Irish journal of medical science
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Studies have suggested that the undergraduate clinical clerkship improves medical students' attitudes to psychiatry and career interest in the specialty, but few studies have explored the sustainability of these changes. ⋯ Our findings suggest that an enriched undergraduate clinical clerkship experience can help to sustain improved attitudes to psychiatry into the final medical year. However, declining interest in the specialty a career choice prior to graduation presents an enduring challenge.
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Hereditary haemochromatosis is often not diagnosed until adulthood. Iron overload cardiomyopathy initially results in diastolic dysfunction and can result in arrhythmias and irreversible cardiac failure if untreated. The aim of this study was to investigate whether patients with newly diagnosed hereditary haemochromatosis without signs of heart failure exhibit subclinical alterations of cardiac function and to determine if cardiac function improved after 1 year of venesection. ⋯ Among all measurements, radial strain, IVRT and left atrial force were shown to significantly improve following a 1-year course of venesection, suggesting that these parameters could be used to identify subclinical cardiac dysfunction in patients with iron overload secondary to hereditary haemochromatosis and to guide intensification of venesection therapy.
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Estimating human stature is a major concern to formulate a biological profile which provides effective data for forensic identification. This research was aimed to generate a formula for estimating stature from human foot anthropometry. ⋯ In conclusion, it can be said that human stature can be successfully estimated by using foot measurements which can be applied in forensic investigation.
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We assess outcomes of endoscopic orbital decompression for Graves' ophthalmopathy. ⋯ Endoscopic orbital decompression offers an effective, safe and minimally invasive treatment for Graves' ophthalmopathy. There is a trend towards continued improvement in outcomes over the course of 3 months post-operatively.
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Patients' satisfaction reporting is important for assessing the quality of care in surgical practice. Post-discharge questionnaire reporting is considered best practice; however, the logistics of this method remains problematic. ⋯ There were no significant differences in reporting between pre- and post-discharge questionnaire responses. As pre-discharge reporting is more efficient, less costly and has a higher response rate, this should be considered the preferred practice in patient satisfaction assessments.