• What is my risk of developing cardiovascular disease?

      Graham, Ian M; Cooney, Marie-Therese; Dudina, Alexandra; Squarta, Sophie; Trinity College and Department of Cardiology, The Adelaide and Meath Hospital, Incorporating National Childrens' Hospital Tallaght, Dublin, Ireland., ian.graham@amnch.ie (2012-02-01)
    • What is new in obstetric antecedents of chronic disease? Best articles from the past year.

      Malone, Fergal D; Rotunda Hospital (2014-04)
      This month, we focus on current research in obstetric antecedents of chronic disease. Dr Malone discusses four recent publications, and each is concluded with a "bottom line" that is the take-home message. The complete reference for each can be found in on this page along with direct links to the abstracts.
    • What is the place of new risk markers in the prediction of cardiovascular disease

      DeBacker, G; Cooney, MT; Graham, IM (European Journal Cardiovascular Prevention Rehabilitation, 2011)
    • What is the role and value of extra-mural medical activity

      Murphy, JFA (Irish Medical Journal, 2013-08-20)
      Presently all Irish doctors, apart from trainees, are in the process of getting their educational activities for the past year in order for enrolment in the new medical competence scheme. The intra-mural component is understandable and makes common sense. It gives an existence to oneâ s daily professional life. It is about meeting with oneâ s colleagues at least once a week to discuss aspects of patient care, review of radiological findings and the presentation of data from recent medical papers. The process is cost neutral, time efficient and beneficial for both patients and doctors. It is an important driver for the audit programme. In addition to its educational value it is good for team building and personal professional development. It may not sound very glamorous but its potential is considerable
    • What is the value of ultrasound soft tissue measurements in the prediction of abnormal fetal growth?

      Farah, N; Stuart, B; Donnelly, V; Rafferty, G; Turner, M; UCD School of Medicine and Medical Science, Coombe Women and Infants University, Hospital, Dublin 8, Ireland. nadine.farah@ucd.ie (2012-02-01)
      Abnormal fetal growth increases the complications of pregnancy not only for the baby but also for the mother. Growth abnormalities also have lifelong consequences. These babies are at increased risk of insulin resistance, diabetes and hypertension later in life. It is important to identify these babies antenatally to optimise their clinical care. Although used extensively antenatally to monitor fetal growth, ultrasound has its limitations. Despite the use of more than 50 different formulae to estimate fetal weight, their performance has been poor at the extremes of fetal weight. Over the past 20 years there has been emerging interest in studying fetal soft tissue measurements to improve detection of growth abnormalities. This review paper outlines the value of soft tissue measurements in identifying fetal growth abnormalities, in estimating fetal weight and in managing diabetes mellitus in pregnancy.
    • What models of maternity care do pregnant women in Ireland want?

      Byrne, C; Kennedy, C; O'Dwyer, V; Farah, N; Kennelly, M; Turner, M J; UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, , Cork St, Dublin 8 (2012-02-01)
      The introduction of new models of care in the Irish maternity services has been recommended by both advocacy groups and strategic reports. Yet there is a dearth of information about what models of care pregnant women want. We surveyed women in early pregnancy who were attending a large Dublin maternity hospital. Demographic and clinical details were recorded from the hospital chart. Of the 501 women, 351 (70%) (352 (70.3%) of women wanted shared antenatal care between their family doctor and either a hospital doctor or midwife. 228 (45.5%) preferred to have their baby delivered in a doctor-led unit, while 215 (42.9%) preferred a midwifery-led unit. Of those 215 (42.9%), 118 (55%) met criteria for suitability. There was minimal demand (1.6%) for home births. Choice was influenced by whether the woman was attending for private care or not. Safety is the most important factor for women when choosing the type of maternity care they want. Pregnant women want a wide range of choices when it comes to models of maternity care. Their choice is strongly influenced by safety considerations, and will be determined in part by risk assessment.
    • What models of maternity care do pregnant women in Ireland want?

      Byrne, C; Kennedy, Cormac; O'Dwyer, V (Irish Medical Journal, 2011-06)
    • What price a diagnosis?

      Lynch, Sally Ann; Our Lady's Children's Hospital, Crumlin, Dublin, Ireland. (2012-02-01)
    • What should dental services for people with disabilities be like? Results of an Irish delphi panel survey.

      Mac Giolla Phadraig, Caoimhin; Nunn, June; Dougall, Alison; O'Neill, Eunan; McLoughlin, Jacinta; Guerin, Suzanne; Department of Public and Child Dental Health, Dublin Dental University Hospital and Trinity College Dublin, Dublin, Ireland. (2014)
      This study aimed to generate prioritised goals for oral health services for people with disabilities as a first step in meeting the need for evidence based oral health services for people with disabilities in Ireland.
    • What we can learn from generational gaps

      Higgins, MF; O'Gorman, C (Irish Medical Journal (IMJ), 2014-02)
      No matter what stage you are in your career, we defy you to deny that you have not had at least one of these thoughts recently - Medical students these days just don't have the respect for their seniors that we had. We need to learn! But when will we get the time! Social media has no place in medical education. Why can't I use my laptop in the hospital? As we moved slowly up the medical career ladder, we have gradually noticed the differences between the generations. These personal observations have been backed by a recent explosion in opinion articles, lectures and research in this area, much of which can help explain the issues and identify the background to the differences in opinion that previously may have frustrated or challenged relationships 1-3
    • What's in the cin bin?

