Research, Teaching and Publications

In much wisdom is much grief: and he that increaseth knowledge increaseth sorrow

Ecclesiastes 1:18

The department views research as a central component of its role and has had the highest number of Geriatric Medicine/Gerontology presentations at the Irish National Scientific Meetings. The research interests and publications of the department relate to: the older driver, dementia, dysphagia, stroke, the study of interdisciplinary working practices, nosocomial diarrhoea.

The department is one of the two sites of the Department of Medical Gerontology, one of the 21 Units of the School of Medicine of the Faculty of Health Sciences, Trinity College Dublin. Prof O'Neill is an associate professor in Medical Gerontology, Dr Collins is the Director of the Stroke Service, Dr O'Driscoll of the Falls Service and the Unit is actively involved in undergraduate and postgraduate interdisciplinary education. A structured undergraduate course in geriatric medicine for junior medical students has been taking place since since 1995, and the lecture notes are available on this site. Most recently, Prof O'Neill has chaired the Irish Government's Working Group on Elder Abuse, which produced its report, Protecting Our Future, in Sept 2002, as well as undertaking the Review of Deaths in Leas Cross Nursing Home for the Health Services Executive in 2006. Dr Collins currently sits on the Government Working Group on Cardiovascular Disease and Stroke. The Unit is also a base for the TCD Diploma in Gerontological Nursing.

The unit is a collaborator in a major Health Research Board project on ageing and health, the Healthy Ageing Research Project (HARP). This is lead by RCSI and also involves Queen's University Belfast and the Economic and Social Research Institute. It has developed the first iteration of a longitudinal study on ageing of older Irish people.

Professor O'Neill is a Principal Investigator for the National Stroke Audit, along with Prof H McGee of RCSI.

We are also part of the new PhD networks funded by the Health Research Board in May 2004 to the Institute of Neurosciences and are a partner in the Neurosciences and Ageing group on the Tallaght campus. The hospital has chosen Neurosciences and Ageing as one of the four main research topics of its official research strategy. This will form a key part of the Institute of Preventive Medicine and Advanced Care planned for the next phase of research development on site.

The unit is also one of the founder members and coordinators of the European Masters in Gerontology: a module was held on the Tallaght site in the summer of 2004.

 

Publications

 

The Older Driver

O'Callaghan S, O'Neill D, Older Drivers In Australia: Trends in Driving Status and Cognitive and Visual Impairment, J Amer Geriatr Soc, 2010 (in press)

O'Neill D, Deciding on driving cessation and transport planning in older drivers with dementia, European Geriatric Medicine, 1, (1), 2010, p22 - 25

O'Neill D. Re: Preventing injuries and fatalities among older pedestrians. Age Ageing. 2010 May;39(3):406.

O'Neill D. Driving and Transport in Later Life in, editor(s)Cho KH, Michel JP , Textbook of International Geriatrics and Gerontology, Seoul, South Korea, Harvard-Korea University Project, 2010

Bartley M, O'Neill D, Transportation and Driving in Longitudinal Studies on Ageing, Age and Ageing, 2010 (in press).

O'Neill D. Driving in, editor(s)Mulkerrin E, Carey B, Liston R , Medicine and Old Age: a Clinical Approach, London, Advanced Medical Publications, 2009, pp237 - 244

Martin AJ, Hand EB, Trace F, O'Neill D. Pedestrian Fatalities and Injuries Involving Irish Older People. Gerontology. 2009 Nov 11. [Epub ahead of print]

Palacio A, Tamburro G, O'Neill D, Simms CK, Non-collision injuries in urban buses: strategies for prevention, Accident Analysis and Prevention, 41, (1), 2009, p1 - 9.

Martin AJ, Marottoli R, O'Neill D. Driving assessment for maintaining mobility and safety in drivers with dementia.Cochrane Database Syst Rev. 2009 Jan 21;(1):CD006222.

Martin AJ, Hand EB, Trace F, O'Neill D. Pedestrian Fatalities and Injuries Involving Irish Older People. Gerontology. 2009 Nov 11. [Epub ahead of print] PubMed PMID: 19907137.

O'Neill D. Driving and safe mobility in Parkinson's disease in, editor(s)Playfer, J; Hindle, J , Parkinson's disease in the older patient, Oxford, Radcliffe Publishing, 2008, pp239 - 252.

O'Neill D. Driving and psychiatric illness in later life in, editor(s)Jacoby, R; Oppenheimer, C; Dening T; Thomas, A , Oxford Textbook of Old Age Psychiatry, Oxford, Oxford University Press, 2008, pp777 - 784

O'Neill D, Driving and dementia - balancing mobility and safety, Canadian Medical Association Journal, 2007, 176, (3), , p351 - 351

Martin A, O'Neill D. Driving and Transport. In Rai G, Mulley G (eds), Elderly Medicine: A Training Guide. London, Churchill Livingstone, 2007.

Breen DA, Breen DP, Moore JW, Breen PA, O'Neill D, Driving and dementia. BMJ. 2007 Jun 30;334(7608):1365-9.

Langford J, Braitman K, Charlton J, Eberhard J, O'Neill D, Staplin L, Stutts J., TRB Workshop 2007: Licensing authorities' options for managing older driver safety--practical advice from the researchers., Traffic Inj Prev, 9, (4), 2008, p278 - 28

Simms C, O’Neill D., Sports Utility Vehicles and vulnerable road users, Injury Prevention, 12, (1), 2006, p6 - 7

O’Neill D, Carr D. Transport, ageing and driving. In Principles and Practice of Geriatric Medicine, 4th edition, editors Pathy JS, Sinclair A, London, Wiley, 2006, pp141 - 150.

Martin A, Balding L, O'Neill D. Are the media running elderly drivers off the road? BMJ  2005;330:368

Fallon I, O'Neill D. The world's first automobile fatality. Accid Anal Prev 2005, 37, 601-3.

Talbot A, Bruce I, Cunningham CJ, Coen RF, Lawlor BA, Coakley D, Walsh JB, O'Neill D. Driving cessation in patients attending a memory clinic. Age Ageing. 2005, 34(4):363-8.

