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NCT ID: NCT04413695 Recruiting - Clinical trials for Liver Transplant; Complications

Lung Ultrasound as a Point of Care Test for Living Donor Liver Transplant Recipients.

Start date: November 11, 2019
Phase:
Study type: Observational

Liver transplant is now a standard treatment for end-stage liver disease patients. Pulmonary complications are common in the perioperative period and are associated with adverse outcomes. This includes atelectasis, pneumothorax, pleural effusion, pulmonary edema, and collapse. Risk factors for the same are extensive surgery, transfusion of blood products, fluid overload, hemodynamic instability, coagulation abnormalities, renal dysfunction, and reperfusion syndrome. CXR with clinical judgment plays a key role in diagnosing pulmonary complications. However diagnostic ability of CXR is limited and moreover it is associated with unnecessary radiation exposure. Recently, lung USG has come up as an easily available tool to detect peri-op pulmonary complications. The technique is very easy to perform, less time-consuming, and totally cost-effective. Moreover, it can be easily learned by clinicians with a standard level of ability to handle an ultrasound probe for abdominal scans. In the setting of geriatric and ICU patients, fragility and immobility have a strong impact on the quality of a chest radiograph. So, the routine application of lung USG in this setting may significantly improve the outcome. Multiple studies have suggested that Lung USG is superior to CXR in diagnosing these lung conditions. Hence, this study aims to compare the lung ultrasound with CXR in detecting perioperative pulmonary complications in patients undergoing live donor liver transplantation.

NCT ID: NCT04406844 Recruiting - Oncology Patients Clinical Trials

Issues and Challenges in Cancer Patients on Active Treatment During the COVID-19 Pandemic

Start date: May 9, 2020
Phase:
Study type: Observational

In view of increasing cases of SARS-CoV-2 leading to the COVID-19 Pandemic in India,there has been unprecedented restrictions on travel, work and other aspects of daily life. Our study has been designed to collect data of cancer patients to analyze their issues and challenges during Covid-19 Pandemic.

NCT ID: NCT04406298 Recruiting - Liver Cirrhosis Clinical Trials

Safety and Efficacy of Small Frequent Paracentesis Using an Indwelling CAtheter Compared With Repeated Large Volume Paracentesis in Cirrhotic Patients With REfractory Ascites

Start date: July 4, 2020
Phase: N/A
Study type: Interventional

The aim of the study is to assess the efficacy of intermittent small quantity (upto 3L per day) paracentesis through an indwelling catheter for up to 5 days in comparison with large volume paracentesis on decreasing the need for repeated paracentesis by 50 % over next 3 months. The project will be conducted at ILBS between April 2020 and March 2021. The concept of the study is to evaluate the efficacy of indwelling catheter in reducing the refilling rates of ascites by 50 % over 3 months in comparison to LVPs and also in reducing the incidence and risk of PPCD. All refractory ascites patients will be included as per inclusion and exclusion criteria, after taking informed consent from the patient or their relatives. The expected outcomes are Primary outcome: Proportion of cirrhotic patients with refractory ascites achieving at least 50 % reduction on need for large volume paracentesis after a short duration (5day) intermittent small quantity (up to 3L/ day) paracentesis through an indwelling catheter in comparison to a single large volume paracentesis in the next 3 months. Secondary outcome: 1. Proportion of cirrhotic patients with refractory ascites developing P 2 . During a 30 D, 60 D and 90 D follow up, to assess between the groups - Need for repeated paracentesis : Number assessed - AKI : Improvement or worsening of renal functions - Hepatic encephalopathy: Grading as per West Haven Classification - Hyponatremia - Diuretic tolerability : Dose and duration tolerated - Bacterial peritonitis : Ascitic fluid neutrophil count > 250 cells/cumm - Transplant free survival - Risk of procedure related complications - Changes in MELD or CTP between the groups ( Improvement vs worsening ) - Need for hospitalization between the groups

NCT ID: NCT04399512 Recruiting - Liver Cirrhosis Clinical Trials

Oral Health Status in Patients With Cirrhosis and Effect of Dental Treatment on MELD Score of Cirrhosis Patients

Start date: January 1, 2020
Phase: N/A
Study type: Interventional

It has been found that there is an association between prevalence of odontogenic infection and systemic diseases.Cirrhosis has also been associated with poor oral health status.Treating those patients accordingly can help in reducing the source of infection to some extent and may be associated with reduction in mortality.

NCT ID: NCT04396743 Recruiting - Clinical trials for Apico Marginal Defects

Comparative Evaluation of Two PRF Formulations on Quality of Life and Healing of Apicomarginal Defects

Start date: December 11, 2019
Phase: N/A
Study type: Interventional

Healing of apicomarginal defects using 2 different formulations of PRF i.e PRF -high and PRF-medium will be assessed and compared using 2D and 3D criteria. Also, in vitro evaluation of the PRF formulations and quality of life will be compared between the two groups.

NCT ID: NCT04396574 Recruiting - Migraine Clinical Trials

A 12-Month Study of Lasmiditan (LY573144) Treatment in Children Aged 6 to 17 With Migraine

PIONEER-PEDS2
Start date: June 30, 2020
Phase: Phase 3
Study type: Interventional

The reason for this 12-month, open-label study is to see if the study drug lasmiditan is safe and effective for the intermittent acute treatment of migraine in children aged 6 to 17. The study will last about 12 months and may include up to 7 visits.

NCT ID: NCT04396236 Recruiting - Migraine Clinical Trials

A Study of Lasmiditan (LY573144) Treatment in Children Aged 6 to 17 With Migraine

PIONEER-PEDS1
Start date: June 15, 2020
Phase: Phase 3
Study type: Interventional

The reason for this study is to see if lasmiditan is safe and effective in children aged 6 to 17 with migraine. The study will last up to 20 weeks and may include up to 4 visits.

NCT ID: NCT04391725 Recruiting - Periapical Lesion Clinical Trials

Guided Tissue Regeneration in Healing of Through and Through Periapical Lesion

Start date: December 11, 2019
Phase: N/A
Study type: Interventional

Aim of this study is to evaluate the effect of i-PRF in the healing of through and through periapical lesion after periradicular surgery

NCT ID: NCT04390789 Recruiting - Clinical trials for Apical Periodontitis

Single And Multiple-visit Endodontic Retreatment Outcome.

Start date: December 15, 2019
Phase: N/A
Study type: Interventional

This study will compare the outcome of single visit retreatment and multi-visit retreatment in cases of failed root canal treated teeth.

NCT ID: NCT04389346 Recruiting - Clinical trials for Chronic Apical Periodontitis

A Cone Beam Computed Tomographic Evaluation of Healing of Apicomarginal Defects Using Autologous Platelet Aggregates

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

This study will evaluate the effect of PRF (platelet rich fibrin) on the healing of apicomarginal defects. Healing of the defects will be assessed 2 dimensionaly by periapical radiograph and 3 dimensionaly using CBCT.