Medical student’s painting shows similarities between humans and nature


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Medical student’s painting shows similarities between humans and nature

Toronto, April 4, 2016

By Rebecca Goss

Medical student Mei Wen shows her painting of lungs
Medical student Mei Wen shows her painting of lung area. Click the link or around the photo above to determine a detailed-from the painting. (Photo by Rebecca Goss)

The very first time medical student Mei Wen saw an individual lung it advised her of the tree.

So she did what she usually does when she learns something interesting: she colored.

For Wen, an initial-year College of Toronto medical student who attends her Arts and Science in Clinical Medicine class in the Li Ka Shing Understanding Institute, painting is a method to both decompress and produce to existence concepts she’s learned at school. She bakes an effort to create aside a minumum of one weekend monthly to color and she or he attempts to connect her works of art to her medical studies.

Her newest piece, a 50-centimetre by 60-centimetre acrylic painting entitled Lung Tree, was inspired with a lung she saw in anatomy class.

“The very first time I saw a genuine lung all I possibly could think was just how much it advised me of the tree,” Wen stated. “There a multitude of similarities between our physiques and nature. I love making individuals connections through my art.”

The painting depicts the trachea and bronchi from the lung area like a tree. A corner represents the trachea, the branches represent the bronchi and eco-friendly leaves represent the lobes.

The parrots within the painting symbolize the connections humans need to nature around them. The flowers presents itself the painting are foxgloves, which make the poisonous compound digoxin, frequently utilized as a cardiac stimulant.

      “Not only is the body linked to nature, everything we place in to the physiques, our medicine, is simply too.Inches — Medical student Mei Wen

“It goes full circle,” stated Wen. “Not only is the body linked to nature, everything we place in to the physiques, our medicine, is simply too.Inches

Wen stated Lung Tree was purposefully eye-popping and vibrant to contrast physiological sketches in her own textbooks.

The painting hangs in her own study space in your own home as inspiration to color and also to keep exploring medicine. Another painting of the exterior carotid artery inside a skull hangs nearby. Wen has posted both pieces that need considering for Synesthesia, the College of Toronto Faculty of drugs art show in March.

About St. Michael’s Hospital

St. Michael’s Hospital provides compassionate choose to all who enter its doorways. A healthcare facility offers outstanding medical education to future medical professionals in 27 academic disciplines. Critical care and trauma, cardiovascular disease, neurosurgery, diabetes, cancer care, proper care of the destitute and global health are some of the hospital’s recognized special areas of practice. With the Keenan Research Center and also the Li Ka Shing Worldwide Healthcare Education Center, which from the Li Ka Shing Understanding Institute, research and education at St. Michael’s Hospital are recognized making an effect all over the world. Founded in 1892, a healthcare facility is fully associated with the College of Toronto.

Gamblers Anonymous connected with progress, may need more combined approach: literature review


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Gamblers Anonymous connected with progress, may need more combined approach: literature review

Toronto, April 5, 2016

By Kendra Stephenson

Dr. Flora Matheson
Dr. Flora Matheson

Individuals who attended Gamblers Anonymous gambled less frequently, demonstrated elevated readiness for change that has been enhanced coping skills, but made an appearance to fair better when Gamblers Anonymous was coupled with other therapeutic approaches, an extensive review finds.

Gamblers Anonymous is really a twelve-step program for people having a gambling problem, according to peer support along with a shared need to stop gambling. About 3 to 6 percent of people encounters problem gambling, however the incidence is a lot greater within lower-earnings populations.

“Gamblers Anonymous is among the most cost-effective and simply accessible sources for people coping with problem gambling issues,” stated Dr. Flora Matheson, lead researcher from the study and medical sociologist in the Center for Research on Inner City Health of St. Michael’s Hospital. “However, regardless of the wide-spread utilization of Gamblers Anonymous, there’s been little research exploring its usefulness like a recovery approach, and individuals which have are largely sporadic. We checked out the accessible data to recognize gaps in understanding and provide some insight for future focuses of study.”

The research, printed today in The Journal of Gambling Studies, discovered that the potency of Gambers Anonymous must be studied further, but made an appearance to exhibit better rates of abstinence, improved gambling signs and symptoms and quality of existence, particularly when used along with other approaches, for example stress management intervention and cognitive behavioural therapy.

“Previous studies have proven that lots of people with problem gambling also provide drug abuse or mental health problems, frequently rooted in some kind of earlier trauma,” stated Dr. Matheson. “Gamblers Anonymous provides a safe space that people share their knowledge about other people who understand problem gambling, but maybe doesn’t treat underlying causes associated with gambling. It’s possible other approaches do.”

Review incorporated data from 17 studies on various facets of problem gambling printed between 2002 and 2015 – varying from evaluating treatment effectiveness, to GA culture characteristics and variations in gender encounters.

