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Clinical Evidence December update

added: Thu, 22nd December 2005 | 956 views | 1x in favourites
feed url: http://www.clinicalevidence.com/rss/rss.xml

Latest feed entries:

Atrial fibrillation (acute onset)

New search performed and critically appraised; no new evidence selected for inclusion.

Atrial fibrillation (chronic)

New search performed and critically appraised; no new evidence selected for inclusion.

Autism

New options added for Child's Talk, More than words, PECS, Early Bird Programme, Floor time, Portage scheme, Relationship development intervention , Social skills training, Social stories, Son-Rise, Digestive enzymes, Probiotics, Immunoglobulins, Memantine, Secretin, Chelation and Sensory Integration Training. New evidence; conclusion confirmed for ABA, Risperidone and SSRIs .

Vitiligo

New evidence; conclusion changed for Vitamin D analogues (topical). New evidence; conclusion confirmed for Corticosteroids (topical), Immunomodulators (topical) and Immunomodulators (topical).

Recurrent miscarriage

New evidence; conclusion confirmed for Intravenous immunoglobulin, Paternal white cell immunisation, Trophoblastic membrane infusion, Aspirin (low dose) in antiphospholipid syndrome and Aspirin (low dose) plus heparin.

Congenital toxoplasmosis

New option added for Antiparasitic drugs in neonates. New evidence; conclusion confirmed for Antiparasitic drugs in pregnancy.

Hyperthyroidism (primary)

New option added for Adding carbimazole/propylthiouracil/thiamazole to radioactive iodine.

Pressure ulcers

New evidence; conclusions changed for Pressure-relieving overlays: prevention, Air-filled vinyl boots: prevention and Low-air-loss hydrotherapy beds to prevent pressure ulcers. New evidence; conclusion confirmed for Foam alternatives: prevention, Low-air-loss beds: prevention, Alternating pressure surfaces: prevention, Seat cushions: prevention, Electric profiling bed: prevention, Low-tech constant low pressure supports: prevention, Nutritional supplements: prevention , Repositioning: prevention, Topical lotions: prevention, Hydrocellular heel supports: prevention, Other dressings: treatment, Nutritional supplements: treatment and Therapeutic ultrasound: treatment.

Basal cell carcinoma

New condition. New options added for Cryotherapy/cryosurgery, Curettage and cautery/electrodesiccation, Imiquimod 5% cream, Photodynamic therapy , Surgery (excisional or Moh's micrographic surgery) , Fluorouracil, Cryotherapy/cryosurgery, Curettage and cautery/electrodesiccation, Photodynamic therapy, Surgery (conventional or Moh's micrographic surgery), Fluorouracil and Imiquimod 5% cream.

Burning mouth syndrome

New search performed and critically appraised; no new evidence selected for inclusion.

Cervical cancer

New option added for HPV vaccine. New evidence; conclusion changed for Neoadjuvant chemotherapy. New evidence; conclusion confirmed for Chemoradiotherapy v radiotherapy alone.

Sinusitis (acute)

New options added for Saline nasal washes , Steam inhalation , Saline nasal washes and Steam inhalation. New evidence; conclusion changed for Corticosteroids (intra-nasal) . New evidence; conclusion confirmed for Corticosteroids (intra-nasal) .

Spontaneous pneumothorax

New evidence; conclusion confirmed for Needle aspiration.

PID

New evidence; conclusion confirmed for Antibiotics in women with confirmed PID.

Diabetes: glycaemic control in type 2

New options added for Insulin plus metformin v insulin alone and Insulin analogues v conventional insulin. New evidence; conclusion confirmed for Different delivery systems for insulin, Combined oral drug treatment v monotherapy, Education, Intensive-treatment programmes and Diet.

Diarrhoea in adults (acute)

New options added for Antibiotics plus antimotility agents: resource-rich countries, Antibiotics plus antimotility agents: travellers' diarrhoea , Antibiotics plus antimotility agents: mild to moderate diarrhoea in resource-poor countries and Antibiotics plus antimotility agents: severe diarrhoea in resource-poor countries. New evidence; conclusion changed for Antibiotics: travellers' diarrhoea. New evidence; conclusion confirmed for Reduced osmolarity oral rehydration solution: severe diarrhoea in resource-poor countries.

Constipation, haemorrhoids, and heartburn in pregnancy

New options added for Bulk-forming laxatives, Increased fibre intake, Increased fluid intake, Osmotic laxatives, Stimulant laxatives, Rutosides, Anaesthetics (topical), Bulk-forming laxatives, Compound corticosteroids plus anaesthetics (topical), Corticosteroids (topical), Increased fibre intake, Increased fluid intake, Osmotic laxatives, Sitz baths, Stimulant laxatives, Antacids with or without alginates, Acid-suppressing drugs , Raising the head of the bed, Reducing caffeine intake, Reducing the intake of fatty foods and Reducing the size and frequency of meals.

Pyelonephritis (acute) in non-pregnant women

New option added for Urinary analgesics. New evidence; conclusion confirmed for Different oral antibiotics, Antibiotics (intravenous) versus each other) and Intravenous plus oral antibiotics.

Retinal detachment

New options added for Cryotherapy, Laser photocoagulation, Scleral buckling v other surgical techniques and Fluorouracil plus heparin . New evidence; conclusion changed for Different substances for tamponade.

Cluster headache

New options added for Sumatriptan (subcutaneous, intranasal) for aborting cluster headache, High-dose and high-flow-rate oxygen, Octreotide (subcutaneous), Zolmitriptan (oral), Hyperbaric oxygen, Lidocaine (intranasal), Sumatriptan (oral) for aborting cluster headache, Greater occipital nerve injections (betamethasone plus xylocaine), Lithium (oral), Corticosteroids (oral), Verapamil , Baclofen (oral), Botulinum toxin, Capsaicin (intranasal), Chlorpromazine, Civamide (intranasal), Clonidine (transdermal), Ergotamine and dihydroergotamine (oral or intranasal) , Gabapentin (oral), Leuprolide, Melatonin, Methysergide (oral), Pizotifen (oral), Sodium valproate (oral), Sumatriptan (oral) for preventing cluster headache, Topiramate (oral) and Tricyclic antidepressants.

Trigeminal neuralgia

New options added for Microvascular decompression and Peripheral laser surgery . New evidence; conclusion changed for Baclofen.

Primary prevention of CVD: treating dyslipidaemia

New evidence; conclusion changed for Statins in people at low risk. New evidence; conclusion confirmed for Statins in people at medium risk, Statins in people at high risk and Reduced- or modified-fat diet in people at low, medium, or high risk.

HIV: mother-to-child transmission

New evidence; conclusion confirmed for Antiretroviral drugs, Different methods of infant feeding and Vitamins.

Plantar heel pain and fasciitis

New option added for Taping (low Dye or anti-pronatory taping). New evidence; conclusion changed for Orthoses. New evidence; conclusions confirmed for Extracorporeal shock wave therapy (ESWT) and Night splints.

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