The Medical journal of Australia
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Meta Analysis
Mammographic screening trials for women aged under 50. A quality assessment and meta-analysis.
To carry out a systematic quality review and meta-analysis of all randomised trials of mammographic screening that included women aged under 50 years. ⋯ These analyses suggest little, if any, benefit for women under 50 years of age. The results are not explained by the quality of the trials or the radiology. We recommend that women in this age group intending to be screened should be fully informed of these results.
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To assess the long term effect of a nutrition program in a remote Aboriginal community (Minjilang). ⋯ The success of the program at Minjilang was linked to an ongoing process of social change, which in turn provided a stimulus for dietary improvement in the comparison community. When Aboriginal people themselves control and maintain ownership of community-based intervention programs, nutritional improvements can be initiated and sustained.
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To determine how current hospital practice for transfusions of red cells, platelets and fresh frozen plasma conformed with published criteria. ⋯ Specific problem areas in which blood product use was inappropriate were identified. Guidelines for transfusion appropriateness, education of hospital staff, and a monitoring system to ensure adherence to the guidelines, are required.