Irish medical journal最新文献_第10页

Emergency Radiology - Increasing demand on out-of-hours radiology department resources. 急诊放射科——对非工作时间放射科资源的需求日益增加。

Irish medical journal Pub Date : 2026-05-21

P Rohan, S Singh, C Brosnan, N Healy, M Morrin

{"title":"Emergency Radiology - Increasing demand on out-of-hours radiology department resources.","authors":"P Rohan, S Singh, C Brosnan, N Healy, M Morrin","doi":"","DOIUrl":"","url":null,"abstract":"Aim: Demand for acute radiology services has increased globally, including in Ireland. Radiology Specialist Registrars (SpRs) play a significant role in managing this workload. However, rising demand can influence workflow, performance, and service delivery. Understanding workload trends is essential to ensure high-quality care. This study evaluates trends in out-of-hours imaging workload for radiology SpRs in a tertiary referral centre over a five-year period. The analysis includes the volume of computed tomography (CT), magnetic resonance imaging (MRI), and ultrasound (US) studies, as well as the number of incoming phone calls.Methods: A retrospective observational analysis of imaging studies performed out-of-hours between 2019 and 2023 was performed. The mean number of studies in representative months of January, June, and November was calculated. Phone call volumes during selected periods were also assessed. Paired t-tests were used, with significance set at p<0.05.Results: Mean out-of-hours CT increased from 694 in 2019 to 962 in 2023, a 39% increase (p=0.003). Emergency department (ED) studies increased by 46% (p=0.002). Significant increases were observed in CT TAP (220%, p=0.049) and NCB (38%, p=0.007). Stroke protocol CTs increased by 41% (p = 0.056). Studies performed after midnight increased by 82% (p=0.055). Out-of-hours MRI increased by 7% (p=0.76). US decreased by 41% (p=0.21). Phone calls to SpRs remained stable over the study period, averaging 33 calls per shift.Discussion: The findings demonstrate an increased demand in out-of-hours CT and MRI, driven by increasing ED demand. US trends were not statistically significant, which may suggest shifting imaging priorities. Workflow management, sufficient staffing, and adequate support are crucial to address rising demand and maintain high standards of care.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 5","pages":"80"},"PeriodicalIF":0.0,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

It's Time for Ireland's Tobacco-Free Future. 是时候让爱尔兰走向无烟的未来了。

Irish medical journal Pub Date : 2026-05-21

J Gannon, M Heffron, D W Cox, P Donnellan, C Jennings, B Cushen, S Jacob, E Healy, J Awan, A Sweeney, H McAvoy, P Kavanagh

引用次数: 0

Public Health Considerations in Ireland's Deposit Return Scheme. 爱尔兰存款返还计划中的公共卫生考虑。

Irish medical journal Pub Date : 2026-05-21

N Ravichandran, M Molloy, W Cullen

引用次数: 0

A five-year retrospective review of Protocol 37 transfers from a model 3 hospital Emergency Department. 对某三级医院急诊科37号方案转院的5年回顾性审查

