Irish journal of medical science
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Excessive alcohol consumption is ingrained in Irish society and is known to have significant adverse health consequences, including adverse outcomes for critically ill patients. Previous assessments of alcohol-related intensive care unit (ICU) admissions were felt to have underestimated the scale of this problem. ⋯ This study adds to the data available on the scale of alcohol-related problems amongst Irish healthcare system patients. Prioritisation of primary preventative strategies is necessary.
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The purpose of this study was to review indications, source of haemorrhage, method of embolisation and clinical outcome in patients referred to Interventional Radiology for the emergency management of acute arterial haemorrhage. ⋯ Emergency arterial embolisation is a potentially life-saving treatment. Although it is technically challenging, indications are becoming increasingly varied and outcomes are more successful because of the availability of microcatheters and effective embolisation materials.
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To determine non-steroidal anti-inflammatory drug (NSAID) prescribing practices in a tertiary referral hospital. ⋯ NSAIDs and PPIs are often prescribed inappropriately.
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Comparative Study
Free tissue transfer versus pedicled flap reconstruction of head and neck malignancy defects.
With the advent of microsurgery the pedicled flap is considered by many to be an outdated surgical option. ⋯ Pectoralis major myocutaneous flap remains an enduring and safe flap; however, the RFFF has markedly improved speech performance over the PMMF.
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This study aims to analyze the outcome of various procedures performed for coccygeal pilonidal disease. ⋯ In patients with coccygeal pilonidal sinus disease, a single-stage incision and lay open of the sinus tract is the most efficient operation, especially during emergency surgery.