24 results match your criteria: "South Tipperary General Hospital[Affiliation]"

Background: Lipid disorders are now considered causal for atherosclerotic cardiovascular disease (ASCVD) which remains one of the most important contributors to morbidity and mortality in the developed world. Identification and early treatment of lipid disarrays remains the cornerstone of good clinical practice to prevent, halt and even reverse ASCVD. Guidelines for lipid management are imperative to help promote good clinical practice.

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Aim: Report the outcomes of pregnant women with type 1 and type 2 diabetes and to identify modifiable and non-modifiable factors associated with poor outcomes.

Methods: Retrospective analysis of pregnancy preparedness, pregnancy care and outcomes in the Republic of Ireland from 2015 to 2020 and subsequent multivariate analysis.

Results: In total 1104 pregnancies were included.

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Background: Amphetamine use causes cardiomyopathy via catecholamine-mediated effects such as tachycardia, hypertension, vasoconstriction, and direct cardio-toxic effects. Traditionally, an increased risk of haemorrhagic stroke is associated with amphetamine use. However, up to one-third of stimulant-associated cardiomyopathy patients have left ventricular (LV) thrombus formation leading to an increased risk of systemic embolization.

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An adrenal incidentaloma is a mass found incidentally on radiological imaging performed for other reasons. The prevalence of these incidentalomas increases with age, and they all must be evaluated to determine if they are benign or malignant and if they are functioning or non-functioning. A 71-year-old female presented with sub-acute bilateral lower limb pitting edema and dyspnoea.

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Aims And Objectives: To examine mealtime and patient factors associated with meal completion among hospitalised older patients. We also considered contextual factors such as staffing levels and ward communication.

Background: Sub-optimum nutrition is a modifiable risk factor for hospital associated decline (HAD) in older patients.

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Aims: Pre-gestational diabetes mellitus (PGDM) is associated with adverse outcomes. We aimed to examine pregnancies affected by PGDM; report on these pregnancy outcomes and compare outcomes for patients with type 1 versus type 2 diabetes mellitus; compare our findings to published Irish and United Kingdom (UK) data and identify potential areas for improvement.

Methods: Between 2016 and 2018 information on 679 pregnancies from 415 women with type 1 Diabetes Mellitus and 244 women with type 2 diabetes was analysed.

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Introduction: Chronic obstructive pulmonary disease (COPD) is a chronic respiratory disease that may be punctuated by episodes of worsening symptoms, called exacerbations. Acute exacerbations of COPD (AECOPD) are detrimental to clinical outcomes, reduce patient quality of life and often result in hospitalisation and cost for the health system. Improved diagnosis and management of COPD may reduce the incidence of hospitalisation and death among this population.

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There is an increasing literature with regard to vitamin D supplementation in Multiple Sclerosis (MS). We report the case of a 45 year-old male with MS who presented with symptomatic hypercalcaemia secondary to self-supplementation of vitamin D3 purchased online. Treatment was with IV hydration, glucocorticoids, calcitonin and bisphosphonates.

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Parastomal herniation is a common complication following stoma creation, necessitating surgical repair in up to one-quarter of cases, including emergency cases of incarceration or strangulation. Following hernia repair with or without mesh placement, surgical sites are at risk of infection post-operatively and this is typically resolved by removing the mesh, which can be technically challenging. Few studies have assessed conservative management options for these types of cases.

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Aims: The purpose of this study was to identify the number of pregnancies affected by pre-gestational diabetes in the Republic of Ireland; to report on pregnancy outcomes and to identify areas for improvement in care delivery and clinical outcomes.

Methods: Healthcare professionals caring for women with pre-gestational diabetes during pregnancy were invited to participate in this retrospective study. Data pertaining to 185 pregnancies in women attending 15 antenatal centres nationally were collected and analysed.

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Postmenopausal hyperandrogenism is a relatively rare diagnosis resulting from excess androgen production from the adrenals or ovaries. The exclusion of malignant causes is a priority. Laboratory tests and imaging are utilised to help differentiate the source of excess androgens.

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Background: Tapentadol may allow greater pain relief with reduced "opioid load" compared to oxycodone. Its use has not been studied in the obstetric population. The objective of this study was to compare the efficacy and side effect profile of tapentadol with oxycodone in patients who received spinal anesthesia for elective cesarean section.

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Premature T-cell immunosenescence with CD57 CD8 T-cell accumulation has been linked to immunodeficiency and autoimmunity in primary immunodeficiencies including activated PI3 kinase delta syndrome (APDS). To address whether CD57 marks the typical senescent T-cell population seen in adult individuals or identifies a distinct population in APDS, we compared CD57 CD8 T cells from mostly pediatric APDS patients to those of healthy adults with similarly prominent senescent T cells. CD57 CD8 T cells from APDS patients were less differentiated with more CD27 CD28 effector memory T cells showing increased PD1 and Eomesodermin expression.

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Background: A minimum recommended withdrawal time for screening colonoscopy is recommended for by both the US Multi-Society Task Force on Colorectal Cancer and European Society of Gastrointestinal Endoscopy.

Aim: To characterize the relationship between endoscopists withdrawal time at colonoscopy and polyp detection in a symptomatic cohort of patients as compared to previously untimed withdrawal.

