http://hdl.handle.net/10379/2107 2017-10-29T23:47:05Z 2017-10-29T23:47:05Z Hurley, Lorna O'Donnell, Máire Ó Caoimh, Ronan Dinneen, Seán F. http://hdl.handle.net/10379/6589 2017-06-24T01:01:08Z 2017-03-21T00:00:00Z

Investigating the management of diabetes in nursing homes using a mixed methods approach Hurley, Lorna; O'Donnell, Máire; Ó Caoimh, Ronan; Dinneen, Seán F. Aims: As populations age there is an increased demand for nursing home (NH) care and a parallel increase in the prevalence of diabetes. Despite this, there is growing evidence that the management of diabetes in NHs is suboptimal. The reasons for this are complex and poorly understood. This study aimed to identify the current level of diabetes care in NHs using a mixed methods approach. Methods: The nursing managers at all 44 NHs in County Galway in the West of Ireland were invited to participate. A mixed methods approach involved a postal survey, focus group and telephone interviews. Results: The survey response rate was 75% (33/44) and 27% (9/33) of nursing managers participated in the qualitative research. The reported prevalence of diagnosed diabetes was 14% with 80% of NHs treating residents with insulin. Hypoglycaemia was reported as ‘frequent’ in 19% of NHs. A total of 36% of NHs have staff who have received diabetes education or training and 56% have access to diabetes care guidelines. Staff education was the most cited opportunity for improving diabetes care. Focus group and interview findings highlight variations in the level of support provided by GPs and access to dietetic, podiatry and retinal screening services. Conclusions: There is a need for national clinical guidelines and standards of care for diabetes management in nursing homes, improved access to quality diabetes education for NH staff, and greater integration between healthcare services and NHs to ensure equity, continuity and quality in diabetes care delivery. Journal article

2017-03-21T00:00:00Z Hurley, Lorna O’Donnell, Máire O’Hara, Mary Clare Carey, Marian E. Willaing, Ingrid Daly, Heather Dinneen, Seán F. http://hdl.handle.net/10379/6585 2017-06-23T07:29:00Z 2017-05-17T00:00:00Z

Is diabetes self-management education still the Cinderella of diabetes care? Hurley, Lorna; O’Donnell, Máire; O’Hara, Mary Clare; Carey, Marian E.; Willaing, Ingrid; Daly, Heather; Dinneen, Seán F. This paper reflects on the status of diabetes self-management education (DSME) as a branch of diabetology in Europe and discusses some opportunities for better supporting DSME delivery. DSME (also commonly known as Therapeutic Patient Education) has been evolving as a therapy for diabetes for decades. As a continent, Europe is fortunate to have nurtured many pioneers in DSME, and currently has many experts in the field progressing the knowledge base and striving to improve access to DSME for people with diabetes. While there is a wide variety of DSME programmes being delivered throughout Europe, for most people diabetes education is not truly embedded in routine clinical care, being seen as more of an optional add-on to conventional therapies. In comparison to drugs and devices, DSME lacks investment, and funding for DSME research lags far behind other therapies. The rigour with which forms of DSME are developed and evaluated varies, and there is a lack of European quality standards. To try to address some of these deficiencies, greater pan-European collaboration and leadership is required. Journal article

2017-05-17T00:00:00Z Forcellini, Giulia O'Donoghue, Stefani Kenney, Joanne McInerney, Shane Scanlon, Cathy Nabulsi, Leila McPhilemy, Genevieve Kilmartin, Liam O'Hora, Denis Hallahan, Brian Cannon, Dara M. McDonald, Colm http://hdl.handle.net/10379/6570 2017-06-14T01:01:07Z 2017-05-17T00:00:00Z

Structural connectivity and rich-club organization in recent onset psychosis Forcellini, Giulia; O'Donoghue, Stefani; Kenney, Joanne; McInerney, Shane; Scanlon, Cathy; Nabulsi, Leila; McPhilemy, Genevieve; Kilmartin, Liam; O'Hora, Denis; Hallahan, Brian; Cannon, Dara M.; McDonald, Colm [No abstract available]

2017-05-17T00:00:00Z Mahon, Bláthnaid M. Brehony, Carina McGrath, Elaine Killeen, James Cormican, Martin Hickey, Paul Keane, Shane Hanahoe, Belinda Dolan, Ann Morris, Dearbháile http://hdl.handle.net/10379/6527 2017-05-18T01:01:25Z 2017-04-13T00:00:00Z

Indistinguishable NDM-producing escherichia coli isolated from recreational waters, sewage, and a clinical specimen in Ireland, 2016 to 2017 Mahon, Bláthnaid M.; Brehony, Carina; McGrath, Elaine; Killeen, James; Cormican, Martin; Hickey, Paul; Keane, Shane; Hanahoe, Belinda; Dolan, Ann; Morris, Dearbháile In this study, New Delhi metallo-beta-lactamase (NDM)-producing Enterobacteriaceae were identified in Irish recreational waters and sewage. Indistinguishable NDM-producing Escherichia coli by pulsed-field gel electrophoresis were isolated from sewage, a fresh water stream and a human source. NDM-producing Klebsiella pneumoniae isolated from sewage and seawater in the same area were closely related to each other and to a human isolate. This raises concerns regarding the potential for sewage discharges to contribute to the spread of carbapenemase-producing Enterobacteriaceae.

2017-04-13T00:00:00Z