British medical bulletin
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British medical bulletin · Jun 2023
Management of complex regional pain syndrome in trauma and orthopaedic surgery-a systematic review.
Complex regional pain syndrome (CRPS) is a neurological pain disorder that is challenging to diagnose and manage, resulting in increased morbidity and costs. It most commonly occurs following traumatic injury, such as a fracture, crush injury or surgery. Recent research has evaluated the efficacy of treatments which have contradicted previous hypotheses. This systematic review summarizes these findings to improve clinician's decision-making. ⋯ There are few high-quality studies that inform the best treatment modalities for CRPS. Though emerging treatments show promise, further research is needed.
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British medical bulletin · Apr 2023
ReviewImplementing brief and low-intensity psychological interventions for children and young people with internalizing disorders: a rapid realist review.
Many children fail to receive the mental health treatments they need, despite strong evidence demonstrating efficacy of brief and low-intensity psychological interventions. This review identifies the barriers and facilitators to their implementation. ⋯ Longitudinal studies can identify methods and processes for enhancing long-term implementation and considers ways to monitor and evaluate uptake into routine practice.
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In May 2022, the World Health Organisation declared a multi-country monkeypox outbreak in non-endemic countries following cases reported from 12 member states that were not endemic for monkeypox virus. ⋯ Current treatment and vaccination options have been extrapolated from studies of other Orthopox viruses. There remains a need for more data on the safety and efficacy of these options in the context of monkeypox infections.
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British medical bulletin · Apr 2023
Return to sport or work following surgical management of scapholunate ligament injury: a systematic review.
This systematic review aims to compare the rate and time to return to sport or work following surgical interventions for isolated scapholunate ligament (SLL) injury. ⋯ Prospective, randomized, primary studies are needed to establish optimal treatment for acute isolated SLL injuries.