The Journal of family practice
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Randomized Controlled Trial Clinical Trial
Training in back care to improve outcome and patient satisfaction. Teaching old docs new tricks.
We examined clinical outcomes and patient perceptions of back care given by physicians before and after an intensive course of training in back care and limited manual therapy techniques. ⋯ A structured clinical approach to low back care may bring modestly improved clinical outcomes and patient satisfaction.
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Randomized Controlled Trial Clinical Trial
Cutaneous injections of sterile water for the relief of labor pain.
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Randomized Controlled Trial Clinical Trial
A randomized controlled trial of nonpharmacologic approaches for relief of low back pain during labor.
Low back pain is common during labor. Our randomized controlled trial compared the effectiveness of 3 nonpharmacologic approaches for relief of back pain. ⋯ Intracutaneous sterile water injections are more effective than standard care (back massage, bath, and mobilization) or transcutaneous electrical nerve stimulation for relieving low back pain during labor.
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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Mupirocin cream is as effective as oral cephalexin in the treatment of secondarily infected wounds.
Topical antimicrobials have been considered for treatment of secondarily infected wounds because of the potential for reduced risk of adverse effects and greater patient convenience. We compared mupirocin cream with oral cephalexin in the treatment of wounds such as small lacerations, abrasions, or sutured wounds. ⋯ Mupirocin cream applied topically 3 times daily is as effective as oral cephalexin given 4 times daily for the treatment of secondarily infected wounds and was well tolerated.
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Randomized Controlled Trial Clinical Trial
Ineffectiveness of topical benzocaine spray during colposcopy.
Colposcopic evaluation can cause patients to experience pain and anxiety. This study investigated the use of benzocaine spray, a topical anesthetic, and its effects on pain and anxiety associated with colposcopy and colposcopic biopsy. ⋯ Benzocaine, in a spray vehicle, confers no benefit when used to decrease pain and anxiety in women undergoing colposcopic procedures.