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Article ; Online: Effect of anterior quadratus lumborum block on morphine consumption in minimally invasive colorectal surgery.

O'Sullivan, E / Lavelle, A

2024 Volume 79, Issue 5, Page(s) 556–557

MeSH term(s)	Humans ; Morphine ; Colorectal Surgery ; Nerve Block ; Anesthetics, Local ; Pain, Postoperative/drug therapy ; Pain, Postoperative/prevention & control ; Analgesics, Opioid ; Ultrasonography, Interventional
Chemical Substances	Morphine (76I7G6D29C) ; Anesthetics, Local ; Analgesics, Opioid
Language	English
Publishing date	2024-01-10
Publishing country	England
Document type	Letter
ZDB-ID	80033-8
ISSN	1365-2044 ; 0003-2409
ISSN (online)	1365-2044
ISSN	0003-2409
DOI	10.1111/anae.16234
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Article: Caring for the Poor and Vulnerable: A Virtue Analysis of Mandated Health Insurance Compared with Healthcare Sharing Ministries.

Sullivan, Ezra

The Linacre quarterly

2020 Volume 88, Issue 1, Page(s) 82–93

Abstract: In the present time, what has been called the "medical-industrial insurance complex" in the United States needs reform. As health insurance in the United States remains inaccessible to millions of people, and as prices continue to rise, questions arise ... ...

Abstract	In the present time, what has been called the "medical-industrial insurance complex" in the United States needs reform. As health insurance in the United States remains inaccessible to millions of people, and as prices continue to rise, questions arise about the most moral ways to ensure delivery of health care especially to the most vulnerable populations. In this essay, I offer a virtue analysis of the moral implications of health insurance mandated by the US Government in contrast to an increasingly popular alternative to insurance, namely, healthcare sharing ministries. In part 1, I list some of the moral problems entangled with US Government-mandated health insurance, including injustice, disrespect for patient autonomy, limitations on patient freedom, exploitation of patients for profit, undermining of conscience rights, cooperation with evil, and scandal. In part 2, I discuss the issue of risk and then list some potential moral advantages to healthcare ministries, including respect for patient autonomy, conscience, and the religious freedom to witness to the Catholic faith in charity and solidarity. Summary: Mandated health insurance the United States presents some moral challenges for conscientious Catholics, whereas healthcare sharing ministries appear to ameliorate some of these issues. Ultimately, the individual should have freedom to choose either insurance or healthcare sharing, given the different benefits and risks entailed by both.
Language	English
Publishing date	2020-08-20
Publishing country	United States
Document type	Journal Article
ZDB-ID	604903-5
ISSN	2050-8549 ; 0024-3639
ISSN (online)	2050-8549
ISSN	0024-3639
DOI	10.1177/0024363920949790
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Article: Identifying odds of bloodstream infection in repaired silastic central venous catheters in a pediatric population.

Taroc, Ann-Marie / Sullivan, Erin

British journal of nursing (Mark Allen Publishing)

2023 Volume 32, Issue 7, Page(s) S32–S36

Abstract: Background: Silicone central venous catheters (CVCs) that weaken or rupture are reparable using a commercial repair kit. A literature review exploring bloodstream infections in repaired CVCs identified many findings indicating low or no increased risk of ...

Abstract	Background: Silicone central venous catheters (CVCs) that weaken or rupture are reparable using a commercial repair kit. A literature review exploring bloodstream infections in repaired CVCs identified many findings indicating low or no increased risk of infection. This study aimed to understand pediatric patients' risk of bloodstream infection with repaired Hickman or Broviac catheters. Methods: A matched retrospective case-control study examined central line-associated bloodstream infection (CLABSI) or bacteremia in two separately matched cohorts of patients with silicone-type catheters. Controls were patients with CVCs selected from 2016 to 2019 and were matched to cases based on age group (older or younger than 3 years). Conditional logistic regression models calculated odds ratios (OR), with 95% confidence intervals (CI) representing the odds of a line repair occurring 30 days before an event among cases versus controls. Results: In 61 CLABSI cases and 104 controls, the OR of exposure to a line repair was 0.43; 95% CI, 0.05-3.87,
MeSH term(s)	Child ; Humans ; Child, Preschool ; Central Venous Catheters/adverse effects ; Retrospective Studies ; Case-Control Studies ; Catheterization, Central Venous/adverse effects ; Catheter-Related Infections/epidemiology ; Catheter-Related Infections/etiology ; Bacteremia/epidemiology ; Bacteremia/etiology ; Silicones
Chemical Substances	baysilon (63148-62-9) ; Silicones
Language	English
Publishing date	2023-04-07
Publishing country	England
Document type	Review ; Journal Article
ZDB-ID	1119191-0
ISSN	0966-0461
ISSN	0966-0461
DOI	10.12968/bjon.2023.32.7.S32
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Zs.A 3449: Show issues

