A5102821778- Health disparities and outcomes
- Global Health Care Issues
- Maternal and Perinatal Health Interventions
- Breast Lesions and Carcinomas
- Cancer and Skin Lesions
- Clinical practice guidelines implementation
- Healthcare Policy and Management
- Injury Epidemiology and Prevention
- Health Policy Implementation Science
- Nursing Diagnosis and Documentation
- Trauma and Emergency Care Studies
- Global Maternal and Child Health
- demographic modeling and climate adaptation
- Psychological Well-being and Life Satisfaction
- Digital Radiography and Breast Imaging
- Hip and Femur Fractures
- Economic and Financial Impacts of Cancer
- Nutritional Studies and Diet
- Global Health Workforce Issues
- Breast Cancer Treatment Studies
- Salivary Gland Tumors Diagnosis and Treatment
- Global Cancer Incidence and Screening
- Interprofessional Education and Collaboration
- Health Systems, Economic Evaluations, Quality of Life
- Quality and Safety in Healthcare
Cork University Hospital
2016-2018
Health Service Executive
2016-2017
University College Cork
2012-2017
St. Finbarr's Hospital
2017
Hollins University
1996
Depending on obstetric risk, maternity care may be provided in one of two locations at hospital level: a consultant-led unit (CLU) or midwifery-led (MLU). Care MLU is sparsely Ireland, comprising as few units out total 21 units. Given its potential for greater efficiencies and cost-savings the state, there has been an increased interest to expand MLUs Ireland. Yet, very little known about women's preferences care, whether they would utilise this service when presented with choice delivering...
In many countries, there has been a considerable shift towards providing more woman-centred maternity service, which affords greater consumer choice. Maternity service provision in Ireland is set to follow this trend with policymakers committed improving maternal choice at hospital level. However, women's preferences for care are unknown, as the expected demand new services. paper, we used discrete experiment (DCE) (1) investigate strengths of preference different features care; (2) predict...
Fibroadenomas (FA) are the most common benign tumor in female breast. Most managed conservatively provided there is clinical, radiologic, and pathologic concordance. However, surgical excision typically recommended for cellular fibroepithelial lesions or those with features concerning phyllodes (PT). Some studies have suggested all FA >30 mm to reduce core needle biopsy (CNB) sampling errors. The aim of our study was evaluate, absence any other clinicopathologic features, whether warranted...
The Irish government has committed to expand midwifery-led care alongside consultant-led nationally, although very little is known about the potential net benefits of this reconfiguration. To formally compare costs and major models in Ireland, with a view informing priority setting using contingent valuation technique cost-benefit analysis. A marginal payment scale willingness-to-pay question was adopted from an ex ante perspective. 450 pregnant women were invited participate study. Cost...
The diagnosis and management of lobular neoplasia (LN) including carcinoma in situ (LCIS) atypical hyperplasia (ALH) remains controversial. Current options after a core needle biopsy (CNB) with incorporating both ALH LCIS include excision or careful clinical radiologic follow up.A retrospective analysis the surgical database at Cork University Hospital was performed to identify all biopsies from January 1st 2010 31st December 2013 FA who subsequently underwent biopsy. All cases associated LN...
Objective: To determine the feasibility of excluding MRI from preoperative diagnostic pathway invasive lobular carcinoma (ILC) in women with low and to moderate density breasts on mammography.Methods: A total 179 cases ILC were diagnosed between 2009 2012.Forty-eight identified as breasts.The study group includes 32 who underwent MRI.Parameters scrutinised include size number lesions mammography, ultrasound MRI, second-look ultrasound, type surgery, further surgery histology.Results:...
Introduction: Numerous interventions have been shown to effectively reduce the rate and risk of falling among older people. In Ireland, our national falls strategy recommends use evidence-based that are equitable sustainable. However, there practical, cultural, professional challenges implementing service changes require input from multiple professionals across settings. Our aim is investigate acceptability, feasibility sustainability community-based assessment clinics (FRAC), designed...
This paper presents a study of the effects alcohol consumption on household income in Ireland using Slán 2007 dataset, accounting for endogeneity and selection bias. Drinkers are categorised into one three categories; non, moderate heavy drinkers, based recommended weekly drinking levels by Irish Health Promotion Unit. Previous studies effect have not accounted fact that can be viewed as ordered data. accounts ordinality consumption. Limited Full Information Methods Estimation compared is...
Introduction: In 2008, the national strategy for prevention of falls and fractures in Ireland was published. 2009, a detailed mapping exercise our region demonstrated size problem showing 4,680 emergency department attendances locally annually, 21,500 acute bed-days used after falls-related local health cost €31 million. We had elements good practice but services management were neither coordinated nor integrated.Practice change: took whole-system approach to delivery older people. Since...