http://www.clinicalevidence.bmj.com Summary of new and updated conditions for BMJ Clinical Evidence, from the BMJ Publishing Group, the international source of the best available evidence for effective health care http://www.clinicalevidence.bmj.com http://www.clinicalevidence.bmj.com/images/celogo.gif http://www.clinicalevidence.bmj.com/ceweb/conditions/msd/1102/1102.jsp?rss=true New evidence; conclusions changed for NSAIDs and Back exercises. New evidence; conclusion confirmed for Analgesics, Multidisciplinary programmes (acute low back pain), Temperature treatments and Traction. 2008-10-03 http://www.clinicalevidence.bmj.com/ceweb/conditions/chd/0312/0312.jsp?rss=true New options added for Modafinil, Bupropion, Omega-3 polyunsaturated fatty acid compounds (fish oils), Homeopathy and Dexamfetamine sulphate + psych treatment. New evidence; conclusion changed for Clonidine. New evidence; conclusion confirmed for Atomoxetine, Dexamfetamine sulphate, Methylphenidate and Methylphenidate + psych treatment . 2008-10-02 http://www.clinicalevidence.bmj.com/ceweb/conditions/cvd/0213/0213.jsp?rss=true New options added for Beta-blockers plus other anti-anginal drug treatments v beta-blockers alone, Calcium channel blockers plus other anti-anginal drug treatments v calcium channel blockers alone, Nitrates plus other anti-anginal drug treatments, Potassium channel openers plus other anti-anginal drug treatments, Beta-blockers in addition to existing anti-anginal drug treatment, Calcium channel blockers in addition to existing anti-anginal drug treatment, Nitrates in addition to existing anti-anginal drug treatment and Potassium channel openers in addition to existing anti-anginal drug treatment . 2008-10-01 http://www.clinicalevidence.bmj.com/ceweb/conditions/chd/0310/0310.jsp?rss=true New option added for Soy formula with added fibre. New evidence; conclusions confirmed for Metoclopramide and Surgery. 2008-10-01 http://www.clinicalevidence.bmj.com/ceweb/conditions/msd/1116/1116.jsp?rss=true New evidence; conclusions changed for Analgesics, NSAIDs, Facet joint injections and Spinal manipulative therapy. New evidence; conclusion confirmed for Back exercises, Multidisciplinary programmes, Acupuncture, Back schools, Behavioural therapy, Traction and TENS. 2008-10-01 http://www.clinicalevidence.bmj.com/ceweb/conditions/poc/2201/2201.jsp?rss=true New option added for Nasogastric decompression (selective versus routine). New evidence; conclusion changed for Lung expansion techniques. New evidence; conclusion confirmed for Anaesthesia. 2008-09-29 http://www.clinicalevidence.bmj.com/ceweb/conditions/msd/1125/1125.jsp?rss=true New condition. New options added for Warming hands and feet, Relaxation therapy, Biofeedback, Smoking cessation, Hand exercises, Glyceryl trinitrate (transdermal), Calcium channel blockers, Alpha-blockers, Naftidrofuryl oxylate , Moxisylyte, Inositol nicotinate , ACE inhibitors , Angiotensin II receptor antagonists (oral) , SRIs , Endothelin-1 receptor antagonists, Phosphodiesterase inhibitors , Antithrombotics/inhibitors of platelet aggregation , Prostaglandins (oral) and Prostaglandins (intravenous). 2008-09-26 http://www.clinicalevidence.bmj.com/ceweb/conditions/pac/1401/1401.jsp?rss=true New option added for Water births. New evidence; conclusion confirmed for Absorbable sutures in first- and second-degree tears, Continuous sutures in first- and second-degree tears and Third- and fourth-degree tears. 2008-09-24 http://www.clinicalevidence.bmj.com/ceweb/conditions/woh/0805/0805.jsp?rss=true New evidence; conclusion confirmed for Tranexamic acid, Intrauterine progestogens and Endometrial destruction. 2008-09-18 http://www.clinicalevidence.bmj.com/ceweb/conditions/cvd/0201/0201.jsp?rss=true New evidence; conclusion confirmed for Specialised care, Aspirin, Anticoagulants, Neuroprotective agents, Blood pressure reduction and Evacuation. 2008-09-16 http://www.clinicalevidence.bmj.com/ceweb/conditions/wnd/1902/1902.jsp?rss=true New options added for Advice to elevate leg, Advice to keep leg active, Advice to modify diet, Advice to stop smoking and Advice to reduce weight. New evidence; conclusion confirmed for Foam or semi occlusive dressings, Antimicrobial agents (topical), Topical negative pressure, Occlusive dressings, Pentoxifylline (oral), Sulodexide (oral), Allogenic single-layer skin replacement, Skin grafting, Superficial vein surgery to treat venous leg ulcers and Superficial vein surgery to prevent recurrence. 2008-09-15 http://www.clinicalevidence.bmj.com/ceweb/conditions/nud/1211/1211.jsp?rss=true New options added for Serotonergic agonists, Serotonergic antagonists, Serotonergic agonists and Serotonergic antagonists. New evidence; conclusion confirmed for Acetylcholine receptor inhibitors, Deep brain stimulation and Deep brain stimulation. 