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Clinical Times: October 2009
Clinical Update: Find it, confirm it, treat it and monitor therapy effectiveness
Gary Culliton | 30 October 2009 | Cardiovascular
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... Read more
Clinical Update: Dysfunction difficult to reverse
Gary Culliton | 30 October 2009 | Cardiovascular
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... Read more
Clinical Update: Blood pressure is problematic in people with fat around waist
Gary Culliton | 30 October 2009 | Cardiovascular
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... Read more
Clinical Conversations: Renal Cell Carcinoma
Rory Hafford | 29 October 2009 | Cancer
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... Read more
Survey gets under the skin of psoriasis and its impact
Erica Mills | 29 October 2009 | Skin
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... Read more
Hypertension picked up mainly in check-ups
Gary Culliton | 28 October 2009 | Cardiovascular
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... Read more
Hypertension picked up mainly in check-ups
Gary Culliton | 28 October 2009 | Cardiovascular
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... Read more
Psychiatric symptoms may predict internet addiction in adolescents
28 October 2009 | Mental Health & CNS
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... Read more
Childhood 'top dogs' enjoy better health as adults
28 October 2009 | Mental Health & CNS
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... Read more
Increase in ‘academic doping’ could spark routine urine tests for students
28 October 2009 | Mental Health & CNS
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... Read more
Children of working mums have unhealthier lifestyles
28 October 2009 | Nutrition
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... Read more
Top Tips in lipid management
Prof Ian Graham | 22 October 2009 | Nutrition
In our on-going 'Top Tips' series, Prof Ian Graham and colleagues offer top tips on dyslipidaemia... Read more
'Watch this space': DPP-4 inhibitors in type 2 diabetes care
Niamh Mullen | 22 October 2009 | Diabetes
Cutting-edge research on new drugs for type 2 diabetes was presented by Boehringer Ingleheim at the 45th Annual Meeting of the European Association for the Study of Diabetes (EASD). Niamh Mullen reports from Vienna... Read more
Burnout: coping with stress-induced illness
Dr Anne Doherty and Prof Patricia Casey | 22 October 2009 | Mental Health & CNS
Dr Anne Doherty and Prof Patricia Casey write on stress-induced illness, explain why some people suffer more than others, and discuss other factors that impede the management of stress in patients... Read more
Adverse events seen at start of academic year
Dara Gantly | 22 October 2009 |
Dara Gantly examines a new study from Australia that confirms adverse events do indeed increase with the influx of new trainees... Read more
IICN Registrar's Prize in Clinical Neuroscience 2009
22 October 2009 | Mental Health & CNS
Papers delivered at the Registrar's Prize in Clinical Neuroscience indicate a high quality of research taking place in Ireland... Read more
HPV vaccination for boys will not be cost-effective - Harvard researchers
21 October 2009 | Infections & Immunology
Including boys in human papillomavirus (HPV) vaccination programmes of pre-adolescent girls would not be cost-effective if there is high vaccine coverage and efficacy in girls, as it is likely that the costs of vaccinating boys will outweigh the added health... Read more
Non-invasive tests on children’s arteries recommended
21 October 2009 | Cardiovascular
In a new scientific statement, the American Heart Association has recommended standardising non-invasive assessment of children’s arteries to address the unprecedented rise of heart disease risk factors in children. The recommendations apply only to children who are participating in research.... Read more
Bell’s Palsy treatments show reduced risk and benefits
21 October 2009 | Mental Health & CNS
Among patients with Bell’s Palsy, treatment with corticosteroids is associated with a reduced risk of an unsatisfactory recovery, and treatment with a combination of corticosteroids and antiviral agents may be associated with additional benefit, according to a systematic review and... Read more
Active children fall asleep faster
21 October 2009 | Paediatrics
Every hour of the day children are inactive adds three minutes to the time it takes them to fall asleep, new research has found. In the study researchers examined the daytime activity and sleep patterns of a representative sample of... Read more
Clinical Conversation: Bipolar Disorder
15 October 2009 | Mental Health & CNS
In the first of a new series — Clinical Conversations — Rory Hafford talks to leading Irish doctors about the diagnosis, treatment options and future direction of various diseases and disorders. This week he talks to Dr Patrick Mc Keon... Read more
Birth control advocate has profound effect
Dr Oliver Lynn | 15 October 2009 | Women's Health
Dr Oliver Lynn — a Drogheda vasectomist — reports on the recent conference in Dublin to launch Ceravette and the address by Prof John Guillebaud... Read more
Few doctors have genetic disease on radar
