Continuing the Top Tips series, Dr Malachi McKenna offers his top tips for diagnosing and managing osteoporosis Top Tip 1: Diagnosing osteoporosis That 40 per cent of postmenopausal women and a substantial number of elderly men suffer fragility fractures is well publicised, but that does not necessarily ensure that adequate measures are taken to prevent [...]
Dr Dermot McCaffery writes that angina care has focused mainly on the symptoms of the condition, since symptoms are the patient’s main complaint Stable angina is a different beast to its brother, unstable angina, or its sister, myocardial infarction! Any older GP will recall patients whom he has been seeing for over 10 years with [...]
Dr Edward O’Sullivan — Clinical Director of the Migraine Clinic in Cork University Hospital — outlines the types of migraine headache and how they affect patients’ lives Migraine is a common neurological disorder characterised by recurrent bouts of severe headache with autonomic and neurological symptoms. In clinical practice it varies from being an infrequent episodic [...]
Novo Nordisk presented the latest data on its new diabetes drug at the 45th Annual Meeting of the European Association for the Study of Diabetes (EASD). Niamh Mullen reports from Vienna Patients with type 2 diabetes improved control of their blood sugar, lost weight and reduced their blood pressure with a new Novo Nordisk liraglutide [...]
Many paediatric and adolescent patients who received second-generation antipsychotic medications experienced significant weight gain, along with varied adverse effects on cholesterol and triglyceride levels and other metabolic measures, according to a new study. In the study, American doctors investigated weight and metabolic changes in a group of 272 paediatric patients (aged four to 19 years) [...]
Individuals with weaker muscles appear to have a higher risk for Alzheimer’s disease and declines in cognitive function over time, according to a new report. The report followed a study of 970 older adults whose average age was 80.3 years and who did not have dementia at their initial evaluation. Each participant underwent a structured [...]
In a comparison of five different smoking cessation medications, a nicotine patch plus a nicotine lozenge appears most effective at helping smokers quit, according to a new report. The report followed a study in which doctors conducted a randomised clinical trial of smoking cessation therapies involving 1,504 adults. All had smoked at least 10 cigarettes [...]
Migraine with aura is associated with a two-fold increased risk of stroke, a new study has found. Further risk factors for stroke among patients with migraine are being a woman, being young, being a smoker, and using oestrogen-containing contraceptives. The risk was highest among young women with migraine with aura who smoke and use oestrogen-containing [...]
Clinical Update – Contraception: Many of the earlier contraceptive pills had much higher dosages than the more recently introduced pills on the market. The newer pills have very low doses of oestrogen and different types of progesterone. The aim is to produce progesterones which are effective contraceptives with minimal side effects. In selecting a method [...]
Clinical Update – Contraception: Previous progesterone-only pills did not regularly prevent ovulation, and there was a higher failure rate with them, according to Dr Caitriona Henchion, Medical Director of the Irish Family Planning Association. The previous pills acted on local mechanisms. Cervical mucus was thickened. This made it difficult for sperm to penetrate. The lining [...]
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