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Displaying Results 1 - 25 of 1251 on page 1 of 51
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What is the impact of interventions targeted at health literacy on patient outcomes, medication adherence and health related quality of life? : a systematic review.
(2014)
Moore, Suzanne
What is the impact of interventions targeted at health literacy on patient outcomes, medication adherence and health related quality of life? : a systematic review.
(2014)
Moore, Suzanne
Abstract:
<p><strong>Aim: </strong>To explore the impact of interventions targeted at health literacy on patient outcomes, medication adherence and health related quality of life.</p> <p><strong>Method: </strong>Systematic Review</p> <p><strong>Background: </strong>Health literacy has been identified as an essential competency for the maintenance of health and quality of life. Health literacy is an essential component of the skill base required of patients when they become ill and require professional intervention. Additionally, research suggests that an overwhelming 50% of patients do not take their medications as prescribed and that medication adherence or lack thereof, will have a greater impact on our future health than any specific medical treatment</p> <p><strong>Findings: </strong>Following a systematic search of the literature, seven studies were identified for inclusion in this review. Examinati...
https://epubs.rcsi.ie/mscrestheses/34
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Non-Cardiac Chest Pain: the Role of Physical, Psychosocial, and Service-Related Factors in the Persistence of Pain and Health Service Use
(2012)
Sheehan, Aisling
Non-Cardiac Chest Pain: the Role of Physical, Psychosocial, and Service-Related Factors in the Persistence of Pain and Health Service Use
(2012)
Sheehan, Aisling
Abstract:
<p>Chest pain is one of the most frequent complaints in medical settings, yet more than half of cases have no detectable cause. Once a cardiac cause has been excluded, patients are typically discharged with a label of non-cardiac chest pain (NCCP). Patients with NCCP have been shown to have poor outcomes in terms of continued symptoms, distress, and continuing concern about heart disease. In addition, NCCP represents a significant burden to health services. The aetiology and management of NCCP is under-researched and poorly understood. This study sought to examine the predictors of persistent pain and health service use for patients in whom a cardiac diagnosis had been excluded. It also sought to explore how patients interpreted their symptoms in the context of normal test results, and the impact of their experiences with health services on these interpretations.</p> <p>A mixed-methods design was adopted. A prospective cohort study was initially conducted with 145 ...
https://epubs.rcsi.ie/phdtheses/53
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Expert Forecast on Emerging Physical Risks Related to Occupational Safety and Health.
(2005)
Flaspoler, Eva; Brun, Emmanuelle; Hinker, Manfred; Pierens, Karen; Lindstrom, Kari; Kuh...
Expert Forecast on Emerging Physical Risks Related to Occupational Safety and Health.
(2005)
Flaspoler, Eva; Brun, Emmanuelle; Hinker, Manfred; Pierens, Karen; Lindstrom, Kari; Kuhn, Karl; Hrymak, Victor
Abstract:
A comprehensive listing of emerging physical risks, as compiled by academic experts, is presented together with supporting evidence and the Delphi methodology used.
https://arrow.dit.ie/schfsehrep/4
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Nurse migration and health workforce planning: Ireland as illustrative of international challenges.
(2012)
Humphries, Niamh; Brugha, Ruairi; McGee, Hannah
Nurse migration and health workforce planning: Ireland as illustrative of international challenges.
(2012)
Humphries, Niamh; Brugha, Ruairi; McGee, Hannah
Abstract:
<p>The original article is available at <a href="http://www.sciencedirect.com/science/article/pii/S0168851012001650" target="_blank">http://www.sciencedirect.com/science/article/pii/S0168851012001650</a></p>
<p>Ireland began actively recruiting nurses internationally in 2000. Between 2000 and 2010, 35% of new recruits into the health system were non-EU migrant nurses. Ireland is more heavily reliant upon international nurse recruitment than the UK, New Zealand or Australia. This paper draws on in-depth interviews (N=21) conducted in 2007 with non-EU migrant nurses working in Ireland, a quantitative survey of non-EU migrant nurses (N=337) conducted in 2009 and in-depth interviews conducted with key stakeholders (N= 12) in late 2009/early 2010. Available primary and secondary data indicate a fresh challenge for health workforce planning in Ireland as immigration slows and nurses (both non-EU and Irish trained) consider emigration. ...
https://epubs.rcsi.ie/ephmart/41
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Exercise-based interventions and health-related quality of life in intermittent claudication: a 20-year (1989-2008) review.
