• Obesity in Ireland in 2008: what radiological equipment is available to image the obese patient?

      Campbell, N; Buckley, O; McGlone, B; O'Shea, D; Torreggiani, W C; Weight Management Service and Department of Radiology, St Columcille's Hospital, Loughlinstown, Co Dublin. naomicampbell28@hotmail.com (Irish medical journal, 2009-04)
      Obesity is a global epidemic, responsible for 2000 premature deaths in Ireland each year. The extent of this epidemic was quantified by the National Taskforce on Obesity (IOTF), whose report, published in 2005, found that 39% of adults in Ireland were overweight and 18% obese with obesity in adults predicted to increase by 1% per year. In light of the clear evidence that we, as a nation, are quite literally expanding, how well equipped are Irish hospitals and, in particular, radiology departments, to deal with patients of increasing size and weight? The purpose of this study was to quantify the weight limits and girth restrictions of the radiology equipment, in particular CT, MRI and fluoroscopy, in hospitals, both public and private, in Ireland in an attempt to answer this question.
    • Ocular health among radiologists in the age of PACS: is it time for our profession to open its eyes to this issue in light of existing European legislation?

      Halpenny, D; O'Driscoll, D; Torreggiani, W C; Adelaide and Meath Hospitals, Tallaght, Dublin, Ireland. darraghhalpenny@hotmail.com (2012-12)
      The regular use of visual display units (VDUs) at work has been shown to cause the development of a constellation of symptoms ranging from dry eyes to temporary myopia. European workers who use VDUs are now protected under detailed legislation enacted by the European Union (Directive 90/270/EEC). The use of picture archiving and communications systems, which are almost ubiquitous in European countries, means that, as a profession, radiologists fall under the remit of this legislation. This paper aims to assess the impact that full implementation of this law would have on a radiologist's practice and to more broadly examine the issue of eye care as an occupational health issue in radiology. The authors conclude that eye care in the setting of regular VDU use among radiologists is an important quality control and occupational health issue. There is a clear legal basis requiring employers to provide regular eye examinations and reporting breaks. In the absence of leadership from employers on this issue individual radiologists have a responsibility to ensure that their work practices reflect the legal situation and minimise the effect of eye strain on their performance.
    • Older Motorcyclists in Ireland

      Fitzpatrick, D; O’Neill, D (Irish Medical Journal, 2017-06)
      Older motorcyclists are under-recognised as vulnerable road users. Using Irish data from the Central Statistics Office, the Road Safety Authority and the Healthcare Pricing Office, we explored the trend of ageing riders and factors in older motorcyclist collisions and injuries. In 2005, 17 motorcyclists ≥55 were injured compared to 31 in 2012. Motorcyclists aged between 30 and 49 years and ≥50 have longer lengths of stay compared to riders <30. The percentage of motorcycles with an engine capacity of ≥750cc increased from 39.6% in 2007 to 46.7% in 2015. Older motorcyclists are less likely to be fatally injured in single vehicle collisions. Older motorcyclists are generally safer than younger riders but the proportion of older motorcyclist injury is rising. Irish road safety strategies and trauma services need to incorporate these findings into planning and development of preventive and treatment approaches
    • The OMERACT ultrasound task force -- Advances and priorities.

      D'Agostino, Maria-Antonietta; Conaghan, Philip G; Naredo, Esperanza; Aegerter, Philippe; Iagnocco, Annamaria; Freeston, Jane E; Filippucci, Emilio; Moller, Ingrid; Pineda, Carlos; Joshua, Frederick; et al. (The Journal of rheumatology, 2009-08)
      This article reports the most recent work of the OMERACT Ultrasound Task Force (post OMERACT 8) and highlights of future research priorities discussed at the OMERACT 9 meeting, Kananaskis, Canada, May 2008. Results of 3 studies were presented: (1) assessing intermachine reliability; (2) applying the scoring system developed in the hand to other joints most commonly affected in rheumatoid arthritis (RA); and (3) assessing interobserver reliability on a deep target joint (shoulder). Results demonstrated good intermachine reliability between multiple examiners, and good applicability of the scoring system for the hand on other joints (including shoulder). Study conclusions were discussed and a future research agenda was generated, notably the further development of a Global OMERACT Sonography Scoring (GLOSS) system in RA, emphasizing the importance of testing feasibility and added value over standard clinical variables. Future disease areas of importance to develop include a scoring system for enthesitis and osteoarthritis.
    • The OMERACT ultrasound task force--status and perspectives.

