Browsing by Author "Meetoo, D."

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    The Clinical Role of Honey in Treating Foot Ulcers in Diabetic Patients: A Systematic Review
    (Diabetic Foot Journal, 2014) Asamoah, Byrite; Ochieng, B.; Meetoo, D.
    Diabetic foot ulcers (DFUs) are a major precursor to lower-limb amputations and a prominent cause of morbidity in patients with diabetes. One key element of good wound management is the dressing selection. In recent times, there has been a revival of interest in the value of honey in wound management, spurred by the growing challenge of antibiotic-resistant bacteria or where modern conventional agents have proved futile. Using a systematic approach to literature review, this article explores whether the use of honey as a topical wound dressing is beneficial in healing DFUs.
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    Deep venous thrombosis: an underestimated threat.
    (MA Healthcare, 2014-12-04) Meetoo, D.; Ochieng, B.; Fatani, T.
    Deep vein thrombosis (DVT) is a clinical term used to describe the formation of a stationary blood clot (thrombus) in a large vein in the leg or the pelvis, causing partial or complete blockage of the circulation. DVT is a significant health and social care problem, costing approximately £640 million per annum to manage. Each year over 25 000 people in England die from this condition contracted in hospital. Early recognition and the subsequent accurate diagnosis of DVT is, therefore, extremely important to prevent potentially fatal acute complication of pulmonary embolism (PE). It is therefore crucial for peri-operative practitioners to have a sound grasp of DVT and PE together with its management to prevent related complications. Furthermore, as part of the clinical team, they need to check that appropriate thrombo-prophylaxis has been prescribed for every patient.
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    Self-monitoring of blood glucose: Is it justified?
    (MA Healthcare, 2016-10-13) Meetoo, D.; Ochieng, B.; Wong, L.; Fatani, T.
    Despite the availability of robust evidence demonstrating that lowering glycaemic levels reduces the risks of diabetes-related complications, there has been little improvement in recent years in glycaemic control among individuals with diabetes in Europe and the US. Although widely used, there has been considerable controversy surrounding the role of self-monitoring of blood glucose (SMBG) as a means of achieving glycaemic control. This has resulted in a re-consideration of the prescription of blood glucose strips especially in the current climate of health care cost-containment. Existing clinical recommendations lack specific guidance to patients and health professionals regarding SMBG practice intensity and frequency, particularly for those not treated with insulin. Previous studies of the association between SMBG and glycaemic control found often weak, and sometimes conflicting, evidence. More rigorous longitudinal studies are needed to examine the role of SMBG with special attention to the unique needs of patients using different diabetes treatments, within special clinical sub-populations, and during initiation of SMBG versus its ongoing use. Further understanding of the intensity and frequency of SMBG are also needed to capture variability in glycaemic patterns in order to facilitate more specific guideline development.
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    Sexual health beliefs among minority ethnic families in the north of England
    (MA Healthcare, 2017-01-20) Ochieng, B.; Meetoo, D.
    The purpose of this study was to explore beliefs and attitudes regarding sexual health among minority ethnic families. Focus group discussions with a convenience sample from a black African community comprising 32 adults (38–58 years of age) were undertaken. The group discussions were recorded, transcribed and analysed for themes. The findings were analysed using descriptive analysis and a variation of the constant comparative method. Primary themes included the participants’ understanding of the concept of sexual health; an insight into sexual health discourse in the home; and the need for culturally appropriate sexual health promotion. This study contributes to our knowledge of black African parents’ views on sexual health. It adds to previous literature on sexual health, gives voice to minority parents and their adolescent children, and highlights the importance of social norms, family and cultural values on sexual health.
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    Smart tattoo: technology for monitoring blood glucose in the future
    (MA Healthcare, 2019-01-23) Meetoo, D.; Wong, Louise; Ochieng, B.
    New ways of measuring blood glucose bring hope of easing the burden of diabetes management for patients living with the conditions. The smart tattoo is an innovation that represents a nascent nanotechnology, which is designed to be implanted within the skin to provide continuous and reliable glucose detection for individuals diagnosed with diabetes mellitus. The potential benefits of the smart tatto are compelling not only due to the potential of these nanodevices to prevent diabetic complications and decrease the related social costs, but also due to ease of use and relative user comfort. However, despite the advantages of the smart tattoo, it is important that health professionals, in embracing nanotechnology, understand the ethical implications of using these innovative devices.
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    Using mixed methods when researching communities
    (RCNi, 2015-09-14) Ochieng, B.; Meetoo, D.
    Aim To argue for the use of mixed methods when researching communities. Background Although research involving minority communities is now advanced, not enough effort has been made to formulate methodological linkages between qualitative and quantitative methods in most studies. For instance, the quantitative approaches used by epidemiologists and others in examining the wellbeing of communities are usually empirical. While the rationale for this is sound, quantitative findings can be expanded with data from in-depth qualitative approaches, such as interviews or observations, which are likely to provide insights into the experiences of people in those communities and their relationships with their wellbeing. Review methods An iterative process of identifying eligible literature was carried out by comprehensively searching electronic databases. Discussion Using mixed methods approaches is likely to address any potential drawbacks of individual methods by exploiting the strengths of each at the various stages of research. Combining methods can provide additional ways of looking at a complex problem and improve the understanding of a community’s experiences. However, it is important for researchers to use the different methods interactively during their research. Conclusion The use of qualitative and quantitative methods is likely to enrich our understanding of the interrelationship between wellbeing and the experiences of communities. This should help researchers to explore socio-cultural factors and experiences of health and healthcare practice more effectively.