6,253 results match your criteria Irish Journal of Medical Science [Journal]


A 5-year review of a pitch side radiology unit at an international sports stadium.

Ir J Med Sci 2019 Apr 17. Epub 2019 Apr 17.

Department of Radiology, Mater Misericordiae University Hospital, Dublin 7, Ireland.

Background: The increased strength and conditioning of elite athletes has led to greater potential for high impact injuries. With increasing concerns for player welfare, the decision to return to play after sustaining an on-field injury is complex.

Aim: Review of a 5-year experience of a pitch side radiology unit (PSRU) at a large international sports stadium. Read More

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http://link.springer.com/10.1007/s11845-019-02013-8
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http://dx.doi.org/10.1007/s11845-019-02013-8DOI Listing
April 2019
2 Reads

Smartphone and video game use and perceived effects in a community mental health service.

Ir J Med Sci 2019 Apr 17. Epub 2019 Apr 17.

Cluain Mhuire Community Mental Health Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland.

Background: Gaming is a growing area and there are conflicting reports on its harms and benefits. There is also increasing interest in the use of gaming clinically.

Aims: This research aims to enhance our understanding of video and smartphone game use, and perceptions, among outpatients attending an Irish general adult mental health service. Read More

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http://dx.doi.org/10.1007/s11845-019-02016-5DOI Listing

The effect of geodemographic factors on the attendance rates at a regional diabetic retinopathy treatment centre.

Ir J Med Sci 2019 Apr 18. Epub 2019 Apr 18.

Ophthalmology Department, Cork University Hospital, Cork, Ireland.

Aim: To determine whether geodemographic factors, specifically age, gender or commuting distance, affect the attendance rates of patients referred to a Diabetic Retinopathy Treatment (DRT) Centre from the Irish National Diabetic Retinal Screening (DRS) Programme.

Methods: A retrospective analysis of the first 1200 patients who were referred for ophthalmic assessment between November 2013 and June 2015 to Cork University Hospital's (CUH) DRT clinic from the DRS was completed.

Results: A total of 972 (81%) patients attended all their scheduled DRT appointments. Read More

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http://dx.doi.org/10.1007/s11845-019-02009-4DOI Listing
April 2019
1 Read

PERioperative Fluid Management in Elective ColecTomy (PERFECT)-a national prospective cohort study.

Ir J Med Sci 2019 Apr 13. Epub 2019 Apr 13.

Irish Surgical Research Collaborative, Royal College of Surgeons in Ireland, 123, St. Stephen's Green, Dublin 2, Ireland.

Background: There is contradictory evidence regarding the merits of restricted versus liberal perioperative intravenous (IV) fluid administration in bowel surgery. This study sought to audit perioperative fluid management in elective colectomy in Ireland and to analyse the impact of such on operative outcomes.

Methods: A national surgical trainee collaborative audit of perioperative fluid management was performed. Read More

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http://dx.doi.org/10.1007/s11845-019-02003-wDOI Listing

Implementation of outcome measurement (HoNOS) in an outpatient psychiatric clinic in Sligo/Leitrim mental health service.

Ir J Med Sci 2019 Apr 12. Epub 2019 Apr 12.

Clinical Outcomes Research, Institute of Psychiatry, Psychology and Neuroscience, London, UK.

Background: Routine clinical outcome monitoring (RCOM) is the standardised gathering of measures of clinical outcomes in everyday practice. HoNOS (Health of the Nation Outcome Scales) is a tool used in RCOM.

Aims: To examine (a) agreement between HoNOS and Global Assessment of Functioning (GAF), (b) HoNOS changes over time/attendance and (c) clinical parameters affecting HoNOS scores. Read More

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http://dx.doi.org/10.1007/s11845-019-02015-6DOI Listing

No indication for CALR mutation analysis in Irish patients presenting with deep vein thrombosis or pulmonary embolism.

Ir J Med Sci 2019 Apr 11. Epub 2019 Apr 11.

Cancer Molecular Diagnostics, Central Pathology Laboratory, St. James's Hospital, Dublin, Ireland.

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http://dx.doi.org/10.1007/s11845-019-02018-3DOI Listing
April 2019
1 Read

Antimicrobial resistance and prescribing for acute respiratory tract infections; where are we now?

Ir J Med Sci 2019 Apr 4. Epub 2019 Apr 4.

Graduate Entry Medical School, University of Limerick, Limerick, Ireland.

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http://dx.doi.org/10.1007/s11845-019-02017-4DOI Listing
April 2019
3 Reads

Laparoscopic ventral hernia repair with intraperitoneal onlay mesh-results from a general surgical unit.

