Irish medical journal最新文献_第3页

Beyond Technology: The Unfinished Work of Breastfeeding Policy. 超越技术：母乳喂养政策未完成的工作。

Irish medical journal Pub Date : 2026-09-28

K Eustace, F Sharif

引用次数: 0

Closing the Mortality Gap: Cancer Inequities for People with Severe Mental Disorders. 缩小死亡率差距：严重精神障碍患者的癌症不公平现象。

Irish medical journal Pub Date : 2026-09-28

P D'Alton, I Gitonga, W M Gallagher, L Mullen, B O'Donoghue, A M Doherty, W Cullen, J V Lucey

引用次数: 0

Trends in the Dispensing of Adult ADHD Medications. 成人ADHD药物分配的趋势。

Irish medical journal Pub Date : 2026-09-28

A Maher, M Cahill, A W Murphy, G Molloy

{"title":"Trends in the Dispensing of Adult ADHD Medications.","authors":"A Maher, M Cahill, A W Murphy, G Molloy","doi":"","DOIUrl":"","url":null,"abstract":"Aims: To examine patterns of stimulant ADHD medications to adults in Ireland between 2015 and 2024, under community drug schemes. We aimed to describe changes over time across age groups, demographic characteristics, and geographic areas.Methods: Dispensing data were obtained from the Irish Primary Care Reimbursement Service, namely prescriptions reimbursed through General Medical Services scheme and Drug Payment scheme. Dispensing volumes and patient numbers for NICE-recommended first-line agents, methylphenidate and lisdexamfetamine, were analysed using a retrospective repeated cross-sectional design.Results: The number of recorded dosage units of both medications increased by ~211% (700,574 to 2,217,634) between 2015 and 2024. Units of lisdexamfetamine rose by ~504% (59,088 to 356,641) between 2020 and 2023. The number of patients also increased during this time (3,377 to 13,966). Adults aged 16-34 years experienced the largest growth. By 2024, dispensings among females had increased to levels approaching those observed in males. Regional patient variation was evident, with largest increases observed in North Cork, Waterford, and Cork-South Lee.Discussion: Adult ADHD pharmacotherapy in Ireland appears to have increased over the past decade, which could reflect evolving service provision. Demographic and regional variation could underscore the need for equitable expansion of adult ADHD assessment and treatment services.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 8","pages":"157"},"PeriodicalIF":0.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074782","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

Evaluation of the Impact of a Targeted Lung Cancer Awareness Campaign. 有针对性的肺癌宣传活动的影响评估。

Irish medical journal Pub Date : 2026-09-28

S A Kelly, U Kennedy, A Lyng, B Neville, T McCarthy, H Burns

{"title":"Evaluation of the Impact of a Targeted Lung Cancer Awareness Campaign.","authors":"S A Kelly, U Kennedy, A Lyng, B Neville, T McCarthy, H Burns","doi":"","DOIUrl":"","url":null,"abstract":"Aims: To evaluate a pilot lung cancer symptom-awareness advertisement campaign targeting a North Dublin area with elevated lung cancer incidence. The primary aim was to assess changes in symptom awareness and behaviour intent. The secondary aim was to examine for changes to rapid access lung cancer (RALC) e-referrals.Methods: Face-to-face surveys were conducted pre- and post-campaign in target and control areas matched for deprivation, and assessed for differences. RALC referral changes were assessed comparing 6 weeks pre-, during, and post- campaign. Pearson's chi-squared and Kruskall-Wallis tests were used.Results: Six-hundred surveys were completed. After advertisement exposure, 119 (79%) and 118 (79%) in the campaign area indicated that it would increase lung cancer symptom awareness, and help-seeking intent respectively. Prompted awareness of 'persistent cough' remained similar, increasing from 109 (73.6%) to 121 (80.7%), which was not statistically significant. There was a decline in unprompted awareness of cough from 94 (64%) to 75 (50%). RALC e-referral increase from 63 (pre-campaign) to 78 (post-campaign) was not statistically significant.Discussion: These unexpected findings may reflect methodological limitations and limited follow-up duration. They underscore the need for multi-model campaigns to improve symptom awareness and help-seeking behaviour. Future evaluations should include longer follow-up and primary care data linkage to better assess intervention impact.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 8","pages":"153"},"PeriodicalIF":0.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074770","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

Reducing Clinical Waste in Flexible Cystoscopy: A Prospective Quality Improvement Study. 减少柔性膀胱镜检查的临床浪费：一项前瞻性质量改进研究。