One of the findings:

  • Greater reductions of depression, panic and anxiety, and elevated existence satisfaction and sleep duration among individuals using Gamblers Anonymous coupled with stress management intervention (includes education on dieting and exercise, stress coping methods, relaxation breathing and progressive muscle relaxation).
  • Gamblers Anonymous participants shown significant reductions in gambling symptom severity in addition to enhancements in psychosocial functioning and excellence of existence using imaginal desensitization plus motivational interviewing, or IDMI.
  • Greater enhancements in gambling signs and symptoms and reduced days gambled when GA was coupled with cognitive behavioural therapy.
  • Overall improved coping skills in Gamblers Anonymous attendees, better leads to individuals also taking part in cognitive behavioural therapy.

Additionally to reviewing literature on the potency of Gamblers Anonymous, they examined variations in gender encounters using the program. Women appeared to profit from Gamblers Anonymous around men initially, viewing it as being an origin of expect their problem gambling. However, women used Gamblers Anonymous to build up informal social systems outdoors from the program along with other women attending Gamblers Anonymous – a method essential for women’s recovery, in addition to professional therapies.

“Gamblers Anonymous remains a practical and accessible option for those who have problem gambling, nevertheless its effectiveness alone like a treatment option must be evaluated comprehensively to find out any gaps and improve take care of these people,Inches stated Dr. Matheson.

This research received funding in the Ontario Problem Gambling Research Center.

This paper is a good example of how St. Michael’s Hospital is making Ontario Healthier, Wealthier, Smarter.

About St. Michael’s Hospital

St. Michael’s Hospital provides compassionate choose to all who enter its doorways. A healthcare facility offers outstanding medical education to future medical professionals in 27 academic disciplines. Critical care and trauma, cardiovascular disease, neurosurgery, diabetes, cancer care, proper care of the destitute and global health are some of the hospital’s recognized special areas of practice. With the Keenan Research Center and also the Li Ka Shing Worldwide Healthcare Education Center, which from the Li Ka Shing Understanding Institute, research and education at St. Michael’s Hospital are recognized making an effect all over the world. Founded in 1892, a healthcare facility is fully associated with the College of Toronto.

Media contacts

To learn more in order to arrange a job interview with Dr. Matheson, please contact:

Kendra Stephenson
Communications Consultant – Media
416-864-5047
[email protected]

Enhance your hands-hygiene education: Are you currently a difficult Scrubber?


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Enhance your hands-hygiene education: Are you currently a difficult Scrubber?

Toronto, October 16, 2017

Through the Heart and Vascular Program’s Quality and Safety Leaders Group

OT Laura Shapiro and PT Rebecca Bunston
Work-related counselor Laura Shapiro (left) and physio therapist Rebecca Bunston (right) helped develop Tough Scrubber at St. Michael’s.

Fun, fast, challenging, amusing. Is that this the way your staff would describe their hands-hygiene education? Try Tough Scrubber plus they might just.

Within the St. Michael’s Heart and Vascular Program, our traditional hands hygiene interventions were feeling a little stale. Engagement was low – and honestly, it demonstrated within our compliance rates.

We wanted greater than a poster. We wanted a sensation! Enter Tough Scrubber, the creation in our program’s Quality and Safety Leaders Group. A experience the challenging Mudder concept, front-line staff undergo a quick-paced, over-the-top simulation that’s targeted at their clinical area. There is a quick quiz before they begin along with a quick debrief once they finish… and that’s it. The entire process takes ten minutes or fewer. We’re pleased to report, it had been an enormous hit!

This five-minute video will explain much more about how Tough Scrubber works. We’ve also come up with a toolkit to assist hands-hygiene champions implement Tough Scrubber in their own individual hospitals and health-care organizations.

For the staff, Tough Scrubber opened up the doorway to a different thought process about hands hygiene. It’s Alright to inquire and also to provide your colleagues feedback – we’re all learning. Doing hands hygiene properly can be hard, but it’s much simpler whenever we help one another out.

Tough Scrubber toolkit cover

Download our toolkit

Up to now, 43 Heart and Vascular staff have finished Tough Scrubber, and our hope is you will too. It just takes our toolkit, 4-5 hands-hygiene leaders (to operate the game and pose as patients), a clear patient room with two beds, and also the everyday equipment described within the scenarios (e.g. a motorized wheel chair, a basin).

Within our Heart and Vascular Units, we’ve improved our compliance rate for Moment 1 by 27% in 3 years. This is really the effect of a mixture of many years of education, effort and many different types of interventions. However our Tough Scrubber sessions truly felt such as the tipping point.

For additional info on Tough Scrubber and also to download the toolkit, visit world wide web.stmichaelshospital.com/toughscrubber.

