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Artificial Intelligence in Medicine. 人工智能在医学中的应用。
The Ulster medical journal Pub Date : 2024-01-01 Epub Date: 2024-01-29
Andrew Cupples
{"title":"Artificial Intelligence in Medicine.","authors":"Andrew Cupples","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"92 3","pages":"167-169"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10824127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Should we be promoting 5 Steps to Wellbeing in all clinical environments? 我们是否应该在所有临床环境中推广 "幸福五步曲"？
The Ulster medical journal Pub Date : 2024-01-01 Epub Date: 2024-01-29
Robert Atenstaedt
{"title":"Should we be promoting 5 Steps to Wellbeing in all clinical environments?","authors":"Robert Atenstaedt","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"92 3","pages":"170"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10824130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Northern Ireland Healthcare Crisis. 北爱尔兰医疗危机。
The Ulster medical journal Pub Date : 2024-01-01 Epub Date: 2024-05-03
Laura McDonnell
{"title":"Northern Ireland Healthcare Crisis.","authors":"Laura McDonnell","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"93 1","pages":"3-4"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11067313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Northern Ireland Healthcare Crisis. 北爱尔兰医疗危机。
The Ulster medical journal Pub Date : 2024-01-01 Epub Date: 2024-01-29
{"title":"Northern Ireland Healthcare Crisis.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"92 3","pages":"120-124"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10824128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Regional Elective Day Procedure Centre Pilot- the solution to waiting lists and trainee deficit in the reshaping of services following COVID-19? 地区日间择期手术中心试点--在 COVID-19 之后的服务重塑中解决候诊名单和实习生不足的问题？
The Ulster medical journal Pub Date : 2024-01-01 Epub Date: 2024-01-29
Rachael Coulson, Sarah Small, Robert Spence, Ian McAllister
{"title":"Regional Elective Day Procedure Centre Pilot- the solution to waiting lists and trainee deficit in the reshaping of services following COVID-19?","authors":"Rachael Coulson, Sarah Small, Robert Spence, Ian McAllister","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Consequences from the COVID-19 pandemic have resulted in the secondary impact of cessation of elective surgical services, amplifying the waiting list problem with devastating patient and surgical training repercussions. With the introduction of the first regional inter-trust daycase elective care centre pilot in Northern Ireland, we aim to assess the impact of this pathway on elective inguinal hernia waiting lists, patient outcomes, and influence on surgical training.</p><p><strong>Methods: </strong>Data was collected prospectively over a 10-week pilot of consecutive elective day case hernia lists at a newly established regional day surgery centre. Key operative time points for each patient were collated via the Theatre Management System (TMS). Retrospective patient feedback was collected from participating patients via 26-question telephone survey at 6 weeks post-operatively. Trainees allocated to the participating units during this pilot received a retrospective electronic survey.</p><p><strong>Results: </strong>Fifty-five patients underwent open unilateral elective inguinal hernia repair, 54% of cases were trainee led. Median trainee operating time of 53 minutes compared with 51 minutes for consultant led procedures, with no significant difference consultant vs non-consultant as primary operator (p>0.05). On completion of the pilot, waiting list numbers were reduced by a third, 75% of trainees feedback reported increased confidence with surgical operative exposure, and high levels of patient satisfaction reported.</p><p><strong>Conclusion: </strong>Inter-trust day surgery at a dedicated green site could successfully contribute to resuming and reforming surgical services, addressing the impact on mounting waiting lists with positive patient impact as well as providing an excellent training opportunity to narrow the observed training deficit.</p>","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"92 3","pages":"129-133"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10824138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Curiositas - Head Cases. 奇思妙想 - 头部案例
The Ulster medical journal Pub Date : 2024-01-01 Epub Date: 2024-01-29