Ir J Med Sci 2019 Apr 4. Epub 2019 Apr 4.

Department of Surgery, Midlands Regional Hospital, Tullamore, Republic of Ireland.

Background: Symptomatic ventral herniation is a common clinical presentation. The treatment, whether elective or as an emergency, can be difficult and a variety of surgical repairs are utilised. Intraperitoneal onlay mesh (IPOM) involves the placement of a reinforcing prosthesis, usually supported by primary closure of the defect. Read More

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http://dx.doi.org/10.1007/s11845-019-02012-9DOI Listing
April 2019
1 Read

Patient satisfaction with a multidisciplinary colorectal and urogynaecology service.

Ir J Med Sci 2019 Apr 3. Epub 2019 Apr 3.

Pelvic Floor Centre, St. Michael's Hospital, Dún Laoghaire, Dublin, Ireland.

Introduction: Traditionally, the pelvic floor has been described as three separate compartments and problems in each compartment were managed separately. A more contemporary approach is to identify the entire pelvic floor as a single dynamic compartment. Multidisciplinary pelvic floor clinics such as ours with the support of physiotherapy, clinical nurse specialists, urodynamics, and endo-anal ultrasound are uncommon. Read More

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http://dx.doi.org/10.1007/s11845-019-02010-xDOI Listing
April 2019
1 Read

Mood matters: a national survey on attitudes to depression.

Ir J Med Sci 2019 Apr 2. Epub 2019 Apr 2.

Department of Psychiatry, Trinity College Dublin, Dublin 24, Ireland.

Background: Depression is the leading contributor to the burden of disease worldwide. Stigma and negative attitudes to depression can act as barriers to treatment and to social inclusion. Understanding attitudes to depression and treatment has implications for individual outcomes and societal mental health. Read More

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http://dx.doi.org/10.1007/s11845-019-02014-7DOI Listing
April 2019
1 Read

Hypopituitarism post traumatic brain injury (TBI): review.

Ir J Med Sci 2019 Apr 1. Epub 2019 Apr 1.

Academic Department of Endocrinology, Beaumont Hospital, Beaumont Road, Dublin 9, Ireland.

Post-traumatic hypopituitarism (PTHP) is an important and relatively common complication of TBI (traumatic brain injury). A number of studies have shown that this clinical phenomenon can occur soon after TBI (acute) or later in the chronic phase. Patients with moderate to severe TBI are at a particular risk of developing PTHP. Read More

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http://link.springer.com/10.1007/s11845-019-02007-6
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http://dx.doi.org/10.1007/s11845-019-02007-6DOI Listing
April 2019
5 Reads

Improvement in health status with once-daily indacaterol/glycopyrronium 110/50 μg in COPD patients: real-world evidence from an observational study in Ireland.

Ir J Med Sci 2019 Mar 28. Epub 2019 Mar 28.

Novartis Ireland Limited, Vista Building, Elm Park, Merrion Road, Dublin 4, D04 A9N6, Ireland.

Aims: Indacaterol/glycopyrronium (IND/GLY) 110/50 μg is a once-daily (o.d.) fixed-dose combination of long-acting β-agonist/long-acting muscarinic antagonist approved in over 90 countries, including Ireland, for the management of COPD. Read More

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http://dx.doi.org/10.1007/s11845-019-02001-yDOI Listing

Patient-rated physician empathy and patient satisfaction during pain clinic consultations.

Ir J Med Sci 2019 Mar 27. Epub 2019 Mar 27.

Graduate Entry Medical School, University of Limerick, Limerick, Ireland.

Background: Little is known about the influence of patient-perceived healthcare provider empathy on patient satisfaction in the setting of a hospital pain clinic consultation. The objective of this research was to examine the relationship between patient-rated physician empathy and patient satisfaction after a single new pain clinic consultation.

Methods: After institutional ethics committee approval, a sample of 140 adult patients completed a two-page questionnaire, directly after a pain clinic consultation. Read More

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http://dx.doi.org/10.1007/s11845-019-01999-5DOI Listing

Polypropylene mesh and systemic side effects in inguinal hernia repair: current evidence.

Ir J Med Sci 2019 Mar 27. Epub 2019 Mar 27.

Department of Surgery, Tallaght University Hospital, Dublin, Ireland.

Introduction: Increasing awareness and regulatory body attention is directed towards the insertion of synthetic material for a variety of surgical procedures. This review aims to assess current evidence regarding systemic and auto-immune effects of polypropylene mesh insertion in hernia repair.

