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Displaying Results 76 - 100 of 1534 on page 4 of 62
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The role of proteases, endoplasmic reticulum stress and SERPINA1 heterozygosity in lung disease and α-1 anti-trypsin deficiency.
(2011)
Greene, Catherine M; Hassan, Tidi; Molloy, Kevin; McElvaney, Noel G
The role of proteases, endoplasmic reticulum stress and SERPINA1 heterozygosity in lung disease and α-1 anti-trypsin deficiency.
(2011)
Greene, Catherine M; Hassan, Tidi; Molloy, Kevin; McElvaney, Noel G
Abstract:
<p>The Version of Scholarly Record of this Article is published in Expert Review of Respiratory Medicine 2011, available online at: <a href="http://tandfonline.com/">http://www.tandfonline.com/</a> DOI: 10.1586/ers.11.20</p>
<p>The serine proteinase inhibitor α-1 anti-trypsin (AAT) provides an antiprotease protective screen throughout the body. Mutations in the AAT gene (SERPINA1) that lead to deficiency in AAT are associated with chronic obstructive pulmonary diseases. The Z mutation encodes a misfolded variant of AAT that is not secreted effectively and accumulates intracellularly in the endoplasmic reticulum of hepatocytes and other AAT-producing cells. Until recently, it was thought that loss of antiprotease function was the major cause of ZAAT-related lung disease. However, the contribution of gain-of-function effects is now being recognized. Here we describe how both loss- and gain-of-function effects can contribute to ZAAT-related l...
https://epubs.rcsi.ie/medart/71
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The Use of Coercion in Clinical Mental Health Practice
(2015)
Shannon, Stephen
The Use of Coercion in Clinical Mental Health Practice
(2015)
Shannon, Stephen
Abstract:
<p><strong>Background</strong></p> <p>Coercive psychiatric treatment is one of the most controversial practices in medicine with some arguing that it is unfortunately necessary and others arguing that it is unjustified torture. Further research is required to inform clinical decision-making and service development.</p> <p><strong>Objectives</strong></p> <p>In study one, I aim to determine predictors and associations of coercion during admission. In study two, I aim to determine the impact of coercion during admission on outcomes one year after discharge. In study three, I aim to illuminate patient perspectives on coercion. In study four, I aim to determine the number of psychiatric hospitals in which security personnel were noted in inspection reports and describe the main themes of those notes.</p> <p><strong>Methods</strong></p> <p>This thesis comprised of four studies which emerg...
https://epubs.rcsi.ie/phdtheses/166
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The PIPc study: Development and validation of indicators of potentially inappropriate prescribing in children (PIPc) in primary care
(2016)
Barry, Emma
The PIPc study: Development and validation of indicators of potentially inappropriate prescribing in children (PIPc) in primary care
(2016)
Barry, Emma
Abstract:
<p><strong>Background</strong>: There is limited evidence regarding the quality of prescribing for children in primary care. Several prescribing criteria (indicators) have been developed to assess the appropriateness of prescribing in older and middle aged adults but few are relevant to children. This thesis outlines the development of a set of prescribing indicators to be applied to be applied to the Primary Care Reimbursement Database (PCRS) to determine the prevalence of potentially inappropriate prescribing (PIP) in children in primary care settings.</p> <p><strong>Methods</strong>: Two round Delphi consensus method: A literature search was conducted to identify published indicators for children (< 16 years). A Project Steering Group reviewed the suitability of the indicators. These criteria underwent a two round Delphi process using an expert panel consisting of general practitioners, pharmacists, paediatricians and clinical pharmaco...
https://epubs.rcsi.ie/mscrestheses/51
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Synergistic effects of brain-derived neurotrophic factor (BDNF) and exercise intensity on memory in the adolescent brain: a commentary.
(2018)
Tharmaratnam, Tharmegan; Tabobondung, Tyler; Tabobondung, Taylor; Doherty, Sally
Synergistic effects of brain-derived neurotrophic factor (BDNF) and exercise intensity on memory in the adolescent brain: a commentary.
