A new direction for medical education in Ireland?

Abstract:

:In recent years, new concepts of educational theory and practice have stimulated new approaches to medical education in many countries. For various reasons, medical education in Ireland has been slow to change such that there are now increasing concerns about educational standards. In addition, Ireland currently produces too few doctors and is therefore highly dependent on overseas doctors to maintain its health service. The responsible agencies are finally about to address these problems through a major expansion of medical education coupled with a strong agenda for educational reform. While the reform process will clearly be influenced by the experience of other counties, Ireland now has a great opportunity to take innovation in medical education a step further. For example, there is now an opportunity to develop new strategies to ensure the social accountability of medical education, to increase its community orientation and to foster interprofessional teaching and learning.

journal_name

Eur J Intern Med

authors

Finucane P,Kellett J

doi

10.1016/j.ejim.2006.09.001

subject

Has Abstract

pub_date

2007-03-01 00:00:00

pages

101-3

issue

2

eissn

0953-6205

issn

1879-0828

pii

S0953-6205(06)00237-8

journal_volume

18

pub_type

杂志文章
  • The effect of fatty pancreas on serum glucose parameters in patients with nonalcoholic steatohepatitis.

    abstract:OBJECTIVE:Fatty pancreas (FP) is related to obesity, and may have some clinical implications on glucose metabolism. The frequency and importance of FP in patients with nonalcoholic steatohepatitis (NASH) are not clear. This study aimed to investigate: the frequency of FP in patients with NASH, and its effects on serum ...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2014.11.007

    authors: Uygun A,Kadayifci A,Demirci H,Saglam M,Sakin YS,Ozturk K,Polat Z,Karslioglu Y,Bolu E

    更新日期:2015-01-01 00:00:00

  • Antiplatelet treatment in primary and secondary stroke prevention in women.

    abstract::Stroke is a leading cause of death worldwide and the first cause of disability in the Western world. Over the last 20 years, antiplatelet agents have reduced overall stroke rates in primary and secondary prevention in men. However, this has not been the case for women. In this narrative review, the most widely used an...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ejim.2012.04.010

    authors: Caso V,Santalucia P,Acciarresi M,Pezzella FR,Paciaroni M

    更新日期:2012-10-01 00:00:00

  • Intoxication-related fatalities in northern Germany.

    abstract:BACKGROUND:Knowing what substances cause death in intoxicated patients is of medical, legal, and political relevance. Harmonized data documentation like TESS (Toxic Exposure Surveillance System) in the United States does not exist yet in Germany. However, the GIZ-Nord Poison Center in Göttingen issues an annual report ...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2006.04.009

    authors: Schaper A,Renneberg B,Desel H,Langer C

    更新日期:2006-11-01 00:00:00

  • The syndrome of rhabdomyolysis: complications and treatment.

    abstract::Rhabdomyolysis is a syndrome of skeletal muscle cell damage that leads to the release of toxic intracellular material into the systemic circulation. The pathogenesis of rhabdomyolysis is based on an increase in free ionized calcium in the cytoplasm. Its main complications include (a) acute renal failure, which is trig...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ejim.2007.06.037

    authors: Chatzizisis YS,Misirli G,Hatzitolios AI,Giannoglou GD

    更新日期:2008-12-01 00:00:00

  • Coronary stent bacterial infection with multiple organ septic emboli.

    abstract::We describe an 80-year-old patient who developed Staphylococcus aureus septicemia several days after the implantation of a double stent in the proximal and mid-left anterior descending artery. The infection was complicated by multiple abscesses in the lungs and liver, as well as by bilateral bacterial endophthalmitis ...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2004.10.010

    authors: Hoffman M,Baruch R,Kaplan E,Mittelman M,Aviram G,Siegman-Igra Y

    更新日期:2005-04-01 00:00:00

  • Determination of salivary cortisol to assess time-related changes of the adrenal response to stress in critically ill patients.

    abstract:BACKGROUND:The value of salivary cortisol measurement to study stress-related adrenal response is controversial. The study aim was to assess the role of salivary cortisol measurement to detect time-related changes of adrenal response in critically ill patients. PATIENTS AND METHODS:Patients with organ failure, sepsis ...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2019.08.001

    authors: Puglisi S,Pizzuto A,Laface B,Panero F,Aprà F,Palmas E,Perotti P,Reimondo G,Boccuzzi A,Terzolo M

    更新日期:2019-10-01 00:00:00

  • Early repolarization syndrome and Brugada syndrome: is there any linkage?

