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Book ; Online ; Conference proceedings ; E-Book: Wireless Mobile Communication and Healthcare

O'Hare, Gregory M.P. / O'Grady, Michael J. / O’Donoghue, John / Henn, Patrick

8th EAI International Conference, MobiHealth 2019, Dublin, Ireland, November 14-15, 2019, Proceedings

(Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering, ; 320)

2020

Abstract: This book constitutes the refereed post-conference proceedings of the 8th International Conference on Mobile Communication and Healthcare, MobiHealth 2019, held in Dublin, Ireland, in November 2019. The 26 revised full papers were reviewed and selected ... ...

Author's details	edited by Gregory M.P. O'Hare, Michael J. O'Grady, John O’Donoghue, Patrick Henn
Series title	Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering, ; 320 Lecture notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering
Collection	Lecture notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering
Abstract	This book constitutes the refereed post-conference proceedings of the 8th International Conference on Mobile Communication and Healthcare, MobiHealth 2019, held in Dublin, Ireland, in November 2019. The 26 revised full papers were reviewed and selected from 45 submissions and are organized in topical sections on mobility and real-time assessment, remote patient monitoring, patient monitoring and assessment of ICT solutions, patient monitoring and robotics, wearable technologies and smart measurement, data management within mHealth environments.
Keywords	Health informatics ; Health Informatics
Subject code	502.85
Language	English
Size	1 online resource (343 pages) :, illustrations
Edition	1st ed. 2020.
Publisher	Springer International Publishing ; Imprint: Springer
Publishing place	Cham
Document type	Book ; Online ; Conference proceedings ; E-Book
Note	Includes index.
Remark	Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
ISBN	3-030-49289-3 ; 3-030-49288-5 ; 978-3-030-49289-2 ; 978-3-030-49288-5
DOI	10.1007/978-3-030-49289-2
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Article ; Online: Current management of neonatal abstinence syndrome: a survey of practice in the UK and Ireland.

Dempsey, Sharon / O' Grady, Michael J

Archives of disease in childhood. Fetal and neonatal edition

2024 Volume 109, Issue 3, Page(s) 261–264

Abstract: Objective: To study the current management practices of neonatal abstinence syndrome (NAS) throughout the UK and Ireland and identify changes in practice from the most recent survey in 2008.: Design: Postal questionnaire to a consultant paediatrician ...

Abstract	Objective: To study the current management practices of neonatal abstinence syndrome (NAS) throughout the UK and Ireland and identify changes in practice from the most recent survey in 2008. Design: Postal questionnaire to a consultant paediatrician or neonatologist in all 215 neonatal units in the UK and Ireland in January 2020. Results: Response rate was 62%. An objective scoring tool was used in 97% of units and the Finnegan score was favoured by 70%. Morphine sulfate use as first line for the treatment of opiate withdrawal was almost universal and 70% used a dose of 40 µg/kg every 4 hours (240 µg/kg/day). Phenobarbitone administration as a second-line agent for opiate withdrawal increased to 61% of units with significant reductions in chloral hydrate and chlorpromazine use compared with the previous survey. Morphine sulfate and phenobarbitone remain the preferred first-line and second-line agents, respectively, for polysubstance withdrawal. There was a significant increase in chlorpromazine use as first line for polydrug withdrawal (1.5-14.2%). The practice of units discharging infants' home on medication increased to 46% from 29%. All units now permit breastfeeding in mothers taking methadone, compared with 81% previously. Conclusion and relevance: Compared with the previous survey, improvements in evidence-based practices were noted, highlighting the benefits of this type of research. Nonetheless, significant variation still exists in some aspects of the management of NAS. Post-discharge follow-up varies widely, with particular deficits in ophthalmology follow-up.
MeSH term(s)	Female ; Infant, Newborn ; Humans ; Morphine/therapeutic use ; Neonatal Abstinence Syndrome/drug therapy ; Ireland/epidemiology ; Chlorpromazine/therapeutic use ; Aftercare ; Patient Discharge ; Phenobarbital/therapeutic use ; Methadone/therapeutic use ; Surveys and Questionnaires ; United Kingdom ; Opioid-Related Disorders/drug therapy
Chemical Substances	Morphine (76I7G6D29C) ; Chlorpromazine (U42B7VYA4P) ; Phenobarbital (YQE403BP4D) ; Methadone (UC6VBE7V1Z)
Language	English
Publishing date	2024-04-18
Publishing country	England
Document type	Journal Article
ZDB-ID	2007331-8
ISSN	1468-2052 ; 1359-2998
ISSN (online)	1468-2052
ISSN	1359-2998
DOI	10.1136/archdischild-2023-326204
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Article: The Epidemiology and Etiology of Right-Sided Colonic Diverticulosis: A Review.

