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Irish Journal of Medical Science

Brendan D Kelly
The Great Irish Famine (1845-52) saw the Irish population fall by 20% as one million people died and another million emigrated. The Famine occurred at a time when the Irish asylums were growing rapidly anyway, so its precise effects on mental health are difficult although not impossible to study. Three groups merit consideration. First, for adults living through the Famine, starvation and poverty contributed to the continued rise in asylum presentations. Second, babies in utero during the Famine were reported to have accounted for an increase in first admissions when they reached the high-risk age for mental illness (1860-75)...
January 16, 2019: Irish Journal of Medical Science
William Newmarch, Madina Weiler, Brian Casserly
The negative long-term health consequences of obesity are well known to both the medical profession and general public. Despite this, the number of obese and overweight individuals worldwide continues to steadily rise. Although obesity has long been associated with an increased risk for cardiovascular disease and mortality, the classification of a cardiomyopathy of obesity is a more recent development. Obesity cardiomyopathy is characterized as myocardial dysfunction or heart failure in obese individuals independent of other cardiovascular risk factors...
January 15, 2019: Irish Journal of Medical Science
Susan Uí Bhroin, James Kinahan, Adrian Murphy
BACKGROUND: Emergency department (ED) frequent attenders (FAs) have a higher rate of adverse outcomes compared to infrequent attenders. AIMS: The primary aim was to describe the prevalence of FAs at an inner city ED. A subgroup analysis was undertaken for high and very high FAs to establish demographics and other factors which might cause them to attend frequently. METHODS: A retrospective review of all patients who attended the ED at Mercy University Hospital (MUH), Cork, during 2016 was undertaken...
January 11, 2019: Irish Journal of Medical Science
Niamh M Ganter, Kezanne Tong, Colm McDonald, Anne M Doherty
INTRODUCTION: Lithium is a medication indicated for the treatment of bipolar disorder and treatment-resistant depression, with a narrow therapeutic index. Overdose, either acute or chronic can result in neurological symptoms, requiring dialysis and admission to intensive care in some cases. Lithium toxicity is avoidable with careful monitoring. However, we have noted several recent cases of lithium toxicity in our local service and thus sought to investigate this issue in a more systematic manner...
January 10, 2019: Irish Journal of Medical Science
Ana M Palacios-Marqués, Concepción Carratala-Munuera, Juan C Martínez-Escoriza, Vicente F Gil-Guillen, Adriana Lopez-Pineda, Jose A Quesada, Domingo Orozco-Beltrán
BACKGROUND: Randomised clinical trials are considered to be the most reliable study design for assessing the efficacy and safety of health interventions. AIMS: To analyse worldwide obstetrics research carried out through randomised clinical trials, from 2002 to 2013. METHODS: A bibliometric analysis was performed. Publications on obstetrics that were published journals indexed in the MEDLINE database from 2002 to 2013 were analysed. The major medical subject headings used in the search were obstetrics, pregnancy complications and obstetrics surgical procedures...
January 9, 2019: Irish Journal of Medical Science
Farshid Maleki, Ashwanth Ramesh, Adrian J Cassar-Gheiti, Ciara Fox, Paula Kelly, Michael M Stephens, Johnny V McKenna
AIMS: The aim of this study was to evaluate outcomes and fusion rates of 4 different methods of first metatarsophalangeal joint (MTPJ) arthrodesis. METHODS: We performed a retrospective analysis of first MTPJ fusion using Bold® and Acutrak® compression screws, universal 1/3 tubular plate and Hallu®-S non-locking plate in 6 hospitals in Dublin over 4 years. A cohort of 300 patients (351 feet) was operated on by 3 feet and ankle fellowship trained orthopaedic surgeons (PK, MMS, JVMcK) over 4 years...
January 8, 2019: Irish Journal of Medical Science
Michael T Hanrahan, Anne Marie O'Flynn, Sheena M McHugh, Peter Kearney, Patricia M Kearney
INTRODUCTION: The American College of Cardiology Foundation (ACCF) with other professional societies developed appropriate use criteria (AUC) for diagnostic coronary angiography. This study aims to examine the appropriate use of elective coronary angiography for patients with suspected stable coronary artery disease in an Irish tertiary referral center. METHODS: A retrospective chart review of all elective outpatient diagnostic coronary angiograms performed in Cork University Hospital in 2014 was carried out...
January 5, 2019: Irish Journal of Medical Science
Hülya Olgun Yazar, Tamer Yazar
AIM: In this study, the aim was to identify the prevalence of sarcopenia among patients with geriatric depression (GD) diagnosis and to collect data to illuminate precautions to reduce disease load. METHOD: The study was completed with 116 patients (GD group) aged 65 years or older with possible or definite depression diagnosis according to the Geriatric Depression Scale (GDS) criteria and 301 volunteers aged from 18 to 39 years (control 1) and above 65 years (control 2)...
January 4, 2019: Irish Journal of Medical Science
Indra San Lazaro Campillo, Sarah Meaney, Paul Corcoran, Niamh Spillane, Keelin O'Donoghue
BACKGROUND: Miscarriage is the most common adverse outcome in early pregnancy; however, high proportion of miscarriages are classified as unexplained. In addition, pregnant women attending early pregnancy assessment units might be more vulnerable. AIMS: The purpose of this study was to explore the risk factors that might be associated with miscarriage among women attending an early pregnancy assessment unit (EPAU). METHODS: A prospective cohort study was undertaken...