Irish medical journal Pub Date : 2026-05-21

R Gillman, E Murphy, C Ó Catháin, C Brand, S Gilmartin

{"title":"A five-year retrospective review of Protocol 37 transfers from a model 3 hospital Emergency Department.","authors":"R Gillman, E Murphy, C Ó Catháin, C Brand, S Gilmartin","doi":"","DOIUrl":"","url":null,"abstract":"Aim: Protocol 37 is the process in Ireland that facilitates emergency inter-hospital transfers. We performed a five-year retrospective review of emergency transfers from a Model 3 Emergency Department (ED). The aim of the study was to identify delays and reasons for delays to transfer.Methods: A retrospective review was completed on all Protocol 37 transfers from Sligo University Hospital (SUH) ED from 01/06/2019-01/06/2024. All data collected was analysed for documented reasons for transfer delays.Results: There were 399 Protocol 37 transfers over the five-year period. The mean age was 56 years and 299 (75%) were triage category 2. The most common reasons for transfer were myocardial infarction (131, 33%) and ischaemic stroke (63, 16%). The local tertiary centre received 210 (53%) of the patients. 112 (28%) transfers required medical staff to travel. The mean time from ED arrival to transfer was 5 hours 5 minutes, and Protocol 37 activation to transfer was 56 minutes. 41 (10.3%) patients had documented transfer delays.Discussion: This review identifies clear delays to emergency inter-hospital transfers from a model 3 hospital ED. This is secondary to the complexity involved in the diagnosis and management of these patients. We aim to implement a national transfer document to improve the efficiency of transfers.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 5","pages":"82"},"PeriodicalIF":0.0,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Internal carotid artery dissection in a young healthy male patient. 年轻健康男性患者的颈内动脉夹层。

Irish medical journal Pub Date : 2026-05-21

J Slowey, K Geraghty, E Killeen, A Akhtar, T Farrell, D Williams

引用次数: 0

Vulval Edema - A rare complication of Preeclampsia. 外阴水肿-子痫前期的罕见并发症。

Irish medical journal Pub Date : 2026-05-21

I Mohamed, T Utekar

{"title":"Vulval Edema - A rare complication of Preeclampsia.","authors":"I Mohamed, T Utekar","doi":"","DOIUrl":"","url":null,"abstract":"Presentation: A 29-year-old primigravida woman (G1P0) with a BMI of 35.2 presented at 38+3 weeks with severe edema extending from lower abdomen to her thighs, and vulval edema predominantly right-sided, and associated with difficulty mobilizing. Her BP was 160/94 mmHg. She had a prior diagnosis of gestational hypertension that progressed to preeclampsia.Diagnosis: Investigations revealed an elevated urine protein-creatinine ratio (PCR 103 mg/Mmol), elevated serum uric acid (399), and thrombocytosis (platelet count 447). Serial PET screening confirmed a diagnosis of preeclampsia.Treatment: Labetalol was increased to 200 mg TDS. Due to worsening edema and functional impairment, an elective Caesarean section was performed, resulting in the delivery of a healthy 4 kg baby girl. Postoperatively, the patient developed an enlarging vulval swelling (15×10 cm) and her pain unrelenting to pain relief and impaired mobility hence it was drained under local anaesthesia yielding 250 mL of serous fluid. She was treated with oral antibiotics and discharged with improved condition.Discussion: Massive vulval edema is a rare but distressing complication of preeclampsia, reported in very few global cases. This is the first documented case in Ireland, highlighting the importance of recognizing atypical presentations in hypertensive disorders of pregnancy. Timely intervention led to favourable maternal and foetal outcomes.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 5","pages":"90"},"PeriodicalIF":0.0,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integrating Global Public Health Intelligence - Thematic Analysis from WES Synthesis 2025. 整合全球公共卫生情报——来自WES综合2025的专题分析。

