Publications by authors named "Jamie F M Brannigan"

Article Synopsis
  • - Brain-computer interfaces (BCIs) show promise in helping individuals with motor impairments regain their independence, but there is limited understanding of patient preferences in BCI design across various conditions.
  • - A systematic review of 28 studies involving 1,701 patients revealed that accuracy of BCI devices is the top priority for users, even though current systems often require extensive training that many patients find burdensome.
  • - Preferences for BCI features differ among specific conditions, such as those with amyotrophic lateral sclerosis emphasizing communication and spinal cord injury patients focusing on limb control and bodily functions; simplifying usability is crucial for broader acceptance.
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Article Synopsis
  • Degenerative cervical myelopathy (DCM) is often misdiagnosed in primary care, leading to a 2-year delay in diagnosis and increased risk of permanent disability, potentially due to insufficient education on the condition.
  • A study assessed the awareness of DCM among general practitioners (GPs) using a web-based survey, revealing that over half reported "limited awareness" and a significant portion felt they would struggle to recognize or triage patients with DCM.
  • The findings suggest that GPs lack both confidence and knowledge regarding DCM, highlighting a need for improved educational resources in medical training to better equip them for diagnosis and management of the condition.
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A chronic subdural haematoma (CSDH) is a collection of aged blood between the dura and the brain, typically treated with surgical evacuation. Many patients with CSDH have comorbidities requiring the use of antithrombotic medications. The optimal management of these medications in the context of CSDH remains unknown, as the risk of recurrence must be carefully weighed against the risk of vaso-occlusive events.

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Study Design: Cross-sectional survey.

Objective: Currently there is limited evidence and guidance on the management of mild degenerative cervical myelopathy (DCM) and asymptomatic spinal cord compression (ASCC). Anecdotal evidence suggest variance in clinical practice.

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Stroke is a leading cause of paralysis, most frequently affecting the upper limbs and vocal folds. Despite recent advances in care, stroke recovery invariably reaches a plateau, after which there are permanent neurological impairments. Implantable brain-computer interface devices offer the potential to bypass permanent neurological lesions.

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Background: Degenerative cervical myelopathy (DCM) is a common and disabling neurodegenerative condition. Surgical decompression is the only evidence-based treatment to halt disease progression; however, diagnosis and access to timely treatment are often delayed, which contribute to significant disability and dependence. Supporting early diagnosis and access to timely treatment is a critical priority.

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Introduction: Degenerative cervical myelopathy (DCM) is a common and progressive neurological condition caused by injury of the cervical spinal cord by degenerative spinal pathology. Delayed diagnosis leading to avoidable and irreversible disability is a major current problem limiting patient outcomes. Lack of sufficient representation of DCM in undergraduate and postgraduate medical curricula may contribute to poor recognition of DCM by non-specialist doctors.

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Introduction: Although mostly used in the management of spinal trauma, hard collar immobilisation is also used as an adjunct to recovery after elective cervical spine surgery. Many surgeons believe that bracing reduces the risk of non-union and pain and provides a subjective sense of security for patients. There is little if any, evidence for this practice and immobilisation can be a direct cause of adverse events.

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Article Synopsis
  • The study is a systematic review and meta-analysis aimed at evaluating the complications associated with prolonged cervical immobilization using hard collars.
  • Out of 773 articles searched, 25 studies were included, revealing complications like pressure ulcers (7% prevalence), dysphagia, and increased intracranial pressure, with limited data for other issues.
  • The findings suggest significant health risks from long-term use of hard collars, especially in younger patients, indicating a need for further research due to the low-quality evidence available.
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