Publications by authors named "M Nurek"

Purpose: Surgical options for end-stage knee osteoarthritis (OA) include total and medial unicompartmental knee replacement (TKR and UKR). Deciding which surgery to perform is complex and ill-defined, yet it has important implications for patients and the health service. The study aimed to identify clinical and surgeon factors predicting surgeons' preferences.

View Article and Find Full Text PDF

Introduction And Objectives: Nil by mouth (NBM) is a frequent imposition for patients recovering from critical illness. Its impact on patients' wellbeing and rehabilitation is under researched. We sought ICU multidisciplinary opinion to primarily assess the relevance of taste deprivation on patient care and recovery, and to identify future opportunities for innovation and research.

View Article and Find Full Text PDF

Objectives: Intensive care unit (ICU) clinicians stop antibiotics more often, with a negative infection: point-of-care test (PCR-POCT). Simulated cases of diagnostic uncertainty regarding infection resolution led clinicians to choose options such as procalcitonin (PCT) and/or PCR-POCTs +/- de-escalation to aid stop decisions. We hypothesised that a direct infection indicator, PCR-POCT, would influence stop judgements more than indirect PCT.

View Article and Find Full Text PDF

Background: Unicompartmental knee replacements (UKRs) have become an increasingly attractive option for end-stage single-compartment knee osteoarthritis (OA). However, there remains controversy in patient selection. Natural language processing (NLP) is a form of artificial intelligence (AI).

View Article and Find Full Text PDF
Article Synopsis
  • The study examines how negative results from point-of-care tests (POCTs) can influence ICU clinicians' decisions about continuing or stopping antibiotics for suspected ventilator-associated pneumonia.
  • It involved 70 clinicians who reviewed patient case vignettes and made initial antibiotic decisions, followed by a negative PCR-POCT result, after which they updated their decisions.
  • The results showed that the negative POCT significantly increased the likelihood of clinicians stopping antibiotics, especially in cases where clinical condition worsened but the biological markers improved.
View Article and Find Full Text PDF