Results: 2606

For: systematic review

Insufficient trial evidence that any surgical treatment for prominent lower front teeth is better or worse than another

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Prominent  lower front teeth can  be associated with a large or prominent lower jaw and/or a small or retrusive upper jaw . The reasons why this occurs are not well understood.  Treatments to correct this range from orthodontic to surgical.  The aim of this Cochrane  review was to evaluate different treatments of Angle Class III [read the full story…]

Insufficient evidence to support or refute the effectiveness of conventional fillings over crowns for the restoration of root filled teeth

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Root canal filling is a regular dental procedure. However root filled teeth can be weaker than healthy ones so restoration of these teeth can prove challenging. The aim of this Cochrane review was to assess whether restoring endodontically treated teeth (with or without post and core) using crowns or conventional filling materials was more effective. [read the full story…]

Mobile crisis teams reduce hospital admissions for serious mental illness, according to updated Cochrane review

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‘Crisis intervention’ and ‘home-care packages’ are provided in the community to help people who are going through an acute phase of severe mental illness. The Cochrane Schizophrenia Group have updated their review on this topic by conducting their usual robust and systematic search for randomised controlled trials of crisis intervention models versus standard care for [read the full story…]

Challenging behaviour training may change carer attributions whether or not these are the focus of training

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We have posted previously about the impact of carer attributions regarding the behaviour of people with learning disabilities and the impact these can have on carer responses. The authors of this systematic review were interested in the effects of carer training in challenging and complex behaviour. The researchers searched the literature and included papers that [read the full story…]

Periodontal treatment can moderately improve quality of life

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Traditionally the response of periodontal disease to treatment has most commonly been measured using the surrogate markers of; bleeding on probing (BOP); pocket probing depth (PPD) and clinical attachment loss (CAL).  This review aims to review whether a patient orientation measure (POEM) such as quality of life can measure the effect of treatment. What did [read the full story…]

New evidence on delirium from NICE

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Around 20% of people on medical wards in hospital are affected by delirium. Sometimes called ‘acute confusional state’, delirium is a common clinical syndrome characterised by disturbed consciousness, cognitive function or perception, which has an acute onset and fluctuating course. NICE issued guidance on delirium in July 2010 and they have now published an evidence [read the full story…]

Analgesics for pain experienced by patients having orthodontic treatment

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One of the potential side effects of orthodontic treatment is pain and discomfort. This can lead to  reduced compliance  or discourage patients from treatment.   The aim of this study was to evaluate the effectiveness of pharmacological interventions on pain experienced by patients undergoing orthodontic treatment.  What did they do The Medline and Cochrane databases were [read the full story…]

CBT is no better than other psychosocial therapies for people with schizophrenia, according to new Cochrane review

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NICE guidance recommends offering CBT (cognitive behavioural therapy), family therapy and arts therapies for people with schizophrenia: Offer CBT to all people with schizophrenia. This can be started either during the acute phase or later, including in inpatient settings. – Taken from 1.3.4.1 in Schizophrenia (CG82). NICE, March 2009. However, CBT is still not widely [read the full story…]

No evidence currently available to support the use of lacebacks for the control of incisors during initial orthodontic alignment

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Many clinicians routinely use lacebacks to control incisor position during orthodontic alignment, they have not met with universal approval. The aim of this review was to evaluate  the effectiveness of laceback ligatures during the initial alignment phase of orthodontic treatment. What did they do? The Medline, Cochrane Central Register of Controlled Trials, LILACS, IBECS, national [read the full story…]

Antipsychotic drugs reduce the rate of relapse in patients with schizophrenia at 1 year, according to new systematic review

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There is an enormous body of research concerned with schizophrenia and the use of antipsychotic drugs. A quick search on PubMed for ‘schizophrenia, antipsychotics and randomised controlled trials’ brings back nearly 2,000 articles! The authors of a new systematic review and meta analysis published today in the Lancet, suggest that one area that has not [read the full story…]