(2018)
Tharmaratnam, Tharmegan; Tabobondung, Tyler; Tabobondung, Taylor; Doherty, Sally
Abstract:
<p>The original article is available at <a href="https://www.biomedcentral.com">www.biomedcentral.com</a></p>
<p>This commentary highlights the recently published study by Jeon and Ha (Environ Health Prev Med 22:27, 2017) examining the effects of exercise intensity and brain-derived neurotrophic factor (BDNF) on memory in adolescents. This 12-week training study elicited increases in BDNF and improvements in working memory during moderate- and high-intensity exercise, which may have been achieved through improved brain tissue oxygenation, nutrient delivery, and BDNF mRNA expression. These improvements highlight the positive neuroendocrinological effects of BDNF and its role as a potential candidate molecule, as a mediator of synaptic plasticity. In this commentary, we aim to highlight the strengths and potential areas of consideration of Jeon and Ha (Environ Health Prev Med 22:27, 2017). We also offer insight into the clinical implications...
https://epubs.rcsi.ie/smedart/9
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Treatment resistant schizophrenia - review and a call to action.
(2018)
Lally, John; Gaughran, Fiona
Treatment resistant schizophrenia - review and a call to action.
(2018)
Lally, John; Gaughran, Fiona
Abstract:
<p>This article has been published in a revised form in Irish Journal of Psychological Medicine <a href="https://doi.org/10.1017/ipm.2018.47" target="_blank">https://doi.org/10.1017/ipm.2018.47</a>. This version is free to view and download for private research and study only. Not for re-distribution, re-sale or use in derivative works. © <em>copyright holder</em>.</p>
<p>Recovery rates in schizophrenia remain suboptimal with up to one-third resistant to standard treatments, a population prevalence of 0.2%. Clozapine is the only evidenced-based treatment for treatment resistant schizophrenia (TRS), yet there are significant delays in its use or it may not be trialled, potentially impacting the chance of recovery. Better outcomes with earlier use of clozapine may be possible. There is emerging evidence that early treatment resistance is not uncommon from the earliest stages of psychosis. In this review, we provide an u...
https://epubs.rcsi.ie/psychart/87
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Improving the Recognition and Management of Common Mental Disorders in Government-Operated Primary Care Settings in Penang, Malaysia: Feasibility of a Pilot Primary Care Consultation-Liaison Psychiatry Service and Impact on Undergraduate Medical Education
(2018)
Russell, Vincent
Improving the Recognition and Management of Common Mental Disorders in Government-Operated Primary Care Settings in Penang, Malaysia: Feasibility of a Pilot Primary Care Consultation-Liaison Psychiatry Service and Impact on Undergraduate Medical Education
(2018)
Russell, Vincent
Abstract:
<p>International evidence suggests that the implementation of evidence-based interventions for common mental disorders (CMDs) in primary care settings is challenging, especially in low and middle-income countries.</p> <p>This thesis is based on a clinical and medical educational research initiative carried out by the author at Penang Medical College, Malaysia in collaboration with local academic colleagues and clinicians and support from academics in his home institution in RCSI, Dublin. The aims of the study were to explore challenges and opportunities in delivering enhanced care for CMDs in Malaysian government-operated primary care clinics and the potential added educational value of medical students learning psychiatry in primary care settings.</p> <p>Mixed qualitative and quantitative methods and a process evaluation framework were employed to evaluate current primary care services for CMDs and the operation and utilisation of an on-site pilot cons...
https://epubs.rcsi.ie/mdtheses/97
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Global Surgery Priorities: A Response to Recent Commentaries.
(2019)
Gajewski, Jakub; Brugha, Ruairi F; Bijlmakers, Leon
Global Surgery Priorities: A Response to Recent Commentaries.
