Blunt testicular trauma – is surgical exploration necessary?
ConclusionsOur experience shows that blunt scrotal trauma can be safely managed conservatively and may reduce the risk of atrophy compared to case series where the testis was surgically explored. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 8, 2018 Category: General Medicine Source Type: research

A snapshot of type two diabetes mellitus management in general practice prior to the introduction of diabetes Cycle of Care
ConclusionsThis study provides a comprehensive snapshot of care in Irish general practice for patients with T2DM prior to the introduction of the Cycle of Care. Future research must investigate the impact of Cycle of Care on patient care in general practice. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 7, 2018 Category: General Medicine Source Type: research

Timed colonoscopy withdrawal, a mandatory quality measure in the era of national screening?
AbstractBackgroundA minimum recommended withdrawal time for screening colonoscopy is recommended for by both the US Multi-Society Task Force on Colorectal Cancer and European Society of Gastrointestinal Endoscopy.AimTo characterize the relationship between endoscopists withdrawal time at colonoscopy and polyp detection in a symptomatic cohort of patients as compared to previously untimed withdrawal.MethodsThree experienced medical endoscopists prospectively performed 1079 colonoscopies during a 24-month period in an Irish hospital. Mean withdrawal time and individual polyp detection rate were noted.ResultsIntroduction of m...
Source: Irish Journal of Medical Science - February 6, 2018 Category: General Medicine Source Type: research

Port insertion for minimally invasive surgery: a report of practices in the Irish Republic
This study aimed to gather data pertaining to risk factors for port-site herniation in MIS.MethodsA 14-point anonymous questionnaire was distributed electronically between January and May 2017 to consultant and trainee laparoscopists in the Republic of Ireland. This survey related to laparoscopic volume and surgical approaches to laparoscopic port-sites.ResultsThere were 172 eligible responses nationally. Approaches to peritoneal access included Hasson, veress (blind puncture) and SILS were 66.3, 32.6 and 1.2%, respectively. Senior surgeons and specialists in Obstetrics and Gynaecology (OBGYN) reported significantly higher...
Source: Irish Journal of Medical Science - February 6, 2018 Category: General Medicine Source Type: research

Breast cancer and chronic pain: a mixed methods review
ConclusionChronic pain is common after breast cancer. The literature has focused predominantly on risk factors for the development of chronic pain. It may be more beneficial to focus on chronic pain mechanisms and to consider the patient ’s narrative and experience of their illness and how this has impacted on the perception and intensity of persistent pain. A shared understanding between the patient and professional is likely to have more beneficial outcomes. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 5, 2018 Category: General Medicine Source Type: research

Fetal valproate syndrome: the Irish experience
ConclusionFVS is still seen in the Irish population even though the teratogenicity of the VPA has been known for over 32  years. It is very important to create public and professional awareness to prevent FVS whenever possible. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 3, 2018 Category: General Medicine Source Type: research

Effect of roflumilast on chronic obstructive pulmonary disease: a systematic review and meta-analysis
AbstractBackgroundRandomized controlled trials (RCTs) of roflumilast effect on chronic obstructive pulmonary disease (COPD) have been reported in the last decade. The current meta-analysis was designed to systematically review and perform meta-analysis of the RCTs of roflumilast treatment in COPD.MethodsElectronic databases including PubMed, EMBASE, Web of Science, and Cochrane clinical trials database were searched to identify RCTs of roflumilast treatment on COPD. The primary outcomes were effect of roflumilast on pre-bronchodilator FEV1, post-bronchodilator FEV1, and exacerbation rate. Secondary outcomes were effect of ...
Source: Irish Journal of Medical Science - February 3, 2018 Category: General Medicine Source Type: research

Peer teaching as a means of enhancing communication skills in anaesthesia training: trainee perspectives
ConclusionThis study highlights the positive attitudes of first-year anaesthesia trainees towards a novel peer teaching programme in communication skills. This author recommends that peer teaching is further developed within postgraduate medical programmes to maximise learning for trainees in the student and teacher roles and to redistribute the teaching burden within clinical departments. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 1, 2018 Category: General Medicine Source Type: research

