Irish journal of medical science
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BACKGROUND All neonates have free open access to the Baby Clinic at the maternity hospitals in Dublin for assessment of neonatal health issues. Through observation, however there is an increase in number of neonates attending the hospital outside the Baby Clinic hours. ⋯ A large number of neonatal attendances did not require acute assessment out of hours and were managed by reassurance and maternal education. A centralized phone-in-triage system was suggested to relieve the strain on the acute neonatal service.
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The role of Low molecular weight heparins (LMWH) in day case/short-stay surgery is unknown. ⋯ This study demonstrates a heterogeneous pattern of administration of LMWH. In the absence of published validated protocols, the authors suggest a consensus day case protocol.
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Anal ulceration is uncommon. Patients are typically referred because of severe anal pain, bleeding, discharge, and ulceration. It is important to exclude anal carcinoma, and to consider more unusual causes. ⋯ Knowledge of the association between nicorandil and anal ulceration is essential in order to appropriately diagnose and manage this condition.
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Chronic pain is defined as pain on a daily basis for more than six months. It affects 13% of the Irish population. Despite its prevalence and the impact on patient's quality of life there is no national strategy for this problem. ⋯ A national strategy is needed to reduce costs, standardise teaching and increase pain clinic resources to maximise patient care.
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On October 31st 2002 a system of cumulative penalty points for road traffic offences was introduced. Early evidence suggested a reduction in road traffic accident (RTA) related morbidity. ⋯ The initial reduction in RTA related spinal injuries has not been sustained. Young male drivers are the greatest at risk group.