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Mairghani M, Elmusharaf K, Patton D, Burns J, Eltahir O, Jassim G, Moore Z. The prevalence and incidence of diabetic foot ulcers among five countries in the Arab world: a systematic review. J Wound Care 2019; 26:S27-S34. [PMID: 28880754 DOI: 10.12968/jowc.2017.26.sup9.s27] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
OBJECTIVE There is a rising incidence of diabetes worldwide; however there seems to be a higher incidence and prevalence rates in the Arab world when compared with the global average. 1 Out of the top 10 countries with the highest prevalence rates, six are Arab countries and almost 20.5 million people in that part of the world live with diabetes. Despite this, published scientific research from the 22 Arab countries is limited and seems to be of lower quality when compared with the rest of the developed world. 2 Therefore, our aim was to explore the contribution of the different Arab countries in the world literature, to identify the diabetic foot ulcer (DFU) prevalence and incidence rates and to quality appraise these studies. METHOD A systematic review, following PRISMA guidelines, was undertaken to identify the incidence and prevalence of DFUs in the Arab world. The following databases were searched: PubMed, Embase CINAHL, Web of Science (Scopus), Global Health and EBSCO Results: A total of nine papers were identified. The mean prevalence of DFU in Saudi Arabia was 11.85% (4.7-19%), in Egypt was 4.2% (1-7.4%), in Jordan was 4.65% (4-5.3%), in Bahrain was 5.9% and in Iraq was 2.7%. A single study identified DFU incidence in Saudi Arabia as 1.8% between 2009-2010. CONCLUSION The mean prevalence rates of DFU were highest in Saudi Arabia and Bahrain and lowest in Iraq. Saudi Arabia had the only reported incidence study, thus findings could not be compared to other countries of the Arab world. There were no studies identified during our search reporting prevalence rates of DFU in 17 of the 22 Arab countries. It is clear that further research is required to determine the incidence and prevalance of DFUs in the Arab world and that progress is needed in order to improve the quality of research conducted in those countries.
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Affiliation(s)
- M Mairghani
- PhD Scholar, Royal College of Surgeons in Ireland, Dublin.,Senior Lecturer in Public Health at University of Limerick, Graduate Entry Medical School, University of Limerick.,Director of Research, Senior Lecturer, Royal College of Surgeons in Ireland, Dublin.,Research Officer, Royal College of Surgeons in Ireland, Dublin.,Royal College of Surgeons in Ireland, Dublin.,Senior lecturer in Family Medicine, Royal College of Surgeons in Ireland, Bahrain.,Professor of Nursing, Head of Department, Royal College of Surgeons in Ireland, Dublin
| | - K Elmusharaf
- Senior Lecturer in Public Health at University of Limerick, Graduate Entry Medical School, University of Limerick.,Director of Research, Senior Lecturer, Royal College of Surgeons in Ireland, Dublin.,Research Officer, Royal College of Surgeons in Ireland, Dublin.,Royal College of Surgeons in Ireland, Dublin.,Senior lecturer in Family Medicine, Royal College of Surgeons in Ireland, Bahrain.,Professor of Nursing, Head of Department, Royal College of Surgeons in Ireland, Dublin
| | - D Patton
- Senior Lecturer in Public Health at University of Limerick, Graduate Entry Medical School, University of Limerick.,Director of Research, Senior Lecturer, Royal College of Surgeons in Ireland, Dublin.,Research Officer, Royal College of Surgeons in Ireland, Dublin.,Royal College of Surgeons in Ireland, Dublin.,Senior lecturer in Family Medicine, Royal College of Surgeons in Ireland, Bahrain.,Professor of Nursing, Head of Department, Royal College of Surgeons in Ireland, Dublin
| | - J Burns
- Senior Lecturer in Public Health at University of Limerick, Graduate Entry Medical School, University of Limerick.,Director of Research, Senior Lecturer, Royal College of Surgeons in Ireland, Dublin.,Research Officer, Royal College of Surgeons in Ireland, Dublin.,Royal College of Surgeons in Ireland, Dublin.,Senior lecturer in Family Medicine, Royal College of Surgeons in Ireland, Bahrain.,Professor of Nursing, Head of Department, Royal College of Surgeons in Ireland, Dublin
| | - O Eltahir
- Senior Lecturer in Public Health at University of Limerick, Graduate Entry Medical School, University of Limerick.,Director of Research, Senior Lecturer, Royal College of Surgeons in Ireland, Dublin.,Research Officer, Royal College of Surgeons in Ireland, Dublin.,Royal College of Surgeons in Ireland, Dublin.,Senior lecturer in Family Medicine, Royal College of Surgeons in Ireland, Bahrain.,Professor of Nursing, Head of Department, Royal College of Surgeons in Ireland, Dublin
| | - G Jassim
- Senior Lecturer in Public Health at University of Limerick, Graduate Entry Medical School, University of Limerick.,Director of Research, Senior Lecturer, Royal College of Surgeons in Ireland, Dublin.,Research Officer, Royal College of Surgeons in Ireland, Dublin.,Royal College of Surgeons in Ireland, Dublin.,Senior lecturer in Family Medicine, Royal College of Surgeons in Ireland, Bahrain.,Professor of Nursing, Head of Department, Royal College of Surgeons in Ireland, Dublin
| | - Z Moore
- Senior Lecturer in Public Health at University of Limerick, Graduate Entry Medical School, University of Limerick.,Director of Research, Senior Lecturer, Royal College of Surgeons in Ireland, Dublin.,Research Officer, Royal College of Surgeons in Ireland, Dublin.,Royal College of Surgeons in Ireland, Dublin.,Senior lecturer in Family Medicine, Royal College of Surgeons in Ireland, Bahrain.,Professor of Nursing, Head of Department, Royal College of Surgeons in Ireland, Dublin
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Manoj S, Moore Z, Patton D, O'Connor T, Nugent LE. The impact of a nurse‐led elective direct current cardioversion in atrial fibrillation on patient outcomes: A systematic review. J Clin Nurs 2019; 28:3374-3385. [DOI: 10.1111/jocn.14852] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2018] [Revised: 03/14/2019] [Accepted: 03/21/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Sunitha Manoj
- Coronary Care Unit Connolly Hospital Blanchardstown, Dublin Ireland
| | - Zena Moore
- Royal College of Surgeons in Ireland School of Nursing and Midwifery Dublin Ireland
| | - Declan Patton
- Royal College of Surgeons in Ireland School of Nursing and Midwifery Dublin Ireland
| | - Tom O'Connor
- Royal College of Surgeons in Ireland School of Nursing and Midwifery Dublin Ireland
| | - Linda E. Nugent
- Royal College of Surgeons in Ireland School of Nursing and Midwifery Dublin Ireland
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Mairghani M, Jassim G, Elmusharaf K, Patton D, Eltahir O, Moore Z, Sorensen J. Methodological approaches for assessing the cost of diabetic foot ulcers: a systematic literature review. J Wound Care 2019; 28:261-266. [DOI: 10.12968/jowc.2019.28.5.261] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Objective: To evaluate the methodological approaches used to assess the cost consequences of diabetic foot ulcers (DFUs) in published scientific papers. Method: A systematic literature search was conducted in PubMed, Embase, Scopus, Web of Science and CINAHL. English language papers reporting on the cost of DFUs were identified. Additionally, bibliographies were inspected to identify other relevant cost studies. Following the PRISMA guidance, the review identified the study design, epidemiological approach, analytical perspective and data collection approach in each of the included studies. Results: Relatively few studies of the cost consequences of DFUs were found (n=27). Most studies were conducted in Western countries with only five studies from countries in Asia and Africa. The identified studies used different study designs, epidemiological approaches, data collection strategies, and data sources, which in turn made a systematic comparison of cost estimates difficult. Detailed descriptions of the applied costing method and other methodological aspects were often limited or absent. Many studies only reported costs from a health-care payer's perspective and disregarded the costs to patients, their families and wider society. Conclusion: The costs of DFUs have been assessed using a wide range of different methodological approaches often restricted to the healthcare payer's perspective. Therefore, the cost analyses may fail to consider the true societal costs of DFUs.