Simms C, O’Neill D. Sports Utility Vehicles and older pedestrians. Br Med J 2005, 331, 787 - 78.

Hakamies-Blomqvist L, O’Neill D. Older people and road traffic injury. In World Report on Traffic Injury Prevention. WHO, Geneva, 2004, 47.

O’Neill D, Dobbs B. Age-Related disease, Mobility and Driving. In Transportation in an Aging Society, A Decade of Experience. Transportation Research Board, Washington DC, 2004, 56-68. Robinson D, O’Neill D.  Ethics of driving assessment in dementia care, competence and communication.  In Rai, GS (ed), Medical Ethics and the Elderly, 2nd Edition.  Oxford, Radcliffe Publications, 2004, 103-112.

O'Neill D. In Jacoby R, Oppenheimer C (eds) Psychiatry in the Elderly (3rd ed). Oxford University Press, Oxford, 2002, 966-976.
O'Neill D. Driving . In Qizilbash N, Schneider LS, Chui H, Tariot P, Brodaty H, Kaye J, Erkinjuntti T (Eds) Evidence based dementia practice. Blackwell, London, 2002, 755-763.
O'Neill D. Safe Mobility for older people. In Conboy P (ed.) Assessment of older people's health and social care needs and preferences. Dublin, NCAOP 2002, 96-109.
O'Neill D. Safe mobility for older people. In Marçal S (ed) Behavioural Research in Road Safety: Twelfth Seminar. Department for Transport, London 2002, 112-126.
Hakamies-Blomqvist L, Ukkonen T, O'Neill D. Driver ageing does not cause higher accident rates per km. Transportation Research Part F, Traffic Psychology and Behaviour 2002, 5, 271 - 274.

O'Neill D. Safe mobility. In Playfer JR, Hindle JV (eds)Parkinson's disease in the older patient. Edward Arnold, London 2001, 202-214.
Cunningham C, Howard D, Walsh JB, Coakley D, O'Neill D. The effects of age on accident severity and outcome in Irish road traffic accident victims. Ir Med J 2001, 94, 169-171.
OECD Working Group ERS4. Ageing and Transport: Mobility Needs and Safety Issues. OECD, Paris 2001.

White S, O'Neill D. Health and re-licencing for older drivers in the European Union. Gerontology 2000 May;46(3):146-152
O'Neill D. The older driver. In Grimley Evans JG, Franklin Williams T, Michel JP, Beattie L (eds) Oxford Textbook of Geriatric Medicine, Second Edition. Oxford University Press, Oxford, 2000. 1157-62.
O'Neill D. Safe Mobility for Older People. Reviews in Clinical Gerontology 2000, 10, 181-191
O'Neill D, Bruce I, Kirby M, Lawlor B. Older drivers, driving practices and health issues. Clinical Gerontologist 2000, 22, 47-54
O'Neill D. Moral, ethical and legal aspects of dementia; Driving. In O'Brien J, Ames D, Burns A (eds), Dementia (2nd edition), 2000, Arnold, London, 282-289

O'Neill D.. Driving II: Competence to Drive. In Molloy DW, Darzins P, Strang D (eds) Capacity to decide. New Grange Press, Ontario, 1999, 167-179.

O'Neill D. Benzodiazepines and driver safety. Lancet 1998;352(9137):1324-5.

O'Neill D. Predicting and coping with the consequences of stopping driving. Alzheimer Dis Assoc Disord 1997;11 Suppl 1:70-2.

Lundberg C, Johansson K, Ball K, Bjerre B, Blomqvist C, Braekus A, Brouwer WH, Bylsma FW, Carr DB, Englund L, Friedland RP, Hakamies-Blomqvist L, Klemetz G, O'Neill D, Odenheimer G, Rizzo M, Schelin M, Seideman M, Tallman K, Viitanen M, Waller PF, Winblad B.Dementia and Driving: An attempt at consensus. Alzheimer's Disease and Associated Disorders, 1997; 11 (1) 28-37.

O'Neill D. The older driver. Reviews in Clinical Gerontology 1996, 6, 295-302.O'Neill D. Dementia and driving: screening, assessment and advice. Lancet 1996 348, 1114

O'Neill D. Syncope and driving. In Syncope, ed Kenny RA. London, Chapman Hall 1996, 325-331

McMahon M, O'Neill D, Kenny RA. Syncope - driving advice is frequently overlooked. Postgraduate Medical Journal 1996, 72, 561-3

O'Neill D. Drive on: enabling patients to drive is also important. British Medical Journal 1995, 311, 1162-3

O'Neill D, Crosby T, Shaw A, Haigh R, Hendra T. Physician awareness of driving regulations for older drivers. Lancet 1994, 344, 1366-7

O'Neill D. Older drivers, age-related diseases and physicians: enabling or policing?. In Aging and Driving, ed Johansson K, Lundberg C. Karolinska Institute Press, Stockholm, 1994, 67-7

O'Neill D. Older drivers and neurodegenerative disease. Travel Medicine International 1993, 11(5), 3-7

O'Neill D. Driving and psychiatric illness. American Journal of Psychiatry 1993, 150, 351

O'Neill D. Driving and dementia. Alzheimer Review 1993, 3, 65-68.

O'Neill, D. Illness and the older driver. J Irish Colleges of Physicians & Surgeons 1993, 22, 14-16.
O'Neill D, Neubauer K, Boyle M, Gerrard J, Surmon D, Wilcock GK. Dementia and Driving. J R Soc Med. 1992 Apr;85(4):199-202.

Dementia

Martin R, O'Neill D. Taxing your memory. Lancet. 2009 Jun 13;373(9680):2009-10. Epub 2009 Apr 9.

Sowman R, Robinson D, O'Riordan R, Connolly S, O'Neill D., Rapidly deteriorating speech and language in a case of probable sporadic Creutzfeld-Jakob disease, Aphasiology, 20, 2006 579-592.

