418 results match your criteria: "West Park Healthcare Centre[Affiliation]"

Introduction: Characteristics of chronic obstructive pulmonary disease (COPD) can include shortness of breath, chronic cough, sputum production and reduced exercise capacity. The sit-to-stand (STS) test variations (e.g.

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Objectives: Individuals with lower-limb amputations (LLA) often have deficits in balance and community walking ability. As a result, people with LLA are often sedentary. The aim of this study was to explore perceptions of physical activity from the perspective of people with LLA.

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An environmental scan of limb loss rehabilitation centers across Canada.

Prosthet Orthot Int

November 2024

St. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.

Background: The clinical landscape of limb loss rehabilitation across Canada is poorly delineated, lacks standard rehabilitation guidelines, and is without a shared clinical database.

Objective: To address these gaps, the objective of the present study was to undertake an environmental scan of the rehabilitation centers across Canada that provide inpatient and/or outpatient services to the limb loss community.

Study Design: An environmental scan was conducted to describe the rehabilitation service structure, program services, and outcome measures of sites across Canada.

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Patient-managed interventions for adults with bronchiectasis: evidence, challenges and prospects.

Eur Respir Rev

October 2024

Precision Medicine in Respiratory Diseases Group, Instituto de Investigación Sanitaria (IIS) Aragón, Zaragoza, Spain.

Bronchiectasis is a chronic lung condition which is characterised by recurrent chest infections, chronic sputum production and cough, and limited exercise tolerance. While bronchiectasis may be caused by various aetiologies, these features are shared by most patients with bronchiectasis regardless of the cause. This review consolidates the existing evidence on patient-managed interventions for adults with bronchiectasis, while also outlining areas for future research.

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Article Synopsis
  • Individuals with interstitial lung disease (ILD) often face worse symptoms and may avoid physical activities, leading to a need for effective rehabilitation strategies.
  • This review analyzed randomized controlled trials to determine how pulmonary rehabilitation (PR) impacts both functional capacity and performance in ILD patients, focusing on exercise training and support.
  • Results showed that PR significantly improved functional capacity, notably in the 6-Minute Walk Test, while only self-reported physical activity levels improved for functional performance, indicating that more focus is needed on performance measures.
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Article Synopsis
  • Osteoarthritis is more common and severe in women, especially among racialized immigrant women, who often struggle to access early diagnosis and treatment options.
  • The study aimed to evaluate the quality and cultural safety of online materials about osteoarthritis for affected individuals and healthcare professionals, utilizing a rigorous content analysis process.
  • Out of 176 items screened, 47 relevant materials were assessed, revealing that many had moderate to low quality and cultural safety, highlighting the need for improved resources tailored to diverse populations.
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Article Synopsis
  • The article with DOI: 10.1007/s40617-023-00886-x has been updated to address previously identified errors or inaccuracies.
  • The corrections aim to improve the clarity and accuracy of the information presented in the original article.
  • Readers are encouraged to refer to the updated version for the most reliable and precise content.
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Article Synopsis
  • A study was conducted to assess the effects of personalized music listening as an addition to standard pulmonary rehabilitation for adults with COPD.
  • Participants were randomly divided into a music intervention group, who created playlists with a therapist, and a control group that received standard care during the rehabilitation program.
  • Results showed no significant differences in symptoms of breathlessness and exertion between the two groups, although both groups experienced improvements, suggesting that the added benefit of music therapy remains unclear due to study limitations related to COVID-19.
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Introduction: People with Tuberculosis (TB) infection may present with glomerulonephritis (GN). The range of presentations, renal pathologies, and clinical outcomes are uncertain. Whether clinical features that establish if GN etiology is medication or TB related, and possible benefits of immunosuppression remain uncertain.

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Pulmonary rehabilitation with balance training for fall reduction in chronic obstructive pulmonary disease: a randomized controlled trial.

BMC Pulm Med

August 2024

School of Rehabilitation Science, Faculty of Health Science, McMaster University, IAHS, 1400 Main St. W, Hamilton, ON, L8S 1C7, Canada.

Background And Objectives: Available evidence suggests that adults with chronic obstructive pulmonary disease (COPD) performed substantially worse than healthy controls on many balance measures and balance training can improve the balance measures in this population. We conducted this study to determine the effects of incorporating balance training into pulmonary rehabilitation (PR) on the incidence of falls at 12 months follow-up in high fall risk adults with COPD.

Methods: We conducted a prospective international multi-center randomized controlled trial.

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Purpose: Little information is available to women with lower limb absence (LLA) and their health care providers regarding the impacts they may experience during the perinatal period. This study explores the physical impacts of pregnancy on women with LLA, including mobility, prosthesis fit and prosthesis use.

Methods: We conducted semi-structured interviews with 19 women with LLA who had experienced pregnancy in the last 10 years.

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Article Synopsis
  • The study examines whether incorporating balance training into pulmonary rehabilitation (PR) can reduce fall incidents in individuals with COPD, marking a significant international effort in this area.
  • The research involved an international team from ten outpatient PR programs and tracked 1275 patients, with key findings highlighting logistical challenges faced during the trial due to the COVID-19 pandemic.
  • Lessons learned emphasized the importance of understanding funding policies, preparing for staffing setbacks, and having contingency plans for site dropouts in multi-centre rehabilitation trials.
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Introduction: Lower extremity amputation (LEA) is a life altering procedure, with significant negative impacts to patients, care partners, and the overall health system. There are gaps in knowledge with respect to patterns of healthcare utilization following LEA due to dysvascular etiology.

