Irish journal of medical science
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Michel Foucault developed the concept of 'the medical gaze', describing how doctors fit a patient's story into a 'biomedical paradigm, filtering out what is deemed as irrelevant material' (Misselbrook, 2013). Doctors are perceived within this model to focus on selecting the biomedical elements of patients' problems only, filtering out all other elements of a person's life story, but this paper argues that in the subspecialty of psychiatry, this is not the case, and such a filter is not so easily applied.
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Although several studies proved that SM could substitute for FFDM, the efficacy of SM in microcalcification evaluation remains controversial. ⋯ SM had similar diagnostic performance in the evaluation of breast microcalcifications in comparison with FFDM, regardless of reader experience levels.
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Epistaxis represents a massive burden upon NHS resources. Despite being an extremely common reason for emergency ENT admissions, there remains significant variation in its management. Although the evidence base is continually growing, there appears to be a lack of guidance towards managing anti-coagulants and anti-platelet medications and identifying patient-specific outcomes in this setting. Epistaxis has long been associated with a multitude of risk factors but none have shown consistent, direct correlation. ⋯ The use of anti-thrombotic medication is not associated with increased morbidity or increased rate of complications. Anti-thrombotic usage and more than one medical co-morbidity increase the risk of re-admission within 28 days.
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Empagliflozin, a sodium-glucose co-transporter-2 (SGLT-2) inhibitor, yielded significant beneficiaries in the treatment of type 2 diabetes mellitus (T2DM). It is particularly benefited the diabetic subjects with heart conditions. ⋯ We suggest that empagliflozin treatment may improve anthropometric measures, metabolic parameters, and blood pressure and does not cause deterioration in kidney functions in type 2 diabetic patients with established coronary heart disease.
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The management of massive rotator cuff tears (RCTs) remains a debated topic amongst orthopaedic surgeons, with a wide spectrum of treatment options available. In recent years, the use of sub-acromial balloon spacers has emerged as an option in the management of massive RCTs. The purpose of this study is to evaluate the clinical outcomes of patients with massive RCTs who underwent arthroscopic sub-acromial balloon spacer insertion at medium-term follow-up. ⋯ III; Retrospective Cohort Study.