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NCT ID: NCT04013958 Not yet recruiting - Acute Pain Clinical Trials

Comparison of Treatment by IM Ketamine to IV Ketamine in Patients With Renal Colic

Start date: August 1, 2019
Phase: Phase 3
Study type: Interventional

Patients who present to the emergency department (ED), with acute pain due to renal colic, are often treated with opioids. Treatment with opioids has many disadvantages - cardio-respiratory depression, nausea, vomiting and long term dependence. For these reasons, there is a constant search for a way to reduce the use of opioids. ketamine has been proven to augmented the analgesic effect of opioids, and thus reduce the use and adverse effects of opioids. Different studies about the use of Ketamine as a sedition agent have shown that Ketamine given IM versus IV has longer duration of effect with less adverse effects. The study we are conducting is designed to test and analyze the safety and efficacy of IV Ketamine with IV Morphine compared to IV Ketamine and morphine with IM placebo in a setting of acute pain due to, or suspected renal colic in the ED. When both ways of administration are given by the protocol as is customary for treatment of pain in the Emergency Medicine department, and will be a prospective, randomized, double blind, controlled study.

NCT ID: NCT04017858 Not yet recruiting - Knee Osteoarthritis Clinical Trials

PARQVE Prior to Total Knee Replacement

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

Introduction: Elderly patients, the majority of the population submitted to total knee arthroplasty (TKA), have a lower capacity for adaptation to hospitalization and surgical stress. Exercise before cardiac and abdominal elective surgery was shown to reduce the number of complications. Studies have shown that preoperative exercise improves functional performance, strength and may decrease hospital stay after an ATJ. Objective: To evaluate if the program exercises before TKA improves quality of life, function, pain and body composition, time of hospitalization and number of complications of patients submitted to TKA. Methods: 44 patients awaiting TKA in IOT-HC-FMUSP will be divided into two groups. Half of the patients will undergo a multiprofessional and physical activity educational program for 20 weeks while the other half will wait for the TCA in the outpatient clinic. Patients will be evaluated through functional tests (sit-up and 30-second tests and time up and go), standardized questionnaires (WOMAC and Lequesne), quality of life scales (Euroqol-EQ-5D-5L), pain (through VAS), body composition and bone density (through densitometry), time of hospitalization and complications resulting from TKA. All of the above parameters will be assessed at baseline and 1 and 6 months after TKA. All project costs will be reported and a cost-effectiveness and cost-utility analysis will be performed.

NCT ID: NCT04018144 Not yet recruiting - Periodontitis Clinical Trials

Running Title: PPAR-γ, RXR-α, and VDR Expressions in Periodontitis

Start date: August 1, 2019
Phase:
Study type: Observational [Patient Registry]

Objective: The present study aimed to determine the expressions of nuclear receptors PPAR (Peroxisome proliferative activator receptor)-γ, RXR (Retinoid X receptor)-α, and vitamin D receptor (VDR) in healthy volunteers and periodontitis patients with different grade involvement. Methods: Group-1; healthy individuals, Group-2; periodontitis patients-stage 3 grade B, (H-GradeB), Group-3; periodontitis patients-stage 3 grade C, (D-GradeC). Clinical parameters as plaque index (PI), gingival index (GI) and clinical attachment levels (CAL) were measured. Fibroblast and inflammatory cells, PPAR-γ, RXR-α, and VDR levels were determined in histological slides.

NCT ID: NCT04021979 Not yet recruiting - Bowel Preparation Clinical Trials

Effectiveness of Enteral Nutrition for Dose Reduction of Low Dose PEG

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

This clinical trial is being conducted to assess whether dietary restriction with enteral nutrition prescribed could prevent nonadherence to dietary restrictions, enable additional reduction of the required volume of PEG-ELS.

NCT ID: NCT04022148 Not yet recruiting - Cancer of Cervix Clinical Trials

The Prospective Cohort Study to Evaluate the Preventive Efficacy of HPV Vaccine in Japanese Women Aged 27-45 Years

Start date: August 1, 2019
Phase:
Study type: Observational [Patient Registry]

A nonrandomized, non-double blinded prospective cohort study to evaluate the preventive efficacy of quadrivalent HPV6/11/16/18 vaccine for the persistent infection of HPV16 genotype or HPV18 genotype in Japanese women aged 27-45 years.

NCT ID: NCT04022759 Not yet recruiting - Depression Clinical Trials

Priming Attachment Security Within an IAPT Setting

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

There is growing evidence that priming attachment security is associated with improved attitudes towards therapy, increased engagement and decreased levels of depression and anxiety. Within the Improving Access to Psychological Therapies (IAPT) programme a consistent problem has been identified of high dropout rates at step 2 services (i.e. where mild to moderate anxious and depressed patients receive guided self-help interventions). The current study incorporates a feasibility and pilot design. The feasibility element will explore issues related to study design to determine suitability for conducting a future randomised control trial (RCT). The pilot study will look at the processes outlined in the protocol to determine whether the study components all work together. Moreover, it will preliminarily aim to explore the effectiveness of the attachment security priming intervention on symptoms of depression and anxiety, as well as impaired functioning. Both elements of the study will determine whether any changes are needed to the study design or protocol, and whether a future RCT is suitable and necessary.

NCT ID: NCT04027062 Not yet recruiting - Diabete Mellitus Clinical Trials

Impact of Diabetes Continuing Education on Primary Health Care Physicians' Knowledge, Attitudes and Practice

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

The main objective is to evaluate the effectiveness of a continuing education program on the Knowledge, Attitudes and Practices of primary health care physicians towards a high quality of diabetes care in Aseer region, Saudi Arabia.

NCT ID: NCT04028024 Not yet recruiting - Cardiac Surgery Clinical Trials

Protective Effect in Cardiac Surgery Patients

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

The purpose of the study was to verify the protective effect of inhibiting systemic inflammatory response in patients undergoing cardiac surgery.

NCT ID: NCT04028661 Not yet recruiting - Clinical trials for Class II Malocclusion, Division 1

Evaluation of 3D Printed Modified Twin Block for Correction of Skeletal Class II Malocclusion in Growing Females

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

The study is to evaluate the effect of 3D printed modified Twin Block Appliance on skeletal Class II profile correction. The null hypothesis of this research is that use of 3D Printed Twin Block is not able to induce skeletal rather than dental effects for correction of the skeletal Class II malocclusion in comparison with untreated growing Class II control subjects.

NCT ID: NCT04033393 Not yet recruiting - Clinical trials for Early Stage Parkinson Disease

Dual-task Performance in Young-onset PD

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

This study aimed to investigate the effects of Game based dual-task training with treadmill on executive function and dual-task performance in individuals with early-onset PD and discuss the correlation between the change values of executive function and dual-task performance after training. Besides, investigate cortical activation after training.