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EMERGE: A randomised placebo controlled trial of the Effectiveness of MEtformin in addition to usual care in the Reduction of GEstational diabetes mellitus effects
Diabetes (high blood sugars) that develops during pregnancy is called Gestational Diabetes Mellitus (GDM). GDM is increasing, affecting one-in-eight pregnant women in Ireland. Women with GDM have an increased risk of complications at the time of delivery, including Caesarean section. Women with GDM have a 7-fold increased risk of...
Cold air plasma to enhance hospital hygiene leading to reduced surface bacterial counts and patient acquisition of vancomycin-resistant enterococci and Clostridium difficile infection
Healthcare-associated infections (HCAI) affect 5-10% of patients admitted to an acute hospital but it is about three times higher in intensive care units (ICUs). Prevention involves many strategies but environmental hygiene is important as many bacterial causes persist on horizontal surfaces, e.g. methicillin-resistant Staphylococcus...
Oral flucloxacillin alone versus flucloxacillin and phenoxymethylpenicillin for the emergency department outpatient treatment of cellulitis: a non-inferiority randomised controlled trial
Acute bacterial skin and skin structure infections (ABSSSIs) are commonly encountered in Emergency Departments (EDs). In Ireland, the most common ABSSSI is cellulitis, which is a spreading bacterial infection of the skin and tissues beneath the skin. Approximately 12 in every 1,000 ED patient attendances in Ireland is due to...
Cystinosis is a rare genetic disease that causes the amino acid cystine to accumulate in the body due to mutations in the CTNS gene. In its severest form, cystinosis causes kidney failure before the age of 10. Treatment is limited to cysteamine, a cystine-depleting drug, but this only slows the progression of the disease. The toxic...
Cystinosis is a metabolic disease characterized by accumulation of cysteine crystals in various tissues including cornea. Cystinosis patients begin showing ocular symptoms at the age of 16 months and without appropriate treatment, the entire peripheral stroma and endothelium can be packed with crystals. Eventually complications such...