Annals of internal medicine
-
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.
-
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.
-
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.
-
Randomized Controlled Trial Clinical Trial
Below-knee elastic compression stockings to prevent the post-thrombotic syndrome: a randomized, controlled trial.
Because only limited evidence suggests that elastic stockings prevent the post-thrombotic syndrome in patients with symptomatic deep venous thrombosis (DVT), these stockings are not widely used. ⋯ Post-thrombotic sequelae develop in almost half of patients with proximal DVT. Below-knee compression elastic stockings reduce this rate by approximately 50%.
-
Randomized Controlled Trial Clinical Trial
The effect of a 13-hour curriculum to improve residents' teaching skills: a randomized trial.
Although resident physicians often teach, few trials have tested interventions to improve residents' teaching skills. A pilot trial in 2001-2002 found that 13 trained resident teachers taught better than did untrained control residents. ⋯ Generalist residents randomly assigned to receive a 13-hour longitudinal residents-as-teachers curriculum consistently showed improved teaching skills, as judged by medical student raters. Residents required to participate improved as much as volunteers did.