Power DA, Noel J, Collins R, O'Neill D. Circulating leptin levels and weight loss in Alzheimer's disease patients. Dementia and Geriatric Cognitive Disorders 2001 Mar;12(2):167-170.
Cunningham CJ, Sinnott M, Denihan A, Rowan M, Walsh JB, O'Moore R, Coakley D, Coen RF, Lawler BA, O'Neill D. Endogenous sex hormone levels in postmenopausal women with Alzheimer's disease. J Clin Endocrinol Metab. 2001 Mar 1;86(3):1099-1103.
Robinson D, O'Neill D. Carbon Monoxide toxicity. Ir Med J 2002, 95.

Cunningham C, O'Neill D, Rowan M. ERT and cognitive decline. J Am Geriatr Soc. 2000 Mar;48(3):345-6

Coen RF, Kidd N, Denihan A, Cunningham C, Bruce I, Buggy F, O'Neill D, Walsh JB, Coakley D, Lawlor BA. The utility of naming tests in the diagnosis of Alzheimer's disease. Irish Journal of Psychological Medicine 1999, 16, 43-46
Swanwick GR, Coen RF, Maguire CP, Kirby M, Walsh JB, O'Neill D, Coakley D, Lawlor BA. The association between demographic factors, disease severity and the duration of symptoms at clinical presentation in elderly people with dementia. Age Ageing 1999 May;28(3):295-9
O'Neill D, Carr D. Management of common problems. In Diagnosis and management of dementia: a manual for memory disorder teams, ed Wilcock GK, Bucks RS, Rockwood K. Oxford University Press 1999, Oxford, 332-363.

O'Neill D. Completing the coalition against dementia. Ir Med J 1998;91(2):46-7.
Coen RF, Kirby M, Swanwick GR, Maguire CP, Walsh J, Coakley D, et al. Performance on the delayed word recall (DWR) fails to differentiate clearly between depression and Alzheimer's disease [letter; comment]. Psychol Med 1998;28(2):495-6.

Coen RF, Kirby M, Swanwick GRJ, Maguire CP, Walsh JB, Coakley D, O'Neill D, Lawlor BA. Distinguishing between patients with depression or very mild Alzheimer's disease using the Delayed-Word-Recall Test. Dementia and Geriatric Cognitive Disorders 1997, 8, 244-247

Swanwick GRJ, Kirby M, Coen RF, Maguire CP, O'Neill D, Walsh BJ, Coakley D, Lawlor BA. Effects of co-existent cerebrovascular disease on rate of progression in Alzheimer's Disease. Irish Journal of Psychological Medicine, 1996 13, 91-3.
Maguire C, Kirby M, Coen R, Lawlor B, Coakley D, O'Neill D.Family members' attitudes toward telling the patient with Alzheimer's disease their diagnosis. British Medical Journal, 1996 313, 529-530.

O'Neill D, Gerrard J, Surmon DJ, Wilcock GK. Variability in scoring the Hachinski Ischaemic Score. Age & Ageing 1995, 24, 259-62.
Pearsall T, O'Neill D, Wilcock GK. Use of the Mini-Mental State Examination to determine the usefulness of subsequent cognitive assessment in moderately to severely demented subjects. International Journal of Geriatric Psychiatry 1995, 10, 975-80
O'Neill D. Pharmacological treatment of Alzheimer's disease. Irish Medical Journal 1994, 87, 75-7.

O'Neill, D. Brain stethoscopes: the use and abuse of brief mental status schedules. Postgraduate Medical Journa, 1993, 69, 599-601.
O'Neill D, Barber RD. Reversible dementia caused by vitamin B12 deficiency. Journal of the American Geriatrics Society 1993, 41, 192-3.
Wilcock GK, Surmon DJ, Scott M, Boyle M, Mulligan K, Neubauer K, O'Neill D, Royston VH. An evaluation of the efficacy and safety of tetrahydroaminoacridine (THA) without lecithin in the treatment of Alzheimer's disease. Age & Ageing 1993, 22, 316-24.
O'Mahony D, Rowan M, Feely J, O'Neill D, Walsh JB, Coakley D.Parkinson's dementia and Alzheimer's dementia: an evoked potential comparison. Gerontology 1993, 39, 228-40.

Stroke

England TJ, Sare GM, Geeganage C, Moulin T, O'Neill D, Woimant F, Christensen H, De Deyn PP, Leys D, Ringlestein EB, Bath PB, Asymptomatic haemorrhagic transformation of infarction and its relationship with functional outcome and stroke subtype: assessment from the ‘Tinzaparin in Acute Ischaemic Stroke Trial’ (TAIST), Stroke, 2010 (in press).

Donnellan C, Hickey A, Hevey D, O'Neill D, Effect of mood symptoms on recovery one year after stroke, Int J Ger Psychiatry, 25, 2010, pDOI 10.1002/gps.2482

Cowman S, Royston M, Hickey A, Horgan F, McGee H, O'Neill D. Stroke and Nursing Home care: a national survey of nursing homes. BMC Geriatr. 2010 Jan 27;10:4.

Crawford VL, Dinsmore JG, Stout RW, Donnellan C, O'Neill D, McGee H. Stroke presentation and hospital management: comparison of neighboring healthcare systems with differing health policies. Stroke. 2009 Jun;40(6):2143-8.

Hickey A, O'Hanlon A, McGee H, Donnellan C, Shelley E, Horgan F, O'Neill D. Stroke awareness in the general population: knowledge of stroke risk factors and warning signs in older adults. BMC Geriatr. 2009 Aug 5;9:35.

Whitford DL, Hickey A, Horgan F, O'Sullivan B, McGee H, O'Neill D. Is primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study. BMC Fam Pract. 2009 Apr 29;10:27.

Bartley M, Tobin WO, Collins R, O'Neill D. Stroke and newspapers: inattention or neglect? J Stroke Cerebrovasc Dis. 2009 Jul-Aug;18(4):259-61.

Collins DR. No need to RE-LY on Warfarin for stroke prevention. Ir Med J 2009; 102: 278-9.

McEvoy S, Trainor S, Caffrey N, Torreggiani WC, Collins DR. Timing and modality of neuroimaging in acute stroke: an Irish perspective. Ir Med J. 2009;102(4):127.