Derbhile Dromey | 15 October 2009 | Mental Health & CNS
Derbhile Dromey on a disease which is the second-most common fatal genetic disease in Ireland but has a low profile with many doctors... Read more
One less drink a day helps reduce diabetes risk
14 October 2009 | Diabetes
Reducing sugar intake by the equivalent of one can of a soft drink per day and increasing fibre intake by the amount equivalent to one half cup of beans per day appears to improve risk factors associated with type 2... Read more
Nurse visits help prevent future more serious treatment
14 October 2009 | Respiratory
Nurses who make home visits to children with asthma can help prevent half of those children from having to receive more serious treatment for their condition, new research has suggested.... Read more
Mild facial paralysis in babies does not need treatment
14 October 2009 | Paediatrics
Mild facial nerve paralysis caused by the use of forceps during birth generally resolves on its own and does not require treatment, according to a new report. The report followed a study in which doctors reviewed the medical records of... Read more
Track record of regular exercise may lessen impact of stroke
14 October 2009 | Cardiovascular
A track record of regular exercise may lessen the severity of a stroke, according to new research. The researchers based their findings on 673 patients, all of whom had had a first stroke and were taking part in the Ischemic... Read more
Diabetes care has changed
09 October 2009 | Diabetes
CLINICAL UPDATE: DIABETES. The biggest expansion in sub-areas of medicine in recent years has probably occurred in diabetes. Dr Maeve Durkan, consultant endocrinologist at Portiuncula hospital, said the incretin therapy drugs have facilitated a major change in the last three... Read more
Gene marks higher risk of disease
09 October 2009 | Diabetes
CLINICAL UPDATE: DIABETES. Insulin resistance: The authors of a new paper maintain they have identified a genetic variation that confers increased risk of diabetes. A recent paper in Nature Genetics reported a new risk locus, located near the Insulin Receptor... Read more
Kidney disease a complication in a third of cases
09 October 2009 | Diabetes
CLINICAL UPDATE: DIABETES. Kidney complications: Kidney disease is a very serious complication: it affects about 35 per cent of patients with diabetes. There are both genetic and environmental cues involved. The aim of Sanna Lehtonen’s ERC project called DiaDrug at... Read more
Irish study shows abnormal tolerance
Gary Culliton | 09 October 2009 | Diabetes
CLINICAL UPDATE: DIABETES. Gestational diabetes: One in 10 Irish women have abnormal glucose tolerance in pregnancy – 250 percent more than would have been predicted – according to a study that will be presented at the Irish Endocrine Society meeting... Read more
Staphylococcus aureus – the SA in MRSA
Dr Karina O'Connell, Dr Sarah Bergin and Prof Martin Cormican | 08 October 2009 | Infections & Immunology
Dr Karina O'Connell, Dr Sarah Bergin and Prof Martin Cormican from the Department of Microbiology in Galway University Hospitals on MRSA and how to deal with it... Read more
Paediatric stroke rate higher than previously thought
07 October 2009 |
Imaging studies along with diagnostic codes on medical charts show that the rate of strokes in infants and children is two to four times higher than commonly thought, researchers have reported. Suspecting that childhood strokes might be under-counted in research... Read more
Training system may reduce bad teen behaviour
07 October 2009 | Mental Health & CNS
A prevention system that trains community leaders to identify and apply appropriate evidence-based programmes may reduce substance use and other delinquent behaviours among adolescents, according to a new report from American researchers. The report followed a study of the so-called... Read more
Obesity can be tackled in schools
07 October 2009 | Nutrition
An interdisciplinary programme designed to increase awareness of obesity and change the behaviours of schoolchildren appears to have reduced the amount of sugary beverages consumed by boys and girls and also improved body composition in girls alone, but did not... Read more
Acute stroke centres promise to ‘revolutionise’ stroke care services for patients
07 October 2009 | Cardiovascular
The growth of acute stroke care centres and systems of care could revolutionise clinicians’ ability to treat patients with stroke, according to a new analysis. In the analysis, US-based researchers studied how stroke services are developing and looked in particular... Read more
Top tips for managing stroke
Dr Joe Harbison | 01 October 2009 | Cardiovascular
In the latest Irish Medical Times 'Top Tips' series, Dr Joe Harbison, Consultant Stroke Physician at St James’s Hospital offers doctors his top tips on diagnosing and managing stroke... Read more
Contraception options vary with age, body and individual
Natalya Anderson | 01 October 2009 | Women's Health
Natalya Anderson gives an overview of contraception options available to women in Ireland and the advantages and disadvantages of using particualr methods... Read more
Friedreich's ataxia: a review
Dr Christine Albertyn | 01 October 2009 | Mental Health & CNS
Dr Christine Albertyn writes about the rare but debilitating condition of Friedreich's Ataxia... Read more