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Article ; Online: After the fire: A qualitative study of the role of long-term recovery organizations in addressing rural communities' post-wildfire needs.

Moloney, Kathleen / Vickery, Jamie / Hess, Jeremy / Errett, Nicole

Environmental research, health : ERH

2023 Volume 1, Issue 2, Page(s) 21009

Abstract: U.S. wildfire activity has increased over the past several decades, disrupting the systems and infrastructure that support community health and resilience. As the cumulative burden of wildfire damage is projected to increase, understanding an effective ... ...

Abstract	U.S. wildfire activity has increased over the past several decades, disrupting the systems and infrastructure that support community health and resilience. As the cumulative burden of wildfire damage is projected to increase, understanding an effective community recovery process is critically important. Through qualitative interviews with leaders of long-term recovery organizations (LTROs), a key component of wildfire recovery, we explored barriers and facilitators to LTROs' ability to support post-wildfire needs among rural communities. Between February-May 2022, we conducted surveys and semi-structured interviews with 18 leaders from six LTROs serving rural communities in Washington, Oregon, and California impacted by wildfires between 2015-2020. The Robert Wood Johnson Foundation's Culture of Health Framework informed the semi-structured interview guide and
Language	English
Publishing date	2023-05-30
Publishing country	England
Document type	Journal Article
ISSN	2752-5309
ISSN (online)	2752-5309
DOI	10.1088/2752-5309/acd2f7
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: After the fire

Kathleen Moloney / Jamie Vickery / Jeremy Hess / Nicole Errett

Environmental Research: Health, Vol 1, Iss 2, p

A qualitative study of the role of long-term recovery organizations in addressing rural communities’ post-wildfire needs

2023 Volume 021009

Abstract	U.S. wildfire activity has increased over the past several decades, disrupting the systems and infrastructure that support community health and resilience. As the cumulative burden of wildfire damage is projected to increase, understanding an effective community recovery process is critically important. Through qualitative interviews with leaders of long-term recovery organizations (LTROs), a key component of wildfire recovery, we explored barriers and facilitators to LTROs’ ability to support post-wildfire needs among rural communities. Between February-May 2022, we conducted surveys and semi-structured interviews with 18 leaders from six LTROs serving rural communities in Washington, Oregon, and California impacted by wildfires between 2015–2020. The Robert Wood Johnson Foundation’s Culture of Health Framework informed the semi-structured interview guide and a priori codebook, to examine LTROs’ ability to address post-wildfire community needs from a health equity perspective. Additional codes were added through an inductive approach, and emerging themes were identified. Our findings indicate that LTROs face many barriers in addressing community needs post-wildfire, including the policies governing access to and the slow arrival of recovery resources, the intertwined nature of community economic health and built environment restoration, and the challenge of forming a functional LTRO structure. However, participants also identified facilitators of LTROs’ work, including the ability of LTROs and their government partners to adapt policies and procedures, and close collaboration with other community organizations. Factors both internal and external to the community and LTROs’ organizational characteristics influence their ability to address community needs, essential to health, post-wildfire. This study’s findings suggest the need for policy improvements to promote more equitable recovery resource access, that economic recovery should be a core LTRO function, and that recovery planning should be incorporated into ...
Keywords	wildfire ; long-term recovery ; disaster ; health equity ; Environmental sciences ; GE1-350 ; Public aspects of medicine ; RA1-1270
Subject code	360 ; 306
Language	English
Publishing date	2023-01-01T00:00:00Z
Publisher	IOP Publishing
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Time to re-envisage integrity among nurse leaders.

Markey, Kathleen / Moloney, Mairead / Doody, Owen / Robinson, Simon

Journal of nursing management

2022 Volume 30, Issue 7, Page(s) 2236–2240

Abstract: Aim: This paper highlights integrity as a central tenet in the journey of ethical leadership among nurse leaders and dialogue as a way of working within integrity.: Background: Nurse leaders play a critical role in ensuring ethically sound, safe ... ...

