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Understanding the Behavioural Determinants of Nutrition Practices in Ultra-Endurance Runners in Ireland.

Ultra-endurance running presents significant physiological demands, with adequate nutritional intake being critical for optimal preparation, performance, and recovery. However, athletes of this sport often consume an insufficient diet. Semi-structured interviews were conducted virtually with ten recreational ultra-endurance runners (age mean ± standard deviation 46 ± 12 years; eight male, two female), all with experience competing in ultra-endurance events, to explore their ultra-endurance experience, dietary intake, nutrition knowledge, and gastrointestinal symptom management. Interviews were

Important learning points for setting up a dental-oncology service in Ireland.

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… Ireland has made attempts to promote delivery of integrated care and implement policies such as a “Healthy Ireland” to help reduce health inequalities and fragmentation [ 69 ]. … Health in Ireland - Key Trends 2022. Oral Health and Healthy Ageing. Available from: https://www.dentalhealth.ie/news/health-in-ireland-key-trends-2022-oral-health-and-healthy-ag/ 5. Connell O’, Brian SA, McGarrigle C (2017) Oral health and wellbeing in older adults in Ireland. …

Changes in statin therapy following discharge in those with cardiovascular disease in Ireland.

INTRODUCTION: High-intensity statin (HIS) therapy is recommended for all patients with cardiovascular disease, yet many receive sub-optimal lipid-lowering therapy because of non-HIS prescribing or de-escalation in routine care. This study used data from the Irish ASPIRE (I-ASPIRE) survey to examine the frequency and reasons for HIS dose reduction in secondary prevention, and to assess how statin intensity influences LDL-cholesterol (LDL-C) target achievement. METHODS: We retrospectively analysed 669 patients with acute or chronic coronary heart disease recruited from cardiology inpatient ward

Exploring the public's perception and understanding of Parkinson's disease in Ireland: a study protocol.

BACKGROUND: There appears to be a lack of empirical investigation on how the public currently understands Parkinson's Disease (PD)and the impact this has on people with PD and their carers, across Ireland. This research hopes to build a greater public understanding of PD, reduce stigma and improve the quality of life for people with PD. The aim of this study is to (1) explore public perceptions, awareness and understanding about PD across the island of Ireland and (2) discover how this impacts people with PD and their families. METHODS: This study will adopt a mixed-methods, sequential explan…

A retrospective analysis of paediatric medical imaging utilisation in Ireland, 2019-2023.

INTRODUCTION: While longitudinal studies in the United States and Canada show increased use of non-ionising imaging and reduced paediatric CT, recent data on imaging trends in Europe are lacking. This study examines paediatric imaging trends from 2019 to 2023 in Ireland, including age-specific patterns and procedure frequencies. METHODS: A retrospective cohort analysis was conducted within Irish paediatric hospitals. Data extracted from the Radiology Information Systems, including examination counts for conventional X-ray (XR), computed tomography (CT), magnetic resonance imaging (MRI), ultra…

Parental experiences of raising an autistic child in Ireland: A qualitative thematic analysis.

Parenting an autistic child can be a challenging experience. Parents of autistic children often require social and professional support to cope with the various stresses they encounter and to ensure their children achieve their optimal potential. Recently, the way professional supports are organised in Ireland has changed. Very little previous recent research has investigated parents' experiences of raising an autistic child in Ireland. This study interviewed six parents asking them about their challenges, stress levels, coping strategies and their perceptions regarding professional support se…

Delirium care in hospitals in Ireland on World Delirium Awareness Day 2023.

BACKGROUND: Acute, transient, but sometimes persistent, delirium is characterized by a sharp disruption in attention, consciousness, and cog … his study reports data from Irish hospitals. RESULTS: In total, 132 wards from 15 hospitals across Ireland participated. Almost 60% of wards used 'personal judgment' for delirium assessment. Having at least one delirium training session in the preceding year was associated with greater use of a formal assessment tool (60.3% versus 18.8%; p < 0.001). Ward …

Current management of neonatal abstinence syndrome: a survey of practice in the UK and Ireland.

OBJECTIVE: To study the current management practices of neonatal abstinence syndrome (NAS) throughout the UK and Ireland and identify changes in practice from the most recent survey in 2008. DESIGN: Postal questionnaire to a consultant paediatrician or neonatologist in all 215 neonatal units in the UK and Ireland in January 2020. RESULTS: Response rate was 62%. An objective scoring tool was used in 97% of units and the Finnegan score was favoured by 70%. Morphine sulfate use as first line for the treatment of opiate withdrawal was almost universal and 70% used a dose of 40 µg/kg every 4 hour…

The Association of Coloproctology of Great Britain and Ireland guideline on the management of anal fissure.

AIM: The management of anal fissure: ACPGBI position statement was written 15 years ago. [KLR Cross et al., Colorectal Dis, 2008]. Our aim was to update the guideline and provide recommendations on the most effective treatment for patients with anal fissures utilising a multidisciplinary, rigorous guideline methodology. METHODS: The development process consisted of six phases. In phase 1 we defined the scope of the guideline. The patient population included patients with acute and chronic anal fissure. The target group was all practitioners (primary and secondary care) treating patients with

The experiences of individuals living with HIV in Ireland attending out-patient physiotherapy.

