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Irish Journal of Medical Science

Alparslan Şahin, Muhammed Şahin, Fatih Mehmet Türkcü
AIM: We aimed to evaluate the quality of information available on YouTube regarding the basic information, examination, diagnosis, and the treatment of retinopathy of prematurity (ROP). METHODS: A YouTube search was performed on / for videos pertaining to "retinopathy of prematurity" and "ROP." The first 100 relevant videos were included in the study. Two ophthalmologist reviewers independently evaluated and classified the videos as useful or misleading...
September 20, 2018: Irish Journal of Medical Science
Oisin Breathnach, Marc O'Reilly, Keith Morrissey, Breda Conlon, Eoin Sheehan
INTRODUCTION: Virtual fracture clinics (VFC) are now prevalent across many orthopaedic services in the UK and Ireland. The management of a variety of musculoskeletal injuries using the VFC model has been demonstrated to be safe, cost-effective and associated with high levels of patient satisfaction. Referrals were made available through the National Integrated Medical Imaging System (NIMIS). NIMIS allows for electronic movement of patient images throughout the Irish health service. METHODS: A retrospective review of 157 orthopaedic fracture referrals from a regional hospital was performed...
September 18, 2018: Irish Journal of Medical Science
Ronan W Glynn, Conor Teljeur, Joseph Harbison, David J Williams, Patricia Harrington, Mairin Ryan
BACKGROUND: Twelve randomised controlled trials (RCTs) comparing mechanical thrombectomy against traditional treatment options for patients experiencing acute ischaemic stroke (AIS) have been published. AIMS: To evaluate whether this technology is more effective and/or safer than traditional treatment options and to assess the potential for implementation of this technology as a treatment strategy for acute ischaemic stroke in Ireland. METHODS: RCTs published up to February 2017 were included...
September 15, 2018: Irish Journal of Medical Science
Marc F O' Reilly, Oisin P Breathnach, Khalid M Mohamed, Eoin C Sheehan
INTRODUCTION: The "National Integrated Medical Imaging System" or NIMIS went live in 2011 and allows the movement of patient radiology imaging throughout the Irish health system. At the time of its launch, NIMIS was not only going to allow the filmless passage of patient radiology imaging but it was also envisaged that it would act as a medical image archive. The aim of this study was to assess the awareness and use of non-consultant hospital doctors and hospital consultants with regard to this medical image archive/referral function of NIMIS...
September 15, 2018: Irish Journal of Medical Science
Richard Tanner, Saber Hassan, Nicola Ryan, Niamh F Murphy, Patricia Campbell, Ronan Margey, Kevin Walsh, Roger Byrne, Gavin Blake, Ivan P Casserly
INTRODUCTION: A significant paravalvular leak (PVL) is estimated in at least 1-3% of patients undergoing surgical aortic and/or mitral valve replacement. Surgical repair of a PVL is associated with a 30-day mortality of approximately 10%. Percutaneous closure of PVL has emerged as an alternative to surgical repair. AIM: We sought to examine the clinical outcomes of patients treated with percutaneous closure of PVL at an Irish tertiary referral centre. METHODS: A prospective registry was used to record patient and procedural characteristics at the time of the PVL procedure...
September 12, 2018: Irish Journal of Medical Science
Michael R Boland, Nikita R Bhatt, Mark O'Rahelly, Maurice Murphy, Justyna Okninska, Cressida Brennan, Ashish Lal, Shona Tormey, Aoife J Lowery, Brigid A Merrigan
BACKGROUND: Patients with sentinel lymph node (SLN) metastases may not require axillary lymph node dissection (ALND) but it remains unclear if patients with a positive ultrasound-guided axillary core biopsy (ACB) would satisfy such criteria. AIMS: The aim of this study was to assess if breast cancer patients with a positive pre-operative ACB have more aggressive tumour characteristics/higher axillary nodal burden compared to those with a positive SLN. METHODS: Data was extracted from a prospectively maintained breast cancer database between 2012 and 2015...
September 5, 2018: Irish Journal of Medical Science
Rajkumar Doshi, Abhishek Vadher, Priyam Mithawala, Priyank Shah
There are a number of guidelines and articles available for the use of oral antiplatelets for primary and secondary prevention of myocardial infarction (MI). Antiplatelet medications inhibit platelet activation, aggregation, and other pathways eventually inhibiting clot formation. Aspirin and clopidogrel have been the mainstay in the management of acute coronary syndrome for about a decade. We have discussed the role of aspirin, clopidogrel, ticagrelor, and prasugrel which are the most commonly used oral antiplatelet medications in the current era...
