BMJ : British medical journal
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Randomized Controlled Trial Multicenter Study
Effectiveness of enhanced communication therapy in the first four months after stroke for aphasia and dysarthria: a randomised controlled trial.
To assess the effectiveness of enhanced communication therapy in the first four months after stroke compared with an attention control (unstructured social contact). ⋯ Communication therapy had no added benefit beyond that from everyday communication in the first four months after stroke. Future research should evaluate reorganised services that support functional communication practice early in the stroke pathway. This project was funded by the NIHR Health Technology Assessment programme (project No 02/11/04) and is published in full in Health Technology Assessment 2012;16(26):1-160.
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Randomized Controlled Trial
Low glycaemic index diet in pregnancy to prevent macrosomia (ROLO study): randomised control trial.
To determine if a low glycaemic index diet in pregnancy could reduce the incidence of macrosomia in an at risk group. ⋯ A low glycaemic index diet in pregnancy did not reduce the incidence of large for gestational age infants in a group at risk of fetal macrosomia. It did, however, have a significant positive effect on gestational weight gain and maternal glucose intolerance.
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Meta Analysis
Effects of interventions in pregnancy on maternal weight and obstetric outcomes: meta-analysis of randomised evidence.
To evaluate the effects of dietary and lifestyle interventions in pregnancy on maternal and fetal weight and to quantify the effects of these interventions on obstetric outcomes. ⋯ Dietary and lifestyle interventions in pregnancy can reduce maternal gestational weight gain and improve outcomes for both mother and baby. Among the interventions, those based on diet are the most effective and are associated with reductions in maternal gestational weight gain and improved obstetric outcomes.
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Randomized Controlled Trial Multicenter Study
Effectiveness of dementia follow-up care by memory clinics or general practitioners: randomised controlled trial.
To examine the effectiveness of post-diagnosis dementia treatment and coordination of care by memory clinics compared with general practitioners. ⋯ No evidence was found that memory clinics were more effective than general practitioners with regard to post-diagnosis treatment and coordination care for patients with dementia. Without further evidence on the effectiveness of these modalities, other arguments, such as cost minimisation, patients' preferences, or regional health service planning, can determine which type of dementia care is offered.