• Occupational allergic contact dermatitis to HBTU [(o-benzotriazole-10yl)-N,N,N',N,-tetramethyluronium hexafluorophosphate].

      McAleer, Maeve A; Bourke, Breeda; Bourke, Johnny; Department of Dermatology, South Infirmary-Victoria University Hospital, Old Blackrock Road, Cork, Ireland. (2010-02)
    • Occupational allergic contact dermatitis to HBTU [(o-benzotriazole-10yl)-N,N,N',N,-tetramethyluronium hexafluorophosphate].

      McAleer, Maeve A; Bourke, Breeda; Bourke, Johnny; Department of Dermatology, South Infirmary-Victoria University Hospital, Old, Blackrock Road, Cork, Ireland. (2012-02-01)
    • Occupational allergic contact dermatitis to olanzapine.

      Lowney, Aoife C; McAleer, Maeve A; Bourke, Johnny; Dermatology Department, South Infirmary-Victoria University Hospital, Old Blackrock Road, Cork, Ireland. (2010-02)
    • Occupational allergic contact dermatitis to olanzapine.

      Lowney, Aoife C; McAleer, Maeve A; Bourke, Johnny; Dermatology Department, South Infirmary-Victoria University Hospital, Old, Blackrock Road, Cork, Ireland. (2012-02-01)
    • Osteonecrosis following alcohol, cocaine, and steroid use.

      Ziraldo, Laura; O'Connor, Mortimer B; Blake, Simon P; Phelan, Mark J; Department of Medicine, South Infirmary-Victoria University Hospital, Cork,, Ireland. (2012-02-01)
      Alcohol, steroids and cocaine have all been shown to be independent risk factors for osteonecrosis when taken in excess. Here we present a case of a young girl who developed debilitating osteonecrosis secondary to low doses of alcohol, steroids and cocaine. We feel it is important to highlight to those caring for such patients of the potential devastating complication of these three agents.
    • Peristomal allergic contact dermatitis to stoma-adhesive paste containing monobutyl ester/maleic acid of polymethylvinylether (Gantrez 425) but not to Isopropyl ester/maleic anhydride of polymethylvinylether (Gantrez 335).

      Field, Sinead; O'Sullivan, Carmel; Murphy, Michelle; Bourke, John F; Dermatology Department, South Infirmary-Victoria University Hospital, Cork, Ireland. sineadfield@hotmail.com (2010-02)
    • Peristomal allergic contact dermatitis to stoma-adhesive paste containing monobutyl ester/maleic acid of polymethylvinylether (Gantrez 425) but not to Isopropyl ester/maleic anhydride of polymethylvinylether (Gantrez 335).

      Field, Sinead; O'Sullivan, Carmel; Murphy, Michelle; Bourke, John F; Dermatology Department, South Infirmary-Victoria University Hospital, Cork,, Ireland. sineadfield@hotmail.com (2012-02-01)
    • The preferences for outpatient clinic appointment reminders among rheumatology patients.

      O'Connor, Mortimer B; Bond, Ursula; Saunders, Jean A; Casey, Pamela; Mohammad, Ausaf; O'Dwyer, Marie; Daly, Nicola; Regan, Michael J; Phelan, Mark J; Department of Medicine, South Infirmary-Victoria University Hospital, Cork,, Ireland. mortimeroconnor@gmail.com (2012-02-01)
    • Preoperative information needs of children undergoing tonsillectomy.

      Buckley, Aoife; Savage, Eileen; General Operating Theatres, South Infirmary Victoria University Hospital, Cork,, Ireland. buckley_aoife@hotmail.com (2012-02-01)
      AIMS AND OBJECTIVES: To identify the information needs of children undergoing tonsillectomy with reference to content of information, method of delivery, information providers and timing of information provision. BACKGROUND: Tonsillectomy can be anxiety provoking for children and preoperative preparation programmes are long recognised to reduce anxiety. However, few have been designed from the perspectives of children and to date little is known about how best to prepare children in terms of what to tell them, how to convey information to them, who can best provide information and what is the best timing for information provision. DESIGN: A qualitative descriptive study. METHOD: Data were collected from nine children (aged 6-9) using interviews supported by a write and draw technique. Data were coded and categorised into themes reflecting content, method, providers and timing of information. RESULTS: Children openly communicated their information needs especially on what to tell them to expect when facing a tonsillectomy. Their principal concerns were about operation procedures, experiencing 'soreness' and discomfort postoperatively and parental presence. Mothers were viewed as best situated to provide them with information. Children were uncertain about what method of information and timing would be most helpful to them. CONCLUSION: Preoperative educational interventions need to take account of children's information needs so that they are prepared for surgery in ways that are meaningful and relevant to them. Future research is needed in this area. RELEVANCE TO CLINICAL PRACTICE: Practical steps towards informing children about having a tonsillectomy include asking them what they need to know and addressing their queries accordingly. Child-centred information leaflets using a question and answer format could also be helpful to children.
    • The prevalence and genotype of human papillomavirus on cervical samples from an Irish female population with external genital warts.