The role of liver resection in patients with metastatic breast cancer: a systematic review examining the survival impact
ConclusionHepatic resection can be considered in the management of breast cancer patients with isolated liver metastases as well as those with oligometastatic disease. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 1, 2018 Category: General Medicine Source Type: research

Cytomegalovirus infection and steroid-refractory inflammatory bowel disease: possible relationship from an updated meta-analysis
ConclusionsThis meta-analysis disclosed 2.34 fold increased risk of progressing into steroid-refractory IBD in CMV (+) group compared with the CMV ( −) group, indicating that CMV infection might be a plausible cause of steroid-refractory IBD. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 1, 2018 Category: General Medicine Source Type: research

Investigating the cost implications of including all respiratory medicines in PCRS schemes
ConclusionsRespiratory disease is included in the Irish Government ’s chronic disease management programme. This aims to deliver optimal care in the most appropriate setting so as to improve health outcomes and quality of life. Medication adherence is imperative to achieving these aims. Reducing cost barriers as a complement to other initiatives may improve medic ine adherence thereby improving the effectiveness of disease management and patient outcomes. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 1, 2018 Category: General Medicine Source Type: research

p16, p21, and p53 proteins play an important role in development of pancreatic intraepithelial neoplastic
Conclusionsp16, p21, and p53 proteins play an important role in the deregulation of the cell cycle and participate in the development of pancreatic intraepithelial neoplasia. Immunohistochemical evaluation of their expressions may be helpful in the diagnosis of PanIN. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - February 1, 2018 Category: General Medicine Source Type: research

The clinical utility of pre-operative neutrophil-to-lymphocyte ratio as a predictor of outcomes in patients undergoing elective laparoscopic cholecystectomy
AbstractBackgroundIn recent years, there has been an increasing trend towards day-case surgery for patients undergoing laparoscopic cholecystectomy (LC). We investigated the predictive value that pre-operative neutrophil-to-lymphocyte ratio (PNLR) had on surgical outcomes.MethodsA review of all patients who underwent LC during a 6-year period in a single institution was performed and PNLR recorded. A PNLR cutoff value of 3 was utilised. We compared operation time, length of stay (LOS), and conversion to open between those with PNLR less and greater than 3.ResultsA total of 567 patients underwent elective LC. Those with PNL...
Source: Irish Journal of Medical Science - January 24, 2018 Category: General Medicine Source Type: research

Suboptimal lipid management before and after ischaemic stroke and TIA —the North Dublin Population Stroke Study
This study aims to evaluate adherence to lipid-lowering therapy (LLT) guidelines amongst patients with ischaemic stroke/TIA.MethodsUsing hot and cold pursuit methods from multiple hospital/community sources, all stroke and TIA cases in North Dublin City were prospectively ascertained over a 1-year period. Adherence to National Cholesterol Education Programme (NCEP) III guidelines, before and after index ischaemic stroke/TIA, was assessed.ResultsAmongst 616 patients (428 ischaemic stroke, 188 TIA), total cholesterol was measured following the qualifying event in 76.5% (471/616) and low-density lipoprotein (LDL) in 60.1% (37...
Source: Irish Journal of Medical Science - January 24, 2018 Category: General Medicine Source Type: research

In recognition of Ireland ’s clinical medical researchers: Noel G McElvaney, T Joseph McKenna, Noel Caplice and Bryan Hennessy
(Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - January 24, 2018 Category: General Medicine Source Type: research

Assessment of patient concerns: a review
ConclusionsAssessing patient concerns is associated with positive outcomes. Patient concerns are handled differently by different clinical specialties. Various methodologies have been used for concern assessment. Interviews and questionnaires can often yield different results. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - January 24, 2018 Category: General Medicine Source Type: research