Hickey A, O'Hanlon A, McGee H, Donnellan C, Shelley E, Horgan F, O'Neill D. Stroke awareness in the general population: knowledge of stroke risk factors and warning signs in older adults. BMC Geriatr. 2009 Aug 5;9:35.

Horgan F, Hickey A, McGee, O'Neill, National Audit of Stroke Care, Dublin, Irish Heart Foundation, April, 2008, 1, 62

O'Neill D, Horgan F, Hickey A, McGee H., Long term outcome of stroke: Stroke is a chronic disease with acute events., BMJ, 366, (7642), 2008, p341 - 341

Gray LJ, Sprigg N, Bath PM, Sorensen P, Lindenstrom E, Boysen G, De Deyn PP, Friis P, Leys D, Marttila R, Olsson JE, O'Neill D, Ringelstein B, van der Sande JJ, Turpie AG; TAIST Investigators., Stroke severity, early recovery and outcome are each related with clinical classification of stroke: data from the Tinzaparin in Acute Ischaemic Stroke Trial' (TAIST), J Neurol Sci, 253, 2007, p54 - 59.
Sprigg N, Gray LJ, Bath PM, Lindenstrom E, Boysen G, De Deyn PP, Friis P, Leys D, Marttila R, Olsson JE, O'Neill D, Ringelstein EB, van der Sande JJ, Turpie AG; TAIST Investigators. Early recovery and functional outcome are related with causal stroke subtype: data from the tinzaparin in acute ischemic stroke trial. J Stroke Cerebrovasc Dis. 2007 Jul-Aug;16(4):180-4.
Sprigg N, Gray LJ, Bath PM, Boysen G, Paul De Deyn P, Leys D, Lindenstrom E, O'neill D, Ringelstein B, van Der Sande JJ; TAIST Advisory Committee and TAIST Investigators. Compression stockings and the prevention of symptomatic venous thromboembolism: data from the tinzaparin in acute ischemic stroke trial. J Stroke Cerebrovasc Dis. 2005 Sep-Oct;14(5):203-9.
Gray, LJ, Sprigg N, Bath PMW, Boysen G, De Deyn PP, Leys D, O’Neill D, Ringelstein EB, for the TAIST Investigators, Sex differences in quality of life in stroke survivors: data from the ‘Tinzaparin in Acute Ischaemic Stroke Trial’ (TAIST) , Stroke, 38, (11), 2007, p2960 - 2964

Gray LJ, Sprigg N, Bath PMW, Boysen G, de Deyn PP, Leys D, Lindenstrøm E, O’Neill D, van der Sande J-J, Significant variation in mortality and functional outcome after acute ischaemic stroke between western countries: data from the ‘Tinzaparin in Acute Ischaemic Stroke Trial, J Neurol Neurosurg Psychiatry 2006, 77, 327 - 333.

Donnellan C, Hevey D, Hickey A, O'Neill D, Defining and quantifying coping strategies after stroke: a review, J Neurol Neurosurg Psychiatry, 77, (11), 2006, p1208 - 1218

Griffin E, Martin M, Fitzgerald T, O'Neill D. Gait abnormalities in older people - comparison of inter-professional assessment. Ir Med J, 2005, 98, 169-170.

Horgan NF, Cunningham CJ, Coakley D, Walsh JB, O'Neill D, O'Regan M, Finn AM, McCormack P. Validating the Orpington Prognostic Score in an Irish in-patient stroke population. Ir Med J, 2005, 98, 172-173.

Huf D, O’Neill D. Oskar Kokoschka and August Forel: life imitating art or a stroke of genius? Stroke 2005, 36, 2037-2040.

Sprigg N, Gray LJ, Bath PMW, Boysen G, de Deyn PP, Leys D, Lindenstrøm E, O’Neill D, van der Sande J-J. Graduated compression stockings and the prevention of symptomatic venous thromboembolism: data from the Tinzaparin in Acute Ischaemic Stroke Trial (TAIST). J Stroke Cerebrovasc Dis, 2005, 4, (5), 203 - 209.

Martin MP, O'Neill D. Vascular higher-level gait disorders-a step in the right direction? Lancet 2004, 363, 8.
White J, Feely J, O'Neill D. Community-based Study of Atrial Fibrillation and Stroke Prevention. Ir Med J 2004, 97 (1), 10-12.
Coughlan T, Lawson S, O'Neill D. French without tears? Foreign accent syndrome. J R Soc Med. 2004 May;97(5):242-243.
Creed A, Swanwick G, O'Neill D. Screening for post stroke depression in patients with acute stroke including those with communication disorders. Int J Geriatric Psychiatry 2004, 19, 595-7.

Martin MP, O'Neill D. Vascular higher-level gait disorders--a step in the right direction? Lancet. 2004;363:8.

Kennelly S, O'Neill D. Falls and mobility limitations in older people: measures of higher cerebral integration are also important. Am J Med. 2004;117:971

Coughlan T, O'Neill D. Hemiplegia of the will and trends in stroke incidence. Ir Med J 2004, 19,

Kelly LA, Carroll P, McCormack P, O'Neill D. Timing of hospital presentation and delays in assessment of acute stroke.J Ir Coll Phys Surg 2002, 31 (2), 73-76.
Harraf A, Sharma A, Brown MM, Lees KR, Vass RI, Kalra L for the Acute Stroke Intervention Group. A multicentre observational study of early assessment of acute stroke. Br Med J 2002, 325, 17-20.
Collins DR, McCormack PM, O'Neill D. General perception of stroke. Poor knowledge of stroke can be improved by simple measures. Br Med J 2002 Aug 17;325(7360):392
Miranda J, O'Neill D. Stroke associated with amphetamine use. ir Med J 2002;95:281-2

Bath PMW, Lindenstrom E, Boysen G, De Deyn P, Friis P, Leys D, Marttila R, Olsson JE, O'Neill D, Orgagozo JM, Ringelstein B, van der Sande JJ, Turpie AGG, for the TAIST Investigators. Tinzaparin in acute ischaemic stroke (TAIST): a randomised aspirin-controlled trial. Lancet 2001, 358, 702-10

O'Neill D (ed). Towards excellence in stroke care. Council on Stroke, Irish Heart Foundation, Dublin, 2000.
Collins DR, McConaghy D, McMahon A, Howard D, O'Neill D, McCormack P.An Acute Stroke Service: Potential to Improve Patient Outcome Without Increasing Length of Stay. Ir Med J 2000, 93, 247.