Check it out, and tell us the way it labored for you personally! For those who have any queries or feedback, please call us at [email protected] and [email protected]

About St. Michael’s Hospital

St. Michael’s Hospital provides compassionate choose to all who enter its doorways. A healthcare facility offers outstanding medical education to future medical professionals in additional than 29 academic disciplines. Critical care and trauma, cardiovascular disease, neurosurgery, diabetes, cancer care, proper care of the destitute and global health are some of the Hospital’s recognized special areas of practice. With the Keenan Research Center and also the Li Ka Shing Worldwide Healthcare Education Center, which from the Li Ka Shing Understanding Institute, research and education at St. Michael’s Hospital are recognized making an effect all over the world. Founded in 1892, a healthcare facility is fully associated with the College of Toronto.

Women with unhealthy BMIs who smoke and drink at two-fold greater chance of bronchial asthma: worldwide study


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Women with unhealthy BMIs who smoke and drink at two-fold greater chance of bronchial asthma: worldwide study

Toronto, April 6, 2016

By Kendra Stephenson

Dr. Jayadeep Patra
Dr. Jayadeep Patra

Underweight and obese ladies who also drank alcohol and smoked tobacco were built with a two-fold greater chance of being identified as having bronchial asthma than women with a sound body mass index who didn’t drink or smoke, a St. Michael’s Hospital study found.

Women with high and low weight indexes, or BMIs, who smoked and drank were also 2 to 3 occasions more prone to experience wheezing.

Bronchial asthma is really a respiratory system condition where spasms in mid-air pathways from the lung area cause breathlessness usually triggered by an allergic reaction or sensitivity within the atmosphere. Bronchial asthma is really a global health priority because of the extent and time period of disability, affecting 334 million people worldwide.

The research, printed now in BMJ Open Respiratory system Research, is the first one to measure the combined results of Body mass index, smoking, consuming alcohol and solid fuel experience the chance of developing bronchial asthma. The study incorporated data collected between 2002 and 2004 from roughly 175,000 people aged 18 to 44, across 51 countries.

“Although individual physical and behavior factors connected with bronchial asthma happen to be examined before, individuals are frequently uncovered to multiple risks so it’s important we know the combined impact,” stated Dr. Jayadeep Patra, lead author from the study as well as an epidemiologist in the Center for Global Health Research of St. Michael’s Hospital. “Our research found overall elevated risk for wheezing and bronchial asthma in both women and men, however the magnitude from the combined effects from low or high Body mass index, smoking and consuming was consistently greater among women than men.”

Men demonstrated greater prevalence of smoking and employ of alcohol than women, but more women had unhealthy BMIs (underweight or obese) than men, highlighting the higher impact of female Body mass index like a risk factor.

Dr. Patra also noted you will find significant variations in diagnosed bronchial asthma between countries, with growing rates present in low-earnings and middle-earnings countries, potentially due to greater contact with multiple risks, including using solid fuel.

In low and middle-earnings countries, solid fuels for example dung, charcoal or wood can be used for cooking and therefore are common in lots of households. These fuels are recognized to lead to greater chance of developing respiratory system and coronary disease, when compared with those who prepare with electric or gas devices.

“In the past few years, the increasing health insurance and economic burden of non-infectious respiratory system illnesses for example bronchial asthma have presented a substantial challenge to public health,” stated Dr. Patra. “Respiratory illnesses are complex, with multiple genetic, ecological and behavioural risks that fluctuate across regions and affect particular populations diversely.Inches

Dr. Patra stated the combined results of identified risks haven’t been sufficiently studied by yet, with lots of questions still unanswered. For instance, contact with polluting of the environment or second-hands smoke in lower earnings countries could lead to greater rates of bronchial asthma and respiratory system issues, however this information wasn’t available throughout the current study. Also, countries with greater male smoking rates for example India or Bangladesh could impact on greater bronchial asthma and wheezing rates because of more contact with second-hands smoke.

“The impact of those factors combined on wheezing signs and symptoms and diagnosed bronchial asthma requires greater focus on collaborative – instead of isolated – efforts to lower their exposure,” stated Dr. Patra. “The effect on the significant population particularly is every bit important, which suggests another potential section of focus for future intervention strategies.”

This research was funded through the US National Institutes of Health, the Canadian Institutes of Health Research and also the Bill and Melinda Gates Foundation.

This paper is a good example of how St. Michael’s Hospital is making Ontario Healthier, Wealthier, Smarter.

About St. Michael’s Hospital

St. Michael’s Hospital provides compassionate choose to all who enter its doorways. A healthcare facility offers outstanding medical education to future medical professionals in 27 academic disciplines. Critical care and trauma, cardiovascular disease, neurosurgery, diabetes, cancer care, proper care of the destitute and global health are some of the hospital’s recognized special areas of practice. With the Keenan Research Center and also the Li Ka Shing Worldwide Healthcare Education Center, which from the Li Ka Shing Understanding Institute, research and education at St. Michael’s Hospital are recognized making an effect all over the world. Founded in 1892, a healthcare facility is fully associated with the College of Toronto.

