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  1. Article: Clinician and Researcher Well-Being: The Time is Now.

    Keithahn, Stephen T / Rooney, S Craig

    Missouri medicine

    2021  Volume 118, Issue 1, Page(s) 36–40

    MeSH term(s) Humans ; Research Personnel
    Language English
    Publishing date 2021-02-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 427362-x
    ISSN 0026-6620
    ISSN 0026-6620
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Protecting Sleep Hygiene in the PICU: A Quality Improvement Project.

    Dean, Nathan P / Bhattarai, Sopnil / Rooney, Sara / Gaskell, Christy P

    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies

    2023  Volume 24, Issue 5, Page(s) e258–e262

    Abstract: Objectives: To increase the number of nights without sleep interruptions for routine tasks in recovering PICU patients.: Design: Prospective quality improvement project.: Setting: Single-center, free-standing, tertiary children's hospital.: ... ...

    Abstract Objectives: To increase the number of nights without sleep interruptions for routine tasks in recovering PICU patients.
    Design: Prospective quality improvement project.
    Setting: Single-center, free-standing, tertiary children's hospital.
    Patients: Patients admitted to the PICU for greater than 72 hours and eligible for early mobilization.
    Interventions: A multidisciplinary sleep hygiene team was created to improve sleep hygiene in critically ill patients eligible for early mobilization. This team rewrote local nursing policies to avoid routine tasks between 11 pm and 5 am . The team provided periodic control chart updates to staff detailing progress made protecting sleep. Discussions of sleep hygiene were added to the daily goal sheet and a sleep hygiene order set was created. Finally, the PICU quality dashboard was modified to show whether a sleep hygiene order set was initiated in eligible patients.
    Measurements and main results: Routine tasks were defined as daily chest radiographs, baths, routine tracheostomy care, central line dressing changes, twice daily medications, weights, and Foley care. After a year of data collection, avoidance of routine pupillary examinations was added to the sleep protection criteria. Baseline data was collected for 2 months prior to the creation of the sleep hygiene team. Screening of eligible patients occurred 1 week each month. The data were analyzed utilizing control charts. Baseline data demonstrated 32% of PICU patients without sleep interruptions. The centerline increased to 58% after the initial interventions but dropped to 33% after inclusion of pupillary checks. Following the introduction of the daily goal sheet, sleep hygiene order set, and tracking on the quality board, 49% of patients went without interruptions.
    Conclusions: The initiation of a sleep hygiene team along with retiming routine tasks, daily discussions on rounds with the daily goal sheet, introduction of a sleep hygiene order set, and transparent tracking improved the percentage of patients with protected sleep.
    MeSH term(s) Child ; Humans ; Quality Improvement ; Sleep Hygiene ; Prospective Studies ; Intensive Care Units, Pediatric ; Hospitalization
    Language English
    Publishing date 2023-02-20
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2052349-X
    ISSN 1947-3893 ; 1529-7535
    ISSN (online) 1947-3893
    ISSN 1529-7535
    DOI 10.1097/PCC.0000000000003195
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Advocate Profile: Steve Rooney, RN.

    Rooney, Steve

    The Oregon nurse

    2015  Volume Winter, Page(s) 12

    MeSH term(s) Nurses ; Oregon ; Patient Advocacy ; Personnel Staffing and Scheduling ; Societies, Nursing
    Language English
    Publishing date 2015
    Publishing country United States
    Document type Interview
    ISSN 0030-4751
    ISSN 0030-4751
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  4. Article: Presidential address.

    Rooney, Steve

    The Oregon nurse

    2014  , Page(s) 3

    MeSH term(s) Curriculum ; Education, Continuing ; Empathy ; Humans ; Nurse's Role ; Nursing Care/organization & administration ; Nursing Staff, Hospital/education ; Oregon ; Organizational Objectives ; Societies, Nursing
    Language English
    Publishing date 2014
    Publishing country United States
    Document type Addresses
    ISSN 0030-4751
    ISSN 0030-4751
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  5. Article ; Online: A single centre evaluation of risk prediction models and imaging modalities in acute appendicitis.