Methods: The electronic literature on systemic and auto-immune effects associated with mesh insertion was examined. Read More

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http://link.springer.com/10.1007/s11845-019-02008-5
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http://dx.doi.org/10.1007/s11845-019-02008-5DOI Listing
March 2019
1 Read

Prediction of postoperative delirium by comprehensive geriatric assessment among elderly patients with hip fracture.

Ir J Med Sci 2019 Mar 26. Epub 2019 Mar 26.

Psychiatric Department, China-Japan Friendship Hospital, Beijing, China.

Background: The purpose of this study is to investigate whether the preoperative comprehensive geriatric assessment (CGA) would predict postoperative delirium (POD) in elderly patients with hip fracture.

Methods: This is an observational study, performed in a tertiary hospital from June 2014 to May 2018, which enrolled patients with hip fracture aged over 65 years. The comprehensive geriatric assessment for recruited patients was carried out before surgery. Read More

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http://link.springer.com/10.1007/s11845-019-02011-w
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http://dx.doi.org/10.1007/s11845-019-02011-wDOI Listing
March 2019
5 Reads

Comparison of nursing aids and registered nurses mixed nursing staffing model with different ratios on the nursing outcomes and cost in Neurology and Neurosurgery Center.

Ir J Med Sci 2019 Mar 21. Epub 2019 Mar 21.

Department of Neurology, The 2nd Affiliated Hospital of Harbin Medical University, 246 Xuefu Road, Harbin, 150001, China.

Background: This study aimed to investigate the effect of nursing aids (NAs) and registered nurses (RNs) mixed nursing staffing model with different ratios on the nursing outcomes and cost in China.

Methods: Five thousand and ninety-one patients treated at Neurology and Neurosurgery Center were consecutively recruited in this study and divided into three groups according to the proportion of NAs and RNs: 100% RN group (N = 1756), 90% RN group (N = 1654), and 75% RN group (N = 1681). Nursing outcomes including medication error, unplanned endotracheal tube extubation, bloodstream infection, respiratory tract infection, urinary tract infection, pressure ulcer, ventilator weaning, morality, hospital stay, and nursing cost were recorded. Read More

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http://link.springer.com/10.1007/s11845-019-01988-8
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http://dx.doi.org/10.1007/s11845-019-01988-8DOI Listing
March 2019
5 Reads

Patient perspectives on nonoperative management of acute appendicitis.

Authors:
Hytham K S Hamid

Ir J Med Sci 2019 Mar 15. Epub 2019 Mar 15.

Department of Surgery, Soba University Hospital, Khartoum, Sudan.

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http://link.springer.com/10.1007/s11845-019-02004-9
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http://dx.doi.org/10.1007/s11845-019-02004-9DOI Listing
March 2019
2 Reads

Evidenced-based radiology? A single-institution review of imaging referral appropriateness including monetary and dose estimates for inappropriate scans.

Ir J Med Sci 2019 Mar 14. Epub 2019 Mar 14.

Mater Misericordiae University Hospital, Eccles St., Dublin, 7, Ireland.

Background: There has been a year on year increase in imaging requests at our academic institution. The iRefer guidelines are produced by the Royal College of Radiologists in the UK and are designed to prevent inappropriate imaging and radiation exposure. They have been available to general practitioners and hospital physicians in Ireland since March 2015. Read More

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http://dx.doi.org/10.1007/s11845-019-02005-8DOI Listing

Impact of a blizzard on an Irish Emergency Department.

Authors:
Laura Heffernan

Ir J Med Sci 2019 Mar 14. Epub 2019 Mar 14.

Department of Emergency Medicine, Tallaght University Hospital, Cookstown, Dublin 24, D24 NR0A, Ireland.

Aim: To examine the effect of a blizzard in March 2018 on presentations to TUH ED.

Methods: A retrospective descriptive study of ED records from 1-5th of March 2018.

Results: Of 479 presentations, 71 were related to the blizzard. Read More

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http://dx.doi.org/10.1007/s11845-019-02006-7DOI Listing

Profiling emergency department presentations of 14-15-year-olds in modern Ireland.

Ir J Med Sci 2019 Mar 12. Epub 2019 Mar 12.

Department of Paediatrics, University Hospital Limerick, Dooradoyle, Limerick, Ireland.

Background: Mid-adolescence, that twilight era when the human child transitions to adulthood, is an often overlooked developmental age yet harbours a subpopulation of patients with their own myriad of medical problems somewhat unique to their age group.

Aims: Our study is aimed at reviewing the typical presentations to a paediatric emergency department of modern Irish teenagers in mid-adolescence, the profile of which has changed significantly over the past 10 years.

