Irish Journal of Medical Science (1971 -)最新文献

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Effectiveness of a novel consultant nurse-led breast pain clinic in secondary care 由顾问护士主导的新型乳房疼痛门诊在二级护理中的效果

Irish Journal of Medical Science (1971 -) Pub Date : 2024-02-26 DOI: 10.1007/s11845-024-03642-4

Zaid Al-Ishaq, Saima Taj, Caroline Jones, Hamed Hajiesmaeli, Ehsanur Rahman, Samantha Bullows, Raghavan Vidya, Tapan Sircar

{"title":"Effectiveness of a novel consultant nurse-led breast pain clinic in secondary care","authors":"Zaid Al-Ishaq, Saima Taj, Caroline Jones, Hamed Hajiesmaeli, Ehsanur Rahman, Samantha Bullows, Raghavan Vidya, Tapan Sircar","doi":"10.1007/s11845-024-03642-4","DOIUrl":"https://doi.org/10.1007/s11845-024-03642-4","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Patients with breast pain are usually seen in ‘one-stop clinic’ (OSC) with breast imaging. In the absence of associated red flag features, the incidence of breast cancer is extremely low. With increase in referrals the OSC capacity is over-stretched. We developed a consultant nurse-led dedicated ‘breast pain clinic’ in September 2021 without routine breast imaging. After meticulous history and examination, patients obtained detailed counselling and advice regarding breast pain management. If any abnormality was noted then appointment was given for OSC.</p><h3 data-test=\"abstract-sub-heading\">Aim</h3><p>To assess the effectiveness of a consultant nurse-led dedicated ‘breast pain clinic’.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>A prospective study of all consecutive patients seen in ‘breast pain clinic’ from September 2021 until September 2022. Feedback was sought from all patients.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Altogether 429 patients were seen. The mean age was 48.7 years (range 18–86). 87.6% (<i>n</i> = 376) patients required no breast imaging. Only 12.4% (<i>n</i> = 53) patients needed referral to OSC and subsequently 2 patients (0.46%) were diagnosed with breast cancer. Ninety-eight percent of patients felt reassured and 99.2% patients were extremely likely/likely to recommend this service to family and friends. Out of 376 patients who were discharged from breast pain clinic, 12 patients were referred again over a median follow-up period of 15 months, and 2 out of them were diagnosed with breast cancer.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>A consultant nurse-led ‘breast pain clinic’ provides service improvement as it eases the pressure on the OSC. Most patients were managed without breast imaging with high level of patient satisfaction and low rereferral rate.</p>","PeriodicalId":517392,"journal":{"name":"Irish Journal of Medical Science (1971 -)","volume":"134 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139969867","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

Exploring the role of quadcopter technology in enhancing healthcare access in remote Himalayan Regions: a case study of Almora, Uttarakhand 探索四旋翼飞行器技术在提高喜马拉雅偏远地区医疗服务可及性方面的作用：北阿坎德邦阿尔莫拉的案例研究

Irish Journal of Medical Science (1971 -) Pub Date : 2024-02-26 DOI: 10.1007/s11845-024-03646-0

D. S. Vohra

{"title":"Exploring the role of quadcopter technology in enhancing healthcare access in remote Himalayan Regions: a case study of Almora, Uttarakhand","authors":"D. S. Vohra","doi":"10.1007/s11845-024-03646-0","DOIUrl":"https://doi.org/10.1007/s11845-024-03646-0","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Quadcopters are employed in diverse civil applications, ranging from monitoring airports and disaster management to serving as public address systems for announcing government directives, aiding in infrastructure monitoring for resilience, and facilitating real-time automobile detection, among others. Nevertheless, the utilization of quadcopters and hexacopters for delivering health assistance to remote and intriguing grounds has garnered comparatively less attention and research worldwide.</p><h3 data-test=\"abstract-sub-heading\">Aim</h3><p>This paper presents the basics of quadcopter machinery in delivering medications and highlights its benefits for concerned patients who previously struggled to access life-saving medications due to challenging road infrastructure. The efficiency of quadcopters in terms of various parameters for delivering crucial medical supplies is significantly pronounced, particularly in the Almora District of Uttarakhand State, where many villages do not have roads to various villages.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>A comprehensive analysis of the road infrastructure in the mountainous terrain of the Himalayas in India was conducted to understand the situation of individuals who are denied of access to life-saving medications because of the lack of nearby roads.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>The findings indicate that the widespread use of quad/hexacopters can offer a ray of optimism to people living in distant areas.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>The quadcopter can provide basic facilities of medicines by dropping them at their doorsteps in the remote places of Almora, not accessed by Uttarakhand, thereby providing hope of living to the people.</p>","PeriodicalId":517392,"journal":{"name":"Irish Journal of Medical Science (1971 -)","volume":"118 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139969868","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