Annals of internal medicine
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Randomized Controlled Trial Clinical Trial
Ciprofloxacin or tamsulosin in men with chronic prostatitis/chronic pelvic pain syndrome: a randomized, double-blind trial.
Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) in men is principally defined by pain in the pelvic region lasting more than 3 months. No cause of the disease has been established, and therapies are empirical and mostly untested. Antimicrobial agents and alpha-adrenergic receptor blockers are frequently used. ⋯ Ciprofloxacin and tamsulosin did not substantially reduce symptoms in men with long-standing CP/CPPS who had at least moderate symptoms.
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Randomized Controlled Trial Multicenter Study Clinical Trial
Effectiveness of primary care-based vestibular rehabilitation for chronic dizziness.
Dizziness is a very common symptom and is usually managed in primary care. Vestibular rehabilitation for dizziness is a simple treatment that may be suitable for primary care delivery, but its effectiveness has not yet been determined. ⋯ Vestibular rehabilitation delivered by nurses in general practice improves symptoms, postural stability, and dizziness-related handicap in patients with chronic dizziness.
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Randomized Controlled Trial Clinical Trial
A multimethod quality improvement intervention to improve preventive cardiovascular care: a cluster randomized trial.
Research is needed to validate effective and practical strategies for improving the provision of evidence-based medicine in primary care. ⋯ Primary care practices that use electronic medical records and receive regular performance reports can improve their adherence to clinical practice guidelines for cardiovascular disease and stroke prevention.