Articles: patients.
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Randomized Controlled Trial
Modified unilateral laminotomy for bilateral decompression for lumbar spinal stenosis: technical note.
A prospective clinical study of M-ULBD of lumbar spinal stenosis (LSS). ⋯ 3.
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Palliative medicine · Apr 2013
Randomized Controlled Trial'It makes me feel that I'm still relevant': a qualitative study of the views of nursing home residents on dignity therapy and taking part in a phase II randomised controlled trial of a palliative care psychotherapy.
Trials of dignity therapy (a palliative care psychotherapy) have shown self-reported benefits for participants from taking part, although more so in intervention than control groups. However, the sources of these benefits are unknown. ⋯ Dignity therapy is likely to be beneficial to some care home residents, albeit the small minority who have the desire and the capacity to engage in such an intervention. Whether or not dignity therapy helps distressed residents, and the most effective way of screening for those who might benefit from it, need to be determined.
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Randomized Controlled Trial
Short-term effects of noisy pressure support ventilation in patients with acute hypoxemic respiratory failure.
This study aims at comparing the very short-term effects of conventional and noisy (variable) pressure support ventilation (PSV) in mechanically ventilated patients with acute hypoxemic respiratory failure. ⋯ In the very short term, noisy PSV proved safe and feasible in patients with acute hypoxemic respiratory failure. Compared to conventional PSV, noisy PSV increased the variability of tidal volumes, and was associated with improved patient-ventilator synchrony, at comparable levels of gas exchange.
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Randomized Controlled Trial Multicenter Study
Intensive care diaries and relatives' symptoms of posttraumatic stress disorder after critical illness: a pilot study.
Relatives of patients recovering from critical illness are at risk of developing posttraumatic stress disorder. ⋯ Provision of a diary may help psychological recovery in patients' families after critical illness.
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Randomized Controlled Trial
Pain ratings by patients and their providers of radionucleotide injection for breast cancer lymphatic mapping.
Disparity between patient report and physician perception of pain from radiotracer injection for sentinel node biopsy is thought to center on the severity of the intervention, ethnic composition of population queried, and socioeconomic factors. ⋯ Patient-physician pain assessment congruence over the less painful injections and their statistically similar scores with the more painful methods suggests the importance of utilizing the least painful method possible. Providers tended to underestimate patients with the highest pain ratings-those in the greatest analgesic need. Lack of statistical difference between African American and physician scores may reflect the equal-access-to-care over the entire patient cohort, supporting the conclusion that socioeconomic factors may lie at the heart of previously reported discrepancies.