2008-09-05 http://www.clinicalevidence.bmj.com/ceweb/conditions/cvd/0207/0207.jsp?rss=true New option added for Vitamin B supplements (including folate). New evidence; conclusion changed for Type of carotid endarterectomy. New evidence; conclusion confirmed for Blood pressure reduction, Cholesterol reduction, Alternatives to aspirin, Different blood pressure-lowering regimens, Aspirin dose, Anticoagulation (sinus rhythm), Carotid endarterectomy (less than 30% stenosis), Carotid endarterectomy in people with moderate (30–49%) symptomatic carotid artery stenosis, Carotid endarterectomy (50–69% stenosis), Carotid endarterectomy (more than 70% stenosis), Carotid endarterectomy (near occlusion), Carotid angioplasty , Carotid angioplasty plus stenting, Anticoagulant treatment: AF and previous stroke or TIA and Antiplatelets: AF and previous stroke or TIA. 2008-09-03 http://www.clinicalevidence.bmj.com/ceweb/conditions/dsd/0404/0404.jsp?rss=true New evidence; conclusion confirmed for Adjuvant chemotherapy. 2008-09-03 http://www.clinicalevidence.bmj.com/ceweb/conditions/knd/2001/2001.jsp?rss=true New evidence; conclusion changed for Renal replacement therapy (prophylactic haemofiltration/dialysis). New evidence; conclusion confirmed for Sodium chloride-based fluids, N-Acetylcysteine, Contrast media (iso-osmolar), Fenoldopam, Calcium channel blockers, Loop diuretics, Renal replacement therapy (high-dose continuous), Renal replacement therapy and Loop diuretics. 2008-09-03 http://www.clinicalevidence.bmj.com/ceweb/conditions/msd/1101/1101.jsp?rss=true New evidence; conclusions confirmed for CBT and Dietary supplements. 2008-08-28 http://www.clinicalevidence.bmj.com/ceweb/conditions/meh/1017/1017.jsp?rss=true New condition. New options added for Single- or multiple-session brief intervention in primary care, Universal screening plus brief intervention in primary care, Targeted screening plus brief intervention in primary care, Single- or multiple-session brief intervention in emergency departments, Universal screening plus brief intervention in emergency departments and Targeted screening plus brief intervention in emergency departments. 2008-08-27 http://www.clinicalevidence.bmj.com/ceweb/conditions/skd/1718/1718.jsp?rss=true New evidence; conclusions confirmed for Interferon alfa plus cytotoxic chemotherapy and Interferon alfa plus interleukin-2 plus chemotherapy. 2008-08-22 http://www.clinicalevidence.bmj.com/ceweb/conditions/skd/1707/1707.jsp?rss=true New evidence; conclusion confirmed for Permethrin (topical), Lindane (topical), Crotamiton (topical), Benzyl benzoate (topical), Malathion (topical), Sulphur compounds (topical) and Ivermectin (oral). 2008-08-22 http://www.clinicalevidence.bmj.com/ceweb/conditions/eyd/0708/0708.jsp?rss=true New evidence; conclusions confirmed for Manual (large or small) incision extracapsular extraction and Phaco extracapsular extraction. 2008-08-14 http://www.clinicalevidence.bmj.com/ceweb/conditions/pac/1402/1402.jsp?rss=true New evidence; conclusion confirmed for Antiplatelet drugs, Calcium supplementation, Antioxidants, Marine oil (fish oil) and other prostaglandin precursors (evening primrose oil), Antihypertensive agents, Prophylactic anticonvulsants, Antihypertensives, Interventionist care for severe early-onset pre-eclampsia, Plasma expanders and Anticonvulsants for eclampsia. 2008-08-14 http://www.clinicalevidence.bmj.com/ceweb/conditions/msd/1103/1103.jsp?rss=true New evidence; conclusions changed for Acupuncture and Early normal activity. New evidence; conclusion confirmed for Exercise for non-specific neck pain, Traction, Mobilisation, Manipulation, Collars and pillows, Mobilisation (early) for acute whiplash injury, Physical treatments and Drug treatments for neck pain with radiculopathy. 2008-08-04 http://www.clinicalevidence.bmj.com/ceweb/conditions/hiv/0902/0902.jsp?rss=true New options added for Fusion inhibitors and CCR5 inhibitors. New evidence; conclusion confirmed for PEP in healthcare workers, Boosted PI-based regimens, NNRTI-based triple regimens, Standard PI based triple regimens and Early v delayed treatment. 2008-07-31 http://www.clinicalevidence.bmj.com/ceweb/conditions/spc/2408/2408.jsp?rss=true New condition. New options added for Morphine, Codeine, Dihydrocodeine, Fentanyl (transdermal), Hydromorphone, Methadone, Oxycodone and Tramadol. 2008-07-31 http://www.clinicalevidence.bmj.com/ceweb/conditions/dia/0607/0607.jsp?rss=true New evidence; conclusion changed for Education. New evidence; conclusion confirmed for Different frequencies of insulin administration (CSII v MDI). 2008-07-30