People living with HIV (PLWH) are living longer and are becoming increasingly susceptible to multi-morbidity resulting in disability. Physiotherapy is an important component in the care of PLWH, increasing functional capacity and quality of life. However, few PLWH access physiotherapy services due to a lack of specialised services, relapses in medical conditions and financial barriers. This study aimed to gather feedback from PLWH in a tertiary infection centre in Ireland attending out-patient physiotherapy on their experiences of physiotherapy. Eleven PLWH completed a semi-structured feedback…

Epidemiology of dermatomycoses and onychomycoses in Ireland (2001-2020): A single-institution review.

BACKGROUND: Fungal skin infections are recognised as one of the most common health disorders globally, and dermatophyte infections of the sk … erview of the epidemiology of the fungal cultures of skin, nail and hair samples in the Mid-West of Ireland over a 20-year period. Monitoring this changing landscape is important in identifying likely sources of infections, to identifying potential outbreaks, and may help guide empiric treatment. To the best of our knowledge, this study provides the first …

Emergency department utilisation by homeless children in Dublin, Ireland: a retrospective review.

INTRODUCTION: Despite increasing prevalence, European family homelessness remains under-researched. METHODS: A retrospective review was performed of homeless children attending a paediatric emergency department in Dublin, Ireland, from 1 January 2017 to 31 December 2020. Comparison was made with a random cohort of 1500 non-homeless paediatric attendances in 2019. Homelessness was defined using the European Typology of Homelessness and Housing Exclusion, including those with addresses of no fixed abode, government homeless accommodation and certain residential settings. The objectives were to …

Critical care in obstetrics: Clinical audit in the Republic of Ireland, 2014-2016.

INTRODUCTION: Admission to an Intensive Care Unit (ICU) in obstetrics is often used as a proxy for maternal near miss/severe maternal morbidity (MNM/SMM) events. Understanding incidence and management of pregnant or postpartum patients requiring critical care (CC) is thus important for continued improvement of maternity care. This study aims to describe provision of critical care in obstetrics in the Republic of Ireland. MATERIAL AND METHODS: The national clinical audit on critical care included 15 of 19 maternity units in Ireland (2014-2016). 960 pregnant or postpartum (within 42 days) indiv…

Temperature management on cardiopulmonary bypass: Is it standardised across Great Britain and Ireland?

Temperature management is an essential element of cardiopulmonary bypass (CPB), as indicated in the Guide to Good Practice in Clinical Perfusion, 'The safe conduct of CPB requires the clinical perfusionist to measure and control. . . blood temperature. . . during the period of bypass'. To review current practice, we have conducted a research survey into the management of temperature on CPB. Surveys were distributed to each centre in Great Britain and the Republic of Ireland, investigating numerous temperature management practices, to elucidate current practice and assess if recent research int…

Hypertension in pregnancy: Prevalence, risk factors and outcomes for women birthing in Ireland.

OBJECTIVES: The purpose of this study was to identify the number of pregnancies affected by hypertension in Ireland and report on possible risk factors and adverse pregnancy outcomes for women and their babies. STUDY DESIGN: Data on maternity hospital discharges for women giving birth in Ireland in 2016 were extracted from the national Hospital In-Patient Enquiry data system. Women with a diagnosis of a hypertensive disorder of pregnancy were identified using relevant ICD codes. Descriptive statistics were used to present prevalence, and Pearson's Chi-square and multivariable regression analy…

Validation of a spatial liver fluke model under field conditions in Ireland.

Fasciola hepatica is the causative agent of fasciolosis, a global disease of a wide range of mammals, particularly sheep and cattle. Liver fluke infection causes annual losses estimated at around €2.5 billion to livestock and food industries worldwide. Various models have been developed to define risk factors and predict exposure to this liver fluke in ruminants in European countries, most of them based exclusively on data from dairy herds. The aim of this study was to validate a published theoretical baseline risk map of liver fluke exposure and cluster maps in Ireland, by including further e…

An analysis of international traveller deaths at the Cliffs of Moher in Ireland, 1993-2017.

BACKGROUND: Traumatic deaths, and more particularly suicides, during international travel receive a disproportionately low level of attention in the travel medicine literature. We describe the demographic profile of international travellers whose death occurred at the Cliffs of Moher along the Atlantic seaboard in Ireland. METHODS: Coroners' files for the 25 years between 1993 and 2017 were interrogated. All cases of death on or at the cliffs were examined, and demographic data were extracted, including date of death, gender, age, nationality, whether the victims were alone at the cliffs prio…

Utilization of conventional radiography in a regional neonatal intensive care unit in Ireland.

OBJECTIVE: To audit the demand and radiation exposure of conventional radiography in a regional neonatal intensive care unit (NICU) in Ireland. METHODS: A retrospective study of radiographs performed on all admissions to the NICU in University Maternity Hospital Limerick (UMHL) over 2 years. RESULTS: A total of 1405 radiographs were performed on 506 infants. 153.5 radiographs per 1000 live births was the observed demand and 44% of radiographs were done out of hours. 47% of all radiographs were performed on infants <1500 g. Median number of radiographs per infant was one (IQR 1-2; range 1-39)…