(2019)
Gajewski, Jakub; Brugha, Ruairi F; Bijlmakers, Leon
Abstract:
<p>The original article is available at<a href="http://www.ijhpm.com/article_3598.html"> http://www.ijhpm.com</a></p>
<p>We welcome the five published responses<sup>1-5 </sup>to our editorial,<sup>6</sup> which outlined a research agenda for making surgery accessible in low- and middle-income country settings, where it is most needed. The commentators represent a good mix of academics, researchers and advocacy specialists, which demonstrates the growing global commitment to working together in the ‘empirically evolving global surgery systems science.’<sup>3</sup> There is considerable consensus in the messages, including the importance of collaborative research approaches, adapted to country contexts; a focus on district population needs; and the use of standardised routine data collection and evaluation methods. Here, we briefly touch on some important new perspectives and some diverging ones.</p>
https://epubs.rcsi.ie/ephmart/93
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Vitamin D Supplementation Practices during Pregnancy and Infancy among a Sample of Muslim Women in Ireland and Saudi Arabia
(2013)
Khadrawi, Imann
Vitamin D Supplementation Practices during Pregnancy and Infancy among a Sample of Muslim Women in Ireland and Saudi Arabia
(2013)
Khadrawi, Imann
Abstract:
Vitamin D is a steroid hormone, a group of fat-soluble pro-hormones, which encourages the absorption and metabolism of calcium and phosphorous. The requirement for the nutrient is high at particular stages of the lifecycle especially during pregnancy and infancy. Severe vitamin D deficiency during pregnancy may increase the risk of developing preeclampsia and gestational diabetes in pregnancy and rickets in the child. While vitamin D supplementation has been a policy recommendation in Ireland since 2007, at the time of this study, it was not a policy recommendation in Saudi Arabia. The present quantitative cross-sectional survey was conducted to determine the prevalence of vitamin D supplementation in pregnancy as well as to infants 0-3 years of age among Muslim mothers living in Ireland and in Saudi Arabia. Seventy seven Muslim mothers living in Ireland were recruited from the Islamic Culture Center of Ireland while one hundred and twenty one Muslim mothers living in Saudi Arabia w...
https://arrow.dit.ie/scienmas/84
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Sex trafficking in Ireland from a health care perspective.
(2014)
McConkey, Samuel J; Garcia, Chelsea; Mann, Amanjit; Conroy, Ronán
Sex trafficking in Ireland from a health care perspective.
(2014)
McConkey, Samuel J; Garcia, Chelsea; Mann, Amanjit; Conroy, Ronán
Abstract:
<p>The original article is available at <a href="http://www.imj.ie">www.imj.ie</a></p>
<p>Sex trafficking within Ireland is a hidden phenomenon. In 2010, 78 alleged victims were reported to An Garda Siochina and the recorded levels of human trafficking into Ireland have remained at this level for the last four years. Despite this, no Irish guidelines or referral pathways exist to assist health care professionals. This paper highlights that health care professionals are not aware of this occurrence nor have they been trained to identify victims. Due to a lack of awareness many potential opportunities to detect these victims may be missed. While there is no single set of symptoms or signs that differentiates sex-trafficked victims from other sex workers, an awareness of common physical and psychological health problems associated with sex trafficking by health care professionals may increase victim detection rates. This paper summarises indi...
https://epubs.rcsi.ie/ephmart/48
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Evaluating Moodle In Undergraduate Obstetrics and Gynaecology.
(2013)
McVey, Ruaidhri M
Evaluating Moodle In Undergraduate Obstetrics and Gynaecology.
