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Author W Cullen

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COVID-19's impact on primary care and related mitigation strategies: A scoping review.

Jayleigh Lim, John Broughan, Des Crowley, Brendan O'Kelly, Ronan Fawsitt, Mary Carmel Burke, Geoff McCombe, John S Lambert, Walter Cullen,

<h4>Background</h4>The COVID-19 pandemic has had a substantial impact on primary care throughout Europe and globally.<h4>Objectives</h4>This review aims to ascertain how the pandemic has impacted primary care service provision/patients and to examine strategies to mitigate these impacts.<h4>Methods</h4>The scoping review framework comprised a six-stage process developed by Arksey and O'Malley. The search ... Read more >>

Eur J Gen Pract (The European journal of general practice)
[2021, 27(1):166-175]

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Antibiotic prescribing patterns in patients hospitalized with COVID-19: lessons from the first wave.

Brendan O'Kelly, Colm Cronin, David Connellan, Sean Griffin, Stephen Peter Connolly, Jonathan McGrath, Aoife G Cotter, Tara McGinty, Eavan G Muldoon, Gerard Sheehan, Walter Cullen, Peter Doran, Tina McHugh, Louise Vidal, Gordana Avramovic, John S Lambert,

<h4>Background</h4>A high proportion of hospitalized patients with COVID-19 receive antibiotics despite evidence to show low levels of true bacterial coinfection.<h4>Methods</h4>A retrospective cohort study examining antibiotic prescribing patterns of 300 patients sequentially diagnosed with COVID-19. Patients were grouped into 3 sub-cohorts: Group 1 received no antibiotics, Group 2 received antibiotics for ... Read more >>

JAC Antimicrob Resist (JAC-antimicrobial resistance)
[2021, 3(2):dlab085]

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General practice attendances among patients attending a post-COVID-19 clinic: a pilot study.

John Broughan, Geoff McCombe, Gordana Avramovic, Des Crowley, Cheyenne Downey, Joanne Downey O'Sullivan, Ronan Fawsitt, Tina McHugh, Eileen O'Connor, Carla Perrotta, Aoife G Cotter, John S Lambert, Walter Cullen,

<h4>Background</h4>About 10-35% of people with COVID-19 need medical care within 3 weeks of infection. However, the prevalence of ongoing care needs among those experiencing severe COVID-19 illness is unclear.<h4>Aim</h4>This pilot study aimed to address this knowledge gap by examining GP attendance trends among patients attending a post-COVID-19 hospital follow-up clinic, ... Read more >>

BJGP Open (BJGP open)
[2021, 5(3):]

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Interventions to Optimise Mental Health Outcomes During the COVID-19 Pandemic: A Scoping Review.

Jacqueline Safieh, John Broughan, Geoff McCombe, Niamh McCarthy, Timothy Frawley, Allys Guerandel, John S Lambert, Walter Cullen,

Adverse mental health has been a major consequence of the COVID-19 pandemic. This review examines interventions to enhance mental health outcomes and well-being of populations during COVID-19. Four electronic databases (MEDLINE, PsycINFO, Embase, and CINAHL) were searched following Arskey and O'Malley's six-staged scoping review process. Twenty studies were included in ... Read more >>

Int J Ment Health Addict (International journal of mental health and addiction)
[2021, :1-22]

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Curriculum initiatives to enhance research skills acquisition by medical students: a scoping review.

Crea Carberry, Geoff McCombe, Helen Tobin, Diarmuid Stokes, Jason Last, Gerard Bury, Walter Cullen,

<h4>Background</h4>Although it is accepted that providing medical students with opportunities to engage in research activity is beneficial, little data has been collated on how medical degree curricula may address this issue. This review aims to address this knowledge gap by conducting a scoping review examining curriculum initiatives that seek to ... Read more >>

BMC Med Educ (BMC medical education)
[2021, 21(1):312]

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Documentation of Do-Not-Attempt-Cardiopulmonary-Resuscitation orders amid the COVID-19 pandemic.

