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Irish Medical Journal

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https://www.readbyqxmd.com/read/29952450/scn1a-variant-and-cannabidiol-use
#1
LETTER
C Reynolds, R Finnegan, E Forman, M D King
No abstract text is available yet for this article.
February 9, 2018: Irish Medical Journal
https://www.readbyqxmd.com/read/29952449/follow-up-chest-radiography-in-paediatric-pneumonia-is-it-avoidable
#2
LETTER
N Khan, L Whitla, M Kenosi, D Coghlan, M Nadeem
No abstract text is available yet for this article.
February 9, 2018: Irish Medical Journal
https://www.readbyqxmd.com/read/29952448/a-paws-for-thought-paediatric-burn
#3
LETTER
R Long, S Martin, C E Black
No abstract text is available yet for this article.
February 9, 2018: Irish Medical Journal
https://www.readbyqxmd.com/read/29952447/identifying-factors-that-influence-the-6-hour-target-in-the-emergency-department-by-applying-regression-analysis
#4
F Borhan, N Borhan, S Ahmed, L Varghese, E O'Connor
AIM: To determine factors within the Emergency Department (ED) that have maximum influence on the '6-hour target'. METHODS: Regression Analysis methodology employed to analyse the influence of 9 ED variables on the '6-hour target' compliance. RESULTS: The number of patients waiting to be seen an ED physician at 8pm exerts maximum influence on the '6-hour target' (r = -0.581, p<0.05). CONCLUSION: The '6-hour target' compliance rises with lesser number of patients waiting to be seen by an ED physician at 8pm...
February 9, 2018: Irish Medical Journal
https://www.readbyqxmd.com/read/29952446/the-prevalence-of-respiratory-symptoms-in-irish-dairy-farmers
#5
V Hogan, R Noone, J P Hayes, A M Coggins
Work-related respiratory disease is a significant risk in the farming community. We assessed respiratory symptoms using a validated work-related respiratory questionnaire in 126 dairy farmers (19-75 years; 91.3% male). The prevalence of cough symptoms was 34.4%. Thirty-seven farmers (29.4%) complained of upper airway symptoms while forty (31.7%) complained of eye problems. Cumulated symptoms scores did not indicate higher than normal rates of chronic lung disease. Only 10 farmers (7.9%) were taking medication for lung conditions...
February 9, 2018: Irish Medical Journal
https://www.readbyqxmd.com/read/29952445/portal-hypertensive-colopathy-with-pelvic-varices-presenting-as-severe-lower-gi-bleed-treated-with-tipss
#6
S F Murphy, M Durand, J P McMorrow, J F Meaney, M Guiney
We present the case of a 71-year-old lady with a background of significant alcohol intake who presented with frank lower gastrointestinal (GI) bleeding, lower abdominal pain and haemoglobin 6.3g/dL. CT abdominal angiogram showed right-sided colonic thickening, atrophic liver and enlarged superior mesenteric vein (SMV) and right-sided pelvic varix. This lead to a diagnosis of portal hypertensive colopathy secondary to alcoholic liver cirrhosis. The patient failed conservative management and underwent a Transjugular Intrahepatic Portosystemic Shunt (TIPSS) procedure...
February 9, 2018: Irish Medical Journal
https://www.readbyqxmd.com/read/29952444/a-borderline-ovarian-tumour-in-a-patient-with-classic-bladder-exstrophy-a-case-report
#7
K Beauchamp, G Ryan, B Gibney, T Walsh, D Brennan
A 37-year-old Romanian lady presented with a large pelvic mass, urosepsis and deteriorating renal function. She had undergone separation from her conjoined twin. Imaging revealed grossly abnormal anatomy and a suspicious pelvic mass. Examination was consistent with classic bladder exstrophy. Postoperative histology showed borderline ovarian tumour (BTO).
