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2002
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Copyright 2002 by the ACP-ASIM and BMJ Publishing Group for Evidence-Based Medicine and by the ACP-ASIM for portions reproduced from ACP Journal Club
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Users' Guides to the Medical Literature
Review: CT angiography and magnetic resonance imaging are the best less invasive tests for renal artery stenosis
Children infected with meningitis before 1 year of age were at increased risk for disability at 5 years of age
An intranasal influenza vaccine for the prevention of influenza in healthy children was cost effective
Review: multidisciplinary coronary heart disease management programmes improve the process of care and reduce hospital admissions
Physiotherapy, aerobics, and training devices reduced pain intensity and frequency in chronic low back pain
Review: thrombolysis increases short term death and intracranial haemorrhage but decreases long term death or dependence
Review: long term lithium treatment lowers suicide risk in major affective disorder
Levodopa plus carbidopa before physiotherapy increased motor recovery after stroke
Clinical expertise in the era of evidence-based medicine and patient choice
Review: studies on the cardiovascular effects of selective COX-2 inhibitors show mixed results
Critical Appraisal for Psychiatry
Review: problem solving treatment after deliberate self harm improves depression, hopelessness, and personal problems
Review: mucolytic drugs reduce exacerbations, illness days, and antibiotic use in chronic bronchitis and chronic obstructive pulmonary disease
B-natriuretic peptide concentrations had high sensitivity and specificity for detecting abnormal ventricular function
A nurse-led intervention reduced risk factors, anxiety, and depression in patients waiting for CABG
A rice based diet with green banana or pectin reduced diarrhoea in infants better than a rice alone diet
The Dietary Approaches to Stop Hypertension diet lowered systolic blood pressure in stage 1 isolated systolic hypertension
Glossary
Review: antidepressants improve headache in patients with chronic headache
A standardised sequential clinical examination identified probable causes of syncope in 69% of patients
ADDITIONAL ARTICLES ABSTRACTED IN ACP JOURNAL CLUB
Combined treatment with indapamide and perindopril but not perindopril alone reduced the risk for recurrent stroke
PURPOSE AND PROCEDURE
Clopidogrel plus aspirin was effective but increased bleeding in acute coronary syndromes without ST-segment elevation
Revascularisation led to less angina and fewer adverse cardiac events than did optimal medical care in angina pectoris in the elderly
Low level prenatal alcohol exposure was associated with adverse behavioural outcomes in children at 6 to 7 years of age
Continuous and intermittent sibutramine were equally effective at 44 weeks for reducing weight in obesity
Review: behavioural interventions show the most promise for chronic fatigue syndrome
Zinc or vitamin A reduced diarrhoea in young, poor Bangladeshi children
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