(2013)
McVey, Ruaidhri M
Abstract:
<p><em>‘Medical education is a national strategic asset that reflects well on the country, attracts the brightest and best school leavers from home and abroad and caters for our health needs. We have not, alas, looked after medical education in a manner that allows us to reassure the public that all is well.’ Irish Medical Council, 2003</em></p> <p>In 1989, Tim Berners-Lee invented the World Wide Web, and within 10 years it had become a valuable learning resource for the field of medicine. With the aim of improving the undergraduate student experience, educators have experimented with a variety of information technologies for the delivery of medical education. Web 2.0 is helping students to ascertain their learning goals effectively.</p> <p>Little evidence is available for the implementation of Moodle, a virtual learning environment, into an undergraduate obstetrics and gynaecology curriculum. This thesis demonstrates the integration of Mood...
https://epubs.rcsi.ie/mdtheses/59
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Investigation into the role of La/SS-B in Interferon regulation and its relevance in health and human disease
(2014)
Mahony, Rebecca G
Investigation into the role of La/SS-B in Interferon regulation and its relevance in health and human disease
(2014)
Mahony, Rebecca G
Abstract:
<p>The La/SS-B protein is well documented as an autoantigen for autoimmune conditions such as systemic lupus erythematosus (SLE). Recently, a link between La and viruses has been reported, an interesting observation given the fact that viral infection is a significant risk factor in SLE. However, the direct mechanism by which La functions in the innate immune response to viral challenge remains elusive. As such, we sought to investigate whether La directly regulates the induction of the anti-viral cytokines, type I Interferons, (IFNs) by direct modulation of innate immune toll-like receptor (TLR) or RIG-I-like receptor (RLR) signalling pathways.</p> <p>Our findings have highlighted a dual and complex role for La in the regulation of IFN production. Initial studies demonstrated a role for La in the specific attenuation of IFN promoter transcriptional activity downstream of RLR activation. In confirmation of this, elevated IFN levels were observed following La knockd...
https://epubs.rcsi.ie/phdtheses/119
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International students' experience of a western medical school: a mixed methods study exploring the early years in the context of cultural and social adjustment compared to students from the host country.
(2015)
McGarvey, Alice; Brugha, Ruairi; Conroy, Ronán; Clarke, Eric; Byrne, Elaine
International students' experience of a western medical school: a mixed methods study exploring the early years in the context of cultural and social adjustment compared to students from the host country.
(2015)
McGarvey, Alice; Brugha, Ruairi; Conroy, Ronán; Clarke, Eric; Byrne, Elaine
Abstract:
<p>The original article is available at <a href="http://www.biomedcentral.com">www.biomedcentral.com</a></p>
<p>BACKGROUND: Few studies have addressed the challenges associated with international students as they adapt to studying medicine in a new host country. Higher level institutions have increasing numbers of international students commencing programmes. This paper explores the experiences of a cohort of students in the early years of medical school in Ireland, where a considerable cohort are from an international background.</p> <p>METHODS: A mixed exploratory sequential study design was carried out with medical students in the preclinical component of a five year undergraduate programme. Data for the qualitative phase was collected through 29 semi-structured interviews using the peer interview method. Thematic analysis from this phase was incorporated to develop an online questionnaire combined with components of the Stu...
https://epubs.rcsi.ie/gpart/75
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A survey of chartered physiotherapists' knowledge and current clinical practice regarding concussion in sport.
(2012)
McGrann, Patrick; Keating, Louise
A survey of chartered physiotherapists' knowledge and current clinical practice regarding concussion in sport.
(2012)
McGrann, Patrick; Keating, Louise
Abstract:
<p>The original article is available at http://www.rcsismj.com/</p>
<p>Abstract Background: There is currently much discussion in the sports medicine literature and mainstream media regarding diagnosing and managing concussion and the appropriate criteria to guide return-to-play decisions. In amateur sport, the chartered physiotherapist is often the primary healthcare professional present at sporting events. At present, there is no research to guide management of the concussed player by physiotherapists, which negatively impacts the consensus of concussion management. Objective: To identify current knowledge and clinical practice patterns (assessment and management) regarding concussion in sport among Irish chartered physiotherapists. Methods: Members of Chartered Physiotherapists in Sports and Exercise Medicine with active email addresses (n=370) were invited to participate in an online cross-sectional survey consisting of four sections: demographics; knowledg...
https://epubs.rcsi.ie/sphysioart/18
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Potentially inappropriate prescribing according to STOPP and START and adverse outcomes in community-dwelling older people: a prospective cohort study.