Irish medical journal Pub Date : 2026-05-21

K I Quintyne, R Parlour, M Williams, C Gilbourne, K Andersen, Z McCrystal

{"title":"Integrating Global Public Health Intelligence - Thematic Analysis from WES Synthesis 2025.","authors":"K I Quintyne, R Parlour, M Williams, C Gilbourne, K Andersen, Z McCrystal","doi":"","DOIUrl":"","url":null,"abstract":"Aims: The global public health landscape is rapidly evolving, driven by emerging infectious diseases, shifting vaccination priorities, and climate-related health risks. The WES Synthesis 2025 project aimed to consolidate and analyse recent intelligence from international and national sources to inform strategic planning, policy development, and workforce preparedness.Methods: Outputs generated between January and September 2025 were systematically reviewed from WHO, ECDC, UKHSA, CDC, ProMED, and national public health bodies. A thematic analysis identified trends across six domains: emerging infectious diseases, vaccination guidance, antimicrobial resistance, sexual health, environment and health, and public health systems. Items were categorised by theme, action type, and relevance.Results: Over 1,000 intelligence items were reviewed. Key findings included measles and mpox resurgence, expanded avian influenza surveillance, and updated vaccination guidance for COVID-19, RSV, and influenza. Other priorities included antimicrobial resistance monitoring, rising STI rates among young adults in Ireland, climate-sensitive disease patterns, and strengthened digital preparedness frameworks.Discussion: The WES Synthesis 2025 underscores the value of integrated horizon scanning and thematic evidence review in strengthening public health intelligence. Findings provide actionable insights to support timely decision-making, targeted interventions, and enhanced situational awareness. This approach offers a replicable model for multidisciplinary evidence integration to address evolving health threats.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 5","pages":"85"},"PeriodicalIF":0.0,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Accuracy and Reliability of Radiometer Gas Analyzer for Neonatal Hyperbilirubinaemia Management. 辐射计气体分析仪在新生儿高胆红素血症管理中的准确性和可靠性。

Irish medical journal Pub Date : 2026-05-21

V Bell, L Pentony, G M Mineva, S L Naidu, H Rafaqat, S Cavallari, P Penrose, M Ahmed, J Altaf, I Roze, M Elsammak, J D Corcoran

{"title":"Accuracy and Reliability of Radiometer Gas Analyzer for Neonatal Hyperbilirubinaemia Management.","authors":"V Bell, L Pentony, G M Mineva, S L Naidu, H Rafaqat, S Cavallari, P Penrose, M Ahmed, J Altaf, I Roze, M Elsammak, J D Corcoran","doi":"","DOIUrl":"","url":null,"abstract":"Aims: To assess the accuracy of capillary gas bilirubin (Radiometer TBiL) compared to venous total plasma bilirubin (Roche TPB), and to evaluate the reliability of Radiometer TBiL in neonatal hyperbilirubinaemia treatment decisions.Methods: A prospective study was conducted at a tertiary neonatal centre in Dublin, Ireland between December 2023 and May 2025. Paired Radiometer TBiL and Roche TPB measurements were obtained from 97 neonates requiring bilirubin assessment.Results: Radiometer TBiL demonstrated high correlation with Roche TPB (r = 0.97, p < 0.0001), although Radiometer TBiL showed an overestimation, especially at bilirubin levels between 150 to 230 µmol/L. Bland-Altman analysis revealed a mean difference of -16.6 µmol/L with wide limits of agreement (-63.6 to 30.4 µmol/L). Kappa analysis (κ = 0.35, 95% CI: 0.14 - 0.55) showed fair agreement in treatment decisions, with a tendency for Radiometer TBiL to overestimate the need for treatment, but there was no significant underestimation.Discussion: Radiometer TBiL offers a rapid and less invasive alternative for bilirubin screening and risk stratification in neonates, with high correlation to standard laboratory measurements. While a tendency to overestimate bilirubin levels may lead to overtreatment, the absence of significant underestimation suggests Radiometer TBiL is a safe tool for clinical decision-making. Larger studies are warranted to validate these findings and refine clinical thresholds.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 5","pages":"83"},"PeriodicalIF":0.0,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Accuracy of Carer Measured Weight - A Service Evaluation. 汽车称重的准确性——一种服务评价。

Irish medical journal Pub Date : 2026-05-21

J Coveney, R Bonsor, A Cohen, A Gonzalez-Lamberth, D Hopgood, R Thorpe, E Ledger

引用次数: 0

Taking the 'HIT' (Heparin-induced thrombocytopenia) - Balancing Local Testing with Delayed Central Results. 采取“HIT”（肝素诱导的血小板减少）-平衡局部检测与延迟的中心结果。

Irish medical journal Pub Date : 2026-05-21

D Daly, N Fleming, B Murphy, M P Crowley

引用次数: 0