Maternal metabolic response to dietary treatment for impaired glucose tolerance and gestational diabetes mellitus
AbstractBackgroundDietary advice is a standard component of treatment for pregnant women with impaired glucose tolerance (IGT) and gestational diabetes (GDM), yet few studies report glycemic profiles in response to dietary therapies and the optimal dietary approach remains uncertain.AimTo assess changes in maternal glycemic profile and pregnancy outcomes among women with diet-controlled IGT and GDM.MethodsPregnant women who had one or more elevated values on a 3-h oral glucose tolerance test were enrolled. All participants received dietary advice and glucose monitoring as part of routine clinical care. Fasting and 1-h post...
Source: Irish Journal of Medical Science - January 20, 2018 Category: General Medicine Source Type: research

Emerging trends in hospitalisation for fragility fractures in Ireland
AbstractBackgroundWe analysed hospital admissions and bed occupancy for fragility fractures in Ireland over a 15-year period to assess fracture admission trends and to project admissions over the next three decades.MethodsWe used the Hospital In-Patient Enquiry (HIPE) scheme to extract data on fracture admissions to Irish hospitals between 2000 and 2014 inclusive. We calculated absolute numbers and age-standardised rates of hospitalisations for men and women ≥ 50 years for each osteoporotic-type fracture. We projected fracture numbers and bed days using these trends, and associated costs to 2046 based on 201...
Source: Irish Journal of Medical Science - January 20, 2018 Category: General Medicine Source Type: research

A rare ocular complication of neisseria gonorrhoeae
ConclusionThis case is relevant to the clinical practice because filtering blebs should be considered as a complication of gonococcal conjunctivitis because they pose a threat to the eye when substantial leakage occurs. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - January 18, 2018 Category: General Medicine Source Type: research

Neuropathology correlates of cognitive assessments
ConclusionsNeuropathological assessment of well characterised clinical cases provides accurate data on the prevalence of neurodegenerative diseases. This will aid future biomarker, neuroimaging studies and clinical trials focussed on population based cohorts. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - January 18, 2018 Category: General Medicine Source Type: research

Persons with disability, social deprivation and an emergency medical admission
ConclusionLocal catchment area disability prevalence rates in addition to social deprivation factors are an important determinant of the annual incidence rate of emergency medical admissions. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - January 16, 2018 Category: General Medicine Source Type: research

Lateral trochanteric pain following total hip arthroplasty: radiographic assessment of altered biomechanics as a potential aetiology
ConclusionNo relationship was found between LTP and femoral offset or femoral centre of rotation. Disruption of the soft tissues during a lateral approach with resultant abductor tear, tendon defects and tendinitis might play a role in LTP and explain the apparent efficacy of corticosteroid injections. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - January 15, 2018 Category: General Medicine Source Type: research

Transfer of critically ill adults —assessing the need for training
ConclusionsOrganisational, communication and individual issues need to be considered when addressing problems associated with IHT. A multifaceted approach is needed, with a focus on organisational solutions in the form of checklists as well as educational interventions such as interprofessional education initiatives. Further studies on implementation of educational initiatives will add to the findings we report here. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - January 12, 2018 Category: General Medicine Source Type: research

Correction to: Epidemiology of chronic hepatitis B virus in Ireland using routinely collected surveillance and administrative data, 2004 –2014
AbstractThe original version contained a mistake. The published version of this article incorrectly lists Lelia Thornton as Thornton Thornton. The correct author name is presented above. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - January 10, 2018 Category: General Medicine Source Type: research

Aciclovir-induced acute kidney injury in patients with ‘suspected viral encephalitis’ encountered on a liaison neurology service
ConclusionsLiaison neurologists and general physicians need to be aware that aciclovir may cause AKI attributed to distal intra-tubular crystal nephropathy. Daily fluid balance and renal function monitoring are essential because AKI may arise even with intensive pre-hydration. Prognosis is good if identified early and actively treated. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - January 6, 2018 Category: General Medicine Source Type: research

