• Alcohol misuse in the general hospital: some hard facts.

      Bradshaw, P; Denny, M; Cassidy, E M; South Lee Mental Health Service, GF Unit, Cork University Hospital, Wilton, Cork,, Ireland. (2012-02-03)
      AIMS: To examine (1) the prevalence of alcohol use disorders in adult general hospital inpatients; (2) the accuracy of documentation in relation to alcohol use. METHODS: A total of 210 random patients were interviewed out of 1,448 consecutive new admissions to CUH over 7 days. Case notes were reviewed for 206 (98%). Alcohol consumption was assessed using the Fast Alcohol Screening Test (FAST) and weekly drinking diary. FAST-positive (and a random sample of FAST-negative) patients then had a standardized interview. RESULTS: A total of 82% admitted for drinking alcohol. Among them 22% were drinking in excess of guidelines, 9% had DSM-IV Alcohol Abuse and 7% dependence. The sensitivity and specificity of the FAST for detecting those drinking above guidelines were 89 and 94% and for detecting a DSM-IV diagnosis was 100 and 73%. The majority of case notes contained inadequate information about alcohol intake. CONCLUSION: Alcohol use disorders are common and often undetected in the general hospital setting.
    • The association between depression and anxiety disorders following facial trauma--a comparative study.

      Islam, Shofiq; Ahmed, Muhiuddin; Walton, Gary M; Dinan, Timothy G; Hoffman, Gary R; Dept of Oral & Maxillofacial Surgery, University Hospital Coventry & Warwickshire (UHCW), UK. drshafiqislam@hotmail.co.uk (2010-01)
      Although the surgical care provided for patients who have sustained a maxillofacial injury has advanced in recent years, psychological disorders may develop. Anxiety and depression may be a cause of significant morbidity in these patients. Such problems are often unrecognised and untreated.
    • Hyponatremia independent of osteoporosis is associated with fracture occurrence.

      Kinsella, Sinead; Moran, Sarah; Sullivan, Miriam O; Molloy, Michael G M; Eustace, Joseph A; Department of Nephrology, Cork University Hospital, Cork, Ireland. (2010-02)
      Mild hyponatremia has traditionally been considered benign, but it may be associated with gait and attention deficits and an increased risk of falls that may result in fracture. A retrospective study was conducted to quantify the association of hyponatremia with fracture occurrence and to examine whether this relationship is independent of osteoporosis.