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Irish Medical Journal

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https://www.readbyqxmd.com/read/28737316/world-class-healthcare-the-children-of-ireland-deserve-no-less
#1
P Greally, S Walsh, C Martin, A Foran, O Smith, S Sheeran, E Curtis, A Nicholson
No abstract text is available yet for this article.
May 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28737315/a-retrospective-review-of-the-management-of-patients-with-hidradenitis-suppurativa-in-the-belfast-health-and-social-care-trust-northern-ireland
#2
LETTER
W Abdelrahman, R Dawson, C McCourt
No abstract text is available yet for this article.
May 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28737314/immigrant-health-laboratory-reference-ranges-may-differ-from-indigenous-population-s-with-potential-for-misinterpretation
#3
LETTER
G Masukume
No abstract text is available yet for this article.
May 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28737313/adult-attention-deficit-hyperactivity-disorder-and-driving-risk-medication-and-fitness-to-drive
#4
F K Suen K, D O'Neill
No abstract text is available yet for this article.
May 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28737312/life-after-the-event-a-review-of-basic-life-support-training-for-parents-following-apparent-life-threatening-events-and-their-experience-and-practices-following-discharge
#5
W L Macken, N Clarke, M Nadeem, D Coghlan
Apparent Life-Threatening Events (ALTEs) are a common presentation to paediatric hospitals and represent a significant cause of parental anxiety. Basic Life Support (BLS) training is recommended for all caregivers following ALTEs. This study aimed to assess the rate of caregiver BLS training and reviewed parents experience following discharge. Parents were interviewed by phone following discharge. Over the study period 25 children attended the Emergency Department with ALTE, 17/25 (68%) were trained and 13/17 (76%) were contactable for interview...
May 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28737311/amniotic-band-syndrome-with-pseudoarthrosis-of-tibia-and-fibula-a-case-report
#6
A Ananthan, G Athalye Jape, J Du Plessis, P Annear, R Page, S Rao
Constriction of the lower limb by congenital amniotic band has been proposed to explain the development of pseudoarthrosis of tibia and fibula. We report a case of amniotic band syndrome in a preterm infant with pseudoarthrosis of tibia and fibula. Simple release of constriction band with Z-plasty resulted in the growth of mature bone, replacing the pseudoarthrosis and hence did not require surgical amputation. Our case confirms the potential for bone growth in ABS, once the constricting band is released. Early limb preserving surgery with release of the constricting band with an intention to salvage the limb appears appropriate...
May 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28737310/a-case-of-autoimmune-pancreatitis-presenting-as-a-deterioration-in-glycaemic-control-in-a-patient-with-pre-existing-type-2-diabetes
#7
LETTER
H Forde, D Slattery, N Swan, D Smith
We report a case of Type 1 autoimmune pancreatitis presenting as a rare cause of worsening hyperglycaemia in a patient with Type 2 diabetes and discuss the difficulties in differentiating this disease from pancreatic cancer.
May 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28737309/i-still-haven-t-found-what-i-m-looking-for-bono-google-and-glaucoma-awareness
#8
C Lyons, R Ellard, E McElnea, D Townley
The effect of celebrity diagnosis on public awareness of health conditions has already been well documented. In October 2014, Bono, the lead singer with U2, revealed publicly for the first time that he has glaucoma. This study aimed to analyze the impact of Bono's announcement on public awareness of glaucoma using Google Search trends as an indicator of public interest in the disease. Google Trends was used to examine Google Search activity for the term 'Glaucoma' between 2009 and 2015 in both Ireland and the United Kingdom...
May 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28737308/a-multicentre-study-of-thromboprophylaxis-in-pregnancy
#9
M P Crowley, C Noone, J R Higgins, S O'Shea
Venous thromboembolism (VTE) is a leading cause of maternal mortality. The risk increases with increasing maternal age, mode of delivery and medical co-morbidities. Thromboprophylaxis with low molecular weight heparin (LMWH) has been shown to be both safe and efficacious. The aim of this study was to prospectively investigate the incidence of maternal risk factors in pregnant women admitted to hospital, to calculate their VTE risk status and to investigate if they were receiving appropriate thromboprophylaxis...
May 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28737307/absorbable-polydioxanone-pds-suture-provides-fewer-wound-complications-than-polyester-ethibond-suture-in-acute-tendo-achilles-rupture-repair
#10
M N Baig, I Yousaf, J G Galbraith, R Din
We prospectively studied acute Achilles tendon rupture in patients over a two 2-year period and reviewed the causes, outcome and complications. There were 53 patients included with acute Achilles rupture with minimum follow up period of 6 months. We compared the outcomes including infection rate and Boyden score between the two groups repaired by Polydioxanone and Polyester respectively. All infected cases had a suture repair using the polyester suture. The difference in the infection rate was highly significant between the 2 groups (p=0...