Risk reduction surgery (RRS) for tubo-ovarian cancer in an Irish gynaecological practice: an analysis of indications and outcomes
ConclusionMore than 60% of women undergoing RRS were BRCAm negative or untested. Counselling of high-risk women without defined germline mutations remains a challenge for gynaecologists because the likelihood of removing STIC lesions or occult invasive cancer is low. Removal of coincidental pathology may give added value to RRS in these women. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - January 3, 2018 Category: General Medicine Source Type: research

A cadaveric study of aortic arch variation in an Irish population
ConclusionThis is the first study documenting the rates of variation of the AA in Ireland. Variation of AA branching is of radiological and surgical significance, particularly in the diagnosis and treatment of thoracic and head and neck diseases. Awareness of these variations is particularly relevant for interventionalists who access these vessels during endovascular surgery. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - December 29, 2017 Category: General Medicine Source Type: research

A prospective pilot study of Dilapan-S compared with Propess for induction of labour at 41+ weeks in nulliparous pregnancy
ConclusionsDilapan-S is an acceptable, safe form of induction of labour in post-dates uncomplicated nulliparous pregnancy. No cases of hyperstimulation were found, and therefore, Dilapan-S may be a suitable option for outpatient induction of labour in low-risk post-dates nulliparas. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - December 21, 2017 Category: General Medicine Source Type: research

From a direct oral anticoagulant to warfarin: reasons why patients switch
This study was an analysis of prospectively collected data from a 4-year period surveying a warfarin dose adjustment clinic in a large city centre hospital with the primary objective to identify these reasons. In our clinic with 1791 patients annually under review, 40 patients were identified as having switched from a DOAC to warfarin with the most common reasons for switching being bleeding, re-thrombosis and renal deterioration. Other reasons included medication interactions, side effects, antiphospholipid syndrome, valvular replacement or arterial embolism. Clinical events following warfarin commencement were also recor...
Source: Irish Journal of Medical Science - December 21, 2017 Category: General Medicine Source Type: research

Prevalence of pulmonary hypertension in systemic lupus erythematosus: a meta-analysis
ConclusionsPH is prevalent in SLE patients, but it was significantly different between different gender, age, regions, year of publication, and diagnostic methods. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - December 18, 2017 Category: General Medicine Source Type: research

Elective ambulatory surgical care in Ireland —why it needs to be better coded, classified and managed
ConclusionOur findings show that many day cases should have been performed as outpatient procedures and that there were variations in coding and practices between hospitals that could not be easily explained. Outpatient procedure coding and a better, more consistent, classification of day cases are both required to better manage this group of patients. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - December 12, 2017 Category: General Medicine Source Type: research

Epidemiology of chronic hepatitis B virus in Ireland using routinely collected surveillance and administrative data, 2004 –2014
This study aimed to describe the epidemiology of chronic HBV in Ireland between 2004 and 2014 using routine surveillance data and identify and interrogate additional data sources in Ireland to complement the interpretation of HBV surveillance data.MethodsRoutinely collected passive surveillance data of notified cases of HBV infection were collated for 2004 –2014. Additional data sources relating to primary liver cancer and cirrhosis were collated, including hospital discharge data (2005–2013), diagnoses of primary liver cancer (2004–2013), and deaths (2007–2014). Publicly available immigration (2004...
Source: Irish Journal of Medical Science - December 9, 2017 Category: General Medicine Source Type: research

Contrast-enhanced ultrasound of the kidney: a single-institution experience
ConclusionCEUS is a valuable alternative to CT in assessing complex cystic or solid renal lesions where iodinated CT contrast or gadolinium is inappropriate. CEUS can also refine the Bosniak category of atypical cystic renal lesions and help facilitate treatment decisions. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - December 7, 2017 Category: General Medicine Source Type: research

