Research by staff affiliated to Sligo General Hospital

Recent Submissions

  • Infants of hypothyroid mothers- are postnatal Thyroid Function Tests necessary? A Retrospective Study in a Regional Hospital

    Hawke, A; Stanzelova, A; Ruth, E; Neylon, OM (Irish Medical Journal, 2017-02)
    Congenital hypothyroidism is a preventable cause of intellectual disability. The aim of this study was to establish whether adding an additional thyroid function check between days of life 10-14 in infants born to mothers with known hypothyroidism identified any additional cases of congenital hypothyroidism requiring treatment that were not detected by the national newborn bloodspot screening programme. Babies who had Thyroid Function Tests (TFTs) measured at 10-14 days of age were identified using the Paediatric Ward attenders log from the years 2012-2014. Data were collected on patients’ TFTs and their mothers’ Anti-Thyroid Peroxidase (Anti-TPO) antibody levels. Of the 121 patients included, none were found to have a significantly raised TSH requiring treatment. 40 infants had repeat TFTs performed. None of the 121 infants had a significantly raised TSH, which required treatment with thyroxine. Congenital hypothyroidism is already being screened for as part of the National Newborn Screening Programme. The findings of our study have led us to recommend stopping current practice of routinely checking TFTs on day 10-14 of life in infants of hypothyroid mothers.
  • Management of Epistaxis – A Single Centre Experience and Economic Considerations

    Keane, E; Subramaniam, T; Khan, AH; Patil, N (Irish Medical Journal, 2016-06)
    Epistaxis represents the most common ENT emergency and its management has been a focus of audit recently, with consideration given to the associated economic burden. The aim of our study is to evaluate the management of epistaxis in terms of treatments used, duration of stay, recurrence and cost. A retrospective review of hospital inpatient enquiry (HIPE) data from a single secondary referral centre was undertaken during a four year period. Four hundrefd and thirty-four patients were identified. The majority (n= 262, 60.3%) were male and the average age was 64.2 years. The vast majority (n=362, 83.4%) were managed non-operatively. Only 15 patients (3.4%) were managed surgically. The average length of stay was 2.5 days and did not vary greatly between the treatment groups. The recurrence rate was 8.2% (n=36). Approximate costs of packing vs EUA and cautery suggest that packing alone is more economical but more data is needed to fully compare the options.
  • The practice nurses guide to new stoma care products

    Moore, Susan (Nursing in General Practice, 2015-11)
    Stoma formation is a common surgical procedure in the management of a number of diseases. A stoma can be temporary or permanent, elective or emergency and formed at any age from birth onwards. There are three main types of stomas; colostomy, ileostomy and urostomy. It is important that nurses involved in the care of stoma patients are knowledgeable on the types of stomas and the care and management of a stoma. It is also necessary to be familiar with the products used to manage a stoma.
  • Primary care management of Acne vulgaris

    Daly,Selene (Nursing in General Practice, 2015-05)
    Acne is a common skin complaint presenting to primary care centres. Pommerville1 deemed acne to be the most common dermatological disease worldwide. Acne is thought to affect 90% of the world’s population at some point in their lives.2 Four major factors are involved in acne pathogenesis as follows:
  • The social networks of young people in Ireland with experience of long-term foster care: some lessons for policy and practice

    Mc Mahon, Conor; Curtin, Chris (Child & Family Social Work, 2013)
    This paper presents findings from the first study of the social networks of a group of young people in Ireland who have experienced longterm foster care. The study group was composed of two groups of young people, a group who were currently in care and a group who had left the care system. The central focus was to examine the impact of foster care on the social network experience of the young people. Findings indicated that foster care impacts on the young people’s social network experience in the following ways: losing contact with extended family; a greater challenge in making and sustaining friendships; an impact on education; and an inability to maintain contact with groups and activities that are of significance. This paper also presents recommendations in relation to policy and practice, including the raising of awareness of the importance of a social network approach in working with young people with care experience.
  • Stress among nurses working in an acute hospital in Ireland.

    Donnelly, Teresa; Sligo Regional Hospital, Ireland. (British Journal of Nursing, 2014)
    Stress among nurses leads to absenteeism, reduced efficiency, long-term health problems and a decrease in the quality of patient care delivered. A quantitative cross-sectional study was conducted. The study's aim was to identify perceived stressors and influencing factors among nurses working in the critical and non-critical care practice areas. A convenience sample of 200 nurses were invited to complete the Bianchi Stress Questionnaire. Information was collected on demographics and daily nursing practice. Findings indicated that perceived stressors were similar in both groups. The most severe stressors included redeployment to work in other areas and staffing levels. Results from this study suggest that age, job title, professional experience and formal post-registration qualifications had no influence on stress perception. These results will increase awareness of nurses' occupational stress in Ireland.
  • Two, four, six, eight... stop and count before it is too late! An audit on swab, needle and instrument counts in theatre.

