Podcasts from The Cochrane Library

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Early additional food and fluids for healthy breastfed full-term infants

Mon, 03/06/2017 - 16:44

It is generally recommended that babies should be exclusively breastfed for the first six months of life, but most are given some additional fluids or foods during this period. In August 2016, Hazel Smith from Our Lady's Children's Hospital in Dublin and Genevieve Becker from BEST services in Galway in Ireland updated the Cochrane Review of the randomised trials and we asked Hazel to tell us about their current findings in this podcast.

Do tobacco cessation interventions provided during substance abuse treatment or recovery help tobacco users to quit?

Mon, 03/06/2017 - 15:35

Several dozen Cochrane Reviews examine the effects of methods to help people quit smoking. A new review in November 2016 adds to this evidence by considering interventions targeted at people with substance use disorders. We asked lead author, Dorie Apollonio from the University of California San Francisco in the USA, to tell us what they found in this podcast.

The accuracy of two imaging tests in detecting vesicoureteral reflux

Mon, 03/06/2017 - 15:04

There is considerable interest in detecting vesicoureteral reflux in children, a condition in which urine can flow backwards from the bladder to the kidney, and cause kidney damage. It can be diagnosed with a test called a voiding cystourethrogram, but this is invasive and exposes children to x-rays. It’s important therefore to find other accurate methods and a new Cochrane Review from July 2016 evaluated two possible alternative imaging tests as ways to identify children who have vesicoureteral reflux and are at higher risks of long-term kidney damage, but with less discomfort and radiation than a voiding cystourethrogram. The review was done by Dr. Nader Shaikh and colleagues from the University of Pittsburgh, Pennsylvania in the USA. In this evidence pod, his colleague, Dr Stephanie Hum tells us what they found.

Managing symptoms in motor neuron disease

Wed, 03/01/2017 - 16:54

As the number of systematic reviews grows, there is an increasing need for overviews in which the findings from multiple reviews in the same general area is brought together. This happened for symptomatic treatments for motor neurone disease in January 2017 and lead author on this new Cochrane Overview, Louisa Ng from the Royal Melbourne Hospital in Australia spoke with Brian Dickie from the UK Motor Neurone Disease Association about the evidence.

Support for breastfeeding mothers

Wed, 03/01/2017 - 15:25

Several reviews from the Cochrane Pregnancy and Childbirth Group present evidence on ways to help mothers to breast feed their babies. In the latest version of one of these, in February 2017, Alison McFadden from the University of Dundee in Scotland and her co-authors present the latest evidence and we asked her to update us in this podcast.

Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia

Wed, 02/15/2017 - 16:57

Cochrane has several systematic reviews about the management of patients in intensive care units, covering a wide range of interventions, and the update of one of these in October 2016 brought together the latest evidence on the effects of oral hygiene care. Helen Worthington, one of the authors on the review and Co-ordinating Editor of the Cochrane Oral Health Group at the University of Manchester in the UK tells us more.

Improving how antibiotics are prescribed by physicians working in hospital settings

Wed, 02/08/2017 - 16:30

Antibiotics are a mainstay of hospital care, widely used to treat bacterial infections, such as pneumonia. However amidst increasing concerns about antibiotic resistance, it’s important to ensure that they are prescribed carefully. In February 2017, Peter Davey from the University of Dundee in the UK and colleagues updated their Cochrane Review of interventions to help with this and he tells us more in this Evidence Pod.

Aspirin for women undergoing assisted reproductive technology (ART)

Mon, 02/06/2017 - 16:38

Aspirin is one of the most widely used medicines and there are Cochrane Reviews of its effects for a wide variety of conditions. One of these reviews examines its use in in vitro fertilisation and an update was published in November 2016. Lead author, Harry Siristatidis from the Assisted Reproduction Unit at Attikon University Hospital in Athens Greece brings us up to date in this Evidence Pod.

Nutritional supplementation for older people after hip fracture

Fri, 02/03/2017 - 19:13

Several Cochrane Reviews examine surgical techniques to repair hip fractures, and alongside these are reviews of other aspects of the management of people who have broken a hip. For instance, an updated review from November 2016 looks at nutritional supplements in the aftercare of older people who have had a hip fracture, and one of the authors, Toby Smith from the University of East Anglia in the UK, tells us more in this Evidence Pod.

Immunosuppressive agents for treating IgA nephropathy

Thu, 02/02/2017 - 19:36

IgA nephropathy is a kidney condition, leading to kidney failure for many of those who are affected. About 10-20% of patients require dialysis or a kidney transplant within 10 years, and 30-40% within 20 years, from their disease onset. This long time between diagnosis and kidney failure makes it difficult to establish the most effective and safest treatment. In August 2015, Marinella Ruospo and her colleagues from Bari, Italy updated their Cochrane Review of immunosuppressive therapies and she tells us what they have found in this Evidence pod.

