from www.nzdoctor.co.nz - PEARLS 464, May 2015, written by Brian R McAvoy.Clinical questionHow effective are short (7 or fewer days) compared with longer (more than 7 days) courses of systemic corticosteroids for exacerbationcorticosteroids systemic steroids short courses exacerbation


from www.nzdoctor.co.nz - PEARLS 465, May 2015, written by Brian R McAvoyClinical questionHow effective is exercise therapy for patients with chronic fatigue syndrome?Bottom linePatients with chronic fatigue syndrome (CFS) geexercise therapy


from www.nzdoctor.co.nz - Amy Schumer (Comedy Central) has unrealistic dieting expectations 


from www.nzdoctor.co.nz - The poplars had barely lost their leaves before the first snow was dumped on Central Otago this morning. But despite power cuts and nearly 15cm of the white stuff on the ground in some parts, practice15cm.


from www.nzdoctor.co.nz - PEARLS 449, December 2014, written by Brian R McAvoyClinical questionHow effective are powered and manual toothbrushes in everyday use, by people of any age, in relation to the removal of plaque, th


from www.nzdoctor.co.nz - PEARLS 448, November 2014, written by Brian R McAvoyClinical questionHow effective is therapeutic ultrasound (TUS) in the management of non-specific, chronic, low-back pain (LBP), ie, lasting longerchronic low back pain lasting longer


from www.nzdoctor.co.nz - PEARLS 448: How effective is therapeutic ultrasound in the management of non-specific, chronic, low-back pain?Read Full Articlechronic low back pain [read full article] »read full article read full article read full article (read full article) read full article » read full article.. read full article… read full article >>>


from www.nzdoctor.co.nz - PEARLS 447, November 2014, written by Brian R McAvoyClinical questionHow effective are access, provider, system and societal interventions in increasing the uptake of influenza vaccination in peopleaccess provider the uptake


from www.nzdoctor.co.nz - PEARLS 446, October 2014, written by Brian R McAvoyClinical questionDo self-management interventions in chronic obstructive pulmonary disease (COPD) lead to improved health outcomes and/or reduced hea


from www.nzdoctor.co.nz - PEARLS 443, September 2014, written by Brian R McAvoyClinical questionDoes vitamin D supplementation reduce mortality in healthy adults and adults in a stable phase of disease?Bottom lineThere was s


from www.nzdoctor.co.nz - PEARLS 442, August 2014, written by Brian R McAvoyClinical questionHow effective are decision aids for people facing treatment or screening decisions?Bottom lineWhen patients used decision aids, the


from www.nzdoctor.co.nz - PEARLS 441, August 2014, written by Brian R McAvoy.Clinical questionWhat is the optimal duration of treatment for eradicating Helicobacter pylori infection?Bottom lineFor proton pump inhibitor (PPI)+cproton pump inhibitor proton pump inhibitor


from www.nzdoctor.co.nz - PEARLS 440, July 2014, written by Brian R McAvoyClinical questionHow effective are triclosan/copolymer-containing fluoride toothpastes, compared with fluoride toothpastes, for the long-term control


from www.nzdoctor.co.nz - PEARLS 439, June 2014, written by Brian R McAvoyClinical questionIs land-based, therapeutic exercise beneficial for people with osteoarthritis (OA) in terms of reduced joint pain, improved physicaltherapeutic exercise


from www.nzdoctor.co.nz - PEARLS 438, July 2014, written by Brian R McAvoyClinical questionIs yoga effective in the primary prevention of cardiovascular disease (CVD)?Bottom lineThere was some evidence yoga had favourable ef


from www.nzdoctor.co.nz - PEARLS 437, July 2014, written by Brian R McAvoy.Clinical question  How effective is physical conditioning as part of a return-to-work strategy in reducing time lost from work and improving work st...improving work


from www.nzdoctor.co.nz - PEARLS 436, July 2014, written by Brian R McAvoyClinical questionWhat are the benefits and risks of early removal (within 48 hours permanently) or delayed removal (beyond 48 hours permanently with i


