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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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Paediatric urology: A subspecialty born from collaboration

An overview of the opportunities and challenges in the field of paediatric urology Paediatric urology is an often misunderstood and overlooked field of surgery. Paediatric urologists are the custodians of the entire urological and genital systems for both boys and girls, specialising in both the surgical and medical issues related to the kidneys, bladder, and…

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NSAIDs and cardiovascular risk

An outline of the current evidence linking NSAIDs to cardiovascular issues The links between non-steroidal anti-inflammatory drugs (NSAIDs) and cardiovascular (CV) risk has been established for some time. The initial studies on rofecoxib were published in 2000 followed shortly afterwards by other studies showing increased cardiovascular risk. In September 2004, Merck voluntarily withdrew rofecoxib from…

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Onwards and upwards in cardiology

President of the Irish Cardiac Society Prof Jim Crowley spoke with Pat Kelly ahead of the Society’s upcoming Annual Scientific Meeting and AGM about the past, present and future of cardiac care in Ireland The Irish Cardiac Society (ICS) Annual Scientific Meeting and AGM will see a range of distinguished speakers and marks the 70th…

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Early diagnosis of COPD

The early diagnosis of COPD has a significant potential to benefit patients and reduce costs to the health service Perhaps unsurprisingly the best place to start a discussion on the benefits of early diagnosis and treatment in chronic obstructive pulmonary disease (COPD) is with the definition of COPD from the Global Initiative for Chronic Obstructive…

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