Dtsch Arztebl Int
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Randomized Controlled Trial
Routine X-Rays After the Osteosynthesis of Distal Radius and Ankle Fractures-a Prospective Randomized Controlled Trial on the Necessity of Routine Imaging.
The utility of routine x-rays after the osteosynthesis of distal radius fractures and ankle fractures is questionable. We performed a trial to determine whether such x-rays are justified in patients who have undergone standardized imaging with C-arm fluoroscopy during surgery. ⋯ In this trial, routine postoperative x-rays after the osteosynthesis of distal radial fractures and ankle fractures did not improve the care of patients who had undergone standardized intraoperative imaging.
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Randomized Controlled Trial
An Integrated Psychosomatic Treatment Program for People With Diabetes (psy-PAD)- Results of a Randomized Controlled Trial.
Many people with diabetes have permanently elevated blood sugar concentrations and a high level of diabetes-related psychological stress, also called "diabetes distress." In clinical practice, diabetes distress is often an impediment to successful self-management. psy-PAD is a psychodynamically oriented short-term therapy program whose goal is to reduce diabetes distress and improve glycemic control. ⋯ For people with diabetes and diabetes distress who do not achieve satisfactory glycemic control despite intensive treatment in specialized diabetological practices, integrated psychosomatic-psychotherapeutic treatment can lower blood sugar levels over the intermediate term and also reduce diabetes distress and depressive symptoms over a one-year period.