Abstract	Aim: This paper highlights integrity as a central tenet in the journey of ethical leadership among nurse leaders and dialogue as a way of working within integrity. Background: Nurse leaders play a critical role in ensuring ethically sound, safe patient care by supporting staff and fostering positive working environments. Although there is an abundance of literature on leadership, no universally accepted leadership theory exists. Hence, it can be difficult to apply leadership theory and principals to real-life clinical practice. Evaluation: From the literature, it is evident that integrity is a crucial aspect of leadership. This paper proposes suggestions for nurturing integrity and fostering open and honest dialogue. Key issues: Globally, public health care is complex and evolving and effective nursing leadership is paramount to meet public health needs and support health care systems. Conclusion: This paper explores integrity with leadership, re-envisaging personal and professional integrity as a portal to authentic leadership, which has human relationships and dialogue at its core. Implications for nursing management: Nurse leaders need support in guiding the nursing profession and promoting ethically sound patient care. The true nature of leadership is dialogue, and nurturing a culture of listening and openness at different levels within an organisation is crucial.
MeSH term(s)	Humans ; Nurse Administrators ; Leadership ; Nursing ; Delivery of Health Care
Language	English
Publishing date	2022-02-15
Publishing country	England
Document type	Journal Article
ZDB-ID	1162321-4
ISSN	1365-2834 ; 0966-0429
ISSN (online)	1365-2834
ISSN	0966-0429
DOI	10.1111/jonm.13557
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Article: Mosquito-Borne Diseases: Social Representations of a University Community in Endemic Outbreaks.

Delouvée, Sylvain / Moloney, Gail / McColl, Kathleen / Lo Monaco, Grégory

Infectious disease reports

2021 Volume 13, Issue 2, Page(s) 486–493

Abstract: 1) Background: Studying social representations as lay theories allows for a better understanding of the common sense knowledge constructed around mosquito-borne diseases and the impact this may have on attitudes and behaviors. (2) Methods: A ... ...

Abstract	(1) Background: Studying social representations as lay theories allows for a better understanding of the common sense knowledge constructed around mosquito-borne diseases and the impact this may have on attitudes and behaviors. (2) Methods: A hierarchical evocation questionnaire was circulated through an Australian academic community and analyzed by prototypical analysis and correspondence factor analysis. (3) Results: Representational areas are regulated by participant age and whether or not they had contracted a mosquito-borne disease. (4) Conclusions: Collecting and understanding social representations has the potential to help social actors implement strategies that encourage people to access information and adopt behaviors in line with the scientific reality of the phenomenon, rather than limiting lay theories.
Language	English
Publishing date	2021-05-30
Publishing country	Switzerland
Document type	Journal Article
ISSN	2036-7430
ISSN	2036-7430
DOI	10.3390/idr13020047
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Article ; Online: Cultural competence development: The importance of incorporating culturally responsive simulation in nurse education.

Markey, Kathleen / Doody, Owen / Kingston, Liz / Moloney, Mairead / Murphy, Louise

Nurse education in practice

2021 Volume 52, Page(s) 103021

Abstract: The continued reports of declining standards of care for culturally diverse patients, highlights the urgent need for nurse educators to critically examine how cultural competence development is facilitated in everyday teaching. Nurses frequently report ... ...

