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Principles and practice of clinical research (2015)最新文献

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Weight loss and mortality in people living with HIV: Systematic Review Protocol and Meta-analysis 艾滋病毒感染者的体重减轻和死亡率:系统评价方案和荟萃分析
Pub Date : 2021-10-12 DOI: 10.21801/ppcrj.2021.73.2
S. A. Cordeiro, T. Lopes, R. L. Gonçalves
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引用次数: 0
Neuromodulatory effects of Transcranial Pulsed Current Stimulation (tPCS) in Fibromyalgia: protocol for a double-blinded, sham-controlled, randomized clinical trial 经颅脉冲电流刺激(tPCS)对纤维肌痛的神经调节作用:一项双盲、假对照、随机临床试验方案
Pub Date : 2021-10-12 DOI: 10.21801/ppcrj.2021.73.4
M. Castro, J. Fortes, L. Medeiros, A. de Souza
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引用次数: 0
Development of a distance education course on Skills and Strategies in Veterinary Communication (SSVC): a contribution to clinical research and evidence-based practice 兽医交流技能和策略远程教育课程的开发:对临床研究和循证实践的贡献
Pub Date : 2021-10-12 DOI: 10.21801/ppcrj.2021.73.3
Paul A. Tilley
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引用次数: 0
The WIRED Trial - Wii Sports™ as a virtual Reality Exercise Experience to improve Depression in healthcare workers during the COVID-19 Pandemic: A Multicenter, Prospective, Randomized, Controlled, Superiority Phase II Trial. 连线试验- Wii Sports™作为一种虚拟现实运动体验,可改善COVID-19大流行期间医护人员的抑郁症:一项多中心、前瞻性、随机、对照、优势II期试验。
Pub Date : 2021-09-12 DOI: 10.21801/ppcrj.2021.73.1
Julia De Conti Pelanda, A. M. Cabal Herrera, Irene de Torres García, Karen Burken Burgess, Flavia Engel Aduan, A. Koo, Afaf Khaled Hamze, Andreza Lamônica, Bruno Leonardo Duarte Pereira, Camila Sirieiro Abreu, Daniel Sebastian Bustamante Soliz, David Estiven Arboleda Prado, Felipe Alves Vione, H. Theyra-Enias, Huascar Alexander Rodriguez Cuello, Luiza Fonseca Sales de Medeiros, Mirian Antonieta Cardenas Vargas, Mohammed Ali Al-Hamzi, Naglaa Mohammed Ahmed Abdelrahim Omer, Phool Iqbal, Ricardo Virgínio dos Santos, Tiago Ernesto Reyes Castro, Y. C. Cornelio Puello, Juan Manuel Linares, Ahmed Fouad Algendy
: Background: Due to the coronavirus pandemic, the number of hospitalized individuals increased exponentially. The sudden increase in workload, the social isolation, and the fear of COVID-19 contributed to a remarkable increase of depression cases (from 20.9% to 43.2%) among healthcare workers. Although many treatments are available for depression, including pharmacotherapy, exercise, and virtual reality, response varies widely, from complete recovery to non-responders and relapsing cases. In this sense, Wii Sports™ may serve as an alternative to improve response to standard first-line therapy, since it provides an interactive environment, physical activity and incorporates playfulness. Objective: Evaluate the effect of Wii Sports™ in treating mild and moderate cases of major depressive disorder in healthcare professionals who developed depression during the COVID-19 pandemic. Methods: The WIRED trial is a phase II, multicenter, randomized, active-controlled, single-blinded, superiority trial with two parallel groups. The intervention group will be composed of Wii Sports™ in addition to a first -line antidepressant, while the con trol group will be composed of Wii™ games that do not involve physical activity in addition to a first -line antidepressant. The primary outcome is to detect a group mean difference in the 17-item Hamilton Depression Rating Scale (HAM-D17) at week twelve, while secondary outcomes include participant adherence and comparison of HAM-D17 scores at different time points. Conclusion: To our knowledge, there is no previous literature published that targets the same population, tests the same intervention, and evaluates the same outcomes, highlighting the possible impact of the study on the psychological and psychiatric fields, regardless of its results.