Turner, Greg A / O'Grady, Michael J / Purcell, Rachel V / Frizelle, Frank A

Annals of coloproctology

2021 Volume 37, Issue 4, Page(s) 196–203

Abstract: Diverticulosis of the colon is a common condition in Western countries and most patients will remain asymptomatic, but some will present with symptoms of acute diverticulitis or bleeding. Our understanding of diverticulosis is evolving but is mostly ... ...

Abstract	Diverticulosis of the colon is a common condition in Western countries and most patients will remain asymptomatic, but some will present with symptoms of acute diverticulitis or bleeding. Our understanding of diverticulosis is evolving but is mostly derived from diverticulosis affecting the left-sided colon. In contrast, right-sided colonic diverticulosis (RCD) is more commonly seen in Asian countries but is much less common overall. Based on the marked differences in epidemiology, it is commonly thought that these are 2 distinct disease processes. A review of the literature describing the epidemiology and etiology of RCD was performed, with a comparison to the current understanding of left-sided diverticulosis. RCD is becoming increasingly common. The epidemiology of RCD shows it to be a mostly acquired condition, and not congenital as previously thought. Many factors in the etiology of RCD are similar to that seen in left-sided diverticulosis, with a few variations. It is therefore likely that most cases of RCD represent the same disease process that is seen in the left colon.
Language	English
Publishing date	2021-07-21
Publishing country	Korea (South)
Document type	Journal Article ; Review
ZDB-ID	2711906-3
ISSN	2287-9722 ; 2287-9714
ISSN (online)	2287-9722
ISSN	2287-9714
DOI	10.3393/ac.2021.00192.0027
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Article ; Online: Acute Diverticulitis in Young Patients: A Review of the Changing Epidemiology and Etiology.

Turner, Greg A / O'Grady, Michael J / Purcell, Rachel V / Frizelle, Frank A

Digestive diseases and sciences

2021 Volume 67, Issue 4, Page(s) 1156–1162

Abstract: Acute diverticulitis is one of the leading gastrointestinal causes for hospitalization. The incidence of acute diverticulitis has been increasing in recent years, especially in patients under 50 years old. Historically, acute diverticulitis in younger ... ...

Abstract	Acute diverticulitis is one of the leading gastrointestinal causes for hospitalization. The incidence of acute diverticulitis has been increasing in recent years, especially in patients under 50 years old. Historically, acute diverticulitis in younger patients was felt to represent a separate entity, being more virulent and associated with a higher rate of recurrence. Accordingly, young patients were often managed differently to older counterparts. Our understanding of the natural history of this condition has evolved, and current clinical practice guidelines suggest age should not alter management. The purpose of this review is to evaluate the changing epidemiology of acute diverticulitis, consider potential explanations for the observed increased incidence in younger patients, as well as review the natural history of acute diverticulitis in the younger population.
MeSH term(s)	Acute Disease ; Diverticulitis/diagnosis ; Diverticulitis/epidemiology ; Diverticulitis/etiology ; Diverticulitis, Colonic ; Hospitalization ; Humans ; Incidence ; Middle Aged ; Recurrence
Language	English
Publishing date	2021-03-31
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	304250-9
ISSN	1573-2568 ; 0163-2116
ISSN (online)	1573-2568
ISSN	0163-2116
DOI	10.1007/s10620-021-06956-w
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Article ; Online: Management of a large cystic lymphangioma causing intestinal obstruction.

