Dev Jayaraman
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View article: Exploring Cachexia: Severity, Functional Abilities, and Personal Experiences of Cancer Survivors through a Mixed-Methods Analysis
Exploring Cachexia: Severity, Functional Abilities, and Personal Experiences of Cancer Survivors through a Mixed-Methods Analysis Open
A BSTRACT Introduction: Cachexia, an involuntary weight loss and wasting of muscle, severely impairs the quality of life and treatment outcomes of survivors after cancer. Objectives: The study opted for this mixed-method design to assess c…
View article: A New Approach to Haemodialysis: Nurse-Led Dual Intervention Eases AV-Fistula Puncture Pain and Discomfort
A New Approach to Haemodialysis: Nurse-Led Dual Intervention Eases AV-Fistula Puncture Pain and Discomfort Open
A BSTRACT Background: Chronic kidney disease (CKD) affects approximately 10% of the global population and often progresses to end-stage renal disease, necessitating hemodialysis. Arteriovenous (AV) fistula puncture is a routine yet painful…
View article: Impact of double moisture technique on throat pain and dysphagia among post-operative Indian patients: A randomized controlled trial
Impact of double moisture technique on throat pain and dysphagia among post-operative Indian patients: A randomized controlled trial Open
Post-operative pharyngeal discomfort and dysphagia are common issues that interfere with recovery, especially after surgeries involving general anesthesia and endotracheal intubation. A randomized controlled trial was conducted to evaluate…
View article: Effectiveness of respiratory care modalities on biophysiological parameters among COPD patients at a tertiary care hospital in Chennai, India
Effectiveness of respiratory care modalities on biophysiological parameters among COPD patients at a tertiary care hospital in Chennai, India Open
Chronic Obstructive Pulmonary Disease (COPD) is one of the prevalent global health problems, with chronic respiratory symptoms and airflow limitation due to anatomic abnormalities primarily in the airways and alveoli. Therefore it is of in…
View article: Spontaneous, simultaneous bilateral osteonecrosis of the femoral heads in a patient with sideroblastic anaemia with B-cell immunodeficiency, periodic fever and developmental delay syndrome
Spontaneous, simultaneous bilateral osteonecrosis of the femoral heads in a patient with sideroblastic anaemia with B-cell immunodeficiency, periodic fever and developmental delay syndrome Open
Sideroblastic anaemia with B-cell immunodeficiency, periodic fever and developmental delay is a recently described, rare syndrome characterised by numerous manifestations underpinned by mutations in transfer RNA nucleotidyltransferase. The…
View article: A Quality Improvement Initiative to Implement the Serious Illness Care Program on Hospital Medical Wards
A Quality Improvement Initiative to Implement the Serious Illness Care Program on Hospital Medical Wards Open
Background: The Serious Illness Care Program (SICP) is a communication intervention that builds clinician capacity to have earlier, more values-based conversations about goals of care with patients experiencing life-limiting illness. We re…
View article: Implementation of the Serious Illness Care Program on Hospital Medical Wards
Implementation of the Serious Illness Care Program on Hospital Medical Wards Open
Background Poor communication with hospitalized patients facing serious, life-limiting illnesses can result in care that is not consistent with patients’ values and goals. The Serious Illness Care Program (SICP) is a communication interven…
View article: Outcomes and clinical practice in patients with COVID-19 admitted to the intensive care unit in Montréal, Canada: a descriptive analysis
Outcomes and clinical practice in patients with COVID-19 admitted to the intensive care unit in Montréal, Canada: a descriptive analysis Open
Our cohort of critically ill patients with COVID-19 had lower mortality than that previously described in other jurisdictions. These findings may help guide critical care decision-making in similar health care systems in further COVID-19 s…
View article: Process Mapping to Examine How Goals of Care Discussions and Decisions about Life-Sustaining Treatments Occur On Medical Wards: A MultiCenter Observational Study
Process Mapping to Examine How Goals of Care Discussions and Decisions about Life-Sustaining Treatments Occur On Medical Wards: A MultiCenter Observational Study Open
Background Poor quality communication about goals of care with seriously ill, hospitalized patients is associated with substantial discordance between prescribed medical orders for life-sustaining treatment and patients’ stated preferences…
View article: Ultrasound assessment of central venous pressure: A systematic review and meta-analysis
Ultrasound assessment of central venous pressure: A systematic review and meta-analysis Open
Background Ultrasound is increasingly relied upon to estimate central venous pressure (CVP) in the echocardiography lab and using point-of-care systems in the intensive care unit and the emergency department. However, there is uncertainty …
View article: OP27 Implementation of the serious illness care programin the hospital setting: emerging results of a multi-site quality improvement collaborative
OP27 Implementation of the serious illness care programin the hospital setting: emerging results of a multi-site quality improvement collaborative Open
Background Seriously ill, hospitalized patients often receive treatment that is not aligned with their values and goals. The Serious Illness Care Program (SICP) is a multi-faceted health system intervention aimed at enabling more person-ce…
View article: Supporting shared decision-making about cardiopulmonary resuscitation using a video-based decision-support intervention in a hospital setting: a multisite before–after pilot study
Supporting shared decision-making about cardiopulmonary resuscitation using a video-based decision-support intervention in a hospital setting: a multisite before–after pilot study Open
The CPR decision video was acceptable to patients and family members. Our decision-support intervention may improve knowledge, reduce decisional conflict and reduce the prevalence of medical orders for CPR in the Canadian hospital setting.
