A preliminary audit of medical and aid provision in English Rugby union clubs: compliance with Regulation 9
ConclusionThe proportion of clubs not adhering overall compliance with Regulation 9 of the RFU is concerning for player welfare, and an overhaul, nationally, is required. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - July 16, 2019 Category: General Medicine Source Type: research

The role of a companion attending consultations with the patient. A systematic review
ConclusionTriadic communication can be advantageous in medical encounters; however, as differences exist depending on the individual medical setting, caution should be asserted in generalising findings. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - July 16, 2019 Category: General Medicine Source Type: research

An investigation into nature and extent of errors within the Irish Vital Statistics mortality database
(Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - July 16, 2019 Category: General Medicine Source Type: research

Cannabis versus combination chemotherapy; n  = 1 trial in Hodgkin’s lymphoma
(Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - July 16, 2019 Category: General Medicine Source Type: research

Social inclusion in the Irish health context: Policy and stakeholder mapping
ConclusionsThe concept of social inclusion was being operationalised in the Irish policy context. A multitude of stakeholders were involved, reflecting the wide reach of this concept in society. Social inclusion was a particularly important concept in the realm of health, and in the primary care domain in particular. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - July 13, 2019 Category: General Medicine Source Type: research

Utilization and appropriateness in cervical spine trauma imaging: implementation of clinical decision support criteria
ConclusionIntroduction of clinical indication criteria to the electronic ordering system for cervical spine radiographs in trauma patients reduced the total number of requests by 30.7% while increasing the proportion which were indicated to 99.2%. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - July 10, 2019 Category: General Medicine Source Type: research

Supervised exercise for cardiovascular rehabilitation —the Limerick programme
(Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - July 9, 2019 Category: General Medicine Source Type: research

Interns as medical educators: student and intern experiences from the intern-delivered teaching program at University Hospital Limerick
ConclusionsParticipation in intern-delivered teaching leads to clinical and educational benefits for both students and interns. However, several logistical barriers were identified and require refinement. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - July 8, 2019 Category: General Medicine Source Type: research

A novel approach using 3-D printing in the Irish National Centre for pelvic and acetabular surgery
ConclusionsWhilst the authors recognize the positive subjective findings with respect to the use of 3-D printing in pelvic and acetabular trauma in our National Centre, objective findings were lacking. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - July 6, 2019 Category: General Medicine Source Type: research

A cross-sectional survey of services for young adults with life-limiting conditions making the transition from children ’s to adult services in Ireland
ConclusionsThe findings demonstrate that caring for young adults with life-limiting conditions presents a considerable challenge to organisations and that transition from children ’s to adult services is an important part of this challenge. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - July 4, 2019 Category: General Medicine Source Type: research

Correction to: PERioperative Fluid Management in Elective ColecTomy (PERFECT) —a national prospective cohort study
The above article originally published with Christina Fleming and Irish Surgical Research Collaborative listed in the authorship line. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - July 3, 2019 Category: General Medicine Source Type: research

Automated quantification of foveal avascular zone and vascular density in Beh çet’s disease
ConclusionIn the patients with BD, OCTA showed decreased VD in both the superficial and deep retinal vascular networks. Besides, the VA was correlated with the VD and FAZ. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - July 2, 2019 Category: General Medicine Source Type: research

Proceedings of the Psychiatry Section of the Royal Academy of Medicine in Ireland (RAMI) and the Faculty of Academic Psychiatry of the College of Psychiatrists of Ireland, BST and HST competition. Venue: Albert Theatre, Royal College of Surgeons, 123, St. Stephen ’s Green, Dublin 2 on Thursday 30 th May 2019
(Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - July 1, 2019 Category: General Medicine Source Type: research

Awareness of atrial fibrillation —effectiveness of a pilot national awareness campaign
AbstractBackgroundAlthough atrial fibrillation (AF) causes one-third of strokes in Ireland, studies have shown that public awareness and knowledge of AF are poor. The Irish Heart Foundation conducted a national AF awareness campaign in 2013.AimsThe aim of this study was to assess the effectiveness of the campaign in promoting awareness of AF in the general Irish population, by analyzing knowledge of AF at a population level pre- and post-campaign.MethodsTwo thousand people were surveyed before the campaign to establish baseline knowledge, and the survey was then repeated in a sample of 1000 people in 2  months after t...
Source: Irish Journal of Medical Science - June 29, 2019 Category: General Medicine Source Type: research