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Affiliation(s)
| | - Ghufran Jassim
- Senior Lecturer, Royal College of Surgeons in Ireland, Bahrain
| | - Khalifa Elmusharaf
- Senior Lecturer, Graduate Entry Medical School, University of Limerick, Limerick
| | - Declan Patton
- Director of Research, Senior Lecturer, Royal College of Surgeons in Ireland, Dublin
| | - Omer Eltahir
- Registrar, MCh Scholar, Royal College of Surgeons in Ireland, Dublin
| | - Zena Moore
- Professor of Nursing, Head of Department, Royal College of Surgeons in Ireland, Dublin
| | - Jan Sorensen
- Director of Healthcare Outcomes Research Centre, Healthcare Outcomes Research Centre, Royal College of Surgeons in Ireland, Dublin
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104
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Ryan S, Ward M, Vaughan D, Murray B, Zena M, O'Connor T, Nugent L, Patton D. Do safety briefings improve patient safety in the acute hospital setting? A systematic review. J Adv Nurs 2019; 75:2085-2098. [PMID: 30816565 DOI: 10.1111/jan.13984] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2017] [Revised: 12/06/2018] [Accepted: 12/14/2018] [Indexed: 12/01/2022]
Abstract
AIMS To synthesize current knowledge about the impact of safety briefings as an intervention to improve patient safety. BACKGROUND Improving safety in health care remains an ongoing challenge. There is a lack of evidence underpinning safety enhancing interventions. DESIGN Mixed method multi-level synthesis. DATA SOURCES Four health literature databases were searched (Cinahl, Medline, Scopus and Health Business Elite) from January 2002 - March 2017. REVIEW METHODS Thomas and Harden approach to mixed method synthesis. RESULTS Following quality appraisal, 12 studies were included. There was significant heterogeneity in study aims, measures, and outcomes. Findings showed that safety briefings achieved beneficial outcomes and can improve safety culture. Outcomes included improved risk identification, reduced falls, enhanced relationships, increased incident reporting, ability to voice concerns, and reduced length of stay. CONCLUSION Healthcare leaders should embrace the potential of safety briefings by promoting their effective use whilst allowing for local adaptation.
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Affiliation(s)
- Sharon Ryan
- Children's University Hospital, Dublin, Ireland
| | - Marie Ward
- Children's University Hospital, Dublin, Ireland
| | | | - Bridget Murray
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Moore Zena
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Tom O'Connor
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Linda Nugent
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Declan Patton
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
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Abstract
BACKGROUND Use of pressure ulcer risk assessment tools or scales is a component of the assessment process used to identify individuals at risk of developing a pressure ulcer. Use of a risk assessment tool is recommended by many international pressure ulcer prevention guidelines, however it is not known whether using a risk assessment tool makes a difference to patient outcomes. We conducted a review to provide a summary of the evidence pertaining to pressure ulcer risk assessment in clinical practice, and this is the third update of this review. OBJECTIVES To assess whether using structured and systematic pressure ulcer risk assessment tools, in any healthcare setting, reduces the incidence of pressure ulcers. SEARCH METHODS In February 2018 we searched the Cochrane Wounds Specialised Register; the Cochrane Central Register of Controlled Trials (CENTRAL); Ovid MEDLINE (including In-Process & Other Non-Indexed Citations); Ovid Embase; and EBSCO CINAHL Plus. We also searched clinical trials registries for ongoing and unpublished studies, and scanned reference lists of relevant included studies as well as reviews, meta-analyses and health technology reports to identify additional studies. There were no restrictions with respect to language, date of publication or study setting. SELECTION CRITERIA Randomised controlled trials (RCTs) comparing the use of structured and systematic pressure ulcer risk assessment tools with no structured pressure ulcer risk assessment, or with unaided clinical judgement, or RCTs comparing the use of different structured pressure ulcer risk assessment tools. DATA COLLECTION AND ANALYSIS Two review authors independently performed study selection, data extraction, 'Risk of bias' assessment and GRADE assessment of the certainty of evidence. MAIN RESULTS We included two studies in this review (1,487 participants). We identified no new trials for this latest update.Both studies were undertaken in acute-care hospitals. In one study, patients were eligible if they had a Braden score of 18 or less. In the second study all admitted patients were eligible for inclusion, once they were expected to have a hospital stay of more than three days and they had been in hospital for no more than 24 hours before baseline assessment took place. In the first study, most of the participants were medical patients; no information on age or gender distribution was provided. In the second study, 50.3% (619) of the participants were male, with a mean age of 62.6 years (standard deviation (SD): 19.3), and 15.4% (190) were admitted to oncology wards.The two included studies were three-armed studies. In the first study the three groups were: Braden risk assessment tool and training (n = 74), clinical judgement and training (n = 76) and clinical judgement alone (n = 106); follow-up was eight weeks. In the second study the three groups were: Waterlow risk assessment tool (n = 411), clinical judgement (n = 410) and Ramstadius risk assessment tool (n = 410); follow-up was four days. Both studies reported the primary outcome of pressure ulcer incidence