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Implications of noninvasive prenatal diagnosis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19902642 [PubMed - in process] (Source: Ir Med J)
Source: Ir Med J - October 1, 2009 Category: Journals (General) Authors: Malone F Tags: Ir Med J Source Type: journals

No longer need to RE-LY on Warfarin for stroke prevention?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19902643 [PubMed - in process] (Source: Ir Med J)
Source: Ir Med J - October 1, 2009 Category: Journals (General) Authors: Collins DR Tags: Ir Med J Source Type: journals

Waiting times for access, diagnosis and treatment in a cancer centre.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Ir Med J - October 1, 2009 Category: Journals (General) Authors: Collins I, Naidoo J, Rowley S, Reynolds JV, Kennedy MJ Tags: Ir Med J Source Type: journals

Blastocyst transfer for multiple prior IVF failure: a five year descriptive study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 t...
Source: Ir Med J - October 1, 2009 Category: Journals (General) Authors: Walsh AP, Shkrobot LV, Coull GD, Peirce KL, Walsh DJ, Salma U, Sills ES Tags: Ir Med J Source Type: journals

Chronic kidney disease in general practice: prevalence, diagnosis, and standards of care.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Ir Med J - October 1, 2009 Category: Journals (General) Authors: Glynn LG, Anderson J, Reddan D, Murphy AW Tags: Ir Med J Source Type: journals

Inter-hospital transport of critically ill children.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Ir Med J - October 1, 2009 Category: Journals (General) Authors: Aherne E, Hourihane J Tags: Ir Med J Source Type: journals

Complete traumatic laryngo-tracheal separation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Ir Med J - October 1, 2009 Category: Journals (General) Authors: O'Neill JP, Shine N, Timon C Tags: Ir Med J Source Type: journals

A pernicious leucoencephalopathy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Ir Med J - October 1, 2009 Category: Journals (General) Authors: Molloy A, Cawley N, Ali E, Connolly S, Tubridy N, Hutchinson M Tags: Ir Med J Source Type: journals

Multicentric Castleman's disease & HIV infection.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Ir Med J - October 1, 2009 Category: Journals (General) Authors: Cotter A, Lambert J, O'Gorman P Tags: Ir Med J Source Type: journals

Radiographic appearance of a post-epidural headache.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Ir Med J - October 1, 2009 Category: Journals (General) Authors: Weekes G, Breslin D Tags: Ir Med J Source Type: journals

Transplantation, multi-organ donation & presumed consent: a 3 year survey of university students.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 fi...
Source: Ir Med J - October 1, 2009 Category: Journals (General) Authors: Healy G, Sharma K, Healy DG Tags: Ir Med J Source Type: journals

Prescribing sugar-containing medicines for children--are we forgetting "primum non nocere"?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19902653 [PubMed - in process] (Source: Ir Med J)
Source: Ir Med J - October 1, 2009 Category: Journals (General) Authors: Barry S, Fleming P, O'Connor M Tags: Ir Med J Source Type: journals

Endoscopic ultrasound and EUS-guided FNA in the diagnosis of rectal endometriosis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of rectosigmoid endometriosis which was diagnosed using EUS. PMID: 19902654 [PubMed - in process] (Source: Ir Med J)
Source: Ir Med J - October 1, 2009 Category: Journals (General) Authors: Leyden J, Winter DC, Clarke E, O'Keane C Tags: Ir Med J Source Type: journals

Prisoners with mental disorders in Europe.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19902655 [PubMed - in process] (Source: Ir Med J)
Source: Ir Med J - October 1, 2009 Category: Journals (General) Authors: Kelly BD Tags: Ir Med J Source Type: journals

Checklists and patient safety.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19873861 [PubMed - in process] (Source: Ir Med J)
Source: Ir Med J - September 1, 2009 Category: Journals (General) Authors: Murphy JF Tags: Ir Med J Source Type: journals

Managing gestational diabetes mellitus.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19873862 [PubMed - in process] (Source: Ir Med J)
Source: Ir Med J - September 1, 2009 Category: Journals (General) Authors: Kinsley BT Tags: Ir Med J Source Type: journals

Cerebral palsy following neonatal hypoxic seizures in singleton term infants: the influence of parity.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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....
Source: Ir Med J - September 1, 2009 Category: Journals (General) Authors: Mahony R, Enright F, O'Herlihy C, Foley ME Tags: Ir Med J Source Type: journals

Depression, suicidality and alcohol abuse among medical and business students.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Ir Med J - September 1, 2009 Category: Journals (General) Authors: Curran TA, Gawley E, Casey P, Gill M, Crumlish N Tags: Ir Med J Source Type: journals

Meeting the health care needs of school-age children with intellectual disability.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Intellect...
Source: Ir Med J - September 1, 2009 Category: Journals (General) Authors: McBrien J, Macken S Tags: Ir Med J Source Type: journals

Age related outcome in acute subdural haematoma following traumatic head injury.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 yea...
Source: Ir Med J - September 1, 2009 Category: Journals (General) Authors: Hanif S, Abodunde O, Ali Z, Pidgeon C Tags: Ir Med J Source Type: journals

Towards safer use of opioids.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Ir Med J - September 1, 2009 Category: Journals (General) Authors: Carson RW, Jacob P, McQuillan R Tags: Ir Med J Source Type: journals

Congenital diaphragmatic hernia: neonatal outcomes following referral to a paediatric surgical centre.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Ir Med J - September 1, 2009 Category: Journals (General) Authors: Chukwu J, Iro C, Donoghue V, McCallion N, Murphy JF, Quinn F, Healy M, Molloy EJ Tags: Ir Med J Source Type: journals

