Institution
Connolly Hospital Blanchardstown
Healthcare•Dublin, Ireland•
About: Connolly Hospital Blanchardstown is a healthcare organization based out in Dublin, Ireland. It is known for research contribution in the topics: Population & Ambulatory blood pressure. The organization has 302 authors who have published 213 publications receiving 3858 citations. The organization is also known as: James Connolly Memorial Hospital.
Topics: Population, Ambulatory blood pressure, Stroke, Vitamin D and neurology, Staphylococcus aureus
Papers published on a yearly basis
Papers
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TL;DR: The case of a 15 yr-old male who was referred to the respiratory department for investigation of a chronic cough that was severely affecting his daily activities is presented, highlighting the importance of a complete assessment of cough in all cases.
7 citations
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TL;DR: Although RAPN appears to be the preferred treatment for select renal tumours, there are notable complications in up to 35% of cases and there is a lack of literature describing appropriate management strategies.
Abstract: Nephron-sparing surgery (NSS) is the treatment of choice for T1 renal cell carcinoma (RCC). Since the first robotic assisted partial nephrectomy (RAPN) was performed in 2004, NSS is being implemented with increasing frequency. RAPN will likely become the gold standard procedure for T1 RCC due to improved dexterity, enhanced visualization, shorter learning curve, quicker recovery time, and shortened warm ischemic time. Although RAPN appears to be the preferred treatment for select renal tumours, there are notable complications in up to 35% of cases. While complications associated with RAPN are well-described, there is a lack of literature describing appropriate management strategies. Herein, we review complications associated with RAPN and design an appropriate systematic management algorithm.
7 citations
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TL;DR: Incremental uptitration with dosage-adapted perindopril/amlodipine SPC is a safe and effective strategy for managing hypertension.
Abstract: Angiotensin-converting enzyme inhibitors and calcium channel blockers in combination are widely recommended in hypertension guidelines. The advantages of single-pill combinations (SPCs) are increasingly recognized, so a dosage-adapted combination of perindopril and amlodipine was developed for the initial management of hypertension. This randomized trial evaluated the blood pressure (BP)-lowering efficacy of four incremental doses of perindopril/amlodipine SPC in adults with mild-to-severe hypertension. Eligible patients (N = 1617) were randomized to SPC perindopril 3.5 mg/amlodipine 2.5 mg (i.e., 3.5/2.5 mg) daily, uptitrating as required on a monthly basis up to 14/10 mg until BP < 140/90 mmHg (< 130/80 mmHg in patients with diabetes). The primary endpoint (proportion with controlled BP at each uptitrated dose) was evaluated at 6 months, and safety was evaluated at 9 months; 24-h ambulatory BP measurement and BP variability were also investigated. Control-arm participants (n = 1653) were randomized to irbesartan 150 mg daily, uptitrating over 3 months to irbesartan/hydrochlorothiazide 300/25 mg. Significant increases in BP control were observed with each dosage increment of perindopril/amlodipine, which was well tolerated, rising from 21% (3.5/2.5 mg) to 30% (7/5 mg), 37% (14/5 mg), and 42% (14/10 mg) after 1, 2, 3, and 6 months, respectively. Reductions in mean systolic and diastolic BP occurred with each incremental dose of perindopril/amlodipine. After 6 months, mean BP had fallen by 24.8/10.8 mmHg. Irbesartan-based therapy reduced clinic and 24-h BP similarly to perindopril/amlodipine, but perindopril/amlodipine reduced BP variability more in comparison. Incremental uptitration with dosage-adapted perindopril/amlodipine SPC is a safe and effective strategy for managing hypertension. EudraCT (No. 2006-005799-42).
6 citations
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TL;DR: The high rate of antimicrobial resistance in patients admitted with urosepsis poses a challenge in prescribing the most appropriate antibiotics, and it is crucial that prescribers follow local antibiotic guidelines for the treatment of u rosepsis and are cognisant of the risk of specific patient groups presenting with u Rosepsis due to MDR organisms.
Abstract: Urosepsis accounts for up to 20–30% of all sepsis cases; however, increasing antimicrobial resistance is posing a significant threat to patient’s outcomes. The aim of this study was to look at the prevalence of multi-drug resistant (MDR) organisms in patients admitted with urosepsis and their effect on the treatment and outcome of patients in our hospital. A total of 2679 urine cultures and 654 blood cultures performed in Connolly Hospital Emergency Department were reviewed between 2016 and 2018. Patients were included if they had a matching urine culture and blood culture performed within 24 h of admission. We compared patient demographics and underlying co-morbidities between patients admitted with urosepsis secondary to MDR organisms and non-MDR organisms. Our study included 85 patients admitted with urosepsis. The most common causative pathogen was Escherichia coli, and 34.1% (n = 29) of pathogens were classified as an MDR organism. Patients admitted with urosepsis from long-term care facilities were 2.3 times more likely to have urosepsis due to a MDR organism compared with patients admitted from the community. Patients admitted with urosepsis secondary to a MDR organism were also more likely to have co-morbidities such as diabetes and dementia. The high rate of antimicrobial resistance in patients admitted with urosepsis poses a challenge in prescribing the most appropriate antibiotics. It is crucial that prescribers follow local antibiotic guidelines for the treatment of urosepsis and are cognisant of the risk of specific patient groups presenting with urosepsis due to MDR organisms.
6 citations
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University Hospitals Bristol NHS Foundation Trust1, College of Emergency Medicine2, Musgrove Park Hospital3, University of Manchester4, University of Bath5, University of Salford6, Bristol Royal Hospital for Children7, University of the West of England8, North Bristol NHS Trust9, University of Plymouth10, University College Dublin11, University Hospital Waterford12, Connolly Hospital Blanchardstown13
TL;DR: In this paper, the authors present a proposal for the first edition of the Next Generation Journal of Distributed Sensor Networks (NDSN), which is published 1st August 2021. Accepted 17th May 2021.
Abstract: Received 12th May 2021. Accepted 17th May 2021. Published online 28th May 2021. Issue published 1st August 2021.
6 citations
Authors
Showing all 303 results
Name | H-index | Papers | Citations |
---|---|---|---|
James P. O'Gara | 41 | 87 | 5924 |
Jarushka Naidoo | 38 | 139 | 7798 |
Thomas N. Walsh | 31 | 127 | 4735 |
Richard J. Farrell | 31 | 91 | 5176 |
Conor Burke | 26 | 65 | 2968 |
Seamus Sreenan | 24 | 73 | 2667 |
Eamon Dolan | 24 | 61 | 1728 |
Cathal J. Kelly | 22 | 56 | 1183 |
John Faul | 22 | 41 | 2163 |
Eoghan O'Neill | 19 | 45 | 1996 |
Austin Leahy | 19 | 83 | 1385 |
Aoife M. Egan | 18 | 73 | 1173 |
James M. O’Riordan | 17 | 48 | 1294 |
Conor P Kerley | 14 | 27 | 450 |
John H. McDermott | 13 | 31 | 474 |