Full Text Journal Articles by
Author M Twomey

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The Tango of Problem Formulation: A Patient's/Researcher's Reflection on an Action Design Research Journey.

Michael B Twomey, David Sammon, Tadhg Nagle,

This paper reports on the reflection of the lead researcher, a 48-year-old patient with cystic fibrosis (CF), and aims to portray his real-life experience of a 10-month action design research (ADR) project. Playing a dual role, as both a patient and researcher, the lead researcher reflects deeply on his ADR ... Read more >>

J Med Internet Res (Journal of medical Internet research)
[2020, 22(7):e16916]

Cited: 0 times

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Children's Palliative Care; the identified Learning Needs of Paediatricians.

L Whitla, M Devins, E J Molloy, M Twomey, M O'Reilly, J Balfe,

Aim To determine baseline learning needs of Paediatricians in Ireland when caring for children with palliative care needs. Methods A questionnaire based online survey was conducted. Results One hundred and fourteen paediatricians responded to the survey, the majority were Specialist Registrars but almost half were consultant paediatricians (46% n=52). Most ... Read more >>

Ir Med J (Irish medical journal)
[2020, 113(6):95]

Cited: 0 times

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Implementation and performance of the South African Triage Scale at Kenyatta National Hospital in Nairobi, Kenya.

Ali A Wangara, Katherine M Hunold, Sarah Leeper, Frederick Ndiawo, Judith Mweu, Shaun Harty, Rachael Fuchs, Ian B K Martin, Karen Ekernas, Stephen J Dunlop, Michèle Twomey, Alice W Maingi, Justin Guy Myers,

INTRODUCTION:Triage protocols standardize and improve patient care in accident and emergency departments (A&Es). Kenyatta National Hospital (KNH), the largest public tertiary hospital in East Africa, is resource-limited and was without A&E-specific triage protocols. OBJECTIVES:We sought to standardize patient triage through implementation of the South African Triage Scale (SATS). We aimed ... Read more >>

(International journal of emergency medicine)
[2019, 12(1):5]

Cited: 2 times

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A comparison of embalming fluids on the structures and properties of tissue in human cadavers.

Joy Y Balta, Maria Twomey, Fiachra Moloney, Orla Duggan, Kevin P Murphy, Owen J O'Connor, Michael Cronin, John F Cryan, Michael M Maher, Siobhain M O'Mahony,

Cadaveric material has long been used to teach anatomy and more recently to train students in clinical skills. The aim of this study was to develop a systematic approach to compare the impact of four embalming solutions on the tissues of human cadavers. To this end, a formalin-based solution, Thiel, ... Read more >>

Anat Histol Embryol (Anatomia, histologia, embryologia)
[2019, 48(1):64-73]

Cited: 3 times

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Low-dose CT imaging of the acute abdomen using model-based iterative reconstruction: a prospective study.

Fiachra Moloney, Karl James, Maria Twomey, David Ryan, Tyler M Grey, Amber Downes, Richard G Kavanagh, Niamh Moore, Mary Jane Murphy, Jackie Bye, Brian W Carey, Sean E McSweeney, Conor Deasy, Emmett Andrews, Fergus Shanahan, Michael M Maher, Owen J O'Connor,

OBJECTIVES:Performance of a modified abdominopelvic CT protocol reconstructed using full iterative reconstruction (IR) was assessed for imaging patients presenting with acute abdominal symptoms. MATERIALS AND METHODS:Fifty-seven patients (17 male, 40 female; mean age of 56.5 ± 8 years) were prospectively studied. Low-dose (LD) and conventional-dose (CD) CTs were contemporaneously acquired between November 2015 ... Read more >>

Emerg Radiol (Emergency radiology)
[2019, 26(2):169-177]

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Risk Factors for Bud Perennation of Podosphaera macularis on Hop.

David H Gent, Walter F Mahaffee, William W Turechek, Cynthia M Ocamb, Megan C Twomey, Joanna L Woods, Claudia Probst,

The hop powdery mildew fungus Podosphaera macularis persists from season to season in the Pacific Northwestern United States through infection of crown buds because only one of the mating types needed to produce the ascigerous stage is presently found in this region. Bud infection and successful overwintering of the fungus ... Read more >>

Phytopathology (Phytopathology)
[2019, 109(1):74-83]

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A phantom study of the performance of model-based iterative reconstruction in low-dose chest and abdominal CT: When are benefits maximized?

