abstract：BACKGROUND:Secondary prevention therapies, such as angiotension converting enzyme (ACE) inhibitors, beta-blockers and statins, are known to reduce cardiovascular morbidity and mortality. OBJECTIVE:The aim of the study was to examine the prevalence of coronary heart disease (CHD) and the prescribing of secondary preven...

journal_title：Irish journal of medical science

authors： Bennett K,Johnson H,Dack P,Shelley E,Feely J

更新日期：2005-07-01 00:00:00

abstract：BACKGROUND:The intravenous infusion of atrial (ANP) and brain (BNP) natriuretic peptides have been shown to increase urinary albumin excretion in type 1 diabetes. AIMS:To measure plasma ANP and BNP concentrations in patients with type 1 diabetes and to examine the parameters associated with elevated plasma concentrati...

journal_title：Irish journal of medical science

authors： McKenna K,Smith D,Sherlock M,Moore K,O'Brien E,Tormey W,Thompson CJ

更新日期：2005-07-01 00:00:00

abstract：BACKGROUND:Osteoid osteoma is a painful benign bone tumour. Previously the standard therapy was surgical excision. Image guided radiofrequency ablation can be clinically applied to ablate the tumour in a minimally invasive manner. AIMS:We present a case of an 18-year-old boy who presented with features of chronic left...

journal_title：Irish journal of medical science

authors： Cantwell CP,Scanlon T,Dudeney S,O'Byrne J,Eustace S

更新日期：2005-07-01 00:00:00

abstract：BACKGROUND:This article is a follow-up to an audit performed by the Department of Surgery and published in the Irish Journal of Medical Science in 1996. This audit reviewed all cases of Infantile Hypertrophic Pyloric Stenosis (IHPS) operated on over 22 years up to 1991. AIMS:We aim to demonstrate that radiologic inves...

journal_title：Irish journal of medical science

authors： Doyle D,O'Neill M,Kelly D

更新日期：2005-04-01 00:00:00

abstract：BACKGROUND:When worn external Hip Protectors (EHP) reduce hip fracture but poor compliance results in reduced efficacy. AIMS:We determined the compliance with EHP therapy among a group of elderly people attending a day hospital. METHODS:Forty-five patients or their care-givers were interviewed a mean (sd) 334 (150) d...

journal_title：Irish journal of medical science

authors： Fan CW,Tan KM,Coakley D,Walsh JB,Cunningham C

更新日期：2005-01-01 00:00:00

abstract：BACKGROUND:Chronic anal fissures (CAF) are caused by anal sphincter hypertonia leading to an ischaemic ulcer. By inducing temporary sphincter relaxation, botulinum toxin (Botox) injection has been shown to heal CAF in approximately 73-96% of cases in clinical trials. AIM:This study looks at the efficacy of Botox clini...

journal_title：Irish journal of medical science

authors： Simms HN,McCallion K,Wallace W,Campbell WJ,Calvert H,Moorehead RJ

更新日期：2004-10-01 00:00:00

abstract：BACKGROUND:Cancellation of operations increases theatre costs and decreases efficiency. We examined the causes of theatre cancellations in general surgery. METHODS:The Beaumont hospital database (ORSUS system) and theatre records were examined retrospectively between April 1997 and March 2002. The number and causes of...

journal_title：Irish journal of medical science

authors： Robb WB,O'Sullivan MJ,Brannigan AE,Bouchier-Hayes DJ

更新日期：2004-07-01 00:00:00

abstract：BACKGROUND:Little is known about the economic impact of diabetic foot ulceration in the Irish healthcare setting. AIM:Audit of diabetic foot ulcer admissions in St James's Hospital between April 2001 and March 2002. METHODS:Hospital charts were reviewed and costs were calculated on the length of patients' hospital st...

journal_title：Irish journal of medical science

authors： Smith D,Cullen MJ,Nolan JJ

更新日期：2004-04-01 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

authors： O'Brien MF,Hegarty PK,Healy C,DeFrietas D,Bredin HC

更新日期：2004-01-01 00:00:00

abstract：BACKGROUND:Hereditary pancreatitis is an important cause of chronic pancreatitis, which may result in endocrine and exocrine failure. This may necessitate simultaneous pancreas and kidney transplant (SPK). Bladder drainage of the exocrine secretions may cause problems. AIM:To report one such case and its surgical corr...

