Abstract：
BACKGROUND:Chronic obstructive pulmonary disease (COPD) is a progressive illness that is mostly managed in the general practice setting. The Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines are the international gold standard, and it is important to understand how these are being applied in general practice. AIMS:This review aimed to assess the current level of adherence to international best practice guidelines among general practitioners in relation to COPD. METHODS:PubMed and EMBASE searches (from 2012 to 2016) were performed and used the search terms guidelines, COPD, general practitioners, and primary care. Papers were excluded if they were not primary sources, were published before 2012, or did not pertain to a general practice setting. RESULTS:After applying set inclusion and exclusion criteria, 11 studies were retrieved. These papers were grouped under three categories: diagnosis, pharmacological, and non-pharmacological management, based on the GOLD guidelines. CONCLUSIONS:Current studies show significant variability in adherence to the GOLD guidelines. Barriers identified include lack of clarity, unfamiliarity with recommendations, and lack of familiarity with the guidelines. If general practice is expected to manage COPD and other chronic diseases, health service investment is needed to provide appropriate focused guidelines, to support their dissemination and resources to implement them in practice.
journal_name
Ir J Med Scijournal_title
Irish journal of medical scienceauthors
Sehl J,O'Doherty J,O'Connor R,O'Sullivan B,O'Regan Adoi
10.1007/s11845-017-1651-7subject
Has Abstractpub_date
2018-05-01 00:00:00pages
403-407issue
2eissn
0021-1265issn
1863-4362pii
10.1007/s11845-017-1651-7journal_volume
187pub_type
杂志文章,评审abstract：:This paper analyses data on 2,226 cases of Hepatitis B virus (HBV) infection detected during the years 1970 to 1987. Of those where information on risk-group was available (1,301), infection among intravenous drug-abusers accounted for the largest proportion (49%). Most became infected during and since an outbreak of ...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02943614
更新日期：1989-08-01 00:00:00
abstract：BACKGROUND:Data from randomized trials evaluating the efficacy of on- versus off-pump coronary artery bypass grafting remain inconclusive, particularly in high-risk populations. AIMS:The aim of this study is to compare the outcomes associated with on- versus off-pump coronary artery bypass grafting among high-risk pat...
journal_title：Irish journal of medical science
pub_type： 杂志文章,meta分析
doi：10.1007/s11845-017-1679-8
更新日期：2018-05-01 00:00:00
abstract：:The use of injectable gold in the treatment of rheumatoid arthritis (RA) is hampered by the high incidence of adverse reactions of which myelotoxicity is potentially the most serious. Regular full blood count (FBC) monitoring prior to each injection, a practice which requires much time and effort, has never been fully...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02983717
更新日期：1992-03-01 00:00:00
abstract：BACKGROUND:Anal ulceration is uncommon. Patients are typically referred because of severe anal pain, bleeding, discharge, and ulceration. It is important to exclude anal carcinoma, and to consider more unusual causes. METHODS:A 74-year-old lady presented with severe anal pain and ulceration. This was subsequently note...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF03169175
更新日期：2006-07-01 00:00:00
abstract：:Secondary failure of oral hypoglycaemic agents raises the dilemma of whether to institute therapy with insulin alone, or in combination. We reviewed our experience of combination therapy following secondary failure of oral hypoglycaemic therapy. Seventeen subjects were receiving combination therapy for 6 months or mor...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02944248
更新日期：1997-10-01 00:00:00
abstract：BACKGROUND:Cosmetic outcomes and scar lengths remain important considerations in breast cancer surgery. Suturing techniques should decrease scar tissue formation and provide good cosmetic results. The use of an accordion suturing technique may result in decreased surgical wound lengths and better cosmetic outcomes. We ...
