• Adult-trained perioperative nurses' practice of family-centered care.

      Hamilton, Grainne; Corlett, Jo; Dowling, Maura; Senior Staff Nurse, Trauma and Orthopaedic Theatres, Sligo Regional Hospital, Ireland. (British Journal of Nursing, 2014)
      The aim of this study was to explore adult-trained perioperative nurses' practice of family-centered care (FCC).
    • Anticholinergic treatment in airways diseases.

      Flynn, Robert A; Glynn, Deirdre A; Kennedy, Marcus P; Sligo General Hospital, The Mall, Co., Republic of Ireland. (2009-10)
      The prevalence of chronic airways diseases such as chronic obstructive pulmonary disease and asthma is increasing. They lead to symptoms such as a cough and shortness of breath, partially through bronchoconstriction. Inhaled anticholinergics are one of a number of treatments designed to treat bronchoconstriction in airways disease. Both short-acting and long-acting agents are now available and this review highlights their efficacy and adverse event profile in chronic airways diseases.
    • Attritional rupture of extensor pollicis longus: a rare complication following elastic stable intramedullary nailing of a paediatric radial fracture.

      Sproule, James A; Roche, Simon J; Murthy, Eswara G; Department of Orthopaedic and Trauma Surgery, Sligo General Hospital, Sligo, Ireland. sproulejames@hotmail.com (2011)
      Elastic stable intramedullary nail fixation has become established as an acceptable method of treatment for diaphyseal fractures of both forearm bones in the paediatric population. It is considered safe, minimally invasive and does not compromise physeal growth. We report a case of delayed rupture of extensor pollicis longus due to attrition over the sharp edges of a protruding nail end after elastic stable intramedullary nailing of a paediatric radial diaphyseal fracture.
    • Carcinoid tumour of the middle ear

      Baig, Salman; Patil, Nash; Considine, Niall; Department of Otolaryngology, Sligo General Hospital, Sligo, Republic of Ireland. drsalmanbaig@gmail.com (2012-09)
      A case of middle ear mass in a young female from Ireland is described, who presented with left ear hearing loss and intermittent bloody discharge from the same ear. Examination under microscope revealed occlusive polyp in the left ear and a biopsy had been taken under general anaesthesia. Histopathology report described an adenoma / carcinoid tumour of the middle ear confirmed by positive immunohistochemical staining. CT temporal bones revealed the extension of the disease. The patient underwent left tympanotomy and excision of the tumour. In general, these tumours are regarded as benign but may be mistaken for adenocarcinomas because of their histological heterogenecity.
    • Haemochromatosis gene frequency in a control and diabetic Irish population.

      Kirk, L; Bird, J; Ramadan, S; Samad, A; Adebayo, G; Lourens, W; Williams, J; Pathology Department, Sligo General Hospital, Sligo, Ireland. (2009-03)
      Hereditary haemochromatosis is inherited in an autosomal recessive manner. Two major mutations have been identified and the condition is emerging as one of the most common recessive mutations among subjects of Northern European descendants.
    • Negative pressure wound therapy: a study on patient perspectives.

      Bolas, Niamh; Holloway, Samantha; Sligo General Hospital, Ireland. bolas@eircom.net (2012-03)
      to explore patients' lived experience of using negative pressure wound therapy (NPWT).
    • Poor compliance with child safety restraint use while travelling.

      Fallon, R; Bruton, K; Kandamany, N; Greaney, H; Department of Paediatrics, Sligo General Hospital, The Mall, Sligo. (2011-02)
      Road traffic accidents are a leading cause of death of children. It is the law that all children should be appropriately secured when traveling in vehicles. The aim of this study was to evaluate parental conformity with these regulations and to test if advice given at a Paediatric outpatient clinic could improve compliance. Two groups were assigned, an intervention group (parents given an information leaflet and a clear explanation about appropriate restraints for their children) and a non-intervention group (received no information). They were contacted again after 2 months and asked regarding compliance. A total of 394 children from 186 families were initially given the questionnaire. Nearly one third of children (29.2%) were not using any restraint while travelling rising to 35.3% on follow up. This study concluded that once off parental education made negligible difference to an already inconsistent and haphazard approach to compliance with safety regulations.
    • Stress among nurses working in an acute hospital in Ireland.

