PEARLS

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  1. 20 Nov 2014
    Ways to help people follow prescribed medicines Podcast Updated
    Background Patients who are prescribed medicines take only about half of their doses and many stop treatment entirely. Assisting patients to adhere better to medicines could improve their health, and many studies have tested ways to achieve this. Question We updated our review from 2007 to answer the question: What are the findings of high-quality ...
  2. 17 Nov 2014
    Comparing different types of antibiotics given routinely to women at caesarean section to prevent infections Updated
    Background Women undergoing caesarean section have an increased likelihood of infection compared with women who give birth vaginally. These infections can be in the urine, surgical incision, or the lining of the womb (endometritis). The infections can become serious, causing, for example, an abscess in the pelvis or infection in the blood, and very ...
  3. 11 Nov 2014
    Garlic for the common cold Podcast Updated
    Background Garlic is popularly believed to be useful for the common cold. This belief is based on traditional use and some laboratory evidence that garlic has antibacterial and antiviral properties. On average, adults have two to four common colds per year. Study characteristics The evidence is current to the 7 August 2014. Of the eight studies ...
  4. 6 Nov 2014
    Antibiotics for meconium-stained amniotic fluid in labour for preventing maternal and neonatal infections Updated
    Meconium-stained amniotic fluid (MSAF) is the result of waste material from the fetal colon passing into the mother's amniotic cavity. Its incidence increases in post-term pregnancies. Pregnant women with MSAF are more likely to develop maternal complications including inflammation of the fetal membranes caused by a bacterial infection (chorioamnionitis), ...
  5. 28 Oct 2014
    Routine antibiotics at cesarean section to reduce infection Updated
    Women undergoing cesarean section have a five to 20-fold greater chance of getting an infection compared with women who give birth vaginally. These infections can be in the organs within the pelvis, around the surgical incision and sometimes the urine. The infections can be serious, and very occasionally can lead to the mother’s death. The potential ...
  6. 17 Sep 2014
    Opioids for osteoarthritis
    This summary of a Cochrane review of 22 studies with 8275 participants (search update: 15 August 2012) presents what we know from research about the effect of opioids on osteoarthritis (OA). We searched scientific databases for clinical trials looking at pain, function, safety, and addiction of oral or transdermal opioids compared with placebo or no ...
  7. 15 Sep 2014
    Rapid viral testing for children in the Emergency Department with fever and respiratory symptoms
    Review question Does rapid viral testing in the Emergency Department influence the treatment of children with fever and breathing symptoms? Background Otherwise healthy children, aged 0 to 18 years, admitted to Emergency Departments (EDs) with fever and respiratory symptoms represent a major burden to the healthcare system, as well as significant ...
  8. 9 Sep 2014
    Vaginal cleansing before cesarean delivery to reduce post-cesarean infections
    Cesarean deliveries are very common today, with almost one in three babies born by cesarean in some countries. Antibiotics are routinely given before or during the surgery to reduce the risk of infections, but some women still suffer from these complications. Between one in four and one in 10 women develop an infection of the uterus (endometritis) or ...
  9. 4 Sep 2014
    Culturally appropriate health education for people in ethnic minority groups with type 2 diabetes mellitus
    Review question Does culturally appropriate diabetes health education lead to better outcomes than 'usual care' for people in ethnic minority groups with type 2 diabetes? Background In upper-middle-income and high-income countries, minority ethnic groups often have a higher prevalence of type 2 diabetes mellitus than is seen in the local population. ...
  10. 1 Sep 2014
    Statins for acute coronary syndrome Podcast
    Long-term therapy with statins (for at least one year) has been shown to reduce the risk of heart attack, stroke, and all-cause mortality in patients with and without established coronary heart disease. The early period following an acute coronary syndrome is a critical stage of coronary heart disease, with a high risk of recurrent events and death. ...

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