Irish medical journal最新文献_第4页

Ventral Cervical Spinal Schwannoma Presenting as Progressive Myelopathy. 颈椎腹侧神经鞘瘤表现为进行性脊髓病。

Irish medical journal Pub Date : 2026-09-28

M Helmi, E Dolan, F Farooq, M Ur-Raad, Z Jafar, M Weil, M Jansen, A Hegarty, O O'Toole

引用次数: 0

Non-Arteritic Anterior Ischaemic Optic Neuropathy Associated with Semaglutide use. 与使用西马鲁肽相关的非动脉性前缺血性视神经病变。

Irish medical journal Pub Date : 2026-09-28

M Kearney, N M Smyth, H S A Hassan, M S Khan

引用次数: 0

Vitamin D Testing Deviations in General Internal Medicine Inpatients. 普通内科住院患者维生素D检测偏差。

Irish medical journal Pub Date : 2026-09-28

R Fagan, J Deegan, W Paine, S Hickey, C Sheil, M Kelly, K Malomo, J Browne, O Ntlholang

{"title":"Vitamin D Testing Deviations in General Internal Medicine Inpatients.","authors":"R Fagan, J Deegan, W Paine, S Hickey, C Sheil, M Kelly, K Malomo, J Browne, O Ntlholang","doi":"","DOIUrl":"","url":null,"abstract":"Aims: To evaluate adherence to Health Service Executive (HSE) criteria, identify predictors of testing deviations, and assess the clinical management of vitamin D results in a general internal medicine (GIM) inpatient cohort.Methods: A retrospective review of 408 GIM inpatients categorised into four groups based on HSE-defined testing appropriateness: (1) testing indicated and ordered, (2) indicated but not ordered, (3) not indicated but ordered, and (4) not indicated and not ordered. Testing appropriateness was assessed against HSE Lab criteria, and predictors of testing practices and vitamin D levels were analysed using logistic regression models in R statistical software (v4.1.2), adjusted for age, gender, ethnicity, and hospital length of stay.Results: Of 408 patients, 143 (35%) deviated from guidelines: 91 (22.3%) lacked indicated testing, while 50 (12.3%) underwent unindicated tests. Older age (OR 1.08 per year, 95% CI 1.04-1.13; p<0.001) and prolonged hospitalisation (OR 1.01 per day, 95% CI 1.00-1.01; p=0.03) predicted testing regardless of indication. Of 77 tested patients, 48 (62.3%) had sufficient levels (≥50 nmol/L), 13 (16.9%) insufficient (30-49 nmol/L), and 16 (20.8%) deficient (<30 nmol/L).Discussion: Deviations from HSE Lab criteria were frequently observed, with older patients overtested and high-risk populations undertested.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 8","pages":"152"},"PeriodicalIF":0.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074771","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

Socioeconomic Deprivation and Pertussis Incidence in Dublin and Midlands. 都柏林和中部地区的社会经济剥夺与百日咳发病率。

Irish medical journal Pub Date : 2026-09-28

C Murray, S Fennessy, D McGlacken-Byrne, M Ward, U Fallon, R Hurley O'Dwyer

{"title":"Socioeconomic Deprivation and Pertussis Incidence in Dublin and Midlands.","authors":"C Murray, S Fennessy, D McGlacken-Byrne, M Ward, U Fallon, R Hurley O'Dwyer","doi":"","DOIUrl":"","url":null,"abstract":"Aims: Pertussis incidence increased substantially in Ireland in 2024. This study examined the relationship between pertussis incidence and area-level socioeconomic deprivation in the HSE Dublin and Midlands region in 2024.Methods: All 121 confirmed cases in the HSE Dublin and Midlands region in 2024 were collated, alongside demographic and clinical information. Each case was assigned the deprivation score of its residential Small Area using the Pobal HP Deprivation Index. Denominator population data from Health Atlas were used to calculate cumulative incidence and Poisson regression was used to assess the association with deprivation.Results: Incidence rose from 1.2 cases per 100,000 in the most affluent areas to 15.4 cases per 100,000 in the most deprived. Every one-step increase in deprivation category was associated with a 16% increase in pertussis incidence (IRR 1.16, 95% CI 1.03-1.31, p = 0.016). Pairwise comparisons showed that deprived areas had a pertussis incidence up to 13 times higher than in the most affluent communities.Discussion: Pertussis incidence increased progressively with area-level socioeconomic deprivation, with the highest incidence observed in the most disadvantaged communities. These results highlight major inequalities in pertussis burden and show the need for targeted vaccination campaigns in deprived areas.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 8","pages":"151"},"PeriodicalIF":0.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074815","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 oncological value of extended colorectal cancer surveillance. 评估结直肠癌扩展监测的肿瘤学价值。

