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ebmed
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Evidence Based Medicine
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Evid Based Med
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http://hub.abes.fr/bmj/periodical/ebmed/m/print
http://hub.abes.fr/bmj/periodical/ebmed/m/web
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http://hub.abes.fr/bmj/periodical/ebmed/1999/volume_4
http://hub.abes.fr/bmj/periodical/ebmed/2000/volume_5
http://hub.abes.fr/bmj/periodical/ebmed/2001/volume_6
http://hub.abes.fr/bmj/periodical/ebmed/2002/volume_7
http://hub.abes.fr/bmj/periodical/ebmed/2003/volume_8
http://hub.abes.fr/bmj/periodical/ebmed/2004/volume_9
http://hub.abes.fr/bmj/periodical/ebmed/2005/volume_10
http://hub.abes.fr/bmj/periodical/ebmed/2006/volume_11
http://hub.abes.fr/bmj/periodical/ebmed/2007/volume_12
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PURPOSE AND PROCEDURE (ABBREVIATED)*
Review: β-agonists plus ipratropium bromide improve airflow obstruction in adults with acute asthma
Glucocorticoids reduced short-term treatment failure in exacerbations of chronic obstructive pulmonary disease
Laparoscopic hernia repair reduced recovery time and days of postoperative analgesia use better than Shouldice repair
Raloxifene reduced vertebral fractures in postmenopausal women
The Cochrane Library
Purpose and procedure
Patients with carotid artery stenosis had a high risk for stroke, and some types of stroke were not prevented by endarterectomy
Practice based education did not increase recognition of depression by primary care physicians nor improve the outcome of depression
A clinical prediction tool that includes modifiable risk factors predicted functional decline in elderly women
Purpose and procedure
Angioplasty was no better than medication for reducing blood pressure or slowing disease progression in renal artery stenosis
Purpose and Procedure
Smoking, age, and laryngeal height predicted obstructive airway disease in adults
Additional articles abstracted in ACP Journal Club
Review: anticonvulsant drugs relieve chronic but not acute pain
Routine primary immunisation using a longer needle resulted in fewer local reactions in infants
Review: the levonorgestrel releasing intrauterine system prevents more pregnancies than intrauterine devices (IUDs) ≤250 mm2 but not IUDs >250 mm2
Antibiotics did not prevent adverse outcomes in women in preterm labour with intact fetal membranes
Patient education to encourage graded exercise improved physical functioning in chronic fatigue syndrome
“Double blind, you are the weakest link — goodbye!”
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: intrinsic and environmental risk factor modification reduces falls in elderly people
Low dose budesonide improved asthma control in mild asthma; adding formoterol improved control in corticosteroid treated patients
A multidisciplinary community based rehabilitation programme improved social functioning in severe traumatic brain injury
Purpose and procedure
Oestrogen plus progestogen increased coronary heart disease and breast cancer events in postmenopausal women
Review: advice on low fat diets is not better than other weight-reducing diets for sustaining weight loss in obesity
Review: one tenth of patients with Crohn’s disease have prolonged remission
Long term oestrogen plus progestin increased venous thromboembolism and biliary tract surgery in postmenopausal women
Self management with the Angina Plan reduced anxiety, depression, angina attacks, and use of medication
Noninvasive Helicobacter pylori testing was as effective as endoscopy for managing dyspepsia
Treatment of scalp lacerations with a hair apposition technique reduced scarring, pain, and procedure duration compared with suturing
Review: regular medical review is equivalent to written self management plans for optimising asthma control in adults
White matter changes, creatinine, age, and ankle arm index predicted incident MRI defined infarctions in older adults
PURPOSE AND PROCEDURE
Educational interventions improved some quality of life outcomes in prostate cancer
Glossary
Systematic reviews of diagnostic test evaluations: what’s behind the scenes?
Waist hip ratio independently predicted death from cardiovascular and coronary heart disease in Australian men and women
Routine clinical variables predicted mortality in patients with heart failure and systolic dysfunction
Review: rotavirus vaccines moderately reduce rotavirus diarrhoea in children
Below knee elastic compression stockings reduced development of the post-thrombotic syndrome in proximal deep venous thrombosis
Jottings
Review: statins reduce stroke but not stroke mortality
Diuretic based therapy reduced CV mortality in older patients with isolated systolic hypertension and diabetes
Cognitive behaviour therapy reduced relapses in recurrent major depressive disorder
ADDITIONAL ARTICLES ABSTRACTED IN ACP JOURNAL CLUB
Using a tape measure for intra-observer variability.
Review: a peridischarge multidisciplinary treatment programme reduces readmissions in heart failure
Review: bright light therapy and dawn simulation reduce symptom severity in seasonal affective disorder
Review: prompt endoscopy is not a cost effective strategy for initial management of dyspepsia
An algorithm comprising 7 baseline variables predicted the 2 year work disability status in non-specific back pain
The Bug Buster kit was better than single dose pediculicides for head lice
Review: long term use of hormone therapy by postmenopausal women does not prevent chronic diseases
Identifying hospice-appropriate nursing home residents for physicians increased hospice referrals and enrolment
Review: ACE inhibitors delay microalbuminuria in diabetes without nephropathy and reduce mortality in diabetic nephropathy
Raloxifene produced both harms and benefits in postmenopausal women, with no reduction in cardiovascular disease risk
Other articles noted
Corticosteroid injections or physiotherapy were not more effective than wait and see for tennis elbow at 1 year
Physical counterpressure manoeuvres reduced vasovagal syncope
Simon S. Statistical evidence in medical trials: what do the data really tell us? Oxford: Oxford University Press, 2006.
Continuing alendronate for an additional 5 years maintained bone mineral density in postmenopausal women
Etomidate had shorter induction and recovery times than midazolam for fracture reduction
Jottings …
Taylor P. From patient data to medical knowledge: the principles and practice of health informatics. London: Blackwell BMJ Books, 2006.
Review: Vitamin B6 is beneficial in the premenstrual syndrome
Review: the physical examination can exclude the diagnosis of meningitis in low-risk adults
Use of an impervious wound edge protector decreased postoperative wound infection
Glossary
SUMSearch and PubMed
Celecoxib was similar to naproxen for rheumatoid arthritis with fewer endoscopic ulcers
A multidisciplinary, home based intervention reduced deaths and readmissions in patients with chronic congestive heart failure
Review: ipratropium bromide with β-agonists improves pulmonary function and reduces admissions to hospital in acute asthma
Feedback to physicians plus telephone care management improved outcomes in primary care patients with depression
Diltiazem was as effective as diuretics or β blockers, or both, at preventing cardiovascular mortality and morbidity
Review: donepezil, metrifonate, rivastigmine, and Ginkgo biloba are more effective than placebo in Alzheimer's disease
Abdominal palpation had moderate sensitivity and specificity for detecting abdominal aortic aneurysm
Persistently high loads of human papillomavirus 16 over time were associated with an increased risk for cervical cancer
The Hopkins Verbal Learning Test had high sensitivity and good specificity for detecting mild dementia in older adults
A simple model based on wound size and duration predicted healing of venous leg ulcers at 24 weeks
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