(2010)
Guidon, Marie; McGee, Hannah
Exercise-based interventions and health-related quality of life in intermittent claudication: a 20-year (1989-2008) review.
(2010)
Guidon, Marie; McGee, Hannah
Abstract:
<p>This article is also available at <a href="http://cpr.sagepub.com/content/17/2/140.long">http://cpr.sagepub.com/content/17/2/140.long</a></p>
<p>Peripheral arterial disease (PAD) is a chronic, progressive disease with significant cardiovascular risk. Symptoms include pain in leg muscles on walking, relieved by rest (intermittent claudication). Treatment aims to maintain or improve quality of life (QoL) by minimising ischaemic symptoms and preventing progression to vascular occlusion. Management strategies include exercise-based interventions. Research from 1989 to 2008 was systematically reviewed to identify the QoL impact of exercise-based interventions in patients with intermittent claudication. Twenty-three studies were identified. Five were randomized controlled trials. Studies were summarized in terms of exercise interventions, QoL measures used and QoL findings. The majority used a generic QoL instrument; most commonly the Short ...
https://epubs.rcsi.ie/sphysioart/14
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The association between self-reported lifestyle changes and health-related quality of life in coronary patients: the EUROASPIRE III survey.
(2013)
Smedt, Delphine De; Clays, Els; Annemans, Lieven; Boudrez, Hedwig; Sutter, Johan De; Do...
The association between self-reported lifestyle changes and health-related quality of life in coronary patients: the EUROASPIRE III survey.
(2013)
Smedt, Delphine De; Clays, Els; Annemans, Lieven; Boudrez, Hedwig; Sutter, Johan De; Doyle, Frank; Jennings, Catriona; Kotseva, Kornelia; Pajak, Andrzej; Pardaens, Sofie; Prugger, Christof; Wood, David; Bacquer, Dirk De
Abstract:
<p>This article is also available at http://cpr.sagepub.com/content/early/2013/01/10/2047487312473846</p>
<p>Patients with coronary heart disease often suffer from an impaired health-related quality of life (HRQoL). A healthier lifestyle not only extends individuals' lengths of life but might also improve their HRQoL. The aim of this study was to explore the relation between self-reported lifestyle changes and HRQoL in European coronary patients.MethodsData on 8745 coronary patients, from 22 countries, participating in the EUROASPIRE III survey (2006-2007) were used. These patients hospitalized for coronary artery bypass graft, percutaneous coronary intervention, acute myocardial infarction, or myocardial ischaemia were interviewed and examined at least 6 months and no later than 3 years after their hospital admission to gather information on their HRQoL, self-reported lifestyle changes, and risk factors.ResultsSignificantly better HRQoL scores were found ...
https://epubs.rcsi.ie/psycholart/54
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Characterising falls risk factors and health care utilisation in patients with a low trauma wrist fracture attending a physiotherapy clinic
(2012)
O'Reilly, Ciara
Characterising falls risk factors and health care utilisation in patients with a low trauma wrist fracture attending a physiotherapy clinic
(2012)
O'Reilly, Ciara
Abstract:
<p><strong>Introduction: </strong>Ireland's population is ageing and falls continue to be the most common cause of injury for those aged over 65. International guidelines recommend screening of low-risk falls patients in order to prevent significant impairments in the future. Mallmin et al (1993) stated that distal radius fractures occur on average 15 years prior to a hip fracture.</p> <p><strong>Aims and Objectives: </strong>The aim of this study was to characterise multifactorial falls risk factors in subjects who had sustained a low trauma wrist fracture and identify their health care utilisation.</p> <p><strong>Methods: </strong>This was a case-control, observational study which involved recruitment of 41 consecutive adults between 55 and 80 years who sustained a low trauma wrist fracture. For comparison 41 healthy controls were also recruited. A comprehensive multi-factorial falls assessment was performed on...
