51 research outputs found
To Olga : an appreciation in verse.
No full textPoetic appreciation of Mrs. Olga Hunter, wife of the author. Bound in cream card covers with applied cover label
Addressing Technical Failures in a Diabetic Retinopathy Screening Program [Response to Letter]
No full textIan Gerard Brennan,1,* Stephen R Kelly,1,* Edel McBride,2 Darragh Garrahy,1 Robert Acheson,2 Joanne Harmon,2 Shane McMahon,2 David J Keegan,1 Helen Kavanagh,1 Louise O’Toole2 1Diabetic RetinaScreen, National Screening Service, Health Service Executive, Dublin, Ireland; 2Diabetic Retinal Screening Service, NEC Care, Cork City, Co. Cork, Ireland*These authors contributed equally to this workCorrespondence: Louise O’Toole, NEC Care, Matthew House-3rd Floor, Fr Matthew Street, Cork City, Co. Cork, T12 TN56, Ireland, Email [email protected]
Supports and Barriers to Effective Job Matching for Persons With Intellectual Disabilities
No full textAbstract
Date Presented 3/31/2017
Several practices act as barriers, as supports, or as both to the job-matching process. Future research should focus on integrating these factors into a systematic procedure for matching persons with disabilities to long-term, competitive community employment.
Primary Author and Speaker: Andrew Persch
Additional Authors and Speakers: Beth Pfeiffer, Rebecca Weisshaar, Amy Darragh, Dennis Cleary</jats:p
Home-Based Intervention for Chemotherapy-Induced Peripheral Neuropathy
No full textAbstract
Date Presented 3/31/2017
Peripheral neuropathy is a side effect of neurotoxic chemotherapy, resulting in pain and declines in function and quality of life. This pilot study assessed effects of a sensorimotor intervention on pain, function, and quality of life in individuals with breast cancer.
Primary Author and Speaker: Amy Darragh
Additional Authors and Speakers: Karli Vicary
Contributing Authors: Karen Hock, LeAnn Gaerke, Sharon Flinn</jats:p
Addressing Technical Failures in a Diabetic Retinopathy Screening Program
No full textIan Gerard Brennan,1,* Stephen R Kelly,1,* Edel McBride,2 Darragh Garrahy,1 Robert Acheson,2 Joanne Harmon,2 Shane McMahon,2 David J Keegan,1 Helen Kavanagh,1 Louise O’Toole2 1Diabetic RetinaScreen, National Screening Service, Health Service Executive, Dublin, Ireland; 2Diabetic Retinal Screening Service, NEC Care, Cork City, Co. Cork, Ireland*These authors contributed equally to this workCorrespondence: Louise O’Toole, NEC Care, Matthew House-3rd Floor, Fr Matthew Street, Cork City, Co. Cork, T12 TN56, Ireland, Email [email protected]: Diabetic retinopathy (DR) is a preventable cause of blindness detectable through screening using retinal digital photography. The Irish National Diabetic Retina Screening (DRS) programme, Diabetic RetinaScreen, provides free screening services to patients with diabetes from aged 12 years and older. A technical failure (TF) occurs when digital retinal imaging is ungradable, resulting in delays in the diagnosis and treatment of sight-threatening disease. Despite their impact, the causes of TFs, and indeed the utility of interventions to prevent them, have not been extensively examined.Aim: Primary analysis aimed to identify factors associated with TF. Secondary analysis examined a subset of cases, assessing patient data from five time points between 2019 and 2021 to identify photographer/patient factors associated with TF.Methods: Patient data from the DRS database for one provider were extracted for analysis between 2018 and 2022. Information on patient demographics, screening results, and other factors previously associated with TF were analyzed. Primary analysis involved using mixed-effects logistic regression models with nested patient-eye random effects. Secondary analysis reviewed a subset of cases in detail, checking for causes of TF.Results: The primary analysis included a total of 366,528 appointments from 104,407 patients over 5 years. Most patients had Type 2 diabetes (89.2%), and the overall TF rate was 4.9%. Diabetes type and duration, dilate pupil status, and the presence of lens artefacts on the camera were significantly associated with TF. The Secondary analysis identified the primary cause of TF was found to be optically dense cataracts, accounting for over half of the TFs.Conclusion: This study provides insight into the causes of TF within the Irish DRS program, highlighting cataracts as the primary contributing factor. The identification of patient-level factors associated with TF facilitates appropriate interventions that can be put in place to improve patient outcomes and minimize delays in treatment and diagnosis.Keywords: ungradable image, cataract, screen failure, camera, retinal photograph
The utility of PET-CT in baseline and sequential characterisation of Pulmonary Pleomorphic Carcinoma
No full textPulmonary Pleomorphic Carcinomas (PPCs) represent a rare and aggressive subtype of Non-Small Cell Lung Cancer (NSCLC) that can only be definitively diagnosed on a surgical specimen. This study utilised PET-CT to evaluate radiological characteristics of PPCs.
