1,591 Works

Sexual Health screening: Experiences of STI and HIV testing

Caroline Kelleher
Study aims: To generate a profile of the socio-demographic and background characteristics and sexual health history of adults living in Ireland who have tested for STI and/or HIV To examine whether there are any significant differences in these socio-demographic/background/sexual health history variables between those that have tested for STI/HIV and those that have not

Funding and scale-up of HIV / AIDS services in Zambia

This policy brief describes the funding for HIV/AIDS in Zambia focusing on the President’s Emergency Plan for AIDS relief (PEPFAR), the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) and the World Bank Multi Country AIDS program (MAP). It highlights the impact of this funding on scale-up of HIV/AIDS services and on non-HIV/AIDS services in Zambia.

Global Health Initiatives and Human Resources for HIV/AIDS Services in Malawi, Uganda and Zambia

In most sub-Saharan African countries, a region where just 3% of the world’s health workforce treat and care for 25% of the global disease burden, significant investment in Human Resources for HIV/ AIDS services (HR) is required. This briefing paper summarises the effect that scale-up of funds from three GHIs – the President’s Emergency Plan for AIDS Relief (PEPFAR), the Global Fund to fight AIDS, TB and Malaria, and the World Bank Multi-country AIDS Program...

The Impact of Global Health Initiatives in Kyrgyzstan

This policy brief shows the effects of two global health initiatives - the Global Fund to fight AIDS, Tuberculosis, and Malaria (GFATM) and the World Bank’s Central Asia AIDS Project (CAAP) - at national and sub-national levels, including the effects on HIV/AIDS service scale-up, human resources, access to HIV/AIDS services and coordination.

Effects of the global fund HIV/AIDS programmes in Ukraine

Ukraine has one of the highest and most rapidly growing rates of HIV/AIDS in Europe with estimated numbers of people living with HIV/AIDS (PLWHA) reaching 400,000 in 2008. Since 2003 several Global Health Initiatives (GHIs) have committed to providing over US$ 300 million towards the control of HIV/AIDS in Ukraine. These funding mechanisms have had a significant impact on the availability of services for PLWHA and populations at risk of being infected. GHIs have also...

Retaining Migrant Nurses in Ireland II. Nurse Migration Project Policy Brief 3

Niamh Humphries, Ruairi Brugha & Hannah McGee
Active overseas recruitment efforts have attracted large numbers of migrant nurses into the Irish health system [1]. However, it will be Ireland’s ability to retain these nurses that will determine the long-term effectiveness of this workforce strategy. This is a key consideration both for individual employers and at national policy level [2], given the extent of Ireland’s reliance upon migrant nurses [1]. There is recognition internationally that poor support structures in the host country may...

A Profile of Migrant Nurses in Ireland. Nurse Migration Project Policy Brief 4

Niamh Humphries, Ruairi Brugha & Hannah McGee
Migrant nurses, mainly from outside of the EU, are now an essential component of the Irish nursing workforce. This is the result of almost a decade of active overseas nurse recruitment from countries such as India and the Philippines. Between 2000 and 2008, non-EU migrant nurses accounted for 40% of nurses newly registered with the Irish Nursing Board [2] (see Fig. 1). According to the INO, "It is a reality, not readily acknowledged by Irish...

Tracking Global HIV/AIDS Initiatives and their Impact on the Health System in Ukraine

Tetyana Semigina &
This report presents results from the final stage of the study based on fieldwork carried out in Ukraine from January – June 2008. It aims to assess the effects of GHIs in Ukraine at national and sub-national levels including the effects on scale-up of HIV/AIDS services, coordination of HIV/AIDS programs, health systems capacity and equitable access to HIV/AIDS services. The study focuses largely on the Global Fund to Fight AIDS, TB and Malaria (Global Fund)...

Retaining our Doctors Medical Workforce Evidence, 2013-18. Challenges and Responses

Ruairi F. Brugha, Frances Cronin, Nicholas Clarke &
The RCSI Health Workforce Research Group held a policy dialogue in November 2017 at the Royal College of Surgeons in Ireland. The event was attended by senior staff of the Department of Health, the Health Service Executive, postgraduate medical training bodies, NCHD representatives and other national stakeholders with an interest in, or remit for, medical workforce strategy. Copies of the evidence pack, Retaining our Doctors, Medical Workforce Evidence, 2013-17, which forms the body of this...