(2016)
Moriarty, Frank; Bennett, Kathleen; Cahir, Caitriona; Kenny, Rose Anne; Fahey, Tom
Potentially inappropriate prescribing according to STOPP and START and adverse outcomes in community-dwelling older people: a prospective cohort study.
(2016)
Moriarty, Frank; Bennett, Kathleen; Cahir, Caitriona; Kenny, Rose Anne; Fahey, Tom
Abstract:
<p>This is the peer reviewed version of the following article: Moriarty F, Bennett K, Cahir, C, Kenny RA, Fahey T. Potentially inappropriate prescribing according to STOPP and START and adverse outcomes in community-dwelling older people: a prospective cohort study. British Journal of Clinical Pharmacology. 2016; 82(3):849-57, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/bcp.12995/pdf. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.</p>
<p>AIMS: This study aims to determine if potentially inappropriate prescribing (PIP) is associated with increased healthcare utilization, functional decline and reduced quality of life (QoL) in a community-dwelling older cohort.</p> <p>METHOD: This prospective cohort study included participants aged ≥65 years from The Irish Longitudinal Study on Ageing (TILDA) with linked administrative pharmacy claims data ...
https://epubs.rcsi.ie/gpart/102
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Emergency Department Overcrowding And The Full Capacity Protocol Cross Over Study: What Patients Who Have Experienced Both Think About Being An Extra Patient In The Emergency Department Or On A Ward.
(2018)
McGowan, Hugh; Gopeesingh, Krystal; O'Kelly, Patrick; Gilligan, Peadar
Emergency Department Overcrowding And The Full Capacity Protocol Cross Over Study: What Patients Who Have Experienced Both Think About Being An Extra Patient In The Emergency Department Or On A Ward.
(2018)
McGowan, Hugh; Gopeesingh, Krystal; O'Kelly, Patrick; Gilligan, Peadar
Abstract:
<p>The original article is available at <a href="http://imj.ie/">www.imj.ie</a></p>
<p>Hospital overcrowding is evidenced by Emergency Department (ED) overcrowding. The Full Capacity Protocol (FCP) is activated to move patients to temporary extra beds placed in the inpatient wards. This research aims to establish patient preferences when waiting for a ward bed in an Irish Hospital. The FCP in Beaumont Hospital was updated in the context of national guidelines. Patients’ attitudes towards boarding in the ED as opposed to being in extra beds on the wards were assessed using a questionnaire based structured interview. Ninety nine patients took part in the study. Eighty three patients (83.83%) preferred being an additional patient on the ward, 12 (12.12%) had no preference and four (4.04%) preferred being boarded in the ED. Moving patients from the ED into extra beds on the wards creates space, facilitating safer care delivery. The vast majori...
https://epubs.rcsi.ie/emermedart/8
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ADAM22 as a predictive marker for endocrine resistant metastatic breast cancer and an LGI1 mimetic as a companion therapeutic
(2018)
Doherty, Ben
ADAM22 as a predictive marker for endocrine resistant metastatic breast cancer and an LGI1 mimetic as a companion therapeutic
(2018)
Doherty, Ben
Abstract:
<p>Approximately 70 % of breast cancer patients are classified as oestrogen receptor positive. While initial prognosis is favourable, the risk of recurrence remains long after diagnosis. Furthermore, the ability to treat recurrent tumours becomes harder over time as resistance to endocrine therapy develops. This resistant phenotype is caused in part by overexpression of the nuclear receptor co-activator SRC-1. Moreover, SRC-1 has been shown to promote metastatic development in several breast cancer models.</p> <p>Previously, our lab identified the neuronal protein ADAM22 as an SRC-1 target gene involved in endocrine resistant breast cancer metastases. Here, this metastatic role was further characterised through knockdown, knockout and overexpression studies along with a high throughput proteomic study. This study demonstrates the potential of ADAM22 as a biomarker for predicting metastatic development in endocrine resistant patients. Finally, an ADAM22 targeting pe...
https://epubs.rcsi.ie/phdtheses/231
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Psychopathology and early life stress in migrant youths- an analysis of the ‘Growing up in Ireland’ study.
