18 results on '"Mahony F"'
Search Results
2. ‘Itʼs something you have to put up with’—service usersʼ experiences of in utero transfer: a qualitative study
- Author
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Porcellato, L, Masson, G, OʼMahony, F, Jenkinson, S, Vanner, T, Cheshire, K, and Perkins, E
- Published
- 2015
- Full Text
- View/download PDF
3. Silver nanoparticles and their orthopaedic applications
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Brennan, S. A., Fhoghlú, C. Ní, Devitt, B. M., OʼMahony, F. J., Brabazon, D., and Walsh, A.
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- 2015
- Full Text
- View/download PDF
4. § Estimation of proteinuria as a predictor of complications of pre-eclampsia: a systematic review
- Author
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Thangaratinam, S, Coomarasamy, A, and OʼMahony, F
- Published
- 2009
5. Unique Prospective Cohort Study: Rheumatic Heart Disease (RHD) and Pregnancy
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McLintock, C., Mahony, F., Sullivan, E., Pulver, Jackson L., Carapetis, Jonathan R., Walsh, W., Peek, M., Kruske, Sue, Belton, Suzanne, Remenyi, Bo, Vaughan, G., Thomas, E., Comino, E., D'Antoine, Heather, Brown, Alex, Kane, S., Noonan, Sara J., Sherwood, J., McLintock, C., Mahony, F., Sullivan, E., Pulver, Jackson L., Carapetis, Jonathan R., Walsh, W., Peek, M., Kruske, Sue, Belton, Suzanne, Remenyi, Bo, Vaughan, G., Thomas, E., Comino, E., D'Antoine, Heather, Brown, Alex, Kane, S., Noonan, Sara J., and Sherwood, J.
- Abstract
Background: An increased cardiac workload in pregnancy can unmask undiagnosed RHD and exacerbate clinical symptoms in women with RHD. Pregnant women with mechanical heart valves who require therapeutic anticoagulation throughout pregnancy; women with mitral or aortic stenosis; or with severe RHD, are at particular risk. There is a paucity of clinical research about RHD in pregnancy with most recommendations based on generic studies of severe disease in non-pregnant adults or women with congenital cardiac disease.A two-year study of the prevalence, management and outcomes of RHD in pregnancy across Australia and New Zealand has commenced as part of the Australasian Maternity Outcomes Surveillance System (AMOSS), a bi-national surveillance/research system of rare or serious conditions in pregnancy, childbirth and the post natal period. In New Zealand, AMOSS is run under the auspices of the Perinatal and Maternal Mortality Review Committee (PMMRC).Methods: We have developed a prospective cohort study to identify and collect data from every pregnant woman with RHD presenting at one of 300 maternity units in Australia and New Zealand. The content of the extensive data collection tools includes RHD history, clinical changes over the duration of the pregnancy, echocardiographic findings, anticoagulation regimens and delivery and neonatal outcomes.Results: In the initial six months of data collection we have been notified of 40 cases suggesting that 60–80 cases may be identified annually in New Zealand.Conclusion: This prospective cohort study allows a unique opportunity to gather information of maternal and infant outcomes in this serious condition.
- Published
- 2013
6. Health equity in the New Zealand health care system: a national survey
- Author
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Sheridan, NF, Kenealy, TW, Connolly, MJ, Mahony, F, Barber, PA, Boyd, MA, Carswell, P, Clinton, J, Devlin, G, Doughty, R, Dyall, L, Kerse, N, Kolbe, J, Lawrenson, R, Moffitt, A, Sheridan, NF, Kenealy, TW, Connolly, MJ, Mahony, F, Barber, PA, Boyd, MA, Carswell, P, Clinton, J, Devlin, G, Doughty, R, Dyall, L, Kerse, N, Kolbe, J, Lawrenson, R, and Moffitt, A
- Abstract
INTRODUCTION: In all countries people experience different social circumstances that result in avoidable differences in health. In New Zealand, Māori, Pacific peoples, and those with lower socioeconomic status experience higher levels of chronic illness, which is the leading cause of mortality, morbidity and inequitable health outcomes. Whilst the health system can enable a fairer distribution of good health, limited national data is available to measure health equity. Therefore, we sought to find out whether health services in New Zealand were equitable by measuring the level of development of components of chronic care management systems across district health boards. Variation in provision by geography, condition or ethnicity can be interpreted as inequitable. METHODS: A national survey of district health boards (DHBs) was undertaken on macro approaches to chronic condition management with detail on cardiovascular disease, chronic obstructive pulmonary disease, congestive heart failure, stroke and diabetes. Additional data from expert informant interviews on program reach and the cultural needs of Māori and Pacific peoples was sought. Survey data were analyzed on dimensions of health equity relevant to strategic planning and program delivery. Results are presented as descriptive statistics and free text. Interviews were transcribed and NVivo 8 software supported a general inductive approach to identify common themes. RESULTS: Survey responses were received from the majority of DHBs (15/21), some PHOs (21/84) and 31 expert informants. Measuring, monitoring and targeting equity is not systematically undertaken. The Health Equity Assessment Tool is used in strategic planning but not in decisions about implementing or monitoring disease programs. Variable implementation of evidence-based practices in disease management and multiple funding streams made program implementation difficult. Equity for Māori is embedded in policy, this is not so for other ethnic groups or
- Published
- 2011
7. Unique Prospective Cohort Study: Rheumatic Heart Disease (RHD) and Pregnancy
- Author
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McLintock, C., primary, Mahony, F., additional, Sullivan, E., additional, Jackson Pulver, L., additional, Carapetis, J., additional, Walsh, W., additional, Peek, M., additional, Kruske, S., additional, Belton, S., additional, Remenyi, B., additional, Vaughan, G., additional, Thomas, S., additional, Comino, E., additional, D’Antoine, H., additional, Brown, A., additional, Kane, S., additional, Noonan, S., additional, and Sherwood, J., additional