O'Grady, Michael J / O'Grady, Josephine

ANZ journal of surgery

2017 Volume 89, Issue 1-2, Page(s) E33–E34

MeSH term(s)	Combined Modality Therapy ; Conservative Treatment/methods ; Follow-Up Studies ; Humans ; Intestinal Obstruction/diagnosis ; Intestinal Obstruction/etiology ; Intestinal Obstruction/therapy ; Intestine, Small ; Lymphangioma, Cystic/diagnosis ; Lymphangioma, Cystic/etiology ; Lymphangioma, Cystic/therapy ; Male ; Middle Aged ; Peritoneal Neoplasms/complications ; Peritoneal Neoplasms/diagnosis ; Peritoneal Neoplasms/therapy ; Tomography, X-Ray Computed
Language	English
Publishing date	2017-05-05
Publishing country	Australia
Document type	Case Reports ; Journal Article
ZDB-ID	2050749-5
ISSN	1445-2197 ; 1445-1433 ; 0004-8682
ISSN (online)	1445-2197
ISSN	1445-1433 ; 0004-8682
DOI	10.1111/ans.13965
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Article ; Online: The prevalence of right-sided colonic diverticulosis in a New Zealand population.

Turner, Greg A / O'Grady, Michael J / Senadeera, Sajith C / Wakeman, Chris J / McCombie, Andrew / Purcell, Rachel V / Frizelle, Frank A

ANZ journal of surgery

2021 Volume 91, Issue 10, Page(s) 2110–2114

Abstract: Background: Once considered to be a congenital condition, the epidemiology of right-sided colonic diverticulosis (RCD) is evolving. Acute diverticulitis (AD) is a complication of RCD which is frequently misdiagnosed as appendicitis, resulting in ... ...

Abstract	Background: Once considered to be a congenital condition, the epidemiology of right-sided colonic diverticulosis (RCD) is evolving. Acute diverticulitis (AD) is a complication of RCD which is frequently misdiagnosed as appendicitis, resulting in unnecessary surgery, as there is strong evidence supporting medical management for right-sided AD. In general, the incidence of AD correlates with the prevalence of RCD, which shows marked geographic variation. Few data reporting RCD prevalence come from Western countries, so the aim of this study is to define the prevalence of RCD in a New Zealand population. Methods: Independent review of the imaging from 1000 consecutive patients undergoing a computed tomography Kidney/Ureter/Bladder scan for suspected urolithiasis at Christchurch Hospital between January and November 2017 was undertaken, to determine the presence or absence, and distribution of colonic diverticulosis. Patients were excluded if they had a history of colonic resection, known IBD, or were less than 18-years old. Results: Thirty-one patients were excluded, leaving 969 eligible patients. Overall, 95 patients (9.8%) had RCD identified. The prevalence of RCD increased significantly with advancing age, being present in 2.3% of those aged 18-29, increasing to 20.3% in those greater than 70-years old (p < 0.001). Conclusion: The prevalence of RCD in a New Zealand population is relatively high and increases significantly with age. This adds support to the role of cross-sectional imaging in the evaluation of suspected appendicitis, to exclude right-sided AD. The association with advancing age supports RCD being an acquired condition rather than a congenital condition as was previously thought.
MeSH term(s)	Adolescent ; Aged ; Appendicitis ; Diverticulitis, Colonic ; Diverticulosis, Colonic/epidemiology ; Humans ; New Zealand/epidemiology ; Prevalence
Language	English
Publishing date	2021-06-14
Publishing country	Australia
Document type	Journal Article
ZDB-ID	2050749-5
ISSN	1445-2197 ; 1445-1433 ; 0004-8682
ISSN (online)	1445-2197
ISSN	1445-1433 ; 0004-8682
DOI	10.1111/ans.16995
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Article: Editorial: smart technologies for improving the quality of mobile health care.

