Health
Innovative treatment offers hope for debilitating heart condition
The Volt Pulsed Field Ablation System is undergoing its initial trial in the UK, with Belfast’s Royal Victoria Hospital serving as the testing site.
The day begins with nurses preparing to escort Michael Robinson to the operating theatre for a procedure that could significantly improve his quality of life.

Atrial fibrillation, a heart rhythm disorder affecting approximately 1.4 million people in the UK, has been Michael's reality, causing his heart to beat irregularly and often at an accelerated rate.
Michael describes the condition as "very debilitating," with symptoms including rapid heart rate increases and fatigue, even after short walks, making everyday activities a challenge.
Diagnosed five years ago after his brother's death from a heart issue, Michael is now seeking cutting-edge treatment to alleviate his symptoms and regain control over his life.
Michael's diagnosis came as a surprise, as he had been relatively active before his brother's passing, which prompted him to get checked and discover he had AF, a condition he had never heard of before.
The condition has forced Michael to make significant lifestyle adjustments, including cancelling a holiday and leaving a wedding reception early, but he hopes the new treatment will allow him to resume normal activities.
The Royal Victoria Hospital in Belfast is pioneering the use of the Volt Pulsed Field Ablation System, a groundbreaking procedure designed to correct irregular heart rhythms when medication is ineffective.
This innovative approach offers several advantages, including the ability to treat multiple patients daily, resulting in quicker recovery times and increased efficiency.
As the procedure is performed under conscious sedation, the need for an anaesthetist is eliminated, streamlining the process.
Patients can be admitted and discharged on the same day, freeing up hospital beds and reducing the burden on healthcare resources.
Despite some trepidation, Michael expresses confidence in the medical staff as he undergoes the procedure, which he hopes will mark a significant turning point in his treatment.
A normal heart rate typically ranges from 60 to 100 beats per minute, but for individuals with AF, the rate can exceed 100, posing significant health risks.
If left untreated, AF can increase the risk of stroke and heart failure, making timely and effective treatment crucial.
Common symptoms of AF include palpitations, dizziness, fatigue, shortness of breath, and chest discomfort, which can vary in severity and frequency.
It is estimated that many individuals with AF remain undiagnosed, unaware of the potential health risks associated with the condition.
AF episodes can be unpredictable, lasting from seconds to days, and may not always produce noticeable symptoms.
As part of the trial, 60 patients have undergone treatment at the Royal Victoria Hospital, with promising results.

Dr Nick Cromie, a cardiac electrophysiologist, notes that the Volt PFA System benefits both patients and the hospital by improving patient flow, reducing waiting lists, and addressing the global shortage of specialist anaesthetists.
The Volt PFA System utilizes high-energy electrical pulses to target and treat abnormal cardiac tissue with precision, minimizing the risk of damage to surrounding structures.
This approach reduces the risk of complications, such as damage to the oesophagus or blood vessels, making it a safer and more effective treatment option.
According to Dr Cromie, the Volt PFA System represents a significant advancement in patient safety and hospital efficiency, enabling medical staff to optimize their time and resources.
The primary goal of the treatment is to prevent more severe conditions, such as stroke and heart attack, by addressing the underlying causes of AF.
The procedure involves accessing the heart through a small hole in the inner thigh, allowing medical staff to target the affected area with precision and administer treatment.
A small balloon is inflated to facilitate the conduction of electrical signals, enabling the treatment of the abnormal heart tissue.
Following the successful pilot in Belfast, several hospitals in England are preparing to adopt the Volt PFA System, developed by the global healthcare company Abbott.

Dr Riyaz Somani, a consultant cardiologist at the University Hospitals of Leicester NHS Trust, was among the first in England to utilize the new system, reporting overwhelmingly positive results.
The initial experience with the Volt PFA System has been encouraging, with patients tolerating the procedure well and achieving excellent acute success rates.
Michael had previously undergone cryotherapy, a minimally invasive procedure that freezes and destroys abnormal heart tissue, but this approach often results in discomfort and incomplete recovery.
Many patients who undergo cryotherapy do not experience a full recovery, making the Volt PFA System a more appealing alternative.
Just seven hours after the procedure, Michael is ready to be discharged, feeling significantly improved and optimistic about his future.
Expressing gratitude towards the Royal Victoria Hospital, Michael reports feeling better already and is even considering playing football, a testament to the procedure's potential to transform his life.
Health
Study Explores if Brain Stimulation Can Reduce Selfish Behavior
Researchers have found a way to temporarily and marginally decrease self-centered behavior in individuals by activating two specific regions of the brain.
Researchers have made a groundbreaking discovery, finding that temporary reductions in selfish behavior can be achieved by stimulating specific areas of the brain.

