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https://www.readbyqxmd.com/read/29142959/hemodialysis-infection-prevention-protocols-ontario-shower-technique-hippo-st-a-pilot-randomized-trial
#1
S Daisy Kosa, Amiram Gafni, Andrew A House, JulieAnn Lawrence, Louise Moist, Bharat Nathoo, Paul Tam, Alicia Sarabia, Lehana Thabane, George Wu, Charmaine E Lok
Introduction: We developed the Hemodialysis Infection Prevention Protocols Ontario-Shower Technique (HIPPO-ST) to permit hemodialysis (HD) patients with central venous catheters (catheters) to shower without additional infection risk. Our primary objective was to determine the feasibility of conducting a parallel randomized controlled trial (RCT) to evaluate the impact of HIPPO-ST on catheter-related bacteremia (CRB) in adult HD patients. Methods: Adult HD patients using catheters were recruited from 11 HD units...
March 2017: KI Reports
https://www.readbyqxmd.com/read/29141653/test-of-a-workforce-development-intervention-to-expand-opioid-use-disorder-treatment-pharmacotherapy-prescribers-protocol-for-a-cluster-randomized-trial
#2
Todd Molfenter, Hannah K Knudsen, Randy Brown, Nora Jacobson, Julie Horst, Mark Van Etten, Jee-Seon Kim, Eric Haram, Elizabeth Collier, Sanford Starr, Alexander Toy, Lynn Madden
BACKGROUND: Overdoses due to non-medical use of prescription opioids and other opiates have become the leading cause of accidental deaths in the USA. Buprenorphine and extended-release naltrexone are key evidence-based pharmacotherapies available to addiction treatment providers to address opioid use disorder (OUD) and prevent overdose deaths. Treatment organizations' efforts to provide these pharmacotherapies have, however, been stymied by limited success in recruiting providers (physicians, nurse practitioners, and physician assistants) to prescribe these medications...
November 15, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29132415/acupuncture-for-postprandial-distress-syndrome-apds-study-protocol-for-a-randomized-controlled-trial
#3
Jing-Wen Yang, Li-Wen Zhang, Guang-Xia Shi, Yi Du, Jun Wang, Jing-Jie Zhao, Yan Cao, Jian-Feng Tu, Shuai Zhang, Cheng Tan, San-San Chen, Cun-Zhi Liu
BACKGROUND: Postprandial distress syndrome (PDS) is referred to as meal-related functional dyspepsia (FD) and causes a reduced quality of life (QoL) for patients. Several randomized controlled trials (RCTs) have suggested that acupuncture is an effective treatment for FD, but few studies were particularly for PDS. This pilot study was designed to determine the feasibility and efficacy of acupuncture in patients with PDS characterized by postprandial fullness and early satiation according to the Rome III criteria...
November 13, 2017: Trials
https://www.readbyqxmd.com/read/29105023/mandibular-response-after-rapid-maxillary-expansion-in-class-ii-growing-patients-a-pilot-randomized-controlled-trial
#4
Roberta Lione, Valerio Brunelli, Lorenzo Franchi, Chiara Pavoni, Bernardo Quiroga Souki, Paola Cozza
BACKGROUND: The aim of this pilot randomized controlled trial (RCT) was to evaluate the sagittal mandibular response induced by rapid maxillary expansion (RME) therapy in mixed dentition patients with class II malocclusion, comparing the effects of bonded RME and banded RME with a matched untreated class II control group. METHODS: This RCT was designed in parallel with an allocation ratio of 1:1:1. The sample consisted of 30 children with a mean age of 8.1 ± 0...
November 6, 2017: Progress in Orthodontics
https://www.readbyqxmd.com/read/29100533/effectiveness-of-interventions-during-nicu-hospitalization-on-the-neurodevelopment-of-preterm-infants-a-systematic-review-protocol
#5
Marilyn Aita, Robyn Stremler, Nancy Feeley, Andréane Lavallée, Gwenaëlle De Clifford-Faugère
BACKGROUND: Previous systematic reviews have examined preterm infants' long-term neurodevelopment after neonatal intensive care unit (NICU) discharge, although none have explored the effectiveness of interventions on preterm infants' neurodevelopment during NICU hospitalization. The aim of this review is to evaluate whether interventions, i.e., sensory stimulation, parental involvement, and control of environment, improve preterm infants' neurodevelopment during their NICU hospitalization...
