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Isolated Transient Global Amnesia Following Hippocampal Stroke. 海马区中风后的孤立性短暂性全面遗忘症
Irish medical journal Pub Date : 2024-09-26
M Hag, J Miranda, J Lavinskas
{"title":"Isolated Transient Global Amnesia Following Hippocampal Stroke.","authors":"M Hag, J Miranda, J Lavinskas","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1020"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390560","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
Impact of a new paediatric pleural empyema guideline on outcomes. 新的儿科胸膜腔积液指南对治疗效果的影响。
Irish medical journal Pub Date : 2024-09-26
F Jneibi, D W Cox
{"title":"Impact of a new paediatric pleural empyema guideline on outcomes.","authors":"F Jneibi, D W Cox","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1009"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390558","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
Loperamide induced acute pancreatitis in pediatrics. 洛哌丁胺诱发儿科急性胰腺炎。
Irish medical journal Pub Date : 2024-09-26
G Bruno, G Marinotti
{"title":"Loperamide induced acute pancreatitis in pediatrics.","authors":"G Bruno, G Marinotti","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Presentation: </strong>A 13-year-old boy was admitted to the hospital following an accidental ingestion of 12 mg of loperamide hydrochloride. His main complaint was abdominal pain, especially in his right hypochondrium and epigastrium.</p><p><strong>Diagnosis: </strong>He was diagnosed with acute pancreatitis secondary to the use of loperamide. His lipase and amylase were indeed raised showing an acute and reversible trend. Infections and cholelithiasis were ruled out by blood tests and US abdomen.</p><p><strong>Treatment: </strong>The patient was treated with a single dose of activated charcoal and improved with no further treatment.</p><p><strong>Discussion: </strong>Loperamide is an opioid-receptor agonist and acts on the μ-opioid receptor. This causes spasms and dysfunction of the sphincter of Oddi resulting in obstruction of the pancreatic drainage and leading to acute pancreatitis. This case report shows the first case of loperamide induced acute pancreatitis in pediatrics.</p>","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1016"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390562","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
Persistent Postural Perceptual Dizziness In The Neurology Clinic. 神经科门诊中的持续性姿势感知性头晕。
Irish medical journal Pub Date : 2024-09-26
K Radhakrishna, M Gaughan
{"title":"Persistent Postural Perceptual Dizziness In The Neurology Clinic.","authors":"K Radhakrishna, M Gaughan","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>To determine the proportion of referrals to a General Neurology New Patient Clinic which meet the diagnostic criteria of Persistent Postural Perceptual Dizziness (PPPD) and to gauge patient-perceived response to treatment.</p><p><strong>Methods: </strong>Referral letters, n=1315, to a General Neurology New Patient Clinic from 2021-2023 were screened for terms 'dizziness', 'vertigo', 'unsteadiness' and 'vestibular'. A chart review was performed to establish study outcomes.</p><p><strong>Results: </strong>202 (15.4%) patients were referred with 'dizziness', 'vertigo' or 'unsteadiness', 22 (11%) of which fulfilled the diagnostic criteria. Venlafaxine was offered in 10 (45.5%) patients and conferred ≥50% benefit in 8 (80%). Vestibular physiotherapy improved symptoms by ≥25% in all 7 (100%) patients with access to the intervention. Cognitive behavioural therapy and effective communication of the diagnosis alleviated symptoms by 50% in 3 (14%) patients respectively.</p><p><strong>Discussion: </strong>PPPD is increasingly recognised in patients with chronic vestibular symptoms and can cause significant functional morbidity. Venlafaxine may independently improve symptoms1.</p>","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1014"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390563","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
Successful Delayed Amputated Split-Thickness Dermis Reattachment of a Fingertip Injury in the Home Setting without Sutures. 无需缝合，在家庭环境中成功完成指尖损伤的延迟截肢真皮层裂开再接合。
Irish medical journal Pub Date : 2024-09-26
M Waterstone, S Keogh, E J Kelly
{"title":"Successful Delayed Amputated Split-Thickness Dermis Reattachment of a Fingertip Injury in the Home Setting without Sutures.","authors":"M Waterstone, S Keogh, E J Kelly","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Presentation: </strong>This case reports details a fingertip amputation injury. The patient was vitally stable post-injury and blood loss was controlled with direct pressure.</p><p><strong>Diagnosis: </strong>The injury was inspected and found to involve the finger pulp and nailbed, without exposure of the terminal phalanx (Allen 2).</p><p><strong>Treatment: </strong>The avulsed tissue was initially placed in situ at the site of the injury. At day 3 the viable dermis from the avulsed tissue was dissected away and a split-thickness dermal graft was performed. The graft was held in place with antibacterial dressings. Epithelialisation was complete at two weeks, sensation returned to normal at five months and progress was tracked with interval photography. Overall there was an excellent cosmetic and functional outcome.</p><p><strong>Discussion: </strong>Split-thickness grafting of the dermis has been previously described, but there are no reports of this technique being applied to fingertip injuries. De-epithelialisation may enhance the likelihood of graft survival when compared to composite grafting techniques.</p>","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1015"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390568","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