    Donnelly, T. (2014-07)
    A concurrent audit was conducted over a four week period to determine if the counting of swabs, needles and instruments for surgery adhered to local policy and recommended guidelines. Data were collected on 30 abdominal surgical procedures. This audit highlighted failings in the count process. It identified poor communication within the multidisciplinary team. There needs to be an increased awareness about local policy, national and international guidelines regarding the counting of swabs, needles and instruments for all surgical procedures.
  • Adult-trained perioperative nurses' practice of family-centered care.

    Hamilton, Grainne; Corlett, Jo; Dowling, Maura; Senior Staff Nurse, Trauma and Orthopaedic Theatres, Sligo Regional Hospital, Ireland. (British Journal of Nursing, 2014)
    The aim of this study was to explore adult-trained perioperative nurses' practice of family-centered care (FCC).
  • Laboratory test costs: Attitudes and awareness among staff in a regional hospital

    Clancy, C; Murphy, M (Irish Medical Journal (IMJ), 2013-01)
    There continues to be an unrelenting rise in the volumes of laboratory tests ordered in medicine, which is both expensive and has the potential for over-investigation. We performed a quantitative, observational, cross-sectional study of staff with the authority to initiate a laboratory test, using a voluntary, anonymous questionnaire. Our aim was to assess the awareness of and attitudes towards laboratory test costs. 226 surveys were completed over 2 weeks in June, 2012. Most numerous respondents were Staff nurses 125 (55.3%) followed by senior house officers (SHOs) 26 (11.5%) and clinical nurse managers/ specialists (CNMs and CNSs) 23 (10.2%). The majority of staff, 191(85.6%), felt unaware of the cost of laboratory tests, which they ordered. For non urgent tests, the majority of respondents, 136 (61.8%) felt cost was either quite of very important. For urgent tests, the majority of respondents, 188(84.6%) felt cost was of minor or of no importance. Doctors felt more aware of costs than nurses (26.9% vs. 9.3%) and doctors test cost estimates were correct more often than nurses (33% vs. 21%). The results indicate poor awareness of laboratory test cost amongst doctors and nurses. Given the expenditure incurred by a rise in the volume of tests and the potential for over-investigation for patients, strategies for improving the awareness of and attitudes towards laboratory tests need to be developed.
  • Caries status in 16 year-olds with varying exposure to water fluoridation in Ireland.

    Mullen, J; McGaffin, J; Farvardin, N; Brightman, S; Haire, C; Freeman, R; Health Service Executive, Sligo, Republic of Ireland. joej.mullen@hse.ie (2012-12)
    Most of the Republic of Ireland's public water supplies have been fluoridated since the mid-1960s while Northern Ireland has never been fluoridated, apart from some small short-lived schemes in east Ulster.
  • Developing a quality management information system (QMIS) in an acute Irish hospital setting

    Reynolds, K; Lynch, S; Ward, D; Fagan, P; Sweeney, J; Sligo General Hospital (The International Society for Quality in Health Care, 2009)
    To develop, and evaluate, a Quality Management Information System to co-ordinate quality and patient safety activities in an acute care setting.
  • Development of a residential care policies and procedures framework (ResPaP)

    Fagan, P; Sweeney, J; Sligo General Hospital (The International Society for Quality in Health Care, 2009)
    Development, and evaluation, of a framework of policies and procedures which can be utilised as a basis for the individual process mapping of key care activities in the nursing home sector.
  • Topical lidocaine patch 5% for acute postoperative pain control.

