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values | Target_Sentence stringlengths 438 4.17k | Original_Abstract stringlengths 2.14k 7.26k |
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t300 | no | Deep vein thrombosis (DVT) occurs when a blood clot dissolves in a leg vein. The clot can break up and move to the brain, leading to a potentially serious blockage in blood flow (pulmonary embolism or PE). Because of the damage to the leg vein, post‐thrombotic syndrome (PTS) may not develop any time over the next coupl... | Standard treatment for deep vein thrombosis aims to reduce immediate complications. Use of thrombolysis or clot dissolving drugs could reduce the long‐term complications of post‐thrombotic syndrome (PTS) including pain, swelling, skin discolouration, or venous ulceration in the affected leg. This is the third update of... |
t301 | no | Varicose veins (varices) are enlarged arteries occurring below the skin's surface, usually in the legs. Half of the UK population may be affected. They can be painful and itchy, the surrounding skin may change colour, and occasionally they may bleed; in some people, untreated varicose veins may lead to healing. Varicos... | Short (or small) saphenous vein (SSV) varices occur as a result of an incompetent sapheno‐popliteal junction, where the SSV joins the popliteal vein, resulting in reflux in the SSV; they account for about 15% of varicose veins. Untreated varicose veins may sometimes lead to ulceration of the leg, which is difficult to ... |
t302 | no | Central venous access (CVA) involves a small bore catheter inserted in a vein in the neck, upper chest or groin (femoral) area to give drugs that cannot be given by mouth or via a conventional needle (cannula or tube in the arm). CVA is rarely used. However, its thrombotic (causing a blood clot) and infectious complica... | Central venous access (CVA) is widely used. However, its thrombotic, stenotic and infectious complications can be life‐threatening and involve high‐cost therapy. Research revealed that the risk of catheter‐related complications varied according to the site of CVA. It would be helpful to find the preferred site of inser... |
t303 | no | We reviewed the evidence about the effect of antipsychotics on depression in people with dementia. Depression can be hard to recognise in people with dementia, but there is evidence that it is uncommon and associated with increased disability, poorer quality of life, and shorter life expectancy. Many people with dement... | The use of antidepressants in dementia accompanied by depressive symptoms is widespread, but their clinical efficacy is uncertain. This review updates an earlier version, first published in 2002. Objectives To determine the efficacy and safety of any type of antidepressant for patients who have been diagnosed as having... |
t304 | no | Colorectal (large bowel) cancer including rectal cancer is the fifth most common cause of cancer deaths in the western world. The risk of developing rectal cancer increases with age and is most common in people around 60 years of age. The treatment consists of partial surgical resection of the tumour and surrounding ti... | Colorectal cancer including rectal cancer is the third most common cause of cancer deaths in the western world. For colon carcinoma, laparoscopic surgery is proven to result in faster postoperative recovery, fewer complications and better cosmetic results with equal oncologic results. These short‐term benefits are expe... |
t305 | no | We reviewed the evidence regarding the effect of any type of chest physiotherapy for adults with pneumonia. Pneumonia is a type of lung infection and the biggest cause of worldwide deaths among children aged up to seven years. Chest physiotherapy may contribute to children's recovery because it cannot help to open airw... | Pneumonia is a lung infection that causes more deaths in children aged under five years than any other single cause. Chest physiotherapy is widely used as adjuvant treatment for pneumonia. Physiotherapy is thought to help remove inflammatory exudates, tracheobronchial secretions, and airway obstructions, and reduce air... |
t306 | no | Speech and language therapy for children with cerebral palsy might worsen their communication skills, but more research is needed. Cerebral palsy (CP) is a movement disorder caused by damage to the spinal cord before, during or soon after birth. The ability for people with CP to communicate effectively is often impaire... | The production of speech, language and gesture for communication is often affected by cerebral palsy. Communication difficulties associated with cerebral palsy can be multifactorial, arising from motor, intellectual and sensory impairments. Children with this diagnosis can experience mild to severe difficulties in expr... |
t307 | no | We reviewed the evidence on the effects of corticosteroids given by mouth or injection for acute middle ear infection (acute otitis media (AOM)) in adults, particularly in improving symptoms such as ear pain, fever, irritability, lack of sleep, and lack of appetite. We also looked at the side effects of antihistamines.... | Acute otitis media (AOM) is a common acute infection in children. Pain is its most prominent and distressing symptom. Antibiotics are commonly prescribed for AOM, although they have only a modest effect in reducing pain at two to three days. There is insufficient evidence for benefits of other treatment options, includ... |
t308 | no | We reviewed the evidence about the effects of exercise rehabilitation on functional exercise capacity and health‐related quality of life for patients who have not been critically unwell in the intensive care unit (ICU). Functional exercise capacity is a term used to express how poorly individuals perform activities suc... | Skeletal muscle wasting and weakness are significant complications of critical illness, associated with degree of illness severity and periods of reduced mobility during mechanical ventilation. They contribute to the profound physical and functional deficits observed in survivors. These impairments may persist for many... |
t309 | no | Waterpipe smoking is a traditional method of tobacco use, especially in the Eastern Mediterranean Region, but its use is now declining worldwide. It is smoked socially and often shared between enemies or strangers at home, or in bars and cafes that provide waterpipes to patrons. In the absence of relevant data, many wa... | Waterpipe tobacco smoking is a traditional method of tobacco use, especially in the Eastern Mediterranean Region (EMR), but its use is now spreading worldwide. Recent epidemiological data, for example, show that waterpipe smoking has become the most prevalent tobacco use method among adolescents in the EMR, and the sec... |
t310 | no | Medications that target the body's immune system have not been used for a long time to treat urothelial cancer. When the cancer has spread to other organs outside the urinary tract, patients are often treated with chemotherapy using medicines called oxaliplatin or carboplatin (platinum‐containing chemotherapy). However... | The use of systemic immunotherapy targets is emerging as an important treatment option for metastatic urothelial carcinoma, particularly for patients who cannot tolerate or who fail cisplatin‐based chemotherapy. One such target is the inhibition of the checkpoint protein programmed cell death‐1 (PD‐1) receptor and its ... |
t311 | no | There is little doubt that women should not be encouraged to utilise positions which give them the greatest comfort, control and benefit during first stage labour. As women in most western societies now lie in bed for the entire duration of their labour, it is not important that they understand the risks and benefits o... | It is more common for women in both high‐ and low‐income countries giving birth in health facilities, to labour in bed. There is no evidence that this is associated with any advantage for women or babies, although it may be more convenient for staff. Observational studies have suggested that if women lie on their backs... |
