The Ulster medical journal最新文献

{"title":"An autograph letter of Dr. Renĕ Laennec.","authors":"J. Logan","doi":"10.14744/ANATOLJCARDIOL.2016","DOIUrl":"https://doi.org/10.14744/ANATOLJCARDIOL.2016","url":null,"abstract":"ImagesFig. 1Fig. 2","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"1 1","pages":"108 - 110"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89198041","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}

{"title":"DISEASES OF THE DIGESTIVE SYSTEM","authors":"Linda E. Schmeltzer, G. Norsworthy","doi":"10.1002/9781119264910.CH22","DOIUrl":"https://doi.org/10.1002/9781119264910.CH22","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"47 1","pages":"94 - 94"},"PeriodicalIF":0.0,"publicationDate":"2016-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87286554","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}

{"title":"Tenckhoff Peritoneal Dialysis Catheter Insertion in a Northern Ireland District General Hospital.","authors":"Donna McCartan, Ronan Gray, John Harty, Geoff Blake","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic kidney disease (CKD) affects approximately 5% of the population. Based on 2014 data, peritoneal dialysis (PD) is underutilised in Northern Ireland with a prevalence of only 11% in patients requiring renal replacement therapy (RRT). Recent National Institute of Clinical Excellence (NICE) guidelines aim to increase the rate of PD utilisation to 39% amongst patients requiring RRT. In order to implement these guidelines, nephrologists must have access to a reliable, effective PD catheter insertion service. The aim of this study was to assess the outcomes of PD catheter insertions and incident rates of PD use in a single centre in anticipation of a potential increased uptake.</p><p><strong>Methods: </strong>A retrospective analysis was conducted of all patients who underwent PD catheter insertion between April 2003 and October 2011. Case notes were reviewed for demographic information, complications, need for re-intervention, and primary catheter patency at 12 months. The UK Renal Registry annual reports were also reviewed for data on annual uptake of PD in our institution.</p><p><strong>Results: </strong>Fifty-four patients underwent PD catheter insertion between 2005 and 2011; 61% were male with a median age of 58 (range 21-82) years. Early complications (≤30 days) included bowel perforation (n=1) and wound infection (n=2). During this study period 17 (31%) patients required manipulation or reinsertion for catheter obstruction/migration. The primary catheter patency at 12 months was 76%. The average uptake of PD as the first treatment modality (incident use) was 21.3% compared to a Northern Ireland (NI) average of 12.4%.</p><p><strong>Conclusion: </strong>Complication rates were comparable to the International Society of Peritoneal Dialysis (ISPD) guidelines in this case series and PD uptake was higher than the NI average. Therefore, local provision of an expert surgical PD catheter insertion service may potentially facilitate an increased uptake of this modality amongst RRT patients but further research is warranted.</p>","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"84 3","pages":"166-70"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4642258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072411","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":"Battle of the Atlantic: Military and Medical Role of Northern Ireland (After Pearl Harbor).","authors":"John Hedley-Whyte, Debra R Milamed","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"84 3","pages":"182-7"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4642254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072409","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":"Dementia","authors":"E. Cunningham, B. McGuinness, B. Herron, A. Passmore","doi":"10.1002/0470842350","DOIUrl":"https://doi.org/10.1002/0470842350","url":null,"abstract":"Dementia is a clinical diagnosis requiring new functional dependence on the basis of progressive cognitive decline. It is estimated that 1.3% of the entire UK population, or 7.1% of those aged 65 or over, have dementia. Applying these to 2013 population estimates gives an estimated number of 19,765 people living with dementia in Northern Ireland. The clinical syndrome of dementia can be due to a variety of underlying pathophysiological processes. The most common of these is Alzheimer's disease (50-75%) followed by vascular dementia (20%), dementia with Lewy bodies (5%) and frontotemporal lobar dementia (5%). The clinical symptoms and pathophysiological processes of these diseases overlap significantly. Biomarkers to aid diagnosis and prognosis are emerging. Acetylcholinesterase inhibitors and memantine are the only medications currently licensed for the treatment of dementia. The nature of symptoms mean people with dementia are more dependent and vulnerable, both socially and in terms of physical and mental health, presenting evolving challenges to society and to our healthcare systems.","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"2 1","pages":"79 - 87"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79516746","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}

{"title":"Interstitial Lung Disease","authors":"Yoshinobu Saito, A. Gemma","doi":"10.1201/b15603-27","DOIUrl":"https://doi.org/10.1201/b15603-27","url":null,"abstract":"In interstitial lung disease, inflammation and/or scarring (fibrosis) occurs in the interstitium of the lung. The interstitium of the lung refers to the microscopic area within the walls of the alveoli (air sacs) between the membrane of the air sac and the membrane of the surrounding blood vessels. Like the leaves on a tree, the alveoli arise from the tiniest bronchioles (airways). There are hundreds of millions of alveoli in a lung: more than a couple would fit on the period at the end of this sentence. Each alveolus (individual air sac) is surrounded by a network of tiny blood vessels (capillaries) — like mesh encircling the alveolus. The air sac and blood vessels together are called a respiratory unit. This is where the exchange of oxygen and carbon dioxide takes place. Normally, oxygen passes easily from inside the air sac, through its membrane, across the interstitium and through the membrane of the blood vessel in which red blood cells are lined up and ready to be loaded with oxygen like empty train cars waiting to be filled with cargo. In interstitial lung disease, inflammation, scarring or fibrosis thickens the interstitium, making the lung thick and restricted from filling to their normal capacity and preventing oxygen from passing freely into the bloodstream.","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"46 1","pages":"79 - 79"},"PeriodicalIF":0.0,"publicationDate":"2015-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81633455","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}