Media contacts

To learn more in order to arrange a job interview with Dr. Patra, please contact:

Kendra Stephenson
Communications Consultant – Media
416-864-5047
[email protected]

Many ICU patients trade their critical illness for brand new and debilitating illness, ICU-acquired weakness


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Many ICU patients trade their critical illness for brand new and debilitating illness, ICU-acquired weakness

Toronto, April 8, 2016

By Leslie Shepherd

Dr. Jane Batt
Dr. Jane Batt

An increasing number of people are being discharged from intensive care units, cured from the critical illness that place them there but facing a brand new and potentially debilitating condition — ICU-acquired weakness.

Intensive care patients are recognized to lose muscle tissue and performance for a lot of reasons, varying from prolonged immobilization, towards the results of ICU treatments for example mechanical ventilation towards the critical illness itself.

As the mechanisms of muscle atrophy (loss) and performance throughout an ICU stay happen to be studied well, little studies have been conducted in to the cellular and molecular mechanisms accountable for recovering muscle strength within the lengthy-term.

New research printed today within the American Journal of Respiratory system and demanding Care Medicine discovered that some patients who continue to be affected by weakness six several weeks once they were discharged in the ICU, demonstrate persistent muscle wasting, even if your biologic functions that generally cause muscles to atrophy have came back to normalcy for example inflammation or even the introduction to proteins in muscle tissues.

In addition, there’s no be certain that reconstitution of muscle size normalizes strength patients who were able to regrow muscle continued to be weak. In some instances, this muscle weakness causes profound disability and reduced quality of existence, and may serve you for a lifetime, stated the study’s lead author, Dr. Jane Batt, a respirologist at St. Michael’s Hospital.

“We know ICU patients lose muscle tissue and performance. Critical illness literally causes their muscles to dissolve,” stated Dr. Batt, a researcher within the hospital’s Keenan Research Center for Biomedical Science. “Some people fill it up back and a few don’t. Many people can regrow muscle, however it doesn’t function correctly.”

Dr. Batt stated the novel finding of her study was that sustained muscle atrophy within the lengthy term is caused by impaired regrowth and it is connected with home loan business the amount of satellite cells, the precursors to muscle tissues.

“While satellite cells aren’t needed for existing muscle fibres to develop in dimensions, they’re required for the regeneration of hurt muscle,” she stated. Decreased quantity of satellite cells also lead to age-related muscle loss, she noted.

“Critical illness seems to permanently change muscle biology so that your regenerative capacity appears to become lost,” she stated.

Dr. Batt stated ICU-acquired weakness could be a profound disability.

“You may be unable to bathe yourself, feed yourself, visit the toilet yourself, dress yourself,” she stated. “This could be a very difficult existence to reside.Inches

Dr. Batt’s study checked out critically ill patients who’d spent a minumum of one week on the ventilator within an ICU. The research may be the first phase from the MEND ICU research program, spearheaded by Dr. Batt and Dr. Claudia dos Santos, an intensivist at St. Michael’s. It belongs to the RECOVER program, a multi-center study that evaluates patient and caregiver outcomes after prolonged mechanical ventilation having a objective of creating a family-centred rehabilitation program after severe critical illness.

The amount of patients within the study was small, Dr. Batt acknowledged. She stated this reflected the problem in finishing lengthy-term mechanistic studies with individuals who experience critical illness, as numerous of individuals who wanted to get familiar with the research, died, had to go back to the ICU, or developed other serious medical conditions necessitating treatment that precluded safe continuation within the study.

A study was printed within the American Journal of Respiratory system and demanding Care Medicine in March through the RECOVER program lead, Dr. Margaret Herridge of Toronto General Hospital. That study discovered that critically ill patients who spend several week on ventilation could be split into four risk groups which the quality of disability 7 days after discharge determines the main one-year mortality and recovery trajectory, including ICU and hospital readmission. The older the individual, the more serious the disability, this research found, even though the first risk group was patients within their early 40s.

Dr. Batt’s study received funding in the Canadian Institutes of Health Research, Physician Services Incorporated Foundation and also the Ontario Thoracic Society.

This paper is a good example of how St. Michael’s Hospital is making Ontario Healthier, Wealthier, Smarter.

About St. Michael’s Hospital

St. Michael’s Hospital provides compassionate choose to all who enter its doorways. A healthcare facility offers outstanding medical education to future medical professionals in 27 academic disciplines. Critical care and trauma, cardiovascular disease, neurosurgery, diabetes, cancer care, proper care of the destitute and global health are some of the hospital’s recognized special areas of practice. With the Keenan Research Center and also the Li Ka Shing Worldwide Healthcare Education Center, which from the Li Ka Shing Understanding Institute, research and education at St. Michael’s Hospital are recognized making an effect all over the world. Founded in 1892, a healthcare facility is fully associated with the College of Toronto.

