CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
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Randomized Controlled Trial Comparative Study
Cast versus splint in children with minimally angulated fractures of the distal radius: a randomized controlled trial.
Minimally angulated fractures of the distal radius are common in children and have excellent outcomes. We conducted a randomized controlled trial to determine whether the use of a prefabricated splint is as effective as a cast in the recovery of physical function. ⋯ In children with minimally angulated fractures of the distal radius, use of a splint was as effective as a cast with respect to the recovery of physical function. In addition, the devices were comparable in terms of the maintenance of fracture stability and the occurrence of complications. (ClinicalTrials.gov trial register no. NCT00610220.).
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Randomized Controlled Trial
Involving patients in cardiovascular risk management with nurse-led clinics: a cluster randomized controlled trial.
Preventive guidelines on cardiovascular risk management recommend lifestyle changes. Support for lifestyle changes may be a useful task for practice nurses, but the effect of such interventions in primary prevention is not clear. We examined the effect of involving patients in nurse-led cardiovascular risk management on lifestyle adherence and cardiovascular risk. ⋯ Nurse-led risk communication, use of a decision aid and adapted motivational interviewing did not lead to relevant differences between the groups in terms of lifestyle changes or cardiovascular risk, despite significant within-group differences.
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Randomized Controlled Trial Multicenter Study Comparative Study
Improving the quality of care for infants: a cluster randomized controlled trial.
We developed and tested a new method, called the Evidence-based Practice for Improving Quality method, for continuous quality improvement. ⋯ The results suggest that the Evidence-based Practice for Improving Quality method reduced bronchopulmonary dysplasia in the neonatal ICU and that it may reduce nosocomial infection.
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Randomized Controlled Trial
Small-group, interactive education and the effect on asthma control by children and their families.
Effective approaches to education about asthma need to be identified. We evaluated the impact on asthma control by children and their caregivers of an intervention involving small-group, interactive education about asthma. ⋯ Education about asthma, especially in a small-group, interactive format, improved clinically important outcomes and overall care of children with asthma.
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Randomized Controlled Trial Comparative Study
Individualized electronic decision support and reminders to improve diabetes care in the community: COMPETE II randomized trial.
Diabetes mellitus is a complex disease with serious complications. Electronic decision support, providing information that is shared and discussed by both patient and physician, encourages timely interventions and may improve the management of this chronic disease. However, it has rarely been tested in community-based primary care. ⋯ A shared electronic decision-support system to support the primary care of diabetes improved the process of care and some clinical markers of the quality of diabetes care. (ClinicalTrials.gov trial register no. NCT00813085.).