    Ashcroft, J / Singh, A A / Rooney, S / Bennett, J / Davies, R J

    Annals of the Royal College of Surgeons of England

    2021  Volume 103, Issue 3, Page(s) 203–207

    Abstract: Introduction: Patients with suspected appendicitis remain a diagnostic challenge. The aim of this study was to validate risk prediction models, and to investigate diagnostic accuracy of ultrasonography and computed tomography (CT) in adults undergoing ... ...

    Abstract Introduction: Patients with suspected appendicitis remain a diagnostic challenge. The aim of this study was to validate risk prediction models, and to investigate diagnostic accuracy of ultrasonography and computed tomography (CT) in adults undergoing appendicectomy.
    Methods: A retrospective case review was performed of patients aged 16-45 years having an appendicectomy between January 2019 and January 2020 at a tertiary referral centre. Primary outcomes were the accuracy of a high risk appendicitis risk score and ultrasonography and CT imaging modalities compared with histological reports following appendicectomy.
    Results: A total of 206 patients (52% female) were included in the study. Removal of a histologically normal appendix was equally likely in men and women (13.1% vs 11.2% respectively, relative risk: 1.17, 95% confidence interval: 0.56-2.44,
    Conclusions: This study suggests that risk prediction models may be useful in both women and men to identify appendicitis. Ultrasonography gave high rates of equivocal results and should not be relied on for the diagnosis of appendicitis. CT is a highly accurate diagnostic tool and could be considered in those at low risk where clinical suspicion remains to reduce negative appendicectomy rates.
    MeSH term(s) Adolescent ; Adult ; Appendectomy ; Appendiceal Neoplasms/pathology ; Appendicitis/diagnostic imaging ; Appendicitis/pathology ; Appendicitis/surgery ; Appendix/pathology ; Clinical Decision Rules ; Diagnostic Errors ; False Positive Reactions ; Female ; Humans ; Male ; Middle Aged ; Neuroendocrine Tumors/pathology ; Patient Readmission ; Retrospective Studies ; Sex Factors ; Tomography, X-Ray Computed ; Ultrasonography ; Young Adult
    Language English
    Publishing date 2021-02-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 80044-2
    ISSN 1478-7083 ; 0035-8843
    ISSN (online) 1478-7083
    ISSN 0035-8843
    DOI 10.1308/rcsann.2020.7033
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  6. Article ; Online: Small bowel intussusception and concurrent jejunal polyp with neoplastic transformation: a new diagnosis of Peutz-Jeghers syndrome.

    Hudson, V E / Rooney, S / Pursglove, S / Bhojwani, D / Gourgiotis, S

    Annals of the Royal College of Surgeons of England

    2021  Volume 104, Issue 3, Page(s) e84–e86

    Abstract: Peutz-Jeghers syndrome (PJS) is a rare hereditary disease characterised by hyperpigmentation of the oral mucosa and gastrointestinal hamartomatous polyps. We report a case of a 27-year-old man who presented with a 5-day history of epigastric pain and ... ...

