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The aim of this study was to assess realtime teledermatology, store-and-forward teledermatology and conventional outpatient dermatological care were evaluated in a randomized control trial
Abstract:
The clinical effectiveness of realtime teledermatology, store-and-forward teledermatology and conventional outpatient dermatological care were evaluated in a randomized control trial. A total of 204 patients took part--102 patients were randomized to the realtime teledermatology consultation, 96 of whose cases were also referred using a store-and-forward technique, and 102 to the more...
International Classification:
Evaluation of the effectiveness of two treatments - in dermatological care
Categories:
dermatological care
Geography:
Northern Ireland
J Telemed Telecare,
Vol: 6 Suppl 1 Page: S1-3 2000
M. A. Loane; S. E. Bloomer; R. Corbett; D. J. Eedy; N. Hicks; H. E. Lotery; C. Mathews; J. Paisley; K. Steele; R. Wootton
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This study aimed to determine whether a paediatric ambulatory assessment service is an effective and acceptable replacement for an inpatient unit, through analysis of hospital paediatric medical admissions
Abstract:
To determine whether a paediatric ambulatory assessment service is an effective and acceptable replacement for an inpatient unit. Analysis of hospital paediatric medical admissions. Postal questionnaire survey of local general practitioners. Telephone survey of parents of children who had attended the ambulatory service. Rural General Hospital in Northern Ireland. General practitioners. more...
International Classification:
Practice/knowledge - paediatric ambulatory assessment service
Categories:
paediatric ambulatory assessment service
Geography:
Northern Ireland
Ir Med J,
Vol: 95 Page: 41-4 February 2002
C. Macleod; G. McElroy; D. O'Loan; F. Kennedy; R. M. Kerr; J. Jenkins; J. Lim
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This study examined pitfalls in the acute management of ankle fractures which were referred to a regional orthopaedic unit
Abstract:
OBJECTIVE: The aim of this study was to identify pitfalls in the acute management of ankle fractures which were referred to a regional orthopaedic unit. This unit provides orthopaedic services for the catchment area of the Waterford Emergency Department together with three additional emergency units in the south-eastern region of Ireland. METHODS: This is a retrospective study of all more...
International Classification:
Injury, poisoning and certain other consequences of external causes - fractures
Categories:
ankle fractures
Geography:
Republic of Ireland
Eur J Emerg Med,
Vol: 12 Page: 216-9 October 2005
C. Deasy; D. Murphy; G. C. McMahon; I. P. Kelly
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This article discusses issues related to caring for children in small isolated hospitals
Abstract:
A high priority for most parents is to have ready access to paediatric medical services, particularly when their child becomes ill. A difficult balance is therefore sometimes required between the provision of these services in a small local hospital where the throughput of work (and hence opportunities for education and training) will be limited, and the disadvantages of distance and more...
Geography:
Northern Ireland
Ir Med J,
Vol: 96 Page: 309-10 2003 Nov-Dec
J. Jenkins; C. MacLeod; M. Rollins
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This study examines clinic consultations on the dietary management of cystic fibrosis with particular consideration to the role of children the role of parents is also examined
Abstract:
This paper examines clinic consultations on the dietary management of cystic fibrosis (CF) with particular consideration to the role of children. The role of parents is also examined to determine how their involvement impacts on the role of children during consultations. The data are drawn from interviews with 32 Irish school aged children with cystic fibrosis and their parents, and more...
International Classification:
Endocrine, nutritional and metabolic diseases - Metabolic disorders - cystic fibrosis
Categories:
cystic fibrosis; dietary management
Geography:
Republic of Ireland
Soc Sci Med,
Vol: 64 Page: 363-74 January 2007
E. Savage; P. Callery
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The aim of this study was to examine the incidence of late diagnosed developmental dysplasia of the hip requiring surgery in Northern Ireland
Abstract:
PROBLEM: The incidence of late diagnosed developmental dysplasia of the hip requiring surgery in Northern Ireland is high. The reported incidence was 1.14 per 1000 children born during 1983-7. DESIGN: Comparative retrospective study. BACKGROUND AND SETTING: Clinical screening programme in Northern Ireland. Key measure for improvement: Reduced rate of operative intervention in children more...