      Donnellan, F; Pankratieva, E; Murray, F E (2010-07)
    • When are the hands of healthcare workers positive for methicillin-resistant Staphylococcus aureus?

      Creamer, E; Dorrian, S; Dolan, A; Sherlock, O; Fitzgerald-Hughes, D; Thomas, T; Walsh, J; Shore, A; Sullivan, D; Kinnevey, P; et al. (2010-06)
      Hand hygiene is a key component in reducing infection. There are few reports on the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) on healthcare workers' (HCWs') hands. The aim of this study was to establish whether HCWs' fingertips were contaminated with MRSA in a clinical hospital setting. The study was conducted in an acute tertiary referral hospital on four MRSA wards that were part of a larger research study on MRSA epidemiology and four other wards not included in the study. The fingertips from all categories of 523 HCWs were sampled on 822 occasions by the imprinting of fingertips on MRSA chromogenic agar plates. The type of hand hygiene agent used, if any, and the immediate prior activity of the HCW were recorded. Overall, 38/822 (5%) fingertips from 523 HCWs were MRSA-positive; 12/194 (6%) after clinical contact, 10/138 (10%) after contact with the patient's environment and 15/346 (4%) after no specific contact. MRSA was recovered on 2/61 (3%) occasions after use of alcohol hand rub, 2/35 (6%) after 4% chlorhexidine detergent, 7/210 (3%) hand washing with soap and water, and 27/493 (5%) when no hand hygiene had been performed. MRSA was recovered from HCWs on seven of the eight wards. MRSA was more frequently present on fingertips on the four non-study wards vs the four MRSA study wards [18/250 (7%), 3/201 (1%), respectively; P
    • When no choice of embryos exists, the multiple pregnancy risk is still high.

      Wong, V V; Emerson, G; Mocanu, E; Human Assisted Reproduction Ireland, Rotunda Hospital, Dublin, Republic of Ireland. vuivunwong@yahoo.com (2012-10)
      Multiple pregnancies arising from assisted reproduction are known to be associated with increased medical, psychological, economical and social risks. If only two embryos develop after culture, how should the couple be counselled in relation to the risk of multiple pregnancy? We performed a retrospective review of all IVF/ICSI treatments performed between 1 January 2005 and 31 December 2007, that resulted in double embryos transfer (DET). We identified 623 cycles with a fortuitous DET (Group I) and 635 cycles with an elective DET (Group II). Group II were significantly more likely to have twins when compared with Group I, irrespective of age. Twin rates in Group I were higher in IVF compared with ICSI; 33.3% vs 16.6% in < 35 years old and 16.2% vs 7.6% in 35-40 years old. Therefore, single embryo transfer should be considered for IVF patients below 35 years old, even if only two good quality embryos are available.
    • When the bone in your swallow is your own.

      Ramphul, Navin; Gilligan, Peadar; Beaumont Hospital, Dublin, Republic of Ireland. (2010-09-03)
    • When the bone in your swallow is your own.

      Ramphul, Navin; Gilligan, Peadar; Beaumont Hospital, Beaumont Road, Dublin 9, Republic of Ireland., navinramphul@eircom.net (2012-02-01)
    • Where do out-of-hours calls to a consultant microbiologist come from?

      Humphreys, H; Department of Clinical Microbiology, The Royal College of Surgeons in Ireland and the Department of Microbiology, Beaumont Hospital, PO Box 9063, Dublin 9, Ireland. hhumphreys@rcsi.ie (2009-08)
      There is little in the literature about out-of-hours calls to medical microbiologists. The calls taken by a consultant medical microbiologist over a five-year period in an Irish tertiary referral hospital were reviewed. Excluding calls on weekend mornings and significant evening positive blood cultures, the mean annual number of calls on a one-in-four rota was 89 (range 70-111). Over 90% of calls were received before midnight and 51% were from specialist registrars. Medical specialties, neurosurgery and intensive care were the most common departments seeking advice. Two-thirds of calls related to the management of an individual patient, but advice on infection prevention and control is increasingly requested. Calls out-of-hours are not insignificant but little is known about how these vary between hospitals and what contribution they make to patient care.
    • Where does Pelvic and Acetabular Fracture Treatment fit into the Newly Proposed Major Trauma Model in Ireland?

      Fenelon, C; Murphy, E.P; O’Daly, B.J; Leonard, M (Irish Medical Journal, 2019-04)
      Major trauma continues to be the biggest cause of death in people aged between 5 and 45 years of age. Suboptimal trauma management results in greater ongoing costs to patients, hospitals and society. Trauma networks in the United States, Australia and more recently the United Kingdom have proven successful in significantly reducing morbidity and mortality. In the UK, analysis by the Trauma Audit Research Network (TARN) has shown that a major trauma patient has a 19% increase in the odds of survival following major trauma since its introduction in 2012. No integrated trauma network yet exists in Ireland but a recent report “A Trauma System for Ireland” published in January of 2018 outlined plans of how such a trauma network would be introduced. The report called for the introduction of two regional trauma networks, a central and south network, with one major trauma centre for each. However, the report made no mention of where the treatment of pelvic and acetabular fractures fell within it.