背景:受新冠肺炎疫情影响,住院人数呈指数级增长。工作量的突然增加、社会孤立和对COVID-19的恐惧导致医护人员抑郁症病例显著增加(从20.9%增加到43.2%)。虽然有许多治疗抑郁症的方法,包括药物治疗、运动和虚拟现实,但反应差异很大,从完全恢复到无反应和复发病例。从这个意义上说,Wii Sports™可以作为改善对标准一线治疗的反应的替代方案,因为它提供了一个互动的环境,身体活动,并结合了游戏性。目的:评估Wii Sports™治疗在COVID-19大流行期间出现抑郁症的医护人员的轻、中度重度抑郁症的效果。方法:WIRED试验是一项II期、多中心、随机、主动对照、单盲、两组平行的优势试验。干预组将由Wii Sports™游戏和一线抗抑郁药组成,而对照组将由不涉及体育活动的Wii™游戏和一线抗抑郁药组成。主要结果是在第12周检测17项汉密尔顿抑郁评定量表(HAM-D17)的组平均差异,而次要结果包括参与者的依从性和不同时间点HAM-D17评分的比较。结论:据我们所知,之前没有发表过针对相同人群、测试相同干预措施、评估相同结果的文献,强调了该研究对心理和精神病学领域的可能影响,而不管其结果如何。
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引用次数: 1
Protocol for a phase II, multicenter, open-label, randomized controlled trial to compare the efficacy of gamification using Nintendo Switch Ring Fit Adventure game versus standard exercise in the treatment of fibromyalgia 一项II期、多中心、开放标签、随机对照试验的方案,比较使用任天堂Switch Ring Fit Adventure游戏化与标准运动治疗纤维肌痛的疗效
Pub Date : 2021-08-16 DOI: 10.21801/ppcrj.2021.72.4
Sofia Leonardo, Katharina Requião Barretto Bezerra, T. Grigio, Carla Darrás Ismael, Letícia Araujo Pinholato, Antonino Pugliesi, Romelia A. Barba Bernal, Manasa Kotte, C. Furia, N. P. Boris, S. Mohamed, V. Amaral, L. F. Botelho, Franciely Jesus Guedes, M. M. Miyake, María Fe Velarde-Álvarez, A. Azambuja, Antonio Vaz de Macedo
Background: Fibromyalgia (FM) is a chronic condition related to dysfunctional central pain processing mechanisms, which affects 3-6% of the world population, leading to widespread pain, stiffness, and tenderness of the muscles, tendons, and joints, as well as restless sleep, fatigue, depression, and anxiety. Exercise is the most effective way of reducing pain and improving global well-being in people with FM, but such patients present an important limitation to exercise adherence.Objective: We aim to evaluate whether a home-based gamification strategy will improve the Fibromyalgia Impact Questionnaire Revised (FIQR) scores in female patients aged 18-60 years old as an alternative to traditional exercise.Methods: The proposed trial is a multicenter, phase II, open-label, parallel, randomized, superiority trial. Female patients ranging from 18 to 60 years old with a diagnosis of FM will be randomized to the intervention group, designed to play the Nintendo Switch Ring Fit Adventure game on three home-based weekly sessions, or to the control group, which will receive general educational guidance through videos and pamphlets provided by the study staff for a total of 12 weeks. The primary outcome will be the mean change in FIQR score results.Discussion: The development of new strategies to increase exercise adherence can enhance the control of symptoms such as pain, depression, low quality of sleep, and physical limitation in FM patients, thereby improving their quality of life. We believe that gamification strategies such as the one used here can make physical activity more playful, accessible, and dynamic, motivating patients and increasing their physical function compared to those seeking center-based or conventional exercises.
