Publications by authors named "J E Duggan"

386 Publications

Understanding the general practice of telemonitoring integrated care: a qualitative perspective.

Aust J Prim Health 2021 Jul 7. Epub 2021 Jul 7.

Developed in partnership with GPs, a new telehealth model of care using remote monitoring, known as telemonitoring (TM), was introduced in South Western Sydney (SWS) in 2015, transmitting clinical readings taken at home to telehealth coordinators. This study explored the experiences, beliefs and attitudes of general practice staff to identify barriers to and facilitators of the SWS TM model. Responses were collected from a purposive sample of 10 participants via semistructured interviews (n=9 interview sessions) and the resulting transcripts were analysed thematically. Four themes were identified: lack of understanding and involvement; patient-centred care and empowerment; clinical practice and process factors; and system-wide communication and collaboration. Participants recognised some actual and potential benefits of TM, but barriers to TM were identified across all themes. Feedback provided by participants has informed the ongoing formulation of a more 'GP-led' model of TM.
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http://dx.doi.org/10.1071/PY20215DOI Listing
July 2021

Training Load Monitoring Considerations for Female Gaelic Team Sports: From Theory to Practice.

Sports (Basel) 2021 Jun 5;9(6). Epub 2021 Jun 5.

Department of Sports, Exercise & Nutrition, Galway Mayo Institute of Technology, Galway Campus, Dublin Road, H91 T8NW Galway, Ireland.

Athlete monitoring enables sports science practitioners to collect information to determine how athletes respond to training loads (TL) and the demands of competition. To date, recommendations for females are often adapted from their male counterparts. There is currently limited information available on TL monitoring in female Gaelic team sports in Ireland. The collection and analysis of female athlete monitoring data can provide valuable information to support the development of female team sports. Athletic monitoring can also support practitioners to help minimize risk of excessive TL and optimize potential athletic performance. The aims of this narrative review are to provide: (i) an overview of TL athlete monitoring in female team sports, (ii) a discussion of the potential metrics and tools used to monitor external TL and internal TL, (iii) the advantages and disadvantages of TL modalities for use in Gaelic team sports, and (iv) practical considerations on how to monitor TL to aid in the determination of meaningful change with female Gaelic team sports athletes.
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http://dx.doi.org/10.3390/sports9060084DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8229966PMC
June 2021

Connected while distant: Networking CUREs across classrooms to create community and empower students.

Integr Comp Biol 2021 Jun 30. Epub 2021 Jun 30.

Institute for Biodiversity Research & Education, Charleston, IN 47111 USA.

Connections, collaborations, and community are key to the success of individual scientists as well as transformative scientific advances. Intentionally building these components into STEM education can better prepare future generations of researchers. Course-based undergraduate research experiences (CUREs) are a new and fast-growing teaching practice in STEM that can expand opportunities for undergraduate students to gain research skills. Because they engage all students in a course in an authentic research experience focused on a relevant scientific problem, CUREs provide an opportunity to foster community among students while promoting critical thinking skills and positively influencing their identities as scientists. Here, we review CUREs in the biological sciences that were developed as multi-institutional networks, and highlight the benefits gained by both students and instructors through participation in a CURE network. Throughout, we introduce Squirrel-Net, a network of ecology-focused and field-based CUREs that intentionally create connections among students and instructors. Squirrel-Net CUREs can also be scaffolded into the curriculum to form connections between courses, and are easily transitioned to distance-based delivery. Future assessments of networked CUREs like Squirrel-Net will help elucidate how CURE networks create community and how a cultivated research community impacts students' performance, perceptions of science, and sense of belonging. We hypothesize networked CUREs have the potential to create a broader sense of belonging among students and instructors alike, which could result in better science and more confident scientists.
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http://dx.doi.org/10.1093/icb/icab146DOI Listing
June 2021

Time between diagnosis and achievement of virologic suppression in people living with HIV.

Am J Health Syst Pharm 2021 Jun 29. Epub 2021 Jun 29.

College of Pharmacy and Pharmaceutical Sciences, University of Toledo, Toledo, OH, USA.

Purpose: Data support the individual and public health advantages of shortened time intervals between HIV diagnosis, initiation of antiretroviral therapy (ART), and virologic suppression. The time from HIV diagnosis to linkage to care, initiation of ART, and virologic suppression was evaluated in newly diagnosed, ART-naive individuals after structured programmatic changes were implemented to reduce time to virologic suppression (TVS).

Methods: The retrospective cohort included newly diagnosed, ART-naive adult patients receiving care in a Midwestern Ryan White Clinic. Study periods were between January 1, 2015, and December 31, 2015 (delayed treatment group) and January 1, 2017, and December 31, 2017 (rapid treatment group). Changes during the intervention time period were related to access to care and ART. The primary outcome of time from HIV diagnosis to virologic suppression was compared between the groups. Secondary outcomes included the time from diagnosis to linkage to care and the time to initiation of ART.

Results: Twenty-four and 35 individuals were included in the control and intervention groups, respectively. Median (interquartile range) time from diagnosis to viral suppression was 137 (77-318) days in the delayed treatment group vs 76.5 (51-151) days in the rapid treatment group (P = 0.021). Time from diagnosis to first clinic visit remained similar (median of 13.5 vs 15 days, P = 0.859), while time from first clinic visit to initiation of ART decreased significantly (median of 15 vs 0 days, P < 0.001).

Conclusion: Time from first clinic visit to ART initiation was significantly shortened in this intervention and was the driving force to decreasing TVS. Additional research into barriers impacting time from diagnosis to linkage to care are needed to further shorten TVS.
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http://dx.doi.org/10.1093/ajhp/zxab269DOI Listing
June 2021

Transmissibility and viral replication of SARS-COV-2 in immunocompromised patients.

J Med Virol 2021 Jul 3;93(7):4156-4160. Epub 2021 Apr 3.

Department of Internal Medicine, University of Toledo, Toledo, Ohio, USA.

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http://dx.doi.org/10.1002/jmv.26970DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8250487PMC
July 2021
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