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Review of Systems

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126021. Progesterone/progestogen releasing intrauterine systems versus either placebo or any other medication for heavy menstrual bleeding. (Abstract)

Progesterone/progestogen releasing intrauterine systems versus either placebo or any other medication for heavy menstrual bleeding. Heavy menstrual bleeding (HMB) is an important cause of ill health in women and it accounts for 12% of all gynaecology referrals in the UK. Heavy menstrual bleeding is clinically defined as greater than, or equal to, 80mls blood loss per menstrual cycle but women may complain of excessive bleeding when their blood loss is less than 80ml. Hysterectomy is often used (...) to treat women with this complaint but medical therapy may be a successful alternative. The intrauterine coil device was originally developed as a contraceptive but the addition of uterine relaxing hormones, or progestogens, to these devices resulted in a large reduction in menstrual blood loss. Case studies of 2 types of progesterone/progestogen releasing systems, Progestasert and Mirena, report reductions of up to 90% and dysmenorrhoea may be improved. Insertion, however, may be regarded as invasive

2000 Cochrane

126022. Capitation, salary, fee-for-service and mixed systems of payment: effects on the behaviour of primary care physicians. Full Text available with Trip Pro

Capitation, salary, fee-for-service and mixed systems of payment: effects on the behaviour of primary care physicians. It is widely believed that the method of payment of physicians may affect their clinical behaviour. Although payment systems may be used to achieve policy objectives (e.g. cost containment or improved quality of care), little is known about the effects of different payment systems in achieving these objectives.To evaluate the impact of different methods of payment (capitation (...) , salary, fee for service and mixed systems of payment) on the clinical behaviour of primary care physicians (PCPs).We searched the Cochrane Effective Practice and Organisation of Care Group specialised register; the Cochrane Controlled Trials Register; MEDLINE (1966 to October 1997); BIDS EMBASE (1980 to October 1997); BIDS ISI (1981 to October 1997); EconLit (1969 to October 1997); HealthStar (1975 to October 1997) Helmis (1984 to October 1997); health economics discussion paper series

2000 Cochrane

126023. Cyclophosphamide versus methylprednisolone for the treatment of neuropsychiatric involvement in systemic lupus erythematosus. (Abstract)

trials comparing cyclophosphamide versus methylprednisolone for the treatment of neuropsychiatric involvement in the systemic lupus erythematosus.Cyclophosphamide regimen treatment is a form of care in neuropsychiatric involvement in systemic lupus erythematosus with no evidence to prove better effectiveness and safety when compared with methylprednisolone. This systematic review found no randomised controlled trials and its findings must be interpreted as 'no evidence of effect' and not as 'evidence (...) Cyclophosphamide versus methylprednisolone for the treatment of neuropsychiatric involvement in systemic lupus erythematosus. Neuropsychiatric involvement in systemic lupus erythematosus is complex and several clinical presentations are related to this disease such as: convulsions, chronic headache, transverse myelitis, vascular brain disease, psychosis and neural cognitive dysfunction.To assess the efficacy and safety of cyclophosphamide and methylprednisolone in the treatment

2000 Cochrane

126024. Iloprost and cisaprost for Raynaud's phenomenon in progressive systemic sclerosis. Full Text available with Trip Pro

Iloprost and cisaprost for Raynaud's phenomenon in progressive systemic sclerosis. To assess the effects and toxicity of the following agents:Prostaglandin analogues together with other agents proposed for the treatment of Raynaud's phenomenom (RP) in scleroderma.We searched the Cochrane Controlled Trials Register, and Medline up to 1996 using the Cochrane Collaboration search strategy developed by Dickersin et al.(1994). Key words included: raynaud's or vasospasm, scleroderma or progressive (...) systemic sclerosis or connective tissue disease or autoimmune disease. Current Contents were searched up to and including April 7, 1997. All bibliographies of articles retrieved were searched and key experts in the area were contacted for additional and unpublished data. The initial search strategy included all languages.All randomized controlled trials comparing prostaglandin analogues versus placebo were eligible if they reported clinical outcomes within the start of therapy, and if the dropout rate

