Publications by authors named "Denis Ryan"

A woman in her 60s with a past medical history of recurrent  (. ) presented for surgical consultation after a colonoscopy revealed a mass in the rectum. Preoperative biopsy revealed mucosal excrescence with no dysplasia or malignant changes.

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A 72-year-old woman with a prior sigmoid resection for colon cancer underwent a right hemicolectomy after a colonoscopy revealed a mass in the hepatic flexure. A preoperative biopsy at colonoscopy showed tubulovillous dysplasia with high-grade neoplasm. The final specimen pathology revealed benign mucosal elements with mucin pools consistent with colitis cystica profunda (CCP).

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A woman in her 20s with a past medical history of surgical debulking of a right neck mass presented to the hospital for persistent and worsening right shoulder pain. The shoulder pain was associated with trismus and back and neck pain. A CT scan of the neck with contrast revealed post-surgical changes with increased heterotopic ossification throughout the surgical site extending to the supraclavicular soft tissues and the left sternocleidomastoid muscle, suggesting muscle ossification.

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Ewing sarcoma is one of the most common primary bone tumors arising from neuroectodermal cells mainly presenting in the younger population. Instances of this highly malignant tumor manifesting outside of the bone and outside of the typical age range create an unfamiliar clinical scenario. In this report, we present a rare extraskeletal Ewing sarcoma in a 42-year-old woman with a subcutaneous soft tissue mass in the posterior chest displaying a positive gene rearrangement via fluorescence in situ hybridization.

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WHAT IS KNOWN ON THE SUBJECT?: Mental health recovery is acknowledged as a process of transformation and a way of living a meaningful life despite the presence of mental ill-health. Experiencing hope has been articulated as intrinsic to service users experience of a meaningful life. The social construction of mental illness and stigma are recognised as barriers to experiencing hope.

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Purposes: There is evidence of an increasing emphasis on the relevance of the quality of life-paradigm as an outcome measure for clients in geriatric, forensic, as well as correctional care. This paper aims to explore to what extent variables that were categorized according to the main areas of the Good Lives Model ('the self', 'the body' and 'social life') are related to the quality of life domains of older imprisoned offenders.

Methods: Data were collected by means of a structured questionnaire administered in individual interviews with 93 older prisoners aged 60 years and over in 16 prisons of the Dutch-speaking region in Belgium.

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Introduction: In Belgium, offenders who are deemed criminally irresponsible for their criminal actions because of mental illness or intellectual disability are subject to a specific safety measure with the dual objective of protecting society and providing mandated care to the offender. While Belgian law requires that offenders who are deemed criminally irresponsible should be in a hospital, clinic or other appropriate institution outside of prison, in practice, about one-third of all such offenders still reside in prison. Whether imprisoned or living in settings outside prison, there is a dearth of knowledge on the characteristics of the aging population among the criminally irresponsible offenders.

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The life of older mentally ill offenders (OMIOs) is often characterized by successive periods of detention in correctional facilities, admissions to psychiatric services, and unsuccessful attempts to live independently. Through in-depth interviews, eight personal stories from OMIOs under supervision of the commission of social defence in Ghent (Belgium) were analyzed in the phenomenological research tradition. The results of the study reveal that OMIOs had more positive and less negative experiences in prison settings when compared with other institutional care settings.

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Aim:   To report a study evaluating the effectiveness of a Wellness Recovery Action Planning education programme.

Background:   Internationally, mental health policy is advocating using recovery approaches to care. Underpinning these approaches is investment in education in recovery principles and methods and a need to provide evidence of the impact of this education.

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Objectives: Angiotensin IV (Ang IV) is a metabolite of angiotensin II which acts on specific AT(4) receptors identified as the enzyme insulin regulated aminopeptidase (IRAP). The transduction process of these receptors is unresolved, but Ang IV inhibits the aminopeptidase activity. Ang IV improves cognition in animal models thus there is a desire to develop metabolically stable analogues for further development.

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In an effort to understand the factors that impinge on labour mobility in the health- and social-care sector in Ireland, an exploratory study was undertaken. This study involved key organizational stakeholders and individual practitioners in the health- and social-care environment. A qualitative design using purposive sampling was employed, involving face-to-face and telephone, semi-structured interviews.

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Nursing and nurse education is rapidly changing internationally. The profession and the different branches of practice have moved in a relatively short period of time from a 'handmaiden' status to have an evolving professional standing as equal members of interdisciplinary teams. This has coincided with the evolving trend to locate nurse training programmes within the higher education sector.

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Aim: The aim of this study was to explore the experience of stress among psychiatric nursing students undertaking their 'internship' or final year of a four-year degree course.

Method: A questionnaire was administered to all 28 students in the intern year in conjunction with the 28-item version of the General Health Questionnaire. Semi-structured interviews were subsequently undertaken with four volunteers from a range of clinical locations.

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Health care employees are more likely than other workers to be victims of violence or aggression. Results from one Australian study suggest that 30% of respondents experienced aggression on a daily or near daily basis. In an Irish context, a total of 22% of all reported injuries in the health and social sector related to injuries inflicted by another person.

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