      Cremin, Suzanne M; Menton, John F; Canier, Lydie; Horgan, Mary; Fanning, Liam J; STI Clinic, Infirmary, South Victoria University Hospital, Cork, Ireland. suzannem.cremin@hse.ie (2012-07)
      The aim of this study was to determine the cervical genotype profile of females who presented to an STI Clinic with external genital warts (EGW); and to determine the potential vaccine coverage prior to the uptake of the HPV vaccines. Sixty-one cervical scrapings were taken from females aged 18-35 y who had external genital warts or a history of external genital warts. The resulting 50 samples that were positive for HPV-DNA were subjected to genotype identification. Forty-six of these samples had detectable genotypes by LIPA analysis and most (78%, 36/46) had multiple low risk (LR) and high risk (HR) genotypes on the cervix. Twenty-five of these samples (54%) had more than 1 HR genotype. Of the 36 patients who had any HR genotypes, 18 (50%) were identified to have the most oncogenic HPV genotypes, namely 16 and 18. Three of these samples had both 16 and 18 on the cervix. The presence of multiple HR genotypes on the majority of cervical samples from a self-referred population of females with EGW is presented. This study is of importance since persistent HR-HPV is the necessary risk factor in the development of precancerous and cancerous lesions of the cervix. Gardisil, the quadrivalent HPV vaccine would have been useful in the prevention of 28% (13/46) of these infections.
    • The prevalence of vitamin D deficiency in consecutive new patients seen over a 6-month period in general rheumatology clinics.

      Haroon, Muhammad; Bond, Ursula; Quillinan, Niamh; Phelan, Mark J; Regan, Michael J; Arthritis and Osteoporosis Centre, Department of Rheumatology, South, Infirmary-Victoria University Hospital, Cork, Ireland. mharoon301@hotmail.com (2012-02-01)
      The objectives of this study are to assess: (a) the prevalence of vitamin D deficiency among new patients attending rheumatology outpatient departments, (b) the age profile of these low vitamin D patients and (c) whether any diagnostic category had a particularly high number of vitamin D-deficient patients. All new patients seen consecutively in general rheumatology clinics between January to June 2007 inclusive were eligible to partake in this study, and 231 out of 264 consented to do so. Parathyroid hormone, 25-hydroxyvitamin D, creatinine, calcium, phosphate, albumin and alkaline phosphatase levels were measured. We defined vitamin D deficiency as /=65 and 78% of patients aged
    • Risk factors for recurrent laryngeal nerve neuropraxia postthyroidectomy.

      Sheahan, Patrick; O'Connor, Ann; Murphy, Matthew S; Department of Otolaryngology-Head & Neck Surgery, South Infirmary Victoria University Hospital, Cork, Ireland. sheahan.patrick@sivuh.ie (2012-06)
      Despite preservation of the recurrent laryngeal nerve (RLN), transient vocal cord paralysis (VCP) occurs after 1.2% to 10.9% of thyroidectomies. The objective of this study was to study risk factors for transient VCP after thyroidectomy.
    • Safety of body piercings for rheumatology patients on immunosuppressive medications.

      O'Connor, M B; Phelan, M J (Irish Medical Journal (IMJ), 2012-05)
    • Second toe swelling: Nora's lesion or glomus tumour, case report and literature review.

      Mohammad, A; Kilcoyne, A; Blake, S; Phelan, M; Department of Rheumatology and Radiology, South Infirmary Victoria University Hospital, Cork, Ireland. ausafmohammad@gmail.com (2012-09)
      We report a rare case of bizarre parosteal osteochondromatous proliferation (BPOP, Nora's lesion) of the right second toe in a 60-year-old man who presented with painful, bluish and bulbous swelling of the right second toe without any break in the skin.
    • Skin Cancer Awareness Amongst Irish Golfers

      McCarthy, Siobhan; Paul, Lyndsey; O’Connell, Michael (Irish Medical Journal, 2017-09)
      The aim of this study was to assess skin cancer awareness and identify the UV protective measures used by golfers within the Munster region of Ireland.
    • Spontaneous cholecystocutaneous fistula.