Irish medical journal Pub Date : 2026-09-28

A Tittawella, C Bohonos, D Surgue, J McDermott, D B Hennessey

{"title":"Reducing Clinical Waste in Flexible Cystoscopy: A Prospective Quality Improvement Study.","authors":"A Tittawella, C Bohonos, D Surgue, J McDermott, D B Hennessey","doi":"","DOIUrl":"","url":null,"abstract":"Aims: Flexible cystoscopy is a very common procedure that relies heavily on single-use consumables, resulting in significant procedural waste. This study aimed to evaluate whether a targeted waste-segregation intervention could reduce clinical waste generation during flexible cystoscopy without compromising clinical practice.Methods: A prospective audit of 50 consecutive diagnostic flexible cystoscopies performed at a tertiary urology centre was undertaken. Twenty-five procedures were evaluated before intervention, followed by structured contamination-based waste segregation training for clinical staff and a re-audit of 25 post-intervention procedures. Total procedural waste was weighed in grams, and individual disposable items were classified as clinical or domestic waste to determine segregation accuracy. The annual environmental and financial impact was modelled using institutional procedural volume, disposal costs, and a standard CO₂ conversion factor.Results: Mean waste weight decreased from 994.4 g pre-intervention to 472.4 g post-intervention, representing a 52.5% reduction. Segregation accuracy improved from 0% to 53%, with 17 of 32 routinely used, non-contaminated items correctly diverted into domestic waste post-intervention. For a service performing 2,000 cystoscopies annually, this equates to approximately 1,044 kg less clinical waste, 1,138 kg lower CO₂ emissions and an estimated disposal cost saving of €1,930.Discussion: Behaviour-focused segregation training halved total waste generated during flexible cystoscopy and deliver measurable environmental and financial benefits without altering consumables, workflow or infection control practice. This represents a scalable, low-cost sustainability strategy for outpatient urology.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 8","pages":"156"},"PeriodicalIF":0.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074795","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

Evaluating the Necessity of Routine Blood Type and Screen Testing Prior to Appendicectomy. 评估阑尾切除术前常规血型及筛查的必要性。

Irish medical journal Pub Date : 2026-09-28

N M Smyth, H Yadav, A M McDonough, D McGee, K Balogun, C Loh, J E Low, J Byrne, V Tewatia, A Begley, P Kiernan, D Beddy, D Kearney

{"title":"Evaluating the Necessity of Routine Blood Type and Screen Testing Prior to Appendicectomy.","authors":"N M Smyth, H Yadav, A M McDonough, D McGee, K Balogun, C Loh, J E Low, J Byrne, V Tewatia, A Begley, P Kiernan, D Beddy, D Kearney","doi":"","DOIUrl":"","url":null,"abstract":"Aim: Appendicectomy is one of the most common emergency surgeries and is typically associated with minimal blood loss. Despite this, many institutions require routine preoperative type and screening (T&S) prior to appendicectomy. This study aimed to determine the rate of transfusion in appendicectomy.Methods: Audit approval was obtained (250907). Data was collected retrospectively from health records of all patients who underwent appendicectomy at Connolly Hospital, Ireland, between January 2023 and December 2024.Results: In total, 340 patients were included. The median age was 35.0 years [IQR; 22.3, range: 16 - 84], with 46% female (157). The majority of cases were emergency (330, 97%) and laparoscopic (339, 99%). A preoperative T&S was sent in 320 patients (94%) and 10 patients (3%) were crossmatched. The rate of intraoperative transfusion was 0% and only 1 patient (0.3%) required a postoperative blood transfusion. Haemoglobin was significantly lower in the crossmatched group (mean haemoglobin 12.5 g/dL [SD: 0.83], p = 0.007). The estimated cost per T&S was €54.52, equating to a total of approximately €17,446.40 for the study period.Discussion: The incidence of perioperative transfusion during appendicectomy is extremely low. A selective, risk-based approach - targeting patients with complicated appendicitis or pre-existing anaemia - may safely reduce costs without compromising patient care.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 8","pages":"159"},"PeriodicalIF":0.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074807","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

Type A Insulin Resistance Syndrome Due to a Pathogenic Variant in the INSR Gene. 由INSR基因致病变异引起的A型胰岛素抵抗综合征。

Irish medical journal Pub Date : 2026-09-28

S Afzal, E Brosnan, M S Sadiq, S R Rizvi, Z Wassem, F Iqbal

引用次数: 0

Cholecystostomy Drainage - Current Practices in a Tertiary Hepatobiliary Unit. 胆囊造瘘引流-三级肝胆科的现行做法。