Collins DR, O'Neill D, McCormack P.Potential for treatment with thrombolysis in an Irish stroke unit. Ir Med J 1999, 92, 236-238
Collins DR, Hogan J, O'Neill D, McCormack P.Temporomandibular joint (TMJ) dislocation in association with stroke. Ir Med J 1999, 92, 247.
Horgan F, O'Neill D. Beyond hemiplegiaia. Ir Med J 1999, 92

Collins DR, O'Neill D. Stroke: non-motor sequelae, medical co-morbidity and patterns of intervention after referral to a special interest service. Ir J Med Sci 1998;167(1):33-4.

Collins DR, O'Hanlon E, O'Neill D. Therapeutic stroke: resolution of central post-stroke pain after a second stroke. J Amer Geriatr Soc 1997, 45, 532.

Dysphagia

Murphy E, Farrell Z, Collins R, O'Neill D. Unexplained dysphagia associated with prolonged intensive care unit stay. Ir J Med Sci 1996, 165 (Suppl 2), 18.
Collins DR, Farrell Z, Murphy E, Fitzpatrick G, O'Neill D. Persistent unexplained dysphagia associated with critical illness. Clinical Intensive Care 1996, 7, 315-6.
Gerrard-Dunne P, Farrell Z, O'Neill D. Oropharyngeal swallow disorder in chronic obstructive airways disease. Age & Ageing 1999, 28 (Suppl 2), 104
Farrell Z, O'Neill D.
Screening for oropharyngeal dysphagia in the general hospital. Lancet 1999, 354(9176):355-6
Jerrard-Dunne P, Farrell Z, O'Neill D.
Dementia with oropharyngeal dysphagia and myopathy. Dysphagia. 2001 Summer;16(3):196-9.
Kelly L, Greene Z, O'Neill D. Oropharyngeal dysphagia post-stroke. J Irish Coll Phys Surg 2003, 32, 42-6.
Robinson D, Jerrard-Dunne P, O'Neill D. Case control study of oropharyngeal swallow disorder in chronic obstructive pulmonary disease. J Nutrition, Health and Ageing 2003, 7, 334


Interdisciplinary Team

Cunningham C, Horgan F, Keane N, Connolly P, Mannion A, O'Neill D. Detection of disability by different members of a multi-disciplinary team in a geriatric rehabilitation setting. Clinical Rehabilitation 1996, 10, 247-54.
Cunningham C, Horgan F, Keane N, Connolly P, Mannion A, O'Neill D. Detection of disability by the multi-disciplinary team. J Amer Geriatr Soc 1995, 43, SA11.
Charles R, O'Neill D. A nutritional profile of 50 dietetic referrals from an acute geriatric unit. Irish Journal of Medical Science, 1996. Vol. 165 (Suppl 2), 40.
Harte M, O'Neill D. Extended care-placements: the general hospital experience. Ir J Med Sci 1996, 165 (Suppl 2),18
Horgan F, French H, Keane N, O'Neill D. Hemiplegic positioning charts - how effective are they? Ir J Med Sci 1996, 165 (Suppl 2), 29
Ryall N, Connolly P, Namushi R, O'Neill D. Detection of functional disability in older patients in the acute hospital. Ir J Med Sci 1994
Collins DR, Murphy S, Mulholland L, Sweeney P, O'Neill D .Awareness of therapeutic interventions of other disciplines in the interdisciplinary setting. Ir J Med Sci 166, 1997, 19.
Murphy S, Kelly M, O'Neill D. Lifting and handling techniques, older patients and healthcare personnel. Ir J Med Sci 166, 1997, 18.
Sweetman L, Howard D, O'Neill D. Once-daily medication for older patients - can we do better? Ir J Med Sci 166, 1997, 17.
Durkin J, O'Neill D. Rehabilitation, an audit of the hospital community interface. Ir J Med Sci 166, 1997, 17.
Charles R, Mulligan S, O'Neill D. Under-nutrition in an acute Geriatric Unit, it's identification, assessment and treatment. Ir J Med Sci 166, 1997, 16.


Nosocomial Infection

Kyne L, Moran A, Keane C, O'Neill D. Nosocomial diarrhoea and the elderly in a general hospital. Journal of the American Geriatrics Society 1995, 43, SA15.
Kyne L, Merry C, O'Connell B, Keane C, O'Neill D. The role of second and third generation cephalosporins in clostridium difficile associated disease. Age & Ageing Vol 25, 1996
Kyne L, Merry C, O'Connell B, Keane C, O'Neill D. Diagnostic value of Clostridium difficile cytotoxin assay. Journal of Hospital Infection 1996, 32, 237-8.
Kyne L, Merry C, O'Connell B, Harrington P, Keane C, O'Neill D.
Simultaneous outbreaks of two strains of toxigenic Clostridium difficile in a general hospital. J Hosp Infect 1998;38(2):101-12.
Kyne L, Merry C, O'Connell B, Keane C, O'Neill D. Clostridium Difficile associated disease - a hospital or community problem? Ir J Med Sci 1996, 165 (Suppl 2) P3
Merry C, Kyne L, O'Connell B, O'Neill D, Mulcahy F, Keane C. Clostridium Difficile associated diarrhoea in HIV positive patients. Ir J Med Sci 1996, 165 (Suppl 2) 46-7
Kyne L, Merry C, O'Connell B, Kelly A, Keane C, O'Neill D. Predicting severity of disease due to clostridium difficile - does age matter? Journal of the American Geriatrics Society 1996, 44, S41
Kyne L, Moran A, Keane C, O'Neill D. The elderly and hospital-acquired diarrhoea: a high-risk group. Age & Ageing 1995, 24 (Suppl 2), P17
Doyle RM, Molony C, Walsh C, Keane C, O'Neill D, Coakley D, Walsh JB. Is there life after Clostridium Difficile Diarrhoea? Age & Ageing 1998, 27, Supplement 2. P28.
Kyne L, Moran A, Keane C, O'Neill D. Hospital-acquired diarrhoea in elderly patients: epidemiology and staff awareness. Age and Ageing, 1998, 27, 339-343.
Kyne L, Merry C, O'Connell B, Keane C, O'Neill D.
Community-acquired Clostridium difficile infection. J Infect 1998;36(3):287-8.
Kyne L, Merry C, O'Connell B, Kelly A, Keane C, O'Neill D.
Factors associated with prolonged symptoms and severe disease due to Clostridium difficile. Age and Ageing 1999, 28, 107-113

