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Journal Ir Med J

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Prognostic Importance of Pathological Fractures in Osteosarcomas.

G A Sheridan, L Mellon, E M Thompson, G M O'Kane, G C O'Toole,

Aims To investigate whether pathological fractures impact on osteosarcoma patient prognosis in Ireland. Methods This was a retrospective study over 22 years in a National Orthopaedic Oncology Centre. There were 117 nonfracture cases and 15 fracture cases. Outcome measures included 5 and 10 year event-free (EFS) and overall survival (OS). ... Read more >>

Ir Med J (Irish medical journal)
[2020, 112(10):1021]

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Have Legislative Interventions Impacted the Incidence of Needlestick Injuries?

G O'Sullivan, J Gallagher,

Introduction The aim of this study was to examine the impact the EU Directive for the Prevention of Sharps injuries had on the incidence of needlestick injuries (NSI) in Ireland. Methods A five-year retrospective study prior to, and after the introduction of these regulations, was conducted. Secondary data from the ... Read more >>

Ir Med J (Irish medical journal)
[2020, 112(10):1023]

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Next Stop a Longer Life.

R Conway, A O'Farrell,

Aim A request was made to the Department of Public Health in early 2019 for some interesting statistics (funtistics) for a planned health promotion campaign encouraging public transport users to increase their physical activity levels by alighting one stop earlier and walking to their destination. For a novel presentation of ... Read more >>

Ir Med J (Irish medical journal)
[2020, 112(10):1025]

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Leptomeningeal Relapse of Embryonal Rhabdomyosarcoma after 15 years.

S Chew, J P Gleeson, A McCarthy, G A Watson, R O'Dwyer, S Nicholson, M Capra, C Owens, M McDermott, P Daly, C Grant,

Aim Rhabdomyosarcoma (RMS) is the most common malignant soft tissue tumour of childhood. We present the case of a late relapse of RMS to the leptomeninges after 15 years. Methods A 20 year old male presented with a 3 week history of headaches and nausea. He previously had RMS of ... Read more >>

Ir Med J (Irish medical journal)
[2020, 112(10):1026]

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Medium Chain Acyl-CoA Dehydrogenase Deficiency (MCADD) in the Irish Paediatric Population

Z Mesbah, K Sing Ho, P Fitzsimons, A A Monavari, E Crushell, P D Mayne,

Ir Med J (Irish medical journal)
[2020, 112(10):1016]

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Targeted Implementation of Joint Clinics in Resource-Stretched Services Improves Referral Rates.

M O'Cathail, R Bentley, V Crosby,

Ir Med J (Irish medical journal)
[2020, 112(10):1029]

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Pre-hospital Care in Ireland – Innovation Needed

G Bury, T Barry,

Ir Med J (Irish medical journal)
[2020, 112(10):1014]

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Covid-19: The Irish Public Health Experience.

C Ni Bhuachalla, N Murphy, M O'Sullivan, M O' Mahony, C Buckley, C Foley-Nolan, D Murray, A Brennan, A Sheahan,

Ir Med J (Irish medical journal)
[2020, 113(7):117]

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Auto-Decompression - Preserved Neurological Function in Bilateral Cervical Facet Dislocations.

T Ó Doinn, A J Hughes, D P Ahern, J McDonnell, E Kavanagh, S Morris, J S Butler,

Introduction Bilateral cervical facet dislocation (BCFD) is an uncommon injury with a high incidence of severe neurological impairment. We describe 4 cases of BCFD with preserved neurological function. Case 1: A 78-year-old female who suffered two ground level falls (GLFs). Pre-operative American Spinal Injury Association (ASIA) Score was C5D. Imaging ... Read more >>

Ir Med J (Irish medical journal)
[2020, 113(7):131]

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Airborne Transmission of Covid-19: Implications for Irish Hospitals.

H Humphreys, F Fitzpatrick,

Ir Med J (Irish medical journal)
[2020, 113(7):126]

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Covid-19: The Next Steps.

J F A Murphy,

Ir Med J (Irish medical journal)
[2020, 113(7):115]

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Optimal Timing of CT Scanning in the Rapid Access Lung Cancer Clinic.

M Hennessy, D Ryan, S Clarke, C Higgins, M Logan, E O’Brien, R Morgan,

Aims To investigate whether a ‘CT first’ approach to Rapid Access Lung Cancer Clinic (RALC) review could be feasible in an Irish context. Methods A retrospective review of our institution’s Lung Cancer Database was performed. All RALC first attendances from 2012-2018 were identified. Timing of CT was assessed as well ... Read more >>

Ir Med J (Irish medical journal)
[2020, 113(7):121]

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Trainee's Preparedness for Paediatric Work.