and one study also reported the secondary outcome, severity of new pressure ulcers.We are uncertain whether use of the Braden risk assessment tool and training makes any difference to pressure ulcer incidence, compared to risk assessment using clinical judgement and training (risk ratio (RR) 0.97, 95% confidence interval (CI) 0.53 to 1.77; 150 participants), or compared to risk assessment using clinical judgement alone (RR 1.43, 95% CI 0.77 to 2.68; 180 participants). We assessed the certainty of the evidence as very low (downgraded twice for study limitations and twice for imprecision).Risk assessment using the Waterlow tool may make little or no difference to pressure ulcer incidence, or to pressure ulcer severity, when compared to risk assessment using clinical judgement (pressure ulcers of all stages: RR 1.10, 95% CI 0.68 to 1.81; 821 participants; stage 1 pressure ulcers: RR 1.05, 95% CI 0.58 to 1.90; 821 participants; stage 2 pressure ulcers: RR 1.25, 95% CI 0.50 to 3.13; 821 participants), or risk assessment using the Ramstadius tool (pressure ulcers of all stages: RR 1.41, 95% CI 0.83 to 2.39; 821 participants; stage 1 pressure ulcers: RR 1.16, 95% CI 0.63 to 2.15; 821 participants; stage 2 pressure ulcers: RR 2.49, 95% CI 0.79 to 7.89; 821 participants). Similarily, risk assessment using the Ramstadius tool may make little or no difference to pressure ulcer incidence, or to pressure ulcer severity, when compared to risk assessment using clinical judgement (pressure ulcers of all stages: RR 0.79, 95% CI 0.46 to 1.35; 820 participants; stage 1 pressure ulcers: RR 0.90, 95% CI 0.48 to 1.68; 820 participants; stage 2 pressure ulcers: RR 0.50, 95% CI 0.15 to 1.65; 820 participants). We assessed the certainty of the evidence as low (downgraded once for study limitations and once for imprecision).The studies did not report the secondary outcomes of time to ulcer development, or pressure ulcer prevalence. AUTHORS' CONCLUSIONS We identified two studies which evaluated the effect of risk assessment on pressure ulcer incidence. Based on evidence from one study, we are uncertain whether risk assessment using the Braden tool makes any difference to pressure ulcer incidence, compared with training and risk assessment using clinical judgement, or risk assessment using clinical judgement alone. Risk assessment using the Waterlow tool, or the Ramstadius tool may make little or no difference to pressure ulcer incidence, or severity, compared with clinical judgement. The low, or very low certainty of evidence available from the included studies is not reliable enough to suggest that the use of structured and systematic pressure ulcer risk assessment tools reduces the incidence, or severity of pressure ulcers.
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Affiliation(s)
- Zena EH Moore
- Royal College of Surgeons in IrelandSchool of Nursing & Midwifery123 St. Stephen's GreenDublinIrelandD2
| | - Declan Patton
- Royal College of Surgeons in IrelandSchool of Nursing & Midwifery123 St. Stephen's GreenDublinIrelandD2
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O'Brien G, Moore Z, Patton D, O'Connor T. The relationship between nurses assessment of early pressure ulcer damage and sub epidermal moisture measurement: A prospective explorative study. J Tissue Viability 2018; 27:232-237. [DOI: 10.1016/j.jtv.2018.06.004] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2017] [Revised: 06/20/2018] [Accepted: 06/24/2018] [Indexed: 10/28/2022]
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108
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Garry L, Rohan N, O'Connor T, Patton D, Moore Z. Do nurse-led critical care outreach services impact inpatient mortality rates? Nurs Crit Care 2018; 24:40-46. [PMID: 30324642 DOI: 10.1111/nicc.12391] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2018] [Revised: 07/31/2018] [Accepted: 09/07/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND Previous systematic reviews have assessed the effect of critical care outreach services, but none have focused solely on nurse-led services. AIM To perform a systematic review examining the impact of nurse-led critical care outreach services on inpatient mortality rates as the primary outcome. Secondary outcomes include arrest call rates and patient length of stay. METHODS A comprehensive search of several electronic databases was carried out, including the Cumulative Index to Nursing and Allied Health Literature and Medline. Non-catalogued literature was searched, and contact was made by e-mail with expert authors. All studies were in the English language, and although heterogeneous in design, only quantitative data were extracted for analysis. All included studies were assessed for quality using recognized quality appraisal tools. Meta-analysis was not possible because of heterogeneity. RESULTS Ten studies involving almost 72 000 participants were identified. The reduction in mortality rates with nurse-led critical care outreach services was reported to be 80%, but the statistical significance was low - four studies showed reductions ranging from 0·1% to 0·22%. Greater statistical significance was reported in arrest call rates, with two studies claiming decreased rates of 58·7% and 29·6%. Two studies reported a decrease in patient length of stay - the findings of a third study were equivocal. Half of the included studies scored poorly in terms of quality and validity, and all were single-centre studies, thereby limiting generalisability. CONCLUSION Nurse-led critical care outreach services demonstrate benefits in terms of patient care and reduction in adverse events. Higher-quality research, including multicentre randomized controlled trials, with meta-analysis is recommended. RELEVANCE TO CLINICAL PRACTICE Nurse-led critical care outreach services have the potential to improve patient outcomes. Uniformity of team composition and nomenclature would benefit data collection and reporting.