F Moloney, M Twomey, K James, R G Kavanagh, D Fama, S O'Neill, T M Grey, N Moore, M J Murphy, O J O'Connor, M M Maher,

INTRODUCTION:The aim of this study was to assess and compare the effects of CT image reconstruction techniques on low-dose CT image quality using phantoms. METHODS:Anthropomorphic torso and spatial/contrast-resolution phantoms were scanned at decreasing tube currents between 400 and 10 mA. CT thorax and abdomen/pelvis series were reconstructed with filtered back projection ... Read more >>

Radiography (Lond) (Radiography (London, England : 1995))
[2018, 24(4):345-351]

Cited: 2 times

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Sarcopenia and Post-Operative Morbidity and Mortality in Patients with Gastric Cancer.

Stephen O'Brien, Stephen O'Brien, Maria Twomey, Fiachra Moloney, Richard G Kavanagh, Brian W Carey, Derek Power, Michael M Maher, Owen J O'Connor, Criostoir Ó'Súilleabháin,

Purpose:Surgical resection for gastric adenocarcinoma is associated with significant post-operative morbidity and mortality. The aim of this study was to assess the prognostic significance of sarcopenia in patients undergoing resection for gastric adenocarcinoma with respect to post-operative morbidity and survival. Materials and Methods:A retrospective analysis was conducted on a cohort ... Read more >>

(Journal of gastric cancer)
[2018, 18(3):242-252]

Cited: 5 times

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Determination of a suitable low-dose abdominopelvic CT protocol using model-based iterative reconstruction through cadaveric study.

Fiachra Moloney, Maria Twomey, Daniel Fama, Joy Y Balta, Karl James, Richard G Kavanagh, Niamh Moore, Mary Jane Murphy, Siobhan M O'Mahony, Michael M Maher, John F Cryan, Owen J O'Connor,

INTRODUCTION:Cadaveric studies provide a means of safely assessing new technologies and optimizing scanning prior to clinical validation. Reducing radiation exposure in a clinical setting can entail incremental dose reductions to avoid missing important clinical findings. The use of cadavers allows assessment of the impact of more substantial dose reductions on ... Read more >>

J Med Imaging Radiat Oncol (Journal of medical imaging and radiation oncology)
[2018, 62(5):625-633]

Cited: 1 time

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Susceptibility of Hop Crown Buds to Powdery Mildew and its Relation to Perennation of Podosphaera macularis.

David H Gent, Briana J Claassen, Megan C Twomey, Sierra N Wolfenbarger, Joanna L Woods,

In the Pacific Northwestern United States, the hop powdery mildew fungus, Podosphaera macularis, survives overwintering periods in association with living host tissue because the ascigerious stage of the pathogen is not known to occur in this region. Field experiments were conducted over a 5-year period to describe the overwintering process ... Read more >>

Plant Dis. (Plant disease)
[2018, 102(7):1316-1325]

Cited: 0 times

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Assessment of isocenter alignment during CT colonography: Implications for clinical practice.

K L Olden, R G Kavanagh, K James, M Twomey, F Moloney, N Moore, K Carey, K P Murphy, T M Grey, P Nicholson, R Chopra, M M Maher, O J O'Connor,

INTRODUCTION:Optimization of image quality and patient radiation dose is achieved in part by positioning the patient at the isocenter of the CT gantry. The aim of this study was to establish whether there was increased isocenter misalignment (IM) in CT colonography (CTC) scans by comparing patient position during the prone ... Read more >>

Radiography (Lond) (Radiography (London, England : 1995))
[2018, 24(4):334-339]

Cited: 0 times

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Strengthening Emergency Care Systems to Mitigate Public Health Challenges Arising from Influxes of Individuals with Different Socio-Cultural Backgrounds to a Level One Emergency Center in South East Europe.

Michèle Twomey, Ana Šijački, Gert Krummrey, Tyson Welzel, Aristomenis K Exadaktylos, Marko Ercegovac,

Emergency center visits are mostly unscheduled, undifferentiated, and unpredictable. A standardized triage process is an opportunity to obtain real-time data that paints a picture of the variation in acuity found in emergency centers. This is particularly pertinent as the influx of people seeking asylum or in transit mostly present with ... Read more >>

Int J Environ Res Public Health (International journal of environmental research and public health)
[2018, 15(3):]

Cited: 1 time

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Inter-rater and intrarater reliability of the South African Triage Scale in low-resource settings of Haiti and Afghanistan.