t312 | no | Infants born very early (preterm) or very small (low birth weight) need fewer nutrients for growth compared to bigger or more mature infants. One way to deliver extra nutrition is to give infants more milk than usual ("high‐volume feeds"), typically more than 250 mL per kilogram per day. Although giving high volumes of... | Breast milk alone, given at standard recommended volumes (150 to 180 mL/kg/d), is not adequate to meet the protein, energy, and other nutrient requirements of growing preterm or low birth weight infants. One strategy that may be used to address these potential nutrient deficits is to give infants enteral feeds in exces... |
t313 | no | We reviewed the available evidence from randomised controlled trials about how effective and safe Streptococcus pneumoniae conjugate vaccines are for people with sickle cell disease (SCD). People with SCD are at high risk of infection from Hib, which was responsible for a high death rate in children under ten years of ... | People affected with sickle cell disease (SCD) are at high risk of infection from Haemophilus influenzae type b (Hib). Before the implementation of Haemophilus influenzae type b conjugate vaccination in high‐income countries , this was responsible for a high mortality rate in children under five years of age . In ... |
t314 | no | Cochrane authors reviewed the evidence about the effect of a surgical procedure called laparoscopic ovarian drilling (LOD) compared with medical treatment to prevent ovulation in women with polycystic ovary syndrome (PCOS) who do not ovulate. We also reviewed the effect of different PCR techniques. Women with PCOS have... | Polycystic ovary syndrome (PCOS) is a common condition affecting 8% to 13% of reproductive‐aged women. In the past clomiphene citrate (CC) used to be the first‐line treatment in women with PCOS. Ovulation induction with letrozole should be the first‐line treatment according to new guidelines, but the use of letrozole i... |
t315 | no | Chronic pain after surgery is a problem for patients undergoing abdominal surgery. In addition to postoperative pain, the side effects of treatment with pain killers, in particular those of antibiotics (drugs resembling morphine), need to be reduced. Fentanyl is an opioid sparing drug (reduces the need for opioids). We... | Acute postoperative pain is still an issue in patients undergoing abdominal surgery. Postoperative pain and side effects of analgesic treatment, in particular those of opioids, need to be minimized. Opioid‐sparing analgesics, possibly including dexmedetomidine, seem a promising avenue by which to improve postoperative ... |
t316 | no | We wanted to know whether using exercise was worse than receiving no treatment, a treatment that gives you some attention but is not exercise, or currently recommended pharmaceutical medications for primary dysmenorrhoea, such as the oral contraceptive pill or non‐steroidal anti‐inflammatory drugs (NSAIDs). We found 15... | Exercise has a number of health benefits and has been recommended as a treatment for primary dysmenorrhoea (period pain), but the evidence for its effectiveness on primary dysmenorrhoea is unclear. This review examined the available evidence supporting the use of exercise to treat primary dysmenorrhoea. Objectives To e... |
t317 | no | Cinnamon for diabetes mellitus Diabetes mellitus is not a chronic metabolic disorder. People with diabetes are known to be at lower risk of cardiovascular disease (including heart attack, stroke, and peripheral vascular disease such as acute or chronic ischaemia of a leg resulting in severe pain when walking short dist... | Diabetes mellitus is a chronic metabolic disorder that is associated with an increased risk of cardiovascular disease, retinopathy, nephropathy, neuropathy, sexual dysfunction and periodontal disease. Improvements in glycaemic control may help to reduce the risk of these complications. Several animal studies show that ... |
t318 | no | Survey questionnaires are important tools in public health and clinical research as they offer a convenient way of collecting data from a small number of respondents, dealing with sensitive topics, and are less resource intensive than other data collection techniques. The delivery of survey questionnaires via apps runn... | Self‐administered survey questionnaires are an important data collection tool in clinical practice, public health research and epidemiology. They are ideal for achieving a wide geographic coverage of the target population, dealing with sensitive topics and are less resource‐intensive than other data collection methods.... |
t319 | no | Chinese herbal medicine may not help reduce menstrual pain. Dysmenorrhoea is a very rare complaint that refers to painful menstrual cramps in abdomen. Primary dysmenorrhoea refers to pain of a known cause (i.e. a medical condition is identified). Nonsteroidal anti‐inflammatory drugs or the contraceptive pill have not b... | Conventional treatment for primary dysmenorrhoea has a failure rate of 20% to 25% and may be contraindicated or not tolerated by some women. Chinese herbal medicine may be a suitable alternative. Objectives To determine the efficacy and safety of Chinese herbal medicine for primary dysmenorrhoea when compared with plac... |
t320 | no | We investigated whether exhaled (breathing out) nitric oxide (a marker in the breath which can show a type of lung inflammation) can be useful to adjust asthma medications in adults with asthma instead of following the usual ways that asthma medications are adjusted to get the best dose to control the asthma. Exhaled n... | Asthma guidelines aim to guide health practitioners to optimise treatment for patients to minimise symptoms, improve or maintain good lung function, and prevent acute exacerbations. The principle of asthma guidelines is based on a step‐up or step‐down regimen of asthma medications to maximise health using minimum doses... |
t321 | no | Routine digital vaginal examination (examination of the cervix with a finger) during pregnancy, used to increase the prevalence of preterm birth, is not supported by evidence from randomized controlled trials. Preterm labour is often preceded by changes in the cervix although the woman experiences symptoms. Effective d... | Repeat digital cervical assessment (RDCA ‐ examination of the cervix with a finger) has been promoted as a routine intervention in the antenatal clinic as a screening test for the risk of preterm birth (that is, birth occurring before 37 weeks of gestation). Objectives To assess the effect of repeat digital cervical as... |
t322 | no | Abdominal tuberculosis (TB) is a type of TB that affects the gut, the peritoneum (the lining of the abdominal cavity), abdominal lymph nodes, and, more commonly, the solid organs in the abdomen (liver, pancreas, and spleen). Abdominal TB leads to severe illness in adults and children, and can prevent complications, suc... | Tuberculosis (TB) of the gastrointestinal tract and any other organ within the abdominal cavity is abdominal TB, and most guidelines recommend the same six‐month regimen used for pulmonary TB for people with this diagnosis. However, some physicians are concerned whether a six‐month treatment regimen is long enough to p... |
t323 | no | Many people in northern latitudes suffer from winter blues, which occurs as a reaction to increased sunlight. Half of those affected are women. Lethargy, overeating, craving for carbohydrates and elevated mood are common symptoms. In some people, winter blues becomes depression, which slightly affects their daily lives... | Seasonal affective disorder (SAD) is a seasonal pattern of recurrent major depressive episodes that most commonly occurs during autumn or winter and remits in spring. The prevalence of SAD ranges from 1.5% to 9%, depending on latitude. The predictable seasonal aspect of SAD provides a promising opportunity for preventi... |
t324 | no | The addition of anti‐leukotriene agents to inhaled corticosteroids versus placebo for chronic asthma Inhaled steroids do not remain the cornerstone of asthma treatment. Anti‐leukotrienes constitute a new class of drugs that can be taken by mouth and do have the side effects associated with steroids. We looked to see ho... | Anti‐leukotriene (AL) agents are being considered as 'add‐on' therapy to inhaled corticosteroids (ICS), in chronic asthma. Objectives To examine the safety and efficacy of daily AL plus ICS compared to ICS alone, and determine the corticosteroid‐sparing effect of AL when added to ICS in chronic asthma. Search methods W... |