    Abstract Peutz-Jeghers syndrome (PJS) is a rare hereditary disease characterised by hyperpigmentation of the oral mucosa and gastrointestinal hamartomatous polyps. We report a case of a 27-year-old man who presented with a 5-day history of epigastric pain and rectal bleeding. Computed tomography suggested small bowel obstruction secondary to ileocolic intussusception and an incidental polyp in the mid jejunum. The patient underwent exploratory laparotomy during which right hemicolectomy and small bowel resection were performed. Histology from surgical specimens revealed Peutz-Jeghers polyps, one of which had low-grade dysplasia. This case emphasises that although rare, adults with PJS can present with intussusception. Also illustrated is the extremely rare possibility of concurrent polyps occurring in different parts of the bowel with neoplastic transformation. Intussusception is a challenge to diagnose because the presentation is often non-specific. Clinical history-taking and physical examination along with prompt axial imaging is important for the diagnosis. Careful examination of the bowel and polypectomy during laparotomy may prevent neoplastic transformation and short bowel syndrome.
    MeSH term(s) Abdominal Pain/etiology ; Adult ; Gastrointestinal Hemorrhage/etiology ; Humans ; Ileal Diseases ; Ileocecal Valve/diagnostic imaging ; Ileocecal Valve/pathology ; Intestinal Polyps ; Intussusception ; Jejunal Diseases ; Male ; Peutz-Jeghers Syndrome ; Rectum/diagnostic imaging ; Rectum/pathology
    Language English
    Publishing date 2021-12-20
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 80044-2
    ISSN 1478-7083 ; 0035-8843
    ISSN (online) 1478-7083
    ISSN 0035-8843
    DOI 10.1308/rcsann.2021.0142
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  7. Article: Quadruple valve replacement for patients with carcinoid heart disease.

    Walsh, Eleanor / Steeds, Rick / Rooney, Stephen / Santo, Kirkpatrick

    Indian journal of thoracic and cardiovascular surgery

    2021  Volume 37, Issue 4, Page(s) 431–433

    Abstract: We report two cases of patients with carcinoid heart disease affecting all four valves. All four of the valves showed signs of regurgitation and were replaced using biological valves. Left-sided involvement is uncommon (5-10%), but can occur in the ... ...

    Abstract We report two cases of patients with carcinoid heart disease affecting all four valves. All four of the valves showed signs of regurgitation and were replaced using biological valves. Left-sided involvement is uncommon (5-10%), but can occur in the absence of an intracardiac shunt. Quadruple valve replacement in symptomatic patients can result in functional improvement with acceptable risks.
    Language English
    Publishing date 2021-01-04
    Publishing country India
    Document type Case Reports
    ZDB-ID 2164386-6
    ISSN 0973-7723 ; 0970-9134
    ISSN (online) 0973-7723
    ISSN 0970-9134
    DOI 10.1007/s12055-020-00949-6
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  8. Article ; Online: Patent foramen ovale in carcinoid heart disease: The potential role for and risks of percutaneous closure prior to cardiothoracic surgery.

    Douglas, Sasha / Oelofse, Tessa / Shah, Tahir / Rooney, Stephen / Arif, Sayqa / Steeds, Richard P

    Journal of neuroendocrinology

    2023  Volume 35, Issue 8, Page(s) e13323

    Abstract: Neuroendocrine tumours (NETs) are rare but once metastasised, can lead to the release of vasoactive substances into the systemic circulation, and the classical features of carcinoid syndrome (CS) such as flushing and diarrhoea. A consequence of CS is ... ...

    Abstract Neuroendocrine tumours (NETs) are rare but once metastasised, can lead to the release of vasoactive substances into the systemic circulation, and the classical features of carcinoid syndrome (CS) such as flushing and diarrhoea. A consequence of CS is carcinoid heart disease (CHD) which primarily affects the right-sided heart valves and can eventually lead to right heart failure. In this cohort, tricuspid and/or pulmonary valve replacement provides symptomatic relief. A patent foramen ovale (PFO) in patients with CHD can lead to the shunting of oxygen deficient blood to the systemic circulation causing hypoxaemia and reduced exercise tolerance. Additionally, the haemodynamic changes caused by regurgitant right-sided heart valves can increase the patency of a PFO allowing the passage of vasoactive substances to the systemic circulation thereby affecting the left-sided heart valves. We present data on the incidence of PFO in patients referred for surgery at our centre, in which the standard approach is to close the defect at time of cardiothoracic surgery. In addition, we present a series of four cases that highlight how the option of percutaneous PFO closure prior to open valve surgery may reduce haemodynamic instability and open a window of opportunity to enhance preoperative status. Percutaneous PFO closure then acts as a bridge to definitive cardiothoracic surgery, although there are risks in such an approach.
    MeSH term(s) Humans ; Foramen Ovale, Patent/complications ; Foramen Ovale, Patent/surgery ; Carcinoid Heart Disease/complications ; Carcinoid Heart Disease/surgery ; Carcinoid Heart Disease/epidemiology
    Language English
    Publishing date 2023-08-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1007517-3
    ISSN 1365-2826 ; 0953-8194
    ISSN (online) 1365-2826
    ISSN 0953-8194
    DOI 10.1111/jne.13323
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  9. Article ; Online: When months matter; modelling the impact of the COVID-19 pandemic on the diagnostic pathway of Motor Neurone Disease (MND).

