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  April 2012 Volume 105 Number 4                    
Table of Contents
IMJ Commentary
Editorial
Original Papers
Short Report
Case Report
Research Correspondence
Letters to the Editor
Book Reviews
 
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This Month

Chronic disease management in general practice: results from a national study: Darker et al assess the chronic care model (CCM) in general practice. It is not a departure from the traditional emphasis on person centred care but rather the addition of elements in relation to prevention and management of chronic disease.

Maternal Smoking and alcohol consumption during pregnancy as risk factors for sudden infant death: McDonnell/Naughton et al report on risk factors for SIDS. A total of 287 SIDS cases were compared with 832 infant controls. Mothers who smoked were 3 times more likely to have a SIDS. Alcohol when consumed throughout all 3 trimesters was also a risk factor. 67% of SIDS mothers consumed alcohol compared with 49% of controls.

Progress in reducing road-related deaths and injuries in Irish children: Donnelly et al compare RTA morbidity and mortality in children for 2 time periods 1996-2000 and 2004-2008. Over the 2 time periods the number of car occupant fatalities decreased by 36% and pedestrian deaths fell by 50%. Cyclist fatalities decreased by 76%. Important factors are safety campaigns, garda enforcement and cultural changes.

Choledochal Cysts: our 10 year experience: Cianci et al describe 17 children with choledochal cysts. The average age at diagnosis was 28 months, the common presenting features being jaundice, abdominal pain and vomiting. All cases underwent a Roux-en-Y Hepaticojejunostomy.

      

Must we review printed lab reports without checking them? A prospective analysis of emergency department practice: McCabe et al examined a total of 519 laboratory reports for significant abnormal results. There were 158 cases with abnormal results. No patient was discharged inappropriately. The authors suggest that routine subsequent checking of printed biochemistry and haematology reports is unnecessary.

What do General Practitioners think of the new professional competence scheme? Daly et al surveyed 48 GPs about the new competence scheme. 75% were concerned about the time required and 67% felt that they needed further information about the scheme. 60% have never had any teaching on clinical audits and only 48% felt that it was practical in their current practice.

 

Scoliosis secondary to an unusual rib lesion: Burke et al describe a 16 year old boy with a right-sided scoliosis. MRI revealed an extensive soft tissue lesion of the left posterior cheat wall. A CT guided biopsy found a cavernous haemangioma. A rib resection was undertaken with satisfactory results.

Complications of nasogastric tube placement-don’t blow it: Leonard et al report on inadvertent placement of nasogastric tubes. The first instance resulted in a pneumothorax and the second in a lung abscess. Positive auscultation can have a false positive rate of 20%. Misinterpretation of radiography occurs in 27% of cases and therefore should be confirmed by a radiologist.

IMJ Commentary
What is the Role and Value of Extra-Mural Medical Activity?
 
JFA Murphy
   
Editorial
The Growing Epidemic of HPV Associated Oropharyngeal Malignancy
 
F O'Duffy,T O’Dwyer
   
Original Papers
Chronic Disease Management in General Practice: Results from a National Study
 
C Darker,C Martin,T O'Dowd,F O'Kelly,M O'Kelly,B O'Shea
   
Maternal Smoking and Alcohol Consumption during Pregnancy as Risk Factors for Sudden Infant Death
 
M McDonnell Naughton,C McGarvey,M O'Regan,TG Matthews
   
Progress in Reducing Road-Related Deaths and Injuries in Irish Children
 
J Donnelly,Y Bimpeh,F Trace,A Waters,AJ Nicholson
   
Choledochal Cysts: Our Ten Year Experience
 
F Cianci,F Al Oraifi,F Tareen,M Corbally
   
Short Report
Must We Review Printed Lab Reports Without Checking Them? A Prospective Analysis of Emergency Department Practice
 
Aileen McCabe,P Staunton,S Walsh,R O'Sullivan
   
What do General Practitioners think of the new Professional Competence Scheme?
 
E Daly,D Brennan,S Dowling,G Plant
   
Case Report
Scoliosis Secondary to an Unusual Rib Lesion
 
NG Burke,J Walsh,S McEvoy,E Heffernan,S Dudeney
   
Complications of Nasogastric Tube Placement - Don't blow it
 
S Leonard,S O'Connell,O'Connor M
   
Crack-ing the Case: A Patient with Persistent Delirium due to Body Packing with Cocaine
 
D Ní Chróinín,S Gaine
   
Research Correspondence
Cox – 2 Inhibitors and the Risk of Cardiovascular Thrombotic Events
 
M Khan,A Fraser
   
The Science of Searching - How to Find the Evidence Quickly and Efficiently
 
J Wallace
   
Letters to the Editor
Pulse Oximetry Screening for Congenital Heart Disease
 
C Travers,JFA Murphy
   
Early Post-Natal Discharge and Time to Pass Meconium in the Newborn
 
M Tariq,M Barron,CA Ryan
   
Should Rheumatology Patients on Immunosuppressive Medications be advised Against Getting Tattoos?
 
MB O'Connor,MJ Phelan
   
Unnecessary Intravenous Antibiotics Use: A Retrospective Study
 
M Kaballo,A Ibrahim,B Breslin
   
An Antipodean Infection
 
A Cafferkey,J Collins,D Kane,J Gibney,JP Fennell
   
Book Reviews
“How to Operate” DVD
 
M Barry, ADK Hill
   
 
 
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