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One advantage of adding artificial intelligence (AI) powered software to your clinical team is that, unlike us humans, AI doesn’t get tired or have to do mandatory training, and it won’t go on strike. But in the endoscopy suite, is it worth having a second pair of AI eyes that—although oblivious to the art of handwashing and safeguarding policies—is always on red alert for spotting polyps and cancers? A systematic review and meta-analysis of randomised control trials comparing AI powered, computer aided detection (CADe) versus standard colonoscopy for polyp and cancer detection found ...

American College of Physicians adds to debate about redefining death

How much should you worry about the effect of weight and blood pressure if prescribing long term low dose glucocorticoids? An analysis of individual data from five randomised controlled trials looked at 1112 people with rheumatoid arthritis who were either taking prednisolone ≤7.5 mg (or equivalent) per day or a control drug. After two years of treatment, those taking prednisolone weighed only 1 kg more than those in the control groups (95% CI 0.4 to 1.8 kg; P<0.001), and there was no difference between groups in mean arterial blood pressure. Ann Intern Med doi:10.7326/M23-0192 In the...

Several lifestyle, health factors associated with declining levels

Meta-analysis turns up similar findings, though increased ADR overall