journal_title：Irish journal of medical science

authors： Connolly EM,Osborne H,Hickey DP

更新日期：2003-10-01 00:00:00

abstract：BACKGROUND:Suicidal behaviour has become recognised as a major public health problem. AIM:To examine hospital-treated parasuicide and suicide in the Southern and Mid-Western Health Boards. METHODS:Parasuicide data were derived from independent data collection in general and psychiatric hospitals and prisons between 1...

journal_title：Irish journal of medical science

authors： Corcoran P,Keeley HS,O'Sullivan M,Perry IJ

更新日期：2003-07-01 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

authors： FitzGerald S,Lyons R,Ryan J,Hall W,Gallagher C

更新日期：2003-07-01 00:00:00

abstract：BACKGROUND:Laparoscopic techniques are increasingly used in common surgical procedures. Many of these procedures are used to teach basic surgical trainees (BST) and therefore introduction of these techniques may have implications for training. AIMS:To establish whether the introduction of laparoscopic techniques reduc...

journal_title：Irish journal of medical science

authors： McCormick PH,Tanner WA,Keane FB,Tierney S

更新日期：2003-01-01 00:00:00

abstract：BACKGROUND:Attitudes have been shown to be important determinants of the quality and efficacy of medical care. There is little research on the education about, and assessment of, attitudes in undergraduate medical education. AIM:To describe the design and delivery of an attitude awareness workshop, and the associated ...

journal_title：Irish journal of medical science

authors： Kelly ME,Fenlon NP,Murphy AW

更新日期：2002-10-01 00:00:00

abstract：BACKGROUND:The survey of lifestyles, attitudes and nutrition (SLAN) is a national representative sample of 6,539 adults. AIMS:To report on both global and disease specific measures of self-reported morbidity according to age, gender and medical card status. METHODS:Reported rates of morbidity are given for angina, he...

journal_title：Irish journal of medical science

authors： Kelleher CC,Harrington J,Friel S

更新日期：2002-07-01 00:00:00

abstract：BACKGROUND:Perforation of the oesophagus is a life-threatening condition requiring early recognition and repair to prevent mediastinitis and death. Primary closure with mediastinal drainage is recognised as the treatment of choice for patients presenting within 24 hours. Many are frail, however, and unsuitable for majo...

journal_title：Irish journal of medical science

authors： Collins C,Arumugasamy M,Larkin J,Martin S,O'Sullivan GC

更新日期：2002-04-01 00:00:00

abstract：BACKGROUND:With the increasing incidence of breast cancer in patients over 70 years, there is interest in the best therapeutic approach. AIMS:To review the management of breast cancer in elderly women and to identify the factors involved in the decision to treat patients with tamoxifen as first line therapy. PATIENTS...

journal_title：Irish journal of medical science

authors： Hooper SB,Hill AD,Kennedy S,Dijkstra B,Kelly LM,McDermott EW,O'Higgins N

更新日期：2002-01-01 00:00:00

abstract：BACKGROUND:The majority of patients presenting with oesophageal cancer have symptoms for more than three months and advanced disease at presentation. Most appear unaware of the significance of dysphagia as a symptom. Cancer awareness programmes focus on symptoms such as lumps and bleeding. AIM:To sample the level of p...

journal_title：Irish journal of medical science

authors： Grannell MS,Kelly S,Shannon S,Chong AL,Walsh TN

更新日期：2001-10-01 00:00:00

abstract：BACKGROUND:Acute scrotal pain is a common urological emergency. Urgent exploration is the standard means of management, as no investigation can confidently exclude torsion of testis from the differential diagnoses. In our department, all patients up to the age of 40 years, presenting with acute scrotal pain undergo eme...