Causes of prolonged hospital stay following low-energy fracture of the proximal femur: issues of most concern.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. ...
Source: Ir Med J - September 1, 2009 Category: Journals (General) Authors: Dodds MK, Mulhall KJ Tags: Ir Med J Source Type: journals

Implementation of spacer therapy for acute asthma in children.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 disc...
Source: Ir Med J - September 1, 2009 Category: Journals (General) Authors: Vandeleur M, Chróinín MN Tags: Ir Med J Source Type: journals

Managing pandemic (H1N1) 2009.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19873871 [PubMed - in process] (Source: Ir Med J)
Source: Ir Med J - September 1, 2009 Category: Journals (General) Authors: Boland M, O'Herlihy B, O'Brien A, MacDonald P, Crowley D, Kelleher K Tags: Ir Med J Source Type: journals

Relating to patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19771995 [PubMed - in process] (Source: Ir Med J)
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: Murphy JF Tags: Ir Med J Source Type: journals

Is the antenatal prediction of fetal macrosomia worthwhile?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19771996 [PubMed - in process] (Source: Ir Med J)
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: Farah N, Fattah C, Barry S, Donnelly V, Stuart B, Turner MJ Tags: Ir Med J Source Type: journals

The importance of oral health for the systemic well being of an ageing population.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19771997 [PubMed - in process] (Source: Ir Med J)
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: McKenna G, Allen PF, O'Mahony D, DaMata C, Cronin M, Woods N Tags: Ir Med J Source Type: journals

Male fertility in cystic fibrosis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 p...
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: Chotirmall SH, Mann AK, Branagan P, O'Donohoe C, Lyons AM, Flynn MG, Gunaratnam C, O'Neill SJ, McElvaney NG Tags: Ir Med J Source Type: journals

Is the contribution of alcohol to fatal traumatic brain injuries being underestimated in the acute hospital setting?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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....
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: O'Toole O, Mahon C, Lynch K, Brett FM Tags: Ir Med J Source Type: journals

Shared consultant physician posts.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: Cooke J, Molefe C, Carew S, Finucane P, Clinch D Tags: Ir Med J Source Type: journals

Percutaneous vertebroplasty in osteoporosis, myeloma and Langerhans' cell histiocytosis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: Kevane B, Ryder DQ, Gilligan O Tags: Ir Med J Source Type: journals

Managing ureteric colic in a smaller hospital without urological support.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 spo...
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: Oon S, Mulvin D, Mealy K Tags: Ir Med J Source Type: journals

A comparison of CO2 laser versus traditional stapedectomy outcomes.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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- ...
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: Ryan S, Thornton MA, Kieran S, Charles D Tags: Ir Med J Source Type: journals

Being old in Ireland: a fit state?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. 4...
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: Whelan EJ Tags: Ir Med J Source Type: journals

Internally-developed electronic reporting system for medication errors.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: Relihan E, Silke B, O'Grady F Tags: Ir Med J Source Type: journals

Incidence of hip fractures in Dublin's north inner city.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: Dodds MK, Codd MB, Looney A, Mulhall KJ Tags: Ir Med J Source Type: journals

The uptake and use of the Monospot test in patients with tonsillitis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: McCormack R, O'Shea T Tags: Ir Med J Source Type: journals

Severe hyperbilirubinaemia and kernicterus: more caution is needed in newborn jaundice surveillance.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: Allen NM, Mohammad F, Foran A, Corcoran D, Clarke T Tags: Ir Med J Source Type: journals

Pleuropulmonary blastoma type I following resection of incidentally found congenital lobar emphysema.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: Walsh S, Wood AE, Greally P Tags: Ir Med J Source Type: journals

An audit of traumatic nerve injury.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: O'Connor G, McNamara B Tags: Ir Med J Source Type: journals

Conservative management of placenta accreta.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: Russell NE, Gleeson V, Robson M, McAuliffe FM, O'Connell MP Tags: Ir Med J Source Type: journals

The SM judgment and the Mental Health Act 2008.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: Cummings E, O'Conor O Tags: Ir Med J Source Type: journals

A need for definition: a matter of life and death for human embryos.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19772013 [PubMed - in process] (Source: Ir Med J)
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: Shurpyak SA, Walsh AP, Walsh DJ, Sills ES Tags: Ir Med J Source Type: journals

The decline of hysterectomy for benign disease.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19772014 [PubMed - in process] (Source: Ir Med J)
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: Ward E, Browne R, Torreggiani WC Tags: Ir Med J Source Type: journals

Pulmonary thrombo embolism in pregnancy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19772015 [PubMed - in process] (Source: Ir Med J)
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: Khalid S, Babiker E, Byrne B Tags: Ir Med J Source Type: journals

Isolated common peroneal nerve palsy in sarcoidosis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19772016 [PubMed - in process] (Source: Ir Med J)
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: Renganathan R Tags: Ir Med J Source Type: journals

Preparing for internship.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19774715 [PubMed - in process] (Source: Ir Med J)
Source: Ir Med J - June 30, 2009 Category: Journals (General) Authors: Dunne B, Sreenan S Tags: Ir Med J Source Type: journals

Rosters, rotas, sleep and NCHD hours.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19722349 [PubMed - in process] (Source: Ir Med J)
Source: Ir Med J - May 31, 2009 Category: Journals (General) Authors: Murphy JF Tags: Ir Med J Source Type: journals

The use of complementary and alternative medicine (CAM) in children--ignore at our peril.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19722350 [PubMed - in process] (Source: Ir Med J)
Source: Ir Med J - May 31, 2009 Category: Journals (General) Authors: Koe S, O'Neill MB, Nicholson A Tags: Ir Med J Source Type: journals