HYPERTENSION: The main message in relation to hypertension according to cardiologist Dr Michael Conway is ‘find it, confirm it, treat it, monitor therapeutic effectiveness and add therapies if resistant’. And make sure it is not secondary to arterial, renal and endocrine disease. Hypertension is a major modifiable risk factor in the development of cerebrovascular disease, [...]
Clinical Update: Find it, confirm it, treat it and monitor therapy effectiveness
Clinical Update: Dysfunction difficult to reverse
HYPERTENSION: Even in early hypertension, diastolic dysfunction in the left ventricle is very difficult to reverse. Almost half of people with hypertension have diastolic dysfunction. Blood pressure lowering is very important but if the doctor does not measure the echocardiographic parameters, he or she will not know if patients already have changes in the heart. [...]
Clinical Update: Blood pressure is problematic in people with fat around waist
HYPERTENSION: Blood pressure is a particular problem in people with predominant deposits of fat around the waist (visceral obesity). A number of trials, including ASCOT and ALLHAT, have shown that the rapidity of control of blood pressure is a very important factor, Dr Jayant Sharma, TCD lecturer in Pharmacoeconomics told Irish Medical Times. Visceral tissue [...]
Survey gets under the skin of psoriasis and its impact
Irish people living with psoriasis have indicated that the condition has a ‘very large effect’ on their lives, according to a new international survey. Erica Mills reports on the study’s findings and the latest medical advice Psoriasis can have a detrimental effect on the relationships, careers and emotional well-being of those with the condition, according [...]
Clinical Conversations: Renal Cell Carcinoma
Rory Hafford talks to Dr John McCaffrey about improvements in the management of RCC, the rise in presenting cases and his long-lost fondness for jogging There is a reassuring calmness about Dr John McCaffrey; you can hear it in his tone, see it in his manner. It’s a calmness, I imagine, that has been finely [...]
Hypertension picked up mainly in check-ups
HYPERTENSION: Some form of screening for hypertension in general practice might prove very useful, since hypertension is being picked up largely by chance at check-ups. In deciding that a person is hypertensive a certain ‘hold steady’ approach should apply, in the view of Dr Michael Conway, Consultant Cardiologist, St Luke’s Hospital, Kilkenny, and the Beacon [...]
Psychiatric symptoms may predict internet addiction in adolescents
Adolescents with psychiatric symptoms such as attention-deficit/hyperactivity disorder (ADHD), social phobia, hostility and depression may be more likely to develop an Internet addiction, according to a new report. The report followed a study in which doctors in Taiwan examined the relationship between psychiatric symptoms such as ADHD, social phobia and hostility and Internet addiction in [...]
Childhood ‘top dogs’ enjoy better health as adults
Children who are popular and wield power among their school classmates enjoy better health as adults, new research has suggested. The authors of the research based their findings on more than 14,000 children who were born in Sweden in 1953 and who were part of the Stockholm Birth Cohort Study. This tracks the long term [...]
Increase in ‘academic doping’ could spark routine urine tests for students
The increasing use of smart drugs, or ‘nootropics’, to boost academic performance, could mean that exam students will face routine doping tests in future, a psychologist in Australia has predicted. Despite raising many dilemmas about the legitimacy of chemically enhanced academic performance, so-called nootropic drugs will be near impossible to ban, says Vince Cakic of [...]
Children of working mums have unhealthier lifestyles
Children whose mothers go out to work are likely to lead unhealthier lifestyles than those whose mums don’t work, new research has found. The researchers based their findings on more than 12,500 five-year-old singleton children who were part of the UK Millennium Cohort Study. Mothers were quizzed about the hours they worked and their children’s [...]