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    SubjectsAIR EMBOLISM (1)BIOPSY (1)CHILD HEALTH (1)CHRONIC OBSTRUCTIVE PULMONARY DISEASE (1)GASTROINTESTINAL DISORDER (1)View MoreJournal
    Irish medical journal (33)
    AuthorsTorreggiani, W C (7)Elnazir, B (3)Greally, P (3)Halpenny, D (3)Manecksha, R P (3)View MoreYear (Issue Date)2011 (10)2009 (9)2012 (9)2015 (4)2010 (1)TypesArticle (29)Other (1)

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    Irish Childhood National Diabetes Register.

    Roche, E F (2011-10)
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    Laparoscopic nephrectomy: initial experience with 120 cases.

    Cheema, I A; Manecksha, R P; Murphy, M; Flynn, R (2012-02-01)
    Laparoscopic nephrectomy for both benign and malignant diseases of kidney is increasingly being performed. We report our experience with the first 120 consecutive laparoscopic nephrectomy performed in our hospital. It is the retrospective analysis of a prospectively maintained database of 4 years period. The parameters examined included age, gender, indications, operative time, blood loss, intraoperative and post operative complications. Mean age of surgery was 59 years (rang 19-84years). The indications for surgery included solid renal masses (71 patients), non-functioning kidneys (43), and collecting system tumours (6). The mean operating time was 132 minutes (range 75-270), average blood loss was 209 ml (range 0-1090) and average hospital stay was 4.7days (range 2-20). Bleeding, bowel injury and poor progression of laparoscopic procedure were the reasons in 7 (5.8%) cases converted to open surgery. There was 1 (0.8%) perioperative mortality. Eight (6.6%) patients developed post operative complications. Laparoscopic nephrectomy has inherent benefits and may be considered an alternate therapeutic option for kidney diseases with acceptable morbidity
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    Chest pain in an 18-year-old man: "didn't I tell you I was sick?".

    Dudina, A; Leong, T; Cooney, M T; Foley, B; Graham, I (Irish medical journal, 2009-06)
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    A survey of patients' attitudes to clinical research.

    Desmond, A; Stanton, A; Maher, V; Crean, P; Feely, J; Sullivan, P (Irish medical journal, 2011-04)
    Every year hundreds of patients voluntarily participate in clinical trials across Ireland. However, little research has been done as to how patients find the experience. This survey was conducted in an attempt to ascertain clinical trial participants' views on their experience of participating in a clinical trial and to see and how clinical trial participation can be improved. One hundred and sixty-six clinical trial participants who had recently completed a global phase IV cardiovascular endpoint clinical trial were sent a 3-page questionnaire. Ninety-one (91%) respondents found the experience of participating in a clinical trial a good one with 85 (84.16%) respondents saying they would recommend participating in a clinical trial to a friend or relative and eighty-five (87.63%) respondents feeling they received better healthcare because they had participated in a clinical trial.
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    The use of computerised tomography guided percutaneous fine needle aspiration in the evaluation of solitary pulmonary nodules.

    Khan, K A; Zaidi, S; Swan, N; Browne, R; Torreggiani, W; Lane, S; Moloney, E (2012-02)
    The evaluation of a solitary pulmonary nodule (SPN) has changed over the years with increased access to percutaneous computerised tomography (CT) guided fine needle aspiration (FNA), where bronchoscopy is unhelpful. The aim of our study was to evaluate the sample adequacy, diagnostic and complication rate of CT-FNA of a SPN at our academic teaching hospital over an 18 month period. CT-FNA was performed by a radiologist, with a cytopathologist in attendance to confirm the adequacy of the sample obtained. The size of the nodule, sample material and adequacy, diagnosis and complications were recorded. A total of 101 patients were included, 54 male and the mean age was 68 +/- 11 years. The mean size of the SPN was 2.3 cm (range 1-11 cm). 56 (56%) patients had a right SPN, 45 (45%) had a left SPN. CT-FNA was diagnostic in 80 (80%) patients and non-diagnostic in 21 (20%) patients. The sample was insufficient for immunocytochemistry, although the morphological appearance was diagnostic in 20 (25%) of the 80 patients. Pneumothorax occurred in 26/101 (26%) patients post CT-FNA, of these 7 (27%) required chest drain insertion, while 19 (73%) were managed conservatively. CT FNA is a useful tool for the diagnosis of a SPN, with our diagnostic accuracy comparable to that reported in the literature. However, CT-FNA may not provide adequate sample volume to perform ancillary testing and has a moderate complication rate.
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    Inflammatory pseudotumours of the liver--role of dynamic MRI scan and surgical exploration.

