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Ulster Medical Journal

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https://read.qxmd.com/read/30675082/clinical-research-fellow
#1
Charlotte Addy, Judy Bradley, Lorcan McGarvey, J Stuart Elborn, Damian Downey
No abstract text is available yet for this article.
January 2019: Ulster Medical Journal
https://read.qxmd.com/read/30675081/letters
#2
(no author information available yet)
No abstract text is available yet for this article.
January 2019: Ulster Medical Journal
https://read.qxmd.com/read/30675080/international-contributions-toward-the-conquest-of-polio
#3
John Hedley-Whyte, Debra R Milamed
No abstract text is available yet for this article.
January 2019: Ulster Medical Journal
https://read.qxmd.com/read/30675079/the-challenge-of-cancer-pain-assessment
#4
Christopher Cluxton
No abstract text is available yet for this article.
January 2019: Ulster Medical Journal
https://read.qxmd.com/read/30675077/transformation-of-heart-attack-care-a-primary-percutaneous-coronary-intervention-service-for-northern-ireland
#5
Niall Herity, Diane Corrigan, Albert McNeill
Primary percutaneous coronary intervention (primary PCI) is the preferred immediate treatment for patients with acute ST elevation myocardial infarction. It is however, considerably more labour-intensive than the previous standard of care and requires an immediate response from consultant-led teams to deliver best outcomes. We describe the introduction of a comprehensive primary PCI service for Northern Ireland and suggest that the process by which it was designed, piloted, commissioned and benchmarked can serve as a prototype for other high-risk, time-sensitive clinical emergency services...
January 2019: Ulster Medical Journal
https://read.qxmd.com/read/30675076/all-cause-mortality-amongst-patients-undergoing-above-and-below-knee-amputation-in-a-regional-vascular-centre-within-2014-2015
#6
Gem Kennedy, K McGarry, G Bradley, D W Harkin
Background: Major lower limb amputation remains a common treatment for patients with peripheral vascular disease (PVD) in whom other measures have failed. It has been associated with high morbidity and mortality, including risks from venous thromboembolism (VTE). Methods: A two-year retrospective cohort study was conducted involving 79 patients who underwent major lower limb amputation (below- or above-knee amputation) between January 2014 and December 2015 in a single tertiary referral centre...
January 2019: Ulster Medical Journal
https://read.qxmd.com/read/30675075/a-comparison-of-inpatient-and-outpatient-based-chemotherapy-regimens-for-the-treatment-of-acute-myeloid-leukaemia-in-the-elderly
#7
A B Daly, R Cuthbert, D Finnegan, C Arnold, C Craddock, M F McMullin
Introduction: Acute myeloid leukaemia (AML) is an aggressive haematological malignancy which is more common in the elderly and has a poor 5-year survival. There are no established beneficial interventions to treat AML in elderly patients. It is unclear whether outpatient delivery of palliative chemotherapies could reduce the burden of disease and hospitalisation for this group. Aims: To compare overall survival, response to treatment and supportive care needs between inpatient and outpatient-based treatments for AML in elderly patients...
January 2019: Ulster Medical Journal
https://read.qxmd.com/read/30675074/renal-and-ureteric-stone-composition-a-five-year-retrospective-study-for-northern-ireland
#8
Matthew Tyson, Nathen Grimes, Laura McAuley, Derek Hennessy, Ajay Pahuja, Michael Young
Introduction: The study aimed to present the types of renal and ureteric stones (calculi) present in the population of Northern Ireland. The data may help in future planning treatment of stone services, patient education and prevention. Methods: Consecutive retrospective renal and ureteric stones analysed over 5.75 years (January 2008 - September 2013) in Northern Ireland. Exclusions included patients < 16 years, and calculi listed as bladder stone. Results: Total of 1618 stones analysed...
January 2019: Ulster Medical Journal
https://read.qxmd.com/read/30675073/the-preventative-effect-of-hydrocolloid-dressings-on-nasal-bridge-pressure-ulceration-in-acute-non-invasive-ventilation
#9
Abigail Bishopp, Amy Oakes, Pearlene Antoine-Pitterson, Biman Chakraborty, David Comer, Rahul Mukherjee
Background: Non-invasive ventilation (NIV) is a valuable treatment in the management of acute hypercapnic respiratory failure. NIV is not without risks. One such adverse effect is the development of pressure ulcers over the nasal bridge which have an incidence of up to 20% of patients requiring NIV in this setting. The role of medical devices in the development of hospital acquired pressure ulcers has been increasingly recognised with 10-35% of all hospital acquired ulcers attributed to medical devices...