(2018)
Cotter, Sorcha; Healy, Colm; NiCathain, Dearbhail; Williams, Patrick; Clarke, Mary; Can...
Psychopathology and early life stress in migrant youths- an analysis of the ‘Growing up in Ireland’ study.
(2018)
Cotter, Sorcha; Healy, Colm; NiCathain, Dearbhail; Williams, Patrick; Clarke, Mary; Cannon, Mary
Abstract:
<p>This article has been published in a revised form in Irish Journal of Psychological Medicine. <a href="https://doi.org/10.1017/ipm.2018.53" target="_blank">https://doi.org/10.1017/ipm.2018.53</a> This version is free to view and download for private research and study only. Not for re-distribution, re-sale or use in derivative works. © <em>copyright holder</em>.</p>
<p><strong>Objectives: </strong>Migrant youths endure many challenges. Such challenges can be stressful and lead to psychological difficulties. We investigated the relationship between migration, psychopathology and stressful events in children and adolescents. We hypothesised that migrant youths would show higher levels of psychopathology and more stressful life events than non-migrant youths.</p> <p><strong>Method:</strong> Using the Child cohort (Cohort `98) of the ‘Growing up in Ireland’ (GUI) study we investigate...
https://epubs.rcsi.ie/psychart/86
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Predicting poorer health outcomes in older community-dwelling patients with multimorbidity: prospective cohort study assessing the accuracy of different multimorbidity definitions.
(2019)
Sasseville, Maxime; Smith, Susan M; Freyne, Lisa; McDowell, Ronald; Boland, Fiona; Fort...
Predicting poorer health outcomes in older community-dwelling patients with multimorbidity: prospective cohort study assessing the accuracy of different multimorbidity definitions.
(2019)
Sasseville, Maxime; Smith, Susan M; Freyne, Lisa; McDowell, Ronald; Boland, Fiona; Fortin, Martin; Wallace, Emma
Abstract:
<p>The original article is available at <a href="https://bmjopen.bmj.com/content/9/1/e023919.long">bmjopen.bmj.com</a></p>
<p><strong>PURPOSE:</strong> Multimorbidity is commonly defined and measured using condition counts. The UK National Institute for Health Care Excellence Guidelines for Multimorbidity suggest that a medication-orientated approach could be used to identify those in need of a multimorbidity approach to management.</p> <p><strong>OBJECTIVES:</strong> To compare the accuracy of medication-based and diagnosis-based multimorbidity measures at higher cut-points to identify older community-dwelling patients who are at risk of poorer health outcomes.</p> <p><strong>DESIGN:</strong> A secondary analysis of a prospective cohort study with a 2-year follow-up (2010-2012).</p> <p><strong>SETTING:</strong> 15 general practices in Ireland.</p> &l...
https://epubs.rcsi.ie/gpart/134
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Hospitalisation and length of hospital stay following first-episode psychosis: systematic review and meta-analysis of longitudinal studies.
(2019)
Ajnakina, Olesya; Stubbs, Brendon; Francis, Emma; Gaughran, Fiona; David, Anthony S; Mu...
Hospitalisation and length of hospital stay following first-episode psychosis: systematic review and meta-analysis of longitudinal studies.
(2019)
Ajnakina, Olesya; Stubbs, Brendon; Francis, Emma; Gaughran, Fiona; David, Anthony S; Murray, Robin M; Lally, John
Abstract:
<p>This article has been published in a revised form in Psychological Medicine. <a href="https://doi.org/10.1017/S0033291719000904">https://doi.org/10.1017/S0033291719000904</a> This version is free to view and download for private research and study only. Not for re-distribution, re-sale or use in derivative works. © <em>copyright holder</em>. <a href="http://www.cambridge.org/about-us/legal-notices/copyright/">http://www.cambridge.org/about-us/legal-notices/copyright/</a></p>
<p><strong>BACKGROUND:</strong> Reducing hospitalisation and length of stay (LOS) in hospital following first episode psychosis (FEP) is important, yet reliable measures of these outcomes and their moderators are lacking. We conducted a systematic review and meta-analysis to investigate the proportion of FEP cases who were hospitalised after their first contact with services and the LOS in a hospital during follow-up.<...