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Affiliation(s)
- Louise Garry
- St. James's Hospital, James's Street, Dublin 8, Ireland
| | - Niamh Rohan
- Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin 2, Ireland
| | - Tom O'Connor
- Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin 2, Ireland
| | - Declan Patton
- Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin 2, Ireland
| | - Zena Moore
- Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin 2, Ireland
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Janku F, Jegede O, Puhalla S, Konstantinopoulos P, Meric-Bernstam F, Mitchell E, Zwiebel J, McShane L, Li S, Rubinstein L, Doyle L, Patton D, Conley B, O’Dwyer P, Harris L, Arteaga C, Williams P, Hamilton S, Chen A, Flaherty K. NCI-MATCH Arms N & P: Phase II study of PI3K beta inhibitor GSK2636771 in patients (pts) with cancers (ca) with PTEN mutation/deletion (mut/del) or PTEN protein loss. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy279.406] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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McCrory G, Patton D, Moore Z, O'Connor T, Nugent L. The impact of advanced nurse practitioners on patient outcomes in chronic kidney disease: A systematic review. J Ren Care 2018; 44:197-209. [PMID: 29888444 DOI: 10.1111/jorc.12245] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Management of individuals with chronic kidney disease (CKD) requires a collaborative approach. Nurses have diversified their skills to take on roles which have been traditionally physician-led. The impact of such roles, mainly that of the advanced nurse practitioner (ANP), has not been previously assessed using a systematic approach. OBJECTIVES The aim of this systematic review (SR) was to determine the impact of the addition of an ANP on patient outcomes in adults with CKD. DESIGN A SR, following the guidance of PRISMA was undertaken. METHODS Population: adults with CKD. INTERVENTION ANP. Databases searched included The Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, Embase and Medline. MEASUREMENTS Outcome measures were blood pressure (BP), lipids, haemoglobin A1c (HbA1c), phosphate and parathormone (PTH) measures and recommended medication use. RESULTS Four studies met the inclusion criteria. All possessed external validity and demonstrated low risk for random sequence generation and allocation concealment but were at high risk of performance bias and detection bias. The addition of an ANP resulted in the superior management of BP in all studies. Three studies reported improved control of low-density lipoprotein (LDL) and PTH. One study reported greater achievement of phosphate control. Glycaemic control was equal in both groups. All studies reported higher rates of recommended medication use. CONCLUSION The addition of an ANP is superior or equal to the usual care models for the management of BP, LDL, PTH and glycaemic control in adults with CKD.
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Affiliation(s)
- Geraldine McCrory
- Regional Kidney Centre, Letterkenny University Hospital, Letterkenny, County Donegal, Ireland.,King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
| | - Declan Patton
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Zena Moore
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Tom O'Connor
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Linda Nugent
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
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Saleh U, O'Connor T, Al-Subhi H, Alkattan R, Al-Harbi S, Patton D. The impact of nurse managers' leadership styles on ward staff. ACTA ACUST UNITED AC 2018; 27:197-203. [DOI: 10.12968/bjon.2018.27.4.197] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Usama Saleh
- Nursing Education Consultant, King Abdullah Medical City, Makkah, Saudi Arabia, and Nursing Faculty, Walden University, Minneapolis, Minnesota, USA
| | - Tom O'Connor
- Deputy Head of Department, School and Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | | | | | - Saad Al-Harbi
- Senior Specialist Nurse, Ministry of Health, Saudi Arabia
| | - Declan Patton
- Director and Senior Lecturer of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin
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Malik M, Moore Z, Patton D, O'Connor T, Nugent LE. The impact of geriatric focused nurse assessment and intervention in the emergency department: A systematic review. Int Emerg Nurs 2018; 37:52-60. [PMID: 29429847 DOI: 10.1016/j.ienj.2018.01.008] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2017] [Revised: 12/04/2017] [Accepted: 01/31/2018] [Indexed: 01/24/2023]
Abstract
BACKGROUND Nursing assessment of elderly patients is imperative in Emergency Departments (ED) while providing interventions that increase independence facilitating discharge to primary healthcare. AIMS To systematically review the impact of geriatric focused nurse assessment and intervention in the ED on hospital utilisation in terms of admission rate, ED revisits and length of hospital stay (LOHS). METHODS Search strategy used following databases; Cochrane, Medline, CINAHL, Embase, Scopus and Web of Knowledge; And terms; geriatric nurse assessment, nurse discharge planning, geriatric nurse specialist, nurse intervention, emergency department, accident and emergency, patient outcomes, discharge, admissions, readmissions, hospital utilization, hospitalization, length of stay/hospital stay. RESULTS Nine studies were included: seven RCTs and two prospective pre/post-intervention designed studies. Geriatric focused nursing assessment and interventions did not have a statistical impact on hospitalization, readmissions, LOHS and ED revisits. Risk screening and comprehensive geriatric assessment extending into primary care may reduce readmission rates but not affect hospitalization. An increase in ED visits in the intervention group at 30 days post-intervention was noted. CONCLUSION Inconsistencies in assessment and interventions for the older person in ED are apparent. Further research evaluating a standardised risk assessment tool and innovative interventions extending into primary healthcare is required.
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Affiliation(s)
- M Malik
- Emergency Department, St. James's Hospital, James's Street, Dublin 8, Ireland.
| | - Z Moore
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephens Green, Dublin 2, Ireland; University of Ghent, Belgium.
| | - D Patton
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephens Green, Dublin 2, Ireland.
| | - T O'Connor
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephens Green, Dublin 2, Ireland.
| | - L E Nugent
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephens Green, Dublin 2, Ireland.
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Clarke M, Moore Z, Patton D, O'Connor T, Nugent L. The impact of an educational intervention on home support workers' ability to detect early pressure ulcer damage. Br J Community Nurs 2017; 22:S6-S19. [PMID: 29189069 DOI: 10.12968/bjcn.2017.22.sup12.s6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE To investigate the impact of an educational intervention on home support workers' ability to detect early pressure ulcer damage. METHOD A repeated measure design was employed to quantify the effectiveness of an educational intervention, consisting of one pre-test and two post-tests. RESULTS Education was provided to home support workers and this was followed by an assessment of their ability to correctly classify 20 photographs detailing varying stages of skin damage severity. At the baseline (pre-education), 58% of the photographs were classified correctly. At post-test 1, 55% of the photographs were classified correctly. In post-test 2 this increased to 58%, achieving the original baseline scores. There was a moderate negative relationship between pre-training and post-test 2 scores (r=-0.44; n=27; p=0.02). CONCLUSIONS The educational intervention has been shown not to have a statistically significantly positive effect on home support workers' ability to detect early pressure ulcer damage. The moderate negative relationship between pre-training and post-test 2 scores concur with the aforementioned qualitative findings, and similarly indicate behaviour associated with individuals experiencing difficulty comprehending new health terms.
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Affiliation(s)
- Mairead Clarke
- Community Registered Nurse, Community Health Organisation, 08, Ireland
| | - Zena Moore
- Professor of Nursing & Head of School of Nursing and Midwifery, Royal College of Surgeons, Ireland
| | - Declan Patton
- Senior Lecturer and Director of Nursing & Midwifery Research, Royal College of Surgeons, Ireland
| | - Tom O'Connor
- Senior Lecturer and Director of Academic Affairs, School of Nursing & Midwifery, Royal College of Surgeons, Ireland
| | - Linda Nugent
- Lecturer, School of Nursing & Midwifery, Royal College of Surgeons, Ireland
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114
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O'Connor T, Moore Z, Patton D, Wilson P, Gillen C, Hughes M, Reilly A. Combined use of modulated ultrasound and electric current stimulation for diabetic foot ulcers: a case series. J Wound Care 2017; 26:632-640. [PMID: 29131756 DOI: 10.12968/jowc.2017.26.11.632] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
OBJECTIVE Diabetic foot ulcers (DFUs) are a significant challenge in wound care practice. Our aim was to evaluate the combined use of of two therapies, ultrasound and electrostimulation, in the treatment of DFUs. METHOD This study employed a prospective, non-comparative, case series design, undertaken in a podiatry-led diabetic foot clinic, in an acute hospital setting, in an urban location in Ireland. We recruited patinets with hard-to-heal DFUs who were treated twice a week with combined modulated ultrasound and electric current stimulation. RESULTS We recruited seven patients with eight chronic DFUs. A mean wound size reduction of 71% was achieved and there were no adverse reactions to the therapy. CONCLUSION The results of this small case series indicate that combined modulated ultrasound and electric current stimulation offers promise as an adjunct therapy for DFUs. Further large scale trials are now warranted.