February 9, 2018: Irish Medical Journal
https://www.readbyqxmd.com/read/29952443/dvd-versus-physiotherapist-led-inhaler-education-a-randomised-controlled-trial
#8
R Khan, F Yasin, S O'Neill, E Cahalane, R O'Shea, B Browne, J Cournane, S Rand, H Shannon
Correct technique with inhalers is vital for therapeutic effect. Efficacy of DVD inhaler instruction was investigated. Secondary aims were to examine feasibility of an inhaler technique outcome measure, and to compare knowledge and self-efficacy after DVD or individual education. This was a randomised controlled trial conducted in a regional hospital paediatric ward, involving new or existing paediatric inhaler users. Inhaler technique was assessed pre-education in existing inhaler users. Participants were then randomised to message equivalent education by DVD or individually with a physiotherapist...
February 9, 2018: Irish Medical Journal
https://www.readbyqxmd.com/read/29952442/low-yield-of-positive-cerebrospinal-fluid-csf-culture-and-bacterial-pcr-tests-in-paediatric-patients-with-a-normal-csf-white-cell-count
#9
R J Drew, M J Nielsen, G O'Mahony, R Cunney
The aim was to review paediatric patients who had a positive cerebrospinal fluid culture or bacterial PCR test, yet had a normal CSF white cell count for age. Patients were included if they had a CSF sample sent for culture (between 2005 and 2015) or bacterial PCR (2010-2015), however neurosurgical and neurology patients were excluded. Of the 2,482 patients reviewed, there were 101 patients with laboratory-confirmed bacterial meningitis included, of which 27 were positive by culture and PCR, 26 by culture alone and 48 were positive by PCR only...
February 9, 2018: Irish Medical Journal
https://www.readbyqxmd.com/read/29952441/the-prevalence-of-severe-sepsis-or-septic-shock-in-an-irish-emergency-department
#10
C McNevin, R McDowell, F Fitzpatrick, R O'Sullivan, A Wakai
Severe sepsis and septic shock are among the leading causes of death globally. Despite the central role the emergency department (ED) plays in the early identification of patients presenting to hospital with sepsis, the prevalence of severe sepsis and septic shock in the Irish ED setting has not been described. The primary aim of this study was to measure the prevalence of severe sepsis or septic shock in an Irish adult ED setting. The clinical records of patients presenting to the ED over a four-week period were retrospectively reviewed to determine if they met the current Health Service Executive (HSE) criteria for severe sepsis or septic shock...
February 9, 2018: Irish Medical Journal
https://www.readbyqxmd.com/read/29952440/kawasaki-disease-a-review-of-treatment-and-outcomes-in-an-irish-paediatric-cohort-2010-14
#11
A M Flinn, P J Gavin, C J McMahon, P Oslizok, K M Butler
Diagnosis of Kawasaki Disease (KD) can be challenging due to lack of a diagnostic test, and some children present with 'incomplete' KD when not all diagnostic criteria are met. Treatment with intravenous immunoglobulin (IVIG) and aspirin reduces the risk of coronary artery complications. There is sub-group of patients who are resistant to IVIG/aspirin therapy and are at increased risk of complications. Recent evidence suggests that additional treatment of this high-risk group with corticosteroids is beneficial in reducing this risk...
February 9, 2018: Irish Medical Journal
https://www.readbyqxmd.com/read/29952439/physical-activity-levels-and-perceived-barriers-to-exercise-participation-in-irish-general-practitioners-and-general-practice-trainees
#12
D M Keohane, N A McGillivary, B Daly
Physical activity is a pillar stone of health promotion and primary care is perfectly poised to disseminate this message. Primary care however, often fails in this regard, missing an opportunity to promote a simple intervention that is effective, free and easily accessible. This study aimed to determine physical activity levels in Irish General Practitioners and General Practice Trainees in addition to describing the barriers to exercise that exist amongst this cohort. This cross-sectional study of Irish General Practice trainers and trainees captured a categorical record of physical activity as well as a qualitative measure of the perceived barriers to exercise...