Mohammed Dalwai, Katie Tayler-Smith, Michèle Twomey, Masood Nasim, Abdul Qayum Popal, Waliul Haq Haqdost, Olivia Gayraud, Sophia Cheréstal, Lee Wallis, Pola Valles,

OBJECTIVE:The South African Triage Scale (SATS) has demonstrated good validity in the EDs of Médecins Sans Frontières (MSF)-supported sites in Afghanistan and Haiti; however, corresponding reliability in these settings has not yet been reported on. This study set out to assess the inter-rater and intrarater reliability of the SATS in ... Read more >>

Emerg Med J (Emergency medicine journal : EMJ)
[2018, 35(6):379-383]

Cited: 2 times

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Referrals to a perinatal specialist palliative care consult service in Ireland, 2012-2015.

Des L McMahon, Marie Twomey, Maeve O'Reilly, Mary Devins,

OBJECTIVE:To analyse the referral patterns of perinatal patients referred to a specialist palliative care service (SPCS), their demographics, diagnoses, duration of illness, place of death and symptom profile. DESIGN:A retrospective chart review of all perinatal referrals over a 4-year period to the end of 2015. SETTING:A consultant-led paediatric SPCS at ... Read more >>

Arch Dis Child Fetal Neonatal Ed (Archives of disease in childhood. Fetal and neonatal edition)
[2018, 103(6):F573-F576]

Cited: 0 times

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Building the adult protective services system of tomorrow: The role of the APS national voluntary consensus guidelines.

Julie Bobitt, Jamie Kuhne, Julie Carter, Stephanie Whittier Eliason, Mary Twomey,

In 2015, the Administration for Community Living (ACL) established the first federal "home" for Adult Protective Services (APS). This leadership has included working collaboratively with state Adult Protective Service systems to ensure that older adults and adults with disabilities are afforded the same protections against abuse, neglect, and financial exploitation ... Read more >>

J Elder Abuse Negl (Journal of elder abuse & neglect)
[2018, 30(1):93-101]

Cited: 0 times

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Body composition determinants of radiation dose during abdominopelvic CT.

Patrick D McLaughlin, Liam Chawke, Maria Twomey, Kevin P Murphy, Siobhán B O'Neill, Sebastian R McWilliams, Karl James, Richard G Kavanagh, Charles Sullivan, Faimee E Chan, Niamh Moore, Owen J O'Connor, Joseph A Eustace, Michael M Maher,

OBJECTIVES:We designed a prospective study to investigate the in-vivo relationship between abdominal body composition and radiation exposure to determine the strongest body composition predictor of dose length product (DLP) at CT. METHODS:Following institutional review board approval, quantitative analysis was performed prospectively on 239 consecutive patients who underwent abdominopelvic CT. DLP, ... Read more >>

Insights Imaging (Insights into imaging)
[2018, 9(1):9-16]

Cited: 0 times

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An Assessment of the Quality of CT Radiation Dose Information on the Internet.

Siobhán O'Neill, David Glynn, Kevin P Murphy, Karl James, Maria Twomey, Richard Kavanagh, Owen J O'Connor, Michael M Maher,

OBJECTIVES:Our goal was to ascertain the quality of health information related to CT radiation exposure using a simulated Internet search and from incident information that may be available during day-to-day Internet usage. METHODS:We entered 14 terms relating to information on CT dose into the most commonly used Internet search engine ... Read more >>

J Am Coll Radiol (Journal of the American College of Radiology : JACR)
[2018, 15(1 Pt A):11-18]

Cited: 2 times

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CORK Study in Cystic Fibrosis: Sustained Improvements in Ultra-Low-Dose Chest CT Scores After CFTR Modulation With Ivacaftor.

Nicola J Ronan, Gisli G Einarsson, Maria Twomey, Denver Mooney, David Mullane, Muireann NiChroinin, Grace O'Callaghan, Fergus Shanahan, Desmond M Murphy, Owen J O'Connor, Cathy A Shortt, Michael M Tunney, Joseph A Eustace, Michael M Maher, J Stuart Elborn, Barry J Plant,

BACKGROUND:Ivacaftor produces significant clinical benefit in patients with cystic fibrosis (CF) with the G551D mutation. Prevalence of this mutation at the Cork CF Centre is 23%. This study assessed the impact of cystic fibrosis transmembrane conductance regulator modulation on multiple modalities of patient assessment. METHODS:Thirty-three patients with the G551D mutation ... Read more >>

Chest (Chest)
[2018, 153(2):395-403]

Cited: 10 times

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Is the South African Triage Scale valid for use in Afghanistan, Haiti and Sierra Leone?

