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, 30 Nov 2009 14:34:09 +0100 http://www.medworm.com/index.php?rid=2989607&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19902642%26dopt%3DAbstract 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.medworm.com/index.php?rid=2989606&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19902643%26dopt%3DAbstract 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.medworm.com/index.php?rid=2989605&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19902644%26dopt%3DAbstract 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.medworm.com/index.php?rid=2989604&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19902645%26dopt%3DAbstract 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.medworm.com/index.php?rid=2989603&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19902646%26dopt%3DAbstract 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.medworm.com/index.php?rid=2989602&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19902647%26dopt%3DAbstract 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.medworm.com/index.php?rid=2989601&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19902648%26dopt%3DAbstract 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.medworm.com/index.php?rid=2989600&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19902649%26dopt%3DAbstract 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.medworm.com/index.php?rid=2989599&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19902650%26dopt%3DAbstract 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.medworm.com/index.php?rid=2989598&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19902651%26dopt%3DAbstract 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.medworm.com/index.php?rid=2989597&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19902652%26dopt%3DAbstract 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.medworm.com/index.php?rid=2989596&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19902653%26dopt%3DAbstract 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.medworm.com/index.php?rid=2989595&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19902654%26dopt%3DAbstract 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.medworm.com/index.php?rid=2989594&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19902655%26dopt%3DAbstract 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.medworm.com/index.php?rid=2947249&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19873861%26dopt%3DAbstract 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.medworm.com/index.php?rid=2947248&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19873862%26dopt%3DAbstract 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.medworm.com/index.php?rid=2947247&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19873863%26dopt%3DAbstract 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.medworm.com/index.php?rid=2947246&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19873864%26dopt%3DAbstract 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.medworm.com/index.php?rid=2947245&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19873865%26dopt%3DAbstract 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.medworm.com/index.php?rid=2947244&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19873866%26dopt%3DAbstract 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.medworm.com/index.php?rid=2947243&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19873867%26dopt%3DAbstract 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.medworm.com/index.php?rid=2947242&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19873868%26dopt%3DAbstract 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.medworm.com/index.php?rid=2947241&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19873869%26dopt%3DAbstract 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.medworm.com/index.php?rid=2947240&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19873870%26dopt%3DAbstract 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.medworm.com/index.php?rid=2947239&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19873871%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827119&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19771995%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827118&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19771996%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827117&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19771997%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827116&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19771998%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827115&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19771999%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827114&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772000%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827113&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772001%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827112&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772002%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827111&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772003%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827110&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772004%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827109&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772005%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827108&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772006%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827107&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772007%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827106&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772008%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