A substantial proportion of rectal cancer patients are receiving inappropriate surgical care because of wide variations in practice, according to a new UK study. The variation was not associated with how far the disease had advanced or how old the patient was, the data showed. The findings were based on information obtained from the eight [...]
Variations found in appropriateness of surgery in rectal cancer patients
Alcoholic liver disease – the tip of a large iceberg
Prof John Crowe writes about the growing problem of excess alcohol consumption in Ireland and the long-term serious liver problems that can face those who over-indulge. That the Irish have become a nation of heavy drinkers surpassing our European neighbours -binge-drinking regularly and spending excessively on alcohol – from a significantly increased number of outlets, [...]
Overweight men – but not women – at risk of osteoarthritis of hip
Men who are overweight or obese are much more likely need a hip replacement for osteoarthritis than men who are of normal weight, new research has found. People who are overweight are known to be more likely to get osteoarthritis of the knee, but this is the first study to show that being overweight is [...]
Rheumatoid arthritis risk curbed by tipple
Alcohol cuts the risk of developing rheumatoid arthritis by up to 50 per cent, a new study has revealed.The Scandinavian researchers based their findings on more than 2,750 people taking part in two separate studies, which assessed environmental and genetic risk factors for rheumatoid arthritis. Over half the participants had the disease and had been [...]
Pregnancy and incontinence
Dr Sinead Byrne MD, Consultant Gastroenterologist, Hermitage Medical Clinic, highlights important points regarding faecal incontinence in relation to pregnancy and the post-partum period. Faecal incontinence is the involuntary passage of stool through the anus. Incontinence is devastating and causes fear and anxiety, which is often under-diagnosed as patients are too embarrassed to speak about it. [...]
New ways to treat ICU infections
Gary Culliton attended the ‘Challenges in the Management of Critical Care Infection’ meeting, where speakers reported on advances in the treatment of invasive candidiasis and other infections in ICU patients. Dr Daniel Kett, Associate Professor of Medicine, Leonard M. Miller School of Medicine, Miami, spoke about new advances in the treatment of invasive candidiasis, at [...]
St John’s wort not effective for ADHD in kids
Children and teens with attention-deficit/hyperactivity disorder (ADHD) who were treated with the herb St John’s wort did not have any greater improvement in ADHD symptoms compared to those who received placebo, according to a new study. In the study, doctors conducted a clinical trial of St John’s wort (Hypericum perforatum) with 54 children and adolescents [...]
Tackling sleep-wake cycle disorders
Narcolepsy and sleep apnoea were topics broached at a recent Sleep Disorder Symposium in Dublin supported by Cephalon, reports Gary Culliton. Cork University Hospital consultant Neurologist Dr Brian Sweeney at Cork University Hospital spoke about ‘Sleep Disorders in Neurological Disorders’. He gave an overview with a focus on Parkinson’s disease (PD) and multiple sclerosis (MS). [...]
Sleep Apnoea
Dr Catherine Crowe, a Consultant in Sleep Disorders Medicine at the Mater Private Hospital in Dublin, spoke about the ‘Social Aspects of Narcolepsy’. It is estimated that there are around 2,500 patients with narcolepsy in Ireland but the vast majority are undiagnosed. Peak incidence of condition is during the second decade. Therefore education can be [...]
Sleep-wake disorders
The American Food and Drugs Administration (FDA) has approved the use of modafinil (Provigil) for the management of residual excessive daytime sleepiness (EDS) in patients with obstructive sleep Apnoea/hypopnoea syndrome (OSAHS) on nasal continuous positive airway pressure (CPAP), Dr John O’Reilly, a consultant at the Regional Sleep Centre at University Hospital, Aintree, Liverpool, told the [...]