Chen, Tin-Chih Toly / Chaovalitwongse, W Art / O'grady, Michael J / Honda, Katsuhiro

Health care management science

2019 Volume 23, Issue 2, Page(s) 171–172

MeSH term(s)	Biomedical Technology/methods ; Humans ; Monitoring, Physiologic/methods ; Printing, Three-Dimensional ; Remote Sensing Technology ; Smartphone ; Telemedicine/methods
Language	English
Publishing date	2019-06-15
Publishing country	Netherlands
Document type	Editorial ; Introductory Journal Article
ZDB-ID	1469148-6
ISSN	1572-9389 ; 1386-9620
ISSN (online)	1572-9389
ISSN	1386-9620
DOI	10.1007/s10729-019-09487-z
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Article ; Online: Klippel-Feil syndrome as a novel feature of Schimke immunoosseous dysplasia.

Power, Bronwyn D / Walsh, Kevin P / Awan, Atif / Waldron, Mary / O'Grady, Michael J

American journal of medical genetics. Part A

2019 Volume 179, Issue 5, Page(s) 862–863

MeSH term(s)	Alleles ; Arteriosclerosis/diagnosis ; Child, Preschool ; DNA Helicases/genetics ; Exons ; Female ; Genetic Association Studies ; Genetic Predisposition to Disease ; Genotype ; Humans ; Klippel-Feil Syndrome/diagnosis ; Nephrotic Syndrome/diagnosis ; Osteochondrodysplasias/diagnosis ; Phenotype ; Primary Immunodeficiency Diseases/diagnosis ; Pulmonary Embolism/diagnosis
Chemical Substances	SMARCAL1 protein, human (EC 2.7.7.-) ; DNA Helicases (EC 3.6.4.-)
Language	English
Publishing date	2019-02-19
Publishing country	United States
Document type	Letter
ZDB-ID	1493479-6
ISSN	1552-4833 ; 1552-4825
ISSN (online)	1552-4833
ISSN	1552-4825
DOI	10.1002/ajmg.a.61087
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Book: Medical care economic risk

O'Grady, Michael J / Wunderlich, Gooloo S

measuring financial vulnerability from spending on medical care

2012

Abstract: The United States has seen major advances in medical care during the past decades, but access to care at an affordable cost is not universal. Many Americans lack health care insurance of any kind, and many others with insurance are nonetheless exposed ... ...

Institution	Panel on Measuring Medical Care Risk in Conjunction with the New Supplemental Income Poverty Measure,
Author's details	Panel on Measuring Medical Care Risk in Conjunction with the New Supplemental Income Poverty Measure; Michael J. O'Grady and Gooloo S. Wunderlich, editors; Committee on National Statistics, Division of Behavioral and Social Sciences and Education and Board on Health Care Services; Institute of Medicine; National Research Council and Institute of Medicine of the National Academies
Abstract	"The United States has seen major advances in medical care during the past decades, but access to care at an affordable cost is not universal. Many Americans lack health care insurance of any kind, and many others with insurance are nonetheless exposed to financial risk because of high premiums, deductibles, co-pays, limits on insurance payments, and uncovered services. One might expect that the U.S. poverty measure would capture these financial effects and trends in them over time. Yet the current official poverty measure developed in the early 1960s does not take into account significant increases and variations in medical care costs, insurance coverage, out-of-pocket spending, and the financial burden imposed on families and individuals. Although medical costs consume a growing share of family and national income and studies regularly document high rates of medical financial stress and debt, the current poverty measure does not capture the consequences for families' economic security or their income available for other basic needs. In 1995, a panel of the National Research Council (NRC) recommended a new poverty measure, which compares families' disposable income to poverty thresholds based on current spending for food, clothing, shelter, utilities, and a little more. The panel's recommendations stimulated extensive collaborative research involving several government agencies on experimental poverty measures that led to a new research Supplemental Poverty Measure (SPM), which the U.S. Census Bureau first published in November 2011 and will update annually. Analyses of the effects of including and excluding certain factors from the new SPM showed that, were it not for the cost that families incurred for premiums and other medical expenses not covered by health insurance, 10 million fewer people would have been poor according to the SPM. The implementation of the patient Protection and Affordable Care Act (ACA) provides a strong impetus to think rigorously about ways to measure medical care economic burden and risk, which is the basis for Medical Care Economic Risk. As new policies - whether part of the ACA or other policies - are implemented that seek to expand and improve health insurance coverage and to protect against the high costs of medical care relative to income, such measures will be important to assess the effects of policy changes in both the short and long term on the extent of financial burden and risk for the population, which are explained in this report"--Publisher's description
MeSH term(s)	Health Care Costs ; Health Expenditures ; Delivery of Health Care/economics ; Universal Coverage/economics ; Risk Assessment
Keywords	United States
Language	English
Size	xvi, 293 pages :, illustrations ;, 23 cm
Document type	Book
ISBN	9780309266048 ; 0309266041
Database	Catalogue of the US National Library of Medicine (NLM)

