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Irish Journal of Medical Science

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https://www.readbyqxmd.com/read/29779089/duration-of-opening-statement-of-patients-attending-a-chronic-pain-clinic-consultation
#1
Ather Imran, Deepak Doltani, Jean Saunders, Dominic Harmon
BACKGROUND: The opening patient statement is an important part of the medical consultation. It is where after the initial solicitation the physician gets information about the patient's current problems and concerns. Previous research shows that 23-28% of patients are allowed to complete their opening statement un-interruptedly in the general practice setting. Interruption results in fewer patient concerns expressed and failure to gather potentially important patient information. OBJECTIVES: The objective of the study was to assess the duration of opening statements of patients attending a chronic pain clinic consultation...
May 19, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29766409/where-youth-matters-clinicopathologic-characteristics-and-emerging-trends-in-treatment-and-outcomes-in-young-irish-women-with-breast-cancer
#2
Megan Greally, Jennifer Kielty, Geoffrey A Watson, Geoffrey Das, Christina Malouf, Lynda McSorley, Niamh Coleman, Cecily Quinn, Enda W McDermott, Giuseppe Gullo, John Crown, Ruth S Prichard, Catherine M Kelly, Janice M Walshe
BACKGROUND: Young women with breast cancer (YWBC) represent 7-12% of breast cancer diagnoses and ostensibly have more biologically aggressive subtypes with higher relapse and mortality rates. We studied the clinical and pathological characteristics in YWBC and examined how outcomes and treatment have evolved. METHODS: YWBC were identified from pathology databases at two tertiary centers. Patients were divided into two cohorts: those diagnosed from 2000 to 2005 (C1) and from 2006 to 2015 (C2)...
May 15, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29752641/levels-of-evidence-in-pelvic-trauma-a-bibliometric-analysis-of-the-top-50-cited-papers
#3
Ailbhe White-Gibson, Barry O'Neill, David Cooper, Michael Leonard, Brendan O'Daly
BACKGROUND: Scientific research is an essential aspect in the ongoing development of medical education and improved patient care. Dissemination of findings is a pivotal goal of any health research study. The number of citations that a published article receives is reflective of the importance that paper has on clinical practice. To date, it is unknown which journals are most frequently cited as influencing the management of pelvic trauma. METHODS: The aim of this study was to identify the top 50 publications relating to the management of pelvic trauma...
May 12, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29748892/updated-pharmacological-management-of-rheumatoid-arthritis-for-women-before-during-and-after-pregnancy-reflecting-recent-guidelines
#4
Kieran E Murray, Louise Moore, Celine O'Brien, Anne Clohessy, Caroline Brophy, Patricia Minnock, Oliver FitzGerald, Eamonn S Molloy, Anne-Barbara Mongey, Shane Higgins, Mary F Higgins, Fionnuala M Mc Auliffe, Douglas J Veale
BACKGROUND: Rheumatoid arthritis (RA) is a chronic immune-mediated inflammatory disease which can cause significant disability, morbidity, mortality, and impaired fertility. It commonly affects women of childbearing age. Managing rheumatoid arthritis (RA) in the perinatal period poses challenges. There is concern about the teratogenic effects of many traditional disease-modifying anti-rheumatic drugs (DMARDs) and an ever-growing list of new therapeutic options with limited data in pregnancy and breastfeeding...
May 10, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29732504/femoral-offset-found-not-to-affect-metal-ion-levels-in-metal-on-metal-total-hip-arthroplasty
#5
Eoghan Pomeroy, Fergal Macnamara, Evelyn Murphy, Niall McGoldrick, Anant Mahapatra, Nasir Awan
BACKGROUND: Failure to restore femoral offset in metal on polyethylene total hip arthroplasty (THA) causes polyethylene wear and aseptic loosening. To our knowledge, no study to date has investigated the relationship between femoral offset and wear in metal-on-metal (MOM) THA. AIMS: In this study, we investigated the relationship between femoral offset and wear by measuring circulating metal ion levels in MOM THA. METHODS: In this retrospective study, we identified patients who had undergone MOM THA with the ASR XL system (DePuy International Ltd...
May 7, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29732503/microvascular-diabetes-complications-in-a-specialist-young-adult-diabetes-service
#6
Audrey Melvin, Lynn Redahan, Mensud Hatunic, Siobhán E McQuaid
BACKGROUND AND AIMS: The provision of medical care to young adults with type 1 diabetes mellitus is challenging. The aim of this study was to determine the rates of microvascular complications and their progression among patients with type 1 diabetes mellitus attending a specialist young adult diabetes service in Ireland. METHODS: A retrospective review of 62 (male 56.5%) patients with type 1 diabetes mellitus attending the young adult diabetes service at our institution was undertaken...
