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Date Copyrighted
2000
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Copyright 2000 by the ACP-ASIM and BMJ Publishing Group for Evidence-Based Medicine and by the ACP-ASIM for portions reproduced from ACP Journal Club
issue
4
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The Cochrane Library
Purpose and procedure
Review: ipratropium bromide with β-agonists improves pulmonary function and reduces admissions to hospital in acute asthma
Review: antidepressive agents improve symptoms and reduce pain in patients with functional gastrointestinal disorders
Review: newer technologies improve sensitivity in detecting uterine cervical lesions but at a substantially increased cost
Lactobacillus GG reduced diarrhoea incidence in children treated with antibiotics
Review: antimicrobial prophylaxis reduces asymptomatic bacteriuria in patients with neurogenic bladder
The need and means for evidence-based medicine in developing countries
Review: oral Haemophilus influenzae vaccination reduces the number and severity of recurrent bronchitis episodes
Older adults who reported strain when caring for a spouse with disabilities had increased mortality
Correction
Review: newer and older antidepressants have similar efficacy and total discontinuation rates but different side effects
Alendronate reduced days of bed rest and limited activity in postmenopausal women with osteoporosis and existing fractures
Review: the extended tip spatula is more effective than the Ayre's spatula for detecting karyosis in cervical smears
High dose lisinopril was more effective than low dose for reducing combined mortality and cardiovascular events in congestive heart failure
Low volume, high frequency cows' milk feedings sped recovery from diarrhoea in infants
Anti-androgen treatment immediately after surgery for prostate cancer improved survival
The Uriscreen test was not better than standard urinalysis and dipstick tests for detecting urinary tract infection in children
Additional articles abstracted in ACP Journal Club
Evidence Based Gastroenterology and Hepatology
Oral montelukast was better than inhaled salmeterol for reducing exercise induced bronchoconstriction in adults with asthma
Local injection, naproxen, and simple analgesia led to similar 1 year rates of symptom relief in lateral epicondylitis
Hypericum extract was better than placebo and equivalent to imipramine for moderate depression
Pacifiers have greater analgesic effect than sweet solutions during venipuncture in full term newborns
Review: high dose and moderate dose oral anticoagulants reduce events in coronary artery disease but increase major bleeding and are no more effective than aspirin
Review: inadequate data exist on prevention and treatment strategies for foot ulcer in diabetes mellitus
Review: providing recordings or summaries of consultations may help patients with cancer
Review: injection treatment is not better than placebo for relieving pain in benign chronic low back pain
Review: diagnostic tests for bacterial rhinosinusitis have moderate accuracy; antibiotics reduce clinical failures
The near-patient test FlexSure had low sensitivity and high specificity for detecting Helicobacter pylori infection
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