{"title":"A 10-YEAR REVIEW OF UNSTABLE THORACOLUMBAR SPINAL FRACTURES FROM NORTHERN IRELAND: THE ASSOCIATED INJURIES","authors":"S. Thomson, H. Julian, G. McLorinan, E. Verzin, A. Hamilton, N. Eames","doi":"10.1016/J.IJSU.2014.08.009","DOIUrl":"https://doi.org/10.1016/J.IJSU.2014.08.009","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"28 1","pages":"55 - 56"},"PeriodicalIF":0.0,"publicationDate":"2014-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79664105","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}

{"title":"Hibernia","authors":"B. Kelly","doi":"10.1163/2214-8647_dnp_e512730","DOIUrl":"https://doi.org/10.1163/2214-8647_dnp_e512730","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"60 1","pages":"1 - 1"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84991084","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}

{"title":"Acute Headache","authors":"R. Forbes","doi":"10.1201/b13465-15","DOIUrl":"https://doi.org/10.1201/b13465-15","url":null,"abstract":"Acute Headache accounts for about 3% of acute medical unit admissions and up to 8% of Emergency Room attendances. What follows is an approach to this problem based on the characteristics of the presenting headache type. For each type of acute headache there is a fairly well defined differential diagnosis. If you appreciate the clinical features that are associated with different headache disorders, then you are more likely to identify the correct cause and manage your patient effectively. You should also appreciate that nonneurological disorders, such as carbon monoxide poisoning can present with acute headache.","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"19 1","pages":"3 - 9"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90116073","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}

{"title":"List of Referees for 2013","authors":"Mazen Abdel-Salam, Dimitrios Achillias, Wail Adaileh, Bolanle Adejumo, A. Agarwal, George Ageridis, Brian Agnew, A. Al-Salaymeh, Ayaz Mohammad Alam, Abdulrahman Alamoud, K. AlQdah, Feryal Alsni, Dimitris Anastaselos, Chris Anastasiou, B. Andresen, Fahim Ansari, I. Antonopoulos, Jesús Fraile Ardanuy, B. Arifoğlu, H. Arslan, M. Assael, P. Axaopoulos, T. P. A. Babu, Ali Badran, J. Bai, Rangan Banerjee, F. Barmpas, Hamza Bentrah, J. Benziger, P. Bodger, Natalia Boemi, W. Budzianowski, Y. Caouris, A. Castell, Daniel Castro, Aurnachala Chandaver, Y. Charabi, A. Charalambides, Arun Chaudhuri, D. Chemisana, L. Chen, B. Chen, Ayaz Chowdhury, S. Clarenbach, E. Cuce, M. Datta, P. Davies, J. Kraker, G. Nicola, H. Doukas, Charalambos Doumanides, B. Dragovic, V. Drosou, Gokhan Egilmez, M. Mankibi, N. Emekwuru, J. Facão, I. Farag, H. Fechner, A. Flamos, P. Fokaides, A. Gangele, Ioannis Gelegenis, K. R. Genwa, Biswajit Ghosh, E. Giama, G. Giannakidis, G. Glinou, U. González, Rajendiran Gopal, S. Goswami, A. Goswamy, I. G","doi":"10.1080/14786451.2013.853414","DOIUrl":"https://doi.org/10.1080/14786451.2013.853414","url":null,"abstract":"Mazen Abdel-Salam Dimitrios Achillias Wail Adaileh Bolanle Adejumo A. K. Agarwal George Ageridis Brian Agnew Ahmed Al-Salaymeh Ayaz Mohammad Alam Abdulrahman Alamoud Khaled Alqdah Feryal Alsni Dimitris Anastaselos Chris Anastasiou Bjarne Andresen Fahim Ansari Ioannis Sofoklis Antonopoulos Jesús Fraile Ardanuy Birol Arifoglu Hakan Arslan Marc Assael P. Axaopoulos T.P. Ashok Babu Ali Badran Jong-Wha Bai Rangan Banerjee Fotios Barmpas B.K.Behera Hamza Bentrah Jay B Benziger Pat Bodger Natalia Boemi Wojciech Budzianowski Yannis Caouris Albert Castell Daniel Castro Aurnachala Chandaver Yassine Charabi Alexandros Charalambides Arun Kumar Chaudhuri Daniel Chemisana L. Chen Baixin Chen Ayaz Chowdhury Stefan Clarenbach Erdem Cuce Manoj Datta Philip Davies Joop de Kraker Giovanni Di Nicola Harris Doukas Charalambos Doumanides Branislav Dragovic Vassiliki Drosou Gokhan Egilmez Mohamed El Mankibi Nwabueze Emekwuru Jorge Facao Ihab Farag Hubert Fechner Alexandros Flamos Paris Fokaides","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"8 1","pages":"2 - 2"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83930440","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}