Ethical Issues/Medical Humanities

Zwei Dinge erfüllen das Gemüt mit immer neuer und zunehmender Bewunderung und Ehrfurcht, je öfter und anhaltender sich das Nachdenken damit beschäftigt: Der bestirnte Himmel über mir, und das moralische Gesetz in mir.Kant, Kritik der praktischen Vernunft

Lyons D, Mulcahy R, Poorasingh A, Walsh JB, Coakley D, O'Neill D. Decision-making and resuscitation status of medical patients. Ir J Med Sci 1994
Lyons D, O'Neill D, Mulcahy R. Prognosis and cardiopulmonary resuscitation in elderly patients.
New England Journal of Medicine 1994, 331, 479.
Mulcahy R, Lyons D, Murray A, Walsh JB, Coakley D, O'Neill D. Views of medical personnel on cardiopulmonary resuscitation. Ir J Med Sci 1996. 165.
Mulcahy R, Lyons D, Poorasingh A, Walsh JB, Coakley D, O'Neill D. Cardiopulmonary resuscitation: who should make the decision? Age & Ageing 1994, 23 (Suppl II), P22
Mulcahy R, Lyons D, Doona M, Coakley D, Walsh JB, O'Neill D. Cardiopulmonary resuscitation - the patients view. Age & Ageing, 25 (supplement 1) 1996, 27.
Maguire C, Kirby M, Coen R, Lawlor B, Coakley D, O'Neill D.
Family members' attitudes toward telling the patient with Alzheimer's disease their diagnosis. British Medical Journal, 1996 313, 529-530.
O'Neill D.
Cogito ergo sum? - refocusing dementia ethics in a hypercognitive society. Irish Journal of Psychological Medicine, Dec 1997, vol 14 (4), 121-123
O'Neill D.
Present, rather than, advance directives. Lancet 2001, 358, 1921-2.
Lyons D, Mulcahy R, O'Neill D. How far should we go? The extent to which doctors choose to resuscitate patients. J Irish Colleges of Physicians and Surgeons 2002, 31, 28-31.
O'Neill D.
Electronic tagging in dementia: should be reserved for babies, convicted criminals and animals. BMJ Nov 2003; 326: 281.

Robinson D, O'Neill D.Resuscitation guidelines: a perspective from Ireland. J Nutrition, Health and Ageing 2003, 7, 317.

Robinson D, O'Neill D. Communication and documentation of Do-Not-Associate orders in an Irish teaching hospital. Medico-Legal Journal of Ireland, 11, (2), 2005, 60 - 62

Russell C, O'Neill D. Ethicists and clinicians: the case for collaboration in the teaching of medical ethics. Ir Med J, 2006 Jan;99(1):25-7.

Tuite H, Browne K, O'Neill D. Prisoners in general hospitals: doctors' attitudes and practice. BMJ. 2006 Mar 4;332(7540):548-9.

O'Neill D. Ageism and prejudice against disability are important considerations. eBMJ 2006

Robinson D, O'Neill D., And death shall have no dominion? Access to healthcare records after death., Journal of the American Medical Association, 297, (6), 2007, p634 - 636

O'Neill, D. Ageing, Learning and Galleries in, editor(s)Bourke, M , Museums, Galleries and Lifelong Learning, Dublin, National Gallery of Ireland, 2008, pp39 - 47.

Garavan R, McGee H, Winder R, O'Neill D. Discussing preferences for long term care options: what older people do. J Nutrition Health Ageing 2008, 12(8), 565

O'Neill D, Collins R. Medical ethics and prisoners. Lancet. 2009 Mar 14;373(9667):896.

Garavan R, McGee HM, Winder R, O'Neill D. When and how older people discuss preferences for long-term care options. J Am Geriatr Soc. 2009 Apr;57(4):750-1.

Russell C, O'Neill D. Developing an ethics of competence, care, and communication. Ir Med J. 2009 Mar;102(3):69-70.

Bartley M. Medical Classics: The Moral Challenge of Alzheimer Disease BMJ 2009;339:b4856

O'Neill D, A gerontologist looks at the issues, Search, 33, (3), 2009, p184 - 194

O'Neill D. Moral obligations. What about abuse other than torture? BMJ. 2010 Mar 24;340:c1610. doi: 10.1136/bmj.c1610.

O'Neill D., Medical Classics: The Man With a Shattered World, BMJ, 340, 2010, pc1315

O'Neill D, A volcanic disruption, BMJ , 340, 2010, pc2180

O'Callaghan S, O'Neill D, Am Seidenen Faden, BMJ, 2010 (in press)