Media contacts

To learn more in order to arrange a job interview with Dr. Batt, please contact:

Leslie Shepherd
Manager, Media Strategy, St. Michael’s Hospital
416-864-6094
[email protected]

More male babies than expected being born to Indian-born women residing in Canada, two research papers find


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More male babies than expected being born to Indian-born women residing in Canada, two research papers find

Toronto, April 11, 2016

By Leslie Shepherd

Dr. Marcelo Urquia
Dr. Marcelo Urquia

More male babies than expected are born to Indian-born women residing in Canada who curently have several children, based on research printed today within the journal CMAJ Open.

This gender imbalance has been in existence not less than 2 decades and could be seen across Canada, stated lead author Dr. Marcelo Urquia of St. Michael’s Hospital.

The research, which used Statistics Canada data, highlights the “magnitude from the skewed sex ratios” among Indian immigrants but doesn’t explain why this imbalance exists, stated Dr. Urquia, an epidemiologist within the hospital’s Center for Research on Inner city Health.

However, another paper by Dr. Urquia printed today within the Canadian Medical Association Journal discovered that more boys were born to Indian-born women residing in the province of Ontario when they already had two women. The sex ratio elevated considerably when they had one abortion just before their third birth, when they had several abortion, and when they’d an abortion after 14 days pregnancy once the sex from the fetus can precisely be based upon an ultrasound.

Dr. Urquia stated these 4 elements likely described the gender imbalance in the remainder of Canada too.

In the majority of the world, between 103 and 107 boys are born for each 100 women. Canadian-born women residing in Canada delivered about 105 boys for each 100 women, Dr. Urquia’s paper found.

But women born in India, who curently have two children, delivered 138 baby boys in Canada for each 100 women. If they have three children, they provide birth to 166 boys for each 100 women.

Couples involving a minumum of one Indian-born parent delivered more boys than women in second and then births, primarily once the father was created in India.

Dr. Urquia stated it was the very first paper to look at both mother and father’s country of origin when analyzing sex ratios.

His national study examined birth record data of 5.8 million births to Canadian-born ladies and 177,990 Indian-born women between 1990 and 2011. The information is supplied by provincial Vital Statistics Registrars towards the Canadian Vital Statistics Birth Database administered by Statistics Canada.

In Ontario, data housed through the Institute for Clinical Evaluative Sciences also demonstrated sex rations among babies of Canadian-born women were inside the expected range.

However, women born in India who already had two kids then give birth to 196 boys for each 100 women.

  • The sex ratio increases to 326 boys for each 100 women when the Indian-born mother with two kids had an abortion preceding the 3rd birth.
  • It increases to 409 boys for each 100 women when the mother had several abortion.
  • Also it increases again to 663 boys for each 100 women when the mother had a minumum of one abortion after 14 days of pregnancy once the sex from the fetus could be precisely believed by ultrasound.

The CMAJ study examined 1.two million births to women with as many as three live births between 1993 and 2012 in Ontario, where abortions are generally legal and free. Records of live births and abortions were associated with Canadian immigration records.

Dr. Urquia stated the information utilized in his studies didn’t indicate how lengthy Indian immigrants had resided in Canada and whether that impacted the sex ratio. Nor made it happen indicate country of origin from the babies’ grandma and grandpa, meaning a few of the Canadian-born moms might have been second-generation immigrants.

“We conservatively believed that 4,472 women of Indian immigrants to Canada were unaccounted for during the last 2 decades, largely among couples of two Indian-born parents but additionally among couples which have one Canadian-born parent,” Dr. Urquia stated.

The Ontario study also found a small imbalance in the amount of boys born to Chinese-born women residing in Canada, but it wasn’t associated with abortion and appeared to become much more about family balancing.

The CMAJ Open study received funding in the Canadian Research Data Center Network, the Social Science and Humanities Research Council, the Canadian Foundation for Innovation and Statistics Canada. The CMAJ study received funding in the Canadian Institutes of Health Research.

This paper is a good example of how St. Michael’s Hospital is making Ontario Healthier, Wealthier, Smarter.

About St. Michael’s Hospital

St. Michael’s Hospital provides compassionate choose to all who enter its doorways. A healthcare facility offers outstanding medical education to future medical professionals in 27 academic disciplines. Critical care and trauma, cardiovascular disease, neurosurgery, diabetes, cancer care, proper care of the destitute and global health are some of the hospital’s recognized special areas of practice. With the Keenan Research Center and also the Li Ka Shing Worldwide Healthcare Education Center, which from the Li Ka Shing Understanding Institute, research and education at St. Michael’s Hospital are recognized making an effect all over the world. Founded in 1892, a healthcare facility is fully associated with the College of Toronto.

