» Orthopedic injuries

Pre-operative traction for hip fractures in adults

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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 …

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

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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 …

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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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Combined pharmacotherapy and psychological therapies for post traumatic stress disorder (PTSD)

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There is not enough evidence available to support or refute the effectiveness of combined psychological therapy and pharmacotherapy compared to either of these interventions alone.
Symptoms of PTSD include re-experiencing the event, avoidance and arousal, as well as distress and impairment resulting from …

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Pharmacotherapy for post traumatic stress disorder (PTSD)

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Medication treatments can be effective in treating PTSD, acting to reduce its core symptoms, as well as associated depression and disability. The findings of this review support the status of selective serotonin reuptake inhibitors as first-line agents in the pharmacotherapy of PTSD, …

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Psychosocial interventions for prevention of psychological disorders in law enforcement officers

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There is evidence only from individual small and low-quality trials with minimal data suggesting that police officers benefit from psychosocial interventions, in terms of physical symptoms and psychological symptoms such as anxiety, depression, sleep problems, cynicism, anger, PTSD, marital problems and distress. …

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Psychological therapies for chronic post-traumatic stress disorder (PTSD) in adults

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Although the evidence of each comparison of psychological treatments was very low, this evidence showed that individual trauma-focused cognitive behavioural therapy/exposure therapy (TFCBT) and eye movement desensitisation and reprocessing (EMDR) did better than waitlist/usual care in reducing clinician-assessed PTSD symptom; individual TFCBT, …

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Multiple session early psychological interventions for the prevention of post-traumatic stress disorder

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Multiple-session interventions aimed at all individuals exposed to traumatic events should not be used.
The prevention of long-term psychological distress following traumatic events is a major concern. Systematic reviews have suggested that individual psychological debriefing is not an effective intervention at preventing PTSD. …

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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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