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Displaying Results 1 - 18 of 18 on page 1 of 1
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A comparative examination of healthcare use related to hearing impairment in europe
(2018)
Xiao, Mimi; O’Neill, Ciaran
A comparative examination of healthcare use related to hearing impairment in europe
(2018)
Xiao, Mimi; O’Neill, Ciaran
Abstract:
Introduction: The economic burden of hearing impairment is an area of increased interest. In this paper we examine the relationship between hearing impairment and service use in 14 European countries. Methods: Based on the Survey of Health Ageing and Retirement in Europe (SHARE) undertaken in 2013, Poisson regression models are used to analyse the relationship between the number of visits/number of nights in hospital, and hearing impairment controlling for a number of covariates. Results: We find that hearing impairment is generally associated with increased use of primary and secondary healthcare services when other aspects of health have been controlled. Comparative analysis revealed that where access to hearing assistive technology was greatest the additional use of services was least. Conclusions: The comparative analysis suggests that variations exist across countries in respect of the additional healthcare use occasioned by hearing impairment. They may also provide valuable in...
http://hdl.handle.net/10379/14464
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A randomised controlled trial of carer-focussed multi-family group psychoeducation in bipolar disorder.
(2012)
Madigan, K; Egan, P; Brennan, D; Hill, S; Maguire, B; Horgan, F; Flood, C; Kinsella, A;...
A randomised controlled trial of carer-focussed multi-family group psychoeducation in bipolar disorder.
(2012)
Madigan, K; Egan, P; Brennan, D; Hill, S; Maguire, B; Horgan, F; Flood, C; Kinsella, A; O'Callaghan, E
Abstract:
In a RCT of family psychoeducation, 47 carers of 34 patients were allocated to one of three groups; Multifamily Group Psychoeducation, Solution Focussed Group Therapy or Treatment as Usual. Carers in both the MFGP intervention and the SFGP arm demonstrated greater knowledge and reduction in burden than those in the TAU arm.
http://hdl.handle.net/10147/241411
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Alcohol-attributable mortality in ireland
(2018)
Martin, J.; Barry, J.; Goggin, D.; Morgan, K.; Ward, M.; O'Suilleabhain, T.
Alcohol-attributable mortality in ireland
(2018)
Martin, J.; Barry, J.; Goggin, D.; Morgan, K.; Ward, M.; O'Suilleabhain, T.
Abstract:
Aims: The study aim was to calculate Irish alcohol-attributable fractions (AAFs) and to apply these measurements to existing data in order to quantify the impact of alcohol on mortality. Methods: Exposure of the Irish population to alcohol was derived from a national survey and combined with estimates of the alcohol-disease/injury risk association from meta-analyses in the international literature to calculate Irish AAFs. In diseases for which relative risk estimates were not available, such as injury, AAFs were taken directly from Ridolfo and Stevenson [(2001) The quantification of drug-caused mortality and morbidity in Australia, 1998. In Drug Statistics Series no. 7. AIHW cat. no. PHE 29. Australian Institute of Health and Welfare, Canberra]. AAFs were applied to national datasets to calculate alcohol-attributed mortality caused or prevented and potential years of life lost (PYLL) or saved. Results: In Ireland, over the 5-year period from January 1, 2000 to December 31, 2004, alc...
http://hdl.handle.net/10379/12660
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An exploration of care-burden experienced by older caregivers of adults with intellectual disabilities, in Ireland.
(2019)
Egan, Caroline; Dalton, Caroline
An exploration of care-burden experienced by older caregivers of adults with intellectual disabilities, in Ireland.
(2019)
Egan, Caroline; Dalton, Caroline
Abstract:
Background: People with intellectual disabilities are experiencing increased longevity, and in parallel, their family caregivers are also ageing. The literature identifies that these caregivers are at risk of burden. The aim of this study was to measure the level of caregiver burden among older carers of adults with intellectual disabilities in an Irish sample and to analyse the effect of socio‐demographic factors upon experiences of caregiver burden. Materials and Methods: Thirty caregivers completed a survey questionnaire. Data were collected based upon participants’ self‐reports of burden using the Zarit Burden Interview (ZBI) and a socio‐demographic questionnaire. Data were analysed using SPSS version 24. Results: Over 57% of carers indicated a mild‐to‐moderate level of burden. Analysis indicated that younger caregivers experience significantly higher levels of burden, when compared to older caregivers. Conclusions: This study contributes to our understanding of burden among an ...
http://hdl.handle.net/10468/8059
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Chronic disease burden associated with overweight and obesity in Ireland: the effects of a small BMI reduction at population level
(2014)
Kearns, Karen; Dee, Anne; Fitzgerald, Anthony P.; Doherty, Edel; Perry, Ivan J.
