Irish medical journal最新文献_第3页

Driving Safety After Hip Injections: Brake Response Times. 髋部注射后的驾驶安全：刹车反应时间。

Irish medical journal Pub Date : 2026-03-19

F Kenny, N Christodoulou, A AdeConde, A Sidhu, J Brillantes, J O'Byrne

{"title":"Driving Safety After Hip Injections: Brake Response Times.","authors":"F Kenny, N Christodoulou, A AdeConde, A Sidhu, J Brillantes, J O'Byrne","doi":"","DOIUrl":"","url":null,"abstract":"Aims: Hip inflammatory conditions such as trochanteric bursitis and osteoarthritis significantly impact functional ability. While hip arthroplasty is common, hip injections are a less invasive pain management option for these conditions. Concerns about driving safety post-injection have led to guidelines advising against driving for 12-24 hours. This study assesses brake response time (BRT) before and after hip injections to determine driving fitness.Methods: In this prospective study, 55 patients scheduled for steroid and local anaesthetic hip injections at a National Orthopaedic Hospital were recruited. BRT was measured using a brake response machine both before and 30 minutes after the injection. Pain levels were assessed using the Visual Analog Scale (VAS). Paired t-tests compared pre- and post-injection BRT and VAS scores.Results: This study included 64 hips in patients with a mean age of 61.6 years. There was no significant difference in mean BRT pre- and post-injection (0.83 vs 0.84 seconds, p = 0.856). VAS scores significantly decreased post-injection (4.94 vs 3.52, p = 0.0243).Discussion: BRT was unaffected post-hip injection, suggesting patients can safely drive after receiving one. This result can impact patient experience of attending for an injection. Larger future studies assessing other driving factors are recommended.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 3","pages":"46"},"PeriodicalIF":0.0,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147499004","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 endocrine impact of immunotherapy: audit and future service implications. 免疫治疗对内分泌的影响：审计和未来的服务意义。

Irish medical journal Pub Date : 2026-03-19

S Cooney, C Grant, M L Healy

引用次数: 0

Hypocalcaemic Tetany and Seizures Secondary to Vitamin D Deficiency. 低钙性手足搐搦和癫痫继发于维生素D缺乏。

Irish medical journal Pub Date : 2026-03-19

S A Zanjani, T Chakrabarty

引用次数: 0

Yellow Clinical Waste Bin Usage. 黄色医疗废物箱用途。

Irish medical journal Pub Date : 2026-03-19

A Abdelmageed, M Al-Nasser, M Abudawa, M Essa, S Elamin, T Hassan, M Elsayed, M Babiker, M Abdalla, A Shortt, M O'Brien

引用次数: 0

Response Letter to "The Enduring Importance of The Clinical Examination". 对“临床检查的持久重要性”的回应函。

Irish medical journal Pub Date : 2026-03-19

J Foley

引用次数: 0

HECTOR: A Trauma Course to Match Our Population. 与我们的人口相匹配的创伤课程。

Irish medical journal Pub Date : 2026-03-19

M Bourke, V Ramiah, C Byrne, C Mason, F Sands, R Coary, R Riches, E Devlin, C Hawkins, H Hawkins, K Portas, M Lynders, D Breslin

{"title":"HECTOR: A Trauma Course to Match Our Population.","authors":"M Bourke, V Ramiah, C Byrne, C Mason, F Sands, R Coary, R Riches, E Devlin, C Hawkins, H Hawkins, K Portas, M Lynders, D Breslin","doi":"","DOIUrl":"","url":null,"abstract":"Major trauma in Ireland now affects older adults more than any other group, with patients aged ≥65 years making up over half of all national cases. Most injuries arise from low-mechanism falls, bringing frailty, multimorbidity, and polypharmacy into routine trauma care. Traditional trauma education has not always kept pace with these changes. The UK Heartlands' Elderly Care Trauma & Ongoing Recovery (HECTOR) course was developed specifically to support clinicians managing older trauma patients. This study describes the adaptation of HECTOR to the Irish context and evaluates a pilot delivery of the course. Using Kern's six-step framework, the curriculum was modified to align with Irish guidelines, system structures, and resource availability. A one-day pilot course was delivered to 18 multidisciplinary clinicians during the 2025 Irish Association for Emergency Medicine (IAEM) meeting. Twelve participants completed post-course evaluations. Feedback was overwhelmingly positive, highlighting relevance, practicality, and the value of the interprofessional format. The findings indicate strong feasibility and support further rollout with more rigorous evaluation.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 3","pages":"38"},"PeriodicalIF":0.0,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147499037","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