November 3, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/29096614/-active-team-a-social-and-gamified-app-based-physical-activity-intervention-randomised-controlled-trial-study-protocol
#6
Sarah Edney, Ronald Plotnikoff, Corneel Vandelanotte, Tim Olds, Ilse De Bourdeaudhuij, Jillian Ryan, Carol Maher
BACKGROUND: Physical inactivity is a leading preventable cause of chronic disease and premature death globally, yet over half of the adult Australian population is inactive. To address this, web-based physical activity interventions, which have the potential to reach large numbers of users at low costs, have received considerable attention. To fully realise the potential of such interventions, there is a need to further increase their appeal to boost engagement and retention, and sustain intervention effects over longer periods of time...
November 2, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29096053/antibiotic-prophylaxis-for-episiotomy-repair-following-vaginal-birth
#7
REVIEW
Mercedes Bonet, Erika Ota, Chioma E Chibueze, Olufemi T Oladapo
BACKGROUND: Bacterial infections occurring during labour, childbirth, and the puerperium may be associated with considerable maternal and perinatal morbidity and mortality. Antibiotic prophylaxis might reduce wound infection incidence after an episiotomy, particularly in situations associated with a higher risk of postpartum perineal infection, such as midline episiotomy, extension of the incision, or in settings where the baseline risk of infection after vaginal birth is high. However, available evidence is unclear concerning the role of prophylactic antibiotics in preventing infections after an episiotomy...
November 2, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29095521/vitamin-d-and-calcium-supplementation-skeletal-muscle-strength-and-serum-testosterone-in-young-healthy-adult-males-randomized-control-trial
#8
Soma Saha, Ravinder Goswami, Lakshmy Ramakrishnan, Vishnubhatla Sreenivas, Samrina Mahtab, Parmita Kar, Sunita Srinivasan, Namrata Singh, Upinderpal Singh
BACKGROUND: Cholecalciferol and/or calcium supplementation might increase skeletal-muscle strength and serum testosterone in young adult males. OBJECTIVE: We performed a randomized-control-trial assessing the effect of cholecalciferol/calcium on skeletal-muscle strength and serum testosterone in vitamin-D deficient young males. DESIGN: Two-by-two factorial RCT. SUBJECT AND INTERVENTION: Two-hundred and twenty-eight young males were block-randomized to 1) double-placebo, 2) calcium/placebo, 3) cholecalciferol/placebo, and 4) cholecalciferol/calcium...
November 2, 2017: Clinical Endocrinology
https://www.readbyqxmd.com/read/29091519/a-pilot-rct-investigating-the-effects-of-targeted-compression-on-athletes-with-pelvic-groin-pain
#9
Leanne Sawle, Jennifer Freeman, Jonathan Marsden
CONTEXT: Athletic pelvic/groin pain is a common yet often challenging problem to both diagnose and manage. A new tool has been developed based on the clinical effects of applied force on the pelvis. Early findings indicate that this customised compression orthosis may have a positive effect upon pelvic/groin pain and performance measures. OBJECTIVES: To: Inform the design and test the practicality of procedures for a future definitively powered randomized controlled trial; Provide an estimate of the effect size of this orthosis on selected clinical and performance measures...
November 1, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29082334/development-and-pilot-testing-of-a-cognitive-behavioral-coping-skills-group-intervention-for-patients-with-chronic-hepatitis-c
#10
Donna M Evon, Carol E Golin, Rachel Ruffin, Michael W Fried
Psychosocial interventions for patients with chronic hepatitis C viral (HCV) infection are needed to attenuate the impact of extrahepatic symptoms, comorbid conditions, and treatment side effects on HCV health outcomes. We adapted empirically-supported interventions for similar patient populations to develop a Cognitive Behavioral Coping Skills group intervention for HCV patients (CBCS-HCV) undergoing treatment. The objectives of this paper are to describe the research activities associated with CBCS-HCV development and pilot testing, including: (1) formative work leading to intervention development; (2) preliminary study protocol; and (3) pilot feasibility testing of the intervention and study design...
