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Irish Medical Journal

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https://www.readbyqxmd.com/read/29465854/teaching-musculoskeletal-medicine-to-undergraduate-students-in-a-simulated-environment
#1
LETTER
M A Kelly, K Clesham, J Fahey, B Reid-McDermott, C Murphy, D Byrne
No abstract text is available yet for this article.
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465853/new-delhi-metallo-%C3%AE-lactamase-producing-carbapenem-resistant-enterobacteriacae-isolated-from-bronchial-washings
#2
LETTER
S Cullivan, D M Brady, D S O'Callaghan
No abstract text is available yet for this article.
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465852/a-case-of-postpartum-hellp-syndrome
#3
LETTER
R Langhe, U F Shah, M Almshwt
No abstract text is available yet for this article.
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465851/the-variables-affecting-decision-making-factors-outcomes-in-salvage-versus-amputation-for-complex-limb-injuries
#4
A Ali, S I Brundage
No abstract text is available yet for this article.
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465850/incorporating-oral-health-as-part-of-routine-diabetes-care-in-ireland
#5
J Aherne, O P Hamnvik, J Barrow, J Nunn
Diabetes mellitus is a common disorder of glucose metabolism that is increasingly prevalent in the Irish population. It is associated with a range of complications leading to substantial morbidity and mortality. A less well-recognized complication of diabetes is periodontal disease. This is a chronic inflammatory disease affecting the periodontium, the specialized group of tissues that surround and support the teeth, including the gingiva (gums) and alveolar bone. Periodontal disease affects patients with diabetes with a greater prevalence and incidence than non-diabetic patients, and can itself exert negative effects on glucose control in people with diabetes...
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465849/interventions-to-improve-the-treatment-of-malaria-in-an-acute-teaching-hospital-in-ireland
#6
R O'Connor, D Morley, E Relihan, A Broderick, C Merry, C Bergin
Malaria is the most serious parasitic infection. At our institution over a two year period there were treatment errors in 18% (n=3) of cases. The aim of this multidisciplinary study was to ensure appropriate and timely treatment of malaria by implementation of a cluster of interventions: reconfiguration of existing guidelines, provision of prescribing information; delivery of education sessions to front-line staff and enabling rapid access to medication. Staff feedback was assessed through a questionnaire. Perceived benefits gained included awareness of guidelines (91%, n= 39), how to diagnose (81%, n =35), how to treat (86%, n=37), that treatment must be prompt (77%, n=33) and where to find treatment out of hours (84%, n=36)...
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465848/the-avocado-hand
#7
G Rahmani, J Martin-Smith, P Sullivan
Accidental self-inflicted knife injuries to digits are a common cause of tendon and nerve injury requiring hand surgery. There has been an apparent increase in avocado related hand injuries. Classically, the patients hold the avocado in their non-dominant hand while using a knife to cut/peel the fruit with their dominant hand. The mechanism of injury is usually a stabbing injury to the non-dominant hand as the knife slips past the stone, through the soft avocado fruit. Despite their apparent increased incidence, we could not find any cases in the literature which describe the "avocado hand"...
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465847/dysphagia-in-the-elderly-following-anterior-cervical-surgery-a-multidisciplinary-approach
#8
C N Osuafor, B Smith, N El-Kininy, C Donegan
Dysphagia is a risk factor for adverse health outcomes like aspiration, recurrent chest infections and malnutrition. Here, we describe a case of an 82-year-old lady who presented with a two-month history of dysphagia after an anterior odontoid screw fixation for a type II odontoid process fracture. This case highlights the importance of a multidisciplinary approach to patient care.
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465846/isolated-unilateral-pulmonary-artery-agenesis-complicated-by-symptomatic-aspergilloma
#9
A Daly, C Gunaratnam, K C Redmond, D Eaton
Isolated unilateral pulmonary artery agenesis is a rare diagnosis. Poor blood flow to the lung parenchyma renders the tissue susceptible to opportunistic infections. We present the unusual case of isolated unilateral pulmonary artery agenesis complicated by aspergilloma. Management options and considerations are discussed.
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465845/a-study-to-assess-the-prevalence-of-exercise-induced-bronchoconstriction-in-inter-county-hurling
#10
E B Hunt, B Murphy, C Murphy, T Crowley, O Cronin, S Hay, M Stack, B Bowen, N J Ronan, E Greene, J A Eustace, B J Plant, D M Murphy
Exercise-Induced Bronchoconstriction (EIB) is an acute, transient airway narrowing occurring after exercise which may impact athletic performance. Studies report 10% of the general population and up to 90% of asthmatics experience EIB. Ninety-two players from three elite hurling squads underwent a spirometric field-based provocation test with real-time heart rate monitoring and lactate measurements to ensure adequate exertion. Players with a new diagnosis of EIB and those with a negative field-test but with a previous label of EIB or asthma underwent further reversibility testing and if negative, methacholine challenge...
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465844/oocyte-donation-pregnancies-non-disclosure-of-oocyte-recipient-status-to-obstetric-care-providers-and-perinatal-outcomes
#11
M Geisler, S Meaney, K O'Donoghue, J Waterstone
Background: Oocyte donation pregnancies- non-disclosure of oocyte recipient (OR) status to obstetric care providers and perinatal outcomes.Many studies report a higher rate of pregnancy-induced hypertension (PIH) and severe pre-eclampsia (PET) in OR pregnancies. The objective is to determine the rates of non-disclosure of OR pregnancy to obstetric care providers and also the rates of perinatal complications. Method: This was a retrospective review of all oocyte recipient (OR) pregnancies, who subsequently delivered at Cork University Maternity Hospital, between 2007- 2012 inclusive...
