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NCT ID: NCT03868410 Completed - Stroke Clinical Trials

A Novel Approach for Brain Stimulation in Severe Stroke

Start date: April 1, 2019
Phase: Early Phase 1
Study type: Interventional

The long-term goal of this project is to develop upper limb rehabilitation interventions that can be utilized for stroke survivors, specifically survivors with more severe limitations in use of their affected upper limb. This study will utilize a novel method of non-invasive brain stimulation in conjunction with upper limb training given for 12 visits over a period of 6 weeks. The study will include the following site visits: - Eligibility Screening and Informed Consent Visit - An MRI visit - Two testing visits in which motor function of the upper limb and neurophysiology will be measured - 12 intervention visits during which patients will receive upper limb training in conjunction with non-invasive brain stimulation - Repeat testing of motor function of the upper limb and neurophysiology - Repeat MRI testing - A follow-up visit completed 3 months after the completion of interventions

NCT ID: NCT03868761 Completed - Anxiety Clinical Trials

Feasibility and Efficacy of a Digital Mental Health Intervention for Teen Wildfire Survivors

Start date: April 1, 2019
Phase: N/A
Study type: Interventional

In October, 2017, Northern California experienced devastating and historic wildfires. Sonoma Rises is an app designed for anyone who was impacted by this event and is intended to help survivors of disaster find their new normal. This study will assess the feasibility and efficacy of a self-help post-disaster mental health intervention delivered via a mobile app with a sample of teens who are experiencing post-disaster mental health symptoms.

NCT ID: NCT03869307 Completed - Clinical trials for Shoulder Pain Chronic

Shoulder Exercises in Hypermobile Patients With Shoulder Symptoms

Start date: April 1, 2019
Phase: N/A
Study type: Interventional

Hypermobility Spectrum Disorder (HSD) is a recent diagnosis that covers generalised joint hypermobility with one or more secondary symptomatic musculoskeletal manifestations. Current clinical management of this population with shoulder symptoms is based on limited evidence and includes a combination of non-specific physiotherapy modalities and exercise prescription. There is some evidence suggesting that strength training may be valuable for treatment of this patient-group. Therefore, the aim of this study is to evaluate the effectiveness of a heavy shoulder strengthening exercise programme in patients with HSD and shoulder symptoms.

NCT ID: NCT03869606 Completed - Pediatric Clinical Trials

Non-Invasive Cardiac Output Monitor in Children

NICOM2
Start date: April 1, 2019
Phase:
Study type: Observational

This study will be the first of several studies that establish the value of measuring fluid responsiveness in children undergoing general anesthesia. The first study in this series will determine whether fluid responsiveness, as measured with the NICOM cardiac output monitor in normal children before and after passive leg raising, predicts changes in stroke volume, cardiac output, and blood pressure during the early stages of anesthesia. A second study will determine if early treatment of the fluid responsiveness will prevent the decline in blood pressure that accompanies general anesthesia. If the NICOM monitor permits accurate prediction in normal patients, future studies of pediatric patients undergoing major surgery would be indicated. The investigators would like to add 25 additional patients who will have the NICOM assessments performed in the pre operative area - Pre anesthesia. General anesthesia may alter the results of the NICOM assessments. The investigators will use these 25 subjects to serve as a comparison/control group.

NCT ID: NCT03870256 Completed - Clinical trials for Post Partum Hemorrhage

Oral Tranexamic Acid Plus Sublingual Misoprostol in Atonic Postpartum Hemorrhage

Start date: April 1, 2019
Phase: N/A
Study type: Interventional

The aim of the study is to evaluate the effect of oral tranexamic acid plus, sublingual misoprostol in the management of atonic postpartum hemorrhage (PPH) after vaginal delivery

NCT ID: NCT03870321 Completed - Clinical trials for Proprioceptive Disorders

Core Training to Improve Abdominal Strength Strength and Ankle Proprioception in Basketball Players

Start date: April 1, 2019
Phase: N/A
Study type: Interventional

Introduction. The prevalence of ankle injuries in basketball are high. The lack of balance in the ankle is one of the main causes that produces these injuries. The goal of core training is to increase the physical capacities of resistance strength in the abdomen and analyze if it produces improvement in proprioception in the ankle joint in basketball players. Objective. To evaluate the effectiveness of Core training to improve the strength of the abdomen and analyze if it produces improvement in proprioception in ankle of basketball players. Study design. Randomized, multicentric, single-blind clinical study with a follow-up period. Methods. The 30 participants recruited will be randomly assigned to the two study groups: experimental (Core training for strength in the abdomen) and control (without intervention). The treatment will last 4 weeks, with 3 weekly sessions, approximately 20 minutes each. There will be three evaluations (pre-intervention, post-intervention and follow-up). On the dependent variables: strength core resistance (evaluated with Trunk Flexor Test, Trunk Extender Test, and Side Bridge Test) and proprioception (measured with the Star Excursion Balance tests and Romberg test) With the Kolmogorov Smirnov statistical test we will calculate the normality and with the t-student test of paired data and an ANOVA of repeated measures, we will obtain the difference between the three evaluations and the intra and intersubject effect, respectively. Expected results. To observe improvement in strength in the abdomen and analyze if it produces improvement in proprioception in the ankle of basketball players.

NCT ID: NCT03870503 Completed - Clinical trials for Postpartum Hemorrhage

Carbetocin Versus Oxytocin Plus Sublingual Misoprostol in the Management of Atonic Postpartum Hemorrhage

Start date: April 1, 2019
Phase: N/A
Study type: Interventional

The objective of this study is to compare the effectiveness and safety of carbetocin vs. oxytocin plus sublingual misoprostol in the management of atonic postpartum hemorrhage (PPH)after vaginal delivery.

NCT ID: NCT03870659 Completed - Clinical trials for Breast Cancer Female

Abbreviated Breast MRI in Cancer Detection

Start date: April 1, 2019
Phase:
Study type: Observational

Breast cancer is one of the leading causes of death among women, with early detection being the key to improve prognosis and survival. Randomized controlled trials have found that screening mammography has decreased the mortality of breast cancer by 30%. However, with a sensitivity of 70%, mammography has its limitations particularly in women with dense breasts. The use of breast MRI for screening has increased over the past decade. Most experiences exist in women at elevated familial risk of breast cancer. In these women, MRI screening shifts the stage distribution of breast cancers toward lower stages and reduces the fraction of interval cancers. Kuhl et al in 2014 were the first to report on the feasibility of an abbreviated breast MRI protocol for breast cancer screening. Their protocol consisting of an unenhanced T1-weighted and first contrast-enhanced T1-weighted sequence, subtraction imaging, and a single MIP image. This groundbreaking study found that image acquisition and interpretation time could be reduced without having a negative impact on diagnostic accuracy.

NCT ID: NCT03871361 Completed - Uveitis Clinical Trials

Abatacept in Patients With Birdshot HLA A29 Uveitis

HLA-A29
Start date: April 1, 2019
Phase: Phase 2
Study type: Interventional

To assess the efficacy and safety of Abatacept as an immunosuppressive treatment in Birdshot uveitis. The primary objective is to test the efficacy to suppress inflammation in active Birdshot uveitis patients, using quantitative and qualitative measurements of visual function.

NCT ID: NCT03871413 Completed - BPPV Clinical Trials

TRV-chair vs Manual Repositioning Maneuver in Treatment of Benign Paroxysmal Positional Vertigo

Start date: April 1, 2019
Phase: N/A
Study type: Interventional

Comparison of treatment efficacy of a mechanical rotational chair (TRV-chair) vs. manual repositioning maneuvers in BPPV