Media contacts

To learn more in order to arrange a job interview with Dr. Urquia, please contact:

Leslie Shepherd
Manager, Media Strategy, St. Michael’s Hospital
416-864-6094
[email protected]

St. Michael’s achieves Canadian first during transseptal heart surgery


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St. Michael’s achieves Canadian first during transseptal heart surgery

Toronto, April 12, 2016

By James Wysotski

Drs. Mark Peterson, Chris Buller and Neil Fam discuss a mitral valve-in-valve procedure
Cardiovascular surgeon Dr. Mark Peterson (left to right) and cardiologists Drs. Chris Buller and Neil Fam stated St. Michael’s, a Valve Center of Excellence, keeps attempting to push the limitations to supply patients with safer options to treat valvular cardiovascular disease. (Photo by Katie Cooper)

St. Michael’s may be the first hospital in Canada to possess performed a singular catheter-based valve substitute technique that enables cardiac patients to visit home the following day rather of remaining in hospital for approximately ten days.

Valves produced from animal tissue frequently start to fail ten to fifteen years after surgery, either becoming leaky or narrowed. Usually, patients requiring a substitute of those “bioprosthetic” mitral valves have two options: they are able to undergo open-heart surgery again or perhaps a procedure referred to as a trans-apical mitral valve substitute in which the physician inserts a catheter between your ribs to exchange the mitral valve around the still-beating heart.

While both viable options, a significantly less invasive mitral valve-in-valve procedure continues to be done by Dr. Neil Fam, an interventional cardiologist and medical director from the Cardiac Intensive Care Unit, Dr. Mark Peterson, a cardiovascular surgeon and co-director from the Transcatheter Aortic Valve Program, and Dr. Chris Buller, director of Interventional Cardiology. Dr. Fam stated he wished this could become the grade of look after the appropriate patient.

      “The less invasive you may be, the greater. That is what patients want. And also you can’t beat going home the following day.Inches – Dr. Neil Fam

“No major arterial blood vessels are reduce,Inches Dr. Fam stated. “There’s no heart cut. There aren’t any chest tubes. There’s none of this. It’s this type of safe procedure.”

Last fall, Drs. Fam and Peterson treated a 72-year-old man with severe mitral regurgitation the result of a dripping bioprosthetic mitral valve substitute from 1998, which was allowing bloodstream to circulate backward toward the lung area. After entering a catheter via a vein within the man’s leg on and on up in to the right atrium of his heart, they experienced an inner wall – the interatrial septum – in to the left atrium, placing the catheter insidewithin all the center and right over the failing valve.

By putting a brand new valve within the old one, the individual remained with simply a little puncture in the leg. The process required under an hour or so and also the patient went home the following day. Dr. Fam stated the person continues to be observed in follow-up appointments and it is doing great. The physicians have since performed the process on the second patient.

Dr. Chris Buller points to the location on a heart model of where the mitral valve-in-valve procedure was performed
Cardiologist Dr. Chris Buller suggests the place on the heart type of in which the mitral valve-in-valve procedure was performed. (Photo by Katie Cooper)

As the approach to entering your body via a leg vein has been utilized in other heart procedures for many years, none used the transseptal (over the septum) approach so far. Soon, Dr. Fam stated he wished to enhance upon a United States first performed within May 2014 once the heart team did a trans-apical native mitral valve substitute. Next, he stated he wished to complete exactly the same substitute while using transseptal approach, refining a process performed only once on the planet captured.

“Eventually, we will not be studying the apex from the heart a lot, and definitely less open-heart,” stated Dr. Fam. “Transseptal procedures will give you more choices for patients and hopefully makes things a great deal safer with faster recovery.”

About St. Michael’s Hospital

St. Michael’s Hospital provides compassionate choose to all who enter its doorways. A healthcare facility offers outstanding medical education to future medical professionals in 27 academic disciplines. Critical care and trauma, cardiovascular disease, neurosurgery, diabetes, cancer care, proper care of the destitute and global health are some of the hospital’s recognized special areas of practice. With the Keenan Research Center and also the Li Ka Shing Worldwide Healthcare Education Center, which from the Li Ka Shing Understanding Institute, research and education at St. Michael’s Hospital are recognized making an effect all over the world. Founded in 1892, a healthcare facility is fully associated with the College of Toronto.

Lipids may have heard you’ve diabetes before your bloodstream sugar does


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Lipids may have heard you’ve diabetes before your bloodstream sugar does

Toronto, April 13, 2016

By Marc Dodsworth

Dr. Sagar Dugani
Dr. Sagar Dugani

Lipids, body fat-like substances based in the bloodstream, might be able to anticipate whether someone is vulnerable to developing diabetes before their bloodstream glucose changes.

That finding was printed today within the journal JAMA Cardiology inside a paper exploring why the most popular cholesterol-lowering statin drugs were connected having a greater chance of developing Diabetes type 2. Could it have been something concerning the drug or will it be easy to identify which individuals were at finest chance of developing diabetes?