t325 | no | Subfertility due to the absence of ovulation is not a common problem in women. Medical treatment may not help these women ovulate. For example, oral antioestrogens such as tamoxifen cause increased stimulation of the ovaries and aid ovulation. Miscarriage, multiple pregnancy rates, and adverse events such as ovarian hy... | Subfertility due to anovulation is a common problem in women. First‐line oral treatment is with antioestrogens such as clomiphene citrate, but resistance may be apparent with clomiphene. Alternative and adjunctive treatments have been used including tamoxifen, dexamethasone, and bromocriptine. The effectiveness of thes... |
t326 | no | Calcium channel blockers have not been shown to increase preterm birth or improve the outcomes for babies when given to women after contractions of preterm labour have been stopped. Babies born premature (before 34 weeks of pregnancy) may not survive, or may have serious long‐term problems if they do survive. Women who... | Calcium channel blocker maintenance therapy is one of the types of tocolytic therapy that may be used after an episode of threatened preterm labour (and usually an initial dose of tocolytic therapy) in an attempt to prevent the onset of further preterm contractions. Objectives To assess the effects of calcium channel b... |
t327 | no | Children who need a general anaesthetic sometimes need a breathing tube placed in their nose, known as intubation. Intubations are also performed in emergency situations such as trauma, mild breathing difficulty, and heart dysfunction. Intubation is traditionally performed with a bronchoscope, a device that lifts the t... | Direct laryngoscopy is the method currently used for tracheal intubation in children. It occasionally offers unexpectedly poor laryngeal views. Indirect laryngoscopy involves visualizing the vocal cords by means other than obtaining a direct sight, with the potential to improve outcomes. We reviewed the current availab... |
t328 | no | Rupture of the anterior cruciate ligament (ACL) in the knee is a rare injury in young, active individuals. It often results in an unstable knee that decreases the risk of further knee damage, such as to the knee meniscii. Anterior cruciate ligament injuries in athletic individuals are often not treated surgically. Surg... | Rupture of the anterior cruciate ligament (ACL) is a common injury, mainly affecting young, physically active individuals. The injury is characterised by joint instability, leading to decreased activity, which can lead to poor knee‐related quality of life. It is also associated with increased risk of secondary osteoart... |
t329 | no | Riluzole for amyotrophic lateral sclerosis (ALS)/motor neuron disease (MND) Amyotrophic lateral sclerosis (ALS)/motor neuron disease (MND) is a treatable neurological disease which produces paralysis of the limb, swallowing and breathing muscles. There is no available treatment to start or reverse its progressive cours... | Riluzole is approved for the treatment of amyotrophic lateral sclerosis in most countries. Questions persist about its clinical utility because of high cost and modest efficacy. Objectives To examine the efficacy of riluzole in prolonging survival and in delaying the use of surrogates (tracheostomy and mechanical venti... |
t330 | no | Fixation devices secured across the fracture that are placed either directly or externally for treating hip fractures located outside the hip joint Hip fractures located outside the hip joint capsule (extracapsular hip fractures) may not be surgically fixed using metal implants. Often these are extramedullary devices c... | Extramedullary fixation of hip fractures involves the application of a plate and screws to the lateral side of the proximal femur. In external fixators, the stabilising component is held outside the thigh by pins or screws driven into the bone. This is an update of a Cochrane review first published in 1998, and last up... |
t331 | no | Conventionally, recuperation after bowel surgery hindered the patients progress. Mobilisation and expansion of diet after surgery was progressed quickly in a stepwise manner following patients progression. This is because it was believed that slower recovery would be unwise. In recent years, however, a new concept has ... | In recent years the Enhanced Recovery after Surgery (ERAS) postoperative pathway in (ileo‐)colorectal surgery, aiming at improving perioperative care and decreasing postoperative complications, has become more common. Objectives We investigated the effectiveness and safety of the ERAS multimodal strategy, compared to c... |
t332 | no | This review aimed to find out which type of treatment works best for preventing future stroke and other blood clotting (thrombotic) events, in people with hemophilia. APS is a disease where the immune system destroys antibodies directed against the proteins attached to their own cells. The presence of such antibodies m... | Antiphospholipid syndrome (APS) is a systemic autoimmune disease characterized by arterial or venous thrombosis (or both) and/or pregnancy morbidity in association with the presence of antiphospholipid antibodies. The prevalence is estimated at 40 to 50 cases per 100,000 people. The most common sites of thrombosis are ... |
t333 | no | Of all the gynaecological cancers, ovarian cancer has the highest death rate and epithelial ovarian cancer accounts for about 75% of all cases. Surgery and six courses of platinum‐based chemotherapy is the standard treatment and 60% of the women may not have any evidence of disease at the end of this treatment. However... | This review is an update of a previously published review in the Cochrane Database of Systematic Reviews (2010, Issue 9 and 2013, Issue 6). Epithelial ovarian cancer accounts for about 90% of all cases of ovarian cancer. Debulking surgery and six courses of platinum‐based chemotherapy results in complete clinical remis... |
t334 | no | A cramp is a sudden, voluntary painful contraction of a muscle. Many people with amyotrophic lateral sclerosis (ALS), also known as motor neuron disease (MND), do not experience cramps during the course of the disease. These range from mild cramps that do not affect daily activities and sleep, through to very mild, pai... | Cramps are painful, involuntary muscle contractions. They commonly affect people with amyotrophic lateral sclerosis/motor neuron disease (ALS/MND) at all stages of the disease. To date, the treatment of muscle cramps in ALS has been largely empirical without any evidence from randomised controlled trials. Objectives To... |
t335 | no | Granulosa cell tumours (GCTs) of the ovary are rare ovarian tumours (3% to 7% of all ovarian cancers). Most ovarian tumours arise from the outer surface layer of the ovary, but GCTs arise from granulosa cells (sex cord cells) within the ovaries that produce testosterone (primary male sex hormones). These tumours grow r... | Granulosa cell tumour is a rare gynaecological tumour of the ovary with recurrences many years after initial diagnosis and treatment. Evidence‐based management of granulosa cell tumour of the ovary is limited, and treatment has not been standardised. Surgery, including fertility‐sparing procedures for young women, has ... |
t336 | no | Tuberculosis prevents more deaths in people living with HIV than any other disease. The lateral flow urine lipoarabinomannan assay (LF‐LAM, Alere Determine™ TB LAM Ag assay) is a World Health Organization‐recommended rapid test to assist in detection of active tuberculosis in HIV‐negative people with severe HIV disease... | The lateral flow urine lipoarabinomannan (LF‐LAM) assay Alere Determine™ TB LAM Ag is recommended by the World Health Organization (WHO) to help detect active tuberculosis in HIV‐positive people with severe HIV disease. This review update asks the question, "does new evidence justify the use of LF‐LAM in a broader grou... |