Patterns of Supplement Use in Prostate Cancer Survivors: A Cross-Sectional Survey. 前列腺癌幸存者的补充剂使用模式：一项横断面调查。

Irish medical journal Pub Date : 2026-03-19

C Shine, K E Johnston, S J Cushen

{"title":"Patterns of Supplement Use in Prostate Cancer Survivors: A Cross-Sectional Survey.","authors":"C Shine, K E Johnston, S J Cushen","doi":"","DOIUrl":"","url":null,"abstract":"Aims: Herbal, vitamin, and mineral supplement use is common among cancer survivors, but little is known about patterns among men with prostate cancer (PCa) in Ireland. This study aimed to examine prevalence, symptom burden, and associations between supplement use and PCa-related symptoms.Methods: Between May and June 2025, a national cross-sectional online survey was conducted among men with a PCa diagnosis. Information collected included demographics, clinical history, symptoms, supplement use, reasons for use, sources of information, and whether use was discussed with healthcare providers.Results: Of 74 responses, 46% (n=34) were eligible. Among these, 62% (n=21) were over 60 years and 94% (n=32) were overweight or obese; 47% (n=16) were 3-5 years post-diagnosis. Erectile dysfunction and reduced libido were the most common symptoms 85% (n=29). Supplement use was reported by 85% (n=29): 82% (n=28) used vitamins/minerals and 32% (n=11) used herbal products. Vitamin D was the most frequent vitamin 50% (n=17) and turmeric the leading herbal 18% (n=6). Over half 53% (n=18) had not discussed supplement use with healthcare providers.Conclusion: Herbal and vitamin and mineral supplement is highly prevalent among Irish men with prostate cancer, particularly vitamin and mineral products, with vitamin D most common. Improved communication and clinical guidance are needed in survivorship care.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 3","pages":"43"},"PeriodicalIF":0.0,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147498811","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

Sustained Remission of Alopecia Areata Universalis following Red Cell Transfusion. 红细胞输注后普遍斑秃的持续缓解。

Irish medical journal Pub Date : 2026-03-19

J Hoban, N Stefanovic, S Ní Raghallaigh

引用次数: 0

Pregnancy outcomes in women with a surgically short cervix with no history of preterm birth. 宫颈短手术无早产史妇女的妊娠结局。

Irish medical journal Pub Date : 2026-03-19

L T Fricke, H C Bartels, G Corbett, L Lüthe, S Corcoran

{"title":"Pregnancy outcomes in women with a surgically short cervix with no history of preterm birth.","authors":"L T Fricke, H C Bartels, G Corbett, L Lüthe, S Corcoran","doi":"","DOIUrl":"","url":null,"abstract":"Aims: Preterm birth is the leading cause for potentially lifelong morbidity and neonatal death. This study explores pregnancy outcomes for women with a surgically short cervix and no history of preterm birth.Methods: This was a single-centre prospective cohort study including 144 patients who attended a specialist preterm birth clinic in a tertiary referral maternity hospital between 2019 and 2023. Inclusion criteria were significant cervical surgical history and no history of preterm birth.Results: Among women with prior significant cervical surgical, those with a short cervical length (n=8/40, 20%) had a higher rate of preterm birth than women with a normal cervical length (n=7/104, 7%). Women with a short cervical length who had received a transabdominal cerclage were less likely to experience preterm birth (n=0/18, 0%) than if they did not have a transabdominal cerclage (n=5/22, 23%). Women with a normal cervical length could safely be managed conservatively.Conclusion: Women with a short cervical length and no history of preterm birth may benefit from transabdominal cerclage. Where there is a history of significant cervical surgery but the cervical length remains normal, there is a high chance of a term birth. This study provides reassuring data to help counsel patients effectively.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 3","pages":"45"},"PeriodicalIF":0.0,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147498817","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

An Post Celebrating Women Medics. 庆祝女医务人员的帖子。

Irish medical journal Pub Date : 2026-03-19

J F A Murphy

引用次数: 0