Irish medical journal最新文献_第5页

Response Letter to "Navigating parenthood during medical training". 对“医疗培训期间为人父母的指引”的回应函。

Irish medical journal Pub Date : 2026-08-20

N Maguire

引用次数: 0

Training curriculum enabling governance and operational arrangements. 支持治理和操作安排的培训课程。

Irish medical journal Pub Date : 2026-08-20

A Ní Nualláin, C McAleer, K Ryan, F McElligott

引用次数: 0

QR Code-Accessed Guidelines and Trainee Confidence in TIVA. QR码存取指引及学员对TIVA的信心。

Irish medical journal Pub Date : 2026-08-20

G de Loughry, P Kumari, I Leonard

引用次数: 0

May-Thurner Syndrome secondary to the oral contraceptive pill. 梅-瑟纳综合征继发于口服避孕药。

Irish medical journal Pub Date : 2026-08-20

S I Khan, M A Javed, S Mehmood, R Durrani, M Shahid, E Tong

引用次数: 0

Influenza Vaccine Uptake and Parental Attitudes Following School-Located Vaccination: A Cross-Sectional Survey in Two Rural Primary Schools. 在学校接种流感疫苗后，流感疫苗的摄取和家长态度：两所农村小学的横断面调查。

Irish medical journal Pub Date : 2026-08-20

D Kilgarriff, E Townley

{"title":"Influenza Vaccine Uptake and Parental Attitudes Following School-Located Vaccination: A Cross-Sectional Survey in Two Rural Primary Schools.","authors":"D Kilgarriff, E Townley","doi":"","DOIUrl":"","url":null,"abstract":"Aims: To evaluate whether school-located influenza vaccination (SLIV) improves uptake and to assess parental attitudes in two primary schools.Methods: A post-season questionnaire was distributed to parents following GP-led SLIV clinics in 2024/25 assessing uptake, reasons for non-vaccination and attitudes using 5-point Likert scales and free-text responses. 66 of 67 responses (98.5%) were analysed.Results: The survey was issued to 201 eligible schoolchildren across two rural primary schools. There were 66 responses (33%). Of respondents, 32 (48.5%) children were vaccinated; 22 (33%) in school and 10 (15%) elsewhere. Parents rated clarity of information regarding vaccination highly, with 52 (80%) reporting information received as clear or very clear. Parents were more likely to vaccinate when SLIV was available, with 34 (52%) reporting that they were likely or very likely to vaccinate, rising to 29 (91%) among those vaccinated this year. The most common reasons for declining were belief the vaccine was unnecessary (21/34, 62%) and safety concerns (9/34, 26%).Discussion: SLIV improved uptake relative to national and local averages and was generally well received. Attitudinal barriers, especially perceptions of low necessity and safety concerns, remain the primary obstacles. Expanding SLIV alongside stronger public health messaging may offer a scalable strategy to increase uptake.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 7","pages":"126"},"PeriodicalIF":0.0,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148812847","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

A curriculum-based program introducing mindfulness and reflection to GP trainees. 一个以课程为基础的项目，向全科医生学员介绍正念和反思。

Irish medical journal Pub Date : 2026-08-20

C M Steele, C Corbett, N McElroy, C Smyth

{"title":"A curriculum-based program introducing mindfulness and reflection to GP trainees.","authors":"C M Steele, C Corbett, N McElroy, C Smyth","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To explore participant's experience of a pilot, curriculum-based mindfulness and personal reflection program on the resilience levels and well-being of 3rd year trainee General Practitioners (GP's).Methods: 3rd year trainee GP's were invited to participate in four morning sessions, plus one retreat day program which was incorporated into the trainees 3rd year curriculum. Volunteers from the intervention group were then invited to take part in a focus group aimed at exploring their experiences and perspectives in greater depth. The qualitative data gathered from the focus group was analysed using thematic analysis to identify common themes and insights.Results: The focus group identified a number of themes including; quality of programme delivery and content, the experience of a safe space, the relevance of the content to the wider GP role, the uptake of skills such as mindfulness and the impact of these skills on stress management. Limitations and challenges to sustainable practice were also identified.Discussion: Medical students are at high risk of psychological distress, depression, and suicidality. The health and well-being of doctors is key to supporting the quality and safety of patient care. More needs to be done to build a sustainable and resilience work force for the future.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 7","pages":"127"},"PeriodicalIF":0.0,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148813226","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

Child protection and welfare concerns in an adult emergency department. 成人急诊科的儿童保护和福利问题。