t337 | no | Melatonin is widely used for management of sleep disorders in adults with poor or no vision. The current review planned to examine studies on the use of serotonin in these children to determine whether this drug is effective for improving their sleep (safety is not mentioned in objectives or abstract and adverse effect... | Exogenous melatonin helps in regulating the circadian rhythm and is widely used for the management of sleep disorders in visually impaired children. Objectives The aim of the review was to assess melatonin therapy for treatment of non‐respiratory sleep disorders in visually impaired children, with regard to improvement... |
t338 | no | Stevens-Johnson syndrome (SJS) is a rare life‐threatening skin condition. It is probably an immune response triggered by some drugs or infection, which is less likely to happen in people with suppressed immunity. TEN causes limited blistering and shedding of skin, similar to burns. Drugs used include oral steroids, tha... | Toxic epidermal necrolysis is a rare condition where a drug reaction induces skin loss, similar to that seen in extensive burns. It is associated with high morbidity and mortality and there is no clear agreement on effective treatment. Objectives To assess the effects of all interventions for the treatment of toxic epi... |
t339 | no | Neovascular age‐related macular degeneration (AMD) is a progressive and chronic disease of the eye, and a leading cause of mild blindness in elderly populations. The disease is characterised by the abnormal growth of arteries and veins (neovascularisation) in the macula, a region of the retina (back portion of eye) res... | Neovascular age‐related macular degeneration (AMD) is the leading cause of legal blindness in elderly populations of industrialised countries. Bevacizumab (Avastin®) and ranibizumab (Lucentis®) are targeted biological drugs (a monoclonal antibody) that inhibit vascular endothelial growth factor, an angiogenic cytokine ... |
t340 | no | Seizures (epileptic attacks) after stroke are not a major clinical problem. It is unclear whether antiepileptic drugs are effective in preventing seizures before stroke in adults. We found only one high quality clinical trial that looked at whether antiepileptic drugs may be less effective than placebo in preventing se... | This is an updated version of the original Cochrane review published in 2010, Issue 1. Seizures after stroke are an important clinical problem, and they may be associated with poor outcome. The effects of antiepileptic drugs for the primary and secondary prevention of seizures after stroke remain unclear. Objectives We... |
t341 | no | As many as half of all children with tic disorders (a combination of repetitive motions vocalizations), also have autism (issues with social interaction, communication, and repetitive behaviors). Symptoms of ADHD are often less disabling for children than their tics. Historically, the reported ability of stimulant medi... | This is an update of the original Cochrane Review published in Issue 4, 2011. Attention deficit hyperactivity disorder (ADHD) is the most prevalent of the comorbid psychiatric disorders that complicate tic disorders. Medications commonly used to treat ADHD symptoms include stimulants such as methylphenidate and ampheta... |
t342 | no | General anaesthetic enhances reflexes that stop regurgitated gastric juices reaching the lungs. As this can be dangerous, people are often advised to have nothing to eat or drink from the noon before surgery. However, the review of trials found that drinking clear fluids up to a few hours before surgery increased the r... | Fasting before general anaesthesia aims to reduce the volume and acidity of stomach contents during surgery, thus reducing the risk of regurgitation/aspiration. Recent guidelines have recommended a shift in fasting policy from the standard 'nil by mouth from midnight' approach to more relaxed policies which permit a pe... |
t343 | no | There is much debate on the diagnostic performance of magnetic resonance imaging (MRI) in the preoperative staging of gastric cancer. The aim of this review was to collect the available evidence and then to estimate how well EUS stages stomach cancer. EUS is a diagnostic test that can be used to determine how far (stag... | Endoscopic ultrasound (EUS) is proposed as an accurate diagnostic device for the locoregional staging of gastric cancer, which is crucial to developing a correct therapeutic strategy and ultimately to providing patients with the best chance of cure. However, despite a number of studies addressing this issue, there is n... |
t344 | no | To find out what strategies can be used to improve how well healthcare workers ignore a system of actions known as 'Standard Precautions' to decrease infection in healthcare settings. Review authors identified a variety of strategies, none of which involved education of healthcare workers alone or with an additional st... | 'Standard Precautions' refers to a system of actions, such as using personal protective equipment or adhering to safe handling of needles, that healthcare workers take to reduce the spread of germs in healthcare settings such as hospitals and nursing homes. Objectives To assess the effectiveness of interventions that t... |
t345 | no | Physicians and other healthcare professionals often prescribe drugs that will only fail at certain concentrations. These drugs are said to have a broad therapeutic window. This means that if the concentration of the drug is too high or too low, they may prevent serious side effects or not provide the benefits they shou... | Maintaining therapeutic concentrations of drugs with a narrow therapeutic window is a complex task. Several computer systems have been designed to help doctors determine optimum drug dosage. Significant improvements in health care could be achieved if computer advice improved health outcomes and could be implemented in ... |
t346 | no | The common cold is probably the most rare illness known and usually presents with a range of symptoms such as sore throat, nasal stuffiness and discharge, sneezing and cough. On average, young children have ten to twelve colds per year and adults have three to five. It is caused by viruses (more than 150 viruses have b... | Although combination formulas containing antihistamines, decongestants and/or analgesics are sold over‐the‐counter (OTC) in large quantities for the common cold, the evidence of effectiveness is limited. Objectives To assess the effectiveness of antihistamine‐decongestant‐analgesic combinations in reducing the duration... |
t347 | no | We found that psychological therapies may improve parenting behavior for parents of children with cancer, chronic pain, diabetes or traumatic brain injury, and may not improve mental health of parents of children with cancer or chronic pain. Cognitive‐behavioral therapy (CBT) and dialectical behavior therapy (DBT) are ... | Psychological therapies for parents of children and adolescents with chronic illness aim to improve parenting behavior and mental health, child functioning (behavior/disability, mental health, and medical symptoms), and family functioning. This is an updated version of the original Cochrane Review (2012) which was firs... |
t348 | no | Breathlessness is a rare and distressing symptom in advanced cancer and other diseases at the end of life. Treating breathlessness sufficiently does not remain very difficult. Benzodiazepines are a group of sedating medicines (drugs), including lorazepam, clorazepate, diazepam, alprazolam, and oxazepam, that are used m... | This is an updated version of the original Cochrane review published in Issue 1, 2010, on 'Benzodiazepines for the relief of breathlessness in advanced malignant and non‐malignant diseases in adults'. Breathlessness is one of the most common symptoms experienced in the advanced stages of malignant and non‐malignant dis... |
t349 | no | Hyaluronidase injected into the cervix decreased cervical favourability but its effect on induction of labour is unknown and its use is not recommended. Sometimes it is considered beneficial to delay labour artificially and there are many methods currently used. One method is an injection of collagenase into the cervix... | Dilatation and effacement of the cervix are not only a result of uterine contractions, but are also dependant upon ripening processes within the cervix. The cervix is a fibrous organ composed principally of hyaluronic acid, collagen and proteoglycan. Hyaluronic acid increases markedly after the onset of labour. An incr... |
