Effect of Ramadan fasting on thyroid functions in hypothyroid patients taking levothyroxine: a systematic review and meta-analysis
ConclusionTSH increases significantly after Ramadan. No timing point has superiority in maintaining thyroid control. However, choosing the timing should be individualized according to the patient ’s preference to guarantee the most possible compliance. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - September 21, 2023 Category: General Medicine Source Type: research

Surgical instrument wrap: a pilot recycling initiative
ConclusionDiversion of surgical wrap from general waste and clinical waste streams to the recycling stream is achievable in every operating theatre. Small changes to operating theatre waste disposal practices have the potential to yield significant reductions to theatre waste outputs and to hospital carbon emissions. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - September 21, 2023 Category: General Medicine Source Type: research

Impact of antidepressant use on post-operative weight loss following bariatric surgery
ConclusionMany patients undergoing bariatric surgery have concurrent psychiatric conditions. Given the complex relationship between bariatric surgery and mental health, psychotropic medications may be best managed by a specialist in the field such as a bariatric psychiatrist in order to optimize patient outcomes. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - September 20, 2023 Category: General Medicine Source Type: research

Serum free prostate-specific antigen density (fPSAD) as a predictor of prostate cancer: a new parameter worthy of attention
(Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - September 19, 2023 Category: General Medicine Source Type: research

Comparison of jejunal aspirate culture and methane and hydrogen breath test in the diagnosis of small intestinal bacterial overgrowth
Conclusions35% of patients with suspected SIBO are identified using jejunal aspirate cultures. For the identification of SIBO, GBT is more specific than LBT, but has a lower sensitivity. In individuals with suspected SIBO, the breath test should be initially due to its good agreement with the jejunal aspirate culture. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - September 19, 2023 Category: General Medicine Source Type: research

Obstetric care for environmental migrants
ConclusionMaternity healthcare providers are likely to provide care for environmental migrants over the coming years. Environmental disasters and migration as individual factors have complex effects on perinatal health, and environmental migrants may be at risk of specific perinatal complications. Obstetricians and maternity healthcare workers should be aware of these challenges and appreciate the individualised and specialised care that these patients require. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - September 16, 2023 Category: General Medicine Source Type: research

Water immersion ultrasound can improve the repeatability of ultrasonic measurement of dorsalis pedis artery diameter and hemodynamic parameters
ConclusionThe repeatability of water immersion ultrasound is better than that of contact ultrasound in the measurement of the dorsalis pedis artery. Water immersion ultrasound can improve the near-field resolution of superficial tissues and increase the display of the lengths of blood vessels in images, thereby suggesting its superiority in ultrasound examination of dorsalis pedis arteries. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - September 14, 2023 Category: General Medicine Source Type: research

The effect of vitamin D treatment on quality of life in patients with fibromyalgia
ConclusionWe determined that vitamin D deficiency is significantly more prevalent in patients diagnosed with fibromyalgia. Vitamin D supplementation was observed to have a positive effect on quality of life and reduction of pain. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - September 14, 2023 Category: General Medicine Source Type: research

Hair disorders associated with post-COVID-19 infection in females: a cross-sectional study
ConclusionIn conclusion, we reported prevalence of post-COVID hair fall that was confirmed by trichoscopy and which affected approximately 61.4% of infected females. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - September 14, 2023 Category: General Medicine Source Type: research

Hyponatremia and malnutrition: a comprehensive review
ConclusionMalnutrition can induce hyponatremia through hydro-electrolytic, hormonal, inflammatory, or nutritional behavior changes; while hyponatremia per se can induce malnutrition, so there is a pathophysiological feedback between both conditions. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - September 13, 2023 Category: General Medicine Source Type: research

The risk of metabolic syndrome is associated with vitamin D and inflammatory status in premenopausal and postmenopausal Algerian women
ConclusionThis study highlighted that severe vitamin D deficiency increases MetS score and was closely associated with four components of MetS, more potently in postmenopausal women, probably related with estrogens. Abdominal obesity, as influential component of MetS, may be involved in enhancing vitamin D deficiency, and dysregulating some metabolic hormones such as adiponectin, resistin and insulin, that contributes in onset an inflammatory state, through the increase in IL-6 and TNF α levels. These findings need to be improved by expanding investigation to a large cohort of participants. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - September 13, 2023 Category: General Medicine Source Type: research

Knowledge, attitudes and practices of Irish doctors regarding stop smoking care and electronic cigarettes
ConclusionsWhile there is a strong reservoir support and areas of good reported practice in stop smoking care among doctors in Ireland, the development of their knowledge and skills in arranging effective care should be supported if doctors are to fulfil their huge potential role in tackling the harm caused by smoking. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - September 12, 2023 Category: General Medicine Source Type: research

Letter to the editor: “Effect of an early occupational therapy intervention on length of stay in moderate and severe traumatic brain injury patients”
(Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - September 10, 2023 Category: General Medicine Source Type: research

Hypermagnesemia is associated with poor outcomes during hospitalization
ConclusionsHypermagnesemia is associated with poor prognosis independent of comorbidities. Besides hypomagnesemia, hypermagnesemia should be considered a critical electrolyte imbalance. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - September 9, 2023 Category: General Medicine Source Type: research

Analysis of real-world data demonstrating the efficacy of current management of polycythaemia vera in attaining and maintaining therapeutic haematocrit
ConclusionsWe found that patients spent the majority of time in target Hct range. Findings are supportive of current management guidelines. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - September 8, 2023 Category: General Medicine Source Type: research