Irish Maternal Early Warning Score
AbstractEarly Warning Systems (EWS) track the physiological parameters of individual patients and trigger a response when the parameter threshold has been reached. The use of early warning scores in adult hospital medicine has been shown to be beneficial in facilitating the early recognition of the deteriorating patient, thereby enabling prompt treatment. In 2012, a standardised National Early Warning Score was introduced in Ireland for all non-pregnant patients. The 2007 Confidential Enquiry into Maternal and Child Health recommended that EWS be introduced into maternity practice. However, the unique physiological changes...
Source: Irish Journal of Medical Science - June 28, 2019 Category: General Medicine Source Type: research

Development of a simulation-based sub-module in undergraduate medical education
ConclusionsThe module descriptor devised can be used as a template for further curricular reform. Simulation-based teaching is feasible in the undergraduate setting and may ease the transition to postgraduate teaching modalities. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - June 26, 2019 Category: General Medicine Source Type: research

Stature estimation from foot anthropometric measurements in Bangladeshi population
This study was conducted in selected 150 male and 150 female subjects within the range of 18 to 60  years randomly. From each subject, stature and seven-foot measurements were taken by applying the standard technique. Stature was estimated from foot measurements by using linear and multiple regression equations.ResultsThe result showed that each foot measurement was significantly (p 
Source: Irish Journal of Medical Science - June 22, 2019 Category: General Medicine Source Type: research

The adequacy of lymph node clearance in colon cancer surgery performed in a non-specialist centre; implications for practice
AbstractBackgroundDespite recent medical advances, surgery remains the mainstay treatment in colon cancer. It is well established that better patient outcomes are achieved when complex surgery including pancreatic, oesophageal and rectal surgeries are carried out in high-volume centres. However, it is unclear as to whether or not colon cancer patients receive the same benefit. Lymph node adequacy is a key performance indicator of successful oncological colonic resection which impacts on patient outcome.AimTo assess the adequacy of lymph node clearance during colonic resection performed with curative intent in a non-special...
Source: Irish Journal of Medical Science - June 19, 2019 Category: General Medicine Source Type: research

Outcomes of endoscopic orbital decompression for graves ’ ophthalmopathy
ConclusionsEndoscopic orbital decompression offers an effective, safe and minimally invasive treatment for Graves ’ ophthalmopathy. There is a trend towards continued improvement in outcomes over the course of 3 months post-operatively. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - June 16, 2019 Category: General Medicine Source Type: research

A case of Capnocytophaga canimorsus meningitis and bacteraemia
We report a case ofC. canimorsus meningitis and bacteraemia, and give a review of the relevant literature. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - June 15, 2019 Category: General Medicine Source Type: research

National rotavirus vaccination programme implementation and gastroenteritis presentations: the paediatric emergency medicine perspective
AbstractBackgroundThroughout the developed world, the introduction of rotavirus vaccination has led to reductions in the incidence and severity of acute gastroenteritis (AGE) in young children and consequently to reductions in paediatric emergency department (PED) attendances with AGE. Rotavirus vaccination was added to the Irish National Immunisation Schedule in November 2016.AimsTo assess the impact of vaccine introduction on citywide PED attendances and hospital admissions with all-cause AGE during rotavirus season.MethodsIn an observational study, a retrospective search was performed of electronic records in three inde...
Source: Irish Journal of Medical Science - June 13, 2019 Category: General Medicine Source Type: research

Clinical experience with trans-catheter aortic valve implantation at a tertiary hospital in the Republic of Ireland
ConclusionThis study documents low complication rates and favourable rates of survival following TAVI in a consecutive series of patients undergoing TAVI at a tertiary referral centre in the Republic of Ireland. These data support the application of this therapy in the Irish context. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - June 13, 2019 Category: General Medicine Source Type: research

What are the current ‘top five’ perceived educational needs of Irish general practitioners?
ConclusionOur findings identified priority areas where CME and CPD for GPs in Ireland should focus. The topics selected may reflect the changing nature of general practice, which increasingly requires delivery of care to an ageing population with more multi-morbidity and chronic disease management, while trying to apply evidence-based medicine and consider patient safety issues. CME/CPD programmes need to adapt accordingly. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - June 12, 2019 Category: General Medicine Source Type: research