January 2019: Ulster Medical Journal
https://read.qxmd.com/read/30675072/fifty-years-of-ventricular-tachycardia-in-a-single-patient
#10
REVIEW
Stephen Adams, Alastair Gray, Niall Herity
We report a patient who first presented during childhood in the early 1960's with several episodes of ventricular tachycardia (VT) and we describe her management which reflected the best medical knowledge at the time. She then presented more than 50 years later, again with VT, at which time a definitive diagnosis of the underlying cause was made. Her case illustrates the evolution in the understanding and management of VT over the past 50 years. This in turn reflects the clinical and technological advances in the management of cardiovascular disease over time...
January 2019: Ulster Medical Journal
https://read.qxmd.com/read/30675071/oesophageal-stents-for-potentially-curable-oesophageal-cancer-a-bridge-to-surgery
#11
Jennifer E Tham, Benjamin Tharian, Patrick B Allen, Gary Spence, Tony C Tham
For oesophageal cancer patients with potentially curative disease, treatment usually comprises neoadjuvant chemoradiotherapy followed by surgery. Several methods are currently used for nutritional support while patients are undergoing neoadjuvant treatment but these do not relieve dysphagia. Stenting as a bridge to curative surgery has been explored in several case series and a case control study. This is a review of the current literature on the topic. Some small series have shown it to be safe and effective in relieving dysphagia and malnutrition without adverse effect on surgical outcomes, perioperative complications or delay in surgical resection post neoadjuvant therapy...
January 2019: Ulster Medical Journal
https://read.qxmd.com/read/30675070/will-sglt2-inhibitors-prove-to-be-a-multiple-gamechanger
#12
Noel Sharkey, Peter Maxwell
No abstract text is available yet for this article.
January 2019: Ulster Medical Journal
https://read.qxmd.com/read/30675069/advances-in-laparoscopic-pancreatic-surgery
#13
Gareth Martel, Gareth Kirk, Claire Jones
No abstract text is available yet for this article.
January 2019: Ulster Medical Journal
https://read.qxmd.com/read/30675068/our-digital-future-encompass-delivering-care-together
#14
EDITORIAL
Dr Grace Cuddy, Dr Michael Quinn
No abstract text is available yet for this article.
January 2019: Ulster Medical Journal
https://read.qxmd.com/read/30675067/the-physician-s-duty-to-warn-their-patients-about-the-risks-associated-with-medical-intervention-a-review-and-discussion
#15
EDITORIAL
C G Leonard, J G Toner
Since the landmark case of Montgomery v Lanarkshire in 20151 , much has been written in medical press regarding the implications for medical practice. The moral duty - varied though it has been over this time, has been discussed since the earliest days of the medical profession. The law has sought to define this duty in response to changes in society, and the nature of the relationship between doctor and patient. The moral and legal duty are intrinsically linked, but the latter must surely follow the former for "the law has little to do with morally required forms of communication in the clinic and in the research environment...
January 2019: Ulster Medical Journal
https://read.qxmd.com/read/30559547/teaching-fellow-in-northern-ireland
#16
Emma Keelan, Aoife O'Grady
No abstract text is available yet for this article.
October 2018: Ulster Medical Journal
https://read.qxmd.com/read/30559546/letters
#17
(no author information available yet)
No abstract text is available yet for this article.
October 2018: Ulster Medical Journal
https://read.qxmd.com/read/30559545/education-and-support-for-healthcare-professionals-to-prevent-future-pandemics-report-of-a-conference-workshop
#18
Kieran Walsh, Elisa Roma, Amy Hilton
Introduction: Pandemic infectious diseases pose a real threat to patients and public health in all countries around the world. Healthcare professionals need education and support to prevent these pandemics. However, the provision of this education is not always straightforward, and the views of healthcare professionals from different sectors and different countries should be continually taken into account when providing new educational resources. The following is the report of a workshop that was held to seek the views of healthcare professionals on e-learning and clinical decision support resources as means of providing education in pandemic infectious diseases...
October 2018: Ulster Medical Journal
https://read.qxmd.com/read/30559544/sir-sheldon-francis-dudley-his-contributions-to-diphtheria-and-the-aftermath-of-the-sinking-of-hms-curacoa-by-the-queen-mary
#19
John Hedley-Whyte, Debra R Milamed
No abstract text is available yet for this article.
October 2018: Ulster Medical Journal
https://read.qxmd.com/read/30559543/william-alexander-1844-1919-contributions-to-gynaecology-and-neurology
#20
A J Larner
No abstract text is available yet for this article.
October 2018: Ulster Medical Journal
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