They, including Dr. Sagar Dugani, a clinical fellow generally internal medicine at St. Michael’s Hospital, discovered that searching at six different characteristics from the particles that carry lipids within the blood stream precisely predicted who’d develop diabetes earlier than the normal test calculating bloodstream glucose.

Considerably, the fat test was accurate for both people taking statin drugs and individuals who weren’t, stated Dr. Dugani, who labored around the research while at Brigham and Women’s Hospital/Harvard School Of Medicine.

They examined bloodstream samples in the original JUPITER (Justification for using Statins in Prevention: an Intervention Trial Evaluating Rosuvastatin) that found the association between statins and Diabetes type 2. The present study involved almost 12,000 individuals from 1,315 sites in 26 countries.

Diabetes could be diagnosed through the A1C bloodstream test that examines bloodstream sugar levels over three several weeks. They used a brand new “lipoprotein insulin resistance score” or LPIR score that mixes six measures of fat particle size and concentration acquired from nuclear magnetic resonance spectroscopy.

“With the LPIR score, we are able to identify diabetes in patients much earlier,” stated Dr. Dugani. “Many might think that they’re fine as their A1c outcome was not alarming however their lipids might be telling another story. Additionally the LIPR doesn’t require individuals to fast overnight, that is simpler for patients.”

Dr. Dugani stated by using diabetes getting arrived at really dangerous levels in Canada, anything that may be completed to identify and keep it in check earlier are the best for patients but for the health-care system.

An believed 3.4 million Canadians have Type 1 or Diabetes type 2 which number is anticipated to achieve 5 million by 2025. The Canadian Diabetes Association estimates that diabetes costs Canada $14 billion annually.

“Our findings indicate that the simple bloodstream test that measures the dimensions and quantity of cholesterol-transporting particles within the blood stream predicts who procedes to develop future diabetes, even during statin treatment,” stated Dr. Samia Mora, the senior investigator about this study, an affiliate professor at Harvard School Of Medicine along with a cardiologist in the Brigham and Women’s Hospital.

“This could offer an important chance for any lady or man having a normal bloodstream glucose but an abnormal LPIR lead to intervene early by using a healthy diet plan, slimming down and growing exercise, all known methods to reduce the risk of developing diabetes even years prior to getting a higher glucose studying.”

This research received funding in the National Heart, Lung, and Bloodstream Institute from the National Institutes of Health AstraZeneca, which manufactures Crestor, the statin examined within the study and LabCorp (LipoScience).

About St. Michael’s Hospital

St. Michael’s Hospital provides compassionate choose to all who enter its doorways. A healthcare facility offers outstanding medical education to future medical professionals in 27 academic disciplines. Critical care and trauma, cardiovascular disease, neurosurgery, diabetes, cancer care, proper care of the destitute and global health are some of the hospital’s recognized special areas of practice. With the Keenan Research Center and also the Li Ka Shing Worldwide Healthcare Education Center, which from the Li Ka Shing Understanding Institute, research and education at St. Michael’s Hospital are recognized making an effect all over the world. Founded in 1892, a healthcare facility is fully associated with the College of Toronto.

Dr. Prabhat Jha receives CIHR Trailblazer Award


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Dr. Prabhat Jha receives CIHR Trailblazer Award

Toronto, April 13, 2016

Dr. Prabhat Jha
Dr. Prabhat Jha

The Canadian Institutes of Health Research’s Institute of Population and Public Health has awarded Dr. Prabhat Jha its inaugural Trailblazer Award in Population Health Solutions.

The Trailblazer award recognizes Dr. Jha’s exceptional policy and exercise contributions to population health. Dr. Jha’s wide scope of research with health policy impact are shown by projects for example his Million Dying Study, global tobacco control studies on maternal and child health.

Dr. Jha is director from the Center for Global Health Research of St. Michael’s Hospital. His studies have proven that the advantages of stopping smoking are substantially more than have been formerly believed. Smokers who quit when they’re youthful adults can live nearly as lengthy as individuals who never smoked. Smoking cuts a minimum of ten years off an individual’s lifespan. However the Center for Global Health Research’s comprehensive analysis of health insurance and dying records within the U . s . States discovered that individuals who stop smoking before they turn 40 get back the majority of individuals lost years.

“There has not been a much better time for you to operate in global health—we’ve achieved huge reductions in child mortality and today the planet is gradually having to pay focus on effective methods to reduce premature adult mortality,” stated Dr. Jha , who also supports the Endowed Chair in Epidemiology and Global Health in the College of Toronto’s Dalla Lana School of Public Health. “I am deeply honoured to get the Trailblazer Award because it recognizes our centre’s collective efforts at improving the healthiness of populations around the world.Inches

Dr. Jha’s research and advocacy have helped to lessen premature deaths from smoking in lots of countries.

“Most from the world’s believed 1.1 billion smokers reside in low- and middle-earnings countries,” stated Dr. Jha. “These are countries where quitting remains uncommon so our center curbs cigarette use by quantifying local tobacco health risks and performing economic research on interventions.”