    abstract::Early repolarization syndrome (ERS) is characterized by the presence, in most cases in mid-to-lateral precordial leads, of a J wave on the downsloping portion of the QRS complex, followed by an elevation of the ST-segment with upward concavity. ERS is considered a benign electrocardiographic pattern of ventricular rep...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ejim.2007.06.013

    authors: Di Grande A,Tabita V,Lizzio MM,Giuffrida C,Bellanuova I,Lisi M,Le Moli C,Amico S

    更新日期:2008-06-01 00:00:00

  • Clinical and lifestyle-related risk factors for incident multimorbidity: 10-year follow-up of Finnish population-based cohorts 1982-2012.

    abstract:BACKGROUND:Multimorbidity is a huge burden to individuals and societies and more attention should be paid on its risk factors and prevention possibilities. The aim of this study was to investigate which clinical and lifestyle characteristics predict the development of multimorbidity both among initially disease-free pe...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2015.02.012

    authors: Wikström K,Lindström J,Harald K,Peltonen M,Laatikainen T

    更新日期:2015-04-01 00:00:00

  • Erythropoiesis stimulating agents (ESAs) for congestive heart failure: the red and the black.

    abstract::CHF is a disease of high incidence and prevalence in the elderly. Anemia is associated with an increased mortality in these patients. Erythropoietin secretion is reduced in these patients due to complexed mechanisms. Although some improvement in quality of life has been shown when using ESAs it has not been found any ...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2013.12.011

    authors: Robles NR,Macias JF,Herrera J

    更新日期:2014-02-01 00:00:00

  • Prevalence, risk factors and proteomic bioprofiles associated with heart failure in rheumatoid arthritis: The RA-HF study.

    abstract:BACKGROUND:Rheumatoid arthritis (RA) patients have high risk of heart failure (HF). AIMS:Identifying the risk factors and mechanistic pathways associated with HF in patients with RA. METHODS:Cohort study enrolling 355 RA patients. HF was defined according to the ESC criteria. 93 circulating protein-biomarkers (91CVDI...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2020.11.002

    authors: Ferreira MB,Fonseca T,Costa R,Marinhoc A,Carvalho HC,Oliveira JC,Zannad F,Rossignol P,Gottenberg JE,Saraiva FA,Rodrigues P,Barros AS,Ferreira JP

    更新日期:2020-11-06 00:00:00

  • Inflammatory pseudotumor: A diagnostic dilemma.

    abstract::Inflammatory pseudotumor (IP) is a disorder that constitutes a differential diagnosis of a series of clinical conditions due to a large spectrum of manifestations in presentation since it can involve any organ of the human body. Its basic characteristic is the appearance of inflammatory masses whose symptoms depend on...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2006.03.004

    authors: Andrade DM,Martins SJ,Paz O,Cardozo JB,Novaes AE,Santiago MB

    更新日期:2006-11-01 00:00:00

  • Atypical hemolytic uremic syndrome: from the rediscovery of complement to targeted therapy.

    abstract::Atypical hemolytic uremic syndrome (aHUS) is a devastating form of renal thrombotic microangiopathy. In the last five years, we have finally witnessed a dramatic improvement in the management of aHUS patients, and three breakthroughs in our understanding of aHUS have led to such an improvement. The first breakthrough ...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ejim.2013.05.008

    authors: Fakhouri F,Frémeaux-Bacchi V,Loirat C

    更新日期:2013-09-01 00:00:00

  • Is there a relationship between hypomagnesemia and proton-pump inhibitors in patients on chronic hemodialysis?

    abstract:AIM:We investigated the association among long-term proton-pump inhibitors (PPIs) use with serum magnesium (Mg) levels in chronic hemodialysis (HD) patients, as well as possible association among PPI use and increased risk of cardiovascular (CVD) morbidity in HD patients. METHODS:Of 418 HD patients that were screened ...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2016.01.026

    authors: Mikolasevic I,Milic S,Stimac D,Zaputovic L,Lukenda Zanko V,Gulin T,Jakopcic I,Klaric D,Gulin M,Orlic L

    更新日期:2016-05-01 00:00:00

  • Genetics of melatonin receptor type 2 is associated with left ventricular function in hypertensive patients treated according to guidelines.

    abstract:BACKGROUND:Melatonin exerts multiple biological effects with potential impact on human diseases. This is underscored by genetic studies that demonstrated associations between melatonin receptor type 2 gene (MTNR1B) polymorphisms and characteristics of type 2 diabetes. We set out to test the hypothesis whether genetic v...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2013.03.015

    authors: Huber M,Treszl A,Reibis R,Teichmann C,Zergibel I,Bolbrinker J,Scholze J,Wegscheider K,Völler H,Kreutz R