journal_title：Irish journal of medical science
pub_type： 杂志文章,随机对照试验
doi：10.1007/s11845-018-1772-7
更新日期：2018-11-01 00:00:00
abstract：BACKGROUND:A 32-year-old HIV-positive man required ventilation for seizures secondary to viral encephalitis. He had a prolonged care unit stay and had percutaneous tracheostomy performed on day 14 of his admission. He subsequently developed persistent right basal infiltrates and atelectasis on chest radiographs that we...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-008-0182-7
更新日期：2010-03-01 00:00:00
abstract：AIM:Scarcity of paediatric cholelithiasis limits the obtainable experience in paediatric laparoscopic cholecystectomy (LPC). We report minilaparotomy cholecystectomy (MLC) in children which may be a useful alternative to LPC avoiding the added cost of disposable laparoscopic equipment. METHODS:Nineteen cases underwent...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-007-0044-8
更新日期：2007-07-01 00:00:00
abstract：:The aim of this study is to investigate David Healy's hypothesis that the development of weighing technologies significantly contributes to the development of anorexia nervosa. A newly developed questionnaire and the EAT-26 were used to investigate these ideas. The key results from this study are that a positive corre...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-013-1047-2
更新日期：2014-09-01 00:00:00
abstract：:A new investigative modality, cervicography, has been advocated for cervical screening. In the first 51 patients referred for colposcopy because of an abnormal cervicogram, none had invasive cancer and 75% had preinvasive cancer. The cervicogram appears superior to cytology but inferior to colposcopy in the detection ...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02937249
更新日期：1990-02-01 00:00:00
abstract：BACKGROUND:There have been many changes in number and place of trocars that have been described, since the first laparoscopic cholecystectomy (LC), but, in fact, all authors agree that laparoscopic procedure is accepted as gold standard. However, four trocars use in standard laparoscopic cholecystectomy, it has been ar...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-016-1493-8
更新日期：2016-11-01 00:00:00
abstract：BACKGROUND:Injecting drug use is associated with increased morbidity and mortality. This is the first longitudinal study of a community-based population of injecting drug users (IDUs) in the Republic of Ireland. AIM:To establish the natural history of IDUs in a deprived Dublin community. METHODS:Eighty-two IDUs (hero...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-012-0814-9
更新日期：2012-12-01 00:00:00
abstract：BACKGROUND:To review the clinical impact of vertebroplasty in osteoporotic and myelomatous compression fractures METHODS:Eleven compression fractures in eight patients were treated by percutaneous cement vertebroplasty over a three-year period, May 2000 to May 2003. RESULTS:Successful percutaneous stabilisation and c...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF03169001
更新日期：2006-01-01 00:00:00
abstract：:Preparing a medical school for institutional review can be a challenging undertaking for any institution requiring an understanding of the international standards being used and adequate preparation and planning (MacCarrick et al. in Med Teach 32(5):e227-e232, 2010). This series examines each of the nine standards dev...
journal_title：Irish journal of medical science
pub_type： 杂志文章,评审
doi：10.1007/s11845-010-0541-z
更新日期：2010-12-01 00:00:00
abstract：BACKGROUND:Nearly half of the Irish population is covered by private health insurance. In recent years, premium inflation has been significantly ahead of overall inflation and has been accelerating. This has contributing to a drop in the numbers insured since the peak in 2008. The fall in the numbers with private healt...
journal_title：Irish journal of medical science
pub_type： 杂志文章,评审
doi：10.1007/s11845-013-0929-7
更新日期：2013-12-01 00:00:00
abstract：:This article was published online with an error. In Table 3, the name of the variable in the last row is missing. It just says 'mmHg'. The name to be written is 'MAP (mmHg)'. ...
journal_title：Irish journal of medical science
pub_type： 已发布勘误
doi：10.1007/s11845-020-02363-8
更新日期：2020-09-09 00:00:00
abstract：BACKGROUND:Circumcision is one of the world's most common operations. Series describing a new technique involving the use of fibrin-based glue have become more apparent in the literature. Here we outline the first 100 such cases for 62 children and 38 adults in our practice describing complications and learning curve. ...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-010-0545-8
更新日期：2011-03-01 00:00:00
abstract：BACKGROUND:Recent developments in the management of severe aortic stenosis have resulted in a paradigm shift in the way we view the condition. Patients previously denied intervention in the form of surgical aortic valve replacement (SAVR) are now candidates for transcatheter aortic valve implantation and the risk and a...