Evaluation of the effectiveness and patients ’ contentment with transanal haemorrhoidal artery dearterialisation and mucopexy (THD) for treatment of haemorrhoidal disease: a 6-year study
AbstractIntroductionWith high incidence of haemorrhoidal disease and significant complication rates of traditional haemorrhoidectomy procedures, transanal haemorrhoidal artery ligation and mucopexy (THD) emerges as a minimally invasive procedure with superior results. However, it is crucial that effectiveness of results and patient satisfaction be gauged based on post-operative experience, symptomology and recurrence.AimOur aim is to provide a long-term analysis of efficacy and patient ’s satisfaction for the procedure, for the largest patient population, in correlation to presenting symptoms and degree of haemorrhoi...
Source: Irish Journal of Medical Science - December 6, 2017 Category: General Medicine Source Type: research

Epidemiological changes in rubella IgG antibody levels detected in antenatal women from a retrospective rubella seroprevalence study
AbstractBackgroundRubella is caused by the rubella virus, a single-stranded RNA virus of theTogaviridae family. The most severe complications of rubella in adult women occur during pregnancy when infection can lead to miscarriage, stillbirth or congenital rubella syndrome. Antenatal rubella susceptibility screening is no longer performed in England, Scotland or Wales but continues in Northern Ireland.AimThe aims of this seroprevalence study were to (1) determine amongst women presenting for antenatal care the percentage of women who are rubella susceptible, rubella immune and those with equivocal rubella antibody levels by...
Source: Irish Journal of Medical Science - December 5, 2017 Category: General Medicine Source Type: research

Aetiological profile and treatment outcomes of epistaxis at a major teaching hospital: a review of 721 cases
ConclusionMore return and admitted patients presented at out-of-hours times with less clinical staff on site. Most non-admitted patients received no treatment. These factors possibly lead to increased stress on the ENT casualty service. Cautery and nasal packing are the most common treatment modalities in first-time and admitted patients yet result in considerable rates of representation. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - December 2, 2017 Category: General Medicine Source Type: research

Cognitive assessment of older adults in general practice: the collateral history
ConclusionsDespite recognition of the utility and importance of the collateral history, the vast majority of GPs report having never received training in obtaining one and do not use structured tools to guide their interview. Further emphasis on the informant history as a distinct clinical entity on medical curricula and increasing emphasis on the availability of structured informant tools are warranted. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - December 2, 2017 Category: General Medicine Source Type: research

Progress of statistical analysis in biomedical research through the historical review of the development of the Framingham score
ConclusionClinically applicable predictive model should be a trade-off between all abovementioned statistical metrics, a trade-off between calibration and discrimination, accuracy and decision-making, costs and benefits, and quality and quantity of patient ’s life. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - December 2, 2017 Category: General Medicine Source Type: research

Correction to: MRI and multiple sclerosis —the evolving role of MRI in the diagnosis and management of MS: a clinician’s perspective
AbstractThe original version of this article unfortunately contained a mistake. The presentation of Table  1 was incorrectly captured. The Publisher regrets that it introduced errors to Table  1 during the typesetting of the article. The corrected Table is given below. The original article has been corrected. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 28, 2017 Category: General Medicine Source Type: research

Long-term endurance training increases serum cathepsin S levels in healthy female subjects
ConclusionsWe could show a significant increase of circulating CS levels in healthy female subjects induced by long-term physical activity. CS, occurring in the tumour microenvironment, is well-known to promote tumour growth, e.g. by ameliorating angiogenesis. However, the role of circulating CS in cancer growth is not clear. As physical activity is known as preventive intervention, in particular concerning breast and colorectal cancers, and long-term physical activity leads to an increase of CS levels in female subjects, circulating CS might even be involved in this protective effect.Trial registrationClinical trial regis...
Source: Irish Journal of Medical Science - November 27, 2017 Category: General Medicine Source Type: research

Direct to consumer genetic testing —law and policy concerns in Ireland
ConclusionsIn consideration of the ethical and legal challenges, this paper highlights the regulation of DTC genetic testing as a growing concern in Ireland, recognising its importance to both the scientific community as well as in respect of enhancing consumer confidence in such technologies. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 25, 2017 Category: General Medicine Source Type: research

