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Denny A, Curtin B, Taylor-Robinson S, Chirambo GB, Cilliers L, Wu TSJ, O'Meara C, Booth R, O'Donoghue J. Evaluating the Appropriateness of Podcasts to Improve the Knowledge and Awareness of Selected Health Topics Among Undergraduate General Nursing Students: Protocol for an International Feasibility Study. JMIR Res Protoc 2024; 13:e50735. [PMID: 38319702 PMCID: PMC10879975 DOI: 10.2196/50735] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Revised: 11/29/2023] [Accepted: 12/11/2023] [Indexed: 02/07/2024] Open
Abstract
BACKGROUND Podcasts have proven to be a successful alternative source of educational material for students. Given the ability to listen to podcasts 24/7 and while on the go, this technology has the potential to provide informative and educational material to a large number of people at any given time. Podcasts are usually freely available on commonly used mobile devices, such as smartphones, laptops, and tablets. OBJECTIVE This paper describes the impact of health-related podcasts as an intervention tool to support the knowledge and awareness of nursing students on a given topic. METHODS Pre- and postpodcast questionnaires will gather data regarding the participants' knowledge and awareness of two topics-gestational diabetes and mental health. This intervention will be tested on general nursing undergraduate students. The total number of students (N=2395) from the participating universities are broken down as follows: (1) University College Cork (n=850) and the University of Galway (n=450) in Ireland, (2) Mzuzu University in Malawi (n=719), and (3) University of Fort Hare in South Africa (n=376). RESULTS The study received ethical approval from the University College Cork Ethics Committee (2022-027A1). The approval obtained from University College Cork sufficed as ethics coverage for the University of Galway in Ireland. Ethics approval was also received from the Mzuzu University Research Ethics Committee (ID MZUNIREC/DOR/23/28) and the Inter-Faculty Research Ethics Committee of the University of Fort Hare (ID CIL002-21). Data collection is currently underway and will continue until the end of February 2024. The quantitative and qualitative data are expected to be analyzed in March 2024. CONCLUSIONS Results from this study will allow for an investigation into the impact of podcasts in different settings: a high-income country (Ireland), an upper-middle-income country (South Africa), and a low-to-middle-income country (Malawi). The data gathered from this feasibility study will provide more clarity on the potential utility of podcasts as an intervention tool. We will gather data regarding listener demographics (eg, country of residence, age, gender, and year of study). INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/50735.
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Affiliation(s)
| | | | | | | | | | - Tsung-Shu Joseph Wu
- Research Department, Luke International, Mzuzu City, Malawi
- Overseas Services Department, Pingtung Christian Hospital, Pingtung County, Taiwan
| | - Ciara O'Meara
- School of Nursing & Midwifery, University of Galway, Galway, Ireland
| | | | - John O'Donoghue
- ASSERT Research Centre, University College Cork, Cork, Ireland
- Business Information Systems, University College Cork, Cork, Ireland
- Malawi eHealth Research Centre, Mzuzu University, Mzuzu City, Malawi
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Morse C, Smith J, Denny A, Tweedale J, Searle N, Winwood K, Onambele-Pearson G. Bone health measured using quantitative ultrasonography in adult males with muscular dystrophy. J Musculoskelet Neuronal Interact 2016; 16:339-347. [PMID: 27973386 PMCID: PMC5259575] [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] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 08/26/2016] [Indexed: 12/04/2022]
Abstract
OBJECTIVES To compare muscle and bone health markers in adult males (aged 20-59 yrs) with and without muscular dystrophy (MD). METHODS Participants included 11 Fascioscapulohumeral (FSH), 11 Becker's (Be), 9 limb girdle (LG), 11 Duchenne (DMD), and 14 non-dystrophic controls (CTRL). Physical activity was assessed using Bone (BPAQ) and disability specific (PASIPD) questionnaires. Bone QUS provided T- and Z scores from the Distal Radius (DR) and Mid-shaft tibia (MST). Tibialis anterior cross sectional area (TAACSA) was measured using B-mode ultrasound. Grip strength was measured in all but DMD. RESULTS Physical activity was lower in DMD, FSH and BeMD than CTRL (P<0.05), and lower in DMD than other MDs (P<0.01). T and Z scores were lower in DMD and Be than CTRL (DR, P<0.05); and lower in DMD than CTRL, LG, and FSH (MST, P<0.01). TAACSA and grip strength was 35-59% and 50-58% smaller in MD than CTRL, respectively (P<0.01). Within MD, BPAQ correlated with bone QUS measures (r=0.42-0.38, P<0.01). PASIPD correlated with grip strength (r=0.65, P<0.01) and TAACSA (r=0.46, P<0.01). CONCLUSION Muscle size, strength, and bone health was lower in adult males with MD compared to adult males without MD, the extent of this is partially determined by physical activity.