Methods: Three experienced medical endoscopists prospectively performed 1079 colonoscopies during a 24-month period in an Irish hospital.

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Background: Oropharyngeal dysphagia post-stroke is well known, with its presence increasing the risk of poor outcomes in particular aspiration and aspiration pneumonia. Management to minimize the risk of aspiration and improve swallow safety post-stroke includes the treatment of thickened liquids (TL), an established bolus modification intervention. Despite widespread use, there is a lack of robust empirical evidence and minimal patient evidence as to the experience and acceptability of using thickeners by people who experience dysphagia after a stroke.

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Ovarian Small Cell Carcinoma Hypercalcemic Type: A Case Report >.

Ir Med J

September 2016

2 Portiuncula Hospital, Obstetric and Gynaecology Department, Ballinasloe, Co. Galway.

A 31-year-old female was diagnosed with small cell carcinoma of the ovary hypercalcaemic type (OSCCHT) post left oophorectomy. This is a rare aggressive ovarian tumour of which less than 300 cases were reported.

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Respiratory Syncytial Virus Preterm (32-36 Completed Weeks of Gestation) Risk Estimation Measure for RSV Hospitalization in Ireland: A Prospective Study.

Pediatr Infect Dis J

January 2016

From the *Department of Paediatrics and Newborn Medicine, Coombe Women and Infants University Hospital, Dublin; †Department of Paediatrics, Trinity College Dublin, Dublin; ‡National Children's Research Centre, Our Lady's Children's Hospital Crumlin, Crumlin, Dublin; §Department of Pediatrics, Cavan General Hospital, Cavan, Dublin; ¶Children's University Hospital, Dublin; ‖Department of Paediatrics, Cork University Maternity Hospital, Wilton, Cork; **Department of Paediatrics, AMNCH Tallaght Hospital, Dublin; ††Department of Paediatrics, Rotunda Hospital, Dublin; ‡‡Department of Pediatrics, Midlands Regional Hospital, Mullingar; §§Department of Pediatrics, Midlands Regional Hospital, Portlaoise; ¶¶Department of Pediatrics, Mt. Carmel Hospital, Dublin; ‖‖Department of Pediatrics, National Maternity Hospital, Dublin; ***Department of Pediatrics, Our Lady of Lourdes Hospital, Drogheda, Co Louth; †††Department of Pediatrics, South Tipperary General Hospital, Clonmel; ‡‡‡Department of Pediatrics, St. Luke's Hospital, Kilkenny; §§§Department of Pediatrics, Waterford Regional Hospital, Waterford; ¶¶¶Department of Pediatrics, Wexford General Hospital, Wexford, Ireland; ‖‖‖Division of Pediatric Immunology and Infectious Diseases, Wilhelmina Children's Hospital, University Medical Centre Utrecht, The Netherlands; and ****Department of Paediatrics, McMaster University, Hamilton, Ontario, Canada.

Background: In several countries, respiratory syncytial virus prophylaxis is offered to late preterm infants who are at escalated risk of respiratory syncytial virus hospitalization (RSVH). However, targeted prophylaxis should be informed by country-specific data. This study, which uniquely includes 36 weeks of gestational age (GA) infants, aims to establish the risk factors for RSVH in 32-36 weeks of GA infants in Ireland.

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Aims: We assessed adherence to European Society of Cardiology heart rate guidelines (i.e. heart rates less than 70 bpm) in patients with chronic stable heart failure.

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Fracture liaison services (FLS) aim to provide cost-effective targeting of secondary fracture prevention. It is proposed that a dedicated FLS be available in any hospital to which a patient presents with a fracture. An existing orthopaedic clinic nurse was retrained to deliver a FLS.

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Purpose: The purpose of this paper is to report on a study that explores healthcare professionals' experiences of the implementation of integrated care pathways (ICPs).

Design/methodology/approach: This study used a phenomenological research approach with a purposive sample of ten multi-disciplinary healthcare professionals across two acute hospitals in Ireland. Data were collected via semi-structured interviews and analysed using Colazzi's framework.

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Although postoperative pain assessment and management is an integral part of surgical nursing practice, it remains ad hoc despite numerous costly empirical research studies. Patients have a right to pain relief; however, the barriers to assessing and managing patient pain in practice have not as yet been overcome. A literature review to establish the main barriers to effective postoperative pain relief in clinical practice was carried out.

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The aim of this article is to provide a greater understanding of the term 'trust in relation to the nurse-patient relationship through the use of Rodgers' concept analysis framework. The concept of trust is of particular interest to nursing as it has been identified as an important element in the nurse-patient relationship; however, the concept is loosely used in everyday discourse with confusion apparent and the true meaning of the concept of trust unclear. Patients' trust in the nursing profession cannot be taken for granted simply due to a requirement for nursing care.

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How do patients in a rural setting respond to receiving a copy of their general practitioners letter?

Ir Med J

March 2008

Department of Healthcare for the Elderly, South Tipperary General Hospital, Western Road, Clonmel, Co. Tipperary.

The practice of sending copies of General Practitioners (GPs) letters to patients is not new. As a team in Geriatric and general internal medicine in a rural secondary referral hospital, we asked patients for feedback on how they felt about copies of their GPs letters being sent to them. 126 (96%) of patients were not frightened by the letter.

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