BMJ : British medical journal
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Randomized Controlled Trial Multicenter Study
Facilitated physical activity as a treatment for depressed adults: randomised controlled trial.
To investigate the effectiveness of facilitated physical activity as an adjunctive treatment for adults with depression presenting in primary care. ⋯ The addition of a facilitated physical activity intervention to usual care did not improve depression outcome or reduce use of antidepressants compared with usual care alone.
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Multicenter Study
Lung protective mechanical ventilation and two year survival in patients with acute lung injury: prospective cohort study.
To evaluate the association of volume limited and pressure limited (lung protective) mechanical ventilation with two year survival in patients with acute lung injury. ⋯ Lung protective mechanical ventilation was associated with a substantial long term survival benefit for patients with acute lung injury. Greater use of lung protective ventilation in routine clinical practice could reduce long term mortality in patients with acute lung injury.
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Venous thromboembolism (VTE) is a common cause of potentially preventable mortality, morbidity, and increased medical costs. Risk-appropriate prophylaxis can prevent most VTE events, but only a small fraction of patients at risk receive this treatment. ⋯ A computerised clinical decision support tool can increase VTE risk stratification and risk-appropriate VTE prophylaxis among hospitalised adult patients admitted to a large urban academic medical centre. It is important to ensure the tool is part of the clinician's normal workflow, is mandatory (computerised forcing function), and offers the requisite modules needed for every clinical specialty.