Abstract	The continued reports of declining standards of care for culturally diverse patients, highlights the urgent need for nurse educators to critically examine how cultural competence development is facilitated in everyday teaching. Nurses frequently report experiencing difficulties when adapting caring practice to culturally diverse groups. Subsequently, there needs to be a rooting of continuous cultural competence development threaded throughout undergraduate curricula. Simulation pedagogy can be used as a vehicle for nurturing cultural competence, but this requires a review of how culturally responsive simulation is structured and designed. This paper focuses on culturally responsive simulation as a means of improving the preparation of nurses for working in a broadening culturally diverse healthcare context by outlining fundamental considerations when integrating cultural competence development in everyday simulation.
MeSH term(s)	Cultural Competency ; Curriculum ; Delivery of Health Care ; Education, Nursing, Baccalaureate ; Faculty, Nursing ; Humans
Language	English
Publishing date	2021-03-08
Publishing country	Scotland
Document type	Journal Article
ZDB-ID	2058575-5
ISSN	1873-5223 ; 1471-5953
ISSN (online)	1873-5223
ISSN	1471-5953
DOI	10.1016/j.nepr.2021.103021
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Article ; Online: Can Baseline Patient Clinical and Demographic Characteristics Predict Response to Early Posttraumatic Stress Disorder Interventions After Physical Injury?

Birk, Navneet / Russo, Joan / Heagerty, Patrick / Parker, Lea / Moloney, Kathleen / Bulger, Eileen / Whiteside, Lauren / Moodliar, Rddhi / Engstrom, Allison / Wang, Jin / Palinkas, Lawrence / Abu, Khadijah / Zatzick, Douglas

Psychiatry

2024 , Page(s) 1–15

Abstract: Objective: A growing evidence base supports stepped care interventions for the early treatment of posttraumatic stress disorder (PTSD) after physical injury. Few investigations have examined the characteristics of patients who do and do not respond to ... ...

Abstract	Objective: A growing evidence base supports stepped care interventions for the early treatment of posttraumatic stress disorder (PTSD) after physical injury. Few investigations have examined the characteristics of patients who do and do not respond to these interventions. Method: This investigation was a secondary analysis that used previously collected data from three randomized clinical trials of stepped care interventions (patient Results: A substantial subgroup of patients ( Conclusions: Injured trauma survivors have readily identifiable characteristics at the time of hospitalization that can distinguish responders to PTSD stepped care interventions versus patients who may be treatment refractory.
Language	English
Publishing date	2024-03-18
Publishing country	United States
Document type	Journal Article
ZDB-ID	209433-2
ISSN	1943-281X ; 0033-2747
ISSN (online)	1943-281X
ISSN	0033-2747
DOI	10.1080/00332747.2024.2323367
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Article ; Online: Everolimus precision therapy for the GATOR1-related epilepsies: A case series.

Moloney, Patrick B / Kearney, Hugh / Benson, Katherine A / Costello, Daniel J / Cavalleri, Gianpiero L / Gorman, Kathleen M / Lynch, Bryan J / Delanty, Norman

European journal of neurology

2023 Volume 30, Issue 10, Page(s) 3341–3346

Abstract: Background: Pathogenic variants in the GAP activity towards RAGs 1 (GATOR1) complex genes (DEPDC5, NPRL2, NPRL3) cause focal epilepsy through hyperactivation of the mechanistic target of rapamycin pathway. We report our experience using everolimus in ... ...