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- 2013
- Full Text
- View/download PDF
8. Challenges of Surveillance: Rheumatic Heart Disease (RHD) in Pregnancy
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Vaughan, G., primary, McLintock, C., additional, Sherwood, J., additional, Walsh, W., additional, Tune, K., additional, Mahony, F., additional, and Sullivan, E., additional
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- 2013
- Full Text
- View/download PDF
9. Lessons learnt from attempting to assess the evidence base for a complex intervention introduced into New Zealand general practice
- Author
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Horsburgh, M., primary, Goodyear-Smith, F., additional, Bycroft, J., additional, Mahony, F., additional, Roy, D., additional, Miller, D., additional, and Donnell, E., additional
- Published
- 2010
- Full Text
- View/download PDF
10. Ownership of pressure sewer systems, a tale of two towns.
- Author
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ALBRO, HENRY S. and MAHONY, F. R.
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SEWERAGE , *MEAN time to repair , *PUBLIC opinion , *SEWER districts , *HOUSE drainage - Abstract
Pressure sewers have been installed throughout New England over the past 45 years and there is still discussion on the best way to operate them in terms of ownership. This article presents the approach and results of two New England communities, Chelmsford and Marion, Mass. The two communities have followed different paths; however, both installations have been successful and each demonstrates that success and greater operation and maintenance reliability result when communities share in the oversight and operation of these systems. Key characteristics of these successful installations are discussed along with modifications to operating methods based on "lessons learned" from 12 years of operation. Actual cost data and mean-time-between-servicecalls (MTBSC) data are evaluated in light of data on installation issues, abuse, and system wear and tear. Political and public perception aspects are also presented. [ABSTRACT FROM AUTHOR]
- Published
- 2015
11. Roebourne
- Author
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Mahony, F. P., Hayman, A., Mahony, F. P., and Hayman, A.
- Abstract
Caption title., On lower right: F. P. Mahony., On lower left: Horace Baker S.C., After original published in Picturesque Atlas of Australasia, 1888. Facsimile edition, p. 487, (Q994 PIC), Hand coloured lithograph reproduction of engraving on woven paper.
12. Health equity in the New Zealand health care system: a national survey
- Author
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Doughty Robert, Devlin Gerard, Clinton Janet, Carswell Peter, Boyd Mary Anne, Barber P Alan, Mahony Faith, Connolly Martin J, Kenealy Timothy W, Sheridan Nicolette F, Dyall Lorna, Kerse Ngaire, Kolbe John, Lawrenson Ross, and Moffitt Allan
- Subjects
health equity ,Māori ,cultural competency ,health care system ,chronic conditions ,cardiovascular disease ,chronic obstructive pulmonary disease ,congestive heart failure ,stroke ,diabetes ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Introduction In all countries people experience different social circumstances that result in avoidable differences in health. In New Zealand, Māori, Pacific peoples, and those with lower socioeconomic status experience higher levels of chronic illness, which is the leading cause of mortality, morbidity and inequitable health outcomes. Whilst the health system can enable a fairer distribution of good health, limited national data is available to measure health equity. Therefore, we sought to find out whether health services in New Zealand were equitable by measuring the level of development of components of chronic care management systems across district health boards. Variation in provision by geography, condition or ethnicity can be interpreted as inequitable. Methods A national survey of district health boards (DHBs) was undertaken on macro approaches to chronic condition management with detail on cardiovascular disease, chronic obstructive pulmonary disease, congestive heart failure, stroke and diabetes. Additional data from expert informant interviews on program reach and the cultural needs of Māori and Pacific peoples was sought. Survey data were analyzed on dimensions of health equity relevant to strategic planning and program delivery. Results are presented as descriptive statistics and free text. Interviews were transcribed and NVivo 8 software supported a general inductive approach to identify common themes. Results Survey responses were received from the majority of DHBs (15/21), some PHOs (21/84) and 31 expert informants. Measuring, monitoring and targeting equity is not systematically undertaken. The Health Equity Assessment Tool is used in strategic planning but not in decisions about implementing or monitoring disease programs. Variable implementation of evidence-based practices in disease management and multiple funding streams made program implementation difficult. Equity for Māori is embedded in policy, this is not so for other ethnic groups or by geography. Populations that conventional practitioners find hard to reach, despite recognized needs, are often underserved. Nurses and community health workers carried a disproportionate burden of care. Cultural and diversity training is not a condition of employment. Conclusions There is a struggle to put equity principles into practice, indicating will without enactment. Equity is not addressed systematically below strategic levels and equity does not shape funding decisions, program development, implementation and monitoring. Equity is not incentivized although examples of exceptional practice, driven by individuals, are evident across New Zealand.