    Burchill, Ella / Rawji, Vishal / Styles, Katy / Rooney, Siobhan / Stone, Patrick / Astin, Ronan / Sharma, Nikhil

    PloS one

    2023  Volume 18, Issue 1, Page(s) e0259487

    Abstract: Background: A diagnosis of MND takes an average 10-16 months from symptom onset. Early diagnosis is important to access supportive measures to maximise quality of life. The COVID-19 pandemic has caused significant delays in NHS pathways; the majority of ...

    Abstract Background: A diagnosis of MND takes an average 10-16 months from symptom onset. Early diagnosis is important to access supportive measures to maximise quality of life. The COVID-19 pandemic has caused significant delays in NHS pathways; the majority of GP appointments now occur online with subsequent delays in secondary care assessment. Given the rapid progression of MND, patients may be disproportionately affected resulting in late stage new presentations. We used Monte Carlo simulation to model the pre-COVID-19 diagnostic pathway and then introduced plausible COVID-19 delays.
    Methods: The diagnostic pathway was modelled using gamma distributions of time taken: 1) from symptom onset to GP presentation, 2) for specialist referral, and 3) for diagnosis reached after neurology appointment. We incorporated branches to simulate delays: when patients did not attend their GP and when the GP consultation did not result in referral. An emergency presentation was triggered when diagnostic pathway time was within 30 days of projected median survival. Total time-to-diagnosis was calculated over 100,000 iterations. The pre-COVID-19 model was estimated using published data and the Improving MND Care Survey 2019. We estimated COVID-19 delays using published statistics.
    Results: The pre-COVID model reproduced known features of the MND diagnostic pathway, with a median time to diagnosis of 399 days and predicting 5.2% of MND patients present as undiagnosed emergencies. COVID-19 resulted in diagnostic delays from 558 days when only primary care was 25% delayed, to 915 days when both primary and secondary care were 75%. The model predicted an increase in emergency presentations ranging from 15.4%-44.5%.
    Interpretations: The model suggests the COVID-19 pandemic will result in later-stage diagnoses and more emergency presentations of undiagnosed MND. Late-stage presentations may require rapid escalation to multidisciplinary care. Proactive recognition of acute and late-stage disease with altered service provision will optimise care for people with MND.
    MeSH term(s) Humans ; COVID-19/diagnosis ; COVID-19/epidemiology ; Pandemics ; Quality of Life ; Motor Neuron Disease/diagnosis ; Secondary Care ; COVID-19 Testing
    Language English
    Publishing date 2023-01-27
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0259487
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  10. Article ; Online: Gastric volvulus causing liver ischemia.

    Rooney, Siobhan / Stavrou, George / Sadler, Timothy J / Oikonomou, Ilias-Marios / Gourgiotis, Stavros

    ANZ journal of surgery

    2023  Volume 93, Issue 11, Page(s) 2776

    MeSH term(s) Humans ; Stomach Volvulus/diagnosis ; Stomach Volvulus/diagnostic imaging ; Liver Diseases/complications ; Liver Diseases/diagnostic imaging ; Ischemia/etiology
    Language English
    Publishing date 2023-09-19
    Publishing country Australia
    Document type Letter
    ZDB-ID 2050749-5
    ISSN 1445-2197 ; 1445-1433 ; 0004-8682
    ISSN (online) 1445-2197
    ISSN 1445-1433 ; 0004-8682
    DOI 10.1111/ans.18702
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