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Irish Journal of Medical Science

C M Windrim, D A Crosby, K Mitchell, C Brophy, R Mahony, M Higgins
BACKGROUND: Vitamin D deficiency in pregnancy has important maternal and fetal implications, with increased risk of developing gestational diabetes, preeclampsia, preterm birth and small for gestational age birthweight. It is recommended that every pregnant woman should take 5 μg (200 IU) of vitamin D per day during pregnancy and lactation. AIMS: This study aimed to determine the prevalence of women taking vitamin D supplementation and to identify the reasons for patients not taking supplementation within women attending an antenatal clinic in Dublin...
November 20, 2017: Irish Journal of Medical Science
(no author information available yet)
No abstract text is available yet for this article.
November 18, 2017: Irish Journal of Medical Science
Lucy Moran, Kieran O'Loughlin, Brendan D Kelly
BACKGROUND: Non-attendance at outpatient clinics is common and costly. AIMS: This study aimed to determine if sending SMS ('short message service' or text message) reminders to patients before appointments reduced non-attendance. METHODS: We collected outpatient data at Ballyfermot and Lucan Community Adult Mental Health Service, Dublin, Ireland during 6-month periods (a) immediately prior to the introduction of SMS reminders for outpatient appointments; (b) immediately following the introduction of SMS reminders; and (c) two and a half years later...
November 16, 2017: Irish Journal of Medical Science
Zahra Zandieh, Akram Vatannejad, Mahmood Doosti, Sara Zabihzadeh, Mahnaz Haddadi, Leila Bajelan, Batool Rashidi, Saeid Amanpour
BACKGROUND: Male factor infertility has increased to more than 40% during the last decade. About 30% of these couples are diagnosed with unexplained infertility. In fact, reactive oxygen species (ROS), especially superoxide anion (O2(-)·) and hydrogen peroxide (H2O2), play a crucial role in regulation of physiological and pathological processes in spermatozoa. Moreover, since the diagnosis of unexplained infertility just through semen analysis is a matter of much controversy; we aimed to evaluate the levels of ROS and sperm DNA fragmentation in the semen samples of unexplained infertile and fertile control couples...
November 15, 2017: Irish Journal of Medical Science
M Yiasemidou, E Gkaragkani, D Glassman, C S Biyani
BACKGROUND: Traditional surgical training, largely based on the Halstedian model "see one, do one, teach one" is not as effective in the era of working time restrictions and elaborate shift-patterns. As a result, contemporary surgeons turned to educational methods outside the operating theatre such as simulation. Cadavers are high fidelity models but their use has ethical and cost implications and their availability may be limited. In this review, we explore the role of cadaveric simulation in modern surgical education...
November 14, 2017: Irish Journal of Medical Science
M Darrat, A Houlihan, I Gibson, M Rabbitt, G Flaherty, F Sharif
BACKGROUND: Hypertension is a leading modifiable risk factor for premature cardiovascular disease. Research indicates a growing prevalence of hypertension among adults worldwide, with accompanying low levels of patient knowledge, and sub-optimal clinical management. AIMS: This study aims to explore the impact of a structured hypertension educational intervention on patient knowledge, lifestyle behaviours and blood pressure control. DESIGN: An observational, prospective cohort design was selected...
November 6, 2017: Irish Journal of Medical Science
C Keller, S Arsenault, M Lamothe, S R Bostan, R O'Donnell, J Harbison, C P Doherty
INTRODUCTION: Patient safety is a value at the core of modern healthcare. Though awareness in the medical community is growing, implementing systematic approaches similar to those used in other high reliability industries is proving difficult. The aim of this research was twofold, to establish a baseline for patient safety practices on routine ward rounds and to test the feasibility of implementing an electronic patient safety checklist application. METHODS: Two research teams were formed; one auditing a medical team to establish a procedural baseline of "usual care" practice and an intervention team concurrently was enforcing the implementation of the checklist...
November 6, 2017: Irish Journal of Medical Science
O Ahmed, M Nugent, R Cahill, J Mulsow
BACKGROUND: Surgical mentorship remains important especially in an era of run-through training but can be hindered by the 'generation gap' between consultants and students. To cater for this, we established a trainee-led mentorship programme for medical students interested in surgery and herein report our initial findings. AIM: Our aim is to assess the attitudes of surgical mentors and mentees to a newly established surgical trainee-led mentorship programme to determine factors desirable for its successful delivery...
November 4, 2017: Irish Journal of Medical Science
Mano Shanmuganathan, Deborah A Sival, Kelly-Ann Eastwood, Katie Morris, Jacqueline Cartmill, Axel Heep, Janusz Bohosiewicz, Agnieszka Pastuszka, Alyson Hunter, Amanda Ali, Roy McConnell, Darach Crimmins, Fergal Malone, Carolyn Bailie, Jan Deprest, Cathy McKillop, Zarko Alfirevic, Fionnuala McAuliffe, Stephen Ong
This is a transcript of a scientific conference on the subject of prenatal surgery for spina bifida. It represents the views of three patients, an obstetrician, a postnatal neurosurgeon, a neonatologist, a paediatric neurologist, two surgeons who practice open spina bifida foetal surgery, a fetoscopic surgeon and an obstetrician experienced in randomised trials and systematic reviews. Implications for current practice and recommendations for future research are also discussed in detail.
November 3, 2017: Irish Journal of Medical Science
F Coffey, T-I Curran, C Kenny, K Holmes
BACKGROUND: Ireland is on course to become the most obese country in Europe by 2025. A recently published action plan for obesity in Ireland identifies primary care as one of the best places to tackle this issue. AIM: This study aims to assess patients' attitudes towards weight loss management in general practice in Ireland. DESIGN AND SETTING: A descriptive study was conducted at one urban single-handed and one rural group practice in the south west of Ireland...