May 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28737306/the-use-of-cold-coagulation-for-the-treatment-of-cervical-intraepithelial-neoplasia
#11
A Wyse, W A Seah, J O'Neill, P Byrne
In 2015, Cold Coagulation was introduced as a treatment for cervical intraepithelial neoplasia (CIN) at our colposcopy clinic. We reviewed the 6-month follow up data of the first 200 women who underwent Cold Coagulation using cytology and HPV status as tests of cure (TOC). A random sample of 200 patients treated by Large Loop Excision of the Transformation Zone (LLETZ) during the same period was used to compare treatment outcome. Six months following treatment,173 (86.5%) of the women treated by CC and 167 (83...
May 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28737305/the-hidden-burden-of-outpatient-repeat-psa-testing-in-a-prospective-cohort
#12
E Browne, K O'Malley, S Connolly, F O'Kelly, D Lundon, P Daly, D Galvin, N Hegarty
PSA testing is widespread throughout Europe for diagnostic purposes and follow up. We performed a prospective outpatient cohort study of 250 men (2013-2015) in two hospital sites. Included were those men being followed up by urology with PSA blood testing. First appointments and those men in whom non-PSA tests were ordered by urology were excluded. The median age was 67.2yrs (46-88). Eighty-one point two percent of samples had a combination of 21 different serology tests at an added cost of >€18,000. Abnormal serology resulted in 53 referrals...
May 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28737304/investigation-and-diagnostic-formulation-in-patients-admitted-with-transient-loss-of-consciousness
#13
R Briggs, T Coughlan, J Doherty, D R Collins, D O'Neill, S P Kennelly
Several commonly completed tests have low diagnostic yield in the setting of transient loss of consciousness (T-LOC). We estimated the use and cost of inappropriate investigations in patients admitted with T-LOC and assessed if these patients were given a definitive diagnosis for their presentation. We identified 80 consecutive patients admitted with T-LOC to a university teaching hospital. Eighty-eight percent (70/80) had a computerized topography (CT) brain scan and 49% (34/70) of these scans were inappropriate based on standard guidelines...
May 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28737303/comparing-cardiovascular-risk-factors-disease-and-treatment-in-participants-with-rheumatoid-arthritis-and-without-arthritis-in-a-population-based-stud
#14
N O'Driscoll, N Kennedy, S Amjum, A Fraser, A Hannigan
Rheumatoid Arthritis (RA) is associated with a significant increase in mortality compared to the general population, with cardiovascular disease (CVD) the leading cause of death. The aim of this study is to compare the prevalence and treatment of modifiable CV risk factors and history of CVD in those with RA and those without arthritis in Ireland. Data from the Irish Longitudinal Study on Ageing (TILDA), a population-representative cohort study of people in Ireland aged 50 or over, was used. Participants with RA (n=457) were twice as likely to be obese (OR 2...
May 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28737302/an-exploratory-service-based-study-of-deliberate-self-harm-dsh-in-ireland-a-hidden-population
#15
P Quinn, P Surgenor, S McGilloway
The aim of this study was to investigate the nature and extent of deliberate self-harm (DSH) amongst those attending national crisis centres in Ireland, and to assess clients' views of the service. A secondary analysis was undertaken of a large data set of clients presenting with DSH (n=823). Clients were predominantly female, under 25 and with self-cutting widely reported (73%). DSH co-occurred with suicidal ideation (SI) (42%) and/or a suicide attempt (SA) (35%). Males were significantly more likely to present with more severe problems, and to use more dramatic methods of DSH; more severe presenting issues were also significantly associated with a history of having friends who engage in DSH...
May 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28737301/vaccine-preventable-admissions-to-an-irish-paediatric-intensive-care
#16
Y Doyle, M Healy, C McMahon, S Crowe
In the Republic of Ireland, the schedule of state-funded immunisation for children is comprehensive and includes diphtheria, pertussis, tetanus, pneumococcus, hepatitis B, meningococcus C, haemophilus B, polio, measles, rubella and mumps. Varicella and meningococcal B vaccines are commercially available but are not currently funded by the government. Each of the illnesses preventable by these vaccines can cause substantial morbidity, and rarely mortality, in infants and children. Our PICU continues to see serious illness due to avoidable infection...
May 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28737300/a-practical-approach-to-hypothyroidism-and-pregnancy
#17
EDITORIAL
V O'Dwyer, M Hatunic
No abstract text is available yet for this article.
May 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28737299/paediatric-workforce-in-the-uk-and-the-wider-implications
#18
J F A Murphy
No abstract text is available yet for this article.
May 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28665096/cancer-care-costs-and-clinical-trials
#19
LETTER
D Kelly, C Brady, J Sui, E Cronin, D O'Hare, J Waldron, D O'Mahony, D Power, R M Bambury, S O'Reilly
No abstract text is available yet for this article.
April 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28665095/a-turn-for-the-worse
#20
LETTER
J Hayden, M Crealey, B O'Connor, A Mortell, E Ryan
No abstract text is available yet for this article.
April 10, 2017: Irish Medical Journal
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