      Naredo, Esperanza; Wakefield, Richard J; Iagnocco, Annamaria; Terslev, Lene; Filippucci, Emilio; Gandjbakhch, Frederique; Aegerter, Philippe; Aydin, Sibel; Backhaus, Marina; Balint, Peter V; et al. (The Journal of rheumatology, 2011-09)
      This article reports the most recent work of the Outcome Measures in Rheumatology (OMERACT) Ultrasound Task Force, and highlights the future research priorities discussed at the OMERACT 10 meeting. Results of the following studies were presented: (1) intra- and interobserver reliability of ultrasound detecting and scoring synovitis in different joints of patients with rheumatoid arthritis (RA); (2) systematic review of previous ultrasound scoring systems of synovitis in RA; (3) enthesitis systematic review and Delphi definition exercise in spondyloarthritis enthesitis; (4) enthesitis intra- and interobserver reliability exercise; and (5) Delphi definition exercise in hand osteoarthritis, and reliability exercises. Study conclusions were discussed, and a future research agenda was approved, notably further validation of an OMERACT ultrasound global synovitis score (GLOSS) in RA, emphasizing the importance of testing feasibility, predictive value, and added value over standard clinical variables. Future research areas will include validating scoring systems for enthesitis and osteoarthritis, and testing the metric qualities of ultrasound for evaluating tenosynovitis and structural damage in RA.
    • Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure.

      Boyle, Emily; Al-Akash, Musallam; Gallagher, Anthony G; Traynor, Oscar; Hill, Arnold D K; Neary, Paul C; Colles Institute, Royal College of Surgeons in Ireland, 121 St Stephen's Green, Dublin 2, Ireland. emboyle@rcsi.ie (Postgraduate medical journal, 2011-08)
      To assess the effect of proximate or immediate feedback during an intensive training session. The authors hypothesised that provision of feedback during a training session would improve performance and learning curves.
    • Oral Cancer Awareness of Non-Consultant Hospital Doctors in Irish Hospitals

      Shanahan, D; Healy, CM (Irish Medical Journal, 2018-01)
      The incidence of oral cancer is rising in Ireland. The aim of this study is to assess the level of awareness of oral cancer amongst non-consultant hospital doctors (NCHDs) in Ireland, so any knowledge deficits can be identified and addressed. Data was collected by means of an anonymous online questionnaire, which was distributed via a private social media page for NCHDs in Ireland. It was completed by 221 participants, of which over 80% recorded that they do not regularly examine patients’ oral mucosa. Sixty percent were ‘unsure’, and 21%, ‘very unsure’, about diagnosing oral cancer based on clinical appearance. Nor were respondents able to identify confidently the various potential risk factors for oral cancer. Eighty-four percent of NCHDs requested further education on the topic. The response rate of the study was low, and further investigation is required to determine if the findings of this study are representative of the wider NCHD community. The chief recommendation of this paper is to provide more education about oral cancer, at both medical undergraduate and postgraduate levels, and to increase awareness of the condition amongst hospital doctors.
    • Oropharyngeal dysphagia in exacerbations of chronic obstructive pulmonary disease

      Robinson D,; Jerrard-Dunne P; Greene Z; Lawson S; Lane S,; O’Neill D (European Geriatric Medicine, 2011)
    • Oropharyngeal dysphagia in exacerbations of chronic obstructive pulmonary disease

      Robinson, D.J.; Jerrard-Dunne, P.; Greene, Z.; Lawson, S.; Lane, S.; O’Neill, D. (2012-04-30)
    • Osteopathy and malnutrition in patients with chronis pancreatitis

      Duggan, SN (2012-12-10)
      the Pancreas Society of Great Britian & Ireland, Leeds
    • "Osteoporosis and orthopods" incidences of osteoporosis in distal radius fracture from low energy trauma.

      Bahari, Syah; Morris, Seamus; Lenehan, Brian; McElwain, John P; Department of Trauma and Reconstructive Surgery, Adelaide and Meath Hospital Incorporating National Children Hospital, Tallaght, Dublin 24, Ireland. syahbahari@gmail.com (Injury, 2007-07)
      Fracture of the distal radius from low energy trauma is a common presentation to orthopaedic trauma services. This fragility type fracture is associated with underlying osteoporosis. Osteoporosis is a 'silent disease' where fragility fracture is a common presentation. Orthopaedic surgeons may be the only physician that these patients encounter. We found a high percentage of female patients who sustained a fragility fracture of the distal radius have an underlying osteoporosis. Further management of osteoporosis is important to prevent future fragility fractures.
    • Outcome in cystic fibrosis liver disease.

      Rowland, Marion; Gallagher, Charles G; O'Laoide, Risteard; Canny, Gerard; Broderick, Annemarie; Hayes, Roisin; Greally, Peter; Slattery, Dubhfeassa; Daly, Leslie; Durie, Peter; et al. (The American journal of gastroenterology, 2011-01)
      Evidence suggests that cystic fibrosis liver disease (CFLD) does not affect mortality or morbidity in patients with cystic fibrosis (CF). The importance of gender and age in outcome in CF makes selection of an appropriate comparison group central to the interpretation of any differences in mortality and morbidity in patients with CFLD.
    • Outcome of Cushing's disease following transsphenoidal surgery in a single center over 20 years.

