133 results match your criteria: "St. Finbarr's Hospital[Affiliation]"

Article Synopsis
  • - The study investigated how the COVID-19 pandemic affected the distribution of systemic anti-cancer therapy (SACT) in Ireland from January 2019 to April 2021, utilizing national pharmacy claims data.
  • - Results showed a significant drop in the dispensing of immunotherapy and targeted therapy post-March 2020, with averages dropping by about 3.3 and 4.1 agents per 100,000 population monthly, indicating healthcare disruptions due to the pandemic.
  • - While the trend for endocrine therapy also slowed significantly after March 2020, no major changes were observed for other types of SACT during the pandemic period.
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Article Synopsis
  • Congenital ocular anomalies (COA) are a leading cause of visual impairment in children in high-income countries, and this study aimed to evaluate their prevalence in European registries.
  • Data from 19 EUROmediCAT registries and one healthcare database revealed a prevalence of COA at 3.47 cases per 10,000 births, with congenital lens anomalies being the most common type.
  • The findings suggest the need for better screening and early diagnosis of COA, highlighting the importance of large-scale epidemiological studies for understanding these conditions.
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The improvement in quantitative traits (e.g., yield, size) in F offspring over parent lines is described as hybrid vigour, or heterosis.

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Background: The Montreal Cognitive Assessment (MoCA) is recommended by the Movement Disorder Society for cognitive testing in movement disorders including Parkinson's disease (PD) and lewy body dementia. Few studies have compared cognitive screening instruments in these diseases, which overlap clinically.

Objective: To compare the MoCA and Quick Mild Cognitive Impairment (Q screen in this population.

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Understanding risk factors for frailty, functional decline and incidence of adverse healthcare outcomes amongst community-dwelling older adults is important to plan population-level health and social care services. We examined variables associated with one-year risk of institutionalisation, hospitalisation and death among patients assessed in their own home by a community-based Aged Care Assessment Team (ACAT) in Western Australia. Frailty and risk were measured using the Clinical Frailty Scale (CFS) and Risk Instrument for Screening in the Community (RISC), respectively.

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Objectives: Prognostic models have the potential to aid clinical decision-making after hip fracture. This systematic review aimed to identify, critically appraise, and summarize multivariable prediction models for mortality or other long-term recovery outcomes occurring at least 30 days after hip fracture.

Study Design And Setting: MEDLINE, Embase, Scopus, Web of Science, and CINAHL databases were searched up to May 2023.

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Background: Childhood and adolescent obesity are major, preventable public health concerns. Studies to date are inconclusive regarding an association between caesarean section (CS) delivery and offspring obesity, with fewer studies conducted in late adolescence. This study examined the association between CS delivery, with a specific focus on planned CS, and induction of labour and adolescent body mass index (BMI) and body fat percentage (BF%) at age 17 years.

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Dialectical behaviour therapy: effect of a coordinated implementation approach on programme sustainability.

Ir J Psychol Med

April 2024

National DBT Office Ireland, Inniscarraig House, Cork, Ireland.

Sustainability of DBT programmes and the factors which potentially influence this has received little attention from researchers. In this article, we review the literature reporting on sustainability of DBT programmes in outpatient settings. We also seek to advance the limited knowledge on this topic by reporting on the sustainability of DBT programmes delivered by teams that trained via a coordinated implementation approach in Ireland.

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Hypertensive disorders of pregnancy and the risk of maternal dementia: a systematic review and meta-analysis.

Am J Obstet Gynecol

August 2024

School of Public Health, University College Cork, Cork, Ireland; Department of Public Health Area D (Cork & Kerry), St. Finbarr's Hospital, Cork, Ireland. Electronic address:

Objective: Hypertensive disorders of pregnancy, including preeclampsia, are associated with an increased risk for maternal cardiovascular disease, stroke, and chronic kidney disease. However, their association with subsequent maternal dementia or cognitive impairment is less well understood. This study aimed to review and synthesize the published literature on hypertensive disorders of pregnancy and the subsequent risk for maternal dementia or cognitive impairment.