from www.nzdoctor.co.nz - PEARLS 435, June 2014, written by Brian R McAvoyClinical questionHow effective is organised inpatient (stroke unit) care for people following a stroke?Bottom lineCompared with alternatives (ca


from www.nzdoctor.co.nz - PEARLS 434, June 2014, written by Brian R McAvoyClinical questionHow effective are nursing-delivered smoking cessation interventions?Bottom lineThere was moderate-quality evidence that advice an


from www.nzdoctor.co.nz - PEARLS 433, June 2014, written by Brian R McAvoyClinical questionCompared with hysterectomy, how effective is endometrial resection/ablation for heavy menstrual bleeding?Bottom lineBoth endometrial


from www.nzdoctor.co.nz - PEARLS 432, June 2014, written by Brian R McAvoyClinical questionAre exercise programmes effective for people with dementia?Bottom lineThere was promising evidence exercise programmes can have a sig


from www.nzdoctor.co.nz - Media release from Arthritis New Zealand: Arthritis New Zealand Chief Executive Sandra Kirby urged people living with arthritis to stay calm and keep taking their painkilling medications. But to seek ...living with arthritis


from www.nzdoctor.co.nz - PEARLS 131, June 2008, written by Brian RMcAvoy (First published in New Zealand Doctor, 25 February 2009)Clinical question How effective are cranberry products in preventing urinary tractcranberry products


from www.nzdoctor.co.nz - PEARLS 130, June 2008, written by Brian RMcAvoyClinical question How effective are psychosocial interventions in helping peoplewith coronary heart disease (CHD) to quit smoking?Bottomcoronary heart disease chd psychosocial interventions


from www.nzdoctor.co.nz - PEARLS No 211, October 2009, written by Brian R McAvoyClinical questionWhat are the most effective first-line antihypertensive drugs? Bottom lineFirst-line low-dose th


from www.nzdoctor.co.nz - PEARLS No. 210, November 2009, written by Brian RMcAvoy Clinical questionHow effective is topical glyceryl trinitrate (GTN) for rotatorcuff disease?  Bottom lineglyceryl trinitrate glyceryl trinitrate gtn


from www.nzdoctor.co.nz - PEARLS No. 209, October 2009, written by Brian R McAvoyClinical questionHow effective are on-screen, point of care computer reminders onprocesses and outcomes of care?  


from www.nzdoctor.co.nz - Clinical questionHow effective are weight-reducing drugs in hypertensivepatients?  Bottom lineAlthough trials of orlistat and sibutramine in patients withelevated blood preweight reducing orlistat sibutramine sibutramine orlistat


from www.nzdoctor.co.nz - PEARLS No. 207, October 2009, written by Brian R McAvoy -download pdfClinical questionHow effective are multiple session early psychologicalinterventions for the prevention of post-tadverse effects


from www.nzdoctor.co.nz - PEARLS No. 205, October 2009, written by Brian R McAvoy -download pdfClinical questionHow effective are brief interventions in reducing alcoholconsumption and improving outcomes for


from www.nzdoctor.co.nz - PEARLSNo. 204, October 2009, written by Brian R McAvoy - downloadpdf Clinical questionHow effective are non-pharmacological interventions in assistinginduction of anaesthesiapharmacological [downloadpdf] downloadpdf


from www.nzdoctor.co.nz - PEARLS No. 203, September 2009, written by Brian RMcAvoy Clinical questionHow effective is Chinese herbal medicine (CHM) in alleviatingendometriosis-related pain and infertili


from www.nzdoctor.co.nz - PEARLS No. 200, October 2009, written by Brian R McAvoyClinical questionCompared to standard blood pressure (BP) targets (≤140-160/90-100mmHg), how effective are lower BP targets (≤135


from www.nzdoctor.co.nz - PEARLS No. 198, April 2009, written by Brian R McAvoyClinical questionHow effective is antimicrobial prophylaxis for the prevention ofpostoperative surgical wound infection (SWI) in pasurgical wound infection antimicrobial prophylaxis surgical wound colorectal surgery