journal_title：Irish journal of medical science

authors： Hegarty PK,Walsh E,Corcoran MO

更新日期：2001-07-01 00:00:00

abstract：BACKGROUND:Programmed cell death, or apoptosis, is a distinct, managed form of cell death. It is fundamentally different from necrosis. It is a genetically controlled, energy-dependent method of cellular deletion without inflammation. In the cardiovascular system, apoptosis occurs as a primary and secondary event in di...

journal_title：Irish journal of medical science

authors： McLaughlin R,Kelly CJ,Kay E,Bouchier-Hayes D

更新日期：2001-04-01 00:00:00

abstract：BACKGROUND:Laparoscopic cholecystectomy is the operation of choice for cholelithiasis. AIMS:The aims of our study were to assess the feasibility of day case laparoscopic cholecystectomy (DCLC) in selected patients. METHODS:DCLC was introduced in this unit in July 1999. The first 50 patients were prospectively evaluat...

journal_title：Irish journal of medical science

authors： Kiely JM,Brannigan AE,Foley E,Cheema S,O'Brien W,Delaney PV

更新日期：2001-04-01 00:00:00

abstract：BACKGROUND:Intravenous drug misuse, principally heroin, occurs primarily in the Greater Dublin area. Methadone maintenance treatment has been an important part of the response to opiate misuse in Dublin since 1992. AIMS:To determine the number of opiate-related deaths in Dublin City and County during 1999, to establis...

journal_title：Irish journal of medical science

authors： Ward M,Barry J

更新日期：2001-01-01 00:00:00

abstract：BACKGROUND:In 1996, Irish accident and emergency (A&E) departments had approximately 1.2 million visits. General practitioners (GPs) have been shown to work efficiently in A&E. AIM:This study aimed to describe the current A&E structures in Ireland and the potential contribution of general practice. METHOD:Questionnai...

journal_title：Irish journal of medical science

authors： Bury G,Hungerford P,Langton D,Plunkett P

更新日期：2000-10-01 00:00:00

abstract：BACKGROUND:Assessment of non-cardiac chest pain places a considerable burden on healthcare resources. The current practice of serial electrocardiographs (ECGs), serum creatinine phosphokinase and by pre-discharge exercise electrocardiography gives an average in-hospital stay of 3.7 days. AIMS:This study assess the use...

journal_title：Irish journal of medical science

authors： Fleming SM,Divilly M,Chakravarthi PI,Grimes H,Daly K

更新日期：2000-07-01 00:00:00

abstract：BACKGROUND:Anaesthetists are at high risk from blood-borne pathogens. Universal Precautions (UP) include the routine use of appropriate barrier precautions and techniques to reduce the likelihood of exposure to blood, body fluids and tissues that may contain pathogens. The compliance of Irish anaesthetists with these p...

journal_title：Irish journal of medical science

authors： O'Rourke N,Bennett M,Porter J,Gallagher DJ,Shorten G

更新日期：2000-07-01 00:00:00

abstract：BACKGROUND:Of over 20 different scoring systems to evaluate outcome following calcaneal fracture, the Maryland Foot Score has broad current acceptance. A general health survey, the Short Form 36 (SF 36) has also been used. AIMS:The study compared two scoring systems for assessing the outcome of open reduction and inte...

journal_title：Irish journal of medical science

authors： Heffernan G,Khan F,Awan N,Riordain CO,Corrigan J

更新日期：2000-04-01 00:00:00

abstract：BACKGROUND:The apolipoprotein (Apo) E gene, and thus its gene product, plays a central and pervasive role in lipid metabolism by serving as a ligand for lipoprotein receptors. Polymorphisms of this gene have been associated with variation in lipid phenotypes in some Caucasian and Asian populations, but not in others. N...

journal_title：Irish journal of medical science

authors： Sheehan D,Bennett T,Cashman K

更新日期：2000-01-01 00:00:00

abstract：:Sudden Infant Death Syndrome (SIDS) is any death occurring in an infant or young child which is unexpected by history and in which a thorough post mortem examination fails to demonstrate an adequate cause of death. The National Sudden Infant Death Register collects information on all sudden unexpected deaths in infant...

