Annals of internal medicine
-
Randomized Controlled Trial Multicenter Study Clinical Trial
Acupuncture versus placebo for the treatment of chronic mechanical neck pain: a randomized, controlled trial.
Despite substantial increases in its popularity and use, the efficacy of acupuncture for chronic mechanical neck pain remains unproved. ⋯ Acupuncture reduced neck pain and produced a statistically, but not clinically, significant effect compared with placebo. The beneficial effects of acupuncture for pain may be due to both nonspecific and specific effects.
-
Randomized Controlled Trial Multicenter Study Clinical Trial
Effectiveness of acupuncture as adjunctive therapy in osteoarthritis of the knee: a randomized, controlled trial.
Evidence on the efficacy of acupuncture for reducing the pain and dysfunction of osteoarthritis is equivocal. ⋯ Acupuncture seems to provide improvement in function and pain relief as an adjunctive therapy for osteoarthritis of the knee when compared with credible sham acupuncture and education control groups.
-
Randomized Controlled Trial Multicenter Study Clinical Trial
Effectiveness of primary care-based vestibular rehabilitation for chronic dizziness.
Dizziness is a very common symptom and is usually managed in primary care. Vestibular rehabilitation for dizziness is a simple treatment that may be suitable for primary care delivery, but its effectiveness has not yet been determined. ⋯ Vestibular rehabilitation delivered by nurses in general practice improves symptoms, postural stability, and dizziness-related handicap in patients with chronic dizziness.
-
Multicenter Study
Breast cancer after childhood cancer: a report from the Childhood Cancer Survivor Study.
Survivors of childhood cancer are at risk for secondary breast cancer. Other than previous chest radiation therapy, risk factors for secondary breast cancer have not been established. ⋯ Survivors of childhood sarcomas and those who received chest radiation therapy are at risk for secondary breast cancer. When assessing a survivor's risk, clinicians should consider primary diagnosis, previous radiation therapy, family cancer history, and history of thyroid disease.
-
Randomized Controlled Trial Multicenter Study Clinical Trial
Mupirocin prophylaxis against nosocomial Staphylococcus aureus infections in nonsurgical patients: a randomized study.
Staphylococcus aureus nasal carriage is a major risk factor for nosocomial S. aureus infection. Studies show that intranasal mupirocin can prevent nosocomial surgical site infections. No data are available on the efficacy of mupirocin in nonsurgical patients. ⋯ Routine culture for S. aureus nasal carriage at admission and subsequent mupirocin application does not provide effective prophylaxis against nosocomial S. aureus infections in nonsurgical patients.