from www.nzdoctor.co.nz - PEARLS 197, September 2009, written by Brian R McAvoyClinical questionHow effective are psychological therapies for management ofchronic pain (excluding headache) in adults?Bottom line


from www.nzdoctor.co.nz - PEARLS No. 196, September 2009, written by Brian R McAvoy Clinical questionHow effective is progressive resistance strength training (PRT)for improving physical function in older adults?resistance strength training progressive resistance


from www.nzdoctor.co.nz - PEARLS 192 - How effective are early amniotomy and early oxytocin for prevention or therapy for delay in labour progress, with respect to the caesarean birth rate and indicators of maternal and neonat...[read full article] »read full article read full article read full article (read full article) read full article » read full article.. read full article… read full article >>> ...read full article


from www.nzdoctor.co.nz - PEARLS No. 193, August 2009, written by Brian R McAvoyClinical questionHow effective is robot-assisted laparoscopic cholecystectomy? Bottom lineCompared to human-asslaparoscopic cholecystectomy cholecystectomy


from www.nzdoctor.co.nz - PEARLS No. 192, August 2009, written by Brian R McAvoyClinical questionHow effective are early amniotomy and early oxytocin forprevention or therapy for delay in labour progress, with


from www.nzdoctor.co.nz - PEARLS No. 190, August 2009, written by Brian R McAvoyClinical questionHow effective is enteral tube feeding for older people withadvanced dementia?  Bottom lineDefor benefit of


from www.nzdoctor.co.nz - PEARLS No. 189, August 2009, written by Brian R McAvo yClinical questionHow effective is parecoxib for acute postoperative pain inadults?  Bottom lineSingle doses of 2parenteral parecoxib


from www.nzdoctor.co.nz - PEARLS No. 187, August 2009, written by Brian R McAvoyClinical question How effective is single dose etoricoxib for acute postoperativepain in adults? Bottom lietoricoxib


from www.nzdoctor.co.nz - PEARLS No. 188, August 2009, written by Brian R McAvoy -download pdfClinical questionHow effective is postoperative radiotherapy (RT) for ductalcarcinoma in situ (DCIS) of the brductal carcinoma in situ


from www.nzdoctor.co.nz - PEARLS No. 186, July 2009, written by Brian R McAvoy - downloadpdfClinical questionHow effective are tricyclic antidepressants (TCAs) and selectiveserotonin reuptake inhibitors (SStricyclic selective serotonin reuptake inhibitors tricyclic antidepressants serotonin reuptake inhibitors no:186


from www.nzdoctor.co.nz - PEARLS 184 - How effective are maintenance treatments for opiate dependent adolescents (13 to 18 years)? Read Full Article[read full article] »read full article read full article read full article (read full article) read full article » read full article.. read full article… read full article >>> read full


from www.nzdoctor.co.nz - PEARLS No. 185, July 2009, written by Brian R McAvoyClinical questionAre cannabinoids clinically effective in the treatment ofdementia?  Bottom lineThere was no eviden


from www.nzdoctor.co.nz - PEARLS No. 184, August 2009, written by Brian R McAvoyClinical questionHow effective are maintenance treatments for opiate dependentadolescents (13 to 18 years)?  Bottom l


from www.nzdoctor.co.nz - PEARLS No. 183, July 2009, written by Brian R McAvoyClinical questionAre upright positions and walking beneficial in the first stageof labour?  Bottom lineUpright posifirst stage of labour in first stage


from www.nzdoctor.co.nz - PEARLS No. 182, July 2009, written by Brian R McAvoyClinical questionWhat are the most effective filling materials for the treatmentof dental caries in primary teeth in children? &nbspfilling materials filling material


from www.nzdoctor.co.nz - PEARLS No. 181, July 2009, written by Brian R McAvoyClinical questionHow effective are antiviral agents for preventing postherpeticneuralgia (PHN)?  Bottom lineOral acantiviral agents


from www.nzdoctor.co.nz - PEARLS No. 180, July 2009, written by Brian R McAvoyClinical questionWhat are the effects of music interventions in patients withcoronary heart disease (CHD)?  Bottom line


