British medical bulletin
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British medical bulletin · Mar 2022
Rotational head acceleration and traumatic brain injury in combat sports: a systematic review.
Traumatic brain injury (TBI) in combat sports is relatively common, and rotational acceleration (RA) is a strong biomechanical predictor of TBI. This review summarizes RA values generated from head impacts in combat sport and puts them in the context of present evidence regarding TBI thresholds. ⋯ Prospective research collecting real-time RA data is required to further understanding of TBI in combat sports.
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British medical bulletin · Mar 2022
Matrix-induced autologous chondrocyte implantation (mACI) versus autologous matrix-induced chondrogenesis (AMIC) for chondral defects of the knee: a systematic review.
Chondral defects of the knee are common and their treatment is challenging. ⋯ AMIC may provide better outcomes than mACI for chondral defects of the knee. Further studies are required to verify these results in a clinical setting.
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Antibiotic resistance raises ethical issues due to the severe and inequitably distributed consequences caused by individual actions and policies. ⋯ Neglected topics include the harms of antibiotic use, including off-target effects on the human microbiome, and the lack of evidence guiding most antibiotic prescription decisions.
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British medical bulletin · Mar 2022
Considerations for the implementation of machine learning into acute care settings.
Management of patients in the acute care setting requires accurate diagnosis and rapid initiation of validated treatments; therefore, this setting is likely to be an environment in which cognitive augmentation of the clinician's provision of care with technology rooted in artificial intelligence, such as machine learning (ML), is likely to eventuate. ⋯ Well-resourced Learning Health Systems are likely to exploit ML technology to gain the fullest benefits for their patients. How these clinical advantages can be extended to patients in health systems that are neither well-endowed, nor have the necessary data gathering technologies, needs to be urgently addressed to avoid further disparities in healthcare.
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British medical bulletin · Mar 2022
Review'The WOW factors': comparing workforce organization and well-being for doctors, nurses, midwives and paramedics in England.
High rates of poor mental health in healthcare staff threatens the quality and sustainability of healthcare delivery. Multi-factorial causes include the nature and structure of work. We conducted a critical review of UK NHS (England) data pertaining to: doctors, nurses, midwives and paramedics. ⋯ Multi-level systems approaches to well-being are required that consider intersectionality and structural differences between professions; together with inter-professional national databases to facilitate monitoring.