Scandinavian journal of primary health care
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Scand J Prim Health Care · Jun 1997
Randomized Controlled Trial Multicenter Study Clinical TrialImpact of postal invitations and user fee on influenza vaccination rates among the elderly. A randomized controlled trial in general practice.
To examine the impact of postal invitations and user fee on influenza vaccination rates. ⋯ It is suggested that GPs send postal invitations to their elderly patients in the risk groups urgently recommending influenza vaccination. Attention should also be given to offering free influenza vaccination to elderly patients who have recognized indications for vaccination.
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Scand J Prim Health Care · Jun 1996
Randomized Controlled Trial Clinical TrialSymptomatic urinary tract infection in women in primary health care. Bacteriological, clinical and diagnostic aspects in relation to host response to infection.
To evaluate rapid diagnostic tests for bacteriuria in women with symptoms of urinary tract infection (UTI), and to analyse bacteriological and clinical findings in relation to host response to infection. ⋯ In women with a high probability of bacteriuria, i.e. those with symptoms of lower UTI, examination for pyuria and urinary nitrite offers high diagnostic efficacy. If either or both tests are positive urine cultures can be omitted.
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Scand J Prim Health Care · Dec 1994
Randomized Controlled Trial Comparative Study Clinical TrialA cost-effectiveness study of leg ulcer treatment in primary care. Comparison of saline-gauze and hydrocolloid treatment in a prospective, randomized study.
The majority of leg ulcer patients in Sweden are managed by primary health care personnel. To compare, in a primary care setting, the healing results and the expenses of two commonly used wound dressings for leg ulcers. ⋯ The total care, analysed in an authentic clinical setting, must be considered when different wound-care methods are discussed. In this study the use of HCD showed lower costs than use of gauze-dressings. As regards healing there was a tendency to improved healing with HCD, but no significant difference. Patients in the HCD-group reported significantly less pain at dressing changes (p < 0.003) than patients in the gauze-group.
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Scand J Prim Health Care · Jun 1993
Randomized Controlled Trial Multicenter Study Clinical TrialManual therapy with steroid injections in low-back pain. Improvement of quality of life in a controlled trial with four months' follow-up.
To compare prospectively the effect of manual treatment such as manipulation, specific mobilization, muscle stretching, auto-traction, and cortisone injections with standardized conventional but optimized activating treatment by primary health care teams. ⋯ Manual treatment with steroid injections was superior to conventional treatment in minimizing mental and somatic symptoms and increasing quality of life, in parallel with other measures of improvement.
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Scand J Prim Health Care · Dec 1992
Randomized Controlled Trial Clinical TrialTreatment of pelvic joint dysfunction in primary care--a controlled study.
The study evaluated the manual treatment of dysfunction of the pelvic joints. This is one of many condition causing low back pain. In 1987-1988 a general practitioner with special knowledge of physical examination and manual treatment of lumbar and pelvic dysfunctions made a survey of patients with acute or subacute low back pain as the main cause of the patient-to-doctor contact. ⋯ After a period of three weeks, evaluation was made by an independent observer. Subjective pain measurement and a mobility test showed no significant difference. Sick-leave and consumption of analgesics (both decided by patient) were significantly less in the treatment group.