January 3, 2019: Irish Journal of Medical Science
Richeal Ni Riordain, Sinead O'Dwyer, Christine McCreary
BACKGROUND: Burning mouth syndrome (BMS) is a chronic pain disorder, more common in peri and postmenopausal females, with a varied symptomatology. Symptoms include a burning or stinging sensation of the tongue, lips or other oral mucosal surfaces, subjectively dry mouth or excess saliva, altered taste or loss of taste and paraesthetic sensations. These are usually present daily for more than 3 months. AIMS: The aims of this study were to highlight the symptomatic manifestations of BMS along with the need for prompt diagnosis and onward referral when necessary...
January 2, 2019: Irish Journal of Medical Science
(no author information available yet)
No abstract text is available yet for this article.
December 21, 2018: Irish Journal of Medical Science
Neil G Burke, John P Gibbons, Adrian J Cassar-Gheiti, Fionnuala M Walsh, James P Cashman
AIM: To establish the mode of failure of primary total hip replacement in patients under 50 years old. METHODS: A total of 1062 revision total hip arthroplasties were performed over a 5-year period, with 146 on patients under 50 years old. These were subdivided into early (< 5 years) and late (> 5 years) failures from the index procedure. RESULTS: The commonest mechanism of failure was aseptic loosening (42.3%) followed by metal-on-metal failure (15...
December 19, 2018: Irish Journal of Medical Science
Tatjana Gazibara, Megan Wiltshire-Fletcher, Gorica Maric, Dusko Kozic, Darija Kisic-Tepavcevic, Tatjana Pekmezovic
BACKGROUND: An increasing number of international students has been enrolling in medical studies in the English language offered by the countries of Eastern Europe. Development of practical skills is likely more challenging when students learn in the English language, while their patients are non-English speaking persons. AIMS: To evaluate self-perception of practical skills of medical students in the English language program. METHODS: From December 2016 to December 2017, a total of 52 students from the Studies in English program of two universities in Serbia were included in the study...
December 19, 2018: Irish Journal of Medical Science
Elizabeth Smyth, Siobhan Glavey, Dario Melotti, Patrick Thornton, Jeremy Sargent, Peter Conlon, Philip Murphy, John Quinn
No abstract text is available yet for this article.
December 19, 2018: Irish Journal of Medical Science
David O'Reilly, Lisa Prior, Lucy Dooley, Paula Calvert, Miriam O'Connor, Anne Horgan, Emmet Jordan
INTRODUCTION: The burden of obesity and risk of cardiovascular (CV) disease amongst an oncology population receiving active treatment is ill-defined. We performed a retrospective analysis assessing the incidence of obesity and cardiovascular (CV) risk factors in this group (grp) of patients as well as the predicted 10-year risk of a CV event. METHODS: Data from all patients (pts) receiving intravenous chemotherapy in an Irish oncology satellite unit over an 18-month period was extracted from chemotherapy prescriptions and electronic patient records...
December 18, 2018: Irish Journal of Medical Science
Ali Abdulkarim, Fiachra Richard Power, Peter Coffey, Eoin Sheehan
BACKGROUND: The Irish equestrian industry provides over 12,500 full-time jobs and contributes in excess of €454 million to the Irish exchequer annually. For such a vital industry, there is a dearth of information relating to equestrian-associated injuries. AIMS: The aim of this study was to determine the demographics, characteristics and outcomes of equestrian-related injuries presenting to the emergency department of a regional trauma centre in Ireland over the course of 1 year...
December 18, 2018: Irish Journal of Medical Science
Gerard A Sheridan, Raymond M Kelly, Suzanne M McDonnell, Fionnuala Walsh, John M O'Byrne, Patrick J Kenny
BACKGROUND: Registry data for total hip arthroplasty (THA) has allowed optimal fixation methods, bearing surfaces and many other factors to be assessed. We describe 10-year THA outcomes from an Irish perspective using regional THA registry data for the first time. AIMS: We assess the main predictors of revision in primary total hip arthroplasty (THA) using regional registry data. METHODS: This was a prospective study of registry data from a National Orthopaedic Hospital for all THAs with 10-year follow-up data...
December 17, 2018: Irish Journal of Medical Science
Patricia Fitzpatrick, Catherine Fitzgerald, Rebecca Somerville, Barry Linnane
BACKGROUND: There is little known regarding how familiar parents are with the newborn bloodspot screening (NBS) test or how well parents of a child with a screen-detected condition understand that condition initially. AIM: The study aim was to examine parental NBS awareness and conditions screened. METHODS: Two studies were conducted: [1] Parents of children with cystic fibrosis (CF) detected via NBS and subsequently, diagnosed (n = 124) completed a telephone questionnaire regarding information they received at the time of NBS...
December 15, 2018: Irish Journal of Medical Science
David G M Tiernan, Aiden T Devitt
INTRODUCTION: While first described in 1904, the characterisation of the peridural membrane, which is frequently encountered, yet usually unnoticed, during lumbar decompression surgery, remains inconclusive. This relatively little known membrane is continuous with the posterior longitudinal ligament and lines the epidural space. In this study, we are comparing the membrane and ligamentum flavum from patients to analyse the variations of the histological and ultrastructural compositions...
December 15, 2018: Irish Journal of Medical Science
Jonathan Royds, Muiris A Buckley, Mark D Campbell, Grace M Donnelly, Michael F M James, Roisin Ní Mhuircheartaigh, Conan L McCaul
BACKGROUND: Rigid bronchoscopy may be used to relieve acute airway obstruction following induction of anaesthesia and is a recommended option for management of the difficult airway. The ability of anaesthetists to perform rigid bronchoscopy has not been reported. We sought to explore the acquisition of procedural skill in rigid bronchoscopy by anaesthesiologists in a manikin. METHODS: In a prospective interventional study, participants were asked to perform 40 rigid bronchoscopies in a TruCorp AirSim Advance airway manikin, configured to a randomised sequence of easy or difficult laryngoscopic grades to which the participants were blinded...
December 14, 2018: Irish Journal of Medical Science
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