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

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There is no evidence for the effectiveness of negative pressure wound therapy (NPWT) on complete healing of wounds expected to heal by primary intention. There are clear cost benefits when non-commercial systems are used to create the negative pressure required for …

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Interventions for preventing injuries in problem drinkers

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Interventions for problem drinking appear to reduce injuries and their antecedents (e.g. falls, motor vehicle crashes, suicide attempts). Because injuries account for much of the morbidity and mortality from problem drinking, larger studies are warranted to evaluate the effect of treating problem …

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Interventions for promoting smoke alarm ownership and function

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This review found that programmes to promote smoke alarms have at most modest beneficial effects on smoke alarm ownership and function, and no demonstrated beneficial effect on fires or fire-related injuries.
Globally, fire-related burns and smoke inhalation accounted for 238,000 deaths in 2000, …

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Topical negative pressure (TNP) for partial thickness burns

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There is no evidence regarding the use of topical negative pressure (TNP) for treating partial thickness burn wounds.
Treatments for burns include a variety of dressings, but newer strategies such as TNP therapy have been developed to try to promote the wound …

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Colloids versus crystalloids for fluid resuscitation in critically ill patients

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There is no evidence that resuscitation with colloids reduces the risk of death, compared to resuscitation with crystalloids, in patients with trauma, burns or following surgery. Furthermore, the use of hydroxyethyl starch might increase mortality. As colloids are not associated with …

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Aloe vera for treating acute and chronic wounds

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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, …

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

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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 …

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Psychological debriefing for preventing post traumatic stress disorder (PTSD)

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There is no evidence that single-session individual psychological debriefing is a useful treatment for the prevention of PTSD after traumatic incidents. Compulsory debriefing of victims of trauma should cease.
Over the past few decades, early psychological interventions, such as psychological ‘debriefing’, have been …

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Early psychological interventions to treat acute traumatic stress symptoms

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Individual trauma-focused cognitive behavioural interventions were effective, in the short-term, for individuals with acute traumatic stress symptoms compared to both waiting list and supportive counselling interventions; however, caution should be taken in interpreting these results because the quality of trials was variable, …

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