Avascular necrosis of femoral heads post-adrenal surgery for Cushing's syndrome: a rare presentation.

Avascular necrosis (AVN) is a well-recognized complication of patients on high-dose steroids for a long time. Exogenous hypercortisolism is a well known cause of AVN and a number of cases have been reported. Cushing's syndrome describes hypercortisolism of any cause endogenous or exogenous.

Cardiac rehabilitation in the Northwest.

Aim: To audit the cardiac rehabilitation (CR) service in the Northwest.

Methods: Patients were identified on the CR Information System. Indications, rate of uptake, demographics and complications were all recorded.

The potential use of prehospital thrombolysis in a rural community.

Background: It is recommended that eligible patients receive thrombolytic treatment within 90 min of alerting medical or ambulance services. The Donegal Area Rapid Treatment Study (DARTS) showed that pre-hospital thrombolysis reduces "call to needle" times for patients living remote from the hospital base [Donegal Area Rapid Treatment Study (DARTS): Final Report. North Western Health Board].

Latitudinal variation in the prevalence of multiple sclerosis in Ireland, an effect of genetic diversity.

Background: Northern Ireland has a high and rising prevalence rate of multiple sclerosis (MS). The most recent survey in 1996 found a rate of 168.7/100 000.

Patients presenting with acute myocardial infarction to a district general hospital: baseline results and effect of audit.

The Cardiovascular Health Strategy recommended that patients presenting with acute myocardial infarction receive thrombolysis within ninety minutes of alerting medical or ambulance services. The aim of this prospective study was to describe the management of patients with acute myocardial infarction (AMI) presenting to a district general hospital in Donegal. All patients with a confirmed diagnosis of acute myocardial infarction, excluding those from the Donegal Area Rapid Treatment Study (DARTS) practices, admitted to Letterkenny General Hospital (LGH) from 31.