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Article ; Online: What do rural young people want from their mental health service.

Sullivan, Erin / Bartik, Warren

The Australian journal of rural health

2023 Volume 31, Issue 6, Page(s) 1072–1082

Abstract: Introduction: Rural young people have high rates of mental illness and low rates of help-seeking making it crucial to extend research about service improvement in rural and remote Australia.: Objective: To describe what rural young people want from ... ...

Abstract	Introduction: Rural young people have high rates of mental illness and low rates of help-seeking making it crucial to extend research about service improvement in rural and remote Australia. Objective: To describe what rural young people want from their headspace service, and what rural headspace clinicians understand they provide. Design: This study used a qualitative methodology with reflexive thematic analysis to analyse participant interviews and systematically derive common themes. Findings: Thirteen participants were interviewed comprising young people aged 16 to 18 years who had accessed one of three rural headspace services, together with clinicians working in those services. Key themes for both young people and clinicians comprised accessibility, flexibility, engagement, safety, youth-focus, and evidence-based treatment although there were some differences of emphasis amongst themes. There was also an additional theme for young people of awareness, and for clinicians of caring. Discussion: The results supported that what young people were seeking was largely consistent with what headspace clinicians were providing. There were however some specific issues relevant to service provision in a rural context such as increased awareness of services, the need to focus on evidenced based interventions, and better promotion in schools and the local community. Service gaps such as unmet needs for young people with higher risk who might fall outside of agency requirements were also identified. Conclusion: Results of this study help inform better service delivery and increased awareness for mental health of young people in rural communities to improve access and outcomes.
MeSH term(s)	Adolescent ; Humans ; Health Services Accessibility ; Rural Population ; Mental Disorders/therapy ; Mental Health Services ; Mental Health
Language	English
Publishing date	2023-07-23
Publishing country	Australia
Document type	Journal Article
ZDB-ID	2069573-1
ISSN	1440-1584 ; 1038-5282
ISSN (online)	1440-1584
ISSN	1038-5282
DOI	10.1111/ajr.13018
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Article ; Online: Implications of nocebo in anaesthesia care.

O'Sullivan, M / O'Sullivan, E / Lavelle, A

Anaesthesia

2022 Volume 77, Issue 8, Page(s) 945

MeSH term(s)	Anesthesia ; Anesthesiology ; Humans ; Nocebo Effect
Language	English
Publishing date	2022-04-24
Publishing country	England
Document type	Letter ; Comment
ZDB-ID	80033-8
ISSN	1365-2044 ; 0003-2409
ISSN (online)	1365-2044
ISSN	0003-2409
DOI	10.1111/anae.15746
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Zs.A 388: Show issues

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Article ; Online: Five-year audit of adherence to an anaesthesia pre-induction checklist.

O'Sullivan, E / O'Sullivan, M / Lavelle, A

Anaesthesia

2022 Volume 77, Issue 9, Page(s) 1065

MeSH term(s)	Anesthesia, General ; Anesthesiology ; Checklist ; Humans ; Medical Audit
Language	English
Publishing date	2022-05-14
Publishing country	England
Document type	Letter ; Comment
ZDB-ID	80033-8
ISSN	1365-2044 ; 0003-2409
ISSN (online)	1365-2044
ISSN	0003-2409
DOI	10.1111/anae.15757
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Article ; Online: Raising professionalism concerns as a medical student: damned if they do, damned if they don't?

