234 Works

Sex in Ireland in the last decade: sexual health research and its policy implications

Caroline Kelleher, Gemma Smith, Ashling Bourke, Daniel Boduszek, Orla McBride & Karen Morgan
There has been significant investment in sexual health research in Ireland over the last decade. Researchers at the Royal College of Surgeons in Ireland (RCSI) have been involved in the three national, cross-sectional, general sexual health surveys, involving 13,000 adults, that have been conducted in Ireland since 2003*. The first was The Irish Contraception and Crisis Pregnancy (ICCP) Study 2003 (ICCP-2003)1, which was designed to establish nationally-representative data on current atti­tudes, knowledge and experience of...

Does pain mediate or moderate the relationship between physical activity and depressive symptoms in older people?

Caroline Kelleher, Anne Hickey, & Frank Doyle
A recent study involving participants 50 years and older from Northern Ireland (NI) and the Republic of Ireland (RoI) (N=6159) found core depressive symptoms (i.e. depressed mood and anhedonia) in 7.2% of their nationally representative sample (Morgan, O’Farrell, Doyle and McGee, 2011). This study also showed that those who were engaged in moderate to high levels of physical activity (PA) had a 50-56% reduction in the odds of having elevated depressive symptoms compared to those...

Does pain mediate or moderate the relationship between physical activity and depressive symptoms in older people?

Caroline Kelleher, Anne Hickey, & Frank Doyle
A recent study involving participants 50 years and older from Northern Ireland (NI) and the Republic of Ireland (RoI) (N=6159) found core depressive symptoms (i.e. depressed mood and anhedonia) in 7.2% of their nationally representative sample (Morgan, O’Farrell, Doyle and McGee, 2011). This study also showed that those who were engaged in moderate to high levels of physical activity (PA) had a 50-56% reduction in the odds of having elevated depressive symptoms compared to those...

Public perceptions of biomedical research: a survey of the general population in Ireland

, Hannah McGee, Lena Ring, , Elaine W. Kay, David T. Croke & David Tomkin
In Ireland, in the context of an increasingly knowledge-focused society, financial support for health-related research has increased exponentially in the last decade. Yet little is known about the views of the public, in Ireland and elsewhere, on developments in science, medicine and technology which affect their lives. The aim of the present study was to provide the first nationally representative profile regarding public perceptions on use of human tissue in medical research in Ireland. Specifically,...

Scoping study for knowledge, attitudes and behaviours survey towards relationships, sexual and reproductive health among young people in Ireland

Richard Layte, James Williams, Amanda Quail & Hannah McGee
Sex and sexual behaviour are an extremely important aspect of human behaviour, with implications for both individuals and societies. Sexual relationships can give immense pleasure and fulfilment to individuals, create families and ultimately underpin the viability of societies, but they can also have less positive consequences. For example, rates of sexually transmitted infections have been increasing strongly in Ireland since the mid-1990s, and rates of crisis pregnancy also seem to be increasing (NDSC 2004). More...

The SAVI report: sexual abuse and violence in Ireland

Hannah McGee, Rebecca Garavan, , Joanne Byrne &
The prevalence of sexual violence in Ireland is unknown. Incomplete evidence from crime statistics, previous research reports and service uptake figures is insufficient to understand the nature and extent of the problem and to plan and evaluate services and preventive interventions. The main aim of the SAVI study was to estimate the prevalence of various forms of sexual violence among Irish women and men across the lifespan from childhood through adulthood. Additional aims of the...

SLAN 2007: Survey of Lifestyle, Attitudes and Nutrition in Ireland. Smoking Patterns in Ireland: Implications for policy and services

Ruairi Brugha, Nuala Tully, Patrick Dicker, Emer Shelley, Mark Ward & Hannah McGee
SLÁN 2007 was the third national Survey of Lifestyle, Attitudes and Nutrition (SLÁN) in Ireland and followed previous surveys in 1998 and 2002. The 2007 survey was conducted through faceto-face interviews in the homes of 10,364 randomly selected adults, aged 18 years and older. There was a 62% response rate. The overall findings are contained in the SLÁN 2007: Main Report (Morgan et al, 2008) and a number of sub-reports on specific aspects (e.g. diet...

SAVI and SAVI Revisited

Hannah McGee, Rebecca Garavan, , Joanne Byrne, , Collette Leigh & Catriona Ellis
SAVI and SAVI Revisited

Global HIV / AIDS Initiatives and Human Resources for Health in Zambia

This policy brief shows how the rapid scale-up of HIV / AIDS services has affected human resources for health in Zambia. It focuses on health worker numbers and trends, workloads, retention and training. It is based on research conducted in three districts in Zambia: Lusaka and Kabwe (urban districts) and Mumbwa (rural district). The overall study explored the effects of three GHIs on the Zambian health system: the Global Fund to fight AIDS, TB and...

Global HIV / AIDS initiatives and coordination, reporting and evaluation of HIV/AIDS programmes.

This policy brief describes the effectiveness of national and district level coordination structures and monitoring and evaluation systems in Zambia and the extent to which GHIs have engaged with these, and/or created new structures and systems for HIV/AIDS programmes. The overall study, whose fieldwork was conducted in 2007 and 2008, explored the effects of three GHIs on the Zambian health system: the Global Fund to fight AIDS, TB and Malaria (GFATM), the World Bank’s Multi-country...

Global HIV / AIDS initiatives and coordination, reporting and evaluation of HIV/AIDS programmes.

This policy brief describes the effectiveness of national and district level coordination structures and monitoring and evaluation systems in Zambia and the extent to which GHIs have engaged with these, and/or created new structures and systems for HIV/AIDS programmes. The overall study, whose fieldwork was conducted in 2007 and 2008, explored the effects of three GHIs on the Zambian health system: the Global Fund to fight AIDS, TB and Malaria (GFATM), the World Bank’s Multi-country...