    Hasan, W; Sheehan, K M; Ridgway, P F; Traynor, O (Irish medical journal, 2011-02)
    Inflammatory pseudotumours of the liver are extremely rare benign lesions. They were first described by Pack and Baker in 1953. They usually present with raised inflammatory markers and nonspecific abdominal symptoms. Most of these lesions are picked up incidentally on ultrasound scans. Diagnosis of these lesions poses a dilemma and a challenge due to their radiological similarities to other liver lesions such as hepatocellular carcinoma HCC. In this article we describe our experience in its diagnosis and management.
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    Life saving positioning in patients with air embolism

    M Kooblall, M; SJ Lane, SJ; Moloney, E (Irish Medical Journal, 2015-12)
    Air embolism is an uncommon, but potentially catastrophic, event that occurs as a consequence of the entry of air into the vasculature. 1 The following illustrates such a case; an 82 year old lady, COPD with an FEV1 of 0.6 L (40%) was admitted following an exacerbation of her COPD. Her CXR showed a right sided density and her CT thorax confirmed a 4 x 3 cm mass in the right upper lobe. She was booked for a CT core biopsy. Patient was initially scanned in the prone position but was turned into the left lateral decubitus position as it was felt that this was a better access into the mass. Under aseptic technique and CT fluoroscopic guidance, core biopsy was obtained using an 18 gauge core biopsy needle. 3-4 samples were sent to pathology.
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    Is primary prevention of childhood obesity by education at 13-month immunisations feasible and acceptable? Results from a general practice based pilot study.

    Doorley, E; Young, C; O'Shea, B; Darker, C; Hollywood, B; O'Rorke, C (Irish Medical Journal, 2015-01)
    Abstract Prevalence of childhood overweight and obesity remains high in Ireland. In this study an intervention conducted within primary care was evaluated. This involved a structured discussion with parents at the 13 month immunisations with their general practitioner (GP), including measuring weight of the toddler and parental education regarding healthy nutrition and physical activity for their toddler. There was a telephone follow-up interview with parents three months later assessing change in toddler diet/lifestyle. Endpoints assessed included parents' reports of specific lifestyle parameters with regard to the toddler and parental assessment of the usefulness of the intervention. 39 toddlers were studied. Most lifestyle parameters had improved at follow up. Reported fruit and vegetable intake of more than 4 portions per day increased from 20.5% of toddlers at baseline 28.6% at follow up. The number of toddlers abstaining from unhealthy snacks increased from 15.4% to 21.4%. Television watching of more than 2 hours daily decreased from 12.8% to 0%. Supervised exercise of more than thirty minutes per day increased from 69.2% to 89.3%. The majority of parents reported at follow up that they found the intervention acceptable (100%, n = 28) and useful (79%, n = 22).
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    The presentation of coeliac disease as a disease-related malignancy.

    McNeill, G; Hurley, A; Halpenny, D; Torreggiani, W C (Irish medical journal, 2012-01)
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    Severe bone demineralisation is associated with higher mortality in children with cystic fibrosis.

    O'Reilly, R; Fitzpatrick, P; Leen, G; Elnazir, B; Greally, P (Irish medical journal, 2009-02)
    Decreased bone mineral density (BMD) is an emerging problem for clinicians who care for children with Cystic fibrosis (CF). The aim of this study was to determine prevalence and assess risk factors for reduced BMD in our adolescent population with CF. All bone densitometry scans (n=99) performed on children (n=79) with a mean age 13.6 (10-19.2) years over a 7 year period (2000-2007) were reviewed. Patient records were reviewed for correlating clinical data. Low BMD is frequently present in adults and children with variable reports (36-66%). In our study, BMD expressed as z score of L2-L4 spine was reduced in a total of 50% children with a preponderance of males. Bone demineralization was strongly associated with increasing age (p=0.03), diminished lung function (p=0.027), reduced body mass index (p=0.001) and treatment with oral corticosteroids (p=0.02).
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