Sullivan, Erica / Thampy, Harish / Gay, Simon

BMC medical education

2024 Volume 24, Issue 1, Page(s) 208

Abstract: Background: Understanding professionalism is an essential component of becoming a doctor in order to ensure the trust of patients and wider society. Integrally linked to the concept of professionalism is the importance of identifying and raising ... ...

Abstract	Background: Understanding professionalism is an essential component of becoming a doctor in order to ensure the trust of patients and wider society. Integrally linked to the concept of professionalism is the importance of identifying and raising concerns to ensure high quality, safe patient care. It is recognised that medical students are uniquely placed to identify and report concerns given their frequent rotations through multiple clinical placements and their peer relationships and, in so doing, develop and enact their own medical professionalism. Although there is existing literature exploring medical students' willingness to raise concerns about observed professionalism lapses, this has largely been in the context of clinical interactions. Medical students will however undoubtedly encounter concerning behaviours or attitudes in their fellow students, an area that has not specifically been reported upon. This study therefore set out to explore medical students' willingness to report professionalism concerns they encounter both within and away from the clinical setting, particularly focusing on peer-related concerns. Methods: 10 medical students, in later clinical years of a large UK medical school, volunteered to take part in in-depth semi-structured interviews. Interviews were recorded, transcribed and then analysed thematically to generate themes and subthemes to represent central organising concepts. Results: Three broad themes were generated from the data. Hidden curricular effects including role models, hierarchical structures and the operational systems in place to raise concerns subconsciously influenced students' decisions to raise concerns. Secondly, students offered a range of justifications to defend not taking action, including considering their own vulnerabilities and values alongside demonstrating empathy for perceived mitigating circumstances. The third theme highlighted the complex interplay of influencing factors that students considered when encountering professionalism issues in their peers including wider peer cohort effects and a desire to maintain individual peer-relationships. Conclusions: Medical students will inevitably encounter situations where the professionalism of others is brought into question. However, despite clear curricular expectations to report such concerns, these findings demonstrate that students undergo a complex decision-making process in determining the threshold for reporting a concern through navigating a range of identified influencing factors. This study highlights the important role medical schools play in helping reduce the inner conflict experienced by medical students when raising concerns and in ensuring they provide supportive processes to empower their students to raise concerns as part their own developing professionalism.
MeSH term(s)	Humans ; Professionalism ; Qualitative Research ; Students, Medical ; Focus Groups ; Trust ; Education, Medical, Undergraduate
Language	English
Publishing date	2024-02-29
Publishing country	England
Document type	Journal Article
ZDB-ID	2044473-4
ISSN	1472-6920 ; 1472-6920
ISSN (online)	1472-6920
ISSN	1472-6920
DOI	10.1186/s12909-024-05144-4
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The spatial and social correlates of neighborhood morphology: Evidence from building footprints in five U.S. metropolitan areas.

Durst, Noah J / Sullivan, Esther / Jochem, Warren C

PloS one

2024 Volume 19, Issue 4, Page(s) e0299713

Abstract: Recent advances in quantitative tools for examining urban morphology enable the development of morphometrics that can characterize the size, shape, and placement of buildings; the relationships between them; and their association with broader patterns of ...