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Affiliation(s)
- C.I. Morse
- Health, Exercise and Active Living (HEAL) Research Centre, Department of Exercise and Sport Science, Manchester Metropolitan University Cheshire, Crewe, CW1 5DU, United Kingdom
| | - J. Smith
- Health, Exercise and Active Living (HEAL) Research Centre, Department of Exercise and Sport Science, Manchester Metropolitan University Cheshire, Crewe, CW1 5DU, United Kingdom
- The Neuromuscular Centre, Winsford, Cheshire, CW7 4EH, United Kingdom
| | - A. Denny
- Health, Exercise and Active Living (HEAL) Research Centre, Department of Exercise and Sport Science, Manchester Metropolitan University Cheshire, Crewe, CW1 5DU, United Kingdom
| | - J. Tweedale
- Health, Exercise and Active Living (HEAL) Research Centre, Department of Exercise and Sport Science, Manchester Metropolitan University Cheshire, Crewe, CW1 5DU, United Kingdom
| | - N.D. Searle
- Health, Exercise and Active Living (HEAL) Research Centre, Department of Exercise and Sport Science, Manchester Metropolitan University Cheshire, Crewe, CW1 5DU, United Kingdom
| | - K. Winwood
- Health, Exercise and Active Living (HEAL) Research Centre, Department of Exercise and Sport Science, Manchester Metropolitan University Cheshire, Crewe, CW1 5DU, United Kingdom
| | - G.L. Onambele-Pearson
- Health, Exercise and Active Living (HEAL) Research Centre, Department of Exercise and Sport Science, Manchester Metropolitan University Cheshire, Crewe, CW1 5DU, United Kingdom
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Blackwell K, Malone PSJ, Denny A, Connett G, Maddison J. The prevalence of stress urinary incontinence in patients with cystic fibrosis: an under-recognized problem. J Pediatr Urol 2005; 1:5-9. [PMID: 18947528 DOI: 10.1016/j.jpurol.2004.07.001] [Citation(s) in RCA: 12] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2004] [Revised: 07/14/2004] [Accepted: 07/14/2004] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To identify the prevalence of stress urinary and fecal incontinence in patients with cystic fibrosis (CF) and investigate any correlation between CF severity and the incidence and degree of incontinence. PATIENTS AND METHODS An initial postal questionnaire was used to identify patients with an incontinence problem, followed by a detailed interview-administered questionnaire assessing the type of incontinence and the impact of the incontinence on patients and the management of their CF. The correlation between CF severity and the incidence and severity of incontinence was also analysed. All patients aged 5-18 years attending the CF service at The Respiratory and Urology departments of a University Teaching Hospital were invited to participate. There was no therapeutic intervention. RESULTS Stress urinary incontinence was present in 31% of girls and 2.2% of boys, with fecal incontinence in four girls. The youngest patient with incontinence was 9 years old. Of the patients, 78% found their incontinence a problem and 44% had hidden the problem from parents and carers. There was no correlation between incontinence and the severity of CF as measured by the forced expiratory volume in 1s. CONCLUSIONS Urinary incontinence is common in girls with CF and in many cases it is a hidden problem. These patients need to be identified so they can receive appropriate management, instead of suffering in silence.
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Affiliation(s)
- K Blackwell
- Southampton University Hospitals NHS Trust, Tremona Road, Southampton SO16 6YD, UK
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Abstract
PURPOSE We assess the long-term outcome of synchronous bladder reconstruction and antegrade continence enema in a large series of patients. MATERIALS AND METHODS We retrospectively reviewed records of the last 50 consecutive patients treated at 1 unit in Southampton and 1 in Denver. RESULTS A total of 46 patients were available for analysis, including 24 from Southampton and 22 from Denver. Median patient age at operation was 12 years (range 4 to 30), median followup was 44 months (range 7 to 100), and 80% of patients had neuropathy and anorectal malformation. A variety of bladder reconstructive procedures were performed and 58% of patients underwent a simultaneous Mitrofanoff procedure. Fecal and urinary continence was achieved in 76% of patients but the rate of revision surgery was high. The most common complication was stomal stenosis (17%). Secondary procedures consisted of refashioning urethral length, closure of the bladder neck, bladder augmentation and conduit revision. CONCLUSIONS It is now possible to produce double continence in some patients with synchronous combined surgery, a goal that was not achievable without colostomy before the development of the antegrade continence enema in 1990. However, the surgery is demanding with high revision rates and we emphasize that it should only be performed in patients who are highly motivated and have reasonable dexterity and intelligence. This careful patient selection is confirmed by the fact that surgery was performed on 2 to 3 patients a year at each unit. This surgery should only be performed at facilities which can provide long-term patient followup.
