Publications by authors named "M McNeely"
Hot water systems are the most frequent environment associated with the prevalence and growth of opportunistic premise plumbing pathogens (OPPPs). Previous studies identified water heaters as a source of waterborne diseases and concluded that design variables may contribute to their prevalence. A multifaceted approach was used to investigate the vertical stratification of the microbiome and selected OPPPs in an electric water heater tank connected to a home plumbing system simulator.
View Article and Find Full Text PDFObjectives: In chronic diseases, there have been issues with low levels of participant adherence and retention during well-supported lifestyle behaviour change interventional studies. Theoretically informed, the objective was to explore the types of challenges participants are experiencing to inform future designs.
Design: We conducted an exploratory descriptive study in an adult cirrhosis population after the first 4-6 weeks of a 12-week semi-supervised nutrition and exercise online program.
Introduction: Home-based, virtually-supported care models may represent the most efficient and scalable approach to delivering prehabilitation services. However, virtual approaches to prehabilitation are understudied. This manuscript describes the protocol for an internal pilot randomised controlled trial of a virtually-delivered, multimodal prehabilitation intervention.
View Article and Find Full Text PDFArticle Synopsis
- Effective management of lymphedema related to cancer is crucial, with Complex Decongestive Therapy (CDT) being a main treatment approach; however, additional interventions like low-level laser therapy and compression systems show promise in enhancing outcomes and reducing costs.
- A literature review from June 2018 to October 2023 identified 438 citations but only included 40 randomized controlled trials, mostly centered on breast cancer patients, revealing concerns about bias in most studies.
- The findings suggest that compression garments, combined interventions with CDT, and nighttime compression can potentially benefit lymphedema treatment, highlighting the need for collaborative research for better trial quality and methodology.
Article Synopsis
- - Complex decongestive therapy is the primary non-surgical treatment for lymphedema, involving manual therapy, compression exercise, skincare, and education, divided into two phases: intensive volume reduction (Phase I) and a long-term maintenance phase (Phase II).
- - The maintenance phase focuses on lifelong control of lymphedema through self-management strategies and ongoing therapies, with compression being the key element for effective self-care.
- - Poor adherence to self-management can worsen lymphedema, highlighting the need for education and monitoring; the editorial outlines essential components for the maintenance phase, such as skin care, infection management, and regular check-ups.