Irish medical journal最新文献_第3页

Language Matters: The Need for Professional Healthcare Interpreters in Ireland.

Irish medical journal Pub Date : 2025-02-20

R Hurley O'Dwyer, L Cordos, M Phelan

引用次数: 0

'Out-of-stock': An initiative to impede Dermatology in-patient topical treatment delays.

Irish medical journal Pub Date : 2025-02-20

B Nolan, S Bowe, S McCarthy

引用次数: 0

Questioning the anatomical relationship between the seventh thoracic vertebra and the inferior angle of scapula: a radiographic review to inform anaesthesia practice.

Irish medical journal Pub Date : 2025-02-20

A N O'Donoghue, S Doran

{"title":"Questioning the anatomical relationship between the seventh thoracic vertebra and the inferior angle of scapula: a radiographic review to inform anaesthesia practice.","authors":"A N O'Donoghue, S Doran","doi":"","DOIUrl":"","url":null,"abstract":"Aim: Blockade of thoracic dermatomes for anaesthesia and analgesia relies on accurate identification of spinal level. For many practitioners this is achieved by using the classical relationship between the inferior angle of scapula (IAS) and the spinous process of the seventh thoracic vertebra. There is mounting published evidence to suggest that this relationship is not a reliable one.Methods: 100 departmental radiographs in posterior-anterior projection were reviewed by a radiologist. Exclusion criteria included age = 20 years and spinal pathology.Results: We found that the T7-IAS relationship was not a reliable one, and that anatomical variation exists as a function of age and gender. T8 is the most frequent level corresponding to the IAS in the study population and in males, with the T8/9 interspace the most frequent in females. The T7/8 interspace is the most frequent in the third decade descending to T8/9 in the seventh.Discussion: For accurate identification of the correct vertebral level we suggest techniques such as ultrasound or fluoroscopic guidance rather than clinical examination and historical anatomical associations.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"118 2","pages":"23"},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143501358","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

Varicella Zoster meningitis presenting in an Immunocompetent adolescent.

Irish medical journal Pub Date : 2025-02-20

S Best, G Mustafa, E Daly

{"title":"Varicella Zoster meningitis presenting in an Immunocompetent adolescent.","authors":"S Best, G Mustafa, E Daly","doi":"","DOIUrl":"","url":null,"abstract":"Presentation: Varicella zoster virus (VZV) establishes dormancy following primary infection and reactivates typically in the elderly and immunocompromised hosts. Neurological complications can occur but are rare in immunocompetent hosts. They are also rarely seen without the typical rash and high fever. We describe a case of varicella zoster meningitis in a healthy 13-year-old girl who presented with headache but without fever or a rash. 8 day history of severe headache, poor appetite, lethargy and photosensitivity. This headache was poorly responsive to NSAIDs and triptan. Fundal examination revealed swollen discs, which prompted the need for a lumbar puncture, following a normal CT Brain.Diagnosis: Varicella zoster virus confirmed on CSF viral panel and FilmArray. CSF revealed a pleocytosis. Blood results unremarkable. Fundal examination revealed swollen discs. CT Brain normal. MRI Brain normal. Confirmed: Varicella Zoster Meningitis.Treatment: Acyclovir (10mg/kg every 8 hours) for 21 days. Analgesia. IV fluids.Discussion: This case report describes an unusual presentation of varicella zoster virus (VZV) positive aseptic meningitis in an immunocompetent adolescent who presented with a headache but no rash or fever. This highlights the need to recognise that VZV may be a potential cause of aseptic meningitis in a healthy child despite atypical presentations.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"118 2","pages":"25"},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143501362","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

Prescribing of Proton Pump Inhibitors in a Major Teaching Hospital. 一家大型教学医院的质子泵抑制剂处方。

Irish medical journal Pub Date : 2025-02-20

O J Jeremiah, R Greene, P Ging, J Brown

引用次数: 0

Enhanced community care for type 2 diabetes in Ireland: the patient's perspective on attending an integrated care centre.

