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Perceptions on artificial intelligence-based decision-making for coexisting multiple long-term health conditions: protocol for a qualitative study with patients and healthcare professionals
This study aims to explore the perceptions of healthcare professionals (HCPs) and patients on the use of AI in the management of multiple health conditions. Methods and analysis A qualitative study will be conducted using semistructured interviews. Adults (≥18 years) with multiple health conditions living in the West Midlands of England and HCPs with experience in caring for patients with multiple health conditions will be eligible and purposively sampled. Patients will be identified from Clinical Practice Research Datalink (CPRD) Aurum; CPRD will contact general practitioners who will in turn, send a letter to patient...
Source: BMJ Open - February 1, 2024 Category: General Medicine Authors: Gunathilaka, N. J., Gooden, T. E., Cooper, J., Flanagan, S., Marshall, T., Haroon, S., DElia, A., Crowe, F., Jackson, T., Nirantharakumar, K., Greenfield, S. Tags: Open access, Public health Source Type: research

AI-Enhanced Healthcare: Not a new Paradigm for Informed Consent
AbstractWith the increasing prevalence of artificial intelligence (AI) and other digital technologies in healthcare, the ethical debate surrounding their adoption is becoming more prominent. Here I consider the issue of gaining informed patient consent to AI-enhanced care from the vantage point of the United Kingdom ’s National Health Service setting. I build my discussion around two claims from the World Health Organization: that healthcare services should not be denied to individuals who refuse AI-enhanced care and that there is no precedence to seeking patient consent to AI-enhanced care. I discus U.K. law relating to...
Source: Journal of Bioethical Inquiry - February 1, 2024 Category: Medical Ethics Source Type: research

Joint British Society consensus recommendations for magnetic resonance imaging for patients with cardiac implantable electronic devices
Magnetic Resonance Imaging (MRI) is increasingly a fundamental component of the diagnostic pathway across a range of conditions. Historically, the presence of a cardiac implantable electronic device (CIED) has been a contraindication for MRI, however, development of MR Conditional devices that can be scanned under strict protocols has facilitated the provision of MRI for patients. Additionally, there is growing safety data to support MR scanning in patients with CIEDs that do not have MR safety labelling or with MR Conditional CIEDs where certain conditions are not met, where the clinical justification is robust. This mean...
Source: Heart - January 29, 2024 Category: Cardiology Authors: Bhuva, A., Charles-Edwards, G., Ashmore, J., Lipton, A., Benbow, M., Grainger, D., Lobban, T., Gopalan, D., Slade, A., Roditi, G., Manisty, C. Tags: Consensus statement Source Type: research

Spinal Orthosis in Adolescent Idiopathic Scoliosis: An Overview of the Braces Provided by the National Health Service in Italy
Medicina (Kaunas). 2023 Dec 19;60(1):3. doi: 10.3390/medicina60010003.ABSTRACTAdolescent idiopathic scoliosis (AIS) is a lateral, rotated curvature of the spine. It is a 3-dimensional deformity that arises in otherwise healthy children at or around puberty. AIS is the most common form of scoliosis in the pediatric population. The etiology is multifactorial, including genetic and environmental factors. The incidence is roughly equal between males and females, while there is a higher risk of progression in females. Guidelines for AIS treatment identify three levels of treatment: observation, physiotherapy scoliosis-specific ...
Source: Medicina (Kaunas) - January 26, 2024 Category: Universities & Medical Training Authors: Cristina Maria Del Prete Domiziano Tarantino Mattia Giuseppe Viva Massimiliano Murgia Daniele Vergati Giovanni Barassi Eleonora Sparvieri Eugenio Di Stanislao David Perpetuini Emanuele Francesco Russo Serena Filoni Raffaello Pellegrino Source Type: research

Long-Term Impact of COVID-19 Related Disruption of National Health Service Elective Services on Emergency Major Lower Limb Amputations
The COVID-19 pandemic has affected the healthcare systems worldwide since the dawn of 2020. In March 2020, the United Kingdom government announced the first national lockdown which severely disturbed all National Health Service (NHS) healthcare elective services. Our aim is to assess the long-term impact of COVID-19 related disruption of NHS elective services on emergency major lower limb amputations (MLLAs). (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - January 25, 2024 Category: Surgery Authors: Shubham N. Jain, Jean Y. Choi, Benjamin Cooper, Bryce Renwick, Mirghani M. Mohamed, Sotirios A. Makris Tags: COVID-19 Source Type: research