The Center for Global Health Research uses population health data to operate directly with national or institutional leaders. Dr. Jha’s research program has influenced tobacco tax increases—the best approach to inspire smokers to quit—in someplace sunny and warm, India, Mexico, Nigeria, the Philippines, Canada and elsewhere.

The award also recognizes the Dr. Jha’s leadership, mentorship and innovative contributions.

“It’s an honor obtain the Trailblazer Award,” stated Dr. Jha. “The prize also works as a indication that rather more must be completed to address public health needs in Canada and abroad.”

Dr. Jha has labored in the World Health Organization and also the World Bank, where he conducted analyses on global tobacco that brought towards the world’s first global agreement on health, now signed by 180 countries.

This paper is a good example of how St. Michael’s Hospital is making Ontario Healthier, Wealthier, Smarter.

About St. Michael’s Hospital

St. Michael’s Hospital provides compassionate choose to all who enter its doorways. A healthcare facility offers outstanding medical education to future medical professionals in 27 academic disciplines. Critical care and trauma, cardiovascular disease, neurosurgery, diabetes, cancer care, proper care of the destitute and global health are some of the hospital’s recognized special areas of practice. With the Keenan Research Center and also the Li Ka Shing Worldwide Healthcare Education Center, which from the Li Ka Shing Understanding Institute, research and education at St. Michael’s Hospital are recognized making an effect all over the world. Founded in 1892, a healthcare facility is fully associated with the College of Toronto.

Media contacts

To learn more in order to arrange a job interview with Dr. Jha, please contact:

Kendra Stephenson
Communications Consultant – Media
416-864-5047
[email protected]

Clothing our patients in dignity


Our Tales

Clothing our patients in dignity

Toronto, October 12, 2017

By Skaidra Puodziunas

John Giannitsopoulos and Cian Knights sort stock in the Patient Comfort Closet
The Household Health Team’s John Giannitsopoulos, social worker, and Cian Knights, community engagement specialist, sort stock within the Patient Comfort Closet in the Sumac Creek Family Health Center. (Photo by Yuri Markarov)

Some usually takes a brand new set of pants as a given, but St. Michael’s Family Health Team finds that patients who’ve received completely new products in the team’s Patient Comfort Closet are grateful for that comfort and dignity they offer.

“We’ve produced a closet stocked with everyday essentials our providers can pull from to provide patients in need of assistance,Inches stated Cian Knights, the city engagement specialist with your family Health Team and creator from the closet. “That need could be new footwear for somebody who’s vulnerably housed, to some stroller for any new parent who can’t afford one.”

The Individual Comfort Closet is restocked every two several weeks via a partnership with Brands for Canada, a not-for-profit organization trying to ensure Canadians living underneath the poverty line get access to proper clothing along with other fundamental essentials necessary. Everyday products for example fresh clothes, toothbrushes and tooth paste, deodorant, incontinence products and cleaning utility caddy comes in the delivery truck.

“It’s just like a closet of mystery,” stated Knights. “We don’t know what we’ll get each shipment, however the products will always be new and that’s important. It’s dignifying for the patients to possess new products. That is why we don’t accept or offer lightly used or second-hands products.”

Any health-care specialist with your family Health Team have access to the individual Comfort Closet to obtain products patients need.

      Are you aware?
The specific Patient Comfort Closet is really a nod towards the Patient Comfort Fund which was established by Laurie Malone, former executive director from the Family Health Team. The fund can be used to supply specific support for patients in need of assistance, as the closet provides more patients with regular support and fundamental living needs.

“The closet has introduced instant comfort to the patients,” stated John Giannitsopoulos, a social worker. “It enables us to deal with an instantaneous concern basically we continue supporting our patients’ health insurance and well-being within the lengthy-term through social and economic solutions.”

Because it was piloted in The month of january in the Sumac Creek Health Center, the closet has been utilized greater than 50 occasions to assist patients meet their fundamental living needs. The closet has additionally expanded towards the St. James Health Center and also the Health Center at 410 Sherbourne. The second two sites could build their very own closet with the Dr. Philip Berger Health Advocacy Fund — a fund setup by grateful contributors to aid needs inside the Family Health Team.

About St. Michael’s Hospital

St. Michael’s Hospital provides compassionate choose to all who enter its doorways. A healthcare facility offers outstanding medical education to future medical professionals in additional than 29 academic disciplines. Critical care and trauma, cardiovascular disease, neurosurgery, diabetes, cancer care, proper care of the destitute and global health are some of the Hospital’s recognized special areas of practice. With the Keenan Research Center and also the Li Ka Shing Worldwide Healthcare Education Center, which from the Li Ka Shing Understanding Institute, research and education at St. Michael’s Hospital are recognized making an effect all over the world. Founded in 1892, a healthcare facility is fully associated with the College of Toronto.