May 7, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29728820/obesity-diet-and-lifestyle-in-9-year-old-children-with-parentally-reported-chronic-diseases-findings-from-the-growing-up-in-ireland-longitudinal-child-cohort-study
#7
Michael P Fitzgerald, Kerrie Hennigan, Clodagh S O'Gorman, Laura McCarron
BACKGROUND: The incidence and prevalence of childhood chronic disease is increasing worldwide. Obesity, poor diet and lifestyle may be more prevalent in children with a chronic disease than in their healthier contemporaries. The Growing Up in Ireland (GUI) study is a nationally representative cohort study of children living in the Republic of Ireland. The study has collected information from 8568 9-year-old Irish children on their experiences within their families, childcare settings, schools and communities, and how these impact on all aspects of children's development...
May 5, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29728819/the-changing-tides-of-irish-orthopaedic-research
#8
Ailbhe White Gibson, Kevin Clesham, Oisin Tully, John F Quinlan
INTRODUCTION: Research is fundamental to bridging theory, practice and education in orthopaedics. Following the restructuring of the surgical training pathway in Ireland, the opportunity to undertake clinical- or lab-based research has fallen. AIMS: Our aim was to investigate the trends of research in orthopaedics and the implications there. METHODS: We reviewed the trend in publications by Irish trauma and orthopaedic (T&O) trainees over the past 20 years across three different classes of journal...
May 4, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29725927/how-to-establish-a-successful-bowel-management-programme-in-children-a-tertiary-paediatric-centre-experience
#9
Ann M Costigan, Stephanie Orr, Abdulrahman E Alshafei, Brice A Antao
BACKGROUND: Bowel management is a term used to describe a medical approach to the management of faecal incontinence. AIMS: To present the outcomes of an individualised bowel management programme developed by a tertiary paediatric centre and evaluate contributory factors for successful bowel management in children. METHODS: A retrospective review of children attending a bowel management clinic in a tertiary centre in Dublin, Ireland, over 5 years (2010-2015)...
May 3, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29725926/breast-cancers-missed-by-screening-radiologists-can-be-detected-by-reading-mammograms-at-a-distance
#10
Ineke L Schreutelkamp, Robert M Kwee, Peter Veekmans, Miraude E A P M Adriaensen
BACKGROUND: During locally organized quality assurance evaluation sessions for screening radiologists, we noticed that individual screening radiologists did miss tumours which in our opinion could be detected at a distance. AIM: To determine whether tumours missed by individual screening radiologists can be detected at a distance. METHODS: Twenty-eight screening mammograms of 28 females (mean age 63 years, range 49-73) with a pathologically proven malignant tumour missed by individual screening radiologists were mixed with 56 normal screening mammograms of 56 females (mean age 63 years, range 53-74)...
May 3, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29717418/transition-from-tube-feeding-to-oral-feeding-experience-in-a-tertiary-care-paediatric-cardiology-unit
#11
Anne Marie Shine, Daragh Gerard Finn, Noeleen Allen, Colin J McMahon
BACKGROUND: Home enteral tube feeding (HETF) is imperative for many infants and children with congenital heart disease (CHD). Tube weaning (TW) facilitates the progression from tube feeding to oral diet. There is limited literature on TW practices, protocols and success for children with CHD that have been tube fed. AIMS: The objective of this study is to assess the process of weaning HETF in a tertiary referral centre for paediatric CHD. Specifically, we aimed to assess the duration of HETF, duration of TW and the interventions involved...
May 2, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29705948/variations-in-biochemical-values-for-common-laboratory-tests-a-comparison-among-multi-ethnic-israeli-women-cohort
#12
Ruth Birk, Eliyahu M Heifetz
BACKGROUND: Biochemical laboratory values are an essential tool in medical diagnosis, treatment, and follow-up; however, they are known to vary between populations. Establishment of ethnicity-adjusted reference values is recommended by health organizations. AIM: To investigate the ethnicity element in biochemical lab values studying women of different ethnic groups. METHODS: Biochemical lab values (n = 27) of 503 adult Israeli women of three ethnicities (Jewish Ashkenazi, Jewish Sephardic, and Bedouin Arab) attending a single medical center were analyzed...