journal_title：Irish journal of medical science
pub_type： 杂志文章,评审
doi：10.1007/s11845-016-1417-7
更新日期：2016-05-01 00:00:00
abstract：INTRODUCTION:Optimal risk factor control is integral to managing patients with proven coronary heart disease (CHD+) and for those at risk of coronary heart disease (CHD-). The primary aim of the study was to assess the success rate of reaching lipid risk factor targets in a multiple risk factor clinic. METHODS:A retro...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-013-0954-6
更新日期：2013-12-01 00:00:00
abstract：BACKGROUND:Wound botulism occurs as a consequence of inoculation of Clostridium botulinum spores into a wound. AIM:To describe such a case of wound botulism. RESULTS:A 23-year-old drug-injecting user presented with bulbar symptoms and progressive signs over a three-day period. The diagnosis of botulism was suspected ...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02914502
更新日期：2003-07-01 00:00:00
abstract：BACKGROUND:Maternity care in hospitals in the Republic of Ireland is funded by a hybrid of public finance and private health insurance. AIMS:The aim of this longitudinal observational study was to investigate the annual trends in maternity care from 2009 to 2017 during and after the Great Economic Recession. METHODS:...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-020-02415-z
更新日期：2020-10-27 00:00:00
abstract：INTRODUCTION:Although neck pain is common in patients with chronic rheumatic disorders, any change in the quality or severity of pain should be further investigated. MATERIALS AND METHODS:We report two patients who recently presented with increasing neck pain on a background of chronic inflammatory arthritis. RESULTS...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-008-0256-6
更新日期：2009-06-01 00:00:00
abstract：AIMS:Many studies have suggested Cytomegalovirus infection might be implicated in steroid-refractory inflammatory bowel disease (IBD), in which situation management is extremely difficult. CMV infection being a potential cause of IBD have drawn great attention of clinicians, with insufficient evidence to reach conclusi...
journal_title：Irish journal of medical science
pub_type： 杂志文章,meta分析
doi：10.1007/s11845-018-1752-y
更新日期：2018-11-01 00:00:00
abstract：INTRODUCTION:This is a retrospective review of the Rotunda Hospital Emergency Room (ER) documentation with respect to attendances for a 4-month period (August-November) in both 2009 and 2012. The aim was to quantify the workload and assess the quality of care offered to patients attending the ER over the two time perio...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-014-1185-1
更新日期：2014-12-01 00:00:00
abstract：BACKGROUND:Coroners routinely enquire into suicide deaths and communicate with people bereaved by suicide. However, no research has been conducted into coroners' attitudes towards suicide and its prevention. AIMS:We assessed attitudes towards suicide among Irish coroners in order to determine their understanding of su...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-008-0261-9
更新日期：2009-03-01 00:00:00
abstract：BACKGROUND:Cell-based tissue engineering has emerged as a potential therapy for intervertebral disc degeneration. However, propagating and maintaining high quantity and quality of the seed cells remains a challenge. AIMS:To investigate the feasibility of culturing human disc cells using a microcarrier bioreactor syste...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-010-0537-8
更新日期：2010-12-01 00:00:00
abstract：:Over a four year period, 20 segments in 16 patients were treated by lengthening by callotasis or chondrodiastasis. The indications for treatment were leg length discrepancy in 13 patients and short stature in three. Patients with leg length discrepancy were all treated by femoral lengthening; the mean length gained wa...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02960724
更新日期：1993-08-01 00:00:00
abstract：:The case of a 27 month old male with a congenital midline nasal dermoid cyst is presented. The child attended the Ear, Nose and Throat outpatient's department in July 1995, with an external midline nasal swelling, which had been present at birth and was noted to be gradually increasing in size. Magnetic resonance imag...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02943594
更新日期：1997-07-01 00:00:00
abstract：:Early Warning Systems (EWS) track the physiological parameters of individual patients and trigger a response when the parameter threshold has been reached. The use of early warning scores in adult hospital medicine has been shown to be beneficial in facilitating the early recognition of the deteriorating patient, ther...
journal_title：Irish journal of medical science
pub_type： 杂志文章,评审
doi：10.1007/s11845-019-02028-1
更新日期：2020-02-01 00:00:00
abstract：INTRODUCTION:The amino acid taurine has an established role in attenuating lung fibrosis secondary to bleomycin-induced injury. This study evaluates taurine's effect on TGF-beta1 expression and the development of lung fibrosis after single-dose thoracic radiotherapy. METHODS:Four groups of C57/Bl6 mice received 14 Gy ...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-009-0389-2
更新日期：2010-03-01 00:00:00