from www.nzdoctor.co.nz - PEARLS No. 179, July 2009, written by Brian R McAvoyClinical questionHow effective are midwife-led models of care? Bottom lineCompared to medical-led care and shared care,shared care


from www.nzdoctor.co.nz - PEARLS No. 178, July 2009, written by Brian R McAvoyClinical questionHow effective is bariatric (weight loss) surgery forobesity? Bottom lineSurgery for obesity resultbariatric weight loss surgery


from www.nzdoctor.co.nz - PEARLS No. 177, July 2009, written by Brian R McAvoy Clinical questionHow effective are homoeopathic medicines used to prevent ortreat adverse effects of cancer treatments? adverse effects


from www.nzdoctor.co.nz - PEARLS No. 176, July 2009, written by Brian R McAvoy Clinical questionHow effective is transcutaneous electrical nerve stimulation(TENS) for pain relief in labour?  Bottom l


from www.nzdoctor.co.nz - PEARLS No. 175, July 2009, written by Brian R McAvoyClinical questionHow effective is P6 acupoint stimulation of the wrist inpreventing postoperative nausea and vomiting (PONV)? &nbsacupoint acupoint no. 175 postoperative nausea and vomiting nausea and vomiting


from www.nzdoctor.co.nz - PEARLS No. 174, June 2009, written by Brian R McAvoyClinical questionHow effective are topical treatments for chronic plaquepsoriasis?  Bottom lineVitamin D products acorticosteroids analogues


from www.nzdoctor.co.nz - PEARLS No. 173, July 2009, written by Brian R McAvoy - downloadpdfClinical questionDo statins prevent dementia?  Bottom lineThere is good evidence statins given inpreventing dementia


from www.nzdoctor.co.nz - PEARLS No. 172, June 2009, written by Brian R McAvoyClinical questionWhat are the effects of advance treatment directives for peoplewith severe mental illness?  Bottom lin


from www.nzdoctor.co.nz - PEARLS No. 170, June 2009, written by Brian RMcAvoy Clinical questionHow effective is kinship care for the safety, permanency, andwellbeing of children removed from the home fol


from www.nzdoctor.co.nz - PEARLS No. 168, June 2009, written by Brian RMcAvoy Clinical questionHow effective are interventions used for suppression oflactation in postpartum women? Bottom lineThere isno. 168


from www.nzdoctor.co.nz - PEARLS 166, May 2009, written by Brian R McAvoyClinical questionHow effective is metformin added to insulin therapy in themanagement of type 1 diabetes mellitus in adolescents?Bottominsulin therapy


from www.nzdoctor.co.nz - PEARLS 156, April 2009, written by Brian RMcAvoyClinical question How effective are psychological interventions for thetreatment of irritable bowel syndrome (IBS)?Bottom line Psycholof irritable bowel syndrome irritable bowel syndrome ibs irritable bowel syndrome (ibs) psychol-


from www.nzdoctor.co.nz - PEARLS 160, May 2009, written by Brian R McAvoy Clinical questionHow effective is 2 to 6 days of oral antibiotics (shortduration) compared to 10 days of oral penicillin (standardstreptococcal pharyngitis oral antibiotics streptococcal pharyngitis


from www.nzdoctor.co.nz - PEARLS  158, May 2009, written by Brian R McAvoyClinical questionHow effective are interventions for the prevention and/ortreatment of herpes simplex virus (HSV) in patients receivingherpes simplex virus herpes simplex virus hsv herpes simplex virus aciclovir treatment of herpes aciclovir


from www.nzdoctor.co.nz - PEARLS No. 164, April 2009, written by Brian R McAvoyClinical questionIs publication of clinical trials influenced by the statisticalsignificance, perceived importance or direction


from www.nzdoctor.co.nz - PEARLS 157, April 2009, written by Brian R McAvoyClinical question How effective are low glycaemic index and low glycaemic load dietsfor glycaemic control in diabetes mellitus?Bottom lglycaemic index


from www.nzdoctor.co.nz - PEARLS 155 - How effective are anticholinergic agents for urinary symptoms in people with multiple sclerosis (MS)?Read Full Article[read full article] »read full article read full article anticholinergic read full article (read full article) read full article » read full article.. read full article… read full article >>>


