The American journal of emergency medicine
-
Acute appendicitis is the most common abdominal complaint in the emergency department. This study was made in order to determine whether there is any evidence to support the practice of inquiring about pain over speed bumps in patient suspected to have acute appendicitis and to discover its predictive power as a diagnostic sign. ⋯ The pain over speed bump can be considered as a significant "rule out" criterion of appendicitis due to the high sensitivity observed in this study. However, with its low specificity, many patients with this sign would not undoubtedly have appendicitis, meaning it is a poor "rule-in" test.
-
Meta Analysis
Inhaled budesonide for the prevention of acute mountain sickness: A meta-analysis of randomized controlled trials.
Altitude induces acute mountain sickness (AMS), which can affect the health or limit the activities of 15 -80% of climbers and workers. Budesonide has been applied to prevent AMS. However, its prophylactic efficacy is controversial. Our purpose was to conduct a meta-analysis to assess whether budesonide qualifies as a prophylaxis for AMS. ⋯ The current meta-analysis indicates that inhaled budesonide does not protect against AMS or severe AMS. However, it is successful at reducing HR and increasing SPO2 without any side effects.