The British journal of general practice : the journal of the Royal College of General Practitioners
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Review Meta Analysis
The effectiveness of topical preparations for the treatment of earwax: a systematic review.
Earwax is a common problem in both primary and secondary care. There is uncertainty as to the most effective topical treatment. ⋯ On current evidence, there is little to choose between water-based and oil-based preparations; non-water-, non-oil-based preparations appear promising at both clearing earwax and facilitating successful syringing, but further large trials are needed. Although immediate ear syringing is effective and convenient for patients, it may be less cost-effective than using eardrops and perhaps avoiding syringing. Most of the evidence regarding such a common and time-consuming problem is not of high quality.
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Review Meta Analysis
The effectiveness of topical preparations for the treatment of earwax: a systematic review.
Earwax is a common problem in both primary and secondary care. There is uncertainty as to the most effective topical treatment. ⋯ On current evidence, there is little to choose between water-based and oil-based preparations; non-water-, non-oil-based preparations appear promising at both clearing earwax and facilitating successful syringing, but further large trials are needed. Although immediate ear syringing is effective and convenient for patients, it may be less cost-effective than using eardrops and perhaps avoiding syringing. Most of the evidence regarding such a common and time-consuming problem is not of high quality.
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Over the past 30 years, fetal movement counts have been recommended to women in the second half of pregnancy as a way of monitoring fetal wellbeing and providing an early warning of fetal distress. However, guidance from the National Institute of Clinical Excellence (NICE) recommends abandoning this. ⋯ The activity of monitoring movements has been favoured by the majority of women. The new NICE guidance is useful to clarify professional understanding of the limitation of counting fetal movements, but women who notice decreased movements will still need referral for human factors.