Abstract	Background: Pathogenic variants in the GAP activity towards RAGs 1 (GATOR1) complex genes (DEPDC5, NPRL2, NPRL3) cause focal epilepsy through hyperactivation of the mechanistic target of rapamycin pathway. We report our experience using everolimus in patients with refractory GATOR1-related epilepsy. Methods: We performed an open-label observational study of everolimus for drug-resistant epilepsy caused by variants in DEPDC5, NPRL2 and NPRL3. Everolimus was titrated to a target serum concentration (5-15 ng/mL). The primary outcome measure was change in mean monthly seizure frequency compared with baseline. Results: Five patients were treated with everolimus. All had highly active (median baseline seizure frequency, 18/month) and refractory focal epilepsy (failed 5-16 prior anti-seizure medications). Four had DEPDC5 variants (three loss-of-function, one missense) and one had a NPRL3 splice-site variant. All patients with DEPDC5 loss-of-function variants had significantly reduced seizures (74.3%-86.1%), although one stopped everolimus after 12 months due to psychiatric symptoms. Everolimus was less effective in the patient with a DEPDC5 missense variant (43.9% seizure frequency reduction). The patient with NPRL3-related epilepsy had seizure worsening. The most common adverse event was stomatitis. Conclusions: Our study provides the first human data on the potential benefit of everolimus precision therapy for epilepsy caused by DEPDC5 loss-of-function variants. Further studies are needed to support our findings.
MeSH term(s)	Humans ; Everolimus/adverse effects ; Epilepsy ; Epilepsies, Partial/drug therapy ; Epilepsies, Partial/genetics ; GTPase-Activating Proteins/genetics ; Drug Resistant Epilepsy/drug therapy ; Drug Resistant Epilepsy/genetics
Chemical Substances	Everolimus (9HW64Q8G6G) ; GTPase-Activating Proteins ; NPRL3 protein, human
Language	English
Publishing date	2023-08-07
Publishing country	England
Document type	Observational Study ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1280785-0
ISSN	1468-1331 ; 1351-5101 ; 1471-0552
ISSN (online)	1468-1331
ISSN	1351-5101 ; 1471-0552
DOI	10.1111/ene.15975
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Article ; Online: Assessing community-level impacts of and responses to stay at home orders: The King County COVID-19 community study.

Moloney, Kathleen / Lamprea Montealegre, Julio A / Busch Isaksen, Tania M / Kennedy, Mallory / Archer, Megan / Contreras, Carlos / Iyaz, Daaniya / Randazza, Juliette / Silva, Javier / Errett, Nicole A

PloS one

2024 Volume 19, Issue 2, Page(s) e0296851

Abstract: Background: At the beginning of the COVID-19 pandemic, non-pharmaceutical interventions (NPIs) of unprecedented scope and duration were implemented to limit community spread of COVID-19. There remains limited evidence about how these measures impacted ... ...

Abstract	Background: At the beginning of the COVID-19 pandemic, non-pharmaceutical interventions (NPIs) of unprecedented scope and duration were implemented to limit community spread of COVID-19. There remains limited evidence about how these measures impacted the lived experience of affected communities. This study captured the early impacts and coping strategies implemented in King County, Washington, one of the first U.S. communities impacted by COVID-19. Methods: We conducted a cross-sectional web-based survey of 793 English- and Spanish-speaking adult King County residents from March 18, 2020 -May 30, 2020, using voluntary response sampling. The survey included close- and open-ended questions on participant demographics, wellbeing, protective actions, and COVID-19-related concerns, including a freeform narrative response to describe the pandemic's individual-, family- and community-level impacts and associated coping strategies. Descriptive statistics were used to analyze close-ended questions, and qualitative content analysis methods were used to analyze free-form narrative responses. Results: The median age of participants was 45 years old, and 74% were female, 82% were White, and 6% were Hispanic/Latinx; 474 (60%) provided a qualitative narrative. Quantitative findings demonstrated that higher percentages of participants engaged in most types of COVID-19 protective behaviors after the stay-at-home order was implemented and schools and community spaces were closed, relative to before, and that participants tended to report greater concern about the pandemic's physical health or healthcare access impacts than the financial or social impacts. Qualitative data analysis described employment or financial impacts (56%) and vitality coping strategies (65%), intended to support health or positive functioning. Conclusions: This study documented early impacts of the COVID-19 pandemic and the NPIs implemented in response, as well as strategies employed to cope with those impacts, which can inform early-stage policy formation and intervention strategies to mitigate the negative impacts. Future research should explore the endurance and evolution of the early impacts and coping strategies throughout the multiyear pandemic.
MeSH term(s)	Adult ; Humans ; Female ; Middle Aged ; Male ; COVID-19/epidemiology ; COVID-19/prevention & control ; Cross-Sectional Studies ; Pandemics/prevention & control ; Quarantine ; Washington/epidemiology
Language	English
Publishing date	2024-02-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0296851
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Mosquito-Borne Diseases