https://epubs.rcsi.ie/mscrestheses/24
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Exploring Choice, Home and Health Service Utilisation For People Ageing With An Intellectual Disability During A Time Of Housing Relocation And Transition
(2016)
O'Donovan, Mary-Ann
Exploring Choice, Home and Health Service Utilisation For People Ageing With An Intellectual Disability During A Time Of Housing Relocation And Transition
(2016)
O'Donovan, Mary-Ann
Abstract:
<p>The <strong>study aims</strong> to understand if and how older people with an intellectual disability are involved in the decision to change place of residence, the relationship between this choice opportunity and choice in other areas of life and how both choice and moving impact on health service utilisation.</p> <p>National policy promotes the closure of congregated living for people with ID. For people who live with family, longer life expectancy presents different challenges in preparing for later life living arrangements. This context provides strong <strong>rationale</strong> for current study.</p> <p>The <strong>research design</strong> consists of three main elements; (i) a content analysis of relevant health and housing policies; (ii) a systematic review of healthcare utilisation models; and (iii) quantitative analysis of the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (ID...
https://epubs.rcsi.ie/phdtheses/169
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Public policy and health behaviour: An investigation of tobacco control policy and smoking in Ireland
(2013)
Currie, Laurie Michelle
Public policy and health behaviour: An investigation of tobacco control policy and smoking in Ireland
(2013)
Currie, Laurie Michelle
Abstract:
<p><strong>Aim:</strong> This thesis documents four interrelated studies, which seek to understand the impact tobacco control policies have had on patterns of smoking in Ireland.</p> <p><strong>Methods:</strong> Study 1 critically compares four tobacco use surveys in Ireland: SLAN, OTC, EURO, and FAST, and examines trends in smoking prevalence and social inequalities in smoking between 1990 and 2011. Study 2 re-contacts young adult respondents to SLAN 2007 (age 20-39 years, n = 1039; 83% response rate) to complete structured telephone interviews three years later. This study examines factors associated with continuity and change in smoking, and cessation related outcomes (quit intentions, quit attempts and nicotine dependence). Study 3 uses the same young adult follow-up data to examine responses to a recent large tax increase and estimates factors associated with compensatory behaviour. Lastly, Study 4 employed IrelandSS - an adapted versio...
https://epubs.rcsi.ie/phdtheses/113
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Assessment of a new undergraduate module in musculoskeletal medicine.
(2011)
Queally, Joseph M; Cummins, Fionnan; Brennan, Stephen A; Shelly, Martin J; O'Byrne...
Assessment of a new undergraduate module in musculoskeletal medicine.
(2011)
Queally, Joseph M; Cummins, Fionnan; Brennan, Stephen A; Shelly, Martin J; O'Byrne, John M
Abstract:
<p>This article is also available at <a href="http://jbjs.org/article.aspx?articleid=6193#Introduction">http://jbjs.org/article.aspx?articleid=6193#Introduction</a></p>
<p>BACKGROUND: Despite the high prevalence of musculoskeletal disorders seen by primary care physicians, numerous studies have demonstrated deficiencies in the adequacy of musculoskeletal education at multiple stages of medical education. The aim of this study was to assess a newly developed module in musculoskeletal medicine for use at European undergraduate level (i.e., the medical-school level).</p> <p>METHODS: A two-week module in musculoskeletal medicine was designed to cover common musculoskeletal disorders that are typically seen in primary care. The module incorporated an integrated approach, including core lectures, bedside clinical examination, and demonstration of basic practical procedures. A previously validated examination in musculoskeletal medici...
https://epubs.rcsi.ie/tosart/4
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Medical Student Experiences in Clinical Reproductive Medicine: Dual-Cohort Assessment of a New Learning Module at the Royal College of Surgeons in Ireland
(2013)
Walsh, Anthony PH; Collins, Gary S; Walsh, David J; Shkrobot, Lyuda V; Malone, Fergal D...