International Classification:
Congenital malformations and deformations of the musculosketal system - Congenital malformations and deformations of the musculoskeletal system - developmental dysplasia of the hip
Categories:
late diagnosed developmental dysplasia of the hip
Geography:
Northern Ireland
Bmj,
Vol: 324 Page: 1031-3 April 2002
S. L. Maxwell; A. L. Ruiz; K. J. Lappin; A. P. Cosgrove
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This study examined patterns of referral of cryptorchid patients to a surgical clinic, management and follow up
Abstract:
BACKGROUND: The treatment of cryptorchidism has changed, with surgery now advocated before the age of two years. Delayed treatment affects fertility, malignant potential and psychological stress. AIMS: To assess the pattern of referral of cryptorchid patients to a surgical clinic, management and follow-up. METHODS: A four-year review of 114 cryptorchid patients examined age at more...
International Classification:
Congenital malformations, deformations and chromosomal abnormalities - Congenital malformations of genital organs - cryptorchid
Geography:
Republic of Ireland
Ir J Med Sci,
Vol: 172 Page: 139-40 2003 Jul-Sep
K. T. Lim; R. G. Casey; F. Lennon; P. Gillen; M. Stokes
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This study examined the use of diagnostic tests in evaluating cardiac murmurs
Abstract:
The detection of an asymptomatic murmur in a child usually results in a referral to a consultant paediatrician. In most cases a chest radiograph (CXR) and electrocardiograph (ECG) are performed as an aid to diagnosis, however the evidence for this is contradictory. A retrospective chart review of children referred with asymptomatic cardiac murmurs in a one-year period was conducted. We more...
International Classification:
Other - cardiac murmurs
Categories:
cardiac murmurs
Geography:
Northern Ireland
Ir Med J,
Vol: 94 Page: 154-5 May 2001
C. Macleod
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This study aimed to assess general practitioners' responses to three scenarios in which patients consulted regarding genetic conditions
Abstract:
OBJECTIVE: This study investigated general practitioners' responses to three scenarios in which patients consulted regarding genetic conditions. DESIGN: Self-completed postal study. Setting. Primary care in Northern Ireland. SUBJECTS: Questionnaire were distributed to all the GPs in Northern Ireland (n = 1079). A total of 541 GPs participated (50%). MAIN OUTCOME MEASURES: Responses to more...
International Classification:
Practice/knowledge - general consultations
Categories:
general consultations;
Geography:
Northern Ireland
Scand J Prim Health Care,
Vol: 23 Page: 109-14 June 2005
S. McCann; D. MacAuley; Y. Barnett
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This study examined new coeliac patients seen over a 9-year period to determine how the availability of serology, particularly to primary care physicians, has changed rates and sources of diagnosis
Abstract:
BACKGROUND: Serological testing, using IgA class endomysial and tissue transglutaminase antibodies has high sensitivity and specificity for coeliac disease and allows case finding by clinicians other than gastroenterologists. We reviewed new coeliac patients seen over a 9-year period to determine how the availability of serology, particularly to primary care physicians, has changed more...
International Classification:
Diseases of the digestive system - Other diseases of the digestive system - coeliac disease
Categories:
coeliac disease
Geography:
Northern Ireland
Dig Liver Dis,
Vol: 37 Page: 928-33 December 2005
W. Dickey; S. A. McMillan
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The aim of this study was to examine the management of infants with infantile hypertrophic pyloric stenosis in a well-equipped regional centre
Abstract:
BACKGROUND: It has been suggested that only specialist paediatric surgeons should manage infantile hypertrophic pyloric stenosis (IHPS). AIM: The aim of this retrospective study was to ascertain whether the majority of these infants might be managed in a well-equipped regional centre. METHODS: Using the Hospital Inpatient Enquiry database, all cases of IHPS within a single more...
International Classification:
Congenital malformations, deformations and chromosomal abnormalities - Other congenital malformations of the digestive system - hypertrophic pyloric stenosis
Categories:
infantile hypertrophic pyloric stenosis
Geography:
Republic of Ireland
Ir J Med Sci,
Vol: 169 Page: 100-2 2000 Apr-Jun
P. D. Kiely; S. Tierney; M. Barry; P. V. Delaney; J. Drumm; P. A. Grace
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The aim of this study was to describe methicillin-resistant staphylococcus aureus in an Irish orthopaedic centre
Abstract:
This prospective five-year study analyses the impact of methicillin-resistant Staphylococcus aureus (MRSA) on an Irish orthopaedic unit. We identified 318 cases of MRSA, representing 0.76% of all admissions (41,971). A total of 240 (76%) cases were colonised with MRSA, while 120 (37.7%) were infected. Patients were admitted from home (218; 68.6%), nursing homes (72; 22.6%) and other more...