https://epubs.rcsi.ie/psychart/91
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Patient Satisfaction with Care as Managed by the Physician Associate or the Doctor as Part of a Pilot Project in Ireland
(2019)
Joyce, Pauline
Patient Satisfaction with Care as Managed by the Physician Associate or the Doctor as Part of a Pilot Project in Ireland
(2019)
Joyce, Pauline
Abstract:
<p>The original article is available at <a href="https://www.asianinstituteofresearch.org/">https://www.asianinstituteofresearch.org</a></p>
<p>Objective: The objective of this study was to examine if patients, visiting a hospital outpatient’s clinic, were satisfied about the care delivered when a PA instead of a doctor is the provider.</p> <p>Methods: The study methodology was a descriptive quantitative approach using an eight-item survey and an option to include free text comments.</p> <p>Results: There was no difference in satisfaction levels between consultations with doctors or PAs, as part of a pilot project introducing the PA role. Conclusions: In Ireland, patients are just as satisfied with the care they received from PAs and doctors. Findings are consistent with findings in other countries where the PA role is embedded. In meeting the patient's needs, an important aspect of care given by both doctor an...
https://epubs.rcsi.ie/smedart/14
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‘Emigration is a matter of self-preservation. The working conditions . . . are killing us slowly’: qualitative insights into health professional emigration from Ireland
(2015)
Humphries, Niamh; McAleese, Sara; Matthews, Anne; Brugha, Ruairi
‘Emigration is a matter of self-preservation. The working conditions . . . are killing us slowly’: qualitative insights into health professional emigration from Ireland
(2015)
Humphries, Niamh; McAleese, Sara; Matthews, Anne; Brugha, Ruairi
Abstract:
<p>The original article is also available at <a href="http://www.human-resources-health.com/content/13/1/35/abstract" target="_blank">http://www.human-resources-health.com/content/13/1/35/abstract</a></p>
<p><strong>Background</strong> Achieving a sustainable health workforce involves training and retaining sufficient staff to deliver health services. The Irish health workforce is characterised by a high level of emigration of Irish-trained staff and a heavy reliance on internationally trained staff. This paper presents qualitative findings from a mixed - method study of doctors, nurses and midwives who have recently emigrated from Ireland.</p> <p><strong> Methods</strong> Using Facebook, this study elicited 556 (388 completed) responses to an exploratory mixed-method online survey in July 2014. Respondents provided rich responses to two free-text questions, one on health worker return (N = 343...
https://epubs.rcsi.ie/ephmart/52
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Irish Emergency Nurses’ Attitudes towards Role Expansion in, and Barriers to, Nurse Prescribing
(2011)
Clancy, Michele
Irish Emergency Nurses’ Attitudes towards Role Expansion in, and Barriers to, Nurse Prescribing
(2011)
Clancy, Michele
Abstract:
<p>Aim</p> <p>This study set out to explore Irish emergency nurses’ attitudes towards nurse prescribing and also to elicit their attitudes towards potential barriers to nurse prescribing.</p> <p>Method</p> <p>A quantitative descriptive survey was used to answer the research question, a questionnaire was administered to a systematic random sample of Emergency Department nurses. This consisted of a 31 item Likert-type attitudinal scale, previously developed for a similar study.</p> <p>Background</p> <p>Traditionally, the prescription of medications fell strictly within the realm of medicine. However, as nursing practice evolves, roles are beginning to change. Nurse prescribing is an expansion of the traditional nursing role, expanding the primary functions of nurses’ and midwives. When nurse prescribing commenced in Ireland it was initially a specialist nurse who undertook training, this is now beginning to change with ...
https://epubs.rcsi.ie/mscttheses/8
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What prompts young adults in Ireland to attend health services for STI testing?