February 9, 2018: Irish Medical Journal
https://www.readbyqxmd.com/read/29952438/outcomes-of-a-community-based-paediatric-weight-management-programme-in-an-irish-midlands-setting
#13
A E Bennett, C Johnston Molloy, C Glennon-Slattery, D Loane
Ongoing investigation is needed into feasible approaches which reduce excess weight in childhood. This study aimed to assess the effectiveness of an adapted version of the Scottish Childhood Overweight Treatment Trial (SCOTT) in an Irish primary care setting. Families were offered monthly dietitian-led sessions for six months. These sessions targeted dietary habits, family meals, screen time and exercise. Of the 95 children (mean age 7.6 years) referred, 90.5% (n86) were obese and 9.5% (n9) were overweight...
February 9, 2018: Irish Medical Journal
https://www.readbyqxmd.com/read/29952437/point-prevalence-of-adult-intestinal-failure-in-republic-of-ireland
#14
A Bell, N Conway, J Courtney, K Kennedy, Z Raubenheimer, N Rice, D Kevans, C L Donohoe, J V Reynolds
Parenteral Nutrition (PN) is a life-saving treatment used for patients with Intestinal Failure (IF). PN is complex and demands highly specialised care to avoid serious complications in the home setting. All tertiary centres in the Republic of Ireland (ROI) were contacted to assess the prevalence of IF requiring PN and complications, over a one year period. Sixty-seven patients were treated across 15 centres: a period prevalence of 14.6 and 9.6 patients per million for long-term PN and home PN respectively. Three-quarters of patients experienced at least one major complication with 18% mortality rate over the study period...
February 9, 2018: Irish Medical Journal
https://www.readbyqxmd.com/read/29952436/magnetic-stent-removal-in-a-nurse-led-clinic-a-nine-month-experience
#15
L O'Connell, M P Broe, D Rooney, S Elhag, I Cheema, B B McGuire
Ureteric stents are frequently inserted post endourological procedures. However, subsequent endoscopic stent removal requires a second procedure for the patient and the availability of necessary resources. Longer duration of indwelling stents can lead to increased risk of symptoms and complications. The use of magnetic stents removed with a magnetic retrieval device (BlackStarĀ©), offers an alternative which obviates the need for cystoscopy. We assessed the outcomes for this novel method of stent removal in our institution...
February 9, 2018: Irish Medical Journal
https://www.readbyqxmd.com/read/29952435/a-comparison-of-perceived-and-measured-paternal-weight-and-bmi-and-relationship-to-weight-and-bmi-of-his-children
#16
R F Power, B Power, C S O'Gorman
INTRODUCTION: Nineteen percent of 9 years old Irish children are overweight; seven percent are obese. Our aims were: to examine whether differences exist between paternal self-reported and measured height, weight and BMI in a population representative sample; and to explore paternal perceptions of their own weight status. METHODS: Measures of height and weight for fathers and for their children from the National Longitudinal Study of Children Growing Up in Ireland were obtained using validated methods...
February 9, 2018: Irish Medical Journal
https://www.readbyqxmd.com/read/29952434/penicillin-allergy-re-moulding-practice
#17
EDITORIAL
K McCarthy, J O'B Hourihane
No abstract text is available yet for this article.
February 9, 2018: Irish Medical Journal
https://www.readbyqxmd.com/read/29952433/competency-based-medical-education
#18
J F A Murphy
No abstract text is available yet for this article.
February 9, 2018: Irish Medical Journal
https://www.readbyqxmd.com/read/29869863/uterine-sacculation-in-pregnancy
#19
LETTER
R Langhe, M Blake, M Gannon
No abstract text is available yet for this article.
January 10, 2018: Irish Medical Journal
https://www.readbyqxmd.com/read/29869862/true-resistance-to-local-anaesthetics-an-unusual-cause-of-failure
#20
LETTER
A Sliewah, M McBride, S Dustagheer
No abstract text is available yet for this article.
January 10, 2018: Irish Medical Journal
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