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Irish Medical Journal

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https://www.readbyqxmd.com/read/28125189/arachnoid-cyst-an-unusual-cause-for-increased-alkaline-phosphatase
#1
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
#2
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
#3
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
#4
LETTER
O Keegan
No abstract text is available yet for this article.
October 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28125185/knowledge-skills-and-experience-managing-tracheostomy-emergencies-a-survey-of-critical-care-medicine-trainees
#5
A A Nizam, S C Ng, M Kelleher, N Hayes, E Carton
Since the development of percutaneous tracheostomy, the number of tracheostomy patients on hospital wards has increased. Problems associated with adequate tracheostomy care on the wards are well documented, particularly the management of tracheostomy-related emergencies. A survey was conducted among non-consultant hospital doctors (NCHDs) starting their Critical Care Medicine training rotation in a university affiliated teaching hospital to determine their basic knowledge and skills in dealing with tracheostomy emergencies...
October 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28125183/maternal-mortality-in-women-with-epilepsy
#6
M Holohan, R O'Doherty, S Murphy
It is estimated that, in Ireland, there are 10,000 women with epilepsy of childbearing potential1. In this paper the maternal mortality rate for women with epilepsy attending the Rotunda Hospital Epilepsy Clinic 2004 - 2013 was determined. There were 3 maternal deaths in women with epilepsy during this time, which represents a mortality rate of 0.8%. In those women who died, there were concerns in relation to risks to the foetus by taking Anti-Epileptic Drugs (AED) and also issues with access to neurology services before pregnancy, acceptance of specialist support and lack of consistency in advice from health care professionals outside of Ireland...
October 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28125182/cocaine-use-in-young-adults-correlation-with-early-onset-cannabis-alcohol-and-tobacco-use
#7
B P Smyth, A Hannigan, W Cullen
There is ongoing debate regarding the relationship between early tobacco, alcohol and cannabis use and later cocaine abuse. We utilised data from two Irish national general population surveys. Of the 1,897 young adult participants, the prevalence of lifetime use was as follows: tobacco 62%, alcohol 96%, cannabis 31% and cocaine 7.0%. Logistic regression analysis indicated that being single, earlier age of first alcohol use, and history of cannabis use were significant independent predictors of lifetime use of cocaine...
October 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28125181/neonatal-bacteraemia-among-112-360-live-births
#8
D Huggard, R Drew, N McCallion
Our aims were to determine the incidence of bacteraemia in a cohort of neonatal patients over a 14 year period, to describe the organisms involved, and to establish the rates of sepsis with regard to both early onset sepsis (EOS) and late onset sepsis (LOS). Lastly, we investigated the trends of neonatal sepsis, to determine whether changes in clinical practice influenced the rate of blood culture positivity. With regards to EOS, GBS was the predominant pathogen, followed by E.coli, CoNS, and S. aureus . The overall mean EO rate per 1000 live births (LBs) was 1...
October 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28125180/a-direct-oral-anticoagulant-as-a-cost-effective-alternative-to-warfarin-for-treatment-of-provoked-venous-thrombosis
#9
W Courtney, E Groarke, J Conway, E Conway, D Bourke, J Saunders, M Watts, D O'Keefe
In Ireland, Warfarin is the primary anticoagulant prescribed in the secondary prevention of provoked DVT. We completed a comprehensive cost analysis of a trial group of 24 patients treated with Rivaroxaban (between November 2013 and December 2014), versus a control group treated with Warfarin (between January 2008 and November 2013). The groups were matched for gender (3/7 M/F ratio), DVT type (5 proximal, 19 distal DVTs), provoking factor (20 traumatic, 4 atraumatc), and age. We calculated the cost for each group based on drug administration and clinic costs (labour, sample analysis, and additional costs)...
