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Cardiac Investigations in Paediatric Patients with Chest Pain Following COVID-19 mRNA Vaccination. 对接种 COVID-19 mRNA 疫苗后出现胸痛的儿科患者进行心脏检查。
Irish medical journal Pub Date : 2024-10-24
D Memon, I Dafalla, A A Raba, I Krebit
{"title":"Cardiac Investigations in Paediatric Patients with Chest Pain Following COVID-19 mRNA Vaccination.","authors":"D Memon, I Dafalla, A A Raba, I Krebit","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 9","pages":"1026"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647980","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
Femoral fracture in an amputation stump. 截肢残端股骨骨折。
Irish medical journal Pub Date : 2024-09-26
A Khan, B McGlone, J Stow
{"title":"Femoral fracture in an amputation stump.","authors":"A Khan, B McGlone, J Stow","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Presentation: </strong>We report a case of a 60-year-old male with bilateral lower limb amputations who sustained a fracture to his right residual femur after weight bearing on his prosthetic leg during therapy. This was attributed to his raised body mass index that fell in the morbidly obese category.</p><p><strong>Diagnosis: </strong>Patient was referred for orthopaedic management and reviewed by the multidisciplinary prosthetic rehabilitation team following the fracture recovery.</p><p><strong>Treatment: </strong>He was deemed unsuitable for further prosthetic usage and ultimately referred to the national weight management service and the bariatric team.</p><p><strong>Discussion: </strong>Fracture of the residual limb in an amputee is not a common occurrence. There is a scarcity of information regarding fractures in an amputation stump of obese individuals. This is an unusual case which highlights the significance of body weight on lower limb prosthetic usage, impact on rehabilitation and the need to address weight management at an earlier stage post amputations.</p>","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1018"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390556","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
Research Fraud and Misconduct. 研究欺诈和不当行为。
Irish medical journal Pub Date : 2024-09-26
J F A Murphy
{"title":"Research Fraud and Misconduct.","authors":"J F A Murphy","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1005"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390565","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
Acute Paediatric Transfers from Regional Centre to Tertiary Centres. 从地区中心到三级中心的儿科急诊转运。
Irish medical journal Pub Date : 2024-09-26
K O'Halloran, E Fauteux-L, D Mullane
{"title":"Acute Paediatric Transfers from Regional Centre to Tertiary Centres.","authors":"K O'Halloran, E Fauteux-L, D Mullane","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1012"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710177","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
Implementing Faecal Immunochemical Testing in Primary Care. 在初级保健中实施粪便免疫化学检验。
Irish medical journal Pub Date : 2024-09-26
N Abdullah, J Crowley, M Buckley
{"title":"Implementing Faecal Immunochemical Testing in Primary Care.","authors":"N Abdullah, J Crowley, M Buckley","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>The incidence of colorectal cancer (CRC) has increased globally, in particular patients under the age of fifty. This is a pilot study of a faecal immunochemical testing(FIT) service in primary care. The aim was to trial a FIT service for asymptomatic patients.</p><p><strong>Methods: </strong>We offered FIT kits to asymptomatic patients, aged between 40-75 years old during routine consultations. The number of FITs performed and the outcomes were reviewed. A cut-off of >10μg Hb/g faeces was defined as a positive result.</p><p><strong>Results: </strong>Overall 180 FIT kits were distributed, 7 duplicate tests were given. Of the 173 patients recruited, 142 (82%) samples were analysed in the lab. A total of 126 ( 88.7%) samples had a normal result, 8(5%) were rejected, 31 (17.9%) did not send their sample for analysis. A positive result was found in 8(5%), of these 6 (75%) underwent colonoscopy. No cancer was identified, 4 (50%) had polyps removed and 2 patients require follow up colonoscopy.</p><p><strong>Discussion: </strong>This study represents the first successful implementation of a FIT service in primary care in Ireland. There is a significant unmet need in this setting and strong scientific rationale for the use of FIT testing in general practice.</p>","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1013"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390559","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
General Paediatric Surgery: A Model of Care for Ireland 2024. 普通儿科手术：2024 年爱尔兰的医疗模式。
Irish medical journal Pub Date : 2024-09-26
