Irish journal of medical science
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Dr Séamus Mac Suibhne (Sweeney) (1978-2019) was a widely admired psychiatrist, writer and scholar whose contributions ranged from psychiatric care to Greek philosophy, and from medical education to the application of new technologies in educational and clinical settings. Séamus wrote extensively on these and many other themes in the professional and popular literature. In his clinical work, Séamus was a compassionate doctor, effective team-worker and skilled manager. ⋯ Philosophy was, perhaps, his greatest intellectual passion and he spoke and wrote extensively on themes linking philosophy with clinical care, the history of psychiatry and reflective practice in medicine. Séamus wrote and co-wrote on a range of other topics including psychiatric liaison with primary care, 'vampirism' as a mental illness, translation and interpretation in psychiatry, synaesthesia, 'new' mental illnesses such as solastalgia and hubris syndrome, bibliotherapy, the work of Nicholas Culpeper (a seventeenth-century English physician) and mental illness among psychiatrists. Séamus Mac Suibhne is deeply missed in Irish psychiatry, but his many contributions bear elegant, lasting testament to a dedicated family man, a gifted doctor and an enquiring, often brilliant mind.
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In the management of bilateral fetal hydrothorax where the fetus is non-hydropic and apparently otherwise normal, we wished to determine if pleural-amniotic shunt insertion was better than conservative management in terms of mortality. ⋯ There is insufficient data available to determine whether the outcome is improved by pleural-amniotic shunt insertion compared with conservative management in cases of bilateral fetal hydrothorax where the fetus is non-hydropic and otherwise normal.
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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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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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Subjects with severe obesity (BMI > 40 kg/m2) have worse physical function and sleep less than lean people (BMI 18.5-25 kg/m2). ⋯ In conclusion, abnormal sleep duration is associated with reduced physical function in non-elderly severely obese subjects. The effects of sleep hygiene interventions in this cohort warrant further assessment and may be beneficial to their physical function.