“I am kind of in stalemate”. The experiences of non-EU migrant doctors in Ireland

Niamh Humphries, , Ella Tyrrell, Ruairi Brugha, Steve Thomas & Charles Normand
Introduction (extract): Although historically a source country for health workers, Ireland began actively recruiting health workers internationally in the early 2000s and is becoming the OECD country with the second highest dependency on foreign-trained doctors (OECD, 2010) and the highest dependency on foreign-trained nurses (OECD, 2010). Between 2000 and 2009, 40% of all newly registered nurses in Ireland were from outside the EU (Humphries, Brugha & McGee, 2009). The number of foreign-trained doctors registered on...

Brain Drain to Brain Gain: Ireland's Two-Way Flow of Doctors

Aisling M. Walsh & Ruairi F. Brugha
Medical workforce stressors continue to undermine Ireland’s ability to achieve medical workforce sustainability and compliance with the WHO Global Code on the International Recruitment of health personnel. These include: i) high rates of emigration among graduates of Irish medical schools, attracted by working conditions, training and career opportunities in other English speaking countries; ii) the need to be compliant with the European Working Time Directive, which restricts hospital doctors’ working week; and iii) increasing demand....

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...

Career Progression of Migrant Nurses in Ireland: Nurse Migration Project Policy Brief 5

Niamh Humphries, Ruairi Brugha & Hannah McGee
The career progression of migrant nurses within the Irish health system was an issue raised in our discussions with key stakeholders. Concern was raised that few migrant nurses had achieved managerial grades in Ireland (CNM1 or CNM2) and that perhaps this stemmed from a reluctance to apply for senior posts. Evidence internationally suggests that migrant health workers frequently occupy less desirable posts [1,2] within the health systems of their host countries and that they struggle...

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. Full report.

Ruairi F. Brugha, Frances Cronin, Nick Clarke &
This report summarises original research findings on the scale and causes of outward migration of non-consultant hospital doctors (NCHDs1 ) from Ireland. It draws on findings from five mixed methods research studies undertaken by the Royal College of Surgeons in Ireland’s (RCSI’s) Health Workforce Research Group 2014-18, together with an analysis of routine data published since 2011 by Ireland Health Service Executive (HSE) National Doctor Training and Planning Unit (NDTP) and the Irish Medical Council...

Retaining our Doctors Medical Workforce Evidence, 2013-18. Full report.

Ruairi F. Brugha, Frances Cronin, Nick Clarke &
This report summarises original research findings on the scale and causes of outward migration of non-consultant hospital doctors (NCHDs1 ) from Ireland. It draws on findings from five mixed methods research studies undertaken by the Royal College of Surgeons in Ireland’s (RCSI’s) Health Workforce Research Group 2014-18, together with an analysis of routine data published since 2011 by Ireland Health Service Executive (HSE) National Doctor Training and Planning Unit (NDTP) and the Irish Medical Council...

Retaining our Doctors Medical Workforce Evidence, 2013-18. Summary

Ruairi F. Brugha, Frances Cronin, Nicholas Clarke &
This report summarises original research findings on the scale and causes of outward migration of non-consultant hospital doctors (NCHDs1 ) from Ireland. It draws on findings from five mixed methods research studies undertaken by the Royal College of Surgeons in Ireland’s (RCSI’s) Health Workforce Research Group 2014-18, together with an analysis of routine data published since 2011 by Ireland Health Service Executive (HSE) National Doctor Training and Planning Unit (NDTP) and the Irish Medical Council...

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...

Cerebral Venous Sinus Thrombosis - Diagnostic Strategies and Prognostic Models: A Review

Penka A. Atanassova, Radka I. Massaldjieva, Nedka T. Chalakova & Borislav D. Dimitrov
In 1825, Ribes described a case of a 45-year old man who died after a 6-month history of epilepsy, seizures and delirium. The autopsy examination revealed thrombosis of the superior sagittal sinus, the left lateral sinus and a cortical vein in the parietal region. This was probably the first detailed description of extensive cerebral venous sinus thrombosis (CVST). Since then, the literature describing this disease has comprised of case reports, series and some newer prospective...

Handbook for Clinical Supervisors: Nursing Post-Graduate Programmes

Steve Pitman
This handbook provides guidance on clinical supervision for nurse supervisors of postgraduate learners. It is designed as a resource for supervisors that can be applied and adapted for all post-graduate nursing programmes within the College. Post-graduate programmes in this context are designed to prepare nurses to meet the requirements for the role of clinical nurse specialist and advanced nurse practitioner. The handbook covers a range of key topics relevant to clinical supervision that include; defining...

Platelet-Bacterial Interactions as Therapeutic Targets in Infective Endocarditis

Steven W. Kerrigan & Dermot Cox
Endocarditis is an inflammation of the lining of the heart and valves. It can be due to a noninfectious cause (Asopa et al., 2007) but when the inflammation is associated with an infection, usually bacterial, it is known as infective endocarditis (IE) and is characterized by the development of a large septic thrombus on one of the cardiac valves (Beynon et al., 2006; Moreillon and Que, 2004). As this thrombus grows, it can lead to...

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...

Platelet-bacterial interactions in the pathogenesis of infective endocarditis. Part II: The Staphylococcus

Steven W. Kerrigan
Infective Endocarditis is a microbial infection characterised by the presence of septic vegetations on the surface of the endocardium (Moreillon and Que, 2004). Infection most commonly occurs on the heart valves that has been damaged by congenital defects such as previous disease or trauma (Durack, 1995). As a result these sites have the ability to generate turbulent blood flow which in turn can cause damage to inner most lining of the blood vessels, the endothelium,...

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