October 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28125179/an-approach-to-optimise-therapeutic-vancomycin-dosage-in-a-haemodialysis-population
#10
H Gunning, G Taylor, A Smyth, G Mellotte, J Fennell, P Murphy, P Lavin, C Wall
Haemodialysis patients are at risk of gram-positive bacteraemia and commonly require intravenous vancomycin. Intravenously administered vancomycin is primarily excreted by the kidney and exhibits complex pharmacokinetics in haemodialysis patients; achieving therapeutic levels can be challenging. An audit in our unit showed current practises of vancomycin administration resulted in a high proportion of sub-therapeutic levels. A new protocol was developed with fixed weight-based loading and subsequent dosing guided by pre-dialysis levels, target levels were 10-20mg/L...
October 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28125178/the-epidemiology-of-emergency-in-patient-hospitalisations-among-those-with-no-fixed-abode-homeless-2005-2014-what-lessons-can-be-learnt
#11
A O'Farrell, D S Evans, M Allen
Estimates show that homelessness is increasing in Ireland. This study analysed the epidemiology of emergency hospitalisations among those experiencing homelessness between 2005-2014. All in-patient admissions to acute hospitals classified with 'no fixed abode' were extracted from the Hospital In-patient Enquiry System. Data were analysed using JMP. There were 2,051 in-patient emergency admissions of people classified with 'no fixed abode' during the study period, an increase of 406% since 2005 (78 in 2005 vs...
October 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28125177/ct-colonography-in-the-detection-of-colorectal-cancer-in-ireland-economical-considerations-and-the-potential-for-centralisation-of-service-provision
#12
EDITORIAL
W Torregianni, J Power, J Feeney
No abstract text is available yet for this article.
October 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28125176/the-current-challenges-facing-trainee-doctors-in-england
#13
J F A Murphy
No abstract text is available yet for this article.
October 12, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28124860/physician-scientists-we-need-to-act-now
#14
LETTER
H Humphreys
No abstract text is available yet for this article.
September 9, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28124859/neonatal-thyroid-function-test-first-think-second
#15
LETTER
L E Geraghty, M O'Grady
No abstract text is available yet for this article.
September 9, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28124858/an-unusual-case-of-acquired-delayed-onset-cystic-hygroma-in-a-child
#16
LETTER
P J B Sanneerappa, L Cunningham, P Gallagher, N Ramesh
No abstract text is available yet for this article.
September 9, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28124857/bone-mineral-density-in-short-individuals-how-can-we-interpret-it
#17
LETTER
M Nadeem, E F Roche
No abstract text is available yet for this article.
September 9, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28124856/are-adults-attending-gps-able-to-check-their-own-weight
#18
M Crickmer, M Johnson, E Shanahan, B O'Shea
Studies have shown self-weighing behaviour is associated with weight loss and maintenance of previous losses. In this cross-sectional survey of 151 patients, 98 (65.0%) participants were overweight or obese, and 59 (31.9%) participants did not self-weigh. Healthcare teams should advise patients on weighing practices to control obesity.
September 9, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28124855/ovarian-small-cell-carcinoma-hypercalcemic-type-a-case-report
#19
M B Rahma, M Abbas
A 31-year-old female was diagnosed with small cell carcinoma of the ovary hypercalcaemic type (OSCCHT) post left oophorectomy. This is a rare aggressive ovarian tumour of which less than 300 cases were reported.
September 9, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/28124854/melas-mitochondrial-encephalomyopathy-lactic-acidosis-stroke-a-diagnosis-not-to-be-missed
#20
N M Quinn, G Stone, F Brett, P Caro-Dominguez, O Neylon, B Lynch
MELAS is a rare mitochondrial disorder. We report two cases in Irish males where the characteristics were evident, but the diagnosis not made for a considerable period of time. In one of the cases the symptoms were presumed secondary to prematurity. In the other the symptoms were presumed secondary to epilepsy and he had three respiratory arrests secondary to benzodiazepine administration. This report wishes to highlight MELAS as a differential diagnosis in paediatric patients who present with stroke.
September 9, 2016: Irish Medical Journal
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