This study retrospectively evaluated the radiological characteristics of PCCs diagnosed in St James’s Hospital Dublin between 2012-2023. Computed Tomography (CT) and Positron Emission Tomography (FDG-PET) imaging features (size, location, density, shape, invasion, and growth kinetics) and standard uptake value for each lesion were evaluated.
39 PCCs were identified with a mean age of 66.5 years (range: 49-82 years). FDG-PET was performed in all 39 cases. Tumours demonstrated a high FDG uptake at baseline with a mean (SUV) of 12.6 (range: 1.4 - 36.9). A second interval PET-CT on average 3.3 months after the first in 3 cases demonstrated over 120% increase in SUV. The mean tumour size was 4.3 cm (range: 1.0 - 14.5 cm). Tumours developed rapid interval growth, reaching a mean maximum diameter of 6.6 cm (53.4%) within a mean of 2.1 months. Tumours were predominantly located in the upper lobe (71.8 %) and displayed necrotic features in 53.8 % of cases. 82.1% of tumours invaded the mediastinum.
This study describes the largest cohort of Pulmonary Pleomorphic Carcinoma in the literature. Tumours demonstrate a high SUV on baseline imaging and demonstrate rapid growth on interval imaging and central necrosis.
Please click on the \u27PDF\u27 for the full abstract
Contextual Method in Theology: Learnings from the Case of Aotearoa New Zealand
No full text The author looks at contextual method in theological reflection using the four elements or “sources” of experience, tradition, Scripture, and reason as a framework for analysis. It examines the case of local theology in Aotearoa New Zealand to illustrate the kinds of relationships among these elements that occur and the process issues we face when we do theology with particular attention to the local context. </jats:p
And God seith...\u27: representations of divine speech and personal relationship to God in Middle English literature
No full textTHESIS 8871This thesis aims to analyse the diegetic representation of divine discourse, in particular,
the reported speech of God in Middle English literature. It focuses on the narratorial
stance of key texts towards such representations of divine speech, critically reflecting
on the role that the points-of-view of both the embedded narrator and - more subtly -
the implied author play in the mediation of such speech; furthermore, the operations of
such speech are analysed to ascertain their purpose in relation to the \u27sentence\u27 of the
whole text. The major finding of the thesis is that divine speech is presented, implicitly
and explicitly, as the central medium by which God establishes and maintains His
friendship with man
The Distortion of Christian Ritual
No full text Although we normally expect christian liturgies to have benevolent effects on the participants, this may not always be the case. Christian rituals may not only fail to achieve their intended purpose, they may also suffer from distortion, with harmful results. Two kinds of distortion may be distinguished here: “recipient distortion”, which arises from defects in the recipients of the ritual action; and “symbolic distortion”, which arises from within the patterns of the ritual symbols themselves. We need to attend to strategies of detection and correction, particularly for symbolic distortion. The extensive footnotes to this article constitute a sub-text in themselves: this is a deliberate choice on the part of the author in order to separate basic argument from illustration, comment, and useful references. </jats:p
Safe patient handling and movement device training: a hands-on continuing education program for occupational therapy practitioners
No full textThesis (O.T.D.)--Boston University
PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at [email protected]. Thank you.Healthcare workers are reported to have a higher rate of work-related injuries than workers in private industry and most these injuries have been attributed to client handling tasks (BLS, 2009). Client handling tasks for all healthcare workers can include tasks such as: transfers, bed mobility, activities of daily living (ADL), sitting and standing balance training, ambulation/gait, wound care, lymphedema care and splinting. Research on the nursing profession indicates at least 12% of nurses are injured during client handling tasks and that at least 12% of nursing staff will leave client care or the profession because of an injury or fear of an injury (ANA, 20 12). Occupational therapists are conducting research to understand the injury rates of occupational therapy practitioners and the impact on the profession. The current research appears to mirror the nursing profession's findings. At least 12% of occupational therapy practitioners are injured during client care tasks and at least 12% will leave client care or the profession because of an injury or out of fear of an injury (Campo & Darragh, 2010; Darragh, et al., 2009; & Rice, et al., 2011).
The nursing profession has found that the use of safe patient handling and movement (SPHM) devices and techniques can reduce the incidents of client care related injuries among nursing staff (ANA, 2012). However, the use of SPHM devices has been primarily limited to surface to surface transfers and rarely used for therapeutic purposes. In fact, research indicates that therapy practitioners, for many reasons, currently do not believe that SPHM is appropriate for therapeutic interventions (Campo & Darragh, 2010; & Darragh, Campo, & Olson, 2009). This research also indicates therapy practitioner beliefs that the SPHM providers have not met the needs of therapy practitioners to use the devices therapeutically.
The Program is a face-to-face hands-on continuing education program designed to help occupational therapy practitioners investigate the causes and impacts of client care related injuries, problem-solve alternative direct care options and practice therapeutic use of SPHM devices and techniques
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