September 3, 2018: Irish Journal of Medical Science
Jahbyn Swabri, Chiadika Uzor, Eamon Laird, Austin O'Carroll
BACKGROUND: Homeless people experience substantially higher rates of illness and significant barriers to accessing health services. The mobile health clinic (MHC), staffed by trainee general practitioners, targets and provides homeless people in Dublin with free and easy access to primary healthcare services. AIMS: To explore and determine the specific health reasons for attending the mobile health unit and to investigate whether the MHC improves access to primary healthcare for homeless people...
September 3, 2018: Irish Journal of Medical Science
Fionnuala M Caulfield, Omolola A Ihidero, Marie Carroll, Margo Dunworth, Marie Hunt, Desmond McAuliffe, Roy K Philip
BACKGROUND: Emergency baptism remains an important emotional and spiritual element for many parents of critically ill infants in the neonatal unit. There is no published data available as to which neonates are baptised and their outcomes. OBJECTIVES: To evaluate trends, outcomes and characteristics of newborn infants baptised over a 15-year period in an Irish maternity hospital. METHODS: Retrospective study of infants baptised in University Maternity Hospital Limerick (UMHL) over a 15-year period...
August 27, 2018: Irish Journal of Medical Science
Hannah Linane, Fergal Connolly, Lyle McVicker, Sharon Beatty, Orla Mongan, Eileen Mannion, Dympna Waldron, Dara Byrne
BACKGROUND: The Irish Medical Council has identified gaps in knowledge and communications skills of new-entrant doctors in legal, ethical and practical aspects of end of life care. AIMS: To determine the frequency with which junior doctors deal with end of life care and patient death and to evaluate the impact this has on their psychological wellbeing. DESIGN: A questionnaire was distributed to junior doctors to determine the frequency with which the participants had managed a patient at end of life...
August 24, 2018: Irish Journal of Medical Science
Gavin Sugrue, Michael K O'Reilly, Danielle Byrne, Matthew T Crockett, Sean Murphy, Eoin C Kavanagh
OBJECTIVES: Computed tomography cervico-cerebral angiography (CTCCA) plays a pivotal role in the evaluation of acute stroke. Currently no evidence justifies the inclusion of the upper chest in the CTCCA field of view. The aim of this study was to assess the prevalence and clinical significance of vascular findings identified on CTCCA in the head, neck, and upper chest regions in patients presenting with acute stroke symptoms. METHODS: A retrospective review of radiology images and reports of 900 consecutive patients (425 men, 475 women; mean age 63...
August 24, 2018: Irish Journal of Medical Science
Patrick J Maguire, Claire M McCarthy, Peter Molony, Eibhlis O'Donovan, Tom Walsh
BACKGROUND: The success of cervical screening relies on assessment and treatment of pre-malignant disease. Large loop excision of the transformation zone (LLETZ) has been the mainstay of treatment for cervical intraepithelial neoplasia (CIN). Preterm delivery (PTD) in subsequent pregnancy is a long-term complication of the intervention. AIMS: To describe the characteristics of women who had LLETZ treatment(s) followed by PTD in the Rotunda Hospital over a 10-year period...
August 23, 2018: Irish Journal of Medical Science
Sajid Mahmood, Kifayat Ullah Shah, Tahir Mehmood Khan, Sarfraz Nawaz, Haroon Rashid, Syed Waqar Ali Baqar, Sohail Kamran
Hypertension is a major risk factor for a number of cardiovascular diseases. Proper management of hypertension may require both pharmacological and non-pharmacological interventions. Non-pharmacological interventions help reduce the daily dose of antihypertensive medication and delay the progression from prehypertension to hypertension stage. Non-pharmacological interventions include lifestyle modifications like dietary modifications, exercise, avoiding stress, and minimizing alcohol consumption. Nutritional requirements of hypertensive individuals can be addressed through adopting either the DASH diet or through traditional Mediterranean diet...
