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NCT ID: NCT02135224 Recruiting - Cervical Dilatation Clinical Trials

the Effects of Epidural Fentanyl on Vaginal Delivery

EFVD
Start date: December 2011
Phase: N/A
Study type: Interventional

The study hypothesis was that epidural fentanyl may accelerate the dilation of the cervix and possibly result in a shorter duration of vaginal delivery.

NCT ID: NCT02125994 Recruiting - Shoulder Surgery Clinical Trials

Effect of 0.5% vs 0.375% Ropivacaine on Autonomous Nervous System

Start date: March 2014
Phase: N/A
Study type: Interventional

It is established that the local anesthetic that is administered during an interscalene block affects the autonomic outflow to the heart. This is very well seen during shoulder surgery when the patient is positioned in beach chair pasition. The investigators want to study the different effect of the two concentrations (0.5% and 0.375%) of ropivacaine on the autonomic nervous system through blood pressure and heart rate measurements.

NCT ID: NCT02114853 Recruiting - Sepsis Clinical Trials

Oxidative Monitoring in ICU Patients.

ORPICU
Start date: April 2014
Phase: N/A
Study type: Observational

Sepsis is common in the ICU and is associated with high mortality that reaches up to 60%, increased duration of hospitalization and additional costs [1,2].Early diagnosis and stratification of severity are of great importance in order to timely apply proper and adequate treatment [3]. Oxidative stress is implicated in inflammation and sepsis and sepsis severity seems to correlate with increased oxidative stress [7,8]. Monitoring of oxidative stress has been done so far with various markers which reflect the different pathways of oxidative stress as is oxidosis of lipids, proteins, nucleic acids; yet the antioxidant capacity of various enzymes and vitamins has been studied [9]. However these methods do not reflect oxidative stress as a whole, are time consuming, need special laboratory procedures and are costly. Oxidation-reduction potential is a new technique that enables bedside assessment of the oxidative status. It is based on measuring the balance of oxidants and reductants in human blood with a simple plasma test that reports results immediately. Hypothesis Oxidation-reduction potential, used for oxidative monitoring in ICU patients, might correlate with sepsis severity and may be used in addition to other clinical and/or inflammatory markers to assess severity and possibly prognosis.

NCT ID: NCT02108340 Recruiting - Appendicitis Clinical Trials

Comparative Study of Microwave Radiometry and Ultrasonography for the Diagnosis of Acute Appendicitis

Start date: September 2013
Phase: N/A
Study type: Interventional

This study will evaluate the use of microwave radiometry in a population of patients diagnosed with acute appendicitis and treated with appendectomy. The main purpose of the study is to report the results of microwave radiometry as a diagnostic tool in acute appendicitis and compare those results with the commonly used ultrasonography.

NCT ID: NCT02079376 Recruiting - Type 2 Diabetes Clinical Trials

The DIAMOND® for the Treatment of Type 2 Diabetes

Start date: November 2013
Phase: N/A
Study type: Interventional

Study to evaluate the efficacy of gastric stimulation (GCM) using the DIAMOND System in the improvement of glycemic control measured by changes in HbA1c. Relationship between blood TG level and the GCM efficacy will be evaluated.

NCT ID: NCT02069509 Recruiting - Friedreich's Ataxia Clinical Trials

Patient Registry of the European Friedreich's Ataxia Consortium for Translational Studies (EFACTS)

EFACTS
Start date: May 2010
Phase:
Study type: Observational [Patient Registry]

This is a multi-centre, multi-national, prospective, observational study of Friedreich's Ataxia (FRDA) with a control group to: - obtain natural history data on individuals affected by FRDA - relate clinical assessments and results from proteomic analyses - expedite identification and recruitment of participants for clinical trials - develop and validate sensitive and reliable outcome measures for detecting onset and change over the natural course of FRDA which may also be potential outcome measures for use in future clinical trials and clinical care - plan for future research studies

NCT ID: NCT02061514 Recruiting - Surgery Clinical Trials

The Effect of Two Different General Anesthesia Regimes on Postoperative Sleep Quality

