An evaluation of the effectiveness of an advanced practice physiotherapist in the emergency department setting in Ireland
ConclusionsThe findings of this study indicate that an advanced practice physiotherapist can provide a timely, effective, and safe service for patients attending the emergency department with musculoskeletal complaints in Ireland. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 20, 2023 Category: General Medicine Source Type: research
Risks of scientific misinformation through press and pre-print articles
(Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 18, 2023 Category: General Medicine Source Type: research
Early vitrectomy is indicated for both diffuse and dense vitreous haemorrhages of unknown aetiology
ConclusionsIn cases of diffuse or dense VH of unknown aetiology, an occult retinal tear should be suspected. Early vitrectomy should be strongly considered regardless of whether the fundal view is partially or completely obscured, to prevent progression to visually significant RRDs. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 17, 2023 Category: General Medicine Source Type: research
Evaluating the utility of robotic axillary lymph node dissection in patients with invasive breast cancer: a systematic review
AbstractRobot-assisted axillary lymph node dissection (RALND) has been proposed to improve surgical and oncological outcomes for patients with breast cancer. To perform a systematic review of current literature evaluating RALND in patients with invasive breast cancer. A systematic search was performed in accordance with the PRISMA guidelines. Studies outlining outcomes following RALND were included. Two studies involving 92 patients were included in this review. Of these, 41 underwent RALND using the da Vinci© robotic system (44.57%), and 51 underwent conventional axillary lymph node dissection (CALND) (55.43%). There...
Source: Irish Journal of Medical Science - November 16, 2023 Category: General Medicine Source Type: research
Excisional haemorrhoidectomy in Crohn ’s disease — is it time to question an old dogma?
ConclusionThe current available evidence suggests a role for excisional haemorrhoidectomy in Crohn ’s disease patients with well-controlled symptomatic disease, though further prospective analysis is certainly warranted. The preferred operation (open vs closed) remains unclear.Future recommendationsFurther prospective trials are required to investigate the optimal approach to haemorrhoidectomy in Crohn ’s disease. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 14, 2023 Category: General Medicine Source Type: research
Artificial intelligence in medical science: a review
This study is focused on various applications of AI in healthcare. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 12, 2023 Category: General Medicine Source Type: research
Imaging of acute lower limb muscle injury and potential gender differences
ConclusionsGrade 1a is the most common lower limb AMI grade in our institution, accounting for 25%. Biceps femoris is the most commonly injured muscle (45%) with grade 1b and grade 2b being the most frequently encountered grades of biceps femoris injuries. Lower-grade injuries are more common in females compared to ma les, although not significantly so. Further studies are required to explore possible reasons for this gender gap. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 10, 2023 Category: General Medicine Source Type: research
Frequency of next-generation sequencing, prevalence of targetable mutations and response to targeted therapies amongst patients with metastatic urothelial cancer in Ireland: a multi-centre retrospective study of real-world data
ConclusionsThis study provides an understanding of the use of NGS and prevalence of genomic alterations in an Irish patient population. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 10, 2023 Category: General Medicine Source Type: research
A model to predict delivery time following induction of labor at term with a dinoprostone vaginal insert: a retrospective study
ConclusionsOur findings may help obstetricians estimate the DT before placing a dinoprostone insert, which may improve patient management in busy maternity wards and minimize potential risks. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 10, 2023 Category: General Medicine Source Type: research
Prognostic value of pre-operative mean corpuscular volume (MCV) in colorectal cancer
ConclusionMCV does not appear to be an independent prognostic factor for outcomes following elective CRC resection. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 9, 2023 Category: General Medicine Source Type: research
The effect of spinal range of motion on functional balance, quality of life, and perception of appearance in adolescent idiopathic scoliosis after posterior spinal fusion surgery
ConclusionsIn AIS, limitation of movement in the coronal, sagittal, and transverse planes is observed after fusion surgery. Spinal ROM is affected by the level of fusion performed at surgery. Postoperative spinal limitation of motion adversely affected functional balance, quality of life, and perception of appearance. We believe that comprehensive rehabilitation approaches that improve postoperative range of motion and increase functionality are important for optimal postoperative recovery. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 9, 2023 Category: General Medicine Source Type: research
Therapeutic plasma exchange in paediatric nephrology in Ireland
ConclusionsOur experience of TPE, spanning 1137 exchanges, proved a safe, well-tolerated therapy. Most complications were minor, and with therapy conducted in specialised centres, there are very low levels of adverse events. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 8, 2023 Category: General Medicine Source Type: research
Correction to: Specialist cancer hospital ‑based smoking cessation service provision in Ireland
(Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 7, 2023 Category: General Medicine Source Type: research
Tracheoesophageal fistula development following radiotherapy and tyrosine kinase inhibitors in a patient with advanced follicular thyroid carcinoma: a case-based review
ConclusionThis case report highlights a rare cause of TEF development in a patient having TKI therapy post-RT for advanced FTC. It highlights the importance of monitoring TEF development in this cohort of patients. It demonstrates the importance of patient counselling and education regarding treatment options and the rare side effects of treatments. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 3, 2023 Category: General Medicine Source Type: research
Patients ’ attitudes to bedside teaching after the COVID-19 pandemic
ConclusionThis study shows extensive and persisting patient support for BST. BST is unique in that it allows students to gain a deeper understanding of the disease which are hard to elicit through online/virtual methods. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - November 2, 2023 Category: General Medicine Source Type: research