(2009)
Balfe, Myles; Brugha, Ruairi
What prompts young adults in Ireland to attend health services for STI testing?
(2009)
Balfe, Myles; Brugha, Ruairi
Abstract:
<p>This article is also available at <a href="http://www.biomedcentral.com.proxy.library.rcsi.ie/bmcpublichealth/archive" target="_blank">http://www.biomedcentral.com</a></p>
<p>BACKGROUND: In-depth understanding of the factors that prompt young adults to attend health services for sexually transmitted infection (STI) testing are needed to underpin sexual health programes. We conducted a qualitative study to identify and explore why young adults (18-29 years) in Ireland attended specialist and community health services for STI testing; the factors that supported/undermined their decisions to seek STI testing; and any factors that led to delay in seeking STI testing.</p> <p>METHODS: Semi-structured interviews with 30 adults (21 women, 9 men). Young adults were recruited from General Practice (GP) practices, Third Level College health services, Family Planning clinics and specialist STI treatment services for men who ha...
https://epubs.rcsi.ie/ephmart/23
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Predicting streptococcal pharyngitis in adults in primary care: a systematic review of the diagnostic accuracy of symptoms and signs and validation of the Centor score.
(2011)
Aalbers, Jolien; O'Brien, Kirsty K; Chan, Wai-Sun; Falk, Gavin A; Teljeur, Conor; ...
Predicting streptococcal pharyngitis in adults in primary care: a systematic review of the diagnostic accuracy of symptoms and signs and validation of the Centor score.
(2011)
Aalbers, Jolien; O'Brien, Kirsty K; Chan, Wai-Sun; Falk, Gavin A; Teljeur, Conor; Dimitrov, Borislav D; Fahey, Tom
Abstract:
<p>This article is also available from <a href="http://www.biomedcentral.com">www.biomedcentral.com</a></p>
<p>BACKGROUND: Stratifying patients with a sore throat into the probability of having an underlying bacterial or viral cause may be helpful in targeting antibiotic treatment. We sought to assess the diagnostic accuracy of signs and symptoms and validate a clinical prediction rule (CPR), the Centor score, for predicting group A β-haemolytic streptococcal (GABHS) pharyngitis in adults (> 14 years of age) presenting with sore throat symptoms.</p> <p>METHODS: A systematic literature search was performed up to July 2010. Studies that assessed the diagnostic accuracy of signs and symptoms and/or validated the Centor score were included. For the analysis of the diagnostic accuracy of signs and symptoms and the Centor score, studies were combined using a bivariate random effects model, while for the calibration analysis of the...
https://epubs.rcsi.ie/gpart/10
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Determining the status of non-transferred embryos in Ireland: a conspectus of case law and implications for clinical IVF practice.
(2009)
Sills, Eric Scott; Murphy, Sarah Ellen
Determining the status of non-transferred embryos in Ireland: a conspectus of case law and implications for clinical IVF practice.
(2009)
Sills, Eric Scott; Murphy, Sarah Ellen
Abstract:
<p>This article is also available from http://www.biomedcentral.com/</p>
<p>The development of in vitro fertilisation (IVF) as a treatment for human infertilty was among the most controversial medical achievements of the modern era. In Ireland, the fate and status of supranumary (non-transferred) embryos derived from IVF brings challenges both for clinical practice and public health policy because there is no judicial or legislative framework in place to address the medical, scientific, or ethical uncertainties. Complex legal issues exist regarding informed consent and ownership of embryos, particularly the use of non-transferred embryos if a couple separates or divorces. But since case law is only beginning to emerge from outside Ireland and because legislation on IVF and human embryo status is entirely absent here, this matter is poised to raise contractual, constitutional and property law issues at the highest level. Our analysis examines this medico-legal c...
https://epubs.rcsi.ie/obsgynart/5
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