Medical Student Experiences in Clinical Reproductive Medicine: Dual-Cohort Assessment of a New Learning Module at the Royal College of Surgeons in Ireland
(2013)
Walsh, Anthony PH; Collins, Gary S; Walsh, David J; Shkrobot, Lyuda V; Malone, Fergal D; Sills, Eric Scott
Abstract:
<p>This article is also available from http://www.sciencedomain.org</p>
<p><strong>Aims: </strong>Exposure to a structured curriculum in reproductive medicine during medical school is helpful given the high frequency of fertility and pregnancy-related issues that future physicians will encounter. This study sought to evaluate a new reproductive medicine module for medical students.<br /><strong>Study Design: </strong>Prospective cohort study.<br /><strong>Place and Duration of Study:</strong> Dublin, Ireland; 2008-2010.<br /><strong>Methodology:</strong> A new educational module in reproductive medicine for upper-level medical students was initiated in 2008 at the Royal College of Surgeons in Ireland (RCSI). The module included reproductive endocrinology lectures, laboratory sessions, and direct observation of clinical consultations as a required component of an obstetrics and gynaecology rotatio...
https://epubs.rcsi.ie/obsgynart/12
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Physical multimorbidity and psychosis: comprehensive cross sectional analysis including 242,952 people across 48 low- and middle-income countries
(2016)
Stubbs, Brendon; Koyanagi, Ai; Veronese, Nicola; Vancampfort, Davy; Solmi, Marco; Gaugh...
Physical multimorbidity and psychosis: comprehensive cross sectional analysis including 242,952 people across 48 low- and middle-income countries
(2016)
Stubbs, Brendon; Koyanagi, Ai; Veronese, Nicola; Vancampfort, Davy; Solmi, Marco; Gaughran, Fiona; Carvalho, Andre; Lally, John; Mitchell, Alex J; Mugisha, James; Correll, Christoph U
Abstract:
<p>This article is also available at<a href="https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-016-0734-z"> https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-016-0734-z</a></p>
<p><strong>Background:</strong></p> <p>In people with psychosis, physical comorbidities, including cardiovascular and metabolic diseases, are highly prevalent and leading contributors to the premature mortality encountered. However, little is known about physical health multimorbidity in this population or in people with subclinical psychosis and in low- and middle-income countries (LMICs). This study explores physical health multimorbidity patterns among people with psychosis or subclinical psychosis.</p> <p><strong>Methods:</strong></p> <p>Overall, data from 242,952 individuals from 48 LMICs, recruited via the World Health Survey, were included in this cross-sectional study. Partic...
https://epubs.rcsi.ie/psychart/44
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Impact of Potentially Inappropriate Prescribing on Adverse Drug Events, Health Related Quality of Life and Emergency Hospital Attendance in Older People Attending General Practice: A Prospective Cohort Study.
(2016)
Wallace, Emma; McDowell, Ronald; Bennett, Kathleen; Fahey, Tom; Smith, Susan M
Impact of Potentially Inappropriate Prescribing on Adverse Drug Events, Health Related Quality of Life and Emergency Hospital Attendance in Older People Attending General Practice: A Prospective Cohort Study.
(2016)
Wallace, Emma; McDowell, Ronald; Bennett, Kathleen; Fahey, Tom; Smith, Susan M
Abstract:
<p>This article is also available at <a href="https://academic.oup.com/biomedgerontology/article-lookup/doi/10.1093/gerona/glw140">https://academic.oup.com/biomedgerontology/article-lookup/doi/10.1093/gerona/glw140</a></p>
<p>BACKGROUND: Potentially inappropriate prescribing (PIP) describes medications where risk generally outweighs benefit for older people. Cross-sectional studies suggest an association between PIP and poorer health outcomes but there is a paucity of prospective cohort studies. This study investigates the longitudinal association of PIP with adverse drug events (ADEs), health related quality of life, and accident & emergency visits.</p> <p>METHODS: Study design: Two-year (2010-2012) prospective cohort study (n = 904, ≥70 years, community-dwelling) with linked pharmacy dispensing data.</p> <p>EXPOSURE: Baseline PIP: Screening Tool for Older Persons potentially Inappropriate Prescriptions (STOPP)...
https://epubs.rcsi.ie/gpart/108
Marked
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Impact of Potentially Inappropriate Prescribing on Adverse Drug Events, Health Related Quality of Life and Emergency Hospital Attendance in Older People Attending General Practice: A Prospective Cohort Study.
