Irish journal of medical science
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The Confidential Enquiry into Maternal and Child Health (CEMACH) reported outcomes of pregnancies in women with pre-gestational diabetes (PGDM) in the UK (n = 3,733). This study aimed to compare CEMACH outcomes with PGDM pregnancies in Dublin. ⋯ These results serve to underline the continued importance of multidisciplinary care for pregnant women with diabetes.
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To date, there is no information on anaesthetists' practice of chronic pain management in the Republic of Ireland. ⋯ One-third of consultant anaesthetists in the Republic surveyed incorporate chronic pain in their practice and their pattern of practice is widely diversified.
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H1N1 influenza A, was first described in April 2009. A significant cohort of patients from this outbreak developed acute respiratory distress syndrome or pneumonia. H1N1 has since been transmitted across the world. Little has been described on the renal complications of this illness. ⋯ This study highlights the significance and frequency of renal complications associated with this illness.
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Previous audits of stroke care in 2002 and 2005 in our institution recommended organised and specialised care of stroke patients. A stroke unit was therefore established in June 2008. ⋯ The stroke unit has greatly improved the care of acute stroke patients. Further areas for improvement are highlighted.
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Case Reports
Serotonin syndrome in an orthopaedic patient secondary to linezolid therapy for MRSA infection.
A 67-year-old patient was admitted for incision and drainage of a recurrent methicillin-resistant Staphylococcus aureus (MRSA) hip abscess. Linezolid therapy was initiated postoperatively. ⋯ Citalopram was stopped and resolution of symptoms occurred within 48 h of discontinuing the offending agent. The symptoms observed in our patient were consistent with the Sternbach criteria for serotonin syndrome.