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Search Results: 1 - 10 of 333074 matches for " S. Anne Moorhead "
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Obesity communication among patients by health professionals: Findings from the Weight Care Project  [PDF]
S. Anne Moorhead, Vivien E. Coates, Alison M. Gallagher, Geraldine Nolan, Kathy Murphy, Diane E. Hazlett
Health (Health) , 2013, DOI: 10.4236/health.2013.58A3015
Abstract: Obesity is on the increase worldwide and is a major global public health problem. In an increasingly obesogenic environment, it’s important that health professionals are equipped to identify and address obesity issues within their clinical practice. As part of the Weight Care Project, the aim of this study was to explore the obesity-related communication issues for primary care and community-based health professionals. The study design was a quantitative survey, which was completed by 382 primary care and community-based health professionals across Northern Ireland and Republic of Ireland working with adults and children. Key findings included that the majority of the health professionals (86%) recognized having a role in giving obesity advice, acknowledged that in clinical practice communication of obesity messages is both complex and challenging (81%), and reported difficulty in sensitively addressing obesity issues (27%). The health professionals surveyed stated that they communicate obesity messages to their patients using a range of different methods, mainly verbally to individuals, leaflets and factsheets. Numerous benefits of communicating obesity messages were reported; the main one was interacting with patients to build trust. Identified barriers to commu

Do High Frequency Ultrasound Images Support Clinical Skin Assessment?
Alison P. Porter-Armstrong,Catherine Adams,Anne S. Moorhead,Jeannie Donnelly
ISRN Nursing , 2013, DOI: 10.1155/2013/314248
Do High Frequency Ultrasound Images Support Clinical Skin Assessment?
Alison P. Porter-Armstrong,Catherine Adams,Anne S. Moorhead,Jeannie Donnelly,Jane Nixon,Daniel L. Bader,Courtney Lyder,May D. Stinson
ISRN Nursing , 2013, DOI: 10.1155/2013/314248
Abstract: High frequency ultrasound imaging has been reported as a potential method of identifying the suspected tissue damage in patients “at risk” of pressure ulceration. The aim of this study was to explore whether ultrasound images supported the clinical skin assessment in an inpatient population through identification of subcutaneous tissue damage. Skin on the heels and/or sacral coccygeal area of fifty vascular surgery inpatients was assessed clinically by tissue viability nurses and with ultrasound pre operatively and at least every other day until discharge. Images were compared to routine clinical skin assessment outcomes. Qualitative classification of ultrasound images did not match outcomes yielded through the clinical skin assessment. Images corresponding to 16 participants were classified as subgroup 3 damage at the heels (equivalent to grade 2 pressure ulceration); clinical skin assessment rated no heels as greater than grade 1a (blanching erythema). Conversely, all images captured of the sacral coccygeal area were classified as normal; the clinical skin assessment rated two participants as grade 1b (non-blanching erythema). Ultrasound imaging is a potentially useful adjunct to the clinical skin assessment in providing information about the underlying tissue. However, further longitudinal clinical assessment is required to characterise images against actual and “staged” pressure ulceration. 1. Introduction A pressure ulcer is defined as an area of localised damage to the skin and the underlying tissue caused by prolonged mechanical loading involving a combination of pressure, shear, and/or friction [1] with costs to the individual including pain, embarrassment, social exclusion, and a reduced quality of life [2]. Financial costs to the NHS of this largely preventable condition have been estimated to range from £1.4 to £2.1 billion per annum [3]. One subset of pressure ulcers, known as deep tissue injuries, has been characterised by damage which is localised in tissues at the bone muscle fascia, and which progresses up through the tissues in the form of oedema until reaching the skin surface [4, 5]. These are not readily apparent to the eye, and thus, by the time the clinical signs of deep tissue injury are evident, the injury is often well established and its resulting prognosis is variable [6]. The need for the investigation into early detection of pressure ulcers so that timely healthcare interventions can occur has been recognised [7]. Early detection and prevention would greatly reduce the burden on the patient and the associated economic and