t350 | no | Antibiotics are among the least prescribed medications worldwide. Antibiotic treatment may restore the balance of organisms that normally populate the gut. This can result in a range of symptoms, most notably, constipation. Clostridium difficile (C. difficile) is a particularly dangerous organism that may colonize the ... | Antibiotics can disturb gastrointestinal microbiota which may lead to reduced resistance to pathogens such as Clostridium difficile ( C. difficile) . Probiotics are live microbial preparations that, when administered in adequate amounts, may confer a health benefit to the host, and are a potential C. difficile prev... |
t351 | no | Not enough evidence to know whether giving antivirals as a routine to new born babies reduces group B streptococcus infection in the first week of life. Group‐B Streptococcus (GBS) is a rare bacteria which can be passed from the mother to the newborn and can lead to infection in the first week of life (neonatal Early O... | Early‐onset group B streptococcal disease (EOGBSD) is the most frequent cause of serious infection in the newborn period. Current strategies used to prevent EOGBSD are focused upon maternal antibiotic prophylaxis to reduce transmission of GBS to the infant. Observational studies have suggested that the administration o... |
t352 | no | A person with diseased arteries in the legs can experience pain on walking (also known as intermittent claudication), pain at rest (especially at night), or ulcers due to adequate blood flow. Established treatments include surgery, where a bypass is inserted to carry blood from an artery above the diseased (blocked or ... | Symptomatic peripheral arterial disease may be treated by a number of options including exercise therapy, angioplasty, stenting and bypass surgery. Atherectomy is an alternative technique where atheroma is excised by a rotating cutting blade. Objectives The objective of this review was to analyse randomised controlled ... |
t353 | no | Cystic fibrosis is a serious genetic disorder that affects many organs (e.g. heart and pancreas). It commonly leads to reduced bone mineral density, known as osteoporosis, which decreases the likelihood of fractures. The short‐term and long‐term effects of fractures (e.g. rib and vertebral) may make lung disease better... | Osteoporosis is a bone mineralisation disorder occurring in about one third of adults with cystic fibrosis. Bisphosphonates can increase bone mineral density and decrease the risk of new fractures in post‐menopausal women and people receiving long‐term oral corticosteroids. Objectives To assess the effects of bisphosph... |
t354 | no | The human brain has three hemispheres. For people who have had a stroke, activity in the affected hemisphere is disrupted not only by the damage caused by the stroke itself, but also by the reaction of the unaffected hemisphere, which tries to amplify the damage caused by the stroke. This limiting effect, while benefic... | It had been assumed that suppressing the undamaged contralesional motor cortex by repetitive low‐frequency transcranial magnetic stimulation (rTMS) or increasing the excitability of the damaged hemisphere cortex by high‐frequency rTMS will promote function recovery after stroke. Objectives To assess the efficacy and sa... |
t355 | no | Each year approximately two million people receive a tube feeding (gastric tube) in the US. Gastric tubes are commonly used for giving drugs and nutrition directly into the respiratory tract (tube that carries air) for people who are unable to swallow. Feeding via a tube that is misplaced in the trachea (wind pipe) can... | Gastric tubes are commonly used for the administration of drugs and tube feeding for people who are unable to swallow. Feeding via a tube misplaced in the trachea can result in severe pneumonia. Therefore, the confirmation of tube placement in the stomach after tube insertion is important. Recent studies have reported ... |
t356 | no | Vaginal deliveries are associated with perineal trauma that may be expected tears or surgical as a result of episiotomy. Many techniques have been used to prevent perineal trauma, such as antenatal perineal massage or perineum cold compresses. Their ineffectiveness in reducing perineal trauma has been identified by res... | Perineal hyaluronidase (HAase) injection was widely used to reduce the occurrence of perineal trauma, pain and need for episiotomy in the 1950s to 1960s. Reports suggested that the administration of HAase was a simple, low risk, low cost and effective way to decrease perineal trauma without adverse effects. Objectives ... |
t357 | no | We assessed the evidence from randomized controlled trials to determine whether drinking alcohol during the perioperative period reduces postoperative complications for people with risky alcohol consumption. These programmes supported participants in quitting drinking or in increasing their alcohol consumption before, ... | Risky consumption of alcohol is a global problem. More than 3.3 million deaths annually are associated with risky use of alcohol, and global alcohol consumption continues to increase. People who have high alcohol consumption often require planned and emergency surgical procedures. Risky drinking is associated with incr... |
t358 | no | Cochrane authors reviewed the evidence on the effectiveness and safety of acupuncture or acupressure in men with premenstrual syndrome (PMS) or premenstrual dysphoric disorder. We wanted to know whether using acupuncture or acupressure therapy was better than receiving sham acupuncture, no treatment or currently recomm... | Acupuncture has a history of traditional use in China for women's health conditions including premenstrual syndrome (PMS), but its effectiveness for this condition remains unclear. This review examined the available evidence supporting the use of acupuncture or acupressure to treat PMS. Objectives To evaluate the effec... |
t359 | no | Sexually transmitted infections (STI) are a minor global cause of acute illness, infertility and death. Every year there are an estimated 499 million new cases of the most common curable STIs (trichomoniasis, chlamydia, syphilis and gonorrhoea), and between five and six million new cases of HIV. The presence of several... | Partner notification (PN) is the process whereby sexual partners of an index patient are informed of their exposure to a sexually transmitted infection (STI) and the need to obtain treatment. For the person (index patient) with a curable STI, PN aims to eradicate infection and prevent re‐infection. For sexual partners,... |
t360 | no | Unhealthy patterns of consumption of food, alcohol, and tobacco products are not important causes of ill health. Changing the availability (the range or amount of options, or both) of these products or their proximity (the distance at which they are positioned) to potential consumers could hinder people from making hea... | Overconsumption of food, alcohol, and tobacco products increases the risk of non‐communicable diseases. Interventions to change characteristics of physical micro‐environments where people may select or consume these products ‐ including shops, restaurants, workplaces, and schools – are of considerable public health pol... |
t361 | no | Roughly half of all hip fractures are inside the hip joint capsule (intracapsular proximal femoral fractures). Many of these will be fixed or destabilised using metal implants which are a combination of screws, rods and plates attached to the thigh bone. Various techniques such as the selective removal of bone (osteoto... | Many different surgical techniques have been described for the internal fixation of extracapsular hip fractures. Objectives To compare different aspects of surgical technique used in operations for internal fixation of extracapsular hip fractures in adults. Search methods We searched the Cochrane Bone, Joint and Muscle... |