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465843/awareness-of-medical-fitness-to-drive-guidelines-among-occupational-physicians-and-psychiatrists
#12
M Ryan, R McFadden, E Gilvarry, R Loane, D Whelan, D O'Neill
Irrespective of national guidelines for medical fitness to drive, this study investigated the cumulative expert wisdom of clinicians regarding minimum periods of driving cessation required for patients suffering from conditions that can impair driver capability. Occupational Physicians (196) and Psychiatrists (103) completed an online questionnaire. For private motorists, the modal response for anxiety and depression favoured clinical discretion, followed by three month cessations for hypomania, acute psychosis, schizophrenia and alcohol dependence and six weeks for alcohol misuse/dependence...
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465842/paediatric-consultation-liaison-psychiatry-services-pclps-what-are-they-actually-doing
#13
F Lynch, C Kehoe, S MacMahon, E McCarra, R McKenna, A D'Alton, E Barrett, A Twohig, F McNicholas
Introduction Paediatric Consultation Liaison Psychiatry Services (PCLPS) are specialised services treating mental health difficulties co-morbid with medical problems. Methods Standardised clinical data was retrieved from all case notes (N=108) during the study timeframe (Jan-June 2016). Results The majority of children were female 59 (55%) with a mean age of 13. Presentation was typically via the Emergency Department (ED) (85, 79%), and of those, the majority (53, 62%) were 'out of hours' and for Deliberate Self-harm (44, 52%) Almost half of all cases seen (50, 46%) were previously known, and discharged back (84, 78%), to CAMHS...
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465841/permanent-childhood-hearing-impairment-aetiological-evaluation-of-infants-identified-through-the-irish-newborn-hearing-screening-programme
#14
A Smith, A O'Connor, S Hennessy, P G O'Sullivan, L Gibson
The Newborn Hearing Screening Programme (NHSP) was established in Cork University Maternity Hospital (CUMH) in April 2011. Between April 2011 and July 2014, 42 infants were identified with a Permanent Childhood Hearing Impairment (PCHI). Following this diagnosis, infants underwent a paediatric assessment according to recognised guidelines with the intention of identifying the underlying aetiology of the PCHI. The aim of this study was to assess the findings of this aetiological workup via retrospective chart review...
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465840/post-stroke-fatigue-point-prevalence-characterization-associations-and-radiological-correlation-in-a-rehabilitation-hospital
#15
A Khan, M Delargy
Post stroke fatigue (PSF) is a frequently reported symptom by stroke survivors undergoing rehabilitation. This cross sectional observational study was undertaken in a rehabilitation facility to look at its prevalence and relationship with various variables like personal factors, type of stroke, social context, hemispheric involvement on CT scan and mobility status. The results showed that PSF was present in 83% (25 out of 30) of the patients included in the study. No clear association could be established between PSF, social, radiological and functional characteristics...
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465839/vitamin-d-insufficiency-in-patients-undergoing-total-knee-arthroplasty-in-ireland
#16
M A Kelly, J Campbell, J Sheahan, P Murphy
Introduction: Vitamin D is essential for bone health. We aimed to assess the vitamin D levels of patients undergoing total knee arthroplasty TKA). Methods: All TKA patients during a calendar year had their 25-hydroxyvitamin-D3 (25-OH-D3) assay levels assessed pre and post operatively. A control group comprising of patients admitted for 1-day general medical assessment was recruited. Usage of supplements containing Vitamin D was recorded for both groups. Results: There was no evidence of a difference in Vitamin D levels between the TKA group and the control group (p=0...
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465838/an-analysis-of-gender-diversity-in-urology-in-the-uk-and-ireland
#17
E M O'Connor, G J Nason, R P Manecksha
Traditionally, surgery and certain surgical sub-specialities in particular have been predominantly male orientated. In recent years, there has been an increased proportion of female medical graduates which will ultimately have an effect on speciality choices. The aim of this study was to assess the gender diversity among urologists in the UK and Ireland. The total number and gender breakdown of consultant urologists and trainees in the UK and Ireland was obtained from the British Association of Urological Surgeons (BAUS) and the Irish Society of Urology (ISU) membership offices...
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465837/post-chemotherapy-retroperitoneal-lymph-node-dissection-in-patients-with-non-seminomatous-germ-cell-tumour-nsgct
#18
N A Ariffin, G J Nason, S I Omer, S W Considine, P Sweeney, D G Power
Diabetic retinopathy is a significant complication of diabetes, and the most common cause of blindness in people under the age of 65. The National Diabetic Retinal Screening Programme (Diabetic RetinaScreen) was established to detect sight threatening retinopathies. The purpose of this cross-sectional study is to determine the barriers to the uptake of Diabetic RetinaScreen, to investigate discrepancies in attendance, if any, between patients whose diabetes care is delivered in a large tertiary referral hospital out-patient setting or in general practice, and to evaluate general practitioner's satisfaction with the service...
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465836/the-role-of-screening-for-coeliac-disease-in-asymptomatic-individuals
#19
EDITORIAL
R Kernan, S Hussey
No abstract text is available yet for this article.
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29465835/doolin-lecture-2017-dancing-away-from-the-crossroads-rhona-mahony
#20
J F A Murphy
No abstract text is available yet for this article.
December 18, 2017: Irish Medical Journal
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