Health Services

O'Neill D. Implications of the projected increase in the elderly population in Ireland for the General Hospital Section. Proceedings of Conference on Planning Health and Social Care Services for the Elderly, Pub. No. 43. Dublin, National Council for the Elderly, 1995, 67-74.
O'Neill D. Health Care for Older People: Ageism and equality. In Working for Equality in health ed Bywaters P, McLeod E. London, Routledge, 1996, 34-48.
McCormack PME, Feely J. The impact of hospitalisation on prescribing costs for medical patients returning to the community. Irish Medical Journal 1997, 90, 99-100.
O'Neill D. La santé des personnes âgées en Irlande. Gérontologie 2000, 116, 11-18
O'Neill D, Gibbon J, Mulpeter K on behalf of the Irish Society of Physicians in Geriatric Medicine. Responding to care needs in long term care: a position paper by the Irish Society of Physicians in Geriatric Medicine. Ir Med J 2001, 94, 72
O'Neill D. Healthcare for older people in Ireland. Geriatrics Today: Journal of the Canadian Geriatrics Society 2001, 4, 87-90
Coughlan T, O'Neill D. General hospital resources consumed by an elderly population awaiting long-term care. Ir Med J 2001 Jul-Aug;94(7):206-8
Brennan J, O'Neill D. Contracted beds in private nursing homes: not a solution to long term care needs in Dublin. Ir Med J. 2001 Jul-Aug;94(7):218
Yon Hin P, Brennan J, O'Neill D. Community and Social Interventions at a Geriatric Medical OPD. Ir Med J 2002, 95.
O'Neill D. Comprehensive geriatric assessment. In Conboy P (ed.) Assessment of older people's health and social care needs and preferences. Dublin, NCAOP 2002, 53-59
O'Neill D, Hastie I, Williams B. Retos, oportunidades y función de la asistencia sanitaria especializada en personas mayores. Revista Española de Geriatría y Gerontología 2003, 37, 342-346.
Coughlan T, O'Neill D. Saturation of nursing home places in Southwest Dublin. Ir Med J 2003;96:185-6.
Martin M, Yon Hin P, O'Neill D. (Sub) acute on (chronic) take in older people? J Nutrition, Health and Ageing 2003, 7, 356.
O'Neill D, O'Keeffe S. Health care for older people in Ireland. J Am Geriatr Soc. 2003 Sep;51(9):1280-6.
O'Neill D, Hastie I, Williams B. Ageing and health in Europe. Ir J Med Sci 2003, 172 (Suppl 3), 49-51.

Martin M, Hin PY, O'Neill D. Acute medical take or subacute-on-chronic medical take? Ir Med J. 2004;97(7):212-4.

Falconer M, O'Neill D., Profiling disability within nursing homes: a census-based approach, Age and Ageing, 36, 2007, p209 - 213

Falconer M, O'Neill D., Age-proofing hospital surge capacity, Lancet, 369, 2007, p822 - 823

Fealy G, McCarron M, O'Neill D, McCallion P, Clarke M, Small V, O'Driscoll A, Cullen A. Effectiveness of gerontologically informed nursing assessment and referral interventions for older persons attending the emergency department: systematic review. J Adv Nurs. 2009 May;65(5):934-5.

 

General/Geriatric

O'Neill D. The ageing process. In Anaesthesia and the Elderly Patient, ed Dodds J. Baillière Clinical Anaesthesiology 1993, 7, 17-37
Arnott S, O'Neill D. Neuroleptic malignant syndrome masked by urinary tract infection. J Drug Development 1993, 5, 261-3.
O'Neill D, Boyle M. Ageing and the workplace. Lancet 1993, 341, 499-50.
Sheahan N, Coakley D, Bolger C, O'Neill D, Fry G, Phillips J, Malone J. Sources of variance in ocular micro-tremor. Physiological Measurement 1994, 15, 101-6
Bergin C, Goh J, O'Neill D, Mulcahy F. Sexually transmitted disease and the elderly. Eur J Sexually Transmitted Diseases 1995, 5, 218-221.
O'Neill D, Rice I, Walsh JB, Coakley D. What's in a name? Journal of the American Geriatrics Society, 1993, 41 (Suppl), SA67
Doona M, Walsh JB, O'Neill D, Coakley. Randomised clinical trial of two colonoscopy preparation methods of elderly patients. Journal of the American Geriatrics Society 1996, 44, S61
Maguire CP, Ryan J, O'Neill D, Coakley D, Walsh JB. The attitude of hospital based doctors to their patients' cigarette smoking habits. Ir J Med Sci 1996, 165, 31
McCormack PME, Lawlor R, Donegan C, O'Neill D, Smith S, Moroney C, Boyce, McGrath A, Walsh JB, Coakley D, Feely J.
Knowledge and attitudes to prescribed drugs in young and elderly patients. Irish Medical Journal 1997, 90, 29-
Cunningham C, Lyons D, O'Neill D.
Apathetic thyrotoxicosis. Ir Med J 1997;90(4):155.
Whittaker KW, Shah P, O'Neill D.
Logistics of performing an ophthalmic assessment in elderly inpatients. Br J Clin Pract 1997;51(2):119-20.
McNally B, Daly E, Harmon D, O'Neill D, Stokes E, Kennedy N, Gilchrist D. Functional Independence Measure [F.I.M.]; Pilot Study in Rehabilitation. Ir J Med Sci 1998, 167, Supplement 9. P16.
Cunningham C, Horgan NF, Keane N, Connolly P, Mannion A, Kelly A, O'Neill D. Patient Characteristics influencing Clinicians' Assessment of Rehabilitation Potential. Ir J Med Sci 1998, 167, Supplement 9, P18-19.
Doona M, Lawlor R, Magee C, O'Neill D, Walsh JB, Coakley D, McCormack P. A Profile of Patients attending a Medicine for the Elderly Out-Patient Clinic. Ir J Med Sci 1998, 167, Supplement 9, P19-20.
Sweetman L, Howard D, O'Neill D. Once-daily medications for older patients. J Amer Geriatr Soc 1999, 47, 629.
Charles R, Mulligan S, O'Neill D.
The identification and assessment of undernutrition in patients admitted to the Age-Related Health Care unit in an acute Dublin teaching hospital. Ir J Med Sci 1999, 168, 180-185.
O'Neill D. Mes péchés de vieillesse. In Vieillir Vivant (ed Beausonge L) Éditions Fides, Montréal, 1999, 27-29
Sweetman L, Howard D, O'Neill D. Once-daily medications for older patients in the general hospital. Age & Ageing 1999, 28 (Suppl 2), 101
Cunningham C, Horgan F, O'Neill D.
Clinical assessment of rehabilitation potential of the older patient: - a pilot study. Clinical Rehabilitation 2000 Apr;14(2):205-7.
Maguire CP, Ryan J, Kelly A, O'Neill D, Coakley D, Walsh JB.
Do patient age and medical condition influence medical advice to stop smoking? Age &Ageing 2000, 29, 264-266
Coughlan T, O'Neill D. Chronic pain in old age. Forum Clinical Focus 2001, 1, 7-10.
Puri R, Quinn B, McConaghy D, O'Neill D. Sudden loss of mobility and undetected hip fracture in older people. Ir J Med Sci 2001, 170 (Suppl 2), 44.
O'Neill D. European Union initiatives for specialized healthcare for older people. Gerontology 2001, 47 (suppl 1), 389
O'Neill D. European Union initiatives for specialized healthcare for older people II. Gerontology 2001, 47 (suppl 1), 389
Brewer L, Connolly R, Falconer M, Smith D, O'Neill D. The Geriatric Depression Scale: feasibility of card-based administration. Ir J Psychol Med 2002, 19, 102.
O'Neill D. May I examine your memory? In Mulkerrin E (ed), Examination of the older person. Advanced Medical Publications, London, 2002, 8-11