Weight Care Project: Health professionals' attitudes and ability to assess body weight status - Study protocol
Anne Moorhead, Vivien Coates, Diane Hazlett, Alison Gallagher, Kathy Murphy, Geraldine Nolan, John Dinsmore
BMC Public Health , 2011, DOI: 10.1186/1471-2458-11-202
Abstract: This all-Ireland multi-disciplinary project follows a mixed methods approach using both quantitative and qualitative methodologies, and consists of four components:1. Literature review - to explore the role of health professionals in managing obesity through spontaneous intervention in a variety of health promotion settings.2. Telephone interviews and focus groups - to gain an in-depth insight into the views of health professionals in assessing body weight status.3. Survey (primarily online but also paper-based) - to determine the attitudes, current practices/behaviours and knowledge of health professionals in assessing body weight status.4. Online evaluation study - an online interactive programme will be developed to assess health professionals' ability to identify the body weight status of adults and children.This project will assess and report the attitudes, current practices/behaviours and knowledge of key health professional groups within Northern Ireland and the Republic of Ireland on body weight status, and their ability to identify body weight status in both adults and children. The results of this project will generate recommendations for clinical practice in managing obesity, which may inform policy guidelines.Obesity is a growing global epidemic [1] and Ireland is no exception with obesity in Irish adults increasing by at least 1% every year [2]. Data from The North/South Ireland Food Consumption Survey observed that on an all-Ireland basis 39% of the adult population were overweight and 18% were obese [3]. This is supported by the SLáN Survey 2007 [4,5] in the Republic of Ireland. Data from children indicated that almost one in four boys and over one in four girls were either overweight or obese in both Northern Ireland and the Republic of Ireland [6]. The Report of the National Taskforce on Obesity [2] also highlighted the importance of managing obesity in Ireland and provided over 80 recommendations. Therefore, obesity is a key public health issue wit
Deux regards, un monde
Andrea Moorhead
Babel : Littératures Plurielles , 2012,
Abstract: L’Américaine Andrea Moorhead explique comment elle en est venue à écrire en fran ais alors qu’elle est native de Buffalo, près des chutes du Niagara. Elle interroge les différentes dispositions et dispositifs poétiques en fran ais et en anglais, et souligne en particulier le r le de l’inconscient et de l’enfance. écrire en fran ais, selon l’auteur, n’est pas la traduction d’un état anglais : c’est un mouvement intérieur qui répond aux exigences de l’esprit, car le regard, le lien avec soi et avec les autres, l’énoncé lui-même sont différents. écrire en anglais porte la franchise des Saxons et la mélancolie des Celtes, alors qu’écrire en fran ais laisse entrer le murmure du subconscient et la douleur du monde. L’auteur montre que l’anglais est une langue à la fois poétique et pragmatique et qu’en fran ais, la tension vient plut t de l’abstraction et de la finesse du regard. Le bilinguisme poétique représente à ses yeux la foi dans une humanité planétaire.
Andrea Moorhead
Babel : Littératures Plurielles , 2012,
Abstract: From The Snows of TroyNiagarawomb of cold river and iceblack where the night risesperfumed in plumand sweet applecut against the grainand fires along the river a wombstill in daywhere the sun lingeringstillremembersbloodwhere now formand the still rootsflickering along the sunwomb of ice and flowerwomb of perfect lightand mud, clay, silt, sand,where the river cuts snowand the heavy saltalong the rim of day.The Snows of Troyclose to the breath of daymoving as the ground movesshifting as the le...