(2017)
Wallace, Emma; McDowell, Ronald; Bennett, Kathleen; Fahey, Tom; Smith, Susan M
Impact of Potentially Inappropriate Prescribing on Adverse Drug Events, Health Related Quality of Life and Emergency Hospital Attendance in Older People Attending General Practice: A Prospective Cohort Study.
(2017)
Wallace, Emma; McDowell, Ronald; Bennett, Kathleen; Fahey, Tom; Smith, Susan M
Abstract:
<p>The original article is available at https://academic.oup.com</p>
<p>BACKGROUND: Potentially inappropriate prescribing (PIP) describes medications where risk generally outweighs benefit for older people. Cross-sectional studies suggest an association between PIP and poorer health outcomes but there is a paucity of prospective cohort studies. This study investigates the longitudinal association of PIP with adverse drug events (ADEs), health related quality of life, and accident & emergency visits.</p> <p>METHODS: Study design: Two-year (2010-2012) prospective cohort study (n = 904, ≥70 years, community-dwelling) with linked pharmacy dispensing data.</p> <p>EXPOSURE: Baseline PIP: Screening Tool for Older Persons potentially Inappropriate Prescriptions (STOPP) and Beers 2012 applied 12 months prior.</p> <p>STUDY OUTCOMES: ADEs (patient interview), health related quality of life (EQ-5D-3L: patient questionnaire), and acci...
https://epubs.rcsi.ie/gpart/113
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Endometrial fluid associated with Essure implants placed before in vitro fertilization: Considerations for patient counseling and surgical management.
(2015)
Sills, E Scott; Walsh, David J; Jones, Christopher A; Wood, Samuel H
Endometrial fluid associated with Essure implants placed before in vitro fertilization: Considerations for patient counseling and surgical management.
(2015)
Sills, E Scott; Walsh, David J; Jones, Christopher A; Wood, Samuel H
Abstract:
<p>The original article is available at <a href="http://synapse.koreamed.org/DOIx.php?id=10.5653/cerm.2015.42.3.126">http://synapse.koreamed.org/DOIx.php?id=10.5653/cerm.2015.42.3.126</a></p>
<p>Essure (Bayer) received approval from the U.S. Food and Drugs Administration as a permanent non-hormonal contraceptive implant in November 2002. While the use of Essure in the management of hydrosalpinx prior to in vitro fertilization (IVF) remains off-label, it has been used specifically for this purpose since at least 2007. Although most published reports on Essure placement before IVF have been reassuring, clinical experience remains limited, and no randomized studies have demonstrated the safety or efficacy of Essure in this context. In fact, no published guidelines deal with patient selection or counseling regarding the Essure procedure specifically in the context of IVF. Although Essure is an irreversible birth control option, some patients r...
https://epubs.rcsi.ie/obsgynart/24
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Skin and bone : the effect of age and estrogen deficiency.
(2009)
Healy, Claragh
Skin and bone : the effect of age and estrogen deficiency.
(2009)
Healy, Claragh
Abstract:
<p>Population ageing is a pervasive global phenomenon. For the elderly person, maintaining autonomy and independence are key to ensuring quality of life. Osteoporosis is a systemic skeletal disease characterised by low bone density andmicroarchitectural deterioration in bone tissue with a consequent increase in bonefragility. Epidemiological studies have highlighted the burden of disease on patient, society and health service. Dermatoporosis, previously considered a cosmetic and trivial issue, with increasing life expectancy, is a significant cause of morbidity. Theoverall goal of this thesis was to determine the effects of estrogen deficiency and age on bone and skin parameters, and to explore the potential of skin fragility as a surrogate to bone fragility in the diagnosis of osteoporosis.</p> <p>A successful ovine model of postmenopausal osteoporosis demonstrated significantly increased intracortical bone turnover, albeit in a seasonal manner, in response to est...
