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Irish Medical Journal

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https://www.readbyqxmd.com/read/28644596/influenza-vaccine-uptake-amongst-in-patients-in-acute-medical-unit-of-a-tertiary-care-irish-hospital
#1
LETTER
S Waqas, M O'Callaghan, E Bury, O Collins, E Kelly, E McGrath
No abstract text is available yet for this article.
December 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28644595/physical-examination-in-psychiatric-patients-myth-or-reality-where-are-the-guidelines
#2
LETTER
A Abimbola, J Dunlea, N Johnson
No abstract text is available yet for this article.
December 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28644594/a-hard-case-to-swallow-achalasia-in-pregnancy
#3
LETTER
B O'Leary, S Curran, V Broderick
No abstract text is available yet for this article.
December 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28644593/challenges-to-an-uninterrupted-intern-learning-environment
#4
LETTER
E Wong, L Griffin, K Betts, M O'Connor
No abstract text is available yet for this article.
December 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28644592/diagnosing-lynch-syndrome
#5
LETTER
J Gleeson, D Gallagher
No abstract text is available yet for this article.
December 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28644591/a-heart-for-travel-travel-health-considerations-for-patients-with-heart-disease-and-cardiac-devices
#6
G Flaherty, S De Freitas
Cardiovascular disease is the leading cause of death in adult international travellers. Patients living with heart disease should receive specific, individualised pre-travel health advice. The purpose of this article is to provide evidence-based advice to physicians who are consulted by travellers with cardiovascular disease. Fitness-to-travel evaluation will often be conducted by the general practitioner but other medical specialists may also be consulted for advice. Patients with chronic medical conditions should purchase travel health insurance...
December 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28644590/mutyh-associated-polyposis-the-irish-experience
#7
T P McVeigh, M Duff, C Carroll, R O'Shea, L Bradley, M Farrell, D J Gallagher, C Clabby, A J Green
MUTYH is involved in DNA damage repair. Bi-allelic MUTYH mutations predispose to polyposis and gastrointestinal malignancies, distinct genetically from autosomal dominant familial adenomatous polyposis coli. Two common European MUTYH mutations account for 90% of MUTYH-associated polyposis (MAP). We aimed to examine the incidence of MAP in Ireland. A retrospective cohort study was undertaken. Patients undergoing MUTYH testing from 2003-2016 were identified by searching electronic databases using terms "MUTYH" and "MYH"...
December 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28644589/when-do-we-think-it-is-safe-to-drive-after-hand-surgery-current-practice-and-legal-perspective
#8
S F Murphy, J D Martin-Smith, W Martin-Smith, E O'Broin, A J P Clover
Patients recovering from hand surgery frequently ask when it is safe to drive and it is unclear where the responsibility lies; the surgeon, the patient or the insurance company. An eight-question survey looking at various aspects of clinical practice was circulated to consultant and trainee plastic and orthopaedic surgeons in Ireland and the UK. Of the 89 surgeons who replied, (53%) felt the decision when to drive was the patient's compared with the insurance company (40%) and the surgeon (7%). 80% advised patients to contact their insurance company...
December 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28644588/clinical-consensus-guidelines-on-the-application-of-cerebrospinal-fluid-biomarkers-for-alzheimer-s-disease-diagnosis-recommendations-of-the-irish-network-for-biomarkers-in-neurodegeneration
#9
A M Miller, E Begley, R Coen, M Doyle, J Dunne, S Hutchinson, S P Kennelly, R A Kenny, R P Killeen, A Lynch, S O'Dwyer, C O'Neill, S S O'Sullvan, M J Rowan, N Sheehy, C McGuigan, B A Lawlor
It is accepted that a lumbar puncture (LP) and cerebrospinal fluid (CSF) biomarker analysis support the routine diagnostic work-up for the differential diagnosis of dementia due to Alzheimer's disease (AD) within certain patient cohorts1. These tests, which measure CSF protein concentrations of amyloid-β42 (Aβ42), total tau (t-tau) and phospho tau (p-tau), were recently validated, accredited and made available clinically for the first time in Ireland. A working group, comprising Irish clinical and scientific researchers, met to review a) the validation results; b) international consensus opinions, and c) research and clinical evidence as to the clinical utility of CSF biomarker analysis for AD dementia diagnosis...
