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Full-Text Articles in Medicine and Health Sciences
Has Novelty In Healthcare Gone A Little Stale?, Ray Moynihan
Has Novelty In Healthcare Gone A Little Stale?, Ray Moynihan
Ray Moynihan
Extract: Although drugs are essential, the roar of their marketing distorts decision making in favour of the newest and most expensive pills at the expense of older ones or of non-drug approaches. New diagnostic technologies offer undreamt of opportunities to detect ever earlier signs of illness, but they have also brought the increasingly recognised risk of overdiagnosis. Much has been written about how promotion can drive inappropriate use of valuable technologies, but does our deep love affair with novelty deserve more scrutiny?
Antibiotics For Bronchiolitis In Children, Geoffrey Spurling, Jenny Doust, Chris Del Mar, Lars Ericksson
Antibiotics For Bronchiolitis In Children, Geoffrey Spurling, Jenny Doust, Chris Del Mar, Lars Ericksson
Jenny Doust
Background: Bronchiolitis is a serious, potentially life-threatening respiratory illness commonly affecting babies. It is often caused by respiratory syncytial virus (RSV). Antibiotics are not recommended for bronchiolitis unless there is concern about complications such as secondary bacterial pneumonia or respiratory failure. Nevertheless, they are used at rates of 34% to 99% in uncomplicated cases. Objectives: To evaluate the effectiveness of antibiotics for bronchiolitis. Search strategy: We searched the Cochrane Central Register of Controlled Trials (CENTRAL 2010, issue 4), which includes the Cochrane Acute Respiratory Infection Group’s Specialised Register, and the Database of Abstracts of Reviews of Effects, MEDLINE (January 1966 …
Clinical Diagnostic Criteria For Isolating Patients Admitted To Hospital With Suspected Pandemic Influenza, John Gerrard, Gerben Keijzers, Ping Zhang, Caleb Vossen, Deborough Macbeth
Clinical Diagnostic Criteria For Isolating Patients Admitted To Hospital With Suspected Pandemic Influenza, John Gerrard, Gerben Keijzers, Ping Zhang, Caleb Vossen, Deborough Macbeth
Gerben Keijzers
Extract: Australian hospitals have now experienced the first wave of pandemic H1N1 influenza during a southern hemisphere winter. Patients admitted to Australian hospitals with suspected pandemic influenza during this period were identified by use of approved national clinical diagnostic criteria. However, the imprecise nature of clinical diagnosis limited the ability of hospitals to isolate infectious patients effectively before the laboratory confirmation of infection (which typically takes a minimum of 48 h).