      Donnelly, Teresa; Sligo Regional Hospital, Ireland. (British Journal of Nursing, 2014)
      Stress among nurses leads to absenteeism, reduced efficiency, long-term health problems and a decrease in the quality of patient care delivered. A quantitative cross-sectional study was conducted. The study's aim was to identify perceived stressors and influencing factors among nurses working in the critical and non-critical care practice areas. A convenience sample of 200 nurses were invited to complete the Bianchi Stress Questionnaire. Information was collected on demographics and daily nursing practice. Findings indicated that perceived stressors were similar in both groups. The most severe stressors included redeployment to work in other areas and staffing levels. Results from this study suggest that age, job title, professional experience and formal post-registration qualifications had no influence on stress perception. These results will increase awareness of nurses' occupational stress in Ireland.
    • Sudden (reversible) sensorineural hearing loss in pregnancy.

      Kenny, R; Patil, N; Considine, N; Department of Audiology, Sligo General Hospital, Sligo, Ireland. rsmith1968@yahoo.com (2011-03)
      Sudden hearing loss directly associated with pregnancy or birth is a little known and rare occurrence. The temporary, unilateral, low-frequency sensorineural hearing loss in this case was reported after the birth of the patient's first child, and again during the third trimester of her second pregnancy.
    • Termination of pregnancy: attitudes and clinical experiences of Irish GPs and GPs-in-training.

      Murphy, Mark; Vellinga, Akke; Walkin, Scott; MacDermott, Maeve; Sligo GP Training Scheme, Sligo General Hospital, Sligo, Ireland. mark_murphy2005@yahoo.ie (2012-09)
      Termination of pregnancy (ToP) is currently illegal in Ireland. In 2010, more than 4000 women travelled from Ireland to the UK for a ToP.
    • Topical lidocaine patch 5% for acute postoperative pain control.

      Gilhooly, D; McGarvey, B; O'Mahony, H; O'Connor, T C; Anaesthesia and Pain Management, Sligo General Hospital, Sligo, Ireland. d.gilhooly@excite.com (2011-02)
      A 39-year-old para 3 woman presented for elective caesarean section (lower segment caesarean section (LSCS)) for breech presentation. The patient had a strong history of atopy and anaphylaxis to paracetamol, codeine, penicillin and latex. The patient was asthmatic, triggered by aspirin. Epidural anaesthesia was unsuccessful and LSCS was carried out under spinal anaesthesia. Postoperatively the patient was unwilling to take analgesic medication due to fear of an allergic reaction. Three 5% lidocaine patches were applied to the wound for postoperative analgesia. This reduced the patient's visual analogue scale pain score from 10/10 to 5/10 at rest and 10/10 to 7/10 with movement. Transcutaneous electrical nerve stimulation was added and this improved associated back pain, reducing the pain further to 2/10. This is the first description of lignocaine patch 5% for postoperative LSCS pain. It is suggested that this method of delivery of local anaesthetic, which is easy to apply and has minimal side effects, should be considered not as a sole agent but as part of a multimodal technique to address postoperative LSCS pain.
    • Update on smoking cessation therapies.

      Glynn, Deirdre A; Cryan, John F; Kent, Pauline; Flynn, Robert A; Kennedy, Marcus P; Department of Medicine, Sligo General Hospital, Republic of Ireland. (2009-04)
      As a reflection of an exponential increase in smoking rates throughout the world during the last century, the economic and human burden of mortality and morbidity related to smoking is now clearly defined. Smoking cessation is associated with health benefits for people of all ages. In this paper we provide a comprehensive review of current licensed pharmacological smoking cessation agents including efficacy and safety profiles, with comparisons of individual therapies available. Furthermore, we offer a prospective on the need for further testing of other agents including novel avenues of therapy.