Abstract：
BACKGROUND:'Slaintecare' aims to address complex patient care needs in an integrated fashion with an emphasis on patient-centred, patient-empowered community care.Currently there is a lack of knowledge of the impact of rare disease management in primary care and of the information tools required by general practitioners to deliver integrated care for rare disease patients. AIMS:To complete a pilot survey to estimate the general practice clinical workload attributable to selected rare diseases and assess the use of relevant information sources. METHODS:A retrospective cross-sectional survey was carried out of general practice consultations (2013-2017) for patients with 22 commonly recognised rare diseases. RESULTS:Around 31 general practitioners from 10 Irish practices completed information on 171 patients with rare diseases over 3707 consultations. General practice-specific coding systems were inadequate for rare disease patient identification. Over 139 (81.3%) patients were adult, and 32 (18.7%) were children. Management of care was hospital and not primary care based in 63%. Those eligible for state-reimbursed care had a significantly higher median number of consultations (23 consultations, IQR = 13-37, or 5.8 consultations/year) than those who paid privately (10 consultations, IQR = 4-19, or 2.5 consultations/year) (p < 0.005).General practitioners had access to public information resources on rare diseases but few had knowledge of (35.5%), or had ever used (12.9%) Orphanet, the international rare disease information portal. CONCLUSIONS:Both specific rare disease-specific coding and use of the relevant rare disease information sources are lacking in general practice in Ireland.
journal_name
Ir J Med Scijournal_title
Irish journal of medical scienceauthors
Byrne N,Turner J,Marron R,Lambert DM,Murphy DN,O'Sullivan G,Mason M,Broderick F,Burke MC,Casey S,Doyle M,Gibney D,Mason F,Molony D,Ormond D,O' Sé C,O'Shea C,Treacy EPdoi
10.1007/s11845-019-02168-4subject
Has Abstractpub_date
2020-08-01 00:00:00pages
771-776issue
3eissn
0021-1265issn
1863-4362pii
10.1007/s11845-019-02168-4journal_volume
189pub_type
杂志文章abstract：BACKGROUND:Surveillance of Clostridium difficile infection (CDI) is an essential component of a CDI preventative programme. AIMS:The aim of this study was to evaluate two methods of CDI surveillance. METHODS:Prevalence of CDI, antibiotic use and associated co-morbidity was assessed weekly on two wards over 6 weeks. I...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-011-0798-x
更新日期：2012-09-01 00:00:00
abstract：BACKGROUND:Internationally, the number of computerised tomographic pulmonary angiographies (CTPAs) being performed to rule out pulmonary embolism (PE) has caused some concern. AIM:This study was performed to assess if the application of Pulmonary Embolism Rule-out Criteria (PERC) in an Irish Emergency Department (ED) ...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-020-02398-x
更新日期：2020-10-22 00:00:00
abstract：INTRODUCTION:2013 is the tercentenary of the death of Sir Patrick Dun. When Dun died in 1713, he left the proceeds of his estate to enhance medical education in Dublin by funding chairs in medicine. He showed remarkable innovation, but it took 95 years, five Acts of Parliament, two House of Commons enquiries and a Hous...
journal_title：Irish journal of medical science
pub_type： 传,历史文章,杂志文章
doi：10.1007/s11845-014-1082-7
更新日期：2015-03-01 00:00:00
abstract：INTRODUCTION:Surgical site infection (SSI) is one of the main causes of postoperative morbidity and mortality. Appendectomy for acute appendicitis is one of the most commonly performed surgical interventions worldwide. The use of ring retractors to protect the wound edge from contaminated intra-abdominal contents may b...
