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Evidence Aid

Community health workers are widely used as a means to reduce health inequity among low- and middle-income countries. Evidence from a systematic review does not demonstrate that there is an improvement in health outcomes that favors equity in such countries with high-income countries. Within the studies included in the systematic review, the analysis of qualitative studies reported on the rejection of advice from community health workers.

Otros artículos/Other articles on this topic

Evidence Aid

Mobile health interventions are widely used to help weight management in high-income countries and can help health systems to be resilient. Evidence on their effectiveness in low- and middle-income countries might help policy makers and practitioners in those settings. Evidence from a systematic review demonstrated a slight effect on weight in interventions based on the use of text messages, with interventions that were more frequent, of longer duration, and that included behavioral theories ...

Otros artículos/Other articles on this topic

Evidence Aid

Women exposed to domestic and intimate partner violence are at high risk of having physical and emotional health problems. This type of violence can increase during periods of lockdown in crises such as the COVID-19 pandemic. Evidence from a systematic review suggests that intensive interventions reduce depressive symptoms and improve quality of life in women who have experienced domestic violence. On the contrary, brief advocacy interventions have not been shown to be effective.

Choosing Wisely ® : Things we do for no reason

Choosing Wisely ®: Things we do for no reason

Routine coagulation testing in the preoperative assessment of patients undergoing neurosurgical procedures is ineffective and leads to unnecessary additional costs. Based on history, the patient in the clinical scenario has no increased risk for bleeding complications, including no pertinent family history or bleeding history. Despite this, the patient (like many others) underwent additional testing including an unnecessary consultation, which ultimately added to the cost of care. To avoid ...

Choosing Wisely ® : Things we do for no reason

Choosing Wisely ®: Things we do for no reason

Functional constipation is one of the most common pediatric problems and can lead to fecal impaction, defined as a large mass of stool identified in the distal colon in the abdominal or rectal examination, the diagnosis of which often involves admitting the patient for “cleanout.” There are certain criteria to indicate hospitalization for fecal impaction but the assumptions underlying these decisions are not evidence-based, relying instead on arbitrary rules and subjective determinations. ...