Chronic disease burden associated with overweight and obesity in Ireland: the effects of a small BMI reduction at population level
(2014)
Kearns, Karen; Dee, Anne; Fitzgerald, Anthony P.; Doherty, Edel; Perry, Ivan J.
Abstract:
Background: Overweight and obesity prevalence has risen dramatically in recent decades. While it is known that overweight and obesity is associated with a wide range of chronic diseases, the cumulative burden of chronic disease in the population associated with overweight and obesity is not well quantified. The aims of this paper were to examine the associations between BMI and chronic disease prevalence; to calculate Population Attributable Fractions (PAFs) associated with overweight and obesity; and to estimate the impact of a one unit reduction in BMI on the population prevalence of chronic disease. Methods: A cross-sectional analysis of 10,364 adults aged ≥18 years from the Republic of Ireland National Survey of Lifestyle, Attitudes and Nutrition (SLÁN 2007) was performed. Using binary regression, we examined the relationship between BMI and the selected chronic diseases. In further analyses, we calculated PAFs of selected chronic diseases attributable to overweight and obesity ...
http://hdl.handle.net/10468/2247
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Chronic disease burden associated with overweight and obesity in ireland: the effects of a small bmi reduction at population level
(2018)
Kearns, Karen; Dee, Anne; Fitzgerald, Anthony P; Doherty, Edel; Perry, Ivan J
Chronic disease burden associated with overweight and obesity in ireland: the effects of a small bmi reduction at population level
(2018)
Kearns, Karen; Dee, Anne; Fitzgerald, Anthony P; Doherty, Edel; Perry, Ivan J
Abstract:
Background: Overweight and obesity prevalence has risen dramatically in recent decades. While it is known that overweight and obesity is associated with a wide range of chronic diseases, the cumulative burden of chronic disease in the population associated with overweight and obesity is not well quantified. The aims of this paper were to examine the associations between BMI and chronic disease prevalence; to calculate Population Attributable Fractions (PAFs) associated with overweight and obesity; and to estimate the impact of a one unit reduction in BMI on the population prevalence of chronic disease. Methods: A cross-sectional analysis of 10,364 adults aged >= 18 years from the Republic of Ireland National Survey of Lifestyle, Attitudes and Nutrition (SLAN 2007) was performed. Using binary regression, we examined the relationship between BMI and the selected chronic diseases. In further analyses, we calculated PAFs of selected chronic diseases attributable to overweight...
http://hdl.handle.net/10379/12183
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Early postnatal EEG features of perinatal arterial ischaemic stroke with seizures
(2014)
Low, Evonne; Mathieson, Sean R.; Stevenson, Nathan J.; Livingstone, Vicki; Ryan, C. Ant...
Early postnatal EEG features of perinatal arterial ischaemic stroke with seizures
(2014)
Low, Evonne; Mathieson, Sean R.; Stevenson, Nathan J.; Livingstone, Vicki; Ryan, C. Anthony; Bogue, Conor O.; Rennie, Janet M.; Boylan, Geraldine B.
Abstract:
Background: Stroke is the second most common cause of seizures in term neonates and is associated with abnormal long-term neurodevelopmental outcome in some cases. Objective: To aid diagnosis earlier in the postnatal period, our aim was to describe the characteristic EEG patterns in term neonates with perinatal arterial ischaemic stroke (PAIS) seizures. Design: Retrospective observational study. Patients: Neonates >37 weeks born between 2003 and 2011 in two hospitals. Method: Continuous multichannel video-EEG was used to analyze the background patterns and characteristics of seizures. Each EEG was assessed for continuity, symmetry, characteristic features and sleep cycling; morphology of electrographic seizures was also examined. Each seizure was categorized as electrographic-only or electroclinical; the percentage of seizure events for each seizure type was also summarized. Results: Nine neonates with PAIS seizures and EEG monitoring were identified. While EEG continuity was pre...
http://hdl.handle.net/10468/2332
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Editorial: Innovative biologics and drugs to target renal inflammation
(2021)
Griffin, Matthew D.; Swaminathan, Sundararaman
Editorial: Innovative biologics and drugs to target renal inflammation
(2021)
Griffin, Matthew D.; Swaminathan, Sundararaman
Abstract:
[No abstract available]
SS is supported by the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health under award number 1RO1DK103043. MG is supported by grants from the European Commission [Horizon 2020 Collaborative Health Project NEPHSTROM (grant number 634086) and FP7 Collaborative Health Project VISICORT (grant number 602470)] and from Science Foundation Ireland [CÚRAM Research Centre (grant number 13/RC/2073)] and by the European Regional Development Fund.
http://hdl.handle.net/10379/16398
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Effectiveness of a structured education reminiscence-based programme for staff on the quality of life of residents with dementia in long-stay units: a study protocol for a cluster randomised trial
(2018)
O'Shea, Eamon; Devane, Declan; Murphy, Kathy; Cooney, Adeline; Casey, Dympna; Jord...