A recent study conducted at the University of Zurich involved 44 participants who were tasked with dividing a sum of money between themselves and an anonymous partner, allowing scientists to observe their decision-making processes.
The experiment utilized electrical current to stimulate the frontal and parietal regions of the brain, located at the front and rear of the skull, respectively. When these areas were stimulated simultaneously, participants exhibited a greater willingness to share their funds.
According to Prof Christian Ruff, a lead author of the study, the observed effects were consistent, albeit modest in scale.
Statistical analysis revealed a notable increase in participants' willingness to allocate funds to others, indicating a shift in their behavior.
The findings not only provide insight into the neural mechanisms underlying fundamental human behavior but may also have implications for the treatment of certain brain disorders characterized by impaired social behavior.
Prof Ruff noted that some individuals struggle with profound social difficulties due to an inability to consider others' perspectives, leading to consistently selfish behavior, and suggested that this discovery could potentially be used to address such issues.
However, the effects of the brain stimulation were found to be short-lived, suggesting that repeated application may be necessary to achieve lasting changes.
Prof Ruff likened the potential effects of repeated stimulation to the benefits of regular exercise, stating that consistent application over a prolonged period could lead to significant changes in behavior, much like the physical adaptations that occur with regular gym attendance.
This latest discovery builds upon a previous study in which researchers monitored brain activity while participants engaged in a similar money-sharing game, providing a foundation for the current findings.

The earlier study identified two brain regions that appeared to be synchronized, with neural activity occurring at the same frequency, when participants made more generous decisions.
These brain areas are known to play a crucial role in decision-making and empathy, enabling individuals to distinguish between their own feelings and those of others.
When participants made selfless decisions, the regions responsible for empathy and decision-making were found to be communicating with each other.
The researchers sought to investigate whether electrical stimulation could be used to influence this communication and promote more selfless decision-making.
One participant who underwent the brain stimulation test described the experience as a gentle, soothing sensation, comparable to a warm shower or light rain on the scalp.
The participant reported making decisions while receiving the stimulation without feeling any external influence on their choices.
The discovery of a consistent neural pattern associated with selfless decision-making across multiple individuals suggests that altruism may be an innate, evolutionarily conserved trait that enables humans to care for one another.
Prof Ruff emphasized the clinical significance of this finding, highlighting the potential to modify and influence this neural mechanism.
Dr Jie Hu, a co-author of the study, noted that the research provides evidence of a causal relationship between brain activity and decision-making, demonstrating that targeted stimulation can alter an individual's sharing behavior.
By manipulating communication within a specific brain network using non-invasive stimulation, the researchers observed a shift in participants' decisions, influencing the balance between self-interest and altruism.
Addressing concerns about the potential implications of this research, Prof Ruff assured that the experiment was conducted with strict adherence to medical regulations and ethical guidelines, ensuring the well-being and informed consent of all participants.
The neuroscientist drew a distinction between the controlled, medically regulated nature of the experiment and the often-subliminal influences of social media and advertising, which can affect behavior without explicit consent.
Prof Ruff suggested that, in contrast to the experiment, the impacts of social media and advertising on brain function and behavior are often unforeseen and uncontrolled, highlighting the importance of careful consideration and regulation in such contexts.
Health
NHS Workers to Receive 3.3% Pay Increase
Labor unions have expressed displeasure, yet the government maintains that its actions showcase a dedication to its workforce.
The government has confirmed that NHS staff in England will receive a 3.3% pay increase in the upcoming financial year.

