» Health issues

Interventions for isolated diaphyseal fractures of the ulna in adults

Read the full article
Overall, there is insufficient evidence to determine which method of treatment (randomised trials assessed four treatment options) is the most appropriate for the treatment of isolated fractures of the ulnar shaft in adults. However, there is weak evidence (all trials were methodologically …

Full Story »

Percutaneous pinning for treating distal radial fractures in adults

Read the full article
There is some evidence to support the use of percutaneous pinning, its precise role and methods are not established. The higher rates of complications with Kapandji pinning and biodegradable materials casts some doubt on their general use.
A key method of surgical fixation …

Full Story »

Pre-operative traction for hip fractures in adults

Read the full article
From the evidence available, the routine use of traction (either skin or skeletal) prior to surgery for a hip fracture does not appear to have any benefit. However, the evidence is also insufficient to rule out the potential advantages for traction, in …

Full Story »

Bone grafts and bone substitutes for treating distal radial fractures in adults

Read the full article
Bone scaffolding may improve anatomical outcome compared with plaster cast alone but there is insufficient evidence to conclude on functional outcome and safety; or for other comparisons.
Surgical treatment of fractures of the distal radius can involve the implantation of bone scaffolding materials …

Full Story »

Aloe vera for treating acute and chronic wounds

Read the full review here
There is currently an absence of high-quality clinical trial evidence to support the use of Aloe vera topical agents or Aloe vera dressings as treatments for acute and chronic wounds.
Aloe vera is a cactus-like perennial succulent belonging to the Liliaceae family, …

Full Story »

Negative pressure wound therapy for skin grafts and surgical wounds healing by primary intention

Read the full article here
Evidence for the effectiveness of negative pressure wound therapy (NPWT) for complete healing of acute wounds remains unclear, as does the effect of NPWT on time to complete healing. Rates of graft loss may lower when NPWT is used, but hospital-based …

Full Story »

Water for wound cleansing

Read the full review here
There is no evidence that using potable tap water to cleanse acute wounds in adults increases infection, and there is some evidence that it reduces infection. However, there is not strong evidence that cleansing wounds per se increases healing or reduces …

Full Story »

Hand washing promotion for preventing diarrhoea

Read the full review here
Interventions to promote handwashing, such as targeted education and provision of free soap, improve hand hygiene and reduce diarrhoeal episodes in children and adults living in low- and middle-income countries by about one third. This significant reduction is comparable to the …

Full Story »

Interventions to improve disposal of human excreta for preventing diarrhoea

Read the full article
This review provides some evidence that interventions to improve excreta disposal are effective in preventing diarrhoeal disease.
Over a third of the world’s population lacks access to improved facilities for the disposal of human excreta, such as a basic pit latrine, a toilet …

Full Story » Comment (1)

Sports and games for post-traumatic stress disorder (PTSD)

Read the full article
No randomised controlled trials evaluating sports or games to alleviate the symptoms of PTSD were identified. More research is therefore required before a fair assessment can be made of the effectiveness of these interventions for PTSD.
It has been suggested that participation in …

Full Story »