercise with three open-ended prompts were anonymously collected, sorted using ChatGPT and thematically analyzed. Connection, integrity and impact were identified as central to effective leadership.

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Exploring Quality and Safety Best Practices at Leading International Centres.

Healthc Q

October 2024

Lucas B. Charter, is the Vice President, Quality & Safety, and the Chief Patient Safety Officer at UHN. He is also an emergency physician and associate professor at the Faculty of Medicine and in the Institute of Health Policy, Management and Evaluation at the University of Toronto in Toronto, ON.

Background: This project aimed to go beyond published literature to glean strategies and lessons learned on quality and safety (Q&S) best practices from centres with pre-eminent international reputations.

Methods: Nine centres participated in an interview; questions centred on approaches to building Q&S infrastructure around the Institute for Healthcare Improvement's (IHI's) Whole System Quality (WSQ) framework (Sampath et al. 2021).

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Introduction to Mental Health in Healthcare Workplaces.

Healthc Q

October 2024

Anne Wojtak, is a senior healthcare leader with more than 20 years of experience in the home and community care sector in Ontario. She is the co-lead for East Toronto Health Partners (Ontario Health Team), has a consulting practice focused on health system strategy and is adjunct faculty at the University of Toronto in Toronto, ON.

In the quest by health leaders to create the conditions necessary for the delivery of safe, high-quality care, this issue of () is pleased to offer some promising approaches and resources for establishing healthy workplaces. We are all too aware that the workforce - as the backbone of the health system - is facing severe pressures. The demand for healthcare workers is outpacing supply, which necessitates innovative solutions to retain those already in the system.

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The Siren Call for Business Model Innovation in Healthcare.

Healthc Q

October 2024

Neil Seeman, is the publisher at Sutherland House Experts and a senior fellow in the Institute of Healthcare Policy, Management and Evaluation and in Massey College at the University of Toronto in Toronto, ON. He is a Fields Institute fellow and senior academic advisor to the Investigative Journalism Bureau and Health Informatics, Visualization and Equity (HIVE) Lab at the Dalla Lana School of Public Health at the University of Toronto.

This essay explores the necessity and return on investment for business model innovation in Canada's healthcare system, questioning the traditional approach of rapid product development. It highlights the pressing need for innovative solutions to address the challenges posed by an aging population, with one-third of Canadians over 65 years of age managing multiple chronic conditions (Statistics Canada 2024). The discussion aims to redefine healthcare innovation strategies to enhance healthcare delivery and sustainability.

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Lung Cancer and COPD: Opportunities to Leverage Lung Cancer Screening Programs to Improve COPD Diagnostics.

Healthc Q

October 2024

Andrea S. Gershon, is a respirologist and senior scientist at the Sunnybrook Health Sciences Centre, the University of Toronto and ICES in Toronto, ON.

Lung cancer and chronic obstructive pulmonary disease (COPD) have many shared risk factors and not surprisingly, the two diseases often coexist. This article highlights the burden of COPD among patients with lung cancer in Ontario and explores opportunities to enhance lung cancer screening programs. We propose pursuing integrated strategies that incorporate new advances in artificial intelligence to improve disease diagnostics and navigate the complexity of caring for people with coexisting lung diseases.

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Background: In Pakistan, a smartphone-based telemonitoring (TM) program (Raabta) has been designed to support pregnant women with high risk for preeclampsia (HRPE) in Pakistan. However, implementing TM interventions is often challenging, particularly in low-resource settings, given the complexity of healthcare environments and variations in public and private health sectors. This study explores the potential barriers and facilitators for a sustained implementation of the Raabta program in public and private sector hospitals in Pakistan.

