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Featured researches published by Roni Kraut.


PLOS ONE | 2017

The impact of breast reduction surgery on breastfeeding: Systematic review of observational studies

Roni Kraut; Erin Brown; Christina Korownyk; Lauren S. Katz; Ben Vandermeer; Oksana Babenko; M. Shirley Gross; Sandy Campbell; G. Michael Allan

Background Almost half a million breast reduction surgeries are performed internationally each year, yet it is unclear how this type of surgery impacts breastfeeding. This is particularly important given the benefits of breastfeeding. Objectives To determine if breast reduction surgery impacts breastfeeding success and whether different surgical techniques differentially impact breast feeding success. Methods Databases were searched up to September 5, 2017. Studies were included if they reported the number of women successful at breastfeeding or lactation after breast reduction surgery, and if they reported either the total number of women who had children following breast reduction surgery, or the total number of women who attempted to breastfeed following surgery. Results Of 1,212 studies, 51 studies met the inclusion criteria; they were located worldwide and had 31 distinct breast reduction techniques. The percentage of breastfeeding success among studies was highly variable. However, when analyzed by the preservation of the column of parenchyma from the nipple areola complex to the chest wall (subareolar parenchyma), a clear pattern emerged. The median breastfeeding success was 4% (interquartile range (IQR) 0–38%) for techniques with no preservation, compared to 75% (IQR 37–100%) for techniques with partial preservation and 100% (IQR 75–100%) for techniques with full preservation. Conclusions Techniques that preserve the column of subareolar parenchyma appear to have a greater likelihood of successful breastfeeding. The preservation of the column of subareolar parenchyma should be disclosed to women prior to surgery. Guidelines on the best breast reduction techniques to be used in women of child bearing years may be advantageous to ensure women have the greatest potential for successful breastfeeding after breast reduction surgery.


Journal of Medical Case Reports | 2017

Treatment of pruritus in a palliative care patient with low-dose paroxetine: a case report

Roni Kraut

BackgroundPruritus is a distressing symptom seen in palliative care. There is limited high-quality evidence of pharmaceutical treatments for pruritus in palliative care, including the use of paroxetine.Case presentationI present a case of a 70-year-old caucasian woman with metastatic ovarian cancer who presented with severe pruritus. She had been diagnosed with bile duct obstruction 1 month earlier. Antihistamines and over-the-counter skin creams were first trialed, to no effect. Paroxetine was started at 5 mg in the evening, with the intention of titrating up. However, 5 mg of paroxetine was effective, and the patient’s pruritus fully resolved after the second day.ConclusionsThis case supports the use of paroxetine as a therapy for pruritus in palliative care patients and suggests that paroxetine may be effective at a very low dose.


Canadian Journal of Infectious Diseases & Medical Microbiology | 2017

Influence of School Year on Seasonality of Norovirus Outbreaks in Developed Countries

Roni Kraut; Kate G. Snedeker; Oksana Babenko; Lance Honish

Factors affecting the seasonal distribution of norovirus outbreaks are not well understood. This study examined whether grade school settings at the start of the school year may be a factor. We searched Ovid Medline from January 2002 to June 2014 for studies that provided all reported norovirus outbreaks in a developed country by month for a minimum of three years. Historical school years were obtained from verifiable sources. The start of the norovirus seasonal outbreak peak and peak outbreak month were determined for each study and compared to the start month of school. Northern hemisphere and southern hemisphere countries had a different norovirus seasonality and different school year structures (traditional compared to year round). In the two studies that provided outbreaks by age, outbreaks among children started several months before outbreaks in the adult population. The median number of months between school start and start of the seasonal outbreak peak was two months (interquartile range [IQR] = 2.0–3.0), while the median number of months between school start and peak outbreak month was four months (IQR = 3.0–4.0). These findings suggest the possibility the school setting at the start of the school year may be a factor in the seasonality of norovirus.


Canadian Medical Association Journal | 2016

Back pain in a 59-year-old woman with rheumatoid arthritis

Roni Kraut; Steven J. Katz; Andrew Cave

A 59-year-old woman presented to her family physician after one week of worsening back pain that had started shortly after an intense workout at the gym. The constant sharp pain was on the right side at the T5/T6 level. The patient had no cough, fever, shortness of breath, hemoptysis, weight loss or


Canadian Family Physician | 2015

Contributors to primary care guidelines: What are their professions and how many of them have conflicts of interest?

G. Michael Allan; Roni Kraut; Aven Crawshay; Christina Korownyk; Ben Vandermeer; Michael R. Kolber


Canadian Family Physician | 2018

Vaginal self-swabs for chlamydia and gonorrhea

Christina Korownyk; Roni Kraut; Michael R. Kolber


Canadian Family Physician | 2018

Auto-prélèvement vaginal pour la détection de la chlamydia et de la gonorrhée

Christina Korownyk; Roni Kraut; Michael R. Kolber


Archive | 2015

The Impact of Breast Reducation Surgery on Breastfeeding: Systematic Review and Meta-Analysis

Roni Kraut; Christina Korowynk; Lauren S. Katz; M. Shirley Gross; Sandy Campbell; Ben Vandermeer; Oksana Babenko; G. Michael Allan


Archive | 2015

Main outcome measures Sponsors of guidelines, jurisdiction (national or provincial) of guidelines, the professions of those who contribute to guidelines, and the reported conflict of interest statements within guidelines.

G. Michael Allan; Roni Kraut; Aven Crawshay; Christina Korownyk; Ben Vandermeer; Michael R. Kolber; Setting Canada


Canadian Family Physician | 2015

Collaborateurs aux lignes directrices en soins primaires Quelles sont leurs professions et combien sont en conflit d’intérêts?

G. Michael Allan; Roni Kraut; Aven Crawshay; Christina Korownyk; Ben Vandermeer; Michael R. Kolber

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