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Congenital Epulis: Diagnosis and Management. 先天性瞳孔:诊断与处理。
Q3 Medicine
Ulster Medical Journal
Pub Date : 2023-01-01
Kah Heng Lim, Mary-Beth Toner, David Millar, Conor Jackson
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引用次数: 0
Prescribing exercise and physical activity to treat and manage health conditions. 规定锻炼和体育活动来治疗和管理健康状况。
Q3 Medicine
Ulster Medical Journal
Pub Date : 2023-01-01
Daire Rooney, Emma Gilmartin, Neil Heron
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引用次数: 0
Multidisciplinary Approach to Cancer Pain Management. 癌症疼痛管理的多学科方法。
Q3 Medicine
Ulster Medical Journal
Pub Date : 2023-01-01
Grace Kettyle
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引用次数: 0
Assisted suicide a 20th century problem, Palliative care a 21st century solution. 协助自杀是20世纪的问题，姑息治疗是21世纪的解决方案。
Q3 Medicine
Ulster Medical Journal
Pub Date : 2023-01-01
Matthew Doré

Assisted suicide and euthanasia are two forms of what is being called 'assisted dying', and they are touted by proponents as "progressive" and "compassionate". In fact, they are, on the contrary, relics from the last century: today, in the 21st century, we have moved beyond such archaic solutions - we now have, instead, proper evidence-based palliative care. It is this that should be demanded for all. This article will dispel the myths around dying that are often cited. It will also explore the oft-overlooked tragedies generated by assisted suicide, in the hope you, the reader, can be better informed about this retrogressive practice.

辅助自杀和安乐死是所谓“辅助死亡”的两种形式，它们被支持者吹捧为“进步的”和“富有同情心的”。事实上，恰恰相反，它们是上个世纪的遗物:今天，在21世纪，我们已经超越了这些陈旧的解决方案——我们现在有了适当的、以证据为基础的姑息治疗。这是所有人都应该要求的。这篇文章将消除那些经常被引用的关于死亡的神话。它还将探讨由协助自杀引起的经常被忽视的悲剧，希望读者能更好地了解这种倒退的做法。
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引用次数: 0
A Neurology Advanced Referral Management System (NARMS) Reduces Face-to-Face Consultations By Over Sixty Percent. 神经病学高级转诊管理系统(NARMS)减少了60%以上的面对面咨询。
Q3 Medicine
Ulster Medical Journal
Pub Date : 2023-01-01
John McConville, Annemarie Hunter, Ailsa Fulton, Orla Gray, Andrew Kerr, Victor Patterson

Background: The COVID-19 pandemic has made neurology clinic waiting times longer. To prevent a build-up of patients waiting, we introduced a neurology advanced referral management system (NARMS) to deal with new referrals from GPs, using advice, investigations, or the telephone, as alternatives to face-to-face (FF) assessment.

Methods: For six months, electronic referrals from GPs were triaged to the above categories. We recorded the numbers in each category, patient satisfaction, inter-consultant triage variation, re-referrals, and calculated CO2 emissions.

Results: There were 573 referrals. Triage destinations were advice 33%, investigations 27%, telephone 17%, and FF 33%. Of patients referred for MRI, 95% were happy not to be seen if their investigation was normal. Less-experienced consultants triaged 20% and 30% respectively, to advice or investigations, compared with 40% by a triage-experienced neurologist. Four percent were re-referred. Numbers on the waiting list did not increase. CO2 emissions were reduced by 50%.

Discussion: Two thirds of neurological referrals from GPs did not need to be seen FF and 50% were dealt with without the neurologist meeting the patient. Carbon emission was halved. This system should be employed more, with FF examination reserved for those patients who need a neurological examination for diagnosis and management.

背景:新冠肺炎大流行导致神经内科门诊等待时间延长。为了防止等待的患者增加，我们引入了神经病学高级转诊管理系统(NARMS)来处理来自全科医生的新转诊，使用建议，调查或电话，作为面对面(FF)评估的替代方案。方法:在六个月的时间里，对来自全科医生的电子转诊进行分类。我们记录了每个类别的数字、患者满意度、咨询师之间的分诊差异、转诊，并计算了二氧化碳排放量。结果:共转诊573例。分诊目的为建议33%，调查27%，电话17%，FF 33%。在接受核磁共振检查的患者中，如果检查正常，95%的人很高兴没有被发现。经验不足的咨询师分别为20%和30%的患者提供咨询或调查，而经验丰富的神经科医生为40%。4%的人被重新推荐。等候名单上的人数没有增加。二氧化碳排放量减少了50%。讨论:三分之二来自全科医生的神经系统转诊不需要看FF, 50%的神经科医生没有见过病人就处理了。碳排放量减半。应更多地使用该系统，FF检查保留给需要进行神经学检查进行诊断和管理的患者。
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引用次数: 0
Curiositas. 好奇的
Q3 Medicine
Ulster Medical Journal
Pub Date : 2023-01-01
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引用次数: 0
Higgs Boson: Chapel Hill, CERN, QUB. 希格斯玻色子:教堂山，CERN, QUB。
Q3 Medicine
Ulster Medical Journal
Pub Date : 2022-09-01
John Hedley-Whyte, Frca Debra R Milamed
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引用次数: 0
A history of cancer and its treatment: Presidential Address to the Ulster Medical Society. 7th October 2021. 癌症的历史及其治疗:阿尔斯特医学会主席致辞，2021年10月7日。
Q3 Medicine
Ulster Medical Journal
Pub Date : 2022-09-01
Seamus McAleer
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引用次数: 0
Curiositas. 好奇心
Q3 Medicine
Ulster Medical Journal
Pub Date : 2022-09-01 Epub Date: 2022-12-05
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引用次数: 0
UNUSUAL CASES OF ACUTE PANCREATITIS IN PATIENTS WITH COVID-19. covid-19患者急性胰腺炎异常病例分析。
Q3 Medicine
Ulster Medical Journal
Pub Date : 2022-09-01
S Sundar, N V Dsouza, B Achappa, M A Manoj, B S Vinay
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引用次数: 0
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