BRITISH MEDICAL BULLETIN

Circular RNAs in the management of human osteoporosis
Gargano G, Pagano SM and Maffulli N
Osteoporosis (OP) is a metabolic bone disease producing reduction in bone mass with consequent bone fragility. Circular ribonucleic acid (CircRNA) is a form of RNA that forms a loop structure rather than a linear one. CircRNA can be used for therapeutic purposes, including molecular targets or to test new therapies.
Physicians' required competencies in AI-assisted clinical settings: a systematic review
Schuitmaker L, Drogt J, Benders M and Jongsma K
Utilizing Artificial Intelligence (AI) in clinical settings may offer significant benefits. A roadblock to the responsible implementation of medical AI is the remaining uncertainty regarding requirements for AI users at the bedside. An overview of the academic literature on human requirements for the adequate use of AI in clinical settings is therefore of significant value.
Safety and performance of a novel synthetic biomimetic scaffold for iliac crest defect reconstruction during surgical treatment of pelvic girdle pain: a first-in-human trial
Giannoudis PV, Andrzejwski P, Chloros G and Hensor EMA
Surgical treatment of pelvic girdle pain (PGP) involves arthrodesis of sacroiliac (SI) and pubic symphysis joints. Fusion of pubic symphysis involves the implantation of an autologous iliac crest tricortical graft harvested from the iliac crest. The objective was to assess the safety of a novel synthetic graft substitute (b.Bone) for iliac crest reconstruction and to evaluate the results of PGP surgical treatment.
Obesity: ethical issues
Mayes C and Williams J
This article reviews the ethical issues surrounding obesity in public health and clinical contexts. We examine how obesity intersects with medical and social norms that raise questions of liberty, fairness, safety, and effectiveness or consequences.
Allograft versus autograft ACL reconstruction in skeletally immature patients: a systematic review
Migliorini F, Pilone M, Schäfer L, Bertini FA, Giorgino R and Maffulli N
Anterior cruciate ligament (ACL) injuries in children and adolescents with open physes are common.
'In this Issue' Volume 152
Maffulli N
From the archive-Vol 152, Issue 1
Weinbroum AA
The athletes heart-from acute stimulus to chronic adaptation
Maxwell JD and Oxborough D
The complex phenomenon of the athlete's heart (AH) describes the chronic physiological structural and functional adaptation secondary to repeated exposure of an acute exercise stimulus.
High-volume injections in Achilles tendinopathy: a systematic review
Hassan R, Poku D, Miah N and Maffulli N
Achilles tendinopathy (AT) is common, particularly in runners. High-volume injections (HVIs) may be beneficial in the management of AT compared to other conservative management options, including exercise regimens, platelet-rich plasma (PRP) injections, and extracorporeal shockwave therapy. The published research on the effectiveness of HVI in the treatment of AT was evaluated in this systematic review.
Bone-patellar tendon-bone, hamstring, and quadriceps tendon autografts for anterior cruciate ligament reconstruction in skeletally immature patients: a systematic review
Migliorini F, Cocconi F, Schäfer L, Vaishya R, Kämmer D and Maffulli N
Historically, anterior cruciate ligament (ACL) ruptures in the paediatric age group were managed conservatively with bracing, casting, activity modification, and physical therapy. However, most of these patients had to reduce their sports activities, and secondary damages to the affected knee were prevalent.
New developments in the diagnosis and management of motor neuron disease
O'Brien D and Shaw PJ
Motor neuron disease (MND) is a devastating neurodegenerative disease characterized by progressive muscle weakness.
Pediatric wrist fractures: variations in management across countries. An evidence-based summary of evidence
Labianca L, Calderaro C and Maffulli N
Fractures of the distal radius are common in pediatric population, with considerable variation in the management of pediatric wrist fractures across different countries. It is crucial to consider the different approaches to conservative management and surgical intervention. The decision on the appropriate treatment method often depends on the type and severity of the fracture, as well as the available healthcare resources and expertise in each country. This article tries to identify these variations, so the various healthcare systems can work toward implementing best practices in the management of pediatric wrist fractures on a global scale.
Percutaneous repair of the Achilles tendon with one knot offers equivalent results as the same procedure with two knots. A comparative prospective study
Maffulli N, Christidis G, Gougoulias N, Christidis P, Poku D, Hassan R, Migliorini F and Oliva F
The present prospective comparative study included patients with acute Achilles tendon rupture (ATR) who underwent percutaneous repair with one knot compared to percutaneous repair with two knots.
Management of knee osteoarthritis using bone marrow aspirate concentrate: a systematic review
Migliorini F, Pilone M, Ascani J, Schäfer L, Jeyaraman M and Maffulli N
Knee osteoarthritis (OA) is a common degenerative joint condition and a major cause of disability in the general population.
Management of acute severe ulcerative colitis-an update for generalist and specialist clinicians
Kuriakose Kuzhiyanjal AJ and Limdi JK
Acute severe ulcerative colitis (ASUC) is a potentially life-threatening medical emergency that occurs in up to 25% of patients with ulcerative colitis. Although intravenous corticosteroids remain the cornerstone of therapy, 30-40% of patients will not respond and need timely consideration of rescue therapy with (currently) either infliximab or ciclosporin or indeed colectomy, underscoring the importance of multidisciplinary care to ensure favourable outcomes for patients. We discuss the current evidence and present an approach to the management of ASUC for general and specialist clinicians caring for patients with ASUC.
The effectiveness of digital interventions for self-management of chronic pain in employment settings: a systematic review
Blake H, Chaplin WJ and Gupta A
Chronic pain affects over a quarter of the workforce with high economic burden for individuals, employers and healthcare services. Access to work-related advice for people with chronic pain is variable. This systematic review aims to explore the effectiveness of workplace-delivered digital interventions for the self-management of chronic pain.
Long COVID among healthcare workers: a narrative review of definitions, prevalence, symptoms, risk factors and impacts
Dempsey B, Madan I, Stevelink SAM and Lamb D
Long COVID (LC) occurs when people experience symptoms for weeks, months or even years after a COVID-19 infection. This review looks at research exploring the LC definitions, prevalence, symptoms, risk factors, and associated impacts in research on healthcare workers (HCWs).
Pharmacological management of secondary chronic spinal cord injury: a systematic review
Migliorini F, Cocconi F, Schäfer L, Simeone F, Jeyaraman M and Maffulli N
Spinal cord injury (SCI) may bring lifelong consequences for affected patients and a high financial burden to the health care system.
The development of inherited cardiac conditions services: current position and future perspectives
Alway T, Bastiaenen R, Pantazis A, Robert L, Akilapa R, Whitaker J, Page SP and Carr-White G
Over the last two decades, inherited cardiac conditions (ICC) centres have emerged with the aim of improving outcomes for patients and their families, through early diagnosis, genetic testing, risk assessment and specialist treatment.
Disclosing non-visible disabilities in educational workplaces: a scoping review
Hassard J, Yildrim M, Thomson L and Blake H
a sizable proportion of the working population has a disability that is not visible. Many choose not to disclose this at work, particularly in educational workplaces where disability is underrepresented. A better understanding of the barriers and facilitators to disclosure is needed.
The role of cultural competency training to address health disparities in surgical settings
Mora R and Maze M
Disparities in health care delivered to marginalized groups are unjust and result in poor health outcomes that increase the cost of care for everyone. These disparities are largely avoidable and health care providers, have been targeted with education and specialised training to address these disparities.