Methods: Hospital electronic databases were used to conduct a retrospective review of the paediatric emergency department presentations of patients aged 14-15 years during the year of 2017. Read More

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http://link.springer.com/10.1007/s11845-019-02002-x
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http://dx.doi.org/10.1007/s11845-019-02002-xDOI Listing
March 2019
14 Reads

Nasal foreign bodies in the paediatric emergency department.

Ir J Med Sci 2019 Mar 11. Epub 2019 Mar 11.

Emergency Department, Our Lady's Children's Hospital Crumlin, Drimnagh Road, Dublin 12, Ireland.

Background: Nasal foreign body(-ies) (FB) cause local irritation, inflammation, and mucosal erosion and carry a potential risk of aspiration. The aim is to describe the management of nasal FBs in our Emergency Department (ED).

Method: A retrospective study of 100 sequential suspected nasal FB presentations to a tertiary paediatric ED. Read More

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http://dx.doi.org/10.1007/s11845-019-02000-zDOI Listing
March 2019
2 Reads

Serum amyloid A levels are associated with polymorphic variants in the serum amyloid A 1 and 2 genes.

Ir J Med Sci 2019 Mar 9. Epub 2019 Mar 9.

Centre for Public Health, Queen's University Belfast, Belfast, Northern Ireland.

Background: Serum amyloid A (SAA) is secreted by liver hepatocytes in response to increased inflammation whereupon it associates with high-density lipoprotein (HDL) and alters the protein and lipid composition of HDL negating some of its anti-atherogenic properties.

Aims: To identify variants within the SAA gene that may be associated with SAA levels and/or cardiovascular disease (CVD).

Methods: We identified exonic variants within the SAA genes by deoxyribonucleic acid (DNA) Sanger sequencing. Read More

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http://dx.doi.org/10.1007/s11845-019-01996-8DOI Listing
March 2019
1 Read
0.573 Impact Factor

How does the introduction of free GP care for children impact on GP service provision? A qualitative study of GPs.

Ir J Med Sci 2019 Mar 9. Epub 2019 Mar 9.

School of Medicine, University College Dublin, Belfield, Dublin, Ireland.

Background: Optimising child health in general practice is a key health service priority. In Ireland, where 23% of Ireland's population are aged under 16, GP consultations have historically involved a private fee or have been covered by Ireland's General Medical Services (GMS) scheme. In July 2015, this scheme was expanded so that free GP care was provided to all children aged under 6 years. Read More

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http://dx.doi.org/10.1007/s11845-019-01997-7DOI Listing

Deep vein thrombosis during long-term surveillance of patients with liver transplantation.

Authors:
Alice Balaceanu

Ir J Med Sci 2019 Mar 8. Epub 2019 Mar 8.

Internal Medicine Department, "Sf. Ioan" Clinical Emergency Hospital, "Carol Davila" University of Medicine and Pharmacy, Sos. Vitan-Bârzești nr. 13, Bucharest, Romania.

Background: In the European Liver Transplant Registry, there are 137,863 liver transplantations recorded. Forty-one percent of patients survived 20 years after liver transplantation in the European countries. From 1988, when the US database for liver transplantation was created, to 2006, there are more than 56,000 liver transplants. Read More

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http://dx.doi.org/10.1007/s11845-019-01998-6DOI Listing

Intensive Care Society of Ireland - Guidelines for management of the potential organ donor (2018-2nd edition).

Ir J Med Sci 2019 Mar 5. Epub 2019 Mar 5.

Department of Critical Care Medicine, Mater Misericordiae University Hospital, Dublin 7, Ireland.

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http://dx.doi.org/10.1007/s11845-019-01987-9DOI Listing

Postoperative thrombotic effects of tranexamic acid in open heart surgery.

Ir J Med Sci 2019 Feb 28. Epub 2019 Feb 28.

Department of Anesthesiology and Intensive Care, Health Sciences University Medical School, Istanbul, Turkey.

Background: Following the administration of tranexamic acid, the occurrence of thromboembolic events is a controversial issue.

Aims: In this retrospective cohort study, we aimed to determine the possible thromboembolic complications due to tranexamic acid as a prophylactic method in patients undergoing open heart surgery.

Methods: The data of 172 adult patients undergoing open heart surgery were analyzed. Read More

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http://link.springer.com/10.1007/s11845-019-01991-z
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http://dx.doi.org/10.1007/s11845-019-01991-zDOI Listing
February 2019
8 Reads

Ireland's Assisted Decision Making Capacity Act-the potential for unintended effects in critical emergencies: a cross-sectional study of Advanced Paramedic decision making.