journal_title：Irish journal of medical science

authors： McDonnell M,Cullen A,Kiberd B,Mehanni M,Matthews T

更新日期：1999-10-01 00:00:00

abstract：:The attitudes of a final year of medical students in University College Dublin and their level of satisfaction to their medical training was assessed. Medical students were significantly more dissatisfied with their pre-clinical teaching than clinical teaching and training. The majority of students felt inadequately t...

journal_title：Irish journal of medical science

authors： Rooney S,Cullivan R,Kelly G

更新日期：1999-10-01 00:00:00

abstract：:Mesenteric venous thrombosis, "the great mimicker", is a very rare disorder in pregnancy and the puerperium, particularly when not associated with any pre-existing thrombophilia or autoimmune states. We describe a patient requiring a resection of 150 cm of gangrenous small bowel after uncomplicated elective Caesarean ...

journal_title：Irish journal of medical science

authors： McGurgan P,Holohan M,McKenna P,Gorey TF

更新日期：1999-07-01 00:00:00

abstract：OBJECTIVE:The aims of this investigation was to analyse the response to second and third postal invitations from a group of patients previously invited for mammographic screening and to identify any demographic differences between responders and non-responders. SUBJECTS:The subjects were females aged 50-64 yr resident...

journal_title：Irish journal of medical science

authors： Hayes C,O'Herlihy B,Hynes M,Johnson Z

更新日期：1999-01-01 00:00:00

abstract：INTRODUCTION:Medullary carcinoma of the thyroid (MTC) is a rare tumour which occurs in both sporadic and hereditary forms. Mutations of the RET proto-oncogene have been identified in hereditary forms. The aim of our study was to confirm or exclude familial disease by examining for germline mutations in the RET proto-on...

journal_title：Irish journal of medical science

authors： O'Keeffe DA,Hill AD,Sheahan K,Ryan F,Barton D,Fitzgerald RJ,McDermott EW,O'Higgins NJ

更新日期：1998-10-01 00:00:00

abstract：:Analysis of the results of treatment of localised prostate cancer with radiation and surgery has identified patients who are at high risk of developing metastatic dissemination. High histologic grade, serum prostate specific antigen above 20 ng/ml, extension beyond the capsule of the prostate, and involvement of lymph...

journal_title：Irish journal of medical science

authors： Armstrong J

更新日期：1998-07-01 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

authors： Cullen A,Donoghue V,King MD

更新日期：1998-07-01 00:00:00

abstract：:von Willebrand's disease (vWD) is the commonest inherited bleeding disorder in man with an estimated incidence of 1 per thousand of the population. Acquired von Willebrand's disease (AvWD) is rare with less than 70 cases reported. AvWD is usually associated with autoimmune or clonal proliferation disorders and whilst ...

journal_title：Irish journal of medical science

authors： Hennessy BJ,White B,Byrne M,Smith OP

更新日期：1998-04-01 00:00:00

abstract：:Previous studies have shown that up to 40 per cent of patients have symptoms after cholecystectomy or laparoscopic cholecystectomy (LC). There are concerns, however, that these symptoms reflect those of the general population and are not a specific post-operative phenomenon. Abdominal symptoms of 212 patients followin...

journal_title：Irish journal of medical science

authors： McNamara DA,O'Donohoe MK,Horgan PG,Tanner WA,Keane FB

更新日期：1998-01-01 00:00:00

abstract：:The purpose of this case presentation is to illustrate the rate association between acute pancreatitis and colonic pseudo-obstruction and to highlight the difficulties of assessing intestinal motility in a defunctioned segment of bowel prior to closure of a defunctioning stoma. ...

journal_title：Irish journal of medical science

authors： Teh SH,O'Riordain DS,O'Connell PR

更新日期：1998-01-01 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

authors： Hurson M,Corish C,Sugrue S

更新日期：1997-10-01 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

authors： Griffin ME,Black N,Giblin L,O'Meara NM,Firth RG

更新日期：1997-10-01 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

authors： Carroll CM,Gaffney R,McShane D

更新日期：1997-07-01 00:00:00