Depression Supplement: Dr Suzanne Milligan discusses depression as it typically presents in general practice and suggests that the condition, which is on the rise, needs extra vigilance The world has been watching in recent months as the epidemic of swine flu spreads; however, there may also be another problem that is just as worrying, which [...]
Diagnosis and treatment of GAD
Depression Supplement: Rory Hafford puts generalised anxiety disorder under the microscope and discovers a wolf in sheep’s clothing Generalised anxiety disorder (GAD) is a lot more common than one might think. At any one time, at least 5 per cent of the population are suffering the effects of this condition — one that can be [...]
Depression, epigenetics and the ‘plastic brain’ — a GP’s view
Depression Supplement: Dr Harry Barry takes a look at how developments in neuroscience have changed the ways in which we diagnose and treat conditions such as major depressive disorder The last decade has seen an explosion in the field of neuroscience, which has blown away all our preconceptions about illnesses like major depressive disorder (MDD) [...]
Treatment through talking
Depression Supplement: Rory Hafford listens to the considerable treatment benefits of one of the most effective talk therapies, cognitive behavioural therapy An increase in levels of stress, anxiety and depression – which are all commonly associated with an economic recession – has prompted a team of therapists based in Dublin, Kildare and Meath to promote [...]
Update on treatment options
Clinical update: COPD & Asthma – The main underlying problem with asthma is airways inflammation, which leads to asthma symptoms and reduced lung function. Inhaled steroids are generally the main initial therapy for many asthmatics. However, the first-line treatment for patients with milder disease would be a short-acting reliever (blue inhaler) for breakthrough symptoms. All [...]
Quitting is crucial in managing COPD
Clinical update: COPD & Asthma – A total of 85-90 per cent of people who develop chronic obstructive pulmonary disease (COPD) are smokers, the Asthma Society of Ireland reports. COPD is a growing problem and about 30 per cent of people who have the condition are smokers who continue to smoke, said Prof Richard Costello, [...]
Genetic mutation may predispose to asthma
Clinical update: COPD & Asthma – Mutations in the filaggrin gene among many Irish families predisposes them to develop eczema and this may progress later to asthma, revealed Prof Padraic Fallon, Science Foundation Ireland Stokes Professor of Translational Immunology at TCD’s Institute of Molecular Medicine. The absence of infections in developed societies – viral or [...]
Researchers study immune system’s role in triggering asthma
Clinical update: COPD & Asthma – There has been a confluence of two advances in asthma, said Dr Conor Burke, Respiratory Consultant at Connolly Hospital in Blanchardstown. There has been a confluence of two advances in asthma, said Dr Conor Burke, Respiratory Consultant at Connolly Hospital in Blanchardstown. To get asthma, you have to have [...]
The Endocrinology Clinic: Hirsutism
Continuing their series on ‘Notes from the Endocrinology Clinic’, Prof T Joseph McKenna and Prof Frances Hayes examine the causes and treatment options available for hirsutism Hirsutism is defined as the occurrence of male-type hair in a male distribution in a woman. Androgen-dependent hair is coarse, curls and grows away from the skin. Non-androgen-dependent hair [...]
Antibiotic doses should be adjusted for bodyweight
Doses of antibiotics and other antimicrobial agents should take into account the patient’s bodyweight, to maximise their potential effectiveness, according to leading Greek researchers. “For most widely used antimicrobial agents, dosing recommendations in adults do not take into account adjustment to body-size measures,” said the researchers. “Even when such recommendations are made for an agent, [...]