Long-term outcomes for Advanced Colorectal Polyps in the BowelScreen Programme. 肠道筛查计划中晚期大肠息肉的长期治疗效果。
Irish medical journal Pub Date : 2024-09-26
E Keating, J Campion, J Leyden, S Stewart, P MacMathuna, C Lahiff
{"title":"Long-term outcomes for Advanced Colorectal Polyps in the BowelScreen Programme.","authors":"E Keating, J Campion, J Leyden, S Stewart, P MacMathuna, C Lahiff","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aims: </strong>Colonoscopies performed as part of a colorectal cancer screening programmes regularly identify large non-pedunculated colorectal polyps (LNPCPs). Endoscopic Mucosal Resection (EMR) is a minimally invasive endoscopic resection strategy, for effective management of LNPCPs. There is limited published data on clinical outcomes for EMR carried out within screening programmes.</p><p><strong>Methods: </strong>A retrospective analysis of a prospectively-maintained EMR database of BowelScreen patients in a single centre over a 5 year period.</p><p><strong>Results: </strong>Fifty-two polyps in 50 patients underwent EMR in the study period. Median polyp size was 25mm (range 20-70mm). Adenocarcinoma was identified in 7.8% of resection specimens (n 4/51). Complications were recorded in 5.7% of EMRs (n 3/52). Surveillance was completed for 87.8% (n=36/41) of eligible patients with a site-check recurrence rate of 8.3% (n 3/36). Recurrence was successfully managed endoscopically through the surveillance programme with an 18 month recurrence rate of 2.7% (n 1/36). Surgery was avoided in 92% (n 46/50) of patients undergoing EMR.</p><p><strong>Discussion: </strong>Complex polyps identified in the colorectal cancer screening programme are effectively and definitively managed by minimally invasive endoscopic resection.. Low recurrence and complication rates underscore the value of EMR as part of a screening programme. Post-EMR surveillance identifies a small number of endoscopically manageable recurrences, with encouragingly high levels of compliance.</p>","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1010"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390561","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
Dermabuddy - The dermatology app that is making a difference for GPs and their patients. Dermabuddy - 为全科医生及其患者带来改变的皮肤科应用程序。
Irish medical journal Pub Date : 2024-09-26
C Burke
{"title":"Dermabuddy - The dermatology app that is making a difference for GPs and their patients.","authors":"C Burke","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1019"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390555","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 Experiences of Native Irish speaking Older Adults Navigating Healthcare Services. 讲爱尔兰语的老年人在医疗保健服务中的经历。
Irish medical journal Pub Date : 2024-09-26
C Breathnach, J Fox, S M Hynes
{"title":"The Experiences of Native Irish speaking Older Adults Navigating Healthcare Services.","authors":"C Breathnach, J Fox, S M Hynes","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>This research aims to understand the experiences of native Irish speaking older adults navigating healthcare services in Ireland.</p><p><strong>Methods: </strong>Semi-structured interviews in the Irish language were conducted with seven participants. Interviews were audio recorded and transcribed. Data was coded and analysed using MAXQDA® software and thematic analysis.</p><p><strong>Results: </strong>Two major themes were identified: 1) Factors influencing the relationship between patients and HCPs (2) What's more important? A doctor or an Irish speaker? Shared communications preferences were discussed but above all, participants preferred if HCPs were proficient in both Irish and English.</p><p><strong>Discussion: </strong>Language discordant care exists in rural Gaeltacht areas. Bilingualism does not completely mitigate language barriers in Gaeltacht area healthcare settings, as some HCPs are neither fluent in English nor Irish. Opinions around the use of interpreters are mixed. All participants expressed the value of direct communication between patient and provider. This study highlights the need for language concordant care to be available for native Irish speaking older adults living in rural Gaeltacht areas, and further emphasises the importance of language concordant care for minority language speaking populations. The findings of this study provide an insight into the lives of native Irish speaking older adults navigating the healthcare system and contribute to understanding an underserved patient group.</p>","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1011"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390569","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
Global Under 5s Childhood Mortality. 全球 5 岁以下儿童死亡率。
Irish medical journal Pub Date : 2024-08-22
J F A Murphy
{"title":"Global Under 5s Childhood Mortality.","authors":"J F A Murphy","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 7","pages":"986"},"PeriodicalIF":0.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142055611","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
Beaumont Multidisciplinary Diabetic Foot Care Symposium - Abstracts. 博蒙特多学科糖尿病足护理研讨会 - 摘要。
Irish medical journal Pub Date : 2024-08-22
{"title":"Beaumont Multidisciplinary Diabetic Foot Care Symposium - Abstracts.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 7","pages":"1004"},"PeriodicalIF":0.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142055607","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
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