Attention deficit hyperactivity disorder (ADHD) in children with epilepsy
ConclusionChildren with epilepsy have more attention problems as compared with healthy controls. ADHD in childhood epilepsy is associated with male sex, younger age, early first onset age, high frequency of epileptic seizures, and multiple AEDs. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - June 11, 2019 Category: General Medicine Source Type: research

Does physical exercise improve quality of life in patients with fibromyalgia?
ConclusionsOur results reinforce the understanding that exercise can reduce symptoms of fibromyalgia and suggests that patients who practice physical exercise have a better quality of life, with fewer depressive symptoms and absences from work, and better sense of well-being. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - June 4, 2019 Category: General Medicine Source Type: research

Scintigraphic assessment of arterial embolism at mixed thrombin and technetium 99m injection therapy for femoral pseudoaneurysms
ConclusionTechnetium 99m is routinely deposited in the arterial circulation following injection of a mixture of thrombin and technetium for therapy of common femoral artery pseudoaneurysms. This suggests that arterial passage of thrombin is more common than clinically evident. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - June 4, 2019 Category: General Medicine Source Type: research

The effect of nicorandil in patients with acute myocardial infarction undergoing percutaneous coronary intervention: a systematic review and meta-analysis
AbstractAimsTo study the effect of nicorandil on prognosis of patients with acute myocardial infarction (AMI) undergoing percutaneous coronary intervention (PCI).MethodsWe retrieved literatures from Web of Science, Pubmed, Embase, and Cochrane Library. The retrieval time was limited from inception to December 2018.ResultsNineteen randomized controlled trials involving 2176 patients were finally selected for this study. Meta-analysis showed that nicorandil can significantly reduce corrected TIMI frame count (cTFC) (WMD  = − 5.27; 95% CI (− 6.61, − 3.93);P 
Source: Irish Journal of Medical Science - May 30, 2019 Category: General Medicine Source Type: research

Pyogenic liver abscesses due to Escherichia coli are still related to worse outcomes
AbstractBackgroundIn western countries, there has been a gradual shift fromEscherichia coli toKlebsiella pneumoniae as an emerging pathogen isolated from pyogenic liver abscesses (PLA).AimsTo compare outcomes between patients withEscherichia coli liver abscesses and non –Escherichia coli liver abscesses in terms of mortality.MethodsOne hundred nine-three consecutive hospital admissions of Pyogenic liver abscesses were analyzed, mean age 66.9  years old (± 13.6), 112 men (58%). The sample was divided into two groups:E. coli liver abscesses and non –E. coli liver abscesses. The etiologic, clini...
Source: Irish Journal of Medical Science - May 29, 2019 Category: General Medicine Source Type: research

A radiographic clinic for developmental dysplasia of the hip (DDH)
We describe the first radiographic clinic in the literature for DDH and how this novel clinic can significantly improve the efficiency and cost-effectiveness of service in a tertiary referral centre.AimsA radiographic clinic for the management of developmental dysplasia of the hip was introduced in 2017 in our institution. We performed a detailed cost analysis to assess the economic savings made with the introduction of this new clinic. We assessed the efficiency of the service by identifying how many unnecessary outpatient visits were prevented. We also assessed the difference in times from referral to review between the ...
Source: Irish Journal of Medical Science - May 25, 2019 Category: General Medicine Source Type: research

A multidisciplinary approach to reproductive healthcare in women with rheumatic disease
ConclusionWe describe the first published  evidence-based integrated multidisciplinary reproductive care pathway for women with RDs and the results of this approach. Seventy percent of women successful in trying to conceive delivered a healthy baby, and 90% of patients were ‘very satisfied’ with the service. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - May 25, 2019 Category: General Medicine Source Type: research

An analysis of whiplash injury outcomes in an Irish population: a retrospective fifteen-year study of a spine surgeon ’s experience
ConclusionWhiplash poses a significant societal economic burden in Ireland and was associated with prolonged symptoms including neck pain and upper limb neuropathic symptoms in this cohort. Associated low-back pain was common. Litigation was linked with presentation in all cases. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - May 22, 2019 Category: General Medicine Source Type: research

Improvements in cardiac function detected using echocardiography in patients with hereditary haemochromatosis
ConclusionAmong all measurements, radial strain, IVRT and left atrial force were shown to significantly improve following a 1-year course of venesection, suggesting that these parameters could be used to identify subclinical cardiac dysfunction in patients with iron overload secondary to hereditary haemochromatosis and to guide intensification of venesection therapy. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - May 20, 2019 Category: General Medicine Source Type: research