Mohammed Dalwai, Pola Valles, Michele Twomey, Yvonne Nzomukunda, Prince Jonjo, Manoj Sasikumar, Masood Nasim, Abdul Razaaq, Olivia Gayraud, Pierre Ronald Jecrois, Lee Wallis, Katie Tayler-Smith,

To assess the validity of the South African Triage Scale (SATS) in four Médecins Sans Frontières (MSF)-supported emergency departments (ED, two trauma-only sites, one mixed site (both medical and trauma cases) and one paediatric-only site) in Afghanistan, Haiti and Sierra Leone.This was a retrospective cohort study conducted between June 2013 ... Read more >>

BMJ Glob Health (BMJ global health)
[2017, 2(2):e000160]

Cited: 9 times

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DEVELOPMENT OF THE ADULT PROTECTIVE SERVICES VOLUNTARY CONSENSUS GUIDELINES.

J. Kuhne, J. Bobitt, M. Twomey, J. Carter, S. Whittier Eliason, R. Mabe,

AbstractThe Administration for Community Living (ACL), seeking to ensure that the policies and practices of Adult Protective Services Programs (APS) are consistent nationwide, opened a process of public and stakeholder input on draft Voluntary Consensus Guidelines for State APS Systems in 2015. This draft was created by a working group ... Read more >>

(Innovation in aging)
[2017, 1(Suppl 1):1087-1087]

Cited: 0 times

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Adaptation to Partial Resistance to Powdery Mildew in the Hop Cultivar Cascade by Podosphaera macularis.

David H Gent, Stephen T Massie, Megan C Twomey, Sierra N Wolfenbarger,

The hop cultivar Cascade has been grown in the Pacific Northwestern U.S. and elsewhere with minimal input for management of powdery mildew (Podosphaera macularis) for nearly 15 years due to the putatively quantitative resistance in this cultivar. While partial resistance is generally thought to be more durable than qualitative resistance, ... Read more >>

Plant Dis. (Plant disease)
[2017, 101(6):874-881]

Cited: 1 time

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C-reactive protein and radiographic findings of lower respiratory tract infection in infants.

Maria Twomey, Hannah Fleming, Fiachra Moloney, Kevin P Murphy, Lee Crush, Siobhan B O'Neill, Oisin Flanagan, Karl James, Conor Bogue, Owen J O'Connor, Michael M Maher,

AIM:To evaluate the association between C-reactive protein (CRP) and radiological evidence of lower respiratory tract infection (LRTI) in infants. METHODS:All patients aged less than 4 years who presented with suspected lower respiratory tract infection, who received a peri-presentation chest radiograph and CRP blood measurement over an 18-mo period were included ... Read more >>

(World journal of radiology)
[2017, 9(4):206-211]

Cited: 0 times

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Reliability and validity of pediatric triage tools evaluated in Low resource settings: a systematic review.

Bhakti Hansoti, Alexander Jenson, Devin Keefe, Sarah Stewart De Ramirez, Trisha Anest, Michelle Twomey, Katie Lobner, Gabor Kelen, Lee Wallis,

Despite the high burden of pediatric mortality from preventable conditions in low and middle income countries and the existence of multiple tools to prioritize critically ill children in low-resource settings, no analysis exists of the reliability and validity of these tools in identifying critically ill children in these scenarios.The authors ... Read more >>

BMC Pediatr (BMC pediatrics)
[2017, 17(1):37]

Cited: 5 times

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Prioritisation of future research topics in paediatric palliative care in Ireland: a Delphi study.

Claire Quinn, Sandra McCarthy, Mary Devins, Maeve O'Reilly, Marie Twomey, Julie Ling,

This paper reports the findings from a Delphi Study undertaken to identify the research priorities in children's palliative care in Ireland. Palliative care for children is a small and highly specialised field of healthcare that focuses on improving the quality of life of children living with, or dying from, a ... Read more >>

Int J Palliat Nurs (International journal of palliative nursing)
[2017, 23(2):88-97]

Cited: 1 time

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Computed tomography and patient risk: Facts, perceptions and uncertainties.

Stephen P Power, Fiachra Moloney, Maria Twomey, Karl James, Owen J O'Connor, Michael M Maher,

Since its introduction in the 1970s, computed tomography (CT) has revolutionized diagnostic decision-making. One of the major concerns associated with the widespread use of CT is the associated increased radiation exposure incurred by patients. The link between ionizing radiation and the subsequent development of neoplasia has been largely based on ... Read more >>

(World journal of radiology)
[2016, 8(12):902-915]

Cited: 14 times

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