{"id":315,"date":"2007-08-18T17:15:12","date_gmt":"2007-08-18T16:15:12","guid":{"rendered":"http:\/\/resource.bmj.com\/bmj\/2007\/08\/18\/bmj-18-aug-2007-vol-335\/"},"modified":"2007-08-18T17:15:12","modified_gmt":"2007-08-18T16:15:12","slug":"bmj-18-aug-2007-vol-335","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2007\/08\/18\/bmj-18-aug-2007-vol-335\/","title":{"rendered":"BMJ  18 Aug 2007  Vol 335"},"content":{"rendered":"<p>\u201cGood germs\u201d to help acute diarrhoea in children have become very popular, and with some reason. For a decade or more, I used to advise parents to give their kids some live yoghourt,<!--more--> but now there is a veritable ecosystem of commercial bugs available, many with more than one name. For example, <em>Lactobacillus rhamnosus<\/em> is the same as <em>L casei <\/em>strain GG or <em>L<\/em> GG; there are lots more, but I won\u2019t go on because according to <a href=\"http:\/\/www.bmj.com\/cgi\/content\/abstract\/335\/7615\/340\">this Italian study<\/a>, this is the only one that works. Forget the rest if you want to reduce the number of stools in squitty children.<\/p>\n<p>A good clear single-author <a href=\"http:\/\/www.bmj.com\/cgi\/content\/extract\/335\/7615\/343\">review of carpal tunnel syndrome<\/a> tells you what you want to know. The diagnosis lies more in the history than the classic tests, and although neurophysiology is the \u201cgold standard\u201d, it is not a particularly good one. Figures for sensitivity and specificity are given, but it\u2019s not clear where they come from, and of course they won\u2019t be the same in primary care as in a hand clinic. Anyway, try a splint; maybe try an injection; but for a cure, get a decompression done (it doesn\u2019t matter which procedure).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u201cGood germs\u201d to help acute diarrhoea in children have become very popular, and with some reason. For a decade or more, I used to advise parents to give their kids [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2007\/08\/18\/bmj-18-aug-2007-vol-335\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":38363,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[111],"tags":[],"class_list":["post-315","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-richard-lehmans-weekly-review-of-medical-journals"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>BMJ 18 Aug 2007 Vol 335 - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2007\/08\/18\/bmj-18-aug-2007-vol-335\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"BMJ 18 Aug 2007 Vol 335 - The BMJ\" \/>\n<meta property=\"og:description\" content=\"\u201cGood germs\u201d to help acute diarrhoea in children have become very popular, and with some reason. 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