View article: Duration of corticosteroid use in chronic obstructive pulmonary disease exacerbations: improving prescribing practices on clinical teaching units with peer-to-peer teaching
Duration of corticosteroid use in chronic obstructive pulmonary disease exacerbations: improving prescribing practices on clinical teaching units with peer-to-peer teaching Open
Introduction The most recent Global Initiative for Chronic Obstructive Lung Disease consensus recommends a 5-day course of corticosteroid (CS) therapy for acute chronic obstructive pulmonary disease exacerbations (ACOPDE). As inappropriate…
View article: Opioid-associated iatrogenic withdrawal in critically ill adult patients: a multicenter prospective observational study
Opioid-associated iatrogenic withdrawal in critically ill adult patients: a multicenter prospective observational study Open
IWS was occasionally observed in this very specific population of mechanically ventilated, critically ill ICU patients. Further studies are needed to confirm these preliminary results and identify risk factors.
View article: Feasibility of Standardizing Prehospital Communication in Cuenca, Ecuador
Feasibility of Standardizing Prehospital Communication in Cuenca, Ecuador Open
Welcome to Annals of Global Health,Annals of Global Health is a peer-reviewed, fully open access, online journal dedicated to publishing high quality articles dedicated to all aspects of global health. The journal's mission is to advance g…
View article: Improving the Quality of Prehospital to Hospital Communication in Cuenca, Ecuador Using a Standardized Course
Improving the Quality of Prehospital to Hospital Communication in Cuenca, Ecuador Using a Standardized Course Open
Welcome to Annals of Global Health,Annals of Global Health is a peer-reviewed, fully open access, online journal dedicated to publishing high quality articles dedicated to all aspects of global health. The journal's mission is to advance g…
View article: The Perceived Likelihood of Outcome of Critical Care Patients and Its Impact on Triage Decisions: A Case-Based Survey of Intensivists and Internists in a Canadian, Quaternary Care Hospital Network
The Perceived Likelihood of Outcome of Critical Care Patients and Its Impact on Triage Decisions: A Case-Based Survey of Intensivists and Internists in a Canadian, Quaternary Care Hospital Network Open
In a case-based survey, physician specialty base did not affect assessments of ICU admission benefit or accuracy in outcome prediction, but resulted in a statistically significant difference in level of care assignments. Of note, significa…
View article: At the Crossroad with Morbidity and Mortality Conferences: Lessons Learned through a Narrative Systematic Review
At the Crossroad with Morbidity and Mortality Conferences: Lessons Learned through a Narrative Systematic Review Open
Objective . To determine the process and structure of Morbidity and Mortality Conference (MMC) and to provide guidelines for conducting MMC. Methods . Using a narrative systematic review methodology, literature search was performed from Ja…
View article: Impact of a Local Low-Cost Ward-Based Response System in a Canadian Tertiary Care Hospital
Impact of a Local Low-Cost Ward-Based Response System in a Canadian Tertiary Care Hospital Open
Background . Medical emergency teams (METs) or rapid response teams (RRTs) facilitate early intervention for clinically deteriorating hospitalized patients. In healthcare systems where financial resources and intensivist availability are l…
View article: The Perceived Effect of Duty Hour Restrictions on Learning Opportunities in the Intensive Care Unit
The Perceived Effect of Duty Hour Restrictions on Learning Opportunities in the Intensive Care Unit Open
Background Many countries have reduced resident duty hours in an effort to promote patient safety and enhance resident quality of life. There are concerns that reducing duty hours may impact residents' learning opportunities. Objectives We…