Abstract	Recent advances in quantitative tools for examining urban morphology enable the development of morphometrics that can characterize the size, shape, and placement of buildings; the relationships between them; and their association with broader patterns of development. Although these methods have the potential to provide substantial insight into the ways in which neighborhood morphology shapes the socioeconomic and demographic characteristics of neighborhoods and communities, this question is largely unexplored. Using building footprints in five of the ten largest U.S. metropolitan areas (Atlanta, Boston, Chicago, Houston, and Los Angeles) and the open-source R package, foot, we examine how neighborhood morphology differs across U.S. metropolitan areas and across the urban-exurban landscape. Principal components analysis, unsupervised classification (K-means), and Ordinary Least Squares regression analysis are used to develop a morphological typology of neighborhoods and to examine its association with the spatial, socioeconomic, and demographic characteristics of census tracts. Our findings illustrate substantial variation in the morphology of neighborhoods, both across the five metropolitan areas as well as between central cities, suburbs, and the urban fringe within each metropolitan area. We identify five different types of neighborhoods indicative of different stages of development and distributed unevenly across the urban landscape: these include low-density neighborhoods on the urban fringe; mixed use and high-density residential areas in central cities; and uniform residential neighborhoods in suburban cities. Results from regression analysis illustrate that the prevalence of each of these forms is closely associated with variation in socioeconomic and demographic characteristics such as population density, the prevalence of multifamily housing, and income, race/ethnicity, homeownership, and commuting by car. We conclude by discussing the implications of our findings and suggesting avenues for future research on neighborhood morphology, including ways that it might provide insight into issues such as zoning and land use, housing policy, and residential segregation.
MeSH term(s)	Humans ; Socioeconomic Factors ; Residence Characteristics ; Housing ; Income ; Cities
Language	English
Publishing date	2024-04-10
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.0299713
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Book: Unconscious communication in practice

Sullivan, E. Mary

1999

Author's details	ed. by E. Mary Sullivan
Language	English
Size	IX, 230 S.
Publisher	Open Univ. Press
Publishing place	Buckingham u.a.
Publishing country	Great Britain
Document type	Book
HBZ-ID	HT011121674
ISBN	0-335-20198-9 ; 0-335-20199-7 ; 978-0-335-20198-3 ; 978-0-335-20199-0
Database	Catalogue ZB MED Medicine, Health

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1999 A 6464	order for loan	Magazin

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Article ; Online: Childhood obesity: overcoming the fear of having healthier weight conversations with families.

Elyoussfi, Sohaila / O Sullivan, Elizabeth

British dental journal

2022 Volume 233, Issue 8, Page(s) 661–665

Abstract: Introduction Clinicians may find raising the issue of weight with patients or carers and having healthier lifestyle conversations uncomfortable, out of fear or experience of causing offence. A two-cycle audit was completed in a specialist paediatric ... ...

Abstract	Introduction Clinicians may find raising the issue of weight with patients or carers and having healthier lifestyle conversations uncomfortable, out of fear or experience of causing offence. A two-cycle audit was completed in a specialist paediatric dental service to ascertain whether healthier weight conversations were being had with patients and their carers.Materials and methods The inclusion criteria for the audit were paediatric patients who were having a general anaesthetic assessment for dental extractions as a result of dental caries. A gold standard was set that all patients having a general anaesthetic assessment should have their body mass index (BMI) calculated and healthier weight conversations should be had with patients and carers and families signposted for further support when necessary.Results Results for the first cycle found that only 7% of patients had their BMI recorded and there was no record of healthier weight conversations for any patient. After the results of the first cycle were shared and ways in which to have a helpful healthy weight conversation discussed, a second cycle was carried out. A significant improvement was made, with clinicians calculating the BMI for 65% of the patients and a healthier weight conversation being had when necessary.Discussion Many of the clinicians voiced that as calculating a BMI and having healthier weight conversations is not something that they had previously routinely done, they often forget to do this. Others stated that they felt uncomfortable bringing up the topic in a way that wouldn't offend the patient or parent, so avoided doing so.Conclusions As a result of the audit, it was strongly encouraged that all clinicians continue to calculate BMI as it was found to be a useful tool for introducing healthier weight conversations when necessary. The subject of healthier weight needs to be acknowledged in the dental setting and discussed with families in a non-judgemental and sensitive way. This paper aims to guide clinicians in how to sensitively broach this subject with children and carers and when and where to signpost if extra support is needed.
MeSH term(s)	Humans ; Child ; Pediatric Obesity/prevention & control ; Dental Caries ; Body Mass Index ; Fear ; Anesthetics, General
Chemical Substances	Anesthetics, General
Language	English
Publishing date	2022-10-28
Publishing country	England
Document type	Journal Article
ZDB-ID	218090-x
ISSN	1476-5373 ; 0007-0610
ISSN (online)	1476-5373
ISSN	0007-0610
DOI	10.1038/s41415-022-5102-0
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