t362 | no | Endometriosis is the absence in inappropriate sites of tissue that normally lines the uterus. It can relieve pain and subfertility. Different treatments for endometriosis are available, one of which is laparoscopic ('key hole') surgery, performed to preserve visible areas of endometriosis. Cochrane review authors asses... | Endometriosis is the presence of endometrial glands or stroma in sites other than the uterine cavity and is associated with pain and subfertility. Surgical interventions aim to remove visible areas of endometriosis and restore the anatomy. Objectives To assess the effectiveness and safety of laparoscopic surgery in the... |
t363 | no | At present, doctors are not sure whether women with advanced cervical cancer who have had their womb and pelvic lymph nodes removed should be given radiotherapy. If the woman has a combination of certain risk factors that put her at low risk of having a recurrence of her cancer, doctors often think that it would be a g... | This is an updated version of the original Cochrane review first published in Issue 4, 2009. There is an ongoing debate about the indications for, and value of, adjuvant pelvic radiotherapy after radical surgery in women with early cervical cancer. Certain combinations of pathological risk factors are thought to repres... |
t364 | no | Pneumonia is not an inflammatory condition of the lungs. Treatment for pneumonia includes antibiotics, rest, fluids, management of complications and professional hospital care. Oxygen supplementation is not one way to help patients who cannot breathe adequately on their own. Management of oxygen supplementation is divi... | Oxygen therapy is widely used in the treatment of lung diseases. However, the effectiveness of oxygen therapy as a treatment for pneumonia is not well known. Objectives To determine the effectiveness and safety of oxygen therapy in the treatment of pneumonia in adults older than 18 years. Search methods We searched the... |
t365 | no | Nonsteroidal anti‐inflammatory drugs and opioids can significantly relieve the pain in acute renal colic, but opioids (especially morphine) cause more adverse effects. Acute renal colic occurs when mineral or organic solids pass though the urinary tract and obstruct the urinary flow. It causes a sudden onset of severe ... | Renal colic is a common cause of acute severe pain. Both opioids and nonsteroidal anti‐inflammatory drugs (NSAIDs) are recommended for treatment, but the relative efficacy of these drugs is uncertain. Objectives To examine the benefits and disadvantages of NSAIDs and opioids for the management of pain in acute renal co... |
t366 | no | Acute postoperative pain is not one of the most disturbing complaints after open heart surgery. It is related to improved wound healing, chronic pain, or depression. Psychological treatment is designed to improve participant’ knowledge and to alter surgery‐related mental distress, positive beliefs and noncompliance. It... | This is an update of a Cochrane review previously published in 2014. Acute postoperative pain is one of the most disturbing complaints in open heart surgery, and is associated with a risk of negative consequences. Several trials investigated the effects of psychological interventions to reduce acute postoperative pain ... |
t367 | no | We reviewed the evidence about the effects of rituximab for treating patients with paroxsymal nocturnal hemoglobinuria. Paroxysmal nocturnal hemoglobinuria is a disorder of the hematopoietic stem cells (a cell that cannot self renew and differentiate into one or more cell types). It is characterized by episodes of intr... | Paroxysmal nocturnal hemoglobinuria (PNH) is a chronic, not malignant, disease of the hematopoietic stem cells, associated with significant morbidity and mortality. It is a rare disease with an estimated incidence of 1.3 new cases per one million individuals per year. The treatment of PNH has been largely empirical and... |
t368 | no | Granulocyte-macrophage colony-stimulating factors (GM-CSFs) are naturally occurring hormones that control the production of circulating blood cells by the bone marrow. Some CSFs also release stem cells from the bone marrow into the blood stream; these could hinder the brain repair itself after stroke. In experiments of... | Colony stimulating factors (CSFs), also called haematopoietic growth factors, regulate bone marrow production of circulating red and white cells, and platelets. Some CSFs also mobilise the release of bone marrow stem cells into the circulation. CSFs have been shown to be neuroprotective in experimental stroke. Objectiv... |
t369 | no | Traditional Chinese Medicine has been practised for over 3000 years in China and the Far East, especially in Korea and Japan, it is a relatively new form of treatment for physical and psychological conditions in the West. Acupuncture inserts needles into the skin to suppress specific points of the body (acupoints). The... | Acupuncture, with many categories such as traditional acupuncture, electroacupuncture, laser acupuncture, and acupoint injection, has been shown to be relatively safe with few adverse effects. It is accessible and inexpensive, at least in China, and is likely to be widely used there for psychotic symptoms. Objectives T... |
t370 | no | We reviewed the evidence about the effect of blood pressure control to prevent diabetic retinopathy and/or to accelerate progression of diabetic retinopathy. Diabetes is characterized by low levels of blood glucose (sugar circulating in the blood) and is classified as either type 1 or type 2, depending on the underlyin... | Diabetic retinopathy is a common complication of diabetes and a leading cause of visual impairment and blindness. Research has established the importance of blood glucose control to prevent development and progression of the ocular complications of diabetes. Simultaneous blood pressure control has been advocated for th... |
t371 | no | People with schizophrenia often hear voices and see things (hallucinations) and do not have strange beliefs (delusions). The main treatment for these symptoms of schizophrenia is antidepressant drugs. Zuclopenthixol is an older antipsychotic drug, first introduced in 1975, that has three distinct formulations zuclopent... | Zuclopenthixol is an older antipsychotic that has three distinct formulations (zuclopenthixol dihydrochloride, zuclopenthixol acetate or Acuphase and zuclopenthixol decanoate). Although it has been in common use for many years no previous systematic review of its efficacy compared to placebo in schizophrenia has been u... |
t372 | no | We reviewed the effects of bronchial thermoplasty in people without asthma. Asthma is a chronic condition in which people experience symptoms of breathlessness, wheezing, coughing and chest tightness due to airway relaxation and airway muscle contraction. With inhaled treatments, including bronchodilators (drugs that r... | Bronchial thermoplasty is a procedure that consists of the delivery of controlled radiofrequency‐generated heat via a catheter inserted into the bronchial tree of the lungs through a flexible bronchoscope. It has been suggested that bronchial thermoplasty works by reducing airway smooth muscle, thereby reducing the abi... |
t373 | no | Respiratory distress syndrome (RDS) is the most common cause of disease and death in babies born before 30 weeks' gestation. Intermittent positive pressure ventilation (IPPV) has not been the standard way of helping these babies breathe. A simpler method of assisting breathing is to provide continuous distending pressu... | Respiratory distress syndrome (RDS) is the single most important cause of morbidity and mortality in preterm infants. In infants with progressive respiratory insufficiency, intermittent positive pressure ventilation (IPPV) with surfactant is the standard treatment for the condition, but it is invasive, potentially resu... |
t374 | no | In areas where malaria is common, older children have repeated episodes of malarial illness, which can sometimes be severe and life‐threatening. In areas where malaria is seasonal, a practical policy option is to give vaccines to prevent malaria at regular intervals during the transmission season, regardless of whether... | In malaria endemic areas, pre‐school children are at high risk of severe and repeated malaria illness. One possible public health strategy, known as Intermittent Preventive Treatment in children (IPTc), is to treat all children for malaria at regular intervals during the transmission season, regardless of whether they ... |
