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Clinical News

Preventive cardiology in the community

An analysis of a pilot pharmacy project to detect hypertension and atrial fibrillation in the community, and separate Irish Heart Foundation initiatives on mobile blood pressure checks and CPR training The Sláintecare Report by the Oireachtas Committee on the Future of Healthcare recommends the use of all available mechanisms and processes to ensure healthcare is…

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DOACs for atrial fibrillation in general practice

The ICGP has published a new document addressing the practical use of direct oral anticoagulants (DOACs) in atrial fibrillation in general practice. Priscilla Lynch reports Atrial fibrillation (AF) is the most common cardiac arrhythmia worldwide, occurring in approximately 1-to-2 per cent of the general population, and estimates suggest that as many as 40,000 people in…

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How diet and air pollution impact stroke risk and cardiovascular health

Priscilla Lynch reviews the findings of two new major studies published in European Society of Cardiology journals, which highlight the impact of diet and air pollution on stroke and cardiovascular health Study of 418,000 Europeans finds different foods linked to different types of stroke Different types of food are linked to risks of different types…

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Managing adolescent and adult asthma

Sublingual immunotherapy and other updates on adolescent and adult asthma The prevalence of asthma has been increasing internationally for several decades. Ireland has one of the highest prevalence figures for asthma in the world with estimates approaching half a million people affected. This is disappointing during a time when Ireland has made significant, slow but…

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Cystic fibrosis in 2020

Cystic fibrosis (CF) is an inherited chronic disease, primarily affecting the lungs and digestive system. This lifelong condition usually becomes more severe with age and affects both males and females in equal proportions. The symptoms and severity of CF vary from person to person, but the majority of people with the disease have both respiratory…

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Pharmacological pain management

A clinical overview on the mechanisms, classifications, and treatment of pain in the community Pain is one of the most common symptoms that presents in community settings, a complicated complaint that is commonly described in the literature as: “An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms…

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Recognising seasonal affective disorder in chronic pain patients

Nobody likes the short, colder days of the winter season. The concept that our mood fluctuates with the seasons has been proposed for many centuries. For individuals suffering with chronic pain, it can be even more of a problem. As we slowly move away from the dreary days of winter, we are hopeful of being…

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Identifying the causes of back pain

A look at the underlying causes of back pain and the various management approaches Back pain is rarely from one single source. ‘Discogenic’ back pain may account for up to 45 per cent of cases. The sacroiliac joint or the facet joints are considered to be the cause in 13 per cent, 15 per cent…

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A gathering to showcase the health of oncology research in Ireland

Paul Mulholland reports on the recent ISMO Fellowship and Bursary Awards meeting The 2020 Irish Society of Medical Oncology (ISMO) Fellowship and Bursary Awards took place in the Catherine McAuley Centre, Mater Misericordiae University Hospital, Dublin, on Friday and Saturday 24 and 25 January. As usual, the meeting featured some of the very best oncology…

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Diagnosing and treating psoriasis

Dr Donna Cosgrove PhD, Pharmacist, takes a clinical look at the diagnosis, impact and treatment of different presentations of psoriasis and how the pharmacist can improve quality of life for these patients Psoriasis is a multifactorial, chronic, multi-system, inflammatory disease with mainly skin and joint involvement. It can cause itching, irritation, burning, and stinging and…

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