British medical bulletin
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British medical bulletin · Jul 2022
British medical bulletin article: resourcing of palliative and end of life care in the UK during the Covid-19 pandemic.
Covid-19 led to a sustained increase in deaths in all four United Kingdom nations, placing strain on the UK's palliative and end-of-life care sector and raising concerns about the long-term sustainability of the sector's funding and resourcing model in the face of rising demand for these services in the coming decades. ⋯ Although there has been a rapid growth in knowledge during Covid-19, gaps still remain including: the reasons underlying shifts to deaths at home and the implications for family carers; the education needs of the wider healthcare workforce in palliative care; the impact of specialist palliative care services on the wider health system, including hospital admissions and place of death; and inequalities in the experiences of dying, death and bereavement during Covid-19 among groups such as those from lower socioeconomic groups and BAME communities.
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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.
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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
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.