https://epubs.rcsi.ie/phdtheses/7
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A Telementoring Initiative to support Interprofessional Education fro Health Professionals caring for Residents in Nursing Homes
(2015)
Kennelly, Siobhán
A Telementoring Initiative to support Interprofessional Education fro Health Professionals caring for Residents in Nursing Homes
(2015)
Kennelly, Siobhán
Abstract:
<p>Aim: Describe a detailed project plan to develop a telementoring system using an interprofessional educational model in three nursing homes.</p> <p>Rationale: Interprofessional education (IPE) has been shown to have positive impacts on team-working and health outcomes for older patients in nursing homes who have complex needs. The CLAN programme aims to enhance IPE opportunities through the development of a videoconferencing system with expert facilitator supporting an IPE model.</p> <p>Change Process. This project will use the Senior & Swailes OD model to guide the change process that is required to support the development of collaborative learning. Early recognition of the known barriers and enablers to IPE in health professionals coupled with a distributive leadership model will help sustain the project and embed important principles of team learning. High engagement with influential stakeholders coupled with an in-depth risk analysis is an im...
https://epubs.rcsi.ie/mscttheses/62
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Inhaled hypertonic saline for cystic fibrosis: reviewing the potential evidence for modulation of neutrophil signalling and function.
(2016)
Reeves, Emer P; McCarthy, Cormac, Dr; McElvaney, Oliver J; Vijayan, Maya Sakthi N; Whit...
Inhaled hypertonic saline for cystic fibrosis: reviewing the potential evidence for modulation of neutrophil signalling and function.
(2016)
Reeves, Emer P; McCarthy, Cormac, Dr; McElvaney, Oliver J; Vijayan, Maya Sakthi N; White, Michelle M; Dunlea, Danielle M; Pohl, Kerstin; Lacey, Noreen; McElvaney, Noel G
Abstract:
<p>Article in press at http://www.wjgnet.com/2220-3141/</p>
<p>Cystic fibrosis (CF) is a multisystem disorder with significantly shortened life expectancy. The major cause of mortality and morbidity is lung disease with increasing pulmonary exacerbations and decline in lung function predicting significantly poorer outcomes. The pathogenesis of lung disease in CF is characterised in part by decreased airway surface liquid volume and subsequent failure of normal mucociliary clearance. This leads to accumulation of viscous mucus in the CF airway, providing an ideal environment for bacterial pathogens to grow and colonise, propagating airway inflammation in CF. The use of nebulised hypertonic saline (HTS) treatments has been shown to improve mucus clearance in CF and impact positively upon exacerbations, quality of life, and lung function. Several mechanisms of HTS likely improve outcome, resulting in clinically relevant enhancement in disease parameters related to...
https://epubs.rcsi.ie/medart/46
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Exercise and manual physiotherapy arthritis research trial (EMPART) for osteoarthritis of the hip: a multicenter randomized controlled trial.
(2013)
French, Helen P; Cusack, Tara; Brennan, Aisling; Caffrey, Aoife; Conroy, Ronán; Cuddy, ...
Exercise and manual physiotherapy arthritis research trial (EMPART) for osteoarthritis of the hip: a multicenter randomized controlled trial.
(2013)
French, Helen P; Cusack, Tara; Brennan, Aisling; Caffrey, Aoife; Conroy, Ronán; Cuddy, Vanessa; FitzGerald, Oliver M; Fitzpatrick, Martina; Gilsenan, Clare; Kane, David; O'Connell, Paul G; White, Breon; McCarthy, Geraldine M
Abstract:
<p>The original article is available at <a href="http://www.sciencedirect.com">http://www.sciencedirect.com</a></p>
<p>OBJECTIVES: To determine the effectiveness of exercise therapy (ET) compared with ET with adjunctive manual therapy (MT) for people with hip osteoarthritis (OA); and to identify if immediate commencement of treatment (ET or ET+MT) was more beneficial than a 9-week waiting period for either intervention.</p> <p>DESIGN: Assessor-blind randomized controlled trial with a 9-week and 18-week follow-up.</p> <p>SETTING: Four academic teaching hospitals in Dublin, Ireland.</p> <p>PARTICIPANTS: Patients (N=131) with hip OA recruited from general practitioners, rheumatologists, orthopedic surgeons, and other hospital consultants were randomized to 1 of 3 groups: ET (n=45), ET+MT (n=43), and waitlist controls (n=43).</p> <p>INTERVENTIONS: Participants in both the ET and ET+MT groups rece...
https://epubs.rcsi.ie/sphysioart/16
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From local to global: a qualitative review of the multi-leveled impact of a multi-country health research capacity development partnership on maternal health in Sudan.