from www.nzdoctor.co.nz - PEARLS 154, April 2009, written by Brian RMcAvoy (First published in New Zealand Doctor, 20 May 2009)Clinical question How effective is olanzapine, as monotherapy or adjunctivetremonotherapy


from www.nzdoctor.co.nz - PEARLS 153, April 2009, written by Brian RMcAvoyClinical question How effective are antibiotics in relieving symptoms of lactationalmastitis in breastfeeding women?Bottom line There


from www.nzdoctor.co.nz - PEARLS 152, April 2009, written by Brian RMcAvoyClinical question How effective are interventions for preventing weight gain aftersmoking cessation?Bottom line Behavioural interventi


from www.nzdoctor.co.nz - PEARLS No. 151, April 2009, written by Brian RMcAvoyClinical question How effective are anticholinergic agents for urinary symptoms inpeople with multiple sclerosis (MS)?Bottom lineanticholinergics anticholinergic


from www.nzdoctor.co.nz - PEARLS No. 150, April 2009, written by Brian RMcAvoyClinical questionHow effective is anakinra in adults with rheumatoid arthritis(RA)?Bottom lineCompared to placebo, adults withanakinra rheumatoid arthritis ra anakinra


from www.nzdoctor.co.nz - PEARLS 149 - How effective is low molecular weight heparin (LMWH) for prevention of venous thromboembolism (VTE) in patients with lower leg immobilisation?Read Full Article[read full article] »read full article read full article heparin low molecular weight heparin read full article (read full article) heparin read full article » read full article..


from www.nzdoctor.co.nz - PEARLS 149, March 2009, written by Brian RMcAvoy Clinical question How effective is low molecular weight heparin (LMWH) forprevention of venous thromboembolism (VTE) in patients with lowerheparin low molecular weight heparin heparin


from www.nzdoctor.co.nz - PEARLS 148, November 2008, written by Brian RMcAvoyClinical question Compared with single modalities, how effective is intermittentpneumatic leg compression combined with pharmacologi


from www.nzdoctor.co.nz - PEARLS 146, March 2009, written by Brian RMcAvoy (First published in New Zealand Doctor, 25 March 2009) Clinical question How effective are mechanical pumps for milk expression inlactaexpressing milk mechanical pumps


from www.nzdoctor.co.nz - PEARLS 145, March 2009, written by Brian RMcAvoyClinical questionHow effective is active management of labour in reducingcaesarean section (CS) rates in low-risk women?Bottom li


from www.nzdoctor.co.nz - PEARLS 144, February 2009, written by Brian RMcAvoyClinical question How effective is nebulised hypertonic saline solution in infantswith acute viral bronchiolitis?Bottom line Comparhypertonic saline hypertonic hypertonic saline solution


from www.nzdoctor.co.nz - PEARLS 143, March 2009, written by Brian RMcAvoyClinical question How effective is electromechanical and robot-assisted armtraining for improving activities of daily living after stroke?arm training electromechanical


from www.nzdoctor.co.nz - PEARLS 135, January 2009, written by Brian RMcAvoy (First published in New Zealand Doctor, 11 March 2009)Clinical question Does honey increase the rate of healing in acute and chronicwou


from www.nzdoctor.co.nz - PEARLS 134, June 2008, written by Brian RMcAvoyClinical question How effective are systemic antibiotics and antiseptics in healingvenous ulcers?Bottom line There is no evidence to suleg ulcers systemic antibiotics venous leg ulcers


from www.nzdoctor.co.nz - PEARLS 133, March 2009, written by Brian RMcAvoyClinical question How effective is acupuncture for prophylaxis of migraine?Bottom line Six trials compared acupuncture to no prophylactimigraine prophylaxis


from www.nzdoctor.co.nz - PEARLS 132, January 2009, written by Brian RMcAvoyClinical question What are the benefits and harms of early versus delayedlaparoscopic cholecystectomy for patients with biliary colic duebiliary colic laparoscopic cholecystectomy biliary colic cholecystectomy