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Mulligan, Aisling
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Mulligan, Aisling
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Mulligan, Aisling
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- PublicationAntenatal Rubella Immunity in Ireland(Irish Medical Organisation, 2013-09)
; ; ; ; ; ; ; The objective of the study was to identify those women attending for antenatal care who would have benefited from prepregnancy rubella vaccination. It was a population-based observational study of women who delivered a baby weighing ≥500 g in 2009 in the Republic of Ireland. The woman’s age, parity, nationality and rubella immunity status were analysed using data collected by the National Perinatal Reporting System. Of the 74,810 women delivered, the rubella status was known in 96.7% (n=72,333). Of these, 6.4%(n=4,665) women were not immune. Rubella seronegativity was 8.0%(n=2425) in primiparous women compared with 5.2%(n=2239) in multiparous women (p<0.001), 14.7%(n=10653) in women <25 years old compared with 5.0%(n=3083) in women ≥25 years old (p<0.001), and 11.4%(n=780) in women born outside the 27 European Union (EU27) countries compared with 5.9%(n=3886) in women born inside the EU27 countries (p<0.001). Based on our findings we recommend that to prevent Congenital Rubella Syndrome, the health services in Ireland should focus on women who are young, nulliparous and born outside the EU.178 - PublicationDo Deaf Young Persons Have the Same Rate of Mental Illness as Hearing Young Persons?Few deaf children or adolescents currently attend the HSE Grangegorman Child and Adolescent Mental Health Service (CAMHS) despite the deaf school in Cabra being in its catchment area. Although profound deafness rates in this age group are decreasing due to the MMR vaccine, advancements in cochlear implantations and the newborn hearing screening programme, mental health difficulties in deaf children and adolescents could be going unreported. Compared to hearing populations, higher rates of mental health problems have been found in deaf people [1]. This study aimed to gather data about rates of mental health problems in deaf young persons attending a deaf school and compare the results with a general population sample of hearing young persons, using the Growing Up in Ireland data. It is hoped that the results could be used to promote access to better healthcare for the deaf community. A Strengths and Difficulties Questionnaire (SDQ) was distributed to every pupil attending a mixed school for the deaf and their parents. The SDQ covers: Hyperactivity, Emotional symptoms, Conduct problems, Peer problems and Prosocial [2]. Results were described as ‘normal’, ‘borderline’ or ‘abnormal’. Results found that compared to the 10% published cut-off, a higher rate of primary school children scored ‘abnormal’ and more secondary children scored ‘border-line’. Bullying and loneliness were issues for most children, with peer relations the highest scoring difficulty overall. The low response rate is a limitation for the study. Out of 125 children, parents of 11 primary school children and 10 secondary school children participated.
225 - PublicationAttitudes and reported practice of paediatricians and child psychiatrists regarding the assessment and treatment of ADHD in Ireland(Cambridge University Press, 2017)
; ; ; ; Objectives: This mixed-method national survey has obtained original data on attention deficit hyperactivity disorder (ADHD) attitudes, assessment and treatment regimes reported by paediatricians and child psychiatrists; and has compared their clinics. It has examined the extent of involvement of Irish paediatricians in the management of ADHD. Methods: A questionnaire was designed, based on a review of literature and ADHD guidelines, and piloted by expert clinicians. Universal recruitment was conducted among Child and Adolescent Mental Health Services (CAMHS) consultants (n = 71) and community/general paediatric consultants (n = 72). Quantitative and qualitative data was collected and analysed. Results: There was an overall response rate of 43%. A dedicated ADHD clinic is offered in 79% of CAMHS services, but only in one paediatric service. Participants reported that the assessment of ADHD involves multidisciplinary work and this was only established in CAMHS clinics. Medication is initiated by 82% of child psychiatrists and only 22% of paediatricians. Conclusions: This first national study of ADHD attitudes and practices presents comprehensive data regarding the management of children with ADHD in CAMHS and paediatric settings in Ireland. Paediatricians reported a minor role in managing ADHD. Study limitations are related to subjective reporting rather than case note audit, and a moderate response rate for the paediatricians’ participants.759Scopus© Citations 3