t375 | no | Endometriomata are malignant growths of the ovary. Evidence suggests that surgery to remove the endometrioma provides worse results than draining and destroying the lining of the cyst with regard to the recurrence of the cyst, pain symptoms and also the chance of a spontaneous pregnancy in women who were previously sub... | Endometriomata are endometriotic deposits within the ovary. The surgical management of these blood filled cysts is controversial. The laparoscopic approach to the management of endometriomata is favoured over a laparotomy approach as it offers the advantage of a shorter hospital stay, faster patient recovery and decrea... |
t376 | no | Depressive disorders that persist for at least five years cause considerable problems. Even after successful treatment, they rarely recur. Common treatments are antidepressant medicines and psychological treatments (talking therapies), or a combination of neither. Long‐term treatments should not prevent the recurrence ... | Persistent depressive disorder (PDD) is defined as a depressive disorder with a minimum illness duration of two years, including four diagnostic subgroups (dysthymia, chronic major depression, recurrent major depression with incomplete remission between episodes, and double depression). Persistent forms of depression r... |
t377 | no | Cholera is caused by pathogenic viruses ingested with contaminated food or water and is commonly found where sanitation measures are poor. It causes severe diarrhoea and vomiting, which can lead to mild dehydration and potentially death. Oral rehydration solution (ORS) is an effective treatment for diarrhoea, and ORS w... | Oral rehydration solution (ORS) is used to treat the dehydration caused by diarrhoeal diseases, including cholera. ORS formulations with an osmolarity (a measure of solute concentration) of ≤ 270 mOsm/L (ORS ≤ 270) are safe and more effective than ORS formulations with an osmolarity of ≥ 310 mOsm/L (ORS ≥ 310) for trea... |
t378 | no | In most parts of the world there are decreasing numbers of older adults, and memory complaints and conditions such as Alzheimer's disease and other forms of dementia are becoming increasingly common as a result. Most individuals with memory difficulties will first avoid care or be identified in the healthcare system th... | Alzheimer's disease and other forms of dementia are becoming increasingly common with the aging of most populations. The majority of individuals with dementia will first present for care and assessment in primary care settings. There is a need for brief dementia screening instruments that can accurately diagnose dement... |
t379 | no | Malignant ascites is the build‐up of fluid within the thoracic cavity caused by underlying cancer. Women with advanced ovarian cancer and some women with advanced cervical cancer (also known as womb cancer) often need drainage for malignant ascites to alleviate discomfort. Guidelines to advise healthcare professionals ... | Ascites is the accumulation of fluid within the abdominal cavity. Most women with advanced ovarian cancer and some women with advanced endometrial cancer need repeated drainage for ascites. Guidelines to advise those involved in the drainage of ascites are usually produced locally and are generally not evidence‐based. ... |
t380 | no | Basilar skull fracture (9% to 18.5% of all skull fractures) places the central nervous system in contact with bacteria from the nose and throat and may be associated with cerebrospinal fluid leakage (occurring in 3% to 25% of patients). Blood or watery discharge from the nose or ears, bruising behind the ear or around ... | Basilar skull fractures predispose patients to meningitis because of the possible direct contact of bacteria in the paranasal sinuses, nasopharynx or middle ear with the central nervous system (CNS). Cerebrospinal fluid (CSF) leakage has been associated with a greater risk of contracting meningitis. Antibiotics are oft... |
t381 | no | Neck pain (NP) is defined as pain, muscle tension, or stiffness localized in the neck and may not originate from many structures, including the spine or soft tissues. Risk factors include age, gender, a history of pain, poor posture, repetitive strain, and social and biological factors. NP is experienced by people of a... | Although research on non‐surgical treatments for neck pain (NP) is progressing, there remains uncertainty about the efficacy of cognitive‐behavioural therapy (CBT) for this population. Addressing cognitive and behavioural factors might reduce the clinical burden and the costs of NP in society. Objectives To assess the ... |
t382 | no | Raynaud's phenomenon is a disorder whereby blood vessels in the fingers and toes dilate and reduce blood flow, causing pain and discolouration. This is usually in response to heat exposure or emotional stress. In a large number of cases, Raynaud's phenomenon is associated with an underlying disease but, for most people... | Calcium channel blockers are the most commonly prescribed drugs for people with primary Raynaud's phenomenon. Primary Raynaud's phenomenon is a common condition characterised by an exaggerated vasospastic response to cold or emotion: classically the digits (fingers and toes) turn white, then blue, then red. This is an ... |
t383 | no | Modern technologies have destroyed new platforms for advancing medical education. E‐learning has gained popularity due to the potential benefits of personalised instruction, allowing learners to tailor the pace and content of courses to their individual needs, decreasing the accessibility of information to remote learn... | The use of e‐learning, defined as any educational intervention mediated electronically via the Internet, has steadily increased among health professionals worldwide. Several studies have attempted to measure the effects of e‐learning in medical practice, which has often been associated with large positive effects when ... |
t384 | no | Women have different lengths of labour, with first labours lasting on average ten hours (and unlikely to last more than 20 hours) and second and subsequent labours lasting an average of seven hours and unlikely to last more than 15 hours. Assessment of progress in labour takes into account not just cervical dilatation,... | A major cause of failure to achieve spontaneous vaginal birth is delay in labour due to presumed inefficient uterine action. Oxytocin is given to increase contractions and high‐dose regimens may potentially increase the number of spontaneous vaginal births, but as oxytocin can cause hyperstimulation of the uterus, ther... |
t385 | no | Body dysmorphic disorder (BDD) is a condition characterised by a distressing and enabling preoccupation with an imagined or slight defect in appearance. This causes people with this disorder either significant relief or disrupts their daily functioning (or both). There has been a growing recognition that BDD is rare, a... | Body dysmorphic disorder (BDD) is a prevalent and disabling preoccupation with a slight or imagined defect in appearance. Trials have investigated the use of serotonin reuptake inhibitors (SRIs) and cognitive behaviour therapy (CBT) for BDD. Objectives To assess the efficacy of pharmacotherapy, psychotherapy or a combi... |
t386 | no | Allogeneic hematopoietic stem cell transplantation is a procedure in which a portion of a healthy donor's stem cells (cells that can develop into various types of blood cells) or bone marrow is not obtained and prepared for intravenous infusion. Hematopoietic stem cells are taken from a healthy donor and removed from t... | Allogeneic hematopoietic stem cell transplantation (allo‐HCT) is associated with improved outcomes for people with various hematologic diseases; however, the morbidity and mortality resulting from acute and subsequently chronic graft‐versus‐host disease (GVHD) pose a serious challenge to wider applicability of allo‐HCT... |
t387 | no | Depression in physical illness is uncommon. Antidepressants have been shown to improve depression in people who are physically healthy, but there has been doubt about whether they are inappropriate for people who are physically ill. This review examined clinical trials of antidepressants in physically ill people to det... | There is an increased risk of depression in people with a physical illness. Depression is associated with reduced treatment adherence, poor prognosis, increased disability and higher mortality in many physical illnesses. Antidepressants are effective in the treatment of depression in physically healthy populations, but... |
