You selected: The Cochrane Library
Continuing Uncertainties Surround Anti-Influenza Drug
Incomplete availability of data has hampered a thorough assessment of the evidence for using the anti-influenza drug oseltamivir, a Cochrane Review has found. However, after piecing together information from over 16,000 pages of clinical trial data and documents used in the process of licensing oseltamivir (Tamiflu) by national authorities, a team of researchers has raised critical questions about how well the drug works and about its reported safety profile.
Muscle Relaxants and Neuromodulators for Managing Rheumatoid Arthritis Pain: Many Options, But No Clear Successes
Pain management is a high priority for patients with rheumatoid arthritis, so three researchers in Australia analysed existing study data to see whether two different classes of drugs can help. When looking at muscle relaxants, they discovered that neither the benzodiazepine agents, diazepam and triazolam, nor the non- benzodiazepine agent, zopiclone, reduce pain when taken for one to 14 days. However, even this short use was associated for both agents with drowsiness and dizziness.
Evidence Shows How Childhood Obesity Can Be Prevented
Targeting children aged six to 12 with school-based programmes that encourage healthy eating, physical activity and positive attitudes to body image are among a range of interventions that can help reduce levels of obesity, according to a new review of the evidence.
Evidence base for exercise programmes for older people still in the balance
A previously published Cochrane review indicated that regular exercise helps older people improve their balance and reduces their risk of falling.
Frequently Used Weight-Loss Method Is Light on Evidence
Although the transtheoretical model stages of change (TTM SOC) method is frequently used to help obese and overweight people lose weight, a newly published Cochrane systematic review indicates there is little evidence that it is effective. “The use of TTM SOC only resulted in 2kg or less weight loss, and there was no conclusive evidence that this loss was sustained,” says study leader Nik Tuah, who works at Imperial College London.
Regular Exercise Improves Health of People with Long-Term Kidney Disease
There are many reasons why people with chronic kidney disease (CKD) often lose fitness and have increasing difficulty performing normal daily tasks, but new research shows scientific evidence for the benefits of regular exercise for people with CKD, including those with a kidney transplant. They can improve their physical fitness, walk further, have healthier blood pressures, healthier heart rates, higher health-related quality of life scores and better nutritional characteristics compared to those who don’t exercise. So concludes a systematic review published in The Cochrane Library.
Remitting Multiple Sclerosis: Natalizumab Reduces Relapses and Disability
Taking the new generation anti-inflammatory drug natalizumab for two years lowers the number of remitting multiple sclerosis patients who experience relapses and progression of disability. This is the main finding of a systematic review published in the latest edition of The Cochrane Library.
Micronutrient Powders Reduce Anaemia and Iron Deficiency in Infants in Low Income Countries
Adding a powder that contains several vitamins and minerals, including iron, zinc and vitamin A, to the semi-solid foods taken by infants and children between six months and two years of age, can reduce their risk of anaemia and iron deficiency.
Pain Relief Can Now Be Based On Solid Evidence
A Cochrane Review of data relating to about 45,000 patients involved in approximately 350 individual studies has provided an evaluation of the effect you can expect to get if you take commonly used painkillers at specific doses.
Proceed With Caution When Setting Up Financial Incentives for General Practice Doctors
There is growing use of financial incentives in many countries to reward primary care practitioners who improve the quality of their services. After reviewing all available data in a Cochrane Systematic Review, a team of researchers found insufficient evidence to either support or refute the practice.
Virtual Reality May Help Adults Recover From Stroke
Early results suggest that using virtual reality (VR) human-computer interfaces might help adult stroke patients regain arm function and improve their ability to perform standard tasks, when compared to patients who don’t use VR.
Music Reduces Anxiety in Cancer Patients
Cancer patients may benefit from sessions with trained music therapists or from listening to music.
No Strong Evidence to Support Aspirin Use for IVF
A systematic review published in The Cochrane Library did not find compelling evidence to support the routine use of aspirin in women being treated for IVF.
Botulinum Toxin Does Not Cure Common Forms of Neck Pain
There is no evidence that Botulinum toxin injections reduce chronic neck pain or associated headaches, says a group of scientists who reviewed nine trials involving a total of 503 participants, published in The Cochrane Library.
Cutting Down on Salt Doesn't Reduce Your Chance of Dying
Moderate reductions in the amount of salt people eat doesn’t reduce their likelihood of dying or experiencing cardiovascular disease. This is the main conclusion from a systematic review published in the latest edition of The Cochrane Library.
Simple Rapid Diagnostic Tests for Malaria Work Well
A new Cochrane Systematic Review examines the accuracy of Rapid Diagnostic Tests (RDTs), which are designed to detect malaria based on the presence of parasite antigens, using a quick and easy to use format.
Vitamin D Can Help Elderly Women Survive
Giving vitamin D3 (cholecalciferol) to predominantly elderly women, mainly in institutional care, seems to increase survival. This is the key conclusion in a systematic review published in the latest edition of The Cochrane Library.
Local Efforts Can Stem the Increasing Unnecessary Caesarean Sections
Caesarean section rates are steadily increasing globally. Requiring two doctors to agree that a Caesarean section is the best way to deliver a baby, rather than just needing one opinion, providing internal feedback to doctors on the number of operations performed and seeking support from local opinion leaders may reduce the use of this procedure. For low-risk pregnancies, nurse-led relaxation classes for women with a fear or anxiety of childbirth and birth preparation classes for mothers may decrease caesarean sections.
Non-cocaine, topical anaesthetics can kill pain when repairing skin wounds
While some pain killers need to be injected into the damaged tissue in order to work, topical anaesthetics only need to be spread on the surface. The earliest examples of "topical" anaesthetics contained cocaine, but now a new systematic review has shown that newer agents that don’t contain cocaine can effectively treat pain caused by torn skin. This makes these pain killers an attractive choice for doctors who need to sew-up a patient’s skin wound.
Short term use of amphetamines can improve ADHD symptoms in adults
Giving amphetamines to adults with Attention Deficit Hyperactivity Disorder (ADHD) can help them control their symptoms, but the side effects mean that some people do not manage to take them for very long. These conclusions were drawn by a team of five researchers working at Girona and Barcelona Universities in Spain, and published in a new Cochrane Systematic Review.