Chlamydia Screening in Ireland: a pilot study of opportunistic screening for genital Chlamydia trachomatis infection in Ireland (2007-2009). Summary Integrated Report

Myles Balfe, Ruairi Brugha, Emer O'Connell, Deirdre Vaughan, Diarmuid O'Donovan, Claire Coleman, , Martin Cormican, Margaret Fitzgerald, Catherine Fleming, Hannah McGee, Andrew Murphy, , Ciaran O'Neill & Paddy Gillespie
Genital Chlamydia trachomatis (CT) infection is the most common curable, bacterial sexually transmitted infection (STI) worldwide [1, 2]. The number of cases notified in Ireland increased from 3,353 in 2005 to 5,781 in 2009 [3]. Notifications have increased since 2004 when legislation requiring laboratory notification came into effect. Chlamydia is usually a ‘silent’ asymptomatic infection, spread without the knowledge of those transmitting and contracting it: most cases remain undetected and thus untreated. It is a...

Chlamydia Screening in Ireland: a pilot study of opportunistic screening for genital Chlamydia trachomatis infection in Ireland (2007-2009). Pre-screening Report

Myles Balfe, Ruairi Brugha, Emer O'Connell, Deirdre Vaughan, Diarmuid O'Donovan, Claire Coleman, , Martin Cormican, Margaret Fitzgerald, Catherine Fleming, Hannah McGee, Andrew Murphy, , Ciaran O'Neill & Paddy Gillespie
Summary A series of background studies in 18 to 29 year olds were conducted in a range of primary care settings in Dublin and Galway, 2007-09, to assess the acceptability and feasibility of opportunistic screening for chlamydia: - semi-structured interviews with 35 women who had never been tested for a sexually transmitted infection (STI) - similar interviews with 30 men and women who had had a STI test - a questionnaire survey of 5685 students...

Chlamydia Screening in Ireland: a pilot study of opportunistic screening for genital Chlamydia trachomatis infection in Ireland (2007-2009). Screening Intervention Report

Myles Balfe, Ruairi Brugha, Emer O'Connell, Deirdre Vaughan, Diarmuid O'Donovan, Claire Coleman, , Martin Cormican, Margaret Fitzgerald, Catherine Fleming, Hannah McGee, Andrew Murphy, , Ciaran O'Neill & Paddy Gillespie
This report summarises the findings of the Pilot Screening Intervention conducted in Ireland between 2008 and 2009 as part of the Chlamydia Screening in Ireland Pilot study. The studies aimed to pilot screening models and to evaluate their feasibility and effectiveness. The study was commissioned by the Health Protection Surveillance Centre (HPSC) and overseen by the Health Research Board (HRB). It was carried out by a team from the Division of Population Health Sciences at...

Making end-of-life care central to hospital care: quality standards for end-of-life care in hospitals

Each year almost 30,000 people die in Ireland. While surveys suggest that the great majority of people would like to die at home the reality is that the great majority currently die outside the home. Three-quarters (75%) of all deaths now take place in hospitals and long-stay facilities and almost half (48%) of deaths occur in acute hospitals. End-of-life care in our hospitals is therefore everybody’s business. The Standards have been developed as part of...

Making end-of-life care central to hospital care: quality standards for end-of-life care in hospitals

Each year almost 30,000 people die in Ireland. While surveys suggest that the great majority of people would like to die at home the reality is that the great majority currently die outside the home. Three-quarters (75%) of all deaths now take place in hospitals and long-stay facilities and almost half (48%) of deaths occur in acute hospitals. End-of-life care in our hospitals is therefore everybody’s business. The Standards have been developed as part of...

Action-oriented research for master’s level dissertations: an opportunity to improve practice

Pauline Joyce & Maha Al Fahim
As academic staff become familiar with the qualifications framework of the UAE and work towards demonstrating alignment between learning outcomes, teaching/learning strategies and assessment, this is an opportune time to revisit traditional masters’ dissertation guidelines and methodologies to ensure students demonstrate mastery of a topic via achievement of a capstone project. Such a project is an opportunity to demonstrate both a contribution to knowledge and an improvement in practice. This discussion document takes the view...