David Connellan, Kara Diffley, John McCabe, Aoife Cotter, Tara McGinty, Gerard Sheehan, Karen Ryan, Walter Cullen, John S Lambert, Elizabeth L Callaly, Lorraine Kyne,

<h4>Introduction</h4>the COVID-19 pandemic has brought the decision-making process regarding cardiopulmonary resuscitation (CPR) into focus. The aim of this study is to compare rates of Do-Not-Attempt-CPR (DNACPR) documentation in older hospitalised patients before and during the COVID-19 pandemic.<h4>Methods</h4>this was a retrospective repeated cross-sectional study. Data including co-morbidities and resuscitation status was ... Read more >>

Age Ageing (Age and ageing)
[2021, 50(4):1048-1051]

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How do delirium motor subtypes differ in phenomenology and contributory aetiology? a cross-sectional, multisite study of liaison psychiatry and palliative care patients.

Kevin Glynn, Frank McKenna, Kevin Lally, Muireann O'Donnell, Sandeep Grover, Subho Chakrabarti, Ajit Avasthi, Surendra K Mattoo, Akhilesh Sharma, Abhishek Gosh, Ruchita Shah, David Hickey, James Fitzgerald, Brid Davis, Niamh O'Regan, Dimitrious Adamis, Olugbenja Williams, Fahad Awan, C Dunne, Walter Cullen, Shane McInerney, John McFarland, Faiza Jabbar, Henry O'Connell, Paula T Trzepacz, Maeve Leonard, David Meagher,

<h4>Objectives</h4>To investigate whether delirium motor subtypes differ in terms of phenomenology and contributory aetiology.<h4>Design</h4>Cross-sectional study.<h4>Setting</h4>International study incorporating data from Ireland and India across palliative care, old age liaison psychiatry and general adult liaison psychiatry settings.<h4>Participants</h4>1757 patients diagnosed with delirium using criteria from the Diagnostic and Statistical Manual of Mental Disorders, ... Read more >>

BMJ Open (BMJ open)
[2021, 11(4):e041214]

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What is the role of doctors in respect of suspects with mental health and intellectual disabilities in police custody?

G Gulati, B D Kelly, W Cullen, S Kukaswadia, A Cusack, S Kilcommins, C P Dunne,

People with severe mental illness and intellectual disabilities are overrepresented in the criminal justice system worldwide and this is also the case in Ireland. Following Ireland's ratification of the United Nations' Convention on the Rights of People with Disabilities in 2018, there has been an increasing emphasis on ensuring access ... Read more >>

Ir J Psychol Med (Irish journal of psychological medicine)
[2021, :1-6]

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Challenges for people with intellectual disabilities in law enforcement interactions in Ireland; thematic analysis informed by 1537 person-years' experience.

Gautam Gulati, Alan Cusack, John Bogue, Anne O'Connor, Valerie Murphy, Darius Whelan, Walter Cullen, Cliona McGovern, Brendan D Kelly, Elizabeth Fistein, Shane Kilcommins, Colum P Dunne,

<h4>Background</h4>People with intellectual disabilities (PWID) are over-represented in criminal justice systems globally. This over-representation reveals itself at once in the demographic make-up of prison populations, as well as those detained in police settings as suspects of crime. While it is well-established in international literature that individuals who find themselves in ... Read more >>

Int J Law Psychiatry (International journal of law and psychiatry)
[2021, 75:101683]

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Exploring and understanding HCV patient journeys- HEPCARE Europe project.

Shannon Glaspy, Gordana Avramovic, Tina McHugh, Cristiana Oprea, Julian Surey, Irina Ianache, Juan Macías, Alistair Story, Walter Cullen, John S Lambert,

<h4>Background</h4>Hepatitis C Virus (HCV) is a leading cause for chronic liver diseases worldwide. The European Union and World Health Organization aspire to eliminate HCV by 2030. However, among at-risk populations, including, homeless people, prisoners and People Who Inject Drugs, access to diagnosis and treatment is challenging. Hepcare Europe is an ... Read more >>

BMC Infect Dis (BMC infectious diseases)
[2021, 21(1):239]

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Drug-related medical hospital admissions during and after a period of head shop expansion.