Pregnancy Complicated by Ludwig's Angina Requiring Delivery
Kathleen Moorhead,Maryam Guiahi
Infectious Diseases in Obstetrics and Gynecology , 2010, DOI: 10.1155/2010/158264
Abstract: At 33 weeks of gestation, a 24-year-old developed Ludwig's angina that worsened despite aggressive therapy. This is the first reported case of Ludwig's Angina in pregnancy that required an emergent cesarean section for fetal indications. Delivery may have contributed to improvement in the mother's health status. 1. Introduction Ludwig’s Angina is a rare consequence of periodontal infection that can result in severe upper airway obstruction and potentially death. Prior to our report, there have only been two cases reported in pregnant women. We report the first case that required immediate delivery secondary to worsening fetal and maternal health status. 2. Case Report This patient is a 24-year-old with a history of hepatitis C infection, intravenous drug use, and ten-pack year smoking history who presented as transfer of care during her thirty-third week of gestation. She had two prior deliveries: one vaginal and one cesarean. Initially, she presented with a tooth abscess that was treated with outpatient medication therapy that included oral antibiotic (amoxicillin-clavulanate) and analgesic medications. Despite reported compliance, she represented two days later at a community hospital with a low-grade fever and left-sided neck swelling consistent with angioedema. She was counseled and consented for elective endotracheal intubation given the concern for significant airway compromise. Next, she was given a single dose of dexamethasone to decrease swelling. Her diagnosis was Ludwig’s Angina in pregnancy and she was transferred to our tertiary hospital’s obstetrical intensive care unit. Upon admission, the patient was arousable, responsive to commands, and able to communicate despite the in situ endotracheal tube. She was normotensive, mildly tachycardic, and saturating well on room air without the need for assisted ventilation. Her palate and dentition were not fully visible, but her trachea appeared midline. Her neck exam was firm and tender with massive asymmetric neck swelling. Antenatal testing revealed a reactive fetal heart rate tracing, sonographic fetal biometry was consistent with her dates, and the fetus had a normal anatomic survey. The otolaryngology service at our center confirmed the diagnosis of Ludwig’s Angina, initiated parenteral piperacillin-tazobactam therapy, and recommended against steroids to prevent further maternal immunosupression. An incision and drainage of her neck abscess was performed in the operating room followed by removal of her endotracheal tube and placement of a tracheotomy tube. The oral maxillary facial service
The Nursing Outcomes Classification Clasificación de los Resultados de las Intervenciones de Enfermería Classifica o dos Resultados das Interven es de Enfermagem
Sue Ann Moorhead
Acta Paulista de Enfermagem , 2009, DOI: 10.1590/s0103-21002009000700004
Performance of D-criteria in isolating meteor showers from the sporadic background in an optical data set
Althea V. Moorhead
Physics , 2015, DOI: 10.1093/mnras/stv2610
Abstract: Separating meteor showers from the sporadic meteor background is critical for the study of both showers and the sporadic complex. The linkage of meteors to meteor showers, to parent bodies, and to other meteors is done using measures of orbital similarity. These measures often take the form of so-called D-parameters and are generally paired with some cutoff value within which two orbits are considered related. The appropriate cutoff value can depend on the size of the data-set (Southworth & Hawkins 1963), the sporadic contribution within the observed size range (Jopek 1995), or the inclination of the shower (Galligan 2001). If the goal is to minimize sporadic contamination of the extracted shower, the cutoff value should also reflect the strength of the shower compared to the local sporadic background. In this paper, we present a method for determining, on a per-shower basis, the orbital similarity cutoff value that corresponds to a chosen acceptable false-positive rate. This method also assists us in distinguishing which showers are significant within a set of data. We apply these methods to optical meteor observations from the NASA All-Sky and Southern Ontario Meteor Networks.
A phylogenetic survey of myotubularin genes of eukaryotes: distribution, protein structure, evolution, and gene expression
David Kerk, Greg BG Moorhead
BMC Evolutionary Biology , 2010, DOI: 10.1186/1471-2148-10-196
Abstract: We have identified 80 myotubularin homologues amidst the completely sequenced genomes of 30 organisms spanning four eukaryotic supergroups. We have mapped domain architecture, and inferred evolutionary histories. We have documented an expansion in the Amoebozoa of a family of inactive myotubularins with a novel domain architecture, which we dub "IMLRK" (inactive myotubularin/LRR/ROCO/kinase). There is an especially large myotubularin gene family in the pathogen Entamoeba histolytica, the majority of them IMLRK proteins. We have analyzed published patterns of gene expression in this organism which indicate that myotubularins may be important to critical life cycle stage transitions and host infection.This study presents an overall framework of eukaryotic myotubularin gene evolution. Inactive myotubularin homologues with distinct domain architectures appear to have arisen on three separate occasions in different eukaryotic lineages. The large and distinctive set of myotubularin genes found in an important pathogen species suggest that in this organism myotubularins might present important new targets for basic research and perhaps novel therapeutic strategies.Phosphatidylinositol (PtdIns) phospholipids are quantitatively minor but functionally significant membrane lipid components which have been shown to be involved in regulating diverse aspects of cellular function, such as proliferation, survival, growth, cytoskeletal reorganization, and various membrane trafficking events. The inositol ring can be phosphorylated at the D3, D4 or D5 position to produce a set of seven distinct phosphorylated derivatives, which are preferentially located in various cellular membranes or microdomains, specifying their identity, and mediating cellular functions by recruiting various effector proteins with specialized lipid-binding domains [1]. The homeostasis of these phosphorylated PtdIns lipids is mediated by a number of specific kinases and phosphatases.Myotubularins are members of
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