A5006399381- Inflammatory Bowel Disease
- Emergency and Acute Care Studies
- Global Cancer Incidence and Screening
- Microscopic Colitis
- Biosimilars and Bioanalytical Methods
- Lung Cancer Diagnosis and Treatment
- Frailty in Older Adults
- Systemic Lupus Erythematosus Research
- Asthma and respiratory diseases
- Patient-Provider Communication in Healthcare
- Respiratory and Cough-Related Research
- Lung Cancer Treatments and Mutations
- Nutrition and Health in Aging
- Hip and Femur Fractures
- Facial Trauma and Fracture Management
- Cancer Immunotherapy and Biomarkers
- Respiratory viral infections research
- HIV/AIDS Research and Interventions
- Myasthenia Gravis and Thymoma
- Hospital Admissions and Outcomes
- Lung Cancer Research Studies
- Health Policy Implementation Science
- Ureteral procedures and complications
- Ultrasound in Clinical Applications
- Nursing Diagnosis and Documentation
University Children's Hospital Zurich
2024-2025
Health Service Executive
2020-2022
St. James's Hospital
2010-2022
Trinity College Dublin
2006-2015
In-Q-Tel
2006
Abstract Purpose To evaluate the incidence of late surgical complications and long-term kidney outcomes following ureteral reimplantation (UR) for high-grade vesicoureteral reflux (VUR) primary obstructed megaureter (POM), assessing necessity routine follow-up. Methods A retrospective review was conducted 135 children who underwent UR between 2006 2013, with at least 10 years Primary included postoperative ureterovesical junction obstruction (pUVJO) febrile urinary tract infections (UTIs)....
PurposeLung cancer is the most common malignancy and leading cause of death globally. Lung incidence mortality are highest among socioeconomically deprived individuals. This study explored awareness help-seeking for early signs symptoms lung high-risk individuals.MethodsParticipation was sought from multiple community centres organisations in high-incidence areas Ireland. Semi-structured focus groups were conducted with individuals at risk cancer. Data analysed using thematic...
Abstract Background Asthma is a major cause of pediatric morbidity and mortality. In acute exacerbations asthma, corticosteroids reduce relapses, subsequent hospital admission the need for ß 2 -agonist therapy. Prednisolone relatively short-acting with half-life 12 to 36 hours, thereby requiring daily dosing. Prolonged treatment course, vomiting bitter taste may patient compliance prednisolone. Dexamethasone long-acting corticosteroid 72 hours. It used frequently in children croup bacterial...
Abstract Background Lung cancer is the leading cause of incidence and mortality worldwide. Prompt patient help-seeking for signs symptoms suggestive lung crucial early referral, diagnosis, survivorship. However, individuals with potential tend to delay help-seeking. This qualitative study explored perceived barriers strategies enhance warning from perspective primary healthcare professionals. Methods Semi-structured focus groups individual interviews were conducted 36 Data collected via...
Introduction The role of antitumour necrosis factor agents, in particular infliximab ulcerative colitis (UC) has been well established. More recently adalimumab, a fully humanized α monoclonal antibody, was licensed for refractory moderately active UC 2012. Available outcome data adalimumab from routine clinical practice is limited. Aims To evaluate the response and remission to cohort patients. Methods Patients with treated were identified our inflammatory bowel disease database 2007. A...
BackgroundOlder people in the Emergency Department (ED) are clinically heterogenous and some presentations may be better suited to alternative out-of-hospital pathways. A new interdisciplinary comprehensive geriatric assessment (CGA) team (Home FIRsT) was embedded our acute hospital's ED 2017.AimTo evaluate if routinely collected CGA metrics were associated with disposition outcomes.DesignRetrospective observational study.MethodsWe included all first patients seen by Home FIRsT between 7th...
Background We initiated an emergency department (ED) opt-out screening programme for HIV, hepatitis B virus (HBV) and C (HCV) at our hospital in Dublin, Ireland. The objective of this study was to determine acceptance, yield the impact on follow-up care. Methods From July 2015 through June 2018, ED patients who underwent phlebotomy could consent testing were tested HBV HCV using approach. examined acceptance screening, linkage care, treatment viral suppression data electronic health records....
