Publications by authors named "Declan Patton"

Objective: To determine health care professionals' (HCPs) attitudes, behaviours, and barriers toward exercise promotion among patients.

Method: Using systematic review methodology, we included published studies focusing on health care professionals' attitudes, behaviours, and barriers towards exercise promotion among patients. The search was conducted in June 2023, using the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed/MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL) Plus, and Scopus databases, and returned 352 records, of which 34 met the inclusion criteria.

View Article and Find Full Text PDF

The aim is to assess the incidence of pressure ulcers among adults undergoing surgery. Systematic review methodology was employed. Databases including Cochrane, Ovid Medline, Embase, EBSCO, CINAHL Plus and Scopus were searched in August 2024.

View Article and Find Full Text PDF

Objective: To investigate the strength of support legs from rearward-facing infant CRS models and the strength of an underfloor storage compartment, with and without a foam filler, when subjected to loading by a support leg simulating a frontal crash.

Methods: A range of support leg normal reaction force time-histories from previous frontal sled tests were simulated using a drop test rig with an impact mass of 39.4 kg.

View Article and Find Full Text PDF

This systematic review evaluated the clinical utility and diagnostic accuracy of autofluorescence imaging in detecting bacterial presence in wounds. A literature search was conducted in January 2025 across PubMed, Scopus, Cochrane, and EMBASE databases. Eligible studies included clinical trials and observational studies assessing autofluorescence imaging for wound bacterial detection.

View Article and Find Full Text PDF

Purpose: Large mammal head injury models allow the pathophysiological response associated with traumatic brain injury (TBI) to be studied in vivo with precise control of the physical parameters. However, only some studies have used skull-mounted sensors to measure the kinematics of the animal head rather than relying on measurements of the system delivering the impact. Therefore, the aim of the current study was to compare the kinematics between a rotational injury device (HYGE, Inc.

View Article and Find Full Text PDF

This systematic review aimed to determine the impact of negative pressure wound therapy on healing in patients with pilonidal sinus following surgical excision. Using systematic review methodology, we included original research studies written in English. The search was conducted using CINAHL Plus, Ovid, PubMed, EBSCO Host and Cochrane databases.

View Article and Find Full Text PDF

Objective: To compare the severity of head impacts between professional and Division I (D-I) collegiate football games for the purpose of improving protective equipment.

Methods: A total of 243 football players from the National Football League (NFL) and from D-I of the National Collegiate Athletic Association (NCAA) were equipped with instrumented mouthpieces capable of measuring six degrees-of-freedom head kinematics. Head impacts were processed using a custom algorithm and combined with game period descriptors to produce a curated dataset for analysis.

View Article and Find Full Text PDF

Aim: To explore existing literature examining physiological differences in pressure ulcer response among individuals with differing skin tones.

Methods: This was a scoping review. Articles meeting the inclusion criteria were retrieved from electronic databases including PubMed, CINAHL, Scopus, Cochrane, and EMBASE, using the keywords "pressure ulcer," "skin pigmentation," "melanin," and "risk factor.

View Article and Find Full Text PDF

Background: Chronic wounds can pose a significant challenge for patients and healthcare professionals including the morbidity and associated costs. It is therefore essential to understand the specific challenges faced by patients to make wound care services more effective and convenient for the patient population.

Aim: Using the PEO model, this systematic review aims to explore the specific challenges patients with chronic wounds encounter when attending medical appointments related to wound care.

View Article and Find Full Text PDF

Aim: Temperature is a marker of inflammation. Research has shown that by measuring skin surface temperature in those with a history of diabetic foot ulceration (DFU), tissue damage can be identified early and reduce rates of subsequent DFU. This study considered whether measuring skin surface temperature using infra-red thermometry can identify early tissue damage and inform clinical practice in a general population with Diabetes Mellitus (DM).