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Affiliation(s)
- T O'Connor
- Senior Lecturer, School of Nursing & Midwifery, Royal College of Surgeons in Ireland
| | - Z Moore
- Professor & Head of the School of Nursing & Midwifery, School of Nursing & Midwifery, Royal College of Surgeons in Ireland
| | - D Patton
- Senior Lecturer, School of Nursing & Midwifery, Royal College of Surgeons in Ireland
| | - P Wilson
- Podiatrist, St James's Hospital, Dublin
| | - C Gillen
- Podiatrist, St James's Hospital, Dublin
| | - M Hughes
- Podiatrist, St James's Hospital, Dublin
| | - A Reilly
- Research Assistant, School of Nursing & Midwifery, Royal College of Surgeons in Ireland
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Beckett P, Holmes D, Phipps M, Patton D, Molloy L. Trauma-Informed Care and Practice: Practice Improvement Strategies in an Inpatient Mental Health Ward. J Psychosoc Nurs Ment Health Serv 2017; 55:34-38. [DOI: 10.3928/02793695-20170818-03] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2017] [Accepted: 06/27/2017] [Indexed: 11/20/2022]
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Saleh U, O'Connor T, Afaneh T, Moore Z, Patton D, Derwin R. The use of a Competence Fair to validate nursing competence. Nurse Educ Today 2017; 57:1-7. [PMID: 28675822 DOI: 10.1016/j.nedt.2017.06.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/07/2016] [Revised: 05/15/2017] [Accepted: 06/19/2017] [Indexed: 06/07/2023]
Abstract
Strategies to ensure that nursing competence is maintained and validated are of increasing importance and are much discussed in the nursing literature. Professional bodies, employers, nurses themselves and most importantly patients need to have reassurance that competence across the profession is uniform and is maintained. This is of particular concern in the increasingly globalised and multinational workforces which exist in many health care institutions. This paper describes an educational initiative, and the evaluation thereof, which aimed to validate and enhance nurse competency in a multinational workforce in a medical city in the Kingdom of Saudi Arabia. Results indicate that there was variability in competencies across the organisation which allowed for targeted educational interventions. The initiative was well received by the nurses in the organisation and the evaluation points to the need for ongoing strategies to ensure that competence in maintained.
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Affiliation(s)
| | | | | | - Zena Moore
- King Abdullah Medical City, Saudi Arabia
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Oliveira AL, Moore Z, O Connor T, Patton D. Accuracy of ultrasound, thermography and subepidermal moisture in predicting pressure ulcers: a systematic review. J Wound Care 2017; 26:199-215. [PMID: 28475447 DOI: 10.12968/jowc.2017.26.5.199] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
OBJECTIVE Our aims were to: establish the clinical significance of ultrasound, thermography, photography and subepidermal moisture (SEM) measurement; determine the accuracy of ultrasound, thermography, photography and SEM measurement in detecting skin/tissue damage; determine the relative accuracy of one of these assessment methods over another; make recommendations for practice pertaining to assessment of early skin/tissue damage. METHOD The following databases, Cochrane Wounds Group Specialised Register, The Cochrane Central Register of Controlled Trials, Ovid MEDLINE, Ovid EMBASE, Elsevier version, EBSCO CINAHL, ClinicalTrials.gov , WHO International Clinical Trials Registry (ICTR) and The EU Clinical Trials Register were searched for terms including; thermography, ultrasound, subepidermal moisture, photograph and pressure ulcer. RESULTS We identified four SEM, one thermography and five ultrasound studies for inclusion in this review. Data analysis indicated that photography was not a method which allowed for the early prediction of PU presence. SEM values increased with increasing tissue damage, with the sacrum and the heels being the most common anatomical locations for the development of erythema and stage I PUs. Thermography identified temperature changes in tissues and skin that may give an indication of early PU development; however the data were not sufficiently robust. Ultrasound detected pockets of fluid/oedema at different levels of the skin that were comparable with tissue damage. Thus, SEM and ultrasound were the best methods for allowing a more accurate assessment of early skin/tissue damage. Using the EBL Critical Appraisal Tool the overall validities of the studies varied between 33.3-55.6%, meaning that there is potential for bias within all the included studies. All of the studies were situated at level IV, V and VII of the evidence pyramid. Although the methodological quality of the studies warrants consideration, these studies showed the potential that SEM and ultrasound have in early PU detection. CONCLUSION SEM and ultrasound are promising in the detection and prediction of early tissue damage and PU presence. However, these methods should be further studied to clarify their potential for use more widely in PU prevention strategies.