Irish medical journal Pub Date : 2026-09-28

E Pyne, M G Davey, W P Joyce

{"title":"Evaluating the oncological value of extended colorectal cancer surveillance.","authors":"E Pyne, M G Davey, W P Joyce","doi":"","DOIUrl":"","url":null,"abstract":"Aims: To record the incidence of polyps, new primary tumours or other pathologies and thus evaluate the value of colorectal cancer (CRC) surveillance beyond standard 5-years period. The American Society of Colon and Rectal Surgeons (ASCRS) recommend surveillance for 5-years following colorectal cancer (CRC) resection. The oncological value of extended surveillance remains controversial.Methods: A retrospective cohort study was performed. Patients who underwent curative surgery for CRC between 2004-2023 with endoscopic and commuted tomography (CT) surveillance were identified from a prospectively maintained database. A comprehensive review of electronic medical, endoscopic, and radiological records was performed. Descriptive statistics were preformed using SPSS v26.0.Results: Overall, 217 patients were included, with overall incidence of polyps, new primary tumours and distant metastases discovered during surveillance were 33 (17.6%), 14 (7.4%), and 47 (26.7%) respectively. Of these, 2 patients (14.3%) diagnosed with new primary tumours were diagnosed after 5-years surveillance, as were 4 (9.2%) of those who developed distant metastases. Furthermore, 11 (33.3%) of polyps were detected after 5-years surveillance.Discussion: The study suggests the possibility that current ASCRS guidelines may result in a proportion of pathology occurrence to be missed in surveillance. Ultimately, the provision of well-designed, prospective randomised clinical trials will be necessary to ratify and support any potentially practice changing results.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 8","pages":"155"},"PeriodicalIF":0.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074846","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

Delayed cardiac conduction disease in a young adult following childhood Chagas infection. 儿童期恰加斯病毒感染后迟发性心传导疾病1例

Irish medical journal Pub Date : 2026-09-28

N Farrand, D McGuone, P Cuddihy, G McMahon

引用次数: 0

Clinical outcomes for emergency department patients diagnosed with pubic rami fractures. 诊断为耻骨支骨折的急诊科患者的临床结果

Irish medical journal Pub Date : 2026-09-28

G Tan, A Nagel, D Fitzgerald, T Coughlan, A McCabe

引用次数: 0

Bridging the Gap: What Paediatric Clinicians Want from Liaison Psychiatry Services. 弥合差距：儿科临床医生希望从联络精神病学服务。

Irish medical journal Pub Date : 2026-09-28

L Burke, M O'Sullivan, A Twohig, E Barrett

引用次数: 0

A Goldilocks Approach to Youth Psychotropic Prescribing. 青少年精神药物处方的金凤花方法。

Irish medical journal Pub Date : 2026-09-28

F McNicholas, R Parkin, L Bond, D Purper-Ouakil, J Hayden, J Walkup

{"title":"A Goldilocks Approach to Youth Psychotropic Prescribing.","authors":"F McNicholas, R Parkin, L Bond, D Purper-Ouakil, J Hayden, J Walkup","doi":"","DOIUrl":"","url":null,"abstract":"Psychotropic prescribing in youth is increasingly debated through concerns regarding both overmedicalisation and unmet mental health need. Rising rates are often interpreted as evidence of overprescribing, yet clinicians often operate in under-resourced services, with long waiting lists and limited access to psychological therapies. This paper argues that the key issue is not whether prescribing rates are too high, but whether prescribing is proportionate to clinical need. Drawing on international and recent Irish CAMHS prescribing data, we propose a \"Goldilocks model\" of psychotropic prescribing in youth, in which optimal prescribing lies on a continuum between the extremes of under- and over-prescribing. This position is shaped by evidence, patient factors, and service context. While psychotropics have an important evidence-based role within child psychiatry, safe and effective use depends on accurate assessment, appropriate monitoring, and access to multidisciplinary and psychosocial supports. Achieving proportionate prescribing therefore requires systems capable of supporting evidence-informed, ethically grounded, and developmentally informed care, ensuring treatment is neither too much nor too little, but ultimately \"just right.\"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 8","pages":"149"},"PeriodicalIF":0.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074720","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

Understanding and Documenting Pain in Clinical Practice: A Call for Improvements. 在临床实践中理解和记录疼痛：对改进的呼吁。

Irish medical journal Pub Date : 2026-08-20

M Francis, J Morgan

引用次数: 0