Bobby P Smyth, Anne O'Farrell, Walter Cullen,

<h4>Background</h4>New psychoactive substance (NPS) use can negatively impact health and may result in drug-related hospital admissions (DRHAs). Irish youth reported very high rates of NPS use by international standards, the most common being synthetic cannabinoids and cathinones. There was a rapid expansion in specialist shops, called head shops, selling NPS ... Read more >>

Eur J Public Health (European journal of public health)
[2021, 31(2):285-291]

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Paramedics working in general practice: a scoping review

David Xi, Geoff McCombe, Gina Agarwal, Matthew Booker, Walter Cullen, Gerard Bury, Tomás Barry,

Background: The term ‘paramedic’ has traditionally related to a healthcare professional trained to provide pre-hospital emergency care; however, paramedics are increasingly taking on novel additional non-emergency roles. General practice is facing unprecedented demand for its services related to rising expectations, an aging society and increased prevalence of chronic disease. Paramedics ... Read more >>

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Educational Studies Examining Knowledge of Substance Use Disorders and Career Aspirations among Medical Trainees in an Inner-City Hospital.

Luke Gooding, Michee-Ana Hamilton, Huiru Dong, Evan Wood, Walter Cullen, Nadia Fairbairn, Seonaid Nolan, Jan Klimas,

<h4>Objectives</h4>Gaps in addiction medicine training are a reason for poor substance use care in North America. Hospital addiction medicine consult services (AMCS) provide critical medical services, including screening and treatment of substance use disorders. Although these programs often feature an educational component for medical learners, the impact of AMCS teaching ... Read more >>

J Addict Med (Journal of addiction medicine)
[2021, :]

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Curriculum Initiatives to Enhance Research Skills Acquisition by Medical Students: A Scoping Review of the Literature

Crea Carberry, Geoff McCombe, Helen Tobin, Diarmuid Stokes, Jason Last, Gerard Bury, Walter Cullen,

<h4>Background: </h4> Although it is accepted that providing medical students with opportunities to engage in research activity is beneficial, little data has been collated on how medical degree curricula may address this issue. This review aims to address this knowledge gap by conducting a scoping review examining curriculum initiatives that ... Read more >>

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Integrating Primary and Secondary Care to Enhance Chronic Disease Management: A Scoping Review.

Sara Murtagh, Geoff McCombe, John Broughan, Áine Carroll, Mary Casey, Áine Harrold, Thomas Dennehy, Ronan Fawsitt, Walter Cullen,

<h4>Background</h4>In Ireland, as in many healthcare systems, health policy has committed to delivering an integrated model of care to address the increasing burden of chronic disease. Integrated care is an approach to healthcare systems delivery that aims to minimise fragmentation of patient services and improve care continuity. To this end, ... Read more >>

Int J Integr Care (International journal of integrated care)
[2021, 21(1):4]

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Anticipate study protocol: Baseline profile and care outcomes of patients attending Mater Misericordiae University Hospital with COVID-19 infection

Gordana Avramovic, Tina McHugh, Stephen Connolly, Walter Cullen, John Lambert,

Background: While the COVID-19 pandemic is currently impacting on health and social care in Ireland, this impact is most marked in metropolitan Dublin. This is especially the case for the Mater Misericordiae University Hospital (MMUH) in Dublin’s North Inner, which is situated in an area where local socially deprived communities ... Read more >>

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What is the clinical course of patients hospitalised for COVID-19 treatment Ireland: a retrospective cohort study in Dublin’s North Inner City (the ‘Mater 100’)

Brendan O’Kelly, Colm Cronin, Stephen Peter Connolly, Walter Cullen, Gordana Avramovic, Tina McHugh, Eileen O’Connor, Aoife Cotter, Peter Doran, Tara McGinty, Dermot O’Callaghan, Sean Gaine, Gerard Sheehan, Eamonn Brazil, Brian Marsh, John Lambert,

<ns3:p> <h4>Background: </h4> Ireland has experienced an outbreak of coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). While several cohorts from China have been described, there is little data describing the epidemiological and clinical characteristics of Irish patients with COVID-19. To improve our understanding of ... Read more >>

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What factors influence medical students to enter a career in general practice? A scoping review.

Sameed Arshad, Geoff McCombe, Crea Carberry, Aine Harrold, Walter Cullen,

<h4>Background</h4>Internationally, healthcare systems are providing more community-based care. Consequently, there is an increasing demand for GPs and other healthcare professionals to work in primary care and this has implications for undergraduate medical education.<h4>Aims</h4>In this scoping review, we aim to examine 'What factors positively influence medical students to pursue a career ... Read more >>

Ir J Med Sci (Irish journal of medical science)
[2021, 190(2):657-665]

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HEPCARE EUROPE- A case study of a service innovation project aiming at improving the elimination of HCV in vulnerable populations in four European cities.