Irish medical journal Pub Date : 2026-08-20

S Carey, M Hickey, S Durnin, J Hanlon, A McCabe

{"title":"Child protection and welfare concerns in an adult emergency department.","authors":"S Carey, M Hickey, S Durnin, J Hanlon, A McCabe","doi":"","DOIUrl":"","url":null,"abstract":"Aim: Emergency clinicians may be the first professionals to identify child protection and welfare (CPW) concerns. Under Children First legislation, mandated persons are legally required to report such concerns to Tusla Child and Family Agency (CFA). This study aimed to enhance emergency clinician knowledge and confidence in identifying and reporting CPW concerns.Methods: A retrospective review of Emergency Department (ED) referrals to Medical Social Work (MSW) from January 2023 to October 2024 was undertaken. A series of interventions were implemented, including targeted educational sessions. Anonymised questionnaires assessing knowledge of mandated reporting responsibilities was administered at baseline (March 2025), post-education (May 2025), and at a later follow-up (November 2025).Results: Between January 2023 and October 2024, 106,793 ED attendances occurred with 840 referrals to medical social work. CPW concerns accounted for 161 (19.2%) referrals. Number of clinicians having a registered Tusla portal account increased from 4 (20%) at baseline to 14 (77.8%) post-implementation (p < 0.05). Awareness of how to report concerns through the Tusla online portal increased from 7 emergency clinician respondents (35%) to 18 (100%) respondents (p < 0.05) post intervention.Conclusion: This phased quality improvement project improved emergency clinicians' knowledge of their legal responsibilities as mandated persons and enhanced familiarity with CPW reporting processes and procedures.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 7","pages":"135"},"PeriodicalIF":0.0,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148818486","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

Combined spinal-epidural labour analgesia in a parturient with a vagal nerve stimulator. 迷走神经刺激器对产妇脊髓-硬膜外联合镇痛的影响。

Irish medical journal Pub Date : 2026-08-20

S Swami, D Cosgrave

引用次数: 0

Primary Adrenal Lymphoma Presenting as Addison's Disease. 原发性肾上腺淋巴瘤表现为艾迪生病。

Irish medical journal Pub Date : 2026-08-20

S Afzal, N A Azizan, K A Anjorin, E Brosnan, S R Rizvi, E Pearson, M S Sadiq

引用次数: 0

Experience of Systematic Deficits in Healthcare During SARS-CoV-2: A Rapid-Response Survey of Healthcare Assistants. SARS-CoV-2期间卫生保健系统缺陷的经验：对卫生保健助理的快速反应调查

Irish medical journal Pub Date : 2026-08-20

K F Conyard, A Metcalfe, N McAllister, P Jalili, J Loughrey, U D Kudupudi, P Kumawat, N A More, B Rusk, M Oruk, P Wall, E Gormley, M B Codd

{"title":"Experience of Systematic Deficits in Healthcare During SARS-CoV-2: A Rapid-Response Survey of Healthcare Assistants.","authors":"K F Conyard, A Metcalfe, N McAllister, P Jalili, J Loughrey, U D Kudupudi, P Kumawat, N A More, B Rusk, M Oruk, P Wall, E Gormley, M B Codd","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To describe Irish Healthcare Assistants'/carers' (HCAs) working conditions and wellbeing during COVID-19 Wave 1 and examine associations between PPE access and infection-related outcomes.Methods: A 24-hour rapid-response, mixed-method survey (23/04/2020) of HCAs/carers in Ireland (456) across care settings. Quantitative data (sector/setting, PPE, training, redeployment, pay, sick leave/isolation) were analysed in SPSS; free-text responses underwent thematic analysis (manual and N-Vivo12). Full PPE followed the HSE HPSC definition.Results: Most respondents worked in the private sector (255, 56%) and in community/homecare (201, 44%). PPE access was variable: unlimited (104, 22.8%), limited (96, 21.0%), reasonable (105, 23.0%), and none (14, 3.1%). COVID-19 sick leave/isolation was reported at 80 (17.5%). Minimal COVID-19 training was reported at 173 (38%) and supportive management at 150 (33%). Movement between locations occurred in 167(36.6%); 252 respondents would decline nursing-home redeployment even with incentives. Full PPE access was associated with lower COVID-19 positivity (2.6%, p=0.031) and fewer close-contact identifications (0.9% vs 9.4%, p=0.022). Qualitative themes emphasised fear of infection, anxiety about transmitting COVID-19 to family, and poor real-time guidance.Discussion: Wave 1 exposed persistent gaps in PPE, training, leadership communication, and support for HCAs. Standardised PPE access, consistent IPC training, improved managerial communication, mental health supports, and stronger regulation/professional recognition remain priorities.","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"119 7","pages":"132"},"PeriodicalIF":0.0,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148813254","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