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IMO ballot for potential consultants’ strike in coming weeks

IMO urges members practising outside hospital sector to support action This story continues at IMO ballot for potential consultants’ strike in coming weeks Or just read more coverage at Irish Medical Times ...

IHCA proposes ‘practical’ solutions to consultants’ shortage

IHCA to seek multi-lateral talks on consultants’ recruitment and recruitment with health managers and IMO This story continues at IHCA proposes ‘practical’ solutions to consultants’ shortage Or just read more coverage at Irish Medical Times ...

Universal free contraception scheme could cost Irish State up to €100m

Making contraception free to end user will only displace private expenditure — Working Group This story continues at Universal free contraception scheme could cost Irish State up to €100m Or just read more coverage at Irish Medical Times ...

Surgical and art colleges have designs on medicine

The RCSI and National College of Art and Design sign MoU This story continues at Surgical and art colleges have designs on medicine Or just read more coverage at Irish Medical Times ...

Pregnancy outcomes for women with non-criteria antiphospholipid syndrome after anticoagulant therapy

We found that although the interest in non-criteria obstetric antiphospholipid syndrome (APS) (also called seronegative APS) in women has increased, only few studies have focused on the efficacy of anticoagulant therapy on pregnancy outcomes. We conducted ...

Successful versus unsuccessful instrumental deliveries – predictors and obstetric outcomes

The purpose of this study was to examine instrumental births in a multi-ethnic population to assess the factors associated with success and failure in instrumental births. ...

Dyslipidaemia prevalence and associated risk factors in the United Arab Emirates: a population-based study

Objectives To determine and describe the prevalence and pattern of dyslipidaemia and its associated risk factors among an adult Emirati population. Design Population-based, cross-sectional study. Setting Adults living in the Northern Emirates. Participants ...

Evaluation of a 1-hour troponin algorithm for diagnosing myocardial infarction in high-risk patients admitted to a chest pain unit: the prospective FAST-MI cohort study

Objective This study sought to evaluate the diagnostic performance of the 1-hour troponin algorithm for diagnosis of myocardial infarction (MI) without persistent ST-segment elevations (non-ST-segment MI (NSTEMI)) in a cohort with a high prevalence of MI. ...

Applying a whole systems lens to the general practice crisis: cross-sectional survey looking at usage of community pharmacy services in England by patients with long-term respiratory conditions

Objective UK policy initiatives aiming to extend community pharmacy services to moderate patient demands and to reduce general practitioners’ (GPs) workload have had limited success. This study used marketing theory to identify factors that could influence ...

Evidence of potential overdiagnosis and overtreatment of attention deficit hyperactivity disorder (ADHD) in children and adolescents: protocol for a scoping review

Introduction Worldwide, attention deficit hyperactivity disorder (ADHD) diagnosis rates in children and adolescents have been increasing consistently over the past decades, fuelling a debate about the underlying reasons for this trend. While many hypothesi ...

Association between potentially inappropriate medications at discharge and unplanned readmissions among hospitalised elderly patients at a single centre in Japan: a prospective observational study

Objective To determine the prevalence of potentially inappropriate medication (PIM) use at admission and discharge among hospitalised elderly patients and evaluate the association between PIMs at discharge and unplanned readmission in Japan. Design A prosp ...

Correction: Antifungal (oral and vaginal) therapy for recurrent vulvovaginal candidiasis: a systematic review protocol

Lírio J, Giraldo PC, Amaral RL, et al. Antifungal (oral and vaginal) therapy for recurrent vulvovaginal candidiasis: a systematic review protocol. BMJ Open 2019;9:e027489. doi: 10.1136/bmjopen-2018-027489. For this article, an author note has been added b ...

Comorbidity in adults with traumatic brain injury and all-cause mortality: a systematic review

Objectives Comorbidity in traumatic brain injury (TBI) has been recognised to alter the clinical course of patients and influence short-term and long-term outcomes. We synthesised the evidence on the effects of different comorbid conditions on early and la ...

Contribution of serum lipids as effect modifiers to a relationship between mean arterial pressure and coronary heart disease in Chinese rural population: the Henan Rural Cohort Study

Objectives The aim of this study was to evaluate the relationship between mean arterial pressure (MAP) and coronary heart disease (CHD) in Chinese rural population. In addition, we hypothesised that this relationship might be mediated by some degree of ser ...

Discontinuation of alpha-blocker therapy in men with lower urinary tract symptoms: a systematic review and meta-analysis

Objectives We aimed to synthesise the available data for the effect of stopping alpha-blocker therapy among men with lower urinary tract symptoms. The focus was on symptom, uroflowmetry and quality of life outcomes, but we also reviewed the adverse events ...

Role of body mass category in the development of faulty postures in school-age children from a rural area in south-eastern Poland: a cross-sectional study

Objective The aim of the study was to assess the relationship between body mass index (BMI) and the incidence of abnormalities in selected parameters measured in the trunk area. Design Cross-sectional studies. Setting The research was conducted in a primar ...

Optical coherence tomography (OCT) in unconscious and systemically unwell patients using a mobile OCT device: a pilot study

Objective This study aims to evaluate the feasibility of retinal imaging in critical care using a novel mobile optical coherence tomography (OCT) device. The Heidelberg SPECTRALIS FLEX module (Heidelberg Engineering, Heidelberg, Germany) is an OCT unit wit ...

Rehabilitation of cognitive deficits poststroke: protocol for a systematic review and meta-analysis of randomised controlled trials of non-pharmacological interventions

Introduction Stroke is among the leading causes of death and disability worldwide. Poststroke cognitive impairment is a common sequela of stroke. The burden of cognitive impairment poststroke has significant impacts on the individual poststroke, their fami ...

Comparing the efficacy and safety of faecal microbiota transplantation with bezlotoxumab in reducing the risk of recurrent Clostridium difficile infections: a systematic review and Bayesian network meta-analysis of randomised controlled trials

Objectives The risk of recurrent Clostridium difficile infections (RCDIs) is high when treated with standard antibiotics therapy (SAT) alone. It is suggested that the addition of faecal microbiota transplantation (FMT) or bezlotoxumab after SAT reduces the ...

Direct costs of overdiagnosed asthma: a longitudinal, population-based cohort study in British Columbia, Canada

Objectives A current diagnosis of asthma cannot be objectively confirmed in many patients with physician-diagnosed asthma. Estimates of resource use in overdiagnosed cases of asthma are necessary to measure the burden of overdiagnosis and to evaluate strat ...

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