MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Ir Med J' source. Mon, 31 May 2010 14:30:57 +0100 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20486309&dopt=Abstract Authors: Murphy JF PMID: 20486309 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3586718 Wed, 31 Mar 2010 23:00:00 +0100 3586718 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20486310&dopt=Abstract Authors: Cullen E PMID: 20486310 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3586717 Wed, 31 Mar 2010 23:00:00 +0100 3586717 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20486311&dopt=Abstract Authors: Koe S, Price B, May S, Kyne L, Keenan P, McKay M, Nicholson AJ Abusive head trauma (AHT) is the leading cause of death from traumatic brain injury in under 2 year olds. AHT presents with acute encephalopathy, subdural hemorrhages and retinal hemorrhages occurring in the context of an inappropriate or inconsistent history. We retrospectively analyzed, over a 10 year period, admissions and transfers to our hospital with suspected AHT to assess patterns of presentation, presenting symptoms, investigations, subsequent confirmation, social work input and both neurological and social outcomes. We analyzed all suspected AHT infants and children looking for the time of presentation, presenting symptoms, caregivers concerns prior to presentation, a family profile including stressors, i... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3586716 Wed, 31 Mar 2010 23:00:00 +0100 3586716 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20486312&dopt=Abstract Authors: O'Connor TE, Papanikolaou V, Keogh IJ Studies show 60% of patients with newly diagnosed Head & Neck Squamous Cell Cancer in Ireland, present with advanced disease. A poor level of knowledge and awareness among the public of Head & Neck Cancer, is an important consideration in the often delayed presentation for medical attention in many of these cases. Our study surveyed 200 members of the public to assess their knowledge and awareness of Head & Neck Cancer. One hundred and forty (70%) of respondents had never encountered the term "Head & Neck Cancer". One hundred and forty six (73%) failed to identify excessive alcohol consumption as a risk factor. Less than 100 (50%) would have concern about persisting hoarseness or a prolonged oral ulcer. An urgent need exist... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3586715 Wed, 31 Mar 2010 23:00:00 +0100 3586715 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20486313&dopt=Abstract Authors: Walsh AP, Tsar OM, Walsh DJ, Baldwin PM, Shkrobot LV, Sills ES This investigation describes features of in vitro fertilisation (IVF) patients who never returned to claim their embryos following cryopreservation. Frozen embryo data were reviewed to establish communication patterns between patient and clinic; embryos were considered abandoned when 1) an IVF patient with frozen embryo/s stored at our facility failed to make contact with our clinic for > 2 yrs and 2) the patient could not be located after a multi-modal outreach effort was undertaken. For these patients, telephone numbers had been disconnected and no forwarding address was available. Patient, spouse and emergency family contact/s all escaped detection efforts despite an exhaustive public database search includin... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3586714 Wed, 31 Mar 2010 23:00:00 +0100 3586714 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20486314&dopt=Abstract Authors: Doherty L, Crowe C, Sweeney B Narcolepsy is characterised by excessive daytime sleepiness and cataplexy and has a prevalence of 25 per 100,000. We suspect this is higher than presently seen in the Republic of Ireland. We aimed to calculate the Irish prevalence of Narcolepsy and to examine current management practices. We conducted an online survey of respiratory physicians, neurologists, paediatric neurologists, and psychiatrists with an interest in sleep disorders (73% response rate). Of this group, a total of 16 physicians managed 180 patients prior to January 2009. A clinical diagnosis alone was reached in 67 (41%) patients, the remainder by polysomnography or multiple sleep latency testing. No patients were diagnosed by cerebro-spinal fluid analysis of hypocretin levels. W... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3586713 Wed, 31 Mar 2010 23:00:00 +0100 3586713 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20486315&dopt=Abstract Authors: Jackson A, Foley L, Daly L, Fitzpatrick P, Harrington M, Zhou S, Kelleher C Newborn cystic fibrosis (CF) screening facilitates early diagnosis and nutritional intervention, which prevents malnourishment and improves growth in childhood. To provide baseline information on the natural history of CF in the Republic of Ireland, where newborn screening has not yet been introduced and CF incidence is high (1:1353 live births), we examined the effect of presentation mode, symptom type and gender on age at diagnosis. Median age at diagnosis was calculated by gender and for presentation mode/symptom type for 601 CF registry children diagnosed 1986-2007. Modes of presentation were each significantly associated with delayed presentation. An adjusted odds ratio of 4.5 (95% CI: 1.8, 11.1) ... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3586712 Wed, 31 Mar 2010 23:00:00 +0100 3586712 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20486316&dopt=Abstract Authors: Hanley A, Corrigan R, Mohammad S, MacMahon B Cardiac involvement is common in Friedreich's Ataxia and is a common cause of premature death. Evidence regarding treatment of congestive heart failure in patients with Friedreich's Ataxia is lacking. The case of a 31-year-old male with advanced Friedreich's Ataxia who presented with an acute diarrhoeal illness and features of acute heart failure is discussed. We then review the reported cardiac manifestations of Friedreich's Ataxia and discuss management options. PMID: 20486316 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3586711 Wed, 31 Mar 2010 23:00:00 +0100 3586711 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20486317&dopt=Abstract We present the case of a patient who developed pneumomediastinum after high pressure air injection to the hand. To our knowledge this is the first reported case of pneumomediastinum where the gas injection site was the thenar eminence. Fortunately the patient recovered with conservative management. PMID: 20486317 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3586710 Wed, 31 Mar 2010 23:00:00 +0100 3586710 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20486318&dopt=Abstract We report on a case associated with a two year history of a treatment resistant dermatitis. PMID: 20486318 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3586709 Wed, 31 Mar 2010 23:00:00 +0100 3586709 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20486319&dopt=Abstract Authors: Doodnath R, Gillick J, Doherty P With the increasing immigrant population in the Republic of Ireland, the number of patients with sickle cell disease (SCD) seen in the paediatric hospitals is climbing. In this case report, we review the anaesthetic implications and outcome of the first two paediatric patients with SCD to have a laparoscopic splenectomy due to repeated splenic infarcts in the Republic of Ireland. PMID: 20486319 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3586708 Wed, 31 Mar 2010 23:00:00 +0100 3586708 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20486320&dopt=Abstract We present the case of a 15-year-old girl who presented with polycythemia. CT abdomen revealed an enhancing mass in the upper pole of her left kidney with features suggestive of renal cell carcinoma. She underwent a laparoscopic radical nephrectomy. Histology demonstrated a well circumscribed, focally encapsulated, round blue cell tumour showing areas of microcalcifications and numerous psammoma bodies. Imunostaining showed diffuse positive staining for CD 57. This was consistent with a diagnosis of metanephric adenoma a rare benign epithelial renal tumour. PMID: 20486320 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3586707 Wed, 31 Mar 2010 23:00:00 +0100 3586707 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20486321&dopt=Abstract Authors: Udumaga E, Mannion L The aim of this study is to evaluate the standards of lithium monitoring using the local prescribing guidelines in patients attending the lithium clinic of Galway University Hospitals (GUH). The laboratory records of 116 out of 142 patients who met the inclusion criteria were examined to identify the frequency of testing for serum lithium level, thyroid function tests and renal function tests. Only about one third of the patients met all the recommended standards in these three areas revealing poor standard of lithium monitoring. Lithium monitoring standards could be improved through the involvement of multidisciplinary team and a more detailed patient education system. PMID: 20486321 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3586706 Wed, 31 Mar 2010 23:00:00 +0100 3586706 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20486322&dopt=Abstract Authors: Ryan J PMID: 20486322 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3586705 Wed, 31 Mar 2010 23:00:00 +0100 3586705 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20491149&dopt=Abstract Authors: O'Connor MB, Rathi J, Bond U, Swan J, Phelan M PMID: 20491149 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3586704 Wed, 31 Mar 2010 23:00:00 +0100 3586704 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20222382&dopt=Abstract Authors: Murphy JF PMID: 20222382 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3363901 Fri, 01 Jan 2010 00:00:00 +0100 3363901 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20222383&dopt=Abstract Authors: McAuliffe A PMID: 20222383 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3363900 Fri, 01 Jan 2010 00:00:00 +0100 3363900 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20222384&dopt=Abstract Authors: Jansen M, Corcoran D, Bermingham N, Keohane C CNS infections require prompt appropriate therapy, but do not usually require tissue biopsy for diagnosis. We performed a 5 year audit of CNS infections which required brain or spinal biopsy to determine or confirm a diagnosis of CNS infection. Sixteen cases were identified in which clinical, radiological or additional investigations including culture, serology or PCR for the suspected specific infective agents were not diagnostic. 6 (37.5%) were bacterial abscesses presenting as space-occupying intracerebral lesions with a differential diagnosis of neoplasm. There were 3 (18.7%) cases of toxoplasmosis and 2 (12.5%) cases of aspergillosis. There was one case (6.2%) of herpes simplex encephalitis, one cysticercosis and one progressi... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3363899 Fri, 01 Jan 2010 00:00:00 +0100 3363899 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20222385&dopt=Abstract Authors: Milne P, Cottell E, Allen C, Spillane H, Vasallo J, Wingfield M Multiple pregnancy is a major complication of IVF and is associated with increased maternal, fetal and neonatal morbidity. Elective single embryo transfer (eSET) during IVF, rather than the more standard transfer of two embryos (double embryo transfer or DET), has been shown to significantly reduce the multiple pregnancy rate associated with IVF, while maintaining acceptable pregnancy rates. Couples undergoing IVF in 2008 who met good prognostic criteria had eSET performed. Pregnancy and twinning rates were compared with those for similar couples in 2007 who had DET. Couples unsuccessful with a fresh cycle of treatment had subsequent frozen embryo transfer cycles with DET. The cumulative pregnancy rate was similar... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3363898 Fri, 01 Jan 2010 00:00:00 +0100 3363898 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20222386&dopt=Abstract Authors: O'Dwyer C, Hade D, Fan CW, Cunningham C, Kenny RA The ESC guidelines on syncope were published in 2001 and updated in 2004. Adherence to the recommendations enables early stratification of low and high risk patients and prevents unnecessary investigations and admissions. Vasovagal syncope (VVS) is the commonest cause of syncope in all age groups and a low risk condition. The study objective was to determine whether the ESC guidelines were adhered to prior to referral to a syncope unit; 100 consecutive patients with unexplained syncope (52 +/- 23 (15-91) years); 53 female. Sixty-six patients had VVS. Forty nine (75%) of patients with VVS had undergone unnecessary investigations prior to diagnosis and 31 (47%) were admitted to hospital for investigation. Research from other coun... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3363897 Fri, 01 Jan 2010 00:00:00 +0100 3363897 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20222387&dopt=Abstract Authors: Coulter-Smith S, Lambert JS, Butler K, Brennan M, Cafferkey M Routine linked HIV antenatal screening, with "opt-out", was introduced at the Rotunda in January 1998. This paper reviews the screening and subsequent pregnancy management and outcome in HIV positive women from 1998 to 2006. During this time 225 women (280 pregnancies) were HIV positive and 194 women subsequently delivered at the Rotunda, representing 233 liveborn infants. Overall anti-HIV prevalence was 0.42%, increasing from 0.06% in 1998 to 0.57% in 2006. Of 233 livebirths, 111 (48%) were delivered by spontaneous vaginal delivery (SVD). HIV treatment was started pre-pregnancy in 14 (6%) pregnancies and antenatally in 208 (90%). The vertical transmission rate in mothers receiving >4 weeks of treatment was 0%. W... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3363896 Fri, 01 Jan 2010 00:00:00 +0100 3363896 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20222388&dopt=Abstract Authors: Hawkes CP, Mulcair S, Hourihane JO Egg allergy is incorrectly considered to constitute a contraindication to MMR in the community, despite a long history of its safe administration to egg allergic children. The product insert perpetuates this misinformation but the Irish guidelines from the RCPI are unequivocal. We reviewed all paediatric cases vaccinated in our hospital in 2007-2008. Forty seven of 91 children receiving vaccinations in hospital, had been referred for MMR due to concerns regarding egg allergy. In 32% (n=15), GP referral for vaccination was made despite correspondence from the clinic advising routine vaccination in the community. Nineteen were second MMR immunisations, which should all have occurred in the community. Unnecessary hospital referral for MMR vaccin... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3363895 Fri, 01 Jan 2010 00:00:00 +0100 3363895 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20222389&dopt=Abstract We report a case of deep vein thrombosis leading to progressive massive pulmonary embolism despite appropriate anticoagulation, where thrombolysis with IVC filter placement resulted in a successful outcome. PMID: 20222389 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3363894 Fri, 01 Jan 2010 00:00:00 +0100 3363894 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20222390&dopt=Abstract Authors: Hassan SJ, Knox M, Griffin M, Kennedy MJ Merkel cell carcinoma is a rare aggressive neuroendocrine carcinoma of the skin predominantly affecting elderly Caucasians. It has a high rate of local recurrence and regional lymph node metastases. It is associated with a poor prognosis. Complete spontaneous regression of Merkel cell carcinoma has been reported but is a poorly understood phenomenon. Here we present a case of complete spontaneous regression of metastatic Merkel cell carcinoma demonstrating a markedly different pattern of events from those previously published. PMID: 20222390 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3363893 Fri, 01 Jan 2010 00:00:00 +0100 3363893 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20222391&dopt=Abstract Authors: Clarke B, Kennelly S, Shanley D, Hogan-Lowe D, McCormack PM The Hospital Inpatient Enquiry (HIPE) system is currently used as a principle source of national data on discharges from acute hospitals. The Casemix Programme is used to calculate funding for patient care (HIPE activity and Specialty Costs Returns). Th coding is usually undertaken by clerical personnel. We were concerned that the medical complexity of our stroke patients was not captured by the process. The aims of this study were to compare activity coded by HIPE coding staff and medical staff in consecutive stroke patients discharged from the hospital. One hundred consecutive discharged patients with stroke as primary diagnosis were coded by clerical staff [usual practice] and by medical staff. We compared the codi... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3363892 Fri, 01 Jan 2010 00:00:00 +0100 3363892 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20222392&dopt=Abstract We report our results and short term follow up of transperitoneal laparoscopic pyeloplasty for pelvi-ureteric junction (PUJ) obstruction. We have prospectively maintained a database to document our initial experience of 54 laparoscopic pyeloplasty. All procedures were carried out by one surgeon through a transperitoneal approach. The data extends from April 2005 to September 2008 and reports operative time, blood loss, complications, hospital stay, short term follow-up on symptomatic and radiological outcome. Fifty-four procedures were performed during the study period. Mean patient age was 29 years. Mean operating time was 133 minutes (range 65-300 minutes), and mean blood loss was 45 ml (range 20-300 ml). No intra operative complication occurred. Neither blood transfusion nor conversion ... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3363891 Fri, 01 Jan 2010 00:00:00 +0100 3363891 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20222393&dopt=Abstract Authors: Prichard RS, Murphy R, Lowry A, McLaughlin R, Malone C, Kerin MJ The use of surgical drains in patients undergoing thyroid surgery is standard surgical teaching. Life-threatening complications, arising from post-operative haematomas, mandates their utilization. There is increasing evidence to suggest that this is an outdated practice. This paper determines whether thyroid surgery can be safely performed without the routine use of drains. A retrospective review of patients undergoing thyroid surgery, over a three year period was performed and post-operative complications documented. One hundred and four thyroidectomies were performed. 63 (60.6%) patients had a partial thyroidectomy, 27 (25.9%) had a total thyroidectomy and 14 (13.5%) had a sub-total thyroidectomy. Suction drain... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3363890 Fri, 01 Jan 2010 00:00:00 +0100 3363890 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20222394&dopt=Abstract Authors: Walsh SA, Murphy JF Hyperbilirubinaemia is the most common condition requiring evaluation and treatment in newborns. A study in the NEJM 2006 suggested that current guidelines for the treatment of hyperbilirubinaemia in otherwise healthy infants should be relaxed. Prompted by this we performed a retrospective review of review of all term infants who received phototherapy between 1998 and 2006 (total number births = 56,894) in the National Maternity Hospital, Holles Street. 1441 infants received phototherapy during this time period (2.5%). Of those that were of term gestation (n=539), only 9% of those infants receiving phototherapy had peak total serum bilirubin (TSB) exceeding 400 umol. Twenty six percent of infants who received phototherapy had a peak TSB that never exceeded ... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3363889 Fri, 01 Jan 2010 00:00:00 +0100 3363889 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20108794&dopt=Abstract Authors: Murphy JF PMID: 20108794 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223217 Sun, 01 Nov 2009 00:00:00 +0100 3223217 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20108795&dopt=Abstract Authors: Gill D PMID: 20108795 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223215 Sun, 01 Nov 2009 00:00:00 +0100 3223215 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20108796&dopt=Abstract This study confirms that alcohol is a significant factor in road deaths. Further targeted action including a reduction in the legal limit is required. PMID: 20108796 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223211 Sun, 01 Nov 2009 00:00:00 +0100 3223211 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20108797&dopt=Abstract Authors: Makgasa M, Prichard RS, Malone C, Kerin MJ Treatment of pregnancy associated breast cancer (PABC) is usually compromised as both foetal and maternal health has to be taken into consideration. We have identified on our database twelve patients with PABC and twenty-four age-matched controls diagnosed in the same time-frame. The mean age was 36 and 38 years respectively. There was no difference in time to presentation between the two groups. The mean tumour size was 48.72 mm and 26.30 mm respectively (p = 0.001). Lymphovascular invasion and lymph node involvement were more common in the PABC group. In the PABC group, 5 patients (42%) were treated with neo-adjuvant chemotherapy including one patient in first trimester. All patients underwent surgery. Adjuvant chemotherapy was give... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223209 Sun, 01 Nov 2009 00:00:00 +0100 3223209 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20108798&dopt=Abstract This study aims to identify current practice and major challenges facing GPs and highlight their contractual, educational and specialist support needs to care for this vulnerable group of patients. Survey of 476 general practitioners in the greater Dublin city area; 186 (39%) replied. 54% of respondents believed nursing home patients (NHP's) required more contact time than other practice patients. 62% regularly reviewed repeat prescriptions. Only 60% felt they had adequate geriatric medical training to look after this population. 37% had witnessed substandard care in nursing homes and of these 26% did not report it. 53% of those that did report it did so to the management of the nursing home only. PMID: 20108798 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223208 Sun, 01 Nov 2009 00:00:00 +0100 3223208 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20108799&dopt=Abstract Authors: Davidson CC, Eadie PA Treadmill injuries in young children are a serious but little documented problem. Friction burns occur when the hands come into contact with the moving belt resulting in deep burns that often require hospital admission and surgery. The aim of this study was to assess the nature and prevalence of injuries sustained and to highlight treadmill friction burns as a public health issue previously undocumented in Ireland. A retrospective chart review from January 2006 until March 2008 was performed and functional outcome was assessed by the modified Michigan Hand Outcomes Questionnaire. Eight girls and four boys from one year and seven months to seven years and five months were treated. Eight children required admission to hospital and to date three have require... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223206 Sun, 01 Nov 2009 00:00:00 +0100 3223206 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20108800&dopt=Abstract This study reports on the introduction of an intensive two-week surgical sub-internship for final medical year students. "Sub-interns" were asked to complete pre and post sub-internship online questionnaires assessing their readiness to perform clinical and practical skills, attitudes towards the program, and how well it prepared students for internship. Forty-nine students completed a questionnaire pre sub-internship and 47 completed the post-questionnaire. Student confidence towards practical and clinical skills and their first day at work increased over the two weeks. Mean Iikert scores for all 6 practical and clinical skills improved post sub-internship. The introduction of a surgical sub-internship is timely and welcomed by medical students. Its development helps bridge the gap in res... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223205 Sun, 01 Nov 2009 00:00:00 +0100 3223205 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20108801&dopt=Abstract Authors: Kearney H, Delanty N Felbamate (FBM) is efficacious in treating patients with refractory epilepsy but was withdrawn due to cases of aplastic anaemia, hepatic failure and five reported deaths. FBM is currently used in specialist centres and is only being used in one Irish centre to date. This papers aim is to review the efficacy and safety experience of FBM in Irish adult patients with refractory epilepsy. A retrospective chart review was done on patients' medical records. Patients were subdivided into responders and non responders based on change in seizure frequency and side effects were recorded for all. Of the 13 patients on FBM nine patients responded to FBM, four patients did not. FBM is a safe and efficacious alternative in an Irish adult population with refractory epile... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223204 Sun, 01 Nov 2009 00:00:00 +0100 3223204 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20108802&dopt=Abstract Authors: O'Gorman CS, O'Connell K, Broderick AM, Butler KM Recent increases in Hepatitis B virus (HBV) infection prompted us to characterize HBV-infected children in Ireland and to audit management, by reviewing prospectively gathered data. Of 46 children (29 [63%] male), median age at presentation was 8.1 years (range 0.6-17.6), monitoring duration was 22.5 months (range 1-101), 23/46 (50%) were European (including 9 [19.6%] Irish), 15 (32.6%) African and 9 (19.6%) Asian. Acquisition was vertical (25/46 [54.3%]), horizontal (5/46 [10.9%]), unknown (16/46 [34.8%]). HBV-DNA was >100,000,000 cpm in 20/32 (62.5%) with chronic infection. Hepatitis B e antigen (HBeAg) was detected in 32/44 (72.7%). We estimate that universal neonatal vaccination (UNV-HBV) could have prevented 22% of case... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223203 Sun, 01 Nov 2009 00:00:00 +0100 3223203 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20108803&dopt=Abstract In this study we used serial administration of the short form 36 (SF36) to evaluate patient's response to CR in terms of improvement in Health related Quality of Life. A total of 49 patients were included in the analysis. There was a significant improvement observed after CR in the Physical Capacity Score (42.3 vs 49.9 p = 0.0005). There was no significant improvement in the Mental Capacity Score (54.8 vs 54.9 p = 0.96). We conclude that Cardiac Rehabilitation Program causes a significant improvement in the health related quality of life of patients by improving their physical health and well being but does not improve the mental capacity which is already at a healthy level before CR. PMID: 20108803 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223202 Sun, 01 Nov 2009 00:00:00 +0100 3223202 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20108804&dopt=Abstract Authors: El-Gohary Y, Roarty A, O'Rourke P We aimed to identify any pattern of injuries that impacted on the long-term physical wellbeing o f players, sustained by Senior County Gaelic-football players during their playing career and the impact of those injuries on their quality of life. A questionnaire was sent to different Donegal-Panels looking for injuries and surgical procedures undergone in playing and post-playing career including chronic joint and musculoskeletal problems. PMID: 20108804 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223200 Sun, 01 Nov 2009 00:00:00 +0100 3223200 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20108805&dopt=Abstract Authors: O'Hanlon S, Liston R Community geriatrics has evolved as a specific aspect of geriatric medicine in the UK. In Ireland there is uncertainty as to how it should be planned. This is the first national survey of consultants, specialist registrars and general practitioners to seek their opinions. Most consultants and GPs reported already having a community aspect to their current practice, e.g. nursing home visits or community hospital visits, whereas most SpRs did not. Forty three of 62 respondents (69%) agreed that there is a need for community geriatricians and that there should be integration with hospital medicine. Fifty seven of 62 respondents (92%) felt that there would be a beneficial effect on GP services, though some expressed concern about work overlap. Thirteen of the ... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223199 Sun, 01 Nov 2009 00:00:00 +0100 3223199 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20108806&dopt=Abstract Authors: Martyn F, O'Connor R The teaching of pelvic examinations to medical students is a challenge faced by most Obstetricians and Gynaecologists. It is an embarrassing and potentially painful procedure for the woman while she is awake. Elective gynaecological procedures under general anaesthesia are often seen as an ideal opportunity to teach pelvic examinations with least disturbance to the patient. Patients are aware that medical students need to learn and are often quiet willing to assist doctors in this teaching process. In our audit we found that 26% of women did not consent to a pelvic examination by a student while asleep. We also highlight the fact that only five other units in Ireland actually have a dedicated written consent form for patients undergoing intimate examinatio... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223197 Sun, 01 Nov 2009 00:00:00 +0100 3223197 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20108807&dopt=Abstract In this report, we present 2 cases of patients with achalasia who have also been the first 2 cases of laparoscopic Heller's cardiomyotomy performed in children in the Republic of Ireland. PMID: 20108807 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223196 Sun, 01 Nov 2009 00:00:00 +0100 3223196 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20108808&dopt=Abstract Authors: Kirke C, Medication error and adverse drug reactions occur frequently, leading to a high burden of patient harm in the hospital setting. Many Irish hospitals have established medication safety initiatives, designed to encourage reporting and learning to improve medication use processes and therefore patient safety. Eight Irish hospitals or hospital networks provided data from voluntary medication safety incident and near miss reporting programmes for pooled analysis of events occurring between 1st January 2006 and 30th June 2007. 6179 reports were received in total (mean 772 per hospital; range 96-1855). 95% of reports did not involve patient harm. Forty seven percent of reports related to the prescribing stage of the medication use process, 40% to the administration stage an... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223195 Sun, 01 Nov 2009 00:00:00 +0100 3223195 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20108809&dopt=Abstract In this study we examined how acute asthma in children is managed across hospitals in Ireland and compared Irish practice with standard international guidelines. We surveyed 54 paediatricians across 18 centres in Ireland. A total of 30 (55.5%) individual paediatricians across 17 (94%) centres replied. The majority of centres had a written protocol for the management of acute asthma. A large number of centres use MDI and spacer devices in acute management although doses used varied widely. Only 29% of centres had written asthma action plans available from the emergency department and 53% had plans available from the ward. Irish practice is largely inline with established guidelines. A national asthma strategy could further help to improve asthma care. PMID: 20108809 [PubMed - in process... Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223194 Sun, 01 Nov 2009 00:00:00 +0100 3223194 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20108810&dopt=Abstract Authors: Casey P, Tracey JA, Herbert J PMID: 20108810 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223193 Sun, 01 Nov 2009 00:00:00 +0100 3223193 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20108811&dopt=Abstract Authors: Butler JS, Collins CG, Behan M, McEntee GP PMID: 20108811 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223192 Sun, 01 Nov 2009 00:00:00 +0100 3223192 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20108812&dopt=Abstract Authors: O'Connor MB PMID: 20108812 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223187 Sun, 01 Nov 2009 00:00:00 +0100 3223187 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20108813&dopt=Abstract HPAT. Ir Med J. 2009 Nov-Dec;102(10):346 Authors: Crotty G PMID: 20108813 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223186 Sun, 01 Nov 2009 00:00:00 +0100 3223186 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20112451&dopt=Abstract Authors: Henry M PMID: 20112451 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=3223185 Sun, 01 Nov 2009 00:00:00 +0100 3223185 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19902642&dopt=Abstract Authors: Malone F PMID: 19902642 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2989607 Thu, 01 Oct 2009 00:00:00 +0100 2989607 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19902643&dopt=Abstract Authors: Collins DR PMID: 19902643 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2989606 Thu, 01 Oct 2009 00:00:00 +0100 2989606 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19902644&dopt=Abstract Authors: Collins I, Naidoo J, Rowley S, Reynolds JV, Kennedy MJ We analysed the waiting times for patients in a Dublin hospital from 2001 to 2006, and evaluated trends in each of 4 cancer diagnoses; breast, lung, colorectal and upper gastrointestinal (gastric and oesophageal). Measured times were; time from referral to first seen, time from first seen to diagnosis and time from diagnosis to treatment. Patient numbers increased 39% from 529 in 2001 to 737 in 2006. As a result waiting times have increased over the 6 years. While median time from referral to first seen for breast cancer was 7 days, it rose from 2 to 5 days for lung cancer, 1 to 2 days for colorectal cancer, and 1 to 6 days for upper GI cancers. The time from diagnosis to treatment rose from 8 to 15 days (breast), 10 days ... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2989605 Thu, 01 Oct 2009 00:00:00 +0100 2989605 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19902645&dopt=Abstract This study reported on blastocyst transfer (BT) performed over a five-year interval in patients seeking "second opinion" after multiple failed IVF cycles. Clinical features and reproductive outcomes were compared between two sets of poor-prognosis IVF patients undergoing BT for the first time, the initial group underwent treatment in 2002 (n=66) and a second group presented five years later (n=392). The two clinical sets had no patients in common. The 2002 group had an average of 3.5 (+/- 1.1) prior failed IVF cycles at baseline, and mean (+/- SD) patient age was 36.4 (+/- 3.9) yrs. Average number of oocytes retrieved in this group was 10.4 (+/- 5.3) with a fertilisation rate of 58.8%. Although embryo arrest resulted in no transfer for 19 patients (28.8%), clinical pregnancy was achieved f... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2989604 Thu, 01 Oct 2009 00:00:00 +0100 2989604 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19902646&dopt=Abstract Authors: Glynn LG, Anderson J, Reddan D, Murphy AW There is little prevalence data for chronic kidney disease (CKD) in Ireland and it has been suggested that rates of diagnosis of CKD in primary care are low. The aim of this cross sectional study was to examine the prevalence, diagnosis and standards of care for CKD. All patient records in three general practices in the West of Ireland were reviewed. In 2602 patients > 50 years in the community, 435 (16.7%) had chronic kidney disease defined as eGFR <60 ml/min/1.73 m2. Of these 435 individuals, only 58 (13.3%) had a diagnosis of CKD documented in their patient record. Among all patients with an eGFR <60 ml/min/1.73 m2, those with a documented diagnosis of CKD were significantly more likely to be prescribed an ACE/ARB and a lip... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2989603 Thu, 01 Oct 2009 00:00:00 +0100 2989603 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19902647&dopt=Abstract In conclusion, a national transport service for all critically ill children is urgently needed in Ireland. PMID: 19902647 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2989602 Thu, 01 Oct 2009 00:00:00 +0100 2989602 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19902648&dopt=Abstract We present an extremely rare case of complete laryngotracheal separation in a teenager driving a quad bike in a 'clothes line' type injury with chicken wire. This case highlights the need for prompt airway evaluation, radiological imaging required, surgical management and long term injury sequelae. PMID: 19902648 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2989601 Thu, 01 Oct 2009 00:00:00 +0100 2989601 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19902649&dopt=Abstract We describe a young man with cobalamin deficiency presenting with sensorimotor deficits, ataxia, dysarthria, mild cognitive deterioration and altered mood of insidious onset. The MRI brain findings were in keeping with a leucoencephalopathy without evidence of MRI changes in the spinal cord. This constellation of features has been reported rarely. His response to treatment as well as the marked improvement of the leucoencephalopathy on imaging suggests at least partial reversibility of the neurological deficits. PMID: 19902649 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2989600 Thu, 01 Oct 2009 00:00:00 +0100 2989600 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19902650&dopt=Abstract We report the case of a 35 year patient from Nigeria who presented with fever and splenomegaly. The initial diagnosis was Salmonellosis. However, relapsing symptoms lead to a re-evaluation and ultimately a diagnosis of Multicentric Castleman's Disease (MCD). There is no gold standard treatment but our patient responded to Rituximab and Highly active anti-retroviral therapy. MCD is a rare, aggressive disease that should be considered in a HIV positive patient presenting with fever and significant lymphadenopathy. PMID: 19902650 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2989599 Thu, 01 Oct 2009 00:00:00 +0100 2989599 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19902651&dopt=Abstract We report the case of a 35-year-old lady who presented with a 6-day history of a postural headache following an uncomplicated epidural catheter insertion. Meningitis was initially suspected and a neurology review was obtained. CT and MRI brain revealed features suggestive of meningitis. However these radiological features are also consistent with post dural puncture headache (PDPH). This case highlights the under reported and possible misleading radiographical features of PDPH. PMID: 19902651 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2989598 Thu, 01 Oct 2009 00:00:00 +0100 2989598 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19902652&dopt=Abstract Transplantation, multi-organ donation & presumed consent: a 3 year survey of university students. Ir Med J. 2009 Oct;102(9):297-8 Authors: Healy G, Sharma K, Healy DG We profile the practises and attitudes of university students in Ireland towards consent for organ donation. 1103 students were surveyed. Only 34.6% (382/1103) carried organ donor consent cards, although the majority were favourably disposed towards donation. Only 9% (96/1103) were against donation. In regard to presumed consent only 38% (177/470) were in favour of changing the current "opt-in" consent methodology to presumed consent. These findings show a favourable opinion towards donation among Irish university students. However this may result in few actual donations in the event of brain death, as the maj... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2989597 Thu, 01 Oct 2009 00:00:00 +0100 2989597 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19902653&dopt=Abstract Authors: Barry S, Fleming P, O'Connor M PMID: 19902653 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2989596 Thu, 01 Oct 2009 00:00:00 +0100 2989596 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19902654&dopt=Abstract We report a case of rectosigmoid endometriosis which was diagnosed using EUS. PMID: 19902654 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2989595 Thu, 01 Oct 2009 00:00:00 +0100 2989595 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19902655&dopt=Abstract Authors: Kelly BD PMID: 19902655 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2989594 Thu, 01 Oct 2009 00:00:00 +0100 2989594 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19873861&dopt=Abstract Authors: Murphy JF PMID: 19873861 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2947249 Tue, 01 Sep 2009 00:00:00 +0100 2947249 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19873862&dopt=Abstract Authors: Kinsley BT PMID: 19873862 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2947248 Tue, 01 Sep 2009 00:00:00 +0100 2947248 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19873863&dopt=Abstract Authors: Mahony R, Enright F, O'Herlihy C, Foley ME This was a retrospective review of term singleton neonates (> 37 weeks) with early onset seizures, with and without encephalopathy, from 1989 through 2000. Our aim was to examine the relationship between antepartum and intrapartum obstetric events, neonatal hypoxic seizures and subsequent neurological impairment of 77,838 infants, the incidence of seizures was significantly higher among primiparas (2.4/1000; 67/31,729) compared with multiparas (0.35/1000; 16/46,109)(p < 0.001). Compared with multiparas, seizures with encephalopathy occurred more frequently among primiparas (0.8/1000; 26/31,729) vs. multiparas (0.2/1000; 8/46,109), were more commonly associated with unexplained intrapartum hypoxia (0.6/1000, n = 20 vs.0.04/ 1000,... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2947247 Tue, 01 Sep 2009 00:00:00 +0100 2947247 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19873864&dopt=Abstract Authors: Curran TA, Gawley E, Casey P, Gill M, Crumlish N We determined the prevalence and correlates of depression, alcohol abuse and suicidal ideation among medical and business students in Trinity College, Dublin and University College, Dublin. We rated depression and suicidal ideation in the past month with the Beck Depression Inventory (BDI) and alcohol abuse with the CAGE. Of 539 students registered, 338 (62.7%) responded. 47 (13.9%) students were depressed, scoring > or = 10 on the BDI. 83 (24.6%) students had an alcohol use disorder (CAGE > or = 2). Alcohol abuse was more common among business students than medical students (AOR = 2.9; 95% C.I. = 1.7-5.1); there were no other inter-faculty differences. 20 (5.9%) students reported suicidal ideation in the last month. Suici... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2947246 Tue, 01 Sep 2009 00:00:00 +0100 2947246 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19873865&dopt=Abstract We report on the underlying diagnosis and co-morbidities of the school-age children in one Health Service Executive area. There were 97 children. Forty seven (48.5%) of the children have a chromosomal or genetic explanation for their disability, 16 (16.5%) have an environmental cause and 34 (35%) have no identified cause. The children have complex medical needs: 35 (36%) have epilepsy and 34 (35%) have gastro-intestinal problems; 24 (25%) have a respiratory condition and 15 (15%) have congenital heart disease. Thirty one (32%) and 30 (31%) have visual and hearing impairment respectively. Expansion of the National Intellectual Disability Database should be explored to include the medical epidemiological data to inform the future development of services for Intellectually Disabled. PMID:... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2947245 Tue, 01 Sep 2009 00:00:00 +0100 2947245 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19873866&dopt=Abstract We present the results of a retrospective study carried out in Beaumont Hospital, Dublin, Ireland's national neurosurgical centre. The aim of our study was to examine the impact of age on outcome in patients with ASDH following severe head injury. Only cases with acute subdural haematoma requiring surgical evacuation were recruited. Mortality was significantly higher in older patients (50% above 70 years, 25.6% between 40 and 70 years and 26% below 40 years). Overall poor outcome (defined as Glasgow outcome scores 3-5) was also higher in older patients; 74.1% above 70 years, 48% between 40 and 70 years and 30% below 40 years. Poor outcome in traumatic acute subdural haematoma is higher in elderly patients even after surgical intervention. PMID: 19873866 [PubMed - in process] (Source: I... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2947244 Tue, 01 Sep 2009 00:00:00 +0100 2947244 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19873867&dopt=Abstract Authors: Carson RW, Jacob P, McQuillan R The main aim of our work was to improve the safety of opioid use in our institution, an acute generalhospital with 620 beds. Initially, all reported opioid errors from 2001 - 2006 were audited. The findings directed a range of multidisciplinary staff educational inputs to improve opioid prescribing and administration practice, and encourage drug error reporting. 448 drug errors were reported, of which 54 (12%) involved opioids; of these, 43 (79%) involved codeine, morphine or oxycodone. 31 of the errors (57%) were associated with administration, followed by 12 (22%) with dispensing and 11 (20%) with prescribing. There were 2 reports of definite patient harm. A subsequent audit examined a 17-month period following the introduction of the above te... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2947243 Tue, 01 Sep 2009 00:00:00 +0100 2947243 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19873868&dopt=Abstract Authors: Chukwu J, Iro C, Donoghue V, McCallion N, Murphy JF, Quinn F, Healy M, Molloy EJ Congenital diaphragmatic hernia (CDH) is a rare malformation observed in approximately 1 in 3000 live births. Estimates of postnatal survival range from 50 to 70% despite advances in neonatal care. Antenatal diagnosis is associated with termination of pregnancy in 25-50% pregnancy internationally which may not be reflective of the Irish population. We aimed to evaluate the mortality of infants with CDH who survived to admission in a tertiary referral paediatric hospital between 1996 and 2007. The Hospital In-Patient Enquiry system was used to determine the number of neonatal referrals for CDH to OLHSC between 1996 and 2007. Mortality, sex distribution, length of patient stay and the number of case... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2947242 Tue, 01 Sep 2009 00:00:00 +0100 2947242 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19873869&dopt=Abstract Authors: Dodds MK, Mulhall KJ Hip fractures are an important cause of morbidity in the elderly and represent a significant proportion of acute orthopaedic admissions. We reviewed a consecutive series of hip fractures presenting to our unit over five years, obtaining demographic and clinical data from patient's medical records. Patients who remained in-patient for greater than fourteen days were analyzed for reasons responsible. We reviewed 717 consecutive hip fractures. The average length of stay was 28 days. Forty-nine percent of patients stayed in hospital greater than 14 days. Reasons for prolonged stay included both medical and social reasons. Direct postoperative complications were rarely responsible for prolonged hospital stay. Hip fractures constitute a significant burden on acu... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2947241 Tue, 01 Sep 2009 00:00:00 +0100 2947241 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19873870&dopt=Abstract Authors: Vandeleur M, Chróinín MN The aim was to develop and implement an evidence based guideline for the treatment of acute asthma using a metered dose inhaler and spacer combination. Children admitted to Cork University Hospital Paediatric Department with acute asthma were identified during two identical 2 month seasonal periods before (2005) and after (2006) implementation of the new guidelines in September 2006. Pre-intervention and post-intervention audits by case note review were performed to determine the impact of and compliance with this evidence-based guideline emphasising patient assessment, spacer delivered bronchodilator and specific discharge criteria. Patients had similar characteristics during the two study periods. There was a raised threshold for admission ... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2947240 Tue, 01 Sep 2009 00:00:00 +0100 2947240 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19873871&dopt=Abstract Authors: Boland M, O'Herlihy B, O'Brien A, MacDonald P, Crowley D, Kelleher K PMID: 19873871 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2947239 Tue, 01 Sep 2009 00:00:00 +0100 2947239 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19771995&dopt=Abstract Authors: Murphy JF PMID: 19771995 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827119 Tue, 30 Jun 2009 23:00:00 +0100 2827119 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19771996&dopt=Abstract Authors: Farah N, Fattah C, Barry S, Donnelly V, Stuart B, Turner MJ PMID: 19771996 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827118 Tue, 30 Jun 2009 23:00:00 +0100 2827118 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19771997&dopt=Abstract Authors: McKenna G, Allen PF, O'Mahony D, DaMata C, Cronin M, Woods N PMID: 19771997 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827117 Tue, 30 Jun 2009 23:00:00 +0100 2827117 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19771998&dopt=Abstract This study aimed to determine understanding and preferred approaches to information provision on fertility issues to Irish CF males. A Descriptive Study utilizing prospective coded questionnaires was mailed to a male CF cohort (n=50). Sections included demographics, fertility knowledge & investigation. Response rate was 16/50 (32%). All were aware that CF affected their fertility. More than two-thirds (n=11) were able to provide explanations whilst only one-third (n=5) provided the correct explanation. Significant numbers stated thoughts of marriage and a future family. Half have discussed fertility with a healthcare professional (HCP). Mean age of discussion was 21.9 years. One third preferred an earlier discussion. The commonest first source for information was written material which... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827116 Tue, 30 Jun 2009 23:00:00 +0100 2827116 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19771999&dopt=Abstract Authors: O'Toole O, Mahon C, Lynch K, Brett FM Alcohol consumption in Ireland has nearly doubled during the period 1989-2001. To evaluate the relationship of alcohol to fatal head injuries in the acute hospital setting we created a data base of all fatal traumatic brain injuries in the Department of Neuropathology at Beaumont Hospital over a ten year period (1997-2006 inclusive). 498 cases were identified (351 males: 147 females). Fatalities were highest in males aged 19-25 years (N=101) and 51-70 years (N=109). Falls (N=210) and road traffic accidents (N=183) were the commonest modes of presentation. 36/210 (17%) falls had positive blood alcohol testing, 9/210 (4.3%) had documentation of alcohol in notes but no testing, 35/210 (16.7%) tested negative for alcohol and 130/210 (61.9%) we... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827115 Tue, 30 Jun 2009 23:00:00 +0100 2827115 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19772000&dopt=Abstract We present data suggesting structured shared consultancy posts can be broadly acceptable and cost efficient in Ireland. PMID: 19772000 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827114 Tue, 30 Jun 2009 23:00:00 +0100 2827114 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19772001&dopt=Abstract Authors: Kevane B, Ryder DQ, Gilligan O This review aims to assess the effectiveness of percutaneous vertebroplasty as a treatment for the severe refractory pain associated with vertebral fracture, in a group of patients with fractures secondary to either osteoporotic or neoplastic disease. A retrospective review of 20 patients treated with percutaneous vertebroplasty in Cork University Hospital up until March 2007 was carried out and a questionnaire was prepared and distributed. Prior to vertebroplasty, patients had been symptomatic with severe pain for a mean of 20.9 weeks. Of those thirteen whom replied to a postal questionnaire, 12 (92.3%) reported pain relief and this improvement occurred within 7 days in 9 (81.8%). This was associated with decreased analgesic requirements, as det... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827113 Tue, 30 Jun 2009 23:00:00 +0100 2827113 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19772002&dopt=Abstract Authors: Oon S, Mulvin D, Mealy K No official guidelines exist on managing ureteric colic in small hospitals without urological support. We reviewed the logistics of managing this condition by examining all cases of ureteric colic over two years. Seventy nine of 118 cases had hydronephrosis; a criteria for urology referral. Thirty nine patients passed their stone spontaneously but 40 of these cases could not and required transfer. Twenty two (55%) patients were transferred (mean time to transfer: 3.29 days). The other 18 (45%) were discharged to await a urology outpatients clinic (mean time to discharge: 3.00 days). Patients that passed their stone spontaneously generally had stones under 5mm (mean stay: 2.09 days). We would recommend that patients with stones over 5mm or with hydronep... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827112 Tue, 30 Jun 2009 23:00:00 +0100 2827112 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19772003&dopt=Abstract Authors: Ryan S, Thornton MA, Kieran S, Charles D The aim of this study was to audit the introduction of the use of the CO2 laser into our department and to compare hearing outcomes and complication rates in patients who underwent either laser or mechanical stapedectomy. We found that the use of laser is at least as safe as the traditional approach with regards the rate of post-operative complications. One patient in the laser group suffered prolonged post-operative tinnitus, whilst one patient in the traditional group suffered prolonged post-operative vertigo. There was no evidence, however, of improved Air-Bone Gap closure compared to the traditional approach (Pre- and Post-Op Air Bone Gaps of 34 +/- 3 and 9 +/- 2 for laser stapedectomy versus 35 +/- 4 and 13 +/- 2 for traditional st... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827111 Tue, 30 Jun 2009 23:00:00 +0100 2827111 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19772004&dopt=Abstract Authors: Whelan EJ This is a cross-sectional, interview-based study profiling the health-status, functional ability and patterns of service use of an age-stratified random sample of 766 people over 70. Of 495 respondents (response rate 64.4%), 65% (n=324) rated their health as good/very good/excellent, 36% (n=180) reported long-term illness, 17% (n=82) had a moderate/severe disability. Of those living alone, 68.7% (n=125/182) were female, 39.6% (n=72/182) were over-80, 28.7% (n=51/178) had no fire alarm, 58.9 % (n=102/173) had no panic alarm. Of those who do not have a car, 66.3% (n=174/262) rely mainly on friends/family for transport. 40.7% (n=24/59) of respondents with moderate/severe disability reported no state-provided home-help. Despite much good news, a substantial vulnerable mi... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827110 Tue, 30 Jun 2009 23:00:00 +0100 2827110 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19772005&dopt=Abstract In this report we describe the successful design and implementation of an online medication error reporting system in a 1017-bed Irish teaching hospital. In-house development has resulted in a system tailored to the needs of the hospital, with the flexibility to adapt to the future demands of the medication safety programme. Its introduction has led to a positive impact on reporting rates and on data management and has facilitated the development of safety initiatives. PMID: 19772005 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827109 Tue, 30 Jun 2009 23:00:00 +0100 2827109 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19772006&dopt=Abstract This study quantifies the burden of hip fracture on a local population. With this knowledge, health service providers should be able to allocate appropriate resources for these patients in terms of acute and step-down care facilities. PMID: 19772006 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827108 Tue, 30 Jun 2009 23:00:00 +0100 2827108 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19772007&dopt=Abstract The objective of the study was to ascertain the uptake of the Monospot test in St. James's hospital in Dublin over the five years 2002-2006 and to determine the percentage of Monospot tests which had a positive result. Using the HIPE, Electronic Patient Record (EPR) and Patient Access System (PAS) databases in St. James's Hospital, a cohort of 593 patients with a diagnosis of tonsillitis or infectious mononucleosis was identified. Fourteen patients met the exclusion criteria as outlined below leaving a valid pool of 579 patients. It was ascertained whether each patient had a Monospot performed and if so, whether the result was positive or negative. In total, 249 (43.0%) of the included patients had a Monospot test. Of these, 197 (79.1%) were negative and 29 (11.6%) were positive. In 23 (9.... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827107 Tue, 30 Jun 2009 23:00:00 +0100 2827107 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19772008&dopt=Abstract Authors: Allen NM, Mohammad F, Foran A, Corcoran D, Clarke T Since the 1990s, there has been a re-emergence of cases of severe hyperbilirubinaemia and kernicterus. The current UK incidence of bilirubin encephalopathy is 0.9/100,000 with a higher reported incidence in some countries. Three otherwise healthy newborn infants, who presented with severe hyperbilirubinaemia, including one who developed kernicterus, are reported here. Some of the current challenges in newborn jaundice surveillance are highlighted. PMID: 19772008 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827106 Tue, 30 Jun 2009 23:00:00 +0100 2827106 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19772009&dopt=Abstract We report an individual case where asymptomatic congenital lobar emphysema was incidentally picked up on CXR. Following a period of surveillance the lesion was resected due to increasing size. The histology of the lesion revealed PPB Type I. PMID: 19772009 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827105 Tue, 30 Jun 2009 23:00:00 +0100 2827105 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19772010&dopt=Abstract We present the results of a retrospective assessment of referrals to a Neurophysiology department for suspected traumatic nerve injury. A broad range of traumatic neuropathies was demonstrated on testing, from numerous causes. We demonstrate an increased liklihood of traumatic nerve injury after fracture / dislocation (p = 0.007). Our series demonstrates the need for clinicians to be aware of the possibility of nerve injury post trauma, especially after bony injury. PMID: 19772010 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827104 Tue, 30 Jun 2009 23:00:00 +0100 2827104 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19772011&dopt=Abstract Authors: Russell NE, Gleeson V, Robson M, McAuliffe FM, O'Connell MP Two case reports of conservative management of placenta accreta in primiparous women are reported. Initial attempts to evacuate the uterus via manual removal and routine oxytocics were unsuccessful. The patients were counselled regarding further management options, surgical (hysterectomy), radiological guided arterial embolisation, medical (methotrexate, prostaglandins, mifepristone) and conservative ("watchful waiting"). After a long discussion regarding the risks of haemorrhage and infection and emergency hysterectomy, both patients opted for a conservative approach and were discharged from hospital with the placenta still in situ. The patients were followed with weekly clinical and ultrasonic assessment. One patien... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827103 Tue, 30 Jun 2009 23:00:00 +0100 2827103 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19772012&dopt=Abstract Authors: Cummings E, O'Conor O The Mental Health Act 2008 was subject to little debate. This Act ensured that the detentions of involuntary psychiatric patients under the Mental Health Act 2001 remained lawful. The direct costs of administering the Act are estimated at Euro 993,377, which could have provided 37 years of supported accommodation to the patient involved. PMID: 19772012 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827102 Tue, 30 Jun 2009 23:00:00 +0100 2827102 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19772013&dopt=Abstract Authors: Shurpyak SA, Walsh AP, Walsh DJ, Sills ES PMID: 19772013 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827101 Tue, 30 Jun 2009 23:00:00 +0100 2827101 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19772014&dopt=Abstract Authors: Ward E, Browne R, Torreggiani WC PMID: 19772014 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827100 Tue, 30 Jun 2009 23:00:00 +0100 2827100 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19772015&dopt=Abstract Authors: Khalid S, Babiker E, Byrne B PMID: 19772015 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827099 Tue, 30 Jun 2009 23:00:00 +0100 2827099 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19772016&dopt=Abstract Authors: Renganathan R PMID: 19772016 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827098 Tue, 30 Jun 2009 23:00:00 +0100 2827098 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19774715&dopt=Abstract Authors: Dunne B, Sreenan S PMID: 19774715 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2827097 Tue, 30 Jun 2009 23:00:00 +0100 2827097 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19722349&dopt=Abstract Authors: Murphy JF PMID: 19722349 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2762899 Sun, 31 May 2009 23:00:00 +0100 2762899 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19722350&dopt=Abstract Authors: Koe S, O'Neill MB, Nicholson A PMID: 19722350 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2762898 Sun, 31 May 2009 23:00:00 +0100 2762898 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19722351&dopt=Abstract Authors: Murphy G, Coughlan R, Devlin J, FitzGerald O, McCarthy G PMID: 19722351 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2762897 Sun, 31 May 2009 23:00:00 +0100 2762897 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19722352&dopt=Abstract Authors: Varley J, Fitzsimons M, Delanty N, Collins C, Boland M, Normand C Epilepsy care in Ireland is shared between primary, secondary and tertiary care services with the General Practitioner (GP) managing the process. Barriers to effective epilepsy care in Irish general practice remain undocumented although sub-optimal and fragmented services are frequently anecdotally reported. This survey of Irish GPs reports on such barriers to epilepsy care and on the Information & Communication Technology (ICT) issues potentially relevant to the use of an epilepsy specific Electronic Patient Record (EPR). The response rate was 247/700 (35.3%). Respondents supported the concept of shared care for epilepsy 237 (96%) however they were very dissatisfied with existing neurology services, includi... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2762896 Sun, 31 May 2009 23:00:00 +0100 2762896 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19722353&dopt=Abstract This study assesses the prevalence of Diabetes, Pre-Diabetes and the Metabolic Syndrome (MetS) in a sample population from this community. Working with the Galway Traveller Movement, and following an overnight fast we measured fasting plasma glucose, HDL-cholesterol and Triglycerides. In addition weight, height, waist circumference (WC) and blood pressure (BP) were recorded. Of the 47 subjects, there were 4 (8.5%) participants identified as having diabetes, 5 (10.6%) pre-diabetes and 25 (53.2%) with the metabolic syndrome. The point prevalence of diabetes was calculated as 8.5%, pre-diabetes 10.6% and the metabolic syndrome 53.2%. In addition abdominal obesity was present in 70% and hypertension in 43%. Targeted screening for glucose abnormalities and traditional CVD risk factors is needed... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2762895 Sun, 31 May 2009 23:00:00 +0100 2762895 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19722354&dopt=Abstract Authors: Walsh B, McDermott C, Foran A, Clarke T This survey was conducted to review the current practice regarding frequency of weight measurement in neonatal units in the Republic of Ireland, and whether these practices are in keeping with best practice as described in the literature. There was an 88.5% (23 of 26) response rate to this survey. 6 (26%) units had a written policy, and 16 (70%) had an unwritten agreed practice. In the Vermont Oxford Network's potentially better practices daily weight measurements on newborn infants are recommended until the infant is stable and growing and then alternate day measurements The most common practices in this survey were to weigh infants on alternate days, this occurred in 9 (39%) units, and twice weekly in 6 (26%). Less than 31% of units ha... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2762894 Sun, 31 May 2009 23:00:00 +0100 2762894 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19722355&dopt=Abstract In this study, one quarter of patients with sarcoidosis presented with EN among their presenting features. These patients were more likely to be young females with early stage radiological disease. PMID: 19722355 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2762893 Sun, 31 May 2009 23:00:00 +0100 2762893 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19722356&dopt=Abstract We present a case of methaemoglobinaemia which presented to our hospital. PMID: 19722356 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2762892 Sun, 31 May 2009 23:00:00 +0100 2762892 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19722357&dopt=Abstract We report a case of a 15-year-old boy who developed multiple organ failure secondary to a sport injury leading to infection with a Panton Valentine Leukocidin (PVL) secreting Community-Acquired Methicillin Sensitive Staphylococcus Aureus (CA MSSA). Aggressive antibiotic therapy eventually led to recovery. PMID: 19722357 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2762891 Sun, 31 May 2009 23:00:00 +0100 2762891 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19722358&dopt=Abstract Authors: Reyad A, Waldron C, Canning R, O'Shea D, Coakley P, McConkey S We have assessed the efficacy of anti retroviral therapy (ART) using undetectable viral load (VL) (<50 RNA copies/ml) as a marker of virological success, in patients who have Human Immunodeficiency Virus (HIV) attending the Department of Infectious Disease. A cross-sectional review of patients' case notes was used to obtain their demographics and treatment details. 79% (253) of the hospital case notes of clinic population was available for analysis, which represents 90% of those receiving ART in the clinic. 166/253 of the cohort were receiving treatment at the time of this study and 95% (157/166) of these were on treatment for greater than 6 months. The total virological success rate is 93%, which is comparable ... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2762890 Sun, 31 May 2009 23:00:00 +0100 2762890 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19722359&dopt=Abstract We report the first series solely focussing on the impact of BMI on TAR. Forty five consecutive patients were identified and followed up using the SF-36 and VAS-FA. All patients had their BMI collected prospectively and BMI at latest follow-up was calculated. There was an average 5-year follow-up with just 9 (20%) lost to follow-up. At final follow-up 8 (17.7%) patients were deceased, none of the deaths were attributable to their previous ankle surgery. We did not find an association between high BMI and reduced outcomes or need for secondary surgery. In addition there was no significant change in BMI after surgery. PMID: 19722359 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2762889 Sun, 31 May 2009 23:00:00 +0100 2762889 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19722360&dopt=Abstract Authors: Browne H PMID: 19722360 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2762888 Sun, 31 May 2009 23:00:00 +0100 2762888 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19722361&dopt=Abstract Authors: McNamara S PMID: 19722361 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2762887 Sun, 31 May 2009 23:00:00 +0100 2762887 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19722362&dopt=Abstract Authors: Dudina A, Leong T, Cooney MT, Foley B, Graham I PMID: 19722362 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2762886 Sun, 31 May 2009 23:00:00 +0100 2762886 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19722363&dopt=Abstract Authors: O'Connor MB, O'Connor C PMID: 19722363 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2762885 Sun, 31 May 2009 23:00:00 +0100 2762885 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19725174&dopt=Abstract Authors: Connolly B, Connolly M, Rochford S PMID: 19725174 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2762884 Sun, 31 May 2009 23:00:00 +0100 2762884 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19623805&dopt=Abstract Authors: Murphy JF PMID: 19623805 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2638478 Thu, 30 Apr 2009 23:00:00 +0100 2638478 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19623806&dopt=Abstract Authors: Pillay D, Kelly BD PMID: 19623806 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2638477 Thu, 30 Apr 2009 23:00:00 +0100 2638477 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19623807&dopt=Abstract Authors: Shafique Sajid M PMID: 19623807 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2638476 Thu, 30 Apr 2009 23:00:00 +0100 2638476 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19623808&dopt=Abstract Authors: Kiely AD, Hourihane J The primary aims of this study were: to estimate sun exposure in hours of children in Cork during the summer months; to examine sun protection measures used by children and their parents and to explore parental knowledge of sun exposure and protection. A cross-sectional study, using a semi-structured questionnaire, was conducted in June 2006 in primary schools, pre-schools and creches throughout Cork City and County. Parents of 250 children aged less than 12 years were sampled. Mean sun exposure of Cork children was 40.9 hours per week in the summer months, with 77 (46.1%) children developing sunburn. 59.3% of the studied children were of skin type 1 or 2. 95 (57%) children on weekdays and 137 (82%) children at weekends were exposed to the sun between 11 ... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2638475 Thu, 30 Apr 2009 23:00:00 +0100 2638475 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19623809&dopt=Abstract Authors: Donnelly SM, Donnelly CN This qualitative study is unique in examining the moment of death in a SPCU and in maximizing recall by interviewing relatives early in their bereavement. Despite its traditional significance, the moment of death has been largely unexplored in a hospice setting. Twenty-nine adults including 3 teenagers from 20 families were interviewed on average 22 days (range 8-42 days) after the death in a SPCU. They provided a rich and detailed description of the moment of death often with humour. Additional themes were the importance of vigil; qualities of the staff; value of ritual and prayer and the environment of the SPCU. We cannot hear the stories of the dead. We can try to hear the stories of those who have witnessed dying. These relatives cared deeply for t... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2638474 Thu, 30 Apr 2009 23:00:00 +0100 2638474 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19623810&dopt=Abstract This study confirms the importance of a clinical genetics assessment in the investigation of global developmental delay. PMID: 19623810 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2638473 Thu, 30 Apr 2009 23:00:00 +0100 2638473 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19623811&dopt=Abstract Authors: Morris PG, O'Connor M, O'Rafferty C, Sheikh R, Gray J, McDermott R, Boyle T, Kennedy MJ Many patients with newly diagnosed breast cancer undergo multiple staging investigations. We aimed to assess the use and yield of baseline diagnostic imaging in early-stage breast cancer. A review of all patients diagnosed with breast cancer over five years at a single institution was carried out. 781 patients were included. At diagnosis 266 (34%) patients underwent a bone scan, which showed metastases in 42 (15.8%), of whom 26 (61.9%) were symptomatic with pain. Only two asymptomatic patients had incidental skeletal metastases detected at an estimated cost of euro 50,850 per case. 261 (33.4%) patients underwent hepatic ultrasonography, which showed metastases in 23 (8.8%), of whom 19 (82.6... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2638472 Thu, 30 Apr 2009 23:00:00 +0100 2638472 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19623812&dopt=Abstract Authors: O'Carroll C, Egleston C, Nicholson AJ We sought to prospectively study all injuries in children and adolescents up to 16 years of age presenting to a regional Emergency Department (ED), to ascertain detailed injury patterns and to use this data to recommend injury prevention priorities. Electronic injury surveillance was prospectively collected over a 10 year period (1997-2007) in a hospital with a paediatric catchment population of 75,000 in a region with pockets of high social deprivation. All fatalities were obtained from data provided by the Central Statistics Office (CSO). Over a 10 year period, there were 31 fatalities, 5,408 admissions and 40,817 new attendances due to injury. Males outnumbered females in a 3:2 ratio. Of all injuries 24,317 (60%) occurred at home. Peak ... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2638471 Thu, 30 Apr 2009 23:00:00 +0100 2638471 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19623813&dopt=Abstract Authors: Meara MO, Morrissey Y, Corcoran B In 2008 the Health Service Executive (HSE) carried out a survey to assess general practitioners (GPs) satisfaction with the National Vaccine Cold Chain Service. This survey found high levels of satisfaction (> 90%) with the service. Over half of those surveyed had used the vaccine returns service with the majority (89.2%) finding it good or very good. PMID: 19623813 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2638470 Thu, 30 Apr 2009 23:00:00 +0100 2638470 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19623814&dopt=Abstract Authors: O'Connor G, McNamara B A number of neurological abnormalities associated with the playing of musical instruments have been described which can cause great difficulty for performers. However, there has been no attempt to consider this in an Irish context, a cultural setting which encompasses an unusual range of playing styles and musical instruments. We performed a retrospective assessment of musicians referred to our service for neurophysiological testing. In this series of 17 musicians, most (59%) had more than one abnormality on testing. We discovered fifteen cases of carpal tunnel syndrome, eleven cases of ulnar neuropathy, and four cases of focal dystonia. Compared to previously published reports, our series contains a greater proportion of amateur musicians, a group not w... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2638469 Thu, 30 Apr 2009 23:00:00 +0100 2638469 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19623815&dopt=Abstract Authors: Staunton H PMID: 19623815 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2638468 Thu, 30 Apr 2009 23:00:00 +0100 2638468 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19623816&dopt=Abstract Authors: Carroll A, Ryall N, Ngo D PMID: 19623816 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2638467 Thu, 30 Apr 2009 23:00:00 +0100 2638467 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19623817&dopt=Abstract Authors: Nolan D, O'Connor MB, Lynch D, Breen K PMID: 19623817 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2638466 Thu, 30 Apr 2009 23:00:00 +0100 2638466 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19552285&dopt=Abstract Authors: Murphy JF PMID: 19552285 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535759 Tue, 31 Mar 2009 23:00:00 +0100 2535759 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19552286&dopt=Abstract Unravelling Menieres disease: an approach to diagnosis & management. Ir Med J. 2009 Apr;102(4):101-2 Authors: Cashman EC, Conlon B PMID: 19552286 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535758 Tue, 31 Mar 2009 23:00:00 +0100 2535758 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19552287&dopt=Abstract This study aimed to look at rates of repetition in children presenting with Deliberate Self-Harm (DSH) to a paediatric A&E department. Children presenting with DSH to a paediatric A&E between 2000 and 2005 were invited to participate in the study. Telephone interviews collected information on demographic details and mental health functioning, including repetition of DSH. Data was obtained from 39 parents and 10 children (31 girls and 8 boys, mean age 15) 1 in 5 females (20%) had made a repeat attempt of DSH and 1 in 10 (10%) had repeated more than once. No males repeated self-harm. On going parental concern rather than clinician risk assessment at index episode predicted subsequent DSH. Given the poor predictive value of clinician risk assessment, all attempts of DSH must be taken ... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535757 Tue, 31 Mar 2009 23:00:00 +0100 2535757 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19552288&dopt=Abstract This study was conducted to assess the knowledge, attitudes and practices regarding the use of EC between medical related students compared to non-medical related students. Data collection was done using questionnaires distributed among students in University College Cork (UCC). 93% of medically related students were aware of EC compared to only 73.5% of non-medically related students. Medical related students also were more aware about the mechanism of action and detailed knowledge of EC compared to the non-medical students. This study has proven that medically related students have more detailed knowledge regarding EC compared to non-medical related students. However, there was no significant difference noted regarding the attitude and practice between the two groups. PMID: 19552288 ... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535756 Tue, 31 Mar 2009 23:00:00 +0100 2535756 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19552289&dopt=Abstract This study was undertaken to investigate our impression that migrant foreign-national workers were more at risk of sustaining work place injuries requiring referral to our Plastic Surgery service than their indigenous Irish counterparts. Data were collected prospectively from August 2006 to February 2007 on all work-related injuries presenting to the Plastic Surgery service in St James's Hospital, Dublin. 201 work-related injuries were recorded during the six month study period. 40% (n = 81) of the study group were foreign-national workers. Foreign-national workers account for only nine percent of the total Irish workforce. 31% (n = 25) of the study group required a translator. Over half (55%) of all the foreign-national workers in the current study had been in their present job for less t... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535755 Tue, 31 Mar 2009 23:00:00 +0100 2535755 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19552290&dopt=Abstract Authors: Fleming P, Clarke T, Gormally SM In the past 17 years neonatal mortality survey has provided important data on the trends in deaths of all live born infants born in Southern Ireland who are greater than 500 g birth weight and who die within the first 28 days of life. The aims of this study were to report neonatal mortality data for Southern Ireland for 2004, to examine trends in neonatal mortality over the past 17 years and compare Irish Neonatal Mortality rates to other countries around the world. The neonatal mortality rate for 2004 was 2.9/1000 with a corrected NMR of 1.9/1000. The response rate to the survey was 100%. Prematurity is now the leading cause of neonatal mortality representing a change from previous years. Deaths related to asphyxia have remained largely unchan... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535754 Tue, 31 Mar 2009 23:00:00 +0100 2535754 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19552291&dopt=Abstract The objective was to examine the control of risk factors in subjects with established cardiovascular disease. Here, we compare the Irish results to those of the other 21 European countries which participated. Control of blood cholesterol was significantly better in Irish participants, with 73% below the target of 4.5 mmol/l. Blood pressure control was less satisfactory in both Irish and European individuals, with an average of 52% of Irish participants not achieving blood pressure targets. Medication usage was high throughout, particularly anti-platelet agents, beta-blockers and, especially in Ireland, statins. Obesity figures were particularly high in Ireland and throughout Europe, with 82% Irish men and women either overweight or obese. Smoking figures in Irish women were also of concern... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535753 Tue, 31 Mar 2009 23:00:00 +0100 2535753 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19552292&dopt=Abstract Authors: Campbell N, Buckley O, McGlone B, O'Shea D, Torreggiani WC Obesity is a global epidemic, responsible for 2000 premature deaths in Ireland each year. The extent of this epidemic was quantified by the National Taskforce on Obesity (IOTF), whose report, published in 2005, found that 39% of adults in Ireland were overweight and 18% obese with obesity in adults predicted to increase by 1% per year. In light of the clear evidence that we, as a nation, are quite literally expanding, how well equipped are Irish hospitals and, in particular, radiology departments, to deal with patients of increasing size and weight? The purpose of this study was to quantify the weight limits and girth restrictions of the radiology equipment, in particular CT, MRI and fluoroscopy, in hospitals, both pub... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535752 Tue, 31 Mar 2009 23:00:00 +0100 2535752 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19552293&dopt=Abstract In conclusion, we would recommend greater awareness and collaboration between anaesthetists, nurses and surgeons to ensure that fasting instructions are consistent with the ASA guidelines and that patient and their parents understand these directives as well. PMID: 19552293 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535751 Tue, 31 Mar 2009 23:00:00 +0100 2535751 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19552294&dopt=Abstract We describe the case of a 60 year old female smoker who presented with a three month history of weight loss (14 Kg), generalized abdominal discomfort and malaise. Chest radiography demonstrated a mass projected inferior to the hilum of the right lung. Computed Tomography of thorax confirmed a lobulated lesion in the right infrahilar region and subsequent staging abdominal CT demonstrated a low density lesion in the neck of the pancreas. Percutaneous Ultrasound guided pancreatic biopsy was performed, histology of which demonstrated pancreatic tissue containing a highly necrotic small cell undifferentiated carcinoma consistent with metastatic small cell carcinoma of the bronchus. PMID: 19552294 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535750 Tue, 31 Mar 2009 23:00:00 +0100 2535750 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19552295&dopt=Abstract Authors: Thornton MA, Brown C In clinical practice frontal headaches are common however are frequently incorrectly attributed to rhinosinusitis. The misdiagnosis of frontal headaches and/or facial pain has been compounded by increased accessibility and over-reliance on sinus CT imaging. We reviewed the presentation and clinical findings of 3 patients in our unit with frontal headaches misattributed to rhinosinusitis. We also reviewed the literature regarding the diagnostic criterias for rhinosinusitis and the role/limitations of CT imaging in the diagnosis of paranasal sinus disease. All 3 patients had isolated frontal headaches in association with normal nasal examination. They had also undergone CT imaging with isolated frontal sinus opacification evident in 2 cases and frontal and m... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535749 Tue, 31 Mar 2009 23:00:00 +0100 2535749 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19552296&dopt=Abstract Authors: Kelly P, Flynn A, Hennessy S, Geraghty S, Nash P, Daly K, Crowley J PMID: 19552296 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535748 Tue, 31 Mar 2009 23:00:00 +0100 2535748 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19552297&dopt=Abstract Authors: O'Connor MB, O'Donovan N, Phelan MJ, Regan MJ PMID: 19552297 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535747 Tue, 31 Mar 2009 23:00:00 +0100 2535747 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19552298&dopt=Abstract Authors: Casey P, Treacy JA PMID: 19552298 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535746 Tue, 31 Mar 2009 23:00:00 +0100 2535746 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19552299&dopt=Abstract Authors: O'Connor R PMID: 19552299 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535745 Tue, 31 Mar 2009 23:00:00 +0100 2535745 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19552300&dopt=Abstract Authors: McEvoy S, Trainor S, Caffrey N, Torreggiani WC, Collins DR PMID: 19552300 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535744 Tue, 31 Mar 2009 23:00:00 +0100 2535744 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19489190&dopt=Abstract Authors: Murphy JF PMID: 19489190 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535771 Sun, 01 Mar 2009 00:00:00 +0100 2535771 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19489191&dopt=Abstract Authors: Russell C, O'Neill D PMID: 19489191 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535770 Sun, 01 Mar 2009 00:00:00 +0100 2535770 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19489192&dopt=Abstract Authors: Horgan RP, Burke G Hysterectomy is one of the most common gynaecological surgical procedures performed but there appears to be a decline in the performance of this procedure in Ireland in recent times. We set out to establish the extent of the decline of hysterectomy and to explore possible explanations. Data for hysterectomy for benign disease from Ireland was obtained from the Hospital In-Patient Enquiry Scheme (HIPE) section of the Economic and Social Research Institute for the years 1999 to 2006. The total number of hysterectomies performed for benign disease showed a consistent decline during this time. There was a 36% reduction in the number of abdominal hysterectomy procedures performed. PMID: 19489192 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535769 Sun, 01 Mar 2009 00:00:00 +0100 2535769 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19489193&dopt=Abstract This study examines the prescribing patterns of medicines dispensed for the management Asthma/COPD in patients over the age of 35 years using the HSE-Primary Care Reimbursement Services (PCRS) prescribing databases. The HSE-PCRS pharmacy claims data, which covers all those over 70 years of age and means tested for those less than 70 years, was analysed for the years 2005/2006. Approximately 26,548 (17.9%) of patients who were prescribed a respiratory drug received inhaled short-acting beta2 agonists in combination with a regular standard-dose inhaled corticosteroid. A further 5,044 (3.4%) were also prescribed a regular inhaled long-acting beta2 agonist (salmeterol or formoterol). A total of 2506 patients (6.2%) on combination therapy were co-prescribed four different anti-asthmatic treatme... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535768 Sun, 01 Mar 2009 00:00:00 +0100 2535768 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19489194&dopt=Abstract Authors: O'Connell A, Gavin A, Kelly C, Molcho M, Nic Gabhainn S Strong evidence exists of a downward secular trend in the age at menarche; which appears to be associated with improved health and nutritional circumstances over the past two centuries. The aim of this study was to determine the mean age at menarche of Irish girls in 2006, as this has not been verified since 1986. A nationally representative sample of Irish girls (n = 4720, age 10-18 years) was obtained from the 2006 Irish Health Behaviour in School Aged Children survey and mean menarcheal age was calculated using the recall method. Mean age at menarche decreased from 13.52 years in 1986 to 12.53 years in 2006 and was lowest in cities and among manual groups. No significant differences were found between Irish-born and im... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535767 Sun, 01 Mar 2009 00:00:00 +0100 2535767 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19489195&dopt=Abstract Authors: Cotter A, Ryan CA Swimming pool sanitation has largely been concerned with the microbiological quality of pool water, which is normally treated using a number of chlorine products. Recent studies have pointed to the potential hazards of chlorine by-products to the respiratory epithelium, particularly in indoor, poorly ventilated, pools. The aim of our study was to elucidate whether chronic exposure to indoor chlorinated swimming pools was associated with an increased likelihood of the development of asthma in boys. METHODS: The subjects were boys aged between 6 and 12 years. Data was collected by means of parental responses to a standardized asthma questionnaire (ISAAC: International Study of Asthma and Allergies in Childhood), supplemented with additional questions regarding ... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535766 Sun, 01 Mar 2009 00:00:00 +0100 2535766 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19489196&dopt=Abstract Authors: Abuhusain H, Chotirmall SH, Hamid N, O'Neill SJ Preparedness of medical school graduates for the intern year is one of the emphasised objectives of undergraduate medical training. We have evaluated the perceived preparedness of graduates undertaking the intern year in the Republic of Ireland. A 9-page questionnaire was mailed to all 497 interns in Ireland following commencement of the intern year in July 2005. Data obtained included demographics, perceived preparedness and assessment of perceived clinical skills (four sub-domains: core competencies, communication, emergencies, and educational environment). Information on intern induction was also collected. 99 questionnaires were returned (19.9%). Most of the cohort were Irish and worked in large medical school teaching hospit... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535765 Sun, 01 Mar 2009 00:00:00 +0100 2535765 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19489197&dopt=Abstract Authors: Craven JA, Campbell L, Martin CT Oral rehydration is well established in the treatment of acute gastroenteritis, however it is profoundly underutilised as a treatment in the hospital setting. We introduced a protocol of waiting room oral rehydration for children presenting to the Paediatric Emergency Department with vomiting and/or diarrhoea. These children were given oral rehydration from the time of triage prior to medical assessment. During the study period, 251 children presented 269 times with vomiting and/or diarrhoea, of which 205 (76%) were diagnosed with acute gastroenteritis. A similar period 1 year previously was used as comparison, during which 129 children were diagnosed with acute gastroenteritis. During the study period, 58 children (28%) were given intravenous ... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535764 Sun, 01 Mar 2009 00:00:00 +0100 2535764