June 2017: Contemporary Clinical Trials Communications
https://www.readbyqxmd.com/read/29075023/no-clinical-quantifiable-benefits-between-non-surgical-and-surgical-endodontic-treatment
#11
Debra M Ferrailo, Analia Veitz-Keenan
Data sourcesThe authors searched the following electronic databases: the Cochrane Oral Health Trials Register, the Cochrane Central Register of Controlled Trials (CENTRAL), Medline Ovid and Embase Ovid. The US National Registry of Clinical Trials (ClinicalTrials.gov) and the World Health Organisation (WHO) International Clinical Trials Registry Platform were searched for ongoing trials. There were no restrictions regarding language and publication date. The authors hand-searched the reference lists of the studies retrieved and key journals in the field of endodontics...
October 27, 2017: Evidence-based Dentistry
https://www.readbyqxmd.com/read/29074496/treatment-of-advanced-glaucoma-study-a-multicentre-randomised-controlled-trial-comparing-primary-medical-treatment-with-primary-trabeculectomy-for-people-with-newly-diagnosed-advanced-glaucoma-study-protocol
#12
Anthony J King, Gordon Fernie, Augusto Azuara-Blanco, Jennifer M Burr, Ted Garway-Heath, John M Sparrow, Luke Vale, Jemma Hudson, Graeme MacLennan, Alison McDonald, Keith Barton, John Norrie
BACKGROUND: Presentation with advanced glaucoma is the major risk factor for lifetime blindness. Effective intervention at diagnosis is expected to minimise risk of further visual loss in this group of patients. AIM: To compare clinical and cost-effectiveness of primary medical management compared with primary surgery for people presenting with advanced open-angle glaucoma (OAG). METHODS: Design: A prospective, pragmatic multicentre randomised controlled trial (RCT)...
October 26, 2017: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/29070639/effects-of-a-multicomponent-workplace-intervention-programme-with-environmental-changes-on-physical-activity-among-japanese-white-collar-employees-a-protocol-for-a-cluster-randomised-controlled-trial
#13
Kazuhiro Watanabe, Norito Kawakami
INTRODUCTION: Physical activity is one of the most important health behaviours as a determinant of physical and mental health. Although intervention strategies for promoting physical activity among workers are needed, evidence for the effectiveness of multilevel workplace interventions with environmental changes on the promotion of physical activity are still limited due to lack of cluster randomised controlled trials (RCTs). The aim of this study is to investigate effects of a 3-month workplace intervention programme with environmental changes on the improvement in physical activity among Japanese white collar employees...
October 24, 2017: BMJ Open
https://www.readbyqxmd.com/read/29069355/intention-to-treat-itt-analysis-as-reported-in-orthodontic-randomized-controlled-trials-evaluations-of-methodology-and-recommendations-for-the-accurate-use-of-itt-analysis-and-handling-dropouts
#14
Lars Bondemark, Salem Abdulraheem
Objective: To systematically evaluate in five orthodontic journals how many randomized controlled trials (RCTs) use intention to treat (ITT) analysis and to assess the methodological quality of the ITT analysis, and finally, to demonstrate in an academic way how outcomes can be affected when not implementing the ITT analysis. Material and methods: A search of the database, Medline, was performed via PubMed for publication type 'randomized controlled trial' published for each journal between 1 January 2013 and 30 April 2017...
October 21, 2017: European Journal of Orthodontics
https://www.readbyqxmd.com/read/29062536/involving-seldom-heard-groups-in-a-ppi-process-to-inform-the-design-of-a-proposed-trial-on-the-use-of-probiotics-to-prevent-preterm-birth-a-case-study
#15
Juliet Rayment, Rosemary Lanlehin, Christine McCourt, Shahid M Husain
PLAIN ENGLISH SUMMARY: When designing clinical trials it is important to involve members of the public, who can provide a view on what may encourage or prevent people participating and on what matters to them. This is known as Public and Patient Involvement (PPI). People from minority ethnic groups are often less likely to take part in clinical trials, but it is important to ensure they are able to participate fully so that health research and its findings are relevant to a wide population...
