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Your search keyword '"Udwadia, Farhad R."' showing total 19 results
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19 results on '"Udwadia, Farhad R."'

15. Using gastrografin to manage adhesive small bowel obstruction: A nonrandomized controlled study with historical controls

Author

Zhou, Catherine, Udwadia, Farhad R., Chen, Leo, Joos, Emilie, and Dermatology

Abstract

Background: A standardized protocol for managing adhesive small bowel obstruction using diatrizoate meglumine and diatrizoate sodium (Gastrografin) was implemented at Vancouver General Hospital. Our study assessed whether this protocol improved the quality of patient care. Methods: A nonrandomized controlled study was conducted. Two groups of patients were studied: a preimplementation group (historical control) and a postimplementation group that received the Gastrografin protocol. The primary outcome was length of hospital stay. Secondary outcomes included rate of successful conservative manage-ment, need for surgery, time to resolution of the obstruction, time to surgery, readmission to hospi-tal, rate of complications or mortality, and patient satisfaction. Results: The study included 122 patients (n = 82 preimplementation; n = 40 postimplementation). In the postimplementation group, length of hospital stay was shortened (adjusted mean difference:-3.209 days; 95% CI,-5.772 to-0.645; P = 0.015), successful conservative management was higher (odds ratio: 3.354; 95% CI, 1.129-12.600; P = 0.044), and need for surgery was lower (odds ratio: 0.237; 95% CI, 1.129-12.600; P = 0.034) compared with the preimplementation group. Patients in the post-implementation group were generally satisfied with their care. Conclusions: The implementation of a standardized protocol using Gastrografin for managing adhesive small bowel obstruction was associated with improved quality of patient care.

Published
2021

18. Youth Weigh In: Views on Advanced Neurotechnology for Drug-Resistant Epilepsy.

Author

Udwadia, Farhad R., McDonald, Patrick J., Connolly, Mary B., Hrincu, Viorica, and Illes, Judy

Subjects
*EPILEPSY, *NEURAL stimulation, *VAGUS nerve, *SEMI-structured interviews, *COMPARATIVE method, *TEMPORAL lobectomy
Abstract

Background: Epilepsy affects over 500,000 children in North America of whom 30% have drug-resistant epilepsy. Advancements with neurotechnologies show promising benefits, but the perceptions of these procedures by youth is unknown. Methods: We conducted semistructured interviews with 10 youth in British Columbia, Canada who underwent procedures for drug-resistant epilepsy involving different forms of neurotechnology (subdural grids, vagus nerve stimulation, responsive neurostimulation). Interviews were analyzed using the constant comparative qualitative method. Results: Four major thematic categories emerged from the interviews. Treatment values, impact of the disorder, personal context, and impact of neurotechnology. Conclusions: Besides the predictable goal of seizure reduction, a desire for autonomy and the importance of trust in the medical team emerged as dominant values within the 4 thematic categories that were explicit to the use of new neurotechnologies for the management of drug-resistant epilepsy. [ABSTRACT FROM AUTHOR]

Published
2021
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19. Should We Be Teaching Medical Students to be Moral Isolationists?

Author

Udwadia, Farhad R.

Subjects
*MEDICAL students, *MEDICAL personnel, *STUDENT teaching, *PROFESSIONAL-student relations, *PHILOSOPHERS
Abstract

Learning not to judge cultural practices can be implicitly or explicitly stressed to medical students and healthcare professionals. The perspective that one should not impose judgement on the practices of other cultures is termed "moral isolationism." Mary Midgely, a philosopher, argues against moral isolationism, citing it as a logically incoherent theory. This perspective piece presents and applies Midgely's argument within the context of medical education, and healthcare at large. [ABSTRACT FROM AUTHOR]

Published
2019

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