P McCrossan, A Nicholson, N McCallion,

Aim Compare the opinion of paediatric consultants to paediatric Senior House Officers (SHOs) with regards their perceived level of preparedness for starting work in paediatrics. Methods A 5-point Likert scale questionnaire was administered to paediatric consultants and SHOs investigating how well they considered the SHO was performing and how well ... Read more >>

Ir Med J (Irish medical journal)
[2020, 113(7):120]

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Suicide.

B D Kelly,

Ir Med J (Irish medical journal)
[2020, 113(7):116]

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Frailty Index: A Useful Stratification for Elderly Surgical Patients.

P Rohan, M K O'Reilly, G J Nason,

Ir Med J (Irish medical journal)
[2020, 113(6):106]

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Impact and Mechanism of Covid-19 on Mental Health and Wellbeing.

D Lynch, M O'Brien, L O'Byrne, B Gavin, F McNicholas,

The Covid-19 pandemic has brought unprecedented pressure to healthcare systems worldwide, resulting in significant and precipitous changes in demand, burden and method of delivery. The psychosocial impact of this crisis is likely to increase over the course of the pandemic, peak later than medical cases and endure for longer thereby ... Read more >>

Ir Med J (Irish medical journal)
[2020, 113(6):100]

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Children's Palliative Care; the identified Learning Needs of Paediatricians.

L Whitla, M Devins, E J Molloy, M Twomey, M O'Reilly, J Balfe,

Aim To determine baseline learning needs of Paediatricians in Ireland when caring for children with palliative care needs. Methods A questionnaire based online survey was conducted. Results One hundred and fourteen paediatricians responded to the survey, the majority were Specialist Registrars but almost half were consultant paediatricians (46% n=52). Most ... Read more >>

Ir Med J (Irish medical journal)
[2020, 113(6):95]

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Pandemic Fatigue.

J F A Murphy,

Ir Med J (Irish medical journal)
[2020, 113(6):90]

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The Impact of Covid-19 on Medical Student Education - Navigating Uncharted Territory.

T A Conlon, P Carthy, R Govern, S Slattery, J Yates, S Murphy,

Ir Med J (Irish medical journal)
[2020, 113(6):109]

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Tackling Stress Among Healthcare Workers During the Covid-19 Pandemic.

M M Gulzar, J Ahmad, M Tariq, A A Syed,

Ir Med J (Irish medical journal)
[2020, 113(6):108]

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Enteritis and Severe Abdominal Pain as the First Presentation of Covid-19.

A Kecler-Pietrzyk, G Orsi, J Carthy, W C Torreggiani,

Presentation A male patient with no significant past medical history presented to emergency department with progressive in severity abdominal pain, associated with mild nausea and diarrhea. No other significant symptoms were reported. Diagnosis On investigation with CT, duodenojejunitis was diagnosed as the cause of abdominal pain. Lung basal changes were ... Read more >>

Ir Med J (Irish medical journal)
[2020, 113(6):102]

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Mandatory Vaccination for Ireland; An Informed Intervention or a Knee-Jerk Reaction?

N Conroy, M Casey, N Eichler,

Ir Med J (Irish medical journal)
[2020, 113(6):97]

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Air Quality and Its Association with Cardiovascular and Respiratory Hospital Admissions in Ireland.

K I Quintyne, A Sheridan, P Kenny, M O'Dwyer,

Aim Cardiovascular (CVD) and respiratory (RSD) diseases are leading causes of morbidity and mortality in Ireland. Clear links have been demonstrated in the literature between poor air quality and these diseases. This study aimed to use routinely available data to examine the relationship between air quality index for health (AQIH) ... Read more >>

Ir Med J (Irish medical journal)
[2020, 113(6):92]

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Xia-Gibbs Syndrome: A Psychiatric Perspective.

C S Orji,

Ir Med J (Irish medical journal)
[2020, 113(6):107]

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Diagnostic Limitations in Congenital Zika Virus Infection.

M Flanagan, H Hughes, E B Forman, D O'Rourke, B Paturi, A Curley, S J Knowles, C De Gascun, D Sweetman,

This is the first documented case of an infant with congenital Zika virus infection (ZVI) born in Ireland. A term infant was delivered with an antenatal diagnosis of severe microcephaly. First trimester bloods confirmed maternal ZVI and although the infant did not have Zika virus RNA or Zika-specific IgM in ... Read more >>

Ir Med J (Irish medical journal)
[2020, 113(6):101]

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