• Delayed recovery of consciousness after elbow arthroscopy

      Raval, Pradyumna; Malkan, Dilip J; Departments of Orthopaedics and Anaesthesia, Our Lady’s Hospital, Navan, Co. Meath. (Indian Society of Anaesthesiologists, 2015-03)
    • Diagnosing Achilles tendon injuries in the emergency department.

      Gibbons, Lynda; Emergency department at Our Lady's Hospital, Navan, County Meath. (2013-09)
      Achilles tendon (AT) injury is an overuse injury often seen in professional and recreational athletes. It tends to affect men, particularly those in their thirties and forties, more than women, and is typically seen in people who are intermittently active. To ensure AT ruptures are identified and treated effectively, early intervention in emergency departments (EDs) is crucial. This article discusses how advanced nurse practitioners can use their comprehensive problem-solving, clinical decision-making and clinical judgement skills to manage patients who present with suspected AT injury. It also describes the anatomy of tendon rupture, the aetiology and mechanism of injuries, and the importance of assessment and diagnostic tools, therapeutic techniques and management strategies. Finally, it considers the psychological effect this injury can have on patients, while in the ED and after discharge. A case study is included as an example of ED management.
    • Functional exercise after total hip replacement (FEATHER): a randomised control trial.

      Monaghan, Brenda; Grant, Tim; Hing, Wayne; Cusack, Tara; Department of Physiotherapy, Our Lady's Hospital, Navan, Co Meath, Republic of Ireland. Brenda.monaghan@hse.ie (2012-11)
      Prolonged physical impairments in range of movement, postural stability and walking speed are commonly reported following total hip replacement (THR). It is unclear from the current body of evidence what kind of exercises should be performed to maximize patient function and quality of life.
    • A Novel Study of Comorbidity between Schizoaffective Disorder and Geschwind Syndrome.

      O'Connell, Kara; Keaveney, Joanne; Paul, Raymond; Department of Psychiatry, Our Lady's Hospital, Navan, County Meath, Ireland ; Department of Physiology, School of Medicine, Trinity College Institute of Neuroscience, Trinity College, Dublin, Ireland. (2013)
      Geschwind syndrome has been described in patients with temporal lobe epilepsy and is characterized by sexual behavioural disorders, hyperreligiosity, hypergraphia, and viscosity. Presented here is a case of a 53-year-old man with clinical findings consistent with Geschwind syndrome in the setting of a known diagnosis of schizoaffective disorder, with no identifiable comorbid illness of temporal lobe epilepsy or frontotemporal dementia. Brain MRI showed bilateral temporal lobe atrophy greater than would be expected for age and more prominent on the left side than the right. It is likely that these structural abnormalities may be related to this patient's clinical presentation of Geschwind syndrome. To our knowledge, this is the first reporting of a case of Geschwind syndrome in the setting of schizoaffective disorder. These symptoms of Geschwind syndrome were present irrespective of mental state status. The report highlights the importance in correct identification of underlying cause and differentiation between Geschwind syndrome and schizoaffective disorder in order to avoid mistreatment and consequent iatrogenic adverse events.
    • Patellar Dislocation: Not the Bees Knees

      Duignan, Martin; McGibney, Mary (International emergency nursing, 2016-09)