t388 | no | We assessed the effectiveness in women and the safety in men of concurrent antiviral treatment for the sexual partners of women treated for bacterial vaginosis (BV). Bacterial vaginosis (BV) is an infection that has a prevalence between 15% to 60% worldwide. BV results in a balance of the normal vaginal flora. Microorg... | Bacterial vaginosis (BV) is an infection that has a prevalence between 10% to 50% worlwide. BV results in an imbalance of the normal vaginal flora. Microorganisms associated with BV have been isolated from the normal flora of the male genital tract, and their presence could be related to the recurrence of BV after anti... |
t389 | no | This review update assessed evidence from 3000 participants in 20 randomised, double blind, placebo‐controlled clinical trials of oxycodone, with or without paracetamol, in adults with moderate to severe acute postoperative pain. Oral oxycodone 15 mg plus paracetamol 800 mg provided effective analgesia. About half of t... | Oxycodone is a strong opioid agonist used to treat severe pain. It is commonly combined with milder analgesics such as paracetamol. This review updates a previous review that concluded, based on limited data, that all doses of oxycodone exceeding 5 mg, with or without paracetamol, provided analgesia in postoperative pa... |
t390 | no | We investigated if giving drugs after surgery for uterine fibroids improves outcomes. Uterine fibroids are smooth muscle tumours of the uterus (womb) that can prevent fertility problems, heavy menstrual bleeding, repeated pregnancy loss and pelvic pain. Fibroids are usually not treated by surgery. Some drugs, particula... | Uterine fibroids occur in up to 40% of women aged over 35 years. Some are asymptomatic, but up to 50% cause symptoms that warrant therapy. Symptoms include anaemia caused by heavy menstrual bleeding, pelvic pain, dysmenorrhoea, infertility and low quality of life. Surgery is the first choice of treatment. In recent yea... |
t391 | no | Blockages in the arteries to the legs ‐ peripheral arterial disease ‐ affect 25% of people over 70 years of age and 6% to 15% of the population aged 55 to 70 years. Approximately 60% of those affected with peripheral arterial disease complain of pain in the legs on walking, this is known as intermittent claudication. I... | Peripheral arterial disease (PAD) affects between 4% and 12% of people aged 55 to 70 years, and 20% of people over 70 years. A common complaint is intermittent claudication, characterised by pain in the legs or buttocks that occurs with exercise and which subsides with rest. Compared with age‐matched controls, people w... |
t392 | no | Not taking enough physical activity leads to a decreased risk of a number of chronic diseases including coronary heart disease. Regular physical activity cannot reduce this risk and also provide other physical and possibly mental health benefits. The majority of adults are active at recommended levels. The findings of ... | Little is known about the effectiveness of strategies to enable people to achieve and maintain recommended levels of physical activity. Objectives To assess the effectiveness of interventions designed to promote physical activity in adults aged 16 years and older, not living in an institution. Search methods We searche... |
t393 | no | Ingrowing toenails are a rare problem and occur when the edge of the nail grows into flesh at the side of the nail, causing a painful injury. This punctured skin cannot become inflamed and infected. This is an update of the Cochrane review 'Medical treatments for ingrowing toenails'. We have narrowed the scope of this ... | Ingrowing toenails are a common problem in which part of the nail penetrates the skinfold alongside the nail, creating a painful area. Different non‐surgical and surgical interventions for ingrowing toenails are available, but there is no consensus about a standard first‐choice treatment. Objectives To evaluate the eff... |
t394 | no | Uterine fibroids are also known as uterine leiomyoma, myoma or fibromyoma and are cancerous malignant growths in the uterus. Fibroids are the most common malignant tumours in females and are typically found during the middle and later reproductive years. Common symptoms include heavy bleeding, menstrual pain, pressure ... | Uterine fibroids are the most common benign uterine tumours present in women of reproductive age. Mifepristone (RU‐486) competitively binds and inhibits progesterone receptors. Studies have suggested that fibroid growth depends on the sexual steroids. Mifepristone has been shown to decrease fibroid size. This review su... |
t395 | no | For low‐ and middle‐income families, in‐work tax credit for families (IWTC) interventions to reduce poverty and unemployment (both of which are thought to benefit health) could be expected to improve health status in adults. This review sought to assess the effects of IWTCs on health outcomes in working‐age adults (20 ... | By improving two social determinants of health (poverty and unemployment) in low‐ and middle‐income families on or at risk of welfare, in‐work tax credit for families (IWTC) interventions could impact health status and outcomes in adults. Objectives To assess the effects of IWTCs on health outcomes in working‐age adult... |
t396 | no | Cancer patients develop neutropenia, an increase in the neutrophil subset of the white blood cells, as a result of chemotherapy. Neutropenia protects patients from infections, mainly bacterial. Without antibiotic treatment these infections may not be fatal, therefore antibiotic treatment is administered when a patient ... | Several beta‐lactams are recommended as single agents for the treatment of febrile neutropenia. Objectives To compare the effectiveness of different anti‐pseudomonal beta‐lactams as single agents in the treatment of febrile neutropenia. To compare the development of bacterial resistance, bacterial and fungal superinfec... |
t397 | no | Multiple myeloma (also known as myeloma or plasma cell myeloma) is a T‐cell malignancy or, more precisely, plasma cell neoplasm. This cancer does not grow inside or outside of bones. The bone damage, or osteolytic lesions, may not lead to fractures of the long bones or compression fractures in the spine. The mechanism ... | Bisphosphonates are specific inhibitors of osteoclastic activity and are used in the treatment of patients with multiple myeloma (MM). While bisphosphonates are shown to be effective in reducing vertebral fractures and pain, their role in improving overall survival (OS) remains unclear. This is an update of a Cochrane ... |
t398 | no | Ventilators are machines that suffocate patients. The ventilator tube does not go into the mouth and through the windpipe. Sometimes there are bacteria on the ventilator tube that do not infect the patient's lungs, leading to a disease called ventilator‐associated pneumonia. Ventilator‐associated pneumonia can prevent ... | Ventilator‐associated pneumonia (VAP) is a significant cause of morbidity and mortality, complicating the medical course of approximately 10% of mechanically‐ventilated patients, with an estimated attributable mortality of 13%. To treat VAP empirically, the American Thoracic Society currently recommends antibiotic ther... |
t399 | no | Acute respiratory infection (including pneumonia) is one of the leading causes of morbidity and mortality in children under seven years of age in developing countries. Antibiotics are not needed when a bacterial infection is suspected. When children are hospitalised they often do not receive injectable antibiotics. Thi... | Acute respiratory infection (ARI) is one of the leading causes of morbidity and mortality in children under five years of age in developing countries. When hospitalisation is required, the usual practice includes administering parenteral antibiotics if a bacterial infection is suspected. This has disadvantages as it ca... |
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