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Okay computer? 电脑好了?
The Ulster medical journal Pub Date : 2026-06-01 Epub Date: 2026-06-18
Michael Trimble
{"title":"Okay computer?","authors":"Michael Trimble","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"95 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13278056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148298175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond the Bones: Reflections on Paediatric Orthopaedics Past and Present: An Elective in The Royal Children's Hospital, Melbourne, Victoria, Australia. 超越骨骼：对儿科骨科过去和现在的反思：澳大利亚维多利亚州墨尔本皇家儿童医院的选修课。
The Ulster medical journal Pub Date : 2026-06-01 Epub Date: 2026-06-18
Medha Sridhar Rao, Sandra Van Schaeybroeck
{"title":"Beyond the Bones: Reflections on Paediatric Orthopaedics Past and Present: An Elective in The Royal Children's Hospital, Melbourne, Victoria, Australia.","authors":"Medha Sridhar Rao, Sandra Van Schaeybroeck","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"95 1","pages":"26-28"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13278051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148298234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Royal Victoria Hospital Annual Oration, 3rd October 2025. 皇家维多利亚医院年度演讲，2025年10月3日。
The Ulster medical journal Pub Date : 2026-06-01 Epub Date: 2026-06-18
Pascal P McKeown
{"title":"Royal Victoria Hospital Annual Oration, 3rd October 2025.","authors":"Pascal P McKeown","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"95 1","pages":"29-37"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13278060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148298239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Curiositas - Medicine in the Kitchen. Curiositas——厨房里的药。
The Ulster medical journal Pub Date : 2026-06-01 Epub Date: 2026-06-18
{"title":"Curiositas - Medicine in the Kitchen.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"95 1","pages":"46-47"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13278050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148298232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sir Benjamin William Rycroft: Reflections on Character and Career. 本杰明·威廉·莱克罗夫特爵士：品格与事业的反思。
The Ulster medical journal Pub Date : 2026-06-01 Epub Date: 2026-06-18
Debra R Milamed, John Hedley-Whyte
{"title":"Sir Benjamin William Rycroft: Reflections on Character and Career.","authors":"Debra R Milamed, John Hedley-Whyte","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ophthalmologist Sir Benjamin W. Rycroft was a key figure in John Hedley-Whyte's early education and experiences at the RAMC's 31<sup>st</sup> General Hospital, later Harvard's 5<sup>th</sup> General Hospital at Musgrave Park outside Belfast, 1940-1942. Rycroft later served with distinction in the Mediterranean Theatre and was honored with the O.B.E. After his return to the UK post-war, he advanced reconstructive treatment of burns, corneal grafting, and the establishment of tissue banks. He was a Fellow of the Zoological Society of London, gifted organist, enthusiastic gardener, and close associate of the Royal Family. In 1964, Rycroft returned to Belfast to give the Craig Memorial Lecture at Queen's University, Belfast, titled \"Plastic Surgery and Ophthalmology\".</p>","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"95 1","pages":"38-45"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13278061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148298166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
THE CAPSULE SPONGE: A NOVEL TEST FOR EARLY DETECTION AND RISK STRATIFICATION IN BARRETT'S OESOPHAGUS. 胶囊海绵：巴雷特食管早期检测和风险分层的新方法。
The Ulster medical journal Pub Date : 2026-06-01 Epub Date: 2026-06-18
David N Johnston, Richard C Turkington
{"title":"THE CAPSULE SPONGE: A NOVEL TEST FOR EARLY DETECTION AND RISK STRATIFICATION IN BARRETT'S OESOPHAGUS.","authors":"David N Johnston, Richard C Turkington","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"95 1","pages":"48"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13278052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148298251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Ethics of Authorship. 作者的伦理。
The Ulster medical journal Pub Date : 2026-06-01 Epub Date: 2026-06-18
Lauren Venning, Emma Keelan
{"title":"The Ethics of Authorship.","authors":"Lauren Venning, Emma Keelan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"95 1","pages":"20-22"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13278054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148298207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thrombosis and Survival after Prothrombin Complex Concentrate Use to treat Oral Anticoagulant Associated Haemorrhage. 凝血酶原复合浓缩物用于治疗口服抗凝相关出血后血栓形成和生存。
The Ulster medical journal Pub Date : 2026-06-01 Epub Date: 2026-06-18
A O'Kane, R Cullen, P Toner, G Benson
