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Big data : a guide to big data trends, artificial intelligence, machine learning, predictive analytics, internet of things, data science, data analytics, business intelligence, and data mining
In this book, we will investigate big data from a bird's-eye view, covering the subject from a beginner's perspective and introducing its many applications. This will include not only mundane topics like targeted advertising but also an exploration of machine learning and artificial intelligence. Many of the applications of big data have been incorporated into business intelligence and data analytics, and the process of data mining. These topics will be investigated in this book. --back cover
Book
Rock ‘n’ roll doctor Hank Wangford’s love song to the NHS
The doyen of UK country music implores us all to fight for the NHS. It’s our heart and soul, he tells Richard Hurley
Journal Article
From friend at the bedside to health adviser to all: how hospital radio’s ambitions are expanding
Hospital radio is evolving from offering companionship on the wards to bringing health and wellbeing broadcasting to the community, finds Richard Hurley
Journal Article
Ideas for a new world
Can clinicians learn from close-up magicians, radio presenters, and puppeteers (doi:10.1136/bmj.p2710)?5 Does chair placement affect doctor-patient communication (doi:10.1136/bmj-2023-076309)?6 How dangerous are MRI machines (doi:10.1136/bmj-2023-077164)?7 Should aspects of healthcare be left to charity to fund (doi:10.1136/bmj.p2669)?8 Although COP28 failed to agree the demise of fossil fuels (doi:10.1136/bmj.p2941), it flagged the importance of the natural environment to human health (doi:10.1136/bmj.p2355https://www.theguardian.com/environment/2023/dec/15/conservation-groups-hail-cop28-plans-to-protect-nature-aoe).91011 How best can doctors prescribe remedies in nature (doi:10.1136/bmj.p2473)?12 Green social prescribing is growing but needs proper investment: for evidence to guide implementation (doi:10.1136/bmj.p2745) and to ensure expert delivery, including by people with working class and other marginalised backgrounds (doi:10.1136/bmj.p2790).1314 This festive season, save trees by emailing AI generated cards to colleagues (doi:10.1136/bmj-2023-077695), eat (doi:10.1136/bmj.p2585 doi:10.1136/bmj-2023-077166), drink (doi:10.1136/bmj.p2520 doi:10.1136/bmj-2023-077294), and enjoy a Christmas episode of Doctor Who, which a new analysis suggests is correlated with a reduction in deaths the following year (doi:10.1136/bmj-2023-077143 doi:10.1136/bmj.p2833).15161718192021 Finally, please consider donating to The BMJ’s charity appeal (doi:10.1136/bmj.p2895).22 ActionAid works globally, including in Gaza, to help women and girls live full and healthy lives through activism for social justice, gender equality, and poverty eradication. Association of health benefits and harms of Christmas dessert ingredients in recipes from The Great British Bake Off: umbrella review of umbrella reviews of meta-analyses of observational studies. Effect of a doctor working during the festive period on population health: natural experiment using 60 years of Doctor Who episodes (the TARDIS study).
Journal Article
How do foreign doctors find working in the NHS?
Despite the warm welcome, foreign doctors experience specific challenges that could hinder retention. Richard Hurley speaks to some of the international medical graduates who help keep the NHS running
Journal Article
Fire behaviour in wheat crops – effect of fuel structure on rate of fire spread
A field-based experimental study was conducted in 50 × 50 m square plots to investigate the behaviour of free-spreading fires in wheat to quantify the effect of crop condition (i.e. harvested, unharvested and harvested and baled) on the propagation rate of fires and their associated flame characteristics, and to evaluate the adequacy of existing operational prediction models used in these fuel types. The dataset of 45 fires ranged from 2.4 to 10.2 km h−1 in their forward rate of fire spread and 3860 and 28 000 kW m−1 in fireline intensity. Rate of fire spread and flame heights differed significantly between crop conditions, with the unharvested condition yielding the fastest spreading fires and tallest flames and the baled condition having the slowest moving fires and lowest flames. Rate of fire spread in the three crop conditions corresponded directly with the outputs from the models of Cheney et al. (1998) for grass fires: unharvested wheat → natural grass; harvested wheat (~0.3 m tall stubble) → grazed or cut grass; and baled wheat (<0.1 m tall stubble) → eaten-out grass. These models produced mean absolute percent errors between 21% and 25% with reduced bias, a result on par with the most accurate published fire spread model evaluations.
Journal Article
Children seeking asylum: Use imaging to check age, say UK government advisers
Tests should consider whether the age claimed “is ‘possible’ rather than be used to answer the specific question of how old that person is or whether they are under or over 18 years of age,” their report said.1 The report, from the independent Interim Age Estimation Science Advisory Committee, which advises the Home Office’s chief scientific adviser and is chaired by the forensic scientist Sue Black, recommended a combination of radiography of the third molar, radiography of the hand and wrist or magnetic resonance imaging of the knee, and MRI of the clavicle. The BMA and the Royal College of Paediatrics and Child Health have previously warned doctors not to take part because use of non-medically indicated radiography is unethical.23 Last year the royal college questioned the validity of consent obtained from vulnerable people under duress.3 The Society of Radiographers has also warned its members against involvement and said that scanning asylum seekers could add pressure to an NHS that was already at “breaking point” because of backlogs and a depleted workforce.4 The British Dental Association has described dental age assessments as “pseudoscience.” Biological evaluation methods to assist in assessing the age of unaccompanied asylum-seeking children. Jan 2023. https://www.gov.uk/government/publications/methods-to-assess-the-age-of-unaccompanied-asylum-seeking-children/biological-evaluation-methods-to-assist-in-assessing-the-age-of-unaccompanied-asylum-seeking-children-accessible.
Journal Article
Minimally Invasive Lateral Corpectomy of the Thoracolumbar Spine: A Case Series of 20 Patients
Study Design:
Retrospective case series.
Objective:
To report our experience with corpectomy of the thoracolumbar (TL) spine through a minimally invasive lateral retropleural or retroperitoneal approach.
Methods:
This is a retrospective case series of 20 consecutive patients who underwent minimally invasive TL corpectomy and spinal reconstruction. Electronic medical records were reviewed for demographic, operative, and clinical outcome data.
Results:
Between 2015 and 2019, 20 consecutive cases of minimally invasive TL corpectomy were performed, comprising 12 men (60%) and 8 women (40%) with a mean age of 54.3 years. Indications for surgery were infection (n = 6, 30%), metastatic disease (n = 2, 10%), fracture (n = 6, 30%), and calcified disc herniation (n = 6, 30%). Partial and complete corpectomy was performed in 5 patients (25%) and 15 patients (75%), respectively. Mean operative time and estimated blood loss was 276.2 minutes and 558.4 mL, respectively. Mean length of stay from admission and surgery were 14.6 and 11.4 days, respectively. Mean length of stay from surgery for elective cases was 4.2 days. Mean follow-up time was 330.4 days. Visual analogue scale score improved from 7.7 to 4.5 (P < .01). There were a total of 3 postoperative complications in 2 patients, including 1 mortality for urosepsis. One patient had revision spinal surgery for adjacent segment disease.
Conclusions:
Corpectomy and reconstruction of the TL spine is feasible and safe using a minimally invasive lateral retropleural or retroperitoneal approach. Since this is a relatively new technique, more studies are needed to compare the short- and long-term radiographic and clinical outcomes between minimally invasive versus open corpectomy of the TL spine.
Journal Article