Irish medical journal Pub Date : 2025-02-20

A Ferris, T Kyaw-Tun, J H McDermott, S Sreenan, C Davenport

{"title":"Enhanced community care for type 2 diabetes in Ireland: the patient's perspective on attending an integrated care centre.","authors":"A Ferris, T Kyaw-Tun, J H McDermott, S Sreenan, C Davenport","doi":"","DOIUrl":"","url":null,"abstract":"Background: Chronic diseases, particularly type 2 diabetes mellitus (T2DM), present significant challenges to Ireland's healthcare system. Sláintecare's Enhanced Community Care (ECC) initiative involves the nationwide establishment of integrated care centres (also known as hubs) that facilitate specialist management of T2DM within the community. This study evaluated the experience of people living with Diabetes (PWD) attending the Dublin North West (DNW) hub as part of this novel paradigm of T2DM care.Methods: Consecutive PWD attending the hub T2DM service completed a standardized questionnaire on various aspects of their T2DM care. The hub operates as a multidisciplinary service designed to provide comprehensive diabetes management. Staff members include diabetes specialist nurses, podiatrists, endocrinologists, and dietitians, ensuring a holistic approach to patient care. The service aims to integrate these specialties to address the diverse challenges associated with T2DM management.Results: In total, 40 PWD completed the study, of which 35 (87.5%) were satisfied or very satisfied with the care they had received in the hub. Notably, 34 (85%) patients indicated a preference for community-based T2DM management with their general practitioner (GP) in the future (GP alone or their GP with hub support). With regards to opportunities for \"making every contact count\" (MECC); 17 (42.5%) of patients reported discussions had taken place about smoking cessation, 23 (57.5%) about weight loss,33 (82.5%) about nutrition, 21(52.5%) about alcohol use and 25 (62.5%) about mental health.Discussion: This is the first study to report on the T2DM patient's experience as part of ECC in Ireland. It is notable that patient preference was for continued follow up of their diabetes within the community as opposed to the hospital, and that additional opportunities for MECC interventions were identified within the community setting.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"118 2","pages":"21"},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143501345","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

Audit of Adherence to Best Practice Guidelines for Children born with Down Syndrome.

Irish medical journal Pub Date : 2025-02-20

A Murphy, A Murray, N Bussman

{"title":"Audit of Adherence to Best Practice Guidelines for Children born with Down Syndrome.","authors":"A Murphy, A Murray, N Bussman","doi":"","DOIUrl":"","url":null,"abstract":"Aims: The aim of this audit is to determine adherence to the Down Syndrome Medical Interest Group (DSMIG) Neonatal Best Practice Guideline in a tertiary neonatal unit over a 5-year period. Our secondary objective was to describe patterns in the demographics, admissions and clinical course.Methods: This is a retrospective audit of infants with a diagnosis of DS between 2018 and 2022 in Cork University Maternity Hospital (CUMH). Ethical approval was obtained prior to data collection. Demographics and clinical data were obtained from the electronic health records (EHR). Data was collated and analysed using a password encrypted Microsoft excel dataset. Continuous data was reported as mean or median. Categorical data was outlined as counts. Dichotomous variables were summarised as proportions. A Chi Squared Test and Fishers exact test were used to assess dichotomous variables.Results: 73 patients were included in this audit of which 37 (51%) were female. The median gestation was 38 and 3 days and median birthweight was 3100g. 60 (82.2%) required admission to NICU with 43 (58.3%) admitted immediately after birth. Median hospital stay was 10 days. 8 (11%) had growth parameters documented during their admission. 66 (90%) of patients had an ECHO performed (63 (95.4%) abnormal). 19 (26%) were exclusively breastfeeding and 7 (9.7%) required feeding support on discharge. All babies underwent screening for haematological and thyroid abnormalities, but 13 (18%) babies had unnecessary bloods taken for serum TFT levels. Referrals were made for audiology (60, 82.2%), ophthalmology (17, 23.3%) and other relevant healthcare professionals.Discussion: This audit shows good adherence to the DSMIG guideline in areas of cardiovascular and haematological monitoring but indicates a need for improvement in other categories.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"118 2","pages":"19"},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143501240","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

Clival metastasis presenting with oculomotor nerve palsy in a patient with a prior history of breast cancer.

Irish medical journal Pub Date : 2025-02-20

E Visser, K Elmusharaf, A Ryan, M O'Connor

引用次数: 0

Glomerulonephritis with Positive Anti-Glomerular Basement Membrane Antibodies following COVID-19 Vaccine.

Irish medical journal Pub Date : 2025-02-20

Y Fahy, E White, D Lappin

引用次数: 0

Burden of Atopy: Atopic dermatitis documentation in a specialised asthma clinic.

Irish medical journal Pub Date : 2025-02-20

B Nolan, T Farrell, F Arnott, D Murphy

引用次数: 0