RSS 1.0Journal articles & published research
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Patient engagement in the governance and development of national clinical effectiveness processes (i.e. clinical audit & guidelines): A systematic literature review and desk-top analysis(School of Nursing and Human Sciences, Dublin City University, Dublin 9, 2016-03)
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Miscarriage hospitalisations: a national population-based study of incidence and outcomes, 2005-2016.(Reproductive Health, 2019-05-09)
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Impact of BCG vaccination on incidence of tuberculosis disease in southern Ireland.(BMC Infectious Diseases, 2019-05-09)
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Exploring patient-reported outcomes following percutaneous coronary intervention: A qualitative study.(Health Expectations, 2018-01-01)
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University students' awareness of causes and risk factors of miscarriage: a cross-sectional study.(BMC Women's Health, 2018-11-19)
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European principles of inhibitor management in patients with haemophilia.(Orphanet Journal of Rare Diseases, 2018-04-27)
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Slow release oral morphine versus methadone for the treatment of opioid use disorder.(2019-04-02)Two independent reviewers extracted data and assessed risk of bias. Data were pooled using the random-effects model and expressed as risk ratios (RRs) or mean differences with 95% CIs. Heterogeneity was assessed (χ2 statistic) and quantified (I2 statistic) and a sensitivity analysis was undertaken to assess the impact of particular high-risk trials.
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Severe Rhinitis Medicamentosa Successfully Treated with Rhinolight® Endonasal UV Phototherapy(Irish Medical Journal, 2019-02)
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The Burden of Severe Lactational Mastitis in Ireland from 2006 to 2015(irish Medical Journal, 2019-01-15)
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Lacking evidence for the association between frequent urine drug screening and health outcomes of persons on opioid agonist therapy.(2019-02-01)Opioid agonist therapy (OAT) is a first-line treatment for opioid use disorder (OUD); however, the efficacy and role of urine drug screening (UDS) in OAT has received little research attention. Prior evidence suggests that UDS frequency reflects philosophy and practice context rather than differences in patient characteristics or clinical need. Therefore, we reviewed the literature on the effect of and recommendations for the frequency of UDS on health outcomes for persons with OUD who receive OAT. We searched Medline and EMBASE for articles published from 1995-2017. Search results underwent double, independent review with discrepancies resolved through discussion with a third reviewer, when necessary. Additional articles were identified through snowball searching, hand searching (Google Scholar), and expert consultation. The Cochrane tool was used to assess risk of bias. Of the 60 potentially eligible articles reviewed, only one three-arm randomized open-label trial, comparing weekly and monthly UDS testing with take-home OAT doses, met our inclusion criteria. Our review identified an urgent gap in research evidence underpinning an area of clinical importance and that is routinely reported by patients as an area of concern.
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A comparative analysis of prophylactic antimicrobial use in long-term care facilities in Ireland, 2013 and 2016(Eurosurveillance, 2019-03)
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Excellent reliability and validity of the Addiction Medicine Training Need Assessment Scale across four countries.(2019-04-01)Addiction is a context specific but common and devastating condition. Though several evidence-based treatments are available, many of them remain under-utilized, among others due to the lack of adequate training in addiction medicine (AM). AM Training needs may differ across countries because of difference in discipline and level of prior AM training or contextual factors like epidemiology and availability of treatment. For appropriate testing of training needs, reliability and validity are key issues. The aim of this study was to evaluate the psychometric properties of the AM-TNA Scale: an instrument specifically designed to develop the competence-based curriculum of the Indonesian AM course. In a cross-sectional study in Indonesia, Ireland, Lithuania and the Netherlands the AM-TNA was distributed among a convenience sample of health professionals working in addiction care in The Netherlands, Lithuania, Indonesia and General Practitioners in-training in Ireland. 428 respondents completed the AM-TNA scale. To assess the factor structure, we used explorative factor analysis. Reliability was tested using Cronbach's Alpha, ANOVA determined the discriminative validity. Validity: factor analysis revealed a two-factor structure: One on providing direct patient treatment and care (Factor 1: clinical) and one factor on facilitating/supporting direct patient treatment and care (Factor 2: non-clinical) AM competencies and a cumulative 76% explained variance. Reliability: Factor 1 α = 0.983 and Factor 2: α = 0.956, while overall reliability was (α = 0.986). The AM-TNA was able to differentiate training needs across groups of AM professionals on all 30 addiction medicine competencies (P = .001). In our study the AM-TNA scale had a strong two-factor structure and proofed to be a reliable and valid instrument. The next step should be the testing external validity, strengthening discriminant validity and assessing the re-test effect and measuring changes over time.
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Association between caesarean section delivery and obesity in childhood: a longitudinal cohort study in Ireland.(BMJ Open, 2019-03-15)To investigate the association between caesarean section (CS) birth and body fat percentage (BF%), body mass index (BMI) and being overweight or obese in early childhood. Prospective longitudinal cohort study. Babies After Screening for Pregnancy Endpoints: Evaluating the Longitudinal Impact on Neurological and Nutritional Endpoints cohort. Infants born to mothers recruited from the Screening for Pregnancy Endpoints study, Cork University Maternity Hospital between November 2007 and February 2011.
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Codeine Usage in Ireland- A Timely Discussion on an Imminent Epidemic(Irish Medical Journal, 2019-03)