      Khan, Ata; Rajendran, Simon; Baban, Chwanrow; Murphy, Micheal; O'Hanlon, Deirdre; Department of Surgery, South Infirmary Victoria University Hospital, Cork, Ireland. (2011)
    • A study of needle stick injuries among non-consultant hospital doctors in Ireland.

      O'Connor, M B; Hannon, M J; Cagney, D; Harrington, U; O'Brien, F; Hardiman, N; O'Connor, R; Courtney, K; O'Connor, C; Department of Medicine, South Infirmary, Victoria University Hospital, Old, Blackrock Road, Cork, Ireland. mortimeroconnor@gmail.com (2012-02-01)
      INTRODUCTION: NCHDs are exposed to a great number of blood-borne infections. Needle stick injuries are possibly the main route of acquiring such infections from a non-consultant hospital doctors (NCHDs) perspective. This study examines NCHDs experiences surrounding needle stick injuries. METHODS: A cross-sectional self-administered anonymous questionnaire survey was conducted on 185 NCHDs working in a clinical setting among seven teaching hospitals in Ireland. Implied consent was obtained. The data was analysed using Excel spreadsheets. Ethical approval was received. RESULTS: A response rate of 85.4% (158/185) was achieved. Findings of the study are shown in the manuscript table. CONCLUSIONS: A needle stick injury (NI) history is greater among surgical NCHDs than medical NCHDs. The level of disposable glove usage is worryingly poor. Training in sharps handling and dealing with a NI needs to be addressed. HIV is the blood-borne infection most fear of being contracting as a consequence of a NI.
    • Studying a disease with no home--lessons in trial recruitment from the PATCH II study.

      Thomas, Kim S; Centre of Evidence Based Dermatology, University of Nottingham, King's Meadow Campus, Nottingham NG7 2NR, UK. kim.thomas@nottingham.ac.uk. (2010)
      Cellulitis is a very common condition that often recurs. The PATCH II study was designed to explore the possibility of preventing future episodes of cellulitis, with resultant cost savings for the NHS. This was the first trial to be undertaken by the UK Dermatology Clinical Trials Network. As such, it was the first to test a recruitment model that involved many busy clinicians each contributing just a few patients.
    • Sun exposure and the use of sunscreen among rheumatology inflammatory arthropathy patients receiving anti-tumor necrosis factor therapy.

      McKeogh, John; O'Connor, Mortimer B; Bond, Ursula; Swan, Joan; Phelan, Mark J; Medicine, South Infirmary Victoria University Hospital, Cork, Ireland. (2012-06)
    • Thyroid Tubercle of Zuckerkandl: importance in thyroid surgery.

      Sheahan, Patrick; Murphy, Matthew S; Department of Otolaryngology-Head & Neck Surgery, South Infirmary Victoria, University Hospital, Cork, Ireland. sheahan.patrick@sivuh.ie (2012-02-01)
      OBJECTIVE: The Tubercle of Zuckerkandl (TZ), which is the remant of the lateral thyroid process, is an important anatomic structure that serves as a reliable landmark for the recurrent laryngeal nerve in thyroid surgery. Furthermore, removal of the TZ is critical for the adequate performance of a total thyroidectomy. However, there is little mention of the TZ in surgical textbooks or papers. METHODS: Prospective observational study of 138 consecutive thyroid surgeries. The presence of the TZ, its size, and relationship to the recurrent laryngeal nerve, were recorded. RESULTS: A total of 211 thyroid lobes were included in the study. The TZ was identified in 61.1% of all thyroid lobes. The median size was 8 mm (range = 3-40 mm). A TZ was more commonly identified on the right (69.6%) than on the left side (53.2%) (P = .02). The recurrent laryngeal nerve was found deep to the TZ in 98.4% of cases. CONCLUSIONS: A TZ is present in the majority of thyroid lobes. Awareness of the TZ is critical in performing an adequate total thyroidectomy, and is very useful as a landmark for the recurrent laryngeal nerve.