Irish Medical News

Clinical Review

Probiotics: Evidence-based guidelines

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The term “probiotics” was first introduced in 1965 by Lilly and Stillwell; in contrast to antibiotics, probiotics were defined as microbially-derived factors that stimulate the growth of other organisms. In 1989, Roy Fuller emphasised the requirement of viability for probiotics and introduced the idea that they have a beneficial effect on the host.

 

 

New global strategy for COPD

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Early stage COPD carries a significant healthcare burden that is currently underrecognised, underdiagnosed and undertreated. Furthermore, patients at this stage can rapidly decline to advanced disease, especially if they continue to smoke. The natural history of the disease in early stages remains largely unknown, but emerging evidence indicates that specialists are able to reduce lung function decline and exacerbations, and improve quality of life, in early stage COPD, mainly through smoking cessation.

 

Diagnosing lung cancer: Guideline update

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The long-awaited updated guidance on diagnosing lung cancer was released last week by the National Institute for Clinical Excellence (NICE) in the UK, replacing previous recommendations published in 2005.

 

Advances in treatment of chronic total occlusion

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Marie Feely learns of the unique advances in the Mater Private Hospital’s Heart Centre that are improving patients’ lives

 

An overview of atopic dermatitis

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Eczema, or  atopic dermatitis, is a common inflammatory disease of the skin. The condition often has its start in childhood and follows a variable and sometimes unremitting course. Historically, this disease has been considered a part of a triad of “atopy” that included asthma and allergic rhinitis, though this association has recently come into question.

 
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Department advises HSE over employment ceiling
Paul Mulholland - Tuesday, 05 April 2011

Secretary General of the Department of Health, Mr Michael Scanlan, wrote to the HSE last year that there was a need for the Executive to ensure greater coherence between expenditure and Employment Control Framework (ECF) allocations for various care groups. In a letter to HSE CEO Mr Cathal Magee on December 13 2010, Mr Scanlan said such an approach was necessary given the former Health Minister Mary Harney’s stipulation that the HSE prepare its Service Plan 2011 on the basis of a specified maximum budget reduction for disability and mental health services, a specified minimum budget reduction for acute hospitals, and a balancing reduction for other services.

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