Effectiveness of a structured education reminiscence-based programme for staff on the quality of life of residents with dementia in long-stay units: a study protocol for a cluster randomised trial
(2018)
O'Shea, Eamon; Devane, Declan; Murphy, Kathy; Cooney, Adeline; Casey, Dympna; Jordan, Fionnuala; Hunter, Andrew; Murphy, Edel
Abstract:
Background: Current projections indicate that there will be a significant increase in the number of people with dementia in Ireland, from approximately 40,000 at present to 100,000 by 2036. Psychosocial interventions, such as reminiscence, have the potential to improve the quality of life of people with dementia. However, while reminiscence is used widely in dementia care, its impact on the quality of life of people with dementia remains largely undocumented and there is a need for a robust and fair assessment of its overall effectiveness. The DementiA education programme incorporating REminiscence for Staff study will evaluate the effectiveness of a structured reminiscence-based education programme for care staff on the quality of life of residents with dementia in long-stay units. Methods/Design: The study is a two-group, single-blind cluster randomised trial conducted in public and private long-stay residential settings in Ireland. Randomisation to control and intervention is at ...
http://hdl.handle.net/10379/13320
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Estimating the health-care usage associated with osteoarthritis and rheumatoid arthritis in an older adult population in ireland
(2018)
Doherty, E.; O'Neill, C.
Estimating the health-care usage associated with osteoarthritis and rheumatoid arthritis in an older adult population in ireland
(2018)
Doherty, E.; O'Neill, C.
Abstract:
An ageing population leads to increasing prevalence of age-related chronic conditions that present challenges to the health-care services. Despite this, in countries including Ireland, little is known about the health-care impact of conditions such as osteoarthritis or rheumatoid arthritis amongst older adults. A series of count models are developed to investigate the incremental health-care usage of individuals with either osteoarthritis or rheumatoid arthritis on the use of general practitioners (GP) services, outpatients' services, accident and emergency visits and inpatient nights. Both types of arthritic conditions lead to increased usage of GP and outpatients' services but not other hospital services. Differences in entitlements to care, as captured by the presence of a medical card in Ireland, lead to different health-care usage among arthritis sufferers. Translating the additional utilization into cost suggests a combined incremental annual cost of both types of ar...
http://hdl.handle.net/10379/11213
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Family connections versus optimised treatment-as-usual for family members of individuals with borderline personality disorder: non-randomised controlled study
(2017)
Flynn, Daniel; Kells, Mary; Joyce, Mary; Corcoran, Paul; Herley, Sarah; Suarez, Catalin...
Family connections versus optimised treatment-as-usual for family members of individuals with borderline personality disorder: non-randomised controlled study
(2017)
Flynn, Daniel; Kells, Mary; Joyce, Mary; Corcoran, Paul; Herley, Sarah; Suarez, Catalina; Cotter, Padraig; Hurley, Justina; Weihrauch, Mareike; Groeger, John
Abstract:
Borderline personality disorder (BPD) is challenging for family members who are often required to fulfil multiple roles such as those of advocate, caregiver, coach and guardian. To date, two uncontrolled studies by the treatment developers suggest that Family Connections (FC) is an effective programme to support, educate and teach skills to family members of individuals with BPD. However, such studies have been limited by lack of comparison to other treatment approaches. This study aimed to compare the effectiveness of FC with an optimised treatment-as-usual (OTAU) programme for family members of individuals with BPD. A secondary aim was to introduce a long term follow-up to investigate if positive gains from the intervention would be maintained following programme completion. Methods: This study was a non-randomised controlled study, with assessment of outcomes at baseline (preintervention) and end of programme (post-intervention) for both FC and OTAU groups, and at follow-up (3 mo...