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Affiliation(s)
- A L Oliveira
- Royal College of Surgeons in Ireland Dublin, Dublin Ireland
| | - Z Moore
- Royal College of Surgeons in Ireland Dublin, Dublin Ireland
| | - T O Connor
- Royal College of Surgeons in Ireland Dublin, Dublin Ireland
| | - D Patton
- Royal College of Surgeons in Ireland Dublin, Dublin Ireland
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Lewis C, Moore Z, Doyle F, Martin A, Patton D, Nugent LE. A community virtual ward model to support older persons with complex health care and social care needs. Clin Interv Aging 2017; 12:985-993. [PMID: 28721026 PMCID: PMC5498784 DOI: 10.2147/cia.s130876] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Background Globally the older population is increasing rapidly. As a result there is an increase in frail older persons living within the community, with increased risks of a hospital admission and higher mortality and morbidity rates. Due to complexity of care, health care professionals face challenges in providing effective case management and avoiding unplanned admissions to hospital. A community virtual ward (CVW) model was developed to assist health care professionals to support older persons at home during periods of illness and/or functional decline. Methods A quantitative observational study was conducted to examine if a CVW model of care reduced unplanned hospital admissions and emergency department (ED) presentations in 54 patients over a 12-month period. The sign-rank test examined matched data on bed days, ED presentations, and unplanned hospital admissions pre- and post-CVW implementation. Other risk factors for admission to hospital were examined using the Mann–Whitney test pre-and post-CVW admission, including falls, living alone, and cognition. Correlations between hospital admission avoidances and unplanned hospital admissions and ED presentations were tested using Spearman’s ρ test. Results There was a reduction in ED presentations post-CVW admission (P<0.001), and median unscheduled admissions were reduced (P=0.001). Those living alone had a lower number of ED presentations (median 0.5, interquartile range 0–1) prior to admission in comparison to those living with a caregiver, with no differences observed during admission to CVW. For those who experienced a fall during CVW admission, the odds ratio (OR) of requiring long-term care doubled for each extra fall (OR =2.24, 95% CI 1.11 to 4.52, P=0.025). Reduced cognition was associated with an increased risk of ED presentations (ρ=0.292, P<0.05) but not associated with increased risks of unplanned hospital admissions (ρ=0.09, P=0.546). There were no significant correlations seen between admission avoidance and the number of unplanned hospital admissions or ED presentations. Conclusion Through an integrated approach to care, a CVW model in the care of older persons can reduce ED presentations and unplanned hospital admissions.
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Affiliation(s)
- C Lewis
- School of Nursing and Midwifery, Royal College of Surgeons Ireland
| | - Z Moore
- School of Nursing and Midwifery, Royal College of Surgeons Ireland
| | - F Doyle
- Department of Psychology, Royal College of Surgeons in Ireland
| | - A Martin
- Beaumont Hospital, Dublin, Ireland
| | - D Patton
- School of Nursing and Midwifery, Royal College of Surgeons Ireland
| | - L E Nugent
- School of Nursing and Midwifery, Royal College of Surgeons Ireland
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McIntosh A, Willmott C, Mitra B, Brennan J, Dimech-Betancourt B, Howard T, Rosenfeld J, Patton D. METHODS TO ASSESS WEARABLE HEAD IMPACT RESPONSE DEVICES. Br J Sports Med 2017. [DOI: 10.1136/bjsports-2016-097372.196] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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120
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McIntosh A, Fortington L, Patton D, Finch C. USING NATIONAL CORONIAL DATA TO IDENTIFY PRIORITIES FOR PREVENTING DEATH IN SPORT/RECREATION. Br J Sports Med 2017. [DOI: 10.1136/bjsports-2016-097372.192] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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121
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Patton D, Maciek K, Carolyn E. HEAD IMPACT CHARACTERISTICS IN YOUTH ICE HOCKEY. Br J Sports Med 2017. [DOI: 10.1136/bjsports-2016-097372.223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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122
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McIntosh A, Fortington L, Patton D, Finch C. EXTREME SPORTS, EXTREME RISKS. FATALITIES IN EXTREME SPORTS IN AUSTRALIA. Br J Sports Med 2017. [DOI: 10.1136/bjsports-2016-097372.193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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124
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McIntosh A, Fortington L, Patton D, Finch C. DEATHS IN ORGANISED SPORTS IN AUSTRALIA: A CASE SERIES REVIEW OF THE NATIONAL CORONIAL INFORMATION SYSTEM. Br J Sports Med 2017. [DOI: 10.1136/bjsports-2016-097372.194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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125
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McIntosh A, Patton D. PADDED HEADGEAR IN CONTACT FOOTBALL – INERTIA OR MOMENTUM? Br J Sports Med 2017. [DOI: 10.1136/bjsports-2016-097372.195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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126
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Toomey C, Patton D, Whittaker J, Richmond S, Emery C. A SYSTEMATIC REVIEW OF THE ASSOCIATION BETWEEN ADIPOSITY AND SPORT INJURY RISK IN YOUTH. Br J Sports Med 2017. [DOI: 10.1136/bjsports-2016-097372.286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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127
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Chen A, Conley B, Hamilton S, Williams M, O'Dwyer P, Arteaga C, Gray R, McShane L, Li S, Rubinstein L, Patton D, Sazali K, Zwiebel J, Mitchell E, Smith M, Dragaud D, Little R, Comis R, Abrams J, Flaherty K. NCI-Molecular Analysis for Therapy Choice (NCI-MATCH) trial: A novel public-private partnership. Eur J Cancer 2016. [DOI: 10.1016/s0959-8049(16)33006-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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128
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O'Reilly S, Patton D, Kennelly S, Moore Z. 267EXPERIENCES OF STAFF AND FAMILIES OF INPATIENTS WITH DEMENTIA USING PERSONAL PASSPORTS TO SUPPORT CARE IN AN ACUTE SETTING. Age Ageing 2016. [DOI: 10.1093/ageing/afw159.47] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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129
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Patton D, Pierce K, Horan B. Effect of stocking rate on milk and pasture productivity and supplementary feed use for spring calving pasture fed dairy systems. J Dairy Sci 2016; 99:5904-5915. [DOI: 10.3168/jds.2015-10305] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2015] [Accepted: 03/05/2016] [Indexed: 11/19/2022]
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130
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MacNabb C, Patton D, Hayes JS. Sclerostin Antibody Therapy for the Treatment of Osteoporosis: Clinical Prospects and Challenges. J Osteoporos 2016; 2016:6217286. [PMID: 27313945 PMCID: PMC4899597 DOI: 10.1155/2016/6217286] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/23/2016] [Accepted: 04/21/2016] [Indexed: 01/22/2023] Open
Abstract
It is estimated that over 200 million adults worldwide have osteoporosis, a disease that has increasing socioeconomic impact reflected by unsustainable costs associated with disability, fracture management, hospital stays, and treatment. Existing therapeutic treatments for osteoporosis are associated with a variety of issues relating to use, clinical predictability, and health risks. Consequently, additional novel therapeutic targets are increasingly sought. A promising therapeutic candidate is sclerostin, a Wnt pathway antagonist and, as such, a negative regulator of bone formation. Sclerostin antibody treatment has demonstrated efficacy and superiority compared to other anabolic treatments for increasing bone formation in both preclinical and clinical settings. Accordingly, it has been suggested that sclerostin antibody treatment is set to achieve market approval by 2017 and aggressively compete as the gold standard for osteoporotic treatment by 2021. In anticipation of phase III trial results which may potentially signify a significant step in achieving market approval here, we review the preclinical and clinical emergence of sclerostin antibody therapies for both osteoporosis and alternative applications. Potential clinical challenges are also explored as well as ongoing developments that may impact on the eventual clinical application of sclerostin antibodies as an effective treatment of osteoporosis.