Yoga treatment for chronic non-specific low back pain

Tue, 01/31/2017 - 20:05

Low-back pain is a very common problem, and a variety of treatments have been assessed in Cochrane Reviews. In January 2017, this collection was added to by Susan Wieland from the University of Maryland School of Medicine in the USA and colleagues, when we published their review of the effects of yoga for chronic, non-specific low-back pain. We asked Susan to tell us about the review and the implications of its findings.

Xylitol sugar supplement for preventing middle ear infection in children up to 12 years of age

Mon, 01/30/2017 - 17:00

The ear infection, acute otitis media, brings many children into contact with healthcare practitioners and finding ways to prevent it would have obvious benefits for the children, their families and the healthcare system. In August 2016, a group of researchers from Canada, led by Amir Azarpazhooh from the University of Toronto updated their Cochrane Review and he tells us what they found in this Evidence Pod.

Interventions for patients and caregivers to improve knowledge of sickle cell disease and recognition of its related complications

Mon, 01/30/2017 - 16:24

Sickle cell disease is a lifelong, inherited disorder which can cause complications throughout an individual's life. In a new Cochrane Review from October 2016, Monika Asnani and colleagues from the Caribbean Institute for Health Research at the University of the West Indies in Kingston Jamaica bring together the evidence on ways to improve the knowledge of patients and their caregivers. She outlines their findings in this Evidence Pod.

Skin antisepsis for reducing central venous catheter-related infections

Fri, 01/20/2017 - 20:10

One of the most widely used devices in medicine is the central venous catheter, allowing direct access to a patient’s blood stream. However, it can cause infections and the use of antiseptics on the skin is one way to minimise this risk. Nai Ming Lai from the School of Medicine in Taylor's University in Malaysia has worked with colleagues to examine the relevant evidence and led the Cochrane Review, published in July 2016.

Automated telephone communication systems for preventing disease and managing long-term conditions

Mon, 01/09/2017 - 16:11

Alongside increasing efforts to deliver health care remotely, there is a need for research to assess the effects of these new approaches. In a new Cochrane Review from December 2016, Pawel Posadzki from the Lee Kong Chian School of Medicine in Singapore, and colleagues bring together the evidence on automated telephone communication systems. We asked Pawel to tell us what they found.

Effect of molecular-targeted therapy on the progress and survival of people in the late stages of stomach cancer

Wed, 12/07/2016 - 21:07

Stomach cancer is the fifth most common cancer and third leading cause of cancer-related deaths worldwide. Molecular-targeted therapy is one of the newer treatments and a new Cochrane Review in July 2016 looks at the evidence from randomized trials. Lead author, Huan Song from the Karolinska Institutet in Sweden, tells us more in this Evidence Pod.

Motor control exercise for chronic non-specific low-back pain

Thu, 12/01/2016 - 20:03

Low back pain is a substantial health problem, and several Cochrane Reviews investigate interventions to help treat it. In a new Cochrane Review in January 2016, Bruno Saragiotto from The George Institute for Global Health, in Sydney Australia, and colleagues examined the evidence for motor control exercise. He tells us what they found in this Evidence Pod.

Is it safe to use lower blood counts as a trigger for blood transfusion in order to give fewer blood transfusions?

Mon, 11/21/2016 - 15:38

Blood transfusions are a very common medical procedure, and it’s important to balance the potential benefits and harms. In October 2016, Jeffery Carson from Rutgers Robert Wood Johnson Medical School, in New Brunswick in the USA, and colleagues updated the Cochrane Review of research comparing different triggers for transfusing red blood cells and we asked him to tell us more about the importance of the review and its findings.

Dressings to treat foot ulcers in people with diabetes

Sat, 11/19/2016 - 01:07

Diabetes affects millions of people worldwide, causing a variety of health problems, including foot ulcers. In a new Cochrane Overview in July 2015, Jo Dumville from the Division of Nursing and Midwifery at the University of Manchester in the UK and colleagues bring together the findings from 13 systematic reviews. She summarises all this evidence in this Evidence Pod.

Management of gagging in dental patients

Tue, 11/15/2016 - 21:59

Patients undergoing dental treatment will often feel the discomfort of the gag reflex, and a new Cochrane Review in October 2015 sought out evidence on how to manage it. Lead author, Prashanti Eachempati from the Faculty of Dentistry at the Melaka-Manipal Medical College in Malaysia tells us what they found in this Evidence Pod.