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- 2011
- Full Text
- View/download PDF
13. Health equity in the New Zealand health care system: a national survey.
- Author
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Sheridan NF, Kenealy TW, Connolly MJ, Mahony F, Barber PA, Boyd MA, Carswell P, Clinton J, Devlin G, Doughty R, Dyall L, Kerse N, Kolbe J, Lawrenson R, and Moffitt A
- Published
- 2011
14. Preferred format and strategies for seeking and trusting online health information: a survey of cardiology outpatient attendees across three New Zealand hospitals.
- Author
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Wells S, Mahony F, Lee A, McLachlan A, Dean J, Clarke J, Lehnhard S, Whittaker R, Harwood M, Cumming J, and Bycroft J
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- Humans, Middle Aged, Female, Male, New Zealand, Aged, Cross-Sectional Studies, Adult, Internet, Young Adult, Age Factors, Surveys and Questionnaires, Outpatients, Trust, Information Seeking Behavior, Consumer Health Information standards
- Abstract
Introduction The volume and quality of online health information requires consumers to be discerning. Aim This study aimed to explore consumer Internet use for health information, preferred format and what factors helped them to trust the source. Methods A cross-sectional study was conducted in 2016-2017 with adults attending three cardiology outpatient clinic sites using a short paper-based survey. The survey included questions regarding online health information use and perceived trustworthiness with opportunities for free text responses. Survey data were summarised with key questions adjusted by age group, gender and ethnicity using logistic regression. Results Of the 708 respondents (51% women, 66% aged 45-74 years, 16% Māori, 12% Pacific), 73% had sought health information online (64% in the previous 12 months), commonly for medication side effects, their health condition and self-help. Most (65%) were successful, although Pacific respondents reported a lower likelihood of search success compared to Europeans. Younger age groups were more concerned about information quality. Fact sheets (80%) were the most popular format and for all ethnic groups, followed by short videos (31%) and discussion groups (23%). Trusting online information required many strategies with 72% wanting health professionals to recommend websites. Discussion Online health information seeking is a norm for consumers, with simple fact sheets being the preferred format to build knowledge and skills. With the rising tide of misinformation, health portal providers need to offer accurate and easy-to-read fact sheets in their suite of formats and health professionals need to support consumers guiding them to trusted websites.
- Published
- 2024
- Full Text
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15. Is the delivery of a quality improvement education programme in obstetrics and gynaecology for final year medical students feasible and still effective in a shortened time frame?
- Author
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Kool B, Wise MR, Peiris-John R, Sadler L, Mahony F, and Wells S
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- Cross-Sectional Studies, Feasibility Studies, Female, Humans, Male, Surveys and Questionnaires, Education, Medical standards, Gynecology education, Obstetrics education, Quality Improvement, Students, Medical
- Abstract
Background: Teaching clinical audit skills to nascent health professionals is one strategy to improve frontline care. The undergraduate medical curriculum at the University of Auckland provides improvement science theory and skills in Year 5 teaching, and the opportunity to put this into practice during an Obstetrics and Gynaecology (O&G) clinical attachment in Year 6. In 2015, a revised medical school curriculum at the university resulted in a planned reduction of the O&G attachment from five weeks to four, necessitating revision of the Year 6 Quality Improvement (QI) project. The aim of this study was to evaluate if the revised programme provided an important experiential learning opportunity for medical students without imposing an unsustainable burden on clinical services., Methods: Based on a CIPP (Context/Input/Process/Product) evaluation model, the study was conducted in several stages to get a sense of the context as the new programme was being planned (Context evaluation), the feasibility of an alternative approach to meet the educational need (Input evaluation), the implementation of the revised programme (Process evaluation) and finally, the programme outcomes (Product evaluation). We used multiple data sources (supervisors, students, academic administrators, and hospital staff) and data collection methods (questionnaires, focus groups, individual interviews, consultative workshops, student reports and oral presentations)., Results: The context evaluation revealed the Year 6 QI programme to be valuable and contributed to O&G service improvements, however, the following concerns were identified: time to complete the project, timely topic selection and access to data, recognition of student achievement, and staff workload. The evaluation of the revised QI project indicated improvement in student perceptions of their QI knowledge and skills, and most areas previously identified as challenging, despite the concurrent reduction in the duration of the O&G attachment., Conclusions: Applying the CIPP model for evaluation to our revised QI programme enabled streamlining of procedures to achieve greater efficiency without compromising the quality of the learning experience, or increasing pressure on staff. A four week clinical rotation is adequate for medical educators to consider opportunities for including QI projects as part of student experiential learning.