http://hdl.handle.net/10468/4892
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Five year prognosis in patients with angina identified in primary care: incident cohort study
(2018)
Buckley, B. S; Simpson, C. R; McLernon, D. J; Murphy, A. W; Hannaford, P. C
Five year prognosis in patients with angina identified in primary care: incident cohort study
(2018)
Buckley, B. S; Simpson, C. R; McLernon, D. J; Murphy, A. W; Hannaford, P. C
Abstract:
Objective To ascertain the risk of acute myocardial infarction, invasive cardiac procedures, and mortality among patients with newly diagnosed angina over five years. Design Incident cohort study of patients with primary care data linked to secondary care and mortality data. Setting 40 primary care practices in Scotland. Participants 1785 patients with a diagnosis of angina as their first manifestation of ischaemic heart disease, 1 January 1998 to 31 December 2001. Main outcome measures Adjusted hazard ratios for acute myocardial infarction, coronary artery bypass grafting, percutaneous transluminal coronary angioplasty, death from ischaemic heart disease, and all cause mortality, adjusted for demographics, lifestyle risk factors, and comorbidity at cohort entry. Results Mean age was 62.3 (SD 11.3). Male sex was associated with an increased risk of acute myocardial infarction (hazard ratio 2.01, 95% confidence interval 1.35 to 2.97), death from ischaemic heart disease (2.80, 1.73 to...
http://hdl.handle.net/10379/10577
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Living with relapsed myeloma: symptoms and self-care strategies
(2018)
Cormican, Orlaith; Dowling, Maura
Living with relapsed myeloma: symptoms and self-care strategies
(2018)
Cormican, Orlaith; Dowling, Maura
Abstract:
Aims and Objectives: To explore which symptoms relapsed myeloma patients experience and what self-care strategies are used. Methods: This was a qualitative study utilising focus group interviews (n=4) with relapsed myeloma patients (n=15) and carers (n=9). The focus groups were analysed and guided by thematic analysis. Results: Three major themes with subthemes were identified following analysis of the interview data: difficult symptoms; "self-care" and "feeling vulnerable." These findings indicate the challenges relapsed myeloma patients experience with ongoing symptoms and highlight the importance of continuity of care. Conclusions: Symptom management for myeloma patients remains complex due to the array of treatments given. These patients require holistic care and thorough regular assessments to help them cope with the adverse effects on their physical and psychological health. For patients with a long-term diagnosis of myeloma,...
http://hdl.handle.net/10379/10915
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Living with relapsed myeloma: Symptoms and self-care strategies
(2019)
Cormican, Orlaith; Dowling, Maura
Living with relapsed myeloma: Symptoms and self-care strategies
(2019)
Cormican, Orlaith; Dowling, Maura
Abstract:
Aims and Objectives: To explore which symptoms relapsed myeloma patients experience and what self-care strategies are used.Methods: This was a qualitative study utilising focus group interviews (n=4) with relapsed myeloma patients (n=15) and carers (n=9). The focus groups were analysed and guided by thematic analysis.Results: Three major themes with subthemes were identified following analysis of the interview data: difficult symptoms; "self-care" and "feeling vulnerable." These findings indicate the challenges relapsed myeloma patients experience with ongoing symptoms and highlight the importance of continuity of care.Conclusions: Symptom management for myeloma patients remains complex due to the array of treatments given. These patients require holistic care and thorough regular assessments to help them cope with the adverse effects on their physical and psychological health. For patients with a long-term diagnosis of myeloma, self-management workshops and regu...
http://hdl.handle.net/10379/14807
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Opt-out panel testing for hiv, hepatitis b and hepatitis c in an urban emergency department: a pilot study
(2018)
O’Connell, Sarah; Lillis, Darren; Cotter, Aoife; O’Dea, Siobhan; Tuite, Helen; Fleming,...
Opt-out panel testing for hiv, hepatitis b and hepatitis c in an urban emergency department: a pilot study
(2018)
O’Connell, Sarah; Lillis, Darren; Cotter, Aoife; O’Dea, Siobhan; Tuite, Helen; Fleming, Catherine; Crowley, Brendan; Fitzgerald, Ian; Dalby, Linda; Barry, Helen; Shields, Darragh; Norris, Suzanne; Plunkett, Patrick K.; Bergin, Colm
Abstract:
Objectives Studies suggest 2 per 1000 people in Dublin are living with HIV, the level above which universal screening is advised. We aimed to assess the feasibility and acceptability of a universal opt-out HIV, Hepatitis B and Hepatitis C testing programme for Emergency Department patients and to describe the incidence and prevalence of blood-borne viruses in this population. Methods An opt-out ED blood borne virus screening programme was piloted from March 2014 to January 2015. Patients undergoing blood sampling during routine clinical care were offered HIV 1&2 antibody/antigen assay, HBV surface antigen and HCV antibody tests. Linkage to care where necessary was co-ordinated by the study team. New diagnosis and prevalence rates were defined as the new cases per 1000 tested and number of positive tests per 1000 tested respectively. Results Over 45 weeks of testing, of 10,000 patient visits, 8,839 individual patient samples were available for analysis following removal of du...
http://hdl.handle.net/10379/13181
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Overweight and obesity on the island of ireland: an estimation of costs
(2018)
Dee, A.; Callinan, A.; Doherty, E.; O'Neill, C.; McVeigh, T.; Sweeney, M. R.; Stai...