View Article and Find Full Text PDF
Article Synopsis
  • Pressure ulcers are serious injuries caused by prolonged pressure on the skin, especially over bony areas, and they pose significant challenges in healing and treatment costs.
  • This review evaluates the effectiveness of various dressings and topical agents in preventing pressure ulcers for individuals at risk, without any existing ulcers, across different healthcare settings.
  • The update includes 51 trials with over 13,000 participants, showing that certain dressings, like silicone foam, can significantly reduce the incidence of pressure ulcers compared to no dressing at all.
View Article and Find Full Text PDF

Background: Stroke represents a major source of mortality and morbidity globally. The role of a stroke Clinical Nurse Specialist (CNS) as an expert team member in early supported discharge (ESD) for stroke, is not well defined or described although it is well established in other models of after-hospital and out-reach specialist care in the community. A greater focus has been on patients receiving rehabilitation post-stroke, however there is a need for a more holistic approach to care which clinical nurse specialists can offer to patients as part of ESD.

View Article and Find Full Text PDF

Background: Rapid antigen tests (RATs) are suitable for point-of-care testing, require no laboratory time, and give immediate results. However, are RATs useful for detecting asymptomatic COVID-19 infection when compared with polymerase chain reaction (PCR) testing in health care settings?

Methods: RAT testing was carried out on all new admissions without a history of confirmed COVID-19 infection within 3 months of admission. PCR testing was carried out on all patients with a positive RAT for confirmation purposes.

View Article and Find Full Text PDF

Objectives: To assess the interaction of multiple rearward-facing (RF) and forward-facing (FF) CRS restrained pediatric occupants on their kinetics in oblique impacts.

Methods: A Q3s and a Q1.5 ATD were restrained in 2 CRSs of varying widths-standard (503mm) and slim-fit (425mm)-in the 2 rear outboard seats of a 2023 compact sedan rigidized rear seat bench.

View Article and Find Full Text PDF

There is growing interest in the roles of temperature, epidermal hydration (EH) and pain in pressure ulcer (PU) development. Investigating correlations between these measures and sub-epidermal moisture (SEM) will address this knowledge deficit. A prospective observational study enrolled 60 surgical patients from February to November 2021.

View Article and Find Full Text PDF

This commentary considers the similarities which exist between pressure ulcers (PUs) and diabetic foot ulcers (DFUs). It aims to describe what is known to be shared-both in theory and practice-by these wound types. It goes on to detail the literature surrounding the role of inflammation in both wound types.

View Article and Find Full Text PDF

Pressure ulcers (PU) are a globally recognised healthcare concern, with their largely preventable development prompting the implementation of targeted preventive strategies. Risk assessment is the first step to planning individualised preventive measures. However, despite the long use of risk assessment, and the >70 risk assessment tools currently available, PUs remain a significant concern.

View Article and Find Full Text PDF

Background: There is a growing prevalence of diabetic foot ulcers (DFUs) in patients with diabetes mellitus and the use of thermography has sparked interest in a non-invasive diagnostic method for early DFU risk assessment and management.

Aim: This systematic review aims to assess the use of thermography in predicting diabetic foot ulcer risk in patients with diabetes mellitus.

Methods: A systematic search of publications using MEDLINE, CINAHL, and Cochrane databases was conducted in April 2023, and relevant articles were reviewed.

View Article and Find Full Text PDF

Background: Patient safety is the cornerstone of quality healthcare. Nurses have a duty to provide safe care, particularly to vulnerable populations such as paediatric patients. Demands on staff and resources are rising and burnout is becoming an increasingly prevalent occupational hazard in paediatric healthcare today.

View Article and Find Full Text PDF
Article Synopsis
  • Diabetes mellitus leads to serious health issues, particularly diabetic foot ulcers (DFUs), and machine learning might aid in their early detection and treatment.
  • A literature review identified 18 studies, revealing that machine learning models can effectively classify healthy skin vs. DFUs, as well as assess DFU progression and healing predictions, with varying degrees of accuracy and sensitivity.
  • The findings suggest that machine learning could enhance clinical practices for managing DFUs, and future research should focus on creating standardized tools for diagnosis and monitoring.
View Article and Find Full Text PDF

The aim of this study was to explore psychiatric nurse's experiences of caring for people with auditory hallucinations in an acute unit. A qualitative study was conducted using thematic analysis. The study involved semi-structured interviews with 18 acute unit nurses all of whom provided interventions to patients with auditory hallucinations.

View Article and Find Full Text PDF