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Bridging the academic practice gap in public health-The role of the clinical academic in public health.

Public Health

February 2024

INFANT Research Centre, Cork, Ireland; Department of Public Health - HSE South West, Health Service Executive, St. Finbarr's Hospital, Douglas Road, Cork, Ireland; School of Public Health, Western Gateway Building, University College Cork, Cork, Ireland.

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Staff knowledge, attitudes and confidence levels for fall preventions in older person long-term care facilities: a cross-sectional study.

BMC Geriatr

September 2023

Center for Gerontology and Rehabilitation, School of Medicine, St Finbarr's Hospital, University College Cork, Block 13, Douglas Road, The Bungalow, Cork, Ireland.

Background: Falls are the most common health problem affecting older people in long-term care facilities (LTCFs), with well-recognised adverse psychological and physical resident outcomes, and high staff burden and financial cost. LTCF staff knowledge and skills can play a vital role in providing and promoting fall prevention care.

Methods: A descriptive cross-sectional survey study was conducted across 13 LTCF sites in the Southwest of Ireland; a sampling frame facilitated inclusion of a range of provider types and facility sizes.

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Background: Ireland, like many countries, pursued a containment strategy during the initial stages of the COVID-19 pandemic. Multidisciplinary Outbreak Control Team (OCT) meetings were among the urgent measures used by public health teams in managing COVID-19 outbreaks, especially in high-risk settings.

Aim: To describe and quantify the resources and person-time involved in managing outbreaks, and conducting OCT meetings, in older person Residential Care Facilities (RCF) in an Irish regional Department of Public Health (DePH) during the first 2 years of the COVID-19 pandemic.

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Purpose: To measure the impact of hospital-treated self-harm by hanging and drowning in Ireland in 2007-2019 and identify risk factors for these methods of self-harm.

Method: Data on all self-harm presentations to Irish hospitals between 2007 and 2019 were obtained from the National Self-Harm Registry Ireland, a national self-harm surveillance system. Multinomial regression was used to explore factors associated with attempted hanging and drowning.

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Background: Gay, bisexual, and other men who have sex with men (gbMSM) report a higher prevalence of drug use in comparison to the general male population. However, in Ireland, there is a paucity of literature regarding the prevalence of drug use and its determinants among gbMSM.

Aims/objectives: To quantify the prevalence of (i) recreational drug use (RDU) and (ii) sexualised drug use (SDU) among gbMSM in Ireland, and to identify the factors associated with these drug use practices.

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Article Synopsis
  • Early detection of frailty in older adults can help prevent deterioration in functionality, but existing frailty screens in Emergency Departments (EDs) need better validation against comprehensive assessments.!
  • A review of studies from 2000 to 2022 found six studies with 1,663 participants that evaluated seven frailty screening tools, with a high prevalence of frailty (59%) among older adults in the ED.!
  • The sensitivity of these screening tools was 85%, while specificity was lower at 77%, indicating that while they can accurately identify frailty, further assessments may be necessary to determine appropriate care for patients.!
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Background: Short cognitive screening instruments (CSI) are required to identify cognitive impairment in busy outpatient clinics. While the Six Item Cognitive Impairment Test (6CIT) is commonly used, its accuracy in those with mild cognitive impairment (MCI) and subjective cognitive decline (SCD) and against more widely-used CSIs is less well established.

Objective: To examine the diagnostic accuracy of the 6CIT against the Montreal Cognitive Assessment (MoCA) and Quick Mild Cognitive Impairment (Q) screen across the cognitive spectrum in a memory clinic population.

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Limited transmission of SARS-CoV-2 in schools in Ireland during the 2020-2021 school year.

Euro Surveill

April 2023

Child Health Public Health HSE, HSE Area Offices, Arden Road, Tullamore, Co. Offaly, Ireland.

