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. 2010 Jan 20;2010(1):CD003974. doi: 10.1002/14651858.CD003974.pub3

Tyler 1946.

Methods Design: three group parallel trial 
 Purpose: examine the prophylactic effect of placebo and various drugs on seasickness
Participants Patients: soldiers undergoing amphibious training 
 Baseline comparability: NS
Interventions Placebo: lactose capsules 
 Untreated: no capsules 
 Experimental: various belladonna alkaloid and barbiturate preparations 
 (Co‐intervention: NS)
Outcomes Number of patients with seasickness
Notes The randomisation procedure was in principle open to selection bias, however, the allocation took place openly under full military discipline so we do not think selection bias was likely.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk 'cards from deck so stacked as to ensure a random distribution'
Allocation concealment? Unclear risk See notes
Blinding? 
 Outcome assessor Unclear risk Not relevant as patient reported outcome
Incomplete outcome data addressed? 
 All outcomes High risk  
Free of selective reporting? Unclear risk No protocol available
Free of other bias? Low risk  
No signs of variance inequality or skewness? Unclear risk Not relevant (binary outcome)
Trial size > 49? Low risk N = 563
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk