Irish journal of medical science
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Lack of financial resources was internationally ranked as the greatest limitation to the application of human physiological simulation in clinical teaching. The Beaumont Simulation Centre in the Republic of Ireland is solely funded by once-off grant payments. Attracting a range of health care specialties through course diversity can offset costs. ⋯ This study demonstrates successful post-graduate course development in a simulation centre with narrow budgetary restrictions. In addition, it is the first to examine Irish anaesthetists', nurses' and dentists' attitudes towards full-scale simulation as an assessment tool.
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Pneumocystis carinii pneumonia (PCP) is a rare form of pneumonia associated with immune-suppression. It is common in patients with AIDS and with a CD4 count of less than 200 cells/mm(3). We report a case of PCP secondary to immune-suppression in a 41-year-old man with psoriatic arthritis being treated with the immune-modulatory agent etanercept. ⋯ This report highlights a recognised but previously unreported complication of etanercept.
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Acute Pain Services (APS) evolved in response to the desire for improved management of postoperative pain. ⋯ Despite a growing trend in pain management and publication of guidelines, only 71% (22/31) of teaching hospitals in the Republic of Ireland have such services. Further resources are needed to address this deficiency.
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Metastatic oesophageal carcinoma to the brain is an uncommon diagnosis that may cause abnormal neurological findings. ⋯ Oesophageal carcinoma is a recognised cause of intracerebral metastatic tumours, though this is an uncommon occurrence.