Irish medical journal最新文献_第4页

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":"Aims: 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.Methods: A retrospective analysis of a prospectively-maintained EMR database of BowelScreen patients in a single centre over a 5 year period.Results: 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.Discussion: 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.","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

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":"Aim: This research aims to understand the experiences of native Irish speaking older adults navigating healthcare services in Ireland.Methods: 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.Results: 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.Discussion: 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.","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

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

引用次数: 0

Increasing Use of SGLT2-Inhibitors in Heart Failure with Reduced Ejection Fraction. 射血分数降低型心力衰竭患者越来越多地使用 SGLT2 抑制剂。

Irish medical journal Pub Date : 2024-08-22

P Nolan, A El-Hakeem, J Barton

引用次数: 0