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Legality Pragmatic Play is known for its top-quality games and for providing a superior user experience. Its software is designed to work with mobile devices and supports various languages. It has earned itself the status of one of the most popular casino gaming platforms despite its relative youth. The most recent releases include Wolves, a 5-reel video slot that has a healthy RTP and impressive graphics. Other notable games include Wolf Gold and Chilli Heat. Pragmatic trials seek to replicate real-life settings and achieve maximum external validity. Usually, they are requested by practitioners and policymakers to help inform their decisions. They can also be used to determine the causal relationship between an intervention and its results. However, they should not be used to replace the need for explanation studies. The concept of pragmatism is controversial and there are doubts regarding whether pragmatic trials could replace explanatory tests or if they should be an addition to them. Schwartz and Lellouch1 proposed the distinction between explanation studies, which confirm the physiological hypothesis or clinical hypothesis, and pragmatic trials, which inform the practice and policy decision-making. They also suggested the framework for pragmatic trials, called PRECIS.2 This tool sought to define the features of a pragmatic trial that include the recruitment process, the design and delivery of the intervention, and the follow-up. The number of pragmatic trials is increasing. A recent Medline search using the keywords naturalistic and pragmatic, which was limited to controlled trials that are randomized (RCTs) produced 34 articles, as shown in red in Figure 2. This indicates that the health sciences community is becoming more aware of the importance of pragmatism. However, it is important to remember that the majority of these trials were conducted in primary care settings.
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