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- 2017
- Full Text
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16. Large-scale proteomic characterization of melanoma expressed proteins reveals nestin and vimentin as biomarkers that can potentially distinguish melanoma subtypes.
- Author
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Qendro V, Lundgren DH, Rezaul K, Mahony F, Ferrell N, Bi A, Latifi A, Chowdhury D, Gygi S, Haas W, Wilson L, Murphy M, and Han DK
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- Biomarkers, Tumor analysis, Biomarkers, Tumor metabolism, Humans, Melanocytes metabolism, Melanoma pathology, Nestin analysis, Proteomics methods, Reference Values, Reproducibility of Results, Skin Neoplasms pathology, Tandem Mass Spectrometry methods, Tissue Array Analysis, Vimentin analysis, Melanoma metabolism, Nestin metabolism, Skin Neoplasms metabolism, Vimentin metabolism
- Abstract
Melanoma is an aggressive type of skin cancer, which accounts for only 4% of skin cancer cases but causes around 75% of skin cancer deaths. Currently, there is a limited set of protein biomarkers that can distinguish melanoma subtypes and provide an accurate prognosis of melanoma. Thus, we have selected and profiled the proteomes of five different melanoma cell lines from different stages of progression in comparison with a normal melanocytes using tandem mass spectrometry. We also profiled the proteome of a solid metastatic melanoma tumor. This resulted in the identification of 4758 unique proteins, among which ∼200-300 differentially expressed proteins from each set were found by quantitative proteomics. Correlating protein expression with aggressiveness of each melanoma cell line and literature mining resulted in the final selection of six proteins: vimentin, nestin, fibronectin, annexin A1, dipeptidyl peptidase IV, and histone H2A1B. Validation of nestin and vimentin using 40 melanoma samples revealed pattern of protein expression can help predict melanoma aggressiveness in different subgroups of melanoma. These results, together with the combined list of 4758 expressed proteins, provide a valuable resource for selecting melanoma biomarkers in the future for the clinical and research community.
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- 2014
- Full Text
- View/download PDF
17. Lessons learnt from attempting to assess the evidence base for a complex intervention introduced into New Zealand general practice.
- Author
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Horsburgh M, Goodyear-Smith F, Bycroft J, Mahony F, Roy D, Miller D, and Donnell E
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- Interviews as Topic, Models, Theoretical, New Zealand, Nursing Staff, Organizational Innovation, Diffusion of Innovation, Evidence-Based Practice, General Practice
- Abstract
Background and Context: Currently, in New Zealand general practice, the introduction of new initiatives is such that interventions may be introduced without an evidence base. A critical role is to respond to the challenges of chronic illness with self-management a key component. The 'Flinders Model' of self-management collaborative care planning developed in Australia has not been evaluated in New Zealand. A study was designed to assess the usefulness of this 'Model' when utilised by nurses in New Zealand general practice. This paper describes the issues and lessons learnt from this study designed to contribute to the evidence base for primary care. Assessment of problems Analysis of interviews with the nurses and the research team allowed documentation of difficulties. These included recruitment of practices and of patients, retention of patients and practice support for the introduction of the 'new' intervention., Results of Assessment: A lack of organisational capacity for introduction of the 'new' initiative alongside practice difficulties in understanding their patient population and inadequate disease coding contributed to problems. Undertaking a research study designed to contribute to the evidence base for an initiative not established in general practice resulted in study difficulties., Lessons Learnt: The need for phased approaches to evaluation of complex interventions in primary care is imperative with exploratory qualitative work first undertaken to understand barriers to implementation. Collaborative partnerships between researchers and general practice staff are essential if the evidence base for primary care is to develop and for 'new' interventions to lead to improved health outcomes.
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- 2010
- Full Text
- View/download PDF
18. Editorial.
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Mahony FS
- Subjects
- Delivery of Health Care, Dentistry, Preventive Dentistry, Workforce
- Published
- 1971
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