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Article Synopsis
  • Motor impairments are common after childhood arterial ischemic stroke (C-AIS), affecting the understanding of how these impairments relate to intellectual abilities in children.
  • A study of 34 children with C-AIS found that motor functioning in early recovery significantly correlates with various intellectual skills, including verbal and perceptual reasoning abilities.
  • The results suggest that early motor deficits may influence intellectual development due to neuroplastic changes after injury, while motor functions assessed closer to testing reflect recovery and improvement potentially aided by interventions.
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Article Synopsis
  • Over 300,000 children in the U.S. have pediatric rheumatic diseases (PRDs), with juvenile idiopathic arthritis (JIA), childhood-onset systemic lupus erythematosus (cSLE), and juvenile dermatomyositis (JDM) being the most prevalent.
  • The first biologic therapy for JIA, Etanercept, was approved in 1999, followed by other similar treatments that have significantly improved disease outcomes, though options for cSLE and JDM remain limited.
  • The review explores the challenges in treating various PRDs, highlights advancements in treatment, and discusses current regulatory conditions affecting bDMARD and tsDMARD approvals.
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Stimulus conditions that promote habitual control.

Sci Rep

December 2024

Department of Psychology, The University of Toronto, 100 St. George Street, Toronto, ON, M5S 3G3, Canada.

Two experiments in rats examined how training where a stimulus signaled when to respond for reward, conditions that should favour S-R learning, might lead to habitual control of behaviour. Experiment 1 investigated how animals trained with a stimulus preceding lever insertion would impact learning relative to a group that was self-paced and could control lever insertion with a second, distinct response. Rats were then tested for sensitivity to outcome devaluation to distinguish between goal-directed and habitual control.

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Change is not possible unless it is feasible: Dr Brian Hutchison reflects on how to improve the health care system.

Can Fam Physician

January 2024

Professor Emeritus in the Department of Family Medicine and the Department of Health Research Methods, Evidence and Impact at McMaster University in Hamilton, Ont, when this article was written. This article is being published posthumously.

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Expansion of virtual care family medicine services during the COVID-19 pandemic: Experience with an innovative hybrid model at an Ontario clinic.

Can Fam Physician

January 2024

Family doctor and Medical Director of Get Well Clinic in North York, Ont. He is Assistant Professor at the Temerty Faculty of Medicine at the University of Toronto and in the Department of Family and Community Medicine at North York General Hospital, both in Ontario. He also serves as Primary Care Digital Co-lead with the North York Toronto Health Partners Ontario Health Team, Co-administrator of the OSCAR Ontario Facebook group, and a director on the board of Open OSP Service Cooperative. He is a clinical advisor for eHealth Centre for Excellence.

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How to stay human during residency.

Can Fam Physician

January 2024

Professor of Psychiatry and Family Medicine at the University of Toronto in Ontario and Co-founder of the Narrative-Based Medicine Lab, a continuing professional development hub for teaching, research, and innovation at the University of Toronto. The seventh edition of his book Staying Human During Residency Training: How to Survive and Thrive After Medical School, which he co-authored with Dr Derek Puddester, was published by University of Toronto Press in 2024.

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Treat-to-Target Outcomes With Tapinarof Cream 1% in Phase 3 Trials for Plaque Psoriasis.

Cutis

October 2024

Dr. Armstrong is from the Division of Dermatology, University of California Los Angeles. Dr. Bissonnette is from Innovaderm Research Inc, Montreal, Quebec, Canada. Dr. Chovatiya is from Chicago Medical School, Rosalind Franklin University of Medicine and Science, Illinois, and the Center for Medical Dermatology and Immunology Research, Chicago. Dr. Bhutani is from the Department of Dermatology, University of California, San Francisco. Drs. Brown and Tallman are from Dermavant Sciences, Inc, Morrisville, North Carolina. Dr. Papp is from Probity Medical Research Inc and Alliance Clinical Trials, Waterloo, Ontario, Canada, and the University of Toronto, Ontario.

The National Psoriasis Foundation (NPF) treatment targets aim to achieve 1% or lower body surface area (BSA) affected after 3 months of treatment. European psoriasis treatment guidelines aim to achieve similar goals based on improvements in Psoriasis Area and Severity Index (PASI) scores. We performed pooled analyses of the PSOARING phase 3 program, which evaluated treat-to-target outcomes for patients treated with tapinarof cream 1% once daily (QD) for up to 52 weeks.

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