Ir J Med Sci 2019 Feb 27. Epub 2019 Feb 27.

UCD Centre for Emergency Medical Science, UCD School of Medicine, Health Sciences Centre, Belfield, Dublin 4, Ireland.

Objective: Irish legislation on Advance Healthcare Directives (Assisted Decision Making Capacity Act 2015, ADMC) proposes to change the basis of decision making from acting in the patient's best interests to following the expressed will and intentions of the patient. Refusal of life-saving care can occur, without sound reasons. The implications for care in life-threatening emergencies have not been explored among clinicians. Read More

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http://dx.doi.org/10.1007/s11845-019-01994-wDOI Listing
February 2019

The effect of re-audit and education on antibiotic prescribing practice at Causeway Hospital, Northern Ireland.

Ir J Med Sci 2019 Feb 27. Epub 2019 Feb 27.

Department of Surgery, Northern HSC Trust, Causeway Hospital, 4 Newbridge Road, Coleraine, BT52 1HS, Northern Ireland.

Background: Antimicrobial resistance is a growing global problem. There has been increasing emphasis on promoting antimicrobial stewardship. Accurate completion of antibiotic prescriptions, such as documentation of clinical indication and a stop/review date, helps promote antimicrobial stewardship. Read More

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http://dx.doi.org/10.1007/s11845-019-01995-9DOI Listing
February 2019

A retrospective study (2001-2017) of acute and chronic morbidity and mortality associated with Staphylococcus aureus bacteraemia in a tertiary neonatal intensive care unit.

Ir J Med Sci 2019 Feb 25. Epub 2019 Feb 25.

Clinical Innovation Unit, Rotunda Hospital, Dublin 1, Ireland.

Background: Staphylococcus aureus bacteraemia (SAB) in NICU patients can cause significant morbidity and mortality.

Aims: To review early and late neonatal SAB with regard to risk factors, treatment, acute complications and long-term outcomes.

Methods: A retrospective study of laboratory confirmed SAB over a 16-year period (November 2001-January 2017) in a tertiary neonatal unit in Ireland. Read More

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http://link.springer.com/10.1007/s11845-019-01992-y
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http://dx.doi.org/10.1007/s11845-019-01992-yDOI Listing
February 2019
3 Reads

Antibacterial and antioxidant activities of traditional medicinal plants from the Erzurum region of Turkey.

Ir J Med Sci 2019 Feb 25. Epub 2019 Feb 25.

Faculty of Forestry, Department of Forest Industry Engineering, Kahramanmaras Sütcü Imam University, 46100, Kahramanmaraş, Turkey.

Background: In this study, 13 different extracts were investigated which are grown in the region of Erzurum.

Objective: The aim of this study was to screen various plant extracts that are known and used for medicinal purposes such as Ferula communis L., Rumex patientia L. Read More

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http://link.springer.com/10.1007/s11845-019-01993-x
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http://dx.doi.org/10.1007/s11845-019-01993-xDOI Listing
February 2019
6 Reads

Ethical dilemmas related to living donor liver transplantation in Asia.

Ir J Med Sci 2019 Feb 23. Epub 2019 Feb 23.

Department of Gastroenterology and Hepatology, Dr. Ziauddin University Hospital, Ziauddin University, Clifton, Karachi, Pakistan.

Living donor liver transplantation (LDLT) has evolved rapidly in Asia with good outcomes for both donor and recipient. Nonetheless, LDLT remains a highly demanding technique and complex surgery. The potential risks to the donors provide the basis for many of the ethical dilemmas associated with LDLT. Read More

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http://link.springer.com/10.1007/s11845-019-01989-7
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http://dx.doi.org/10.1007/s11845-019-01989-7DOI Listing
February 2019
4 Reads

Assessing suitability for sacubitril-valsartan therapy in an Irish cohort: challenges and opportunities.

Ir J Med Sci 2019 Feb 22. Epub 2019 Feb 22.

University Hospital Kerry, Tralee, Co. Kerry, Ireland.

Introduction: Sacubitril-valsartan has been shown by the PARADIGM-HF trial to decrease hospital admissions and improve mortality in patients with heart failure with reduced ejection fraction. The PARADIGM trial had stringent exclusion criteria. It is not known how applicable these trial criteria are to real-life practice. Read More

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http://dx.doi.org/10.1007/s11845-019-01990-0DOI Listing
February 2019

Why our doctors are leaving Irish emergency medicine training.

