BMJ : British medical journal
-
Randomized Controlled Trial Clinical Trial
Perineal massage in labour and prevention of perineal trauma: randomised controlled trial.
To determine the effects of perineal massage in the second stage of labour on perineal outcomes. ⋯ The practice of perineal massage in labour does not increase the likelihood of an intact perineum or reduce the risk of pain, dyspareunia, or urinary and faecal problems.
-
To develop a predictive model to triage patients for discharge from intensive care units to reduce mortality after discharge. ⋯ The discharge mortality of at risk patients may be reduced by 39% if they remain in intensive care units for another 48 hours. The discharge triage model to identify patients at risk from too early and inappropriate discharge from intensive care may help doctors to make the difficult clinical decision of whom to discharge to make room for a patient requiring urgent admission to the unit. If confirmed, this study has implications on the provision of resources.
-
To evaluate the effects on suicidal behaviour of legislation limiting the size of packs of paracetamol and salicylates sold over the counter. ⋯ Legislation restricting pack sizes of paracetamol and salicylates in the United Kingdom has had substantial beneficial effects on mortality and morbidity associated with self poisoning using these drugs.