Informing the UK Muslim Community on Organ Donation: Evaluating the Effect of a National Public Health Programme by Health Professionals and Faith Leaders.

There is a significant shortage of transplantable organs in the UK particularly from Black, Asian and Minority Ethnic (BAME) groups, of which Muslims make a large proportion. The British Islamic Medical Association (BIMA) held a nationwide series of community gatherings with the aim of describing the beliefs and attitudes to organ donation amongst British Muslims and evaluate the efficacy of a national public health programme on views and uncertainties regarding religious permissibility and willingness to register. Eight public forums were held across the UK between June 2019 and March 2020 by the British Islamic Medical Association (BIMA). A panel of experts consisting of health professionals and Imams discussed with audiences the procedures, experiences and Islamic ethico-legal rulings on organ donation. Attendees completed a self-administered questionnaire which captured demographic data along with opinions before and after the session regarding religious permissibility and willingness to register given permissibility. A total of 554 respondents across seven UK cities were included with a M:F ratio 1:1.1. Only 45 (8%) respondents were registered as organ donors. Amongst those not registered multiple justifications were detailed, foremost of which was religious uncertainty (73%). Pre-intervention results indicated 50% of respondents were unsure of the permissibility of organ donation in Islam. Of those initially unsure or against permissibility or willingness to register, 72% changed their opinion towards deeming it permissible and 60% towards a willingness to register indicating a significant change in opinion (p < 0.001). The effectiveness of our interventions suggests further education incorporating faith leaders alongside local healthcare professionals to address religious and cultural concerns can reduce uncertainty whilst improving organ donation rates among the Muslim community.

Erratum to "halo naevus or malignant melanoma: A case report" [JPRAS open volume 16, June 2018, pages 98-99].

[This corrects the article DOI: 10.1016/j.jpra.2018.03.003.].

Halo naevus or malignant melanoma: A case report.

This is a report describing the case of a 66-year-old male with development of halo naevi. A biopsy of one of these naevi revealed a malignant melanoma with extensive regression. The purpose of this report is to identify that development of halo naevi outside of childhood or adolescence should raise suspicion and may require biopsy.

A Rare Case of Primary Tuberculous Tenosynovitis in a Young Patient with an Acute History.

We present a rare case of primary tuberculous tenosynovitis in a young patient with an acute history of non-penetrating traumatic injury. The patient had recently visited Pakistan and presented with sudden onset pain at the base of their right fifth digit after trying to catch a cricket ball. A provisional diagnosis of haematoma was made; however, ultrasonography revealed a mass attached to the A2 pulley. Surgical excision followed by histological examination and culture identified Mycobacterium Tuberculosis infection. This case serves to raise clinical awareness of this rare condition and highlight the importance of obtaining a travel history.

Tumour to tumour metastasis of malignant melanoma to intracranial tumour.

UNLABELLED: Tumours can metastasize to sites of other tumours but this is a rare event. The phenomenon has been well described in primary tumours of the lung and breast. This has been described in melanomas but as very rare occurrence. We describe a case of a malignant melanoma that metastasized to a pre-existing meningioma. We have tried to highlight this phenomenon in patient with melanoma and need for close vigilance of other pre-existing tumours to identify early metastasis. KEYWORDS: Melanoma; Metastasis; Tumour to Tumor; Intracranial; Meningioma.

Could it still be malignant melanoma or just a poorly differentiated neoplasm?

The present case, characterised by an aggressive and poorly differentiated skin malignancy, contributes to a wider discussion on such tumours. Despite repeated histological examinations, including immunohistochemistry, and thorough radiological investigation, diagnosis of melanoma was not easy.