• Public awareness of testis cancer and the prevalence of testicular self-examination-changing patterns over 20 years.

      Casey, Rowan G; Grainger, Ronald; Butler, Michael R; McDermott, Thomas E; Thornhill, John A; Adelaide and Meath Hospital Dublin, Incorporating the National Children's, Hospital, (AMNCH), Tallaght, Dublin, Ireland. (2012-02-01)
      OBJECTIVES: Delay in treatment of testis cancer (TC) has a proven negative impact on disease stage, treatment outcome, and mortality. Poor public awareness of the disease and lack of testis self-examination (TSE) may account for late presentation. The aim of this study was to examine the knowledge of TC and performance of TSE in a group of men over 2 time periods 20 years apart. METHODS: In the current study, 677 men from a banking institution were surveyed on their knowledge of TC and their performance of TSE. Comparisons were made from the current data and those from the original study in 1986. RESULTS: This study demonstrates an increase in public awareness and modest concomitant increase in TSE since first studied in this country in 1986. There was no difference in knowledge across age groups in this study. Furthermore, men who demonstrate a superior degree of knowledge were more likely to perform TSE. Limitations included possible selection bias in the 2 studies conducted in a banking institution. CONCLUSIONS: Increased testicular cancer knowledge combined with TSE may have a role in improving detection of significant testicular pathology.
    • Understanding type 2 diabetes: including the family member's perspective.

      White, Patricia; Smith, Susan M; Hevey, David; O'Dowd, Thomas; Department of Public Health and Primary Care, Trinity College Centre for Health, Sciences, Adelaide and Meath Hospital incorporating the National Children's, Hospital, Tallaght, Dublin 24, Ireland. pwhite@tcd.ie (2012-02-01)
      PURPOSE: The purpose of this study was to examine the relationship between psychological and social factors and diabetes outcomes in people with type 2 diabetes and their family members. METHODS: A total of 153 patients with type 2 diabetes were assessed at a diabetes outpatient clinic and postal questionnaires were sent to nominated family members. The measures examined were diabetes knowledge, social support, well-being, and illness perceptions. RESULTS: When compared with those with diabetes, family members reported lower positive well-being and lower levels of satisfaction with support. They also perceived diabetes as a more cyclical illness, which was controlled more by treatment than by the individual. Family members also reported that the person with diabetes was more emotionally distressed and knew more about diabetes than the patient had actually reported himself or herself. There were no differences between the family members of those in good or poor glycaemic control. CONCLUSIONS: This study reinforces the importance of understanding social context and illness beliefs in diabetes management. It also highlights the potential for including family members in discussions and education about diabetes management.