Irish medical journal Pub Date : 2026-09-28

M Al Azzawi, C Drumm, C Cullinane, C Manole, A Coffey, D O'Neill, C O'Sulleabhain, A O'Sullivan, T Murphy

{"title":"Cholecystostomy Drainage - Current Practices in a Tertiary Hepatobiliary Unit.","authors":"M Al Azzawi, C Drumm, C Cullinane, C Manole, A Coffey, D O'Neill, C O'Sulleabhain, A O'Sullivan, T Murphy","doi":"","DOIUrl":"","url":null,"abstract":"Background: Acute calculous cholecystitis (ACC) is a common general surgical emergency and accounts for 20% of symptomatic gallstone presentations. According to the Tokyo Guidelines, severe ACC necessitates cholecystostomy drainage. Percutaneous Cholecystostomy Drains (PCD) are a temporary intervention in acutely unwell patients with gallbladder-related disease who are unfit to undergo surgery. PCD is used with a therapeutic or palliative intent for the management of gallbladder disease based on the condition and the patient's fitness. This study aims to assess the current role of PCDs in a tertiary hepatobiliary referral centre.Methods: This was a retrospective review of PCD patients treated in a tertiary hepatobiliary referral centre between January 2018 and December 2023. Clinical, radiological, and perioperative outcomes were measured. Descriptive analysis was performed using GraphPad Prism.Results: Sixty-eight patients were identified over six years. The mean age was 71.6 years, with a male majority. The most common diagnosis was severe cholecystitis with septic shock (23, 33.8%), followed by gallbladder perforation (18, 26.4%). The mean duration of PCD placement was 95.78 days. A post-drainage cholecystectomy was performed in 7 (87.1%) of patients with ASA I-II and 24 (40%) with ASA III-IV (p-value<0.05).Conclusions: PCDs are safe and effective in managing surgically unfit patients with severe, complicated ACC. There is a paucity of literature on specific guidelines for the indications, follow-up, and management of PCDs.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 8","pages":"158"},"PeriodicalIF":0.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074672","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

Incidental Diagnosis of Septate Uterus in a Postmenopausal Woman. 绝经后妇女子宫间隔的偶然诊断。

Irish medical journal Pub Date : 2026-09-28

A Fatima, L Hussain, J Kumari

引用次数: 0

Staff Experiences in an Early Pregnancy Unit: Factors Impacting their Work and Quality of Care. 早孕病房的工作人员经验：影响其工作和护理质量的因素。

Irish medical journal Pub Date : 2026-09-28

D Synnott, D Hayes-Ryan, K O'Donoghue, S Leitao

{"title":"Staff Experiences in an Early Pregnancy Unit: Factors Impacting their Work and Quality of Care.","authors":"D Synnott, D Hayes-Ryan, K O'Donoghue, S Leitao","doi":"","DOIUrl":"","url":null,"abstract":"Aims: Early pregnancy units (EPU) function to manage complications of early pregnancy and are staffed by midwives, sonographers and doctors. Research has shown working in an EPU may result in stress and burnout because of caring for women and their partners experiencing pregnancy loss. This study examined work-related demands and job satisfaction of staff in two different EPU models.Methods: All EPU staff in a tertiary maternity hospital were invited to complete an online mixed-methods survey. Data were collected in August-September 2023 while the EPU was onsite at the maternity hospital and in January-May 2024 once the EPU moved offsite. The survey was modelled on previous EPU staff experience research and used validated scales (job satisfaction, organisational and social isolation, and emotional demands).Results: Fifteen surveys were completed from the onsite EPU and 25 from the offsite EPU representing approximately 90% of all EPU staff. Participants considered the offsite EPU better in design, atmosphere, resources for service users and staff, parking and other facilities. Staff reported a higher job satisfaction score (M=7.72; range 4-14), lower levels of organisational isolation score (M=18.86: range 3-25) and lower level of emotional demand score (M=8.40; range 3-12) for the offsite EPU group. For both the onsite and offsite EPU, staff reported that the main factors contributing to workplace stress were individual workload (13, 46%), organisation of the EPU (12, 42.9%) and lack of accessibility to counselling/support staff (7, 25%).Discussion: Feedback at the offsite EPU was positive, reflecting improved working conditions and provision of care. While job satisfaction was strong, interventions for staff to manage stress and emotional demands of their work are needed to ensure wellbeing and health.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 8","pages":"154"},"PeriodicalIF":0.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074817","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