    更新日期:2013-10-01 00:00:00

  • Comparison of demographic and clinical characteristics of patients with early vs. adult vs. late onset ulcerative colitis.

    abstract:BACKGROUND & AIMS:There is limited data comparing influence of age on the presentation, clinical course, and therapeutic response of patients with ulcerative colitis. We aimed to compare the demographic and clinical characteristics of patients diagnosed with UC in older age vs. adulthood vs. early age. METHODS:Five-hu...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2012.12.014

    authors: Kalkan IH,Dağli U,Oztaş E,Tunç B,Ulker A

    更新日期:2013-04-01 00:00:00

  • Evaluation of a direct test for seasonal influenza in outpatients.

    abstract:OBJECTIVE:To present our experience regarding the use of a rapid diagnostic test for seasonal influenza A and B. METHODS:We systematically collected and analyzed our data regarding the use of a rapid diagnostic test for seasonal influenza A and B in patients with specific respiratory symptoms that sought medical servi...

    journal_title:European journal of internal medicine

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.ejim.2010.06.013

    authors: Theocharis G,Vouloumanou EK,Rafailidis PI,Spiropoulos T,Barbas SG,Falagas ME

    更新日期:2010-10-01 00:00:00

  • Circulating sICAM-1 and sE-Selectin as biomarker of infection and prognosis in patients with systemic inflammatory response syndrome.

    abstract:BACKGROUND:Vascular endothelium activation is a key pathogenic step in systemic inflammatory response syndrome (SIRS) that can be triggered by both microbial and sterile proinflammatory stimuli. The relevance of soluble adhesion molecules as clinical biomarkers to discriminate between infectious and non-infectious SIRS...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2012.10.009

    authors: de Pablo R,Monserrat J,Reyes E,Díaz D,Rodríguez-Zapata M,de la Hera A,Prieto A,Álvarez-Mon M

    更新日期:2013-03-01 00:00:00

  • Persistency of low levels of anticardiolipin and anti-beta2 glycoprotein1 in thrombosis.

    abstract:BACKGROUND:Antiphospholipid antibodies, the hallmark of the antiphospholipid syndrome, are associated with both venous and arterial thrombosis. Despite some reports stating that this association may be present in patients with low titres of anticardiolipin antibodies, a clear association has only been established in th...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2009.12.010

    authors: Amaral M,Favas C,Delgado Alves J

    更新日期:2010-04-01 00:00:00

  • The impact of medication reconciliation program at admission in an internal medicine department.

    abstract:BACKGROUND:Medication reconciliation process has proved to be an effective tool to improve the safety of drug use. The objective of this study was to assess the impact of an intervention aimed to decrease unintended discrepancies between patient's usual treatment and medications prescribed on admission to the Departmen...

    journal_title:European journal of internal medicine

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.ejim.2012.08.013

    authors: Zoni AC,Durán García ME,Jiménez Muñoz AB,Salomón Pérez R,Martin P,Herranz Alonso A

    更新日期:2012-12-01 00:00:00

  • A prospective study of the management of non-massive pulmonary embolism in the home.

    abstract:BACKGROUND:The objective of this study is to compare the characteristics, outcomes, and clinical complications of patients with pulmonary embolism (PE) who were treated at home as outpatients versus traditional hospitalization. METHODS:Prospective study from January 2006 to June 2007. Selected patients diagnosed at th...

    journal_title:European journal of internal medicine

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.ejim.2009.04.003

    authors: Rodríguez-Cerrillo M,Alvarez-Arcaya A,Fernández-Díaz E,Fernández-Cruz A

    更新日期:2009-10-01 00:00:00

  • What diagnoses may make patients more seriously ill than they first appear? Mortality according to the Simple Clinical Score Risk Class at the time of admission compared to the observed mortality of different ICD9 codes identified on death or discharge.

    abstract:BACKGROUND:The Simple Clinical Score (SCS) determined at the time of admission places acutely ill general medical patients into one of five risk classes associated with an increasing risk of death within 30 days. The cohort of acute medical patient that the SCS was derived from had, on average, four combinations of 74 ...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2008.04.012

    authors: Kellett J,Deane B

    更新日期:2009-01-01 00:00:00

  • Evolving strategies for the use of spironolactone in cardiovascular disease.

    abstract::The evolution of strategies for the use of spironolactone and its analogue, eplerenone, has, over the years, encompassed favourable modification of the natural history of symptomatic heart failure in subjects with subnormal left ventricular ejection fraction (LVEF), and mitigation of the risk of new-onset atrial fibri...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ejim.2012.11.007

    authors: Jolobe OM

    更新日期:2013-06-01 00:00:00

  • Anticholinergic drug exposure at intensive care unit admission affects the occurrence of delirium. A prospective cohort study.