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Book: Medical care economic risk

O'Grady, Michael J / Wunderlich, Gooloo S

measuring financial vulnerability from spending on medical care

2012

Institution	Panel on Measuring Medical Care Risk in Conjunction with the New Supplemental Income Poverty Measure
Author's details	Panel on Measuring Medical Care Risk in Conjunction with the New Supplemental Income Poverty Measure, Committee on National Statistics, Division of Behavioral and Social Sciences and Education and Board on Health Care Services, Institute of Medicine, National Research Council and Institute of Medicine of the National Academies. Michael J. O'Grady and Gooloo S. Wunderlich, eds
Abstract	The United States has seen major advances in medical care during the past decades, but access to care at an affordable cost is not universal. Many Americans lack health care insurance of any kind, and many others with insurance are nonetheless exposed to financial risk because of high premiums, deductibles, co-pays, limits on insurance payments, and uncovered services. One might expect that the U.S. poverty measure would capture these financial effects and trends in them over time. Yet the current official poverty measure developed in the early 1960s does not take into account significant increases and variations in medical care costs, insurance coverage, out-of-pocket spending, and the financial burden imposed on families and individuals. Although medical costs consume a growing share of family and national income and studies regularly document high rates of medical financial stress and debt, the current poverty measure does not capture the consequences for families' economic security or their income available for other basic needs. In 1995, a panel of the National Research Council (NRC) recommended a new poverty measure, which compares families' disposable income to poverty thresholds based on current spending for food, clothing, shelter, utilities, and a little more. The panel's recommendations stimulated extensive collaborative research involving several government agencies on experimental poverty measures that led to a new research Supplemental Poverty Measure (SPM), which the U.S. Census Bureau first published in November 2011 and will update annually. Analyses of the effects of including and excluding certain factors from the new SPM showed that, were it not for the cost that families incurred for premiums and other medical expenses not covered by health insurance, 10 million fewer people would have been poor according to the SPM. The implementation of the patient Protection and Affordable Care Act (ACA) provides a strong impetus to think rigorously about ways to measure medical care economic burden and risk, which is the basis for Medical Care Economic Risk. As new policies - whether part of the ACA or other policies - are implemented that seek to expand and improve health insurance coverage and to protect against the high costs of medical care relative to income, such measures will be important to assess the effects of policy changes in both the short and long term on the extent of financial burden and risk for the population, which are explained ...
MeSH term(s)	Delivery of Health Care/economics ; Health Care Costs ; Health Expenditures ; Risk Assessment ; Universal Coverage/economics
Keywords	Medical care, Cost of/Risk assessment ; Gesundheitskosten ; Krankenversicherung ; Versicherungsschutz ; Armut ; USA
Language	English
Size	XVI, 293 S., graph. Darst., 23 cm
Publisher	National Academies Press
Publishing place	Washington, DC
Document type	Book
Note	Includes bibliographical references
ISBN	0309266041 ; 9780309266048
Database	ECONomics Information System

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