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Clinical Times: February 2009
Adrenal tumours associated with increased risk of bone fractures
Clinical Endocrinology | 25 February 2009 | Musculoskeletal
New research shows that male patients with benign tumours of the adrenal gland suffer more bone fractures. Published in the latest edition of Clinical Endocrinology, the study found men with a certain type of adrenal tumour have reduced bone mass... Read more
Mediterranean diets may lower heart and stroke risk
Circulation | 24 February 2009 | Nutrition
Women whose diets most closely match the traditional Mediterranean diet — high in monounsaturated fat, plant proteins, whole grains and fish — are significantly less likely to develop heart disease and stroke, according to American researchers. In a study of... Read more
How to control Irish asthma
Dr Terry O'Connor | 24 February 2009 | Respiratory
Dr Terry O'Connor writes that enhancing the control of asthma in this country would bring both medical and economic benefits. Asthma is a chronic inflammatory disorder of the airways characterised by airway hyperresponsiveness to a variety of non-specific stimuli, leading... Read more
Oesophageal cancer — a time for renewed hope?
Mr RC Stuart | 24 February 2009 | Cancer
This year's Lollipop Days take place on February 27-28. Mr RC Stuart looks at treatment options for oesophageal cancer and stresses the need for early diagnosis. Oesophageal cancer is one of the few cancers with a rapidly rising incidence. This... Read more
Use of multivitamins is not linked to the risk of heart disease in older women
Gary Culliton | 20 February 2009 | Nutrition
Postmenopausal women who take multivitamins appear to have the same risk of most cardiovascular disease, common cancers or dying of any cause as women who do not take multivitamin supplements, according to a new report. The report follows a US... Read more
Smokers would rather give up for their dog’s health than their own
Online First Tobacco Control | 20 February 2009 | Cancer
Smokers are more likely to quit smoking for the sake of their pets’ health than they are for their own, a new study has found. In the study, researchers set up an online survey for pet owners resident in the... Read more
New diagnoses of heart disease provides window to change behaviour
20 February 2009 | Cardiovascular
Older adults appear more likely to quit smoking or lose weight following a recent diagnosis of heart disease or other serious condition, according to a new report. It followed a study in which doctors analysed data from the Health and... Read more
Mediterranean diet found to reduce risk of cognitive impairment
Archives of Neurology | 17 February 2009 | Nutrition
Eating a Mediterranean diet appears to be associated with less risk of mild cognitive impairment or of transitioning from mild cognitive impairment into Alzheimer’s, according to a new report. It studied 1,393 individuals with no cognitive problems and 482 patients... Read more
Meeting hears of measures to address MRSA infections
17 February 2009 | Infections & Immunology
At the Second National MRSA Scientific Meeting of the National MRSA Reference Laboratory, delegates heard that despite the increasing prevalence of MRSA, therapies to treat it are limited. The ongoing challenges posed by MRSA was the theme of the Second... Read more
Managing 22q11.2 deletion syndrome and its effects
Dr Sarah Prasad and Prof Kieran Murphy | 17 February 2009 | Genito-urinary
Dr Sarah Prasad and Prof Kieran Murphy write about 22q11.2DS, which is the most common chromosomal microdeletion syndrome. The most frequently occurring chromosomal microdeletion syndrome in humans is 22q11.2 deletion syndrome (DS), with an estimated incidence of one in 4,000... Read more
Teen media exposure associated with depression symptoms in young adulthood
Archives of General Psychiatry | 16 February 2009 | Mental Health & CNS
Teen media exposure associated with depression symptoms in young adulthood Exposure to more tele-vision and other electronic media during the teenage years appears to be associated with developing depression symptoms in young adulthood, especially among men, according to a new... Read more
Older people benefit from care in specialist geriatric units
BMJ Online | 16 February 2009 | Men's Health, Women's Health
Older people who are cared for in specialist geriatric units have a better chance of returning home after discharge than those cared for in conventional hospital units, a Spanish study has found. The study’s authors also found that such elderly... Read more