April 28, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29704093/trends-in-the-treatment-of-chronic-kidney-disease-associated-anaemia-in-a-cohort-of-haemodialysis-patients-the-irish-experience
#13
Roisin Gardiner, Davood Roshan, Ann Brennan, Denise Connolly, Susan Murray, Donal Reddan
BACKGROUND: Anaemia among haemodialysis patients is treated with iron and erythropoietin-stimulating agents (ESAs). ESAs reduce requirements for blood transfusions but are also expensive and overzealous use may be associated with adverse outcomes. Recent international trends have been characterised by reduced ESA doses and a greater reliance on intravenous (IV) iron. We determined trends in prescribing patterns of ESAs and IV iron for the treatment of anaemia in two representative Irish dialysis centres and correlated with current guidelines and international trends...
April 27, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29700733/the-surgical-management-of-severe-dentofacial-infections-dfi-a-prospective-study
#14
Conor M Bowe, Maeve A O'Neill, John E O'Connell, Gerard J Kearns
Dentofacial infections (DFI) lead to morbidity and rarely, mortality. We hypothesised that certain clinical and laboratory parameter factors may be associated with a more severe course and an increased length of stay. We designed a prospective study that included all patients admitted with a DFI to the Oral and Maxillofacial Department between July 2014 and July 2015. A total of 125 were enrolled. We found that serum concentration of CRP on admission and increasing number of fascial spaces involved by the infection were significant predictors of hospital stay (p = 0...
April 27, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29696559/to-tube-or-not-to-tube-utilising-a-tubeless-antegrade-ureteric-stenting-system-in-a-tertiary-referral-hospital
#15
Aisling T Looney, Padraig J A Daly, Ivor M Cullen, Peter MacMahon, Ian M G Kelly
INTRODUCTION: To assess the benefits and complications of developing a practice of single-stage primary ureteral stenting in a university hospital. METHODS: A practice change developed from the traditional practice of multi-stage stenting to single-episode stent placement. To evaluate this change of practice, we retrospectively analysed data of 70 patients who underwent primary tubeless antegrade ureteric stenting and compared this group to the previous 54 patients who had a covering nephrostomy...
April 26, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29700732/correction-to-a-meta-analysis-of-consanguinity-and-breast-cancer
#16
John B Wild, Mei-Ju Hwang, Gabriela Jones
The original version of this article contained an author name error. Gabiella Jones has been corrected to Gabriela Jones. The original article has been corrected.
April 25, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29696558/festschrift-for-professor-ronan-o-connell
#17
EDITORIAL
James F X Jones
No abstract text is available yet for this article.
April 25, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29696557/in-recognition-of-ireland-s-doctor-scientists-richard-costello-christopher-thompson-fidelma-dunne-and-douglas-veale
#18
EDITORIAL
William P Tormey
No abstract text is available yet for this article.
April 25, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29693235/admission-and-readmission-rate-incidences-from-deprived-areas-impact-of-a-classical-or-multi-dimensional-model
#19
Declan Byrne, Richard Conway, Seán Cournane, Deirdre O'Riordan, Bernard Silke
INTRODUCTION: Classical deprivation instruments use a factor analytical approach relying on a smaller number of dimensions, factors or components. Multi-dimensional deprivation models attempt classification in fine detail-even down to street level. METHODS: Single-centre retrospective cohort study using routinely collected aggregated and anonymised data on emergency medical admissions (96,526 episodes in 50,731 patients; 2002-2016). We calculated admission/readmission rate incidences for the 74 small areas within the hospital catchment area...
April 24, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29693234/a-retrospective-analysis-comparing-the-use-of-procore%C3%A2-with-standard-fine-needle-aspiration-in-endobronchial-ultrasound-guided-transbronchial-needle-aspiration-ebus-tbna
#20
David J McCracken, Melanie Bailey, Marie-Therese McDermott, Terence E McManus
Endobronchial ultrasound has become first line in the investigation of mediastinal lesions suspicious for malignancy in keeping with National Institute for Health and Care Excellence (NICE) guidelines; however, needle size and type required to maximise diagnostic sensitivity remains unclear. Previous meta-analyses have compared the use of ProCore with standard fine needle aspiration in the assessment of pancreatic masses with differences noted only in the number of passes required. We aim to assess whether a ProCore needle improves diagnostic sensitivity in EBUS-TBNA...
April 24, 2018: Irish Journal of Medical Science
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