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NCT ID: NCT04869579 Not yet recruiting - Covid19 Clinical Trials

Selenium as a Potential Treatment for Moderately-ill, Severely-ill, and Critically-ill COVID-19 Patients.

SeCOVID
Start date: August 15, 2021
Phase: Phase 2
Study type: Interventional

Given its anti-viral, anti-oxidative, immune-enhancing, cytokine-modulating, and anticoagulant properties, the investigators hypothesize that Selenium infusion at supranutritional doses for moderately-ill, severely-ill, and critically-ill COVID-19 patients will prevent further clinical deterioration thus decreasing overall mortality and improving survival. To test this hypothesis, a prospective, single-center, phase II trial is proposed to assess the efficacy of Selenium in hospitalized adult patients with moderate, severe, and critical COVID-19 infections.

NCT ID: NCT04928443 Not yet recruiting - Surgical Scar Clinical Trials

The Management of Surgical Scars Around Knee After Pediatric Orthopedic Surgery: an Observational, Case-control Study

Start date: August 15, 2021
Phase:
Study type: Observational

Scar is an unpleasant symptom that commonly appear after orthopedic surgery, especially the joint procedure. Due to the wide motion range, skin around joint has excessive tension that may increase risk for wide or conspicuous scar formation of surgical wound. Noticeable scar can negatively impact the quality of life and psychosocial development. However, scar management is overlooked in early recovery period easily. Patients commonly start to turn their attention to the surgical scar after the completion of rehabilitation or the resolution of disease or unbearable symptom. It is always beyond the best period of scar treatment, 3 to 6 months after wound healing. This study is aimed to observe and evaluate the scar formation with or without aggressive management in pediatric population within 6 months after wound healing.

NCT ID: NCT04984213 Not yet recruiting - Lumbar Disc Disease Clinical Trials

Study of the Long-Term Outcomes of Posterior Spinal Fixation With the Karma Device

Start date: August 15, 2021
Phase:
Study type: Observational

The primary objective of this clinical study is to measure fusion rate in patients at 12 months following lumbar fusion in combination with posterior fixation using the Karma® device.

NCT ID: NCT04996992 Not yet recruiting - Parkinson Disease Clinical Trials

MRgFUS Pallidothalamic Tractotomy for Therapy-Resistant Parkinson's Disease

Start date: August 15, 2021
Phase:
Study type: Observational

To investigate the neural mechanism of Magnetic resonance-guided focused ultrasound (MRgFUS) Pallidothalamic Tractotomy in Parkinson's disease through multi-model MRI, and identify imaging biomarkers for triaging candidates and predicting the clinical outcomes. Parkinson's disease (PD) is the second most progressive neurodegenerative disease with many motor and non-motor symptoms, which brings heavy burden to the family and the society. MRgFUS pallidothalamic tractotomy allows to address all symptoms of PD without skull opening and with very limited tissue ablation, but with varying effectiveness. The unknown pathogenesis of PD has greatly contributed to this variance. Therefore, in order to optimize the clinical application of MRgFUS pallidothalamic tractotomy, it is important to reveal the pathogenesis of Parkinson's disease by using multiple modality MRI methods, and identify imaging biomarkers to triage suitable candidates and predict clinical outcomes.

NCT ID: NCT05001672 Not yet recruiting - Clinical trials for Inflammatory Arthritis

The Efficacy of Prophylactic TAF for HBsAg-positive Patients Receiving bDMARDs

Start date: August 15, 2021
Phase: Phase 4
Study type: Interventional

Hepatitis B virus reactivation (HBVr) is an emerging issue and a potentially life-threatening complication to patients with history of Hepatitis B virus (HBV) infection whose immune system is deficient or suppressed. It is estimated that the risk of HBVr ranges 20%-50% in hepatitis B surface antigen (HBsAg)-positive patients undergoing chemotherapy or immunosuppressive therapy. Not only HBsAg-positive patients but also HBsAg-negative/antibody to hepatitis B core antigen (anti-HBc)-positive patients (resolved hepatitis B) have the risk of HBVr. Recent studies also reported that the risk of HBVr associated with TNF-α inhibitor treatment widely ranged from 12.3% to 62.5%. Antiviral prophylaxis by nucleos(t)ide analogues (NUCs) is recommended for patients with high risk of HBVr according to 2018 AASLD guidance. Phase 3 studies reported that tenofovir alafenamide (Vemlidy, TAF) can effectively suppress HBV in both HBeAg-positive and HBeAg-negative chronic hepatitis B patients, and TAF is superior to TDF in safety profiles and ALT normalization. However, the evidence of TAF in prevention HBV reactivation for patients with HBsAg-positive and imflammatory arthritis, who need bDMARDs are still missing.

