Irish journal of medical science
-
This study aimed to identify the serum neutrophil/lymphocyte ratio (NLR), monocyte/lymphocyte ratio (MLR), platelet/lymphocyte ratio (PLR), and C-reactive protein (CRP)/albumin (CAR) ratios among patients with diagnosis of migraine according to migraine subtypes (attack/attack-free period, migraine with or without aura, episodic/chronic migraine, family history/no family history) and to collect data to investigate the role of inflammation and oxidative stress in etiology. ⋯ Although non-specific, serum NLR, MLR, PLR, and CAR levels may be potential biomarkers associated with migraine subtypes with different clinical features such as migraine attack period, migraine with aura, and patients with family history of migraine. Elevated inflammatory markers may indicate the severity of disease.
-
For all its abundant rewards, many assert that surgery is a career that requires significant commitment and sacrifice. Many suggest that when left unchecked, this commitment may incite burnout owing principally to the unique time and emotional demands of the profession. Burnout is variably defined as a complex stress reaction that disproportionately affects healthcare workers, including surgeons. ⋯ As a result of this, the phenomenon of burnout is increasing attracting attention in contemporary healthcare. This essay examines the extent to which commitment is required in a surgical career and offsets it against the risks and consequences of burnout. Ultimately, the authors conclude that surgeons must be aware of both when and how overzealous, unchecked commitment may paradoxically impair their care via the incubation of burnout.
-
The most common cause of pathological nipple discharge (PND) is single papilloma, which is a benign intraductal lesion (BIL). However, underlying malign (MIL) or high-risk intraductal lesions (HIL) should be considered during examination. ⋯ Although patients' physical examinations, CIM, and cytology findings were normal, duct excision procedures should be applied to exclude MIL or HIL, which can be a cause of discharge in case of suspicious color. The details in cytology reports have a role in increasing the value of cytology.
-
Globe rupture is a full thickness penetration of the ocular wall. It is a sight-threatening injury and requires emergent ophthalmic management. Prognosis for vision is dependent on the nature of the rupture, as well as clinical and intraoperative exam findings. ⋯ Globe rupture after a mechanical fall was most common in the over-75 age group. Globe rupture from assault, followed by workplace injury, was the most common injury in young males under 40. In an Irish setting, this represents a change in the aetiology of globe ruptures in young males compared with rates reported 20 years ago when workplace injuries were more common. The preventable nature of these injuries is highlighted.
-
This study aimed to explore the effect of a comprehensive rehabilitation and intensive education (CRIE) program on anxiety, depression, quality of life (QoL), and major adverse cardiac and cerebrovascular events (MACCE) risk in unprotected left main coronary artery disease (ULMCAD) patients who underwent coronary artery bypass grafting (CABG). ⋯ CRIE is an effective approach in improving anxiety, depression, and QoL in ULMCAD patients who underwent CABG.