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

Patient satisfaction with a multidisciplinary colorectal and urogynaecology service
ConclusionThere is a high level of satisfaction amongst women attending our outpatient service. Being seen by multiple specialities at a single clinic was felt to be of benefit by the majority of women and all expressed physician confidence. Our multidisciplinary service may reduce waiting times, increase satisfaction, and is likely cost-effective. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - April 3, 2019 Category: General Medicine Source Type: research

Mood matters: a national survey on attitudes to depression
AbstractBackgroundDepression 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.AimsTo explore public attitudes to, and management of depression, including lifestyle factors, medication, and psychotherapy.MethodsA nationally representative online population survey of Irish adults was conducted by RED C.ResultsNine hundred ninety-one people completed the survey. The majority thought that depres...
Source: Irish Journal of Medical Science - April 2, 2019 Category: General Medicine Source Type: research

Hypopituitarism post traumatic brain injury (TBI): review
AbstractPost-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. In the acute setting, it is important to monitor patients for hypoadrenalism as this confers a high risk for morbidity and even mortality. The gonadotrophin, growth hormone and TSH deficiencies are better defined in the chronic phase. Untreated PTHP can lead to delayed recovery, impaired reha...
Source: Irish Journal of Medical Science - April 1, 2019 Category: General Medicine Source Type: research

Improvement in health status with once-daily indacaterol/glycopyrronium 110/50  μg in COPD patients: real-world evidence from an observational study in Ireland
AbstractAimsIndacaterol/glycopyrronium (IND/GLY) 110/50  μg is a once-daily (o.d.) fixed-dose combination of long-acting β2-agonist/long-acting muscarinic antagonist approved in over 90 countries, including Ireland, for the management of COPD. The present study was conducted to evaluate health status of COPD patients, initiated on IND/GLY 110/50  μg o.d., using the Clinical COPD Questionnaire (CCQ) tool in a real-world primary care setting in Ireland.MethodsThis was a real-world, prospective, open-label study. COPD patients aged>  40 years and with a smoking history of>  10 pac...
Source: Irish Journal of Medical Science - March 28, 2019 Category: General Medicine Source Type: research

Patient-rated physician empathy and patient satisfaction during pain clinic consultations
ConclusionPatient-rated physician empathy was strongly correlated with patient satisfaction in a pain clinic consultation. Patient satisfaction plays a significant role in adherence to treatment and contributes to a positive working patient-physician therapeutic relationship. This research supports the growing body of research citing the importance of investing in, promoting and developing educational programs for physicians and medical trainees to enhance empathic communication skills within the clinical setting. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - March 27, 2019 Category: General Medicine Source Type: research

Polypropylene mesh and systemic side effects in inguinal hernia repair: current evidence
ConclusionTo date, there remains no evidence to link polypropylene mesh and systemic or auto-immune symptoms. Based on current evidence, the use of polypropylene mesh is supported. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - March 27, 2019 Category: General Medicine Source Type: research

Prediction of postoperative delirium by comprehensive geriatric assessment among elderly patients with hip fracture
ConclusionsThe comprehensive geriatric assessment before hip fracture surgery can predict the occurrence of POD in elderly patients. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - March 26, 2019 Category: General Medicine Source Type: research

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
ConclusionsNAs and RNs mixed nursing staffing model with 75% RNs reduces medication error and nursing cost, while increasing urinary tract infection and decreasing ventilator weaning. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - March 21, 2019 Category: General Medicine Source Type: research

Patient perspectives on nonoperative management of acute appendicitis
(Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - March 15, 2019 Category: General Medicine Source Type: research

Evidenced-based radiology? A single-institution review of imaging referral appropriateness including monetary and dose estimates for inappropriate scans
ConclusionA significant amount of inappropriate radiographs continue to be requested and performed, exposing patients to needless ionizing radiation and wasting staff members time at a financial cost. Interventions are needed to decrease inappropriate referrals. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - March 14, 2019 Category: General Medicine Source Type: research

Impact of a blizzard on an Irish Emergency Department
Discussion/conclusionThe volume of attendance fell initially during snowfall then rose sharply as the weather improved. Injuries were the predominant cause of presentations. Physical exertion while outdoors in the snow caused several patients to present with medical complaints. Heightened public awareness of the impact of weather warnings may help to prevent some of the social and logistical presentations to the ED. The exceptional dedication of the emergency service workforce is acknowledged and appreciated. Future planning is needed to keep morbidity and mortality from blizzards low. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - March 14, 2019 Category: General Medicine Source Type: research