NCT ID: NCT05002647 Not yet recruiting - Clinical trials for Electronic Medical Record

Relationship Between the Clinical Pharmacist & Antibiotic Use by Using the Electronic Program

Start date: August 15, 2021
Phase:
Study type: Observational

A retrospective cohort study to explore the association between clinical pharmacists' interventions and antibiotic consumption through the use of the medical electronic reports and to identify mortality and cost savings in hospital infectious disease.

NCT ID: NCT05009810 Not yet recruiting - Refractive Errors Clinical Trials

Efficacy and Safety of Astaxanthin in Volunteer With Refraction Errors

Start date: August 15, 2021
Phase: N/A
Study type: Interventional

This study will investigate efficacy and safety of astaxanthin in 180 volunteers with refraction errors. Visual test, skin test, liver function test, renal function test, and adverse event will be evaluated before and after taking astaxanthin for 1 and 2 months.

NCT ID: NCT05010447 Not yet recruiting - Mental Disorder Clinical Trials

Feasibility of an Avatar-Led and ACT-Based App for Adjunctive Psychotherapy in In- and Outpatients: Virtual Coach App

Start date: August 15, 2021
Phase: N/A
Study type: Interventional

The aim of this study is to test the feasibility of an application for smartphones based on Acceptance and Commitment Therapy (ACT) that was designed to increase treatment adaptation (i.e. learning therapy skills) and treatment utility (i.e. feedback for the patient). The use of this avatar- led application will be tested by patients with mental disorders adjunctive to their therapy. Patients will be given a smartphone for one week with the application developed specifically for this purpose. The study will be a single group design and patients will be assessed two times: before and after having tested the application. Measurements will include acceptability (adherence, utilization, utility, satisfaction) of the application, as well as patients characteristics, such as diagnostic interviews, questionnaires about symptomatology, well-being, social interactions, and an exit questionnaire when leaving the study to assess what was learned.

NCT ID: NCT04895969 Not yet recruiting - Partial-edentulism Clinical Trials

Prevalence of Partial Edentulism Among Patients of Faculty of Dentistry Cairo University

Start date: August 15, 2022
Phase:
Study type: Observational

The patterns of tooth loss are evaluated in many selected populations in numerous countries and so the frequency of partial edentulism seems to vary widely between different countries. The prevalence of various patterns of partially edentulous arches should be frequently revised and updated . This could help identify the changing treatment needs of the population and provide guidelines to prevent tooth loss emphasis should be placed on dental education, improve the quality of prosthodontic care being provided to patients oral and general health promotion which should highlight the control of common oral diseases such as caries at their various stages of progression and periodontal diseases. Additionally, regular dental check-ups should be made mandatory at schools, colleges and workplaces and community field trips should be conducted in order that increase in oral health awareness can also discourage patients attitude waiting until acute symptoms develop. According to our knowledge, no available studies investigated the prevalence of partial edentulism among patients in faculty of dentistry Cairo university. Therefore, this study wouldbe of valuable information to oral health planners for proposing strategies that will help dentalhealth care management in faculty of dentistry Cairo,

NCT ID: NCT04953364 Not yet recruiting - Amputation Clinical Trials

Self-Management for Amputee Rehabilitation Using Technology.

SMART
Start date: August 15, 2022
Phase: N/A
Study type: Interventional

Lower Limb Amputations (LLAs) are a substantial burden on the Canadian health services with nearly 50,000 cases reported between 2006 and 2011. To address the challenging nature of a LLA (e.g., decreased mobility, pain, depression), patients need to go through extensive rehabilitation programs. Effective self-management programs can help those with LLA to monitor their own condition and improve their quality of life. However, a lack of self-management programs, a limited healthcare budget, and a decrease in quality of services (e.g. shorter lengths of stay for inpatients and rapid movement to outpatient services) pose further challenges for patients with LLA. Self-management programs can be provided to clients through online mobile technologies (e.g., tablet) and offer accessible, low-cost, and potentially augmentative rehabilitation after discharge, in both urban and rural areas. To address these needs, an online educational and training platform for individuals with LLA called, Self-Management for Amputee Rehabilitation using Technology (SMART) was designed and developed. SMART focuses on LLA education, prosthetic limb management, and weekly support of peers. It is monitored by a trainer through a website. SMART will be evaluated in men and women with LLA aged 50 years and over, admitted to prosthetic rehabilitation throughout BC and ON. SMART has the potential to influence a client's post-LLA needs with direct (e.g., individual's health) and indirect (e.g., healthcare utilization) benefits. The purpose of this randomized controlled trial is to evaluate the effect of SMART in community dwelling older adults with unilateral, above or below, knee amputation.