Start date: March 2014
Phase: N/A
Study type: Interventional

- Major surgery can lead to postoperative disturbances in sleep patterns with subjective deterioration of sleep quality according to patients' reports as well as objective alterations of sleep architecture, as recorded by polysomnography - Factors implicated in postoperative sleep disturbances include but are not limited to the severity of the surgical procedure, the neuroendocrine response to surgery, inadequate treatment of postoperative pain and external factors interfering with sleep, such as light, noise and therapeutic procedures - There are differences in the molecular mechanisms inhalational anesthetics and intravenous agents affect different brain regions to induce anesthesia. Our hypothesis is that these differences may also be evident during the postoperative period, affecting brain functions which are involved in postoperative sleep architecture. So, the aim of this study will be to assess the effect of two different anesthetic techniques (propofol versus desflurane) of maintaining general anesthesia in patients subjected to similar major operations - Patients will be assessed with the Pittsburgh Sleep Quality Questionnaire (PSQI), regarding preoperative and long term postoperative sleep quality, sleep diaries regarding early postoperative sleep quality and biochemical markers (cortisol, prolactin and melatonin) regarding neuroendocrine response to surgery and disturbances in endogenous circadian secretion associated with sleep

NCT ID: NCT02061436 Recruiting - Clinical trials for Coronary Artery Disease

Prospective Global Registry for the Study of Chronic Total Occlusion Intervention

PROGRESS-CTO
Start date: January 2012
Phase:
Study type: Observational [Patient Registry]

Percutaneous coronary intervention (PCI) of chronic total occlusions (CTOs) is increasingly being performed in patients with advanced coronary artery disease, but there is limited information on the techniques utilized and the procedural outcomes. The goal of this multicenter, investigator initiated registry is to collect information on treatment strategies and outcomes of consecutive patients undergoing CTO PCI among various participating centers. The information collected will be used to determine the frequency of CTO PCI performed at the participating sites and examine the procedural strategies utilized, and the procedural (both immediate and during follow-up) outcomes.

NCT ID: NCT02057328 Recruiting - Hypertension Clinical Trials

Comparative Study of the Effects of Telmisartan and Nebivolol

TELNEB
Start date: December 2010
Phase: Phase 4
Study type: Interventional

Τhe effectiveness of newer angiotensin-II receptor blockers and cardioselective beta-adrenergic blockers in treatment of arterial hypertension and in improvement of arterial stiffness has been established in previous studies among the hypertensive population. The present study is a comparison of the performance of two drugs, telmisartan and nebivolol, in 24h ambulatory blood pressure values and in the degree of arterial stiffness of patients with stage I arterial hypertension. Measurements will be carried out with the use of 24-h ambulatory blood pressure measurement devices and the method of pulse-wave velocity analysis. The effects of telmisartan and nebivolol are going to be compared for a total time period of 12 months. The aim of this project is to determine whether the expected decrease in arterial stiffness of subjects with stage I arterial hypertension can be attributed to the blood pressure fall solely, or to other factors as well. These factors are possibly dependent on the action of these drugs on the renin-angiotensin II-aldosterone system (RAAS) or on peripheral vasodilatory actions. The present study is going to be the first comparative test of the anti-hypertensive effects of the two pharmaceutical substances in 12 months' time, and of the elimination of total cardiovascular risk in terms of primary prevention of cardiovascular attacks.

NCT ID: NCT02021305 Recruiting - Clinical trials for Urinary Tract Infection

The Role of TLR-4 Polymorphisms in Children With Urinary Track Infections

TLR-4
Start date: February 2013
Phase: N/A
Study type: Observational

Purpose So far anatomical abnormalities (mostly congenital) were, in the majority of the patients, associated with urinary track infections. In this study the researchers will try to investigate the role of TLRs as molecular interactions between bacterial virulence and host response. TLRs are important mediators in the development of the natural immunity against bacteria. They recognize microbial pathogen associated molecular patterns and alert the host's immune system to the presence of invading microbes