August 22, 2018: Irish Journal of Medical Science
Osama Ali, Robyn Poole, Mary Okon, Sheevam Maunick, Emma Troy
BACKGROUND: Proton pump inhibitors (PPI) are widely used among general practitioners (GP) and hospital doctors alike as a first-line agent for the management of various approved conditions. However, PPIs do have an established side-effect profile that can be over looked when prescribing these agents outside of their Food Drug Administration (FDA) indications. AIMS: The aim of this audit is to establish that PPIs are often prescribed without any clear documented indication as to why, particularly in the elderly population, despite multiple previous studies conducted which showed an over-use of these medicines...
August 22, 2018: Irish Journal of Medical Science
Elizabeth J O'Sullivan, Goiuri Alberdi, Helena Scully, Niamh Kelly, Regina Kincaid, Rosie Murtagh, Stephanie Murray, Denise McGuinness, Ashamole Clive, Mary Brosnan, Lucille Sheehy, Elizabeth Dunn, Fionnuala M McAuliffe
BACKGROUND: Breastfeeding rates in Ireland are among the lowest worldwide. A feasibility study of a breastfeeding-support intervention explored maternal characteristics associated with antenatal breastfeeding self-efficacy and with infant-feeding mode at 6 weeks postpartum among women giving birth in Ireland. METHODS: We conducted a prospective study across two sites, urban and rural: The National Maternity Hospital (NMH), Dublin and Wexford General Hospital (WGH), Wexford...
August 21, 2018: Irish Journal of Medical Science
Fabio Margiotta, Genevieve Crudden, Dara Byrne, Anne M Doherty
OBJECTIVES: Burnout is prevalent among doctors and affects the quality of patient care. Little research on burnout in consultant-level doctors has been done. The objective of this study was to measure burnout in the hospital consultant population in Ireland. METHODS: Surveys were distributed to consultants in Ireland from September to December 2016. The anonymous online survey combined demographic questions and the Maslach Burnout Inventory General Survey. RESULTS: Four hundred seventy-seven (22%) consultants completed the survey...
August 20, 2018: Irish Journal of Medical Science
Kai-Fung Kevin Suen
Population ageing has significant ethical implications in the management of elderly patients in the intensive care unit (ICU). In the aspects of beneficence and non-maleficence, conflicting evidence has long existed regarding an association of older age with poorer prognosis, but elderly patients who have poor prognosis in the ICU may have a worse outcome if not admitted. More randomised controlled studies are needed to study the benefits of ICU admission to different subgroups of critically ill elderly patients...
August 18, 2018: Irish Journal of Medical Science
Dmitry Loktionov, Claire M McCarthy, Mark C Skehan
BACKGROUND: The rate of induction of labour varies across Health Service Executive hospital regions in Ireland averaging at 23.3 per 100 deliveries in 2005-2009. The increasing rate of elective induction of labour in Ireland calls for more studies looking into associated maternal and/or neonatal outcomes. STUDY AIM: The aim of this study is to show that an elective induction policy with management by a sole consultant obstetrician can decrease caesarean section rates as well as positively impact maternal and neonatal complications...
August 18, 2018: Irish Journal of Medical Science
Neil Coleman, Tomas Barry, Helen Tobin, Niall Conroy, Gerard Bury
BACKGROUND: Paediatric airway management is of fundamental importance in the critically unwell child. Pre-hospital paediatric airway management especially endotracheal intubation is however controversial. AIM: To explore Irish Advanced Paramedics (APs) training, experience and clinical practice in paediatric airway management as well as to examine clinician attitudes toward this topic. METHODS: An anonymous online survey of all graduates of the University College Dublin AP training program (N = 453)...
August 15, 2018: Irish Journal of Medical Science
Muhammad Haroon, Kamil Khan, Lorraine Thong, Kabir Ali, Fayyaz Janjua
AIMS: (1) To calculate the absolute fracture risk by using the fracture risk assessment (FRAX) model among elderly medical inpatients; (2) to assess the risk of falls, especially among patients with increased risk of fractures; and (3) to design and implement a bone health protocol to improve the assessment of fracture risk. METHODS: The study participants were all inpatients admitted to the medical wards at University Hospital Kerry, Ireland. All consecutive eligible patients aged ≥ 65 years were prospectively evaluated to populate clinical risk factor variables used in the FRAX model and the fall assessment was made by using Fracture Risk Questionnaire...
August 11, 2018: Irish Journal of Medical Science
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