Objective: To examine inpatient acute and emergency department (ED) healthcare utilization among an incident cohort of individuals with major dysvascular LEA 1 year post-initial amputation; and to identify factors associated with acute care readmissions and ED visits.

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Background: Rifampicin (RIF) is considered the backbone of TB treatment, but adverse effects often limit its use.

Methods: This retrospective cohort study examined patients treated for TB disease at our institution, and compared those who received RIF to those who were intolerant to RIF.

Results: A total of 829 patients were included.

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Factors related to the implementation of pulmonary rehabilitation in Jordan: Perspective of healthcare professionals.

Respir Med

September 2024

Respiratory Medicine, West Park Healthcare Centre, Toronto, Canada; Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada; Department of Medicine, University of Toronto, Toronto, Canada.

Background: Although the benefits of pulmonary rehabilitation (PR) in the management of chronic respiratory disease conditions (CRC) are well-documented, it remains underutilized. In Jordan, the scarcity of PR services denies those with CRC the opportunity to improve their functional capacity, mental health, and quality of life.

Objective: To explore the factors related to the implementation of PR in Jordan from the perspective of the healthcare professionals (HCPs).

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Background: Major limb loss can have profound physical and psychosocial implications for individuals, impacting their quality of life and well-being. Despite the effectiveness of peer support in improving outcomes for various chronic conditions, its impact on individuals with major limb loss remains understudied.

Objectives: This review aims to explore the existing literature on peer support for individuals with major limb loss.

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Balance measures for fall risk screening in community-dwelling older adults with COPD: A longitudinal analysis.

Respir Med

June 2024

School of Rehabilitation Science, Faculty of Health Science, McMaster University, Hamilton, ON, Canada; Department of Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada. Electronic address:

Background: Chronic obstructive pulmonary disease (COPD) increases fall risk, but consensus is lacking on suitable balance measures for fall risk screening in this group. We aimed to evaluate the reliability and validity of balance measures for fall risk screening in community-dwelling older adults with COPD.

Methods: In a secondary analysis of two studies, participants, aged ≥60 years with COPD and 12-month fall history or balance issues were tracked for 12-month prospective falls.

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Phenotypic amikacin resistance may not indicate poor response to amikacin in complex pulmonary disease.

Antimicrob Agents Chemother

June 2024

Division of Respirology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

When using amikacin to treat complex pulmonary disease (MAC-PD), a minimum inhibitory concentration resistance breakpoint of ≥64 mcg/mL is recommended. We explored whether amikacin resistance characterized by phenotypic drug susceptibility testing was associated with clinical outcomes or mutational resistance in a retrospective cohort of patients with MAC-PD. Despite little aminoglycoside exposure, amikacin resistance was common in our MAC-PD patients but was not associated with worse outcomes or gene mutations.

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Beyond pulmonary rehabilitation: can the PICk UP programme fill the gap? A randomised trial in COPD.

Pulmonology

May 2024

Lab3R - Respiratory Research and Rehabilitation Laboratory, School of Health Sciences, University of Aveiro (ESSUA), Aveiro, Portugal; iBiMED - Institute of Biomedicine, University of Aveiro, Aveiro, Portugal. Electronic address:

Introduction And Objectives: Pulmonary rehabilitation (PR) is a fundamental intervention to manage COPD, however, maintaining its benefits is challenging. Engaging in physical activity might help to prolong PR benefits. This study assessed the efficacy and effectiveness of a personalised community-based physical activity programme to sustain physical activity and other health-related PR benefits, in people with COPD.

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Purpose: This study determines barriers and facilitators to including people with lower limb amputation (LLA) in cardiovascular rehabilitation programmes (CRPs).

Method: Canadian CRP managers and exercise therapists were invited to complete a questionnaire.

Results: There were 87 respondents.

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Background: Women are disproportionately impacted by osteoarthritis (OA) but less likely than men to access OA care, particularly racialized women. One way to reduce inequities is through policies that can influence healthcare services. We examined how OA-relevant policies in Canada address equitable, person-centred OA care for women.

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Resources, relationships, and resilience: The psychosocial experiences of women with lower limb absence during pregnancy and postpartum.

Disabil Health J

July 2024

Barber Prosthetics Clinic, Vancouver, BC, Canada; Rehabilitation Sciences, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. Electronic address:

Background: There is limited research on the unique needs of women with lower limb absence (LLA) during pregnancy and postpartum. The lack of information can negatively impact women's physical and emotional experiences.

Objective: The purpose of this study is to explore the psychosocial experiences of individuals with LLA through the pregnancy and postpartum periods, and to provide information to women and health care providers (HCPs) on what they can expect.

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Introduction: Inspiratory muscle training (IMT) is one possible strategy to ameliorate respiratory muscle weakness due to invasive mechanical ventilation. Recent systematic reviews have focused on respiratory outcomes with minimal attention to physical function. The newest systematic review searched the literature until September 2017 and a recent preliminary search identified 5 new randomized controlled trials focusing on IMT in critical care.

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Background: Throughout the COVID-19 pandemic, first-line healthcare leaders across the healthcare system played crucial roles leading, motivating, and supporting staff.

Purpose: This study aims to describe multidisciplinary first-line healthcare leaders' experiences during the COVID-19 pandemic in Ontario, Canada using transformational and crisis leadership theory.

Methods: A descriptive two-phase (quantitative & qualitative) design was conducted in the spring of 2021.

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