December 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28644587/recent-trends-in-vaginal-birth-after-caesarean-section
#10
A Brick, R Layte, M Farren, R Mahony, M J Turner
In developed countries, caesarean section (CS) rates continue to escalate and in Ireland nearly one in three women are now delivered by CS. The purpose of this study was to compare the management of women after one previous CS in two large Dublin maternity hospitals with the management in two other well-resourced countries. Data were analysed for Dublin, Massachusetts in the United States, and Hesse in Germany. It was found that since 1990, the CS rate in Dublin has increased by much more than in the other areas...
December 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28644586/medical-record-weight-mrw-a-new-reliable-predictor-of-hospital-stay-morbidity-and-mortality-in-the-hip-fracture-population
#11
P Calpin, K Taheny, J F Baker, J Green, J P McCabe
We sought to compare the weight of patient's medical records (MRW) to that of standardised surgical risk scoring systems in predicting postoperative hospital stay, morbidity, and mortality in patients with hip fracture. Patients admitted for surgical treatment of a newly diagnosed hip fracture over a 3-month period were enrolled. Patients with documented morbidity or mortality had significantly heavier medical records. The MRW was equivalent to the age-adjusted Charlson co-morbidity index and better than the American Society of Anaesthesiologists physical status score (ASA), the Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity (POSSUM,) and Portsmouth-POSSUM score (P-POSSUM) in correlation with length of hospital admission, p = ...
December 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28644585/a-cost-minimisation-analysis-of-noacs-compared-to-warfarin-to-attain-therapeutic-anticoagulation-amongst-af-patients-pre-and-post-cardioversion
#12
M O'Shea, A Murphy, A Kirby, G Allen, S O'Shea, R Curtin
Atrial fibrillation can be managed with anticoagulation and restoration of normal sinus rhythm using direct current cardioversion (DCCV). To reduce the risk of thromboembolism, anticoagulation pre-and-post DCCV is recommended. This study investigates the cost effectiveness of using NOACs compared to warfarin to attain therapeutic anticoagulation amongst AF patients pre-and-post DCCV. Propensity score matching revealed no statistically significant difference in outcomes from using NOACs and Warfarin. A cost minimisation study was performed; demonstrating a cost differential of €209 between those administered NOACs and warfarin pre- and post-DCCV...
December 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28644584/autumn-weather-and-winter-increase-in-cerebrovascular-disease-mortality
#13
R McDonagh, J Harbison
Mortality from cerebrovascular disease increases in winter but the cause is unclear. Ireland's oceanic climate means that it infrequently experiences extremes of weather. We examined how weather patterns relate to stroke mortality in Ireland. Seasonal data for Sunshine (% of average), Rainfall (% of average) and Temperature (degrees Celsius above average) were collected for autumn (September-November) and winter (December-February) using official Irish Meteorological Office data. National cerebrovascular mortality data was obtained from Quarterly Vital Statistics...
December 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28644583/a-slice-of-hospital-toast-a-day-keeps-the-doctors-at-bay
#14
S Martin, C Hill
Anecdotal evidence over the years has suggested that toast made in hospital, so called 'hospital toast' tastes better than toast made at home, or anywhere else for that matter. We carried out a prospective, multi-professional study to determine the views and the toast eating habits of NHS staff. Fifty members of NHS staff were surveyed across two hospital trusts. This included nursing staff, doctors from various specialties and allied health professionals. Results were overwhelming, a staggering 96% admitted to enjoying a slice of hospital toast while at work...
December 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28644582/sensor-augmented-pump-therapy-use-in-type-1-diabetes-mellitus
#15
EDITORIAL
E Carolan, N P Murphy
No abstract text is available yet for this article.
December 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28644581/doolin-lecture-2016-capacity-a-quart-into-a-pint-glass-professor-patrick-plunkett-clinical-professor-emergency-medicine
#16
J F A Murphy
No abstract text is available yet for this article.
December 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28125189/arachnoid-cyst-an-unusual-cause-for-increased-alkaline-phosphatase
#17
LETTER
P B J Sanneerappa, R Gul, M Nadeem, N Ramesh
No abstract text is available yet for this article.
October 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28125188/severe-vitamin-b12-deficiency-an-unusual-cause-of-developmental-regression-in-infants
#18
LETTER
T I Yousif, P J Shukla, S Gallagher
No abstract text is available yet for this article.
October 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28125187/first-case-of-multidrug-resistant-spinal-tb-in-ireland
#19
LETTER
A Buckley, C McDonnell, J Keane, A M McLaughlin
No abstract text is available yet for this article.
October 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28125186/life-before-death-conversations-preferences-and-action
#20
LETTER
O Keegan
No abstract text is available yet for this article.
October 12, 2016: Irish Medical Journal
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