2017: Res Involv Engagem
https://www.readbyqxmd.com/read/29061630/biopsychosocial-intervention-for-stroke-carers-bisc-protocol-for-a-feasibility-randomised-controlled-trial-rct
#16
Marion F Walker, Shirley A Thomas, Phillip J Whitehead, Laura Condon, Rebecca J Fisher, Eirini Kontou, Penny Benford, Christine Cobley
INTRODUCTION: Reducing length of hospital stay for stroke survivors often creates a shift in the responsibility of care towards informal carers. Adjustment to the caregiving process is experienced by many carers as overwhelming, complex and demanding and can have a detrimental impact on mental and physical health and well-being. National policy guidelines recommend that carers' needs are considered and addressed; despite this, few interventions have been developed and empirically evaluated...
October 22, 2017: BMJ Open
https://www.readbyqxmd.com/read/29055852/skin-care-for-healthy-babies-at-term-a-systematic-review-of-the-evidence
#17
REVIEW
Alison Cooke, Carol Bedwell, Malcolm Campbell, Linda McGowan, Steven J Ersser, Tina Lavender
OBJECTIVES: to identify what skin practices are important for the protection of baby skin in healthy term babies (0-6 months) and generate evidence-based conclusions to inform health professionals and parents. DESIGN: eleven databases were searched for all empirical quantitative and qualitative research published between 2000-2015 which explored baby skin care for bathing and cleansing, nappy care, hair and scalp care, management of dry skin or baby massage, for healthy term babies up to 6 months old...
October 6, 2017: Midwifery
https://www.readbyqxmd.com/read/29054507/comparison-of-a-web-based-teaching-tool-and-traditional-didactic-learning-for-in-vitro-fertilization-patients-a-preliminary-randomized-controlled-trial
#18
Tannys Dawn Reiko Vause, David J Allison, Tricia Vause, Ayda Tekok-Kilic, David S Ditor, Jason K Min
OBJECTIVE: The objective of this prospective RCT was to compare the efficacy of a web-based teaching tool to traditional didactic teaching in IVF patients. METHODS: Forty women undergoing their first IVF cycle were randomly allocated to an interactive web-based teaching session or a nurse-led didactic teaching session. The primary outcome measure was participant knowledge regarding the IVF process, risks, and logistics assessed before and after the respective teaching session...
October 17, 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29051134/a-telerehabilitation-approach-to-enhance-quality-of-life-through-exercise-among-adults-with-paraplegia-study-protocol
#19
Shane Norman Sweet, Meredith Rocchi, Kelly Arbour-Nicitopoulos, Dahlia Kairy, Brigitte Fillion
BACKGROUND: Despite compelling evidence linking physical activity and quality of life among adults with spinal cord injury (SCI), exercise participation rates are extremely low in this population. Unfortunately, a lack of behavioral exercise interventions, in particular theory-based randomized controlled trials (RCT), exists within the SCI literature. A pilot RCT is needed to first examine the feasibility to conduct such interventions and determine the appropriate effect size to inform future full-scale interventions...
October 19, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/29046819/interpersonal-art-psychotherapy-for-the-treatment-of-aggression-in-people-with-learning-disabilities-in-secure-care-a-protocol-for-a-randomised-controlled-feasibility-study
#20
Simon S Hackett, John L Taylor, Mark Freeston, Andrew Jahoda, Elaine McColl, Lindsay Pennington, Eileen Kaner
BACKGROUND: Art psychotherapy has greater potential for use with adults with mild to moderate learning disabilities as it places less of a burden on verbal interaction to achieve positive therapeutic, psychological, and behavioural goals. The feasibility study objectives include testing procedures, outcomes, validated tools, recruitment and attrition rates, acceptability, and treatment fidelity for manualised interpersonal art psychotherapy. METHODS: Adult males and females with mild to moderate learning disabilities will be recruited from four NHS secure hospitals...
2017: Pilot and Feasibility Studies
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