Ir J Med Sci 2019 Feb 18. Epub 2019 Feb 18.

Royal College of Physicians of Ireland, Dublin, Ireland.

Background: In recent years, attrition from Emergency Medicine (EM) training in Ireland has increased. Australian data illustrates that increasing numbers of Irish-trained doctors are embarking on EM training in Australia. This has implications for EM in Ireland, particularly for Emergency Departments already under strain. Read More

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http://dx.doi.org/10.1007/s11845-019-01976-yDOI Listing
February 2019

Arthroscopic anterior shoulder stabilisation in overhead sport athletes: 5-year follow-up.

Ir J Med Sci 2019 Feb 15. Epub 2019 Feb 15.

Department of Trauma & Orthopaedic Surgery, Galway University Hospitals, Galway, Ireland.

Introduction: Shoulder instability following traumatic glenohumeral dislocation is a common injury sustained by athletes particularly in contact and collision sports. Overhead contact sports such as gaelic football and hurling pose a unique hazard to the glenohumeral joint, increasing the risk of dislocation.

Aims: To assess return to sport, level of play, recurrence and functional outcomes in gaelic football and hurling athletes in comparison with players of other sports. Read More

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http://dx.doi.org/10.1007/s11845-019-01986-wDOI Listing
February 2019
1 Read

Acute multiple sclerosis lesion pathology does not predict subsequent clinical course-a biopsy study.

Ir J Med Sci 2019 Feb 15. Epub 2019 Feb 15.

Department of Neuropathology, Beaumont Hospital, Beaumont Road, Dublin, Ireland.

Background: Knowledge of the clinical outcome in tumefactive demyelination remains limited.

Aims: This study aims to characterise the natural history of biopsy-proven, pathogen-free, cerebral demyelination in an adult Irish population.

Methods: We identified all patients with biopsy-proven demyelination in a single neuropathology centre between 1999 and 2017. Read More

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http://dx.doi.org/10.1007/s11845-019-01983-zDOI Listing
February 2019
9 Reads

Impact of the CYP2D6 phenotype on hyperprolactinemia development as an adverse event of treatment with atypical antipsychotic agents in pediatric patients.

Ir J Med Sci 2019 Feb 15. Epub 2019 Feb 15.

Discipline of Medical Genetics, Department of Microscopic Morphology, Victor Babeş University of Medicine and Pharmacy Timișoara, Timișoara, Romania.

Background: Treatment with atypical antipsychotics is today the election therapy for different types of psychosis, but there is a high incidence of endocrine and metabolic disturbances. One of the major enzymes involved in the metabolism of antipsychotics is CYP2D6. Depending on the existing CYP2D6 alleles, the metabolic capacity of the enzyme may vary from very low to very high, so that patients can be grouped into four phenotypic groups: slow, intermediate, extensive (normal), and fast metabolizers. Read More

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http://dx.doi.org/10.1007/s11845-019-01985-xDOI Listing
February 2019
1 Read

Twenty-four-hour urine NE level as a predictor of the therapeutic response to metoprolol in children with recurrent vasovagal syncope.

Ir J Med Sci 2019 Feb 13. Epub 2019 Feb 13.

Department of Pediatrics, Qilu Hospital, Shandong University, No. 107 Wenhuaxi Road, Jinan, 250012, Shandong Province, China.

Background: Vasovagal syncope (VVS) is a heterogeneous disorder that creates challenges for treatment. Metoprolol is an important therapeutic option for children with VVS.

Aims: The study examined the predictive value of 24-h urine norepinephrine (NE) levels in the assessment of the therapeutic efficacy of metoprolol for recurrent VVS in children. Read More

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http://dx.doi.org/10.1007/s11845-019-01979-9DOI Listing
February 2019
1 Read

Overexpression of apoptosis-related protein, survivin, in fibroblasts from patients with systemic sclerosis.

Ir J Med Sci 2019 Feb 13. Epub 2019 Feb 13.

Rheumatology Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Background/objectives: Recent studies suggest that, in addition to activation and hypersecretion of matrix components, fibroblasts from patients with systemic sclerosis (SSc) are resistant to apoptosis. Previous studies have shown that survivin, a member of inhibition of apoptosis (IAP) family, plays an important role in apoptosis resistance. Accordingly, we decided to study the expression of the most important members of IAP family in SSc fibroblasts, which can block apoptosis either by binding and inhibiting caspases or through caspase-independent mechanisms. Read More

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http://link.springer.com/10.1007/s11845-019-01978-w
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http://dx.doi.org/10.1007/s11845-019-01978-wDOI Listing
February 2019
1 Read

Quantification of the impact of interventional radiology in the management of acute pancreatitis.

