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Follow-up of Cardiovascular Risk Following Complicated Pregnancy: a Single Centre Audit
Get PDFIntroduction: Gestational diabetes mellitus, pregnancy-induced hypertension and pre-eclampsia are associated with significant long-term cardiovascular and metabolic risk to the woman. Aims: The primary aim of this audit was to determine whether women who develop these pregnancy-related complications were followed up by their general practitioners (GPs) with respect to cardiovascular risk after delivery. Another aim was to assess whether the condition was communicated from the maternity health care to the GP on discharge letter. Methods: The audit was carried out using a structured search via the general practice electronic health record system. Conclusions: This audit found a deficit of follow-up monitoring of blood pressure and glucose tolerance of the women in our study and deficient communication of the complication experienced from the hospital to primary care. These findings suggest that there is a lack of appreciation of the impact of pregnancy-related cardiovascular and metabolic complications on future maternal health
Virtually There: a Process of Collaboration
Get PDFThis paper introduces action research on Virtually There, a long-running project placing artists in schools through the interactive whiteboard and in close collaboration with teachers. It considers questions of organisational and relational structure, the operation of the project through time and process, and the meaning of success in this context
Persistent Creativity: Making the Case for Art, Culture and the Creative Industries by Peter Campbell, Palgrave Macmillan.
Get PDFCampbell’s book explores the persistence of creativity as a driver in cultural policy and planning. It considers its deployment in the case-making for arts, culture and creative industries in the UK and exposes definitional ambiguities and contradictions surrounding the term ‘creative’. Within this argument, the author raises concerns about the boundaries of sector statistics and the role of programmes such as cities of culture in promoting and reinforcing this mythological and enduring narrative of social and economic impact
Social Capital and Post-Graduation Destination: International Students in Ireland
Get PDFDrawing from social network theory, this study investigates the extent to which bonding and bridging social capital influence the likelihood of staying abroad or returning home after graduation among international students in Ireland. Bonding refers to co-national networks and is measured as the strength of ties and the abundance of resources with co-nationals or family members. Bridging implies crosscutting ties beyond one’s co-national network and is measured as contacts with the locals or non-co-nationals. A survey was carried out among Irish university international alumni who graduated between 2014 and 2016. Our main findings suggest: (1) bridging social capital, particularly high-quality and with close bridging ties, are positively associated with the likelihood of staying abroad; (2) human capital, especially field of study and language ability, is positively associated with the likelihood of staying abroad. Policy implications are discussed
What is the Evidence for the Pharmacological Management of Nausea and Vomiting in Inoperable Malignant Bowel Obstruction?
Get PDFThe objective is to systematically review the evidence available for the pharmacological management of nausea and vomiting in inoperable malignant bowel obstruction. PubMed, EMBASE and clinicaltrials.gov were searched using the following terms: Nausea, Vomiting, Cancer, Inoperable Bowel Obstruction, Malignant Bowel Obstruction. The search identified 699 studies and 1 from an additional source. With the inclusion and exclusion criteria applied 12 papers were selected. Of the 12 studies, 6 RCTs were identified that compared the somatostatin analogue octreotide or lanreotide. Two of these RCTs also compared octreotide to hyoscine butylbromide, and four with placebo. Octreotide was shown to significantly reduce nausea and vomiting. One study however, found that octreotide did not significantly reduce vomiting compared to a placebo. Prospective studies, retrospective studies and non-randomised clinical trials were also identified. They assessed the use of octreotide, granisetron or olanzapine. They found that there was significant improvement in nausea or vomiting episodes. Despite not being the first line treatment Octreotide appears to be the most studied and researched drug. In all but one study it has been found to have a positive outcome. This review has highlighted the lack of information or research available on other antiemetic or anti-nausea medications, despite their widespread use
Onipa:: The Human Being and the Being of Human Among the Akan people of West Africa. Towards an African Theological Anthropology.
Get PDFThe concept of an existential numinous being, known in Akan terminology as Onipa, provides the basic framework upon which Akan socio-religious and political structure is constructed. Onipa is the Akan term for the human being. The Akan rationalistic conception that “all human beings are the children of God and none is a child of the earth” establishes three basic ontological realities for understanding Akan anthropology. First, the human being has a numinous substance (ontology) and not only natural. Second, the human being does not live in isolation but has a relational ontology. And third, the human being has a functional ontology according to the ways of God. This paper gives a considerable amount of space to discuss these aspects of the human being and how they form the basis for the development of Akan theological anthropology
International perspectives on Cross-Border working
Get PDFThis paper provides an international perspective on cross-border working and reflects on the policy frameworks which promote cross-border working through the lens of the Belfast International Arts Festival. It suggests that Brexit will impact artist mobility, funding, and market competition in the arts and proposes that the most urgent issue is the potential of Brexit to dimantle the complex and multi-layered notions of identity in Northern Ireland and how we articulate our common European heritage
Estimating the Output, Inflation and Unemployment Gaps in Ireland using Bayesian Model Averaging
Get PDFWe aim to overcome the issue of model selection in output, wage inflation and unemployment gap estimation for Ireland, using Bayesian model averaging. Employing a stochastic model specification search with time-varying parameters approach, we draw from a number of standard model specifications, based on variable selection, trend output identification and distributional assumptions. From the resulting model averaging with Irish data, we find that the unemployment gap is a strong predictor of the output gap, but conditional on the unemployment gap, the output gap has limited influence on the wage inflation gap. Additionally, we observe a decline in potential output growth from the early 2000s, although growth rates have increased strongly since Q1 2012. Finally we find that shocks to output growth and wage inflation are better characterised by Student’s t-distributions, rather than conventional Gaussian distributions, suggesting that extreme events occur with a more relative frequency that is typically assumed
Globalisation: A Macro-Financial Perspective - Geary Lecture 2019
No full textThe preservation of macro-financial stability in a globalised economy poses several challenges. First, evidence-based policymaking depends on the availability of informative macro-financial data: this paper discusses the Irish experience in developing customised versions of macroeconomic and financial statistics to track domestic developments. Second, policymaking in a globalised economy is constrained by a trio of trilemmas (monetary, financial and political economy): this paper interprets membership of the EU and the Euro Area in the context of these trilemmas
Household Energy Consumption: A Study of Micro Renewable Energy Systems in Ireland
Get PDFIreland’s National Renewable Energy Action plan addresses how it will meet its environmental commitments. One element of the strategy is the use and promotion of micro renewable energy systems (micro-RES). This paper profiles households that have adopted micro-RES and examines whether micro-RES installations have resulted in a reduction in energy consumption based on data from the Irish Household Budget Survey. Results indicate that the presence of micro-RES does not result in a reduction of electricity use, rather the opposite. Furthermore, our findings indicate that some revision of energy policy is needed, as the presence of micro-RES does not result in a decrease in total energy use