International Classification:
Methicillin-resistant staphylococcus aureus
Categories:
methicillin resistant staphylococcus aureus
Geography:
Republic of Ireland
J Bone Joint Surg Br,
Vol: 88 Page: 807-11 June 2006
S. J. Roche; D. Fitzgerald; A. O'Rourke; J. P. McCabe
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The aim of this study was to investigate Burkholderia cepacia using molecular subtyping protocols for evidence of genetic relationships and for the presence of antibiotic resistance-encoding class 1 integron structures
Abstract:
AIMS: Burkholderia cepacia is a Gram-negative bacterium associated with increasing morbidity and mortality and is readily transmitted among infected cystic fibrosis (CF) patients. The B. cepacia complex consists of five distinct subgroups, termed genomovars. A collection of 17 presumptive B. cepacia isolates, obtained from three national CF referral centres located in different more...
International Classification:
Bacterium - Burkholderia cepacia
Categories:
Burkholderia cepacia
Geography:
Republic of Ireland
J Appl Microbiol,
Vol: 92 Page: 992-1004 2002
D. Crowley; M. Daly; B. Lucey; P. Shine; J. J. Collins; B. Cryan; J. E. Moore; P. Murphy; G. Buckley; S. Fanning
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The aim of this study was to discuss where peadiatric surgery be performed
International Classification:
Procedure - peadiatric surgery
Categories:
peadiatric surgery
Geography:
Republic of Ireland
Ir Med J,
Vol: 92 Page: 439 1999 Nov-Dec
O. Ni Chonmide; M. McMahon; P. Gillen; F. Lennon; S. Gormally; A. Murphy; A. Nicholson
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The aim of this study was to examine patient satisfaction with the overall provision of day time emergency services in a university dental teaching hospital, for quality assurance purposes
Abstract:
OBJECTIVES: Attendance at emergency clinics may be accompanied by extensive waiting times and frustration and may not result in patients obtaining the treatment which they expected. The objective of the study was to ascertain patient satisfaction with the overall provision of day time emergency services in a university dental teaching hospital, for quality assurance purposes. METHODS: more...
International Classification:
Health service provision
Categories:
day time emergency services
Geography:
Republic of Ireland
J Ir Dent Assoc,
Vol: 46 Page: 95, 98-102 2000
B. E. McCartan; A. Harrison; P. Daly
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This study examined primary care utilisation rates in pre-school children
Abstract:
A key objective of the Lifeways cross generation cohort study is to examine health and healthcare, according to socio-economic indicators, during the first five years of life. GP contact details were available for 1032 children. 772 GPs in 589 practices were approached and data were obtained on 640 children (59% of original cohort). The mean follow-up time was 3.0 years (95% CI more...
International Classification:
Longitudinal - Health service provision
Categories:
primary care utilisation rates
Geography:
Republic of Ireland
Ir Med J,
Vol: 100 Page: suppl 23-7 September 2007
U. B. Fallon; A. W. Murphy; E. Majawit; C. O'Riordan; G. Bury; D. O'Mahony; C. C. Kelleher
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This article discusses some of the referral biases observed in clinical practice and discuss the implications of mis-diagnosis in routine Child and Adolescent Mental Health Services
Geography:
Republic of Ireland
Attach Hum Dev,
Vol: 5 Page: 249-52 September 2003
J. G. Byrne
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The aim of this study was to examine the investigation of retinal changes associated with type 2 membranoproliferative glomerulonephritis
Abstract:
AIMS: The aims of this study were to: Investigate retinal changes associated with type 2 membranoproliferative glomerulonephritis (type 2 MPGN).Assess whether there was a relationship between the severity of the kidney disease and ophthalmoscopically visible fundal changes. Find out if renal transplantation was linked with visual deterioration. Decide if patients with type 2 MPGN need more...
