Irish Medical Times Medical News for Healthcare Professionals
Correct inhaler technique cannot be emphasised enough, writes Liz Carroll, Practice Nurse at Carlow's Dolmen Family Medical Practice
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Clinical Times
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Low back pain and sciatica – a surgeon’s perspective
Mr Ashley Poynton, consultant spine surgeon and founder of the Poynton SpineCare Institute, gives his perspective on the assessment and management of low back pain and sciatica Low back pain (LBP) causes more disability and lost workdays than most other conditions. ...
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The importance of inhaler technique in asthma control
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Scientists solve 3D structure of key protein in Parkinson’s
Researchers have identified the structure of a key enzyme called PINK1 that, when mutated, can cause Parkinson’s disease
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Researchers find abnormal blood-brain barrier may play role in schizophrenia
Scientists have found blood vessel abnormalities in the brain may play major role in the condition
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More GPs communicating with patients via text message
Research by a group of Cork GPs looks at the use of mobile phones to contact patients
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‘Dying for a tan’ still a factor in melanomas
June Shannon investigates why sunbed use remains a health concern
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Resistance to HER2-targeted anti-cancer drugs associated with immune evasion in cancer cells
New study reveals doctors may soon be able to tell from a blood sample if a patient would respond to targeted breast cancer treatment
Gastro-intestinal
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Managing chronic constipation and faecal incontinence
Dr M Aradaib, Surgical Registrar, and Mr R Kalbassi, Consultant Colorectal and Laparoscopic Surgeon at the Beacon hospital, Dublin, write on appropriately addressing these conditions
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Arthritis in IBD — a joint decision in management
The goal of therapy in IBD-associated arthropathy is to reduce inflammation and prevent disability
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Team studies 12-week recovery programme
Dr Juliette Hussey has sought to assess the effect of a diet and exercise rehabilitation
Mental health
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Childhood adversity linked to suicide risk hike
Risk was markedly increased in young people who were exposed to two or more adversities
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Hospitalisations ‘due to poor compliance’
It makes a difference to identify schizophrenia early and start treatment as soon as possible
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Modafinil improves memory in depressed patients
Participants receiving modafinil made fewer errors in two specific types of memory
Musculoskeletal
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Let’s make some noise about osteoporosis
Ireland does not yet have have support for a national programme and policy on osteoporosis
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Definitive test for gout ‘not always accessible’
It is important to take into account a differential diagnosis of septic arthritis
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Gout and painful inflammation attacks
Risk factors include include obesity, diabetes, high blood pressure and high consumption of beer
Skin
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Hidradenitis suppurativa: the hidden skin disease
Dr Anne-Marie Tobin writes on hidradenitis suppurativa — a chronic debilitating skin condition that requires
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Overreaction of immune system may trigger eczema into long-term affliction
Repeated flare-ups triggered an immune system overreaction, which could not be reversed
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Novel agent proven to treat aquagenic pruritus successfully
Researchers from Cork presented details of the first case of aquagenic pruritus to be successfully
Eye, Ear, Nose & Throat
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Young people not being screened for diabetic retinopathy
Only 42% of T2D patients had an eye examination six years after their initial diagnosis
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Severe dizziness being treated with steroid injections into the eardrum
Steroid injections led to better speech discrimination and fewer side-effects
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Screening for dysphagia can aid return to oral feeding
Nurse screening for dysphagia in postextubation critically ill patients can increase a successful return to
Cancer
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Resistance to HER2-targeted anti-cancer drugs associated with immune evasion in cancer cells
New study reveals doctors may soon be able to tell from a blood sample if a patient would respond to targeted breast cancer treatment
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IBD in childhood is associated with increased cancer risk
Children diagnosed with inflammatory bowel disease (IBD) have an increased risk of cancer, especially gastrointestinal
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The life-saving powers of nuts, exercise and vitamin D
Dr Brian Bird presents a clinical update for GPs on changes to lifestyle and diet