Knowledge, attitudes and behaviours in relation to skin cancer prevention
ConclusionUrgent action is needed to promote skin cancer prevention. This study adds to the evidence that melanoma prevention strategies should preferentially target tanning attitudes rather than skin cancer knowledge. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - May 18, 2019 Category: General Medicine Source Type: research

Perception of health-related case studies in the context of introduction to clinical medicine course: students ’ and teachers’ perspective
AbstractBackgroundIntegrating theoretical and practical knowledge and stimulating students ’ active learning is the most important task of modern and high-quality healthcare education. By analyzing clinical cases, undergraduate medical students are trained to make accurate diagnoses, to choose appropriate therapy based on laboratory results and on adequate diagnostic tests.AimTo examine the effect of clinical cases presentations on short-term memory as well as on the student ’s and teachers’ evaluation of this method of teaching and learning in undergraduate medical studies.MethodsA total of 107 students ...
Source: Irish Journal of Medical Science - May 18, 2019 Category: General Medicine Source Type: research

Use of a novel corrective device for correction of deformities in adolescent idiopathic scoliosis
ConclusionsThe link rod system allows for excellent correction of spinal deformity and a short operative time. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - May 18, 2019 Category: General Medicine Source Type: research

A comparison of outcomes of eversion versus conventional carotid endarterectomy: one centre experience
ConclusionThese two carotid endarterectomy techniques are equivalent in terms of outcome, but ECEA can be performed in a significantly shorter operative time and reduces need for shunting. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - May 17, 2019 Category: General Medicine Source Type: research

Comprehensive evaluation of irisin levels in fetomaternal circulation of pregnant women with obesity or gestational diabetes mellitus
AbstractAimTo evaluate maternal and cord blood irisin levels in pregnant women with gestational diabetes mellitus (GDM) and in obese pregnant women without GDM.MethodsThe study included 109 patients, with 34 patients in the GDM group, 40 in the obese non-GDM group, and 35 in the control group. Maternal serum irisin levels at the time of delivery were measured by an enzyme-linked immunosorbent assay kit. The correlation of serum irisin levels with metabolic parameters and anthropometric measurements was analyzed.ResultsThere were significant differences between the study groups in terms of cord arterial, cord venous, and ma...
Source: Irish Journal of Medical Science - May 17, 2019 Category: General Medicine Source Type: research

Myasthenia gravis and pregnancy: retrospective evaluation of 27 pregnancies in a tertiary center and comparison with previous studies
AbstractBackground and aimTo share our experience with the management of pregnancies in women with myasthenia gravis (MG) in a tertiary center.MethodsThe study retrospectively evaluated 27 pregnancies in 12 patients. The pregnancies were divided into 3 groups on the basis of the clinical course of MG during pregnancy: improvement (n = 7), disease-stable (n = 9), and deterioration (n = 11). The groups were compared with respect to patient characteristics, clinical features, and obstetric outcomes.ResultsThere were 4 miscarriages (14.8%), 3 preterm births (11.1%), and 4 cases of pret...
Source: Irish Journal of Medical Science - May 9, 2019 Category: General Medicine Source Type: research

ICORG 06-35: a prospective evaluation of PET-CT scan in patients with non-operable or non-resectable non-small cell lung cancer treated by radical 3-dimensional conformal radiation therapy: a phase II study
AbstractBackgroundRadiotherapy (RT) is a key treatment modality in the curative treatment of patients with non-small cell lung cancer (NSCLC). Incorrect definition of the gross, or clinical, target volume is a common source of error which can lead to a reduced probability of tumour control.ObjectiveThis was a pilot and a phase II study. The pilot evaluated the technical feasibility of integrating positron emission tomography –computed tomography (PET-CT) fusion. The primary outcome of the phase II study was to evaluate the safety of PET-CT scan–based RT by evaluating the rate of loco-regional recurrence outside...
Source: Irish Journal of Medical Science - May 6, 2019 Category: General Medicine Source Type: research