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Affiliation(s)
- A Wedderburn
- Department of Paediatric Urology, Southampton University Hospitals NHS Trust, Southampton, United Kingdom
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Remmler D, Denny A, Gosain A. Re: invited discussion. Role of three-dimensional computed tomography in the asessment of nasoorbitoethmoidal fractures. Ann Plast Surg 2001; 46:191. [PMID: 11216621 DOI: 10.1097/00000637-200102000-00022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Remmler D, Denny A, Gosain A, Subichin S. Role of three-dimensional computed tomography in the assessment of nasoorbitoethmoidal fractures. Ann Plast Surg 2000; 44:553-62; discussion 562-3. [PMID: 10805308 DOI: 10.1097/00000637-200044050-00015] [Citation(s) in RCA: 43] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Successful management of nasoorbitoethmoidal (NOE) fractures requires early diagnosis and accurate determination of the extent of injury. Although the anatomic complexity of the NOE region merits a clear interpretation of the spatial relationships associated with each injury, the role of three-dimensional (3D) computed tomography (CT) in the assessment of these fractures remains unclear. To clarify the diagnostic value of 3D CT, this retrospective analysis compares statistically the accuracy of two-dimensional (2D) CT against 3D CT in the detection of NOE fracture line tracts in 21 consecutive patients with surgically confirmed NOE fractures. Accuracy of radiographic findings of both modalities were compared with intraoperative findings serving as the "gold standard" for detecting fracture lines in NOE fractures. This statistical analysis indicates that combining 3D CT and 2D CT produces a higher diagnostic yield in the evaluation of NOE fractures than using either modality alone. Although 2D CT was significantly superior (p < 0.05) for inspection of the medial orbital wall, 3D CT offered significantly greater diagnostic accuracy (p < 0.05) along the medial maxillary buttress, particularly at the piriform aperture. 3D CT clarified spatially several unusual NOE injuries that were indiscernible with 2D CT alone. We recommend the combination of 3D CT with 2D CT for serious NOE injuries, particularly those involving displacement of the NOE complex or associated with other major midfacial fractures.
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Affiliation(s)
- D Remmler
- Department of Surgery, Medical College of Wisconsin, Milwaukee 53226, USA
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Abstract
INTRODUCTION Following renewed ethnic violence at the end of September 1996, conflict between Tutsi rebels and the Zairian army spread to North Kivu, Zaire where approximately 700,000 Rwandan Hutu refugees resided following the 1994 genocide. After a major rebel offensive against the camps' militia groups on 15 November, a massive movement of refugees towards Rwanda through Goma town, the capital of North Kivu, began. Massive population movements such as this are likely to be associated with substantial mortality and morbidity. OBJECTIVE To study patterns of mortality, morbidity, and health care associated with the Rwandan refugee population repatriation during November 1996. METHODS This study observed the functioning of the health-care facilities in the Gisenyi District in Rwanda and the Goma District in Zaire, and surveyed mortality and morbidity among Rwandan refugees returning from Zaire to Rwanda. Patterns of mortality, morbidity, and health care were measured mainly by mortality and health centre consultation rates. RESULTS Between 15 and 21 November 1996, 553,000 refugees returned to Rwanda and 4,530 (8.2/1,000 refugees) consultations took place at the border dispensary (watery diarrhea, 63%; bloody diarrhea, 1%). There were 129 (0.2/1,000) surgical admissions (72% soft tissue trauma) to the Gisenyi hospital in the subsequent two weeks. The average number of consultations from the 13 health centres during the same period was 500/day. Overall, the recorded death rate was 0.5/10,000 (all associated with diarrhea). A total of 3,586 bodies were identified in the refugee camps and surrounding areas of Goma, almost all the result of trauma. Many had died in the weeks before the exodus. Health centres were overwhelmed and many of the deficiencies in provision of health care identified in 1994 again were evident. CONCLUSIONS Non-violent death rates were low, a reflection of the population's health status prior to migration and immunity acquired from the 1994 cholera outbreak. Health facilities were over stretched, principally because of depleted numbers of local, health-care workers associated with the 1994 genocide. Health-care facilities running parallel to the existing health-care system functioned most effectively.
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Affiliation(s)
- N Banatvala
- Medical Emergency Relief International (MERLIN), London, UK.
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Abstract
This study assessed the degree to which nursing students acquired and retained six generic skills of communication. Fifty-three second year female RN students were randomly assigned to either an experimental group (E-group) which received microtraining, or a nonattention control group (C-group). All subjects completed both the Carkhuff Indices of Communication and Discrimination as pretests. The E-group then had approximately 25 hours of microtraining in six basic communication skills. Following training, each subject completed the Carkhuff Indices again, the Empathy Construct Rating Scale, and a 10- to 15-minute audiotaped interview in which she assumed the role of a helping nurse. Multivariate analysis of covariance indicated a significant main effect suggesting that the E-group performed better than the C-group when all the measures were combined together. As well, the experimental trainees performed significantly better than the control trainees on empathy, reflection of feeling, and summarizing. The E-group made fewer communication errors, asked fewer closed-questions, made more Good responses, and showed a significant increase in empathy over training. At the nine-month follow-up, while there were no statistically significant differences between the groups on any dependent measure, the E-group outperformed the C-group on all dependent measures.
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Affiliation(s)
- T G Daniels
- Sir Wilfred Grenfell College, Memorial University, Corner Brook, Newfoundland
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Denny A, Adams J, Miller TC. Oxacillin and the liver. Ann Intern Med 1979; 90:277. [PMID: 443674 DOI: 10.7326/0003-4819-90-2-277_1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
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