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Irish Medical Journal

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https://www.readbyqxmd.com/read/27834095/acute-interstitial-nephritis-secondary-to-metamizole-the-rise-of-drug-tourism
#1
LETTER
V Sandys, D Byrne
No abstract text is available yet for this article.
August 8, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27834094/are-we-overtreating-stage-b-copd
#2
LETTER
M Kooblall, R McCarron, C M Burke
No abstract text is available yet for this article.
August 8, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27834093/disseminated-mycobacterium-africanum-in-an-immunocompetent-child
#3
LETTER
S Giva, S Geoghan, C Hickey, C Bogue, K Butler, D Mullane, S M O'Connell
No abstract text is available yet for this article.
August 8, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27834092/urinary-tract-infection-in-childhood-and-inflammatory-markers
#4
S Tamgumus, J Geoghan, D Coghlan, M Nadeem
Acute urinary tract infections are common in children. Our aim was to establish whether peripheral blood tests correlate with urinary culture. We also examined the relationship between peripheral blood results and the length of stay (LOS) in children and adolescents with UTI. We studied 135 patients admitted with UTI, mean (SD) age 3.0 (4.1) years. Of these 135 patients, 16 (11.9%) had combined normal serum WCC, normal neutrophil count and CRP < 5 mg/L. In this group of patients, there was no significant association between LOS and serum WCC, serum neutrophil values, E...
August 8, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27834091/high-prevalence-of-stress-urinary-incontinence-in-adult-patients-with-bronchiectasis
#5
N Duignan, M J McDonnell, M C Mokoka, R M Rutherford
Stress urinary incontinence (SUI) is frequently under-reported in patients with chronic lung disease and may have negative psychosocial consequences. We conducted a prospective study to determine the prevalence, severity and treatment outcomes of SUI in female bronchiectasis patients referred for airway clearance techniques. Nineteen out of 40 (48%) patients reported SUI symptoms. Of these, 14 (74%) reported a reduced quality of life secondary to SUI. Following personalised intervention, symptom improvement was observed in 13/19 (68%)...
August 8, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27834090/an-unusual-case-of-urinary-bladder-arteriovenous-malformation
#6
D Gnanappiragasam, S Gnanappiragasam, T E D McDermott
A 45-year-old male presented with haematuria and urinary frequency. Computed Tomography (CT) urogram revealed gross thickening of the left bladder wall. Histology showed large vessels cuffed by eosinophonilic material suggestive of urinary bladder arteriovenous malformation (AVM). No further intervention was carried out as symptoms resolve after the resection. Follow up rigid cystoscopy and CT at 3 months showed resolution of all visible pathology and no evidence of recurrence.
August 8, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27834089/an-audit-of-the-effectiveness-of-large-group-neurology-tutorials-for-irish-undergraduate-medical-students
#7
H Kearney, A Krakar, A Drazyk, E Maloney, I Callinan, N Tubridy
The aim of this audit was to determine the effectiveness of large group tutorials for teaching neurology to medical students. Students were asked to complete a questionnaire rating their confidence on a ten point Likert scale in a number of domains in the undergraduate education guidelines from the Association of British Neurologists (ABN). We then arranged a series of interactive large group tutorials for the class and repeated the questionnaire one month after teaching. In the three core domains of neurological: history taking, examination and differential diagnosis, none of the students rated their confidence as nine or ten out of ten prior to teaching...
August 8, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27834088/perampanel-an-audit-of-clinical-experience-using-the-epilepsy-electronic-patient-record
#8
E Ryan, N Colleran, P Cullinane, M Fitzsimons, F Flynn, N Delanty, M Hennessy
Perampanel is a non-competitive antagonist of AMPA glutamate receptors on post synaptic neurons. The aim of this study was to conduct an audit of the experience of perampanel treatment in Ireland based on the interrogation of the national epilepsy electronic patient record (EPR). A retrospective audit was compiled which reviewed the progress of patients who had been treated across two regional epilepsy centres. The EPR was used to identify patients and collect information relevant to their perampanel therapy...
August 8, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27834087/accrual-to-cancer-clinical-trial
#9
C Kelly, M Smith, S Flynn, A Reyes, M Higgins, J McCaffrey, C Kelly
Accrual to cancer clinical trials (CCT) is imperative to safeguard continued improvement in cancer outcomes. A retrospective chart review was performed of patients (n=140) starting a new anti-cancer agent in a north Dublin cancer centre. This review was performed over a four-month period, beginning in November 2015. Only 29% (n=41) had a CCT option. The overall accrual rate to CCT was 5% (n=7), which is comparable to internationally reported figures. The main reasons for failure to recruit to CCT included the lack of a CCT option for cancer type (n=30, 23%), stage (n=25, 19%), and line of treatment (n=23, 17%)...