BackgroundThe role of schools in SARS-CoV-2 transmission has been a debated topic since the beginning of the COVID-19 pandemic.AimTo examine SARS-CoV-2 transmission in all schools in Ireland during the 2020-21 school year.MethodsIn a national descriptive cross-sectional study, we investigated PCR-confirmed cases of COVID-19 among students (aged < 20 years) and staff (aged ≥ 20 years) who attended school during their infectious period to identify school close contacts.

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Implementation strategies to support fall prevention interventions in long-term care facilities for older persons: a systematic review.

BMC Geriatr

January 2023

Center for Gerontology and Rehabilitation, School of Medicine, University College Cork, St Finbarr's Hospital, The Bungalow, Block 13, Douglas Road, Cork City, Ireland.

Background: Falls are common among older people in long-term care facilities (LTCFs). Falls cause considerable morbidity, mortality and reduced quality of life. Of numerous interventional studies of fall prevention interventions in LTCFs, some reduced falls.

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Article Synopsis
  • This review looked at how researchers in Europe study the concept of disability-adjusted life years (DALY) for infectious diseases.
  • They found 105 studies that met their criteria, with most focusing on food- and water-borne diseases.
  • The number of these studies has grown, particularly from 2015 to 2022, and there's a need for better guidelines to help make results more comparable.
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Palliative care for people with dementia.

Handb Clin Neurol

January 2023

Centre for Gerontology and Rehabilitation, School of Medicine, College of Medicine and Health, University College Cork, Cork, Ireland.

Dementia is the most common neurologic disease, affecting approximately 55 million people worldwide. Dementia is a terminal illness, although not always recognized as such. This chapter discusses the key issues in providing palliative care for people with living with dementia and their families.

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Amniotic band syndrome (ABS) and limb body wall complex (LBWC) have an overlapping phenotype of multiple congenital anomalies and their etiology is unknown. We aimed to determine the prevalence of ABS and LBWC in Europe from 1980 to 2019 and to describe the spectrum of congenital anomalies. In addition, we investigated maternal age and multiple birth as possible risk factors for the occurrence of ABS and LBWC.

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Background: In Ireland, a 'COVID-19 death' is defined as any death in which the decedent was COVID-19 positive and had no clear alternative cause of death unrelated to COVID-19, a definition based on World Health Organization guidance.

Aims: The objectives of this audit were to determine the proportion of COVID-19 deaths notified in the Cork/Kerry region of Ireland during winter 2021-2022 which adhered to this national definition, and to determine whether COVID-19 was deemed to be the primary cause of death, or a contributory or incidental factor.

Methods: A review of all deaths in individuals who were COVID-19 positive at the time of death notified to the Department of Public Health for Cork and Kerry between 22 November 2021 and 31 January 2022 was conducted to determine whether each death adhered to the national COVID-19 death definition.

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Background: In May 2021, the B.1.617 variant of SARS-CoV-2 emerged in Ireland, and both Delta and Kappa sub-lineages were initially deemed variants of concern (VOCs) on a precautionary basis.

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A retrospective review of patients who sustained traumatic brain injury in Ireland 2014-2019.

Injury

November 2022

Department of Emergency Medicine, Cork University Hospital, Cork, Ireland; Major Trauma Audit, National Office of Clinical Audit, Ireland.

Introduction: Traumatic brain injury (TBI) is the most significant cause of death and disability resulting from major trauma. The aim of this study is to describe the demographics of TBI patients, the current pathways of care and outcomes in the Republic of Ireland from 2014 to 2019.

Methods: We performed a retrospective review of all TBI patients meeting inclusion criteria in Ireland's Major Trauma Audit (MTA) from 2014 to 2019.

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: The aim of this study was to measure the impact of post-acute sequelae of COVID-19 (PASC) on quality of life, mental health, ability to work and return to baseline health in an Irish cohort. : We invited individuals with symptoms of COVID-19 lasting more than 14 days to participate in an anonymous online questionnaire. Basic demographic data and self-reported symptoms were recorded.

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