MRI and multiple sclerosis ––the evolving role of MRI in the diagnosis and management of MS: the radiologist’s perspective
AbstractMagnetic resonance imaging (MRI) plays an integral role in the management of multiple sclerosis (MS), from both diagnostic and therapeutic perspectives. This 2-part review aims to detail the evolving and expanding role of MRI for both radiologists and neurologists. In this article, we discuss the diagnostic criteria for MS relevant to radiologists, as well as its varying imaging manifestations. The role of MRI in therapeutic modification and complications are discussed. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 25, 2017 Category: General Medicine Source Type: research

Smartphones in clinical practice: doctors ’ experience at two Dublin paediatric teaching hospitals
ConclusionSmartphone usage is universal among healthcare professionals and their influence is growing in patient care. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 23, 2017 Category: General Medicine Source Type: research

Dermatomyositis and colorectal cancer: a systematic review
ConclusionIt is of paramount importance to perform a systematic diagnostic workup for malignancy, always including colonoscopy, in DM patients, since there is a high incidence of cancer in DM patients. Surgical treatment of colorectal tumors should precede the treatment of DM, as DM will frequently regress after a successful resection of malignancy. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 22, 2017 Category: General Medicine Source Type: research

Vitamin D supplementation in pregnancy —a survey of compliance with recommendations
ConclusionsOf the women surveyed, 74.3% reported supplementation with vitamin D, either knowingly or unknowingly. Public health initiatives need to utilize this relatively safe, low-cost intervention to maximize maternal and fetal health. This could reduce the rates of antenatal conditions with associated high morbidity and healthcare burden such as gestational diabetes and preeclampsia. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 20, 2017 Category: General Medicine Source Type: research

UCD School of Medicine, Summer Student Research Awards 2017, 4th October 2017, UCD, Dublin, Ireland
(Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 18, 2017 Category: General Medicine Source Type: research

The effect of SMS (text message) reminders on attendance at a community adult mental health service clinic: do SMS reminders really increase attendance?
This study aimed to determine if sending SMS ( ‘short message service’ or text message) reminders to patients before appointments reduced non-attendance.MethodsWe collected outpatient data at Ballyfermot and Lucan Community Adult Mental Health Service, Dublin, Ireland during 6-month periods (a) immediately prior to the introduction of SMS reminders for outpatient appointments; (b) immediately following the introduction of SMS reminders; and (c) two and a half years later.ResultsIn the 6-month period prior to SMS reminders, 2170 outpatient appointments were offered and there was a 22.2% non-attendance rate. In t...
Source: Irish Journal of Medical Science - November 16, 2017 Category: General Medicine Source Type: research

Comparing reactive oxygen species and DNA fragmentation in semen samples of unexplained infertile and healthy fertile men
ConclusionsThe higher levels of intracellular ROS and DNA fragmentation in the semen samples of unexplained infertile couples and their causes might be considered as an important factor related to diagnosis and treatment of the unexplained infertile couples. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 15, 2017 Category: General Medicine Source Type: research

Cadaveric simulation: a review of reviews
ConclusionCadavers are an effective medium for surgical teaching, and it may be appropriate for them to be used whenever surrounding conditions such cost and availability allow. Further research is required to provide evidence on whether there is equivalence between cadavers and other educational media which may not bear the same shortcomings. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 14, 2017 Category: General Medicine Source Type: research

Patient safety ward round checklist via an electronic app: implications for harm prevention
ConclusionsThe baseline audit demonstrated significant practice bias on daily ward rounds which tended to omit several key-proven patient safety practices such as prompting hand decontamination and obtaining up to date reports from nursing staff. Results of the intervention arm demonstrate the feasibility of using the Checklist App on daily ward rounds. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 6, 2017 Category: General Medicine Source Type: research