August 8, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27834086/what-proportion-of-patients-meet-the-criteria-for-uncomplicated-sepsis-in-an-irish-emergency-department
#10
C McNevin, R McDowell, F Fitzpatrick, P Gilligan, A Wakai
Emergency medicine plays a central role in the early recognition of patients presenting to hospital with sepsis. However, the epidemiology of sepsis in the Irish Emergency Department (ED) setting has not been described. The primary aim of this study was to determine the proportion of adult ED patients who meet the current criteria for uncomplicated sepsis. This cross-sectional study was performed in the ED of Beaumont Hospital, Dublin. The clinical records of all patients presenting to the ED over a four-week period were retrospectively screened to determine if they met the current Health Service Executive (HSE) criteria for uncomplicated sepsis...
August 8, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27834085/neonatal-brachial-plexus-palsy-and-causation
#11
EDITORIAL
M J Turner, M Farren
No abstract text is available yet for this article.
August 8, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27834084/physician-scientists-recruitment-and-sustainability
#12
J F A Murphy
No abstract text is available yet for this article.
August 8, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27814449/increasing-the-compliance-rates-of-medical-council-registration-number-documentation-in-amnch
#13
LETTER
J J Coughlan, N Thompson, J Kent, K Daly, J McCrohan
No abstract text is available yet for this article.
June 10, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27814448/leadership-in-medicine-who-will-answer-the-call-of-duty
#14
LETTER
H Ferris, M E Collins
No abstract text is available yet for this article.
June 10, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27814447/evaluation-of-the-quality-of-operative-notes-in-a-trauma-and-orthopaedics-centre-are-the-guidelines-being-followed
#15
LETTER
S M Inder, A Siddique
No abstract text is available yet for this article.
June 10, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27814446/from-darkness-into-light
#16
P Brady
No abstract text is available yet for this article.
June 10, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27814445/the-prolonged-neonatal-admission-implications-for-our-national-children-s-hospital
#17
S M McGlacken-Byrne, L Geraghty, J F A Murphy
A significant number of neonates are admitted to tertiary paediatric units for prolonged stays annually, despite limited availability of neonatal beds. As the three Dublin paediatric hospitals merge, this pressure will be transferred to our new National Children's Hospital. We analysed epidemiological trends in prolonged neonatal admissions to the 14-bed neonatal unit in The Children's University Hospital, Temple Street, Dublin. This was with a view to extrapolating this data toward the development of a neonatal unit in the National Children's Hospital that could accommodate for this complex, important, and resource-heavy patient population...
June 10, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27814444/management-of-epistaxis-a-single-centre-experience-and-economic-considerations
#18
E Keane, T Subramaniam, A H Khan, N Patil
Epistaxis represents the most common ENT emergency and its management has been a focus of audit recently, with consideration given to the associated economic burden. The aim of our study is to evaluate the management of epistaxis in terms of treatments used, duration of stay, recurrence and cost. A retrospective review of hospital inpatient enquiry (HIPE) data from a single secondary referral centre was undertaken during a four year period. Four hundrefd and thirty-four patients were identified. The majority (n= 262, 60...
June 10, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27814443/type-1-tyrosinaemia
#19
M A Mannion, A Smith, P Mayne, A A Monavari
Tyrosinaemia type 1 (TYR1, OMIM# 276700) is a rare autosomal recessive disease that results from an enzyme defect that leads to a deficiency in fumarylacetoacetase (FAH)1. We present 3 cases of TYR1 in the Irish population over a 9 year period, the only cases known to have been diagnosed in Ireland since 1989. The common presenting symptom was hypoglycaemia and the diagnosis was made by the identification of the pathognomonic biomarker succinylacetone on urine organic acid analysis. We discuss the clinical presentation, biochemical and genetic results including one novel mutation...
June 10, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27814442/botulinum-toxin-in-the-management-of-sialorrhoea-in-acquired-brain-injury
#20
A Carrol, B McGlone
Sialorrhoea as a consequence of severe acquired brain injury can significantly negatively impact on quality of life. Medications used in its management have many side effects which can cause problems in the severely disabled. Botulinum toxin is an effective treatment of sialorrhoea in a number of neurological conditions but may also have a role to play in the management of sialorrhoea following severe ABI. We report on 4 cases of sialorrhoea following acquired brain injury causing a variety of problems, whose parotid glands were injected with Botulinum toxin type A (Dysport) 50mu each, under ultrasound guidance...
June 10, 2016: Irish Medical Journal
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