(2016)
Elmusharaf, Khalifa; Tahir, Hanan; O' Donovan, Diarmuid; Brugha, Ruairi; Homeida, ...
From local to global: a qualitative review of the multi-leveled impact of a multi-country health research capacity development partnership on maternal health in Sudan.
(2016)
Elmusharaf, Khalifa; Tahir, Hanan; O' Donovan, Diarmuid; Brugha, Ruairi; Homeida, Mamoun; Abbas, Amal MO; Byrne, Elaine
Abstract:
<p>The original article is available at www.biomedcentral.com</p>
<p>BACKGROUND: There is a substantial body of literature on the principles of good partnerships and the rationale for such partnerships in research capacity strengthening. This paper illustrates the long term effects of a multi-country (8 countries) global partnership for health systems research capacity development (Connecting health Research in Africa and Ireland Consortium - ChRAIC) in relation to its contribution to capacity strengthening, public advocacy and policy influence at different levels and its practical achievements in Sudan in addressing access to maternal health services.</p> <p>METHODS: The authors (all members of the global partnership) reflect on the project in one of its' partner countries, Sudan, over its' five year duration. This reflection is supported by specific project data collected over the period of the project (2008-2014). The data collected inc...
https://epubs.rcsi.ie/ephmart/59
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A concept in flux: questioning accountability in the context of global health cooperation.
(2014)
Bruen, Carlos; Brugha, Ruairi; Kageni, Angela; Wafula, Francis
A concept in flux: questioning accountability in the context of global health cooperation.
(2014)
Bruen, Carlos; Brugha, Ruairi; Kageni, Angela; Wafula, Francis
Abstract:
<p>The origingal article is available at <a href="http://www.biomedcentral.com">www.biomedcentral.com</a></p>
<p>BACKGROUND: Accountability in global health is a commonly invoked though less commonly questioned concept. Critically reflecting on the concept and how it is put into practice, this paper focuses on the who, what, how, and where of accountability, mapping its defining features and considering them with respect to real-world circumstances. Changing dynamics in global health cooperation - such as the emergence of new health public-private partnerships and the formal inclusion of non-state actors in policy making processes - provides the backdrop to this discussion.</p> <p>DISCUSSION: Accountability is frequently reduced to one set of actors holding another to account. Changes in the global health landscape and in relations between actors have however made the practice of accountability more complex and contested. Curre...
https://epubs.rcsi.ie/ephmart/49
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Analysis of human resources for health strategies and policies in 5 countries in Sub-Saharan Africa, in response to GFATM and PEPFAR-funded HIV-activities.
(2013)
Cailhol, Johann; Craveiro, Isabel; Madede, Tavares; Makoa, Elsie; Mathole, Thubelihle; ...
Analysis of human resources for health strategies and policies in 5 countries in Sub-Saharan Africa, in response to GFATM and PEPFAR-funded HIV-activities.
(2013)
Cailhol, Johann; Craveiro, Isabel; Madede, Tavares; Makoa, Elsie; Mathole, Thubelihle; Parsons, Ann Neo; Van Leemput, Luc; Biesma, Regien; Brugha, Ruairi; Chilundo, Baltazar; Lehmann, Uta; Dussault, Gilles; Van Damme, Wim; Sanders, David
Abstract:
<p>The original article is available from <a href="http://www.biomedcentral.com">www.biomedcentral.com</a></p>
<p>BACKGROUND: Global Health Initiatives (GHIs), aiming at reducing the impact of specific diseases such as Human Immunodeficiency Virus (HIV), have flourished since 2000. Amongst these, PEPFAR and GFATM have provided a substantial amount of funding to countries affected by HIV, predominantly for delivery of antiretroviral therapy (ARV) and prevention strategies. Since the need for additional human resources for health (HRH) was not initially considered by GHIs, countries, to allow ARV scale-up, implemented short-term HRH strategies, adapted to GHI-funding conditionality. Such strategies differed from one country to another and slowly evolved to long-term HRH policies. The processes and content of HRH policy shifts in 5 countries in Sub-Saharan Africa were examined.</p> <p>METHODS: A multi-country study was conducted f...
https://epubs.rcsi.ie/ephmart/42
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The use of technology enhanced learning in health research capacity development: lessons from a cross country research partnership.