journal_title：Irish journal of medical science
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s11845-015-1381-7
更新日期：2016-02-01 00:00:00
abstract：BACKGROUND:The first Irish heart transplant was performed on the 10th of September 1985. Over the next 20 years, 229 transplants were performed in 228 recipients. AIMS:To evaluate the success of the first generation of cardiac transplantation in Ireland. METHODS:Analysis of clinical outcomes and survival statistics f...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF03168991
更新日期：2006-01-01 00:00:00
abstract：INTRODUCTION:The American College of Cardiology Foundation (ACCF) with other professional societies developed appropriate use criteria (AUC) for diagnostic coronary angiography. This study aims to examine the appropriate use of elective coronary angiography for patients with suspected stable coronary artery disease in ...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-018-1953-4
更新日期：2019-08-01 00:00:00
abstract：INTRODUCTION:Pituitary tuberculosis is an uncommon cause of sellar mass [1]; the estimated prevalence worldwide is not known, and there have been no reports of the condition occurring in Ireland. Tuberculosis of the pituitary gland may present as a sellar mass or with symptoms of hypopituitarism. CASE PRESENTATION:A 4...
journal_title：Irish journal of medical science
pub_type： 杂志文章,评审
doi：10.1007/s11845-017-1654-4
更新日期：2018-05-01 00:00:00
abstract：BACKGROUND:The clinical efficacy of adenotonsillectomy is under debate with falling tonsillectomy rates in the UK and Ireland. In 2010, an NHS commissioned randomised controlled trial recommended medical management, leading to some Primary Care Trusts refusing to commission any tonsillectomies at all. With the HSE cutt...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-016-1398-6
更新日期：2017-05-01 00:00:00
abstract：BACKGROUND:Most femoral neck fractures in younger patients have a different mechanism, treatment, and prognosis from those in elderly patients. AIMS:To evaluate the results of internal fixation of femoral neck fractures in patients aged between 20 and 60 years, and to determine reasons for failure. PATIENTS AND METHO...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF03168981
更新日期：2005-10-01 00:00:00
abstract：:We report a rare case of iatrogenic tracheal tear during a three-stage oesophagectomy in a 76-year-old woman and review current literature. The tear occurred due to trauma from a double lumen endotracheal tube. We used a novel technique of repairing the tear, which extended to the carina, avoiding a second thoracotomy...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-008-0169-4
更新日期：2009-09-01 00:00:00
abstract：:Anxiety, depression, self-esteem, behavioural deviance and prosocial behaviour were studied in children attending a normal school in a disadvantaged urban area, using self-rated and teacher-rated questionnaires. The prevalence of depression was rated as 5%. 15% described frequent suicidal thoughts. 40% scored as behav...
journal_title：Irish journal of medical science
pub_type： 临床试验,杂志文章
doi：10.1007/BF02943055
更新日期：1989-06-01 00:00:00
abstract：:The improved survival of cystic fibrosis (CF) patients is partly due to intensive treatment for their chronic infections. Treatment usually includes intravenous and nebulised aminoglycoside antibiotics and they receive a large cumulative dose of these antibiotics over their lifetime. There is little information in the...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02961666
更新日期：1991-06-01 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：INTRODUCTION:Biclonal lymphoid disorders, when two distinct lymphoproliferative disorders (LPD) co-exist, are rare (incidence of 1.4%) and associated with a poor prognosis. NOTCH1 mutations occur in 10% of CLL at diagnosis, associated with a short disease-free interval and increased risk of Richter's transformation. We...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-020-02386-1
更新日期：2020-10-17 00:00:00
abstract：:We assessed the long term efficacy of Novopen as a form of insulin administration. Records were obtained on 48 patients who were treated with Novopen between January '86 and October '88. Six patients were excluded due to insufficient data. The study group of 42 patients comprised 22 females and 20 males of average age...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02948414
更新日期：1991-09-01 00:00:00
abstract：:Due to the difficulties in the diagnosis of ruptured splenic artery aneurysm in pregnancy both maternal and fetal mortality continue to be high. A case is presented of a 37 year old woman who ruptured a splenic artery aneurysm at 29 weeks gestation. The presentation of the disease, its risk factors and treatment, as w...
