In the last of the ‘Top Tips’ series, Prof Ken McDonald gives his advice on the management of heart failure in an out-patient setting Top Tip 1: Is it heart failure? The initial diagnosis of heart failure is a critical time period. The most common presentation is dyspnoea, but symptoms may be vague and a [...]
Diagnosis and management of cow’s milk protein allergy
Rory Hafford reports on a recent meeting on the subject of paediatric nutrition — particularly the issue of cow’s milk protein allergy What do you do when a distraught mother comes to you because her baby is inconsolable; crying excessively and nothing the parents do seems to give any respite? To make matters worse it [...]
Using incretin drugs to manage type 2 diabetic patients
Dr Colin Davenport examines the role of the incretin class of drugs in offering glycaemic control and weight loss in type 2 diabetic mellitus patients Type 2 Diabetes Mellitus (T2DM) is a complex disorder caused by multiple predisposing genes combined with obesity and a sedentary lifestyle. On diagnosis of the disease, affected individuals are encouraged [...]
Harnessing science in the fight against pain
Experts believe understanding neuro-pharmacology could promise new approaches to treating nociceptive and neuropathic pain. Gary Finnegan reports from the EFIC Pain in Europe Congress in Lisbon It has been 25 years since the last major revolution in pain management but scientists studying the mechanisms underlying pain have been slowly building a better understanding of signaling [...]
Infection is the leading cause of death in ICUs
An international study that examined the extent of infections in nearly 1,300 intensive care units (ICUs) in 75 countries, including Ireland, found that about 50 per cent of the patients were considered infected, with infection associated with an increased risk of death in the hospital, according to the new study. “Infection and related sepsis are [...]
Common pathogens may have link to future stroke
Cumulative exposure to five common infection-causing pathogens may be associated with an increased risk of stroke, according to a new report. The report followed a study of 1,625 adults whose average age was 68.4 years and who were living in the multi-ethnic urban community of northern Manhattan, New York. Blood was obtained from all participants [...]
Pandemic costs studied
If a new study from the UK is any indication, school closures and absence from work are likely to have more impact on the economy during a flu pandemic than the disease itself, regardless of its severity. In the study, a team of researchers from the London School of Economics, London School of Hygiene and [...]
WHO has recommended less salt intake to reduce cardiovascular disease
High salt intake is associated with significantly greater risk of both stroke and cardiovascular disease, a new study has concluded. The link between high salt intake and high blood pressure is well established, and it has been suggested that a population-wide reduction in dietary salt intake has the potential to substantially reduce the levels of [...]