(2016)
Byrne, Elaine; Donaldson, L; Manda-Taylor, L; Brugha, Ruairi; Matthews, A; MacDonald, S...
The use of technology enhanced learning in health research capacity development: lessons from a cross country research partnership.
(2016)
Byrne, Elaine; Donaldson, L; Manda-Taylor, L; Brugha, Ruairi; Matthews, A; MacDonald, S; Mwapasa, V; Petersen, M; Walsh, A
Abstract:
<p>The original article is available at www.biomedcentral.com</p>
<p>BACKGROUND: With the recognition of the need for research capacity strengthening for advancing health and development, this research capacity article explores the use of technology enhanced learning in the delivery of a collaborative postgraduate blended Master's degree in Malawi. Two research questions are addressed: (i) Can technology enhanced learning be used to develop health research capacity?, and: (ii) How can learning content be designed that is transferrable across different contexts?</p> <p>METHODS: An explanatory sequential mixed methods design was adopted for the evaluation of technology enhanced learning in the Masters programme. A number of online surveys were administered, student participation in online activities monitored and an independent evaluation of the programme conducted.</p> <p>RESULTS: Remote collaboration and engagement are paramount in ...
https://epubs.rcsi.ie/ephmart/60
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National and subnational HIV/AIDS coordination: are global health initiatives closing the gap between intent and practice?
(2010)
Spicer, Neil; Aleshkina, Julia; Biesma, Regien; Brugha, Ruairi; Caceres, Carlos; Chilun...
National and subnational HIV/AIDS coordination: are global health initiatives closing the gap between intent and practice?
(2010)
Spicer, Neil; Aleshkina, Julia; Biesma, Regien; Brugha, Ruairi; Caceres, Carlos; Chilundo, Baltazar; Chkhatarashvili, Ketevan; Harmer, Andrew; Miege, Pierre; Murzalieva, Gulgun; Ndubani, Phillimon; Rukhadze, Natia; Semigina, Tetyana; Walsh, Aisling; Walt, Gill; Zhang, Xiulan
Abstract:
<p>This article is also available from <a href="http://www.globalizationandhealth.com">http://www.globalizationandhealth.com</a></p>
<p>BACKGROUND: A coordinated response to HIV/AIDS remains one of the 'grand challenges' facing policymakers today. Global health initiatives (GHIs) have the potential both to facilitate and exacerbate coordination at the national and subnational level. Evidence of the effects of GHIs on coordination is beginning to emerge but has hitherto been limited to single-country studies and broad-brush reviews. To date, no study has provided a focused synthesis of the effects of GHIs on national and subnational health systems across multiple countries. To address this deficit, we review primary data from seven country studies on the effects of three GHIs on coordination of HIV/AIDS programmes: the Global Fund to Fight AIDS, Tuberculosis and Malaria, the President's Emergency Plan for AIDS Relief (PEPFAR)...
https://epubs.rcsi.ie/ephmart/14
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Gait impairment in cervical spondylotic myelopathy: Analysis, impact on function, and effect of surgical intervention
(2011)
Malone, Ailish Marie
Gait impairment in cervical spondylotic myelopathy: Analysis, impact on function, and effect of surgical intervention
(2011)
Malone, Ailish Marie
Abstract:
<p>Chest pain is one of the most frequent complaints in medical settings, yet more than half of cases have no detectable cause. Once a cardiac cause has been excluded, patients are typically discharged with a label of non-cardiac chest pain (NCCP). Patients with NCCP have been shown to have poor outcomes in terms of continued symptoms, distress, and continuing concern about heart disease. In addition, NCCP represents a significant burden to health services. The aetiology and management of NCCP is under-researched and poorly understood. This study sought to examine the predictors of persistent pain and health service use for patients in whom a cardiac diagnosis had been excluded. It also sought to explore how patients interpreted their symptoms in the context of normal test results, and the impact of their experiences with health services on these interpretations.</p> <p>A mixed-methods design was adopted. A prospective cohort study was initially conducted with 145 ...
https://epubs.rcsi.ie/phdtheses/54
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