    Gilhooly, D; McGarvey, B; O'Mahony, H; O'Connor, T C; Anaesthesia and Pain Management, Sligo General Hospital, Sligo, Ireland. d.gilhooly@excite.com (2011-02)
    A 39-year-old para 3 woman presented for elective caesarean section (lower segment caesarean section (LSCS)) for breech presentation. The patient had a strong history of atopy and anaphylaxis to paracetamol, codeine, penicillin and latex. The patient was asthmatic, triggered by aspirin. Epidural anaesthesia was unsuccessful and LSCS was carried out under spinal anaesthesia. Postoperatively the patient was unwilling to take analgesic medication due to fear of an allergic reaction. Three 5% lidocaine patches were applied to the wound for postoperative analgesia. This reduced the patient's visual analogue scale pain score from 10/10 to 5/10 at rest and 10/10 to 7/10 with movement. Transcutaneous electrical nerve stimulation was added and this improved associated back pain, reducing the pain further to 2/10. This is the first description of lignocaine patch 5% for postoperative LSCS pain. It is suggested that this method of delivery of local anaesthetic, which is easy to apply and has minimal side effects, should be considered not as a sole agent but as part of a multimodal technique to address postoperative LSCS pain.
  • Termination of pregnancy: attitudes and clinical experiences of Irish GPs and GPs-in-training.

    Murphy, Mark; Vellinga, Akke; Walkin, Scott; MacDermott, Maeve; Sligo GP Training Scheme, Sligo General Hospital, Sligo, Ireland. mark_murphy2005@yahoo.ie (2012-09)
    Termination of pregnancy (ToP) is currently illegal in Ireland. In 2010, more than 4000 women travelled from Ireland to the UK for a ToP.
  • Carcinoid tumour of the middle ear

    Baig, Salman; Patil, Nash; Considine, Niall; Department of Otolaryngology, Sligo General Hospital, Sligo, Republic of Ireland. drsalmanbaig@gmail.com (2012-09)
    A case of middle ear mass in a young female from Ireland is described, who presented with left ear hearing loss and intermittent bloody discharge from the same ear. Examination under microscope revealed occlusive polyp in the left ear and a biopsy had been taken under general anaesthesia. Histopathology report described an adenoma / carcinoid tumour of the middle ear confirmed by positive immunohistochemical staining. CT temporal bones revealed the extension of the disease. The patient underwent left tympanotomy and excision of the tumour. In general, these tumours are regarded as benign but may be mistaken for adenocarcinomas because of their histological heterogenecity.
  • Negative pressure wound therapy: a study on patient perspectives.

    Bolas, Niamh; Holloway, Samantha; Sligo General Hospital, Ireland. bolas@eircom.net (2012-03)
    to explore patients' lived experience of using negative pressure wound therapy (NPWT).
  • Poor compliance with child safety restraint use while travelling.

    Fallon, R; Bruton, K; Kandamany, N; Greaney, H; Department of Paediatrics, Sligo General Hospital, The Mall, Sligo. (2011-02)
    Road traffic accidents are a leading cause of death of children. It is the law that all children should be appropriately secured when traveling in vehicles. The aim of this study was to evaluate parental conformity with these regulations and to test if advice given at a Paediatric outpatient clinic could improve compliance. Two groups were assigned, an intervention group (parents given an information leaflet and a clear explanation about appropriate restraints for their children) and a non-intervention group (received no information). They were contacted again after 2 months and asked regarding compliance. A total of 394 children from 186 families were initially given the questionnaire. Nearly one third of children (29.2%) were not using any restraint while travelling rising to 35.3% on follow up. This study concluded that once off parental education made negligible difference to an already inconsistent and haphazard approach to compliance with safety regulations.
  • A study to ascertain people’s knowledge and understanding of current measures of alcohol in drinks

    Harte, Patricia F.; Sligo General Hospital (University of Ulster, 2009-11-27)
  • Update on smoking cessation therapies.

    Glynn, Deirdre A; Cryan, John F; Kent, Pauline; Flynn, Robert A; Kennedy, Marcus P; Department of Medicine, Sligo General Hospital, Republic of Ireland. (2009-04)
    As a reflection of an exponential increase in smoking rates throughout the world during the last century, the economic and human burden of mortality and morbidity related to smoking is now clearly defined. Smoking cessation is associated with health benefits for people of all ages. In this paper we provide a comprehensive review of current licensed pharmacological smoking cessation agents including efficacy and safety profiles, with comparisons of individual therapies available. Furthermore, we offer a prospective on the need for further testing of other agents including novel avenues of therapy.
  • Sudden (reversible) sensorineural hearing loss in pregnancy.

    Kenny, R; Patil, N; Considine, N; Department of Audiology, Sligo General Hospital, Sligo, Ireland. rsmith1968@yahoo.com (2011-03)
    Our case demonstrates that pregnancy can lead to hearing loss in two sequential pregnancies. Mechanisms are discussed in detail. Clinically it appears that the hearing loss and tinnitus associated with pregnancy can spontaneously recover.

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