K Mealy
{"title":"General Paediatric Surgery: A Model of Care for Ireland 2024.","authors":"K Mealy","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1006"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390557","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
The Stable Acute Vertebral (SAVe) compression fracture study. 稳定型急性椎体压缩骨折（SAVe）研究。
Irish medical journal Pub Date : 2024-09-26
P McCaroll, M Alhazmi, M Kostka, S Mooya, P Coughlan, M Curtin, L Smith, C Byrne, A Ryan, F Rowan, M Cleary
{"title":"The Stable Acute Vertebral (SAVe) compression fracture study.","authors":"P McCaroll, M Alhazmi, M Kostka, S Mooya, P Coughlan, M Curtin, L Smith, C Byrne, A Ryan, F Rowan, M Cleary","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1008"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390570","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
Safety concerns with the use of the Maxillary Lift Technique for Difficult Airway Management. 使用上颌提升技术处理困难气道的安全问题。
Irish medical journal Pub Date : 2024-09-26
K Brosnan
{"title":"Safety concerns with the use of the Maxillary Lift Technique for Difficult Airway Management.","authors":"K Brosnan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1021"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390566","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
Proximal Renal Artery Stenosis Presenting as Uncontrolled Hypertension. 肾动脉近端狭窄表现为无法控制的高血压。
Irish medical journal Pub Date : 2024-09-26
N Onwasigwe, T M Chia, H O'Neill, C Donagh, D Nagi
{"title":"Proximal Renal Artery Stenosis Presenting as Uncontrolled Hypertension.","authors":"N Onwasigwe, T M Chia, H O'Neill, C Donagh, D Nagi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Presentation: </strong>We present a case of 50-year-old lady who present with 1-month history of uncontrolled hypertension.</p><p><strong>Diagnosis: </strong>Magnetic resonance angiography showed stenosis of the left renal artery just beyond the ostium extending over approximately 7mm in length. Computed tomography angiography show focal narrowing of the proximal renal artery just distal to vessel origin, approximately 60% stenosis.</p><p><strong>Treatment: </strong>Anti-hypertensive medication was initiated in the ward. She was referred to vascular surgeon for renal bypass.</p><p><strong>Discussion: </strong>Renal artery stenosis is common cause of hypertension but may go unrecognised. The focus of this case is on the evaluation and necessity for a complete evaluation of the patient who is presenting with uncontrolled hypertension. To rule out renal artery stenosis, patient should be examined using CT-angiography or, if possible, arteriography.</p>","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1017"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390564","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
Sternal plating for traumatic sternal non-union. 胸骨钢板治疗创伤性胸骨不连。
Irish medical journal Pub Date : 2024-09-26
J D Kehoe, S Barrett, P Higgins, J Dilworth, D Tuite, J Hinchion
{"title":"Sternal plating for traumatic sternal non-union.","authors":"J D Kehoe, S Barrett, P Higgins, J Dilworth, D Tuite, J Hinchion","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Sternal non-union is a rare complication of sternal fracture but one which may impact patients symptomatically or cosmetically. Should conservative measures fail, the indications for operative intervention have become more defined in recent years and new techniques have been developed to restore sternal position and thus correct chest wall shape and function.</p><p><strong>Cases: </strong>We present two cases of aseptic sternal non-union. Case 1 involved a young patient with a protracted history of sternal pain owing to an injury induced by repeated low-grade stress. Case 2 refers to another young individual who presented with persistent pain 1 year after suffering a fractured sternum in a motor bike accident.</p><p><strong>Outcome: </strong>Despite polarising inciting events, both were found to have non-union injuries to the sternum with evidence of pseudoarthrosis. We examine their management with parallel locking compression plate sternal fixation.</p><p><strong>Discussion: </strong>We also evaluate the current literature with respect to sternal plating, novel operative and non-operative alternatives, including recombinant human parathyroid hormone, and peri-operative considerations, such as closed incision negative pressure therapy. With ever improving access to axial imaging, particularly in the setting of trauma, these injuries are likely to increase in prevalence.</p>","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1007"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390567","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
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