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Integration of ENT service delivery and Covid-19

Prof Camilla Carroll, Consultant Otolaryngology Head and Neck Surgeon, Royal Victoria Eye and Ear Hospital (RVEEH), Dublin, National Clinical Programmes in Surgery Clinical Lead for ENT Education in Primary Care; Dr Eoin Murphy, Mid-Leinster GP Training Programme SHO, RVEEH; Dr Niall Vaughan, Mid-Leinster GP Training Programme SHO, RVEEH; and Dr Michael Keyes, North-East Dublin GP…

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Heart failure in 2020 — the latest advances

Prof Dermot McCaffrey Associate Professor and Consultant Cardiologist and Heart Failure Specialist, Beacon Hospital, Dublin Heart failure (HF) is a condition associated with ageing, so will become more prevalent in the decades to come as our life expectancy increases. HF is associated with many comorbidities which are also becoming more prevalent, namely hypertension, diabetes, obesity…

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The latest treatment approaches in diabetes

The Diabetes Federation of Ireland estimates that there are over 200,000 diabetics in Ireland and that over half of these have no idea they have diabetes. The aim of diabetes treatment is to do what the body once did automatically, which is to mimic the insulin pattern before diabetes and to keep blood sugar under…

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Returning diabetes and obesity services to the ‘new normal'

Hospital and community diabetes and obesity services are gradually resuming and scaling up delivery of care As health services continue to grapple with providing care in the ‘new normal’ caused by the Covid-19 pandemic, there is rising concern about missed opportunities and early warning signs being ignored in people with chronic diseases such as diabetes.…

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Diabetes and the new HSE chronic disease management programme

A comprehensive overview of the new chronic disease management programme in general practice “The way we currently care for (people with) chronic conditions is relatively ineffective, inefficient and ultimately unsustainable. Too many people end up needing hospital admission…too many depend on hospital OPD. We need a better way of caring for people with chronic diseases…affecting…

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Management of patients with multimorbidities during Covid-19

Promoting primary care services to mitigate undetected deterioration or a surge in the presentations of post-lockdown non-Covid-19 related morbidities should be a priority Encompassing forms of arthritis, chronic respiratory diseases, diabetes, coronary heart disease and cancers, a chronic disease is a health condition that is long-lasting and persistent. Approximately one million people in Ireland today…

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Depression in bipolar affective disorder

A comprehensive update on the diagnosis and management of depression as it occurs in bipolar affective disorder Bipolar affective disorder affects about 2 per cent of the population and is the sixth-leading cause of disability worldwide (Murray et al, 1997). It typically consists of both manic and depressive episodes separated by periods of normal mood.…

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Psychiatry versus psychology

Psychologist or psychiatrist? Why you need both in your neurology service For many health professionals, as well as among the public, the roles of psychology and psychiatry are often unclear and difficult to distinguish. In addition, the relationship between psychology and psychiatry has historically been complex and sometimes conflictual (Costello and Angold, 2014).  This review…

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Under 18s psychiatric treatment in Ireland – latest data

The latest figures from the HRB show an increase in the number of under 18s admitted to Irish psychiatric units and hospitals A recently published report by the Health Research Board (HRB) on the 2019 activities of the 66 approved psychiatric units and hospitals in Ireland, shows an increase in the number of under 18-year-olds…

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Gastro-oesophageal reflux disease (GORD)

An overview of the risk factors, symptoms, and latest treatment approaches to GORD Gastro-oesophageal reflux disease (GORD) is a common disorder of the GI system. A higher incidence occurs in people living in western countries, affecting up to 20 per cent of the population. GORD is defined as “symptoms or complications resulting from the reflux…

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