Abstract Lung cancer (LC) is the most common and leading cause of mortality globally. A positive association between LC incidence socioeconomic deprivation exists. High-risk individuals are less likely to be aware correctly appraise symptoms seek medical help accordingly. This qualitative study explored strategies promote early detection among at-risk living in high-incidence areas Ireland. Five semi-structured focus groups were conducted with 46 individuals. Data collected face-to-face...
Accelerated dose infliximab (IFX) induction is associated with reduced short-term colectomy rate in acute severe ulcerative colitis (ASUC). Data on medium/long-term outcomes of this strategy are limited.Evaluate patients receiving IFX for ASUC, comparing accelerated (AD) and standard (SD) induction.Retrospective study consecutive admitted corticosteroid-refractory ASUC four tertiary referral centres within INITIative IBD research network (www.initiativeibd.ie). rescue was given either as SD...
Lung cancer is the leading cause of death globally. Most cases are diagnosed late. Primary healthcare professionals often first point contact for symptoms concern. This study explored primary professionals' experience referring individuals with signs and suggestive lung along appropriate pathway strategies to help detect early. Focus groups individual interviews were conducted 36 general practitioners, community pharmacists, practice nurses, public health nurses. Data analysed thematically....
<h3>Introduction</h3> The aim of this open-label trial is to examine whether a single dose dexamethasone non-inferior 3-day course prednisolone in the treatment exacerbations asthma children who attend Emergency Department (ED). <h3>Methods</h3> Participants were identified on ED presentation, eligibility was confirmed and informed consent obtained. Patients randomised receive either stat oral 0.3mg/kg (max 12mg) or 1mg/kg/day 40mg) for 3 days. Otherwise standard administered. Following...
Objective Intracranial stab wounds are relatively uncommon, as the adult skull usually provides an effective barrier to penetration. We present interesting case of a penetrating intracranial wound with several important teaching points. Clinical presentation A 44-year-old man presented emergency department 1.2-cm left temporal area. His initial Glasgow Coma Score was 14/15. Computerized tomography his brain revealed lobe haemorrhage and contusion. Magnetic resonance images linear haematoma...
Objectives The aim of this cadaveric study was to compare three commonly used approaches for emergency pericardiocentesis and determine the safest approach. Methods Thirteen cadavers were injected at sites with different coloured dyes, one each recommended approaches. (1) ATIP: anterior transthoracic in fifth left intercostal space (Advanced Cardiac Life Support protocol), (2) SXP1: immediately subxiphoid (3) SXP2: approach 1.5 cm inferior SXP1 Trauma protocol). needles chest cavity confirm...
Abstract Background Ureteral reimplantation (UR) is a well-established procedure, yet there exists notable absence of evidence-based guidelines for postoperative follow-up. Existing literature suggests that routine follow-up extending beyond one year may not yield significant advantages, particularly asymptomatic children. However, it crucial to acknowledge many studies supporting this assertion rely on relatively short observation periods. Aims This study seeks address the potential...
Abstract Background Irish Travellers are a distinct ethnic minority group (formal recognition March 2017). They experience higher mortality than the general population at all ages for causes of death. Study Aim To determine cancer awareness and attitudes among Traveller Community in Ireland, to identify barriers/enablers risk reduction behaviours early diagnosis cancer. Methods A co-designed multi-method study was developed collaboration with Pavee Point, national NGO Travellers, National...
We have shown that the use of accelerated dose (AD) induction infliximab (IFX) reduces short-term colectomy rates in ASUC, but long-term data are limited. The aim this study was to evaluate medium outcomes patients receiving IFX for comparing AD and standard (SD) induction. Retrospective all consecutive admitted with corticosteroid-refractory ASUC 4 tertiary referral centres within INITIative IBD research network (www.initiativeibd.ie). Patients received rescue either as Standard (Weeks 0,...
Objectives & Background Emergency Medicine (EM) is facing a worsening recruitment and retention crisis in Ireland. We sought to document the numbers of doctors applying to, resigning from, completing Core Specialist Training EM (CSTEM), as well from Advanced (ASTEM). Methods Records CSTEM ASTEM data were interrogated by hand search following approval Irish Committee for (ICEMT) time periods 2011 2015 2007 ASTEM. Results Following peak 2013, applicants decreased 28% (75 54). The...