November 3, 2017: Irish Journal of Medical Science
O M Koper, J Kamińska, K Sawicki, J Reszeć, R Rutkowski, M Jadeszko, Z Mariak, V Dymicka-Piekarska, H Kemona
BACKGROUND: The aim of the study was the evaluation of serum and CSF concentrations of CCL2, IL-8, and sICAM-1 in patients with astrocytic tumors as compared to a group of non-tumoral patients. METHODS: Chemokine concentrations were measured using the ELISA method. RESULTS: Regardless of the parameter tested and the patient group (brain tumor or non-tumoral patients), statistical differences (P < 0.05) were found between concentrations obtained in CSF compared to values obtained in serum for all proteins tested...
October 30, 2017: Irish Journal of Medical Science
C Xu, Q Huang, C Zhang, W Xu, G Xu, X Zhao, X Liu, Y Du
BACKGROUND: There is increasing evidence that long non-coding RNAs are involved in hepatocellular carcinoma (HCC) tumorigenesis. The expression level of TRPM2-AS in HCC and its clinical association remain poorly defined. METHOD: qRT-PCR was performed to detect the expression of TRPM2-AS in 108 HCC patients. The correlations between TRPM2-AS expression and clinicopathological factors and prognosis were evaluated. The inference of TRPM2-AS to the proliferation and apoptosis of HCC cells was detected...
October 28, 2017: Irish Journal of Medical Science
P Gouda, S O'Flynn, P Cantillon
BACKGROUND: Medical and health science students are increasingly becoming involved in research throughout their undergraduate education. However, the quality of student research outcomes has recently come into question. METHODS: A cross-sectional online survey of Irish medical and health science student who received a summer student research grant in 2014 and 2015. RESULTS: Of 56 respondents (40.6% response rate), increasing competitiveness for future career opportunities was the highest rated motivational factor for pursuing research...
October 27, 2017: Irish Journal of Medical Science
M Ghaffari, M Latifi, C A Rocheleau, K Najafizadeh, S Rakhshanderou, A Ramezankhani
No abstract text is available yet for this article.
October 24, 2017: Irish Journal of Medical Science
A Vellinga, H Kilkelly, J Cullinan, B Hanahoe, M Cormican
BACKGROUND: Lyme borreliosis is caused by Borrelia burgdorferi and is the most common tick-transmitted infection in temperate regions. Infection often presents with erythema migrans and/or other clinical features in early infection. METHODS: Blood samples are submitted for testing for antibodies to Borrelia burgdorferi by enzyme immunoassay and positive samples are confirmed by a reference laboratory by IgG and IgM line immune assay. A retrospective extraction of all laboratory requests and results for Lyme borreliosis from 2011 to 2014 was performed...
October 23, 2017: Irish Journal of Medical Science
J J Coughlan, T Mross, F Gul, A Abbott, R Say, A Nawaz, C O'Brien, R Liston
INTRODUCTION: Clinical handover is defined as inter-clinician communication occurring at care interfaces. In this study, we analyse the clinical outcomes and physician attitudes associated with the implementation of a electronic clinical handover system in our medical department. AIM: The aim of this project was to introduce a reliable, standardised, reproducible method of communicating information regarding inpatients within our medical department. We also sought to assess the attitudes of physicians within our department to medical handover...
October 23, 2017: Irish Journal of Medical Science
A M Mongan, F Kerins, B McKenna, S M Quinn, P Mullaney
BACKGROUND: This study evaluates a community optometrist-delivered postoperative care scheme in patients discharged from the hospital ophthalmology department following uncomplicated cataract surgery. AIM: The aim of this study is to assess the efficacy of electronic patient records (EPR) in facilitating co-managed cataract care. METHODS: We performed a retrospective analysis of a prospectively maintained Medisoft EPR database of postoperative cataract review data at a single centre, Sligo University Hospital (SUH), which serves a large and predominantly rural catchment area...
October 23, 2017: Irish Journal of Medical Science
C M Comerford, R Morrell, D Johnson, M Javadpour, A Beausang, J Cryan, P Murphy, J Quinn
No abstract text is available yet for this article.
October 18, 2017: Irish Journal of Medical Science
N D Kennedy, G N Lê, M E Kelly, T Harding, K Fadalla, D C Winter
OBJECTIVES: Splenic marginal zone lymphoma (SMZL) is a rare indolent B-cell lymphoma with variable prognosis. As a result, there is sparse knowledge on the role of splenectomy and best management approaches. We aim to explore management strategies and outcomes amongst the cohort of SMZL patients at our centre. METHOD: A retrospective review of all splenectomies performed at a tertiary referral unit over a 23-year period was assessed. Immunohistochemical and pathological results of splenic samples, bone marrow biopsies, and peripheral blood were compiled...
October 17, 2017: Irish Journal of Medical Science
P F McAnena, N O'Halloran, B M Moloney, D Courtney, R M Waldron, G Flaherty, M J Kerin
INTRODUCTION: Basic surgical skills modules in medical education are effective in teaching skills and increasing confidence among students approaching surgery. However, these modules are not delivered universally and their effect on the professional development of graduates has not been established. We aimed to assess the impact of a 10-week basic surgical skills module on attitudes and technical skills of first year medical students compared to interns. METHODS: Eighteen students participated and were assessed using a 4-part questionnaire...
October 17, 2017: Irish Journal of Medical Science
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