Martin A, Mellotte G, O'Neill D. Chronic kidney disease in the elderly: a silent epidemic. Ir Med J 2005, 98, 46-7.

A O’Hanlon, H McGee, M Barker, R Garavan, A Hickey, R Conroy, D O’Neill , Health and Social Services for Older People II: Changing Profiles from 2000 to 2004 , Dublin, National Council on Ageing and Older People, 28 November, 2005, (91). [Description of the first community-based longitudinal study of older people in Ireland]

H McGee, A O’Hanlon, M Barker, A Hickey, R Garavan, R Conroy, R Layte, E Shelley, F Horgan, V Crawford, R Stout & D O’Neill , One Island – Two Systems: A comparison of health status and health and social service use bycommunity-dwelling older people in the Republic of Ireland and Northern Ireland, Dublin, Institute of Public Health in Ireland, 28th November, 2005

Collins DR, O'Neill D, Health needs of older prisoners. Lancet 2006, 368, 842 - 842

Kennelly S, Sweeney N, O'Neill D., Elder abuse: knowledge, skills and attitudes of healthcare workers, Ir Med J, 100, (1), 2007, p326 - 326

Collins DR, Bird R. The penitentiary visit - a new role for geriatricians? Age and Ageing 2006;36(1):11-3.

O'Neill D. Prevention in elderly people: Later life's complexity needs a scalpel rather than an axe. BMJ. 2007 Aug 25;335(7616):361-2

Caffrey N, O'Neill D, Sexuality and Health among Older Adults in the United States, New England Journal of Medicine, 357, (26), 2007, p2372 - 2372

McGee H, O'Hanlon A, Barker M, Hickey A, Montgomery A, Conroy R, O'Neill D, Vulnerable older people in the community: relationship between the Vulnerable Elders Scale (VES) and health service use, Journal of the American Geriatrics Society, 56, (1), 2008, p8 - 15

O'Dwyer C, O'Neill D, Developing Strategies for the Prevention, Detection and Management of Elder Abuse: the Irish Experience, Journal of Elder Abuse and Neglect, 20, (2), 2008, p169 - 180

O'Brien JG, O'Neill D, Introduction, Journal of Elder Abuse and Neglect, 20, (2), 2008, p87 - 90

O'Brien JG, O'Neill D, [Guest eds.] Journal of Elder Abuse and Neglect, 20, 2, (2008), 87 - 206p,

O'Neill D. Our demographic bounty. Lancet. 2008 Sep 6;372(9641):806.

O'Neill D, O'Dwyer C, McGee H. Violence between intimate partners knows no age limit. BMJ. 2008 Aug 18;337:a1327.

Lonergan MT, Coughlan T, O'Neill D. Majority of tube-fed patients are prescribed medications which require special instructions. J Nutrition Health Ageing 2008, 12(8), 585

Lonergan MT, Coughlan T, O'Neill D. Prescribing in swallow disorders. J Nutrition Health Ageing 2008, 12(8), 585

Quinlan N, O'Neill D. Quinlan N, O'Neill D. "Older" or "elderly"--are medical journals sensitive to the wishes of older people? J Am Geriatr Soc. 2008 Oct;56(10):1983-4.

Quinlan N, O'Neill D. Weight loss cannot wait. Arch Intern Med. 2008 Oct 27;168(19):2171-2

Murray A, O'Neill D. Health-care equity--for all generations? Lancet. 2009 Jan 24;373(9660):299.

Falconer M, Collins DR, Feeney J, Torreggiani WC. Mounier-Kuhn syndrome in an older patient. Age Ageing. 2008 Jan;37(1):115-6.

Lonergan MT, Broderick J, Coughlan T, Collins DR, O'Neill D. Prescribing and enteral tubes in the general hospital. J Am Geriatr Soc. 2009 Apr;57(4):736-7.

Kearney L, O'Neill D. Pay for performance and quality of care in England. N Engl J Med. 2009 Oct 22;361(17):1709. PubMed PMID: 19846861.

Martin R, Williams C, O'Neill D. Retrospective analysis of attitudes to ageing in the Economist: apocalyptic demography for opinion formers. BMJ. 2009 Dec 8;339:b4914. doi: 10.1136/bmj.b4914.

Keane RA, Williams C, O'Neill D, Pain assessment in specialist services for older people - a national perspective, J Amer Geriatr Soc, 2010 (in press)

O'Hanlon S, O'Neill D. Elder Abuse, Simon C., e-Learning for General Practice, London, 2010, ppWeb-based , 2010

Molloy G, McGee H, O'Neill D, Conroy R., Loneliness and emergency and planned hospitalizations, J Amer Geriatr Soc, 2010 (in press)

Strandberg TE, Koistinen P, Antikainen R, Kynsilehto EA, Määttä K, Niemelä M, Seppänen ML, Viramo P, Pitkälä K, O’Neill D. Increased work-satisfaction amongst geriatricians in Finland – an encouragement for further development of the specialty? European Union Geriatric Medicine, 1, (2), 2010 (in press)

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