Profiling emergency department presentations of 14 –15-year-olds in modern Ireland
ConclusionThe results highlight the most common presentations of this subgroup of patients, with trauma, in keeping with recent international data, being the most common presentation. The noted high frequency in the number of mental health/intoxication/self-harm presentations among the Irish teenagers in our region is consistent with trends reported in world literature and serves to emphasise one of the main challenges facing those working in paediatrics in Ireland over the next 10  years. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - March 12, 2019 Category: General Medicine Source Type: research

Nasal foreign bodies in the paediatric emergency department
DiscussionThe ED physician/advanced nurse practitioner successfully managed most children with a nasal FB in the ED. The goal of the management should be to minimise complications/repeated attempts. Formation of a national guideline to assist in ED removal and timely care will hopefully improve patient ’s experience. It will include guidance on topical anaesthetic use, performing radiographs for radiopaque objects not initially visualised and limiting ED staff extraction attempts. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - March 11, 2019 Category: General Medicine Source Type: research

Serum amyloid A levels are associated with polymorphic variants in the serum amyloid A 1 and 2 genes
ConclusionsWe have identified novel genetic variants in theSAA genes associated with SAA levels, a biomarker of inflammation and chronic disease. The utility of SAA as a biomarker for inflammation and chronic disease may be influenced by underlying genetic variation in baseline levels. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - March 9, 2019 Category: General Medicine Source Type: research

How does the introduction of free GP care for children impact on GP service provision? A qualitative study of GPs
ConclusionsThe study highlights how introducing free GP care to a mixed private/publicly funded health system may impact on GP workload, parents ’ interaction with services and physician practice. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - March 9, 2019 Category: General Medicine Source Type: research

Deep vein thrombosis during long-term surveillance of patients with liver transplantation
ConclusionsThere are no specific guideline recommendations regarding acute DVT treatment in long-term surveillance after liver transplantation. Low molecular weight heparin (LMWH), unfractionated heparin (UFH) and vitamin K antagonist (VKA) are the anticoagulants used in specific complications post-transplantation. The safety and the efficacy of direct anticoagulants in liver transplantation recipients need to be assessed in future trials. Given that long-term survival of liver transplantation is much improved, complications associated with transplantation and ageing require appropriate cardiovascular guidelines. (Source: ...
Source: Irish Journal of Medical Science - March 8, 2019 Category: General Medicine Source Type: research

Intensive Care Society of Ireland  — Guidelines for management of the potential organ donor (2018—2nd edition)
(Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - March 5, 2019 Category: General Medicine Source Type: research

Postoperative thrombotic effects of tranexamic acid in open heart surgery
ConclusionsIn patients receiving tranexamic acid infusion at 50  mg/kg dose, reexploration rates remained at 4.1% even after major cardiac surgeries. No thrombosis, stroke, or seizure were reported. Our findings support that tranexamic acid is a safe drug which has positive effect on reducing perioperative bleeding. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 28, 2019 Category: General Medicine Source Type: research

Ireland ’s Assisted Decision Making Capacity Act—the potential for unintended effects in critical emergencies: a cross-sectional study of Advanced Paramedic decision making
ConclusionIrish legislation which changes the traditional basis of medical practice away from the best interests of the patient may affect the resuscitation practices of Advanced Paramedics in life-threatening situations. It has significant implications for medical education, professional practice and clinician-patient interactions. This legislation and similar planned legislation may have implications for other EU jurisdictions. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 27, 2019 Category: General Medicine Source Type: research

The effect of re-audit and education on antibiotic prescribing practice at Causeway Hospital, Northern Ireland
AbstractBackgroundAntimicrobial 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.AimsTo investigate the impact of educational interventions on the completeness of antibiotic prescriptions at Causeway Hospital surgical unit.MethodsInpatient drug prescription charts were audited to monitor the completeness of antibiotic prescriptions on the surgical unit. Two educational interventions were implemented, wi...
Source: Irish Journal of Medical Science - February 27, 2019 Category: General Medicine Source Type: research

A retrospective study (2001 –2017) of acute and chronic morbidity and mortality associated with Staphylococcus aureus bacteraemia in a tertiary neonatal intensive care unit
ConclusionsPreterm and low birth weight infants were at highest risk of SAB. Only a small proportion of affected children had long-term clinical sequelae on follow-up. The high rate of recurrence and breakthrough bacteraemia suggests that early implementation of a targeted anti-staphylococcal antimicrobial regimen may be of particular benefit. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 25, 2019 Category: General Medicine Source Type: research