This pay award applies to approximately 1.4 million health workers, including nurses, midwives, physiotherapists, and porters, but excludes doctors, dentists, and senior management.
Although the Department of Health and Social Care initially proposed a lower figure, it has accepted the recommendation of the independent pay review body to demonstrate its commitment to NHS staff, resulting in a higher pay rise than initially suggested.
However, several health unions have expressed disappointment with the announced pay award.
Prof Nicola Ranger, general secretary of the Royal College of Nursing (RCN), noted that the 3.3% increase falls short of the current consumer price index (CPI) inflation rate of 3.4%, which measures the rise in prices over the past year.
Prof Ranger stated, "A pay award that is lower than the current inflation rate is unacceptable, and unless inflation decreases, the government will be imposing a real pay cut on NHS workers."
She criticized the government's approach, saying, "This strategy of making last-minute decisions is not an appropriate way to treat individuals who are essential to a system in crisis."
Prof Ranger indicated that she would wait to see the pay awards for the rest of the public sector and doctors before deciding on a course of action.
The RCN had previously reacted strongly to the 5.4% pay increase received by resident doctors last year, compared to the 3.6% increase received by nurses, which they described as "grotesque".
Prof Ranger emphasized, "Nursing staff will not accept being treated with disrespect, as has happened in the past when they were given lower pay awards than other groups."
Helga Pile, head of health at Unison, the largest health union, commented, "NHS staff who are already under financial pressure will be outraged by another pay award that fails to keep up with inflation."
"Once again, they are expected to deliver more while their pay effectively decreases, as it falls behind the rising cost of living," she added.
In response, the government argued that the pay award is actually above the forecasted inflation rate for the coming year, which is around 2%.
A spokesperson for the Department of Health and Social Care stated, "This government greatly values the outstanding work of NHS staff and is committed to supporting them."
The pay increase is expected to be implemented by the start of April.
However, the government did not provide a timeline for the announcement on doctors' pay, as the pay review body responsible for making recommendations on their pay has yet to submit its report to ministers.
The government is currently engaged in negotiations with the British Medical Association regarding the pay of resident doctors, previously known as junior doctors.
Members of the BMA recently voted in favor of strike action, granting them a six-month mandate for walkouts, and there have been 14 strikes so far in the ongoing dispute.
Health
NHS Waiting List Hits Three-Year Low
In England, the backlog has fallen below 7.3 million for the first time since 2023, yet worries persist regarding prolonged waiting times in accident and emergency departments.
England's hospital waiting list has reached its lowest point in almost three years, marking a significant milestone in the country's healthcare system.

As of December 2025, the number of patients awaiting treatment, including knee and hip operations, stood at 7.29 million, the lowest figure recorded since February 2023.
However, the latest monthly update from NHS England reveals that long wait times persist in Accident and Emergency departments, with a record number of patients experiencing 12-hour trolley waits.
In January 2026, over 71,500 patients spent more than 12 hours waiting for a hospital bed after being assessed by A&E staff, the highest number tracked since 2010.
This translates to nearly one in five patients admitted after visiting A&E waiting for an extended period.
According to Health Secretary Wes Streeting, while progress has been made, significant challenges still need to be addressed.
Streeting acknowledged that "there is much more to do" and emphasized the need to accelerate progress, but expressed optimism that the NHS is on the path to recovery.
Dr. Vicky Price, representing the Society for Acute Medicine, noted that hospitals are operating beyond safe capacity in terms of emergency care.
Dr. Price highlighted the vulnerability of patients who require admission, often elderly and frail individuals with complex needs, who are at greater risk of harm when care is delivered in corridors and hospitals exceed safe limits.
Duncan Burton, Chief Nursing Officer for England, commended the progress made in reducing wait times, achieved despite the challenges posed by strikes by resident doctors.
Burton attributed this progress to the hard work and dedication of NHS staff, describing it as a "triumph".
Although the waiting list decreased, performance against the 18-week target slightly declined, with 61.5% of patients waiting less than 18 weeks, compared to 61.8% in November, and still short of the 92% target set to be met by 2029.
Rory Deighton of the NHS Confederation, which represents hospitals, welcomed the progress but cautioned that it obscures significant regional variations.
A recent BBC report revealed that nearly a quarter of hospital trusts experienced worsening wait times over the past year.
Deighton emphasized that the NHS is composed of numerous separate organizations, each with unique financial and operational challenges, making it more difficult to address care backlogs in some areas.
According to Deighton, this means that tackling care backlogs will be more challenging in certain parts of the country due to these distinct regional challenges.
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