Trends in prostate cancer in the Republic of Ireland 1954-81.
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Biomedical subjects
Publications and source records attributed to J P Corridan.
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During the course of an obscure illness in a teenage girl it was eventually realized that the diagnosis was 'epidemic neuromyasthenia'. The illness which occurred between February and September 1976 was characterized by fatigue, pallor, headache, nuchal pain, alterations in mentation, dizziness, nausea and vomiting, paraesthesiae, weakness and heaviness of limbs, and a prolonged relapsing course. Investigation brought to light fourteen patients with similar symptoms--twelve female and two male. In view of the shortcomings of retrospective enquiries, especially those involving the assessment of notes made by other people, and the problem of trying to define a nonfatal illness with protean symptoms, many of a nonspecific nature, with few physical findings and negative laboratory studies, caution is necessary. Under these circumstances it is claimed on clinical epidemiological evidence that a diagnosis of 'epidemic neuromyasthenia' could be sustained confidently in three patients and probably in a fourth. Six patients were considered possible cases and four were rejected.
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About 80% of MBs who proceed to MD or ChM do so within 15 years of obtaining their primary medical qualification. Using this measurement as a yardstick, an attempt is made to draw a valid reflection of the award of thses postgraduate degrees in the twenty university medical schools during the period 1953-70. London produced half as many MDs and ChMs as expected, Oxbridge considerably more and Scotland about half the expected ChMs.
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Since the large outbreak of trichinosis in Liverpool in 1953 there have been three outbreaks in Ireland, two occurring recently in Cork and Kerry, where a total of 76 cases was confirmed. In the outbreak of 50 cases in Kerry the latex trichina slide agglutination test was found to be valuable diagnostically and epidemiologically, while the efficacy of thiabendazole treatment was not established. This infection may be maintained as a reservoir in wild carnivores, occasionally spreading to pigs and perpetuated in them by a failure to boil pig swill.
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