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Affiliation(s)
- Claire MacNabb
- Regenerative Medicine Institute, NUI Galway, Biosciences Research Building, Corrib Village, Dangan, Galway, Ireland
| | - D. Patton
- Regenerative Medicine Institute, NUI Galway, Biosciences Research Building, Corrib Village, Dangan, Galway, Ireland
| | - J. S. Hayes
- Regenerative Medicine Institute, NUI Galway, Biosciences Research Building, Corrib Village, Dangan, Galway, Ireland
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131
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Moore Z, Patton D, Rhodes SL, O'Connor T. Subepidermal moisture (SEM) and bioimpedance: a literature review of a novel method for early detection of pressure-induced tissue damage (pressure ulcers). Int Wound J 2016; 14:331-337. [PMID: 27126794 PMCID: PMC7949650 DOI: 10.1111/iwj.12604] [Citation(s) in RCA: 62] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2016] [Revised: 03/21/2016] [Accepted: 03/29/2016] [Indexed: 02/03/2023] Open
Abstract
Current detection of pressure ulcers relies on visual and tactile changes at the skin surface, but physiological changes below the skin precede surface changes and have a significant impact on tissue health. Inflammatory and apoptotic/necrotic changes in the epidermal and dermal layers of the skin, such as changes in interstitial fluid (also known as subepidermal moisture (SEM)), may precede surface changes by 3–10 days. Those same epidermal and subepidermal changes result in changes in the electrical properties (bioimpedance) of the tissue, thereby presenting an objective, non‐invasive method for assessing tissue damage. Clinical studies of bioimpedance for the detection of pressure ulcers have demonstrated that changes in bioimpedance correlate with increasing severity of pressure ulcer stages. Studies have also demonstrated that at anatomical locations with pressure ulcers, bioimpedance varies with distance from the centre of the pressure ulcers. The SEM Scanner, a handheld medical device, offers an objective and reliable method for the assessment of local bioimpedance, and therefore, assessment of tissue damage before signs become visible to the unaided eye. This literature review summarises pressure ulcer pathophysiology, principles of bioimpedance and clinical research using bioimpedance technology to assess pressure ulcers.
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Affiliation(s)
- Zena Moore
- Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Declan Patton
- Royal College of Surgeons in Ireland, Dublin, Ireland
| | | | - Tom O'Connor
- Royal College of Surgeons in Ireland, Dublin, Ireland
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O'Connor T, Moore ZEH, Dumville JC, Patton D. Patient and lay carer education for preventing pressure ulceration in at-risk populations. Cochrane Database of Systematic Reviews 2015. [DOI: 10.1002/14651858.cd012006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Affiliation(s)
- Tom O'Connor
- Royal College of Surgeons in Ireland; School of Nursing & Midwifery; 123 St Stephen’s Green Dublin Ireland
| | - Zena EH Moore
- Royal College of Surgeons in Ireland; School of Nursing & Midwifery; 123 St Stephen’s Green Dublin Ireland
| | - Jo C Dumville
- University of Manchester; School of Nursing, Midwifery and Social Work; Manchester UK M13 9PL
| | - Declan Patton
- Royal College of Surgeons in Ireland; School of Nursing & Midwifery; 123 St Stephen’s Green Dublin Ireland
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133
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Stierwalt S, Besla G, Patton D, Johnson K, Kallivayalil N, Putman M, Privon G, Ross G. TiNy TITANS: THE ROLE OF DWARF–DWARF INTERACTIONS IN LOW-MASS GALAXY EVOLUTION. ACTA ACUST UNITED AC 2015. [DOI: 10.1088/0004-637x/805/1/2] [Citation(s) in RCA: 71] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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134
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Patton D, Fealy G, Mcnamara M, Casey M, Connor T, Doyle L, Quinlan C. Individual-level outcomes from a national clinical leadership development programme. Contemp Nurse 2014; 45:56-63. [DOI: 10.5172/conu.2013.45.1.56] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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135
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Lucas J, Patton D, Maravilla K. Retention of a Vaginal Film. Fertil Steril 2014. [DOI: 10.1016/j.fertnstert.2013.11.090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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136
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McNamara MS, Fealy GM, Casey M, O'Connor T, Patton D, Doyle L, Quinlan C. Mentoring, coaching and action learning: interventions in a national clinical leadership development programme. J Clin Nurs 2014; 23:2533-41. [DOI: 10.1111/jocn.12461] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/16/2013] [Indexed: 11/30/2022]
Affiliation(s)
- Martin S McNamara
- UCD School of Nursing, Midwifery & Health Systems; University College Dublin; Dublin Ireland
| | - Gerard M Fealy
- UCD School of Nursing, Midwifery & Health Systems; University College Dublin; Dublin Ireland
| | - Mary Casey
- UCD School of Nursing, Midwifery & Health Systems; University College Dublin; Dublin Ireland
| | - Tom O'Connor
- UCD School of Nursing, Midwifery & Health Systems; University College Dublin; Dublin Ireland
| | - Declan Patton
- UCD School of Nursing, Midwifery & Health Systems; University College Dublin; Dublin Ireland
| | - Louise Doyle
- St. Vincent's University Hospital Dublin; Dublin Ireland
| | - Christina Quinlan
- UCD School of Nursing, Midwifery & Health Systems; University College Dublin; Belfield Dublin Ireland
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137
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Enzevaei A, Patton D, Hung J, Day A, Londry C, Sanfilippo A, D'Arsigny C, Johri A. A Guideline-Based Teaching Intervention Can Reduce the Inter-Observer Variability of Right Ventricular Systolic Pressure Measurements by Echocardiography. Can J Cardiol 2013. [DOI: 10.1016/j.cjca.2013.07.631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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138
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Fealy GM, McNamara MS, Casey M, O'Connor T, Patton D, Doyle L, Quinlan C. Service impact of a national clinical leadership development programme: findings from a qualitative study. J Nurs Manag 2013; 23:324-32. [DOI: 10.1111/jonm.12133] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/26/2013] [Indexed: 11/30/2022]
Affiliation(s)
- Gerard M. Fealy
- UCD School of Nursing, Midwifery and Health Systems; University College Dublin; Dublin 4 Ireland
| | - Martin S. McNamara
- UCD School of Nursing, Midwifery and Health Systems; University College Dublin; Dublin 4 Ireland
| | - Mary Casey
- UCD School of Nursing, Midwifery and Health Systems; University College Dublin; Dublin 4 Ireland
| | - Tom O'Connor
- UCD School of Nursing, Midwifery and Health Systems; University College Dublin; Dublin 4 Ireland
| | - Declan Patton
- UCD School of Nursing, Midwifery and Health Systems; University College Dublin; Dublin 4 Ireland
| | - Louise Doyle
- St Vincent's University Hospital; Dublin 4 Ireland
| | - Christina Quinlan
- UCD School of Nursing, Midwifery and Health Systems; University College Dublin; Dublin 4 Ireland
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139
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Patton D, Fealy G, McNamara M, Casey M, Connor TO, Doyle L, Quinlan C. Individual-level outcomes from a national clinical leadership development programme. Contemp Nurse 2013. [DOI: 10.5172/conu.2013.3460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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140
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Abstract
Mental health care in Ireland has been in the midst of a modernization of services since the mid 1980s. Embellished in this change agenda has been the need for better care and services with a particular emphasis on greater levels of user involvement. Acute admission units provide a setting for mental health care to be delivered to people who are unable to be cared for in a community setting. Through discussion of findings from semi-structured telephone interviews with 18 acute admission unit staff nurses, the aim of this paper is to explore the level of involvement service users have in acute unit care in Ireland. Reporting on one qualitative component of a larger mixed method study, findings will show that acute admission unit staff nurses generally involve service users in their care by facilitating their involvement in the nursing process, interacting with them regularly and using different communication approaches. However, participants identified barriers to service user involvement, such as growing administrative duties. It can tentatively be claimed that, within an Irish context, acute admission unit service users are involved in their care and are communicated with in an open and transparent way.
