Publications and Reports

Displaying 1 - 10 of 38
E.g., 28 Apr 2017
E.g., 28 Apr 2017
15 May 2016

The Society for Clinical Trials (SCT) an international and multidisciplinary society of individuals who share a passion and commitment to advancing the methodology and conduct of clinical trials. The function of the Society as a forum to discuss and debate the role of clinical trials in the research enterprise has never been more important as we are faced with the challenges of designing efficient trials to address the most compelling clinical questions in a research environment characterized...

10 Sep 2015

Overweight and obesity during pregnancy is associated with an increased risk of gestational diabetes mellitus (GDM), preeclampsia and macrosomia.

Antenatal lifestyle interventions have been shown to be effective in reducing these risks, however, studies often fail to identify the mechanisms by which the intervention is expected to be effective.

Aim:

1. To identify the barriers and enablers to behaviour change from the perspective of overweight and obese pregnant women and...

3 Sep 2015

Pre-Eclampsiais a pregnancy specific condition characterised by a significant rise in blood pressure (>140/90mmHg) and new onset proteinin the urine (>300mg in 24 hours) after 20 weeks gestation (1).
It accounts for 12% of maternal deaths per year globally (1), affecting 2-3% of all Irish pregnancies (2). Forthe mother it can lead to the development of long term morbidities, and increases the risk of future hospitalisation. Furthermore it can impact infant development by increasin...

2 Sep 2015

Caesarean Section (CS) rates have increased significantly in Ireland in recent decades.1 This has been partially attributed to women’s request for the procedure. The concepts of ‘informed choice’ and ‘women centred care’ have become central tenets of maternity care2 yet women’s experience of the decision making process is largely absent from the literature.The aim of this study was to explore the experience of decision making about mode of delivery in women who had delivered by CS. Ethics...

2 Sep 2015
Diabetes is increasing globally and lower extremity amputations (LEA) are complications of this condition. Depression is reported to be more common in people with diabetes, although the aetiology is multifactorial. The number of people being diagnosed with diabetes is increasing worldwide (estimated at 11%), but the impact of depression in this group on the risk of amputation is largely unknown.
2 Sep 2015
The Health Service Executive (HSE) has embarked on a series of regional system re-design storadically change the organisation of urgent and emergency care services in Ireland.This is at a time when budgetsand stafflevels have been substantially reducedandthere is growing awareness of problems with qualityand safety. •First priority of this initiative is to‘develop integrated services across all stages of the care journey’with the goal of increasing efficiencyand improving performance. Major chan...
1 Sep 2015

An increasing and often inappropriately large proportion of the resources and attention of the healthcare system is being diverted into the Emergency and Urgent Care System (EUCS).To describe the evolution of health policy relevant to EUCS in Ireland, using the Health Policy Triangle, to examine coherence between different policy documents and to assess implementation of these policies.Design: retrospective documentary analysis of current policy documents outlining the delivery of emergency a...

1 Sep 2015

The Health Service Executive has embarked on a series of regional system re-designs to change the organisation of urgent and emergency care delivery in Ireland.
Purpose of these programmes is to “develop integrated services across all stages of the care journey” with the goal of increasing efficiency and improving performance.

Results:
Planning documents identified by documentary analysis reveal emphasis on ‘hub and spoke’ models of care.
In re-designs carried out to...

27 Oct 2014

Background

The National Clinical Programme for Diabetes (NCPD) was established to standardise the delivery of services, improve the quality of care and health outcomes for patients with diabetes. This will be achieved through the implementation of various interventions. Our aim is to evaluate the ongoing roll out of the NCPD, using a realist evaluation approach, to ascertain the context and mechanisms which have facilitated or hindered implementation.

Methods

Design: qual...

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