Clinical News

New national clinical guidelines on ovarian and oesophageal cancer

Two new national clinical guidelines for oncology were launched this year Earlier this year Minister for Health Simon Harris launched two new national clinical guidelines to help healthcare professionals with the diagnosis, staging and treatment of patients with oesophageal or oesophagogastric junction (OGJ) cancer, and the diagnosis and staging of patients with ovarian cancer. The…

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Prostate cancer – the Irish picture

Priscilla Lynch looks at the current prevalence of prostate cancer in Ireland and the work of the Irish Prostate Cancer Outcomes Research (IPCOR) project Prostate cancer is one of the most commonly-diagnosed cancers in Ireland and accounts for almost 30 per cent of the total number of cancers diagnosed in men (excluding non-melanoma skin cancer).…

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Current approaches to risk assessment and management in breast cancer

Approximately one-in-nine women in Ireland will develop breast cancer at some point in their lives, while the incidence rate in men is approximately one-in-1,000. Breast cancer incidence rates are increasing worldwide, from 550,000 in 1975 to over two million in 2018. This increase is partly because people are living longer and their risk increases with…

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Exploring psychiatry and conflict

In advance of the upcoming College of Psychiatrists of Ireland Winter Conference, which is themed ‘psychiatry and conflict’, College President Dr John Hillery spoke to Sarah Gallagher about his expectations for the meeting and the challenges facing the specialty The good news is that young doctors now want to train in psychiatry in Ireland “and…

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Diagnosis and management of COPD in 2019

This article reviews the diagnosis, classification and treatment of patients with chronic obstructive pulmonary disease (COPD) based on the 2019 Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines. The content identifies the key features of COPD recognition and diagnosis and recommends an approach to the management of COPD which considers treatable traits, as well…

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Chronic cough – 2019 ERS update

The European Respiratory Society (ERS) has published new guidelines on the assessment of chronic cough. The purpose of the guidelines is to improve diagnostic accuracy and promote evidence-based therapy for both adult and paediatric populations Most recent guidelines define the duration of chronic cough to be eight weeks in adults and four in children, however,…

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All together now

Next month, the seventh Gathering Around Cancer conference takes place in Croke Park, Dublin. David Lynch talks to two organisers about what delegates can expect Since it began in 2013, the Gathering Around Cancer event has developed and changed significantly, two of the principal organisers have told the Medical Independent (MI). Now in its seventh…

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The role of regenerative medicine in chronic pain management

An overview of the developing uses and evidence for platelet-rich plasma in pain medicine Within the speciality of pain management the use of regenerative medicine is a relatively new treatment option. Platelet-rich plasma therapy (PRP) in particular is attracting a lot of positive attention. PRP contains numerous growth factors and cytokines that potentially offer an…

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Persistent idiopathic facial pain (PIFP): An unexplored entity

An update on the diagnosis and management of PIFP, a difficult-to-treat and under-recognised condition Terminology PIFP is the new term suggested by International Headache Society (HIS) for non-specific chronic facial pain with a code of IHS-ICHD — 13.12. Previously, various terms have been used, including atypical facial pain (AFP), medically unexplained chronic orofacial pain and…

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Managing urinary tract infections

An overview of the latest management approaches to UTIs in Ireland, highlighting the importance of antimicrobial stewardship Urinary tract infection (UTI) is the collective term used to describe infections involving any part of the urinary tract, which includes the kidneys, ureters, bladder and urethra. Infections of the bladder (cystitis) and urethra (urethritis) are known as…

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