Ir J Med Sci 2019 Feb 13. Epub 2019 Feb 13.

Department of Radiology, Tallaght University Hospital, Dublin 24, Ireland.

Objectives: Interventional radiology plays a central role in the management of complicated acute pancreatitis, contributing to image-guided drainages, treating haemorrhagic complications and maintaining the patency of the biliary tree. In addition, many of these patients require long-term venous access for antibiotics or parenteral feeding. The aim of this study was to evaluate the role and level of involvement of the interventional radiology in this sub-group of patients. Read More

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http://dx.doi.org/10.1007/s11845-019-01970-4DOI Listing
February 2019
2 Reads

An analysis of childhood consultations in general practice: a multi-practice study.

Ir J Med Sci 2019 Feb 12. Epub 2019 Feb 12.

University of Limerick Graduate Entry Medical School, Castletroy, Limerick, Ireland.

Background: The majority of illnesses in children are managed by general practitioners (GPs) and there is a need for up to date data on consultations with children in order to improve healthcare service planning and allocation of resources.

Aims: To investigate the presenting symptoms, diagnoses and actions taken by the GP at consultations with children in general practice.

Methods: Senior medical students on general practice placement and their GP supervisors used practice management software to collect data on 100 randomly selected patients aged between 12 months and 14 years of age in each practice. Read More

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http://link.springer.com/10.1007/s11845-019-01982-0
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http://dx.doi.org/10.1007/s11845-019-01982-0DOI Listing
February 2019
1 Read

Utilisation of critical care services for surgical patients in a model three hospital.

Ir J Med Sci 2019 Feb 9. Epub 2019 Feb 9.

Department of General Surgery, Mayo University Hospital, Castlebar, Co. Mayo, Ireland.

Background: The demand for intensive care unit (ICU) beds in the surgical population has increased in recent years. This is due to increased complexity of operative interventions, development of critical care services and improved availability of technologies. The number of beds in ICUs nationwide remains limited. Read More

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http://link.springer.com/10.1007/s11845-019-01981-1
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http://dx.doi.org/10.1007/s11845-019-01981-1DOI Listing
February 2019
5 Reads

GDPR: an impediment to research?

Ir J Med Sci 2019 Feb 8. Epub 2019 Feb 8.

Beaumont Hospital Ethics (Medical Research) Committee, Beaumont Hospital, Dublin, Ireland.

Background: The recent introduction of the General Data Protection Regulation and Health Research Regulations has been an area of significant concern for those engaged in clinical research. These European regulations, following subsequent interpretation by Ireland's Department of Health, now place Ireland in a unique position which differs substantially from other European countries and may prove a significant impediment to Irish clinical research, depriving Irish patients of timely access to potentially life-saving treatments and making Ireland less attractive to pharmaceutical companies engaged in this area. At the very least, the regulations, as applied in Ireland, will place a significant extra burden of work on Ireland's clinical researchers and at their worst will force individuals and institutions out of the clinical research field, which will result in significant loss to the Irish knowledge economy and lead to the detriment of patient care. Read More

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http://link.springer.com/10.1007/s11845-019-01980-2
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http://dx.doi.org/10.1007/s11845-019-01980-2DOI Listing
February 2019
9 Reads

The long-term outcomes following internal fixation for intracapsular hip fractures in an Irish tertiary referral centre.

Ir J Med Sci 2019 Feb 2. Epub 2019 Feb 2.

Department of Trauma and Orthopaedic Surgery, University Hospital Galway, Galway, Ireland.

Background: The burden associated with hip fractures is increasing worldwide. Arthroplasty procedures are more commonly performed for intracapsular fractures due to increased risk of compromise to the femoral head blood supply. However, we know from the Irish Hip Fracture Database that a significant proportion of these fractures undergo internal fixation. Read More

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http://dx.doi.org/10.1007/s11845-019-01972-2DOI Listing
February 2019
4 Reads

Ward stories: lessons learned from patient perception of the ward round.

Ir J Med Sci 2019 Feb 2. Epub 2019 Feb 2.

St Vincent's University Hospital, Dublin, Ireland.

Introduction: Ward rounds (WR) are an invaluable part of the hospital day allowing for daily assessment of each patient and their treatment, perhaps the most crucial role of the WR is information transfer.

Purpose: This study investigated inpatient's perception of the cardiology and urology WR; in particular, it examined patient-doctor communication.