Overweight and obesity on the island of ireland: an estimation of costs
(2018)
Dee, A.; Callinan, A.; Doherty, E.; O'Neill, C.; McVeigh, T.; Sweeney, M. R.; Staines, A.; Kearns, K.; Fitzgerald, S.; Sharp, L.; Kee, F.; Hughes, J.; Balanda, K.; Perry, I. J.
Abstract:
Objectives: The increasing prevalence of overweight and obesity worldwide continues to compromise population health and creates a wider societal cost in terms of productivity loss and premature mortality. Despite extensive international literature on the cost of overweight and obesity, findings are inconsistent between Europe and the USA, and particularly within Europe. Studies vary on issues of focus, specific costs and methods. This study aims to estimate the healthcare and productivity costs of overweight and obesity for the island of Ireland in 2009, using both top-down and bottom-up approaches. Methods: Costs were estimated across four categories: healthcare utilisation, drug costs, work absenteeism and premature mortality. Healthcare costs were estimated using Population Attributable Fractions (PAFs). PAFs were applied to national cost data for hospital care and drug prescribing. PAFs were also applied to social welfare and national mortality data to estimate productivity cost...
http://hdl.handle.net/10379/11117
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Perceived risk of mental health problems in primary care
(2018)
Paúl, Constança; Teixeira, Laetitia; Azevedo, Maria João; Alves, Sara; Duarte, Mafalda;...
Perceived risk of mental health problems in primary care
(2018)
Paúl, Constança; Teixeira, Laetitia; Azevedo, Maria João; Alves, Sara; Duarte, Mafalda; O’Caoimh, Rónán; Molloy, William
Abstract:
In the face of limited resources and an aging population with increasingly care needs, healthcare systems must identify community-dwelling older adults with mental health problems at higher risk of adverse outcomes such as institutionalization, hospitalization and death, in order to deliver timely and efficient care. The objectives of this study were to assess the prevalence of mental health concerns and the associated perceived risk of adverse outcomes in a large sample of older patients in primary care (PC). We trained general practitioners and nurses to use the Risk Instrument for Screening in the Community to rank perceived risk of mental health concerns (including neurocognitive and mood disorders) from 1 (mild) to 3 (severe). The mean age of the 4499 people assessed was 76.3 years (SD = 7.3) and 2645 (58.8%) were female. According to the PC team 1616 (35.9%) were perceived to have mental health concerns of whom 847 (52.4%) were mild, 559 (34.6%) were moderate and 210 (13%) wer...
http://hdl.handle.net/10379/13429
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Treatment trials for neonatal seizures: the effect of design on sample size
(2016)
Stevenson, Nathan J.; Boylan, Geraldine B.; Hellström-Westas, Lena; Vanhatalo, Sampsa
Treatment trials for neonatal seizures: the effect of design on sample size
(2016)
Stevenson, Nathan J.; Boylan, Geraldine B.; Hellström-Westas, Lena; Vanhatalo, Sampsa
Abstract:
Neonatal seizures are common in the neonatal intensive care unit. Clinicians treat these seizures with several anti-epileptic drugs (AEDs) to reduce seizures in a neonate. Current AEDs exhibit sub-optimal efficacy and several randomized control trials (RCT) of novel AEDs are planned. The aim of this study was to measure the influence of trial design on the required sample size of a RCT. We used seizure time courses from 41 term neonates with hypoxic ischaemic encephalopathy to build seizure treatment trial simulations. We used five outcome measures, three AED protocols, eight treatment delays from seizure onset (Td) and four levels of trial AED efficacy to simulate different RCTs. We performed power calculations for each RCT design and analysed the resultant sample size. We also assessed the rate of false positives, or placebo effect, in typical uncontrolled studies. We found that the false positive rate ranged from 5 to 85% of patients depending on RCT design. For controlled trials...
http://hdl.handle.net/10468/3367
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