827105&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772009%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827104&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772010%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827103&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772011%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827102&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772012%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827101&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772013%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827100&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772014%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827099&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772015%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827098&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19772016%26dopt%3DAbstract 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.medworm.com/index.php?rid=2827097&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19774715%26dopt%3DAbstract 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.medworm.com/index.php?rid=2762899&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19722349%26dopt%3DAbstract 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.medworm.com/index.php?rid=2762898&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19722350%26dopt%3DAbstract 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.medworm.com/index.php?rid=2762897&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19722351%26dopt%3DAbstract 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.medworm.com/index.php?rid=2762896&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19722352%26dopt%3DAbstract 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.medworm.com/index.php?rid=2762895&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19722353%26dopt%3DAbstract 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.medworm.com/index.php?rid=2762894&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19722354%26dopt%3DAbstract 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.medworm.com/index.php?rid=2762893&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19722355%26dopt%3DAbstract 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.medworm.com/index.php?rid=2762892&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19722356%26dopt%3DAbstract 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.medworm.com/index.php?rid=2762891&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19722357%26dopt%3DAbstract 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.medworm.com/index.php?rid=2762890&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19722358%26dopt%3DAbstract 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.medworm.com/index.php?rid=2762889&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19722359%26dopt%3DAbstract 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.medworm.com/index.php?rid=2762888&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19722360%26dopt%3DAbstract 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.medworm.com/index.php?rid=2762887&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19722361%26dopt%3DAbstract 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.medworm.com/index.php?rid=2762886&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19722362%26dopt%3DAbstract 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.medworm.com/index.php?rid=2762885&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19722363%26dopt%3DAbstract 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.medworm.com/index.php?rid=2762884&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19725174%26dopt%3DAbstract 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.medworm.com/index.php?rid=2638478&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19623805%26dopt%3DAbstract 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.medworm.com/index.php?rid=2638477&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19623806%26dopt%3DAbstract 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.medworm.com/index.php?rid=2638476&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19623807%26dopt%3DAbstract 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.medworm.com/index.php?rid=2638475&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19623808%26dopt%3DAbstract 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.medworm.com/index.php?rid=2638474&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19623809%26dopt%3DAbstract 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.medworm.com/index.php?rid=2638473&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19623810%26dopt%3DAbstract 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.medworm.com/index.php?rid=2638472&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19623811%26dopt%3DAbstract 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.medworm.com/index.php?rid=2638471&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19623812%26dopt%3DAbstract 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.medworm.com/index.php?rid=2638470&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19623813%26dopt%3DAbstract 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.medworm.com/index.php?rid=2638469&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19623814%26dopt%3DAbstract 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.medworm.com/index.php?rid=2638468&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19623815%26dopt%3DAbstract 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.medworm.com/index.php?rid=2638467&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19623816%26dopt%3DAbstract 