Methods: Inpatients were interviewed to explore pertinent areas concerning the WR; a questionnaire was subsequently developed which analysed four aspects: information-giving and communication, emotional reaction, professionalism, and privacy. Read More

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http://link.springer.com/10.1007/s11845-019-01975-z
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http://dx.doi.org/10.1007/s11845-019-01975-zDOI Listing
February 2019
1 Read

The role of real-time PCR testing in the investigation of paediatric patients with community-onset osteomyelitis and septic arthritis.

Ir J Med Sci 2019 Jan 31. Epub 2019 Jan 31.

Irish Meningitis and Sepsis Reference Laboratory, Temple Street Children's University Hospital, Dublin 1, Ireland.

Background: Culture yield in osteomyelitis and septic arthritis is low, emphasising the role for molecular techniques.

Aims: The purpose of this study was to review the laboratory investigation of childhood osteomyelitis and septic arthritis.

Methods: A retrospective review was undertaken in an acute tertiary referral paediatric hospital from January 2010 to December 2016. Read More

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http://link.springer.com/10.1007/s11845-019-01973-1
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http://dx.doi.org/10.1007/s11845-019-01973-1DOI Listing
January 2019
4 Reads

Clinical impact of rapid polymerase chain reaction (PCR) test for group B Streptococcus (GBS) in term women with ruptured membranes.

Ir J Med Sci 2019 Jan 31. Epub 2019 Jan 31.

Department of Microbiology, National Maternity Hospital, Holles Street, Dublin 2, Ireland.

Background: Early-onset group B Streptococcus (EOGBS/GBS) infection remains a significant cause of neonatal morbidity and mortality.

Aims: Aiming to improve antimicrobial stewardship and reduce unnecessary maternal and infant exposure to intrapartum antibiotic prophylaxis (IAP), this study assessed the clinical use of a commercially available GBS polymerase chain reaction (PCR) assay for term women with pre-labour rupture of membranes.

Methods: This was a retrospective study in a tertiary level maternity unit of term women with pre-labour rupture of membranes (ROM), without any clinical suspicion of infection performed between November and December 2017. Read More

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http://dx.doi.org/10.1007/s11845-019-01977-xDOI Listing
January 2019

Incidence and outcome of interrupted geriatric rehabilitation requiring acute hospital transfer.

Ir J Med Sci 2019 Jan 25. Epub 2019 Jan 25.

Department of Medicine for the Elderly, St Mary's Hospital, Phoenix Park, Dublin, Ireland.

Background And Aims: Elderly rehabilitation programs provide a period of rehabilitation to optimize a safe home discharge after acute hospitalization of older adults. Often, these patients may have their rehabilitation interrupted when they become unwell and subsequently require transfer back to an acute hospital setting. We will look at the incidence and outcome of this interruption. Read More

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http://dx.doi.org/10.1007/s11845-019-01974-0DOI Listing
January 2019
3 Reads

Spectrum of rhabdomyolysis in an acute hospital.

Ir J Med Sci 2019 Jan 24. Epub 2019 Jan 24.

Department of Nephrology, Tallaght University Hospital, Dublin 24, Ireland.

Rhabdomyolysis is a state of muscle necrosis with the hallmark being elevated creatine kinase that may cause acute kidney injury with serious consequences. It happens in many clinical settings. We sought to investigate all cases of rhabdomyolysis admitted to an acute hospital in Ireland over one calendar year. Read More

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http://link.springer.com/10.1007/s11845-019-01968-y
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http://dx.doi.org/10.1007/s11845-019-01968-yDOI Listing
January 2019
3 Reads

Packing versus mushroom catheters following incision and drainage in anorectal abscess.

Ir J Med Sci 2019 Jan 23. Epub 2019 Jan 23.

Department of Surgery, Cork University Hospital, Wilton Road, Cork, Ireland.

Purpose: Management of anorectal abscess is traditionally by incision and drainage with packing. This study assessed the use of mushroom catheters compared with packing of anorectal abscess after incision and drainage in adults. Placement of a mushroom catheter to allow ongoing drainage of the cavity may have advantages by eliminating the need for painful dressing changes. Read More

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http://link.springer.com/10.1007/s11845-018-01958-6
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http://dx.doi.org/10.1007/s11845-018-01958-6DOI Listing
January 2019
35 Reads

Room 101: are gender-specific cigarette packets the way forward?

Ir J Med Sci 2019 Jan 21. Epub 2019 Jan 21.

Hauora Tairawhiti, Gisborne, New Zealand.

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http://dx.doi.org/10.1007/s11845-019-01971-3DOI Listing
January 2019
5 Reads