      Hassan-Smith, Zaki K; Sherlock, Mark; Reulen, Raoul C; Arlt, Wiebke; Ayuk, John; Toogood, Andrew A; Cooper, Mark S; Johnson, Alan P; Stewart, Paul M; Centre for Endocrinology, Diabetes, and Metabolism, Institute for Biomedical Research, School of Clinical and Experimental Medicine, University of Birmingham, Birmingham B15 2TT, United Kingdom. (The Journal of clinical endocrinology and metabolism, 2012-04)
      Historically, Cushing's disease (CD) was associated with a 5-yr survival of just 50%. Although advances in CD management have seen mortality rates improve, outcome from transsphenoidal surgery (TSS), the current first-line treatment, varies significantly between centers.
    • Paediatric diagnostic reference levels in nuclear medicine imaging in Ireland.

      Gray, L; Torreggiani, W; O'Reilly, G (The British journal of radiology, 2008-11)
    • Paediatric early warning trigger, a cry for help

      Bolger, T; Clarke, N; Crowe, S; Martin, C; Koe, S (Irish Medical Journal, 2015-12)
      In paediatrics, it is crucial to ensure that the child who is clinically deteriorating is rapidly recognised and treated. We implemented a Paediatric Early Warning Trigger (PEWT) in our unit to improve recognition of these patients. Our trigger was a series of physiological measurements with a PEWT call if any result was outside the accepted range. We retrospectively compared 12 months prior to the introduction of the trigger (January to December 2009) to the three years post the introduction of the trigger (January 2010 to December 2012). We compared the time from deterioration to involvement of senior staff during the two time periods. We also examined the rates of crash calls and PICU transfers in the two periods. We found that the time from deterioration to senior clinician involvement reduced from 312 minutes to 166 minutes and the rate of transfers to PICU among the triage category 1&2 patients reduced from 1:50 in 2009 to 1:129, 1:118 and 1:131 during the three years of the trial. The rate of cardiac arrest among this group reduced from 1:100 in 2009 to 1:129, 1:216 and 1:542 during the three years of the trial. This study demonstrates the effectiveness of a Paediatric Early Warning Trigger in an Irish setting. We have been able to maximise senior clinician input into our sickest children in a more timely fashion.
    • A painful right leg.

      Smith, Laura-Jane E; Murphy, Sinéad M; Holmes, Paul; Reilly, Mary M; Reiniger, Lilla; Thom, Maria; Lunn, Michael P (BMJ (Clinical research ed.), 2011)
    • Pancreatic Adenocarcinoma in A Companion to Specialist Surgical Practice

      Conlon KC,; Kelly M.E. (Elsevier, Edinburgh, UK,, 2012)
    • A patient reported outcome measure (PROM) assessing quality of care in the urology hospital outpatient setting

      Alsinnawi, M; Dowling, CM; McKeown, S; Flynn, R; McDermott, TED; Grainger, R; Thornhill, JA (Irish Medical Journal, 2014-09)
      A prospective blind PROM (patient reported outcome measure) study performed in our urology department examined the outpatient-clinic experience. 104 questionnaires were completed. 23 patients (22%) felt the waiting times for appointments was excessive. 13 patients (13%) experienced difficulty in contacting administrative staff. 98 patients (94%) considered the waiting areas good but 31 patients (31%) considered lack of privacy an issue. Consultants saw 65 patients (63%). 62 patients (60%) expected to be seen by a consultant. 32 patients (31%) felt consultation with a different doctor on return visits was unsatisfactory. 76 patients (73%) â fully trustedâ their doctors. 78 patients (75%) rated their visit excellent, 10 patients (10%) added comments. Despite frustration with waiting times, the experience of patients reflects a positive rapport and trust between patient and doctor.
    • Patients with chronic pancreatitis are at increased risk for osteoporosis.

      Duggan, SN; O'Sullivan, Maria; Hamilton, Samuel; Feehan, Sinead M; Ridgway, Paul F; Conlon, Kevin C; Centre for Pancreatico-Biliary Diseases, Department of Surgery, Trinity College Dublin, Tallaght, Dublin, Republic of Ireland. siduggan@tcd.ie (Pancreas, 2012-10)
      Patients with chronic pancreatitis may be at an increased risk of low bone density because of malabsorption of vitamin D and calcium, poor diet, pain, alcoholism, and smoking. We investigated the rates of osteoporosis in patients with chronic pancreatitis compared to matched controls.
    • Patterns of Mortality in Modern Stroke Care

      Dalton, M; Coughlan, T; Cogan, N; Greene, S; McCabe, DJH; McCarthy, A; Murphy, S; Walsh, R; O’Neill, D; Kennelly, S; et al. (Irish Medical Journal, 2018-05)
      Stroke is a leading cause of death. We looked at the causes (direct and indirect) of in-hospital mortality in a modern stroke unit over a two-year period.