Irish journal of medical science
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Cervical cancer recurrence in episiotomy scars after vaginal deliveries is a rather rare event. ⋯ Clinicians should be aware about the importance of carefully examining not only the cervix at the time of labor, but also the episiotomy scar in women following a pregnancy complicated by cervical cancer.
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Methods of teaching and assessment in medical schools have transformed over the recent past. Accreditation of medical schools through national licensing bodies and removal of bias at examinations is the norm. This review is intended to inform senior doctors who are peripherally involved in training at speciality or general professional level. ⋯ Examining the performance of examiners as well as that of students is a necessary part of good examination practice. The World Federation for Medical Education with the World Health Organisation has developed nine standards with two categories of basic and quality for the accreditation of medical education.
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This study was performed to test the hypothesis that urinary levels of L-carnitine and its derivatives are enhanced in children and adolescents with hypertension and also check if analyzed parameters may serve as early markers of subclinical renal damage. ⋯ The results of this study do not explain the increased urine levels of L-carnitine. The most likely reason for excessive urinary loss was disturbed renal tubular reabsorption. It is possible to hypothesize that in hypertensive adolescents subclinical kidney dysfunction occurs. It is proposed that studies examining the concurrent plasma and urine concentration of L-carnitine and correlation with acknowledged proximal tubular markers are needed.
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Comparative Study
Double-balloon enteroscopy in Ireland in the capsule endoscopy era.
The availability of double-balloon enteroscopy (DBE) and small bowel capsule endoscopy (SBCE) in Ireland has revolutionised our approach to the diagnosis and treatment of small bowel disorders. ⋯ SBCE as a screening tool prior to DBE is extremely valuable and increases the diagnostic yield considerably as a consequence of a high negative predictive value.
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Infrapatellar branch of saphenous nerve (IPBSN) is more prone for injuries during various surgical interventions of the knee. The aim of this study was to know the course and branching pattern of the IPBSN and describe its anatomical variations. ⋯ By enriching the knowledge of these variable anatomical position of the IPBSN, surgeon can try to minimize the risk of nerve damage by avoiding the high risk zones while performing medial knee incision, blind puncture or an arthrotomy thus avoiding the unwanted complications.