journal_title：Irish journal of medical science
pub_type： 杂志文章,评审
doi：10.1007/BF02945175
更新日期：1993-05-01 00:00:00
abstract：BACKGROUND:To explore the clinical significance of digital tomographic fusion imaging in the diagnosis of avascular disease of the femoral head in adults. METHODS:Eighty-two adult patients with avascular necrosis of the femoral head confirmed by MRI in the department of orthopedics of our hospital were studied retrosp...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-020-02451-9
更新日期：2021-01-06 00:00:00
abstract：:Collagen type I from rat tail was tested for its effect on wound healing of 6 male rabbits and on the regeneration of liver after partial hepatectomy in 15 male rats. It had a negligible effect on the rate of wound healing and a statistically significant acceleratory effect on regeneration of the rat liver. ...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02942070
更新日期：1989-11-01 00:00:00
abstract：:The aim of this paper is to assess the adequacy of the diet of individuals over 60 yr of age, participating in the 1990 Irish National Nutritional Survey. A nationwide random sample based on the most recently updated electoral register was used. Demographic information was collected. Anthropometric measurements were t...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02944238
更新日期：1997-10-01 00:00:00
abstract：BACKGROUND:The Fowler-Stephens orchidopexy (FSO) is a well-described treatment for high maldescended testes where the limiting factor for successful placement in the scrotum is short testicular vessels. The operation involves division of these vessels. The testicular blood supply is then dependent on collaterals from t...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02914517
更新日期：2004-01-01 00:00:00
abstract：BACKGROUND:The incidence and prevalence of childhood chronic disease is increasing worldwide. Obesity, poor diet and lifestyle may be more prevalent in children with a chronic disease than in their healthier contemporaries. The Growing Up in Ireland (GUI) study is a nationally representative cohort study of children li...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-018-1814-1
更新日期：2019-02-01 00:00:00
abstract：:Changes in endothelial cell (EC) morphology occur at sites of physiological lymphocyte traffic and in areas of chronic inflammation. Previous studies have shown that EC shape changes also occur in vitro following exposure of EC monolayers to peripheral blood mononuclear cell (PBMC)-derived conditioned media (CM). In t...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02942828
更新日期：1994-08-01 00:00:00
abstract：BACKGROUND:The magnitude of effects of lean mass and fat mass on bone health is controversial, and this study is a contribution to understand its effects on skeletal composition. AIM:We explored the relationship of body fat and muscle parameters with bone mineral density (BMD) and age and observed if it changed when m...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-020-02177-8
更新日期：2020-08-01 00:00:00
abstract：BACKGROUND:Eclampsia is rare in molar pregnancy. Sudden cortical blindness in eclampsia is an uncommon but very dramatic experience for the patient. Because of its rarity, blindness associated with eclampsia may pose a significant problem for the obstetrician. CASE REPORT:We describe cortical blindness and posterior r...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-009-0370-0
更新日期：2011-03-01 00:00:00
abstract：BACKGROUND:Patients' awareness of the increased cardiovascular risk associated with their diabetes is poorly documented. AIM:The aim of this study was to assess the awareness of diabetes complications among patients with diabetes in Ireland. METHODS:Patients attending diabetes outpatient clinics in two teaching hospi...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-009-0301-0
更新日期：2009-12-01 00:00:00
abstract：:It has been suggested in the literature that an eight hour period of distal oesophageal monitoring is adequate for the diagnosis of reflux in symptomatic patients. The aim of this study was to investigate whether 3 hour intra-oesophageal pH-metry could be substituted for the eight hour test period without loss of sens...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02947641
更新日期：1991-02-01 00:00:00
abstract：:One hundred and forty-nine renal transplant patients attending 2 centres in Dublin were examined. Twelve patients (8.1%) were found to have cutaneous malignancy while dysplastic lesions (premalignant and/or malignant) were identified in 34 (22.8%). The prevalence of cutaneous malignancy in this study is substantially ...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02983762
更新日期：1992-04-01 00:00:00
abstract：OBJECTIVE:The impact of a change in service delivery in a psychogeriatric service, moving from a consultation model to liaison model of care, was examined in a naturalistic study. METHODS:The study period was divided into two phases, defined by the change in service delivery. The impact of the change on (1) referral r...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-020-02470-6
更新日期：2021-01-15 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：:Two term infants suffering severe asphyxial events were found to have diffusely high attenuation of the cortical gyri on CT scanning within 12 days. The findings are consistent with haemorrhagic necrosis or microcalcification. This feature has rarely been described in the literature. The evolution of the CT appearance...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02937934
更新日期：1998-07-01 00:00:00