背景:纤维肌痛(FM)是一种与中枢疼痛处理机制功能失调相关的慢性疾病,影响了世界3-6%的人口,导致肌肉、肌腱和关节的广泛疼痛、僵硬和压痛,以及不安的睡眠、疲劳、抑郁和焦虑。运动是减轻疼痛和改善FM患者整体健康状况的最有效方法,但这类患者在坚持运动方面存在重要限制。目的:我们旨在评估以家庭为基础的游戏化策略是否可以改善18-60岁女性患者的纤维肌痛影响问卷修订(FIQR)评分,作为传统运动的替代方案。方法:拟议的试验是一项多中心、II期、开放标签、平行、随机、优势试验。年龄从18岁到60岁的FM女性患者将被随机分为干预组和对照组,干预组被设计为每周在家玩三次任天堂Switch Ring Fit Adventure游戏,对照组将通过研究人员提供的视频和小册子接受为期12周的一般教育指导。主要结果将是FIQR评分结果的平均变化。讨论:提高运动依从性的新策略的发展可以加强对FM患者疼痛、抑郁、睡眠质量低下和身体限制等症状的控制,从而提高他们的生活质量。我们相信,与那些寻求以中心为基础或传统锻炼的患者相比,这里使用的游戏化策略可以使体育活动更有趣、更容易获得、更有活力,激励患者并提高他们的身体功能。
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引用次数: 1
The NEAT Study (Novel ElectroAcupuncture) - Electroacupuncture After Laparoscopic Colon Cancer Resection: Thinking Outside The Box. Study Protocol. NEAT研究(新型电针)-腹腔镜结肠癌切除术后的电针:打破常规思考。研究协议。
Pub Date : 2021-07-14 DOI: 10.21801/PPCRJ.2021.72.2
C. Vigna, María-Paz Orellana, Ingrid Sanchez, Natanael Pietroski, R. F. Vieira, Rinaldy Radhames Capellan, Nesiya Hassan, Roberto Rodríguez-Rivas, N. Mohammed, Almudena Fernández-Bravo, C. P. Ordonez, Maiara Cristina de Cesaro, Andy Silva-Santisteban
Introduction: Colorectal cancer is the second leading cause of cancer-related death in the US; complete surgical resection is the only curative treatment for non-metastatic colorectal cancer (NMCC). Postoperative ileus (POI) frequently increases patient morbidity and healthcare costs. Enhanced recovery after surgery (ERAS) protocol is the standard of care in most institutions and has been shown to reduce postoperative complications, but there is no a completely effective treatment for this condition. Studies suggest that electroacupuncture (EA) can improve gastrointestinal tract function after surgery.Objective: We aim to determine if including EA in the standard treatment of POI decreases the time to the first defecation, enhancing the return of normal bowel function after colon resection for NMCC.Methods: We propose a phase II, single-center, randomized, triple-blinded, sham-controlled trial with two parallel arms and a 1:1 allocation ratio. Patients 40-80 years of age diagnosed with NMCC scheduled to undergo laparoscopic surgery for colon cancer resection will be included. The arms will be EA + standard treatment and sham EA + standard treatment. The standard treatment will follow the ERAS protocol.Discussion: This will be the first randomized clinical trial to evaluate the impact of using EA along with the ERAS protocol for POI. This intervention may reduce patient morbidity and improve healthcare costs associated with the disease.
导读:结直肠癌是美国癌症相关死亡的第二大原因;完全手术切除是治疗非转移性结直肠癌(NMCC)的唯一方法。术后肠梗阻(POI)经常增加患者的发病率和医疗费用。增强术后恢复(ERAS)方案是大多数机构的标准护理,已被证明可以减少术后并发症,但对于这种情况没有完全有效的治疗方法。研究表明,电针(EA)可以改善术后胃肠道功能。目的:我们的目的是确定将EA纳入POI的标准治疗是否减少了首次排便的时间,促进了NMCC结肠切除术后正常肠功能的恢复。方法:我们提出了一项II期、单中心、随机、三盲、假对照试验,采用两个平行臂,分配比例为1:1。40-80岁诊断为NMCC并计划行腹腔镜结肠癌切除术的患者将包括在内。实验组分为EA +标准治疗组和假EA +标准治疗组。标准治疗将遵循ERAS方案。讨论:这将是第一个随机临床试验,以评估使用EA和ERAS方案对POI的影响。这种干预可以降低患者的发病率,并改善与疾病相关的医疗保健费用。
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引用次数: 0
Effect of kinesio taping on improving pain in patients with patellofemoral pain syndrome: a meta-analysis 动态贴扎对改善髌股疼痛综合征患者疼痛的影响:一项荟萃分析
Pub Date : 2021-07-12 DOI: 10.21801/ppcrj.2021.72.6
Muneera Al-Muhannadi, K. AlKarbi, K. Al-Khelaifi, Hamda Al-Qaatri, M. Mahmoud, Fawzyia Al-Hor, M. Aseel
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引用次数: 0
Costs and economic impacts of type-1 diabetes from the Dominican patient perspective 从多米尼加患者的角度看1型糖尿病的成本和经济影响
Pub Date : 2021-07-12 DOI: 10.21801/PPCRJ.2021.72.1
