Irish medical journal最新文献_第2页

Inpatient serum amylase testing post-ERCP.

Irish medical journal Pub Date : 2025-03-20

O O'Connor, J O'Riordan, D McNamara

引用次数: 0

Intra-temporal and intracranial radiological abnormalities in cochlear implantation.

Irish medical journal Pub Date : 2025-03-20

E Farrell, H Jones, C Simoes-Franklin, L Viani, F Glynn, P Walshe

引用次数: 0

Anaesthetic Management of a patient with Rubinstein Taybi Syndrome.

Irish medical journal Pub Date : 2025-03-20

F Butt, R Shamin, N Narayanan

引用次数: 0

Evaluation of a newly introduced parenting support programme for families of children with 22q11.2 Deletion Syndrome.

Irish medical journal Pub Date : 2025-03-20

A Khan, N Mazeri, V Gadancheva, W Mulcahy, S Kelleher, F McNicholas

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Tranexamic Acid Use in Neurosurgery and Spinal Surgery.

Irish medical journal Pub Date : 2025-03-20

J H Ng, M Moore

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Nursing and Medical Staff Turnover Rates and Patient Outcomes.

Irish medical journal Pub Date : 2025-03-20

J F A Murphy

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Delayed presentation and diagnosis of testicular torsion-insights from 10 years of cases.

Irish medical journal Pub Date : 2025-02-22

C O'Connell, G Keane, L Yu-Chen, S S Connolly, K J O'Malley, D Galvin, N Hegarty, G J Nason

{"title":"Delayed presentation and diagnosis of testicular torsion-insights from 10 years of cases.","authors":"C O'Connell, G Keane, L Yu-Chen, S S Connolly, K J O'Malley, D Galvin, N Hegarty, G J Nason","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Testicular torsion is a common and important cause of scrotal and abdominal pain in men, and delayed diagnosis can result in testicular necrosis necessitating orchidectomy. Delayed presentation of torsion remains a significant issue in the Irish health service. We aimed to report the clinical particulars of patients requiring orchidectomy for torsion for the last 10 years.Methods: A retrospective review was performed of all orchidectomy cases from 2014-2024. Histology reports, clinical notes and operative notes were analysed to identify cases of testicular torsion. Patient data, radiologic and laboratory results and operative findings were recorded.Results: 180 patients underwent orchidectomy during this period. 15 (8.33%) cases of orchidectomy for testicular ischaemia due to torsion were identified. Mean (±SD) patient age was 24 (±9) years. In 12 cases (80%), the delay in diagnosis was due to late patient presentation to the emergency department, with a median (±IQR) time to presentation from onset of pain of 72 hours (±54). In 3 cases (20%) the patient had presented in a timely manner and was discharged with a presumed alternative diagnosis (epididymoorchitis in two cases and non-specific abdominal pain in one case). These patients subsequently presented again with ongoing pain and ultrasound revealed an absence of Doppler flow to the affected testis.Discussion: Delayed presentation of testicular torsion remains a significant problem. All cases of orchidectomy in this review were associated with a duration of pain >6 hours.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"118 2","pages":"22"},"PeriodicalIF":0.0,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143501343","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

Management of Osteoporotic Vertebral Compression Fractures.

Irish medical journal Pub Date : 2025-02-20

E Papakitsou, N Awan

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Protracted postpartum urinary retention: risk factors, treatment, and effect on pelvic floor dysfunction.

Irish medical journal Pub Date : 2025-02-20

L Kelly, B D O'Leary, D P Keane

{"title":"Protracted postpartum urinary retention: risk factors, treatment, and effect on pelvic floor dysfunction.","authors":"L Kelly, B D O'Leary, D P Keane","doi":"","DOIUrl":"","url":null,"abstract":"Aim: Postpartum urinary retention occurs in the first twenty-four hours following delivery, though protracted cases-where retention does not resolve following an initial 24 hour in-dwelling catheter-are less well defined, and their incidence is unclear. This study aimed to examine the risk factors, treatment, and effect on pelvic floor dysfunction of protracted postnatal urinary retention.Methods: This was a case control study. Cases of protracted postpartum retention where women required intermittent self-catheterisation from 2015 - 2023 were identified from a hospital database and a matching number of non-protracted cases were randomly selected from the same database as controls. Symptoms were assessed using the ICIQ-FLUTs questionnaire. Variables were analysed using the Chi-squared test, Fisher's Exact Test, Student's t-test, or Mann-Whitney U Test, as appropriate.Results: There were 71482 deliveries during the study period, thus incidence of postpartum urinary retention was 6.9/1000 (491/71,482) and the incidence of protracted retention was 0.6/1000 (40/71,482). One woman was included twice, while a further five cases of protracted retention were identified from written records from 2014 giving a total of 44 cases for analysis. The hospital database did not exist prior to 2015. A total of 20 (22.7%) responses were received. The median follow-up was six years. Operative delivery appears to be a risk factor. Questionnaire responders reported urgency in 13 (65%) of women but bother scores were low. Stress urinary incontinence was denied by 7 (35%) of women while urge incontinence was described by 4 (20%).Discussion: Women can be counselled that protracted postpartum urinary retention is rare and in the medium-term this retention appears to have a minimal effect on bladder function.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"118 2","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143501357","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}

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Subacute pericardial tamponade presenting with hypertension.

Irish medical journal Pub Date : 2025-02-20

C Costello, T Leong, A Blake

引用次数: 0