Sylvain Delouvée / Gail Moloney / Kathleen McColl / Grégory Lo Monaco

Infectious Disease Reports, Vol 13, Iss 47, Pp 486-

Social Representations of a University Community in Endemic Outbreaks

2021 Volume 493

Abstract	(1) Background: Studying social representations as lay theories allows for a better understanding of the common sense knowledge constructed around mosquito-borne diseases and the impact this may have on attitudes and behaviors. (2) Methods: A hierarchical evocation questionnaire was circulated through an Australian academic community and analyzed by prototypical analysis and correspondence factor analysis. (3) Results: Representational areas are regulated by participant age and whether or not they had contracted a mosquito-borne disease. (4) Conclusions: Collecting and understanding social representations has the potential to help social actors implement strategies that encourage people to access information and adopt behaviors in line with the scientific reality of the phenomenon, rather than limiting lay theories.
Keywords	social representations ; emerging infectious diseases ; mosquito-borne diseases ; health-protective behaviors ; Other systems of medicine ; RZ201-999
Subject code	306
Language	English
Publishing date	2021-05-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Omega 3 Fatty Acids in Enteral Nutrition for Very Low Birth Weight Preterm Infants: A Systematic Review (P11-085-19)

Moloney, Lisa / Gura, Kathleen / Martin, Camilia / Rozga, Mary

Current developments in nutrition. 2019 June 13, v. 3, no. Supplement_1

2019

Abstract: To investigate the evidence for the effect of omega 3 fatty acids via enteral nutrition on identified outcomes in the very low birthweight preterm infant population. A literature search was conducted in EMBASE, CINAHL, Cochrane Central, PubMed databases ... ...

Abstract	To investigate the evidence for the effect of omega 3 fatty acids via enteral nutrition on identified outcomes in the very low birthweight preterm infant population. A literature search was conducted in EMBASE, CINAHL, Cochrane Central, PubMed databases for the period of January 1980-November 2017 for all peer-reviewed articles examining preterm infant nutrition. A multidisciplinary volunteer expert Workgroup and staff screened articles according to defined inclusion criteria (randomized controlled trials, enteral fed preterm infants < 1500 gm, economically developed nations). Data was extracted and risk of bias was evaluated for each included article using the Academy's Quality Criteria Checklist and Cochrane's Risk of Bias Tool. Data was summarized and conclusion statements were developed and graded for each identified outcome using the GRADE framework and Academy methodology. The search identified in 25,264 articles, and six studies published in 13 articles were included. Two included studies had low risk of bias. Remaining studies had bias in the following Cochrane domains: attrition (2), detection (3), selection (2), performance (2), and reporting (1). Eleven conclusion statements were developed, 4 were graded as good, 2 as fair, 5 as limited. Though evidence quality describing the effect of 64mg of omega 3s daily on mortality and retinopathy of prematurity was good, there were no significant effects reported [RR (95% CI) was 1.31 (0.88 to 1.96) and 0.96 (0.61, 1.50), respectively]. Similarly, there were no significant effects found for type of fat intake by VLBW infants on bronchopulmonary disease, atopy, necrotizing enterocolitis, anthropometrics, neuro- or visual development or gastrointestinal health. This systematic review revealed high heterogeneity amongst interventions, including in feeding types (formula, formula or human milk, or human milk), mode of supplementation, and amount and composition of supplement (DHA, EPA, ARA, MCT). Academy of Nutrition and Dietetics.
Keywords	anthropometric measurements ; atopy ; breast milk ; databases ; developed countries ; enteral feeding ; enterocolitis ; fat intake ; gastrointestinal system ; infant nutrition ; infants ; low birth weight ; mortality ; omega-3 fatty acids ; premature birth ; randomized clinical trials ; retinal diseases ; systematic review
Language	English
Dates of publication	2019-0613
Publishing place	Oxford University Press
Document type	Article
ISSN	2475-2991
DOI	10.1093/cdn/nzz048.P11-085-19
Database	NAL-Catalogue (AGRICOLA)

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