Gordana Avramovic, Maeve Reilly, Walter Cullen, Juan Macías, Geoff McCombe, Tina McHugh, Cristiana Oprea, Alistair Story, Julian Surey, Caroline Sabin, Sandra Bivegete, Peter Vickerman, Josephine Walker, Zoe Ward, John S Lambert,

<h4>Objectives</h4>Hepatitis C Virus (HCV) is a significant cause of chronic liver disease. Among at-risk populations, access to diagnosis and treatment is challenging. We describe an integrated model of care, Hepcare Europe, developed to address this challenge.<h4>Methods</h4>Using a case-study approach, we describe the cascade of care outcomes at all sites. Cost ... Read more >>

Int J Infect Dis (International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases)
[2020, 101:374-379]

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Physical health interventions for patients who have experienced a first episode of psychosis: a narrative review.

Fergal Fouhy, Walter Cullen, Karen O'Connor,

<h4>Objectives</h4>Service users with severe psychiatric illnesses, such as schizophrenia, major depressive disorder and bipolar disorder, are more likely to suffer from ill health. There is evidence that lifestyle interventions, for example, exercise, dietary advice and smoking cessation programmes for service users with severe mental illness can be of health benefit. ... Read more >>

Ir J Psychol Med (Irish journal of psychological medicine)
[2021, 38(1):62-75]

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Study Protocol: Prospective, observational, cohort study of COVID-19 in General Practice (North Dublin COVID-19 Cohort [‘ANTICIPATE’] Study)

Walter Cullen, Gordana Avramovic, John Broughan, Mary-Carmel Burke, Aoife Cotter, Des Crowley, Joanne Downey, Paul Duggan, Ronan Fawsitt, Allys Guerandel, Eilis Hennessy, Cecily Kelleher, Gerald Mills, Geoff McCombe, Tina McHugh, Eileen O’Connor, Carla Perrotta, John Lambert,

<ns3:p> <h4>Background: </h4> It is accepted that COVID-19 will have considerable long-term consequences, especially on people’s mental and physical health and wellbeing. Although the impacts on local communities have been immense, there remains little data on long term outcomes among patients with COVID-19 who were managed in general practice and ... Read more >>

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Prison and opportunities for the management of COVID-19.

Des Crowley, Walter Cullen, Patrick O'Donnell, Marie Claire Van Hout,

BJGP Open (BJGP open)
[2020, 4(3):]

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Pre-exposure prophylaxis and primary care.

Des Crowley, Walter Cullen, Patrick O'Donnell,

Br J Gen Pract (The British journal of general practice : the journal of the Royal College of General Practitioners)
[2020, 70(697):409-410]

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HepCare Ireland-a service innovation project.

Stephen P Connolly, Gordana Avramovic, Walter Cullen, Tina McHugh, Eileen O'Connor, Geoff Mc Combe, Des Crowley, Anna Marie Naughton, Aidan Horan, John S Lambert,

Hepatitis C virus (HCV) remains a major cause of morbidity and death worldwide, with prevalence highest among people who inject drugs (PWID), homeless populations and prisoners. The World Health Organization has published targets to be achieved by 2030 as part of its global health sector strategy to eliminate viral hepatitis. ... Read more >>

Ir J Med Sci (Irish journal of medical science)
[2021, 190(2):587-595]

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Ethical issues in intervention studies on the prevention and management of diabetes and hypertension in sub-Saharan Africa.

Elizabeth Shayo, Marie Claire Van Hout, Josephine Birungi, Anupam Garrib, Sokoine Kivuyo, Sayoki Mfinanga, Moffat J Nyrienda, Ivan Namakoola, Joseph Okebe, Kaushik Ramaiya, Max Oscar Bachmann, Walter Cullen, Jeffrey V Lazarus, Geoff Gill, Tinevimbo Shiri, Dominic Bukenya, Hazel Snell, Mastula Nanfuka, Luis E Cuevas, Meshack Shimwela, Gerald Mutungi, Joshua Musinguzi, Janneth Mghamba, Kenneth Mugisha, Shabbar Jaffar, Peter G Smith, Nelson Kaulukusi Sewankambo,

BMJ Glob Health (BMJ global health)
[2020, 5(7):]

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