Original Research

Review of neonatal outcomes following new blood transfusion guidelines

Urbaniak et al. audited the response to a new neonatal guideline. There was a 56% adherence leading to fewer blood transfusions.

Delivering care for Pregnant Women with Rheumatic and Musculoskeletal diseases

O'Farrell et al. report on the services available for pregnant women with rheumatic conditions. The development of a national clinical pathway is needed. One of the current issues is the lack of shared care rheumatology /obstetric clinics.

Survey of patient attitudes of face-to-face and telemedicine teaching in COVID-19

Coady et al. surveyed 229 inpatient and outpatients. They had a positive attitude towards both face-to-face and telemedicine teaching. However they preferred the former.

The impact of the South Kerry CAMHS review and Maskey report on child and adolescent psychiatrists’ work motivation and stress levels

Bond and McNicholas surveyed the opinions of 102 psychiatrists on their response to above report. The sentiments expressed included decrease in motivation, and increased stress levels.

 Loneliness amongst Older Hospital Inpatients: Prevalence and Associated Factors

Maden et al. surveyed 107 inpatients. Half reported some degree of loneliness and 1 in 7 reported higher degrees of loneliness.

 Neonatal Abstinence Syndrome: A National Survey

Tamgumus et al. have surveyed the management of NAS nationally. All units use Oromorph and 66% use Phenobarbitone as a second line medication. 66% have a non-pharmacological plan, and 24% provide specific parent education.

Latest Editorials

Resuscitation training in Ireland - past to present

Kenny and Naas discuss the history of resuscitation training, as well as exploring the variety of initiatives which have been implemented in resus training.

Mortise Ankle X-Rays in Surgical Planning and Post-op Recovery

Bouchard et al. discuss the factors that may lead to superior radiographic efficiency, specifically with regard to mortise ankle X-rays.

Corporate governance – the Emperor’s new clothes?

Á. Carroll discusses various issues in safeguarding within the HSE, healthcare regulators and governance.

Case Reports

Methadone for the management of complex pain and opioid-induced hyperalgesia in a child with Spinal Muscular Atrophy Type 2

Cleary et al. report on a 10 year old child with SMA 2 with severe pain due to scoliosis and the previously inserted rods. The pain management regimen employed is described.

The breathless patient with a sore neck

Power et al. describe a 69 year old man with dyspnoea due to a raised hemi-diaphragm secondary to cervical spondylosis.

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