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Affiliation(s)
- D Patton
- School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, Ireland.
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141
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Patton D, Shalloo L, Pierce KM, Horan B. A biological and economic comparison of 2 pasture-based production systems on a wetland drumlin soil in the northern region of Ireland. J Dairy Sci 2012; 95:484-95. [PMID: 22192229 DOI: 10.3168/jds.2011-4558] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2011] [Accepted: 08/19/2011] [Indexed: 11/19/2022]
Abstract
The objective of this study was to compare the biological and economic efficiencies of 2 likely future pasture-based systems of milk production differing in overall stocking rate and concentrate supplementation level on a wetland drumlin soil in the Border Midlands Western region of Ireland. Physical performance data were obtained from a 3-yr systems comparison at Ballyhaise College, Co. Cavan, comparing 2 production systems: a high grass (HG) system (578 kg of concentrate/cow at 2.45 livestock units per hectare) and a high intensity (HI) system (1,365 kg of concentrate/cow at 2.92 livestock units/ha). Animal production data were analyzed using a mixed model, with feed system, year, and parity included as fixed effects in the final model. Feed system had a significant effect on all yield variables with higher yields in the HI system. Production system had no significant influence on reproductive performance. The Moorepark Dairy Systems Model, a stochastic budgetary simulation model, was used to simulate a model farm integrating biological data from each feed system to identify the economic effect of each system at 3 future milk prices of 22, 27, and 33 euro cents per liter (€c/L). Two economic scenarios were investigated within the model: scenario 1 (S1) assumed fixed cow numbers (n=55 cows) and scenario 2 (S2) assumed fixed land area (n=40 ha). At a milk price of 27 or 33 €c/L, profit per cow, per kilogram of milk solids, and per hectare were similar for HG and HI in S1 and higher for HI in S2. At a milk price of 22 €c/L, all systems were unprofitable, with increased losses realized in the HI system (both S1 and S2) compared with the HG system. Pasture-based systems of milk production in the northern region of Ireland are capable of highly efficient and profitable milk production. Moreover, the efficacy of increased supplementation to remove the constraints of pasture seasonality will depend on the cost of supplementation and the price paid for additional milk produced.
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Affiliation(s)
- D Patton
- Animal and Grassland Research and Innovation Centre, Teagasc Moorepark, Fermoy, Co. Cork, Ireland.
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142
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Patton D, Sweeney YC, Moench T. O4-S2.04 Can a cervical barrier prevent chlamydia infection in the pigtailed macaque cervical challenge model? Br J Vener Dis 2011. [DOI: 10.1136/sextrans-2011-050109.148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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143
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Totten P, Wood G, Iverson-Cabral S, Cummings P, Sweeney YC, Patton D. O4-S2.06 A primate model of Mycoplasma genitalium cervical infection. Br J Vener Dis 2011. [DOI: 10.1136/sextrans-2011-050109.150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Campbell LA, Zidal SV, Patton D, Kuo CC. O4-S2.03 An anti-adhesive approach to prevention of C trachomatis infection. Br J Vener Dis 2011. [DOI: 10.1136/sextrans-2011-050109.147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Patton D, McIntosh A, Thai K. Development of a high performance jockey helmet. Br J Sports Med 2011. [DOI: 10.1136/bjsm.2011.084038.27] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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146
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147
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Mclntosh A, Thai K, Patton D. Jockey helmet performance. J Sci Med Sport 2010. [DOI: 10.1016/j.jsams.2009.10.381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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148
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Abstract
OBJECTIVE To investigate the risks of mild traumatic brain injury and neck injury associated with head banging, a popular dance form accompanying heavy metal music. DESIGN Observational studies, focus group, and biomechanical analysis. PARTICIPANTS Head bangers. MAIN OUTCOME MEASURES Head Injury Criterion and Neck Injury Criterion were derived for head banging styles and both popular heavy metal songs and easy listening music controls. RESULTS An average head banging song has a tempo of about 146 beats per minute, which is predicted to cause mild head injury when the range of motion is greater than 75 degrees . At higher tempos and greater ranges of motion there is a risk of neck injury. CONCLUSION To minimise the risk of head and neck injury, head bangers should decrease their range of head and neck motion, head bang to slower tempo songs by replacing heavy metal with adult oriented rock, only head bang to every second beat, or use personal protective equipment.
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Affiliation(s)
- Declan Patton
- School of Risk and Safety Sciences, University of New South Wales, Sydney, Australia 2052
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149
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Muhammad J, Robertson B, Major E, Patton D. P.147 Percutaneous tracheostomy with the Ciaglia Blue Rhino Dilator. J Craniomaxillofac Surg 2008. [DOI: 10.1016/s1010-5182(08)71935-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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150
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Dudek M, Gillispie M, Patton D, Wheeler T, Brosky JA, Pariser D, Gillette P. A COMPARISON OF SELF-PERCEIVED VS. ACTUAL FALLS RISK IN OLDER ADULT FEMALES RESIDING IN AN INDEPENDENT LIVING FACILITY. J Geriatr Phys Ther 2007. [DOI: 10.1519/00139143-200712000-00038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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