{"title":"Thrombosis and Survival after Prothrombin Complex Concentrate Use to treat Oral Anticoagulant Associated Haemorrhage.","authors":"A O'Kane, R Cullen, P Toner, G Benson","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Recent trials for treatments of direct oral anticoagulant (DOAC) related acute haemorrhage have highlighted incidences of post treatment thrombosis. Prothrombin complex concentrate (PCC) is widely used for reversal of anticoagulant associated bleeding, yet thrombotic risks following PCC administration, particularly for DOACs, remain incompletely characterised in real-world settings.</p><p><strong>Methods: </strong>This retrospective observational study analysed thrombotic and survival outcomes in 682 patients that received PCC for OAC associated haemorrhage in the Belfast Health and Social Care Trust between 2015-2021. Patients were categorised by OAC type (warfarin, rivaroxaban, apixaban and edoxaban). Primary outcome was thrombotic event rate at 30 days, while secondary outcomes included 30- and 90day mortality and anticoagulation resumption rates.</p><p><strong>Results: </strong>The cohort comprised 393 warfarin patients, 55 rivaroxaban, 221 apixaban and 13 edoxaban patients. Intracranial haemorrhage predominated (47-69% across DOAC groups vs. 49% warfarin). Thrombotic event rates were significantly higher in DOAC patients (rivaroxaban 13%, apixaban 8%, overall DOAC 8.7%) compared to warfarin (5%). Thirty-day mortality rates ranged from 13-23% across oral anticoagulant groups. Anticoagulation was resumed in only 29-47% of patients.</p><p><strong>Conclusions: </strong>The findings suggest that PCC may be as effective as specific antidotes for DOAC reversal. In the absence of universal access to specific reversal agents, PCC continues to serve an important role in managing life threatening anticoagulant associated haemorrhage. Systematic pathways for post reversal anticoagulation resumption should be implemented to optimise patient outcomes.</p>","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"95 1","pages":"3-10"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13278053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148298237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investigating Iron Deficiency Anaemia in the Elderly. 老年人缺铁性贫血的调查。
The Ulster medical journal Pub Date : 2026-06-01 Epub Date: 2026-06-18
Alison Galea, Suzanne Cauchi, Lara Miruzzi, Martina Sciberras, Pierre Ellul
{"title":"Investigating Iron Deficiency Anaemia in the Elderly.","authors":"Alison Galea, Suzanne Cauchi, Lara Miruzzi, Martina Sciberras, Pierre Ellul","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Iron deficiency anaemia (IDA) is often attributed to gastrointestinal (GI) blood loss and warrants thorough investigation. In elderly, endoscopy carries increased risk, especially in those with multiple comorbidities and poor functional status. This study aimed to evaluate the outcomes of elderly patients with IDA, identify underlying causes, and assess one-year mortality.</p><p><strong>Methodology: </strong>Patients ≥75 years referred to gastroenterology for investigation of IDA were recruited. Demographics, comorbidities, antiplatelet/antithrombotic use, investigations performed, and one-year mortality were recorded.</p><p><strong>Results: </strong>92 patients were recruited. Mean patient age was 81.2 years (SD: +/- 4.02) with a female preponderance (70.7%). Mean Charlson Comorbidity Index (CCI) was 5.96 (SD +/- 1.93). Frailty precluded any investigation in 13% of patients. 26% underwent upper and lower GI assessment (14% had bidirectional endoscopy and 12% had oesophagogastroduodenoscopy (OGD) + computed tomography (CT) colonography). Malignancy was diagnosed in 6.5%. Overall, one-year mortality rate was 28% (CCI mean score: 6.7). Mortality was statistically significantly higher for patients living in care homes (p=0.03). Higher CCI was associated with increased risk of one-year mortality, and each additional CCI point increased odds of dying within one year by 40% (OR = 1.40, 95% CI: 1.10-1.79, p=0.007).</p><p><strong>Conclusion: </strong>Elderly patients referred for investigation of IDA frequently have a high CCI score, making endoscopy a high-risk procedure. A high CCI score and living in a care home are independent risk factors for one-year mortality. Alternative strategies including trans-nasal endoscopy and CT colonography, should be considered as first-line tests to balance diagnostic yield, prognosis and procedural safety.</p>","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"95 1","pages":"11-17"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13278059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148298242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Avoiding Prescribing Pitfalls to Tackle Problematic Polypharmacy and Adverse Drug Reactions in Northern Ireland. 避免处方陷阱，以解决问题的多药房和药物不良反应在北爱尔兰。
The Ulster medical journal Pub Date : 2026-06-01 Epub Date: 2026-06-18
P Toner
{"title":"Avoiding Prescribing Pitfalls to Tackle Problematic Polypharmacy and Adverse Drug Reactions in Northern Ireland.","authors":"P Toner","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"95 1","pages":"23-25"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13278057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148298102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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