Osteosarcoma and second malignant neoplasms: a case series
We present three cases of patients definitively treated for osteosarcoma who subsequently developed a second malignant neoplasm. The first case describes a 17-year-old female with osteosarcoma of her right femur treated with surgical resection and perioperative chemotherapy. Ten years later, she was diagnosed with metastatic HER2-positive breast cancer. Genetic testing identified a germline TP53 mutation, confirming the presence of Li-Fraumeni syndrome. The second case details an 18-year-old male with osteosarcoma of his right humerus treated with definitive resection and perioperative chemotherapy. He was diagnosed with a...
Source: Irish Journal of Medical Science - May 3, 2019 Category: General Medicine Source Type: research

Largest known malignant solitary fibrous tumour of the pleura-extended resection warranting cardiopulmonary bypass support
AbstractThis case reports the largest known malignant solitary fibrous tumour of the pleura treated with en bloc surgical resection warranting the use of cardiopulmonary bypass support. A 60-year-old male presented with dyspnoea and a dry cough. Following extensive investigations, a radiological and histologic diagnosis of malignant solitary fibrous tumour of the pleura was made. This 4.3  kg tumour occupied the entire left hemithorax, involved the left lung and infiltrated into the pericardial cavity. Although the postoperative course was uneventful with a 12-day length of stay, the patient opted not to undergo adjuv...
Source: Irish Journal of Medical Science - April 24, 2019 Category: General Medicine Source Type: research

The effect of geodemographic factors on the attendance rates at a regional diabetic retinopathy treatment centre
AbstractAimTo 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.MethodsA 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.ResultsA total of 972 (81%) patients attended all their scheduled DRT appointments. The attendance rates for those living in counties Cork an...
Source: Irish Journal of Medical Science - April 18, 2019 Category: General Medicine Source Type: research

Smartphone and video game use and perceived effects in a community mental health service
ConclusionsThere is an opportunity to deliver interventions to Irish mental health service outpatients through smartphone and video games. Our small study suggests this to be underutilised currently. As more frequent users, perhaps younger individuals would most benefit from gamification of interventions and the use of existing games that have possible physical and mental health benefits. This requires further research. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - April 17, 2019 Category: General Medicine Source Type: research

A 5-year review of a pitch side radiology unit at an international sports stadium
ConclusionThe PSRU at the Aviva international sports stadium is well utilized and allows for a rapid diagnosis of osseous injuries sustained on the field of play. It provides a useful adjunct to the pitch side clinical assessment by medical staff. It provides a privacy and strategic advantage to players compared with hospital-based services. Consideration should be given to installing similar PSRUs at major sports stadiums around the world. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - April 17, 2019 Category: General Medicine Source Type: research

PERioperative Fluid Management in Elective ColecTomy (PERFECT) —a national prospective cohort study
ConclusionOverall, perioperative fluid management was within an acceptable range with minimal impact on 30-day morbidity following elective colorectal surgery. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - April 13, 2019 Category: General Medicine Source Type: research

Implementation of outcome measurement (HoNOS) in an outpatient psychiatric clinic in Sligo/Leitrim mental health service
AbstractBackgroundRoutine 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.AimsTo examine (a) agreement between HoNOS and Global Assessment of Functioning (GAF), (b) HoNOS changes over time/attendance and (c) clinical parameters affecting HoNOS scores.MethodsData from outpatient clinics were collected at each contact over 2  years until June 2016 including: gender, age, diagnosis (ICD-10) and HoNOS scores. In a subsample, the GAF also were completed by community psychiatric nurses b...
Source: Irish Journal of Medical Science - April 12, 2019 Category: General Medicine Source Type: research

No indication for CALR mutation analysis in Irish patients presenting with deep vein thrombosis or pulmonary embolism
(Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - April 11, 2019 Category: General Medicine Source Type: research

Laparoscopic ventral hernia repair with intraperitoneal onlay mesh —results from a general surgical unit
ConclusionsIPOM for the general surgeon is a relatively safe and effective method of repairing ventral hernias, with a low recurrence rate. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - April 4, 2019 Category: General Medicine Source Type: research

Antimicrobial resistance and prescribing for acute respiratory tract infections; where are we now?
(Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - April 4, 2019 Category: General Medicine Source Type: research

Laparoscopic ventral hernia repair with intraperitoneal only mesh —results from a general surgical unit
ConclusionsIPOM for the general surgeon is a relatively safe and effective method of repairing ventral hernias, with a low recurrence rate. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - April 4, 2019 Category: General Medicine Source Type: research