Survival with primary lung cancer in Northern Ireland: 1991 –1992
ConclusionsOverall, survival remains poor. The better survival of surgical patients is due, in part, to their superior case-mix profiles. Survival with other therapies is less good suggesting that the criteria for treatment might be relaxed with advantage using a treatment model to aid decision-making. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - August 22, 2023 Category: General Medicine Source Type: research
Addressing iatrophobia in transgender patients
AbstractTransgender patients continue to receive suboptimal health care due to transphobia and inadequate trans-competency of health care professionals. Lack of adequate training and exposure may lead to improper bedside manners. This factor is among many other systemic and latent ones that inculcate a feeling of iatrophobia in transgender patients. This damages the patient-doctor relationship severely and ultimately results in suboptimal health care outcomes. This paper discusses the causes of iatrophobia in transgender patients and the steps that health care professionals can take to address this phenomenon. The authors ...
Source: Irish Journal of Medical Science - August 22, 2023 Category: General Medicine Source Type: research
Medicine in history and history in medicine: the inaugural Davis Coakley Memorial Lecture
AbstractProfessor Davis Coakley (1946 –2022) was an outstanding physician, historian, and leader of reform in medical services and education. This inaugural Davis Coakley Memorial Lecture, delivered in The Edward Worth Library at Dr Steevens’ Hospital, Dublin, Ireland, on 28 September 2023, focuses on ‘Medicine in History& History in Medicine ’. It explores the position of the physician-historian in medical historiography, discusses Coakley’s extensive historical work (especially his many books about the history of medicine), and concludes with comments about one of Coakley’s great interests: the work of Si...
Source: Irish Journal of Medical Science - August 19, 2023 Category: General Medicine Source Type: research
Effect of teleconsultation on the application of thrombolytic therapy in stroke patients in the emergency department
ConclusionsTeleconsultation was a successful and reliable strategy in assessing patients with ischemic stroke and making decisions for IV-tPA. Moreover, patient assessment via teleconsultation was less time consuming. The results of the study are promising for the use of teleconsultation in the future. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - August 19, 2023 Category: General Medicine Source Type: research
Comparison of machine learning algorithms for the classification of spinal cord tumor
Abstract Spinal cord Tumor has been characterized as a heterogeneous disease consisting of many different subtypes. The early diagnosis and prognosis of a cancer type have become a necessity in cancer research, as it can facilitate the subsequent clinical management of patients. The importance of classifying cancer patients into Bening or malignant has led many re- search teams, from the biomedical and the bioinformatics field, to study the application of machine learning (ML) methods. Therefore, these techniques have been utilized as an aim to model the progression and treatment of cancerous conditions. In addition, the a...
Source: Irish Journal of Medical Science - August 19, 2023 Category: General Medicine Source Type: research
Two years of COVID-19 outbreaks in residential care facilities: quantifying workload impact of outbreak control activities on a regional public health team in Ireland, March 2020 to March 2022
ConclusionsWhile substantial DePH resources were required to manage COVID-19 outbreaks in older person RCFs, it is highly likely that these efforts prevented new infections within RCFs and thus reduced hospitalisations, ICU admissions and deaths. This sustained input placed a significant burden on the wider multidisciplinary public health team, and it affected the department ’s capacity to deal with competing health threats and priorities. Future pandemic preparedness requires commensurate resource planning for public health teams. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - August 18, 2023 Category: General Medicine Source Type: research
Refeeding Hypophosphatemia in Oldest Old Critically Ill Patients
ConclusionRefeeding hypophosphatemia incidence was similar to previous studies, although study patients were the highest risk group. Outcome parameters including mortality rate and length of ICU stay were not different between patients with or without refeeding hypophosphatemia. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - August 17, 2023 Category: General Medicine Source Type: research
The Irish Trainee Emergency Research Network (ITERN): five years of collaboration
This article describes the successes and achievement of ITERN and describes the processes and challenges that a trainee-led research network can encounter. The authors believe that trainee-led collaboratives can deliver powerful and impactful research for patients and broaden the research capacity of individuals, hospitals, and groups of healthcare professionals. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - August 16, 2023 Category: General Medicine Source Type: research
Dermoscopy-assisted prevalence of hair loss after COVID-19 vaccination among an Egyptian population: a cross-sectional study
ConclusionWe reported prevalence of post-vaccination hair fall that was confirmed by trichoscopy and which affected approximately one quarter of participants who received COVID-19 vaccines. Other factors, such as stress and infection, cannot be excluded and remain to be further investigated by larger multicenter studies. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - August 15, 2023 Category: General Medicine Source Type: research
The impact of sleeve gastrectomy on polycystic ovarian syndrome: a single-center 1-year cohort study
ConclusionWeight loss and improvements in hyperandrogenism following sleeve gastrectomy result in clinical and paraclinical improvement of PCOS signs and symptoms, including oligomenorrhea and ovulation induction. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - August 14, 2023 Category: General Medicine Source Type: research
Maternally inherited non-syndromic hearing loss is linked with a novel mitochondrial ND6 gene mutation
ConclusionsThe m.14502 T > C mutation should be considered an inherited risk factor that can help diagnose. The data of this investigation help counsel families of individuals with hearing loss. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - August 10, 2023 Category: General Medicine Source Type: research
Early neurological deterioration in acute ischemic stroke
ConclusionOur study showed END may be associated with poor functional outcome in AIS patients. Higher blood glucose at admission and low serum albumin may be statistically significant causing END. Future prospective cohort with larger sample size may confirm the findings. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - August 10, 2023 Category: General Medicine Source Type: research
Prevalence and factors associated with burnout among healthcare providers in Malaysia: a web-based cross-sectional study
ConclusionEvery fourth out of ten suffered from personal burnout, one-third from work-related burnout, and one-seventh from client-related burnout among healthcare providers during the COVID-19 pandemic. Healthcare systems must take care of healthcare workers ’ physical and emotional depletion, reducing the risk of burnout. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - August 9, 2023 Category: General Medicine Source Type: research
Establishing an expert opinion framework for lung volume reduction in Ireland: a Delphi consensus technique
ConclusionsThe 31 statements agreed through this Delphi study clarify a coherent direction for development of a LVR framework in Ireland. The Delphi study methodology described is a useful process to reach consensus among multi-disciplinary experts. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - August 8, 2023 Category: General Medicine Source Type: research
Triple assessment breast clinics: The value of clinical core biopsies
ConclusionDespite clinical core biopsies being used in triple assessment, there is no certainty in their value except that there is high clinical suspicion. Imaging modalities are constantly improving and are already well established. When the patient is assigned a clinical score of S3 and has normal radiology, a clinical core biopsy is not required in most cases. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - August 8, 2023 Category: General Medicine Source Type: research
