Irish journal of medical science
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Hereditary pancreatitis is an important cause of chronic pancreatitis, which may result in endocrine and exocrine failure. This may necessitate simultaneous pancreas and kidney transplant (SPK). Bladder drainage of the exocrine secretions may cause problems. ⋯ Enteric-drained pancreas transplantation is a successful treatment for exocrine as well as endocrine pancreatic failure and should be considered as a treatment option in patients with chronic pancreatitis.
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This paper cites the development of the principles of photoelastic stress analysis, contemporary to the life of Samuel Haughton. Subsequent studies of bone and joint replacements are discussed, with reference to hypotheses regarding bone, including the coincidence of trabecular structure with principal stresses. Issues regarding assumptions of homogeneous and isotropic properties in photoelastic modelling are acknowledged. ⋯ Photoelastic analysis offers novel solutions to studies in biomechanics, which are facilitated by contemporary modelling materials.
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Wound botulism occurs as a consequence of inoculation of Clostridium botulinum spores into a wound. ⋯ Physicians should be aware of the association of botulism in injecting drug users, particularly in Ireland.
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Suicidal behaviour has become recognised as a major public health problem. ⋯ There are striking differences between the patterns of fatal and non-fatal suicidal behaviour in Ireland, which should be considered in prevention initiatives.