2000 Cochrane

126025. Ketanserin for Raynaud's phenomenon in progressive systemic sclerosis. Full Text available with Trip Pro

Ketanserin for Raynaud's phenomenon in progressive systemic sclerosis. To assess the effects and toxicity of the following agent: ketanserin versus placebo proposed for the treatment of Raynaud's phenomenon (RP) in scleroderma.We searched the Cochrane Controlled Trials Register, and Medline up to 1996 using the Cochrane Collaboration search strategy developed by Dickersin et al.(1994). Key words included: Raynaud's or vasospasm, scleroderma or progressive systematic sclerosis or connective (...) independently by two reviewers (DF, AT). Peto's odds ratios (OR) were calculated for all dichotomous outcomes, and a weighted mean difference (WMD) was carried out on all continuous outcomes. A fixed effects or random effects model were used if the data was homogeneous or heterogeneous, respectively.Three trials and 66 patients were included. The proportion improved was significantly better in the group on ketanserin with an odds ratio (OR) of 4.80 (95% CI 1.33, 17.37). However, when comparing ketanserin

2000 Cochrane

126026. Cyclofenil for Raynaud's phenomenon in progressive systemic sclerosis. Full Text available with Trip Pro

Cyclofenil for Raynaud's phenomenon in progressive systemic sclerosis. To assess the effects and toxicity of Cyclofenil versus placebo for the treatment of Raynaud's phenomenon (RP) in scleroderma.We searched the Cochrane Controlled Trials Register, and Medline up to 1996 using the Cochrane Collaboration search strategy developed by Dickersin et al.(1994). Key words included: Raynaud's or Vasospasm, Scleroderma or Progressive Systematic Sclerosis or Connective Tissue Disease or Autoimmune (...) Disease. Current Contents were searched up to and including April 7, 1997. All bibliographies of articles retrieved were searched and key experts in the area were contacted for additional and unpublished data. The initial search strategy included all languages.All randomized trials comparing cyclofenil versus placebo were eligible if they reported any clinical outcomes within the trial.Data were abstracted independently by two reviewers (DF, AT). Peto's odds ratio (OR) was calculated for all

2000 Cochrane

126027. Prazosin for Raynaud's phenomenon in progressive systemic sclerosis. Full Text available with Trip Pro

Prazosin for Raynaud's phenomenon in progressive systemic sclerosis. To determine the effects and toxicity of prazosin versus placebo proposed for the treatment of Raynaud's phenomenon (RP) in scleroderma.We searched the Cochrane Controlled Trials Register, and Medline up to December 1996 using the Cochrane Collaboration search strategy developed by Dickersin et al.(1994). Key words included: Raynaud's or vasospasm, scleroderma or progressive systemic sclerosis or connective tissue disease (...) with diffuse or limited scleroderma were the subjects. If patients with other connective tissue diseases or primary Raynaud's were included, the trial was used if the data on the scleroderma patients could be extracted from the paper.All data were abstracted by two independent and trained reviewers (DF, AT), and verified by a third reviewer (JP). Each trial was assessed independently by the same two reviewers for its quality using a validated quality assessment tool (Jadad 1996). Peto's odds ratios were

2000 Cochrane

126028. Effectiveness of the anodyne therapy system in treating diabetic peripheral neuropathy: a systematic review Full Text available with Trip Pro

Effectiveness of the anodyne therapy system in treating diabetic peripheral neuropathy: a systematic review Effectiveness of the anodyne therapy system in treating diabetic peripheral neuropathy: a systematic review Effectiveness of the anodyne therapy system in treating diabetic peripheral neuropathy: a systematic review Li H, Nyland J, Shelton T CRD summary This review concluded that anodyne therapy system for patients with diabetic peripheral neuropathy may be effective for improving lower (...) extremity sensation, reducing pain, improving standard balance and decreasing fall risk. The authors’ conclusions appeared to reflect the limited evidence, but given the possibility of bias, uncertainty over the review methods and poor study quality, should be interpreted with caution. Authors' objectives To assess the efficacy of the anodyne therapy system (ATS) for treating patients with diabetic peripheral neuropathy. Searching MEDLINE, CINAHL and The Cochrane Library were searched between 1986

2008 DARE.

126029. Effects of computerized decision support systems on nursing performance and patient outcomes: a systematic review

Effects of computerized decision support systems on nursing performance and patient outcomes: a systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2007 DARE.