Designing for everyone: can the principles of dementia-friendly design inform design for neurodiversity in health-care settings?
Sarah Waller, Simon Chester Evans, Jennifer Bray, Teresa Atkinson Working with Older People, Vol. ahead-of-print, No. ahead-of-print, pp.- There is increasing interest in the UK in developing environments that support people who are neurodiverse. This paper aims to report on a project to develop a cognitively supportive environmental assessment tool to improve the design of health centres, where the majority of National Health Service consultations take place, for all users, including people living with dementia and those who are neurodiverse.A three-stage process was used: a literature review; the development of a matrix...
Source: Working with Older People - January 23, 2024 Category: Geriatrics Authors: Sarah Waller Simon Chester Evans Jennifer Bray Teresa Atkinson Source Type: research

Outpatient paracentesis for the management of ovarian hyperstimulation syndrome: study protocol for the STOP-OHSS randomised controlled trial
Introduction Ovarian hyperstimulation syndrome (OHSS) is the most significant short-term complication of pharmacological ovarian stimulation. Symptoms range from mild abdominal discomfort to rare complications such as renal failure, thromboembolism and respiratory distress syndrome. Currently, clinical practice typically involves monitoring the patient until the condition becomes severe, at which point they are admitted to hospital, where drainage of ascitic fluid (paracentesis) may take place. Preliminary studies have indicated that earlier outpatient paracentesis may reduce the progression of OHSS and prevent hospitalisa...
Source: BMJ Open - January 22, 2024 Category: General Medicine Authors: White, D. A., Pye, C., Ridsdale, K., Dimairo, M., Mooney, C., Wright, J., Young, T. A., Cheong, Y. C., Drakeley, A., Mathur, R., O'Cathain, A., Desoysa, L., Sizer, A., Lumley, E., Chatters, R., Metwally, M. Tags: Open access, Obstetrics & Gynaecology Obstetrics and gynaecology Source Type: research

Updates on diagnostic criteria for hereditary haemorrhagic telangiectasia in the light of whole genome sequencing of 'gene-negative individuals recruited to the 100 000 Genomes Project
Hereditary haemorrhagic telangiectasia (HHT) is diagnosed clinically by the Curacao Criteria of spontaneous recurrent nosebleeds, mucocutaneous telangiectasia at characteristic sites, visceral involvement (arteriovenous malformations (AVMs); gastrointestinal telangiectasia) and family history.1 Early diagnosis is important to enable AVM screening and preventative treatments.2–5 HHT is caused by loss-of-function DNA variants in ENG, ACVRL1, SMAD4 or GDF2,6–9 though older manuscripts describing linkage to additional loci10 11 continue to be referenced heavily. In whole genome sequencing (WGS) performed prospectiv...
Source: Journal of Medical Genetics - January 19, 2024 Category: Genetics & Stem Cells Authors: Shovlin, C. L., Almaghlouth, F. I., Alsafi, A., Coote, N., Rennie, C., Wallace, G. M., Govani, F. S., Research Consortium, G. E. Tags: Open access Diagnostics Source Type: research

Deceptive shifts in cancer stage distribution
A change in cancer stage distribution, also known as a ‘stage shift’, is a common outcome measure in cancer epidemiology. A favourable stage shift—an increased proportion of early-stage cancer—is often the goal of early cancer detection efforts. An unfavourable stage shift—an increased proportion of late-stage cancer—is typically seen as evidence of the harm of diminished screening. Shifting cancer stage distributions, however, can be deceptive. The problem Consider the aspirational goal of the UK’s National Health Service (NHS): to increase the proportion of all cancers diagnosed ...
Source: Evidence-Based Medicine - January 19, 2024 Category: Internal Medicine Authors: Oke, J. L., Welch, H. G. Tags: EBM learning Source Type: research