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NCT ID: NCT04159298 Not yet recruiting - Concussion, Mild Clinical Trials

Cervicogenic Concussion Rehabilitation With TopSpin360

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

Concussions occur most frequently in adolescents and often result in significant disruption to daily living for prolonged periods of time. Concussions are an epidemic, with the incidence rates for sports related concussions (SRC) in adolescents up to 0.47 per 1000 athlete exposures. Research would suggest that multi-planar neck strength is a protective factor of SRC risk in adolescents as greater neck strength is associated with a lower SRC risk.(Collins et al) Neck pain is a common symptom associated with SRC that is also associated with prolonged recovery from SRC. (King et al, Van der Naalt et al) Neck pain is also associated with decreased neck muscle strength (DeKoning et al). Our study will address a critical gap in concussion management - multi-planar cervical spine strengthening to specifically rehabilitate the cervicogenic component of prolonged post-concussion symptoms with a cervicogenic component and determine if this approach restores normal neck strength, decreases neck pain and headaches, improves daily global function and allow patients to return to sport and school. work more quickly than those without specific multi-planar neck strengthening.

NCT ID: NCT04207632 Not yet recruiting - Clinical trials for Acquired Brain Injury

Quantifying Muscle Tone in Patients With Brain Injury - a Feasibility Study

Start date: April 1, 2020
Phase:
Study type: Observational

This project will determine the feasibility and validity of measuring elbow muscle flexor stiffness in a population of patients with sub-acute severe acquired brain injury using two measurement methods, the portable spasticity assessment device (PSAD) (Movotec, Charlottenlund, Denmark) and an ultrasound measurement called shear wave sonoelastography (SWE).

NCT ID: NCT04218890 Not yet recruiting - Lupus Nephritis Clinical Trials

TF, TFPI and Plasmin as Novel Bio-markers in Early Diagnosis of Lupus Nephritis

Start date: April 1, 2020
Phase:
Study type: Observational

Urinary levels of plasmin ,TF , and TFPI are all elevated in active LN patients compared to inactive LN patients and healthy controls. All four proteins correlated with systemic disease activity and renal disease activity. Importantly, urine plasmin performed best among the four proteins in discriminating active LN from inactive disease, even better than traditional markers, such as anti ds DNA and complement C3. Furthermore, the combination of urine plasmin and TFPI showed higher specificity and negative predictive values than urine plasmin when compared to anti-ds DNA and complement C3

NCT ID: NCT04233723 Not yet recruiting - Trauma Patients Clinical Trials

Effect of Severe Trauma on PD1 and Its Legend (PD1/L1) on T Lymphocytes and Correlation With Mortality

Start date: April 1, 2020
Phase:
Study type: Observational [Patient Registry]

Unlike neuro-endocrine response to trauma; posttraumatic immune alterations are not easily carried out at bedside. The majority of trials were conducted in the intensive care usually hours to days post injury. In this trial the investigators sought assess the immune responses during emergency department trauma resuscitation by looking at the biomarkers of severe injury by comparing T lymphocytes and programmed cell death molecules and its relation with mortality.

NCT ID: NCT04242979 Not yet recruiting - Liver Cirrhoses Clinical Trials

Assessing of Physicians' Knowledge About International Guidelines of Albumin Use in Patients With Liver Cirrhosis

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

Due to shortage of local studies of the adherence of physicians to the guidelines for albumin use among patients with liver cirrhosis so this study aims to assess: 1. Physicians' knowledge on the evidence-based indications for HA use supported by the international guidelines; 2. Whether HA is used in clinical conditions not supported by solid scientific evidence; 3. To formulate the evidence-based indications for HA use supported by the international guidelines and to evaluate effect of distributing these evidence-based indications on physicians' knowledge.

NCT ID: NCT04243187 Not yet recruiting - Clinical trials for Gastrointestinal Disease

Evaluation of Gastrointestinal Symptoms Following Chilean Native Beans Consumption

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

The oligosaccharide content (raffinose, stachyose, and verbascose) in legumes would be responsible for gastrointestinal symptoms (bloating, pain, meteorism), associated with its consumption. We would evaluate consumption of 3 varieties of chilean native beans, and evaluate gastrointestinal symptoms produced along with expired H2 test, to correlate this with the amount of oligosaccharide content.

NCT ID: NCT04248075 Not yet recruiting - Effect of Sedatives Clinical Trials

Effect of Sedatives on Perioperative Electroencephalogram in Elderly Patients Undergoing Spinal Anesthesia

Start date: April 1, 2020
Phase:
Study type: Observational

In the present study, we observe perioperative findings of electroencephalogram in sedated and non-sedated elderly patients undergoing total knee arthroplasty under spinal anesthesia.

NCT ID: NCT04253600 Not yet recruiting - Clinical trials for Language Development

Understanding the Predictive Factors and the Neurocognitive Basis of Developmental Language Disorder

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

For most children, language acquisition might appear like an effortless phenomenon, mostly arising from informal daily interaction with their surrounding people. Despite an adequate learning environment however, some children encounter major difficulties in learning their native tongue and develop a Developmental Language Disorder (DLD). Although the existence of a multi-factorial etiology has seemed to reach an agreement, presumably combining genetic and environmental factors to some kind of neural disruption, the underlying mechanisms leading to DLD are, to date, poorly understood. Many studies have attempted to identify risk factors and early predictors associated with the future development of a language impairment. However, despite the constant efforts to identify early markers able to differentiate between transient and persistent language difficulties, early detection of children who will be developing a DLD remains highly difficult, partially due to the lack of direct and ecological measures of early language and communication development. In addition research on the causal neural correlates of DLD is in its infancy, and often compromised by small sample sizes or analyses methods that lack anatomical specificity to determine the neural correlates of language impairment. Hence, In order to improve early detection and, therefore, language intervention, this longitudinal research project aims at investigating the early predictive factors as well as the neurocognitive basis of DLD by means of an integrative, multi-dimensional, and multi-methodological approach. To substantially gain insight, this research ideally integrates risk factors at multiple different levels, including the cognitive, neurobiological, parental and environmental level. From a methodological perspective, we will combine direct and indirect behavioral methods with neuroimaging methods in order to propose an early predictive model of language development.

NCT ID: NCT04258878 Not yet recruiting - Clinical trials for Surgical Wound Infection

Prospective Cohort Study in Evaluation of Risk Factors for Infection During and After Coronary Graft Operations.

Start date: April 1, 2020
Phase:
Study type: Observational [Patient Registry]

We aim to prospectively evaluate the risk factors that can play a role before, during or after the surgical period.

NCT ID: NCT04264039 Not yet recruiting - B-cell Lymphoma Clinical Trials

Anti-CD19 U-CAR-T Cell Therapy for B Cell Hematologic Malignancies

Start date: April 1, 2020
Phase: Early Phase 1
Study type: Interventional

The stunning response rate of anti-CD19(cluster of differentiation antigen 19) auto-CAR(chimeric antigen receptor)-T cell therapy brings hope to patients with relapsed or refractory B-cell hematologic malignancies. However, based on open clinical trials, using patients' T cells might encounter the failure of apheresis available T cells, even if successful, the time needed for the manufacture could also cause the irreversible disease progress. Furthermore, the cost of auto-CAR-T cells is not affordable for most patients. So to provide an accessible and affordable anti-CD19 CAR-T cell therapy for patients with B-cell hematologic malignancies, we launch such a trial that using the edited T cells from healthy donors to manufacture universal CAR-T cells and adapt it in patients with CD19+ B-cell leukemia or lymphoma.