Results: 2605

For: systematic review

Physical health monitoring in serious mental illness is a priority in psychiatry, but where is the evidence that it works?

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It is widely acknowledged that individuals with serious mental illnesses (SMI) such as schizophrenia, bipolar disorder and severe depression have increased rates of mortality, due to poor physical health. As well as reducing quality of life and function and decreasing life expectancy, physical illness can worsen these mental illnesses. The reasons for this include lifestyle [read the full story…]

Review suggests that mineral trioxide aggregate had best clinical and radiographic outcomes at 9-12 months for primary molar pulpotomy

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When I was training formocresol was the standard dressing for primary teeth following pulpotomy . However, it  use is now questionable because of potential adverse effects such as potential carcinogenicity, mutagenicity, and cytotoxicity.  Consequently a range of other materials have been investigated,  ferric sulphate, gluatraldehyde preparations , mineral trioxide aggregate (MTA), electrosurgery, calcium hydroxide, and laser [read the full story…]

Is treatment for depression cost-effective in people with diabetes?

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There is evidence to suggest that people with diabetes are twice as likely to suffer from depression. It’s therefore important that the cost-effectiveness of treatments for comorbid depression be indentified. The elves have already reported on a review of the effectiveness of collaborative care for people with diabetes and depression, suggesting that the intervention might be effective. While [read the full story…]

Review finds only a small benefit from antibiotic use in patients with acute sinusitis

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Sinusitis is one of the commonest reasons for visiting the doctor accounting for 15% to 21% of all adult outpatient antibiotic prescriptions. Patients may also present at dental practices, as pain from upper posterior teeth can be indistinguishable from sinusitis.  Typical signs and symptoms are purulent nasal discharge, postnasal drip, sinus pain at palpation, nasal [read the full story…]

Latest Cochrane Protocol

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A new Cochrane protocol has just been published by the Cochrane Effective Practice and Organisation of Care group. With increasing emphasis on the links between general an oral health the adoption of a common risk factor approach is being encouraged.  The underlying principle being that general health promotion in dental health-care favours the control of [read the full story…]

Meditation programmes may improve anxiety, depression and pain but better quality research is needed, says systematic review

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There’s little doubt about it – meditation is in vogue. In fairness, it probably always has been. However, clinical and research interest in the effects of meditation programmes on psychological wellbeing has grown considerably in recent years. The development of mindfulness-based interventions has no doubt driven much of this interest. For example, running a PubMed keyword [read the full story…]

Review suggests increased risk of enamel defects in children born pre-term

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Enamel defects and other oral abnormalities have been reported in premature children. The aim of this review was to assess whether there is any association between premature birth and enamel opacities or hypoplasia. A search was conducted in PubMed  and Embase for follow-up, case control or cross sectional studies  published in English German, Danish, Swedish [read the full story…]

Review suggests that both slow and rapid maxillary expansion are effective

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Posterior cross-bite is a common malocclusion and a number of approaches to address this with maxillary expansion have been developed. These can be broadly divided into rapid maxillary expansion (RME) and slow maxillary expansion (SME).  The aim of this review was to compare the effectiveness of RME and SME for transverse maxillary discrepancy. Searches were [read the full story…]

Limited evidence for surgical treatments for peri-implantitis

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It has been reported that implantitis affects between 2-47% of implants and with the number of implants being placed rising years on year more patients are likely to be affected.  The aim of this review was to assess the effectiveness of different interventions for the treatment of peri-implantitis. Searches were conducted in Medline, PubMed, Embase [read the full story…]

Is this toothache or am I having a heart attack?

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Pain from cardiac ischaemia can have a range of presentations. This can include chest, arm, shoulder pain, face or jaw pain.  While sudden chest pain that may travel down the arm is a typical presentation classic teaching is that cardiac ischemia can present with tooth, jaw, or facial pain as its sole symptom.  The aim [read the full story…]