Use of cardiac computed tomography angiography is found to expose patients to high doses of radiation
JAMA | 16 February 2009 | Cardiovascular
Use of cardiac computed tomography angiography (CCTA) has the potential to expose patients to high doses of radiation, and methods available to reduce radiation dose are not frequently used, according to a new study. The 64-slice CCTA has emerged as... Read more
Resting rate predicts heart attacks
BMJ Online | 16 February 2009 | Cardiovascular
A simple measurement of resting pulse predicts coronary events in women independently of physical activity and common risk factors, such as smoking and alcohol consumption, a new study has found. Previous studies have shown that resting heart rate predicts coronary... Read more
Diagnosing and treating asthma
Dr Patrick Manning | 11 February 2009 | Respiratory
Dr Patrick Manning writes about the prevalence of asthma in Ireland and outlines the best methods of diagnosing the condition and ways to manage more difficult-to-treat cases. About 5 per cent of the adult population has asthma with an increasing... Read more
Aliskiren in diabetic nephropathy and the AVOID study
Dr Donal Reddan and Dr Austin Stack | 11 February 2009 | Genito-urinary
Dr Donal Reddan and Dr Austin Stack, Consultants in Nephrology, explain how the results of the AVOID study have increased our understanding of direct renin inhibition. Over the past two decades, a large body of evidence has accumulated on the... Read more
Psychological approaches to treating depression
Dr Eoin Galavan and Dr Adam Meisleman | 11 February 2009 | Mental Health & CNS
Dr Eoin Galavan and Dr Adam Meisleman write that not only does the psychological approach work in treating depression, it also saves valuable resources. At any given time in Ireland, there are approximately 170,000 people over 15 experiencing clinically significant... Read more
Biomarker levels for therapy do not improve outcomes
JAMA | 09 February 2009 | Cardiovascular
Using a measure of the hormone N-terminal brain natriuretic peptide (BNP) to guide therapy for older patients with heart failure did not improve overall clinical or quality of life outcomes compared to patients receiving conventional, symptom-guided therapy, according to a... Read more
Genetic variations linked to leukaemia
JAMA | 09 February 2009 | Cancer
Children with acute lymphoblastic leukaemia (ALL) with certain genetic variations can have a different response to anti-cancer treatment than other patients, says a new study. Doctors led by researchers at St Jude Children’s Research Hospital in the US conducted a... Read more
The evidence for acupuncture in the Irish health system
Dr Clare Thornley | 09 February 2009 | Mental Health & CNS
Dr Clare Thornley writes that the traditional Chinese practice of acupuncture has a place in modern Western medicine, especially when it comes to providing pain relief for patients. Like it or not, acupuncture is growing ever more popular in Ireland.... Read more
Abuse of people with dementia by family carers is common
03 February 2009 | Mental Health & CNS
A third of family carers report significant abusive behaviour towards people with dementia, and half report some abusive behaviour, according to a new UK study. In the study, researchers set out to determine the prevalence of abuse by family carers... Read more
The legal definition of mental disorders in recent legislation
Dr Brendan Kelly | 03 February 2009 | Mental Health & CNS
Dr Brendan Kelly takes a look at how the law defines 'mental disorder' and what changes have been made to the definition of this term in recent legislation, both in Ireland and in the United Kingdom. The history of psychiatry... Read more
The evidence for acupuncture in Irish health system
Dr Clare Thornley | 03 February 2009 | Mental Health & CNS
Dr Clare Thornley writes that the traditional Chinese practice of acupuncture has a place in modern Western medicine, especially when it comes to providing pain relief for patients. Like it or not, acupuncture is growing ever more popular in Ireland.... Read more
The evidence for acupuncture in Irish health system
Dr Clare Thornley | 03 February 2009 | Mental Health & CNS
Dr Clare Thornley writes that the traditional Chinese practice of acupuncture has a place in modern Western medicine, especially when it comes to providing pain relief for patients. Like it or not, acupuncture is growing ever more popular in Ireland.... Read more