Irish journal of medical science
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Diabetic foot ulcers (DFU) are associated with an increased risk of lower limb amputation and death. Reported mortality rates for patients with DFU are as high as 50% after 5 years. ⋯ Diabetic foot disease is an important cause of morbidity and mortality in clinical practice. It remains to be seen whether implementation of the national model of foot care in 2011 will improve outcomes for patients with high-risk diabetic foot disease.
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This study aimed to explore the effect of a comprehensive rehabilitation and intensive education (CRIE) program on anxiety, depression, quality of life (QoL), and major adverse cardiac and cerebrovascular events (MACCE) risk in unprotected left main coronary artery disease (ULMCAD) patients who underwent coronary artery bypass grafting (CABG). ⋯ CRIE is an effective approach in improving anxiety, depression, and QoL in ULMCAD patients who underwent CABG.
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To describe the impact of a nurse-led telephone self-management support (SMS) service for people with asthma and COPD in Ireland. ⋯ Roll-out of SMS should include staff training to promote positive service user experience and should include routine monitoring and evaluation to assure equitable reach and quality of key evidence-based care processes.
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Historical Article
Malignant but not maleficent: acute leukaemia as a possible explanation of disease and death in vampire victims.
A considerable amount of research has been put into the explanation of the origin of the vampire myth by focussing on possible symptoms of the vampire; however, very little attention has been given to the victims. ⋯ Victims in the gothic vampire novels from the nineteenth century could very likely be inspired by real-life acute leukaemia patients.
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Vitamin D status may play a role in the development of atopic diseases due to its action on lung development and immune system development and function. ⋯ The development of childhood atopy may be associated with maternal vitamin D deficiency in early pregnancy among a cohort of women at risk of vitamin D deficiency. Further research is required to explore the relationship between vitamin D and atopy, particularly among women with poor vitamin D status, and whether supplementation should be prioritised in early pregnancy to reduce childhood atopy.