126030. A systematic review of upper extremity casting for children and adults with central nervous system motor disorders

A systematic review of upper extremity casting for children and adults with central nervous system motor disorders Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2007 DARE.

126031. Continuous Glucose Monitoring System in children with type 1 diabetes mellitus: a systematic review and meta-analysis

Continuous Glucose Monitoring System in children with type 1 diabetes mellitus: a systematic review and meta-analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2008 DARE.

126032. Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis

Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2007 DARE.

126033. Is there evidence for recommending needleless closed catheter access systems in guidelines: a systematic review of randomized controlled trials

Is there evidence for recommending needleless closed catheter access systems in guidelines: a systematic review of randomized controlled trials Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2006 DARE.

126034. A systematic review of the effects of shoes and other ankle or foot appliances on balance in older people and people with peripheral nervous system disorders

A systematic review of the effects of shoes and other ankle or foot appliances on balance in older people and people with peripheral nervous system disorders Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2007 DARE.

126035. The effectiveness of occupational health and safety management system interventions: a systematic review

The effectiveness of occupational health and safety management system interventions: a systematic review The effectiveness of occupational health and safety management system interventions: a systematic review The effectiveness of occupational health and safety management system interventions: a systematic review Robson L S, Clarke J A, Cullen K, Bielecky A, Severin C, Bigelow PL, Irvin E, Culyer A, Mahood Q CRD summary The authors concluded that there was insufficient evidence to recommend (...) for or against specific occupational health and safety management system interventions. This was generally a well-conducted review and the authors' conclusions reflect the limitations of the included studies. Authors' objectives To evaluate the effects of mandatory and voluntary occupational health and safety management system (OHSMS) interventions on employee health and safety. Searching MEDLINE, EMBASE, PsycINFO, Sociological Abstracts, CCINFOweb (including NIOSHTIC-2, HSELINE and OSHLINE), Safety Science

2007 DARE.

126036. Is regular exercise a friend or foe of the aging immune system? A systematic review

Is regular exercise a friend or foe of the aging immune system? A systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2008 DARE.

126037. A review of interventions and system changes to improve time to reperfusion for ST-segment elevation myocardial infarction Full Text available with Trip Pro

A review of interventions and system changes to improve time to reperfusion for ST-segment elevation myocardial infarction A review of interventions and system changes to improve time to reperfusion for ST-segment elevation myocardial infarction A review of interventions and system changes to improve time to reperfusion for ST-segment elevation myocardial infarction McDermott K A, Helfrich C D, Sales A E, Rumsfeld J S, Ho P M, Fihn S D CRD summary This review assessed interventions to reduce (...) time to thrombolysis or percutaneous coronary intervention in ST-segment-elevation myocardial infarction. Although a variety of process- and system-based interventions appeared to improve time to perfusion, the authors concluded that evidence was methodologically weak and that more research was needed. The cautious conclusions are likely to be reliable despite some concerns about review methodology. Authors' objectives To summarise and evaluate interventions aimed at reducing time to reperfusion

2008 DARE.

126038. The impact of computerised physician order entry systems on pathology services: a systematic review

The impact of computerised physician order entry systems on pathology services: a systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2007 DARE.

126039. Does systemic leukocyte filtration affect perioperative hemorrhage in cardiac surgery: a systematic review and meta-analysis

Does systemic leukocyte filtration affect perioperative hemorrhage in cardiac surgery: a systematic review and meta-analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2007 DARE.

126040. Systemic treatment of severe atopic eczema: a systematic review

Systemic treatment of severe atopic eczema: a systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2007 DARE.

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