    abstract:BACKGROUND:Anticholinergic drugs may increase the risk of delirium in non-critically ill patients, but it is unclear whether exposure to these drugs is also a risk factor for Intensive Care Unit (ICU) delirium. In this study the hypothesis was tested that anticholinergic drug exposure at ICU admission increases the ris...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2020.04.062

    authors: Vondeling AM,Knol W,Egberts TCG,Slooter AJC

    更新日期:2020-08-01 00:00:00

  • Systemic allergic reaction and diffuse bone pain after exposure to a preparation of betamethasone.

    abstract::Allergic reactions to corticosteroids are unexpected as they seem to contradict their pharmacodynamic action. Nevertheless, they are not infrequent, with an estimated incidence of up to 4% for cutaneous reactions. Systemic reactions are rarely reported, but their incidence might be underestimated. We report here an un...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2005.04.004

    authors: Ehret GB,Deluze C,Dayer P,Desmeules JA

    更新日期:2005-12-01 00:00:00

  • Severe rhabdomyolysis with hypoglycemia in an adult patient with carnitine palmitoyltransferase II deficiency.

    abstract::Carnitine palmitoyltransferase II (CPT2) deficiency is an inherited disorder associated with rhabdomyolysis. The adult form of CPT2 deficiency is usually "benign", characterized by episodes of rhabdomyolysis without extramuscular manifestations and with a good outcome, while the infantile type characteristically prese...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2007.04.025

    authors: Deutsch M,Vassilopoulos D,Sevastos N,Papadimitriou A,Vasiliou K,Archimandritis AJ

    更新日期:2008-06-01 00:00:00

  • Gallbladder and gastric emptying: relationship to cholecystokininemia in diabetics.

    abstract::Background: Impaired gastrointestinal and gallbladder motility, as a complication of long-lasting diabetes mellitus, has been ascribed to the possible development of autonomic neuropathy, although the intervention of hormonal factors may not completely be excluded. In this regard, cholecystokinin (CCK), a gut hormone ...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/s0953-6205(02)00003-1

    authors: Bucceri AM,Calogero AE,Brogna A

    更新日期:2002-03-01 00:00:00

  • Blessings of the grape.

    abstract::Numerous epidemiological studies have shown an inverse correlation between moderate consumption of alcoholic drinks and the risk of coronary heart disease. Wine, especially red wine, may be more favorable in this respect than beer or spirits because of its high content of flavonoids. These polyphenols originate from t...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/s0953-6205(01)00170-4

    authors: van de Wiel A,van Golde PH,Hart HC

    更新日期:2001-12-01 00:00:00

  • Unconscious defensive medicine: The case of erythrocyte sedimentation rate.

    abstract:BACKGROUND:We investigated physician rationale for and against performing routine erythrocyte sedimentation rate (ESR) tests during hospital admissions. METHODS:A comparative, descriptive, prospective study among 82 physicians in 15 departments of internal medicine from two University Medical Centers - A and B - in Is...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2006.07.021

    authors: Asher E,Parag Y,Zeller L,Yerushalmi R,Reuveni H

    更新日期:2007-01-01 00:00:00

  • The use of non-invasive ventilation during acute respiratory failure due to pneumonia.

    abstract::The use of non-invasive ventilation in patients with community-acquired pneumonia is controversial since this is associated with high rates of treatment failure, compared with other causes of severe acute respiratory failure. The populations of patients with community-acquired pneumonia who have demonstrated better re...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.ejim.2012.02.011

    authors: Ferrer M,Cosentini R,Nava S

    更新日期:2012-07-01 00:00:00

  • Hypernatremia and moderate-to-severe hyponatremia are independent predictors of mortality in septic patients at emergency department presentation: A sub-group analysis of the need-speed trial.

    abstract:STUDY OBJECTIVE:Early risk stratification of septic patients presenting to the emergency department (ED) is challenging. The aim of the study was to evaluate the prognostic role of plasmatic sodium level (PNa+) derangements at ED presentation in septic patients. METHODS:According to PNa+ at ED presentation patients we...

    journal_title:European journal of internal medicine

    pub_type: 杂志文章

    doi:10.1016/j.ejim.2020.10.003

    authors: Castello LM,Gavelli F,Baldrighi M,Salmi L,Mearelli F,Fiotti N,Patrucco F,Bellan M,Sainaghi PP,Ronzoni G,Di Somma S,Lupia E,Muiesan ML,Biolo G,Avanzi GC

    更新日期:2021-01-01 00:00:00