{"title":"Curiositas - Head Cases.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"92 3","pages":"173-174"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10824131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Modern Slavery In Healthcare Settings: Indicators and Recommendations. 医疗机构中的现代奴隶制：指标和建议。
The Ulster medical journal Pub Date : 2024-01-01 Epub Date: 2024-05-03
Adam Hewitt, Tim Nelson
{"title":"Modern Slavery In Healthcare Settings: Indicators and Recommendations.","authors":"Adam Hewitt, Tim Nelson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"93 1","pages":"28-31"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11067307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cure sometimes, care always. 时而治疗，时常关怀。
The Ulster medical journal Pub Date : 2024-01-01 Epub Date: 2024-05-03
David J Armstrong
{"title":"Cure sometimes, care always.","authors":"David J Armstrong","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"93 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11067305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140864214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Immediate sequential bilateral cataract surgery (ISBCS): A single-site experience of 41 patients during the COVID-19 pandemic. 双侧白内障即刻连续手术 (ISBCS)：在 COVID-19 大流行期间对 41 名患者进行的单点手术。
The Ulster medical journal Pub Date : 2024-01-01 Epub Date: 2024-05-03
Tim Patterson, Gerard Reid, Stephen Stewart, Olivia Earley
{"title":"Immediate sequential bilateral cataract surgery (ISBCS): A single-site experience of 41 patients during the COVID-19 pandemic.","authors":"Tim Patterson, Gerard Reid, Stephen Stewart, Olivia Earley","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The practice of immediate sequential bilateral cataract surgery (ISBCS) was more widely adopted in the UK during the COVID-19 pandemic, in response to limited surgical capacity and the risk of nosocomial infection. This study reports on a single site experience of ISBCS in Northern Ireland.</p><p><strong>Methods: </strong>Data was collected prospectively between 17<sup>th</sup> November 2020 and 30<sup>th</sup> November 2021. The ISBCS surgical protocol, recommended by RCOphth and UKISCRS, was followed. Primary outcomes measures were: postoperative visual acuity (VA), refractive prediction accuracy, intraoperative and postoperative complications.</p><p><strong>Results: </strong>Of 41 patients scheduled, 39 patients completed ISBCS and two patients underwent unilateral surgery (n=80 eyes). Mean age at the time of surgery was 71.6 years (standard deviation (SD) ±11.8 years). Median preoperative VA was 0.8 logMAR (range: PL to 0.2 logMAR). Seventeen (20.9%) eyes were highly myopic and 9 (11.1%) eyes were highly hypermetropic. Median cumulative dissipated phacoemulsification energy was 15.7 sec (range: 1.8 sec to 83.4 sec). Median case time was 10.4 min (range: 4.3 min to 37.1 min).One eye (1.3%) developed iritis secondary to a retained tiny cortical fragment. Four eyes (5.0%, n=3 patients) developed cystoid macular oedema, with full resolution. On wide field imaging, an asymptomatic unilateral peripheral suprachoroidal haemorrhage was noted in two highly myopic patients (axial lengths of 27.01mm and 25.05mm respectively). The posterior pole was spared, and both resolved spontaneously without any visual impairment.</p><p><strong>Conclusions: </strong>In our initial experience, ISBCS was found to be a safe approach to cataract surgery. Our patient cohort included eyes with dense cataracts and high ametropia. Further studies are required to assess patient reported outcome measures and the possible economic benefits of ISBCS in our local population.</p>","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"93 1","pages":"12-17"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11067315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A GAME-CHANGER IN FREE-TISSUE SURGERY: THE FUTURE'S BRIGHT, THE FUTURE'S FLUORESCENT…. 改变游离组织手术的游戏规则：前途光明，未来荧光....
The Ulster medical journal Pub Date : 2024-01-01 Epub Date: 2024-05-03
J D Clements, M J McBride
{"title":"A GAME-CHANGER IN FREE-TISSUE SURGERY: THE FUTURE'S BRIGHT, THE FUTURE'S FLUORESCENT….","authors":"J D Clements, M J McBride","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94250,"journal":{"name":"The Ulster medical journal","volume":"93 1","pages":"39"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11067306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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