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.medworm.com/index.php?rid=2638466&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19623817%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535759&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19552285%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535758&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19552286%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535757&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19552287%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535756&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19552288%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535755&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19552289%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535754&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19552290%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535753&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19552291%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535752&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19552292%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535751&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19552293%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535750&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19552294%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535749&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19552295%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535748&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19552296%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535747&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19552297%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535746&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19552298%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535745&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19552299%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535744&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19552300%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535771&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19489190%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535770&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19489191%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535769&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19489192%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535768&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19489193%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535767&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19489194%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535766&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19489195%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535765&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19489196%26dopt%3DAbstract 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.medworm.com/index.php?rid=2535764&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19489197%26dopt%3DAbstract 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 http://www.medworm.com/index.php?rid=2535763&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19489198%26dopt%3DAbstract Authors: Kinsella A, Kavanagh DO, McGiobuin S, Schlaffer K, Evoy D PMID: 19489198 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535763 Sun, 01 Mar 2009 00:00:00 +0100 2535763 http://www.medworm.com/index.php?rid=2535762&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19489199%26dopt%3DAbstract Authors: Smith G, Stassen L, Flint S PMID: 19489199 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535762 Sun, 01 Mar 2009 00:00:00 +0100 2535762 http://www.medworm.com/index.php?rid=2535761&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19489200%26dopt%3DAbstract Authors: Kearney F, Brewer L, Donegan C, Moore A PMID: 19489200 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535761 Sun, 01 Mar 2009 00:00:00 +0100 2535761 http://www.medworm.com/index.php?rid=2535760&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19489201%26dopt%3DAbstract Authors: Sills ES, Walsh AP PMID: 19489201 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535760 Sun, 01 Mar 2009 00:00:00 +0100 2535760 http://www.medworm.com/index.php?rid=2535800&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19405313%26dopt%3DAbstract Authors: Murphy JF PMID: 19405313 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535800 Sun, 01 Feb 2009 00:00:00 +0100 2535800 http://www.medworm.com/index.php?rid=2535798&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19405314%26dopt%3DAbstract Authors: Gallagher D, Mhaolain AN, Lawlor B PMID: 19405314 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535798 Sun, 01 Feb 2009 00:00:00 +0100 2535798 http://www.medworm.com/index.php?rid=2535795&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19405315%26dopt%3DAbstract Authors: Delaney RA, Falvey E, Kalimuthu S, Molloy MG, Fleming P The health benefits of exercise may be attenuated by sports and recreation related injury (SRI). Though the majority of SRI are mild and self-limiting, a significant number are serious and require orthopaedic intervention. The aims of this study were to assess the burden of these serious injuries on the orthopaedic inpatient service, and to investigate potential target areas for injury prevention. All 1,590 SRI seen in the ED over a 3-month period were analysed using the Patient Information Management System to determine which patients received inpatient orthopaedic care. The medical records of those 63 patients who required inpatient care under orthopaedics were reviewed and data collected on demographic features, histor... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535795 Sun, 01 Feb 2009 00:00:00 +0100 2535795 http://www.medworm.com/index.php?rid=2535793&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19405316%26dopt%3DAbstract Authors: Thomas AZ, Thomas AA, Conlon P, Hickey D, Little DM The aim of the study was to determine the role of transurethralresection of prostate (TURP) in normalising renal function in men presenting with obstructive renal failure secondary to benign prostatic hyperplasia. We reviewed the cases of 14 men who presented in the last 5 years with renal impairment associated with symptoms of bladder outflow obstruction and radiological evidence of obstructive uropathy. The mean serum creatinine at presentation was 632 ng/mL (range 1299 - 225). The mean age at presentation was 68.2 years (range 50 - 83 years). Duration of symptoms prior to presentation ranged between 1 - 118 months (mean 21.5 months). Following catheter insertion, all patients underwent TURP. Six of the 14 patients required... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535793 Sun, 01 Feb 2009 00:00:00 +0100 2535793 http://www.medworm.com/index.php?rid=2535792&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19405317%26dopt%3DAbstract Authors: Dublin LR Low vaccine up-take in Ireland resulted in the measles epidemic of 2000-2001, and more recent outbreaks of mumps in many schools and colleges. Forty-five schools were selected from a list of secondary schools in Ireland using a table of random numbers, and teachers were requested to distribute self-administered questionnaires to their 4th year students. The questionnaires were analysed using Epi-Info and chi-square test. 86% (n=675) of students considered themselves inadequately informed about vaccines and vaccine-preventable diseases. 67.9% (n=532) wanted the topic added to the science syllabus. 88.3% (n=692) agreed that they would vaccinate their own children against all childhood diseases. It is recommended that the topic of vaccination be covered more completely ... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535792 Sun, 01 Feb 2009 00:00:00 +0100 2535792 http://www.medworm.com/index.php?rid=2535790&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19405318%26dopt%3DAbstract Authors: O'Reilly R, Fitzpatrick P, Leen G, Elnazir B, Greally P Decreased bone mineral density (BMD) is an emerging problem for clinicians who care for children with Cystic fibrosis (CF). The aim of this study was to determine prevalence and assess risk factors for reduced BMD in our adolescent population with CF. All bone densitometry scans (n=99) performed on children (n=79) with a mean age 13.6 (10-19.2) years over a 7 year period (2000-2007) were reviewed. Patient records were reviewed for correlating clinical data. Low BMD is frequently present in adults and children with variable reports (36-66%). In our study, BMD expressed as z score of L2-L4 spine was reduced in a total of 50% children with a preponderance of males. Bone demineralization was strongly associated with increasin... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535790 Sun, 01 Feb 2009 00:00:00 +0100 2535790 http://www.medworm.com/index.php?rid=2535788&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19405319%26dopt%3DAbstract This study assessed knowledge of EUS indications among consultants and trainees in 3 Irish teaching hospitals. A questionnaire was designed to test knowledge of EUS indications in 4 organ systems: oesophagus, gastroduodenum, hepatopancreatobiliary system and colorectum. The questionnaire was distributed to consultants and trainees (both gastroenterology and non-gastroenterology) in 3 major Irish teaching hospitals. The survey was distributed to 86 doctors, all of whom replied: 18 consultants (11 gastroenterologists,) 40 registrars (28 gastroenterology) and 26 SHOs/interns. Knowledge of appropriate EUS indications was best among consultant gastroenterologists (82%) and GI registrars (79%), compared with non-GI consultants (74%), non-GI registrars (72%) and SHOs/interns (68%). Among gastroen... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535788 Sun, 01 Feb 2009 00:00:00 +0100 2535788 http://www.medworm.com/index.php?rid=2535786&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19405320%26dopt%3DAbstract Authors: Mac Giobuin S, Kavanagh DO, Ryan R, Kinsella A, Myers E, Evoy D, O'Higgins NJ, McDermott E A seventy two year old man presented to the Emergency Department with clinical features of colonic obstruction. Subsequent radiological investigations confirmed this impression and revealed the aetiology to be compression of the sigmoid colon against the sacrum by a massively distended urinary bladder. Chronic urinary retention due to benign prostatic hypertrophy is an extremely unusual cause of large bowel obstruction. Little in this patient's clinical findings suggested this aetiology. We reviewed the literature in this area and highlight the benefits of CT scanning over contrast studies. PMID: 19405320 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535786 Sun, 01 Feb 2009 00:00:00 +0100 2535786 http://www.medworm.com/index.php?rid=2535783&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19405321%26dopt%3DAbstract Authors: Kirwan C, Carney D, O'Keefe M Merkel cell carcinoma (MCC) is a rare, aggressive neuroendocrine malignancy which predominantly affects elderly caucasians. The pathogenesis is poorly understood but ultraviolet light and immunosuppression have both been implicated. MCC most commonly arises on sun exposed areas of the head and neck or extremities and has a propensity for local recurrence and regional lymph node metastasis. It may present as a violaceous or non specific firm nodule or as a small plaque. Histological diagnosis can be difficult and electron microscopy or immunohistochemistry are frequently required in addition to light microscopy. Management is stage dependant and frequently involves wide surgical excision with or without chemotherapy or radiation therapy. Early diag... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535783 Sun, 01 Feb 2009 00:00:00 +0100 2535783 http://www.medworm.com/index.php?rid=2535781&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19405322%26dopt%3DAbstract We describe a newborn boy diagnosed with Berry syndrome consisting of a distal aortopulmonary septal defect, aortic origin of the right pulmonary artery, and interruption of the aorta. The child was noted to have reduplication of the right thumb. The child's mother had a claw malformation of her left hand but a normal cardiovascular status. Genetic analysis for TBX5 and SALL4 mutations were negative in both the patient and his mother. This case describes the first ever report of Berry syndrome in an infant with reduplication of the right thumb and familial limb malformation. PMID: 19405322 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535781 Sun, 01 Feb 2009 00:00:00 +0100 2535781 http://www.medworm.com/index.php?rid=2535779&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19405323%26dopt%3DAbstract In this report, our early experience with screening, monitoring and coordinating IVF utilising gestational carrier treatment is described. Although congenital and iatrogenic etiologies for uterine factor infertility manifest distinctly different reasons for considering a gestational carrier approach, we outline a unified management strategy for both conditions. One patient had congenital absence of the uterus and proximal vagina (Mayer-Rokitansky-Kuster-Hauser syndrome variant), while another patient presented post-hysterectomy and adjuvant brachytherapy for invasive squamous cervical carcinoma. Conception was established for both patients, the first pregnancies to be achieved using an IVF/gestational carrier technique in Ireland. As demonstrated here, selected patients with at least one i... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535779 Sun, 01 Feb 2009 00:00:00 +0100 2535779 http://www.medworm.com/index.php?rid=2535777&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19405324%26dopt%3DAbstract We present three patients with iliopsoas abscesses, two of which were primary and one of which was secondary to Crohn's disease. The average age of patients was 59 years and both patients with primary psoas abscesses were male. All presented with non-specific symptoms. Psoas sign was present in only one patient. CT confirmed the diagnosis in all cases. Treatment consisted of appropriate antibiotic cover and associated percutaneous drainage. The psoas abscess that was secondary to underlying Crohn's disease was subsequently treated with surgical excision of the affected segment of bowel and lavage of the abscess cavity. A high index of suspicion is required to ensure the accurate and early diagnosis of this rare clinical entity. Abdominal CT scanning remains the gold standard for diagnosis.... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535777 Sun, 01 Feb 2009 00:00:00 +0100 2535777 http://www.medworm.com/index.php?rid=2535775&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19405325%26dopt%3DAbstract Authors: Donohoe C, Sayana MK PMID: 19405325 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535775 Sun, 01 Feb 2009 00:00:00 +0100 2535775 http://www.medworm.com/index.php?rid=2535773&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19405326%26dopt%3DAbstract Authors: Mulligan A, McAuley C PMID: 19405326 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535773 Sun, 01 Feb 2009 00:00:00 +0100 2535773 http://www.medworm.com/index.php?rid=2535772&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19405327%26dopt%3DAbstract Authors: Cassidy N, Casey PB, Tracey JA PMID: 19405327 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2535772 Sun, 01 Feb 2009 00:00:00 +0100 2535772 http://www.medworm.com/index.php?rid=2279150&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19284006%26dopt%3DAbstract Authors: Murphy JF PMID: 19284006 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2279150 Thu, 01 Jan 2009 05:00:00 +0100 2279150 http://www.medworm.com/index.php?rid=2279147&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19284007%26dopt%3DAbstract Authors: Barry S, Fattah C, Farah N, Broderick V, Stuart B, Turner MJ PMID: 19284007 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2279147 Thu, 01 Jan 2009 05:00:00 +0100 2279147 http://www.medworm.com/index.php?rid=2279143&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19284008%26dopt%3DAbstract Authors: Gill D PMID: 19284008 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2279143 Thu, 01 Jan 2009 05:00:00 +0100 2279143 http://www.medworm.com/index.php?rid=2279141&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19284009%26dopt%3DAbstract This study examined General Practitioner's (GP) knowledge, practice and training requirements in relation to doping in sport in Ireland. All 2083 GPs on the Irish College of General Practitioners (ICGP) register received a postal questionnaire, yielding a 37% response rate (N=771, 63% male, average age 46.2 +/- 9SD, range 28-74 years). Results revealed that 14% (112) deemed their knowledge of doping agents to be good or very good, 12% (94) had completed specific training modules in doping or sport, and 24% (183) were connected with a specific sport as a team doctor/advisor. Over one in four (28%: 217) had been consulted for advice on doping in Sport, 33% (256) possessed the current list of prohibited substances, and 25% (190) knew of the Irish Sports Council's drug-testing procedures. The ... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2279141 Thu, 01 Jan 2009 05:00:00 +0100 2279141 http://www.medworm.com/index.php?rid=2279140&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19284010%26dopt%3DAbstract Authors: McKeon M Mercury is a naturally occurring metal, one of the most toxic metals within the food chain and has a number of uses in the Irish health care sector. This paper reports on a mercury survey in Ireland with the purpose to present a picture of mercury use in health settings. The findings show 50% of health settings free of all mercury medical equipment. Mercury spills occur within 30% of health settings, with no training provided in handling mercury equipment, in the management of mercury spills and only 10% of health services have mercury clean up kits. With 50% of mercury waste disposed inappropriately, a number of recommendations are advanced for reducing the amount of mercury in the health settings alongside awareness and education for health professionals. PMID: ... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2279140 Thu, 01 Jan 2009 05:00:00 +0100 2279140 http://www.medworm.com/index.php?rid=2279139&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19284011%26dopt%3DAbstract Authors: Bellis M, Bolster MA, Doyle CT A retrospective study was conducted in order to determine the prevalence and concentration of alcohol in post-mortem blood samples sent for toxicological analysis in Cork City and County in 2003 and 2004. Post mortem reports of these deaths were reviewed for the presence or absence of alcohol at the time of autopsy, blood alcohol concentration (BAC) at time of death, age and sex of the decedents. Of samples sent for blood alcohol analysis (BAA), 38.4% were positive for alcohol. Significant differences were found between the proportions of alcohol positive cases by cause of death. Alcohol positive cases were significantly younger (44.3 +/- 17.8 years) than alcohol negative cases (51.9 +/- 19.4 years) and fifty two percent of drivers were positive ... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2279139 Thu, 01 Jan 2009 05:00:00 +0100 2279139 http://www.medworm.com/index.php?rid=2279135&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19284012%26dopt%3DAbstract Authors: Shiely F, MacDonncha C Objectively measured and self-reported physical activity levels were assessed among Irish adolescents (n=28) by heart rate monitor and self-report questionnaire. The purpose was to determine the percentage of Irish adolescents that met international physical activity guidelines using both objective and subjective measurements. More than 11% of subjects met the international moderate intensity physical activity guidelines for adolescents when measured by self-report questionnaire. No subjects met this guideline when measured objectively by heart rate monitor. Levels of agreement between the two measurements were poor (k < 0.40). When measured objectively by HR monitor, no adolescent met the international guidelines on sustained vigorous physical activi... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2279135 Thu, 01 Jan 2009 05:00:00 +0100 2279135 http://www.medworm.com/index.php?rid=2279131&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19284013%26dopt%3DAbstract Authors: Gilligan P, O'Kelly P, Hegarty D, Winder S In response to persistent overcrowding of Emergency Departments in Ireland, the Department of Health and Health Service Executive provided funding for "Transit Lounge" areas to be built. These lounges were to provide a location for patients to wait in beds pending the availability of a ward bed. This research was performed to assess the impact of such a lounge on the overcrowding of the Emergency Department and on patient outcomes. The time period from the opening of the Transit Lounge was compared with the same period a year earlier. The Transit Lounge delivers a comfortable place for patients to wait. It does not reduce Emergency Department overcrowding and has been associated with an increased time waiting for a ward bed. The solut... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2279131 Thu, 01 Jan 2009 05:00:00 +0100 2279131 http://www.medworm.com/index.php?rid=2279129&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19284014%26dopt%3DAbstract In this study, we investigated what could be used as a routine neuropathy screen. A retrospective audit of all charts of patients diagnosed to have polyneuropathy by nerve conduction studies from November 2001 to November 2002 were carried out. Demographics, background history, type of neuropathy and investigations done were documented. The charts of 61 patients were audited. 12 patients had a background history of diabetes mellitus. 2 patients had history of alcohol abuse. 23 patients presented with paraesthesia and 33 with weakness of limbs. We found a cause of polyneuropathy in 79% of cases. In most patients with polyneuropathy where a cause can be identified, this can be achieved by the medical history, neurological examination, nerve conduction studies and the baseline blood tests. We... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2279129 Thu, 01 Jan 2009 05:00:00 +0100 2279129 http://www.medworm.com/index.php?rid=2279126&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19284015%26dopt%3DAbstract This study involved a survey administered as a telephone questionnaire, to a cohort of women (n=75) who opted to use the etonogestrel implant. 53% reported problems with the implant post insertion, the commonest problem being irregular bleeding in 22% cases. Early removals were documented in 28% cases, of which, 29%, were caused by irregular bleeding. Based on this study, it is evident that women have high expectations of the implant, and counselling about what they can expect during use is important in order to avoid unreasonable expectations. This study also demonstrates that the use of the etonogestrel implant is a valuable contraceptive option, which can be successfully delivered in a GP setting, for both patients of the practice as well as patients referred by colleagues locally. ... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2279126 Thu, 01 Jan 2009 05:00:00 +0100 2279126 http://www.medworm.com/index.php?rid=2279125&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19284016%26dopt%3DAbstract Authors: Bacon CL, Daly P, Sheane B, Conneally EC, Browne PV, McCann S, Ni Chongaile M, O'Brian DS, Mc Dermott R, Hollywood D, Wilson L, Vandenberghe E Patients with Hodgkin lymphoma who relapse or are refractory to first line multi-agent chemotherapy can be successfully salvaged with high dose therapy (HDT) and autologous stem cell transplant (ASCT). Twenty-six patients with relapsed or refractory Hodgkin lymphoma have been treated with HDT and ASCT at St James Hospital between 2000 and 2005. At day 100 post HDT-ASCT, 23 patients were in complete remission. This group included all 6 patients transplanted at first relapse, 8 of 9 with advanced disease and 9 of 11 with primary refractory disease. Patients treated in first relapse had the best outcome with an overall and progression free... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2279125 Thu, 01 Jan 2009 05:00:00 +0100 2279125 http://www.medworm.com/index.php?rid=2279122&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19284017%26dopt%3DAbstract Authors: Glackin L, Leen G, Elnazir B, Greally P Allergic bronchopulmonary aspergillosis (ABPA) can cause a significant clinical deterioration in patients with cystic fibrosis. There is very little research in the current literature with regard to alternatives for treatment, apart from long courses of steroids. We conducted a retrospective review of all our patients with ABPA treated with the antifungal voriconazole and found there was a significant drop in IgE levels post treatment as well as a decrease in steroid dosing. The improvement in FEV was not statistically significant; however there was a very wide variation in pre-treatment levels. PMID: 19284017 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2279122 Thu, 01 Jan 2009 05:00:00 +0100 2279122 http://www.medworm.com/index.php?rid=2279119&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19284018%26dopt%3DAbstract We report a case of a 19 year old male with Down's syndrome who presented with severe functional disability and pain secondary to bilateral hip arthritis. He had longstanding developmental dysplasia of the hip (DDH) that had evolved into end stage arthritis. Following a comprehensive assessment and counselling, he underwent bilateral total hip replacements. At last follow up, he had excellent outcome for function and pain relief. This case highlights the good results achievable with aggressive management of musculo-skeletal conditions (especially hip arthropathy) in those with Down's syndrome and the need for increased recognition of these conditions. PMID: 19284018 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2279119 Thu, 01 Jan 2009 05:00:00 +0100 2279119 http://www.medworm.com/index.php?rid=2279116&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19284019%26dopt%3DAbstract Authors: Vavasseur C, O'Carroll T, Twomey A PMID: 19284019 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2279116 Thu, 01 Jan 2009 05:00:00 +0100 2279116 http://www.medworm.com/index.php?rid=2181053&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19205136%26dopt%3DAbstract Authors: Murphy JF PMID: 19205136 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2181053 Sat, 01 Nov 2008 04:00:00 +0100 2181053 http://www.medworm.com/index.php?rid=2181052&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19205137%26dopt%3DAbstract Authors: Hutchinson M PMID: 19205137 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2181052 Sat, 01 Nov 2008 04:00:00 +0100 2181052 http://www.medworm.com/index.php?rid=2181051&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19205138%26dopt%3DAbstract Authors: Barry M, Molloy D, Usher C, Tilson L Community prescribing accounts for approximately 85% of total drug expenditure. In 2007 spending on medicines under the Community Drugs Schemes exceeded Euro 1.74 billion, a five-fold increase over the decade 1997-2007. The year on year increase in spending on medicines is amongst the highest in Europe. The desire of the HSE to reduce or at least contain drug expenditure is appreciated and is consistent with approaches across other EU member states. Recent developments in drug pricing and reimbursement as outlined here may help to contain the drugs bill. However, the emergence of promising but expensive biologic agents for cancer therapy and other chronic conditions threaten any cost containment measures. PMID: 19205138 [PubMed - in pro... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2181051 Sat, 01 Nov 2008 04:00:00 +0100 2181051 http://www.medworm.com/index.php?rid=2181050&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19205139%26dopt%3DAbstract Authors: Mahony R, O'Herlihy C, Foley ME Perineal outcome in 1000 consecutive term non instrumental second vaginal deliveries was correlated with first delivery method and perineal outcome. Our aim was to determine the relationship between perineal outcome at first and second vaginal deliveries. Overall 75% of first non instrumental vaginal deliveries required sutures. Sutures were required at second delivery in 12% (24 of 199) of cases not sutured at first delivery compared with 60.4% (485 of 801) of those sutured. The rate of second perineal repair correlated with method of first delivery and perineal outcome, instrumental delivery--66.2% (145 of 219), first episiotomy-68.4% (238 of 348) and first sutured tear--43.6% (102 of 234). The incidence of third /fourth degree tear at first d... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2181050 Sat, 01 Nov 2008 04:00:00 +0100 2181050 http://www.medworm.com/index.php?rid=2181049&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19205140%26dopt%3DAbstract Authors: Cunningham CJ, Walsh JB, Coakley D, Walsh C, Connolly C, Murphy M, Murphy C Data on the life expectancy of elderly people in long term care facilities will be important for effective service planning and monitoring quality of care. To date there are no such data from an Irish perspective. A random sample of patients discharged to long term care between Jan 1st 1997 and December 31st 2003 from a single Dublin hospital was studied. Death by January 1st 2005 was ascertained through the register of births deaths and marriage. Median survival was calculated and factors associated with mortality were determined in a logistic regression. Mean (sd) age was 82 (11) years and 61 (29%) were female. Median survival was 30.3 (95%CI 22.4-45.0) months (mean Irish life expectancy at this age ... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2181049 Sat, 01 Nov 2008 04:00:00 +0100 2181049 http://www.medworm.com/index.php?rid=2181048&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19205141%26dopt%3DAbstract This study improved knowledge of characteristics and outcome of elderly acute myeloid leukaemia patients in our department. PMID: 19205141 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2181048 Sat, 01 Nov 2008 04:00:00 +0100 2181048 http://www.medworm.com/index.php?rid=2181047&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19205142%26dopt%3DAbstract This study examined current practice in the management of commonly encountered problems in very low and extremely low birth weight infants in the eight regional units in Ireland, and was intended to determine whether support exists for the development of national practice guidelines. Ninety one percent of people surveyed returned a completed questionnaire, 76% of respondents believed it would be both worthwhile and practical to develop national practice guidelines. We therefore recommend, that a working group for the establishment of national practice guidelines for the management of VLBW infants be set up. PMID: 19205142 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2181047 Sat, 01 Nov 2008 04:00:00 +0100 2181047 http://www.medworm.com/index.php?rid=2181046&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19205143%26dopt%3DAbstract Authors: Mckenna J, Ibrahim A Sarcoidosis is a multisystem granulomatous disorder of unknown aetiology, characterized pathologically by the presence of noncaseating epithelioid granulomas. Estimated prevalence of sarcoidosis is 10-20 per 100,000 populations, 3-4 times more common in blacks, presents between the ages of 10-40 years in (70-90)% of cases. Sarcoid neuropathy is one of the rare conditions. It involves approximately 5% of sarcoid patients. Many forms of involvement were reported e.g.; facial nerve palsy, multifocal sensory or motor polyneuropathy or very rarely Guillain Barre' like syndrome. In one clinical series it was estimated that only 10% had primarily peripheral nerve or muscle lesions, where as 90% had primarily CNS or cranial nerve lesions. PMID: 19205143 [PubMe... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2181046 Sat, 01 Nov 2008 04:00:00 +0100 2181046 http://www.medworm.com/index.php?rid=2181045&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19205144%26dopt%3DAbstract Authors: Carmody D, Nolan C, Allcutt D PMID: 19205144 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2181045 Sat, 01 Nov 2008 04:00:00 +0100 2181045 http://www.medworm.com/index.php?rid=2181044&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19205145%26dopt%3DAbstract This study demonstrates that effective treatment penetration can be improved for this patient group by shared care with drug treatment services, without the need for significant increases in resources. PMID: 19205145 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2181044 Sat, 01 Nov 2008 04:00:00 +0100 2181044 http://www.medworm.com/index.php?rid=2181043&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19205146%26dopt%3DAbstract Authors: Geisler M, Higgins M, McAuliffe F PMID: 19205146 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2181043 Sat, 01 Nov 2008 04:00:00 +0100 2181043 http://www.medworm.com/index.php?rid=2181042&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19205147%26dopt%3DAbstract Authors: Nicholson AJ PMID: 19205147 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2181042 Sat, 01 Nov 2008 04:00:00 +0100 2181042 http://www.medworm.com/index.php?rid=2181041&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19205148%26dopt%3DAbstract Authors: Lowry R, O'Farrell A, Bedford D, Eldin N PMID: 19205148 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2181041 Sat, 01 Nov 2008 04:00:00 +0100 2181041 http://www.medworm.com/index.php?rid=2181040&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19205149%26dopt%3DAbstract Authors: Byrne SC, Egan B, Tierney S, Feeley M PMID: 19205149 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2181040 Sat, 01 Nov 2008 04:00:00 +0100 2181040 http://www.medworm.com/index.php?rid=2181039&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19209440%26dopt%3DAbstract Authors: Dunne CM, Harewood GC PMID: 19209440 [PubMed - in process] (Source: Ir Med J) Ir Med J journals http://www.medworm.com/rss/comments.php?id=2181039 Sat, 01 Nov 2008 04:00:00 +0100 2181039 http://www.medworm.com/index.php?rid=2089092&cid=s_30424_22_f&fid=30424&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19051616%26dopt%3DAbstract The objective was to design a protocol to assess work ability in people suffering ill-defined painful and disabling disorders, the outstanding prototype of which is fibromyalgia/chronic fatigue syndrome (FM/CSF).Following an extensive literature search, the mos appropriate components of current methods of assessment of physical and cognitive abilities were incorporated into the protocol, occasionally with appropriate modification to suit the specific requirements of the individual. The initial part of the assessment consists of a standard history taking, principally focusing on the patient's self-reported physical and cognitive abilities and disabilities, as well as the completion of established pain and fatigue scales, and relevant disability questionnaires. Following this, physical and c... Ir Med J journals http://www.medworm.com/rss/comments.php?id=2089092 Wed, 01 Oct 2008 04:00:00 +0100 2089092