{"title":"'A Night with Venus' in Late Georgian Dublin.","authors":"Alun Evans","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"93 3","pages":"137-144"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11591213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741779","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}
N Sotiropoulou, C Corrigan, R Gooding, C Neil, R L Lavery, G M Benson
{"title":"Seasonal variations regarding incidence of CTPA confirmed pulmonary embolism in Belfast, Northern Ireland, from 2014 to 2022.","authors":"N Sotiropoulou, C Corrigan, R Gooding, C Neil, R L Lavery, G M Benson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"93 3","pages":"131"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11591222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741802","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}
{"title":"The Regional Palliative Medicine (RPMG) Assisted Dying Survey 2024.","authors":"Matthew Doré, Alan McPherson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Assisted Dying (AD), the ending of a person's life pre-emptively under a legal criterion is widely debated, both in the United Kingdom (UK) and Ireland. The expectation is often those doctors closest to dying would be both the proponents and facilitators of this action. A survey of Palliative Medicine in Northern Ireland (NI) on this topic has never been previously undertaken. The Regional Palliative Medicine Group (RPMG) a representative body of all the Palliative Medicine Consultants in NI organised an anonymous 'Google Forms' survey on AD from 3/6/24 to 17/6/24 of all doctors of all grades working within Specialist Palliative Medicine at the time. The survey had a 69% response rate (56/81) demonstrating 80% of all responding doctors working within Palliative Medicine and 100% of responding Palliative Medicine Consultants and Registrars in Northern Ireland do not favour a change in legislation allowing for AD. 91% (n=51) have concerns that AD will be influenced by a lack of availability of personal care at home. 93% (n=52) are concerned that AD will be influenced by cost-saving for the patient and their family and 82% (n=46) are concerned that AD will be influenced by cost savings for health and social care. 98% (n=55) stated if AD is legalised it should not be 'part of mainstream healthcare' with 45% (n=25) saying it should be 'via the legal system' and 46% (n=26) saying 'via a separate independent facility'. 53% (n=28) 'would not' and 40% (n=21) 'don't know', if they could remain working for an organisation that undertakes AD. These results clearly show that Palliative Medicine in Northern Ireland will not be part of an AD service model. The question is who will be? Healthcare leaders now need to support their Palliative Medicine workforce by stating there will be AD-free healthcare facilities if AD is legalised.</p>","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"93 3","pages":"105-110"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11591219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741808","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}
{"title":"Curiositas - No Time To Die.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"93 3","pages":"132-134"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11591221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741787","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}
{"title":"Should we be promoting 5 Steps to Wellbeing in all clinical environments?","authors":"Robert Atenstaedt","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"92 3","pages":"170"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10824130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643784","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}
{"title":"Artificial Intelligence in Medicine.","authors":"Andrew Cupples","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"92 3","pages":"167-169"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10824127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643777","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}
Rachael Coulson, Sarah Small, Robert Spence, Ian McAllister
{"title":"Regional Elective Day Procedure Centre Pilot- the solution to waiting lists and trainee deficit in the reshaping of services following COVID-19?","authors":"Rachael Coulson, Sarah Small, Robert Spence, Ian McAllister","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Consequences from the COVID-19 pandemic have resulted in the secondary impact of cessation of elective surgical services, amplifying the waiting list problem with devastating patient and surgical training repercussions. With the introduction of the first regional inter-trust daycase elective care centre pilot in Northern Ireland, we aim to assess the impact of this pathway on elective inguinal hernia waiting lists, patient outcomes, and influence on surgical training.</p><p><strong>Methods: </strong>Data was collected prospectively over a 10-week pilot of consecutive elective day case hernia lists at a newly established regional day surgery centre. Key operative time points for each patient were collated via the Theatre Management System (TMS). Retrospective patient feedback was collected from participating patients via 26-question telephone survey at 6 weeks post-operatively. Trainees allocated to the participating units during this pilot received a retrospective electronic survey.</p><p><strong>Results: </strong>Fifty-five patients underwent open unilateral elective inguinal hernia repair, 54% of cases were trainee led. Median trainee operating time of 53 minutes compared with 51 minutes for consultant led procedures, with no significant difference consultant vs non-consultant as primary operator (p>0.05). On completion of the pilot, waiting list numbers were reduced by a third, 75% of trainees feedback reported increased confidence with surgical operative exposure, and high levels of patient satisfaction reported.</p><p><strong>Conclusion: </strong>Inter-trust day surgery at a dedicated green site could successfully contribute to resuming and reforming surgical services, addressing the impact on mounting waiting lists with positive patient impact as well as providing an excellent training opportunity to narrow the observed training deficit.</p>","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"92 3","pages":"129-133"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10824138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643783","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}
{"title":"Curiositas - Head Cases.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"92 3","pages":"173-174"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10824131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643856","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}
{"title":"Modern Slavery In Healthcare Settings: Indicators and Recommendations.","authors":"Adam Hewitt, Tim Nelson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"93 1","pages":"28-31"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11067307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871019","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}