A. Martinez, Coral Naomi Vargas Peña, Daniela Crespo Almonte, Nancy Esther Romero Castro, Franklyn Augustín Colón Arias, Sergio Gresse Júnior
Objective: Estimate the economic burden of type 1 diabetes (T1D) in the Dominican Republic and its impact on treatment adherence and patients’ quality of life (QoL).Materials and Methods: Cross-sectional observational study about T1D treatment cost and adherence plus patients QoL. The total monthly cost of treatment regimes was calculated through microcosting analysis and correlated with a national minimum wage (NMW) and average household income. Sociodemographic, clinical, treatment adherence, and QoL data were obtained through an online questionnaire. In an exploratory approach, all variables were compared with the categorization of household income.Results: Fixed doses (FD) regime has the lowest cost (46% of the NMW) and continuous subcutaneous insulin infusion (CSII) the highest (540% of the NMW). The lower household income group had less insurance coverage (P= 0.034), purchased fewer diabetes management supplies for cost-related reasons (P= 0.014), performed less glycemic monitoring (P= 0.016), and had more cost-related factors limiting appropriate treatment and follow-up (P= 0.030). Also, the FD treatment modality predominated in this group, while Multiple Daily Injections and constant subcutaneous insulin injection prevailed in the higher income group (P= 0.005). The QoL mean scores were 31.63 (SD 8.02) in the lower-income group and 32.52 (SD 8.81) in the higher-income one.Conclusions: T1D has a high monthly economic impact, potentially worsening treatment adherence and QoL, especially in the lower socioeconomic status population. Efforts must be made by the healthcare system to enhance the economic support and management of this disease.KEYWORDS: Type 1 diabetes, Microcosting, Dominican Republic, Public Health, Treatment adherence.
目的:评估多米尼加1型糖尿病(T1D)的经济负担及其对治疗依从性和患者生活质量(QoL)的影响。材料与方法:T1D治疗费用、依从性与患者生活质量的横断面观察研究。通过微观成本分析计算治疗方案的每月总成本,并与国家最低工资(NMW)和平均家庭收入相关。通过在线问卷获得社会人口学、临床、治疗依从性和生活质量数据。在一种探索性的方法中,所有变量都与家庭收入的分类进行了比较。结果:固定剂量(FD)方案的成本最低(占NMW的46%),持续皮下胰岛素输注(CSII)的成本最高(占NMW的540%)。家庭收入较低组的保险覆盖率较低(P= 0.034),因费用相关原因购买糖尿病管理用品较少(P= 0.014),进行血糖监测较少(P= 0.016),并且有更多与费用相关的因素限制适当的治疗和随访(P= 0.030)。此外,FD治疗方式在该组中占主导地位,而在高收入组中以多次每日注射和持续皮下注射胰岛素为主(P= 0.005)。低收入组生活质量平均得分为31.63 (SD 8.02),高收入组生活质量平均得分为32.52 (SD 8.81)。结论:T1D具有较高的月度经济影响,可能会恶化治疗依从性和生活质量,特别是在社会经济地位较低的人群中。卫生保健系统必须努力加强对这种疾病的经济支持和管理。关键词:1型糖尿病,微成本计算,多米尼加共和国,公共卫生,治疗依从性。
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引用次数: 1
Scientist at School: Connecting Elementary Students to University Clinical Research Scientists Through Live Streams During a Pandemic in Southern Brazil 学校的科学家:在巴西南部大流行期间通过直播将小学生与大学临床研究科学家联系起来
Pub Date : 2021-07-12 DOI: 10.21801/ppcrj.2021.72.5
Raul M Rodrigues, C. A. J. O. Agani, Andreia Luciana Bard, S. R. B. Fonseca, Jhoana Uribe Ramos, N. M. Soares, Ândrea Celestino de Souza, Aline Weyh, J. Saute
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引用次数: 0
Addressing the critical role of gender identity and sex in the planning, analysis, and conduct of clinical trials. 解决性别认同和性别在临床试验的计划、分析和实施中的关键作用。
Pub Date : 2021-07-12 Epub Date: 2021-08-25 DOI: 10.21801/ppcrj.2021.72.7
Karen Vasquez-Avila, Kevin Pacheco-Barrios, Paulo Sampaio de Melo, Felipe Fregni
population considering differences in each population’s biological and psychosocial
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引用次数: 2
期刊
Principles and practice of clinical research (2015)
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