Antibacterial and antioxidant activities of traditional medicinal plants from the Erzurum region of Turkey
ConclusionsDue to their antimicrobial, antifungal, and antioxidant properties, the extracts of these plants might be used as natural sources in the pharmaceutical and cosmetic industries. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 25, 2019 Category: General Medicine Source Type: research

Ethical dilemmas related to living donor liver transplantation in Asia
AbstractLiving 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. The transplant team must have a good knowledge of the principles of bioethics in order to handle these matters. To look after the need, donor ’s safety and the chance for good recipient outcomes, the principles of respect for the donor’s autonomy, beneficence, and non-maleficence should be practiced. In acc...
Source: Irish Journal of Medical Science - February 23, 2019 Category: General Medicine Source Type: research

Assessing suitability for sacubitril-valsartan therapy in an Irish cohort: challenges and opportunities
ConclusionsOur study showed that a smaller than expected proportion of our patients in real-world practice are suitable for sacubitril-valsartan therapy at discharge. Most patients were in the HFPEF cohort which does not currently have evidence for treatment with sacubitril-valsartan. Low rates of prescribing of basic heart failure medicatons and the absence of dedicated heart failure services in a non-tertiary centre may explain the poor compliance observed. Improving guideline adherence and increasing awareness of evidence-based medication use at primary and secondary care levels would be of benefit to Irish heart failur...
Source: Irish Journal of Medical Science - February 22, 2019 Category: General Medicine Source Type: research

Why our doctors are leaving Irish emergency medicine training
ConclusionsOur findings indicate the need to improve training and working conditions in Emergency Medicine in Ireland. These improvements are necessary to reduce attrition and improve retention of EM staff. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 18, 2019 Category: General Medicine Source Type: research

Arthroscopic anterior shoulder stabilisation in overhead sport athletes: 5-year follow-up
DiscussionFavourable outcomes can be expected for overhead contact sport athletes undergoing anterior arthroscopic stabilisation for recurrent instability. Players from these groups returned to sport sooner than those from other sports and no difference in recurrence was noted. The level at which they can expect to return to is favourable with most athletes reaching their pre-injury level. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 15, 2019 Category: General Medicine Source Type: research

Impact of the CYP2D6 phenotype on hyperprolactinemia development as an adverse event of treatment with atypical antipsychotic agents in pediatric patients
ConclusionsFor the slow and intermediate metabolizers, atypical antipsychotics determined a significant increase of prolactinemia with high risk of adverse events. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 15, 2019 Category: General Medicine Source Type: research

Acute multiple sclerosis lesion pathology does not predict subsequent clinical course —a biopsy study
ConclusionUniform white matter subacute demyelination is associated with a diverse clinical course ranging from a monophasic illness to progressive MS, suggesting that extraneous factors distinct from the basic pathology significantly influence the clinical course in MS. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 15, 2019 Category: General Medicine Source Type: research

Overexpression of apoptosis-related protein, survivin, in fibroblasts from patients with systemic sclerosis
ConclusionsOur results showed thatsurvivin is upregulated in SSc skin fibroblast which may lead to resistance to apoptosis. Further studies should be performed to reveal the role ofsurvivin in apoptosis pathway of SSc fibroblasts. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 13, 2019 Category: General Medicine Source Type: research

Twenty-four-hour urine NE level as a predictor of the therapeutic response to metoprolol in children with recurrent vasovagal syncope
AbstractBackgroundVasovagal syncope (VVS) is a heterogeneous disorder that creates challenges for treatment. Metoprolol is an important therapeutic option for children with VVS.AimsThe 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.MethodsThirty-eight children with recurrent VVS and 20 healthy children were enrolled in our study. Twenty-four-hour urine NE levels were measured by LC-MS-MS. VVS children were diagnosed by BHUTT and/or SNHUTT, and received metoprolol treatment for 3  months. Symptom scor...
Source: Irish Journal of Medical Science - February 13, 2019 Category: General Medicine Source Type: research

Quantification of the impact of interventional radiology in the management of acute pancreatitis
ConclusionThe diagnosis and treatment of complicated acute pancreatitis is heavily dependent on the interventional radiology department. A substantial proportion of patients with pancreatitis required radiological intervention as part of their management, the proportion of which increased significantly in complex disease. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 13, 2019 Category: General Medicine Source Type: research

An analysis of childhood consultations in general practice: a multi-practice study
ConclusionThis study provides a comprehensive snapshot of what children commonly present with in general practice, common diagnoses and the actions taken by GPs. The findings will help GPs to organise their practice systems and will inform healthcare service planners. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 12, 2019 Category: General Medicine Source Type: research