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NCT ID: NCT05980338 Recruiting - Knee Osteoarthritis Clinical Trials

Knee Genicular Nerve Ablation by Thermal Radiofrequency vs Thermal Radiofrequency Plus Alcohol Neurolysis

Start date: June 17, 2023
Phase: N/A
Study type: Interventional

the aim of our study is to compare effectiveness (satisfaction) and duration of pain relief between patients receiving the conventional thermal radiofrequency on the genicular nerves alone vs patients who will receive the conventional method plus alcohol neurolysis of the targeted nerves.

NCT ID: NCT05979662 Recruiting - Clinical trials for Chronic Rhinosinusitis With Nasal Polyps

Endoscopic Frontal Sinus Surgery Draf III in Moderate to Severe Eosinophilic Chronic Rhinosinusitis With Polyps

Start date: January 1, 2021
Phase: N/A
Study type: Interventional

The aim of this study is to evaluate the effect of the primary endoscopic frontal sinus surgery on the clinical outcome in patients having moderate to severe eosinophilic chronic rhinosinusitis with polyps with primary outcome measures in form of recurrence of polyp using endoscopic polyp score and Secondary outcome measures include Lund MacKay score, SNOT-22 and need for corticosteroid to control polyp postoperatively.

NCT ID: NCT05979454 Recruiting - Clinical trials for Rheumatoid Arthritis-Associated Interstitial Lung Disease

Value of KL-6 in Rheumatoid Arthritis-Associated ILD

Start date: January 1, 2023
Phase:
Study type: Observational

Evaluation of serum KL6 level in rheumatoid arthritis-associated interstitial lung disease (RA-ILD).

NCT ID: NCT05979233 Recruiting - Clinical trials for Gall Bladder Disease

One Session Vs Staged Management of Calcular Obstructive Jaundice

Start date: August 5, 2023
Phase: N/A
Study type: Interventional

to compare the outcomes between doing ERCP and laparoscopic cholecystectomy in one session Vs staged management

NCT ID: NCT05979129 Recruiting - Obese Clinical Trials

Gastric Insufflation During Facemask Ventilation at Different Levels of End-expiratory Pressure in Obese Patients

Start date: August 6, 2023
Phase: N/A
Study type: Interventional

Gastric insufflation occurs when the inspiratory pressure exceeds the lower esophageal sphincter pressure. Thus, it is desirable to avoid excessive positive pressure during mask ventilation after induction of anesthesia and keeping the inspiratory pressure <15-20 cmH2O.In patients with obesity the lower compliance of the respiratory system usually requires higher inspiratory pressures to maintain adequate ventilation making these patients more prone to gastric insufflation. This high risk of gastric insufflation can be aggravated by the use of positive end-expiratory pressure (PEEP) which is recommended to avoid lung atelectasis. The application of PEEP during mask ventilation increases the risk of gastric insufflation as it reduces the pressure threshold at which gastric insufflation occur The optimum ventilatory strategy during mask ventilation should achieve the balance between adequate lung ventilation and avoiding gastric insufflation. In obese patients, it is not clear whether the use of PEEP during mask ventilation would increase the risk of gastric insufflation or not. We hypothesize that using zero end-expiratory pressure (ZEEP) or low PEEP during mask ventilation would reduce the risk of gastric insufflation in comparison to high PEEP.

NCT ID: NCT05979038 Recruiting - Sepsis Clinical Trials

Clinical Evaluation of the Effect of Metformin in Sepsis

Start date: September 10, 2023
Phase: Phase 3
Study type: Interventional

Sepsis is defined as life-threatening organ dysfunction caused by a dysregulated host response to infection. It is considered a condition that arises when the body's response to an infection injures its own tissues and organs. The pathogenesis of sepsis is very complicated as it involves imbalance in inflammatory response, immune dysfunction, mitochondrial damage, coagulopathy, neuroendocrine immune network abnormalities, endoplasmic reticulum stress, autophagy, and other pathophysiological processes, and leads to organ dysfunction. Inflammatory Imbalance represents the most critical basis of sepsis pathogenesis. Sepsis is associated with many biochemical abnormalities that is correlated with patients' prognosis and risk of mortality including increased levels of lactate, procalcitonin and inflammatory cytokines as TNF alpha. Metformin is an oral anti-diabetic drug from the class of biguanides. It is the first line treatment of diabetes type 2. It is widely used as it has good safety profile, low side effect and cheap cost. Metformin has been reported to have an anti-inflammatory and anti-microbial effect. Some studies have shown that metformin has a beneficial effect in sepsis patients. Our study will be the first prospective controlled randomized trial to assess the clinical outcome of metformin in patients with sepsis.

NCT ID: NCT05978856 Recruiting - Dental Malocclusion Clinical Trials

The Accuracy of Computer Software Prediction of Soft Tissue Profile for Patients Undergoing Fixed Orthodontic Treatment

Start date: August 1, 2023
Phase:
Study type: Observational

A clinical study to evaluate the accuracy of computer software in predicting soft tissue profile changes in patients undergoing fixed orthodontic treatment

NCT ID: NCT05978427 Recruiting - Clinical trials for Superior Trunk Block Versus Interscalene Block for Post-operative Analgesia in Shoulder Surgeries

Efficacy and Safety of Superior Trunk Block Versus Interscalene Block for Post-operative Analgesia in Shoulder Surgeries

Start date: May 1, 2023
Phase: N/A
Study type: Interventional

Efficacy and safety of superior trunk block versus interscalene block for post-operative analgesia in shoulder surgeries

NCT ID: NCT05973929 Recruiting - Multiple Sclerosis Clinical Trials

Movement Disorders in Multiple Sclerosis Patients

Start date: September 22, 2022
Phase:
Study type: Observational

The aim of this study is to determine the prevalence of movement disorders in MS patients. Also,To know the clinical type of movement disorders occurring with multiple sclerosis patients and the MRI finding of those patients. Moreover, to find the correlation between the movement disorder and the different types of MS.

NCT ID: NCT05972902 Recruiting - IVF Clinical Trials

Dydrogesterone, Cetrorelix Acetate and Triptorelin in Intra Cytoplasmic Sperm Injection Outcomes

Start date: July 15, 2023
Phase: Phase 3
Study type: Interventional

To compare the effects of Duphaston compared to GnRH agonist and antagonist on the prevention of premature LH surge and quality of retrieved oocytes and embryos in women undergoing intra-cytoplasmic sperm injection.