Dublin Fire Brigade: Violence In The Workplace And Occupational Stress In The Control Room

Paul Harris, John F. Connolly & Ciaran O'Boyle
This study was designed to (i) identify the nature, incidence and prevalence of work-related violence (ii) examine sources and frequency of stress, and (iii) evaluate psychological distress in operational and control-room personnel. The measures used were the Survey of Violence Experienced by Staff, the Sources of Occupational Stress Questionnaire and the General Health Questionnaire. 96% of operational personnel had experienced some form of work-related violence in their careers. Primary sources of occupational stress in control...

Action Learning- a process which supports organisational change initiatives

Pauline Joyce
This poster outlines how action learning sets were used to support organisational change initiatives as part of a Master’s programme. Evaluations were carried out from the students’ perspectives (n= 102) via the ALSE tool1. Focus groups (two) were held with thirteen facilitators, who were all healthcare professionals at a senior level in their own organisations. Data was analysed by Microsoft Excel for the survey and via content analysis for the focus group meetings. Students communicated...

Approaches to Learning in the context of an outcomes-based curriculum

Pauline Joyce
How does an outcomes-based curriculum influence approaches to learning in an interprofessional postgraduate programme for healthcare professionals?

Sustaining Academic Leadership in Higher Education

Pauline Joyce & Ciaran O'Boyle
This chapter draws on a recent case study from the healthcare sector which we argue contributes to the thinking on leadership not only in the healthcare sector, but also in the context of higher education. The chapter concludes with key messages for academic staff making a case for building capacity of leaders in education at all levels.

RCSI Library Information Skills Training and Evidence-based Study Programme

The RCSI Medical Graduate Profile includes the following outcome for: Demonstrates information literacy skills specifically: Recognizes the need for information in given situations. Demonstrates the ability to find, critically evaluate, manage and synthesise new information with existing information to create new understanding. Demonstrates an understanding of the ethical issues involved in information retrieval and management including the concepts of plagiarism and confidentiality” Information literacy competencies are inextricably linked to finding the best evidence and therefore...

Space for Service, Service for Space: Making the 'Expo Stage' work!

Johanna Archbold & Carol Creavin
RCSI Library introduced an ‘Expo Stage’ into a new Learning Commons area - a dedicated space for pop-up interactive events for Library users and the College community.

The Skill Set of a Health Science Library Assistant

Jesse Waters
The Skillset of a Health Science Library Assistant` highlights the core skills required from a library assistant, and those which are developed over time while working at the service desk of a health science library. From my own experience, I have identified three categories of skills that a library assistant should possess. First are the skills necessary before you enter the role, such as communication and research skills. Second are the skills which are realised...

Platelet-bacterial interactions in the pathogenesis of infective endocarditis. Part I: The Streptococcus

Dorothea Tilley & Steven W. Kerrigan
Infective endocarditis (IE) is a life threatening disease caused by a bacterial infection of the endocardial surfaces of the heart. It is typified by the formation of septic thrombi or vegetative growth on the heart valve. Typically, both platelets and fibrin are deposited on exposed extracellular matrix proteins as part of the normal response to damage of the endocardium [1]. However, this sterile platelet-fibrin nidus facilitates colonisation of the endocardium by bacteria in the bloodstream...

The Cystic Fibrosis ‘Gender Gap’: Past Observations Present Understanding and Future Directions

Sanjay H. Chotirmall, Catherine M. Greene, Brian J. Harvey & Noel G. McElvaney
Cystic Fibrosis (CF) is a systemic disease impacting upon several organ systems. These include gastrointestinal, reproductive, endocrine and pulmonary manifestations of which the latter contributes the heaviest burden of disease morbidity, mortality and impact on quality of life. The defective protein in the disease state is the Cystic Fibrosis Transmembrane Regulator (CFTR) that normally functions as an ion channel permitting intracellular chloride escape. Regulated by cyclic adenosine monophosphate (cAMP) and localized to the apical membrane...

Tissue Engineered Solutions for Intracardiac Septal Defects: A Large Step Forward in an Unmet Clinical Need.

Aamir Hameed, Garry P. Duffy, Babar Hasan &
Congenital heart disease (CHD) is the occurrence of an anomaly in the heart structure during fetal development. The incidence of CHD is estimated to be 8 per 1000 live births in the United States, 6.9 per 1000 live births in Europe and 9.3 per 1000 live births in Asia.1 CHD varies in severity and timing of emergence of symptoms, hence they differ in ways of management.

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