International Classification:
Diseases of the genitourinary system - Glomerular diseases - type 2 membranoproliferative glomerulonephritis
Categories:
retinal changes; type 2 membranoproliferative glomerulonephritis
Geography:
Northern Ireland
Eye,
Vol: 19 Page: 985-9 September 2005
C. E. McAvoy; G. Silvestri
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The aim of this study was to ascertain whether the majority of infants with hypertrophic pyloric stenosis might be managed in a well-equipped regional centre
Abstract:
BACKGROUND: It has been suggested that only specialist paediatric surgeons should manage infantile hypertrophic pyloric stenosis (IHPS). AIM: The aim of this retrospective study was to ascertain whether the majority of these infants might be managed in a well-equipped regional centre. METHODS: Using the Hospital Inpatient Enquiry database, all cases of IHPS within a single more...
International Classification:
Congenital malformations, deformations and chromosomal abnormalities - Other congenital malformations of the digestive system - hypertrophic pyloric stenosis
Categories:
hypertrophic pyloric stenosis
Geography:
Republic of Ireland
Ir J Med Sci,
Vol: 169 Page: 93 2000 Apr-Jun
M. T. Corbally
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This study aimed to explore the views of health visitors in relation to their role in supporting parents of children referred for genetic investigations
Abstract:
AIM: This paper reports a study of the views of health visitors in relation to their role in supporting parents of children referred for genetic investigations. BACKGROUND: An increasing number of children are likely to be referred for genetic investigations as our understanding of genetic inheritance develops and a wider range of tests becomes available. Internationally, there are more...
International Classification:
Practice/knowledge - genetic investigations
Categories:
genetic investigations
Geography:
Northern Ireland
J Adv Nurs,
Vol: 54 Page: 141-50 April 2006
O. G. Barr; R. McConkey
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The aim of this study was to assess the clinical effectiveness of a brief consultation and advisory approach compared to treatment as usual in child and adolescent mental health services
Abstract:
A brief consultation and advice (BCA) approach to dealing with routine referrals was introduced into a child and adolescent mental health service (CAMHS) over an 18-month period. This is a time-limited, client-centred and solution-focused approach to dealing with common non-complex referrals. The model proposes that all families are seen for an initial 'consultation' appointment more...
International Classification:
Evaluation of the effectiveness of consultation approach-mental health
Categories:
clinical effectiveness of a brief consultation and advisory approach compared to treatment as usual in child and adolescent mental health services
Geography:
Republic of Ireland
Clin Child Psychol Psychiatry,
Vol: 13 Page: 365-76 July 2008
J. McGarry; F. McNicholas; H. Buckley; B. D. Kelly; L. Atkin; N. Ross
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The aim of the study was to evaluated the use of multi-media messaging as a supplement to the telephone referral of musculoskeletal limb injures
Abstract:
OBJECTIVES: New developments in telecommunications will have a profound effect on the delivery of medical care throughout the world. In Northern Ireland three trauma centres provide fracture care for their own and surrounding Emergency Departments. All trauma referrals are currently taken by telephone. It is our experience that the verbal description of the radiographs of a more...
International Classification:
Injury, poisoning and certain other consequences of external causes - injury
Categories:
musculoskeletal limb injures
Geography:
Northern Ireland
Injury,
Vol: 36 Page: 560-6 April 2005
H. A. Archbold; A. R. Guha; S. Shyamsundar; S. J. McBride; P. Charlwood; R. Wray
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This study determined the incidence, aetiology, management and outcome of vascular injuries which required surgical intervention at a regional vascular unit
Abstract:
BACKGROUND: Vascular trauma is a common cause of mortality and morbidity worldwide. There are few accurate quantitative data available presently on the nature and outcome of these injuries. The aim of this study was to determine the incidence, aetiology, management and outcome of vascular injuries which required surgical intervention at a regional vascular unit. METHODS: All patients more...
International Classification:
Injury, poisoning and certain other consequences of external causes - injury
Categories:
vascular injuries
Geography:
Republic of Ireland
Surgeon,
Vol: 6 Page: 157-61 June 2008
A. Abdulkarim; F. J. Fleming; E. G. Kavanagh; P. E. Burke; P. A. Grace
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